Consultant Rheumatologist

Doncaster & Bassetlaw Teaching Hospitals NHS FT

The closing date is 30 April 2024

Job summary

This is a great opportunity to be part of the Rheumatology Department who are seeking a Consultant Rheumatologist to join a team of 4 Consultants, 2 Specialist Registrars, 1 GP Registrar, specialist nursing staff and fully functional wider MDT, supported by input from all associated specialties.

This is a new post to cover increasing demand in Rheumatology and we are looking to appoint an enthusiastic and forward-thinking physician to join an evolving dynamic department. The post is for a full-time contract (10 PAs) but the option to work flexibly (less than full time) is available. The job is available with immediate start.

The post holder will be required to offer the appropriate level of skills in general Rheumatology whilst expertise in a sub-specialist area complementary to those offered by the present Consultants would also be desirable.

We are actively involved in research as well as offering educationally supervised training opportunities and encourage learning and development using the NHS ePortfolio. We are involved in working with our junior and middle grade doctors to develop their skills and provide curriculum experience to achieve the necessary competencies.

Main duties of the job

The successful applicant will be based at Doncaster Royal Infirmary however, you will be expected to contribute to the delivery and development of Rheumatology Services across all Trust sites.

To maintain the highest clinical standards in Rheumatological conditions.

To work with colleagues both medical and nursing to improve and advance the service.

To provide outpatient and inpatient services in Rheumatology, including specialised pathways for Early Inflammatory Arthritis, Giant Cell Arteritis.

To share will medical colleagues the responsibility for teaching and training of trainees, junior medical staff, nursing staff and medical students.

To be responsible for ensuring active participation in continuing professional development

About us

Doncaster & Bassetlaw NHS FT is one of Yorkshire's Leading acute trusts, serving a population of more than 420,000 across South Yorkshire, North Nottinghamshire, and the surrounding areas. Our services are based over three main hospital sites employing over 6,000 colleagues.

It is our goal to give those who join Team DBTH the tools and opportunities to grow their career, so whether you spend just one year or fifty with us, it's our pledge to help youDevelop,BelongandThrive,Here.

As an organisation that supports flexible working, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to support a flexible working arrangement. If it works for the service, we will do our best to make it work for you.

As an equal opportunities employer, we encourage applicants from all sectors of the community, particularly from under-represented groups including those with disabilities, members of our ethnic minorities and LGBTQ+ communities.

We offer a range of benefits including:o Extensive range of learning opportunitieso NHS Pension Schemeo Generous holiday entitlement in line with Terms & Conditionso Comprehensive health and wellbeing supporto NHS Car Lease schemes and a range of salary sacrifice schemeo Discounts on restaurants, getaways, shopping and finance through external providers.

Date posted

29 February 2024

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£93,666 to £126,281 a year per annum (pro rata)

Contract

Permanent

Working pattern

Full-time

Reference number

272-5824824

Job locations

Doncaster Royal Infirmary

Armthorpe Road

Doncaster

DN2 5LT


Job description

Job responsibilities

The Department was established in 1978 with the appointment of a full-time Consultant in Rheumatology. Over the years, it has expanded to 4 Consultant Rheumatologists and 1 Associate Specialist.

Both inpatient and outpatient services are offered at Doncaster Royal Infirmary (DRI) and Bassetlaw Hospital (BDGH). There are satellite outpatient clinics at Montagu Hospital in Mexborough (which helps serve patients from the Dearne Valley region in particular) and Retford Hospital. Rheumatology inpatient facilities are shared with the Renal inpatients in Ward 32, away from the main medical and surgical wards. There is a GP registrar (StR) and a Rheumatology Specialty Registrar who provide junior doctor cover. The Rheumatology Specialty Registrar may have general medical commitment, which is dependent on the stage of training. The GP registrar is shared between Rheumatology and Dermatology.

Day case Rheumatology takes place at Rheumatology Day Unit at DRI and Medical Day Unit at BDGH.

Dedicated specialist physiotherapy and occupational therapy staff provide care for outpatients and also advise ward based therapists on care of Rheumatology inpatients. The physiotherapists have a hydrotherapy pool for our patients based at DRI. There is sessional input from chiropody and specialist podiatry service. The hospital has a comprehensive orthotics service.

There are six specialist nurses (4.2 WTE) across the Trust providing the appropriate dedicated input. They run clinics for disease assessment / management, education, biological therapies, and osteoporosis service. The department at DRI has a computerised system (TAMONITOR), established in October 1999, for monitoring disease modifying drugs. This is run, under medical supervision, by the specialist nurses with clerical support allowing safe and cost effective monitoring of the large and growing numbers of patients. There are recently updated and agreed shared care protocols in place with the CCG with regards to prescription and monitoring of DMARDs and immunosuppressives. A telephone helpline run by specialist nurses provides further support for the patients.

There are two DEXA scanners in the Trust, one at DRI and the other at BDGH. We provide clinical reports on DEXA results and they are currently reported by Dr Stevens, Dr Al-Khoffash and Dr Ramanath (Care of the Elderly consultant with special interest in osteoporosis). The Trusts current metabolic bone and osteoporosis clinic is run at BDGH. However, due to the expanding need there is a plan to develop this service at DRI. There are very good working relationships with the nationally recognised Metabolic Bone Centre at the Northern General Hospital, Sheffield. The successful appointee, if interested in osteoporosis, would be able to have their job plan reviewed to help develop the expected metabolic bone service at DRI.

The department work closely with other related specialities and have established joint meetings/clinics:

  1. Combined obstetric-rheumatology clinic with Dr Yin (obstetrician) monthly
  2. Combined radiology-rheumatology meeting monthly
  3. Combined rheumatology-renal meeting every 2 months
  4. Combined rheumatology-respiratory meeting every 3 to 4 months

In addition, we have established an early inflammatory arthritis service with a pathway which aims to meet NICE standards for assessment and treatment of inflammatory arthritis. All consultants are involved in this service and patients in the pathway are pooled together. There is great teamwork within this service as all consultants review each others patients who are in this pathway.

For the full details of the Job description and Person specification please see the attached documentation.

Job description

Job responsibilities

The Department was established in 1978 with the appointment of a full-time Consultant in Rheumatology. Over the years, it has expanded to 4 Consultant Rheumatologists and 1 Associate Specialist.

Both inpatient and outpatient services are offered at Doncaster Royal Infirmary (DRI) and Bassetlaw Hospital (BDGH). There are satellite outpatient clinics at Montagu Hospital in Mexborough (which helps serve patients from the Dearne Valley region in particular) and Retford Hospital. Rheumatology inpatient facilities are shared with the Renal inpatients in Ward 32, away from the main medical and surgical wards. There is a GP registrar (StR) and a Rheumatology Specialty Registrar who provide junior doctor cover. The Rheumatology Specialty Registrar may have general medical commitment, which is dependent on the stage of training. The GP registrar is shared between Rheumatology and Dermatology.

Day case Rheumatology takes place at Rheumatology Day Unit at DRI and Medical Day Unit at BDGH.

Dedicated specialist physiotherapy and occupational therapy staff provide care for outpatients and also advise ward based therapists on care of Rheumatology inpatients. The physiotherapists have a hydrotherapy pool for our patients based at DRI. There is sessional input from chiropody and specialist podiatry service. The hospital has a comprehensive orthotics service.

There are six specialist nurses (4.2 WTE) across the Trust providing the appropriate dedicated input. They run clinics for disease assessment / management, education, biological therapies, and osteoporosis service. The department at DRI has a computerised system (TAMONITOR), established in October 1999, for monitoring disease modifying drugs. This is run, under medical supervision, by the specialist nurses with clerical support allowing safe and cost effective monitoring of the large and growing numbers of patients. There are recently updated and agreed shared care protocols in place with the CCG with regards to prescription and monitoring of DMARDs and immunosuppressives. A telephone helpline run by specialist nurses provides further support for the patients.

There are two DEXA scanners in the Trust, one at DRI and the other at BDGH. We provide clinical reports on DEXA results and they are currently reported by Dr Stevens, Dr Al-Khoffash and Dr Ramanath (Care of the Elderly consultant with special interest in osteoporosis). The Trusts current metabolic bone and osteoporosis clinic is run at BDGH. However, due to the expanding need there is a plan to develop this service at DRI. There are very good working relationships with the nationally recognised Metabolic Bone Centre at the Northern General Hospital, Sheffield. The successful appointee, if interested in osteoporosis, would be able to have their job plan reviewed to help develop the expected metabolic bone service at DRI.

The department work closely with other related specialities and have established joint meetings/clinics:

  1. Combined obstetric-rheumatology clinic with Dr Yin (obstetrician) monthly
  2. Combined radiology-rheumatology meeting monthly
  3. Combined rheumatology-renal meeting every 2 months
  4. Combined rheumatology-respiratory meeting every 3 to 4 months

In addition, we have established an early inflammatory arthritis service with a pathway which aims to meet NICE standards for assessment and treatment of inflammatory arthritis. All consultants are involved in this service and patients in the pathway are pooled together. There is great teamwork within this service as all consultants review each others patients who are in this pathway.

For the full details of the Job description and Person specification please see the attached documentation.

Person Specification

Qualifications

Essential

  • MRCP or equivalent
  • You must be on the specialist register for rheumatology medicine or within 6 months of being admitted to the register for trainees, if currently in a training programme in the UK. In accordance with the regulations, all other categories of Doctors must be on the GMC specialist register to be considered for a consultant appointment by the Advisory Appointments Committee.
  • Applicants must continue to hold a Licence to Practise

Desirable

  • Relevant higher degree

Experience and Achievements

Essential

  • Must be able to demonstrate a high level of clinical experience and competence in all aspects of Rheumatology
  • Ability to offer expert clinical opinions on range of problems within the specialty
  • Wide based experience in Rheumatology
  • Shows ability to work with and lead others across professions

Desirable

  • Attendance at a recognised management course

Teaching and Training

Essential

  • Experience of and enthusiasm for clinical teaching of postgraduate doctors and non-medical staff.

Desirable

  • Academic achievements/evidence of familiarity with research methods which have resulted in publications
  • Training in clinical and educational supervision
  • Attendance at a teaching course
  • Formal qualification in teaching/education

Audit and Research

Essential

  • Knowledge of Audit principles and evidence of participation in and completion of audit projects and the implementation of outcomes

Desirable

  • Critical Appraisal Skills
  • Evidence of knowledge of research methodology

Personal Qualities

Essential

  • Ability to use IT Systems - inc Word, Excel, PowerPoint Outlook
  • Evidence of innovation

Desirable

  • Evidence of continual learning and development
  • Understands self (strengths and weaknesses) and impact of behaviour on others
  • Access to own transport

General

Essential

  • Eligibility to work in the UK
  • Ability to work in various locations throughout the network of services provided by Doncaster and Bassetlaw Teaching NHS Foundation Trust
  • An enhanced DBS disclosure will be required with the Disclosure and Barring Service
Person Specification

Qualifications

Essential

  • MRCP or equivalent
  • You must be on the specialist register for rheumatology medicine or within 6 months of being admitted to the register for trainees, if currently in a training programme in the UK. In accordance with the regulations, all other categories of Doctors must be on the GMC specialist register to be considered for a consultant appointment by the Advisory Appointments Committee.
  • Applicants must continue to hold a Licence to Practise

Desirable

  • Relevant higher degree

Experience and Achievements

Essential

  • Must be able to demonstrate a high level of clinical experience and competence in all aspects of Rheumatology
  • Ability to offer expert clinical opinions on range of problems within the specialty
  • Wide based experience in Rheumatology
  • Shows ability to work with and lead others across professions

Desirable

  • Attendance at a recognised management course

Teaching and Training

Essential

  • Experience of and enthusiasm for clinical teaching of postgraduate doctors and non-medical staff.

Desirable

  • Academic achievements/evidence of familiarity with research methods which have resulted in publications
  • Training in clinical and educational supervision
  • Attendance at a teaching course
  • Formal qualification in teaching/education

Audit and Research

Essential

  • Knowledge of Audit principles and evidence of participation in and completion of audit projects and the implementation of outcomes

Desirable

  • Critical Appraisal Skills
  • Evidence of knowledge of research methodology

Personal Qualities

Essential

  • Ability to use IT Systems - inc Word, Excel, PowerPoint Outlook
  • Evidence of innovation

Desirable

  • Evidence of continual learning and development
  • Understands self (strengths and weaknesses) and impact of behaviour on others
  • Access to own transport

General

Essential

  • Eligibility to work in the UK
  • Ability to work in various locations throughout the network of services provided by Doncaster and Bassetlaw Teaching NHS Foundation Trust
  • An enhanced DBS disclosure will be required with the Disclosure and Barring Service

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Doncaster & Bassetlaw Teaching Hospitals NHS FT

Address

Doncaster Royal Infirmary

Armthorpe Road

Doncaster

DN2 5LT


Employer's website

https://www.dbth.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Doncaster & Bassetlaw Teaching Hospitals NHS FT

Address

Doncaster Royal Infirmary

Armthorpe Road

Doncaster

DN2 5LT


Employer's website

https://www.dbth.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Consultant Rheumatologist and Departmental Lead

Dr Annabel Coote

annabel.coote@nhs.net

01302644481

Date posted

29 February 2024

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£93,666 to £126,281 a year per annum (pro rata)

Contract

Permanent

Working pattern

Full-time

Reference number

272-5824824

Job locations

Doncaster Royal Infirmary

Armthorpe Road

Doncaster

DN2 5LT


Supporting documents

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