Locum Consultant- Diabetes and Endocrine

Chelsea and Westminster Hospital NHS Foundation Trust

Information:

This job is now closed

Job summary

Chelsea and Westminster Hospital Foundation Trust wishes to appointa Locum Consultant Physician in Diabetes Endocrinology and General Medicine.The Trust is looking for an enthusiastic and self-motivated physician to join the team.The Department of Endocrinology and Diabetes is one of the largest in the country, combining general and specialist diabetes and endocrinology, including nationally commissioned specialist endocrinology.

This post will include general diabetes and endocrinology clinics, youth endocrinology and diabetes transition, along with a rotational commitment to general medicine.

Main duties of the job

Specialist Endocrine and Diabetes services are provided across both sites. At C&W there is a diabetes centre with general diabetes clinics, insulin pump clinics, transition clinic and foot clinics. There are several general endocrine clinics a week with a strong links to both the Royal Marsden and Royal Brompton Hospitals, for which we provide specialist endocrine support. We work closely with Mr Smellie, Consultant Endocrine Surgeon and have an active endocrine testing service via a medical day unit and full access to endocrine imaging. We participate in regional Pituitary, Thyroid and NET MDTs, and support the endocrine tumour service based at the Royal Marsden.

At WMUH there are general diabetes and endocrine services, an active antenatal service and multidisciplinary foot clinics, transition clinics and an insulin pump service, supported by diabetes specialist nurses. A pump administrator works across sites.

Structured education for Type 1 diabetes is offered at both sites and that for Type 2 diabetes is available through the community services.

Consultants at both sites support local community diabetes services provided by Central London Community Health, using a combination of community based clinics for Type 2 diabetes with support for diabetes in primary care through practice based virtual or real clinics. Both sites are actively involved in designing and delivering diabetes education for primary care.

About us

We provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East. We have over 6,000 members of staff that are PROUD to Care for nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and childrens, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics. Were one of the best preforming Trusts in the country. Were also one of the top trusts to work for our staff say theyre engaged, motivated, and would recommend us as a place to work and receive treatment. Our Trust has been rated by the Care Quality Commission as Good in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of Good. Weve also been awarded an Outstanding rating for use of resources by an NHS Improvement inspection. Our facilities are some of the best in the country. We have been investing around £10 million a year in our estate. We are currently spending £25 million on expanding our adult and neonatal critical care facilities at Chelsea and Westminster and redevelopment of our childrens unit at West Middlesex in partnership with our charity, CW+ and generous donors

Job description

Job responsibilities

The final timetable will be confirmed following appointment and will be reviewed as required

The post holder will be required to build on existing, close relations with colleagues as part of a multidisciplinary team. He/she will also be required to participate in audit.

It is expected that the post holder will engage in specific management tasks and contribute to monthly departmental meetings and hospital committees in agreement with the Service Director and the Directorate managers.

Secretarial and administration support will be provided. The diabetes and endocrine consultants share 3 offices at the C&W site which are co-located and close to the diabetes nurses and out patient area.

Mentoring is available for new appointments .

This post is offered as a fixed term 1 year appointment pending a further review of staffing in the service.Indicative Weekly Job-Plan

Please refer to the chart below for an indicative job plan denoting the allocation of programmed activities please note that this is suggested only, and is subject to confirmation with the post-holder

The job plan may be subject to change in the future, subject to the needs of the service. This would be via consultation with the post-holder. Typical clinics consist of 3 New and 8 Follow up patients in a four hour clinic.

Day

Time From

Time To

Location

Type of work

Frequency

Hours per activity

No. of PAs

Classification of Activity (DCC/SPA)

Monday

9

1

C&W

Endocrine/ Bone clinic

1 in 1

4

1

DCC

1

2

C&W

M&M meeting / Pump MDT

1 in 1

1

0.25

DCC

2

5

C&W

Pump Clinic

1 in 2

3

0.375

DCC

2

5

C&W

Audit / Teaching

1 in 2

3

0.375

SPA

2

Tuesday

1

9

C&W

Diabetes Clinic

1 in 1

4

1

DCC

1

2

C&W

Endocrine MDT

1 in 1

1

0.25

DCC

2

5

C&W

Diabetes WR

1 in 2

3

0.375

DCC

2

5

C&W

Virtual Clinic / Clinical Admin

1 in 2

2

0.375

DCC

2

Wednesday

8

9.00

C&W

Diabetes MDT

1 in 1

1

0.25

DCC

9

1

C&W

Endocrine Clinic

1 in 1

4

1

DCC

2

5

C&W

Endocrine Clinic

1 in 1

3

0.75

DCC

2

Thursday

9

1

WMUH

Endocrine Clinic

1 in 1

4

1

DCC

1

5

Either Site

CPD

1 in 1

4

1

SPA

2

Friday

9

1

C&W

Endocrine Clinic

1 in 1

4

1

DCC

1

2

C&W

Radiology meeting

1 in 1

1

0.25

DCC

2

5

C&W

Virtual Clinic

1 in 1

3

0.75

DCC

2

GIM and In-patient diabetes commitments currently under review post COVID and will be discussed post appointment, with a time in lieu system likely to be used.

  • Roles of the post
    • Provide consultant care to patients in hospital and community based diabetes and endocrine clinics
    • Provide consultant leadership to multidisciplinary diabetes foot clinics
    • Provide consultant leadership to diabetes and foot MDTs.
    • Provide consultant led care to general medical inpatients
    • Contribute to teaching and audit activities within the department.
  • Provide High Quality Care to Patients

2.1 The post holder must adhere to the standards outlined by the GMC for Good Medical Practice.

2.2 Develop and maintain the competencies required to carry out the duties required of the post.

2.3 Ensure prompt attendance at agreed direct clinical care Programmed Activities.

2.4 Ensure patients are involved in decisions about their care and to respond to their views.

2.5 Demonstrate, model and encourage Trust Values at all times to all patients and staff.

  • Research, Teaching and Training
    • Provide high quality teaching to medical undergraduates and members of other health care professions as agreed with the Service Lead. To contribute to training and teaching of medical trainees, medical students, other doctors in training and other staff groups.

3.2 Act as a clinical supervisor and appraiser as delegated by the Clinical Director/Service Lead to ensure external accreditation of training post.

3.3 Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research/audit portfolio, at all times meeting the full requirements of Research Governance.

3.4 Ensure that your mandatory training is up to date as per Trust policy.

3.5 The Trust expects all consultants to participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. Consultants may apply to the study leave budget for help with associated expenses in line with the terms and conditions of their contract. In addition consultants will be expected to undertake some non-clinical training and development at the discretion of the trust management, for example, Leadership Training, and mentorship is available and encouraged for new appointees.

  • Performance Management
    • To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

  • Clinical efficiency e.g. Length of Stay (LOS) reductions, admission on day of surgery, reducing cancelled operations and DNA rates.

  • Quality of outcomes e.g. infection control targets, reducing re-admission rates

  • Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.

  • Operational efficiency e.g. day-case rates, waiting list activity and demand management.
  • Medical Staff Management and Accountability
  • 1 Work with colleagues to ensure Junior doctors hours are compliant in line with EWTD and New Deal.
    • Ensure that Trust systems and procedures are in place and followed to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments.

  • Adhere to Trust / department guidelines on leave, including requesting and reporting absence, and professional and study leave, and to ensure that members of staff for whom you are responsible do the same.

  • Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead.

  • Participate in team objective setting as part of the annual job planning cycle.

  • Be responsible for ongoing assessment and regular appraisal of all doctors in training, Trust doctors and non-consultant grades as delegated by the Clinical Director/Service Lead /General Manager.

  • Participate fully in regular departmental activities including department meetings and team building activities.

  • Governance

6.1 Adherence to referral criteria for hospital and community diabetes pathways is vital.

6.2 Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead.

  • Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.

  • Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead.

  • Participate in ensuring NICE, NSF, CNST and other national guidance requirements are reviewed and implemented and monitored in the speciality areas.

  • Ensure clinical guidelines and protocols are adhered to by junior medical staff and any other staff for whom the post has responsibility and that these are updated on a regular basis.

  • Keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead.

  • To role model good practice for infection control to all members of the multidisciplinary team and adhere to the Trust Infection Control measures (available on the Trust Intranet).

  • To report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.

  • Strategy and Business Planning

7.1 Work with medical managers and general managers to take forward the business planning and objective setting process for the directorate and Trust where appropriate.

7.2 Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead.

  • To attend and contribute at regular Departmental meetings as identified by the Clinical Lead.

8.0 Leadership and Team Working

8.1 Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.

8.2 Participate in any necessary management and leadership development courses as required by the trust.

8.3 Work collaboratively with all members of the multi-disciplinary team and Imperial College as required.

8.4 Set up and chair meetings relevant for clinical domain.

8.5 To promote local resolution of any conflict or differences of opinion. To involve appropriate parties for mediation, negotiation or discussion as appropriate.

8.6 Provide commitment and leadership in relation to equality and appropriate senior level management of diversity issues, particularly as they apply to training, people management and service delivery.

Person Specification

Qua

Essential

  • Full GMC Registration

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).

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Cross site

London

SW10 9NH


Employer's website

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

For help with your application, contact:

Daniel Morganstein

daniel.morganstein@nhs.net

07813543567

Date posted

18 November 2021

Pay scheme

Hospital, medical and dental

Band

Consultant

Salary

£84,559 to £114,003 a year £84,559 - £114,003 + LW+1% Cat B on calls

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

289-EIC-LCON-0281

Job locations

Cross site

London

SW10 9NH


Supporting documents

If there's technical issues with the website, contact:

Email:

nhsbsa.nhsjobs@nhsbsa.nhs.uk

Telephone:

0300 330 1013

Outside UK:

+44 300 330 1013

Opening times:

Monday to Friday: 8am to 6pm

Saturday: 9am to 3pm

Closed Bank Holidays including Easter Sunday, Christmas Day, Boxing Day and New Year's Day.