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.
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.