Specialist Doctor in Gender Healthcare

Devon Partnership NHS Trust

Information:

This job is now closed

Job summary

We are looking to appoint a Specialist Doctor in Gender Healthcare to join the West of England Gender Identity Clinic based at The Laurels in Exeter.

The West of England Specialist Gender Identity Clinic is a centre of excellence for the provision of advice and treatment for gender dysphoria for people aged 17 and older. We accept referrals from across the country and provide a personalised care and treatment plans to meet our patients individual needs.

Our multi-disciplinary team works with people who have a wide variety of needs related to their gender identity.

The successful candidate will possess excellent interpersonal skills and have a flexible approach to service delivery. We are looking for a team player who enjoys working in a multi-disciplinary setting with highly experienced and skilled staff. You must also be capable of contributing at senior level to development of our services.

Main duties of the job

Main duties of the job

Please see the attached Job Description for a full description of the post and information about working for us.

The location

Your base will be The Laurels, Dixs Field, Exeter, however under the current COVID-19 conditions this may be subject to alternative arrangements/change for example home working. Please be assured that any alternatives will be discussed fully with you and the organisation. Please ask the appointing manager if you have any questions.

About us

About Devon Partnership Trust

We provide mental health, learning disability and neurodiversity services, as well as a range of specialist & secure services for the wider south west region & nationally. We are passionate about promoting good mental health & wellbeing. We strive to use the expertise & resources within our organisation, and through our partnerships, to deliver high quality services that are safe & focused on people's recovery.

We are committed to developing a culture of coproduction, involving patients, families & carers in everything we do

Our values

We not only recruit based on qualifications & experience - we recruit individuals who possess & demonstrate the behaviours which underpin our Trusts core values. These include such attributes as showing a commitment to quality of care, improving lives of others, giving respect, dignity & compassion. We can bring those values to life in our everyday tasks by giving a smile; making time for people; challenging ourselves & others, & being open to new ideas.

We are committed to being an inclusive employer & applications are encouraged & welcomed from all sections of the community, regardless of any protected characteristics as governed by the Equality Act 2010. Part time & flexible working applications will be considered & supported, where possible. We particularly encourage applicants with lived experience of mental health conditions, neurodiversity or learning disabilities. We are a Disability Confident Leader.

Date posted

25 August 2023

Pay scheme

Hospital medical and dental staff

Grade

Specialist

Salary

£83,945 to £95,275 a year

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

C9369-23-0623

Job locations

The Laurels

11-15 Dix's field

Exeter

Devon

EX11QA


Job description

Job responsibilities

Please refer to the full Job Description and Person specification attached to this advert which will provide further information on this role.

Job description

Job responsibilities

Please refer to the full Job Description and Person specification attached to this advert which will provide further information on this role.

Person Specification

Qualifications

Essential

  • GMC registration.
  • GMC Licence to practise.
  • Eligible for inclusion in the Specialist or GP Register.

Desirable

  • FECSM, MRCP, MRCPsych, MRCGP, JCPTGP and/or CCT in General Practice or other relevant discipline.

Experience

Essential

  • 3 years unsupervised practice as a GP principal/salaried GP), working with both physical and psychological health issues.
  • Clinical experience in the use of sex steroid replacement (HRT, TRT).

Desirable

  • Previous experience of clinical work with people affected by gender incongruence and dysphoria.
  • Clinical experience in gender-specific Mens and Womens Healthcare,
  • and/or LGBT Healthcare Previous experience of working in a Specialist
  • Gender Identity Service.

Clinical Skills

Essential

  • Empathy and cultural sensitivity towards LGBT+ people.
  • An approach to clinical practice that accepts gender diversity is not a mental health problem but a valid expression of human experience (gender-affirmative approach).
  • A willingness to meet identity-diverse people where they are now with inclusion-focused services that deliver.
  • Social, educational and vocational accommodations that are designed to facilitate inclusion.
  • Reasonable adaptations in communications appropriate to individual need.
  • Assistive health and social care interventions, occupational training, and independent living support.
  • Mastery of interviewing, and physical and psychological assessment of patients.
  • Ability to adapt practice to meet the needs of people with Autism Spectrum Condition, Attention Deficit Hyperactivity Disorder and other neurodevelopmental conditions.
  • Competence in general assessment of physical and mental health and identification of clinically relevant health problems and risks
  • Competence in management of sex hormone therapy and gender-specific health issues, including hypogonadism.
  • Competence in co-ordinated care for patients as part of multidisciplinary team and extended clinical network.
  • Competence in co-ordinated care for patients with other service providers, including primary care providers, in and out-patient secondary care providers, mental health services, social services and third sector providers.
  • Mastery of writing clear and relevant medical notes and reports for third parties.

Desirable

  • Competence in recognition of diverse presentations of identity (binary, non-binary and non-gender/agender) and gender dysphoria.
  • Competence in assessment of gender identity development
  • Competence in the formulation/diagnosis of people with identity-related concerns and gender dysphoria.
  • Competence in treatment planning for the achievement of diverse gender expression goals and relief of gender dysphoria.
  • Competence in the endocrine and pharmacological management of gender dysphoria.
  • Competence in the care of people with specific and generalised learning difficulties.
  • Competence in the care of people with personality disorders.
  • Competence in the care of people with eating disorders.
  • Competence in providing oversight of and contributing to the multidisciplinary management of diverse identity concerns and gender dysphoria, as part of an MDT and extended clinical network.

Teaching and Research / Clinical Governance

Essential

  • Willingness to develop teaching skills and to teach colleagues of different professions and disciplines.
  • Willingness to train and develop skills as an educational and/or clinical supervisor.
  • Willingness to contribute to the local and wider NHS research.
  • programmes.
  • Basic IT skills.
  • Commitment to involvement in on site programme of clinical governance.

Desirable

  • Experience of teaching colleagues of different professions and disciplines.
  • Experience as an educational and/or clinical supervisor.
  • Experience in healthcare research.
  • Publications in peer reviewed journals.
  • Knowledge of evidence based practice, clinical audit and involvement of users and carers in service provision.

Clinical Skills

Essential

  • Good professional knowledge of common physical and mental health problems and their management.
  • Awareness of the breadth of physical and mental health, and social problems, including iatrogenic problems.
  • Good professional knowledge of neurodevelopmental conditions (i.e. ASC and ADHD) and neurodiversity.
  • Health and social inclusion of LGBT+ people.
  • Internalised homo/transphobia.
  • The impact of Minority Stress on health and social inclusion.
  • Human development (pre-natal, child, adolescent, adult and old age).
  • Sex development and its disorders.
  • Ability to cite evidence base for best practice.
  • Medical practitioners must have knowledge of the following subjects, to a level that might be expected of a reasonably competent GP:
  • General internal medicine
  • Urology
  • Obstetrics and gynaecology
  • General endocrinology
  • Contraception and reproductive medicine
  • Haematology
  • Mental health
  • Clinical pharmacology
  • Health promotion and screening
  • Employment, social and legal issues relevant to health

Desirable

  • Gender diversity and dysphoria
  • Gender identity development
  • Clinical and social interventions for the relief of gender dysphoria
  • Behavioural
  • Social
  • Legal
  • Psychological
  • Voice and communication
  • Endocrine and pharmacological
  • Epilation and trichology
  • Reconstructive chest surgery
  • Reconstructive genital surgery
  • Facial and other gender-aesthetic surgeries

Personal Skills / Physical

Essential

  • Ability to communicate with clarity in spoken and written form.
  • Flexible approach, keen to accept new challenges.
  • Punctuality/good time management.
  • Honesty and integrity.
  • Well organised.
  • Willingness and ability to support other professions in achieving their educational aims.
  • Ability to be independently mobile across a geographical area in a timely manner including urgently and in accordance to service need.

Desirable

  • Previous leadership role in a healthcare setting.
  • Competency in teaching of healthcare professionals.
  • Competency in clinical supervision of healthcare professionals.
  • Competency in NHS service management.

Continuing Professional Development / Motivation / Practical Arrangements

Essential

  • Commitment to process of CPD.
  • Ability to organise own learning/CPD.
  • Meets professional health requirements.

Desirable

  • Experience of planning, delivery and evaluation of CPD activity.
  • Competent to create and develop learning and CPD activities for others.
  • Access to appropriate transport to fulfil the post.
Person Specification

Qualifications

Essential

  • GMC registration.
  • GMC Licence to practise.
  • Eligible for inclusion in the Specialist or GP Register.

Desirable

  • FECSM, MRCP, MRCPsych, MRCGP, JCPTGP and/or CCT in General Practice or other relevant discipline.

Experience

Essential

  • 3 years unsupervised practice as a GP principal/salaried GP), working with both physical and psychological health issues.
  • Clinical experience in the use of sex steroid replacement (HRT, TRT).

Desirable

  • Previous experience of clinical work with people affected by gender incongruence and dysphoria.
  • Clinical experience in gender-specific Mens and Womens Healthcare,
  • and/or LGBT Healthcare Previous experience of working in a Specialist
  • Gender Identity Service.

Clinical Skills

Essential

  • Empathy and cultural sensitivity towards LGBT+ people.
  • An approach to clinical practice that accepts gender diversity is not a mental health problem but a valid expression of human experience (gender-affirmative approach).
  • A willingness to meet identity-diverse people where they are now with inclusion-focused services that deliver.
  • Social, educational and vocational accommodations that are designed to facilitate inclusion.
  • Reasonable adaptations in communications appropriate to individual need.
  • Assistive health and social care interventions, occupational training, and independent living support.
  • Mastery of interviewing, and physical and psychological assessment of patients.
  • Ability to adapt practice to meet the needs of people with Autism Spectrum Condition, Attention Deficit Hyperactivity Disorder and other neurodevelopmental conditions.
  • Competence in general assessment of physical and mental health and identification of clinically relevant health problems and risks
  • Competence in management of sex hormone therapy and gender-specific health issues, including hypogonadism.
  • Competence in co-ordinated care for patients as part of multidisciplinary team and extended clinical network.
  • Competence in co-ordinated care for patients with other service providers, including primary care providers, in and out-patient secondary care providers, mental health services, social services and third sector providers.
  • Mastery of writing clear and relevant medical notes and reports for third parties.

Desirable

  • Competence in recognition of diverse presentations of identity (binary, non-binary and non-gender/agender) and gender dysphoria.
  • Competence in assessment of gender identity development
  • Competence in the formulation/diagnosis of people with identity-related concerns and gender dysphoria.
  • Competence in treatment planning for the achievement of diverse gender expression goals and relief of gender dysphoria.
  • Competence in the endocrine and pharmacological management of gender dysphoria.
  • Competence in the care of people with specific and generalised learning difficulties.
  • Competence in the care of people with personality disorders.
  • Competence in the care of people with eating disorders.
  • Competence in providing oversight of and contributing to the multidisciplinary management of diverse identity concerns and gender dysphoria, as part of an MDT and extended clinical network.

Teaching and Research / Clinical Governance

Essential

  • Willingness to develop teaching skills and to teach colleagues of different professions and disciplines.
  • Willingness to train and develop skills as an educational and/or clinical supervisor.
  • Willingness to contribute to the local and wider NHS research.
  • programmes.
  • Basic IT skills.
  • Commitment to involvement in on site programme of clinical governance.

Desirable

  • Experience of teaching colleagues of different professions and disciplines.
  • Experience as an educational and/or clinical supervisor.
  • Experience in healthcare research.
  • Publications in peer reviewed journals.
  • Knowledge of evidence based practice, clinical audit and involvement of users and carers in service provision.

Clinical Skills

Essential

  • Good professional knowledge of common physical and mental health problems and their management.
  • Awareness of the breadth of physical and mental health, and social problems, including iatrogenic problems.
  • Good professional knowledge of neurodevelopmental conditions (i.e. ASC and ADHD) and neurodiversity.
  • Health and social inclusion of LGBT+ people.
  • Internalised homo/transphobia.
  • The impact of Minority Stress on health and social inclusion.
  • Human development (pre-natal, child, adolescent, adult and old age).
  • Sex development and its disorders.
  • Ability to cite evidence base for best practice.
  • Medical practitioners must have knowledge of the following subjects, to a level that might be expected of a reasonably competent GP:
  • General internal medicine
  • Urology
  • Obstetrics and gynaecology
  • General endocrinology
  • Contraception and reproductive medicine
  • Haematology
  • Mental health
  • Clinical pharmacology
  • Health promotion and screening
  • Employment, social and legal issues relevant to health

Desirable

  • Gender diversity and dysphoria
  • Gender identity development
  • Clinical and social interventions for the relief of gender dysphoria
  • Behavioural
  • Social
  • Legal
  • Psychological
  • Voice and communication
  • Endocrine and pharmacological
  • Epilation and trichology
  • Reconstructive chest surgery
  • Reconstructive genital surgery
  • Facial and other gender-aesthetic surgeries

Personal Skills / Physical

Essential

  • Ability to communicate with clarity in spoken and written form.
  • Flexible approach, keen to accept new challenges.
  • Punctuality/good time management.
  • Honesty and integrity.
  • Well organised.
  • Willingness and ability to support other professions in achieving their educational aims.
  • Ability to be independently mobile across a geographical area in a timely manner including urgently and in accordance to service need.

Desirable

  • Previous leadership role in a healthcare setting.
  • Competency in teaching of healthcare professionals.
  • Competency in clinical supervision of healthcare professionals.
  • Competency in NHS service management.

Continuing Professional Development / Motivation / Practical Arrangements

Essential

  • Commitment to process of CPD.
  • Ability to organise own learning/CPD.
  • Meets professional health requirements.

Desirable

  • Experience of planning, delivery and evaluation of CPD activity.
  • Competent to create and develop learning and CPD activities for others.
  • Access to appropriate transport to fulfil the post.

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

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

Devon Partnership NHS Trust

Address

The Laurels

11-15 Dix's field

Exeter

Devon

EX11QA


Employer's website

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


Employer details

Employer name

Devon Partnership NHS Trust

Address

The Laurels

11-15 Dix's field

Exeter

Devon

EX11QA


Employer's website

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


For questions about the job, contact:

Medical HR Administrator

Christie Madge

christie.madge@nhs.net

Date posted

25 August 2023

Pay scheme

Hospital medical and dental staff

Grade

Specialist

Salary

£83,945 to £95,275 a year

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

C9369-23-0623

Job locations

The Laurels

11-15 Dix's field

Exeter

Devon

EX11QA


Supporting documents

Privacy notice

Devon Partnership NHS Trust's privacy notice (opens in a new tab)