Job responsibilities

a. Clinical Responsibilities Acute and General Medicine

The majority of direct clinical care and supporting professional activity time will be spent working on the Acute Medical and Ambulatory care unit, where they will lead the multiprofessional team in the management of the acute medical patients. It is expected that they will lead ward rounds, direct the management of patients, assess patients, perform practical procedures, teach both junior medical and other staff, attend multidisciplinary meetings, take part in the governance activity of the department, participate in the management and administration of the service and liaise with other professionals both within and outside the trust as required.

Ambulatory care will involve supervising treatment and observation of ambulatory patients selected from the medical take. It will also include the provision of scheduled urgent care such as rapid-access specialist clinics, urgent diagnostics and planned treatment sessions.

b. Clinical Responsibilities Nephrology

The post-holder will have clinical responsibility for approximately 50 patients (half the cohort) receiving outpatient haemodialysis at the Lewisham Dialysis Unit which is a satellite unit of the Guys Hospital renal service. Although located within University Hospital Lewisham, the unit was built and is managed by Diaverum as part of a joint venture with Guys and St. Thomas NHS Foundation Trust. This has been a very successful collaboration over many years. The post-holder will work with Dr James Pattison, Consultant Nephrologist to divide the patient cohort to best mutual convenience.

The dialysis unit is located within the hospital, and inpatients can therefore be dialysed in the Lewisham Unit according to a Standard Operating Procedure developed by both Trusts. The post-holder will be the key renal opinion for inpatients at University Hospital Lewisham and therefore has a real opportunity to further develop the service for acute dialysis and be the link between the Trusts.

Guys and St. Thomas provide a weekly general nephrology clinic at University Hospital Lewisham, and the post-holder will take over an alternate week responsibility including prospective cover, with Dr Nick Mansfield. The post-holder will be expected to contribute to vetting new referrals. The service links closely with clinics at Guys including subspecialty work and patients transferring to the Advanced Kidney Care (low clearance) Clinic. The post-holder will be involved in modernising the clinic and referral pathways according to a mixed virtual and face to face model.

The post-holder will also contribute to the ward cover rota and Guys and St Thomass Hospital as outlined in the above job plan. This involves comprehensive acute nephrology and transplant expertise although all consultant nephrologists on the rota frequently seek advice from colleagues: we pride ourselves on being an extremely supportive unit. As a new member of the team, the post-holder will be assigned a mentor and have access to the GSTT new consultants programme.

Renal Clinical Networks are a recent national focus of NHS England, whilst the South London Renal Clinical Alliance of all the South Thames units has been active for over 8 years with several work streams in service improvement. As the South East London partners in the Alliance, Guys and St. Thomas are working closely with Kings College Hospital and partners in both University Hospital Lewisham and Queen Elizabeth Hospital Woolwich to ensure a consistent high quality renal service across the sector: the post-holder will be key in contributing to and strengthening these networks.

Qualifications

Essential

• MBBS or equivalent. .
• Registered with GMC
• MRCP or equivalent.
• CCT in Acute or General Internal
• Medicine
• CCT in Renal Medicine

Desirable

• Distinctions, scholarships, prizes
• Other degrees, e.g. BSc MSc, MD.

Clinical Experience

Essential

• Broad based training and wide experience of acute and general medicine.
• Full range of nephrology training

Desirable

• Previous consultant level experience in General Internal Medicine and/or renal medicine

Clinical Audit

Essential

• Evidence of participation in clinical audit.
• Understanding of the principles of Clinical Governance and Clinical Risk.

Desirable

• Previous broader experience of clinical governance, clinical risk management and associated areas.

Teaching Experience

Essential

• Wide experience of, and strong commitment to, undergraduate and postgraduate teaching.

Desirable

• Evidence of educational leadership roles

Management and Administrative Experience

Essential

• Evidence of organisational ability and experience of NHS management tasks

Desirable

• Formal management course with previous experience especially of change management

IT Skills

Essential

• Ability to use Microsoft office packages, e.g. MS Word, Excel, Access & PowerPoint.
• Ability to use patient information systems

Other Attributes

Essential

• Evidence of leadership
• Organisational ability
• Able to take responsibility and cope with stressful situations
• Able to get on with other members of the multidisciplinary team
• Credibility and integrity
• o A sympathetic approach to patients and relatives
• o Ability to establish good professional relationships with others
• o Commitment to Appraisal and Revalidation

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).