Start the next chapter of your life and influence the next chapter of our Islands health care.
We are currently recruiting medical consultants across all areas to our progressive health service with brand new facilities.
Jersey is a unique place to live and work and being a consultant in Jersey is different. As a crown dependency, we are an Island nation which includes our own Health Care Service and a more favourable financial position:
* Salary: £114,667 – £170,947
* Maximum personal tax rate of 20%
* Government of Jersey Pension with no annual tax cap
* Opportunity to carry out private practice
Our health service is on the move with construction of a brand-new hospital starting in 2026.
The level of care that you can give here is far more extensive. With further investment into modern healthcare facilities, we work to ensure that our consultants can provide the best patient care possible. Our consultants have the time to make a difference to our patients, providing end-to-end patient care throughout their pathway giving consideration to their medical requirements in its entirety.
And as with many aspects of Island life, our Healthcare system is familiar enough for comfort but offers variances that mean our Consultants and patients have a different experience. A small Island community, we have one main hospital that acts as a hub with a small number of offsite facilities and the geography of our Island means there is a shorter commute for you.
Consultant in General Medicine with an interest in Renal Medicine
On-call Commitment: 1:8
The successful candidate will be a sole renal Consultant, supported by a middle grade and a team of specialist nurses to provide a comprehensive service in renal medicine. The successful applicant must be dual accredited in nephrology and GIM.
Candidates are required to have broad experience of inpatient and outpatient in all aspect of nephrological practice and fully competent in diagnostics and therapeutics. The role holder will undertake Inpatient specialist reviews where requested and take part in GIM on-call rota.
Medical/Secretaries/Offices
There are dedicated medical secretaries (1 FTW) supporting the Consultant and their team. The Consultant will have a shared office space with IT facilities shared across Consultants from other specialities.
Clinical Duties:
• Continue to jointly develop a service of excellence for Renal Medicine which ensures a seamless integration between Jersey and tertiary centres in England.
• Participate in the ongoing development of a Renal strategy for the island of Jersey.
• To work in close partnership and liaison with Primary Care and other specialist services.
• To undertake inpatient specialist reviews for Renal Medicine.
• To undertake outpatient clinics for both Renal Medicine and GIM.
• Provide diagnostic and appropriate interventional services.
• Expected to undertake kidney biopsy, temporary and permanent central line insertion for dialysis. There is an expectation to perform permanent tunnel lines for a few patients with poor vascular access.
• To provide clinical advice & support to primary care colleagues and other Consultants within Health & Care Jersey medical model.
• To deliver personalised, evidence informed medical care plans to all patients that are appropriately documented and regularly evaluated.
• To provide advice and timely medical reviews and interventions as part of the interdisciplinary model of care.
• To participate and attend relevant services’ MDTs.
• To liaise with tertiary referral centres as appropriate to provide patient centered care & service improvements.
• Maintain good quality up to date medical records including timely discharge letters and summaries.
• To ensure appropriate documentation and coding is used to provide consistent audit and monitoring of the service.
• To adhere to local prescribing guidelines.
• The post holder should be adaptable, flexible and innovative to meet the ongoing challenges within the service. The responsibilities of the role may change from time to time.
• To comply with infection prevention & control requirements including the latest COVID-19 guidance and policies.
• To encourage dialogue with primary care clinicians to for admission avoidance and advice.
Leadership and Management:
• Take part in management and audit activities to support the Care Group Leadership team & Public Health in planning for services and ensuring the service meets key performance indicators including excellent patient care.
• The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues.
• The post holder will be expected to be fully involved in a ‘Risk Management” programe and support the Governance agenda.
• Represent the service at hospital meetings, as agreed with colleagues.
Teaching and Research:
The department is recognised for junior doctors from the Wessex Deanery (including medical students from Southampton) and active teaching is encouraged in this role. It is expected that the post holder is participating in the training of medical staff and that the candidate will ensure that the training and learning needs are identified and facilitated. This includes educational support for the clinical fellows recruited directly to Health & Care Jersey (HCJ).
The post holder should deliver training to a range of professionals across the multi-disciplinary team in renal medicine to create a service of excellence for Jersey.
Opportunities for participating in research are supported when appropriate. HCJ has a policy for professional leave and is supportive of external duties for the good of the wider profession.
On Call Rota:
The appointee will take part in the GIM on-call rota alongside the other eight GIM Consultants which will be reflected in the final job plan.
The Specialty:
Jersey Hospital, which has 219 beds including an intensive care unit, has traditionally offered a stand-alone renal service. This service was led by a single Consultant for over 20 years, who recently retired, leaving the hospital reliant on locum clinicians to fill the gap. The renal service focuses exclusively on adult patients, with paediatric renal care delivered by University Hospital Southampton (UHS). Transplantation and vascular access surgeries are carried out at Cambridge University Hospital.
The renal unit currently manages 35 haemodialysis patients and 60 individuals with functioning renal transplants. It operates an 18-station dialysis unit, including six cubicles. Specialist nurses play a critical role, delivering acute and chronic dialysis, patient education, anaemia management, and post-transplant care.
The retired Consultant's role encompassed outpatient care, inpatient reviews, and cross-departmental advisory support, including intensive care. They also performed key interventional procedures such as dialysis line insertions, renal biopsies, and peritoneal dialysis (PD) catheter placements, although only one patient is currently on PD. The Consultant was integral to the provision of acute dialysis services.
According to Jersey's national registry, approximately 2,720 residents (3% of the population) have CKD stages 3–5, with a mean age of 77 years. This prevalence is notably lower than the UK average of 6.1% among adults.
For more information about relocating to Jersey, please email hss.medicalstaffing@health.gov.je