Job overview
Barts Health NHS Trust
Consultant Physician in Acute Medicine and Endocrinology
10 PA Post
The Royal London Hospital and St Bartholomew’s Hospital
We are seeking to appoint a Consultant Physician in Acute Medicine and Endocrinology to join our teams at The Royal London Hospital and St Bartholomew’s Hospital. This is an excellent opportunity to combine a core role in acute medicine with specialist endocrine practice within a large and diverse teaching Trust.
In Acute Medicine, you will join a well-established, consultant-led service delivering care across the Acute Assessment Unit, Emergency Department and Same Day Emergency Care (SDEC). Consultant activity is structured around the acute medical take, post-take ward rounds, and ward-based responsibilities, providing a balanced mix of acute clinical decision-making, continuity of care, and ambulatory medicine.
The Endocrinology component of the post is delivered across both sites, with outpatient activity based at St Bartholomew’s Hospital and inpatient endocrine work primarily at The Royal London Hospital. This includes specialist endocrine consultation for inpatients, participation in multidisciplinary care, and contribution to the management of complex endocrine presentations.
Main duties of the job
In Acute Medicine, you will join a well-established, consultant-led service delivering care across the Acute Assessment Unit, Emergency Department and Same Day Emergency Care (SDEC). Consultant activity is structured around the acute medical take, post-take ward rounds, and ward-based responsibilities, providing a balanced mix of acute clinical decision-making, continuity of care, and ambulatory medicine.
The Endocrinology component of the post is delivered across both sites, with outpatient activity based at St Bartholomew’s Hospital and inpatient endocrine work primarily at The Royal London Hospital. This includes specialist endocrine consultation for inpatients, participation in multidisciplinary care, and contribution to the management of complex endocrine presentations.
. The role also includes involvement in established endocrine services at St Bartholomew’s, including outpatient clinics and multidisciplinary working within a tertiary endocrine centre with recognised strengths in pituitary disease.
Both departments are actively engaged in service development, quality improvement, and education. The postholder will have opportunities to contribute to teaching undergraduate and postgraduate trainees, as well as to the ongoing development of clinical pathways across acute and specialist care.
Working for our organisation
Barts Health is one of the largest NHS trusts in the country, and one of Britain’s leading healthcare providers.
The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.
Detailed job description and main responsibilities
In Acute Medicine, you will join a well-established, consultant-led service delivering care across the Acute Assessment Unit, Emergency Department and Same Day Emergency Care (SDEC). Consultant activity is structured around the acute medical take, post-take ward rounds, and ward-based responsibilities, providing a balanced mix of acute clinical decision-making, continuity of care, and ambulatory medicine.
The Endocrinology component of the post is delivered across both sites, with outpatient activity based at St Bartholomew’s Hospital and inpatient endocrine work primarily at The Royal London Hospital. This includes specialist endocrine consultation for inpatients, participation in multidisciplinary care, and contribution to the management of complex endocrine presentations.
The Royal London Hospital is a major trauma and neurosurgical centre, providing a distinctive opportunity to be involved in the assessment and management of endocrine complications of neurosurgical disease and traumatic brain injury, alongside acute general medical care. The role also includes involvement in established endocrine services at St Bartholomew’s, including outpatient clinics and multidisciplinary working within a tertiary endocrine centre with recognised strengths in pituitary disease.
This cross-site model offers the opportunity to maintain and develop specialist expertise across both acute and tertiary endocrine settings, while remaining embedded in acute general medicine. The successful candidate will contribute to high-quality care across both organisations and support the development of integrated clinical pathways.
Both departments are actively engaged in service development, quality improvement, and education. The postholder will have opportunities to contribute to teaching undergraduate and postgraduate trainees, as well as to the ongoing development of clinical pathways across acute and specialist care.
Person specification
Qualifications
Essential criteria
1. MRCP (UK) or equivalent recognised postgraduate qualification
2. CCT or CESR in Acute/Internal Medicine and Diabetes & Endocrinology (or within 6 months of interview date)
Desirable criteria
3. Higher degree (MD, PhD or equivalent)
Professional Registration
Essential criteria
4. Full registration with the General Medical Council (GMC) with licence to practise (or eligibility to obtain prior to start date)
Experience
Essential criteria
5. Demonstrable experience within the last 3 years of working in acute medicine, including participation in the acute medical take, leadership of post-take ward rounds, and assessment and triage of acutely unwell patients within an Acute Medical Unit or equivalent acute assessment service
6. Experience of managing complex acute medical patients, including independent decision-making in inpatient and ambulatory settings
7. Experience of managing endocrine disorders in inpatient and outpatient settings, including assessment, diagnosis, and ongoing specialist management
Desirable criteria
8. Experience working in a Same Day Emergency Care (SDEC) or Ambulatory Emergency Care service, including senior clinical decision-making
9. Experience working in a tertiary endocrine referral centre managing complex endocrine conditions
10. Experience contributing to endocrine multidisciplinary team working (e.g. pituitary, thyroid or neuroendocrine MDTs)
11. Experience managing endocrine complications of neurosurgical disease or traumatic brain injury.
Multidisciplinary Working
Essential criteria
12. Evidence of working collaboratively with clinicians, nursing staff, and allied health professionals to deliver coordinated patient care
Desirable criteria
13. Experience working collaboratively within specialist endocrine multidisciplinary teams and/or with community or primary care services to support ongoing management and follow-up of chronic disease
Service Improvement
Essential criteria
14. Evidence of participation in clinical audit or quality improvement activity, including data collection, analysis, and implementation of change
Desirable criteria
15. Evidence of completing a full audit cycle or equivalent quality improvement project
16. Experience contributing to service development, pathway redesign, or operational improvement within Acute Medicine and/or Endocrinology
Leadership or Supervision
Essential criteria
17. Evidence of supervising junior medical staff, including clinical oversight, provision of feedback, and support for training
Desirable criteria
18. Experience undertaking a formal educational or leadership role (e.g. Educational Supervisor, rota lead, service lead)
Communication Skills
Essential criteria
19. Demonstrates ability to communicate complex clinical information clearly and appropriately to patients, relatives, and multidisciplinary teams
Organisation and Prioritisation
Essential criteria
20. Demonstrates ability to manage competing clinical priorities and workload in acute and specialist clinical settings to deliver safe and effective patient care
Governance and Risk
Essential criteria
21. Evidence of applying clinical governance and patient safety processes in practice, including incident reporting, participation in governance activities, and adherence to clinical standards or guidelines