We are looking to recruit one full time Consultant Diabetologist to cover Maternity leave for 12 months, to develop our local community diabetes services.
They will be based within Lewisham and Greenwich NHS Trust and spend 50% of their time working in the community across the boroughs of Greenwich and Bexley.
The service will aim to deliver community diabetes clinics, virtual clinics, and primary care MDTs, which involve discussion of complex care patients who have diabetes and other care needs within the multidisciplinary team, with the aim of delivering patient-centred care. The service will work closely with primary care to improve the quality of care across the Bexleyand Greenwich system.
There will also be the opportunity to support any additional specialist interest post holders may have within the acute component of the role.The acute hospital-based role can be designed around a post holder's interests to supportour existing services in outpatient Type 1 diabetes clinics, pre-conception clinics, gestationaldiabetes and inpatient diabetes. Alternatively, there is the opportunity to deliver somegeneral medicine work (eg acute medicine on-call) or endocrinology clinics.
Main duties of the job
The 10 PA contract will comprise 7.5 direct clinical programmed activities and 2.5 supporting programmed activities.
The supporting programmed activities will include 1.5 PA for revalidation including participation in morbidity & mortality reviews, in the departmental clinical governance programme and in mandatory training. It is anticipated that a further 1 SPA will be allocated for teaching and training activities including educational supervision, plus development of thecommunity service.
About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
* Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
* Widening access (anchor institution) and employability
* Improving the experience of staff with disability
* Improving the EDI literacy and confidence of trust staff through training and development
* Making equalities mainstream
Job responsibilities
The 10 PA contract will comprise 7.5 direct clinical programmed activities and 2.5 supportingprogrammed activities.The supporting programmed activities will include 1.5 PA for revalidation includingparticipation in morbidity & mortality reviews, in the departmental clinical governanceprogramme and in mandatory training. It is anticipated that a further 1 SPA will be allocatedfor teaching and training activities including educational supervision, plus development of thecommunity service.
The Community role is envisaged as follows:- To provide clinical leadership for a borough based multidisciplinary team includingDSNs, podiatrists, dietitian and psychologist.- To deliver Consultant led community diabetes clinics (type 1 and complex type 2),provide clinical support to the DSNs, podiatrists, dietitian and psychologist.- Using Practice data, work with Practices to risk stratify their patients with diabetesand deliver MDTs to agree a management plan- Offer advice and guidance either by telephone or email- To have the opportunity and flexibility to develop this role and service so that it meetsthe needs of the local community and system partners- To test and explore innovation within the service, for example, the use of digital andremote monitoring
The acute role would be to facilitate continuity and a high quality of diabetes care for patientswith established or newly diagnosed type 2 diabetes admitted to the hospital, during theirstay and on discharge. We envisage that they will undertake type 2 diabetes and possiblymore specialist clinics of their choice. Colleagues will continue to also provide T2DMcommunity clinics to facilitate team working. There will be considerable flexibility within therole to maintain and develop clinical skills.
On Call Commitment:There may be opportunities to undertake inpatient diabetes/endocrine reviews, preoperative assessments, endocrinology clinics or engage in the on call rota depending on theappointees interests. If applicants which to join the on-call rota there will be consideration fortime off in lieu.CPD/SPACPD is counted within SPA time (see trust regulations). Attendance at internal meetings(non DCC) counts as SPA and is also often CPD, the clinician will have to make a choice ofwhat to attend within department and discuss with the CD where attendance is vital as partof smooth working of the department.
SPA in this post is 2.5 PAs per week.
Professional leaveMust be agreed with the CD/DD and is discretionary according to the activity. No clinicsshould be cancelled for professional leave.Diabetes and Endocrinology Department at Queen Elizabeth Hospital (Woolwich) andQueen Marys Hospital (Sidcup) Medical Staff:
Dr Jennifer Tremble Consultant D&E and General/Acute Medicine, Clinical Lead for D &E, QEH MedicineDr Debbie-Ann Charles Consultant D&E and General Medicine, QEHDr Iffy Chika Consultant D&E and General Medicine, QEHDr Valmiki Salema Consultant D&E QEH and Community servicesDr Serife Mehmet Consultant D&E and General Medicine, QMHDr Sharaf Ibrahim Consultant D&E and General Medicine, QMH
Within the QEH Medicine Division, Diabetes and Endocrine outpatient clinics are deliveredacross two sites: Queen Elizabeth Hospital, Woolwich and Queen Marys Hospital, Sidcup.All inpatient work is delivered at Queen Elizabeth Hospital, where there is a busy EmergencyDepartment. There are no inpatients at Queen Marys Hospital.There are diabetes day centres on both sites where nurse/dietetic and podiatry clinics areheld. At QEH Consultant diabetes clinics are largely in the main outpatients departmentalthough many of these are currently running virtually. Two of the Consultants currentlyundertake T2DM community clinics alternate weeks within the hospital supported byCommunity nurses, dietitians and a psychologist.
There is a lead Diabetes nurse based at QEH and a second DAFNE and pump trainednurse. There is a part time band 7 nurse supporting inpatient diabetes and a newlyappointed band 6 nurse and HCA. At QMH there are two band 7 nurses. There is a DAFNEtrained T1DM dietitian and a newly appointed inpatient diabetes dietitian.
There is a pump service on both sites. Transition clinics take place quarterly on both sites.There is a separate antenatal clinic for Bexley and Greenwich patients both held currentlyas a result of COVID at QMH all deliveries are at QEH. There is a specialist foot roundlead by the inpatient podiatrist supported by Vascular surgeons from St Thomas, adiabetologist, microbiologist and pharmacist. There are also foot services at QMH supportedby the diabetologist and vascular surgeons. There is a satellite dialysis unit at QEH,supported by the renal team from Kings College Hospital, and another at QMH, supportedby the renal team from Guys and St Thomas.
Person Specification
Qualifications
* MBBS or equivalent.
* Full registration with the GMC and hold a license to practice
* MRCP (UK) or equivalent.
* To be on the GMC Specialist Register for diabetes, endocrinology and ideally general medicine or within six months of obtaining CCT at the time of interview.
* Distinctions, scholarships, prizes Other degrees, e.g. BSc MSc, MD
* The Specialty Examination in Endocrinology and Diabetes
Clinical Experience
* Broad based training and wide experience of diabetes type 1 type 2 in the hospital and community
* Depending on the interests of the candidate evidence of experience in specialist diabetes, General/Acute Medicine and Endocrinology
* Experience of working in a multicultural environment
* Previous consultant-level experience of working in diabetes within a multidisciplinary team.
Clinical Audit
* Evidence of participation in clinical audit.
* Understanding of the principles of Clinical Governance and Clinical Risk
* Understanding of NHS systems and audit processes
* Evidence of service improvement projects and audits
* Evidence of involvement in audits that have been used to significantly improve patient care.
* involvement and /or experience in risk processes such as Serious Incident reviews and patient safety systems
Teaching Experience
* Experience and interest in undergraduate teaching
* Skill and ability in formal and informal teaching for both under/ postgraduate students and nursing/midwifery staff
* Educational supervision accreditation
* An understanding of current issues in medical education and training
* Previous experience in trainee Supervision
* Presentations at National or International meetings
* Publications in peer reviewed journals
Management and Administrative Experience
* Understands the management structure of the NHS Evidence of risk management
* Will have attended a National Health Service Management Course appropriate to consultant duties
* Ability to use Microsoft office packages, e.g. MS Word, Excel, Access & PowerPoint.
* Ability to use patient information systems
Other Attributes
* Effective communicator - verbal and written
* Ability to work as part of a multidisciplinary team
* 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.
* A sympathetic approach to patients and relatives.
* Ability to establish good professional relationships with others.
* Ability to plan strategically, execute tasks and to exercise sound judgment when faced with conflicting pressures.
* Ability to engage in and lead change management.
* Has experience of committee work and prepared to undertake committee work
* Critical and enquiring approach to knowledge acquisition.
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.
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