The Rheumatology unit serves a population in excess of 550,000 across Shropshire, Mid and North Wales and South Cheshire, offering inpatient, day case and out‑patient services from RJAH and outreach clinics. It is a friendly, progressive department, recognised by the Trust for its patient‑centred approach and high‑quality care. The rheumatology service's main hub is based at Oswestry with MDT satellite clinics in the Acute hospital in Shrewsbury and Community hospitals in Ludlow, Newtown and Powys, and Euston House in Telford. The Rheumatology Service sees the full range of acute and chronic rheumatological disorders. The bulk of the workload involves the care of people with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, vasculitis, lupus and related inflammatory disorders. There are currently some 600 people on TNF‑inhibitors in Shropshire and increasing numbers being treated with rituximab, tocilizumab and other biologic agents. We adhere to the monitoring requirements of the BSR Biologics Register and assessments are carried out by our 7 Nurse Specialists. Clinical Care
Responsibilities
* Provision of rheumatology clinical activity, predominantly related to early diagnosis and the ongoing management of inflammatory arthropathies.
* There will be scope for developing an area of special interest.
* Liaise constructively with other healthcare and social care providers to ensure effective inter‑specialty and interdisciplinary team working.
* Provision of rheumatology in‑reach at Royal Shrewsbury Hospital and Princess Royal Hospital to see ward referrals.
* The candidate is encouraged to join the medical on‑call for inpatients at RJAH which is currently shared between 4 consultants providing supervision to a team of senior middle grade doctors. The on‑call does not involve Acute unselected intake and is solely for supervision of the medical issues that arise for the inpatients at RJAH.
* Inpatient admissions are very infrequent in Rheumatology; however, in the small number of in‑patient admissions there is ample time for the consultant to review in their Patient Administration sessions with the support of the Specialty Doctor. Please see attached job description for detailed responsibilities and an example of a proposed job plan.
Qualifications
* Full GMC registration with license to practice and with no restrictions on practice.
* Entry on the GMC Specialist Register in Rheumatology, via CCT or Portfolio route. Proposed CCT/CESR date must be within 6 months of interview. European Community Rights Primary Medical Degree MRCP (or Equivalent), Further higher qualification.
* General Internal Medicine, Currently practising. Demonstrable competency in the management of patients with rheumatic disease and the delivery of those services.
* Wide experience in aspects of rheumatology, involvement in the development of, or experience of establishing and developing rheumatology services – in acute and/or community settings.
* Current general medicine clinical practice including managing patients in high‑dependency setting, Academic training together with research and publication.
* Involvement with assessment, appraisal and postgraduate education. Evidence of a substantive commitment to research e.g. primary research publications in peer reviewed journals.
* Demonstrates a critical and enquiring approach to work and acquiring knowledge; Basic understanding and practice of clinical leadership [with reference to the clinical leadership framework: personal qualities, working with others, managing services, improving services, setting direction]. Demonstrates what makes teams work effectively, Competence, demonstrated through experience, in managing & improving clinical services; setting direction for service developments. Practical experience of clinical service evaluation and review, Audit used in practice; exposure to clinical governance.
* Ability to use a range of IT systems including Microsoft Office.
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