Job summary
The Royal Free London NHS Foundation Trust & the North Middlesex University Hospital NHS Trust are to appoint a cross-site Consultant in HIV Medicine based at the Hampstead and North Middlesex site. This is a full-time (10 PA) substantive post. The successful applicant will be providing specialist outpatient HIV care in the Ian Charleson Day Centre (ICDC) and the Alexander Pringle Centre, and 12 weeks of in-patient HIV consultant cover (8 weeks based on Ward 11 South RFH and 4 at North Middlesex), including evening, overnight and weekend on-call (1:8). In addition, the post holder will enhance the service by taking a lead in developing research at the North Middlesex University Hospital HIV service and supporting the research portfolio at RFH. They will also be expected to help deliver the HIV TB service, and will be expected to contribute to service development generally. The post holder will perform clinics in HIV and also undertake in-patient duties and ward rounds.
Main duties of the job
The appointee will be responsible for inpatient HIV care, including ward rounds, outpatient clinics, and facilitating MDT meetings. They will oversee clinical research trials and supervise doctors in training. Teaching responsibilities include undergraduate and postgraduate education. Continuous Professional Development, annual appraisal, and revalidation requirements are expected. They will contribute to service development, national/local audits, and provide expert HIV outpatient care. On-call coverage for inpatient and ambulatory services is rotational. They'll provide clinical leadership, support the multi-disciplinary team, and develop care pathways for HIV patients. Efficient resource use and quality enhancement projects are priorities. They'll engage in clinical guidelines development, audit, and CPD activities, ensuring they meet revalidation expectations. Flexibility in clinical tasks within the allocated DCC is required.
About us
The Royal Free HIV Service, part of the Royal Free London NHS Foundation Trust, is a globally recognised Centre of Excellence for HIV care. Catering to over 3000 HIV patients, it offers inpatient and outpatient services, including specialized clinics in various fields like viral hepatitis, TB, cardiology, and psychiatry. The department emphasizes network-level care and collaborates extensively within the North Central London Network. With a dedicated research team, it actively engages in clinical trials, notably for new antivirals and HIV infections. Additionally, the Royal Free has launched a vaccine trial research team, conducting large-scale prevention vaccine trials across various infections, building on its success with Covid vaccine trials.
In contrast, the North Middlesex University Hospital HIV service serves a diverse population, largely from Enfield and Haringey boroughs, with many patients from deprived backgrounds or born abroad. The Alexander Pringle Centre provides outpatient and inpatient HIV care, hosting specialist clinics like the Young Persons' clinic and Antenatal clinic. Noteworthy achievements include leading the Opt-Out Blood Borne Viruses testing program and winning the Chief Executive Award at the 2023 North Middlesex Staff Awards.
Job description
Job responsibilities
A formal job plan will be agreed between the appointee and the clinical leads, on behalf of the Clinical Director, within one month after the commencement date of the appointee. If applicable, the job plan will be reviewed annually, following the appraisal meeting. The job plan will be a prospective agreement that sets out the appointees duties, responsibilities and objectives for the coming year. It should cover all aspects of an appointees professional practice including clinical work, teaching, research, education and managerial responsibilities. In addition, it should include personal objectives and details of the support required by the appointee to fulfil the job plan and objectives. The HIV Department conducts departmental job planning exercises as is common across the Trust.
The following provides a suggested schedule of the type of clinical and research activity and related activity components of the job plan. Based on 10 PA contract, there will be Direct Clinical Care (DCC) sessions and Supporting Professional Activity (SPA) sessions for this post.
Person Specification
Royal Free World Class Values
Essential
1. Demonstrable ability to meet the Trust Values
Education & professional Qualification
Essential
2. Full GMC Registration
3. Entry to the GMC specialist register via CCT, CESR or European Community rights or reasonably expect to do so within 6 months of interview.
4. Good Clinical Practice certification
5. MRCP or equivalent
6. Good understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council.
Desirable
7. Diploma in medical education (or equivalent)
8. An MD or PhD
Experience
Essential
9. Evidence of broad based training and recent experience including inpatient and outpatient HIV care
10. Competent knowledge and skills to manage acute medical conditions
Desirable
11. Participation in policy or guideline development, audit or quality improvement, teaching or research at a regional or national level
12. Evidence of recent or ongoing research
13. Experience as a clinical or educational supervisor
14. Experience in supervising juniors doing research
Skills and aptitudes
Essential
15. Solid understanding of clinical governance
16. Evidence of effective audit and quality improvement
17. Experience of implementing evidenced based changes in practice
Desirable
18. Specialist Interest (and therefore a sub-speciality clinic)
Personal Qualities & attributes
Essential
19. Demonstrable evidence of being able and willing to understand the Trust world class care values
20. Excellent communication and influencing skills
21. Ability to work effectively within a multi-disciplinary team
22. Managing self effectively
23. Ability to planning ahead whilst being innovative and flexible in approach