Job summary
- Main area
- diabetes
- Grade
- NHS Medical & Dental: Consultant
- Contract
- Fixed term: 12 months (Maternity leave cover)
- Hours
- Full time - 40 hours per week
- Job ref
- 197-AA5880
- Employer
- Lewisham and Greenwich NHS Trust
- Employer type
- NHS
- Site
- Queen Mary's Hospital
- Town
- Sidcup
- Salary
- £105,504 - £139,882 per annum
- Salary period
- Yearly
- Closing
- 03/11/2024 23:59
Employer heading
Locum Consultant Diabetologist
NHS Medical & Dental: Consultant
Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.
Job overview
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 Bexley
and 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 support our existing services in outpatient Type 1 diabetes clinics, pre-conception clinics, gestational diabetes and inpatient diabetes. Alternatively, there is the opportunity to deliver some general 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 the
community service.
Working for our organisation
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
Detailed job description and main responsibilities
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 the
community service.
The Community role is envisaged as follows:
- To provide clinical leadership for a borough based multidisciplinary team including DSNs, 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 diabetes and 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 meets the needs of the local community and system partners
- To test and explore innovation within the service, for example, the use of digital and remote monitoring
The acute role would be to facilitate continuity and a high quality of diabetes care for patients with established or newly diagnosed type 2 diabetes admitted to the hospital, during their stay and on discharge. We envisage that they will undertake type 2 diabetes and possibly more specialist clinics of their choice. Colleagues will continue to also provide T2DM community clinics to facilitate team working. There will be considerable flexibility within the role 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 the appointee’s interests. If applicants which to join the on-call rota there will be consideration for
time off in lieu.
CPD/SPA
CPD 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 of what to attend within department and discuss with the CD where attendance is vital as part of smooth working of the department.
SPA in this post is 2.5 PA’s per week.
Professional leave Must be agreed with the CD/DD and is discretionary according to the activity. No clinics should be cancelled for professional leave.
Diabetes and Endocrinology Department at Queen Elizabeth Hospital (Woolwich) and Queen Mary’s 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, QEH
Dr Iffy Chika Consultant D&E and General Medicine, QEH
Dr Valmiki Salema Consultant D&E QEH and Community services
Dr Serife Mehmet Consultant D&E and General Medicine, QMH
Dr Sharaf Ibrahim Consultant D&E and General Medicine, QMH
Within the QEH Medicine Division, Diabetes and Endocrine outpatient clinics are delivered across two sites: Queen Elizabeth Hospital, Woolwich and Queen Mary’s Hospital, Sidcup.
All inpatient work is delivered at Queen Elizabeth Hospital, where there is a busy Emergency Department. There are no inpatients at Queen Mary’s Hospital.
There are diabetes day centres on both sites where nurse/dietetic and podiatry clinics are held. At QEH Consultant diabetes clinics are largely in the main outpatients department although many of these are currently running virtually. Two of the Consultants currently undertake T2DM community clinics alternate weeks within the hospital supported by
Community nurses, dietitians and a psychologist.
There is a lead Diabetes nurse based at QEH and a second DAFNE and pump trained nurse. There is a part time band 7 nurse supporting inpatient diabetes and a newly appointed band 6 nurse and HCA. At QMH there are two band 7 nurses. There is a DAFNE trained 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 currently as a result of COVID at QMH – all deliveries are at QEH. There is a specialist foot round lead by the inpatient podiatrist supported by Vascular surgeons from St Thomas’, a diabetologist, microbiologist and pharmacist. There are also foot services at QMH supported by the diabetologist and vascular surgeons. There is a satellite dialysis unit at QEH, supported by the renal team from King’s College Hospital, and another at QMH, supported by the renal team from Guy’s and St Thomas’.
Person specification
Qualifications
Essential criteria
- 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.
Desirable criteria
- Distinctions, scholarships, prizes Other degrees, e.g. BSc MSc, MD
- The Specialty Examination in Endocrinology and Diabetes
Clinical Experience
Essential criteria
- 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
Desirable criteria
- Previous consultant-level experience of working in diabetes within a multidisciplinary team.
Clinical Audit
Essential criteria
- 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
Desirable criteria
- 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
Essential criteria
- 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
Desirable criteria
- 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
Essential criteria
- Understands the management structure of the NHS Evidence of risk management
Desirable criteria
- Will have attended a National Health Service Management Course appropriate to consultant duties
IT skills
Essential criteria
- Ability to use Microsoft office packages, e.g. MS Word, Excel, Access & PowerPoint.
- Ability to use patient information systems
Other Attributes
Essential criteria
- 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.
Desirable criteria
- Has experience of committee work and prepared to undertake committee work
- Critical and enquiring approach to knowledge acquisition.
Employer certification / accreditation badges
.png "NHS Rainbow badge")
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Charisse Gennings
- Job title
- Service Manager Specialist Medicine
- Email address
- [email protected]
- Telephone number
- 07808816254
- Additional information
For Community element:
Ishbel Collison - Interim Service Manager: Long term Conditions
Adult Community Physical Health Directorate Oxleas NHS Foundation Trust
Telephone number: 0208 319 7110
List jobs with Lewisham and Greenwich NHS Trust in Medical and Dental or all sectors