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Service activity for Clinical Chemistry/Endocrinology/Diabetes



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  • 1. IMPERIAL COLLEGE HEALTHCARE NHS TRUST FACULTY OF MEDICINE, IMPERIAL COLLEGE LONDON LOCUM CONSULTANT IN ENDOCRINOLOGY/METABOLIC MEDICINE (Maternity leave cover) THE POST Locum Consultant in Endocrinology/Metabolic Medicine, Imperial College Healthcare NHS Trust (to cover maternity leave) 10 Programmed Activities (Full-time) The post will be full-time and the postholder will be a trained Endocrinologist who will undertake clinical work across sites ie Hammersmith and Charing Cross Hospital. THE WORK OF THE DEPARTMENT OF METABOLIC MEDICINE Service activity for Clinical Chemistry/Endocrinology/Diabetes The Department of Metabolic Medicine includes Clinical Chemistry, Endocrinology and Diabetes and is responsible for the provision of these services across the Trust. The adult clinical endocrinology service within the Trust is based predominately at Hammersmith and Charing Cross Hospitals and provides a comprehensive range of in patient and out patient diagnostic investigations. There are specialist endocrine services in gut hormone tumours (Hammersmith Hospital), pituitary surgery (Charing Cross Hospitals), general endocrine surgery (Hammersmith and Charing Cross Hospitals) and paediatric surgery (Chelsea and Westminster). Diabetic services are provided at all three hospitals and providing a clinical service for over 10,000 local out-patients. Specialist diabetic services include a diabetic retinopathy service as well as a diabetic obstetric service at the Hammersmith Hospital, a diabetic vascular service at Charing Cross Hospital and a diabetic paediatric service at Chelsea and Westminster Hospital. All three hospitals are actively involved both clinically and in research in cardiovascular risk management. Clinical Audit/Clinical Governance The Directorate of Pathology & Therapy Services has Clinical Risk, Clinical Effectiveness and Service Development Committees as part of its Clinical Governance structure. These Committees report quarterly to the Directorate Management Board, which meets monthly. The Clinical Effectiveness Committee is responsible for audit of the quality standards within the Divisions and also initiates new standards and areas for audit. All staff are expected to participate in clinical audit and to operate within the Clinical Governance Clinical Risk strategy of Qualifications The appointee must possess MRCP and hold a CCST and be on the GMC's specialist register for GIM and Diabetes and Endocrinology, or be within 3 months of their CCST. Experience
  • 2. The appointee will be expected to bring all the elements of the post together and make a substantial contribution to the clinical responsibilities of the Metabolic Medicine service to the Endocrinology, Diabetes and Clinical Chemistry within the Trust. The postholder will be required to have extensive experience of the relevant areas. Main duties and responsibilities To contribute to the provision of a modern, efficient and cost-effective service in Metabolic medicine to the Hammersmith Hospitals NHS Trust in conjunction with other Department staff. To participate in Clinical Audit. To help supervise, train and manage junior medical staff and research fellows working in the research laboratories. To undertake ward rounds and out-patients clinics according to the programme to be agreed with the Hospital Chief Executive and fellow Consultants. To attend Grand Rounds. Specific clinical responsibilities with in and out-patients. To provide a Consultative service “out of hours” to all constituent hospitals of the Hammersmith Hospitals Trust by agreed rota with the other Consultant Chemical Pathologists and Endocrinologists. To participate in the departmental teaching programmes to undergraduate medical students and postgraduate students, particularly those enrolled in MSc courses, of the Imperial College School of Medicine. Teaching duties, both formal and informal through departmental meetings, lectures and seminars, are extended to other medical staff in training and “in service” training for Clinical Scientists and BMS’s.. The postholder will actively participate in undergraduate teaching at Charing Cross. To engage in personal research in an area of clinical medicine, preferably with a large component of laboratory activity, in agreement with the academic head of Clinical Chemistry and Diabetes/Endocrinology. In collaboration with the divisional manager to ensure efficient deployment of resources and control of the budget. Clinical Responsibility The care of in-patients will be undertaken in conjunction with fellow Consultants in the associated hospitals on a rotational basis, the post holder will undertake, as required: • To provide care to both in and out-patients with endocrine/diabetes problems and to ensure that patients are provided with the highest possible standard of diagnosis, treatment and care in the most effective and timely manner. • The post holder will also provide a ward consultation service • The post holder will also provide an inpatient service for both general medical patients as well as patients with diabetic/endocrine problems at both Hammersmith and Charing Cross Hospitals. 2
  • 3. • To work with other colleagues in Metabolic Medicine to ensure the smooth running of the research laboratories and to undertake and supervise clinical investigations and interventions within the laboratories. • To help supervise, train and manage junior medical staff and research fellows • To undertake ward rounds and out-patients clinics and in patient care according to the programme to be agreed with the Hospital Chief Executive and fellow Consultants in metabolic medicine. The postholder will also participate in the Acute General Internal Medicine rota at Hammersmith and Charing Cross hospital on a rotational basis with the other Metabolic Medicine consultants. • To attend Grand Rounds. Managerial Responsibilities To assist with the administration of hospital clinical services and, in particular, with the management of work within Metabolic Medicine to help supervise, train Research Opportunities and Facilities Extensive research opportunities and facilities are available either within the Division or within other departments on one or more of the Trust’s sites. Timetable The following provides scheduling details of the clinical activity and clinically related activity components of the job plan which occur at regular times in the week. Agreement should be reached between the appointee and their Clinical Director with regard to the scheduling of all other activities, including the Supporting Professional Activities. Model weekly timetable showing average NHS work rota (subject to change) Monday Tuesday Wednesday Thursday Friday AM Late Effects 0800-1000 Medical 0800-1000 X-Ray Clinic (joint with 0850-1300 Executive meeting/ meeting HH Haematology Endocrine Consultant meeting Diabetic clinic HH (2nd Monday Clinic HH (monthly) 0900-1300 every month) Consultant WR HH 0800-0900 Review of Endocrine Referrals MDT(Fortnightly) Diabetic clinic 12.00-13.00 Administration and at Charing Pituitary MDT review of Referrals 12.45 Cross CXH (Monthly) Clinical Journal (monthly) 1230-1330-HH Club grand round PM Administration/ Review of In 1330-1830 1345-1700 Business WR Business WR Patient Testing Endocrine Clinic Endocrine Clinic results HH (HH) & Post clinic (TOCL) Administration/ Administration/ meeting research/teachi research/teachi ng/ ng/ The post holder will also provide a ward consultation service and provide an inpatient service at both Hammersmith and Charing Cross Hospitals. The firm is also included in the GIM rota for acute 3
  • 4. unselected medical admissions on 1 in 8 rota (average 6-7 weeks per year). This GIM commitment is shared on a rotational basis between the other Endocrine/Metabolic Medicine Consultants On Call: There will be a low frequency (average less than 1 in 9) and category B on call commitment. Direct Clinical Care: 7.5 PA’s on average per week Supporting professional Activities: 2.5 PA’s on average per week Junior Staff The posholder will be supported by and have educational responsibility for 3-5 SpRs and 1 SHO at Hammersmith Hospital. Facilities The consultant will have a personal work station with personal computer and access to email, the worldwide web and secretarial support. Time and facilities are available for audit, continuing medical education and professional development, and, where appropriate, management activities. There is access to the Medical School libraries on both the Charing Cross and Hammersmith sites offering a full range of electronic and paper based media. SECTION 3 - MAIN CONDITIONS OF SERVICE FOR MEDICAL STAFF Imperial College Healthcare NHS Trust issues the contract, in accordance with the Whitley Council terms and Condition of Service for Hospital Medical & Dental Staff (England and Wales). The new 2003 consultant contract terms and conditions applies to this post The post holder will be indemnified by the Trust for all NHS work undertaken as part of his/her contract of employment. The post holder is encouraged to take out adequate defence cover as appropriate to cover him/her for any work that does not fall within the scope of the indemnity scheme (contract of employment). The full-time hours of work are 10 programmed activities (40 hours). Salary scale: £73,403 - £82,590 per annum London Weighting: £2,162 pa Trust arrangements for adherence to the EU Working Time Directive are in place. Appraisal The post holder is expected to participate in the annual appraisal system in line with the Trust’s appraisal guidelines. Individual appraisal interviews will be held annually and reports submitted to the Medical Director and Medical Personnel 4
  • 5. Governance The Trust has extensive arrangements for Clinical Governance. In particular, there is a focus on clinical risk management with clinical incident reporting; clinical effectiveness including an extensive audit program and processes to monitor clinical performance; clinical service development, including the development of IT based protocols delivered to wards via the Intranet; and medical staff development, including appraisal and continuing professional development. There is an extensive network of Trust committees and structures to promote clinical governance activity. Information Quality Assurance As an employee of the Trust it is expected that you will take due diligence, care and follow Trust requirements and instructions with regard to any information collected, recorded, processed or handled by you during the course of your work. All Clinical staff making entries into patient health records are required to follow the Trust standards of record keeping. Intellectual Property Rights The Trust will assume joint or outright ownership of all intellectual property arising from your work unless it can be proven that the invention demonstrably arises outside your area of duty. The Trust operates a reward to invention scheme, details of are available from the Human Resources Department. Freedom of Information The postholder should be aware of the responsibility placed on employees under the Freedom of Information Act 2000 and is responsible for helping to ensure that the Trust complies with the Act when handling or dealing with any information relating to Trust activity. Guidance is available at Management of a Violent Crime The Trust has adopted a security policy in order to:- - Help protect patients, visitors and staff - Safeguard their property All employees have a responsibility to ensure that those persons using the Trust and its services are as secure as possible. Pension Scheme The post is subject to deduction of superannuation contributions unless a member of staff opts out of the Scheme. Deductions are 6% before pay is assessed for income tax. It is possible in certain circumstances to pay additional contributions to enhance pensionable service; there is also an Additional Voluntary Contribution (AVC) scheme linked to the NHS Pension Scheme. CONDITIONS OF EMPLOYMENT Health and Safety at Work a) It is the duty of every employee while at work not to intentionally or recklessly interfere with anything provided in the interest of health and safety, including anything provided in pursuance of statutory provision. b) It is the duty of everyone while at work to take reasonable care of the Health and Safety of themselves and other persons who may be affected by acts or omissions at work. c) It is the duty of every employee while at work to co-operate with the employer in ensuring that all statutory and other requirements are complied with. 5
  • 6. Statutory Medical Examination All appointments are conditional upon prior health clearance by the Trust's Occupational Health Service. Failure to provide continuing satisfactory evidence will be regarded as a breach of contract. GMC Registration The person appointed should be a Medical Practitioner appropriately registered with the General Medical Council. Criminal Records Bureau Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. All applicants who are offered employment will be subject to a criminal record check from the Criminal Records Bureau before the appointment is confirmed. This includes details of cautions, reprimands, final warnings, as well as convictions. Further information is available from the Criminal Records Bureau and Disclosure websites at and Equal Opportunities The Trust believes that all employees have the right to be treated with dignity and respect. Failure to comply with or adhere to the Trust’s Equal Opportunities Policy will be treated as misconduct under the Trust’s Disciplinary Policy and Procedure The Trust requires that in return you treat others with dignity and respect and that you do not harass or otherwise discriminate against any other member of staff, patient or visitor to the Trust or employees of any associated employers or contractors of the Trust on the grounds of race, colour, sex, age, disabilities, religious beliefs or sexual orientation. Car Parking and Public Transport There are pay and display and permit holders only car parks at all hospital sites. Standard parking permits currently cost TBC per annum. Information on transport links is available at Facilities and Benefits Information on Trust facilities and the many benefits available to staff are detailed in the Benefits brochure. No Smoking Policy The Trust operates a No Smoking policy in buildings or on Trust premises. Security Employees are required to wear security badges at all times Variation The job description gives a general outline of the duties of the post and is not intended to be an inflexible or finite list of tasks. It may be varied, from time to time after consultation with the post holder. Professional Association/Trade Union Membership It is the policy of the Trust to support the system of collective bargaining and as an employee in the Health Service, you are therefore encouraged to join a professional organisation or trade union. You have the right to belong to a trade union and to take part in its activities at any appropriate time and to seek and hold office in it. Appropriate time means a time outside working hours. Preliminary Visits Candidates may discuss the post and arrange visits with: Professor karim Meeran Tel: 020 8846 1060 6
  • 7. Email address: Other departmental details can be seen on Application Apply online via NHS Jobs website Medical Personnel Medical Personnel department Imperial College Healthcare NHS Trust St Mary's Hospital Praed St London W2 1NY Tel: 020 7886 6598 Fax: 020 7886 1079 7
  • 8. PERSON SPECIFICATION Post: Locum Consultant in Endocrinology/Metabolic Medicine Clinical Director: Professor Karim Meeran Chief of Service: Professor Karim Meeran Attributes/skills Essential Desirable Measurement Qualifications On GMC's specialist Application form register or with confirmed eligibility for entry; or within 3 months of CCT Appropriate Royal College Membership Higher qualifications Higher degree Relevant experience Experience or aptitude Application/interview in specialty/Sub for clinical activity specialty Clinical skills Appropriate to job Application/interview description Reference Management skills Knowledge of finance/ Application/interview budgets management of staff, relevant courses Teaching & Training Enthusiasm for Application/interview teaching and training Audit Application/interview Academic Evidence of Application/interview achievements achievement including appropriate to research/publications appointment at consultant level at HHT Language Candidates are able Application/Interview to speak and write English to the appropriate standard necessary to fulfill the job requirements Physical requirements Meets professional Occupational health health requirements Interview Pre employment health screening Communication Skills Adequate written and Interview spoken communications, ability to build rapport, work with others. Persuade, negotiate 8
  • 9. Excellent Interview communication skills. Decisiveness/ Ability to take Interview Accountability responsibility, show leadership, make decisions, exert appropriate authority Patient Focused Empathy, Interview Skills understanding, listening skills, patience, social skills appropriate to Reliability different types of Interview, Reference client Flexibility Interview Punctuality, attendance, sense of responsibility Resilience Interview Able to change and adapt, respond to changing circumstances Thoroughness Interview Ability to cope with setbacks or pressure Drive/Enthusiasm Interview Preparedness, commitment Probity Interview Self starter, motivated, shows interest Team Work Interview Enthusiastic, with a vision for the future provision of the service. Interview Honesty, integrity, appreciation of ethical Interview dilemmas Ability to work well with colleagues 9
  • 10. Ability to work in a team as part of a large Division and to develop a sub- specialist team approach to delivery of the service, research and teaching. 10