Service activity for Clinical Chemistry/Endocrinology/Diabetes
IMPERIAL COLLEGE HEALTHCARE NHS TRUST
FACULTY OF MEDICINE, IMPERIAL COLLEGE LONDON
LOCUM CONSULTANT IN ENDOCRINOLOGY/METABOLIC MEDICINE
(Maternity leave cover)
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
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.
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
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
In collaboration with the divisional manager to ensure efficient deployment of resources and
control of the budget.
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.
• 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
• To attend Grand Rounds.
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.
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
Review of Endocrine
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
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
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
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
On Call: There will be a low frequency (average less than 1 in 9) and category B on call
Direct Clinical Care: 7.5 PA’s on average per week
Supporting professional Activities: 2.5 PA’s on average per week
The posholder will be supported by and have educational responsibility for 3-5 SpRs and 1
SHO at Hammersmith Hospital.
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
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
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.
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
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
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
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 http://source.imp.nhs.uk/html/freedom/
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.
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
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.
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.
The person appointed should be a Medical Practitioner appropriately registered with the General
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 www.crb.gov.uk and www.disclosure.gov.uk
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
No Smoking Policy
The Trust operates a No Smoking policy in buildings or on Trust premises.
Employees are required to wear security badges at all times
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
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.
Candidates may discuss the post and arrange visits with:
Professor karim Meeran
Tel: 020 8846 1060
Email address: email@example.com
Other departmental details can be seen on http://meeran.info
Apply online via NHS Jobs website
Medical Personnel department
Imperial College Healthcare NHS Trust
St Mary's Hospital
London W2 1NY
Tel: 020 7886 6598
Fax: 020 7886 1079
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
Higher qualifications Higher degree
Relevant experience Experience or aptitude Application/interview
in specialty/Sub for clinical activity
Clinical skills Appropriate to job Application/interview
Management skills Knowledge of finance/ Application/interview
of staff, relevant
Teaching & Training Enthusiasm for Application/interview
teaching and training
Academic Evidence of Application/interview
including appropriate to
research/publications appointment at
consultant level at
Language Candidates are able Application/Interview
to speak and write
English to the
necessary to fulfill the
Physical requirements Meets professional Occupational health
health requirements Interview
Communication Skills Adequate written and Interview
ability to build rapport,
work with others.
Decisiveness/ Ability to take Interview
Accountability responsibility, show
Patient Focused Empathy, Interview
skills appropriate to
Reliability different types of Interview, Reference
attendance, sense of
Able to change and
adapt, respond to
Ability to cope with
setbacks or pressure
Team Work Interview
Enthusiastic, with a
vision for the future
provision of the
appreciation of ethical
Ability to work well
Ability to work in a
team as part of a
large Division and to
develop a sub-
approach to delivery
of the service,