About this role
Job summary
The post holder will provide the infection support for the Guy's hospital site, though the post is part of a rotation that supports routine clinical infection work at Guy's, the Royal Brompton and Harefield Hospitals.
The clinical Infection sub-specialties at Guy's include:
Infections in patients with cancer, Renal Transplant and Urology services, a well-established OPAT team, a proposed centre of excellence for complex elective orthopaedic/spinal services and the regional Thoracic surgical, Head and Neck and ENT and Urology groups. Individual consultants will develop their own areas of specialist expertise over time, all will deliver:
Ward-based infection consults/telephone advice, support for guideline development and quality improvement initiatives, multi-disciplinary clinical meetings and ward rounds, ID outpatient clinics, OPAT services and SpR supervision. If CCT in Microbiology or Virology, support to the Infection Sciences laboratory services. Develop local clinical IPC guidelines, manage outbreaks, and deliver key performance with a particular focus on leading antimicrobial stewardship (bacterial and fungal). All consultants will have PA allocation for specific responsibilities e.g. antimicrobial stewardship, IPC, OPAT. Participate in the non-resident on-call rota.
Main duties of the job
Each post-holder will have a rotational post across at least two of the sites at RB&H and Guys. The nature of these roles may be tailored to the interests of the post holders, provided they meet the core service needs and are agreed with the other existing consultants.
Continuing professional development (CPD) and Appraisal: Consultants can apply for professional and study leave over a three-year period up to 30 days (on average 10 days per year). Statutory and Mandatory training must be taken within the leave allocation.
Mentoring:
There is an active mentoring and coaching scheme available to all consultants. New consultants are encouraged to participate in the New Consultants Forum.
Job Planning:
The post holder's job plan is anticipated to contain 10 Programmed Activities (PA) per week, to be carried out primarily on one site at any one time.
Proposed timetable:
Final agreement on timetabled commitments will be agreed on taking up the post and then reviewed at least annually.
On Call Rota:
For the first year, participate in a 1 in 5 ID/Microbiology on-call rota dependant on site of work GSTT or RBHH (Category A) in order to authorise and communicate significant laboratory results, and provide specialist clinical advice.
In addition, after the first year and depending upon clinical experience and skills, the post-holder will also be offered the chance participate in the rota for rare admissions to the HCID-a unit at St Thomas'.
About us
The DoI comprises ~ 115 clinical and administrative staff from the Dept. of Infectious Diseases (including the Virology & Microbiology laboratories run in partnership with Synnovis UK and Ireland) and the Dept. of Infection Prevention & Control. Dr Nicholas Price is the Clinical Director and joint-Director of IPC (DIPC) and Ms Avey Bhatia, Chief Nurse, has Executive IPC responsibility. Dr Bill Newsholme (Infectious Diseases & IPC) and Dr James Whitehorn (Laboratories) are the medical Service Leads.
In addition to medical staff (below), there are approximately 60 IPC staff led by joint-DIPC, Dr Jon Otter, plus a dedicated ID pharmacy team. Every DoI consultant works in partnership with IPC colleagues and is allocated specific responsibilities in job planning (e.g. anti-microbial resistance/ stewardship, C. difficile and bacteraemia investigation, surgical site infection, intravenous line care etc.). ID consultant leadership is by example and is considered essential to driving higher standards of IPC quality across and lending front-line credibility.
The Dept. of IPC comprisesAcute Trust and Community nurses, an Intravascular Device team, a Surgical Site Infection Surveillance and Innovation Unit (SIU) team and a Decontamination/Environmental IPC team. The IPC matrons work in close partnership with a dedicated Infection consultant supporting in area.
Job description Job responsibilities
The post holder will provide the infection support for the Guys hospital site, though the post is part of a rotation that supports routine clinical infection work at Guys, the Royal Brompton and Harefield Hospitals.
The clinical Infection sub-specialties at Guys include:
Infections in patients with cancer, Renal Transplant and Urology services, a well-established OPAT team, a proposed centre of excellence for complex elective orthopaedic/spinal services and the regional Thoracic surgical, Head and Neck and ENT and Urology groups. Individual consultants will develop their own areas of specialist expertise over time, all will deliver:
Ward-based infection consults/telephone advice, support for guideline development and quality improvement initiatives, multi-disciplinary clinical meetings and ward rounds, ID outpatient clinics, OPAT services and SpR supervision. If CCT in Microbiology or Virology, support to the Infection Sciences laboratory services. Develop local clinical IPC guidelines, manage outbreaks, and deliver key performance with a particular focus on leading antimicrobial stewardship (bacterial and fungal). All consultants will have PA allocation for specific responsibilities e.g. antimicrobial stewardship, IPC, OPAT. Participate in the non-resident on-call rota. Main place of employment:
Each post-holder will have a rotational post across at least two of the sites at RB&H and Guys. The nature of these roles may be tailored to the interests of the post holders, provided they meet the core service needs and are agreed with the other existing consultants. It is a requirement of your employment that you be prepared to work at any additional or different location owned or served by the Trust, either on an on-going or temporary basis according to the demands of the service.
Continuing professional development (CPD) and Appraisal: The post holder will be expected to participate in CPD. Consultants can apply for professional and study leave over a three-year period up to 30 days (on average 10 days per year). Statutory and Mandatory training must be taken within the leave allocation. Consultants have access through the Post-graduate Centre to apply for funds to support CPD activities. All medical staff are required to undertake annual appraisal and revalidation. Appraisal documentation for GMC Specialist Revalidation will be submitted through the SARD system.
Mentoring:
There is an active mentoring and coaching scheme available to all consultants. New consultants are encouraged to participate in the New Consultants Forum with organised seminars supporting professional development.
Job Planning: The post holders job plan is anticipated to contain 10 Programmed Activities (PA) per week, to be carried out primarily one site at any one time. Below is an example outline programme based on 10 PAs but the exact job plan will vary dependant on site of working and discussed with the Clinical Director and Service Leads prior to any start date, particularly in order to reflect specific responsibilities that are agreed i.e. Infection Control (1PA), antimicrobial stewardship (1PA) OPAT (1PA). The job plan will also be negotiated between the Consultant and their Clinical Lead at least annually.
Type of work PAs DCC
Clinical work including ward consults and ward rounds 3.75 Multi-disciplinary meetings about direct patient care 1 Infection Prevention & Control/antimicrobial stewardship 1.5 Laboratory management and diagnostic service development 2 Outpatient activities 0.25 SPA
Job Planning, appraisal, CPD, clinical governance, audit, mandatory training
1
Teaching/StR supervision, being an appraiser, etc, defined in job planning according to service needs
0.5
Total
10
The exact amount of Supporting Professional Activity (SPA) allocation can be increased during the job planning process, depending on post-holders interests.
Proposed timetable:
Final agreement on timetabled commitments will be agreed on taking up the post and then reviewed at least annually as part of the job planning process. As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends or asked to work of any of the trust sites.
An example of the proposed timetable for the postholder outlined below.
Description of work
Start-Finish
Frequency
Cat.
Mon
Clinical handover
ICU/Ward Rounds/Consults1
Diagnostic work/ lab result authorisation1,2
0900-1000
1000-1400
1300-1700
1x1w
1x1w
1x1w
DCC
DCC
DCC
Tues
Academic Seminar
Antimicrobial Stewardship
Infection prevention & control case reviews
MDM
0900-1000
1000-1100
1100-1200
1400-1500
1x1w
1x1w
1x1w
1x1w
SPA
DCC
DCC
DCC
Wed
Ward Rounds/Consults/ICU
0900-1700
1x1w
DCC
Thur
Diagnostic work/ lab result authorisation
Clinical Cases meeting
MDM
0900-1300
1300-1400
1400-1600
1x1w
1x1w
1x1w
DCC
DCC
DCC
Fri
Ward Rounds/Consults/ICU
CPD/audit/governance
0900-1300
1300-1700
1x1w
1x1w
DCC
SPA
On Call Rota:
The appointee will be required to participate in the following:
For the first year, participate in a 1 in 5 ID/Microbiology on-call rota dependant on site of work GSTT or RBHH (Category A) in order to authorise and communicate significant laboratory results, and provide specialist clinical advice.
In addition, after the first year and depending upon clinical experience and skills, the post-holder will also be offered the chance participate in the rota for rare admissions to the HCID-a unit at St Thomas.
Category A: this applies where the consultant may be able respond by giving telephone advice and/or by returning to work later but the complexity of work or urgency of work is such that they could on rare occasions be required to return to site.
Frequency of Rota Commitment
Value of supplement as a percentage of full-time basic salary
Category A
Category B
High Frequency:
1 in 1 to 1 in 4
8.0%
3.0%
Medium Frequency:
1 in 5 to 1 in 8
5.0%
2.0%
Low Frequency:
1 in 9 or less frequent
3.0%
1.0%
Person Specification
Professional Qualifications Essential
Full and Specialist GMC Registration and current licence to practise. Applicants that are UK trained, must ALSO be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview. MRCP or equivalent Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT On GMC Specialist Register for Microbiology and Infectious Diseases OR General Internal Medicine and Infectious Diseases
Desirable
Infection Prevention and Control qualification (e.g. DipHIC or MSc) FRCPath or equivalent
Clinical Experience Essential
Comprehensive experience across the range of adult infectious diseases. Experience in writing clinical infection and/or laboratory guidelines. Working knowledge in Infection Prevention and Control in the acute care setting e.g. management of outbreaks Working knowledge and experience of antimicrobial stewardship.
Desirable
Expert knowledge and experience in management of infection in the non-HIV immunocompromised host, eg. Transplant or cancer patients Expert knowledge and experience in the diagnosis and management of infections in renal patient populations Expert knowledge and experience in orthopaedic and/or diabetic foot infections Expert knowledge and experience in OPAT Leading or managing a diagnostic laboratory Introduction of new laboratory tests into the diagnostic repertoire Managing change in order to deliver clinical infection or infection control targets. Post-graduate IPC qualification.
Clinical Skills Essential
Operating an Infectious Diseases clinical consult service and contributing to multidisciplinary clinical meetings. Clinical assessment and management of infection in Critical Care patients Running an Infectious Diseases out-patient clinic or OPAT service. Ability to work as an effective member of a multidisciplinary team.
Audit Management & IT Essential
A track record demonstrating clinical governance, audit, service development and management and IT skills Evidence of leading service development and participation in quality improvement projects for clinical and/or laboratory services
Research. Teaching skill & experience Essential
Experience of teaching and training undergraduates, postgraduates and junior medical staff.
Desirable
A track record of research, publications/ understanding / knowledge of Research ethics. Teaching qualification Understanding / knowledge of Research ethics. Experience of independently attracting research funding Holder of GCP certification and involvement in clinical trials
Leadership / Management skills Essential
Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate. Accountability; Ability to take responsibility, lead, make decisions and exert appropriate authority. Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others. Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure. Staff Management; Experience of performance management, developing and motivating staff. Ability to lead staff, balance competing demands on the diagnostic service, striving to develop an efficient and high-quality laboratory service.
Desirable
Experience in leading a multidisciplinary team Finance; Knowledge of finance and budgets. Experience of business case and service development.
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Guy's and St Thomas' NHS Foundation Trust
Address St Thomas'/Guy's/Royal Brompton/Harefield
Great Maze Pond Road
London
SE1 7EH
Employer's website https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)