About this role
Job summary
This is a distinctive opportunity for a Consultant Endocrinologist to help shape to continue high-quality gender healthcare at the West of England Specialist Gender Identity Clinic. Working remotely for one programmed activity each week, you will bring specialist endocrine expertise to an experienced multidisciplinary service and provide advice on gender-affirming hormone therapy for the prescribing team. The role is primarily advisory and supervisory rather than one of routine direct patient management. You will support medical and non-medical prescribers with complex clinical decisions, strengthen prescribing governance and help develop evidence-based practice across the service. You will have scope to influence protocols, education and service development while working collaboratively with colleagues who are committed to person-centred care and continuous improvement.
We welcome applications from consultants who want to use their endocrine expertise in a focused, clinically influential role. Job-share applications are welcomed.
Main duties of the job
You will provide specialist endocrine advice to the clinics medical and non-medical prescribing teams on medical readiness for GAHT, treatment initiation, adjustment, monitoring and ongoing management. You will advise on complex cases, including physical health comorbidity, treatment complications, atypical blood results, contraindications, clinical risk and uncertainty about treatment options.
You will review cases submitted through the agreed referral process, provide documented specialist recommendations and contribute to multidisciplinary discussion when required. This includes advising on individualised care for people with non-binary gender goals and liaising with primary, secondary and specialist services where needed.
You will contribute to the weekly hormone prescribing forum, offering case-based advice and teaching as time allows. You will also support the development and specialist review of prescribing guidelines, standard operating procedures, clinical protocols, shared-care agreements and teaching materials. The role includes supporting prescriber education and safe practice, and contributing to clinical governance, audit, quality improvement and service development relating to endocrine care and prescribing.
About us
About Devon Partnership Trust
We provide mental health, learning disability and neurodiversity services, as well as a range of specialist & secure services for the wider south west region & nationally. We are passionate about promoting good mental health & wellbeing. We strive to use the expertise & resources within our organisation, and through our partnerships, to deliver high quality services that are safe & focused on people's recovery.
We are committed to developing a culture of coproduction, involving patients, families & carers in everything we do
Our values
We not only recruit based on qualifications & experience - we recruit individuals who possess & demonstrate the behaviours which underpin our Trusts core values. These include such attributes as showing a commitment to quality of care, improving lives of others, giving respect, dignity & compassion. We can bring those values to life in our everyday tasks by giving a smile; making time for people; challenging ourselves & others, & being open to new ideas.
We are committed to being an inclusive employer & applications are encouraged & welcomed from all sections of the community, regardless of any protected characteristics as governed by the Equality Act 2010. Part time & flexible working applications will be considered & supported, where possible. We particularly encourage applicants with lived experience of mental health conditions, neurodiversity or learning disabilities. We are a Disability Confident Leader.
Job description
Job responsibilities
Please refer to the full Job Description and Person specification attached to this advert which will provide further information on this role.
Person Specification
Experience
Essential
- Substantial experience in clinical endocrinology at specialist level. Experience of initiating, monitoring and adjusting hormone treatment. Ability to interpret endocrine investigations and advise on abnormal blood results, comorbidity, contraindications, complications and clinical risk.
- Experience of managing complex cases and providing specialist advice to other prescribers.
Desirable
- Experience of providing gender healthcare and GAHT.
- Experience of working in a specialist gender identity clinic or a related multidisciplinary service.
- Experience of individualising hormone treatment for non-binary gender goals.
Teaching and Supervision
Essential
- Experience of teaching undergraduates and postgraduates.
Desirable
- Evidence of additional teaching skills.
- Experience as a lecturer or supervisor.
- Experience in Clinical Supervision.
Clinical governance and service development
Essential
- Understanding of clinical governance, patient safety, evidence-based practice, audit and quality improvement.
- Ability to develop and review clinical guidelines, SOPs and protocols. Ability to maintain clear records of specialist advice and work within agreed governance arrangements.
Desirable
- Experience of service development, audit or quality improvement relating to endocrine prescribing.
- Experience of developing GAHT prescribing guidance or monitoring pathways.
Research
Essential
- Ability to critically appraise published evidence and apply findings appropriately to clinical practice. Commitment to communicating benefits, risks, limitations and uncertainty clear
Desirable
- Research, publication, guideline development or conference activity relevant to endocrinology or gender healthcare.
Management
Essential
- Proven ability to work collaboratively with executive colleagues, senior clinical and operational leaders, and external partners to provide strategic medical leadership and support delivery of organisational priorities.
- Comprehensive understanding of NHS governance, regulation, commissioning and funding arrangements, with the ability to apply this knowledge to strategic decision-making, quality improvement and the effective stewardship of resources.
Desirable
- Management training / experience.
- Experience of involvement in service development.
Aptitudes and Values
Essential
- Ability to work effectively with medical clinicians, NMPs and a wider multidisciplinary team. Strong communication skills and the ability to explain complex endocrine issues clearly.
- Ability to liaise constructively with primary, secondary and specialist care services.
- Commitment to respectful, inclusive and person-centred care.
- Respect for gender diversity and individual treatment goals.
- Ability to work independently in a remote role while remaining accessible and responsive to the team.
- Commitment to continuing professional development and reflective practice.
- A commitment to multidisciplinary and multi-agency working.
- A commitment to respect, inclusiveness and diversity
Desirable
- Experience of multidisciplinary, multi-agency or network working in gender healthcare.
- Evidence of contributing to inclusive service improvement or co-produced care.
Qualifications
Essential
- Full registration with the General Medical Council and a licence to practise.
- Inclusion on the GMC Specialist Register in Endocrinology and Diabetes Mellitus, or eligibility for inclusion within six months of interview. Evidence of continuing professional development relevant to consultant endocrinology practice.
Desirable
- Postgraduate education or formal training relevant to gender healthcare. Membership of a relevant professional body, including BAGIS.
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
Devon Partnership NHS Trust
Address
Wonford House
Dryden Road
Exeter
Devon
EX2 5AF
United Kingdom
Employer's website
https://www.dpt.nhs.uk/ (Opens in a new tab)