About this role
Job summary
This is the first substantive,combined Consultant post in Genitourinary Medicine and General Medicine in GSTT. The post holder will provide general and complex GUM including LARC and a specialist area to be defined, and 8 weeks of internal medicine cover per year divided between ward cover and the acute assessment unit.
Main duties of the job
This is a part-time (8 programmed activities/0.8 Whole time equivalent) . The post holder will provide complex sexual health care, leadership within the sexual and reproductive health department, training, as well as general clinical and managerial responsibilities in the department.
The post holder will contribute to clinical, teaching, audit and research support for the department and management support for the medical staff and the department in general. The service currently operates a senior doctor model where the named senior doctor provides oversight and support for the service as well as managing referrals and hospital/primary care queries.
The post holder will provide leadership for a specialist area of GUM to be negotiated within the consultant team. There is potential to develop other areas of interest as the department requires.
The post includes a regular General Internal Medicine commitment, delivered in discrete blocks across the year. This includes weekend and out of hours commitments and comprises:
Four separate 1-week Acute Admission Ward/acute medicine blocks One 4-week block on the North Wing general medical ward.
About us
The Sexual and Reproductive Health department at Guy's and St Thomas' (GSTT) provides a Tier 3 service and incorporates two integrated clinics. We provide a full range of sexual and reproductive health services based at Burrell Street ( London Blackfriars) , and Minnie Kidd House ( Clapham) , covering a diverse client group across Southwark and Lambeth. We run a walk-in service across five days at Minnie Kidd House, and a ssix-day service at our Burrell Street location.
It is a busy department seeing66000 patient attendances annually.
Organisational Values:
Ourstrategyto 2030 is to deliver 'better, faster, fairer healthcare for all'. It sets out our plans to respond to the challenges being faced across the NHS, but also to build a better future for our patients, staff, and communities.
To help us achieve our strategy,our valuesguide us in everything we do. They define who we are as an organisation, shape our culture and are central to how we deliver our plans.
It is important that you understand andreflect these values throughout your employment with the Trust.
The post holder will be:
Caring - Put patients first Ambitious - Innovate and strive for excellence Inclusive - Respect each other and work collaboratively Ourstrategy and values|set out who we are, what we're going to do and how we're going to do it.
Job description Job responsibilities
1.Duties and Responsibilities
Clinical:
The post holder will, together with consultant colleagues, be responsible for the provision of Sexual and Reproductive healthcare services to the Guys & St Thomas NHS Foundation Trust to include:
Complex sexual health services Specialist Genitourinary medicine clinics Consultant referral and review clinic Advice and guidance for Sexual health: Other hospital departments Primary care Provide High Quality Care to Patients
The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice To develop and maintain the competencies required to carry out the duties required of the post. To ensure prompt attendance at agreed direct clinical care Programmed Activities. To ensure patients are involved in decisions about their care and to respond to their views. Research, Teaching and Training
Where possible to collaborate with academic and clinical colleagues to enhance the Trusts research and academic training portfolio, at all times meeting the full requirements of Research Governance. To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Lead. To act as educational supervisor and appraiser as delegated by the Clinical Lead to ensure external accreditation of training post. Performance Management
To work with medical, nursing and managerial colleagues to ensure high performance in the following areas: Clinical efficiency e.g. optimising clinic capacity with demand and reducing DNA rates. Quality of outcomes e.g. infection control targets, reducing rebook rates. Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, ensuring clinical teams code activity accurately so tariffs are not missed Operational efficiency e.g. waiting list activity and demand management. Medical Staff Management
To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal. To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, To participate in the recruitment of junior medical staff as and when required. To participate in team objective setting as part of the annual job planning cycle. To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Lead/General Manager Strategy and Business Planning
To participate in the business planning and objective setting process for the directorate and Trust where appropriate. To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Lead. Leadership and Team Working
To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives. To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required. To chair regular meetings for the specialties. To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties. Adhere to Trust/departmental guidelines on leave including reporting absence. 2.The indicative Job Plan
The job plan is anticipated to contain 8 Programmed Activities per week on average to be carried out on Guys & St Thomas sites. It includes 1 in 12 Saturdays for GUM as well as weekend and out of hours commitments in the medicine blocks. The timetable will be flexible and change between GUM, Acute medicine and General Medicine blocks.
This is an outline programme and the post holder will be expected to discuss and agree a detailed job plan including personal and professional objectives with the clinical lead within 3 months of your start date.
The job plan will be negotiated between the consultant and their clinical lead at least annually. The initial job plan for this post is planned to be:
General medicine component these weeks are worked full time.
General Internal Medicine commitment, delivered in discrete blocks across the year. This comprises:
Four separate 1-week Acute Admission Ward/acute medicine blocks. One 4-week block on the North Wing general medical ward. During the AAW/acute medicine weeks, Start times vary between 08:00 and 09:00, with daytime availability into the afternoon, and additional out-of-hours commitments including twilight shifts from 17:0021:00, weekend working, day take and night on-call depending on the rota week. These weeks include both routine ward-based activity and acute unselected take responsibilities.
The Ward commitmentis delivered as a 4-week block as consultant on a general medical ward.. The usual weekday commitment is approximately 09:0017:00, with some 08:00 ward round startsdepending on the day. The North Wing rota also includes weekend ward cover on a 1 in 4 basis.
GUM timetable
Monday
Tuesday
09:00-12:00
Specialist GUM MDT and related admin
0.75
DCC
12:00-16:00
General SRH / LARC- During 6 out of 8 GIM weeks
0.135
DCC
Wednesday
8:30-11:30
Departmental CPD
0.75
SPA
11:30-12:30
Senior Dr meeting SRH, monthly
0.25
SPA
12:00-20:00
General GUM/SRH / LARC - when not doing GIM
1.6
DCC
Thursday
08:00-12:00
Specialist GUM - when not doing GIM
0.769
DCC
12:00-16:00
General GUM / SRH / LARC - During 6 out of 8 GIM weeks
0.135
DCC
16:00-17:00
Specialist GUM clinic admin- when not doing GIM
0.365
DCC
Friday
08:00-12:00
General GUM/ SRH / LARC - weekly when not doing GIM
0.769
DCC
12:00-16:00
General SRH / LARC - every other week when not doing GIM
0.385
DCC
Saturday
08:00-16:00
1 in 12 Saturdays, corresponding TOIL during the week
DCC
Flexible
GIM
4 weeks General Internal Medicine North wing, 4 weeks acute admisisons
1.6
DCC
Educational Supervision
F2 / IMT2 / GUM trainees
0.25
SPA
Service development
0.35
SPA
Programmed Activities (PA) category
Number of PAs
%
Direct Clinical Care
6.4
80%
Supporting Professional Activity
1.6
20%
Total
8
Person Specification
Qualifications Essential
MBBS or equivalent and full GMC registration and a Licence to Practice and on Specialist register for Genitourinary medicine or within 6 monbth sof cobtaining certificate of completion of training in Genitourinary medicine by the AAC /interview date or has submitted a CESR application for entry to the specialist register for genitourinary medicine by the AAC/interview date MRCP/FRCP Diploma in Genitourinary Medicine Diploma in HIV medicine Diploma of the Faculty of sexual and Reproductive Health Letter of Competency for Subdermal implants Letter of Competency for Intra-uterine techniques
Desirable
Current LoC Med Ed/PGEA in Medical Education Faculty registered trainer for the FSRH
Clinical experience and skills Essential
Evidence of broad-based training experience and competence in sexual health, contraception (including LARC) and HIV care equivalent to that required for a UK CCT Wide experience in Sexual and Reproductive Health and HIV work including experience in community clinics Understanding of and training in safeguarding issues (young people and adults) Training and broad experience of general and acute medicine Understanding the need for an integrated sexual health service and the commissioning requirements for these.
Desirable
Experience in service and care pathway development including outreach services Experience in managing an acute medical take at consultant level
Audit, Management & IT Essential
Evidence of a depth of understanding of audit. Evidence of understanding of the role of clinical management Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council. Evidence of contribution to effective clinical audit and clinical risk management. Evidence of multidisciplinary working, organisational skills, and IT skills.
Desirable
Training/qualification in Quality Improvement Experience in clinical guideline development.
Research, Teaching Skills & Experience Essential
Understanding of the principles and applications of clinical research. Demonstration of an interest in research and willingness to help developing academic activity aligned with the King's Health Partners' strategy. Experience of teaching and training undergraduates, postgraduates, junior medical staff and wider clinical multidisciplinary team. Experience of clinical and educational supervisor, with training Publication of relevant articles or case reports, experience of presentation in national and/or international meetings or conferences.
Desirable
Research skills and experience in sexual health research Publications in peer reviewed journals Formal teaching qualifications
Leadership/ Management skills Essential
Ability to communicate with clarity ability to build rapport, listen, persuade/ negotiate. Ability to take responsibility, lead, make decisions and exert appropriate authority. 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. Ability to work as part of a team. Experience of performance management, developing and motivating staff. Knowledge of finance and budgets.
Desirable
Management training or qualification. Evidence of leadership in the development of clinical services. Appraisal training Experience of working with colleagues, including commissioners at a regional or national level to help develop services or the specialty itself
Other Attributes Essential
Awareness of the challenges of an inner city, multicultural community Ability to travel to all clinic sites
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 Guy's and St Thomas' Sexual and reproductive Health Clinical sites (Burrell Street, Walworth, Road, Minnie Kidd House)
London
SE1 0UN
United Kingdom
Employer's website https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)