Consultant in Renal and General Internal Medicine

Gloucestershire Hospitals NHS Foundation Trust; Gloucester; On-site; GBP 90,000 - 140,000; Full time

Job summary

Gloucestershire Hospitals NHS Foundation Trust seeks a consultant in nephrology to join the renal service based at Gloucestershire Royal Hospital. The role includes senior clinical leadership, involvement in teaching and research, and close collaboration with other clinical and managerial colleagues to deliver high-quality patient care.

The post entails a mix of inpatient, outpatient and on-call duties across the county, with opportunities for professional development through the annual job

Qualifications

• Proven leadership in a renal/general medicine setting.
• Commitment to undergraduate and postgraduate medical education.
• Active involvement in research, audit and clinical governance.

Responsibilities

• Provide consultant-led care for kidney disease across inpatient, outpatient and urgent care.
• Participate in renal inpatient and on-call rota, including weekend reviews.
• Deliver outpatient renal clinics and provide specialist renal advice to other teams.

Skills

Leadership

Teaching

Research

Communication

Clinical governance

Education

MRCP

Specialist Register in General Medicine & Renal Medicine (CCT/CESR-CP)

CCT or CESR-CP within 12 months of interview

Job description

We wish to appoint new consultant colleague to join our Renal service at Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT). Our Renal base and the base for this post is Gloucestershire Royal Hospital. However, our department provides services to the whole of the county of Gloucestershire and individual job plans vary according to the details of clinic and other responsibilities. There are flexible opportunities for our consultants' development through our annual job planning process.

Main duties of the job

This is a general nephrology post with a significant GIM inpatient component and a 1 in 6.5 on call for the renal wards and renal referrals. As a senior employee of our Trust you will work in close co-operation with, and support not just other clinical professionals but also our managerial colleagues in providing high quality healthcare to our patients. Main duties & objectives:

• to ensure the delivery of a high-quality patient-centred clinical service
• to provide effective leadership to all staff engaged in that same task
• to sustain and develop teaching and research wherever appropriate
• to work in accordance with our trust's procedures and operating policies
• to support the business plans and development strategies formulated for the specialty, the Medical Division and our Trust
• to work within the framework of team decisions
• to take a whole systems approach to working with the wider health community both NHS and social services
• to show initiative, enthusiasm and flexibility

Applications from candidates within 12 months of CCT in renal and GIM and established consultants are equally welcome.

About us

We are one of England's largest Foundation Trusts, offering opportunities for collaborative service development aligned with the Renal Services Transformation Programme and GIRFT. We have an active Regional Operational Delivery Network and strong relationships with ICB colleagues.

Our renal ward and inpatient acute dialysis service are based at Gloucestershire Royal Hospital, alongside two outpatient dialysis units. A satellite unit operates in Cinderford. Consultant cover is provided seven days a week in Gloucester, with inpatient referrals at Cheltenham General Hospital reviewed as required. Urgent cases may be transferred to Gloucester following stabilisation with local intensivists.

Outpatient services include Advanced Kidney Care, transplant and general nephrology clinics in Gloucester and Cheltenham, and clinics at community hospitals in Cinderford, Stroud and Cirencester.

Diaverum provides our haemodialysis services, including home and inpatient dialysis, supporting approximately 215 chronic in-centre and home haemodialysis patients. Our in-house peritoneal dialysis service supports around 55 patients. Specialist nursing provision covers peritoneal dialysis, anaemia management, renal access, advanced kidney care education and transplantation.

We care for over 350 transplant recipients. A dedicated clinic manages recent transplants, with patients returning from Bristol and Oxford at three months post-transplant.

Joint clinics operate with Urology, ENT and Rheumatology.

Job responsibilities

1. Clinical Responsibilities/Key ResponsibilitiesProvide high-quality consultant-led care for patients with kidney disease and general medical conditions across inpatient, outpatient and urgent care settings. Participate in the renal inpatient and on-call rota, including weekend reviews. Provide specialist renal advice to other specialties, GPs and healthcare professionals, including through Advice and Guidance and Cinapsis. Deliver outpatient renal clinics across the Trust's service locations. Provide timely assessment and advice for renal patients presenting to ED and SDEC. Contribute to consultant-led procedure lists and deliver clinical care in accordance with Trust and Divisional objectives. Apply research findings and current evidence to clinical problems and patient care.

2. Professional Development, Education and TrainingParticipate in undergraduate and postgraduate medical education, including teaching medical students, junior doctors and other healthcare professionals. Contribute to the renal team's regular teaching programme and wider educational activities. Act as Clinical and Educational Supervisor for junior and middle-grade medical staff, subject to appropriate training. Maintain professional knowledge, skills and continuing professional development through appraisal and appropriate educational activity.

3. Management and LeadershipContribute to the effective leadership, management and ongoing development of renal services. Participate in departmental, divisional and Trust meetings and contribute clinical expertise to organisational development. Work in accordance with Trust policies, procedures and professional standards, maintaining confidentiality and promoting patient and staff safety. Take responsibility for personal and professional development while supporting the development of colleagues. Participate in annual appraisal, job planning and five-yearly revalidation. Contribute medical expertise and information to support the development of appropriate organisational systems and services.

4. Research and DevelopmentYou will undertake CME/CPD in accordance with professional and Royal College requirements. Participate in and support clinical research within the renal service, including NIHR-approved and commercial research studies. Apply relevant research outcomes and evidence to clinical practice and service development. Contribute to the Trust's commitment to high-quality research, education and academic development. Support the provision of high-quality learning and research opportunities for medical, nursing and allied health professional students.

5. Communications and Working RelationshipsWork collaboratively with consultant colleagues, junior medical staff, nursing teams, allied health professionals, primary care and other specialties. Provide clear and appropriate specialist medical information and advice to support patient care and organisational requirements. Participate in consultant and senior staff meetings and relevant departmental, divisional and Trust forums. Maintain effective professional relationships with internal and external stakeholders, including participation in appropriate regional and national meetings. Work collaboratively with colleagues to support the continued development of renal services.

6. Clinical GovernanceParticipate actively in clinical governance, audit, quality improvement and patient safety activities. Contribute to departmental audit and Morbidity & Mortality meetings and the Trust's wider clinical governance programme. Participate in service improvement and quality improvement initiatives. Maintain CPD requirements for annual appraisal, job planning and five-yearly revalidation. Comply with Trust policies and procedures, including adverse clinical incident reporting. Support continuous improvement in the quality, safety and effectiveness of renal services.

Person Specification

Qualifications

Essential

• Full General Medical Council registration
• On Specialist Register for General (Internal) Medicine and Renal Medicine via; CCT or CESR-CP (Combined Programme) (proposed CCT/CESR-CP date must be within 12 months of interview); CESR or European Community Rights; MRCP
• MRCP

Desirable

• Higher Degree
• Teaching Qualification or Management / Leadership Qualification

Knowledge & Skills

Essential

• Participation in successful Quality Improvement projects
• Willing and able to work with colleagues in other specialities, professions and roles to ensure the delivery of a high quality, safe and reliable service.
• Familiar with clinical governance.
• A willingness to accept responsibility and provide leadership.
• Awareness of current relevant developments within the wider NHS
• Determination to have a key role in establishing and developing the service
• Must have an interest in teaching all grades of hospital and professional staff
• Track record of critical reading
• Ability to apply research outcomes to clinical problems

Desirable

• Training in and experience of leading Quality Improvement projects
• Experience of protocol / pathway development and change management
• Practical experience in teaching posts
• Plans for possible ongoing research projects relevant to service
• Experience as co-investigator in NIHR approved trials. Current Good Clinical Practice training.

Clinical Experience

Essential

• Proven clinical skills in Renal and General Medicine and in leading a multi-disciplinary team.
• Experience and interest in the management of patients with Renal disease and diabetes
• Willingness to develop with service in line with both individual interest and departmental needs

Desirable

• Additional experience in aspects of renal disease, e.g. conservative and palliative care

Personal Attributes

Essential

• Flexibility and willingness to share clinical responsibility for patients
• Conscientiousness to ensure careful transfer of care
• Excellent interpersonal skills
• Ability to communicate effectively with clinical, academic and managerial colleagues
• Able to work co-operatively as a team member and self motivate

Desirable

• Ability to think laterally