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Consultant in Infectious Diseases &/or Medical Micro/Viro/GIM

Posting date:	30 April 2024
Salary:	£84,559.00 to £114,003.00 per year
Additional salary information:	£84559.00 - £114003.00 a year
Hours:	Full time
Closing date:	12 May 2024
Location:	London, SE1 7EH
Company:	NHS Jobs
Job type:	Permanent
Job reference:	C9196-24-0970

Summary

The Directorate of Infection (DoI) at Guys and St Thomas NHS Foundation Trust (GSTT) was formed in 2009 by the merger of Infectious Diseases (ID), Infection Prevention & Control (IPC) and the diagnostic laboratory services (Microbiology, Virology). A defining characteristic of the service model we have striven to develop is seamless integration of these distinct but complementary clinical disciplines in order to deliver the highest-quality patient care. The Royal Brompton and Harefield (RBH) hospitals, which make upthe UK's largest specialist heart and lung centre, were merged to become part of Guys and St Thomas NHS foundation Trust (GSTT) in February 2021. The post-holder will join 3 existing ID/microbiology consultants based between RBH and Harefield hospitals and 4 Infection consultants at Guys Hospital, rotating between 2 of the 3 sites, and form part of the wider group of GSTT Infection consultants, working closely with Paediatric ID Consultants based at the Evelina London Childrens Hospital on the St Thomas site to form the full department of infection. The IPC Department consists of the nursing staff, a Vascular Access team, Outpatient Parenteral Antimicrobial Therapy (OPAT) team, Epidemiology & Surveillance team, Decontamination, Water and Ventilation function and administration staff. The DoI is fully integrated with and provides clinical leadership for the Microbiology and Virology laboratories, which are part of a 15-year Joint Venture (JV) between GSTT, Kings College Hospital and a private sector partner. The DoI provides specialist clinical care across a wide range of tertiary specialities, including one of the largest Critical Care services in the country, that together with RBH hosts the two largest UK ECMO Centres. In addition, we are one of five units in the national network for High Consequence Infectious Diseases-airborne pathogens (HCID-a), we provide a commissioned multi-drug resistant tuberculosis service and work closely with one of largest Vascular Surgery services in Europe. Building further on this, the recent merger with the RBH provides an unparalleled opportunity to develop a completely new service for clinical, diagnostic and research excellence in cardio-respiratory infections with the unrivalled cohorts of patients with acute and chronic cardiorespiratory disease including infective endocarditis, transplantation, device infections, bronchiectasis, cystic fibrosis and fungal and mycobacterial disease. These sites also serve a growing and increasingly complex iatrogenically immunocompromised adult and paediatric patient cohort, across oncology and solid organ transplant (heart, lung, renal and pancreas). The post holder will have the opportunity develop an interest in and, in discussion with the existing consultants, lead on service development of the core infection service needs relating to them. The Trust also delivers amongst the best IPC performance in the Shelford group of Englands 10 leading academic healthcare organisations. In keeping with the aim to provide integrated Infection service, all DoI consultants are expected to actively participate in the delivery of IPC and antimicrobial stewardship. Guys & St Thomas is a large and popular ID post-graduate centre for dual training in both ID/GIM and ID/ Medical Microbiology-Virology (MMV). The post-holder will be expected to provide trainee clinical supervision on a daily basis and participate in teaching and training programmes. Research opportunities are provided in the Centre for Infection & Diagnostic Research (CIDR) in partnership with the KCL academic Dept of Infectious Diseases or with the National Heart and Lung Institute, which is a constituent division of Imperial College School of Medicine. The CIDR is currently spearheading a multi-centre, national study to evaluate rapid metagenomic pathogen diagnosis, with potential to revolutionise traditional laboratory methods. Evelina London provides comprehensive health services from pre-conception, before birth, throughout childhood and into adult life from London to South East England, as well as providing specialist care for families around the UK and across the world. As the only NHS Trust in London with womens and specialist childrens services on one site, Evelina London has unique opportunities to provide excellent, high-quality, integrated care for mothers, babies and children. Main place of employment: The 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. Induction: There will be a personalised induction programme both for the Microbiology and clinical Infectious Diseases service. The programme will be tailored to the needs of the successful candidate. Accommodation and equipment: The Consultant Doctor will haveaccess to a computer and desk space and the support of departmental administration and clerical staff. The Guy's, King's and St. Thomas' Medical School library is on the St. Thomas' and Guy's sites. Electronic access to the KCL e-journals will be available. There are libraries/learning zones at the Brompton and Harefield sites. 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. 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 3.5 Lab clinical validation, actioning and communicating abnormal results 1.5 Multi-disciplinary meetings about direct patient care 2 Antimicrobial stewardship 0.5 Service development / Guideline development 1 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 Ward Rounds/Consults1 AICU Liaison meeting Diagnostic work/ lab result authorisation1,2 0900-1000 1000-1400 1400-1500-1500-1700 1x1w 1x1w 1x1w 1x1w DCC DCC DCC DCC Tues Academic Seminar Diagnostic work/ lab result authorisation Clinical work 0800-0900 0900-1300 1300-1700 1x1w 1x1w 1x1w SPA DCC DCC Wed Ward Rounds/Consults AICU Liaison Round Service Development 0900-1300 1400-1500 1500-1700 1x1w 1x1w 1x2w DCC DCC DCC Thur Diagnostic work/ lab result authorisation Clinical Cases meeting CPD 0900-1300 1300-1400 1400-1700 1x1w 1x1w 1x1w DCC DCC SPA Fri Ward Rounds/Consults AICU Liaison Round Diagnostic work/ lab result authorisation 0900-1300 1400-1500 1500-1700 1x1w 1x1w 1x1w DCC SPA DCC On Call Rota: The appointee will be required to participate in the following: For the first year, participate in a 1 in 4 to 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%