Consultant in Endocrinology, Diabetes, General Internal Medicine

Dyddiad hysbysebu:	01 Hydref 2025
Cyflog:	£109,725.00 i £145,478.00 bob blwyddyn
Gwybodaeth ychwanegol am y cyflog:	£109725.00 - £145478.00 a year
Oriau:	Llawn Amser
Dyddiad cau:	22 Hydref 2025
Lleoliad:	Brighton / Haywards Heath, BN2 5BE
Cwmni:	NHS Jobs
Math o swydd:	Parhaol
Cyfeirnod swydd:	C9279-25-1848

Crynodeb

This is a replacement post. We are looking for a dynamic and well-motivated Consultant colleague to join the dedicated team at the Royal Sussex County Hospital (RSCH), Brighton. The Royal Sussex County Hospital has moved into a new, state of the art, government- funded building the Louisa Martindale, a hospital fit for the 21st century. The appointee will contribute to general and specialist clinics in diabetes and endocrinology, with some flexibility depending on their interests, skills and experience. They will participate in the care of general medical and specialist in-patients, and out-of-hours cover for the general medical take. General medical cover entails a 1:4 rota of two-week blocks (including the middle weekend: 8am-2pm each day), with responsibility for patients on our (18 bed) diabetes / endocrinology / general medical ward and allocated medical outliers, and review of other specialty admissions as required. The appointee will share a 1:8 responsibility for the ward and specialty admissions on Bank holidays and participate in a less frequent (category B, 1%) out-of-hours on call rota for general medicine (detailed below). Applicants should be enthusiastic teachers and trainers, keen to participate in our teaching programme in endocrinology and diabetes for students at Brighton and Sussex Medical School, and to the supervision and training of junior doctors. Research interests are supported and encouraged. Appointees will be encouraged and supported to take on a range of roles within the department, including clinical governance, quality improvement and audit, and service development. Less than full time and job share applications are welcome: we would be able to review the job descriptions to see how flexible working applications could be accommodated. Teaching We contribute to the teaching programme for BSMS students, including the pre-clinical and clinical Diabetes and Endocrinology teaching (Years 2 and 3) and general medical attachments (Years 3 and 5). Other optional BSMS teaching opportunities include becoming a Personal Tutor for a small group of students from Years 1-5, and supervising medical student independent research projects (Year 4). All Consultants share the responsibility for clinical supervision of trainees, and there is also the opportunity to become an educational supervisor with a dedicated training and support programme. We have an active departmental CPD schedule, including fortnightly educational meetings often with external speakers. The job plan will be based on 10 PAs to include 8 DCC (direct clinical care) PAs, including participation in a GIM rota, detailed below, and 2 SPAs (supporting professional activity). Direct Clinical Care (DCC) 8 PAs There will be a varying frequency of DCC activity per week depending on whether the individual has ward commitments or not, as outlined in the indicative timetables. Clinic templates are tailored to the sub-specialism with extra time allocated for new patients - generally allowing 15-20 minutes for follow-ups and 30-40 minutes for new patients. Clinics are not overbooked without consultant request. Clinic activity is supported with 25% extra administrative time. Diabetes and Endocrinology There will be some flexibility about the allocation of sub-specialist work, depending on the interests and expertise of the appointee, but we would welcome contributions to any of the following sub-specialist areas of endocrinology and diabetes: 7. Care of patients with diabetes in pregnancy, working with the antenatal diabetes and obstetric teams. 8. Care of patients with pituitary disease, working with the Sussex Pituitary MDT 9. Sub-specialist out-patient diabetes (renal, pump/HCL). 10. The care of patients with diabetic foot problems, working with our specialist diabetes podiatrist, and colleagues in vascular and orthopaedic surgery who provide the regional vascular surgical service. 11. Care of patients with Adrenal pathology, working with colleagues in Urology 12. Care of patients with thyroid cancer working with oncology. All Consultants provide clinical advice for members of the diabetes and endocrinology multi-disciplinary team. Shared clinical duties include triage of referrals and our specialty Advice and Guidance service for GPs. General Internal Medicine Ward duties are allocated in two-week blocks, including the middle weekend, on a 1:4.5 rota with internal cover, i.e. approximately one in 3.5 working weeks and 1:8 weekends. With a base ward and allocated responsibility for medical outliers (on the vascular ward), the firm usually has 18-20 patients under our care, with additional specialty reviews as requested. During the 2-week block, you will: - do a daily morning (4 hour) ward round, incorporating a morning MDT board round, of patients on our diabetes/endocrinology/general medical ward and allocated medical outliers. - liaise with the StRs to review specialty admissions and specialist consultations for in-patients in relation to diabetes / endocrinology. - work closely with a team of in-patient diabetes specialist nurses. We have five StRs, an IMT3, and a ward team of FY1/FY2/IMT/Clinical Fellow (CF)/GP trainees attached to the firm, working an annualised rota with a minimum of two doctors on ward duties each day. Weekend work (1:8) is on site from 08:00-14:00, reviewing acute specialty admissions, new ward admissions, current in-patients, and cross-covering for the Infectious Diseases/General Medical ward. Weekend staffing includes separate streams for acute medicine, frailty, cardiology, stroke, HIV, oncology, gastroenterology and respiratory medicine. On the Saturday the Consultant is also on-call overnight from 20:00-08:00 from home. The Friday afternoon prior to a working weekend can be taken as compensatory rest. There is also a less frequent (approximately 1:16, category B) out-of-hours weekday rota (see below). Supporting Professional Activity (SPA) 2 PAs Each consultant receives: One Core SPA: STAM, revalidation, CPD, Job planning & Appraisal Additional 0.5 SPA: Departmental Meetings, mandated clinical governance, patient safety, SIs, coronial work, complaints, learning from deaths Specific additional SPAs are based on roles taken on within the department e.g: AARs, Quality and Safety (morbidity and mortality, quality improvement), Educational/ Clinical Supervision, Appraiser role, research, teaching, leadership and management See detailed information below (Provisional Timetable). Administrative support is provided by a team of secretaries with whom we work closely. Each consultant has their own desk within a shared office and a laptop to enable remote working. Main Duties and Responsibilities The clinical duties of the post include the following: Diabetes and endocrinology out-patient clinics and MDTs (see indicative timetables below) A shared responsibility for in-patient ward work, outlined above Weekend, Bank holiday and evening work, outlined above A shared responsibility to provide Advice and Guidance and triage referrals Support of the wider Multidisciplinary team Clinical supervision of doctors attached to the team. Audit, clinical governance and service development Participation in diabetes/endocrine BSMS undergraduate teaching Audit and clinical governance Service development On Call Commitment: See detailed description of weekend work above. The appointee will also be on-call overnight from home (8 pm to 8 am) for general and elderly medicine on a rolling rota with a frequency of approximately 1:16 (category B [this applies where the consultant can typically respond by giving telephone advice], 1% supplement [1 in 9 or less frequent]. Bank holiday working (8 am 2 pm) is shared on a 1:8 rota, with time off in lieu, and the same duties as outlined for weekend cover. Provisional Timetable One core SPA will be provided for individuals on a 10 PA job plan and for less than full-time individuals where UHSussex is the Designated Body for revalidation and appraisal purposes (for less than full-time employees whose Designated Body is not UHSussex, this will be pro rata to minimum 0.5 core SPA). This core SPA (168 hours per year) is to provide time throughout the year for statutory and mandatory training, revalidation, personal CPD, maintaining log book, job planning and appraisal. An additional 0.5 SPA may be negotiated between clinician and clinical director for time for departmental/consultant/SAS meetings, mandated clinical governance activity, patient safety, Serious Incidents, complaints, learning from deaths, and areas of the Clinical Effectiveness Domain (NICE, audit etc.) Any additional non-clinical SPA is at the discretion of the Clinical Director and part of team job planning. This must be defined with agreed outputs. Examples: educational supervision (for resident doctors); leadership roles (at all levels); research; service development. This job plan may be worked flexibly over a seven-day working week. It is anticipated that patient related administration would be performed within the confines of the DCC PAs.