JOB DESCRIPTION
POST Senior Clinical Lecturer in Infectious Diseases
CONTRACT Permanent
REFERENCE NO 510-18 REPORTS TO Head of Department of Clinical Sciences or International Public Health
ROLE PURPOSE/SUMMARY The Senior Clinical Lecturer will collaborate with colleagues and existing portfolios of relevant research at LSTM to develop an applied health research programme (to include operational, implementation and health systems research) focused on lung health and tuberculosis in low- and middle-income countries at the Liverpool School of Tropical Medicine (LSTM). The post holder will combine clinical insights on TB care-seeking and treatment with other research disciplinary perspectives in order to bring innovation to LSTM’s growing portfolio of applied health research.
The post will include responsibility for development and expansion of the tropical out-patient clinic at LSTM. SCOPE/BACKGROUND This is a strategically important post in expanding LSTM’s activities in health systems research and TB. The post is jointly funded by the NHS and will underpin and potentially ultimately lead the clinical activities of LSTM.
In patient-clinical service provision will occur at the Tropical and Infectious Diseases Unit through an Honorary Consultant contract at the Royal Liverpool and Broadgreen University Hospitals NHS Trust; outpatient activity will be undertaken predominantly in the LSTM referral clinic.
ROLE SPECIFIC RESPONSIBILITIES
KEY KEY ACTIONS RESPONSIBILITIES These set out how the Key Responsibilities will be achieved 1 Research To support ongoing applied health research on tuberculosis and, where appropriate, other aspects of lung health in low- middle-income countries (LMICs) at LSTM Carry out independent applied heath research focused on tuberculosis in LMICs of an international standard Initiate, develop, deliver, lead and publish applied health research that is of global public health relevance Publish high impact papers in major journals Make an effective contribution to the wider academic community
2 Clinical Commitment Clinical work comprises 5 PA a week including regular OP commitments and inpatient activity for 21 weeks of the year. 1.5 PAs for Supporting Professional Activities (SPAs) including Continuing Medical Education (CME), audit and appraisal / revalidation Responsibility for development and expansion of the tropical out-patient clinic at LSTM
Page 1 of 13 Learning and Contribute to the development and delivery of teaching in line with LSTM’s 3 teaching standards expectations Supervise and support masters and PhD students
Income generation Generate grant income from external funders 4 Develop a substantial research portfolio in applied health research on lung health and tuberculosis
MANAGEMENT RESPONSIBILITIES
KEY KEY ACTIONS RESPONSIBILITIES These set out how the Key Responsibilities will be achieved Clinical academic Provide leadership and guidance to other colleagues on aspects of research, 1 leadership and teaching, learning and assessment management Contribute to the effective development and implementation of LSTM policy and strategy Influence and participate in regional, national and global collaborations and demonstrate a successful record of leadership and driving change using research led evidence Make an effective contribution to the wider academic community Lead development of LSTM clinic Develop and lead strategically important global partnerships and collaborations Proactively and professionally represent the work of LSTM nationally and internationally
FURTHER RESPONSIBILITIES
KEY KEY ACTIONS RESPONSIBILITIES These set out how the Key Responsibilities will be achieved 1 General Promote equality of opportunity and inclusive practice in all aspects of work undertaken Act in a manner that safeguards children and/or vulnerable adults as applicable to the role Any other duties commensurate with the grade and nature of the role
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PERSON SPECIFICATION
POST Senior Clinical Lecturer in Infectious Diseases
COMPETENCY CRITERIA ESSENTIAL/ ASSESSMENT DESIRABLE
Qualifications, Training & Knowledge MB BS or equivalent and registered with GMC Essential Application/Interview/ Assessment MRCP or FRCP or equivalent Essential Application/Interview/ Assessment Doctorate (PhD or MD) Essential Application/Interview/ Assessment Certificate of Completion of Training (CCT) (or within 6 months of) in Essential Application/Interview/ Infectious Diseases or equivalent Assessment CCT in General Internal Medicine or equivalent Desirable Application/Interview/ Assessment Teaching qualification Desirable Application/Interview/ Assessment
Experience Broad knowledge and experience in all aspects of Infectious Diseases and Essential Application/Interview/ General Internal Medicine including related subjects undertaken during Assessment general professional training and higher specialist training Experience of working clinically with Infectious Diseases in LMICs and the UK Essential Application/Interview/ Assessment Proven track record of publishing original research in peer-reviewed journals Essential Application/Interview/ Assessment Effective teaching skills suitable for undergraduate & postgraduate teaching, Essential Application/Interview/ supervision & appraisal Assessment Experience of working on applied health research on lung health and/or Essential Application/Interview/ tuberculosis in LMICs Assessment Experience of successfully securing personal grant funding for applied health Essential Application/Interview/ research on tuberculosis in LMICs Assessment Experience of managing a team Desirable Application/Interview/ Assessment Experience of translating research findings into national/international policy Desirable Application/Interview/ change Assessment
Skills & Behaviours Knowledge and behaviours that support equality, diversity and inclusive Essential Application/Interview/ practice Assessment Knowledge and behaviours that support safeguarding as applicable to the Essential Application/Interview/ role Assessment Excellent written and verbal communication skills, suitable for patients, Essential Application/Interview relatives and health care professionals Ability to work independently and at a high level of excellence on several Essential Application/Interview issues simultaneously Common sense & balanced approach to work & job sharing with colleagues Essential Application/Interview
Excellent organisational-administrative skills Essential Application/Interview Management skills appropriate to a complex academic, training and cultural Essential Application/Interview environment Strong IT skills Essential Application/Interview Meticulous attention to detail and accuracy in all aspects of work Essential Application/Interview Ability to work under pressure to meet tight timelines Essential Application/Interview Strong interpersonal skills, with the ability to build good working relationships Essential Application/Interview Ability to lead and manage a research team Essential Application/Interview Sensitivity to a variety of cultures Essential Application/Interview Knowledge of & compliance with national standards of clinical governance & au Essential Application/Interview High moral and professional ethical standards Essential Application/Interview
Page 3 of 13 COMPETENCY CRITERIA ESSENTIAL/ ASSESSMENT DESIRABLE
Circumstances Flexible approach and a willingness to undertake out-of-hours work Essential Application/Interview The post will require overseas travel Essential Application/Interview Medically fit to fulfil all aspects of the post Essential Application/Interview Residence within reasonable access to RLUH Essential Application/Interview
Page 4 of 13 ROYAL LIVERPOOL & BROADGREEN UNIVERSITY HOSPITALS TRUST
POST OF SENIOR LECTURER AND CONSULTANT IN INFECTIOUS DISEASES, TROPICAL MEDICINE AND GENERAL MEDICINE (NHS commitment) Executive Summary: This Senior Lecturer and Consultant in Infectious diseases/tropical medicine and general internal medicine is a new joint academic/NHS post. With both re-configuration of clinical services involving the merger of the Royal Liverpool University Hospital (RLUH) and Aintree University Hospital in 2019, and on-going expansion of academic, teaching and clinical services, a novel joint position has been designed.
The post-holder (10 PAs) will spend half their time developing academic/research interests at the Liverpool School of Tropical Medicine (LSTM), and half providing clinical in-patient/outpatient services within the tropical and infectious disease unit (RLUH) and outpatient tropical services in LSTM. Contents: 1. The Trust 2. Unscheduled Care 3. Specialist and Academic Medicine 4. The sub-directorates of Tropical and Infectious Diseases, Clinical Pharmacology 5. The Post 6. Job Plan 7. Contact details 8. Personal Specification 9. Job Advertisement
1. The Trust: The Royal Liverpool and Broadgreen University Hospital Trust is a, including Broadgreen Hospital, major teaching hospital in the North-West of England The Trust has 853 beds, including escalation facilities. It provides care for approximately 750,000 people locally, employs over 5600 staff, and receives a budget of over £450 million. It provides a wide range of medical and surgical specialities, with special strengths in medical and surgical gastroenterology, infectious and tropical diseases, ophthalmology, breast disease, renal transplantation, nephrology, haemato-oncology, palliative medicine and nuclear medicine. The emergency department reviews approximately 100,000 attendances per year with a typical inner city mixture of problems. The hospital has a large Intensive Care Unit, coronary care unit and dialysis unit. Many of these departments offer secondary, tertiary and national services. There are very close ties with the Faculty of Medicine of the University of Liverpool, as well as other medical and scientific institutions, including the Liverpool School of Tropical Medicine, and is an active leader within the Liverpool Knowledge Quarter. Close ties with the Royal College of Physicians (RCP) will be reinforced with the Royal College of Physicians North project. The Trust is currently re-modelling its systems of divisions and directorates into divisions of Unscheduled and Scheduled Care, with Chiefs of Staff overseeing these. Directorates have been replaced with Clinical Care Groups, overseen by Clinical Directors, with Clinical Leads supporting each of the specialties within. In parallel the Royal Liverpool will merge with Aintree University Hospital in 2019 to create one of the largest Trusts in the UK. Alongside these exciting developments, a brand new hospital is being constructed, and will open in 2020 as the ‘new Royal’ will open in 2020, comprehensive information is available at http://www.rlbuht.nhs.uk/your-new-royal/. The state of the art Royal Liverpool University Hospital will have 13 floors, 646 single rooms with en-suites, 23 wards, 18 state of the art theatres, a large clinical research facility and a 40 bedded Critical Care Unit.
2. The Division of Unscheduled Care: The Unscheduled Care Division is the largest within the Trust. It consists of six care groups, Urinary tract (nephrology, urology and renal transplant), Emergency medicine (accident and emergency, Acute medical assessment, and emergency surgical assessment), Cardiovascular (cardiology and vascular surgery), Complex medicine (gerontology, haematology, palliative medicine), Clinical support services and Specialist and Academic Medicine (infectious diseases, tropical medicine, respiratory, diabetes and endocrinology, clinical chemistry and neurophysiology).
Page 5 of 13 The Chief of Staff is Neil Haslam. There are approximately 27,300 admissions a year to medical beds, most of which are initially triaged to the acute medical unit or to intensive care settings (Intensive Care Unit or Heart Emergency Centre), with subsequent transfer to the appropriate specialist inpatient service if remaining in hospital. Neurology care is supported by in-reach from the regional neurological centre (Walton Centre NHS Foundation Trust) based at the University Hospital Aintree campus.
3. Specialist and Academic Medicine: The Care Group was instituted in mid-2016, and commenced in 2017, the current Clinical Director is Mike Beadsworth. Infectious diseases, tropical medicine, general internal medicine, clinical pharmacology and genitourinary medicine are all included within this group. Other specialties included are respiratory medicine, diabetes and endocrinology, clinical chemistry and neurophysiology. Each of the specialties has clinical leads, and a comprehensive programme of governance is in place. The group maintains the largest bed base within the Trust, currently receives a budget of over £46 million and provides community, secondary tertiary and national services.
4. Infectious Diseases, Tropical Medicine, General Internal Medicine, Clinical Pharmacology and Sexual Health (Genitourinary medicine) Current service description: The current directorate provides care in both inpatient and outpatient settings, predominantly based at the Royal Liverpool University Hospital (RLUH). In 2018 the Unit will re-locate to the ‘new Royal’ and oversee the dedicated Infectious Disease ward with 19 negative pressure rooms including 2 category 4 beds, and two other wards with 56 single rooms with en-suite facilities, a total of 75 rooms. It is an ‘Academic Teaching Unit’, with local, regional and national referral streams. There is significant overlap with staff, clinical facilities, and research, with the Liverpool School of Tropical Medicine and the Department of Molecular and Clinical Pharmacology and Institute for Infection and Global Health (IIGH) within the University of Liverpool. The Clinical Research Facility (CRU) is integral to current and future service and research for our directorate, and is able to undertake NHS based Phase 1-III studies.
There are several key ‘sub-directorates’;
THE TROPICAL AND INFECTIOUS DISEASE UNIT (TIDU)
The Clinical lead is Dr Mike Beadsworth, together with Mrs Suzanne Marshall (Matron), Mrs Jeannie Attard (Directorate manage and assistant general manager) and Tony Gaynor (General manager).
The Unit has evolved from the former fever hospital established as Fazakerley Hospital in 1901, and moved as a "district managed regional unit” (DMRU) into modern wards in what had become University Hospital Aintree in 1991. The unit moved again to the Royal Liverpool University Hospital at the end of 2001 in order to work more closely with several departments that were already located at the Royal, including the NHS and academic activities in Clinical Pharmacology. There are two current inpatient wards on the third floor of the hospital, 3Y and 3X, with a total of 32 beds (26 isolation, 14 of which are negative pressure).
There are approximately 1500 inpatient episodes per year. Patients are admitted directly to the wards from the emergency room or AMU, or transferred in from other wards or hospitals. These include tropical conditions, returned travellers, health care acquired infection, complex bone and joint, other general infection, Level 3 HIV care, other blood borne viruses, TB and neurological infection. In 2015 the Unit was nationally commissioned as a High Contagious Infectious Diseases centre for the treatment of Hazard Group 4 Haemorrhagic fevers.
In-patient care: Ward care is collaborative, with twice-daily board rounds, reviewing all patients, and twice weekly ‘teaching rounds’. Duties are spread evenly across both wards with consultant rotations of approximately four weeks on each of the inpatient wards working to an annualised rota. On-call consultant call during the week is in alternating one-week blocks. Weekend call is shared with the staff of the LSTM & IIGH with a roughly 1 in 7 commitment, which will be discussed at appointment. Each ward is supported by STR and junior medical staff and specialist infection pharmacists. A 7 day service, and 24/7 on-call are provided for local/regional and national referral. This includes contribution to the PHE led UK Imported Fever Service (shared with the London Hospital for Tropical Diseases on a 50/50 basis)
Outpatients: Approximately 3,900 outpatients are seen annually in a variety of general infection, tropical, HIV, viral hepatitis and chronic fatigue syndrome clinics. Specialist service provision is supported by regular formal multidisciplinary team Page 6 of 13 meetings linking with community services and clinicians in other specialties and Trusts (bone and joint infection, HIV, hepatitis, tuberculosis, neurological infection).
Other specialist services of TIDU: HIV: The combined HIV service (shared with GUM) has responsibility for a cohort of over 1300 patients, providing multidisciplinary inpatient and outpatient services, leading the Merseyside and Cheshire hub and spoke network, providing level 3 complex care, guidelines, governance and undertaking both academic and commercial research. A transitional clinic is run with together with Alder Hey Children’s Hospital and we provide HIV clinical services at St Helens (Whiston) and Leighton (Crewe) hospitals. Consult service: A general consult service, shared between TIDU and Liverpool Clinical Laboratories, provides antimicrobial stewardship and clinical outreach to RLBUHT. An immunocompromised consult service for transplant, haemato-oncology and vasculitis services is in development. Approximately 2000 patients are reviewed annually. Chronic Fatigue Service (CFS): Sees > 700 referrals per year from around the country and undertakes MRC funded research. The diagnostic clinic at RLUH is supported by treatment at Broadgreen Hospital with 0.5 WTE equivalent psychologist and 4/5 CFS therapists. Viral Hepatitis: This joint service with hepatology provides the regional commissioned ‘operational delivery network’ for Merseyside/Cheshire hospitals, supports treatment in local prisons and runs multiple NHS portfolio studies. Tuberculosis: TIDU hosts and leads the Mersey TB Regional service. Most inpatient TB is managed within TIDU and there is an active MDT and outpatient service. Bone and joint: A combined MDT provides joint care of all complex bone and joint cases with orthopaedics/spinal/microbiology/radiology. Neuroinfection: A joint clinic and MDT is run with Walton (Prof T Solomon) to review complex patients Sepsis Service: The unit has led on the development of sepsis services and pathways for the Trust and has strongly influenced regional guidelines. Outpatient and Home Parenteral Antibiotic Therapy (OPAT) services started in 2016 to provide a ‘gold standard’ service for RLUH. It is anticipated that this will be developed into a ‘city-wide’ service.
Research The unit is recognised internationally for the research undertaken in the UK and overseas by NHS staff and academic clinicians, predominantly based within the Department of Clinical Pharmacology and the Institute of Infection and Global Health of the University of Liverpool and the Liverpool School of Tropical Medicine.
GENERAL INTERNAL MEDICINE (GIM) AND CLINICAL PHARMACOLOGY (CPT)
The unit is currently responsible for 23 inpatient beds, based on 9X, admitting patients with complex medical problems, requiring longer stay for assessment and management. In particular, patients with neuroinfection, skin and soft tissue infection, complex drug-drug interactions, overdose/poisoning/alcohol and drug problems, thromboembolic disease, and those with complex discharge issues are managed within the CPT Unit. In keeping with Future Hospitals, a 7 day service has existed for many years and continues to evolve. This commitment to GIM will continue when the new hospital is open.
Ward work is shared by 2 consultants with between 10 and 15 patients each under their care at any one time. Rotations are for four weeks, and a full team of STR and junior medical staff are present. There are also outpatient clinics in general CPT/GIM and complex hypertension management. These are usually undertaken by Clinical pharmacology consultants from Department of Molecular and Clinical Pharmacology and CRU who work closely with the unit.
THE CONSULTANT AND STR TEAMS
Tropical and Infectious Disease Consultants include:
Dr Mike Beadsworth (Deputy Chief of Service for Unscheduled Care, Clinical Director of Specialist and Academic Medicine and Clinical Lead for Tropical and Infectious Diseases/Clinical Pharmacology/GIM) Dr Nick Beeching (Consultant) Dr Tom Blanchard Dr Mas Chaponda Dr Gerry Davies (Senior Lecturer, IGH) Dr Sylviane Defres Page 7 of 13 Dr Nick Feasey (Senior Lecturer, LSTM) Professor Neil French (IIGH) Professor Saye Khoo (Institute of Translational Medicine ) Professor Anna Maria Geretti (IIGH) Professor William Hope (Institute of Translational Medicine) Professor David Lalloo (LSTM) Dr Henry Mwandumba (Senior Lecturer, LSTM/Malawi) Dr Emmanuel Nsutebu Professor Sarah O’Brien (IIGH, Public Health) Dr Tim O’Dempsey (Senior Lecturer, LSTM) Dr Libuše Ratcliffe Professor Bertie Squire (LSTM) Dr Miriam Taegtmeyer (Reader, LSTM) Dr Stacy Todd Dr Helen Winslow
Infectious Disease Trainees:
There are 12 approved ID/GIM/Tropical Medicine StR NTN positions., There is a joint Specialist Training and Education Committee (STEC), to maintain and promote the joint ID/Micro training curriculum.
GIM/CPT Consultants include:
Professor Munir Pirmohamed (CPT) Dr Richard Fitzgerald (CPT and CRU) Marcin Bulla (CPT) Dr Hannah Samut (GIM/Nephrology/Palliative) Dr Mike Beadsworth (ID) Dr Tom Blanchard (ID) Dr Mas Chaponda (ID) Dr Gerry Davies (Senior Lecturer, IIGH) Professor Saye Khoo (Institute of Translational Medicine) Professor David Lalloo (LSTM) Dr Henry Mwandumba (Senior Lecturer, LSTM/Malawi) Dr Emmanuel Nsutebu (ID) Dr Libuše Ratcliffe (ID) Dr Helen Winslow Dr Stacy Todd Dr Sylviane Defres CPT Trainees: There are currently 5 NTN StRs and 2 lecturers
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5 The Post: Training/CPD/audit We are looking for enthusiastic and committed physicians to join our multi-disciplinary team. They will be expected to provide the Infectious Diseases, Tropical and GIM inpatient service and undertake specialist outpatient Infectious Diseases and Tropical clinics. The appointee will be expected to develop the tropical outpatient service. (The majority of current Tropical outpatient clinics take place at LSTM, the postholder with full support will be expected to evolve, and enlarge the current Tropical OPD service to improve patient care, governance and efficiency, further discussion and leadership of this project can be made available pre interview.) The appointed individuals will have postgraduate training and CCTs (or equivalent) in Infectious Diseases (ID) or Tropical Medicine and in General Internal Medicine. The person(s) appointed will be expected to participate in all ID and GIM activities of the unit. There will be an approximate inpatient commitment 8-12 of GIM and 8-12 of ID in 4 weekly rotations per annum. The post holders will be located in the Directorate of Tropical and Infectious Diseases with Clinical Pharmacology & Sexual Health.. The appointee will be accountable to the Clinical Lead for the Directorate (Dr Mike Beadsworth) and through him to the Chief of Service for of Unscheduled Care (Dr N Haslam) and to the Medical Director of the Trust (Dr P Williams) and the Trust Board. This is a 10 PA equivalent substantive post, with 50% (5PA) NHS commitment and 50% LSTM commitment. For NHS commitment, the appointee will be based in the RLUH, but may be expected to work in other settings if required by the HIV network. The main duties and job plan are outlined below. The outline job plan (NHS and academic) will be 10 PAs equivalent. In combination with the academic commitment, there will be (including 2-2.5 non direct clinical PAs) and 2 supporting Programmed Activity sessions (SPAs). The initial posts do not include an on-call expectation, but with both 7 day service delivery and evolution of all job plans, there will be opportunities to join weekend and weekday on-call rotas. Discussion prior to interview is most welcome.
The Unit follows all locally and nationally recognized governance procedures (led by Dr Ratcliffe), which are closely monitored at Trust level. Consultants are expected to remain up to date with their subject area and to maintain the appropriate portfolios of evidence of experience, training, appraisal and revalidation, and are allowed time to do so. The Trust supports the need for such activity and will provide the time and resources to enable this. The Unit has a strong commitment to training and development of all staff and the Trust supports the requirements for Continuing Medical Education as laid down by the Royal College of Physicians and is committed to providing time and financial support for these activities. Consultant staff, are expected to be Level 2 trained to undertake appraisal for and provide clinical and educational supervision for trainees. Level 2 training will be provided if not already obtained.. The sub-directorate makes a substantial contribution to NHS-based teaching of medical students from the University of Liverpool and nursing and other students from several local Universities. Consultants should provide a lead for and undertake quality improvement and clinical audit. The appointee will be supported to identify a suitable mentor to provide guidance during the early stages after taking up the position. Furthermore, full support for revalidation will be embedded in the job plan.
The appointee will be provided with his/her own office space, which may be shared with other consultants. There are several co-located secretaries for TIDU and the GIM and Clinical Pharmacology teams. The appointee will have a nominated secretary and his/her own desk and computer, with access to the Trust intranet, the NHS net and the internet.
Main Duties 1. To take responsibility at consultant level in outpatient clinics of the Tropical and Infectious Disease Unit. 2. To take responsibility at a consultant level in the OPAT service and to assist in the further development of the service. 3. To take responsibility at consultant level for patients admitted to beds of the Tropical and Infectious Disease Unit (Wards 3X/3Y main base and outliers), when located on the ward. 4. To take responsibility at consultant level for patients admitted to beds of the GIM service 5. All inpatient and outpatient responsibilities include providing consultant level clinical and training supervision of medical and other staff associated with the unit. 6. The appointee will be expected to play a role in developing and supporting the clinical research activities of the Directorate and to develop his/her own clinical research interests, in line with national and local needs. 7. The appointee will be expected to take part in undergraduate and postgraduate teaching within the Trust and in association with the Universities and LSTM. 8. The postholder will be expected to follow National Governance standards as set out in the Healthcare Commission document Standards for Better Health. In addition, the post holder will actively participate in the development of the sub directorate’s Clinical Governance strategy. Page 9 of 13 9. Consultants are expected to remain up to date with their subject area and to maintain the appropriate portfolios of evidence of experience, training, appraisal and revalidation. 10. Subject to the provisions of the Terms and Conditions of Service, the post-holder will be expected to observe the Trust’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of the Trust. 11. All medical and dental staff employed by the Trust are expected to comply with its Risk Management and Health and Safety Policies, procedures and guidelines and within the guidelines of the General Medical Council Guide – Good Medicine Practice. 12. Consultants are expected to take a lead role in promoting infection control initiatives. 13. Data Protection regarding all personal information and Trust activity must be maintained at all times (both in and out of working hours). All staff should ensure that they are familiar with and adhere to all Trust privacy, confidentiality and security policies and procedures. Any breach of confidentiality will be taken seriously and appropriate disciplinary action taken. 14. In accordance with Freedom of Information and other associated legislation, the Trust may be required to make public recorded information available upon a request, or do this as part of a publication scheme. Please note, that in your public role, your name or job role may be contained in a document that is published in accordance with such legislation. 15. All staff are expected to have or to gain a minimum of basic level IT skills to enable them to use the Trust IT systems to support Trust services and needs. All staff should be familiar with relevant IT systems and security policies and procedures. 16. All staff are personally responsible for record keeping. A record is anything that contains information in any medium e.g. paper, tapes, computer information, etc. which have been created or gathered as a result of any NHS activity. All individuals within the Trust are responsible for any records they create or use. Please ensure that records are retained in accordance with the Records Management Policy and are stored in a manner that allows them to be easily located in the event of a Freedom of Information (FOI) request. 17. The duties outlined above are not intended to be exhaustive and may change as the needs of the department alter in line with current agendas. This job description will be subject to periodic review and amendment in accordance with the needs of the Trust. 6. Job Plan (NHS 21 weeks) The appointees will provide consultant leadership in Infectious Diseases, Tropical Medicine and General Internal Medicine. This job plan is indicative, and will both evolve and change in agreement and conjunction with consultant colleagues. This is a new post, and review of the annualised job plan will be undertaken at appointment, at 3 and 6 months, and during regular appraisal. It is anticipated that runs of 4 weeks will take place in rotation between each of the services, with weighting and frequency mutually agreed. Currently no satellite clinics are included, but this may also evolve dependant on mutual agreement. Part of the job will be to develop, evolve and expand outpatient Tropical medicine.
Clinical duties:
Tropical & Infectious Disease Unit activities: There will be separate four-week rotations through TIDU duties on wards 3Y and 3X (up to 13 patients per consultant). All MDT’s and clinics are included within the 10 PA plan. It is expected that alongside 2 weekly consultant teaching ward rounds, there will be twice daily “board round” reviews of all patients including specific review of newly admitted patients. The appointees will also attend at least 1 infection/HIV/Viral Hepatitis clinics per week.
OPAT Service: OPAT is a new and evolving service within the Trust. The post holder will rotate through OPAT in 4 week blocks and be expected to develop the service and encourage its use by other specialties and GPs under the guidance of the OPAT lead, Dr Blanchard.
Consult service: The consult service will form another 4-week rotation block. There are two virtual ward rounds per week where cases are fully reviewed with the trainees. The post holder will review consults on the wards and provide specialist advice to other specialties within the trust and to other hospitals in the city.
General Internal Medicine: Approximately 2 months per year will be spent in GIM either on the GIM ward (9X) or providing care to medical outlier patients on other wards. There are twice daily “board rounds” and twice weekly formal consultant ward rounds. New Page 10 of 13 patients to the ward are seen soon after their arrival following board rounds. Approximately 10-15 patients will be under the care of the consultant at any time. No CPT/GIM clinics have been time-tabled, but this may develop with evolving and mutually agreed job plans. The Trust plans seven day service provision and this is evolving. The ID/CPT/GIM team will be expected to provide this in due course. Consultants are expected to provide leadership in clinical governance, infection control and in the training and teaching activities of the Directorate and Trust and to develop their own clinical research interests.
Summary of overall Directorate Timetable
Monday 0900-1200 Joint consultant ward round. 1000-1230 Joint ID/Micro Consults Service meeting 1315-1400 X-ray meeting
Tuesday 0930-1300 GUM-ID HIV Clinic 1000-1230 Tropical clinic 1300-1345 TB MDT meeting 1345-1645 ID HIV Clinic
Wednesday 0900-1300 Hepatitis and ID/Tropical Clinic 100-1230 Tropical Clinic 1400-1500 Consult Service Case presentations 1st and 3rd Wednesday of the month. ID SpR Teaching 2nd Wednesday 1500-1600 Research meeting (2nd Wednesday)
Thursday 0900-1200 Joint consultant ward round 1230-1330 Hepatitis C MDT 1245-1330 1330-1700 CFS/ID Clinic
Friday 0800-0900 Bone & Joint Infection Group MDT 2nd & 4th Friday of month 0900-1000 Grand Round moving to Wednesday 0930-1230 Tropical Clinic 1000-1230 Joint ID/Micro Consults Service meeting 1200-1300 Journal Club (or Morbidity/Mortality or Audit Meeting) 1300-1400 HIV MDT meeting 1330-1430 GUM Clinical/ HIV group meeting 1400-1500 9X/3X/3Y directorate/governance meeting last Friday of month 1330-1630 HIV Clinical Group (3rd Fri of month) and HIV Resistance and Pregnancy meetings
Sat/Sunday 0900 Consultant ward round
Mon-Friday 0900 &1600/1630 White board rounds – ward MDT
Summary of each ‘stream’ (Please note described as 10 PA’s, but will be for 21 weeks, 50% of the year) 10 PA OPAT week: 5.0 PA OPAT virtual ward round and ward reviews 2.0 PA Clinical and other administration, MDTs and administration
Page 11 of 13 1.0 PA ID/BBV/HIV clinic 1.5 SPA core SPA activity (CPD, appraisal & revalidation preparation etc) 0.5 SPA other personal development to be discussed 10 PA Consults service 5.0 PA Consult service virtual ward round and ward reviews 2.0 PA Clinical and other administration, MDTs and administration 1.0 PA ID/BBV/HIV clinic 1.5 SPA core SPA activity (CPD, appraisal & revalidation preparation etc) 0.5 SPA other personal development to be discussed 10 PA TIDU wards 3X and 3Y 5.5 Consultant ward rounds, review and white board rounds 1.5 PA Clinical and other administration, MDTs etc 1.0 PA ID/BBV/HIV clinic 1.5 SPA core SPA activity (CPD, appraisal & revalidation preparation etc) 0.5 SPA other personal development to be discussed 10 PA GIM week: 5.5 PA Consultant ward rounds, review and white board rounds 1.5 PA Clinical and other administration, MDTs etc 1.0 PA ID/BBV/HIV clinic 1.5 SPA core SPA activity (CPD, appraisal & revalidation preparation etc) 0.5 SPA other personal development to be discussed
Indicative Job Plan In-patient ID/Tropical/GIM
Monday Tuesday Wednesday Thursday Friday Weekend
Am Consultant Admin/MDT ID / BBV / Consultant SPA teaching Ward Tropical / teaching Ward (1PA) rounds HIV Clinic rounds
(1 PA) (1PA) (1 PA)
Lunch
Clinical Clinical SPA Admin/MDT Clinical PM (1 PA) (1 PA) (0.5 PA) (1 PA)
Clinical
0.5 PA
Page 12 of 13 See overall timetable for MDT, teaching, grand round details All ward days begin and end with brief “white board” review of inpatients on the ward, including review of new/problem patients and discharge planning (shown as movable afternoon mini ward rounds on weekly plan, but preferably in morning). All clinics conclude with review of all patient case notes with other staff. The contract includes 2 supporting professional programmed activities (SPAs) which should be reviewed after 6 months in post, depending on whether the appointee takes on a local lead role in one of the quality or clinical management related activities of the Unit.There may be the development of evening clinics, community clinics and further ‘satellite’ HIV clinics.
7. CONTACT DETAILS Candidates who wish to visit the hospital or seek further professional advice can contact Mr Aidan Kehoe, Chief Executive (0151 706 2259) Dr Peter Williams, Medical Director (0151 706 2818) Dr Neil Haslam, Chief of Staff, Unscheduled Care. (0151 706 3558) Mr John Foley, Director of operations, Division of Unscheduled Care (0151 706 5168) Mr Tony Gaynor, Directorate Manager TIDU/CPT/LCSH (0151 706 2896) Dr Mike Beadsworth, Clinical Director and Lead, Specialist and Academic Medicine including TIDU/GIM/CPT/LCSH (0151 706 3836) Professor David Lalloo, Clinical Lead LSTM (0151 705 3179) Dr Tom Blanchard, Consultant Infectious Diseases/GIM,lead for OPAT (0151 706 3299) Mrs Suzanne Marshall, Matron TIDU/CPT (0151 706 2434)
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