Maidstone & Tunbridge Wells Nhs Trust Consultant Rheumatologist Job Description
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MAIDSTONE & TUNBRIDGE WELLS NHS TRUST CONSULTANT RHEUMATOLOGIST JOB DESCRIPTION INTRODUCTION This is an appointment to the Specialty Medical Directorate which provides clinical services at both the Maidstone Hospital and the Tunbridge Wells Hospital. Job share applicants are welcome. The new consultant will have responsibilities for participating in and developing a Trust-wide service. This post has sessions at Maidstone Hospital and Tunbridge Wells Hospital in Pembury. There may be out-reach clinics required locally. Supervision of registrars and nurse specialists is an important part of the job. Ward referrals at Maidstone Hospital and Tunbridge Wells hospital will be shared with Consultant colleagues. MAIDSTONE & TUNBRIDGE WELLS NHS TRUST The Trust was formed in April 2000 by the merger of the Mid Kent Healthcare Trust and the Kent & Sussex Weald NHS Trust. It provides general hospital services to a population of approximately 460,000 in West Kent and North East Sussex, and some specialist services to a considerably larger population. Its major hospitals are the Tunbridge Wells Hospital at Pembury and Maidstone Hospital. The Trust’s Headquarters are at Maidstone Hospital. The Trust’s Chairman is Mr David Highton, the Chief Executive is Mr Miles Scott and the Medical Director is Dr Peter Maskell. The Clinical Director for Specialist Medicine, which encompasses rheumatology, is Dr Paul Blaker. Laurence Maiden is the chief of medicine and the Lead for rheumatology is shared by Drs Keough, Waller and Szeto. MAIDSTONE HOSPITAL Maidstone Hospital is a 410 bed hospital situated at the western edge of Maidstone, two miles from junction 5 of the M20. It provides general hospital services to a catchment population of around 220,000. The Accident & Emergency Department has approximately 50,000 attendances per year. The hospital has a full range of diagnostic services, including multi-slice CT and MRI scanners. The Kent Cancer Centre is based at the Maidstone Hospital, with a second centre in Canterbury, also managed by the Trust. Acute medicine and elective in-patient surgery is provided on this site. This includes specialist upper GI, colorectal and gynae-oncology and urology. A state-of the-art laparoscopic theatre was completed in 2010 and enabled the development of the Postgraduate Centre into a world-class laparoscopic training centre. THE TUNBRIDGE WELLS HOSPITAL The Tunbridge Wells Hospital is located in Pembury adjacent to the A21. After a three year building programme, Tunbridge Wells now has a superb new hospital. Costing £230 million, the Tunbridge Wells Hospital at Pembury welcomed its first patients in January 2011 when the Women & Children's department transferred from the old Pembury Hospital. The second phase saw the transfer of Kent & Sussex Hospital at Mount Ephraim to the new location in September 2011. It is the first NHS hospital where all main wards are comprised entirely of single en suite bedrooms. These enable patients to have greater privacy, sleep and reduce the chances of infection. Most rooms have plenty of natural daylight and views over the surrounding forest which further aid a good recovery. Rheumatology Consultant Job Description Page 1 of 10 Author: Alex Keough, Rheumatology Lead MAP THE RHEUMATOLOGY DEPARTMENT The successful candidate will join the team of seven LTFTE Rheumatologists who currently provide local services across the Trust. The post-holder will undertake five out-patient clinic sessions in Rheumatology across the sites. The Rheumatology department runs dedicated early synovitis, biologic treatment, lupus and osteoporosis clinics. Currently c.1600 new referrals are seen in the clinics each year along with c. 7400 follow-up appointments. There is access to an ultrasound machine at both sites. Dual training in General Medicine and contributing to the medical on call rota would be welcome. A Rheumatological special interest is encouraged and would be an advantage. The successful candidate will ideally contribute to and collaborate in research and will be active in nurse and junior doctor education/development. Active participation in audit and clinical governance is expected. The department delivers a high-quality audited biologic program that has published outcomes and also an early synovitis clinic to which the candidate would be expected to contribute. The department has seven specialist nurses across both sites to help run the unit. They are managed by their own lead Rheumatology nurse. The department has two specialist registrars. Drug Monitoring We operate a shared care policy of drug monitoring with most of the GPs within our catchment area backed up by the RHEMOS automated software. Biologic Therapy We have ready access to biological therapy. We have a dedicated treatment room at Maidstone where relevant infusions are administered. There are almost 600 patients in the Rheumatology department on biologic treatments. Rheumatology Consultant Job Description Page 2 of 10 Author: Alex Keough, Rheumatology Lead Osteoporosis A part-time osteoporosis nurse attends the unit to provide an osteoporosis service for primary osteoporosis. Links also exist with the Falls service. There is a DEXA scanning machine at Pembury Hospital. Further developments are anticipated with progress of the National Service Frameworks and local health improvement plans. Acute Back Pain Service We have an extended scope physiotherapist who runs an acute back pain fast track service in close association with the Radiology department and our Chronic Pain Clinic run by Consultant Anaesthetists. Consultant Staffing Rheumatology Consultants Dr M Batley Consultant Rheumatologist Dr J Ishorari Consultant Rheumatologist and General Physician Dr A Keough Consultant Rheumatologist and Acute Physician Dr P Leventis Consultant Rheumatologist Dr A Saha Consultant Rheumatologist Dr M Szeto Consultant Rheumatologist and Acute Physician Dr A Waller Consultant Rheumatologist and Acute Physician This Post To be appointed Dr O Warr Associate Specialist Specialist Registrar x2 (shared between the Consultant staff) Support Staff Extended scope physiotherapist 0.2 WTE Osteoporosis nurse specialist 0.5 WTE Rheumatology nurse specialists 4 WTE Drug monitoring nurse 1 WTE Research and Audit Our main departmental research interests are within commercial biologic studies. Audits are varied. The Trust Medical Audit Committee co-ordinates medical audit within all specialties and departments in Maidstone and Tunbridge Wells NHS Trust. New research is encouraged. Currently there are active research projects running in the department. Rheumatology Consultant Job Description Page 3 of 10 Author: Alex Keough, Rheumatology Lead MEDICAL STAFFING (MEDICAL DIRECTORATES) Consultant Medical Staff Based at Tunbridge Wells Hospital Dr L Maiden* Consultant Physician with an interest in Gastroenterology & Chief of the Medical Division Dr H Sharma* Consultant Physician with an interest in Gastroenterology Dr P Blaker* Consultant Physician with an interest in Gastroenterology & Clinical Director for Specialist Medicine Dr D Hanumantharaya* Consultant Physician with an interest in Gastroenterology Dr I Bell* Consultant Physician with an interest in Gastroenterology Dr P Reynolds* Consultant Physician with an interest in Care of the Elderly and Clinical Tutor Dr P Maskell Consultant Physician with an interest in Care of the Elderly and Stroke Medicine. Medical Director. Dr P Tsang* Consultant Physician with an interest in Care of the Elderly Dr D Barnes* Consultant Physician with an interest in Diabetes and Endocrinology Dr M Haq* Consultant Physician with an interest in Diabetes and Endocrinology Dr O Ingram* Consultant Physician with an interest in Care of the Elderly Dr M Kupheradze* Consultant Physician with an interest in Care of the Elderly Dr C Lawson Consultant Cardiologist Dr D Harrington Consultant Cardiologist Dr V Bhatia Consultant Cardiologist Dr Gaurav Agarwal* Acute physician Dr Martin Eapen* Acute physician Dr Simon Webster* Consultant Physician with an interest in Respiratory Dr Tuck-Kay Loke* Consultant Physician with an interest in Respiratory & Clinical Director for Out-patients Dr P Davidson* Consultant Physician with an interest in Respiratory Dr C Lloyd Consultant Neurologist Dr L Petzold Consultant Neurologist Dr G Saldanha Consultant Neurologist Dr J Ishohari* Consultant Physician with an interest in Rheumatology (*denotes Consultants on the acute medical take) Consultant Medical Staff Based at Maidstone Hospital Dr G Bird* Consultant Physician with an interest in Gastroenterology Dr Baburajan* Consultant Physician with an interest in Gastroenterology Dr A Barnardo* Consultant Physician with an interest in Gastroenterology Dr C Thom* Consultant Physician with an interest in Care of the Elderly and Clinical Tutor Dr Bacete Bwogo* Consultant Physician with an interest in Care of the Elderly Dr F Busch* Consultant Physician with an interest in Care of the Elderly and Stroke Medicine Dr G Wallace* Consultant Physician with an interest in Care of the Elderly and Stroke Medicine Dr R Mankragod* Consultant Physician with an interest in Respiratory Medicine Dr S Husain* Consultant Physician with an interest in Respiratory Medicine Dr J Kumar* Consultant Physician with an interest in Diabetes and Endocrinology Dr S Sivappriyan* Consultant Physician with an interest in Diabetes and Endocrinology Dr S Anandappa* Consultant Physician with an interest in Diabetes and Endocrinology Dr B Mishra Consultant Cardiologist Dr S Takeda Consultant Cardiologist