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2Nd CMM JD Nov 2001 JOB DESCRIPTION For the post of Consultant Physician in Diabetes and Endocrinology and General Internal Medicine North West Anglia NHS Foundation Trust Page 1 of 13 North West Anglia NHS Foundation Trust CONSULTANT PHYSICIAN IN DIABETES AND ENDOCRINOLOGY AND GENERAL INTERNAL MEDICINE 1. JOB DESCRIPTION This document contains information about the above post. It also forms the job description and proposed job plan for this post. As required by Health Circular HC (90)16, the successful candidate will complete and agree a job plan with the lead clinician and general manager. It will be ratified by the Medical Director after taking up the appointment, will be reviewed at 3 months and thereafter appointment and thereafter on a yearly basis. THE POST This is a new post to allow the opportunity to combine providing a service in diabetes and endocrinology and general internal medicine in a new, state-of-the- art hospital and purpose built community diabetes centre. You will join our existing teams of Consultant Diabetologists and Endocrinologists and other Consultant Physicians at North West Anglia NHS Foundation Trust. The appointment is for a total of 10 programmed activities with an approximate split of 8.5 direct clinical care programmed activities (CPA) of Diabetes and Endocrinology and General Medicine and 1.5 PA’s for supporting professional activity (SPA). The appointee will work alongside Dr S Oyibo, Dr S Sagi and Dr Rajkanna who both work full time, and Dr Roland and Dr A Swamy who both work part time in the Department of Diabetes and Endocrinology and General Medicine, at Peterborough City Hospital site. Following the recent merger with Hinchingbrooke Hospital, we also work alongside Dr Mathews Krishnan and Dr Krishnan Khan who are both based at the Hinchingbrooke site. The post holder is managerially accountable to the Clinical Lead for Diabetes and Endocrinology, Clinical Director and General Manager, Emergency, Critical Care and Medicine Foundation Clinical Business Unit and clinically accountable to the Medical Director. Applicants must be members of the Royal College of Physicians or have equivalent experience and training and must be fully registered with a license to practice with the General Medical Council with specialist registration in Diabetes and Endocrinology and General Internal Medicine or within 6 months of CCT for these specialties. Appropriate office accommodation, secretarial support and IT support will be provided. Page 2 of 13 DIABETES AND ENDOCRINOLOGY SERVICES The Peterborough Diabetes Service There are approximately 13,000 patients with diabetes in Peterborough and adjoining PCTs which form part of our traditional catchment population. The Diabetes Care Team (currently comprising 3 Consultant Diabetologists, 1 Specialist Registrar, 7 Community Diabetes Specialist Nurses, 3 Specialist Dietitians, 3 Specialist Podiatrists and 3 Diabetes Care Technicians) is based at a purpose built Diabetes Care Centre the Peterborough Healthy Living Centre. There are also 3 in patient Diabetes Specialist Nurses. The Peterborough Model of Care is of a community based service supported by the Diabetes Specialist Team Professionals. The Diabetes Care Technicians (a Peterborough innovation) provide a comprehensive annual diabetic review service in the community. The Team provide group structured education programmes for both Type 1 and Type 2 diabetic patients. Peterborough is a founder member of the DESMOND project and is part of the Diabetes Education Network. We run a continuous subcutaneous insulin infusion service for both adult and paediatric patients. We provide a number of Consultant led specialty clinics in Pregnancy, Diabetic Foot, Young Persons, Transitional, Insulin Pump and Older People. Endocrinology Currently there is a weekly general endocrinology clinic in which the appointee will participate. There is also monthly joint thyroid clinic in the ENT department. Thyroid ultrasound and isotope scanning are also available on site. In addition to thyroid surgery there is a service for minimally-invasive parathyroid surgery. The radio-iodine therapy service for non-malignant thyroid conditions is supervised locally by Dr Oyibo. With the exception of inferior petrosal sinus sampling there is a full range of endocrine investigations available including a comprehensive endocrine biochemical service, CT, MRI ultrasound and DEXA scanning. Patients requiring transphenoidal hypophysectomy are referred to the neurosurgical unit (Pituitary MDT) at Addenbrooke’s Hospital. JOB TITLE Consultant Physician in Diabetes & Endocrinology and General Internal Medicine based at the North West Anglia NHS Trust (with outreach at the Community Diabetes – Healthy Living Centre) JOB PURPOSE To lead, maintain and develop Diabetes & Endocrine services for the North West Anglia NHS Foundation Trust. To contribute to an acute general medical service of optimum quality within the Trust. And shared responsibility for care of our dedicated medical in-patients. To provide specialist outpatient Diabetes & Endocrine services and referral services in this sector. Page 3 of 13 To promote and develop multidisciplinary teamwork across all the Trust. To integrate with community services including GPs with interest in Diabetes and Care Transformation programmes. JOB ROLE To share in the collective responsibility for the provision of acute medical services at the North West Anglia NHS Trust and to provide specialist inpatient and outpatient Diabetes & Endocrine services. The post holder will be part of a team of Consultant in Diabetes & Endocrinology based at the Trust and the diabetes teams the community Diabetes (Healthy Living) Centre roughly 2 miles from the hospital. The post-holder will share the responsibility for provision of care for in- patients on the Diabetes/General Medical ward. To contribute to the development of excellence in clinical practice through research, audit and participation in clinical and social care governance. JOB LOCATION The post holder will be based at the North West Anglia NHS Foundation Trust. All on-call and inpatient service delivery will be based at this site. There may be some cross site responsibility from time to time. The post holder, along with colleagues, will also assist in the delivery of a weekly outpatient service at the Healthy Living Centre. KEY CLINICAL TASKS The post holder, along with colleagues, will provide specialist led inpatient and outpatient Diabetes & Endocrine services. The post holder shall with colleagues maintain and further develop the Diabetes & Endocrine services at the North West Anglia NHS Foundation Trust. The post holder’s prime clinical responsibility will be accountability for the continuous care of his/her in-patients and outpatients, and as part of this responsibility, a share of the out-of-hours general medical on -call rota arrangements at the North West Anglia NHS Foundation Trust. The post holder will work as an integral part of the Multidisciplinary Trust wide Diabetes network, and attend Clinical Governance and Multidisciplinary Team meetings at the Healthy Living Centre. The post holder must ensure appropriate standards of care for patients and appropriate standards of education and training for medical staff in training. PROPOSED JOB PLAN 1. Two clinics in general endocrinology at Peterborough City Hospital per week 2. One specialty diabetes or endocrine clinic (to be arranged) 3. Three whiteboard rounds and ward rounds for our dedicated in-patient ward. Page 4 of 13 4. The appointee will provide leave cover for the Consultant in Diabetes and Endocrinology who normally supervises the team’s inpatients. This cover will include providing daily senior input for inpatients on the diabetes and endocrinology half ward and any outliers under the team, conducting full ward rounds twice a week, supervising the trainee doctors and providing the service for diabetes and endocrinology advice for referrals from ED, Emergency Short Stay, Woman’s Health and other areas. 5. It is expected that there will be the need from time to time to make changes to the job plan. It is expected that the successful candidate will be prepared to negotiate such changes for the benefit of clinical service delivery and the department as a whole. In particular it is anticipated that with new consultant appointments and retirements the proportion of diabetes and endocrinology will increase and the post will eventually become full time diabetes and endocrinology. Proposed job diary Monday Tuesday Wednesday Thursday Friday AM Whiteboard & Whiteboard & Specialty Medical meeting Admin/SPA Diabetes or Ward round Ward round Whiteboard & Endocrine clinic Ward round PM Inpatient Endocrine clinic Inpatient SPA Endocrine referrals referrals clinic Admin/SPA OTHER DUTIES The successful candidate will be required to undertake managerial duties associated with the care of their patients and the running of their Clinical Department RESEARCH We have an established record not only in participation in major multi-centre clinical trials but also regular publications and local educational projects (1 to 3 peer reviewed papers or abstracts each year over the last 10 years). TEACHING AND AUDIT The department has a long standing commitment to undergraduate medical education, taking students regularly from Leicester and Cambridge Universities, and sometimes from other areas. The post holder will be expected to take part in this teaching. The department also has an active postgraduate programme Page 5 of
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