Locum Renal Consultant

2 weeks ago


Croydon, United Kingdom Croydon Health Services NHS Trust Full time

In parallel with acute medical services across the UK, it has been recognised that the provision of acute medical care in Croydon will need to adapt and change. Recommendations from bodies such as the Royal College of Physicians, NCEPOD and the Nuffield Institute encourage provision of care centred on principles such as early consultant level input into decisions making, from consultants without other commitments. In addition to these central pressures, the merger of primary and secondary care Trusts within Croydon, took place last year further strengthening the model of acute care within the borough.

The AMU at Croydon University Hospital has a vision and has developed and revolutionized the delivery of Acute Care Services and Ambulatory Services.

An exciting opportunity to join our Team here at Croydon University Hospital.

KINDLY NOTE - THIS IS ADVERTISED AS AFIXED TERM POST - PENDING ROYAL COLLEGE APPROVAL OF THE JD.

In order to enhance existing services, the Trust has a 42-bedded ACUTE MEDICAL UNIT (AMU), where acutely unwell medical patients admitted either directly from their GP’s care, or from the Emergency Department, are assessed and have their initial treatment provided, before being smoothly and rapidly transferred to a specialist medical “zoned” ward elsewhere in the hospital for appropriate specialist medical care.

Management of the AMU is provided at the consultant level, by a group of 9 Consultant Acute Physicians (7 existing substantive Acute Physicians and 2 locums currently). The trainee grades supporting AMU consist of 2FY1, 5 SHO grades, and 2 Trust Registrars supporting the unit. The post holder has also got an opportunity to continue practicing their specialty of interest based on our consultant rota. This dedicated AMU team will be responsible for the initial assessment and management of acute medical patients from 0800 until 1700 while on the ward, the ambulatory care duties are between 0900 and 1800 and the on-call is from 0830 till 2030 during the working week depending on the rota. The appointed post holders will be expected to lead the team of junior doctors within the unit, provide consultant-level decision-making in the management of acutely unwell patients, aid with streaming of such patients to appropriate specialist zoned beds, and facilitate the early discharge of patients not requiring in-patient care. As part of the latter function, consultant-delivered discharge clinics will be held within the ambulatory unit. Outside normal working hours cover for the AMU is provided by the current body of Acute Physicians from 0800 to 1400 on Saturdays and Sundays, and it is anticipated that the post holders will participate in the General Medical Consultant rota at weekends (12 hours each Saturday and Sunday), which will be approximately 1 in 48 bases.

Croydon University Hospital is a large urban DGH serving a diverse population of 340,000 in South London and has the second busiest A&E Department in London. The hospital has affiliated teaching status with St. George’s Hospital Medical School and Guy’s, King’s and St Thomas School of Medicine. Croydon is situated to the South of London and has easy access to both central London and the south coast. It also offers a huge range of social, leisure, and shopping options, with transport links to both Gatwick and Heathrow Airport.

We are a progressive Trust with an emphasis on innovation.
- The provision of a first-class clinical service
- Effective leadership to all staff engaged in the specialty
- Sustaining and developing teaching and research in conjunction with Croydon Health Services
- Undertaking all work in accordance with the Trust’s procedures and operating policies
- Conducting clinical practice in accordance with contractual requirements and within the parameters of the Trust’s service plans
- Maintaining the confidence of business plans and development strategies formulated for the specialty, the Care Group or the Trust



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