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Job summary
This post is a fixed term post with a subspecialty focus on Integrated Respiratory care. The appointee will work alongside 5 established respiratory consultants in a brand new, purpose-built respiratory unit. A dedicated team of respiratory nurses and physiotherapists oversee a 10 bedded Respiratory Virtual Ward. This post will facilitate an increase in this bed base, providing dedicated clinical oversight and strengthening the of the audit and governance of the current pathways. We are looking for an enthusiastic candidate who wishes to remove barriers between primary and secondary care.
The successful candidate will contribute to inpatient general respiratory care, and a 1 in 18 acute unselected medical rota. The respiratory rota is generously filled with trainees and innovative fellow roles (intervention and quality improvement fellowships). The Respiratory team have been highlighted for their high rates of satisfaction across the annual staff survey 2023.
The post holder will be expected to contribute to teaching undergraduate and postgraduate medical staff and other professional groups. They will support audit, clinical governance and improvement work happening across the department.
Main duties of the job
The successful applicant will join our dynamic respiratory department as as a substantive Consultant with a special interest in General Respiratory Medicine and Integrated care. The post includes 10 PA of activity. This is a Royal College of Physicians approved post.
This exciting and innovative post has been developed as there is increased recognition for Specialist Respiratory Support within our community services, to work collaboratively with the Trust, department and community partners to lead, develop and support patients with acute and chronic respiratory diseases.
The successful applicant will work closely with our multidisciplinary community respiratory team. This dedicated team already provides continuing care for patients with complex airways disease, chronic breathlessness and home oxygen assessment and review services (HOSAR).Collaborating with the existing team, the postholder would be driven to expand the implementation of the Community Virtual Wards Acute Respiratory Infection (CVW-ARI) across Newham, to provide a safe and efficient alternative to NHS bedded care and allow patients to receive the acute care they need in their own home. The CVW-ARI is expected to evolve from a respiratory early and supported discharge service to provide direct admission avoidance pathways through a process of direct community referrals, aiming for a full occupancy up to 20patients.
About us
Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.
The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.
Job description
Job responsibilities
1. To contribute to the provision of a comprehensive and efficient acute and specialist Respiratory Medicine service at Barts Health NHS Trust.
2. To deliver excellence in care for patients admitted on acute unselected medical take.
3. To undertake a dedicated respiratory procedures list (bronchoscopy/pleural).
4. To work closely with colleagues in both primary and secondary care, to provide seamless, integrated care for patients with chronic respiratory conditions and acute exacerbations.
5. To provide evidence-based care for all inpatients and outpatients.
6. To develop community partnerships within the community virtual wards across north east London.
7. To have regard at all times for the clinical and quality standards.
8. To liaise effectively and on a timely basis with General Practitioners, community services, and all healthcare agencies, and to work collaboratively across North East London as required.
9. To maintain and promote team and multi-disciplinary work with the specialties working closely and regularly with the consultant medical staff.
10. To participate fully in the management of the Department and to liaise closely with the General Manager and the Clinical Director.
11. To take an active role in teaching and training in the department and Trust at both undergraduate and postgraduate level.
General Duties
1. Continuing responsibility for the care of patients in his/her charge, including all administrative duties associated with patient care.
2. Leadership, development and organisation of the services in his/her charge in line with the Trusts business plans. Liaison and communication with the Clinical Director of Respiratory Medicine, the General Manager and the Managing Director and the North East London Integrated Care Development of his/her own interests and specialisms within the specialty and including active participation in research programmes.
4. Corporate and individual responsibility for the professional management of doctors in training including the approval and monitoring of on calls rotas and locum appointments.
Managerial arrangements
The post holder is responsible to the Clinical Director for Medicine. The post is covered by the National Health Service terms and conditions of service for Hospital Medical and Dental staff (England and Wales). The appointment is pensionable unless the appointee chooses to opt out of the National Health Service Pension Scheme.
On-going developments in the department are designed to enhance the care delivered to patients, with a commitment to the education of the trainee doctors.
Research and Quality Improvement
The post holder may have the opportunity to participate in departmental research, Quality Improvement projects focussed around the clinical and service development priorities of the research proposals and projects must be processed through the Trusts Research and Development Office, and gain appropriate ethical clearance. Extensive research facilities exist at Barts Health NHS Trust. Research will be actively encouraged within the department and in conjunction with other departments of the hospital, St. Bartholomews and the Royal London School of Medicine and Dentistry and Queen Mary University of London, where there is a wide range of research post holder will be required to participate in all clinical and non-clinical governance activities related to the Respiratory medicine services, including mortality meetings.
Continuing Professional Development and Continuing Medical Education
The post holder is expected to take responsibility for their own Continuing Professional Development and take part in Continuing Medical Education activities, in line with the requirements of the Royal College of Physicians and in consultation with the Lead for Respiratory Medicine and the Clinical Director. The post holder will be expected to be committed to the concept of lifelong learning and produce and maintain a Personal Development Plan in agreement with their Clinical Director. Study leave is available as provided for under the Terms and Conditions of Service for Hospital Medical and Dental staff, subject to the approval of the Clinical Director/General Manager.
Teaching and Training
The post holder will be expected to participate fully in the postgraduate education of Respiratory Medicine StRs and Core Medical and Foundation trainees based at Barts Health NHS Trust, together with undergraduate medical, dental and nursing students, and will be expected to lead on certain aspects of teaching and training.
Office accommodation/Secretarial support
Shared office accommodation is located within the Respiratory Department with computers. 2024 will see the opening of a large state of the art Respiratory and Intensive care co-designed building. The comfortable and spacious office areas will enrich the working environment of the whole respiratory service.Secretarial support is provided and can be administered form the main hospital site and Shrewsbury road health centre.
Equal Opportunities
The post holder must at all times carry out responsibilities and duties with due regard to the Trusts Equal Opportunities policy.
Health & Safety
The post holder is expected to undertake the appropriate management responsibilities, and be aware of individual responsibilities in accordance with the Trusts Health and Safety policy and report as necessary, any untoward accident, incident or potentially hazardous environment. The post holder will promote and implement the Health and Safety policy. The Trust operates a No Smoking policy.
Salary and Conditions of Service
The post is subject to the Terms and Conditions Consultants (England) 2003. Due to the nature of the work in this post, it is exempt from the provision of section 4 (2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders Act 1974 (Exemption Order 1975).
Applicants are therefore not entitled to withhold information about convictions, including those which, for other purposes are spent, under the provisions of the Act, and are required to disclose convictions including those pending, to the Trust. Failure to disclose such information may result in dismissal or disciplinary action.
Person Specification
Qualifications
Essential
GMC registration MBBS or equivalent MRCP or equivalent CCT in Respiratory Medicine and General (Internal) Medicine, G(I)M, (or within 6 months of eligibility at the time of interview) or be on the Specialist Register
Desirable
MD or PhD
Experience
Essential
Evidence of broad respiratory and general medicine training. Independence in Bronchoscopy (including endobronchial biopsy, brushing and lavage) Level 1 accreditation in Pleural Ultrasound
Desirable
Experience in integrated health or specialist COPD or other tertiary chronic lung disease experience
Skills
Essential
Evidence of participation in clinical audit, quality improvement and teaching. Computer skills & IT literacy
Desirable
Previous experience of research and clinical trials. Peer reviewed publications Teaching qualification
Personal Skills
Essential
Excellent communicator verbal and written. Team player with ability to work in a multidisciplinary team. Enthusiastic and highly motivated. Innovative and adaptable to change.
Desirable
Patience Demonstrates compassion