Job Opportunities in United Kingdom

We are looking to recruit one full time Consultant Diabetologist to cover Maternity leave for 12 months, to develop our local community diabetes services.

They will be based within Lewisham and Greenwich NHS Trust and spend 50% of their time working in the community across the boroughs of Greenwich and Bexley.

The service will aim to deliver community diabetes clinics, virtual clinics, and primary care MDTs, which involve discussion of complex care patients who have diabetes and other care needs within the multidisciplinary team, with the aim of delivering patient-centred care. The service will work closely with primary care to improve the quality of care across the Bexley
and Greenwich system.

There will also be the opportunity to support any additional specialist interest post holders may have within the acute component of the role.
The acute hospital-based role can be designed around a post holder’s interests to support our existing services in outpatient Type 1 diabetes clinics, pre-conception clinics, gestational diabetes and inpatient diabetes. Alternatively, there is the opportunity to deliver some general medicine work (eg acute medicine on-call) or endocrinology clinics.

The 10 PA contract will comprise 7.5 direct clinical programmed activities and 2.5 supporting programmed activities.

The supporting programmed activities will include 1.5 PA for revalidation including participation in morbidity & mortality reviews, in the departmental clinical governance programme and in mandatory training. It is anticipated that a further 1 SPA will be allocated for teaching and training activities including educational supervision, plus development of the
community service.

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development

Widening access (anchor institution) and employability

Improving the experience of staff with disability

Improving the EDI literacy and confidence of trust staff through training and development

Making equalities mainstream

The 10 PA contract will comprise 7.5 direct clinical programmed activities and 2.5 supporting programmed activities.
The supporting programmed activities will include 1.5 PA for revalidation including participation in morbidity & mortality reviews, in the departmental clinical governance programme and in mandatory training. It is anticipated that a further 1 SPA will be allocated for teaching and training activities including educational supervision, plus development of the
community service.

The Community role is envisaged as follows:

• To provide clinical leadership for a borough based multidisciplinary team including DSNs, podiatrists, dietitian and psychologist.
• To deliver Consultant led community diabetes clinics (type 1 and complex type 2), provide clinical support to the DSNs, podiatrists, dietitian and psychologist.
• Using Practice data, work with Practices to risk stratify their patients with diabetes and deliver MDTs to agree a management plan
• Offer advice and guidance either by telephone or email
• To have the opportunity and flexibility to develop this role and service so that it meets the needs of the local community and system partners
• To test and explore innovation within the service, for example, the use of digital and remote monitoring

The acute role would be to facilitate continuity and a high quality of diabetes care for patients with established or newly diagnosed type 2 diabetes admitted to the hospital, during their stay and on discharge. We envisage that they will undertake type 2 diabetes and possibly more specialist clinics of their choice. Colleagues will continue to also provide T2DM community clinics to facilitate team working. There will be considerable flexibility within the role to maintain and develop clinical skills.

On Call Commitment:
There may be opportunities to undertake inpatient diabetes/endocrine reviews, preoperative assessments, endocrinology clinics or engage in the on call rota depending on the appointee’s interests. If applicants which to join the on-call rota there will be consideration for
time off in lieu.

CPD/SPA
CPD is counted within SPA time (see trust regulations). Attendance at internal meetings (non DCC) counts as SPA and is also often CPD, the clinician will have to make a choice of what to attend within department and discuss with the CD where attendance is vital as part of smooth working of the department.

SPA in this post is 2.5 PA’s per week.

Professional leave Must be agreed with the CD/DD and is discretionary according to the activity. No clinics should be cancelled for professional leave.
Diabetes and Endocrinology Department at Queen Elizabeth Hospital (Woolwich) and Queen Mary’s Hospital (Sidcup) Medical Staff:

Dr Jennifer Tremble Consultant D&E and General/Acute Medicine, Clinical Lead for D &E, QEH Medicine Dr Debbie-Ann Charles Consultant D&E and General Medicine, QEH
Dr Iffy Chika Consultant D&E and General Medicine, QEH
Dr Valmiki Salema Consultant D&E QEH and Community services
Dr Serife Mehmet Consultant D&E and General Medicine, QMH
Dr Sharaf Ibrahim Consultant D&E and General Medicine, QMH

Within the QEH Medicine Division, Diabetes and Endocrine outpatient clinics are delivered across two sites: Queen Elizabeth Hospital, Woolwich and Queen Mary’s Hospital, Sidcup.
All inpatient work is delivered at Queen Elizabeth Hospital, where there is a busy Emergency Department. There are no inpatients at Queen Mary’s Hospital.
There are diabetes day centres on both sites where nurse/dietetic and podiatry clinics are held. At QEH Consultant diabetes clinics are largely in the main outpatients department although many of these are currently running virtually. Two of the Consultants currently undertake T2DM community clinics alternate weeks within the hospital supported by
Community nurses, dietitians and a psychologist.

There is a lead Diabetes nurse based at QEH and a second DAFNE and pump trained nurse. There is a part time band 7 nurse supporting inpatient diabetes and a newly appointed band 6 nurse and HCA. At QMH there are two band 7 nurses. There is a DAFNE trained T1DM dietitian and a newly appointed inpatient diabetes dietitian.

There is a pump service on both sites. Transition clinics take place quarterly on both sites.
There is a separate antenatal clinic for Bexley and Greenwich patients – both held currently as a result of COVID at QMH – all deliveries are at QEH. There is a specialist foot round lead by the inpatient podiatrist supported by Vascular surgeons from St Thomas’, a diabetologist, microbiologist and pharmacist. There are also foot services at QMH supported by the diabetologist and vascular surgeons. There is a satellite dialysis unit at QEH, supported by the renal team from King’s College Hospital, and another at QMH, supported by the renal team from Guy’s and St Thomas’.