Locum Consultant Adult Infectious Diseases & Med.Micro (ID/MMV) or GIM

Job responsibilities

The post holder will provide the infection support for the Guys hospital site, though the post is part of a rotation that supports routine clinical infection work at Guys, the Royal Brompton and Harefield Hospitals.

The DoI provides specialist clinical care across a wide range of tertiary specialities across the 5 hospital sites.

In addition, we are one of five units in the national network for High Consequence Infectious Diseases-airborne pathogens (HCID-a) and we provide a commissioned multi-drug resistant tuberculosis service.

GSTT and RBH combined have one of the largest Critical Care services in the country including hosting the two largest ECMO centres (RBH and STH).

Guys hospital hosts the regional centre for Renal and Urological services including transplant and the Regional hub for Cancer Services.

The merger with the RBH Hospitals provides clinical, diagnostic and research excellence in cardio-respiratory infections in cohorts of patients with acute and chronic cardiorespiratory disease including infective endocarditis, transplantation, device infections, bronchiectasis, cystic fibrosis and fungal and mycobacterial disease.

The DOI also serves a growing and increasingly complex iatrogenically immunocompromised adult and paediatric patient cohort, across oncology and solid organ transplant (heart, lung, renal and pancreas).

Under the DoIs leadership, GSTT has delivered amongst the best IPC performance in the Shelford group of Englands 10 leading academic healthcare organisations and is widely regarded as a national exemplar.

Reflecting the importance of IPC across the entire Trust, Infection is a stand-alone Directorate within the office of the Chief Nurse (Ms Avey Bhatia), with a direct reporting line to the GSTT Board.

Research at RBH is closely linked with the National Heart and Lung Institute, which is a constituent division of Imperial College School of Medicine. At the last research assessment exercise, the clinical research carried out jointly between the hospital and NHLI was awarded a 5* rating (the highest possible rating, shared by only two other UK establishments).

Abundant translational research opportunities also are provided by the DoIs unique Centre for Infection & Diagnostic Research in close partnership with the KCL School of Immunology and Microbial Sciences (Tier 4 Unit) with the BRC Infection and Immunity theme.

Evelina London provides comprehensive health services from pre-conception through to adult life, as well as providing specialist care for families around the UK and across the world. As the only NHS Trust in London with womens and specialist childrens services on one site, Evelina London has unique opportunities to provide excellent, high-quality, integrated care for mothers, babies and children.

Guys & St Thomas is a large and popular ID post-graduate centre for dual training in both ID/GIM and ID/Medical Microbiology-Virology (MMV).

Dependant on skill set there would be an expectation to support the Infection Sciences laboratory services alongside the other site microbiologists. Laboratory duties will include result authorisation, contribution to the day-to-day running of the diagnostic service, troubleshooting of unexpected results and active participation in laboratory management and development. Alongside existing RBHH and GSTT, and KCH and PRUH, consultant colleagues they will also support the work embedding services into the new large, multi-hospital offsite laboratory hub which opened in Autumn 2025.

The post-holder will be expected to contribute to the induction and training of the StRs rotating to Microbiology/Virology/Infectious Diseases and may be required to take an active part in postgraduate teaching and training and participate in KCL Medical School undergraduate teaching in years 2 and 3.

The post-holder will be expected to provide trainee clinical supervision on a daily basis and participate in teaching and training programmes.

Work closely with clinical teams, pharmacists and the IPC nursing team to support and develop local clinical guidelines, manage outbreaks, and deliver key performance objectives (e.g. C. difficile, blood stream infections etc.) and staff education/training. There will be a particular focus on leading antimicrobial stewardship within Cancer and Surgery on the Guys Hospital site (bacterial and fungal).

All consultants will have PA allocation for specific responsibilities e.g. antimicrobial stewardship, IPC, clinic, OPAT.

The post-holder will participate in the non-resident on-call rota which will be shared equally with the other consultants in the Microbiology section. Weekend authorisation is performed by the on-call Infection consultant, this can be done remotely, and no weekend on-site presence is generally required.

If CCT dual accreditation is in ID/GIM, there would be an equal intention to support the Infection Sciences laboratory services alongside result authorisation, and participation in the non-resident on-call rota for microbiology after a suitable period of time. Prospective applicants would be expected to have experience through previous training or prior employment in Microbiology to enable delivery of this essential service. Exact arrangements can be negotiated with the successful applicant.

Job Planning:

The post holders job plan is anticipated to contain 10 Programmed Activities (PA) per week, to be carried out primarily one site at any one time. Below is an example outline programme based on 10 PAs but the exact job plan will vary dependant on site of working and discussed with the Clinical Director and Service Leads prior to any start date, particularly in order to reflect specific responsibilities that are agreed i.e. Infection Control (1PA), antimicrobial stewardship (1PA) OPAT (1PA). The job plan will also be negotiated between the Consultant and their Clinical Lead at least annually.

Type of work PAs

DCC

Clinical work including ward consults and ward rounds 3.75 Multi-disciplinary meetings about direct patient care 1 Infection Prevention & Control/antimicrobial stewardship 1.5 Laboratory management and diagnostic service development 2 Outpatient activities 0.25

SPA

Job Planning, appraisal, CPD, clinical governance, audit, mandatory training

1

Teaching/StR supervision, being an appraiser, etc, defined in job planning according to service needs

0.5

Total

10

The exact amount of Supporting Professional Activity (SPA) allocation can be increased during the job planning process, depending on post-holders interests.

Proposed timetable:

Final agreement on timetabled commitments will be agreed on taking up the post and then reviewed at least annually as part of the job planning process. As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends or asked to work of any of the trust sites.

An example of the proposed timetable for the postholder outlined below.

Description of work

Start-Finish

Frequency

Cat.

Mon

Clinical handover

ICU/Ward Rounds/Consults1

Diagnostic work/ lab result authorisation1,2

0900-1000

1000-1400

1300-1700

1x1w

1x1w

1x1w

DCC

DCC

DCC

Tues

Academic Seminar

Antimicrobial Stewardship

Infection prevention & control case reviews

MDM

0900-1000

1000-1100

1100-1200

1400-1500

1x1w

1x1w

1x1w

1x1w

SPA

DCC

DCC

DCC

Wed

Ward Rounds/Consults/ICU

0900-1700

1x1w

DCC

Thur

Diagnostic work/ lab result authorisation

Clinical Cases meeting

MDM

0900-1300

1300-1400

1400-1600

1x1w

1x1w

1x1w

DCC

DCC

DCC

Fri

Ward Rounds/Consults/ICU

CPD/audit/governance

0900-1300

1300-1700

1x1w

1x1w

DCC

SPA

On Call Rota:

The appointee will be required to participate in the following:

For the first year, participate in a 1 in 5 ID/Microbiology on-call rota dependant on site of work GSTT or RBHH (Category A) in order to authorise and communicate significant laboratory results, and provide specialist clinical advice.

In addition, after the first year and depending upon clinical experience and skills, the post-holder will also be offered the chance participate in the rota for rare admissions to the HCID-a unit at St Thomas.

Category A: this applies where the consultant may be able respond by giving telephone advice and/or by returning to work later but the complexity of work or urgency of work is such that they could on rare occasions be required to return to site.

Frequency of Rota Commitment

Value of supplement as a percentage of full-time basic salary

Category A

Category B

High Frequency:

1 in 1 to 1 in 4

8.0%

3.0%

Medium Frequency:

1 in 5 to 1 in 8

5.0%

2.0%

Low Frequency:

1 in 9 or less frequent

3.0%

1.0%

Professional Qualifications

Essential

• Full and Specialist GMC Registration and current licence to practise.
• Applicants that are UK trained, must ALSO be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview.
• MRCP or equivalent
• Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT
• On GMC Specialist Register for Microbiology and Infectious Diseases OR General Internal Medicine and Infectious Diseases

Desirable

• Infection Prevention and Control qualification (e.g. DipHIC or MSc)
• FRCPath or equivalent

Clinical Experience

Essential

• Comprehensive experience across the range of adult infectious diseases.
• Experience in writing clinical infection and/or laboratory guidelines.
• Working knowledge in Infection Prevention and Control in the acute care setting e.g. management of outbreaks
• Working knowledge and experience of antimicrobial stewardship.

Desirable

• Expert knowledge and experience in management of infection in the non-HIV immunocompromised host, eg. Transplant or cancer patients
• Expert knowledge and experience in the diagnosis and management of infections in renal patient populations
• Expert knowledge and experience in orthopaedic and/or diabetic foot infections
• Expert knowledge and experience in OPAT
• Leading or managing a diagnostic laboratory
• Introduction of new laboratory tests into the diagnostic repertoire
• Managing change in order to deliver clinical infection or infection control targets.
• Post-graduate IPC qualification.

Clinical Skills

Essential

• Operating an Infectious Diseases clinical consult service and contributing to multidisciplinary clinical meetings
• Clinical assessment and management of infection in Critical Care patients
• Running an Infectious Diseases out-patient clinic or OPAT service.
• Ability to work as an effective member of a multidisciplinary team.

Audit Management & IT

Essential

• A track record demonstrating clinical governance, audit, service development and management and IT skills.
• Evidence of leading service development and participation in quality improvement projects for clinical and/or laboratory services

Research. Teaching skill & experience

Essential

• Experience of teaching and training undergraduates, postgraduates and junior medical staff.

Desirable

• Teaching qualification
• A track record of research, publications
• Understanding / knowledge of Research ethics.
• Experience of independently attracting research funding
• Holder of GCP certification and involvement in clinical trials

Leadership / Management skills

Essential

• Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
• Accountability; Ability to take responsibility, lead, make decisions and exert appropriate authority.
• Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others. Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
• Staff Management; Experience of performance management, developing and motivating staff. Ability to lead staff, balance competing demands on the diagnostic service, striving to develop an efficient and high-quality laboratory service.

Desirable

• Experience in leading a multidisciplinary team
• Finance; Knowledge of finance and budgets.
• Experience of business case and service development.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).