Trust Doctor in Genitourinary Medicine

Job description

Job responsibilities

These are full-time/part-time locum for service (LAS) posts in Genitourinary Medicine with or without an on-call commitment. They are replacing vacancies at specialty registrar level in the Department and are therefore available immediately. These posts are fixed term until August 2025 in the first instance but may subsequently be extended pending national specialty training recruitment outcome.

The Genitourinary Medicine service comprises the centralised HIV outpatient service based at Brotherton Wing Clinic, Leeds General Infirmary; and the integrated Leeds Sexual Health service whose hub clinic is based at Beeston Hill Health Centre, with other satellite clinic sites around the city. We have active SH/HIV research and teaching programmes.

Leeds Sexual Health (LSH) provides integrated Contraception and Sexual Health services and third-sector provision as part of a consortium between LTH, Leeds Community Healthcare Trust, the Leeds GP confederation and Forum Central (voluntary sector).

LSH provides sexual health, contraception and HIV prevention including complex HIV Prep with daily mixed clinics comprising same-day and booked appointments with self referral and triage for emergency cases, plus online and postal/e-prescription services. There is 6-day opening at the Beeston hub including evening access Monday and Thursday (no Saturday clinic expectation for resident Drs), plus further spoke sites operational around the city.

There are, in addition, over 6000 HIV appointments per year. Leeds Local Authority is the highest prevalence area in Yorkshire & Humber having exceeded HIV population prevalence over 2/1000 since 2012, and as such the department has built up a reputation as a centre of expertise for HIV/AIDS. Leeds committed to Fast Track City status in 2023, working towards the HIV zero goals of 2030 and restarting NHSE ED opt-out BBV testing in 2024. LTH is the West Yorkshire HIV network regional centre with a local HIV cohort of ~2500 including spoke clinic sites in Dewsbury and Wakefield. Most of these patients are outpatients but there is a significant in-patient workload which is managed on Ward J20 at St Jamess Hospital, led by the ID consultant team, with registrar and junior support from a combination of ID & GUM teams. We work very closely with HIV support services like BHASkyline & Yorkshire Mesmac, with engagement worker & peer mentors supporting retention in care.

MEDICAL STAFF IN THE DEPARTMENT

The LTHT GUM consultant team: Dr Amy Evans (Lead clinician), Dr Sarah Schoeman (HIV lead), Dr Anna Hartley (Medical Co-lead, Leeds Sexual Health) Dr Harriet Wallace, Dr Janet Wilson (Research leads), Dr Emma Page (Virology), Dr Natasha Astill; HIV Consultant colleagues Dr Amy Tobin and Dr Vinu Nair & joint GUM-GIM Consultants Dr Khine Phyu and Dr Mike Ewens. Other medical staff currently comprise 4 NTNs (StRs), 1 Speciality Doctor, 1 IMT trainee,1 FY1/FY3 and 2 Innovative GP trainees.

Designated staff

Within LSH we work as an integrated team with a further 2 SRH Consultants, and sessional/SAS grade Drs; plus 2 SRH StRs. There is a skilled and designated health advisor, nursing and HCA establishment with advanced nursing practice, research nurses and nurse prescribing in place.

In BWC HIV service we work with Infectious Diseases Consultants & StR/research staff. There are HIV pharmacists & technicians, an HIV Clinical Nurse Specialist team and Health advisers/BBV nurses who maintain continuity across HIV and SH services, and support our ED BBV testing programme.

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Given the complex care requirement +/- oncall commitment at registrar equivalent level, the appointee must hold a basic medical qualification ie MBBS/MBChB or equivalent and full MRCP with PACES (or equivalent). DFSRH/ specialty diplomas +/- procedural letters of competence in contraception are desirable.

Experience

The appointee must be able to demonstrate clinical experience in the management of acute unselected medical cases, hence usually 4 years of post-registration medical experience. Training in the management of sexually transmitted infections and HIV will be offered during induction to the post. Gynaecology/reproductive health experience is also desirable

DUTIES OF THE POST

After induction, daily outpatient clinic sessions in GU Medicine/integrated Sexual Health across our clinic sites and after further training in outpatient HIV management. Further clinical activities include virtual ward rounds, MDT, clinical administration, Discharge letters and GP letters/referrals and prescriptions.

Urgent clinic patients must be assessed, and HIV admissions arranged and assessed. Ward working patterns are in evolution and may involve a block attachment to the J20 ward eg for 2-4 months, with combined in-patient J20 / GUM clinic working.

If there is oncall slot capacity, on call commitment is with fellow Specialty registrars in GU medicine & Infectious Diseases/Combined Infection training on the J20 current joint rota, which is 1 in 7-8 on average. You would be expected to do an evening GUM clinic 1 week in 3, until 8pm as part of your oncall banding.

LEVELS OF RESPONSIBILITY

The post-holder is responsible to the Lead clinician and an Educational supervisor will oversee their educational supervision, and the GUM, SRH and ID consultants will contribute to clinical supervision along with our skilled nursing staff & SAS grade Drs.

TEACHING AND RESEARCH/STUDY AND TRAINING

The non clinical sessions will involve audit, teaching and CPD.

It is expected that there will be involvement in the teaching of medical students and other support staff, when required. Involvement in the research activities of the GUM department study portfolio and HIV service through CLRN-supported studies is actively encouraged.

THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Additionally the following are core values which relate specifically to this post:

The beliefs and attitudes that underpin effective performance within the job role. Emphasis should be on the requirements of the role not the individual when completing this section. Examples might include: quality focus, mistakes are used as a continual learning experience, honesty, integrity etc.

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

CONDITIONS OF SERVICE

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. These documents are available on the Medical Staffing Intranet site.

The post holder is required to be fully registered with the General Medical Council (GMC) and hold a licence to practice.

Standards of Conduct and Behaviour

You are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director or Medical Director in the first instance.

The Trust has a set of expected behaviours for all employees and additional behaviours and skills that are expected of managers and supervisors.

Leave Arrangements

All leave should be applied for in accordance with the Trusts Leave Policy, normally giving six weeks notice of any leave, other than in exceptional circumstances.

Training

The jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role.

Person Specification

Experience

Essential

• Evidence of achievement of Foundation competencies from a UKFPO affiliated Foundation Programme or equivalent by time of appointment in line with GMC standards/Good Medical practise. If joining on-call ID/GUM registrar rota, evidence of achievement of CT/ST1 competencies in medicine (as defined by the curricula relating to Core Medical training) or equivalent by time of appointment in line with GMC standards/Good Medical practise. Experience in managing acute unselected medical admissions
• Ability to apply sound clinical knowledge and judgement to problems. Ability to prioritise clinical need. Ability to maximise safety and minimise risk. Recognition of, and ability to undertake the initial management of, an acutely ill patient. Ability to provide complete details of employment history. Evidence that career progression is consistent with personal circumstances. Evidence that present achievement andperformance is commensurate with totality of their period of training. At least 4 years experience in medical specialities by the time of intended start date

Desirable

• Experience in gynaecology. Aptitude for practical skills, e.g. manual dexterity. Successful completion of relevant skills course(s)

Qualifications

Essential

• MBBS or equivalent medical qualification; MCRP including PACES or equivalent.
• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice and Eligibility to work in the UK.

Desirable

• DFRSH +/- specialty diplomas or procedural letters of competence

Practical Skills

Essential

• Demonstrates understanding of research, including awareness of ethical issues. Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives. Demonstrates knowledge of evidence-informed practice. Communication Skills: Demonstrates clarity in written/spoken communication &capacity to adapt language as appropriate to the situation. Able to build rapport, listen, persuade & negotiate. Problem Solving & Decision Making: Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach. Empathy & Sensitivity: Capacity to take in others' perspectives and treat others with understanding; sees patients as people. Demonstrates respect for all. Managing Others & Team Involvement: Able to work in multi-professional teams & supervise junior medical staff. Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement. Projects: Capacity to work effectively with others. Organisation & Planning: Capacity to manage/prioritise time and information effectively. Capacity to prioritise own workload & organise ward rounds. Evidence of thoroughness (is well prepared, shows self discipline/ commitment, is punctual and meets deadlines)Vigilance & Situational Awareness: Capacity to monitor developing situations and anticipate issues. Coping with Pressure and managing uncertainty: Capacity to operate under pressure. Demonstrates initiative & resilience to cope with changing circumstances. Is able to deliver good clinical care in the face of uncertainty.

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.

UK Registration

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

Employer details

Employer name

Leeds Teaching Hospitals

Address

Leeds General Infirmary

Great George Street

Leeds

LS13EX

Employer's website

https://www.leedsth.nhs.uk/ (Opens in a new tab)