Job summary
This is a general nephrology post with a significant GIM inpatient component and a 1 in 6 on call for the renal wards and renal referrals.
As a senior employee of our Trust you will work in close co-operation with, and support not just other clinical professionals but also our managerial colleagues in providing high quality healthcare to our patients.
Our acute hospital base is Gloucestershire Royal Hospital in Gloucester where our two wards are located including an inpatient acute dialysis service. Two of our outpatient dialysis units are also on site with a satellite unit in Cinderford in the Forest of Dean. There is a 7-day renal consultant presence on the Gloucester site.
We have good working relationships with our local Integrated Care Board and the local Integrated Care System (One Gloucestershire). A Renal Clinical Programme Group has been established to work together with our local partners to take forward prevention and care of kidney patients of all stages in line with the Renal Services Transformation Programme, GIRFT and our regional Operational Delivery Network in the South West. We are fortunate that we relate predominantly to a single ICB, County Council and Gloucestershire Health and Care Trust who provide community services including mental health and our community hospitals.
Main duties of the job
The post-holder is expected to develop and lead a high-quality renal service, delivering timely care to patients with kidney disease and medical inpatients. Key responsibilities include:
-
Participating in a 1-in-6 inpatient on-call rota on Ward 7B and Ward 7A (Monday-Friday).
-
Providing input for renal patients referred by other specialties when on-call or attending clinics at Cheltenham General Hospital (CGH).
-
Offering advice on renal cases referred by GPs, pharmacists, Nurse Practitioners, etc., including via Cinapsis and Advice & Guidance services.
-
Running approximately three outpatient clinics weekly across CGH, Gloucestershire Royal Hospital (GRH), and Dursley.
-
Reviewing new admissions to renal wards during on-call weekends, including discharges or patients of concern.
-
Being available to assess renal patients in ED or Same Day Emergency Care (SDEC) during on-call periods.
-
Leading development of Home Therapies, particularly expanding the Home Haemodialysis programme, in collaboration with specialist nurses and the dialysis provider.
-
Contributing to consultant-led procedures, such as medical peritoneal dialysis (PD) tube insertions (training available if required).
-
Ensuring clinical practice aligns with contract terms and the objectives of the Division and Trust
About us
We take pride in placing people at the centre of everything we do, working together as a united team. Driven by a shared ambition to continually grow, develop, and learn, we recognise and value every contribution. By combining our experience and skills, we not only support our vibrant, diverse communities, but also support one another.
With a team of over 9,000 employees, we are proud to be the largest employer in Gloucestershire and rank among the top 10 largest Trusts in the South West region.By joining our Trust, you will benefit from an excellent package that includes exclusive benefits, flexible working opportunities and the chance to gain valuable experience in one or both of our innovative hospitals.
As well as generous annual leave allowance, you will have access to the excellent NHS pension scheme, competitive bank rates, discounts at local shops and restaurants, access to two on-site nurseries, discounted public transport, reward and recognition and a range of health and wellbeing initiatives to support you.
Equality, Diversity and Inclusion is crucial to ensuring fairness, celebrating differences and creating environments where everyone feels valued and empowered to contribute.
To deliver the highest standard of care at Gloucestershire Hospitals, we foster an environment that promotes inclusivity, ensuring that both our staff can thrive and our patients receive services tailored to their needs.
Job description
Job responsibilities
In addition to the main duties above you will be expected to participate in postgraduate training and other staff teaching as appropriate, and to act as clinical and educational supervisor to junior and middle grade medical staff, subject to relevant training and ongoing educational CPD as agreed in the annual appraisal.
You will have a general duty of care for your own health, safety and wellbeing and that of work colleagues, visitors and patients within our hospitals. This statutory duty is in addition to any specific risk management or clinical governance accountabilities associated with the post.
You would also be expected to:
Observe the rules, policies, procedures and standards of Gloucestershire Hospitals NHS Foundation Trust together with all relevant statutory and professional obligations
Observe and maintain strict confidentiality of personal information relating to patients and staff
Be responsible, with management support, for your own personal development and to actively contribute to the development of colleagues.
Undertake an annual appraisal and 5-year revalidation. GHNHSFT also provides a mentor when we take up our consultant post.
You will be responsible for the provision of medical information for the development of systems appropriate for our organisational needs
You will participate in departmental consultant and senior staff meetings
You will attend other departmental, divisional and Trust meetings as necessary
You will attend regional and national meetings as necessary
You will undertake all work in accordance with our organisational procedures and operating policies
You will be involved in the development of our renal services
Research and Development
You will be encouraged to be active in clinical research. The Trust is working towards achieving University Hospital Status requiring commitment to high quality training and research. The renal department is actively involved in NIHR approved research including current trials such as EASI-Kidney, PHOSPHATE, RESOLVE and a number of smaller commercial trials.
Communications and Working Relationships
You will be responsible for the provision of medical information for the development of systems appropriate for our organisational needs
You will participate in departmental consultant and senior staff meetings
You will attend other departmental, divisional and Trust meetings as necessary
You will attend regional and national meetings as necessary
You will undertake all work in accordance with our organisational procedures and operating policies
Clinical Governance
The Trust has a well-established Safety and Quality Improvement Academy which oversees QI work and is able to offer training and coaching in QI techniques.
In the Renal Department we have monthly directorate, audit and Morbidity & Mortality meetings. Our Trust has a well-established framework for clinical governance that incorporates our clinical audit programme. We are all expected to take part in developing clinical audit activities within the department to achieve clinical governance objectives in our agreed Divisional and Trust clinical governance programs.
Job description
Job responsibilities
In addition to the main duties above you will be expected to participate in postgraduate training and other staff teaching as appropriate, and to act as clinical and educational supervisor to junior and middle grade medical staff, subject to relevant training and ongoing educational CPD as agreed in the annual appraisal.
You will have a general duty of care for your own health, safety and wellbeing and that of work colleagues, visitors and patients within our hospitals. This statutory duty is in addition to any specific risk management or clinical governance accountabilities associated with the post.
You would also be expected to:
Observe the rules, policies, procedures and standards of Gloucestershire Hospitals NHS Foundation Trust together with all relevant statutory and professional obligations
Observe and maintain strict confidentiality of personal information relating to patients and staff
Be responsible, with management support, for your own personal development and to actively contribute to the development of colleagues.
Undertake an annual appraisal and 5-year revalidation. GHNHSFT also provides a mentor when we take up our consultant post.
You will be responsible for the provision of medical information for the development of systems appropriate for our organisational needs
You will participate in departmental consultant and senior staff meetings
You will attend other departmental, divisional and Trust meetings as necessary
You will attend regional and national meetings as necessary
You will undertake all work in accordance with our organisational procedures and operating policies
You will be involved in the development of our renal services
Research and Development
You will be encouraged to be active in clinical research. The Trust is working towards achieving University Hospital Status requiring commitment to high quality training and research. The renal department is actively involved in NIHR approved research including current trials such as EASI-Kidney, PHOSPHATE, RESOLVE and a number of smaller commercial trials.
Communications and Working Relationships
You will be responsible for the provision of medical information for the development of systems appropriate for our organisational needs
You will participate in departmental consultant and senior staff meetings
You will attend other departmental, divisional and Trust meetings as necessary
You will attend regional and national meetings as necessary
You will undertake all work in accordance with our organisational procedures and operating policies
Clinical Governance
The Trust has a well-established Safety and Quality Improvement Academy which oversees QI work and is able to offer training and coaching in QI techniques.
In the Renal Department we have monthly directorate, audit and Morbidity & Mortality meetings. Our Trust has a well-established framework for clinical governance that incorporates our clinical audit programme. We are all expected to take part in developing clinical audit activities within the department to achieve clinical governance objectives in our agreed Divisional and Trust clinical governance programs.
Person Specification
Qualifications
Essential
- Full General Medicine Council Registration
- MRCP
- On specialist register for General (Internal) Medicine and Renal Medicine via: CCT or CESR-CP (date must be within 6 months of interview), CESR or European Community Rights
Desirable
- Higher Degree
- Teaching Qualification or Management / Leadership qualification
Knowledge and Skills
Essential
- Participation in successful Quality Improvement projects
- Willing and able to work with colleagues in other specialities, professions and roles to ensure the delivery of a high quality, safe and reliable service.
- Familiar with clinical governance.
- A willingness to accept responsibility and provide leadership.
- Awareness of current relevant developments within the wider NHS
- Determination to have a key role in establishing and developing the service
- Must have an interest in teaching all grades of hospital and professional staff
- Track record of critical reading
- Ability to apply research outcomes to clinical problems
Desirable
- Training in and experience of leading Quality Improvement projects
- Experience of clinical governance
- Experience of protocol / pathway development and change management
- Practical experience in teaching posts
- Plans for possible ongoing research projects relevant to service
- Experience as co-investigator in NIHR approved trials. Current Good Clinical Practice training.
Clinical/Experience
Essential
- Proven clinical skills in Renal and General Medicine and in leading a multi-disciplinary team.
- Experience and interest in home dialysis therapies
Desirable
- Experience in medical PD insertion
- Additional experience in aspects of renal disease, e.g. conservative and palliative care
Personal Attributes
Essential
- Flexibility and willingness to share clinical responsibility for patients
- Conscientiousness to ensure careful transfer of care
- Excellent interpersonal skills
- Ability to communicate effectively with clinical, academic and managerial colleagues
- Able to work co-operatively as a team member
- Ability to self-motivate
Desirable
- Ability to think laterally
Person Specification
Qualifications
Essential
- Full General Medicine Council Registration
- MRCP
- On specialist register for General (Internal) Medicine and Renal Medicine via: CCT or CESR-CP (date must be within 6 months of interview), CESR or European Community Rights
Desirable
- Higher Degree
- Teaching Qualification or Management / Leadership qualification
Knowledge and Skills
Essential
- Participation in successful Quality Improvement projects
- Willing and able to work with colleagues in other specialities, professions and roles to ensure the delivery of a high quality, safe and reliable service.
- Familiar with clinical governance.
- A willingness to accept responsibility and provide leadership.
- Awareness of current relevant developments within the wider NHS
- Determination to have a key role in establishing and developing the service
- Must have an interest in teaching all grades of hospital and professional staff
- Track record of critical reading
- Ability to apply research outcomes to clinical problems
Desirable
- Training in and experience of leading Quality Improvement projects
- Experience of clinical governance
- Experience of protocol / pathway development and change management
- Practical experience in teaching posts
- Plans for possible ongoing research projects relevant to service
- Experience as co-investigator in NIHR approved trials. Current Good Clinical Practice training.
Clinical/Experience
Essential
- Proven clinical skills in Renal and General Medicine and in leading a multi-disciplinary team.
- Experience and interest in home dialysis therapies
Desirable
- Experience in medical PD insertion
- Additional experience in aspects of renal disease, e.g. conservative and palliative care
Personal Attributes
Essential
- Flexibility and willingness to share clinical responsibility for patients
- Conscientiousness to ensure careful transfer of care
- Excellent interpersonal skills
- Ability to communicate effectively with clinical, academic and managerial colleagues
- Able to work co-operatively as a team member
- Ability to self-motivate
Desirable
- Ability to think laterally
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.
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).
Additional information
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.
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).
