Consultant in Renal Medicine

Job responsibilities

Here in Jersey, we have our own Health Care system, separate from the NHS. We are looking to develop and improve our healthcare services towards a modern, fully digitised and future-proof system, in advance of our new hospital (planned to open in 2029). To do so we need fresh eyes, new ways of working and the next generation of consultants to make our healthcare the best it can be. We aim to provide high quality, safe and effective care to the 110,000 people living on the Island and those who visit. The hospital benefits from a fantastic educational centre with a full SIM lab and dedicated time for all to learn.

Aligned to the Wessex Deanery, we support and develop Foundation Trainees as well as Clinical Fellows and SAS Doctors. We encourage all our Consultants to fully engage with the education and training of our future generation of Consultants.

Health and Care Jersey is seeking to appoint an enthusiastic and dynamic substantive Consultant Nephrologist to join our already passionate consultant body.

Jersey is easily accessible from most regional airports in the UK and has good links with NHS tertiary centres especially in Southampton and London, which affords the successful candidates to maintain links within the NHS and the private sector working. To support your transition to Jersey, we can provide a generous relocation and remuneration package, which is benefitted by lower taxation than within the UK.

The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.

Leadership and Management

Take part in management and audit activities to support the Care Group Leadership team & Public Health in planning for services and ensuring the service meets key performance indicators including excellent patient care.

The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues.

The post holder will be expected to be fully involved in a Risk Management programe and support the Governance agenda.

Represent the service at hospital meetings, as agreed with colleagues.

Teaching and Research

It is expected that the post holder is participating in the training of medical staff and that the candidate will ensure that the training and learning needs are identified and facilitated. This includes educational support for the clinical fellows recruited directly to Health and Care Jersey (HCJ).

The post holder should deliver training to a range of professionals across the multi-disciplinary team in renal medicine to create a service of excellence for Jersey.

Opportunities for participating in research are supported when appropriate. HCJ has a policy for professional leave and is supportive of external duties for the good of the wider profession.

On-Call Rota

Not applicable

The Specialty

Jersey General Hospital has 219 beds including an intensive care unit,. Renal medicine provides a comprehensive service for all aspects of kidney disease for adult patients with tertiary level support from Portsmouth with vascular access surgeries and transplant surgery supported by Cambridge University Hospital. Paediatric renal care delivered by University Hospital Southampton (UHS).

The renal unit currently manages 35 haemodialysis patients and 65 individuals with functioning renal transplants. It operates an 18-station dialysis unit, including six cubicles. Nurses play a critical role, delivering acute and chronic dialysis, patient education, anaemia management, and post-transplant care.

According to Jersey's national registry, approximately 2,720 residents (3% of the population) have CKD stages 35, with a mean age of 77 years. This prevalence is notably lower than the UK average of 6.1% among adults.

Management Structure

Health and Care Jersey is a directorate of the Government of Jersey that is responsible for the delivery of specialist health care and the running of the general hospital. The directorate is led by a Chief Officer, Tom Walker who leads an executive team including a Director of Clinical Service, Claire Thompson and a Medical Director, Simon West who is also Medical Responsible Officer/Suitable person with the GMC for appraisal and revalidation. Health and Care Jersey is organised as a series of care groups each with leadership team lead by a chief of service as detailed below. This post sits within the medical care group.

Medical Services Care Group

The Renal Department sits within the Medical Services Care Group which comprise the following range of services, a full structure chart of the care group can be found in the appendix:

Ambulatory Emergency CareCardiologyDiabetesEmergency Admissions Unit (EAU)Emergency DepartmentHaematologyMedical Day UnitMedical OutpatientsMedical Wards - Plemont, Corbiere and Rozel WardsNeurologyOncologyPalliative MedicinePathologyRehabilitation Ward Plemont Ward (Interim Rehabilitation Unit)Renal MedicineRespiratoryRheumatologySexual Health

Medical Services Care Group

Medicine in Jersey is fully age and specialty integrated. There are 4 medical wards, Plemont, Rozel, Bartlett and Corbiere. A 5-bedded Enhanced Care Area is sited on AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25 bed Acute Assessment Unit.

SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise.

On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group always provides named Consultant supervision for non-Consultants and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department.

Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.

Care Group Statistics

There are 83 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually.

Personal Attributes

Essential

• Able to work flexibly in a changing health service
• Ability to work as part of a team
• Effective communicator

Leadership and Management

Essential

• Evidence of Clinical Leadership
• Ability to Work Flexibly with Colleagues to provide services
• Ability to Work Effectively with a Multi-Disciplinary Team, motivating and influencing others through their enthusiasm
• Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, management and other agencies
• Highly motivated
• Able to work within a team
• Experience of Teaching, Training & Supervision of Junior Medical Staff and undergraduate students
• An understanding of and ability to demonstrate your ability to:
• Empower others
• Lead through change
• Influence strategically
• Collaborative working
• Drive for Improvement
• Integrity

Other

Essential

• Participation in Clinical Audit & Risk Management Activities
• Demonstrates a commitment to safeguarding young people and vulnerable adults
• Evidence of annual appraisal
• Experience of service development
• Evidence of research and publication in peer reviewed journals
• IT literate

Qualifications

Essential

• Primary Medical Degree
• Higher Specialty Qualification: MRCP or equivalent
• Full Registration with the General Medical Council (GMC) with a license to practice (for overseas candidates it is mandatory that a license is obtained prior to appointment)
• Inclusion on the GMC Specialist Register/Certificate if Completion of Training (CCT) or equivalent in renal or be within 6 months of obtaining this the date of the interview documentary evidence of this must be provided to support your application.
• Clinical Experience in similar NHS environment or equivalent
• ALS
• Evidence of adequate training and/or experience as CCDC
• Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT
• Broad range of IT skills

Desirable

• Higher degree, eg MD/PHD

Experience

Essential

• Broad experience in Nephrology

Desirable

• Enthusiastic Teacher
• Previous Management Responsibility / Leadership Experience
• Recognised period of work in acute transplantation

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).