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Consultant in Respiratory

Barking, Havering and Redbridge University Hospitals NHS Trust
£88,364 to £119,133 a year per annum
Closing date
22 Apr 2023

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Hospital, Respiratory medicine
Career Level
Contract Type
Full Time

The Respiratory team at Barking, Havering and Redbridge Hospitals Trust (BHRUT) spans across both Queen's and King George Hospital. Both units receive patients directly from the Emergency Department (ED) via medical on call. Consultant offices are located within both areas and have secretarial support. Our units are also located within proximity to Emergency Radiology, ED Majors, Resuscitation, High Dependency Unit (HDU), and the Intensive Care Unit (ICU) areas. All areas are fully integrated to ensure a smooth and efficient experience for our patients.

These posts have been created to support the further development and expansion of our existing Respiratory services. The successful applicants will work alongside our existing consultant colleagues to provide core respiratory services, including the delivery of comprehensive consultant-led respiratory care for inpatients, undertake out-patient clinics, and develop their own sub-specialty interest.

If you're interested in joining a team that is hard working, has wide range of respiratory services, across both sites and in the community and does it all with a smile - then we're the team for you!

For informal conversations and visits please contact one of the following:

Bradley Graham - General Manager,

Dr Manoj Menon - Co Clinical lead,

Dr Emad Hilal - Co clinical Lead,

Main duties of the job

  • Clinical and administrative responsibility for the proper functioning of the Respiratory department.
  • Actively participate in Clinical Governance and mortality/morbidity meetings of the respiratory department.
  • Participate in undergraduate and postgraduate educational program; including supervision of junior medical staff, nurses and undergraduate medical and nursing students and take an active part in local and regional educational programmes.
  • Develop standards, procedures and systems on respiratory wards that ensure safe, high quality and efficient patient care.
  • Work within the multidisciplinary team to ensure effective team working on the respiratory wards in the provision of acute medical care to patients on the unit.
  • Develop clinical guidelines/ protocols and best practice for the management of a wide range of respiratory presentations /admissions.
  • Ensure robust risk management and governance arrangements are in place on respiratory wards. You will be supported by our clinical governance lead.
  • Participate in relevant audit and quality assurance processes, including reviews of manpower requirements. There is an expectation that the appointee will undertake a medical Audit (QIP) annually and supervise trainees in doing audit/QIP projects.
  • Liaise closely with the Emergency Department, Medical and Critical Care teams at Queen's Hospital and other in-patient teams to ensure collaborative working arrangements are in place, which maximise benefits to patient care.

About us

We take PRIDE in everything we do, our five core values reflect that PRIDE. These values were developed together with our staff. We work hard to provide outstanding care to our community, delivered with PRIDE. Our PRIDE values of Passion; Responsibility; Innovation; Drive and Empowerment inspire us and keep our patients at the heart of everything we do.

Our vision and values have been in place for seven years. Within our recovery plan we are keen to refresh our approach to making sure they more fully reflect the values of partners across North East London so that the way we work is ever more conscious of how our work contributes to local lives and is reliant on local partners.

The Respiratory Department is comprised of 9 whole time and 4 locum consultants. There is a large multi-disciplinary team of clinical specialist nurses, support workers and administrative staff that work together to provide a well organised respiratory service.

Job description
Job responsibilities

The respiratory inpatients are based in a 60 bedded unit at Queens Hospital (QH) on Bluebell A and Bluebell B wards, and a 28 bedded unit (Foxglove ward) at the King George Hospital (KGH) site. There is capacity for up to 6 NIV beds on each ward. There is a treatment room where pleural procedures are carried out with a dedicated thoracic ultrasound machine. Each ward is managed by a Respiratory Sister with staff trained in the care of NIV and chest drains.

The Respiratory unit at Queens and King George Hospitals receive patients from the Medical Assessment Unit. The only patients that go directly to the respiratory ward are those who require emergency NIV. Once transferred to the respiratory unit, all new patients are assessed again by senior medical staff on the same day.

All consultants work together as one team covering the respiratory wards, out-patient clinics, bronchoscopy, pleural procedures, ward referrals, and in-reach into the medical assessment units and SDEC.

The respiratory team covers 20 outpatients clinics every week across two sites. There are 9 clinics a week in the chest clinic at KGH and eight clinics based at QH, with additional clinics run jointly with community respiratory nurses.

The workload includes 400 new lung cancer cases per year, from 2000 suspected lung cancer referrals. We diagnose 200 new TB cases every year and screen up to 1,000 contacts. We perform approximately 1500 sleep studies and initiate 300 patients on CPAP annually. We also see and care for all other respiratory conditions apart from cystic fibrosis and primary pulmonary hypertension that are referred to specialist regional centres.

The team over the past two years has grown and is a thriving team who are looking to expand even further. As a team we are currently delivery on average 140% of our activity when compared to pre-covid, the dedication and growth in our services and teams has been the catalyst for this level of activity, but more importantly, the can-do attitude of the entire Respiratory Medicine team has made it possible but it doesn't stop there, in the next 12- 18 months the service will be undertaking the following


  • Increased support for the delivery of Home NV
  • Increased support for Community COPD services
  • Launching the trust stop smoking service with a brand-new team of nurses joining
  • A 4m refurb of the Respiratory ward at King George Hospital

Once you understand the requirements outlined in the advert, please ensure your application accurately reflects where you match them. For further information regarding the role please read the attached Job Description and Person Specification.

Person Specification
Qualifications and Experience

  • Inclusion on the GMC Specialist Register or within six months of expected date of Certificate of Completion of Training (CCT) in Respiratory and General Internal Medicine OR appropriate equivalent evidence of Certificate confirming Eligibility for Specialist Registration (CESR) OR equivalent
  • MRCP (UK) or an equivalent qualification
  • An appropriate higher degree (e.g.. an MD, PhD or equivalent )


  • Experience in delivery of change management to improve patient safety
  • Experience in Inpatient Ability to take full and independent responsibility for the care of the patients
  • Ability to use evidence based medicine and clinical audit to support clinical

BMJRef: BMJ-116441/162-M7162-I


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