We are seeking a dynamic Locum Consultant Immunologist to join the Leeds Immunology & Allergy specialist services at St Jamess University Hospital. The appointee will become a key member of a dedicated and highly experienced multidisciplinary team.

The job is full time post comprising of ten programmed activities, with supervision of the junior doctors and Physician Associate. There will also be an on-call commitment of 1:4 basis.

Leeds Teaching Hospitals NHS Trust makes up one of the largest teaching hospitals in Europe housing over 2,000 beds and providing a range of general, acute and elective services, together with a significant number of regional and supra-regional specialties. The Leeds Department of Immunology & Allergy has a worldwide reputation for its clinical and academic achievements and our aim is to provide a first- class service. The department has recently gained QPIDS accreditation. We are committed to providing high quality specialist care to patients suffering from allergic, immunodeficiency and autoinflammatory disorders. Great emphasis has been placed on delivering a friendly, consultant led, patient centric service. Our multidisciplinary teams are a key part of our success and include anaesthetics, clinical nurse specialists, pharmacists, physician associate and researchers. There is a dedicated outpatient and Day- Case facility.

Main duties of the job

Locum Consultant in Immunology SJUH SITE

The appointee must hold the Membership of the Royal Colleges of Physicians of the United Kingdom, or equivalent, and have completed higher specialist training in Immunology. Applicants must be on the Specialist Register or within six months of being admitted to the Register for trainees if currently in a training programme within the UK. In accordance with the consultant appointment regulations, all other categories of doctors must be on the Specialist Register.

Shortlisted candidates are encouraged to visit by prior appointment. Consideration will be given to applicants who wish to work full or part time and those wishing to job share.

Informal enquiries may be made to:

Dr Sinisa Savic, Lead Clinician & Consultant Immunologist Sinisa.savic@nhs.net

Dr Anoop Mistry Consultant Immunologist Anoop.mistry2@nhs.net

About us

Come and join our team in Leeds and become part of The Leeds Way sharing our vision and values. Our Trust is recognised for our staff engagement, great care and rated GOOD by the Care Quality Commission.

Leeds Teaching Hospitals NHS Trust is one of the largest acute health providers in the UK and based in one of the fastest growing and vibrant cities in the north.

At Cardio-Respiratory CSU, we aim to be a fair and supportive CSU with positive, caring teams who are champions of 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

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description
Job responsibilities

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.

This is a 10PA locum appointment for a Consultant Immunologist. The post is for a period of 6 months with the opportunity to extend for a further 6 months.

The post will be based at St James's Hospital. The Department of Clinical Immunology and Allergy, based in Beckett Wing at St. James's Hospital, provides specialist clinical services for the West, North and large parts of the East Yorkshire. Altogether we serve a population of just over 3 million people. We also provide a supra regional service for patients with systemic auto-inflammatory disorders.

The service is divided into three key areas primary immunodeficiency, allergy and auto-inflammatory disorders. The service employs two full time consultants (immunologists), two part-time consultant (Immunologist), three higher specialist trainees, one GP with Specialist Interest, one clinical fellow, two band 6 specialist nurses, three Band 5 nurses, one Physician Associate We also have a dedicated specialist pharmacist support and a full-time research nurse. The unit has designated administrative support.

OBJECTIVES OF THE POST

To deliver care to patients with immunology and allergy issues at the Immunology Department.

Out-patient clinics

Supervision of patients

Care of in-patients and category B on-call 1:4

Contribute to Specialist Multi-disciplinary team meetings

To link with Consultant colleagues in other relevant site specialist teams within the Respiratory team.

To work with colleagues in Immunology to deliver on-call. This includes both out-of-hours cover in addition to acute ward rounds during normal working hours.

To contribute to research, teaching and new developments within the Immunology and Allergy team. The post holder will be encouraged to facilitate and contribute to the current clinical research programs on going in the department.

REQUIREMENTS OF THE POST

Service Delivery

General

The Trust expects consultants to deliver clinical service as agreed with commissioners and other stakeholders. This will include:

meeting the objectives of the post (see above)

continuously improving the quality and efficiency of personal and team practice

working with other staff and teams to ensure that the various criteria for service delivery are met, such as

o achieving the best clinical outcomes within the resources available

o waiting times

o infection control standards

Consultants in LTHT are line managed by their specialty Lead Clinician working in conjunction with a Business Manager. This specialty team is then managed alongside a number of other specialties in a Clinical Service (or Support) Unit (CSU) led by a Clinical Director as the responsible person and supported by a full time General Manager and a full time Head of Nursing.

The Clinical Director and their team report operationally to the Chief Operating Officer (COO). The Clinical Director will work closely with the Chief Operating Officers team which includes two Medical Directors for Operations, Nurse Directors for Operations, Deputy Chief Operating Officer, Assistant Directors of Operations (ADOs) and a Performance Team, with each ADO aligned to specific CSUs.

Professionally, consultants report to Dr Magnus Harrison, Chief Medical Officer

Service specific

The role of consultant Immunologist will be expected to demonstrate a high level of clinical experience and competence in the diagnosis and management of:

General Allergy

Drug Allergy

Immunodeficiency

There will be an opportunity to contribute to the autoinflammatory service with supportive training

The post holder will be responsible for performing outpatient clinics and providing consultative clinical advice to colleagues at Leeds Teaching Hospitals.

Quality

The Trust has a programme of activities that are designed to help consultants improve the quality of the service they offer. This includes a range of activities shown below as examples not all activities can be undertaken every year! Consultants are expected to routinely engage in relevant activities in their specialty that are focussed on quality improvement. This participation should be reflected at annual appraisal and job planning and will be discussed in specialties as part of clinical governance programmes and meetings.

Clinical Audit and standard setting

Clinical audit projects

Development and application of agreed clinical guidelines

Ensuring compliance against relevant national specifications, e.g. NICE guidelines

External Peer review and relevant national audits

Implement improvements identified in GIRFT reviews

Clinical outcome review

Mortality and morbidity reviews

Structured Judgement Reviews

Monitoring of outcomes reflected in routinely collected data

Participation in clinical coding review and improvement

Improving patient safety

Participation in Trust-wide programmes, including mandatory learning

Respond to national patient safety alerts

Implementation of local improvements, including actions from serious incident investigation reports, following clinical review

Promptly record patient safety incidents on Datix and immediately escalate potential serious incidents to the CSU management team

Ensure Duty of Candour requirements are met

Improving service effectiveness and efficiency

Service or system improvement projects, including small scale change, lean or other recognised improvement methods

Conducting or considering reviews of the evidence to plan better service delivery

Where agreed, working with commissioners to match service delivery with requirements of relevant populations

Improving the patient experience

Implementing service improvements based on individual or service feedback from patients or carers

Raising the profile and impact of patient participation in decisions about their own care

Involvement in understanding and improving the ethical basis of care provided, utilising where necessary the trusts clinical ethics committee

Respond to complaints in a timely and open manner and ensure lessons are learned for future patient care

Research

The Trusts Research Strategy encourages all clinicians to participate in high quality, nationally recognised clinical research trials and other well-designed studies, with a particular emphasis on work supported by the National Institute for Health Research. The Trust has several major programmes in experimental medicine and applied health research, developed in partnership with the University of Leeds, which reflect strengths described in the Strategy and clinicians are encouraged to participate in these programmes.

The Trust also supports bespoke academic development and participation programmes linked to the Research Strategy, including academic mentoring, and embedding of clinicians within the major research programmes.

Sessional time required for any participation in research activity will be agreed on commencement and kept under review, but not all consultants will require such sessional time.

Teaching

The Trust is a Teaching Hospital and therefore considers the active participation of consultant and other medical staff in teaching and training to be part of our core activities. Not all consultants will have regular and substantial teaching commitments, but all will be involved in related activities from time to time, if only through informal opportunities, for example as part of service quality improvement (see above). It is therefore expected that all consultants will be familiar with the principles of effective teaching and will enable the service and colleagues to fulfil their obligations to learn and teach about effective care.

The remainder of this section concentrates on teaching and training for medical colleagues, but the Trust actively supports and encourages consultant medical staff to participate in and deliver teaching and training to any colleagues, within and outside of the Trust, where this is agreed as an appropriate time commitment.

Person Specification
Clinical Experience and Career Progression
Essential

• Previous experience of supervising research by junior staff

Desirable

• Experience in training undergraduate medical students and postgraduate doctors
• Experience of participation in regular clinical audit
• Well organised and skilled in good time management
• Effective interpersonal skills
• Demonstrate ability to relate to and work within a team

Qualifications
Essential

• MB BS or equivalent qualification. MRCP or equivalent qualification
• Certificate of completion of Specialist training in Immunology FRCPath or equivalent
• The appointee must hold the Membership of the Royal Colleges of Physicians of the United Kingdom, or equivalent and should have completed a recognised training programme in Immunology
• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice

Experience

Essential

• Evidence of the ability to carry out medical research.
• Must be able to demonstrate a high level of clinical experience and competence in managing patients with primary and secondary immunodeficiencies, drug allergy and chronic spontaneous urticaria
• Evidence of continuous career progression consistent with personal circumstances
• Must demonstrate higher training in Immunology

Desirable

• Previous experience of supervising research by junior staff

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligibility to work in the UK
• Is up to date and fit to practise safely
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues

C9298-MED-342