Consultant in Infectious Diseases &/or Medical Micro/Viro/GIM

The post holder will provide the infection support for the Guys hospital site, though the post is part of a rotation that supports routine clinical infection work at Guys, the Royal Brompton and Harefield Hospitals. The clinical Infection sub-specialties at Guys include: Infections in patients with cancer, Renal Transplant and Urology services, a well-established OPAT team, a proposed centre of excellence for complex elective orthopaedic/spinal services and the regional Thoracic surgical, Head and Neck and ENT and Urology groups. Individual consultants will develop their own areas of specialist expertise over time, all will deliver: Ward-based infection consults/telephone advice, support for guideline development and quality improvement initiatives, multi-disciplinary clinical meetings and ward rounds, ID outpatient clinics, OPAT services and SpR supervision. If CCT in Microbiology or Virology, support to the Infection Sciences laboratory services. Develop local clinical IPC guidelines, manage outbreaks, and deliver key performance with a particular focus on leading antimicrobial stewardship (bacterial and fungal). All consultants will have PA allocation for specific responsibilities e.g. antimicrobial stewardship, IPC, OPAT. Participate in the non-resident on-call rota. Main place of employment: Each post-holder will have a rotational post across at least two of the sites at RB&H and Guys. The nature of these roles may be tailored to the interests of the post holders, provided they meet the core service needs and are agreed with the other existing consultants. It is a requirement of your employment that you be prepared to work at any additional or different location owned or served by the Trust, either on an on-going or temporary basis according to the demands of the service. Continuing professional development (CPD) and Appraisal: The post holder will be expected to participate in CPD. Consultants can apply for professional and study leave over a three-year period up to 30 days (on average 10 days per year). Statutory and Mandatory training must be taken within the leave allocation. Consultants have access through the Post-graduate Centre to apply for funds to support CPD activities. All medical staff are required to undertake annual appraisal and revalidation. Appraisal documentation for GMC Specialist Revalidation will be submitted through the SARD system. Mentoring: There is an active mentoring and coaching scheme available to all consultants. New consultants are encouraged to participate in the New Consultants Forum with organised seminars supporting professional development. Job Planning: The post holders job plan is anticipated to contain 10 Programmed Activities (PA) per week, to be carried out primarily one site at any one time. Below is an example outline programme based on 10 PAs but the exact job plan will vary dependant on site of working and discussed with the Clinical Director and Service Leads prior to any start date, particularly in order to reflect specific responsibilities that are agreed i.e. Infection Control (1PA), antimicrobial stewardship (1PA) OPAT (1PA). The job plan will also be negotiated between the Consultant and their Clinical Lead at least annually. Type of work PAs DCC Clinical work including ward consults and ward rounds 3.75 Multi-disciplinary meetings about direct patient care 1 Infection Prevention & Control/antimicrobial stewardship 1.5 Laboratory management and diagnostic service development 2 Outpatient activities 0.25 SPA Job Planning, appraisal, CPD, clinical governance, audit, mandatory training 1 Teaching/StR supervision, being an appraiser, etc, defined in job planning according to service needs 0.5 Total 10 The exact amount of Supporting Professional Activity (SPA) allocation can be increased during the job planning process, depending on post-holders interests. Proposed timetable: Final agreement on timetabled commitments will be agreed on taking up the post and then reviewed at least annually as part of the job planning process. As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends or asked to work of any of the trust sites. An example of the proposed timetable for the postholder outlined below. Description of work Start-Finish Frequency Cat. Mon Clinical handover ICU/Ward Rounds/Consults1 Diagnostic work/ lab result authorisation1,2 0900-1000 1000-1400 1300-1700 1x1w 1x1w 1x1w DCC DCC DCC Tues Academic Seminar Antimicrobial Stewardship Infection prevention & control case reviews MDM 0900-1000 1000-1100 1100-1200 1400-1500 1x1w 1x1w 1x1w 1x1w SPA DCC DCC DCC Wed Ward Rounds/Consults/ICU 0900-1700 1x1w DCC Thur Diagnostic work/ lab result authorisation Clinical Cases meeting MDM 0900-1300 1300-1400 1400-1600 1x1w 1x1w 1x1w DCC DCC DCC Fri Ward Rounds/Consults/ICU CPD/audit/governance 0900-1300 1300-1700 1x1w 1x1w DCC SPA On Call Rota: The appointee will be required to participate in the following: For the first year, participate in a 1 in 5 ID/Microbiology on-call rota dependant on site of work GSTT or RBHH (Category A) in order to authorise and communicate significant laboratory results, and provide specialist clinical advice. In addition, after the first year and depending upon clinical experience and skills, the post-holder will also be offered the chance participate in the rota for rare admissions to the HCID-a unit at St Thomas. Category A: this applies where the consultant may be able respond by giving telephone advice and/or by returning to work later but the complexity of work or urgency of work is such that they could on rare occasions be required to return to site. Frequency of Rota Commitment Value of supplement as a percentage of full-time basic salary Category A Category B High Frequency: 1 in 1 to 1 in 4 8.0% 3.0% Medium Frequency: 1 in 5 to 1 in 8 5.0% 2.0% Low Frequency: 1 in 9 or less frequent 3.0% 1.0%