Consultant Diabetes & Endocrinology in Connacht Region - Republic of Ireland on a fixed term / permanent basis; working for our client via Workplace Doctors

*** Must have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland – Connacht Region (Galway, Leitrim, Mayo, Roscommon, Sligo, Donegal)
***Speciality: Diabetes & Endocrine
*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

*** Role: Consultant (6+ years post graduate experience)

*** Duration: 12 months (FREE visa & work permit + relocation package offered)

*** Role: Consultant (6+ years post graduate experience)

*** Start date: ASAP

***IELTS Score of 7.0 Overall (minimum) – Essential

***Exact location details provided on application

Irish Teaching Hospitals and Medical Universities receive great international acclaim & recognition throughout the world, doctors with experience and training in Ireland typically enjoy great success in terms of professional career development & job satisfaction.

Overview

Current Staffing

The department of diabetes and endocrinology currently has 2 full time consultants, 3.4 WTE community diabetes nurses, 1 dietician, 1 inpatient diabetes nurse, 1 podiatrist, 1 specialist registrar on rotation, 1 core medical trainee, 2 SHO’s. We work very closely with the department of biochemistry who undertake clinics with us and also support many of our endocrine tests

The department and plans for development

Over the years we have continued to develop specialist diabetes and endocrine services whilst maintaining a significant input into the acute medical take and inpatient provision for medical patients. The hospital currently have a bed base of 24 inpatients, accepting patients with both speciality and general medical problems. The consultants undertake inpatient ward rounds on 3 days a week and with this appointment envisage increasing this to daily to optimise and streamline management of our inpatient workload. The hospital consultant will participate in the acute general medical take with the department responsible for 1 in 6 of the medical take, including weekends.

At any one time 15% of inpatients (approximately 75-100 ) have diabetes as a secondary diagnosis. The hospital work closely with our inpatient diabetes nurse advisor in supporting management of these patients, including the optimisation of patients pre-surgery and support for patients managed with steroids, particularly under haematology and oncology. We are looking to expand consultant input into these patients and also to improve staff education with the aim of enhancing the experience of patients with diabetes when they are admitted to hospital.

A full range of diabetes outpatient services:-

The hospital have a dedicated medical antenatal clinic, working closely with the obstetric department and are looking to further develop options for patients for accessing pre-conception care to improve outcomes. They have collected detailed audit data for 10 years and now contribute to the national audit, with results very much matching the national picture.

The hospital foot clinic is in the process of moving to 5 days a week to meet demand and to allow us to meet National guidance – this is run by our specialist podiatrist with support from one of the consultants and has access to a full range of support from interventional radiology, vascular surgery and orthotics. The hospital undertake an inpatient ward round of patients with foot problems once per week with input from diabetic medicine, vascular surgery and microbiology and with the expansion of the foot service to 5 days will have increased input from podiatry. Audit data collected over 10 years has shown reducing levels of major amputations over time and are looking for further improvements with the move to the 5 day service.

The hospital have been running an intensive type 1 education programme for 10 years with almost 300 patients now having attended. These patients are followed up in a dedicated clinic where possible and also run a regular pump clinic. They have 74 patients currently on pumps with this number likely to expand over the next few years to somewhere between 125-150 if predictions are accurate. Results from the intensive education programme have been presented nationally and have shown reduced admissions to hospital, reduced bed days and reduced incidence of DKA. Similar results have been seen in our pump audit

For the past year the hospital have been running a joint diabetes-renal clinic with colleagues from a nearby region. With the new appointment we are looking to expand this to once per month and also to enhance input to patients with diabetes receiving dialysis in the satellite dialysis unit.

The hospital have developed a transition clinic with our paediatric colleagues which currently occurs 8 times a year. This includes both diabetes and endocrine cases. Audit data has shown good rates of transition with the vast majority of patients moving from paediatrics to adult services continuing to attend clinic for review and support.

The hospital has agreed funding for increased input into the community to support primary care colleagues in managing the rising number of patients with diabetes. They are planning to visit each of 26 practices in our local area twice per year for a half day to provide education to the practice team and also undertake virtual clinics. They anticipate this will evolve over time. General practice locally is divided into a number of localities and envisage that each consultant would be responsible for one or two localities, supported by one of the diabetes nurses.

A full range of endocrine patients:-

The hospital has a dedicated pituitary clinic and have a pre-clinic radiology meeting to discuss cases. Pituitary surgery is referred to a regional centre and although they don’t currently attend the pituitary MDT they do refer cases for discussion regarding ongoing management.

The hospital sees joint patients with our 2 thyroid surgeons who undertake thyroid and parathyroid surgery and would anticipate increasing this liaison with the new appointment. Patients needing other endocrine surgery are usually referred to other locations

One of the consultants undertakes a specialist Turner’s clinic with joint decision making between the endocrine team, the gynaecologists and the consultant clinical biochemist, who has a specialist interest in Turner’s syndrome.

Other endocrine patients are seen in one of 3 endocrine clinics each week and are not currently split but depending on the interests and expertise of the new appointment dedicated endocrine clinics in other areas can be developed.

Post Details

Clinical Service

The new appointee will work with the existing consultants to further develop services. The details of the new job plan of the successful candidate will depend on their skills and expertise. The hospital are looking to develop increased input into the community, to have greater consultant input into inpatients with diabetes as a secondary diagnosis and to further develop the foot, pregnancy and renal services in particular. There will opportunity to develop other specialist endocrine clinics and are looking to increase liason with the endocrine surgical colleagues. In time are also looking to interface with the retinal screening department to improve management of patients with diabetes found to have significant retinopathy. The new appointee will assist in managing the inpatients on the diabetes base ward and will take part in the acute medical take.

Standard Duties and responsibilities

a) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan  and in line with policies as specified by the Employer.

b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.

c) To work within the framework of the hospital / agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply.

d) To co-operate with the expeditious implementation of the Disciplinary Procedure 

e) To formally review the execution of the Clinical Directorate Service Plan with the Clinical Director / Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director / Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan.

f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures.

g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.

h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training.

i) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care.

j) To participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty / sub-specialty is involved in the selection process. 

k) To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory and corporate policies and procedures.

l) To participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery

Teaching Commitments

·       regular commitments to ward based teaching of undergraduates.

·       participation in the lecture programmes for 2^nd and 4^th & 5^th year medical students.

·       teaching of other groups as required including other specialty juniors and specialist nurses & MRCP candidates.

Job Plan

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Diabetes & Endocrinology Consultant, on behalf of the Trust’s Medical Director, based on the provisional timetable. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.

It will be reviewed at 3 months & thereafter annually or at any time, but no less than 3 months after a previous review, as requested by the appointee, Operational Medical Director or Clinical Lead & adjusted accordingly to the agreement of both parties.

Programmed activities

For a 10 PA contract. (Access to CPD etc for part time consultants will normally be the same as for those on a whole time contract)

Direct clinical care
8.5 PAs on average per week

(includes clinical activity, clinically related activity, predictable and unpredictable emergency work)

Supporting professional activities                
1.5 PAs on average per week

(includes CPD, audit, teaching, research, appraisal)

Timetable/flexibility

There is a commitment to weekend working and extended Monday to Friday working attached to this post.

In order for the Trust to maintain and meet its objectives for treating patients within agreed timescales and to offer patients choice of flexible treatment times you will be expected to operate a degree of flexible working within your allocated timetable which will include a varied overall work pattern. 

This will typically include some extended week day and some weekend working. This time will  form part of your standard weekly work activity for which either commensurate time off in lieu during the week time will be given or remuneration in accordance with the Terms and Conditions – Consultants

Programmed Activities scheduled during Premium Time will be at the value of three hours per Programmed Activity in line with the Terms and Conditions – Consultants

It is expected that no more than 4 or 5 Saturday or Sunday work periods or extended working weeks would be scheduled during each calendar year and sufficient notice of this planned work activity will be given.

The proposed job plans for the three consultants to include the new consultant post are as follows (indicative sessional time and the split between posts will change depending on the skills and expertise of the appointee):

Requirements

This post is open to doctors who hold Registration as a Specialist in the Specialist Division of the Registrar of Medical Practitioners maintained by the Medical Council in Ireland in the specialty of Clinical and Diabetes & Endocrinology.

Office Accommodation

Office accommodation will be provided for the appointee.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant  will offer mentoring support and lead the existing clinical team through; joint clinics, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

If you are interested in working in growing your career and increasing your income, then talk to our healthcare team today. If you can fill the above requirements, we will give you the following benefits:

*** Visa & Work Permit for FREE!

*** Guidance, Training & Career Development

*** Dedicated & Supportive team- Consultant available when you need.

*** Excellent Basic Pay, Overtime paid for extra hours
***Assistance provided with relocation

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to info@workplacedoctors.co.uk or apply online today (see below).