Consultant in Endocrinology, Diabetes & General Internal Medicine

The job plan will be based on 10 PAs to include 8 DCC PAs and 2 SPAs, including participation in a GIM rota, detailed below. Direct Clinical Care (DCC) 8 PAs There will be a varying frequency of out-patient clinics per week depending on whether the individual has ward commitments or not, as outlined in the indicative timetables. DCC includes general and specialist diabetes and endocrinology clinics, and participation in MDT or clinical supervision meetings (face-to-face or via video-link). Clinic templates generally allow 15-20 minutes for follow-ups and 30 minutes for new patients, with a 2:1 3:1 ratio. All Consultants provide clinical advice for members of the diabetes and endocrinology multi-disciplinary team. Other shared clinical duties include triage of referrals and our specialty Advice and Guidance service for GPs. All Consultants contribute to general endocrinology and diabetes clinics. There will be some flexibility about the allocation of sub-specialist work, depending on the interests and expertise of the appointee, but we would welcome contributions to any of the following sub-specialist areas of diabetes and endocrinology: 1. Multidisciplinary diabetic foot clinics, working with our specialist diabetes podiatrist, and colleagues in orthopaedics and vascular surgery. 2. Community diabetes supervision. 3. Antenatal diabetes clinics. 4. Diabetes pump clinics. 5. Pituitary MDT and clinics. The DCC includes a 1:9 general medical on-call rota for evenings and weekends. The acute medical take is run by the acute medical team (9-5 pm) and therefore a day on call involves the review of any patients not seen by the acute physician from 5-7 pm. The rest of the on call is from home overnight followed by a post take ward round at 8 am the following morning. A weekend comprises mid-take ward rounds on Friday, Saturday and Sunday, with post-take ward rounds on Saturday, Sunday and Monday, and on-call from home between ward rounds. Time off in lieu will be scheduled after a weekend on-call. The model of weekend working may change going forwards with general medical Consultants participating in an acute medical model of care on weekends: the weekend on-call frequency would go down to reflect the increased workload when on duty. The DCC also includes shared responsibility (between 4 Consultants) for a general medical / diabetes in-patient ward, medical outliers and medically fit complex discharge patients on other allocated wards (approximately 20 patients in total). Consultants on ward duties are expected to provide daily support to inpatients with reviews of new admissions to the ward on a daily basis as well as holding an MDT board round of all patients under their care. They are also expected to provide specialist consultations for in-patients in relation to diabetes / endocrinology, as required. On Call Commitment: 1:8, category B, 2% (subject to workforce review may reduce to category B, 1%) There is an SpR, an IMT3, and a ward team of FY1/FY2/IMT/Clinical Fellow (CF)/GP trainees attached to the firm, working an annualised rota. Supporting Professional Activity (SPA) 2 PAs Interviews potentially August/September 2026 Job description Job responsibilities The job plan will be based on 10 PAs to include 8 DCC PAs and 2 SPAs, including participation in a GIM rota, detailed below. Direct Clinical Care (DCC) 8 PAs There will be a varying frequency of out-patient clinics per week depending on whether the individual has ward commitments or not, as outlined in the indicative timetables. DCC includes general and specialist diabetes and endocrinology clinics, and participation in MDT or clinical supervision meetings (face-to-face or via video-link). Clinic templates generally allow 15-20 minutes for follow-ups and 30 minutes for new patients, with a 2:1 3:1 ratio. All Consultants provide clinical advice for members of the diabetes and endocrinology multi-disciplinary team. Other shared clinical duties include triage of referrals and our specialty Advice and Guidance service for GPs. All Consultants contribute to general endocrinology and diabetes clinics. There will be some flexibility about the allocation of sub-specialist work, depending on the interests and expertise of the appointee, but we would welcome contributions to any of the following sub-specialist areas of diabetes and endocrinology: 1. Multidisciplinary diabetic foot clinics, working with our specialist diabetes podiatrist, and colleagues in orthopaedics and vascular surgery. 2. Community diabetes supervision. 3. Antenatal diabetes clinics. 4. Diabetes pump clinics. 5. Pituitary MDT and clinics. The DCC includes a 1:9 general medical on-call rota for evenings and weekends. The acute medical take is run by the acute medical team (9-5 pm) and therefore a day on call involves the review of any patients not seen by the acute physician from 5-7 pm. The rest of the on call is from home overnight followed by a post take ward round at 8 am the following morning. A weekend comprises mid-take ward rounds on Friday, Saturday and Sunday, with post-take ward rounds on Saturday, Sunday and Monday, and on-call from home between ward rounds. Time off in lieu will be scheduled after a weekend on-call. The model of weekend working may change going forwards with general medical Consultants participating in an acute medical model of care on weekends: the weekend on-call frequency would go down to reflect the increased workload when on duty. The DCC also includes shared responsibility (between 4 Consultants) for a general medical / diabetes in-patient ward, medical outliers and medically fit complex discharge patients on other allocated wards (approximately 20 patients in total). Consultants on ward duties are expected to provide daily support to inpatients with reviews of new admissions to the ward on a daily basis as well as holding an MDT board round of all patients under their care. They are also expected to provide specialist consultations for in-patients in relation to diabetes / endocrinology, as required. On Call Commitment: 1:8, category B, 2% (subject to workforce review may reduce to category B, 1%) There is an SpR, an IMT3, and a ward team of FY1/FY2/IMT/Clinical Fellow (CF)/GP trainees attached to the firm, working an annualised rota. Supporting Professional Activity (SPA) 2 PAs Interviews potentially August/September 2026