Job summary We are looking to recruit new specialist physician into our Acute Medicine Service to join a dynamic and enthusiastic team of acute physicians working across the Epsom and St Helier sites. We run a consultant led service on the AMU with strong speciality in-reach support and have a newly renovated, dedicated Same Day Emergency Care Unit (SDEC) that runs in collaboration with Emergency Medicine and provides same day medical assessment care to lower acuity patients, strengthening and improving admission avoidance. Successful candidates will also have the opportunity for speciality work as we recognise the importance of bringing specialty excellence into the AMU service and as such wish to build up on this further and attract candidates looking to maintain a specialty skill base. We feel that it is important for our team to achieve a balance between work and personal life and welcome applications on a full or part time basis. Successful applicants will join a team of AMU consultants developing and providing exciting new services within acute medicine within a trust recently identified as one of the trusts in London to receive £500 million for a new acute hospital facility in Sutton (expected 2025). This is an exciting time to join Epsom and St Helier Hospital and play a part in shaping and developing acute medicine services for the future. Main duties of the job Specialist physician in Acute Medicine, with an interest in a chosen specialty if desired. The Acute Medicine clinical commitment will be based at Epsom General Hospital. The post is a basic 10 programmed activities (8 DCC, 2 SPA). We aim to provide the SPA over 1 day to enable hybrid working. For those with another specialty interest there is an opportunity to undertake 2 programmed DCC sessions in the chosen specialty if appropriate following discussion and agreement with specialty department (6 Acute Medicine DCC, 2 Specialty DCC, 2 SPA). There will also be the opportunity to join the GIM on call rota which provides an additional programmed session. About us St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey.Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC). After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce. Date posted 18 February 2025 Pay scheme Hospital medical and dental staff Grade Consultant Salary £105,504 to £139,882 a year PA Contract Fixed term Duration 12 months Working pattern Full-time Reference number 343-LCON-182 Job locations Epsom Hospital Dorking Road Epsom Surrey KT18 7EG Job description Job responsibilities 1.1 Main Responsibilities and Duties To show dynamism, enthusiasm and flexibility in participating in the reshaping of acute medical services at Epsom and St Helier University Hospitals NHS Trust and to work closely with the Clinical Lead and Clinical Director of Medicine. 1. To help provide a first class clinical service to all Trust patients. 2. To provide high quality leadership and support to medical staff, allied health care professionals, and Trust management and support staff in both the Acute Medicine Service, and associated medical specialty areas. 3. To support and sustain teaching and research where possible in relevant clinical areas. 4. To work within the framework of applicable Trust policies, procedures, and clinical governance framework. 5. To work within contractual requirements, and in support of applicable Trust clinical development frameworks, business plans, and development strategies. 6. To consistently treat all patients and colleagues with respect and professionalism and to adhere to the principles of the trust regarding equality and diversity. 7. To share in the organisation and provision of high quality clinical care for acute medical patients within the Trust. 8. To assess and review patients within the setting of the Acute Medical Unit and SDEC, including performing appropriate clinical procedures in this setting. 9. To facilitate the early discharge of acute medical patients, including where necessary, by early review in the Acute Medical Unit/SDEC review clinics, where clinically appropriate. 10. To provide senior support and input into clinical decisions taken by junior medical staff within the Acute Medical Unit / SDEC. 11. To ensure the provision of accurate and timely communication between the Acute Medical Unit 12. / SDEC, other units within the Trust (including critical care), and in primary or intermediate care settings. 13. To work to provide smooth, timely and appropriate transfer of patients to appropriate speciality beds within the Trust. 14. To participate in the development and implementation of care pathways for common medical emergency presentations. 15. To participate in the out of hours medical on-call rota at weekends (the intensity is site dependent), such on-call including assuming clinical responsibility for the care of all medical patients within the Trust (including those outside of the Acute Medical Unit). 16. If requested and agreed with the Clinical Directors for Medicine, to contribute to a sub-specialty service in the form of clinics, procedural lists and specialist ward referrals. 1.2 Principle Duties of the Post The principal duty of this post is to provide a comprehensive clinical service to patients. 1. To at all times, comply with the GMCs guidance on Good Medical Practice as amended or substituted from time to time. 2. To ensure that patient confidentiality is maintained at all times. 3. To undertake duties as defined within the attached job plan in so far as practicable and in agreement with your Clinical Director. 4. To be responsible and managerially accountable for the reasonable and effective use of Trust resources that you use and influence, and professionally accountable to the Medical Director. 5. On commencement to ensure personal attendance at the Trusts corporate Induction (or arranged Consultant Induction). 6. To participate in the Trusts Statutory & Mandatory training programme. 7. To be responsible for the clinical management of in and out patients under your care. 1.3 Teaching & Training 1. To share responsibility with other Consultants for the recruitment, appointment and supervision of junior medical staff in accordance with Trust policies. 2. To devote time on a regular basis for teaching and training of junior medical staff, contributing as appropriate to post-graduate and continuing medical education. 3. To devote time, through agreement on a regular basis for teaching and training of medical students as part of agreed teaching arrangements with the Foundation School. 1.4 Management & Governance To be responsible for the management, appraisal and discipline of junior doctors who are attached to you, after taking appropriate advice, where appropriate and to be involved in future service development. 1.5 Job Plan: A provisional representative timetable has been included below. This is subject to change with regards to days to meet the needs of the departments but the dedicated PAs to each specialty will be consistent. Formal week plan will be negotiated following appointment. Day Time Location Work DCC/SPC PAs Monday 08.30 13.00 Epsom Hospital AMU DCC 1.25 13.00 17.00 Epsom Hospital AMU DCC 1 Tuesday 08.30 12.30 Epsom Hospital AMU DCC 1.25 13.00 17.00 Epsom Hospital AMU DCC 1 Wednesday 09.00 13.00 Epsom Hospital SPA SPA 1 13.00 17.00 Epsom Hospital SPA SPA 1 Thursday NWD Friday 09.00 1300 Epsom Hospital Acute Take DCC 1.25 13.00 17.00 Epsom Hospital SDEC DCC 1 Flex 1 hour Virtual clinic Virtual clinic DCC 0.25 Sub-Total 9.00 GIM On call 1 in 12. 1 Total 10.00 Job plans will be reviewed annually, following an appraisal meeting. The job plan will be a prospective agreement that sets out a typical working pattern, duties, objectives and responsibilities for the coming year. It will cover all aspects of professional practice including clinical work, teaching, research, education, managerial responsibilities and external commitments. On appointment of the post holder, the Clinical Director will commence discussions to finalise the job plan which will become operational on appointment. The job plan is an indicative plan of the duties the post holder is likely to be asked to undertake. Additional programmed activities may be offered to the post holder. Any offer of additional programmed activities will be based on the needs of the service and in line with the Trust objectives and will be reviewed on an annual basis. 1.6 Private Practice The post holder should ensure that any private practice commitments are discussed with your Clinical Director and entered into the prospective job plan. Any change to these will need to be discussed between the post holder and the Clinical Director and recorded in an amended job plan. Clinicians will be required to ensure that they always meet the code of conduct for private practice. 1.7 On Call Arrangements The post holder will participate in the on call GIM rota on a 1 in 12 basis. The post holder will provide on call for medicine out of hours. At the weekends this will include post take and mid take ward rounds. The on call rota is currently defined as Category A. Consideration of time off will also be approved for weekend working when appropriate. Additional working hours over and above that of the job description will be permitted time off in lieu as appropriate. Category A: this applies where the clinician is typically required to return immediately to site when called or has to undertake interventions with a similar level of complexity to those that would normally be carried out on site, such as telemedicine or complex telephone consultations; Category B : this applies where the clinician can typically respond by giving telephone advice and by returning to work later, except in an unforeseen emergency 6.9 (currently St Helier site only with plan to extend to Epsom site in the future) AMU weekend Review (9:00 13:00) (1:9) Attend 9:00 am for MDT meeting in AMU. Targeted ward reviews of sick patients, medical reviews or potential discharged that have been highlighted by medical team/nursing staff. You will be supported by medical SHO. 6.10 Administrative Arrangements The successful applicant will have secretarial support and office accommodation. Job description Job responsibilities 1.1 Main Responsibilities and Duties To show dynamism, enthusiasm and flexibility in participating in the reshaping of acute medical services at Epsom and St Helier University Hospitals NHS Trust and to work closely with the Clinical Lead and Clinical Director of Medicine. 1. To help provide a first class clinical service to all Trust patients. 2. To provide high quality leadership and support to medical staff, allied health care professionals, and Trust management and support staff in both the Acute Medicine Service, and associated medical specialty areas. 3. To support and sustain teaching and research where possible in relevant clinical areas. 4. To work within the framework of applicable Trust policies, procedures, and clinical governance framework. 5. To work within contractual requirements, and in support of applicable Trust clinical development frameworks, business plans, and development strategies. 6. To consistently treat all patients and colleagues with respect and professionalism and to adhere to the principles of the trust regarding equality and diversity. 7. To share in the organisation and provision of high quality clinical care for acute medical patients within the Trust. 8. To assess and review patients within the setting of the Acute Medical Unit and SDEC, including performing appropriate clinical procedures in this setting. 9. To facilitate the early discharge of acute medical patients, including where necessary, by early review in the Acute Medical Unit/SDEC review clinics, where clinically appropriate. 10. To provide senior support and input into clinical decisions taken by junior medical staff within the Acute Medical Unit / SDEC. 11. To ensure the provision of accurate and timely communication between the Acute Medical Unit 12. / SDEC, other units within the Trust (including critical care), and in primary or intermediate care settings. 13. To work to provide smooth, timely and appropriate transfer of patients to appropriate speciality beds within the Trust. 14. To participate in the development and implementation of care pathways for common medical emergency presentations. 15. To participate in the out of hours medical on-call rota at weekends (the intensity is site dependent), such on-call including assuming clinical responsibility for the care of all medical patients within the Trust (including those outside of the Acute Medical Unit). 16. If requested and agreed with the Clinical Directors for Medicine, to contribute to a sub-specialty service in the form of clinics, procedural lists and specialist ward referrals. 1.2 Principle Duties of the Post The principal duty of this post is to provide a comprehensive clinical service to patients. 1. To at all times, comply with the GMCs guidance on Good Medical Practice as amended or substituted from time to time. 2. To ensure that patient confidentiality is maintained at all times. 3. To undertake duties as defined within the attached job plan in so far as practicable and in agreement with your Clinical Director. 4. To be responsible and managerially accountable for the reasonable and effective use of Trust resources that you use and influence, and professionally accountable to the Medical Director. 5. On commencement to ensure personal attendance at the Trusts corporate Induction (or arranged Consultant Induction). 6. To participate in the Trusts Statutory & Mandatory training programme. 7. To be responsible for the clinical management of in and out patients under your care. 1.3 Teaching & Training 1. To share responsibility with other Consultants for the recruitment, appointment and supervision of junior medical staff in accordance with Trust policies. 2. To devote time on a regular basis for teaching and training of junior medical staff, contributing as appropriate to post-graduate and continuing medical education. 3. To devote time, through agreement on a regular basis for teaching and training of medical students as part of agreed teaching arrangements with the Foundation School. 1.4 Management & Governance To be responsible for the management, appraisal and discipline of junior doctors who are attached to you, after taking appropriate advice, where appropriate and to be involved in future service development. 1.5 Job Plan: A provisional representative timetable has been included below. This is subject to change with regards to days to meet the needs of the departments but the dedicated PAs to each specialty will be consistent. Formal week plan will be negotiated following appointment. Day Time Location Work DCC/SPC PAs Monday 08.30 13.00 Epsom Hospital AMU DCC 1.25 13.00 17.00 Epsom Hospital AMU DCC 1 Tuesday 08.30 12.30 Epsom Hospital AMU DCC 1.25 13.00 17.00 Epsom Hospital AMU DCC 1 Wednesday 09.00 13.00 Epsom Hospital SPA SPA 1 13.00 17.00 Epsom Hospital SPA SPA 1 Thursday NWD Friday 09.00 1300 Epsom Hospital Acute Take DCC 1.25 13.00 17.00 Epsom Hospital SDEC DCC 1 Flex 1 hour Virtual clinic Virtual clinic DCC 0.25 Sub-Total 9.00 GIM On call 1 in 12. 1 Total 10.00 Job plans will be reviewed annually, following an appraisal meeting. The job plan will be a prospective agreement that sets out a typical working pattern, duties, objectives and responsibilities for the coming year. It will cover all aspects of professional practice including clinical work, teaching, research, education, managerial responsibilities and external commitments. On appointment of the post holder, the Clinical Director will commence discussions to finalise the job plan which will become operational on appointment. The job plan is an indicative plan of the duties the post holder is likely to be asked to undertake. Additional programmed activities may be offered to the post holder. Any offer of additional programmed activities will be based on the needs of the service and in line with the Trust objectives and will be reviewed on an annual basis. 1.6 Private Practice The post holder should ensure that any private practice commitments are discussed with your Clinical Director and entered into the prospective job plan. Any change to these will need to be discussed between the post holder and the Clinical Director and recorded in an amended job plan. Clinicians will be required to ensure that they always meet the code of conduct for private practice. 1.7 On Call Arrangements The post holder will participate in the on call GIM rota on a 1 in 12 basis. The post holder will provide on call for medicine out of hours. At the weekends this will include post take and mid take ward rounds. The on call rota is currently defined as Category A. Consideration of time off will also be approved for weekend working when appropriate. Additional working hours over and above that of the job description will be permitted time off in lieu as appropriate. Category A: this applies where the clinician is typically required to return immediately to site when called or has to undertake interventions with a similar level of complexity to those that would normally be carried out on site, such as telemedicine or complex telephone consultations; Category B : this applies where the clinician can typically respond by giving telephone advice and by returning to work later, except in an unforeseen emergency 6.9 (currently St Helier site only with plan to extend to Epsom site in the future) AMU weekend Review (9:00 13:00) (1:9) Attend 9:00 am for MDT meeting in AMU. Targeted ward reviews of sick patients, medical reviews or potential discharged that have been highlighted by medical team/nursing staff. You will be supported by medical SHO. 6.10 Administrative Arrangements The successful applicant will have secretarial support and office accommodation. Person Specification Qualifications and Training Essential Hold a medical qualification or qualification registered with the GMC. Desirable oMD or equivalent higher degree or evidence of relevant research. Qualifications and Training Essential Entry onto the Specialist Register for GMC or within six months of obtaining CCT Appropriate higher medical qualification i.e. MRCP/MRCS or equivalent. Clinical Experience Essential High standard of clinical skill and expertise in the specialty. Able to contribute to the full range of skills required for the on-call rota for the specialty. Management & Administrative Experience Essential Audit/Research. Has attended a recognised management training event or will have such training on completion of CCT. Supervision of post graduate trainees Personal time management skills Clinical Governance. Ability to organise in patient and out- patient waiting lists. Desirable Familiarity within issues of service organisation and development Teaching Experience Essential Experience of teaching undergraduate and postgraduate trainees. Ability to teach clinical skills. Desirable Experience of teaching basic clinical skills to undergraduates/postgraduates. Experience of supervising junior doctors. Experience of teaching Lay groups and other staff groups. Ability to supervise postgraduate research Research Experience Essential Ability to contribute to change management. Ability to apply research findings to clinical problems. Desirable Publications in peer review journals. Personal Attributes Essential Ability to work in a multi- disciplinary team. Ability to communicate with patients and relatives Commitment to continuing professional development. Willingness to undertake additional professional responsibilities to local, regional or national levels. Person Specification Qualifications and Training Essential Hold a medical qualification or qualification registered with the GMC. Desirable oMD or equivalent higher degree or evidence of relevant research. Qualifications and Training Essential Entry onto the Specialist Register for GMC or within six months of obtaining CCT Appropriate higher medical qualification i.e. MRCP/MRCS or equivalent. Clinical Experience Essential High standard of clinical skill and expertise in the specialty. Able to contribute to the full range of skills required for the on-call rota for the specialty. Management & Administrative Experience Essential Audit/Research. Has attended a recognised management training event or will have such training on completion of CCT. Supervision of post graduate trainees Personal time management skills Clinical Governance. Ability to organise in patient and out- patient waiting lists. Desirable Familiarity within issues of service organisation and development Teaching Experience Essential Experience of teaching undergraduate and postgraduate trainees. Ability to teach clinical skills. Desirable Experience of teaching basic clinical skills to undergraduates/postgraduates. Experience of supervising junior doctors. Experience of teaching Lay groups and other staff groups. Ability to supervise postgraduate research Research Experience Essential Ability to contribute to change management. Ability to apply research findings to clinical problems. Desirable Publications in peer review journals. Personal Attributes Essential Ability to work in a multi- disciplinary team. Ability to communicate with patients and relatives Commitment to continuing professional development. Willingness to undertake additional professional responsibilities to local, regional or national levels. Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Epsom and St Helier University Hospitals NHS Trust Address Epsom Hospital Dorking Road Epsom Surrey KT18 7EG Employer's website https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)