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Workload
The job plan will be based on 10 PAs to include 8 DCC PAs and 2 SPAs.
This also includes participation in a GIM Oncall rota
The rota is formatted as Specialist week and GIM Ward Week.
GIM On call commitments just carry through the year on a rotational basis
Direct Clinical Care (DCC) – 8 PAs
Specialist Week (Non-Ward Week):
This usually has more Specialist Diabetes and Endocrine Clinic activities including more SPA time allocated during this week on an average.

DCC includes general and specialist diabetes and endocrinology clinics, and participation in MDT or clinical supervision meetings (face-to-face or via TEAMS).
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 colleagues in orthopaedics and vascular surgery.
2. Community diabetes supervision.
3. Antenatal diabetes clinics.
4. Diabetes pump clinics including HCL.
5. Pituitary MDT and MDT Neurosurgical pituitary clinics.
6. Tier 4 Weight management Clinic at St Richard’s Hospital, Chichester.

Ward week:
Ward base is currently shared with Dynamic Elderly medicine team with patient numbers between 13- 20 patients depending on winter pressures. Ward has supplement of a IMT3 in medicine or Geriatric Specialty registrar, Renal Registrar
(GIM rotation) and IMT3 in Diabetes and Endocrine Registrar on a rotational basis.
Consultant is expected to provide Diabetes and Endocrine referral support for inpatients during their ward week outside their ward area frequently supported by diabetes and Endocrine registrars who conduct the Inpatient diabetes Ward rounds with diabetes nurses.

On Call Commitment: 1:8, category B, 2% (subject to workforce review may reduce to category B, 1%)

SPAs:
Additional SPA information for this post: 0.5 SPA will be allocated for departmental meetings, and specific audit / clinical governance / patient safety work (e.g. audit, clinical governance, supporting Datix and SUI investigations, M&M meetings, learning from deaths, responding to complaints, contributing to Coroner’s inquests, NICE / GIRFT implementation, review and up-dating of specialty guidelines and protocols). 0.5 SPA will be allocated to specific roles in medical education and training (e.g. Clinical / Educational supervision of junior doctors, BSMS teaching, post-graduate teaching and training).

One core SPA will be provided for individuals on a 10 PA job plan and for less than full-time individuals where UHSussex is the Designated Body for revalidation and appraisal purposes (for less than full-time employees whose Designated Body is not UHSussex, this will be pro rata to minimum 0.5 core SPA). This core SPA (168 hours per year) is to provide time throughout the year for statutory and mandatory training, revalidation, personal CPD, maintaining log book, job planning and appraisal.

An additional 0.5 SPA may be negotiated between clinician and clinical director for time for departmental/consultant/SAS meetings, mandated clinical governance activity, patient safety, Serious Incidents, complaints, learning from deaths, and areas of the Clinical Effectiveness Domain (NICE, audit etc.)

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At University Hospitals Sussex, we take pride in being a leading NHS institution, recognized for our excellence in healthcare and medical research. Our state-of-the-art facilities and collaborative approach ensure that our team of professionals delivers the best patient outcomes while fostering an environment of continuous learning and professional growth. Sussex provides easy access to the sea and the South Downs National Park, London and Gatwick Airport, with excellent schools, a thriving cultural hub, and top-class sports events.

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Please see job description and person specs for full details.