Job Overview

Here in Jersey, we have our own Health Care system, separate from the NHS. We are looking to develop and improve our healthcare services towards a modern, fully digitised and future-proof system, in advance of our new hospital (planned to open in 2029). To do so we need fresh eyes, new ways of working and the next generation of consultants to make our healthcare the best it can be. We aim to provide high quality, safe and effective care to the 110,000 people living on the Island and those who visit. The hospital benefits from a fantastic educational centre with a full SIM lab and dedicated time for all to learn.

Aligned to the Wessex Deanery, we support and develop Foundation Trainees as well as Clinical Fellows and SAS Doctors. We encourage all our Consultants to fully engage with the education and training of our future generation of Consultants.

Health & Care Jersey is seeking to appoint an enthusiastic and dynamic substantive Consultant Nephrologist to join our already passionate consultant body.

Jersey is easily accessible from most regional airports in the UK and has good links with NHS tertiary centres especially in Southampton and London, which affords the successful candidates to maintain links within the NHS and the private sector working. To support your transition to Jersey, we can provide a generous relocation and remuneration package, which is benefitted by lower taxation than within the UK.

The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.

For an informal discussion please contact Matthew Doyle (Interim Chief of Service), by emailing M.Doyle@health.gov.je. For any recruitment related queries, please contact Sol Bradbury (HR Consultant), by emailing S.Bradbury@gov.je.

The Post

Health and Care Jersey is seeking to appoint an enthusiastic and dynamic substantive Consultant in Renal Medicine. The successful application will be a sole renal Consultant, supported by a middle grade and a team of specialist nurses to provide a comprehensive service in renal medicine. The successful applicant must be dual accredited in nephrology and GIM.

The successful candidate will have broad experience of inpatient and outpatient in all aspect of nephrological practice and fully competent in diagnostics and therapeutics. The applicant will undertake Inpatient specialist reviews where requested and take part in GIM on-call rota.

Medical/Secretaries/Offices

There are dedicated medical secretaries (1 FTW) supporting the Consultant and their team. The Consultant will have a shared office space with IT facilities shared across Consultants from other specialities.

Duties

• Continue to jointly develop a service of excellence for Renal Medicine which ensures a seamless integration between Jersey and tertiary centres in England.

• Participate in the ongoing development of a Renal strategy for the island of Jersey.

• To work in close partnership and liaison with Primary Care and other specialist services.

• To undertake inpatient specialist reviews for Renal Medicine.

• To undertake outpatient clinics for both Renal Medicine and GIM.

• Provide diagnostic and appropriate interventional services.

• Expected to undertake kidney biopsy, temporary and permanent central line insertion for dialysis. There is an expectation to perform permanent tunnel lines for a few patients with poor vascular access.

• To provide clinical advice & support to primary care colleagues and other Consultants within Health & Care Jersey medical model.

• To deliver personalised, evidence informed medical care plans to all patients that are appropriately documented and regularly evaluated.

• To provide advice and timely medical reviews and interventions as part of the interdisciplinary model of care.

• To participate and attend relevant services’ MDTs.

• To liaise with tertiary referral centres as appropriate to provide patient centered care & service improvements.

• Maintain good quality up to date medical records including timely discharge letters and summaries.

• To ensure appropriate documentation and coding is used to provide consistent audit and monitoring of the service.

• To adhere to local prescribing guidelines.

• The post holder should be adaptable, flexible and innovative to meet the ongoing challenges within the service. The responsibilities of the role may change from time to time.

• To comply with infection prevention & control requirements including the latest COVID-19 guidance and policies.

• To encourage dialogue with primary care clinicians to for admission avoidance and advice.

Leadership and Management

• Take part in management and audit activities to support the Care Group Leadership team & Public Health in planning for services and ensuring the service meets key performance indicators including excellent patient care.

• The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues.

• The post holder will be expected to be fully involved in a ‘Risk Management” programe and support the Governance agenda.

• Represent the service at hospital meetings, as agreed with colleagues.

Teaching and Research

The department is recognised for junior doctors from the Wessex Deanery (including medical students from Southampton) and active teaching is encouraged in this role. It is expected that the post holder is participating in the training of medical staff and that the candidate will ensure that the training and learning needs are identified and facilitated. This includes educational support for the clinical fellows recruited directly to Health & Care Jersey (HCJ).

The post holder should deliver training to a range of professionals across the multi-disciplinary team in renal medicine to create a service of excellence for Jersey.

Opportunities for participating in research are supported when appropriate. HCJ has a policy for professional leave and is supportive of external duties for the good of the wider profession.

On-Call Rota

The appointee will take part in the GIM on-call rota alongside the other eight GIM Consultants which will be reflected in the final job plan.

The Specialty

Jersey Hospital, which has 219 beds including an intensive care unit, has traditionally offered a stand-alone renal service. This service was led by a single Consultant for over 20 years, who recently retired, leaving the hospital reliant on locum clinicians to fill the gap. The renal service focuses exclusively on adult patients, with paediatric renal care delivered by University Hospital Southampton (UHS). Transplantation and vascular access surgeries are carried out at Cambridge University Hospital.

The renal unit currently manages 35 haemodialysis patients and 60 individuals with functioning renal transplants. It operates an 18-station dialysis unit, including six cubicles. Specialist nurses play a critical role, delivering acute and chronic dialysis, patient education, anaemia management, and post-transplant care.

The retired Consultant's role encompassed outpatient care, inpatient reviews, and cross-departmental advisory support, including intensive care. They also performed key interventional procedures such as dialysis line insertions, renal biopsies, and peritoneal dialysis (PD) catheter placements, although only one patient is currently on PD. The Consultant was integral to the provision of acute dialysis services.

According to Jersey's national registry, approximately 2,720 residents (3% of the population) have CKD stages 3–5, with a mean age of 77 years. This prevalence is notably lower than the UK average of 6.1% among adults.

Management Structure

The Chief Officer directs the department for Health and Care Jersey - Tom Walker. The Director of Clinical Services Is Claire Thompson. The Group Medical Director Is Simon West. Professor John McInerney Is Medical Responsible Officer/Suitable person with the GMC for Appraisal and Revalidation.

Leadership Teams

Surgical - Scheduled Hospital Services

Chief of Service: Dr Simon Chapman

Planned Care Lead: Jemma Hammond

Assistant General Managers: Wayne Quenault and Tracey Wilkinson

Lead Nurses: Claire Ash and Stacey Bell

Medical - Primary and Unscheduled Hospital Services

Chief of Service: (Interim) Dr Matthew Doyle

General Manager: Sarah Evans

Assistant General Managers: Karen Gardner and Washington Gwatidzo

Lead Nurses: Harriet Holden and David McKenna

Social Care

Director: Andy Weir

General Manager: Darren Bowring

Principal Social Worker: Paul Rendell

Head of Learning Disability Services: Robert Gardner

Children's Services

Chief of Service: Caroline Jenkins

Lead Nurse: Alex Watt

General Manager: Tracey Martin

Obstetrics and Gynaecology

Chief of Service: Caroline Jenkins

Head of Midwifery: Roslyn Bullen-Bell

Lead Midwife: Jan Auffret

General Manager: Tracey Martin

Medical Services Care Group

The Renal Department sits within the Medical Services Care Group which comprise the following range of services, a full structure chart of the care group can be found in the appendix:

Ambulatory Emergency Care

Cardiology

Dermatology

Diabetes

Emergency Admissions Unit (EAU)

Emergency Department

Haematology

Medical Day Unit

Medical Outpatients

Medical Wards - Plemont, Corbiere and Rozel Wards

Neurology

Oncology

Palliative Medicine

Pathology Rehabilitation Ward – Plemont Ward (Interim Rehabilitation Unit)

Renal Medicine

Respiratory

Rheumatology

Sexual Health

Medical Services Care Group

Medicine in Jersey is fully age and specialty integrated. There are 3 medical wards, Plemont, Rozel and Corbiere. A 5-bedded Enhanced Care Area is sited on AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25 bed Acute Assessment Unit.

SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise.

On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group always provides named Consultant supervision for non-Consultants and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department.

Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.

Care Group Statistics

There are 63 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually.

Specialty Medical Staff

The current Consultants providing acute and specialist medical care to the Island population.

Dr A Mahmoud, Acute Medicine 

Dr I Bodzioch, Acute Medicine

Dr J Vaz, Acute Medicine 

Dr K Dabeedin, Acute Medicine 

VACANCY, Care of the Elderly

Dr A Mitchell, Cardiology

Dr P Le Page, Cardiology

Dr D Hopkins, Diabetes, Clinical Director for General Medicine

Dr E Chacko, Diabetes

Dr A Varma, Emergency Department

Dr J Terris, Emergency Department

Dr J McInerney, Emergency Department

Dr K Anderson, Emergency Department

Dr M Finn, Emergency Department

Dr N Charles, Emergency Department

Dr N Payne, Emergency Department

Dr R Greig, Emergency Department

Dr S Chapman, Emergency Department

Dr V Patel, Emergency Department

Dr M Hanna, Gastroenterology

Dr M Duku Gastroenterology

VACANCY, Gastroenterology

Dr G Ortiz-Prieto, General Medicine

Dr W Nagi, Haematology

VACANCY, Haematology

Dr B Lyons, Histopathology

Dr M Perenyei, Histopathology

Dr N Stefanos, Histopathology

Dr C Langoya, Microbiology

VACANCY, Microbiology

VACANCY, Neurology

Dr E Gomes Dos Santos, Oncology

Dr M Butt, Oncology

Dr R Soomal, Oncology

Dr J Grose, Palliative Care

VACANCY, Renal Medicine

VACANCY, Respiratory Medicine

Dr S Tosounidou, Rheumatology

Dr R Hembrom, Sexual Health

VACANCY, Stroke Medicine

In addition to outpatient clinics and 3 general medical wards containing 63 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include:

25 bedded Acute Assessment Unit (AAU)

5 bedded Enhanced Care Area (ECA)

6 chair Ambulatory Emergency Care (AEC)

A well-equipped Clinical Investigations Department providing echocardiography, exercise ECG, respiratory assessment and GI physiology.

An endoscopy suite providing a full range of endoscopy and bronchoscopy services.

Diabetes Centre providing outpatient care for the diabetic population of Jersey, including retinal photography and specialist nursing support.

Renal/Dialysis unit, providing emergency, acute and longer-term renal support as well as management of transplanted patients and assessment and treatment of renal conditions.

6 bedded isolation area for infected or neutropenic patients.

Other Hospital Departments

The following departments are located outside of the medical division:

3 Surgical Wards - Surgical Floor, Beauport and Rayner Ward

7 Critical Care beds which includes Medical and Surgical Intensive Unit

Designated Day Surgery Theatre (2)

Main theatre Suite

Outpatient Dental Department

Outpatient ENT Facilities

Outpatient Ophthalmology Department 1

Private Wing Ward (beds with admitting rights)

Private Patient Services

Radiology Department

Physiotherapy Department

Anaesthetic Department

This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder.

Proposed Job Plan

All Consultants have a standard 10 PA contract for public work. Within this, all Consultants have 1.5 core SPA for CPD activities in line with AoMRC guidance. Most Consultants will have a further 1 SPA for agreed activities which support HCJ. The final job plan will be agreed with the Clinical Lead the Chief of Service for Medical Services, Hospital Director and ratified by the Medical Director. The post holder’s job plan will be reviewed annually and will be appraised according to the current guidance. An indicative weekly timetable on a 1 in 2 basis for urgent inpatient attending/referrals and urgent laboratory work as per below: Please note within 3 months of commencement in post, you are expected to agree with your clinical manager a prospective job plan. The final job plan will be agreed with the Clinical Director and Chief of Service, before final approval with the Medical Director. The post holder’s job plan will be reviewed annually and will be appraised according to the current guidance. In the event of inability to agree a job plan either at appointment or upon annual review, or in the event of issues arising from the appraisal process, negotiation will be with the Chief of Service.

Qualifications and Skills

Essential: 

Primary Medical Degree

Higher Specialty Qualification: MRCP or equivalent

Full Registration with the General Medical Council (GMC) with a license to practice (for overseas candidates it is mandatory that a license is obtained prior to appointment)

Inclusion on the GMC Specialist Register/Certificate if Completion of Training (CCT) or equivalent in renal or be within 6 months of obtaining this the date of the interview – documentary evidence of this must be provided to support your application.

Clinical Experience in similar NHS environment or equivalent

ALS

Evidence of adequate training and/or experience as CCDC

Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT

Broad range of IT skills

Desirable: 

MD

General Experience

Essential: 

Broad experience in General Medicine

Broad experience in Nephrology

Previous Management Responsibility / Leadership Experience

Desirable: 

Enthusiastic Teacher

Specialist Experience

Essential: 

Ability to take full and independent responsibility for clinical care of general medical patients

Desirable: 

Recognised period of work in acute transplantation

Leadership and Management Skills

Essential: 

Evidence of Clinical Leadership

Ability to Work Flexibly with Colleagues to provide services

Ability to Work Effectively with a Multi-Disciplinary Team, motivating and influencing others through their enthusiasm

Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, management and other agencies

Highly motivated

Able to work within a team

Experience of Teaching, Training & Supervision of Junior Medical Staff and undergraduate students

An understanding of and ability to demonstrate your ability to:

• Empower others

• Lead through change

• Influence strategically

• Collaborative working

• Drive for Improvement

• Integrity

Personal Attributes

Essential: 

Able to work flexibly in a changing health service

Ability to work as part of a team

Effective communicator

Other

Essential: 

Participation in Clinical Audit & Risk Management Activities

Demonstrates a commitment to safeguarding young people and vulnerable adults

Evidence of annual appraisal

Experience of service development

Evidence of research and publication in peer reviewed journals

IT literate