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 in General Medicine with an Interest in Respiratory Medicine 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.

Interview date to be confirmed shortly. 

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

Jersey General Hospital is seeking to appoint and enthusiastic and dynamic substantive Consultant Physician specialist in Respiratory Medicine. This is a replacement post, and the successful applicant will join an expanding team of currently eight Consultant Physicians to provide a comprehensive service in Respiratory Medicine and provide support to general medical in-patients.

Duties

The appointee must have a CCT/CESR in Respiratory Medicine and General Medicine and be able to offer a diagnostic bronchoscopy service and expert opinion in respiratory medicine. They should also have a strong background in acute unselected medicine on-call. They must have management and administrative experience and be prepared to audit and manage audit within the Medical Services Care Group.

The appointee will have inpatient ward commitments as the named treating Consultant, dependant on the ward allocated inpatient workload will consist of between 13-18 patients.

The appointee will provide Consultant supervision of the inpatient medical team consisting of 1x middle grade, 1x clinical fellow & 1x foundation year doctor.

The appointee will also provide respiratory medicine input to other wards where requested through the specialist referral process.

The successful candidate should be adaptable, flexible and innovative in order to meet the ongoing challenges within the service.

A mentor shall be provided on arrival from a named acute medicine Consultant in addition to a dedicated appraiser.

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” programme and support the Governance agenda.

On-Call Rota

The appointee will take part in the General Medicine on-call rota of one in eight however this will be in line with the development of the service provision according to the Medical Services Medical Model where the successful appointee may focus on respiratory medicine provision for the island of Jersey.

During the on-call the Consultant will cover all medical inpatients in the event of deterioration or medical emergencies. For weekday on-call a post take ward round is undertaken at 5pm, the following morning the on-call Consultant is only required to post-take patients who are not on the Emergency Assessment Unit. During weekends and bank holidays the Consultant will undertake post take ward rounds and discharge ward rounds in line the medical model at 8am & 5pm.

Weekday on-calls operate 8am-8am the following day. Weekend on-calls operate from 8am on Friday to 8am Monday.

The Specialty

The legacy of cheap tobacco in the past has resulted in a high incidence of smoking related illnesses. The Southwest Cancer Registry indicates that Jersey has an incidence of lung cancer 30% above the average for the U.K. There are an equivalently high number of patients with COPD. In 2019 Respiratory Medicine had 740 outpatient referrals and 49 bronchoscopy procedures were undertaken.

The average weekly referral to the respiratory service is as follows:

2019 = 17 per week

2020 = 14 per week

2021 to date = 15 per week

The Consultant establishment for Respiratory Medicine is as follows: Vacant, Consultant in Respiratory & General Medicine (2 posts)

The Clinical Investigation Unit (Manager Andrew Norman, who is a Senior qualified Respiratory Physiologist) provides a comprehensive range of services for patients with respiratory illnesses incorporating:

1. Full lung function testing using body plethysmography

2. Sleep studies and provision of CPAP

3. LTOT and nebulizer services

4. A dedicated ‘drop in’ Asthma clinic

5. Histamine/Methacholine challenge testing

The respiratory services are supported by a comprehensive radiological department offering CT and MRI. One of the Consultant radiologists, Dr Salman Zaman, have a special interest in respiratory disease offering expert opinion and biopsy services.

The Radiology Department provides CT, MRI, ultrasound, mammography and general X-Ray services. An on-call service is provided for CT, ultrasound and general x-ray.

The Radiology Department has undergone extensive development and renovation in the last few years. A new GE PACS/HSS CRIS system (with access from home) went live in 2010. A new GE 750 Dual source 64 slice CT (inc CT Fluoro) was commissioned in October 2010. A Phillips 1.5T Intera MRI was commissioned in 2007. 4 new General rooms with either CR or DR were commissioned with the new PACS in 2010. There is a new Phillips screening/interventional suite with a C arm and remote control and a dedicated US machine for biopsy/drainage. We comply with the guidelines on ultrasound guided chest drain insertion and expect the successful candidate to continue this service. When the Consultant is not available, the Radiology department performs ultrasound of the chest to guide drain insertion. We have presented the successful introduction of this service at the National Emergency Medicine conference. There are 2 new Phillips IU22 Ultrasound machines (2009/10) in the main department. The department recently became ISAS accredited.

Community outreach service supported by 1 full time and two part time respiratory specialist nurses who are providing care to patients with asthma/COPD. 1 T.B specialist nurse and 1 lung cancer nurse, continue to support patients in the community and support early discharge.

The respiratory department works closely with the Consultant Microbiologist in the Management and Control of TB and HIV.

The Specialty

Lung cancer surgery is performed in Southampton General Hospital. The Thoracic Surgeon, Dr Martin Chamberlain, visits four times each year. Surgery is provided to NSF guidelines. The hospital participated in the NLCA (National lung cancer audit) and our performance ranks among the best performing centres nationally. PET-CT scans are performed at Southampton, and we have an electronic link for sharing x-ray and CT images. Weekly lung cancer meetings are held are attended by the following: Consultant Radiologists (Salman Zaman), One Consultant Histopathologist Miklos Perenyi or Bruce Lyons), Consultant Respiratory Physician (this post), Consultant Medical Oncologist (Mohammad Butt) Nicola Bailache Associate Specialist Palliative Care, MDT coordinator who helps organising the meeting and keep records. There are 3 Consultant General Histopathologists (as above) providing general histology and cytopathology, and there is full laboratory back up for immunohistochemistry. There is access to specialist referral centres for molecular and gene analysis of tumours.

We have close links with Southampton to coordinate the management of interstitial lung disease and severe Asthma, the successful applicant will have the opportunity to develop further tertiary links.

The respiratory service is supported by the ambulatory care service located and supported by the acute medicine physicians delivering ultrasound guided pleural procedures including pleural aspirations, ambulatory drainage and pleurex drains.

An Endoscopy unit is based at Jersey General Hospital consisting of two procedure rooms, the Respiratory Medicine service has dedicated bronchoscopy sessions within this unit. Respiratory Medicine has access to the Medical Day Unit providing day case treatments Monday – Friday consisting of 5 treatment couches. The island has a dedicated chemotherapy unit with clinical oncologist & medical oncologist support on island.

Palliative care facilities are provided by a charitably funded body called Jersey Hospice Care and operates from an independent facility called Clarkson House. Jersey Hospice Care provides in-patient beds for respite services both hospital discharges and in the community. An Associate Specialist in Palliative Care with nursing support has recently been appointed with responsibility and funding split between the Hospice and Hospital.

The respiratory service in Jersey has a close links with Southampton to coordinate the manage interstitial lung disease.

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 Natalia Miller

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 Respiratory 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, AAU

Dr I Bodzioch, AAU

Dr J Vaz, AAU

Dr K Dabeedin, AAU

VACANCY, Care of the Elderly

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

VACANCY, Oncology

Dr J Grose, Palliative Care

VACANCY, Renal Medicine

Dr S Alapati, Respiratory Medicine – Due to start substantive post 1st September 2025

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 10 PA contract for public work. The final job plan will be agreed with the Consultants in the Department, the Clinical Lead, Chief Operating Officer 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.

Direct Clinical Care: 8.5

Supporting Professional Activity: 1.5

Out of Hours Requirements (In Lieu of On Call): 1:8

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

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

Higher Specialty qualification: MRCP & FRCPath or equivalent Qualifications for Specialist Registration

Applicants that are UK trained, must ALSO be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview.

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

Relevant experience at a Consultant level in a similar setting

Higher Degree MSc, MD or PhD or equivalent

ALS/ATLS trained

Leadership skills in managing change in haematology services

Respiratory Medicine SCE

General Experience

Essential: 

Broad experience in General Medicine and Respiratory Medicine

Experience of providing Respiratory service in similar geographical locations

Enthusiastic Teacher

Desirable: 

Management Responsibility / Leadership Experience

Specialist Experience

Essential: 

Bronchoscopy

Maintaining NIV service

Maintaining a CPAP service

Desirable: 

Pleural u/s chest drain insertion (seldinger and surgical)

Sleep study

Leadership and Management Skills

Essential: 

Ability to work flexibly with colleagues to develop & provide Respiratory services

Evidence of Clinical Leadership

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.

Hepatitis Vaccination.