Consultant Diabetes and Endocrinology

Professional Responsibilities
It is a requirement of the post that holder comply with Trust policies and procedures, have (and maintain) GMC registration / licensing, and participate in a formal CPD programme (Royal College of Physicians Online CPD diary). The Trust supports the requirements for continuing professional development as lay down by the Royal College of Physicians and is committed to providing time and financial support for these activities.
The post holder must also participate in regular medical audit and in annual appraisal and job planning for revalidation (and to maintain a licence to practise) with the Clinical Director or one of the other qualified appraisers within the Trust.
The Trust has the required arrangements in place, as lay down by the Royal College of Physicians, to ensure that all doctors have an annual appraisal with a trained appraiser and supports doctors going through the revalidation process., For more information regarding the main responsibilities and requirements essential for this role please refer to the 'supporting documents' heading and review the job description and person specification which will outline the duties of the role including a proposed job plan.
Clinical Responsibilities
General (Internal) Medicine (Ward 9A)
The GIM/ Diabetes ward (9A) is on the Southport site and has 14 General Medical Beds. The ward has a varied case mix, including patients admitted for Endocrinology and Diabetes related problems. The ward is currently covered by two Consultant Physicians each consultant will be responsible for approximately 14 inpatients when "on-ward".
The consultants are supported by 1 Speciality Trainee (Diabetes & Endocrinology) and a post-MRCP specialty doctor, 2-4 Internal Medical Trainees /Foundation Year 2 trainees, and 1-2 Foundation Year 1 doctors. Consultants perform 3 ward rounds per week. It is expected that ward patients not reviewed by a consultant will receive daily review by a junior member of the ward medical team (typically StR or IMT). Board rounds on non-ward round days may also be needed at times.
The post holder will share in the responsibilities for ward governance and trainee supervision.
Out of hours / Weekend work
Acute medical emergency referrals are seen on the emergency assessment unit either by a member of the acute care physician team or the on-call team. Patients requiring further treatment are transferred to either the short stay unit or a specialty ward for ongoing care.
The on call Medical Team, comprises 1 ST Grade, 2 IMT/F2 doctors and 1 F1 Grade, between 0900 - 2100hrs, there is support from the Acute Consultant Physicians and a ST doctor in Acute Medicine. The out of hours junior team comprises an F1, CT1 and ST doctor between 2100 and 0900hrs
The current rota comprises of a 1:14 commitment, this is currently organised as Physician of the Day where-by the Consultant on-call has their standard day duties are cancelled and they are required to undertake the post-take ward round (PTWR) for patients in ED and/or AMU referred to medicine and those awaiting an inpatient bed (with a decision to admit) This is supported by the AMU team. The expectation is up to 15 patients on a PTWR per consultant. The PTWR consultant is supported by an F1 trainee. Typical medical admissions are 15-40 patients over 24 hrs.
The on-call consultant is expected to stay on site until 1900hrs weekdays and 1700hrs weekends. When off-site, the on-call physician must be available to take calls if needed. If significant on-call involvement has been required out-of hours (including attending hospital for a significant time), clinical sessions the following day may be cancelled at the discretion of the clinical director.
There are also currently 2 support Consultant colleagues covering evening shifts 17-2130hrs on site, they undertake Post-Take Ward Rounds reviews for patients in ED and on AMU and provide support for junior on-call team as well as taking part in the evening on-call handover.
At weekends there are 2 additional consultants from 0900-1300hrs to assist with PTWR and discharges, these are not part of the general on-call rota.
The on-call attracts a 3% on-call supplement and 0.468 PAs for the weekend on-call and 0.22PAs for the weekday resident element. The on-call commitment would be in addition to the 10PAS of daytime activity, however the Trust would be willing to negotiate this with the successful applicant. Following an on-call, time off in-lieu would be considered if desired.
Outpatient Specialty Work (Diabetes and Endocrinology)
The successful applicant will participate in a rota which will ensure the ward (9A) has consultant input Monday to Friday. During this week the "On-Ward" consultant would also undertake outpatient clinics, which would usually be New Patient clinics. The retention of one specialty clinic during that week is possible.
The "Off-ward" Consultant will deliver more outpatient clinics, including new, follow-up and specialty clinics.
Rotation between ward and off-ward will be 1:3 or 1:4 weeks depending on successful recruitment.
The successful applicant will contribute to general Endocrinology with 1-2 outpatient clinic per week, and 1-3 weekly diabetes clinics as part of their 10.0 PA job plan. Additional specialty sessions (in both Diabetes and Endocrinology) are negotiable. New patient clinics typically review 6 patients (additional if specialty trainee present), whilst follow-up clinics are around 10 patients (additional if trainee present).
There will be opportunities to develop a specialist interest within diabetes. The service is looking to develop in 2 areas of care; Diabetes foot care and Diabetes maternity care and we would encourage application for candidates with an interest and/or experience in these areas.
Opportunities exist to subspecialise in other areas, including endocrinology. We currently offer general diabetes clinics, a diabetes pump service, a diabetes young-adults service and support the diabetes foot clinic (run by a Vascular surgeon) which we aim to expand with the appropriate support. Additionally, there is a joint Diabetes -Obstetric clinic with Obstetric colleagues, again, something that we are looking to developed. We also have a monthly joint head and neck clinic with ENT, although this is under review.
There may be opportunity with prior discussion and agreement of the Clinical Director to do one or more of the allocated clinics in the evening in lieu of time back.
Audit and Education
The successful candidates will be expected to participate in regular departmental and national audits, as well as meeting their appraisal and revalidation requirements There is also a requirement to participate in departmental and trust governance meetings. There is a weekly medical teaching session and a monthly governance meeting which the appointees should attend.
The Post Graduate Education Centre has a purpose-built lecture theatre, 3 seminar rooms and a library, including electronic databases and internet access.
The Trust has been one of the providers of clinical training for undergraduate medical students from the University of Liverpool.
There is a varied programme of lectures and seminars and sub-specialty educational meetings.
Thank you for considering an application to work for Mersey West Lancashire NHS Trust. You are part of an exciting and forward-thinking NHS Trust who are one of the best places to work for in England.
Given sometimes we receive a high volume of applications to work for us, please be aware, that we may close a vacancy earlier than stated should a sufficient number of applications be received from which a shortlist can be confirmed. Therefore, you are advised to apply at your earliest convenience.
The Trust may contact you during the recruitment process for your feedback on your experience. We always aim for continuous improvement in our practice.
Equality, Diversity, and Inclusion
We actively cultivate a professional environment of fairness, equality, dignity, and respect for all individuals. We welcome individuals from all backgrounds and value the unique skills, perspective and experience you bring. We are grounded in the belief that diversity enhances our collective strength, fostering innovation and excellence within our workforce. We welcome all applications irrespective of people's race, disability, gender, sexual orientation, religion/belief, age, gender identity, marriage and civil partnership, pregnancy/maternity and in particular those from under- represented groups.
As a Disability Confident Leader, we commit to offering an interview to all disabled applicants who meet the minimum criteria for the job (the essential criteria) listed in the personal specification. If you wish to apply under this Guaranteed Interview Scheme, please indicate this on the online application form.
If you are having difficulty completing an online application, or require any disability reasonable adjustments, to the application process, please contact [email protected]
We also commit to offering an interview to all armed forces veterans who meet the minimum criteria for the job (the essential criteria) listed in the personal specification. If you wish to apply under this Guaranteed Interview Scheme, please indicate this on the online application form.
The Trust operates anonymous shortlisting where no personal information about you, including your name or personal details are shared with the recruiting manager. No equality information is shared at any time during the recruitment process with the recruiting manager or other people involved in the decision-making process.
The equality monitoring information you provide is used in the following situations: to review our recruitment practices; where a job is limited to a specific person to verify their eligibility to apply; and to offer disability reasonable adjustments to the recruitment process.
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).
Following the recent update on UK immigration policy for those on a Health and Care Visa or Skilled Worker Visa, please click here to check your eligibility before applying for this post as we may be unable to provide sponsorship.
Disclosure and Barring Service Check
If this post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 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.
Please note if applicable, applicants will be required to pay for their DBS check. Costs are deducted from salary following appointment.
If you have not already done so, you are therefore encouraged to enrol for the DBS Update Service to which a small annual fee of £13 per year applies.
Flexible Working
We actively support flexible working patterns throughout MWL. Changes made to the NHS Terms and Conditions of Service Handbook mean that:
· All employees have the right to request flexible working from day one of employment.
· There is no limit on the number of requests they can make.
· Employees have the right to make requests, have them considered, regardless of the reason.
At Mersey and West Lancashire Teaching Hospitals NHS Trust, we will consider requests for flexible working. We would also encourage you to also discuss flexible working options at interview stage.
Working for Team MWL
Staff recognition is especially important to us; as well as performance reviews and appraisals, we recognise staff through Employee of the month. Along with supporting you to achieve your career goals we offer a generous pension scheme, unsocial hours payments (where applicable), 27 days annual leave on commencement (pro rata) and access to a range of NHS discounts. Our Staff Health and Wellbeing programme offer a variety of services.
The Trust is a non-smoking across all our sites. Failure to follow this rule could lead to disciplinary action. For more information, see the Smoke Free NHS website
You must ensure that your application, including personal statements and behaviour examples, are truthful and factually accurate. Please note plagiarism can include presenting the ideas and experience of others, or generated by artificial intelligence, as your own.
The Trust will not accept applications which are found to be AI generated.
Additional Information
Before applying, we encourage you to review the Trusts Values and Behaviours which are We are KIND, We are OPEN, We are INCLUSIVE, which can be found here.
An applicant guide to help and support you with your application and what to expect during your recruitment journey can be accessed in the supporting documents.
Good luck with your application. We hope to welcome you to Team MWL very soon.

We are looking to recruit a highly motivated, enthusiastic Consultant in Diabetes & Endocrinology. This new post will help develop the diabetes and endocrine services at the trust, alongside this recently expanded team. Diabetes and Endocrinology outpatient clinics are a key part of this role. We are looking to develop and expand our Diabetes foot service and our Diabetes maternity services and seek candidates interested in these areas. Other diabetes sub-specialty interest clinics can also be accommodated.
This post also supports the General medical on-call rota and ward cover and a regular commitment to this is part of this role. A pattern of a Ward week and non-ward weeks model rotating over a 3-4 week pattern. The ward has a varied case mix, including patients admitted for Endocrinology and Diabetes related problems. The remaining "non-ward" weeks would focus on delivery of specialty outpatient clinics.
Applicants are required to hold Membership of the Royal College of Physicians (UK or equivalent qualifications), to be fully registered with the General Medical Council, and to be on the Specialist Register or due to obtain their CCT within six months of the date of interview. CESR candidates must have written GMC confirmation of successful application.
Interviews will take place on Tuesday 4^th February 2025

Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 9000 dedicated and skilled staff across 21 sites.
We strongly believe that the communities we serve should all have access to Five Star Patient Care.
Our services:
Acute Care
Providing emergency and maternity services at Whiston, Southport and Ormskirk hospitals, and medical and surgical specialties across all our sites.
Primary Care
Providing primary care services at Marshalls Cross Medical Centre situated in St Helens Hospital.
Community Services
Providing adult community services for St Helens and a wheelchair service in Chorley, South Ribble, and West Lancashire. Our inpatient unit at Newton Community Hospital is where patients needing acute hospital beds can continue rehabilitation, freeing up space for more unwell patients. We also provide urgent care at our Urgent Treatment Centre located in St Helens town centre.
Specialist Regional Services
We provide the Mersey Regional Burns & Plastic Surgery Unit at Whiston Hospital and the Spinal Injuries Unit at Southport Hospital to more than 4 million people across the whole of Merseyside, West Lancashire, Cheshire, Isle of Man and North Wales.
Achievements:
+ Rated Outstanding by CQC Inspection August 2018
+ Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
+ National Preceptorship Accreditation (2023) for Nursing & AHP Preceptorship Programme