Specialty Doctor In Respiratory East Kent Hospitals University NHS Foundation Trust job in Ashford at East Kent Hospitals NHS Trust

Specialty Doctor in Respiratory East Kent Hospitals University NHS Foundation Trust

Company: East Kent Hospitals NHS Trust

Location: Canterbury UK

Date Posted:May 04, 2018

Queen Elizabeth Queen Mother Hospital, MargateWe are looking for ambitious forward-looking Specialty Doctors who have at least two years’ experience in Respiratory Medicine to join our expanding multi-disciplinary team.The Trust is one of the largest in the country, employing 8000 staff. The Trust serves a population of over 720,000 with an annual operating budget of £500m.We provide services on 3 acute sites at:William Harvey Hospital AshfordKent and Canterbury Hospital, CanterburyQueen Elizabeth the Queen Mother Hospital MargateIn addition there are two supporting hospitals at Dover and at Folkestone.The Respiratory DepartmentThe chest physicians are currently reviewing sub-speciality interests in East Kent and creating a Department of Chest Medicine spanning the three main hospitals with inpatient beds in WHH and QEQMH hospitals.The facilities for respiratory medicine in each of the three hospitals include the full range of diagnostic and therapeutic services for the management of common respiratory conditions. Modern bronchoscopy equipment in dedicated endoscopy units is available on each site. There is a comprehensive lung function laboratory in each hospital and we are in process of obtaining new lung function equipment at all 3 sites. Facilities for sleep studies are available at Kent and Canterbury and WHH. This will be expanded to QEQM hospital this year with new physiologist posts.A therapeutic CPAP Service has been developed at WHH supported by a technician. Acute in-patient non-invasive ventilation and a domiciliary NIV service is available from WHH and QEQMH. It is envisaged that a high dependency bays for NIV provision will be developed in the near future and the new appointee will be actively involved with that. There is a monthly NIV MDM at William Harvey Hospital involving the community and hospital respiratory nurses, the palliative care and the Respiratory physicians to discuss patients on home NIV. The latter is currently the only comprehensive domiciliary ventilation service in the Kent, Surrey and Sussex region, and was awarded the BTS Silver Jubilee Prize for innovation in 2007. There is also a Trust-wide specialist multi-disciplinary Neuro-muscular clinic (including MND) for respiratory assessment and management, based at William Harvey Hospital. An EBUS service is available on the Kent and Canterbury site and it is hoped that this will become available on all three sites over the next few years.A recently-expanded and fully-funded community based COPD service run by respiratory nurse specialists and dedicated respiratory physiotherapists provide a comprehensive service linking primary and secondary care across the Trust. It provides an admission avoidance and supported discharge programme with community support for patients on long-term oxygen therapy and non-invasive ventilation. It also operates pulmonary rehabilitation programmes across the Trust. There has been a significant increase in the number of respiratory nurses recently (totalling 10 at different bands) providing inpatient reviews of all COPD/ Asthma patients, oxygen assessment and review of patients who have domiciliary ventilation. These nurses also augment the sleep service. There is a community based TB nursing service with nurse led TB clinics in each of the three hospitals who also help supervise therapy and contact tracing. There are 4 TB nurses with a Rapid Access referral service and a monthly TB MDM.There is a weekly lung cancer MDM held at William Harvey Hospital, attended by a Thoracic Surgeon from Guy’s Hospital for patients from the Ashford and Shepway, with a similar one held at Kent and Canterbury for the patients from Canterbury and Thanet. The EBUS service was established in 2013 on the Kent and Canterbury hospital (K&C) site. There are 2 EBUS lists a week providing training to other respiratory consultants interested in EBUS as well as respiratory registrars. All sites offer a ward-based pleural ultrasound service and there is a dedicated weekly pleural clinic at WHH and QEQMH sites (including indwelling pleural catheter insertions). We intend to develop Medical thoracoscopy in the future. An interest/ experience in pleural procedures will be an advantage.There is a monthly Chest Forum, which is a Clinical &Business meeting.There are two Paediatricians specialising in respiratory diseases, particularly asthma, cystic fibrosis and TB. It is hoped to develop adolescent transfer clinics to provide continuity of care for respiratory disorders.This advert closes on Friday 25 May 2018 View full job description
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