Detailed job description and main responsibilities

• The successful candidate will have the opportunity to build a new patient workload and will be a key member of the consultant team in a very busy Respiratory Medicine department, undertaking the following:
• Ward rounds – The post holder will be responsible for up to 15 patients.
• Outpatient Clinics, including one general respiratory clinic and two specialist clinics. Clinic templates are 4 new and 8 follow-up patients. Colleagues considering additional to do other sub speciality interest would also be expected to do a combination of specialist and general respiratory clinics.
• Lung cancer services: We have a busy lung cancer service managed by 2 Respiratory physicians and supported by specialist nurses. We have weekly EBUS / Bronchoscopy lists, lung MDT and Sector MDT. We also have a dedicated weekly outpatient pleural clinic supported by a specialist pleural nurse. We are in the process of planning to expand this to include IPC insertion.
• The post holder is expected to support the existing lung cancer services and work with team of 2 lung cancer clinicians and extended specialist nursing team.
• Other sub speciality interests: There are opportunities to work with existing ILD / airways/ INTEGRATED Respiratory care team as part of developing other specialist interests. This could be further discussed if interested.
• There is a high dependency Respiratory care unit on one of the Respiratory wards cohorting all NIV / HFNO with appropriate nurse staffing support. We would expect the post holder to provide a supportive role in delivery of care for the unit.  
• There is currently no on call Respiratory service. However, during the COVID pandemic the Respiratory physicians have been providing a weekend ward round service covering the CPAP unit. There is a need to develop Respiratory on call service in near future which the department is working towards. Currently weekend respiratory ward rounds 1:6 are provided by existing consultants. There is an expectation to see respiratory inpatients as well as in-reach to medical admissions unit for review of respiratory patients requiring specialist input over weekends. The consultants also provide 1:18 General medicine overnight on call cover. There is no expectation to do general medical post take rounds.
• The department is extremely well supported by trainees. The department has 3 registrars one of which is an international training fellow affiliated to Edge Hill University. There are 2 FY1, 2 post foundation trust grade doctors, 2 IMT and 1 GPST trainee supporting the consultants.
• There are excellent opportunities to undertake Clinical Research activities if the post-holder wishes to do so. One of the existing consultants is the NIHR CRN Respiratory research lead. The department routinely partakes in both academic and commercial research and would be desirable for the new appointee to develop research interests and contribute to existing research activity. 
• The post holder will be expected to fulfil an accepted clinical role of a Consultant in a specialty and play an active role in the day-to-day management of the service as well as that of the directorate.
• The post holder will be responsible for approximately 14 beds. The post will share junior staff with the rest of the respiratory team (approximately twenty-eight beds are ascribed to the respiratory team). Post holder will have a weekly bronchoscopy / EBUS list.
• Medical patients who are outlied (outliers) to surgical wards are cared for by the physician who has been allocated the management of outliers on that specific ward. Currently we have employed two WTE physicians to look after outliers with no involvement required from the post holder.
• In addition to accepting the normal Consultant responsibilities for the treatment and welfare of patients under the care of the service, the Consultant will be expected to develop and maintain the necessary excellent liaison and working relationships with all other departments and agencies that are associated with the service both within and outside the Trust.
• The Consultant will be expected to play an active role in:
• The continuing development of all aspects of clinical work of the department and the quality of the service and methods of auditing these.
• Planning matters that involve the Directorate. 
• In addition to general clinical duties, the applicant will be encouraged to develop special interests within respiratory medicine. A special interest in developing services for interstitial lung disease would be particularly encouraged. The respiratory service is committed to training junior medical staff and also has two SPRs for respiratory medicine.
• The successful candidate will work as part of a team with the existing Consultants in Respiratory Medicine to deliver the high quality services required for Wrightington, Wigan and Leigh NHS Foundation Trust. 
• The successful candidate will be expected to demonstrate effective clinical leadership to departmental staff and medical students and to effectively participate in departmental meetings.
• The appointee is expected to be committed to the improvement of quality of clinical care in the Directorate and to participate in incident reporting, risk management and directorate clinical governance meetings. There are bimonthly specialty governance meetings.