Consultant in Acute Medicine


Company:	NHS Jobs
Salary:	£113,565 - £150,569
Hours:	Full-time
Location:	London, N18 1QX
Job type:	Permanent
Posting date:	29 Jul 2026
Closing date:	12 Aug 2026

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Summary

Indicative job plan An indicative job plan/timetable for this post with indicative Programmed Activities (PAs) is provided in the document attached, but this will normally be re-assessed after 3 months of appointment to ensure it meets the needs of the service. For a whole-time 10 PA contract: the baseline split is: Direct Clinical Care: 8.0 PAs on average per week (Clinical activity, clinically related activity, predictable & unpredictable emergency work) Supporting Professional Activities: 1.5 core SPAs (CPD, audit, teaching & training) and 0.5 Quality and Service SPAs to be agreed with appointee (assumed to be educational supervision). Anadditional0.5 SPA is available to all Consultant Staff subject to review and agreement for quality and service roles which must be approved prospectively by the ClinicalService Lead, or by the Medical Director for Trust-wide roles. Job plans are reviewed annually, and applicants are encouraged to study the provisions of the Consultant Contract for England 2003 under which this post is offered. Supporting Professional Activities (SPAs): Delivery of the highest quality service possible is the main priority of this department. This means integrating evidence-based practice, research, audit, and other aspects of clinical governance, particularly the delivery of quality training and risk management. There are many areas for service development and requirements for working with all healthcare professionals and specialties. There area number ofdifferent shifts within the annualised acute medicine consultant rota: the following description covers the shifts duties, the averageworkloadand the shift frequency. AMU: 0800-1700 (1.75DCC PAs + 0.5SPA PAsMon-Thu, 2DCC PAs + 0.25SPA PAsFri): 8-12am AMUward round(up to 16 patients), 12-13MDT, 13-15 SPA, 15-17board round and afternoon reviews[frequency: 65 shifts per year]. HOTSDEC: 0800-1700 (2.0 DCC PAs + 0.25 SPA PAs/day): named consultant for SDEC(new patients)supporting ANPs andresidentdoctors, holding referral & advice hot phone [frequency:16shifts per year]. COLDSDEC: 0800-1700 (2.0 DCC PAs + 0.25 SPA PAs/day):8-10 am Post-Take Round in ED, 10-17named consultant for SDEC (follow-up patients) andVirtual follow-up clinic[frequency:16shifts per year]. PTWR & Day Take: 0800-1700 (2.25 DCC PAs): 8-10 amPost-TakeRound in ED then named consultant for the medical take;11am and 3:30pm MDT huddles.The average medical take is 50-70patients/24h. [frequency: 33 shifts per year]. Additionalstandalone SPA activity (up to 2.25SPA PAs/day), orotherwise combined with the Adult Hospital at Home shifts (0.75DCC PAs+1.5 SPA PAs/day). Weekday Evening Take: 1700-2000 (0.83 DCC PAs) [frequency: 1 shift per month (on a fixed evening between Monday and Thursday), plus 1 in 14 Fridays]. AMU weekend: o Saturday 0800-2000 (4 DCC PAs) and Sunday 0800-1700 (3 DCC PAs) alternate with: o Saturday 0800-1700 (3 DCC PAs) and Sunday 0800-2000 (4 DCC PAs). oPost-takeround in ED then responsible for half of AMU (up to16 patients), medical take in the afternoon until the end of the shift. AMUAconsultant supporting SDEC. o 1.75 of SPA PAsfor the rest of the week, on a day of own choice. o Compensatory time off/zero hours is included following a weekend displacing normal clinical activity. o [The weekend frequency is 1 in 8]. We have adopted annualised job plans and the exact timetable of shifts areallocatedto take account of annual leave requests and other agreed specialty activities whilstmaintainingcover in all clinical areas. There are opportunities to swap with colleagues where the need arises after the rota is written. The exact allocation of shifts on the rota alsotakes into accountindividual skills and preferences across the Consultants contributing to the Acute Medicine Rota,egsome consultants contributing to a higher proportion of SDEC or take shifts.Acute Medicine covers 50% of theAdult Hospital at Homeweekdayrota: the workload is shared between interested consultants. Dedicated time for DCC admin duties (reviewing results, attending MDT meetings, dictating letters, virtual clinics, etc) is included in the AMU and SDEC shifts (0.25 PA per shift). On Call Duties There is evening and weekend scheduled working as per above shifts description. This post does not currently include participation in the overnight or weekend out of hours on-call rota, therefore no on-call supplement applies.

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