Locum Consultant Physician in Acute Medicine & Nephrology


Company:	NHS Jobs
Salary:	£113,565 to £150,569 a year
Hours:	Full-time
Location:	London, SE13 6LH
Job type:	Contract
Posting date:	9 Nov 2026
Closing date:	29 Nov 2026

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Summary

a. Clinical Responsibilities Acute and General Medicine The majority of direct clinical care and supporting professional activity time will be spent working on the Acute Medical and Ambulatory care unit, where they will lead the multiprofessional team in the management of the acute medical patients. It is expected that they will lead ward rounds, direct the management of patients, assess patients, perform practical procedures, teach both junior medical and other staff, attend multidisciplinary meetings, take part in the governance activity of the department, participate in the management and administration of the service and liaise with other professionals both within and outside the trust as required. Ambulatory care will involve supervising treatment and observation of ambulatory patients selected from the medical take. It will also include the provision of scheduled urgent care such as rapid-access specialist clinics, urgent diagnostics and planned treatment sessions. b. Clinical Responsibilities Nephrology The post-holder will have clinical responsibility for approximately 50 patients (half the cohort) receiving outpatient haemodialysis at the Lewisham Dialysis Unit which is a satellite unit of the Guys Hospital renal service. Although located within University Hospital Lewisham, the unit was built and is managed by Diaverum as part of a joint venture with Guys and St. Thomas NHS Foundation Trust. This has been a very successful collaboration over many years. The post-holder will work with Dr James Pattison, Consultant Nephrologist to divide the patient cohort to best mutual convenience. The dialysis unit is located within the hospital, and inpatients can therefore be dialysed in the Lewisham Unit according to a Standard Operating Procedure developed by both Trusts. The post-holder will be the key renal opinion for inpatients at University Hospital Lewisham and therefore has a real opportunity to further develop the service for acute dialysis and be the link between the Trusts. Guys and St. Thomas provide a weekly general nephrology clinic at University Hospital Lewisham, and the post-holder will take over an alternate week responsibility including prospective cover, with Dr Nick Mansfield. The post-holder will be expected to contribute to vetting new referrals. The service links closely with clinics at Guys including subspecialty work and patients transferring to the Advanced Kidney Care (low clearance) Clinic. The post-holder will be involved in modernising the clinic and referral pathways according to a mixed virtual and face to face model. The post-holder will also contribute to the ward cover rota and Guys and St Thomass Hospital as outlined in the above job plan. This involves comprehensive acute nephrology and transplant expertise although all consultant nephrologists on the rota frequently seek advice from colleagues: we pride ourselves on being an extremely supportive unit. As a new member of the team, the post-holder will be assigned a mentor and have access to the GSTT new consultants programme. Renal Clinical Networks are a recent national focus of NHS England, whilst the South London Renal Clinical Alliance of all the South Thames units has been active for over 8 years with several work streams in service improvement. As the South East London partners in the Alliance, Guys and St. Thomas are working closely with Kings College Hospital and partners in both University Hospital Lewisham and Queen Elizabeth Hospital Woolwich to ensure a consistent high quality renal service across the sector: the post-holder will be key in contributing to and strengthening these networks.

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