Job Description

JOB DESCRIPTION Job Title:

CONSULTANT DERMATOLOGIST Report to: Clinical Director Accountable to: Chief Executive Officer Lighthouse Medical Ltd. Job Purpose: To undertake new and follow up consultations of patients referred to the IOW Dermatology Service by GPs in accordance with guidance from the ICB and Clinical-service lead. This will include diagnosis of the full range of dermatology conditions and initiating medical and surgical treatments. Expected Performances & Indicators Knowledge & Skills Broad knowledge and experience of medical and surgical dermatology, including management of acute dermatoses.



A particular interest and expertise in skin cancer diagnosis and treatment. Clinical training and experience equivalent to that required prior to gaining of UK CCST in Dermatology. Ability to offer an expert opinion on the full range of dermatological problems. Ability to take full and independent responsibility for the clinical care of patients.



Ability to safely oversee and share care of patients with chronic skin problems with nursing and other staff. Supervised training of ST Doctors. Teaching and Training Ability to work with, and supervise noncareer grade staff, registrars, and specialist nurses. Ability and experience to teach clinical skills.



Ability to supervise research. Management & Audits. Ability to assist in the efficient and smooth running of the Dermatology service. Ability to organise and manage your own day to day service delivery e.g.



out-patient priorities and dermatological surgery lists. Ability to manage and lead strategic developments in service delivery with appropriate Experience of audit and evidence-based management of clinical problems. Ability and willingness to work within LMLs and NHS performance framework and targets. Research & Publications Ability to apply research outcomes to clinical problems.



Ability to supervise research projects. Personal Skills & Qualities Caring attitude to patients. Good personal interactive communications skills: clarity of expression and purpose. The ability to work as a team member.



Acceptance of management and administrative duties by working within a structured team for the greater good. Commitment to Continuing Medical Education and the requirements of Clinical Governance Has the ability to travel between clinical sites during duties. Clinical Governance To have a broad understanding of all elements of, and a commitment to the principles of Clinical Governance Standards. To have a thorough knowledge and demonstrable understanding of Good Medical Practice from the GMC.

Main Duties and Areas of Responsibility:

All consultants in the department have a continuing and individual responsibility for the care of patients in their charge and a general responsibility to provide, in conjunction with their colleagues, an effective dermatology service to meet the needs of the local population, within the resources available. Key tasks: Maintenance of the highest clinical standards in medical and surgical dermatology Provision of out-patient services in dermatology at The Lighthouse Clinic. Sharing with colleagues the provision of dermatology advice to medical and surgical inpatients Working with colleagues, both medical and nursing, to improve and advance the dermatology service Sharing with colleagues the responsibility for the management of the Dermatology Department. Teaching and training of dermatology trainees, junior medical staff, nursing staff, primary care colleagues and medical students Actively participate in both departmental and LML matters concerning clinical governance and audit Having responsibility for ensuring active participation in continuing professional development (CPD).



Contribute to LMLs teaching of its own clinical support staff, nursing, GP, Higher Specialty Training for external groups where required. In addition, there are many opportunities to support the multi-professional teaching and development. The Consultant will be expected to participate in audit projects associated with the department. Medical audit month and attendance of clinical meetings is mandatory.



Will participate in clinical governance activities, risk management, clinical effectiveness and quality improvement program activities as Required. Attend Medical Meetings or MDT as directed by service specifications or local/reginal NHS directives. The post holder will: Have a continuing and individual responsibility for the care of patients in their charge and a general responsibility to provide, in conjunction with their colleagues, an effective dermatology service to meet the needs of the local population, within the resources available. Undertake new and follow up consultations including a full assessment of the medical condition, the patient's concerns, and expectations.



The post holder will enter full details of history, examination findings, diagnosis, and treatment plan in the case record. Follow care pathways for common skin problems as recommended by the service specification, NICE, BAD, GMC MAINTAINING GOOD MEDICAL PRACTICES. Prescribe treatment only for the presenting complaint and in accordance with the dermatology formulary and prescribing restrictions. Prescribe dermatology consultant lead treatment for the presenting complaint and in accordance with the dermatology formulary and prescribing restrictions.



Support and present patients to the PHU skin cancer MDT. Offer only those treatments or surgical procedures, which are within the scope of the contract between our client and the ICB, taking care not to undertake procedures which are excluded from the contract. Ensure that the patient and/or carers are fully informed about the condition, answer any questions, supply written information if available and involve them in decisions about the treatment. Dictate a letter or complete a template to the patient's GP at the time of the consultation for every patient and arrange to review the letters and amend as necessary to an appropriate timescale.



Discuss or refer a patient for a consultant opinion within the community service avoiding practice outside his - her level of competence. Undertake appropriate surgical procedures only after training and directly observed practice has taken place and been signed off. Order appropriate investigations, making sure that pathology request forms are filled in legibly with full clinical details. Take responsibility for seeing and acting on all results, including writing to the GP and patient.



Work with other members of staff to deliver a high quality, patient-centered service including attendance at staff meetings and clinical meeting. Participate in Audit and evaluation. Participate in teaching and training, particularly skill transfer to primary care staff. Undergo annual appraisal and participate in clinical governance.



Comply with GMC standards of Good Medical Practice. Work flexibly within the service to maintain a consistent standard, which may mean undertaking duties for other doctors who are on leave. Supervise nurse-led clinics within the department. Providing management advice for GPs where appropriate.