Consultant Endocrinologist
This is a new Consultant post in the Department of Endocrinology, which is part of the Directorate of
Specialist Medical Services based at the Manchester Royal Infirmary. The post holder will provide a
Consultant service in Endocrinology, and will be expected to develop interests to complement those of
the existing members of the Consultant staff within the department.
Post Title:
Consultant Endocrinologist
Based at:
Department of Endocrinology
Division of Specialist Medicine
Manchester Royal Infirmary
Manchester
M13 9WL
Programmed Activities:
10 per week
This is a 10PA job plan. Any Consultant who is unable for personal reasons, to work full-time will be
eligible to be considered for the post. If such a person is appointed, modification of the job content will be
discussed on a personal basis with the Trust.
Terms of Post
This is a Consultant Endocrinologist position planned to work closely with the existing Consultants and
Specialist Nurses in the Department. We are strengthening the existing tertiary level Endocrinology
service at Manchester Royal Infirmary and this post will help to further develop a strong academically
oriented department.
The appointee would be expected to develop their sub-speciality interests to complement those already
provided in the department.
Key Duties and Responsibilities

The appointees will have 10 Programmed Activities (PA) weekly at Manchester Royal Infirmary
(MRI) made up of 8.0 DCC and 2.0 SPA. The DCC includes 4.5 clinical activity based sessions in the
outpatient department and provision for MDTs, Ward Rounds and Administration. The 2.0 SPA
sessions consist of 1.0 core SPA requirement and in keeping with the high profile research output of
the department, 1.0 SPA per week for a research / teaching interest.

To ensure that the post provides the expert level of service we are looking for in Endocrinology, there
is only very limited specialty on-call included in the job plan and the appointee will not be expected to
take part in the general medical on-call or acute take.

The appointee will be expected to assume Consultant responsibility for a proportion of the current
outpatients registered to the Endocrinology service and to contribute to inpatient ward rounds and
consultations around the hospital.

The Consultant will be expected to develop further specialisation within their area of expertise with
opportunities for leadership, and to contribute to the relevant multidisciplinary meetings.

The appointee will be expected to develop clinical research in endocrinology, and / or an interest in
education, in keeping with Manchester Royal Infirmary’s status as a major teaching hospital.
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General

The appointee will be expected to undertake both undergraduate and postgraduate teaching, both
inside and outside the Trust.

The appointee will participate in administrative and management roles of the department in
conjunction with other Consultants.

The Consultant will be expected to provide Consultant cross-cover for annual/study leave and shortterm sickness for other Consultants in the department on a rotational basis.

A suggested job plan is shown below (Appendix 1). The timing of clinical sessions is indicative and
may vary dependent on discussion with the successful appointee and requirements of the service.
The proportion of different clinical / non-clinical activities and SPA time will remain as stated in the
suggested job plan.
Emergency work and On Call arrangements
There is a rotational arrangement for provision of Endocrinology consultant advice, normally by
telephone, for in-patients in CMFT (1 week in 5). There is no other on-call commitment.
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CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
Central Manchester University Hospitals NHS Foundation Trust (CMFT) is a major teaching Trust with six
hospitals, five of which are based on the Oxford Road corridor adjacent to the University of Manchester:

Manchester Royal Infirmary (MRI)

Manchester Royal Eye Hospital (MREH)

St. Mary’s Hospital (SMH)

Royal Manchester Children’s Hospital (RMCH)

University Dental Hospital of Manchester

Trafford Hospitals
The Trust has recently undergone a comprehensive re-building programme through the completion of one
of the largest PFI initiatives in the NHS. The programme, which was completed in 2009, has provided
new facilities for surgery and medicine, obstetrics/gynaecology, ophthalmology and children’s services, all
which are based in specialist hospitals on the Central Manchester site.
The site now consists of four distinct hospitals combined in one facility, namely Manchester Royal
Infirmary, St Mary’s Hospital, Manchester Royal Eye Hospital and the Royal Manchester Children’s
Hospital. Trafford General Hospital also forms part of the Trust and is approximately 5 miles to the west.
Manchester Royal Infirmary is a major teaching hospital. It is situated immediately adjacent to the campus
of Manchester Medical School and University of Manchester. Manchester Metropolitan University is also
in close vicinity. It covers a very wide range of supra-regional, regional and district specialities, including
nephrology, renal and pancreas transplantation (including pancreatic islet), cardiology and cardiothoracic
surgery. Saint Mary's Hospital, on the same site, houses regional genetics and regional obstetrics and
gynaecology. Manchester Royal Eye Hospital is the largest eye hospital in the UK, outside London. Royal
Manchester Children’s Hospital is the largest children’s hospital in Europe.
Research and Innovation
The vision of CMFT is to become the leading integrated health, teaching, research and innovation
campus in the NHS. Within this context our aim over the next 5 years is to ensure that CMFT is one of the
top 5 NHS Trusts for research and innovation in the U.K. Our capacity for translation of research and
innovation into improved patient care will be internationally recognised, both in its own right and in
partnership with Manchester Academic Health Science Centre (http://www.mahsc.ac.uk/). We have a
number of important assets to help us achieve this ambitious goal:

We have just completed a new hospital development, co-located with the University of Manchester
to create the largest biomedical research campus in Europe

The Manchester NIHR Biomedical Research Centre (http://www.cmft.nhs.uk/brc/biomedicalresearch-centre.aspx), a partnership with the University of Manchester, is one of 12 such elite
centres in the UK.

The Wellcome Trust Clinical Research Facility (WTCRF), purpose built for experimental medicine
research and incorporating an MRI research scanner suite, is one of only 4 in the UK with both adult
and paediatric facilities.

The Centre for Applied Diagnostics and Experimental Therapeutics, a multimillion pound new
development uniquely designed and built within the hospital to enable application of proteomics,
metabolomics and genomics to experimental medicine.

A recently opened and staffed Biobanking facility, now collecting a range of well phenotyped human
tissues for research within CMFT and across MAHSC.

The largest single site clinical sciences centre in the UK.

Our clinical research and innovation benefits from established partnerships with:
o TrusTECH, the NHS Innovation Hub in the Northwest
o MIMIT (Manchester Integrating Medicine and Innovative Technology), providing solutions to
unmet clinical need.
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o Manchester Medical Technologies Development Centre, designed to accelerate the development
of new devices and diagnostics
o Greater Manchester Comprehensive Local Research Network
o Medicines for Children Research Network
o ICON Development Solutions
o Wyeth Pharmaceuticals
o Science & Technology Facilities Council at Daresbury
These assets, coupled with a network of Clinical Division Research Leads and Research Managers
enabling research throughout the organisation, and a system of internal pump priming grants, provide a
first class environment for translational research in a hospital setting.
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Organisational Structure
For organisational purposes, the department sits within the Directorate of Specialist Medicine which in
turn is part of the Division of Specialist Medical Services. There is a separate Paediatric Endocrinology
service based at the Royal Manchester Children’s Hospital and regular transition clinics are currently run
every 8 weeks.
The key personnel and contacts are: 
Prof Julian Davis
Professor of Medicine and Consultant Endocrinologist

Prof Neil Hanley
Professor of Medicine and Consultant Endocrinologist

Prof David Ray
Professor of Medicine and Consultant Endocrinologist

Prof Peter Selby
Consultant Physician & Honorary Professor of Metabolic Bone Disease

Prof Fred Wu
Professor of Medicine & Endocrinology and Consultant Endocrinologist

Mr Jonathan O’Brien
Directorate Manager, Specialist Medicine

Miss Zoe Maher
Deputy Directorate Manager – Specialist Medicine

Mrs Sarah Rys-Halska
Matron, Specialist Medicine
There are weekly Consultant meetings held for the open discussion of clinical and research issues and to
plan the future development of services.
Department of Endocrinology
The department provides a local secondary care service to central Manchester (approximately 200,000
people), together with a regional and tertiary referral service covering a population of approximately 3
million for many aspects of Endocrinology including: pituitary disease, thyroid disease and thyroid eye
disease, reproductive medicine, adrenal and gonadal disease. There are joint clinics with reproductive
medicine (St Mary’s Hospital), endocrine surgery, paediatrics (transition clinic), and genetics, with a
specialist metabolic bone disease service. Multidisciplinary meetings are held regularly for pituitary
tumours, thyroid cancer, and neuroendocrine tumours, together with a variety of cross-city meetings with
colleagues at Christie Hospital and Salford Royal Hospital.
The Centre for Endocrinology & Diabetes encompasses all endocrinology within the Manchester
Academic Health Science Centre, and brings very close collaborative and clinical links with Professor
Peter Trainer and Dr Claire Higham working at the Christie Hospital, and Dr Tara Kearney and Kanna
Gnanalingham (pituitary neurosurgeon) working at Salford Royal Hospital.
Consultant Endocrinologist Team
Consultant
Prof Julian Davis
Prof Neil Hanley
Prof David Ray
Prof Peter Selby
Prof Fred Wu
Specialism
Pituitary disease
Developmental endocrinology
Adrenal disease
Metabolic bone disease
Reproductive endocrinology, Andrology
The multi-disciplinary team also comprises three specialist nurses, two in general endocrinology and one
in osteoporosis, and access to beds for programmed endocrine investigations.
Our rotational junior doctors currently include:

2 Specialist Registrars (rotate every six months)

1 GP specialty trainee
Research registrars also contribute to the running of some clinics.
5
Further development of the Department of Endocrinology is planned during 2014 with relocation on the
CMFT site to allow amalgamation with the Manchester Diabetes Centre in newly refurbished
accommodation to create a Centre for Endocrinology & Diabetes. The Manchester Diabetes Centre,
established by Professor Andrew Boulton, currently President of the European Association for the Study
of Diabetes, was amongst the first of its kind and has one of the largest practices in the UK (e.g. for
insulin pumps) and international recognition for some of its clinical services (e.g. diabetic foot disease and
neuropathy). The exciting plan for amalgamation involves new consultant appointments in both
Endocrinology (this post) and Diabetes (recently recruited), and provision of a dedicated endocrine testing
unit.
There is a full administrative support team managed by experienced medical secretaries. Personal
computer and internet access is provided. There is no requirement for additional out-patient staff to
support this role.
Workload
The department attracts referrals from throughout the Northwest of England. The new appointee, whilst
servicing the general workload, will also be expected to strengthen and develop the tertiary referral
practice.
Activity has increased in the Endocrinology department year-on-year as the Trust attracts increasing
numbers of referrals for tertiary Endocrinology services. Activity figures are shown below.
Point of Delivery
2013/14
OP First Attendances
OP Follow-Ups
869
3,075
2014/15
Plan
931
3,296
Research and Innovation
Central Manchester Foundation Trust aims to be the leading hospital for research and innovation in the
NHS. It has a proactive Research and Innovation Division and several recent major developments have
included re-launch of the Manchester Biomedical Research Centre. The Trust is committed to supporting
consultants to develop research interests, and support for this may be available in future job plan reviews.
The Department of Endocrinology pursues an active research programme. Existing consultant staff hold
substantive or honorary academic appointments with the University of Manchester (UoM). Across the
Faculties in UoM there are over 20 Professors and numerous externally funded fellows working on broad
aspects of the specialty in the Centre for Endocrinology & Diabetes. Current research grant funding (e.g.
from MRC, BBSRC, Wellcome Trust and EU) is in excess of £20m with publications in leading journals.
The Centre is currently led by Prof Neil Hanley. The appointee will therefore have excellent, vibrant
opportunities to develop his/her own research interests and will be expected to contribute to his/her
chosen field.
Teaching
The appointees will also be expected to teach undergraduates in their clinical years, especially third and
final year medical students on ward placements. There is also opportunity to supervise individual students
during student selected modules and project option modules. The current Associate Hospital Dean is Dr
Martin Prince.
Postgraduate Training
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The Centre for Endocrinology and Diabetes currently has four specialist registrars on the Northwest
Deanery training programme, two in Endocrinology & Metabolism and two in Diabetes. The Northwest
Deanery programme in Endocrinology & Diabetes ranks nationally as one of the best for satisfaction and
has ACF and ACL opportunities. The appointee will be expected to contribute to postgraduate training
and teaching of junior medical staff within the department. There already exists a structured programme
of postgraduate training opportunities and the appointees will be expected to take part in these. There are
also opportunities to train as a clinical supervisor or educational supervisor for postgraduate trainees. The
appointees will be involved in the teaching of Endocrinology at all levels, including PACES candidates. An
active PACES course is provided for junior staff in training. Manchester Royal Infirmary acts as a focus for
postgraduate education in Endocrinology. The appointee will be supported to make a contribution to
postgraduate training, including the teaching of the Regional Specialist Registrars in Endocrinology.
Clinical Audit and CME/CPD
The post holders are expected to take responsibility for their own continuing professional development
and take part in continuing medical education activities. The Trust supports the requirements for medical
education and standards laid down by the Royal College of Physicians. The Trust is committed to
providing both the time and financial support for these activities.
The Trusts support the requirements for Continuing Medical Education as laid down by the Royal College
of Physicians and is committed to providing time and financial support for these activities. The appointees
will be expected to attend and participate in the rolling clinical governance programme of the Specialist
Medical Division. The post holders are expected to take responsibility for their own continuing
professional development and take part in continuing medical education activities. The Trust supports the
requirements for medical education and standards laid down by the Royal College of Physicians. The
Trust is committed to providing both the time and financial support for these activities.
The post holder will be expected to be committed to the concept of lifelong learning and produce and
maintain a personal development plan in agreement with the Clinical Director.
Colleague Cover
Consultants are expected to cover colleagues for annual leave, study leave and short-term sickness
absence.
Job Plan
The exact duties of the appointees will be subject to discussion, but a proposed programme of weekly
sessions is outlined in Appendix 1. It is based on a working week of 10 PAs (units of Professional Activity)
in accordance with the Terms and Conditions – Consultants (England) 2003. It is expected that PAs will
be worked flexibly.
The duties are subject to review annually and at other times if required in the light of the changing
requirements of the service and will be subject to discussion with the successful applicant. The Trust
would grant appropriate study and professional leave in line with the Terms and Conditions of Service.
External roles should be discussed with the Clinical Manager prior to acceptance.
Appraisal
All Consultants are expected to undergo annual appraisal and job plan review. Appraisal will normally be
arranged with suitably trained Consultants within the Division of Medicine. Job plan reviews will take
place with the Clinical Director for Specialist Medicine.
Maintaining Medical Excellence and Clinical Governance
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The Trust is committed to providing safe and effective care for patients; there are agreed procedures
within the Trust for the reporting and monitoring of either actual or potential adverse incidents. All
employees are required to comply with these policies.
Infrastructure
Secretarial support and office space will be provided. Support from other medical staff is already in place.
Disclosure of Criminal Background of those with Access to Children and/or Vulnerable Adults
All NHS employers are required to check with the Criminal Records Bureau the possible criminal
background of staff and volunteers who apply for work with vulnerable patients. It is a requirement of the
post that such a check be undertaken, successful applicants will be asked to complete and sign a
Disclosure Form giving permission for the screening to take place.
Having a criminal record will not necessarily bar you from working with the Trust. This will depend on the
nature of the position and the circumstances and background of offences.
Visits to the Hospital
Candidates are encouraged to visit the Department and discuss the post with prospective colleagues.
Initial points of contact are detailed below:
Prof Julian Davis – Professor of Medicine
Prof Neil Hanley – Professor of Medicine
Prof David Ray - Professor of Medicine
Prof Peter Selby – Professor of Endocrinology
Prof Fred Wu – Professor of Medicine & Endocrinology
Mr Jonathan O’Brien – Directorate Manager
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Tel 0161 275 5181
Tel 0161 275 5180
Tel 0161 275 5655
Tel 0161 276 6330
Tel 0161 276 6328
PERSON SPECIFICATION – CONSULTANT ENDOCRINOLOGIST
Requirements
Qualifications & Training
MBChB or equivalent
Postgraduate qualification (PhD PhD
desirable , otherwise MD essential) or
equivalent
Completion of basic training Medicine
Completion of higher training (CCT or within
6 months of obtaining CCT in Diabetes at
time of interview)
Teaching and Audit
Teaching of medical students
Experience of Audit
Teaching of junior medical staff
Ability and experience to teach clinical
skills
Experience of supervising SpR’s
Academic Achievements and Research
Publications in recognised relevant journals
Research projects relating to the specialist
area
Interpersonal Skills
Essential /
Desirable
Method of
Assessment
Essential
CV
Essential
CV
Essential
CV
Essential
CV
Essential
Desirable
Essential
CV, Interview
CV, Interview
CV, Interview
Essential
CV, Interview
Essential
CV, Interview
Essential
CV, Interview
Desirable
CV, Interview
Organisational skills
Essential
Communication skills
Essential
Leadership skills
Essential
Management & Administration Experience
Ability to organise and manage a busy
clinical practice
Ability to manage and lead a medical firm
Management training
Other Requirements
Specialist Registration with the General
Medical Council and Licensed to Practice
Completed by: Professor Julian Davis.
Essential
Interview, Refs
& Presentation
Interview, Refs
& Presentation
Interview, Refs
& Presentation
CV, Interview
Essential
Desirable
CV, Interview
CV
Essential
CV, Interview
Candidates Name:
Candidates Signature:
Date:
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Please state whether or
not you meet the criteria,
providing brief details…
Appendix 1
Central Manchester University Hospitals NHS Foundation Trust
Locum Consultant Endocrinologist – Job Plan
DAY
START
END
LOCATION
0900
1100
MRI
Monday
1100
1300
MRI
Tuesday
1300
1500
0900
1200
1400
0900
1230
1500
1700
1200
1400
1700
1100
1330
MRI
MRI
MRI
MRI
MRI
MRI
PGC
1400
1700
MRI/St
Mary’s
Hospital
0800
1030
1000
1200
MRI
MRI
1200
1400
MRI
1400
1700
MRI
1700
1800
MRI
0830
1300
1230
1700
MRI
MRI
1300
1700
MRI
Wednesday
Thursday
Friday
WORK
SPA – Research Interest /
Teaching
Telephone Clinic Review
with Specialist Nurse
Administration
Andrology MDT
Endocrine Ward Round
MDT/Unit Meeting
Outpatient Clinic
Administration
Grand Round
Joint clinics: Endocrine
Surgery Clinic (weeks 1 &
3); Reproductive Medicine
Clinic (weeks 2 & 4)
Endocrine MDT
Administration
Core SPA – Job Planning /
Appraisal / Audit
Outpatient Clinic
SPA – Training - Diabetes
Seminar/Meeting
Thyroid Outpatient Clinic
Outpatient Clinic (Alt)
SPA – Teaching /
Research Interest (Alt)
CODE
PAs
S6 / S3(b)
0.5
C11
0.5
C11
C7
C2
C7
C2
C11
S2
0.5
0.5
0.75
0.50
0.75
0.50
0.25
C2
0.75
C7
C11
0.5
0.375
S3 / S4
0.50
C2
0.75
S2
0.25
C2
C11
1.0
0.50
S6 / S3b
0.50
Activity to be
worked
flexibly
Predictable
emergency
No formal on-call duties apply to this job.
on-call Work
Unpredictable
emergency
Telephone rota, low intensity, 1:5-1:6
on-call work
Programmed Activity
Direct Clinical Care
Supporting Professional Activities
Other Duties
External Duties
Total
Frequency of On-Call Rota
High: 1:1 to 1:4
Medium: 1:5 to 1:8
Low: 1:9 or less
Category A
8%
5%
3%
10
Number
8.0
2.0
0.0
0.0
10.0
Category B
3%
2%
1%
Category A applies where the consultant is typically required to return immediately to site when called or has to
undertake interventions with a similar level of complexity to those that would usually be undertaken on site, such as
telemedicine or complex telephone conversations.
Category B applies where the consultant can typically respond by giving advice and/or by returning to work later.
11