Consultant Endocrinologist West of England Gender Clinic

You will provide specialist endocrine advice to the clinics
medical and non-medical prescribing teams on medical readiness for GAHT,
treatment initiation, adjustment, monitoring and ongoing management. You will
advise on complex cases, including physical health comorbidity, treatment
complications, atypical blood results, contraindications, clinical risk and
uncertainty about treatment options.
You will review cases submitted through the agreed referral process, provide
documented specialist recommendations and contribute to multidisciplinary
discussion when required. This includes advising on individualised care for
people with non-binary gender goals and liaising with primary, secondary and
specialist services where needed.
You will contribute to the weekly hormone prescribing forum, offering
case-based advice and teaching as time allows. You will also support the
development and specialist review of prescribing guidelines, standard operating
procedures, clinical protocols, shared-care agreements and teaching materials.
The role includes supporting prescriber education and safe practice, and
contributing to clinical governance, audit, quality improvement and service
development relating to endocrine care and prescribing.

Please refer to the full Job Description and Person specification attached to this advert which will provide further information on this role.

Essential criteria
- Substantial experience in clinical endocrinology at specialist level. Experience of initiating, monitoring and adjusting hormone treatment. Ability to interpret endocrine investigations and advise on abnormal blood results, comorbidity, contraindications, complications and clinical risk.
- Experience of managing complex cases and providing specialist advice to other prescribers.
- Experience of teaching undergraduates and postgraduates.
- Understanding of clinical governance, patient safety, evidence-based practice, audit and quality improvement.
- Ability to develop and review clinical guidelines, SOPs and protocols. Ability to maintain clear records of specialist advice and work within agreed governance arrangements.
- Ability to critically appraise published evidence and apply findings appropriately to clinical practice. Commitment to communicating benefits, risks, limitations and uncertainty clear
- Proven ability to work collaboratively with executive colleagues, senior clinical and operational leaders, and external partners to provide strategic medical leadership and support delivery of organisational priorities.
- Comprehensive understanding of NHS governance, regulation, commissioning and funding arrangements, with the ability to apply this knowledge to strategic decision-making, quality improvement and the effective stewardship of resources.
- Ability to work effectively with medical clinicians, NMPs and a wider multidisciplinary team. Strong communication skills and the ability to explain complex endocrine issues clearly.
- Ability to liaise constructively with primary, secondary and specialist care services.
- Commitment to respectful, inclusive and person-centred care.
- Respect for gender diversity and individual treatment goals.
- Ability to work independently in a remote role while remaining accessible and responsive to the team.
- Commitment to continuing professional development and reflective practice.
- A commitment to multidisciplinary and multi-agency working.
- A commitment to respect, inclusiveness and diversity
- Full registration with the General Medical Council and a licence to practise.
- Inclusion on the GMC Specialist Register in Endocrinology and Diabetes Mellitus, or eligibility for inclusion within six months of interview. Evidence of continuing professional development relevant to consultant endocrinology practice.

Desirable criteria
- Experience of providing gender healthcare and GAHT.
- Experience of working in a specialist gender identity clinic or a related multidisciplinary service.
- Experience of individualising hormone treatment for non-binary gender goals.
- Evidence of additional teaching skills.
- Experience as a lecturer or supervisor.
- Experience in Clinical Supervision.
- Experience of service development, audit or quality improvement relating to endocrine prescribing.
- Experience of developing GAHT prescribing guidance or monitoring pathways.
- Research, publication, guideline development or conference activity relevant to endocrinology or gender healthcare.
- Management training / experience.
- Experience of involvement in service development.
- Experience of multidisciplinary, multi-agency or network working in gender healthcare.
- Evidence of contributing to inclusive service improvement or co-produced care.
- Postgraduate education or formal training relevant to gender healthcare. Membership of a relevant professional body, including BAGIS.

- We provide mental health, learning disability and neurodiversity services, as well as a range of specialist & secure services for the wider south west region & nationally. We are passionate about promoting good mental health & wellbeing. We strive to use the expertise & resources within our organisation, and through our partnerships, to deliver high quality services that are safe & focused on people's recovery.
- We are committed to being an inclusive employer & applications are encouraged & welcomed from all sections of the community, regardless of any protected characteristics as governed by the Equality Act 2010. Part time & flexible working applications will be considered & supported, where possible. We particularly encourage applicants with lived experience of mental health conditions, neurodiversity or learning disabilities. We are a Disability Confident Leader.
- Flexible working,