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Consultant in palliative medicine

NHS Medical & Dental: Consultant

Main area
Palliative care / palliative medicine / consultant
NHS Medical & Dental: Consultant
  • Full time
  • Part time
10 sessions per week (We are offering up to 10 PAs per week)
Job ref
WIsdom Hospice
£84,559 to £114,003 per annum (pro rata for part-time)
07/12/2022 23:59

Do you want to be part of an award winning and dynamic social enterprise that:

  • is renowned for providing high quality care and is ranked ‘Good’ by the CQC;
  • is a for-better-profit organisation, reinvesting any surplus back into our health and care services and our local community;
  • is friendly, ambitious, welcomes innovation and rewards excellence;
  • offers superior benefits; everything you get in the NHS and more;
  • and whose achievements reflect the passion, dedication and commitment demonstrated by our staff across all services?

Our vision is to be a successful, vibrant, community interest company that benefits the communities we serve. So if you want be a part of this, we would love to hear from you.

Job overview

We have an exciting opportunity for a consultant in palliative medicine to join our medical team at Medway Community Healthcare (MCH), based at the Wisdom Hospice.

The MCH team provides specialist palliative care services in the community and within the Medway NHS Foundation Trust at Medway Maritime Hospital.  The Wisdom Hospice unit has 15 beds, a physical therapy team and a family carers and support team as well as a community team and, more unusually, runs the hospital team of specialist palliative care practitioners in the local acute trust.

We were rated Good after our unannounced CQC inspection in August 2021.

We are looking for someone with an entry on the GMC specialist register for palliative care, alongside their primary medical qualification, or within 6 months of this. There are up to 10 PAs/week for this post available to negotiate with the successful candidate. We support flexible working to support staff work/life balance which in turns means greater availability of senior decisions makers for staff and increasing patient access from their usual place of residence and the local cute trust.  

Main duties of the job

MCH, a social enterprise, is an integral part of the NHS system, providing over 30 community-based services across Medway and Swale, including community nursing and MedOCC, (GP out of hours). Funding for the service is 85% from Kent and Medway ICB and 15% charitable, The friends of Wisdom hospice.

There will be opportunities to practice across all settings and participation in service development is expected. As the specialist palliative care service is part of a bigger organisation, integrated fully into local healthcare systems we are very actively leading on the development of specialist palliative care across the locality. This is an excellent opportunity to play a key role in ensuring our patients and their families benefit from the highest standards of specialist palliative care, in a friendly and supportive team.  It also brings opportunities for the successful postholder to work on projects across the organisation including but not limited to patient safety, serious judgement reviews, IT, staff wellbeing.   MCH has a strong research team and participation is actively supported and encouraged across grades and professions; to the extent that the service part funds a research post at the University of Kent.


Working for our organisation

So what else?

  • This is your chance to join a progressive and innovative service in a social enterprise that is patient and staff focused - you’ll even have the opportunity to become an MCH shareholder.
  • We encourage staff to get involved in exploring new ways of working and service development.
  • You’ll be able to develop your skills in a friendly and supportive team.
  • The hospice is located in the historic city of Rochester which is served by HS1 train (39 minutes to London St Pancras) and South Eastern trains (50 minutes to London Victoria) and has Motorway M2, M20 and M25 connections. 

Would you like to work flexibly?  In the NHS, we are reminded every day of how important life is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement which will not mean sacrificing time for personal interests or family commitments. We aim to support you to work flexibly in a way that will suit you and us.

The small print

  • Informal visits can be arranged on request.
  • We will offer you the choice of two pension schemes; the NHS Pension scheme and the scottish widows group pension scheme.
  • MCH encourages all staff to be double COVID vaccinated to protect themselves, their colleagues, their family and their patients.

Detailed job description and main responsibilities

Communication and relationship skills
• Clinical leadership as a member of the multidisciplinary team (MDT), liaising with all members of the team.
• To develop and sustain effective working partnerships with the primary health care team, other specialist services and the wider MDT
• Have an empathic and sensitive approach to patients needs with the ability to show concern recognising individual needs
• Able to demonstrate highly effective communication skills with the ability to influence and negotiate.

2. Knowledge, training and experience
• To have completed higher specialist training in Palliative Medicine or be within 6 months of completion.
• To have experience of specialist palliative care in different settings – home, hospice, hospital. The organisation supports the requirements for continuing professional development as laid down by the Royal College of Physicians to ensure that all doctors have an annual appraisal
with a trained appraiser and supports doctors going through all the requirements of the revalidation process. The organisation has a local arrangement with the acute trust to follow this  process; the medical director of the acute trust has the role of responsible officer. The medical
director for MCH completes an annual audit of compliance for appraisal.

3. Analytical and judgement skills
• Review and assess patients and families in all settings providing expert advice to the MDT, health and social care providers.
• Demonstrate that treatments and interventions are relevant to practice area and evidence based.

4. Planning and organisational skills
• Organisation of self and facilitation of others to deliver services required.

5. Physical skills
See chart

6. Responsibility for patient / client care
• To be responsible for Consultant-level specialist medical care of patients under MCH palliative care services (in the Wisdom Hospice, Medway Foundation Trust and the community).
• Provide appropriate information and education to patients and carers on their condition, treatment options, side effects and future prognosis.
• Protect patients’ confidentiality at all times using the appropriate documentation and tools and adhering to Medway Community Healthcare CIC policy at all times.
• To participate with colleagues in the out-of-hours on-call rota

7. Responsibility for policy and service development implementation
• To support, develop and inform local policy in line with national development in palliative and end of life care.
• To contribute to the setting and achieving of service objectives.
• To innovate and develop service delivery in accordance with best practice

8. Responsibilities for financial and physical resources
• In line with Consultant responsibilities, not directly managing a budget.

9. Responsibilities for human resources (HR)
• Together with other senior doctors, to provide clinical supervision for General Practice trainees working within the In Patient unit of the Wisdom Hospice.

10. Responsibilities for information resources
• To keep up to date with current knowledge of palliative medicine from reading journals and attending courses as deemed appropriate.
• To use IT resources appropriately- in line with organisations policies
• To develop and provide appropriate information for patients / carers and professionals about the service provided

11. Responsibilities for audit, research and development (R&D)
• To be actively involved in the implementation of the organisation’s policies on clinical governance, including clinical audit to support service delivery and development.
• To develop research activities in line with the organisations objectives and to encourage and supervise trainees to develop their own research ideas.
• To be involved in the regular ongoing audit of all services, including encouraging and supervising trainees and collaborating with other members of the multi-disciplinary team
• To be involved with the palliative care research group at the Centre for Health Services and Studies at the University of Kent, as appropriate.

12. Freedom to act
• To be able to take full responsibility for the care of patients in collaboration with consultant colleagues.

Full JD can be found in the attachments 

Person specification


Essential criteria
  • MRCP (UK) or equivalent
  • Full GMC registration
  • Entry on the General Medical Council (GMC) Specialist Register via one of the following: CCT Certificate of Completion of Training (CCT) (the proposed CCT date must be within 6 months of the interview); Certificate of Eligibility for Specialist Registration (CESR); European Community Rights
Desirable criteria
  • Masters/PhD


Essential criteria
  • Ability to offer expert clinical opinion on a range of problems within specialty
  • Ability to take to take full and independent responsibility for clinical care of patients
  • Experience of supervising junior medical staff
  • Ability to teach clinical and practical skills to multiprofessional colleagues
Desirable criteria
  • Experience in a special interest that compliments the service

Special knowledge / expertise

Essential criteria
  • Demonstrate managerial skills
  • Knowledge of principles of research and evidence of involvement in research
  • Knowledge of organisational aspects of the NHS
  • Ability to offer clinical supervision in Palliative Medicine to GP trainee
  • Willingness to participate clinical research at MCH
Desirable criteria
  • Care of long term conditions
  • Experience of treating undergraduates
  • Published articles in peer reviewed journals

MCH values

Essential criteria
  • Demonstrates behaviours in line with all three MCH values

Employer certification / accreditation badges

Armed Forces CovenantApprenticeships logoNo smoking policyCare quality commission - GoodWorkplace Wellbeing Charter LogoDisability confident committedStep into health

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Zoe Smith
Job title
Head of service - palliative care
Email address
Telephone number
01634 830456

If you have problems applying, contact

MCH House
Bailey Drive
Gillingham Business Park