Consultant Respiratory Physician

The job also entails inpatient care as part of the respiratory megafirm, looking after approximately 50 inpatients with other colleagues. The consultants currently rotate on and off the wards, doing a ward block and weeks on HDU. During the ward block (respiratory ward and the HDU); we provide daily consultant input, in-reach into the medical assessment unit and emergency department and the provision of inpatient consultations. The respiratory megafirm has 3 Respiratory SpRs, 1 GIM rotational SPR, 2 IMT 3s 7 SHOs and 3 FY1s. There is a dedicated 16 bedded medical high-dependency/RSU and NIV unit, where patients are under the care of the respiratory team. There is also a general ICU which is run as a closed unit, with specialist input as required. There is a dedicated medical day-unit for out-patient pleural procedures, line insertion, day-case biopsies, commencement on intravenous antibiotics and out-patient support for patients with long-term chest drains. The specialist nurses (cancer, TB, non-invasive ventilation and sleep, airways disease and ILD) participate in specialist out-patient clinics, review in-patients and assist with discharge planning. There are also community respiratory care teams that work in both the in-patient and out-patent settings covering Windsor, maidenhead and Berkshire. Approximately 200 bronchoscopies are carried out per year and 200 endobronchial ultrasound procedures. We have also recently developed a navigational bronchoscopy service run with interventional radiologists. We also carry out thoracic ultrasound and provide sub-regional support for tunnelled chest drain placement. We have an ambulatory care pathway for management of pleural effusions and have 2-3 pleural disease clinics a week to support this. The lung cancer multidisciplinary team comprises chest physicians, a radiology team, an oncologist based at Mount Vernon Hospital, but who run clinics and oversee chemotherapy at Wexham Park, and Thoracic surgical team based at Harefield and & The Royal Brompton Hospital. The post holders core skills include inpatient and outpatient care for respiratory and general medical patients.