Consultant in Acute and General Internal Medicine

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Lewisham and Greenwich NHS Trust 2.85K subscribers

Lewisham and Greenwich NHS Trust, (LGT), is a community‑focused provider of local and acute care, delivering high‑quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole‑life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three‑quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough‑based boards of the ICT in Bexley, Greenwich and Lewisham.

Job overview

Lewisham and Greenwich NHS Trust is seeking a dynamic Consultant in Acute Medicine to join our expanding team at Queen Elizabeth Hospital, Woolwich. This is a unique opportunity to shape the future of acute care at QEH Medicine division. The post holder will undertake senior clinical duties in the Acute Medical Unit, Acute Admissions Unit, Take, Post Take/Outliers and Medical SDEC teams.

In 2025, we launched a new clinical model aligned with GIRFT, national best practice, and South East London CSC priorities. A key feature is the new Acute Assessment Unit (AAU), focused on rapid assessment, senior decision‑making, and timely discharge. Acting as the front door for medical take, the AAU will streamline triage and reduce ED pressures, ensuring patients are quickly directed to the right setting—Medical SDEC, Frailty SDEC, AMU, specialty ward, or discharged.

The redesigned AMU will support short‑stay care with enhanced specialty in‑reach and early discharge planning. This model aims to deliver the right care, in the right place, at the right time—reducing admissions, shortening stays, and improving outcomes.

You’ll join a progressive, learning‑focused team that values clinical excellence, innovation, and staff wellbeing. We’re investing in training and development to support all staff through this transformation. If you have ideas, we listen, support, and help turn them into reality.

There are 4 full‑time posts being advertised, each will have 10 PAs in Acute Medicine including 7.5 PAs for direct clinical care, covering hot weeks and a 1-in-10 weekend rota per post. You’ll have 1.5 core SPAs, with potential for an additional SPA subject to approval.

You’ll join a dynamic team of Acute Medical Consultants with diverse specialist interests, working within a supportive and high‑performing department. We value passion, innovation, and personal development as much as service delivery.

Key responsibilities include:

• Providing senior clinical leadership across the Acute Medical Unit (AMU), Acute Admissions Unit, Take and Post Take, Outlier clinical activity and Medical SDEC.
• Leading consultant ward rounds, MDT meetings, and discharge planning.
• Supervising junior staff including Clinical Fellows, Physician Assistants, and trainees.
• Driving quality improvement, patient safety, and service transformation.
• Contributing to clinical pathway development and teaching.
• Participating in the general medical on‑call rota.

Lewisham and Greenwich NHS Trust is a progressive, inclusive organisation focused on excellent care and staff development. The Queen Elizabeth Hospital site offers a vibrant clinical environment with innovation in acute and frailty medicine.

Our AMU includes:

• Acute Admissions Unit
• Acute Medical Unit
• Acute Frailty Unit- Led by Frailty consultants
• Frailty SDEC- Led by Frailty consultants

Working for our organisation

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

• Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
• Widening access (anchor institution) and employability
• Improving the experience of staff with disability
• Improving the EDI literacy and confidence of trust staff through training and development
• Making equalities mainstream

We’re proud of our collaborative culture and seek a consultant who shares our values and vision for excellence.

Detailed job description and main responsibilities

Person Specification

Qualifications

• Full registration with GMC inclusion on the GMC specialist register for Acute Medicine or General Internal Medicine or within 6 months of expected date of Certificate of Completion of Training (CCT) or appropriate equivalent
• MRCP or equivalent

Experience

• Broad experience in acute and general internal medicine
• Proven leadership in clinical settings
• Experience in supervising and developing junior staff
• Evidence of service development, audit, or research activity
• Experience in frailty or ambulatory care models

Skills and Knowledge

• Strong clinical decision-making and situational awareness
• Commitment to clinical governance and patient safety
• Excellent communication and team‑working skills
• Evidence of teaching and educational supervision
• Understanding of current issues within Acute Medicine and future direction of speciality
• Experience in quality improvement and change management

Interest in digital innovation or integrated care

Person specification

Qualifications

• Medical degree, MBBS or equivalent
• Full and Specialist registration (and with a licence to practise) with the General Medical Council (GMC) or be eligible for registration within six months of interview.
• Applicants that are UK trained, must also be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview.
• Applicants that are non-UK trained, they will be required to show evidence of equivalence to the UK CCT and be on the GMC Specialist Register/Certificate of Eligibility for Specialist Registration (CESR) application in a non-CCT specialty awaiting approval

Clinical Experience

• Comprehensive Training and experience in acute and general medicine
• Training and experience in acute and general medicine
• Broad experience of working within the NHS

clinical Audit

• Active audit interest demonstrated by at least one completed clinical audit in the last 18months.
• Understanding of NHS systems and audit processes
• Evidence of service improvement projects and audits
• Publication of audit results.
• Evidence of involvement and /or experience in risk processes such as Serious Incident reviews and patient safety systems

Teaching Experience

• Experience and interest in undergraduate teaching
• Skill and ability in formal and informal teaching for both under/ postgraduate students and nursing/midwifery staff
• Educational supervision accreditation
• An understanding of current issues in medical education and training
• Previous experience in trainee Supervision
• Knowledge of current changes in medical training
• Higher teaching qualification
• Presentations at National or International meetings
• Publications in peer reviewed journals

Management and Administrative Experience

• Understands the management structure of the NHS Evidence of risk management
• Ability to use Microsoft office packages, e.g. MS Word, Excel, Access & PowerPoint.
• Ability to use patient information systems

Other Attributes

• Effective communicator – verbal and written
• Ability to work as part of a multidisciplinary team
• Demonstrates leadership and organisational skills
• Evidence of interest/training in management
• Will contribute to Departmental/ Trust management
• Will pursue personal professional development
• Will assist with Departmental/ Trust development
• Aware of equal opportunities issues
• Recent experience/familiarity of UK hospital systems and practices
• Ability to lead a team and form effective working relationships
• Ability to inspire, motivate and develop staff
• Has experience of committee work and prepared to undertake committee work

We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note: Information provided during recruitment and pre‑employment checks must be accurate. Misrepresentation may be investigated as fraud and could lead to withdrawal from the process, professional sanctions, or criminal action.

Please note: that sponsorship under the Skilled Worker route is subject to Trust allocation and UK Visas and Immigration (UKVI) approval.

Use of AI in recruitment: We may use artificial intelligence (AI) tools to support the initial review of applications against the essential criteria for this role. Where AI is used, it will support rather than replace human decision‑making, and applications will remain subject to appropriate human review.

Employer certification / accreditation badges

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.

Application numbers

To ensure fairness and manageable shortlisting processes, some vacancies may have an application cap.