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About the role

This is a distinctive opportunity for a Consultant Endocrinologist to help shape to continue high-quality gender healthcare at the West of England Specialist Gender Identity Clinic. Working remotely for one programmed activity each week, you will bring specialist endocrine expertise to an experienced multidisciplinary service and provide advice on gender-affirming hormone therapy for the prescribing team. The role is primarily advisory and supervisory rather than one of routine direct patient management. You will support medical and non-medical prescribers with complex clinical decisions, strengthen prescribing governance and help develop evidence-based practice across the service. You will have scope to influence protocols, education and service development while working collaboratively with colleagues who are committed to person-centred care and continuous improvement. We welcome applications from consultants who want to use their endocrine expertise in a focused, clinically influential role. Job-share applications are welcomed.

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.

Person specification

Essential

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

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.

Consultant Endocrinologist West of England Gender Clinic

About the role

Person specification