The Stephanie Amiel Diabetes Care Transformation Fellowship

at  Kings College Hospital NHS Foundation Trust

King’s College Hospital NHS Foundation Trust is seeking to recruit a physician with a special interest in diabetes to support the diabetes services at King’s College Hospital (Denmark hill). This post is available from October 2024 for a duration of 12 month. It is suitable for:

• Post-CCT fellowship credentialing and looking to bolster their leadership and implementation and quality improvement skills set.
• Higher speciality trainees who wish to gain further subspecialty experience in diabetes and develop leadership skills as an out of programme experience.
• Senior clinical fellows with diabetes experience looking for further subspecialty experience
• International physicians looking for subspecialty experience in diabetes and clinical transformation.

The appointed physician will join King’s College Hospital (Denmark Hill) diabetes service in a time of exciting developments and transformation. The main areas of work will include:

• Leading a transformation project within the diabetes department in collaboration with the clinical leads and service managers. This opportunity will provide skills in leadership, quality improvement methodology, communication and networking, organisation and management of implementation and change as well as opportunity to learn more about the NHS structure, commissioning and service provision.
• Subspecialty clinic provision within a highly renowned Type 1 diabetes service: including technology, psychology and management of complications.

This new post also offers exciting opportunities for an outstanding candidate to join one of the largest and most successful diabetes units in the UK. We have a multidisciplinary team of diabetologists, psychiatrists, psychologists and diabetes nurse specialists. We support general inpatient medicine (the acute GIM take, the 7 day working model and emergency pathways and provide a diabetes consultant out of hours advice service (1 in 9). This post does not include commitments to general medicine.
King’s College Hospital NHS Foundation Trust
King’s College Hospital NHS Foundation Trust is one of the UK’s largest and busiest teaching hospitals with over 1.5 million patient contacts a year and more than 13,000 staff based across five main sites in South East London and Kent.
The Trust provides a full range of local hospital services across its different sites, and specialist services from King’s College Hospital (KCH) site in Camberwell and the Princess Royal University Hospital (PRUH) site in Bromley, Orpington Hospital, and some services at Beckenham Beacon and Queen Mary’s Sidcup. The Trust is recognised internationally for its work in liver disease and transplantation, neurosciences, cardiac, haemato-oncology, foetal medicine, stroke, major trauma, and Emergency Department.
The diabetes department is internationally renowned and provides extensive services to our local population and nationally. Areas of particular interest include:
Type 1 diabetes: We have a large tertiary type 1 diabetes clinic including one of the largest pump services in the UK and specialist management of problematic hypoglycaemia. We were pioneers in the DAFNE education programme and have an established islet transplant programme, having performed the UK’s first islet transplant in 2002.
Diabetic Foot Medicine. Professor Edmonds initiated the UK’s first dedicated multidisciplinary clinic in 1986 and this had grown into a service of global repute, with a long history of innovative practice. The current foot clinic allows comprehensive multidisciplinary management of diabetic foot problems with integrated vascular and orthopaedic support and an active research programme. Outcomes from this service in respect of healing and amputation prevention are the best in the UK.
Diabetes and Mental Health. We have established the first UK chair in diabetes and psychiatry held by Professor Khalida Ismail who provides local and tertiary level specialist services for the management of psychiatric aspects of diabetes. Together with Dr Carol Gayle she developed the award winning 3DFD model of community based psychosocial care for diabetes. She is currently piloting for NHS England a Type 1 Diabetes and Eating Disorders Service (T1DE).
Additional tertiary diabetes include pregnancy, peripheral and autonomic neuropathy, cystic fibrosis related diabetes, liver/renal, and post transplantation diabetes.

DIABETES IMPROVEMENT PROJECT:

The fellow will be responsible for the delivery of a discreet improvement project. This project has been defined as a priority by the diabetes team, however with no allocated time to deliver this we have not yet managed to implement the change. We are therefore looking for someone with the ability to organise the team, develop appropriate systems/pathways and implement the change. This will be supported with training and mentoring from the King’s quality improvement team alongside the diabetes department. This will include:

• A named quality improvement coach to support you with methodology, approaches, problem solving and improvement tools and techniques
• Quality Improvement qualifications to Lean White and Yellow Belt standard
• Opportunity to qualify to Lean Green Belt standard and Viva your project to a King’s executive director
• Opportunity to qualify to QSIR (Quality, Service Improvement and Re-design) Practitioner level
• Networking with other Quality Improvement leads across the Trust
• Support with showcasing your work, including publication, conferences and awards

There will be a choice of improvement project to fit your interests and needs. The projects are focused on improving efficiency within the department, looking at new ways of working, cross-boundary work and innovation. Equality of access is a key priority; ensuring that our department provides excellent personalised diabetes care in a form that is accessible to all in our local area. Regional transformational changes to provide a shared electronic patient record and movement to EPIC Apollo will enable the success of the project

• A named quality improvement coach to support you with methodology, approaches, problem solving and improvement tools and techniques
• Quality Improvement qualifications to Lean White and Yellow Belt standard
• Opportunity to qualify to Lean Green Belt standard and Viva your project to a King’s executive director
• Opportunity to qualify to QSIR (Quality, Service Improvement and Re-design) Practitioner level
• Networking with other Quality Improvement leads across the Trust
• Support with showcasing your work, including publication, conferences and award