Consultant Respiratory Physician

Job overview

Ideally, we are looking for two substantive respiratory consultants, one with an interest in lung cancer and Pleural and the other Tb/Complex Lung infections but would support development of any sub-specialist interests/research. We have a large Integrated Respiratory team and given our successful bid of £1.2 million have expanded our respiratory virtual ward and work very closely with our extensive and experienced award winning Acute Integrated Respiratory (AIR) nursing team. We have one of the highest TB incidence areas outside of London and run a busy NHSE funded latent TB new entrant screening programme. We were also one of the initial pilot sites for Lung Cancer Screening, with this now being rolled out nationally, interest and development within this service would also be supported, we are an ever expanding & inclusive department. The roles are based at Wexham Park Hospital with Respiratory clinics largely held at King Edward VII Hospital in Windsor. The departments are hugely supportive and happy to support new CCT holders in gaining skills and experience to help with future sub-specialist interests particularly research. Ideally applicants would be able to start in September 2026, but later and earlier start dates would be considered.

Main duties of the job

We are seeking two Consultant Respiratory Physician. The Lung Cancer/Pleural post is a full-time, initially 10PA appointment, with a commitment to the general weekday medical rota (approx 1:26) and the respiratory weekend rota 1 in 8.

For this post the appointee would be expected to undertake on average:

• 1 general respiratory outpatient clinics in clinic weeks
• 2 specialist clinic – Pleural/Lung cancer
• Weekly procedures list (bronchoscopy, EBUS or pleural procedures depending on experience / competence)
• 2 ward weeks followed by 5 clinic weeks commitment
• 1 in 8 week respiratory HDU weekend on call commitment
• Triage of ERS referrals
• 1 in 26 GIM weekday on call commitment

The TB/Infection post is a part-time, initially 8PA appointment, with a commitment to the general weekday medical rota (approx 1:26) and the respiratory weekend rota 1 in 10.

For this post the appointee would be expected to undertake on average:

• 1 general respiratory outpatient clinics in clinic weeks
• 2 specialist clinic – Tb/Infection
• Be part of the bronchoscopy on call rota
• 2 ward weeks followed by 5 clinic weeks commitment
• 1 in 10 week respiratory HDU weekend on call commitment
• Triage of ERS referrals
• 1 in 26 GIM weekday on call commitment

Detailed job description and main responsibilities

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 holder’s core skills include inpatient and outpatient care for respiratory and general medical patients.