Consultant Respiratory Physician

Ideally, we are looking for two substantive respiratory consultants, one with an interest in lung cancer and pleural disease and the other in TB/complex lung infections but would support development of any sub‑specialist interests/research. We have a large Integrated Respiratory team and, following a successful bid of £1.2 million, have expanded our respiratory virtual ward and work very closely with our extensive, experienced, award‑winning Acute Integrated Respiratory (AIR) nursing team. We are located in an area of high TB incidence outside London, run a busy NHS‑EHS funded latent TB new entrant screening programme, and were one of the initial pilot sites for national lung cancer screening. The roles are based at Wexham Park Hospital, with respiratory clinics largely held at King Edward VII Hospital in Windsor. The department is supportive and happy to help new CCT holders gain skills and experience for future sub‑specialist interests, particularly research. Ideally applicants would be able to start in September 2026, but earlier and later dates will be considered.

Main duties of the job

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

The appointee would be expected to undertake on average:

• 1 general respiratory outpatient clinic per clinic week
• 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 8 PA appointment, with a commitment to the general weekday medical rota (≈1:26) and the respiratory weekend rota 1 in 10.

The appointee would be expected to undertake on average:

• 1 general respiratory outpatient clinic per clinic week
• 2 specialist TB/Infection clinic weeks
• 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

Job responsibilities

The job also entails inpatient care as part of the respiratory management team, looking after approximately 50 inpatients with other colleagues. Consultants rotate on and off the wards, doing ward blocks and HDU weeks. 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 inpatient consultations.

The team consists of 3 Respiratory SpRs, 1 GIM rotational SpR, 2 IMT 3s, 7 SHOs and 3 FY1s. There is a dedicated 16‑bed medical high‑dependency/RSU and NIV unit, a general ICU run as a closed unit, and a medical day‑unit for outpatient pleural procedures, line insertion, day‑case biopsies, IV antibiotics and support for patients with long‑term chest drains. Specialist nurses (cancer, TB, non‑invasive ventilation, sleep, airways disease and ILD) attend specialist outpatient clinics, review in‑patients, and assist with discharge planning. Community respiratory care teams cover Windsor, Maidenhead and Berkshire. Approximately 200 bronchoscopies and 200 endobronchial ultrasound procedures are carried out per year. A navigational bronchoscopy service run with interventional radiologists, thoracic ultrasound and sub‑regional support for tunnelled chest drain placement are also provided. An ambulatory care pathway for pleural effusion management, and 2–3 pleural disease clinics a week, support this.

The lung cancer MDT includes chest physicians, a radiology team, an oncologist based at Mount Vernon Hospital (who run clinics and oversee chemotherapy at Wexham Park), and a 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.

Person Specification

• Able to evaluate own clinical practice
• Able to demonstrate innovative thinking
• Good written and oral communication skills
• Ability to organise and develop service provision
• Ability to be proactive
• Demonstrate being an effective team member
• Able to do on‑call on site including a weekend rota

Knowledge/ Qualifications/ Special Training

• MRCP or equivalent through EEC rules
• Postholder must be on the specialist register for respiratory and general internal medicine on the date of taking up the appointment
• Full GMC registration
• Management – understanding the structures of NHS hospitals and willing to play a role in the Department and in the Hospital
• Possession of CCT or within 6 months of receipt

Experience

• General respiratory experience
• Competent in respiratory practical procedures, e.g. fibre‑optic bronchoscopy, chest drain insertion
• Experience of lung cancer MDT working and understanding of the roles of the lung cancer treatment team
• Experience in working in a medical HDU/ICU
• Willingness to be involved in teaching at undergraduate and postgraduate level
• Understand principles and participated in audit activity
• Understand principles of Clinical Governance and demonstrate experience of evidence‑based practice
• Competent in Endobronchial Ultrasound
• Level 1 or 2 thoracic ultrasound
• Competent in thoracoscopy/pleural procedures/tunnelled drain insertion
• Minimum 6 months experience in a relevant subspecialty
• Competent in managing complex respiratory infection including cystic fibrosis and TB
• Competent in managing ILD

Special Circumstances/ Additional Requirements (location, mobility etc)

• Able to do on‑call on site including a weekend rota

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and, as such, it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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