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Consultant in Audiovestibular Medicine | Epsom and St Helier University Hospitals NHS Trust

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Company: Epsom and St Helier University Hospitals NHS Trust

We are excited to be recruiting two part-timeConsultants in Audiovestibular Medicine. They will be joining the existingconsultants based at St Helier Hospital. The work as aconsultantis mainly carried out on the St Helier Site with some sessions held at Epsom Hospital. The service represents a modernisation of audiovestibular pathways andconsultants work closely with other trust specialists. This service is strongly supported and resourced by the Trust. The posts include sessions in both Adult and Paediatric Audiovestibular Medicine and include the opportunity to further develop the paediatric dizzy clinic.

Audiovestibular medicine (AVM) has been established in the Trust since 1989. It is part of the Department of Audiology AVM and Hearing Therapy. There are sixconsultants in the department and one specialist registrar who is on the Pan-Thames Specialist Registrar rotation. The service is well received and supported by local general practitioners and the majority of the referrals received come from GPs and otherconsultants within the trust. Referrals are also received from neighbouring CCGs and from boroughs further afield without AVM provision.

The speciality is outpatient-based with no designated beds for inpatient activity although there is good liaison with the ENT specialist for access to the operating list for paediatric ABR testing under GA where appropriate, and access to day case beds on QMCH for sedated ABR testing. Adult AVM clinics are held at Ferguson House in the recently refurbished audiology department, and the Springall Outpatient Unit, and also at Epsom. Paediatric AVM clinics are held at the Queen Mary’s recently refurbished Audiology Unit and Outpatient Department, where there are plenty of opportunities for collaboration with other paediatric specialists.

It is anticipated that the 2 post holders will provide adult and/or paediatric AVM outpatient clinics according to service needs and the candidates’ interests. There is also an opportunity to provide and further develop a paediatric dizzy/vestibular clinic.

The post includes 3.5 outpatient clinics, 1 session for SPA, and 1.5 session for clinic related activity. The post has arisen due to a vacancy, and continued increased demand for the AVM service. The post-holder will, in conjunction with other health professionals, investigate and manage:

Adults and children with, vertigo, imbalance and/or tinnitus.

Investigate progressive and fluctuating sensorineural hearing loss

Interpret audiovestibular test results in the context of clinical findings

There is scope for the post holder to develop their areas of interest within the department.

St George’s, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey.Our sites include St George’s Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

Job Title: Consultant in Audiovestibular Medicine

Grade: Medical & Dental Consultant Substantive: 2 x 6PA Posts

Contract: Substantive

Department: Specialty Medicine

Reports To: Clinical Lead for AVM

Accountable To: Clinical Director

Site: St Helier and Epsom

Hours of work(p/w): 6PAs (24 hours per week)

Post Description

We are recruiting 2 part time , 6PA consultants in Audiovestibular Medicine, they will be joining the

existing consultants in this area based St Helier Hospital. The work as a consultant

is mainly carried out on the St Helier Site with some sessions which may be held at Epsom

Hospital. The service represents a modernisation of audiovestibular pathways and

consultants closely with other trust specialists. This service is strongly supported and

resourced by the Trust.

Audiovestibular Model of Care at Epsom and St Helier University Hospitals

Trust

Audiovestibular medicine (AVM) has been established in the Trust since 1989. It is

part of the Department of Audiology. There are 6 consultants in the department and

one specialist registrar who is on the Pan-Thames Specialist Registrar rotation. The

service is well received and supported by local general practitioners and the majority

of the referrals received come from GPs and other consultants within the trust. We

provide ototoxicity monitoring for the Royal Marsden Hospital in Sutton. Referrals are

also received from neighbouring CCGs and from boroughs further afield without AVM

provision.

The speciality is outpatient-based with no designated beds for inpatient activity

although there is good liaison with the ENT specialist for access to the operating list

for paediatric ABR testing under GA where appropriate, and access to day case beds

on QMCH for sedated ABR testing, when necessary. Clinics are held at Ferguson

House in the recently refurbished audiology department, and the Springall Outpatient

Unit, for adult patients, and at the Queen Mary’s Hospital for Children’s recently

refurbished Paediatric Audiology Unit and Outpatient Clinics for paediatric patients.

The entire range of audiovestibular and neuro-otological symptoms are seen in both

paediatric and adult AVM clinics.

The staffing component of the Department comprises:

3 x Band 8 heads of service (Adult and Paediatric)

2 x Hearing therapists

6 x Band 7 senior Specialist Audiologists

7 x band 6 senior Audiologists

4 x band 5 Audiologists

5x band 3 assistant audiologists

Audiology POD admin team

The audiology department provides a full range of tertiary diagnostic services,

(including auditory brainstem response, otoacoustic emissions, acoustic reflex and

speech audiometry, videonystagmography, VEMP and caloric test, vHIT, balance

platform, mastoid vibration) and therapeutic interventions for imbalance, dizziness,

tinnitus and hearing loss.

The work of the Consultant AVPs is supported by the audiologists and hearing

therapists in the department. There is also good support and interaction with the

advisory service for children with hearing loss from the boroughs of Merton, Sutton

and Surrey and other professionals in the multi-disciplinary team around the child.

The team also benefit from being members of a dynamic and proactive CHSWG.

Medical investigations such as radiological and phlebotomy services are provided on

site. There is specialist radiological input: monthly radiology meetings, fortnightly

neuroradiology meetings, and access to play specialist support for children

undergoing investigations and procedures as needed. Some investigations, such as

3T MRI, and neurovestibular physiotherapy can be accessed by referring to St

George’s Hospital as we are now part of the same organisation (GESH). Joint MDT

with regional clinical genetics is held quarterly. There are 8 interesting/challenging

cases meetings, shared with St George’s AVM colleagues, per year.

We are a friendly and cohesive team. There are monthly adult and paediatric team

meetings, regular clinical governance meetings and we participate in quarterly South

West Regional Audit Group peer review meetings.

Consultant Audiovestibular Medicine Posts

It is anticipated that the 2 post holders will provide adult and/or paediatric AVM

outpatient clinics according to service needs and the candidates’ interests. There is

also an opportunity to provide and further develop a paediatric dizzy/vestibular clinic.

The post includes 3.5 outpatient clinics, 1 session

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