Job summary
The post holder will provide senior medical input to the Gender Identity Clinic, provide consultant care for patients within the service, hold weekly outpatient clinics and work collaboratively with other members of the multidisciplinary team. They will also be expected to offer advice to other healthcare professionals in primary and secondary care.

The Gender Identity Clinic (GIC) is the largest and oldest gender clinic in the UK and accepts referrals from all over England for adults with issues related to gender from patients aged 18 and over. It is a large multi-disciplinary team, including psychologists, psychiatrists, endocrinologists, speech and language therapists, General Practitioners, Sexual Health physicians and nurses. We work together to provide holistic gender care, focusing on the biological/medical, psychological and social aspects of gender

Main duties of the job

• Provide specialist medical assessment, diagnosis and formulation of patients with gender dysphoria.
• Formulate, deliver and/or coordinate patient-centered management plans.
• Work with the multidisciplinary team to provide safe, effective care to service users.
• Advise on diagnosis and treatment both within the team and to external providers.
• Coordinate and/or provide (or ensure referral to the appropriate service) up to date evidence-based interventions to service users.
• Provide advice on cross-sex hormone therapy and liaise with primary care to ensure its delivery and effective monitoring.
• Provide specialist assessment of readiness and eligibility for surgical intervention and refer appropriately.
• Collaborate with GPs, hospital doctors and primary care physicians regarding the physical health care of patients.
• Liaise with colleagues in other community and specialist teams.
• Contribute to the on-going training and development programme within the team.
• Hold weekly outpatient clinics.
• Communicate and liaise with GPs, psychologists, and other disciplines and agencies as appropriate.
• Communicate with relatives, significant others and partners, in limited circumstances.
• Complete administrative tasks necessary for the fulfilment of the clinical role.
• Adhere to all relevant policies and procedures within the Trust.

About us
North London NHS Foundation Trust (NLFT) is committed to improving mental health care across North London to deliver excellent services to our local people.

Our Five-Year Strategy:

• We will provide consistently high-quality care closer to home.
• With our partners in North London and each borough we will ensure equity of outcome for all.
• We will offer great places to work, providing staff with supportive environment to deliver outstanding care.
• We will be more effective as an organisation by pioneering research, quality improvement and technology.

Why NLFT?

• We develop and retain our staff through leadership behaviours and managers programme and many more opportunities.
• We promote flexible working and support staff with a range of health and wellbeing initiatives.
• NHS Discounts, generous annual leave and NHS pension scheme.
• Excellent internal staff network.

In order to meet the needs of the Trust you may be required from time to time to work at different locations to your normal place of work. This may mean that you are required to work at any location that fall under Barnet, Camden, Enfield, Haringey or Islington. The Trust reserves the right to require staff to work at such other places or locations as it considers reasonable and necessary on a temporary or permanent basis.

Job responsibilities

• Provide specialist medical assessment, diagnosis and formulation of patients with gender dysphoria.
• Formulate, deliver and/or coordinate patient-centered management plans.
• Work with the multidisciplinary team to provide safe, effective care to service users.
• Advise on diagnosis and treatment both within the team and to external providers.
• Coordinate and/or provide (or ensure referral to the appropriate service) up to date evidence-based interventions to service users.
• Provide advice on cross-sex hormone therapy and liaise with primary care to ensure its delivery and effective monitoring.
• Provide specialist assessment of readiness and eligibility for surgical intervention and refer appropriately.
• Collaborate with GPs, hospital doctors and primary care physicians regarding the physical health care of patients.
• Liaise with colleagues in other community and specialist teams.
• Contribute to the on-going training and development programme within the team.
• Hold weekly outpatient clinics.
• Communicate and liaise with GPs, psychologists, and other disciplines and agencies as appropriate.
• Communicate with relatives, significant others and partners, in limited circumstances.
• Complete administrative tasks necessary for the fulfilment of the clinical role.

Person Specification
Qualifications and Experience
Essential

• MBChB, MBBS or equivalent MRCPsych or FRCPsych
• Membership of Royal College of Psychiatrist
• Full registration with General Medical Council.
• Completed (or about to complete) specialist higher training, general practice training or further training at level equivalent to CCT in a field relevant to gender dysphoria
• Experience of multidisciplinary team working.
• Inclusion on or eligible for inclusion on the Specialist Register or General Practitioner Register of the General Medical Council with a license to practice or within 6 months of the CCT date at date of interview.
• Experience of multi-agency work
• Evidence of audit competence.
• Experience in management roles, both clinical and non-clinical.

Desirable

• Interest in gender and health care and gender diverse care needs
• Qualifications in specific psychological/ psychosexual treatment modalities.
• Registered as a specialist with the Gender Recognition Panel or willing to apply for registration, when eligible.
• Management training course or other management qualification.
• Higher training or qualification in Intellectual Disability, neurodivergence, trauma informed care or forensic psychiatry.
• Experience in a community setting serving a diverse multi-cultural, multi-ethnic population.
• Experience of working in a Gender Service.
• Experience in working with people with complex psychosocial and medical needs.
• Experience in the prescriptions of medicines and/ or hormones as medicine.

Personal Attributes
Essential

• Service user / person centered values.
• High standards of professionalism
• Welcoming of diversity within gender identity and expression
• Non-judgmental, tolerant attitude
• Commitment to ongoing education, training and development of practice through audit.
• Commitment to working with users, carers and voluntary organisations and PPI
• Commitment to innovative models of care to service gender diverse people.
• Ability and manage and adapt to change

Desirable

• PPI projects
• Community and advocacy projects
• Understanding of PERCF framework and minority health

Knowledge
Essential

• Awareness of current issues in NHS service provision, policy and legislation.
• Mental Health assessments, complex case management, experience of outpatients, and ICD11
• Awareness of the biopsychosocial needs of people with gender dysphoria.
• Knowledge and understanding of NHS clinical governance, safe guarding and risk management

Desirable

• Interest / knowledge in the field of gender dysphoria, including awareness of diagnostic issues, treatment options, and an evidenced led approach to clinical practice
• Competence in management of basic medical care as per the GMC guidelines
• Skills in critical analysis

Skills
Essential

• High level of general clinical skills
• Excellent communication skills. written, oral and interpersonal
• Ability to engage effectively and communicate with extremely challenging or emotive circumstances.
• Ability to provide medical leadership to multidisciplinary team.
• Ability to work with non-clinical colleagues, including service users and voluntary organisations in service development.

Desirable

• Expertise in the assessment, management and treatment of people with gender diversity.
• Established ability as clinical teacher.
• Clinical risk management

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.

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).