Job description

Job responsibilities

Key responsibilities

Clinical (TransPlus)

The post holder will work as part of the multidisciplinary TransPlus team to deliver high-quality, patient-centred care for individuals with gender dysphoria and associated sexual health needs. Key responsibilities include:

• Assessment and diagnosis
  • Undertake comprehensive, holistic assessments of patients presenting with gender dysphoria, including medical, psychological, and social factors.
  • Apply recognised diagnostic frameworks and ensure assessments are conducted in a sensitive, inclusive, and non-judgemental manner.
  • Contribute to second opinions and complex case reviews where required.
• Treatment planning and ongoing care
  • Develop, implement, and regularly review individualised care plans in collaboration with patients, ensuring shared decision-making throughout.
  • Monitor patient progress, treatment outcomes, and wellbeing, adapting management plans in response to changing clinical needs.
  • Provide continuity of care across assessment, treatment, and follow-up stages.
• Hormone therapy management
  • Initiate, prescribe, and monitor gender-affirming hormone therapy in line with national guidance and local protocols.
  • Interpret laboratory results and adjust treatment regimens safely and appropriately.
  • Manage complications or side effects related to hormone therapy and escalate complex cases when required.
• Surgical referral and readiness assessment
  • Assess readiness for gender-affirming surgical interventions in line with NHS England service specifications.
  • Prepare and complete referrals for surgical services and support patients through the referral pathway.
  • Liaise with surgical providers and ensure appropriate pre- and post-operative care planning.
• Sexual and reproductive health care
  • Provide comprehensive sexual health services including risk assessment, screening, diagnosis, and management of sexually transmitted infections (STIs).
  • Deliver health promotion and prevention advice tailored to the needs of trans and non-binary individuals, including HIV prevention and treatment where appropriate.
  • Offer contraception and reproductive health advice relevant to individual patient needs.
  • Promote cervical screening, fertility preservation discussions and reproductive healthcare access.
• Multidisciplinary working and liaison
  • Work collaboratively with consultants, nursing staff, psychologists, GPs, and allied health professionals to ensure integrated care delivery.
  • Provide specialist advice and guidance to primary care and other healthcare professionals managing TransPlus patients.
  • Contribute to case discussions, MDT meetings, and joint care planning across services.
• Clinical governance and service development
  • Contribute to the implementation, evaluation, and continuous improvement of clinical pathways and protocols.
  • Participate in audit, quality improvement initiatives, and research activities to enhance service delivery and patient outcomes.
  • Ensure all practice is compliant with Trust policies, national standards, and clinical governance frameworks.
• Supervision and leadership
  • Support and supervise junior medical staff, nursing colleagues, and other team members in delivering patient care.
  • Provide clinical guidance in the management of complex or unstable patients, including those with new diagnoses or treatment changes.
  • Act as a role model for inclusive, compassionate, and evidence-based practice.
• Safeguarding and holistic care
  • Recognise and respond appropriately to safeguarding concerns, including mental health, vulnerability, and social risk factors.
  • Promote a holistic approach addressing bio-psycho-social aspects of care, including signposting to relevant support services.

CESR Development Activities

The post holder will work as part of the multidisciplinary TransPlus team to deliver high-quality, patient-centred care for individuals with gender dysphoria and associated sexual health needs. Key responsibilities include:

A key objective of this post is progression towards CESR in Community Sexual and Reproductive Health or HIV and Sexual Health.

The Fellow will receive protected time for:

Clinical Competency Development

• • Developing competencies mapped to the current CSRH/HIV and Sexual Health curriculum.
  • Undertaking supervised clinical sessions across sexual and reproductive health services where required.
  • Expanding experience in contraception, menopause, abortion care, safeguarding and integrated SRH services as appropriate to individual CESR requirements.

Quality Improvement and Clinical Governance

• • Leading quality improvement projects relevant to TransPlus and/or CSRH/HIV/Sexual Health services.
  • Participating in clinical audit cycles.
  • Contributing to guideline development, policy reviews and pathway redesign.
  • Presenting governance work locally and nationally.

Research and Service Evaluation

• • Participating in research studies, service evaluations and outcome projects.
  • Supporting dissemination of findings through presentations and publications where possible.
  • Developing experience in critical appraisal and evidence-based practice.

Teaching and Education

• • Delivering teaching to multidisciplinary colleagues, trainees and students.
  • Organising educational activities.
  • Developing evidence of educational leadership and supervision.
  • Participating in departmental teaching programmes.

Leadership and Management

• • Attending relevant leadership and management meetings.
  • Contributing to service development initiatives.
  • Developing experience of workforce planning, governance and operational management.
  • Building evidence in line with CESR domains relating to leadership and professionalism.

Portfolio Development

• • Maintaining a CESR portfolio aligned to GMC requirements.
  • Meeting regularly with educational supervisors.
  • Collecting workplace-based assessments and supporting evidence.
  • Developing a structured personal development plan.

Person Specification

Education and qualifications

Essential

• MRCP or MFSRH (or working towards this)
• Evidence of progress towards CESR in CSRH/HIV/Sexual Health or commitment to pursuing CESR

Experience

Essential

• Considerable experience in a Medical Specialty or Accident and Emergency
• Experience in GUM / HIV or SRH medicine
• Experience of audit and Clinical Governance

Desirable

• Experience in gender medicine
• Teaching and supervision experience

Skills and knowledge

Essential

• Knowledge of gender diversity and dysphoria, and the clinical and social interventions for the relief of gender dysphoria
• Able to work within a multidisciplinary team
• Empathy and cultural sensitivity towards LGBT+ people
• Ability to develop and manage a CESR portfolio

Desirable

• Competence in the management of hormone therapy and gender specific health issues
• Good professional knowledge of neurodevelopmental conditions and neurodiversity

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.

Certificate of Sponsorship

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).

UK Registration

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

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

56 Dean Street

London

W1D 6AQ

United Kingdom

Employer's website

https://www.chelwest.nhs.uk/ (Opens in a new tab)