Psychosexual Speciality Doctor

Overview

Guy's and St Thomas' NHS Foundation Trust

Psychosexual Specialty Doctor

The closing date is 11 November 2025

The Specialty Doctor will provide specialist medical expertise within the Psychosexual Medicine Service, delivering high-quality, evidence-based care to patients with complex sexual dysfunctions. The role involves the autonomous medical assessment, investigation, and management of conditions at the intersection of physical, psychological, and relational health, working collaboratively within a multidisciplinary team (MDT). The post-holder will be instrumental in supporting the clinical leadership of the service delivery and educational activities.

Main duties of the job

The Specialty Doctor is required to manage a caseload of clients presenting with a variety of sexual and relationship complaints. They are to assess and then provide ongoing psychosexual therapy to the individual or couple. When necessary they will refer on to other specialist disciplines or services in particular for medical advice or assessment. The post holder is to maintain client records and confidentiality. The post involves working both independently and also as part of a multi disciplinary team.

About us

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best-known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high-quality care, clinical excellence, research and innovation.

We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.

We have over 23,500 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.

Job responsibilities

Assessment & Diagnosis: Conduct comprehensive initial and follow-up medical and psychiatric consultations, establishing differential diagnoses for a wide range of male, female, and couple psychosexual complaints.

Investigation: Appropriately request, interpret, and action results from diagnostic tests (e.g., hormonal profiles, vascular assessments, specialist imaging, endocrine screens) to exclude or confirm underlying organic pathology.

Treatment Implementation: Develop and oversee evidence-based pharmacological treatment plans, including prescribing and titration of phosphodiesterase inhibitors, hormonal replacement therapies, and addressing drug-induced sexual side effects, ensuring safe practice in line with established protocols.

Complex Case Management: Manage patients with significant medical and co-morbidities impacting sexual function (e.g., cancer, diabetes, cardiovascular disease etc).

Risk Management: Conduct specialist risk assessments pertaining to self-harm, safeguarding, and the interface of sexual difficulty with health and wellbeing.

Develop quality improvement and audit projects in keeping with hospital policies

Contribute towards developing, monitoring and reviewing the service including preparing reports as required

Ensure that all electronic records are completed fully with all relevant data documented

Ensure that appropriate quality assurance structures and governance are in place and any variations in the service delivery and need are raised with the Consultant/Clinical Lead and the Clinical Director immediately

Conform to the Trust incident reporting guidelines

Maintain an awareness of the ongoing changes in relation to Psychosexual Medicine practice

Undertake any training necessary to fulfil duties of the post, including mandatory training e.g. basic life support, fire training and data protection

Person Specification Higher qualifications

• Full registration with the United Kingdom General Dental Council (GDC)
• A Postgraduate Qualification in Psychosexual Medicine (e.g., Diploma or Membership in Psychosexual Medicine from the Institute of Psychosexual Medicine, or COSRT membership).
• Minimum of 4 years full-time postgraduate medical experience (or equivalent), with at least 2 years experience in a relevant medical specialty (e.g.Sexual Health, Gynaecology, Urology).

Knowledge

• Demonstrated expertise in the medical diagnosis, investigation, and pharmacological management of a wide range of sexual dysfunctions.
• Proven ability to medically triage complex referrals and conduct specialist medical risk assessments effectively

Communication

• Highly effective communication skills, including the ability to convey complex, sensitive medical information to patients, carers, and colleagues clearly and compassionately.
• Proven ability to function as an effective, reliable, and collaborative member of an MDT.

Management/Audit

• Effective participation in clinical audits/service evaluations/quality improvement programmes Experience in the day to day clinical management of an out- patient service Understanding of the current management issues in the NHS
• Lead role in delivery of quality improvement initiatives Clinical leadership experience Management experience in delivering a clinical service

Audit/Governance

• Clear evidence of participation in, and contribution to, clinical audit and service quality improvement activities.

Personal Skills

• Proven teaching skills
• Excellent interpersonal skills and an ability to relate with colleagues - clinical and non-clinical, patients and relatives.
• Team based approach to care and service management, including appreciation of nursing and therapy roles
• Capacity to operate under pressure. Demonstrates initiative & resilience to cope with changing circumstances.
• Communications course or teaching course

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.

Guy's and St Thomas' NHS Foundation Trust