Consultant in Oral

This appointment is for a surgeon with a subspecialty Interest in Head and Neck Oncology and Reconstruction. The appointee is expected to work closely within the current team of Maxillofacial Surgeons in Leeds Teaching Hospitals NHS Trust and closely with the established clinical team working in the subspecialty of head and neck oncology. The applicant would be expected to complement and build on existing team working in the management of Head and Neck Oncology patients within the Head and Neck MDT. The postholder will have access to designated all day operating lists with the provision for support and two team operating for free flap cases. The completion of a Head and Neck Oncology Fellowship is not essential but will be an advantage. The postholder will be expected to provide the full remit of Maxillofacial oncology including microvascular reconstructive procedures.

Main duties of the job

The post is an appointment for a Locum Oral & Maxillofacial Surgery Consultant with a specialist interest in Head & Neck Oncology and Reconstruction for 6 months with the objectives:

1. To carry out maxillofacial clinical services with an emphasis on the management of Head and Neck cancer

2. To contribute to the role of Leeds as a training centre for Oral and Maxillofacial surgery.

3. To improve the efficiency and productivity of the Oral and Maxillofacial surgical services

4. To help further develop Leeds as a centre of excellence for Oral and Maxillofacial surgery

5. To provide support and clinical expertise to the teams based in referring centres

6. To contribute and improve the quality of Undergraduate and Postgraduate training in Oral and Maxillofacial surgery

7. To improve the quality of care and increase the scope for innovation

8. To facilitate and develop research interests in Oral and Maxillofacial surgery

9. To participate in a consultant rota to provide acute in-hour and out-of-hours Oral and Maxillofacial surgery with a particular focus on Head and Neck Cancer

In addition to supporting the Head and Neck MDT the appointee, will be expected to provide a general elective and emergency Oral and Maxillofacial Surgery service, to the population of Leeds. The appointee will be expected to provide microvascular on-call (1:5) and general on-call (1:13).

About us

Leeds Teaching Hospitals is one the largest teaching hospital trusts in Europe, with access to leading clinical expertise and medical technology. We care for people from all over the country as well as the 780,000 residents of Leeds itself. The Trust has a budget of £1 billion. Our 17,000 staff ensure that every year we see and treat 1,500,000 people in our 2,000 beds or out-patient settings, comprising 100,000 day cases, 125,000 in-patients, 260,000 A& E visits and 1,050,000 out-patient appointments. We operate from 7 hospitals on 5 sites all linked by the same vision.

The OMFS department based at the Leeds Dental Institute houses the OMFS department with consulting rooms, dental surgeries for the provision of general clinics and of minor OMFS procedures. Oncology clinics are taking place at the Leeds Dental Institute and the St Jamess Institute of Oncology. In patient operating is undertaken at the Leeds General Infirmary.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description
Job responsibilities

Service Delivery

General

The Trust expects consultants to deliver clinical service as agreed with commissioners and other stakeholders. This will include:

meeting the objectives of the post (see above)

continuously improving the quality and efficiency of personal and team practice

working with other staff and teams to ensure that the various criteria for service delivery are met, such as

o achieving the best clinical outcomes within the resources available

o waiting times

o infection control standards

Consultants in LTHT are line managed by their specialty Lead Clinician working in conjunction with a Business Manager. This specialty team is then managed alongside a number of other specialties in a Clinical Service (or Support) Unit (CSU) led by a Clinical Director as the responsible person and supported by a full time General Manager and a full time Head of Nursing.

The Clinical Director and their team report operationally to the Chief Operating Officer (COO). The Clinical Director will work closely with the Chief Operating Officers team which includes the Medical Director for Operations, Nurse Director for Operations, Director of Operations, Assistant Directors of Operations (ADOs) and a Performance Team, with each ADO aligned to specific CSUs.

Professionally, consultants report to Dr Magnus Harrison, Chief Medical Officer.

Service specific

The role of Locum consultant in Oral and Maxillofacial Surgery will be expected to provide clinical management and leadership of a multidisciplinary team across two organisations with shared patient pathways.

There is a weekly regional Head and Neck Oncology MDT, with presence from LTHT and MYHT. The approach for Oral and Maxillofacial Surgery is multidisciplinary with support from a number of other services involved in the oncology pathway.

The post-holder will provide Oral and Maxillofacial Surgery surgical services in both the theatre, Outpatient and ward settings at LTHT. The post-holder will have a case mix of Oral Oncology and general Oral and Maxillofacial surgery. There will be a requirement to contribute to departments on-call rota, teaching and education programme and quality improvement projects. Surgical working requires good team working. The role of each Consultant is intended to be as an equal senior to other Consultants in the Department and in the Trust

Quality

The Trust has a programme of activities that are designed to help consultants improve the quality of the service they offer. This includes a range of activities shown below as examples not all activities can be undertaken every year Consultants are expected to routinely engage in relevant activities in their specialty that are focussed on quality improvement. This participation should be reflected at annual appraisal and job planning and will be discussed in specialties as part of clinical governance programmes and meetings.

Clinical Audit and standard setting

Clinical audit projects

Development and application of agreed clinical guidelines

Ensuring compliance against relevant national specifications, e.g. NICE guidelines

External Peer review and relevant national audits.

Clinical outcome review

Mortality and morbidity review

Monitoring of outcomes reflected in routinely collected data

Participation in clinical coding review and improvement

Improving patient safety

Participation in Trust-wide programmes

Implementation of local improvements as defined in e.g. mortality review

Improving service effectiveness and efficiency

Service or system improvement projects, including small scale change, lean or other recognised improvement methods

Conducting or considering reviews of the evidence to plan better service delivery

Where agreed, working with commissioners to match service delivery with requirements of relevant populations

Improving the patient experience

Implementing service improvements on the basis of individual or service feedback from patients or carers

Raising the profile and impact of patient participation in decisions about their own care

Involvement in understanding and improving the ethical basis of care provided

Research

The Trusts Research Strategy encourages all clinicians to participate in high quality, nationally-recognised clinical research trials and other well-designed studies, with a particular emphasis on work supported by the National Institute for Health Research. The Trust has a number of major programmes in experimental medicine and applied health research, developed in partnership with the University of Leeds, which reflect particular strengths described in the Strategy and clinicians are encouraged to participate in these programmes.

The Trust also supports bespoke academic development and participation programmes linked to the Research Strategy, including academic mentoring and embedding of clinicians within the major research programmes.

Sessional time required for any participation in research activity will be agreed on commencement and kept under review, but not all consultants will require such sessional time.

Teaching

The Trust is a Teaching Hospital and therefore considers the active participation of consultant and other medical staff in teaching and training to be part of our core activities. Not all consultants will have regular and substantial teaching commitments but all will be involved in related activities from time to time, if only through informal opportunities, for example as part of service quality improvement (see above). It is therefore expected that all consultants will be familiar with the principles of effective teaching and will enable the service and colleagues to fulfil their obligations to learn and teach about effective care.

The remainder of this section concentrates on teaching and training for medical colleagues, but the Trust actively supports and encourages consultant medical staff to participate in and deliver teaching and training to any colleagues, within and outside of the Trust, where this is agreed as an appropriate time commitment.

Undergraduate medical teaching

The Trust actively promotes links with the University of Leeds, School of Medicine for teaching medical undergraduates and all consultant medical staff are required to participate to the level agreed within their service.

Postgraduate medical teaching

As with undergraduate teaching, consultants are expected to contribute to overall programmes of postgraduate teaching in their service. Where there is a lead or significant role agreed as part of the consultants job plan, the following expectations apply:

Consultants will be expected to act as a clinical supervisor for any or specified junior doctors working with them. All consultants must undergo clinical/educational supervisor training from July 2016. Training is envisaged as needing renewal every 5 years.

Consultants may take up specific educational roles in the speciality which includes educational supervisor, college tutor, speciality educational lead and CSU educational lead. Where the current allocation for educational supervisors in 0.25 SPA per trainee (subject to change in further iterations of job planning guidance), the SPA allocation for the other roles are for negotiation with the CD.

If consultants have a role in either under- or post-graduate medical education, the GMC expects that evidence of the quality of this education is presented at annual appraisals and for revalidation.

Continuing Professional Development (CPD)

In the discharge of their responsibilities, the consultant will be expected to maintain and update their skills and knowledge through appropriate continuing professional development.

The Trust fully supports the requirement for CPD by the relevant Royal College and the GMC. This essential component of a consultants professional activities will be reviewed during the appraisal process. Time and financial support for these activities will be allowed in accordance with the Trust policy.

Leadership

All consultants are senior members of the Trusts staff and are therefore seen by colleagues as leaders. Consultants are expected to make allowance for this, given that the most powerful leadership influence they exert is the example they set.

In addition, the Trust places great emphasis on the role of doctors in leading service improvement and change, both in their normal daily role of delivering care and in relation to specific issues. It is expected that a consultant will lead on specific areas of priority for their service from time to time, as part of their consultant duties. Such departmental or specialty leadership roles would be agreed, for example, in respect of leading or co-ordinating:

clinical governance

quality improvement

appraisal

research

teaching

The Trust supports these activities as part of the normal job plan commitments of any consultant.

On appointment, all consultants will be encouraged to participate in the activities established by the Trust to support doctors in their new role, such as the New Consultants Network and a formal mentoring programme (see below).

STANDARDS OF CONDUCT AND BEHAVIOUR

All consultants are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director in the first instance.

JOB PLAN AND WORKING ARRANGEMENTS

The job plan review will take place once the post is commenced and this will be with the Lead Clinician / Clinical Director. Due to the nature of the post, flexibility in covering oncology operating theatres could require availability for Tuesday or Wednesday theatre sessions depending on the need of the service and prior planning with the colleagues team.

Person Specification
Qualifications
Essential

Desirable

Additional Requirements
Essential

Eligibility, Fitness to practice, and Language Skills
Essential

C9298-MED-571