Specialty Doctor Urology

WORK OF THE UROLOGICAL DEPARTMENT
The service provided at Craigavon Area Hospital encompasses the entire spectrum of urological investigation and management, with the main exceptions of radical pelvic surgery, renal transplantation and associated vascular access surgery, which are provided by the Regional Transplantation Service in Belfast. Neonatal and infant urological surgery provided by the Regional Paediatric Surgical Service in Belfast.
Craigavon Area Hospital has been designated as a Cancer Unit, with its Urological Department being designated the Urological Cancer Unit for the Area population of 425,000. A wide spectrum of urological cancer management has been provided for some time. Cancer management also includes intravesical chemotherapy for bladder cancer.
We are fortunate to have a purpose built Urology outpatient facility located in the Thorndale Unit at Craigavon Area Hospital. It is run by three Clinical Nurse Specialists. We have capacity for urodynamics, ultrasound, intra-vesical therapy, prostate biopsy and flexible cystoscopy. Most of our Craigavon clinics take place from this location. The Consultants also provide outpatient services at various locations throughout the Trust area.
The department has a fixed site ESWL lithotripter with full facilities for percutaneous surgery and the department also has two holmium lasers.
Flexible cystoscopy services are undertaken by Specialist Registrars on the Craigavon/Daisy Hill and South Tyrone sites.
Outreach outpatient clinics are currently provided in Armagh (10 miles from Craigavon) and Banbridge (12 miles from Craigavon) and South Tyrone Hospital (18 miles from Craigavon) and the South West Acute Hospital in Enniskillen (64 Miles from Craigavon). Due to the recent retirement of a General Surgeon with an interest in Urology in Daisy Hill Hospital the team are currently making arrangements to move some of the urological services to Daisy Hill Hospital in order to allow the continuation of urology at Daisy Hill Hospital.
As the department / Trust look to re-establish services we will be guided by all relevant RCS and BAUS guidance but anticipate that urological services will be delivered across trust sites and will also include elements of remote (virtual) outpatients activity. A regional ‘Day Elective Care Centre’ project is underway and this may result in the post holder being offered jo planned sessions in the DECC when established.

DUTIES OF THE POST:
• There will be plenty of opportunities to learn both elective and emergency surgery. The Specialty Doctor will eventually be required to provide a level of service equivalent to that of a Specialist Registrar.
• He/she will attend outpatient, theatre and ward rounds with the consultants. In addition, he/she will be expected to undertake outpatient clinics and day theatre lists with suitable case mix with minimal supervision. He/she will be required to undertake regular ward rounds.
• He/she will be required to undertake the dictation and/or writing of clinic letters,
discharge advice slips and discharge summaries.
• He/she will be required to participate in regular teaching, participate in audit and show interest in research activities.
• There is the expectation when the Specialist Registrar is on leave that the Specialty Doctor in this post will backfill the SpR duties where they are safe and competent and where it is practicable to do so.
• Clinical and professional responsibility for patients
• Keep patients (and their carers if appropriate) informed about their condition.
• To involve patients (and their carers if appropriate) in decision making about their treatment.
• To maintain professional standards and obligations as set out by the General Medical Council and comply in particular with the GMC’s guidance on Good Medical Practice as amended or substituted from time to time.
• Carry out any work related to and reasonably incidental to the duties set out in your job plan or rota including keeping of records and the provision of reports, the proper delegation of tasks and maintaining skills and knowledge.