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Adult Neurosurgery Spinal Fellowship

3 months ago

Leeds, Leeds, United Kingdom Leeds Teaching Hospitals Full time

Job summary

Weare inviting applications to fill our STR level vacancy at The Leeds TeachingHospitals NHS Trust in the Department of Neurosurgery.

Thispost is available from August 2024 for 12 Months

Weare looking for a dynamic individual to meet the demands of this fellowshippost in a high profile area of complex and demanding surgery.

Candidatesmust be fully registered with the General Medical Council and hold a license topractice at the time of application.Candidates must also have a current up to date ALS certificate

TheLeeds Teaching Hospitals NHS trust is one of the largest trusts in the UK andprovides comprehensive secondary services to Leeds and tertiary services toWest and North Yorkshire. The GeneralInfirmary at Leeds is situated in the centre of the city, adjacent to LeedsUniversity, with which there are strong links

Considerationwill be given to applicants who wish to work full or part time and thosewishing to job share.

Main duties of the job

The Neurosurgical Spinal post will include athorough grounding in the clinical management, investigation and surgicaltechniques for optimally managing adult patients with all forms of spinalsurgical disease. Leeds General Infirmary operates a strong MDT approach tospinal disease with close and collaborative links between specialistneurosurgical and orthopaedic spinal consultant teams. There are significantfurther opportunities to develop research, and work with researchers and theclinical nurse specialist team is expected. The fellow will gain independentcompetencies in dealing with adult patients presenting with acute and electivespinal disease including cranio-cervical pathology, spinal cord and intraduraltumour pathology and multilevel congenital and degenerative spinal disease

About us

TheDepartment of Neurosciences in Leeds provides World-Class Spinal serviceswithin an integrated Neurosurgical and Orthopaedic Spinal department. Theservice is consultant-led and delivered through dedicated sub-specialtyservices. The fellowship has approval from the Royal College of Surgeons ofEngland and is designed for Neurosurgical clinicians towards the end oftraining and will provide all aspects of sub-specialty training in complexspinal surgery in preparation for a consultant role sub-specializing in thisfield.

MrChris Derham, Consultant Neurosurgeon & Spinal surgeon on

MrSenthil Selvanathan, Consultant Neurosurgeon & Spinal surgeon on

DrJohn Steele, Clinical Director of Neurosciences on

Leeds Teaching Hospitals is committed to our processof redeploying 'at risk' members of our existing workforce to new roles. Assuch, all our job adverts are subject to this policy and we reserve the rightto close, delay or remove adverts while this process is completed. If you doexperience a delay in the shortlisting stage of the recruitment cycle, pleasebear with us while this process is completed, and contact the named contact ifyou have any questions.

Job description

Job responsibilities

TheDepartments of Neurosurgery and the Integrated Spinal Service provide acomprehensive neurosurgical and spinal surgery service to the millionpeople of West and North Yorkshire. TheDepartments are housed within the Jubilee Wing of the General Infirmary atLeeds.

TheDepartments have 68 adult beds in two dedicated wards with an additional 7bedded dedicated Neuro-intensive Care Unit as well as a 7 bedded dedicated HighDependency Unit. There are four adultoperating theatres including one dedicated to emergency surgery 24 hours perday. There are separate beds, operatingtheatres, and intensive care facilities for Paediatric Neurosurgery. Theintegrated spinal service offers all aspects of spinal surgery and is made upof 4 Neurosurgical and 8 Spinal Orthopaedic Consultants.

Thesurgical services within the CSU have close links with the other neurosciencespecialties that are all on site including Neuroradiology, Neurology,Neuroanaesthetists and Neurophysiology.The Neuro-pathology department for Yorkshire is now based at St Jamesshospital but continues to provide a full histological and post-mortem serviceincluding facilities for inter-operative histopathology.

TheNeuro Radiology Department is based at the Leeds General Infirmary andcomprises 7 Consultants, three of whom provide Endovascular services.

TheGeneral Infirmary at Leeds is a level 1 trauma unit (MTC status) and there areclose links with other associated surgical specialties including trauma,maxillofacial, plastics, cardiothoracic and ENT surgery.

Thedepartment's work has continued to increase over the past years. The current caseload is some 3000 inpatientsper year and approximately 2000 operative cases per year.

TheCentre for Neurosciences in Leeds provides world class adult Neurosurgical andOrthopaedic spinal care. The service isconsultant led and delivered through dedicated subspecialty services. The spinal services have very strong linkswith Neurology, Neuroradiology, Neuropathology, and Leeds University.

Aswould be expected, to support spinal surgery, all the theatres have BrainLABneuronavigation, CUSA, Sonopet, Zeiss microscopes (including navigated), X-raysupport, intra-operative frozen section, and intra-operative ultrasound. All patients are discussed in a weekly MDTthat conforms to the BASS standards and all patients are entered into theNational Spinal Database.

TheNeurosurgical Spine consultants (Mr Pal, Mr Derham, Mr Selvanathan, and MrSinha, and Mr Kellet) integrate with the Spinal Orthopaedic consultant team (MrGummerson, Mr Rao, Mr Khan, Mr Rudol, Mr Loughenbury, Mr Borse, and MrDunsmuir) and run a combined on-call rota. There is a designated specialistCervical Spine MDT clinic which runs on a weekly basis. All patients undergoingoperative intervention are discussed at a weekly Neurosurgical spine and SpinalMDT. All aspects of Spinal surgery are offered within the department. Thedepartment currently supports 3 fellowship posts in spinal surgery includingthe Stryker Industry Fellowship and the National Spinal Fellowship. This newfellowship post is intended to allow an experienced trainee, from aNeurosurgical background and peri-CCT the opportunity to gain more experienceover a one-year period in this sub-specialty within spinal surgery with aspecific interest in craniocervical and intramedullary microsurgery. It isexpected that sufficient experience will be obtained from this fellowship toallow a successful fellow to offer themselves for appointment to a consultantposition involving a substantial commitment to this specialist area of surgery.It is expected that through the fellowship program, experience is gained in theassessment, investigation and operative management of patients presenting withboth acute and elective complex spinal pathology. It is also expected that theFellow will gain experience in the management of degenerative, neoplastic,infective, and traumatic disorders of the spine. The Fellow will be expected toperform most of the complex spinal cases (depending on their level of experience)and will be trained in techniques including complex cranio-cervical junctionand sub-axial spine reconstruction, microsurgical techniques in relation to thespinal cord, minimally invasive techniques (MIS, Vertebroplasty, XLIF), andspinal fusion techniques. Participation in a weekly Spinal MDT consisting ofNeurosurgeons and Spinal Orthopaedic surgeons, Radiologists, and specialistnurses will be expected. The Fellow will be encouraged to participate andconduct research into complex spinal disorders and attend national andinternational meetings. The Fellow will be expected to participate in thegeneral neurosurgical registrar on call rota, to provide continuity of care forpatients, and maintain a general emergency skill set in neurosurgery. As such,preference will be given to candidates applying with base specialty skills inNeurosurgery or FRCS (SN). It is expected that the Fellow will shareresponsibility for the neurosurgical patients in their area of sub-specialistinterest outside of strict rota commitments.

Thereare very strong links with Leeds University and local brain tumourcharities. There is a dedicated SpinalResearch Nurse.

THELEEDS WAY VALUES

Ourvalues are part of what make us different from other trusts, so we see this asa strength, as well as a responsibility. They have been developed by our staffand set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

Allour actions and endeavours will be guided and evaluated through these values

Additionally,the following are core values which relate specifically to this post:

Thebeliefs and attitudes that underpin effective performance within the jobrole. Emphasis should be on therequirements of the role not the individual when completing this section. Examples might include quality focus,mistakes are used as a continual learning experience, honesty, integrity etc.

LeedsTeaching Hospitals NHS Trust is part of the West Yorkshire Association of AcuteTrusts (WYAAT), a collaborative of the NHS hospital trusts from across WestYorkshire and Harrogate working together to provide the best possible care forour patients.

Bybringing together the wide range of skills and expertise across West Yorkshireand Harrogate we are working differently, innovating, and driving forwardchange to deliver the highest quality care.By working for Leeds Teaching Hospitals NHS Trust this is youropportunity to be a part of that change.

WYAATis the acute sector arm of the West Yorkshire and Harrogate Health and CarePartnership, one of the largest integrated care systems in the country. ThePartnerships ambition is for everyone to have the best possible health andwellbeing, and the work of WYAAT, and each individual trust, supports thatambition.

Additionally,the following are core values which relate specifically to this post:

Teamworking - the successful applicant will be expected to work closely withtheatre and ward teams, demonstrating a strong commitment to collaborative,patient centred care. They will be expected to demonstrate excellentcommunication skills.

Qualityand safety focused - the Trust places a strong emphasis on continuous learningand the importance of sharing both good practice and learning from mistakes.The successful candidate will be expected to fully support these principles.

MEDICALSTAFF IN THE DEPARTMENT

TheDepartment is led by 12 Consultant Neurosurgeons and 7 Orthopaedic SpinalSurgeons. They all have comprehensive general Neurosurgical commitment as wellas subspecialty interests.

Neurosurgeons

MrP D Chumas - Paediatric, Oncology and Epilepsy Neurosurgery

MrN I Phillips - Pituitary, Vascular and Skull Base Neurosurgery

MrA K Tyagi - Vascular and Paediatric Neurosurgery

MrD Pal - Spinal Neurosurgery

MrS Thomson - Adult Oncology and Spinal Neurosurgery

MrJ R Goodden - Paediatric, Oncology and Spasticity Neurosurgery

MrK Deniz - Vascular and Posterior Skull Base Neurosurgery

MrG Sivakumar - Paediatric, Functional, Epilepsy & Oncology Neurosurgery

MrR Corns - Adult Oncology and Trauma Neurosurgery

MrC Derham - Spinal Neurosurgery and Trauma Neurosurgery

MrI Anderson - Vascular, Skull base

MrR Matthew - Adult oncology and Research

MrS Selvanathan - Spinal Neurosurgery

MrP Sinha - Spinal Neurosurgery

OrthopaedicSpinal Surgeons

MrR Dunsmuir - Orthopaedic Spinal Surgery

MrA Rao - Orthopaedic Spinal Surgery

MrA Khan - Orthopaedic SpinalSurgery

MrN Gummerson - Orthopaedic Spinal Surgery

MrG Rudol - Orthopaedic Spinal Surgery

MrP Loughenbury - Orthopaedic Spinal Surgery

MrV Borse - Orthopaedic Spinal Surgery

Themiddle grade rota consists of 16 Higher Specialty Trainees participating in a1:14 out of hours rota.

Person Specification

Clinical, Academic, and Personal Skills

Essential

Demonstrates understanding of research, including awareness of ethical issues Up to date GCP certification Demonstrates an interest in and commitment to the specialty beyond the mandatory curriculum

Desirable

Evidence of relevant academic and research achievements, , degrees, prizes, awards, distinctions, publications, presentations, other achievements Evidence of interest in, and experience of teaching Higher degree or interest in doing a higher degree

Qualifications

Essential

MBBS or equivalent medical qualification ARCP Outcome 1 at ST6 or equivalent experience Passed Speciality Fellowship Examination in Neurosurgery or equivalent CCT in Neurosurgery

Desirable

Relevant BSc, MD, PhD CCT in Neurosurgery

Eligibility, Fitness to practice, and Language Skills

Essential

Be eligible for full registration with, and hold a current licence to practise from, the GMC at intended start date Eligibility to work in the UK Is up to date and fit to practise safely and is aware of own training needs. ll applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues Meets professional health requirements (in line with GMC standards/Good Medical Practice)

Additional Requirements

Essential

Enthusiasm for all aspects of neurosurgical spine surgery Ability to work in a team Demonstrates probity Demonstrable interest in, and understanding of, the specialty Commitment to personal and professional development Evidence of attendance at organised teaching and training programme(s) Evidence of self-reflective practice

Experience

Essential

Approaching completion or recently completed higher neurosurgical training or equivalent. Demonstrable interest in developing consultant level subspeciality skills in Neurosurgical spine. Ability to apply sound clinical knowledge and judgement to problems Ability to prioritise clinical need Ability to maximise safety and minimise risk Recognition of, and ability to undertake the initial management of, an acutely ill patient Evidence that career progression is consistent with personal circumstances Desire to develop Neurosurgical Spines as a subspecialty Ability to provide complete details of employment history