Senior Clinical Fellow in General Surgery

Job summary

Weare pleased to offer the opportunity for an enthusiastic Senior Clinical Fellow withwell-rounded training to join an existing team of 12 Consultants.

Main duties of the job

The post holder will be expected to work alongside the 12Consultant Surgeons together with Specialist Registrars, Core Surgical Traineesand Foundation Trainees. The department provides a wide range of in-patient andday case procedures and provides emergency and elective general surgeryservices as well as subspecialty services in Colorectal, Breast and Upper GI.The department has an excellent reputation for laparoscopic surgery andperforms significant numbers of laparoscopic colorectal resections, groin andventral hernia repairs and fundoplications each year. The laparoscopic approachis routine for appendicectomy and cholecystectomy (both elective andemergency). The breast unit perform over 250 cancer resections per year withboth immediate and delayed reconstructions. Complex abdominal wallreconstructions are undertaken regularly for complex/giant incisional hernia.

Acute Surgical Unit

In 2019 the Trust opened a new Acute Surgical Unit, with bespokeassessment facilities aimed at maximising our ambulatory care pathways forsurgical patients. A senior surgical assessor reviews patients on presentationand integral ultrasound assessment speeds diagnosis.

It has reduced non-elective admissions and reduced length ofstay. Initially aimed at General Surgery patients, work is underway to broadenthe approach to other surgical specialities who could take advantage of thefacilities and ambulatory pathways.

About us

The RotherhamNHS Foundation Trust (TRFT) is a combined acute and community Trust serving ourlocal population of around 270,000 people. Our vision is to always act the right way andbe proud to provide exceptional healthcare to the communities of Rotherham.

As a Trust weare on a journey to excellence and our people and culture are at the heart ofeverything we do for patients. In thelatest NHS Staff Survey, we are the second most improved Trust in England for wouldyou recommend the Trust as a place to work? and were one of the most improvedfor staff engagement overall.

But dontjust take our word for it each year hundreds of colleagues receive nominationsfor our Excellence and Proud awards, showcasing our brilliant people andrecognising their achievements. Ourpeople make a difference to the lives of patients every day and we are proud ofthe improvements we are making.

All of our5,100 colleagues are key to our improvement journey and we are continuing toimprove our services by upholding the Trusts values of Ambitious, Caring andTogether. If you are passionate aboutmaking a difference, then please apply to join us on our journey to excellence.

Job description

Job responsibilities

DEPARTMENT OFGENERAL SURGERY

There are twelve consultant surgeons in the surgical CSU(clinical service unit). The surgeonsare arranged into four teams (Colorectal, UGI, General and Breast).

Other MedicalStaff

The department is well staffed across all threenon-consultant tiers with a range of Associate Specialists, Speciality Doctorsand Senior Clinical Fellows at middle grade level. The Core Trainee and FY1rotas are supported by a number of Junior Clinical Fellows and AdvancedClinical Practitioners.

The Post

Acting Clinical Lead: Dr Katy Shuker

There are12 Consultant Surgeons together with Specialist Registrars, Core SurgicalTrainees and Foundation Trainees. Thedepartment provides a wide range of in-patient and day case procedures andprovides emergency and elective general surgery services as well assubspecialty services in Colorectal, Breast and Upper GI. The department has an excellent reputationfor laparoscopic surgery and performs significant numbers of laparoscopiccolorectal resections, groin and ventral hernia repairs and fundoplicationseach year. The laparoscopic approach is routine for appendicectomy andcholecystectomy (both elective and emergency). The breast unit perform over 250cancer resections per year with both immediate and delayed reconstructions.Complex abdominal wall reconstructions are undertaken regularly forcomplex/giant incisional hernia.

Acute Surgical Unit

In 2019 the Trust opened a new Acute SurgicalUnit, with bespoke assessment facilities aimed at maximising our ambulatorycare pathways for surgical patients. A senior surgical assessor reviewspatients on presentation and integral ultrasound assessment speeds diagnosis.

It has reduced non-elective admissions andreduced length of stay. Initially aimed at General Surgery patients, work isunderway to broaden the approach to other surgical specialities who could takeadvantage of the facilities and ambulatory pathways.

Urology

Clinical Lead: Mr Ali Fani

Thedepartment has 5 Consultants (including Trust Locum Consultants and one agencyLocum) plus Specialty and Foundation Trainees.Activity includes outpatient, day case surgery, inpatient electiveprocedures and emergency admissions

ON-CALL

We are NewDeal compliant and work in a full shift rota. The rota is compliant with thenew contract and is a 1 in 9 rota. Post holders will be expected to co-operatein the introduction of new ways of working and monitoring processes with thesupport of the junior medical doctors.

Patientsrequiring major vascular procedures are transferred to the Sheffield VascularInstitute, which also provides emergency vascular cover.

The ST3+ andequivalents cover urology admissions out of hours and are expected to liaisewith the consultant urologist who is on call 24/7 if there are urologicalproblems. There is a daily (including weekends) consultant-led urology wardround.

Education and Training

Thesuccessful candidates will have access to all resources currently available inthe Trust. This will involve Library andKnowledge Services, e-learning resources, Clinical Skills Training programmes,simulation training and other opportunities.

Inductionwill be provided covering both generic and specialty specific requirements. Fornew starters in the UK there will be a one-week programme in PGME prior tostarting clinical duties to prepare the post holder for practice in the UK.This may be extended according to individual needs. Initial work in clinicalareas would be supernumerary until the Clinical Supervisor agrees the doctor isready to do on call.

The postholders will be expected to develop a portfolio showing on-going professionaldevelopment and can access support from PGME to do this. The post holders will have a namedEducational Supervisor; with whom they will meet on a regular basis forappraisal. They will agree to a PersonalDevelopment Plan and receive assessment in the workplace and regular feedback,including multisource feedback.

Eachclinical department will provide access to in-house teaching equivalent totraining grade doctors. It is intended that a monthly teaching session fordoctors on this rotation will be established.

Funding forexternal study leave may be available from the department equivalent in valueto career grade staff employed by the Trust.

General

1. In conjunction with Consultant and Seniorcolleagues, to provide a high quality service for in-patient and out-patientGeneral Surgery.

2. In conjunction with Consultant and Seniorcolleagues, to take part in medical audit and research as appropriate.

3. In conjunction with Consultant and Seniorcolleagues, to ensure that the requirements of clinical governance are met.

4. To ensure that there are adequatearrangements for hospital staff involved in the care of your patients to beable to contact you when necessary.

Junior Medical Staff

5. In conjunction with Consultant and Seniorcolleagues, to play a full part in the professional supervision and managementof junior medical staff.

6. In conjunction with Consultant and Seniorcolleagues, to take responsibility for and devote time to teaching, examinationand accreditation duties as required for junior medical staff.

Management & Service Development

7. In conjunction with the Divisional SeniorTeam, to take an active role in the management of the Division.

8. In conjunction with the DivisionalDirector, Consultant & Senior colleagues, to play a full part in developing& implementing new ways of working in line with modernisation principlesthat are fit for the future.

9. In conjunction with Consultant and Seniorcolleagues, to take responsibility for the best use of departmental staffingand other resources to ensure the maximum efficiency of the department.

10. To observe the Trusts agreed policies andprocedures, in particular in relation to managing staff, and to follow theTrusts Standing Orders and Standing Financial Instructions. These policies and procedures have been drawnup in consultation with the profession on clinical matters.

Clinical Governance

11. In conjunction with Consultant colleagues,to ensure that the requirements of clinical governance are met.

Any Other Duties

12. Anyother duties as deemed appropriate.

On-call/FullShift duties

Timetablewill be provided upon commencement

General

Clinical Governance

1.In conjunction with Consultant colleagues, toensure that the requirements of clinical governance are met.

Any Other Duties

2.Any other duties as deemed appropriate.

Person Specification

Experience

Essential

Previous experience in General Surgery and a minimum of 2 years on a Basic Surgical Training Programme in posts approved for training required over and above that they could reasonably have gained via training to CCT level.

Desirable

Subspecialty training or equivalent

Research and Audit

Essential

Where appropriate ask for relevant research published in peer review journals. Evidence of audit and the implementation of change following the audit

Desirable

Relevant research published in peer review journal

Qualifications

Essential

Full registration and a licence to practise with the GMC Possession of MRCS (or equivalent). Please confirm your GMC number

Desirable

Higher Medical Degree

Ability/skills

Essential

Specific skills required to undertake the role above those required by the GMC standards.

Education and Teaching

Essential

Experience of and commitment to teaching, mentoring and developing undergraduates and postgraduates. If this is a requirement, state that a proven ability is required.

Desirable

Willingness to develop new approaches to teaching. Qualification in education

Management Skills

Essential

Demonstrate effective team working skills Time management and organisational ability. An example may be they have developed and run training programmes. Proven knowledge of systems and process of NHS or equivalent Sense of understanding and commitment to corporate responsibility Commitment to and understanding of their responsibility to the organisation.

Desirable

Knowledge of the utilisation of IT in clinical practice

Leadership*

Essential

An understanding of and ability to demonstrate your ability to: Empower others, Lead through change, Influence strategically, Collaborative working, Drive for improvement and Integrity Demonstrate innovation and problem solving abilities

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