Consultant in Obstetrics and Gynaecology

Job summary

Consultant in Obstetrics and Gynaecology: Deputy Colposcopy Lead and Two Week Rule Gynaecology

The department is developing rapidly and this post is part of the second phase of medical recruitment. The department has existing clinical leads for both Colposcopy and Two Week Rule gynaecology, and it is expected that the successful post holder will support both clinically and managerially. The post holder will have a long term commitment to the Colposcopy service and will work with the existing teams to support and develop the services.

The department is a Cancer unit with links to the regional unit that is based at the Royal Surrey County Hospital. There are existing local MDTs at ASPH and regional MDT for Oncology at Royal Surrey.

The post holder will support the remainder of the department in providing high quality care across Obstetrics and Gynaecology .

Candidates must have full GMC registration, have CCT (or be within 6 months of obtaining it), be on the specialist register. They must also be keen and willing to partake in the Obstetrics on call and cover (non-resident).

This substantive post attract 10 PAs in an split and includes a 1 in 16 non-resident on call rota and a 1 in 16 consultant of the week duty. Flexibility in job planning is a key part of the role. We pay particular attention to work-life balance and the job plan reflects this. Applicants wishing to work part time will also be considered.

Please note that Interviews will be held in person.

Main duties of the job

Deliver clinical, educational, managerial services of the highest professional standard at Consultant level. Work with consultants and the multi-disciplinary team to provide a high quality, well-led service for patients in accordance with Trust policies and practices. Deliver Direct Clinical Care to patients. The Consultant team will provide comprehensive senior clinical cover to the Department. Assessment of in-patients as per Consultant of the Week (CoW) model Provide consultant cover in ward rounds, multi-disciplinary team meetings and ante-natal clinics. Consultants will be expected to review potential admissions and develop triage strategies to ensure early investigations and treatment of patients is achieved. Have a continuing responsibility for the care of patients in his/her charge, ensuring safe handover. Engage fully with the care of patients outside the department and provide a prompt opinion on request from consultant colleagues in other specialties. Engage with co-workers in the delivery of department objectives: to provide clinical leadership, improve patient experience; ensure the highest quality clinical care. Actively participate in and support other staff with education, research, audit and clinical governance activities involving a multi-disciplinary workforce. a Participate in the professional training of the staff. Teaching and training will require verification of teaching certification. Undertake any other duties appropriate for a consultant.

About us

Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond.

Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter's, Chertsey, Surrey.

We also run many specialist clinics in the community and local community hospitals and other healthcare facilities.

Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development, staff benefits and flexibility to shape our workforce around our patient care.

This is an exciting time to join our Trust, as we work on the expansion of our theatres at Ashford Hospital and move towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures; with care delivered by dedicated, specialist teams in a modern and well-equipped environment.

We hope to use this centre to create an environment of learning and to facilitate training of the next generation of our skilled NHS workforce. Our plans are ambitious - why not, come and be a part of our journey.

Adverts may close early, so applicants are encouraged to submit an application as soon as possible.

Job description

Job responsibilities

The remit of the post holder is to join the current team of two gynaecological oncologists (one part time) who lead our Gynaecology Cancer and TWR sessions and our existing Consultant Colposcopy lead, with support from a clinical nurse specialist and a senior clinical fellow.

This is a new consultant post that will work in collaboration with the existing leads for TWR gynaecology and Colposcopy. The successful post holder would be required to take on the role of deputy clinical lead for Colposcopy and have long term commitment to the ASPH Colposcopy service. Additionally, the post holder will have a central role in supporting the departmental TWR service and will work with the existing lead in managing the PTL and supporting both the local and regional gynaecological cancer MDT meetings.

The job plan will support the provision of specialist Gynaecology Oncology care and ambulatory services at Ashford and St Peters Hospital. The post holder will have proven gynaecology TWR experience and have weekly oncology Outpatient clinics, operating, TWR and colposcopy sessions as well as MDT sessions.

The post holder would be expected to be BSCCP accredited and have demonstrable abilities to work within an MDT and to lead clinical teams. Additionally, they should be competent in open and laparoscopic surgery for gynaecological malignancy and have proven and extensive acute gynaecology experience.

The Job Plan has PAs of Direct Clinical Care (DCC) and Supporting Professional Activities (SPA). The existing rota is organised on a 12-week rota, with alternating week A and week B commitments. The rota allows for Consultants to alternate working on busy and less busy days in order to equalise workloads. This rota will expand as part of the phased recruitment process to a 1:16 and in the short term will require flexible elements to support Labour Ward, elective caesarean sections and Gynaecology theatres. The expected transition to a 1:16 and partially annualised job plans is April 2024.

A specific job plan will be agreed with the appointed consultant, the Specialty Lead, Divisional Director and the Department Service Manager and is subject to change to meet the needs of the service. There will be DCC sessions for colposcopy, one-stop TWR gynaecology, gynae theatres, and labour ward. In addition there will be DCC sessions for Colposcopy and TWR MDTs, patient admin and shared departmental responsibilities such as PMRT and bereavement clinics.

This Job Plan will be reviewed annually to ensure that the DCC/SPA allocation accurately reflect the work that is performed.

Supporting Professional Activities (SPAs) are intended to cover formal post-graduate teaching, audit, research, governance, supervision, appraisal and clinical management as required. The balance of sessions between Ashford & St. Peters is flexible. Teaching and training will require verification of teaching certification.

Currently, there is also a 1 in 12 Consultant of the week (CoW) commitment along with 9 hours per day on site cover with each weekend on call commitment. This will also expand once the department has fully recruited to a proposed 1 in 16 model.

Consultant On-Call Rota (Frequency of rota/detail of rota)

The existing Consultant body participate in the department rota on a 1:12 basis. The recruitment process is intended to reach an on-call participation of 1:16. The on call availability supplement will be Category A, 3 %. The PAs may be adjusted, subject to the job-plan and agreed work commitment, such as prospective colleague cover and additional duties.

Person Specification

Qualifications

Essential

oFull GMC Registration. oMRCOG (or equivalent) oEvidence of training, experience and independent practice in both Obstetrics & Gynaecology. oCCT or eligible within six months of interview date and can demonstrate evidence that they are expected to achieve CCT within 6 months. oATSM in advanced labour ward practice oATSM Colposcopy / BSCCP Accreditation oGynaecology Scanning

Desirable

oATSM Hysteroscopy or equivalent oATSM Gynaecological Oncology / or equivalent oEvidence of training and independent practice in minimal access surgery. oMOET or equivalent

Experience

Essential

oEvidence of thorough and broad training in both Obstetrics and Gynaecology. oExperience of managing gynaecological oncology patients at unit or centre level oExtensive skill and experience in laparoscopic, open and vaginal surgery in gynaecological oncology and gynaecological emergencies oAble to independently manage a high risk labour ward. oAble to manage high risk ante-natal women. oAbility to oTake full and independent responsibility for the clinical care of patients. oPerform appropriate surgery for emergency gynaecology. oIndependently manage women with complications in early pregnancy. oExperience in service and pathway developments and guidelines oEvidence of initiating change through the quality improvement projects and audits

Desirable

oEvidence of MDT working in a cancer setting. oExperience in governance, quality and safety.

Skills

Essential

oMust be able to demonstrate, in relation to people who use Trust and other related services: oknowledge & awareness of diversity and human rights and the competencies appropriate to your role to support their diverse needs and human rights. oability to communicate effectively with them and with other staff to ensure that their care, treatment and support are not compromised. oa good understanding of their communication, physical & emotional needs; can identify their individual needs and preferences, their changing needs and recognise and promote their independence oExcellent written and verbal communication skills oAbility to work constructively in a multidisciplinary team, be flexible and responsive to the needs of colleagues and provide team leadership oEvidence of ability to continuously improve patient and staff experience oAbility to manage competing demands in a busy acute environment and cope and manage own emotions under stress oAbility to empathise with patients and their families and to treat them with compassion and sensitivity oCompetent in the use of IT/computer systems

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