Job summary
Applications are invited for the post of Consultant Renal
Transplant Surgeon at the Wessex Kidney Centre based in Portsmouth Hospitals
University NHS Trust. This is a replacement post to maintain the Consultant
transplant workforce at 6 persons.
The successful candidate will join the current team of five
consultants based in Portsmouth and providing dialysis access and renal
transplant services to the surrounding hospitals. The post-holder will be
expected to have experience of and to participate in the whole range of renal
transplant and access services, both elective and emergency, as well as live
donor surgery. The development of a special interest (to be discussed and not
necessarily in transplantation and renal failure surgery) will be expected as
will interests in education, research and audit.
Interview Date: 17th May 2023
Main duties of the job
Depending on experience and training, there is an opportunity to be involved in elective and emergency general surgery, paediatric surgery, tertiary vascular access and urology. The Centre provides comprehensive renal services to a population of approximately 2.3 million across seven feeding acute trusts and currently three specialist commissioning groups. It hosts the regional transplant unit which performs 100 to 110 renal transplants per year. The service has approximately 700 haemodialysis patients (including home haemodialysis), 100 peritoneal dialysis (including assisted APD) patients and about 1200 transplant recipients in long-term follow-up. The Centre has 54 in-patient beds across three dedicated renal/transplant wards, its own outpatient department, day-care/assessment areas and home dialysis training facilities. There is a 25-station on-site outpatient haemodialysis facility and 8 satellite dialysis units (3 NHS-run and 5 with commercial partners). Further expansion in both inpatient and dialysis facilities is being planned and imminent.
The job plan attracts ten programmed activities (8 DCC 2
SPA). This includes participation in the renal transplant consultant on call
rota (initially on a 1-in-6 basis) only.
Short-listed candidates are encouraged to visit by prior
appointment.
Please contact Mr Keith Graetz (Acting CD) on 02392 286000
Ext 1073 or via e-mail at keith.graetz@porthosp.nhs.uk.
About us
The Trust is committed to driving excellence in care for our patients and communities and was rated good by the Care Quality Commission report published 2020 and became a University Hospital. We are ranked as the third in the country for research; embedding education and training across the organisation and we continuously strive to achieve our core values which are at the heart of everything we do. The Trusts main hub is the Queen Alexandra Hospital, starting life as a military hospital over a century ago and now one of the largest hospitals on the south coast and you may have seen us on the TV series Nurses on the Ward. The Trust provides comprehensive secondary care and specialist services to a local population of 675,000 people across South East Hampshire. The Trust employs over 8,000 staff and are #ProudtobePHU; our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because its the right thing to do, but because it makes our hospital stronger. If you share our values and our enthusiasm for providing outstanding care and support for patients, colleagues and our community you will find a home at PHU. In recruiting for our team, we welcome the unique contributions that you can bring in
terms of your education, opinions, culture, ethnicity, race, sex, gender
identity and expression, nation of origin, age, languages spoken, veterans
status, colour, religion, disability, sexual orientation and beliefs.
Job description
Job responsibilities
The post
holder will primarily be responsible for the in-patient and out-patient care of
patients undergoing live donor surgery, renal transplant surgery and dialysis
related surgery both in the elective and emergency settings. The clinics are
mainly based on the Queen Alexandra Hospital (QA) site but may be in outlying
hospitals in the future. All surgery is currently performed on the QA site, but
again may be done in outlying hospitals in the future. The surgery will involve
GA and LA lists and emergency on call covering dialysis related problems as
well as renal transplantation and surgical emergencies in the renal patient
population.
The
majority of the post will be as described above. However, there will be
opportunity for individuals to develop a sub speciality role for themselves
depending on their current experience and the requirements of the department.
This could involve:
Acute
general surgery
Elective
benign general surgery
Complex
vascular access for dialysis and non-dialysis patients
Transplant
urology
The
on-call service works with a Surgeon of the Week (SOW) covering from Friday
midday for 7 days including the weekend. The weekday nights are covered by
other members of the team. During this period, all elective commitments are
cross covered by colleagues. The only fixed commitments during this week are
the acute transplant follow up clinics on Monday and Thursday mornings.
There are currently renal surgical clinics on Monday mornings and
Thursday afternoons. There are renal GA lists every Tuesday, Wednesday and
Thursday mornings and a renal LA list alternate Monday afternoons and every
Friday morning. This post holder would be allocated an almost equal share of
the available lists to fit in with on call and elective non-operating
commitments as well as other clinical commitments. The successful candidate
would be expected to work flexibly and provide prospective cover for leave.
Depending on the skills and training, use of other surgical lists and a role in
the emergency general surgical take is available.
The post-holder will be expected to clinically supervise the junior
surgical staff within the department. This currently includes one physicians
associate and 4 junior surgical trainees (who also have commitments on the
general surgery rota). Opportunities for other more focused educational roles
may become available with appropriate training in the future.
The renal and urology services at Portsmouth Hospitals University NHS
Trust (PHU) only provide services for adult patients. Transition of paediatric
renal and transplant patients from Southampton General Hospital happens when
the patient is 18 years of age. With appropriate training, surgical involvement
in these transition clinics may be possible. If the appointment involves
emergency general surgery, then the service at PHT does provide emergency
paediatric cover and emergency operations for children aged 5 to 18. The
transplant team also provide the complex non-renal vascular access service in
parallel to the interventional radiologists and nurse led peripheral vascular
access service.
Portsmouth Hospitals University NHS Trust has increasingly strong links
with the University of Portsmouth as well as the University of Southampton. The
Wessex Kidney Centre is regularly one of the largest recruiters of patients to
portfolio/NIHR studies in the country. The transplant patients that the unit
covers are rarely involved in these studies and therefore offers huge potential
for future research projects. There are opportunities for clinical and
scientific research.
The post
is initially 10 PAs.
Supporting Professional Activities
Sufficient
SPA and administration time is included to fulfil the role (2 PAs).
This will
be subject to review in job planning meetings not more than 12 months after
appointment and annually thereafter.
Key Responsibilities:
The post
holder will be responsible for the assessment, surgery and inpatient and
outpatient care of patients undergoing live donor surgery, renal transplant
surgery and dialysis related surgery both in the elective and emergency
settings. The clinics are mainly based on the QA site but may be in outlying hospitals
in the future. All surgery is currently performed on the QA site, but again may
be done in outlying hospitals in the future. The surgery will involve GA and LA
lists and emergency on call covering dialysis related problems as well as renal
transplantation and surgical emergencies in the renal population.
Job description
Job responsibilities
The post
holder will primarily be responsible for the in-patient and out-patient care of
patients undergoing live donor surgery, renal transplant surgery and dialysis
related surgery both in the elective and emergency settings. The clinics are
mainly based on the Queen Alexandra Hospital (QA) site but may be in outlying
hospitals in the future. All surgery is currently performed on the QA site, but
again may be done in outlying hospitals in the future. The surgery will involve
GA and LA lists and emergency on call covering dialysis related problems as
well as renal transplantation and surgical emergencies in the renal patient
population.
The
majority of the post will be as described above. However, there will be
opportunity for individuals to develop a sub speciality role for themselves
depending on their current experience and the requirements of the department.
This could involve:
Acute
general surgery
Elective
benign general surgery
Complex
vascular access for dialysis and non-dialysis patients
Transplant
urology
The
on-call service works with a Surgeon of the Week (SOW) covering from Friday
midday for 7 days including the weekend. The weekday nights are covered by
other members of the team. During this period, all elective commitments are
cross covered by colleagues. The only fixed commitments during this week are
the acute transplant follow up clinics on Monday and Thursday mornings.
There are currently renal surgical clinics on Monday mornings and
Thursday afternoons. There are renal GA lists every Tuesday, Wednesday and
Thursday mornings and a renal LA list alternate Monday afternoons and every
Friday morning. This post holder would be allocated an almost equal share of
the available lists to fit in with on call and elective non-operating
commitments as well as other clinical commitments. The successful candidate
would be expected to work flexibly and provide prospective cover for leave.
Depending on the skills and training, use of other surgical lists and a role in
the emergency general surgical take is available.
The post-holder will be expected to clinically supervise the junior
surgical staff within the department. This currently includes one physicians
associate and 4 junior surgical trainees (who also have commitments on the
general surgery rota). Opportunities for other more focused educational roles
may become available with appropriate training in the future.
The renal and urology services at Portsmouth Hospitals University NHS
Trust (PHU) only provide services for adult patients. Transition of paediatric
renal and transplant patients from Southampton General Hospital happens when
the patient is 18 years of age. With appropriate training, surgical involvement
in these transition clinics may be possible. If the appointment involves
emergency general surgery, then the service at PHT does provide emergency
paediatric cover and emergency operations for children aged 5 to 18. The
transplant team also provide the complex non-renal vascular access service in
parallel to the interventional radiologists and nurse led peripheral vascular
access service.
Portsmouth Hospitals University NHS Trust has increasingly strong links
with the University of Portsmouth as well as the University of Southampton. The
Wessex Kidney Centre is regularly one of the largest recruiters of patients to
portfolio/NIHR studies in the country. The transplant patients that the unit
covers are rarely involved in these studies and therefore offers huge potential
for future research projects. There are opportunities for clinical and
scientific research.
The post
is initially 10 PAs.
Supporting Professional Activities
Sufficient
SPA and administration time is included to fulfil the role (2 PAs).
This will
be subject to review in job planning meetings not more than 12 months after
appointment and annually thereafter.
Key Responsibilities:
The post
holder will be responsible for the assessment, surgery and inpatient and
outpatient care of patients undergoing live donor surgery, renal transplant
surgery and dialysis related surgery both in the elective and emergency
settings. The clinics are mainly based on the QA site but may be in outlying hospitals
in the future. All surgery is currently performed on the QA site, but again may
be done in outlying hospitals in the future. The surgery will involve GA and LA
lists and emergency on call covering dialysis related problems as well as renal
transplantation and surgical emergencies in the renal population.
Person Specification
Experience
Essential
- Entry on the GMC specialist register via CCT (proposed date must be within 6 months), CESR or European Community Rights
- An appropriate higher surgical qualification
- Evidence of a transplant fellowship is desirable
Knowledge
Essential
- Able to demonstrate appropriate level of clinical knowledge related to renal transplantation and dialysis access
- Experience of managing SPK patients
- Knowledge and use of evidence based practice
- IT skills
- Effective, confident presentation ability
- Experience in and outside speciality
Clinical Skills
Essential
- Demonstrable skills and experience of elective and emergency renal transplantation and access surgery
- Experience of minimally invasive live donor surgery
- Understanding of clinical risk management
Qualifications
Essential
- Full GMC registration with a licence to practice
- Higher professional training in renal transplantation
Other
Essential
- Evidence of participation in audit
- Good oral and written communication skills
- Publications
- Prizes and honours
- Logical thinking, problem solving and decision making
Person Specification
Experience
Essential
- Entry on the GMC specialist register via CCT (proposed date must be within 6 months), CESR or European Community Rights
- An appropriate higher surgical qualification
- Evidence of a transplant fellowship is desirable
Knowledge
Essential
- Able to demonstrate appropriate level of clinical knowledge related to renal transplantation and dialysis access
- Experience of managing SPK patients
- Knowledge and use of evidence based practice
- IT skills
- Effective, confident presentation ability
- Experience in and outside speciality
Clinical Skills
Essential
- Demonstrable skills and experience of elective and emergency renal transplantation and access surgery
- Experience of minimally invasive live donor surgery
- Understanding of clinical risk management
Qualifications
Essential
- Full GMC registration with a licence to practice
- Higher professional training in renal transplantation
Other
Essential
- Evidence of participation in audit
- Good oral and written communication skills
- Publications
- Prizes and honours
- Logical thinking, problem solving and decision making
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
