Senior Clinical Fellow in General Surgery

Job responsibilities

DEPARTMENT OF GENERAL SURGERY

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

Other Medical Staff

The department is well staffed across all three non-consultant tiers with a range of Associate Specialists, Speciality Doctors and Senior Clinical Fellows at middle grade level. The Core Trainee and FY1 rotas are supported by a number of Junior Clinical Fellows and Advanced Clinical Practitioners.

The Post

Acting Clinical Lead: Dr Katy Shuker

There are 12 Consultant Surgeons together with Specialist Registrars, Core Surgical Trainees and Foundation Trainees. The department provides a wide range of in-patient and day case procedures and provides emergency and elective general surgery services as well as subspecialty services in Colorectal, Breast and Upper GI. The department has an excellent reputation for laparoscopic surgery and performs significant numbers of laparoscopic colorectal resections, groin and ventral hernia repairs and fundoplications each year. The laparoscopic approach is routine for appendicectomy and cholecystectomy (both elective and emergency). The breast unit perform over 250 cancer resections per year with both immediate and delayed reconstructions. Complex abdominal wall reconstructions are undertaken regularly for complex/giant incisional hernia.

Acute Surgical Unit

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

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

Urology

Clinical Lead: Mr Ali Fani

The department has 5 Consultants (including Trust Locum Consultants and one agency Locum) plus Specialty and Foundation Trainees. Activity includes outpatient, day case surgery, inpatient elective procedures and emergency admissions

ON-CALL

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

Patients requiring major vascular procedures are transferred to the Sheffield Vascular Institute, which also provides emergency vascular cover.

The ST3+ and equivalents cover urology admissions out of hours and are expected to liaise with the consultant urologist who is on call 24/7 if there are urological problems. There is a daily (including weekends) consultant-led urology ward round.

Education and Training

The successful candidates will have access to all resources currently available in the Trust. This will involve Library and Knowledge Services, e-learning resources, Clinical Skills Training programmes, simulation training and other opportunities.

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

The post holders will be expected to develop a portfolio showing on-going professional development and can access support from PGME to do this. The post holders will have a named Educational Supervisor; with whom they will meet on a regular basis for appraisal. They will agree to a Personal Development Plan and receive assessment in the workplace and regular feedback, including multisource feedback.

Each clinical department will provide access to in-house teaching equivalent to training grade doctors. It is intended that a monthly teaching session for doctors on this rotation will be established.

Funding for external study leave may be available from the department equivalent in value to career grade staff employed by the Trust.

General

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

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

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

4. To ensure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary.

Junior Medical Staff

5. In conjunction with Consultant and Senior colleagues, to play a full part in the professional supervision and management of junior medical staff.

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

Management & Service Development

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

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

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

10. To observe the Trusts agreed policies and procedures, in particular in relation to managing staff, and to follow the Trusts Standing Orders and Standing Financial Instructions. These policies and procedures have been drawn up 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. Any other duties as deemed appropriate.

On-call/Full Shift duties

Timetable will be provided upon commencement

General

Clinical Governance

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

Any Other Duties

2. Any other duties as deemed appropriate.

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

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.

Certificate of Sponsorship

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).