Job summary
Consultant Urological Surgeon with specialist interest in Superficial Bladder Cancer
The Urology Department is seeking a full-time (10 PA) Locum Consultant Urologist with a special interest in urological oncology to join a dynamic, enthusiastic and forward-thinking team. The principal area of clinical specialisation is envisaged to be in Superficial Bladder Cancer but additional interests in Bladder Cancer Diagnostics and Radiation Cystitis Management would be an advantage.
The bladder services have undergone phenomenal growth over the last 5 years. This post is required for us to meet that demand, and in particular as we prepare for the retirement of one of the senior oncological surgeons. Expertise in managing post-cystectomy and reconstructive surgical patient cohorts will be required, as well as management of non-muscle invasive bladder cancer. The successful post-holder would be involved with the outpatient blue-light cystoscopy and molecular diagnostics service. As part of South East London Cancer Alliance Network provisioning, the successful consultant would lead on the streamlining of urothelial/bladder cancer diagnostics and pathways in order to meet with national targets. In addition, Lewisham and North Greenwich NHS Trust has now been assigned as a regional surgical hub for providing high volume core/intermediate urological operating, and the successful post-holder will have the opportunity to have sessions within the hub.
Main duties of the job
The Department offers a full complement of treatments for urological conditions, serving the population of south east London and further afield. The post-holder will undertake outpatient sessions and operating lists at Guy's Hospital. They will be expected to take an active role in research and development and to participate in the teaching programs of the department.
You must be fully registered with the GMC/GDC and hold Licence to Practice and be on the Specialist Register, or within six months of attaining your CCT or equivalent at interview stage.The post holder will have regular contact with vulnerable adults and/or children (0-18 years) and therefore 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 to check for any previous criminal convictions.
About us
As an organisation, we are committed to developing our services in ways that best suit the needs of our patients. This includes asking certain groups of staff to work more flexibly so that we can offer services to patients in the evenings and at weekends. We regard this flexibility as essential if we are to continue to provide first class patient care in the future. As a result, any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern of working in the future if required and in accordance with the provisions of the new Guy's and St Thomas' NHS Foundation Trust consultant contract.
The directorate of Transplant, Renal and Urology (TR&U) is one of the largest directorates at Guy's and St Thomas' (GSTT) with an average annual income of approximately £90 million, employing 570 members of staff. The directorate provides specialist and tertiary referral services to the population of South East London and West Kent, specialising in renal and pancreatic transplant, robotic surgery, urological cancer treatment, dialysis and acute kidney disease, lithotripsy, laser prostate procedures, functional urology and andrology. The directorate also provides local services to the populations of Lambeth and Southwark and is based on the Guy's Hospital campus of GSTT.
Job description
Job responsibilities
The Trust and directorate have a strategy based on three key pillars, being Proud of our People, Patient-centred and Promoting Partnerships. These are supported by the directorates six key strategic and improvement domains, which directorate teams are structured to support. These are:
- Promoting Quality and Access of Care (Patient-centred)
- Developing services for our patients (Patient-centred)
- Promoting learning from others and each other (Proud of our People)
- Developing outstanding individuals and teams (Proud of our People)
- Growing our business (Promoting Partnerships)
- Network and Outreach (Promoting and Partnerships)
The directorate is headed by Matthew Bultitude, Consultant Urologist and Clinical Director, supported by Glenda Baillie, Head of Nursing and Sophie Goddard, General Manager.
The post-holder will be accountable to Matthew Bultitude, Clinical Director of Transplant, Renal and Urology (TR&U)
Provide High Quality Care to Patients
- The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice
- To develop and maintain the competencies required to carry out the duties required of the post.
- To ensure prompt attendance at agreed direct clinical care Programmed Activities.
- To ensure patients are involved in decisions about their care and to respond to their views.
Research, Teaching and Training
- Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
- To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.
- To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
Performance Management
- To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
- Quality of outcomes e.g. infection control targets, reducing re-admission rates.
- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
- Operational efficiency e.g. day-case rates, waiting list activity and demand management.
Medical Staff Management
- To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.
- To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
- To participate in the recruitment of junior medical staff as and when required.
- To participate in team objective setting as part of the annual job planning cycle.
- To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.
Governance
- To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
- Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
- To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
- Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
- To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
- To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
- To role model good practice for infection control to all members of the multidisciplinary team.
Strategy and Business Planning
- To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
- To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.
Leadership and Team Working
- To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
- To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
- To chair regular meetings for the specialties.
- To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
- Adhere to Trust/departmental guidelines on leave including reporting absence.
Job description
Job responsibilities
The Trust and directorate have a strategy based on three key pillars, being Proud of our People, Patient-centred and Promoting Partnerships. These are supported by the directorates six key strategic and improvement domains, which directorate teams are structured to support. These are:
- Promoting Quality and Access of Care (Patient-centred)
- Developing services for our patients (Patient-centred)
- Promoting learning from others and each other (Proud of our People)
- Developing outstanding individuals and teams (Proud of our People)
- Growing our business (Promoting Partnerships)
- Network and Outreach (Promoting and Partnerships)
The directorate is headed by Matthew Bultitude, Consultant Urologist and Clinical Director, supported by Glenda Baillie, Head of Nursing and Sophie Goddard, General Manager.
The post-holder will be accountable to Matthew Bultitude, Clinical Director of Transplant, Renal and Urology (TR&U)
Provide High Quality Care to Patients
- The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice
- To develop and maintain the competencies required to carry out the duties required of the post.
- To ensure prompt attendance at agreed direct clinical care Programmed Activities.
- To ensure patients are involved in decisions about their care and to respond to their views.
Research, Teaching and Training
- Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
- To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.
- To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
Performance Management
- To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
- Quality of outcomes e.g. infection control targets, reducing re-admission rates.
- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
- Operational efficiency e.g. day-case rates, waiting list activity and demand management.
Medical Staff Management
- To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.
- To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
- To participate in the recruitment of junior medical staff as and when required.
- To participate in team objective setting as part of the annual job planning cycle.
- To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.
Governance
- To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
- Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
- To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
- Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
- To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
- To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
- To role model good practice for infection control to all members of the multidisciplinary team.
Strategy and Business Planning
- To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
- To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.
Leadership and Team Working
- To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
- To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
- To chair regular meetings for the specialties.
- To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
- Adhere to Trust/departmental guidelines on leave including reporting absence.
Person Specification
Professinal Qualifications
Essential
- Full GMC Registration with entry on the Specialist Register, or within 6 months of CCT
Desirable
- MD or PhD
- Relevant courses to match post applied for
- FRCS (Urol) or equivalent
Clinical Experience
Essential
- Ability to offer transperineal prostate biopsy
- Completion of fellowship in robotic surgery with ability to operate independently/minimal supervision
Desirable
- Ability to perform HoLEP and experience with new BPH technologies
Clinical Skills
Essential
- Ability to work as an effective member of a multidisciplinary team
Audit Management & IT
Essential
- Clear understanding and track record of clinical governance and audit. IT skills appropriate for the post
Desirable
Research, Teaching skill & experience
Essential
- Understanding of the principles and applications of clinical research
- Experience of teaching and training undergraduates, postgraduates and junior medical staff
Desirable
- Evidence of original research and publication
- Appraisal training
- Teaching qualification
Leadership / Management skills
Essential
- Communication - Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate
- Accountability - Ability to take responsibility, lead, make decisions and exert appropriate authority
- Interpersonal Skills - Empathy, understanding, listening skills, patience and ability to work co-operatively with others
- Interpersonal Skills - Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure
- Interpersonal Skills - Ability to work as part of a team
- Staff Management - Experience of performance management, developing and motivating staff
- Finance - Knowledge of finance and budgets
Desirable
- Experience in clinical guideline development.
Person Specification
Professinal Qualifications
Essential
- Full GMC Registration with entry on the Specialist Register, or within 6 months of CCT
Desirable
- MD or PhD
- Relevant courses to match post applied for
- FRCS (Urol) or equivalent
Clinical Experience
Essential
- Ability to offer transperineal prostate biopsy
- Completion of fellowship in robotic surgery with ability to operate independently/minimal supervision
Desirable
- Ability to perform HoLEP and experience with new BPH technologies
Clinical Skills
Essential
- Ability to work as an effective member of a multidisciplinary team
Audit Management & IT
Essential
- Clear understanding and track record of clinical governance and audit. IT skills appropriate for the post
Desirable
Research, Teaching skill & experience
Essential
- Understanding of the principles and applications of clinical research
- Experience of teaching and training undergraduates, postgraduates and junior medical staff
Desirable
- Evidence of original research and publication
- Appraisal training
- Teaching qualification
Leadership / Management skills
Essential
- Communication - Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate
- Accountability - Ability to take responsibility, lead, make decisions and exert appropriate authority
- Interpersonal Skills - Empathy, understanding, listening skills, patience and ability to work co-operatively with others
- Interpersonal Skills - Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure
- Interpersonal Skills - Ability to work as part of a team
- Staff Management - Experience of performance management, developing and motivating staff
- Finance - Knowledge of finance and budgets
Desirable
- Experience in clinical guideline development.
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
