Consultant in Orthopaedic and Trauma in Hip Surgery & Trauma

Guy's and St Thomas' NHS Foundation Trust

The closing date is 01 May 2025

Job summary

The Department of Orthopaedics is seeking a (10 PA) consultant to join a dynamic, enthusiastic and forward-thinking team. This is a substantive position, to support growth in demand for hip arthroplasty surgery in our department.

The Orthopaedic Department is currently involved in many exciting initiatives and is looking for an individual with appropriate skills to complement this team, and help keep the service in the forefront of clinical and academic excellence.

The Department offers a wide range of service to patients. The post holder will undertake outpatient and inpatient sessions on a flexible basis and provide support to the fractured neck of femur pathway as required.

This is an excellent opportunity to join a first class team in an active and progressive central London teaching hospital environment.

Main duties of the job

The post-holder will be accountable to the Clinical Director, Surgical Directorate.

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

Job Summary:

To provide an orthopaedic and fractured neck of femur service in conjunction with colleagues The appointee will have a specialist expertise in hip replacement surgery and trauma The appointee will also carry 10 elective Saturday operating lists per year To participate in clinical and other service activities with the object of ensuring a high standard of patient care To take an active part in undergraduate and postgraduate teaching and training To contribute to the management of the clinical service and service development The appointee will have a specialist expertise in hip arthroplasty surgery. The appointee must also provide hip replacement expertise for urgent cases such as hip fractures, metastases and peri-prosthetic fractures.

About us

Key Focuses for the Directorate:

  • Providing clinical excellence for our patients, both on the elective and trauma pathways
  • Becoming national leaders for reduced length of stay, re-admission rates and patient falls
  • Achieving 18 weeks Referral to treatment targets for both admitted and non-admitted pathways
  • Reducing new to follow up ratios in outpatient clinics

Directorate Structure:

Diane Back - Clinical Director of Surgical Directorate

Arfan Malhi / James Bliss - Clinical Leads for Orthopaedics

Raghbir Khakha - Clinical Lead for Orthopaedic Trauma

David Rees - General Manager

Sandra Reilly - Service manager

Margaret Medlyn - Head of Nursing

Departmental Meetings and Audits:

  • Monthly Audit - Half day
  • Weekly Trauma Meeting
  • Meetings with Service Delivery Managers
  • Weekly meetings with the access team
  • Weekly Hip MDT meeting

Date posted

17 April 2025

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£105,504 to £139,882 a year per annum excl. London Zone

Contract

Permanent

Working pattern

Full-time

Reference number

196-CON1016

Job locations

Guy's Hospital

London

SE1 9RT


Job description

Job responsibilities

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.

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.

Job description

Job responsibilities

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.

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.

Person Specification

Professional Qualifications

Essential

  • Full GMC Registration
  • On GMC Specialist Register or within six months of attaining CCT
  • FRCS (Tr & Orth) or Equivalent

Desirable

  • Higher Degree

Clinical Experience

Essential

  • Comprehensive clinical experience in orthopaedics and trauma.
  • Young adult hip fellowship, able to perform hip arthroscopy and periacetabular osteotomy independently

Desirable

  • Worked at Consultant level for at least 1 year
  • Hip arthroplasty fellowship

Clinical Skills

Essential

  • Ability to work as an effective member of a multidisciplinary team.

Audit Management & IT

Essential

  • Track record and evidence of contribution to effective of clinical governance, coding, audit, management and IT skills.
  • Understanding of principles of audit.
  • Evidence of understanding of the role of clinical management.

Desirable

  • Management training or qualification.
  • Evidence of leadership in the development of hip fracture services.
  • Experience in clinical guideline development.
  • Appraisal training.

Research, Teaching skill & experience

Essential

  • Track record of research, publications & knowledge of research ethics.
  • Proven formal experience of teaching and training undergraduates, postgraduates and junior medical staff including higher orthopaedic training.
  • Understanding of the principles and applications of clinical research.

Desirable

  • Evidence of original research.
  • 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.
  • Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
  • Ability to work as part of a team
  • Staff Management; Experience of performance management, developing and motivating staff
  • Finance; Knowledge of finance and budgets
Person Specification

Professional Qualifications

Essential

  • Full GMC Registration
  • On GMC Specialist Register or within six months of attaining CCT
  • FRCS (Tr & Orth) or Equivalent

Desirable

  • Higher Degree

Clinical Experience

Essential

  • Comprehensive clinical experience in orthopaedics and trauma.
  • Young adult hip fellowship, able to perform hip arthroscopy and periacetabular osteotomy independently

Desirable

  • Worked at Consultant level for at least 1 year
  • Hip arthroplasty fellowship

Clinical Skills

Essential

  • Ability to work as an effective member of a multidisciplinary team.

Audit Management & IT

Essential

  • Track record and evidence of contribution to effective of clinical governance, coding, audit, management and IT skills.
  • Understanding of principles of audit.
  • Evidence of understanding of the role of clinical management.

Desirable

  • Management training or qualification.
  • Evidence of leadership in the development of hip fracture services.
  • Experience in clinical guideline development.
  • Appraisal training.

Research, Teaching skill & experience

Essential

  • Track record of research, publications & knowledge of research ethics.
  • Proven formal experience of teaching and training undergraduates, postgraduates and junior medical staff including higher orthopaedic training.
  • Understanding of the principles and applications of clinical research.

Desirable

  • Evidence of original research.
  • 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.
  • Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
  • Ability to work as part of a team
  • Staff Management; Experience of performance management, developing and motivating staff
  • Finance; Knowledge of finance and budgets

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).

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Guy's Hospital

London

SE1 9RT


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Guy's Hospital

London

SE1 9RT


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


For questions about the job, contact:

Consultant Orthopaedic Surgeon - Clinical Lead

Mr Arfan Mahli

arfan.malhi@gstt.nhs.uk

Date posted

17 April 2025

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£105,504 to £139,882 a year per annum excl. London Zone

Contract

Permanent

Working pattern

Full-time

Reference number

196-CON1016

Job locations

Guy's Hospital

London

SE1 9RT


Supporting documents

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