Job summary
Locum Consultant Emergency General SurgeonLewisham and Greenwich NHS Trust is a great place to work!
We have the opportunity to offer a Locum Consultant position in General Surgery to fill a long term absence for 6 months in the first instance.The Trust provides a comprehensive range of general acute hospital services from two hospital sites, University Hospital Lewisham and Queen Elizabeth Hospital, Woolwich. The post would be based at University Hospital Lewisham.
There is an active Postgraduate Education Department on both sites as part of a dynamic Education and Training directorate that is developing multi-professional training.This is an exciting time to join the surgical department as we develop a wider clinical community and focus on expanding our emergency surgery service whilst supporting the Trust's recovery plan to deal with the post COVID pandemic backlog in elective General surgery.
All applicants must hold full registration and CCT with the GMC by the start date. It will be expected that candidates will have a declared subspecialty interest in upper GI surgery and ideally can perform upper GI endoscopy (although this is not mandatory) and have a specialist interest in the benign components of upper GI surgery including acute laparoscopic cholecystectomy.
Main duties of the job
This post is to fill a long term absence for 6 months in the first instance within the department. The post will improve the quality and long-term sustainability of the care of our emergency surgery patients in line with both the Trust's and Commissioners' intentions. The post holder will lead transformational change and help develop further an innovative, modern emergency surgical service as well as aid in the Trust's recovery plan to deal with the post COVID pandemic backlog in elective general surgery. It will be expected that candidates will have a declared subspecialty interest in upper GI surgery and ideally can perform upper GI endoscopy (although this is not mandatory) and have a specialist interest in the benign components of upper GI surgery including acute laparoscopic cholecystectomy.
Alternatively candidates will declare a colorectal interest, with a focus on benign colorectal work and have the ability to perform lower GI endoscopy but be proficient in acute hot gallbladder surgery.
Provision of teaching to undergraduate & postgraduate trainees, in liaison with the other Consultant members of the Department, is a fundamental part of daily activities.
About us
Lewisham and Greenwich NHS Trust was established in October 2013, following the integration of Lewisham Healthcare NHS Trust and Queen Elizabeth Hospital in Woolwich. The Trust provides a comprehensive portfolio of high-quality acute healthcare services to a critical mass of more than c.526,000 people living across the London Boroughs of Lewisham, Greenwich and North Bexley together with a broad portfolio of community services, primarily, but not exclusively, for those living in Lewisham. We are responsible for NHS services at University Hospital Lewisham, Queen Elizabeth Hospital in Woolwich and in several community settings throughout Lewisham. In addition, we provide some services at Queen Mary's Hospital in Sidcup. The Trust employs more than 6,000 staff on both the hospital and community sites, which makes us one of the biggest employers in Southeast London.
University Hospital Lewisham itself is in the centre of the London Borough of Lewisham and provides a wide range of elective and emergency healthcare to an urban residential population including people from a broad sweep of socio-economic and ethnic backgrounds. The Trust also provides some emergency and tertiary elective services to residents of neighbouring Primary Care Trusts, particularly Greenwich, Bexley and Bromley. The hospital site, University Hospital Lewisham, is a campus for the Guy's, King's, and St Thomas' School of Medicine.
Job description
Job responsibilities
- Provide consultant care at an early stage to patients presenting to secondary care with presumed emergency general surgical problems.
- Facilitate early senior review to ensure all patients are reviewed within 1 hour of referral to specialty.
- Facilitate early decision making for investigation or surgical intervention.
- Promote early and safe discharge through regular consultant review of emergency surgical inpatients.
- Deliver consultant review of all non-elective admissions within 12 hours of admission in conjunction with the on-call emergency surgical consultant.
- Establish new patient pathways alongside colleagues working in the Trust emergency department and local GPs to establish direct, rapid access and assessment of patients with potential acute general surgical conditions.
- Work to develop the Surgical Admissions Unit and explore further the opportunities for emergency surgical ambulatory care.
- Lead on the care of emergency general surgical patients.
- Take part and develop a hot gallbladder service allowing for early cholecystectomy in patients with acute cholecystitis and gallstone-induced pancreatitis.
- Work with Service Managers to ensure compliance with national clinical guidelines in the areas of emergency general surgery and major incident planning. Lead on the completion of National Emergency Laparotomy Audit data and the Emergency Laparotomy and Laparoscopy pathway in the trust.
- Work independently and unsupervised as an expert Advanced Practitioner in performing diagnostic and therapeutic endoscopy procedures, demonstrating advanced levels of clinical judgement, discretion and clinical decision making.
- Perform diagnostic and therapeutic endoscopic procedures, following agreed protocols.
- Maintain a clinical portfolio and log in accordance with standards and guidelines of the Joint Advisory Group on Gastrointestinal Endoscopy.
Please see JD attached.
Job description
Job responsibilities
- Provide consultant care at an early stage to patients presenting to secondary care with presumed emergency general surgical problems.
- Facilitate early senior review to ensure all patients are reviewed within 1 hour of referral to specialty.
- Facilitate early decision making for investigation or surgical intervention.
- Promote early and safe discharge through regular consultant review of emergency surgical inpatients.
- Deliver consultant review of all non-elective admissions within 12 hours of admission in conjunction with the on-call emergency surgical consultant.
- Establish new patient pathways alongside colleagues working in the Trust emergency department and local GPs to establish direct, rapid access and assessment of patients with potential acute general surgical conditions.
- Work to develop the Surgical Admissions Unit and explore further the opportunities for emergency surgical ambulatory care.
- Lead on the care of emergency general surgical patients.
- Take part and develop a hot gallbladder service allowing for early cholecystectomy in patients with acute cholecystitis and gallstone-induced pancreatitis.
- Work with Service Managers to ensure compliance with national clinical guidelines in the areas of emergency general surgery and major incident planning. Lead on the completion of National Emergency Laparotomy Audit data and the Emergency Laparotomy and Laparoscopy pathway in the trust.
- Work independently and unsupervised as an expert Advanced Practitioner in performing diagnostic and therapeutic endoscopy procedures, demonstrating advanced levels of clinical judgement, discretion and clinical decision making.
- Perform diagnostic and therapeutic endoscopic procedures, following agreed protocols.
- Maintain a clinical portfolio and log in accordance with standards and guidelines of the Joint Advisory Group on Gastrointestinal Endoscopy.
Please see JD attached.
Person Specification
Qualifications
Essential
- oFull GMC Registration and Licence to Practice
- oMB BS or equivalent
- oFRCS (Gen Surg) or equivalent
- oOn the GMC specialist register
Desirable
Clinical Experience
Essential
- oUpper GI subspecialty experience and training including anti-reflux surgery
- oWide experience of general surgery especially emergency general surgery
- oGood experience of elective and emergency upper and lower GI surgery
- oProficiency in elective and emergency Laparoscopic Cholecystectomy
- oKnowledge of UK hospital systems
- oProficiency in diagnostic Upper GI Endoscopy
Desirable
- oPrevious experience at Consultant Level in General and Upper GI surgery
- oSkills in advanced endoscopic techniques
- oExperience in establishing and improving patient pathways to improve patient outcomes
Clinical Audit
Essential
- oExperience of clinical audit
- oDemonstrable understanding and acceptance of the principles of Clinical Governance
Desirable
- oExperience and evidence of involvement in Quality Improvement
Teaching Experience
Essential
- oEvidence of organizing programmes and teaching medical students and junior doctors
- oWillingness to teach all grades of professional multidisciplinary team
Desirable
- oPostgraduate training
- oFormal course for training
- oCompleted "Training the Trainers" course
Management &Administrative Experience
Essential
- oWillingness to participate in clinical management
- oAwareness of new developments in the specialty with ability to critically assess the impact of these on the service
Desirable
- oAttended management training
Research Experience
Essential
- oAbility to convert research evidence into clinical practice
Desirable
- Evidence of active participation in surgical research ?Published papers
- Thesis
- Published papers
Other Attributes
Essential
- oEvidence of team working ability
- oAbility to work flexibly in response to the changing needs of the Service
Person Specification
Qualifications
Essential
- oFull GMC Registration and Licence to Practice
- oMB BS or equivalent
- oFRCS (Gen Surg) or equivalent
- oOn the GMC specialist register
Desirable
Clinical Experience
Essential
- oUpper GI subspecialty experience and training including anti-reflux surgery
- oWide experience of general surgery especially emergency general surgery
- oGood experience of elective and emergency upper and lower GI surgery
- oProficiency in elective and emergency Laparoscopic Cholecystectomy
- oKnowledge of UK hospital systems
- oProficiency in diagnostic Upper GI Endoscopy
Desirable
- oPrevious experience at Consultant Level in General and Upper GI surgery
- oSkills in advanced endoscopic techniques
- oExperience in establishing and improving patient pathways to improve patient outcomes
Clinical Audit
Essential
- oExperience of clinical audit
- oDemonstrable understanding and acceptance of the principles of Clinical Governance
Desirable
- oExperience and evidence of involvement in Quality Improvement
Teaching Experience
Essential
- oEvidence of organizing programmes and teaching medical students and junior doctors
- oWillingness to teach all grades of professional multidisciplinary team
Desirable
- oPostgraduate training
- oFormal course for training
- oCompleted "Training the Trainers" course
Management &Administrative Experience
Essential
- oWillingness to participate in clinical management
- oAwareness of new developments in the specialty with ability to critically assess the impact of these on the service
Desirable
- oAttended management training
Research Experience
Essential
- oAbility to convert research evidence into clinical practice
Desirable
- Evidence of active participation in surgical research ?Published papers
- Thesis
- Published papers
Other Attributes
Essential
- oEvidence of team working ability
- oAbility to work flexibly in response to the changing needs of the Service
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).
