Job responsibilities
Context
The London Cardiovascular Project approved the case for change for the way that specialist Vascular services are provided as part of a reorganisation of Cardiac and Stroke services across London. Barts Health NHS Trust became the designated specialist Vascular unit in North and East London.
The hospitals have been caring for the people of East London and the City for centuries and been at the forefront of clinical care, teaching and research since the establishment of the countrys first medical school here in 1785. Barts Health NHS Trust is one of Britains leading healthcare providers and the largest trust in the NHS. It was created on 1 April 2012 by bringing together three trusts: Barts and The London NHS Trust, Newham University Hospital NHS Trust and Whipps Cross University Hospital NHS Trust. The new trust has a turnover of approximately £1.1 billion and approximately 15,000 employees. Annually the Trust sees 135,000 attendances at our Emergency Department and Minor Injuries Unit, 380,000 outpatients and 86,000 inpatients at our hospitals.
The hospitals offer a full portfolio of services that serve the needs of the local community, and are home to some of Britains leading specialist centres including cancer, cardiac, trauma and emergency care. Barts Health also has one of the UKs busiest childrens hospitals and internationally renowned surgical facilities.
well as outpatients, emergency services is provided 24/7 by expert multi-disciplinary teams and because there are larger pools of expert staff, more services are provided for patients seven days a week and for more hours of the day, providing prompt access to treatment in all departments and helping reduce waits and cancellations. Patients will also be able to take part in a wider range of clinical trials, knowing they will be treated by teams working at the forefront of innovation.
The Vascular surgery unit is also, crucially, part of a wider network of vascular provision delivered by Barts Health, including services at Newham, The Royal London, Whipps Cross, St. Barts and Homerton. The unit specialists will work with these and other hospitals in the area to provide a comprehensive network of care for patients, and ensure that the majority of care is provided as close to home as possible.
Our vision is to create a world-class health organisation that builds on strong relations with our partners and the communities we serve one dedicated to ending the historic health inequalities in East London. We will build an international reputation for excellence in patient care, research and education. And as members of UCLPartners, the largest academic health sciences system in the world, we will ensure that our patients are some of the first in the country to benefit from the latest drugs and treatments.
We are looking for the best talent to lead our ambitious new healthcare organisation. In return, the Barts Health will provide unsurpassed professional development opportunities, enabling investment in a range of new initiatives that would mean:
- Doctors and nurses in training will be able to gain experience in different hospitals along the whole patient pathway
- There would be greater opportunity for career progression we could retain good staff who might otherwise leave to gain promotion
- Becoming world-class will enable us to recruit some of the best doctors and researchers in the world who can share their knowledge and experience
- Joining forces with other partners in an Academic Health Science System will mean that staff would be better able to secure funds and pool their talents to develop new technology, techniques and treatments
Job Purpose
Barts Health is looking for a fixed term (12 months) Vascular Surgery Fellow who will be predominantly based at the Royal London Hospital site with responsibilities across the Trust hospitals sites.
The post would suit a specialist registrar who has completed core surgical training, or at any stage of higher training, who wishes to continue to maintain and gain experience in vascular surgery. The successful applicant will participate in a separate resident vascular surgery rota with no general surgery commitment.
The successful candidate will be required to adhere to the Trusts policy on Maintaining Medical Excellence and to be committed to maintaining their standard of performance by keeping their knowledge and skills up to date.
Clinical Governance
There is a robust clinical governance programme with a monthly morbidity and mortality meeting. The post holders are also expected to partake in at least one audit project related to their subspecialty attachment. There is excellent support for this through the audit
Study, Training and Teaching
Appointees will be expected to have completed foundation and core surgical training and have passed the MRCS (or equivalent) examination. At present, these posts do not carry deanery accreditation for the purposes of surgical training, though it is expected that they will provide training that will be of value to trainee surgeons.
Research
Extensive research facilities exist at Barts Health NHS Trust and will be actively encouraged within the department and in conjunction with other departments of the hospital and university where there is an unusually wide range of research activity.
Equal Opportunities
The post holder must at all times carry out responsibilities and duties with due regard to the Trusts Equal Opportunities Policy.
Health and Safety
The post holder is expected to undertake the appropriate management responsibilities, and be aware of individual responsibilities in accordance with the Trusts Health and Safety policy and report as necessary, any untoward accident, incident or potentially hazardous environment. The post holder will promote and implement the Health and Safety Policy. The Trust operates a No Smoking Policy.
Infection Prevention and Control Roles and Responsibilities
- To adhere to Trust policy and infection control principles and standards to minimise patient risk and ensure high quality patient care
- Undertake appropriate training and practice to ensure you (and your teams) have the right skills and are competent
- Are responsible for keeping the environment clutter free, clean and raising issues of concern in the interest of staff and patient safety
- Ensure high cleaning standards to prevent infection and increase patient's confidence
- With others, support and develop evidence based clinical practices consistent with national guidance
- Advice and support the Director of Infection Control and Prevention (DIPC), Deputy DIPC and infection control team in achieving their objectives and fulfilling their responsibilities
- Advice and support Divisional and CAG Infection Control leads
Salary and Conditions of Service
Your salary will be at the appropriate point on the scale, in keeping with your experience and your work intensity.
The post is subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales), to the General Whitley Council Conditions of Service, and to the National Health Service Pension Regulations.
Due to the nature of the work in this post, it is exempt from the provision of section 4 (2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders Act 1974 (Exemption Order 1975).
Applicants are therefore not entitled to withhold information about convictions, including those, which for other purposes are spent, under the provisions of the Act, and are required to disclose convictions including those pending, to the Trust. Failure to disclose such information may result in dismissal or disciplinary action.
Hours of Work
You will be on a separate vascular surgery rota.
Barts Health NHS Trust reserves the right to change the parameters of the Standard working week, the number of hours additional duty you are required to undertake and the area in which you are required to undertake it, in the light of the requirements of the service. Barts Health NHS Trust will endeavour to give as much advance notice as possible of such change. In the event of a change in the number of additional duty hours you are required to undertake your pay will be adjusted appropriately.
Interventional Radiology and Imaging Facilities
The vascular service is supported by a strong Interventional Radiology (IR) service with which the department has close links with. There are three IR suites and a hybrid operating room available for complex endovascular procedures.
There is a dedicated vascular ultrasound laboratory on site and all other expected diagnostic services (CT/MRI)
Rehabilitation
A comprehensive rehabilitation programme is provided by therapies and supported by senior nurses.
Undergraduate Education
The Vascular surgical department is responsible for the education of undergraduate medical students from Barts and The London School of Medicine and Dentistry. We also accept students from other parts of the UK and elsewhere in the World for elective periods.
Post Graduate Education
Education and training for our medical staff is given high priority at Barts Health NHS Trust. The post-graduate meetings, courses and workshops are open to all the hospital junior staff who are encouraged to attend and participate in the programme.
Audit
Audit is well established and takes place once a month (in association with the regular teaching day) and looks at specific clinical activities. The meetings are chaired by the Clinical Director and the Audit/ Governance lead. Presentations are given by junior staff in rotation.
