Endocrine Surgery Senior Clinical Fellow

Job responsibilities

The Clinical Component

Liverpool University Hospitals is a busy tertiary referral centre for Breast & Endocrine surgery. Patients are referred to the Unit from across Merseyside, Cheshire, North Wales and the Isle of Man for specialist input. There is collaborative MDT working with Endocrine Surgery MDT (weekly Wednesday lunchtime), Adrenal MDT (Weekly Friday morning) and regional Thyroid Cancer MDT (2 Wednesdays per month). There is close collaboration with the Clatterbridge Centre for Oncology. The unit undertakes around 300 Thyroid/Parathyroid operations and 80 Adrenalectomies each year.

The successful applicant will contribute to the delivery of the Endocrine Surgery service at both The Royal Liverpool & Aintree University Hospital sites: along with Broadgreen Hospital the 3 sites are within Liverpool city area with hospital transport available in hours if needed. They will contribute to the diagnosis and treatment of patients suffering from Endocrine Surgical conditions. The work will be supported and supervised by consultant surgeons and physicians attached to the unit. The applicant will receive training in surgery on the Thyroid, Parathyroids and Adrenal glands. They will carry out pre- and post-operative care as necessary. The incumbent will also be responsible, with other junior staff, for the day-today care of the units patients. Prospective audits are practised by the directorate. All trainees and clinical fellows will be responsible for the collation and presentation of departmental audit data at regular audit meetings held in house and at regional meetings.

Research

The Unit has a track record of clinical investigation; with staff contributing regularly to national and international meetings. As a teaching hospital the post holder will have the opportunity to participate in audit and clinical research.

Teaching

Medical students are attached to the breast & endocrine surgery unit. The post-holder will be expected to give clinical teaching to undergraduates. There is also nurse training and mentorship to which the Specialist Registrars and fellows are expected to contribute.

Duties

Attend regular operating lists, outpatient clinics, audit and academic meetings and case conferences.

Some operating lists maybe on a Saturday and some clinic in the evening hours 1700-2030.

Take part in daily ward rounds to be held with all the other Resident surgical staff on duty.

Support the pre-operative nursing team remotely with clinical decision making and specialist referrals to aid peri-op assessment.

There is no Out of Hour On call as part of this post; but if this is important to the post-holder we can facilitate participation on an ad hoc basis.

Leave Arrangements

All leave should be applied for in accordance with the Trusts Leave Policy, normally giving six weeks notice of any leave, other than in exceptional circumstances.

Unit Staff at Royal Liverpool Hopsital (RLH) & Aintree University Hospital (AUH)

Miss Susannah Shore (Consultant & Clinical Lead Endocrine Surgery )

Mr Neil Houghton (Consultant Endocrine & General Surgeon, Paediatric Endocrine Surgeon & Postgraduate Education Lead: please contact for further information about the post: PA Mrs Katie Latham 01517065965

Mr Matthew Rowland (Consultant Breast & Endocrine Surgeon)

Ms Alison Waghorn (Consultant Endocrine Surgeon, Breast Assessment Specialist)

Mr Robert Hardy (Consultant Endocrine Surgeon & Breast Surgeon)

Miss Helen Perry (Consultant Endocrine & General Surgeon)

Mrs Julia Henderson (Consultant Breast Surgeon & Clinical Lead Breast Surgery RLH-site)

Mr Lee Martin (Consultant Breast Surgeon & Clinical Lead Breast Surgery AUH site)

Ms Geraldine Mitchell (Consultant Breast Surgeon RLH and Divisional Medical Director)

Ms Anne Tansley (Consultant Breast Surgeon RLH)

Ms Emma de Sousa (Consultant Breast Surgeon RLH)

Mr Mysore Chandrashekar (Consultant Breast Surgeon RLH)

Ms Hiba Fatayer (Consultant Breast Surgeon)

Mr Jamie Barnes (Consultant Plastic Surgeon RLH)

Mrs Anu Shotri (Director of Breast Screening & Trust Breast Surgeon AUH)

Mr Mohmed Lafi (Trust Breast Surgeon AUH)

Other staff include Specialist Registrars (ST3-8), Core Training doctors and FY1 doctors. We have a team of Theatre First Assistants, a full time Endocrine Surgery Specialist Nurse, Breast Advanced Nurse Practitioners, Breast Care Nurses, Breast Reconstruction Nurse, and pre-operative assessment nurses; split across the 2 sites. We have a dedicated team of administrative and clerical staff including in-patient booking.

Facilities in the Unit

The Breast/Endocrine Surgery Unit has in-patient beds in the Royal Liverpool Hospital (RLH), Aintree University Hospital(AUH) and Broadgreen Hospital (Breast patients only); with the majority of breast surgery managed as a day-case. The RLH & AUH are exceptionally well equipped for all diagnostic and therapeutic procedures necessary for the efficient care of endocrine surgery patients. There is 24-hour access to the emergency theatres and all routine pathology services. The radiology department is equipped for emergency and elective diagnostic procedures, including US, MR and CT scanning. Nuclear Medicine offer diagnostic and therapeutic services including latest developments such as Choline PET scanning.

The library facilities in the hospitals are supplemented by excellent medical libraries at the Liverpool Medical Institute. Postgraduate teaching is provided by inhouse seminars, during MDTs and at audit meetings.

Conditions of Service

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. The post holder is required to be fully registered with the General Medical Council (GMC) and hold a licence to practice.

Standards of Conduct and Behaviour

All doctors working in the UK are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director or Medical Director in the first instance. The Trust has a set of expected behaviours for all employees and additional behaviours and skills that are expected of managers and supervisors. Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role.

All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with Trust Policies, including Health and Safety policies, in particular by following agreed safe working procedures, and reporting incidents using the Trust Incident Reporting system.

The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc. The Trust's Equality and Diversity Policy ensures that barriers to employment for disadvantaged groups are identified and removed, and that no person is treated less favourably on the grounds of their race, ethnic group, religion, impairment, age, gender, sexual orientation or mental health status. Reasonable adjustments will be made for disabled applicants and post holders where required

Medical Qualifications

Essential

• MBChB/MBBS or equivalent
• MRCS
• Fully GMC Registered with a licence to practice

Desirable

• Additional Degree eg MSc, MD, PhD
• FRCS

Clinical Experience

Essential

• years post-graduate general surgery experience, including a minimum of 12 months Endocrine Surgery

Desirable

• Hold a CCT (or Equivalent) in General & Endocrine Surgery
• of 12 months Endocrine Surgery Hold a CCT (or Equivalent) in General & Endocrine Surgery Experience working in the NHS

Clinical Skills

Essential

• Ability to apply sound clinical knowledge and judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Recognition of and ability to undertake the initial management of an acutely ill surgical patient

Desirable

• Ability to investigate common endocrine surgical presentations and present an proposed management plan to supervising consultant / MDT

Academic Skills

Essential

• Demonstrates a commitment to Evidence based practice, audit, and quality improvement projects
• Shows enthusiastic engagement in teaching resident doctors and other MDT members

Desirable

• Relevant peer reviewed publications
• Relevant presentations
• Formal Educational Role and/or qualification

Career Progression and Personal Development

Essential

• Complete Employment History to be provided
• Demonstrate engagement in teaching / training programmes and attendance at relevant courses
• Committed to reflective practice with awareness of areas for personal development

Desirable

• Achievements related to General and/or Endocrine Surgery

Managing Others/Team Involvement

Essential

• Able to work in multiprofessional teams and supervise junior medical staff
• Ability to show leadership, make decisions, organise and motivate others team members
• Capacity to work effectively with others

Organisation & Planning

Essential

• Capacity to manage/prioritise time and information effectively
• Capacity to manage own workload and organise ward rounds
• Evidence of thoroughness, shows self-discipline, punctual and shows ability to meet deadlines
• Coping with Pressure Capacity to operate under pressure
• Demonstrates initiative and resilience to cope with changing circumstances

Values

Essential

• Understands, respects and demonstrates the values of the NHS Constitution (e.g. everyone counts, improving lives, commitment to quality of care, respect and dignity, working together for patients, compassion)

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).