Locum Consultant O&G special interest PNMH, Endo and Postnatal Care

Job description

Job responsibilities

Roles of the post

1.0 Provide a high quality consultant led service in Perinatal Mental Health, Obstetric Endocrinology and Postnatal care as well as on labour ward and oncall. Participate in the multi-disciplinary meetings and contribute to the on call rota.

1.1 Evolve and write, in line with Trust governance policies, pathways for patients seen within the various Obstetric services.

1.2 Work with the multidisciplinary team to undertake a senior role in the general provision of Obstetric and Gynaecological Services at West Middlesex Hospital

1.3 Contribute to the resident night on-call rota

1.4 Provide senior leadership in the management of high risk patients antenatally, intrapartum and postpartum in close co-operation with other specialties.

1.5 To provide acute gynaecology services during oncalls in theatre and emergency care.

1.6 Facilitate the triage of emergency gynaecology operations as per NCEPOD recommendations to avoid operating out-of-hours (i.e. 17h00 to 08h00) whenever feasible.

1.7 Attend all theatre cases to perform surgery, unless satisfied a trainee is competent to perform the operation with indirect supervision

1.8 Assessment and delivery of immediate medical attention of deteriorating elective post-op gynaecology patients

1.9 Obstetric on call commitments as part of the departmental on call rota

1.10 Support obstetric colleagues with advice/ surgical assistance, e.g. major obstetric haemorrhage.

1.11 Support the Emergency Surgical Consultant with a consultant gynaecological opinion/ ultrasound if feasible.

2.0 Provide High Quality Care to Patients

2.1 The post holder must adhere to the standards outlined by the GMC for Good Medical Practice.

2.2 Develop and maintain the competencies required to carry out the duties required of the post.

2.3 Ensure prompt attendance at agreed direct clinical care Programmed Activities.

2.4 Ensure patients are involved in decisions about their care and to respond to their views.

2.5 Demonstrate, model and encourage Trust Values at all times to all patients and staff.

3.0 Research, Teaching and Training

3.1 Provide high quality teaching to medical undergraduates and members of other health care professions as agreed with the Service Leads. To contribute to the training of O&G trainees, other doctors in training and other staff groups.

3.2 Act as a clinical supervisor and appraiser as delegated by the Clinical Director/Service Lead to ensure external accreditation of training post

3.3 Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research/audit portfolio, at all times meeting the full requirements of Research Governance.

3.4 Ensure that your mandatory training is up to date as per Trust policy.

3.5 The Trust expects all consultants to participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. Consultants may apply to the study leave budget for help with associated expenses in line with the terms and conditions of their contract. In addition consultants will be expected to undertake some non-clinical training and development at the discretion of the trust management, for example, Leadership Training.

4.0 Performance Management

4.1 To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

4.2 Clinical efficiency e.g. Length of Stay (LOS) reductions, admission on day of surgery, reducing cancelled operations and DNA rates.

4.3 Quality of outcomes e.g. infection control targets, reducing re-admission rates

4.4 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.

4.5 Operational efficiency e.g. day-case rates, waiting list activity and demand management.

5.0 Medical Staff Management and Accountability

5.1 Work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.

5.2 Ensure that Trust systems and procedures are in place and followed 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.

5.3 Adhere to Trust / department guidelines on leave, including requesting and reporting absence, and professional and study leave, and to ensure that members of staff for whom you are responsible do the same.

5.4 Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead.

5.5 Participate in team objective setting as part of the annual job planning cycle.

5.6 Be responsible for on-going assessment and regular appraisal of all doctors in training, Trust doctors and non-consultant grades as delegated by the Clinical Director/Service Lead /General Manager.

5.7 Participate fully in regular departmental activities including department meetings and team building activities.

6.0 Governance

6.1 Adherence to referral pathways for oncology MDT and perinatal MDT is essential.

6.2 Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead.

6.3 Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.

6.4 Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead.

6.5 Participate in ensuring NICE, NSF, CNST and other national guidance requirements are reviewed and implemented and monitored in the specialty areas.

6.6 Ensure clinical guidelines and protocols are adhered to by junior medical staff and any other staff for whom the post has responsibility and that these are updated on a regular basis.

6.7 Keep fully informed about best practice in the specialty areas and ensures implications for practice changes are discussed with the Clinical Director/ Service Lead.

6.8 To role model good practice for infection control to all members of the multidisciplinary team and adhere to the Trust Infection Control measures (available on the Trust Intranet).

6.9 To report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.

7.0 Strategy and Business Planning

7.1 Work with medical managers and general managers to take forward the business planning and objective setting process for the directorate and Trust where appropriate.

7.2 Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead.

7.3 To attend and contribute at regular Departmental meetings as identified by the Clinical Lead.

8.0 Leadership and Team Working

8.1 Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.

8.2 Participate in any necessary management and leadership development courses as required by the trust.

8.3 Work collaboratively with all members of the multi-disciplinary team and Imperial College as required.

8.4 Set up and chair meetings relevant for clinical domain.

8.5 To promote local resolution of any conflict or differences of opinion. To involve appropriate parties for mediation, negotiation or discussion as appropriate.

8.6 Provide commitment and leadership in relation to equality and appropriate senior level management of diversity issues, particularly as they apply to training, people management and service delivery.

9.0 Appraisal & Revalidation

The post holder is required to participate in the annual appraisal system in line with the Trusts appraisal and revalidation guidelines. Individual appraisal interviews will be held annually and reports, (including updated job plans) submitted to the Medical Director or HR Director. You are expected to inform yourself of the annual timetable for appraisal and ensure that appropriate time is set aside to update your portfolio and your mandatory requirements.

Person Specification

Education and qualifications

Essential

• Registration with the General Medical Council Full
• CCT (or within 6 months of CCT at date of AAC) or equivalent [equivalence must be confirmed by PMETB /GMC before AAC]
• MRCOG or equivalent

Desirable

• Higher degree e.g. PhD or MD

Skills and knowledge

Essential

• Clinical training and experience in general Obstetrics and Gynaecology equivalent to that required for a UK CCST
• Evidence of higher specialist training/ ATSM in Maternal Medicine
• Evidence of experience or training in Perinatal Mental Health
• Evidence of Advanced training skills module in Advanced Labour ward practice.
• MOET course completed (or equivalent)

Teaching and Training

Essential

• Teaching ability and experience at undergraduate and postgraduate level
• Evidence of wide experience in clinical audit
• Aware of value of research and able to demonstrate critical appraisal of new developments in area of high risk obstetrics, early pregnancy and acute gynaecology
• Understanding of principles of clinical governance
• Strong verbal and written communication skills Appropriate IT skills

Desirable

• Courses or qualification in medical education

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

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea and Westminster Hospital

London

SW10 9NH

Employer's website

https://www.chelwest.nhs.uk/ (Opens in a new tab)