Job responsibilities
Trauma and Related Services CSU LOCUM CONSULTANT IN VASCULAR
SURGERY This post is a locum post for a period of 6 months. 1. BACKGROUND This post will deliver
10PAs supporting the Vascular Surgery & Trauma team. Leeds Vascular Institute (LVI) was formed in
2005 with the merger of previously independent units at Leeds General Infirmary (LGI) and St
Jamess University Hospital (SJUH). In 2014, the Leeds Vascular Institute formed a partnership with
the Department of Vascular Surgery from Mid-Yorkshire Hospitals NHS Trust (MYHT) comprising
Pinderfields, Pontefract and Dewsbury hospitals, forming one of the largest vascular units in the
country. It provides a full range of vascular services including a tertiary referral centre for thoracic
aortic pathology and a supra-regional paediatric vascular surgery service. From April 2013 the LVI has
also provided emergency trauma surgery cover for the Major Trauma Centre at LGI. Major arterial and
all inpatient services are provided in Leeds. Outpatient clinics and day case procedures are provided
on both the Mid-Yorkshire and Leeds sites. The Leeds Teaching Hospitals/Mid Yorkshire network
includes 16 vascular surgeons (*=based in MYHT): Mr Paul Curley* Mrs Rosie Darwood (Clinical
Lead) Mr James Forsyth Mr Hazem Hseino Mr Jon Hossain* Mr Craig Irvine* Prof Shervanthi
Homer-Vanniasinkham Miss Nonica Maftei Mr Andrew Mavor (Governance Lead) Mr Ahmed
Nassef Mrs Jenny Robson Mr David Russell (Research Lead) Prof Julian Scott Mr Venugopal
Shankar A/Lt Col Tim Stansfield (Trauma Lead) Mr Max Troxler (Renal Access Lead) Mr Tom
Wallace (Aortic Lead) 2. OBJECTIVES OF THE POST To deliver care to patients, to work
collaboratively with the wider team of vascular surgeons and interventional radiologists to develop
Leeds as a centre of excellence for vascular surgery in the fields of: Out-patient clinics Supervision
of patients Care of in-patients on a 1 in 10 rota Contribute to specialist multi-disciplinary team
meetings Clinical Service & Care Teaching & Training Research & Innovation 2.1 To link with
Consultant colleagues in other relevant site specialist teams within the Interventional radiology,
vascular access, diabetic foot and across the Trust. 2.2 To work with colleagues to deliver acute on
call (currently 1 in 10 on-call). This includes both out-of-hours cover in addition to acute ward rounds
during normal working hours. 2.3 To contribute to research, teaching and new developments within
the Vascular unit. The post holder will be encouraged to facilitate and contribute to the current clinical
research programs on going in the department. THE LEEDS WAY VALUES Leeds Teaching Hospitals
NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the
NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best
possible care for our patients. By bringing together the wide range of skills and expertise across West
Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver
the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to
be a part of that change. WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health
and Care Partnership, one of the largest integrated care systems in the country. The Partnerships
ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and
each individual trust, supports that ambition. Our values are part of what make us different from other
trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff
and set out what they see as important to how we work. Our five values are: Patient-centered
Collaborative Fair Accountable Empowered All our actions and endeavours will be guided and
evaluated through these values Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire
Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West
Yorkshire and Harrogate working together to provide the best possible care for our patients. By
bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are
working differently, innovating and driving forward change to deliver the highest quality care. By
working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.
WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership,
one of the largest integrated care systems in the country. The Partnerships ambition is for everyone
to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust,
supports that ambition. 3. REQUIREMENTS OF THE POST 3.1 General Training and Qualifications
The appointee must hold accreditation in Vascular Surgery in the Royal College of Surgeons or
equivalent, and have completed higher specialist training (or equivalent) if currently in a training
programme within the UK. Applicants must be on the Specialist Register or within six months of being
admitted to the Register for trainees if currently in a training programme within the UK, or have
references which have been authorised by the Deputy Medical Director and Clinical Director.
Applicants must provide information regarding their status from the GMC and/or relevant Royal
College at the time of application, in order for their application to be progressed further. 3.2
Experience The appointee must be able to demonstrate a high level of clinical experience and
competence in all aspects of Vascular Surgery and appropriate endovascular experience. It is
desirable that the candidates have experience in the conduct of clinical trials. 3.3 Person specification
See person specification document. 3.4 Clinical Audit The appointee will be expected to contribute
and, where appropriate, take the lead in the following: Mortality and morbidity meetings; Clinical
audit programmes; Development and application of agreed clinical guidelines. This is to be included
in allocated time in the individuals job plan as a supporting programmed activity. It would be expected
that the time allocated for this would include attendance at the relevant departmental audit meeting(s)
and that such attendance would be recorded (in accordance with the Trusts clinical audit policy). In
the discharge of these responsibilities the candidate will be expected to maintain and update his/her
skills and knowledge through appropriate continuing medical education. 4. TEACHING The Trust as a
teaching hospital recognises the importance of links with the University of Leeds, School of Medicine
for the undergraduate teaching and all Consultant and medical staff are required to provide an
appropriate contribution to the undergraduate teaching programme. The post-holder will be required
to participate in the undergraduate teaching programme for the school of Medicine, University of
Leeds, which is organised on a speciality or clinical area basis. The post-holder will be required to
collaborate with clinical colleagues to deliver appropriate undergraduate teaching in accordance with
the Trust contract with the NHS Executive in association with the University of Leeds. The appointee
will be expected, with colleagues to also contribute to the teaching of postgraduates, including the
teaching programme for SpRs in Vascular Surgery in the Local Education and Training Board. 5. JOB
PLAN AND WORKING ARRANGEMENTS The job plan review will take place annually, normally with
the Lead Clinician or vascular surgery. Any job plan review may result in a revised prospective job plan where duties, responsibilities, accountability arrangements or objectives have changed or need
to change significantly within the area. 5.1 Proposed Job Plan The post consists of 10PAs with an
average of 8.5 PAs of direct clinical care (DCC) and 1.5 PAs of supporting professional activity (SPA).
The consultant rota (currently) consists of a 10 week rolling pattern. There are 7 weeks of elective
work and 3 weeks dedicated to managing the inpatient and acute work load. Two of the acute week
occurs at the start of the 10 week cycle with the third on week 5. The Hot week consultant has no
planned elective activity and manages acute work in day time hours Monday to Friday: ward round of
vascular patients, review of acute admissions, planning and undertaking of urgent / emergency
surgery. The Hot week consultant is supported by the second on vascular / trauma consultant who
carries the trauma bleep and assists the hot week consultant with ward rounds and urgent /
emergency surgery. It is expected that these two consultants work flexibly together as a team to
manage the workload. Urgent arterial cases e.g. carotid endarterectomies & bypasses will usually be
scheduled for the urgent theatre lists and undertaken by separate surgeons allocated to these lists.
On the following Monday, the hot week consultant hands over and then receives compensatory time
off to return as the second on consultant for following weekend. There is a separate consultant on call
overnight on Monday to Thursday. The week end cover consists of: Friday night on call: Single
consultant (as a standard weekday night) Saturday First on (24 hrs): Second on vascular / trauma
consultant. Saturday Second on (24 hrs): Post compensatory rest consultant. Sunday First on
(24hrs): Same consultant as Friday night Sunday Second on (24hrs): Post compensatory rest
consultant. The weekend first and second on consultants work as a team. Typically, the second on
consultant assists the first on consultant with the ward round and any urgent tasks. They then return
home to be called in by the first on-call consultant if required e.g. two emergency patients require
simultaneous treatment
