Job responsibilities
THE
LEEDS TEACHING HOSPITALS NHS TRUST
DEPARTMENT
OF Abdominal Medicine & Surgery
JOB
DESCRIPTION
LOCUM
CONSULTANT ORGAN RETRIEVAL and HEPATOBILIARY SURGEON
1. BACKGROUND
Leeds Teaching Hospitals is one the
largest teaching hospital trusts in Europe, with access to leading clinical
expertise and medical technology. We
care for people from all over the country as well as the 780,000 residents of
Leeds itself. The Trust has a budget of
£1.1 billion. Our 20,000 staff ensure
that every year we see and treat over 1,500,000 people in our 2,000 beds or
out-patient settings, comprising 100,000-day cases, 125,000 in-patients,
260,000 A&E visits and 1,050,000 out-patient appointments. We operate from 7 hospitals on 5 sites all
linked by the same vision, philosophy, and culture to be the best for
specialist and integrated care.
Our
vision is based on The Leeds Way, which is a clear statement of who we are and
what we believe, founded on values of working that were put forward by our own
staff. Our values are to be:
Patient-centred
Fair
Collaborative
Accountable
Empowered
We
believe that by being true to these values, we will consistently achieve and
continuously improve our results in relation to our goals, which are to be:
1. The best for patient safety, quality,
and experience
2. The best place to work
3. A centre of excellence for specialist
services, education, research, and innovation
4. Hospitals that offer seamless,
integrated care
5. Financially sustainable
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.
In
relation to this post, the Hepatobiliary and Liver Transplant surgery team
consists of 8 full-time consultants who deliver services across Yorkshire and
the North-West region. The service currently delivers:
- Around 150 Adult & Paediatric
Liver Transplantation with a scope to do 175 transplants a year
- Around 200 Organ Retrievals
- Over 300 Liver Resections
- Active Live Donor Liver Transplant
Program for Adult & Paediatric Recipients within NHS
2. OBJECTIVES OF THE POST
To support the delivery of
Hepatobiliary, Organ Retrieval (NORS) and General Surgery services at Leeds Teaching
Hospitals and achieve and sustain performance against key national waiting time
standards.
To act as an ambassador for the Leeds
NORS service and contribute to the role of Leeds as a training centre for
Retrieval and Transplant Surgery.
To participate and lead in
Hepatobiliary and Organ Retrieval clinical audits and help drive quality
improvement efficiency and productivity service initiatives within the
department.
To work alongside the Clinical lead
in delivering robust governance frameworks in line with the commissioning and
internal processes.
To participate in a 1:4 Consultant
Retrieval on-call rota to provide in-hours and out-of-hours organ retrieval
services and Transplant.
To be flexible for service
requirements, provide clinical expertise to the teams based in referring
centres and sustain Leeds as a centre of excellence in specialist care.
To maintain and develop clinical
research in Organ procurement, preservation, and Hepatobiliary surgery and
drive innovation.
To contribute to the role of Leeds as
a training centre for Hepatobiliary surgery and organ procurement
3. REQUIREMENTS OF THE POST
3.1 Service Delivery
General
The
Trust expects consultants to deliver clinical service as agreed with
commissioners and other stakeholders.
This will include:
meeting the objectives of the post
(see above)
continuously improving the quality
and efficiency of personal and team practice
working with other staff and teams to
ensure that the various criteria for service delivery are met, such as
o achieving the best clinical outcomes
within the resources available
o waiting times
o infection control standards
Consultants
in LTHT are line managed by their specialty Lead Clinician working in
conjunction with a Business Manager. This
specialty team is then managed alongside a number of other specialities in a
Clinical Service (or Support) Unit (CSU) led by a Clinical Director as the
responsible person and supported by a full-time General Manager and a full-time
Head of Nursing.
The
Clinical Director and their team report operationally to the Chief Operating
Officer (COO). The Clinical Director will work closely with the Chief Operating
Officers team which includes two Medical Directors for Operations, Nurse
Directors for Operations, Deputy Chief Operating Officer, Assistant Directors
of Operations (ADOs) and a Performance Team, with each ADO aligned to specific
CSUs.
Professionally,
consultants report to Dr Phil Wood, Chief Medical Officer
Service
specific
This
is a new post for a locum Consultant Hepatobiliary and Organ Retrieval Surgeon
within the Hepatobiliary and Transplantation surgery department at Leeds
Teaching Hospitals NHS Trust. The
appointee will join other consultants within the speciality to provide and
develop a comprehensive Hepatobiliary and Organ retrieval (part of the National
Organ Retrieval Service) service to Yorkshire and the wider region.
Hepatobiliary and Organ retrieval experience is essential. Experience in
Machine preservation, NRP and minimally invasive liver surgery is desirable.
Leeds Teaching Hospitals has a strong clinical management, teaching and
research reputation.
3.2 Quality
The
Trust has a programme of activities that are designed to help consultants
improve the quality of the service they offer.
This includes a range of activities shown below as examples not all
activities can be undertaken every year!
Consultants are expected to routinely engage in relevant activities in
their specialty that are focussed on quality improvement. This participation should be reflected at
annual appraisal and job planning and will be discussed in specialties as part
of clinical governance programmes and meetings.
Clinical
Audit and standard setting
Clinical audit projects
Development and application of agreed
clinical guidelines
Ensuring compliance against relevant
national specifications, e.g. NICE guidelines
External Peer review and relevant
national audits
Implement improvements identified in
GIRFT reviews
Clinical
outcome review
Mortality and morbidity reviews
Structured Judgement Reviews
Monitoring of outcomes reflected in
routinely collected data
Participation in clinical coding
review and improvement
Improving
patient safety
Participation in Trust-wide
programmes, including mandatory learning
Respond to national patient safety
alerts
Implementation of local improvements,
including actions from serious incident investigation reports, following
clinical review
Promptly record patient safety
incidents on Datix and immediately escalate potential serious incidents to the
CSU management team
Ensure Duty of Candour requirements
are met
Improving
service effectiveness and efficiency
Service or system improvement
projects, including small scale change, lean or other recognised improvement
methods
Conducting or considering reviews of
the evidence to plan better service delivery
Where agreed, working with
commissioners to match service delivery with requirements of relevant
populations
Improving
the patient experience
Implementing service improvements
based on individual or service feedback from patients or carers
Raising the profile and impact of
patient participation in decisions about their own care
Involvement in understanding and
improving the ethical basis of care provided, utilising where necessary the
trusts clinical ethics committee
Respond to complaints in a timely and
open manner and ensure lessons are learned for future patient care
3.3 Research
The
Trusts Research Strategy encourages all clinicians to participate in high
quality, nationally recognised clinical research trials and other well-designed
studies, with a particular emphasis on work supported by the National Institute
for Health Research. The Trust has several major programmes in experimental
medicine and applied health research, developed in partnership with the
University of Leeds, which reflect strengths described in the Strategy and
clinicians are encouraged to participate in these programmes.
The
Trust also supports bespoke academic development and participation programmes
linked to the Research Strategy, including academic mentoring, and embedding of
clinicians within the major research programmes.
Sessional
time required for any participation in research activity will be agreed on
commencement and kept under review, but not all consultants will require such
sessional time.
3.4 Teaching
The
Trust is a Teaching Hospital and therefore considers the active participation
of consultant and other medical staff in teaching and training to be part of
our core activities. Not all consultants
will have regular and substantial teaching commitments, but all will be
involved in related activities from time to time, if only through informal
opportunities, for example as part of service quality improvement (see above).
For More detail please see attached Job Description
