Locum Consultant Organ Retrieval and Liver Transplant Surgeon

Job description

Job responsibilities

THE LEEDS TEACHING HOSPITALS NHS TRUST

DEPARTMENT OF Abdominal Medicine & Surgery

JOB DESCRIPTION

LOCUM CONSULTANT ORGAN RETRIEVAL and LIVER TRANSPLANT 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 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 Organ Retrieval (NORS), Liver Transplant and General Surgery services at Leeds Teaching Hospitals, achieve and sustain performance against key national 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 Organ Retrieval clinical audits and help drive quality improvement efficiency and productivity service initiatives within the department.

To work alongside the Clinical lead for NORS 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 Transplant surgery and drive innovation.

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 Organ Retrieval and Transplant Surgeon within the department of Hepatobiliary and Transplantation surgery at Leeds Teaching Hospitals NHS Trust. The appointee will join other consultants within the specialty to provide and develop a comprehensive Organ retrieval (part of National Organ Retrieval Service) and Transplant service to the Yorkshire and wider region. Liver Transplant and Organ retrieval experience is essential. Experience in Machine preservation and NRP is desirable. Leeds Teaching Hospitals has a strong reputation in clinical management, teaching and research.

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.

For More detail please see attached Job Description

Person Specification

Qualifications

Essential

• MBBS (or equivalent)
• FRCS or equivalent qualification.

Desirable

• Higher degree e.g. MD/PhD relevant to the subspecialty

Clinical, Academic, and Personal Skills

Essential

• Experience in training undergraduate medical students and postgraduate doctors.
• Experience of participation in regular clinical audit.
• Understanding of current issues in the NHS.
• Medically fit to fulfil ALL aspects of the post, and to be able to respond quickly to emergencies, as necessary.

Desirable

• Previous experience of supervising research by junior staff.
• Previous attendance on Appraisal Techniques and Small Group Teaching Workshops.

Other

Essential

• Applicants must be on the Specialist Register or within six months of being admitted to the Register for trainees if currently in a training

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice.
• Eligibility to work in the UK.
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated

Experience

Essential

• Should have completed a recognised training programme in General Surgery and have evidence of subspecialist training in Liver Transplant and Organ Retrieval
• Must be able to demonstrate a high level of clinical experience and competence in Liver Transplantation, Organ Retrieval and General Surgery
• Specifically, must demonstrate higher level of clinical experience and competence in Liver Transplantation, and Organ Retrieval.
• Evidence of continuous career progression consistent with personal circumstances

Desirable

• Experience in machine technologies and NRP.

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).

Employer details

Employer name

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

Employer's website

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