Consultant Paediatric Cleft Lip and Palate Surgeon

Job description

Job responsibilities

2. OBJECTIVES OF THE POST

To deliver care to patients with cleft lip and/or palate and non-cleft velopharyngeal incompetence within the Regional Cleft Lip and Palate Service based at Leeds General Infirmary.

Clinical objectives of the post will include:

Provision of primary surgical repair for children born with cleft lip and/or palate including cleft lip repair, cleft palate repair and alveolar bone grafting

Provision of secondary cleft surgery in children; including surgical management of cleft and non-cleft velopharyngeal incompetence, revisional lip and palate surgery

Provision of cleft lip and palate surgery in adult patients (all aspects of revisional cleft lip and palate surgery, speech-related surgery and complex septorhinoplasty). Ability to provide orthognathic surgery in cleft adult patients would be advantageous.

Delivery of cleft surgeon input to multidisciplinary cleft clinics throughout the network

Full participation in speech therapist/cleft surgeon speech investigation meetings

Cleft surgical out-patient clinic at Leeds General Infirmary

Full participation in Clinical Team meetings and Clinical Audit

The post will include on-call/out-of-hours responsibilities for cleft lip and palate. It is also anticipated that the successful applicant would participate in the on-call provision for their parent specialty.

Other more generic objectives include:

Supervision of patients, telephone advice and daily ward rounds

Contribute to Specialist Multi-disciplinary team meetings

To link with Consultant colleagues in other relevant site specialist teams within the Childrens Hospital and across the Trust.

To contribute to research, teaching and new developments within service. The post holder will be encouraged to facilitate and contribute to the current clinical research programs on going in the department.

To further develop and maintain a high quality regional tertiary service to Leeds and Yorkshire.

To lead on developing a particular aspect of the service, depending on interests, and in conjunction with other consultants

Help implement current national guidelines, as referenced by commissioners

Develop department / network guidelines

Facilitate ST4+ training in management of cleft lip and palate

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

Achieving the best clinical outcomes within the resources available

Waiting times

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 specialties 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 MedicalDirectors 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 Magnus Harrison, Chief Medical Officer

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 otherwell-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.

The Cleft Service participates in a number of national cleft research programmes and this post would include active involvement.

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). It is therefore expected that all consultants will be familiar with the principles of effective teaching and will enable the service and colleagues to fulfil their obligations to learn and teach about effective care.

The remainder of this section concentrates on teaching and training for medical colleagues, but the Trust actively supports and encourages consultant medical staff to participate in and deliver teaching and training to any colleagues, within and outside of the Trust, where this is agreed as an appropriate time commitment.

Undergraduate medical teaching

The Trust actively promotes links with the University of Leeds, School of Medicine for teaching medical undergraduates and all consultant medical staff are required to participate to the level agreed within their service.

Where it is agreed by the Clinical Director that the postholder will be significantly involved in delivering undergraduate medical teaching, the following requirements have been agreed with School of Medicine, University of Leeds.

The University of Leeds will award the honorary title of Honorary Senior Lecturer to the person appointed to the role in recognition of their willingness to participate in undergraduate teaching in support of these arrangements. The honorary title will be awarded for a probationary period of 5 years. Renewal of the Title for a further 5 years will be on evidence of meeting the full criteria (reference for criteria).

This honorary title will entitle the consultant to privileges such as being a member of staff of the University, including the use of the Senior Common Room, the library (University and Medical and Dental) and inclusion on the circulation list for ceremonies, public lectures, concerts, etc.

Postgraduate medical teaching

As with undergraduate teaching, consultants are expected to contribute to overall programmes of postgraduate teaching in theirservice. Where there is a lead or significant role agreed as part of the consultants job plan, the following expectations apply:

Consultants will be expected to act as a clinical supervisor for any or specified junior doctors working with them. All consultants must undergo clinical/educational supervisor training. Training is envisaged as needing renewal every 5 years.

Consultants may take up specific educational roles in the speciality which includes educational supervisor, college tutor, speciality educational lead.

Person Specification

Qualifications

Essential

• CCST in a recognised cleft surgical specialty
• Fellowship of the Royal College of Surgeons in one of the cleft surgical specialties

Desirable

• Completion of UK NHS TIG approved Cleft Surgery fellowship

Experience

Essential

• Successful completion of formal recognised training in cleft lip and palate surgery and achieved competence in primary repair of cleft lip and/or palate and provision of secondary cleft surgery includ
• Experience and competence in cleft surgery for adults including revision cleft lip and palate surgery, speech surgery and septo-rhinoplasty.
• Wide experience and proven ability to work well within a multi-disciplinary team.

Desirable

• Experience, training and competence in orthognathic surgery for adults with cleft lip and palate would be advantageous but not essential.

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 and /or eligibility to work in the UK.
• Fitness to practice Is up to date and fit to practise safely
• Should have completed a recognised training programme at sub-speciality level (or equivalent) in a cleft surgical specialty

Clinical, Academic, and Personal Skills

Essential

• Evidence of the ability to carry out medical research.

Desirable

• Relevant higher degree

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

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX

Employer's website

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