Trust Doctor (ST6+)

Job responsibilities

INFORMATION ABOUT THE DEPARTMENT

The Department of Renal Transplant Surgery at Leeds Teaching Hospitals is offering an exciting opportunity to appoint two Research Fellows in the department. The initial contract is for 1 year, but extensions will be offered on successful progression of the research projects. The anticipated start date is October 2026. The Fellows will be offered protected research time and be expected to register for a higher degree at the University of Leeds.

The Renal Transplant unit in Leeds is one of the busiest in the UK, performing around 200 transplants annually. It also has a large live kidney donor programme, performing around 60 live donor transplants per year, and is one of two centres nationally designated to perform renal transplants from donors less than 2 years of age. The paediatric renal transplant programme performs 10-15 transplants per year.

Leeds provides cover to the National Organ Retrieval Service (NORS)3 weeks out of 4, attending over 150 retrievals per year.

The Renal Transplant Consultants also provide an elective benign general surgery service (particularly hernias and cholecystectomy). Mr Barlow and Mr Robson perform abdominal sarcoma surgery as part of the Yorkshire Regional Sarcoma Service and tertiary neuroendocrine tumour surgery.

MEDICAL STAFF IN THE DEPARTMENT

There are 15 Consultants working in Abdominal Transplantation, Hepatobiliary Surgery and Retroperitoneal Sarcoma Surgery at Leeds Teaching Hospitals and there are more than 1000 major procedures performed annually.

7 Consultant surgeons contribute to the renal transplant service:

Mr Adam Barlow (Clinical Lead)

Mr Jon Cartledge (Consultant Urologist, Live Donor Nephrectomy)

Mr Stuart Falconer

Mr Lutz Hostert

Mr Omar Masood

Mr Andrew Robson

Miss Sonsoles Martinez-Lopez

The middle grade rota for renal transplant comprises of 6 people: a combination of research fellows, Speciality Registrars and Senior Clinical Fellows. Ward cover for renal transplant patients is also provided by Core Medical Trainees.

There is very close working with the Nephrology team, with daily Consultant-led joint ward rounds.

The Research fellows are given protected research time but contribute to the renal transplant surgery middle grade on-call rota on a 1:6 basis and will also have some elective theatre and clinic sessions during the week to maintain their clinical skills.

RESEARCH COLLABORATION

We work closely and collaboratively with University of Leeds working on research interests of the group. There is a long track record of successful higher degrees for research fellows coming through the department.

The key areas of research are investigating pressure sensors in liver, functional assessment of liver and liver augmentation, machine perfusion and organ resuscitation of both liver and kidneys. Key collaborators and supervisors at the University of Leeds include Professor David Beech and Dr Laeticia Lichtenstein. Further collaboration is also available from Professor Raj Prasad, Medical College Winsconsin. Clinical and academic supervision will also be provided by Mr Adam Barlow.

The research project will be developed in collaboration with the successful candidates and there will be a requirement to apply for competitive grants to fund consumables for the research projects. The salary for the research posts is covered for the duration of the projects. The candidates will be expected to register for a PhD/MD at the University of Leeds at the commencement of the project.

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Experience in general surgical training to registrar level anddemonstrating an interest and aptitude to pursue research is essential. Previous experience in Organ Retrieval, Transplantation or Hepatobiliary Surgery is desirable

DUTIES OF THE POST

There will be protected time for research every week as part of the job plan. The research fellows are expected to have clinical responsibilities.

Duties will include:

Pre-admissions clinics

Operating theatre and outpatients

Discharge letters

Discussions with relatives

Initiation/change of treatment

On call

LEVELS OF RESPONSIBILITY

The successful candidate will be part of the on-call rota for Renal Transplant Surgery (1:6). The candidate will also be expected to cover elective and emergency in-patient and day case surgery, general, Transplant and Hepatobiliary specialist out-patient clinics and regular ward work.

TEACHING AND RESEARCH/STUDY AND TRAINING

The post offers an excellent opportunity in continue surgical training whilst pursuing a research degree. The department has a regular teaching programme and the post holder is expected to participate and contribute proactively.

THE LEEDS WAY VALUES

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-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Additionally the following are core values which relate specifically to this post:

The beliefs and attitudes that underpin effective performance within the job role. Emphasis should be on the requirements of the role not the individual when completing this section. Examples might include: quality focus, mistakes are used as a continual learning experience, honesty, integrity etc.

CONDITIONS OF SERVICE

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. These documents are available on the Medical Staffing Intranet site. The post holder is required to be fully registered with the General MedicalCouncil (GMC) and hold a licence to practice.

Standards of Conduct and Behaviour

You are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director or Medical Director in the first instance.

The Trust has a set of expected behaviours for all employees and additional behaviours and skills that are expected of managers and supervisors.

Leave Arrangements

All leave should be applied for in accordance with the Trusts Leave Policy, normally giving six weeks notice of any leave, other than in exceptional circumstances.

Training

The jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role.

Health & Safety

All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with the Leeds Teaching Hospitals NHS Trust Policies, including Health and Safety policies, in particular by following agreed safe working procedures, and reporting incidents using the Trust Incident Reporting system.

Equality & Diversity

The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.

The Trust's Equality and Diversity Policy ensures that barriers to employment for disadvantaged groups are identified and removed, and that no person is treated less favourably on the grounds of their race, ethnic group, religion, impairment, age, gender, sexual orientation or mental health status. Reasonable adjustments will be made for disabled applicants and post holders where required.

Smoking Policy

The Leeds Teaching Hospitals NHS Trust recognises the serious hazards to health caused by smoking and has adopted a strict no smoking policy. Under the terms of our No Smoking Policy, staff, visitors and patients will not be permitted to smoke at any time or in any part of Trust property, whether inside or outside the hospital buildings.

Rehabilitation of Offenders Act & DBS Disclosure

This position involves access to patients during the normal course ofduties and is therefore subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975. As such you must reveal any information which you may have concerning convictions which would otherwise be considered as spent.

An offer of appointment to this post would be subject to the express condition that the Leeds Teaching Hospitals Trust receives a satisfactory Disclosure and Barring Service (DBS, formerly CRB) Disclosure which will check the existence and the content of any criminal record received.

The Trust has the right to withdraw an offer or employment if not satisfied of a candidate's suitability for this position by reason of criminal record or antecedents, especially in cases where no declaration of criminal proceedings has been made on a candidates application form or DBS Form. The Trust reserves the right to determine this issue at its sole discretion. If you are appointed to this post you will be asked to complete a 'DBS Disclosure Application Form' which will be submitted to the DBS.

Leeds Teaching Hospitals NHSTrust has a Policy Statement on the Recruitment of Ex-offenders which is available on request

Infection Control

Patient and Public Involvement

Respect for Patient Confidentiality

Qualifications

Essential

• MBBS or equivalent medical qualification
• MRCS or equivalent

Eligibility, Fitness to practice, and Language Skills

Essential

• Be eligible for full registration with, and hold a current licence to practise from, the GMC at intended start date
• Eligibility to work in the UK.
• Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
• Is up to date and fit to practise safely and is aware of own training needs.
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following:
• That applicants have undertaken undergraduate medical training in English;
• or
• academic International English Language Testing System (IELTS) results showing a score of at least 7.0 in each domain (speaking, listening, reading, writing),with an overall score of at least 7.5, to be achieved in a single sitting and within 24 months of the time of application
• If applicants believe they have adequate communication skills, but do not have evidence in one of the above forms, they must provide alternative supporting evidence of language skills
• Meets professional health requirements (in line with GMC standards/Good Medical Practice)

Experience

Essential

• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice
• make the care or your patient your first concern
• provide a good standard of practice and care
• take prompt action if you think that patient safety, dignity or comfort is being compromised
• protect and promote the health of patients and of the public
• treat patients as individuals and respect their dignity
• work in partnership with patients
• work with colleagues in the ways that best serve patients interests
• be honest and open and act with integrity
• never discriminate unfairly against patients or colleagues
• never abuse your patients trust in you or the publics trust in the profession.
• Evidence of achievement of Core Training competencies in Surgery (as defined by the curricula relating to Core Surgical Training)
• Ability to provide complete details of employment history
• Evidence that career progression is consistent with personal circumstances
• Evidence that present achievement andperformance is commensurate with totality of their period of training
• Shows initiative/drive/enthusiasm (self-starter, motivated, shows curiosity, initiative)
• Demonstrable interest in, and understanding of, the specialty
• Commitment to personal and professional development
• Evidence of attendance at organised teaching and training programme(s)
• Evidence of self-reflective practice

Desirable

• Extracurricular activities / achievements relevant to the specialty

Clinical, Academic, and Personal Skills

Essential

• Ability to apply sound clinical knowledge and judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Recognition of, and ability to undertake the initial management of, an acutely ill patient
• Demonstrates understanding of research, including awareness of ethical issues
• Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
• Demonstrates knowledge of evidence-informed practice
• Communication Skills:
• Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Able to build rapport, listen, persuade & negotiate
• Problem Solving & Decision Making:
• Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach
• Empathy & Sensitivity:
• Capacity to take in others perspectives and treat others with understanding; sees patients as people
• Demonstrates respect for all
• Managing Others & Team Involvement:
• Able to work in multi-professional teams & supervise junior medical staff
• Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement Projects
• Capacity to work effectively with others
• Organisation & Planning:
• Capacity to manage/prioritise time and information effectively
• Capacity to prioritise own workload & organise ward rounds
• Evidence of thoroughness (is well prepared, shows self discipline/ commitment, is punctual and meets deadlines)
• Vigilance & Situational Awareness:
• Capacity to monitor developing situations and anticipate issues
• Coping with Pressure and managing uncertainty:
• Capacity to operate under pressure
• Demonstrates initiative & resilience to cope with changing circumstances
• Is able to deliver good clinical care in the face of uncertainty
• Values:
• Understands, respects and demonstrates the values of the NHS Constitution (e.g. everyone counts; improving lives; commitment to quality of care; respect and dignity; working together for patients; compassion)
• Professional Integrity:
• Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality)
• Capacity to take responsibility for own actions

Desirable

• Aptitude for practical skills, e.g. manual dexterity
• Successful completion of relevant skills course(s)
• Previous experience in transplant or hepatobiliary surgery
• Research and audit skills:
• Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
• Evidence of involvement in an audit project, a quality improvement project, formal research project or other activity which:
• focuses on patient safety and clinical improvement
• demonstrates an interest in and commitment to the specialty beyond the mandatory curriculum
• Teaching:
• Evidence of interest in, and experience of teaching
• Evidence of feedback for teaching
• Instructor status (or a recommendation for instructor status) in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course

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).