Trauma & Orthopaedics Consultant – Spinal Surgeon

Job responsibilities

The job plan on appointment will consist of a split of 7.5:2.5 DCC/SPA. The SPA component is made up of core activities (appraisal, revalidation, CME, routine departmental meetings etc.) and non-core activities with prior agreement. Non-core activities are discussed and agreed within the Trust (via an agreed tariff and, on occasion, through a personal agreement). Non-core SPA may reflect activities such as educational supervision, research, leadership and quality improvement. Following appointment, non-core SPA may be used to participate in our consultant development programme, or in acquiring or consolidating specific skills and expertise. Non-core SPA is only available if specific activities and objectives are mutually agreed in job planning.

Review of Job Plan

The job plan is subject to review once a year and is signed off between the post holder, the CSU Lead and an Executive Director of the Trust. Participation in annual appraisals is a contractual requirement. The Trust has procedures for resolving disagreements concerning job plan, either following appointment or at annual review.

The appointment is for a orthopaedic Spinal Consultant Surgeon based at Milton Keynes University Hospital NHS Foundation Trust. This is an additional post to help address the growing needs of our community.

Maintenance of the highest clinical standards in the management of patients.

To share with colleagues responsibility for the day-to-day management of the Trauma and Orthopaedic Services including General Orthopaedic On-Call.

Teaching and training of junior staff.

To actively participate in both departmental and Trust matters concerning Clinical Governance and audit.

To have responsibility for ensuring active participation in continuing professional development (CPD).

The programme will contain a mixture of outpatient clinics, theatres and on-call commitments.

The On Call commitment is at 1:9 or less (Low frequency Category A) on the General On call Trauma and Orthopaedic Rota.

The appointee would be expected to work closely with the current Consultant Spinal Surgeon and other Orthopaedic Consultants providing non-complex spinal surgical care.

The assessment and management of Spinal surgical patients, including support for Trauma meetings, sub-speciality advice, and liaising with the Network Trauma and Spinal networks. Supporting the Junior staff to ensure that Orthopaedic Spinal facilities and capabilities are utilised appropriately for improved patient care. To work with specialist pain and rehabilitation services to support them in their management of chronic back pain sufferers. To work within the regional health service to advise on Health management and preventative primary and secondary care.

The post is based at Milton Keynes University Hospital, in the future outreach clinics and network sessions may exist. The Hospital currently undertakes HVLC work in line with the national framework. It is expected that the appointee would work to undertake operative sessions when possible to address the waiting list backlog, whilst continuing to support the Emergency and Trauma needs of the Hospital.

Job Outline (Example)

Teaching

There are a number of specific roles within the hospital relating to our joint endeavours with the University of Buckingham Medical School. These roles involve teaching and the wider management of the undergraduate training programme. These activities are recognised explicitly in job plans. Day-to-day teaching on the wards and in clinic is accounted for within direct clinical care (DCC) time.

Facilities for appointee

The appointee will have access to an office, and secretarial support will be available. Consultant offices are equipped with a Personal Computer with suitable peripherals and connectivity. The library has access to current books and journals.

Annual appraisal

All doctors must have an annual appraisal and review of the job plan part of which will include completion of Mandatory Training. Trust appraisers are appointed by the Medical Director for appraisal and revalidation. Key issues arising from the appraisal process are relayed to the CSU Lead and Medical Director.

Continuous Personal DevelopmentThe Trust is fully committed to CPD. There are internal meetings (with certificates issued) plus a study leave allowance of 30 days over 3 years with funding available. As part of the job plan there is a core SPA (1PA) for supporting professional activities and CPD.

Personal development and trainingThe Trust actively encourages development within the workforce and employees are required to comply with trust mandatory training.

The Trust aims to support high quality training to NHS staff through various services. The Trust is committed to offering learning and development opportunities to all full-time & part-time employees.

General Responsibilities All Medical and Dental Staff employed by the Trust are expected to comply with hospital health and safety policies, clinical governance and other risk management policies. The Chief Executive of the Trust or the CSU Lead / Divisional Director may from time to time delegate managerial responsibilities by agreement with the post holder.

Trust Management Structure

Full details of the Trusts current management structure can be viewed online. In summary, there are four clinical divisions each made up of constituent clinical service delivery units (CSUs). Each Division and CSU is led by a triumvirate of Divisional or Clinical Director (typically a doctor), general manager and lead nurse (or allied health professional). Medical staff are encouraged to take an active role in leadership and management, developing our clinical pathways over time and offering both high quality and value for money.

Qualifications/ Registration

Essential

• oMedical Degree
• oFRCS (Tr+Orth) or equivalent
• oFull GMC registration and specialist registration and licence

Desirable

• oMD/PHD
• oCompletion certificate of training or equivalent

Experience/ Training

Essential

• oSpinal Surgery Fellowship (Year post) oIn an Institute of Eminence, recognised by the BOA (or equivalent by review) oPost CCT
• oMinimum of 7 years Post-Graduate experience, including Specialist registrar training in approved posts or equivalent
• oOrthopaedic trauma surgery including trauma lists, trauma clinics and trauma on call

Desirable

• oOther additional relevant subspecialty Fellowship
• oConsultant Level experience (more than 2 months)

Knowledge

Essential

• oKnowledge and application of up to date evidence based practice
• oAppropriate level of clinical knowledge

Desirable

• oBreadth of experience within and outside specialty

Clinical Skills

Essential

• oExtensive Spinal Operative experience
• oIn-patient and Out-patient Care
• oExperience in the multi-disciplinary management of patients
• oUnderstanding of clinical risk management

Communication Skills

Essential

• oGood written and verbal communication skills
• oEvidence of the ability to communicate with patients, colleagues and staff at all levels
• oEvidence of teaching experience at undergraduate and postgraduate levels
• oAbility to work constructively in a team environment

Desirable

• oAbility to be able to appraise both juniors and other staff

Leadership Skills

Essential

• oTo motivate and develop both medical staff and non-medical staff.

Desirable

• oInterest in Medical management

Other skills

Essential

• oAbility to gain the trust and confidence of colleagues and patients
• oTo accept leadership and management roles within the directorate as requested by the Clinical Director.
• oAbility to work independently as well as part of the T&O directorate
• oTo balance individual requirements against those of the division and the Trust as a whole

Desirable

• oIT and computer skills.

Circumstances

Essential

• oHolds full registration with the General Medical Council

Personality

Essential

• oEnthusiastic and ability to inspire enthusiasm
• oTeam player
• oInnovate

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).