Consultant in T&O with an interest in foot and ankle surgery

Job responsibilities

Your principal places of employment will be at Withybush General Hospital (WGH), Haverfordwest, where you will undertake your elective workload to include clinics and theatre lists.

The successful candidate may be requested to work flexibly and backfill available theatre and clinic sessions at all 4 sites across the Health Board.

On call cover at the WGH site for the successful candidates patients is provided by a 3 tier on call system comprising of Consultant, Middle Grade and SHO who have responsibility for all patients on the site. On call commitment is dedicated to trauma provision with cancellation of all elective activity during on call periods

We are looking for a motivated, colleague committed to providing a high quality service. The successful candidate would join a culturally varied department with a strong work ethos and determination to improve and maintain standards of care.

The successful candidate needs to be comfortable with consultant led and delivered general trauma provision in a district general hospital on a 1 in 5 rota providing prospective cover. The provision of on call cover at the WGH site is currently essential, however is under review as part of the HB Intermediate term plan (IMTP) for the provision of trauma and elective services across the HB.

All consultants (including the successful post holder) provide on call cover during an on call week where all other clinical activity is cancelled.The on call week commences at 5pm on a Wednesday with a handover from the outgoing on call consultant and this will last until 5pm the following Wednesday.

Monday to Friday, the post holder will be expected to lead the Trauma meeting each morning to review all admissions overnight and review all actions taken by supporting on call staff and identify patients for theatre that day, communicating with all relevant parties. The post holder will then lead the multi-disciplinary Board Round to review all admitted patients, followed by a Ward Round. In the afternoon, the post holder will supervise the dedicated trauma theatre session. NCEPOD theatre sessions run daily, (7 days per week), and it is the post holders responsibility to take part in daily discussions on how this can be utilised to address trauma case load.At weekends, the post holder will be expected to undertake a morning ward round to review all patients admitted under their care and review those patients belonging to other Orthopaedic consultants for whom concerns may have been raised by on call or nursing staff. Any patients requiring surgery will need to be identified and discussed with the on call theatre team.The post holder is non-resident but is expected to live within a 30 minute drive of the hospital to attend should this be required.

The successful candidate will be expected to work within and assist with the further development of an inter-health board network to improve care for all patients within the UHB. The successful candidate will be expected to take responsibility for the development and training of junior doctors within the department and to develop his own sub speciality interest within the speciality of foot and ankle surgery to complement the existing interests of the department and HB as a whole.

The post holder will be expected to have received training in and be competent in the management of common non specialised paediatric conditions and to join colleagues from the HB in taking part in the National working groups in both paediatric and adult elective orthopaedic services.

Elective in patient operating is currently provided at the WGH site, however this is under review as part of the HB IMTP. Patients undergoing elective surgery under the consultants care at other sites will remain under the care of the post holder, but with provision for consultant and junior doctor level cover at the remote site according to the needs of the service and clinical safety requirements.

The post holder will be invited to a job plan review in the event of any re-configuration of services and be entitled to travel time between sites as deemed necessary.

Clinical

To share the responsibility for the acute care of Trauma and Orthopaedics Patients.

To conduct clinical practice in accordance with contractual requirements within the parameters of the Divisions and Health Boards agreed objectives.To support the development and delivery of a sub specialty service in hospital and in the communityTo develop and deliver a comprehensive service in foot and ankle surgeryTo take part in a whole Health Board multi-disciplinary approach to foot and ankle surgery.To work with specialist physiotherapists, specialist nurses and physician colleagues within the orthogeriatric service to provide clinical care for patients with frailty fragility fractures.

Teaching/Training (as agreed with Clinical Lead/Hospital Director/AMD/MD)To provide conditions for improved training opportunities in line with national and local recommendations arising out of MMC and related requirementsTo participate in the undergraduate teaching programmeTo assist and participate with the development of postgraduate training for F1s, F2s, CTs, STs, SpRs, Speciality Doctors and other staff as appropriateWhere agreed, to act as Educational Supervisor to junior and middle grade medical staff

Audit and Quality Improvement (as agreed with Clinical Lead/Hospital Director/AMD/MD)To promote evidence-based clinical practiceTo undertake regular audit

Qualifications

Essential

• Full GMC Registration and Licence to Practice
• On Specialist Register with GMC or CCT due) within 6 months of interview date -Or CESR or equivalent European Qualifications for Specialist Registration
• FRCS Tr and Orth
• Valid Certified Advanced Life Support Skills
• Evidence of a Fellowship in Foot & Ankle Surgery

Desirable

• Appropriate Higher Degree e.g. MD, PhD or MSc or equivalent

Clinical Experience

Essential

• Broad based experience in Trauma and Orthopaedics
• Knowledge of UK hospital systems (or equivalent)
• Knowledge and participation in CPD
• Competence in General Trauma and Orthopaedics
• Expertise in foot and ankle surgery
• Able to apply knowledge
• Safe and effective written and verbal communication skills
• Knowledge and experience of communicating bad news
• -Meet the requirement of the GMC's "Good Medical Practice"

Desirable

• Experience of NHS
• Wider experience, research and training in providing sub specialty service
• Evidence of above average performance
• Additional clinical qualification(s)
• Previous experience at consultant level

Clinical Governance

Essential

• Evidence of participation in clinical audit and understanding role of audit in improving medical practice
• Comprehension of core philosophy and building blocks of Clinical Governance

Desirable

• Knowledge of risk management
• Knowledge of annual job planning/appraisal review process

Research

Essential

• Experience and knowledge of critical appraisal of evidence so as to improve clinical outcomes

Desirable

• Evidence of initiating, progressing and concluding research projects with publication
• Research degree

Teaching

Essential

• Evidence of organising programmes and teaching medical students and junior doctors
• Willingness to teach all grades of professional multidisciplinary staff

Desirable

• Organisation of further teaching programmes in medical education
• "Training the Trainers" experience

Management

Essential

• Knowledge of the management and structure of the NHS
• -Willingness to participate in clinical management

Desirable

• Evidence of management training

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).