This locum post is for an initial six month tenure to cover long term leave of absence. The post will maintain the team of six consultants and is a 10PA appointment helping to ensure that the Trust manages all patients requiring treatment for gynaecological malignancy within national cancer waiting time targets. Following centralisation the existing Gynaecological Oncology Surgeons established outreach services across the Yorkshire region and this post may also provide a weekly outreach clinic and unit MDT
The successful applicant should possess MRCOG (or equivalent) and should be included on the Specialist Register or within 6 months of CCT at the time of interview, if currently within a training programme within the UK. In accordance with the consultant appointment regulations, all other categories of doctors must be on the Specialist Register.
Applicants should have established skills in gynaecological oncology surgery and its related specialties including completion of a subspecialty training programme or equivalent. A strong commitment to undergraduate and postgraduate teaching and a research interest is desirableMain duties of the job
The appointee will join the existing team of gynaecological oncologists to continue development of the Gynaecological Oncology Service within the region. They will work closely and flexibly with colleagues from both the centre and unit, to ensure that national cancer waiting time targets are met.
In addition to managing patients from a specific designated outreach clinic, this post will also have some responsibility for patients from the Leeds area who require surgical treatment for suspected or proven gynaecological malignancy.
There will be some collaboration with the unit lead during a weekly clinic in Bexley Wing to enhance the management of the pelvic mass and endometrial cancer pathways, ensuring that appropriate diagnostic tests are performed in a timely manner to facilitate treatment within the national cancer waiting time targets. They will attend the weekly MDT meeting where such patients are discussed. In
addition, the appointee will deliver a weekly outreach clinic and MDT meeting, working alongside the local team to deliver care in keeping with IOG recommendations and will be responsible for those patients who require surgical treatment within the centre.About us
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:
Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.Job descriptionJob responsibilities
REQUIREMENTS OF THE POST
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 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 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 Hamish McLure, Interim Chief Medical Officer
The role of consultant Consultant Gynaecologcial Oncologist will be expected to hold the MRCOG or equivalent and have completed higher specialist training or equivalent.
Applicants must be on the Specialist Register, or be within six months of being admitted to the Register if currently in a training programme within the UK. In accordance with the consultant appointment regulations, all other categories of doctors must be on the Specialist Register. Applicants must provide information regarding their status from the GMC and/or relevant Royal College at the time of application in order for it to progress further.
The appointee should be nearing completion of or have satisfactorily completed a RCOG approved sub-specialty training programme in Gynaecological Oncology or demonstrate equivalent training.
The appointee should have extensive experience in research within the field of Gynaecological Oncology and should have published in peer reviewed journals and/or completed a higher degree (MD or PhD).
The appointee must be able to work as part of a team in line with the Calman-Hine recommendations for the multi-disciplinary approach to the management of malignancy, have good communication skills and form good working relationships with colleagues, non-medical staff and patients. The appointee should be well organised and skilled in good time management. They will have an understanding of current NHS management and Trusts and be aware of the responsibilities a consultant post brings.
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
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.
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.
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 their service. 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 and CSU educational lead. The core 1.5 SPA includes 0.25 SPA for educational supervision of 2 trainees. Additional trainees then attract 0.25 SPA each. If the consultant is not an educational supervisor, then alternative activities (e.g. specialty audit lead etc.) should be substituted instead.
If consultants have a role in either under- or post-graduate medical education, the GMC expects that evidence of the quality of this education is presented at annual appraisals.Person SpecificationExperienceEssential
- Must be able to demonstrate a high level of clinical experience and competence in gynaecological oncology surgical practice.
- Specifically, must demonstrate higher subspecialty training in gynaecological oncology.
- Evidence of continuous career progression consistent with personal circumstances.
- Evidence of the ability to carry out medical research.
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