Guy's and St Thomas' NHS Foundation Trust

Consultant in Orthopaedic and Trauma in Hand & Wrist Surgery

The closing date is 11 March 2026

Job summary

This new post is for a consultant orthopaedic surgeon with a sub special interest in hand and wrist surgery, to support growth in demand in our department. The post has come about as a result of high elective hand and wrist waiting times, and the need for more efficient management of wrist trauma patients. The post will be an integral part of the orthopaedic and trauma department delivering multidisciplinary care to both the local South-East London population and our tertiary referral network patients. The post holder would also work within the trust's joint hand unit in collaboration with five consultant plastic hand surgeons and an associate specialist.

The post holder would be joining the orthopaedic hand and wrist service consisting currently of 2 consultants, as well as a trauma service of 10 consultants. On the St Thomas' site, the consultant would work within the orthopaedic trauma team to deliver acute fracture care virtually and face-to-face, with regular orthopaedic trauma operating. The post holder would also work within the hand trauma clinic, with regular hand trauma operating.

On the Guy's site, the consultant will deliver the full range of elective hand and wrist surgery along with fracture treatment for some ambulatory trauma patients. You will also be working alongside colleagues from hospitals across South London in developing the regional hubs.

Main duties of the job

The post-holder will be accountable to the Medical Director of Guy's and St Thomas' NHS Foundation Trust

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

Job Summary

To provide an orthopaedic trauma service in conjunction with colleagues; the appointee must have a subspecialist interest in wrist trauma.

The appointee will have specialist expertise in elective hand and wrist surgery.

To provide a hand trauma service in conjunction with colleagues; the appointee should have specialist expertise in hand trauma management.

To participate in clinical and other service activities with the object of ensuring a high standard of patient care.

To take an active part in undergraduate and postgraduate teaching and training.

To contribute to the management of the clinical service and service development.

Provide High Quality Care to Patients

The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice

To develop and maintain the competencies required to carry out the duties required of the post.

To ensure prompt attendance at agreed direct clinical care programmed activities.

About us

The Trust includes St Thomas' Hospital, Guy's Hospital, Evelina London Children's Hospital (GSTT) and both adult and children's community services in Lambeth and Southwark.

We provide a full range of hospital services for our local communities in Lambeth, Southwark and Lewisham, as well as specialist services for patients from further afield, including cancer, cardiothoracic, women's and children's services, kidney care and orthopaedics. We have one of the largest critical care units in the UK and one of the busiest Emergency Departments in London. See www.guysandstthomas.nhs.uk for further details.

We have a strong track record for clinical excellence, teaching and research, and financial management. Our Fit for the Future programme aims to improve further our efficiency without compromising quality and safety.

We are part of King's Health Partners, one of seven accredited UK Academic Health Sciences Centres. We also have a National Institute for Health Research (NIHR) Biomedical Research Centre in partnership with King's College London. For further information about Kings' Health Partners, Kings College London and our research please see the following links: www.kingshealthpartners.org , http://www.kcl.ac.uk/medicine/index.aspx, http://www.guysandstthomas.nhs.uk/research/research.aspx and www.biomedicalresearchcentre.org|

Details

Date posted

11 February 2026

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£109,725 to £145,478 a year per annum excl. London Zone

Contract

Permanent

Working pattern

Full-time

Reference number

196-CON1109

Job locations

Guy's Hospital

London

SE1 9RT


Job description

Job responsibilities

Hand unit

The hand unit currently consists of 2 consultant orthopaedic hand surgeons, 5 consultant plastic hand surgeons and 1 associate specialist plastic hand surgeon.

Between us, we deliver the full spectrum of hand and wrist surgery. Consultant subspecialist interests include wrist surgery, hand and wrist arthroplasty, rheumatoid hand surgery, congenital & paediatric hand surgery, peripheral nerve surgery, hand trauma and post-trauma reconstruction.

Mentoring with a senior Consultant in terms of joint clinics and joint operating is offered.

The orthopaedic section of the hand unit is supported by:

1 orthopaedic post-CCT Fellow

1 Specialist Registrar

1 Physician Associate

1 Pre-Admission CNS

Administrative staff 1 dedicated Admissions officer, 1 dedicated Outpatient officer and 1 secretary

Research Staff A dedicated full time Data Collection Manager to support NJR and UKHR management and PROMS data collection

Facilities

2 Dedicated Ortho/Spine Wards

5 Dedicated Laminar Flow Theatre with II, CIOS Navigation, 2 Day Surgery theatres

Full Imaging support, with 24/7 MRI and CT, US and plain x-ray

HDU

Outpatients: St Thomas Fracture clinic and Guys Orthopaedic outpatients

Key Focuses for the Directorate:

Providing clinical excellence for our patients, both on the elective and trauma pathways.

Becoming national leaders for reduced length of stay, re-admission rates and patient falls.

Achieving 18 weeks referral-to-treatment targets for both admitted and non-admitted pathways.

Reducing new-to-follow up ratios in outpatient clinics.

Job description

Job responsibilities

Hand unit

The hand unit currently consists of 2 consultant orthopaedic hand surgeons, 5 consultant plastic hand surgeons and 1 associate specialist plastic hand surgeon.

Between us, we deliver the full spectrum of hand and wrist surgery. Consultant subspecialist interests include wrist surgery, hand and wrist arthroplasty, rheumatoid hand surgery, congenital & paediatric hand surgery, peripheral nerve surgery, hand trauma and post-trauma reconstruction.

Mentoring with a senior Consultant in terms of joint clinics and joint operating is offered.

The orthopaedic section of the hand unit is supported by:

1 orthopaedic post-CCT Fellow

1 Specialist Registrar

1 Physician Associate

1 Pre-Admission CNS

Administrative staff 1 dedicated Admissions officer, 1 dedicated Outpatient officer and 1 secretary

Research Staff A dedicated full time Data Collection Manager to support NJR and UKHR management and PROMS data collection

Facilities

2 Dedicated Ortho/Spine Wards

5 Dedicated Laminar Flow Theatre with II, CIOS Navigation, 2 Day Surgery theatres

Full Imaging support, with 24/7 MRI and CT, US and plain x-ray

HDU

Outpatients: St Thomas Fracture clinic and Guys Orthopaedic outpatients

Key Focuses for the Directorate:

Providing clinical excellence for our patients, both on the elective and trauma pathways.

Becoming national leaders for reduced length of stay, re-admission rates and patient falls.

Achieving 18 weeks referral-to-treatment targets for both admitted and non-admitted pathways.

Reducing new-to-follow up ratios in outpatient clinics.

Person Specification

Professional Qualifications

Essential

  • Full GMC Registration
  • On GMC Specialist Register or within 3 months of attaining CCT
  • FRCS (Tr & Orth) or Equivalent
  • Evidence of continuing professional / personal development
  • British or European Hand Diploma
  • Post FRCS fellowship in Hand and Wrist Surgery

Desirable

  • Higher Degree
  • Evidence of Management and medical leadership
  • Postgraduate qualification in medical leadership
  • Evidence of Teaching Training

Clinical Experience

Essential

  • Comprehensive trauma training.
  • Demonstrable experience of hand and wrist surgery including hand trauma, and evidence of specialist training in this field.
  • Experience in a major trauma unit

Desirable

  • Consultant experience in hand and wrist surgery
  • Experience of and training in upper limb spasticity surgery

Clinical Skills

Essential

  • A commitment to and evidence of multidisciplinary practice, working with other specialities and intensive care departments in the management of cases.
  • A team-based approach to care and service management, including appreciation of nursing and therapy roles.
  • Excellent interpersonal skills and an ability to communicate effectively with colleagues; both clinical and non-clinical, and with children and their carers / relatives.

Audit Management & IT

Essential

  • Record of clinical governance, audit, management
  • Proficient IT skills to include working knowledge of AI
  • Understanding of principles of audit.

Desirable

  • Experience of clinical management
  • Involvement in quality improvement projects
  • Involvement in and completion of clinical audits

Research, Teaching skill & experience

Essential

  • A demonstrable aptitude for participating in departmental research goals.
  • Experience of teaching and training undergraduates, postgraduates and junior medical staff.

Desirable

  • Evidence of original research and publication.
  • Appraisal training.
  • Education qualification.

Leadership / Management skills

Essential

  • Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
  • Accountability; Ability to take responsibility, lead, make decisions and exert appropriate authority.
  • Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
  • Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
  • Ability to work as part of a team
  • Staff Management; Experience of performance management, developing and motivating staff
  • Finance; Knowledge of finance and budgets
Person Specification

Professional Qualifications

Essential

  • Full GMC Registration
  • On GMC Specialist Register or within 3 months of attaining CCT
  • FRCS (Tr & Orth) or Equivalent
  • Evidence of continuing professional / personal development
  • British or European Hand Diploma
  • Post FRCS fellowship in Hand and Wrist Surgery

Desirable

  • Higher Degree
  • Evidence of Management and medical leadership
  • Postgraduate qualification in medical leadership
  • Evidence of Teaching Training

Clinical Experience

Essential

  • Comprehensive trauma training.
  • Demonstrable experience of hand and wrist surgery including hand trauma, and evidence of specialist training in this field.
  • Experience in a major trauma unit

Desirable

  • Consultant experience in hand and wrist surgery
  • Experience of and training in upper limb spasticity surgery

Clinical Skills

Essential

  • A commitment to and evidence of multidisciplinary practice, working with other specialities and intensive care departments in the management of cases.
  • A team-based approach to care and service management, including appreciation of nursing and therapy roles.
  • Excellent interpersonal skills and an ability to communicate effectively with colleagues; both clinical and non-clinical, and with children and their carers / relatives.

Audit Management & IT

Essential

  • Record of clinical governance, audit, management
  • Proficient IT skills to include working knowledge of AI
  • Understanding of principles of audit.

Desirable

  • Experience of clinical management
  • Involvement in quality improvement projects
  • Involvement in and completion of clinical audits

Research, Teaching skill & experience

Essential

  • A demonstrable aptitude for participating in departmental research goals.
  • Experience of teaching and training undergraduates, postgraduates and junior medical staff.

Desirable

  • Evidence of original research and publication.
  • Appraisal training.
  • Education qualification.

Leadership / Management skills

Essential

  • Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
  • Accountability; Ability to take responsibility, lead, make decisions and exert appropriate authority.
  • Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
  • Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
  • Ability to work as part of a team
  • Staff Management; Experience of performance management, developing and motivating staff
  • Finance; Knowledge of finance and budgets

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

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.

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

Guy's and St Thomas' NHS Foundation Trust

Address

Guy's Hospital

London

SE1 9RT


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Guy's Hospital

London

SE1 9RT


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Consultant Hand Orthopaedic Surgeon - Hand Lead

Mr Gidwani

sam.gidwani1@nhs.net

Details

Date posted

11 February 2026

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£109,725 to £145,478 a year per annum excl. London Zone

Contract

Permanent

Working pattern

Full-time

Reference number

196-CON1109

Job locations

Guy's Hospital

London

SE1 9RT


Supporting documents

Privacy notice

Guy's and St Thomas' NHS Foundation Trust's privacy notice (opens in a new tab)