Locum Consultant Colorectal Surgery

Job responsibilities

1. Clinical

The main duties of this post include both Elective and Emergency responsibilities:

• Provide consultant care at an early stage to patients presenting to secondary care with presumed emergency general surgical problems.
• Facilitate early senior review to ensure all patients are reviewed within 1 hour of referral to specialty.
• Facilitate early decision making for investigation or surgical intervention.
• Promote early and safe discharge through regular consultant review of emergency and elective surgical inpatients.
• Deliver consultant review of all non-elective admissions within 12 hours of admission in conjunction with the on call emergency surgical consultant
• Establish new patient pathways alongside colleagues working in the Trust emergency department and local GPs to establish direct, rapid access and assessment of patients with potential acute general surgical conditions
• Promote expert clinical practice in the care of emergency laparotomy patients
• Develop, support and provide education for multidisciplinary teams in the care of patients undergoing emergency laparotomy surgery
• Support and contribute to service development that enhances care of emergency laparotomy patients.
• Identify areas of care that do not meet NELA standards and lead on change to improve them.
• To work with existing lower GI surgeons to provide care in a team-based approach
• To collaborate with General Surgeons to achieve the 18 week referral to treatment targets for both general and specialist workload
• Work with Service Managers to ensure compliance with national clinical guidelines in the areas of emergency general surgery and major incident planning.
• To undertake complex laparoscopic colorectal procedures
• To provide elective benign Lower GI Surgery including inflammatory bowel disease
• Work independently and unsupervised as an expert Advanced Practitioner in performing diagnostic lower GI endoscopy procedures, demonstrating advanced levels of clinical judgement, discretion and clinical decision making.
• To provide training in general and lower GI surgery for trainees
• To contribute to the continued development of a first class colorectal service
• To participate in postgraduate teaching

1. Provide High Quality Care to Patients

2.1 The post holder must adhere to the standards outlined by the GMC for Good Medical Practice.

2.2 Develop and maintain the competencies required to carry out the duties required of the post.

2.3 Ensure prompt attendance at agreed direct clinical care Programmed Activities.

2.4 Ensure patients are involved in decisions about their care and to respond to their views.

2.5 Demonstrate, model and encourage Trust Values at all times to all patients and staff.

2.6 Lead on the completion of National Emergency Laparotomy Audit data and National Bowel Cancer Audit data.

1. Research, Teaching and Training
   • Provide high quality teaching to medical undergraduates and members of other health care professions as agreed with the Service Lead. To contribute to training and teaching of medical trainees, medical students, other doctors in training and other staff groups.
   • Act as a clinical supervisor and appraiser as delegated by the Clinical Director/Service Lead to ensure external accreditation of training post.
   • Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research/audit portfolio, at all times meeting the full requirements of Research Governance.
   • Ensure that your mandatory training is up to date as per Trust policy.
   • The Trust expects all consultants to participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. Consultants may apply to the study leave budget for help with associated expenses in line with the terms and conditions of their contract. In addition consultants will be expected to undertake some non-clinical training and development at the discretion of the trust management, for example, Leadership Training.

1. Performance Management

To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

• Clinical efficiency e.g. Length of Stay (LOS) reductions, admission on day of surgery, reducing cancelled operations and DNA rates.
• Quality of outcomes e.g. infection control targets, reducing re-admission rates
• Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
• Operational efficiency e.g. day-case rates, waiting list activity and demand management.

1. Medical Staff Management and Accountability
   • Work with colleagues to ensure Junior doctors hours are compliant in line with EWTD and New Deal.

• Ensure that Trust systems and procedures are in place and followed to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments.
• Adhere to Trust / department guidelines on leave, including requesting and reporting absence, and professional and study leave, and to ensure that members of staff for whom you are responsible do the same.
• Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead.
• Participate in team objective setting as part of the annual job planning cycle.

• Be responsible for ongoing assessment and regular appraisal of all doctors in training, Trust doctors and non-consultant grades as delegated by the Clinical Director/Service Lead /General Manager.

• Participate fully in regular departmental activities including department meetings and team building activities.

1. Governance
   • Adherence to referral pathways for surgical oncology is expected. While the postholder is not expected to be a member of a cancer MDT, from time to time representation of patients may be required.
   • Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead.
   • Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
   • Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead.
   • Participate in ensuring NICE, NSF, CNST and other national guidance requirements are reviewed and implemented and monitored in the speciality areas.
   • Ensure clinical guidelines and protocols are adhered to by junior medical staff and any other staff for whom the post has responsibility and that these are updated on a regular basis.
   • Keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead.
   • To role model good practice for infection control to all members of the multidisciplinary team and adhere to the Trust Infection Control measures (available on the Trust Intranet).
   • To report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.

1. Strategy and Business Planning

7.1 Work with medical managers and general managers to take forward the business planning and objective setting process for the directorate and Trust where appropriate.

• Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead.
• To attend and contribute at regular Departmental meetings as identified by the Clinical Lead.

Qualifications

Essential

• oFull GMC Registration and Licence to Practice
• oMB BS or equivalent
• oFRCS (Gen Surg) or equivalent
• oOn the GMC specialist register

Desirable

• PhD / MS / MD / MSc

Clinical Experience

Essential

• oUpper GI subspecialty experience and training including anti-reflux surgery
• oWide experience of general surgery especially emergency general surgery
• oGood experience of elective and emergency upper and lower GI surgery
• oProficiency in elective and emergency Laparoscopic Cholecystectomy
• oKnowledge of UK hospital systems
• oProficiency in diagnostic Upper GI Endoscopy

Desirable

• oColorectal subspeciality experience and training
• oExperience in establishing and improving patient pathways to improve patient outcomes

Clinical Audit

Essential

• oExperience of clinical audit
• oDemonstrable understanding and acceptance of the principles of Clinical Governance

Desirable

• oExperience and evidence of involvement in Quality Improvement

Teaching Experience

Essential

• oEvidence of organizing programmes and teaching medical students and junior doctors
• oWillingness to teach all grades of professional multidisciplinary team

Desirable

• oPostgraduate training
• oFormal course for training
• oCompleted "Training the Trainers" course

Management &Administrative Experience

Essential

• oWillingness to participate in clinical management
• oAwareness of new developments in the specialty with ability to critically assess the impact of these on the service

Desirable

• oAttended management training

Research Experience

Essential

• oAbility to convert research evidence into clinical practice

Desirable

• Evidence of active participation in surgical research
• Thesis
• Published papers

Other Attributes

Essential

• oEvidence of team working ability
• oAbility to work flexibly in response to the changing needs of the Service

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).