Senior Clinical Fellow in Oncoplastic Breast Surgery

Job description

Job responsibilities

Clinical Component

Diagnostics & Breast Screening:

Regular rapid diagnostic and screening assessment clinics are performedon the RLH & AUH sites; these are supported byConsultant Radiologists and Advance practitioners(both radiographic and nursing). We offer Mammographic, Tomosynthesis, Ultrasound and MRI breast imaging as appropriate.Vacuum Assisted sampling viaall modalities is available for both diagnosis and therapeutic needs within breastservices. We utilise Savi-scout localisation for non-palpable lesions, with access to Wire localisation if the need arose.Weekly results clinics and Breast Screeningclinics are held between the RLH& AUHsites.We hold a weekly breast screening and main oncologyMDT,a dedicated breast metastatic MDT occurs via ClatterbridgeCancer Centre with surgical representation. A management meeting and Oncoplastic meeting occur on a Monday morning with monthly-half day audit sessionas per the Trust timetable.

The candidate will have exposure andtraining inall ofthese domains of practice.

BreastSurgery:

Surgery isperformedmainly onthe RLH & BGH sites;we run theatre lists Monday-Saturday.All consultants offer oncoplastic techniques for conservation and whole breast reconstruction.We have access to dopplers,ADMs, meshes and an implant bank on both RLH & BGH sites.Theatre 1stAssistants can helpfacilitatebilateral-synchronous operating as needed. Patient are supported to achieve day-case surgery with post-operative phone consultations and dressing clinic appointment managed by the nursing team.Patients attend for post-operative reviews in Results and Follow-up clinicson the RLH & AUH site.The candidate will have opportunity to work with all the surgeons and experience the range of techniques offered. We would expect participation in clinics toobservethe post-operative results.

AdditionalServices:

We offerFamilyHistory,Benign Result,a B3-Risk assessment clinicand Genetic-Mainstream testing via our Breast ANP team.Prosthetic fitting and consentingisfacilitated by ourBreast Care Nursing & Reconstructive Nurse Specialists.Some consultantsoffer combined genetics-risk reducing consultationsand Risk-Reducing Breast Surgery forhigh riskcases.Breast Trialsteam are based at the RLHand recruit to a range of observational and interventional trials.Our plastic surgeon offersadditionalassistance with complex revisional cases and some benign/ cosmeticcases that have achieved NHSfunding. The candidate will be welcome andencouraged toobservethese services but would not be expected to deliver them.

Facilities in the Breast/Endocrine SurgeryUnit

The Breast and Endocrine SurgeryUnitcurrently has access to in-patient beds in the Royal Liverpool Hospital (RLH), Broadgreen Hospitaland occasionally Aintree UniversityHospital(AUH); withthe majority ofbreast surgery managed as a day-case.

The Trust is paper free and we provide the relevant hardware tofacilitatepatient management via theelectronic notes and prescribingsystems.This also allowsthe candidate to manage their administrative tasks from any site in a flexible manner.

TheRLH & AUH areexceptionally well equipped for all diagnostic and therapeutic procedures necessary for the efficient care of breast/endocrinesurgery patients.There is 24-hour access to the emergency theatres and all routine pathology services.The radiology department is equipped for emergency and elective diagnostic procedures, includingUS,MRand CT/PET-CTscanning.The library facilities in the hospitalsare supplemented by excellent medical libraries at the Liverpool Medical Institute.Postgraduate teaching is provided by in-house seminars,MDTsand audit meetings.

Research

The Unit has a good record of clinical investigationwith high rates of recruitment to breast trials; with staff contribute regularly to national and international meetings.As a teaching hospital thepost holder will have the opportunity toparticipateinaudit andclinical research.

KeyUnit Staffat Royal Liverpool Hospital (RLH) & Aintree University Hospital (AUH)

Ms Alison Waghorn(Breast Services lead -ConsultantSurgeon )

Ms Emma de Sousa(ConsultantOncoplasticBreast & post-graduate EducationalLead)Please contact for further informationregardingthis post.Emma.desousa@liverpoolft.nhs.uk Tel: 0151 7064712

Mrs Julia Henderson(Consultant Oncoplastic Breast Surgeon & Clinical Lead Breast Surgery)

MrMysoreChandrashekar(Consultant Oncoplastic Breast Surgeon)

Mr Matthew Rowland(Consultant Oncoplastic Breast Surgeon& Endocrine Surgeon)

Ms Hiba Fatayer(Consultant Oncoplastic Breast Surgeon)

MrLee Martin(Consultant Oncoplastic Breast Surgeon)

Ms Geraldine Mitchell(Consultant Oncoplastic Breast Surgeon & Divisional Medical Director for Surgery RLH)

Mr Simon Timbrell(Consultant Oncoplastic Breast Surgeon)

MrJamie Barnes(Consultant Plastic Surgeon)

Mrs AnuShrotri(Director of Breast Screening& OncoplasticBreast Surgeon)

Mr Mohmed Lafi(Senior BreastSurgeon )

Dr AshaShivaramConsultantBreast Radiologist & Clinical Lead

Dr Sheetal SharmaConsultant Breast & Interventional Radiologist

Dr Liam SwainbankConsultant Breast & General Radiologist

Dr Mohamed AbdelhadiConsultant Breast Radiologist

Dr Alex RobertsConsultant Breast Radiologist

Unit Manager Mrs Lesley Nutbrown

Lead Nurse Sister Nicky Gilham

Endocrine Surgery

Miss Susannah Shore (Consultant & Clinical Lead EndocrineSurgery )

Mr Robert Hardy (Consultant Endocrine Surgeon&General Surgeon)

Mr Neil Houghton (Consultant Endocrine & EmergencySurgery )

Miss Helen Perry(Consultant Endocrine & EmergencySurgery )

Othersurgical staffconsist ofSpecialist Registrars(ST3-8), CTdoctors andFY1sdoctors.

There is a team ofTheatre First Assistants, BreastAdvanced Nurse Practitioners,Breast Care Nurses,Breast Reconstruction Nurse,and pre-operative assessment nurses; split across the 2 sites.We have a dedicated team of administrative and clerical staff including in-patient booking.

The Clinical Load

TheLiverpool UniversityFoundationHospitalTrustis a busy tertiary referral centre for breast&endocrinesurgery.Patientsare referred to the Unit from across Merseysideand in some cases fromthe Isle of Man for specialist input.There is collaborative MDT workingwith medical and clinical oncology colleagues fromClatterbridge Centre for Oncology.

Teaching

Medical students are attached to the breast & endocrine surgery unit.The post-holder will be expected to give clinical teaching and occasional lectures to undergraduates.There isalso nurse training and mentorship to whichwe would encourage participation with.

Duties

Attend regular operating lists, outpatient clinics, audit and academic meetings andMDTs.Some operating listsmaybe ona Saturday(0800-1530)and some clinic in the evening hours for 1700-2030;additionalpayment for these sessions is available.Take part in daily morning ward rounds to be held with all the other junior surgical staff on duty.

Support the pre-operative nursing team remotely with clinical decision making and specialist referrals to aid peri-op assessment.

There isnoOut of Hour Oncall as part of this post; but if this is important to the post-holderwe canfacilitateparticipation on an ad hoc or regular basis.Duties will include assisting onthe regular Saturday theatre lists (1:4) and an alternate week Wednesday evening rapid assessment clinic.

Conditions of Service

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. The post holderis required tobe fully registered with the General Medical Council (GMC) and hold a licence to practice.

Standards of Conduct and Behaviour

Youare required towork to the standards set out by the General Medical Council in Good Medical Practice.This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them.If, afterestablishingthe facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director or Medical Director in the first instance.

The Trust has a set of expected behaviours for all employees andadditionalbehaviours and skills that are expected of managers and supervisors.

Leave Arrangements

All leave should be applied forin accordance withthe Trusts Leave Policy, normally giving six weeks notice of any leave, other than in exceptional circumstances.

Training

The jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Developmentremainsa priority.The jobholder will undertake all mandatory trainingrequiredfor the role.

Person Specification

Qualifications

Essential

• MBBS or equivalent medical qualification, & MRCS
• FRCS(Gen or Plast) (or international equivalents)
• Be eligible for full registration with, and hold current license to practise from GMC

Desirable

• CCT- General Surgery or Plastic Surgery
• Additional degree or post-graduate certificates eg: BSc MD

Clinical Experience

Essential

• 24 Months of Specialist Breast or Plastic Surgery Training at ST5-8 level
• Ability to apply sound clinical knowledge and judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Recognition of and ability to undertake the initial management of an acutely ill patient

Desirable

• Oncoplastic or Microvascular Fellowship
• Academic Surgical experience
• UK NHS medical practice
• specialist Oncoplastic Breast Training course
• specialist Breast Training course in non-reconstructive breast surgical principles
• Advanced Communications course (& or cancer communications based course

Academic Skills o

Essential

• Demonstrates understanding of research
• Demonstrates understanding of basic principles of audit, clinical risk management, evidence based practice, patient safety and clinical quality improvement initiatives
• Demonstrates understanding of basic principles of audit, clinical risk management, evidence based practice, patient safety and clinical quality improvement initiatives

Desirable

• Evidence of relevant academic and research achievements
• Evidence of involvement in an audit project, a quality improvement project, formal research project or other activity
• Evidence of interest in and/or experience of teaching

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).

Employer details

Employer name

Liverpool University Hospitals NHS Foundation Trust

Address

Royal Liverpool University Hospital

Prescot Street

Liverpool

L7 8XP

Employer's website

https://www.liverpoolft.nhs.uk/ (Opens in a new tab)