Chelsea and Westminster Hospital NHS Foundation Trust

Consultant in O&G special interest in minimally invasive gynaecology

The closing date is 02 July 2025

Job summary

The post-holder joins the minimally invasive surgery and endometriosis team, supporting our move as an institution towards gynaecology being an ambulatory service including for major surgery. We are an innovative, dynamic and forward thinking group who are at the vanguard of the international change towards robotic-assisted surgery, in which we are national leaders. Two existing surgeons are international proctors in robotic surgery. The sector preceptor for training in advanced laparoscopic surgery and robotic surgery is in our group. We perform all complex benign and endometriosis surgery robotically. Should a suitably qualified laparoscopic surgeon apply, she or he would be trained to transfer to robotic-assisted surgery. We have a demonstrated track record in training fellows in robotic surgery; two in-house trained fellows are now on the consultant staff.

The appointee will have responsibility for 2WW patients, benign general gynaecology, endometriosis and complex surgical patients, gynaecology operating, gynaecology scan clinics each week. The expectation is that the successful candidate will join the service and develop it with consultant staff in our quest towards national excellence.

Main duties of the job

The post holder will also cover obstetrics in a close partnership with other consultants in the in the wider department, many of whom are leaders in maternal and fetal medicine. The successful candidate will be expected to demonstrate an active interest in the development of ambulatory surgery whether in the robotic theatre or in our conscious sedation programme or in the office. It is expected that the successful candidate will enhance the educational opportunities available to our residents and fellows by any re-organisation and development of services that they initiate. Regular audits will be required and supervision for Quality Improvement Projects (QIP) undertaken by the trainees. Involvement in general management and committee work for the hospital will also be encouraged. The Directorate has weekly MDT and educational meetings in which medical cases are reviewed and discussed and audits are presented. The Directorate holds monthly Consultant meetings, Gynaecology and Perinatal morbidity and mortality meetings. The post holder will engage as necessary with North West London CRG and any agreed network models for complex emergency gynaecological surgery.

The appointee will have a desk in a shared office with access to a computer.

About us

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed."

If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Date posted

18 June 2025

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£105,504 to £139,882 a year Per Annum + On call Cat A Low

Contract

Permanent

Working pattern

Full-time

Reference number

289-SC-76

Job locations

Chelsea and Westminster Hospital

London

SW10 9NH

Job description

Job responsibilities

Roles of the post

1. Work as a member of the multi-disciplinary team to offer expert opinion and compassionate advice to women.

1.2 Provide consultant-led clinics, including clinics

1.3 Consultant Robotic Theatre cover 1 in 4 weeks

1.4 Perform elective Caesarean list

1.5 Obstetrics non-resident on call commitments as part of the departmental on call rota

1.6 Attend weekly MDT meetings

1.7 Attend monthly consultants meetings

2.0 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

2.0 Research, Teaching and Training

2.1 Provide high quality teaching to medical undergraduates and members of other health care professions as agreed with the Service Leads. To contribute to the training of O&G trainees, other doctors in training and other staff groups.

2.2 Act as a clinical supervisor and appraiser as delegated by the Clinical Director/Service Lead to ensure external accreditation of training post

2.3 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.

2.4 Ensure that your mandatory training is up to date as per Trust policy.

2.5 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.

3.0 Performance Management

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

3.2 Clinical efficiency e.g. Length of Stay (LOS) reductions, admission on day of surgery, reducing cancelled operations and DNA rates.

3.3 Quality of outcomes e.g. infection control targets, reducing re-admission rates

3.4 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.

3.5 Operational efficiency e.g. day-case rates, waiting list activity and demand management.

4.0 Medical Staff Management and Accountability

4.1 Work with colleagues to ensure Junior doctors hours are compliant in line with EWTD and New Deal.

4.2 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.

4.3 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.

4.4 Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead.

4.5 Participate in team objective setting as part of the annual job planning cycle.

4.6 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.

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

5.0 Governance

5.1 Adherence to referral pathways for oncology MDT and perinatal MDT is essential.

5.2 Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead.

5.3 Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.

5.4 Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead.

5.5 Participate in ensuring NICE, NSF, CNST and other national guidance requirements are reviewed and implemented and monitored in the speciality areas.

5.6 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.

5.7 Keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead.

5.8 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).

5.9 To report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.

6.0 Strategy and Business Planning

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

6.2 Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead.

6.3 To attend and contribute at regular Departmental meetings as identified by the Clinical Lead.

7.0 Leadership and Team Working

7.1 Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.

7.2 Participate in any necessary management and leadership development courses as required by the trust.

7.3 Work collaboratively with all members of the multi-disciplinary team and Imperial College as required.

7.4 Set up and chair meetings relevant for clinical domain.

7.5 To promote local resolution of any conflict or differences of opinion. To involve appropriate parties for mediation, negotiation or discussion as appropriate.

7.6 Provide commitment and leadership in relation to equality and appropriate senior level management of diversity issues, particularly as they apply to training, people management and service delivery.

8.0 Appraisal & Revalidation

The post holder is required to participate in the annual appraisal system in line with the Trusts appraisal and revalidation guidelines. Individual appraisal interviews will be held annually and reports, (including updated job plans) submitted to the Medical Director or HR Director. You are expected to inform yourself of the annual timetable for appraisal and ensure that appropriate time is set aside to update your portfolio and your mandatory requirements.