Job summary
The Homerton Healthcare NHS Foundation Trust is appointing a Senior Clinical Fellow in General Surgery with a special interest in Anal Neoplasia. The post holder will be attached to the internationally renowned Homerton Anogenital Neoplasia Service (HANS). This post is not recommended for anyone looking for extensive training in major Colorectal procedures as exposure to non-HANS colorectal surgery is very limited. Instead, the focus will be intensive training in High Resolution Anoscopy (HRA) with expectation that the post holder will run their own clinics after being trained, followed by continued learning and acquisition of advanced techniques in anal neoplasia management and treatment and contribution to research output of the service. There is an opportunity for the post holder to get involved in teaching and training, audit and quality improvement work in addition to research.
The post is offered on a full-time basis and does include a general surgery on call commitment on a 1:12 basis. Suitably qualified candidates may join the Bank staff for shifts in their specialty.
Main duties of the job
Clinical responsibilities
The post-holders will be expected to ensure the appropriate and safe management of HANS patients in theatre and in clinic when trained sufficiently to run solo HRA clinics. To participate in the on-call rota.
A shared office space, including computer and appropriate secretarial support will be provided.
Teaching and academic activity
The post holder will participate in the postgraduate and undergraduate teaching and training programme within the hospital. Research activity will be encouraged.
Timetable
The appointee's weekly timetable:
Initially the appointee will spend time with all 9 of the HANS service's trained anoscopy practitioners to learn the skill of HRA (observe 25, carry out at least 50 under direct supervision, with sign off depending on achieving competency) and the associated administrative tasks then when independent will carry out their own HRA procedures with 2 building to 3 clinics per week. They will accompany the HANS team to theatre on Tuesdays all day. SPA time and admin time will be allocated flexibly and HRA procedure clinics will be allocated according to room availability but there will be flexibility. They will be trained in ablative techniques for anal neoplasia treatment and will carry these out independently when competent to do so.
About us
Homerton Healthcare NHS Foundation Trust is a high performing and flourishing organisation serving the population of Hackney, East London, The City and beyond.
We are extremely proud of the fact that Homerton Hospital has recently attained the highest possible rating of "Outstanding" from the Care Quality Commission (CQC).
Our integrated Trust provides comprehensive hospital and community health services for its local population and a range of specialist services for a wider group of patients. In addition, the Trust manages services out of St Leonard's Hospital and the Mary Seacole Nursing Home.
Homerton aims to ensure equality and value diversity, and we are committed to inclusion for all of our staff. This is reflected in our policies, procedures and People Plan. All of our staff are expected to embody our Trust values at all times.
We are also committed, through our Fair Recruitment Standards, to ensuring all applicants are treated fairly.
Homerton has a proud tradition of supporting and developing its staff, including its well-regarded and valued nursing community, and all staff are able to take advantage of a great range of benefits.
Homerton is proud to have been included on the HSJ & Nursing Times Best Places to Work list.
Job description
Job responsibilities
The post will be based in the Department of HANS Homerton Anogenital Neoplasia Service within the subspecialty of General and Benign Colorectal Surgery and located in the Sexual Health Department with which it is closely aligned. The post involves supporting the supervising consultants in HANS in the full spectrum of anal neoplasia clinical activity including main theatres, day surgery theatres and High Resolution Anoscopy diagnostic and treatment clinics based at Clifden House.
It is envisioned that the successful candidate will play an active role in improving the HANS service for patients alongside consultants, managers, and the wider hospital team. Experience in quality improvement would be desirable, but training can be provided within the Trust.
As an employee of the Trust the post-holder will work in close co-operation with and support other clinical, medical, professional and managerial colleagues in providing high quality, safe health care to patients. Integral to these responsibilities is the following:
- the provision of a first-class service
- effective leadership to all staff engaged in the specialty
- active involvement in undergraduate and post graduate teaching and training
- undertaking all work in accordance with trust policies and procedures including the Code of Behaviour
-
Job description
Job responsibilities
The post will be based in the Department of HANS Homerton Anogenital Neoplasia Service within the subspecialty of General and Benign Colorectal Surgery and located in the Sexual Health Department with which it is closely aligned. The post involves supporting the supervising consultants in HANS in the full spectrum of anal neoplasia clinical activity including main theatres, day surgery theatres and High Resolution Anoscopy diagnostic and treatment clinics based at Clifden House.
It is envisioned that the successful candidate will play an active role in improving the HANS service for patients alongside consultants, managers, and the wider hospital team. Experience in quality improvement would be desirable, but training can be provided within the Trust.
As an employee of the Trust the post-holder will work in close co-operation with and support other clinical, medical, professional and managerial colleagues in providing high quality, safe health care to patients. Integral to these responsibilities is the following:
- the provision of a first-class service
- effective leadership to all staff engaged in the specialty
- active involvement in undergraduate and post graduate teaching and training
- undertaking all work in accordance with trust policies and procedures including the Code of Behaviour
-
Person Specification
Qualifications
Essential
- MBBS or other undergraduate Medical degree
Qualifications
Essential
- MRCS, MRCP, MRCGP, MRCOG or equivalent post graduate qualification
Desirable
- FRCS (general surgery) Equivalent end of training qualifications in other specialties Eg DipGUM DFSRH Research qualification eg MD
Experience
Essential
- General Surgery training at Registrar or equivalent level.
- Interest in anal neoplasia, interest in training in high resolution anoscopy (HRA)
Desirable
- Knowledge about the field of anal neoplasia and its medical and social context
Skills
Essential
- Clinical and operative skill levels consistent with a middle to senior level of specialist registrar training
- Ability to take responsibility, lead, make decisions and respond appropriately to service need
- Awareness of the overall business environment in which NHS hospitals operate
Desirable
- High Resolution Anoscopy experience/ knowledge
- Familiar with current structure of the UK health service and conversant with recent initiatives and changes
Skills
Essential
- Ability to communicate with clarity in written and spoken English
- An awareness of strengths and areas of improvement
- Understanding of principles and application of clinical research
- Experience of teaching others at undergraduate or postgraduate level
Desirable
- Experience in discussing difficult topics with patients / course/ training
- Publication of papers in lower GI surgery, gynaecology or dermatology or infectious disease; Publication of papers relevant to the field of anal neoplasia
- Experience of educational supervision, teaching skills course/ qualification
Person Specification
Qualifications
Essential
- MBBS or other undergraduate Medical degree
Qualifications
Essential
- MRCS, MRCP, MRCGP, MRCOG or equivalent post graduate qualification
Desirable
- FRCS (general surgery) Equivalent end of training qualifications in other specialties Eg DipGUM DFSRH Research qualification eg MD
Experience
Essential
- General Surgery training at Registrar or equivalent level.
- Interest in anal neoplasia, interest in training in high resolution anoscopy (HRA)
Desirable
- Knowledge about the field of anal neoplasia and its medical and social context
Skills
Essential
- Clinical and operative skill levels consistent with a middle to senior level of specialist registrar training
- Ability to take responsibility, lead, make decisions and respond appropriately to service need
- Awareness of the overall business environment in which NHS hospitals operate
Desirable
- High Resolution Anoscopy experience/ knowledge
- Familiar with current structure of the UK health service and conversant with recent initiatives and changes
Skills
Essential
- Ability to communicate with clarity in written and spoken English
- An awareness of strengths and areas of improvement
- Understanding of principles and application of clinical research
- Experience of teaching others at undergraduate or postgraduate level
Desirable
- Experience in discussing difficult topics with patients / course/ training
- Publication of papers in lower GI surgery, gynaecology or dermatology or infectious disease; Publication of papers relevant to the field of anal neoplasia
- Experience of educational supervision, teaching skills course/ qualification
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.
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).
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.
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).
