Locum Consultant in Gynaecology

Job responsibilities

This post is a locum post for a period of 6 months with a possibility of extension to 12 months.

1. BACKGROUND

This is a 10 PA locum appointment for a Consultant Gynaecologist. The post will be based at St Jamess University Hospital.

This is a new post and has been developed to address an increase in demand for the service. Specifically this post requires applicants with enhanced surgical and laparoscopic skills.

Womens CSU

Womens Clinical Service Unit in Leeds provides comprehensive secondary care for the local population and enjoys a position as a regional centre for all subspecialties. There are 33 Consultants within the Womens Clinical Service Unit,

Gynaecology

The team comprises of 14 consultants, including this post, of which 10 contribute to the gynaecology on call rota. There is also a large team of consultant nurse specialists who deliver clinical expertise in sub-specialty areas of Urogynaecology, Colposcopy, Hysteroscopy, Endometriosis and Reproductive Medicine. The CSU provides a full secondary and tertiary service for Leeds, Yorkshire and significant parts of the North of England.

In 2015 a new development housing the Leeds Centre for Womens Health comprising the the gynaecology acute treatment unit (GATU) which incorporates early pregnancy care, and ward J24 at St Jamess which was the dedicated gynaecology ward. This has been the fulcrum for modernising pathways, increasing productivity and reducing length of stay.

In 2017 our outpatient facility was upgraded, located close to the inpatient unit, and enabling the team to undertake more procedures in the outpatient setting and with the necessary facilities for assessment, diagnosis and treatment, often on the same day. This department has recently incorporated gynaecology ultrasound scanning facilities to streamline the pathway. This hub is the home of the gynaecology nurse specialists, who already deliver a higher volume of nurse-led diagnosis and treatment clinics than any other centre nationally.

We work closely with community gynaecology services and launched the Integrated Gynaecology Service in partnership Leeds Community Healthcare NHS Trust in 2018, this has been very successful and enabled both teams to care for patients in the right setting.

2. OBJECTIVES OF THE POST

2.1 To deliver care to Gynaecology patients in:

Outpatient clinics

Operating Theatres - enhanced and laparoscopic surgical skills required

Supervision of patients

Care of in-patients on an acute Gynaecology rota (1 in 10)

Contribute to Specialist Multi-disciplinary team meetings

2.2 To link with Consultant colleagues in other relevant site specialist teams within LTHT and across the West Yorkshire region.

2.3 To work with colleagues in Gynaecology to deliver acute on call (currently 1 in 10) and cover the gynaecology acute treatment unit (GATU) during hotweeks (1 in 9).

THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centered

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

3. REQUIREMENTS OF THE POST

3.1 General Training and Qualifications

The appointee must be a MBBS and a Member of the Royal College of Obstetricians and Gynaecologists or equivalent, and have completed higher specialist training (or equivalent) if currently in a training programme within the UK.

Applicants must be on the Specialist Register or within six months of being admitted to the Register for trainees if currently in a training programme within the UK, or have references which have been authorised by the Deputy Medical Director and Clinical Director.

Applicants must provide information regarding their status from the GMC and/or relevant Royal College at the time of application, in order for their application to be progressed further.

3.2 Experience

The appointee must be able to demonstrate a high level of clinical experience and competence in all aspects of Obstetrics and Gynaecology and appropriate experience in benign Gynaecology. It is desirable that the candidates have experience in the conduct of clinical trials.

3.3 Person specification

See person specification document.

3.4 Clinical Audit

The appointee will be expected to contribute and, where appropriate, take the lead in the following:

Mortality and morbidity meetings;

Clinical audit programmes;

Development and application of agreed clinical guidelines.

This is to be included in allocated time in the individuals job plan as a supporting programmed activity. It would be expected that the time allocated for this would include attendance at the relevant departmental audit meeting(s) and that such attendance would be recorded (in accordance with the Trusts clinical audit policy).

In the discharge of these responsibilities the candidate will be expected to maintain and update his/her skills and knowledge through appropriate continuing medical education.

4. TEACHING

The Trust as a teaching hospital recognises the importance of links with the University of Leeds, School of Medicine for the undergraduate teaching and all Consultant and medical staff are required to provide an appropriate contribution to the undergraduate teaching programme.

The post-holder will be required to participate in the undergraduate teaching programme for the school of Medicine, University of Leeds, which is organised on a speciality or clinical area basis.

The post-holder will be required to collaborate with clinical colleagues to deliver appropriate undergraduate teaching in accordance with the Trust contract with the NHS Executive in association with the University of Leeds.

The appointee will be expected, with colleagues to also contribute to the teaching of postgraduates, including the teaching programme for SpRs in Obstetrics and Gynaecology in the Local Education and Training Board.

5. JOB PLAN AND WORKING ARRANGEMENTS

The job plan review will take place annually, normally with the Clinical Director or Lead Clinician for Gynaecology. The annual job plan review may result in a revised job plan. There may be an interim review of the job plan where duties, responsibilities, accountability arrangements or objectives have changed or need to change significantly within the area.

5.1 Proposed Job Plan

The post consists of 10PAs with 8.5PAs of direct clinical care (DCC) and 1.5PAs of supporting professional activity (SPA). These 10PAs will be delivered in theatres, outpatients and on the Gynaecology Assessment and Treatment Unit, Early Pregnancy Unit and the Gynaecology ward.

This job plan will fit together with colleagues job-plans with a careful rota of clinical sessions, to ensure robust cover.

Qualifications

Essential

• MB BS (or equivalent)
• MRCOG or equivalent qualification.

Desirable

• Higher degree e.g. MD/PhD relevant to the subspecialty.

Experience

Essential

• Should have completed a recognised training programme in gynaecological surgery such as the RCOG ATSM: Benign abdominal surgery: open and laparoscopic
• Possess a high level of clinical competence in general gynaecology and should be able to care for women with acute gynaecological illnesses independently.
• Possess a high level of clinical competence in surgical gynaecology and have the relevant experience to undertake advanced laparoscopic
• Possess a high level of clinical competence in surgical gynaecology and have the relevant experience to undertake open surgery for all benign gynaecological conditions including endometriosis
• Be confident and competent to perform advanced gynaecological surgical procedures independently, with evidence to support this
• Evidence of continuous career progression consistent with personal circumstances.

Desirable

• Laparoscopic surgery qualification such as the Advanced Laparoscopic Surgery ATSM, MSc/PGDip/PGCert in Advanced Gynaecological Endoscopy, or equivalent post CCT training
• Evidence of competence in vaginal surgery including procedures for pelvic organ prolapse as this surgeon will be invited to be involved in the introduction of vNOTES at LTHT

Clinical, Academic, and Personal Skills

Essential

• Evidence of the ability to carry out medical research.
• Experience in training undergraduate medical students and postgraduate doctors.
• Experience of participation in regular clinical audit.
• Understanding of current issues in the NHS.
• Well organised and skilled in good time management.
• Effective interpersonal skills.
• Demonstrate ability to relate to and work within a team.

Desirable

• Previous experience of supervising research by junior staff.
• Previous attendance on Appraisal Techniques and Small Group Teaching Workshops.
• Attendance at recognised management course.

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice.
• Eligibility to work in the UK.
• Is up to date and fit to practise safely
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues

Other

Essential

• Medically fit to fulfil ALL aspects of the post, and to be able to respond quickly to emergencies, as necessary.
• Meets professional health requirements (in line with GMC standards/Good Medical Practice).
• Applicants must be on the Specialist Register or within 6 months of being admitted to the Register for trainees if currently in a training programme within the UK,
• Or have references which have been authorised by the Deputy Medical Director and Clinical Director.

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).