Job responsibilities
REQUIREMENTS
OF THE POST
Service
Delivery
The
Trust expects consultants to deliver clinical service as agreed with
commissioners and other stakeholders. This will include:
meeting the objectives of the post (see above)
continuously improving the quality and efficiency of personal and team practice
working with other staff and teams to ensure that the various criteria for
service delivery are met, such as
o
achieving the best clinical outcomes within the resources available
o
waiting times
o
infection control standards
Consultants
in LTHT are line managed by their specialty Lead Clinician working in
conjunction with a Business Manager. This specialty team is then managed
alongside a number of other specialties in a Clinical Service (or Support) Unit
(CSU) led by a Clinical Director as the responsible person and supported by a
full time General Manager and a full time Head of Nursing.
The
Clinical Director and their team report operationally to the Chief Operating
Officer (COO). The Clinical Director will work closely with the Chief Operating
Officers team which includes two Medical Directors for Operations, Nurse
Directors for Operations, Deputy Chief Operating Officer, Assistant Directors
of Operations (ADOs) and a Performance Team, with each ADO aligned to specific
CSUs.
Professionally,
consultants report to Dr Hamish McLure, Interim Chief Medical Officer
Service
specific
The
role of consultant Consultant Gynaecologcial Oncologist will be expected to
hold the MRCOG or equivalent and have completed higher specialist training or
equivalent.
Applicants
must be on the Specialist Register, or be within six months of being admitted
to the Register if currently in a training programme within the UK. In
accordance with the consultant appointment regulations, all other categories of
doctors must be on the Specialist Register. Applicants must provide information
regarding their status from the GMC and/or relevant Royal College at the time
of application in order for it to progress further.
The
appointee should be nearing completion of or have satisfactorily completed a
RCOG approved sub-specialty training programme in Gynaecological Oncology or
demonstrate equivalent training.
The
appointee should have extensive experience in research within the field of
Gynaecological Oncology and should have published in peer reviewed journals
and/or completed a higher degree (MD or PhD).
The
appointee must be able to work as part of a team in line with the Calman-Hine
recommendations for the multi-disciplinary approach to the management of
malignancy, have good communication skills and form good working relationships
with colleagues, non-medical staff and patients. The appointee should be well
organised and skilled in good time management. They will have an understanding
of current NHS management and Trusts and be aware of the responsibilities a
consultant post brings.
Quality
The
Trust has a programme of activities that are designed to help consultants
improve the quality of the service they offer. This includes a range of
activities shown below as examples not all activities can be undertaken every
year! Consultants are expected to routinely engage in relevant activities in
their specialty that are focussed on quality improvement. This participation
should be reflected at annual appraisal and job planning and will be discussed
in specialties as part of clinical governance programmes and meetings.
Clinical
Audit and standard setting
Clinical audit projects
Development and application of agreed clinical guidelines
Ensuring compliance against relevant national specifications, e.g. NICE
guidelines
External Peer review and relevant national audits
Implement improvements identified in GIRFT reviews
Clinical
outcome review
Mortality and morbidity reviews
Structured Judgement Reviews
Monitoring of outcomes reflected in routinely collected data
Participation in clinical coding review and improvement
Improving
patient safety
Participation in Trust-wide programmes, including mandatory learning
Respond to national patient safety alerts
Implementation of local improvements, including actions from serious incident
investigation reports, following clinical review
Promptly record patient safety incidents on Datix and immediately escalate
potential serious incidents to the CSU management team
Ensure Duty of Candour requirements are met
Improving
service effectiveness and efficiency
Service or system improvement projects, including small scale change, lean or
other recognised improvement methods
Conducting or considering reviews of the evidence to plan better service
delivery
Where agreed, working with commissioners to match service delivery with
requirements of relevant populations
Improving
the patient experience
Implementing service improvements based on individual or service feedback from
patients or carers
Raising the profile and impact of patient participation in decisions about
their own care
Involvement in understanding and improving the ethical basis of care provided,
utilising where necessary the trusts clinical ethics committee
Respond to complaints in a timely and open manner and ensure lessons are
learned for future patient care
Research
The
Trusts Research Strategy encourages all clinicians to participate in high
quality, nationally recognised clinical research trials and other well-designed
studies, with a particular emphasis on work supported by the National Institute
for Health Research. The Trust has several major programmes in experimental
medicine and applied health research, developed in partnership with the
University of Leeds, which reflect strengths described in the Strategy and
clinicians are encouraged to participate in these programmes.
The
Trust also supports bespoke academic development and participation programmes
linked to the Research Strategy, including academic mentoring, and embedding of
clinicians within the major research programmes.
Sessional
time required for any participation in research activity will be agreed on
commencement and kept under review, but not all consultants will require such
sessional time.
Teaching
The
Trust is a Teaching Hospital and therefore considers the active participation
of consultant and other medical staff in teaching and training to be part of
our core activities. Not all consultants will have regular and substantial
teaching commitments, but all will be involved in related activities from time
to time, if only through informal opportunities, for example as part of service
quality improvement (see above). It is therefore expected that all consultants
will be familiar with the principles of effective teaching and will enable the
service and colleagues to fulfil their obligations to learn and teach about
effective care.
The
remainder of this section concentrates on teaching and training for medical
colleagues, but the Trust actively supports and encourages consultant medical
staff to participate in and deliver teaching and training to any colleagues,
within and outside of the Trust, where this is agreed as an appropriate time
commitment.
Undergraduate
medical teaching
The
Trust actively promotes links with the University of Leeds, School of Medicine
for teaching medical undergraduates and all consultant medical staff are
required to participate to the level agreed within their service.
Where
it is agreed by the Clinical Director that the postholder will be significantly
involved in delivering undergraduate medical teaching, the following
requirements have been agreed with School of Medicine, University of Leeds.
The
University of Leeds will award the honorary title of Honorary Senior Lecturer
to the person appointed to the role in recognition of their willingness to
participate in undergraduate teaching in support of these arrangements. The
honorary title will be awarded for a probationary period of 5 years. Renewal of
the Title for a further 5 years will be on evidence of meeting the full
criteria.
This
honorary title will entitle the consultant to privileges such as being a member
of staff of the University, including the use of the Senior Common Room, the
library (University and Medical and Dental) and inclusion on the circulation
list for ceremonies, public lectures, concerts, etc.
Postgraduate
medical teaching
As
with undergraduate teaching, consultants are expected to contribute to overall
programmes of postgraduate teaching in their service. Where there is a lead or
significant role agreed as part of the consultants job plan, the following
expectations apply:
Consultants
will be expected to act as a clinical supervisor for any or specified junior
doctors working with them. All consultants must undergo clinical/educational
supervisor training. Training is envisaged as needing renewal every 5 years.
Consultants
may take up specific educational roles in the speciality which includes
educational supervisor, college tutor, speciality educational lead and CSU
educational lead. The core 1.5 SPA includes 0.25 SPA for educational
supervision of 2 trainees. Additional trainees then attract 0.25 SPA each. If
the consultant is not an educational supervisor, then alternative activities
(e.g. specialty audit lead etc.) should be substituted instead.
If
consultants have a role in either under- or post-graduate medical education,
the GMC expects that evidence of the quality of this education is presented at
annual appraisals.
