Job responsibilities
Service
Delivery
General
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 the Medical Director for Operations, Nurse
Director for Operations, Director of Operations, Assistant Directors of
Operations (ADOs) and a Performance Team, with each ADO aligned to specific
CSUs.
Professionally,
consultants report to Dr Magnus Harrison, Chief Medical Officer.
Service
specific
The
role of Locum consultant in Oral and Maxillofacial Surgery will be expected to
provide clinical management and leadership of a multidisciplinary team across
two organisations with shared patient pathways.
There
is a weekly regional Head and Neck Oncology MDT, with presence from LTHT and
MYHT. The approach for Oral and Maxillofacial Surgery is multidisciplinary with
support from a number of other services involved in the oncology pathway.
The
post-holder will provide Oral and Maxillofacial Surgery surgical services in
both the theatre, Outpatient and ward settings at LTHT. The post-holder will
have a case mix of Oral Oncology and general Oral and Maxillofacial surgery.
There will be a requirement to contribute to departments on-call rota, teaching
and education programme and quality improvement projects. Surgical working
requires good team working. The role of each Consultant is intended to be as an
equal senior to other Consultants in the Department and in the Trust
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.
Clinical
outcome review
Mortality and morbidity review
Monitoring of outcomes reflected in
routinely collected data
Participation in clinical coding
review and improvement
Improving
patient safety
Participation in Trust-wide
programmes
Implementation of local improvements
as defined in e.g. mortality review
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 on
the basis of 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
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 a
number of major programmes in experimental medicine and applied health
research, developed in partnership with the University of Leeds, which reflect
particular 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.
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 from July 2016. 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. Where the current allocation for educational supervisors in
0.25 SPA per trainee (subject to change in further iterations of job planning
guidance), the SPA allocation for the other roles are for negotiation with the
CD.
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 and for revalidation.
Continuing
Professional Development (CPD)
In
the discharge of their responsibilities, the consultant will be expected to
maintain and update their skills and knowledge through appropriate continuing
professional development.
The
Trust fully supports the requirement for CPD by the relevant Royal College and
the GMC. This essential component of a
consultants professional activities will be reviewed during the appraisal
process. Time and financial support for
these activities will be allowed in accordance with the Trust policy.
Leadership
All
consultants are senior members of the Trusts staff and are therefore seen by
colleagues as leaders. Consultants are
expected to make allowance for this, given that the most powerful leadership
influence they exert is the example they set.
In
addition, the Trust places great emphasis on the role of doctors in leading
service improvement and change, both in their normal daily role of delivering
care and in relation to specific issues.
It is expected that a consultant will lead on specific areas of priority
for their service from time to time, as part of their consultant duties. Such departmental or specialty leadership
roles would be agreed, for example, in respect of leading or co-ordinating:
clinical governance
quality improvement
appraisal
research
teaching
The
Trust supports these activities as part of the normal job plan commitments of
any consultant.
On
appointment, all consultants will be encouraged to participate in the
activities established by the Trust to support doctors in their new role, such
as the New Consultants Network and a formal mentoring programme (see below).
STANDARDS
OF CONDUCT AND BEHAVIOUR
All
consultants are required to work 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, after establishing the facts, it is
necessary, you must follow the Trusts procedures in this matter and inform
your Clinical Director in the first instance.
JOB
PLAN AND WORKING ARRANGEMENTS
The job plan review will take place once the post is
commenced and this will be with the Lead Clinician / Clinical Director. Due to the nature of the post, flexibility in
covering oncology operating theatres could require availability for Tuesday or
Wednesday theatre sessions depending on the need of the service and prior
planning with the colleagues team.
