Senior Clinical Fellow in General Surgery

Job responsibilities

Planning and Organisational Duties

The appointee will be based at the Royal Albert Edward Infirmary but will be required to support the Trusts General Surgery workload wherever it is located. The appointee will work independently but would be supported by consultant surgeon. Appointee shall be provided for support career progression and would be allocated a clinical supervisor

The general workload includes dealing with emergency admissions and their management while on call. Elective work will involve operative and non-operative management of General/upper gastrointestinal & colorectal surgery (gallstone management, abdominal wall hernia surgery, day case surgery, benign & malignant colorectal Surgery).

The appointee will be responsible for:

• Providing specialist advice to patients regarding their illness
• Participate in on-call rota for emergency general surgery
• Undertake regular ward rounds
• Attend operating theatre and endoscopy sessions
• Working with colleagues to provide effective clinical leadership for all staff in the service
• Contributing to and participating in the development of the service
• Involve in teaching and training, audit and research

  Communications and Key Working Relationships

  Mr Imran Alam, who is the Clinical Director, leads the department. The General Surgery & Urology Directorate forms part of the Surgical Division, which is led by the Divisional Medical Director Dr Christos Zipitis and Mr Nicholas Jones , Divisional Director for Operations and Performance. All the clinical directorates are under the leadership of the Medical Director, Dr Sanjay Arya, Consultant Cardiologist.

  The Surgical Operational Management team work closely with our team to ensure the smooth running of our services for the benefit of our patients. Our management team consists of

  Mr Nicholas Jones Directorate Manager

  Mrs Georgia Molyneaux Deputy Performance Manager

  Mrs Lucy Robinson Rota Co-ordinator

  The General Surgery & Urology Directorate is largely autonomous with its own business plan and has regular meetings with the other specialties within the Surgical Division to co-ordinate services. The directorate also has a seat on the Clinical Advisory Board where representatives of all specialities meet monthly to discuss clinical policies for the whole trust.

  Consultant General Surgeons

  Mr I Alam (Clinical Director) Consultant General & Benign Upper GI Surgeon

  Ms N Mackenzie - Consultant General & Colorectal Surgeon

  Mr M Paraoan - Consultant General & Colorectal Surgeon

  Mr M Fani Consultant Emergency General Surgeon

  Mr P Ichim - Consultant Emergency &General Surgeon

  Mr P Assad - Consultant General & Colorectal Surgeon

  Mr M Antony Locum Consultant Emergency/General Surgeon

  Mr Z Khawaja -Locum Benign General/Benign Upper Gastrointestinal Surgeon

  Mr T Hussian - Consultant General & Colorectal Surgeon

  Mr R Nath - Locum Emergency/General Surgeon

  Other Staff:

  2 Associate Specialists

  3 Staff Grades

  5 MCh/Senior Clinical Fellow

  3 Specialist Registrars

  12 FY2s and ST1/2s/Trust posts

  14 FY1s (2 Trust posts)

  Junior Teaching Fellow (undergraduate teaching x 3 days & clinical commitments x 2 days

  The configuration of the surgical teams maximises middle grade support for both theatre sessions on the RAEI/Leigh site and clinics. A middle grade will be available to support, subject to on call commitments and leave and there is a shared core trainee or FY2 and FY1 support for these posts.

  Responsibility for Finance

  • To ensure efficient use of resources at all times.

  Responsibility for Human Resources

  • To participate in Induction Programmes as required
  • To adhere to all Trust policies and procedures

    Responsibility for Health & Safety

    Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.

    Responsibility for Teaching

    • The appointee will be expected to participate in the teaching of undergraduate staff and in the professional development of junior medical staff working in the Department.
    • The Trust supports the College guidelines on maintaining CME and is committed to providing time and funding for this. Staff Grade Doctors are required to maintain a logbook, have appraisals, educational activity and assessments.

    Work Circumstances & on-call

    There is a resident on call element, including weekends. The current rota is a 1 in 12,

    One session per month at Wigan and Leigh NHS Trust is devoted to audit when all clinical services are suspended.

Qualifications

Essential

• MB ChB or equivalent
• MRCS or equivalent
• Full registration with GMC
• ATLS/ALS

Desirable

• Gastrointestinal Endoscopy
• CCRISP

Experience

Essential

• Post MRCS experience Elective/Emergency General & Emergency Surgery at a Speciality Trainee Level.
• CPD evidence

Desirable

• Research Experience
• Experience of teaching and supervision of junior medical staff

Skills

Essential

• Experience in General Surgery
• Ability to deal with elective and emergency general surgical conditions at Speciality Trainee level.
• Compassionate clinician
• Motivated and ambitious
• Ability to cope under pressure
• Understanding of Clinical Governance and quality issues
• Ability to integrate successfully within the existing clinical teams
• Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making.
• Aware of own limitations.
• Empathy and sensitivity, capacity to listen and take in others' perspectives
• Works in partnership with patients: always considers patients preferences when discussing treatment options
• Always considers the full impact of clinical decisions on the patients. Practice shared decision making.
• Directs and supports patients to access the information they need to support decision making

Desirable

• Computer literate
• Understanding of the NHS management structure

Knowledge

Essential

• Working Knowledge of the management of benign/malignant gastrointestinal conditions
• Working Knowledge of the management of General Surgery disease

Desirable

• Commitment to continuing professional development

Additional

Essential

• An interest in Clinical Audit/ Audit Presentations
• Ability to facilitate cross site working
• Professional integrity and respect for others: capacity to take responsibility for own actions and demonstrate a non-judgmental approach towards others.
• Diplays honesty, integrity, awareness of confidentiality and ethical issues.
• Speak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation

Desirable

• Evidence of commitment to team building
• Understanding of Clinical Governance and quality issues

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).