Specialist in Emergency General Surgery

Job responsibilities

Main duties of the job

The postholder will be responsible for the care of Emergency General Surgery inpatients working autonomously in the department. Your duties will be primarily at the John Radcliffe Hospital, but it is a condition of the appointment that the postholder will be willing to work in any of the Trusts locations.

Clinical:

Daily duties will include assessment and management of the acutely unwell surgical patient, providing senior input to general surgical emergency and major abdominal trauma patients, both on the SEU and in the Emergency Department.

As a Senior Surgeon you will undertake and manage independent operating as well as ambulatory care and outpatient clinics. It will be expected that candidates will have a declared subspecialty interest in complex biliary surgery.

Elective outpatient clinics and operating lists will form part of the job plan.

Teaching:

The Oxford University Hospitals NHS Foundation Trust is a high-level teaching hospital within the world-class Shelford Group. The Shelford Group represents ten of Englands leading Academic Healthcare Organisations.

The post-holder will be required to actively participate in the Oxford University Medical School education programme for medical students and aid in the organisation and execution of the clinical examinations.

Active participation in weekly academic meetings, lectures and journal clubs will be actively encouraged. There is the opportunity to become a member of the teaching faculty with several Oxford Universitys Colleges and to become part of the trusts mentorship programme.

Clinical Governance:

The post holder will take on the role of Clinical Governance Lead for the Surgical Directorate.

The post holder will work closely with the administrative team to coordinate the weekly emergency surgery morbidity and mortality meeting, and wider departmental governance meetings.

The post-holder will participate in clinical governance activities, including clinical audit, clinical effectiveness, risk management, quality improvement activities as required by the Trust and external accrediting bodies.

Research and Audit:

The unit is actively involved in local, regional, and national research programmes, where it takes the lead in many areas. There will be extensive opportunities to be involved in research and audit with the likelihood of publication.

Personal and Professional Development:

The post-holder will be required to keep themselves fully up to date with their relevant area of practice and to be able to demonstrate this to the satisfaction of the Trust. Professional or Study Leave will be granted at the discretion of the Trust, in line with the prevailing Terms and Conditions of Service, to support appropriate personal development needs. The Trust currently makes a financial contribution in support of these activities up to an agreed limit.

Continuing Professional Development (CPD)

The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and surgical colleges and is committed to providing time and financial support for these activities.

Revalidation

The Trust has the required arrangements in place to ensure that all surgeons have an annual appraisal with a trained appraiser and supports surgeons going through the revalidation process.

Mentoring

A mentorship scheme will be offered to all new Specialists to help them settle into work as easily as possible.

Management:

The post-holder will be required to work within the Trusts management policies and procedures, both statutory and internal, accepting that the resources available to the Trust are finite and that all changes in clinical practice or workload, or developments requiring additional resources must have prior agreement with the Trust.

Administrative Responsibilities:

The postholder will undertake the administrative duties associated with the care of their patients and the running of their clinical service under the direction of the lead clinician and/or directorate chair.

Office accommodation and secretarial support is provided within Administration offices on the John Radcliffe Hospital site.

Risk Management

The management of risk is the responsibility of everyone and will be achieved within a progressive, honest, and open environment.

Staff will be provided with the necessary education, training, and support to enable them to meet this responsibility.

Staff should be familiar with the:

• Major Incident Policy

• Fire Policy

and should make themselves familiar with the local response plan and their role within that response.

Responsibilities for Health & Safety

The post holder is responsible for ensuring that all duties and responsibilities of this post are carried out in compliance with the Health & Safety at Work Act 1974, Statutory Regulations and Trust Policies and Procedures. This will be supported by the provision of training and specialist advice where required.

Infection Control

Infection Control is everyones responsibility. All staff, both clinical and nonclinical, are required to adhere to the Trusts Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections.

All staff employed by the Trust have the following key responsibilities:

• Staff must decontaminate their hands prior to and after direct patient contact or contact with the patients surroundings.

• Staff members have a duty to attend mandatory infection control training provided for them by the Trust.

• Staff members who develop an infection (other than common colds and illness) that may be transmittable to patients have a duty to contact Occupational Health.

Equality and Diversity

The OUH values equality and diversity in employment and in the services we provide. We are committed to promoting equality and diversity in employment and will keep under review our policies and procedures to ensure that the job-related needs of all staff working in the Trust are recognised.

The Trust will aim to ensure that all job applicants, employees, or clients are treated fairly and valued equally regardless of sex, marital status, domestic circumstances, age, race, colour, disablement, ethnic or national origin, social background or employment status, sexual orientation, religion, beliefs, HIV status, gender reassignment, political affiliation or trade union membership. Selection for training and development and promotion will be based on the individuals ability to meet the requirements of the job.

Freedom of Information

The post holder should be aware of the responsibility placed on employees under the Freedom of Information Act 2000 and is responsible for helping to ensure that the Trust complies with the Act when handling or dealing with any information relating to Trust activity.

Patient and Public Involvement

The Trust is committed to, and has a statutory duty to involve service users, carers and the public in the work of the organisation. We consider that patient and public involvement is the responsibility of every individual working for our Trust. All staff have a responsibility to listen to the views of patients and to contribute to service improvements based on patient feedback. You will be expected to support the Trust with this through your working practice.

Serious Incidents

All staff must report incidents and near misses so that the Trust can reduce the risk of harm by investigating and incorporating risk reducing measures to safe guard patients, visitors and staff, in accordance with the Trust Incident Reporting Policy.

Childrens Rights

The post holder will endeavour at all times to uphold the rights of children and young people in accordance with the UN Convention Rights of the Child.

Safeguarding Children and Vulnerable Adults

The Trust is committed to safeguarding children and vulnerable adults throughout the organisation. As a member of the trust there is a duty to assist in protecting patients and their families from any from of harm when they are vulnerable.

Information Governance

You must maintain a Trust email account. All staff must complete annual information governance training. which can be completed on-line. For further details, go to the Information Governance intranet site: http://orh.oxnet.nhs.uk/InformationGovernance/Pages/Default.aspx

General

The post-holder will assume a continuing responsibility for the care of patients in his/her charge and the proper functioning of his/her department.

Professional values and behaviours, skills and knowledge

Essential

• Full GMC reg with licence to practice
• A minimum of 12 years medical work since obtaining a primary medical qualification of which a minimum of 6 years in general surgery.
• Ability to take full and independent responsibility for clinical care of patients.
• UK teaching hospital Emergency General experience with an interest in general surgery and acute general surgery operations.
• Evidence of advanced training in acute laparoscopic cholecystectomy
• Evidence of ability to work autonomously in clinics, on the wards and in theatre.
• Evidence of reflective techniques that have beneficially changed personal practice.
• Good spoken and written English. Highly developed communication and interpersonal skills.
• Experience of working with a wide cross section of the UK patient population.
• Evidence of contribution to clinical governance, clinical risk management and clinical audit activities
• Evidence of engagement in annual appraisal and job planning.
• Evidence of ability to make decisions at consultant level and to manage complex clinical problems related to emergency general surgery and urgent gallbladder surgery.

Desirable

• Additional training in areas relevant to emergency general surgery.
• Experience in acute laparoscopic cholecystectomy / complex biliary surgery,
• Proven ability to communicate in written form e.g. publications or reports
• Experience of caring for acutely unwell patients with significant communication difficulties.
• Evidence of interacting with an electronic consent process
• Evidence of specific courses related to EDI

Leadership and teamworking

Essential

• Excellent leaderships skills. Evidence of ability to lead a clinical team at the level of a consultant in a teaching hospital.
• Track record of clinical leadership roles relating to clinical governance.
• Leadership qualification
• Evidence of working in a complex multi-disciplinary team.
• Evidence of active engagement in regular mortality and morbidity meetings related to emergency general surgery.
• Ability to demonstrate independent reflection and critical feedback on colleagues performance.
• Evidence of engagement in Audit/QuIPP that has resulted in improved clinical care for acute emergency general surgery patients.

Desirable

• Evidence of leadership in human factors
• Evidence of leading a complex multi-disciplinary team.

Patient safety and quality improvement

Essential

• Active engagement with clinical governance
• Evidence of an up-to-date Multi-source feedback
• Evidence of improving a service or pathway in response to clinical need with a successful outcome.
• Certification in quality improvement training.

Desirable

• Completion of a quality improvement project.
• Evidence of leadership of clinical governance processes.

Education, training & research

Essential

• Evidence of completing an EDI course.
• Evidence of completion of safeguarding course.
• An example of implementing guidelines to clinical practice.
• Example of being a role model at the level expected of a Specialist
• Demonstrates active engagement in the education of colleagues and juniors.
• Evidence of implementing a regular teaching programme.
• Evidence of role as a clinical supervisor
• Track record of emergency surgery research.
• Track record of CPD activity in emergency general surgery.
• Active engagement in NIHR research studies.

Desirable

• Evidence of role as an educational supervisor
• Peer reviewed publications.
• Presentations at conferences related to emergency general surgery

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).