Junior Clinical Fellow - Urology

Job responsibilities

Worcestershire is a largely rural County, with four main towns - Bromsgrove, Kidderminster, Redditch and Worcester - lying between the Cotswolds, Welsh Border and Birmingham. There are four further substantial market towns of Droitwich, Evesham, Malvern and Pershore. Acute medical services are provided by two District General Hospitals, a Treatment Centre and a number of Community hospitals.

The major motorway network of the M42, M5 and M6 provide excellent links to the rest of the West Midlands. Local leisure facilities are well developed and the area has easy access to Birmingham/Solihull where the National Indoor Arena, International Convention Centre with the Birmingham Symphony Hall and the National Exhibition Centre are located. Stratford and the Royal Shakespeare Company are on the doorstep. Worcester City lying on the banks of the River Severn has the world famous cathedral, County Cricket Ground, Premiership Rugby and is home to the Royal Worcester Porcelain Factory. The Malvern Hills and the Wyre Forest are in the locality.

Worcestershire has many sites of historical interest and natural beauty. The economy of the county is based on agriculture, horticulture, light engineering and increasingly service industries.

There are a number of high quality state and private schools across the county and the University of Worcester is continuing to expand and develop. The University has a £100m investment programme to provide for new, improved and refurbished facilities. Recently completed projects include its new City Campus, home to the Worcester Business School.

TRUST PROFILE

Worcestershire Acute Hospitals NHS Trust runs services from three main hospital sites: The Alexandra Hospital, Redditch; Kidderminster Hospital and Treatment Centre; and The Worcestershire Royal Hospital.

We also run some services and clinics at The Princess of Wales Hospital, Bromsgrove (outpatient clinics); Evesham Community Hospital (Burlingham Ward); Malvern Community Hospital (outpatient clinics); and Tenbury Community Hospital (outpatient clinics).

We have three main commissioners: Redditch and Bromsgrove Clinical Commissioning Group; South Worcestershire Clinical Commissioning Group; and Wyre Forest Clinical Commissioning Group.

We have an annual budget of £350million and service a population of more than 550,000 providing a wide range of surgical, medical and rehabilitation services. We have nearly 6,000 staff and provide services predominantly to the people of Worcestershire. However, patients do also come from further afield, most notably from Herefordshire, Dudley, South Staffordshire, Shropshire, Warwickshire and Birmingham. Every year we care for nearly 800,000 patients including 90,000 people who need operations, 130,000 people in A&E and 500,000 outpatients. More than 6,300 babies are born in our Trust every year.

ALEXANDRA HOSPITAL, REDDITCH

The Alexandra Hospital in Redditch opened in 1985. It serves a population of approximately 200,000 and has 360 beds. The hospital is the major centre for the countys urology service. The hospital has seven operating theatres, MRI and CT scanners and cancer unit status for breast, lung, urology, gynaecology and colorectal cancers.

There is a multi-disciplinary education centre with library, teaching and study areas.

Our plan for the Alexandra Hospital is to increase the amount of planned elective activity carried out at the hospital, especially in orthopaedics.

KIDDERMINSTER TREATMENT CENTRE

Kidderminster Hospital houses Kidderminster Treatment Centre which offers outstanding clinical facilities and patient accommodation for a wide range of daycase, short stay and inpatient procedures. The nurse-led minor injuries service is open 24 hours a day and treats more than 2,000 patients every month. It can deal with a wide variety of injuries including simple fractures, soft tissue injuries, lacerations, bites, burns and scaled. Other facilities at the Kidderminster site include a full range of outpatient clinics including outpatient cancer treatment in the Millbrook Suite MRI and CT scanners and a renal dialysis unit. There is also a modern education centre with seminar rooms, IT suite, library and break out areas.

Our plan for Kidderminster is to increase the number of daycase, short stay and inpatient procedures performed and for it to become an elective centre for the Trust.

WORCESTERSHIRE ROYAL HOSPITAL

Worcestershire Royal Hospital is the latest of the Trusts three sites. The main hospital was built under the private finance initiative (PFI) and opened in 2002. It provides specialist services for the whole of Worcestershire including stroke services and cardiac stenting. The hospital has nine operating theatres including four laminar theatres. It has a level 2 neonatal intensive care unit and a cardiac catheterisation laboratory. The 24/7 Primary Percutaneous Coronary Intervention (PPCI) service began in October 2013. It has 500 beds and serves a population of more than 550,000.

The countys brand new, state-of-the-art Oncology Centre was officially opened by HRH the Princess Royal in April 2015. Developed in partnership with University Hospitals Coventry and Warwickshire, the £25 million Worcestershire Oncology Centre will enable 95 per cent of radiotherapy to be delivered within Worcestershire. For patients, their families and their carers, who previously had to travel to Coventry, Cheltenham or Wolverhampton for radiotherapy treatment, cancer services will be more accessible than ever, saving an estimated one million miles of travel every year.

The Meadow Birth Centre has four birthing rooms and up to 1,000 women are expected to give birth in the unit every year. The brand new £500,000 birth centre is run by 14 experienced midwives and 7 maternity support workers, and opened in March 2015. The Centre offers a safe and comfortable environment for low risk women who have had no complications or medical problems during their pregnancy to give birth in. University of Worcester Vice Chancellor Professor David Green has praised the Meadow Birth Centre following a visit to celebrate the success of a joint working partnership.

Our plan for the Worcestershire Royal is for it to specialise in more complex services for patients from across the county, giving them access to services that they would previously have had to travel out of county for. We have recently opened our state-of-the-art Worcestershire Oncology Centre, which will provide radiotherapy services in county for the first time. Other developments include a dedicated Breast Unit - opening this year

MANAGEMENT STRUCTURE OF THE TRUST

Overall responsibility for the Trust rests with the Trust Board. Operationally the Trust is divided into six divisions Specialist Medicine, Urgent Care, Surgery, Womens and Childrens, Specialised Clinical Services Division and Corporate. Services are run on a countywide basis

Urology Services within the Trust

The Urology service runs a county-wide service which is based on upon a well-established hub and spoke model. 3 All elective inpatient surgery and emergency Urology is centred at the Alexandra hospital where we have Specialist Urology wards for elective and emergency patients. We have a fully equipped dedicated Urology theatre and our Robotic theatre is now fully operational. This houses the recently procured Intuitive, Da Vinci Xi System.

Outpatients, diagnostics and day-case activity is undertaken across all three Trust sites. At the Alexandra Hospital we have a standalone diagnostic unit (Urology Interventions Centre) which carries out:

- Flexible cystoscopy

- Urodynamics

- TWOC

- Intravesical therapy

- LATP

The service will be expanding to provide more focused acute Urology service integrated with the Urology Intervention Centre.

Each year our Urology Cancer MDT reviews over 3,000 cases and on average performs over 100 radical pelvic cancer procedures and over 100 renal tumour excisions. During the pandemic we continued to offer complex surgery including laparoscopy and open radical cancer excisions.

Our clinical outcomes have been submitted to HES/BAUS/GIRFT and NPCA for review and publication.

The Worcestershire Oncology Centre offers a full repertoire of treatment (including SABR) and support for patients diagnosed with Urological malignancy with the additional benefit of 24/7 out of hours support. In addition to general adult and paediatric Urology, Worcestershire offers a full range of specialist services including:

Laparoscopic renal surgery including partial nephrectomy and pyeloplasty.

Pelvic oncology including radical cystectomy, regional leaders in orthotopic bladder/complex reconstruction in urology, radical prostatectomy, in-county radiotherapy services.

Complex open renal and nephron sparing surgery including IVC tumour thrombus excision, renal artery embolization.

Robotic Surgery program started in October 2022.

Comprehensive stone surgery including percutaneous surgery, ESWL, flexible ureteroscopy, Swiss LithoVue, LaserClast and Auriga Laser.

Urodynamic and female Urology including fistula repair.

Andrology with specialist clinic support.

Holmium laser prostatectomy, REZUM, Bipolar TURP

template and LATP biopsies.

Other requirements

Essential

• An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues.
• Able to meet the travel requirements of the job and return to the hospital within 30 minutes when undertaking non-resident on call duties.

Personal Attributes

Essential

• Ability to work effectively as a team member.
• Enquiring, critical approach to work.
• Ability to apply research outcomes to clinical problems.
• Ability to communicate effectively with patients, relatives, GPs, nurses and other agencies.
• Commitment to Continuing Medical Education.
• Flexible approach to work duties.
• Ability to work without supervision.
• Reliable and supportive to other colleagues.
• Ability to work antisocial hours.

Desirable

• Interest in research in medical education.

Teaching Experience

Essential

• Ability to teach clinical skills to medical, nursing staff and other disciplines.
• Experience of teaching clinical skills to undergraduates and postgraduates.

Desirable

• Ability to supervise postgraduate research.

Management and Administrative Experience

Essential

• Ability to organise and prioritise workload effectively.
• Experience of audit management and conducting clinical audit.

Desirable

• Ability to use the evidence based and clinical audit to support decision making.

Experience

Essential

• Completed at least 2 years full time postgraduate training (or equivalent gained on part time basis) or have equivalent experience and competencies, at least four months of which will be in a relevant specialty.
• Clinical training and experience equivalent to that required at CT/ST1 level in relevant specialty. Equivalent years experience in a relevant specialty from other medical grades including from overseas will also be accepted.
• Experience of working in multidisciplinary teams.
• Ability to offer expert clinical opinion on a range of problems, both emergency and elective, within specialty and sufficient experience.
• Ability to take full and independent responsibility for clinical care of patients.

Desirable

• Previous experience working in the NHS within the specialty. At least 4 months of which is in Urology in the UK.
• Ability to use the evidence based and clinical audit to support decision making.
• Previous experience of performing Flexible cystoscopy.

Qualifications

Essential

• Eligible for full GMC registration with Licence to Practise at the time of appointment.
• MB ChB, MBBS or equivalent medical qualification.
• Satisfactory completion of F1 training, or equivalent.

Desirable

• Higher degree.
• ALS Certification.
• ATLS Certification.
• Membership examination with the relevant UK Royal College.

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).