Job summary
This is an exciting opportunity for an experienced SCP to join the Bone and Soft Tissue Tumour Service. The post holder will act as a SCP as defined by the Royal College of Surgeons (2022). The post holder will work closely with their clinical leads to develop their role according to the needs of the team or service. They will work as part of the Sarcoma Team working closely with the multidisciplinary team and will be supervised by named Consultant Surgeons. The post holder will exercise advanced clinical expertise, levels of judgement, discretion and decision making relating to the management of a surgical patient combining intraoperative practice and perioperative care. This will be demonstrated through defined competencies and in line with Trust protocols. They will provide advanced clinical skills and advice demonstrating a sound understanding of identification, assessment, diagnosis and management of surgical patients and determine whether patients are discharged or admitted as appropriate and as such, supported by the Consultant Surgeon. They will contribute to clinical governance within the service by leading audit and research as part of the multi-disciplinary team within their area of expertise.
The number of applications is capped so please apply as soon as possible.
Main duties of the job
- To be an expert clinical practitioner, ensuring patients receive high quality clinical care whilst undertaking defined invasive procedures, utilising specialist knowledge and skills.
- To act as a first or second assistant to the Consultant Surgeons or other members of the surgical team.
- To participate in pre and post-operative care of surgical patients, with particular attention to appropriate work up of patients and the establishment of effective pathways for complex procedures, wound care, wound healing and the prevention of infection in surgical wounds.
- To be a motivated, dynamic advanced surgical practitioner, striving for improvement in care and practice.
- To monitor quality and continuity of patient care, taking action to address improvements as required.
- To ensure that care is based and planned on an individual assessment for a positive patient experience.
- To liaise closely with the MDT administrative teams to ensure patients are discussed where appropriate at the relevant MDT meetings.
- To liaise closely with the theatre schedulers and MDT administrative meetings to ensure where appropriate that cancer waiting times are adhered to
- To communicate effectively with patients, relatives and colleagues.
- To be accountable for quality governance within own area of practice.
- To act as a role model and expert clinician, contributing to the training of junior medical staff and providing support and guidance to all staff delivering care to patients
About us
At the Royal National Orthopaedic Hospital (RNOH), we are committed to achieving the best staff experience in the NHS. In the 2023 NHS Staff Survey, we proudly:
- Scored above the national average for the People Promises: "We are recognised and rewarded," "We are always learning," "We work flexibly," "We are a team," and for staff engagement.
- Ranked 1 among all Trusts in North and Central London for all People Promises and themes.
- Ranked #1 among all Acute Specialist Trusts for "We work flexibly."
At RNOH, we're committed to being actively anti-discriminatory and actively inclusive. We recognise our brilliant people do brilliant work, and we offer rewarding careers, no matter what their background. We continue to strive to break down barriers to be the Trust where people come together because what they do matters, makes a difference and where they can thrive.
Joining our organisation means enjoying a wide range of staff benefits, including:
- 24/7 access to wellbeing support through our Employee Assistance Programme.
- A Rewards & Recognition platform, offering opportunities to thank colleagues, send gifts, and access exclusive discounts.
- A dedicated Staff Wellbeing Hub, providing a space to relax and recharge away from the work environment.
- Salary sacrifice schemes for transport (season ticket loans, car and bike), electrical goods, and childcare
At RNOH, we are more than a workplace--we are committed to patients, to excellence and the wellbeing of our staff.
Job description
Job responsibilities
Clinical Responsibilities
Pre-Operative
- To carry out a variety of clinics and outpatient activities unsupervised, in the context of the pre-operative assessment, listing patients for surgical procedures, planning pre- and postoperative investigations relevant to the surgical patient.
- To assist in ensuring complex pathways for sarcoma patients are established and executed to reduce delays in patient care and supporting/working with appropriate CNS teams to carry these out effectively. To assist in the pre-operative and enhanced recovery education of patients undergoing sarcoma surgery where appropriate.
- Ensure that where appropriate, patients are discussed at the relevant MDT meetings. The SCP will attend relevant MDT meetings to contribute to the patient discussion where appropriate.
Peri-Operative:
- To undertake agreed surgical procedures, male and female catheterisation and correct positioning of the patient appropriate to the surgery to be undertaken
- To undertake skin preparation and draping; skin incision and suturing, dressings application unsupervised
- With supervision from the Consultant Surgeon use scalpels and diathermy for dissection and haemostasis; surgical haemostasis and insertion of drains
- Act as first or second assistant under the direct supervision of the consultant surgeon or the consultants delegate for agreed surgical procedures, assisting with tissue retraction, applying suction, diathermy, maintain clear fields of surgical vision and assisting surgeons
Post-Operative:
- To participate in the post-operative assessments of the patient with particular attention to wound assessment and the prevention of infection in surgical wounds;
- Identify routine surgical problems/complications and treat accordingly
- Identify any acute deterioration of patients with knowledge of early warning scores and reporting to senior colleagues
Professional Leadership:
1. As part of the Sarcoma Surgical team, be accountable for the provision of expert SCP advice and input into operational and strategic issues including the development and implementation of strategy and policy which ensures that corporate and clinical group objectives are achieved within agreed timescales. .
2. Develop and support a culture which positively promotes learning from incidents and patient feedback.
3. Promote a climate of confidence, facilitating an environment of openness and questioning, to encourage ongoing development.
Please see job description for further details
Job description
Job responsibilities
Clinical Responsibilities
Pre-Operative
- To carry out a variety of clinics and outpatient activities unsupervised, in the context of the pre-operative assessment, listing patients for surgical procedures, planning pre- and postoperative investigations relevant to the surgical patient.
- To assist in ensuring complex pathways for sarcoma patients are established and executed to reduce delays in patient care and supporting/working with appropriate CNS teams to carry these out effectively. To assist in the pre-operative and enhanced recovery education of patients undergoing sarcoma surgery where appropriate.
- Ensure that where appropriate, patients are discussed at the relevant MDT meetings. The SCP will attend relevant MDT meetings to contribute to the patient discussion where appropriate.
Peri-Operative:
- To undertake agreed surgical procedures, male and female catheterisation and correct positioning of the patient appropriate to the surgery to be undertaken
- To undertake skin preparation and draping; skin incision and suturing, dressings application unsupervised
- With supervision from the Consultant Surgeon use scalpels and diathermy for dissection and haemostasis; surgical haemostasis and insertion of drains
- Act as first or second assistant under the direct supervision of the consultant surgeon or the consultants delegate for agreed surgical procedures, assisting with tissue retraction, applying suction, diathermy, maintain clear fields of surgical vision and assisting surgeons
Post-Operative:
- To participate in the post-operative assessments of the patient with particular attention to wound assessment and the prevention of infection in surgical wounds;
- Identify routine surgical problems/complications and treat accordingly
- Identify any acute deterioration of patients with knowledge of early warning scores and reporting to senior colleagues
Professional Leadership:
1. As part of the Sarcoma Surgical team, be accountable for the provision of expert SCP advice and input into operational and strategic issues including the development and implementation of strategy and policy which ensures that corporate and clinical group objectives are achieved within agreed timescales. .
2. Develop and support a culture which positively promotes learning from incidents and patient feedback.
3. Promote a climate of confidence, facilitating an environment of openness and questioning, to encourage ongoing development.
Please see job description for further details
Person Specification
Experience
Essential
- Minimum twelve months experience in Orthopaedic Surgery
- Experience of MDT working
- High level of clinical acumen
- Able to assess, plan, implement and evaluate clinical care
- Previous clinical experience in surgical oncology
- Cancer communication skills course and ability to break bad news
Desirable
- Independent prescriber
- Mentor qualification or equivalent
- Experience in teaching specialist skills and knowledge both formally and informally.
- Developing and implementing frame-work for ensuring appropriate Clinical Governance
- Use of Epic
- Knowledge of National Joint Registry (NJR) data entry
- Effective role model, demonstrating RNOH Values
- Demonstrates understanding and commitment to Equality, Diversity and Inclusion
Skills
Essential
- Excellent communication skills
- Able to prioritise and use own initiative.
- Eager to embrace change and adapt to changing situations.
- Maintains high standards and quality in own work and encourages others to do the same.
Desirable
- Able to allocate and delegate workload responsibly and monitor the work of others; clinical supervision of less experienced staff.
Qualifications
Essential
- Registered Nurse/ Allied Health Professional
- Educated to Masters degree level or equivalent experience
- Royal College of Surgeons "recognised" Surgical Care Practitioner or Fully Accredited RCEM ACP
Person Specification
Experience
Essential
- Minimum twelve months experience in Orthopaedic Surgery
- Experience of MDT working
- High level of clinical acumen
- Able to assess, plan, implement and evaluate clinical care
- Previous clinical experience in surgical oncology
- Cancer communication skills course and ability to break bad news
Desirable
- Independent prescriber
- Mentor qualification or equivalent
- Experience in teaching specialist skills and knowledge both formally and informally.
- Developing and implementing frame-work for ensuring appropriate Clinical Governance
- Use of Epic
- Knowledge of National Joint Registry (NJR) data entry
- Effective role model, demonstrating RNOH Values
- Demonstrates understanding and commitment to Equality, Diversity and Inclusion
Skills
Essential
- Excellent communication skills
- Able to prioritise and use own initiative.
- Eager to embrace change and adapt to changing situations.
- Maintains high standards and quality in own work and encourages others to do the same.
Desirable
- Able to allocate and delegate workload responsibly and monitor the work of others; clinical supervision of less experienced staff.
Qualifications
Essential
- Registered Nurse/ Allied Health Professional
- Educated to Masters degree level or equivalent experience
- Royal College of Surgeons "recognised" Surgical Care Practitioner or Fully Accredited RCEM ACP
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.
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).
Additional information
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.
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).
