Senior Clinical Night Fellow Surgery

Job responsibilities

The Senior Clinical Fellow will be expected to cover the Vascular and General surgical unit at middle grade (registrar) level. On call he/she will be supported by an FY1 and either an FY2 or a CT trainee and will answer to the on-call consultant. On call they will be required to cover the specialities of General Surgery, Vascular and Urology and in turn will be covered by the respective consultants in those specialities. The post-holder must respond promptly to calls from A&E and the wards (medical and surgical) to give advice and/or see and manage patients.

They would be expected to see urgent and emergency referrals from other disciplines/wards within the hospital. He/she must confer with the consultant on call and keep a record of such patients in the admission diary so that the patients could be appropriately followed up.

The Senior Clinical Fellow will keep an accurate and meticulous record in patients case notes and will supervise junior medical staff to do so. All entries in the case notes should be signed (with time, date and contact number). In addition he/she will provide clinical supervision and support to the junior medical staff.

They must keep accurate record of emergency admissions and referrals and formally handover to the on call team at the end of their shift. Handover must be formal, should follow the SBAR pattern (Situation, Background, Assessment and Recommendation) Similarly they must make sure that they have understood the patients problems and needs when receiving handover from somebody else.

They will supervise juniors in writing comprehensive but succinct discharge letters and summaries. They must ensure that VTE prophylaxis assessment is undertaken and that prophylaxis is given.

They must supervise, guide and teach junior members of the team in such skills as time management and team working.

The Senior Clinical fellow will be expected to participate in departmental academic activities and audit of mortality and morbidity.

They must demonstrate a willingness to learn and avail all opportunities to advance their clinical and operative skills. They will be expected to attend, assist and perform operations and procedures within their ability.

The Senior Clinical Fellow will undertake duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant(s), in consultation where possible with colleagues both senior and junior. Additional commitments arising under this paragraph are exceptional. In particular, the doctor will not be required to undertake work of this kind for prolonged periods or on a regular basis.

They must read and follow any protocols of medical cover laid down (either in writing or verbally) for the firm in which they are working.

In case of any difficulty ensure that advice is sought from a senior colleague.

NOTE: Specific duties may vary from time to time with the circumstances existing and the developing competence and interests of the members of the firm.

The post-holder will be expected to cover for absent colleagues in an emergency situation (e.g. sickness, injury, instances where an arranged locum does not arrive at short notice and similar situations).

1. a) General Duties:
2. i) Patients to be seen and assessed on the ward prior to surgery or admission to Intensive Care.
3. ii) Keeping such records as may be required. These must be dated and initialled, together with any other related administrative duties, including discharge and Clinic letters.

iii) Duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant(s) in consultation where possible with colleagues both senior and junior. Additional commitments arising under this paragraph are exceptional. In particular, the doctor will not be required to undertake work of this kind for prolonged periods or on a regular basis.

(iv) To read and follow any protocols and clinical guidelines laid down (either in writing or verbally) for the anaesthetic department.

(v) In case of any difficulties, either clinical or administrative, to ensure advice is sought from a senior colleague. (vi) To accurately gather data required for clinical audit and to participate in audit meetings. Keep a log book (electronic or written) of the cases anaesthetised. NOTE: Specific duties may vary from time to time with the circumstances existing and the developing competence and interests of the members of the Department.

All applicants will be expected to have a working knowledge of the English language. Applications are invited from all suitably qualified candidates, regardless of age, sex, marital status, race, religion, creed, sexual orientation, colour or disability. All Bedford Hospital NHS Trust posts are suitable for part-time/job share arrangements

All disabled applicants who meet the minimum criteria for the job will be invited for interview.

Please include your referees email address as this is how they will be contacted.

Only shortlisted candidates will be contacted. This will be via your NHS Jobs account and via e-mail.

Vascular team

The Bedfordshire and Milton Keynes Vascular Unit provides a supra district vascular service to Bedford Hospital, Milton Keynes and Luton & Dunstable Hospital catchment areas and is a designated arterial intervention Centre. The department provides the full spectrum of elective and emergency surgery, including endovascular aneurysm repair, urgent carotid endarterectomy, distal bypass for peripheral vascular disease, combined open/endovascular procedures and endovenous treatment for venous disease. The Vascular Surgeons run a 1:6 on-call Rota to which two surgeons based in Milton Keynes contribute. The Vascular team provide excellent surgical training, both in Vascular surgery and also some general surgery particularly hernias.

Colorectal team

Bedford Hospital is part of the West Anglia Cancer Network. We operated on in excess of 100 cancer cases last year at Bedford. There are five existing colorectal surgeons providing training in open and laparoscopic resection. There is a fully integrated laparoscopic (OR1) theatre, where all the colorectal surgeons carry out their theatre lists

In addition a full range of lower GI surgical services is offered: surgical management of inflammatory bowel disease and diverticular disease, abdominal and perineal surgery for anorectal prolapse and a full range of benign anorectal surgery including the management of complex fistula

A full range of endoscopy services is provided with upper and lower diagnostic endoscopy, stenting of oesophageal and colorectal lesions and therapeutic ERCP. We are a BCSP and a JAG accredited Centre. The department is committed to training surgical trainees in endoscopy

There is a purpose built colorectal outpatients department with modern consulting facilities

The Breast team

The Breast Unit provides training in a wide range of both Breast, Endocrine and Reconstructive procedures including: localisation for screening cases, wide excision and mastectomy, sentinel lymph node biopsy and axillary clearance. In addition there is exposure on the combined firm to General Surgical procedures including: open hernia repair and laparoscopic cholecystectomy. Tailored to trainee interest and experience, there are opportunities to develop laparoscopic hernia surgery and endocrine surgery (thyroid/ parathyroid). The clinics provide good, broad experience in general surgery and endocrine cases along with diagnostic one stop breast clinics, and breast cancer results clinics. We work closely with the Department of Plastic Surgery, providing the full range of breast reconstruction techniques.

Registration

Essential

• Full GMC Registration with a Licence to Practice.

Qualifications

Essential

• MBBS or equivalent medical qualification. MRCP Part 1 or equivalent.

Desirable

• MRCP Part II Written or PACES or equivalent.

Eligibility

Essential

• Evidence of achievement of Foundation competencies in line with GMC standards in Good Medical Practice.
• Evidence of achievement of ST1/CT1 and ST2/CT2 competencies in a relevant specialty at time of application by the start date of the post.
• To be eligible to work at this grade the appointee will have a minimum of 2 years clinical experience in this specialty.
• Eligibility to work in the UK.
• All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues.
• Meets professional health requirements (in line with GMC standards in Good Medical Practice).

Fitness to Practise and Probity

Essential

• Applicant's knowledge is up to date and fit to practise safely.
• Professional integrity and respect for others: capacity to take responsibility for own actions and demonstrate a non-judgmental approach towards others. Displays honesty, integrity, awareness of confidentiality and ethical issues.

Clinical Skills

Essential

• Acute care safe: up-to-date ALS. Hospital at night team working / experience. Out of hours experience relevant to the job.
• Relevant specialty clinical knowledge: capacity to apply sound clinical knowledge relevant to the job, specialty knowledge exam.
• Clinical judgement: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need.
• Practical skills: shows aptitude for practical skills, required for the job. Proven ability to work effectively in different clinical settings required in the job.

Desirable

• ALS instructors certificate.

Specialty specific skills related to the post

Essential

• Ability to offer clinical opinion on a range of problems in general surgery and colorectal disease
• Excellent diagnostic skills
• Successful completion of advanced paediatric life support course

Commitment to clinical governance / improving quality of patient care

Essential

• Clinical governance: Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making. Aware of own limitations. Track record of engaging in clinical governance: reporting errors, learning from errors.
• Audit: evidence of active participation in audit.
• Teaching: evidence of interest and experience in teaching where required in the job.

Desirable

• Research Skills: Demonstrates understanding of the principles of research, evidence of relevant academic and research achievements.
• Teaching: evidence of experience in teaching where required in the job.

Communication skills

Essential

• Effective communication skills: demonstrates clarity in written/spoken communication and capacity to adapt language as appropriate to the situation.
• 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

• 360 feedback.
• Patient survey feedback and reflections.

Personal skills

Essential

• Team working: demonstrated experience working in a team, values the input of other professional in the team.
• Managing others and team involvement: capacity to work co-operatively with others and demonstrate leadership when appropriate. Capacity to work effectively in multi-professional teams.
• Coping with pressure: capacity to operate under pressure. Demonstrates initiative and resilience to cope with the setbacks & adapt to rapidly changing circumstances.
• Problem solving & decision making: capacity to use logical /lateral thinking to solve problems & make decisions.
• Organisation and planning: capacity to organise oneself and prioritise own work. Demonstrates punctuality, preparation and self-discipline. Understands importance of information technology.
• Flexible approach to work: able to adapt and work with employers to deliver improved patient care.
• Equality and diversity: promotes equality and values diversity.

Desirable

• Able to adapt to work with employers to deliver
• Experience in leadership. Demonstrates skills needed for effective delegation within the team

Commitment to on-going professional development

Essential

• Learning and personal development: demonstrates interest in the specialty required for the job. Demonstrates a commitment to maintaining professional skills and knowledge relevant to the job.
• Demonstrates a willingness to fully engage in appraisal. Self-awareness and ability to accept and learn from feedback.

Desirable

• Extracurricular activities / achievements relevant to the job.
• Specialty exams.

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).