LAS ST3+ in OMFS

Job description

Job responsibilities

1. About the Service

Milton Keynes is part of the Luton & Dunstable OMFS hub-and-spoke network, providing OMFS care to the communities of Milton Keynes, Bedford, Luton, Dunstable and Stevenage. The postholder is directly employed in Milton Keynes and will contribute to a modern, collaborative, and patientcentred service.

2. Purpose of the Role

To deliver safe, effective, and compassionate OMFS care; to contribute to the daytoday running of the service; and to support continuous improvement, education, and multidisciplinary collaboration.

3. Main Duties and Responsibilities

3.1 Outpatient Clinics

Assess, investigate, and manage patients with:

o Intraoral hard/soft tissue lesions

o Dentoalveolar pathology

o Temporomandibular joint (TMJ) disorders

o Head and neck lumps

o Salivary gland pathology

o Skin lesions

o Oral and maxillofacial trauma

o Suspected/confirmed head and neck malignancies

Provide clear explanations, shared decisionmaking, safetynetting, and timely documentation.

3.2 Operating Sessions

Undertake outpatient operating lists, primarily minor oral surgery under local anaesthetic (LA).

Participate in IV sedation sessions for suitable cases (training and supervision aligned to competence).

Upskilling opportunities in neonatal tonguetie procedures (for suitable candidates not yet experienced).

Potential to undertake procedures under GA where appropriate.

Introduce and deliver treatment for skin lesions and Botox clinics (training provided as needed).

Organise junior staff on operating lists and ensure efficient, safe list flow.

3.3 Accident & Emergency and Urgent Referrals

Hold the departmental bleep during working hours and respond promptly to emergencies from ED and other specialties.

Provide initial assessment, stabilisation, and onward management plans.

Note: Outofhours service is provided by Luton & Dunstable Hospital; Milton Keynes does not provide local OOH cover.

3.4 DaytoDay Service Management

Share responsibility for the daily running of OMFS clinics, theatres, and urgent pathways.

Prioritise cases, manage waiting lists, and maintain safe patient flow.

Escalate risk appropriately and contribute to rota resilience.

3.5 Governance, Audit, and Service Improvement

Attend regular audit meetings (with normal clinical activity paused to enable full participation).

Contribute to internal/external audit, clinical effectiveness, and risk management.

Lead on selected audits and support the implementation of improvements and service developments.

3.6 Multidisciplinary Team (MDT) Working

Participate in MDTs, including the Head & Neck cancer MDT, ensuring timely information sharing and coordinated care.

Collaborate with dental, ENT, oncology, radiology, pathology, anaesthetics, nursing, and AHP colleagues.

3.7 Teaching, Supervision, and Team Development

Supervise and support junior medical staff and other learners in clinics and theatres.

Provide constructive feedback, contribute to teaching sessions, and model safe, evidencebased practice.

3.8 OnCall and Bleep Cover

Share bleep/oncall hours with other middle grades (during service hours as per rota).

• Ensure reliable handover and continuity of patient care.

4. Professional Development

• Take responsibility for selfdevelopment through supervised practice, courses, and reflective learning.
• Engage with the Trust annual appraisal process and personal development planning.
• Access leadership development and targeted upskilling (e.g., neonatal tonguetie, sedation practice, aesthetic procedures).

5. Accountability

• Clinically responsible to, and report to, the Consultant Oral & Maxillofacial Surgeon.
• Work within departmental and Trust policies, clinical governance frameworks, and professional standards.

6. Key Skills and Qualities (Role Essentials)

• Strong clinical judgment and problemsolving in OMFS presentations.
• Excellent communication: clear notes, patientfriendly explanations, effective handovers.
• Teamworking and supervision skills with a supportive approach to juniors.
• Adaptability, organisation, and resilience in a dynamic clinical environment.
• Commitment to patient safety, audit, and continuous improvement.
• Willingness to upskill in LA/IV sedation procedures, neonatal tonguetie, and aesthetic clinics as appropriate.

7. Expected Outcomes and Standards

• Safe, timely assessment and treatment across clinics, theatres, and urgent referrals.
• Reliable documentation, coding, and adherence to pathways and guidelines.
• Active participation in audits/MDTs with demonstrable service improvements.
• Effective supervision and positive team culture.
• Consistent engagement in appraisal and development objectives.

8. Working Relationships

• OMFS Consultants, Specialty Doctors, trainees, nursing and AHP teams.
• Emergency Department, ENT, oncology, radiology, pathology, anaesthetics, dental services, and primary care referrers.

9. Additional Information

• The role is funded for 9.5 PAs per week: 7 PAs Direct Clinical Care (DCC) and 2.5 PAs SPA/Admin supporting clinical activity.
• Duties may be adjusted in line with service needs, competence, and development goals, following appropriate supervision and governance.

Person Specification

Qualifications

Essential

• MFDS or equivalent
• Full registration with GDC

Desirable

• Medical degree

Clinical Experience

Essential

• Experience working/training at SHO level in a hospital setting covering all OMFS specialities
• Post-MFDS/MJDS experience
• Competent in the delivery of dento-alveolar and minor oral surgery

Desirable

• Development of area of special clinical interest
• Intravenous Conscious Sedation
• NHS Experience

Management and Administrative Experience

Essential

• Demonstration of Initiative
• Development of services

Teaching Experience

Essential

• Experience of supervising PRHO's and medical/dental students
• Ability to teach clinical and operative skills
• Participate and guide in departmental audit projects

Research Experience

Essential

• Ability to apply research outcomes to clinical and surgical problems

Desirable

• Publications in referred journals

Personal Attributes

Essential

• Ability to work in a team
• Good interpersonal skills
• Enquiring, critical approach to work
• Caring attitude to patients
• Ability to communicate effectively with patients, relatives, GP's, nurses and other agencies
• Commitment to continuing medical education
• Willingness to undertake additional professional responsibilities at local, regional or national levels

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).

Employer details

Employer name

Milton Keynes University Hospital NHS Foundation Trust

Address

Oral Surgery - Med Staff (Dept)

Milton Keynes

MK6 5LD

Employer's website

https://www.mkuh.nhs.uk/working-at-mkuh (Opens in a new tab)