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NB: This vacancy closed to applications on 23/05/2019.

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Perioperative Physician

Job Reference: 431-SUR-7121

Basildon and Thurrock University Hospitals NHS Foundation Trust
Trauma & Orthopaedics
Basildon Hospital, Basildon
£77,913 to £105,042 pa

Basildon and Thurrock University Hospitals NHS Foundation Trust is an innovative and dynamic place to work. Our values - safe, caring, excellent – are at the core of everything we do and are the basis for our interactions with patients and each other.

The Trust is rated ‘good’ by the Care Quality Commission who described our services as effective, caring, responsive and well-led. Basildon Hospital was the first in the country to be rated as ‘outstanding’ for maternity care and our ambition is to become ‘outstanding’ in as many services as possible over the coming months and years.

We offer an extensive range of acute healthcare services at Basildon University Hospital, Orsett Hospital and the St Andrew’s Centre in Billericay. We also provide specialist cardiothoracic services for the whole of Essex and further afield at The Essex Cardiothoracic Centre, which has a reputation for leading developments in cardiac surgery and cardiology procedures.

We work collaboratively with our NHS partners in mid and south Essex to ensure that local people have access to the best possible healthcare services.

We are part of UCLPartners, an academic health and science partnership with over 40 members who together form one of the world’s leading centres of medical innovation and education. We offer a professional environment where all staff have excellent education, coaching, mentoring, training and development opportunities.

We are looking for talented individuals who are committed to working as part of our healthcare team delivering an excellent, caring service to patients.

Take a look our Trust values video on our website and see if you have what it takes to be one of the team!

Perioperative Physician in Trauma & Orthopaedics

Applications are invited for a new post for a Perioperative Physician in Trauma & Orthopaedics.

This is a new post. The post holder will work at Basildon Hospital with close links with established colleagues within the department of Trauma & Orthopaedics, Emergency Medicine Department, Anaesthetics/Critical Care and General/Elderly Medicine. It is envisaged that the post holder will be supported by a Deanery funded Higher Specialist Trainee (ST3+), a locally employed FY2+ level doctor, 2 FY1 doctors and 1.5 WTE Band 7 Frailty/Trauma Nurse Specialists. The post holder and the Peri-operative Medical Trauma Team will have in-patient responsibility for all patients > 60 years of age admitted with a fractured neck of femur or > 75 years of age for patients admitted with a fragility fracture or trauma from Day 1 post-op or from admission if no surgery is planned. Patients admitted requiring surgery will remain under Joint Care until Day 1 post-op.


Individual sessions will be a mixture of:


    • Perioperative speciality clinic.
        • Older patients requiring elective joint replacement surgery could be assessed in a joint pre-admission clinic. Liaison work with relevant specialties would be required and support from the Peri-operative Medical Trauma Team.


    • In-patient Trauma & Orthopaedic ward work.




        • This would include ward rounds, ward reviews, ward based MDTs and family meetings as necessary.


    • Monthly Mortality & Morbidity attendance
    • To discuss cases for peer review.
    • Allocated Quality improvement time
    • This is to aid in the development of a new service, build up new service pathways and protocols, expand the concept of “Silver Trauma” simulation training within the Education Department


    • They would also be expected to play a pivotal role in clinical governance of the services.

Research, Teaching and Training:

    • Development of education and training programmes for junior doctors in peri-operative medicine
    • Where possible collaborating with academic and clinical colleagues to enhance the Trust’s translational research portfolio, at all times meeting the full requirements of Research Governance.
    • Providing high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.
    • Acting as educational and clinical supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training posts.Performance Management:Working with medical, nursing, therapy and managerial colleagues to ensure high performance in the following areas:
    • Clinical efficiency e.g. LOS reductions, and DNA rates. Time from referral to diagnosis. Reduction in duplicative assessments. Rates of advance care planning with the introduction of the PEACE document. Patient and carer satisfaction
    • Quality of outcomes e.g. infection control targets, reducing re-admission and re-operation rates.
    • Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
    • Operational efficiency e.g. Waiting list activity re outpatients

The Division of Surgery consists of 3 Clinical Service Units (CSU) as follows:

    • Trauma & Orthopaedics Surgery and Head & Neck Surgery (ENT / OMFS)
    • General Surgery & Urology
  • Theatres, Critical Care, Anaesthetics, Pain and Sterile Services DepartmentThe divisional management team is led by a Divisional Director, supported and working in partnership with the Head of Nursing and the Divisional General Manager. Each CSU is led by a Clinical Lead, supported and working in partnership with a Matron and a Service Unit Manager.The Division’s strategy mirrors that of the Trust as a whole in striving for excellence and to deliver high quality, safe and evidence based care over 7 days to ensure the best outcomes and the best experience for our patients. The focus is on sub-specialty working and the post-holder will be expected to play a full role in implementing and delivering this strategy.The process is underpinned by a strong emphasis on patient safety and a sound clinical governance structure within each CSU. This is supported by the Divisional Governance team who ensure that every member of the Division is able to deliver their service commitment both individually and as a team in a professional, responsible and accountable manner.The Division of Surgery is keen to be at the forefront of service provision, quality improvement and innovation within the Trust. There is also an outward facing facet of the Division with the recognition that in order to achieve continuing growth and market share, new and innovative ways of working need to be pursued and this includes collaborative working with other organisations within the region.The Trust provides acute hospital services to a population of 400, 000 people across south west Essex. In addition, the Essex Cardiothoracic Centre based a Basildon University Hospital is among the most modern centres of its kind, providing specialist diagnostic and treatment for people with cardiovascular and respiratory disease. It is situated in the South of England making ideally placed offering easy access to London and the national

BTUH is an equal opportunities employer. Please let us know if you have any special requirements regarding your application or possible interview.

All communication regarding the post will be sent electronically and we would appreciate that you check your junk or spam folders. We will be in contact with candidates where possible however, if you have not been contacted within 14 days from closing date please assume your application was unsuccessful.

We have a range of benefits applicable to staff so please look at the BTUH website for futher 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.

UK Registration

Applicants must have current UK professional registration. For further information please see applying from overseas.

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