The James Paget University Hospitals NHS Foundation Trust is seeking to appoint a new Consultant General, Colorectal and Emergency Surgeon. Initially appointments would for one to two years fixed term. There will be the option for permanent position on successful completion of the initial appointment period.
The post offers full range of clinical, teaching, training, research and management activities expected of a practising General and Colorectal Surgeon. This will complement the existing 11 posts (3 Colorectal, 2 Upper GI/Day-case, 1 GI and general, 1 Trust Consultant Surgeon, 1 locum general surgeon & 3 consultant Breast Surgeons) of these 8 surgeons participate in the Emergency Surgery rota schedule.
The Trust is forward-looking and highly regarded within the local region. The James Paget University Hospital (JPUH) is a modern hospital with state of the art scanning and diagnostics. There is a support team of Foundation Year 1 and Year 2 Trainees, ST1/2 doctors, specialty doctor and a specialist levels.
The JPUH is located less than a mile from long sandy beaches and is within commuting distance from several small villages. There is a wide choice of good local schools and competitive house prices. The roads are free from traffic congestion and residents enjoy a good quality of life.
Main duties of the job
The post offers full range of clinical, teaching, training, research and management activities expected of a practising General and Colorectal Surgeon.
The Trust has a new Day Theatre complex. This has improved our Day Surgery service, and has increased theatre capacity, thereby making it possible to provide a 24-hour CEPOD theatre. The appointee will also contribute to the General Surgery service, with a particular focus on Day Surgery. Post holder will participate in the Emergency Surgery rota and will have the opportunity to develop a special interest. Along with theatre commitments, it is expected that the post holder also performs two endoscopy sessions.
Two outpatient clinics will be part of the time table. This can be either in the main hospital, or in one of the satellite clinics (Beccles and Southwold). Clinic template would include generic GP referrals, Routine referrals, Urgent referrals, Urgent 2 WW GI referrals, and follow ups.
In addition, the Consultant will take on under-graduate teaching responsibilities for the Norwich Medical School. This would gain an Honorary Senior Lectureship depending upon the extent of teaching responsibilities undertaken. An interest in clinical research will be encouraged. There is scope for developing leadership roles including module lead and other University leadership roles.
The General Surgery Department comprises of 11 Consultants. These are teams with specialist interests in Upper GI, Colorectal and Breast Surgery.
At present, the Consultants cover all aspects of General Surgery expected in a District General Hospital in their subspecialty. This includes laparoscopic and open upper gastrointestinal surgery for benign disease in upper GI surgery. For colorectal, all operations for colorectal cancer, inflammatory bowel disease and pelvic floor disorders are carried out. The breast team performs all types of cancer operations including reconstructive (oncoplastic) breast surgery. The vascular and plastic surgery service is supported by visiting Consultants working between the Norfolk & Norwich University Hospital and the JPUH. Medical Oncological services are based at Norwich, however four Consultants visit the James Paget to provide care for the local population. Specialist thoracic services are provided by visiting surgeons from Norwich.
Colorectal 2 week wait referrals are triaged by colorectal Nurse specialist and suitable cases booked for Straight To Test (STT). Other 2ww referrals are booked to the clinic for remote / face to face assessment by the clinician.
Please see Job Description and Person Specification for further information.
Consultant in General and Colorectal Surgery
James Paget University Hospitals Foundation NHS trust.
Assistant Medical Director for Division of Surgery and Womens & Childrens Services
Principle Job Purpose:
To provide in conjunction with colleagues, General Surgery services for the Trust.
Extended theatre sessions are to be undertaken for elective work.
Outpatient clinics to be conducted, which would include New general surgical referrals, Urgent 2 Week wait GI referrals and follow up patients.
Endoscopy (Colonoscopy) services to be provided on a weekly basis. JAG accreditation is essential.
Give a consultation and advisory service to medical colleagues in other specialities in the Trust.
Daily ward rounds and board rounds are to be provided to all the in-patients. Share workload with consultant colleagues.
Emergency General Surgery service at the James Paget University Hospital has gone significant changes over the last few years. With more emphasis on ambulatory care and opening of the surgical assessment unit (SAU), we are planning to have a team, more dedicated to this new and growing specialty. We want you be part of this change. Currently we run 1:8 on call rota. In this 8-week cycle, the first week Hot week you will be on call from Friday to Friday. All elective activity is cancelled. Other colleagues cover weekday nights from Monday to Thursday but patients stay under the hot team. Following week, you work as warm team. During this week, you manage CEPOD theatre in the morning; afternoons you will carry out elective activity as per job plan. End of the warm week you will have Friday day off.
Successful candidates will have full support to develop any subspecialty interests within the job plan in Lower GI and endoscopy.
Provide with the other consultants a system of mutual out-of-hours cover for annual, study and professional leave.
Liaise with medical staff in other specialities and participate in the regular clinical meetings and other post-graduate activities of the hospital.
Take part in the Royal College of Surgeons continuing medical education programme. The Trust will provide study leave expenses in line with national terms and conditions of service.
Play a full part in the research, teaching and audit activities of the department, including participation in the weekly Wednesday morning departmental teaching. Significant academic contribution to the Norwich Medical School will entitle the appointee to apply to be a Honorary Senior Lecturer.
Participate in the rolling process of clinical governance.
Contribute to management of the service.
Comply with the outline Consultant work programme (under provisions of Circular HC90/16) and the weekly timetable of fixed commitments (i.e. regular scheduled NHS activities in accordance with paragraph 30B of the TCS).
A flexible attitude to adjusting to changes within the department will be necessary.
Subject to the provisions of the Terms and Conditions of Service to observe the Trusts agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of the Trust.
To observe local and national employment and personnel policies and procedures, and to comply with Regional and Trust Health and Safety policies.
To assume responsibility for and facilitate contact from members of staff with delegated duties for personally accountable patient care.
Health and Safety Responsibilities:
To ensure that the Trusts Health and Safety Policies are understood and observed and that procedures are followed.
To ensure the appropriate use of equipment and facilities and that the working environment is maintained in good order.
To take the necessary precautions to safeguard the welfare and safety of yourself, patients, visitors, and staff, in accordance with the Health and Safety at Work Act.
To undertake appropriate health and safety training to support safe working practice, including where appropriate, its management.
To demonstrate a practical understanding of risk assessment in relation to their areas of responsibility and to ensure safe systems of work are in place.
To ensure that all incidents occurring within the department are reported in accordance with Trust procedures, investigated and corrective action taken as necessary and/or reported to senior management and specialist advisers.
To ensure that occupational health advice is sought if employees identify health conditions which may affect their ability to carry out their responsibilities safely.
To be responsible for ensuring that their staff attend statutory and mandatory training.
All roles within the Trust require staff to demonstrate our core values in the care they provide to patients. All members of staff should consider these behaviours an essential part of their job role.
Courtesy and respect
- A welcoming and positive attitude
- Polite, friendly and interested in people
- Value and respect people as individuals
Attentively kind and helpful
- Look out for dignity, privacy and humanity
- Be attentive, responsive and take time to help
- Visible presence of staff to provide the service
- Listen to people and answer their questions
- Keep people clearly informed
- Involve people
Effective and professional
- Safe, knowledgeable and reassuring
- Effective care and services from joined up teams
- Organised and timely, looking to improve
- MBBS or Basic Medical Degree
- FRCS or equivalent
- Hold a certificate or being within 6 months of completion of training or being on or eligible for the UK Specialist Register at the date of interview
- Full GMC registration
- Appropriate higher degree (i.e MS/MD)
- Extensive open and laparoscopic experience in Lower GI Surgery
- Wide experience in Emergency Surgery
- Ability to provide expert clinical opinion across a wide range of problems within General Surgery
- Able to plan and develop a modern service in keeping with current trends
- Experience in Endoscopy with JAG accreditation
- Involvement in research projects and published papers
- Experience in teaching junior medical staff
- Experience of teaching medical students
- Experience of committee work/project management
- Formal training in teaching skills
- Ability to use research outcomes in clinical practice
- Knowledge of using evidence base medicine to support decision making
- Experience of conducting and supervising clinical audit/QI projects
- Involvement in research projects and published papers