The Colorectal Surgical Unit
The Colorectal Surgical Unit is primarily based at The Royal Shrewsbury Hospital, but all Consultant staff are also required to work at The Princess Royal Hospital depending on service needs. The appointee will join the existing 9 full-time Colorectal Surgeons and attracts 10 Programmed Activities per week with an on-call commitment. The post is to cover parental leave and is for an initial 6 months with the opportunity for extension by mutual agreement.
The Unit currently consists of 10 substantive Consultant Colorectal Surgeons (including this post), 4 Specialist Trainees and 2 Core Trainees from the HEE (WM) deanery, 2 Trust Grade Surgeons and 6 Foundation Year doctors. We also provide a Royal College of Surgeons of England Approved Senior Clinical Fellowship post in Colorectal Surgery. The Unit has a strong commitment to surgical education with positions on national and regional committees.
We have modern laparoscopic equipment in two dedicated theatres including a range of modern surgical energy devices and 4KHD stacks. Colorectal resections are managed in an established Enhanced Recovery Programme.
The Trust currently provides services from eight sites. Our main locations are The Royal Shrewsbury Hospital (RSH) in Shrewsbury and The Princess Royal Hospital (PRH) in Telford, which together provide 99% of the Trust’s activity. In addition to this we also provide services such as Midwife-Led Units and Consultant-Led Outreach Clinics at Robert Jones and Agnes Hunt Orthopaedic and District Hospital (RJAH) and Bridgnorth, Ludlow, Whitchurch, Newtown and Welshpool Community Hospitals.
The Royal Shrewsbury Hospital (RSH) opened in 1977 (although some services such as the Maternity Unit were provided on the site before this) and generally serves western Shropshire and Mid Wales. RSH has approximately 390 inpatient General and Acute beds in addition to 30 Surgical Day care beds, 16 bedded Chemotherapy Day Centre, and 24 Renal Dialysis Stations. RSH also provides a 54-bed maternity unit (41 consultant-led and 13 midwife-led), 6-bed neonatal Intensive Therapy Unit and 16-bed Special Care Baby Unit. The main specialties at the Hospital are:
- Inpatients: General Medicine, Trauma, Cardiology, General Surgery, Urology, Critical Care (CCU/ITU/HDU), Renal Dialysis, ENT, Ophthalmology, Oral Surgery, Oncology, Haematology
- Day case: ENT, Oral Surgery, Ophthalmology, Haematology and Oncology
- Outpatients: Oncology and Radiotherapy, Haematology, Gynaecology, Ophthalmology, ENT, Oral Surgery, Orthodontics, Neurology, Dermatology, A&E, Rheumatology
- Midwife-Led Maternity Unit
The Princess Royal Hospital opened in 1989 and generally serves Telford & Wrekin and eastern Shropshire. PRH has approximately 330 inpatient beds in addition to 24 Surgical Day care beds, a 14-bed Renal Dialysis station and a 14-bed Midwife-Led Unit. The Hospital also includes a 10-bed private facility. The main specialties at the Hospital are:
- Inpatients: General Medicine, Trauma, Cardiology, Breast Surgery, Urology, Paediatrics, Critical Care (CCU/ITU/HDU), Renal Dialysis, Obstetrics and Gynaecology.
- Day Case: General Surgery, ENT, Oral Surgery, Ophthalmology, Haematology and Oncology
- Outpatients: Oncology, Haematology, Gynaecology, Ophthalmology, ENT, Oral Surgery, Orthodontics, Neurology, Dermatology, A&E, Rheumatology
- Midwife-led Maternity Unit
A formal job plan will be agreed between the successful candidate and their Clinical Director and consultant colleagues, on behalf of the Medical Director within 3 months of starting in post. A full-time job plan is based on a 10 PA working week. The job plan will be reviewed annually and is a prospective agreement that sets out the consultant's duties, responsibilities, and objectives for the coming year. It covers all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external and will include personal objectives, detailing links to wider service improvements and trust strategic priorities.
For a full-time contract, the job plan will be divided on average per week (pro-rata for a part time post) as:
- 5 Programmed Activities (PAs) of Direct Clinical Care - includes clinical activity, clinically related activity and predictable and unpredictable emergency work.
- 5 Supporting Professional Activities (SPAs) - includes CPD, audit, teaching and research.
The allocation of PAs is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the team job plan.
Any applicant who is unable, for personal reasons, to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with other consultant colleagues.
On-call commitment will be 1:16 on-call rota for general emergencies and there will be a commitment during the day for emergencies at Princess Royal hospital.
We currently work a hybrid on call rota consisting of a 4-week block of activity with alternate day on call periods during the week and a separate but split covered 3-day weekend. Elective commitments are cancelled during these on-call periods to allow the Consultant’s time to provide suitable cover for emergency cases.
In addition, we provide cover to the Princess Royal Hospital for paediatric and other sub-specialty emergencies, with a separate consultant daytime rota supported by 24-hour non-resident registrar cover.
There are commitments at both the Royal Shrewsbury and Princess Royal Hospital. There is adequate travel time allowed in the job plan and agreed arrangements are in place with consultant colleagues for covering inpatients and emergencies.