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Locum Consultant in Otolaryngology

Chelsea and Westminster Hospital NHS Foundation Trust
£88,364 to £119,133 a year per annum
Closing date
3 May 2023

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Hospital, ENT / Otolaryngology
Career Level
Contract Type
Fixed Contract
Full Time
The ENT Clinical Directorate offers a high quality, safe and patient focused service.

The Directorate is part of the Division of Planned Care

The ENT Department at the West Middlesex Hospital provides inpatient day surgery and outpatient services for the surrounding area. It serves the patients of Richmond, Twickenham, Brentford, Hounslow, Chiswick and adjacent areas.

The ENT Department is a very busy and rapidly growing department. A large and fully comprehensive range of services are provided by the team attracting increasing referrals annually. The Department has worked to gain strong support from the Community and General Practitioners in the area. There is a very good and friendly working relationship with other specialities in the hospital with many interesting referrals originating from a number of medical and surgical specialities.

Over 90% of the surgery performed in the ENT Department is on a day surgical basis. This involves adult and paediatric care. The Inpatients are nursed on one of two wards and the average length of stay for the inpatients is approximately one night. The Department treats ENT surgical paediatric cases from the age of one and upwards.

Main duties of the job

The Consultant appointed will have continuing responsibility for the care of the patients in his/her charge and for the proper functioning of the ENT Department.

The Consultant appointed will cover absence by arrangement with his/her colleagues.

The Consultant will take an active role in the teaching programme and research activities of the Unit and would be responsible for assisting and maintaining the ENT Library requirements.

He/she will participate in clinical audit within the ENT Department and the hospital as a whole. A monthly ENT Clinical Management and audit meeting occurs in the Department followed by an academic session in which research and audit studies are discussed.

About us

Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.

We have over 6,000 members of staff that are PROUD to Care for nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.

We're one of the safest and best performing Trusts in the country. We're also one of the top trusts to work for - our staff say they're engaged, motivated, and would recommend us as a place to work and receive treatment.

In 2020 Trust was rated by the Care Quality Commission as Outstanding in the well-led and use of resources domains and Good in the safe, effective, caring, and responsive domains. The Trust as a whole was Good, but the Chelsea site was Outstanding.

Our facilities are some of the best in the country. We have been investing around 10 million a year in our estate. We are currently spending 25 million on expanding our adult and neonatal critical care facilities at Chelsea and Westminster and redevelopment of our children's unit at West Middlesex - in partnership with our charity, CW+ and generous donors.

Job description
Job responsibilities

Roles of the post
  • Monthly ENT Audits and Head and Neck MDT/Clinics take place at West Middlesex Hospital and consultants are expected to take an active role in these.
  • There is a team of administrators attached to the Department and the successful consultant appointed will be supported by the team and have administrative duties to fulfil.
  • The successful candidate will work with the MDT, including a Specialist Nurse, Outpatient Team, Audiology and Speech Therapy, together with the management teams and Administration staff. There will at times be a close working relationship with the wider surgical team and with A&E and Acute Medicine to achieve Trust KPIs.
1. Provide High Quality Care to Patients
  • The post holder must adhere to the standards outlined by the GMC for Good Medical Practice.
  • Develop and maintain the competencies required to carry out the duties required of the post.
  • Ensure prompt attendance at agreed direct clinical care Programmed Activities.
  • Ensure patients are involved in decisions about their care and to respond to their views.
  • Demonstrate, model and encourage Trust Values at all times to all patients and staff.
2. Research, Teaching and Training
  • Provide high quality teaching to medical undergraduates and members of other health care professions as agreed with the Service Lead. To contribute to training and teaching of medical trainees, medical students, other doctors in training and other staff groups.
  • Act as a clinical supervisor and appraiser as delegated by the Clinical Director/Service Lead to ensure external accreditation of training post.
  • Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research/audit portfolio, at all times meeting the full requirements of Research Governance.
  • Ensure that your mandatory training is up to date as per Trust policy.
  • The Trust expects all consultants to participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. Consultants may apply to the study leave budget for help with associated expenses in line with the terms and conditions of their contract. In addition consultants will be expected to undertake some non-clinical training and development at the discretion of the trust management, for example, Leadership Training.
3. Performance Management
  • To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
  • Clinical efficiency e.g. Length of Stay (LOS) reductions, admission on day of surgery, reducing cancelled operations and DNA rates.
  • Quality of outcomes e.g. infection control targets, reducing re-admission 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. day-case rates, waiting list activity and demand management.
4. Medical Staff Management and Accountability
  • Work with colleagues to ensure Junior doctors hours are compliant in line with EWTD and New Deal.
  • Ensure that Trust systems and procedures are in place and followed to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including oncall commitments.
  • Adhere to Trust / department guidelines on leave, including requesting and reporting absence, and professional and study leave, and to ensure that members of staff for whom you are responsible do the same.
  • Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead.
  • Participate in team objective setting as part of the annual job planning cycle.
  • Be responsible for ongoing assessment and regular appraisal of all doctors in training, Trust doctors and non-consultant grades as delegated by the Clinical Director/Service Lead /General Manager.
  • Participate fully in regular departmental activities including department meetings and team building activities.
5. Governance
  • Adherence to referral pathways for ENT MDT is essential.
  • Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead.
  • Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
  • Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead.
  • Participate in ensuring NICE, NSF, CNST and other national guidance requirements are reviewed and implemented and monitored in the speciality areas.
  • Ensure clinical guidelines and protocols are adhered to by junior medical staff and any other staff for whom the post has responsibility and that these are updated on a regular basis.
  • Keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead.
  • To role model good practice for infection control to all members of the multidisciplinary team and adhere to the Trust Infection Control measures (available on the Trust Intranet).
  • To report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.
7. Strategy and Business Planning
  • Work with medical managers and general managers to take forward the business planning and objective setting process for the directorate and Trust where appropriate.
  • Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead.
  • To attend and contribute at regular Departmental meetings as identified by the Clinical Lead.
8. Leadership and Team Working
  • Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.
  • Participate in any necessary management and leadership development courses as required by the
  • Work collaboratively with all members of the multi-disciplinary team and Imperial College as required.
  • Set up and chair meetings relevant for clinical domain.
  • To promote local resolution of any conflict or differences of opinion. To involve appropriate parties for mediation, negotiation or discussion as appropriate.
  • Provide commitment and leadership in relation to equality and appropriate senior level management of diversity issues, particularly as they apply to training, people management and service delivery.
9. Appraisal & Revalidation
The post holder is required to participate in the annual appraisal system in line with the Trusts appraisal and revalidation guidelines. Individual appraisal interviews will be held annually and reports, (including updated job plans) submitted to the Medical Director or HR Director. You are expected to inform yourself of the annual timetable for appraisal and ensure that appropriate time is set aside to update your portfolio and your mandatory requirements.

Please refer to our detailed job description for more information

Person Specification
Skills & Knowledge
  • Solid Understanding of the Clinical Governance Agenda
  • Evidence of significant contribution to the Clinical Governance Agenda particularly CNST preparation
  • Experience of undergraduate teaching and post graduate training
Clinical Experience
  • Evidence of broad based training experience in ENT to that required for a UK CCS
Education and Qualifications
  • Full GMC Registration
  • Relevant CCT or equivalent (equivalence must be confirmed by PMET/GMC by date if Advisory Appointments Committee (AAC))
  • Entry on GMC Specialist Register OR eligible within 6 months of the date of the Advisory Appointments Committee
  • An MD or equivalent higher postgraduate training
  • Good understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council.

BMJRef: BMJ-116474/289-PCD-LCON-0321

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