Leeds Teaching Hospitals NHS Trust

Locum Consultant in Organ Retrieval and Hepatobiliary Surgery

St. Jamess University Hospital, Leeds

We are looking for a passionate individual who is required to fill a Locum Consultant post within the Hepatobiliary and Transplant Surgery Department at St Jamess University Hospital.

The Liver transplant programme in Leeds is well established and is the third-largest liver transplant unit in the country. Leeds is leading nationally in Living Donor Liver Transplantation. Annually, the unit performs 130-140 adult and 20-25 paediatric liver transplants. The Transplant & Hepatobiliary unit in Leeds delivers over 1000 major procedures annually.

Applicants should have established skills in Organ Retrieval and Hepatobiliary Surgery. Experience in Machine perfusion and NRP is highly desirable. There is a Hepatobiliary surgery component to this job which will involve dealing with liver and biliary pathology along with other aspects of general surgery. Leeds Teaching Hospitals currently provides cover for Organ retrieval for 39 weeks annually. A strong commitment to undergraduate and postgraduate teaching and research interest is desirable

The successful applicant should possess FRCS (or equivalent) and should be included on the Specialist Register or within 6 months of CCT at the time of the interview, if currently within a training programme within the UK.

Main duties of the job

To support the delivery of Hepatobiliary, Organ Retrieval (NORS) and General Surgery services at Leeds Teaching Hospitals and achieve and sustain performance against key national waiting time standards.

To act as an ambassador for the Leeds NORS service and contribute to the role of Leeds as a training centre for Retrieval and Transplant Surgery.

To participate and lead in Hepatobiliary and Organ Retrieval clinical audits and help drive quality improvement efficiency and productivity service initiatives within the department.

To work alongside the Clinical lead in delivering robust governance frameworks in line with the commissioning and internal processes.

To participate in a 1:4 Consultant Retrieval on-call rota to provide in-hours and out-of-hours organ retrieval services and Transplant.

To be flexible for service requirements, provide clinical expertise to the teams based in referring centres and sustain Leeds as a centre of excellence in specialist care.

To maintain and develop clinical research in Organ procurement, preservation, and Hepatobiliary surgery and drive innovation.

To contribute to the role of Leeds as a training centre for Hepatobiliary surgery and organ procurement

About us

Leeds Teaching Hospitals is one the largest teaching hospital trusts in Europe, with access to leading clinical expertise and medical technology. We care for people from all over the country as well as the 780,000 residents of Leeds itself.

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating, and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description
Job responsibilities

THE LEEDS TEACHING HOSPITALS NHS TRUST

DEPARTMENT OF Abdominal Medicine & Surgery

JOB DESCRIPTION

LOCUM CONSULTANT ORGAN RETRIEVAL and HEPATOBILIARY SURGEON

1. BACKGROUND

Leeds Teaching Hospitals is one the largest teaching hospital trusts in Europe, with access to leading clinical expertise and medical technology. We care for people from all over the country as well as the 780,000 residents of Leeds itself. The Trust has a budget of 1.1 billion. Our 20,000 staff ensure that every year we see and treat over 1,500,000 people in our 2,000 beds or out-patient settings, comprising 100,000-day cases, 125,000 in-patients, 260,000 A& E visits and 1,050,000 out-patient appointments. We operate from 7 hospitals on 5 sites all linked by the same vision, philosophy, and culture to be the best for specialist and integrated care.

Our vision is based on The Leeds Way, which is a clear statement of who we are and what we believe, founded on values of working that were put forward by our own staff. Our values are to be:

Patient-centred

Fair

Collaborative

Accountable

Empowered

We believe that by being true to these values, we will consistently achieve and continuously improve our results in relation to our goals, which are to be:

1. The best for patient safety, quality, and experience

2. The best place to work

3. A centre of excellence for specialist services, education, research, and innovation

4. Hospitals that offer seamless, integrated care

5. Financially sustainable

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating, and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

In relation to this post, the Hepatobiliary and Liver Transplant surgery team consists of 8 full-time consultants who deliver services across Yorkshire and the North-West region. The service currently delivers:

Around 150 Adult & Paediatric Liver Transplantation with a scope to do 175 transplants a year

Around 200 Organ Retrievals

Over 300 Liver Resections

Active Live Donor Liver Transplant Program for Adult & Paediatric Recipients within NHS

2. OBJECTIVES OF THE POST

To support the delivery of Hepatobiliary, Organ Retrieval (NORS) and General Surgery services at Leeds Teaching Hospitals and achieve and sustain performance against key national waiting time standards.

To act as an ambassador for the Leeds NORS service and contribute to the role of Leeds as a training centre for Retrieval and Transplant Surgery.

To participate and lead in Hepatobiliary and Organ Retrieval clinical audits and help drive quality improvement efficiency and productivity service initiatives within the department.

To work alongside the Clinical lead in delivering robust governance frameworks in line with the commissioning and internal processes.

To participate in a 1:4 Consultant Retrieval on-call rota to provide in-hours and out-of-hours organ retrieval services and Transplant.

To be flexible for service requirements, provide clinical expertise to the teams based in referring centres and sustain Leeds as a centre of excellence in specialist care.

To maintain and develop clinical research in Organ procurement, preservation, and Hepatobiliary surgery and drive innovation.

To contribute to the role of Leeds as a training centre for Hepatobiliary surgery and organ procurement

3. REQUIREMENTS OF THE POST

3.1 Service Delivery

General

The Trust expects consultants to deliver clinical service as agreed with commissioners and other stakeholders. This will include:

meeting the objectives of the post (see above)

continuously improving the quality and efficiency of personal and team practice

working with other staff and teams to ensure that the various criteria for service delivery are met, such as

achieving the best clinical outcomes within the resources available

waiting times

infection control standards

Consultants in LTHT are line managed by their specialty Lead Clinician working in conjunction with a Business Manager. This specialty team is then managed alongside a number of other specialities in a Clinical Service (or Support) Unit (CSU) led by a Clinical Director as the responsible person and supported by a full-time General Manager and a full-time Head of Nursing.

The Clinical Director and their team report operationally to the Chief Operating Officer (COO). The Clinical Director will work closely with the Chief Operating Officers team which includes two Medical Directors for Operations, Nurse Directors for Operations, Deputy Chief Operating Officer, Assistant Directors of Operations (ADOs) and a Performance Team, with each ADO aligned to specific CSUs.

Professionally, consultants report to Dr Phil Wood, Chief Medical Officer

Service specific

This is a new post for a locum Consultant Hepatobiliary and Organ Retrieval Surgeon within the Hepatobiliary and Transplantation surgery department at Leeds Teaching Hospitals NHS Trust. The appointee will join other consultants within the speciality to provide and develop a comprehensive Hepatobiliary and Organ retrieval (part of the National Organ Retrieval Service) service to Yorkshire and the wider region. Hepatobiliary and Organ retrieval experience is essential. Experience in Machine preservation, NRP and minimally invasive liver surgery is desirable. Leeds Teaching Hospitals has a strong clinical management, teaching and research reputation.

3.2 Quality

The Trust has a programme of activities that are designed to help consultants improve the quality of the service they offer. This includes a range of activities shown below as examples not all activities can be undertaken every year! Consultants are expected to routinely engage in relevant activities in their specialty that are focussed on quality improvement. This participation should be reflected at annual appraisal and job planning and will be discussed in specialties as part of clinical governance programmes and meetings.

Clinical Audit and standard setting

Clinical audit projects

Development and application of agreed clinical guidelines

Ensuring compliance against relevant national specifications, e.g. NICE guidelines

External Peer review and relevant national audits

Implement improvements identified in GIRFT reviews

Clinical outcome review

Mortality and morbidity reviews

Structured Judgement Reviews

Monitoring of outcomes reflected in routinely collected data

Participation in clinical coding review and improvement

Improving patient safety

Participation in Trust-wide programmes, including mandatory learning

Respond to national patient safety alerts

Implementation of local improvements, including actions from serious incident investigation reports, following clinical review

Promptly record patient safety incidents on Datix and immediately escalate potential serious incidents to the CSU management team

Ensure Duty of Candour requirements are met

Improving service effectiveness and efficiency

Service or system improvement projects, including small scale change, lean or other recognised improvement methods

Conducting or considering reviews of the evidence to plan better service delivery

Where agreed, working with commissioners to match service delivery with requirements of relevant populations

Improving the patient experience

Implementing service improvements based on individual or service feedback from patients or carers

Raising the profile and impact of patient participation in decisions about their own care

Involvement in understanding and improving the ethical basis of care provided, utilising where necessary the trusts clinical ethics committee

Respond to complaints in a timely and open manner and ensure lessons are learned for future patient care

3.3 Research

The Trusts Research Strategy encourages all clinicians to participate in high quality, nationally recognised clinical research trials and other well-designed studies, with a particular emphasis on work supported by the National Institute for Health Research. The Trust has several major programmes in experimental medicine and applied health research, developed in partnership with the University of Leeds, which reflect strengths described in the Strategy and clinicians are encouraged to participate in these programmes.

The Trust also supports bespoke academic development and participation programmes linked to the Research Strategy, including academic mentoring, and embedding of clinicians within the major research programmes.

Sessional time required for any participation in research activity will be agreed on commencement and kept under review, but not all consultants will require such sessional time.

3.4 Teaching

The Trust is a Teaching Hospital and therefore considers the active participation of consultant and other medical staff in teaching and training to be part of our core activities. Not all consultants will have regular and substantial teaching commitments, but all will be involved in related activities from time to time, if only through informal opportunities, for example as part of service quality improvement (see above).

For More detail please see attached Job Description

Person Specification

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice.
• Eligibility to work in the UK.
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated

Clinical, Academic, and Personal Skills

Essential

• Should have completed a recognised training programme in General Surgery and have evidence of subspecialist training in Hepatobiliary and Organ Retrieval
• Experience in training undergraduate medical students and postgraduate doctors.
• Experience of participation in regular clinical audit.
• Understanding of current issues in the NHS.
• Medically fit to fulfil ALL aspects of the post, and to be able to respond quickly to emergencies, as necessary.

Desirable

• Previous experience of supervising research by junior staff.
• Previous attendance on Appraisal Techniques and Small Group Teaching Workshops

Qualifications

Essential

• MBBS (or equivalent)
• FRCS or equivalent qualification

Desirable

• Higher degree e.g. MD/PhD relevant to the subspecialty.

Experience

Essential

• Must be able to demonstrate a high level of clinical experience and competence in Hepatobiliary, Organ Retrieval and General Surgery
• Specifically, must demonstrate higher level of clinical experience and competence in Hepatobiliary, and Organ Retrieval.
• Evidence of continuous career progression consistent with personal circumstances.

Desirable

• Experience in Minimally invasive HB surgery, Machine technologies and NRP

Other

Essential

• Applicants must be on the Specialist Register or within six months of being admitted to the Register for trainees if currently in a training programme within the UK, or have references which have been

C9298-MED-340