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Specialty Doctor General Surgery

Employer
West Suffolk NHS Foundation Trust
Location
Bury St Edmunds
Salary
£52,530 to £82,400 a year
Closing date
12 Oct 2023

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Profession
Specialist doctor, General surgery
Grade
Specialty doctor
Contract Type
Permanent
Hours
Full Time

Job Details

The new appointee will join the existing Generals Surgeons rotating through teams and working across all the Surgical Specialties. The candidate will be required in the first instance to rotate through the upper GI, colorectal and breast specialties in conjunction with Specialist Registrars working within the department.

We are looking for a person who is highly motivated and capable to assist in the management of general surgical conditions within the Trust. If you have particular expertise in certain procedures or wish to acquire further skills that are of benefit to the trust, then this will be actively discussed and supported within the strategic and financial constraints that currently exist.

You will support the provision of a high-quality general surgery service across a range of areas, including but not limited to outpatient delivery (including 2 week wait appointments), elective and emergency theatres, surgical assessment unit and on-call, as well as surgical audits and longer term service developments.

The role provides an amazing opportunity to work across a wide range of settings and further develop your clinical skills.

Previous applicants need not apply.

Please see job description attached for full details

Main duties of the job

The new appointee will be expected to have a broad understanding, knowledge and UK based experience of general surgery, laparoscopic and breast surgery and endoscopy.

The new appointee will be expected to be familiar with and competent in the investigation and treatment of patients with gastrointestinal disease including endoscopy.

On call 1:8 with prospective cover for general surgical emergencies. Intermediate cover within the department is provided by Foundation/Core Trainee doctors and Specialist Registrars/Trust Grade doctors.

Elective general surgery dependent on the experience of the successful candidate and case mix.

Responsible for colorectal rapid access outpatient clinics.

To work with colleagues to audit activity and undertake research to ensure uniformly high standard of care.

To participate in the teaching of undergraduates and other professional groups and to provide clinical supervision and training of junior hospital doctors.

To participate in continuing professional development activities and in the Trusts appraisal and assessment processes, which include a formal annual appraisal.

To participate in revalidation as required by the General Medical Council.

About us

#BeKnown at West Suffolk NHS Foundation Trust. By us. By our patients. By our community

Were a busy, friendly, rural NHS Trust providing high-quality care and compassion to more than a quarter of a million people across west Suffolk. We care for, treat and support people in hospital, at home and in various community settings.

The West Suffolk Hospital in Bury St Edmunds provides acute and secondary care services (emergency department, maternity and neonatal services, day surgery unit, eye treatment centre, Macmillan unit and childrens ward). It has 500+ beds and is a partner teaching hospital of the University of Cambridge.

Adult and paediatric community services, provided in collaboration with West Suffolk Alliance partners, include a range of nursing, therapy, specialist, and ongoing temporary care and rehabilitation, some at our Newmarket Community Hospital.

We do our utmost to achieve outstanding clinical outcomes for patients and our values of fairness, inclusivity, respect, safety and team work guide how we work and behave as a team.

With nearly 5,000 staff, from all over the world, we strive to make our organisation a great place to work. Whatever your role or ambition, we want to help you be the best you can be.

We promote a diverse and inclusive community where everyones voice counts and you can #BeKnown for whoever you are.

Join us. What will you #BeKnown for?

Job description
Job responsibilities

Please see full Job description Attached

The new appointee will join the middle grade team and Consultant Generals Surgeons and will have the opportunity to work across the Surgical Specialties. A job plan will be agreed in discussion with the post holder and the Clinical Director in the first instance and approved by the Medical Director on behalf of the Chief Executive. The plan will be reviewed annually and will provide an opportunity for a discussion of the post-holders personal development plan and adjusted accordingly. The candidate will be required in the first instance to rotate through the upper GI, colorectal and breast specialties in conjunction with Specialist Registrars working within the department.

We are looking for a person who is highly motivated and capable to assist in the management of general surgical conditions within the Trust. If you have particular expertise in certain procedures or wish to acquire further skills that are of benefit to the trust, then this will be actively discussed and supported within the strategic and financial constraints that currently exist.

The Trust delivers services to patients seven days a week and aims to provide equality of treatment and outcome regardless of the day of the week. To meet these aims and changing service requirements, the Trust may need you either to work temporarily outside of your core hours or to permanently change your core working days and hours. The Trust will give you reasonable notice, where possible, of temporary changes to your days or hours of work and will consult with you and/or your staff representatives about substantial permanent changes, but ultimately, these are changes which may be required of you.

The new appointee will be expected to have a broad understanding, knowledge and UK based experience of general surgery, laparoscopic and breast surgery and endoscopy.

The new appointee will be expected to be familiar with and competent in the investigation and treatment of patients with gastrointestinal disease including endoscopy.

On call commitments with cover for general surgical emergencies. Intermediate cover within the department is provided by Foundation/Core Trainee doctors and Specialist Registrars/Trust Grade doctors.

The surgical rosters are currently under review, with the department increasing its capacity of doctors to support its Surgical Assessment Unit as well as continuing to deliver a high-quality surgical service.

The rotas average PAs over the 12 weeks is approximately 12 PAs although these are agreed over time on an individual basis.

The roster will include 1 in 6 weekends working, night shifts, clinics and supported development time to ensure educational needs are met.

Elective general surgery dependent on the experience of the successful candidate and case mix.

Responsible for colorectal rapid access outpatient clinics.

To work with colleagues to audit activity and undertake research to ensure uniformly high standard of care.

To participate in the teaching of undergraduates and other professional groups and to provide clinical supervision and training of junior hospital doctors.

To participate in continuing professional development activities and in the Trusts appraisal and assessment processes, which include a formal annual appraisal.

To participate in revalidation as required by the General Medical Council.

There are currently seven consultant colorectal surgeons (Mr Alberts, Mr Keeling, Mr Athisayaraj, Mr Sebastian, Mr Lord, Mr Ward, Mr Rahbour) and four upper GI surgeons (Mr ORiordan, Mr Vickery, Miss Wells and Mr Patel) who staff the Department of GI surgery.

All Surgeons currently undertake laparoscopic surgery as part of their specialist interests. We have fully equipped GI theatres with Stortz 4K stacks and both Harmonic scalpel and Ligasure are available. The range of laparoscopic operations undertaken in the unit include anti-reflux surgery, splenectomy, gastro-jejunostomy, bile duct exploration, colonic and rectal resection for both benign and malignant disease. We have an established TAMIS (Trans Anal Minimally Invasive Surgery) service for both benign and malignant rectal lesions.

There is a thriving pelvic floor subspecialty within the department and we now have the capability to provide dynamic proctograms and anorectal manometry studies. Plans are in place to offer endoanal ultrasound scanning in the near future. Pelvic floor MDTs are held on a monthly basis in conjunction with two urogynaecologists, a urologist, hospital and community physiotherapy. There are established links with the Eastern group of the Pelvic Floor Society.

Two colorectal specialist nurses and two stoma care nurses are integral to the care of our patients with colorectal disease. A weekly colorectal MDT is held each Wednesday in a dedicated multidisciplinary conference room. We are currently streamlining our service with a straight to test endoscopy pathway for two-week-wait patients.

Two upper GI specialist nurse helps with the care of patients with both benign and malignant disease of the upper GI tract. Surgical resection of gastro-oesophageal carcinoma is performed at Addenbrookes Hospital with a cancer network SMDT by teleconference each week.

There is a daily NCEPOD emergency list every day. Only life and limb-threatening surgery is performed after 22.00 hours. Vascular emergencies are transferred to Addenbrookes Hospital, Cambridge.

Four Consultant Radiologists have a sub-speciality interest in GI pathology and the Radiology Department provides full investigative facilities with 2 multi-slice CT scanners and 2 MRI scanners. CT pneumocolon is performed regularly in addition to MR enteroscopy. All images of radiological investigations are available to view from any networked computer via the PACS system, accessed through the electronic notes system, eCare.

The Endoscopy Unit provides modern and very well-equipped facilities with 24-hour availability for emergency procedures. There is a separate upper GI bleeding rota staffed by the gastroenterologists. Endoscopic Argon Plasma Coagulation and gold probe coagulation are available. There are two ERCP lists each week in modern facilities in radiology performed by Mr ORiordan, Dr Mawas & Dr Whalley. Colonic stent placement also takes place in the radiology department.

We have the full support of our histopathology department whose consultants attend our multidisciplinary team meetings.

Patients requiring pancreatic resections are currently referred to Addenbrookes Hospital in Cambridge.

Chemotherapy is administered at the West Suffolk Hospital in the MacMillan Cancer Unit. Radiotherapy is provided at Addenbrookes Hospital. Dr Dan Patterson and Dr May Stancliffe are the oncologists responsible for GI cancer patients. The St Nicholas Hospice is on the West Suffolk Hospital site and provides ready access to palliative and terminal care.

An in-house Diagnostic and Treatment Centre for in-patient orthopaedics, ophthalmology and day surgery was opened in 2003.

Seven gastroenterologists provide support in management of all aspects of gastrointestinal disease.

The department collates its data on GI cancer management and submits nationally to the AUGIS and ACP databases.

Miss Aitken, Mr Coveney, Mr Girgis and Mr Kumar provide breast, endocrine and oncoplastic

Person Specification
Qualifications
Essential

  • Full GMC registration with a licence to practise
  • MRCS

Desirable

  • FRCS

Experience
Essential

  • Shall have completed at least four years full time postgraduate training (or its equivalent gained on a part-time or flexible basis) at least two of which will be in a specialty training programme in a relevant specialty or as a fixed term specialty trainee in a relevant specialty or shall have equivalent experience and competencies
  • A minimum of 2 years work experience in acute general surgery involving outpatient clinics and theatres at SpR level at time of commencement
  • A minimum of 2 years experience in diagnostic and therapeutic upper and lower gastrointestinal endoscopy
  • A minimum of 2 years experience in laparoscopic surgery
  • A minimum of 2 years experience in colorectal rapid access clinics

Desirable

  • 2 years UK
  • work experience in
  • acute General Surgery
  • involving outpatients
  • clinics & theatres
  • at SpR level at commencement

Technical Skills
Essential

  • Demonstrable experience in laparoscopic
  • surgery and endoscopy

Personal Attributes

Essential

  • Honesty and reliability
  • Ability to work in a team
  • Enquiring, critical approach to work
  • Caring attitude to patients
  • Ability to communicate effectively with
  • patients, relatives, GPs, nurses and
  • other agencies

Clinical Governance & Management Ability

Essential

  • Evidence of effective participation in clinical
  • governance and audit
  • Evidence of ability to manage staff

Teaching Education

Essential

  • Evidence of commitment to teaching
  • Commitment to teaching medical students and nursing staff

C9179-MSJ33-23

 

Company

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