Locum Consultant in Obstetrics and Gynaecology

This is a 10 PA locum appointment for a Consultant Obstetrician and Gynaecologist at St James's Hospital and Leeds General Infirmary, Leeds. The post will be available immediately for a period of 6 months with a possibility of extension to 12 months.

This post will deliver 10 PAs supporting the Obstetric and Gynaecology team across Leeds General Infirmary and St James University Hospital.

This is a post to cover maternity leave. We want to encourage the successful candidate to develop a specialist interest within their job plan, supported by the wider Obstetric and Gynaecology team following discussion with the Department.

The post will be based at St James's University Hospital and the Women's Clinical Service Unit (CSU) in Leeds provides comprehensive secondary care for the local population and enjoys a position as a regional centre for all subspecialties. There are 23 obstetric Consultants within the Women's Clinical Service Unit.

We were recently rated Good by the CQC.

Main duties of the job

To deliver Obstetrics and Gynaecology care to patients at the Leeds Teaching Hospital Trust including:

Antenatal out-patient clinics

Elective Caesarean section lists

Supervision of patients

Obstetric and Gynaecology Ambulatory areas, including postnatal ward review.

Care of in-patients on an Obstetric hot week rota (1 in 11)

Contribute to multi-disciplinary team meetings, including perinatal morbidity and mortality reviews, audit and teaching

To deliver 1 PAs clinical care reflecting the interests, to include mentoring and support provided from within the department. Areas of potential interest may include: Vulval clinic/Vulvoscopy, Diabetes clinic, High Risk Obstetrics, Ambulatory Gynaecology or other interest, which the team can support.

To link with Consultant colleagues in other relevant site specialist teams within the Clinical Service Unit and across Leeds Teaching Hospital

To work with colleagues to deliver acute on call (currently 1 in 10) for Obstetrics only. This includes both out-of-hours cover in addition to acute ward rounds during normal working hours

To contribute to research, teaching and new developments within the CSU. The post holder will be encouraged to facilitate and contribute to the current clinical research programs on going in the department.

About us

The St James's Maternity Unit, which is located in Gledhow Wing, deals with approximately 4,700 deliveries per year. The Leeds General Infirmary Maternity Unit, located within Clarendon Wing, has around 4,900 deliveries per annum. Each Unit has a General Antenatal Outpatient Department, an Antenatal Day Unit, Maternity Assessment Unit, Fetal Assessment Unit and Obstetric Ultrasound Department. Consultant presence is currently around 85 hours per week at each unit. Fetal Medicine is based at LGI.

Job description
Job responsibilities

Obstetric Departments

Women's Clinical Service Unit (CSU) in Leeds provides comprehensive secondary care for the local population and enjoys a position as a regional centre for all subspecialties. There are 23 obstetric Consultants within the Women's Clinical Service Unit. The St James's Maternity Unit, which is located in Gledhow Wing, deals with approximately 4,700 deliveries per year. The Leeds General Infirmary Maternity Unit, located within Clarendon Wing, has around 4,900 deliveries per annum. Each Unit has a General Antenatal Outpatient Department, an Antenatal Day Unit, Maternity Assessment Unit, Fetal Assessment Unit and Obstetric Ultrasound Department. Consultant presence is currently around 85 hours per week at each unit. Fetal Medicine is based at LGI.

Antenatal Outpatients

In addition to high risk antenatal clinics, there are a variety of specialist clinics run in conjunction with the relevant Physicians on either the St James's or LGI site. These include a Cardiac Clinic, Renal Clinic, Diabetic Clinic, Substance Abuse Clinic, Endocrine Clinic (thyroid, adrenal and pituitary), Teenage Pregnancy Clinic, Preterm Prevention Clinic, Obstetric Haematology Clinic and a Rheumatology clinic.
The Early Pregnancy Assessment Unit is located at St James's and, although it comes under the auspices of Gynaecology, there are naturally close links between the Obstetric Departments and EPAU. A recurrent miscarriage clinic is run from the EPAU providing both a diagnostic service and support in early pregnancy. Fetal Medicine The Fetal Medicine Unit runs clinics five days a week at LGI offering invasive prenatal diagnosis, diagnosis and management of congenital anomalies, rhesus disease including in-utero transfusions. The Building the Leeds Way project is an exciting development that involves, amongst other projects, the construction of a major new hospital at the Leeds General Infirmary site. On completion, the maternity services from both current sites will merge to this new hospital, creating one of the largest and newest maternity units in the country Gynaecology
The post holder will join a team of 11 consultants. There is also a large team of nurse specialists who deliver clinical expertise in sub-specialty areas of Urogynaecology, Colposcopy and Hysteroscopy. The CSU provides secondary and tertiary services for Leeds, Yorkshire and significant parts of the North of England.

The Leeds Centre for Women's Health comprises a gynaecology ward, the gynaecology day-case unit, acute gynaecology and early pregnancy unit (GATU & EPU) and is based on the St James's site. Our outpatient facility is located close to the inpatient unit, and enables the team to undertake more procedures in the outpatient setting and with the necessary facilities for assessment, diagnosis and treatment, usually on the same day. This department has recently incorporated gynaecology ultrasound scanning facilities to streamline the pathway. This hub is the home of the gynaecology nurse specialists, who already deliver a higher volume of nurse-led diagnosis and treatment clinics than any other centre nationally.

We work closely with community gynaecology services and launched the Integrated Gynaecology Service in partnership Leeds Community Healthcare NHS Trust in 2018. This has been very successful and enabled both teams to care for patients in the right setting.

JOB PLAN AND WORKING ARRANGEMENTS

The post consists of 10 PAs with 8.5 PAs of direct clinical care (DCC) and 1.5 PAs of supporting professional activity (SPA). These 10 PAs will be delivered in Obstetrics and Gynaecology at LTHT. This job plan will fit together with colleagues job-plans with a careful rota of clinical sessions, to ensure robust cover.

The job plan review will take place annually, normally with the Clinical Director or Lead Clinician for Obstetrics. The annual job plan review may result in a revised job plan. There may be an interim review of the job plan where duties, responsibilities, accountability arrangements or objectives have changed or need to change significantly within the area. Please see the job description document for full details of proposed job plan.

Person Specification
Additional
Essential

• Medically fit to fulfil ALL aspects of the post, and to be able to respond quickly to emergencies, as necessary
• Meets professional health requirements(in line with GMC standards/Good Medical Practice)
• Hold full GMC Registration with a license to practice.
• Entry on the GMC Specialist Register via: CCT (proposed CCT date must be within 6 months of interview)/ CESR (or) European Community Rights

Qualifications
Essential

• MB BS (or equivalent)
• MRCOG 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 Gynaecology
• Demonstrate higher training in experience of Labour ward management at a high level and demonstrate full range of skills necessary to provide expert care in a tertiary referral obstetric unit
• Demonstrate higher training in experience in independent gynaecology practice relevant to post
• Evidence of continuous career progression consistent with personal circumstances.
• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice.
• Eligibility to work in the UK.
• Is up to date and fit to practise safely
• Should have completed a recognised training programme in labour ward and gynaecological practice.
• Evidence of the ability to carry out medical research.
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues
• Experience in training undergraduate medical students and postgraduate doctors.
• Experience of participation in regular clinical audit.
• Understanding of current issues in the NHS.
• Evidence of QI/Governance Experience/Service Improvement
• Well organised and skilled in good time management.
• Effective interpersonal skills.
• Demonstrate ability to relate to and work within a team.

Desirable

• Experience advanced obstetric and gynaecology skills.
• ATSM or SITM relevant to post
• Previous experience of supervising research by junior staff.
• Evidence of ongoing research or recent involvement as PI.
• GCP
• Previous attendance on Appraisal Techniques and Small Group Teaching Workshops.
• Attendance at recognised management course.
• Experience working for NHSE or Network organisations or similar

C9298-MED-597