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Job summary

Main area
General Surgery
Grade
NHS Medical & Dental: Consultant
Contract
Permanent: 1:7 on call
Hours
Full time - 10 sessions per week (1:7 on call)
Job ref
197-AA6059
Employer
Lewisham and Greenwich NHS Trust
Employer type
NHS
Site
UHL
Town
Lewisham
Salary
拢105,504 - 拢139,882 per annum
Salary period
Yearly
Closing
05/01/2025 23:59
Interview date
05/02/2025

Employer heading

Lewisham and Greenwich NHS Trust logo

Consultant in General Surgery with an interest in Upper GI Surgery

NHS Medical & Dental: Consultant

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley.听We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary鈥檚 Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 鈥 the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

To achieve this we value Respect, Compassion, and Inclusion; Being accountable听over听staying comfortable; Listening听overalways knowing best; and Succeeding together听overachieving alone.听

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as 鈥済ood鈥 or 鈥渙utstanding鈥 in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King鈥檚 College London鈥檚 GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

PLEASE NOTE WE ARE SEEKING 2 SUBSTANTIVE UGI CONSULTANTS @ UHL.

We are seeking to recruit an enthusiastic, progressive consultant to join our general surgery department. The post will include managing elective and emergency general surgery. There are distinct training and supervisory roles to mentor medical students as well as trainees. The appointee must possess advanced laparoscopic skills. An understanding of streamlining of care and continued adherence with best-practice guidelines is also essential. Upper GI Surgical training and endoscopy experience are also essential.

The appointee should be a fully trained general and benign upper GI surgeon.

Main duties of the job

This post will improve the quality and long term sustainability of the care of our general surgery patients in line with both the Trust鈥檚 and Commissioners鈥 intentions. The post holder will lead transformational change and help develop further an innovative, modern surgical service as well as provide teaching to undergraduate & postgraduate trainees, in liaison with the other Consultant members of the Department.

The job plan will consist of ten programmed activities (10 PAs), including 1.5 SPAs and emergency work. The successful candidate will be expected to participate in an internal arrangement to provide cross-cover during absences.

The Department holds regular audit, clinical and business meetings.听 All consultants and junior staff are expected to attend unless prior notice is given.

These fixed commitments within the timetable may be subject to change depending on the needs of the department. The post-holder will be expected to demonstrate flexibility in frequency and arrangement of outpatient and theatre sessions.

Working for our organisation

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

  1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream

Detailed job description and main responsibilities

1.听听听听听听 Clinical

The main duties of this post include both Elective and Emergency responsibilities:

1.1.听听听听听听听 Provide consultant care at an early stage to patients presenting to secondary care with presumed emergency general surgical problems.

1.2.听听听听听听听 Facilitate early senior review to ensure all patients are reviewed within 1 hour of referral to specialty.

1.3.听听听听听听听 Facilitate early decision making for investigation or surgical intervention.

1.4.听听听听听听听 Promote early and safe discharge through regular consultant review of emergency and elective surgical inpatients.

1.5.听听听听听听听 Deliver consultant review of all non-elective admissions within 12 hours of admission in conjunction with the on call emergency surgical consultant.

1.6.听听听听听听听 Establish new patient pathways alongside colleagues working in the Trust emergency department and local GPs to establish direct, rapid access and assessment of patients with potential acute general surgical conditions

1.7.听听听听听听听 To collaborate with General Surgeons to achieve the 18 week referral to treatment targets for both general and specialist workload

1.8.听听听听听听听 To provide elective benign Upper GI Surgery including biliary surgery and antireflux surgery

1.9.听听听听听听听 To provide training in Upper Gastrointestinal for trainees

1.10.听听听 To participate in postgraduate teaching

2.听听听听听听 听听听Provide High Quality Care to Patients

2.1听听听 The post holder must adhere to the standards outlined by the GMC for Good Medical Practice.

2.2听听听听听听 Develop and maintain the competencies required to carry out the duties required of the post.

2.3听听听听听听 Ensure prompt attendance at agreed direct clinical care Programmed Activities.

2.4听听 听听 Ensure patients are involved in decisions about their care and to respond to their views.

2.5听听听 Demonstrate, model and encourage Trust Values at all times to all patients and staff.

3.听听听听听听 听听听Research, Teaching and Training

3.1.听听听听听听听 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.

3.2.听听听听听听听 Act as a clinical supervisor and appraiser as delegated by the Clinical Director/Service Lead to ensure external accreditation of training post.

3.3.听听听听听听听 Where possible to collaborate with academic and clinical colleagues to enhance the Trust鈥檚 translational research/audit portfolio, at all times meeting the full requirements of Research Governance.听

3.4.听听听听听听听 Ensure that your mandatory training is up to date as per Trust policy.听

3.5.听听听听听听听 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.

4.听听听听听听 听听听Performance Management

To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

4.1.听听听听听听听 Clinical efficiency e.g. Length of Stay (LOS) reductions, admission on day of surgery, reducing cancelled operations and DNA rates.

4.2.听听听听听听听 Quality of outcomes e.g. infection control targets, reducing re-admission rates

4.3.听听听听听听听 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.听听听听听听听

4.4.听听听听听听听 Operational efficiency e.g. day-case rates, waiting list activity and demand management.听

5.听听听听听听听听 Medical Staff Management and Accountability

5.1听听听听听听听 Work with colleagues to ensure junior doctors鈥 hours are compliant in line with EWTD and New Deal.

5.2听听听听听听听 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 on-call commitments.

5.3听听听听听听听 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.

5.4听听听听听听听 Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead.

5.5听听听听听听听 Participate in team objective setting as part of the annual job planning cycle.

5.6听听听听听听听 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.

5.7听听听听听听听 Participate fully in regular departmental activities including department meetings and team building activities.

6.听听听听听听 听听听Governance

6.1听听听听听听 Adherence to referral pathways for surgical oncology is expected. While the postholder is not expected to be a member of a cancer MDT, from time to time representation of patients may be required.

6.2听听听听听听听 听听Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead.

6.3听听听听听听听 Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.

6.4听听听听听听听 Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead.

6.5听听听听听听听 Participate in ensuring NICE, NSF, CNST and other national guidance requirements are reviewed and implemented and monitored in the speciality areas.

6.6听听听听听听听 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.

6.7听听听听听听听 Keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead.

6.8听听听听听听听 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).

6.9听听听听听听听 To report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.

7.听听 Strategy and Business Planning

7.1听听听听 Work with medical managers and general managers to take forward the business planning and objective setting process for the directorate and Trust where appropriate.

7.2听听听听听听听 Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead.

7.3听听听听听听听 To attend and contribute at regular Departmental meetings as identified by the Clinical Lead.

8.0听听听 Leadership and Team Working

8.1听听 Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.

8.2听 听听 Participate in any necessary management and leadership development courses as required by the听听 trust.

8.3听听 Work collaboratively with all members of the multi-disciplinary team and Imperial College as required.

8.4听听 Set up and chair meetings relevant for clinical domain.

8.5听听 To promote local resolution of any conflict or differences of opinion. To involve appropriate parties for mediation, negotiation or discussion as appropriate.

8.6听 听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.

8.7听 The successful candidates will be invited to a mentoring program for newly appointed consultants with the Medical Director with the same level of support and mentoring available during weekday and weekend working.

Person specification

Qualifications

Essential criteria
  • 鈥 Full GMC Registration and Licence to Practice
  • 鈥 MB BS or equivalent
  • 鈥 FRCS (Gen Surg) or equivalent
  • 鈥 On the GMC specialist register or within 6 months of obtaining this
Desirable criteria
  • PhD / MS / MD / MSc

Clinical Experience

Essential criteria
  • 鈥 Wide experience of emergency general surgery with evidence of practice within 6 months of appointment
  • 鈥 Good experience of elective and emergency upper and lower GI surgery with evidence of practice within 6 months of appointment
  • 鈥 Knowledge of UK hospital systems
  • 鈥 Upper GI subspeciality experience and training
  • 鈥 Proficiency in diagnostic Upper GI Endoscopy (JAG accreditation)
Desirable criteria
  • 鈥 Upper GI subspecialty experience and training
  • 鈥 Experience in establishing and improving patient pathways to improve patient outcomes

Clinical Audit

Essential criteria
  • 鈥 Experience of clinical audit
  • 鈥 Demonstrable understanding and acceptance of the principles of Clinical Governance
Desirable criteria
  • 鈥 Experience and evidence of involvement in Quality Improvement

Teaching Experience

Essential criteria
  • 鈥 Evidence of organizing programmes and teaching medical students and junior doctors
  • 鈥 Willingness to teach all grades of professional multidisciplinary team
Desirable criteria
  • 鈥 Postgraduate training
  • 鈥 Formal course for training
  • 鈥 Completed 鈥淭raining the Trainers鈥 course

Management and Administrative Experience

Essential criteria
  • 鈥 Willingness to participate in clinical management
  • 鈥 Awareness of new developments in the specialty with ability to critically assess the impact of these on the service
Desirable criteria
  • 鈥 Attended management training
  • 鈥 Evidence of rota management

Research Experience

Essential criteria
  • Ability to convert research evidence into clinical practice
Desirable criteria
  • Evidence of active participation in surgical research
  • Thesis
  • Published papers

Other Attributes

Essential criteria
  • 鈥 Evidence of team working ability and supporting colleagues
  • 鈥 Ability to work flexibly in response to the changing needs of the Service

Employer certification / accreditation badges

Veteran AwareWe offer Wagestream - A financial wellbeing benefit which lets you access your pay as you earn it.NHS Rainbow badgePrince's Trust - Proud to support the Prince's trust - Youth can do it

Applicant requirements

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Further details / informal visits contact

Name
Mr Paolo Sorelli
Job title
Clinical Director
Email address
[email protected]
Telephone number
07779577850
Additional information

Further information can be obtained from: Mr P Sorelli (Clinical Director, Surgery) [email protected] or Mrs J Clifton (Associate General Manager) [email protected]