Job summary
Applications are invited for this replacement post, in Wrightington, Wigan & Leigh NHS Foundation Trust. This post will be based at Leigh Infirmary and will include participation in a 1 in 12 on call rota shared with a neighbouring trust. The successful applicant will join five other Consultants, 4 middle Grades (including 2 SpRs) and 6 WTE specialist nurses. The post-holder will help the department continue to achieve a consultant delivered service and to meet all the separate elements of the government targets.
Main duties of the job
Applicants should have comprehensive experience and training in Urology. They must also be on the Specialist Register or expect to achieve their CCT within 6 months of the interview date. They should be competent in all aspects of core urology. The new appointee should be able to willing and able to develop an interest to complement the needs of the department.
The urology department has an integrated urology unit at Leigh infirmary for all urological out patient investigations and the majority of clinics, including those undertaken by clinical nurse specialists. It includes out-patient clinic space, 3 treatment / procedure rooms, (each with dedicated patient changing) and accommodation for consultant offices and all the departmental administrative support.
The post will involve planned sessional work at Leigh Infirmary, Thomas Linacre outpatients centre and Royal Albert Edward Infirmary, Wigan.
On call cover is shared with the neighbouring Royal Bolton Hospital with each trust providing emergency urology care for both boroughs on an alternate week basis. Hence some emergency and out of hours work will need to be undertaken at Bolton, In future further collaboration is expected with colleagues across both trusts.
About us
Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'.
WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.
At WWL we value the benefits a rich and diverse workforce brings to our community and therefore welcome applications from all sections of society.
Job description
Job responsibilities
Key Results from Postholder
1. The appointee will be based at Leigh Infirmary but will be required to provide a comprehensive urology service to support the Trusts urological workload wherever it is located. The appointee will be responsible for:
2. Providing specialist advice for patients for the prevention and diagnosis of illness referred to them.
3. Accepting personal responsibility for the total clinical care of patients referred to them.
4. Collaborating positively with colleagues to provide effective clinical leadership for all the staff in the
5. Contributing to and participating in the development of the service.
6. Developing a special interest and working closely with the appropriate team to manage waiting lists and reduce waiting times in line with the Trusts protocols and patient charter/service requirements.
7. The post will form part of Surgical Directorate of the Wrightington, Wigan and Leigh NHS Foundation Trust.
8. The postholder will be expected to work with local managers and professional colleagues in the medical contribution to management. In particular, he/she must support the Clinical Director and Clinical Lead across the whole range of their managerial and administrative functions, and share the responsibility for providing services within the resources allocated by the Trust. All facilities within the Trust will be available to the post-holder.
9. Subject to the provisions of the terms and conditions of service, he/she is expected to observe the Trusts agreed policies on clinical matters, and to follow the Standing Orders and Standing Financial Instructions of the Trust. Where employees of the Trust are managed, he/she will be expected to follow the local and national employment and personnel policies and procedure
Work Circumstances and on-call
10. The post is available from 1st September 2024 but a later start is possible through mutual agreement.
11. Named PA / secretarial support will be provided.
12. The appointee will have the assistance of a comprehensive, dedicated secretarial service, in shared office accommodation within the Richmond urology unit, and consultant office space for personal use. Electronic dictation and IT structure allows uploading of urgent dictated correspondence from any trust site.
13. Some sessions will be at Leigh Infirmary, RAE Infirmary, Wigan and Thomas Linacre Centre. Travel between sites is usually kept to a minimum and travel time where necessary is included in PA calculations of the job plan.
14. The appointee will participate in the urology on call rota which is currently a 1 in 12 (out of hours).
15. The on call is shared with a neighbouring trust (Royal Bolton Hospital) with each trust providing emergency urology care to patients across both boroughs on an alternate week basis. As such some emergency work may need to be undertaken at Royal Bolton Hopsital.
16. In the future we aim to forge closer working relationships which could see some non emergency sessions moving between trusts.
17. The successful candidate will be required to live within a reasonable distance of RAEI to be able to meet emergency on-call requirements as they will be on call from home.
18. It is the expectation that on both Saturday and Sundays all urology in patients, including those admitted over the previous 24 hours, will be reviewed by the on call consultant. This is in keeping with RCS and trust guidance. With shared weekend on call cover this currently involves ward rounds at both Wigan infirmary and Royal Bolton Hospital.
19. Appraisal will be carried out with an appointed appraiser as outlined in the consultant contract on a yearly basis
The job plan for the post (draft attached and subject to negotiation and mutual agreement) prepared in accordance with paragraphs 30a, 30b and 61 under the Terms and Conditions of Service for Hospital Medical and Dental Staff will be agreed with the consultant after appointment. The session locations, times and duties of the post may be modified over time to effect change in service needs. Indeed flexibility as to the site and nature of sessions (not timing) allows the department to successfully respond to fluctuations in demand.
Responsibility for Finance
20. To ensure efficient use of resources at all times.
Responsibility for Human Resources
21. To participate in Induction Programmes as required
22. To adhere to all Trust policies and procedures
Responsibility for Health and Safety
23. Be attentive of personal responsibilities in relation to the maintenance of a safe environment and identify potential risks for patients and staff taking action as and when required.
24. Adhere to Trust Healthy and Safety Polices
Responsibility forTeaching
25. The appointee will be expected to participate in the teaching of undergraduate staff and in the professional development of junior medical staff working in the department.
26. This will include responsibility for arranging and monitoring junior staff rotas where appropriate and locum junior staff cover. The department is committed to achieving the full requirements of teaching junior hospital doctors including protected teaching time. The appointee will be fully involved in developing a high standard of teaching for junior medical staff, nurses and medical student
27. There is a library on all 3 hospital sites with 24 hour access, internet facilities and Medline search. The postholder will be expected to participate in the postgraduate activities of the unit and provide teaching to junior medical staff and other staff as necessary. In addition he/she will be expected to contribute significantly to the ongoing research of the department.
28. Many projects within the Trust are undertaken without the need for additional resources, but if funds are required for the purchase of special equipment or for temporary assistance with staff, financial support may sometimes be obtained locally. Alternatively, applications for research grants may be made to the trust for short-term projects not exceeding three years
29. Wrightington, Wigan and Leigh NHS Foundation Trust provides a clinically excellent service to patients locally, nationally and overseas and includes an active post-graduate educational programme and a varied range of research activity
30. There is a fully staffed clinical audit department. Multi-disciplinary audit meetings are held on a regular basis
31. Royal Albert Edward Infirmary has its own post-graduate Education Centre with a well-equipped lecture theatre, library and seminar rooms
Clinical Governance
There is a structured programme for development of clinical governance within the Trust. There is a governance sub-committee, which is a sub-committee of the Trust Board chaired by the Medical Director. Within each directorate the clinical director carries responsibility for the development of governance within the directorate. This is delivered through a Service Improvement Team, incorporating leads for audit, clinical effectiveness, clinical risk, research and development and the clients experience. The chair of clinical audit and effectiveness co-ordinates the production of an annual audit cycle from the directorates, emphasising multi-disciplinary teams and team working. The Trust is committed to continuous quality improvement and would expect all staff to embrace the tenets of clinical governance.
32. Audit
Upto 6 sessions per year at Wrightington, Wigan and Leigh NHS Trust are devoted to audit when all clinical services are suspended. Consultants are expected to contribute personally to the audit program as well as attending the audit sessions. Some sessions are for urology alone and some are shared with the general surgical directorate.
The appointee will also be expected to participate in relevant National audits.
33. Continuing Medical Education
The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and surgical colleges and is committed to providing time and financial support for these activities.
34. Appraisal
The Trust has the required arrangements in place to ensure that all surgeons have an annual appraisal with a trained appraiser and supports surgeons going through the revalidation process.
35. Mentoring
The Trust recommends all newly appointed consultants have a mentorship structure in place that suits their own needs. The trust can facilitate this with provision of a mentor within the surgical division should the appointee choose.
Person Specification
Personal Attributes
Essential
36. Ability to communicate and liaise effectively with patients and their relatives and with colleagues in all disciplines.
37. Ability to lead the development of services and promote best practice amongst colleagues.
38. Ability to work as part of a team and to contribute positively towards enhancing the practise of team members of all grades.
39. Ability and willingness to work flexibly to respond to capacity pressures and national targets.
Desirable
40. Evidence of the development of leadership, flexibility and team working within the work environment.
41. Leadership course
Qualifications and Attainments
Essential
42. Full registration with GMC, FRCS(Urol) or equivalent.
43. Inclusion on Specialist Register/admission expected within six months of interview date.
Desirable
44. A higher qualification, Eg. MD, PhD
45. Advanced level accreditation or its equivalent
Work or other experience
Essential
46. Previous appointments that provided professional training in all aspects of core urology as defined by the current UK curriculum for CCT
47. Proven experience in Audit and governance at individual and department al levels.
48. Understanding of NHS management responsibilities of a consultant.
49. Ability to work in a team with professional colleagues, both medical and other disciplines. Experience of supervision of junior staff and relevant staff in other departments.
Desirable
50. Attendance at appropriate professional meeting and courses
51. Evidence of introducing significant change in practise in previous posts as a result of QI / audit activity
52. Attendance at appropriate management courses. Previous evidence of a management role.
Clinical skills and Knowledge
Essential
53. Practical experience in core urological operative procedures.
54. Ability to undertake urological diagnostic procedures including Trans perineal biopsy of the prostate.
Desirable
55. Membership of appropriate professional society(ies). Knowledge of the up-to-date literature.
56. A desire and ability to contribute to subspecialisation in keeping with the needs of the department.
Training and Research
Essential
57. Evidence of participation in undergraduate and postgraduate teaching and commitment to these within the Trust.
58. Ability and desire to train non medical HCPs for extended roles in providing urological care within the trust and / or community.
59. Proven interest in at least one area of research.
Desirable
60. Formal qualification (or course attendance) in teaching and / or mentorship.
61. Qualification as clinical and / or Educational supervisor
62. Evidence of recent and current research with relevant publications.