County Durham & Darlington NHS Foundation Trust
To develop and provide a comprehensive Oncoplastic Breast Surgical Service to the patients of County Durham & Darlington NHS Foundation Trust.
Main duties of the job
The post advertised is for a new substantive oncoplastic breast post. The post will not attract general surgery on call duties. Breast oncoplastic (ISCP, CCT) training is essential, fellowship experience is optional.
Taking this into account it is proposed that a successful candidate will spend most of their programmed activities working Trust wide, at either Darlington Memorial Hospital or University Hospital of North Durham. It is expected that the role would involve programmed activities at other hospitals within the Trust such as Bishop Auckland Hospital (pending Elective hub approval and joint working with plastic surgery for appropriate cases such as free flap reconstruction).
Four surgeons are supported in providing a breast service to a population of approximately 650,000 by the expected MDT members including three plastic surgeons. The trust is currently rated Good by the Care Quality Commission.
Job responsibilities
The post holder will work Trust wide and will provide a comprehensive Oncoplastic Breast Service to the patients of County Durham and Darlington Foundation Trust.
* You will be expected to offer advice on patients to consultants in other disciplines when requested.
* The post holder will be required to cover for Consultant colleagues in the breast service during normal periods of leave.
* Professional supervision and management of junior medical staff.
* The post holder will be responsible for carrying out teaching, examination and accreditation duties as required and for contribution to postgraduate and continuing medical education activity locally and where appropriate nationally.
* The post holder will be required to participate in medical audit and to act on the recommendations arising from such audits.
* Opportunities for involvement in appropriate research programmes approved by the Trust's ethics Committee in accordance with the policies laid down from time to time by the Department of Health and NHSEngland.
* Collectively responsible falling on all Consultants to consult with their colleagues and hence to co-ordinate their individual activities in order that the particular service with which they are involved operates effectively.
* Accepting such management responsibilities as are mutually agreed between the Consultants and Chief Executive.
* The post holder will be responsible to the Chief Executive in respect of the reasonable and effective use of Hospital resources and staff.
Person Specification
Experience
* Specialist oncoplastic breast training (ISCP/CCT) and training in oncoplastic breast units
* Independent in non-wire localization for impalpable breast lesions (Savi, Localizer, MagSeed, Pintuition, Iodine seed)
* Independent in localized targeted axillary node dissection
* Independent level 1 and 2 oncoplastic techniques including multiple tissue displacement approaches to the breast
* Independent for chest wall perforator flaps (LICAP, LTAP, MICAP) for partial breast reconstruction
* Independent in nipple sparing mastectomy technique with implant/expander reconstruction, ADM/mesh
* Independent in lipomodelling and applications in oncoplastic breast surgery including defect correction, volume replacement and application to implant based reconstruction
* Exposure to latissimus dorsi flap based breast reconstruction
* Experience in one stop breast care provision
Qualifications
* Registered medical degree & Specialist registration general surgery UK or within 6 months of CCT
* FRCS or equivalent
* Teaching qualification
Special Skills and Knowledge
* Good clinical skills including current breast pathways and related therapies
* Previous active involvement in audit
* Evidence of active teaching of undergraduates, junior doctors and nurses. Strong commitment to undergraduate education.
* Evidence of research experience and clinical effectiveness work
* Willingness and ability to participate equally in a multidisciplinary team
* Ability to liaise well with colleagues in other specialities, good interpersonal skills, able to cope with stress, good discipline and motivation
* Willingness to develop an oncoplastic breast service, breast diagnostic breast pathways including diversification of diagnostic workforce, breast follow up pathways, establish weekly oncoplastic MDT, joint operating sessions with plastics to develop and immediate free flap service and leading modernization of the breast service
* Information technology skills, formal management training
* Teaching skills
* Willingness to become involved in departmental research projects and to lead some research or academic development
Statutory Registration
* GMC registration
Special Requirements
* Ability to work Trustwide
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
County Durham & Darlington NHS Foundation Trust
£105,504 to £139,882 a year YC72 Pay Scale per annum pro rata
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