Job summary Chelsea and Westminster Hospital NHS Foundation Trust is one of the leading providers of services for the LGBTQI communities including our surgical service, Chelsea Centre for Gender Surgery (CCGS), the gender dysphoria clinic 'TransPlus', trans sexual health service '56T'. Our trans services are recognised for their inclusivity & diversity and our ambition is to be the leading healthcare provider for trans and non-binary service users in the UK, building on the specialist expertise and knowledge of our clinical teams. Chelsea and Westminster Hospital has been commissioned by NHS England to provide a comprehensive gender surgery centre including masculinising lower surgery, masculinising chest and feminizing lower surgery. Our vision is for an innovative and patient-centred service, based on the principle that patients must have equal access to surgical services whatever their gender identity with reasonable adjustments to the delivery of care to match the individual's needs and circumstances. Main duties of the job The post holder will have the following duties: Deliver outpatient clinics, diagnostic procedures and theatre lists to support the service Attendance at MDT meetings Participation in audit and governance activities of the department Ensure compliance with national commissioning standards and waiting time targets Support subspecialisation in the department by appropriate cross referral to colleagues Provide consultant care at an early stage to patients presenting to secondary care with presumed gynaecological problems Contribute to the care of GAS inpatients, rotating this responsibility with colleagues. To promote early and safe discharge of patients Strong commitment to the organisation and delivery of training. About us We have nearly 7,000 members of staff that care for nearly one million people locally, regionally, nationally and internationally. Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as sexual health and HIV clinics.Our facilities are some of the best in the country. We have been investing around £10 million a year in our estate. We spent £25 million on state of the art adult and neonatal critical care facilities at Chelsea and Westminster in partnership with our charity, CW and generous donors. Last year alone we spent £7m on improved facilities at West Middlesex. Both hospitals have major A&E departments, treating over 300,000 patients each year. The Trust is the second largest maternity service in England, delivering over 11,000 babies every year. Our specialist care includes the world-renowned burns service, which is the leading centre in London and the South East; we run Chelsea Children's Hospital with paediatric inpatient and outpatient services; and our specialist HIV and award-winning sexual health care services.See JD for more information. Date posted 27 January 2025 Pay scheme Hospital medical and dental staff Grade Consultant Salary £105,504 to £139,882 a year per annum Contract Permanent Working pattern Full-time Reference number 289-SCD-CON-0399 Job locations Chelsea and Westminster Hospital 369 Fulham Road London SW10 9NH Job description Job responsibilities Roles and responsibilities Pr o vi d e High Q u ali t y Care to Patie n ts Be medically qualified and maintain GMC specialist registration. Develop and maintain the competencies required to carry out the duties required of the post. Ensure prompt attendance at agreed direct clinical care Programmed Activities. Ensure patients are involved in decisions about their care and to respond to their views. Adhere to the Trust Customer Service Commitment and adopt a professional approach to customer care at all times. Develop clinical practice through self-reflection and learning from experience, application of research into practice and active contribution within the multi-disciplinary team. Demonstrate, model and encourage Trust values at all times to all patients and staff. R e s ea r c h, T e a c h i n g a n d T rai n i n g To provide high quality teaching and mentorship in gender surgery to consultant surgeons, trainees and clinical fellows. Contribute to high quality teaching to medical undergraduates and other health care professionals. To collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of research governance. To provide high quality teaching to medical undergraduates and members of other health care professions as required by clinical director. To act as educational supervisor and appraiser as delegated by the divisional director/service director. Participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. 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. Excellent research opportunities are available throughout the Trust and with Imperial College. A number of funding opportunities are available from the Trust Research Committee and the Trust has experience in obtaining funds from among others the Department of Health, Medical Research Council, BBSRC, and the Welcome Trust. The Trust supports and has facilitated a large number of Honorary Academic appointments with Imperial College Faculty of Medicine. Opportunities should be discussed with the Divisional Medical Director/Service Lead/ Divisional Director of Operations. Performan c e Ma n ag e ment The post-holder is required to work with medical, nursing, other clinical and managerial colleagues to ensure high performance in the following areas (where applicable): Clinical efficiency e.g. relating to surgical productivity and case mix of patients seen in clinic. Quality of outcomes e.g. number of patients readmitted due to complications within 3 months of discharge, number of revisions undertaken within 12 months of the primary procedure. 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 Operational efficiency e.g. day-case rates, waiting list activity and demand management. Me d i c al S t a ff M a n ag e ment a n d Ac c oun t ab ility Work with colleagues to ensure junior doctors hours are compliant. 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. 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. Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead. Participate in team objective setting as part of the annual job planning cycle. 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. Participate fully in regular departmental activities including department meetings and team building activities. G o v e r n a n c e Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead and participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented. Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead. Participate in ensuring BAUS, NICE, NSF and other national guidance requirements are reviewed and implemented and monitored in the speciality areas. 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. Keep fully informed about best practice in speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead. 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). Report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken. Comply with the consent process outlined in the NHS England service specification for Gender Identity Services: care must be personalised and based on shared decision making with patients offered a choice of techniques and procedures which meet the eligibility criteria. S t rate g y and B u si ne ss P l a nn i n g Work with clinical and managerial colleagues to support development of the gender dysphoria surgery service including the business planning and objective setting process for the directorate and Trust where appropriate. Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead. Attend and contribute at regular Departmental meetings as identified by the Clinical Lead. L e a de rs h ip and T e am Working Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives. Participate in any necessary management and leadership development courses as required by the trust. Work collaboratively with all members of the multi-disciplinary team, Imperial College London and other stakeholders as required. Set up and chair meetings relevant for clinical domain. Promote local resolution of any conflict or differences of opinion and involve appropriate parties for mediation, negotiation or discussion as appropriate. 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. To adhere to Trust/departmental guidelines on leave including reporting absence. Job description Job responsibilities Roles and responsibilities Pr o vi d e High Q u ali t y Care to Patie n ts Be medically qualified and maintain GMC specialist registration. Develop and maintain the competencies required to carry out the duties required of the post. Ensure prompt attendance at agreed direct clinical care Programmed Activities. Ensure patients are involved in decisions about their care and to respond to their views. Adhere to the Trust Customer Service Commitment and adopt a professional approach to customer care at all times. Develop clinical practice through self-reflection and learning from experience, application of research into practice and active contribution within the multi-disciplinary team. Demonstrate, model and encourage Trust values at all times to all patients and staff. R e s ea r c h, T e a c h i n g a n d T rai n i n g To provide high quality teaching and mentorship in gender surgery to consultant surgeons, trainees and clinical fellows. Contribute to high quality teaching to medical undergraduates and other health care professionals. To collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of research governance. To provide high quality teaching to medical undergraduates and members of other health care professions as required by clinical director. To act as educational supervisor and appraiser as delegated by the divisional director/service director. Participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. 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. Excellent research opportunities are available throughout the Trust and with Imperial College. A number of funding opportunities are available from the Trust Research Committee and the Trust has experience in obtaining funds from among others the Department of Health, Medical Research Council, BBSRC, and the Welcome Trust. The Trust supports and has facilitated a large number of Honorary Academic appointments with Imperial College Faculty of Medicine. Opportunities should be discussed with the Divisional Medical Director/Service Lead/ Divisional Director of Operations. Performan c e Ma n ag e ment The post-holder is required to work with medical, nursing, other clinical and managerial colleagues to ensure high performance in the following areas (where applicable): Clinical efficiency e.g. relating to surgical productivity and case mix of patients seen in clinic. Quality of outcomes e.g. number of patients readmitted due to complications within 3 months of discharge, number of revisions undertaken within 12 months of the primary procedure. 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 Operational efficiency e.g. day-case rates, waiting list activity and demand management. Me d i c al S t a ff M a n ag e ment a n d Ac c oun t ab ility Work with colleagues to ensure junior doctors hours are compliant. 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. 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. Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead. Participate in team objective setting as part of the annual job planning cycle. 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. Participate fully in regular departmental activities including department meetings and team building activities. G o v e r n a n c e Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead and participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented. Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead. Participate in ensuring BAUS, NICE, NSF and other national guidance requirements are reviewed and implemented and monitored in the speciality areas. 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. Keep fully informed about best practice in speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead. 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). Report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken. Comply with the consent process outlined in the NHS England service specification for Gender Identity Services: care must be personalised and based on shared decision making with patients offered a choice of techniques and procedures which meet the eligibility criteria. S t rate g y and B u si ne ss P l a nn i n g Work with clinical and managerial colleagues to support development of the gender dysphoria surgery service including the business planning and objective setting process for the directorate and Trust where appropriate. Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead. Attend and contribute at regular Departmental meetings as identified by the Clinical Lead. L e a de rs h ip and T e am Working Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives. Participate in any necessary management and leadership development courses as required by the trust. Work collaboratively with all members of the multi-disciplinary team, Imperial College London and other stakeholders as required. Set up and chair meetings relevant for clinical domain. Promote local resolution of any conflict or differences of opinion and involve appropriate parties for mediation, negotiation or discussion as appropriate. 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. To adhere to Trust/departmental guidelines on leave including reporting absence. Person Specification Experience Essential Experience in independently performing laparoscopic hysterectomy Experience in surgical care of transgender patients Evidence of broad based training experience in general gynaecology Experience of audit, quality improvement and other aspects of clinical governance Desirable Experience in robotic pelvic surgery including vaginectomy Experience in urogynaecology/female pelvic urology Experience of developing patient centred healthcare, especially for individuals with increased vulnerability and /or complexity Experience of working with colleagues, including commissioners at a regional or national level to help develop services or the specialty itself Experience of leading, motivating, developing and managing the performance of colleagues Education and Qualifications Essential On GMC register with a Licence to Practice or eligible to apply for GMC registration and a Licence to Practice Entry on the General Medical Council (GMC) Specialist Register via one of the following: a.Certificate of Completion of Training (CCT) (the proposed CCT date must be within 6 months of the interview) b.Certificate of Eligibility for Specialist Registration (CESR) MRCOG ATSM in Benign Gynaecology (or equivalent credentialed experience) Desirable Intermediate competencies (or advanced) in gynaecological ultrasound Higher research degree (MD or PhD) ATSM in Hysteroscopy (or equivalent credentialed experience) Personal Qualities Essential Flexible, dynamic, confident and assertive Ability to work effectively within a multi-disciplinary team Demonstrable evidence of being able and willing to understand the Trust PROUD values Evidence of excellent communication and influencing skills Ability to lead change Skills and knowledge Essential Solid Understanding of the Clinical Governance Agenda Evidence of effective audit leading to change IT proficiency including, email, Word, Excel, PowerPoint Desirable Risk Management Course Evidence of significant contribution to the Clinical Governance Agenda, particularly CNST preparation Coaching skills Person Specification Experience Essential Experience in independently performing laparoscopic hysterectomy Experience in surgical care of transgender patients Evidence of broad based training experience in general gynaecology Experience of audit, quality improvement and other aspects of clinical governance Desirable Experience in robotic pelvic surgery including vaginectomy Experience in urogynaecology/female pelvic urology Experience of developing patient centred healthcare, especially for individuals with increased vulnerability and /or complexity Experience of working with colleagues, including commissioners at a regional or national level to help develop services or the specialty itself Experience of leading, motivating, developing and managing the performance of colleagues Education and Qualifications Essential On GMC register with a Licence to Practice or eligible to apply for GMC registration and a Licence to Practice Entry on the General Medical Council (GMC) Specialist Register via one of the following: a.Certificate of Completion of Training (CCT) (the proposed CCT date must be within 6 months of the interview) b.Certificate of Eligibility for Specialist Registration (CESR) MRCOG ATSM in Benign Gynaecology (or equivalent credentialed experience) Desirable Intermediate competencies (or advanced) in gynaecological ultrasound Higher research degree (MD or PhD) ATSM in Hysteroscopy (or equivalent credentialed experience) Personal Qualities Essential Flexible, dynamic, confident and assertive Ability to work effectively within a multi-disciplinary team Demonstrable evidence of being able and willing to understand the Trust PROUD values Evidence of excellent communication and influencing skills Ability to lead change Skills and knowledge Essential Solid Understanding of the Clinical Governance Agenda Evidence of effective audit leading to change IT proficiency including, email, Word, Excel, PowerPoint Desirable Risk Management Course Evidence of significant contribution to the Clinical Governance Agenda, particularly CNST preparation Coaching skills 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Chelsea and Westminster Hospital NHS Foundation Trust Address Chelsea and Westminster Hospital 369 Fulham Road London SW10 9NH Employer's website https://www.chelwest.nhs.uk/ (Opens in a new tab)