To meet service requirements
An experienced clinician who will work autonomously to a level of defined competencies, as agreed within local clinical governance frameworks.
***Previous applicants need not apply***
Main duties of the job
Provide a good standard of practice and care.
Keep professional knowledge and skills up to date.
Recognise and work within the limits of your competence.
The appointee will be based at the Royal Albert Edward Infirmary but will be required to support the Trust's General Surgery workload wherever it is located. The appointee will work independently but would be supported by a consultant surgeon. Appointee shall be provided for support career progression and would be allocated a clinical supervisor.
The general workload includes dealing with emergency admissions and their management while on call. Elective work will involve operative and non-operative management of General/upper gastrointestinal & colorectal surgery (gallstone management, abdominal wall hernia surgery, day case surgery, benign & malignant colorectal Surgery).
The appointee will be responsible for:
* Providing specialist advice to patients regarding their illness
* Participating in on-call rota for emergency general surgery
* Undertaking regular ward rounds
* Attending operating theatre and endoscopy sessions
* Working with colleagues to provide effective clinical leadership for all staff in the service
* Contributing to and participating in the development of the service
* Involving in teaching and training, audit and research
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.
On-Call
Please note that senior positions (AFC band 8A or above) may be expected to participate in an on-call rota, if the role is predominantly operational.
Job description
Job responsibilities
Planning and Organisational Duties
The appointee will be based at the Royal Albert Edward Infirmary but will be required to support the Trust's General Surgery workload wherever it is located. The appointee will work independently but would be supported by a consultant surgeon. Appointee shall be provided for support career progression and would be allocated a clinical supervisor.
The general workload includes dealing with emergency admissions and their management while on call. Elective work will involve operative and non-operative management of General/upper gastrointestinal & colorectal surgery (gallstone management, abdominal wall hernia surgery, day case surgery, benign & malignant colorectal Surgery).
The appointee will be responsible for:
* Providing specialist advice to patients regarding their illness
* Participating in on-call rota for emergency general surgery
* Undertaking regular ward rounds
* Attending operating theatre and endoscopy sessions
* Working with colleagues to provide effective clinical leadership for all staff in the service
* Contributing to and participating in the development of the service
Involving in teaching and training, audit and research.
Communications and Key Working Relationships
Mr Imran Alam, who is the Clinical Director, leads the department. The General Surgery & Urology Directorate forms part of the Surgical Division, which is led by the Divisional Medical Director Dr Christos Zipitis and Mr Nicholas Jones, Divisional Director for Operations and Performance. All the clinical directorates are under the leadership of the Medical Director, Dr Sanjay Arya, Consultant Cardiologist.
The Surgical Operational Management team work closely with our team to ensure the smooth running of our services for the benefit of our patients. Our management team consists of:
Mr Nicholas Jones Directorate Manager
Mrs Georgia Molyneaux Deputy Performance Manager
Mrs Lucy Robinson Rota Co-ordinator
The General Surgery & Urology Directorate is largely autonomous with its own business plan and has regular meetings with the other specialties within the Surgical Division to co-ordinate services. The directorate also has a seat on the Clinical Advisory Board where representatives of all specialties meet monthly to discuss clinical policies for the whole trust.
Consultant General Surgeons
Mr I Alam (Clinical Director) Consultant General & Benign Upper GI Surgeon
Ms N Mackenzie - Consultant General & Colorectal Surgeon
Mr M Paraoan - Consultant General & Colorectal Surgeon
Mr M Fani Consultant Emergency General Surgeon
Mr P Ichim - Consultant Emergency & General Surgeon
Mr P Assad - Consultant General & Colorectal Surgeon
Mr M Antony Locum Consultant Emergency/General Surgeon
Mr Z Khawaja -Locum Benign General/Benign Upper Gastrointestinal Surgeon
Mr T Hussian - Consultant General & Colorectal Surgeon
Mr R Nath - Locum Emergency/General Surgeon
Other Staff:
2 Associate Specialists
3 Staff Grades
5 MCh/Senior Clinical Fellow
3 Specialist Registrars
12 FY2s and ST1/2s/Trust posts
14 FY1s (2 Trust posts)
Junior Teaching Fellow (undergraduate teaching x 3 days & clinical commitments x 2 days)
The configuration of the surgical teams maximises middle grade support for both theatre sessions on the RAEI/Leigh site and clinics. A middle grade will be available to support, subject to on call commitments and leave and there is a shared core trainee or FY2 and FY1 support for these posts.
Responsibility for Finance
Responsibility for Human Resources
* To ensure efficient use of resources at all times.
* To participate in Induction Programmes as required.
To adhere to all Trust policies and procedures.
Responsibility for Health & Safety
Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.
Responsibility for Teaching
Work Circumstances & on-call
There is a resident on call element, including weekends. The current rota is a 1 in 12.
One session per month at Wigan and Leigh NHS Trust is devoted to audit when all clinical services are suspended.
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.
The Trust supports the College guidelines on maintaining CME and is committed to providing time and funding for this. Staff Grade Doctors are required to maintain a logbook, have appraisals, educational activity and assessments.
Person Specification
Qualifications
Essential
* MB ChB or equivalent
* MRCS or equivalent
* Full registration with GMC
* ATLS/ALS
Desirable
* Gastrointestinal Endoscopy
* CCRISP
Experience
Essential
* Post MRCS experience Elective/Emergency General & Emergency Surgery at a Speciality Trainee Level.
* CPD evidence
Desirable
* Research Experience
* Experience of teaching and supervision of junior medical staff
Skills
Essential
* Experience in General Surgery
* Ability to deal with elective and emergency general surgical conditions at Speciality Trainee level.
* Compassionate clinician
* Motivated and ambitious
* Ability to cope under pressure
* Understanding of Clinical Governance and quality issues
* Ability to integrate successfully within the existing clinical teams
* Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making.
* Aware of own limitations.
* Empathy and sensitivity, capacity to listen and take in others' perspectives
* Works in partnership with patients: always considers patients preferences when discussing treatment options
* Always considers the full impact of clinical decisions on the patients. Practice shared decision making.
* Directs and supports patients to access the information they need to support decision making
Desirable
* Computer literate
* Understanding of the NHS management structure
Knowledge
Essential
* Working Knowledge of the management of benign/malignant gastrointestinal conditions
* Working Knowledge of the management of General Surgery disease
Desirable
* Commitment to continuing professional development
Additional
Essential
* An interest in Clinical Audit/ Audit Presentations
* Ability to facilitate cross site working
* Professional integrity and respect for others: capacity to take responsibility for own actions and demonstrate a non-judgmental approach towards others.
* Displays honesty, integrity, awareness of confidentiality and ethical issues.
* Speak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation.
Desirable
* Evidence of commitment to team building
* Understanding of Clinical Governance and quality issues
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