Homerton Healthcare NHS Foundation Trust is an integrated care trust which provides hospital and community health services for Hackney, the City and surrounding communities. The Trust provides a full range of adult, older people’s and children’s services across medical and surgical specialties.
The trust operates acute services from a single site: Homerton University Hospital. Based on an aggregation of ratings across all of the core services provided from the hospital, the hospital has been rated by Care Quality Commission as ‘Outstanding’. The hospital has almost 500 beds across 11 wards, a ten-bed intensive care unit and maternity, paediatric and neonatal wards. Community services are provided by staff across 75 partner sites in Hackney and the City of London. The trust has a separate registration to provide continuing health care at the Mary Seacole Nursing Home.
The hospital has three day-surgery theatres and six main operating theatres for general surgery, trauma and orthopaedics, gynaecology, maxio-facial, urology, ENT, obesity, bariatrics and obstetrics. We also have a surgical treatment room within the theatres complex.
The Trust have earned a reputation for the quality of training offered and are recognised as one of the top recruiters to high quality research studies in the UK with particular interest in neonatal, sexual health and respiratory medicine. We are recognised as innovators in embracing methods and systems that promise better and safer patient care.
Main duties of the job
The team consists of 2 consultants, of which this post holder will be one. The consultants are supported by three Clinical Fellows. A Core Surgical Trainee also rotates through the team every 6 months. The team also includes an Advanced Nurse Practitioner who will work alongside two Breast Care Nurses and an Open Access Follow-up Nurse supporting patients within the breast pathway. The multidisciplinary team at Homerton includes radiology colleagues who are key in ensuring we provide our patients with an effective one-stop pathway.
The appointee will be expected to perform a full-time surgical practice with an interest in breast oncoplastic surgery. The appointee will be a member of the breast multidisciplinary team and is expected to contribute to and practice according to the local, network and national clinical practice guidelines. There is no on-call commitment in the post.
Breast Surgery in Northeast London is evolving with both Barts Health NHS Trust and Homerton Healthcare Foundation Trust planning long-term developments to the service over the next 5-10 years.
Both organisations currently support the establishment of a Breast Surgical Centre of Sub-specialist Expertise at St Bartholomew’s Hospital with dedicated and expanded theatre capacity where all breast surgery in the sector would be brought together and integrated, along with associated plastics input.
It is expected that the post holder will have the opportunity to participate in this exciting transformation initiative and service development for patients in this part of London.
In addition to service development, the appointee will be expected to take part in the routine management and administrative duties associated with the care of their patients and the running of clinical departments and the supervision of junior medical staff.
The appointee will also be expected to take an active part in multi-disciplinary audit. There is a monthly half-day session set aside within the clinical directorate at the Homerton for Clinical Audit and Clinical Governance during which all elective clinical duties are suspended to ensure attendance. There is also an open-ended audit program for all breast cancer patients, continuously auditing and evaluating several parameters as proposed by the recent NICE guidelines on breast cancer audit.
Detailed job description and main responsibilities
Please see attached job description and person specification for full details of role and responsibilities.
Person specification
Qualifications
* On GMC specialist Register relevant to the post, or within 6 months of being admitted to GMC specialist register by date of interview
* Other higher degree or diploma (e.g. MD, PhD)
Relevant experience in specialty / sub-specialty
* Clinical training and experience in breast surgery
* Previous consultant-level experience in oncoplastic breast surgery
* Member of the Association of Breast surgeons at BASO
Clinical skills
* Ability to perform routine operations in breast cancer and benign breast surgery
* Ability to safely manage post-operative complications
* Ability to assess and manage patients referred on a suspected breast cancer pathway in line with local and national guidelines
Leadership and professionalism
* Ability to take responsibility, lead, make decisions and respond appropriately to service need
* Proven track record of clinical leadership and service development
* Awareness of the overall business environment in which the hospital operates
* Understanding of the importance of good clinical coding
* Management of team or programme or project
Teaching & training
* Experience of teaching and training medical students and junior doctors
* Experience of educational supervision, teaching skills course/qualification
Clinical Governance
* Evidence of contribution to effective audit and clinical risk management
Research
* Understanding of principles and application of clinical research
* Relevant research experience
* Publication of peer-reviewed papers
* Ability to communicate with clarity and intelligently in written and spoken English
* IT skills and computer literacy
Patient focused skills
* Empathy, understanding, listening skills, patience, social skills appropriate to different types of client
Interpersonal skills
* Good interpersonal skills coupled with an ability to co-operate, persuade and negotiate within a senior clinical and management team
Personal attributes
* An awareness of own strengths and weaknesses coupled with an ability to deploy them effectively
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