About this role
Job summary
Homerton Healthcare NHS Foundation Trust is pleased to invite applications for a substantive General Surgery Surgeon with a sub-specialty interest in Benign Hepato-Pancreato-Biliary (HPB) Surgery based in the Department of General Surgery. This is a permanent, full-time post comprising 10 Programmed Activities (PAs) per week.
Main duties of the job
This post offers an exciting opportunity to join a progressive, collaborative and forward-thinking General Surgery department. The post has been developed to support service expansion and to ensure continuity in the delivery of high-quality elective care. We are seeking to appoint a consultant with prior Upper GI/Hepatobiliary training and anticipate that the successful appointees will be able to undertake a broad range of elective and emergency procedures from an early stage in their appointment.
The appointee will also be expected to contribute to the Emergency General Surgery (EGS) service as required to support the effective running of the department. They will undertake routine cholecystectomy and, where clinically appropriate, contribute to the delivery of 'hot cholecystectomy' as part of the department's acute biliary service.
In addition, the postholder will be expected to undertake a broad range of general surgical procedures in line with their experience and the needs of the service, including hernia surgery and the management of benign lumps and bumps.
About us
Homerton Healthcare NHS Foundation Trust is an integrated acute and community provider serving the diverse population of Hackney and the wider Northeast London (NEL) Integrated Care System. The Trust is rated 'Outstanding' overall by the CQC and is recognised for innovation in pathway redesign and digital care. Homerton University Hospital is a busy district general hospital and the main acute site, providing emergency and elective services in surgery, medicine, women's health, paediatrics and a wide range of specialty services.
Job description Job responsibilities
The provisional job plan is for 10 Programmed Activities (PAs) per week. This is detailed in the indicative timetable below. The job plan will be reviewed at the annual job planning round and a formal review will be undertaken within 6 to 12 months of appointment, in line with RCS England guidance and the Trust's job planning policy. Elements of the timetable may be subject to change due to a Trust-wide reconfiguration of the theatre and outpatient schedule; any such changes will be managed in accordance with service requirements and the Trust's job planning policy.
3.1 Balance of the Post (PA Summary) Category
PAs / week
Type
Outpatient clinics & theatre lists (including MDT, ward rounds)
6.0
DCC
Clinical administration (results, letters, paper clinic, A&G, MDM follow-up)
2.0
DCC
CPD, appraisal & revalidation preparation
1.0
SPA
Governance, audit, M&M, MDM/network representation, teaching & research
1.0
SPA
Total
10.0 PA (full-time)
8.0 DCC / 2.0 SPA
Theatre lists include pre-operative and post-operative ward round time. Outpatient clinics specify patient-facing time and clinical administration time (the latter held within the dedicated 1.0 PA Clinical Administration session).
3.2 Indicative Weekly Timetable The timetable below an example of the 1st 2 weeks of a 4-week cycle which will alternate.
Day
Time
Work
Categorisation
PAs
Monday
0900 - 1300
Clinical administration (results, letters, A&G, MDM follow-up)
DCC
1.0
Monday
1330 - 1730
Supporting Professional Activities (CPD, governance, audit, M&M, training, research, appraisal preparation)
SPA
1.0
Tuesday
0800 20:30
Pre-operative ward round (DSU)Theatre General Surgery HVLC (Day Surgery Unit / Elective Surgical Centre), Post-operative ward round
DCC
3.75
Wednesday
0900 1300
Clinical administration (results, letters, paper clinic, A&G, MDM follow-up)
SPA
1.0
Wednesday
1330 - 1730
Outpatient Clinic General Surgery
DCC
1.0
Thursday
09:00 - 1300
Clinical administration Paper Clinic
DCC
0.5
Thursday
1330 17:30
Outpatient Clinic General Surgery
DCC
1.0
Friday
0900 - 1300
Outpatient Clinic General Surgery
DCC
1.0
Total PAs
10.25
Day
Time
Work
Categorisation
PAs
Monday
0900 - 1300
Clinical administration (results, letters, paper clinic, A&G, MDM follow-up)
DCC
1.0
Monday
1330 - 1730
Outpatient Clinic General Surgery
DCC
1.0
Tuesday
0900-1300
CEPOD hot cholecystectomy
DCC
1.25
Tuesday
0900 - 1300
Clinical administration (results, letters, paper clinic, A&G, MDM follow-up)
DCC
0.5
Wednesday
09:00-13:00
Supporting Professional Activities (CPD, governance, audit, M&M, training, research, appraisal preparation)
SPA
1.0
Wednesday
1330 - 1730
Outpatient Clinic General Surgery
DCC
1.0
Thursday
09:00 -13:00
CEPOD hot cholecystectomy
DCC
1.25
Thursday
1330 1730
Supporting Professional Activities (CPD, governance, audit, M&M, training, research, appraisal preparation)
SPA
1.0
Friday
0900 - 1300
Outpatient Clinic General Surgery Clinic
DCC
1.0
Friday
13:30-17:30
Outpatient Clinic General Surgery Clinic
DCC
1.0
Total PAs
10.0
Notes:
Sessions are based on the standard 4-hour NHS PA. Pre/post-operative ward rounds are explicitly itemised within the theatre PA.
This indicative timetable is provisional and subject to agreement at the 612-month job plan review.
4. On-Call Commitment The post-holder will participate in:
A 1:13 weekday on-call - on-site 17:00-19:00, off-site 19:00-08:00.
A 1:13 weekend on-call Friday on-site 17:00-19:00, Sat & Sun on-site 08:00-14:00
The on-call General Surgery Consultant must attend the daily surgical handover or ensure that a Specialty Registrar is present.
Requirements during the on-call period:
Contactable via Telephone throughout the on-call period.
The post-holder will be required to live or stay within a 30-minute travel time of Homerton University Hospital while on-call out-of-hours.
On-call commitment is delivered in addition to the 10 PA core job plan and is recognised as follows:
Unpredictable out-of-hours on-call activity attracts a Category A availability supplement (3% of basic salary).
Any on-call activity consistently exceeding the standard thresholds will be reviewed and recognised through Additional Programmed Activities (APAs) at the 612-month job plan review.
Person Specification
Qualifications Essential
On GMC specialist Register relevant to the post, or within 6 months of being admitted to GMC specialist register by date of interview CESR/Portfolio pathway, or alternative routes to specialist registration - applicant must be on Specialist Register at the time of interview
Desirable
Other higher degree or diploma (e.g. MD, PhD)
Experience Essential
Clinical training and experience in upper GI/ Hepatobiliary
Desirable
Previous consultant-level experience in General Surgery
Skills Essential
Ability to perform routine operations in elective general surgery Ability to safely manage general surgery emergencies. Ability to take responsibility, lead, make decisions and respond appropriately to service need Awareness of the overall business environment in which the hospital operates Experience of undergraduate and post- graduate teaching Empathy, understanding, listening skills, patience, social skills appropriate to different types of client Good interpersonal skills coupled with an ability to co-operate, persuade and negotiate within a senior clinical and management team
Desirable
Proven track-record of clinical leadership and service development xperience of educational supervision, teaching skills course/ qualification
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 Homerton Healthcare NHS Foundation Trust
Address Homerton Hospital
Homerton Row
London, England, United Kingdom
E9 6SR
United Kingdom
Employer's website https://www.homerton.nhs.uk/ (Opens in a new tab)