About this role
Job summary
This is a new post as a member of The Christie Colorectal and Peritoneal Oncology Centre (CPOC). The role will predominately be to support the increasing referral and operative activity in the Peritoneal Tumour Service. It requires a dedicated individual interested in peritoneal surface malignancy and the complex surgery that this entails. Pivotal to the role would be excellent ability in multidisciplinary engagement with good communication skills to discuss the details of diagnosis, complex surgical issues, and subsequent management.
Main duties of the job
This post is for 10 Programmed Activities (PAs) per week to support peritoneal surgery at The Christie Hospital NHS Foundation Trust. The successful candidate will join the Colorectal and Peritoneal Oncology Centre (CPOC) and join the nine existing colorectal surgeons in treating patients as part of the National Highly Specialised Service for Pseudomyxoma Peritonei (PMP) and Colorectal Peritoneal Metastases (CRPM). This post will support the increasing referral and operative activity seen in these two services.Previous experience in peritoneal surgery is expected. Support and mentorship will be given to the successful candidate for further development of the skills needed to undertake peritoneal surgery.The successful candidate will also join the existing colorectal consultants in providing support to the gynaecology oncology surgeons.
About us
The postholder will contribute to the delivery of high quality consultant led care across 7 days. This includes participation in planned weekend and weekday clinical activity to support safe, timely decision making and continuity of care for patients.
The service is a national referral service with three MDTs each week where all new referrals are discussed. The service is consultant led with daily consultant ward rounds undertaken in rotation. A system is in place with job planned consultant Colorectal, Urology, and Gynaecology support for operating lists to facilitate the complex nature of the surgery. Quarterly Morbidity and Mortality meetings are undertaken to review all complications. The service prides itself in its low complication figures for the major surgeries undertaken. We are an ESSO accredited training centre for peritoneal surface malignancy. We provide mentorship for trainees undertaking the ESSO/EPSO fellowship in peritoneal surgery. Emergency cover is provided by the colorectal on-call consultant which the successful appointment will be part of. This covers inpatient surgical and oncology patients including those presenting through the Acute Oncology Assessment Unit.
Job description Job responsibilities
The team has a complement of a Foundation Year 2 doctor, with five senior fellows including a numbered specialist registrar from the regional STC, national (Royal College of Surgeons / ACPGBI accredited Advanced Pelvic Malignancy Fellow) and international clinical fellows.
The unit has a tradition of mentoring and supporting clinical nurse specialists (CNS): currently there are five CNSs who cover colorectal, peritoneal, anal, and neuroendocrine disease. In addition, a team of nurse practitioners support the pre-operative assessment clinics, and a dedicated enhanced recovery team work across all surgical specialties. CPOC also benefits from a dietitian and psychologist to support our patients. We also have advanced nurse practitioners contributing to the delivery of high quality inpatient surgical care.
The appointee will be based at The Christie and will provide senior input to the pre-operative and post operative management of cases referred to CPOC. They will, in addition, provide care for emergency surgery arising from post-operative cases and patients requiring surgical expertise from other surgical and non-surgical specialties.
It is expected that the appointee will be committed to clinical audit and clinical governance. The unit is involved in continuous audit with a quarterly mortality and morbidity meeting and an annual presentation to the Division as part of a regular divisional performance review. CPOC provides a yearly report to the Highly Specialised Service Commissioners and the successful applicant would be expected to actively participate in the reports production and presentation. The unit also actively supports the NBOCA register, the National Emergency Laparotomy Audit (NELA), Joint Advisory Group (JAG) for endoscopy, and is compliant with the national programme of surgeon level reporting of activity and outcomes in colorectal cancer.Continuing Professional Development (CPD)The Trust supports the requirements for CPD as laid down by the GMC and royal colleges and is committed to providing time and financial support for these activities.
Job PlanningThe job plan outlines the requirements of the post and may be altered by joint agreement with the Divisional Clinical Director and Service Manager and in response to service needs. Job Plans are prospectively agreed subject to an annual individual job plan review (May September). It is expected that the initial Job Plan discussion will take place within the first six months of employment at the Trust and then be aligned to the Trusts annual Job Planning review cycle.
The annual review will examine all aspects of the job plan (including any educational and supervision components) and will also include an assessment of professional development with defined goals for the future. For more information refer to the Terms and Conditions section of this Job Description and also the Trusts Job Planning Policy
The locum consultant job plan will include a combination of Direct Clinical Care (DCC) and Supporting Professional Activities (SPA) delivered across the 7day week.
Weekend working will consist of programmed clinical activities that are jobplanned, scheduled in advance, and reviewed annually through the job planning process.
The pattern and timing of weekday and weekend programmed activities will be agreed on appointment and subsequently reviewed through the annual job planning cycle, taking account of service needs and consultant preferences.
Essential Training/Mandatory TrainingTo ensure you maintain safe practice and understand Trust requirements, you must ensure your essential/mandatory training modules are maintained at all times using allocated core SPA time to complete them.
Job Plan TimetableThe timetable below is indicative and will be confirmed on commencement in post.
It is the requirement of the Trust that all new consultant colleagues must have 0.25 SPAs within their job plan to support Trust appraisal and supervision requirements. This can either be as appraiser or a supervisor for medical staff or Advanced Clinical Practitioners (ACP).
Week 1
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Colorectal MDT (0.25pa)
Colorectal theatre support all day
PTS MDT (0.25 pa)
Diary Meeting (0.13 PA)
Theatre all day
Anal / PTS MDT (0.25 PA)
Admin (1pa)
Clinic (1pa)
PM
Colorectal theatre support all day (2.24 pa)
SPA (1pa)
Theatre all day (2.24pa)
SPA (1 pa)
SPA (0.5 pa)
Week 2
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Colorectal MDT (0.25 pa)
Multivisceral Theatre support all day
PTS MDT (0.25 pa)
Clinic (1 pa)
Diary Meeting (0.13 pa)
SPA (1 pa)
Anal / PTS MDT (0.25 pa)
Admin (1 pa)
Theatre all day
PM
Multivisceral Theatre support all day (2.24 pa)
SPA (0.5pa)
SPA (1 pa)
Theatre all day (2.24 pa)
(NB: This timetable is indicative)
Job Plan PA Summary
Total PAs Direct Clinical Care (DCC) 7.5
On call (0.22 pa)
Theatre list (2.24 pa)
Theatre Support (2.24 pa)
Clinic (1 pa)
Admin (1 pa)
MDT (0.75 pa)
Diary meeting (0.13 pa)
0.22
2.24
2.24
1
1
0.75
0.13
Supporting Professional Activities (SPA) (including 1.5 core SPA)
2.5
Supervision role (minimum 0.25 must be allocated)
0.25
Total Programmed Activities (PAs)
10
On call CommitmentsThis role does require participation in the on-call rota. This is currently a 1:8.5 non-resident on call rota providing care for patients having had surgery and also for current oncology in-patients and those admitted through the Acute Oncology Unit.
Person Specification
Attainments Essential
FRCS or equivalent qualification GMC registration with a license to practice Entry on the General Medical Council (GMC) specialist register via one of the following: a. Certificate of Completion of Training (CCT) in General Surgery, or evidence of completion within 6 months of the date of the Appointments Committee b. Certificate of Eligibility for Specialist Registration (CESR) Evidence of experience in colorectal surgery Evidence of research/publications in peer reviewed journals Evidence of presentations at scientific meetings Clinical training and experience equivalent to that required for gaining UK CCT in General Surgery and inclusion on the GMC's specialist register Post CCT Fellowship Training in Peritoneal Surface Oncology Up-to date knowledge of relevant literature
Desirable
Experience of working independently Membership of appropriate professional society/societies Completed postgraduate thesis (MD / PhD)
Experience Essential
Ability to offer expert clinical opinion on problems, both emergency and elective, using open and laparoscopic colorectal and general surgical skills Ability to take on full and independent responsibility for clinical care of patients Evidence of peritoneal surgical experience
Desirable
Experience of clinical management
Management / Audit Essential
Evidence of completed audit practice Ability to audit and critically appraise clinical care delivery by a multidisciplinary team Ability to organise and manage outpatient priorities, waiting lists and operating lists
Teaching Essential
Interest in postgraduate and undergraduate teaching Ability to teach clinical and operative skills
Desirable
Educational activity, qualifications, evidence of faculty engagement in courses
Professional skills Essential
Ability to work in a multiprofessional team Ability to lead clinical team Be flexible and prepared to develop services Able to work independently as a Consultant Surgeon Desire to work in team providing peritoneal surface oncology.
Desirable
Educational activity, qualifications, evidence of faculty engagement in courses Evidence of Advanced Communication Skills training
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.
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 The Christie NHS FT
Address The Christie NHS Foundation Trust
Wilmslow Road
Manchester
M20 4BX
United Kingdom
Employer's website https://www.christie.nhs.uk/ (Opens in a new tab)