Locum Consultant in Obstetrics and Gynaecology

Job overview

The post holder is also expected to provide senior clinical leadership on the postnatal ward.

The appointee will provide a high-quality Obstetrics service, in conjunction with consultant colleagues already in post. It would be expected that the consultant offers continuous responsibility for the care of patients named under their team.

Involvement in general management and committee work for the hospital will also be encouraged.

The Directorate has weekly MDT and educational meetings in which medical cases are reviewed and discussed and audits are presented. The Directorate holds monthly Consultant meetings, Gynaecology and Perinatal morbidity and mortality meetings.

The post holder will have secretarial support from a senior patient administrator shared between other Consultants. The appointee will have a desk in a shared office with access to a computer.

Main duties of the job

The post holder is also expected to provide senior clinical leadership on the postnatal ward.

The appointee will provide a high-quality Obstetrics service, in conjunction with consultant colleagues already in post. It would be expected that the consultant offers continuous responsibility for the care of patients named under their team.

Involvement in general management and committee work for the hospital will also be encouraged.

The Directorate has weekly MDT and educational meetings in which medical cases are reviewed and discussed and audits are presented. The Directorate holds monthly Consultant meetings, Gynaecology and Perinatal morbidity and mortality meetings.

The post holder will have secretarial support from a senior patient administrator shared between other Consultants. The appointee will have a desk in a shared office with access to a computer.

Working for our organisation

Chelsea and Westminster Hospital NHS Foundation Trust is proud to be one of the top performing and safest trusts in England.

• We employ over 7,000 staff and 500 volunteers
• We treat someone in A&E every 90 seconds
• We deliver a baby every 50 minutes
• We operate on a patient every 16 minutes
• We do 50 imaging procedures each hour
• We serve a diverse population of 1.5 million from the beginning to the end of life

Our values

Our PROUD values demonstrate to staff, patients and the public the standards of care and experience they should expect from our services:

• Putting patients first
• Responsive to patients and staff
• Open and honest
• Unfailingly kind
• Determined to develop

Detailed job description and main responsibilities

1. Work as a member of the multi-disciplinary team to offer expert opinion and compassionate advice to women.
2. 2 Provide consultant-led clinics, including diabetes clinics
3. 3 Labour ward Consultant cover 1 in 4 weeks
4. 4 Perform elective Caesarean list
5. 5 Obstetrics non-resident on call commitments as part of the departmental on call rota
6. 6 Attend weekly MDT meetings
7. 7 Attend monthly consultant’s meetings
8. 0 Provide High Quality Care to Patients
9. 1 The post holder must adhere to the standards outlined by the GMC for Good Medical Practice.
10. 2 Develop and maintain the competencies required to carry out the duties required of the post.
11. 3 Ensure prompt attendance at agreed direct clinical care Programmed Activities.
12. 4 Ensure patients are involved in decisions about their care and to respond to their views.
13. 5 Demonstrate, model and encourage Trust Values at all times to all patients and staff
14. 0 Research, Teaching and Training
15. 1 Provide high quality teaching to medical undergraduates and members of other health care professions as agreed with the Service Leads. To contribute to the training of O&G trainees, other doctors in training and other staff groups.
16. 2 Act as a clinical supervisor and appraiser as delegated by the Clinical Director/Service Lead to ensure external accreditation of training post
17. 3 Where possible to collaborate with academic and clinical colleagues to enhance the Trust’s translational research/audit portfolio, at all times meeting the full requirements of Research Governance.
18. 4 Ensure that your mandatory training is up to date as per Trust policy.
19. 5 The Trust expects all consultants to participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. Consultants may apply to the study leave budget for help with associated expenses in line with the terms and conditions of their contract. 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.
20. 0 Performance Management
21. 1 To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
22. 2 Clinical efficiency e.g. Length of Stay (LOS) reductions, admission on day of surgery, reducing cancelled operations and DNA rates.
23. 3 Quality of outcomes e.g. infection control targets, reducing re-admission rates
24. 4 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.
25. 5 Operational efficiency e.g. day-case rates, waiting list activity and demand management.
26. 0 Medical Staff Management and Accountability
27. 1 Work with colleagues to ensure Junior doctors’ hours are compliant in line with EWTD and New Deal.
28. 2 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.
29. 3 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.
30. 4 Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead.
31. 5 Participate in team objective setting as part of the annual job planning cycle.
32. 6 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.
33. 7 Participate fully in regular departmental activities including department meetings and team building activities.
34. 0 Governance
35. 1 Adherence to referral pathways for oncology MDT and perinatal MDT is essential.
36. 2 Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead.
37. 3 Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
38. 4 Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead.
39. 5 Participate in ensuring NICE, NSF, CNST and other national guidance requirements are reviewed and implemented and monitored in the speciality areas.
40. 6 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.
41. 7 Keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead.
42. 8 To 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).
43. 9 To report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.
44. 0 Strategy and Business Planning
45. 1 Work with medical managers and general managers to take forward the business planning and objective setting process for the directorate and Trust where appropriate.
46. 2 Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead.
47. 3 To attend and contribute at regular Departmental meetings as identified by the Clinical Lead.
48. 0 Leadership and Team Working
49. 1 Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.
50. 2 Participate in any necessary management and leadership development courses as required by the trust.
51. 3 Work collaboratively with all members of the multi-disciplinary team and Imperial College as required.
52. 4 Set up and chair meetings relevant for clinical domain.
53. 5 To promote local resolution of any conflict or differences of opinion. To involve appropriate parties for mediation, negotiation or discussion as appropriate.
54. 6 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.
55. 0 Appraisal & Revalidation

You are expected to inform yourself of the annual timetable for appraisal and ensure that appropriate time is set aside to update your portfolio and your mandatory requirements.

Person specification

Education and qualifications

• Full GMC registration
• Relevant CCT or equivalent (equivalence must be confirmed by PMET/GMC by date of interview
• Entry on GMC Specialist Register OR eligible within 6 months of the date of appointment
• MRCOG or appropriate specialist qualification

• An MD or equivalent higher postgraduate training

Experience

• Evidence of broad based training experience in General O&G equivalent to that required for a UK CCST
• Evidence of competence in advanced labour ward practice
• Evidence of competence in gynaecological ultrasound scanning
• Evidence of competence in outpatients hysteroscopy

• Evidence of competence in benign abdominal surgery
• Colposcopy certification (BSCCP or equivalent)

Skills and knowledge

• Solid Understanding of the Clinical Governance Agenda
• Evidence of effective audit leading to change
• IT proficiency including, email, Word, Excel, PowerPoint

• Risk Management Course
• Evidence of significant contribution to the Clinical Governance Agenda, particularly CNST preparation Coaching skills

Teaching and Training

• Experience of undergraduate teaching and post graduate training

• Medical Education or Adult Education Training
• Trained ALSO or MOET or NALS instructor

• The closing date given is a guide only. There may be some occasions when we have to close a vacancy once sufficient applications have been received. You are therefore advised to submit your application as early as possible to avoid disappointment.
• Please check your emails regularly as this is how we will communicate with you throughout the recruitment process.
• If you have not heard from us within 3 weeks after the closing date, we regret that this usually means your application was not successful.
• In submitting an application, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process, should you be appointed to the post.
• During the recruitment process your identity documentation (ie passport, driving licence, visa etc) will be scanned using a device which recognises UV, infrared and machine-readable zone security features of the documents provided.
• Employment at the Trust is offered subject to successful completion of a six month probationary period.