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Job summary

Main area
Obstetrics and Gynaecology
Grade
NHS Medical & Dental: Consultant
Contract
Permanent
Hours
Full time - 10 sessions per week (10 PAs - on call high frequency category A)
Job ref
289-SCD-CON-0399
Employer
Chelsea and Westminster Hospital NHS Foundation Trust
Employer type
NHS
Site
Chelsea and Westminster Hospital
Town
London
Salary
£105,504 - £139,882 per annum
Salary period
Yearly
Closing
07/02/2025 23:59
Interview date
19/02/2025

Employer heading

Chelsea and Westminster Hospital NHS Foundation Trust logo

Consultant O&G with interest in Gender Surgery

NHS Medical & Dental: Consultant

Job overview

Chelsea and Westminster Hospital NHS Foundation Trust is one of the leading providers of services for the LGBTQI+ communities including our surgical service, Chelsea Centre for Gender Surgery (CCGS), the gender dysphoria clinic ‘TransPlus’, trans sexual health service ‘56T’. Our trans services are recognised for their inclusivity & diversity and our ambition is to be the leading healthcare provider for trans and non-binary service users in the UK, building on the specialist expertise and knowledge of our clinical teams.

Chelsea and Westminster Hospital has been commissioned by NHS England to provide a comprehensive gender surgery centre including masculinising lower surgery, masculinising chest and feminizing lower surgery. Our vision is for an innovative and patient-centred service, based on the principle that patients must have equal access to surgical services whatever their gender identity with reasonable adjustments to the delivery of care to match the individual’s needs and circumstances.

Main duties of the job

The post holder will have the following duties:

·         Deliver outpatient clinics, diagnostic procedures and theatre lists to support the service

·         Attendance at MDT meetings

·         Participation in audit and governance activities of the department

·         Ensure compliance with national commissioning standards and waiting time targets

·         Support subspecialisation in the department by appropriate cross referral to colleagues

·         Provide consultant care at an early stage to patients presenting to secondary care with presumed gynaecological problems

·         Contribute to the care of GAS inpatients, rotating this responsibility with colleagues.

·         To promote early and safe discharge of patients

·         Strong commitment to the organisation and delivery of training.

Working for our organisation

We have nearly 7,000 members of staff that care for nearly one million people locally, regionally, nationally and internationally. Both hospitals provide full clinical services, including full maternity, emergency and children’s, in addition to a range of community-based services across London, such as sexual health and HIV clinics.
Our facilities are some of the best in the country. We have been investing around £10 million a year in our estate. We spent £25 million on state of the art adult and neonatal critical care facilities at Chelsea and Westminster in partnership with our charity, CW+ and generous donors. Last year alone we spent £7m on improved facilities at West Middlesex. Both hospitals have major A&E departments, treating over 300,000 patients each year. The Trust is the second largest maternity service in England, delivering over 11,000 babies every year. Our specialist care includes the world-renowned burns service, which is the leading centre in London and the South East; we run Chelsea Children’s Hospital with paediatric inpatient and outpatient services; and our specialist HIV and award-winning sexual health care services.
See JD for more information.

Detailed job description and main responsibilities

Roles and responsibilities

Provide High Quality Care to Patients

·        Be medically qualified and maintain GMC specialist registration.

·        Develop and maintain the competencies required to carry out the duties required of the post.

·        Ensure prompt attendance at agreed direct clinical care Programmed Activities.

·        Ensure patients are involved in decisions about their care and to respond to their views.

·        Adhere to the Trust Customer Service Commitment and adopt a professional approach to customer care at all times.

·        Develop clinical practice through self-reflection and learning from experience, application of research into practice and active contribution within the multi-disciplinary team.

·        Demonstrate, model and encourage Trust values at all times to all patients and staff.

Research, Teaching and Training

·        To provide high quality teaching and mentorship in gender surgery to consultant surgeons, trainees and clinical fellows.

·        Contribute to high quality teaching to medical undergraduates and other health care professionals.

·        To collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio, at all times meeting the full requirements of research governance.

·        To provide high quality teaching to medical undergraduates and members of other health care professions as required by clinical director.

·        To act as educational supervisor and appraiser as delegated by the divisional director/service director.

·        Participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. 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.

·      Excellent research opportunities are available throughout the Trust and with Imperial College. A number of funding opportunities are available from the Trust Research Committee and the Trust has experience in obtaining funds from among others the Department of Health, Medical Research Council, BBSRC, and the Welcome Trust.

·      The Trust supports and has facilitated a large number of Honorary Academic appointments with Imperial College Faculty of Medicine. Opportunities should be discussed with the Divisional Medical Director/Service Lead/ Divisional Director of Operations.

Performance Management

The post-holder is required to work with medical, nursing, other clinical and managerial colleagues to ensure high performance in the following areas (where applicable):

·        Clinical efficiency e.g. relating to surgical productivity and case mix of patients seen in clinic.

·        Quality of outcomes e.g. number of patients readmitted due to complications within 3 months of discharge, number of revisions undertaken within 12 months of the primary procedure.

·        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

·        Operational efficiency e.g. day-case rates, waiting list activity and demand management. 

Medical Staff Management and Accountability

·        Work with colleagues to ensure junior doctors’ hours are compliant.

·        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.

·        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.

·        Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead.

·        Participate in team objective setting as part of the annual job planning cycle.

·        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.

·        Participate fully in regular departmental activities including department meetings and team building activities.

Governance

·        Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead and participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.

·        Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead.

·        Participate in ensuring BAUS, NICE, NSF and other national guidance requirements are reviewed and implemented and monitored in the speciality areas.

·        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.

·        Keep fully informed about best practice in speciality areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead.

·        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).

·        Report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.

·        Comply with the consent process outlined in the NHS England service specification for Gender Identity Services: care must be personalised and based on shared decision making with patients offered a choice of techniques and procedures which meet the eligibility criteria.

Strategy and Business Planning

·        Work with clinical and managerial colleagues to support development of the gender dysphoria surgery service including the business planning and objective setting process for the directorate and Trust where appropriate.

·        Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead.

·        Attend and contribute at regular Departmental meetings as identified by the Clinical Lead.

Leadership and Team Working

·        Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.

·        Participate in any necessary management and leadership development courses as required by the trust.

·        Work collaboratively with all members of the multi-disciplinary team, Imperial College London and other stakeholders as required.

·        Set up and chair meetings relevant for clinical domain.

·        Promote local resolution of any conflict or differences of opinion and involve appropriate parties for mediation, negotiation or discussion as appropriate.

·        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.

·        To adhere to Trust/departmental guidelines on leave including reporting absence.

Person specification

Experience

Essential criteria
  • Experience in independently performing laparoscopic hysterectomy
  • Experience in surgical care of transgender patients
  • Evidence of broad based training experience in general gynaecology
  • Experience of audit, quality improvement and other aspects of clinical governance
Desirable criteria
  • Experience in robotic pelvic surgery including vaginectomy
  • Experience in urogynaecology/female pelvic urology
  • Experience of developing patient centred healthcare, especially for individuals with increased vulnerability and /or complexity
  • Experience of working with colleagues, including commissioners at a regional or national level to help develop services or the specialty itself
  • Experience of leading, motivating, developing and managing the performance of colleagues

Education and Qualifications

Essential criteria
  • On GMC register with a Licence to Practice or eligible to apply for GMC registration and a Licence to Practice
  • Entry on the General Medical Council (GMC) Specialist Register via one of the following: a. Certificate of Completion of Training (CCT) (the proposed CCT date must be within 6 months of the interview) b. Certificate of Eligibility for Specialist Registration (CESR)
  • MRCOG
  • ATSM in Benign Gynaecology (or equivalent credentialed experience)
Desirable criteria
  • Intermediate competencies (or advanced) in gynaecological ultrasound
  • Higher research degree (MD or PhD)
  • ATSM in Hysteroscopy (or equivalent credentialed experience)

Personal Qualities

Essential criteria
  • Flexible, dynamic, confident and assertive
  • Ability to work effectively within a multi-disciplinary team
  • Demonstrable evidence of being able and willing to understand the Trust PROUD values
  • Evidence of excellent communication and influencing skills
  • Ability to lead change

Skills and knowledge

Essential criteria
  • Solid Understanding of the Clinical Governance Agenda
  • Evidence of effective audit leading to change
  • IT proficiency including, email, Word, Excel, PowerPoint
Desirable criteria
  • Risk Management Course
  • Evidence of significant contribution to the Clinical Governance Agenda, particularly CNST preparation
  • Coaching skills

Employer certification / accreditation badges

Trust IDWe are a Living Wage EmployerCapital Nurse, LondonHealthy Workplace - Commitment 2018Veteran AwareApprenticeships logoTimewise helps businesses to attract and develop the best talent through flexible working.No smoking policyCare quality commission - GoodDisability confident employerStep into healthArmed Forces Covenant Bronze AwardArmed Forces Covenant

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Jeffrey Ahmed
Job title
Consultant Obstetrician & Gynaecologist
Email address
[email protected]
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