Locum Consultant Obstetrician and Gynaecologist with ATSM in Gynaecology Oncology.
We are always keen to welcome highly skilled, committed and compassionate individuals who put patients at the heart of everything they do and are ready to help us achieve our vision: Excellence in rural healthcare
One Trust, Endless opportunities
Grantham District Hospital Lincoln County Hospital Pilgrim Hospital Boston 101 Manthorpe Road Greetwell Road Sibsey Road Grantham Lincoln Boston NG31 8DG LN2 5QY PE21 9QS (01476) 565232 (01522) 512512 (01205) 364801
THE TRUST
We are a team of highly skilled, committed and compassionate individuals working together to deliver excellence in rural healthcare. Our values are important to us:
Patient centred care: Putting patients at the heart of everything that we do, listening and responding to their needs and wishes. Safety: Following ULHT and professional guidelines. Speaking up to make sure patients and staff are safe from harm. Excellence: Striving to be the best that we can be. Innovating and learning from others. Compassion: Caring for patients and their loved ones in ways we’d want for our friends and family. Respect: Behaving and using language that demonstrates respect and courtesy to others. Zero tolerance to bullying, inequality, prejudice and discrimination.
If you believe in them too, we hope to welcome you to the ULHT Team very soon.
We are continually striving for excellence and innovation and we are proud of the systems we are developing to provide care for more than 700,000people at our hospitals in Lincoln, Boston and Grantham. Our teams also deliver a range of inpatient, day case and outpatient services from community hospitals run by our NHS partners in Louth. Gainsborough, Spalding and Skegness.
A leading heart centre at Lincoln, a pioneering end of life ‘hospice in a hospital’ at Grantham, £2million investment in neonatal facilities and the opening of a new Clinical Research Facility at Boston (adding to our trust-wide research) are just some of the improvements we are making to provide safe, responsive care for our communities.
We have close ties with the University of Lincoln, which offers under-graduate and post graduate courses and research opportunities in nursing, midwifery and allied health & social care disciplines.
In a particularly exciting development in March 2018, the university unveiled plans for a new medical school for Lincolnshire in collaboration with the University of Nottingham and we are already looking forward to welcoming them into the Trust for their clinical placements.
We are ambitious for both the future of ULHT and for you, which means professional development and innovation is our passion. We pride ourselves on our ‘one Trust’ ethos, our friendly working environment and the exciting and fulfilling learning & development opportunities we offer our staff. We know that our success in developing and continually improving efficient and financially sustainable services is due to the commitment, skills and compassion of our staff.
What can you expect from us
We are ambitious for both the future of ULHT, for our staff and our patients. Our 2021 strategy defines those ambitions and links closely with the work we are doing as part of the Sustainability and Transformation Partnership (STP) to create a positive future for care in Lincolnshire. Professional development and innovation are our passions and we recognise that developing high-quality, effective and financially sustainable services are down to the commitment, skills and compassion of all our staff.
Though our 2021 strategy we are setting out our values: The delivery and development of our services will be patient-centred We put patient safety and wellbeing above everything We measure and continuously improve standards, always striving for excellence We offer our patients the compassion which we would want for our own loved ones We show respect for you and each other
FAMILY HEALTH DIVISION
Dr Suganthi Joachim Divisional Clinical Director
Elizabeth Grooby Simon Hallion Divisional Head of Midwifery and Nursing Divisional Managing Director
Maternity Gynaecology Breast Acute Neonates Community
Miss Miss Maisa Surgery Paediatrics Dr Ajay Paediatrics Manjusa Salman, Clinical Vacant Clinical Lead - Reddy Dr Folasade Sant, Lead post Vacant Hande, Johnson, THE Clinical Clinical Clinical Clinical Lead POS Lead Lead Lead T
This is an appointment for a Locum Consultant Obstetrician and Gynaecologist at the United Lincolnshire Hospitals NHS Trust based at the Pilgrim Hospital, Boston. The successful candidate will be expected to work in Gynaecological oncology, in addition to general duties in Obstetrics and Gynaecology.
GENERAL INFORMATION
Lincolnshire is scenically and geographically varied. It includes the Lincoln escarpment on which the beautiful medieval Cathedral stands, the North Lincolnshire Wolds, a designated area of outstanding natural beauty, the extensive beaches of the coastal strip, and the vast farmlands in the south of the county.
Lincoln is a developing city with a recently established and successful University with which the Trust is developing research and teaching links. The city is known for the historic Cathedral and Lincoln Castle as well as the many social and leisure facilities available within this expanding city.
Boston is an attractive market town in South Lincolnshire with a growing population. It has a flourishing port on the River Witham dating back to the thirteenth century. Most of the town’s industry is linked to agriculture or the port.
Grantham is an historic market town with many attractions, including plentiful shops, restaurants and leisure facilities and is only just over an hour from London by train.
South Lincolnshire has retained the grammar school system, and has a reputation for providing excellent state school education. In addition, the cost of housing compares very favourably with many areas of the country.
THE HOSPITALS The United Lincolnshire Hospitals NHS Trust brought together Lincoln and Louth NHS Trust, Pilgrim Health NHS Trust and Grantham and District Hospital NHS Trust. It is responsible for a comprehensive range of health services to a local population of some 650,000 people.
COUNTY HOSPITAL, LINCOLN
Lincoln County Hospital is situated close to the city centre of Lincoln. It is a newly developed large and modern complex which caters for most of the major specialties and has 705 beds. There are 255 general medical and care of the elderly beds including coronary care and 6 renal beds. There is a large, well-staffed Accident and Emergency Department. There are at present 108 general surgical beds, 8 intensive care unit beds and 8 HDU beds, a 10 theatre suite and 3 orthopaedic wards. There is an Ophthalmic Unit, Adult Day Care Unit, an ENT department and a purpose built fully equipped department of Clinical Oncology.
PILGRIM HOSPITAL, BOSTON
Pilgrim Hospital is situated on the outskirts of Boston and is a modern District General Hospital, which was opened in 1977 with 750 beds. If offers a broad range of clinical and laboratory services for Boston and the surrounding area serving a population of approximately 280,000. It has close links with community hospitals in Skegness and Spalding.
The Hospital offers a comprehensive range of services including General Surgery, incorporating Vascular Surgery, Gastrointestinal Surgery and Breast Surgery, and is the main base for Breast Screening in South Lincolnshire. Other services on site include Obstetrics, Paediatrics, Ophthalmology and ENT services.
The hospital has a busy Accident and Emergency Department, a Clinical Decisions Unit, a combined ITU/HDU/CCU with up to12 beds. There is a local pathology service, which is likely to integrate with the Pathlinks consortium, which serves the rest of the county, in the near future.
The Radiology Department is well serviced with spiral CT and MR scanners. There is a high quality Medical Physics Unit.
The Hospital also incorporates the Bostonian, which is a private wing of the hospital, which offers a good range of private services and has 20 beds.
GRANTHAM AND DISTRICT HOSPITAL
Grantham and District Hospital is a small district general hospital with 194 beds, offering all major specialties and has close links with Boston, Lincoln and Newark hospitals as well as teaching centres in Nottingham and Leicester. Primarily it serves the people of Grantham, Sleaford and Newark with a total catchment population of around 120,000.
Grantham provides Integrated Medicine, General Surgery, Orthopaedics, Anaesthetics and Accident and Emergency services. There is an ambulatory Paediatric service and Midwife Managed Maternity Unit. There is a fully equipped X-Ray Department with a modern CT scanner as well as a Pathology Department providing all pathological services on site. There is a Medical Physics Department which does all cardio-respiratory work as well as gamma camera work.
LOUTH COUNTY HOSPITAL
Louth County Hospital has approximately 120 beds consisting of Integrated Medicine, Surgical and Orthopaedic Wards. There are direct acute admissions only to the Medical Wards. The hospital has a High Dependency/Coronary Care Unit and a ward caring for severely mentally infirm patients. The hospital also has an Accident and Emergency Department, Endoscopy, Day Hospital and a busy Outpatient Department supported by X-Ray, Physiotherapy and Occupational Therapy Departments. There is an on-site education centre with lecture theatre, library and internet access.
JOHN COUPLAND HOSPITAL, GAINSBOROUGH
The John Coupland Hospital is in Gainsborough, approximately 18 miles from Lincoln. Scotter Ward is a rehabilitation/care of the older person ward. The hospital has an operating theatre, Outpatients Department and a Nurse Led Minor Injuries Unit.
JOHNSON HOSPITAL, SPALDING
This is a community hospital situated in the market town of Spalding, some 16 miles from Boston. There is an X-Ray Unit, Physiotherapy and Occupational Therapy Services, an active Outpatients Department and a Minor Injuries Unit.
SKEGNESS HOSPITAL
This community hospital has 15 GP beds and 15 beds managed by an Elderly Care Physician. There are Physiotherapy and Occupational Therapy Services on site and a busy Outpatients Department. The Accident and Emergency Department is supported by Associate Specialists 24 hours a day and is a very busy department, especially in the summer months.
Divisional Information
The Women’s Health service is part of the division of Family Health.
DIRECTORATE AND DEPARTMENT INFORMATION
A full and comprehensive range of services are available at the two main sites in Lincoln and Boston. In Grantham there are Antenatal and Gynaecology Outpatient Clinics with Day Case Surgery. Out-reach clinics and day case surgery are also performed in Louth and Gainsborough. In Skegness, Spalding and Sleaford out patient clinics are undertaken.
CONSULTANT COLLEAGUES
Mr Olu Adeyemi Consultant Obstetrician and Gynaecologist (Special interest – Oncology and Colposcopy)
Mr S Ikhena Consultant Obstetrician and Gynaecologist (Special interest – Infertility Lead and Fetal Medicine)
Miss S Noor Consultant Obstetrician and Gynaecologist (College tutor) (Special interest – Minimal Access surgery/ Infertility)
Miss M Sant Consultant Obstetrician and Gynaecologist – Trust wide Obstetrics lead and head of services Pilgrim (Special Interest – High Risk Obstetrics/ Fetal Medicine )
Miss M Rao Consultant Obstetrician and Gynaecologist (Audit Lead) (Special Interest –Colposcopy/TOP services)
Miss S Jindal Consultant Obstetrician and Gynaecologist (Special Interest – Maternal Medicine/ High Risk Obstetrics)
Mr A Mohanty Consultant Obstetrician and Gynaecologist (Obstetrics Risk Lead) (Special interest – Uro-gynaecology/ Pelvic Floor Surgery)
OTHER MEDICAL STAFF
8 ST4/5 2 Career ST1 6 GP ST1/2
MANAGEMENT STRUCTURE.
We are part of the Directorate of Women and Children’s Services for the Trust.
The Directorate is managed by a team including:
Managing Director Simon Hallion Clinical Director Dr Suganthi Joachim Clinical Lead Maternity Trust wide Miss M Sant Clinical Lead Gynaecology Trust Wide Miss M Salman Head of Midwifery, Nursing and Patient Services Elizabeth Grooby
DUTIES AND RESPONSIBILITIES
1 The Appointee will be expected, in conjunction with his / her colleagues, to provide a comprehensive service to the hospitals within Lincolnshire. They will be expected to maintain a high level of professionalism.
2 To provide input to the labour ward to ensure the department can achieve 40 hour labour ward cover for CNST. This involves taking part in a hot week rota on the labour Ward. Also to include comprehensive cover for the Colposcopy Service.
3 To provide on a reciprocal basis, emergency cover for Consultant colleagues during periods of absence and to take part in the Consultant rota for emergency duties.
4 To undertake such other duties as may be identified to meet the needs of the service, including Pan Trust working at peripheral sites.
5 To carry out teaching duties as required and take an active part in the Undergraduate and Postgraduate Medical Education programme and in the education of junior medical staff.
6 To have continuing responsibility for patients in his / her charge and for the proper functioning of the department.
7 To take part in departmental Audit programme.
8 To provide professional supervision and management of junior medical/dental and other staff.
9 To be involved in research where appropriate
10 To actively participate in the management of the services of the Directorate.
JOB PLAN AND APPRAISAL
There will be a job plan review conducted by the Clinical Director or Head of Services, depending on the needs of the service.
INDICATIVE TIMETABLE (the timetable can be flexible and change according to the the candidates’s wishes and service requirement)
Monday Morning MDT cover DCC – 0.75PA
Afternoon El LSCS DCC 1.00PA Tuesday Morning Afternoon
Wednesday Morning ANC clinic DCC – 1.00 PA Afternoon Administration 1.00 PA Thursday Morning ANC clinic 1 in 6 sessions DCC 0.15
Afternoon Gyn Theatre alternating with DCC 0.625PA Colposcopy clinic ( including pre and post op) DCC 0.5PA Friday Morning Gynaecology 2WW clinic DCC- 1PA Afternoon Teaching/ Departmental SPA 1.00 PA meetings Hot week 1 1.56 PA DCC in 8 On Call 1 in 1.65 PA DCC 8 Flexible SPA 0.5 PA Total PAs 10.73 PA DCC 9.11 SPA 1.5 On Call 1: 8 Predictable *** 0.65 PA Direct Clinical Care Unpredictable 1 PA Direct Clinical Care
* Travel time/allowance incorporated in the PA.
** Evening Ward Round;5-7pm.
*** Predictable On Call: Ward Rounds 9:00am to 12:00pm on Saturday and Sunday Weekend Call.
Labour Ward daytime cover is provided during a “hot week” session from 9:00 am to 17.00pm, Monday to Friday on a 1 in 8 week rolling rota. This amounts to 1.56 PA per week in the weekly job plan.
On-call Commitment
The on call rota is a 1 in 8 rolling rota with internal cover for periods of annual and study leave. The on call includes an evening shift on the Labour Ward from 17:00pm to 21.00 PM
The Weekend call is 1 in 8 and includes ward rounds from 9:00am to 12:00pm. The Weekend on call starts on Friday 9:000am and ends at 9:00am the following Monday.
It is anticipated that this timetable may be revised in due course
Teaching
It is expected that the successful appointee will provide professional supervision, teaching and management of the junior medical staff and also contribute to other educational activities that may be required.
There are close links between the Unit and the University of Nottingham and the University of Leicester. Regular groups of medical students come to Lincoln for training and the present Consultants are all Clinical Teachers to the University. It is anticipated the post holder will be likewise. There is a new fully equipped undergraduate education centre in the hospital.
The Trust has an excellent Post Graduate Medical Education Centre on site. It is equipped with state of the art audio-visual facilities, excellent library, meeting rooms as well as other resource rooms.
ST4/5 and career ST1/2 posts rotate to the hospital. Postgraduate trainees from University of Nottingham are posted for their training in Obstetrics and Gynaecology.
There are teleconferencing links with other Teaching Hospitals and other hospital sites within the Trust which facilitates regular meetings between all the sites.
Continuing Medical Education
The Trust is supportive of Consultant’s needs and requirements to meet the external CME targets.
Clinical Audit and Research
Clinical Audit and Research are actively encouraged within the Trust. The Trust has an active Research Unit and is actively involved in recruiting patients for multi-centre trials. Links are currently being developed with the University of Lincoln to improve research activities within the Trust. As part of Clinical Governance, audit is mandatory.
Consultant Obstetrician and Gynaecologist with a Special Interest in Gynaecological Oncology
Criteria for Selection Essential Desirable Qualifications and Full GMC registration. ATSM in Advanced skills MRCOG or equivalent. labour ward practice CCST or equivalent. ATSM in Gynaecological Oncology Colposcopy Accreditation
Clinical experience Clinical training and experience in and effectiveness general obstetrics and gynaecology Participate in equivalent to that required for a UK risk management / Multi CCST. professional drills Experience in Oncology including MDT Must be proficient in obstetrics and Labour ward.
Management and Experience in developing clinical Evidence of administrative guidelines, policies and care management, experience pathways. administration and audit experience. Teaching and Experience of supervising junior Certification in Medical training experience medical staff. education
Personal attributes Motivation and enthusiasm to drive Demonstrate evidence of change and service transformation. service transformation. Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses and other agencies. Team player with enthusiasm and ability to work under pressure. Good organisational and management skills. Resident within 10 miles or 30 minutes of the hospital.
Responsibilities of the Post Holder
In undertaking this role the post holder is expected at all times to behave in accordance with the Trust values which demonstrate a commitment to the delivery of high quality services to patients. This will be in accordance with agreed objectives, targets, quality standards, controls and resource constraints. Our values are:
Patient I am fully committed to providing the very highest standards of care to our patients centred Safety I do everything I can to keep my patients and my colleagues safe I keep my environment clean and tidy I recognise when something is going wrong and I have the courage to do something about it Compassion I show a genuine concern for my patients and my colleagues I communicate well with others, listening and showing an interest in what they have to say I am positive, approachable and friendly Respect I treat my patients and my colleagues with dignity and respect I work openly and honestly as part of an effective team I keep my promises and do what I say I will, when I said I will, or I will provide an explanation if I can’t Excellence I will always go the extra mile and improve things for my patients and my colleagues I am competent to carry out my role and committed to my personal and professional development I will share good ideas and best practice and encourage my team members to do so too
Mandatory Trust Responsibilities
Governance and Risk Management This will specifically include: An active contribution to incident reporting and analysis Participation in root cause analysis where required
To actively participate in lessons learnt from: Investigations into serious incidents elsewhere within the NHS Active considerations of reports from National Audits Feedback from local analysis of incidents and near misses
Actively engage in clinical audit and that, where appropriate, findings and conclusions from those audits influence the development of local clinical practice.
Active involvement in the investigation of complaints and Duty Of Candour and that: Any complaint investigation is undertaken in a timely manner, within the timescales set by the Trust That any lessons learnt from complaints are used to improve the delivery of services in the future
Teaching It is expected that the post holder will provide professional supervision, teaching and management of the junior medical staff and the post holder will also contribute to other educational activities that may be required.
There are close links between ULHT and the University of Nottingham, University of Leicester and University of Lincoln. Currently we have regular placement of undergraduate medical students from Nottingham and Leicester Medical Schools and will have similar placement from newly started Lincoln Medical School and the post holder will be expected to take part in the teaching programme. There is a new fully equipped undergraduate education centre in the hospital.
The Trust has an excellent Post Graduate Medical Education Centre on site. It is equipped with state of the art audio-visual facilities, excellent library, meeting rooms as well as other resource rooms.
ST4/5 and career ST1/2 posts rotate to the hospital. Postgraduate trainees from the University of Nottingham and Leicester are posted for their training in Paediatrics and Neonates. We also supervise a MCh trainee in
There are teleconferencing links with other Teaching Hospitals and other hospital sites within the Trust which facilitate regular meetings between all the sites.
Continuing Medical Education The Trust is fully supportive of the needs and requirements to meet the external CME targets.
Clinical Audit and Research Clinical Audit and Research are actively encouraged within the Trust. The Trust has an active Research Unit and is actively involved in recruiting patients for multi-centre trials. Links are currently being developed with the University of Lincoln to improve research activities within the Trust. As part of Clinical Governance, audit is mandatory for every specialty. The department has mortality and morbidity audits every month. In addition, process audits are held every two months and topic audits every six months. SHO and SPR are provided with specific topic audit to be completed during their period of employment. The Trust has a countywide process audit programme which is held on a rotational basis.
Appraisal, Revalidation & Mandatory Training: The post holder will be required to maintain their continuing professional development (CPD) to be able to successfully revalidate. It is a Trust requirement that the post holder has an annual appraisal and ensures that their mandatory training is kept up to date.
Health and Safety The United Lincolnshire Hospitals NHS Trust recognises its duties under the Health and Safety at Work Act 1974 to ensure, as far as is reasonably practicable, the health, safety and welfare at work of all its employees. In addition the business of the Trust shall be conducted so as to ensure that patient, their relatives, contractors, voluntary workers, visitors and members of the public having access to the Trust premises and facilities are not exposed to risks to their health and safety.
All Medical staff with a contract of employment with the United Lincolnshire Hospitals NHS Trust will be expected to comply with the Trust Health and Safety Policies
Main Conditions of Employment
The terms and conditions of employment will be determined by the United Lincolnshire Hospitals NHS Trust terms and conditions of employment. These are generally in line with the relevant provisions of the Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales) and General Whitley Council Terms and Conditions of Service, as amended from time to time. Copies of these can be seen in the HR Department. This is a replacement post based at Pilgrim & Associated Hospitals the post will be fully based at Pilgrim. Occasionally the post-holder may need to travel to other sites to undertake ad-hoc duties, theatre cover or attend meetings which will always be mutually agreed in advance incl. travel arrangements. . In determining salary for the post, the Trust will pay no less favourable rates than those paid to NHS Consultant Medical and Dental Staff. If, in the future, the Trust establishes alternative negotiating arrangements you will be notified of those arrangements, and thereafter any agreements thus reached will form part of your Contract of Employment.
The post holder shall have medical clearance arranged by the Trust before taking up employment.
If the appointee elects to undertake a maximum part-time contract he/she will be required to devote substantially the whole of his/her time to the duties of the post and give them priority at all times.
Any consultant who is unable for personal reasons to work full time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with United Lincolnshire Hospitals NHS Trust in consultation with Consultant colleagues.
The successful candidate will work at their base Hospital, Pilgrim and Associated Hospitals. As a consequence he/she is expected to be aware of local policies and procedures and take note of the standing orders and financial instructions of the Trust. In particular, where the Consultant manages employees of the Trust he/she will be expected to observe the local employment and personal policies and procedures.
This job description will form a composite part of a Job plan which will include the post-holders main duties and responsibilities. The Job plan will be reviewed within 6 months from commencement of the post and subsequently agreed on an annual basis between the Clinical Director and the post holder. Annual job plan reviews will also be supported by the appraisal system which reviews a Consultant’s work and performance and identifies development needs as subsequently reflected in a personal development plan.
RESIDENCE The person appointed will be required to maintain his/her private residence in contact with the public telephone service and reside within reasonable access bearing in mind the duties of the post. The Trust requires the successful candidate to live within a distance of 10 miles by road of their main site.
OFFICE ACCOMMODATION Office accommodation will be available with Admin and Clerical Support from a Personal Secretary.
PROFESSIONAL The successful candidate must be on the GMC’s register.
The post holder will be required to maintain and expand his/her clinical knowledge and skills and attend educational meetings to maintain CME.
The Trust has established a policy of Performance Development Review. The post holder will be required to participate actively in the Trust education programme and to attend post- graduate and departmental meetings.
All consultants are expected to work with their clinical and management colleagues to maintain and develop the Trust’s services.