Job Description Specialty Doctor (+/- MCh Fellowship) in General Surgery Darlington Memorial Hospital
April 2019
DESCRIPTION OF POST
Whole-time – 10 programmed activities. Enquiries regarding flexible working welcomed. There are replacement posts.
The basic contract is for 10 programmed activities but the post holders will also participate in the middle tier emergency surgery resident on-call rota which will attract EPA’s.
The post holder would have the opportunity & support to join the University of Teeside MCh programme
1. JOB SUMMARY
The post advertised is for a Speciality Grade Doctor working in the department of general surgery at Darlington Memorial Hospital & Bishop Auckland General Hospital. Working as a member of the General Surgery Department Team the successful candidate will provide a high quality service that aims to deliver excellent patient care. Team allocations will rotate to allow exposure to subspecialties including colorectal, upper GI & bariatric, benign hepatobiliary, emergency & breast surgery. These posts offer the opportunity for post-holders to develop/consolidate their surgical skills & experience with direct consultant supervision. Exposure to advanced laparoscopic surgery & gastro-intestinal endoscopy is available. Personnel development opportunity similar to that given to specialist trainees is available & scope of practice can be adjusted depending on previous experience. A named consultant within the department will mentor each post holder.
It is envisaged that it will be increasingly difficult to accommodate all future advances in specialist treatments and interventions at each of our main hospital sites in an NHS dominated by strategic change. Taking this into account it is proposed that whilst a successful candidate will spend most of their programmed activities at Darlington Memorial Hospital it is expected that the role would involve programmed activities at other hospitals within the Trust should this be necessary
3. THE TRUST
On the 1 April 2011, County Durham and Darlington NHS Foundation Trust came together with Community Services to form a new integrated health care organisation delivering integrated acute and community health services to patients committed to providing quality care along the whole pathway; at home, in the community and in hospital.
We provide services from three main hospital sites, six community hospitals, and around 80 locations across the area – plus the care delivered at home.
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Our range of services includes hospital based emergency and planned care, including surgery, medical treatment for serious and life-threatening conditions, paediatrics and women services, community based services for long term conditions like diabetes or respiratory illness; and health and well-being services to improve health and prevent illness, such as smoking cessation and alcohol reduction. So now, whatever the health care needs of our community, and wherever they need them in County Durham, our commitment is to provide these to the best standard and quality.
We provide acute services, for the most seriously ill or injured patients through our Accident & Emergency departments at Darlington Memorial and University Hospital of North Durham. Planned patient care, rehabilitation and recovery, and an urgent care centre are provided at Bishop Auckland Hospital. Outpatient and diagnostic facilities are provided at all these sites.
We aim to treat patients as close to home as possible so provide outpatient and community facilities, including inpatients and day care at six community hospitals.
The Trust in its aim to continue to drive the quality of service provided to the community is to develop greater interdependence between our hospitals by creating centres of excellence in a range of specialties on each site, and greater integration between hospital and community services.
Recent developments in this area includes the approval to centralise hyper-acute stroke services on a single site, at University Hospital of North Durham allowing us to improve emergency stroke care during the first 72 hours and the development of a specialist bariatric service at Darlington.
Bishop Auckland Hospital is a centre for planned care for a population of approximately 120,000 people across County Durham and Darlington.
It provides a specialist rehabilitation centre including stroke rehabilitation with high quality facilities, highly skilled nursing staff and experienced therapists. It is a centre of excellence in low-risk hip and knee replacement operations and a full range of outpatient and diagnostics is also provided for local patients.
Further services include a cataract centre and eye care unit delivering a full range of ophthalmology outpatient services including cataract surgery and a midwifery led birth centre.
Darlington Memorial Hospital providing acute services to Darlington and South Durham and some specialised services to North Yorkshire. The hospital has 465 beds and provides a wide range of services; Accident & Emergency, Anaesthetics and ITU, Orthopaedics, Paediatrics, ENT, Ophthalmology, General Surgery, Urology, Maxillo- facial and Oral Surgery, General Medicine, Rheumatology, Obstetrics and Gynaecology and Genito-Urinary Medicine. Additional out-patient facilities exist for Dermatology, Plastic Surgery, Neurology and oncology. www.cddft.nhs.uk
Clinical Support Departments of Imaging (including PACS digital radiology, CT, MRI and Ultrasound), Coronary Angiography, Medical Physics, Pathology, Pharmacy and Allied Health Professionals are all on site.
Since October 2011, Darlington has provided specialist Bariatric surgery service for people with serious weight problems. With the additional skills of specialist bariatric consultants Mr Akeil Samier & Mr Andrew Mitchell County Durham and Darlington NHS Foundation Trust is able to offer a full range of weight loss surgery at the hospital including Gastric bypass, Sleeve gastrostomy, endoscopic techniques and revisional surgery.
The Memorial Hospital building dates from the 1970s. It serves a population of c125, 000. For ENT and Ophthalmology the population served is c330, 000, covering Darlington, Bishop Auckland and North Yorkshire.
University Hospital of North Durham has 482 beds and provides a wide range of acute specialties including Accident & Emergency, Anaesthetics and ITU, General Medicine, General and Vascular Surgery, Urology (Day case only), Orthopaedics, Obstetrics & Gynaecology, Paediatrics, Plastic Surgery, Rheumatology, Dermatology and Genito-Urinary Medicine. Additional out-patient facilities exist for ENT, Nephrology, Neurology, Radiotherapy/Oncology, Ophthalmology, Oral Surgery and Plastic Surgery. Clinical support departments of Imaging (including PACS digital radiology, CT, MRI and ultrasound), Coronary Angiography, Medical Physics, Pathology, Pharmacy and Allied Health Professions are all on site.
Durham provides a hyper-acute stroke unit, supporting 24/7 emergency stroke care, including administration of thrombolysis where appropriate.
The Hospital was built under the Private Finance Initiative and opened in 2001, replacing the former Dryburn Hospital that has been demolished. It serves a population of c250,000. For Plastic Surgery and Dermatology the population served is c750,000, covering Sunderland and South Tyneside as well.
Chester le Street Hospital is 5 miles north of Durham. It has 1 ward of 24 beds providing rehabilitation services. There is also a day hospital with capacity for 15 patients. Within the bed complement there are up to 5 respite care beds for physically disabled patients. The hospital holds outpatient clinics provided by Consultants from the University Hospital; radiological and ultrasound services on site are linked to the PACS at the University Hospital. The hospital was opened in November 2003 as a Private Finance Initiative funded scheme.
Shotley Bridge Hospital is located one mile from Consett in Shotley Bridge village, 14 miles from Durham City. It provides inpatient facilities for Care of the Elderly, a day hospital for the elderly and a Minor Injuries Unit. There is also a Day Surgery Unit on site. Full outpatient services, including General Medicine and Cardiology are provided, www.cddft.nhs.uk
with non-invasive cardiological investigation, Radiology and Ultrasound on site. Inpatient facilities for Mental Health are provided on site by another NHS Trust.
The Trust has received recognition for its services as a whole and the Trust has been named Dr Foster Large Trust of Year by Dr Foster Intelligence in the past. The CGQ rates surgical services ar good. This is a real achievement and recognises the on- going commitment of the organisation to deliver the highest standard of care and treatment to our patients and to consistently improve the overall patient experience at each of our hospital sites.
4 General Surgery Darlington / Bishop Auckland
Emergency services & major elective surgery is provided at the Darlington site. Some day case surgery, outpatient clinics & endoscopy are also provided at Bishop Auckland. The theatre suite has recently been renovated and extended including two dedicated 4K Laparoscopic Theatres.
The consultant workforce is supported by ST/CT trainees, MCh fellows, specialty doctors, foundation doctors & various paramedical professionals. A consultant led emergency rota is provided with a daily emergency operating list. A nurse led clinical decisions unit facilitates prompt assessment, investigation & treatment of admissions from primary care.
Four consultants provide a comprehensive range of upper GI & hepatobiliary service across the trust. The majority of surgery is performed using laparoscopic techniques & all bariatric surgery is performed on the Darlington site. A hot biliary service is established with dedicated theatre space to provide timely access to urgent cholecystectomy during index admission. Colorectal services for malignant & benign conditions are provided at Darlington with a total of nine colorectal consultants in post across the trust. Laparoscopic surgery, early rectal cancer surgery including transanal resection & a full range of benign intervention including for IBD are provided. The colorectal team are supported by a range of nurse specialists within the wider MDT. Weekly MDT’s are supported by regional oncology colleagues & link to the bowel screening programme. The GI surgeons have close links with medical GI colleagues who provide experience of interventional endoscopy including ERCP & colonoscopic EMR. Colleagues with a breast interest have an MDT that offers patients access to image guided surgery & oncoplastic reconstructive techniques.
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5. STAFFING
Darlington Memorial Hospital and Bishop Auckland Hospital
Consultants Miss M Donlon Breast Mr N B Corner General / Breast Mr S Harrison Colorectal Mr GG Kane General Mr F Casans Colorectal Mr K Osman Colorectal Mr A Mitchell (Clinical Director) Bariatric/upper GI Mr A D Gilliam Upper GI/General Mr A Samier Bariatric/upper GI Mr Z Toumi Bariatric/upper GI
Each consultant shares juniors at F1, F2 and Middle grade level.
ORGANISATION OF CLINICAL SERVICES
General Surgery and Urology services are part of the surgery care group within the trust. Care Group Director for the Trust is Dr Richard Geary. The Clinical Director is Mr Andrew Mitchell; there is a Trust-wide General Manager for Surgery is Mrs Felicity White
JOB DESCRIPTION
Job Title: Specialty Doctors - General Surgery
Department/Ward: General Surgery
Division: Surgery Clinical Director in General Surgery + Named Consultant Responsible to: supervisor Accountable to: Clinical Director in General Surgery.
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JOB SUMMARY: Working as a member of the General Surgery Department Team to provide a high quality service that aims to deliver excellent patient care.
The post holder will be expected to manage their own work programme within the broad parameters of department policies and procedures, and will be responsible for determining the associated work activities using their initiative.
Duties of the post To staff outpatient clinics which will include new, review and urgent referrals Preparation of patients for theatre and post-operative care. Dealing with both routine and emergency attenders. Assisting in theatre and post-operative care. Dependant on experience will undertake certain surgical procedures and minor operations independently. Be involved in complex clinical, patient management problems and inter- disciplinary planning treatment. Participation in duty rota. 1 in 9 as part of the middle grade rota. Endoscopy- training opportunities as part of JAG accreditation process may be available A face-to-face handover of care must take place at the start and end of the day, with written and verbal communication about all general surgery inpatients. Completion of electronic discharge summaries is mandatory for all patients on the day of discharge Help develop new services where needed. Be expected to take an active part in continuing medical education and undergraduate teaching. Full engagement with Clinical Audit and Clinic Governance is required.
Sample Job Plan
Monday Tuesday Wednesday Thursday Friday Ward round / Theatre Ward round / Theatre Endoscopy AM clinic DMH Clinic BAGH Ward based Theatre SPA Clinic Journal Club / Admin PM
On Call 1 in 9: As part of middle grade rota. Full shift www.cddft.nhs.uk
OTHER DUTIES
Flexible Commitments
The remainder of the appointee’s professional time will be deployed flexibly on: other clinical duties, administration, teaching, research, clinical audit and other duties, (details of this part of the job plan arrangements are to be agreed with the successful applicant when in post).
6. TERMS AND CONDITIONS OF SERVICE
1. The post is subject to the Terms and Conditions – of CDDFT as amended from time to time.
2. The successful applicant will be required to travel independently within CDDFT footprint. The postholder must hold a valid car licence and have use of a car for business purposes.
3. The current salary applicable to the post is £39,060 to per annum, rising through pay thresholds to £72,840 per annum. Starting salary will be dependent on prior NHS experience.
4. For pre-employment health assessment purposes, as part of the Trust’s Occupational Health Service, the successful candidate will be required to complete a health questionnaire. This will be treated in the strictest confidence and will not be seen by any employee of the County Durham and Darlington NHS Foundation Trust, other than Occupational Health Staff. The successful applicant may be required to undergo a medical examination, and any offer of the post is subject to medical clearance from the Trust’s Occupational Health Physician. The appointee may be required to undergo any future medical examinations considered necessary by the Trust.
5. Satisfactory enhanced Criminal Records Bureau clearance.
6. The successful applicant must be fully registered with a licence to practice with the GMC.
7. GENERAL
Education Centre - Facilities & Training
The Education Centre contains well equipped and stocked libraries with easy access to electronic media and the internet. There is also a well equipped lecture theatre and www.cddft.nhs.uk
seminar rooms with a significant planned programme of lectures and specific tutorial sessions organised by individual departments.
Maintaining Medical Excellence
The Trust is committed to providing a safe and effective care for patients. To ensure this, there is an agreed procedure for medical staff that enables them to report quickly and confidentially, concerns about the conduct, performance or health of medical colleagues. You must ensure that you are familiar with the procedure and apply it.
Rehabilitation of Offenders
Because of the nature of the work, the post is exempt from the provisions of the Rehabilitation of Offenders Act by virtue of the Rehabilitation of Offenders Act (Exceptions Order) 1975. You are therefore not entitled to withhold information about convictions, which for other purposes are “spent” under the provision of the Act and any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information given will be confidential and will be considered only in relation to the position to which the order applies. This post is subject to the Rehabilitation of Offenders Act ( Exceptions Order) 1975 and as such is will be necessary for a submission for enhanced Disclosure to be made to the Criminal Records Bureau (CRB) to check for any previous criminal convictions.
Child/Young Person Related Posts
Responsibility for ensuring that children and young people are safeguarded you must comply with the NHS Safeguarding Children Procedures and the LSCB Child Protection Procedures. The Postholder must attend safeguarding children training at a level appropriate to the role and function of the post. Safeguarding Children Training is mandatory for all staff within this field.
Health and Safety Responsibility
It is the responsibility of the individual to work in compliance with all current health and safety legislation and the Trust’s Health and Safety Policy and to attend any training requirements both statutory and mandatory in line with the Trust’s legal responsibility to comply with the Health and Safety and Welfare at Work Act 1974.
It is a standard element of the role and responsibility of all staff of the Trust that they fulfill a proactive role towards the management of risk in all of their actions. Members of staff are responsible for adherence to all Trust policies for the safety of themselves, staff and patients at work
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Equal Opportunities
County Durham and Darlington NHS Foundation Trust is committed to the promotion of equal opportunities both as an employer and in the services provided.
All employees of the Trust and all applicants for employment will have equality of opportunity for employment and advancement on the basis of their ability, qualification and fitness for work. The Trust is committed not only to the letter of the law but also to the promotion of equality of opportunities in all fields.
Infection Control
It is the responsibility of all individuals to comply with infection control policies and to attend any appropriate training requirements in line with the Trust’s responsibility to comply with Government Directives.
General Risk Management
It is a standard element of the role and responsibility of all staff of the Trust that they fulfil a proactive role towards the management of risk in all of their actions. Members of staff are responsible for adherence to all Trust policies for the safety of staff and patients at work.
Clinical & Corporate Governance
All appointed posts will ensure compliance with Trust policies and procedures and clinical guidelines.
Values and Behaviours
The post is require to promote the Trust’s core values of care, quality, respect, leadership and achievement by adherence to the behavioural competencies as detailed on the Trust’s website and intranet site.
Travel and Subsistence Expenses
Travel and subsistence expenses will be reimbursed for preliminary visits in addition to interview expenses only to those candidates selected for interview.
Reimbursement is restricted to two preliminary visits, whether these are made before or after the constitution of the shortlist is known. In the case of candidates travelling from abroad, travelling expenses are normally payable only from the point of entry into the United Kingdom.
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Visiting Arrangements
Informal enquiries by telephone or email are welcome. Short-listed applicants are encouraged to visit the Hospital prior to interview and to meet prospective colleagues. In order to make the necessary arrangements, applicants should first contact the Recruitment Department, Darlington Memorial Hospital, Telephone 01325 743654. Information is also available from Mr Andrew Mitchell Consultant Surgeon and Clinical Director via secretary on 01388 455182 / email [email protected] or or Mr Grant Kane on 01325 380100 ext. 44533
This job description is intended as a guide to the main duties and responsibilities of the post and must not be regarded as precisely defining all duties. It is expected that it will need to be amended in the light of developing service needs.
Date: August 2016
PERSON SPECIFICATION FOR LOCUM APPOINTMENT FOR SERVICE WITH INTEREST IN UPPER GI
CRITERIA ESSENTIAL DESIRABLE
Basic qualification MBBS or equivalent
Higher MRCS or equivalent FRCS qualifications
Experience in the 12 months + training in general Specialty surgery or sub-specialties
Clinical Skills Ability to assess emergency surgical ATLS Provider patients including trauma. Evidence of appropriate CPD. JAG Endoscopy accreditation
Management Flexible approach to supporting Experience of unit Skills team activities organisation / Rota planning
Audit Skills Regular audit participation Evidence of ability to carry out basic
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medical research.
Teaching Skills Teaching of medical students Teaching Diploma / Higher qualification
Academic Working knowledge of basic Higher degree Achievements/ principles of surgical research. Publications Research Period of research Publication
Personal Skills Excellent interpersonal skills Willingness to seek timely assistance from senior colleagues when appropriate. Ability to establish good working relationships with other colleagues and health care professionals. Ability to treat patients with respect irrespective of race, religion and sexual orientation. Flexibility. Commitment to working in a interdisciplinary team
APPENDIX 2
COUNTY DURHAM AREA AND FACILITIES
The Area
County Durham and Darlington lies at the heart of a region whose history has helped shape the British nation. It is a region of great natural beauty, historic battle fields, castles and cathedrals.
Darlington and Bishop Auckland are historic market towns and Durham’s Norman Cathedral, included on the World Heritage list, and provides a magnificent backdrop for a city of winding streets, picturesque walks and stunning views. County Durham can offer the following excellent facilities:
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Housing
The choice of housing is varied – something to suit every pocket and taste – all within easy distance of the hospitals. Ranging from small link homes to executive housing there is an abundance of locations to choose from including many pleasant rural villages.
Education
There is a high standard of educational facilities, a comprehensive range of nursery, infant, junior and secondary schools. There are also independent schools in Bishop Auckland, Darlington and Durham and the surrounding towns. Many establishments boast a high level of attainment and attract pupils from a wide area.
Further education is well provided for at it colleges in Darlington, Durham, and Middlesbrough, Newcastle and Sunderland and there are highly regarded Universities at Durham, Sunderland and Newcastle.
Shopping
The busy indoor and outdoor markets and the excellent selection of stores and specialist shops in the town centres at Darlington, Durham and Middlesbrough provide the focus for shopping in the area.
Two of the largest shopping centres in Europe are to be found within each reach. The Metro Centre at Gateshead is a complete shopping and entertainment complex with over 300 retail outlets, multiscreen cinema and antiques village. Eldon Square in Newcastle boasts the largest John Lewis and Marks and Spencer outlets outside London and has an excellent selection of retail stores.
Sports Facilities
The North East is passionate about good sport. There is plenty of provision for soccer, rugby, swimming, golf, climbing, walking, canoeing, and angling and many other sports at the five multi-purpose district sports centres.
Culture and Social
County Durham and Darlington offers a wide range of cultural and social activities. There are theatres based in Bishop Auckland, Darlington and Durham which provide a variety of impressive performances throughout the year. A number of multi-screen cinemas can be accessed throughout the area and thus also an excellent range of restaurants and cafes.
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Communication Links
The area of County Durham and Darlington is bisected by the A1M giving good access to Newcastle and Durham & Tees Valley Airports both of which host a range of standard carriers and low cost airlines. Darlington and Durham have main line east coast stations with direct access to London in approximately 2 hours 30 minutes.
Surrounding Area
Not only is County Durham and Darlington an interesting place, but it is an ideal base from which to explore and enjoy the regions many tourist attractions.
Darlington provides easy access to the North Yorkshire Moors and the Yorkshire Dales, both offering some truly remarkable scenery and unspoilt countryside. Hamsterley Forest and High Force are also within easy travelling distance as is the Northumbria National Park. The scenic coastline is dotted with many picturesque fishing villages as well as larger resorts.
The Beamish Open Air Museum a few miles out of Durham shows Victorian buildings and artefacts, which have been painstakingly moved and rebuilt providing a trip through time.
Bowes Museum near Barnard Castle, a magnificent building, houses the largest selection of Fine Decorative Arts in Britain, as well as some of the best examples of old masterpieces outside the National Gallery. Nearby, Raby Castle dating from the 14th century is famed for its interior and setting.
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