Job Description CONSULTANT IN PANCREATICO-BILIARY & GENERAL SURGERY SURGERY HEALTH GROUP Grade: Consultant Location: Castle Hill Hospital/Hull Royal Infirmary Hours Per week: Full Time (Minimum 10 PA’s) Period: Permanent 1 INTRODUCTION 1.1 Applications are invited for the position of Consultant in Pancreatico-Biliary and General Surgery to join the existing team of 9 Consultant Upper GI Surgeons. This is a replacement post following the retirement of one of the members of the current team. The post will support the delivery of Pancreatic and General Surgery within the Trust and across the region. The post will also provide 1 in 15 on-call cover for the Acute GI Surgery service across the Trust, based at the Hull Royal Infirmary. 1 1.2 Hull University Teaching Hospitals NHS Trust (HUTH Trust) is situated in the geographical area of Kingston upon Hull and the East Riding of Yorkshire. The Hull University Teaching Hospitals NHS Trust has two main hospital sites (Hull Royal Infirmary and Castle Hill Hospital) an annual budget of circa £500 million, employs over 9,000 staff and serves an extended population of 1.2 million, whilst delivering a number of outpatient services from locations across the local health economy area. The Trust’s secondary care service portfolio is comprehensive, covering the major medical and surgical specialties, routine and specialist diagnostic services and other clinical support services. These services are provided primarily to a catchment population of approximately 600,000 in the Hull and East Riding of Yorkshire area. The Trust provides specialist and tertiary services to a catchment population of between 1.05 million and 1.25 million extending from Scarborough in North Yorkshire to Grimsby and Scunthorpe in North East and North Lincolnshire respectively. The only major services not provided locally are transplant surgery, major burns and some specialist paediatric services. Our vision is ‘Great Staff, Great Care, Great Future’, as we believe that by developing an innovative, skilled and caring workforce, we can deliver great care to our patients and a great future for our employees, our Trust and our community. We have developed a set of organisational values - ‘Care, Honesty, Accountability’ – in conjunction with our staff and these form the basis of a Staff Charter which sets out the behaviours which staff expect from each other and what staff can expect from the Trust in return. The values are reflected in our organisational goals for 2016-2021. 1.3 Hull York Medical School – Founded in 2003 Hull York Medical School is a partnership between the Universities of Hull and York and the NHS in North and East Yorkshire, and Northern Lincolnshire. The school performs well in league tables in recognition of its excellent undergraduate medical curriculum and research, judged to be of high international quality. The first doctors to complete the HYMS MB BS programme graduated in 2008. With a distinctive and innovate approach to training doctors for the health services of the 21st century, HYMS aims to influence positively the recruitment and retention of doctors in the region and the quality of local health services. HYMS offers a five year programme using contemporary learning and assessment methods in an integrated structure to some 140 students each year. The programme features a modern learning environment and high quality clinical attachment opportunities. There is a strong focus on learning in community settings, including primary care, and on working collaboratively with other health professionals. 2 1.4 Postgraduate Education Since 2009, HYMS has offered postgraduate taught and research programmes. Its postgraduate research student population has grown rapidly, with around 90 MD, PhD and MSc by Thesis students registered for HYMS degrees, in addition to the research students based in HYMS Centres following University of York research programmes. HYMS currently offers three postgraduate taught programmes – a postgraduate Certificate in Medical Education, an MSc in Human Evolution, based in the Centre for Anatomical and Human Sciences, as well as a Master in Public Health in conjunction with the Health Sciences department of the University of York. Further programmes in medical education are currently being developed. 2 DEPARTMENT OF UPPER GASTROINTESTINAL SURGERY 2.1 This substantive position within the Upper Gastrointestinal Surgery Department of the Hull University Teaching Hospitals NHS Trust (HUTH) is a replacement post to support the continued development of Pancreatic and General Surgery in the region. The successful candidate will join an Upper GI Department with 8 consultant surgeon colleagues. The appointee will work closely with colleagues in Gastroenterology, Colorectal Surgery, Radiology, Pathology and also Oncology services within the Trust. 2.2 The Department currently offers services based in 3 hospital locations: Hull Royal Infirmary (HRI) This is the acute site for the Trust where acute surgical patients and most general medical patients are admitted. It is also the site of the recently re-developed Emergency Department. Castle Hill Hospital (CHH) This is the main site for the department in terms of its delivery of elective activity, with its inpatient ward and elective theatres based on site. In addition, this is the site of the designated Cancer Centre for the East Coast (with the purpose built Queen’s Centre for Oncology and Haematology), the Daisy Research Centre and al the Regional Training Centre for Endoscopy. Hull has been designated as a Regional Specialist Upper GI Cancer, Bariatric and Major Trauma Centre. It is expected that the successful applicant would play a major role in the provision of PB cancer surgery and be committed to the Cancer Centre. The new appointee will work closely with the existing pancreatic surgeons. The department offers a full pancreatico-biliary service with three specialist surgical consultants and has excellent support from radiology, oncology, pathology and gastroenterology. East Riding Community Hospital (ERCH) The service runs a number of outpatient clinics from this facility just outside of Hull. 2.3 Current Consultant Medical Staff within the Department include: Mr David Mitton, Consultant Oesophagogastric Surgeon and Clinical Lead 3 Mr Peter Sedman, Consultant Upper GI and Bariatric Surgeon Mr Kevin Wedgwood, Consultant Pancreatic Surgeon Mr Prashant Jain, Consultant Oesophagogastric and Bariatric Surgeon Mr Dowmitra Dasgupta, Consultant HPB Surgeon Mr Zafar Khan, Consultant General Surgeon Mr Mike Pellen, Consultant Upper GI and Bariatric Surgeon Mr Pavlos Lykoudis, Consultant HPB Surgeon Mr Vincent Wong, Consultant Oesophagogastric Surgeon 2.4 Workload The Upper GI Surgery Department is a busy unit delivering a combination of outpatient, day surgery and inpatient surgical services. In addition, the department assists with the delivery of Upper GI Endoscopy activity and also contributes to 50% of the management and delivery of the Acute GI Surgery service located at the Hull Royal Infirmary site. Last year, the service delivered approximately 3,500 elective cases and 10,500 outpatient appointments. 2.5 Current Staffing Medical Staff Substantive Consultants 7 Specialist Registrars 3 Senior Fellows 2 SHOs (ST2/ST3) 3 PRHO (F1/F2) 5 Other Bariatric Nurse Practitioner 1 Clinical Nurse Specialists 2 2.6 Audit The second Friday of each month is set aside for Mortality and Morbidity meetings, audit and continuing medical education purposes. 2.7 MDT The Oesophagogastric Cancer Multi-Disciplinary Meeting takes place every Friday morning in the Queen’s Centre for Oncology and Haematology at Castle Hill Hospital. The regional hospitals (York, Scarborough and North Lincolnshire and Goole) also refer their cancer cases to this MDT for discussion as the regional centre. Pre-malignant and benign HPB pathologies are discussed at the MDT as well. The Pancreatic Cancer MDT is the combined MDT with Sheffield Teaching Hospitals NHS Trust (Sheffield/Hull Integrated Pancreatic Service - SHIPS) and is held every Tuesday morning. 2.8 CME/Training 4 The successful post holder will be expected to maintain CME activity as required by his/her Royal College and in order to comply with local clinical governance. In addition, they will be expected to play a role in the supervision of junior doctors in training as befits a postgraduate medical school. 2.9 Research The department is actively involved in research and abstracts and papers continue to be generated by the research carried out in the Department. There opportunities for research in the department and also in collaboration with other departments in the Trust and in the University. The Daisy Research Centre is located on the Castle Hill Hospital site. 3 RELATIONSHIPS WITH OTHER SERVICES 3.1 Within the Trust, there are existing, well-established departments of Vascular Surgery, Breast Surgery and Colorectal Surgery. It is not expected that the successful applicant would declare any interest in elective surgery in these fields. 3.2 The Upper and Lower GI surgical teams also provide the dedicated Acute GI Surgical service at the Hull Royal Infirmary site on a rotational basis. Each Upper GI surgeon is matched with a Colorectal Surgeon on a daily basis for sub-specialist support. The on-call commitment is based on a shift system lasting a week. The shifts are from 8am to 6pm and 6pm to 8am. During this period all elective commitments are cancelled. 3.3 There is an excellent working relationship with the Gastroenterology and Hepatology department being part of a hub and spoke network for Hepatology with the Leeds Liver Unit and other hospitals in West Yorkshire. 3.4 Within the Trust, there is an excellent radiology department with specific gastroenterology expertise, including OG and HPB EUS. The EUS service is one of the busiest in the UK and runs one of the few training programmes in the country. A weekly meeting takes place to review imaging. 3.5 There is a hospital wide ‘Nutrition Team’. The team provides a focus for good relationship with pharmacists and dieticians.