Surgical Directorate - Department of ENT
Job Description
Job Title: Rhinology Clinical Fellow
Band: Post CCT
Hours of Work (p/w): 48 with 1B Banding
Service Centre/Directorate: Department of ENT / Surgical Directorate
Base: St. George’s Hospital
Clinical sessions at other local hospitals including Croydon, St. Helier, Kingston
Accountable to: Consultant Body
Reports to: General Manager Head & Neck Services at St. George’s
Key working relationships: Clinical & Nursing teams, Management, Support Services
Role of the Department: Provides ENT services to patients
Job Summary:
This post is suitable for post CCT Specialist Registrars (or equivalent) seeking to specialise in the diagnosis and treatment of Nose and Sinus diseases as well as Facial Plastic Surgery. Extensive operating experience and a desire to provide excellent service to patients is essential.
To cover pre and post operative care, audit, research, administration, ward rounds and general ENT on call duties.
The post-holder will be eligible for full registration with the General Medical Council. He/she will hold the FRCS (Otolaryngol) or equivalent. He/she will have completed a period of training in ENT recognised by a Royal college Surgeons and have obtained CCT prior to taking up this post.
It should be noted that this job description is a reflection of current service needs and may be reviewed and amended in consultation with the post holder in the light of future changes or developments.
The post is covered by terms and conditions of Service for Hospital Medical and Dental Staff and General Whitely Council conditions. The post holder will be expected to carry out audit and activities associated with clinical governance as required by the Trusts and or by The Royal College
Trust Vision & Values:
The post holder is expected to have a clear understanding of how this post contributes to the achievement of the trust vision of:
By 2015 we will be a thriving Foundation Trust at the heart of an integrated healthcare system. One that delivers improved patient care at a community, hospital and specialist setting, supported by a unique and nationally recognised programme of research, education and employee engagement.
We expect all our staff to share the values that are important to the Trust, being Excellent, Kind, Responsible & Respectful, and behave in a way that reflect these.
Main Duties/Key Results Areas:
ST GEORGE’S NHS HOSPITAL TRUST
St George's Hospital is the main teaching hospital in the western sector of the South Thames, and as such has developed links with most district general hospitals throughout the South Thames West, and supports a significant training programme for junior doctors who rotate through the Trust
St. George’s Healthcare NHS Trust is one of the UK’s largest healthcare organisations and has now integrated with Community Services Wandsworth. The Trust shares its main hospital site in south west London with St George’s University of London, and is linked to Kingston Faculty of Health and Social Care Sciences. St George’s has an established national and international reputation as a leading hospital for specialist care including neurosciences, cardiac care, stroke and cancer. We also provide excellent local care to the residents of Wandsworth, and regional care as both an acute, hyper acute stroke unit and trauma centre.
As well as acute hospital services, St George’s Healthcare provides a wide variety of specialist and community hospital based care and a full range of community services to children, adults, older people and people with learning disabilities. These services are provided from Queen Mary’s Hospital, Roehampton, 11 health centres and clinics, schools and nurseries, patients’ homes and Wandsworth Prison. We employ 8,000 staff, have an annual income of c£560m, around 1,100 beds and we serve a population of 1.3 million across south west London.
St George's has 12 operating theatres and a purpose built day surgery unit with five theatres. The 12 bedded intensive care unit has been enhanced by a further three HDU beds built in the new facility. Radiological services include digital angiography, CT, MRI and nuclear medicine screening units.
ST GEORGE’S HOSPITAL MEDICAL SCHOOL (University of London)
St George's Hospital shares its site in Tooting with St George's Medical School and Faculty of Healthcare Sciences. The Medical School is one of the medical schools of the University of London and admits 160 students for the five year course. The curriculum has recently been restructured to conform to revised GMC requirements. There is a course of study for the Uniting Examining Board and Accelerated Graduate Entry Course. St George's is the only medical school in the area encompassing the former South Thames West Region and has formal link with the Epsom and St Helier Trust for the training of undergraduates and postgraduate students.
The otolaryngology service has been successfully configured on the 'hub and spoke' model and following its work as an 'Action on ENT' Pilot site has been developed into a formal network. The Service is centered at St George's where complex surgery is carried out. Day surgery is performed at a number of partner hospitals- Kingston (KH), Epsom, St Helier (E/SH) and the Mayday (MH)- fed through outpatient services at these hospitals. St George's also provides the emergency cover for these hospitals.
The service includes 24 hour emergency cover to A&E, local GP's and partner hospitals. There is a 9-5 outpatient service at St George's Hospital and a weekly general outpatient service at Bolingbroke and provides appropriate outpatient and day surgery services at partner hospitals. Florence Nightingale Ward is a designated otorhinolaryngology ward where inpatient care for emergencies and elective surgery is balanced with appropriate day case surgery.
There is a high standard of care in all aspects of general otolaryngology offering specialist expertise in neuro-otology, rhinology, facial plastic surgery, head and neck surgery, problems of swallowing, olfaction, paediatric otolaryngology and upper respiratory tract allergy. It provides a multi-disciplinary approach to the management of patients through close links with the departments of Audiological Medicine, Neurosurgery Paediatrics, Speech and Language Therapy, Radiotherapy, Plastic Surgery, Oncology and other hospital departments.
ENT CONSULTANT ESTABLISHMENT
The Consultant team at St George's comprises of twelve posts. Specialties within the otolaryngology department are Otology, Head and Neck surgery, Rhinology, Paediatric and general otolaryngology work. Special clinics are also held for voice disorders and swallowing problems.
Special Interest / SGH / Partner HospitalsMr Selvadurai / Otology/Neurotology / 5 / 5(E/SH)
Mr. Patel / Otology
Mr. Harris / Otology / 1.8 / 8 (CH)
Mr. Odutoye / Head & Neck / 11
Mr. Williamson / Head and Neck / 7 / 4 (E/SH)
Mr. Mady / Head and Neck / 5 / 5 (MH)
Mr. Lee / Head and Neck / 10
Miss. Tostevin / General / 5
Mr. Mugliston / General / 2 / 9 (KH/QMR)
Mr. Daya / Paediatrics / 10
Mr. Toma / Rhinology & Facial Plastics / 7 / 4 (KH)
Mr. Hunter / Rhinology / 5 / 5 (CH)
Miss. Little / Rhinology / 5 / 5 (E/SH)
Ms. Hicklin / Voice & Snoring / 2 / 9 (CH)
EDUCATION, TRAINING AND DEVLOPMENT
St George's Hospital
St George's Hospital is involved in graduate, postgraduate, paramedic, ENB education as well as CME. The post holder will be responsible for training higher surgical trainees in Rhinology & Facial Plastic Surgery. He/she will also be responsible for leading research projects in the discipline. They will be a member of the Ear Nose and Throat Service Delivery Unit and Division of Surgery whose chairman is a member of the Medical Advisory Committee. The department has a strong commitment to training in day surgery.
Undergraduate Medical Education
There is a major commitment to undergraduate medical training for the St George's Hospital Medical School
Research and Development
St George's Hospital covers a wide range of research interests encompassing a spectrum from leading edge fundamental investigations to applied clinical and Health Services research. It is the Medical School's explicit intention to link strategically basic and clinic research in order to capitalise on their co-location on a single site.
The School has a strong tradition of giving younger investigators the intellectual space to develop their careers. Positive interdisciplinary and interdepartmental interactions are the norm.
There are approximately 150 researchers on site with close links at the clinical level to research and patient bases at General Practices around the southwest of London and in associated hospitals. These include Atkinson Morley (Neurology and Neurosurgery) , which has transferred to this site. In addition, Pathfinder NHS Trust provides a psychiatric patient base at the nearby Springfield Hospital.
Funding for research comes from external sources which are of course very varied but include the Research Councils, major charities, a wide spectrum of specialist charities, pharmaceutical companies and other industrial sponsors. Total research income was about £16 m last year. The Equipment Committee, which is a sub-committee of the Research and Development Committee, entertains competitive bids for funding of equipment repairs, maintenance contracts or other often multi-user facilities.
Several recently formed groups, which organise open days with poster presentation and invited lectures nurture research on site. These groups meet at regular intervals and are run by elected organising committees. Their aim is to co-ordinate research in their area of interest and to draw together all those on site with a common interest in the theme and to encourage collaborations and organise joint grant applications. So far theme groups in Cardiovascular Disease, Cancer, Intracellular Pathogens and Molecular Medicine have been established.
Any Responsibilities that Relate to a Special Interest
The successful applicant will be expected to work with local managers and professional colleagues in the efficient running of services and will share with consultant colleagues in the efficient running of services and will share with consultant colleagues in the medical contribution to management. He/she will be expected to observe both Trusts agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of both Trusts.
Where he/she will be required to manage employees of both Trusts, he/she will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of their patients to be able to contract them when necessary. All medical and dental staff employed buy both Trusts is expected to comply with both Trust's Health and Safety policies.
He/She will have ward round and general ENT on call responsibilities.
Teaching
There is an active teaching programme for all junior doctors in training and the appointee will be expected to participate in their teaching on a weekly teaching round, at grand rounds and at formal teaching sessions.
Medical Education
The Trust is recognised by the University of London as the Associated University to St George’s Hospital Medical School (SGHMS), with medical students continuously on the St Helier Hospital site within all main specialties. The Trust provides approximately 25% of the clinical teaching for SGHMS and there is an on-site Sub-Dean for the Medical School. Epsom Hospital also provides teaching for medical students from overseas universities. The merger of Epsom and St Helier has provided an opportunity to expand undergraduate medical education, particularly in view of the expansion of medical student numbers. The Trust is working closely with SGHMS to ensure the continuation of good quality training.
Full time or maximum part-time consultants, who teach SGHMS students, are eligible for the title of Honorary Senior Lecturer and are expected to contribute the equivalent of one session weekly towards undergraduate teaching.
They are also increasing opportunities for appointed individuals to contribute to the pre or post registration education of other health professionals being taught in the Faculty of Health and Social Care Sciences jointly between SGHMS and Kingston University, which teaches Nursing, Midwifery, Radiography, Physiotherapy and Social Work. Multidisciplinary education is strongly encouraged by the Trust.
TIMETABLE OF CLINICAL WORK
(This may be subject to change)
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAYAM / SGH OPD / SGH Theatre / SGH Theatre / SGH Theatre / SGH OPD/MDT
PM / SGH Theatre / Research/Theatre / SGH Theatre / SGH Theatre/Teaching
Eve
GENERAL INFORMATION
Occupational Health
The appointment will be subject to passing satisfactorily a medical examination prior to commencing duty in post, unless the requirement has been waived by the Trust.
The Trust has a responsibility to protect health care workers and patients from infection due to blood borne viruses (HIV, Hepatitis B Virus and Hepatitis C Virus). It will be a condition of appointment to this post that you are able to produce an identified and validated blood report from a NHS Occupational Health department that you have appropriate immunity to Hepatitis B virus or absence of Hepatitis B surface antigen within the previous six months.
You must contact the Occupational Health department of the Trust if you:
· Know that you are infected or you have reasons to believe you may be infected with any of the blood borne viruses
· Had unscreened blood transfusion or untreated plasma products (In the UK prior to September 1991 and 1985 respectively)
· Are sharing or shared injecting equipment whilst misusing drugs
· Had occupational exposure to a known patient with a blood borne virus infection with no follow-up negative blood test at six month intervals
· Have carried out invasive surgical procedures in countries with inadequate control of infection procedures or populations with higher prevalence of infection with Hepatitis C virus.
· The Occupational Health department will carry out appropriate assessment as necessary to ascertain your fitness to do exposure prone procedures. You should not depend on your own assessment about your fitness in relation to infection with blood borne viruses.
Funds
No special funding can be made for any additional supporting staff, specialist equipment or other facilities unless such provisions have already been specifically agreed. Secretarial support will be available.
Clinical Governance
The Trust is working towards meeting its Clinical Governance standards of providing high quality healthcare to every patient. It supports team working and good communication amongst all staff.