Consultant Colorectal/Peritoneal Surgeon
This is a new post as a member of The Christie Colorectal and Peritoneal Oncology Centre (CPOC). The role will predominately be to support the increasing referral and operative activity in the Peritoneal Tumour Service. It requires a dedicated individual interested in peritoneal surface malignancy and the complex surgery that this entails. Pivotal to the role would be excellent ability in multidisciplinary engagement with good communication skills to discuss the details of diagnosis, complex surgical issues, and subsequent management.
This post is for 10 Programmed Activities (PAs) per week to support peritoneal surgery at The Christie Hospital NHS Foundation Trust. The successful candidate will join the Colorectal and Peritoneal Oncology Centre (CPOC) and join the nine existing colorectal surgeons in treating patients as part of the National Highly Specialised Service for Pseudomyxoma Peritonei (PMP) and Colorectal Peritoneal Metastases (CRPM). This post will support the increasing referral and operative activity seen in these two services.
Previous experience in peritoneal surgery is expected. Support and mentorship will be given to the successful candidate for further development of the skills needed to undertake peritoneal surgery.
The successful candidate will also join the existing colorectal consultants in providing support to the gynaecology oncology surgeons.
The postholder will contribute to the delivery of high quality consultant led care across 7 days. This includes participation in planned weekend and weekday clinical activity to support safe, timely decision making and continuity of care for patients.
The CPOC team includes nine Colorectal and Peritoneal Consultants, five Clinical Fellows including a Royal College / ACPGBI Advanced Colorectal Cancer fellow, two international fellows, and a Northwest Deanery Trainee. We are supported by a team of four Clinical Nurse Specialists as well as an administration team. We are a friendly, hard\-working team focused on delivering high quality patient\-centred care. The service is a national referral service with three MDTs each week where all new referrals are discussed. The service is consultant led with daily consultant ward rounds undertaken in rotation. A system is in place with job planned consultant Colorectal, Urology, and Gynaecology support for operating lists to facilitate the complex nature of the surgery. Quarterly Morbidity and Mortality meetings are undertaken to review all complications. The service prides itself in its low complication figures for the major surgeries undertaken.
We are an ESSO accredited training centre for peritoneal surface malignancy. We provide mentorship for trainees undertaking the ESSO/EPSO fellowship in peritoneal surgery.
Emergency cover is provided by the colorectal on\-call consultant which the successful appointment will be part of. This covers inpatient surgical and oncology patients including those presenting through the Acute Oncology Assessment Unit.
DUTIES AND RESPONSIBILITIES
The team has a complement of a Foundation Year 2 doctor, with five senior fellows including a numbered specialist registrar from the regional STC, national (Royal College of Surgeons / ACPGBI accredited Advanced Pelvic Malignancy Fellow) and international clinical fellows.
The unit has a tradition of mentoring and supporting clinical nurse specialists (CNS): currently there are five CNSs who cover colorectal, peritoneal, anal and neuroendocrine disease. In addition, a team of nurse practitioners support the pre\-operative assessment clinics, and a dedicated enhanced recovery team work across all surgical specialties. CPOC also benefits from a dietitian and psychologist to support our patients. We also have advanced nurse practitioners contributing to the delivery of high quality inpatient surgical care.
The appointee will be based at The Christie and will provide senior input to the pre\-operative and post operative management of cases referred to CPOC. They will, in addition, provide care for emergency surgery arising from post\-operative cases and patients requiring surgical expertise from other surgical and non\-surgical specialties.
It is expected that the appointee will be committed to clinical audit and clinical governance. The unit is involved in continuous audit with a quarterly mortality and morbidity meeting and an annual presentation to the Division as part of a regular divisional performance review. CPOC provides a yearly report to the Highly Specialised Service Commissioners and the successful applicant would be expected to actively participate in the report’s production and presentation. The unit also actively supports the NBOCA register, the National Emergency Laparotomy Audit (NELA), Joint Advisory Group (JAG) for endoscopy, and is compliant with the national programme of surgeon level reporting of activity and outcomes in colorectal cancer.
Continuing Professional Development (CPD)
The Trust supports the requirements for CPD as laid down by the GMC and royal colleges and is committed to providing time and financial support for these activities.
Job Planning
The job plan outlines the requirements of the post and may be altered by joint agreement with the Divisional Clinical Director and Service Manager and in response to service needs. Job Plans are prospectively agreed subject to an annual individual job plan review (May – September). It is expected that the initial Job Plan discussion will take place within the first six months of employment at the Trust and then be aligned to the Trusts annual Job Planning review cycle.
The annual review will examine all aspects of the job plan (including any educational and supervision components) and will also include an assessment of professional development with defined goals for the future. For more information refer to the Terms and Conditions section of this Job Description and also the Trust’s Job Planning Policy
The consultant job plan will include a combination of Direct Clinical Care (DCC) and Supporting Professional Activities (SPA) delivered across the 7‑day week.
Weekend working will consist of programmed clinical activities that are job‑planned, scheduled in advance, and reviewed annually through the job planning process.
The pattern and timing of weekday and weekend programmed activities will be agreed on appointment and subsequently reviewed through the annual job planning cycle, taking account of service needs and consultant preferences.
Essential Training/Mandatory Training
To ensure you maintain safe practice and understand Trust requirements, you must ensure your essential/mandatory training modules are maintained at all times using allocated core SPA time to complete them.
Job Plan Timetable
The timetable below is indicative and will be confirmed on commencement in post.
It is the requirement of the Trust that all new consultant colleagues must have 0\.25 SPAs within their job plan to support Trust appraisal and supervision requirements. This can either be as appraiser or a supervisor for medical staff or Advanced Clinical Practitioners (ACP).
Week 1
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Colorectal MDT (0\.25pa)
Colorectal theatre support all day
PTS MDT (0\.25 pa)
Diary Meeting (0\.13 PA)
Theatre all day
Anal / PTS MDT (0\.25 PA)
Admin (1pa)
Clinic (1pa)
PM
Colorectal theatre support all day (2\.24 pa)
SPA (1pa)
Theatre all day (2\.24pa)
SPA (1 pa)
SPA (0\.5 pa)
Week 2
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Colorectal MDT (0\.25 pa)
Multivisceral Theatre support all day
PTS MDT (0\.25 pa)
Clinic (1 pa)
Diary Meeting (0\.13 pa)
SPA (1 pa)
Anal / PTS MDT (0\.25 pa)
Admin (1 pa)
Theatre all day
PM
Multivisceral Theatre support all day (2\.24 pa)
SPA (0\.5pa)
SPA (1 pa)
Theatre all day (2\.24 pa)
(NB: This timetable is indicative)
Job Plan PA Summary
Total PAs
Direct Clinical Care (DCC)
7\.5
On call (0\.22 pa)
Theatre list (2\.24 pa)
Theatre Support (2\.24 pa)
Clinic (1 pa)
Admin (1 pa)
MDT (0\.75 pa)
Diary meeting (0\.13 pa)
0\.22
2\.24
2\.24
1
1
0\.75
0\.13
Supporting Professional Activities (SPA) (including 1\.5 core SPA)
2\.5
Supervision role (minimum 0\.25 must be allocated)
0\.25
Total Programmed Activities (PAs)
10
On call Commitments
This role does require participation in the on\-call rota. This is currently a 1:8\.5 non\-resident on call rota providing care for patients having had surgery and also for current oncology in\-patients and those admitted through the Acute Oncology Unit.
This listing is from indeed. View original listing ↗