Upper Limb Specialty Doctor in Trauma & Orthopaedics

Applications are invited for the post of an Upper Limb Senior Specialty Doctor (middle grade) for Trauma and Orthopaedics (T\&O) department. This is not a registrar post. This is a senior position for independent upper limb surgery. Please DO NOT apply if you are not proficient in running elective upper limb clinics and theatres independently. This is initially a one\-year fixed term post, but extendable thereafter for the right candidate.

We expect the candidate to be able to perform hand procedures (carpal tunnel, triggers, Dupuytren’s, Trapeziectomy etc) and also basic shoulder procedures including arthroscopy procedures (eg subacromial decompression, capsular release etc) independently.

The successful candidate will be independently managing patient care in outpatient clinics, fracture clinics, virtual fracture clinics, triaging and running elective upper limb and trauma theatres. There will also be opportunities to teach and support more junior staff in the department. We are seeking a dynamic and proactive candidate, with elective upper limb experience, who would be able to make independent decisions in elective upper limb clinics, run elective upper limb theatres, and weekend general trauma lists (1:8\). There will be consultant support and potential to do more complex elective upper limb cases jointly with consultants.

The main duties of the applicant include managing and treating T\&O patients independently and under consultant supervision, leading and supporting other junior doctors. They will be expected to work as a part of a team and provide support to all staff within the team. The Orthopaedic Department has centralised all Trauma Services at Queens Hospital in Romford, with Inpatient Elective activity being undertaken at King Georges Hospital in Goodmayes, with hospital\-provided transportation available between sites.

We are currently working with our external partners to ensure a streamlined pathway from referral to treatment thus ensuring achievement of the 18\-week RTT target.

We have a fully\-fledged ‘virtual fracture clinic’ service since December 2019 to enable a more robust triage service and reducing the amount of unnecessary face\-to\-face appointments in fracture clinics, that patients are asked to attend following their A\&E/UCC attendance. This is coupled with a more intuitive system of referring patients directly to the correct sub\-specialty clinic for further treatment under the most relevant consultant.

We’re an organisation that is getting better and better and our improvements are driven by a determination to deliver care we’re proud of and our patients are happy with.

They are benefitting from a new electronic patient record (we were the last acute trust in London to introduce one) and our maternity services have been rated good by the Care Quality Commission.

We operate from two main sites – KGH in Goodmayes and Queen’s Hospital in Romford. We have two busy emergency departments with more than 346,000 people visiting them last year. We’re campaigning to secure the £35m we need to transform the A\&E at Queen’s and get rid of corridor care.

We’re proud of our regional Neurosciences Centre, Radiotherapy Centre and Hyper Acute Stroke Unit. We’re also part of the North East London Cancer Alliance.

We run a Women’s Health Hub in Ilford; an Ageing Well Centre in Hornchurch; and Community Diagnostic Centres (CDC) at Barking Community Hospital and at St George’s Health and Wellbeing Hub. These CDCs are open 12 hours a day, 7 days a week.

The majority of our 8,400 staff – who come from 146 different countries \- live in the three diverse London boroughs we serve and are from black, Asian and minority ethnic groups. Many can work flexibly and more than 400 of them are on our Ofsted accredited apprenticeship programmes. We’re proud to be a London Living Wage employer.

The post holder will also triage T\&O patients, and this improves the decision\-making in clinic or for admission/further referral management.

The postholder will participate in clinical governance programme including appraisal, audit and research projects leading to publications. They will have opportunity to get involved in quality improvement projects. The successful candidate will also participate in the on\-call as part of the rotation.

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