Job Description

This position offers an attractive varied timetable with the opportunity of using personal skills in one or more areas including:

• Gynaecological scanning and one stop clinics .
• Colposcopy accredited
• Out-patient hysteroscopy

Some of the benefits of being part of our team include:

• Friendly and pleasant hospital in wonderful rural area.
• Fantastic quality of life
• Good clinical environment and state of the art equipment
• Excellent clinical experience

For more information please contact Ms Thiru Bavananthan , clinical director gynaecology 01432 355444 or email Thirumagal.bavananthan@wvt.nhs.uk or Ms Salma Ibrahim, clinical director obstetrics 01432 355444 or e mail Salma.ibrahim@wvt.nhs.uk

Main duties of the job

This post is to cover for planned absence within the team and to ensure consultant led provision of obstetric and gynaecological services in Hereford and to support with the following :

• Provide clinical leadership and lead by example
• Develop and implement standards of obstetric & gynaecological practice and have a major role in developing specific pathways, guidelines and risk management
• Train and educate staff in a multidisciplinary team
• Ensure effective teamwork
• Bring experience to clinical diagnosis and opinion
• Audit the effectiveness of practice and modify it as required.
• Work in conjunction with the nurses, midwives, administration team, managers and colleagues.

There may be times when a session will be used flexibly to cover another session, such as hot week to allow another colleague to undertake certain duties.

About us

Wye Valley NHS Trust is a member of an NHS Foundation Group with South Warwickshire NHS FT and the George Eliot Hospital NHS Trust.

Located on the border with Wales in the shadow of the Black Mountains, we provide acute and community services across Herefordshire and into parts of Powys and run Hereford County Hospital and the community hospitals in Bromyard, Leominster and Ross-on-Wye.

We are a progressive and forward looking trust with ambitious plans to improve quality and integrate patient pathways through close collaborative working with our partners to deliver the quality of care we\'d want for our family and friends.

More than 3,000 people work for the Trust - they tell us it\'s a great place to work, blending the busyness of a DGH with the benefits of working in a beautiful rural and unspoilt county like Herefordshire.

We can offer a great work-life balance and have a fine tradition of working with staff to help them achieve their full potential.

Russell Hardy, Trust Chairman: The strength of the Trust is its amazing staff a great place to work, a great place to develop your career and a great place to reach your potential.

Our values -Care, Accountability, Respect and Excellence - are at the heart of all we do. We believe in providing the right care in the right place at the right time...all the time.

Job description
Job responsibilities

We will be operating a 1 in 9 hot week where the consultant will have no other fixed commitments from 8.30 to 17.30 Monday to Friday. We operate a 1:9 weekend on-call, when the consultant is resident from 9.00 to 12.00. Except in special circumstances this will be a fixed rolling rota. The duties of the consultant in the hot week will include:

• Supervise the day-to-day management of labour, maternity and Gynaecology wards.
• Two labour ward rounds per day.
• One maternity ward round a day (to review all antenatal patients who are not due to be reviewed by their consultant) and problematic post-natal patients.
• One gynaecology ward round to review all patients
• Perform or supervise the 3 elective caesarean section lists per week on Monday,Wednesday and Friday
• Respond to calls from GPs, Emergency department and other specialties
• Perform or supervise emergency gynaecological cases on the CEPOD lists. A mentoring/ shadowing system is in place for new consultants to the team there are regular opportunities for shared learning through mortality and morbidity
• Ensure there is sufficient handover between you and your consultant colleagues and the middle-grades at the change of each shift.
• Be available to review or for the juniors to discuss the management of patients attending the GAA, EPAU, DAU, Triage and the emergency gynaecology clinic.
• Be available for the juniors to discuss the management of patients attending other consultants clinics in their absence.
• Induce new medical staff, including locum doctors and assess them on their competencies before they perform procedures un-supervised. Continue to supervise them and complete OSATs / Mini CEXs, etc.
• Teach junior and middle-grade staff on an informal and formal basis.
• Take part and lead regular multi-disciplinary staff update sessions and case reviews.
• Take medical student tutorials and ensure that they get a positive experience from their time in Hereford.
• Work with the Clinical Risk Manager to support her investigation of incidents and complaints.

It is anticipated that annual leave and study leave will not be taken during the hot week.

Other Duties

When not on hot-week you are expected to perform approximately 5 clinical PAs. These will be a mixture of fixed, flexible and annualised sessions. A flexible session may depend on any skill set to complement existing consultants such as a Special interest clinic, antenatal clinic, peripheral gynaecology clinic or labour ward cover. It may be where you will be performing a session usually undertaken by one of your colleagues who is currently away, undertaking a specific task or on the hot week. There will be sometimes when this is to cover labour ward when a colleague has an immovable commitment.

You will also perform 1.5 non-clinical, Supporting Programmed Activities (SPAs) that are for teaching, investigation of incidents or complaints, involvement in developing policies and relevant pathways, audit, research CPD and educational supervision. The post-holder will be expected to account for these sessions. There will be departmental management meetings at least 2 times a month.

The precise job plan will be confirmed with the successful candidate after appointment and is currently placed on the Allocate job-planning software.

On Call

The weekday on-call (Monday to Thursday) will be shared equally by consultants in a 1:8 rota. The weekday on-call starts at 17.30 and you will be expected to be resident in the hospital and available for labour ward and other clinical commitments until 21.00. There is a personal handover to the in-coming night registrar before being on call from home till 08.30. At weekends you are timetabled to be in the hospital from 09.00 to 12.00 each day and on call from home with immediate return to hospital when required (Category A 5%).

Person Specification
GMC registration
Essential

• GMC licence to practise

Desirable

• Candidates should ideally be on the Specialist Register

Qualifications
Essential

• MRCOG or equivalent

Desirable

• ATSM or equivalent experience in any of the following areas would be beneficial:
• Advanced Labour Ward Practice
• Labour ward Lead / Risk management
• High risk pregnancy
• Advanced Antenatal Practice
• Maternal Medicine/Obstetric Medicine
• Colposcopy or Benign Gynaecology surgery

Experience
Essential

• A wide general obstetrics and gynaecology training
• Good experience at running labour ward at a consultant level

Desirable

• Publications in peer reviewed medical journals

Clinical Skills
Essential

• Experience of working in a demanding department and aptitude for delivering under pressure
• Ability to work/operate unsupervised.
• Make senior level clinical decisions.

Desirable

• Training (and preferably accreditation) in another area of specialisation such as scanning

Education
Essential

• Possesses training and education skills to teach junior medical, nursing and midwifery staff
• Demonstrates Leadership qualities

Desirable

• Higher Certificate or Degree (e.g. MD/PhD)

Interpersonal Skills
Essential

• Excellent communication skills both oral and written
• Ability to establish good working relationships with staff and be able to communicate well with patients
• Willingness to seek timely assistance from colleagues and discuss clinical issues when appropriate
• Supportive and nurturing towards junior medical, midwifery and nursing workforce
• Flexible
• Team player
• Acts with integrity

Desirable

• Advanced communication skills training

Management
Essential

• Good organisational skills and time management.
• Prepared to challenge/correct poor performance Takes responsibility for personal and professional development

Desirable

• Training and interest in medical management

Physical Requirements
Essential

• Ability to carry out full range of duties safely and completely

BMJ-122682/229-SDMS-GT-5287517

Company

Our vision:
To improve the health and well being of the people we serve in Herefordshire and the surrounding areas

Our mission:
To provide a quality of care we would want for ourselves, our families and friends

Our values:
Compassion, Accountability, Respect, Excellence

Our sites:
Hereford, Ross-On-Wye, Leominster, Bromyard

Wye Valley NHS Trust is a provider health services across Herefordshire and beyond.

The Trust exists to improve the wellbeing, independence and health of the people we serve. We are the leading provider of health care in Herefordshire.

By working closely with our partners, we can make good our promise to deliver a quality of care we would want for ourselves, our families and our friends.

With an estimated annual turnover of around \xc2\xa3180 million, we employ around 2,700 plus staff. We aim to build new relationships between our staff, patients, service users and their carers with the wider community.

The days are numbered for our 1940s hutted wards with the doors to the new ward block at the County Hospital due to open to patients for the first time next week.

It not only means two wards to replace the hutted wards will open, but the new build also includes a new extra ward bringing 18 extra beds overall.

Check out the video below for a sneak look inside the building:

British Medical Journal