Job Description

There is a responsibility for caring for the ward patients and the Junior Clinical Fellow (JCF) is expected to support the Foundation Year1 trainee. The JCF will join the morning ward round with the FY1, Senior Clinical Fellows and Consultants. Emergency referrals from the Emergency Department are covered by the on call JCF. There is also an Urgent Care Centre that facilitates the efficient management of patients who need emergency attention that the emergency ward JCF will help support in. The appointee will have also have responsibility in supporting the general surgery team with assisting in theatres and clinics as appropriate. The successful candidate will participate in on-going audits and monthly presentations of our complication rates at the General Surgery M&M meeting. The post is intended to offer appointees, where possible, equivalent opportunities for personal development as ie a study leave entitlement and allocated study leave budget.



We expect high application numbers for this role so be advised we may close the advert before the stated end date, if we have received a sufficient number of applications



Locums are employed only for unexpected leave, such as sickness. All leave, whether annual or study leave, must be booked at least six weeks in advance, to fit in with the partial booking system which allows patients to choose dates for outpatient appointments. This means that leave must be co-ordinated, and may have to be refused if more than two JCFs wish to take leave at the same time. Leave arrangements must be made in a timely way; it is only possible to carry over 5 days of leave not taken, to the next year.



The timetable for SHOs is based on a 1:12 on call rota (the on calls are shared between the general surgery, breast and urology teams). Within this rota SHOs are allocated CEPOD theatre and Trauma theatre and Emergency ward support on a 1:8 rolling pattern. The department rota is arranged on a weekly basis by the Service Manager. You will be allocated to a number of Theatre, colorectal or upper GI ward rounds and Outpatient sessions that will vary each week.



When on-call you are not committed to any elective duties and will be involved with the emergency team lead by the Consultant of the Week.



Daily handover meetings are held at 8 - 8.30 am, which include all those coming on or off duty attend.



Outpatients clinics



Operating theatres



Ward rounds



1:12 on call Surgical Rota Nights /Weekend days/Weekend nights



MDT/education/audit/research



We provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East. We have over 6,000 members of staff that are PROUD to Care for nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.



We're one of the best preforming Trusts in the country. We're also one of the top trusts to work for - our staff say they're engaged, motivated, and would recommend us as a place to work and receive treatment.



Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.



Our facilities are some of the best in the country. We have been investing around 10 million a year in our estate. We are currently spending 25 million on expanding our adult and neonatal critical care facilities at Chelsea and Westminster and redevelopment of our children's unit at West Middlesex - in partnership with our charity, CW+ and generous donors.

Clinical:

The successful candidate will be expected to help the Specialist Registrars in the administration of the day to day running of the firms and to supervise, help and instruct the pre-registration house officers wherever possible. Involvement in the OP clinics may be required.



The successful post holder will be expected to assist and manage the in patients as well as taking referrals from ED and other departments.



The candidate will also be expected to be part of the on call rota for General Surgery, Colorectal and Urology.

Teaching:

The senior staffs undertake teaching of the Senior House Officers. Senior House Officers would be expected to teach medical students and contribute towards various teaching programmes on the unit.

Research:

Several clinical research projects are in progress and ample opportunities exist for presentation and publication of case reports to the learned societies.

Audit :

JCFs will be encouraged to carry out audit projects with the support of audit department, and must attend the regular department audit sessions.

Administrative:

Offices and secretarial services are available.

Study leave and Training :

This post is not recognised by the London Deanery as a training post but facilities for study leave exist. There is a good recently expanded Medical Library situated in the Postgraduate Centre and Department Library facilities are also available.



A wide variety of postgraduate medical education courses and lectures are available locally including:



Courses of lectures arranged by clinical tutor



Weekly physician clinical meetings



Weekly surgeon meetings, including clinical pathological conferences



Orthopaedic tutorials



Regular Audit meetings



Surgical Techniques workshop