Go back Gloucestershire Hospitals NHS Foundation Trust
Hand and Wrist Senior Clinical Fellow
The closing date is 16 November 2026
We are seeking applicants for a middle grade surgeon with a subspecialist interest in hand & wrist surgery.
Initially the appointee will work under supervision from consultant colleagues, but it is envisaged that after 6-12 months, they will be performing a fair amount of clinical work independently, depending on previous experience and progression.
There is currently a general orthopaedic on call component to the post (1:18) but this will be reviewed and negotiated if the postholder is invited to extend the contract as a substantive contract. The post is for one year, but the contract can be renewed depending on the performance of the postholder.
This is a full-time post. However, any candidate who is unable, for personal reasons, to work full time will still be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis. Job share applicants are also welcome.
Main duties of the job
Responsibilities/Key Responsibilities
- To provide high quality care for orthopaedic patients in theatres (including procedure room)
- Clinic (including virtual fracture clinic, Trauma Assessment Unit and the wards)
- To participate in the morning trauma meetings
- To take part in the 1:18 middle grade on call rota
Professional Development, Education and Training
- To remain up to date and engaged in CME/CPD as per Royal College guidelines
- To attend the monthly departmental meetings
- To attend relevant courses (e.g. BSSH hand courses) and meetings to improve skills and knowledge in hand surgery
Research and Development
- There will be opportunities for research and innovation to develop our local services
- To assist the hand surgical team with ongoing service evaluation projects and initiate new projects
Communications and Working Relationships
- To work flexibly within the teams (e.g. to help cover rota gaps when possible)
- To show initiative, enthusiasm and flexibility
- To liaise with nursing and therapy staff in a timely and appropriate manner to coordinate care
Clinical Governance
- To respond appropriately to complaints and critical incidents
- To undertake and supervise relevant quality improvement projects relating to hand surgery
Teaching
- To participate with the development of postgraduate training for Foundation doctors, Core Surgical Trainees and other staff as appropriate
About us
There are currently 31 Trauma and Orthopaedic consultants employed by Gloucestershire Hospitals NHS Foundation Trust, with a number of subspecialty interests including paediatrics and spine.
In addition, there is a range of senior non-medical support including a 2 Senior Orthopaedic Practitioners, 6 Advanced Nurse Practitioners, 3 Physician Assistants and several Orthopaedic Physiotherapy Practitioners.
The appointee will work closely with the three Orthopaedic hand surgeons and three upper limb surgeons. They will also liaise closely with the multi-disciplinary Gloucestershire Hand service including 6 hand therapists and services provided by the 6 MSK Orthopaedic Practitioners. They will also work closely with two of our registrars attached to the hand team.
The Orthopaedic Department has undergone significant changes in recent years. We are always striving to develop both our elective and emergency hand surgery in Gloucestershire and this presents an opportunity for continued improvement for our hand surgery service.
Elective surgery is performed mainly in Cheltenham, Cirencester and Tewkesbury Hospitals. Trauma surgery is performed mainly in Gloucester. Cheltenham, Gloucester and Cirencester are equipped with mini-C arms, which you will be trained to use. The trauma service is busy - we run 2-3 all day trauma lists 7 days a week. We have a significant amount of hand trauma and manage all injuries locally except burns and those requiring microsurgery.
Job responsibilities
We are looking for a colleague who already has some experience in performing hand and wrist surgery, in addition to upper limb surgery and general Orthopaedics. Applicants will have ideally passed the FRCS (Tr&Orth) and ideally be a member of the BSSH. It is not necessary to have completed a hand fellowship, but it would be advantage to have worked in Plastic Surgical Unit. It is essential to have completed at least 6 months working as a registrar with a Hand and Wrist Consultant and to be able to demonstrate a strong interest in developing a career in Hand and Wrist surgery.
Experience
- Appropriate Clinical Experience
- MRCS
- Highly motivated, proactive, and resilient with a positive and professional approach
- ATLS
Clinical Experience
- General training in Orthopaedic Surgery
- At least 6 months training solely in hand and wrist surgery
- Validated log book indicating adequate and appropriate level of hand surgical operative experience
- Experience of leading a quality improvement project
- Experience of working in a plastic Surgery unit
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Gloucestershire Hospitals NHS Foundation Trust
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Hand and Wrist Senior Clinical Fellow in Gloucester employer: Gloshospitals
Gloucestershire Hospitals NHS Foundation Trust is an exceptional employer, offering a supportive work culture that prioritises patient care and employee well-being. With opportunities for professional growth and development within the healthcare sector, employees benefit from a collaborative environment at Cheltenham General Hospital, where their contributions directly impact the lives of patients. Join us to be part of a dedicated team committed to excellence in pharmacy services.
