Consultant in Oncoplastic Breast Surgery

We are seeking to recruit a Consultant Oncoplastic Breast Surgeon to join our high-performing Breast Team, on a 10 PA post. The appointment would be ideal for a surgeon already on the specialist register seeking to rapidly progress in Clinical Leadership, or for a trainee within 6 months of CCT. The appointment offers the opportunity to work in a busy modern breast unit with excellent facilities and a high volume of oncoplastic procedures. This post does not have an on-call commitment, out-of-hours cover is provided by the General Surgeon on-call team. Hull University Teaching Hospitals NHS Trust is one of the largest acute trusts in the North of England with two hospitals serving a local population of 600,000, increasing to 1.2 million for tertiary services. The services provided by the Trust are split across Hull Royal Infirmary, situated close to Hull city centre, and Castle Hill Hospital, in Cottingham on the outskirts of the city. The Trust has an annual budget of £500m, employing over 10,000 staff who provide a wide range of emergency, inpatient and outpatient services The department is based in a modern purpose-built unit at the Castle Hill Hospital (CHH) site and is one of the busiest in the country, incorporating the humber breast screening service, diagnosing and treating over 700 new breast cancers per year. Within this unit all symptomatic and screening patients are assessed on a multidisciplinary basis. Located within the unit, in addition to the outpatient facilities there are dedicated breast radiology facilities, a meeting room for multidisciplinary team working and office space. All in-patient facilities are based on the Castle Hill site. Surgery carried out in the department ranges from routine resection surgery to major Oncoplastic procedures. A wide range of reconstructive and Oncoplastic procedures are performed by the breast surgeons, including myocutaneous flaps, therapeutic mammoplasty and mamma tome excision; the breast surgeons were among the first in the UK to offer lipomodelling. Further work such as free flap reconstructions are performed in conjunction with Plastic Surgery colleagues who are based in the same theatres and ward at CHH. The department is also a regional centre for chest wall gender affirming surgery. The unit has facilities for digital mammography, tomography, ultrasound and mamma tome. MRI scanning is frequently used in both the diagnostic setting and to assess response to therapy. The department has an established Lymphoedema service which provides a responsive service to patients ensuring continuity of care following surgery. In addition, there is a NICE compliant family history clinic. The Breast Unit also provides the Breast Screening Service for a population of approximately 120,000 women on both banks of the Humber. This is coordinated by Dr Ayesha Rahman – Clinical Director of Breast Screening. The unit has an established track record developing and promoting independent practice amongst trust grade doctors, including opportunities (dependant on experience for independent operating), and providing opportunities to gather relevant experience for and supporting CESR applications. Clinical Team There are five consultant Oncoplastic Breast surgeons in Hull: Mr Brendan Wooler (Clinical lead for Breast Surgery) Mr Kartikae Grover Mr Peter Kneeshaw Mr Tapan Mahapatra Mr Dorin Dumitru In addition, there is an Associate Specialist and four Specialty doctors (including current vacancy). Middle grade cover is provided by two ST3-8 posts, and one Clinical Research fellow. There are also two F2 and two F1 doctors providing inpatient cover. The appointee will be expected to work within the team carrying out clinics both and supporting theatre activity as part of a 10PA job plan. Screening The Breast Service is part of the Humberside NHS Breast Screening Programme administered from Hull. Plastic Surgery The Department of Plastic Surgery in Hull supports local patients with a free-flap service. An Oncoplastic Meeting (OMDM) takes place on the second and fourth Monday of each month with discussion underway to developing a formal Oncoplastic MDT meeting. Oncoplastic and Reconstruction Breast Surgery Service Patients are offered a wide range of Reconstructive and Oncoplastic Procedures including therapeutic mammoplasty, immediate and delayed reconstruction with implants/ADM or autologous tissue and symmetry surgery, DIEP and other free flap reconstruction General Responsibilities As a senior employee of the Trust the post-holder will work in close co-operation with, and support, other clinical, medical, professional and managerial colleagues in providing high quality healthcare to the Trust’s patients. Integral to the responsibilities of the post are the following requirements:- To ensure the provision of a first class clinical service To provide effective leadership to junior doctors and medical students To undertake all work in accordance with the Trust’s procedures and operating policies To conduct clinical practice in accordance with contractual requirements and within the parameters of the Trust’s and Operational Group’s services plans So far as is consistent with the proper discharge of the above duties, the post holder undertakes to deputise from time to time for absent colleagues in accordance with the Terms and Conditions of Service. The post holder accepts to also perform additional duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant, or to achieve continuity of care. Specific Responsibilities of this Post The post would suit a flexible team player dedicated to high quality patient care who enjoys working in a setting where traditional hierarchy is not emphasized. Members of the clinical team express a diversity of training and experience. The clinical and service managerial styles encourage a high standard of performance by supporting each individual in meeting their responsibilities As part of the Humber Acute Services strategy, the post holder should be aware that it is possible that some future activity may take place in Grimsby/surrounding satellite hospitals. The post holder will not have on-call duties and out of hour Breast Surgery Emergencies are managed by the General Surgery on-call team. Teaching/ Training (As agreed with Clinical Lead) Integral to the responsibilities of the posts are the following requirements: - To provide conditions for improved training opportunities in line with national and local recommendations To supervise and manage the work of his/her junior medical staff and practitioners, and participate in the training and development of these staff to the standards required by the Royal Colleges/Professional organisations. To participate in the undergraduate teaching programme. The Department is involved in teaching medical students from both the Hull and York Medical School (HYMS) and Sheffield Teaching Hospitals. To assist and participate with the development of postgraduate training for Trainees of all grades, Specialty Doctors and other staff as appropriate. Where agreed, to act as Educational Supervisor to junior and middle grade medical staff, being responsible for their appraisal and personal development planning. Audit Integral to the responsibilities of the posts are the following requirements: - To promote evidence based practice. To respond appropriately to NICE guidance. To change own and others’ clinical practice in response to new clinical developments. To undertake and supervise relevant clinical audit topics and attend the regular Multi-Disciplinary Audit Meetings. To be involved in risk management and quality assurance. To remain up to date and engaged in Continuous Professional Development as per College guidelines. To respond appropriately to complaints and critical incidents. To participate in Cancer Network agreed audits. Research Research and other quality improvement projects are a focus of future development supported by senior trust management. Recruitment to National Trials is encouraged. This process is facilitated by Research Clinical Nurse Specialists. The successful candidates are expected to take an active interest in quality improvement projects including appropriate research and to subscribe to current trials which include Mammo-50. Clinical Governance Integral to the responsibilities of the posts are the following requirements: - To undertake all work in accordance with HUTH procedures and operating policies Respond to complaints in an appropriate and timely manner To attend accredited conferences and meetings to update personal level of clinical practice, teaching and management skills in line with CPD requirements. To participate in an annual Job Planning Review process To participate in the Trust’s annual Appraisal process To adhere to Trust Adverse Clinical Incident Policy To ensure compliance with Trust Mandatory Training requirements Management (As agreed with Clinical Lead) Integral to the responsibilities of the post are the following requirements: - To participate in departmental consultant and senior staff meetings To attend other departmental, Directorate and Trust meetings as necessary To attend regional and national meetings as necessary To undertake all work in accordance with Trust procedures and operating policies Teamwork Integral to the responsibilities of the posts are the following requirements: - To work within the framework of team decisions. To work with the wider health community. To show initiative, enthusiasm and flexibility. The Breast Service works closely with other professional teams to offer a comprehensive service to patients. High risk family history patients are referred to the Yorkshire Regional Genetics Service based in Leeds with counsellors attending local hospitals within the trust for consultation, counselling and Genetic testing. High risk surveillance is managed by the Humberside NHS BSP from Hull. Clinical Psychology services are available by referral locally and in the Oncology Health Centre in Hull. The latter also provides a walk-in centre for urgent and patient-initiated consultation. The Physiotherapy team includes members with a special interest in breast patients. A professional Medical Photographer supports the Oncoplastic and Reconstructive service. The Care Group Senior Leadership Team, comprises of:- Mr Matthew Thomas Chief of Service, Specialist Surgery Care Group