Consultant in Obstetrics and Gynaecology

Chelsea and Westminster Hospital NHS Foundation Trust is seeking to appoint an enthusiastic, innovative and forward-thinking Consultant Obstetrician and Gynaecologist to join its established and supportive consultant team. Based primarily at West Middlesex University Hospital, with cross-site responsibilities, this post offers an exciting opportunity to contribute to the delivery and development of high-quality, patient-centred obstetrics and gynaecology services across both Trust sites.

The successful post holder will work closely with consultant colleagues and the wider multidisciplinary team to provide safe, effective and compassionate care. Core clinical responsibilities will include gynaecology one-stop clinics, colposcopy, gynaecological oncology and rapid access services, theatre activity, antenatal clinics and participation in the Obstetrics and Gynaecology on-call rota, in line with departmental service requirements.

The appointment is for 10 Programmed Activities (PAs) and includes participation in the non-resident Obstetrics and Gynaecology on-call rota. The Trust is committed to providing accessible six-day services. The successful post holder may therefore be required to undertake elective weekend clinics or theatre sessions, in addition to routine out-of-hours commitments.

Main duties of the job include:

• Joining an established consultant team delivering high-quality, patient-centred Obstetrics and Gynaecology services.
• Contributing to the development and delivery of specialist gynaecology services, including gynaecological oncology and 2WW pathways, colposcopy, one-stop gynaecology clinics, acute gynaecology, and general obstetrics and gynaecology care.
• Holding continuous clinical responsibility for patients under their care.
• Contributing to undergraduate and postgraduate education, trainee supervision, quality improvement projects, audit, governance, service development, and participation in departmental, directorate and Trust-wide committees.

The Trust is committed to education, innovation and clinical excellence, providing opportunities to shape services, support future clinicians and contribute to the ongoing development of women's health services. Administrative support, office accommodation and appropriate IT facilities will be provided.

Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London. Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a 30m expansion of critical care at Chelsea and an 80m Ambulatory Diagnostic Centre at West Mid. We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.

Job responsibilities include:

• Providing consultant-led care across Obstetrics and Gynaecology, with a particular focus on Gynaecological Oncology, Rapid Access (2WW), Colposcopy, One-Stop Gynaecology and Acute Gynaecology services.
• Leading and delivering specialist Gynaecology Oncology, Rapid Access (2WW), Colposcopy and One-Stop Gynaecology services.
• Providing high-quality general obstetric and gynaecology care in outpatient, inpatient, theatre and emergency settings.
• Participating fully in the consultant-led Obstetrics and Gynaecology non-resident on-call rota.
• Supporting the management of complex obstetric and gynaecological patients, including emergency and high-risk cases.
• Working collaboratively with multidisciplinary colleagues to ensure timely access to care and delivery of excellent clinical outcomes.
• Contributing to the development and implementation of clinical pathways, guidelines and service improvements.

Leadership, Governance and Service Development responsibilities include:

• Actively contributing to clinical governance, audit, quality improvement and patient safety initiatives.
• Participating in multidisciplinary team meetings, including Gynaecological Oncology MDT and Perinatal MDT meetings.
• Supporting service transformation, pathway redesign and operational performance objectives.
• Promoting a culture of continuous improvement, innovation and learning within the department.

Teaching, Training and Research responsibilities include:

• Providing teaching and clinical supervision for undergraduate medical students and postgraduate trainees.
• Acting as Educational or Clinical Supervisor where appropriate.
• Supporting trainee-led audits and Quality Improvement Projects (QIPs).
• Participating in continuing professional development and appraisal in line with GMC and Trust requirements.
• Contributing to research, service evaluation and innovation activities where appropriate.

Management and Professional Responsibilities include:

• Participating in departmental, directorate and Trust meetings.
• Supporting workforce planning, junior doctor supervision and recruitment activities as required.
• Demonstrating leadership, professionalism and a commitment to equality, diversity and inclusion.
• Maintaining compliance with Trust policies, GMC Good Medical Practice and all mandatory training requirements.

The post includes participation in the consultant non-resident Obstetrics and Gynaecology on-call rotas, currently: Obstetrics: 1:24 rota, including a fixed weekly on-call day and weekend commitments. Gynaecology: 1:17 rota, including a fixed weekly on-call day and weekend commitments. The post holder must be able to attend the hospital within 30 minutes when on call, in accordance with Trust policy.

Person Specification:

• Education and Qualifications: Full GMC registration with licence to practise and entry on the Specialist Register for Obstetrics and Gynaecology (or within 6 months of CCT/equivalent at AAC), MRCOG or equivalent specialist qualification, Evidence of colposcopy accreditation, recognised competency or current substantial experience in diagnostic and therapeutic colposcopy appropriate to consultant practice or evidence of working towards the same, Advanced training or equivalent experience relevant to labour ward practice, high-risk obstetrics, acute gynaecology and/or benign gynaecology.
• Experience, Skills and Knowledge: Clinical training and experience in general Obstetrics and Gynaecology equivalent to that required for UK CCT, Experience in gynaecological oncology, rapid access / two-week-wait clinics, cancer pathway management and oncology MDT working, Experience in acute gynaecology and one-stop gynaecology services, including senior clinical decision-making, triage and ambulatory pathways, Competence in gynaecological ultrasound to support acute gynaecology, early pregnancy assessment and one-stop clinic decision-making, Surgical experience in benign and emergency gynaecology, with ability to support elective and emergency theatre activity and supervise trainees appropriately, Experience in general obstetrics, high-risk antenatal care and intrapartum / postpartum management appropriate to consultant on-call practice, Ability to participate in the Obstetrics and Gynaecology non-resident on-call rota and to work flexibly across West Middlesex and Chelsea and Westminster sites as required.
• Teaching, Research, Governance and Communication: Evidence of teaching, supervision and training of undergraduate students, postgraduate trainees and multidisciplinary colleagues, Evidence of participation in clinical governance, audit, quality improvement, incident reporting and implementation of learning from incidents, Understanding of GMC Good Medical Practice, NICE guidance, NHS clinical governance requirements and relevant national standards for women's services, Strong written and verbal communication skills, with ability to communicate effectively with patients, families and multidisciplinary colleagues, Appropriate IT skills and ability to use clinical systems to support safe, effective and timely care, Understanding of NHS organisation, access standards and cancer pathway requirements relevant to gynaecology services.

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.