NUGITS UpperGI Fellowship

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NUGITS SENIOR LAPAROSCOPIC FELLOW

BASED IN NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST AT NORTH TYNESIDE, WANSBECK AND HEXHAM GENERAL HOSPITALS, 6 MONTH WHOLE TIME (INITIALLY)

THE POST

This appointment as a Senior Laparoscopic Fellow within NUGITS (Northumbrian Upper GI Team of Surgeons) will form part of the Surgical Upper Gastrointestinal Unit at Northumbria Healthcare. This Unit is comprised of 7 laparoscopic surgeons, 3 registrars, 1 research fellow, ST2s, F2s and F1 doctors with 5 Specialist nurses. The successful applicant will work in a strong UGI Team across the Trust with access to state of the art equipment and be involved in developing a Regional Laparoscopic Skills Institute. You will be part of an active Upper GI Cancer MDT.

We are looking for a person who is highly motivated and capable of expanding the role of laparoscopic surgery within the Trust as part of an efficient and friendly team. If you wish to develop a particular expertise in certain procedures, or wish to acquire further skills, then this will be actively encouraged.

Any applicant, who is unable for personal reasons to work full-time, will be eligible to be considered for the post.  If such a person is appointed, modification of the job content will be discussed on a personal basis in consultation with Consultant colleagues.

The post is suitable for a senior surgical trainee or consultant surgeon within the first couple of years of appointment. Basic experience in laparoscopic surgery is required. The candidate will be offered a six month contract to work as a senior laparoscopic fellow with NUGITS in the Emergency and Elective Care Business Unit at Northumbria Healthcare NHS Foundation Trust. Two posts are likely to be appointed in the first interview. The post will be advertised and interviews conducted under the auspices of NUGITS and Northumbria Healthcare NHS Foundation Trust who will hold the contract.

The post itself will be essentially super numery and there will be no on-call involved. The senior laparoscopic fellow will work at all three main sites including North Tyneside, Wansbeck and Hexham Hospitals.  The Senior Laparoscopic Fellow will be a regular member of the Faculty on the NUGITS courses, progressing from an assistant tutor initially to full trainer by the end of the term of employment.

The senior laparoscopic fellow has 7 clinical sessions and 3 teaching and research sessions per week. The senior laparoscopic fellow is expected to work closely with our laparoscopic research fellow, (at present - Mr Mike Pellen), and is expected to write at least one significant paper during his six month post. The fellow is expected to help at the laparoscopic surgical skills course, the Basic surgical skills course and the higher surgical skills course. The fellow is expected to attend relevant meetings including the ALSGBI and the ASGBI. Limited travel expenses are available. The fellow is provided with a library pass and internet access as per Department of Surgery guidelines at Northumbria Healthcare.

The senior laparoscopic fellow will have an identified mentor and appraiser. The fellow has a target number of operations and range of operations in which to achieve competence during the post. The fellow is involved in teaching junior surgeons in theatre and on the ward. The fellow has access to the General Surgery Emergency lists. It is expected that once fully inducted the fellow will perform surgery in parallel theatres under close supervision. The fellow will replace consultant surgeons on their lists if they are on call or on holidays with supervision. Similarly the fellow may run some parallel clinics if the consultant is unavailable.

NORTHUMBRIA HEALTHCARE NHS FOUNDATION TRUST

Northumbria Healthcare NHS Trust was formed on the 1st April, 1998 as a result of merging North Tyneside Healthcare NHS Trust, Cheviot and Wansbeck NHS Trust, Northumberland Community Health NHS Trust and Hexham General Hospital.  This is one of the largest Trusts in the UK.  The Northumbria Healthcare NHS Foundation Trust provides health care facilities in the county of Northumberland and North Tyneside for a dependency which totals at present 500,000. The area covered stretches from the Scottish Border in the North to the River Tyne in the South (excluding Newcastle), West to Hexham and East to the Northumberland Coast.  Wansbeck General Hospital covers mid and North Northumberland with a population of 240,000 while North Tyneside General Hospital covers the South East section of North Tyneside and a population of 200,000. Hexham covers the west of Newcastle with a population of 60,000. The Trust takes the view that clinical services should be regarded as an integrated function across its geographical area and that they should be provided as close to patients as is clinically appropriate.  The Trust became a Foundation Trust in 2006.

 

The Hospitals

Wansbeck General Hospital opened in May 1993 and comprises eleven acute wards providing 305 beds to a mixed urban & rural population of 240,000. It provides General Surgery, Orthopaedics, General Medicine, ICCU, Obstetrics, Gynaecology Elderly care and rehabilitation beds are in the associated cottage hospitals.

North Tyneside General Hospital is a large (500+ beds) District General Hospital serving a predominantly urban population. It provides General Surgery, Orthopaedics, General Medicine, Elderly Medicine, ICCU, Obstetrics, Gynaecology and Paediatrics to a 200,000 population.  In addition the Hospital has a dedicated 20 bedded Day Case Surgery Unit.

NORTH TYNESIDE DISTRICT        

The North Tyneside Health District has the same boundaries as North Tyneside Metropolitan Council covering approximately 33 square miles which houses a population of approximately 200,000. Main centres of population are Whitley Bay and Tynemouth, seaside resorts and dormitory towns for Newcastle.  North Shields, an ancient fishing port industrialised in the nineteenth century, and Wallsend at the eastern end of Hadrian's wall, a centre for traditional heavy industries (principally shipbuilding) most of which are now in decline.  Consequently the social spectrum ranges from affluent suburbia in the north and west to depressed areas of decaying Victorian redbrick along the Tyne bank, with typical "inner city" problems and disease patterns.

Communications are good.  A dual carriageway from North Shields to Newcastle cuts travel time to fifteen minutes.  The urban Metro rail link takes about twenty minutes with a 5 minute service.  A four-lane spine road gives rapid access to the rest of South East Northumberland, and the A1(M) is readily reached through the Tyne Tunnel.  London is about three hours away by Inter-City, less by air from Woolsington, Newcastle's international airport.

The area is a good place to live with a wide choice of schools in both private and state sectors and pleasant residential accommodation still available at lower prices than in many other areas.   Shopping is excellent:  Eldon Square in Newcastle and Gateshead's Metro Centre are among Europe's largest and most modern indoor developments.  There is ready access to miles of beautiful coastline and country, the Border Forest hills and fells with Kielder Water (larger than most Lakeland lakes), Hadrian's Wall and other historic monuments too numerous to mention.  Facilities for sport and most outdoor activities are excellent.

TRUST WIDE DIRECTORATE OF SURGERY

The Directorate of Surgery is the largest of the seven clinical directorates with a workforce of over 400 people. It is part of the Emergency and Elective Care Business unit under the management team of Jeremy Rushmer and Ann Wright. The directorate is Trust wide and led by Mr Mike Bradburn. Ann Carlisle is the General Manager for Surgery. Pre-assessment clinics have been developed in all specialties, with out-reach clinics for Orthopaedics, General Surgery and ENT. The A & E Department is supported by the Trauma Team and the Trust runs the Hospital at Night scheme. It was also a pilot site for the Foundations Doctors programme which was implemented in August 2004. The directorate has an on line database for all activity taking place in the department.

 THE DEPARTMENT OF GENERAL SURGERY at NORTH TYNESIDE

In Patient Beds:

  • Two general surgical wards comprising 59 in patient beds one of which is a five day ward.
  • A combined medical/surgical gastrointestinal ward comprising 30 beds.

Surgical Day Unit Beds:

  • Surgical Day Care Unit comprising 28 places and 2 pre-assessment rooms.

 

Other Departments:

  • Theatre unit with eight theatres and large recovery area.
  • 6 Bedded HDU
  • 6 Bedded ITU
  • Emergency Care Unit (8 consultants)
  • Rapid Access and Treatment Unit; Clinical Decisions Unit; Emergency Care Unit
  • Pathology, Radiology with MRI and CT

There is an upper GI physiology laboratory with state of the art solid state manometry and ambulatory pH measurement capability and lower GI physiology and ultrasound.  We are recognised as a cancer unit for Colorectal Surgery and Breast Surgery by the Regional Calman Hine Committee. We have five sessions of radiotherapy/oncology which amounts to two clinics and other sessions for therapy.

Medical Establishment at North Tyneside General Hospital

9 General Surgical Consultants:

Mr L Horgan, MB, B.A.O., B.Ch,               Laparoscopic Upper GI

FRCS FRCSI FRCS (Gen Surg)                 Lead for Laparoscopic Surgery & Lap Institute

UGI Cancer Lead

 

Mr S Attwood MB, PhD, FRCS                 Laparoscopic Upper GI

                                                        Surgical Teacher

 

Mr Sean Woodcock, MD, FRCS               Laparoscopic Upper GI

                                                        Bariatric Surgery

 

Mr Keith Seymour, MD, FRCS                  Laparoscopic Upper GI Surgeon

                                                        Trust wide Sub Unit Lead for Upper GI Surgery

 

Mr I A Goulbourne BSc (Med. Sc),           General and Breast

MB ChB, ChM, FRCS Ed                         College Tutor

 

Mr R Kasarenini                                    General and Breast Associate Specialist              

Mr S Kelly MB, B.A.O., B.Ch                   Colorectal

MD, FRCSI, FCS(HK), FHKAM                  Senior Lecturer and Audit Lead

Mr B Slater, MB,                                  Colorectal

FRCS, FRCS (Gen. Surg.)

Mr K Seehra                                       Colorectal, Laparoscopic Interest

Also within the Department and Linked to Freeman Hospital (Not involved in on-call rota):

 

Mr M Johnson                                      Urology

Mr T Hasan                                         Urology

1 Associate Specialist                                    8 Nurse Specialists - 2 Upper GI

3 Specialist Registrars       HST Rotation                                        2 Lower GI

2 Research Fellows                                                                     2 Breast

1 SHO/F2                        BST Rotation                                        2 Urology

4 F1s                                                          Theatre Assistant -   1 Colorectal

                                                                                              1 Laparoscopic

 


 

Medical Establishment at Wansbeck General Hospital

 

Consultants

Mr J Guest, MD, FRCS                 Laparoscopic Upper GI Surgery

Mr Paul Gallagher MD FRCS         Laparoscopic Upper GI Surgery

Mr S Bawa FRCS (Ed)                  Laparoscopic Upper GI Surgery

 

Mr D M Bradburn, MD, FRCS         Colorectal Surgery

Miss S Mills FRCS                       Colorectal Surgery

Mr JS Falconer FRCS                   Colorectal Surgery

 

Mr M Carr, MBBS, FRCS               Breast and Endocrine Surgery

Mr M Youssef FRCS                    Breast surgery

 

Mr T Dorkin  FRCS                      Urology (split with Freeman Hospital)

Mr D Thomas, FRCS          Urology (split with Freeman Hospital)

                          

 

1 Staff Grade in Urology

4 Specialist Registrars

2 Senior House Officers (1 Urology ST2; one general surgery ST2)

9 F1s shared with orthopaedics

2 Part Time Clinical Assistants

LAPAROSCOPIC SURGERY

Laparoscopic surgery is undertaken across the Trust, at North Tyneside, Wansbeck and Hexham Hospitals. Over the past 7 years since the appointment of Mr Liam Horgan at North Tyneside and Mr Sadiq Bawa at Wansbeck advanced Laparoscopic surgery has expanded. Cholecystectomies, exploration of the common bile duct, Hiatal hernia repair, fundoplications, Heller's myotomies, all hernias, rectopexies, gastro-enterostomies, staging and diagnostic procedures, splenectomies, appendicectomies and colostomies are performed laparoscopically. The appointment of Mr Stephen Attwood, and subsequently Mr Paul Gallagher, Mr Keith Seymour and Mr Sean Woodcock expanded and increased our activities and raised our profile particularly with the laparoscopic bariatric programme. We have also started a programme of laparoscopic colorectal surgery. We seek to provide a high quality Consultant-led service by developing sub specialist expertise to improve the standards of care for our patients.

TEACHING

It is expected that all medical staff will be available for undergraduate teaching for approximately one notional half day session per week; this may include teaching on ward rounds and clinics in addition to dedicated teaching time.  Participation in Postgraduate Training and Education is also expected.

TRUST WIDE WORKING

There are 7 Upper GI Laparoscopic Surgeons, plus an Associate Specialist across the trust; making this the largest lap Upper GI unit in the UK.  We run laparoscopic courses 12 times a year for trainees and consultants. This teaching and development group for laparoscopic surgery is known as NUGITS, Northumbrian Upper GI Team of Surgeons.


We are building a Regional Laparoscopic Institute centred within our Trust and run by NUGITS. This development has been driven by the Upper GI Laparoscopic surgeons. The vision is to create a high quality teaching and research unit based on a model of high quality, efficiency and throughput. The Strategic Health Authority and the Trust have backed this proposal. It will be based in Hexham Hospital and will comprise a large teaching facility linked to two large laparoscopic theatres; one of which will be a robotic theatre. It is the premier Laparoscopic development in the UK. The expected completion date is July 2008.

A new laparoscopic theatre opened in September 2003 at Wansbeck and is a fully integrated voice activated suite with communication capabilities. A further Laparoscopic theatre was installed in Hexham in April 2004. At present the laparoscopic surgeons support each other by operating together for major cases and this is seen as the way forward in developing the service. We also work very closely with our Lower GI Laparoscopic colleagues two of whom have been appointed recently.

 

ACADEMIC DEPARTMENT AT NORTHUMBRIA HEALTHCARE

Northumbria Healthcare NHS Trust works closely with the University to deliver teaching and research, and is the lead Trust for the Northumbria Division of the Faculty of Medical Sciences, one of four divisions co-ordinating, directing and developing teaching. Currently, there is strong teaching and academic activity at both North Tyneside and Wansbeck General Hospitals, and teaching of both Stage 3 and 4 students occurs at Hexham General Hospital.

Northumbria Healthcare NHS Foundation Trust devolves all SIFT monies (Service Increment for Teaching) to teaching and research ventures under the direction of Professor Roger Barton, Associate Clinical Sub-Dean at the University of Newcastle and Professor of Clinical Medicine, based at North Tyneside Hospital.  In addition, in the academic department there is a Reader in Stroke Medicine, seven Senior Lecturers in Medicine, Rheumatology, Care of the Elderly and Palliative Care, one Senior Lecturer in Surgery and two in Community Child Health. Three lecturer/practitioners have been appointed to strengthen and support the team, in teaching clinical and practical skills and to strengthen patient participation and consent.

SIFT money is also financing Teaching & Research Fellowships at Registrar level. All consultants within the Trust may submit research proposals for the Fellowships. There is considerable competition for such posts.

The Academic Department works as a single unit with the NHS-funded R&D Department, and provides support for research applications, statistics, ethics applications, methodological advice, and training in critical appraisal and research methods.  Thus, there is an integrated multidisciplinary academic department, with research themes in chronic disease management, quality of life and qualitative studies, epidemiology, self-management and patient-centred service delivery. The Trust has achieved over £4.5M in external grant income, and published a significant number of peer-reviewed publications, over 200, since it was first funded in 1998.

There are good links to research teams within the Faculty of Medicine at Newcastle, with several collaborative projects and jointly held grants. The Faculty scored highly in the latest Research Assessment Exercise (2002), with three 5* and five 5's in its eight units of assessment, putting it top nationally alongside Oxford, Cambridge and Imperial College Faculties of Medicine.

 

TEACHING

Northumbria Healthcare NHS Trust is affiliated to the University of Newcastle upon Tyne and provides a substantial amount of teaching to medical students throughout the new curriculum.  This teaching commitment has increased substantially, with the expansion of undergraduate medical student numbers from 201 to 340 per year at Newcastle University.  This increase has already affected clinical teaching. Northumbria Healthcare NHS Trust is the lead Trust for the Northumbria Division of the Faculty of Medicine of Newcastle University, one of four base units co-ordinating, directing and developing teaching.  Seventy students spend their entire stage 3 within the Northumbria Base Unit (Northumbria Healthcare Trust, North Cumbria Acute Trust and Newcastle, North Tyneside and Northumberland Mental Health Trust).  Undergraduate teaching of "Options" students for Student Selected Modules in year 4, and final year students already takes place throughout the Trust.

The Quality Assurance Agency evaluation of teaching rated Medicine at Newcastle very highly, with a total points score of 24/24 (1998-2000 visits).   The GMC accreditation visit (1998) also highly commended the Faculty as being the first to fulfil all 13 objectives of Tomorrow's Doctors.   The University was rated "University of the Year" in September 2000, best medical school in the UK in 2001, by the Sunday Times newspaper, and best medical school in England by the Times in 2004. The University and the Trust are keen to maintain these high standards of education, and new consultant appointments will have a significant contribution to this, under the direction of the Associate Clinical Sub-Dean as head of department.

EDUCATION CENTRE

There is increasing emphasis on undergraduate and postgraduate education, which is underpinned by the facilities provided within the Education Centres. The libraries and educational facilities are good, with new Education Centres on site in all hospitals. The libraries are fully equipped and computerized, with state-of-the-art audio-visual facilities in the lecture theatres. There are additional seminar rooms and classrooms. The academic computer network is linked directly into the University network. A full range of computer software is available including statistics, graphics, databases etc, as well as access to both monochrome and colour printers, scanners, and slide-makers. The newly established Trust network also provides access to on-line resources, either via desktops, or in the new 24 hour IT suites. Videoconferencing is installed, and the Trust is piloting the second phase of an Electronic Patient Record solution. The Trust is fully committed to further development of education and research.

 

REQUIREMENTS OF THE POSTHOLDER

Specification

Essential

Desirable

Qualifications

  • Current GMC Reg. No.
  • FRCS or equivalent
  • Post CCST

Experience and

Knowledge

 

 

 

  • Two years experience in General Surgery
  • Log book
  • Evidence of current professional development
  • Laparoscopic Experience
  • Experience of Training & Teaching Surgical trainees
  • Evidence of flexible independent surgical experience

Skills and abilities

 

 

 

  • Laparoscopic skills & experience
  • Good interpersonal skills
  • Ability to communicate effectively with patients and staff
  • Ability to develop and progress a research project and audit
  • Presentation skills
  • IT Skills
  • Laparoscopic Suturing & Knot tying
  • Evidence of audit
  • Ability to run training courses
  • Evidence bedside teaching
  • Papers presented at regional/ national meetings
  • AV editing skills

Personal attributes

 

 

 

  • Ability to work in a team
  • Enquiring critical approach to work
  • Commitment to CME

 

Other requirements

 

  • Good communication skills

 

 

Study and Training

These posts are not recognised for the purposes of training by the Post Graduate          

Dean and are therefore not suitable for those on permit free training.

 

CONTINUING EDUCATION

All Consultants and junior staff are required to maintain and improve their knowledge and skills both in clinical and organisational areas.  The post holder will be required, with the approval of the Clinical Director, to draw up a programme of continuing education which meets his/her requirements within the study leave provision. Consultants and junior staff are subject to appraisal.

 

RESOURCES     

Limited resources for attendance at relevant meetings are available during the 6 months.

REHABILITATION OF OFFENDERS

Because of the nature of this work, the post is exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975.  You are therefore not entitled to withhold information about convictions, which for other purposes are "spent" under the provisions of the Act, and, any failure to disclose such convictions could result in disciplinary action by the Trust.  Any information given will be kept in strict confidence, and used only in relation to the position to which the order applies.

MANAGEMENT

The post holder is accountable to the Chief Executive through the Medical Director and the Clinical Director of Surgery.

Review

The proposals in "Achieving a Balance and the Government's Review of the NHS may result in changes staffing and working arrangements.  Any proposals for change would be subject to consultation.

Medical Negligence

Since 1 January, 1990 Health Authorities and subsequently Trusts have taken financial responsibility for the negligent acts of their medical and dental staff in the course of their NHS employment. However, all hospital doctors are strongly advised to maintain/take out defence body membership to ensure they are covered for any work which does not fall within the scope of the scheme.

 

MAIN TERMS AND CONDITIONS OF SERVICE

  • 1) This post is a Trust appointment with terms and conditions of service allied to Whitley Council.  
  • 2) The postholder must have full registration with the GMC. MRCS or FRCS is mandatory and the successful applicant must have 2 years experience of general surgery.  
  • 3) This is a 10 session (40 hour) per week appointment. One session equates to 4 hours. See Appended Provisional Job Plan.  
  • 4) Annual Leave is 5 weeks (25 days) plus 8 Bank Holidays and 2 NHS Statutory Days.
  • 5) The Post is pensionable, unless you opt out of the NHS Pension Scheme.  
  • 6) For pre-employment health assessment purposes, as part of the Trust's Occupational Health Service, the successful candidate will be required to complete a medical questionnaire. This will be treated in strict confidence and will be sent direct to the Occupational Health Physician. The successful candidate may be required to undergo a medical examination. Medical clearance is a requirement of appointment.
  • 7) The post is a fixed term appointment of 6 months.

 

EQUAL OPPORTUNITIES

Northumbria Healthcare NHS Trust is committee to the promotion of Equal Opportunities both as an employer and in the services it provides. All employees of the Trust and all applicants for employment have equality of opportunity for employment based on their ability, qualifications and fitness for work.  The Trust is committed not only to the letter of the Law but also to the promotion of equality of opportunity in all fields.

 

TRAVEL AND SUBSISTENCE

Travel and subsistence expenses will be reimbursed for interview expenses.  In the case of candidates travelling from abroad, travelling expenses are normally payable only from the point of entry to the United Kingdom.

VISITING ARRANGEMENTS

Applicants are encouraged to visit the Department and to meet prospective colleagues.  Arrangements for visiting may be made with Mr Liam Horgan, Lead Consultant Laparoscopic Surgeon on +44 191 293 2747 or Mr Jon Guest, General Surgeon on +44 1670 521212.

 

APPENDIX 1

 

PROVISIONAL OUTLINE WORK PROGRAMME FOR

 

NAME:

NUGITS SENIOR LAPAROSCOPIC FELLOW

BASED IN NORTHUMBRIA HEALTHCARE NHS TRUST HOSPITALS

 NORTH TYNESIDE, WANSBECK AND HEXHAM GENERAL HOSPITALS

 

 

SPECIALTY:   GENERAL SURGERY

Contract:   whole-time

                                             

WEEKLY TIMETABLE OF FIXED COMMITMENTS  

 

 

 

Monday

 

Tuesday

 

Wednesday

 

 

Thursday

 

Friday

a.m.

ADMIN

AUDIT

RESEARCH

TEACHING

 

HGH THEATRE

BAWA

ATTWOOD

NTGH THEATRE

SEYMOUR

WOODCOCK

MANNOMETRY

NTGH THEATRE

HORGAN

ATTWOOD

 

WGH

THEATRE

BAWA

NUGITS Courses

p.m.

HGH THEATRE

SEYMOUR

 

HGH THEATRE

BAWA

WGH

BAWA

NTGH CLINIC

HORGAN

ATTWOOD

THEATRE

WOODCOCK

NTGH THEATRE

HORGAN

ATTWOOD

 

NTGH CLINIC

WOODCOCK

SEYMOUR

ADMIN

AUDIT

 

 

 

NUGITS Courses


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