The post-holder primarily complements the Obstetrics service. The successful candidate will have responsibility for Perinatal Mental Health, Obstetric Endocrine and Postnatal Care. They will also cover labour ward including a regular caesarean section list. The post holder is also expected to provide senior clinical leadership on the postnatal ward.
The appointee will provide a high-quality Obstetrics service, in conjunction with consultant colleagues already in post. It would be expected that the consultant offers continuous responsibility for the care of patients named under their team.
It is expected that the successful candidate will enhance the educational opportunities available to our trainees by any reorganisation and development of services that they initiate. Regular audits will be required and supervision for Quality Improvement Projects (QIP) undertaken by the trainees. Involvement in general management and committee work for the hospital will also be encouraged.
The Directorate has weekly MDT and educational meetings in which medical cases are reviewed and discussed and audits are presented. The Directorate holds monthly Consultant meetings, Gynaecology and Perinatal morbidity and mortality meetings.
The post holder will have secretarial support from a senior patient administrator shared between other Consultants. The appointee will have a desk in a shared office with access to a computer.
The post-holder primarily complements the Obstetrics service. The successful candidate will have responsibility for Perinatal Mental Health, Obstetric Endocrine and Postnatal Care. They will also cover labour ward including a regular caesarean section list. The post holder is also expected to provide senior clinical leadership on the postnatal ward.
The appointee will provide a high-quality Obstetrics service, in conjunction with consultant colleagues already in post. It would be expected that the consultant offers continuous responsibility for the care of patients named under their team.
It is expected that the successful candidate will enhance the educational opportunities available to our trainees by any reorganisation and development of services that they initiate. Regular audits will be required and supervision for Quality Improvement Projects (QIP) undertaken by the trainees. Involvement in general management and committee work for the hospital will also be encouraged.
The Directorate has weekly MDT and educational meetings in which medical cases are reviewed and discussed and audits are presented. The Directorate holds monthly Consultant meetings, Gynaecology and Perinatal morbidity and mortality meetings.
The post holder will have secretarial support from a senior patient administrator shared between other Consultants. The appointee will have a desk in a shared office with access to a computer.
Chelsea and Westminster Hospital NHS Foundation Trust is proud to be one of the top performing and safest trusts in England.
We have two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital, plus our award-winning clinics across North West London and beyond.
- We employ over 7,000 staff and 500 volunteers
- We treat someone in A&E every 90 seconds
- We deliver a baby every 50 minutes
- We operate on a patient every 16 minutes
- We do 50 imaging procedures each hour
- We serve a diverse population of 1.5 million from the beginning to the end of life
Our values
Our PROUD values demonstrate to staff, patients and the public the standards of care and experience they should expect from our services:
- P utting patients first
- R esponsive to patients and staff
- O pen and honest
- U nfailingly kind
- D etermined to develop
Roles of the post
1.0 Provide a high quality consultant led service in Perinatal Mental Health, Obstetric Endocrinology and Postnatal care as well as on labour ward and on-call. Participate in the multi-disciplinary meetings and contribute to the on call rota.
1.1 Evolve and write, in line with Trust governance policies, pathways for patients seen within the various Obstetric services.
1.2 Work with the multidisciplinary team to undertake a senior role in the general provision of Obstetric and Gynaecological Services at West Middlesex Hospital
1.3 Contribute to the resident night on-call rota
1.4 Provide senior leadership in the management of high risk patients antenatally, intrapartum and postpartum in close co-operation with other specialties.
1.5 To provide acute gynaecology services during on-calls in theatre and emergency care.
1.6 Facilitate the triage of emergency gynaecology operations as per NCEPOD recommendations to avoid operating out-of-hours (i.e. 17h00 to 08h00) whenever feasible.
1.7 Attend all theatre cases to perform surgery, unless satisfied a trainee is competent to perform the operation with indirect supervision
1.8 Assessment and delivery of immediate medical attention of deteriorating elective post-op gynaecology patients
1.9 Obstetric on call commitments as part of the departmental on call rota
1.10 Support obstetric colleagues with advice/ surgical assistance, e.g. major obstetric haemorrhage.
1.11 Support the Emergency Surgical Consultant with a consultant gynaecological opinion/ ultrasound if feasible.
2.0 Provide High Quality Care to Patients
2.1 The post holder must adhere to the standards outlined by the GMC for Good Medical Practice.
2.2 Develop and maintain the competencies required to carry out the duties required of the post.
2.3 Ensure prompt attendance at agreed direct clinical care Programmed Activities.
2.4 Ensure patients are involved in decisions about their care and to respond to their views.
2.5 Demonstrate, model and encourage Trust Values at all times to all patients and staff.
3.0 Research, Teaching and Training
3.1 Provide high quality teaching to medical undergraduates and members of other health care professions as agreed with the Service Leads. To contribute to the training of O&G trainees, other doctors in training and other staff groups.
3.2 Act as a clinical supervisor and appraiser as delegated by the Clinical Director/Service Lead to ensure external accreditation of training post
3.3 Where possible to collaborate with academic and clinical colleagues to enhance the Trust’s translational research/audit portfolio, at all times meeting the full requirements of Research Governance.
3.4 Ensure that your mandatory training is up to date as per Trust policy.
3.5 The Trust expects all consultants to participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. Consultants may apply to the study leave budget for help with associated expenses in line with the terms and conditions of their contract. In addition consultants will be expected to undertake some non-clinical training and development at the discretion of the trust management, for example, Leadership Training.
4.0 Performance Management
4.1 To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
4.2 Clinical efficiency e.g. Length of Stay (LOS) reductions, admission on day of surgery, reducing cancelled operations and DNA rates.
4.3 Quality of outcomes e.g. infection control targets, reducing re-admission rates.
4.4 Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
4.5 Operational efficiency e.g. day-case rates, waiting list activity and demand management.
5.0 Medical Staff Management and Accountability
5.1 Work with colleagues to ensure junior doctors’ hours are compliant in line with EWTD and New Deal.
5.2 Ensure that Trust systems and procedures are in place and followed to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments.
5.3 Adhere to Trust / department guidelines on leave, including requesting and reporting absence, and professional and study leave, and to ensure that members of staff for whom you are responsible do the same.
5.4 Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Lead.
5.5 Participate in team objective setting as part of the annual job planning cycle.
5.6 Be responsible for on-going assessment and regular appraisal of all doctors in training, Trust doctors and non-consultant grades as delegated by the Clinical Director/Service Lead /General Manager.
5.7 Participate fully in regular departmental activities including department meetings and team building activities.
6.0 Governance
6.1 Adherence to referral pathways for oncology MDT and perinatal MDT is essential.
6.2 Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead.
6.3 Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
6.4 Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Lead.
6.5 Participate in ensuring NICE, NSF, CNST and other national guidance requirements are reviewed and implemented and monitored in the specialty areas.
6.6 Ensure clinical guidelines and protocols are adhered to by junior medical staff and any other staff for whom the post has responsibility and that these are updated on a regular basis.
6.7 Keep fully informed about best practice in the specialty areas and ensures implications for practice changes are discussed with the Clinical Director/ Service Lead.
6.8 To role model good practice for infection control to all members of the multidisciplinary team and adhere to the Trust Infection Control measures (available on the Trust Intranet).
6.9 To report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.
7.0 Strategy and Business Planning
7.1 Work with medical managers and general managers to take forward the business planning and objective setting process for the directorate and Trust where appropriate.
7.2 Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Lead.
7.3 To attend and contribute at regular Departmental meetings as identified by the Clinical Lead.
8.0 Leadership and Team Working
8.1 Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.
8.2 Participate in any necessary management and leadership development courses as required by the trust.
8.3 Work collaboratively with all members of the multi-disciplinary team and Imperial College as required.
8.4 Set up and chair meetings relevant for clinical domain.
8.5 To promote local resolution of any conflict or differences of opinion. To involve appropriate parties for mediation, negotiation or discussion as appropriate.
8.6 Provide commitment and leadership in relation to equality and appropriate senior level management of diversity issues, particularly as they apply to training, people management and service delivery.
9.0 Appraisal & Revalidation
The post holder is required to participate in the annual appraisal system in line with the Trust’s appraisal and revalidation guidelines. Individual appraisal interviews will be held annually and reports, (including updated job plans) submitted to the Medical Director or HR Director. You are expected to inform yourself of the annual timetable for appraisal and ensure that appropriate time is set aside to update your portfolio and your mandatory requirements.
