Junior Clinical Fellow in General Surgery

The post holder will be expected to work alongside the 12

Consultant Surgeons together with Specialist Registrars, Core Surgical Trainees

and Foundation Trainees. The department provides a wide range of in-patient and

day case procedures and provides emergency and elective general surgery

services as well as subspecialty services in Colorectal, Breast and Upper GI.

The department has an excellent reputation for laparoscopic surgery and

performs significant numbers of laparoscopic colorectal resections, groin and

ventral hernia repairs and fundoplications each year. The laparoscopic approach

is routine for appendicectomy and cholecystectomy (both elective and

emergency). The breast unit perform over 250 cancer resections per year with

both immediate and delayed reconstructions. Complex abdominal wall

reconstructions are undertaken regularly for complex/giant incisional hernia.

Acute Surgical Unit

In 2019 the Trust opened a new Acute Surgical Unit, with bespoke

assessment facilities aimed at maximising our ambulatory care pathways for

surgical patients. A senior surgical assessor reviews patients on presentation

and integral ultrasound assessment speeds diagnosis.

It has reduced non-elective admissions and

reduced length of stay. Initially aimed at General Surgery patients, work is

underway to broaden the approach to other surgical specialities who could take

advantage of the facilities and ambulatory pathways.

There are 14 Consultant Surgeons

together with Specialist Registrars, Core Surgical Trainees and Foundation

Trainees. The department provides a wide

range of in-patient and day case procedures and provides emergency and elective

general surgery services as well as subspecialty services in Colorectal, Breast

and Upper GI. The department has an

excellent reputation for laparoscopic surgery and performs significant numbers

of laparoscopic colorectal resections, groin and ventral hernia repairs and

fundoplications each year. The laparoscopic approach is routine for

appendicectomy and cholecystectomy (both elective and emergency). The Trust has

invested over £2 million to install a dual console Da Vinci Xi surgical robot

in March 2026 and to train current colorectal and gynaecological surgeons. The

plan is for most colorectal resection, complex endometriosis surgery and

complex abdominal wall reconstructions to move towards a robotic approach

during the course of 2026. The breast unit perform over 250 cancer resections

per year with both immediate and delayed reconstructions. Complex abdominal

wall reconstructions are undertaken regularly for complex/giant incisional

hernia.

Acute Surgical Unit

The Acute Surgical

Unit has bespoke assessment facilities aimed at maximising our Same Day

Emergency Care pathways for surgical patients.

A senior surgical assessor, separate to the on-call team, reviews

patients on presentation and integral ultrasound assessments speeds

diagnosis. It has reduced non-elective

admissions and reduced length of stay.

UROLOGY

Clinical Lead: Mr Ali Fani

The department has 5 Consultants

(including Trust Locum Consultants and one agency Locum) plus Specialty and

Foundation Trainees. Activity includes

outpatient, day case surgery, inpatient elective procedures and emergency

admissions

ON-CALL

The rota is compliant with the

new contract and is a 1 in 9 full shift rota. Post holders will be expected to

co-operate in the introduction of new ways of working and monitoring processes

with the support of the junior medical doctors. Patients requiring major

vascular procedures are transferred to the Sheffield Vascular Institute, which

also provides emergency vascular cover.

The ST3+ and equivalents cover

urology admissions out of hours and are expected to liaise with the consultant

urologist who is on call 24/7 if there are urological problems. There is a

daily (including weekends) consultant-led urology ward round.

EDUCATION AND TRAINING

The successful candidates will

have access to all resources currently available in the Trust. This will

involve Library and Knowledge Services, e-learning resources, Clinical Skills

Training programmes, simulation training and other opportunities.

Induction will be provided

covering both generic and specialty specific requirements. For new starters in

the UK there will be a one-week programme in PGME prior to starting clinical

duties to prepare the post holder for practice in the UK. This may be extended

according to individual needs. Initial work in clinical areas would be

supernumerary until the Clinical Supervisor agrees the doctor is ready to do on

call.

The post holders will be expected

to develop a portfolio showing on-going professional development and can access

support from PGME to do this. The post holders will have a named Educational

Supervisor, with whom they will meet on a regular basis for appraisal. They

will agree to a Personal Development Plan and receive assessment in the

workplace and regular feedback, including multisource feedback.

Each clinical department will

provide access to in-house teaching equivalent to training grade doctors. It is

intended that a monthly teaching session for doctors on this rotation will be

established.

Funding for external study leave

may be available from the department equivalent in value to career grade staff

employed by the Trust.

General

1.

In conjunction with Consultant and Senior

colleagues, to provide a high quality service for in-patient and out-patient

General Surgery.

2.

In conjunction with Consultant and Senior

colleagues, to take part in medical audit and research as appropriate.

3.

In conjunction with Consultant and Senior

colleagues, to ensure that the requirements of clinical governance are met.

4.

To ensure that there are adequate arrangements

for hospital staff involved in the care of your patients to be able to contact

you when necessary.

Junior Medical Staff 5.

In conjunction with Consultant and Senior

colleagues, to play a full part in the professional supervision and management

of junior medical staff.

6.

In conjunction with Consultant and Senior

colleagues, to take responsibility for and devote time to teaching, examination

and accreditation duties as required for junior medical staff.

Management & Service Development

7.

In conjunction with the Divisional Senior Team,

to take an active role in the management of the Division.

8.

In conjunction with the Divisional Director,

Consultant & Senior colleagues, to play a full part in developing &

implementing new ways of working in line with modernisation principles that are

fit for the future.

9.

In conjunction with Consultant and Senior

colleagues, to take responsibility for the best use of departmental staffing

and other resources to ensure the maximum efficiency of the department.

10.

To observe the Trusts agreed policies and

procedures, in particular in relation to managing staff, and to follow the

Trusts Standing Orders and Standing Financial Instructions. These policies and procedures have been drawn

up in consultation with the profession on clinical matters.

The Rotherham

NHS Foundation Trust (TRFT) is a combined acute and community Trust serving our

local population of around 270,000 people. Our vision is to always act the right way and

be proud to provide exceptional healthcare to the communities of Rotherham.

As a Trust we

are on a journey to excellence and our people and culture are at the heart of

everything we do for patients. In the

latest NHS Staff Survey, we are the second most improved Trust in England for would

you recommend the Trust as a place to work? and were one of the most improved

for staff engagement overall.

But dont

just take our word for it each year hundreds of colleagues receive nominations

for our Excellence and Proud awards, showcasing our brilliant people and

recognising their achievements. Our

people make a difference to the lives of patients every day and we are proud of

the improvements we are making.

All of our

5,100 colleagues are key to our improvement journey and we are continuing to

improve our services by upholding the Trusts values of Ambitious, Caring and

Together. If you are passionate about

making a difference, then please apply to join us on our journey to excellence.

All Senior Clinical Fellow interviews

will be performed in person (face to face).

If there are any exceptional circumstances as to why a candidate cannot

attend in person then a possible virtual interview will be considered by the Executive panel but is not guaranteed.

Ability/skills

Qualifications

Experience

Research and Audit