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Candidate
information pack
Junior Clinical
Fellow in Plas c
Surgery
Candidate Information Pack Clinical Fellow in Plastic Surgery 1
Trust Values and Behaviours
We’re always on the look out for talented people who live and breathe our values to
join us These are the characteristics which define how our organisation works, and
reflect how we want to be viewed by the communities we serve:
Person Centred and Safe
Our focus is on delivering high quality, safe and person focussed care through
teamwork and continuous improvement
Professional
We will be open and honest, efficient and act as role models for our teams and our
communities.
Responsive
We will be action oriented, and respond positively to feedback.
Friendly
We will be welcoming to all, treat people with respect and dignity and value others as
individuals.
Progressive
We will constantly seek to improve and transform the way we work, to ensure that our
services respond to the changing needs of our communities
All prospective new staff will be assessed against these values to ensure we are
recruiting quality candidates.
The People Promise
Salisbury NHS Foundation Trust is one of 23 NHS England and NHS Improvement
People Promise Exemplar sites in England.
The NHS People Promise is a promise we must all make to each other – to work
together to improve the experience of working in the NHS for everyone.
Candidate Information Pack Clinical Fellow in Plastic Surgery 2
INTRODUCTION TO THE DEPARTMENT
The post holder will be joining an enthusiastic and dynamic Plastic Surgery
Department, which has expanded significantly over the last decade. The Department
provides most areas of Plastic surgery and houses a supra-regional centre for Cleft
Lip and Palate services, the supra-regional Burns Unit and the supra-regional Laser
Service. The catchment population is approximately 3 million covering areas including
Wiltshire, Hampshire, Dorset, Isle of Wight and some patients in the Channel Islands.
Attached to the Department and integral to the service is the Wessex Rehabilitation
Centre which undertakes rehabilitation for patients who have experienced hand and
lower limb trauma.
The Plastic Surgery Unit has 17 beds and is located on Level 4 in the main building.
Main Theatres is also located on Level 4 adjacent to Radnor (Intensive Care Unit and
the High Dependency Unit). Sarum ward is the dedicated Children’s ward, and is also
located on level 4 in the main building. The Day Surgery Unit is located in the older
part of the hospital close to the library.
The Outpatients Department is situated on Level 3 in the main hospital; this also
houses the Minor Operations theatres for both Plastic Surgery and OMFS. The Plastic
Surgery Department is co-located with the Oral and Maxillofacial Surgery Unit, the
Laser Unit, Cleft Lip and Palate Service and is situated alongside the Orthopaedic
Service and part of the Musculoskeletal Directorate. Together with the closely located
Dermatology Unit, a comprehensive skin service is available for the area.
In addition to the aforementioned specialist services the Plastic Surgery Unit also
undertakes a substantial volume of hand surgery (adult and children), lower limb,
perineal, abdominal and breast reconstructive work, microvascular surgery and head
and neck surgery with close links with Neurosurgical, Cardiothoracic and
Gynaecological colleagues within the University Hospital Southampton NHS Trust.
The Trust is working in partnership with the local Major Trauma Centre (MTC) at
University Hospital Southampton (UHS) to deliver a Plastic Surgery Service for the
Wessex Trauma Network. Salisbury Foundation Trust (SFT) release Plastic Surgery
Consultants to cover the MTC to provide a comprehensive service reviewing Plastic
Surgery patients incorporating advice and planning for their treatment. Whilst it is
envisaged that most of the Plastic Surgery operating will be undertaken at SFT, a
dedicated bi-weekly operating list is available for SFT Plastic Surgeons. This list will
predominantly be used where it is inappropriate to transfer patients from UHS to SFT.
Candidate Information Pack Clinical Fellow in Plastic Surgery 3
The Management structure for the Division of Surgery
The Directorate Management Team (DMT) is composed of the following:-
Clinical Director Paul Stephens
Directorate Manager Ali Vandyken
Head of Nursing Collette Byelong
Business Partner Pierre Morey
Finance Manager Jennifer Malyon
The department is located within the surgical division under the following
management structure:
Clinical Director: Paul Stephens – Consultant Plastic Surgeon
Divisional Director of Operations: Mrs Ali Vandyken
Divisional Head of Nursing: Ms Collette Byelong
Plastic Surgery Lead Clinician: Miss Rebecca Exton
Senior Trauma Nurse: Sr Michaela Knowles
Senior Burns Nurse: Sr Amy Johnson
Senior Sister Odstock Ward: Sr Hazel Jackson
Therapist Team Leader: Ms Meg Robson
Current Staffing
Consultants
Mr Tim Burge
Miss Alex Crick
Miss Rebecca Exton – Clinical Lead
Ms Nefer Fallico
Mr Nigel Horlock
Mr Johann Jeevaratnam
Miss Nola Lloyd
Mr Shahid Masood
Mr Gavin McCoubrey
Miss Caroline McGuiness
Miss Raina Rodrigues
Miss Jessica Savage
Mrs Diana Slade-Sharman
Mr Paul Stephens – Clinical Director
Candidate Information Pack Clinical Fellow in Plastic Surgery 4
Miss Jessica Steele
Mr Eunan Tiernan
Mr Neil Wickham
2 Staff Grade Doctor
8 Specialist Registrars; rotating within Wessex and Oxford Deaneries
2 Core Trainee’s and 2 FY2
2 Trust Grade doctors (CT equivalent)
Specialist nurses
4 Plastic Surgery Trauma Co-Ordinators
2 Breast Reconstruction Nurses
2 Skin Cancer Nurse Specialists
Specialist Physiotherapists and Occupational Therapists
Secretarial support is provided for each specialty.
Post Details
An exciting opportunity has arisen for a Trust Grade Junior Clinical Fellow in Plastic
Surgery.
Duties of the post
a) Support the provision and to develop further with clinical colleagues in all
disciplines including primary and tertiary care, where appropriate, to provide
an integrated service for patients.
b) Support the ongoing responsibility for patients under his/her Consultants
care.
c) Support his/her consultant in providing a consultation service and advisory
service to other clinical colleagues in other specialties within the Trust and
Primary Care.
d) Support and participate in the development of the plastic surgery service,
treatment protocols and guidelines and the greater knowledge in the
management of plastic surgery activities.
e) Support his/her consultant to develop and maintain collaborative
relationships with medial colleagues in other specialties and participate in
regular clinical meetings and other post graduate activities.
f) Participate in the on-call rota on an equal basis with junior doctor colleagues
to ensure that appropriate emergency services are provided out of normal
working hours – 1 in 6 compliant rota.
Candidate Information Pack Clinical Fellow in Plastic Surgery 5
g) Take responsibility for own professional development. This will include
attending appropriate courses and conferences and presenting topics for
teaching sessions.
Main Aims and Objectives of the Post
To assist in providing, under supervision, a comprehensive plastic surgery service to
patients in the hospital. There will be adequate training opportunities for progression
in plastic surgery skills.
Support the provision and to develop further with clinical colleagues in all disciplines
including primary and tertiary care, where appropriate, to provide an integrated
service for patients.
a) Take responsibility for the daily care of the ward patients working in co-
operation with the registrars.
b) Routine admissions and emergencies to be clerked. Clinical notes to be
maintained, clearly and accurately.
c) Attend the Emergency Department to review cases referred to the department.
d) Assist in the operating theatre wherever possible, when ward duties permit,
and in post-operative recovery of patients following major Plastic surgery.
e) Attend ward rounds of the combined Plastic staff and of individual consultants.
f) Support and participate in the development of the plastic surgery service,
treatment protocols and guidelines and the greater knowledge in the
management of plastic surgery activities.
g) Support his/her consultant to develop and maintain collaborative relationships
with medial colleagues in other specialties and participate in regular clinical
meetings and other post graduate activities.
h) Participate in the on-call rota on an equal basis with middle grade colleagues
to ensure that appropriate emergency services are provided out of normal
working hours – 1 in 6 cover, including weekends, and 1 in 12 cover for Hospital
at Night cover in line with working time regulations.
i) Take responsibility for own professional development within the specialty. This
will include attending appropriate courses and conferences and presenting
topics for teaching sessions.
j) Develop and maintain good communications with stakeholders and others in
partnership with Salisbury Foundation Trust.
Candidate Information Pack Clinical Fellow in Plastic Surgery 6
k) Demonstrate a firm involvement in Clinical Governance, Risk Management
and Clinical Audit – this will include the collecting, participating and presenting
of audit data.
l) Ensure own practice is up to date; this will include taking responsibility for own
Clinical Professional Development and participating in the units’ research
activity.
m) Comply with all relevant Trust Policies and Procedures and take responsibility
for improving and complying with Infection Control Practices.
n) Take responsibility for improving and complying with infection control practices.
o) Attend, where possible, out-patient clinics for formal teaching of regional
examination and clinical injuries.
Education and Training
The Plastic Surgery Department delivers an educational programme on a rolling
rota consisting of lectures, interactive tutorials, journal clubs, Morbidity and Mortality
meetings, audit presentations and other educational activities. The post holder will
be expected to participate and contribute in these activities.
Clinical Governance
The Plastic Surgery Department undertakes a number of concurrent audit projects for
which participation is expected. There are regular monthly Consultants meetings and
bi-monthly Clinical Governance half days which the post holder will be expected to
attend and participate in. Research and development form an integral part of the
Plastic Surgery Department with close association with the Wessex Rehabilitation
Department, Medical Physics Department and the Laing Laboratory. The post holder
will be expected to adhere to the principals of evidence-based practice including
adherence to agreed guidelines and protocols as well as care pathways developed
with the specialties. The Post Holder is expected to be involved in continual
professional development and undertake annual appraisal.
Candidate Information Pack Clinical Fellow in Plastic Surgery 7
Training and Educational Supervision
The Plastic Surgery Department delivers an educational programme on a rolling
rota consisting of lectures, interactive tutorials, journal clubs, Morbidity and Mortality
meetings, audit presentations and other educational activities. The post holder will
be expected to participate and contribute in these activities.
Research and Development
The Trust is committed to the Government’s 2011 pledge that “every patient should
be a research patient” to help in the fight against disease. The Trust encourages all
clinical staff to recruit patients to or host National Institute for Health Research (NIHR)
portfolio research and can provide infrastructure support. The Trust also hosts the
Research Design Service –South West, providing grant application support to
consultants wishing to initiate their own research.
Participation in in local, national and international research projects will be
encouraged and supported.
Infection Control and Patient Safety
The Trust has an excellent track record in maintaining patient safety through rigorous
and consistent application of Trust policies for the prevention and control of infection,
including hand hygiene. All staff are required to undertake mandatory annual
training/updates in infection prevention and control and to take personal responsibility
for the prevention and control of infection in accordance with the legislative framework
(Health and Social Care Act 2008; Hygiene Code).
Safeguarding
The Trust is committed to developing local robust arrangements to ensure that
safeguarding becomes fully integrated into our systems. This will result in greater
openness and transparency about clinical incidents, learning from safeguarding
concerns that occur within and outside the Trust, clarity on reporting, and more
positive partnership working.
All staff are required to promote the welfare of children, young people and vulnerable
adults in compliance with the Trust’s safeguarding policies and national legislation.
This will include the need to undertake appropriate mandatory training and updates
in safeguarding.
Candidate Information Pack Clinical Fellow in Plastic Surgery 8
Person Specification
Criteria How or where to be
judged
Qualifications and Specialist Training
Full GMC registration with a licence to practice Application form
MMBS (or equivalent) Application form
Experience/Clinical Skills
Previous basic surgical experience at F2 level or above Application form /
Interview
Appropriate knowledge base and ability to apply sound clinical Application form /
judgement to problems and demonstrates clear, logical Interview
thinking/analytical approach
Experience in managing risk and knows when to seek help. Application form /
Interview
Able to prioritise clinical need. Application form /
Interview
Proven ability to work effectively in a range of clinical settings Application form /
Interview
Knowledge and application of up-to-date evidence-based Application Form
practice
Management Experience
Ability to perform effectively as a member of a team, including Application form /
a multidisciplinary team and to motivate and develop staff Interview
Ability to communicate clearly and appropriately with patients Application form
and other professionals /Interview
Ability to contribute to the development of the service Application form
/Interview
Capacity to manage/prioritise time and information effectively: Application form
capacity to organise own workload. /Interview
Ability and willingness to work within the Trust and NHS Application form
performance targets /Interview
Ability to balance individual requirements against those of the Application form
department/Directorate /Interview
Commitment to active clinical governance and learning from Interview
errors.
Other attributes
Ability to gain the trust and confidence of colleagues and Application form /
patients Interview
Candidate Information Pack Clinical Fellow in Plastic Surgery 9
Good interpersonal skills Interview
Communication Skills
Demonstrates clarity in written and spoken communication. Application form /
Interview
To be empathetic and sensitive; capacity to take others Interview
perspective and treat others with understanding
Always considers patients preferences when discussing Application form /
treatment options. Interview
Audit and Research
Experience in, and commitment to clinical audit Application form /
Interview
Ability to appraise research critically and apply research Application form /
outcomes to clinical problems Interview
Evidence of understanding of and adherence to the principles Application form /
of “Good Medical Practice” set out by the GMC Interview
Teaching
Demonstration of an interest and commitment to teaching Application form /
Interview
Ability to teach clinical skills to trainees and others. Application Form /
Interview
Enthusiastic and able to inspire others. Application Form /
Interview
Candidate Information Pack Clinical Fellow in Plastic Surgery 10
Conditions of Service
a. The post is covered by the terms and conditions of service of Hospital Medical
and Dental Staff (England and Wales) as amended from time to time.
b. This is a standard 40 hour Monday to Friday post with out of hours
c. You are required to be registered with the General Medical Council and a licence
to practice throughout the duration of your employment and to comply with and
abide by the relevant code of professional practice, as appropriate.
This job description is intended as a guide to the general duties required of this post,
which may vary from time to time. It does not form part of the terms and conditions
of employment.
All offers of post are subject to Occupational Health Clearance, Disclosure and
Barring clearance and satisfactory references.
Visiting
Candidates are encouraged to visit the Department and should contact:
Agatha Kabayo – Non-Clinical Services Manager
01722 345560
Miss Jessica Steele – Educational Lead for Plastic Surgery
01722 336262 Ext 5670
Candidate Information Pack Clinical Fellow in Plastic Surgery 11
