Consultant Trauma & Orthopaedic Surgeon
North Middlesex University Hospital is one of London’s busiest acute hospitals, serving more than 350,000 people living in Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.
Every day, on average, we see 500 patients in A&E; 15 babies are born in our maternity unit; about 450 inpatients are cared for on our wards; about 50 patients have major or minor surgery in one of our 10 operating theatres; and about 800 people attend our outpatients clinics.
We provide a full range of adult, elderly and children's services across medical and surgical disciplines. Our specialist services include stroke, HIV/AIDS, cardiology (including heart failure care), haematology, diabetes, sleep studies, fertility and orthopaedics. Our sickle cell and thalassaemia department is nationally recognised as a leading centre for these diseases.
At North Middlesex University Hospital, you’ll find a team that truly believes in living our values in everything we do. We are caring, we are fair and we are open.
This is a Substantive post approved by the Royal College of Surgeons and has arisen due to a consultant’s retirement. It is also designed to help the expanding trauma in general, Arthroplasty including revision and Peri-prosthetic trauma. The successful candidate will join a team of 8 Consultants both to provide their services for the Trust, and to ensure that the Junior Doctors are continually supported at the required level and that their training needs are met.
Interview date - 08-AUG-2023
Main duties of the job
The following is not an exhaustive or exclusive list of the duties of the appointed consultant.
- This post is committed to providing an Orthopaedic and Trauma service with sub-specialisation in Hip and Knee arthroplasty including Revision surgery. This post will be full time on the new Consultant contract.
- A specialist interest in managing Peri-prosthetic fractures including Revision
- Participation in the Trauma On-call service 1 in 8 weekdays, and 1:8 weekends (this is likely to change to ‘week of on-call’)
- Operative lists, both Trauma and Elective
- Regular ward rounds
- Outpatient clinics, both Elective and Trauma
- Active involvement in Trauma management, both Adult and Paediatric.
- Supervision and training of Middle Grades
- Participation in management duties within the Department and the Trust
- Active liaison with the Emergency Department and attendance at Local and Regional Trauma meetings
- Active participation and provision of leadership to the MDTs
Working for our organisation
The hospital provides a full range of elective and non-elective secondary care services, although it is highly emergency driven with a very busy A&E department (140,000 attendances per annum). The Trust also has Specialist Units in Haematology, HIV and sickle cell services. The Cancer Unit is part of the North London Cancer Network, which has four other centres at UCLH, The Royal Free, The Whittington and Barnet & Chase Farm hospitals. All of these services are a source of referrals to the Orthopaedic Department. We are supported by a full range of investigative services including an imaging department that boasts 3-Tesla MRI and 64-slice CT scanners.
The consultant appointee will have dedicated office space with networked computer access and secretarial support. All administrative duties are facilitated with a remote access system.
Trauma meetings led by consultant are held every morning.
There are weekly Departmental Meetings for teaching and training on tuesdays, and a separate Xray Meeting on Wednesdays and Metal work meetings on a Monday afternoon.
Surgical Directorate governance meetings are held bi-monthly.
Detailed job description and main responsibilities
Indicative Job Plan/Timetable
An indicative job plan/timetable for this post with indicative Programmed Activities (PAs) is provided below, but this will normally be re-assessed after 3 months of appointment to ensure it meets the needs of the service.
For a whole-time contract: the normal split is
- Direct Clinical Care:7.5 PAs on average per week
(Clinical activity, clinically related activity, predictable & unpredictable emergency work)
- Supporting Professional Activities: 1.5 PAs on average per week (CPD, audit, teaching & research (+ 1 PA for Quality & service improvement) **
** This additional SPA is available to all Consultant Staff, subject to review and agreement, for quality and service roles (which must be approved prospectively by the Divisional Director).
Job plans are reviewed annually, and applicants are encouraged to study the provisions of the Consultant Contract for England 2003 under which this post is offered.
An On-Call commitment is required. The current rota is 1:8 Weekdays and 1:8 Weekends and it is expected that the post holder will participate in the on-call rota at or close to this frequency.
There is an expectation that the on-call commitment might change to 1:10 over the next 12 months, as the Department implements a “Trauma week” and as we move with our Elective surgery to the Chase Farm Hospital Elective Orthopaedic Centre. This is however in early stages of discussions. The job plan will be reviewed at 3 to 6 monthly intervals.
The on-call commitment is 24 hr during the weekday, followed by Trauma sessions comprising of a Trauma meeting, a Fracture Clinic and a Trauma List on the Monday. During the weekend, on call commences at 08:00 on Friday and runs until 08:00 on Monday; followed by a handover to the next consultant at the Monday Trauma meeting.
The current practice during the weekend is that the on-call Consultant reviews all the Trauma and Orthopaedics in-patients each morning, and see referrals upon request from other specialities as appropriate. There are dedicated Trauma sessions during Saturday and Sunday.
Responsibility of post operative patients (when off-site) shall be by the Consultant who is 'Rota' for the same during working hours and by RMOs and ANP (as below). There is also a 24/7 cover by a Resident Medical officer and Additional 'Advanced nurse practitioner' (ANP).
The on-call consultants at NMH site shall be responsible for Orthopaedic complications and the Medical team based at Barnet hospital for any Medical complications for further advise and guidance. The Chase farm hospital (Elective orthopaedic centre) is the Northern Hub of the NCL (north central London) and has a robust governance structure for working of the same.
- Success in Intercollegiate Examination or overseas equivalent.
- CCT or equivalent in Trauma and Orthopaedics and on the specialist register, or within 6 months of CCT date at the time of interview.
- Post Graduate degree
- Clinical Training and experience equivalent to that required for gaining UK CCST in Trauma & Orthopaedics
- Experience to offer expert clinical opinion on range of problems, both emergency and elective, generally within the specialty in hip and knee arthroplasty.
- Able to take full and independent responsibility for clinical care of patients
- Fellowship Training and expertise in hip and knee arthroplasty.
- Experience of peri-prosthetic fractures surgery
Skills & Abilities
- Ability to manage an efficient and smooth Trauma & Orthopaedic service
- Ability to organise and manage outpatient priorities, surgical waiting lists and operating lists
- Ability to teach clinical and operative skills. Willingness to actively participate in postgraduate training on a regular basis and to support SpR core training
- Ability to develop lead and manage a subspeciality service as needed for the service
- Experience of change management
- Formal training in undergraduate and post graduate teaching with relevant practical experience
- Knowledge and participation of clinical audit
- Understanding of Clinical Governance
- Experience of successfully completing audit cycles
- Demonstrable ability to meet Trust values
- Excellent communication skills, both oral and written, and an ability to relate to staff and patients.
- Knowledge of resource management
- Ability to stay calm under pressure.
- Willingness to work flexibly as part of a team.
- Computer literate
- GMC Registration
- Ability to support and motivate staff during periods of pressure
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Mr Satish Janipireddy
- Job title
- Clinical Director in Trauma and Orthopaedics
- Email address
- Telephone number
- Additional information
Mrs Shazia Soogund-Lalloo
Service Manager in Trauma & Orthopaedics
Direct line: 07872983554
**Only shortlisted candidates are encouraged to visit prior appointment
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