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Job summary

Main area
Trauma & Orthopaedics
Grade
NHS Medical & Dental: Consultant
Contract
Permanent
Hours
10 sessions per week (Full time - 10 PA's per week)
Job ref
196-CON1047
Employer
Guy's and St Thomas' NHS Foundation Trust
Employer type
NHS
Site
Guy's Hospital
Town
London
Salary
£105,504 - £139,882 per annum excl. London Zone
Salary period
Yearly
Closing
04/07/2025 23:59

Employer heading

Guy's and St Thomas' NHS Foundation Trust logo

Consultant in Orthopaedic and Trauma in Knee Surgery

NHS Medical & Dental: Consultant

Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions. 

Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.

In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.

Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.

The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.

We have one of the most ambitious capital investment programmes anywhere in the NHS.



Job overview

The Department of Orthopaedics is seeking a (10 PA) consultant to join a dynamic, enthusiastic and forward-thinking team. This is a substantive position, with a sub special interest in the knee surgery, arthroplasty, revision knee arthroplasty and periprosthetic fracture.  

The Orthopaedic Department is currently involved in many exciting initiatives and is looking for an individual with appropriate skills to complement this team, and help keep the service in the forefront of clinical and academic excellence.

The post holder would be joining a large lower limb arthroplasty service consisting of nine consultants and a trauma service of 10 consultants.  On the St Thomas’ site, the consultant would work with the Orthopaedic Trauma Team to deliver acute fracture care both virtually, face to face and trauma operating. On the Guy’s site, the consultant will deliver elective arthroplasty, revision arthroplasty, osteotomy, amputation and periprosthetic fracture care. Also working along side colleagues from SE London, at King’s College Hospital, Princess Royal University Hospital, Queen Elizabeth, Woolwich and Lewisham Hospital

Main duties of the job

Orthopaedic Arthroplasty Unit:

We deliver the full spectrum of hip and knee surgery, with an active soft tissue knee unit undertaking ACL, PCL surgery, meniscal repair, meniscal transplantation and ligament reconstruction. The Arthroplasty and joint Preservation unit offers the full spectrum of tibial, femoral osteotomy, unicondylar, patella femoral total knee, revision knee, arthrodesis and amputation. We are the regional revision knee unit and the centre for complex co morbid patients, sickle cell, haemophilia, and renal dialysis patients.

Mentoring with a senior Consultant in terms of joint clinics and operating is offered.

Working for our organisation

Key Focuses for the Directorate:

  • Providing clinical excellence for our patients, both on the elective and trauma pathways
  • Becoming national leaders for reduced length of stay, re-admission rates and patient falls
  • Achieving 18 weeks Referral to treatment targets for both admitted and non-admitted pathways
  • Reducing new to follow up ratios in outpatient clinics

 

Directorate Structure:

 

Diane Back – Clinical Director of Surgical Directorate

Arfan Malhi / James Bliss – Clinical Leads for Orthopaedics

Raghbir Khakha – Clinical Lead for Orthopaedic Trauma

David Rees – General Manager

Sandra Reilly – Service manager

Margaret Medlyn – Head of Nursing

 

Departmental Meetings and Audits:

  • Monthly Audit – Half day
  • Weekly Trauma Meeting
  • Meetings with Service Delivery Managers
  • Weekly meetings with the access team
  • Weekly Hip MDT meeting

Detailed job description and main responsibilities

The post-holder will be accountable to the Medical Director of Guy’s and St Thomas’ NHS Foundation Trust

 

Provide High Quality Care to Patients

·         The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice

·         To develop and maintain the competencies required to carry out the duties required of the post.

·         To ensure prompt attendance at agreed direct clinical care Programmed Activities.

·         To ensure patients are involved in decisions about their care and to respond to their views.

 

Research, Teaching and Training

·         Where possible to collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio, at all times meeting the full requirements of Research Governance.

·         To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.

·         To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.

 

Performance Management

·         To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

·         Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.

·         Quality of outcomes e.g. infection control targets, reducing re-admission rates.

·         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.

·         Operational efficiency e.g. day-case rates, waiting list activity and demand management.

Person specification

Professional Qualifications

Essential criteria
  • Full GMC Registration
  • On GMC Specialist Register or within three months of attaining CCT
  • FRCS (Tr & Orth) or Equivalent
  • Arthroplasty Fellowship minimum 1 year in Knees
  • Evidence of continuing professional / personal development.
Desirable criteria
  • Higher Degree
  • Revision Knee Fellowship
  • Evidence of Management Training
  • Evidence of Teaching Training

Clinical Experience

Essential criteria
  • Comprehensive clinical experience in orthopaedics and trauma.
  • Demonstrable experience of knee arthroplasty and revision knee surgery and evidence of specialist training in this field.
Desirable criteria
  • Locum consultant experience
  • Trauma Fellowship

Clinical Skills

Essential criteria
  • A team-based approach to care and service management, including appreciation of nursing and therapy roles.
  • A commitment to and evidence of multidisciplinary practice, working with other specialities and intensive care departments in the management of cases
  • Excellent interpersonal skills and an ability to communicate effectively with colleagues; both clinical and non-clinical, and with children and their carers / relatives.

Audit Management & IT

Essential criteria
  • Track record and evidence of contribution to effective of clinical governance, coding, audit, management and IT skills.
  • Understanding of principles of audit.
  • Evidence of understanding of the role of clinical management.
  • Proficient IT skills to include working knowledge of Python and AI
Desirable criteria
  • completion of clinical audits
  • Experience of clinical management.

Research, Teaching skill & experience

Essential criteria
  • Track record of research, publications & knowledge of research ethics.
  • Proven formal experience of teaching and training undergraduates, postgraduates and junior medical staff including higher orthopaedic training.
  • Understanding of the principles and applications of clinical research.
Desirable criteria
  • Evidence of original research.
  • Teaching qualification

Leadership / Management skills

Essential criteria
  • Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
  • Accountability; Ability to take responsibility, lead, make decisions and exert appropriate authority.
  • Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
  • Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
  • Ability to work as part of a team
  • Staff Management; Experience of performance management, developing and motivating staff
  • Finance; Knowledge of finance and budgets

Employer certification / accreditation badges

Timewise helps businesses to attract and develop the best talent through flexible working.Care quality commission - GoodDisability confident employer

Applicant requirements

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

Apply online now

Further details / informal visits contact

Name
Mr James Bliss
Job title
Consultant Orthopaedic Surgeon - Clinical Lead
Email address
[email protected]
Additional information

Mr James Bliss  - Clinical Lead (Orthopaedics)

Ms Diane Back - Clinical Director (Surgery)

Mr David Rees - General Manager (Surgery)

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