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Detailed job description and main responsibilities

Applications are invited for the above post(s) to be based at the John Radcliffe Hospital in Oxford starting from October 4th, 2023, for a fixed term period of 12 months, potentially extendable by mutual agreement.

Oxford University Hospitals NHS Foundation Trust (OUHFT) is a major trauma centre and hub for the Thames Valley Vascular Unit (TVVU) which includes two major spoke Trusts (Bucks Healthcare NHS Trust (BHT) and the Royal Berkshire Foundation Trust (RBHFT)) and covers a population of approximately 2.2 million patients. The catchment is large for the number of vascular surgeons and therefore it is one of the busiest units in the UK undertaking the full remit of procedures including: more than 100 aortic procedures (open and endovascular), up to 150 carotid procedures a year, 40 deep venous reconstructions, 50 – 100 lower limb bypass surgeries as well as thoracic outlet surgery and support to the major trauma team.

The unit has a historic reputation for open surgery but also undertakes more complex endovascular work including regular fenestrated and thoracic stent repairs, very distal angioplasty and deep venous arterialisation. The vascular unit also provides a dissection service for complex spinal reconstructions, a carotid body tumour service and the supra-regional abdominal sarcoma service.

The department currently has 10 consultants (including academics) and runs a consultant of the week service on a 1 in 8 rotation. There is a close and respectful working relationship with the interventional radiology (IR) department and there is also a dedicated IR on call consultant. There are 8 middle grades, up to two core trainees and up to 4 FY1s. There is a dedicated vascular studies unit providing an in and outpatient duplex service on weekdays. Across the TVVU there are nine specialist vascular nurses / surgical care practitioners and strong secretarial support in each centre. The service also greatly benefits from a peri-operative consultant physician on the vascular ward on weekdays.

Further details are available online (www.ouh.nhs.uk).

The post-holder will be employed by OUHFT but may work at BHT and RBHFT under an honorary contract.  It is expected that the post-holder will adhere to the local policies of all trusts when delivering services at all trusts, and work collaboratively with colleagues at all trusts to allow effective and efficient patient pathways.

There are up to two potential posts and each successful candidate is expected to focus their time in one specific area:

• Aortic disease – open and endovascular
  • Frequent exposure to open infra and juxta-renal aneurysm repair with all vascular consultants
  • Frequent exposure to EVAR, FEVAR & branched iliac devices with the complex aortic vascular team
  • Ad hoc (average 1 / month) spinal / sarcoma dissection and exposure
• Deep Venous reconstruction
  • Deep venous joint specialty clinic
  • Dedicated endovenous intervention list
  • Dedicated venous MDT (every 4 weeks)
  • Ad hoc (average 2-3 per month) emergency venous procedures
  • Opportunity to take part in deep venous clinical trials

• Peripheral vascular disease/ Diabetic foot.
  • Frequent exposures to open below knee bypass
  • Alternate week diabetic foot clinic
  • Alternate week endovascular list with focus on distal vessels

• We request a preference to a specific area at time of application. A general learning approach is also potentially possible depending on educational needs across the department.