Consultants in Laparoscopic & Robotic Colorectal Surgery
Consultants in Laparoscopic& Robotic Colorectal Surgery
Two Posts 1 Substantive and 1Fixed-Term (12 Months)
The Rotherham NHS FoundationTrust
Location: Rotherham Hospital,South Yorkshire
Contract: Full Time 12 PAs
The Rotherham NHS FoundationTrust is seeking to appoint two Consultants in Laparoscopic and Robotic ColorectalSurgery to join our progressive and well-established General Surgerydepartment. One post is substantive and the second is a 12-month fixed-termappointment.
This is an exciting opportunity to join a department with a strong reputation for advanced minimally invasive colorectal surgery. Approximately 70% of colorectal resections are performed laparoscopically, and the Trust has recently invested in a dual-console Da Vinci Xi robotic system, supporting the expansion of robotic colorectal surgery, complex endometriosis surgery and complex abdominal wall reconstruction.
Main duties of the job
The department currentlycomprises 10 Consultant GI Surgeons and 3 Consultant Breast Surgeons, supportedby Specialty Registrars, Core Trainees, Foundation Doctors and AdvancedClinical Practitioners. Services include elective and emergency generalsurgery, colorectal cancer surgery, transanal microsurgery, complex abdominalwall reconstruction and collaborative work with the Trusts BSGE-accreditedendometriosis centre.
The successful candidates willprovide general surgical and specialist colorectal services, includinglaparoscopic and robotic colorectal resections, management of anorectal pathologyand participation in the general surgical on-call rota (1:10). Duties includeoperating lists, outpatient clinics, MDT participation, endoscopy and teachingof trainees.
Applicants must have FRCS (orequivalent), full GMC registration with licence to practise, and be on theSpecialist Register for General Surgery or within six months of CCT/CESR.Experience in advanced laparoscopic colorectal surgery is essential. Robotictraining, JAG accreditation in colonoscopy and experience of complex abdominal wallreconstruction or endometriosis surgery are desirable.
Informal enquiries arewelcomed.
Applications should be made viaNHS Jobs.
About us
The RotherhamNHS Foundation Trust (TRFT) is a combined acute and community Trust serving ourlocal population of around 270,000 people. Our vision is to always act the right way andbe proud to provide exceptional healthcare to the communities of Rotherham.
As a Trust weare on a journey to excellence and our people and culture are at the heart ofeverything we do for patients. In thelatest NHS Staff Survey, we are the second most improved Trust in England for wouldyou recommend the Trust as a place to work? and were one of the most improvedfor staff engagement overall.
But dontjust take our word for it each year hundreds of colleagues receive nominationsfor our Excellence and Proud awards, showcasing our brilliant people andrecognising their achievements. Ourpeople make a difference to the lives of patients every day and we are proud ofthe improvements we are making.
All of our5,100 colleagues are key to our improvement journey and we are continuing toimprove our services by upholding the Trusts values of Ambitious, Caring andTogether. If you are passionate aboutmaking a difference, then please apply to join us on our journey to excellence.
AllConsultant interviews will be performed in person (face to face). If there are any exceptional circumstances asto why a candidate cannot attend in person then a possible virtual interviewwill be considered by the Executive panel but is not guaranteed.
Job responsibilities
There are 10 Consultant GI Surgeonsand 3 Consultant Breast Surgeons together with Specialist Registrars, CoreSurgical Trainees and Foundation Trainees.The department provides a wide range of in-patient and day caseprocedures and provides emergency and elective general surgery services as wellas subspecialty services in Colorectal, Breast and benign Upper GI.
The department has an excellentreputation for laparoscopic surgery. Thelaparoscopic approach is routine for appendicectomy and cholecystectomy (bothelective and emergency) and both TAPP and TEPP hernia inguinal hernia repairsare performed. Approximately 70% ofcolorectal resections are laparoscopic. Thereis a well-established complex abdominal wall reconstruction (CAWR) serviceperforming advanced reconstruction of complex / giant incisional hernia and laparostomymanagement.
The Trust has invested over £2 millionto install a dual console Da Vinci Xi surgical robot in March 2026 and to traincurrent colorectal and gynaecological surgeons. The plan is for most colorectalresection, complex endometriosis surgery and complex abdominal wallreconstructions to move towards a robotic approach during the course of 2026.These two posts are specifically designed to support that progression and aninterest in endometriosis surgery and/or abdominal wall reconstruction isdesirable in addition to robotic surgical training.
OtherMedical Staff
The departments work is supported bythree full tiers of non-consultant staff including one Associate Specialist andfour Specialty Doctors. We have bothhigher specialist training, core training posts and have a highly successfulAdvanced Clinical Practitioner (ACP) training programme that support up to CoreTrainee level rotas.
OtherSupport Staff
These posts are supported by secretarial and officesupport and organisationally by a departmental service support manager and thegeneral surgery service manager. Thereare 3.5 WTE colorectal nurse specialists, a stoma care healthcare supportworker and a Macmillan cancer support worker providing colorectal cancerlink-worker function, the ongoing nurse-led follow up clinics as well asproviding a valuable resource to manage stoma-related problems.
AcuteSurgical Unit
The Acute Surgical Unit has bespokeassessment facilities aimed at maximising our Same Day Emergency Care pathwaysfor surgical patients. A senior surgicalassessor, separate to the on-call team, reviews patients on presentation andintegral ultrasound assessments speeds diagnosis. It has reduced non-elective admissionsandreduced length of stay.
COLORECTALSURGERY
The department has a benign transanalmicrosurgery service, works closely with the gynaecological surgeons withintheir accredited endometriosis surgery service, which is recognised by the BSGEEndometriosis Centre, and routinely performs both VAAFT and EpSIT. One colleague has a specific interest incomplex abdominal wall reconstruction and receives referrals from a widegeographic area. It is planned that thesuccessful candidates will contribute to all of these advanced services.
The department has previously investedheavily in its laparoscopic service and approximately three-quarters of allcolorectal resections are performed laparoscopically.
The service is supported by threecolorectal nurse specialists and a specialist functional bowel disorder nursewho also performs endoanal ultrasound and anorectal physiology. All colorectal resections undergocardiopulmonary exercise testing prior to surgery and a successfulpre-habilitation programme is available.
The Trusts endoscopy department has fiveprocedure rooms and is currently undergoing improvements following a £2millioninvestment and ongoing upgrade of equipment.
The Post
The post holderswill provide general surgical and specialist colorectal services in Rotherhamin conjunction with colleagues. Theywill be expected to be proficient in laparoscopic and robotic colorectalresection for both benign and malignant diseases including low rectal cancer,the management of anorectal pathology and functional bowel disorders, as wellbeing able to manage an unselected acute surgical take including acute upper GIemergencies and HPB emergencies. Subspecialtyinterests such as pelvic floor dysfunction, inflammatory bowel disease orenteral nutrition can be accommodated.
Thepost-holders will be expected to be able to undertake independent colonoscopylists; skills in gastroscopy would be advantageous.
Thetransition to Consultant practice is recognised to be an often difficult andstressful time and the department is happy to provide a period of mentoring andsupport for a new Consultant colleague. Thereis an increasing emphasis on dual consultant operating for complex cases. There is a flexible and forward-thinking daysurgery team and the department has a successful enhanced recovery programme.
The post-holderswill be expected to contribute to the training of the Specialty Registrars whorotate through the Yorkshire and Humberside Training Rotation.
Inaddition, the post-holders will work collaboratively with the Departmental andDivisional Senior Teams, to take an active role in the management of the CareGroup, including any other duties as deemed appropriate. In addition, to observe the Trusts agreedpolicies and procedures, in particular relating to managing staff, follow theTrusts guidelines and Financial Instructions.These policies and procedures have been drawn up in consultation withthe profession for clinical matters and will ensure that there are adequatearrangements in place for hospital staff to contact them as necessary inrelation to patient care.
TIMETABLE
These are12PA jobs. There will be planned operating with a minimum of three all daylists per month, outpatient clinics, colorectal cancer and inflammatory boweldisease MDTs and endoscopy on a rotating system with on call. This role willcontribute to the Acute Surgical Unit assessor rota for one day per ten-weekrota cycle. Dual consultant operatingfor most low rectal surgery is encouraged.
ON-CALL
The on-callcommitment is through a rolling rota with prospective cover: no Direct ClinicalCare activities are scheduled for the afternoon following an on-call. This commitment is non-resident but thepost-holder will be expected to attend morning handover and perform an eveningward round of the daytime admissions to comply with NHS Englands Seven DayServices Clinical Standards and be promptly available throughout the on callperiod.
A purposebuilt Acute Surgical Unit houses our SDEC (Same Day Emergency Care) ambulatoryunit with a dedicated ultra-sonographer and our short stay emergency ward. A separate rota to the on-call providessenior decision making as the assessor on SDEC assessment which runs Mondayto Thursday from 8:00 20:00 and Friday to Sunday from 10:00 18:00 and theseposts will contribute to that rota for one day per rota cycle. In addition to the CEPOD emergency list,three Hot Lap Chole lists run each week performed by the UGI team.
EDUCATION AND TRAINING
Thesuccessful candidates will have access to all resources currently available inthe Trust. This will involve Library andKnowledge Services, e-learning resources, Clinical Skills Training programmes,simulation training and other opportunities.
Consultantmentorship is available for the successful candidate.
It isanticipated that the successful candidates will become both clinical and educational supervisors.
Applicationsto the University of Sheffield for Honorary Senior Clinical Lecturer Statuswill be supported.
General
1.In conjunction with Consultant and Seniorcolleagues, to provide a service in General Surgery withresponsibility for in-patients and outpatients.
2.In conjunction with Consultant and Seniorcolleagues, to play a full part in the out-of-hours On-Call service for thedepartment. This includes being on-callfor telephone advice and major incidents.
3.To provide cover for Consultant and Seniorcolleagues in respect of periods of leave.
4.In conjunction with Consultant and Seniorcolleagues, to take part in medical audit and research as appropriate.
5.In conjunction with Consultant and Seniorcolleagues, to ensure that the requirements of clinical governance are met.
6.To ensure that there are adequatearrangements for hospital staff involved in the care of your patients to beable to contact you when necessary.
Resident Medical Staff
7.In conjunction with Consultant and Seniorcolleagues, to play a full part in the professional supervision and managementof Resident medical staff.
8.In conjunction with Consultant and Seniorcolleagues, to take responsibility for and devote time to teaching, examinationand accreditation duties as required for Resident medical staff.
Management & Service Development
9.In conjunction with the Care Group SeniorTeam, to take an active role in the management of the Division.
10.In conjunction with the Care Group Director,Consultant & Senior colleagues, to play a full part in developing &implementing new ways of working in line with modernisation principles that arefit for the future.
11.In conjunction with Consultant and Seniorcolleagues, to take responsibility for the best use of departmental staffingand other resources to ensure the maximum efficiency of the department.
12.To observe the Trusts agreed policies andprocedures, particularly in relation to managing staff and to follow theTrusts Standing Orders and Standing Financial Instructions. These policies and procedures have been drawnup in consultation with the profession on clinical matters.
Clinical Governance
13.In conjunction with Consultant colleagues, toensure that the requirements of clinical governance are met.
Person Specification
Leadership*
* An understanding of and ability to demonstrate your ability to: Empower others, Lead through change, Influence strategically, Collaborative working, Drive for improvement and Integrity
Research and Audit
* Relevant research published in peer review journal
* Evidence of audit and the implementation of change following the audit
* Clear commitment to research, audit or quality improvement with a track record of success
Clinical skills
* Specific skills required to undertake the role above those required by the GMC standards.
* Committed to continual learning.
* JAG
Management Skills
* Demonstrate effective team working skills
* Time management and organisational ability. An example may be they have developed and run training programmes.
* Proven knowledge of systems
* and process of NHS or equivalent
* Sense of understanding and commitment to corporate responsibility
* Commitment to and understanding of their responsibility to the organisation. Examples may include previous involvement in management roles, management courses
* Personal integrity and reliability
* Flexible, resilient and able to cope with pressure
* Knowledge of the utilisation of IT in clinical practice
Experience
* Independent in advanced laparoscopic practice including rectal resection
* Completion of a recognised robotic surgical training scheme
* Interest & experience in either complex endometriosis surgery or abdominal wall reconstruction
* Ability to manage an acute unselected general surgical take
* Subspecialty training
* Post CCT fellowship or equivalent
Education and Teaching
* Experience of and commitment to teaching, mentoring and developing undergraduates and postgraduates.
* Willingness to develop new approaches to teaching.
Qualifications
* Full registration and a licence to practise with the GMC.
* Please confirm your GMC number
* Eligible to be included on the Specialist register - CCT expected within 6 months of interview date
* Or
* Evidence of CESR application submission and within 6 months of obtaining Specialist Registration via CESR
* MBBS or equivalent primary medical qualification.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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