Job Details
The successful candidate will join a strong multidisciplinary team with excellent radiology, pathology, oncology and specialist nursing support. The nursing establishment includes two advanced nurse practitioners, eight breast care nurses, two clinic sisters and a dedicated breast clinic nursing team. The nursing team run specialist pre-operative assessment clinics and dressing/wound review clinics with advanced practice in seroma drainage and expander-implant inflation. The GPwERs and advanced nurse practitioners run the family history service and work independently in gynaecomastia clinics, new patient clinics, post-MDM benign results telephone clinics and routine follow-up clinics.
There is a nurse-led Patient Initiated Follow Up pathway with End-of-Treatment clinics 6 months after completion of treatment. This supports patients to move forward after treatment for breast cancer before entering on to an open-access follow-up pathway.
The unit has a strong reputation for training, supporting an oncoplastic fellow, a clinical fellow, a specialist trainee, a core surgical trainee, and two foundation doctors, as well as regular placements for medical and nursing students. An interest in education and training will be an advantage.
Main duties of the job
Bolton Breast Service provides symptomatic breast services for the Bolton area and screening services for the areas of Bolton, Bury, Rochdale and Middleton. The team sees approximately 4500 new symptomatic referrals each year and around 500 new breast cancer patients are treated per annum, divided evenly between screening and symptomatic diagnoses.
Patients are offered a full range of oncoplastic breast conservation surgery, including local perforator flaps, as well as implant-based and latissimus dorsi flap reconstructive surgery. There are well-established links with the regional plastic surgery unit at Manchester University Hospitals NHS Foundation Trust (MFT) for free flap reconstruction. For immediate free flap surgery, the Bolton breast surgeons join the plastics team at MFT to perform the joint procedure. Aesthetic breast surgery is commissioned as per the Greater Manchester Effective Use of Resources Policy. Bolton Breast Unit has an active Enhanced Recovery Programme providing non-reconstructive procedures as day case surgery and reconstructive surgery on either day case or enhanced recovery pathways.
Preoperative tumour localisation techniques include ultrasound and stereotactic Magseed localisation in additional to wire-guided localisation. Magtrace has also been implemented to replace isotope localisation for sentinel node biopsy.
About us
The Royal Bolton Hospital is a busy acute hospital with an excellent reputation for teaching and senior support. It is a major hub within Greater Manchester for women's and children's services and is the second busiest ambulance-receiving site in Greater Manchester.
We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity. With more than 6000 staff and over 850 beds, the priorities of the Trust focus on a quality service which is all about people - patients, staff and partners. Recognized as providing Good care to our patients and rated Good overall by the Quality Care Commissioner this is testament to the skill and dedication of the people who work here. Bolton's values - vision, openness, integrity, compassion and excellence defines the way all staff work and behave.
Our values form part of our recruitment, induction, appraisal and leadership development processes. We want Bolton NHS FT to be a great place to work for staff and believe that by living the values every day we will encourage a culture where we treat patients as we would treat our family and friends. We want all of our patients to be safe and receive the best possible care.
Job description
Job responsibilities
To work with the multidisciplinary team to provide a high quality oncoplastic breast surgery service for the patients of Bolton.
The successful candidate will be expected to have extensive experience of managing benign and malignant breast disease in both the symptomatic and screening settings.
Familiarity with, and competence in, all common breast surgical procedures, as well as oncoplastic and reconstructive surgery, is essential.
The breast team works flexibly, covering colleagues leave to maintain cancer targets and to ensure maximum theatre productivity. The successful candidate will be expected to work flexibly.
It is expected that administrative work will be completed to a high standard and in a timely fashion.
There is no on-call commitment with this post currently, but consultants are expected to take phone calls about their own surgical patients out-of-hours. There are plans to implement an on-call rota for breast surgery and the successful candidate is expected to work with colleagues to develop a dedicated breast on-call service in the future.
The breast unit has a well-structured audit and clinical governance programme. The successful candidate will be expected to actively participate in local, regional and national audit and to support the governance and quality improvement activities of the breast unit.
All members of the senior team are expected to be aware of all trials on our research portfolio, actively promoting research within the unit, recruiting to trials and taking up opportunities to act as Principle Investigator for new studies.
All consultants within the team are expected to contribute to medical education, maintaining the reputation the trust has for excellent training opportunities for medical students and junior doctors.
Person Specification
Qualifications
Essential
1. Full GMC registration / licence to practice
2. MBChB/MBBS or equivalent
3. FRCS or equivalent
Desirable
4. oncoplastic fellowship
5. oncoplastic MSc
Experience
Essential
6. extensive experience of working in a team
7. experience working in a specialist breast unit
241-77AS-24
Company