Doctors - Quality Improvement Fellow in Obstetrics and Gynaecology(VMI)

  • Department Obstetrics and Gynaecology
  • Salary £47,132 Per Annum
  • Closing Date 05/08/2019
  • Location The Princess Royal Hospital, Telford
  • Grade Specialty Trainee (ST3 +)
  • Job ref 223-MSD154A
  • Pension NHS Pension
  • Holidays Generous Holiday Allowance
  • NHS discount Eligible for NHS Discounts
  • Contract Fixed Term
  • Hours Full Time 40 Hours

Quality Improvement Fellow in Obstetrics and Gynaecology

Are you an ST7 moving toward your period of grace and want to develop your knowledge and skills in Quality Improvement and make a difference to patients and staff?

Are you a Specialty Doctor who is looking for a challenging post that will supply you with the Skills to lead in Quality Improvement but also undertake a variety of ATSMs?

Are you an International Graduate with 5 years training in Obstetrics and Gynaecology and wish to develop your skills in Quality Improvement and undertake senior training programs?

If so then we may have the perfect role for you and would welcome your application.

The Role

Throughout the healthcare system in the UK it has become apparent that there are significant benefits to be gained using quality improvement methodology.   Improving quality is about making healthcare safe, effective, patient centred, timely, efficient and equitable.

An excellent opportunity has arisen for an ambitious clinician to develop their skills in quality improvement within the Obstetrics & Gynaecology team at The Shrewsbury & Telford Hospital NHS Trust.  The Trust is proud to have been working collaboratively with the Virginia Mason Hospital in Seattle, widely regarded as one of the safest hospitals in the world.   This partnership was established in 2015 and we have developed a number of ‘Value Streams.’   Doctors, Nurses, Allied Health Professionals and colleagues from Virginia Mason are working together to transform healthcare at The Shrewsbury and Telford Hospital NHS Trust and share our learning across the country.    We are one of five trusts across the UK working with Virginia Mason and NHS Innovation.

This post will deliver formal training in the methodology of continuous improvement (Transforming care Production System, TPCS) that underpins the Virginia Medical Institute (VMI) approach to Healthcare transformation.  The post is ideal for those interested in quality improvement and is aimed at applicants at a senior level of speciality training or following achievement of CCT.   Speciality doctors with a desire to have formal training in quality improvement should also apply. This is a challenging post that will test skills that are not the focus of most clinical training roles, yet are highly relevant and transferable to more senior clinical roles and career progression. It is anticipated that the successful applicant will gain a suite of transferable skills in quality improvement that will enable them to develop and manage change within departments in the future.

The post also requires the ability to work independently in all aspects of the speciality on a sessional basis including gynaecological outpatients, antenatal clinics, day surgery and major inpatient lists along with speciality clinics and be part of the middle grade 24 hour on-call for the Labour Ward Practice and Obstetric and Gynaecological emergencies. The post will also be given ample opportunity and encouragement to develop Speciality interests with specific allocation of time on a sessional basis over and above protected CME time.    Ideally the successful applicant will be able to perform colposcopy independently.

The Obstetric Service

The Consultant Obstetric Unit is based at the Princess Royal Hospital.  In addition there are 5 midwifery units in Shropshire and two in mid-Wales in the catchment area (PRH, RSH, RJAH, Ludlow, Bridgnorth, Newtown and Welshpool).    In 2017/18 there were 4060 deliveries in the Consultant Unit and about 500 in the midwifery lead units. The Consultant Maternity Unit currently has 16 Consultants responsible who are responsible for acute labour ward and gynaecological practice. Consultant presence on the Labour Ward is 76 hours a week.    It has a very active Maternal and Fetal Medicine unit run by 3 of the Consultant Obstetrician/Gynaecologists, 2 of whom are sub-specialty trained in maternal and Fetal medicine.   Antenatal practice is divided into specific speciality clinics to which expectant mothers are triaged.   Routine and detailed scans with invasive diagnostic procedures are performed within the department.   Specific antenatal clinics are supported by consultant physicians and nurse specialists.    Neonatal designation is a Local Neonatal Unit (level 2) working in conjunction with Neonatal Intensive Care Units in the Royal Stoke and Royal Wolverhampton Hospitals as part of the Shropshire Staffordshire and Black Country Neonatal network.   There is a comprehensive governance structure incorporating risk, guideline writing and continuous audit. Consultant presence on the Labour Ward during working hours is in blocks of 5 working days 08:30-17:30 with evening sessions till 21:00 and 08:00-16:00 on Saturdays and Sundays.   Out of hours non-resident on call is a 1:12 rota.

The Gynaelogical Service

The gynaecological inpatient unit is based at the Princess Royal Hospital.   There are 12 beds with the use of further beds in the day surgery unit at both the Royal Shrewsbury Hospital and Princess Royal Hospital.   In 2017/18 1909 day case procedures were performed; 579 elective inpatient procedures performed; 1,550 non-elective patients were seen or admitted; 7,079 new outpatients were seen, 11,290 follow-up patients were seen and 11,913 procedures were performed.   All consultant gynaecologists have operating lists at PRH and 7 have Day Surgery lists at RSH.   Consultant outpatient clinics are conducted at RSH, PRH, Ludlow Community Hospital, Health Village in Oswestry, Newtown Community Hospital, Welshpool Community Hospital, Market Drayton Community Hospital and Whitchurch Community Hospital. Currently there are 12 full time consultants conducting gynaecological practice with 2 part-time (2 sub-speciality trained oncologists whose primary contracts are with Royal Stoke and Royal Wolverhampton Hospitals). The gynaecology service has an active assisted conception (fertility) unit which supplies a full range of techniques with excellent results.  There is specific consultant-led practice in cervical pathology; oncology; fertility; urogynaecology; psycho-sexual medicine and full facilities are available for the support of minimal access gynaecological surgery. There is a very active ambulatory care unit performing Myosure; Novasure; Essure and other outpatient techniques.  Early pregnancy assessment is supported by nurse lead practice in both the PRH and RSH. Outpatient Facilities: Full antenatal clinic facilities with on-site ultrasound capability are established at both RSH and the Wrekin Unit at PRH. Gynaecological outpatients are held at both RSH and PRH. Consultant delivered antenatal and gynaecological clinics are run at Ludlow Community Hospital, Newtown Hospital and Welshpool Hospital.  Gynaecological clinics are run at Market Drayton, Health Village in Oswestry and Whitchurch.

Our Hospitals

Our Hospitals are located in Shrewsbury and Telford and are brimming with exemplary teams of hardworking individuals.

We are entering an exciting period here at The Shrewsbury and Telford Hospital NHS Trust. We have been guaranteed more than £300 million pounds to develop our hospitals into two state of the art facilities that will offer greatly improved environments, more sustainable staffing and better facilities. It will make SaTH a better place to work, in turn making it a better place to receive care.

 We have introduced a leadership academy with more opportunities for development so all our leaders support, coach and perform at the highest levels, celebrate the hard work of our staff and recognise the wonderful improvements that are being made each and every day. This is a vital stepping stone to ensure we are equipped for our better future and realising our vision of providing the safest and kindest care for our patients.   Leadership is about supporting teams to be the best they can be. As we move forward together it is vital all our teams understand their important role in delivering this brighter future for everyone.


We are located between the north and the south making travelling around the UK easy.   As well as being a short distance from major cities and busy transport links including Birmingham airport, our county also borders with beautiful north Wales which is abundant in outdoor activities, brilliant beaches, and thrilling scenery.

We want you to find out more about the department and our hospitals, and we invite you to contact us with any questions you may have on 01952 641222 EXT 5994, or even arrange a visit. Please also take the time to read any supporting documentation to really get to know us.

We look forward to hearing from you

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