The Shrewsbury and Telford Hospital NHS Trust welcomes applications for a Specialty Doctor within our busy Upper Gastrointestinal Surgery team.  The principal role of the post holder will be to contribute to the delivery of a first-class Upper GI service. The post-holder will be based at the Royal Shrewsbury Hospital with non-resident middle grade on-call rota responsibilities at the Princess Royal Hospital, Telford. Contribution to an out of hours on call rota is core to this role.

Clinical
·       Elective upper gastrointestinal and general surgery operating, under the supervision of a consultant surgeon. Our team specialises in bariatric surgery, benign UGI pathology and complex abdominal wall reconstruction (CAWR). This elective activity is based at Royal Shrewsbury Hospital.  
·       The management of an unselected emergency general surgery take and associated surgical procedures, under the supervision of a consultant surgeon.
·       Direct contribution to the regular review and care of surgical inpatients involving close team working with the wider surgical workforce.
·       Provide surgical middle grade on call cover at Princess Royal Hospital, Telford for adult and paediatric patients, under the supervision of a consultant surgeon. 
·       To develop enhanced clinical skills, especially in the assessment and management of acutely ill patients.
·       To have excellent team-working skills with the abilities and professional attitude to work well in a multi-professional team.
·       To deliver clinical and quality targets agreed both nationally and locally with clinical teams and commissioners.
·       To follow patients throughout their clinical pathways both in an elective and emergency setting.

The Shrewsbury and Telford Hospital NHS Trust (SaTH) is the main provider of acute hospital services for around half a million people in Shropshire, Telford & Wrekin and mid Wales.

Encompassing some of the most picturesque parts of England and Wales, the Trust’s catchment stretches from the Cambrian Mountains in the west, to Newport and the fringes of the Black Country in the east. The main towns include: Bridgnorth, Ludlow, Market Drayton, Oswestry, Shrewsbury and Whitchurch (in Shropshire); Newport, Telford and Wellington (in Telford & Wrekin); and Newtown and Welshpool (in Powys) – all beautiful and unique.
Our main service locations are the Princess Royal Hospital (PRH) in Telford and the Royal Shrewsbury Hospital (RSH) in Shrewsbury which are located 20 minutes’ drive apart. Together they provide 99% of our activity. Both hospitals provide a wide range of acute hospital services including accident & emergency, outpatients, diagnostics, inpatient medical care and critical care.

A formal job plan will be agreed between the successful candidate and their Clinical Director and consultant colleagues, on behalf of the Medical Director within 3 months of starting in post. A full-time job plan is based on a 10 PA working week. The job plan will be reviewed annually and is a prospective agreement that sets out the Specialty Doctor's duties, responsibilities, and objectives for the coming year. It covers all aspects of a Specialty Doctor’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external and will include personal objectives, detailing links to wider service improvements and trust strategic priorities.

For a full-time contract, the job plan will be divided on average per week (pro-rata for a part time post) as:

·       9 Programmed Activities (PAs) of Direct Clinical Care - includes clinical activity, clinically related activity and predictable and unpredictable emergency work. The predictable daytime activities will be delivered at RSH with non-resident middle grade General Surgical on call rota 1:6 at PRH.

·       1 Supporting Professional Activities (SPAs) - includes CPD, audit, teaching and research.

The allocation of PAs is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the team job plan.

Any applicant who is unable, for personal reasons, to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with other consultant colleagues.