Job Description

and Person
Specification
Job Description

Job Title Clinical Fellow CT1/2 In Surgical Rotation

Department Various Surgical Specialties

Division Surgery

Royal Sussex County Hospital, and must be prepared to travel

Location / Hospital Site to all sites within the Trust

Payscale MN35

Basic Hours 40

Responsible to Dr M Button

Accountable to The Chief of Service for Surgery or The Medical Director

Role Summary

We are offering rotating posts in a range of surgical specialities. Posts will be offered for 1
year initially, extendable for a second year by agreement.

These posts run alongside national CST posts and offer successful candidates training that
is as similar as possible to national appointments.

All appointees will be expected to maintain an ISCP portfolio and will be undergo an Annual
Review of Clinical Progression (ARCP).

Our fellows are encouraged to build their portfolios to include Audit and QIPs, surgical
training courses, medical student teaching and management projects.

Assistance will be provided with Work based assessments and surgical logbook progression.
All surgical fellows have assigned educational and clinical supervisors.

A surgical teaching program is in place based on the MRCS curriculum and fellows would be
expected to progress through their membership exams.

Each surgical department runs separate rotas, supported by foundation doctors and
Advanced surgical care practitioners.

University Hospitals Sussex NHS Foundation Trust is the regional teaching hospital working
across seven sites:
 Royal Sussex County Hospital, in Brighton
 Worthing Hospital, Worthing
 St Richard’s Hospital, Chichester
 Princess Royal Hospital, in Haywards Heath
 Southlands Hospital, Shoreham by Sea
 Sussex Eye Hospital, Brighton

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  Royal Alexandra Children’s Hospital, Brighton

The Brighton campus includes the Royal Alexandra Children’s Hospital and the Sussex Eye
Hospital and the Regional Centre for Neurosciences including Neurosurgery.

We provide general acute services to our local populations in and around the City of
Brighton and Hove, Mid Sussex and the western part of East Sussex and more specialised
and tertiary services for patients across Sussex and the southeast of England.

Both hospitals provide many of the same acute services for their local populations. In
addition, the Princess Royal is our centre for elective surgery and the Royal Sussex County
Hospital is our centre for emergency and critical care. Our specialised and tertiary services
include neurosciences, paediatrics, cardiac, cancer, renal, vascular surgery, infectious
diseases and HIV medicine. RSCH is the designated major trauma centre for the region.

We treat over half a million patients each year. Working as one hospital across two sites,
and playing to the strengths of both, gives the flexibility to develop services which meet the
needs of our patients at different stages of their treatment and care.

Central to our ambition is our role as developing academic health sciences centre, a provider
of high-quality teaching, and a host hospital for cutting edge research and innovation; and on
this we work with our partner, Brighton and Sussex Medical School (BSMS), the Kent,
Surrey and Sussex Postgraduate Deanery and our local Universities.

We also work in close partnership with our local GPs and commissioners to ensure that local
health services are provided and improved in ways which best meet the needs of our
patients and their families.

Core Training Level Rotations

These posts offer rotations through a number of surgical and allied specialities. Training
opportunities are closely matched to national core surgical training programs. Available
specialities include Gastro-intestinal surgery, Vascular Surgery, Maxillofacial surgery,
Intensive care, Neurosurgery and Paediatric surgery. Rotations are offered for 1 year in the
first instance, with the possibility of extending to a second year depending on suitable clinical
progression.

Trainees will be expected to maintain a training portfolio with the Royal College of Surgeons
and will be encouraged to undertake relevant postgraduate courses.

There are weekly teaching sessions covering the ISCP Core Training Syllabus as well as
practical surgical teaching sessions using a dedicated simulation suite in the postgraduate
medical centre. RSCH is a centre for both Royal College of Surgeons ATLS and CCrISP
courses.

Surgical Advanced Care Practitioners (ACPs) will work alongside the clinical fellows/SHOs in
some specialties supporting ward management and allowing increased time for junior
doctors training.

There is a close association between UHSUSSEX and Brighton and Sussex Medical School
(see below). There is an opportunity for some rotations to include sessions of anatomy
demonstrating at the medical school.

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Departmental Facilities and Workload

General Surgery

The whole range of oesophagastric problems are handled within the Department together
with the general management of pancreatobiliary disease.

Oesophagectomy
Gastrectomy
Endoscopic Ultrasound

Laparoscopic antireflux surgery

Complex benign oesophagogastric disease

Laparoscopic cholecystectomy
Complex laparoscopic incisional hernia repair

Colorectal Surgery

The whole range of colorectal problems are handled within the Department, including
laparoscopic colorectal surgery, pelvic floor surgery, Inflammatory Bowel Disease
management and colorectal cancer surgery.

Restorative Proctocolectomy
Laparoscopic right and left colectomy
Anorectal Physiology and Continence Surgery

All emergency surgery is performed on the RSCH site with consultant led post –take ward
rounds. Consultant led emergency lists occur on a daily basis. Trainees are allocated to these
lists and ward rounds, and they provide excellent training opportunities. On call commitments
are within EWTD and core trainees are supported by 1 or more F1s and a resident SpR.

Intermediate and day case surgery is performed within the trust at the Princess Royal hospital.
Again, trainees are encouraged to attend these lists as they provide excellent training at core
trainee level.

We are developing regular undergraduate and post graduate curriculum-based teaching as

well as practical skills for example suturing, laparoscopic skills, journal club and informal
advice on CV building. Trainees are encouraged to get involved in the organisation and
delivery of these sessions.

A unique feature of the Digestive Diseases department is the close liaison with
gastroenterology colleagues. There is an excellent multidisciplinary approach to patient care
and many patients are cared for jointly. Hot desk consultant offices are within the ward
complex promoting a consultant hand on approach and easy access to consultants for advice,
teaching and assessments. Also, the endoscopy unit and outpatients are contained within the
same department allowing easy access for patients and staff.

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Intensive Care Medicine

The critical Care department at University Hospitals Sussex NHS Foundation Trust at RSCH
offers a full range of acute hospital services for local communities in Brighton and Hove City,
the west of East Sussex and Mid Sussex, and specialist and tertiary services including
neurosciences, cardiac surgery, cancer, renal and HIV services for patients in Sussex and the
South East of England.

The Critical Care Department provides intensive care service to both campuses: the South
campus at Brighton has 31 beds, providing the Royal Sussex County Hospital with facilities
for medical and surgical intensive care, including acute neurosurgery, Level 2-3 care. The
North campus at Haywards Heath has 12 beds general beds at The Princess Royal Hospital.
The expected case mix is around 40% medical and 60% surgical, including neurosurgical
patients. The critical care units are run by the Critical Care Team and are adult units with less
than 1% of paediatric admissions.
The Clinical Lead is Dr J Yassin (YASSIN, James (j.yassin@nhs.net) and the Faculty Tutor
Dr R Gray (rebecca.gray17@nhs.net).

There are 18 consultants in critical care covering the units at all time. The junior critical care
team consists in 4 CMT, 2 ACCS, 3 ST3+ Medicine (Resp, Renal and AM), 8 ST3-7 from ICM
and Anaesthetics specialties, and 5 Clinical Fellows. Critical Care admits an unselected take
of medical and surgical patients in both ICU/HDU units accordingly to patient needs. The ICU1
at the Royal Sussex County Hospital is on Level 7 Thomas Kent Tower and the ICU2 sits
adjacent to the Emergency Department and MASU on Level 5 at RSCH and a close
collaboration between services is expected.

These posts are mainly based at the RSCH (Brighton) with short periods at PRH (Haywards
Heath) as part of the education programme and will offer recognised training in all aspects of
Critical Care. However, this post does not carry a training number.

The main clinical role and responsibilities of the trainee:

 The Critical Care trainee must ensure that patients are managed in a timely and
appropriate way in all aspects of critical care: resuscitation, stabilisation, working
diagnosis, adequate monitoring, treatment and discharge.
 Proficient in detailed handover of complex patients.
 Prompt assessment of the critically ill patients referred to ICU.
 The trainees will lead the daily consultant ward round of all admissions.
 Coordinate and evaluate the suitability for admission to ICU in consultation with the
ICU Consultant.
 Adequate documentation.
 Communicate regularly with patients’ relatives.
 Identifying patients suitable for discharge and liaise with ward teams.
 Work closely with the Outreach Team, reviewing and manage unstable patients on the
ward.
 Teaching and training of junior trainees and medical students
 Attendance and participation in the critical care teaching (lectures, journal club
presentations, M&M, Clinical Governance…)
 Expertise and guidance in dealing with complaints and other areas of clinical
governance will be available to the trainee.
 Other areas of management can be arranged, based on the trainees achieved
competencies and requirements.
 Complying with UHSUSSEX infection and patient safety guidelines.

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On-call arrangements:
 The rota is a full-time shift with internal cover.
 You are expected to manage patients accordingly to your level of training and you will
always be supported by a consultant.

Research:
 The Intensive Care Research team has a good track record of conducting, presenting
and publishing clinical research in ICM related topics. Currently the research team consists
of the research lead and one full time research nurse. The trainee allocation to research
will be identified an early stage to avoid delays and missed opportunities.

Audit and QIP:

 Candidates are expected to complete and present an audit project during the time in
critical care.
 Candidates are also expected to collaborate in other audits and collect data for
ICNARC.

Training and Supervision:

 Training in ICM is governed by the 2014 ICM curriculum which can be found at
www.ficm.ac.uk and the Curriculum for a CCT in Anaesthesia for Anaesthetists (Annexe
F).
 There is a weekly meeting with protected teaching time supervised by a consultant and
a rolling programme of Journal Club, Morbidity and Mortality, Critical Care training and
updates. All trainees are encouraged to take an active part in the design and delivery of
this educational programme aiming to learn, update and facilitate the required higher
qualifications of their specialty and in ICM (FFICM). There are also opportunities to attend
meetings with invited speakers and further afield (EM, Medicine, Grand Rounds, etc).
 As part of their training, suitable regular management meetings will be identified for
observation and participation to learn managerial skills, planning and achievements.
 Training in additional areas of expertise:
o Echocardiography [British Society of Echocardiography (BSE) Fellowship and
Focus Intensive Care Echo (FICE)]. Two of the consultants are BSE accredited in
Echocardiography. The echocardiography fellowship will be feasible at ST7 level.
All ICM trainees are encouraged to take FICE training as part of their training.
o Ultrasound: Focused Assessment by Sonography for Trauma (FAST), vascular
access, pleural fluid, ascites…
o Bronchoscopy: basic bronchoscopy
o Gastroscopy: (PEG insertion).

The acquisition of relevant experience by attachment to other areas such as radiology,

cardiology and microbiology will be allowed, but normally would not exceed 2 PAs per week.
 Library resources:
o There are two e-learning programmes, Patient Acute Care Training (PACT)
and Critical Q, the modules are highly recommended.
o Clinical Key to access journals and thousands of clinical procedure videos plus
a vast collection of images to use in your presentations and clinical teaching.
o Journal search and statistical workshops.

 Trainees will be encouraged to attend the ICM training days, courses and training
sessions to complement their portfolio.
 The overall supervision will be provided by Dr Rebecca Gray, supported by all other
ES and CS consultants.
 Supervision of individual projects will be by a designated Intensive Care Consultant

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Paediatric Surgery

The Royal Alexandra Children’s Hospital

The Royal Alexandra Children’s Hospital, known locally as the ‘Alex’, is developing as the
children’s hospital for the Southeast Coast region. Opened in 2007, it is a purpose-built
facility designed by children, with children, for children and has won several major awards.

It brings together paediatric services at UHs and provides a first-class environment to

continue to develop a broad range of specialised services for children and young people
alongside more general services for our local population.

Some paediatric services are currently provided across other University Hospitals Sussex
NHS Foundation Trust sites, including at the Royal Sussex County Hospital, the Princess
Royal Hospital in Haywards Heath, the Sussex Eye Hospital, Brighton General Hospital,
Worthing Hospital and St Richard’s Hospital, Chichester.

Current services in the Alex include:

 A day care unit
 An inpatient surgical unit
 A dedicated theatre suite
 An inpatient medical unit
 A critical care unit
 A children's emergency department
 A dedicated outpatient suite
 The Academic Department of Paediatrics and research suite
 A community paediatric nursing team
 A paediatric radiology suite
 A paediatric orthodontics and dentistry suite
 Paediatric dietetics, Speech and Language Therapy and physiotherapy
 A paediatric simulation suite

The Alex is closely linked with the neonatal service based at the Trevor Mann Baby Unit
(TMBU), RSCH and the Special Care Baby Unit, PRH. This is a regional neonatal intensive
care unit providing 17 intensive care and high dependency cots and 18 special care cots.
The service hosts the Sussex Neonatal Transport Team. Together, the Alex and TMBU
provide the regional neonatal surgical service.

The Kent, Surrey and Sussex Paediatric Simulation Centre, located in the Alex, leads a
regional programme of paediatric simulation training in collaboration with Health Education
England.

Children’s Emergency Department

The dedicated CED is based in the Royal Alexandra Children’s Hospital Brighton and currently
sees 26,500 children per year. The department is staffed by a dedicated separate tier of 8
consultants present in the department 0900-2400h and on call after 2400h. There is also a
team of two Advanced Paediatric Nurse Practitioners, five paediatric Emergency Nurse

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Practitioners including a Nurse Consultant. The department also runs the adjacent Short Stay
Unit with capacity for 6-8 beds.

High Dependency Unit

A 12 bed HDU with dedicated consultant supervision provides a critical care facility. The unit
provides a local service for children on long term home ventilation, some with tracheostomies.
The unit provides non-invasive ventilation support and routine post-operative support. We
regularly stabilise patients prior to transfer to PICU. There is considerable opportunity to gain
experience with the use of non-invasive ventilation support including Opti flow, CPAP and
BIPAP.

Inpatient Paediatrics

The medical ward is led by a team of 9 consultant paediatricians contributing to the ‘consultant
of the week’ rota and general paediatric on-call rota. The ward is staffed to provide up to 26
beds.

The department supports the regional paediatric plastics and burns service at QVH through
providing consultant sessions three days per week, including ward rounds, outpatient clinics
(including paediatric surgery) and the role of Named Doctor for Child Protection.
QVH provides specialist plastic surgery, burns, maxillofacial and corneo-plastic care for 0–16-
year-olds.

This is a regional paediatric and neonatal surgery service based at the Alex and led by a team
of 7 paediatric surgeons. The service provides regular outpatient clinics and day case
operating in Worthing, Chichester, Eastbourne, Hastings, Crawley, Redhill and East
Grinstead.

The department operates as a regional service, networked with our partner organisations at
East Sussex Hospitals, Surrey and Sussex Hospitals, Queen Victoria Hospital and Sussex
Community NHS Trusts, including Chailey Clinical Services.

The department works with the South Thames Paediatric Network, alongside Evelina
London, St George’s Hospital and Kings College Hospital.

The department continues to actively pursue the repatriation of local children for surgery
from London or other providers and will work collaboratively with all providers in South East
Coast to deliver this in the interest of children and young people.

Together with the Trevor Mann Baby Unit, the department provides a neonatal surgical
service for the South East Coast region.

Other key strengths of the department include laparoscopic surgery, urology and the
regional intestinal failure service in collaboration with the paediatric gastroenterology and
nutrition team.

Clinical Duties and Responsibilities

The post holder will be working at a junior level in the Royal Alexandra Children’s Hospital
alongside the seven consultant paediatric surgeons and six middle grades and will be
responsible for inpatient care. They will contribute to all aspects of the work of the paediatric
surgical department. This will include:

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The clinical duties of the post include the following:

 Care of in patients on the ward

 Assessment of surgical acute referrals in CED and GP referrals
 Attendance at operating lists
 Attendance at clinics
 Attendance at MDTs
 Attendance and participation in weekly departmental surgical meetings
 Attendance and participation in weekly departmental teaching sessions
 Individual study, audit and professional development time
 Attendance at Trust QPSE session

On Call Commitment: 1 in 4 on call

Oral and Maxillofacial Surgery

We are a busy, dynamic and forward-thinking department.

The department currently provides head and neck oncology and reconstructive surgery with
oral rehabilitation, trauma surgery, salivary gland surgery, adult and paediatric oral surgery,
oral medicine and specialist facial pain services. Complex head and neck cancer is treated at
both UHSUSSEX and QVH. UHSUSSEX hosts head and neck oncology, orthognathic,
paediatric oral surgery and facial pain multi-disciplinary teams a one-stop head and neck
cancer clinic and one-stop emergency clinics. There are 4 OMFS Consultants (2 work jointly
with QVH and ESHT), 1 Speciality Registrar on rotation, 1 Associate Specialist, 3 Middle
Grades and 4 Dental Core Trainees.

Poly-trauma is primarily treated at the Royal Sussex County Hospital with more routine in-
patient trauma currently being predominately treated at QVH. Day surgery is also undertaken
at Princess Royal Hospital, Lewes Victoria Hospital and at The Royal Alexandra Children’s
Hospital. All remaining sub-specialty surgery is provided within the wider regional OMFS
network. The majority of deformity and orthognathic surgery is undertaken at Queen Victoria
Hospital (QVH), East Grinstead, fed by joint orthognathic clinics at UHSUSSEX, Eastbourne
District General Hospital and QVH.

The department has a reputation for excellence in postgraduate education and training and
there are a wide range of opportunities to develop. There is a shared belief in the importance
of support for junior staff and exposure to hands on surgical experience. Feedback scores
from our Deanery appointed trainees are consistently high.

There is a weekly, consultant led, protected education and training half day which includes a
formal teaching ward round, journal club, case-based discussion and microteaching. There is
also a focus on personal development. Trainees are supported to deliver clinical audit; service
improvement and research projects and we have very strong links with Brighton and Sussex
Medical School and the University of Sussex. The training ethos is one of inclusion,
collaboration and teamwork and our trainees are highly valued.

The RSCH OMFS Department moves into a new building in 2021 in Stage 1 of the £485 million
3Ts development. The new, state of the art, department includes shared consultation rooms,
three fully equipped specialist examination, dental and oral surgery rooms, a minor oral
surgery theatre and imaging suite with large volume cone beam CT scanner, 3D facial
photography, intra-oral radiology and intra-oral 3D digital scanning.

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We work very closely with our colleagues in Ear, Nose and Throat and Neurosurgery with
some joint operating lists and a shared ward. This collaboration further enhances trainee’s
exposure to head and neck surgery and the acquisition of transferable skills.

Orthopaedic Surgery

We are a busy vibrant department, and The Royal Sussex County Hospital is the region’s
Major Trauma Centre (MTC) and serves a region of 2 million people across Kent, Surrey and
Sussex. All trauma calls are led by A&E consultants who are resident 24/7. The emergency
department is ranked as the busiest in the Southeast of England. In-patient care of major
trauma patients is led by the ten major trauma consultants who are orthopaedic surgeons with
a special interest in trauma.

The Major Trauma Centre is very well supported in terms of consultant workforce and
infrastructure. All trauma calls are led by A&E consultants who are resident 24/7. The
emergency department is ranked as the busiest in the Southeast of England. In-patient care
of major trauma patients is led by the ten major trauma consultants who are orthopaedic
surgeons with a special interest in trauma. There is a daily multi-disciplinary trauma meeting
led by a Specialist orthopaedic trauma consultant 365 days per year, with inpatient consultant
reviews of all patients daily. There is a dedicated polytrauma theatre and a further orthopaedic
trauma theatre for adults as well as separate trauma lists for children.

The trauma service is comprehensively consultant-based providing excellent training

opportunities. There is a polytrauma ward with a specialist multi-disciplinary team including
physiotherapists, occupational therapists, Speech and Language therapist, dietician, and
advanced trauma practitioners. Ward based care is undertaken by junior doctors from the
relevant surgical specialties, in conjunction with the major trauma multi-disciplinary team.
Orthopaedics forms the largest component of the injuries treated]. There is on site plastic
surgery with burns and major free flaps being performed in the regional centre at East
Grinstead.

Hip fractures are managed jointly under the care of orthogeriatric consultants at the Hayward’s
Heath site- Princess Royal Hospital (PRH) where there are daily Neck of Femur operating lists
including the weekends. The Hayward’s Heath site also hosts our fractured neck of femur
rehabilitation unit.
We currently admit 500 patients with proximal femoral fractures a year, which, combined with
the MTC and routine trauma services comprises one of the largest orthopaedic trauma
services in England.
We also have 2 full days and one-half day Hand Trauma operating lists a week based at the
PRH site.
The elective and hand surgery services are based on the PRH site with complex elective
orthopaedics being performed in the Princess Royal Hospital, and all other elective surgery
being performed in the Sussex Orthopaedic Treatment Centre (SOTC) daily in four theatres.

RSCH now has 26 Trauma & Orthopaedic Consultants covering the major trauma service and
all aspects of elective surgery.
We have 2 Associate specialists and 10 Specialist registrars who rotate through the
department from the Kent, Surrey & Sussex (KSS), Southwest Thames and Southeast
Thames deaneries. There are four senior fellows for Trauma, Paediatrics, Foot and Ankle &
Shoulder, working in the Major Trauma Centre and Elective Centre on a post-CCT fellowship
programme.

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Neurosurgery

The department of Neurosciences provides a full adult Neurosurgical service including

assessment, advice, routine and emergency surgery to a population of 1.8+ million.
The Neurosurgical service functions on two sites; the RSCH Brighton where all acute brain
and spinal surgery will be performed along with elective brain and intradural spinal surgery.
All emergency on call for neurosurgery will be undertaken at the RSCH. Elective spinal surgery
will be undertaken in dedicated theatres and from dedicated wards on the PRH site. There is
considerable sub-specialisation by the consultant neurosurgeons in spinal surgery, pituitary,
vascular, Neuro-oncology, CSF disorders, pain and skull base surgery.

A new bi-planar neuro-angiography suite is adjacent to the neurosurgical theatres, where

diagnostic and interventional procedures are undertaken.
The majority of outpatient sessions will be undertaken at the PRH site but some clinics will be
undertaken at the RSCH.

The Neurosurgical/Spinal team will include 10 neurosurgical consultants, 3 Spinal consultants,

up to 10 registrars and up to 8 SHO level doctors.

Teaching and Training

The successful candidate is expected to participate in the full range of training opportunities
this unit has to offer. Previous trainees in post have secured prestigious specialist training
posts against stiff competition.

Each weekday starts with a 08:00 clinic-radiological conference in which trainees present
referrals from the previous day, interpret imaging and formulate management plans under the
guidance of consultant neurosurgeons and neuroradiologists. Trainees are encouraged to
present the patients they have admitted or had contact with and this gives the opportunity to
enhance presentation skills and also participate in discussions regarding patient management.
All trainees are expected to follow a rota which lists their duties for the day which includes
ward work, the possibility of attendance at consultant and specialist clinics, and the operating
theatre. They are also encouraged to perform simple surgical procedures under supervision.
The post also involves managing patients in the intensive care unit and gives the opportunity
of training in neuro-intensive care. Trainees are also encouraged to take part in teaching of
Undergraduates from the Brighton School of Medicine.

The trainees will work in teams in the preparation of urgent and elective cases for
neurosurgery both on the ward and in clinics. Every effort is made to facilitate exposure of the
junior trainees to surgical cases in theatre (in and out of hours). Daily ward rounds afford the
opportunity for informal teaching.

Thursday afternoon is a fixed academic session that consists of neuroradiology,

neuropathology, neurology, neuropsychology, neurophysiology, neuro-oncology, clinical
meeting and talks from a variety of visiting speakers. All trainees take an active part in this by
presenting cases and participating in discussion on investigations, management and
treatments. In addition, dedicated teaching sessions are also held on Thursday afternoons
where trainees give presentation on subjects of topical interest. They are also encouraged to
discuss patients for Work Place Based Assessments with the senior colleagues as well as
with the clinical and educational supervisors.

Every encouragement is made to ensure all study leave is used up by attending recognised
and appropriate course, conferences, etc. Unit is closely linked with Neurosurgical Units at
King’s College Hospital and St George’s Hospital in London and all three together forms South

11
Thames Neurosurgery National Training rotation. Once a year our unit hosts a regional
morbidity and mortality meeting whereby neurosurgeons from St Georges and Kings College
attend to present their complications, audits and cases that pose challenges in management.
This is reciprocated with these units at other times of the year.

Vascular Surgery

RSCH is the regional vascular unit for Sussex providing vascular surgical cover to a population
of approximately 1.7 million. There is a hub and spoke arrangement encompassing St
Richards Chichester, Worthing hospital, East Surrey hospital Redhill, The Princess Royal
Hospital Haywards Heath and East Sussex hospitals in Eastbourne and Hastings. There are
11 Consultants working in both Brighton and the peripheral hospitals. Major Vascular Surgery
is performed on the Brighton site, intermediate and day case surgery on other sites. In-patient
care is provided by a specialized team of vascular nurses on a recently refurbished ward.
There are Vascular Nurse Specialists working on the wards and in outpatients in each of the
4 trusts who also run claudication clinics where supervised exercise programs are provided.

There is a busy vascular assessment unit in Brighton staffed by dedicated vascular

technologists using state-of–the-art equipment, who also provide duplex services for the
vascular clinics in Brighton, Worthing East Sussex and Haywards Heath. There are weekly
MDM meetings with interventional radiology, monthly audit meetings, and regular teaching
sessions. With regard to In-patient care, the emphasis is on team working (rather than firm –
based) with daily vascular ward rounds, and efficient use of theatre time so urgent cases are
dealt with on the next available list regardless of consultant ownership.

Successful candidates will gain experience in the broad range of vascular surgical patients
treated in this regional, tertiary unit. Complex aortic surgery including suprarenal aneurysm
repair, distal bypass, carotid and renal access surgery are all performed. There is a dedicated
vascular theatre team and a hybrid vascular theatre with fixed angiographic equipment for
endovascular cases. Candidates can expect to be involved with and gain experience in
managing patients from outpatient assessment through investigation, multidisciplinary
discussion, surgical and interventional radiology treatment and inpatient care. There will be
an opportunity for some posts to include some anatomy demonstration at Brighton and Sussex
Medical School.

Main Duties and Responsibilities

The post holder accepts that they will also perform duties in occasional emergencies and
unforeseen circumstances at the request of the appropriate consultant, in consultation, where
practicable, with their colleagues, both senior and junior. While it has been agreed between
the professions that they will perform such duties, the Secretary of State stresses that
additional commitments arising under this sub-section are exceptions and you should not be
required to undertake work of this kind for prolonged periods or on a regular basis.

Learning and Development

 Attend mandatory training updates as required.

 Undertake training as necessary in line with the development of the post and as agreed
with the line manager as part of the personal development process.
 Achieve and demonstrate agreed standards of personal and professional development
within agreed timescales.

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  Identify own learning needs and jointly plan training requirements with your line manager
 Participate in the Trust’s appraisal process to discuss how your role will help deliver the
best possible care to our patients and help to deliver any changes in service.

Person Specification

Requirements Level required How Level required How

Essential assessed Desirable assessed

 Basic medical degree AF  Higher Degree, AF

MRCSa
 Full GMC Registration with a AF
licence to practice CCrISP, ATLS,
Experience/  Advanced Life Support Basic Surgical
Qualifications Certificate from the AF Skills
Resuscitation Council UK or
equivalent AF

 Completion of Foundation AF/I  Appropriate skills AF/I

competencies for foundation
Clinical Skills competencies
and  Understanding of clinical risk I
Experience management
 An ability to communicate I
well with patients and staff
 Appropriate level of clinical I  IT skills I
Knowledge
knowledge / up to date  Breadth of AF/I
 Knowledge and use of I experience in and
evidence based practice outside specialty
 Able to organise oneself and I  Evidence of AF
prioritise clinical need managerial skills:
 Experience and ability to AF/I Achievements /
Organisation work in multi-professional Course attended
and Planning teams AF/I
 Understanding of: NHS /
Clinical governance /
Resource constraints
 Evidence of an interest and AF/I  Recognised AF
Teaching commitment to teaching teaching
Skills qualification
 Understanding of the I  Research AF
Academic and principles of research experience
Research  Evidence of participation in AF/I  Publications AF
audit  Prizes and honours AF
 Appropriate progression of AF/I
career to date
Career
 Have evidence that their AF/I
Progression present level of achievement
and performance is
commensurate with the

13
 totality of their period of
training
 Evidence of:- Good AF/I
communication skills both
oral and written
 Decisiveness/accountability I
 Excellent and effective I
interpersonal skills
 Non-judgemental approach I
to patients
Personal  Flexibility I
Attributes  Resilience I
 Thoroughness I
 Initiative/drive/enthusiasm I
 Probity I
 Leadership skills I
 Evidence of logical thinking/ I
problem solving/ decision-
making
Behaviours  Demonstrates behaviours I
and attitudes that support the
and Values Trust’s mission and value
Presentation  Effective, confident I
Skills presentation ability
 Good references from I
Additionally relevant sources

Application form (AF)

Selection interview (I)
Assessment (A)

Main Conditions of Service

Your terms and conditions of employment will be determined by the Trust and initially be based
on the Terms and Conditions of Service of Hospital Medical and Dental Staff (England) 2002
and any reference in those Terms and Conditions to an employing Authority shall be construed
as if it were to include a reference to an employing Trust.

The basic salary is £33,790 - £44,705 per annum and no peripheral allowance is payable. A
supplement payment may be payable in recognition of any out-of-hours work and the level of
supplement will depend on the frequency of your participation on the rota. The Trust is
compliant with the European Working Time Directive.

There are local policies for grievance / disciplinary procedures, travel expenses and
subsistence. Removal and associated expenses are not reimbursed to the post holder.

It should be noted that the Secretary of State is not prepared to hear Paragraph 190 appeals
against unfair termination of employment in respect of any new medical or dental
appointments in Trusts, and this rule applies to these posts.

The appointment will be subject to passing a medical examination satisfactorily prior to

commencing duties.

University Hospitals Sussex NHS Foundation Trust operates a No Smoking Policy, to which
all staff must adhere.

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In the event of a major incident or civil unrest all University Hospitals Sussex NHS Foundation
Trust employees will be expected to report for duty on notification. All Trust employees are
also expected to play an active part in training for and in preparation of a major incident or civil
unrest.

It is mandatory to attend hospital induction programmes and sessions specific to each clinical
area at the start of the post.

The post holder should ensure confidentiality at all times. Employees of the Trust must not
without prior permission disclose any information regarding patients or staff obtained during
the course of employment, except to authorised bodies or individuals acting in an official
capacity. Failure to adhere to this instruction will be regarded as serious misconduct and may
lead to disciplinary action. The General Data Protection Regulation (GDPR) may render an
individual liable for prosecution in the event of unauthorised disclosure of information.

The Trust is responsible for ensuring that the service provided for patients in its care meets
the highest standards. Equally it is responsible for ensuring that staff do not abuse their official
position for personal gain or to benefit their family and friends. Staff members are not allowed
to further their private interests in the course of their NHS duties.

The appointee is expected to compile an annual portfolio with evidence of continuing

professional development in accordance with the Trust’s appraisal process. The appointee
will be expected to participate in annual appraisal by the designated consultant and to produce
a personal development plan that is aligned to priorities within their clinical service which will
be shared with the Medical Director and Chief Executive.

At no time should the post holder work outside their defined level of competence. If the post
holder has concerns regarding this they should immediately discuss this with their Manager /
Supervisor / Consultant. The post holder has the responsibility to inform those supervising
their duties if they are not competent to perform a duty.

The Trust is responsible for ensuring that everyone involved in the delivery of NHS care has
the required level of English language competence to enable them to effectively carry out their
role, deliver safe care and enhance patient experience. Effective communication is a two way
process which develops and cements relationships, keeps people informed and reduces the
likelihood of errors and mistakes.

The Trust expects you to be able to develop and maintain communication with people on
complex matters, issues and ideas and/or in complex situations, this is in accordance with
Level 4 of the Knowledge & Skills Framework and in compliance with Article 53 of the
European Directive 2005/36/EC.

Conditions of Appointment
The post will be offered subject to the following:

 Satisfactory references (3 years) of which one must be from the most recent employer
 One satisfactory reference from most recent Designated Body
 Current GMC/GDC registration with licence to practice
 On the Specialist Register (or within six months at time of interview)
 Evidence of the right to take up paid employment in the UK

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 Occupational Health clearance, including medical examination if required
 Enhanced Disclosure and Barring Service clearance
 The Trust expects all Medical and Dental staff to work within the guidelines of the GMC
‘Guide to Good Medical Practice’ which can be viewed on the GMC website

Recognition, Training and Medical Education

This post is not recognised for training.

All posts will be subject to stringent recording of educational content, clinical activity and
experience. The maintenance of good logbooks and learning portfolios is a requirement of
each post. Study leave will be provided in accordance with current guidelines.

PGME hold a wide variety of courses, tutorials and seminars with local and visiting speakers
which are organised by the specialty departments for clinical staff of all disciplines.

The successful applicant will be expected to take an active role in both postgraduate and
undergraduate teaching, and in the training of clinical staff as appropriate.

The successful candidate will be encouraged to utilise the full quota of study leave to pursue
their Continued Medical Education.

The department and unit are involved in a number of audits, and the post holder is encouraged
to either participate in these audits or start new ones.

Our Trust
We provide care for 1.8 million patients, covering a geographical area of approximately
3,800km2. This includes all of Sussex for trauma; Brighton and Hove, Mid and East Sussex
for cancer and neurosurgery; and district general acute services for Brighton and Hove, West
and Mid Sussex, extending into East Sussex.

We operate across five main hospital sites:

 Princess Royal Hospital in Haywards Heath

 Royal Sussex County Hospital in Brighton
 St Richard’s Hospital in Chichester
 Southlands Hospital in Shoreham-by-Sea
 Worthing Hospital in the centre of Worthing

NB: The Brighton campus includes the Royal Alexandra Children’s Hospital and the Sussex
Eye Hospital.

In addition to our five hospital sites, we provide services from other locations including:

 Bexhill Haemodialysis Satellite Unit

 Bognor War Memorial Hospital
 Brighton General Hospital
 Crawley Hospital
 Hove Polyclinic
 Lewes Victoria Hospital
 Newhaven Ward
 The Park Centre for Breast Care

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 Worthing Dialysis Satellite Unit
 Various Health Centres, GP surgeries and Sexual Health Clinics

Our four acute hospital sites in Brighton, Chichester, Haywards Heath and Worthing offer
many of the same services for their local populations including acute medicine, general
surgery, 24 hour A&E, maternity services, intensive care and orthopaedics. Paediatric and
neonatal care is provided at Brighton, Chichester and Worthing.

The specialised and tertiary services provided at the Royal Sussex County Hospital in Brighton
include neurosciences, arterial vascular surgery, neonatal, paediatrics, cardiac, cancer, renal,
infectious diseases and HIV medicine. It is also the major trauma centre for Sussex and the
South East.

In Chichester, we operate a purpose-built NHS Treatment Centre on site which offers safe,
fast, pre-booked day and short stay surgery and diagnostic procedures.

In Worthing, our Breast Care Centre is equipped with the latest digital diagnostic equipment,
which enables the provision of a much-improved breast screening and symptomatic service
to women in a warm and welcoming, purpose-built environment.

Southlands Hospital specialises in day-case procedures, ophthalmology care and outpatient

appointments and services provided from Brighton General Hospital include dermatology,
physiotherapy and outpatient appointments.

Mission and values

The mission of University Hospitals Sussex – what we are striving to achieve – is to provide:

“excellent care every time”

All our efforts to do this put the interests of our patients first and foremost, and are
underpinned by our values:

 Compassion
 Communication
 Teamwork
 Respect
 Professionalism
 Inclusion

These values were selected by our staff, patients and public when we were talking about the
merger and the sort of organisation we want University Hospitals Sussex to be.

Our mission and values are extremely important to us and we expect everyone who works at
University Hospitals Sussex in any capacity to share and uphold them.

Patient First
 Patient First is our Trust-wide approach to improving the quality of care for patients and to
build and embed a culture where staff can be confident that their views matter and will be
heard.

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 The aim is to empower all staff to lead change, raise issues, concerns, identify and
implement areas for improvement within the workplace and find solutions collectively as
part of a team.
 Staff will be equipped with skills to identify improvement opportunities and supported to
see those through
 It encourages all staff to be innovative and drive forward quality improvement and positive
changes in their areas.
 The philosophy behind this is centred on:

 Standardisation, system redesign and the improvement of patient pathways to

eliminate error and waste and improve quality
 The patient being at the heart of every element of change
 Embedding cultural change across the organisation, where everyone is passionate
about delivering exceptional quality every time and “where better never stops”.
 Continuous improvement of our services through small steps of change
 Constantly testing the patient pathway to see how we can develop
 Encouraging frontline staff to lead the redesign processes
 Equal voices for all
 Engagement of staff is a big factor in job performance.
 Good engagement leads to improved quality, mortality and safety measures

Equality, Diversity and Inclusion

The Trust is committed to supporting Inclusion as can be seen by our Patient First Triangle
with a clear value being Inclusion. We all have a responsibility to treat our colleagues, patients
and service users with respect and dignity irrespective of; age, race, disability, gender
reassignment/identity, marriage and civil partnership status, pregnancy and maternity status,
religion or belief, sex and sexual orientation.

We are a Disability Confident Employer (Level 2) and part of the Stonewall Workplace Equality
Champions programme.

All staff have a duty to report any behaviours which contravene this to their managers.

Brighton and Sussex Medical School

The School is an equal partnership between the Universities of Sussex and Brighton together
with NHS organisations throughout the South East Region. The arrangements for the School’s
governance reflect this approach and students are awarded joint degrees of both Universities.

The school is fully committed to the principles of Tomorrow's Doctors; we endorse the value
of medical education in a multi-professional context, and promote the highest possible
standards in our teaching, clinical practice, and research (both fundamental and applied).

BSMS admit approximately 135 students annually to their BM BS degree course. BSMS has
proved exceptionally popular and in recent admissions rounds have continued to achieve one
of the highest application rates of any UK medical school. Students spend their first two years
primarily on the universities' campuses at Falmer; thereafter the focus shifts to the associated
teaching hospitals and community settings in Brighton and the surrounding area. We have
purpose-built teaching facilities in all areas.

The curriculum emphasises early clinical involvement, a broad range of experience and a firm
foundation in basic science. A wide range of teaching and learning approaches are employed

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tailored to the particular circumstances; we are not committed to a single method of delivery.
Feedback from the National Student Survey has demonstrated an exceptionally high level of
student satisfaction, with BSMS being consistently among the top 10 performing medical
schools in the country with scores of over 90%.

The research undertaken at BSMS aims to make a genuine contribution to the evidence and
science underpinning clinical practice, and to benefit people and patients in their health and
wellbeing. We expect our key domains of research strength to be recognised on the
international stage and these are represented by the new departments of Global Health and
Infection (including HIV and sexual health) and of Neuroscience (including mental health and
neurology). We have made significant investments in research infrastructure, including a
world-class Clinical Imaging Sciences Centre (CISC) housing a 3T and 1.5T MRI and a PET-
CT scanner and a Clinical Investigation & Research Unit (CIRU) dedicated to patient-
orientated research and early clinical trials.

Research and Teaching

Sussex is a progressive university delivering innovative thought and action, with a worldwide
reputation for excellence in research and discovery. Its distinctive approach leads to the
development of high quality new research which crosses traditional boundaries, benefits and
enriches society, and influences policy at international, regional and national levels. Sussex
research has a positive impact on people’s lives. In the Times Higher Education World
University Rankings 2016 Sussex was ranked 23rd in the UK and 140th in the world for research
influence.

The results of the government-commissioned Research Excellence Framework (REF) in 2014

show that over 75% of research activity at Sussex is categorised as ‘world leading’ (4*, 28%)
or ‘internationally excellent’ (3*, 48%) in terms of originality, significance and rigour, whilst 98%
of research activity at Sussex is categorised as either ‘world-leading’, ‘internationally excellent’
or ‘internationally recognised’.

The University of Brighton has a long and distinguished history of applied research. This serves
to sustain and nourish its mission to help form professional and vocational careers. Ultimately,
the university aims to transform the lives and experiences of people and their environments
with research that matters. In the REF2014, 92% of its research was judged to be world-leading
or internationally excellent in terms of the impact it makes, putting it in the top 25% for the
sector.

BSMS made a major contribution to its host universities’ submissions in the most recent
Research Excellence Framework (REF2014). The majority of BSMS staff who were submitted
contributed to Psychology, Psychiatry and Neuroscience, and Biological Sciences at the
University of Sussex, both ranked 10th, or the joint submission with the University of Brighton
(Allied Health Professionals, Dentistry, Nursing and Pharmacy – ranked 27th). A smaller
number of academics were submitted with Sociology and English at Sussex.

Risk Management/Health and Safety

The jobholder has a responsibility to themselves and others in relation to managing risk, health
and safety and will be required to work within the policies and procedures laid down by the
Trust. All staff have a responsibility to access occupational health, other staff support services
and/or any relevant others in times of need and advice.

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Infection Control
Infection prevention and control is an essential aspect of patient care. All post holders have a
personal obligation to act to reduce Healthcare Associated Infections (HCAIs). They must
attend mandatory training in infection prevention and control and be compliant with all
measures required by the Trust to reduce HCAIs. Post holders must be familiar with the Trust’s
Infection Control Policies, including those that apply to their duties, such as Hand
Decontamination Policy, The Dress Code and Personal Protective Equipment Policy. Post
holders who have clinical responsibilities must incorporate into their clinical activities up-to-
date evidence that supports safe infection control practices and procedures, for example the
use of aseptic techniques and the safe disposal of sharps.

Safeguarding Children and Vulnerable Adults

As an NHS employee you have a statutory duty to safeguard and promote the welfare of adults
at risk of harm or abuse under Section 42 – 48 of The Care Act 2014 In addition “all doctors
will, whatever their role, take appropriate action to raise and act on concerns about patient
care, dignity and safety” (Raising and Acting on Concerns About Patient Safety 2012 GMC)

All staff and volunteers working within UHS are required to undertake the appropriate level of
statutory safeguarding adults training:

 Level 1: All Non-clinical staff (3 yearly update)

 Level 2: All clinical staff working with adults (3 yearly update)
 Level 3: All clinical staff working with adults who are in a permanent senior post e.g.
Consultants (3yearly update)

The specific level of safeguarding training is addressed in the Safeguarding Adults:

Intercollegiate Document 2016

As a NHS employee you have a statutory duty and responsibility to safeguard and promote
the welfare of children under section 11 of the Children Act 2004. In addition “All doctors,
including doctors who treat adult patients, must consider the needs of children and young
people, promote their well-being and good health and where possible, prevent abuse and
neglect.” (Protecting Children and Young People: the responsibilities of all doctors, GMC
2012)

The total UHS workforce requires some level of statutory safeguarding children training.

 Level 1 (All non-clinical staff) requires 3 yearly update

 Level 2 (All clinical staff who see adults) requires 3 yearly update
 Level 3 (All clinical staff who see children) requires annual update

The specific level of safeguarding training is addressed in the intercollegiate document

2015 & the UHS safeguarding training strategy.

Confidentiality
As an employee of this Trust you may gain privileged knowledge of a highly confidential nature
relating to private affairs, diagnosis and treatment of patients, information affecting members
of the public, personal matters concerning staff, commercial confidences of third parties, and
details of items under consideration by this Trust. Such information should not be divulged or
passed to any unauthorised person or persons, and the requirements of the Trust’s Code of

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Conduct for Employees in Respect of Confidentiality, a copy of which is available from your
Head of Department, must be adhered to with particular regard to the responsibilities of
individuals and the Trust under appropriate legislation, notably the Data Protection Act.

Failure to comply with this requirement may constitute gross misconduct under the Trust’s
Disciplinary Policy which may lead to summary dismissal.

Flexibility Statement
This job description is not inflexible but is an outline and account of the role and
responsibilities. Other duties may be required to be performed from time to time in line with
the jobholder’s grade, experience and job role. The job description and person specification
may be reviewed on an ongoing basis and at the time of the employee’s appraisal, in
accordance with the changing needs of the department and the organisation. Any significant
changes that are proposed will be discussed fully and agreed with the post holder in advance.

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