Senior Clinical Fellow in Urology and Gender Surgery

Job summary
The post is for a full-time Clinical Fellow in Urology and Gender Affirmation Surgery based at the Chelsea and Westminster site of Chelsea and Westminster Hospital NHS Foundation Trust.

The post-holder will be required work with the Gender Affirmation Surgery team and work closely with colleagues as part of a multidisciplinary team. They will be required to participate in audit, research and management of the service.

Daytime activities (0800-1700) will be determined by the Gender Affirmation Surgery (GAS) clinical lead and will include operating theatres, outpatient clinics, inpatient duties and acute admissions in gender surgery. The post-holder will work under the guidance of the Plastics consultants in the GAS team and will provide leadership and guidance to the training doctors on and ward nurses along the GAS pathway.

The postholder will work within their competence and it is expected that they will continue to develop their professional expertise in urology by continued professional development including personal study, attendance at courses and seminars. The post holder will take part in audit and will be a constituent member of the GAS MDT team. The post holder will take part in clinical governance activities within the Trust and will have an annual appraisal.

The post holder should possess a recognised Medical degree and MRCS/ FRCS and will be experienced in urology both in outpatient assessment of patients and operatively.

Main duties of the job
The post holder will have the following duties:

• Attend outpatient clinics, ward round, diagnostic procedures and theatre lists to support the service
• Attendance at Gender Affirmation Surgery MDT meetings
• Participation in audit and governance activities of the service
• Ensure compliance with national commissioning standards and waiting time targets
• Support subspecialisation in the department by appropriate cross referral to colleagues
• Provide consultant care at an early stage to patients presenting to secondary care with presumed urological problems
• Contribute to the care of gender surgery inpatients following masculinising and feminising procedures
• Engage in the education of other junior doctors, nursing staff and other colleagues

About us
Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.

We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.

Job responsibilities
The post is for a full-time Clinical Fellow in Urology and Gender Affirmation Surgery based at the Chelsea and Westminster site of Chelsea and Westminster Hospital NHS Foundation Trust.

The post-holder will be required work with the Gender Affirmation Surgery team and work closely with colleagues as part of a multidisciplinary team. They will be required to participate in audit, research and management of the service.

Daytime activities (0800-1700) will be determined by the Gender Affirmation Surgery (GAS) clinical lead and will include operating theatres, outpatient clinics, inpatient duties and acute admissions in gender surgery. The post-holder will work under the guidance of the Plastics consultants in the GAS team and will provide leadership and guidance to the training doctors on and ward nurses along the GAS pathway.

The postholder will work within their competence and it is expected that they will continue to develop their professional expertise in urology by continued professional development including personal study, attendance at courses and seminars. The post holder will take part in audit and will be a constituent member of the GAS MDT team. The post holder will take part in clinical governance activities within the Trust and will have an annual appraisal.

The post holder should possess a recognised Medical degree and MRCS/ FRCS and will be experienced in urology both in outpatient assessment of patients and operatively.

The post holder will demonstrate sufficient experience in plastics to assess, investigate and in suitable circumstances, treat patients with urological related issues if necessary after appropriate discussion with a consultant.

The Clinical Fellow post holder will have a continuing responsibility for the care of patients in their charge and for the proper functioning of the Department. They will also undertake the administrative duties associated with their patients and the running of the Department.

This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager.

All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff.

2.2 Roles and Responsibilities of the Post
The successful candidate will join this national service to help deliver world class surgical care to patients having gender affirming surgery. Candidates must be committed to the delivery of trans-inclusive care and be sensitive to the unique needs of this patient group. The successful candidate will be involved in the preoperative and postoperative care of this patient group, as well as the surgery itself. They will be expected to substantially contribute to the development of the service, and audit/research within the programme.

The post holder will have the following duties:

• Attend outpatient clinics, ward round, diagnostic procedures and theatre lists to support the service
• Attendance at Gender Affirmation Surgery MDT meetings
• Participation in audit and governance activities of the service
• Ensure compliance with national commissioning standards and waiting time targets
• Support subspecialisation in the department by appropriate cross referral to colleagues
• Provide consultant care at an early stage to patients presenting to secondary care with presumed urological problems
• Contribute to the care of gender surgery inpatients following masculinising and feminising procedures
• Engage in the education of other junior doctors, nursing staff and other colleagues

Person Specification
Experience, Skills and Knowledge
Essential

• Validated logbook documentation of surgical exposure to date oExperienced working in gender surgery oKnowledge of the needs of LGBTQI+ service users
• Substantial Urology surgery experience- recognised skill/ability to lead, decide and operate independentl
• Demonstrates understanding of the basic principles of audit, clinical risk management & evidence-based practice
• Understanding of basic research principles, methodology & ethics, with potential to contribute to research and Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
• oRecognised skill/ability to lead, decide and operate independently oCapacity to apply sound clinical knowledge & judgement & prioritise clinical need
• oAll applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following: a) that applicants have undertaken undergraduate medical training in English; or b) have the following scores in the academic lnternational English Language Testing System (IELTS) - Overall 7, Speaking 7, Listening 6, Reading 6, Writing 6

Desirable

• Evidence of contributing to teaching and learning of others
• Shows aptitude for practical skills, e.g. hand-eye coordination, dexterity, visuo-spatial awareness and attendance at relevant courses, e.g., ATLS, Basic Surgical Skills, CCrISP or equivalent

Personal skills
Essential

• Capacity to operate effectively under pressure and remain objective in highly emotive/pressurised situations and awareness of own limitations and when to ask for help
• Capacity to work effectively in a multi-disciplinary team and demonstrate leadership when appropriate and establish good working relations with others.
• Awareness of transgender health issues and sensitivities of the role
• Capacity to monitor and anticipate situations that may change rapidly and to think beyond the obvious, with analytical and flexible mind.

Desirable

• Experienced in leading impactful change projects and quality improvement programmes

Education and qualifications
Essential

• Full Registration with the GMC and MBBS/MRCS/IMRCS or equivalent medical qualification
• Evidence of achievement of Foundation competences by time of appointment in line with GMC standards/ Good Medical Practice including: oGood clinical care oMaintaining good medical practice oGood relationships and communication with patients oGood working relationships with colleagues oGood teaching and training oProfessional behaviour and probity oDelivery of good acute clinical care
• Evidence of achievement of competences in this specialty and Fitness to Practise is up to date and fit to practise safely

Desirable

• Higher qualifications in Urology

Personal qualities
Essential

• Ability to provide a complete employment history and evidence that present achievement and performance is commensurate with totality of period of training.
• Demonstrates awareness of ethical principles, safety, confidentiality and consent and awareness of importance of being the patients' advocate, clinical governance and responsibilities of an NHS employee.
• Shows realistic insight into surgery (and subspecialty if appropriate) and the demands of a surgical lifestyle; showing a critical and enquiring approach to knowledge acquisition, commitment to self-directed leaning and reflective/analytical approach to practice.
• Attendance at, or participation in, national and international meetings relevant to the surgical specialty theme you are applying for.

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.

Applicants must have current UK professional registration. For further information please see NHS Careers website.