Senior Clinical Fellow in Skin Cancer

The Plastic Surgery Department at Guy's & St Thomas' performs a wide range of reconstructive procedures following cancer surgery & trauma, including over 300 free flaps per year. The service offers general plastic surgery as well as specialist services in Breast reconstruction, Head & Neck reconstruction surgery, advanced skin cancer and palliation, Paediatrics, Congenital hand deformity and epidermolysis bullosa.
The department is involved in a number of exciting initiatives & is looking for an individual with the skills to complement the team, helping to keep the service in the forefront of clinical & academic excellence. A high number of SLNBs & Completion Lymph Node dissections are conducted each month, with also potential to learn ECT and specialist post Mohs reconstruction of the face and nose. A true MDT approach is achieved by working closely with our Dermatologists, Oncologists & Academic Consultants resulting with more training & research potential.
Fellowships have an emphasis on clinical exposure to multi-disciplinary management. The fellowship is divided into three parts (dependant on term), allowing flexibility to tailor individual areas of interest.
Due to the clinical demands of this post, it's ideally aimed at individuals who have completed their FRCS (Plast), or are post-accreditation, but seeking further specialist skin cancer training. Exceptions may be considered depending on robust past training & recommendation., + To assist the skin cancer consultant team in providing all aspects of the plastic surgery service including outpatient clinics, theatres and day surgery.
+ The postholder will get significant clinical exposure to skin cancer resection, sentinel node biopsy and reconstruction surgery in all parts of the body for both primary and recurrent skin tumours. This experience will be of significant value in training to become a consultant plastic surgeon.
+ To be an integral member of the skin cancer multi-disciplinary meetings (MDMs)
+ The postholder will be expected to assist in the provision of the trauma service at St Thomas' Hospital
+ To participate in clinical and other service activities with the object of ensuring a high standard of patient care
+ To participate in undergraduate and postgraduate teaching and training, The postholder will, be responsible for supporting the Consultants in the provision of specialist skin plastic surgery services to Guy's and St Thomas NHS Foundation Trust, through:
+ Assisting in the diagnosis and treatment of patients of the Guy's and St Thomas' NHS Hospitals Foundation Trust in such hospitals, health centres or clinics or other premises as required.
+ having progressive charge of post operative care of patients
+ Supporting SpRs, SHOs, medical students and Trust Doctors to assess patients in the A&E department and to make appropriate decisions about their treatment.

Training of junior staff:
The postholder will take responsibility for the training and direction of junior staff allocated to him/her under aegis of the training plan that that postholder has agreed with their supervising consultant.

Teaching:
The postholder will be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.

Clinical Governance:
All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal.

Mutual Obligation to Monitor Hours:
There is a contractual obligation on employers to monitor working hours through robust local monitoring arrangements supported by national guidance, and on individual doctors to co-operate with those monitoring arrangements.

European Working Time Directive (EWTD):
All posts and working patterns are under constant review in line with EWTD guidelines

Educational Programme:
This post is not pre-accredited to count towards training by the London Deanery or the JCST. However, you can apply to the JCST for this post to be counted towards your training if you hold a national training number and are intending on taking an OOPT to take up the post. The postholder will be expected to attend and contribute to educational activities e.g. departmental meetings, x-ray meetings, pathology meetings, multidisciplinary meetings, journal clubs etc.

Appraisal:
All medical and dental staff are required to undertake appraisal., All staff must comply with information governance requirements. These includes statutory responsibilities (such as compliance with the Data Protection Act), following national guidance (such as the NHS Confidentiality Code of Practice) and compliance with local policies and procedures (such as the Trust's Confidentiality policy). Staff are responsible for any personal information (belonging to staff or patients) that they access and must ensure it is stored, processed and forwarded in a secure and appropriate manner.

Equal Opportunities:
Post holders must at all times fulfil their responsibilities with regard to the Trust's Equal Opportunities Policy and equality laws.

Health and Safety:
All post holders have a responsibility, under the Health and Safety at Work Act (1974) and subsequently published regulations, to ensure that the Trust's health and safety policies and procedures are complied with to maintain a safe working environment for patients, visitors and employees.

Infection Control:
All post holders have a personal obligation to act to reduce healthcare-associated infections (HCAIs). They must attend mandatory training in Infection Control and be compliant with all measures required by the Trust to reduce HCAIs. All post holders must comply with Trust infection screening and immunisation policies as well as be familiar with the Trust's Infection Control Policies, including those that apply to their duties, such as Hand Decontamination Policy, Personal Protective Equipment Policy, safe procedures for using aseptic techniques and safe disposal of sharps.

Risk Management:
All post holders have a responsibility to report risks such as clinical and non-clinical accidents or incidents promptly. They are expected to be familiar with the Trust's use of risk assessments to predict and control risk, as well as the incident reporting system for learning from mistakes and near misses in order to improve services. Post holders must also attend training identified by their manager, or stated by the Trust to be mandatory.

Flexible Working
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

Safeguarding children and vulnerable adults:
Post holders have a general responsibility for safeguarding children and vulnerable adults in the course of their daily duties and for ensuring that they are aware of the specific duties relating to their role.

Sustainability:
It is the responsibility of all staff to minimise the Trust's environmental impact by recycling wherever possible, switching off lights, computers monitors and equipment when not in use, minimising water usage and reporting faults promptly.

Smoking Policy:
It is the Trust's policy to promote health. Smoking, therefore, is actively discouraged. It is illegal within Trust buildings and vehicles.

Annual Leave:
27 working days pro rata per annum plus Bank and Public Holidays.32 Days if you have had 5 years of continuous NHS Service.
All leave must be notified in advance and is subject to appropriate arrangements for cover having been made.

Study Leave:
Study Leave will be granted at the discretion of the Clinical Lead.
Funding for CPD will be equivalent to that of the appropriate Training post.

Review of this Job Description:
This job description is intended as an outline of the general areas of activity and will be amended in the light of the changing needs of the organisation. To be reviewed in conjunction with the post holder., The list of duties and responsibilities given above is not an exhaustive list and you may be asked to undertake other duties in line with the overall purpose and nature of the post as may be required from time to time.
This job description reflects core activities of a post at a particular time. The trust expects that all staff will recognise this and adopt a flexible approach to work.
All staff are expected to contribute to the smooth running of their clinical service as required; in particular, to comply with the policies and procedures, Standing Orders and Financial Regulations of the trust.

Proposed timetable
The Fellow will be attached to a number of the Consultants in the Department who specialise in skin tumour surgery. An average week will normally include assisting in main theatres for at least two-three full days, attendance at one or two half-day outpatient clinics, and attendance at least one multi-disciplinary team meeting. In addition, the post holder will be expected to participate in relevant on-call commitments, training, teaching, research and audit activities, and to provide support to the trauma service at St Thomas' Hospital.

Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy's is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary's Hospital in Sidcup. St Thomas' has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children's Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King's Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King's College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of 'good'. Our adult community services achieved a rating of 'outstanding'.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS., Our values and behaviours framework| describes what it means for every one of us in the Trust to put our values into action. The framework can be found on our Trust careers pages and GTIntranet.

Fixed Term - 12 months
Full Time - Full time. Avg 40 hours per week + on-calls.
Nodal Point 5
Number of Posts: 1
Nature of Appointment: Fixed term. 12 months - May/Summer 2025
Dates may be subject to change dependent on the candidate.
Responsible To: Clinical Lead in Plastic Surgery
Accountable To: Clinical Director for Surgery
Employing Authority: Guy's & St Thomas' NHS Foundation Trust
Main place of employment:
The post will be based at the St Thomas' site for the majority of the time. However, it is a requirement of your employment that you be prepared to work at any additional or different location owned or served by the trust, either on an on-going or temporary basis according to the demands of the service., The salary scale for the grade is from £58,398.00 (Nodal Point - 5) per annum, exclusive of London Zone Allowance.
Guy's and St Thomas' celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study's at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual's personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.
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