Substantive Consultant in Obstetics &

Gynaecology
Medway NHS Foundation Trust
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Job Description

Role: Substantive Consultant in Obstetrics & Gynaecology

Banding: Consultant
Division: Women’s Care Group
Responsible to: Clinical Director
Accountable to: Medical Director

Job Purpose:
This is a substantive consultant post to join our busy department of Obstetrics and
Gynaecology. The successful candidate will provide Consultant-led and delivered care in
different aspects of Obstetrics and Gynaecology including antenatal and intrapartum care and
benign gynaecological services including out-patients and theatres. The candidate must be an
experienced in Minimally Invasive Gynaecological Surgery and must hold the appropriate
qualification to support this role.The candidate is expected to have experience in working
independently in all general aspects of Obstetrics and Gynaecology. The post will attract 10
programmed activities according to the new contract including on call commitments.

Medway NHS Foundation Trust:

The Medway NHS Foundation Trust provides care to the largest urban population in Kent,
serving Gillingham, Chatham, Rainham and the City of Rochester, collectively known as the
Medway Towns. The population is about 350,000 and the Trust covers an area of 162 square
miles and incorporates Swale sector, comprising of Sittingbourne and Sheerness with a
population of 104,000. The department provides services at Medway Maritime Hospital, with
out patient clinics at Sittingbourne Memorial and Sheppey Community Hospitals. Although
predominantly an urban area, the A2, M2, M25 and M26 provide easy access to London and
the countryside of Kent and the South East Kent coastal resorts. Close proximity to the M20
and Dartford Tunnel allows easy access to the Eastern counties. The Channel Tunnel is 45
minutes drive from the hospital. There is a good selection of private, public, selective (including
grammar) and comprehensive schools and a high standard of secondary education in the area.

The Women’s Care Group:

The Women’s Care Goup is led by the Clinical Director for Women’s who is accountable to the
Care Group Medical Director.

Gynaecology
A full range of routine and emergency work is undertaken. Gynaecology Out patients Clinics are
held at Medway Maritime Hospital (Gillingham), Sheppey and Sittingbourne Community
Hospitals.

There are special clinics for colposcopy, hysteroscopy, urodynamics and infertility. The concept
of a “one stop visit” is well advanced in Cancer assessment, Colposcopy and Menstrual
Disorder Clinics. An increasing number of out patient procedures are being undertaken, e.g.
hysteroscopy, cystoscopy, transvaginal scanning, and terhapuetic procedures etc. Whenever
possible minor procedures are performed in the out patient setting, providing an ambulatory
service. Rapid Access Clinics for women suspected of having a gynaecological malignancy are
run weekly with provision of initial diagnostic services at the first visit.
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All emergency gynaecology referrals from General Practitioners are assessed in an Emergency
Gynaecology Assessment Unit which is situated within the Gynaecological ward. This service is
Consultant led together with a Nurse Practitioner. Women with early pregnancy complications
are referred by their GP/Midwife to an Early Pregancy Assessment Unit situated in the out
patient clinic area during he week and on the ward at the weekend. Routine transvaginal
ultrasound scanning facilities are delivered principally by a Nurse Practitioner. We hope to
further develop this aspect of our service.

The Sunderland Day Surgery Unit

This unit has four fully equipped and staffed theatres. Last year 1,500 women underwent day
case surgery for gynaecological conditions.

Elective and Emergency Workload

The development of the Early Pregnancy Assessment clinic has reduced the number of
emergencies treated out of hours and dedicated emergency lists are provided for the treatment
of gynaecological emergencies.

Nurse Specialists
Gynaecology nurses have already been trained to take cervical smears, to insert hormone
implants and to carry out urodynamic tests. This role has been extended further to include
colposcopy where 2 nurse specialists are fully accredited. Nurses also run the early pregnancy
assessment clinic .

Medway Maritime Hospital is a unit delivering gynaecological cancer care. A close liaison has
been well established with the Cancer Centre and multi-disciplinary meetings are run at
Medway on a weekly basis with the clinical oncologist via video-link. The unit at Medway has
been commended during the recent peer review for harmonious collaboration with the Cancer
Centre at Mid Kent Oncology.

There is a dedicated full time Cancer Nurse Specialist for gynaecology working closely with the
Lead for cancer. The Cancer Nurse Specialist works from a dedicated unit here at Medway
(The Richard Watts Unit) which provides a base for all cancer nurse specialists (colorectal,
breast and urology) and the hospital palliative care team, which is consultant led.

Outpatient Maternity
This is a busy maternity unit with approximately 5,000 deliveries per year. The maternity unit
includes the Medway Fetal and Maternal Medicine Unit (MFMC), Antenatal clinics and Maternity
Care Unit (MCU) which are all situated together in the same outpatient area on the ground
floor.Consultant antenatal clinics are held Monday to Friday. The Maternity Care Unit (MCU) is
midwifery led supported by middle grade doctors with agreed protocols for the management of
common obstetric problems.

Medway Fetal and Maternal Medicine Centre (MFMC):

The MFMC is accredited by NHS England for provision of tertiary-level Fetal Medicine Services
in Kent and Medway Local Maternity System. The Fetal Medicine Unit has a unique set up
which includes all routine obstetric ultrasound scans carried out at 12, 20 and 36 weeks along
with Fetal Medicine high-risk clinics for fetal abnormalities and procedures, which are run
alongside the routine scanning lists in the same clinical setting.

The MFMC offers all specialist Fetal Medicine procedures including invasive prenatal tests such
as amniocentesis and CVS, fetocides, fetal shunting procedures and fetal blood transfusions
except endoscopic laser procedures. Women are reviewed in a specialist multidisciplinary
setting with support from specialist fetal medicine midwives. There is a specialist
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multidisciplinary set up which includes clinical input from Fetal cardiologists, Clinical geneticists,
Fetal MRI specialists, paediatric surgeons and Consltant neonatologists. All cases are
discussed a weekly regional MDT meeting which includes all above specialists from different
hospitals in Kent and Medway.

Inpatient Maternity
The Delivery Suite has 16 single delivery rooms including one with a birthing pool and a four
bedded area for women in very early labour or where labour is being induced. There is fully
equipped dual obstetric theatre suite with anaesthetic and a recovery area equipped for High
Dependency monitoring. The delivery suite has 24-hour anaesthetic cover for epidurals and for
emergency obstetric surgery. There is also Consultant led anaesthetic cover for elective
Caesarean Section lists which are held 5 days per week.

There is a dedicated team of Delivery Suite Midwives with significant experience in high and low
risk intrapartum care. The senior midwife co-ordinator on duty works closely with the on call
obstetric team at all times. An assessment area and bereavement room has recently been
created within the delivery suite. There is continuous support from the neonatal department
situated immediately adjacent to the delivery suite theatre.

Community Midwifery Services

These services are well developed and integrated into the whole maternity service. Community
midwives work closely with the hospital based midwives undertaking regular shifts in Delivery
Suite. Trained paramedics of Kent Ambulance Service – including Kent Air Ambulance – attend
maternity emergency calls if required.

Neonatal Intensive and Special Care Baby Unit (Level III)

At present there are 12 designated NICU costs, appropriate equipped and staffed. There are
five Consultant Neonatologists and supporting junior staff and neonatal nurses. A joint weekly
educational meeting between Obstetric, Midwifery and Neonatal teams takes place. A monthly
perinatal mortality review meeting is held.

The unit is a recognised tertiary referral centre for in-utero transfers both from surrounding
hospitals in West Kent but also from further afield. Many of these come because of the
excellent neonatal unit at Medway. Many of those mothers also require high dependency care
from the obstetric and midwifery team for delivery and post natal care.

Consutlant Mediccal Staffing in the Women’s Care Group

Professor R Akolekar MRCOG Medical Director for Women’s Care Group

Lead for Specialist Fetal Medicine & Obstetrics
Mr H Habeeb FRCOG Clinical C Director for Women’s Care Group
Clinical Lead for Cancer
Mr K Moorthy FRCOG Gynaecology Lead
Consultant Obstetrician and Gynacologist

Professor H Ahmed FRCOG Consultant Gynaecologist

Professor J.R.A. Duckett FRCOG Consultant Urogynaecologist
Miss S Griffin FRCOG Consultant Gynaecologist
Lead for Ambulatory Gynaecology, Colposcopy
and CSPL
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Miss P Vankayalapatti MRCOG Consultant Obstetrician and Gynaecologist

Special interest in Maternal Medicine
Mr R Edwards MRCOG Consultant Obstetrician and Gynaecologist
Governance and Patient safety lead
Miss M Islam MRCOG Consultant Obstetrician and Gynaecologist
Lead for Early Pregnancy & Emergency Gynae
Mr J Beta MD, PhD Specialist Fetal Medicine & Obstetrics
Intrapartum lead
Mr Gavin Guy MRCOG Specialist Fetal Medicine & Obstetrics
CTG and intrapartum monitoring lead
Mr Matthew Brown MRCOG Specialist Fetal Medicine & Obstetrics
Simulation lead
Miss Balachandran MRCOG Specialist Urogynaecologist
Research and Audit Lead
Miss Joanna Clay MRCOG Consultant Obstetrician and Gynaecologist
Special interest in Urogynaecology/College Tutor
Miss. R Bangari MRCOG Consultant Obstetrician and Gynaecologist
Special interest in Obstetric haematology

Key Responsibilities:
The successful candidate will provide support to the busy Obstetric and Gynaecology unit. The
on-call commitments will include Gynaecology hot week emergency cover as well as supporting
the on-call rota for delivery suite. During on-call, all other clinical committmkents are cancelled.
Private practice should cease during on-call. Extra support is available from senior consultsnrts
in complex cases. Your weekly obstetric session and gynaecology theatre sessions should
serve to maintain your skills in emergency obstetrics and emergency gynaecology.

A formal job plan will be agreed between the appointee and the Clinical lead for Gynaecology,
within 3 months commencement of the date of appointment. This will be signed off by the Chief
Executive officer and will be effective from commencement of the appointment.

For a whole time contract

Direct Clinical Care (DCC): 8.5 programmed activities (on average) per week. (includes clinical
activity, clinically related activity, predictable and unpredictable emergency work)

Supporting Professional Activities (SPA): 1.5 programmed activities (on average) per week.
(includes continuing professional development, audit, teaching and research). Consultants will
be expected to show evidence of Supporting Professional Activities at their follow up job plan
meetings.
The on-call frequency is as follows:
Obstetrics
1:20 weekdays obstetric on-call for 24 hours, gynae included from 17:30. On-site 08:30-22:00
1:20 weekend on-call for O&G resident 08:30-22:00
Gynaecology
Gynae hot week 1:17 on site 08:30-17:30
Gynae on -call weekends 1:52 on-site 08;30-12:00

Education
All Consultants are required to provide a positive learning environment for Junior Doctors both
formally and informally. All Consultants should arrange their own Continuing Medical
Education/Continuing Professional Development according to the RCOG guidelines.
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Administration/Managerial Responsibilities
It is necessary to maintain waiting lists, waiting times and admissions in line with the Medway
NHS Policy. All Consultants should participate in the monthly departmental management
meetings and be responsible for Junior Doctors fulfilling their timetable commitments to ensure
a high quality service is provided.

Quality Assurance & Audit and Clinical Governance

The Trust has adopted a comprehensive Quality Assurance and Consumer Relations Policy
and all staff members are expected to play their part. The Medical Audit Advisory Committee
leads the audit programme through a department of one lead and three assistant staff. The
Trust is closely involved with National Confidential Enquiries. Audit in Surgical Specialties is
advancing rapidly with the in house development of a networked computerised database, which
provides waiting list management and summary clinical information in addition to reporting
facilities for Audit. Attendance at monthly audit meetings is required.

Annual Leave and Study Leave

Annual Leave and Study Leave is available according to national agreements. Leave must be
co-ordinated with other Consultants. Ideally no more than four senior members of staff may
take planned leave at any time. Except in unusual circumstances, 6 weeks notice of annual or
study leave must be notified to the Medical Staffing Manager. Until the existing on call rota is
reviewed Consultants may not take annual leave during their on call week unless effective
cover arrangements have been made. This will involve cancelling routine clinical work and can
only be contemplated with good notice and extensive liaison.

Private study leave is only approved in certain circumstances; full details are given in the Trust’s
Study Leave Guidelines.

A maximum of 10 days may be approved over a period of 1 years for Consultants.

Main Conditions of Service

Registered Health Professional

All staff who are members of a professional body must comply with standards of professional
practice/conduct. It is the post holder's responsibility to ensure they are both familiar with and
adhere to these requirements. All registered professionals must maintain registered in line with
the Trust Professional Registration with Regulatory Bodies Policy.
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Our Vision and Values

All staff must commit to our Vision and Values and exhibit behaviours in line with our new Values.

Bold We are inspiring and ambitious

Every Person Counts We are respectful and supportive
Sharing and Open We are open and speak up
Together We are inclusive and responsible

Our Trust is a great choice for people who want to develop their career in an ambitious
environment. Our employees are able to choose the coverage and supplemental benefits that
best fit their needs and those of their families.

We are committed to endorsing diversity, multiculturalism, and inclusion; our policies /

procedures ensure that all applicants are treated fairly at every stage of the recruitment
process.

The Learning Resource Centre

All Trust employees have access to a comprehensive library and audio visual aids service. This
supports any training and educational programmes, self-directed learning or simply allows staff
to keep abreast of the latest research developments in any specialty. The centre not only
provides access to information in a variety of formats (including books, journals, video or other
electronic media) but also allows access to computers for database searches, access to the
Internet and the medical school web-sites. The centre’s staff can also assist and advise in the
preparation of electronic presentations slide production and the use of scanners and audio
equipment. Equipment available for use outside the Learning Resource Centre includes a digital
camera, OHP’s, multimedia projectors, laptop computers and screens.

The library is part of a Regional network and therefore has access to resources at other centres
in the South East including the BMA and the Royal College of Surgeons.

Undergraduate Teaching
The Medway Maritime Hospital is recognised by London University as an Associated University
Hospital. There is a sub-dean at the Medway Maritime Hospital, and a Medway Academic
Committee and representation through these on the Academic Board of the Medical School,
along with Guy’s Thomas’, King’s and Lewisham hospitals.

The first medical students from the new Kent and Medway Medical School will be taught on the
wards at Medway from the autumn of 2021.

eRostering

Roles with budgetary responsibilties for e-rostering have had these responsibilitities included in
job descriptions

Mandatory Training

All staff must complete on-going mandatory and role-specific training pertinent to their post, and
this should be confirmed with their line manager.
Quality Assurance
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The Medway NHS Foundation Trust has adopted comprehensive quality assurance, and all
members of staff employed by the trust are expected to play their part. The aim is to provide a
good quality service, which the customer accepts is appropriate and which is provided in the best
possible way.

Health & Safety

Staff are required to observe local Health & Safety arrangements and take reasonable care of
themselves and persons who may be affected by their work.

Research and Development

An objective of the Trust is to increase the level of research and development (R&D) undertaken
by our staff and to promote the adoption of evidence based medicine. A multi-disciplinary group
that includes the Head of R&D, R&D Manager, Medical Director, and Chief Executive lead our
strategy for R&D.

The very large, socially and racially diverse local population provides an excellent base with
varying pathology to support clinical research. There is close liaison with facilities at Guy’s, King’s
and St Thomas’s Medical School through the undergraduate teaching links and associated joint
appointments. There have been a number of collaborative initiatives undertaken in conjunction
with Christ Church College, University of Canterbury and University of Kent.

Equal Opportunities

Staff are required to comply with the Medway NHS Foundation Trust's approach to equal
opportunities and treat everyone the same, regardless of their gender, race, disability, marital
status, religion or belief, sexual orientation, gender reassignment or age.

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.

Infection Prevention and 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 Hygiene Policy and Trust
procedures for use of personal protective Equipment, safe procedures for using aseptic
techniques and safe disposal of sharps.

Advanced Life Support Qualifications:

ED:
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He/She will be expected to follow the various guidelines and protocols issued in the department.
In the case of trauma cases, cardiac arrests and critically ill patients attending the department,
the post holder will be expected to act as part of the team caring for the patient, following
appropriate life support guidelines. Post holders would be expected to gain within 6 months and
maintain certification in ALS, ATLS and APLS/EPALS, or recognised equivalents to these courses
and provide the trust copies of these certificates.

Medical Doctors in Acute Medicine/General Internal Medicine:

He/She will be expected to follow the various guidelines and protocols issued by the trust. In the
case of cardiac arrests and critically ill patients the post holder will be expected to act as part of
the cardiac arrest/medical emergency team, following appropriate life support guidelines. Post
holders would be expected to gain within 6 months and maintain certification in ALS or recognised
equivalents to these courses and provide the trust copies of these certificates.

Anaesthetic Doctors:

He/She will be expected to follow the various guidelines and protocols issued by the trust. In the
case of cardiac arrests and critically ill patients the post holder will be expected to act as part of
the cardiac arrest/medical emergency team, following appropriate life support guidelines. Post
holders would be expected to gain within 6 months and maintain certification in ALS and if
covering on calls APLS/EPALS or recognised equivalents to these courses and provide the trust
copies of these certificates.

Paediatric Doctors:

He/She will be expected to follow the various guidelines and protocols issued by the trust. In the
case of cardiac arrests and critically ill patients the post holder will be expected to act as part of
the cardiac arrest/medical emergency team, following appropriate life support guidelines. Post
holders would be expected to gain within 6 months and maintain certification in APLS/EPALS and
where the post includes cover on the Neonatal Unit NLS/ARNI or recognised equivalents to these
courses and provide the trust copies of these certificates.

Neonatal Doctors:

He/She will be expected to follow the various guidelines and protocols issued by the trust. In the
case of cardiac arrests and critically ill patients the post holder will be expected to act as part of
the cardiac arrest/medical emergency team, following appropriate life support guidelines. Post
holders would be expected to gain within 6 months and maintain certification in NLS/ARNI or
recognised equivalents to these courses and provide the trust copies of these certificates.

Information Governance
Staff is required to keep all patient and staff information confidential unless disclosure is expressly
authorised by your employer. Misuse of or a failure to properly safeguard any data considered to
be confidential may be regarded as misconduct/gross misconduct and a disciplinary offence.

Patient Experience
Staff should ensure that they help to create a positive patient experience at all stages of a patient’s
interaction with the hospital and help to improve the patient experience within the hospital
environment.
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Safeguarding Children and Vulnerable Adults

The Trust is committed to the protection of children, young people, their families and vulnerable
adults accessing its services. Promoting the message that “safeguarding is everyone’s business”
is vital to ensure our patients are protected and safe from abuse. To this end you must comply
with Trust’s and the Kent and Medway Safeguarding Board’s policies on safeguarding children,
young people and vulnerable adults.

All staff no matter where they work or which age group of patients they work with must be aware
of their responsibility to act when they feel a child, young person or vulnerable adult has been or
is at risk of abuse.

Disclosure and Barring Service

The position you have applied for may have been identified as being an 'eligible position' under
the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 [the Exceptions Order] and, in
certain circumstances, the Police Act 1997. As such, it may meet the eligibility criteria for a
standard or an enhanced disclosure to be requested through the Disclosure and Barring Service
(DBS).

Uniform

All staff must adhere to the Trust Nurses/Midwives Uniform Policy

Job Description

The job description is not intended to be exhaustive and it is likely that duties may be altered from
time to time in the light of changing circumstances and after consultation with the post holder.

Smoke Free Medway

Medway NHS Foundation Trust is a smoke free site. This means that smoking is completely
prohibited in all Trust buildings, grounds and car parks. This will ensure that the hospital is a
better place to work and for our patients to be treated.

If you are currently a smoker and would like to receive free stop smoking advice, please contact
the Medway Stop Smoking Service on 07535 710329 or 0800 234 6805.

Staff Networks

LGBT+ Staff Network

Staff (Dis)Ability Network

Armed Forces Network (for staff who are Reservists and Veterans)
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Black, Asian and Minority Ethnic (BAME) Staff Network

Staff Benefits Information

The Trust has worked hard to offer the Best of the benefits to our staff, the Best of people. By
following the link before you will find our staff benefits handbook which provides you with a large
selection of benefits available.

https://view.pagetiger.com/Benefits-Wellbeing/currentstaff
Our Commitment

We are jointly committed to creating and maintaining a fair and supportive working environment
and culture, where contributions are fully recognised and valued by all and staff feel empowered
to carry out their duties to the best of their abilities.

As employers we are committed to promoting and protecting the physical and mental health and
well-being of all our staff.

Talent Management and Skills Coaching

All staff at Medway NHS Foundation Trust will have the opportunity to undertake talent and coach
sessions held with our Organisational Development Team. This will be supported through the
talent management process.

Flexible Working Opportunities

At the NHS, we are reminded every day of how important life is. As a flexible working friendly
organisation, we want to be sure that you can work in a way that is best for us and for our patients,
and for you. Speak to us about how we might be able to accommodate a flexible working
arrangement whether that’s job share.

Applications are welcomed from applicants who wish to apply for a position on the basis of a
smarter or flexible working arrangement. Where candidates are successful at interview, such
requests will be taken under consideration and accommodated where the needs of the service
allow.
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Person Specification
The person specification sets out the essential qualifications, experience, skills, knowledge,
personal attributes and other requirements which the post holder requires to perform the job to a
satisfactory level. Without these qualities applicant cannot be appointed to the post.

Role: Consultant Obstetrician & Gynaecologist

Full GMC registration – on Specialist Register

Qualifications MRCOG or equivalent qualification
ATSM in benign gynaecological surgery/ equivalent
Experience in working in busy O&G department
Knowledge Experience in managing complex cases in benign gynaecology
Experience in independently performing advanced minimal access
gynaecological surgery
Experience in independantly managing common obstetric and gynaecological
emergencies

Values Exhibits behaviours in line with Trust Values:

Bold
We are inspiring and ambitious

Every Person Counts

We are respectful and supportive

Sharing and Open

We are open and speak up

Together
We are inclusive and responsible
- Must be on the specialist register or within 6 months from obtaining
Experience CCT at the time of interview
- Experience in managing Obstetric care and and complex benign
gynaecology
- Experience in independent management of common complications in
obstetrics and gynaecology
- Knowledge about risk management and clinical governance
- Experience of teaching junior medical staff
- Good Leadership skills
Skills - Ability to communicate effectively with colleagues and patients
- Good organisational skills.
- Ability to work in a multidisciplinary team.
- Good interpersonal skills.
- Commitment to continuing medical education.
- An awareness of their own strengths and weaknesses
Flexible and adaptable to change to meet the needs of the service.
Other Attributes The vision and focus to continually strive to improve the service for our
patients is a key attribute for this, and any role at the Medway NHS
Foundation Trust
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Time table, Consultant Obstetrician and Gynaecologist With a Special Interest In Minimal
Access Surgery

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Off Ward Theatre

round
Obstetric session GOPD- Five hours
4hours Threehours
AM LW1:2 including and 30 ( including
1hour of minutes pre/postop.
8:30-13:00
admin Round)
ELSCS 1:2 (09:00-
( 09:00- 12:30) (08:00-
- 5 hours ( 08:00- 13:00) 13:00)
13:00)- 1hour 1:2
pre/postop round (0.8 PA)
(0.625)
(1.25PA) ( 1PA)

Theatre

PM Off GOPD – 4hours Minor SPA Five hours

including 1hour of Procedure
admin Clinic- 4 Four hours ( including
pre/postop.
hours (13:30-
( 14:00-18:00) including Round
17:30)
(1PA) 1hour of (13:30-
admin(14:00- (1PA)
1830)
18:00)
1:2(0.625)
(1PA)

0.5 PA Revalidation SPA at home

2.2 PA for on-call cover 1:20 weekdays and 1:20 weekends( resident on-call 08:30-22:00)
Predictable Weekdays 1.1PAs, Weekends 0.3PAs Weekdays non-predictable 0.4 PAs Weekend
non-predictable 0.4 PAs . An extra 3% on-call supplement will be added to the salary.

Total PAs for this post 10 PA