Consultant Republic of Ireland HSE Surgeon Upper GI Surgery Gastrointestinal in Leinster Region on a fixed term / permanent basis; working for our client via Workplace Doctors

*** Must have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland - Leinster Region (Louth, Meath, Monaghan, Longford, Westmeath, Offaly, Laois, Carlow,   Kilkenny, Wexford, Dublin, Wicklow, Kildare, Cavan)
***Speciality: Surgery: Upper GI Surgery Gastrointestinal Surgeon

*** Role: Consultant (6+ years post graduate experience)

*** Duration: 12 months (FREE visa & work permit + relocation package offered)

*** Start date: ASAP

***IELTS Score of 7.0 Overall (minimum) – Essential

***Exact location details provided on application

*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

Irish Teaching Hospitals and Medical Universities receive great international acclaim & recognition throughout the world, doctors with experience and training in Ireland typically enjoy great success in terms of professional career development & job satisfaction.

Overview

We welcome candidates to apply for this opportunity to join the Upper GI/General Surgical Team at our clients HSE University hospital. The hospital has an ambitious programme of service modernisation and a reputation for providing high quality services and would like you to become part of this.

They are currently reconfiguring the GI service across the region to provide General and Specialist Surgical services across their main sites and the posts will involve working at both our main hospitals. The team will provide Upper GI services to a catchment population of approximately 350,000. Major elective surgery will be concentrated on the main site but elective surgery, diagnostic work and outpatient activity will be delivered in the secondary site with duties shared between the team. Emergency duties will be provided by the extended team of Consultants across both sites. Appointment to these posts will aid in our ambition to provide a comprehensive emergency biliary service and provide Upper GI specialist support to the Colorectal team.

The department has close links with the Medical School offering interested candidates opportunities for undergraduate teaching or the development of management roles within the medical school.

Candidates must have a higher medical qualification (FRCS or equivalent) and be on the HSE Specialist Register for General Surgery, or be within Six months of obtaining their CCT, CESR, or European Community Rights at the time of interview.

Please note that full IMC registration and license to practice is an essential for this role. If you do not currently have IMC registration, but you are in the process of applying, please use the supporting information section of the application form to provide an update about the status of your IMC application.

Candidates without IMC registration at the time of shortlisting will not be considered- as per hospital requirements.

Additional Information

You will be able to take advantage of the excellent Consultant contract for the Republic of Ireland. The basic salary range for this post is euros €217,235 to €261,051 Euro’s per annum plus a further euro 26,672 per annum available in Commitment Awards.

Specific Duties

The General Surgery and Urology Directorate provides the management structure for the following

Breast & Plastic Surgery Service

Based in the Leinster region with 5 Consultant Surgeons and 3 Consultant Plastic surgeons, providing services to the region including diagnostic and surgical oncology service, immediate/delayed reconstruction and lipomodelling. The plastic surgery team work collaboratively within the directorate  (abdominal wall reconstruction/perineal reconstruction post oncological resection) and with other directorates (soft tissue cover for limb trauma, dermato-oncology, opinion and management of complex wounds)

Vascular Service

Based in the Leinster region with outreach services in Louth, Meath, Monaghan, Longford, Westmeath, Offaly, Laois, Carlow, Kilkenny, Wexford, Wicklow, Kildare, Cavan. Seven Vascular surgeons provide this regional service including management of Carotid disease, Aortic reconstruction (open and EVAR), Infrainguinal reconstruction, vascular access service to the renal population, PICC/midline service and a full range of services for venous disease.

General Surgery

Service redesign is underway to provide an emergency  and elective General Surgery service across the hospitals based on 18 Consultant surgeons (10 Colorectal and 8 Upper GI) working as a single unit based at the main site but with a proportion of emergency duties in secondary site (resident on call element).  A 1 in 18 on call with 50% of on call duties at each site has been agreed. During the week a daytime 2^nd on call surgeon of the opposite specialty will provide specialist support to the oncall surgeon and at weekends this support will be provided between the on call surgeons for both sites. Cross referral of subspecialty cases is supported and facilitated. Shared clinical governance sessions rotating between sites occur 4 times per year. Elective surgery, outpatients and endoscopy will be provided by all Consultants and  Associate specialists on the secondary site but all major elective surgery will be carried out in the main site. Of necessity and as dictated by specialist expertise & clinical need, some emergency cases  from secondary site will require transfer to main site (interventional radiology, access to emergency endoscopy, high risk laparotomy cases, severe acute pancreatitis requiring intervention). All 18 GI surgeons will have equitable access to endoscopy lists, operating lists and outpatients in both our major sites. Some peripheral clinics will also be shared between the GI surgeons.

Urology

A comprehensive service with 4 surgeons based in York and 4 Surgeons based in secondary site whom collectively support the Diagnostic Urology service in addition to providing elective and emergency services to the 2 sites.

Each of the services is supported by site specific cancer specialist nurses, surgical nurse practitioners; junior doctors (speciality doctors, specialty registrars, core trainees and foundation doctors).

Teaching Commitments

·       regular commitments to ward based teaching of undergraduates.

·       participation in the lecture programmes for 2^nd and 4^th & 5^th year medical students.

·       teaching of other groups as required including other specialty juniors and specialist nurses.

Job Plan

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Surgery: Upper GI Surgery Gastrointestinal Consultant, on behalf of the Trust’s Medical Director, based on the provisional timetable. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.

Job plans will be reviewed at least annually, following an appraisal meeting. The job plan will be a prospective agreement that sets out a Consultants typical working pattern, duties and responsibilities and objectives for the coming year. It will cover all aspects of a Consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities and external commitments.

Additional programmed activities may be offered to the post holder, up to a maximum of 2 for full time posts, taking the maximum total to 12. Any offer of additional programmed activities will be based on the needs of the service and in line with the Trust objectives and will be reviewed on at least an annual basis.

A core 1.25 PAs of SPA time is provided per week for Consultant and SAS grades.

Private Practice

You should ensure that any private practice commitments are discussed with your Clinical Director and entered into your prospective job plan. Any change to these will need to be discussed between yourself and your Clinical Director and recorded in an amended job plan. Consultants will be required to ensure that they meet the code of conduct for private practice at all times.

On-call Arrangements

1 on 18 general surgery on call (shared with 7 other Upper GI Surgeons and 10 colorectal surgeons) based in the main site. This equates to 1 in 9 on call overall as duties are shared between the 2 main sites. In main site the on call  is currently 3 day on call (Monday 0800 to thursday 0800) followed by 4 days on call (Thursday 0800 to Monday 0800) a week later with appropriate access to dedicated daytime CEPOD lists and emergency biliary lists in addition to a 24hour emergency theatre. Support will be provided by the opposite GI specialty during the weekdays and at weekends.  In the secondary site on call duties would involve 48 hrs (Monday 0800-Wednesday 0800), 48 hrs (Wednesday 0800 – Friday 0800) and 72 hrs (Friday 0800 – Monday 0800) over 3 separate weeks  with Consultant to Consultant handover of all cases at changeover times with  appropriate access to dedicated daytime CEPOD lists and emergency theatres.

Standard Duties and responsibilities

a) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan  and in line with policies as specified by the Employer.

b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.

c) To work within the framework of the hospital / agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply.

d) To co-operate with the expeditious implementation of the Disciplinary Procedure 

e) To formally review the execution of the Clinical Directorate Service Plan with the Clinical Director / Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director / Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan.

f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures.

g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.

h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training.

i) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care.

j) To participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty / sub-specialty is involved in the selection process. 

k) To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory and corporate policies and procedures.

l) To participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery

Essential Requirements

This post is open to doctors who hold Registration as a Specialist in the Specialist Division of the Registrar of Medical Practitioners maintained by the Medical Council in Ireland in the specialty of Surgery: Upper GI Surgery Gastrointestinal

Office Accommodation

The post holder will undertake administrative work associated with their clinical and other professional duties.  Adequate time and facilities for clinical administration, including appropriate office space, secretarial support and access to a personal computer, software & internet access, will be available.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant  will offer mentoring support and lead the existing clinical team through; joint clinics, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

Service Provision and Cover during Absences

The consultant has a continuing responsibility for the care of patients in his/her charge and for the proper functioning of the service allowing for appropriate delegation for the training of his/her staff.

He/she must be available by telephone and able to attend the hospital in a timely fashion when on-call (40 minutes journey time).

Consultant staff must ensure that services are covered during his/her planned absences. Where fixed commitments need to be cancelled during planned absences appropriate notice (8 weeks) must be given. Absences must be co-ordinated with other consultant staff in the specialty to ensure senior cover is always available.

If you are interested in working in growing your career and increasing your income, then talk to our healthcare team today. If you can fill the above requirements, we will give you the following benefits:

*** Visa & Work Permit for FREE!

*** Guidance, Training & Career Development

*** Dedicated & Supportive team- Consultant available when you need.

*** Excellent Basic Pay, Overtime paid for extra hours
***Assistance provided with relocation

We look forward to helping you progress your career and find you the ideal position.

The hospital welcomes all applications irrespective of age, disability, gender, sexual orientation, race or religion- essentially the applicant must meet the criteria mentioned above

Doctors Guide to working in the Republic of Ireland – Click here

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to info@workplacedoctors.co.uk  or apply online today (see below).

***Please note due to the high number of applications, we do answer every application in turn.***