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Job summary

Main area
Heart Lung and Critical Care
Grade
NHS AfC: Band 6
Contract
Fixed term: 6 months (6 months maternity cover)
Hours
Full time - 37.5 hours per week
Job ref
196-NM11861
Employer
Guy's and St Thomas' NHS Foundation Trust
Employer type
NHS
Site
RBH
Town
LONDON
Salary
£42,471 - £50,364 p.a inc. HCA
Salary period
Yearly
Closing
10/08/2024 23:59
Interview date
19/08/2024

Employer heading

Guy's and St Thomas' NHS Foundation Trust logo

Trainee Thoracic Surgical Care Practitioner

NHS AfC: Band 6

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.



Job overview

Applications are invited for the role of a Trainee Surgical Care Practitioner in the Thoracic department at the Royal Brompton Hospital. We carry out some of the most sophisticated treatments that are available anywhere in the world. We are looking for a motivated Registered Health Care Professional to join an established team in the largest specialist heart and lung centre in the UK for 6 months fixed-term contract (Maternity Cover).

Due to the fixed term contract, the hospital will not be able to support the Trainee enrolment for the MSc in Surgical Care Practice. An inhouse training will be delivered to enable the development of skills and competencies required in Thoracic Surgery.   

Main duties of the job

Under the direction and supervision of the Lead SCP and Consultant surgeon, the post holder will be able to undertake defined invasive procedures within cardiothoracic theatres, utilising specialist skills and knowledge including vessel harvesting, sternotomies, opening and closing routine chest incisions.

The post holder will act as first or second assistant to Cardiac surgeons and participate in pre- and post-operative care of cardiothoracic patients, with particular attention to appropriate work up of patients, wound care, wound healing and the prevention of infection in surgical wounds.

The trainee will learn advanced surgical skills and contribute to the training of junior medical staff and future trainee SCPs, demonstrating and supervising specialist skills and their acquisition.

Working for our organisation

Guy’s & St Thomas NHS Foundation Trust

Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark.

We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities. 

Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research. 

There are five dedicated cardiothoracic operating theatres at Royal Brompton Hospital and one unique hybrid theatre. The hybrid theatre is the largest of its kind in Europe and incorporates the most modern theatre equipment found anywhere in the UK. The advanced imaging technology, operating table and integrated computer software work together, which means operations can be planned in advance in unprecedented detail

Detailed job description and main responsibilities

 

Duties and Responsibilities

 

1.         Clinical responsibilities and Care Management

 

Pre-operative

 

  • To participate in a variety of clinics and outpatient’s activities when required, in the context of the pre-operative assessment and investigations relevant to the surgical patient.

 

  • To assist in the preparation of patient for surgery including venepuncture and (male and female) urinary catheterisation and correct positioning of the patient appropriate to the surgery to be undertaken, taking particular care to avoid nerve injury and maintain tissue viability.

 

  • To display X-rays, CT scans, PET scans and help interpret angiograms.

 

Peri-operative

 

  • To undertake the surgical procedures of VATS, bronchoscopy, PV blocks etc

 

  • To undertake the following specific duties:
    • Skin preparation and draping
    • Skin incision and dissection of tissues using surgical instruments and a high degree of manual dexterity
    • Use of harmonic scalpels, diathermy for dissection and haemostasis
    • Specific thoracic procedures both open and via VATS
    • Surgical haemostasis and insertion of drains
    • Suturing of all surgical wounds
    • Appropriate use of local anaesthetic and PV blocks
    • Applying dressings to wounds

 

  • To act as first or second assistant under the direction of the consultant surgeon for thoracic procedures, including: tissue retraction, applying suction, diathermy, maintaining clear field of surgical vision and assisting surgeons and monitoring patient’s vital signs.

 

  • To assist with the closure of soft tissue sternal and chest wounds with emphasis on elimination the risks of infection.

 

Post-operative

 

  • To participate in the postoperative assessments of the patients with particular attention to

1.    wound assessment and the prevention of infection in surgical wounds

2.    identification of surgical problems/complications

3.    identification of acute deterioration of patients.

 

  • To assist in the postoperative education of patients undergoing cardiac and thoracic surgery where appropriate.

 

  • To ensure that all staff identify and act upon psychosocial, psychological and physiological problems of patients, utilising specialist services as appropriate and according to agreed guidelines.

 

  • To work closely with all multi-disciplinary teams to maintain an efficient and safe service that meets the individual needs of all patients.

 

 

2.         Professional Development

 

  • To undertake appropriate surgical care practitioner training to MSc level

 

  • To take responsibility for own personal and professional development.

 

  • To participate in the appraisal process.

 

  • To act as role model and as a resource for colleagues, to enable them to develop their own knowledge and practice.

 

  • To develop own knowledge and practice in accordance with KSF and PDP.

 

  • To participate in developing training programmes for new procedures/extended roles and changes within the SCP’s practice.

 

  • To assist junior doctors and future trainee SCPs in developing their professional knowledge and skills and to transfer these into clinical practice.

 

  • To acquire new skills and techniques as cardiothoracic surgery evolves.

 

 

3.         Management duties:

 

  • To maintain effective communication systems, including dissemination of information and access to all Trust and local policies and procedures.

 

  • To act as a specialist practitioner and assist in the assessment of care needs and the development, implementation and evaluation of standards of care.

 

  • To act as a resource to other members of the multi-disciplinary team providing accurate information and advice.

 

  • To initiate, develop and use flexible and innovative approaches where appropriate to meet the needs of the patients, including the review of relevant protocols and guidelines to ensure clinically effective and evidence-based care.

 

  • To assist in ensuring all patients and carers have information and health education appropriate to their needs.

 

  • To assist in assessing the skills and competencies of junior surgical staff and trainee SCPs.

 

  • To assist in ensuring a positive learning environment is maintained and utilise educational strategies in motivating and retaining staff.

 

 

4.         Financial and Information Management:

 

·         To be aware of financial issues, ensuring that thought is given to the use of consumables and that they are used appropriately.

 

·         To be proactive in identifying and promoting cost savings and improving efficiency in the use of all resources.

 

  • To collect and store information which is relevant to theatre workload.

 

 

 

 

5.         Quality Management:

 

  • To be actively involved in audit/data collection and analysis and to initiate and pursue audit projects.

 

  • To utilise results of audit and research to improve the quality of the service.

 

  • To assist in ensuring health and safety procedures relevant to the clinical areas are enforced and ensure that appropriate risk assessments are undertaken.

 

  • To review and maintain standards of record keeping and documentation.

 

  • To ensure that the principles of clinical governance and clinical risk management are integrated into patient care.

 

  • To ensure appropriate incident reporting, investigate incidents and take corrective actions.

 

  • To assist in developing a positive working environment to retain staff.

 

  • To assist in ensuring that all patient data is recorded accurately.

 HEALTH AND SAFETY REQUIREMENTS

All employees of the Trust have a Statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.  Employees are required to co-operate with management to enable the Trust to meet its own legal duties and to report any hazardous situations or defective equipment.

FLEXIBILITY STATEMENT

The content of this Job Description represents an outline of the post only and is therefore not a precise catalogue of duties and responsibilities.  The Job Description is therefore intended to be flexible and is subject to review and amendment in the light of changing circumstances, following consultation with the post holder.

Upon satisfactory completion of 2-years training programme, the trainee SCP post holder will become a qualified SCP. By then s/he is expected to have increasing level of responsibilities and of specific KSF dimensions. 

This job description is subject to regular review dependent on the needs of the service and the developmental needs of the post holder and should always be revisited as part of the appraisal process.

Person specification

Qualifications

Essential criteria
  • Evidence of a clinical based qualification
  • Educated to Degree level
Desirable criteria
  • Professional continuing education.

Experience

Essential criteria
  • Clinical Experience
  • Post qualification experience
Desirable criteria
  • Experience in cardiothoracic theatres/ward/ICU.

Knowledge

Essential criteria
  • Knowledge of human anatomy
  • Knowledge of clinical standards and audit
  • Ability to integrate national policies/guidelines in local practice and policy

Skills

Essential criteria
  • Manual dexterity
  • Ability to work as part of the multidisciplinary team
  • interpersonal skills
  • communication skills
  • Ability to communicate with patients in an empathetic manner regarding their treatment and procedures
  • Clinical decision making
Desirable criteria
  • Teaching skills

Employer certification / accreditation badges

Timewise helps businesses to attract and develop the best talent through flexible working.Care quality commission - GoodDisability confident employer

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Gianluca
Job title
Adinolfi
Email address
[email protected]
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