Clinical Trust Fellow at FY2 Level in

Urology
Medway NHS Foundation Trust
 Job Description

Role: Clinical Trust Fellow at FY2 Level in Urology

Division: Surgery and Anaesthetics

Responsible To: Clinical Director

Accountable To: Medical Director

Job Purpose

This post is part of the Trust’s aim to deliver high quality Urology care. It will involve participating
in all facets of department activity, including the assessment and initial care of patients throughout
the department, responsibility for patients in the Emergency Department and Emergency
Treatment Room and dealing with other clinical management tasks.

Department of Urology

The Urology Department has an established track record in innovation. It was the first to introduce
a dedicated Endo-urology service for over 25 years, open radical prostatectomy service was
established over 20 years ago and neobladder reconstruction after radical cystectomy. With the
advent of laparoscopic urological surgery, the department was the first to introduce laparoscopic
radical prostatectomies in Kent and the more recent introduction of daVinci robot. This has led
to substantial patient benefits with significantly reduced hospital stay and early return to full
recovery in the community.

The West Kent Urology cancer centre (WKUCC) is based at Medway hospital with visiting
surgeons from Darent Valley NHS Hospital (DVH) Trust and Maidstone and Tunbridge Wells NHS
Trust (MTW) and provides all the complex cancer treatment for urological patients. We also offer
comprehensive stone service which is run in close collaboration with Darent Valley Hospital.
There are a number of fellowship programmes in Endo-Urology, Laparoscopic and robotic
surgery.

Department Structure

Proffessor Matin Sheriff Cosnsultant Urological Surgeon & Urology Specialty Lead

Ms Danielle Carnegie Service Manager

Medway Consultant Urological Surgeons:

Mr S Masood Uro-Gynaecology

Mr H Marsh Endo-Urology
Mr T Bhat Bladder Cancer

Mr Sheikh General Urology and stones

Mr F Ghumman Upper tract Cancer

Mr Burki Prostate Cancer

Mt Z Bhat Female Urology

WKUCC Visiting Surgeons:

MTW Consultant Urological Surgeons:

Mr M Cynk

DVH Consultant Urological Surgeons:

Proffessor S Madaan

Proffessor S Sriprasad

In addition, there are 8 Middle Grade doctors including 1 training SpR, 4 F2, 2 F1 Officers and 4
cancer Nurse Specialists 2 Nurse Specialists.

The department is well supported by other departments within the Trust to ensure delivery of high
quality specialist cancer and non-cancer service. There is dedicated interventional radiology,
pathology, Colorectal, Nephrology (inpatient and inpatient), Outpatient chemotherapy,
haemodialysis and regional vascular service. In addition, there is a dedicated surgical high
dependency unit as well as Infection Control ward at the centre. There is an excellent track record
with integrated joint working with the Clinical Oncologist who is fully committed to this submission.
Radiotherapy and Oncology services are provided by the Mid-Kent Oncology Centre. New
chemotherapy centre was built at the MMH site four years back.

Key Responsibilities

 Ensure that, based on the needs of the patients and their families, care is delivered to the
highest standard, maintaining the patient's dignity at all times. Wherever possible, the aim
is to promote independence and restore healthy living.
 Assist in establishing and maintaining a high quality environment for patients and staff
that delivers excellent care to patients and supports the achievement of all local and
national access targets.
 Through personal leadership and influence, contribute to maintaining the highest
standards of clinical and environmental hygiene, to assure infection control standards and
eliminate hospital-acquired infections.
 Assist in promoting and developing the culture of a learning organisation, that is fully
committed to providing excellence in both health and customer care, and to providing
continuous improvement.
  Participate in Continuous Professional Development, thus enabling the Trust to enhance
its reputation for high quality education, learning and development, and research.
 Use all resources wisely, and promote a culture of value for money and return on
investment.
 The department has a commitment to the quality indicators set out by the Government.
The applicant will be expected to contribute to achieving that goal through development
of policies and pathways and by innovation in the service provision.

Key Working Relationships:

Internal External
Matron External agencies such as GP’s, Ambulance
Deputy Director of Nursing Service, Social Services and Community
Multidisciplinary teams across all specialities Nursing Staff
including Consultants Patients, carers, relatives, visitors and
Junior Medical Staff, Nursing Staff, Clinical voluntary organisations. Institutes of Higher
Nurse Specialists, Allied Health Education
Professionals, Managers, Administrative
and Clerical Support Staff, Professional and
Technical Staff

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.

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

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.

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.
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 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)

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.

Job Plan

A formal Job Plan will be agreed between the appointee and the Specialty Lead within 3 months
after the commencement date of the post. It will be reviewed annually after the annual appraisal
meeting. The Job Plan will be a prospective agreement that sets out the duties, responsibilities
and objectives for the coming year. It will provide a clear schedule of commitments, both internal
and external. In addition, it will include personal objectives, and details of the support required
by the consultant to fulfill the objectives in the job plan.

Emergency Work

The appointee is required to participate in a broad range of the clinical activities of the
Department, including provision of comprehensive urology emergency service on 1:5 weekly rota.
The oncall also supports General Surgery on nights and weekends and therefore there is a
shared rota. During on-calls, the appointee will be expected to provide support and to the middle
grade and Consultatnt. Appointee is expected to participate in internal cross-cover to support
annual and study-leave.
 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: Clinical Trust Fellow at FY2 Level in Urology

Qualifications Full registration with GMC and Licence to Practice

MBBS or equivalent

Meets professional health requirements (in line with GMC standards in Good
Medical Practice)

One year House Officer experience, preferably in surgery.

Knowledge Able to demonstrate appropriate level of clinical knowledge

Knowledge and use of evidence based practice

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

Experience Surgical and Medical experience

Skills Up to date knowledge of Urology and evidence of an understanding of its

application.
Capacity to apply sound clinical knowledge relevant to the job

Experience in making clinical decisions and managing risk. Knows when to

seek help, able to prioritise clinical need

Shows aptitude for practical skills required in the job;

Proven ability to work effectively in different clinical settings required in the job
 Good communication (written and verbal): Demonstrable skills in written and
spoken English adequate to enable effective communication about medical
topics with patients/colleagues, which could be evidenced by i) applicants
having undertaken undergraduate training in English ii) applicants having
scores in the academic IELTS or equivalent, equal to those required for
recruitment to MMC specialty training programmes

Capacity to listen and take in others’ perspectives:

Always considers patients preferences when discussing treatment options

Always considers the full impact of clinical decisions on the patients.

Practice shared decision making:

Directs and supports patients to access the information they need to support
decision making

Time management

Capacity to be alert to dangers or problems.

Demonstrates awareness of good decision making. Aware of own limitations.

Track record of engaging in clinical governance: reporting errors, learning
from errors

Evidence of active participation in audit

Other Demonstrates commitment to high quality service delivery

Attributes
Able to cope with pressure

Understands importance of feedback, and acts on feedback.

Sympathetic understanding of patients and staff needs.

Capacity to organise oneself and prioritise own work. Demonstrates

punctuality, preparation and self-discipline. Understands importance of
information technology

Personal Ability to be a team player

Attributes
A willingness to work flexibly in support of the service

Good interpersonal skills demonstrates initiative and drive