JOB DESCRIPTION – Junior Clinical Fellow (FY2, ST1/2, SHO level)
JOB TITLE:
Junior Clinical Fellow (FY2, ST1/2, SHO level)
DIVISION:
Women, Children’s & Imaging
SPECIALTY:
Obstetrics & Gynaecology
NAME OF LINE MANAGER:
Mrs Pradnya Pisal/Mr Mahantesh Karoshi
NAME OF RESPONSIBLE OFFICER
FOR REVALIDATION:
NUMBER OF PROGRAMMED
ACTIVITIES PER WEEK:
LOCATION:
Prof S Powis
Full time – 6 month fixed term (x 3 posts)
Barnet Hospital
Directly:
MANAGES:
none
Indirectly: none
JOB SUMMARY:
Applications are required for 3 vacancies for the above post to commence as soon as
possible for 6 months (with a possibility of extension). Barnet Hospital has a friendly and
dynamic Obstetric and Gynaecology unit dealing with a wide range of interesting conditions.
Although this post is not recognised by the Royal College of Gynaecologists as a training
post, it offers excellent educational opportunities. Recent post-holders have successfully
achieved training rotations. The successful candidate will be expected to contribute to the oncall rota at first on-call SHO level.
The post holders will join a busy department with staff including 19 consultants, Specialist
Trainees, GP trainees, Foundation Year 2 doctors and various research & academic staff.
The appointee will gain a wide variety of clinical exposure in general O & G, OPD, inpatient
and on call activities as well as some subspecialty areas including colposcopy,
urogynaecology, minimal access, maternal medicine and high risk obstetrics.
The
department has a strong commitment to high standards of patient care and an established
reputation in postgraduate training and clinical research.
Date reviewed: January 2017
Royal Free London NHS Foundation Trust World Class Values
The post holder will offer World Class Care to service users, staff, colleagues, clients and
patients alike so that everyone at the Royal Free can feel:

all of the time Confident because we are clearly

and cared for 
that they are always in safe hands
About us :
The Royal Free began as a pioneering organisation and continues to play a leading role
among UK hospital trusts. Established in 1828 by William Marsden, a newly qualified
surgeon shocked that he could not find treatment for a penniless young woman, we were the
first to provide care free of charge and the only London hospital to stay open during the 19 thcentury cholera epidemics.
In the 21st century, we continue to lead improvements in healthcare, from targeted cancer
therapies to new kinds of surgery. We offer an exceptionally wide range of local and
specialist services, including cancer, plastic and neurosurgery, blood disorders and
infectious diseases and are proud to have some of the best clinical outcomes in the country.
A regional centre for kidney and liver diseases and a major transplantation centre, we see
around 700,000 patients a year from all over the world.
We are a campus of UCL Medical School and conduct important medical research. We also
train doctors, nurses, midwives and many other clinical and non-clinical professionals. We
helped to set up the academic health science centre, UCLPartners.
We were Dr Foster's 'large trust of the year' for 2010 and were particularly praised for our
patient safety and infection control record. We are ranked among the best English trusts for
mortality rates - our rate is 25 per cent below that expected. Our infections rates are some of
the lowest in London teaching hospitals.
On 1 April 2012 we were authorised as a foundation trust by the regulator Monitor and are
now knows as the Royal Free London NHS Foundation Trust. We plan to use the greater
freedoms this brings us to provide the best possible services for our patients and local
community.
Our mission is to be in the top 10 per cent of English hospitals for clinical quality, customer
satisfaction, staff satisfaction and financial performance. We want to give patients the best
possible care in a safe, clean and welcoming environment.
Our commitment is to offer world class care so everyone at the Royal Free can feel
welcomed all the time, respected and cared for, confident because we are communicating
clearly and reassured that patients are in safe hands.
Organisation
Patient services are managed by three clinical divisions, each led by a clinically qualified
divisional director, who is supported by a team of clinical directors, a director of operations
and a nurse director. The divisions are:

surgery and associated services

urgent care

transplantation and specialist services

women, children’s and imaging
The University College London Medical School
University College London is the largest of over 50 colleges and institutes which make up
the federal University of London and is consistently rated as one of the U.K.’s premier
academic institutions. The University College Medical School is a general medical school in
the Faculty of Medicine of the University of London, formed on 1 August 1998 by the merger
of the Royal Free Hospital School of Medicine and University College School of Medicine. A
joint Department of Medicine, with around 400 staff, has existed between the two Schools
since January 1994. The Department encompasses a broad range of basic and clinical
research programmes and undertakes teaching of undergraduates and postgraduates.
Research
Research and development is a major component of the Royal Free London NHS
Foundation Trust strategy and reflects the Trust’s desire to maintain its position as one of the
top ten trusts for R&D income in the UK. The research efforts of the Trust and Medical
School are closely integrated and there are extensive facilities for both clinical and basis
science research. Consultant staff are expected to participate in research according to their
skills and speciality. An audit system for quality in R&D was introduced during 1998 and
reflects an individual’s commitment to this area. Applicants should prepare an outline of the
research they would wish to undertake if appointed.
THE WOMEN’S DEPARTMENT
Women’s services are managed within the Women’s & Children’s Directorate. The
Directorate is managed by a senior management team that consists of:
Divisional Director
Interim Divisional Director of Operations
Divisional Director of Nursing & Midwifery
Clinical Director
Senior Operations Manager
Assistant Operations Manager (BH)
Assistant Operations Managers (RFH)
-
Head of Midwifery (RFH)
Head of Midwifery (BH)
Head of Gynae Nursing (RF/BH)
-
Mike Greenberg
Beth Foley
Mai Buckley
Sajjad Ali
Jo Elias
Claire Brown
Katherine Brothwood
& Sharon Baxter
Ruth Akoto-Appiah
Collette Spencer
Maggie Pratt
The Directorate is also supported by Finance managers, Human Resources managers,
Clinical Governance and Risk Teams and Information Teams.
SERVICES PROVIDED IN THE DEPARTMENT AND TRUST
A full spectrum of Gynaecological conditions are treated using modern methods and
technology at Barnet and Chase Farm Hospitals. In addition to general Gynaecology, the
following specialist services are offered:
1.
Colposcopy, Specialist Vulval Clinic
2.
Gynaecological Oncology
3.
Urogynaecology
4.
Minimal Invasive Surgery including Robotic surgery
5.
Early pregnancy and Gynaecological scanning
General and specialist Clinics are held at both hospitals as well as sessions at Edgware
Community Hospital, Finchley Memorial Hospital, Potters Bar Hospital, G.P. surgeries and
Cheshunt Community Hospital. At Barnet Hospital, Gynaecological services are located on
the Women and Children's floor consisting of in-patient gynaecological beds, an
investigatory area currently used for early pregnancy diagnosis, colposcopy and outpatient
hysteroscopy sessions.
Emergency gynaecological admissions are referred through active A & E departments at
Barnet site. Day case surgery is undertaken at Barnet and Chase Farm sites. Barnet
Hospital has one of the most modern Day Case Units in Europe. Barnet and Chase Farm
Hospitals are part of the North London Cancer Network linking up with other Trusts,
including the North Middlesex, the Royal Free, University College London Hospital and the
Whittington.
Dedicated gynaecological Oncology Clinics are held at both
hospitals. Urogynaecology Clinics are held at Chase Farm Hospital. Colposcopy and Vulval
clinics are held at both main sites.
Obstetric Services
The combined delivery rate for Barnet and Chase Farm Hospital is in excess of 5000. In line
with changing Childbirth, Maternity services offer a wide range of choice for Antenatal,
delivery and postnatal care. Antenatal care is offered in the main hospital units, community
hospitals, the home environment and G.P. surgeries.
Deliveries are planned to take place as home births, in the Midwifery-led, and Consultant led
Units. Barnet hospital has full in-patient obstetric service provisions including Day
assessment units, ultrasound, fetal monitoring and blood sampling services. Consultant led
clinics are also held at the Chase Farm Site.
The "low risk" Birthing Unit at Edgware Community Hospital is operated independently under
the care of the Midwives and advice from Consultants from Barnet Hospital. Women with
complications in labour are transferred to Barnet hospital.
Summary of obstetric services provided by the Department include: 6.
Community midwifery
7.
Outpatient obstetric/shared care
8.
Combined medical/obstetric diabetic clinics
9.
Haemoglobinopathy screening
10.
Dedicated Ultrasound services for booking, fetal anomaly and growth scans
11.
Hospital and home delivery
12.
Day Assessment Unit
13.
Water birth
14.
Dedicated obstetric physiotherapy
Neonatal Services
Neonatal care is provided at the Barnet site. The NICU at Barnet Hospital is designated as
a level 2 Unit. The Special Care Baby Unit/Neonatal Unit has the facility to ventilate pre-term
babies (above 27 weeks) and the Units benefit clinically by being in close proximity to the
Labour Ward. There is a close working relationship between Obstetricians and
Neonatologists and in-utero transfers are arranged to Barnet from other units in the North
London sector like North Middlesex and Lister Hospital.
In patient facilities
Barnet site has a dedicated labour ward with thirteen delivery rooms with en suite
bathrooms and facilities to deal with all acute obstetric problems and emergencies. The
labour ward also has 2 purpose built theatres to deal with the obstetric emergencies. There
is also a separate Midwifery-led unit called the Barnet Birth Centre (BBC) with a separate
dedicated midwifery team.
Anaesthetic Department
The Anaesthetic department provides dedicated obstetric Consultant sessions for the Labour
Ward and cover out of hours. There is a 24hour well run epidural services.
Fetal Medicine service
There has been approval from the PCT to start a dedicated Fetal Medicine service at Barnet
and arrangements are being made to start the service in the next few months.
Support services
Both the Maternity and Gynaecology departments maintain good relationships with the
Support services:
15.
Diagnostic imaging and ultrasound
16.
Pathology
17.
Pharmacy
18.
Physiotherapy
19.
Theatres
20.
Anaesthetic services
21.
Macmillan Nurse
22.
Social workers
23.
Community nurses and Health Visitors
Midwifery staff
The obstetric Unit has a full complement of Senior Midwifery Managers and midwives, with
student midwives being taken from Middlesex and Hertfordshire Universities. The Head of
Midwifery is Mrs Mai Buckley and Ms Cathy Rogers and Mrs Rose Villar are our Consultant
Midwives.
Nursing Staff
Barnet hospital has a full complement of gynaecological nursing staff and has a Specialist
Sister/Nurse responsible for Early Pregnancy Diagnostic Unit. The Gynaecology Matron is
Maggie Pratt. There are Specialist nurses for colposcopy and oncology and the
urogynaecology specialist nurse will be appointed shortly.
Medical Staff
The Women's Clinical Management Group incorporates the following staff: Consultant & Permanent Staff:
Barnet Hospital
Miss Nitu Bajekal
Part time Consultant
Mrs Moneli Golara
Part time Consultant
Mr Mahantesh Karoshi
College Tutor
Mr Hemant Vakharia
O&G Consultant
Mrs Reeta Jha
Service Line Lead - Obstetrics
Mr. Adam Rodin
Consultant
Mr Pratik Shah
Part time Consultant
Mr Kenneth Emanuel
Locum Consultant
Miss Sapna Shah
O&G Consultant
Miss Elizabeth Morakinyo
Consultant
Miss Anne Jackson
Colposcopy lead
Mr Kannapar Jeyanthan
Locum Consultant
Miss Shazia Malik
EPU lead
Miss Madhavi Manoharan
Consultant
Mr Michael Morcos
Undergraduate & Oncology lead
Mrs Pradyna Pisal
Service Line Lead - Gynae
Mr Dan Selo-Ojeme
Urogynaecology lead
Miss Sanjay Kumari
Audit lead
Mr Ioannis Tsimpanakos
O&G Consultant
Mr O Lawal
Trust Grade Doctor
Registrars
18
SHOs+
18
DUTIES
This is a busy post providing excellent clinical experience in all aspects of Obstetrics &
Gynaecology.
Clinical (Weekly Schedule)
WILL INCLUDE: Gynaecology Clinics, Antenatal Clinics, Ward Rounds, main Operating
theatre and Day case theatre and Labour Ward Duties. Sessions are allocated within
working week for administrative work and audit and research.
Rota and working hours
Following the new National agreement on working for junior doctors and other matters, the
Barnet and Chase Farm Hospitals NHS Trust have achieved the reduction of these hours, in
consultation with junior medical staff. There is a full shift pattern rota, with a 48 hour working
week. This new rota has been developed with the existing SHOs to enable preservation of
the ‘firm’ structure for the majority of the rota.
The on call rota is shared between the 18 SHOs including night time duties and weekends.
Teaching
Barnet and Chase Farm Hospital NHS Trust is an associated Teaching Hospital of the
University of London and both sites have a regular commitment to the teaching of medical
students from UCL/Royal Free Medical School.
Postgraduate teaching includes: -
Weekly hospital based lunchtime meetings in the Seminar room
Weekly departmental CTG and MDT meetings
Monthly perinatal mortality & Obstetric-USS meetings
Hands on operative and clinical teaching.
Colposcopy training
Ultrasound training
Gynaecological surgery.
Research
Individual research projects would be encouraged if suitable and Involving in existing
departmental projects is expected.
Audit
There are Cross-site ½ day Audit meetings each month. All registrars are expected to
conduct cross-site audits and time and support will be provided.
Administration
Junior Clinical Fellows are expected to keep up to date with administrative work relating to
their firm.
Training
-
Mr Mahantesh Karoshi
College Tutor
-
There are excellent library facilities in the Postgraduate Centre at Barnet.
-
All trainees are expected to have regular assessments and appraisals and are
strongly encouraged to complete work place based assessments regularly.
-
The Obstetric and Gynaecology department holds regular teaching and training
sessions and seminars. There is an active postgraduate teaching programme
and a well-equipped library. There are weekly meetings held in the Seminar
Room at Monday lunch times and Tuesday and Wednesday mornings on labour
ward. Dedicated CTG teachings happen on Thursday morning 8-9 hrs.
Occasional Emergencies and Unforeseen Circumstances
The post-holder should be prepared to perform duties in occasional emergencies and
unforeseen circumstances. Commitments arising in such circumstances are however
exceptional and the postholder will not be required to undertake work of this kind for
prolonged periods or on a regular basis. All efforts will be made to ensure that work of this
kind does not result in continuous hours of duty, which exceed the New Deal continuous
hours of duty limits.
GENERAL RESPONSIBILITIES:
Infection Control:
Infection control is everyone’s responsibility. All staff, both clinical and non clinical, are
required to adhere to the Trust’s Infection Prevention and Control policies and procedures
and the Health Act (2006) Code of Practice for the prevention and control healthcare
associated infections and make every effort to maintain high standards of infection control at
all times thereby reducing the risk of Healthcare Associated infections.
It is the duty of every member of staff to take personal responsibility for the prevention and
control of infection, as laid down in the Trust’s polices and procedures which reflect the
statutory requirements of the Hygiene Code.





To work in close collaboration with the Infection Control Team.
To ensure that monitoring of clinical practice is undertaken at the agreed frequency.
To ensure that the ward environments are cleaned and maintained to the highest
standards; ensuring that shortfalls are rectified, or escalate as necessary.
To ensure that all relevant monitoring data and issues are provided to the
Directorate’s Governance structures.
To ensure that all staff are released to attend infection control-related educational
sessions and staff with specialist roles, e.g. link practitioners, are released to
undertake their duties.
Health and Safety at Work:
The post holder is required to:
 Take reasonable care for the health and safety of himself/herself and other persons
who may be affected by their actions or omissions at work.
 Co-operate with the employer in ensuring that all statutory and other requirements
are complied with.
Confidentiality & Data Protection:
The post holder has a responsibility to comply with the Data Protection Act 1998 and
maintain confidentiality of staff, patients and Trust business.
If you are required to process information, you should do so in a fair and lawful way,
ensuring accuracy is maintained. You should hold information only for the specific registered
purpose and not use or disclose it in any way incompatible with such a purpose.
You should disclose information only to authorised persons or organisations as instructed.
Breaches of confidentiality in relation to information will result in disciplinary action, which
may include dismissal. Employees are expected to comply with all Trust policies and
procedures and to work in accordance of the Data Protection Act 1998. For those posts
where there is management or supervision of other staff it is the responsibility of that
employee to ensure that their staff receive appropriate training (e.g. HISS induction,
organising refresher sessions for staff when necessary.)
Conflict of Interest:
The Trust is responsible for ensuring that the services for patients in its care meet the
highest standards. Equally, it is responsible for ensuring that staff do not abuse their official
position, to gain or benefit themselves, their family or friends.
Equality and Diversity:
The Trust values equality and diversity in employment and in the services we provide. It is
committed to promoting equality and diversity in employment and will keep under review our
policies and procedures to ensure that the job related needs of all staff working in the Trust
are recognised. The Trust aims to ensure that all job applicants, employees or clients are
treated fairly and valued equally regardless of sex, marital status, domestic circumstances,
age, race, colour, disablement, ethnic or national origin, social background or employment
status, sexual orientation, religion, beliefs, HIV status, gender reassignment, political
affiliation or trade union membership. Selection for training and development and promotion
will be on the basis of the individual’s ability to meet the requirements for the job.
All staff are responsible for ensuring that the Trust’s policies, procedures and obligation in
respect of promoting equality and diversity are adhered to in relation to both staff and
services.
Vulnerable Groups:


To carry out responsibilities in such a away as to minimise risk of harm to children,
young people and vulnerable adults and to promote their welfare in accordance with
the Children Act 2004, Working Together to Safeguard Children (2006) and No
Secrets guidance (DH 2000).
To demonstrate an understanding of and adhere to the trust’s child protection
policies.
No Smoking:
The Trust implemented a No Smoking Policy, which applies to all staff. Staff contravening
this policy will be subject to disciplinary procedures.
Standards of dress:
All staff are expected to abide by the Trust’s guidance on standards of dress.
This job description outlines the current main responsibilities of the post. However the duties
of the post may change and develop over time and may therefore be amended in
consultation with the post holder.