Consultant in Orthopaedic and Trauma in Knee Surgery

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Consultant in Orthopaedic and Trauma in Knee Surgery

The closing date is 04 July 2025

The Department of Orthopaedics is seeking a (10 PA) consultant to join a dynamic, enthusiastic and forward-thinking team. This is a substantive position,with a sub special interest in the knee surgery, arthroplasty, revision knee arthroplasty and periprosthetic fracture.

The Orthopaedic Department is currently involved in many exciting initiatives and is looking for an individual with appropriate skills to complement this team, and help keep the service in the forefront of clinical and academic excellence.

The post holder would be joining a large lower limb arthroplasty service consisting of nine consultants and a trauma service of 10 consultants. On the St Thomas' site, the consultant would work with the Orthopaedic Trauma Team to deliver acute fracture care both virtually, face to face and trauma operating. On the Guy's site, the consultant will deliver elective arthroplasty, revision arthroplasty, osteotomy, amputation and periprosthetic fracture care. Also working along side colleagues from SE London, at King's College Hospital, Princess Royal University Hospital, Queen Elizabeth, Woolwich and Lewisham Hospital

Main duties of the job

Orthopaedic Arthroplasty Unit:

We deliver the full spectrum of hip and knee surgery, with an active soft tissue knee unit undertaking ACL, PCL surgery, meniscal repair, meniscal transplantation and ligament reconstruction. The Arthroplasty and joint Preservation unit offers the full spectrum of tibial, femoral osteotomy, unicondylar, patella femoral total knee, revision knee, arthrodesis and amputation. We are the regional revision knee unit and the centre for complex co morbid patients, sickle cell, haemophilia, and renal dialysis patients.

Mentoring with a senior Consultant in terms of joint clinics and operating is offered.

About us

Key Focuses for the Directorate:

• Providing clinical excellence for our patients, both on the elective and trauma pathways
• Becoming national leaders for reduced length of stay, re-admission rates and patient falls
• Achieving 18 weeks Referral to treatment targets for both admitted and non-admitted pathways
• Reducing new to follow up ratios in outpatient clinics

Directorate Structure:

Diane Back - Clinical Director of Surgical Directorate

Arfan Malhi / James Bliss - Clinical Leads for Orthopaedics

Raghbir Khakha - Clinical Lead for Orthopaedic Trauma

Margaret Medlyn - Head of Nursing

Departmental Meetings and Audits:

• Monthly Audit - Half day
• Meetings with Service Delivery Managers
• Weekly meetings with the access team
• Weekly Hip MDT meeting

Job responsibilities

The post-holder will be accountable to the Medical Director of Guys and St Thomas NHS Foundation Trust

Provide High Quality Care to Patients

The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice

To develop and maintain the competencies required to carry out the duties required of the post.

To ensure prompt attendance at agreed direct clinical care Programmed Activities.

To ensure patients are involved in decisions about their care and to respond to their views.

Research, Teaching and Training

Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.

To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.

To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.

Performance Management

To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.

Quality of outcomes e.g. infection control targets, reducing re-admission rates.

Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.

Operational efficiency e.g. day-case rates, waiting list activity and demand management.

Person SpecificationProfessional Qualifications

• Full GMC Registration
• On GMC Specialist Register or within three months of attaining CCT
• FRCS (Tr & Orth) or Equivalent
• Arthroplasty Fellowship minimum 1 year in Knees
• Evidence of continuing professional / personal development.
• Higher Degree
• Revision Knee Fellowship
• Evidence of Management Training
• Evidence of Teaching Training

Clinical Experience

• Comprehensive clinical experience in orthopaedics and trauma.
• Demonstrable experience of knee arthroplasty and revision knee surgery and evidence of specialist training in this field.
• Locum consultant experience

Clinical Skills

• A team-based approach to care and service management, including appreciation of nursing and therapy roles.
• A commitment to and evidence of multidisciplinary practice, working with other specialities and intensive care departments in the management of cases
• Excellent interpersonal skills and an ability to communicate effectively with colleagues; both clinical and non-clinical, and with children and their carers / relatives.

Audit Management & IT

• Track record and evidence of contribution to effective of clinical governance, coding, audit, management and IT skills.
• Understanding of principles of audit.
• Evidence of understanding of the role of clinical management.
• Proficient IT skills to include working knowledge of Python and AI
• completion of clinical audits
• Experience of clinical management.

Research, Teaching skill & experience

• Track record of research, publications & knowledge of research ethics.
• Proven formal experience of teaching and training undergraduates, postgraduates and junior medical staff including higher orthopaedic training.
• Understanding of the principles and applications of clinical research.
• Evidence of original research.
• Teaching qualification
• Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
• Accountability; Ability to take responsibility, lead, make decisions and exert appropriate authority.
• Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
• Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
• Ability to work as part of a team
• Staff Management; Experience of performance management, developing and motivating staff
• Finance; Knowledge of finance and budgets

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Guy's and St Thomas' NHS Foundation Trust

£105,504 to £139,882 a yearper annum excl. London Zone

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