



Surgeons
There are currently 52 Orthopaedic Surgeons performing Elective Orthopaedic Surgery at SWLEOC, in the subspecialities of Hip, Knee, Shoulder, Spine, Foot and Ankle and Hand & Wrist. 48 Orthopaedic Surgeons deliver Elective Orthopaedic Services at SWLEOC on behalf of their employing Trust. SWLEOC employs six Orthopaedic Surgeons who work as part of the Academic Surgical Unit on a flexible job plan.
The Surgeon’s employing Trust and the JV Host (Epsom and St Helier (ESTH) on behalf of the Joint Venture) “the Parties”, entered into an agreement relating to the delivery of the Elective Orthopaedic Services.
The Parties entered this Joint Protocol to address the management of and provision of services by the base Trust clinical staff engaged in the delivery of Elective Orthopaedic Services under the management of the JV Host.
The Surgeon will remain employed by their employing Trust and will carry out certain elements of the Elective Orthopaedic Services at the Joint Venture (JV) (SWLEOC) and be managed by the JV Host at certain times for the duration of the agreement.
The Surgeon enters an Honorary Contract with the JV Host and their Employing Trust. The parties agree that during the term of the agreement, the Trust clinical staff will be supervised by and be accountable to the Accountable Director at SWLEOC when providing Elective Orthopaedic Services there.
The Employing Trust identifies staff and/or roles engaged in the delivery of services. Once the Employing Trust has shared the details of the employees with the JV Host and the details have been confirmed, the Employing Trust will consult, if necessary, with the identified staff in relation to the provision of the services. Where relevant, this will include temporary staff, trainees or locums assigned to the service as well as staff in permanent positions.
The Trust clinical staff will remain employed by their Employing Trust for the duration of the contract with the JV Host. The Employing Trust will remain responsible for the payment of salary, allowances, and expenses, tax, national insurance and pension contributions due to and/or with respect to the Trust Clinical Staff.
The Employing Trust is responsible for:
- Job planning (as defined in the standard Consultant Contract terms and conditions) for the Trust clinical staff with input from the JV Host, and will commission the required sessions for the Services;
- working arrangements, rosters, agreeing annual leave, special leave etc. in a manner which is consistent with the terms and conditions of employment of the Trust clinical staff also considering the requirements of the JV Host;
- appraisal and supervision of all Trust clinical staff. Such appraisals will be conducted in accordance with the Employing Trust’s appraisal policies and procedure and action relevant feedback from the JV Host;
- Clinical Excellence Awards in relation to the Trust clinical staff;
- fulfilling existing mandatory and/or contractual training obligations relating to and to be undertaken by individual Trust clinical staff (including cost). Where necessary in relation to delivery of the services, the parties will agree to a schedule of continued and future training to be provided to Trust clinical staff, including any transfer of costs and funding relating to such training;
- assessing and implementing the relevant Agenda for Change pay progressions; and
- identifying future requirements for training relating to continued professional development required by Trust Clinical Staff through the appraisal and supervision process with the input of the JV Host;
- taking reasonable steps to ensure that Trust clinical staff follow all reasonable and lawful directions given to them by or under authority of the relevant JV Host manager and should use their best endeavours to promote the interests of the JV Host;
- delegating responsibility to the JV Host to enable the Medical Director of the Joint Venture to supervise and monitor the performance of the Trust clinical staff. The Medical Director of the Joint Venture will have the ability to delegate these duties, as appropriate;
- ensuring that Trust clinical staff are cleared to carry out their full duties having undertaken pre-employment checks in accordance with the NHS Employment Checks Standards and/or other checks as required by the Disclosure and Barring Services or other national guidelines or policies. The Employing Trust should alert the JV Host to outstanding checks or other investigations;
- ensuring the Trust Clinical Staff have relevant qualifications and are sufficiently experienced to perform the Elective Orthopaedic Services and they are fully registered (including with the General Medical Council (“GMC”) or other appropriate training body or training institution for the discipline) and have appropriate indemnity insurance in respect of their performance of the Elective Orthopaedic Services;
- ensuring all Trust clinical staff receive regular supervision, appraisals, and development reviews.
The JV Host is responsible for:
- Supervising and monitoring the performance of the Trust clinical staff who are undertaking sessions within the JV Host;
- raising any concerns with Employing Trusts; contributing necessary information for job planning, appraisal, supervision and revalidation;
- ensuring appropriate insurance cover exists for all Trust clinical staff when they are working at the JV Premises;
- raising concerns regarding the performance of the Trust clinical staff with the Responsible Officer within the Employing Trust.
- ensuring that all relevant information about the conduct and performance of the Trust clinical staff is shared with the Employing Trust’s Responsible Officer in line with Maintaining High Professional Standards in a Modern NHS (“MHPS”). If the Employing Trust takes any formal action under MHPS in relation to any of Trust clinical staff, it should notify the Responsible Officer at the JV Host.
The Employing Trust is required to keep all records in relation to the Trust clinical staff as required by Law and upon the JV Host’s reasonable request and subject to compliance with the Data Protection Act 1998, provide the JV Host with access to those records including, where appropriate, the taking of copies. The JV is required to keep all such records as are reasonably within its possession due to its obligations hereunder and upon the Employing Trust’s reasonable request and subject to compliance with the Data Protection Act 1998, provide the Employing Trust with access to those records including, where appropriate, the taking of copies.
All Practitioners (Medical & Dental and Agenda for Change), who are not substantive employees of the Trust, however if they are to care for, or be treating patients or participating in the treatment of patients as part of their clinical attachment, need an Honorary Contract. This will include those undertaking research where the research involves patients, their organs, tissue or data. The care and treatment of patients may also include examinations and invasive tests. All Practitioners, who are not substantive employees of the Trust, who will not under any circumstances assume clinical responsibility for the delivery of patient care and treatment and will only be observing procedures as part of their attachment, require an observer agreement.
Base: Academic Surgical Unit, Research and Education Department, at The South West London Elective Orthopaedic Centre (SWLEOC).
The Junior Research Fellow post is aimed at junior doctors who are aiming to secure a core training post, higher surgical training post, preferably in orthopaedics or those in the early years of their higher orthopaedic training. Under the guidance of the Academic Surgical Unit, fellows have ample opportunity to generate publications, presentations and posters with view to presenting these at national and international conferences.
There is a total of four Junior Research Fellows attached to the Research and Education Department (Academic Surgical Unit). Under the guidance of the Academic Surgical Unit, each fellow will be expected to spend 2.5 days a week on clinical responsibilities (2.5 days funded by theatres), and 2.5 days each on research, audit, service evaluation projects and quality improvement project activities (2.5 days funded by the Academic Surgical Unit).
Clinical responsibilities
Clinical responsibilities include acting as first assistant to Consultant Surgeons in theatres and attending clinics on one to two occasions per week.
Research responsibilities
There are opportunities for fellows to design and lead on their own research projects and/or take over responsibility for existing projects commenced by previous fellows. Junior Research Fellows should spend one day per week on research activities, collecting and analysing data, preparing papers for publication and presentations for national and international meetings. Several departmental prizes are available to be awarded to post holders who demonstrate outstanding performance during their time with the department.
SWLEOC is world renowned for its comprehensive Outcomes Programme. Junior Research Fellows are expected to spend one day per week on the interrogation of outcomes data, as well as the analysis and reporting of post-operative X-rays.
Aims
The appointment is aimed at an individual who has completed a Higher Surgical Training programme or within 3 months of their certificate of completion of training (with the approval of their training programme director) and wishes to gain specialist surgical experience in hip and knee arthroplasty (primary, complex primary and revision arthroplasty, including navigation), and knee ligament surgery prior to applying for a consultant post. SWLEOC has three Senior Fellows.
Responsibilities
The timetable consists of supervised operating and training in complex procedures, along with the potential of unsupervised lists of more straightforward cases. Other duties include outpatient clinics and caring for the orthopaedic management of ward patients.
Research
The centre has an established and active Research Department and an increasing number of collaborations with various academic institutions. The appointee will be encouraged to take an active part in both on-going and new research projects, such as evaluating and assisting with the Navigation and Robotics programme of the centre.