Locum Consultant Colorectal Surgeon bei Portsmouth Hospitals University NHS Trust

Here at Portsmouth Hospitals University NHS Trust, we are proud to provide expert, compassionate care for our local population. We are ranked as the third in the country for research, embedding education and training across the organisation. Our main hub is the Queen Alexandra Hospital, which is one of the largest hospitals on the south coast employing over 8,700 staff.

Our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds because it makes our hospital stronger. If you share our values and our enthusiasm for getting it right for patients, colleagues, and our community, you will find a home at Portsmouth Hospitals University NHS Trust.

Locum Consultant Fixed Term - 6 months

Key Responsibilities:

This is a replacement post aimed to maintain and develop services within our unit. There may be more than one post available with potential for becoming substantive, subject to RCS approval and AAC interview process within 6 months. The post will support the busy on call rota with increased consultant on-site involvement. Advanced minimal access surgery and/or robotic surgery experience in colorectal surgery is of particular importance. These posts are based in the Lower GI surgical unit to work very closely with 8 consultant colleagues on a day-to-day basis to cover general aspects of lower GI work. We aim to appoint a well-trained specialist in Lower GI surgery with sufficient general surgical experience to manage general surgical emergencies. Training and experience in a tertiary referral centre for colorectal disease will be preferable, and a higher degree, colorectal publications and ongoing colorectal research interests will be looked upon very favourably. Ability to work very flexibly as a team member with existing colleagues is essential. This is an excellent opportunity to be part of dynamic colorectal team and an advanced robotic colorectal platform. Being a competent surgeon entails more than just operative skills, and evidence will be sought as to the appointee's clinical judgement, record of working in teams and in management of post operative complications and/or critically ill surgical patients.

Elective work

The appointee will join a team of 7 surgeons, 6 of whom have a major interest in colorectal cancer resections. We perform about 200 colonic cancer resections with over 90% minimally invasive access. Portsmouth Hospitals University NHS Trust has had a very successful Lapco proctorship programme and currently runs a successful Robotic Colorectal programme. We are pioneering Robotic CME programme for right colon cancer and there are opportunities for appointees to be mentored in them.  As we are in partnership with St Mary’s Hospital, Isle of Wight, it is envisaged that the new appointee may be asked to work across both sites.

Endometriosis and Gynae- Oncology

Portsmouth is accredited with the British Society for Gynaecological Endoscopy (BGSE) as the Southern Endometriosis Centre. This is a multidisciplinary team with dedicated Gynaecologists (Ms Nadine Di- Donato, Ms Janet Berry and Mr Matt Dipper), Colorectal Surgeon (Mr John Richardson), Urologist (Mr Dan Wilby) and Endometriosis Specialist Nurse. This centre is one of the busiest in the UK with 64 cases of rectovaginal endometriosis treated in 2018. A dedicated endometriosis MDT meets once a month and surgical input is expected alternate weeks. Part of the PAs for this job will include attending endometriosis MDT (once a month) and being available for surgical assistance in appropriate cases. The gynaecologists and the urologists are independent robotic surgeons and there are on-going plans and training in place to make the colorectal input robotic too.

Similarly, the gynae-oncology centre is one of the two training centres in Wessex. Mr Richard Hadwin is the cancer lead and there are a team of four surgeons offering both minimally invasive surgery and radical open surgery. Mr Filippos Sagias and Mr Paul Sykes are the colorectal surgeons currently involved in twice monthly complex MDT discussions and joint operating. They also have the dedicated radiologists and urologist involved in appropriate cases. The new appointees will be expected to be able to provide colorectal assistance to the gynaecological team when needed. With the availability of two DaVinci X systems there are plans to do them robotically giving opportunities for new appointee to be mentored and establish a robotic practice.

Inflammatory Bowel Disease

The care of patients with Inflammatory Bowel Disease (IBD) is coordinated by a dedicated multidisciplinary team. There is excellent working relationship with the Gastroenterology team with bi-monthly IBD MDT, which the current appointees will be expected to attend. IBD Surgery results are constantly audited, and a high-volume practice has been developed in recent years. There is a high volume of complex Crohn’s disease surgery, including recurrent and fistulating disease with results consistently above national standards with more than 95% of the Crohn’s disease resections being completed laparoscopically and a stoma rate of 4% in the last three years. The unit provides a regular service in minimally invasive ileoanal pouch surgery and has attracted referrals from elsewhere. Robotic proctectomy and IPAA is another area, appointee can be mentored into.

Proctology and pilonidal disease service

Asha Senapati used to provide a specialist service in management of pilonidal disease and fistulas which attracted patients nationally. There is a need to appoint a consultant colleague to share this subspecialty practice.

Complex abdominal wall reconstruction +/- Intestinal failure

Complex abdominal wall reconstruction (CAWR) is an area we would like to see developed by the new appointments and is supported by our onsite plastic surgical team as and when needed. We are in the process of writing a business plan to develop CAWR with radiology support in using pre op Botox injections. If the appropriate candidates have an interest in intestinal failure that would also be supported, as we currently manage a small but continuing number of patients with intestinal failure due to ischaemic bowel or surgical complications. An excellent nutrition service is led by Gastroenterology including a virtual clinic (published) for managing patients with complex or high fluid needs in the community and we have close ties with University Hospital Southampton as our regional IF centre.

Pelvic floor service

All of the current consultants manage patients with pelvic floor and associated disorders, but we do not have a lead in pelvic floor disorders and the service needs to be coordinated. We have excellent radiology support with conventional and dynamic MR proctography and pelvic floor studies including endoanal and endorectal US scanning. We offer management of prolapse by Delormes, Altmeier’s and VMR. We have participation in the regional MDT with Southampton to provide a modern pelvic floor service for our population. A specialist interest in this area will also be beneficial.

Emergency work

Our emergency surgery service is very busy and therefore this will constitute around 28% of the DCC workload for the successful applicant. In the last year we did about 300 NELA cases out of which 70% were attempted laparoscopically. We have even published our emergency Robotic colonic resection case series last year. Occasionally emergency patients are transferred from the Isle of Wight, for services unavailable at their site.

Appointees will have a broad training in general surgery and will be able to provide an on-call service in general surgery. Vascular emergencies, head injuries and surgery for children under 5 years are provided separately and would only be covered by the appointee under exceptional circumstances. There is an interventional radiology service almost 7/7 for management vascular emergencies and drainage of collections / abscesses etc. There is an endoscopy rota for upper GI bleeds. “On take” the consultant will be supported by a team of StR, CT and two FY1 doctors. The trainees work shifts to meet with doctors’ hours regulations.

Currently the general surgeons provide on call services for a period of up to 7 days alternating 1st on call (responsible for acute admissions and with ward rounds at start and end of day) with second on call (managing the previous days admissions, ward round at start of day). Weekday nights are covered separately; weekend days are worked in 24-hour shifts. At weekends the “first on/second on” system continues but with added responsibility for ward rounds on the colorectal wards and other colorectal patients.

The Colorectal Unit does not yet provide an on-call specialist service 24/7.

We currently have access to two CEPOD theatres between 0800 and 1700 hours most days including weekends(except Saturday). There is a separate trauma list but sometimes we share the list with other specialities like transplant, Maxillo- Facial surgery, ENT and gynaecology.

Key Responsibilities:

Develop Specialist Colorectal services as described.

Interview Date: 25th September 2025

Qualifications

Essential

• Full GMC registration with a licence to practice
• FRCS or equivalent

Desirable

• Higher degree/postgraduate thesis

Clinical Experience

Essential

• Entry on the GMC specialist register via CCT (proposed date must be within 6 months), CESR or European Community Rights
• Evidence of a colorectal fellowship
• Trained in General surgery and able to manage common surgical emergencies

Desirable

• Experience in Robotic colorectal surgery

Clinical Skills

• Demonstrable skills and experience of a breath of colorectal surgery and emergency general surgery and evidence of a commitment to areas to be developed as part of this post.
• Understanding of clinical risk management

Knowledge

• Able to demonstrate appropriate level of clinical knowledge
• Knowledge and use of evidence-based practice
• IT skills
• Effective, confident presentation ability
• Experience in and outside speciality

Other

• Evidence of participation in audit
• Good oral and written communication skills
• Publications
• Prizes and honours
• Logical thinking, problem solving and decision making

The health and wellbeing of our staff is at the forefront of everything we do. We are proud to be able to offer our staff some fantastic benefits including our on-site Nursery, access to our free Beach Hut for those long summer days, our on-site Wellness Centre including a gym and a swimming pool, access to our fantastic staff networks including LGBTQ, Race Equality and DisAbility, and awards ceremonies to recognise your achievements. We believe we can offer support to all of our staff when they need it the most.

We welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran’s status, colour, religion, disability, sexual orientation, and beliefs.