Job Description

The Women’s Health Services provide a comprehensive Obstetrics and Gynaecology service for local residents. In addition to the full range of general services there are also a number of established subspecialty activities including: Fetal Medicine, Maternal Medicine, Minimal Access Surgery, Gynaecological Oncology, Coloposcopy, Urogynaecology and early pregnancy. The Directorates work closely with other local departments, particularly those at Guys/St. Thomas’ and King’s College Hospitals. There are referral pathways in place for oncology patients, complex adolescent surgery and complex gynaecological, Fetal Medicine and complex obstetric cases requiring interventional radiology or tertiary input.

The team are fully committed to women’s choice and autonomy, and midwifery management of normal pregnancy. There is currently a particularly skilled group of midwifery managers leading the process of change in midwifery practice. The obstetric practice is however generally high risk due to the nature of the local population, requiring significant medical involvement in a substantial proportion of pregnancies.

In Fetal Medicine, you will be required to conduct antenatal ultrasound including growth and Doppler examination and anatomy scans as part of the national screening program and review detected abnormalities. You will also see patients for antenatal counselling and monitoring after diagnosis of a fetal or placental abnormality.

The postholder will work in closely with the SEL tertiary centres to refer for invasive procedures as this is not available at LGT.

Antenatally, you will be required to run the one stop preterm birth service and a high-risk antenatal clinic focussing on hypertensive disorders and fetal growth restriction in pregnancy. The referral criteria for this clinic can be amended based on the postholders experience.

In gynaecology, you will be required to share the general and acute gynaecology referrals. Skills with procedures such as outpatient hysteroscopy, in patient minor gynaecological procedures will complement the services within the department.

Labour ward, management of high-risk pregnancies and complex obstetrics theatre list. Contribution of care, to both inpatient and outpatient service is required. Willingness to work flexibly and to adapt to the changing needs of the service is essential.

Participate in the supervision and training of under-graduate and post-graduate trainees.

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley.

With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

The Trust has 7,000 staff and, in 2020, won a London NHS Parliamentary Award in recognition of a wide range of initiatives to make the organisation a great place to work. The Trust was also a finalist in the 2021 Health Service Journal Awards for this programme, which has succeeded in reducing vacancy rates from a high of 17.5% in 2018 to 8.1% in March 2021. In addition, the Trust’s staff retention is now in the top five in London, with 89% of staff staying at the organisation, against a median of 81% for peer organisations.

Our hospitals provide a wide range of inpatient and outpatient services, as well as emergency and planned care. Over the last year, our emergency performance has been among the strongest in London, despite our emergency departments being among the busiest in the capital.

Clinical Responsibilities

In Fetal Medicine, you will be required to conduct antenatal ultrasound including growth and Doppler examination and anatomy scans as part of the national screening program and review detected abnormalities. You will also see patients for antenatal counselling and monitoring after diagnosis of a fetal or placental abnormality.

The postholder will work in closely with the SEL tertiary centres to refer for invasive procedures as this is not available at LGT.

Antenatally, you will be required to run the one stop preterm birth service and a high-risk antenatal clinic focussing on hypertensive disorders and fetal growth restriction in pregnancy. The referral criteria for this clinic can be amended based on the postholders experience.

In gynaecology, you will be required to share the general and acute gynaecology referrals. Skills with procedures such as outpatient hysteroscopy, in patient minor gynaecological procedures will complement the services within the department.

Labour ward, management of high-risk pregnancies and complex obstetrics theatre list. Contribution of care, to both inpatient and outpatient service is required. Willingness to work flexibly and to adapt to the changing needs of the service is essential.

Medical Education & Teaching

Participate in the supervision and training of under-graduate and post-graduate trainees.

Clinical Audit and Clinical Governance

Take part in clinical governance activities including risk management and clinical audits.

Continuing Professional Development

Participate in continuing professional development at local and national level

Implement audit and research findings as appropriate in clinical practice

Prepare and participate in an annual appraisal in accordance with Trust policy

A willingness to undertake additional professional responsibilities at local, regional or national levels

Policy, Planning and Management

Support the Trust to deliver quality patient care

Contribute to the development of clinical and organisational protocols and guidelines

Assist in the development of the Annual Service Plan for the Directorate and Division and participate in the strategic planning of the service

Comply with all Trust policies

South East London Maternity Network

The Trust has a well-developed partnership with South East London Maternity Network and collaborates closely with them in the delivery of local clinical services, research, education and training activities. Attendance in regional meetings is essential

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