Homerton Healthcare NHS Foundation Trust

Post-CCT Fellow in General Surgery with an interest in Anal Neoplasia
The closing date is 19 November 2026

Job summary
The Department of General Surgery is busy with both emergency and elective work. There is a strong bias towards Day Surgery, with over 80% of patients being treated as day stay cases. There is a dedicated Day Stay Unit comprising five Day Surgery Theatres and the Endoscopy Unit (3 suites). The Main Theatre block of 6 theatres includes a fully equipped OR1 laparoscopic theatre and now 2 robots for robotic-assisted surgeries.

HANS is the biggest UK anal neoplasia service provider and takes referrals from across the country. HANS offers in-office and operating room high resolution anoscopy (HRA) based diagnosis and treatment of anal neoplasia including HRA-guided excision, CO2 and diode laser ablation, electrocautery ablation and an organised topical treatment programme for diagnosed high grade squamous intraepithelial lesions. HANS also offers multizonal assessments (MZA) for multizonal intraepithelial neoplasia of the lower anogenital tract in women (MZIN). There is ongoing research at HANS. HANS has a total of 2.75 theatre lists per week shared among various practitioners.

HANS staff participate in the NE Thames Regional Anal Cancer MDT which is weekly as well as running an internal anal neoplasia weekly HSIL MDT. In addition, HANS runs its own regular audit, morbidity, governance and business meetings.

Main duties of the job
The post-holder will ensure the safe and appropriate management of HANS patients, provide cover for general surgery emergencies and may undertake up to one ad hoc general/colorectal surgery clinic per week.

Initially, the appointee will train alongside all HANS-trained anoscopy practitioners to develop high-resolution anoscopy (HRA) skills. Training will include observing 25 procedures and performing 50-120 under direct supervision. Sign-off will depend on competence and confidence in all aspects of HRA, including patient communication. The appointee will also complete the International Anal Neoplasia Society online HRA course. During this intensive period, priority access to HANS procedural lists will be provided, with attendance at 1-2 lists daily when not on call.

The post-holder will receive training in HRA-related administration and, once competent, undertake independent procedures, initially across two lists and increasing to 3-4 weekly, subject to theatre commitments. The post-CCT Fellow is expected to attend all available HANS theatre lists, including the full-day Tuesday list. Administrative time will be allocated, and HRA clinics scheduled flexibly according to room availability. Training in ablative treatments for anal neoplasia will also be provided, with independent practice following competency sign-off.

About us
Homerton Healthcare NHS Foundation Trust is a high performing and flourishing organisation serving the population of Hackney, East London, The City and beyond.

We are extremely proud of the fact that Homerton Hospital has recently attained the highest possible rating of "Outstanding" from the Care Quality Commission (CQC).

Our integrated Trust provides comprehensive hospital and community health services for its local population and a range of specialist services for a wider group of patients. In addition, the Trust manages services out of St Leonard's Hospital and the Mary Seacole Nursing Home.

Homerton aims to ensure equality and value diversity, and we are committed to inclusion for all of our staff. This is reflected in our policies, procedures and People Plan. All of our staff are expected to embody our Trust values at all times.

We are also committed, through our Fair Recruitment Standards, to ensuring all applicants are treated fairly.

Homerton has a proud tradition of supporting and developing its staff, including its well-regarded and valued nursing community, and all staff are able to take advantage of a great range of benefits.

Homerton is proud to have been included on the HSJ & Nursing Times Best Places to Work list.

Details
Date posted: 13 November 2026
Pay scheme: Hospital medical and dental staff
Grade: Doctor - other
Salary: £45,715 to £69,976 a year per annum (pro rata)
Contract: Fixed term
Duration: 6 months
Working pattern: Full-time
Reference number: 293-SWNS-MED-02339
Job locations: Homerton Hospital, Homerton Row, London, E9 6SR, United Kingdom

Job description
Job responsibilities
The post will be based in the Department of HANS (Homerton Anogenital Neoplasia Service), a subspecialty within the department of General Surgery. It will be physically located in the Sexual Health Department (Clifden House) at Homerton University Hospital, with which service HANS is closely aligned. The post involves supporting the supervising consultants in HANS in the full spectrum of anal neoplasia clinical activity including surgical theatre activity and training in High Resolution Anoscopy diagnostic and treatment, in order to carry out independent procedural clinics based at Clifden House. The appointee will be expected to undergo the training necessary to carry out HRA in the first 3 months of the post then set up and run their own HRA diagnostic procedure lists in Clifden House while still training in ablative techniques. The successful candidate may be expected to support clinicians from across the service at times. This will provide an excellent opportunity to learn from experienced clinicians from all backgrounds involved in the field.

It is envisioned that the successful candidate will play an active role in improving the HANS service for patients alongside consultants, managers, and the wider hospital team. Experience in quality improvement would be desirable but training can be provided within the Trust.

The appointee will participate in the registrar on-call rota, which will include night shifts. The pattern for these on-call shifts is currently a 1 in 12 rotation with no more than 4 consecutive days/nights. Appropriate zero days are scheduled to ensure rota compliance. Notice of 6 weeks will be given for any changes to the rota pattern.

As an employee of the Trust the post-holder will work in close co-operation with and support other clinical, medical, professional and managerial colleagues in providing high quality, safe health care to patients. Integral to these responsibilities is the following:

• the provision of a first-class service
• effective leadership to all staff engaged in the specialty
• active involvement in undergraduate and post graduate teaching and training
• undertaking all work in accordance with trust policies and procedures including the Code of Behaviour
• conducting clinical practice in accordance with contractual requirements and within the parameters of Homertons business plans
• contribute to the management of the clinical service and service development.

Person Specification
Qualifications
Essential

• MBBS or other undergraduate Medical degree
• FRCS (general surgery) or equivalent post graduate qualification

Desirable

• CCT - or within 6 months of CCT or equivalent CESR process
• Research qualification eg MD

Experience
Essential

• General Surgery training at Registrar or equivalent level to completion of surgical training
• Interest in anal neoplasia, interest in training in high resolution anoscopy (HRA)

Desirable

• Registrar grade experience in lower GI surgery.
• Knowledge of the field of anal neoplasia and its medical and social context

Skills
Essential

• Clinical and operative skill levels consistent with senior level of specialist registrar training
• GI endoscopy skills

Desirable

• High Resolution Anoscopy experience/ knowledge
• JAG accreditation in colonoscopy

Skills
Essential

• Ability to take responsibility, lead, make decisions and respond appropriately to service need
• Awareness of the overall business environment in which NHS hospitals operate
• Experience of teaching others at undergraduate or postgraduate level

Experience
Essential

• Understanding of principles and application of clinical research

Desirable

• Publication of papers in lower GI surgery; Publication of papers relevant to the field of anal neoplasia

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.

Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Homerton Healthcare NHS Foundation Trust
Address: Homerton Hospital, Homerton Row, London, E9 6SR, United Kingdom
Employer's website: https://www.homerton.nhs.uk/

Employer contact details
For questions about the job, contact: General Surgery Service Manager, lauren thomas, lauren.thomas45@nhs.net, 07721738259

Supporting documents
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