Job summary
There is an opportunity for a motivated individual to join the ENT department at University Hospitals Birmingham from 4th August 2027 for 12 months.

University Hospitals Birmingham NHS Foundation Trust (UHB) is the largest multi-site Trust in the UK. The ENT Department works across four sites: Queen Elizabeth Hospital Birmingham (QEHB), Birmingham Heartlands Hospital (BHH), Good Hope Hospital (GHH) and Solihull Hospital (SHH).

The Birmingham Thyroid Surgery Fellowship provides an excellent opportunity to work within a high-volume supra-regional university teaching hospital (the largest thyroid surgery unit in the UK) with a multidisciplinary focus. Our aim is to provide comprehensive training in the surgical management of a wide range of thyroid and parathyroid conditions. The fellowship offers exposure to the medical and surgical management of malignant and benign thyroid cases, including advanced differentiated thyroid cancer, medullary thyroid cancer, severe thyrotoxicosis and retrosternal disease. In addition, the ENT department provides a large volume of parathyroid operations, including primary and tertiary hyperparathyroidism. Outpatient commitments include specialist thyroid, thyroid oncology, genetic thyroid oncology and 2 week wait clinics. Our department has close connections with University of Birmingham and from an academic perspective, the department is currently involved in national clinical trials and there is plenty of opportunity to undertake research during the fellowship.

Main duties of the job
The ENT Department has 30 full time equivalent consultants and 3 part time consultants. Within the ENT department at UHB, there are currently 10 consultants specialising in Head & Neck and thyroid surgery. The pan-Birmingham thyroid MDT is one of the largest thyroid MDTs in the country. The department performs around 500 thyroid/parathyroid operations per year.

The middle grade tier within the department consists of 9 middle grade doctors at the QEHB site, including 4 fellows (Thyroid, Head & Neck, Otology/Skull base and Rhinology/Anterior Skull base) and 5 residents. At the HGS site there 3 Associate Specialists, 3 residents and 2 speciality doctors. There are 8 tier one doctors at the QEHB site and 6 at the HGS site.

The appointee will be expected to undertake cross-site working with a formal job plan, with most elective work based at QEHB and some sessions at BHH. All major head and neck elective theatre sessions will be at QE Hospital, with some tertiary parathyroid operating at BHH.

The job plan will include a commitment to clinic, theatre and out of hours on call duties. Time will be given for admin and supporting professional activities. The appointee will be expected to attend and contribute to Clinical Governance, teaching and audit within the department. Access to a car is important for on call purposes.

Fellows will be expected to teach junior doctors, nurses and other allied health professionals during ward rounds, outpatient clinics, emergency situations and theatre sessions.

About us
University Hospitals Birmingham NHS Foundation Trust strives to have an inclusive culture where everyone feels like they belong, can thrive, knows that they add value and feels valued. We do this by developing compassionate and culturally competent leaders, being values driven in all that we do and by creating a welcoming and inclusive workplace that thrives on the diversity of our people. As such we want to attract and recruit talented individuals from all backgrounds, and for each of you to feel supported for the diversity you bring, to achieve your full potential. For those staff with a disability, including physical disability, long term health condition, mental health or neurodiverse condition, this also means being committed to making reasonable adjustments needed for you to carry out your role.

Job responsibilities
Our consultants work within a culture of mutual respect and colleague support. We welcome individuals who follow the ethos of our department and are eager to deliver high quality care to our diverse population.

General responsibilities:

• The post holder will be expected to work with local managers and professional colleagues in the efficient running of the service.
• Subject to the provisions of the terms and conditions of service she/he must observe agreed policies on clinical matters and should follow the standing orders and financial instructions of the Hospital.
• In the management of employees of the Trust, she/he will be expected to follow legislation laid down in this respect.
• All employees must comply with the Trust Infection Control Policy. All employees must attend infection control training as required within their department or as directed by their line manager.
• You will be expected to be committed to Continuing Professional Development that satisfies the criteria laid down by the Royal College of Surgeons.

Clinical responsibilities:

• The appointee will be involved in running ward round, clinics and theatres and being included in the BHH ENT middle grade out of hours on call rota (1 in 6).
• The advertised post is a thyroid fellowship and is suitable for those who want to expand their skills and sub-specialise in thyroid and parathyroid surgery. It is expected that the successful candidate will support the department with achieving the targets for urgent cancer referrals by seeing the patients on the "2-week referral" pathway for head and neck/thyroid cancer. All of the thyroid surgeons undertake other head and neck/airway surgery and there will therefore be exposure to this, although it is not the focus of the fellowship.
• Major Head and Neck resections (including laryngectomy, complex airway surgery, head and neck resections requiring free flap reconstruction, input of thoracic surgeons and skull base surgeons) are performed at QEH.
• The proposed weekly timetable for the thyroid fellowship (subject to change / negotiation) is as follows, with two flexible sessions for revalidation / admin. In addition, there are quarterly genetic thyroid oncology clinics, approximately quarterly tertiary parathyroid operating lists, and other ad hoc theatre sessions during the week which the Fellow will be encouraged to attend, as well as opportunities for weekend operating/clinic work.

Person Specification
Qualifications
Essential

• Registered with GMC
• FRCS (ORL HNS) or
• CCT Holder or equivalent qualification

Experience
Essential

• Broad based clinical experience in ENT.
• Able to manage common emergency cases.
• Competent in emergency surgical skills.
• Competent in head and neck operations and diagnostics.
• Keen to learn advanced techniques in thyroid and parathyroid surgery

Additional Criteria
Essential

• Good understanding of research and evidence based management of thyroid disorders
• Regular presentation at national/international meetings

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 (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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.
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 (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).