Job Overview

This post is ideal for doctors aiming to strengthen their clinical portfolio before applying for specialty training or those seeking further experience in women’s health.

You will be expected to undertake duties equivalent to a core trainee, including:

- Assessing emergency gynaecology and maternity ward attendees.
- Clerking patients admitted to the maternity unit, labour ward, and gynaecological wards.
- Performing postnatal discharge checks for patients following forceps delivery, caesarean section, and other complex     maternity cases.
- Participating in ward rounds and multidisciplinary team meetings.

Interested in joining a team that’s passionate about delivering outstanding care to women and families?
Apply now and take the next step in your medical career.

For an informal discussion about the role please contact Mr Akin Famoriyo on a.famoriyo@health.gov.je 

For a full job description please contact HR Medical staffing on c.haynes@health.gov.je

Job Purpose

Opportunities for Development

- Assist in operating theatres, including elective and emergency procedures.

- Attend and contribute to antenatal and gynaecology clinics.

- Engage in audit, teaching, and quality improvement projects.

- Access to educational supervision and support for career progression.

What We’re Looking For

• Primary Medical Degree is essential

• Full GMC Registration & License to Practice is essential

• Completion of FY1 & FY2 Training or equivalent is essential

• Computer literate (ECDL or equivalent) is desirable

• Experience of working in a UK Obstetrics & Gynaecology department is desirable

What we Offer

- A friendly and inclusive working environment.
- Structured learning opportunities and mentorship.
- Competitive salary and benefits.
- Exposure to a wide range of clinical scenarios in women’s health.

Statutory Responsibilities

The Clinical Fellow would be expected to carry out duties expected of a core trainee doctor including assessing emergency ward attendees, clerking of patients admitted to the Maternity unit, labour ward and gynaecological wards, post-natal discharge checks for patients following forceps, caesarean section and other complicated maternity cases.  The post holder will have the opportunity to assist in operating theatres, obstetric gynaecology and antenatal clinics.

Labour Ward and Gynaecological Ward Duties

When on duty the Clinical Fellow will be compulsorily resident and responsible for admitting all obstetric and gynaecological cases.  First priority is to respond to all bleeps and calls from Labour Ward.  When on labour ward duty, as first on call, it is not permissible to leave the Hospital or accommodation premises.  Labour ward rounds take place at 08.30, 13.00, 17.00 and 20.30 with the Registrar.  Any abnormalities on the antenatal ward should be notified to the duty Registrar.

Gynaecology ward rounds take place every morning on Rayner ward with the team for each consultant

Gynaecological Theatre and Outpatient Clinics

The Resident Doctors are fully integrated into the work of the Obstetrics and Gynaecological Department. 

Admissions to Day Surgery Unit take place at 08.00. Admissions to Rayner Ward for main theatre lists may be on the day prior to surgery, or often at 08.00 on the morning of surgery. Gynaecology Clinics start promptly at 09.00 am in the morning and at 13.30 pm in the afternoon.  

Administrative Duties

Time must be set aside for administrative duties including dictation of discharge letters for general practitioners. 

Prescribing

The Hospital has a formulary a copy of which will be provided on commencement of duty.

Teaching

Friday afternoons are put aside for meetings and training.  The hospital has a formal medical student training programme with Southampton University, with medical students being attached to the department. 

The hospital has an Audit office staffed by a team of clinical audit officers, who provide administrative and analytical support for audit projects. 

Research

Doctors in training are encouraged to take part in research and audit projects.  These are usually presented at the Friday afternoon postgraduate teaching sessions, or on audit days.

The above does not purport to be an exhaustive list of duties but is intended to indicate the range and type of duties required.  The duties of the post may alter to reflect changing practices within the service.

Budgetary Responsibility

None

Gynaecology Service

The gynaecology service carries out approximately 2,000 operations a year, and there are over 350 emergency cases a year admitted through the Gynaecology Ward. 38% of all operations are carried out in the award winning Day Surgery Unit that has recently been expanded. A Nurse-led pre-admission service operates for gynaecology. Each year there are over 6,000 referrals to the Outpatient Department, and there are over 1,000 inpatients admitted to the ward in a year.

The Gynaecology Ward (Rayner Ward) has 16 inpatient beds, and attached to the ward is the Gynaecology Outpatient Department. Nursing staff rotate between the ward and the Outpatient area providing continuity of care. There is a fully equipped Colposcopy and Outpatient Hysteroscopy Unit. There is an Early Pregnancy Unit with an ultrasound scan machine. The Assisted Reproductive Unit (ARU) is located on Rozel Ward. It is led by a consultant, and assisted by a Senior Sister, a Staff Grade and receptionist. A satellite Assisted Reproductive service has been set up between Jersey and the Lister Hospital in London for egg recovery and embryo transfer for IVF patients.

The Gynaecology Department carries out a considerable amount of laparoscopic surgery. Facilities for surgery are located in both Day Surgery and Main Theatre. The gynaecology outpatient department runs regular specialist clinics in Uro-Gynaecology, Colposcopy, Psychosexual and Gynae-Oncology.                                                          

Jersey established a service to provide for termination of pregnancy after the relevant law was passed in 1997. Social terminations can be carried out until the end of the 12th week although in cases of severe foetal abnormality or serious maternal health problems terminations can be carried out until 24 weeks gestation. Depending on gestation, women are offered medical or surgical terminations. The termination service is led by a consultant and assisted by staff grade doctors, family planning nurses, counsellor and nurses with a special interest. There is an excellent community contraception service provided on the island with a dedicated family planning clinic at Le Bas Centre and for the under 21- year olds, Brook Jersey. There are close working relationships with the Genito-Urinary Medicine clinics. Psychosexual counselling is offered by one of the gynaecology consultants. 

Obstetric Service

There are approximately 1,000 births per annum. There is a high quality, well equipped Labour Ward suite with intrapartum monitoring and blood gas analysis available. There is a designated Maternity Operating Theatre within the main operating theatre complex. There is twenty-four hour anaesthetic cover, with approximately 34% epidural rate. There is a complete mix of obstetric cases with the Unit having to deal with high-risk obstetrics as well as low risk because of the geographical isolation of the island.

There are 4 Consultant Ante Natal Clinics per week. Most of the low risk antenatal care is shared between General Practitioner and the community Midwives. Each Consultant has an antenatal clinic each week for higher cases. Every antennal patient is offered a booking scan and combined screening for aneuploidy. All fetal abnormalities are recorded and the Unit is involved with the National Congenital Anomaly and Rare Registration Service (NCARDRS). Responsibility for fetal medicine is shared between two of the Consultants. Invasive investigative procedures including Chronic Villus Sampling and Amniocentesis are available on island. All obstetrics outcomes are monitoring and the department reports outcome data to MBRRACDE, and Each Baby Counts at the RCOG.

All women are offered first trimester nuchal translucency scans and combined screening at the Ante-Natal Clinic. Antenatal and Intrapartum records are all computerised on a Trakcare system.  Amniocentesis is offered to screen-positive.

Person specification

Essential Criteria

Primary Medical Degree

Full GMC registration and a licence to pratice

Current ALS certificate

Completion of Foundation Year 1 and 2 training

Ability to work flexibly with colleagues to provide services

Ability to work flexibly in a changing health service

Ability to work effectively with a multi-disciplinary team, motivating and Influencing others through their enthusiasm

Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, management and other agencies

Highly motivated

Able to work within a team

Ability to prioritise administrative and clinical tasks

Committment to learning

Up to date vaccination record

Participation in Clinical Audit, Research and Risk Management Activities

Demonstrates a committment to safeguarding young people and vulnerable adults

Evidence of annual appraisal