Job Overview

Jersey General Hospital has a fantastic opportunity for an experienced registrar to join our friendly dynamic team of doctors. UK experience is essential to the role, as is GMC registration, a Primary Medical Degree and a "can do" attitude!

Jersey sits in the Bay of St Malo, 19 miles from the coast of France and 85 miles south of the English coast. Jerseys population is approximately 100,000. Our transport links to all major cities in the UK are excellent, with London only a 40-minute flight away and also sharing the same time zone as the UK.

For an informal discussion please contact Akin Famoriyo, Consultant in O&G on a.famoriyo@health.gov.je or 01534 442667 via his secretary. For a full job description and relocation queries please contact c.haynes@health.gov.je 

Interviews will be held on 14th March 2025.

Job Purpose

The post holder will be assigned general clinical duties to include attendance at out-patient clinics and theatre sessions. Specialist skills such as Infertility, Early Pregnancy Scanning, or Colposcopy would be advantageous and these skills would be included in the weekly timetable. The post holder will provide the appropriate level of support to the Consultant Obstetricians and Gynaecologists in the care of the patients. Jersey is fortunate to have maintained a team structure so the post holder would be assigned to work with a named consultant.

The post holder will undertake the administrative duties associated with the care of their patients and the efficient running of the department, ensuring that up-to-date, accurate, legible and comprehensive signed notes are recorded in the patients case notes.

The post holder will prescribe appropriate medication and therapy, ensure that any procedure for patient management are undertaken at the most appropriate time and in the most appropriate location, promoting patient dignity and privacy. The post holder will be required to undertake and pass Health and Care Jersey e-Prescribing course.

Statutory Responsibilities

The post holder will support the Consultant Obstetricians and Gynaecologists in the development, review and updating of protocols and practice regarding the management of obstetric and gynaecological patients. The post holder will be expected to participate in the training of Resident Doctors, GP Trainees and Medical students for whom he/she is responsible and ensure that training and learning needs are identified and facilitated.

The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues. The post holder will be expected to be fully involved in a Risk Management programme and support the Governance agenda. The post holder will deputise from time to time for absent colleagues, performing additional duties in occasional emergencies and unforeseen circumstances; being available for such irregular duties is essential for the continuity of patient care.

On-call Responsibility

The full time post of Staff Grade in Obstetrics & Gynaecology comprises 10-programmed activities per week, plus 4 additional programmed activities based on the resident out of hours rota at the General Hospital, Jersey, assisting in providing a 24:7 Obstetrics & Gynaecology service for the population of Jersey.
The appointee will be expected to participate in the Middle Grade resident out of hour’s rota (1:6 - rising to 1:8), but on-call and day-time sessions will be flexible so that they reflect service needs, at the discretion of the Chief of Service and Clinical Lead. The post holder will be on duty with a Resident Doctor.
The post holder should be experienced in all aspects of Labour ward management and operative deliveries.
General gynaecology experience at Staff Grade or Registrar level (or equivalent) is essential.

Services

There is an Assisted Reproduction Unit with a Satellite Assisted Conception service linking in with the Lister Hospital in London. Clinics are held to prepare couples for the Assisted Conception programme in accordance with the HFEA.
There are 4 Colposcopy clinics each week and it would be desirable if the successful candidate was accredited in Colposcopy.
An early pregnancy unit is held Mon – Fri mornings and experience in early pregnancy scanning is desirable. There are plans to develop this into an EPAU

The 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 Surgical 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 Surgical ward is attached to the Gynaecology Outpatient Department. The Gynaecology Outpatient ward is supported by three gynaecology nurses and health care assistant. 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 at a separate site to the General Hospital and led by a consultant, and assisted by a Senior Sister, a Staff Grade and receptionist.

The 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 general and high risk Consultant Ante Natal Clinics per week. Most of the low risk antenatal care is shared care between General Practitioners and the community Midwives. Every ante natal 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 Disease Registration Service (NCARDRS). Responsibility for fetal medicine is shared between two of the Consultants. All obstetric outcomes are monitored and the department reports outcome data to MBRRACE, and Each Baby Counts at the RCOG.

Essential Criteria

Primary Medical Degree
Part 1 MRCOG
(knowledge of Human Anatomy, Physiology, pharmacology and Biochemistry and their application to the clinical practice of Obstetrics and Gynaecology.) Full Registration with the General Medical Council (GMC) with a Licence to practise (for overseas candidates it is mandatory that a licence is obtained prior to appointment). Clinical experience in NHS environment. 4 years post-graduate Medical Training. 3 years experience in an approved Obstetrics & Gynaecology Training environment, 2 of which must be at Registrar/Middle Grade level or equivalent. Evidence of Competency to the level set out for training in MRCOG.

Obstetrics experience of:
Normal Confinement
Suturing episiotomy
Suturing second and third degree tears
Assisted Deliveries
Treatment of Obstetric Emergencies (PPH, Pre-Eclampsia)
Identification of Abnormal CTG Tracing
Fetal Blood Sample
Caesarean section 

Desirable Criteria

Part 2 MRCOG 

MS or MD

Formal Teaching Qualification

MOET (3 year cycle) or PROMPT
Experience in Hysteroscopy, Laporoscopy, Treatment of Ectopic Pregnancy, Operative Hysteroscopy, Operative Laporoscopy, Hysterectomy

Colposcopy accreditation
Gynaecology ultrasound experience
Early pregnancy/2nd ir 3rd trimester obsetrics ultrasound experience
Fertility experience – (counselling, follicle tracking and TVS, HSG, IUI, work-up for satellite IVF)
Willingness to develop a specialist interest

Management Skills

Ability to Work Flexibly with Colleagues to provide services
Ability to Work Effectively with a Multi-Disciplinary Team, motivating and influencing others through their enthusiasm.
Ability to take a leadership role in a Multi-Disciplinary Team
Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, management and other agencies.
Highly motivated
Able to work within a team
Experience of Teaching, Training & Supervision of Resident Doctors, GP Trainees and undergraduate students

General skills / attributes

Participation in Clinical Audit & Risk Management Activities
Experience of involvement in a research project and publication
Demonstrates a commitment to safeguarding young people and vulnerable adults
Evidence of annual appraisal

Able to work flexibly in a changing health service
Hepatitis Vaccination