Locum Consultant Urologist with a special interest in GAS
| Posting date: | 06 March 2026 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £109,725 - £145,478 Per annum + London Weighting & On-call availability (pro rata) |
| Hours: | Full time |
| Closing date: | 05 April 2026 |
| Location: | London, SW10 9NH |
| Company: | Chelsea and Westminster Hospital NHS Foundation Trust |
| Job type: | Contract |
| Job reference: | 7832811/289-SC-305 |
Summary
A Vacancy at Chelsea and Westminster Hospital NHS Foundation Trust.
As a Consultant Urologist with a specialist interest in Gender Affirmation Surgery (GAS), the post-holderwill have demonstrated experience in genitourinary surgery, as well as operate independently in feminising lower surgery and related surgeries, as well as skills in masculising lower surgery. This is an annualised job plan to support the service with theatre efficiencies, performance, and patient throughput.
The role will require close working with other colleagues in the Trust as well as allied organisations as part of a multidisciplinary team, contributing to quality improvement, research and management of the service. It is anticipated that the post-holder will engage in specific management tasks and contribute to service meetings as required
• Deliver outpatient clinics, diagnostic procedures and theatre lists to support the service
• Attendance at MDT meetings
• Participation in audit, research and governance activities of the department
• Supervision of academic research projects
• Ensure compliance with national commissioning standards and waiting time targets
• Support subspecialisation in the department by appropriate cross referral to colleagues
• Provide consultant care at an early stage to patients presenting to secondary care with presumed urological complications of gender surgery
• Contribute to the routine care of GAS inpatients, rotating this responsibility with colleagues
• To promote early and safe discharge of patients
• Strong commitment to the organisation and delivery of training
As outlined in the NHS England service specification for Gender Identity Services, all staff working within the service will be expected to:
• Provide a high quality service for individuals who have been diagnosed with gender dysphoria; and will observe and promote respect, dignity and equality for trans people.
• Provide a timely and sustainable service for trans people that meets the needs of the population, and incorporates the views of individuals.
Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children’s services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.
We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.
We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.
If you haven’t heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation.Some roles may require weekend shifts at multiple sites.
Roles and Responsibilities
ProvideHighQuality CaretoPatients
· Be medically qualifiedandmaintainGMC specialistregistration.
· Developandmaintainthecompetenciesrequiredtocarryout the dutiesrequiredofthepost.
· Ensureprompt attendanceat agreeddirectclinical careProgrammed Activities.
· Ensurepatients areinvolved indecisionsabouttheir care andtorespondtotheirviews.
· Adhere tothe TrustCustomerServiceCommitment andadopt a professional approachto customer careat alltimes.
· Developclinicalpracticethroughself-reflectionandlearningfromexperience,applicationof researchintopractice andactivecontributionwithinthe multi-disciplinary team.
· Demonstrate, model andencourage Trustvaluesat alltimestoallpatientsandstaff.
Research,Teaching andTraining
· To provide when needed high quality teaching and mentorship in gender surgery to consultant surgeons, trainees and clinical fellows.
· Contribute to high quality teaching to medical undergraduates and other health care professionals as required by clinical director.
· To collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio, at all times meeting the full requirements of research governance.
· To act as educational supervisor and appraiser as delegated by the divisional director/service director.
· Participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. In addition, consultants will be expected to undertake some non-clinical training and development at the discretion of the trust management, for example, Leadership Training.
· Excellent research opportunities are available throughout the Trust and with Imperial College. A number of funding opportunities are available from the Trust Research Committee and the Trust has experience in obtaining funds from among others the Department of Health, Medical Research Council, BBSRC, and the Welcome Trust.
· The Trust supports and has facilitated a large number of Honorary Academic appointments with Imperial College Faculty of Medicine. Opportunities should be discussed with the Divisional Medical Director/Service Lead/ Divisional Director of Operations.
PerformanceManagement
Thepost-holder isrequiredtoworkwithmedical,nursing,otherclinicalandmanagerialcolleaguesto ensurehighperformanceinthefollowingareas(where applicable):
· Clinical efficiency e.g. relating to surgical productivity and case mix of patients seen in clinic.
· Quality of outcomes e.g. number of patients readmitted due to complications within 3 months of discharge, number of revisions undertaken within 12 months of the primary procedure.
· Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
· Operational efficiency e.g. day-case rates, waiting list activity and demand management.
MedicalStaffManagement andAccountability
· Work with colleagues to ensure junior doctors’ hours are compliant.
· Ensure that Trust systems and procedures are in place and followed to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments.
· Adhere to Trust/department guidelines on leave, including requesting and reporting absence, and professional and study leave, and to ensure that members of staff for whom you are responsible do the same.
· Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Directors.
· Participate in team objective setting as part of the annual job planning cycle.
· Be responsible for ongoing assessment and regular appraisal of all doctors in training, Trust doctors and non-consultant grades as delegated by the Clinical Director/Service Lead /General Manager.
· Participate fully in regular departmental activities including department meetings and team building activities.
Governance
· Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead and participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
· Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Directors.
· Participate in ensuring BAUS, NICE, NSF and other national guidance requirements are reviewed and implemented and monitored in the specialty areas.
· Ensure clinical guidelines and protocols are adhered to by junior medical staff and any other staff for whom the post has responsibility and that these are updated on a regular basis.
· Keep fully informed about best practice in specialty areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead.
· Role model good practice for infection control to all members of the multidisciplinary team and adhere to the Trust Infection Control measures (available on the Trust Intranet).
· Report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.
· Comply with the consent process outlined in the NHS England service specification for Gender Identity Services: care must be personalised and based on shared decision making with patients offered a choice of techniques and procedures which meet the eligibility criteria.
Strategy andBusiness Planning
· Work with clinical and managerial colleagues to support development of the gender dysphoria surgery service including the business planning and objective setting process for the directorate and Trust where appropriate.
· Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Directors.
· Attend and contribute at regular Departmental meetings as identified by the Clinical Leads.
LeadershipandTeam Working
· Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.
· Participate in any necessary management and leadership development courses as required by the Trust.
· Work collaboratively with all members of the multi-disciplinary team, Imperial College London and other stakeholders as required.
· Set up and chair meetings relevant for clinical domain.
· Promote local resolution of any conflict or differences of opinion and involve appropriate parties for mediation, negotiation or discussion as appropriate.
· Provide commitment and leadership in relation to equality and appropriate senior level management of diversity issues, particularly as they apply to training, people management and service delivery.
· To adhere to Trust/departmental guidelines on leave including reporting absence.
Appraisal and Revalidation
The post-holder is required to participate in the annual appraisal system in line with the Trust’s appraisal and revalidation guidelines. Individual appraisal interviews will be held annually and reports, (including updated job plans) submitted to the Medical Director or HR Director. You are expected to inform yourself of the annual timetable for appraisal and ensure that appropriate time is set aside to update your portfolio and your mandatory requirements.
Surgeons must demonstrate evidence of continuing training and mentoring in the relevant GAS techniques, reported through appraisal. In accordance with the NHS England Service Specification for Gender Identity Services, surgeons must engage regularly (at least once a year) with a group of peers (with national or international peers working in another organisation or surgical team), and share and review data on caseload, outcomes and complications experienced in their practice.
Furthermore, the treating surgeon must have insight into each patient’s history and the rationale that led to the referral for surgery. To that end, surgeons must demonstrate good communication with patients through multi-source feedback as part of their appraisal; and have close working relationships with NHS England-commissioned specialist Gender Dysphoria Clinics and with other health professionals who have been actively involved in their clinical care.
This advert closes on Thursday 19 Mar 2026
As a Consultant Urologist with a specialist interest in Gender Affirmation Surgery (GAS), the post-holderwill have demonstrated experience in genitourinary surgery, as well as operate independently in feminising lower surgery and related surgeries, as well as skills in masculising lower surgery. This is an annualised job plan to support the service with theatre efficiencies, performance, and patient throughput.
The role will require close working with other colleagues in the Trust as well as allied organisations as part of a multidisciplinary team, contributing to quality improvement, research and management of the service. It is anticipated that the post-holder will engage in specific management tasks and contribute to service meetings as required
• Deliver outpatient clinics, diagnostic procedures and theatre lists to support the service
• Attendance at MDT meetings
• Participation in audit, research and governance activities of the department
• Supervision of academic research projects
• Ensure compliance with national commissioning standards and waiting time targets
• Support subspecialisation in the department by appropriate cross referral to colleagues
• Provide consultant care at an early stage to patients presenting to secondary care with presumed urological complications of gender surgery
• Contribute to the routine care of GAS inpatients, rotating this responsibility with colleagues
• To promote early and safe discharge of patients
• Strong commitment to the organisation and delivery of training
As outlined in the NHS England service specification for Gender Identity Services, all staff working within the service will be expected to:
• Provide a high quality service for individuals who have been diagnosed with gender dysphoria; and will observe and promote respect, dignity and equality for trans people.
• Provide a timely and sustainable service for trans people that meets the needs of the population, and incorporates the views of individuals.
Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children’s services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.
We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.
We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.
If you haven’t heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation.Some roles may require weekend shifts at multiple sites.
Roles and Responsibilities
ProvideHighQuality CaretoPatients
· Be medically qualifiedandmaintainGMC specialistregistration.
· Developandmaintainthecompetenciesrequiredtocarryout the dutiesrequiredofthepost.
· Ensureprompt attendanceat agreeddirectclinical careProgrammed Activities.
· Ensurepatients areinvolved indecisionsabouttheir care andtorespondtotheirviews.
· Adhere tothe TrustCustomerServiceCommitment andadopt a professional approachto customer careat alltimes.
· Developclinicalpracticethroughself-reflectionandlearningfromexperience,applicationof researchintopractice andactivecontributionwithinthe multi-disciplinary team.
· Demonstrate, model andencourage Trustvaluesat alltimestoallpatientsandstaff.
Research,Teaching andTraining
· To provide when needed high quality teaching and mentorship in gender surgery to consultant surgeons, trainees and clinical fellows.
· Contribute to high quality teaching to medical undergraduates and other health care professionals as required by clinical director.
· To collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio, at all times meeting the full requirements of research governance.
· To act as educational supervisor and appraiser as delegated by the divisional director/service director.
· Participate fully in continuing professional development to ensure that skills and knowledge are updated in line with relevant medical developments. In addition, consultants will be expected to undertake some non-clinical training and development at the discretion of the trust management, for example, Leadership Training.
· Excellent research opportunities are available throughout the Trust and with Imperial College. A number of funding opportunities are available from the Trust Research Committee and the Trust has experience in obtaining funds from among others the Department of Health, Medical Research Council, BBSRC, and the Welcome Trust.
· The Trust supports and has facilitated a large number of Honorary Academic appointments with Imperial College Faculty of Medicine. Opportunities should be discussed with the Divisional Medical Director/Service Lead/ Divisional Director of Operations.
PerformanceManagement
Thepost-holder isrequiredtoworkwithmedical,nursing,otherclinicalandmanagerialcolleaguesto ensurehighperformanceinthefollowingareas(where applicable):
· Clinical efficiency e.g. relating to surgical productivity and case mix of patients seen in clinic.
· Quality of outcomes e.g. number of patients readmitted due to complications within 3 months of discharge, number of revisions undertaken within 12 months of the primary procedure.
· Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
· Operational efficiency e.g. day-case rates, waiting list activity and demand management.
MedicalStaffManagement andAccountability
· Work with colleagues to ensure junior doctors’ hours are compliant.
· Ensure that Trust systems and procedures are in place and followed to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments.
· Adhere to Trust/department guidelines on leave, including requesting and reporting absence, and professional and study leave, and to ensure that members of staff for whom you are responsible do the same.
· Participate in the recruitment and induction of junior medical staff as delegated by the Clinical Director/Service Directors.
· Participate in team objective setting as part of the annual job planning cycle.
· Be responsible for ongoing assessment and regular appraisal of all doctors in training, Trust doctors and non-consultant grades as delegated by the Clinical Director/Service Lead /General Manager.
· Participate fully in regular departmental activities including department meetings and team building activities.
Governance
· Review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director/Service Lead and participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
· Work closely with the Directorate in relation to clinical and services developments as delegated by the Clinical Director/Service Directors.
· Participate in ensuring BAUS, NICE, NSF and other national guidance requirements are reviewed and implemented and monitored in the specialty areas.
· Ensure clinical guidelines and protocols are adhered to by junior medical staff and any other staff for whom the post has responsibility and that these are updated on a regular basis.
· Keep fully informed about best practice in specialty areas and ensure implications for practice changes are discussed with the Clinical Director/ Service Lead.
· Role model good practice for infection control to all members of the multidisciplinary team and adhere to the Trust Infection Control measures (available on the Trust Intranet).
· Report all clinical and non-clinical accidents or incidents promptly, and to co-operate accordingly with any investigations undertaken.
· Comply with the consent process outlined in the NHS England service specification for Gender Identity Services: care must be personalised and based on shared decision making with patients offered a choice of techniques and procedures which meet the eligibility criteria.
Strategy andBusiness Planning
· Work with clinical and managerial colleagues to support development of the gender dysphoria surgery service including the business planning and objective setting process for the directorate and Trust where appropriate.
· Represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director/Service Directors.
· Attend and contribute at regular Departmental meetings as identified by the Clinical Leads.
LeadershipandTeam Working
· Demonstrate appropriate leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.
· Participate in any necessary management and leadership development courses as required by the Trust.
· Work collaboratively with all members of the multi-disciplinary team, Imperial College London and other stakeholders as required.
· Set up and chair meetings relevant for clinical domain.
· Promote local resolution of any conflict or differences of opinion and involve appropriate parties for mediation, negotiation or discussion as appropriate.
· Provide commitment and leadership in relation to equality and appropriate senior level management of diversity issues, particularly as they apply to training, people management and service delivery.
· To adhere to Trust/departmental guidelines on leave including reporting absence.
Appraisal and Revalidation
The post-holder is required to participate in the annual appraisal system in line with the Trust’s appraisal and revalidation guidelines. Individual appraisal interviews will be held annually and reports, (including updated job plans) submitted to the Medical Director or HR Director. You are expected to inform yourself of the annual timetable for appraisal and ensure that appropriate time is set aside to update your portfolio and your mandatory requirements.
Surgeons must demonstrate evidence of continuing training and mentoring in the relevant GAS techniques, reported through appraisal. In accordance with the NHS England Service Specification for Gender Identity Services, surgeons must engage regularly (at least once a year) with a group of peers (with national or international peers working in another organisation or surgical team), and share and review data on caseload, outcomes and complications experienced in their practice.
Furthermore, the treating surgeon must have insight into each patient’s history and the rationale that led to the referral for surgery. To that end, surgeons must demonstrate good communication with patients through multi-source feedback as part of their appraisal; and have close working relationships with NHS England-commissioned specialist Gender Dysphoria Clinics and with other health professionals who have been actively involved in their clinical care.
This advert closes on Thursday 19 Mar 2026