Job responsibilities

1. About the Service

Milton Keynes is part of the Luton & Dunstable OMFS hub-and-spoke network, providing OMFS care to the communities of Milton Keynes, Bedford, Luton, Dunstable and Stevenage. The postholder is directly employed in Milton Keynes and will contribute to a modern, collaborative, and patientcentred service.

2. Purpose of the Role

To deliver safe, effective, and compassionate OMFS care; to contribute to the daytoday running of the service; and to support continuous improvement, education, and multidisciplinary collaboration.

3. Main Duties and Responsibilities

3.1 Outpatient Clinics

Assess, investigate, and manage patients with:

o Intraoral hard/soft tissue lesions

o Dentoalveolar pathology

o Temporomandibular joint (TMJ) disorders

o Head and neck lumps

o Salivary gland pathology

o Skin lesions

o Oral and maxillofacial trauma

o Suspected/confirmed head and neck malignancies

Provide clear explanations, shared decisionmaking, safetynetting, and timely documentation.

3.2 Operating Sessions

Undertake outpatient operating lists, primarily minor oral surgery under local anaesthetic (LA).

Participate in IV sedation sessions for suitable cases (training and supervision aligned to competence).

Upskilling opportunities in neonatal tonguetie procedures (for suitable candidates not yet experienced).

Potential to undertake procedures under GA where appropriate.

Introduce and deliver treatment for skin lesions and Botox clinics (training provided as needed).

Organise junior staff on operating lists and ensure efficient, safe list flow.

3.3 Accident & Emergency and Urgent Referrals

Hold the departmental bleep during working hours and respond promptly to emergencies from ED and other specialties.

Provide initial assessment, stabilisation, and onward management plans.

Note: Outofhours service is provided by Luton & Dunstable Hospital; Milton Keynes does not provide local OOH cover.

3.4 DaytoDay Service Management

Share responsibility for the daily running of OMFS clinics, theatres, and urgent pathways.

Prioritise cases, manage waiting lists, and maintain safe patient flow.

Escalate risk appropriately and contribute to rota resilience.

3.5 Governance, Audit, and Service Improvement

Attend regular audit meetings (with normal clinical activity paused to enable full participation).

Contribute to internal/external audit, clinical effectiveness, and risk management.

Lead on selected audits and support the implementation of improvements and service developments.

3.6 Multidisciplinary Team (MDT) Working

Participate in MDTs, including the Head & Neck cancer MDT, ensuring timely information sharing and coordinated care.

Collaborate with dental, ENT, oncology, radiology, pathology, anaesthetics, nursing, and AHP colleagues.

3.7 Teaching, Supervision, and Team Development

Supervise and support junior medical staff and other learners in clinics and theatres.

Provide constructive feedback, contribute to teaching sessions, and model safe, evidencebased practice.

3.8 OnCall and Bleep Cover

Share bleep/oncall hours with other middle grades (during service hours as per rota).

• Ensure reliable handover and continuity of patient care.

4. Professional Development

• Take responsibility for selfdevelopment through supervised practice, courses, and reflective learning.
• Engage with the Trust annual appraisal process and personal development planning.
• Access leadership development and targeted upskilling (e.g., neonatal tonguetie, sedation practice, aesthetic procedures).

5. Accountability

• Clinically responsible to, and report to, the Consultant Oral & Maxillofacial Surgeon.
• Work within departmental and Trust policies, clinical governance frameworks, and professional standards.

6. Key Skills and Qualities (Role Essentials)

• Strong clinical judgment and problemsolving in OMFS presentations.
• Excellent communication: clear notes, patientfriendly explanations, effective handovers.
• Teamworking and supervision skills with a supportive approach to juniors.
• Adaptability, organisation, and resilience in a dynamic clinical environment.
• Commitment to patient safety, audit, and continuous improvement.
• Willingness to upskill in LA/IV sedation procedures, neonatal tonguetie, and aesthetic clinics as appropriate.

7. Expected Outcomes and Standards

• Safe, timely assessment and treatment across clinics, theatres, and urgent referrals.
• Reliable documentation, coding, and adherence to pathways and guidelines.
• Active participation in audits/MDTs with demonstrable service improvements.
• Effective supervision and positive team culture.
• Consistent engagement in appraisal and development objectives.

8. Working Relationships

• OMFS Consultants, Specialty Doctors, trainees, nursing and AHP teams.
• Emergency Department, ENT, oncology, radiology, pathology, anaesthetics, dental services, and primary care referrers.

9. Additional Information

• The role is funded for 9.5 PAs per week: 7 PAs Direct Clinical Care (DCC) and 2.5 PAs SPA/Admin supporting clinical activity.
• Duties may be adjusted in line with service needs, competence, and development goals, following appropriate supervision and governance.

Qualifications

Essential

• MBBS or equivalent medical qualification

Desirable

• MRCS
• DOHNS

Registration

Essential

• GMC Registration and license to practice
• Evidence of achievement of Foundation competencies in line with GMC standards

Experience

Essential

• Previous work in an NHS post

Desirable

• Prior experience of working in an ENT post

Language skills

Essential

• Have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues

Clinical skills

Essential

• Technical Knowledge & Clinical Expertise: capacity to apply sound clinical knowledge & judgement & prioritise clinical need. Demonstrates appropriate technical competence with potential for developing strong/complex clinical/diagnostic skills

Desirable

• shows aptitude for practical skills e.g. hand-eye coordination, dexterity, Visiospatial awareness
• Attendance at relevant courses, e.g. ALS, ALERTS or equivalent
• Previous experience in ENT

Specialty specific skills related to the post

Essential

• Research skills: demonstrates understanding of the basic principles of audit, research and evidence-based practise, with potential to contribute to research

Desirable

• Evidence of relevant academic & research achievements
• Evidence of active participation in audit
• Evidence to contributing to teaching & learning of others
• Evidence of participation in risk management and/or clinical/laboratory research

Personal Skills

Essential

• Capacity to operate effectively under pressure
• Awareness of own limitations
• Capacity to communicate effectively and sensitively with others
• Demonstrates effective judgement and decisionmaking skills
• Capacity to work effectively in a multi disciplinary team & demonstrate leadership when appropriate
• Capacity to manage time and prioritise workload, balance urgent & important demands & follow instructions

Skills

Essential

• Takes responsibility for own actions
• Demonstrates respect for the rights of all
• Demonstrates awareness of ethical principles, safety, confidentiality and consent.

Commitment to Speciality

Essential

• Shows realistic insight into surgery and the demands of a surgical lifestyle
• Shows critical & enquiring approach to knowledge acquisition

Desirable

• Extracurricular activities/achievements relevant to surgery

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).