Medecho LTD • Kingston Upon Thames, South West London
About this role
Locum SHO (CT1) – General Surgery
NHS Trust | ASAP Start | Full‑time | On‑site
Job Summary
The Locum SHO (CT1) in General Surgery will support the safe and effective management of surgical inpatients and emergency admissions. The postholder will work closely with registrars and consultants across general, colorectal, and upper GI surgery (depending on Trust structure). Duties include ward cover, clerking acute admissions, assisting in theatre, and supporting day‑to‑day surgical care.
Key Responsibilities
Ward management — Daily review of surgical inpatients, documentation, ordering investigations, and implementing management plans.
Clerking acute admissions — Assess and clerk emergency surgical patients from ED and AMU, including initial investigations and escalation.
Theatre assistance — Assist in elective and emergency theatre lists under registrar/consultant supervision.
Post‑operative care — Monitor post‑op patients, manage complications, and escalate concerns promptly.
On‑call duties — Participate in the general surgery on‑call rota (nights/weekends depending on Trust).
MDT collaboration — Work with anaesthetics, radiology, gastroenterology, and specialist nurses.
Procedures — Perform cannulation, venepuncture, catheterisation, NG tube insertion, wound care, and basic suturing.
Clinical governance — Attend teaching, contribute to audits, and participate in morbidity & mortality meetings.
Required Qualifications & Experience
GMC full registration with licence to practise
Minimum CT1‑level experience in surgery or acute medicine
Competence in basic medical and surgical procedures
Experience managing acutely unwell patients
ALS certification (or willingness to obtain)
Desirable Experience
Previous experience in general surgery, colorectal, upper GI, or emergency surgery
Basic suturing and wound management skills
Experience with surgical clerking and peri‑operative care
Participation in audit, QI, or research
Skills & Competencies
Strong clinical judgement and ability to escalate appropriately
Excellent communication with patients, families, and MDT
Ability to prioritise workload in a fast‑paced surgical environment
Commitment to high standards of documentation and patient safety
Work Schedule
Full‑time, typically 40 hours per week
Mix of ward work, emergency admissions, and theatre
On‑call commitments depending on Trust rota
ASAP start, initial contract 1–3 months with potential extension
Additional Information
Full induction provided
Access to departmental teaching and simulation training
Support from registrars and consultants at all times
Opportunities to gain experience in
Emergency general surgery
Colorectal and upper GI surgery
Trauma (if applicable)
Pre‑operative and post‑operative optimisation