LAS ST3 in OMFS | Milton Keynes University Hospital NHS Foundation Trust

We’re offering an exceptional opportunity for a LAS ST 3-8, to join our innovative OMFS team. This role is perfect for someone who thrives in a fast-paced, collaborative environment and wants to make a real difference to patient care across a diverse community. You’ll be part of a service that values clinical excellence, teamwork, and continuous improvement.

3.1 Outpatient Clinics

• Assess, investigate, and manage patients with:
  • Intraoral hard/soft tissue lesions
  • Dentoalveolar pathology
  • Temporomandibular joint (TMJ) disorders
  • Head and neck lumps
  • Salivary gland pathology
  • Skin lesions
  • Oral and maxillofacial trauma
  • Suspected/confirmed head and neck malignancies
• Provide clear explanations, shared decision‑making, safety‑netting, 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 with training and supervision aligned to competence.
• Upskilling opportunities in neonatal tongue‑tie procedures for suitable candidates.
• 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: Out‑of‑hours service is provided by Luton & Dunstable Hospital; Milton Keynes does not provide local OOH cover.

3.4 Day‑to‑Day 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 and 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, evidence‑based practice.

3.8 On‑Call and Bleep Cover

• Share bleep/on‑call 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 self‑development 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 tongue‑tie, 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 problem‑solving in OMFS presentations.
• Excellent communication: clear notes, patient‑friendly 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 tongue‑tie, 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 and 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.

This advert closes on Sunday 12 Apr 2026.

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