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

Milton Keynes University Hospital NHS Foundation Trust; Milton Keynes; On-site; GBP 40,000 - 55,000; Full time

Job summary

A leading healthcare institution in Milton Keynes is seeking a LAS ST 3-8 to join the Oral and Maxillofacial Surgery (OMFS) team. This position offers the chance to enhance skills through a variety of procedures, including minor oral surgeries and aesthetic clinics. Candidates will help improve patient care while supervising junior staff and engaging in multidisciplinary collaborations. We value innovation and continuous improvement, making this an ideal opportunity for those passionate about advancing their medical careers.

Qualifications

• Strong clinical judgment and problem-solving in OMFS presentations.
• Excellent communication: clear notes, patient-friendly explanations.
• Ability to supervise and support junior medical staff.

Responsibilities

• Deliver safe, effective, and compassionate OMFS care.
• Supervise outpatient clinics and emergency referrals.
• Participate in audits and contribute to service improvement.

Skills

Strong clinical judgment

Excellent communication

Teamworking

Adaptability

Commitment to patient safety

Education

Medical degree

Job description

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.

What makes this role exciting? You’ll have the chance to develop advanced skills, gain exposure to a wide range of cases, and access structured support for professional growth, including leadership development and specialist training. We actively encourage innovation and provide opportunities to upskill in areas such as neonatal tongue ties, minor oral surgery under sedation, and aesthetic procedures like Botox clinics.

If you’re passionate about delivering outstanding care, eager to broaden your expertise, and want to work in a supportive, forward‑thinking department that invests in your future, this is the ideal next step in your career. Join us and help shape the future of OMFS services for our community.

You will play a central role in delivering high‑quality Oral and Maxillofacial Surgery services, including leading outpatient clinics, performing minor oral surgery procedures, and responding to emergency referrals. The position involves supervising junior staff, contributing to audits and multidisciplinary meetings, and supporting service development. Success in this role requires strong clinical expertise, excellent decision‑making, adaptability, and clear communication skills. A proactive approach to learning and a commitment to patient safety and teamwork are essential, with opportunities for professional growth and leadership development.

Milton Keynes University Hospital, in proud partnership with the University of Buckingham, is a University Teaching Hospital committed to advancing patient care through cutting‑edge research and education. With a “Good” rating from the CQC and significant investment underway, this is an exciting time to join our team and grow your career.

As a medium sized general hospital, we provide a full range of general medical and surgical services, including a busy Emergency Department, Maternity, and Paediatrics. As the population of our city and surrounding areas continues to grow rapidly, we are expanding and enhancing our facilities to meet rising demand and improve access to care for all our communities.

We are also proud to offer a growing portfolio of specialist services. In January 2025 we opened our state‑of‑the‑art Radiotherapy Centre, bringing advanced cancer treatment closer to home. Our services also include neonatology, specialist surgical care, and a wide range of diagnostics, supported by the new Community Diagnostic Centre at Whitehouse Health Centre.

Further investment is underway, including the construction of Oak Wards – a new ward block featuring two 24‑bed wards – and the recently approved Women and Children’s Centre, set to open by 2030.

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 patient‑centred service.

Purpose of the Role

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

Main Duties and Responsibilities

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 (training and supervision aligned to competence).
• Upskilling opportunities in neonatal tongue‑tie 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: 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/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.

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).

Accountability

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

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.

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.

Working Relationships

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

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 4 Jan 2026