NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
MS/0116/01
Quote on all correspondence
Consultant
Monklands Hospital
10 PAs per week (Part-time may be considered)
£76,761 - £103,490
Thursday 11th February 2016
Your Application
Thank you for expressing an interest in the above post within NHS
Lanarkshire. Please find all the relevant information attached to begin
the application process.
Should you require further information regarding this post you can
contact the Medical Staffing team or make informal enquiries with the
department using the contact details below.
To ensure we can process your application as easily as possible please
complete all the information required within the Application Pack and
email with your CV.
Contact Details
Telephone
Email
01698 377735
pamela.migues@lanarkshire.scot.nhs.uk
Application
Process
To apply, please email your CV to the above, along with the attached
completed Application Pack.
5 Recruitment 2 Recruitment Application Pack - Master
Lanarkshire
Sept12.doc
NHS Inserts.pdf
Additional
Arrangements
Informal enquiries regarding this post will be welcomed by:Mr A Khan
Associate Medical Director 01698 366174
Dr R Mackenzie
Chief of Medical Services
01236 712584
Mrs A Fyfe
Director
of
Hospital 01236 712584
Services
Mr I Dunn
Clinical Lead
01355 584760
Date when the
post is Vacant
The post is vacant immediately and a start date will be agreed with the
successful candidate.
NHS Lanarkshire
For further information regarding NHS Lanarkshire and it’s hospitals,
please visit our website:- www.nhslanarkshire.org.uk
We are an Equal Opportunities Employer and Positive about Disabled People.
Page 1
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
Integration of
Health and
Social Care
Services
Public Bodies (Joint Working) (Scotland) Act 2014
The Act above has made changes to the law that will create statutory
Health and Social Care Partnerships in each local authority in
cooperation with health boards to replace Community Health
Partnerships (CHP’s).
In Lanarkshire two Health and Social Care Partnerships have been
developed, one each in North and South Lanarkshire and from April
2015 these replace existing CHP’s. Discussions between NHS
Lanarkshire and the two Local Authorities are on-going in considering
the range of services that will be managed through the Health and
Social Care Partnerships.
In both North and South a Shadow Integration Board is now in place.
Integration Schemes have been submitted to Scottish Government for
approval, on which a Joint Integration Board will be established. This
service may in the future be included within this range.
Management
Structure
The supporting operational and clinical management structures are
focused on enhancing patient safety, quality improvement and local
delivery at hospital level, with visibility of clinical leadership and support
for individual professional accountability. Our Medical Managers will
provide professional leadership to medical staff, ensuring that they are
effectively developed, organised, integrated and managed to support the
strategic aims of each Division and meet the needs of the patient.
Management Structure Overview (Acute)
Director of Acute Services
Associate
Medical Director
COTE
Director of
Hospital Services
Hairmyres
Director of
Hospital Services
Monklands
Director of
Hospital Services
Wishaw
Director of Access
Chief of Medical
Services
Hairmyres
Chief of Medical
Services
Monklands
Chief of Medical
Services
Wishaw
Associate
Medical Directors
Clinical Directors
Deputy CD's
Leads
Various Specialties
Clinical Directors
Deputy CD's
Leads
Various Specialties
Clinical Directors
Deputy CD's
Leads
Various Specialties
Divisional
Medical Director
Page 2
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
POST INFORMATION
The Post
The successful candidate for the post of Consultant Urologist in NHS
Lanarkshire based at Monklands Hospital with day patient and
outpatient sessions at Wishaw General Hospital will be appointed to a
full time 10 PA contract.
The precise details of the job plan will be dependent on the successful
candidate’s subspecialty training and interests.
The job is offered as a full-time post on a 10 PA basis but applications
will be considered from those wishing to work less than full-time. If fulltime up to 2 EPA’s may be available to undertake additional outpatient
and/or procedure sessions or management activity.
All new substantive Consultants are initially offered a minimum of 1 PA
for SPA duties but this will be reviewed within 6 months (or earlier if
required) of appointment and revised upwards if additional
responsibilities have been undertaken. Additional SPA time (up to 2.5
PA’s in total) can be incorporated into the job plan depending on the
time required to support the successful candidate’s professional
activities and the needs of the service.
NHS Lanarkshire is supportive of applications from individuals with well
developed ideas for improving services who are able to demonstrate a
commitment to quality improvement, patient safety (including human
factors training), Medical Education and Research & Development.
The Board has a well established, bespoke Medical Education and
Training Centre with simulation facilities and is developing a faculty for
Human Factors training. We have a strong commitment to Patient Safety
and Quality Improvement with an increasing number of consultants who
are trained Patient Safety Fellows.
Applicants who are able to demonstrate a commitment to any of the
above areas and wishing to commence on more than 1 PA for SPA
duties should discuss proposals with the identified Lead contact and
Service Medical Manager (Associate Medical Director or Divisional
Medical Director).
General
Provisions
You will report to Clinical Director, who will agree your job plan.
Page 3
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
Health and
Safety
You are required to comply with NHS Lanarkshire Health and Safety
Policies.
Junior Medical
Staff
You will be responsible for the training and supervision of Junior Medical
staff who work with you, and you will be expected to devote time to this
on a regular basis. In addition, you will be expected to ensure that staff
have access to advice and counseling. If appropriate, you will be named
in the contracts of Doctors in training grades as the person responsible
for overseeing their training and as the initial source of advice to such
Doctors on their career.
Page 4
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
Resources
The following department resources are available:Consultants
Mr. Khan
Mr. Sohail-Khan
Mr. Dunn
Mr. Nalagatla
Ms. Ramsay
Mr. De Souza
Ms. Reid
Special Interest
Renal
Pelvic Surgery
Laparoscopy
Stone Surgery
Stone Surgery
Pelvic Surgery
Laparoscopy
Specialty Doctors
Specialist Registrars on rotation from the West of
Scotland Training Scheme.
STR’s on BST
STRs/FY’s
Secretarial Support:
WTE Waiting List Schedulers (MH)
WTE Waiting List Co-Ordinator- (MH)
WTE Secretaries (WG)
WTE Secretaries (HM)
WTE Secretaries (MH)
3 + 1 LAS
0
2
2
1.42
1.00
2.53
3.57
3.50
Page 5
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
DUTIES AND RESPONSIBILITIES
Main Duties
 The successful applicant will undertake with existing colleagues the
continuing care of inpatients, day cases and outpatients in
Monklands General Hospital
Work
Programme

Participation in the out of hours general surgical rota with colleagues.

Provision of cover for colleagues during annual, study or sickness
leave.

Participation in the supervision, training and management of junior
medical staff.

Management responsibility where appropriate as agreed with the
clinical director.

Participation in staff appraisal process.

Participation in appropriate internal or external quality assurance
programmes.

Participation in clinical audit.

Participation in both undergraduate and postgraduate teaching
programmes.

Compliance with Royal College recommendations on continuing
Medical Education.
As required under Section 3 of the Terms and Conditions of Service, the
duties and responsibilities are supported by a job plan and work
programme detailed as follows:
Job Planning/Programmed Activities
The job plan will be dependent on the successful candidate’s
subspecialty training and interests. A minimum of 1 SPA will be included
in the job plan but please refer to the guidance above under the general
description of the post.
Page 6
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
On taking up post a Job Plan will be agreed between the person
appointed and the Clinical Director/Associate Medical Director. This job
plan is subject to review at least once a year by the post holder and the
Clinical Director/Clinical Lead as noted in the terms and conditions. The
procedures set out in the ‘Terms & Conditions of Service’ must be
followed if it is not possible to agree a job plan, either initially or at an
annual review.
The timetable is indicative and subject to negotiation with the Clinical
Director / Associate Medical Director. The core 10 PA working week will
be based on 9 PA’s of Direct Clinical Care (DCC) duties and 1 PA of
SPA time for a full-time post-holder.
The indicative weekly timetable included in the work programme shows
likely elective PA’s within the 10 PA post and indicated the location
where each activity will be undertaken and the type of work involved.
The successful candidate will be expected to contribute to the Urology
elective workload. The post holder will participate in the on call rota in
Monklands Hospital on a 1 in 7 rota.
Fixed
Commitments
At present the table below provides information about current fixed time
commitments. Daytime daily CEPOD lists are available for emergency
cases.
Days
Hours Type of Work
Location
Monday
AM
Main Theatre
Monklands Hospital
PM
Main Theatre
Monklands Hospital
Tuesday
AM
Haematuria Clinic
Wishaw Hospital
PM
MDT
Monklands Hospital
Wednesday AM
DSU
Wishaw Hospital
PM
Clinic
Wishaw Hospital
Thursday
AM
Clinic
Wishaw Hospital
PM
Clinic
Wishaw Hospital
Friday
AM
PM
The indicative timetable identifies those fixed commitments which are dependent on
other hospital resources, both physical and human.
Page 7
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
In addition, other
activities not
occurring at fixed
times.










Reviewing new admissions.
Discussing referrals, inpatient and outpatient with Colleagues (daily).
Discussing management/investigation of patients with colleagues in
other appropriate Clinical Support Services
Ward Referrals, Discussing patient management/ reviewing patients
with doctors in training and Nursing Staff out with formal ward
rounds.
Expeditious completion of discharges and completion of patient
administration duties e.g. verifying letters, signing off results etc.
Speaking to GP’s, outpatients re results.
Vetting Fast Track clinic referrals/ allocating appointments (daily).
Work towards generic and specialty objectives.
CPD and Appraisal
Audit
Audit and
research
The successful candidate will be expected to participate in audit
processes and there is an active clinical audit department available to
assist. NHS Lanarkshire is ambitious to build a portfolio of research
projects backed by enthusiastic and dynamic individuals. It has an active
Research and Development department and would welcome discussion
regarding a potential research interest.
Continuing
Professional
Development
Study leave is available within the terms and conditions of service with
the approval of the Clinical Director. The appointee will be required to
fulfill such demands for continuing professional development as the
Royal College of Surgeons (or other relevant bodies) may make.
Honorary
Academic Status
If involved in undergraduate teaching status can be applied for.
Applications can be made via the Hospital Sub-dean and then to the
appropriate academic department within the University.
Page 8
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
PERSON PROFILE
Attributes
Essential
Qualifications
MBChB or equivalent.
Useful
ChM, MD or equivalent.
FRCS (Exit Exam) or equivalent Higher Degree or other Diploma.
post-Graduate
qualification
in
Surgery.
Current full registration with GMC
with a licence to practice.
Training
Experience
Inclusion on GMC’s Specialist
Register or within 6 months of CCT
or CESR in Urology (CP) at
interview.
In possession of CCT or CESR in
Urology at the time of interview or in
an established training programme
and within six months of CCT (i.e.
pending exam).
Training at ST/SPR level
communication,
teaching
management.
Experience within
establishments
UK
in
or
training
Human Factors Training.
Recent
and
relevant
clinical Well
developed
subspecialty
experience and competency in interest.
Urology
with
wide
general
experience including experience in Administrative
/
Management
Urology.
experience.
Previous experience in organising
NHS or other health services.
Recent and relevant experience and
personal qualities to work in a busy
unit dealing with the high turnover of
planned
and
unscheduled
admissions.
Ability to supervise the clinical work
of doctors in training and relevant
staff in other disciplines.
Page 9
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
Confident with indirect supervision
of varying grades of doctors in
training.
Audit/Research
Publications
Teaching
Knowledge and
Skills
Well developed subspecialty interest
which complements current practice
within unit.
Understanding of the principles of Experience and interest in Audit of
medical audit.
general surgery practice and
experience of design of audit.
Evidence of contribution to audit at
least at local level.
Research within urology.
Awareness of principles of research
with an ability to critically analyse
medical literature.
Presentations relevant to the
practice of urology.
Involved in design of research
relevant to urology.
Previous publications relevant to
the practice of urology.
Presentations at national meetings
relevant to the practice of urology.
Previous involvement in the delivery Interest in and commitment to
of undergraduate or postgraduate teaching and training.
teaching.
Experience of providing problemExperience of providing supervision based teaching.
and or mentorship.
Experience of organising teaching
programmes.
Formal
training
in
educational/clinical supervision.
Broad based knowledge and skills in Further educational certificates,
diagnosis and clinical management diploma’s, etc
within
the
Specialty
and
encompassing most sub-disciplines. Good IT skills.
Experience of and/or interest in
audit and clinical management.
Previous experience in organising
NHS or other health services.
Page 10
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
Disposition
Committed to Quality Patient Care.
Problem
solver/diplomat/counsellor.
Able to be understanding of and
sensitive to the needs of patients.
A natural leader.
Excellent
communication
(verbal and written)
skills
Ability to work under pressure.
Ability to work effectively in a
multidisciplinary team.
Responsive
to
change
and
innovation, promoting a culture for
organisational development.
A flexible approach to duties, which
satisfies the needs of the Service in
a changing environment.
Ability to demonstrate reflective
practice with evidence of regular
appraisal with clear Personal
Development Plan relating to
Continuing
Professional
and
Personal Development.
Good time
organisation.
Managerial
management
and
Demonstrates commitment and
enthusiasm to service delivery.
Knowledge of service provision at a Involvement in service re-design.
local level.
Involvement in project delivery.
Awareness of the principles and
core practices involved in service Involvement
in
NHS-related
management, project management meetings.
and effective meetings.
Page 11
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
Leadership
Other
Awareness of the principles of team Evidence of role as leader within
leadership and effective people groups.
management.
Commitment to the Values of NHS
Lanarkshire:- Fairness, Respect,
Quality, Working Together.
A flexible approach to duties, which Personal and organisational skills
satisfies the needs of the Service in to contribute to running a busy
a changing environment.
service.
Satisfactory medical clearance by Preference to work in a District
NHS
Lanarkshire
Occupational General Hospital.
Health Service.
Current full driving licence.
Satisfactory PVG Check.
Fluent in medical English and
evidence of ability to communicate
in stressful situations.
If there is any reason why a disabled person The post requires physical dexterity.
should not be considered suitable for this
Uncorrected visual or hearing defect
post, please provide details:
would be incompatible with the nature of
the work.
Prepared By:Approved By:Name
Mr I Dunn
Mr A Khan
Designation
Clinical Lead
Associate Medical Director
Date
November 2015
November 2015
Page 12
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
TERMS AND CONDITIONS
a) This appointment is offered on the Terms and Conditions of the Consultant Contract.
Additional NHS Lanarkshire Policies which support the Contract are listed below and are
available on request:






Additional & External Duties
Fee –Paying Work in the New Consultant Contract
On-Call Availability and Payment of Supplement
Generic Objectives
Resident On-Call Duties
Waiting List/Additional Sessions
b) This appointment is superannuable under the NHS Superannuation Scheme, which is
contracted out of the State Earnings Related Pension Scheme (SERPS). All new eligible
employees commencing employment from 1 March 2013 onwards will automatically
become a member of the pension scheme and your remuneration will be subject to
deduction of superannuation contributions, current personal contributions range from 5.2%
for the lowest earners to 14.7% for the highest. Levels of contributions and scheme
regulations are subject to change, any changes will be communicated to you or can be
found on the SPPA website. Contributions are taken from your pay before tax, so you get
tax relief on any amount you pay. This can reduce the actual amount that you pay
between approximately 3.5% and 5.1% depending on your contribution rate, earnings level
and personal rate of tax. In addition to personal contributions NHS Lanarkshire will
contribute 14.9%.
In accordance with recent legislative changes, new eligible employees commencing from 1
March 2013 onwards will automatically be enrolled in the pension scheme. After
considering the benefits and personal circumstances, you can if you wish opt out of the
scheme. To opt-out, you must complete an opt-out form which is available on the Scottish
Public Pensions Agency website and return this to the Payroll Department, Kirklands
Cottage, Kirklands Hospital. Should you choose to opt-out in accordance with these
changes you will be enrolled into the scheme again every 3 years (June 2016, 2019 etc).
Under the NHS Superannuation Scheme Regulations pension records for short term
appointments, such as Bank Staff and the equivalent kind of contracts for other staff
groups, may remain open for short breaks in pensionable employment up to but not more
than 3 months from the date on which they last paid contributions. During this period the
member will continue membership in qualifying but not pensionable terms. Where the
period of break exceeds 3 months, membership of the scheme will be closed and leaver
information will be submitted to the Scottish Public Pensions Agency.
Page 13
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
From 1 April 2015 the NHS Pension Scheme is changing in line with other public pension
schemes. All those joining the scheme for the first time from 1 April 2015 will join the new
scheme. Existing members who are not protected will transfer to the new scheme, with
benefits in previous scheme(s) preserved. The new scheme will be based on a proportion
(1/54th) of the member’s pensionable earnings each year. The pension will be the sum of
each year’s value built up over the length of the member’s career and revalued each year
in line with the rate of inflation. This is called a Career Average Related Earnings scheme.
Normal pension age will be linked to the member’s individual state pension age. Some
existing members of the scheme will be protected, more information is available on the
SPPA website.
Further information on the scheme, protection and/or members guides are available at
www.sppa.gov.uk alternatively contact an advisor of The Scottish Public Pensions Agency
(SPPA) Tel: 01896 893000.
c) The employment is subject to 3 months’ notice on either side subject always to the appeal
and other provisions of paragraphs 10.4 & 10.5 of the Terms and Conditions of Service of
Hospital Medical and Dental Staff and Doctors in Public Health and the Community Health
Service Consultant Grade.
d) The successful candidate must be contactable throughout any on-call period.
Lanarkshire will provide the facility for this.
NHS
e) The successful candidate, if not already employed by the NHS Lanarkshire, will be
required to complete a medical questionnaire to obtain medical clearance from the
Occupational Health Physician.
f)
The successful candidate will be required to complete a disclosure Scotland PVG
(Protecting Vulnerable Groups Scheme) form. No approach will be made without written
permission of the successful applicant who will be asked to sign and complete a Disclosure
PVG application, giving authorization for the check to be undertaken.
g) NHS Lanarkshire does not negotiate salary placements. On commencement the salary will
be in line with paragraph 5.1 of the terms and conditions of the new consultant contract.
Appointees start on the scale minimum except in the circumstances of paragraphs 5.1.2 –
5.1.7 of the terms and conditions of service.
h) From 1st April 2015 the starting salary for the post is £76,761 per annum (based on 10
Programmed Activities per week). The successful candidate’s total salary will be
dependent on his/her previous service history. Remuneration for any extra programmed
activities will be dependent upon the job plan agreed at the time of appointment.
Page 14
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
i)
Dependent upon present place of residence, NHS Lanarkshire may require the successful
candidate to undertake to remove home to a distance acceptable to NHS Lanarkshire,
normally within 10 miles of the base Hospital, in which case removal expenses will be
payable in accordance with NHS Lanarkshire Policy. In some cases, however, a residence
more than 10 miles distant from the base hospital will be acceptable and in this case
removal expenses will be subject to the prior approval of the Associate Medical Director for
such a residence. The position will be made clear to the successful candidate on
application.
Page 15
NHS Lanarkshire – Information Pack
POSITION: Consultant Urologist
IMMIGRATION
Overseas
Doctors and
Dentists
Changes to
Immigration
Impact of
Change
Further
Information
EEA Countries
For the purpose of immigration status, overseas doctors and dentists are
those who, regardless of where they obtain their primary medical/dental
qualification, are not nationals of the European Economic Area (EEA). A list
of EEA countries is attached.
On 7th March 2006 the Department of Health announced changes to the
immigration rules for postgraduate doctors and dentists. The changes came
into effect on 3rd April 2006 and mean that all doctors and dentists who
wish to work in the UK from outside the EEA will need to meet the
requirements of an employment category such as the work permit
provisions. New applications for permit-free training visas will no longer be
granted for doctors undertaking training posts
Non-EEA doctors and dentists will still be able to come and train in the UK
and are still eligible to apply, in open competition for training posts provided
all the other eligibility criteria is met. However, training posts will now be
considered employment for immigration purposes. Work permits will only
be issued where there is a specific post for the overseas doctors that
cannot be filled by someone from the EEA.
The changes in immigration requirements for trainee doctors and dentists
are a result of a Scottish Executive Health Department announcement and
immigration issues are the remit of the Home Office. Clarification and
further information can be accessed from the following:Home Office
Work Permits
www.ind.homeoffice.gov.uk
Austria
Belgium
Bulgaria
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
NB – Switzerland is
as EEA nationals.
Greece
Hungary
Iceland
Republic of Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Malta
not in the EEA, Swiss
www.ukba.homeoffice.gov.uk/workingintheuk/
The Netherlands
Norway
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
Sweden
UK
Nationals have the same rights
Page 16