University Hospitals Bristol NHS Foundation Trust
Bristol Royal Hospital for Children
Locum Consultant Paediatric Gastroenterologist
Monday 31st March 2014 to Thursday May 1st 2014
Advert number:
Ref WC
Date published:
Closing date:
Provisional Interview Date:
Applications are invited for a Full time (10 PA) Locum Consultant Paediatric
Gastroenterologist.
He/she must possess CCT in general paediatrics and have undergone at least 2.5
years sub-specialty training in paediatric gastroenterology, hepatology & nutrition.
He/she must be fully trained in diagnostic endoscopy and be able to operate
independently. This full time locum vacancy is likely to lead to a Consultant post
(6PA), which will be advertised separately.
The University Hospitals Bristol NHS Foundation Trust (UHBristol) consists of a
variety of hospitals predominantly on a single campus close to the city centre and the
University, including the Bristol Royal Infirmary and Bristol Royal Hospital for
Children. The majority of clinical specialties are represented in the hospitals of the
Trust which serves a catchment population of over 400,000 people. The UHBristol
provides healthcare for the local community and a wide range of specialist services
for regional, national and international patients. Hospitals within the Trust are closely
linked with the University of Bristol and University of the West of England (UWE)
and are the principal teaching hospitals in the Region. An active postgraduate
education facility is situated at the UHBristol.
Initial enquiries concerning the posts can be made directly to: Dr Christine Spray
0117 3428827 – email Christine.Spray@uhbristol.nhs.uk
UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION TRUST
JOB DESCRIPTION
Mission
We will provide patient care, education and research of the highest quality.
Trust values
We put patients first
We involve, develop and support staff
We promote innovation and improvement
We pursue excellence in everything
We respect others and treat everyone as We are accountable for our use of public
equals
resources.
We work in partnership to improve the health and well being of the community,
within a sustainable environment.
Locum CONSULTANT IN PAEDIATRIC GASTROENTEROLOGY,
HEPATOLOGY AND NUTRITION (10PA)
March 31st 2014 to May 1st 2014
1.
THE POST
This full time locum is to cover Professor Sandhu’s retirement. The locum will
join two existing Paediatric Gastroenterology Consultants, Dr Christine Spray
and Dr Dharamveer Basude, based at the Bristol Royal Hospital for Children.
The team provides a tertiary service in Paediatric Gastroenterology,
Hepatology and Nutrition to the whole of the South West Region and parts of
Wiltshire with a referral population of approximately 1 million children. The
department is actively involved in clinical research and teaching trainees. It
works as a multidisciplinary unit. The applicant should be trained in General
Paediatrics and possess a CCT in general paediatrics. The applicant should
have desirably spent three years in approved posts/programmes or in
departments recognised for training in paediatric gastroenterology,
hepatology and nutrition. It is essential that he/she is able to perform upper
and lower gastrointestinal endoscopy, independently.
2. UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION TRUST
(UHBristol)
Situated in the heart of Bristol, UHBristol is a large city centre Teaching Trust
employing over 7000 staff, with annual revenue of nearly £400 million and with a
total of 1156 beds throughout the Trust. We are one of the largest employers in
Bristol and provide a wide range of in-patient, out-patient and day-care services to
the local population within Bristol, as well as being the biggest specialist referral
centre for the South West England.
2
Bristol is a vibrant city with excellent travel access to the South West, Wales,
London and the North. Bristol airport is an expanding centre for air travel, with
many national and international connections.
Hospital and outpatient services are based over eight sites comprising: the Bristol
Royal Infirmary, Bristol General Hospital, Bristol Eye Hospital, Homeopathic
Hospital, Bristol Haematology and Oncology Centre, Bristol Dental Hospital, St
Michael’s Hospital and Bristol Royal Hospital for Children. A significant capital
redevelopment programme is underway with re-provision and expansion of
facilities for Paediatric, Cardiac and Medical patients.
The Hospital has close links with both city Universities. University of Bristol is
the largest Medical School in Southwest England, with Bristol Royal Infirmary
delivering the largest proportion of teaching to its Medical and Dental Students.
The Trust Executive Group has bi-monthly meetings with its teaching and
research partners. The Dean of the Medical and Dental School is a non-Executive
Director of the Trust.
The Trust Board consists of 7 Executive members and 7 Non-Executive Directors
including 1 independent member. There are four public Board meetings a year,
normally held on the fourth Tuesday of the month. In addition, the Trust Board
holds an Annual General meeting, normally in September. Members of staff and
public are welcome to attend these meetings.
The Public Trust Board Meeting agenda contains issues for decision on major
strategy and policy direction, as well as regular public reporting on performance
against key targets.
As a Foundation Trust, UH Bristol are accountable to the local community and
patients. The community and patients are invited to become members of the Trust
and currently the Trust has 8,500 members. The membership, which includes
staff members, voted in a formal election for governors to represent them on the
Membership Council which sits alongside the Trust Board. The Council advises
the Board on strategic direction and members and governors are active in
improving the services at the Trust.
The Trust structure is based on five autonomous Clinical Divisions:

Medicine and Emergency Care

Surgery and Head & Neck

Women’s and Children’s Services

Specialised Services

Diagnostic and Therapy Services
The Divisions are supported by a sixth Division – Trust Services which comprises
of a number of corporate functions including Finance, IM&T, and Human
Resources.
A clinical Head of Division, supported by a Divisional Manager leads each
Division.
3
The Trust is committed to increasing both clinical engagement and the
involvement of staff and their representatives in key decisions. A Clinical
Reference Group comprising senior clinicians and representatives of clinical
professions including the Heads of Divisions, is chaired jointly by the Medical
Director and Chief Nurse/Director of Governance.
The group works collaboratively with a range of committees and groups within
the Trust, in order to ensure that there is strong clinical advice, leadership and
engagement in all decision-making processes.
3.
UNIVERSITY OF BRISTOL LINKS
The University of Bristol Faculty of Medicine
http://www.bris.ac.uk/fmd/
The University of Bristol offers an exciting academic environment with centres of
excellence in all of its faculties. It also has an ambitious programme for
expansion and a well-established major “campaign for resources” to facilitate
future developments. The University is in the city centre and the medical school
and basic science departments are within walking distance of UHBristol.
Bristol is one of the few universities with schools of medicine, dentistry and
veterinary science, all in close proximity. The Medical School has an intake of
250 students each year to its undergraduate medical course following recent
expansion. The Dental School has also recently expanded and now has an intake
of 75 undergraduate students per year.
The Faculty’s research philosophy is to undertake internationally recognised basic
and applied medical and health services within a setting which patients are cared
for in association with undergraduate teaching and postgraduate training.
4.
THE DIVISION OF WOMENS AND CHILDREN SERVICES
The Bristol Royal Hospital for Children was founded in 1866 and is the
second oldest Children’s Hospital in the country. In April 2001 the hospital
relocated to new purpose built premises immediately adjacent to and linked to
the Bristol Royal Infirmary and the Bristol Oncology and Haematology
Centre. The hospital specialties include acute paediatrics, sub specialty
paediatrics, cardiology and cardiac surgery, nephrology, intensive care (15
beds), haematology and oncology, paediatric surgery, most surgical
subspecialties and a bone marrow transplant unit. There is an adolescent ward
facility. Each year approximately 27,000 children are seen in the paediatric
emergency department.
A short stay day unit, a clinical decisions unit and a clinical investigations unit
are available. A full range of investigative facilities are available including
neurophysiology and there are comprehensive imaging services including MRI
and CT supported by a team of paediatric radiologists. The Bristol Royal
4
Hospital for Children is the regional centre for paediatric intensive care,
cardiology, haematology and oncology, neurology, paediatric surgery, clinical
genetics, endocrinology, gastroenterology, respiratory paediatrics and
paediatric immunology and infectious diseases including HIV. The hospital
provides supra-regional services in bone marrow transplantation, cardiac
surgery and nephrology / dialysis.
The remaining specialist paediatric services provided by North Bristol NHS
Trust (paediatric neurosciences including neurology and neurosurgery, burns
and plastic surgery) will be transferring to the Bristol Royal Hospital for
Children to provide a comprehensive single-site paediatric in-patient facility in
2012/13.
St. Michael's Hospital accommodates the Neonatal Intensive Care Unit
which services approximately 5000 births per annum. NICU has 25 cots and
supports the regional feto-maternal medicine department and provides a
regional service for neonatal surgery. St. Michael’s is a level 3 unit which
delivers general neonatal intensive care and manages surgical, extremely
preterm and complex newborn infants. Newborn infants requiring subspecialty
input (nephrology, urology, endocrinology, neurology and pre operative
cardiology) are managed within the neonatal unit.
5.
THE WORK OF THE DEPARTMENT
The Paediatric Gastroenterology and Nutrition service is based within the
Bristol Royal Hospital for Children. The service is Consultant led and
supported presently by 3 FT specialist Consultants Professor Bhupinder
Sandhu, Dr Christine Spray and Dr Dharamveer Basude. The successful
candidate will cover the FT work for Professor Sandhu whilst she is on
required leave for retirement prior to her return. The gastroenterology
department provides a regional service for children and young adults in Bristol
and the South West (referral population of approximately 1 Million children)
with acute and chronic GI and Liver disease and those requiring nutritional
support. The annual number of new inflammatory bowel disease patients per
year has been approximately 50 new patients per year, diagnosed at the Bristol
Royal Hospital for Children with a total of approximately 400 children with
IBD being managed either directly or as shared care within managed clinical
network. Dr Spray is primarily responsible for the hepatology service and Dr
Basude is the lead for Nutritional services. All Consultants look after patients
with IBD. Management of regional tertiary patients is via shared care with the
local DGH paediatrician or locally designated lead Consultant who has/or is
developing a special interest in patients with gastroenterological conditions.
The department is committed to further development of clinical network
within the region. Presently 4 out-reach clinics are held each year in Swindon
and Truro. We hold regular educational meetings with our colleagues where
difficult cases are discussed.
Annually over 1,400 children with gastro intestinal problems are seen in the
gastroenterology outpatient clinics, with approximately 400 new patients seen
5
per year. There is facility to see urgent new referrals and follow ups on the
medical clinical investigations unit.
The hospital is the regional centre for many specialities, both regional and
national, and has become the lead centre for paediatric care in the south west
region. The department works extremely closely with Paediatric Surgical
Department looking after neonates with intestinal failure and Miss Cusick is
the primary liaison surgeon for IBD surgery. Presently we supervise 10
children on home TPN. A monthly joint gastro surgical clinic is held. There
are weekly clinical pathological meetings and gastro radiology meetings.
There is also close liaison with adult gastroenterology, hepatology and adult
surgical colleagues based at the BRI services adjacent to the Children’s
Hospital. A twice yearly adolescent transition clinic takes place in
gastroenterology & hepatology. Dr Spray takes the lead for hepatology and
holds a monthly liver clinic and collaborates closely with Birmingham supraregional liver unit and undertakes investigations such as liver biopsy. A joint
clinic is held twice yearly with Dr McKiernan.
A full range of diagnostic and therapeutic endoscopic services are available.
There are 2 endoscopy lists per week and flexibility to perform additional
emergency cases on the CEPOD list. Dr Basude undertakes various
therapeutic endoscopy procedures such as upper & lower polypectomy,
oesophageal and colonic dilatation and oesophageal variceal banding. We are
in the process of developing a video capsule endoscopy service.
Support for specialist GI investigations is maintained by a nurse specialist,
Mrs Jackie Porter who undertakes oesophageal pH & impedance studies and
manometry in addition to various breath tests. A second nurse specialist, Mrs
Sarah Sandman provides an invaluable liaison support service between
patients, their families and Consultants.
The clinical workload of the department will be shared between all 3
Consultants composing of 2 weeks on service followed by 2 weeks off service
when possible according to diary commitments and agreed amongst
colleagues. The on service Consultant will be responsible for acutely unwell
in-patients, Consults and urgent new referrals and cover for urgent reviews of
chronic patients if named Consultant not available. The remaining 2 weeks
will be called off service and during that week each Consultant will do 2
clinics (Tuesday & Wednesday afternoon) as a regular commitment. A weekly
elective endoscopy list will be covered by the 3 Consultants. Urgent
endoscopy will be primarily the responsibility of the Consultant on service but
may need help from colleagues depending on commitments. Presently, extra
endoscopy lists are requested on an ad hoc basis in order to meet demand and
is agreed flexibly amongst Consultants.
Consultant Staff
6
Professor Bhupinder Sandhu
Consultant in Paediatric Gastroenterology – vacant post due to
retirement
Dr Christine Spray
Consultant Paediatric Gastroenterologist (Hepatology lead)
Dr Dharamveer Basude
Consultant in Paediatric Gastroenterology (Nutritional Lead)
Miss Eleri Cusick
Consultant Paediatric Surgeon, main liaison surgeon for IBD
Dr Pramila Ramani
Consultant Paediatric Histopathologist
Dr David Grier / Dr Stephanie MacKenzie
Consultant Paediatric Radiologist
Mrs Sarah Sandman
Mrs Jackie Porter
Miss Laura Sealy
Miss Kirsten Thomson
GI nurse specialist
GI Investigation Nurse (Part-Time)
Paediatric Dietician
Pharmacist
Junior Staff
1 National grid trainee (year 1)
1 Specialist Registrar on general paediatric rotation (year 3)
1 ST 2 (general paediatric rotation)
Support Facilities (Offices/Secretary):
Mrs Pauline Spencer is the FT secretary and additional 0.5 secretarial support
has been allocated to the department. Office accommodation and computer
will be provided and shall be housed in the King David Building.
6.
DUTIES AND RESPONSIBILITIES
a) Clinical:
The successful candidate will be expected to comply with all relevant Trust
policies relating to administration of patient care. This includes working to set
timescales for the triage of referrals, the completion of discharge summaries
prior to patients being discharged, following the specified process for the
management of patients that do not attend (DNA) their appointment or
admission, and the completion of all paperwork deemed necessary to support
the management of their patients within agreed timescales. Consultants are
7
also expected to work with service managers and clinical colleagues to
manage their caseload in a flexible way, to ensure both clinical, national and
local priorities, such as maximum waiting times for referral to treatment, are
achieved.
b) Managerial
The management responsibility of the post-holder will be to the Head of
Division who is responsible to the Chief Executive and Trust Board.
c) Clinical Audit and Clinical Governance
The successful appointee is expected to take a full role in the delivery of the
Trust’s wide agenda for Governance. The Trust believes in an open learning
environment with a clear risk management strategy that allows innovation and
improvement in care whilst placing patient safety at the centre of our values.
The Consultant will take an active part in the department audit arrangements.
d) On-Call Commitment
No formal on-call commitment
e) Leave
6 weeks and 2 days per year, of which two are in lieu of the two NHS statutory
days.
Consultants who have completed seven years service in the consultant grade
will receive two additional days leave.
There is no locum policy and consultants in the department participate in
cover for annual and study leave. Absence must be planned in advance by
discussion with consultant colleagues.
f) Annual Appraisal
All staff within the trust participate in a formal appraisal process and attend an
appraisal meeting on an annual basis. The aim of the appraisal process is to
improve the quality of health services provided by the trust through the
development and enhancement of employees’ job performance.
For consultants, the appraisal process involves using the NHS Appraisal toolkit
to provide a framework to identify development needs. The process also
includes providing an ongoing portfolio of supporting evidence which conforms
to national, General Medical Council and Royal College standards and
guidance. On going monitoring of progress of the Personal Development Plan
continues throughout the year leading to a final progress review towards the end
of the year. The Medical Director holds a list of the Trust’s trained and
approved medical appraisers and the trust’s appraisal policy can be found on the
trust’s ‘HR Web’ site.
8
g)
Continuing Medical Education
The Trust supports the requirements for continuing Medical Education and is
committed to providing time and financial support for these activities.
h)
Teaching
This is a teaching Trust and the Consultant will teach medical students as part
of the commitment of their Division to undergraduate education.
On occasions, a practitioner may be asked to give lectures to healthcare
professionals.
i)
Research and Effectiveness
UHBristol is a leading international centre for healthcare research and
education and has a considerable reputation for innovative research and
development.
The appointee will be expected to contribute to the Trust’s research portfolio
through active participation in projects led by colleagues (internal and
external), through supervising research performed by trainees and through
initiating research projects which address local, national and international
healthcare needs. Collaboration with University partners, including the
Universities of Bristol and the West of England with which the Trust has close
links, will be actively encouraged. In addition, the Trust supports involvement
in high-quality commercially sponsored research studies which are of benefit
to the Trust and the patients in its care.
All research must be performed in accordance with the Research Governance
Framework. The Trust's active Research and Development Office and the pan
Bristol Research and Development Support Unit will support consultants
involved with research, which provide high-quality training and guidance as
well as support for individual projects.
7.
MEDICAL ADVISORY MACHINERY
The post-holder will be a member of the Hospital Medical Committee (HMC)
and the Division of Women and Children
8.
WORK PROGRAMME
The work programme attached to this job plan is detailed in Appendix A.
Agreement should be reached between the appointee and the Head of Division
with regard to the scheduling of the Supporting Professional Activities.
The job plan will be reviewed annually and all consultants are reminded of the
obligation to remain up-to-date with statutory and mandatory training.
9.
GENERAL PROVISIONS
9
You will be expected to work with local managers and professional colleagues
in the efficient running of services and will share with Consultant colleagues
in the medical contribution to management. Subject to the provision of the
Terms and Conditions, you are expected to observe the Trust’s agreed policies
and procedures, drawn up in consultation with the profession on clinical
matters, and to follow the Standing Orders and Financial Instruction of the
University Hospitals Bristol NHS Foundation Trust. In particular, where you
manage employees of the Trust, you will be expected to follow the local and
national employment and personnel policies and procedures. You will be
expected to make sure that there are adequate arrangements for hospital staff
involved in the care of your patients to be able to contact you when necessary.
All medical and dental staff employed by the Trust are expected to comply
with all Health and Safety Policies within the University Hospitals Bristol NHS
Foundation Trust.
You will have responsibility for the training and supervision of (junior)
medical staff who work for you and you will devote time to this activity on a
regular basis. 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 careers.
10.
MAIN CONDITIONS OF SERVICE
a) The post is covered by the Terms and Conditions – Consultants (England)
2003 as revised from time to time.
b) Under the consultant contract, with effect from 1st April 2008, the basic fulltime 10 PA salary will be £73,403 per annum.
Under the new terms and conditions the basic salary on commencement may
only be considered for a higher threshold under the following conditions:
(i) To reflect consultant-level experience that a consultant has gained before his
or her first appointment as an NHS consultant.
(ii) Where a consultant’s training has been lengthened by virtue of being in a
flexible training scheme or because of undergoing dual undergraduate
qualifications which are essential for the medical aspect of a post, the Trust
will, where necessary, set basic salary on commencement at a higher threshold
to ensure that the consultant is not prevented from reaching the pay threshold
they would have attained had they trained on a full-time or single qualification
basis.
(Schedule 14, paragraphs 4, 5 and 6 of the terms and conditions)
(iii)
Consultants will become eligible for additional pay thresholds at the
intervals set out below on the anniversary of appointment subject to
meeting the criteria set out in Schedule 15 of the terms and conditions for
consultants.
10
(iv)
Table 1 : Pay Thresholds as at 1st April 2008
Threshold
1
2
3
4
5
6
7
8
Period before eligibility for
threshold
N/A (normal starting salary)
One year
One year
One year
One year
Five years
Five years
Five years
Basic salary (full-time)
(2008)
£73,403
£75,701
£78,000
£80,298
£82,590
£88,049
£93,508
£98,962
(v)
The value of pay thresholds for part-time consultants will be pro rata to the
levels in Table 1, based on the number of agreed weekly Programmed
Activities in the consultant’s Job Plan as a proportion of the ten standard
Programmed Activities for full-time consultants.
(vi)
The successful candidate will be required to live within 10 miles, by road;
from (hospital). Permission to live within 15 miles distance will be at the
discretion of the appropriate Head of Division. Travelling allowance will
only be payable for 10 miles.
(vii)
The successful applicant must be fully registered with the General
Medical Council and either listed on the Specialist Register or within
six months of being eligible for inclusion on the Specialist Register in
the appropriate specialty at the time of the interview. Proof of
confirming registration will be required on an annual basis.
(viii)
Any offer of employment will be conditional on satisfactory health
clearance by Occupational Health. This is usually by health questionnaire,
but may involve a medical examination.
The successful applicant will be required to provide documentary evidence
of natural or acquired immunity to hepatitis B. Where this is not possible,
the post-holder will be required to demonstrate by recent (within the last
year) evidence of serology showing the absence of hepatitis B surface
antigen. These provisions are to meet the requirements of the Department
of Health’s instructions to Trusts (HSG (93)40).
11.
REVIEW OF JOB PLAN
Job Plan
A formal job plan will be agreed between the appointee and their Head of
Division, on behalf of the Medical Director, three months after the
commencement date of the appointee. This will be signed by the Head of Division
on behalf of the Chief Executive.
11
The job plan will be based on the provisional timetable shown at Appendix A.
The Job Plan will then be reviewed annually, following the Appraisal Meeting.
The Job Plan will be a prospective agreement that sets out a consultant’s duties,
responsibilities and objectives for the coming year. It should cover all aspects of a
consultant’s professional practice including clinical work, teaching, research,
education and managerial responsibilities. It should include personal objectives,
including details of their link to wider service objectives, and details of the
support required by the consultant to fulfil the job plan and the objectives.
Provisional assessment of Programmed Activities in Job Plan
For a whole-time contract:
12.

Direct Clinical Care
8.5 PAs on
average per week
(includes clinical activity, clinically related activity, predictable and
unpredictable emergency work)

Supporting Professional Activities
1.5 PAs on average per week
(includes CPD, audit, teaching and research)
PERSON SPECIFICATION
Please see Page 21.
Job Description agreed by:
Date:
12
The timetable provides scheduling details of the clinically related activity components
of the job plan, which occur at regular times in the week. Agreement should be
reached between the appointee and their Head of Division with regard to the
scheduling of all other activities.
AM
MONDAY
TUESDAY
WEDNESDAY
Grand Round
Endoscopy
THURSDAY
FRIDAY
Endoscopy
LUNCH
Adult/Paed GI
meeting
Xray meeting
Histopathology
meeting
Journal club
Hospital Grand
Round
PM
OPD
OPD
See attached job plan
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APPENDIX 2
SAMPLE ONLY
Please Note: This person specification is a sample of good practice criteria.
Depending on the requirements of the speciality and department the essential
and desirable specifications should be altered as necessary.
Person Specification
Consultant in ……….
CATEGORY
Qualifications
and training
Experience
Clinical
Knowledge and
skills
Clinical
Governance and
Audit
Research
Teaching and
Training
ESSENTIAL
DESIRABLE
Full and specialist registration with
the General Medical Council (GMC)
(or eligible for specialist registration
within six months of interview)
Holder of Certificate of Completion
of Training (CCT), or evidence of
within six months of award of CCT
or equivalent by date of interview
Evidence of thorough and broad
training and experience in relevant
specialty
Able to take responsibility for
delivering service without direct
supervision
Up to date knowledge and experience Broad range of IT skills
of relevant specialty
Knowledge of NHS priorities with
reference to specialty
Skills in …………………….
Understanding of clinical governance
and the individual responsibilities it
implies
Knowledge of the principles of
clinical audit and evidence of
participation
Positive approach to evidence based
practice
Participation in continuing
professional development (CPD)
scheme and, where relevant, evidence
of participation
Knowledge of the principles involved
in research
Experience of teaching medical
students.
Experience of supervising trainees.
Knowledge of teaching to a
multidisciplinary team
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CATEGORY
Management &
Leadership
Interpersonal,
communication
and team
working skills
Any other
Abilities and
Aptitudes
Other
ESSENTIAL
DESIRABLE
Evidence of management training and Demonstration of knowledge of NHS
evidence of learning from it
management structures
Ability to organise efficient and
Management experience
smooth running of a specialist service
Ability to cope with and effectively
organise the workload of a consultant
Ability to practice independently as a
consultant
Ability to take on responsibility and
show evidence of leadership
Ability to work under pressure and
cope with setbacks
Ability to communicate effectively
with patients, relatives, clinical
colleagues, support staff and other
colleagues.
Good knowledge of, and ability to
use, spoken and written English.
Ability to present effectively to an
audience, using a variety of methods,
and to respond to questions and
queries
Ability to develop effective working
relationships on an individual and
multi-professional basis with all
levels of staff both within and across
divisions
Ability to be a flexible team member
Ability to adapt and respond to
changing circumstances
Awareness of personal limitations
Meets professional health
requirements
Willingness to travel to and work in
other sites necessitated by the role
* According to specialty of post
Dated:
Reviewed by:
Approved by:
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