NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION
Thank you for your interest in NHS Tayside vacancies
Please see below Job Description/Specification and General Conditions of Service
Your Application Form must be completed in full. Please note copies of Curriculum
Vitae, Qualifications and Course Certificates will not be accepted at this stage.
All completed applications are held in Workforce Services until the closing date.
After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly.
This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from
Workforce Services
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NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION
1 JOB IDENTIFICATION Job Title Colposcopy Nurse Specialist
Department(s)/Location
Number of Job Holders
GOPD, Ninewells Hospital
2 JOB PURPOSE
The post holder is a Registered Nurse, working within the nursing and multi-professional team, with an autonomous role as an accredited Colposcopist, managing a case load of patients independently, providing a highly specialised clinical, technical service centered on patient care and provision of advice.
The post holder as an expert clinically based nurse practitioner, will colposcopically assess, diagnose, treat and review patients with cervical abnormalities in accordance with National and Local guidelines.
3 ORGANISATIONAL POSITION
Director of Nursing & Patient Services
Lead Colposcopist Head of Nursing
Senior Charge Nurse
Colposcopy Nurse Specialist (this post)
Registered Nurse
Health Care Assistant
4 SCOPE AND RANGE
Working as part of the Colposcopy team will provide a highly specialised technical clinical service centering on patient care and advice provision; this directly contributes to the care, diagnosis, treatment, ongoing care management and education of patients within the Colposcopy service. This is a highly specialised service which requires the post holder to carry out diagnostic and surgical procedures and treatments.
This is a hospital-based post and the post holder will work within the Gynaecology Outpatients Departments throughout NHS Tayside.
The department works to agreed Government time scales – women must be seen within 2 – 8 weeks of referral according to severity, and be provided with results within 4 weeks of their attendance at clinic.
5 MAIN DUTIES / RESPONSIBILITIES
As an Accredited Colposcopist the post holder will:
As an expert clinically based nurse practitioner, the post holder will provide highly specialised skills to systematically and comprehensively assess, diagnose, treat and review patients referred to the Colposcopy clinic in accordance with medical and nursing protocols.
Ensure that advice and care given to patients is evidence based and conforms to best practice.
Manage referrals from other health care professionals in accordance with agreed protocols.
Provides highly specialised nursing advice within NHS Tayside relating to Colposcopy services on a daily basis.
Working with a high degree of precision and hand-eye and sensory co-ordination, carry out diagnostic and

NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION surgical procedures and treatments e.g. cervical punch biopsies, diathermy and excisional cervical loop biopsies in accordance with National and Local guidelines on a daily basis.
Promote patient involvement in decision making and obtain informed consent for procedures including Digital
Imaging.
Interpret results and develop programmes of care involving, and/or referring on to other health professionals as appropriate on a daily basis.
In collaboration with Colposcopy team develop patient information leaflets, protocols, standards, guidelines and healthcare initiative programmes.
Promote safe use of diathermy and coagulation equipment, in line with national and local recommendations.
Provide specialist colposcopy advice and contribute to staff training for both junior and senior medical staff, medical and nursing students and practice nurses relating to colposcopy, speculum examination and cervical smear taking in accordance with the NHSCSP and BSCCP guidelines on a daily basis.
Routine, regular and ongoing data collection – mandatory patient case by case basis, data entry / audit for every patient into the National Colposcopy Clinical Information Audit System.
Participate in local ongoing audit of colposcopy provision and research yearly.
As a colposcopy nurse specialist will deputize and provide cover for other Consultants/colposcopists within the department
Management / Leadership
Responsible for the management of a patient caseload
Provide expert advice to members of the multi-disciplinary team, patients and carers daily.
Contribute to discussion, debate and influence change in practice.
To lead and supervise new/junior staff/learners and support workers who are providing care to patients and act as a source of advice to ensure safe and effective care and that their educational needs are met.
Education and Continuing Professional Development
As an accredited Colposcopist:

Provide educational opportunities and training sessions for medical / nursing students, junior and senior medical staff relating to cervical screening, speculum examination and principles of cervical cytology and colposcopy daily.

Provide expert advice to members of the multi-disciplinary team, patients and carers daily.

Contribute towards organisational educational training opportunities.
Quality / Research and Development
As an accredited Colposcopist:

Monitor personal performance against British Society of Colposcopy Cytology and Pathology standards
(BSCCP) and National Colposcopy Clinical Information Audit System (NICCAS) approximately 500 cases per year.

Participate in research projects and utilise information to ensure a quality service

Develop and lead on annual audit programme relating to Colposcopy services. Utilise information to

NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION ensure a quality service

Contribute to the development of research based information for patients and other health care professionals.

Work with lead Colposcopist and colposcopy team to develop, implement and monitor quality standards and risk management initiatives within the colposcopy service.

Work closely with others in the multi-disciplinary team assuring appropriate quality control and responding to each clinical situation on an individual basis.
6 COMMUNICATIONS AND RELATIONSHIPS
In Colposcopist role: ability to identify, diagnose and treat pre-cancer and cancerous lesions
Provide and receive highly complex and highly sensitive information continuously in a way that allows women to understand their situation and make informed decisions about possible treatments on a daily basis.
Empathetical, motivational and reassuring skills are required; ensuring understanding of the members of the public. This will include information about a range of treatment options and their related morbidity e.g.
Impact on future fertility, possible effect of pre-term labour.
Counselling is an integral part of the C olposcopist’s role and includes
Counselling patients prior to colposcopy
Correctly obtaining informed consent
Counselling patients after colposcopy
Breaking bad news e.g. cancerous conditions
- Communicating sensitive information about sexual / relationship issues.
- Possible impact of treatment versus future fertility
Providing culturally appropriate information to women from a variety of ethnic groups.
- Provide expert advice to members of the multi-disciplinary team, patients and their carers daily.
The post holder will convey highly complex, sensitive information / cases to the Cervical Multi-disciplinary Team and in turn provide feedback to patients and GPs from the MDT.
7 KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
In Colposcopist Role:
• Significant experience in Gynaecology Service

Qualifications / experience: Masters degree or working towards.

Completed 18 month formal training programme of study to gain a joint certificate of accreditation
(diagnosis and treatment) from the Royal College of Obstetricians and Gynaecologists and British
Society of Colposcopists Cytologists and Pathologists. Accreditation is at Post Graduate Diploma level which includes 2 modules at MSc level.

Practice within NHSCSP, seeing at least 50 new abnormal cytology patient referrals per year.

Attend at least 1 BSCCP recognized colposcopy meeting every 3 years, and comply with BSCCP recertification process.

Ability to work autonomously as part of a multi-professional team.

Expert knowledge of the Colposcopy service and the needs of the patients.

Extended knowledge of genito-urinary medicine and sexually transmitted diseases.

Ability to provide detailed advice to other specialists and medical staff on a daily basis.

Ability to assess information and make recommendations related to disease management.

NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION

Required to develop protocols which influence and change practice.

Ability to perform procedures and treatments, as this highly specialised service requires the post holder to carry out gynaecological diagnostic and surgical procedures and treatments accurately and safely on a daily basis.

Immediate Life Support provider.
8 SYSTEMS AND EQUIPMENT [List as appropriate to area]. Please indicate level of responsibility, i.e. sole / shared, re you using / maintaining / storing.
In Colposcopist Role:
IT equipment including Local and National systems to read, analyse, record and transmit patient and staff information within the boundaries of Local and National policies and legislation on a daily basis.
National Colposcopy Clinical Information Audit System (NICCAS)
Scottish Cytology Call Recall system (SCCRS)
British Society of Colposcopy Cytology and Pathology (BSCCP)
Treatments
In Colposcopist Role : Daily
Cryocautery to cervix
Swabs
Cervical Biopsies
Lletz excision
Local anaesthetic
Suturing
Responsible to manage the use of and undertake testing of highly complex colposcopy equipment ensuring correct voltage and temperature control prior to treating each patient.
9 PHYSICAL DEMANDS OF THE JOB
Working with a high degree of precision and hand-eye and sensory co-ordination continuously, whilst safely performing the following procedures through a vaginal speculum and colposcope.
Obtaining cervical swabs
Injecting local anaesthetic to the cervix
Safely obtaining Cervical, vaginal & vulval biopsies
Lletz excision i.e. local destructive treatment or surgical removal / local incisional treatment of cervical abnormalities performed under local anaesthesia
Endometrial pipelle biopsy (sampling from inside the womb)
Suturing to control bleeding from biopsy sites.
Cryotherapy (freezing of the cervix)
Coagulation of cervix using temperatures of 100 degrees Celsius.

NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION
Physical Demands: continuously throughout the shift
Manoeuvring and positioning patients pre-colposcopy in order to complete procedure safely.
Sitting in the same position in a confined space for extended periods (up to 30 mins) whilst performing procedures daily.
Mental Demands: Continuously throughout the shift
Frequent periods of intense concentration whilst delivering care / treatment whilst looking through a microscope working in a very confined area.
This post requires intense concentration during consultation (up to 30 mins per patient) to include history taking, speculum examination, assessing patients, carrying out diagnostic and therapeutic procedures, completing documentation, communicating information to Consultant, GP, patient and other members of the multidisciplinary team.
Emotional Demands: (frequently)
Frequently dealing with highly emotive issues e.g. discussing pre-cancerous / cancerous conditions,
sexually transmitted diseases, sensitive relationship issues and possible impact on future fertility /
childbearing.
10 DECISIONS AND JUDGMENTS
The postholder will have an autonomous role as an expert in the field.
On a case by case basis assessing patients, deciding whether to biopsy or treat, diagnosing cervical
abnormalities in conjunction with cytological referrals and referrals from other health care professionals,
approx 6 patients each session.
The Colposcopist will have to make advanced decisions and act upon these quickly and effectively, i.e.
biopsy, treat or refer to Consultant for further investigations i.e. CT or MRI scans, plan theatre visits for
cancers and take control in any emergency situations.
Is responsible to manage his / her time effectively.
11 MOST CHALLENGING / DIFFICULT PARTS OF THE JOB
Effective time management as an autonomous practitioner of competing demands within an
unpredictable environment.
Effective management and prioritizing of competing demands within an unpredictable environment.
12 JOB DESCRIPTION
The job description will need to be signed off using the attached sheet by each post holder to whom the job description applies.

NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION
Criteria
Experience
Qualifications
(training, research, publications etc)
Knowledge
Skills
Essential
Significant post registration experience with extensive experience in gynaecology and or demonstrate expert clinical and professional practice developed through experience and theoretical knowledge
Leadership experience
Experience of change management
First level nurse with current registration with the Nursing and
Midwifery Council.
First level degree (or extensive experience in relevant field)
Ability to study at Master Level to obtain Postgraduate Certificate in
Colposcopy and BSCCP/RCOG
Certificate in Colposcopy
Advanced expert level of knowledge of gynaecology specialist area
Awareness and knowledge of own professional accountability and autonomous practice
Organisation, prioritisation and time management skills
High level of self motivation
Good dexterity
Assertive
Leadership
Able to work autonomously
Good clinical judgement and decision making skills
Team player
Effective time management
Excellent written/verbal communication skills
IT literate
Desirable
Experience of developing and implementing policy, guidelines, protocols and standards
Experience working as a colposcopy nurse
Experience of undertaking audit
Master degree or working towards
Knowledge and understanding of
Colposcopy and Programme
Management
Act as a coach/mentor

NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION
Personal qualities Effective role model
Calm and objective in challenging situations
Empathetic
Personal and team motivational skills
Adaptable and flexible
Other
Ability to work and travel across NHS
Tayside sites
POST REF NO:
JOB TITLE/GRADE:
D/AC/78/13
COLPOSCOPY NURSE SPECIALIST BAND 6 OR
LOCATION:
BAND 7 DEPENDING ON EXPERIENCE
GYNAECOLOGY DEPARTMENT, TAYSIDE
Conditions of Service The terms and conditions of service for this post are those
Remuneration determined by the NHS Staff Council.
The current salary scale for the post is £25783 to £34530 per annum pro rata for Band 6 and £30764 to £40558 per annum pro rata for Band 7. Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service.
Hours of Duty
Salary is paid monthly by Bank Credit Transfer.
The hours of the post are 15 hours per week.
Start and finish times will be determined by the needs of the service.
Superannuation Membership of the NHS Superannuation Scheme is not compulsory but is open to all staff between the ages of 16 and 70 (65 in some instances).

NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION
Annual Leave
References
The contributions paid are a percentage of superannuable pay, which is essentially basic pay excluding, for example, overtime or travelling expenses.
Contribution rates with effect from 01.04.13 are as follows:
Annual Pensionable Pay
(Full-time equivalent)
Up to £15,278
£15,279 to £21,175
£21,176 to £26,557
£26,558 to £48,982
£48,983 to £69,931
£69,932 to £110,273
£110,274 and over
Contribution
5%
5.3%
6.8%
9.0%
11.3%
12.3%
13.3%
Contributions are subject to tax relief and reduced National
Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay.
On appointment = 27 days (pro rata for part-time Staff) or
5.4 weeks per year.
After 5 years aggregated service = 29 days (pro rata for part-time staff) or 5.8 weeks per year
After 10 years aggregated service = 33 days (pro rata for part-time staff) or 6.6 weeks per year
Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year
All offers of appointment are subject to receipt of two satisfactory references
Clearance
Rehabilitation of
Offenders Act 1974
(Exclusions and
Exceptions) (Scotland)
Order 2003
Disclosure Scotland
Health Service are subject to a medical examination.
Medical examinations are arranged and undertaken by the
Occupational Health and Safety Advisory Service (OHSAS).
All current or spent criminal convictions, cautions, warnings or any case pending must be disclosed prior to commencing in employment as detailed on the application form.
Please note that having a conviction will not automatically debar you from obtaining employment with NHS Tayside.
Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated.
The successful applicant will be required to become a member of the Protecting Vulnerable Groups Scheme

NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION
Immigration, Asylum and Nationality Act
2006
(PVG) in respect of regulated work with protected adults and regulated work with children.
It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK.
Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents.
Professional Registration you should have current and continuing professional registration with NMC and hold the appropriate qualification(s).
Smoking Policy
Applications
Smoking is prohibited within NHS premises and grounds.
Completed forms should be returned to:
quoting the job reference in the subject line or to Human Resources Directorate, NHS Tayside, Level 9,
Ninewells Hospital, Dundee DD1 9SY
By closing date of Thursday 7 th November 2013