NHS Lothian
University Hospitals Division
Directorate of Head and Neck Surgery
Oral and Maxillofacial Surgery
Consultant in OMFS Surgery with special interest in Head and Neck Oncology
Or
Consultant in OMFS Surgery with special interest in Facial Deformity / Trauma
1. Outline of the post
This new post is at Consultant level in the OMFS Surgery Department. This is a 10
programmed activity position available immediately. It is adaptable for those who wish to
work less than full-time. The hospital base would be St John’s Hospital, Livingston with
outpatient work at satellite units within Lothian and in-patient theatre access at St Johns. The
NHS Lothian OMFS Surgery service provides a supra-regional service for South East
Scotland, with a head and neck cancer service for Lothian, Borders and Fife (total population
1.1 million). This post will include honorary sessions in Fife and an on-call commitment
(presently 1 in 5).
NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental
health and hospital services. Mr Tim Davidson is Chief Executive and Dr David
Farquharson is Medical Director.
The NHS Board determines strategy, allocates resources and provides governance across
the health system. Services are delivered by Lothian University hospitals division, the Royal
Edinburgh hospital and Associated mental health services, 4 community health and social
care partnerships (CH(C)Ps) in City of Edinburgh, West Lothian, East Lothian and Midlothian,
and a Public Health directorate.
NHS Lothian serves a population of 850,000.
1.1. University Hospitals Division
The University Hospitals Division provides a full range of secondary and tertiary clinical
services to the populations of Edinburgh, Midlothian, East Lothian and West Lothian. The
Division is one of the major research and teaching centres in the United Kingdom.
Hospitals included in the Division are:
The Royal Infirmary of Edinburgh
The Western General Hospital
The Royal Hospital for Sick Children, Edinburgh
St Johns Hospital
Liberton Hospital
The Princess Alexandra Eye Pavilion.
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Royal Infirmary of Edinburgh (RIE) is a major teaching hospital on a green field site in
the South East of the city built in 2003. It comprises 25 wards, 869 beds, and 24
operating theatres, and is equipped with modern theatre and critical care equipment and
monitoring. Within the main building is a dedicated, multidisciplinary, 5 theatre day
surgery complex. The hospital provides for most specialities:
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General surgery with a focus on the upper GI tract
Vascular surgery
Hepatobiliary and Transplant medicine and surgery
Cardiac and Thoracic surgery
Elective and trauma Orthopaedics surgery
Neonatology
Obstetrics & Gynaecology
Cardiology
Renal Medicine
Sleep Medicine
Regional major Accident and Emergency centre.
The Combined Assessment Unit (CAU) receives unselected GP or direct emergency
referrals, and A&E cases. CAU includes the Dept of Liaison Psychiatry and the Scottish
Poisons Bureau and Treatment Centre. There are full supporting Laboratory and
Diagnostic Radiology Services (including CT, MR, Ultrasound and NM and PET
scanning). A full range of lecture theatres, postgraduate, library and AV facilities are on
site.
The Western General Hospital (WGH) has 600 beds and 5 operating theatres and is
equipped with modern theatre and critical care equipment and monitoring. The hospital
provides for most specialties:
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Neurology, Neurosurgery and neuropathology
UK CJD unit
Colorectal Surgery
Urology and Scottish Lithotriptor Centre
Breast Surgery and Breast screening
Gastroenterology
Rheumatology
Infectious Diseases
Haematological Oncology
Medical Oncology
Radiation Oncology (including 6 LINACs)
Dermatology (Inpatient)
Medicine of the Elderly/Stroke Medicine
There is an Acute Receiving Unit, which accepts GP referrals and 999 ambulance
medical cases on a zoned basis within the city, and a nurse led Minor Injuries Unit. There
are full supporting Laboratory and Diagnostic Radiology Services (including CT, MR,
Ultrasound and NM). A full range of lecture theatres, postgraduate, library and AV
facilities are on site.
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St John’s Hospital opened in 1989 and is located in the centre of Livingston; a new town
about 30 minutes drive west from Edinburgh.
The hospital is the regional centre for Head and Neck Surgery and plastic surgery. The
hospital has a paediatric ward and provides:
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General Medicine with specialists in Cardiology, Diabetes & Endocrinology,
Gastroenterology, Respiratory Medicine and Care of the Elderly
Obstetrics & Gynaecology
Child Health including Paediatrics and community child health
The supraregional Burns and Plastic Surgery unit.
Oral and Maxillofacial Surgery
ENT Surgery
Critical Care (ITU, HDU and CCU)
Accident and Emergency
General Surgery
Orthopaedics
Anaesthetics
Mental Health including ICCU and ICPU
Since 2005 general surgery and orthopaedics have been reconfigured in NHS Lothian
with SJH being developed as a major elective centre for the region.
Lothian’s OMFS Surgery service was relocated to SJH to create an integrated Head and
Neck unit with ENT.
Recent developments at SJH include a new endoscopy suite, an Intensive Psychiatric
Care Unit, a digital mammography unit, an oncology (cancer care) day centre, a satellite
renal dialysis unit and a £2.75m reprovision of A&E. There are full supporting Laboratory
and Diagnostic Radiology Services (including CT, Ultrasound and NM). MRI scanning is
now available, and a new obstetrics and neonatal unit is currently under construction.
The hospital has been accredited full teaching hospital status by the University of
Edinburgh. A full range of lecture theatres, postgraduate, library and AV facilities are on
site.
The Royal Hospital for Sick Children (RHSC) is a 141 bedded hospital providing
general and specialist services for children. The RHSC is a 151-bedded Hospital, and is
the main paediatric teaching hospital for the South-East of Scotland providing general and
specialised services on a local, regional and national basis. It acts as the local paediatric
referral centre for the children of Edinburgh and surrounding areas, and as a tertiary
referral centre for intensive care patients; gastroenterology, hepatology & nutrition;
respiratory medicine; cardiology; nephrology; neurology; oncology; haematology; neonatal
surgery; plastic surgery; orthopaedic surgery; urological surgery, ENT surgery and
aspects of general surgery.
Hospital accommodation includes five theatres, a critical care unit comprising a 6/8
bedded Paediatric Intensive Care Unit, 4/6 bedded High Dependency Unit and a 3
bedded Neonatal Intensive Care Unit. There is an comprehensive library facility and a
modern lecture theatre with a full range of audio-visual equipment.
All services are supported by radiology, neurophysiology, laboratory and therapy services.
The local radiology department provides on site Magnetic Resonance Imaging, CT
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Scanning, nuclear scanning and ultrasound. On site laboratories provide biochemistry,
haematology, pathology and neuropathology services.
A new paediatric hospital is currently being built on the RIE site alongside
Neurosciences. It is envisaged this will be complete in 2017.
1.2. Community Healthcare Partnerships
The four established Lothian Community Health (and Social Care) Partnerships serve the
population of Edinburgh, Midlothian, East Lothian and West Lothian.
Hospitals in the CH(C)Ps include:
The Astley Ainslie Hospital in Edinburgh
Rosslynlee Hospital in Midlothian
Herdmanflat Hospital
RoodlandsHospital in East Lothian.
The four CHPs are conterminous with Edinburgh, Midlothian, East Lothian and West
Lothian Councils bringing together those responsible for planning, managing and
providing community-based health services for the population of Edinburgh and the
Lothians.
There are 7,500 members of staff. In addition, there are approximately 1,000
independent contractors in General Medical and Dental Practice, as well as pharmacists
and opticians. A population of 850,000 people is served across health board area. The
range of services include care of the elderly, medical rehabilitation, community mental
health, substance misuse and learning disability, district nursing and health visiting, family
planning, well woman and dental care. Specialist services provided include brain injury
rehabilitation, bio-engineering and prosthetics, drugs and alcohol misuse and harm
reduction, AIDS/HIV and Children and Family Psychiatric Services.
1.3. Royal Edinburgh hospital and Associated Services
The Royal Edinburgh and Associated Services provides a range of Mental Health
services to the population of Lothian and other Boards within Scotland.
The Royal Edinburgh Hospital is located on the south side of the City of Edinburgh. It
comprises 20 wards, 420 beds, day hospitals and outpatient facilities. The hospital
provides the following range of specialities:▪
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Acute Mental Health
Rehabilitation
Psychiatric Emergency Team 24/7
Outpatients
Assessment Psychiatry of Old Age
Forensic Medium Security Unit
Inpatient facilities for under 18s
Psychotherapy Service
Psychology Services
Services for Eating Disorders
Day Hospitals – Psychiatry of Old Age
There are an additional 46 bed and 1 day hospital for Psychiatry of Old Age in the north of
the city at the Royal Victoria Hospital.
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A major reprovisioning programme in line with the strategic vision with the “Delivery for
Mental Health” Scottish Executive 2006 is on-going
2.
University of Edinburgh
The University of Edinburgh was established in 1582 and is one of the largest in the United
Kingdom located on a number of prominent sites in Scotland’s capital city. It is Scotland’s
premier research university, graded within the top six multi-faculty British Universities in the
last national research assessment exercise (90 percent of its academic staff were in units
rated 4, 5 or 5*). It has 3,000 academic staff, over 16,000 undergraduate and over 4,000
postgraduate students and an annual expenditure of over £261M for teaching and research.
The University is organised into 3 Colleges: Humanities and Social Science, Medicine and
Veterinary Medicine, Science and Engineering.
3.
Departmental Information
The NHS Lothian OMFS Department is a regional service based across multiple sites
within the University Hospitals Division.
St Johns Hospital, Livingston
Adult Head and Neck surgery and emergency OMFS inpatient ward (Ward 18)
Daycase and 23 hour surgery ward (Day of Surgery Admissions ,DOSA)
Paediatric surgery and children’s ward
Outpatient clinics
Access to 9 theatres
ITU/HDU and Level 1 surgical care facility (4 beds)
CT/MRI/standard radiology
Lauriston Building, Edinburgh
Neck Lump Clinic
Western General Hospital, Edinburgh
Head and neck cancer MDT outpatient clinic in the Edinburgh Cancer Centre
Royal Hospital for Sick Children
Paediatric surgery
Access to 5 theatres, ITU/HDU and CT/MRI/standard radiology
RHSC will move to a new build on the RIE site in 2017
Roodlands Hospital, Haddington
Oral Surgery day case list
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Royal Infirmary, Edinburgh
Major Trauma Centre for NHS Lothian
Large ITU
Full radiology facilities including MRI
Specialty trainees rotate within the Scotland OMFS training scheme which has a
high reputation.
The department provides a comprehensive OMFS service to the patients of NHS Lothian
and NHS Borders. It also provides a Head and Neck Surgical Oncology service to the
patients of NHS Fife.
The Department holds a regular academic and consultant meetings, a biannual Head and
Neck Directorate audit meeting and a biannual divisional audit meeting. It also contributes
to the OMFS STr study days.
There is currently a 1 in 5 consultant led rotational out of hours on-call for NHS Lothian
and NHS Borders; it is anticipated this will become 1 in 7 following appointment to this
post and appointment of a Trauma/Facial Deformity Surgeon.
Medical Staff
Consultants
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Mr E Larkin
General / Head and Neck Surgeon, SJH.
Mr M Paley
Head and Neck Surgeon, SJH.
Mr D Campbell
Trauma / Facial Deformity Surgeon, SJH.
Mr J Morrison
Head and Neck Surgeon, Interim Clinical Director, SJH.
Prof V Lopes
General / Edinburgh University, EDI.
Assoc Spec
1
Specialty Doctor
2
STr
2
CT2 / SHO
5
CDF
1
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4.
Details of the Post
The appointee will be appointed to a wholetime contract with 10 programmed activities. The
working day is from 0800-2000, Mon-Friday.
The successful candidate must be fully registered with the GMC and on the GMC Specialist
Register for Oral and Maxillofacial Surgery (or within 6 months of completion of CCT).
There will be opportunities to engage in academic research and undergraduate teaching.
It is envisaged that the successful applicant will have sessional commitments, which are
reviewed annually as part of the appraisal and job planning process and which will be
adjusted according to the needs of the service and development. Flexibility in provision of
direct clinical care time is required. The post holder will, as a member of the regional head
and neck multidisciplinary team be required to attend the combined multidisciplinary cancer
clinic (currently held at WGH each Tuesday) and provide Head and Neck clinic sessions in
Fife (currently each Wednesday).
For both the head and neck cancer post and the Facila Deformity and Trauma post, the
successful candidate would also be expected to contribute to the general and trauma
workload and all consultants in the dept are expected to perform a variety of routine
OMFS surgical procedures.
The successful candidate will be encouraged to develop a special interest which will
compliment the current activity of consultant colleagues.
As a member of the head and neck multidisciplinary team, the post holder is expected to be
an active member of the head and neck group in the SE Scotland regional cancer network
(SCAN).
One PA for supporting professional activity will allow preparation for appraisal, job planning,
personal audit and continuing professional development. Participation in the departmental
postgraduate academic programme which includes departmental audit meetings, bi-annual
Head and Neck Directorate audit meetings, case presentations, journal club and specialty
specific topic presentations, any undergraduate teaching requirements and clinical
supervision of trainees will be supported with additional SPA time as appropriate. The
post holder will be a Clinical Supervisor for two trainees. This equates to a 0.5 PA of SPA per
week
The appointee will be part of the Head and Neck Directorate of NHS Lothian and be
responsible to the Clinical Director and Associate Medical Director.
The appointee will be expected to participate fully in all activities related to Clinical
Governance.
The appointee will share the services of the appropriate secretarial team and a specific
secretary will be allocated as main contact for this post.
Exposure Prone Invasive Procedures
The holder of this post may be required to undertake exposure prone invasive procedures
(EPPs). As this could potentially place patients at risk, candidates must show evidence of
immune status to Hepatitis B or agree to undergo the necessary procedures.
It should be noted that the offer of appointment is subject to confirmation that the successful
candidate is Hepatitis B immune. This is checked by the Occupational Health Service prior to
commencement of duty.
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5.
Sample Job Plan
NHS Lothian - Job Plan Format
Name: Consultant
Specialty: OMFS- Head Neck Surgical Oncology
Principal Place of Work: St Johns
Contract:
Full Time
Programmed Activities:
Availability Supplement:
10
EPAs: None
8%
Managerially Accountable to: Clinical Director for OMFS Surgery
a)
Timetable of activities that have a specific location and time
Weeks 1 and 2 roll throughout the year and do not refer to weeks of the month
DAY
TIME
TYPE OF WORK
DCC
SPA
Monday
Tuesday
Week 1
08.00 to 20.00
Theatre SJH
Week 2
NPA
08.00 Travel
08.30 to 13.30
13.30 Travel
14.00 to 18.00 1 in 4
Wednesday
Thursday
Friday
Head and Neck MDT meeting and clinic WGH
1.75
Neck Lump Clinic SJH
08:00 to 09.00
09.00 to 10.00
10.00 to 13.00 3 in 4
10.00 to 13.00 1 in 4
13.00 to 14.00 Travel
14.00 to 17.15
17.15 to 18.00 Travel
SJH Oncology MDT
Triage SJH
SPA SJH
NPA
Week 1
NPA
Week 2
08.00 to 09.00
Pre-op ward round
09.00 to 19.00
Theatre SJH
19.00 to 20.00
Post-op ward round
09.00 to 13.00 3 in 4
SPA SJH
09.00 to 13.00 1 in 4
NPA
13.00 to 17.00
Out patient clinic SJH
Out of hours
1.5
1.75
0.75
Fife Head and Neck Clinic (QMH/VHK)
1.5
0.75
1
1
There will be an average of an additional 1 adult theatre list per week substituted for other adult
DCC, at flexible times dependant on theatre availability. This is an indicative job plan, and is subject to
change and will be discussed at interview. One EPA is likely to be offered
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6.
Sample Job Plan
NHS Lothian - Job Plan Format
Name: Consultant
Specialty: OMFS- Facial Deformity and Trauma
Principal Place of Work: St Johns
Contract:
Full Time
Programmed Activities:
Availability Supplement:
10
EPAs: None
8%
Managerially Accountable to: Clinical Director for OMFS Surgery
b)
Timetable of activities that have a specific location and time
DAY
TIME
TYPE OF WORK
DCC
SPA
Monday
08.00 to 09.00
09.00 to 13.00
Ward Round / Triage SJH
Trauma Clinic SJH
2.5
13.00 to 13.30 Travel
13.30 to 17.30
Combined Orthognathic Clinic EDI
17.30 to 18.00 Travel
Tuesday
Wednesday
09.00 to 13.00
Facial Deformity / Trauma Planning Clinic SJH
1
13.00 to 17.00
Trauma Theatre / SPA
0.5
08:00 to 09.00
Pre-op ward round
09.00 to 17.00
Theatre
17.00 to 18.00
Post-op ward round
Thursday
0.5
2.5
NPA
0
Friday
09.00 to 13.00
SPA SJH
13.00 to 17.00
Out patient Clinic SJH
Out of hours
1
1
1
This is an indicative job plan, and is subject to change and will be discussed at interview. One EPA is likely
to be offered
9. Person Specification (see attached)
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10. Advertisement
NHS Lothian University Hospitals Division are seeking to appoint one additional wholetime (10
programmed activity) Consultant in Oral and Maxillofacial Surgery, either with a subspeciality interest
in Head and Neck Surgical Oncology or in Facial Deformity and Trauma.
The hospital base would be St John’s Hospital, Livingston with outpatient work at satellite units within
Lothian and at least one all day theatre list a week at St Johns. The NHS Lothian OMFS Surgery
service provides a supra-regional service for South East Scotland, with a head and neck cancer
service for Lothian, Borders, and Fife (total population 1.1 million). This post will include sessions in
Fife and an on-call commitment (likely to be 1 in 6).
The successful post-holder will be expected to be mobile across the region and will cover adult and
paediatric OMFS when on call. NHS Lothian OMFS department currently has 5 consultants serving
a local population of 850,000, offering additional tertiary services to neighbouring regions, with a total
cancer caption population of 1.1 million.
.
For informal enquiries and arrangements to visit the unit, please contact:
Mr
James
Morrison,
Head
and
james.morrison@nhslothian.scot.nhs.uk
tel. 015060523555
Neck
Surgeon
/
Interim
Clinical
Director,
Mr Martin Paley, Head and Neck Surgeon.
Martin.paley@nhslothian.scot.nhs.uk
01506 523000
For a job pack detailing the minimum requirements for this post and associated training and
development
opportunities,
please
visit
www.medicaljobs.scot.nhs.uk
or
email
medical.personnel@nhslothian.scot.nhs.uk. Please quote reference CG 789
Please note that we no longer accept application by curriculum vitae.
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PERSON SPECIFICATION
Consultant in Oral and Maxillofacial Surgery, Head and Neck malignancy
Requirements
Essential
Education, Qualifications and MBChB, MBBS or other recognized
Specialist Skills
equivalent medical qualification.
Desirable
Leadership and training
experience.
FRCS (OMFS) or equivalent
postgraduate qualification.
Full registration with the General
Medical Council being on Specialist
Register for OMFS or within 6
months of CCT
Further Specialised Training
and Experience
Experience of working in OMFS
within the UK.
Appropriate fellowship
Evidence of additional head and
neck training/experience
Or
Evidence of Facial Deformity and
Trauma training/experience
Clinical Experience
STr training or equivalent of adult
and paediatric OMFS.
“Emergency safe” in all aspects of
adult and paediatric OMFS practice.
Knowledge & appreciation of the core
legal, ethical and political issues
which govern medical practice.
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Ability to demonstrate
development of a specific area of
clinical practice.
Requirements
Management and
Administration
Essential
Desirable
Ability to follow and review clinical
guidelines.
Management and administration
experience.
Committed to share in professional,
managerial and teaching
responsibilities.
An understanding of
management goals during
training.
Experience with audit.
Understanding of budgetary
constraints on medical practice
Flexible approach to service delivery
and committed approach to
.
development.
Able to communicate well with
patients and colleagues.
Evidence of effective team working
and professional attitude
An understanding of Clinical
Governance.
Teaching
Experience of supervising junior
medical staff.
Experience of participation in
undergraduate and postgraduate
teaching.
Ability to teach clinical skills.
Research
Evidence of involvement in and
understanding of research
methodology and publication of
findings.
Involvement in delivery of
education to postgraduates /
peers.
Evidence of training in
teaching methods
Peer reviewed publications
Research/critical review of literature
essential.
Personal Attributes
Evidence of good leadership,
organizational and management
skills.
Ability to communicate and other
agencies.
A commitment to personal /
departmental CPD.
Access to own transport.
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Experience of leadership within
the clinical environment e.g.
education.