NHS Ayrshire & Arran
Associate Medical Director
Candidate information pack
Reference: MD/633/13
Closing date: Tuesday 15th October 2013
1
Contents
1.
2.
3.
4.
5.
6.
Welcome Letter from the Director of Acute Services
Recruitment Advertisement
Information for Applicants
Job Description
Person Specification
Details of How to Apply
2
Welcome Letter from the Director of Acute Services
Dear Candidate
Appointment of Associate Medical Director
Thank you for expressing an interest in the post of Associate Medical Director which is an extremely
important role for our organisation. I hope the application pack and supporting documents will help you
decide whether you are the right person to meet the key challenges for this opportunity.
As with other healthcare providers in the UK we are operating in extremely challenging times with high
expectations to deliver the 2020 Vision for Scotland and the Quality Strategy. Operating in a changing
and complex NHS health environment we are seeking a leader who can bring energy and enthusiasm
to this role.
This role offers an opportunity to work with a highly committed group of clinical and managerial
colleagues, and the successful candidate will join and add to the strength of our team and work in
partnership with a wide range of stakeholders to provide effective leadership to service improvement
and service redesign, thus ensuring we continue to deliver high quality services expected by the
communities we serve.
If you are inspired by the challenges this opportunity presents and believe you have the relevant skills,
experience and qualities we are seeking, we look forward to receiving your application which will be
given careful consideration.
Yours sincerely
Liz Moore
Director of Acute Services
NHS Ayrshire and Arran
3
Recruitment Advertising
ASSOCIATE MEDICAL DIRECTOR VACANCIES
POST 1: WOMAN, CHILDREN AND DIAGNOSTICS
POST 2: MEDICINE AND EMERGENCY MEDICINE
INTERNAL TO NHS AYRSHIRE AND ARRAN
The organisational restructuring has created opportunity for applications to be invited for the above posts.
Reporting to the newly established Associate Medical Director, Acute services the posts will form an integral
part of the Acute Services management team and working closely with general and nurse management
colleagues will be responsible for the management and governance of clinical services within their Directorate.
Working with the Medical Director, and forming part of the Medical Director’s office, the AMD’s will assist in the
development and delivery of the clinical services strategy, while carrying a system-wide portfolio.
With the ability to demonstrate high levels of competency in the critical leadership behaviours essential in
driving forward and delivering success in the NHS, the post-holder will have a sound understanding of the
current health care agenda and priorities and will have the ability to motivate and empower staff to work in
partnership to deliver this agenda.
Medically qualified, with previous experience in medical management in an Acute care setting you will have
evidence of recent personal development relevant to the role and be able to demonstrate your effectiveness in
managing a clinical service
The post carries a commitment of 5 programmed activities and a non-superannuable responsibility allowance of
£16,933 per annum.
An application for this post can be completed on-line at www.jobs.scot.nhs/ayrjobs Alternatively to request an
application form please contact the Department of O&HRD on 01563 825731 or email
caroline.mccluskey@aaaht.scot.nhs.uk
Please state on application your preferred post.
Closing date for applications is 15 October, with interviews provisionally scheduled for the afternoon of 23
October 2013.
4
Information for Applicants
NHS Scotland
1. The NHS is one of Scotland’s biggest and most important public services and as the largest
employer, employs more than 150,000 skilled staff across NHS Scotland. The provision of
healthcare in Scotland is the responsibility of 14 geographically-based local NHS Boards and 7
National Special Health Boards All NHS Boards work together for the benefit of the people of
Scotland. They also work closely with partners in other parts of the public sector to fulfil the
Scottish Government’s Purpose and National Outcomes.
2. The Healthcare Quality Strategy for Scotland was launched by the Cabinet Secretary for Health,
Wellbeing and Cities Strategy in May 2010 and identifies three Quality Ambitions of safe,
effective and person-centred healthcare and six quality outcomes of:






Everyone gets the best start in life and is able to live a longer healthier life;
People are able to live well at home or in the community;
The best possible use is made of available resources;
Everyone has a positive experience of healthcare;
Staff feel supported and engaged;
Healthcare is safe for every person, every time.
3. This shared vision of world-leading vision and the focus on quality healthcare is the context for all
strategic and operational decision-making across NHSScotland.
4. Since the launch of the Quality Strategy, the Scottish Government announced its ambitious plan
for integrated health and social care and set out the 2020 Vision and Strategic Narrative for
achieving sustainable quality in the delivery of health and social care across Scotland.
Our 2020 Vision
Our vision is that by 2020 everyone is able to live longer healthier lives at home, or in a homely setting.
We will have a healthcare system where we have integrated health and social care, a focus on
prevention, anticipation and supported self management. When hospital treatment is required, and
cannot be provided in a community setting, day case treatment will be the norm. Whatever the setting,
care will be provided to the highest standards of quality and safety, with the person at the centre of all
decisions. There will be a focus on ensuring that people get back into their home or community
environment as soon as appropriate, with minimal risk of re-admission
5. The 2020 Vision and the Strategic Narrative describe the challenges for health and social care
for the future and provides a commonly agreed narrative about the direction NHS Scotland is
working towards. The Quality Strategy provides the approach and the required actions to
improve both quality and efficiency in order to achieve financial sustainability.
6. Each year, the Scottish Government sets performance targets for NHS Boards to ensure that the
resources made available to them are directed to priority areas for improvement and are
consistent with the Scottish Government’s Purpose and National Outcomes, These targets are
focused on Health Improvement, Efficiency, Access and Treatment, and are known collectively
as HEAT targets.
7. NHSScotland is committed to working closely with partners in local authorities and the third
sector. This is crucial to achieving the ambition for a healthier Scotland and to meeting the
challenges of the years ahead. The Quality Strategy provides a basis for NHSScotland to work
with partners, through Community Planning Partnerships, to secure progress towards the three
Quality Ambitions, and the outcomes agreed locally and nationally through the Single Outcome
Agreements and the National Performance Framework.
About NHS Ayrshire and Arran
1. The Board’s core purpose is “working together to achieve the healthiest life possible for
5
everyone in Ayrshire and Arran”. In doing this, the Board works in close partnership with other
NHS organisations, local authorities and other agencies to ensure that social work, education,
housing, employment and environmental services unite effectively and efficiently with the NHS in
tackling inequalities and underlying health problems in local communities.
2. NHS Ayrshire and Arran serves a mixed rural and urban population of 376,000 with services
provided by 10,500 staff. The Board provides a full range of primary and secondary clinical
services covering the mainland of Ayrshire and the islands of Arran and Cumbrae and three
Local Authority areas, i.e. North Ayrshire, South Ayrshire and East Ayrshire. There are major areas
of widespread deprivation and social exclusion in both rural and urban areas
3. The healthcare challenge within the area is considerable, where our population suffers higher
than average rates of coronary heart disease, lung cancer, respiratory illnesses and premature
deaths among males. Alcohol-related disease is on the increase. Ongoing lifestyle issues, such as
the prevalence of smoking, poor diet and lack of exercise, are key factors, as is the steadily
‘ageing’ profile of the population.
Ayrshire and Arran NHS Board
1. The NHS Board, chaired by Dr Martin Cheyne is responsible for the protection and the
improvement of their population’s health and for the delivery of frontline healthcare services.
2. The Board is accountable to the Cabinet Secretary for Health and Wellbeing, and the local
population, and this is reflected through an Annual Review process, which culminates in a public
meeting and formal report by the Cabinet Secretary. Local elected representatives play an
active role in Board business to improve co-ordination of health and social care.
3. The Board membership comprises 23 (13 Non-Executive, 5 Executive Directors and 5 Directors
who are Advisors to the Board) and reflects people from a wide range of backgrounds, local
authority partners, education, business and professional interests, in addition to those with
strong community interests and backgrounds.
4. Full Board meetings take place six times a year, with Board members meeting monthly in
workshop format to consider priority themes in more detail. The work of the Board is supported
by a number of Standing Governance Committees of the Board, which examine service
planning and delivery in some detail. These are:






Audit
Clinical Governance
Health & Performance Governance
Staff Governance
Finance
Community Health Partnership Committees (x3) and Forums (x3)
NHS Ayrshire and Arran Services
1. The Board has agreed 4 corporate objectives which have been cascaded throughout the
organisation:
o Quality
o Local Delivery Plan achievement
o Staff Health, Safety & Wellbeing
o Health & Social Care integration and Change Funds.
2. The Board recognises the importance of optimising the primary / secondary care interface
through addressing the cultural and technological barriers which exist. A key action in
developing the professional relationships necessary to harmonise the efforts of all clinicians
throughout the patient journey will be achieved by bringing together primary care contractors
and medical staff in secondary care to work together in a programme of continuous quality
improvement
3. The population of Ayrshire and Arran benefit from the delivery of a full range of core Primary
Care services and a diverse range of enhanced services targeted to meet local needs.
Contracted services such as GPs and pharmacies are contracted through the NHS Board, but
work in Community Health Partnerships based largely on local authority boundaries:
6
291 General Medical Practitioners across 56 GP Practices
96 Community Pharmacies
171 Optometrists across 63 Practices
164 General Dental Practitioners across 59 Practices
15 Orthodontists across 4 Orthodontic Practices
22 WTE Dentists within the Community and Salaried Dental Service (As of Summer 2013 these
services will be provided from 3 central hubs with outreach services to areas of identified
need)
4. The Scottish Government recently consulted on proposals for the integration of adult health and
social care. In broad terms, the objectives of the reform are that:
 Health and social care services are firmly integrated around the needs of individuals, their
carers and families;
 Services are characterised by strong and consistent clinical and care professional
leadership;
 Providers of services are held to account jointly and effectively for improved delivery of
agreed national outcomes;
 Services are supported by flexible, sustainable financial mechanisms that give priority to the
needs of the people they serve – rather than the organisations through which they are
delivered.






5. The key features of the proposals are:
 Community Health Partnerships will be replaced by Health and Social Care Partnerships
(CHSCPs) which will be the joint and equal responsibility of NHS Boards and Local Authorities.
They will work in close partnership with the third and independent sectors and with carer
representation;
 HSCPs will be accountable via the Chief Executives of the Board and Local Authority to
Ministers, Local Authority Leaders and NHS Board Chairs for delivery of nationally agreed
outcomes which will focus, initially, on improving care for older people;
 CHSCPs will be required to integrate budgets which will include, as a minimum, expenditure
on community health and adult social care services and on the use of some acute hospital
services;
 There will be a jointly appointed, senior Jointly Accountable Officer in each Partnership;
 The role of clinicians, social care professional and the third and independent sectors in the
strategic commissioning of services for adults will be strengthened;
 Proportionately fewer resources will be directed in future towards institutional care and more
will be directed towards community provision and capacity building.
NHS Ayrshire and Arran has endorsed the case for change and supports the proposition that the
legislation can build on progress made to date with closer integration of services and provide the
necessary framework of support to improve outcomes. The legislation is likely to be one of the major bills
presented to Parliament in this Scottish Government term and thereafter the Board will work closely with
all partners in implementing reform.
7
JOB DESCRIPTION
1. JOB IDENTIFICATION
Job Title:
Associate Medical Director (Up to 5 sessions per week)
Reports to:
Associate Medical Director (Acute)
Department:
Women’s & Children & Diagnostic Division
2. JOB PURPOSE
1.
2.
3.
Reporting to the Associate Medical Director (Acute) the Associate Medical Director will be
a part of the team of the Director for Acute Services and therefore required to attend the
management team meeting.
Reporting to the Associate Medical Director (Acute) the Associate Medical Director will in
conjunction with the General Manager form part of the Divisional Management Team,
which will manage all aspects of the Women’s, Children & Diagnostic’ Division.
As a member of the office of the Medical Director the Associate Medical Director will
assist the Medical Director in the development and delivery of Clinical Services Strategy.
The post-holder will also carry a system wide portfolio.
3. DIMENSIONS
8
4. ORGANISATIONAL POSITION
5. KEY RESULT AREAS
Service Delivery
1. To be a corporate member of the Clinical Directorate Team and provide advice and
support in regard to medical issues.
2. To provide leadership and guidance to the medical staff working within the Clinical
Directorate ensuring medical practice and standards are in accordance with Best
Practice.
3. To be professionally accountable for the Clinical Directors within the division.
Workforce
1. To provide advice in the deployment of medical staff within the Clinical Directorate and
on the site.
2. To ensure that medical staff complete the appraisal process.
3. To lead the consultant job planning process within the Clinical Directorate.
4. To deal with the implementation of HR Policies and Procedures for Medical Staff
(discipline, grievance selection etc).
Clinical Governance
9
1. To lead on all aspects of clinical governance for the Clinical Directorate
2. To advise on clinical risk for the Clinical Directorate whilst promoting Best Practice.
3. To develop and implement a system to maximise patient safety within the Clinical
Directorate.
Strategic Development
1. To lead the development of clinical models for the services within the Clinical
Directorate.
2. To lead service modernisation and redesign of clinical services within the Clinical
Directorate.
6. ASSIGNMENT AND REVIEW OF WORK
This post is directly accountable to the Associate Medical Director (Acute) and works under
broad direction within the parameters of government priorities and policies for health. The
post also operates within NHS Ayrshire & Arran’s own strategic framework to which the postholder contributes as a member of the Acute Services Management Team. The post-holder
has professional accountability to the Associate Medical Director (Acute).
Review of performance in the post is undertaken through the agreement of performance
objectives and individual performance appraisal by the Associate Medical Director (Acute) in
consultation with the Director of Acute Services. Formal appraisal is undertaken on an
annual cycle but the Associate Medical Director (Acute) will undertake more frequent ongoing
informal reviews of current developments and progress on major issues on an ongoing basis
giving authority where necessary for the post-holder to proceed with matters outwith the
scope of his/her delegated authority.
7. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
To secure, through effective leadership, real support and commitment from senior clinical staff for
the redesign of clinical services, including greater integration between primary and acute care.
10
8. COMMUNICATIONS AND RELATIONSHIPS
The post-holder will communicate with a wide range of senior clinical and non-clinical staff in
NHS Ayrshire & Arran, the wider NHS in Scotland and beyond, and with senior officials of
external organisations. Excellent communication skills are required in order to persuade
others and negotiate the implementation of change. Strong presentational skills are required
as is the ability to express views convincingly and coherently using a variety of media.
Excluding the post-holder’s immediate manager and his/her subordinates within NHS
Ayrshire & Arran, the following are key working relationships with examples of the purposes
of these contacts.

With Executive and Non-Executive Directors of NHS Ayrshire & Arran and in particular the
members of the Healthcare and Clinical Governance Committee to ensure the provision of
information and support to enable them to effectively fulfil their roles as Non-Executives,
particularly in relation to corporate and health and clinical governance, and
modernisation/redesign of services.

With other members of the Acute Services Management Team, senior managers and senior
clinical staff within the Acute service to ensure the implementation of the clinical strategy and a
strategy for clinical governance.

With representatives of local government, voluntary and independent sector agencies and
private sector organisations to ensure NHS Ayrshire & Arran representation in discussions in
relation to clinical issues arising from a joint service provision.

With MPs/MSPs/local health council chairs/public pressure groups/patient representatives etc.,
in order to impart information about or respond to questions or concerns about clinical issues
within NHS Ayrshire & Arran.

With the media in order to respond to media questions about matters pertaining to clinical
services in NHS Ayrshire & Arran.
9. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
The post requires an individual who demonstrates high levels of competency in the critical leadership
behaviours identified as crucial to achieving success within NHS Scotland:






Working in partnership
Learning and development
Caring for staff
Improving performance through team-working
Communicating effectively
Improving quality
11

Achieving results
The post-holder must be medically qualified and be on the medical register, and will have previously
worked as a consultant or as a principal in General Practice.
The post-holder will require previous experience in medical management in an acute care setting and will
demonstrate high levels of interpersonal, strategic and technical skills and the stature to earn the
confidence and respect required to deliver major change in clinical services.
10. JOB DESCRIPTION AGREEMENT
A separate job description will need to be signed off by each job holder to
whom the job description applies.
Job Holder’s Signature:
Date
Head of Department Signature:
Date
12
JOB DESCRIPTION
2. JOB IDENTIFICATION
Job Title:
Associate Medical Director (Up to 5 sessions per week)
Reports to:
Associate Medical Director (Acute)
Department:
Medicine & Emergency Medicine
2. JOB PURPOSE
4.
5.
6.
Reporting to the Associate Medical Director (Acute) the Associate Medical Director will be
a part of the team of the Director for Acute Services and therefore required to attend the
management team meeting.
Reporting to the Associate Medical Director (Acute) the Associate Medical Director will in
conjunction with the General Manager form part of the Divisional Management Team,
which will manage all aspects of the Medicine & Emergency Medicine Division.
As a member of the office of the Medical Director the Associate Medical Director will
assist the Medical Director in the development and delivery of Clinical Services Strategy.
The post-holder will also carry a system wide portfolio.
3. DIMENSIONS
13
4. ORGANISATIONAL POSITION
5. KEY RESULT AREAS
Service Delivery
4. To be a corporate member of the Clinical Directorate Team and provide advice and
support in regard to medical issues.
5. To provide leadership and guidance to the medical staff working within the Clinical
Directorate ensuring medical practice and standards are in accordance with Best
Practice.
6. To be professionally accountable for the Clinical Directors within the division.
Workforce
5. To provide advice in the deployment of medical staff within the Clinical Directorate and
on the site.
6. To ensure that medical staff complete the appraisal process.
7. To lead the consultant job planning process within the Clinical Directorate.
8. To deal with the implementation of HR Policies and Procedures for Medical Staff
(discipline, grievance selection etc).
Clinical Governance
4. To lead on all aspects of clinical governance for the Clinical Directorate
14
5. To advise on clinical risk for the Clinical Directorate whilst promoting Best Practice.
6. To develop and implement a system to maximise patient safety within the Clinical
Directorate.
Strategic Development
3. To lead the development of clinical models for the services within the Clinical
Directorate.
4. To lead service modernisation and redesign of clinical services within the Clinical
Directorate.
6. ASSIGNMENT AND REVIEW OF WORK
This post is directly accountable to the Associate Medical Director (Acute) and works under
broad direction within the parameters of government priorities and policies for health. The
post also operates within NHS Ayrshire & Arran’s own strategic framework to which the postholder contributes as a member of the Acute Services Management Team. The post-holder
has professional accountability to the Associate Medical Director (Acute).
Review of performance in the post is undertaken through the agreement of performance
objectives and individual performance appraisal by the Associate Medical Director (Acute) in
consultation with the director of Acute Services. Formal appraisal is undertaken on an annual
cycle but the Associate Medical Director (Acute) will undertake more frequent ongoing
informal reviews of current developments and progress on major issues on an ongoing basis
giving authority where necessary for the post-holder to proceed with matters outwith the
scope of his/her delegated authority.
7. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
To secure, through effective leadership, real support and commitment from senior clinical staff for
the redesign of clinical services, including greater integration between primary and acute care.
15
8. COMMUNICATIONS AND RELATIONSHIPS
The post-holder will communicate with a wide range of senior clinical and non-clinical staff in
NHS Ayrshire & Arran, the wider NHS in Scotland and beyond, and with senior officials of
external organisations. Excellent communication skills are required in order to persuade
others and negotiate the implementation of change. Strong presentational skills are required
as is the ability to express views convincingly and coherently using a variety of media.
Excluding the post-holder’s immediate manager and his/her subordinates within NHS
Ayrshire & Arran, the following are key working relationships with examples of the purposes
of these contacts.

With Executive and Non-Executive Directors of NHS Ayrshire & Arran and in particular the
members of the Healthcare and Clinical Governance Committee to ensure the provision of
information and support to enable them to effectively fulfil their roles as Non-Executives,
particularly in relation to corporate and health and clinical governance, and
modernisation/redesign of services.

With other members of the Acute Services Management Team, senior managers and senior
clinical staff within the Acute service to ensure the implementation of the clinical strategy and a
strategy for clinical governance.

With representatives of local government, voluntary and independent sector agencies and
private sector organisations to ensure NHS Ayrshire & Arran representation in discussions in
relation to clinical issues arising from a joint service provision.

With MPs/MSPs/local health council chairs/public pressure groups/patient representatives etc.,
in order to impart information about or respond to questions or concerns about clinical issues
within NHS Ayrshire & Arran.

With the media in order to respond to media questions about matters pertaining to clinical
services in NHS Ayrshire & Arran.
9. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
The post requires an individual who demonstrates high levels of competency in the critical leadership
behaviours identified as crucial to achieving success within NHS Scotland:






Working in partnership
Learning and development
Caring for staff
Improving performance through team-working
Communicating effectively
Improving quality
16

Achieving results
The post-holder must be medically qualified and be on the medical register, and will have previously
worked as a consultant or as a principal in General Practice.
The post-holder will require previous experience in medical management in an acute care setting and will
demonstrate high levels of interpersonal, strategic and technical skills and the stature to earn the
confidence and respect required to deliver major change in clinical services.
10. JOB DESCRIPTION AGREEMENT
A separate job description will need to be signed off by each job holder to
whom the job description applies.
Job Holder’s Signature:
Date
Head of Department Signature:
Date
17
DETAILS OF HOW TO APPLY
Please note, the Closing Date for all applications is Tuesday 15th October 2013.
Late applications will not be forwarded for shortlisting.
All applications will be acknowledged and treated in the strictest of confidence.
Additional Information
For a confidential discussion on the role please contact Liz Moore, Director of Acute Services, NHS
Ayrshire and Arran on tel: 01292-614629 or email: liz.moore@aapct.scot.nhs.uk.
Please refer to Job Description.
How to Return Your Application
Please submit your completed application by Tuesday 15th October 2013
by email to Caroline.McCluskey@aaaht.scot.nhs.uk
Alternatively by post to Caroline McCluskey, Resourcing Coordinator, Department of O&HRD, 63A Lister
Street, Crosshouse Hospital, Kilmarnock, Ayrshire KA2 0BE.
If you have any questions about the application/selection process or to request a postal/email
Information Pack please do not hesitate to contact: Caroline McCluskey, Resourcing Coordinator on
01563 825731.
18