chronic pain - NHS Scotland Recruitment

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Job Description
CONSULTANT IN ANAESTHESIA
AND
CHRONIC PAIN
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September 2015
Contents
Page
The Post
3
The Department of Anaesthetics
- Education, Research and Audit
- Description of Programmed Activities and On-Call Commitments
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5
5/6
Dumfries and Galloway Region
7
NHS Dumfries & Galloway
- Structure
- NHS D&G Corporate Aims
- Staff
- Services
- Dumfries and Galloway Royal Infirmary
- DGRI Education Centre
- DGRI Future Re-development
- Galloway Community Hospital
- Midpark Hospital
- Cottage Hospitals
8
8
8
8
8
9
10
10
11
11
11/12
Qualifications
12
Terms & Conditions of Service
12-13
Enquiry Arrangements
14
Selection Criteria
15
Relocation
16
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Dumfries and Galloway Royal Infirmary
CONSULTANT ANAESTHETIST
THE POST
This is a replacement post. The successful candidate will join a team which comprises fifteen
Consultants, 6 Specialty Doctors and 5 trainees.
THE DEPARTMENT OF ANAESTHETICS
The Anaesthetic Department is based at Dumfries and Galloway Royal Infirmary, the district
general hospital for the Dumfries and Galloway Region.
There is a modern 6 theatre operating department suite with recovery area and an adjacent
endoscopy/day case suite with 20 trolley spaces and two endoscopy rooms. In addition there is an
ophthalmology operating theatre adjacent to the ophthalmology ward and an obstetric operating
theatre in the Birthing Suite. Equipment in Theatres is of a high standard with all anaesthetic
machines equipped with electronic flowmeters/end tidal control; BIS and videolaryngoscopes in
each theatre; fibreoptic bronchoscopes, oesophageal Doppler and ultrasound facilities for regional
anaesthesia readily available.
A Pre-operative Assessment clinic sees all elective surgical cases with nurse assessments supported
by dedicated consultant sessions. Day surgery, 23hr unit and day of surgery admissions are used for
the majority of cases with plans for this to increase further.
The Chronic Pain Service is supported by two consultant Anaesthetists, each with 3 sessions per
week of clinical time. They in turn are supported by a multi-disciplinary team. A pilot is underway
for a multi-disciplinary Pain Management Programme with a view to this being a sustainable part of
the service. Links with Primary Care, Palliative Care and the Third Sector are strong with the Pain
Association being integrated in to the service provision via a direct referral pathway. Intervention
sessions are currently performed in the main theatre complex but a high definition radiology
intervention suite is also available and may be part of future provision. A radiofrequency ablation
machine is currently on trial with a view to imminent purchase.
The Intensive Care Unit is staffed for four level 3 patients and is well equipped, currently with Evita
ventilators, Philips monitoring and Oesophageal Doppler, PICCO and echocardiography available.
Multi-modality renal support is used. The Intensive Care Unit runs a closed model and is staffed by
six Consultant Anaesthetists with an interest in Critical Care on a ‘week at a time’ daytime rota. The
unit actively participates in audit and multi centre research. There is a separate 4 bed Surgical High
Dependency Unit and an 8 bed Medical High Dependency/Coronary Care Unit which are currently
run as an open model with support from Anaesthesia and Intensive Care when requested.
There is full Medical Physics back-up, day and night for all departments.
There is a well established Specialist Nurse led Acute Pain Service with Consultant Anaesthetist
support.
The regional Accident and Emergency Department is supported by the Department of Anaesthesia
and Intensive Care in resuscitation and stabilisation of patients in the Emergency Department and
on occasions is responsible for transport of critically ill patients to tertiary centres, particularly for
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neurosurgical and cardiothoracic intervention.
In addition, the Department supports the following facilities:
1. Cresswell Maternity Wing, which provides a specialist Obstetric and Neonatal Service for
south-west Scotland, with around 1,400 deliveries per year. The resident anaesthetist is always
trained in obstetric anaesthesia. A labour epidural service and remifentanil PCA are offered.
There are two Consultant sessions for elective cases on Tuesday and Thursday mornings.
2. ECT. This is now provided in the day surgery unit following the move of psychiatric services to
the new Midpark Hospital.
3. Galloway Community Hospital, which has a separate anaesthetic rota staffed by the two
Galloway Community Hospital consultants, supported by a visiting specialty doctor. Locum
sessions are occasionally available to support this rota.
4. Ophthalmology. A fully equipped operating theatre is used in the ophthalmology ward for local
anaesthesia and occasional general anaesthetic cases.
The Anaesthetic Department establishment at present is as follows:
Consultants:
Dr D Christie (w/t)
Dr V Edwards (w/t)
Dr H Goonesekera (w/t)
Dr D Macnair (w/t)
Dr J Muthiah (w/t)
Dr J Neil (w/t)
Dr W Peel (w/t)
Dr V Perkins (w/t)
Dr J S Rutherford (w/t)
Dr L Verner (p/t)
Dr D Williams (w/t)
Dr S Wilson (w/t)
Dr W Wrathall (w/t)
Dr N Yatiwelle (w/t)
Dr R J Spicer (p/t).......GCH
Vacant post (locums) GCH
Specialty Doctors:
Dr D Ballingall (wt/)
Dr K Shahzad (w/t)
Dr C Fernando (w/t)
Dr M Lawrence (w/t)
Dr N Roux (w/t)
Dr J Deutsch
Dr J Carruthers (p/t)
Special Interest:
ICU, Deteriorating Patient
Emergency Surgery, Rota
Chronic Pain: in post until October 2015
Obstetrics
Chronic Pain, Orthopaedics
Obstetrics, Blood Transfusion
ICU, Vascular Surgery, ECT,
Pre-operative Assessment, Ambulatory Surgery
ICU, Vascular Surgery, Acute Pain, Paediatric Anaesthesia,
APLS Course Director, Non technical skills
Regional Anaesthesia, Orthopaedics
ICU, Vascular Surgery, Specialty Lead Clinician for ICU,
ALS Course Director
ICU, Airway lead
ICU, Vascular Surgery, ALERT Course Co-ordinator,
Clinical Director of Anaesthesia & Intensive Care
Enhanced Recovery, Pre-operative Assessment
Inter-hospital Transfer, Asthma, Day Surgery
Locum appointment
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Dr D Coyle (p/t)…..GCH
Provides 1 in 4 weekend on-call
Trainees:
 Five CT1,2 doctors, recognised by the College for basic specialist training, on the West of
Scotland training rotation
 One ST3, for six months per year
Education, Research and Audit
The Department holds weekly Intensive Care lunch-time meetings and monthly half-day
“Continuing Education and Professional Development” sessions. There is a tutorial programme and
a series of lectures to theatre nursing staff.
Video conferencing facilities are widely used and the department currently participates in the
weekly Edinburgh Royal Infirmary Critical Care Journal Club.
The Department is accredited for basic level training in Intensive Care Medicine and is currently
being assessed for intermediate level training in Intensive Care Medicine
The Department is heavily involved in Critical Care and Resuscitation teaching with ALERT,
IMPACT, APLS, ALS, SCOTTIE courses, all being run in the Education Centre and Resuscitation
Training Centre. SIM-MAN and HAL mannequins are used in much of the teaching
Future Developments
Members of the Department of Anaesthesia and Intensive Care have been heavily involved in the
design of the new General Hospital (see below) scheduled to open in 2017. The design incorporates
an 8 theatre operating suite and a 16 bed Critical Care unit combining existing ICU and HDU
facilities.
Description of Programmed Activities and On-call Commitments
A detailed Job Plan will be negotiated with the successful candidate to accommodate sub-specialty
interest; a typical job plan is illustrated below. The job plan comprises 10 Programmed Activities
(PAs), a split of 9:1 between Direct Clinical Care PAs and Supporting Professional Activities is
standard, but the balance between DCC and SPA will be agreed between the Board and successful
applicant. The Department of Anaesthesia and NHS Dumfries and Galloway value the development
of non-clinical interests and, as these roles expand, additional time may be allocated.
Up to 2 additional PAs may be offered. A minimum of 1 SPA will reflect activities such as
appraisal, personal audit, professional development (outwith study leave) and teaching. The SPA
session is taken flexibly.
The department has a flexible approach to clinical sessions and it is hoped that the successful
candidate will work with the same flexibility as the existing consultants.
Job Plan
(For illustration this job plan includes 2 additional PAs.)
Mon
Tues
Wed
08.00-13.00
Orthopaedics
Chronic Pain Fixed/Flexible
Theatre
Clinic
Theatre
13.00-18.00
Orthopaedics
Chronic Pain Pain Admin &
Theatre
Interventions
Development
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Thur
Fri
Gynaecology
theatre
Chronic Pain
Clinic
(This weekly plan is an example of a possible job plan: other sessions may be available and subspecialty interests will
be accommodated if possible.)
1 SPA to be taken flexibly during the week.
2 PAs are allocated to out of hours clinical work generated by the 1:6.5 on call rota (see below).
This calculation is supported by consultant diary evidence.
A clinical session is allocated 5 hours, or 1.25 PA, to allow for pre and post-operative clinical input
and admin time associated with clinics. A typical morning session therefore is from 08.00-13.00
and afternoon session 13.00-18.00.
Up to 10 days of funded external study leave per year is allocated. In addition Professional Leave
for additional external duties may be available at the discretion of the Medical Director for Acute
Services.
A hierarchical on call system operates; a resident CT/ST or Specialty Doctor is first on-call (always
obstetric anaesthesia competent), Consultants are second and third on-call, one of which always has
an ICU interest. At present, the Consultants work 1:13 2nd on-call and 1:13 3rd on call, making the
overall on call rota 1:6.5 with prospective cover. The on call is non-resident.
The on call nights rotate through the week so no one consultant has a fixed on call night. Following
a night second on call, no clinical commitments are allocated for the following day. Following a
night third on call with a CT trainee, no clinical commitments are allocated for the morning session.
The on call case mix covers all sub-specialties including Obstetrics, Paediatrics, Intensive Care and
resuscitation and transport for tertiary care for specialties not locally available eg Cardiothoracic
and Neurosurgery.
Compulsory resident overnight duties are not part of current job plan, however future re-designs
may be necessary to accommodate changes in working practices and it may be necessary to
negotiate consultant resident out of hours duties. This is not, however the current model of future
service provision.
The department is accommodated in an open plan office with each consultant having a desk space
and networked PC, fully supported by the IT department with access to PACS, lab browser, patient
records, pre-assessment clinic records, theatre management system, dictation facilities, NHS.net and
clinical support including e-library. The Health Board is moving towards a fully electronic patient
record. Department administration is provided by one full-time and one part-time secretary.
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DUMFRIES AND GALLOWAY REGION
The population of Dumfries and Galloway is 148,000, within a large geographical area of about
2,500 square miles. Dumfries and Galloway stretches from Langholm in the East to Stranraer in the
West, and from Kirkconnel in the North down to the Solway Coast. There are a number of
community hospitals in various towns throughout the region, and an intermediate unit – Galloway
Community Hospital (with medical and maternity in-patient beds) in Stranraer.
Dumfries has a population of approx. 48,000 and is situated in the eastern half of the region. The
River Nith runs through the town to the Solway coast and the city of Carlisle is approximately 45
minutes drive from Dumfries. Glasgow is within 1½ hours, Edinburgh and Newcastle within 2
hours, and Manchester and Liverpool within 2½ hours driving time from Dumfries.
Dumfries and Galloway offers the very best of Scottish countryside............from rugged cliffs and
sandy beaches to forests, hills and rolling farmland. You’re spoilt for choice in the range of
activities on offer, with watersports, fishing, birdwatching, golf, mountain-biking or cycling along
the network of rural roads . . . and much more. The Southern Upland Way runs for 212 miles from
Portpatrick in the west to Cockburnspath in the eastern Scottish Borders, through some of
Scotland’s wildest country.
There are many attractions, ranging from the University Town of Dumfries, Scotland’s National
Booktown Wigtown, Artists’ Town Kirkcudbright, Castle Douglas Food Town to the historic
monuments, castles and abbeys, beautiful gardens, fascinating museums throughout the region. The
local Council is committed to investing in education, with high achieving schools that earn top
marks in HM Inspector of Education Reports. Children are encouraged to develop their talents and
interests, with first-class opportunities in music, arts and sports. High quality sport and leisure
facilities are available throughout the region. Property offers exceptionally good value.
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NHS DUMFRIES & GALLOWAY
NHS Dumfries & Galloway became operational on 1st April 2003 when the two Trusts (Acute & Maternity
and Primary Care) were dissolved and one NHS organisation was created, incorporating all NHS services
along with the Health Board.
Structure
The NHS Board has its headquarters on the Crichton site in Dumfries. Comprising executive and nonexecutive Directors, its key responsibility is to ensure delivery of our Local Delivery Plan and Single
Outcome Agreement with Council.
NHS D&G Corporate Aims
Our Purpose:
 To deliver excellent care that is safe, effective, efficient and reliable.
 To reduce health inequalities across Dumfries and Galloway.
Achieved by:
 Creating a momentum for improvement by engaging the enthusiasm of staff to achieve excellence.
Our Outcomes:
 Improved outcomes for patients.
 Improved working environment for staff leading to improved job satisfaction.
 Efficiencies to support continuous quality improvement and sustainability.
Staff
NHS Dumfries & Galloway employs over 4500 staff from a range of different clinical and nonclinical backgrounds, made up of the following broad groupings:
Nursing/Midwifery
Administrative Services
Support Services
Medical & Dental
Emergency Services
Other Therapeutic
49.1%
17.9%
11.5%
7.5%
0.4%
2.4%
AHPs
Senior Management
Healthcare Sciences
Medical & Dental Support
Personal & Social Care
6.8%
0.5%
2.7%
1.1%
0.1%
Services
A wide range of services are provided from over 50 bases across the region. These services are
provided via one of seven General Management Directorates – Operations, Acute, Diagnostics,
Primary Care & Community Care – East, Primary Care and Community Care – West, Women’s &
Children’s Services, and Mental Health. Most acute services are based at Dumfries and Galloway
Royal Infirmary with a network of out-patient clinics held throughout the region and a range of
acute services provided at the Galloway Community Hospital in Stranraer.
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The map below highlights the main service bases throughout the region.
NHS
STRATHCLYDE
KIRKCONNEL
SANQUHAR
BORDERS
MOFFAT
THORNHILL
Annandale & Eskdale Locality
Nithsdale Locality
AYRSHIRE & ARRAN
LOCHMABEN
DUMFRIES
LANGHOLM
LOCKERBIE
Stewartry Locality
NEWTON
STEWART
Wigtown Locality
Gretna
ANNAN
CASTLE
DOUGLAS
Eastriggs
DALBEATTIE
STRANRAER
Carlisle
CUMBRIA
KIRKCUDBRIGHT
DUMFRIES and GALLOWAY
Dumfries and Galloway Royal Infirmary
Dumfries and Galloway Royal Infirmary contains 392 staffed beds (+ 11 cots), and includes the
Departments of:
 Anaesthetics
 Cardiology
 Dermatology
 ENT Surgery
 General Medicine
 General Surgery
 Geriatric/Rehabilitation/Stroke Medicine
 Haematology
 Laboratory Services
 Neurology
 Obstetrics and Gynaecology
 Ophthalmology
 Oral and Maxillofacial Surgery
 Orthodontics
 Orthopaedic Surgery
 Paediatrics
 Palliative Care
 Radiology
 Renal Medicine
 Urology
In the summer of 2002, a “New Build” was opened next to the Accident and Emergency
Department, with accommodation for both the GP Out-of-Hours Co-operative and the Musculoskeletal Service. This released space for the A & E Department, thereby allowing development of
the service. A helicopter landing site was also provided as part of this development.
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The Operating Department, adjacent to the Day Surgery Unit, has six theatres (one allocated for
emergency cases), endoscopy suite and minor treatment area. There is an Intensive Care Unit of
four beds, a Surgical High Dependency Unit of four beds and a Medical High Dependency /
Coronary Care Unit of eight beds. There is also a separate theatre in the Ophthalmology Day Case
ward.
In April 2002, a new Day Surgery Unit opened and the Obstetrics Unit moved to the new “state of
the art” extension (having previously been off-site). One of the existing wards has been converted
in to a 23hr unit.
The Macmillan Cancer Centre on-site opened in 2003; this provides oncology out-patient,
chemotherapy and palliative care services.
DGRI Education Centre
Dumfries and Galloway Royal Infirmary is the recognised Post-Graduate Medical Centre for southwest Scotland. The Education Centre has recently been refurbished, with state of the art facilities
enabling us to deliver using a range of teaching methods, and providing videoconferencing
facilities.
Dumfries and Galloway Royal Infirmary welcomes students from Glasgow (departments of
medicine, surgery, trauma and orthopaedics), Edinburgh (departments of geriatrics, psychiatry,
paediatrics and obstetrics), and Dundee (department of psychiatry).
The curricula of the universities differ, and appropriate induction is provided into the methods used
in the department selected.
In addition to undergraduate teaching Foundation and GPST programmes run, other specialist
training posts are run as blocks from regional programmes.
There is a good programme of departmental teaching in all departments, and CPD for primary and
secondary care clinicians.
For further information on the
www.dgeducationcentre.scot.nhs.uk
Dumfries
and
Galloway
Education
Centre
go
to
DGRI Future Re-development
It is an exciting time in Dumfries and Galloway as a new District General Hospital is being built,
due to open in winter 2017. Redesign of services at Dumfries & Galloway Royal Infirmary is
currently underway. Work has commenced on the NHS D&G ‘new build’ hospital based on the
western outskirts of the town. This new build will ensure NHS Dumfries & Galloway staff are able
to continue to provide high quality clinical care to the population of Dumfries & Galloway in a
modern environment. Full information on the DGRI Redevelopment Project can be found on the
NHS Dumfries & Galloway website – www.nhsdg.scot.nhs.uk
Please click on the link below to experience a walk-through of our new state of the art hospital.
https://www.youtube.com/watch?v=425ePpuzzy4&feature=youtu.be
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Galloway Community Hospital
The Galloway Community Hospital is located in Stranraer, 75 miles from Dumfries. It opened in
September 2006 replacing the former Dalrymple and Garrick Hospitals.
Services provided at this site include Day Surgery (12 trolley area); Assessment & Rehabilitation
(24 beds); Palliative Care (2 beds); Acute Medicine (20 beds); Maternity Services (2 beds); Renal
Services (4 station unit haemodialysis); as well as Accident and Emergency, Anaesthetics,
Laboratory, Radiology, Out-patients (provided by a number of Consultants and specialist nurses
from Dumfries & Galloway Royal Infirmary), and Out-of-Hours.
Health professionals based in the Galloway Community Hospital include: Physiotherapy,
Occupational Therapy, Speech and Language, and Podiatry Services.
Midpark Hospital
The new Mental Health facility opened in January 2012 on a site adjacent to the Crichton Campus.
Facilities provided at the new site include - a 15 Bed elderly ward; 16 bed dementia/organic illness
ward; 6 bed IPCU; 34 Bed adult (2 wards – 17 bed each); Acute hub accommodation; 8 Bed
rehab recovery; 8 Bed rehab long stay; and Rehab hub accommodation.
These facilities have an average annual admission rate of over 700 and approximately 7,000 outpatient attendances per year. They provide a full range of psychiatric services for patients of all
ages in the Dumfries & Galloway region. The Emergency Department is supported by a Psychiatric
Liaison Nurse.
Cottage Hospitals
As well as the Galloway Community Hospital, there are a further eight Cottage Hospitals within
Dumfries and Galloway:
Annandale & Eskdale
 Annan Hospital
24 beds (palliative care and rehabilitation)
 Lochmaben Hospital
16 beds (palliative care and rehabilitation)
 Moffat Hospital
12 beds (GP acute and rehabilitation) and Minor Injuries Unit
 Thomas Hope Hospital
12 beds (palliative care and rehabilitation)
Dumfries & Upper Nithsdale
 Thornhill Hospital
13 beds (rehabilitation)
Stewartry
 Castle Douglas Hospital
21 beds (GP acute and rehabilitation) and Minor Injuries Unit
 Kirkcudbright Hospital
14 beds (GP acute) and Minor Injuries Unit
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Wigtown
 Newton Stewart Hospital
22 beds (GP acute, palliative care and rehabilitation) and Minor Injuries Unit
(In some cases patients may be admitted directly from the DGRI Emergency Department to
Cottage Hospitals through local General Practitioners)
QUALIFICATIONS
All candidates are required to be on the GMC Specialist Register and hold a License to Practise.
The candidate will hold any of the following: a CCT or be within 6 months of obtaining the
certificate, CESR (CP), CESR (Article 14).
TERMS AND CONDITIONS OF SERVICE
The terms & conditions of service offered are those determined by the Consultant Contract 2008
Scotland (as amended from time to time).
This is a permanent position.
Salary scale
£76,761 - £103,490 (basic, whole-time equivalent).
New entrants to the NHS or the consultant grade will normally commence on the minimum point of
the salary scale (dependant on qualifications and experience).
Hours of duty
The hours of duty are 40 per week.
Superannuation
You have the option to join the NHS Superannuation Scheme, to participate in the State Earnings
Related Pension Scheme or to take out a Personal Pension. Employee’s contributions to the NHS
Scheme are Tiered based on your earnings and the employers contribution equates to 13.5 % of
salary. Employees in the NHS Scheme are “Contracted-out” of the State Earnings Related Pension
Scheme and pay a lower rate of National Insurance contributions. Employees who choose to
participate in the State Earnings Related Pension Scheme pay the higher rate of National Insurance
contribution. A Stakeholder Pension is also available. A Personal Pension is a private arrangement
agreed with the pension provider that will be an organisation such as a Bank, Building Society or
Insurance Company.
Removal expenses
Assistance with relocation and associated expenses may be given and can be discussed prior to
appointment. A quick reference of entitlements is attached for you.
Expenses for candidates attending for interview / visit
Candidates who are required to attend an interview will be given assistance with appropriate
travelling expenses. Re imbursement shall not normally be made to employees who withdraw their
application or refuse an offer without good reason.
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Disclosure Scotland / PVG
This post is considered to be in the category of “Regulated Work” and therefore requires a
Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership which currently
costs £59.00. The cost of the PVG Membership will be initially paid by NHS Greater Glasgow and
Clyde and will required to be repaid through a payroll deduction mandate from the successful
candidate’s first salary.
Right to work in the UK
NHS Dumfries & Galloway has a legal obligation to ensure that it’s employees, both EEA and non
EEA nationals, are legally entitled to work in the United Kingdom. Before any person can
commence employment within NHS D&G they will need to provide documentation to prove that
they are eligible to work in the UK. Non EEA nationals will be required to show evidence that
either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are
applying to do. Where an individual is subject to immigration control under not circumstances will
they be allowed to commence until the right to work in the UK has been verified. ALL applicants
regardless of nationality must complete and return the Confirmation of Eligibility to Work in the
UK Statement with their completed application form. You will be required provide appropriate
documentation prior to any appointment being made.
Rehabilitation of Offenders Act
The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal
offences to regard their convictions as “spent” after the lapse of a period of years. However, due to
the nature of work for which you are applying this post is exempt from the provisions of Section 4
of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974
(Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information
about convictions which for other purposes are “spent” under the provision of the act in the event of
employment, failure to disclose such convictions could result in dismissal or disciplinary action by
NHS Dumfries & Galloway. Any information given will be completely confidential.
Disabled Applicants
A disability or health problems does not preclude full consideration for the job and applications
from people with disabilities are welcome. All information will be treated as confidential. NHS
Dumfries & Galloway guarantees to interview all applicants with disabilities who meet the
minimum criteria for the post. You will note on our application form that we ask for relevant
information with regard to your disability. This is simply to ensure that we can assist you, if you
are called for interview, to have every opportunity to present your application in full. We may call
you to discuss your needs in more detail if you are selected for interview.
Notice
The employment is subject to three months’ notice on either side, subject to appeal against
dismissal.
Medical negligence
In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does
not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover
only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence
organisation in order to ensure you are covered for any work, which does not fall within the scope
of the indemnity scheme.
Accommodation
The post is non-resident, but temporary single accommodation may be available for a fixed period.
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ENQUIRY ARRANGEMENTS
For further information please contact Dr Wayne Wrathall, Clinical Director of Anaesthesia &
Intensive Care (direct dial – 01387 241873; e-mail address -davidwayne.wrathall@nhs.net) or Dr
John Muthiah, Consultant Anaesthetist (direct dial 01387 241810; email address –
j.muthiah@nhs.net).
Arrangements to visit the department can be made through Patsy Pattie, Project Lead for Medical
Recruitment on 01387 241790, (e-mail address – patsy.pattie@nhs.net).
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DUMFRIES AND GALLOWAY ROYAL INFIRMARY
SELECTION CRITERIA
Appointment of:CONSULTANT ANAESTHESIA AND CHRONIC PAIN MANAGEMENT
Job Requirement
Essential
Desirable
Qualifications
Name on GMC Specialist Register, or Additional
training/experience
and/or
within six months at time of interview of qualifications in Chronic Pain Management
gaining CCT
like FFPMRCA
Experience
Exposure to anaesthesia for all surgical Advanced difficult airway management
specialties essential.
Advanced regional anaesthesia techniques
Competence in Emergency and Trauma
Management across all age groups and
all medical specialties.
Clinical Skills &
Technical Skills
Knowledge
Ability
Motivation
Experienced in general and local
anaesthetic techniques. Competent to
perform intra-vascular monitoring
Familiarity with the casemix and
demands of working in an isolated
DGH
Record of getting on well with medical Evidence of training in non technical skills.
and nursing colleagues
Good communicator with patients and
relatives
Prepared to accept a
flexibility in working week
degree
of
Personality
Evidence of ability to work in a
multidisciplinary team environment
Audit
Ability to identify and carry out
worthwhile projects if recognised in job
plan
Basic computing skills
Evidence of involvement in audit/quality
improvement activity throughout career
Research
Willingness to participate in multi- Evidence of involvement with research
centre research projects undertaken by projects
the department if recognised in job plan
Advanced computing skills such as the
development and manipulation of databases.
Evidence of lead role in substantial
audit/similar projects and evidence of the
ability to translate the outcome of these
projects into improvement in patient care
Management Ability Willingness to play a part in the Evidence of training and/or experience in
development of the Department and the service development and manpower skills.
Hospital if recognised in job plan.
Prepared By: Dr W Wrathall
Clinical Director of Anaesthesia & Intensive Care
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Date: September 2015
NHS DUMFRIES & GALLOWAY RELOCATION POLICY
(Your entitlement at a glance)
£10,560 is the maximum reimbursement which is available in accordance with the following
headings.
£8000 is the tax limit therefore, anything reimbursed above this amount will be taxed.
Cost incurred
House sale/purchase fees
Maximum reimbursement
£4,700
Preliminary visits to area x 2
Mileage + Subsistence
Temporary accommodation i.e. rent (where
have another commitment) for 6 months
£3300
Removal / storage of furniture & effects
£1000
Miscellaneous allowance
£1100
There are conditions which must be met for all of the above reimbursement entitlements
therefore, it is important that the above is read alongside the full policy when a claim is
being prepared.
A copy of the full policy is available on the intranet in the Services Section – Workforce – Policies.
Or from the HR helpline which is:
HR Helpline ext 34888 or via switchboard 01387 246246
Email dumf-uhb.hrenquiries@nhs.net
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