Important Job Application Information 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. Please return your completed Application Form to recruitment.tayside@nhs.net (quoting the vacancy reference number in the subject box) or to the postal address given on the General Conditions of Service. All completed applications are held in Human Resources 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 Human Resources. ADDITIONAL INFORMATION:Find out more about living and working in Tayside at: www.dundeecity.gov.uk www.angus.gov.uk www.pkc.gov.uk Page 1 of 17 NHS TAYSIDE – AGENDA FOR CHANGE JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title Heart Failure Specialist Nurse Department(s)/Location Tayside Heart Failure Liaison Service / Medicine Number of job holders Three Page 2 of 17 2. JOB PURPOSE The aim of this post is to improve the management and support of patients with chronic heart failure, and their carers/families, to reduce unnecessary hospital re-admissions, and to provide seamless care between the primary care and acute care areas. The post-holder : 3. Practices autonomously, effectively managing a caseload to co-ordinate and deliver an expert nursing service within the Heart Failure Nurse Liaison Service, ensuring that assessment of care needs are central to the development, implementation and evaluation of programs of care. Is responsible for ensuring that standards of practice are maintained, monitored, reviewed and continuously developed and that safe and effective care is delivered within the scope of practice as part of a healthcare team. Collaborates with a range of health care staff and other agencies in the provision of an integrated service providing information and support whilst ensuring an accessible source of clinical expertise to those above, clients, carers, and relatives for this specialist field of practice. ORGANISATIONAL POSITION Clinical Services Manager ……..Associate Director of Nursing Head of Nursing Heart Failure Specialist Nurse 4. SCOPE AND RANGE The Heart Failure Nurse Liaison Service (HFNLS) manages patients with deteriorating heart failure in the community, following hospital discharge. This service covers the Tayside region with a population of approx 385,653. Monthly statistics for this cohort of patients demonstrates that approximately 180 patient contacts are made per calendar month. The HFNLS optimises the management of patients with Chronic Heart Failure (CHF), by devising and implementing agreed protocols as recommended within the Tayside Medical Therapy Guidelines drawn up in conjunction with leading medical practitioners in the region. Environment of Care Domiciliary Visits Specialist Nurse Led Clinics Primary and/or Secondary Care Budgetary Responsibilities Ensure effective use of physical, human and financial resources within the area, including nursing budget for equipment and disposable stock items Page 3 of 17 5. MAIN DUTIES/RESPONSIBILITIES Care Delivery The post-holder: Provides and manages an expert specialist service, for people with heart failure, in multisettings eg home, hospital, clinic. Develops and implements service policies for own work area and proposes policy or service changes in accordance with local needs, ensuring that consideration is taken of the impact these changes have beyond own area of activity and throughout the region e.g. policy changes may impact on other disciplines within the multi-disciplinary team (MDT) Works as an autonomous health professional within a lone working environment Is responsible for the management of a caseload/ client group utilising individual care programs that are created in partnership with the patient, whose needs may be unpredictable, to ensure high quality care delivery. This must be achieved by support, education and involvement regarding the planning of management strategies. Develops and leads care delivery in a specialist nurse led clinic environment As an Independent Nurse Prescriber is responsible for the initiation and titration of a wide range of evidence based heart failure medications, on a daily basis, as supported by the Tayside Heart Failure Service Guidelines Is responsible for reaching accurate clinical decisions, upon which to build management strategies based on highly complex facts, information or findings which require continual analysis and comparison from a range of suitable options for each clients e.g. prescribing medication for heart failure in a patient with co-morbidities such as diabetes or renal failure, which the effect of intervention may exacerbate co-existing illness/ stability Is responsible for the ordering of urgent/non-urgent diagnostic tests such as biochemistry, 24hr ECG, 24hr BP in response to the patient’s clinical condition Is responsible for obtaining diagnostic samples with accurate use of physical/ fine motor skills e.g. venepuncture Is responsible for the instigation of appropriate levels of adverse incidence reporting and subsequent investigation Maintains contemporaneous, accurate and legible HFNLS patient records that reflect current care needs and uses the Heart Failure database to record all patient contact, generate immediate GP and Consultant correspondence, and provides a facility to collate all necessary audit information. Effectively manages all unscheduled care requests whilst ensuring ongoing routine care delivery remains unaffected – resulting in constant adjustment of plans/ strategies. Is responsible for patient/carer knowledge assessment and ensures that opportunities are achieved to address unmet needs within this group to enhance the ability for partnership based clinical decision making, thus assisting in developing coping mechanism and self care strategies Adheres to the Nursing and Midwifery Council (NMC) Code of Conduct and Guidelines for Administration of Medicines, as practitioners who hold a recordable qualification with the NMC Interpretation of complex biochemistry results and observation of patient, providing timely response to individual clinical management to stabilise patient and prevent or reduce the risk of hospital admission General Conditions 05.08 Management The post-holder: Participates in the recruitment and selection of staff for own area Has bleep holder responsibilities for HFNLS Ensures staff development and supports appropriate level of supervision, mentorship, induction and orientation to colleagues and students as necessary Maintains own personal development plan and identify/plan training and development to meet both individual and service needs Has shared responsibility within the team for the development of HFNLS operational protocols for this new service, ensuring that cross-region acceptance is achieved resulting in the successful implementation and awareness of the service. This also encompasses annual review and evaluation procedures for service. Has shared responsibility for planning and delivery of service introduction across primary and secondary care throughout the region, requiring programmes of activity to be undertaken e.g. regional presentations/ discussion forums that involve all potential users of this service Is responsible for maintaining appropriate levels of expertise and skill mix available managing annual leave/ study leave entitlement ensuring successful workforce planning. Ensures current professional registration to include additional qualifications such as Independent Nurse Prescribing. Has responsibility for implementing effective operational systems to ensure safe lone working practices within the team. Has shared accountability for delivery of HFNLS within the sub-group of Medicine and Cardiovascular. Creates, implements and ensures maintenance of a suitable referral mechanism for the multi-disciplinary team (MDT) to access the service with ease. Contributes to the development of professional and organisational policies, procedures and guidelines, and working groups e.g. Tayside Heart Failure Working Group (HFWG) Acts as an expert/ specialist nursing resource for the MDT and assists in the development of new services within the trust by freely sharing experiential learning Implements national and local risk management and health and safety policies within the HFNLS, acting on any identified risks. Implements identified actions arising from incident investigation and root cause analysis. Actively involves service users in providing feedback of their experience of the current service and suggestions for improvements Deputises in the absence of line manager to ensure the continued visibility and involvement of the HFNLS e.g. attendance of steering group meetings Education & Continuing Professional Development The postholder: Identifies, analyses, prioritises and negotiates own training and development needs taking account of all mandatory requirements for the Trust whilst facilitating personal and professional growth to meet the needs of the service and its users. As an Independent Prescriber, ensures that continual professional development General Conditions 05.08 opportunities are addressed within the HFNLS and the Trust to ensure accountability/liability knowledge is updated and built upon as able. Is responsible for provision of core/ specialist educational needs for other health care professionals e.g. teaching at University of Dundee on Critical Care Module (Degree Level), locally arranged learning opportunities such as Angus CHD/Stroke Study Day, Practice Pharmacist training updates. Shares the lead in implementing and evaluating change in practice, and supporting all associated health care colleagues such as GPs, consultants, nurses and pharmacists, through the change process by initiating discussion to debate and influence improvements in practice e.g. Tayside wide consultation process for the developing HFNLS Delivers health promotion activity raising awareness of communities and populations about health and well-being, and the actions that can be taken to address issues e.g. through public presentations, cardiac support groups etc Acts as a clinical expert for the MDT, having gained highly developed specialist knowledge through experience, education and training. Advises on educational opportunities that will facilitate the development and support of knowledge and skills of the MDT, to ensure that they develop their clinical practice e.g. University Modules, Work Shadowing etc Achieves and maintains a range of clinical competencies as required - within the trust, relevant specialist bodies such as HFWG and NMC, and by educational courses e.g. Independent Prescribing course. Quality Research & Development The post-holder: Shares lead on a specific aspect of quality improvement initiatives i.e. undertaking baseline audit prior to service introduction, to quantify post introduction, clinical effectiveness, clinical excellence and value for money. Assists with and contributes information to ongoing research projects such as clinical/ drug trials. Works within an ethical and legal framework, having developed defined policies, procedures, standards and protocols of the department, organisation and NHS Tayside, to promote safe and effective evidence based practice and contribute to quality improvement within heart failure management. Influences and supports implementation of the organisation’s clinical governance framework. General Conditions 05.08 6. COMMUNICATIONS AND RELATIONSHIPS The post-holder has established and maintains relationships based on mutual respect, communicating on a regular basis with the patients/relatives/multi-disciplinary team/general public and external agencies involved in provision of care. The post-holder ensures appropriate systems are developed and operational to facilitate dissemination of information across the organisation. Communication with stakeholders internal and external: Internal – patients, relatives, carers, general public, medical and nursing staff, pharmacists, students, relevant departments within the hospital e.g. palliative care team, diagnostic depts, other clinical nurse specialists, social workers etc. External – General Practitioners, practice and community pharmacists, practice and district nurses, community palliative care teams, social services, patient support groups, general public and allied health professionals. Methods of communication –face to face, telephone, fax, e-mail, letter. Information communicated is often urgent, complex and complicated e.g. when a patient’s condition has deteriorated and requires urgent attention from other MDT members Information received and provided, is often of a highly complex, highly sensitive or highly contentious nature e.g. when a patient has a poor prognosis or is terminally ill. Timely communication is required to discuss diagnosis, prognosis, diagnostic findings, treatments, clinical management plans, patient response to medication changes, side effects and adverse reaction reporting. The post-holder has highly developed communication skills enabling effective working relationships to be built with patients, relatives, carers, other health care professionals, and students. These communication skills allow the post-holder to exercise tact and diplomacy, and to appreciate the needs and priorities of others. Communication skills used : Motivational skills used to promote positive behaviour and influence lifestyle changes in patients; to ensure all MDT members are on board with service provision; when teaching to other groups – like the first part of this (not highlighted) but not sure what you mean by the second part. Negotiation skills required – e.g. when communicating with patients to achieve treatment options which are acceptable to them and their lifestyles; when discussing treatment options with General practitioners; to resolve any conflict which may occur with stakeholders. Interpersonal and communication skills of a high level are required to deal with highly emotional situations e.g. when informing patient/carers of terminal illness; death. Empathy and compassion required when communicating bad news to patients regarding their prognosis. Highly developed communication skills required to deal with barriers of understanding e.g. cognitive impairment, poor English – can you write this – not sure – may be better to put English not first language, learning disabilities, patients/carers in denial of condition. The post-holder must have the ability to impart complex information to patients/carers with varying levels of understanding. Teaching skills required to deliver information to groups of students or health care General Conditions 05.08 7 professionals, to promote interest and understanding of the subject Public speaking skills required when presenting complex and contentious information to large groups of other healthcare professionals - e.g. the consultation process for HFNLS introduction across Tayside, Practice pharmacists protected learning time - often groups in excess of 60 people. Tact and diplomacy required frequently when communicating with impolite or aggressive individuals and those with strongly opposing views and objectives. Non-verbal communication skills required constantly when dealing with difficult situations eg distressed patients, relatives. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB First level nursing qualification Part 1 or 12 of the NMC Register with minimum first degree or other qualification equivalent to level 9 of Scottish Credit and Qualifications Framework (SCQF) Extensive post registration experience within cardiology and/or demonstrate expert clinical and professional practice developed through experience and theoretical knowledge Hold or willing to work to a recognised Master’s degree level 11 of Scottish Credit and Qualifications Framework (SCQF) specialised qualification relevant to specific post. A relevant post-registration qualification within Cardiology is also desirable ESSENTIAL ADDITIONAL INFORMATION 8 SYSTEMS AND EQUIPMENT The postholder is competent in the use of multiple systems and equipment Information Technology. Central vision laboratory system (used several times per shift) Tayside heart failure liaison data base (used several times per shift) HEARTS MCN Database (used several times per shift) Fax, intranet and e-mail (used several times per shift) Adverse Incident Management System to report and verify incidents (used approximately twice monthly) Computers/printers and associated soft-ware (used several times per shift) TOPAS clinic booking system (used daily) ACHI system (used daily) Manual Handling Wheelchairs (occasional) General Conditions 05.08 Carrying of equipment to and from patient homes – distances vary due to parking availability Approximate weight 10-15 kg (several times per shift) Near Patient Testing Blood pressure monitoring (several times per shift) Phlebotomy (vacutainer and butterfly systems) and safe disposal of sharp equipment and contaminated materials.(several times per shift) Blood glucose monitoring (occasionally) Medical Devices The post holder is responsible for the ordering, maintenance, safe storage and security of the following equipment: Surgical instruments e.g. needles, syringes, vacutainers Stethoscope Automated/manual blood pressure monitoring equipment Prescription Pads Responsible for safe, secure storage of these items and monitoring of issued prescriptions RESPONSIBILITY FOR RECORDS MANAGEMENT All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment. General Conditions 05.08 9 DEMANDS OF THE JOB Physical skills Cross region driving (several times per shift) Phlebotomy skills (several times per shift) Physical Demands Challenging working conditions e.g. cramped home environment (several times per shift) Ongoing moderate physical effort e.g. carrying of equipment (several times per shift) Occasional restrictive movements to treat patients e.g. stooping to undertake clinical skill/ assessment (several times per shift) Maintaining sterility during invasive skilled procedures Mental Demands Clinical decision making regarding treatment options (several times per shift) Prescribing of treatment therapies (several times per shift) Conditions out with ability to control eg road traffic/weather when driving (daily) Prolonged concentration when driving – single journeys of 1 - 1.5 hours (weekly) Concentration required in patient’s home when checking documents/patients notes and adjusting drug dosages, whilst subject to interruptions from patients/ relatives Prolonged concentration required to compile accurate patient data and input relevant information into data base , whilst subject to frequent interruptions eg phone calls, team members.(several times per shift) Concentration required when observing patient/ carers behaviour, which may be unpredictable. Concentration required for awareness of environment eg when working as a lone practitioner, ensuring own safety (several times per shift) Prioritising requirements of unscheduled patient contact whilst ensuring continuation of routine care delivery eg patient decompensation (once per shift) Provision of expert clinical training eg study sessions both formal and informal, students and university ( approx.5 hours monthly) Ensuring efficient communication is achieved within specified time frame (several times per shift) Ability to re-prioritise appropriately to sudden changes in patient clinical condition and deal with new needs effectively, whilst in the unsupported environment of a home visit (once a month) Meeting the needs of all stakeholders with finite resources Keeping abreast of national and local policy directives and evidence based practice, interpreting applicability and adapting for local implementation Continuously motivating, enthusing and maintaining the morale of the team within an ever changing environment Balancing attendance at local and national conventions/ meetings whilst maintaining visibility and accessibility in the environment of care (approx once every two months) Exposure to and responding to volatile situations/ aggression due to circumstances often out with control (approx once every two months) General Conditions 05.08 Emotional Demands Dealing with the consequences of diagnosis and prognosis eg terminal stage of disease process Communicating with distressed / anxious or worried patients / relatives (several times per shift) Supporting patients / carers following receipt of distressing news eg poor prognosis (weekly) Caring for the terminally ill patient (several times per week) Imparting of difficult/complex health information (several times per shift) Supporting of HFNLS team members with personal and professional issues Supporting all HFNLS team members with the emotional burden of professional, managerial and public expectations of health care services Caring for families / carers following sudden or unexpected death of patient (occasional) Caring for patients / families / carers faced with major complications delaying recovery Meeting deadlines in the face of conflicting priorities or demands Working Conditions Frequent requirement to use road transportation e.g. driving for long periods (several times per shift) Lone practitioner working (constant whilst outwith office environment) Exposure to body fluids e.g. blood during phlebotomy (several times daily) Exposure to verbal aggression (approx once a month) Patient positioning e.g. near patient testing (several times per shift) Venepuncture (several times per shift) Exposure to smoke (once per shift) Exposure to unclean environment e.g. patient homes (several times weekly) 10. DECISIONS AND JUDGEMENTS The post holder: Is guided by Heart Failure Working Group guidelines, HFNLS policies and NHS Tayside policies which are interpreted to make individual decisions regarding management strategies, thus allowing freedom to act as autonomous practitioners. Is, as an autonomous practitioner, responsible for managing own diary, caseload and strategies for patient care Has a responsibility to reach sound clinical decisions that will result in the altering of management therapies in accordance with the Tayside Medication Therapy Guidelines / Tayside HFNLS guidelines. These decisions and judgements often involve complex information, which requires analysis, interpretation and comparison of a range of options, e.g. analysis of abnormal blood results and clinical examination to decide most appropriate medication to prescribe. Is responsible for carrying out clinical examination/assessment and reaching sound clinical decisions regarding patients with multiple pathologies and poly-pharmacy. e.g. decisions have to be made where there is not one clear solution, but a range of options. Is accountable for prescribing decisions and must ensure safe prescribing practice. Frequently prioritises the requirements of unscheduled patient contact (to reduce the need for General Conditions 05.08 hospital readmission), whilst ensuring continuation of routine care delivery e.g. patient decompensation of heart failure (approximately once per shift) Has responsibility for standards and quality of clinical practice Has responsibility for reviewing and reflecting upon decisions in relation to assessing, monitoring, evaluating and interpreting patients conditions and effectiveness of their care programs e.g. HFNLS monthly case reviews Regularly supports and supervises patients / carers / relatives to reflect upon and review their decisions in relation to care management and effectiveness of their care programs Participates in Clinical Supervision to enhance care delivery Has bleep holder responsibility for HFNLS - involves timely response to patients needs, answering queries and taking referral information Assesses referred patients to decide whether they meet inclusion not referral criteria and are appropriate for service intervention. Liaises with Nurse Coordinator for formal appraisal of performance 11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Effective management and prioritisation of competing demands within an unpredictable environment eg rescheduling workload to enable prompt action when a patient’s condition deteriorates suddenly. Timely communication with persons with differing priorities, commitments and agendas, eg often difficult to get in touch with medical staff, GPs promptly due to their own commitments. Acting appropriately to adverse results occurring due to prescribing decisions. Balancing the demands of all stakeholders to provide an efficient, safe and effective service. Promoting and maintaining continuing development of HFNLS within available resources and through evaluation, demonstrate the impact of the service on patient care. The constantly changing and developing nature of new service Complaints General Conditions 05.08 Person Specification POST REF NO: D/PS/39/15 JOB TITLE/BAND: Senior Specialist Nurse, Band 7 LOCATION: Heart Failure Liaison Service, Ninewells HOURS: 18.75 hours per week CRITERIA ESSENTIAL EXPERIENCE: Extensive post registration experience within cardiology and/or demonstrate expert clinical and professional practice developed through experience and theoretical knowledge DESIRABLE Experience of leading and supporting redesign quality improvement QUALIFICATIONS: (Training; Research; Publications) First level nursing qualification Part 1 or 12 of the NMC Register with minimum first degree or other qualification equivalent to level 9 of Scottish Credit and Qualifications Framework (SCQF) Hold or willing to work towards a recognised Masters degree level 11 of Scottish Credit and Qualifications Framework (SCQF) specialised qualification relevant to specific post A relevant post-registration qualification within Cardiology KNOWLEDGE & SKILLS: Demonstrates responsible, accountable practice Experience of working autonomously with minimal supervision Effective decision making skills Independently prescribe or be willing to undertake non-medical prescribing course Have expert knowledge of the relevant anatomy, physiology, disease process and treatment options acting as an expert resource for Cardiology Demonstrate the ability to accept and manage direct referrals, General Conditions 05.08 Knowledge of current evidence and direction of travel for NHS Scotland working autonomously to assess, plan, deliver and evaluate care. Excellent communication skills Computer and information literacy Ability to deliver and lead educational programmes PERSONAL QUALITIES: Ability to lead and manage teams, lead practice and continuous professional development, working effectively as part of a multi-professional / multi-agency team Ability to lead on service delivery Flexible to meet the demands of the service OTHER: (eg travel across Tayside) General Conditions 05.08 Ability to maintain professional and personal credibility across all staff groups demonstrating knowledge of and ability to implement current clinical policies and guidelines General Conditions of Service POST REF NO: D/PS/39/15 JOB TITLE/GRADE: Part Time Senior Specialist Nurse, Band 7 LOCATION: Heart Failure Liaison Service, Ninewells Hospital Conditions of Service Remuneration Hours of Duty Superannuation The terms and conditions of service for this post are those determined by the NHS Staff Council. The current salary scale for the post is £31,383 to £41,373 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service. Salary is paid monthly by Bank Credit Transfer. The hours of the post are 18.75 per week. Start and finish times will be determined by the needs of the service. This is a fixed term/secondment post for 12 months to provide cover for a secondment. The end date is subject to amendment should the substantive post-holder give notice to change their return. NHS Tayside Internal applicants: Written approval must be sought from your line manager prior to applying for this secondment. You will be required to bring this if shortlisted for interview. 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). 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 01.04.15 are as follows: Annual Pensionable Pay (Full-time equivalent) Up to £15,828 £15,829 to £21,601 £21,602 to £27,089 £27,090 to £49,967 £49,968 to £71,337 £71,338 to £111,376 £111,377 and over Annual Leave General Conditions 05.08 Contribution 5.2% 5.8% 7.3% 9.5% 12.7% 13.7% 14.7% 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 parttime staff) or 6.6 weeks per year References 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. Occupational Health Clearance All offers of appointment to new entrants to the National Health Service are subject to a medical examination. Medical examinations are arranged and undertaken by the Occupational Health and Safety Advisory Service (OHSAS). Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 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. Disclosure Scotland Immigration, Asylum and Nationality Act 2006 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 (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 Induction Standards & with NMC and hold the appropriate qualification(s). Code of Conduct Smoking Policy NHS Tayside operates a No Smoking Policy and smoking is prohibited within NHS premises and grounds. Applications Completed forms should be returned to: recruitment.tayside@nhs.net 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 16th June 2015 General Conditions 05.08 General Conditions 05.08