THE UNIVERSITY OF NOTTINGHAM RECRUITMENT ROLE PROFILE Job Title: Clinical Associate Professor in Neurosurgery School/Department: School of Medicine, Division of Child Health, Obstetrics & Gynaecology, Children’s Brain Tumour Research Centre Salary: £75,249 - £101,451 per annum, depending on seniority Hours of work: Full-time Location: The Medical School, University of Nottingham and Queen’s Medical Centre (University Hospital NHS Trust), Nottingham Responsible to: Professor Richard Grundy, Clinical Professor of Neuro-Oncology and Cancer Biology, Children’s Brain Tumour Research Centre Iain Robertson, Head of Service for Neurosurgery, Nottingham University Hospitals NHS Trust Job outline: The Children’s Brain Tumour Research Centre (CBTRC) at the University of Nottingham is seeking a full-time Clinical Associate Professor to develop a research programme focussing on drug delivery to brain tumours, one of the key established research themes of the Centre. The post combines academic research with a defined number of neurosurgical clinical activities and responsibilities at Nottingham University Hospitals NHS Trust (50:50). The successful applicant will have an excellent track record in research and be expected to continue to add to their existing track record of successful grant applications and publications in high impact factor peer reviewed journals for research related to neuro-Oncology. The appointee will be expected to assist in strengthening links between clinical and basic sciences in Nottingham and to drive forwards the Clinical trials agenda in Neuro-Oncology and enhance the clinical care of patients with brain tumours. Children’s Brain Tumour Research Centre The Children’s Brain Tumour Research Centre (CBTRC) (http://www.cbtrc.org) is in the Division of Child Health, Obstetrics & Gynaecology (COG), in the School of Medicine at The University of Nottingham. CBTRC brings together a multi-disciplinary team of healthcare professionals and researchers committed to improving the biological understanding, treatment and outcomes of childhood and adult brain tumours. Key research themes include: Improving current knowledge and understanding of the full range of biological factors driving the development of brain tumours during early human development maximising the efficacy of drug treatments by developing novel targeted drugs, optimising drug delivery and integrated testing within national and international clinical trials’ programmes The Senior Academics in the Division of Child Health, Obstetrics & Gynaecology Professor Alan Smyth Professor of Child Health and Head of Division Professor Jim Thornton Professor of Obstetrics & Gynaecology & Deputy Head of Division Professor Richard Grundy Professor of Neuro-Oncology and Cancer Biology Professor David Walker Professor of Paediatric Oncology Dr Helen Budge Clinical Associate Professor and Reader in Neonatology 1 Dr William Whitehouse Dr Don Sharkey Dr Jon Dorling Dr Nia Jones (Bridgewater) Dr William Atiomo Dr Pamela Loughna Dr Beth Coyle Professor Harish Vyas Professor Alan Watson Professor Sir David Hull Professor Leon Polnay Professor Nick Rutter Mr Donald MacArthur Ms Maria Cartmill Clinical Senior Lecturer in Paediatric Neurology Clinical Associate Professor of Neonatology Clinical Associate Professor in Neonatal Medicine Clinical Associate Professor in Obstetrics & Gynaecology Clinical Associate Professor in Obstetrics & Gynaecology Clinical Senior Lecturer in Obstetrics & Gynaecology Associate Professor of Cancer Biology Honorary Professor of Paediatric Respiratory Medicine Emeritus Professor in Paediatric Nephrology Emeritus Professor of Child Health Emeritus Professor of Community Child Health Emeritus Professor of Child Health Honorary Lecturer in Paediatric Neurosurgery Honorary Lecturer in Paediatric Neurosurgery The Neurosurgical Consultants within the NHS Mr Mr Mr Mr Mr Mr Mr Iain Robertson Richard Ashpole Surajit Basu Paul Byrne Graham Dow Barrie White Michael Vloeberghs Head of Service Consultant Neurosurgeon Consultant Neurosurgeon Consultant Neurosurgeon Consultant Neurosurgeon Consultant Neurosurgeon Consultant neurosurgeon DIVISION OF CHILD HEALTH, OBSTETRICS AND GYNAECOLOGY (COG) The COG Division is a vibrant, active department with an international reputation for research excellence, innovation, training in research and teaching of child and women’s health. Key areas of strength within Child Health (in addition to the Children’s Brain Tumour Research Centre) are: the Early Life Research Unit, Paediatric Neurosciences and Paediatric Respiratory Medicine. We are closely linked with the Nottingham Children’s Hospital in the University Hospital (Queen’s Medical Centre) and with Neonatal Intensive Care and Fetal Medicine in Nottingham. This post The post combines academic research and teaching with neurosurgical clinical activities and responsibilities at Nottingham University Hospitals NHS Trust (50:50). Research and teaching: Malignant brain tumours are the leading cause of cancer related death in children and young adults in the UK and current treatments only extend survival to an average of 14 months. Moreover, there has been little improvement in survival over the last 20 years. Alongside clinicians and scientists within the Children’s Brain Tumour Research Centre, the successful applicant will drive thinking forward for the selection of the next phase of human drug trials in brain cancers of all ages. It is envisaged that this will be achieved using the latest methods of pre-clinical drug selection, combined with new thinking on drug delivery aimed at by-passing the blood brain barrier and tailoring drug delivery to the varied clinical situations which present in these diseases at different ages. One of the biggest challenges facing Neuro-oncology currently is organising the diverse heath care teams that presently provide treatment into one cohesive service that offers a holistic and effective evidence based approach. In essence, a personalised medicines approach that will undoubtedly improve patients experience and in turn outcomes. Successful research driven service improvements in Neuro-oncology are clearly urgently required, in order to achieve 2 these aims in Nottingham University and NUH Trust we propose to invest in Academic Neurosurgery as the key driver to future success. As a member of the senior academic staff the post-holder will be required to supervise and mentor postgraduate students and other junior researchers in the unit. Contribution to courses within the medical school curriculum may be required in addition to a teaching element within the clinical care responsibilities. Laboratory space will be provided within Professor Grundy’s Laboratory in the Children’s Brain Tumour Research Centre currently based in the School of Life Sciences within the Medical school. The laboratory aspect of this post will be supported by the appointment of a Research Assistant for 5 years. A fixed fund for Laboratory consumables will also be made available in discussion with Professor Grundy. Clinical It is envisaged that the appointee will, at least initially concentrate on Neuro-Oncology, developing the clinical service for patients admitted with suspected brain tumours at Nottingham University Hospitals NHS Trust, including the development of a post NeuroOncology Multidisciplinary Team meeting clinic. A full range of neurosurgical emergency patients are admitted to Nottingham University Hospitals NHS Trust and the appointee will be responsible for the management of those patients admitted under his/her care. Provision with Consultant colleagues of a comprehensive elective and emergency neurosurgical service. Provision of reciprocal cover for periods of leave. Continuing responsibility for the care of patients in his/her charge and the proper functioning of the department. These duties are subject to review from time to time in the light of the changing requirements of the service. If alterations to the described duties are required these will be mutually agreed between the appointee, his/her Consultant colleagues and the Trust. Administrative Support Office, computer and laboratory space will be provided within Children’s Brain Tumour Research Centre currently based in the School of Life Sciences within the Medical school. Office accommodation and administrative support will also be provided by the Trust, as will a PC with e-mail and Internet access for clinical work. In addition some administrative support will be provided through the division of COG. JOB PLAN & TIMETABLE The following draft Job Plan reflects our best assessment of what the final plan will be, based on 10 PAs. Any consultant who is unable, for personal reasons, to work full-time, will be eligible to be considered for the post on a part-time basis; if such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with consultant colleagues. This service provided by neurosurgery is provided across both campuses, but your primary base is Queen’s Medical Centre. 3 The proposed Job Plan is detailed in this job description. Week Mon TIMETABLE Tues Wed Thurs Fri Sat/Sun AM 1 Academic PM On-Call AM 2 On-Call PM Ward round / PAC AM 3 PM Tumour Clinic Ward round / PAC AM 4 PM Tumour Clinic 5 PM Tumour Clinic 6 PM Tumour Clinic Academic Academic Theatre list Academic Academic Theatre list Academic Academic Theatre list Academic OPD Ward round / PAC AM Theatre list OPD Ward round / PAC AM Academic OPD OPD AM 7 Academic PM AM 8 Academic PM Ward round / PAC AM 9 PM Tumour Clinic Ward round / PAC AM 10 PM Tumour Clinic Academic Theatre list Academic Theatre list OPD Academic Academic OPD Annualised Job Plan Under the new Academic Consultant Contract, no Consultant can be required to work more than 10 Programmed Activities (PAs). The following draft Job Plan reflects the best assessment of the final job plan, based on 10 PAs. Direct Clinical Care and clinical supporting Professional Activities: Programmed Activity Inpatient clinical care PAs 26 annually Tumour clinics/OPD 50 annually Theatre 50 annually CPD, audit, clinical governance On call Annualised Subtotal Comment 6 annually 70 annually 202 annually 4 Divided between weekends and weeknights Weekly total Approx 5 PAs University Research & Teaching: Programmed Activity PAs Research and teaching 218 annually Annualised Subtotal 218 annually Weekly total Comment Approx 5 PAs On-call supplement: Rota Frequency: 1:11 Category: A On-call Supplement: 3% Notes: This timetable reflects a 10 PA per week job plan annualised with direct clinical care PAs, clinical supporting PAs and academic PAs. The precise timings of these activities may change within the year but it is expected that the total time dedicated to each activity annually will be as described. Annual and study leave must be taken in non-attending weeks. Provision of reciprocal cover is expected for periods of leave. There is no fixed night on call and periods of attending and on call duties are held with agreement of clinical consultant colleagues. Any applicant who is unable, for personal reasons, to work full-time, will be eligible to be considered for the post on a part-time basis; if such a person is appointed, modification of the job content will be discussed on a personal basis in consultation with the University, the Trust and with consultant colleagues. However, all appointees would be expected to work whole weeks (Monday-Friday) when performing duties as attending clinician. DUTIES The appointee will be expected to fulfil the following duties with the agreed Job Plan. Clinical A full range of neurosurgical emergency patients are admitted to Nottingham University Hospitals NHS Trust and the appointee will be responsible for the management of those patients admitted under his/her care. Provision with Consultant colleagues of a comprehensive elective and emergency neurosurgical service. Provision of reciprocal cover for periods of leave. Continuing responsibility for the care of patients in his/her charge and the proper functioning of the department. These duties are subject to review from time to time in the light of the changing requirements of the service. If alterations to the described duties are required these will be mutually agreed between the appointee, his/her Consultant colleagues and the Trust. The person appointed will be required to devote substantially the whole of his/her time to the duties of the post and give them priority at all times. Teaching 5 Undergraduate medical student teaching began in 1970 and the annual intake of students per year has risen progressively. The Faculty of Medicine has also established a graduate entry programme at Derby. Members of the School of Medicine contribute to courses throughout the medical school curriculum in addition to taking part in bedside and topic teaching. The successful candidate will be expected to play a full role in undergraduate and postgraduate teaching. As a member of the senior academic staff of the Academic Division, the Clinical Associate Professor will be expected to participate in the training and mentoring of Academic Clinical Fellows and clinical academic trainees. Research, Governance and Audit Nottingham University Hospitals NHS Trust is committed to the development of Clinical Governance. The approach taken is to develop actions plans at a directorate level. Each member of the medical staff is expected to take an active role in clinical governance activities within their directorate and each directorate has a Consultant nominated as Clinical Governance lead. The activities include, (but are not restricted to) audit, incident reporting, review of complaints, risk management, CPD and Evidence Based Practice. Anyone involved in research is required to adhere to the National Framework for Research Governance. Other Duties as Agreed The successful candidate may wish to take on other roles alongside their clinical role. Any positions offered by anyone outside the Trust, (e.g. Training Programme Director, Regional College Advisor, Royal College Representative etc,) must be discussed and agreed by Head of service in advance of the position being accepted, so that the impact upon the specialty can be fully considered and any job plan amendments undertaken should the additional role be accepted. PROFESSIONAL STANDARDS The Head of Service is managerially responsible for all activity and personnel in the directorate in which the consultant works. The Medical Director, Dr Stephen Fowlie, has overall responsibility for the professional performance of consultants, employed by Nottingham University Hospitals NHS Trust. All consultants are expected to comply with management arrangements in place, to follow the guidelines on practice laid down by the General Medical Council’s “Maintaining Good Medical Practice”, and to be accountable to the Trust for their actions and the quality of their work. An annual Consultant Appraisal and Job Plan review is carried out. The appointee will take part in an annual appraisal, conducted jointly by the Head of the COG Division and a senior consultant designated to conduct appraisal by NUH Trust. 6 Person Specification – Clinical Associate Professor in Neurosurgery Knowledge, Skills, Qualifications & Experience Attainments GMC Registration: Specialist Register: Essential for the Post Desirable for the Post Full registration with the GMC with a licence to practise Within 6 months of achieving a CCT in Neurosurgery at the time of interview Fellowship or membership of Royal College of Surgeons or equivalent Professional qualifications: MBBS or equivalent FRCS (neurosurgery) Maintenance of a CPD diary or portfolio Evidence of participation on CME/CPD in the last 12 months. Higher degree: PhD in Molecular Biology of Childhood Brain Tumours High level of academic achievement in terms of prizes and awards Research: Expertise in novel drug delivery systems using PLGA/PEG Attendance and presentations at neurosurgery meetings Immunohistochemistry PCR, rt-PCR and other key Molecular Biologytechniques. Gene expression analysis 3 Dimensional Cell culture work using Rotary Cell culture system Authorship of original publications in high impact factor journals in the field of neuro-oncology Good record of attracting research funding Attendance and presentations at neuro-oncology scientific meetings 7 Clinical Skills: Track record in Tumour surgery and evidence of willingness to develop academic and clinical aspects of Neuro-oncology Able to provide an expert opinion in a range of conditions in general and spinal neurosurgery Demonstrable competence in general and spinal neurosurgery 8 Experience of consultant role Attainments Clinical Governance Essential for the Post Desirable for the Post Understanding of clinical governance issues Evidence of ability to assess and apply evidence based research into everyday clinical practice Commitment to continuing professional development and revalidation Personal Skills/Qualities Ability to demonstrate a good manner with patients/parents, being sensitive to their needs and fears Experience of receiving 360 degree feedback Ability to take overall responsibility for patients Leadership qualities and skills Ability to develop good working relationships and willingness to share responsibilities as part of a team Good organisational skills Good oral and written communication skills in English Ability to supervise junior staff effectively Teaching Good presentational skills Evidence of participation in Clinical audit Postgraduate teaching qualification Evidence of training in teaching and learning skills Able to teach and support junior staff effectively, including post graduate trainees Commitment to Trust Values and Behaviours Management Skills Must be able to demonstrate behaviours consistent with the Trust’s “We are here for you” behavioural standards Able to communicate effectively and appropriately with patients, their families and other health professionals Able to develop, present and operationalise coherent ideas for service development/delivery Able to delegate appropriately Able to work within a team 9 Commitment to Trust Values and Behaviours Evidence of service development and team leadership Because of the nature of the work for which you are applying, this post is exempted from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Candidates are therefore, not entitled to withhold information about convictions, which for other purposes are “spent” under the provisions of the Act, and in the event of employment any failure to disclose such convictions could result in dismissal or disciplinary action by the University. Any information given will be strictly confidential and will be considered only in relation to an application for positions to which the Order applies. This post cannot be taken up until satisfactory enhanced disclosure has been received. If once employed, an employee receives a conviction, they are required to inform the University and the Trust. Due to the requirements of the UK Border and Immigration Agency, applicants who are not UK or EEA nationals and whose immigration status entitles them to work without restriction in the UK will be considered on an equal basis with UK and EEA nationals. Other non-UK or non-EEA nationals whose employment will require permission to work subject to a resident labour market test may only be considered if there are no suitable UK or EEA national candidates for the post. Please visit http://www.ukba.homeoffice.gov.uk/ for more information. Further information Informal enquiries may be addresses to Professor Richard Grundy Clinical Professor of NeuroOncology and Cancer Biology Email: richard.grundy@nottingham.ac.uk and Iain Robertson, Head of Service for Neurosurgery, email: iain.robertson@nuh.nhs.uk Please quote ref. KC15083 10 Appendix 1 The University of Nottingham The University of Nottingham is a global-leading, research-intensive university with campuses in the UK, Malaysia and China. Our reputation for world-class research has yielded major scientific breakthroughs such as Nobel-winning MRI techniques, drug discovery, food technologies and engineering solutions for future economic, social and cultural progress. Already ranked among the UK’s elite universities and global polls for research excellence, our reputation for world-class research has been further enhanced with the 2008 results of the Research Assessment Exercise (RAE). In addition to scoring highly in quality rankings covering major disciplines in science, engineering, the social sciences, medicine, business and the arts, it is Nottingham’s increase in research power rankings which demonstrate the impressive volume of excellent research which is carried out. We are now ranked in the Top 7 of all British universities and are one of only two institutions to move into the UK Top 10 since 2001 – an increase of seven places, making us the highest mover of any university. Following the RAE results, 90% of all research at Nottingham has been classified of an ‘international standard’ and 60% as ‘world-leading’ or ‘internationally excellent’. The main University campus is set beside a lake, in an extensive belt of woodland, parks and playing fields. The 330 acre University Park Campus is the focus of life for more than 32,000 students and houses the majority of the University’s academic schools and many of the central Services. The Jubilee campus is situated 2 miles away from the University Park, and provides extra capacity. The University Medical School is situated next to the University Park. Together with the University Hospital, it forms the Queen’s Medical Centre (QMC). University of Nottingham Medical School Nottingham has a strong reputation for both clinical medicine and teaching. As one of the most popular medical schools in the country, it is able to select excellent students and produce and attract good junior doctors. The School of Medicine was formed following Faculty reconfiguration on August 1 st 2013. The new School of Medicine comprises the Divisions of Child Health and Obstetrics and Gynaecology; Clinical Neuroscience; Epidemiology and Public Health; Primary Care; Psychiatry; Rehabilitation and Ageing; Medical Sciences and Graduate Entry Medicine; Oncology; Respiratory Medicine; Rheumatology, Orthopaedics and Dermatology and the Nottingham Digestive Diseases Centre. The School also hosts the Medical Education Centre, the Centre for Interprofessional Education and Learning, the Clinical Research Facility, the Clinical Skills Centre, NIHR design Service East Midlands, Nottingham Clinical Trials Unit, PRIMIS and Radiological & Imaging Sciences. The new School of Medicine brings together in one School staff undertaking research for the benefit of the health of patients. It includes all primary care and hospital-based medical and surgical disciplines, principally in the Queen’s Medical Centre and City Hospital Nottingham Campuses and also at the University’s main campus and at the King’s Meadow and Jubilee Campuses. Most of our School’s Senior Researchers and Teachers are also clinicians who dedicate 50% of their time to patient care within the Nottingham University Hospitals NHS Trust. This close juxtaposition brings cutting-edge clinical care to our patients and clinical relevance to our research and teaching. We are closely integrated with our full time NHS clinical colleagues, many of whom are themselves leaders in research and teaching and who work closely with the University, and this increases the mutual benefit from integration between the University and NHS. Our research spans 11 major themes, ranging from cancer to vascular medicine. We work closely with industry and the NHS. Our world-leading research ranges from basic and translational science through to clinical trials, epidemiology, and health services research. Our clear theme is improving human health, underpinning a vibrant postgraduate research training programme leading to PhD or DM. Many of our academics are clinicians, using their expertise to provide cutting edge specialised treatment to NHS patients; reflecting our ethos that patients are at the heart of all we do. 11 Our major research themes are in Cancer and Stem Cells; Child Health, Obstetrics & Gynaecology; Clinical Neurosciences; Digestive Diseases; Epidemiology and Public Health; Mental Health; Musculoskeletal and Dermatology; Primary Care; Rehabilitation and Ageing; Respiratory Medicine and Vascular and Renal Medicine. The School of Medicine trains tomorrow’s doctors on a vibrant undergraduate medical course with a unique intercalated BMedSci, as well in a specialised graduate-entry programme built around clinical problem solving. We teach medicine and related disciplines at both undergraduate and postgraduate level. We have a dedicated clinical academic training programme and are committed to training PhD and doctoral research students and to supporting postdoctoral clinicians and scientists in their research. Professor John Atherton is Dean of the School of Medicine. For further information, please see our websites: School of Medicine http://www.nottingham.ac.uk/medicine Division of Child Health, Obstetrics & Gynaecology: https://www.nuh.nhs.uk/our-services/services/neurosurgery/ Children’s Brain Tumour Research Centre: http://www.cbtrc.org/ 12 Appendix 2 Nottingham and the Nottingham University Hospitals NHS Trust Nottingham Central within the East Midlands, Nottingham is a vibrant and prosperous city with something to offer everyone. It is one of the UK’s leading retail centres and has a huge variety of restaurants, bars and nightclubs which attract people from all over the UK. Culturally, it has good theatres, an arena which attracts both national and international performers and a range of historical interests relating to subjects such as the lace industry, Lord Byron and DH Lawrence. Nottingham is also known for sport, being the home of Trent Bridge Cricket Ground, Nottingham Forest and Notts County Football Clubs, the National Water Sports Centre and the Nottingham Tennis Centre. There is a good network of roads with easy access to the M1 and the A1, a fast frequent rail service to London and other major cities. Nottingham East Midlands Airport is only eighteen miles away. The city is set within a county of outstanding natural beauty which includes Sherwood Forest, Wollaton Park, lively market towns and wonderful historic buildings. Housing is relatively inexpensive and, in addition to the two Universities, there are excellent schools and colleges available. To find out more about Nottingham, use the following links: Nottingham County Council – Tourism http://www.experiencenottinghamshire.com/ University of Nottingham Zoopla (Guide to local properties) http://www.nottingham.ac.uk http://www.zoopla.co.uk/ My Nottingham (information on schools, term dates, school transport etc.) http://www.nottinghamcity.gov.uk/index.aspx?articleid=8524 Nottingham University Hospitals NHS Trust The Nottingham University Hospitals NHS Trust (NUH) is one of the largest hospital Trusts in the UK with an annual budget of more than £500 million, a total of 2,200 hospital beds across both campuses and over 11,500 staff. NUH is a major teaching Trust, enjoying close links with the region’s Universities and attracting and developing the highest calibre of staff. The work carried out at NUH has led to a reputation for excellence and is making a very real difference to people’s lives. NUH is also a cancer centre – a major element of the Mid-Trent Cancer Network. The Trust works in close association with the University of Nottingham and the University of Derby. There are very strong links with nursing and midwifery training, which is part of the University of Nottingham Faculty of Medicine, and with the locally-based Schools of Physiotherapy, Radiology and Radiotherapy. The following two sections describe the services and facilities currently at the two campuses. However, there are ongoing discussions about the future development and location of clinical adult services, as a result of which some services or parts of adult services may relocate to the other campus. (i) City Hospital Campus The City Hospital Campus offers a wide range of clinical services to the local population of greater Nottingham, plus a much larger population in such specialties as cardio-thoracic surgery, cancer, renal, breast services, clinical genetics and neonatology. There is no Accident and Emergency department on the campus, although the hospital does take medical and surgical patients referred by GPs or from other acute hospitals. The Nottingham City Hospital campus has a long association with the city of Nottingham. It first opened in 1903 and the buildings are a mixture of old and new, although services have recently benefited from huge investment in improving the facilities for patients. These developments include the purpose-built Endoscopy Centre, Nottingham Breast Institute, Nottingham Urology Centre, Trent Cardiac Centre, Short Stay Unit, Centre for Clinical Haematology and PET scanner. There are also new staff residences on site. 13 Research interests at the City campus include oncology, respiratory medicine, clinical haematology, rheumatology, diabetes/endocrinology, stroke medicine, urology, breast cancer and mineral metabolism. Professors in the following specialities are based on this site Surgical Science, Respiratory Medicine, Microbial Diseases, Obstetrics and Gynaecology, Oncology, Medical Genetics and Stroke Medicine. In addition, there are academic departments of Haematology, Rheumatology, Continuing Care and Anaesthetics. City Hospital is home to training centres in breast screening techniques and cardiac surgery and the Trust is a Cancer Centre, forming part of the Mid-Trent Cancer Network. The City Hospital campus has a variety of facilities for the use of patients, visitors and staff. There is a restaurant, coffee bars selling hot and cold snacks, WRVS stalls and hospital shops.. (ii) Queen’s Medical Centre Campus As well as the hospital, the QMC building, which opened in 1978, also houses the University of Nottingham Medical School and School of Nursing, Midwifery and Physiotherapy. Clinical services provided within QMC include a very substantial emergency workload, particularly in medical admissions. Within the Medical Division services include the Emergency Department, Medicine, (including Cardiovascular, Respiratory, Gastroenterology, Diabetes and Endocrinology, Haematology, Rheumatology, Immunology, Palliative Care,) Dermatology, Intensive Care and Health Care of the Elderly. Within the Surgical Division services include Surgery, (including Vascular, Colorectal and Hepato pancreatic biliary,) ENT, Ophthalmology, Maxillofacial, Trauma & Orthopaedics, (including Spinal,) and Neurosciences. Within the Family Health Division, services include Obstetrics and Fetomaternal Medicine, Gynaecology, (including Fertility Services), Child Health (including Neonatology and Paediatric Surgery) and Occupational Health. The QMC site has constantly developed the services it provides to enable it to meet the needs of its patients both now and for the future. Queen’s has the only Emergency Department for the city. IN 2008, the new Nottingham NHS Treatment Centre, managed by an independent sector provider, opened on the QMC campus. There are a number of facilities provided in QMC, including a Newsagent, Coffee shop/ /Sandwich bar, Clothes shop, Bank (National Westminster, open daily from 10.30 – 3.30pm) and a Pharmacy shop. There is a large dining area, Cyber Café, roof garden and an active Doctors’ Mess with kitchen, PCs with Internet access, sitting room, billiard tables, and television. Clinical Management Arrangements in the Nottingham University Hospitals NHS Trust The management of the Nottingham University Hospitals NHS Trust is organised via a structure of ten Directorates, which contain all the clinical departments. Neurosurgery is part of the Musculoskeletal and Neurosciences Directorate Team The Directorate Management Team is as follows: Clinical Director General Manager Assistant General Manager Iain Robertson William Monaghan Lorraine Binch Conditions of Service and Governance The successful candidate will be offered an Honorary Contract with the Nottingham University Hospitals NHS Trust under their terms and conditions. When undertaking clinical duties on this basis within the Trust, the person appointed will be expected to adhere to local policies and procedures and to take note of the standing orders and financial instructions of the Trust. Nottingham University Hospitals NHS Trust is committed to the development of Clinical Governance. The approach taken is to develop actions plans at a directorate level. Each member of the medical staff is expected to take an active role in clinical governance activities within their directorate and each directorate has a Consultant nominated as Clinical Governance lead. The activities include (but are not restricted to) audit, incident reporting, review of complaints, risk management, CPD and Evidence Based Practice. Professional Standards 14 The Clinical Director (Dr Sturrock) is managerially responsible for all activity and personnel in the directorate in which the appointee will work. The Medical Director, Dr Stephen Fowlie, has overall responsibility for the professional performance of clinicians, including of those holding Honorary Contracts with NUH. All clinicians are expected to comply with management arrangements in place, to follow the guidelines on practice laid down by the General Medical Council’s “Maintaining Good Medical Practice”, and to be accountable to the Trust for their actions and the quality of their work. A yearly Joint Clinical and Academic Appraisal is carried out. Post-graduate facilities Nottingham University Hospitals NHS Trust fully supports and recognises the importance of continuing professional development. The facilities available to support this include two large purpose-built Postgraduate Centres. The Postgraduate Centre at the City Campus provides an excellent educational environment for multidisciplinary conferences and seminars, postgraduate medical education and continuing medical education. It also provides a base for the Nottingham Vocational Training Scheme for General Practice, as well as teaching facilities and a Clinical Skills Centre. The Postgraduate Centre at Queen’s Medical Centre Campus contains eleven meeting rooms of varying sizes and audio-visual equipment including video-conferencing. 15