Sheffield Teaching Hospitals NHS Foundation Trust SPECIALTY TRAINEE POST IN PAEDIATRIC DENTISTRY JOB DESCRIPTION APPOINTMENT This post is for a whole time, non-resident, 3-year training appointment in Paediatric Dentistry, based at the Charles Clifford Dental Hospital, Sheffield. The post has been approved by the Specialist Advisory Committee in Paediatric Dentistry of the Joint Committee for Specialist Training in Dentistry, for further specialist training. This will build on existing general professional training and will lead to the award of a CCST following successful completion of the M.Paed.Dent examination. The Post Graduate Dean has confirmed that the post has the required educational and staffing approval. Applicants considering applying for this post on a flexible training basis, should initially contact the North Trent Post Graduate Dean’s Office for a confidential discussion. CONTRACT HOURS Standard hours: 40 QUALIFICATIONS AND EXPERIENCE REQUIRED Registration with the General Dental Council and possession of MFDS/MJDF from one of the Royal Colleges, or equivalent, at the time of appointment is preferable. AN INTRODUCTION TO SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST Sheffield Teaching Hospitals NHS Foundation Trust manages the five adult hospitals in Sheffield (Northern General, Royal Hallamshire, Jessop Wing, Weston Park and Charles Clifford hospitals). As a trust we are responsible for the planning and delivery of the highest quality patient care and provide services for patients from not only Sheffield and South Yorkshire but all parts of the UK. We have an annual budget of around £650 million, employ almost 13,000 staff and provide around one million patient episodes each year, making us the second largest NHS trust in England. As well as providing hospital services for our local population, our hospitals provide a range of vital regional and national specialties. Regionally these include cardiac and orthopaedic surgery, neurology and renal care. National services include pulmonary hypertension treatment, particular ophthalmology, spinal and neurosurgical care, and specialist cancer treatments. We have been one of the best performing NHS organisations in the country over the last five years. In October 2007 the Healthcare Commission scored us excellent in use of resources and excellent for quality of services. We are also proud of our record as having the lowest MRSA infection rates amongst major teaching hospitals in the UK, according to figures released by the Health Protection Agency in 2007. The Trust was awarded the Dr Foster’s Hospital of the Year accolade in 2005. 1 We also have a strong tradition of research and the Trust leads on a number of key studies including prostate cancer, diabetes, breast cancer and chronic chest disease. 2 An NHS Foundation Trust We became one of the first NHS Foundation Trusts in the country on 1 July 2004. NHS foundation trusts have greater freedom from central government control and the ability to work with their community and staff to set local health priorities. We have a well-established elected governor’s council, which is made up of patients, public, staff and partner organisations and works with the Trust to help set strategic goals and make key decisions. Our Hospitals Although the Trust has overall management responsibility for the services provided, our hospitals each have their own history, which we are rightly proud of. Between them they offer just about every kind of service available in the modern NHS. The Northern General is the largest of our hospitals with 1100 beds. Located to the north of the city, the hospital is spread out over a large site. Amongst the specialist services located there are orthopaedics, renal, spinal injuries, general surgery and cardiothoracic (heart and lung) services. Sheffield’s adult accident & emergency department is also based here. A major £30 million stateof-the-art new medical ward development, known as the Sir Robert Hadfield Wing, opened to patients in April 2007. A brand new critical care facility, one of the largest in Europe, is currently under construction and will open in 2008. The other Trust hospitals are based closely together on a campus to the west of the city centre; this is known as the Central Campus. The Royal Hallamshire is a major acute teaching hospital based around a tower block of 800 beds and a large outpatient department. The hospital is home to a range of expert specialist services which include neurosciences, urology, general surgery, breast surgery, dermatology, hearing services and ophthalmology. The hospital also has a minor injuries unit and an NHS Walk-InCentre for emergency care. Linked to the Royal Hallamshire by a footbridge, the Jessop Wing is Sheffield’s 216 bed women’s hospital. Opened in February 2001 it has brought together all of the city’s obstetric, gynaecology and neonatology services in a state-of-the-art, purpose built, £24 million building. 6000 births take place at the Jessop Wing each year. Weston Park is one of only three purpose built specialist cancer hospitals in the UK and provides a full range of non-surgical cancer services to the population of South Yorkshire, North Nottinghamshire and North Derbyshire. It also enjoys national and international recognition for certain specific treatments. It has 140 beds and is home to a specialist cancer research centre and one of the UK’s only teenage cancer units. The Charles Clifford is a dental teaching hospital linked to The University of Sheffield’s School of Clinical Dentistry. The hospital provides dental outpatient services and emergency dental services for the city. As a teaching trust, all of the hospitals have close links to the University of Sheffield, home to Sheffield’s medical school, and Sheffield Hallam University - which provides nurse training. It is a major teaching centre for future health professionals. 3 The Trust Executive Team Chairman Chief Executive Chief Nurse and Chief Operating Officer Acting Director of Human Resources Director of Service Development Director of Finance Medical Director Mr Tony Pedder Sir Andrew Cash OBE Prof. Hilary Chapman Mr Mark Gwilliam Ms Kirsten Major Mr Neil Priestley Dr D Throssell Services Provided at Sheffield Teaching Hospitals NHS Foundation Trust Accident and Emergency Acute General and Elderly Medicine Anaesthetics Cardiothoracic surgery & Cardiology Chemotherapy Clinical Research and Development Communicable Diseases Critical Care Day Surgery Dental Services Dermatology ENT, Hearing Services and Medical Audiology General Surgery Haematology Laboratory Medicine Medical Physics Mobility and Specialised Rehabilitation Services Metabolic Bone Disease Neuroscience Obstetrics/Gynaecology/ Neonatology Occupational Health Service Operating Services Ophthalmology Oral-maxillofacial Surgery Orthopaedics Palliative medicine Pharmacy Professions Allied to medicine Radiology Radiosurgery Radiotherapy Reconstructive Plastic Surgery and Burns Reproductive Medicine Renal Services Rheumatology Under and Postgraduate Education Urology Vascular Surgery THE DEPARTMENT OF PAEDIATRIC DENTISTRY The Department of Paediatric Dentistry is based in the Charles Clifford Dental Hospital, which is situated 1.25 miles from and to the west of the City Centre and forms part of the University teaching complex, which includes the Royal Hallamshire Hospital, as well as being within the University Campus. The Dental Hospital was opened in 1953, extended in 1965 and a new wing to house the academic facilities was opened in 1991. A major programme of new building and refurbishment within the existing hospital building will take place during 2007/2008. Charles Clifford Dental Hospital is managed by the Oral and Dental Directorate, part of the Head and Neck Group, Sheffield Teaching Hospitals NHS Trust. The Charles Clifford is a University Dental Teaching Hospital with a recent increase in undergraduate intake to approximately 75 students each year. Within the closely affiliated School of Hygiene and Therapy there is an intake of 30 students each year. Postgraduate students are also accepted to study for a variety of higher degrees/diplomas in all subjects. The Hospital serves a resident population of approximately 538,000 and in addition, provides specialist services for a wider area, so this figure rises to approximately 672,000 when considering patients from adjacent districts. Specialist services are provided in the departments of Diagnostic and Surgical Services (OMFS, Oral surgery, Oral medicine, Radiology), Restorative Dentistry, Orthodontics and Paediatric Dentistry. 4 The Paediatric Dentistry clinic was totally redesigned and re-equipped in 1999 and comprises a 16 chair open plan clinic on the ground floor. There is an additional enclosed surgery together with an adjacent surgery for the delivery of care for special needs patients. The two enclosed surgeries are equipped for left and right-handed delivery and have piped gases for the delivery of inhalation sedation as required. A major programme of refurbishment within the existing hospital building will take place during 2007/2008. RELATED FACILITIES There are close links between all Departments, including orthodontics. Laboratory facilities are centralised within the building on the third floor. There is a well-equipped Dental Radiology Department and Medical Illustration facilities are available, both within the Charles Clifford and at the nearby Royal Hallamshire and Children’s Hospitals. Excellent library facilities are available in the University Medical and Dental Library within the Royal Hallamshire Hospital. In addition a limited number of reference books, journals, CAL programmes and a PC are available in the Clinic area, for general use. Restricted car parking is available at the Royal Hallamshire Hospital. Canteen facilities are available within the Dental Hospital and adjacent hospitals. The nearest shopping centre at Broomhill is half a mile away. The NHS has an active sports club at Fulwood and the majority of University sports facilities are within a short walking distance. To the west of the City is the Peak District National Park. SHEFFIELD CHILDREN’S HOSPITAL The Sheffield Children’s Hospital (a separate Trust), which is situated approximately 300 yards from the Dental Hospital, has 148 beds and includes most medical and surgical specialties. The Hospital, which is undergoing an extensive rebuilding and redevelopment programme, has become one of the foremost children’s hospitals in the UK. It provides several regional and superregional services and a 24-hour accident and emergency service. There are currently four weekly operating sessions (Monday, Thursday mornings and all day Friday) undertaken by Paediatric Dentistry. THE WORK OF THE DEPARTMENT The Department provides the full range of Paediatric Dentistry care as a major secondary and tertiary referral centre. This includes treatment of special needs children, anxious patients, and complex dental care for children and adolescents. Joint Clinics are held with Restorative Dentistry, Orthodontics, Oral Medicine and as part of the Cleft Lip and Palate Team. Facilities exist for the provision of treatment under sedation and at the Children’s hospital comprehensive dental care under GA and exodontia. There are close links with all Paediatric Medical and Surgical specialties based at Sheffield Children’s Hospitals. NHS STAFF 3.0. wte Consultants Mrs S North Mrs J Harris Ms H Zaitoun Miss A Morgan Mrs G Yesudian BDS, FDS RCS (Glas) FDS (Paed Dent)RCS BDS, FDS RCS (Eng), MSc, FDS (Paed Dent) RCS BDS, MFDS, MPaed Dent, MDent Sci, FDS (Paed Dent) RCS (Glas) BDS, MFDS, MPaed Dent, FDS (Paed Dent) RCS (Edin) BDS, MFDS, MPaed Dent, MClin.Dent, FDS (Paed Dent) RCS (Edin) 5 Other NHS Staff 2.0 NTN Specialty Registrars 2.0 DCT’s 0.8 wte Speciality Dentist 1.0 Dental Therapist 1.1 wte Senior Dental Nurses 7.0 wte Dental Nurses 1.6 Designated Medical Secretary Honorary Staff Honorary Consultants Prof. C. Deery BDS, MSc, FDS RCS (Edin), PhD, FDS (Paed Dent) RCS (Edin), FDS RCS (Eng), FHEA Prof. H.D. Rodd BDS (Hons), FDS, PhD, FDS (Paed Dent), RCS (Eng), FHEA Clinical Lecturer Miss F Gilchrist BDS, MFDS RCPSGlas, M Clin Dent, MPaed Dent., FDS (Paed)RCS (Glas) Academic Clinical Fellow Miss Helen Rogers Within the Department of Oral Health and Development there are 1.0 wte secretaries to support academic-related work. Duties of the post The post is based at the Charles Clifford Dental Hospital, Sheffield. The proposed timetable for the Specialist Registrar in Paediatric Dentistry at the Charles Clifford Dental Hospital for years 1, 2 and 3 is annexed. Duties and Responsibilities: The trainee will work under the direction of the Lead Trainer in Paediatric Dentistry and will undertake all aspects of paediatric dental care, including accident and emergency (9.00-5.00) and the assessment of children for extractions under general anaesthesia, together with the treatment of all children under 16 years, including those with special needs and those referred for specialist paediatric dental care. The post is designed to provide higher training in the specialty of Paediatric Dentistry for a period of time appropriate to completion of training and culminating in the award of the CCST. During training, the programme will be based on 10 sessions per week; the trainee will receive training in all aspects of paediatric dental care. Training will include clinical treatment, including care of the medically, physically and mentally compromised child and those requiring treatment as in-patient or with day stay anaesthesia at the Sheffield Children’s Hospital. All aspects of dental disease, trauma and dental anomaly will be covered, including combined orthodontic/paediatric dentistry diagnosis and treatment planning clinics. Further orthodontic training will be dependent on the experience of the appointee. The allocation of time among the various activities will be as agreed from time to time after discussion with the Consultants involved. It is anticipated that initially the week will be divided as shown (See Appendix). The trainee may also be encouraged to attend other departments and clinics to widen his/her experience and will participate in undergraduate supervision and teaching. STUDY AND RESEARCH 6 2.00 sessions are normally allocated for study/research. There is an active postgraduate programme within the hospitals, comprising:1 Journal and Study Clubs. A Paediatric Dentistry Study Club meets once per fortnight throughout the year to discuss current literature and clinical cases. Oral Surgery and Restorative Dentistry Journal Clubs also take place weekly. 2 Postgraduate lectures. A series of lectures is organised by the various departments of the Dental School throughout the year. These are usually held on Friday lunchtime. Another series exists at the nearby Sheffield Children’s Hospital. 3 Regular evening meetings of the Orthodontic Study Circle, South Yorkshire Branch of the British Society for Paediatric Dentistry and the British Dental Association are held within the Dental School throughout the year. 4 All four Paediatric Dentistry Consultants are actively involved in research and full support will be provided for the appointee to be involved in the department’s research activities 5 The appointee would be expected to play a key role in the audit activities of this specialty and participate in postgraduate education activities. MEDICAL AUDIT The appointee would be expected to fully participate in specialist audit. ADMINISTRATION The appointee will be encouraged to become involved in management processes. REGIONAL EDUCATIONAL COMMITTEE The postholder will be subject to appraisals and assessment (ARCP) carried out six monthly by the Regional Educational Committee and within the first two weeks of appointment. CONDITIONS OF SERVICE The appointment is subject to the Terms and Conditions of Service for Specialty Doctors (England) 2008 as amended from time to time. The successful candidate will work in the Sheffield Teaching Hospitals NHS Foundation Trust and s/he will be expected to be aware of local policies and procedures and take note of the standing orders and financial instructions. UNFORESEEN CIRCUMSTANCES So far as is consistent with the proper discharge of the above duties, the postholder undertakes to deputise from time to time for absent colleagues. The postholder undertakes, exceptionally, to perform additional duties in occasional emergencies and unforeseen circumstances. The postholder undertakes, exceptionally, to be available for such irregular commitments outside normally rostered duties as are essential for continuity of patient care. SALARY 7 The salary scale is at present £………… per annum rising to a maximum of £………….. per annum in accordance with the current nationally agreed salary scales. The grade is made up of 11 pay points. There will be annual progression up to point 4 of the salary scale. In order to progress from point 4 to point 5 doctors will be required to pass through Threshold 1. Progression between point 5 and point 7 will be at 2 yearly intervals. To progress from point 7 to point 8 of the salary scale, doctors will need to pass through Threshold 2. Progression between point 8 and point 10 will be at 3 yearly intervals. At each stage of progression the Specialty Doctor has to satisfy the criteria in accordance with Terms and Conditions of Service. MEDICAL EXAMINATION/HEALTH CLEARANCE This appointment is subject to medical fitness and the appointee may be required to undergo a medical examination and chest x-ray. Potential applicants should be aware of the Department of Health and GMC/GDC requirements with regard to HIV/AIDS, Tuberculosis, Hepatitis B and Hepatitis C viruses. Candidates are advised that they will be asked at interview whether they are aware of anything preventing them from fulfilling their professional commitments and this includes health. The successful candidate must be immune to Hepatitis ‘B’ and Tuberculosis. They will be required to provide, in advance of appointment, evidence of immunity or have a local blood test (as deemed appropriate by the Occupational Health Department). REGISTRATION Full registration with the General Medical Council/General Dental Council is compulsory. ANNUAL LEAVE Specialist Registrars on the minimum, first or second incremental points on their pay scale shall be entitled to leave at the rate of 5 weeks a year. Specialist Registrars on the third or higher incremental point on their pay scale, shall be entitled to leave at the rate of 6 weeks a year. STUDY LEAVE A practitioner appointed to the grade is entitled to continuing education, subject to the Conditions of Service. The recommended standard is 30 days, including off duty days within the leave period, in any period of 3 years, in relation to leave with pay and expenses in the UK. RESIDENCE The successful candidate will be required to maintain his/her place of residence in contact with the public telephone service and not more than 10 miles by road from the Northern General Hospital, Sheffield, unless prior specific approval to a greater distance is given by the Trust. ACCOMMODATION Temporary married or single accommodation may be available. Enquiries regarding accommodation should be made to the Accommodation Department, Northern General Hospital, 0114 2714759 or Royal Hallamshire Hospital, 0114 2712182. REMOVAL EXPENSES 8 Sheffield Teaching Hospitals NHS Foundation Trust operate their own policy for reimbursement of relocation expenses. You should not commit yourself to any expenditure in connection with relocation before first obtaining advice and approval from the Medical Personnel Department, otherwise you may incur costs which you are unable to reclaim. HEALTH AND SAFETY Sheffield Teaching Hospitals NHS Foundation Trust recognise their duties under the Health and Safety at Work Act 1974 to ensure, as far as it is reasonably practical, the Health, Safety and Welfare at Work of all its employees and, in addition, the business of the Trust shall be conducted so as to ensure that patients, their relatives, contractors, voluntary workers, visitors and members of the public having access to Trust premises and the facilities are not exposed to risk to their health and safety. OTHER FACILITIES Sheffield is well served by public transport with bus stops nearby to the Hospital entrance. Car parking is restricted in the vicinity. Within a short walking distance is a good suburban shopping area. POINTS OF CONTACT AND VISITING ARRANGEMENTS If candidates wish to visit the hospital they are at liberty to make arrangements directly with: Ms Halla Zaitoun Consultant and Training Director in Paediatric Dentistry Charles Clifford Dental School Wellesley Road Sheffield South Yorkshire S10 2SZ Phone: 0114-2717882 halla.zaitoun@sth.nhs.uk Programme Professor Chris Deery Clinical Lead Paediatric Dentistry Charles Clifford Dental School Wellesley Road Sheffield South Yorkshire S10 2SZ Phone: 0114-2717990 e mail: chris.deery@sheffield.ac.uk Appendix 1: Specimen Timetable (40 hours) Monday Tuesday Wednesday Thursday Friday New patient clinic Treatment clinic UG teaching Inhalation sedation clinic Theatre Treatment clinic Admin session Trauma clinic Teaching Study session 9