NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
Borders General Hospital, Melrose, Scottish Borders
Awarded CHKS Top 40 Hospital- 2014
Consultant Orthopaedic Surgeon
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
Interviews
Your
Application
MED 683
Please quote on all correspondence
Consultant Orthopaedic Surgeon
Borders General Hospital
Full time available –10 PAs per week and 2 EPAs may also be offered
subject to mutual agreement. Candidates interested in part-time working or
job share will also be considered
Consultant scale - £76,761 - £103,490 + 5% availability supplement for oncall (medium frequency).
10 July 2015
14 August 2015
Thank you for expressing an interest in the above post within NHS Borders.
Please find all the relevant information attached to begin the application
process.
Should you require further information regarding this post you can contact the
Medical Staffing team or make informal enquiries with the department using
the contact details below.
To ensure we can process your application as easily as possible please
complete all the information required within the Application Pack and return
with your full C.V.
Contact
Details
Telephone
Email
Application
Process
To apply please submit a copy of your Curriculum Vitae along with the
completed Application Pack (below)., together with a daytime telephone
number where you can be contacted, to Medical Staffing, Borders General
Hospital, Melrose TD6 9BS. Tel: 01896 826167. Fax: 01896 826159 or email to: medical.staffing@borders.scot.nhs.uk .
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Application pack
MED683
Visits and
Enquiries
01896 826167
Medical.staffing@borders.scot.nhs.uk
UH
If emailing your CV please telephone 01896 826167 to confirm safe
receipt.
Informal visits can be arranged and informal enquiries regarding this post will
be welcomed by:Mr Ali Mehdi
Consultant
Orthopaedic 01896 826873
Surgeon
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
Date post is
vacant
NHS Borders
Website
The post is vacant from 1 August 2015 but a start date is flexible and will be
agreed with the successful candidate.
For further information regarding NHS Borders, please visit our website:www.nhsborders.org.uk
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The Department There are 6 consultant orthopaedic surgeons offering a broad range of
upper and lower limb sub-speciality expertise as expected at district general
hospital level.
These sub-specialities include soft tissue knee surgery, foot & ankle,
shoulder and hand surgery.
Spinal surgery and complex joint replacement revisions are referred to the
specialist unit in Edinburgh (36 miles away).
In addition to elective cases, all consultants within the Borders undertake the
care of orthopaedic trauma cases with referral of complex trauma cases or
multiple injured patients to the trauma unit in Edinburgh.
Each consultant orthopaedic surgeon is supported in their clinical activities
by a middle grade doctor (StR trainee or Specialty Doctor). There is also an
associate specialist who provides support for supervision and training of
trainees, minor injuries clinic and day surgery sessions.
Each consultant has office facilities and secretarial support.
Facilities
There is an operating suite with five theatres of which one is fitted with a
laminar air flow system, with anaesthetic rooms, recovery area and adjacent
ITU. In addition there is a Day Procedure Unit with operating theatre with
access for orthopaedic patients. There are facilities to perform Computer
Navigation surgery.
Inpatient facilities are provided on the surgical corridor with a designated
orthopaedic ward and adjacent 5-day ward and children’s ward for
emergency admissions.
Day care facilities are provided in the Day Procedure Unit for Main Theatre
lists or dedicated orthopaedic lists undertaken weekly in this unit.
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
Preadmission clinics are undertaken in a dedicated department on a daily
basis and are run by an experienced orthopaedic nurse practitioner.
Orthopaedic outpatient facilities are located within a dedicated area with
adjacent plaster room and X-ray facilities where clinics are held for new,
review and fracture patients.
Specialist physiotherapy, podiatry and arthroplasty practitioners, undertake
musculoskeletal clinics.
Additional clinics are undertaken by consultants in peripheral clinics on a
weekly basis.
Education and Audit
There are daily morning orthopaedic meetings attended by all the
consultants these meetings cover clinical case discussion, clinical
governance, quality improvement and CPD.
These are followed by the daily trauma meetings which are attended by all
the consultants and junior doctors.
Each consultant undertakes a weekly teaching ward round and the on call
consultant facilitates a weekly teaching session. There is a monthly
educational half-day and senior staff are expected to undertake and
maintain a record of continuing medical education and are encouraged to
take study leave for this purpose. The unit participates actively in local and
national clinical audit including a unit death and complication audit, Scottish
Arthroplasty Register and national MSK cyclical audits amongst other
recurring national audits.
POST INFORMATION
The Post
This is an exciting opportunity to join an Orthopaedics and Trauma
Department in a modern well-equipped District General Hospital and
experience the excellent quality of life of the beautiful and rural Borders area
in South East Scotland.
The department has been instrumental in undertaking pioneering work in
areas of orthopaedics including Enhanced Recovery for Arthroplasty Surgery
and Hip Fracture.
The department is also developing close clinical links with the orthopaedic
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
department in NHS Lothian to provide seamless care for patients.
The successful applicant would be expected to support the orthopaedic
department with a focus on lower limb surgery including arthroplasty and foot
and ankle surgery. The successful applicant will need to have demonstrated
fellowship training in this sub-speciality. There is a potential that in due
course that the post-holder may undertake clinical activity to support their
subspecialist interest in NHS Lothian.
The post-holder will need to demonstrate their research, audit and
management experience as they will be expected to take active interest in
these areas.
The successful applicant will have shared responsibility as part of a team of
six Consultants, middle grade doctors and one Associate Specialist for the
provision of a general elective and emergency trauma and orthopaedic
service and contribute to the supervision and training of the generic training
grade doctors (FY2, GPST,) and two Orthopaedics and Trauma specialty
trainees (StR1/StR2) within the department. This position will provide an
opportunity to develop and enhance the existing service.
The position has the support of middle grade doctors (Specialty Doctor or
Specialty Register - StR)
You will be expected to assist the NHS Borders Board to achieve its
corporate objectives and targets.
Reporting
Arrangements
You will report to the Head of Service for Orthopaedics, who will agree your
job plan.
Health and
Safety
You are required to comply with NHS Borders Health and Safety Policies.
Training Grade
Medical Staff
You will be responsible for the training and supervision of the Training Grade
Medical staff (Foundation Trainees, GPSTs and Specialty Registrars) who
work with you, and you will be expected to devote time to this on a regular
basis. In addition, you will be expected to ensure that staff have access to
advice and counseling.
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
Medical
Staffing within
Unit
Senior Staff
Mr C H Tiemessen
Mr A Mehdi
Miss S J Livingston Mr M Scott
Mr R Siddiqi
This post
Mrs V J Dobie
- Consultant Orthopaedic Surgeon
- Consultant Orthopaedic Surgeon and
Head of Service
- Consultant Orthopaedic Surgeon
- Consultant Orthopaedic Surgeon
- Locum Consultant Orthopaedic Surgeon
- Associate Specialist
Middle Grade Rota
Specialty Doctors - 4
Specialty Registrars - 2
Junior Rota
FY2 - 2
GPST - 4
WORK PROGRAMME AND OUTLINE JOB PLANS
Outline job plan shown below, subject to negotiation with successful candidate including
Supporting Professional Activity (S.P.A.). Job plan would be amended if a part-time or job share
appointment is made.
Outline Job Plan
Weeks 1 – 5
Daily 8.00-9.00
Clinical
Governance/Trauma
Meeting
Monday 1700-1800
Consultant Service
Development Meeting
Days
Monday
Tuesday
Timing
AM
PM
AM
Type of Work
Clinical Admin
S.P.A.
Peripheral Clinic
PM
Theatre List (1:3) / S.P.A. / Clinical
Admin
Ward Round-Pre-assessment
Clinic
Theatre List
Theatre List
Clinic
Clinic
Wednesday AM
PM
Thursday
AM
PM
Friday
AM
PM
Location
BGH
BGH
Community
Hospital
BGH
BGH
BGH
BGH
BGH
BGH
BGH
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
Outline Job Plan
Days
Monday
Timing
AM
On-call Week ( 1
PM
in 6)
Tuesday
AM
PM
Daily 8.00-9.00
Wednesday AM
Clinical
Governance/Trauma
PM
Meeting
Thursday
AM
PM
Monday 1700-1800
Friday
AM
Consultant Service
Development
Meeting
Type of Work
Fracture Clinic
Trauma List
Fracture Clinic
CEPOD list
Trauma list
CEPOD list
Fracture Clinic
CEPOD List
Fracture Clinic
PM
Location
BGH
BGH
BGH
BGH
BGH
BGH
BGH
BGH
BGH
BGH
Trauma List
Saturday
Sunday
1 in 6 commitment to On-call
1 in 6 commitment to On-call
Borders General Hospital
The Borders General Hospital, the only hospital in Scotland to be awarded CHKS top 40
hospitals in the U.K, is the district general hospital serving the Scottish Borders Region.
The hospital offers services in General Medicine, Haematology, Palliative Care, Medicine for the
Elderly, Stroke Medicine, Paediatrics, General Surgery, Orthopaedic Surgery, Ophthalmology,
ENT, Obstetrics and Gynaecology. There is a 6 bedded ITU and an active outreach programme
for critically patients. A very recent development is the opening of the Margaret Kerr Unit in
January 2013 has provided palliative care services in the Scottish Borders with a purpose-built
environment from which to deliver specialist palliative care.
The Emergency Department provides facilities for the reception, resuscitation, examination and
treatment of patients in the Scottish Borders who require emergency admission, or immediate
care and discharge. The ED service is well integrated with the Borders Emergency Care Service
(BECS), which is the Primary Care out-of-hours service for Borders. Orthopaedic Outpatient and
Fracture Clinic facilities are also provided within the Department. The department is managed
by a consultant emergency physician, who is clinical lead of the department. Specialty Doctors,
Salaried GPs, training grade doctors (FY2s, GP, orthopaedic and surgical trainees) manage ED
patients supported by specialty medical staff from within the hospital. Nurse staffing within the
ED is comprised of 23 registered nurses and 3 nursing assistants led by a senior charge nurse.
There is a 6 bedded ITU run by the Anaesthetic Department who also run an acute
haemodynamic support service with outreach staff from ITU liaising with ward staff.
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
There is an up to date laboratory service covering Haematology, Microbiology and Clinical
Chemistry with ready access to more specialised investigations in Lothian laboratories and other
laboratories in Scotland. The Radiology Department is well equipped for routine radiology, CT
scanning, ultrasound, Doppler studies, nuclear medicine and MRI. CT coronary angiography
and cardiac MRI are well established in the department.
There is an active post graduate programme under the Director of Medical Education, with
excellent facilities in the on-site Educational Centre operated by Napier University.
Educational Facilities
There is an excellent library within the Borders General Hospital grounds run by Napier
University with good Internet access. Post graduate and continuing medical education is actively
encouraged and supported by Dr Jane Montgomery, Director Medical Education. There is an
excellent weekly x-ray meeting with the department of radiology which has a spiral CT scanner
and Gamma camera, up to date Doppler echo facilities and a purpose-built CT and MRI suite.
The Scottish Borders
The Hospital is situated on the outskirts of Melrose in the Scottish Borders. The Borders covers
a large and scenically beautiful area of the Southern Uplands of Scotland. Predominately rural, it
is historically a unique part of the country, the home of the Border Reivers, where annually each
town in the Borders maintains its links with the past during the season of Common Ridings.
Seven-a-side rugby originated in Melrose, and the Melrose event in particular draws large
crowds each year. The Borders has tremendous facilities for sport and leisure. Glentress and
Innerleithen mountain bike parks are world renowned for both cross country and down hill
biking. The beautiful Berwickshire coast provides options for sea kayaking, surfing, diving and
sea fishing. In addition there are facilities for fishing, golf, swimming, horse riding, cricket,
football, hiking and many other activities. The Borders has excellent cultural opportunities in
terms of music and art societies, drama, and small theatres in Melrose and Selkirk as well as
amateur opera. There are excellent restaurants, cinemas and shops. The Hospital also has
corporate membership of an excellent Fitness Centre in Galashiels. There is a purpose built
nursery in the grounds of the hospital for hospital employees’ children.
The Scottish Borders offers all the benefits of rural life with very easy access to major cities such
as Edinburgh (37 miles) Glasgow (75 miles) Newcastle (75 miles). Edinburgh is renowned for its
cultural activities in music, including opera and ballet, theatre, cinemas (including a film theatre)
and visual arts, and of course every year there is the world famous Edinburgh International
Festival and Fringe Festival. Glasgow also runs an annual festival in the early summer.
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
There are rail links to the rest of the country at Berwick Upon Tweed, and Carlisle and there is
easy access to Edinburgh Airport (approximately 1 hour 15 minutes) and Newcastle Airport
(approximately 1 hour 30 minutes). The reopening of the Waverly line, Edinburgh Waverly
Station – Tweedbank Station terminus (1 mile from BGH) railway line is expected by the end of
2014.
House prices in the Borders Region are significantly less than in major cities and also less than
many other rural parts of the country, particularly in the south. As part of our policy there is
assistance with temporary housing costs and relocation allowances up to full inland revenue
limits will be provided for the successful applicant.
Please see Websites:
Scottish Borders Tourist Board Southern Reporter NHS Borders –
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www.scot-borders.co.uk
www.borderstoday.co.uk
http://www.nhsborders .
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
NHS Borders
Person Specification Form
Consultant in Orthopaedic Surgery
A
Requirements
Qualifications
Essential
Primary Medical Degree.
Full registration with GMC with a license to
practice.
Possession of FRCS / FRCS (Orth), or
equivalent
B
Experience
Desirable
Higher degree (MD, ChM, PhD)
in relevant subject area.
Teaching qualification.
ATLS Certificate
On GMC Specialist Register for Orthopaedic
Surgery by date of taking up appointment or
within 6 months of expected attainment of
CCT in Orthopaedic Surgery at date of
interview.
Wide experience in all aspects of
Orthopaedic Surgery and Trauma
Experience in health services
research and evaluation.
A special interest in lower limb surgery.
Proficiency in Hip and Knee Arthroplasty
demonstrated by logbook
Knowledge of the organisation
of A&E services and
Unscheduled Care.
Fellowship experience in foot and ankle
surgery
Competence in management of orthopaedic
patients and operative orthopaedic surgery.
Thorough and broad training record in
Orthopaedic Surgery and Trauma
culminating in award of CCT or equivalent.
C
Motivation
D
Personality
E
F
Audit
Research
G
Management
Ability
Demonstration of Continuing Professional
Development.
Self-motivating and enthusiastic.
Teaching experience and initiative.
Effective interpersonal skills.
Able to establish good relations with
colleagues and able to work within a
multidisciplinary team.
Understand Service Needs
Experience of clinical audit
Able to motivate others.
Research experience.
Postgraduate Degree.
Willingness and ability to participate in
hospital management and to accept ethos of
management.
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
Capable of self-reflection.
Possession of negotiating skills. Experience
of management within the NHS.
Well organised and ability to combine clinical
and management roles effectively.
Experience of service redesign
H
Other
requirements
Current Driving Licence Holder
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
TERMS AND CONDITIONS
Main Conditions of Service

Post available permanently from 1 August 2015 (or as soon as possible thereafter).

The Terms and Conditions of Service will be drawn from the New Consultant Contract
(2004)

The appointment will be made by NHS Borders. Any person suitably qualified and
experienced who is unable for personal reasons to work full-time, will be eligible to be
considered for the post on a part-time basis.

Possession of FRCS, or equivalent certificate, is essential. You must also be fully
registered with the General Medical Council with a licence to practice and your name
should appear in the Specialist Register for Trauma and Orthopaedic Surgery.
Alternatively you may be within six months of the expected date of obtaining your
CCT/CESR or equivalent.

The full-time salary, exclusive of any discretionary points or distinction award, will be
on the scale £76,761 - £103,490 per annum with scale placing as appropriate to
experience and qualifications. There is a 5% availability supplement (medium
frequency) for participation in the on-call rota (1 in 6).

Annual leave allowances and public holidays are combined 8 weeks per annum for a
full time appointment.

The appointment will be superannuable if the person appointed chooses. He or she
will be subject to the regulations of the National Health Service Superannuation
Scheme and the remuneration will be subject to deduction of contributions
accordingly, unless he or she opts out of the Scheme.

The NHS Board is legally liable for the negligent acts or omissions of the employees
in the course of their NHS employment. Medical staff are however advised to ensure
that they have defence cover for activities not covered by the NHS indemnity.

All entrants to the Borders General Hospital must be certified medically fit and the
appointment is conditional on such certification. Arrangements for medical screening
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NHS Borders – Job Information Pack
POSITION: Consultant Orthopaedic Surgeon
are the responsibility of the Occupational Health Service. Candidates must show
evidence of immune status to HEPATITIS B, or agree to undergo the necessary
procedures. The Occupational Health Service will check this.

A notice period from either side to terminate the appointment would be 3 months.

Assistance with removal expenses / temporary accommodation etc. may be provided
in accordance with the Relocation Benefits Policy.

NHS Borders operates a No Smoking Policy. It is a condition of your employment that
you must not smoke whilst you are on duty. Failure to observe this rule could result in
disciplinary action. When selecting new staff, NHS Borders does not discriminate
against applicants who smoke but applicants who accept an offer of employment will,
in doing so, agree to observe the policy and the legal requirements on smoking in
public places.

The Equal Opportunities Policy affirms that all employees should be offered equal
opportunities in employment, irrespective of their age, gender, marital status, race,
religion, creed, sexual orientation, colour or disability.
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