NHS GRAMPIAN
CONSULTANT PHYSICIAN – GENERAL MEDICINE AND DIABETES
JOB DESCRIPTION – SS7421
CLOSING DATE: Friday 28th February 2014
GENERAL
ABERDEEN
With a population of approximately 200,000, Aberdeen is the major centre for Grampian
(population 560,000). Strongly influenced by the oil industry over the last 40 years
Aberdeen is a cosmopolitan, prosperous modern
Northern European city which
nevertheless retains its old-fashioned charm and character making it a very attractive place
in which to live. Leisure facilities are outstanding with the Cairngorms National Park and
some of Britain's most impressive scenery and wild country within an hour's drive. Skiing,
hill walking and golf are all well catered for and Aberdeen City and Shire both offer many
excellent places in which to live.
Aberdeen has excellent communication services with other British cities - eg flying time to
London is just over one hour with regular daily flights, road and rail links are also good.
Aberdeen offers superb quality of life with first class amenities including His Majesty's
Theatre, Music Hall, Art Gallery, Museums, Sports Village and Beach Leisure centre.
Education facilities are excellent and in addition to excellent state schools several of which
are in the top 20 nationally, there a number of fee paying schools which cater for primary
and secondary pupils.
To find out more about Aberdeen, visit the tourist website www.aberdeen-grampian.com/ or
the City Council website at www.aberdeencity.gov.uk/home/home.asp .
THE UNIVERSITY OF ABERDEEN
The University of Aberdeen is a fusion of two ancient universities: Kings College founded in
1495 and Marischal College which dates from 1592. The University maintains an
outstanding record in scholarship and supports a high level of teaching and learning
underpinned by a first class portfolio of research.
The Institute of Medical Sciences is adjacent to the University Medical School on the
Foresterhill site and brings together medical scientists and clinicians in a fully integrated
research facility.
http://www.abdn.ac.uk/
ROBERT GORDON UNIVERSITY
The Robert Gordon University has earned wide recognition for its pragmatic approach to
higher education both in Scotland and internationally.
For generations it has produced qualified professionals across a broad spectrum of careers
in the arts, management, engineering, sciences, pharmacy, health and the professions
allied to medicine. Around 9,500 students study almost 100 full-time and part-time courses
at undergraduate, post-experience and postgraduate levels.
The University is actively involved in applied research in a variety of fields and many short
course programmes are being formulated to meet the growing needs of the community.
http://www.rgu.ac.uk
DESCRIPTION OF HOSPITALS
NHS Grampian was formed on 1st April 2004. It incorporates Aberdeen Royal Infirmary,
Royal Aberdeen Children’s Hospital and Aberdeen Maternity Hospital on the Foresterhill
site. Other sites include Woodend Hospital in Aberdeen and Dr Gray’s Hospital in Elgin as
well as palliative care facilities at Roxburghe House.
Peripheral outpatients clinics are provided at various hospitals throughout the north-east of
Scotland and also at the hospitals in the Orkney and Shetland Isles.
Aberdeen Royal Infirmary, Foresterhill, with a complement of around 900 beds is situated
to the north-west of Aberdeen city centre on the teaching hospital site with the Medical
School of the University of Aberdeen. This is the principal adult acute hospital in Grampian
providing a complete range of medical and surgical specialities including Acute and
General Medicine together with allied specialities (Cardiology, Respiratory,
Gastroenterology, Infectious Diseases, Neurology, Medicine for the Elderly, Clinical
Pharmacology, Stroke Medicine, Diabetes & Endocrinology, Haematology, Nephrology,
Oncology, Dermatology, Blood Transfusion, Rheumatology), General Surgery and allied
specialities (Cardiothoracic, Vascular, Orthopaedics, Neurosurgery, Plastics, Dental, ENT,
Burns,
Ophthalmology, Urology), Gynaecology, ITU, A & E, Radiotherapy and
Anaesthetics.
The newly built Emergency Care Centre housing most medical specialties and the Medical
High Dependency Unit was opened in December 2012.
Aberdeen Royal Infirmary is also a tertiary referral centre for the North and North East,
Orkney & Shetland in a number of specialities.
Woodend Hospital with a complement of around 200 beds is situated 1.5 miles west of
Aberdeen Royal Infirmary and includes the provision of elective orthopaedics and Medicine
for the Elderly.
Royal Aberdeen Children’s Hospital (RACH), with a complement of around 100 inpatient and 13 day beds together with the Neonatal Unit, Aberdeen Maternity Hospital
(AMH) provides all specialist care for children up to the age of 16 years in the Grampian
Region and the Orkney and Shetland Islands. The new Children’s Hospital adjoining
Aberdeen Royal Infirmary opened in early 2004.
Aberdeen Maternity Hospital, with a complement of 120 beds, is the main Maternity
Hospital for the area. It has both ante-natal and post-natal beds.
Dr Gray’s Hospital, Elgin in Moray has a bed complement of over 100, serving a population
of 80,000. In-patient services are provided in the following specialties: Geriatric Assessment,
Gynaecology, Medicine, Obstetrics, Ophthalmology, Paediatrics and Surgery. A full range of
support services are also provided including Anaesthetics, Dietetics, Laboratories,
Occupational Therapy, Pharmacy, Physiotherapy and X-ray. Many specialties, including
Respiratory Medicine, provide outpatient services in Elgin, together with an in-patient referral
service from Dr Gray’s.
CLINICAL DEPARTMENT OF DIABETES
Consultant Staff in Diabetes/Endocrinology Unit in NHS Grampian
Aberdeen Royal Infirmary
Prof D.W.M.Pearson
Diabetes (Adolescent & Maternity Diabetes; retiring July 2014)
Prof J.S.Bevan
GIM & Endocrinology (Endocrinology Clinical Lead)
Dr K.C.McHardy
Diabetes & Postgrad Education (Clin Lead; retiring May 2015)
Dr A.E.Gold
GIM & Diabetes (0.6 wte)
Dr P Abraham
GIM, Endocrinology & Diabetes (Insulin Pump Lead)
Dr W A Watson
GIM, Diabetes & Undergrad Medical Education (0.6 wte).
Dr S Philip
GIM, Diabetes & Endocrinology
Dr U V Kulkarni
GIM. (Locum 0.7 wte)
This Post
GIM & Diabetes (10 PAs)
Dr Gray’s Hospital, Elgin
Dr F M Strachan
Endocrinology & Diabetes (0.7 wte)
Dr C M Park
GIM, Endocrinology & Diabetes
Diabetes mellitus:
The Grampian diabetes service provides a comprehensive consultative, educational and
screening care programme for 25,300 patients across the Region. Diabetes services for
Grampian are delivered substantially within Primary Care clinics with specialist clinics located
in Aberdeen and Elgin, and associated peripheral clinics in Fraserburgh and Stonehaven.
There is also a telemedicine clinic held with Orkney. The main outpatient service in Aberdeen
has recently relocated to the JJR Macleod Centre (JJRMC)(David Anderson Building)
adjacent to the main Aberdeen Royal Infirmary site. It houses a diabetes specialist
multidisciplinary team, the Endocrine team and Diabetes Retinal Screening. A suite of
consulting, treatment and educational rooms are linked to on-site laboratory and
administrative facilities. The central JJRMC, Fraserburgh and Stonehaven clinics are
undertaken by medical staff comprising 2 Associate Specialists (1.1 wte) and 5 specialty
doctors (1.7 wte) in addition to the Aberdeen Consultants and Specialty Registrars (5.6 wte).
Diabetes services for Moray district are supervised and co-ordinated by the consultants based
at Dr Gray’s Hospital in Elgin.
Every day there is close co-operation with the necessary specialist support services including
dietetics, podiatry, nursing (screening and education) and clinical biochemistry. A team of
diabetes specialist nurses works across hospital and community care. There is a welldeveloped Clinical Psychology service, led by Drs A Keen and K Maclennan, embedded
within the clinic and excellent links exist with related clinical services including ophthalmology,
vascular surgery, paediatrics, renal medicine and obstetrics. Multidisciplinary pregnancy
clinics occur weekly at Aberdeen Maternity Hospital and a pre-pregnancy clinic is held monthly
at DAB. A joint monthly adolescent clinic is held with Dr A Mayo (Consultant Paediatrician).
The joint Cystic fibrosis clinic is held in the Chest Unit. Prof A Avenell (Clinical Biochemistry)
does a weekly diabetes clinic. A growing insulin pump service has been established by Dr
Abraham. The clinical service is fully computerised (using SCI-Diabetes) and is involved in
shared care with all practices in the region. A Diabetes Managed Clinical Network is well
established in Grampian; Dr Alasdair Jamieson, a City GP, is the current Clinical Lead.
Regional guidelines and a regional diabetes register are in place. All clinic staff participate in
audit meetings and clinical management discussions and there are active research interests.
General Medicine
Acute medical patients admitted to Aberdeen Royal Infirmary are assessed in the
Emergency Department or Acute Medical Initial Assessment Unit where a decision is taken
within 4 hours as to where the patient should be moved should he / she require admission.
Medical patients will then be moved to the HDU, the Short Stay Unit, other speciality wards
including the Geriatric Assessment Unit or to a general medical ward. General medical
patients are currently admitted to 2 clinical areas in the ECC. One of these is on floor 6
adjacent to the Infection Unit and the second area, where the successful applicant would
be based, is a 25 bedded unit on floor 3 – ward 105. Patients who become more unwell
may be transferred to the medical high dependency unit where they remain under the care
of the 105 team with input from the HDU staff.
Endocrinology: The department and associated disciplines in Aberdeen Royal Infirmary
provide a full range of endocrine services for Grampian and the Northern Isles, and is a
tertiary referral centre for North Scotland providing endocrine surgery, pituitary surgery,
radioiodine administration, gynaecological endocrinology, late effects, paediatric handover and
an automated follow-up thyroid register. There are excellent investigative and diagnostic
support facilities. The successful candidate will participate in the combined out of hours on-call
service for endocrinology and diabetes.
Postgraduate Medical Trainees: Ward 105 has 4 FY1, 2 FY2 and 1 Core Medical Training
doctors on 4 monthly rotation. There is also a GP Training (GPST) who rotates 6 monthly.
There are 6 places in the North Scotland Deanery specialty training programme in General
Medicine, Endocrinology & Diabetes with one registrar normally being on secondment to
Raigmore Hospital in Inverness at any one time. In addition there is a part-time SpR (0.6 wte)
attached to the department. Educational and Clinical supervision of trainees is an ongoing
responsibility of consultant staff and there is a regular programme of unit-based educational
meetings.
Teaching: The department is involved in teaching of medical students throughout the
curriculum in out-patient clinics, at the bedside and in the lecture theatre. Departmental staff
members are invited to participate in various undergraduate examinations through the year.
There are also various commitments in the Aberdeen Hospitals to the teaching of nurses,
dieticians, pharmacists, dentists and physician assistants.
Research: Aberdeen offers many opportunities for research in Diabetes and there will be
opportunities for the successful applicant to develop a research interest which supports
and/or complements the present interests of the clinical and associated academic
departments including clinical uses of information technology, telemedicine, pregnancy,
psychological aspects, education and retinal imaging. There are ongoing projects with the
Aberdeen University Departments of Biochemistry (Cell biology/insulin gene expression)
and Rowett Institute for Nutrition and Health.
Audit and Quality Improvement: All consultants are expected to undertake clinical audit
and to participate in the maintenance, development and implementation of quality
standards. Major current areas of focus are the improvement of the care pathway for those
with type 1 diabetes and the further development of integrated diabetes care across
Grampian in collaboration with the Managed Clinical Network. There is a Clinical
Effectiveness / Audit Department and a Scottish Office funded Health Services Research
Unit at Foresterhill.
THE POST of CONSULTANT PHYSICIAN with an interest in DIABETES
This is a proleptic replacement post has arisen in anticipation of the retiral of Dr K McHardy in
May 2015. Its nature allows for a period of mentoring and progressive transfer of his roles in
clinical diabetes and professional education and will also incorporate a significant general
medical component arising from departmental restructuring. The notional weekly timetable will
incorporate 4.5 PAs in clinical diabetes and 3.5 PAs in general medicine.
There will be a weekly general adult diabetes clinic (Monday am) and a twice monthly evening
diabetes clinic (2nd and last Wed; 5-8pm). The post holder will be responsible for the
Kincardine Diabetes Service (supported by a sessional Specialty Doctor) which involves a
mixture of (monthly) outpatient clinics in Kincardine Community Hospital and outreach visits
(14 per year) to the 5 Kincardine Practices. The portfolio also includes thrice yearly visits to 3
city practices and 2-monthly videoconference sessions in support of the hospital diabetes
service in Shetland. There is a commitment to unscheduled diabetes care on a (1 week in 5)
rota which incorporates daily support of the inpatient diabetes team (2wte specialist nurses, 1
specialty doctor and 1 registrar), responsibility for new referrals to the acute services, support
for assistance from Primary Care, weekend Diabetes/Endocrinology rounds and 24 hour
emergency cover including specialty support for the Medical High Dependency Unit. It is also
anticipated the appointee will contribute to the growing insulin pump service.
There will be a significant commitment to the provision of patients admitted as part of the
Acute General Medical take on a rota which amounts to an average of 3.5 PAs per week. A
“consultant of the week” rota is organised running from Monday lunchtime to the following
Monday lunchtime. During the week admissions to ward 105 occur both day and night. At
night the hospital at night team admits and cares for patients with consultant support provided
by the on-call consultant for ward 105. The post holder will be responsible for the overall
direction of investigation, care and management of all general medical patients and attending
junior medical staff in the 25 bedded step down unit in Ward 105 during times when on-call for
medicine. When patients are moved from ward 105 to the HDU they remain under the care of
the ward consultant. Full participation in the support and development of medical ward
activities including staff policy and management meetings, protocol revisions and case
reviews will be expected.
The remaining 2 programmed activities will allow the post holder to engage in continuing
personal professional development, appraisal and revalidation, to contribute to research and
audit activities, and to make substantial, specified contributions to undergraduate teaching,
postgraduate training and specialty management:
i)
There will be lead responsibility for organising unit clinical teaching for Year 2 students
as well as assistance with departmental and faculty teaching and examination
through the year.
ii) The post holder will assume the role of Educational Supervisor for 11 trainees per year
(4 at any one time) in the junior middle grade on Ward 105 (2 FY2, 1 GPST, 1
Core Medical Trainee).
iii) The post will include the duties of Unit Rota Master overseeing production of FY1,
middle grade and registrar duty rosters.
iv) The post holder will be primarily responsible on behalf of the diabetes service for links
with pharmacy and the pharmaceutical industry. This will include consultation and
preparation of applications for amendments to the Grampian Joint Formulary,
maintenance of the treatments section of the Grampian Diabetes Guidelines and
ongoing promotion of evidence-informed, cost-effective prescribing for diabetes
across the region.
LOCATION OF DUTIES
The main hospital base is Aberdeen Royal Infirmary. General Medical inpatient beds are
located in ward 105 in the Emergency Care Centre which opened in the hospital in
December 2012. Diabetes Clinics moved in may 2013 to the refurbished David Anderson
Building across Foresterhill Road from ARI. The peripheral clinic in Stonehaven is held in
Kincardine Community Hospital approximately 15 miles south of ARI and the Kincardine
practices are between 8 and 30 miles south of ARI.
PERSON SPECIFICATION
A detailed Person Specification is provided separately. The person appointed will hold, or be
within 6 months of obtaining, a CCT in General Medicine, Diabetes and Endocrinology, and
will have demonstrated an appropriate breadth of training and experience in each specialty.
The successful applicant will be keen to contribute creatively and flexibly to ongoing service
developments and organizational support in keeping with NHSG and Grampian Diabetes
Managed Clinical Network strategies. A commitment to professional training and education
are considered to be an important aspect of this proleptic post.
CLINICAL MANAGEMENT STRUCTURE
The clinical areas are under management of the acute services sector WITH General
Medicine and Diabetes/Endocrinology lying in separate divisions. Specialties are
represented by a Clinical Lead who works closely with the Unit Operational Manager,
Associate Medical Director and Divisional General Manager.
NHS GRAMPIAN
CONSULTANT PHYSICIAN/DIABETOLOGIST
REF: POST SS7421
CONDITIONS OF APPOINTMENT
1.
The appointment will be made by the Trust on the recommendation of an Advisory
Appointments Committee, constituted in terms of the National Health Service
(Appointment of Consultants) (Scotland) Regulations, 1993 - NHS Circular 1993 No
994 (S.140) which will include University representatives. 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.
2.
(a)
The full-time salary, exclusive of any distinction award, will be on the scale
of £75,249 to £101,451 per annum with scale placing as appropriate. The
appointment will be on a full-time or maximum part-time basis. If the person
appointed chooses to contract on a whole-time basis, his or her gross
income from private practice must not exceed 10% of gross NHS income
(including distinction award if applicable). It is agreed that any private
practice you may undertake will in no way diminish the level of service that
may be expected from you by the Trust in carrying out the duties specified
above. It is also agreed that the duties specified above are regarded as
requiring substantially the whole of your professional time and that this will
involve a minimum work commitment equivalent to 10 notional half days a
week.
(b)
Job plans must be agreed in association with the appropriate Associate
Medical Director and your Lead Consultant and submitted to the Medical
Director for approval. Changes will be discussed and agreed by these
officers and yourself in line with Clinical Grouping service needs and
changes in service requirements as well as at annual review.
3.
The person appointed will be expected to take part in the undergraduate and
postgraduate teaching programmes. It is likely that the University of Aberdeen will
grant the status of Honorary Clinical Senior Lecturer.
4.
Consultants are expected to undertake research and development in their own field
and to link with the University research areas.
5.
Day to day arrangements for undertaking the specified duties of the post will be
made in consultation with the Lead Consultant, other consultants in the department
and with NHSG Management.
6.
The person appointed will have a continuing responsibility for the care of patients in
his or her charge and will undertake the administrative duties associated with the
care of his or her patients and an appropriate share in the running of the clinical
department.
7.
The person appointed will act as an adviser to NHSG in General Medicine and
Diabetes.
8.
The person appointed will be expected to undertake domiciliary consultations as
may be required by the employer.
9.
The person appointed will be expected to undertake advisory ("pastoral") visits to
hospitals in the Area.
10.
You may exceptionally be required to undertake duties at other hospitals in the
Grampian Area or other Health Board areas and at hospitals in Orkney, Shetland
and elsewhere for which service agreements would be arranged.
11.
The person appointed may undertake the diagnosis and treatment of patients
occupying accommodation made available under Sections 57(1), 57(2) and 58 of
the National Health Service (Scotland) Act 1978 at the above hospitals insofar as
the patients have not made private arrangements for such treatment.
12
NHSG, in partnership with the BMA Local Negotiating Committee has a study leave
policy for all Career Grade Medical and Dental staff. The Policy is available on
request from Medical Recruitment and Administrative section.
13.
The appointment will be superannuable if the person appointed so 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.
14.
The private residence of the person appointed, which shall be maintained in contact
with the public telephone service, shall not be more than 10 miles by road from
Aberdeen Royal Infirmary unless specific approval is given by the Medical Director.
15.
Grampian University Hospitals NHS Trust is legally liable for the negligent acts or
omissions of 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 Trust’s indemnity.
16.
The officer appointed will be required to be registered on the General Medical
Council’s Specialist Register.
**17.
The appointment is made subject to production of a certificate issued by an institute
or person competent to award degrees or diplomas confirming you have completed
a course designed to satisfy the training requirements of the Ionising Radiation
(Protection of Persons Undergoing Medical Examination or Treatment) Regulations
1988.
**18
As a result of guidance issued by the Scottish Office on "Protecting Health Care
Workers and Patients from Hepatitis B" the Grampian University Hospitals NHS
Trust is required to:Ensure health care workers who may be at risk of acquiring hepatitis B from a
patient are protected by immunisation.
Protect patients against the risk of acquiring hepatitis B from an infected health care
worker.
Due to the nature of this post, any offer of appointment will be conditional upon the
successful applicant either:Undergoing a process of screening/immunisation/monitoring in accordance with the
Trust's Policy and Procedure, or
Producing acceptable documentary evidence that he/she is not an infective risk to
others.
In the event that he/she is an infective risk to others or if he/she fails to comply with
the above requirements, the conditional offer of appointment will be withdrawn.
As a condition of his/her subsequent employment in this post he/she is also required
to undergo further immunisation and monitoring at the intervals specified by the
Trust's Occupational Health Service in order to boost/maintain his/her level of
immunity. Should he/she become hepatitis B e antigen positive and therefore an
infective risk to others at any stage in the future the appointment will be subject to
review in accordance with the Trust's agreed Procedure for dealing with such
situations where the postholder is involved in "Exposure Prone Procedures". This
review may result in the postholder having to alter his/her clinical exposure to
remove risk to patients and others. In circumstances where this is not a practical
option, it will be necessary to provide industrial compensation for this prescribed
industrial disease prior to the postholder leaving the Trust's employment.
**19
The Trust is required to instigate a check to be made with Disclosure Scotland Office
for any convictions recorded before an offer of appointment can be made
(rehabilitation of Offenders Act 1974 amended 1985 and 1986) and (Disclosure of
Criminal Convictions of NHS Staff with Substantial Access to Children 1989).
20
The appointment is made subject to satisfactory fitness for employment. The
successful candidate will therefore be required to complete a pre-employment
health screening questionnaire and may subsequently be required to attend for
health screening.
21
Termination of the appointment is subject to six months' notice on either side.
This job description serves to indicate the range of duties of the post but is not intended to
be exhaustive.
NOTES TO CANDIDATES
Canvassing in connection with appointments is not permitted but this does not debar
candidates who wish from visiting the hospitals concerned.
Further information can be obtained and an appointment to view the Department arranged
by contacting Dr Ann Gold, Consultant in Diabetes & General Medicine, Royal Infirmary,
Foresterhill, Aberdeen Tel: (01224) 559180/550588 or 0845 456 6000 bleep 3525.
When visiting NHS Grampian prospective candidates may make an appointment with the
following:
Dr P Strachan
General Manager Acute Sector
NHS Grampian
Foresterhill House
Contact:
Personal Assistant
Tel: (01224) 553711
Dr R Dijkhuizen
Acting Medical Director
Foresterhill House
Tel: (01224) 553714
Dr S Wilkinson
Associate Medical Director
Foresterhill House
Tel: (01224) 554514
Professor David Reid
Director of Research & Development
Westburn House, Foresterhill
Tel: (01224) 551121
The Trust are obliged to bring to your notice that the Rehabilitation of Offenders Act 1974
provides for many people who have been convicted of certain criminal offences, the
opportunity to have no need to refer to any conviction or circumstances relating to it in the
course of daily lives. Certain convictions can, therefore, be regarded as “spent” after the
lapse of a period of years under the terms of the Act. The National Health Service
employment for which you are applying, however, has been excluded from the provisions of
the Act and you are, therefore, required not to withhold information about convictions which
for other purposes are “spent” under the provisions of the Act. In the event of employment,
any failure to disclose such convictions could result in dismissal or disciplinary action by the
Trust. Any information given, however, will be completely confidential and will be
considered only in relation to the post for which you are now making application.
There are a number of Day Nursing facilities for children of staff employed by Grampian
University Hospitals NHS Trust. These have been specially designed to accommodate
children between the ages of 6 months and 5 years. Please contact the Nursery Manager
on (01224) 552684 (Foresterhill), (01224) 556008 (Woodend) or (01343) 549244 (Elgin) for
further details.
In The Interest Of Health Promotion We Operate A No Smoking Policy
NHS Grampian
Person Specification Form
REF: SS7421
Consultant Physician in Diabetes & General Medicine
REQUIREMENTS
Qualifications
B
Experience
ESSENTIAL
Within 6 months of having CCT
in General Medicine &
Diabetes/Endocrinology
Extensive Clinical Experience
in Adult Diabetes including perioperative care. Experience of
collaborative working with
colleagues managing diabetes
in primary care.
DESIRABLE
Higher degree (M.D. or PhD)
Experience of obstetric and
adolescent diabetes care.
Involvement in collaborative
developments in diabetes service
delivery across primary and
secondary care.
Extensive experience in
Acute/General Medicine.
C
Knowledge of pharmaceutical
regulation in Scotland
Core skills required for CCT.
Familiarity with formulary
application processes
Familiarity with insulin pump
technology and usage.
Highly motivated.
Committed to collaborative and
integrated, multi-disciplinary
service development and
improvement.
Driven. Ability to inspire and
motivate, and to remain
constructive and calm under
pressure.
D
Ability
Clinical Skills and
Technical Skills
Motivation
E
Personality
F
Audit
G
Research
Some achievement in areas of
research and publication.
H
Management Ability
I
Training and
Teaching
Experience
Awareness of role of
consultants in NHS
management and an interest in
developing management skills
and profile.
Experience of delivering
undergraduate teaching and
postgraduate training.
J
Other requirements
Enthusiasm.
Prepared by Dr Ann Gold
Willingness to work hard.
Natural disposition to working
co-operatively and inclusively
with fellow team members.
Compassionate, considerate
and with a sense of humour.
Experience of audit.
Completion of audit cycle to drive
meaningful change.
Useful contribution to medical
literature.
Ambition to undertake or support
future research in the
department.
Enthusiasm for service change
and development. Prior
experience of service change.
Interest in pursuing formal
qualification in medical education.
Knowledge and interest in current
training systems.
Creativity.
Date
September 2013
MODEL JOB PLAN FORMAT
a)
APPENDIX 4
Consultant Contract Details
Name:
Specialty: Diabetes and General Medicine
Principal Place of Work
Contract :
Availability Supplement:
Ward 105 ARI and Diabetes Clinic
PAs 10
EPA 0
Full Time
8%
(Delete as appt )
Level 1
OOH at Premium Rate worked:
6.2
Managerially Accountable to: S Wilkinson, Clinical Director, Medical Specialties Unit
Responsible for :
b)
Gen Med, Diabetes clinical duties for NHSG and associated management, service development, research,
audit, teaching and trainee supervision etc
Timetable of activities which have a specific location and time
Outwith fixed activities there is a degree of flexibility in days worked to enable attendance at various
meetings etc. The table below is therefore only an indication of the usual days worked but this varies
week to week.
DAY
Monday
From / To
HOSPITAL/ LOCATION
AM – Diabetes clinic (weekly)
TYPE OF WORK
Routine review of diabetes patients and assessment of new patients
AM - Kincardine diabetes clinic (3rd
Wed of the month)
Routine review of diabetes patients and assessment of new patients
Tuesday
From / To
Wednesday
From / To
Routine review of diabetes patients
5pm to 8pm
Evening diabetes clinic (twice
monthly)
Thursday
From / To
Friday
From / To
Saturday
From / To
Sunday
Direct clinical care
8 PAs
SPA
2 PAs
(Up to 10 days of special leave per year have been agreed with management to undertake additional and
external duties as agreed with Dr N Fluck previously)
b)
Activities which are not undertaken at specific locations or times
General Medicine –
Consultant of the week for ward 105 for 0.3 of weeks
Educational supervisor work of junior middle grade trainees (4 at any one time)
Patient administration / signing clinic letters
Other clinical and non-clinical administration
Primary care diabetes support meetings (usually held at GP surgeries)
Research
Year 2 clinical teaching coordinator
Links with pharmacy for formulary approval of diabetes medicines
Rota-master for specialist registrars
c)
Activities during Premium Rate Hours of Work e.g. hours outwith 8am-8pm Monday to Friday
(In order to ensure payment, please ensure these hours are detailed in both Job Plan Pro-Forma and Section A above)
Number of out of hours hours per year:
Weekend GIM cover 5.5hrs x 2 x 10.4 times per year
=114 hours
Diabetes /endocrinology cover weekday out of hrs (2 hours per week x 10.4) =20.8 hours
Weekend diabetes /endocrinology cover (8 x 10.4 hours)
(assumes 4 hour weekend ward rounds)
Weekday GIM out of hours
(assumes 4 phone calls/ callouts of 30 mins per week on call)
Approx Total = 260 hours/ year
=83.2 hours
= 40 hours
MODEL JOB PLAN
Type of activity
Description of activity including when and where activity is conducted.
Average number of hours spent on
each activity per week including travel
where appropriate
Direct Clinical Care
Emergency duties (including emergency work
carried out during or arising from on-call).
Operating sessions
Pre and post operative care
Outpatient Clinics
General medicine
Medical emergency work in ward 105. Covering just under one third of the total
number of days.
Diabetes / Endocrine
1:5 weekly rota including weekend diabetes/endocrinology cover (4 hours per
day) plus weekday diabetes/endocrinology cover including inpatient diabetes
meeting (3 hours per day) plus 2 hours per week out of hours = 20 hours / on-call
week
Diabetes clinics (5.3 per month)
Evening clinics – 2 per month
(includes dictation of letters)
Ward rounds
Included in emergency care for GIM and DME
Clinical Administration directly related to
patient care (e.g. referrals, notes complaints,
correspondence with other practitioners)
Included in out-patient clinics where directly related to clinic lists. Additional
work resulting from clinical enquiries/referrals/ OGTT interpretation
/correspondence concerning diabetes patients now managed predominantly in
primary care and general clinical advice for GPs and Practice Nurses.
Some included in emergency work.
Primary care diabetes meetings
Multi-disciplinary meetings about direct patient
care.
Type of activity
Description of activity including when and where activity is conducted
13.5
4
9.25
1.25
4
Average number of hours spent on
each activity per week including travel
where appropriate
Direct Clinical Care
(contd)
Clinical Diagnostic duties :
See above
Public health duties :
Community Duties :
Mental Health Act duties :
Any other work directly linked to the direct
clinical care of NHS patients
Total Direct Clinical Care Activities
32 Hours per week
Type of activity
Description of activity including when and where activity is conducted.
Average number of hours spent on
each activity per week including
travel where appropriate
Supporting Professional Activities
Continuing professional development
Journal reading and postgraduate
Lectures, educational meetings
1.5
Teaching and training
Undergraduate and postgraduate lectures
1
Management of doctors in training
Educational supervision of middle grade junior doctors
Organisation and delivery of year 2 teaching
2.5
1.5
Audit
Assisting in design, execution and analysis of audit projects and present at
diabetes meetings and ward medical meetings
0.2
Job Planning
Approximately 4 hours per year
0.1
Appraisal
Approximately 8 sessions per year required to prepare and attend personal
appraisal
0.2
Revalidation
Research
0.5
Type of activity
Description of activity including when and where activity is conducted.
Average number of hours spent on
each activity per week including
travel where appropriate
Supporting Professional Activities
(contd)
Contribution to service management and
planning
Attendance at senior staff and ward meetings
0.5
Clinical governance activities
Any other supporting professional activities
8
Total Supporting Professional Activities