Important Job Application Information Thank you for your interest in NHS Tayside vacancies Please see below Job Description/Person Specification and General Conditions of Service Your Application Form must be completed in full. Please note copies of Curriculum Vitae, Qualifications and Course Certificates will not be accepted at this stage. Please return your completed Application Form to recruitment.tayside@nhs.net (quoting the vacancy reference number in the subject box) or to the postal address given on the General Conditions of Service. All completed applications are held in Human Resources until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly. This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from Human Resources. ADDITIONAL INFORMATION:Find out more about living and working in Tayside at: www.dundeecity.gov.uk www.angus.gov.uk www.pkc.gov.uk NHS TAYSIDE – AGENDA FOR CHANGE JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title Specialist Paediatric Pulmonary Function Clinical Technologist (Physiologist) Department(s)/Location Paediatric Pulmonary Function, Child Health / Pulmonary Function Laboratory, East Block Number of job holders 1 JOB PURPOSE The Paediatric Pulmonary Function Laboratory provides specialist lung function testing in children for NHS Tayside and occasionally other children within the catchments area of the North of Scotland Paediatric Respiratory Network. The main (adult) Pulmonary Function Laboratory provides a NHS Tayside wide service for patients with a range of (respiratory) problems. The principle role is to undertake routine and advanced clinical physiological tests and procedures on children, to interpret test results and report to clinicians. There will also be a clinical governance requirement to work in the adult laboratory. There is a potential to develop key areas of the paediatric pulmonary function laboratory. Full training on all the paediatric pulmonary function equipment and performance of the tests will be offered for the successful applicant under direction of Caroline King, Head of Service, Clinical Respiratory Physiologist, Respiratory Function Laboratory, RHSC, Yorkhill, Glasgow ORGANISATIONAL POSITION The staffing of the Pulmonary Function Laboratory, under the Head of the Vascular Laboratory, consists of three respiratory physiologists and a senior respiratory physiologist, who are supervised by a clinical specialist. Clinical Specialist Paediatric respiratory consultants Chief engineering technologist MPD (personnel issues) Clinical Physiologist (This post) AFC 5 Adult Pulmonary function laboratory 4 posts SCOPE AND RANGE This post is based primarily in the Paediatric Pulmonary Function Laboratory situated beside the offices of the paediatric respiratory specialist nurses and the Paediatric Respiratory Consultant. This is principally an autonomous post, however it is essential to develop close working relationship with a nominated member of adult lab for the purposes of clinical governance. The post holder has a significant commitment to participate in and develop the provision of the paediatric pulmonary function service within the Maternal and Child Health Sciences. There is, however, a commitment to the adult laboratory both as part of clinical governance and to enable development of key service areas within the paediatric laboratory. MAIN DUTIES/RESPONSIBILITIES Administration (20%): Responsibilities for policy and service development implementation: Follows policies in own role which are determined by others, no responsibility for service development, but may be required to comment on policies, procedures or possible developments. Responsibilities for financial and physical resources: Responsible for the safe use of expensive and highly complex equipment (e.g. body plethysmograph). Responsibilities for Human Resources: Provides advice, or demonstrates own activities or workplace routine to new or less experienced employees in own work area. Responsibilities for information resources: Records personally generated information (e.g. clinical observations, test results, case reports). Research & Development (10%): Responsibilities for research and development: Undertakes surveys or audits, as necessary to own work; may occasionally participate in research and development, clinical trials or equipment testing. Patient Care (70%): Responsibilities for patient care: Provides clinical technical services to patients (e.g. undertaking standard diagnostic tests on patients, calibrating complex equipment for use on patients. Test carried out include: Spirometry Flow-volume loop Reversibility Gas transfer Nitrogen washout Bodyplethysmography Mouth pressures Peak Flow Inhaler technique Oximetry There is a potential to develop the following assessments Bronchial Challenge (histamine) – using KoKo digidoser Bronchial Challenge (methacholine) – using aerosol provocation system (APS) Exercise Induced Asthma 6 minute walk Full Cardio-Respiratory exercise test Flight Assessment Hyperventilation Provocation / Capnography Impulse Oscillometry (IOS) Infant plethysmography tests may be performed Sleep studies, including home oximetry, Embletta etc. Induction Standards & Code of Conduct Your performance must comply with the national “Mandatory Induction Standards for Healthcare Support Workers in Scotland” 2009; and with the Code of Conduct for Healthcare Support Workers. COMMUNICATIONS AND RELATIONSHIPS The post holder must have good communication skills, particularly in the day to day work with patients and be able to maintain an effective working relationship with staff from Maternal and Child Health, adult respiratory and relevant sectors of the Medical Physics Department, NHS Tayside and the University of Dundee. Post holder provides and receives complex (e.g. condition related information for this job), sensitive or contentious information, where persuasive, motivational, negotiating, training, empathic or re-assurance skills are required. This may be because agreement or cooperation is required or because there are barriers to understand (e.g. children, patients with learning disabilities). KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB The postholder will be educated to degree level in an appropriate discipline e.g. physiology or equivalent level of knowledge. You will need to develop and demonstrate an understanding of a range of work procedures and practices, which requires expertise within the respiratory specialism, underpinned by theoretical knowledge or relevant practical knowledge. Experience in the field of respiratory physiology is desirable but not essential Full training in the practical aspects on all the paediatric pulmonary function equipment and performance of the tests will be offered to the successful applicant under direction of Caroline King, Head of Service, Clinical Respiratory Physiologist, Respiratory Function Laboratory, RHSC, Yorkhill, Glasgow. This will require a willingness to travel to Yorkhill for training at the start of the job. The postholder will be expected to: work towards gaining professional accreditation. work closely with paediatric specialist nurses to underpin clinical knowledge and skills. develop specialist knowledge in all relevant aspects of paediatric respiratory diseases and their potential complications e.g. infection risk, autoimmune disorders etc. SYSTEMS AND EQUIPMENT Responsible for the safe use of expensive and highly complex equipment (e.g. bodyplethysmograph, nitrogen washout, exercise equipment, bronchial provocation equipment, computers). Records personally generated information (e.g. clinical observations, test results, case reports). N.B. the department has recently undergone a full equipment upgrade in 2013 Equipment used: Jaeger SpiroPro Plus Jaeger Masterscreen Body Box with on-line computer Jaeger Impulse Oscillometry (IOS) Jaeger Aerosol Provocation System (APS) Jaeger Infant plethysmograph Reebok Exercise Step Dell Optiplex comp. Dell Inspiron laptop comp. Nonin Onyx pulse oximeter Minolta Pulsox 3iA SensorMedics Vmax 229 SensorMedics Vmax Spectra (Bodyplethysmograph) Ergoline Ergometrics 800 Medix Minor Nebulisers Ferraris KoKo Digidoser Medifit MFE Ergometer Software used: Microsoft XP (incl. see above) Vmax Spectra IVS-0101-12-3 Vmax 229 IVS 0101-06-1C Minolta Pulsox DS3 ver 3.01 KoKo PFT System Ver 4.3 RESPONSIBILITY FOR RECORDS MANAGEMENT All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment. PHYSICAL DEMANDS OF THE JOB Physical skills: The post requires highly developed physical skills, where accuracy is important (e.g. skin prick testing). Physical effort: There is a frequent requirement to exert moderate physical effort for several short periods during a shift (e.g. pushing wheelchairs, lifting patients etc.) Mental effort: There is a frequent requirement for concentration where the work pattern is unpredictable with competing demands for attention. Emotional effort: This post is based in paediatrics, with occasional exposure to distressing and emotional circumstances (e.g. delivering unwelcome news, patients or parents with challenging behaviour). Working conditions: Exposure to unpleasant working conditions (e.g. histamine and chemicals) DECISIONS AND JUDGEMENTS Analytical & Judgemental skills: Judgements involving complex facts or situations, which require the analysis, interpretation and comparison of a range of options. Expected results are defined and the post holder is guided in how to achieve them by principles and broad occupational policies or regulations. Guidance may be provided by peers or external reference points (e.g. ARTP / BTS / ATS / ERS Key Contacts Paediatric Respiratory Consultant Clinical Scientist/Clinical Specialist (Vascular Laboratory) Paediatric specialist respiratory nursing staff e.g. CF nurses Director of Medical Physics (Richard Lerski) MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Ensuring that all patients’ investigations are carried out sensitively and professionally, meeting the requirements of the Trust and ARTP, BTS and ERS guidelines. Ensuring that outpatients will be seen within 6 – 8 weeks (urgent patients within 1 – 2 weeks). Ensuring that in-patients will be seen within one week. Developing key areas of the paediatric service as an autonomous practitioner and as part of the team within the adult pulmonary function laboratory. Team work essential as this post will be working closely with a nominated member of the adult lab staff. To provide a high quality diagnostic service, both in terms of accuracy and technical complexity To be responsible for the accurate documentation of factual reports and correlation with previous results which may impact on patient management Dealing with heavy workloads on a daily basis due to large clinical demand, unusual disease profiles etc Time management. Addressing the equality and diverse needs of patients and staff. To develop excellent communication channels between members of the multidisciplinary team Person Specification POST REF NO: P/HC/49 JOB TITLE/BAND: Respiratory Clinical Physiologist- Band 5 LOCATION: Department of Medical Physics, (Paediatric Pulmonary Function) Ninewells Hospital, Dundee HOURS: 37.5 hours per week CRITERIA ESSENTIAL EXPERIENCE: Concurrent with undergraduate training DESIRABLE Experience working in a hospital clinical environment Team work QUALIFICATIONS: (Training; Research; Publications) Relevant degree eg physiology ARTP accreditation KNOWLEDGE & SKILLS: To undertake mandatory professional qualification in respiratory function Experience in basic paediatric respiratory function Understanding of current health and safety NHS guidelines Knowledge of infection control and implications in respiratory assessments Intermediate computer skills Excellent communication skills PERSONAL QUALITIES: Ability to identify and address own learning needs Good organisational skills Ability to recognise own limitations and when to ask for help. Respect diversity and equality Use professional judgement in the interest of the patients and public Take responsibility for own workload OTHER: (eg travel across Tayside) Flexibility in working hours to suit the demands of the service Experience in clinical quality control. Ability to follow Standard Operating procedures (SOP) Develop own SOPs General Conditions of Service POST REF NO: P/HC/49 JOB TITLE/GRADE: Respiratory Clinical Physiologist – Band 5 LOCATION: Department of Medical Physics, (Paediatric Pulmonary Function) Ninewells Hospital, Dundee Conditions of Service Remuneration Hours of Duty Superannuation The terms and conditions of service for this post are those determined by the NHS Staff Council. The current salary scale for the post is £21,388 to £27,901 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service. Salary is paid Monthly by Bank Credit Transfer. The hours of the post are 37.5 per week (8.30am – 16.30pm) Start and finish times will be determined by the needs of the service. Membership of the NHS Superannuation Scheme is not compulsory but is open to all staff between the ages of 16 and 70 (65 in some instances). The contributions paid are a percentage of superannuable pay, which is essentially basic pay excluding, for example, overtime or travelling expenses. Contribution rates with effect from 01.04.12 are as follows: Annual Pensionable Pay (Full-time equivalent) Up to £15,000 £15,001 to £21,175 £21,176 to £26,557 £26,558 to £48,982 £48,983 to £69,931 £69,932 to £110,273 £110,274 to any higher amount Annual Leave Contribution 5% 5% 6.5% 8.0% 8.9% 9.9% 10.9% Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay. On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year. After 5 years aggregated service = 29 days (pro rata for parttime staff) or 5.8 weeks per year After 10 years aggregated service = 33 days (pro rata for part-time staff) or 6.6 weeks per year References Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year All offers of appointment are subject to receipt of two satisfactory references Occupational Health Clearance All offers of appointment to new entrants to the National Health Service are subject to a medical examination. Medical examinations are arranged and undertaken by the Occupational Health and Safety Advisory Service (OHSAS). Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 All current or spent criminal convictions, cautions, warnings or any case pending must be disclosed prior to commencing in employment as detailed on the application form. Disclosure Scotland Please note that having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated. The successful applicant will be required to become a member of the Protecting Vulnerable Groups Scheme (PVG) in respect of regulated work with protected adults and regulated work with children. Immigration, Asylum and Nationality Act 2006 It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK. Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents. Professional Registration/ New entrants to NHS Tayside will be required to achieve the Induction Standards & Code mandatory Induction Standards for Healthcare Support of Conduct Workers (HCSWs) in Scotland and comply with the Code of Conduct for HCSWs throughout your employment. Smoking Policy Applications Internal candidates will be required to comply with the Code of Conduct for HCSWs. Smoking is prohibited within NHS premises and grounds. Completed forms should be returned to: recruitment.tayside@nhs.net quoting the job reference in the subject line or Human Resources, Management Offices, Perth Royal Infirmary, Taymount Terrace, Perth PH1 1NX By closing date of Friday, 21 June 2013