NHS Lanarkshire - Vacancy - NHS Scotland Recruitment

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NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
Scott’s View, Scottish Borders
Job Description and particulars for the post:
Consultant Psychiatrist – Older Adults Service, NHS Borders
Page 1
NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
Interview Date
Your
Application
Please quote on all correspondence
MED664
Consultant
Melburn Lodge, Borders General Hospital
Part-time basis available – 7 PAs. Applications also welcome from
candidates interested in job share, further PAs or a full time post.
Consultant scale - £76001 - £102465 pro rata per annum with scale placing
as appropriate to experience and qualifications. Availability supplement for
on-call duties also payable.
Friday 20 February 2015
Monday 23 March 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 .
If emailing your CV please telephone 01896 826167 to confirm safe
receipt.
HU
01896 826167
Medical.staffing@borders.scot.nhs.uk
UH
Application Pack
MED664
Page 2
NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
Visits and
Enquiries
Informal visits can be arranged and informal enquiries regarding this post will
be welcomed by:
Dr Cliff
Sharp
Date post is
vacant
NHS Borders
Website
Associate Medical Director 01896 827155 (secretary)
– Mental Health & Learning
Disability Service
The post is currently vacant and a start date will be agreed with the
successful candidate.
For further information regarding NHS Borders, please visit our website:www.nhsborders.org.uk
HU
The
Department
U
Mental Health Service
With approximately 350 staff and an annual operational budget of £13 million, the
NHS Borders Mental Health Service provides treatment in a variety of community
and inpatient settings, with Clinical Leadership provided by the consultant working
alongside the Team, Operational and Service Managers.
The shared philosophy is that of a personal service based on respect for the
individual. It builds on the foundations of the Therapeutic Community principles of
Dingleton Hospital and the solidly established community psychiatry approach
commenced in the early 1970s. Thus we expect people to respond to their maximum
potential when given the maximum appropriate involvement and responsibility.
Through our community approach and home based treatment, we are able to
intervene early to provide assertive outreach and deliver a variety of treatment
approaches, seeking to use the most effective combination of the medical model (in
the broadest sense), cognitive behavioral, psychodynamic, occupational, social and
family support.
There is a clear value base within the service that front line clinicians must be
involved in the key decisions that affect their everyday working practice and there is
a range of opportunities for medical staff to get involved through active clinical
governance systems, Medical Staff Committee and a range of Service wide steering
groups. The Mental Health Board oversees the delivery of services, and this group
includes a wide range of managerial and clinical staff including a number of
consultant psychiatrists.
Adult Mental Health Services
These have undergone more than a decade of development following the closure of
Dingleton Hospital. The Adult Mental Health Services consist of 3 Community
Mental Health Teams (CMHTs) based geographically throughout the Borders
(Hawick, Duns and Melrose). There is also access to day services and voluntary
organizations throughout the Borders area.
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NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
The CMHTs accept referrals of adults aged 18 to 69 years who present with a range
of acute psychiatric disorders, including major mental illness, severe adjustment
disorders and emotional and behavioural disturbances requiring psychiatric
assessment, and with more specialist patient groups such as dual diagnosis, alcohol
misuse and eating disorders. Borders CMHTs provide an assessment and treatment
service, either in team base clinics, their own homes, or a community venue of their
choice.
A dedicated Liaison Psychiatry service for the Borders General Hospital was
started early in 2005, with emergency/same day referrals dealt with by a rota of team
members. In addition, there is a Crisis Team which assesses emergency referrals
and provides safe and effective community based assessment, treatment and social
interventions as an alternative to in-patient care.
The Inpatient Service offers 19 acute admission beds in the newly refurbished
Huntlyburn House, Melrose, in a unit originally opened in 2001 for individuals
requiring 24-hour specialist nursing care. All bedrooms are single, with en-suite
facilities. There are 2 sitting rooms with dining areas, additional sitting areas and
one outdoor smoking area on the unit. Bed occupancy averages 85%.
Borders Addictions Service (BAS)
BAS provides assessment and care planning for Borders adults with mental health
problems related to alcohol or substances misuse. The Team works closely with
primary care services, with agreed shared care detoxification and stabilisation
programmes. The team work within a broad philosophy of harm reduction, which
recognises the right of clients to make informed choices regarding their lifestyles and
changes they wish to make within this.
Child and Adolescent Mental Health Services
The Child and Adolescent Mental Health Team are based at the Andrew Lang Unit
in Selkirk. It provides assessment and treatment of mental health problems relating
to children and young people under the age of 18 years, and promotes the
understanding of issues affecting the mental health of this age group. In-patient
provision is available at the Young People’s Unit in Edinburgh.
Learning Disability Service
The Community Learning Disability Service, based in Melrose, provides a service to
adults (16+ years) with a learning disability and complex mental health needs.
There are no learning disability beds in the Borders, with inpatient assessment and
treatment beds accessed out-of-area. The Learning Disability Service is part of the
regional planning network for South East Scotland and Tayside regions, and has
now developed into a fully integrated (Health and Social Work) Borders-wide
service.
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NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
Rehabilitation Service
The Community Rehabilitation Team provides a Borders-wide service for around
120 patients Borders-wide. It accepts referrals of adults from community mental
health teams, the child and adolescent service and other psychiatric services where
patients are returning to live within Borders. The referral criteria are:
 adults with severe and enduring mental health problems: usually with a
diagnosis of schizophrenia, schizo-affective disorder or severe bi-polar
affective disorder
 with complex needs involving the combination of health, social,
occupational, employment and educational difficulties
 who are likely to benefit from active rehabilitation, or
 require a level of community input and consistency that cannot be
provided by the acute community mental health teams.
A key worker model of service delivery is used with a strong emphasis on multidisciplinary and multi-agency joint working. The specialist nature of the team allows
investment in specific rehabilitation skills. Inpatient Beds are provided in East and
West Brig - 16 beds for patients in relapse, requiring active rehabilitation and for
relapse prevention; they also have access to a “core and cluster” of supported
accommodation in Galashiels for those patients who cannot manage in their own
independent tenancies.
Scottish Borders Council
Good working relationships exist between NHS Borders and the Local Authority,
who are working together to implement joint strategies for mental health. A shadow
Pathfinder Health and Social Care Partnership Committee was established in 2013
and considerable work is underway to progress the Integration of Health & Social
Care agenda in a way that will result in genuine improvements in the delivery of joint
services.
Social Services
There is specialist Mental Health Social Work input into most CMHTs, fostering
excellent working relationships. The MHO service can be contacted 24 hours per
day, seven days per week.
POST INFORMATION
Mental Health Services for Older Adults
The Post
The Mental Health for Older Adults Service (MHOAS) is a Borders-wide multidisciplinary service, which operates around two team bases: The West / Central
Team in Melburn Lodge, adjacent to our continuing complex care unit (Melburn) and
opposite the dementia acute care unit (Cauldshiels); and the East / South Team
based at Poynder View in Kelso. Lindean, the inpatient facility for functionally ill
older adults, is adjacent to Cauldshiels, and has six beds. The community teams
operate during the hours of 9am to 5pm, Monday to Friday, at present.
There is also a team of senior nurses who form an Older Adults Mental Health
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NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
Liaison Service covering the Borders General Hospital, Community Hospitals and
Care homes.
Referral
MHOAS provides a Borders-wide specialist Mental Health Service for all people
aged over 70, and for those of any age with progressive dementia. MHOAS
provides community assessment, often in the patient’s own home, with treatment
and ongoing support for those with complex needs. Approximately four fifths of
referrals are for dementia assessment, and one fifth for functional psychiatric illness,
mainly depression. The teams work closely with Primary Care Services, and with
Social Work and the voluntary sector. In 2013 the teams received around 650
referrals, 195 of which were for the South team.
Inpatient facilities include: A 14 bed dementia acute care ward (Cauldshiels); a
16-bed continuing complex needs ward for dementia patients requiring 24-hour NHS
care (Melburn); 6 beds for functionally ill older people (Lindean). There are also four
NHS Dementia Resource Centres, which include non traditional ‘Day Care’, in
Galashiels, Peebles, Hawick and Kelso.
Reporting
Arrangements
The Consultant will be a member of the Medical Staff Committee within the Mental
Health Service and a member of the NHS Borders Senior Medical Staff Committee.
There is a Joint Mental Health Clinical Management Team which is chaired by the
Associate Medical Director (Dr Cliff Sharp) accountable to the Clinical Executive.
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, Core Psychiatry Trainees 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 Psychiatrist – Older Adults Service
Medical
Staffing within
Unit
MHOAS Staffing:
Medical Staff:
10 PA Full time Consultant (West/Central Team)
7 PA Part time Consultant (East/South Team)
5 PA Part-time Consultant (East/South Team)
8 PA Specialty Doctor working with both teams
Other MHOAS
Staff Members
Clinical Psychology
Clinical Service Manger
Operational Manger
Team Managers:
Community Psychiatric Nursing:
1 Consultant Clinical Psychologist
1 Band 8b
1 Band 8a
2.0 wte Band 7
3.9 wte Band 6
Older Adult Mental Health
Liaison Nurses
Community Staff Nurses
Community Support Workers:
3.0 wte Band 6
18 wte Band 5
18 wte Band 3
Occupational Therapy:
Administrative Staff:
1 wte Senior OT
1 wte Band 5 (MHA Monies)
0.5 OT Helper
2.0 wte Team Secretary
2.0 wte Secretary
An office with PC, e-mail and internet access is available in the Team Base with a
desk and computer in Melburn Lodge and at the outlying Resource Centres.
Patients are seen in the community and in local day services, health centres and
residential nursing homes. There is dedicated secretarial time for clinical work
and additional administrative time available within Medical Administration to assist
with rotas, education programmes, etc.
The Consultant staff establishment within the Mental Health and Learning
Disability Network is as follows:
Dr Cliff Sharp
Dr Amanda Cotton
Dr Basel Switzer
Dr Derek Dickson
Dr Ruth Solomon (p/t)
Dr Gill Yellowlees (this post)
Dr Anna Beaglehole
Dr Ingrid Swan (p/t)
Dr Mark Hughes
Associate Medical Director/Consultant
Psychiatrist - South CMHT
South Community Mental Health Team
East Community Mental Health Team
West Community Mental Health Team
Rehabilitation Team
Mental Health for Older Adults
Mental Health for Older Adults
Mental Health for Older Adults
Learning Disability Service
Page 7
NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
Dr Ashley Cameron
Dr Theresa McArdle
Dr Joanna Smith
Dr Jason Luty
Child & Adolescent Mental Health Service
Child & Adolescent Mental Health Service
Liaison & Crisis Team Psychiatry
Borders Addictions Service
Other permanent medical staff supporting the Service:
Dr Flora Sinclair (p/t)
Dr Eimear O’Kane (p/t)
Dr Anne-Marie McGhee (p/t)
Dr Muriel Foreman (p/t)
Dr Chammy Sirisena (p/t)
Dr Lucy Calvert (p/t)
Dr Jenny Forbes (p/t)
Dr Karen Andrews (p/t)
Associate Specialist, Rehabilitation Team
Specialty Doctor, West Community Mental
Health Team
Associate Specialist, Child and Adolescent
Service
Associate Specialist, Child and Adolescent
Service
Associate Specialist, Learning Disability
Team
Specialty Doctor, Mental Health for Older
Adults
GP with Special Interest, Addictions Service
Specialty Doctor, Rehabilitation Service
DUTIES AND RESPONSIBILITIES
Main Duties
Clinical
 To take a clinical lead in conjunction with fellow consultants currently in post
in the provision of Old Age Psychiatry, and to have medical responsibility for
outpatients and inpatients from the South such as Hawick and Jedburgh
areas. The patch distribution across the teams is currently under review.

To undertake psychiatric and risk assessments, and treatment planning in
conjunction with the multi-disciplinary team within both community and
inpatient services.

To promote a multi-disciplinary/multi-agency approach and provide
consultancy support to Primary Care staff, Mental Health Nurses and the
Resource Centres within the catchment area.

To be an Approved Medical Practitioner in terms of the Mental Health (Care
and Treatment) (Scotland) Act 2003 and undertake the required duties in
relation to this.

To provide psychiatric court reports as requested by the local legal
authorities.
Page 8
NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service

To take a special interest lead, the nature of which is to be agreed between
the post holder and Associate Medical Director.

To participate in the psychiatric on-call rota.

To participate in cross cover arrangements for other colleagues during
periods of annual leave, study leave and short term sick leave.
Liaison With Other Agencies
 To provide expert advice and forge working links with other stakeholder
agencies and groups, including out of area services for Borders clients and
primary care
Management
 To contribute to the continuing strategic development and evolution of mental
health services overall and old age psychiatric services in particular. This will
involve working closely with the Clinical Service Manger for the area, in line
with national and local guidance, including the proposals for integration of
Older Adult services with the relevant Local Authority.

To participate actively in the NHS Borders Clinical Governance programme,
including active involvement in clinical audit, critical incident reviews and
complaints management.
Education, Training & Research
 To provide supervision to the Core Trainees in Psychiatry or Foundation
doctors who may rotate into a training slot from time to time. In addition,
there may be a Specialist Trainee in Psychiatry attached to the Team for
whom appropriate supervision will also be required, depending on the
incumbent obtaining approval as a trainer.

To initiate or participate in relevant research, as appropriate and if interested.
There are excellent library facilities available at the Education Centre based
in the grounds of the nearby Borders General Hospital, access to the NHS
eLibrary from your PC, and a comprehensive patient information system.

To participate in Continuing Professional Development, annual appraisal and
Revalidation.

To participate in the training and development of staff, including medical
students on attachments, nursing staff and AHPs.

To participate in the local post-graduate education and training programme.
There is also an opportunity to become involved in the MRC Psych Teaching
Course and the General Practice Psychiatry Course for Vocational Trainees
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NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
in Edinburgh with which the Borders has close links.
WORK PROGRAMME AND OUTLINE JOB PLANS
As required under Section 3 of the Terms and Conditions of Service, the duties
and responsibilities are supported by a job plan and work programme. On taking
up post, the formal plan will be agreed by the Head of Service and the
successful applicant and subject to an annual cycle of review.
The job plan will include specific responsibilities as well as on-call commitment
and sub specialty sessions. Therefore the content of the job plan will be
dependent on the successful candidate’s subspecialty training and interests and
may also be modified for part-time or job share postholders.
The default position in a full time job plan for a new appointment is 1 Supporting
Professional Activity (SPA). On appointment, or at any time thereafter, SPA time
will be negotiated for specific, clearly identified duties and these activities would
be reflected in the job plan.
Days
Timing
Type of Work
Location
AM
MHOAT consultant meetings
Melburn Lodge
PM
Journal Club &
Education Meeting (SPA)
BGH
South Team meeting
Hawick
Clinical Work
Community
Monday
AM
Tuesday
PM
AM
Session off
PM
Clinical work or
Administration
AM
Session off
PM
Session off
Wednesday
Community or
Melburn Lodge
Thursday
AM
Friday
PM
Ward assessments
BGH
Clinical Admin
BGH
1 in 18 commitment to non
NHS Borders
Page 10
NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
Out of Hours oncall
resident On-call
1 in 9 could be negotiated
Notes on Job Plan

This is a draft job plan – a final job plan will be agreed with the successful candidate.
NHS Borders Board
NHS Borders has an entirely integrated structure for management of health services. Decisionmaking is firmly embedded within an integrated Clinical Executive, part of a natural evolution
towards more integrated care, which has seen health and social services within the Borders develop
nationally recognised joint initiatives. From January 2013, the SGHD announced a consultation for
legislation on integration of adult health and social care services, with a particular focus, via
performance management, on improving outcomes for older people.
The Clinical Executive (CE) is the body responsible for ensuring the overall management of
services, operational service planning and service redesign. The CE is chaired by the Chief
Operating Officer and includes the Medical Director, Director of Nursing, Clinical Chairs and General
Managers from each of the Clinical Boards across NHS Borders (including the Mental Health Clinical
Board)
The Clinical Executive therefore has the authority to manage resources across the area and to
design care from a “whole system” perspective.
Clinical Governance is well established, forming part of the Risk Management of the whole
organisation. Clinical Governance is seen as a positive support to all clinicians with active
participation by all professions. There is a wide range of opportunities for the post-holder to be
involved in this area of work.
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.
The Scottish Borders
Scottish 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
Page 11
NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
and many other activities. The Borders has excellent cultural opportunities in terms of music and art
societies, drama, and small theatres in Melrose, Selkirk, Peebles and Hawick 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.
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 2015.
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. There is assistance with temporary housing
costs and relocation allowances up to full inland revenue limits for the successful applicant.
Please see Websites:
Scottish Borders Tourist Board
Scottish Borders Information Melrose
Southern Reporter
NHS Borders
Borders Properties
- www.scot-borders.co.uk
www.bordernet.co.uk
- www.melrose.bordernet.co.uk
- www.borderstoday.co.uk
- www.nhsborders.org.uk
- www.bspc.co.uk
Page 12
NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
PERSON SPECIFICATION
Attributes
Essential
MRC Psych (or equivalent)
Qualifications
Full GMC Registration
Included on the General Medical
Council (GMC) Specialist Register
or Specialist Registrars within 3
months of completing their CCST.
Desirable
Qualifications in psychiatry
of old age. (Sub-specialty
endorsement).
Qualifications or training in
geriatric medicine.
Applicants should hold Section 22
of the Mental Health (Scotland) Act
approval or be willing to gain the
approval once in post.
Training and
Experience
Relevant experience in old age
psychiatry, including both
dementia and functional illness.
Clinical expertise in community
psychiatry and knowledge of
modern treatment options.
Working in a CMHT.
Experience of prescribing
and monitoring acetyl
cholinesterase inhibitors
Experience of and skills in multidisciplinary working.
Training record culminating in
award of CCST or equivalent
Experience in motivating and
training junior medical and other
healthcare staff.
Skills, abilities and
knowledge
Experience in day-to-day
organisation of Mental Health for
Older Adults services.
Familiar with structure of
Scottish Health Service and
recent initiatives.
A commitment to developing
services and working in
partnership with service users and
carers.
Developing multi-disciplinary
clinical service.
Managerial
Basic management skills
Thorough understanding of
healthcare governance.
Page 13
NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
Skills, abilities and
knowledge
Thorough understanding of
principles of clinical audit and
healthcare governance.
Experience in undertaking
and completing audit
projects
Skills, abilities and
knowledge
Knowledge of the principles of
medical research
Research experience
Research and
Publications
Thorough understanding of recent
psychiatry literature.
Personal Attributes
Effective communicator with
patients, relatives, colleagues
across primary and secondary
care.
Audit
Publication of research and
/or review article(s)
Able to work in a small interdisciplinary team and co-operate
with medical, nursing and other
healthcare staff.
Reliable and resilient.
Professional approach to work.
Other
Car driver with full driving
licence
Page 14
NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service
TERMS AND CONDITIONS
Main Conditions of Service

The Terms and Conditions of Service will be drawn from the New Consultant Contract
(2004)

The appointment will be made by NHS Borders on the recommendation of an
Advisory Appointment Committee, constituted in terms of the National Health Service
(Appointment of Consultants) (Scotland) Regulations 2009 - NHS Circular CEL 25
(2009). 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 MRC Psych 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 Registrar for Psychiatry. Alternatively you may
be within six months of the expected date of obtaining your CCST or equivalent.

The full-time salary, exclusive of any discretionary points or distinction award, will be
on the scale £75,249 – £101,451 per annum with scale placing as appropriate to
experience and qualifications. There is a 3% availability supplement for participation
on the on-call rota. There is potential for this to be negotiated to 5% supplement for a
1 in 9 on-call rota.

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.
Page 15
NHS Borders – Job Information Pack
POSITION: Consultant Psychiatrist – Older Adults Service

All entrants to the Borders General Hospital must be certified medically fit and the
appointment is conditional on such certification. Arrangements for medical screening
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.

The normal notice period in the Terms and Conditions of Employment is 3 months
notice from either side to terminate the appointment.

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.
Page 16
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