NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
MS/0415/14
Quote on all correspondence
Consultant
Monklands Hospital (Base)
10 PAs per week (Part-time may be considered)
£76,761 - £103,490
Monday 1st June 2015
Your Application
Thank you for expressing an interest in the above post within NHS
Lanarkshire. 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
email with your CV.
Contact Details
Telephone
Email
01698 377735
Pamela.Migues@lanarkshire.scot.nhs.uk
Application
Process
To apply, please email your CV to the above, along with the attached
completed Application Pack.
Lanarkshire NHS
4 Recruitment Inserts.pdf
Application Pack - Master Sept12.doc
Additional
Arrangements
Informal enquiries regarding this post will be welcomed by:Mrs Andrea Fyfe
Director of Hospital Services
01236 712443
Dr R Mackenzie
Chief of Medical Services
01236 712443
Mr N Balaji
ENT Consultant
01236 712332
Mr N Calder
ENT Consultant
01236 712332
Date when the
post is Vacant
The post is vacant immediately and a start date will be agreed with the
successful candidate.
NHS Lanarkshire
For further information regarding NHS Lanarkshire and it’s hospitals,
please visit our website:- www.nhslanarkshire.org.uk
We are an Equal Opportunities Employer and Positive about Disabled People.
Page 1
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
Integration of
Health and
Social Care
Services
Public Bodies (Joint Working) (Scotland) Bill
The purpose of the above Bill is to create statutory Health and Social
Care Partnerships in each local authority in cooperation with health
boards to replace existing Community Health Partnerships (CHP’s).
In Lanarkshire two Health and Social Care Partnerships have been
developed, one each in North and South Lanarkshire and these will
replace existing CHP’s. Discussions between NHS Lanarkshire and the
two Local Authorities are on-going in considering the range of services
that will be managed through the Health and Social Care Partnerships.
In the North a Shadow Board is being established with ongoing
recruitment taking place. In the South a Shadow Board is now in place.
A strategic plan will be developed for each Health and Social Care
Partnership including considering the range of services that will be
managed from April 2015. This service may in the future be included
within this range.
Management
Structure
The supporting operational and clinical management structures are
focused on enhancing patient safety, quality improvement and local
delivery at hospital level, with visibility of clinical leadership and support
for individual professional accountability. Our Medical Managers will
provide professional leadership to medical staff, ensuring that they are
effectively developed, organised, integrated and managed to support the
strategic aims of each Division and meet the needs of the patient.
Management Structure Overview (Acute)
Director of Acute Services
Associate
Medical Director
COTE
Director of
Hospital Services
Hairmyres
Director of
Hospital Services
Monklands
Director of
Hospital Services
Wishaw
Director of Access
Chief of Medical
Services
Hairmyres
Chief of Medical
Services
Monklands
Chief of Medical
Services
Wishaw
Associate
Medical Directors
Clinical Directors
Deputy CD's
Leads
Various Specialties
Clinical Directors
Deputy CD's
Leads
Various Specialties
Clinical Directors
Deputy CD's
Leads
Various Specialties
Divisional
Medical Director
Page 2
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
POST INFORMATION
The Post
Applications are sought for the position of ENT Consultant with an
interest in Head and Neck Surgery. The ENT department in NHS
Lanarkshire is a concentrated service in Monklands Hospital for all
inpatient treatment. Outpatient clinics and Day Surgery sessions are
provided in sites across Lanarkshire. It is envisioned that the post holder
will carry out the majority of clinical sessions in Wishaw General and
Monklands Hospitals.
The precise details of the job plan will be dependent on the successful
candidate’s subspecialty training and interests.
The job is offered as a full-time post on a 10 PA basis but applications
will be considered from those wishing to work less than full-time. If fulltime up to 2 EPA’s may be available to undertake additional outpatient
and/or procedure sessions or management activity.
All new substantive Consultants are initially offered a minimum of 1 PA
for SPA duties but this will be reviewed within 6 months (or earlier if
required) of appointment and revised upwards if additional
responsibilities have been undertaken. Additional SPA time (up to 2.5
PA’s in total) can be incorporated into the job plan depending on the
time required to support the successful candidate’s professional
activities and the needs of the service.
NHS Lanarkshire is supportive of applications from individuals with well
developed ideas for improving services who are able to demonstrate a
commitment to quality improvement, patient safety (including human
factors training), Medical Education and Research & Development.
Applicants wishing to commence on more than 1 PA for SPA duties
should discuss proposals with the identified Lead contact and Service
Medical Manager (Associate Medical Director or Divisional Medical
Director)
General
Provisions
You will report to Mr. N. Balaji, Clinical Lead for ENT, who will agree
your job plan.
Health and
Safety
You are required to comply with NHS Lanarkshire Health and Safety
Policies.
Page 3
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
Junior Medical
Staff
You will be responsible for the training and supervision of Junior Medical
staff 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. If appropriate, you will be named
in the contracts of Doctors in training grades as the person responsible
for overseeing their training and as the initial source of advice to such
Doctors on their career.
Resources
The following resources are available
Consultants
Special Interest
Mr N Balaji
Rhinology
Mr N Calder
Rhinology / General
Miss Yaneza
ENT
Mr Kang
Head and Neck
Mr Picozzi
ENT
Mr Iyer
Otology / ENT Paediatrics
Mr Chin
Otology / ENT Paediatrics
This Post
Head and Neck
Specialty Doctors
2 + 1 LAS
Specialist Registrars on rotation from the West of
0
Scotland Training Scheme.
STR’s on BST
4
FY2s
2
GP trainee
1
Secretarial Support:
WTE Waiting List Scheduler
1.80
WTE Waiting List Co-Ordinator- (if applicable)
1.00
WTE Secretaries (MH)
2.68
WTE Secretaries (HM)
2.26
WTE Secretaries (WG)
1.53
Page 4
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
DUTIES AND RESPONSIBILITIES
Main Duties
•
Provision of General ENT / Specialist interest service for NHS
Lanarkshire
•
Participate with senior colleagues in determining the range and
scope of work undertaken by the department and development of
departmental policies.
•
Participate with colleagues in Lanarkshire in the planning and
delivery of ENT services in Lanarkshire.
•
Participation in the supervision, training and management of
junior medical staff.
•
Provision of advice and treatment out of hours in line with the on
call rota which will be 1:9 with prospective cover for colleagues on
leave. (1 in7 weekdays, 1 in 11 weekends)
•
Provision of cover for NHS Lanarkshire colleagues during periods
of leave as appropriate.
•
Participation in the joint cover arrangement at weekends with
NHS Forth Valley.
•
Participation in ENT surgical sub-specialty and multi-disciplinary
meetings.
•
Responsible for teaching, accreditation and examination duties as
required.
•
Managerial duties including budgetary responsibilities (where
appropriate) as agreed with colleagues and Deputy Clinical
Director.
•
Participation as appropriate with internal and external quality
assurance schemes.
•
Participation in a staff appraisal system as an appraiser or
appraisee as required.
•
Participation on continued professional development relevant to
the Royal College of Surgeons.
•
Participation in clinical audit.
•
Appropriate involvement in research as agreed by NHS
Lanarkshire
Page 5
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
Work
Programme
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 detailed as follows:
Job Planning/Programmed Activities
The job plan will be dependent on the successful candidate’s
subspecialty training and interests.
A minimum of 1 SPA will be included in the job plan but please refer to
the guidance above under the general description of the post.
On taking up post a Job Plan will be agreed between the person
appointed and the Clinical Director/Associate Medical Director. This job
plan is subject to review at least once a year by the post holder and the
Clinical Director/Clinical Lead as noted in the terms and conditions. The
procedures set out in the ‘Terms & Conditions of Service’ must be
followed if it is not possible to agree a job plan, either initially or at an
annual review.
The timetable is indicative and subject to negotiation with the Clinical
Director / Associate Medical Director. The core 10 PA working week will
be based on 9 PA’s of Direct Clinical Care (DCC) duties and 1 PA of
SPA time for a full-time post-holder.
The indicative weekly timetable included in the work programme shows
likely elective PA’s within the 10 PA post and indicated the location
where each activity will be undertaken and the type of work involved.
Fixed
Commitments
Days
Monday
Hours
AM
PM
Tuesday
AM
PM
Wednesday AM
PM
Thursday
AM
PM
Friday
AM
PM
Type of Work
MDT
OPD Clinic
OPD Clinic
Clinical Admin
OPD / Neck Lump
SPA
Theatre
Theatre
On Call
OPD Clinic
Location
Monklands Hospital
Wishaw General
Wishaw General
Monklands
Monklands
Monklands
TBC
Page 6
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
In addition, other
activities not
occurring at fixed
times.










Reviewing new admissions.
Discussing referrals, inpatient and outpatient with Colleagues (daily).
Discussing management/investigation of patients with colleagues in
other appropriate Clinical Support Services
Ward Referrals, Discussing patient management/ reviewing patients
with doctors in training and Nursing Staff out with formal ward
rounds.
Expeditious completion of discharges and completion of patient
administration duties e.g. verifying letters, signing off results etc.
Speaking to GP’s, outpatients re results.
Vetting Fast Track clinic referrals/ allocating appointments (daily).
Work towards generic and specialty objectives.
CPD and Appraisal
Audit
Audit and
research
The successful candidate will be expected to participate in audit
processes and there is an active clinical audit department available to
assist. NHS Lanarkshire is ambitious to build a portfolio of research
projects backed by enthusiastic and dynamic individuals. It has an active
Research and Development department and would welcome discussion
regarding a potential research interest.
Continuing
Professional
Development
Study leave is available within the terms and conditions of service with
the approval of the Clinical Director/Clinical Lead. The appointee will be
required to fulfill such demands for continuing professional development
as the Royal College of Surgeons (or other relevant bodies) may make.
Honorary
Academic Status
If involved in undergraduate teaching status can be applied for.
Applications can be made via the Hospital Sub-dean and then to the
appropriate academic department within the University.
Review of the
Job Plan
This job plan is subject to review at least once a year by the post holder
and the Clinical Director/Clinical Lead as noted in the terms and
conditions. The procedures set out in the ‘Terms & Conditions of
Service’ must be followed if it is not possible to agree a job plan, either
initially or at an annual review.
Page 7
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
PERSON PROFILE
Attributes
Essential
Qualifications
MBChB or equivalent.
Useful
Higher Degree or other Diploma.
FRCS (or equivalent).
Training
Experience
Current full registration with GMC
with a license to practice. Inclusion
on GMC’s Specialist Register or
within 6 months of CCT or CESR
(CP) at interview.
In possession of CCT or CESR at
the time of interview or in an
established training programme and
within six months of CCT (i.e.
pending exam).
Training at ST/SPR level
communication,
teaching
management.
Experience within
establishments.
UK
in
or
training
Human Factors Training.
Recent
and
relevant
clinical Well
developed
subspecialty
experience and competency in ENT interest.
with wide general experience
including experience in ENT.
Administrative
/
Management
experience.
Can operate independently for most
ENT procedures. Be able to deal
with on call emergencies. Able to
develop are of Specialist interest
(Head and Neck)
Recent and relevant experience and
personal qualities to work in a busy
unit dealing with the high turnover of
planned
and
unscheduled
admissions.
Ability to supervise the clinical work
of doctors in training and relevant
staff in other disciplines.
Confident with indirect supervision
of varying grades of doctors in
training.
Page 8
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
Audit/Research
Previous experience in organising
NHS Services or equivalent.
Understanding of the principles of Experience and interest in Audit of
medical audit.
ENT practice and experience of
design of audit.
Evidence of contribution to audit at
least at local level.
Research within ENT.
Awareness of principles of research Involved in design of research
with an ability to critically analyse relevant to ENT.
medical literature.
Publications
Presentations relevant
practice of ENT.
to
the Previous publications relevant to
the practice of ENT.
Presentations at national meetings
relevant to the practice of ENT.
Teaching
Previous involvement in the delivery Interest in and commitment to
of undergraduate or postgraduate teaching and training.
teaching.
Experience of providing problemExperience of providing supervision based teaching.
and or mentorship.
Experience of organising teaching
programmes.
Formal
training
in
educational/clinical supervision.
Knowledge and
Skills
Broad based knowledge and skills in Further educational
diagnosis and clinical management diploma’s, etc
within
the
Specialty
and
encompassing most sub-disciplines. Good IT skills.
certificates,
Page 9
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
Disposition
Committed to Quality Patient Care.
Problem
solver/diplomat/counsellor.
Able to be understanding of and
sensitive to the needs of patients.
A natural leader.
Excellent
communication
(verbal and written).
skills
Ability to work under pressure.
Ability to work effectively in a
multidisciplinary team.
Responsive
to
change
and
innovation, promoting a culture for
organisational development.
A flexible approach to duties, which
satisfies the needs of the Service in
a changing environment.
Ability to demonstrate reflective
practice with evidence of regular
appraisal with clear Personal
Development Plan relating to
Continuing
Professional
and
Personal Development.
Good time
organisation.
management
and
Demonstrates commitment and
enthusiasm to service delivery.
Managerial
Knowledge of service provision at a Involvement in service re-design.
local level.
Involvement in project delivery.
Awareness of the principles and
core practices involved in service Involvement
in
NHS-related
management, project management meetings.
and effective meetings.
Page 10
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
Leadership
Awareness of the principles of team Evidence of role as leader within
leadership and effective people groups.
management.
Commitment to the Values of NHS
Lanarkshire:- Fairness, Respect,
Quality, Working Together.
Other
Satisfactory medical clearance by Preference to work in a District
NHS
Lanarkshire
Occupational General Hospital.
Health Service.
Current full driving licence.
Satisfactory PVG Check.
Fluent in medical English and
evidence of ability to communicate
in stressful situations.
If there is any reason why a disabled person
should not be considered suitable for this
post, please provide details:
Name
Designation
Date
Prepared By:Mr. N Balaji
Lead Clinician
May 2015
The post requires physical dexterity.
Uncorrected visual or hearing defect
would be incompatible with the nature of
the work.
Approved By:-
Page 11
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
TERMS AND CONDITIONS
a) This appointment is offered on the Terms and Conditions of the Consultant Contract.
Additional NHS Lanarkshire Policies which support the Contract are listed below and
are available on request:






Additional & External Duties
Fee –Paying Work in the New Consultant Contract
On-Call Availability and Payment of Supplement
Generic Objectives
Resident On-Call Duties
Waiting List/Additional Sessions
b) This appointment is superannuable under the NHS Superannuation Scheme, which is
contracted out of the State Earnings Related Pension Scheme (SERPS). All new
eligible employees commencing employment from 1 March 2013 onwards will
automatically become a member of the pension scheme and your remuneration will be
subject to deduction of superannuation contributions, current personal contributions
range from 5.2% for the lowest earners to 14.7% for the highest. Levels of contributions
and scheme regulations are subject to change, any changes will be communicated to
you or can be found on the SPPA website. Contributions are taken from your pay
before tax, so you get tax relief on any amount you pay. This can reduce the actual
amount that you pay between approximately 3.5% and 5.1% depending on your
contribution rate, earnings level and personal rate of tax. In addition to personal
contributions NHS Lanarkshire will contribute 14.9%.
In accordance with recent legislative changes, new eligible employees commencing
from 1 March 2013 onwards will automatically be enrolled in the pension scheme. After
considering the benefits and personal circumstances, you can if you wish opt out of the
scheme. To opt-out, you must complete an opt-out form which is available on the
Scottish Public Pensions Agency website and return this to the Payroll Department,
Kirklands Cottage, Kirklands Hospital. Should you choose to opt-out in accordance
with these changes you will be enrolled into the scheme again every 3 years (June
2016, 2019 etc).
Under the NHS Superannuation Scheme Regulations pension records for short term
appointments, such as Bank Staff and the equivalent kind of contracts for other staff
groups, may remain open for short breaks in pensionable employment up to but not
more than 3 months from the date on which they last paid contributions. During this
period the member will continue membership in qualifying but not pensionable terms.
Where the period of break exceeds 3 months, membership of the scheme will be closed
and leaver information will be submitted to the Scottish Public Pensions Agency.
Page 12
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
From 1 April 2015 the NHS Pension Scheme is changing in line with other public
pension schemes. All those joining the scheme for the first time from 1 April 2015 will
join the new scheme. Existing members who are not protected will transfer to the new
scheme, with benefits in previous scheme(s) preserved. The new scheme will be based
on a proportion (1/54th) of the member’s pensionable earnings each year. The pension
will be the sum of each year’s value built up over the length of the member’s career and
revalued each year in line with the rate of inflation. This is called a Career Average
Related Earnings scheme. Normal pension age will be linked to the member’s
individual state pension age. Some existing members of the scheme will be protected,
more information is available on the SPPA website.
Further information on the scheme, protection and/or members guides are available at
www.sppa.gov.uk alternatively contact an advisor of The Scottish Public Pensions
Agency (SPPA) Tel: 01896 893000.
c) The employment is subject to 3 months’ notice on either side subject always to the
appeal and other provisions of paragraphs 10.4 & 10.5 of the Terms and Conditions of
Service of Hospital Medical and Dental Staff and Doctors in Public Health and the
Community Health Service Consultant Grade.
d) Reimbursement of certain telephone charges may be payable on application to NHS
Lanarkshire. The successful candidate must be contactable throughout any on-call
period.
e) The successful candidate, if not already employed by the NHS Lanarkshire, will be
required to complete a medical questionnaire to obtain medical clearance from the
Occupational Health Physician.
f)
The successful candidate will be required to complete a disclosure Scotland PVG
(Protecting Vulnerable Groups Scheme) form. No approach will be made without
written permission of the successful applicant who will be asked to sign and complete a
Disclosure PVG application, giving authorization for the check to be undertaken.
g) NHS Lanarkshire does not negotiate salary placements. On commencement the salary
will be in line with paragraph 5.1 of the terms and conditions of the new consultant
contract. Appointees start on the scale minimum except in the circumstances of
paragraphs 5.1.2 – 5.1.7 of the terms and conditions of service.
h) From 1st April 2015 the starting salary for the post is £76,761 per annum (based on 10
Programmed Activities per week). The successful candidate’s total salary will be
dependent on his/her previous service history. Remuneration for any extra programmed
activities will be dependent upon the job plan agreed at the time of appointment.
Page 13
NHS Lanarkshire – Information Pack
POSITION: ENT Consultant – Head and Neck
IMMIGRATION
Overseas
Doctors and
Dentists
Changes to
Immigration
Impact of
Change
Further
Information
For the purpose of immigration status, overseas doctors and dentists are
those who, regardless of where they obtain their primary medical/dental
qualification, are not nationals of the European Economic Area (EEA). A
list of EEA countries is attached.
On 7th March 2006 the Department of Health announced changes to the
immigration rules for postgraduate doctors and dentists. The changes
came into effect on 3rd April 2006 and mean that all doctors and dentists
who wish to work in the UK from outside the EEA will need to meet the
requirements of an employment category such as the work permit
provisions. New applications for permit-free training visas will no longer
be granted for doctors undertaking training posts
Non-EEA doctors and dentists will still be able to come and train in the
UK and are still eligible to apply, in open competition for training posts
provided all the other eligibility criteria is met. However, training posts
will now be considered employment for immigration purposes. Work
permits will only be issued where there is a specific post for the
overseas doctors that cannot be filled by someone from the EEA.
The changes in immigration requirements for trainee doctors and
dentists are a result of a Scottish Executive Health Department
announcement and immigration issues are the remit of the Home Office.
Clarification and further information can be accessed from the following:Home Office
Work Permits
EEA Countries
www.ind.homeoffice.gov.uk
www.ukba.homeoffice.gov.uk/workingintheuk/
Austria
Greece
The Netherlands
Belgium
Hungary
Norway
Bulgaria
Iceland
Poland
Cyprus
Republic of Ireland Portugal
Czech Republic
Italy
Romania
Denmark
Latvia
Slovakia
Estonia
Liechtenstein
Slovenia
Finland
Lithuania
Spain
France
Luxembourg
Sweden
Germany
Malta
UK
NB – Switzerland is not in the EEA, Swiss Nationals have the same
rights as EEA nationals.
Page 14