Human Resources Directorate
NHS Tayside
Ninewells Hospital
Level 9
DUNDEE DD1 9SY
Telephone Number : (01382) 660111
Fax Number: (01382)
www.nhstayside.scot.nhs.uk
Date
Your Ref
Our Ref
Date as Postmark
Enquiries to
Extension
Direct Line
Email
Lynn Duncan
32261
01382 632261
Lynn.duncan@nhs.net
LD/08/15
Dear Doctor
POST OF CLINICAL FELLOWSHIP IN PELVIC FLOOR SURGERY ( COLORECTAL UNIT AT NINEWELLS
HOSPITAL ) FIXED TERM 12 MONTHS
Further to your enquiry regarding the above post, I am now pleased to attach an information and application
pack.
Your application should be submitted to this department, by emailing the documents below to
medicalrecruitment.tayside@nhs.net quoting LD/08/15 in the subject box.

A copy of your current CV including the names, addresses and email addresses of 3 referees,
including your current or most recent employer

Your completed Immigration Status form

Your completed Declaration Statement in respect of Fitness to Practice and Criminal Convictions

Your completed Equal Opportunities Form. This information is for statistical purposes only and will
be kept in strict confidence.
As an Equal Opportunities Employer, it is NHS Tayside’s policy to ensure that all applicants are given the same
consideration in relation to job selection, promotion and treatment.
The closing date for receipt of completed applications is 6th of August 2015.. Owing to the number of
applications received and to make the best use of resources, we are unable to acknowledge receipt of
applications or to advise all candidates of the outcome of their application. If you have not heard from us within
6 weeks of the closing date you may assume that, on this occasion, your application has been unsuccessful.
Yours faithfully
Lynn Duncan
Employment Services Adviser
Headquarters
Ninewells Hospital, Dundee DD1 9SY
Vice Chairman, Mr Doug Cross,, OBE
Chief Executive, Ms Lesley McLay
IMPORTANT NOTICE
IMMIGRATION STATUS
Please be aware that shortlisted applicants will be required to bring their original passport and visa documents
with them, for inspection, when attending for interview.
1
Are you a national from Austria, Belgium, Cyprus,
Denmark, Finland, France, Germany, Greece,
Iceland, Ireland, Italy, Liechtenstein, Luxembourg,
Malta, Netherlands, Norway, Portugal, Spain,
Sweden, United Kingdom, Switzerland, Czech
Republic, Estonia, Hungary,Latvia, Lithuania,
Poland, Slovakia, Slovenia, Bulgaria or Romania?
YES
NO
If you have circled ‘NO’ to the above sections please tick the box which relates to your current
immigration status, and provide expiry dates:
Tick
Status
Expiry Date
I hold a Tier 1 (General) Visa as a highly skilled worker
I require a Certificate of Sponsorship
I hold refugee status
I have indefinite leave to remain in the United Kingdom
I have right of abode
Any other immigration status – please specify:
Print Name: ………………………………….........................
Signature:…………………………………………………….
Date: ………………………………………………………….
Continued
APPOINTMENT AND REVIEW PROCEDURES
Declaration Statements and Statements of Policy
Statement of Policy regarding fitness to practise proceedings by a licensing/regulatory body and
relating to criminal investigations in the UK or overseas.
Registration with the General Medical Council or General Dental Council imposes on doctors and
dentists the duty to provide a good standard of medical care for, and to behave appropriately,
towards patients. NHS Employers also have a duty to ensure that patients receive a good standard
of medical care and ensure as far as possible the safety of patients. We therefore need to establish if
you have been found guilty of a criminal offence, been bound over or cautioned or are currently the
subject of proceedings which might lead to a conviction, an order binding you over or a caution, in the
UK or any other country.
Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. Application
forms will include a declaration for applicants to complete declaring any previous or pending
prosecutions or convictions, including those considered ‘spent’ under this Act. Forms will also include
a declaration of any cautions or bind overs.
We also need to establish if you have been the subject of any fitness to practise proceedings in the
past, or any fitness to practise proceedings are being contemplated, by a licensing or regulatory body
in the UK or another country and this is also reflected in the declaration.
This information will be treated in confidence and will not debar you from appointment unless the
selection panel considers that it renders you unsuitable for appointment. In reaching such a decision
we will consider the nature of the conviction/action, how long ago it took place and any others factors
that may be relevant.
Failure to disclose a criminal offence, having been bound over or cautioned or that you are currently
the subject of criminal proceedings which might lead to a conviction, an order binding you over or a
caution, or fitness to practise proceedings undertaken or being undertaken by an appropriate
licensing or regulatory body, may disqualify you from appointment, or result in summary
dismissal/disciplinary action and referral to the General Medical Council [General Dental Council] for
consideration if such a discrepancy came to light.
If you would like to discuss what effect any previous convictions, police investigations or fitness to
practise proceedings taken or being taken either in the UK or by an overseas licensing or regulatory
body might have on your application, you may telephone the Employment Services Adviser, Medical
Staffing, on 01382 660111, in confidence, for advice.
Continued
Model Declaration Statement regarding
(a) any criminal offence, being bound over or cautioned, or current proceedings which might
lead to a conviction, an order binding you over or a caution and
(b) fitness to practice proceedings taken or being currently contemplated by a
licensing/regulatory body
1. Have you been convicted of a criminal offence, been bound over or cautioned or are currently the
subject of any police investigations, which might lead to a conviction, an order binding you over or a
caution in the UK or any other country?
YES/NO
Note: Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974.
You are required to declare prosecutions or convictions, including those considered ‘spent’ under this
Act.
If yes, please provide details of the criminal offence, order binding you over or caution or details of
any current proceedings which might lead to a conviction, an order binding you over or a caution,
including approximate date, the offence, and the authority and country which dealt with the offence.
2. To the best of your knowledge have you been or are you currently subject to any fitness to practise
proceedings by an appropriate licensing or regulatory body in the UK or any other country?
YES/NO
If yes, please provide details of the nature of proceedings undertaken, or contemplated, including
approximate date of proceedings, country where proceedings were undertaken and the name and
address of the licensing or regulatory body concerned.
I hereby declare that the information given here is true.
Signature:______________________________________________
Date:__________________________________________________
Continued
NHS TAYSIDE
EQUAL OPPORTUNITY MONITORING FORM
Job reference number: LD/08/15
Equal opportunities monitoring
We want to ensure that our job opportunities are open to all. The only way we can ensure
there is equal opportunity is to monitor applications we receive, and compare the profile of
people who apply with those appointed. Therefore this form asks you for your ethnic
origin, gender, disability, religion, sexuality and age. The information you provide is
confidential and is not used in the selection process. It will be separated from the
rest of your application when we receive it.
1) If you are currently an employee of this NHS Board, will getting this job be a
promotion?
Yes


No
2) You are:
Female 
Male 
3) Have you undergone, are you undergoing or do you intend to undergo gender reassignment? For
example, this includes having changed your sex (gender).?

Yes
No

Prefer not to say

4) What is your age?
I am ___ years old, and my date of birth is: _ _ / _ _ / _________
5) Do you have a physical or mental health condition or disability that:


has a substantial effect on your ability to carry out day to day activities?
has lasted or is expected to last 12 months or more?

Yes

No

Prefer not to say

If you answered ‘yes’ please tick if it is either of the following:
Learning Disability
Long standing illness
Mental health condition



Physical impairment
Sensory impairment


Other (please describe):

Again, if yes, please describe any particular arrangements you would need for your
work location:
(Continued on next page)
Continued
-26) What is your ethnic group?
Choose one section from A to F, then tick the appropriate box to indicate your cultural
background
A: White
 Scottish  Irish
 Gypsy Traveller
B: Mixed
 Any mixed background
 Other British
 Polish
 Any other White background
C: Asian; Asian Scottish; Asian British
 Pakistani
 Indian
 Chinese
 Bangladeshi  Any other Asian background
D: Black; Black Scottish; Black British
 Caribbean
 African
 Any other Black background
E: Other ethnic background
 Any other background
F: Prefer not to answer 
7) To which religion, religious denomination or body do you actively belong?
 (Christianity)- Church of Scotland
 (Christianity) - Roman Catholic
 Hinduism
 Sikhism




 Judaism
 Islam
 No religion (none)
Christianity (Other)
Other faith / belief
Buddhism
Prefer not to answer
8) Which of the following best describes your sexual orientation?
 Bisexual
 Heterosexual
 Other
 Gay Man
 Lesbian/Gay Woman
 Prefer not to answer
9) Where did you see the Advertisement for this Post?
Newspaper (which one?)
Professional Journal (which one?)
Vacancy Bulletin
SHOW (NHS Scotland Website)
Job Centre Plus
Medical Jobs Website (medicaljobs.scot.nhs.uk)
Doctors.net
Other (please specify)
Thank you.
Continued
NHS Tayside
Clinical Fellowship in Pelvic Floor Surgery
Colorectal Unit Ninewells
Advert
Applicants are invited to apply for a Fellowship position in NHS Tayside within Colorectal Surgery
based at Ninewells Hospital and Medical School, Dundee. Ninewells is a teaching hospital providing
a fully comprehensive pelvic floor service for Tayside and North East Fife.
The fellow will work within the colorectal unit alongside colorectal consultant-led teams with special
interest in pelvic floor dysfunction. Trainees with specialist interest in pelvic floor surgery are selected
amongst the senior trainees reaching the end of their training. The training would involve running
designated pelvic floor outpatient clinics, theatre operating, and full training in endo-anal
ultrasonography, ano-rectal manometry in conjunction with active participation within a
multidisciplinary pelvic floor team.
The fellow will be expected to contribute to the general surgical on call and actively participate in the
care of elective and emergency colorectal and general surgical patient groups.
Applicants with an interest in a career in colorectal surgery with subspecialist interest in pelvic floor
will also be exposed to clinic and theatre activity in joint urogynaecology patient group. The post is
fixed term for 12 months with 3 monthly appraisal and performance assessment to ensure
satisfactory progress.
Interested applicants are encouraged to contact Mr Ken Campbell, Miss Dorin Ziyaie or Miss
Sacha Koch, Ninewells Hospital, telephone 01382 660111 ext 33886.
As we intend to offer posts by 1st of August 2015, please submit your application at the
earliest convenience.
For further information on how to apply please visit www.medicaljobs.scot.nhs.uk.
Applications in the form of a current CV, including the names and addresses of 3 referees
should be submitted to medicalrecruitment.tayside@nhs.net quoting reference .LD/08/15 You
must also include with your CV the further particulars forms available via the
www.medicaljobs.scot.nhs.uk website.
REFERENCE NUMBER LD/08/15
CLOSING DATE FOR APPLICATIONS IS THE 6TH OF AUGUST 2015
Continued
NHS Tayside
Clinical Fellowship in Pelvic Floor Surgery
Colorectal Unit Ninewells
The Pelvic Floor Service
Three of the eight colorectal surgeons in the region have a declared interest in Pelvic Floor
Surgery and work closely together to provide this service. These surgeons hold weekly
specialist clinics and contribute to the weekly ultrasound clinic. One surgeon oversees the GI
motility Lab and the performance of Anorectal Physiology Tests. Two members of the
Colorectal Nurse Specialists team are dedicated to the Pelvic Floor Service running nurse led
pelvic floor clinics, supporting a rectal irrigation service and supporting and following up the
Neuromodulation patients. There is a dedicated Pelvic Floor Physiotherapy service led by two
Advanced Physiotherapy practitioners providing the full range of conservative measures
including biofeedback re-training and PTNS. The pelvic floor surgeons offer the full spectrum
of Pelvic Floor Interventions. There are three Urogynaecologists, providing urodynamic
assessment, incontinence and prolapse surgery including TVT, sacrospinous fixation, lap
sacrocoplpo/hystero pexy.
Tayside and Dundee
Tayside Region encompasses the former counties of Angus, Perth & Kinross together with the
Cities of Dundee and Perth, and the Burghs of Arbroath, Forfar, Brechin and Montrose.
Dundee is Scotland’s fourth largest city and is located on the northern bank of the River Tay.
The city provides a mixture of traditional and modern living and the surrounding area provides
an extensive choice of excellent housing and schooling. Most leisure activities are available
close by with particularly good facilities for hill-walking, climbing, skiing and golf.
The Hospital
Ninewells Hospital and Medical School is a large general teaching hospital and provides a full
range of services with specialist units with the exception of transplantation and cardiothoracic
surgery. The patients derive from a mixture of rural and urban areas and total a population of
450,000 to 750,000 for the various regional services the hospital provides. The surgical service
has a particularly high profile as the home of the internationally renowned Cuschieri Surgical
Skills Centre and for being in the forefront of the development of minimal access surgery.
Ninewells Hospital has been designated one of the five Cancer Centres in Scotland and
provides, general surgical services, regional Radiotherapy and Medical Oncology. These
Oncology Services complement the international standing of laboratory biomedical research.
The Surgical Service
The General Surgical Service in Ninewells includes emergency general surgery, vascular
surgery, upper gastro-intestinal and hepato-biliary surgery, breast surgery, colorectal surgery,
endocrine surgery and paediatric surgery. Wards consist of 24 or 30 beds and are currently
arranged so that elective surgery is carried out from four wards. There are currently 10 high
dependency unit beds within the Directorate, an acute surgical receiving unit (ASRU), and a
Day Surgery Unit with two theatres. There is also an 8-bedded Intensive Care Unit within the
Anaesthetic Directorate. Each of the 2 general surgical units is on-call on a one-in-two basis.
During a unit’s on-call week its elective activity is curtailed. General Surgery serves a
population of up to 450,000 including all regional trauma; urology and head injuries are not
Continued
part of the general surgical workload. The vascular service provides emergency services for
Tayside and Fife (population total 750,000).
Continued
In the Perth Royal Infirmary site there are 6 Consultants Surgeons providing cover for general
surgical emergencies, which also includes minor head injuries and night time care of urology
emergencies. No vascular emergencies or major trauma are admitted to Perth. There is a daily
CEPOD emergency theatre session. Registrars cover on-call on a 1:4 basis on Monday to Friday
from 08:30 to 21:30. Registrars are not rotad for nights or weekends. A “Hospital at Night” team of
junior staff is resident for the overnight emergency work.
Further general surgical services are provided at Stracathro Hospital.
Medical Staff in General Surgery - Ninewells Hospital
Surgeon
Professor Steele
Mr Campbell
Mr Smith
Ms Ziyaie
Mr Vijayasekar
Mr Payne
Miss Vujovic
Mr Shimi
Mr Tait
Mr Patil
Mr Polignano
Mr Alijani
Mr Kulli
Mr Oglesby
Mr Griffiths
Professor Stonebridge
Mr Nagy
Mr Flett
Mr Suttie
Ms Howd
Mr Milne
Specialty
Colorectal Cancer
Minimal Access Colorectal
Colorectal/Surgical Paediatrics/Endocrine
Minimal Access Colorectal
Minimal Access Colorectal
Minimal Access Colorectal
Minimal Access Colorectal (Locum)
Minimal Access/Oesophageal
Hepatobiliary/Pancreatic
Oesophageal/Gastric/Bariatric
Minimal Access/Hepatobiliary/HIPEC
Oesophageal/Gastric/Bariatric
Hepatobiliary/Pancreatic
General/UGI/Bariatric
Vascular
Vascular
Vascular
Vascular
Vascular
Vascular
Vascular
Current junior staffing within Ninewells Hospital:
 13 FY1
 9 FY2
 15 surgical trainees (ST/ CT).
Medical Staff in General Surgery – Perth Royal Infirmary
Surgeon
Mr E Elseedawy
Mr C A Eriksen
Ms S Koch
Mr A G Moses
Mr J Scollay
Vacancy
Specialty
Breast/ General/ Clinical Lead
Colorectal/ General
Colorectal/ Pelvic floor/General
Colorectal/General
General
General
Current junior staffing within Perth Royal Infirmary:
 6 FY1
 4 surgical trainees (ST/ CT)
Outline Timetable
Morning
Afternoon
Continued
Monday
Tuesday
Wednesday
Thursday
Friday
Ward rounds
Theatre PRI 1:2
Theatre PRI 1:2
DSU NW 1:2
DSU NW 1:2
Ward round
Ward rounds
Clinical admin NW
Clinic NW 5:6
Ward rounds
Ward rounds
Theatre NW
Theatre NW
Ward rounds
Ward rounds
SPA
SPA
Ward rounds
Ward rounds
TAUS 2-3:6
PRI clinic 2:6
Anorectal manometry 2-3:6
MDT and grand round 3:6
Pelvic MDT 1:6
Ward rounds
The Candidate
The fellow will be expected to:






contribute to the general surgical on call and actively participate in the care of elective and
emergency colorectal and general surgical patient groups;
present at least at two colorectal / pelvic floor related national / international conferences;
produce publications in the form of 1 literature review and / or 1 research / audit project;
actively participate in locally run post-graduate training course in the Cuschieri / Surgical
Skill’s unit on pelvic floor dysfunction and advanced laparoscopic surgery in collaboration
with University of Dundee;
undertake an audit project (vast number of data is currently held by the multidisciplinary
team within Tayside with already identified prospective projects. The successful candidate
would be expected to complete at least 1 audit project within the year;
Actively participate in the pelvic floor MDT.
RESPONSIBILITY FOR RECORDS MANAGEMENT
All records created in the course of business of NHS Tayside are corporate records and are public
records under the terms of Public Record (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 inn keeping with the NHS Tayside specific to your
employment.
2nd July 2015
Continued
NHS Tayside
Clinical Fellowship in Pelvic Floor Surgery
Colorectal Unit Ninewells
PERSON SPECIFICATON
TRAINING PROGRAMME
REQUIREMENTS
Qualifications
ESSENTIAL

Basic
Postgraduate

Experience

Ability

Knowledge
Clinical Skills and
Technical Skills

Motivation

DESIRABLE
Undergraduate medical
degree MBBS, MBChB and
MD (for candidates
qualified outside UK)
Postgraduate surgical
qualifications. In the format
of FRCS /MRCS or
evidence of equivalent
training outside UK.
ST 6 and above in
subspecialty colorectal
training.

Candidate would be
expected to take full part in
the General on call rota for
emergencies, therefore
must have sound
knowledge and clinical
ability to diagnose and
evaluate and manage
common general surgical
conditions. Candidate will
be working in this capacity
under the full supervision of
the Consultant on call.
Logbook to provide
evidence of colorectal
surgical experience
appropriate for their year of
training in the subspecialty.
Highly motivated individual
with clear decision of
pursuing subspecialty
training in pelvic floor
dysfunction.

Continued


Possession of the
exit exam
Evidence of higher
postgraduate activity
/ degree
Post CCT or
alternative
equivalent to
evidence of
Certificate of
Completion of
Surgical Training
Previous exposure
to pelvic floor
practice (medical /
surgical). However
the successful
candidate could well
have had minimal or
no prior exposure,
and it is the purpose
of this fellowship to
address their
training in this area.

Personality

Management Ability



Reviewed by:
Working effectively within a
highly multidisciplinary
structured service
comprising surgical,
medical and nursing
colleagues as well as allied
to the health profession
who provide a huge
contribution towards the
success of the service.
Approachable and
supportive
Aptitude to learn
To support junior medical
staff on the unit
Ability to follow and
coordinate patient’s journey
from referral to
management.
Pelvic Floor Team Date: 1 July 2015