Consultant in Special Care Dentistry

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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
Enquiries to
Extension
Direct Line
Email
13 October 2015
KD/14/15
Karen Devine
33693
karen.devine@nhs.net
Dear Sir/Madam
POST OF CONSULTANT IN SPECIAL CARE DENTISTRY
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 KD/14/15 in the subject box.
 1 copy of your CV including the names, addresses and contact details of 3 referees, including your
current or most recent employer. Please note that we do not use the NHS Scotland application form.
It would also be helpful if you could include details of your registration on the Specialist List of the
General Dental Council or your expected date of completion of training

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 19 November 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. The interviews are to be held on 16
December 2015. If you have not heard from us within 4 weeks of the closing date you may assume that, on
this occasion, your application has been unsuccessful.
Yours faithfully
Karen Devine
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: KD/14/15
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
CONSULTANT IN SPECIAL CARE DENTISTRY
DUNDEE DENTAL HOSPITAL
INTEGRATED DENTAL SERVICES
NHS Tayside has a vacancy for a full time consultant in Special Care Dentistry based at the Dental
Hospital. This post is to provide the consultant level leadership in the delivery of the Special Care and
Dental Anxiety clinical service and to the support of the clinical training of dental undergraduates. The
post is for 10 sessions per week, initially a 9:1 ratio of direct patient care to supporting professional
activities. The job plan will be modified at times to support the undergraduate teaching programme.
The successful applicant will be able to show evidence of experience in all aspects of special care
dentistry and be proficient in the delivery of conscious sedation. All applicants must be fully registered
with the General Dental Council, be on the Specialist List for Special Care Dentistry, have a
Membership in Special Care Dentistry or be within six months of receiving one.
For information on how to apply please visit www.jobs.scot.nhs.uk or e-mail
medicalrecruitment.tayside@nhs.net quoting reference KD/14/15 in the subject box.
Closing date for applications is 19 November 2015.
Interviews are to be held on 16 December 2015.
Continued
Consultant in Special Care Dentistry
NHS Tayside Integrated Dental Services
Dundee Dental Hospital and School
The Post
This consultant post is ACTD funded and was created to provide an appropriate clinical lead to
develop and deliver the undergraduate teaching and clinical training in the dental treatment of
patients who had additional needs due to medical, physical or anxiety issues. At that time there was
no recognised Dental Specialty in Special Care Dentistry and so the initial appointment was as a
Consultant in Restorative Dentistry with a remit to take forward the development of Special Care
Dentistry within the dental curricula, a requirement of the General Dental Council. Once the specialty
was recognised and the consultant was entered on the GDC specialist list in Special Care Dentistry,
the name of the post was modified to reflect this change.
Special Care Dentistry within the Dental Hospital consists of one Consultant, one Specialty Grade
Dentist who is a Specialist in Special Care Dentistry and a CT2 trainee. They are supported by Dental
Nurses who have training and dental nurse experience in intravenous sedation and a part time
clinical psychologist. Some of the students’ clinical experience and teaching in sedation and
behavioral management is provided within their attachments in oral surgery and paediatric dentistry
and the clinical staff in those disciplines work collaboratively with the consultant in special care
dentistry to ensure that all the teaching needs are met.
Patients are referred to this service from GDPs, GMPs, Cardiology, Haematology, Oncology, the
Renal Unit, Immunology, Dermatology, Social Services, Psychology and a range of other consultant
clinical services throughout Tayside. Referrals are also received for the care of patients living in
Tayside from drug problem services and the Liver Transplant Unit in Edinburgh. There are
opportunities to develop even further the links with clinicians at the main teaching hospital at
Ninewells, but lack of facilities as well as personnel limits this at the moment. There is also a steady
stream of patients who attend the Dental A&E walk-in service who are referred to Special Care
because they require help with overcoming their anxiety of dental treatment.
The Consultant and Specialist both provide treatment under intravenous sedation for appropriate
patients and are both trained and qualified as sedationists. A consultant anaesthetist also provides
sedation once every two weeks at the Dental Hospital for patients with a more complex medical
status/dental needs. This avoids the need for these patients to require day-case facilities at
Ninewells. For those whose treatment requires a general anaesthetic, there is a theatre list every four
weeks but this is not always sufficient to ensure that patients are treated within the 12 week treatment
guarantee.
Throughout the UK the majority of Special Care Dentistry takes place within a community setting, but
there remains a necessity to provide secondary and tertiary care for vulnerable patient groups. Within
the Dental Teaching Hospitals, it is recognised that there is a place and a need for consultant
appointments, both to provide secondary care service delivery, as well as providing training.
Referrals of ASA 3 patients have significantly increased and their complex nature requires care from
an appropriately consultant led team.
During the clinical semesters the BDS undergraduate students are allocated to all of the clinical
sessions that come under the remit of Special Care and this teaching component is an integral part of
the consultant job plan. There is a need for some expansion of the teaching to include the BSc Dental
Therapy students as there will be an expectation that, in the future, they will need to meet some of
the dental treatment demands of an ageing population with complex needs.
Appropriate candidates for this post will hold full registration with the General Dental Council and
should be on the GDC Specialist List in Special Care Dentistry (unless they are not yet eligible for
Continued
entry due to stage of their training) and will ideally have completed, or be within 6 months of
completing a recognised training pathway and success in the Tri-Collegiate Membership in Special
Care Dentistry. Applicants are also welcome from those on the GDC specialist list who have a
Membership in Special Care Dentistry or who already hold a relevant consultant appointment.
Integrated Dental Service
The Hospital Dental Service together with the Public Dental Service makes up the NHS Tayside
Integrated Dental Service – IDS – which is part of the Access Directorate of NHS Tayside. It is hoped
that the successful candidate will work collaboratively with their PDS colleagues in the development
of relevant clinical pathways and the training of future specialists in Special Care Dentistry.
The Dental Hospital is situated on the main University of Dundee campus, close to the city centre.
The main teaching hospital for NHS Tayside is Ninewells Hospital and Medical School, approximately
three miles from the Dental Hospital but with excellent transport links to the University and the City
centre.
A full range of laboratory services is available throughout NHS Tayside which includes Haematology,
Biochemistry, Immunology and Microbiology, Imaging and Pathology. The Dental Radiology services
are based on the Dental Hospital site and include ultrasound, a full digital dental radiography system
and Cone Beam CT. Access to CT, MRI, PET and radio nucleotide imaging is available at Ninewells.
Duties of the Post
CLINICAL
To provide a Special Care Dentistry consultant clinical service within the NHS Tayside based at
Dundee Dental Hospital, although duties could involve delivery of a clinical service in other sites
throughout Tayside, particularly Ninewells Hospital Dundee, and to accept referrals from primary care
dental and medical practitioners, appropriate secondary referrals from specialists within the hospital
service and from other appropriate agencies. This service will include the personal treatment of
patients under conscious sedation and general anaesthesia. The consultant will be suitably qualified
in order that they can deliver intravenous and inhalation sedation and be up to date in their
knowledge of the current guidelines and life support techniques. The appointee will be responsible for
the delivery of their clinical service to the Clinical Lead/Director within the Dental Hospital and will
work closely with the Clinical Service Manager with regards to the day to day running of the specialist
service.
TEACHING
A significant aspect of this post is to be the lead person in designing and delivering the didactic and
clinical teaching in Special Care Dentistry and Dental Anxiety. They will be supported by other staff
within the specialty and within psychology, oral surgery and paediatric dentistry. Students will attend
many of the consultants’ clinical sessions, as they do in many other clinical disciplines, and the
clinical job plan will be modified to allow for the didactic teaching at the times that it occurs within the
curricula. There is a need to expand the teaching so that the BSc Oral Health Science students
(Dental Therapy) many have some experience within this specialty.
MANAGEMENT
This post has no formal management duties on appointment, other than, in common with all
consultants, being responsible for making arrangements to deliver the clinical service as per their job
plan but there are opportunities available for all consultants to undergo further training in
management and leadership to equip them to take up such roles in the future. If in the future the
consultant is willing to become an appraiser then this will be recognised in the job plan at 0.5
sessions per week.
Continued
TIMETABLE
This appointment will initially be for 10 four hour sessions per week composed of 9 sessions of direct
patient care and 1 session for supporting professional activities.
The outpatient clinical sessions are from 9 a.m. to 12.30 p.m. and 1:30 p.m. to 5 p.m. A substantive
job plan will be discussed and agreed with the Clinical Lead, usually within three months of taking up
their post, and can be altered from time to time by mutual agreement.
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.
Further details regarding this appointment can be obtained from the Clinical Lead for Hospital Dental
Services, Dr E Connor, telephone 01382 425773 or email e.connor@nhs.net and interested
candidates will be encouraged to visit the Hospital and meet current members of staff.
Continued
Appendix 1
An indicative job plan for this post is as follows:
Day
Monday
Tuesday
Wednesday
Time
09.0012:30
Location Work
Category
No of PAs
DDH
Student clinic – restorative + CT2
supervision
DCC
0.875
12:3013:30
DDH
Patient Admin
DCC
0.25
DCC
0.875
13:3017:00
09:0012:30
DDH
Sedation treatment
DDH
Sedation treatment
DCC
0.875
12:3013:30
DDH
Patient Admin
DCC
0.25
DDH
Sedation treatment
DCC
0.875
DDH
New patient clinic – special care *
DCC
1.00
13:3017:00
09:0013:00
Supporting professional activities
Thursday
Friday
13:0017.00
09:0012:30
DDH
DDH
GA/NWS/ treatments *
SPA
DCC
1.00
0.875
12:3013:30
DDH
Patient Admin
DCC
0.25
13:3017:00
09:0013:00
DDH
New patient clinic - anxiety
DCC
0.875
DDH
Special care liaison &
administration *
DCC
1
13.0013:30
DDH
Patient Admin
DCC
0.175
13:3017:00
DDH
Dental Anxiety clinic - students
DCC
0.875
The actual timetable of clinical sessions may well change and the location of the clinics within DDH
may vary depending on the person appointed.
Students will be allocated to most treatment sessions and will gain some limited experience of IV
sedation. Some activities will be cancelled at appropriate times of the year so that the student
teaching is supported and this will be agreed in the job plan. Sessions with an * may be
interchangeable depending on availability of GA lists in Ninewells.
Continued
NHS TAYSIDE
SHORTLISTING CRITERIA FOR APPOINTMENT OF CONSULTANT MEDICAL AND DENTAL STAFF
NHS Tayside is committed to the principle of equality of opportunity in employment and accordingly its advertising and
recruitment literature will not imply that there is a preference for any one group of applicants, e.g. by the use of
discriminatory job titles or material depicting or describing certain sexual or racial groups.
In general, the shortlisting process will be conducted so as to give all candidates equal consideration against defined
selection criteria. The following criteria will, therefore, be applied equally to all candidates irrespective of age, sex,
religion, ethnic origin or disability and avoiding judgements on the basis of assumptions or stereotypes.
The following framework is suggested as a basis for preparing the shortlisting criteria for use by the Clinical/ Group
Director in conjunction with the Chairperson of the Appointments Committee. An alternative format may be used if this is
felt to be desirable provided that the basic principles of objectivity and equality are observed.
POST: CONSULTANT IN SPECIAL CARE DENTISTRY: 2015
CRITERION
1.
ESSENTIAL
Qualifications
Full registration with the GDC
Accredited by relevant
Committee
GDC specialist list in Special Care
Dentistry, Membership in Special
Care Dentistry or be within 6
months of completing specialist
training.
Followed a specialist training
programme in Special Care
Dentistry or have equivalent clinical
experience or already hold a relevant
consultant appointment.
Evidence of experience in the
provision of intravenous
& inhalation sedation and treatment
of the sedated patient.
Immediate Life Support training
Experience of chair side teaching preferably to undergraduates.
Presentation/IT skills
2.
Advanced clinical training and
experience
3.
Teaching experience
4.
General experience
Good general skills in restorative
dentistry
5.
Particular requirements and/or
areas of special interest
6.
Research and publications
7.
Management training
Willing to participate in the teaching
of undergraduate dental students
and DCP’s.
Experience in the treatment of
patients requiring behavioural
management.
Experience in treatment of patients
under general anaesthesia, including
routine surgery for exodontia.
Evidence of participation in audit
and clinical governance/effectiveness
activities.
Have completed or be willing to
undertake a management course
appropriate for STR training.
DESIRABLE
Tri-Collegiate Membership in
Special Care Dentistry
Recognised qualification in the use
of conscious sedation, including
intravenous sedation.
Experience of didactic teaching e.g.
undergraduate and postgraduate
courses.
Appropriate teaching qualification
Vocational training/general
professional training in dentistry
PhD or MSc or similar
Evidence of publications
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