COUNSULTANT IN PAEDATRIC ALLERGY ROYAL HOSPITAL FOR SICK CHILDREN, YORKHILL INFORMATION PACK REF: 23655D CLOSING DATE: 30TH SEPTEMBER 2011 - SUMMARY INFORMATION CONSULTANT IN PAEDIATRIC ALLERGY ROYAL HOSPITAL FOR SICK CHILDREN, YORKHILL The Women & Children’s Directorate (An Acute Operating Division of Greater Glasgow & Clyde, NHS Board) is a world leader in the care of child and maternal health services. Located in the West end of Glasgow, the Royal Hospital for Sick Children hosts many national and regional specialist services. The Directorate also supports an extensive array of community child health services. A New Children’s Hospital is due to open in 2015. This new consultant post will be the third full time appointment creating a team of 3 consultants within the department of infectious diseases, immunology and allergy.. This post has been created to maintain excellence in Paediatric Allergy and to develop the managed clinical network in paediatric allergy within the West of Scotland. Candidates should be trained in general paediatrics and ideally will have spent at least 2 years in approved posts/programmes in paediatric allergy. Applications will also be considered from those trained in immunology/infectious diseases, or general paediatrics if they clearly demonstrate experience and interest in allergy Applicants must have full registration with the General Medical Council and a licence to practice medicine in the UK. Those trained in the UK should have evidence of higher Specialist Training leading to CCT (or be within six months of confirmed entry from the date of interview) or have equivalent training and experience. Non-UK applicants must demonstrate equivalent training. - NHS Greater Glasgow & Clyde Women and Children’s Directorate Information Pack for the post of Consultant in Paediatric Allergy, Royal Hospital for Sick Children, Glasgow POST REFERENCE: 23655D - CONSULTANT IN PAEDIATRIC ALLERGY JOB DESCRIPTION THE POST This post has been created to maintain excellence in Paediatric Allergy and to develop the managed clinical network in paediatric allergy within the West of Scotland (WoS). Candidates should be trained in general paediatrics and ideally will have spent at least 2 years in approved posts/programmes in paediatric allergy. Applicants should possess, or be within six months of receiving CCST/CCT in general paediatrics Any Consultant who is unable for personal reasons to work full-time will be eligible to be considered for the post; if such a person is appointed, modification of the job content will be discussed on a personal basis with the directorate in consultation with consultant colleagues. Children’s Services across NHS Greater Glasgow and Clyde The post is based at the Royal Hospital for Sick Children, Yorkhill, Glasgow (RHSC).The hospital was founded in 1883 and the present buildings opened in 1971. The hospital forms part of the NHS Greater Glasgow and Clyde Women and Children’s Directorate, Acute Division. The RHSC is one of the largest children’s’ hospitals in the United Kingdom and the largest in Scotland. The Division provides secondary health care to a local population of 900,000, but tertiary paediatric services to the entire West of Scotland, population 3 million. Several national services are provided at Yorkhill, including Renal Transplantation, Paediatric Cardiac Surgery, Complex Airway, Bone Marrow Transplant, Erbs Palsy and ECMO (Extracorporeal membrane oxygenation). All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, cardiology, neonatology, neurology, nephrology, respiratory, endocrinology, gastroenterology, immunology and infectious diseases, dermatology, haematology/oncology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, orthopaedics and general paediatric and neonatal surgery. A selection of child and adolescent psychiatry facilities are located within the campus along with a recently opened Child Protection Unit. Paediatric neurosurgery, is currently based at the Institute of Neurological Sciences, Southern General Hospital, Glasgow, but there are plans for relocation to the Yorkhill site There is an Emergency Department at RHSC which sees 45,000 new patients annually. There is also a 16 bed Paediatric Intensive Care Unit and a 6 bed High Dependency Unit. An operating theatre complex was opened in 1998. It comprises seven operating theatres, a dedicated endoscopy room and a dental suite. The complex also includes a spacious Day Surgery Unit. The diagnostic imaging facilities available on-site include MRI, CT, ultrasound and nuclear medicine, and a fluoroscopic digital screening room. A Scotland-wide PACS for transmission of digital diagnostic imaging has been rolled out. Virtually all the hospitals in Glasgow, including Yorkhill are filmless. Laboratory provision includes a Department of Paediatric Pathology and the regional Department of Medical Genetics. There is on site clinical audit and research and development support to assist with departmental research projects. Yorkhill is a major centre for research and education. The hospital provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow and accommodates the University Departments of Child Health, Child and Family Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery. There are also links with both Caledonian and Strathclyde Universities. The Research and Development Department and the Department of Clinical Audit provide assistance with research projects. A Scottish Medicines for Children Network (SMCN) supports research projects adopted through Clinical Studies Groups of UK based Medicines for Children Research Networks. - In order to provide the city with child, maternal and adult services on a single site, a new children’s hospital is planned on the Southern General Hospital site, and is due to open in 2014. Other Paediatric Services in Glasgow and Clyde Maternity services are delivered at the Southern General Hospital, the Princess Royal Maternity Hospital and Royal Alexandra Hospital, Paisley, all with neonatal facilities. There is also a Paediatric Ward in the Royal Alexandra Hospital. Paediatric Neurosurgery is currently located in the Institute of Neurosciences at the Southern General Hospital. A redesign of service provision in this area is work in progress. Paediatric Radiotherapy (under general anaesthetic) is completed at the Beatson Oncology Centre (located at the Gartnavel campus). There is an extensive range of specialist community based children’s services across NHS Greater Glasgow and Clyde. Managed within Community Health and Social Care partnerships, these services are integrated with Primary Care and Social Care Services. Well established clinical links across combined Acute and Community settings within the NHS Board are in place. New Hospital Build / Service Re-organisation In 2004 there was ministerial announcement for the development of a new children’s hospital to be built within the Greater Glasgow area, this build co-located within acute adult facilities. Within this new build on the Southern General site, re-provision of RHSC facilities will be provided alongside the neonatal and maternity service. Completion of this new tripartite clinical arrangement covering acute care of adult, children and maternity services was set at five years with an expected completion date of 2014. PAEDIATRIC SERVICES Clinical Leadership The paediatric allergy service is a key component of integrated hospital paediatric services within the Women and Children’s Directorate (of Acute Operating Division, NHS Greater Glasgow and Clyde) Dr. Graham Stewart (Consultant Paediatrician) is the Clinical Director for Hospital Paediatrics and is supported by a number of Link Clinicians. For paediatric allergy this is: Dr Rosie Hague (Consultant in Paediatric Infectious Diseases and Immunology) Link clinicians support general and paediatric sub-speciality services. The structure of clinical leadership is mirrored within surgical services. - National Service Contracts The Royal Hospital for Sick Children hosts a number of paediatric national services. These national services are listed in box 1 below: Box 1 / Paediatric National Services Paediatric Cardiac Surgery Neonatal Cardiology Transport of Critically Ill Child Cleft Lip/Palate Surgery Brachial Plexus Surgery Renal Transplantation Renal and Urology Network Scottish Genital Anomaly Network Future Service Developments Paediatric Interventional Cardiology Extra Corporeal Life Support (ECLS) Bone Marrow Transplantation Complex Airway Management Intensive Care (from 2007/2008) In-patient Psychiatry Network Epilepsy Network University Of Glasgow Links The Yorkhill academic campus is part of the Division of developmental medicine. The Professor has recently retired, and the post will shortly be re-appointed. The Department of Child Health was founded in 1924 and is located in the heart of the Royal Hospital for Sick Children. It is responsible for the teaching of paediatrics and child health to undergraduate students, and has major research programmes in Paediatric Gastroenterology and Nutrition, Paediatric Endocrinology, Paediatric Respiratory Disease, Epidemiology and Community Child. In addition to the academic, research and administrative staff, Honorary Clinical Senior Lecturers and Honorary Clinical Lecturers assist in undergraduate teaching and examining, and postgraduate training. Child Health has close links with the other four University Sections on the Yorkhill site – Human Nutrition, medical genetics and surgical paediatrics. Together these academic departments are partners in the Division of Medicine, and collaborate with several NHS Departments with strong research programmes. Child Health shares laboratories with Human Nutrition, and has a special interest in the application of stable isotopes for biomedical research. For more information visit our website http://www.gla.ac.uk/departments/yorkhill/index.html The Work of the Paediatric Allergy Service The Royal Hospital for Sick Children, Yorkhill, Glasgow provides secondary paediatric services for the children of Greater Glasgow, and specialist services for the West of Scotland, together with some national services. The current model of provision for allergy reflects this pattern of care. The specialist allergy service was established with the appointment of a consultant in infectious diseases and immunology in 1994. Initially, because of the lack of provision of allergy services generally, referrals were accepted from throughout the West of Scotland and beyond. More recently, however, links have been made with local paediatricians to ensure good quality of secondary allergy care within district general services. Currently, therefore referrals are accepted from primary care for children residing in Greater Glasgow, and from general paediatricians throughout Scotland – but chiefly the West. Not all children with atopic disease are seen within the specialist allergy service. Services are also provided by various system speciality services (eg dermatology, respiratory, GI, ENT) , as described below. - The specialist allergy service The major remit of this service is assessment and management of children who may be at risk of anaphylaxis. Referral criteria are therefore: children up to the age of 13 currently, but up to 16 once relocated to the New Children’s Hospital; symptoms compatible with type 1 immediate hypersensitivity reactions following exposure to a potential allergen, which in the majority of cases is food. At present, due mainly to limited capacity, referrals of children with histories suggestive of other forms of food intolerance are directed to general paediatrics, as are the majority of referrals of children with suspected allergic asthma or allergic rhinitis, whose parents request “allergy testing”. Children with severe or complex multiple allergy are seen, as are children who may be candidates for immunotherapy, such as those with severe aero-allergen induced symptoms. Current personnel 2 full time consultants in paediatric infectious diseases and immunology providing 1 clinic/week each 1 consultant general paediatrician who provides secondary allergy services in Clyde and 1 clinic/month average in RHSC. 1 consultant general paediatrician from Dumfries and Galloway who provides monthly in-reach. 1 middle grade trainee providing supervised clinic sessions in association with consultant led clinic 2 nurse practitioners sharing 1 nurse led clinic per week 1 newly appointed nurse practitioner in allergy who will lead additional clinics once trained. Additional consultant led new patient clinics are currently being provided due to waiting list pressures. Services involved Nurse led allergy diagnostic service (see below) Dietician: Out patient phlebotomy Community liaison: health visitor/ school nurse + administration Allergic eczema service Atopic children commonly present initially with their infantile eczema to the dermatology service. Over the last few years close links have been developed between the dermatology and specialist allergy service, aiming to ensure a common approach to care, with agreed guidelines and well defined pathways between the 2 services. All paediatric dermatologists see children with allergic eczema, and when appropriate, children are investigated within this service for specific allergen triggers to their eczema. If potential food allergens are identified, their diets may be restricted, with input from the dietician. Some of these children also have type 1 immediate hypersensitivity reactions to the same foods. While such children may be referred to the allergy service at any point, many of these children continue to be managed by the dermatologists, who address this aspect of their care, and ensure that a management plan is in place. As their eczema improves, to the point when they no longer need specialist dermatology input, those who remain on restricted diets are assessed to establish whether they are at ongoing risk of type 1 reactions. If this is the case, they are referred to the allergy service. Contact dermatitis and its potential triggers is investigated by the dermatology service, which provide patch testing when required. The dermatology service also sees children presenting with unexplained urticaria. - Nurse led allergy diagnostic service This is based on the ambulatory unit, ward 1C, and involves all the nursing staff on the unit. It is led by the ambulatory care nurse practitioners, and will also involve the allergy nurse practitioner. Referrals are accepted from general and specialist services in Yorkhill. It also supports allergy services elsewhere in the West of Scotland by arranging investigations, which are not available locally. It currently provides: Skin prick testing service to all clinics described above, and other “ad hoc” requests Oral challenge sessions. Support and advice for all other hospital departments in aspects of allergy Antibiotic and other drug sensitivity testing Very limited immunotherapy The staff involved in this service have many other roles in provision of ambulatory care, in addition to their responsibilities for allergy. It is anticipated that the allergy nurse practitioner will have a major role in the further development of the drug allergy service and immunotherapy. Allergy provision in other services The respiratory service may initiate investigations for allergy, particularly to inhaled allergens, as part of the holistic assessment of asthma. Skin prick testing requests generated are managed by the nurse led service. Children identified with food allergies will be referred to the specialist allergy service. The ENT service sees the majority of children referred with allergic rhinitis, supported in SPT by the nurse led allergy service. While for the majority, treatment is symptomatic, or occasionally surgical, with the evolution of immunotherapy, it is anticipated that this service may generate an increasing number of requests for consideration of this treatment. The GI service sees some children where food intolerance may be included in the differential diagnosis. At present, most questions regarding possible non-IgE mediated food intolerances are addressed by general paediatricians. General paediatricians may also identify children with other forms of allergy, and either manage with input from the specialist service, or refer. Relationship with regional and national service Informal links with the general paediatric services providing local care for children attending their local district general hospitals with allergy are already well-established. The breadth of service provided locally is still variable, with some sites not being able to provide the full range of diagnostic services. Nationally, there is an active multi-disciplinary “Scottish Paediatric Allergy Group” which is a forum for education, sharing good practice, and support for the National Allergy Network, created as part of the National Delivery Plan for Specialist Children’s Services. Medical Staff: Dr Rosie Hague, Consultant in Paediatric Infectious Diseases and Immunology (link clinician) Dr Conor Doherty, Consultant in Paediatric Infectious Diseases and Immunology - Members of Multi-disciplinary Team Sister Maureen Lilley, Ambulatory Paediatric Ward Sister Allison Ambulatory Paediatric Ward Sister Elizabeth Morton, Paediatric Allergy Nurse Practitioner Paediatric dieticians offer sessions to the service Non Consultant Career Grades & Trainees In general there is one designated middle grade trainee in the paediatric allergy, infectious diseases and immunology service. Glasgow is not currently accredited by CSAC for tertiary training in paediatric allergy, nor in infectious diseases and immunology. All trainees participate in the general medical on call rota and when on call are not available for subspeciality work.. Consultant Staff in Allied Departments Dermatology Dr Paula Beattie Dr Catherine Jury Dr Pamela McHenry Transition arrangements Young people requiring ongoing specialist input can be referred to the West of Scotland anaphylaxis service, based in Gartnavel General Hospital. Support Facilities (Offices/Secretary): A shared office, secretarial and IT support will be available. HISS, Clinical Portal and PACS provides an automatic download facility of chemical pathology, haematology, radiology and histopathology results. Library and Education Facilities: i) The Hospital has its own medical library on site with a full time librarian. Electronic journal access is facilitated in conjunction with NHS Glasgow e-library project and also through the University of Glasgow with whom the postholder will have honorary senior clinical lecturer status. ii) The Glasgow University Library is ten minutes’ walk from the Yorkhill site. - DUTIES AND RESPONSIBILITIES a) Clinical The allergy service in the Royal hospital for Sick Children, Glasgow has been managed from within the paediatric infectious diseases and immunology service which is currently staffed by 2 consultants. With increasing workload and a need to develop further capacity and therapies within the service a new consultant post and a nurse practitioner post in allergy have been created.. It is envisaged that the new consultant will take responsibility for the majority of the allergy workload, allowing the 2 existing consultants to concentrate on the demands of the infectious diseases and immunology service. The existing consultants will, however continue to give some support to the allergy service, at a level appropriate to the experience of the successful candidate. The post holder’s responsibilities will include outpatient clinics, provision of a consultation service for children admitted acutely with allergic disease, and advice to other departments within Yorkhill, telephone advice for other clinicians in the West of Scotland and occasional emergency referrals. The postholder will be expected to work closely with the nurse practitioners in allergy and ambulatory care as part of a multidisciplinary team who provide the diagnostic service, supervise food challenges, and drug allergy testing. They will be expected to develop an immunotherapy service, as well as expand the drug allergy service. The post holder will be expected to develop and implement appropriate evidence based policies, pathways, protocols and guidelines to support allergy practice and to support both general paediatric and specialist services patients with allergy. Depending on the background and interest of the post-holder, limited sessions may be available to maintain skills in general paediatrics, or in infectious diseases and immunodeficiency. It is not envisaged that these would exceed 2PAs per week, and would be dependent on negotiation of a job plan which satisfied the primary goal of allergy service provision. The successful candidate will be expected to organise their workload and operate appointment systems in a manner that is consistent with good practice as laid out in the Board Policy for Management of Waiting Lists and Times. The candidate will be expected to work with directorate management to make optimum use of Medical wards, clinics and other resources to contribute towards providing a high quality services for children and meeting Board targets. b) Managerial The postholder is managerially responsible to the General Manager and professionally accountable to the Clinical Director via the link clinician in infectious diseases and immunology. c) Clinical Audit, Data Management and Clinical Governance The postholder must be aware of clinical governance and clinical risk management and take an active part in their implementation, including audit. The Consultant will take an active part in the department audit arrangements. - d) On-Call Commitment Depending upon the background and experience, of the post holder, the appointee will participate in the acute general paediatric rota, which operates a “hot week” system, currently a 1 in 12, and / or in the specialist infectious diseases and immunology rota, which currently provides on call for the local service and is aiming towards providing telephone advice on a national basis with a colleague in Edinburgh. e) Leave For 1 WTE: 6 weeks and 10 days per year of statutory public holidays. In addition, in accordance with the consultant contract, there are recognised extra leave days related to the frequency of the on-call provision. There is a no locum policy and consultants in the department participate in cover for annual and study leave. Absence must be planned in advance by discussion with consultant colleagues. f) Research Yorkhill has excellent research facilities in which the Consultant will be invited to initiate and participate actively in research projects and to supervise clinical research by trainees. The directorate encourages all Consultants to contribute to research in their specialties, whether in basic or clinical areas or in the evaluation of health care. Collaboration with University clinical and pre-clinical departments is particularly encouraged. The Acute Division has a Research and Development Support Unit and the Directorates have appointed associate directors and/or co-ordinators for research and development. g) Teaching The appointee will be encouraged to negotiate sufficient SPA time to take part in the active postgraduate education programmes. This involves running education programmes for junior staff, (both for in-service training and post graduate examinations), local educational programmes which contribute to CPD and involvement in interagency education and training. The appointee will be encouraged to take part in the teaching and assessment of medical students, particularly during the third, fourth and fifth years of their medical course. There will also be opportunities to teach postgraduates and other professionals including nurses, health visitors and professions allied to medicine. h) Continuous professional development Continuous professional development is supported according to the guidance of the Royal College of Paediatrics and Child health - Weekly timetable Mon Urgent allergy referral clinic MDT meeting Am pm Allergy network responsibilities * Optional day: Tues Diagnostic session supervision Ward referrals immunotherapy Wed Optional day* Thurs SPA Fri Allergy clinic Optional day Allergy clinic Admin specialist allergist: further clinic/diagnostic session/service development in area of interest within allergy: ID/Immunology trained: ID/Immunology grand round and participation in ID/Immunology clinic with compensatory time for on call General paediatrician: Participation in general paediatric on call rota with compensatory time off for on call. Within the Women and Children’s Directorate the following list of useful contact names and addresses are available: Mr Kevin Hill, Director, Women and Children’s Services, RHSC, Tel Number 0141 201 0473 Dr Jim Beattie, Associate Medical Director, RHSC, Dr Graham Stewart, Clinical Director, Hospital Paediatrics Mr Jamie Redfern, General Manager, Women and Children’s Directorate, RHSC - GENERAL PROVISIONS You will be expected to work with local managers and professional colleagues in the efficient running of services and will share with consultant colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions, you are expected to observe the Directorate’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instruction of NHS Greater Glasgow and Clyde. In particular, where you manage its employees, you will be expected to follow the local and national employment and personnel policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary. All medical and dental staff employed by NHSGGC are expected to comply with all Hospital Health and Safety Policies within the Board. You will have responsibility for the training and supervision of (junior) medical staff who work for you and you will devote time to this activity on a regular basis. 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 careers. MEDICAL ADVISORY MACHINERY The postholder will be a member of the Yorkhill Medical Staff Association and the Medical Division. WORK PROGRAMME The work programme attached to this job plan is detailed in Appendix A. JOB PLAN REVIEW A formal job plan will be agreed between the appointee and their link clinician with the Clinical Director, on behalf of the respective medical management structures within Greater Glasgow and Clyde NHS Board. The job plan will be based on the provisional timetable shown in Appendix A. The Job Plan will then be reviewed annually, following the Appraisal Meeting. The Job Plan will be a prospective agreement that sets out a consultant’s duties, responsibilities and objectives for the coming year. It should cover all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It should include personal objectives, including details of their link to wider service objectives, and details of the support required by the consultant to fulfil the job plan and the objectives. On appointment, or thereafter, more SPA time can be negotiated with the successful candidate for specific, clearly identified additional Supporting Professional Activities. These activities must be desired by the Board and agreed by the Clinical Director. - 13 - PERSON SPECIFICATION - Paediatric Allergy Consultant Essential Qualifications & Training Clinical Experience Audit/ Research MBBS or equivalent MRCPCH or equivalent Should have completed a recognised higher specialised training programme (or equivalent) in paediatrics Wide experience in paediatrics within a dedicated paediatric unit Specific specialist interest experience in allergy Competence in clinical audit Training in management and audit at SPR or equivalent level Desirable Teaching Other qualities Able to initiate and carry out medical research projects.Authorship of research papers Publications in peer reviewed journals. Ability to increase the academic profile of department Experience in applications to ethical committees and grant applications CV/ Interview Specific training in education and/or appraisal Qualification in Teaching CV/ Interview Experience of management Specific management training CV/ Interview Leadership skills Knowledge of clinical governance Evidence of experience and effectiveness in management Demonstrable evidence of leadership skills Evidence of effective team working Evidence of good communication skills with patients, colleagues, and all team members Evidence of flexibility, diplomacy and integrity. Willingness to undertake additional professional responsibilities at local, regional or national forum Commitment to continuing professional development IT Skills CV /Interview References GMC Registration Right to residency in UK Ability to meet on call requirements & Regional commitments CV Other Requirements CV/ Interview Experience in training undergraduate medical students and postgraduate doctors Interest in teaching Management Recognised higher sub specialisation in Paediatric allergy i.e. must have a CCST/CCT or be within 6 months of attaining it. Relevant higher degree Experience of managed clinical networks How assessed CV - 14 - GENERAL TERMS AND CONDITIONS OF SERVICE The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council. TYPE OF CONTRACT Permanent GRADE AND SALARY Consultant, £ £74,504 - £100,466 (pro rata) New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer. HOURS OF DUTY Whole time, 40 hrs SUPERANNUATION You have the option to join the NHS Superannuation Scheme, to participate in the State Earnings Related Pension Scheme or to take out a Personal Pension. Employee’s contributions to the NHS Scheme are Tiered based on your earnings and the employers contribution equates to 13.5 % of salary. Employees in the NHS Scheme are “Contracted-out” of the State Earnings Related Pension Scheme and pay a lower rate of National Insurance contributions. Employees who choose to participate in the State Earnings Related Pension Scheme pay the higher rate of National Insurance contribution. A Stakeholder Pension is also available. A Personal Pension is a private arrangement agreed with the pension provider that will be an organisation such as a Bank, Building Society or Insurance Company. REMOVAL EXPENSES Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment. EXPENSES OF CANDIDATES FOR APPOINTMENT Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses. Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment. TOBACCO POLICY DISCLOSURE SCOTLAND NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds. This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership which currently costs £59.00. The cost of the PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and will required to be repaid through a payroll deduction mandate from the - 15 - successful candidate’s first salary. CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under not circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made. REHABILITATION OF OFFENDERS ACT 1974 The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential. DISABLED APPLICANTS A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview. GENERAL NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual. EQUAL OPPORTUNITIES The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy. - 16 - NOTICE The employment is subject to three months’ notice on either side, subject to appeal against dismissal. MEDICAL NEGLIGENCE In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme. - 17 - FURTHER INFORMATION For further information on NHS Greater Glasgow and Clyde, please visit our website on www.show.scot.nhs.uk Applicants wishing further information about the post are invited to contact Dr. Rosie Hague, Consultant in Paediatric Infectious Diseases and Immunology, Tel 0141 201 0323 email rosie.hague@ggc.scot.nhs.uk, with whom visiting arrangements can also be made. HOW TO APPLY To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open) Medical and Dental Application and Equal Opportunities Monitoring Form Declaration Form Regarding Fitness to Practice Immigration Questionnaire Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information. NOMINATION OF REFEREES It is Board policy that no person can act as a member of an Advisory Appointments Committee and be a referee for a candidate for that post. You should therefore check with your proposed referees whether there is likely to be any difficulty in this respect for we may otherwise have to invite you to submit another name or names RETURN OF APPLICATIONS Please return your application by email to nhsggcrecruitment@nhs.net or to the recruitment address below; Medical and Dental Recruitment Team NHS Greater Glasgow and Clyde Recruitment Services 5th Floor, Tara House 46 Bath Street Glasgow G2 1HJ CLOSING DATE The closing Date will be 30th September 2011 - 18 -