Sheffield Teaching Hospitals NHS Foundation Trust
Service Improvement Fellowship
1 year secondment opportunity
JOB DESCRIPTION
APPOINTMENT
Whole Time Service Improvement Fellowships at Sheffield Teaching Hospitals NHS
Foundation Trust for a 12 month fixed term period suitable for doctors currently
working at ST3 level or above in a specialty training programme which has or is due
to rotate to STHFT with an allocated NTN.
Any candidate who is unable 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 an individual basis.
GENERAL DIRECTORATE INFORMATION / MANAGEMENT ARRANGEMENTS
The successful post holder will work as a key member of the multi-disciplinary
Service Improvement Team under the leadership of the Head of Quality Improvement
and the Clinical Leads for Quality Improvement.
CONTRACTED HOURS
Standard Hours
40
QUALIFICATIONS / EXPERIENCE REQUIRED
Applicants must have full GMC / GDC registration with a licence to practice.
Applicants must be currently working at ST3 level or above (as at 01/08/2014) and
working in a specialty training programme which has or is due to rotate to STHFT.
TRUST PROFILE
Sheffield Teaching Hospitals NHS Foundation Trust manages the five adult
hospitals in Sheffield (Northern General, Royal Hallamshire, Jessop Wing,
Weston Park and Charles Clifford Dental Hospital).
We provide around one million appointments and operations a year and offer almost
every kind of treatment available through the NHS - from maternity services to care
of the elderly and from A&E to X-ray.
The majority of our patients are from Sheffield and the surrounding areas but around
five per cent of our patients are from other parts of the country. They come to us for
specialist treatments, many of which are offered in only a few NHS trusts in the UK.
We are also a major employer of local people. Over 15,500 people work at our
hospitals in more than 70 professions and a massive variety of jobs, making us the
second largest employer in Sheffield.
The hospitals specialise in adult care but also look after newborn and premature
babies. After this, we provide only limited specialist services for children, treating
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around 4,500 children each year, mainly in the dental hospital and ophthalmology
departments.
As well as providing hospital services for our local population, our hospitals provide a
range of vital regional and national specialties. Regionally these include cardiac and
orthopaedic surgery, neurology and renal care. National services include pulmonary
hypertension treatment, particular ophthalmology, spinal and neurosurgical care, and
specialist cancer treatments.
We work very closely with Sheffield Children's Hospital, the University of Sheffield
and Sheffield Hallam University to ensure we are at the cutting edge of medical
research and development. This helps us to develop new and specialist services for
the benefit of patients from Sheffield and all over the country.
The Trust Executive Team
Chairman
Chief Executive
Chief Nurse and Chief Operating Officer
Director of Human Resources
Director of Service Development
Director of Finance
Medical Director
Mr Tony Pedder
Sir Andrew Cash OBE
Prof. Hilary Chapman
Mr Mark Gwilliam
Ms Kirsten Major
Mr Neil Priestley
Dr David Throssell
Services Provided at Sheffield Teaching Hospitals NHS Foundation Trust
Accident and Emergency
Acute General and Elderly Medicine
Assisted Conception
Anaesthetics
Cardiothoracic surgery & Cardiology
Chemotherapy
Clinical Research and Development
Communicable Diseases
Critical Care
Day Surgery
Dental Services
Dermatology
ENT,
Hearing Services and Medical
Audiology
General Surgery
Haematology
Laboratory Medicine
Medical Physics
Mobility and Specialised Rehabilitation
Services
Metabolic Bone Disease
Neurosciences
Obstetrics/Gynaecology/ Neonatology
Occupational Health Service
Operating Services
Ophthalmology
Oral-maxillofacial Surgery
Orthopaedics
Palliative medicine
Pharmacy
Professions Allied to medicine
Radiology
Radiosurgery
Radiotherapy
Reconstructive Plastic Surgery and Burns
Reproductive Medicine
Renal Services
Rheumatology
Under and Post graduate Education
Urology
Vascular Surgery
For further information on STH please see www.sth.nhs.uk
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DUTIES OF THE POST
Job Detail:
As described in the recent review by Professor Keogh (July 2013), junior doctors in
specialist training should be seen as “leaders of today”. Reflecting the skills of the
Medical Leadership Competency Framework (Enhancing Engagement in Medical
Leadership Second Edition, May 2009), STHFT will ensure the post holders have the
opportunity to develop their leadership skills through practical work as part of the
Service Improvement Team. This will include:
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Being able to think analytically, conceptually and to identify where services
can be improved.
Obtaining and acting on patient, carer and service user feedback and
experiences.
Assessing and analysing processes using up-to-date improvement
methodologies.
Identifying healthcare improvements and creating solutions through
collaborative working.
Appraising options and planning action to implement and evaluate
improvements, in partnership with directorate clinical teams and senior
managers.
The post holder will be offered mentoring and coaching by the Head of Quality
Improvement and Clinical Lead for Quality Improvement and wider SI team members
to support them during the role.
Main Duties and Responsibilities:
The post holder will:
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Take responsibility for work and projects assigned, including working as part
of the Service Improvement Team.
Coach clinical directorate and other departmental teams in using microsystem
and other service improvement techniques to deliver the teams improvement
aims, including
o Facilitate regular improvement meetings and act as a key liaison
between the service improvement team and the directorates,
information department and other agencies
o Support improvement activities using an extensive range of
improvement tools
o Facilitates the transfer of service improvement skills and knowledge to
the team and the wider organisation
o Develop and foster relationships with other service improvement team
members and ensure they can count on reliable and knowledgeable
support and information about the improvement activities
o Provide a high level of content knowledge about all aspects of service
improvement and is able to act as an approachable source of
knowledge to all staff.
o Keep track of best practice externally and internally and share the
innovation and learning
o Ensure measures for improvement are captured for each improvement
aim. Supports the team to undertake analysis using appropriate
statistical tools including run charts and statistical process control
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charts. This will involve the use of a wide range of Trust and
departmental information systems, along with local data collection
undertaken by the improvement team
Support the improvement team to present their own experience of the
improvement work to help share learning across the organisation
more widely
Ensure that improvement works is planned and carried out with appropriate
reference to formal Trust groups and governance arrangements.
Manage communication with Trust groups as appropriate, which will involve
the preparation and presentation of key information to those groups, as
required by the Service Improvement Director and/or Medical Director.
Present an assured and professional approach in order to gain commitment
from individuals at all levels both within and outside the Trust. Demonstrate
credibility and drive for the implementation of change and the appropriate use
of improvement tools and techniques in the design of change.
Build working relationships and communicate information which may be
complex and sensitive at all levels across the Trust.
Propose and help shape the development and evolution of quality
improvement initiatives.
Undertake measurement and evaluations to inform future improvement
development and/or refine existing work
Develop networks with other deanery fellows within the Yorkshire region and
provide educational sessions to facilitate leadership training
Develop a working knowledge of health strategy and policy (both national and
local) to help inform the service improvement work programme.
Contribute to the planning and organising of clinical improvements and
dovetail these with existing programmes and projects currently being
undertaken by the Trust.
Be committed to learning and maintaining a high level of skill in relation to
quality improvement methodologies, tools and techniques and the
subsequent transfer of these skills and knowledge to staff across the Trust.
Help to design and deliver service improvement training as required. Use
recognised improvement tools and techniques with multidisciplinary groups of
staff to ensure skills transfer at directorate level. This will include coaching
support following training and the evaluation of further training needs.
Actively facilitate partnerships in support of the wider service improvement
agenda to promote a whole system approach, working across boundaries,
agencies and professions.
Develop working relationships with appropriate corporate departments to
ensure effective alignment of improvement activity. i.e. Finance, Human
Resources, Communications.
Work with other clinicians and managers to determine and understand interdependencies and links across programmes, projects and work areas.
Facilitate scoping and planning workshops and stakeholder engagement
sessions. This may involve external consultancy support and/or external
partner agencies.
Help to support the development of quality improvement education to medical
students, junior doctors and other members of the multi-disciplinary team
Develop presentation skills, both written and verbal, to ensure effective
communication
Compose and compile reports, presentations and performance analysis to
evaluate and inform future service improvement work. This will include
working with appropriate statistical tools.
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Work with a significant level of accuracy and precision to meet deadlines,
working with a high degree of autonomy.
Adapt, organise and prioritise the unpredictability of workload.
TERMS AND CONDITIONS OF SERVICE
All Medical and Dental posts are subject to:a. The terms and conditions of service for Hospital Medical and Dental staff
(England and Wales).
b. Full registration and a license to practice with the General Medical Council
(London).
c. Medical fitness. You may be required to undergo a medical examination.
d. Enhanced Criminal Records Bureau disclosure. Please note that wef 1 April
2011 all charges associated with this will be passed onto the applicant.
e. Entitlement to work in the UK. Non-UK/EEA applicants should ensure they
are aware of recent changes to immigration rules.
Visit
www.bia.homeoffice.gov.uk for further information.
f.
Satisfactory references covering the last three continuous years of
Employment/Education as relevant.
Health Clearance & Medical Examination
This appointment is subject to medical fitness and the appointee may be required to
undergo a medical examination and chest X-ray.
Potential applicants should be aware of the Department of Health and GMC/GDC
requirements with regard to HIV/AIDS, Tuberculosis, Hepatitis B and Hepatitis C
viruses.
Salary Scale
The current nationally agreed payscale for the grade is payable.
Use Of Information Technology
Use Of Information Technology should be as per existing policy in the employing
organisation
Under the Computer Misuse Act 1990, any individual who knowingly attempts to gain
unauthorised access to any programme or data held on a computer can be
prosecuted. An individual who modifies any programme or data in a computer which
they are unauthorised so to do, is also liable under the Act. If found guilty of these
offences a person may be given a custodial sentence of up to six months or a fine or
both. The person would also be subject to disciplinary action which may result in
dismissal.
Similarly, in accordance with copyright law, any person involved in the illegal
reproduction of software or who makes, acquires or uses unauthorised copies of
computer software, will be subject to disciplinary action, which may lead to dismissal.
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Notification Of Termination Of Employment
The notice period will be in accordance with the nationally agreed Terms and
Conditions of Service for the relevant grade/ years of service.
Study Leave
Will be at the discretion of the Directorate.
Annual Leave
Annual leave for each grade of staff will be as per applicable Terms and Conditions
of Service pro rata to the respective hours worked.
Special Leave
Special leave for all staff will be as per existing policy in the employing organisation
pro rata to the part time hours/days worked per week.
Sickness Absence
The provisions relating to absence by the employee because of sickness appear in
paragraph 225-244 of the Terms and Conditions of Service. Any sickness absence
will dealt with as per the Sickness Absence management Policy applicable to the
Employing Trust.
Grievance Procedure
The grievance procedures, which apply to your employment, are set out in the
Employing Trust Grievance and Dispute Procedure (as amended from time to time).
Should the employee have any grievance relating to their employment, they are
entitled to discuss the matter, if appropriate, in the first instance with the Lead
Clinician/Consultant(s)/GP Trainer to whom responsible, and where appropriate to
consult personally or in writing with the Director of Human Resources.
If the grievance is not settled at this level, the employee may pursue it in accordance
with the Employing Trust’s Grievance and Dispute Procedure; a copy of the policy is
available from the Clinical Director or Medical Personnel Section of the Human
Resources Department. You may also discuss matters relating to training (where
applicable) with the Postgraduate Dean.
Discipline
Wherever possible, any issues relating to conduct, competence and behaviour
should be identified and resolved without recourse to formal procedures. However,
should the employing trust consider that the conduct or behaviour of the employee
may be in breach of relevant code of conduct, or that their professional competence
has been called into question, the employing trust will resolve the matter through the
existing disciplinary or capability procedures (which will be consistent with the
‘Maintaining High Professional Standards in the Modern NHS’ framework), subject to
the appeal arrangements set out in those procedures.
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The Employee will be subject to the Employing Trust’s Disciplinary Procedure insofar
as personal conduct is concerned. Matters relating to professional conduct or
competence will be handled in accordance with the Disciplinary process agreed for
Medical and Dental staff (as amended from time to time). Copies of these
documents are available from the Clinical Director or the Medical Personnel Section
of the Human Resources Department.
Equal Opportunities
The Employing Trust has an Equal Opportunities Policy. It is the intention of the
Employing Trust and in the spirit of promoting equal opportunity and diversity for
employees to be committed to the elimination of sexual/racial harassment,
victimisation and discrimination, thus creating a working environment which promotes
the health and well being of the Trust’s workforce. Copies of appropriate policies are
available from your line manager or the Medical Personnel Section of the Human
Resources Department
Health And Safety
All Trusts participating in the training programme recognises their duties under the
Health and Safety at Work Act 1974 to ensure, as far as it is reasonably practical, the
Health, Safety and Welfare at Work of all its employees and, in addition, the business
of the Trust shall be conducted so as to ensure that patients, their relatives,
contractors, voluntary workers, visitors and members of the public having access to
Trust premises and the facilities are not exposed to risk to their health and safety.
All medical and dental staff under contract will be expected to comply with all
appropriate Unit Health and Safety policies.
Arrangements will be made for the successful candidate to receive copies of the
Health and Safety policies of the Trust.
Points Of Contact Lead Administrative Trust
Postgraduate Dean
Medical Personnel
Department
Northern General
Hospital
Herries Road
Sheffield
S5 7AU
Medical Personnel
Department
Royal Hallamshire
Hospital
Glossop Road
Sheffield
S10 2SB
Yorkshire and Humber
Postgraduate Dean’s Office
Don Valley House
Saville Street East
Sheffield
S4 7UQ
Telephone: (0114)
2266886
Fax: (0114) 2266884
Telephone: (0114)
2712250
Fax: (0114) 2713735
Telephone: (0114) 226 4438
FURTHER INFORMATION
Further information on these fellowships can be obtained via the Service
Improvement Office on 0114 271 3776:
Steve Harrison, Head of Quality Improvement steve.harrison@sth.nhs.uk
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Dr Tom Downes, Clinical Lead for Quality Improvement tom.downes@sth.nhs.uk
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