JOB DESCRIPTION CONSULTANT IN CLINICAL GENETICS BASED IN NORTHAMPTON GENERAL HOSPITAL CHILD HEALTH DIRECTORATE JOINT APPOINTMENT WITH OXFORD UNIVERSITY HOSPITALS NHS TRUST AS PART OF THE OXFORD REGIONAL GENETIC SERVICE Northampton General Hospital NHS Trust – Consultant Job Description Page 1 CONTENTS Page Job outline 3 Northampton and the environment 3 Living in the area 3 The Hospital 3 Expansion of services 4 The Child Health Directorate 4 Oxford Regional Genetic Service 5 Job Description 7 Job Plan 8 Terms and Conditions 11 Other useful information 13 Person Specification 16 Northampton General Hospital NHS Trust – Consultant Job Description Page 2 JOB OUTLINE We are seeking an enthusiastic and dedicated colleague to join our team. This new post (seven sessions) has been created in response to increasing referrals, and to improve the cover for annual and professional leave. The post is based in Northampton, but forms part of the Oxford Regional Genetic Service. Outpatient services are provided at Northampton General Hospital and Kettering General Hospital. The successful candidate will be expected to travel to Oxford two Wednesdays/month for general professional and CPD activity, and an SpR from Oxford comes to Northampton for part of the year for training on a rotational basis. NORTHAMPTON AND THE SURROUNDING AREA Northampton has a fascinating blend of rich heritage, distinguished history, and all the energy and vigour you would expect of one of the fastest growing modern commercial towns in the United Kingdom. The county is part of a designated growth area, which will see significant development and consequent population growth over the next 25 years. The population of the town is predicted to increase by more than 50,000 people by 2021. Whilst there is a relatively young population, which includes people from many different ethnic backgrounds and cultural beliefs, there is also a rapidly rising number of people in the over 75 age group. The town provides easy access to London and other parts of the UK through rail links and motorway networks. Many major household names have established their UK headquarters or major operations centres here. There are also several airports within easy range. LIVING IN THE AREA Northampton has a varied and reasonably priced selection of accommodation, set in rural and urban surroundings, to rent or buy. There is a selection of state and private schools available and an excellent range of adult education facilities. Northampton hosts a new university, which offers a comprehensive range of part and full time courses covering applied sciences, health, education, business and the arts. A wide range of sporting activities is available in the area and Northampton has professional cricket, rugby and football teams. THE HOSPITAL Northampton General Hospital NHS Trust is a large (800 beds) district hospital providing a full range of acute services from a site located close to the centre of the town. Our vision is to become a ‘DGH Plus’, providing all the secondary care services normally found in a district general hospital, including emergency care, planned care, maternity care, diagnostic and therapy services. In addition we will also provide specialised services for a wider population including designated cancer centre Northampton General Hospital NHS Trust – Consultant Job Description Page 3 services, interventional cardiology, renal medicine, plastic surgery and Level 2 neonatal care. NGH aims to be the hospital of choice for patients and staff, and has developed its corporate objectives around five key principles: To provide clinical excellence in achieving the best outcome for the patient To improve the patient experience by providing the best possible environment within which to receive care To give the highest level of access to care by providing the most appropriate care where the patient needs it To improve the quality of working life by creating a great place to work, learn and develop To provide value for money EXPANSION OF SERVICES Progressive expansion and rebuilding has been carried out since Northampton General Hospital was originally built on its present site in 1793. We operate as a cancer centre for adults with satellite units at Kettering General Hospital and Milton Keynes, and have invested in a major capital scheme to expand and upgrade clinical and diagnostic services. In the last few years we have opened a high dependency unit, acute stroke unit, three new linear accelerators, new library facilities and a student accommodation block. We have a new interventional cardiology centre, inpatient renal unit, and a nuclear medicine services. THE DIRECTORATE OF CHILD HEALTH Clinical Genetics lies within a fully integrated directorate, including acute and community paediatrics, the Child Development Centre, community nursing, children's physiotherapy, and Safeguarding Children. It is managed by a Clinical Director and a Directorate Manager with support teams. The Directorate has over 300 staff working within it and a budget of over £14 million pounds. DIRECTORATE OF CHILD HEALTH MANAGEMENT TEAM Dr Win Zaw Mr Matt Tucker Mrs Rose McKee Ms Bally Sandhu Mrs Lesley Cockerill Clinical Director Directorate Manager Service Manager Senior Modern Matron Modern Matron Northampton General Hospital NHS Trust – Consultant Job Description Page 4 CURRENT CLINICAL GENETICS TEAM Dr Susan Price 1 FT Consultant Genetics (will drop to 8 sessions) 1 FT Genetic Counsellor 1 FT Secretary (Mrs Janet Dunford) Additional 0.5 counsellor and 0.5 secretary to be appointed THE OXFORD REGIONAL GENETIC SERVICE The Department of Clinical Genetics is based on the Churchill site of the Oxford University Hospital. The Department is well serviced with seminar and library facilities and its own outpatient’s area. The Oxford Medical Genetics Laboratories are also on The Churchill site. From an organisational perspective Clinical Genetics lies in the Emergency Medicine, Therapies and Ambulatory Division, in the Ambulatory Medicine Directorate. Oxford has a long history of supporting genetic research. The department has strong links with the University generally and through the Biomedical Research Centre, with a focus on promoting and funding translational genetic research projects. Oxford also has plans to develop as an Academic Health Sciences Centre. Many consultants in the team have been able to pursue their research interests, or have developed specialist clinics. STAFFING Consultants (* University Staff) Consultant Staff Dr Helen Stewart Dr Deirdre Cilliers Dr Edward Blair Dr Susan Price Dr Andrea Nemeth Dr Dorothy Halliday Dr Lisa Walker Dr Debbie Shears Dr Usha Kini *Prof Andrew Wilkie *Dr Garry Brown *Prof Richard Gibbons *Prof Jo Poulton NHS Consultant (FT) NHS Consultant (FT) NHS Consultant (FT, Lead Clinician) NHS Consultant (FT based in Northamptonshire, will drop to 8 sessions) NHS Consultant (PT) NHS Consultant (FT) NHS Consultant (PT) NHS Consultant (PT) NHS Consultant (PT) (Honorary, Nuffield Professor of Pathology) (Honorary, Lecturer in Biochemistry) (Honorary, Lecturer in Clinical Biochemistry) (Honorary, Mitochhondrial Genetics) Northampton General Hospital NHS Trust – Consultant Job Description Page 5 Junior Medical Staff Dr Rita Ibitoye, SpR Dr Helen Linden, SpR Dr Anna de Burca, SpR Other Staffing Head Genetic counsellor Ms Sarah Durell Clinical Nurse Specialists Mr Peter Risby Ms Barbara Stayner Mrs Elaine Butler Ms Nicola Phelan Ms Rosy Williams Mrs Gael Bretz Mrs Jo Allard Miss Eva Nazem Ms Anna Waite Mrs Ruth Robertson Mrs Jess Myring Cancer Triage Team Research Nurse Team (FT) Cancer CNS (PT) Genetic Counsellor (FT) Cancer genetic nurse (triage)(PT) CNS Northamptonshire (FT) CNS Swindon (PT) Genetic counsellor (FT) Genetic counsellor (FT) Genetic counsellor (FT) Genetic counsellor (PT) Genetic counsellor (PT) Genetic counsellor (PT) Departmental Clinical Unit Manager Miss Philippa Jeffcock Secretarial/ Clerical Ms Lindsey Briggs Ms Dawn Eeley Mrs Jill Morris Ms Mary Brady Mrs Diana Reynolds Ms Liz Begley Ms Claudine Reynolds Northampton General Hospital NHS Trust – Consultant Job Description Page 6 BRIEF JOB DESCRIPTION FOR THE POST OF 7 SESSION CONSULTANT IN CLINICAL GENETICS To provide general and cancer genetic services for families in Northamptonshire DUTIES & RESPONSIBILITIES To provide a consultant led genetic service To attend ward visits as requested, and undertake out-patient clinics To cover for colleagues’ annual leave and other authorised absences To participate in audit and CME as required by the Royal College affiliation. To actively participate in clinical governance To be involved in supervision and management of trainees To be involved in the teaching of trainees and medical students, with regular attendance at departmental meetings and teaching sessions as required To undertake additional professional responsibilities at local, regional or national levels To take Managerial responsibilities and other clinical lead roles where appropriate Northampton General Hospital NHS Trust – Consultant Job Description Page 7 JOB PLAN JOB PLAN – Part-time Consultant in Clinical Genetics A full time consultant contract is based on ten 4-hour PAs between 7am and 7pm Monday to Friday (40-hour working week). The CGS recommends that a full time job plan should contain between two and three clinics per week. For each 4 hour (one PA) clinic there should be a further 1 PA of DCC in the job plan to allow for the necessary pre-and post-clinic work related to the consultations, which is often significant. This includes: Research of the clinical and family background Reading appropriate up-to-date literature Administration of DNA samples Identifying and contacting laboratories in UK, Europe, or beyond, and investigating quality and cost of tests Providing follow up advice for members of a patient’s family, and organising testing or screening for them Other DCC activity includes: Ward referrals for in-patients Prenatal / Fetal medicine referrals - urgent appointments for pregnant mothers with fetal anomaly, unusual chromosome abnormalities, or a family history of a condition or syndrome that may be hereditary. Multidisciplinary meetings and case discussion (some may also include education and CPD). Telephone advice / consultations on all aspects of genetics for professionals and patients. Increasingly, as genomic medicine is being incorporated in to all fields of medicine, geneticists are approached for information and advice over a broad variety of clinical and ethical issues by many professional groups such as GPs, hospital colleagues, other health professionals and social services. Clinical advice and discussion of results with patients by telephone may be efficient and avoid the need for further out patient appointments. Management of very rare disorders - Geneticists have an important role in advising on rare conditions especially where there is the opportunity for prevention or reducing morbidity and mortality; frequently this expertise is shared across regional and international boundaries. Clinical supervision of cases seen by Genetic Counsellors and trainees - as a consultant led service it is important that adequate time in the job plan is allocated to this activity. Northampton General Hospital NHS Trust – Consultant Job Description Page 8 Day Time Location Work DCC/SPA No. of PAs 0900-1300 weeks 1 and 3 0900-1300 weeks 2 and 4 Northampton Week 1 Adult General clinic Week 3 Paediatric General Clinic clinic preparation for alternate Adult and Paediatric clinics including patient investigation, correspondence, review or results for patient and other family members Cancer clinic DCC 0.5 DCC 0.5 DCC 0.5 Cancer clinic preparation including patient investigation, correspondence, review or results for patient and other family members Core SPA for mandatory training, revalidation, continuing professional development DCC 0.5 SPA 1 Paediatric Clinic DCC 0.5 Clinic preparation including patient investigation, correspondence, review or results for patient and other family members MDT meeting to review results, discuss and agree case management Case discussion, continuing professional development and teaching of SpRs DCC 0.5 DCC 0.5 SPA 0.5 General clinic correspondence and investigation, review or results for patient and other family members Specialist clinic DCC 1 DCC 0.5 clinic preparation including patient investigation, correspondence, review or results for patient and other family members DCC 0.5 Monday 1330-1730 Weeks 2 and 4 1330-1730 weeks 1 and 3 1100-1300 Tuesday 1330-1730 Weeks 1 and 3 1330-1730 Weeks 2 and 4 Alt weeks 0900-1300 Wednesday Oxford Alt weeks 1330-1730 0830-1230 Thursday Northampton 1300-1700 Weeks 2 and 4 1300-1700 Weeks 1 and 3 Northampton Workload Friday Saturday Sunday Northampton General Hospital NHS Trust – Consultant Job Description Page 9 Additional agreed activity to be worked flexibly Predictable emergency oncall work: annualised ward responsibilities Unpredictable emergency oncall work TOTAL PAs Direct clinical care (including unpredictable on-call) 5.5 Supporting professional activities 1.5 TOTAL PROGRAMMED ACTIVITIES 7 Northampton General Hospital NHS Trust – Consultant Job Description Page 10 VISITING ARRANGEMENTS If you wish to visit the trust before short-listing or interview, please contact Dr Price, Consultant in Clinical Genetics 01604 544638 to arrange an appointment. TERMS AND CONDITIONS The post will be subject to the Terms and Conditions – Consultants (England) 2003 REFERENCES We will require three references - one must be relating to your present or most recent appointment, and be your appraiser, educational supervisor or clinical director. TENURE The job will be offered on a full time contract unless otherwise stated in the job advert or job description PENSION Employees have the option of joining the NHS Pension Scheme. Contributions are six per cent of salary. ANNUAL LEAVE Up to seven years service as a consultant Seven or more years service as a consultant Six weeks and two days (32 days) Six weeks and four days (34 days) The leave year runs from April to March. HEALTH SCREENING The job is subject to satisfactory completion of a pre-employment health check at the occupational health department, Northampton General Hospital. EQUAL OPPORTUNITIES The trust confirms its commitment to a comprehensive policy of equal opportunities in employment. CRIMINAL CONVICTIONS Because of the nature of this work, this post is exempt from the position of Section 4(2) of the Rehabilitation of Offenders Act 1974 (exceptions) N Order 1975. Applicants for jobs are not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act and in the event of Northampton General Hospital NHS Trust – Consultant Job Description Page 11 employment, any failure to disclose such convictions could result in disciplinary action or dismissal by the trust. Any information given will be completely confidential and dealt with only in relation to an application for a position to which the order applies. This post is also subject to clearance by the Criminal Records Bureau. OTHER TERMS AND CONDITIONS The trust has a wide range of modern human resources policies and procedures, which have been discussed and agreed with the Local Negotiating Committee (LNC). They are available from the medical staffing department and on our intranet site. SMOKING POLICY The trust became a smoke-free site with effect from 1 January 2006. ANNUAL APPRAISAL & JOB PLAN REVIEW The trust is committed to the policy of annual appraisal and job plan reviews. The clinical director will undertake job plan reviews. The appraisal process is administered by one of the associate medical directors and any key issues arising from the appraisal process will be communicated to the medical director. The trust also has a mentoring scheme for consultants. CONTINUING MEDICAL EDUCATION Paid leave of ten days and financial support up to £1000 per year is available. To allow flexibility this can be worked over a rolling three-year period, providing contractual and performance obligations have been met. ORGANISATIONAL RELATIONSHIPS Responsible to: Medical Director of Northampton General Hospital NHS Trust and at local level to the clinical director. Manages: Junior and other medical staff in the specialty. POSTGRADUATE FACILITIES The facilities at the Postgraduate Medical Centre are available for use by all medical staff. There are lecture theatres, audio-visual aids, active doctors’ mess and bar. A new and extensive library is also available in the William Kerr building. There is excellent postgraduate education with increasing involvement with the Leicester Warwick Medical School, whose undergraduates, along with a small number of Oxford undergraduates, come to Northampton. Northampton General Hospital NHS Trust – Consultant Job Description Page 12 OTHER USEFUL INFORMATION The Trust requires a current Hep B certificate for all doctors and Hep C certificate for all exposure prone procedures (EPP). PAYMENT OF SALARY Salary is paid direct into your bank or building society on the last Thursday of each month. RELOCATION EXPENSES The granting of relocation expenses is not automatic and entitlement should be checked with the medical staffing team. A copy of the relocation expenses policy is available on request. CAR PARKING/SECURITY Access to staff car parking is via a swipe card system; all other car parking is available on pay and display. The security office is manned 24 hours a day. Staff needing to park on site will need to obtain a staff parking permit for which a small monthly salary deduction is made. CHILD CARE PROVISION There is a nursery (Nene Valley Nursery) on site at NGH, which has 84 places and is open from Monday – Friday 7.00 am – 6.30 pm. Additional after-school and holiday play facilities are available at the Cripps Social and Recreation Centre, which are run in conjunction with Nene Valley Nursery. The Trust offers a scheme of childcare vouchers in association with the Busy Bee organisation. FITNESS AND EXERCISE The Cripps recreational centre offers on site fitness and exercise facilities as well as a bar. The Cripps has a fully equipped gym, swimming pool, squash/ badminton/tennis courts and runs various exercise classes and a golf club. WORK PERMIT Applications from job seekers who require Tier 2 sponsorship to work in the UK are welcome and will be considered alongside all other applications. However, non-EEA candidates may not be appointed to a post if a suitably qualified, experienced and skilled EU/EEA candidate is available to take up the post as the employing body is unlikely, in these circumstances, to satisfy the Resident Labour Market Test. The UK Border Agency requires employers to complete this test to show that no suitably qualified EEA or EU worker can fill the post. For further information please visit www.ukba.homeoffice.gov.uk CONDITIONS OF SERVICE Northampton General Hospital NHS Trust – Consultant Job Description Page 13 The appointment is subject to the Terms and Conditions of Service of Hospital and Medical and Dental Staff (England and Wales), as amended from time to time, and also such other policies and procedures as may be agreed by the University Hospitals of Leicester NHS Trust. CONFIDENTIALITY Attention is drawn to the confidential aspects of this post. Any breach of confidence may result in disciplinary proceedings, which could result in dismissal and may also result in civil action for damages GMC REGISTRATION The appointee is required to maintain full registration with the General Medical Council. Medical staff are advised to continue membership of one of the Medical Defence Organisations. SAFEGUARDING The postholder will comply with legislation and Trusts policies relating to safeguarding children and vulnerable adults FREEDOM OF INFORMATION ACT 2000 AND NON-HEALTH RECORDS MANAGEMENT The postholder is expected to comply with Trust policies and procedures on the Freedom of Information Act 2000, Non-Health Records Management and other regulations for the management of Public Records. The Trust requires that all staff contact the Freedom of Information Manager for advice and guidance on all matters pertaining to the Freedom of Information Act. They must also ensure that Freedom of Information requests received directly are referred immediately to the Freedom of Information Manager. INFECTION CONTROL The postholder is expected to adhere to and promote compliance with the Trusts Infection Control Policy and associated codes of practice and take appropriate action where non-compliance is evident INFORMATION SECURITY The postholder is expected to safeguard the confidentiality, integrity and availability of data, whether in computerised or manual systems or storage. Trust policies and statutory regulations should be adhered to. HEALTH AND SAFETY The postholder is expected to ensure a healthy and safe environment exists in the department at all times. They are expected to take reasonable care for their acts or omissions. Trust policies and statutory regulations should be adhered to. RISK MANAGEMENT Northampton General Hospital NHS Trust – Consultant Job Description Page 14 To ensure that clinical and non-clinical incidents are reported, recorded and analysed to improve the safety and quality of th eservice. To assist with risk assessments. NHS INDEMNITY Please find further information from Department of Health website: http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars?healthserviceg uidelines/DH_4018270 Northampton General Hospital NHS Trust – Consultant Job Description Page 15 PERSON SPECIFICATION Post: Consultant in Clinical Genetics Directorate: Child Health Requirements Essential Desirable Qualifications/Training Professional qualifications Professional training MRCP or equivalent. Higher Medical Degree (MD or PhD) CCST in Clinical Genetics ; OR Registration on GMC Specialist Register in Clinical Genetics; OR within three months of achieving CCST at the time of interview. Interest in research with publications General training in Clinical Genetic to specialist level or equivalent, with general and cancer genetic experience Interest in research with publications Experience Work experience Experience of Regional Genetic Services Type of experience Level of responsibility Ability to make decisions at consultant level Skills and Knowledge Sufficient leadership, organisational, Leadership skills Organisation and management skills Professional - extra skills or achievements Communication, professional and personal skills to undertake effectively the role of consultant in a large teaching hospital. Computing skills: ability to use word processor, spreadsheet programme and web browser. Good personal and interpersonal skills Knowledge of the organisation of the NHS and the Government’s agenda for its modernisation. Good spoken and written English. Communication skills should be highly developed. Experience of teaching undergraduates and trainees Management training and experience . Interpersonal skills Communication skills Teaching skills Clinical governance experience Experience of routine clinical audit Research skills Publications in the field Other Requirements GMC Registration Full Transport Northampton General Hospital NHS Trust – Consultant Job Description Driving Licence Page 16 Northampton General Hospital NHS Trust – Consultant Job Description Page 17