SPECIALTY DOCTOR IN NEONATAL MEDICINE AND NEONATAL TRANSPORT ROYAL HOSPITAL FOR SICK CHILDREN/SOUTHERN GENERAL HOSPITAL INFORMATION PACK REF: 23929D CLOSING DATE: 20 OCTOBER 2011www.sggc.orgobs SUMMARY INFORMATION POST: SPECIALTY DOCTOR IN NEONATAL MEDICINE AND NEONATAL TRANSPORT BASE: ROYAL HOSPITAL FOR SICK CHILDREN/SOUTHERN GENERAL HOSPITAL Applications are invited for this newly created Specialty Doctor post within the Glasgow neonatal services. The post provides the opportunity to establish a career within fully comprehensive neonatal service where all the neonatal clinical services can be accessed on site. The post will initially work between the Southern General and Yorkhill Hospital neonatal units and the West of Scotland neonatal transport service. The Yorkhill neonatal unit is a combined medical & surgical neonatal unit within the regional children’s hospital. A full range of neonatal services and support services are available on site including neonatal surgery, cardiac surgery, renal support and the Scottish neonatal ECMO service. Over 200 newborns per year are currently transferred here due to the specialist services offered by this site. The Southern General neonatal unit currently operates with 6 ITU, 6 HDU cots and 12 special care cots. We are in the process of a major redesign of maternity, neonatal and paediatric services in Glasgow. This started at the beginning of 2010 with the closure of the Queen Mother’s Maternity Unit, transfer of its services to the Southern General site and the opening of new-built labour ward and new neonatal unit. In 2014/15 the Children’s Hospital will be relocated to new built facilities on the SGH site at which time the new neonatal unit here will become the largest neonatal unit in the country with 34 intensive care and high dependency cots and 26 special care cots providing the full range of neonatal services including neonatal and cardiac surgery and ECMO. The Neonatal Transport Service (West of Scotland) is based in Glasgow and currently undertakes 800 transfers per annum by road and air, including the transfer of critically ill infants for ECMO and neonatal surgery. The West of Scotland Neonatal Transport service has the most experience of air transfers in the UK and has a CAA approved system for delivering iNO in the air. The Specialty Doctor will be expected to work alongside senior neonatal trainees within the department providing support to more junior middle-grade and first on-call colleagues. Individuals will be expected to develop a particular interest or role within the departments. Applicants will be expected to demonstrate competence in practical neonatal procedures and neonatal resuscitation, to be familiar with a range of neonatal ventilatory strategies and to demonstrate clinical leadership abilities. We are looking for applicants who can demonstrate the capability to work in Neonatology at middle-grade level and who are enthused by the prospect of career within our neonatal service. Neonatal transport experience is desirable but is not essential as training will be provided. There are currently two specialty doctors in post and the appointment of this third post is intended to allow all three specialty doctors to develop some involvement within the neonatal transport service probably on a rotating block attachment of several months at a time. Glasgow Neonatal Service JOB DESCRIPTION SPECIALTY DOCTOR(S) IN NEONATOLOGY REFERENCE NO: DETAILS OF POST Neonatology services in Glasgow and Clyde operate as a single service. The posts are based at the Southern General Hospital, Yorkhill Hospital and the Neonatal Transport Service and complement the work of the Consultants and middle grade staff. The post is full time 10 Programmed Activities (PAs) with two Additional Programmed Activities (APAs) available. QUALIFICATIONS MRCPCH or equivalent would be an advantage. The successful candidate should have considerable experience of neonatal intensive care and neonatal follow-up clinics. Neonatal Transport experience would be desirable. The successful candidate will be encouraged to develop a special interest appropriate for the needs of the department. (Training will be available) GENERAL INFORMATION The current staffing of the departments is as follows:Southern General & Yorkhill Hospitals Dr Peter Macdonald Dr Dominic Cochran Dr Lesley Jackson* Dr Colin Peters* Dr Jonathan Coutts Dr Judith Simpson Dr Anne Marie Heuchan Dr Dhullipala Anand Dr Morag Campbell Dr Kathleen O’Reilly Dr Helen McDevitt Dr Charles Skeoch* Dr David Quine* *National Neonatal Transport Service (NeTS, Western Region) 2 current Specialty Doctors working in neonatal unit. The appointment of the third post will allow three to develop some involvement in the neonatal transport service. 11 middle grade doctors (Specialty trainees or SpR’s on the West of Scotland training rotation) based between SGH and Yorkhill neonatal units 7 Foundation year 2 trainees and 6 ST2 Paediatric trainees. Expanding numbers of ANNPs working in both transport and in-patients neonatal services Neonatal and Children’s Services across NHS Greater Glasgow and Clyde Neonatal services across Scotland are currently undergoing a process of change and it is anticipated that, due in part to workforce pressures, some centralisation of neonatal intensive care cots in Scotland will occur but the final model of this service has not yet been decided. In addition there is service redesign locally in Glasgow involving the move from four neonatal facilities to two. Currently neonatal intensive care is provided in the Princess Royal Maternity (PRM), the Southern General Maternity (SGH), and a combined medical and surgical NICU in The Royal Hospital for Sick Children (RHSC) on the Yorkhill site. In the future, the final location of neonatal intensive care units will be the PRM and the SGH site, the latter being co-located with the newly built regional children’s hospital. Following the building of the New Children’s Hospital on the Southern General site neonatal surgical and sub-speciality services will be provided in the Neonatal Unit which will be adjacent and connected to the New Children’s Hospital via a link corridor. The National Neonatal Transport Service (NeTS, Western Region) is currently moving to a new base at Yorkhill but in the long term will also be based at the SGH site. All neonatal specialty doctor posts in Glasgow are appointed through the Women and Children’s Directorate of NHS Greater Glasgow and Clyde. Therefore, following job planning, the future working pattern may involve other sites within the Directorate. DUTIES OF THE POST 1. To work with the middle grade staff in the provision of cover to the Neonatal Intensive Care Units at the Southern General and Yorkhill. Out-of-hours duties are shared with your middle grade colleagues. 2. To work as a middle grade doctor in the Neonatal Transport Service. Non-resident on-call is shared with ANNPs. 3. To assist Consultants in Neonatal Outpatient Clinics. To act with a degree of independence in the provision of an Outpatient Clinic according to the candidate’s suitability and training. 4. Support of the junior staff in the day-to-day management of patients in The Neonatal Unit and Postnatal Wards. 5. Teaching of undergraduates and postgraduate medical students, nursing and other staff. 6. Management duties appropriate to the post. 7. Audit duties, individually and together with other members of the Unit. 8. The post holder will be expected to meet the requirements of CPD through the RCPCH system. ROTA Out-of-hours duties will be split between a 1:12 resident middle-grade shift rota in one of the neonatal units and a 1:18 on-call rota in neonatal transport. Total weekend commitments average one weekend per month split between non-resident transport oncall and resident neonatal unit shifts. It is anticipated that at any one time your duties will be primarily based in either transport and NICU. CONDITIONS OF THE POST All periods of duty in the Southern General and Yorkhill are on-site shifts. Transport Service duties involve on-call from home requiring the ability to return to the hospital base within an hour of receiving a call. ANNEX B Model Job Plan Specialty Doctor/Associate Specialist Job Planning 1. A model job plan is attached, which has been agreed as the format used by employers in Scotland to record details of doctors’ or dentists’ working arrangements under the new contracts. 2. It should be used to confirm the outcome of both annual and interim Job Plan Reviews and the details contained in the Job Plan will form part of the contract between employer and employee. Doctors or dentists participating in job planning activities should be reminded of the important nature of this document. 3. The document must show the total number of Programmed Activities (PAs) (including those allocated for on-call work) and the number of Additional Programmed Activities (APAs) separately. 4. To ensure clarity and consistency, each item of work should be categorised as Direct Clinical Care (DC), Supporting Professional Activity (SPA), Additional NHS Responsibilities (AR) or External Duties (ED) and each should be listed separately as either a PA or an APA. 5. It should be noted that some blocks of time may include more than one category of work, but must not include both PAs and APAs. These must be noted separately to inform any APA contract that results from the job planning process. 6. It is recommended that a diary should be completed as an evidence gathering tool to inform the process. To ensure that a representative period is used, it is recommended that diary evidence should be submitted for a minimum period of six consecutive weeks or, where practicable, the period of one cycle of on-call. 7. The reference period used for the diary should be agreed in advance between the doctor or dentist and their clinical manager. Model Job Plan Format Name: Specialty: Grade: Effective Date of Job Plan: Next Expected Review Date: Contract: Specialty doctor Weekly PAs: Weekly APAs: Total Hours: Principal Place of Work: Other Regular Work Places: On-Call Availability Supplement Out of Hours Work: Managerially Accountable to: Clinically Responsible to: Neonatal Paediatrics & Neonatal Transport Specialty Doctor 01/08/09 Full Time 10 2 44 Southern General Hospital & Yorkhill Neonatal Units. Neonatal Transport Service None Predictable: 2 PAs Unpredictable: 1 PAs Associate Medical Director, Women’s & Children’s Services Dr.Jonathan Coutts a) Timetable of activities that have a specific location and time Day Hospital/Locatio n Description of Work Category DC SPA 9am-1pm Southern Gen or Yorkhill Ward Rounds or transport duties. DC PA 1pm-5pm Southern Gen or Yorkhill Neonatal Unit ward work, clinical admin work or transport duties DC PA Southern Gen or Yorkhill Ward Rounds or transport duties DC PA AR ED PA Type PA APA Monday Tuesday 9am-1pm Appraisal, audit, CPD, teaching 1pm-5pm SPA PA Wednesday 9am-11am Southern Gen CPD, Education Meeting, Audit SPA APA(0.5) 11am-5pm Southern Gen or Yorkhill Neonatal Unit ward work, clinical admin work or transport duties DC 9am-1pm Southern Gen or Yorkhill Neonatal Unit ward work, clinical admin work or transport duties DC PA 1pm-5pm Southern Gen or Yorkhill Outpatient Clinic DC PA Southern Gen or Yorkhill Ward Rounds or transport duties. DC PA Neonatal Unit ward work, clinical admin work or transport duties 1:6 weekends either NICU night shifts or nonresident transport on-call. DC PA DC PA 1:6 weekends either NICU night shifts or nonresident transport on-call. DC PA APA(1.5) Thursday Friday 9am-1pm 1pm-5pm Saturday Sunday Southern Gen or Yorkhill Neonatal Transport Service Southern Gen or Yorkhill Neonatal Transport Service This timetable is indicative only. Post-holders will be expected to spend periods of time largely committed to each part of the neonatal service. During NICU-based time daytime midweek duties will be largely based in the neonatal unit and will include 6 long (12.5 hour) shifts every 6 weeks and 1 weekend of Fri, Sat & Sun resident night shifts in every 6 weeks. Whilst based in neonatal transport there is a commitment to a 1:6 non-resident 24-hour on-call rota. These formal out-of-hours commitments are integral to the basic 10 PA allocation. There is rostered midweek time off to compensate for evening and night shift working. 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 Specialty Doctor £ 36,807 £ 68,638 per annum (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 Full Time 40.00 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 NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds. DISCLOSURE SCOTLAND 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 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. 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. FURTHER INFORMATION For further information on NHS Greater Glasgow and Clyde, please visit our website on www.show.scot.nhs.uk View all our vacancies at www.nhsggc.org.uk/medicaljobs Subscribe to our Medical Jobs Vacancy Bulletin Click Here Register for Text Alerts for medical vacancies – email your mobile number and the grade and specialty you are interested in to gg-uhb.medicaljobs@nhs.net Applicants wishing further information about the post are invited to contact Dr Peter MacDonald on 0141 201 2259m Dr Jonathan Coutts on 0141 201 0750 or Dr Lesley Jackson on 0141 201 2297 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. 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 28TH OCTOBER, 2011