NHS Lanarkshire – Information Pack POSITION: Specialty Doctor in Breast Surgery Reference Grade Location Hours / PA’s Salary Scale Closing Date REF MS/0914/06 Quote on all correspondence Specialty Doctor in the Breast Unit Wishaw General Hospital 2 Posts (1x Full-time & 1 x Part-time) Specialty Doctor Friday 24th October 2014 Your Application Thank you for expressing an interest in the above post within NHS Lanarkshire. Please find all the relevant information attached to begin the application process. Should you require further information regarding this post you can contact the Medical Staffing team or make informal enquiries with the department using the contact details below. To ensure we can process your application as easily as possible please complete all the information required within the Application Pack and email with your CV. Contact Details Application Process Telephone Email 01698 377720 Lynn.cliens@lanarkshire.scot.nhs.uk To apply, please email your CV to the above, along with the Application Pack. Lanarkshire NHS Inserts.pdf Application Pack.doc Additional Arrangements Informal enquiries regarding this post will be welcomed by:Mrs. Juliette Murray Consultant 01698 366162 Surgeon Date when the post is Vacant The post is vacant immediately and a start date will be agreed with the successful candidate. NHS Lanarkshire For further information regarding NHS Lanarkshire and it’s hospitals, please visit our website:- www.nhslanarkshire.org.uk We are an Equal Opportunities Employer and Positive about Disabled People. Page 1 NHS Lanarkshire – Information Pack POSITION: Specialty Doctor in Breast Surgery Management Structure To simplify and streamline the governance arrangements within our hospitals, the structure of our managers, including Medical Managers is being actively redeveloped. The new structure will enhance local delivery at hospital level, heighten leadership visibility and increase site accountability. Our Medical Managers will provide professional leadership to medical staff, ensuring that they are effectively developed, organised, integrated and managed to support the strategic aims of each Division and meet the needs of the patient. Page 2 NHS Lanarkshire – Information Pack POSITION: Specialty Doctor in Breast Surgery POST INFORMATION The Post These posts are dedicated specialty doctor post to support the breast unit particularly in follow up of breast cancer patients and in the assessment of new patients. General Provisions You will be answerable to Clinical Lead who will agree your job plan. Health and Safety You are required to comply with NHS Lanarkshire Health and Safety Policies. Junior Medical Staff You will be responsible for the training and supervision of the Junior Medical staff who work with you. In addition, you will be expected to ensure that staff have access to advice and counseling. 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 career. Resources The following resources are available:Consultants Special Interest Mrs. Alison Lannigan Breast Ms. Juliette Murray Breast Mr. Dermot Murphy Breast Ms Kate FitzGerald Breast Specialty Doctors Specialist Registrars on rotation from the West of Scotland Training Scheme. STR’s on BST STRs/FY’s Secretarial Support: WTE Senior Secretary WTE Waiting List Co-Ordinator- (if applicable) 1 1 1 2 2 1.5 Page 3 NHS Lanarkshire – Information Pack POSITION: Specialty Doctor in Breast Surgery DUTIES AND RESPONSIBILITIES Main Duties The breast unit has Consultants with new breast clinics and follow up clinics. The successful applicant will support these clinics on a weekly basis with the ability to manage the clinics as an independent clinician. Work Programme As required under Section 3 of the Terms and Conditions of Service, the duties and responsibilities are supported by a job plan and work programme detailed as follows: Job Planning/Programmed Activities The job plan will be dependent on the successful candidate’s subspecialty training and interests. On taking up post a Job Plan will be agreed between the person appointed and the Clinical Director. The Job Plan will be reviewed informally after 3 months in post and then again on a formal basis after 6 months in post. The indicative timetables identify those fixed commitments which are dependent on other hospital resources, both physical and human. Fixed Commitments Days Monday Hours AM PM Tuesday AM PM Wednesday AM PM Thursday AM PM Friday AM PM Type of Work Breast new clinic MDT/Admin session- flex Breast new clinic Breast returns clinic Breast new clinic Breast new clinic Breast new clinic Breast return clinic Breast return clinic Family history clinic Location Wishaw Wishaw Wishaw Wishaw Hairmyres Hairmyres Wishaw Wishaw Wishaw Wishaw Page 4 NHS Lanarkshire – Information Pack POSITION: Specialty Doctor in Breast Surgery In addition, other activities not occurring at fixed times. Discussing referrals, in patient and out patient with Colleagues (daily). Discussing management/investigation of patients with colleagues in other appropriate Clinical Support Services Speaking to GP’s, outpatients re results. Vetting Fast Track clinic referrals/ allocating appointments (daily). CPD and Appraisal Audit Review of the Job Plan This job plan is subject to review at least once a year by the post holder and the Clinical Director as noted in the terms and conditions. The procedures set out in the ‘Terms & Conditions of Service’ must be followed if it is not possible to agree a job plan, either initially or at an annual review. Audit and research The successful candidate will be expected to participate in audit processes and there is an active clinical audit department available to assist. An interest in research will be supported. Continuing Professional Development Study leave is available within the terms and conditions of service with the approval of the Clinical Lead. The appointee will be required to fulfill such demands for continuing professional development as the Royal College of Surgeons (or other relevant bodies) may make. Honorary Academic Status If involved in undergraduate teaching status can be applied for. Applications can be made via the Hospital Sub-dean and then to the appropriate academic department within the University. Page 5 NHS Lanarkshire – Information Pack POSITION: Specialty Doctor in Breast Surgery PERSON PROFILE Attributes Essential Useful Qualifications Medically qualified Postgraduate surgical or general practice qualifications Training Shall have completed at least four years’ full-time postgraduate training (or its equivalent gained on a part-time or flexible basis) at least two of which will be in a Specialty Training Programme in a relevant specialty or as a fixed term specialty trainee in a relevant specialty; or shall have equivalent experiences and competencies Research Publications Experience Knowledge and Skills Disposition Ability to teach and supervise junior colleagues / nurses in breast care. Awareness of current breast trials Interest in clinical research Sound knowledge of up to date breast literature. . New and follow up breast clinic experience Family history breast and screening clinics Knowledge of current breast Awareness of breast clinical trials cancer treatment and guidelines for follow-up. Triple assessment of Management of long term new breast patients. morbidity in breast cancer Able to work as part of a close Ability to effectively refer and multidisciplinary team discuss patients across a diverse spectrum of medical practitioners Other If there is any reason why a disabled person should not be considered suitable for this post, please provide details: Name Designation Date Prepared By:Mrs. J. Murray Clinical Lead August 2014 The post requires physical dexterity. Uncorrected visual or hearing defect would be incompatible with the nature of the work. Approved By:Mr. A. Khan Associate Medical Director August 2014 Page 6 NHS Lanarkshire – Information Pack POSITION: Specialty Doctor in Breast Surgery TERMS AND CONDITIONS a) This appointment is offered on the Terms and Conditions of the new Specialty Doctor Contract. b) This appointment is superannuable under the NHS Superannuation Scheme, which is contracted out of the State Earnings Related Pension Scheme (SERPS). New employees commencing employment from 1 March 2013 onwards will automatically be enrolled in the pension scheme and your remuneration will be subject to deduction of superannuation contributions. To opt-out, you must contact the Scottish Public Pensions Agency directly on Tel: 01896 893000. Should you choose to opt-out in accordance with these changes you will be enrolled into the scheme again every 3 years (June 2016, 2019 etc) when the same process will apply. For further information on the benefits of the scheme, please contact an advisor of The Scottish Public Pensions Agency (SPPA) Tel: 01896 893100, or download/view a member’s guide at www.sppa.gov.uk/nhs/forms.htm. c) The employment is subject to 3 months’ notice on either side subject always to the appeal and other provisions of schedule 18 of the Pay and Conditions of Service of Hospital Medical and Dental Staff and Doctors and Dentists in Public Health Medicine and the Community Health Service, New Contracts for Specialty Doctor and Associate Specialist Grades. d) Reimbursement of certain telephone charges may be payable on application to NHS Lanarkshire. The successful candidate must be contactable throughout any on-call period. e) The successful candidate, if not already employed by the NHS Lanarkshire, will be required to complete a medical questionnaire to obtain medical clearance from the Occupational Health Physician. f) The successful candidate will be required to complete a Disclosure Scotland PVG (Protecting Vulnerable Groups Scheme) form. No approach will be made without written permission of the successful applicant who will be asked to sign and complete a disclosure PVG application, giving authorisation for the check to be undertaken. g) NHS Lanarkshire does not negotiate salary placements. On commencement the salary will be in line with Schedule 14 of the terms and conditions of the new Specialty Doctor contract. Appointees start on the scale minimum except in the circumstances of paragraphs 5 - 9 of Schedule 14 of the terms and conditions of service. Page 7 NHS Lanarkshire – Information Pack POSITION: Specialty Doctor in Breast Surgery h) From 1st April 2014, the starting salary for the post is £37,547 per annum (based on 10 Programmed Activities per week). The successful candidate’s total salary will be dependent on his/her previous service history. Remuneration for any extra programmed activities will be dependent upon the job plan agreed at the time of appointment. i) Dependent upon present place of residence, NHS Lanarkshire may require the successful candidate to undertake to remove home to a distance acceptable to NHS Lanarkshire, normally within 10 miles of the base Hospital, in which case removal expenses will be payable in accordance with NHS Lanarkshire Policy. In some cases, however, a residence more than 10 miles distant from the base hospital will be acceptable and in this case removal expenses will be subject to the prior approval of the Associate Medical Director for such a residence. The position will be made clear to the successful candidate on application Page 8 NHS Lanarkshire – Information Pack POSITION: Specialty Doctor in Breast Surgery DECLARATIONS/CONVICTIONS STATEMENT The following should be used when completing DECLARATIONS/ CONVICTIONS within the application pack. Registration with the General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of medical care and to behave appropriately, towards patients. NHS Employees also have a duty to ensure that patients receive a good standard of medical care and ensure as far as possible the safety of patients. We therefore need to establish if you have been found guilty of a criminal offence, been bound over or cautioned or are currently the subject of proceedings which might lead to a conviction, an order binding you over or a caution, in the UK or any other country. Applications for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. Application forms will include a declaration for applicants to complete declaring any previous or pending prosecutions or convictions, including those considered “spent” under the Act. Forms will also include a declaration of any cautions or bind overs. We also need to establish if you have been the subject of any fitness to practise proceedings in the past, or if any fitness to practise proceedings are being contemplated, by a licensing or regulatory body in the UK or another country and this is also reflected in the declaration. This information will be treated in confidence and will not debar you from appointment unless the selection panel considers that it renders you unsuitable for appointment. In reaching such a decision we will consider the nature of the conviction/action, how long ago it took place and any other factors which may be relevant Failure to disclose a criminal offence, having been bound over or cautioned or that you are currently the subject of criminal proceedings, which might lead to a conviction, an order binding you over a caution, or fitness to practice proceedings undertaken or being undertaken by an appropriate licensing or regulatory body, may disqualify you from appointment, or result in summary dismissal/disciplinary action and referral to the General Medical Council (General Dental Council) for consideration if such a discrepancy came to light. If you would like to discuss what effect any previous convictions, police investigations or fitness to practice proceedings taken or being taken either in the UK or by an overseas licensing or regulatory body might have on your application, you may telephone: Marlene Fraser (01698) 377752 in confidence, for advice. Page 9 NHS Lanarkshire – Information Pack POSITION: Specialty Doctor in Breast Surgery IMMIGRATION Overseas Doctors and Dentists Changes to Immigration Impact of Change Further Information For the purpose of immigration status, overseas doctors and dentists are those who, regardless of where they obtain their primary medical/dental qualification, are not nationals of the European Economic Area (EEA). A list of EEA countries is attached. On 7th March 2006 the Department of Health announced changes to the immigration rules for postgraduate doctors and dentists. The changes came into effect on 3rd April 2006 and mean that all doctors and dentists who wish to work in the UK from outside the EEA will need to meet the requirements of an employment category such as the work permit provisions. New applications for permit-free training visas will no longer be granted for doctors undertaking training posts Non-EEA doctors and dentists will still be able to come and train in the UK and are still eligible to apply, in open competition for training posts provided all the other eligibility criteria is met. However, training posts will now be considered employment for immigration purposes. Work permits will only be issued where there is a specific post for the overseas doctors that cannot be filled by someone from the EEA. The changes in immigration requirements for trainee doctors and dentists are a result of a Scottish Executive Health Department announcement and immigration issues are the remit of the Home Office. Clarification and further information can be accessed from the following:Home Office Work Permits EEA Countries www.ind.homeoffice.gov.uk www.ukba.homeoffice.gov.uk/workingintheuk/ Austria Greece The Netherlands Belgium Hungary Norway Bulgaria Iceland Poland Cyprus Republic of Ireland Portugal Czech Republic Italy Romania Denmark Latvia Slovakia Estonia Liechtenstein Slovenia Finland Lithuania Spain France Luxembourg Sweden Germany Malta UK NB – Switzerland is not in the EEA, Swiss Nationals have the same rights as EEA nationals. Page 10