NHS Lanarkshire – Information Pack POSITION: Consultant Urologist Reference Grade Location Hours / PA’s Salary Scale Closing Date MS/1214/08 Quote on all correspondence Consultant Monklands Hospital 10PAs per week (Part-time may be considered) £76,001 - £102,465 Monday 12th January 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 Telephone Email Application Process To apply, please email your CV to the above, along with the attached completed Application Pack. Application Pack Sept 14.docx 01698 377735 Pamela.Migues@lanarkshire.scot.nhs.uk Lanarkshire NHS Inserts.pdf Additional Arrangements Informal enquiries regarding this post will be welcomed by:Mr A B Khan Associate Medical Director 01698 366174 Mrs A Fyfe Director of Hospital Services 01236 712443 Dr R Mackenzie Chief of Medical Services 01236 712443 Mr A Almushatat Consultant Urologist (Lead) 01355 585000 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: Consultant Urologist Integration of Health and Social Care Services Public Bodies (Joint Working) (Scotland) Bill The purpose of the above Bill is to create statutory Health and Social Care Partnerships in each local authority in cooperation with health boards to replace existing Community Health Partnerships (CHP’s). In Lanarkshire two Health and Social Care Partnerships have been developed, one each in North and South Lanarkshire and these will replace existing CHP’s. Discussions between NHS Lanarkshire and the two Local Authorities are on-going in considering the range of services that will be managed through the Health and Social Care Partnerships. In the North a Shadow Board is being established with ongoing recruitment taking place. In the South a Shadow Board is now in place. A strategic plan will be developed for each Health and Social Care Partnership including considering the range of services that will be managed from April 2015. This service may in the future be included within this range. Management Structure The supporting operational and clinical management structures are focused on enhancing patient safety, quality improvement and local delivery at hospital level, with visibility of clinical leadership and support for individual professional 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. Management Structure Overview (Acute) Director of Acute Services Associate Medical Director COTE Director of Hospital Services Hairmyres Director of Hospital Services Monklands Director of Hospital Services Wishaw Director of Access Chief of Medical Services Hairmyres Chief of Medical Services Monklands Chief of Medical Services Wishaw Associate Medical Directors Clinical Directors Deputy CD's Leads Various Specialties Clinical Directors Deputy CD's Leads Various Specialties Clinical Directors Deputy CD's Leads Various Specialties Divisional Medical Director Page 2 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist POST INFORMATION The Post The urology department in NHSL are seeking to recruit a Urology consultant with and interest in general urology. The development of a sub-specialist interest which complements the department would be encouraged. The inpatient service is concentrated in Monklands Hospital although clinics and day surgery takes place in each of the three acute sites (Hairmyres, Wishaw and Monklands Hospitals). The precise details of the job plan will be dependent on the successful candidate’s subspecialty training and interests. The job is offered as a full-time post on a 10 PA basis but applications will be considered from those wishing to work less than full-time. If fulltime up to 2 EPA’s may be available to undertake additional outpatient and/or procedure sessions or management activity. All new substantive Consultants are initially offered a minimum of 1 PA for SPA duties but this will be reviewed within 6 months (or earlier if required) of appointment and revised upwards if additional responsibilities have been undertaken. Additional SPA time (up to 2.5 PA’s in total) can be incorporated into the job plan depending on the time required to support the successful candidate’s professional activities and the needs of the service. NHS Lanarkshire is supportive of applications from individuals with well developed ideas for improving services who are able to demonstrate a commitment to quality improvement, patient safety (including human factors training), Medical Education and Research & Development. Applicants wishing to commence on more than 1 PA for SPA duties should discuss proposals with the identified Lead contact and Service Medical Manager (Associate Medical Director or Divisional Medical Director) General Provisions You will report to Clinical Director, who will agree your job plan. Health and Safety You are required to comply with NHS Lanarkshire Health and Safety Policies. Page 3 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist Junior Medical Staff You will be responsible for the training and supervision of Junior Medical staff who work with you, and you will be expected to devote time to this on a regular basis. 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 department resources are available:Consultants Mr A Khan Mr A Almushatat Mr I Dunn Mr S Nalagatla Miss A Ramsay Mrs S Reid (2015) Mr J De-Souza This Post Special Interest Renal Laparoscopy Laparoscopy Stone Surgery Stone Surgery / Andrology Renal Pelvic Surgery General/ other Specialty Doctors Specialist Registrars on rotation from the West of Scotland Training Scheme. STR’s on BST STRs/FY’s Secretarial Support: WTE Waiting List Shedulers (MH) WTE Waiting List Co-Ordinator (MH) WTE Secretaries (WG) WTE Secretaries (HM) WTE Secretaries (MH) 3 + 1 LAS 0 2 2 1.42 1.00 2.53 3.57 3.50 Page 4 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist DUTIES AND RESPONSIBILITIES Main Duties You will undertake with existing colleagues the continuing care of inpatients, day cases and outpatients in the acute hospitals and at outreach clinics. Work Programme Out of hours responsibilities will be shared with colleagues on an Area basis, 1 in 7 You will be required to provide cover for colleagues during periods of annual, study or sick leave as per agreed ‘on-call availability’ paper (available on request). Professional supervision and management of Junior Medical Staff. Managerial responsibility where appropriate. Work on behalf of the Division such as domiciliary consultations or services provided for other agencies, e.g. Prison Service. 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. A minimum of 1 SPA will be included in the job plan but please refer to the guidance above under the general description of the post. On taking up post a Job Plan will be agreed between the person appointed and the Clinical Director/Associate Medical Director. This job plan is subject to review at least once a year by the post holder and the Clinical Director/Clinical Lead 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. Page 5 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist The timetable is indicative and subject to negotiation with the Clinical Director / Associate Medical Director. The core 10 PA working week will be based on 9 PA’s of Direct Clinical Care (DCC) duties and 1 PA of SPA time for a full-time post-holder. The indicative weekly timetable included in the work programme shows likely elective PA’s within the 10 PA post and indicated the location where each activity will be undertaken and the type of work involved. Fixed Commitments In addition, other activities not occurring at fixed times. Days Monday Hours AM PM Tuesday AM PM Wednesday AM PM Thursday AM PM Friday AM PM Audit and research Type of Work IP Theatre IP Theatre OPD (Returns) MDT Alt OPD (New) OPD (New) SPA Clinical Admin DSU Alt OPD (New) Location Monklands Hospital Monklands Hospital Wishaw General Monklands Hospital Wishaw General Wishaw General Monklands Hospital Monklands Hospital Wishaw General Wishaw General Reviewing new admissions. Discussing referrals, inpatient and outpatient with Colleagues (daily). Discussing management/investigation of patients with colleagues in other appropriate Clinical Support Services Ward Referrals, Discussing patient management/ reviewing patients with doctors in training and Nursing Staff out with formal ward rounds. Expeditious completion of discharges and completion of patient administration duties e.g. verifying letters, signing off results etc. Speaking to GP’s, outpatients re results. Vetting Fast Track clinic referrals/ allocating appointments (daily). Work towards generic and specialty objectives. CPD and Appraisal Audit The successful candidate will be expected to participate in audit processes and there is an active clinical audit department available to assist. NHS Lanarkshire is ambitious to build a portfolio of research projects backed by enthusiastic and dynamic individuals. It has an active Research and Development department and would welcome discussion regarding a potential research interest. Page 6 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist Continuing Professional Development Study leave is available within the terms and conditions of service with the approval of the Clinical Director/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 7 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist PERSON PROFILE Attributes Essential Qualifications MBChB or equivalent. Useful Higher Degree or other Diploma. Postgraduate exam or equivalent. Current full registration with GMC with a licence to practice. Inclusion on GMC’s Specialist Register in Urology or within 6 months of CCT or CESR (CP) at interview. Training In possession of CCT or CESR at the time of interview or in an established training programme and within six months of CCT (i.e. pending exam). Training at ST/SPR level communication, teaching management. Experience within establishments UK in or training Human Factors Training. Experience Recent and relevant experience and personal qualities to work in a busy urology unit dealing with a high turnover of planned and unscheduled admissions. Well developed subspecialty interest. Administrative / Management experience. Ability to supervise the clinical work of doctors in training and relevant staff in other disciplines. Confident with indirect supervision of varying grades of doctors in training. Previous experience in organising NHS Services or equivalent. Page 8 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist Audit/Research Understanding of the principles of Experience and interest in Audit of medical audit. current practice and experience of design of audit Evidence of contribution to audit at least at local level. Research within urology Awareness of principles of research with an ability to critically analyse medical literature. Publications Presentations and publications relevant to the practice of urology Teaching Previous involvement in the delivery Interest in and commitment to of undergraduate or postgraduate teaching and training. teaching. Experience of providing problemExperience of providing supervision based teaching. and or mentorship Experience of organising teaching programmes. Formal training in educational/clinical supervision. Knowledge and Skills Broad based knowledge and skills in Further educational diagnosis and clinical management diploma’s, etc within the Specialty and encompassing most sub-disciplines. Good IT skills. certificates, Page 9 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist Disposition Committed to Quality Patient Care. Problem solver/diplomat/counsellor. Able to be understanding of and sensitive to the needs of patients. A natural leader. Excellent communication (verbal and written) skills Ability to work under pressure. Ability to work effectively in a multidisciplinary team. Responsive to change and innovation, promoting a culture for organisational development. A flexible approach to duties, which satisfies the needs of the Service in a changing environment. Ability to demonstrate reflective practice with evidence of regular appraisal with clear Personal Development Plan relating to Continuing Professional and Personal Development. Good time organisation. management and Demonstrates commitment and enthusiasm to service delivery. Managerial Knowledge of service provision at a local level. Involvement in service re-design. Involvement in project delivery. Awareness of the principles and core practices involved in service management, project management and effective meetings. Involvement meetings. in NHS-related Page 10 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist Leadership Awareness of the principles of team Evidence of role as leader within leadership and effective people groups. management. Commitment to the Values of NHS Lanarkshire:- Fairness, Respect, Quality, Working Together. Other Satisfactory medical clearance by Preference to work in a District NHS Lanarkshire Occupational General Hospital. Health Service. Current full driving licence. Satisfactory PVG Check. Fluent in medical English and evidence of ability to communicate in stressful situations. If there is any reason why a disabled person should not be considered suitable for this post, please provide details: Prepared By:Name Designation Date The post requires physical dexterity. Uncorrected visual or hearing defect would be incompatible with the nature of the work. Approved By:Mr. A B Khan Associate Medical Director December 2014 Page 11 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist TERMS AND CONDITIONS a) This appointment is offered on the Terms and Conditions of the new Consultant Contract. Additional NHS Lanarkshire Policies which support the Contract are listed below and are available on request: b) Additional & External Duties Fee –Paying Work in the New Consultant Contract On-Call Availability and Payment of Supplement Generic Objectives Resident On-Call Duties Waiting List/Additional Sessions 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 paragraphs 10.4 & 10.5 of the Terms and Conditions of Service of Hospital Medical and Dental Staff and Doctors in Public Health and the Community Health Service Consultant Grade. 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. Page 12 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist 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 authorization for the check to be undertaken. g) NHS Lanarkshire does not negotiate salary placements. On commencement the salary will be in line with paragraph 5.1 of the terms and conditions of the new consultant contract. Appointees start on the scale minimum except in the circumstances of paragraphs 5.1.2 – 5.1.7 of the terms and conditions of service. h) From 1st April 2014 the starting salary for the post is £76,001 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 13 NHS Lanarkshire – Information Pack POSITION: Consultant Urologist 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 14