NHS Lanarkshire – Information Pack POSITION: Consultant Surgeon with an interest in Colorectal Surgery Reference Grade Location Hours / PA’s Salary Scale Closing Date MS/0114/02 Quote on all correspondence Consultant Surgeon with an interest in Colorectal Surgery Monklands Hospital 10 PAs per week (Part-time may be considered) Consultant Monday 3rd February 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 .doc 01698 377735 Pamela.Migues@lanarkshire.scot.nhs.uk Lanarkshire NHS Inserts.pdf Additional Arrangements Informal enquiries regarding this post will be welcomed by:Mrs. J Park General Manager 01355 584528 Mr. A Khan Associate Medical Director 01698 366174 Dr. R Mackenzie Clinical Director 01236 713295 Mr. J Cumming Lead Clinician General Surgery 01236 748748 Date when the post is Vacant The post is vacant from October 2013 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 Surgeon with an interest in Colorectal Surgery POST INFORMATION The Post The successful candidate for the post of Consultant in General Surgery NHS Lanarkshire based at Monklands General Hospital will be appointed to a full time 10PA contract. General Provisions You will be answerable to the Clinical Director, 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, 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 resources are available:Consultants Mr A MacDonald Miss P Sharma Mr A Nassar Mr J Cumming Mr F Ruzvidzo Mr H Qandeel Special Interest Colo-rectal Colo-rectal Upper GI, laparoscopic biliary surgery General Locum Consultant Locum Consultant Specialty Doctors Specialist Registrars on rotation from the West of Scotland Training Scheme. STR’s on BST STRs/FY’s Secretarial Support: WTE Secretaries 2 4 7 7 Page 2 NHS Lanarkshire – Information Pack POSITION: Consultant Surgeon with an interest in Colorectal Surgery DUTIES AND RESPONSIBILITIES Main Duties You will undertake with existing colleagues the continuing care of inpatients, day cases and outpatients in Monklands General Hospital Participation in the out of hours general surgical rota with colleagues. Provision of cover for colleagues during annual, study or sickness leave. Participation in the supervision, training and management of junior medical staff. Management responsibility where appropriate as agreed with the clinical director. Participation in staff appraisal process. Participation in appropriate internal or external quality assurance programmes. Participation in clinical audit. Participation in both undergraduate and postgraduate teaching programmes. Compliance with Royal College recommendations on continuing Medical Education. 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. A minimum of 1 SPA will be included in the job plan. Additional SPAs (up to 2.5 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. Page 3 NHS Lanarkshire – Information Pack POSITION: Consultant Surgeon with an interest in Colorectal Surgery The successful candidate will be expected to contribute to the general surgery elective workload. The successful candidate will join a team of two other colorectal consultants in delivering a comprehensive service in lower GI surgery. An established trust wide multi-disciplinary team is present, with excellent support from a team of specialist nurses. There are also excellent working relationships with an experienced team of gastroenterologists, oncologists and nurse endoscopists. An established enhanced recovery programme is a core part of the unit’s policy along with our anaesthetic colleagues. In addition to the colorectal cancer practice, the unit currently benefits from experienced clinicians with expertise including laparoscopic surgery. Current practice also includes the surgical management of inflammatory bowel disease and a fully functioning bowel screening programme. The colorectal service enjoys the support of an on site Recto-Anal physiology lab and several GI specialised radiologists with interventional interest. Laparoscopic colorectal surgical skills are essential and an interest in benign anorectal conditions along with an interest in surgical critical care and medical education and research would be preferable in the successful candidate. The post holder will participate in the emergency service in Monklands Hospital currently on a 1 in 7 rota. The unit operates a receiving period of 7 days in two weeks, cancelling elective commitments. There is a separate Vascular and Urology emergency service. At present the table below provides information about current fixed time commitments. Daytime daily CEPOD lists are available for emergency cases. On taking up post a Job Plan will be agreed between the person appointed and the Clinical Director/Associate Medical 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. A minimum of 1 SPA will be included in the job plan. Additional SPAs (up to 2.5 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 allows SPA time to be worked flexibly so a fixed timetable provision for this is not indicated. Page 4 NHS Lanarkshire – Information Pack POSITION: Consultant Surgeon with an interest in Colorectal Surgery Fixed Commitments Days Monday Tuesday Hours Type of Work AM PM Endoscopy AM PM Wednesday AM PM Thursday AM DSU Main Theatre Main Theatre Clinic Location Monklands Hospital Monklands Hospital Monklands Hospital Monklands Hospital Monklands Hospital PM Friday AM Colorectal MDT Monklands Hospital PM The indicative timetable identifies those fixed commitments which are dependent on other hospital resources, both physical and human. The remaining PA commitment is non fixed and covers for example delivery of ward rounds, clinical administrative duties and on call commitments. In addition, other activities not occurring at fixed times. Reviewing new admissions. Discussing referrals, in patient and out patient 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. Speaking to GP’s, outpatients re results. Vetting Fast Track clinic referrals/ allocating appointments (daily). CPD and Appraisal Audit Page 5 NHS Lanarkshire – Information Pack POSITION: Consultant Surgeon with an interest in Colorectal Surgery Review of the Job Plan This job plan is subject to review at least once a year by the post holder and the Specialty 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. 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 Specialty 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 6 NHS Lanarkshire – Information Pack POSITION: Consultant Surgeon with an interest in Colorectal Surgery PERSON PROFILE Attributes Essential Qualifications FRCS (Exit Exam) or equivalent postGraduate qualification in Surgery. Training GMC Registration with a licence to practice. On Specialist Register or within 6 months of CCT or CESR (CP) at interview. Research Willingness to participate in multicentre studies applicable. Publications Useful ChM, MD or equivalent. Research experience relevant to the practice of surgery is desirable. Articles on relevant topics in peer review journals. Experience In keeping with completion of specialist training. Experience of and/or interest in audit and clinical management. Previous experience in organising NHS or other health services. Knowledge Broad based knowledge and skills in Problem solver/diplomat /counsellor. and Skills relation to general surgery. Specialist training in Colorectal Surgery. Interest and experience in undergraduate and postgraduate teaching. Disposition Committed to Quality Patient Care. Preference to work in a District General An ability to communicate well with Hospital. colleagues and other staff. Driving licence. Ability to work as part of a team. Other A commitment to continuing medical education. A flexible approach to duties, which satisfies the needs of the Service in a changing environment. If there is any reason why a disabled person The post requires physical dexterity. Uncorrected should not be considered suitable for this post, visual or hearing defect would be incompatible please provide details: with the nature of the work. Name Designation Date Prepared By:Dr. R Mackenzie Clinical Director December 2013 Approved By:Mr. A. Khan Associate Medical Director December 2013 Page 7 NHS Lanarkshire – Information Pack POSITION: Consultant Surgeon with an interest in Colorectal Surgery 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 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 8 NHS Lanarkshire – Information Pack POSITION: Consultant Surgeon with an interest in Colorectal Surgery 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 2013 the starting salary for the post is £75,249 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 9 NHS Lanarkshire – Information Pack POSITION: Consultant Surgeon with an interest in Colorectal 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 10 NHS Lanarkshire – Information Pack POSITION: Consultant Surgeon with an interest in Colorectal 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 11