SENIOR CLINICAL FELLOW
OTOLARYNGOLOGY
ROYAL HOSPITAL FOR SICK
CHILDREN
INFORMATION PACK
REF: 27873D
CLOSING DATE: NOON 1ST FEBRUARY 2013
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: SENIOR CLINICAL FELLOW OTOLARYNGOLOGY
BASE: ROYAL HOSPITAL FOR SICK CHILDREN
NHS Greater Glasgow & Clyde
Women and Children’s Directorate
Information Pack
for the post of
Senior Clinical Fellow
IN
PAEDIATRIC OTOLARYNGOLOGY
Royal Hospital for Sick Children
Yorkhill, Glasgow
1
CHILDREN’S SERVICES ACROSS NHS GREATER GLASGOW
AND CLYDE
The Yorkhill Campus hosts the Royal Hospital for Sick Children and the Queen
Mother’s Maternity Hospital. Located outwith the two main hospitals, but on campus
grounds, is a full facility of on-site laboratories.
A description of the two main hospitals is provided below.
a)
The Royal Hospital for Sick Children, Glasgow
The Royal Hospital for Sick Children, Glasgow, is one of the largest paediatric
teaching hospitals in the UK and the largest in Scotland. It provides
secondary care for more than 900,000 people resident within the Greater
Glasgow and Clyde area, but also tertiary care for the 3m people living across
the West of Scotland. There are also 17 nationally designated services
delivered from the hospital including cardiac surgery, bone marrow and renal
transplantation, ECLS and complex airways.
There is a complement of up to 279 beds, which include 23 integrated
neonatal medical and surgery cots. There are 16 nationally funded intensive
care beds and 6 high dependency beds within an integrated critical care
facility. This facility has the physical capacity to extend to 26 integrated critical
care beds. A new theatre complex was opened in 1998 comprising of 7 full
theatres, scope room and dental suite. The ED currently sees just under
40,000 patients per year.
All paediatric medical and surgical subspecialties are represented, including
general medical paediatrics, cardiology, neonatology, neurology, nephrology,
respiratory, endocrinology, gastroenterology, immunology and infectious
diseases, dermatology, haematology/oncology, rheumatology, metabolic
medicine, audiology, ophthalmology, ENT surgery, orthopaedics and general
paediatric and neonatal surgery. A selection of child and adolescent
psychiatry facilities are located within the campus along with a recently
opened Child Protection Unit.
The hospital provides the major Undergraduate Paediatric Teaching facility
for the University of Glasgow and accommodates the University Departments
of Child Health, Child and Family Psychiatry, Medical Genetics, Human
Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric
Surgery. There is on site clinical audit and research and development support
to assist with departmental research projects.
The Radiology Department located within RHSC provides ultrasound, CT,
MRI and isotopic studies on site. A new national PACS system is being rolled
out due for completion at the end of 2008. All imaging is now film-less.
Diagnostic laboratory facilities on site include Haematology, Blood Banking,
Biochemistry, Microbiology, Virology, Histopathology and Genetics.
b)
Other Paediatric services in NHSGG&C
There are three other maternity hospitals in Glasgow; Princess Royal
Maternity Hospital, Southern General Hospital and the Royal Alexandra
Hospital, all with neonatal intensive care facilities.
Paediatric neurosurgery is located in the Institute of Neurosciences at the
Southern General Hospital.
There is one children’s ward at the Royal Alexandra Hospital providing local
care for the children of Paisley.
There is an extensive range of specialist community based children’s services
across NHS Greater Glasgow. Managed within community health and social care
partnerships, these services are integrated with primary care and social care
services.
c)
New Children’s Hospital
In order to provide child, maternal and adult services on a single site a new
children’s hospital is currently being commissioned on the existing Southern
General Hospitals campus with an anticipated opening date of calendar year
2015. Maternity services in the QMH will be re-provided across SGMH and
PRM units from 2009 / 2010.
2.
WORK OF THE DEPARTMENT
The otolaryngology department undertakes the full range of paediatric ear, nose and
throat services, including a National Services Division-designated national service
for complex airway reconstruction and a supra-regional referral service for airway
disorders in general. The only service not provided on site is cochlear implantation,
which is provided as a national service at Crosshouse Hospital in Kilmarnock.
Yorkhill is the main tertiary referral centre for paediatric airway disorders for
Scotland.
All airway conditions are dealt with including choanal atresia,
laryngomalacia, subglottic stenosis, recurrent respiratory papillomatosis and tracheal
pathology. This work is made possible by the support of a large paediatric intensive
care unit, skilled anaesthetists, a national paediatric transport and retrieval service
and experienced ENT nurses. Equipment available in the operating theatre includes
a CO2 laser, a KTP laser, a microdebrider, microscopes, various rigid and flexible
telescopes and video equipment. We have recently purchased half a million
pounds-worth of new endoscopes for airway work.
Funding was obtained within the last few years to support the provision of digital
hearing aids for all children, and for modernisation of audiology facilities in the
hospital and various community settings. Audiology facilities in the hospital include
otoacoustic emissions testing and ABR. Universal neonatal screening for hearing
impairment was introduced in 2005. That year also saw the appointment of Dr Juan
Mora, Consultant in Paediatric Audiological Medicine. The department has a boneanchored hearing aid programme, and undertakes surgery for chronic otitis media
and prominent ears on a regular basis.
The department also provides a service for children with head and neck lesions,
including vascular malformations, branchial cleft anomalies and neck masses.
Currently the following specialist clinics are in operation:
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Airway (Mr Clement, Mr Kubba and Mr Wynne)
Tracheostomy (Mr Kubba and Mr Clement with Dr Phil Davies from
respiratory medicine)
Saliva Control (Mr Kubba)
Down Syndrome preschool surveillance (Mr Kubba, with audiology)
Cleft Palate (Mr Wynne and Mr Sadiq)
craniofacial (Mr Wynne)
Voice (Mr Wynne)
BAHA/microtia (Mr Clement)
Otology (Mr Morrissey).
3. THE JOB ITSELF
(a)
Title:
Senior Clinical Fellow in Paediatric Otolaryngology
(b)
Relationships:
(i)
Name of Health Board(s)/Trust: NHS Greater Glasgow and Clyde
(ii)
Names of Consultant members of the Department:
Mr Simon Morrissey
Ms Fiona MacGregor
Mr Haytham Kubba (Lead Clinician)
Mr Andrew Clement
Mr David Wynne
(iii)
Junior Medical Staff
2 Specialty Registrars, West of Scotland Rotation
1 GP Trainee
1 Foundation Year 1 doctor
(iv)
Other Clinical Staff
Mr H A Sadiq, Associate Specialist
Dr Juan Mora, Consultant Paediatric Audiological Physician
Sylvia Harrison, Clinical Nurse Specialist in Tracheostomy and Complex
Airway Surgery
Tracey-Ann Baird, Clinical Nurse Specialist in Tracheostomy and Complex
Airway Surgery
(c)
Duties of the Post:
(i)
Clinical - details of all clinical commitments
The appointee will provide support to the consultants in paediatric
otolaryngology at the level of an experienced specialist registrar. The
appointee will be expected to play a major role in the delivery of specialist
services, including the national referral service for children with airway
disorders. This will involve outpatient clinics, operating sessions, emergency
referrals from general practitioners, accident and emergency staff and other
hospital specialists, and supervision of more junior doctors on the wards. All
sessions will be undertaken with the supervision and support of the
consultants but the exact degree of supervision provided will be tailored to the
needs and experience of the postholder.The postholder will be expected to
develop good working relationships with nurses, junior medical staff and
colleagues in other disciplines, such as Speech and Language Therapy,
Maxillofacial
Surgery,
Respiratory
Medicine,
Neurology
and
Haematology/Oncology.
The post holder will have a provisional job plan comprising eight fixed
sessions in addition to responsibilities of ward rounds, continuing care,
administration, teaching, audit and research. The plan will include four
outpatient clinics and four fixed operating sessions.
The appointee will provide emergency cover on-call for the Royal Hospital for
Sick Children. On-call is currently partly shared with the adult Otolaryngology
department at Gartnavel General Hospital on approximately a 1 in 7 rota.
(ii)
Teaching
The successful applicant will be expected to take a substantial role in
undergraduate and postgraduate teaching.
(iii)
Research
The successful applicant will be expected to participate actively in the
ongoing research and audit programme of the department, and will be fully
supported in doing so.
(iv)
Administration
The postholder will be expected to undertake such administrative duties as
are required for his or her patients and the proper functioning of the
department.
(d)
Timetable
The postholder will alternate every 3 months between these two timetables
(the exact details may change if consultant sessions are reorganised for any
reason), the other timetable being occupied by the West of Scotland
Specialist Registrar.
Timetable 1
(Mr Morrissey / Miss MacGregor / Mr Kubba /Mr Wynne )
mon
tues
wed
thurs
am
MORRISSEY
MACGREGOR MACGREGOR MORRISSEY
clinic
clinic
theatre
otology clinic
pm
KUBBA clinic
KUBBA
theatre
Timetable 2
(Mr Clement / Mr Wynne / Dr Mora)
mon
tues
am Research
WYNNE
clinic
(cr’facial)
pm CLEMENT/MORA
CLEMENT
clinic
clinic
MORRISSEY
theatre
wed
KUBBA
special
clinics
Research
Research
fri
WYNNE
clinic
WYNNE
theatre
thurs
CLEMENT
theatre
fri
MORA clinic
CLEMENT
theatre
CLEMENT
theatre
Person Specification for Senior Clinical Fellow in Paediatric Otolaryngology
1. Qualifications
and
Professional
Training
2. Professional
Practice and
Experience
Essential Requirements
MBBS
FRCS (ORL-HNS) for post-CCT
applicants
Desirable Requirements
Higher degree
Certificate of Completion of Higher
Specialist Training in Otolaryngology.
Should have completed all relevant
training in general otolaryngology
Should have some
experience in paediatric
otolaryngology including
specialist airway work
Or, current holder of a national training
number (NTN) in otolaryngology on an
approved UK programme AND with
confirmation from their postgraduate
dean that they can take time out of
programme and keep their NTN during
this time
3. Research;
Publications;
Teaching
Evidence of research leading to peer
reviewed publications.
Interest and experience in teaching at
undergraduate and postgraduate levels.
4. Personal
Attributes
Good communication and interpersonal
skills.
Leadership skills.
Organisational and administrative skills
Commitment to team working.
5. Other General
Requirements
GMC registration
Enhanced disclosure from Disclosure
Scotland.
NHS Greater Glasgow & Clyde
Women & Children’s Directorate
Senior Clinical Fellowin Paediatric Otolaryngology
1st February 2013-31st July 2013
st
1 February 2014-31st January 2015
The Women & Children’s Directorate (an Acute Operating Division of NHS Greater
Glasgow & Clyde) is a world leader in the care of child and maternal health services.
Located in the West end of Glasgow the hospital campus houses the famous Royal
Hospital for Sick Children with many national and regional specialist tertiary
services.
Applications are invited for a post in paediatric otolaryngology providingtraining at
the level of an experienced specialist registrar. The postholder will benefit from
extensive exposure to paediatric airway disorders within the NSD-designated
Scottish National Service for Complex Paediatric Airway Reconstruction. The
department also undertakes a varied workload of secondary- and tertiary-level
paediatric otolaryngology including head and neck surgery, chronic otitis media
surgery, bone-anchored hearing aids, and audiological medicine.
The post holder will join a team including 5 consultant otolaryngologists, an
associate specialist,two speciality registrars and a GP Trainee. The department also
has a consultant and an associate specialist in paediatric audiological medicine, and
a complex airways and tracheostomy clinical nurse specialist. The department has
a developing research portfolio and is actively involved in undergraduate and
postgraduate education.
Applicationsare sought primarily from dynamic individuals who hold a CCT (or will do
so by the commencement of the post) in otolaryngology and who are looking to gain
additional paediatric experience prior to taking up a consultant post. This post,
however, carries approval for Specialist Registrar training from the SAC, so
individuals not yet in possession of their CCT are welcome to apply as long as
they currently hold a National Training Number in otolaryngology and have
written support from their programme director and postgraduate dean to take
time out of programme.
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
Fixed Term
GRADE AND SALARY
Clinical Fellow
£ 39,300 £ 46,708 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
CONFIRMATION OF
ELIGIBILITY TO WORK IN
THE UK
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.
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 Haytham Kubba
on 0141 201 0297 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.
NOMINATION OF REFEREES
It is Board policy that no person can act as a member of an Advisory Appointments
Committee and be a referee for a candidate for that post. You should therefore check with
your proposed referees whether there is likely to be any difficulty in this respect for we may
otherwise have to invite you to submit another name or names
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, 1st Floor
Modular Building, Gartnavel Royal Hospital
1055 Great Western Road
GLASGOW
G12 0XH
CLOSING DATE
The closing Date will be 01 February 2013