CONSULTANT IN PAEDIATRIC OTOLARYNGOLOGY ROYAL HOSPITAL FOR SICK CHILDREN INFORMATION PACK REF: 33878D CLOSING DATE: NOON 22ND AUGUST 2014 www.nhsggc.org.uk/medicaljobs SUMMARY INFORMATION POST: CONSULTANT IN PAEDIATRIC OTOLARYNGOLOGY BASE: ROYAL HOSPITAL FOR SICK CHILDREN 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. In addition to its many national and regional specialist tertiary services, the Directorate also supports an extensive array of community child health services. The post holder will join a team including 4 consultant paediatric otolaryngologists, an associate specialist and a paediatric audiological physician. The department has a developing research portfolio and is actively involved in undergraduate and postgraduate education. The department has a major paediatric airway workload including the NSD-designated Scottish National Service for Complex Paediatric Airway Surgery. 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. This post will therefore offer an excellent opportunity to develop areas of specialist expertise to complement those of the existing consultants. An interest and experience in paediatric otology would be an advantage. Application is therefore sought from dynamic individuals with specialist paediatric or otology experience who are ready to join our well-established team. Applicants must have full registration with the General Medical Council, a licence to practice and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher Specialist Training leading to a CCT or eligibility for specialist registration (CESR) or be within six months of confirmed entry at the date of interview. Non UK applicants must demonstrate equivalent training. NHS Greater Glasgow & Clyde Women and Children’s Directorate Information Pack for the post of CONSULTANT IN PAEDIATRIC OTOLARYNGOLOGY Royal Hospital for Sick Children Yorkhill, Glasgow Acute Division Women & Children’s Directorate Further Particulars of the Post of Consultant in Paediatric Otolaryngology JOB DESCRIPTION Applications are invited for the post of Consultant Paediatric Otolaryngology at the Royal Hospital for Sick Children, Glasgow. The post will be based at the Royal Hospital for Sick Children, Yorkhill, Glasgow. This document is split into the following sections: Children’s Services Across NHS Greater Glasgow & Clyde New Children’s Hospital Build Management Structures The Work of the Surgical Department The Job Itself/Description of Service Contact Names Personal Specification Terms & Conditions of Service Further Information The overall job pack also contains documentation around equal opportunities monitoring. Section 1 Hospital Paediatric and Neonatal Services across NHS Greater Glasgow and Clyde The majority of acute children’s services in NHS Greater Glasgow and Clyde are provided from the Royal Hospital for Sick Children (RHSC). A paediatric ward and neonatal unit in the Royal Alexandria Hospital supports acute care for children and young people and neonates in the Clyde catchment area of the NHS Board. Neonatal intensive care is provided at the Southern General Maternity Hospital, Princess Royal Maternity and Royal Alexandria Hospital. The RHSC will be re-located to a new build on the Southern General Hospital campus in 2015. The Royal Hospital for Sick Children RHSC is the largest paediatric teaching hospital in Scotland. It provides care for children resident within the Greater Glasgow area, acts as a tertiary referral centre for children from the West of Scotland and in a range of subspecialties including invasive paediatric cardiac services, from the whole of Scotland. All paediatric medical and surgical subspecialties are provided, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology (bone marrow transplant service), neurology, neurosurgery, cranio facial and maxillofacial surgery, nephrology, cardiology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, rheumatology and orthopaedics, general paediatric and neonatal surgery There are 173 inpatient beds excluding paediatric and neonatal critical care, day care and medical assessment with cardiac patients located in ward 5a (24 bed ward) There is a 22 bed paediatric intensive and high dependency care unit. Co located with this is further 18 neonatal intensive care cots There are 7 full operating theatres, day surgery unit, pre assessment team, dental suite and endoscopy room in the main theatre complex in the hospital. Cardiac surgery has a dedicated theatre and team providing 24 / 7 cover to their patients. There is a full radiology suite of MRI, catheterization laboratory, CT scanner and clinical physics department. There is also an extensive cardiac physiology department National services provided from RHSC include: o Cardiac Surgery and interventional cardiology o Neonatal cardiology, o Neonatal ENT, o ECLS o Congenital Diaphragmatic Hernia network, o Vein of Galen assessment and treatment (together with Great Ormond Street as a UK service). o Paediatric Renal transplantation o Paediatric Stem Cell transplantation Large outpatient, medical day care, medical assessment unit and emergency department On site paediatric and neonatal transport/retrieval services A pan Greater Glasgow Child Protection Unit has been developed on site. Laboratory services to the RHSC are provided from the Southern General Hospital campus. RHSC 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. Southern General Maternity At the start of 2010 the new neonatal unit opened above the labour ward on the Southern General site with projected delivery numbers for the hospital of 5,900 births per year. Because the Ian Donald Fetal Medicine unit is on the same site a significant proportion of the neonatal workload involves delivery of infants with known congenital anomalies. Limited radiology support is provided by colleagues from the RHSC but infants requiring invasive procedures or complex imaging are transferred to the RHSC neonatal unit. There is physical space for 34 intensive care and high dependency cots and 26 special care cots. When the new children’s hospital opens on the Southern general site in 2015, all neonatal services currently provided in the NICU at RHSC will move over to the Maternity unit. There will be a physical link to the intensive care floor of the new children’s hospital. There is a dedicated fully equipped echo machine and remote telemedicine link on site together with access to the cardiac patient database kept at RHSC. Princess Royal Maternity (PRM) The PRM is a large maternity unit, situated about 1 mile east of the centre of Glasgow. It is on the campus of Glasgow Royal Infirmary, which provides services for the population of the East and North of Glasgow. It is a purpose built 120 bed maternity hospital, with a capacity for 6,800 deliveries per annum. There are 10 intensive care cots, 23 special care cots and a 4 bed transitional care unit. All neonatal intensive care can be provided except for those infants who require neonatal surgery and/or extra-corporeal life support services (ECMO). A telemedicine link with the Royal Hospital for Sick Children has been long established allowing live consultation and the transmission of ultrasound images. The University Chair of Obstetrics and Maternal Medicine is based on site and there is an active research philosophy in the unit. Golden Jubilee National Hospital (GJNH) The GJNH is located 8 miles west of the city centre along the river Clyde. It contains the West of Scotland Cardiac Centre which provides cardiac surgery and interventional cardiac services to the population of the West of Scotland. It also has some designated National services including the Scottish Adult Congenital Cardiac Service, Scottish Pulmonary Vascular Unit and Scottish Advanced Heart Failure Service. The adult congenital unit performs over 200 adult congenital operations and catheter interventions per year and is closely integrated with the paediatric congenital cardiac service. Section 2 New Hospital Build The construction of a new children’s hospital (replacing the current Royal Hospital for Sick Children) has commenced on the Southern General Hospitals Campus alongside a new adult hospital and existing maternity unit including new neonatal unit. Completion of this new tripartite clinical arrangement for NHS Greater Glasgow covering acute care of adult, children and maternity services is expected to be completed by 2015. Section 3 Management Structures Greater Glasgow and Clyde NHS Board have a single operating division for all acute services. Diagram (1) highlights the local management structure underpinning operational service delivery. Diagram 1 – management structure Chief Operating Officer Acute Division Directors (Adult Services) * 7 Functional Heads Associate Medical Director, Head of Nursing, Head of Midwifery, Head of Finance, Head of Human Resources, Planning Manager Clinical Directors * 4 Reports to Chief Executive of the overall NHS Board Director Women and Children’s Directorate General Manager – Hospital Paediatrics & Neonatology General Manager – Obstetrics & Gynaecology Clinical Services Managers * 2 Acute General Paediatrics Neonatal Critical Care Lead Nurses * 4 Anaesthesia and Surgery Business and Planning Support Medical Sub Specialties Key Stakeholders (within Diagram 1): Robert Calderwood Kevin Hill Jim Beattie Jamie Redfern Pam Cupples Lynne Robertson Chief Executive; Greater Glasgow and Clyde NHS Board Director Women and Children’s Directorate Associate Medical Director; Women and Children’s Directorate General Manager; Hospital Paediatrics & Neonatal Services Clinical Director, Surgery & Anaesthesia Clinical Services Manager Contact details for some of the above named personnel are available in section 9 along with a list of other key management / clinical employees within hospital paediatrics. Section 4: The Otolaryngology 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 2006. That year also saw the appointment of Dr Juan Mora, Consultant in Paediatric Audiological Medicine. The department has a bone-anchored 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: Voice (Mr Wynne), BAHA / Microtia (Mr Clement), Saliva Control (Mr Kubba), Complex Airway (Mr Kubba, Mr Clement and Mr Wynne), Down Syndrome preschool surveillance (Mr Kubba), Tracheostomy (Mr Clement and Mr Kubba, with Dr Phil Davies from Respiratory Medicine), Cleft Palate (Mr Wynne and Mr Sadiq), Craniofacial (Mr Wynne) and Otology (Mr Morrissey). Section 5: (a) THE JOB ITSELF Title: Consultant Paediatric Otolaryngologist (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 (Lead Clinician) Mr David Wynne Ms Fiona MacGregor Mr Haytham Kubba Mr Andrew Clement (iii) Junior Medical Staff 1 Senior Clinical Fellow (usually post-CCT) 2 Specialty Registrars, West of Scotland Rotation 1 GP trainee 1 Foundation Year 1 doctor (iv) Other Medical Staff Mr H A Sadiq, Associate Specialist Dr Juan Mora, Consultant Paediatric Audiological Physician Sylvia Harrison, Clinical Nurse Specialist in Tracheostomy and Complex Airway Tracey-Ann Baird, Clinical Nurse Specialist in Tracheostomy and Complex Airway (c) Duties of the Post: (i) Clinical - details of all clinical commitments This appointment is a new post. The appointee will provide a service in general paediatric otolaryngology, and will have the opportunity to develop areas of special interest to complement those of the existing consultants. It is likely that the appointee will play a major role in delivering otological surgery including bone anchored hearing aids and middle ear surgery, and in providing otological support to the Scottish National Service for Microtia (led by Mr Ken Stewart, plastic surgeon). There will also be the opportunity to provide otological and airway surgery support to the craniofacial team. The appointee will be expected to play a role in the national referral service for children with airway disorders, and in particular will be expected to deal with a wide range of complex emergency airway cases on call. The post holder will have a provisional job plan comprising a mix of flexible and fixed operating sessions and outpatient clinics in addition to responsibilities of ward rounds, continuing care, administration, teaching, audit and research. The exact timing of these sessions will not be confirmed until a review of job plans across the whole department is complete. It is envisaged that there will be an average of 2.5 operating lists and 3 clinics per week. 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 but this new appointment should allow the establishment of a dedicated paediatric on-call rota on a 1 in 5 basis. (ii) Teaching The successful applicant will be expected to take a lead role in undergraduate and postgraduate teaching. He or she will also be expected to be responsible for the professional supervision, training and development of doctors in training grades. (iii) Research The successful applicant will be expected to develop a research interest and supervise research projects undertaken by doctors in training grades. The postholder will also develop a lead role in clinical audit. (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 This timetable is given only as an example as the exact timing and nature of sessions have yet to be determined. Day Hours MON MON TUES TUES WED WED THURS THURS FRID FRID SAT SAT SUN SUN AM PM AM PM AM PM AM PM AM PM AM PM AM PM Hospital or Clinic and Description of Duties e.g. ward Rounds, Theatres and Out-patients etc. Flexible SPA/ theatre/ general clinic (cover for leave) Flexible SPA/ theatre/ general clinic (cover for leave) General outpatient clinic, RHSC Flexible SPA/ theatre/ general clinic (cover for leave) Theatre, RHSC Flexible SPA/ theatre/ general clinic (cover for leave) Ward round; emergencies clinic; availability for emergencies Availability for emergencies Craniofacial clinic, RHSC Microtia clinic, RHSC (monthly) / theatre (3 weeks in 4) Job Plan Review A formal job plan will be agreed between the appointee and their Clinical Director, on behalf of the respective medical management structures within Greater Glasgow and Clyde NHS Board. The job plan will be based on a provisional timetable such as the one shown in table 1 above. The Job Plan will then be reviewed annually, following the Appraisal Meeting. The Job Plan will be a prospective agreement that sets out a consultant’s duties, responsibilities and objectives for the coming year. It should cover all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It should include personal objectives, including details of their link to wider service objectives, and details of the support required by the consultant to fulfil the job plan and the objectives. Human Resources General Provisions You will be expected to work with local managers and professional colleagues in the efficient running of services and will share with Consultant colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions, you are expected to observe the organisation’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instruction NHS Greater Glasgow & Clyde, in particular, where you manage employees of the organisation, you will be expected to follow the local and national employment and personnel policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary. All medical and dental staff employed by NHS Greater Glasgow & Clyde are expected to comply with the central Health and Safety Policy. You will have responsibility for the training and supervision of (junior) medical staff who work for you and you will devote time to this activity on a regular basis. 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 careers. The successful applicants will be expected to work with local managers and professional colleagues in the efficient running of services and will share with Consultant colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions, you are expected to observe the Division’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instruction of NHS Greater Glasgow. In particular, where you manage employees of the Division, you will be expected to follow the local and national employment and personnel policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary. All medical and dental staff employed by the Division are expected to comply with all Hospital Health and Safety Policies within the Division. The successful applicant must be fully registered with the General Medical Council, have a licence to practise and either be on the Specialist Register or within six months of being eligible for inclusion on the Specialist Register in the appropriate speciality at the time of interview. Proof of confirming registration will be required on an annual basis. Private Earnings There are special provisions relating to extra programmed activities which apply to a consultant who wishes to undertake private practice. These provisions are set out in paragraphs 2.4.7 - 4.4.12 of NHS circular PCS(DD)2004/2 Details of Arrangements for Applicants to Visit the Division Short listed candidates may make arrangements to visit the hospital. If candidates on their own initiative have visited the hospital prior to being short-listed, they will only be allowed expenses for that visit if they are subsequently short-listed. When it is thought that there will be a difficulty in filling the post, the Head of Human Resources has the authority to approve a second visit. Section 9 Contact Names Within the Women and Children’s Directorate the following list of useful contact names and addresses are available: Mr Kevin Hill, Chief Executive, Women and Children’s Services, RHSC, Tel. 0141 201 0473 Dr Jim Beattie, Associate Medical Director, RHSC, Tel. 0141 201 0515 Mr Simon Morrissey, Consultant Otolaryngologist, RHSC, Tel: 0141 201 0297 Person Specification for Consultant Paediatric Otolaryngologist 1. Qualifications and Professional Training 2. Professional Practice and Experience Essential Requirements MBBS, FRCS (ORL-HNS) Desirable Requirements Higher degree Certificate of Completion of Higher Specialist Training in Otolaryngology Special areas of interest and expertise to complement those of the existing consultants Should have completed all relevant training in general otolaryngology 3. Research; Publications; Teaching Should have completed Should have fellowship-level experience in management training. paediatric otolaryngology including specialist airway work OR in advanced otology 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 Full GMC registration and a Licence to Practise 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 Consultant £ 76,001 £ 102,465 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 New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via: www.sppa.gov.uk 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. 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 no 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 Register for Job Alerts at: www.medicaljobs.scot.nhs.uk Applicants wishing further information about the post are invited to contact Mr. Simon Morrissey 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. 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 Noon 22 August 2014 INTERVIEW DATE The interview date will be 12th September 2014