Agamemnon Street
Clydebank G81 4DY
Scotland
Telephone 0141 951 5000
Golden Jubilee National Hospital
NHS National Waiting Times Centre
Fax 0141 951 5500
Chief Executive Jill Young
Recruitment line: 0800 0283 666
Dear Candidate
POST: PREVENTION AND CONTROL OF INFECTION MANAGER
HOURS: 37.5
CLOSING DATE: 12 February 2014
The National Waiting Times Centre Board welcomes your enquiry in connection with the above
post. Please find enclosed an information pack.
Should you wish to submit an application for the above post, please ensure you do so in
advance of the closing date. Late applications will not be forwarded for short listing.
Should you contact the recruitment team to discuss any queries regarding your
application it is advisable that you retain the job reference number as you will be asked
to quote this when you call. Please note that we no longer acknowledge receipt of
applications and therefore you will not receive any further communication until
after the post has been shortlisted.
In the meantime, I wish you success with your application and should you require any further
information or wish to check the progress of your application please do not hesitate to contact
the recruitment team on the contact telephone number shown above.
Yours sincerely
Lynn Mitchell
Recruitment Assistant
1
NATIONAL WAITING TIMES CENTRE BOARD
INFORMATION PACK
FOR THE POST OF
PREVENTION AND CONTROL OF INFECTION MANAGER
37.5 HOURS PER WEEK
REFERENCE NUMBER SHOW/1486
CLOSING DATE: 12 February 2014
2
NATIONAL WAITING TIMES CENTRE BOARD
GENERAL INFORMATION FOR CANDIDATES

This information package has been compiled to provide prospective candidates with details
of the post and background information about The National Waiting Times Centre Board.

The contents of this package are as follows:o Job Description/person specification
o Terms and Conditions of Service
o Application Form
o Equal Opportunities Monitoring Form
o Information on Agenda for Change

The Equal Opportunities Monitoring form is required for monitoring purposes only and will
not be made available to the interview panel during any part of the recruitment process.

Please note, to ensure that we adhere to our current policy on Equal Opportunities; CV’s
received with Application Forms will be destroyed prior to Application forms being passed
for Short listing.

NWTC operates a NO SMOKING Policy on all Premises and Grounds.

All offers of employment will be subject to the receipt of satisfactory References,
Occupational Health screening and Disclosure Scotland clearance.

Please send your completed application to:Recruitment Team,
HR Department
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY

When returning your completed application and any associated enclosures by Royal Mail
you must ensure that the correct postage cost is paid. We have been informed by the Post
Office that they are retaining those which have been underpaid. This has resulted in
completed applications not being returned until after the closing date, and not being
included for short listing.

The short listing process will take place shortly after the closing date.

As a Disability Symbol user we recognise the contribution that all individuals can make to
the organisation regardless of their abilities. As part of our ongoing commitment to
extending employment opportunities all applicants who are disabled and who meet the
minimum criteria expressed in the person specification will be guaranteed an interview.

The organisation has introduced a set of shared values. These values will be measured
during the Competency Based Interview. The values are:
o
o
o
o
o
We will treat everyone with dignity and respect
We will take responsibility to do our jobs well
We will demonstrate our commitment to quality
We will work effectively with others in teams
We will display a “can do” attitude at every opportunity
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GOLDEN JUBILEE NATIONAL HOSPITAL
TERMS AND CONDITIONS OF SERVICE
1. Terms and Conditions of Service
The terms and conditions applicable to this post are those of all NHS Employees.
2. 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 amount to 5% to 13.3% of salary (depending on
rate of Pensionable Pay) 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.
3. Salary
£65,922 to £81,618
4. Grade
This post is offered on a Band 8d
5. Annual Leave
The annual leave entitlement in a full year commencing 1st April to 31st March is 27 days,
rising to 29 days after 5 years’ service and 33 days after 10 years’ service. There are 8
Statutory and Public Holidays in each leave year. (Pro rata where applicable)
6. Hours of Duty
37.5 Hours per week
7. Tenure of Employment
This post is offered on a permanent basis
8. Asylum and Immigration Act 1996
Under the Asylum and Immigration Act 1996, we are required to carry out checks to ensure that
all prospective employees are entitled to live and work in the United Kingdom. You will
therefore be asked to provide appropriate documentation prior to any appointment being made.
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NHS National Waiting Times Centre
Benefits
NHS Superannuation scheme:
All staff are eligible to join this scheme from date of commencement. Employee
contributions vary from 5% to 13.3% depending on annual pensionable pay. Benefits
include a lump sum and pension when you retire, life assurance of 2 years’ pay while
you are working, pension and allowances for your spouse and children in the event of
death, and benefits for ill-health retirement. Members of the scheme receive tax
relief on contributions and Lower National Insurance contributions.
Annual leave entitlement (including public holidays):
35 days annual leave on appointment
37 days annual leave after 5 years
41 days annual leave after 10 years
Free car parking
Continuing professional development opportunities
Discounts at the associated Beardmore Hotel
Leisure Club membership – Get fit and healthy at the Beardmore Leisure Club for only
£28 per month.
Childcare vouchers – If you are a working parent with children under the age of 16 you
could save up to £1,196 per parent, per annum on the cost of childcare.
For more information about the benefits and discounts available to NHS staff, visit
www.nhsdiscounts.com
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Job Description
National Waiting Times Centre NHS Board (Golden Jubilee National Hospital)
Job Title:-– Prevention and Control of Infection Manager (PCIM)
Immediate Line Manager :- Executive Nurse Director and Chief Executive
Reviewed January 2014
1
Job Purpose
As a member of the Senior Management Team the PCIM will provide strategic and
clinical leadership in infection prevention and control across the Board. This post
fulfils the role of “Designated Senior Manager” required by HDL (2001)10 and HDL
(2005)8
The PCIM is responsible to and supports the delivery of the corporate
accountabilities of the Board Chief Executive and the Executive Nurse Director
(designated HAI Executive Lead).
The post holder is required to be an autonomous practitioner and will lead and
oversee the Board’s compliance with and contribution to local and national
developments in healthcare associated infection policy and guidelines.
This is achieved by having in place clear, risk assessed and effective systems
and processes designed to co-ordinate decisions and actions that achieve Board
wide compliance with mandatory and best practice standards in prevention and
control of infection, policy provision, decontamination, surveillance, cleaning
services, antimicrobial management and catering services.
The PCIM co-ordinates, develops and ensures delivery of the Prevention and
Control of Infection Plan (PCIP) as agreed by the Chief Executive and the Board.
The plan is passed through and reported to the Prevention and Control of Infection
Committee (PCIC) and is agreed by key stakeholders across the organisation.
This plan will incorporate national guidance and key drivers from Government
Healthcare Associated Infection Task Force and Government agencies including
Health Protection Scotland, Healthcare Improvement Scotland (HIS), Health
Facilities Scotland (HFS) and the Healthcare Environment Inspectorate (HEI).
Local issues identified through audit, inspection and surveillance are also
monitored through this plan.
The PCIM is managerially responsible for the
Prevention and Control of Infection Team (PCIT) which includes the
Prevention and Control of Infection Nurses (PCIN),
Prevention and Control of Infection Doctor (PCID) (on day to day issues of
infection control) The PCID is professionally accountable to the Medical Director
Tissue Viability Nurse (TVN))
Office Secretary
Housekeeping Operations Manager
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Catering Operations Manager
The post holder will provide specialist advice in relation to decontamination
The post holder will also advise when relevant on situations associated with the
Beardmore Hotel, Healthcare Science Centre and Leisure Complex.
The post holder will ensure the provision of high standards of housekeeping and
food safety, service and amenity to patients, staff and the public by ensuring
through the relevant managers the implementation of the National Specifications
and Standards
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Dimensions
The post holder is required to cover all infection control dimensions under NHS
NWTC’s responsibility including all partners in care delivery. Infection control
systems, processes and policy impact directly on clinical care of patients and
contribute to the provision of a safe environment for patients and visitors and a safe
working environment for staff.
The post holder works with autonomy at a Senior Management level and has a
close working relationship with senior managers from multidisciplinary
backgrounds, PCIT, PCID, Housekeeping Operations Manager and the Executive
Nurse Director and Beardmore Hotel staff. This will also include liaison with Public
Health Departments when necessary.
In addition the post holder will manage local or national infection control project
work within the organization.
The post holder will maintain appropriate links at a national level with the Scottish
Government HAI Task Force, Infection Control Management colleagues, Health
Protection Scotland’s Infection Prevention and Control team, Healthcare
Improvement Scotland and NHS Education Scotland.
The post holder will ensure that statistical records are kept to demonstrate
monitoring of alert organisms, audit analysis and surveillance which will assist with
identification of trends and outbreak situations.
Number of Staff managed by post holder:
Approximately 50. This will include professional nursing staff as well as
housekeeping, catering and portering staff across the hospital.
Budget managed by post holder:
Expenditure authorisation level:
c£1.2m
£1000
The post holder will develop and justify the operating and capital budget
requirements for their areas of responsibility and for the commissioning of new
services
7
Workforce:
Ensure that staff numbers are based on current workforce planning models.
4
Organisational Chart
Chief Executive
Executive Nurse
Director
Executive
Medical Director
Prevention and Control of
Infection Manager
Infection Control
Doctor
Lead PCIN
Nutrition
Lead
PCIN’s x 2
Tissue Viability
Nurse x 1
Department
Secretary
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Operations
Manager - Catering
Operations Manager
Housekeeping Portering
Role of Department
Advise senior management on the development of structures, strategies and
processes to support a coordinated and effective risk assessment approach to
the management of infection control, decontamination, surveillance and catering
and hotel services within the Board which meet all national standards and
contribute to quality patient care.
Interpret and advise the Board and its senior management on national
requirements and guidance in relation to infection control, decontamination and
HAI and catering standards. Coordinate the development, implementation of
action plans to address these where necessary and produce regular reports to
the Board on progress on these areas.
Provide professional expertise in the specialist area of infection control and
promote high levels of competence in this area through developing policies,
setting standards and educating, training and motivating all staff to adhere to
these.
Provide specialist expertise in the areas of tissue viability and promote high
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levels of competence in this area through developing policies, setting standards
and educating, training and motivating all nursing staff to adhere to these.
Identify and investigate outbreaks or incidents of infection should they occur.
Advise on corrective action and monitor/ follow up to ensure that the incident or
outbreak is effectively resolved and appropriately reviewed to inform future risk
assessment and minimise the opportunity for recurrence. This includes liaison
with external bodies where appropriate including Health Protection Scotland and
the Public Health Department where appropriate.
Coordinate surveillance and record keeping activities and correlate information
for provision to national surveillance monitoring bodies. Liaising with these as
necessary to ensure that NHS NWTC conforms to requirements and that
feedback is appropriately interpreted and utilised for the benefit of the services
and the Board.
Establish and maintain joint responsible with the CSPD manager for the
development, implementation and monitoring of all policies and procedures
relating to decontamination of medical devices to ensure that the national
standards, guidelines and legislation are met by the hospital’s Central Sterile
Processing Department (CSPD). Governance of this service will be through the
Decontamination committee, a sub group of the Prevention and Control of
Infection Committee.
Ensure the provision of housekeeping services within NHS NWTC, which
provide high standards of safety, service and amenity to patients, staff and
public, contribute positively to the Board’s Infection Control Strategies.
Through the Catering Operations Manager, recruit, develop and manage
catering services staff and create an open supportive and positive culture to
maximise their potential Ensure and support the provision of catering services
within NHS NWTC to deliver a high standards of food safety, service and
amenity to patients, staff and public. Support delivery and monitoring of Food in
Hospitals, Catering and Nutrition Specifications at local and national levels
Through the Housekeeping Operations Manager, recruit, develop and manage
housekeeping services staff and create an open supportive and positive culture
to maximise their potential Ensure efficiency and effectiveness in all aspects of
their roles and ensure that customer care is developed that responds to the
needs of service users.
Instigate and support research and development to advance patient care and
service development
As part of the Clinical Governance and Risk Management Group, the post
holder will provide professional leadership and management for HAI and food
safety functions so that all appropriate professional standards are met, and
ensure that the function is effectively developed, organised and integrated with
other professional and support functions to achieve the strategic aims of the
Board.
The post holder will develop within the Prevention and Control of Infection
Planned Programme and the hospital integrated training programme, the
mandatory requirements for induction and in-service education. This includes
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collaborating with NHS Education for Scotland to implement programmes such
as Cleanliness Champions Training.
Quality Standards
In collaboration with the Chief Executive, Nurse Director, the Clinical
Governance manager and other Hospital Managers, the Board’s Risk
Management Strategy will be interpreted and implemented through a variety of
clinical, professional and operational initiatives.
The post holder will take a lead to ensure Healthcare Environment standards are
met
The post holder will work with colleagues and staff within their designated
department to implement appropriate Clinical Governance Standards so that the
Board may be assured that the security and quality of clinical services delivered
conform with standards developed by Healthcare Improvement Scotland and
other appropriate bodies.
Specifically s/he will work closely with the nutrition lead for food, fluid and
nutrition standards and lead clinician for infection control standards
The post holder will work with colleagues and staff within his/her designated
departments to implement appropriate Clinical Effectiveness Standards and in
partnership with all appropriate (clinical, non-clinical and) managerial interests,
ensure that effective clinical and non clinical risk management processes are
developed and implemented, to eliminate or reduce potential hazards and
safeguard the security of clinical services.
Strategic Role
The post holder participates in the Board’s Local Health Plan, by being an active
participant in ongoing projects and initiatives. S/he will be responsible for
including and encouraging all staff in activities related to the job function,
through personal work plans.
The post holder complies with the requirements of the registration and advisory
bodies within nursing and of the wider hospital arena i.e. RCN, NMC, NHS
Education for Scotland, Healthcare Improvement Scotland.
The post holder ensures the delivery of patient care based on standards of care
agreed throughout the organisation and in line with national standards. S/he will
work with the multidisciplinary team to achieve a high standard of patient care.
6
Key Result Areas
1.
1.
2.
3.
4.
5.
6.
Co-ordination of prevention and control of infection throughout the Board
Implementation of the National Code of Practice for the prevention of infection
and control
Delivery of the Board approved Infection Control Programme, which includes
the NHS Scotland National Cleaning Specification in conjunction with the
Infection Control Team and Committee.
Clear mechanisms for access to specialist infection control advice and
support.
Assessing the impact of all existing and new policies and plans on HAI, and
making recommendations for change.
Challenging non-compliance with local and national protocols and guidance
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7.
8.
9.
7
relating to infection prevention and control, decontamination, antimicrobial
prescribing housekeeping and catering services.
The production of an annual report on the state of HAI, decontamination and
cleaning in the organization for which s/he is responsible for, and releasing it
publicly.
Overall responsibility for management processes and risk assessment
relating to infection control, decontamination, medical devices management
and hotel services
Developing clearly delineated relationships between the Chief Executive, the
Infection Control Manager and committee, the Risk Management and Clinical
Governance Committees
Assignment and Review Work
The Infection Control Manager works autonomously.
The Infection Control Programme is decided annually by stakeholder review and
includes all Scottish Government Health Department initiatives related to infection
prevention and control. It is a Board approved programme and the review of work
will be carried out quarterly and annually by the Infection Control Committee, Risk
Management Committee and the Clinical Governance Committee. The Annual
Report will be reviewed by the Senior Management Team and the Board
8 Communications and Working Relationships
The post holder is expected to communicate with all levels of senior clinical and
non-clinical staff within the Board, and with senior officials in external
organisations. Excellent communication skills are required to integrate new
policy/ practice in to areas where the post holder has no direct line management.
The post holder is expected to have strong presentation skills and to be able to
express a view convincingly and coherently, verbally and in writing.
The post holder will build and maintain effective communication between all
members of the multidisciplinary team; across clinical and interdepartmental
boundaries with confidence and sensitivity in pursuit of establishing trust and
respect throughout the team
The post holder will be required to occasionally deal with complex or stressful
situations – negotiating with patients, staff and relatives. S/he will be required to
provide advice, information and guidance and should be equipped to counsel
patients staff and relatives where this is necessary.
The post holder will demonstrate a balanced, equitable approach to managing
difficult situations for patients, staff and visitors.
The post holder will be accountable for managing change within the post holders
remit as the organisation develops.
Demonstrate and exemplify positive behaviours, attitudes as part of Board wide
values and establish effective interdependent functions with other agencies which
will support cooperative and partnership working and ensure an inclusive/
participative approach in delivering the Board’s vision of quality joined up services
Excluding the post holder’s immediate line management (the Nurse Director and
Chief Executive) and his/her subordinates within the housekeeping and catering
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services and infection control functions, the following are key working
relationships with examples of the purposes of these contacts:







Members of the Board to ensure the provision of information and support
to enable them to effectively fulfill their roles in relation to ensuring
effective strategies in relation to HAI and Quality Standards.
With all clinical and non-clinical managers and consultants within the
hospital, working closely with them in developing all aspects of infection
prevention and control and hotel services.
With appropriate specialist microbiologists and Infection Diseases Doctor
With the CSPD manager to coordinate decontamination policies and
procedures
With officials of the Scottish Government Health Department to discuss
national policy in relation to decontamination and infection prevention and
control and to participate in national working groups or planning groups.
With national agencies such as Health Protection Scotland, Health
Facilities Scotland SSHAIP and Healthcare Improvement Scotland to
represent the Board in discussions relating to the monitoring of national
standards in relation to HAI, decontamination. (and where required, Food
Fluid and Nutrition requirements along with Nutrition Lead).
With specialist colleagues in other NHS organisations in meeting and
working groups to discuss issues of common concern, share good
practice, contribute to the development of common strategies in
conjunction with colleagues at senior level both internally and externally.
9 Most Challenging Part of the Job
To work in partnership and be sufficiently influential on the behaviour of others
over whom the post holder has responsibility and for those for whom the post
holder has no formal authority, to achieve and embed the highest possible
standards of risk assessment, management processes and day to day working
practices relating to decontamination, HAI, tissue viability, housekeeping and
catering services
Keeping the organisation abreast and ahead of the rapidly developing and
politically significant agendas for decontamination, HAI, housekeeping and
catering services and related matters
Ensuring and facilitating delivery on these agendas through adaptation and
revision of the action plans in light of new information, direction developments
and /or deadlines
To contribute to Local Health Plan, meet national standards and corporate
objectives.
Retention and recruitment of staff in a changing environment
Managing the available resources (time and people) to provide safe and effective
patient care while demonstrating/documenting implementation of all quality
standards.
Prioritising and balancing the demands of the role within the Board alongside
national demands and initiatives that form part of the National Health Plan
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10
Qualifications and/or Experience Specified for the Post by the Employing
Authority
The post requires an individual who demonstrates competencies in the critical
leadership behaviours identified as crucial to achieving success within NHS
Scotland:








Working in partnership
Learning and development
Caring for staff
Improving performance through team-working
Communicating effectively
Improving quality
Achieving results from National and Local strategies
Exemplifies Board Values
The post requires high levels of specialist knowledge and skills combined with
excellent interpersonal skills to engage others and influence their practice and
behaviour. Proven leadership and project management skills and experience in
relation to Infection Control and Standard setting/implementation are essential.
The post holder must be educated to degree level or equivalent. The post would
require a significant training and experience as an infection prevention and
control clinician, a high proportion of which should be at management level
The post requires a high level of professional knowledge and skills within the
infection control area, combined with well-developed interpersonal and
operational management skills and a supportive and visible leadership style. The
post holder should be willing to function at strategic level in collaboration with the
Nurse Director and the Chief Executive. S/he must have the stature to earn the
confidence and respect necessary to effectively deliver the agenda of major
change and will therefore be able to demonstrate previous successful
management experience.
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