Outline Job Description



Sheffield Teaching Hospitals NHS Foundation Trust

Service Improvement Fellowship

1 year secondment opportunity

JOB DESCRIPTION

APPOINTMENT

Whole Time Service Improvement Fellowships at Sheffield Teaching Hospitals NHS Foundation Trust for a 12 month fixed term period suitable for doctors currently working at ST3 level or above in a specialty training programme which has or is due to rotate to STHFT with an allocated NTN.

Any candidate who is unable to work full time will be eligible to be considered for the post; if such a person is appointed, modification of the job content will be discussed on an individual basis.

GENERAL DIRECTORATE INFORMATION / MANAGEMENT ARRANGEMENTS

The successful post holder will work as a key member of the multi-disciplinary Service Improvement Team under the leadership of the Head of Quality Improvement and the Clinical Leads for Quality Improvement.

CONTRACTED HOURS

Standard Hours 40

QUALIFICATIONS / EXPERIENCE REQUIRED

Applicants must have full GMC / GDC registration with a licence to practice. Applicants must be currently working at ST3 level or above (as at 01/08/2014) and working in a specialty training programme which has or is due to rotate to STHFT.

TRUST PROFILE

Sheffield Teaching Hospitals NHS Foundation Trust manages the five adult hospitals in Sheffield (Northern General, Royal Hallamshire, Jessop Wing, Weston Park and Charles Clifford Dental Hospital).

We provide around one million appointments and operations a year and offer almost every kind of treatment available through the NHS - from maternity services to care of the elderly and from A&E to X-ray.

The majority of our patients are from Sheffield and the surrounding areas but around five per cent of our patients are from other parts of the country. They come to us for specialist treatments, many of which are offered in only a few NHS trusts in the UK.

We are also a major employer of local people. Over 15,500 people work at our hospitals in more than 70 professions and a massive variety of jobs, making us the second largest employer in Sheffield.

The hospitals specialise in adult care but also look after newborn and premature babies. After this, we provide only limited specialist services for children, treating around 4,500 children each year, mainly in the dental hospital and ophthalmology departments.

As well as providing hospital services for our local population, our hospitals provide a range of vital regional and national specialties. Regionally these include cardiac and orthopaedic surgery, neurology and renal care. National services include pulmonary hypertension treatment, particular ophthalmology, spinal and neurosurgical care, and specialist cancer treatments.

We work very closely with Sheffield Children's Hospital, the University of Sheffield and Sheffield Hallam University to ensure we are at the cutting edge of medical research and development. This helps us to develop new and specialist services for the benefit of patients from Sheffield and all over the country.

The Trust Executive Team

Chairman Mr Tony Pedder

Chief Executive Sir Andrew Cash OBE

Chief Nurse and Chief Operating Officer Prof. Hilary Chapman

Director of Human Resources Mr Mark Gwilliam

Director of Service Development Ms Kirsten Major

Director of Finance Mr Neil Priestley

Medical Director Dr David Throssell

Services Provided at Sheffield Teaching Hospitals NHS Foundation Trust

|Accident and Emergency |Obstetrics/Gynaecology/ Neonatology |

|Acute General and Elderly Medicine |Occupational Health Service |

|Assisted Conception |Operating Services |

|Anaesthetics |Ophthalmology |

|Cardiothoracic surgery & Cardiology |Oral-maxillofacial Surgery |

|Chemotherapy |Orthopaedics |

|Clinical Research and Development |Palliative medicine |

|Communicable Diseases |Pharmacy |

|Critical Care |Professions Allied to medicine |

|Day Surgery |Radiology |

|Dental Services |Radiosurgery |

|Dermatology |Radiotherapy |

|ENT, Hearing Services and Medical Audiology |Reconstructive Plastic Surgery and Burns |

|General Surgery |Reproductive Medicine |

|Haematology |Renal Services |

|Laboratory Medicine |Rheumatology |

|Medical Physics |Under and Post graduate Education |

|Mobility and Specialised Rehabilitation Services |Urology |

|Metabolic Bone Disease |Vascular Surgery |

|Neurosciences | |

For further information on STH please see sth.nhs.uk

DUTIES OF THE POST

Job Detail:

As described in the recent review by Professor Keogh (July 2013), junior doctors in specialist training should be seen as “leaders of today”. Reflecting the skills of the Medical Leadership Competency Framework (Enhancing Engagement in Medical Leadership Second Edition, May 2009), STHFT will ensure the post holders have the opportunity to develop their leadership skills through practical work as part of the

Service Improvement Team. This will include:

• Being able to think analytically, conceptually and to identify where services can be improved.

• Obtaining and acting on patient, carer and service user feedback and experiences.

• Assessing and analysing processes using up-to-date improvement methodologies.

• Identifying healthcare improvements and creating solutions through collaborative working.

• Appraising options and planning action to implement and evaluate improvements, in partnership with directorate clinical teams and senior managers.

The post holder will be offered mentoring and coaching by the Head of Quality Improvement and Clinical Lead for Quality Improvement and wider SI team members to support them during the role.

Main Duties and Responsibilities:

The post holder will:

• Take responsibility for work and projects assigned, including working as part of the Service Improvement Team.

• Coach clinical directorate and other departmental teams in using microsystem and other service improvement techniques to deliver the teams improvement aims, including

o Facilitate regular improvement meetings and act as a key liaison between the service improvement team and the directorates, information department and other agencies

o Support improvement activities using an extensive range of improvement tools

o Facilitates the transfer of service improvement skills and knowledge to the team and the wider organisation

o Develop and foster relationships with other service improvement team members and ensure they can count on reliable and knowledgeable support and information about the improvement activities

o Provide a high level of content knowledge about all aspects of service improvement and is able to act as an approachable source of knowledge to all staff.

o Keep track of best practice externally and internally and share the innovation and learning

o Ensure measures for improvement are captured for each improvement aim. Supports the team to undertake analysis using appropriate statistical tools including run charts and statistical process control charts. This will involve the use of a wide range of Trust and departmental information systems, along with local data collection undertaken by the improvement team

o Support the improvement team to present their own experience of the improvement work to help share learning across the organisation more widely

• Ensure that improvement works is planned and carried out with appropriate reference to formal Trust groups and governance arrangements.

• Manage communication with Trust groups as appropriate, which will involve the preparation and presentation of key information to those groups, as required by the Service Improvement Director and/or Medical Director.

• Present an assured and professional approach in order to gain commitment from individuals at all levels both within and outside the Trust. Demonstrate credibility and drive for the implementation of change and the appropriate use of improvement tools and techniques in the design of change.

• Build working relationships and communicate information which may be complex and sensitive at all levels across the Trust.

• Propose and help shape the development and evolution of quality improvement initiatives.

• Undertake measurement and evaluations to inform future improvement development and/or refine existing work

• Develop networks with other deanery fellows within the Yorkshire region and provide educational sessions to facilitate leadership training

• Develop a working knowledge of health strategy and policy (both national and local) to help inform the service improvement work programme.

• Contribute to the planning and organising of clinical improvements and dovetail these with existing programmes and projects currently being undertaken by the Trust.

• Be committed to learning and maintaining a high level of skill in relation to quality improvement methodologies, tools and techniques and the subsequent transfer of these skills and knowledge to staff across the Trust.

• Help to design and deliver service improvement training as required. Use recognised improvement tools and techniques with multidisciplinary groups of staff to ensure skills transfer at directorate level. This will include coaching support following training and the evaluation of further training needs.

• Actively facilitate partnerships in support of the wider service improvement agenda to promote a whole system approach, working across boundaries, agencies and professions.

• Develop working relationships with appropriate corporate departments to ensure effective alignment of improvement activity. i.e. Finance, Human Resources, Communications.

• Work with other clinicians and managers to determine and understand inter-dependencies and links across programmes, projects and work areas.

• Facilitate scoping and planning workshops and stakeholder engagement sessions. This may involve external consultancy support and/or external partner agencies.

• Help to support the development of quality improvement education to medical students, junior doctors and other members of the multi-disciplinary team

• Develop presentation skills, both written and verbal, to ensure effective communication

• Compose and compile reports, presentations and performance analysis to evaluate and inform future service improvement work. This will include working with appropriate statistical tools.

• Work with a significant level of accuracy and precision to meet deadlines, working with a high degree of autonomy.

• Adapt, organise and prioritise the unpredictability of workload.

TERMS AND CONDITIONS OF SERVICE

ALL MEDICAL AND DENTAL POSTS ARE SUBJECT TO:-

The terms and conditions of service for Hospital Medical and Dental staff (England and Wales).

Full registration and a license to practice with the General Medical Council (London).

Medical fitness. You may be required to undergo a medical examination.

a. Enhanced Criminal Records Bureau disclosure. Please note that wef 1 April 2011 all charges associated with this will be passed onto the applicant.

e. Entitlement to work in the UK. Non-UK/EEA applicants should ensure they are aware of recent changes to immigration rules. Visit bia..uk for further information.

Satisfactory references covering the last three continuous years of Employment/Education as relevant.

Health Clearance & Medical Examination

This appointment is subject to medical fitness and the appointee may be required to undergo a medical examination and chest X-ray.

Potential applicants should be aware of the Department of Health and GMC/GDC requirements with regard to HIV/AIDS, Tuberculosis, Hepatitis B and Hepatitis C viruses.

Salary Scale

The current nationally agreed payscale for the grade is payable.

Use Of Information Technology

Use Of Information Technology should be as per existing policy in the employing organisation

Under the Computer Misuse Act 1990, any individual who knowingly attempts to gain unauthorised access to any programme or data held on a computer can be prosecuted. An individual who modifies any programme or data in a computer which they are unauthorised so to do, is also liable under the Act. If found guilty of these offences a person may be given a custodial sentence of up to six months or a fine or both. The person would also be subject to disciplinary action which may result in dismissal.

Similarly, in accordance with copyright law, any person involved in the illegal reproduction of software or who makes, acquires or uses unauthorised copies of computer software, will be subject to disciplinary action, which may lead to dismissal.

Notification Of Termination Of Employment

The notice period will be in accordance with the nationally agreed Terms and Conditions of Service for the relevant grade/ years of service.

Study Leave

Will be at the discretion of the Directorate.

Annual Leave

Annual leave for each grade of staff will be as per applicable Terms and Conditions of Service pro rata to the respective hours worked.

Special Leave

Special leave for all staff will be as per existing policy in the employing organisation pro rata to the part time hours/days worked per week.

Sickness Absence

The provisions relating to absence by the employee because of sickness appear in paragraph 225-244 of the Terms and Conditions of Service. Any sickness absence will dealt with as per the Sickness Absence management Policy applicable to the Employing Trust.

Grievance Procedure

The grievance procedures, which apply to your employment, are set out in the Employing Trust Grievance and Dispute Procedure (as amended from time to time).

Should the employee have any grievance relating to their employment, they are entitled to discuss the matter, if appropriate, in the first instance with the Lead Clinician/Consultant(s)/GP Trainer to whom responsible, and where appropriate to consult personally or in writing with the Director of Human Resources.

If the grievance is not settled at this level, the employee may pursue it in accordance with the Employing Trust’s Grievance and Dispute Procedure; a copy of the policy is available from the Clinical Director or Medical Personnel Section of the Human Resources Department. You may also discuss matters relating to training (where applicable) with the Postgraduate Dean.

Discipline

Wherever possible, any issues relating to conduct, competence and behaviour should be identified and resolved without recourse to formal procedures. However, should the employing trust consider that the conduct or behaviour of the employee may be in breach of relevant code of conduct, or that their professional competence has been called into question, the employing trust will resolve the matter through the existing disciplinary or capability procedures (which will be consistent with the ‘Maintaining High Professional Standards in the Modern NHS’ framework), subject to the appeal arrangements set out in those procedures.

The Employee will be subject to the Employing Trust’s Disciplinary Procedure insofar as personal conduct is concerned. Matters relating to professional conduct or competence will be handled in accordance with the Disciplinary process agreed for Medical and Dental staff (as amended from time to time). Copies of these documents are available from the Clinical Director or the Medical Personnel Section of the Human Resources Department.

Equal Opportunities

The Employing Trust has an Equal Opportunities Policy. It is the intention of the Employing Trust and in the spirit of promoting equal opportunity and diversity for employees to be committed to the elimination of sexual/racial harassment, victimisation and discrimination, thus creating a working environment which promotes the health and well being of the Trust’s workforce. Copies of appropriate policies are available from your line manager or the Medical Personnel Section of the Human Resources Department

Health And Safety

All Trusts participating in the training programme recognises their duties under the Health and Safety at Work Act 1974 to ensure, as far as it is reasonably practical, the Health, Safety and Welfare at Work of all its employees and, in addition, the business of the Trust shall be conducted so as to ensure that patients, their relatives, contractors, voluntary workers, visitors and members of the public having access to Trust premises and the facilities are not exposed to risk to their health and safety.

All medical and dental staff under contract will be expected to comply with all appropriate Unit Health and Safety policies.

Arrangements will be made for the successful candidate to receive copies of the Health and Safety policies of the Trust.

Points Of Contact -

|Lead Administrative Trust |Postgraduate Dean |

|Medical Personnel Department |Medical Personnel Department |Yorkshire and Humber |

|Northern General Hospital |Royal Hallamshire Hospital |Postgraduate Dean’s Office |

|Herries Road |Glossop Road |Don Valley House |

|Sheffield |Sheffield |Saville Street East |

|S5 7AU |S10 2SB |Sheffield |

| | |S4 7UQ |

|Telephone: (0114) 2266886 |Telephone: (0114) 2712250 | |

|Fax: (0114) 2266884 |Fax: (0114) 2713735 |Telephone: (0114) 226 4438 |

FURTHER INFORMATION

Further information on these fellowships can be obtained via the Service Improvement Office on 0114 271 3776:

Steve Harrison, Head of Quality Improvement steve.harrison@sth.nhs.uk

Dr Tom Downes, Clinical Lead for Quality Improvement tom.downes@sth.nhs.uk

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