NHS Lanarkshire - Vacancy
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|Reference |MS/0414/05 |Quote on all correspondence |
|Grade |Specialty Doctor |
|Location |Wishaw General Hospital |
|Hours / PA’s |10 PAs per week (Part-time may be considered) |
|Salary Scale |Specialty Doctor |
|Closing Date |Noon on Thursday 8th May 2014 |
|Your Application |Thank you for expressing an interest in the above post within NHS Lanarkshire. Please find all the relevant |
| |information attached to begin the application process. |
| | |
| |Should you require further information regarding this post you can contact the Medical Staffing team or make informal|
| |enquiries with the department using the contact details below. |
| | |
| |To ensure we can process your application as easily as possible please complete all the information required within |
| |the Application Pack and email with your CV. |
| |
|Contact Details |Telephone |01698 377720 |
| |Email |Lynn.Cliens@lanarkshire.scot.nhs.uk |
| |
|Application Process |To apply, please email your CV to the above, along with the attached completed Application Pack. |
| |[pic] [pic] |
| |
|Additional Arrangements |Informal enquiries regarding this post will be welcomed by:- |
| | |
| |Dr S Dalchow |Clinical Director |01698 366737 Page 313 |
| |Dr G Peters |Consultant |01698366746 |
| |Dr A Morrison |Consultant |01698 366746 |
| |
|Date when the post is Vacant |The post is vacant immediately and a start date will be agreed with the successful candidate. |
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|NHS Lanarkshire |For further information regarding NHS Lanarkshire and it’s hospitals, please visit our website:- |
| |.uk |
| |
|We are an Equal Opportunities Employer and Positive about Disabled People. |
|POST INFORMATION |
|The Department |The department is part of the Surgical & Anaesthetic Directorate and provides anaesthetic services within the 12 theatre |
| |operating suite, which is located on the 2nd floor. |
| | |
| |There is a modern 12 bedded Adult Critical Care Unit (ACCU) adjacent to the theatre suite which is the responsibility of |
| |the Anaesthetic department. Broadly, these are currently funded to permit 5 level 3 and 7 surgical level 2 beds. There is |
| |an additional 12 bedded medical level 2 facility within the hospital. All major forms of organ support are provided. |
| | |
| |There are currently 6 consultants with a commitment to ICM who undertake whole weeks of daytime service provision. This |
| |has improved continuity of care and has been welcomed by all within the multidisciplinary team. Our goal, ultimately, is |
| |to develop a stand-alone consultant rota for ICM. |
| |The ACCU is staffed at night by a resident trainee or specialty doctor with consultant cover from the whole department. |
| |NHS Lanarkshire has committed to the development of Advanced Nurse Practitioners in Critical Care to enhance the critical |
| |care team. |
| | |
| |We provide a rolling in-house programme of postgraduate ICM teaching and there are weekly MDT meetings in the Department |
| |which are coupled with an educational/development forum. We have close links with the other 2 ICUs within NHS Lanarkshire,|
| |and there are monthly regional forums via teleconference. |
| | |
| |We are fully engaged with the Scottish Patient Safety Programme and have appointed a dedicated Infection Surveillance |
| |Nurse to that end. |
| | |
| |The obstetric unit is staffed mainly by those with a special interest in obstetric anaesthesia. Presently, cover at night |
| |is provided by a resident SAS or trainee with consultant cover or a resident consultant who is also the anaesthetic senior|
| |decision maker. |
| | |
| |The majority of our patients are admitted on the day of surgery and we are expanding the type of cases we can do as day |
| |cases. We are also actively embracing the ERAS concept and this is developing across several specialties. Virtually all |
| |our elective patients are seen pre-operatively by an excellent pre-assessment service. |
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| |(Continued over) |
| |A well developed interest in obstetric anaesthesia is essential and we wish to recruit enthusiastic doctors who will be |
| |committed to quality improvement in this area. The obstetric unit is the 4th largest in Scotland with approximately 5500 |
| |deliveries per annum. It runs as a well developed LDRP system for deliveries allowing these across 3 adjacent wards. We |
| |have embraced recent advances in Obstetric Anaesthesia and use both Patient Controlled Epidural Analgesia and remifentanil|
| |PCA for labour analgesia. We also run a dedicated high risk obstetric anaesthesia clinic and have the availability of both|
| |cell salvage and interventional radiology for high risk cases. Trainees from the West of Scotland School of Anaesthesia |
| |rotate through the unit for obstetric anaesthesia training. |
| |Based at Wishaw Hospital this job will provide daytime elective cover and out of hours’ resident cover to primarily |
| |maternity and critical care services. |
| |The post is based on a 10 session contract. The appointee will be expected to provide resident Anaesthetic cover to the |
| |Maternity unit and the Intensive Care unit at Wishaw. |
| | |
| |There are 2 types of rota. |
| |Obstetric Anaesthetic Rota: The resident cover expected is one late shift per week (17:00h – 21:00h) usually on a Tuesday.|
| |The successful applicant will work 1 in 7 weekends 8:30h – 21:00h (Saturday and Sunday) as resident anaesthetist for the |
| |Maternity Unit. In addition 10 resident maternity nights (20:30h – 21:00h) per year will be delivered flexibly according |
| |to service requirements. This component of the job plan will account for 4 DCCs. |
| | |
| |ICU-Rota: Every two weeks one night (20:30h – 9:00h) of resident ICU cover will be provided. This will usually be a |
| |Wednesday night. This component of the job plan will account for 2 DCCs. |
| | |
| |In addition the appointee will be required to provide an average of 2 elective theatre sessions per week. There is an |
|The Post |allowance of 1 session for pre / post op care and other patient related activities. 1 PA is allocated for supporting |
| |professional activities. |
| | |
| |You will be expected to comply with Royal College of Anaesthetists recommendations on continuing medical education. You |
| |will be accountable to the Clinical Director of Anaesthetics, Theatres and Critical Care. |
| | |
| |Continued personal development is seen as essential for these roles and support will be given to individuals wishing to |
| |undertake activities such as audit. |
| |The post is offered as 10 PAs. A further 2 PAS may be available by mutual agreement. Night duty hours are 20:00-08:00. 1 |
| |of the PAs is allocated for peri-operative care to enable theatres to start promptly at 09:00 and to allow for occasional |
| |over-runs. |
| |The exact configuration of sessions will be determined following appointment when a job plan will be issued as part of the|
| |contract. |
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|General Provisions |You will be answerable to Clinical Director who will agree your job plan. |
| |
|Health and Safety |You are required to comply with NHS Lanarkshire Health and Safety Policies. |
| |
|Junior Medical Staff |You will be responsible for the training and supervision of the Junior Medical staff who work with you, and you will be |
| |expected to devote time to this on a regular basis. |
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|Resources |The following resources are available:- |
| |Consultants |Special Interest |
| |Dr. S Dalchow |Clinical Director, ICM, ERAS, ECT |
| |Dr P Lucie |FICM-Tutor, SICSAG Lead |
| |Dr. A Morrison |Lead Clinician ICM, SPSP Lead |
| |Dr. L Bell |ICM, M&M Lead |
| |Dr H McKay |Pre-assessment, Obstetric Rota Coordinator |
| |Dr A Xavier |Obstetric Anaesthesia |
| |Dr. A Simpson |Bariatric service, Cell salvage, Pre-assessment |
| |Dr. T Szelei |ICM, Seniors’ Rota Coordinator |
| |Dr. K Razouk |Anaesthetic assistants training, Obstetrics |
| |Dr. R Padmanabhan |Airway Lead |
| |Dr. I Lang |CLOD, ICM Faculty Tutor |
| |Dr. G Mathew |Equipment Lead |
| |Dr. C Slorach |College Tutor, Lead Clinician Acute Pain |
| |Dr M Dalidowski |Obstetric Anaesthesia |
| |Dr. S May |Chronic Pain |
| |Dr M Mifsud |Paediatric Lead. Obstetric Anaesthesia |
| |Dr. G Peters |Obstetric lead, Specialty doctor mentor |
| |Dr E Bone |Obstetric Anaesthesia |
| |Dr. L Millar |Trauma Lead, Obstetric Anaesth., Trainee Rota |
| |Associate Specialists |2 |
| |Specialty Doctors |1 |
| |Specialist Registrars on rotation from the West of Scotland Training Scheme. |6 |
| |Trainees |7 |
| |WTE Senior Secretary |1 |
|DUTIES AND RESPONSIBILITIES |
|Main Duties |For the out of hours component, you will be participating in the resident first on call rota for either maternity or |
| |ITU. This may be for a fixed night but may need to be flexible depending on the needs of the service. It may be |
| |necessary for you to do a block of nights in keeping with other members of the department. |
| |Daytime work will be in elective or emergency theatres. The specialties covered at Wishaw include Orthopaedics and |
| |Trauma, General Surgery, Gynaecology, Paediatrics, Day Case ENT and Urology and Obstetrics. |
| |
|Work Programme |As required under Section 3 of the Terms and Conditions of Service, the duties and responsibilities are supported by a |
| |job plan and work programme detailed as follows: |
| | |
| |Job Planning/Programmed Activities |
| |The job plan will be dependent on the successful candidate’s subspecialty training and interests. 1 SPA will be |
| |included in the job plan. |
| | |
| |On taking up post a Job Plan will be agreed between the person appointed and the Clinical Director. The Job Plan will be|
| |reviewed informally after 1 month in post and then again on a formal basis after 3 months in post. Attached is a model |
| |job plan that could still be subject to minor changes. |
|DAY |HOSPITAL / LOCATION |TYPE OF WORK |
|Monday | | |
|From / To | | |
| | | |
| | | |
| | | |
|uesday | | |
|From / To | | |
|9:00h – 17:00h |Wishaw general Hospital |Gyn/Theatre 9/Weeks 2 and 4 |
|17:00h – 21:00h | | |
| |Wishaw general Maternity Unit |Resident anaesthetic cover of maternity services |
|Wednesday | | |
|From / To |Wishaw Adult Critical Care Unit (ICU) |Resident Cover Intensive Care |
|20:30h – 9:00h | |1 in 2 Weeks |
| | | |
| | | |
|Thursday | | |
|From / To | | |
| | | |
| | | |
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|Friday | | |
|From / To | | |
|9:00h – 13:00h |Wishaw general Hospital |Urology Th7 |
| | | |
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|Saturday | | |
|From / To |Wishaw general Maternity Unit |Resident anaesthetic cover of maternity services |
| | |1 in 7 weekends |
|12.5 hours | | |
| | | |
|Sunday | | |
|From / To |Wishaw general Maternity Unit |Resident anaesthetic cover of maternity services |
| | |1 in 7 weekends |
|12.5 Hours | | |
| | | |
| | | |
+ 10 Nights Resident Anaesthetic Cover of Maternity Services flexible
|In addition, other activities |Reviewing new admissions. |
|not occurring at fixed times. |Discussing management/investigation of patients with colleagues in other appropriate Clinical Support Services |
| |CPD and Appraisal |
| |Audit |
| |
|Review of the Job Plan |This job plan is subject to review at least once a year by the post holder and the Clinical Director as noted in the |
| |terms and conditions. The procedures set out in the ‘Terms & Conditions of Service’ must be followed if it is not |
| |possible to agree a job plan, either initially. |
| |
|Audit and research |The successful candidate will be expected to participate in audit processes and there is an active clinical audit |
| |department available to assist. An interest in research will be supported. |
| |
|Continuing Professional |Study leave is available within the terms and conditions of service with the approval of the Clinical Director. The |
|Development |appointee will be required to fulfill such demands for continuing professional development as the Royal College of |
| |Anaesthetist (or other relevant bodies) may make. |
| |
|Honorary Academic Status |If involved in undergraduate teaching status can be applied for. Applications can be made via the Hospital Sub-dean and|
| |then to the appropriate academic department within the University. |
|PERSON PROFILE |
|Attributes |Essential |Useful |
|Qualifications |MB ChB or equivalent |Either FRCA or part thereof |
| | | |
| |Full current GMC registration with a licence to practice. |Other relevant postgraduate qualification. |
|Training |Shall have completed at least four years’ full-time postgraduate | |
| |training (or its equivalent gained on a part-time or flexible basis) | |
| |at least two of which will be in a Specialty Training Programme in a | |
| |relevant specialty or as a fixed term specialty trainee in a relevant| |
| |specialty; or shall have equivalent experiences and competencies | |
|Research |Commitment to CEPD |Experience of and interest in Audit |
|Publications | |Involvement in publication(s) relevant to clinical |
| | |practice |
|Experience |Experience of Obstetric Anaesthesia including the management of | |
| |epidurals. | |
| |Experience of resident duties within critical care units. | |
| |Familiarity with working within the NHS | |
|Knowledge and Skills |Broad based knowledge of skills | |
| |Able to manage broad range of unplanned activity and emergency | |
| |surgery that is admitted during on call period. | |
|Disposition |Committed to quality patient care. | |
| |An ability to communicate well with colleagues and other staff. | |
| |Ability to work as part of a team | |
|Other |Fluent in English |Personal and organizational skills to contribute to |
| |Full current driving license |running a busy service |
|If there is any reason why a disabled person should not be considered |The post requires physical dexterity. Uncorrected visual or hearing defect|
|suitable for this post, please provide details: |would be incompatible with the nature of the work. |
| |Prepared By:- |Approved By:- |
|Name |Dr. S Dalchow |Mr. A. Khan |
|Designation |Clinical Director |Associate Medical Director |
|Date |March 2014 |March 2014 |
| |
|TERMS AND CONDITIONS |
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|a) This appointment is offered on the Terms and Conditions of the Specialty Doctor Contract. |
| |
|b) This appointment is superannuable under the NHS Superannuation Scheme, which |
|is contracted out of the State Earnings Related Pension Scheme (SERPS). New |
|employees commencing employment from 1 March 2013 onwards will automatically |
|be enrolled in the pension scheme and your remuneration will be subject to deduction |
|of superannuation contributions. |
| |
|To opt-out, you must contact the Scottish Public Pensions Agency directly on Tel: |
|01896 893000. Should you choose to opt-out in accordance with these changes you |
|will be enrolled into the scheme again every 3 years (June 2016, 2019 etc) when the |
|same process will apply. |
| |
|For further information on the benefits of the scheme, please contact an advisor of The |
|Scottish Public Pensions Agency (SPPA) Tel: 01896 893100, or download/view a |
|member’s guide at .uk/nhs/forms.htm. |
| |
|c) The employment is subject to 3 months’ notice on either side subject always to the appeal and other provisions of schedule 18 of the |
|Pay and Conditions of Service of Hospital Medical and Dental Staff and Doctors and Dentists in Public Health Medicine and the Community Health |
|Service, New Contracts for Specialty Doctor and Associate Specialist Grades. |
| |
|d) Reimbursement of certain telephone charges may be payable on application to NHS Lanarkshire. The successful candidate must be contactable |
|throughout any on-call period. |
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|e) The successful candidate, if not already employed by the NHS Lanarkshire, will be required to complete a medical questionnaire to obtain medical |
|clearance from the Occupational Health Physician. |
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|f) The successful candidate will be required to complete a Disclosure Scotland PVG (Protecting Vulnerable Groups Scheme) form. No approach will be |
|made without written permission of the successful applicant who will be asked to sign and complete a disclosure PVG application, giving |
|authorisation for the check to be undertaken. |
| |
|g) NHS Lanarkshire does not negotiate salary placements. On commencement the salary will be in line with Schedule 14 of the terms and conditions of |
|the Specialty Doctor contract. Appointees start on the scale minimum except in the circumstances of paragraphs 5 - 9 of Schedule 14 of the terms |
|and conditions of service. |
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|h) From 1st April 2014, the starting salary for the post is £37,547 per annum (based on 10 Programmed Activities per week). The successful |
|candidate’s total salary will be dependent on his/her previous service history. Remuneration for any extra programmed activities will be dependent |
|upon the job plan agreed at the time of appointment. |
| |
|i) Dependent upon present place of residence, NHS Lanarkshire may require the successful candidate to undertake to remove home to a distance |
|acceptable to NHS Lanarkshire, normally within 10 miles of the base Hospital, in which case removal expenses will be payable in accordance with NHS |
|Lanarkshire Policy. In some cases, however, a residence more than 10 miles distant from the base hospital will be acceptable and in this case |
|removal expenses will be subject to the prior approval of the Associate Medical Director for such a residence. The position will be made clear to |
|the successful candidate on application |
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|DECLARATIONS/CONVICTIONS STATEMENT |
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|The following should be used when completing DECLARATIONS/ CONVICTIONS within the application pack. |
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|Registration with the General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of |
|medical care and to behave appropriately, towards patients. NHS Employees also have a duty to ensure that patients receive a good standard of |
|medical care and ensure as far as possible the safety of patients. We therefore need to establish if you have been found guilty of a criminal |
|offence, been bound over or cautioned or are currently the subject of proceedings which might lead to a conviction, an order binding you over or a |
|caution, in the UK or any other country. |
| |
|Applications for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. Application forms will include a declaration for |
|applicants to complete declaring any previous or pending prosecutions or convictions, including those considered “spent” under the Act. Forms will |
|also include a declaration of any cautions or bind overs. |
| |
|We also need to establish if you have been the subject of any fitness to practise proceedings in the past, or if any fitness to practise proceedings|
|are being contemplated, by a licensing or regulatory body in the UK or another country and this is also reflected in the declaration. |
| |
|This information will be treated in confidence and will not debar you from appointment unless the selection panel considers that it renders you |
|unsuitable for appointment. In reaching such a decision we will consider the nature of the conviction/action, how long ago it took place and any |
|other factors which may be relevant |
| |
|Failure to disclose a criminal offence, having been bound over or cautioned or that you are currently the subject of criminal proceedings, which |
|might lead to a conviction, an order binding you over a caution, or fitness to practice proceedings undertaken or being undertaken by an appropriate|
|licensing or regulatory body, may disqualify you from appointment, or result in summary dismissal/disciplinary action and referral to the General |
|Medical Council (General Dental Council) for consideration if such a discrepancy came to light. |
|If you would like to discuss what effect any previous convictions, police investigations or fitness to practice proceedings taken or being taken |
|either in the UK or by an overseas licensing or regulatory body might have on your application, you may telephone: Marlene Fraser (01698) 377752 in |
|confidence, for advice. |
|IMMIGRATION |
|Overseas Doctors and Dentists |For the purpose of immigration status, overseas doctors and dentists are those who, regardless of where they obtain |
| |their primary medical/dental qualification, are not nationals of the European Economic Area (EEA). A list of EEA |
| |countries is attached. |
|Changes to Immigration |On 7th March 2006 the Department of Health announced changes to the immigration rules for postgraduate doctors and |
| |dentists. The changes came into effect on 3rd April 2006 and mean that all doctors and dentists who wish to work in |
| |the UK from outside the EEA will need to meet the requirements of an employment category such as the work permit |
| |provisions. New applications for permit-free training visas will no longer be granted for doctors undertaking |
| |training posts |
|Impact of Change |Non-EEA doctors and dentists will still be able to come and train in the UK and are still eligible to apply, in open |
| |competition for training posts provided all the other eligibility criteria is met. However, training posts will now |
| |be considered employment for immigration purposes. Work permits will only be issued where there is a specific post |
| |for the overseas doctors that cannot be filled by someone from the EEA. |
|Further Information |The changes in immigration requirements for trainee doctors and dentists are a result of a Scottish Executive Health |
| |Department announcement and immigration issues are the remit of the Home Office. Clarification and further |
| |information can be accessed from the following:- |
| | |
| |Home Office ind..uk |
| |Work Permits ukba..uk/workingintheuk/ |
|EEA Countries |Austria |Greece |The Netherlands |
| | | | |
| |Belgium |Hungary |Norway |
| |Bulgaria |Iceland |Poland |
| |Cyprus |Republic of Ireland |Portugal |
| |Czech Republic |Italy |Romania |
| |Denmark |Latvia |Slovakia |
| |Estonia |Liechtenstein |Slovenia |
| |Finland |Lithuania |Spain |
| |France |Luxembourg |Sweden |
| |Germany |Malta |UK |
| |NB – Switzerland is not in the EEA, Swiss Nationals have the same rights as EEA nationals. |
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