NHS Lanarkshire - Vacancy

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|Reference |MS/1213/04 |Quote on all correspondence |

|Grade |Consultant - 1 Post Consultant anaesthetist with a special interest in ICM |

|Location |Wishaw General Hospital |

|Hours / PA’s |10 PAs per week (Part-time may be considered) |

|Salary Scale |Consultant |

|Closing Date |Friday 17th January 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 377735 |

| |Email |Pamela.Migues@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:- |

| | |

| |Mrs. J Park |General Manager |01355 585000 |

| |Mr. A Khan |Associate Medical Director |01698 366174 |

| |Dr. S Dalchow |Deputy Clinical Director |01698 366746 |

| |Dr A Morrison |Lead ICM |01698 366746 |

| |Dr. G Peters |Lead Clinician obstetric anaesthesia |01698 366746 |

| |Ms S Lees |Anaesthetic Secretary |01698 366746 |

| |

|Date when the post is Vacant |The post is vacant and a start date will be agreed with the successful candidate. |

| |

|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. Broadly, this is currently funded to |

| |permit 5 level 3 and 7 surgical level 2 beds. The ICU consultants are responsible for the level 3 patients. There is an |

| |additional 12 bedded medical level 2 facility within the hospital which is staffed by physicians. |

| | |

| |There are currently 7 consultants with a commitment to ICM. Within the last 2 years, we have changed our service model and we |

| |now 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 successfully 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 regular regional forums via teleconference. |

| | |

| |We are fully engaged with the Scottish Patient Safety Programme and participate fully in the HAI audit. |

| | |

| |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, resident consultant, senior trainee with consultant cover from the general rota or junior trainee |

| |with resident consultant who is also the senior anaesthetic 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. |

| | |

| | |

| |The department is responsible for the Acute Pain Service which includes a Pain Specialist Nurse. |

| | |

| |The Anaesthetic department is situated on the 3rd floor. All the consultants have an office (shared). There is also an office |

| |for the SAS staff. There are excellent IT facilities. |

| | |

| |Departmental CME meetings are held monthly when all elective surgery is cancelled. These are followed by a Senior Anaesthetists’|

| |meeting. We run regular M&M meetings during the CME as well as COSBART training. |

| | |

| |Three times a year, the 3 Lanarkshire hospitals hold joint CME afternoons which are followed by the Lanarkshire Anaesthetists |

| |Group Meeting. |

| | |

| |There is a dedicated daily CEPOD list and there are 10 trauma lists weekly. Weekend duties are split between CEPOD and trauma. |

| |There is also an evening CEPOD list from 5-9pm and surgery commencing after this time is generally limited to ‘life and limb’ |

| |only. |

| | |

| |Presently, the on call rota consists of a first-on consultant who covers the resident ACCU trainee, theatre work after 9pm, and |

| |the resident middle grade anaesthetist in Maternity. The 2nd-on senior, who may be consultant or SAS, is available as back-up if|

| |required. Currently first on call duties are split between 16.8 consultants. Second-on is spilt between 16.8 consultants and 2 |

| |SAS doctors. The first on consultant is not scheduled for clinical duties the following day. The second does have clinical |

| |duties as the frequency of being called back is extremely low. |

|The Post |A well developed interest in Intensive Care Medicine is essential and we wish to recruit enthusiastic doctors who will be |

| |committed to quality improvement in this area. |

| |The post is offered as 10 PAs. There are theatre sessions available in gynaecology, general and emergency surgery, elective and |

| |emergency obstetrics, antenatal pre-assessment and trauma. A special interest in any of these fields could possibly be |

| |accommodated. |

| |The exact configuration of sessions will be determined following appointment when a job plan will be issued as part of the |

| |contract. |

|The ICM Post |

|This is an example of a current worked job plan adapted for the addition of a 7th intensivist. |

| |

| |

|Week |

|Monday |

|Tuesday |

|Wednesday |

|Thursday |

|Friday |

| |

|  |

|A.M. |

|P.M. |

|A.M. |

|P.M. |

|A.M. |

|P.M. |

|A.M. |

|P.M. |

|A.M. |

|P.M. |

| |

|1 |

|Gyn  |

|Gyn |

| |

| |

|  |

|  |

|Ortho  |

|Ortho  |

| |

|Urology |

| |

| |

|2 |

|Gyn  |

| Gyn |

| |

| |

|  |

|  |

|Ortho  |

|Ortho  |

| |

|Urology |

| |

| |

|3 |

|ICU |

|ICU |

|ICU |

|ICU |

|ICU |

|ICU |

|ICU |

|ICU |

|ICU |

|ICU |

| |

|4 |

|  |

| |

| |

| |

|  |

|  |

|Ortho  |

|Ortho  |

| |

|Urology |

| |

| |

|5 |

|Gyn  |

|Gyn |

| |

| |

|  |

|  |

|Ortho   |

|Ortho  |

| |

|Urology |

| |

| |

|6 |

|Gyn  |

|Gyn |

| |

| |

|  |

|  |

|Ortho  |

|Ortho  |

| |

|Urology |

| |

| |

|7 |

|Gyn  |

|Gyn |

| |

| |

|  |

|  |

| Ortho |

| Ortho |

| |

|Urology |

| |

| |

| |

|The PAs to be covered in the new job plan could involve Gyn all day Monday and elective orthopaedics all day Thursday. The exact format of the job plan will be |

|decided with the successful applicant. |

| |

|General Provisions |You will be answerable to the 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. In addition, you will be expected to ensure that staff have access to advice and |

| |counseling. 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 career. |

|Resources |The department: |

| |Consultants |Special Interest |

| |Dr. S Dalchow |Deputy Clinical Director, ICM, ERAS, ECT |

| |Dr. D Maclean |ICM |

| |Dr. A Morrison |Lead Clinician ICM, Pre assessment, DSU, SPSP Lead |

| |Dr. L Bell |ICM |

| |Dr. A Simpson |Bariatric service; Cell salvage, Pre-assessment |

| |Dr. T Szelei |ICM, seniors’ rota co-ordinator |

| |Dr. K Razouk |Anaesthetic assistants training, obstetrics |

| |Dr. R Padmanabhan |Airway lead |

| |Dr. I Lang |CLOD, ICM Faculty Tutor |

| |Dr. G Mathew |Maternity |

| |Dr. C Slorach |Equipment lead, Lead Clinician Acute Pain, College Tutor |

| |Dr. S May |Chronic Pain |

| |Dr. G Peters |Obstetric lead, specialty doctor mentor |

| |Dr. L Millar |Maternity, Trauma Lead, Trainee Rota |

| |Dr P Lucie |ICM, FICM Tutor, SICSAG Lead |

| |Dr H McKay |Resident maternity, Pre-assessment, Maternity Rota |

| |Dr M Dalidowski |Resident maternity |

| |Dr M Mifsud |Resident maternity |

| |Dr E Bone |Resident maternity |

| |Associate Specialists |2 |

| |Specialty Doctors |1 |

| |Specialist Registrars on rotation from the West of Scotland Training Scheme. |1 |

| |Trainees |9 |

| |Secretarial Support: | |

| |WTE Senior Secretary |1 |

| | | |

|DUTIES AND RESPONSIBILITIES |

|Main Duties |The main duties and responsibilities of your post include: |

| | |

| |The provision of anaesthesia as outlined above. The days on which these clinical commitments take place will be fixed as far as |

| |possible though it is expected that you will be flexible with your duties in keeping with other members of the department. There|

| |will be some movement of days depending on the on-call arrangements but notice of changes will be given in accordance with NHS |

| |Lanarkshire policies. |

| | |

| |Contribution to the consultant on-call rota covering ACCU until the rota is split. |

| | |

| |Contribution to the evening and weekend CEPOD (emergency surgery and trauma) until the rota is split. |

| | |

| |As you will be part of the ICM specialist rota, you will undertake to do the lists of your colleagues while they are doing their|

| |fixed commitments to the ACCU. This will involve emergency general surgery and trauma, elective orthopaedics, gynaecology, ENT |

| |and general surgery. |

| | |

| |There are lists currently available in orthopaedics, trauma, maternity and pre-assessment. |

| | |

| |It is expected that you will have limited involvement in the obstetric unit other than what is deemed necessary to maintain |

| |skills as you may have occasional involvement when on call. |

| | |

| |The existing 7 ICM consultants do fixed weeks of daytime cover of the ACCU though one of these consultants is expected to retire|

| |in 2014. It is anticipated that the pattern of cover will change with the appointment of another 2 consultants enabling a split |

| |rota and the exact method of covering the ACCU will be decided when we have 8 full-time consultants in post. |

| |

|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 actual job plan will be decided after appointment. |

| | |

| |A minimum of 1 SPA will be included in the job plan.  Additional SPAs (up to 2.5 in total) can be incorporated into the job plan|

| |depending on the time required to support the successful candidate’s professional activities and the needs of the service. There|

| |is 1 PA for peri-operative care with the remaining PAs for direct care commitments (10 PAs in total). Extra programmed |

| |activities (EPAs-up to a maximum of 2) may be offered subject to availability and needs of the service. |

| | |

| |On taking up the post a job plan will be agreed between the person appointed and the Clinical Director/Associate Medical |

| |Director. The job plan will be reviewed informally after 3 months in post and then again on a formal basis after 6 months in |

| |post. |

| | |

| |The job plan will be dependent on the successful candidate’s subspecialty training and interests.  |

| |

|In addition, other activities |Reviewing new admissions. |

|not occurring at fixed times. |Discussing referrals, in patient and out patient with Colleagues (daily). |

| |Discussing management/investigation of patients with colleagues in other appropriate Clinical Support Services |

| |Ward Referrals, Discussing patient management/ reviewing patients with doctors in training and Nursing Staff out with formal |

| |ward rounds. |

| |Speaking to GP’s, outpatients re results. |

| |Vetting Fast Track clinic referrals/ allocating appointments (daily) if applicable |

| |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 Specialty Clinical Director/Clinical Lead 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 or at an annual review. |

| |

|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 Specialty Clinical |

|Development |Director/Clinical Lead. The appointee will be required to fulfill such demands for continuing professional development as the |

| |Royal College of Anaesthetists (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 |F.R.C.A. (or equivalent). |Additional Post-graduate qualifications e.g. MRCP, MD. |

| | |Dual accreditation in ICM. |

| | |FICC/EDIC. |

|Training |Current full registration with GMC with a licence to | |

| |practice. | |

| | | |

| |On Specialist Register or within 6 months of CCT or CESR (CP)| |

| |at interview. | |

|Research |Willingness to participate in multicentre studies applicable |Experience and interest in Audit. |

| |to Anaesthesia and national audit. | |

|Publications | |Previous publications relevant to the practice of Clinical |

| | |Anaesthesia. |

|Experience |Wide general experience in Anaesthesia, Intensive Care and |Paediatric experience for routine surgery. |

| |obstetric anaesthesia including paediatric resuscitation. | |

| | | |

| |Previous experience in organising NHS Services or equivalent.| |

| | | |

| |Demonstrable special interest in ICM. | |

|Knowledge and Skills |Broad based knowledge and skills encompassing most |Problem solver/diplomat /counsellor. |

| |sub-disciplines. | |

| | | |

| |Interest and experience in undergraduate and postgraduate | |

| |teaching. | |

|Disposition |Committed to Quality Patient Care. |Preference to work in a District General Hospital. |

| |An ability to communicate well with colleagues and other | |

| |staff. | |

| | | |

| |Ability to work as part of a team. | |

|Other |A commitment to continuing medical education. | |

| | | |

| | | |

| |Fluent in medical English and evidence of ability to | |

| |communicate in stressful situations. | |

| | | |

| |A flexible approach to duties, which satisfies the needs of | |

| |the Service in a changing environment. | |

|If there is any reason why a disabled person should not be considered suitable |The post requires physical dexterity. Uncorrected visual or hearing defect |

|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 |October 2013 |October 2013 |

|TERMS AND CONDITIONS |

| |

|a) This appointment is offered on the Terms and Conditions of the new Consultant Contract. |

| |

|Additional NHS Lanarkshire Policies which support the Contract are listed below and are available on request: |

| |

|Additional & External Duties |

|Fee –Paying Work in the New Consultant Contract |

|On-Call Availability and Payment of Supplement |

|Generic Objectives |

|Resident On-Call Duties |

| |

|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 paragraphs 10.4 & 10.5 of the |

|Terms and Conditions of Service of Hospital Medical and Dental Staff and Doctors in Public Health and the Community Health Service Consultant Grade. |

| |

|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. |

| |

|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. |

| |

|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 authorization for the check to be |

|undertaken.    |

| |

|g) NHS Lanarkshire does not negotiate salary placements. On commencement the salary will be in line with paragraph 5.1 of the terms and conditions of the new |

|consultant contract. Appointees start on the scale minimum except in the circumstances of paragraphs 5.1.2 – 5.1.7 of the terms and conditions of service. |

| |

|h) From 1st April 2013 the starting salary for the post is £75,249 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. |

| |

|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. |

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|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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