CONSULTANT PHYSICIAN IN GENERAL AND RESPIRATORY MEDICINE

Transcription

1 CONSULTANT PHYSICIAN IN GENERAL AND RESPIRATORY MEDICINE

2 POST: TENURE: JOB PURPOSE: KEY INTERNAL RELATIONSHIPS: KEY EXTERNAL RELATIONSHIPS: CONSULTANT PHYSICIAN IN GENERAL AND RESPIRATORY MEDICINE Permanent To work as a consultant physician in general medicine To work with consultant colleagues to provide a service for patients with respiratory diseases. Divisional Director (Unscheduled Care) Deputy Divisional Director (Unscheduled Care) Head of Department (Respiratory Medicine) Consultant colleagues within the Department Divisional Management Team Clinical Administrative Support Staff Colleagues in all specialities General Practitioners NHS Blackpool CCG and NHS Fylde and Wyre CCG Blackpool Unitary Authority and Lancashire County Council Social Services THE POST: It is an exciting time to join the Respiratory Department at Blackpool Teaching Hospitals, which is looking to appoint an additional respiratory physician, increasing the team to 7 Consultants. The Trust has received approval from Specialist Commissioners to deliver Adult Cystic Fibrosis services to patients in Lancashire, and implementation of this is currently in progress. This post is to replace one of the existing 6 consultants who is who is leading the development of Cystic Fibrosis services. Plans are also in place to develop a third Respiratory ward with a dedicated acute Respiratory Assessment Centre (RAC) and Respiratory High Care facility, and an Ambulatory Care service including Hot Clinics, and a dedicated Pleural Diseases service. There is scope for the successful candidate to develop their own area of sub-specialisation. The successful candidate will join a multi-professional team currently based on Wards 23 & 24 at Blackpool Victoria Hospital, although plans for ward re-location are being implemented to enable the development of the 3 rd Respiratory ward. The respiratory physicians currently work in 3 pairs with each consultant in a pair working 2 weeks on the respiratory wards, followed by 2 weeks off the wards. The new appointee will join one of the existing consultant pairs to cover respiratory inpatients (total of 50 beds) as well as the aforementioned acute Respiratory Assessment Centre (RAC), Respiratory High Care facility, and Ambulatory Care service in conjunction with the other 2 consultant pairs. There is also a general medical on-call commitment with a 1 in 24 weekdays and 1 in 8 weekends on-call. An on call intensity supplement is payable. Applications are welcome from those candidates who wish to work either full-time or less than fulltime. A number of novel Job Plans are already in place and other options will be considered. 2

3 1. THE DEPARTMENT OF RESPIRATORY MEDICINE 1.1 Staff: The Department of Respiratory Medicine provides services for adult patients throughout the Fylde Coast. At present there are 6 consultants with an interest in Respiratory Diseases (see later). The remaining medical team establishment consists of: 2 Staff Grade Doctors 2 Specialist Registrars 2 CMT, 1 GPVTS, 1 ACCS Trainees 3 FY1 Trainees Inpatient services consists of 50 beds currently on Ward 23 & 24 Specialist Nurse Team Consists of: 6 Respiratory Nurse Specialists 3 Lung Cancer Nurses 2 TB Specialist Nurses 1 dedicated Senior Clinical Respiratory Physiotherapist (Oxygen service) 1.2 Facilities: The Chest Clinic has a self-contained suite of clinic rooms on the ground floor attached to the main outpatient block, together with a counselling room and a consultation room for use by the specialist nurses. There is a well-equipped lung function laboratory. Office accommodation is located on the 1 st floor. There is a seminar room equipped with a computer and digital projector. Bronchoscopy, including EBUS, is performed in the Endoscopy Unit situated in the Gastroenterology Department. There are currently 2 lists per week. In-patient beds are in a purpose built ward block, which opened in June The chest unit currently comprises two adjoining 25 bed wards (Wards 23 & 24). Each ward is divided into 3 seven bed bays and 4 single side rooms. A side room on Ward 18 has telemetry equipment for sleep studies: the sleep laboratory is between Wards 18 & 19. There are plans in place to develop a new respiratory unit comprising a Respiratory assessment centre (RAC), Respiratory High Care area (RHC) and Ambulatory Care service with an estimated size of 20 beds Respiratory high care area with 10 beds for NIV and level 2 (HDU) respiratory care and a Respiratory assessment centre (RAC) with an estimated size of 10 beds. This new unit will facilitate direct admission to the RAC and RHC from A&E, AMU and GP according to set referral criteria. 3

4 1.3 Relationship with Specialist Centres Blackpool is a specialist centre for respiratory medicine incorporating a Regional Sleep service, shared care Pulmonary Hypertension and Home Ventilation clinics and a number of other specialist services. The Chest Clinic currently operates in close liaison with the on site regional cardiothoracic surgical unit. There are 7 consultant cardiothoracic surgeons with a dedicated thoracic surgeon having been appointed recently, and 10.5 cardiologists (7.5 of which are interventionalists), providing angioplasty to a population of 1.6 million. There are weekly combined meetings involving respiratory physicians, cardiothoracic surgeons, radiologists, clinical and medical oncologists, pathologists, palliative care and lung cancer nurse specialists. Video assisted thoracoscopy, bronchial stenting and other specialist facilities are available. There are 6 to 7 clinics per week run by the oncologists from Royal Preston Hospital incorporating lung cancer patients. The Trust also now has an acute oncology service with specialist nurse support. 1.4 Relationship with Other Specialties There is a close liaison with the radiology department via weekly joint meetings and direct referral for procedures including CT guided lung biopsies. There is liaison with the CDC and community physicians regarding management of tuberculosis. The Department of Radiology has a complement of 14 consultants, four with an interest in chest disease, and 3 Specialist Registrars. The department is equipped with an Agfa digital imaging system with remote viewing facilities in all wards and outpatient rooms. Images can be accessed via desktop PC in consultants offices. There is an MRI scanner and 2 CT scanners, with a third CT scanner shortly to be installed. Respiratory physicians are regularly involved in the general intensive care unit as part of medical take commitments and for specialist respiratory opinions. There is also regular input by one of the chest physicians (Dr Bongers) into the separate cardiothoracic intensive care unit. 1.5 Adult Cystic Fibrosis Service Dr T Saba is leading the development of this new service. We will have dedicated facilities to accommodate inpatients and outpatients. There is already a well established Paediatric CF service led by Dr Ned Rowlands. It is envisaged that there will initially be close collaboration with the Manchester Adult CF Centre as a number of existing patients will transfer their care back to Blackpool, along with patients transitioning directly from the Paediatric service. However, we would expect that Blackpool would eventually become a stand-alone unit caring for 60 to 80 patients over a period of 5 years. There are already a number of other consultants in the Trust who have experience in this field including from within Respiratory Medicine, Microbiology, Radiology, Gastroenterology, Thoracic Surgery, Diabetes/Endocrinology, Rheumatology and Obstetrics and Gynaecology. 4

5 1.6 Lung Cancer Services Lung Cancer patients are fast-tracked. It is an extremely busy service; in 2014 and 2015, there were almost 500 referrals on the 2 week wait pathway. A weekly multi-disciplinary meeting is held in the chest clinic. The unit has a close relationship with the departments of cardiothoracic surgery, radiology and oncology. A dedicated thoracic surgeon was appointed last year. The lead clinician for lung cancer is Dr Mirakhur, with Dr Bhatta as lead for EBUS/Bronchoscopy also having an interest in lung cancer, although all 7 chest physicians currently see lung cancer patients. There is a weekly EBUS list, with the imminent implementation of an interventional session as well (Dr Bhatta). There are 3 lung cancer nurse specialists, who see patients pre-diagnosis and at diagnosis, as well as supporting the thoracic surgeon and oncologists in outpatient clinics. In addition, there is an on-site EUS service provided by the Gastroenterologists. The service is actively involved in education and the performance of the service has exceeded Network and national levels in several areas on a consistent basis. 1.7 Sleep Unit One of the medical wards contains a dedicated 1 bed suite for 16-channel polysomnography with a third mobile laptop acquisition unit operated by respiratory technicians from an adjacent office. This allows full investigation of obstructive sleep apnoea, narcolepsy and other sleep related disorders. The department is funded for provision of CPAP for obstructive sleep and for local (Blackpool) nasal ventilation in the treatment of nocturnal ventilatory failure. Dr Paracha is the lead clinician for the sleep service. 1.8 Tuberculosis A TB contact clinic is under the direction of Dr Li Kam Wa. 1.9 Pulmonary Hypertension There is a four-weekly Pulmonary Hypertension clinic run by Dr Saba. This is the only clinic of this type in the Northwest region and provides a diagnostic and shared care service to the local population in association with the regional Sheffield Pulmonary Vascular Diseases Unit COPD The department runs a Hospital at Home service for COPD patients with a weekly MDT and close working relationships with primary care. Dr Bongers is Lead Clinician for COPD. There are plans in progress to develop a network-wide emphysema MDT and community COPD services. The Respiratory Nurse service has collaborated closely with Primary Care to establish COPD pathways interfacing primary/secondary care. 5

6 1.11 Pleural Disease and Chest Ultrasound We provide a wide range of specialist services for patients with pleural disease including a Bedside Chest Ultrasound service with five Level 1 trained physicians. Dr Saba is Lead clinician for Pleural disease and runs a twice yearly regional chest drain and ultrasound course as well as regular internal chest drain courses. The Cardiothoracic surgical team provide video assisted thoracoscopy and expert advice on large bore chest drainage, including an on call SpR on site at all times. Indwelling pleural catheters (IPCs) are inserted and managed by the surgical team, although it is expected this will be taken over by the respiratory physicians. Our dedicated thoracic surgeon provides a thoracoscopy service for patients under sedation and general anaesthesia. There are plans to develop a dedicated Pleural Diseases service including a Nurse-led Bedside Ultrasound service, Medical and Nursing bleep holders of the week, twice weekly clinics and procedure lists and a Physician-led IPC service. There will also be a joint Medical/Surgical clinic with Mr Purohit, Thoracic Surgeon Home Non-Invasive Ventilation (NIV) There is a shared care Home Ventilation clinic in partnership with the Regional Home NIV service at Wythenshawe Hospital, Manchester. This provides a diagnostic and shared care service to local patients under the supervision of the Manchester service. It is however envisaged to change soon to a regionally led ventilation service encompassing Lancashire and south Cumbria in providing acute and home NIV, weaning and long term home ventilation services for the local population. This development is led by Dr Bongers Pulmonary function laboratory The Respiratory and Sleep Physiology Department is situated in the Chest clinic Unit in the Out-Patient Department. There is a team of 4 qualified Physiologists, 3 support practitioners and a full time administrative assistant. The department offers a wide range of routine and specialised respiratory function tests:- Spirometry, Reversibility Studies, Transfer Factor, Lung Volumes (N2 washout), MIP/MEP, Hypoxic Challenge Test, 6 minute walk, Hypertonic Saline Challenge. The Physiologists support the out-patient clinics by offering a same day service for full lung function tests. The unit is fully involved with the national training programme for new Respiratory and Sleep Practitioners and has hosted students from Manchester Metropolitan University for the last 4 years, supporting them through their Respiratory/Sleep Practitioner training. The department had recently obtained accreditation from the ARTP, allowing us to become a recognised Spirometry Training Centre, with the first session booked for October this year. The Sleep Physiology Department offers Full Polysomnography, Respiratory Channel Studies, Oximetry, CPAP New Loan, Autoset New Loan, CPAP Titration and follow-up CPAP Clinics. There is a Physiologist led OSAHS clinic, running alongside the Clinician led clinic, where the patients are taken from diagnosis and onto treatment by the Physiologists Bronchoscopy Sessions Bronchoscopy sessions incorporating EBUS-TBNA are held on a Monday and Tuesday in the gastroenterology unit. Dr Bhatta is the lead for Bronchoscopy/EBUS. 6

7 1.15 Research and Development We have the largest and most active Respiratory Research programme in Cumbria and Lancashire, itself one of the most successful Comprehensive Research Networks in the UK in recent years. At the time of writing we are running nine NIHR Portfolio studies and have completed five more in the past three years. Five of our consultants are Principal Investigators on open or proposed studies and Respiratory Medicine has the second highest recruitment rate of any speciality in our Trust. Departmental research meetings are held regularly and junior staff are encouraged to participate. In addition, nine abstracts have been accepted for publication at the British and European Thoracic society meetings in the past three years. The Research programme is led by Dr Tarek Saba, who is an Honorary Senior Lecturer at Lancaster University and the team includes four Research nurses, a Junior Trials Fellow and a Physiologist, and the successful applicant will be encouraged to participate. 2. DUTIES OF THE POST 2.1 Clinical The new post will allow further development and expansion of the Respiratory service. The clinical commitments of this post will include responsibility for inpatient and outpatient care at Blackpool Victoria Hospital (BVH). The main thrust of the post holders work will be directed towards respiratory medicine although there will be a general medical component. The post holder will have inpatient beds at BVH. The beds are currently based on two adjoining 25 bed wards (Wards 23 & 24) and currently shared with the other on ward respiratory consultants. Plans are in place to develop a 3 rd respiratory area as detailed previously. A team job planning model is currently in operation with daily Consultant wards rounds, Monday to Friday, on Wards 23 and 24, with three Consultants managing a maximum of 17 patients over a two week period. Working in a paired model, the other Consultants do not have any inpatient responsibilities during these periods, with a reduced intensity of clinical duties. This is to ensure continuity of consultant cover and daily consultant input into all respiratory inpatients. With the development of the RAC and RHC facility, it is expected that consultants will rotate through this also. Outpatient work will be conducted at BVH in a dedicated chest clinic suite with adjoining respiratory laboratory. The clinics are supported by respiratory and lung cancer nurse specialists. Office accommodation, IT and secretarial support will be provided within the department. 7

8 2.2 Indicative Job Plan Initially, this is a 10PA contract with the expectation that this could be extended (max 12). Therefore, initially the overall job plan will be: 8.0 Direct Clinical Care PA 2.0 SPA The post holder will participate with colleagues from Acute and General Medicine on an on-call rota, currently on a 1 in 24 weekday basis and 1 in 8 weekends. During weekdays, the on-call consultant will carry out an evening ward round on the Acute Medical Unit, 5pm 8pm or 6pm 9pm. The Acute Medical Unit is managed during normal working hours in the week by Acute Physicians. Non-fixed half days include administration / audit / CME / research and teaching. The post holder will be paired with another consultant for annual and study leave. The trust will endeavour to recruit a locum to cover for sick leave of more than one week duration. Job Planning occurs annually with the Head of Department/Divisional Director and Directorate Manager. Adjustments to the current job plan are negotiable at the Job Planning meeting. 2.3 Teaching The appointee will take an active role in the training and teaching of junior staff. The appointee may also expected to teach and supervise medical undergraduates from the University of Liverpool during their clinical attachments to the respiratory unit. In addition, the department takes postgraduate students from the University of Buckingham. 2.4 Clinical Audit There is an active Clinical Audit programme in the Medical Directorate, with each speciality having its own clinical audit lead. For Respiratory Medicine, this is Dr Bhatta. All Physicians are expected to participate in the design of audit within their specialty. 2.5 Mortality and Business meetings The postholder is expected to take an active part in the monthly departmental mortality meetings, as well as business meetings with the Directorate Manager. 2.6 Continuing Professional Development The appointee will maintain their CME/CPD in line with College and GMC guidelines. There will be annual appraisal by the Divisional Director/Head of Department. 2.7 Contractual Commitment The postholder will have continuing responsibility for patients in their care and for the proper functioning of the service and will undertake the administrative duties associated with care of patients and the running of the clinical department. Blackpool Teaching Hospitals NHS Foundation Trust will be the employer for the appointment and will issue the Contract of Employment. 8

9 3. APPRAISAL & MENTORSHIP There is a requirement to participate in annual appraisal in line with GMC regulations. Mentorship with an established consultant colleague will be offered. The Trust has the required arrangements in place, as laid down by the Royal College of Physicians, to ensure that all doctors have an annual appraisal with a trained appraiser and supports doctors going through the revalidation process. 4. ASSOCIATED DUTIES AND RESPONSIBILITIES 4. 1 Main Duties and Programmed Activities Except in emergencies or where otherwise agreed with the clinical manager, the postholder is responsible for fulfilling the duties and responsibilities and undertaking the programmed activities set out in the Job Plan, as reviewed from time to time in line with the provisions in Section 6 below. 4.2 Associated Duties The postholder is responsible for the associated duties set out in Schedule 2 of the Terms and Conditions. These include, amongst other things a requirement to: Establish links with general practitioners to advise them about the management of patients with respiratory diseases in the community. Collaborate with colleagues in primary and secondary care to implement protocols for the management of patients with respiratory disease. Keep yourself up to date with developments in the specialty. It is expected that active consideration will be given to existing technologies in terms of cost effectiveness. In addition the use of new techniques where they can be justified clinically will be encouraged. Conforming with state of the art advances will ultimately depend on other priorities within the total unit. To contribute to post-graduate and continuing medical education. The trust supports the requirement of CME/CPD as laid down by the Royal College of Physicians and is committed to providing time and financial support for these activities. 4.3 Objectives The purpose of including agreed personal objectives in the Job Plan is to set out in clear and transparent terms what the postholder and clinical manager have agreed should be achieved in the year in question. These objectives are not contractually binding in themselves, but the appointee has a duty to make all reasonable efforts to achieve them. 9

10 4.4 On Call Duties and Emergency Responses When not on an on-call rota we may, in exceptional circumstances, ask the postholder to return to site for emergencies if we are able to contact him/her. However, there is no requirement to be available for such eventualities. Where emergency recalls of this kind become frequent, we will review on call rota. 5. CLINICAL AND MANAGERIAL LEADERSHIP The Trust Board Members are as follows:- Chairman - Mr Ian Johnson Non-Executive Directors Executive Directors - Mrs Karen Crowshaw - Mr Doug Garrett - Mr Alan Roff - Mr Tony Shaw - Mr Jim Edney - Mrs Michele Ibbs - Dr Malcolm McIllmurray Chief Executive - Mr Gary Doherty Medical Director - Professor Mark O Donnell Director of Nursing & Quality - Mrs Marie Thompson Director of Operations - Mrs Pat Oliver Director of Strategy/ Deputy Chief Executive - Mrs Wendy Swift Director of Finance and Performance - Mr Tim Bennett Director of Workforce and OD - Mrs Nicky Ingham In addition the consultants meet on a regular basis to discuss policy and strategy within their specialty. 10

11 6. DIRECTORATE OF MEDICINE STAFF ESTABLISHMENT 6.1 Medical Staff Respiratory Medicine Acute Medicine Care of the Elderly Diabetes and Endocrinology Gastroenterology Haematology Infectious Diseases /HIV Rheumatology Dermatology Thoracic Oncology Neurology Dr E Li Kam Wa, Dr M Paracha (Head of Department) Dr A Mirakhur Dr T Saba Dr A Bhatta Dr T Bongers Locum/New appointee Dr Kollipara Dr Foy Dr Alam Dr Ashraf Dr SK Talab Dr G Adedolapo Dr M Taylor Locum Dr A Weatherburn (Community) Dr M Aye Dr S Qazi Locum Dr M Hendrickse Dr CJ Shorrock Dr P E T Isaacs Dr Murugesan Dr Mahesh Dr C Meaden Dr M Macheta Dr S Kolade Dr P Cahalin Dr Mark Grey Dr J Sweeney Dr C Rao Dr S Jones Dr H Sari-Kouzel Dr A Jeffries Dr W Bottomley Locum Consultant Dr S Lau Dr M Siva Dr B Boothman 11

12 Dr O Kulkarni Dr C Gall Nephrology Stroke Palliative Medicine Dr Arunachalam Dr Shetty Dr Dhaygude Dr J McIlmoyle Dr S Kumar Dr A Ahmed Dr A Whitfield Dr H Preston 6.2 Responsibility for Junior Staff The postholder will provide supervision and support for junior staff as detailed above. 7. POLICY AND STRATEGY 7.1 The Strategic Agenda Policies which drive our Agenda include: - The NHS Plan The National Service Frameworks (for Coronary Heart Disease, Older People, Diabetes) National Cancer Plan National Clinical Guidelines (NICE) Health Improvement Programmes and Joint Investment Plans Healthier Nation Targets and Health Outcome Indicators P.C.T. s Health Action Zones Modernising Health and Social Services User and Carer Involvement Improving Working Lives Trust training and development Strategy 7.2 Organisational Excellence The Trust is actively pursuing a total quality approach through self-assessment. Management structures are designed to ensure that maximum devolution and decisionmaking rests with the Clinical Directorate Teams. 7.3 Health & Safety The Trust has a comprehensive Health and Safety Policy with corporate policies and procedures at Directorate level. It is the responsibility of each employee to observe these policies. 7.4 Risk Management 12

13 A comprehensive Risk Management Strategy that includes a serious incident reporting system is in operation. All employees are expected to work within the system. 7.5 Clinical Governance Clinical Governance requires that all clinical staff accept personal responsibility for knowing what constitutes best practice in their field, defining policies to translate this into practice within their own service and measuring the clinical outcomes of the service. The Trust is adopting an approach to Clinical Governance which will draw together its preexisting self-assessment programme, clinical audit programme, complaints and litigation management, risk management, continuing medical education and clinical leadership. 7.6 Processes This post will facilitate the provision of general medical and respiratory care to adults resident in Blackpool, Wyre and Fylde, and to holiday makers who may attend the hospital. The current local operational agenda for improving services is informed by the recently completed reconfiguration of the two local health care trusts and the Medical Directorate. 8. RESOURCES 8.1 Blackpool, Fylde & Wyre Hospitals NHS Trust Victoria Hospital The Blackpool Victoria Hospital serves a resident population of approximately 333,000. There are large seasonal fluctuations in population with Blackpool and surrounding areas of the Fylde coast attracting up to 12 million visitors a year. Victoria Hospital has 849 beds and serves the three surrounding boroughs of Blackpool, Wyre and Fylde. The hospital has consultant staff numbering over 130, encompassing all major medical and surgical specialties. In addition there are visiting consultants in the specialties of nephrology, neurology, neurosurgery, plastic surgery, and oncology. The hospital provides tertiary services in Cardiology, Cardiothoracic surgery and Haematology. The large Radiology Department has state of the art Spiral CT and MR scanners. There are facilities for Nuclear Radiology in addition to plain radiography and ultrasound. The department uses a film-free digital imaging service. The hospital has teaching status and attracts medical students from Liverpool University Medical School, as well postgraduate students from the University of Buckingham. 8.2 Honorary Appointments Consultants may be eligible for appointment as Honorary Lecturer with the University of Central Lancashire or the University of Lancaster. Those who make a substantial contribution in research or undergraduate education are eligible for promotion to Honorary Senior Lecturer, Reader or Professor. 9.0 KEY RESULTS 13

14 9.1 Clinical Results The postholder will be expected to contribute to the ongoing quality improvement of clinical services. 9.2 Policy and Strategy The appointee will be expected to participate fully in the development of medical services. This may include Directorate, Trust and multi agency project involvement to improve the quality of health care for local residents. 9.3 Resource Management As part of the Medical Directorate Team the postholder will be expected to ensure that services are delivered within agreed parameters. 9.4 People Leadership The appointee will be expected to provide leadership to their clinical teams and a range of project teams as required. These may include multi agency development teams. 9.5 Education The postholder will be expected to take a full part in Undergraduate and Postgraduate Medical Education. 10 GENERAL REQUIREMENTS AND CONDITIONS OF SERVICE a) Membership of the Royal College of Physicians and a certificate of higher specialist training in Respiratory and General Internal Medicine, entry on or admission to the specialist register within 3 months are essential. b) Applications from candidates who are prefer to work part-time, wish to join in a job sharing arrangement or want to discuss a novel Job Plan will be considered. c) A satisfactory medical examination is a condition of employment for medical and dental staff in the National Health Service. Therefore, the successful candidates appointments will be subjected to medical clearance from the Trust s Occupational Health Physician. In relation to Hepatitis B screening and vaccination, it is a requirement of all staff that they should undergo periodic testing and where a post is designated as potentially prone to exposure, be vaccinated. d) The appointee will be required to live within 10 miles of the hospitals served, or to have access e.g. by motorway in the equivalent travelling time. 14

15 e) The appointee will be expected to work with local managers and professional colleagues in the efficient running of services and will share with consultant colleagues in the medical contribution to management. f) Subject to the provisions of the Terms and Conditions of Service, the postholder is expected to observe agreed policies and procedures, drawn up in consultation with the profession on clinical matters. In particular, where the postholder will supervise employees, they will be expected to follow the local and national employment and personnel policies and procedures. They will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of their patients to be able to contact them when necessary on-call. g) All medical and dental staff employed by Trusts are expected to comply with all Heath and Safety policies. h) It is appreciated that the fixed commitments set out below can only apply if the medical, nursing and administrative infrastructure is in place, both in terms of quality and quantity. Any variations on the provision of the infrastructure should be brought to the attention of the general manager of the provider unit. i) By the same token, if urgent cases have taken up a large part of the previous night, it is acknowledged that fixed commitments may not necessarily be fulfilled. j) Where involvement in clinical management is accepted by an individual consultant and this involves specified duties, an abatement of clinical sessions will be permitted. k) It is expected that when management duties are relinquished, the original session(s) will be taken up. l) Where the appointee is required to relocate, the Trust will have regard to all the individual employee s circumstances, including the need to re-house dependents and the comparability of new and previous accommodation. m) In agreeing the assistance to be provided, the Trust will have regard to all the individual employee s circumstances, including the need to re-house dependents and the comparability of new and previous accommodation. n) The Trust will require employees to repay all of part of the reimbursements and grants paid if they leave the Trust within two years of the appointment which gave rise to the expenses 11 MANAGEMENT There are regular meetings with management, and all consultants are expected to attend and participate in these. 15

16 12 REVIEW OF THE JOB PLAN The postholder and Head of Department/Divisional Director will have agreed a prospective Job Plan that sets out the main duties and responsibilities, a schedule for carrying out your Programmed Activities, your managerial responsibilities, your accountability arrangements, your objectives and supporting resources. The postholder and their clinical manager will review the Job Plan annually in line with the provisions in Schedule 3 of the Terms and Conditions. Either may propose amendment of the job plan. The appointee will help ensure through participating in Job Plan reviews that their Job Plan meets the criteria set out in the Terms and Conditions and that it contributes to the efficient and effective use of NHS resources. 13 FURTHER INFORMATION Interested candidates are invited to contact Dr Mohammad Paracha (Head of Department), Dr Anju Mirakhur, Dr Tarek Saba, or Dr Thomas Bongers, Victoria Hospital, Blackpool on or or Dr P Hayes, Deputy Divisional Director on to make arrangements for an informal visit to the hospital. Victoria Hospital Whinney Heys Road Blackpool FY3 8NR The NHS and Blackpool Teaching Hospitals NHS Foundation Trust included are, facing considerable cut-backs which present us with significant financial pressures, which we cannot allow to compromise on the quality of care we provide. Therefore a decision has been made to bring our interview expense practices in line with similar NHS Organisations. Please note: only successful applicants will be reimbursed with second class travel and expenses payable from the point of entry to the United Kingdom for interview expenses. 16

17 Provisional Job Plan for on ward week Mon AM Ward Round PM Radiology Meeting Admin/Bronchoscopy Ward Round DCC 1.0 DCC 0.25 DCC 1.25 Tues Ward Round Dept Teaching SPA DCC SPA Wed Ward Round Grand Round SPA Specialty Reviews DCC 1.0 SPA Thurs Ward Round DCC 0.5 Dept meeting Follow-up clinic SPA DCC 0.25 DCC 1.0 Fri Ward Round Lung Cancer MDT Admin DCC DCC DCC 0.75 DCC SPA

18 Provisional Job Plan for off ward week AM PM Mon Tues Wed New/Follow-up clinic Grand Round SPA Thurs DCC Admin DCC 1.0 SPA 0.25 Departmental Business/Mortality Meeting New Patient clinic DCC 1.0 Fri Follow-up clinic DCC 0.25 Lung Cancer MDT Admin DCC DCC DCC 0.75 DCC SPA 1.25 There will also be an additional 1PA for participation in the General Medicine on call rota and an additional 0.5 PA for cross cover of leave 18

19 Person Specification 1. Professional qualifications Essential for the Post Primary Medical qualification. MRCP, or equivalent. Entry on Specialist Register or within six months of receipt of certificate of completion of training (CCT) in respiratory and general (internal) medicine by the date of the interview. Desirable for the post MD, PhD or other relevant qualifications Method of Assessment Application form, CV and references 2. Experience Broad exposure to General and Respiratory Medicine, including experience in chest ultrasound. 3. Research/audit/ publications. Ability to supervise audit projects. Understanding of principles of research and audit. Regular attendance at audit meetings. 4. Professionalism Enthusiasm and commitment to the specialty 5. Personal Skills Ability to work well as a member of a team. Ability to work as team leader when required. Possess good organisational and teaching skills. Possess good verbal and written communication skills. 6. Management Awareness of Management issues in the NHS 7. Personal Agreement to live within 10 miles of the Trust or within reasonable access by car. Car owner with full driving licence. 9. Health Fit to fulfil all aspects of the post. Any specialist interest in Respiratory Medicine Evidence of recent research activity and publications. Recent personal involvement in audit Membership of appropriate societies Experience of supervision of other staff. Understanding of principles of Clinical Governance Management training Application form, CV and References. Interview. Application form, CV and References. Interview. Application form, CV and References. Interview Application form, CV and references. Interview Application form, CV and References. Interview Interview Pre-employment health screening 19