ROYAL BOURNEMOUTH & CHRISTCHURCH HOSPITALS NHS FOUNDATION TRUST

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1 THE ROYAL BOURNEMOUTH & CHRISTCHURCH HOSPITALS NHS FOUNDATION TRUST CONSULTANT GASTROENTEROLOGIST - JOB DESCRIPTION THIS IS A REPLACEMENT POST A full time consultant is sought in Gastroenterology with a special interest in Inflammatory Bowel Disease. An additional interest in nutrition, capsule endoscopy and / or therapeutic colonoscopy is desirable but not necessary and these skills would be supported if a successful candidate desired. There is an expectation that the successful candidate will take part in leading research trials. This is a replacement post but is part of a reconfiguration of consultant provision to support an expanding IBD service. The successful candidate will be joining a team of three consultants with a special interest in IBD, one staff specialist, three WTE IBD nurses and one WTE research nurse. Accreditation in General Internal Medicine and Gastroenterology is required, although out of hours work is largely restricted to delivery of on call gastroenterology services. The Digestive Diseases Centre at Royal Bournemouth hospital is an expanding department that currently comprises of 10 consultants and a staff specialist. THE DISTRICT Dorset and its surrounding environs has a rapidly growing population, currently in excess of 750,000, and largely concentrated in the coastal urban area stretching from Highcliffe and Christchurch through Bournemouth and Poole with further concentrations in Weymouth and Dorchester. This is a major tourist area and during the summer months over one million holidaymakers visit Bournemouth including substantial numbers of foreign language students. The fluctuating population, three times greater growth than the average for England and Wales, and the high proportion of elderly present special problems for health care. The major acute hospitals in Dorset are: East Dorset The Royal Bournemouth and Christchurch Hospital NHS Trust (RBCH) (597 beds). The other hospital forming part of the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust is Christchurch Hospital which houses a range of outpatient services in addition to the Macmillan Unit. Poole General Hospital NHS Trust (PGH). Our neighbouring trust provides acute medical and surgical care for the west of the urban conurbation as well as delivering obstetric and paediatric services for East Dorset. West Dorset Both serve a population of over 500,000, rising to approximately 1m for selected specialist services. Dorset County Hospital, Dorchester ROYAL BOURNEMOUTH & CHRISTCHURCH HOSPITALS NHS FOUNDATION TRUST The Royal Bournemouth Hospital This hospital fully opened in Foundation status was achieved in April The Trust has a total of 272 acute medical beds, including 12 beds on CCU, 7 on ITU and 8 on HDU. There is a 24 hour Accident and Emergency Department with 60,000 attendances annually, an 8 operating theatre suite, a large Day Theatre Unit and the Diagnostic and Treatment Centre. The hospital provides regional services for cardiology, interventional radiology, and selected areas of gastroenterology (e.g. EUS), as part of a clinical network. Other specialties based at the Trust include endocrinology and metabolic medicine, thoracic medicine, acute stroke medicine, Haematology, GUM and HIV medicine, liaison psychiatry, orthopaedic surgery, vascular surgery, gynaecology and urology. Outpatient clinics

2 are provided for oral surgery, hepatobiliary surgery, neurology, oncology, paediatrics, and plastic surgery. The hospital is well equipped with multi detector CT scanners, MRI scanning and state of the art PACs implementation. There are 2 dedicated digital imaging labs for interventional radiology. Built on two levels the hospital is situated on a large "green field" site close to the main roads linking up with the New Forest, Southampton, Salisbury, Winchester, Christchurch and Poole. A recent review of acute clinical services has recommended Royal Bournemouth Hospital as the major emergency centre for the county. This proposal is currently out to consultation. Christchurch Hospital Two miles from the Royal Bournemouth Hospital, Christchurch Hospital is set in attractive grounds, which are listed as a conservation area. A range of outpatient services are delivered on site including those for the young disabled, Dermatology, and Rheumatology. The Trust s Macmillan Unit for specialist palliative care is also located. THE MEDICAL DIRECTORATE Acute General Medicine and Specialty Medicine The medical directorate currently consists of the emergency department and acute medicine, along with the medical specialties of Gastroenterology/Hepatology, Thoracic medicine and Diabetes and Endocrinology. Although we work closely with colleagues in Medicine for the Elderly and Cardiology, these specialties now form separate directorates. The Directorate has successfully introduced nursing staff undertaking extended roles, who work with the junior staff whilst they are on take, in addition to many nurses undertaking specialist duties (such as clerking patients for angiography, bronchoscopy or pacemaker insertion, supervision of low risk exercise tests, limited prescribing, and a wide range of extended duties such as arterial gases, cannulae insertion, blood tests, and certifying expected death). Acute Medical Unit (AMU) The AMU is a 52 bedded unit with provision to keep selected patients within the Admission Ward for up to 72 hours. The unit includes 2 admission bays and a high acuity bay. It is a faced paced unit with an unselected take of over 50 patients in 24 hours. In 2012 a new pathway for admissions streamlined all medical admissions to be seen promptly in the AMU (whether referred by GP or from the emergency department). The admission facility is headed by 8 consultant physicians with an interest in Acute Medicine. In addition the acute physicians service a full time Ambulatory Emergency Clinic (AEC) providing rapid assessment, diagnosis and treatment with the aim of avoiding admissions. All emergency medical admissions are assessed on a consultant led the post-take ward round and are triaged to the appropriate specialty. If the length of stay is estimated to be less than 72 hours the patients care is managed by the acute medical team with regular in-reach ward rounds from many specialty teams. For longer stays patients are transferred to specialty based wards for continued management. Ward Based Systems The medical directorate operates a specialty ward based system, and patients requiring specialist care will be transferred to the appropriate ward, with all wards taking general medical patients from the AMU on a daily basis following initial assessment. About 85% of acute medical emergency admissions come through AMU, except those patients requiring emergency specialist care including ITU, CCU, Acute Stroke Unit, Acute Lung Unit or the GI Bleeder Unit, who are admitted directly to these specialist areas. Approximately 50% of the daily take stay under the AMU team for fast track investigations and early discharge. All GP calls are taken by a senior GP-Triage nurse who works closely with the admitting team to offer telephone advice to GPs as well as alternatives to admissions. Specialty teams, including gastroenterology, provide an outreach team for ward consultations and patients not located on a specialty ward.

3 Gastroenterology on Call Gastroenterology consultants currently participate in a 1:10 rota that delivers a 7 day emergency gastroenterology/endoscopy service including post take gastroenterology ward rounds on the AMU and inpatient reviews during the weekends. At weekends the general physicians and consultants in elderly medicine split responsibilities such that each is on call for 24 hours and both deliver a post take ward round on Saturday and Sunday. In addition there is a cardiology ward round on AMU and time allocated for on call consultants to review selected inpatients. The acute physicians do a weekend ward round on the short stay unit on AMU and continue the Post Take Ward Round until 8pm. A typical Gastroenterology on call cover at the weekend will involve the following: Friday : on call for GI bleeds Saturday / Sunday Acute Medical Unit (AMU) Post take ward round Handover meeting with all night staff and day staff AMU post take ward round & Ward 1 patients (GI Bleed Bay) GI bleed list with on call nurses attending (in ) Review of sick GI patients on Ward 1, Ward 1 GI bleed bay, any referrals / reviews elsewhere Available for emergency consults and endoscopy in emergency theatres Out of hours gastroenterology work is currently allocated 0.7 PAs. This incorporates the emergency duties above and 2-3 sessions of elective work per consultant per annum to support weekend working during periods of increased demand. Details of the Consultant Medical Staff are outlined below. The Royal Bournemouth Hospital Trust Medical Director: Dr Alyson O Donnell Associate Medical Director: Drs Sean Weaver & Ruth Williamson The Medical Directorate Clinical Director: Dr Tristan Richardson General Medicine / Gastroenterology team Dr R McCrudden Dr S Weaver Dr E Williams (Clinical Lead) Dr C Gordon ( Lead) Dr S McLaughlin Dr S Al-Shamma Dr B Krishnan Dr El Sayed Dr C Hovell Dr K Barnett (staff specialist) This Post Acute Medicine / Admissions Ward Dr T Raza

4 Dr M Taylor Dr N Bhatti Dr A Banfield Dr H Gilchrist Dr O Szabolcsi Dr M Wheble Dr K Thavanesan (50% in Acute medicine / 50% Stroke Medicine) General Medicine / Rehabilitation team Prof S Allen Dr K Amar Dr M Vassallo Dr A Williams Dr S Hazel Dr D Tiwari Dr L Pointer Dr K Thompson Stroke Dr B Jupp Dr K Thavanesan (50% in Acute medicine / 50% Stroke Medicine) Dr M Dharmasiri THE JOB ITSELF The Bournemouth Digestive Diseases Centre The newly appointed consultant will be working alongside ten consultant gastroenterologists (Drs Ray McCrudden, Sean Weaver, Earl Williams, Charlie Gordon, Simon McLaughlin, Safa Al-Shamma, Babu Krishnan, Ghassan El- Sayed and Chris Hovel). The appointee will be expected to work closely with his/her colleagues including the upper GI Surgeons (Mr. N Davies, Mr. D Bennett and Mr. R Byrom) and the colorectal surgeons (Mr. R Lawrance, Mr. R Howell, Mr. Ishmael Malik, Mr. Nick Baylem). A multi-disciplinary team approach underpins the philosophy of the department with regular meetings with gastrointestinal surgeons, radiologists and oncologists. Bournemouth is the upper gastrointestinal cancer centre for the East Dorset area serving Bournemouth, Poole, Dorchester and Salisbury. It is a joint colorectal cancer centre with Poole Hospital and is also a bowel cancer screening centre alongside Dorset County Hospital & Poole General Hospital. Currently, the Department of Gastroenterology sees over 6,500 out-patients and has responsibility for over 3,700 in-patients per year. Each of the existing consultants has a strong subspecialty interest as listed below: Raymond McCrudden Sean Weaver Earl Williams Charles Gordon Simon McLaughlin Safa Al-Shamma Babu Krishnan Chris Hovell Ghassan El-Sayed Hepato-Pancreato-biliary (HPB) medicine, advanced endoscopy (ERCP/EUS) IBD, bowel cancer screening and nutrition GI Lead, Hepatology, Viral Hepatitis and HPB medicine, ERCP Lead, UGI Endotherapy and Barrett s RFA IBD, Small bowel disease and Nutrition Hepatology, Hepatocellular Cancer, Complex colonoscopy and Training Lead HPB medicine, ERCP IBD, Bowel cancer screening and Nutrition Hepato-Pancreato-biliary (HPB) medicine, advanced endoscopy (ERCP/EUS)

5 The Department of Gastroenterology is supported by a team of medical colleagues, specialist nurses and technicians for whom the Post Holder will have shared clinical and managerial responsibility. There are four nurse Endoscopists (M Douell, J Linguad, M Sherman, C Clisby), one medical physics technician (D Foy), and a full consultant led nutrition team comprising senior nurse and dieticians. We have a staff specialist (Dr K Barnett), and a GP with OPD and endoscopy sessions (Dr M Furze) There are 2 Specialist Registrars in Gastroenterology and 1 Specialist Registrar in Acute Medicine, 5 F2 and 2 F1 posts. We are supported by an excellent and experienced management team Sr Sam Hornby-Wykes Clinical Leader in Ro Lustig Medical Specialties Service Manager (Gastroenterology Full Time) Sr Pippa Longley Clinical Leader for Ward 1 & GI Bleeder Unit The department enjoys support from a 24/7 on call interventional radiology service on site with facilities for Transjugular liver biopsies, percutaneous biliary drainage, TIPSS procedures, visceral embolization, TACE and RFA. IBD Bournemouth has a large and well developed IBD service with a national reputation for supporting and presenting research. We have in excess of 2000 patients registered on the EMIS / HICSS database which is becoming integrated with the IBD registry with which we are fully registered. We took a major part in the IBDQIP and IBD audit and benchmark very favourably with other centres. We have in excess of ten trials to which we are actively recruiting and are supported by research nurses. We have a skilled IBD nurse team with three WTEs. Our senior IBD nurse is a nurse endoscopist and prescriber working to a senior independent level. These skills are being developed in our other nurses. We have access to an excellent infusion service on our treatment and investigation unit and have over 150 patients on biologics. We have capsule endoscopy on site and an interest here would be desirable. We have excellent radiology and surgical support with five consultant colorectal surgeons. Regular transition clinics are held with patients referred from the paediatric service in Poole. Nutrition We are part of a hub and spoke service with Southampton providing a supra-regional intestinal failure service. We have a good relationship with Southampton and an intestinal failure clinic is held by them alongside us in Bournemouth. Our specialist gastroenterology dietetic team covers wards, OP and the nutrition ward round, which happens twice per week. There is a well-equipped Unit which undertakes approximately procedures per year with 5 endoscopy rooms (plus a fluoroscopy room in radiology) in daily use, providing a six day diagnostic and 7 day emergency service. The department has 4 nurse Endoscopists. There are facilities for gastroscopy, flexible sigmoidoscopy, colonoscopy, push enteroscopy, capsule endoscopy, bronchoscopy, trans-oesophageal echocardiography and ERCP & EUS. The endoscopy unit was JAG re-accredited in November There is a strong ethos of education in the department with consultants actively involved in national endoscopic training. Four magnetic scope guides are available to facilitate colonoscopy service in addition to training for SpRs and our nurse endoscopists. The unit has developed 2 successful advanced endoscopy fellowships over the last 9 years. C 13 urea and hydrogen breath testing are also undertaken within the department. Upper GI Endotherapy Royal Bournemouth is the 8 th largest provider of HALO RFA in the UK. We have 2+ full day RFA lists/month, as well as weekly endotherapy lists (3+/week) for EMR, stents and other upper GI therapeutics, and a weekly fluoroscopy list

6 specifically for upper GI therapeutics. We are actively involved in national research protocols, and have excellent links with regional and national endotherapy centres. GI Physiology The upper GI physiology unit is headed up by an experienced clinical scientist. We have state of the art high resolution manometry and ph/impedence equipment (Medtronic). The department works jointly with Poole General Hospital where there is a well established lower GI/anorectal physiology service including a regular MDT with physiologists/surgeons/gynaecologists. Colorectal Endotherapy There is a bi-weekly complex colon list for colorectal endotherapy. We are a bowel cancer screening centre and also a Bowel Scope centre EUS There are 2 diagnostic HPB Endoscopic Ultrasound (EUS) lists per week. Interventional procedures such as coeliac plexus neurolysis also can be performed in these lists. Around 400 cases are undertaken per year. Both radial and linear examinations performed though the majority is linear. EUS diagnostic procedures with / without FNA are routinely available for mediastinal, oesophageal, upper GI, hepatobiliary and rectal disease. ERCP Over 450 ERCPs are performed per year, and the department undertakes most forms of complex therapy with the exception of Sphincter of Oddi Manometry. All lists are performed in the x-ray department, with 3 of 4 lists supported by anesthetic services. Other Modalities The department does capsule endoscopy and urea/h2 breath tests, and hosts bronchoscopy and Trand-oesophageal Echo Multi-Disciplinary Team Meetings There are weekly multi-disciplinary meetings for Upper GI & HPB (Wednesday AM) and separately for Colorectal (Tuesday AM) involving GI Surgeons, Radiologists, Gastroenterologists / Hepatologists, Clinical and Medical Oncologists and Palliative care. In addition, complex specialty MDTs/Clinics are held for Histology, IR Liver and IBD. UGI & HPB (Wednesday AM) Bournemouth is the Upper GI Cancer Centre for Dorset and Salisbury. This MDT covers both UGI & HPB and provides a real time video link with Poole NHS Trust, Dorset County Hospital and Salisbury District Hospital. The MDT is attended by HPB consultant surgeons from Southampton University Hospitals Trust (who also provide a weekly HPB outpatient clinic on site) COLORECTAL MDT (Tuesday AM) Real time video link with Poole for Clinical Oncology. HISTOLOGY MDT (Wednesday Lunchtime ) Bi-weekly clinical pathology meeting for the discussion of gastrointestinal and liver histology. IBD MDT (Monday ) This weekly IBD MDT precedes a full IBD clinic attended by the IBD consultants, colorectal surgery representation, IBD nurse team, dietitian and research nurses. Liver Intervention Clinic (Wednesday AM ) A dedicated combined clinic led by Dr Safa Al-Shamma and interventional radiology takes place for review and planning of complex interventions including TACE, RFA and TIPS. CPD is supported by regular departmental lunchtime meetings and hospital grand rounds. There are also timetabled sessions to address research and clinical governance. Liver Disease

7 The unit has strong links with the liver transplant service at Royal Free Hospital. We have recently set-up service level agreement for a quarterly combined clinic with a visiting consultant and transplant co-ordinator from RFH. There is comprehensive range of support services on site, including triage with FibroScan and nurse led clinics. The unit currently holds local liver MDTs and is part of the Wessex Operational Delivery Network for Viral Hepatitis (comprising of 3 main treatment centres in Royal Bournemouth Hospital, Southampton General Hospital and Queen Alexandra Hospital, Portsmouth). Our liver nurses work with colleagues at Poole Hospital, Dorset County Hospital and the Prison Service to deliver viral hepatitis treatment across a catchment area of over 750,000. For complex cases the unit is well supported by tertiary services at Southampton, Kings Hospital and The Royal Free. In addition to meetings arising from the above developments The Wessex Pancreatic Network meeting takes place at least once per year in Southampton. Bournemouth actively participates in the regional twice yearly Endoscopic Ultrasound Network meeting with EUS stakeholders representing Dorset / Hampshire / Wiltshire and the Peninsula. There is also an active regional Gut Club. CONSULTANT RESPONSIBILITIES It is expected that the successful applicant will have an equal role as a consultant member of the IBD team. The current consultants support the nutrition service between them with twice weekly nutrition ward rounds supported by a specialist GI dietitian and nutrition nurse. There is a current commitment to General Medicine inpatient care but participation in GIM on calls will be optional. He/she will participate in rotating roles on and off the wards, and the out-of hour emergency endoscopy Rota. The oncall commitment is recognised in the on-call supplement (medium frequency). The appointee will be expected to participate in departmental teaching sessions, meetings with other staff, audit, clinical governance, CPD and clinical administration including vetting endoscopy and outpatient referrals. Research is encouraged. JOB PLAN The appointee will be expected to spend an average of 8 Programmed Activities (4 hour sessions) per week based on Direct Patient Care and this will include work relating to prevention, emergency work (including on call), endoscopy sessions, ward rounds, outpatient activities, clinical diagnostic work, other patient treatment, public health duties, multi-disciplinary meetings and administration relating to the above. An optional additional session is also offered. The 2 Supporting Professional Activities (SPA) include training, education, CPD, audit, research, job planning, appraisal, clinical management and local clinical governance. The post holder will be expected to undertake an equitable share of educational supervision, and support colleagues in delivering quality improvement within gastroenterology. Timetables may change in the future to meet the changing needs of the Department and Trust. Consultants working in the Digestive Diseases Centre rotate between ward duties and off ward duties. With back filling of annual and study leave this means each consultant spends an average of 12 weeks per annum supervising the gastroenterology unit (with the assistance of a colleague), and 6 weeks per annum as gastroenterologist of the week (providing GI input to AMU, specialty consultations and care to patients with gastrointestinal disease on outlying wards). For the remaining weeks the post holder will undertake additional clinics and endoscopy lists. On call is currently at a frequency of 1 in 11 weekdays and 1 in 10 weekends, with an average of 2-3 sessions per annum of elective work delivered flexibly outside normal working hours. Office Accommodation, full secretarial support, computer and internet access will be provided.

8 An example job plan is set out below. It should be noted exact timing of elective sessions may alter according to room capacity within endoscopy and outpatients. The average numbers of PAs resulting from the rotational job plan are: Outpatients Ward rounds Patient admin including MDMs On call/out of hours work SPA TOTAL There will be an option of an additional clinical PA. 2.0 PA 1.7 PA 1.8 PA 1.8 PA 0.7 PA 2.0 PA 10.0 PA Example Timetable Gastro Unit Consultant Rota approximately (average 12 weeks per annum on rotating basis) Monday Tuesday Wednesday Thursday Friday WR Lower GI MDT WR WR WR WR WR Fast track OP Admin WR IBD MDT Admin/Vetting GI Meetings (SPA) Admin / Vetting Grand round (SPA) IBD clinic Free Admin Optional 11 th session in endoscopy SPA

9 Outreach approximately (average 6 weeks per annum on rotating basis) (AMU, PTWR, care of GI patients on outlying Wards, emergency referrals, inpatient endoscopy) Monday Tuesday Wednesday Thursday Friday GI Post Take WR GI Post Take WR GI Post Take WR GI Post Take WR GI Post Take WR Outreach WR and consults Outreach WR and consults Outreach WR and consults Outreach WR and consults Outreach WR and consults Inpatient Inpatient Inpatient Inpatient Inpatient IBD OP Free Admin (0.5PA) Outreach WR and consults (0.5PA) Admin (0.5PA) Outreach WR and consults (0.5PA) Optional 11 th session (e.g. ward round) Off Wards (average 24 weeks per annum on rotating basis) Monday Tuesday Wednesday Thursday Friday SPA Admin UGI MDT SPA Fast track OP (Flouro list) IBD MDT Admin Gastro Meetings (SPA) IBD clinic Free SPA Admin Optional 11 th session in endoscopy Grand Round (SPA) OP

10 CONSULTANT APPRAISAL All Consultants are required to have a job plan setting out their main duties and responsibilities, including a work programme specifying their weekly timetable, to support the GMC revalidation process The job description and job plan are subject to review once a year by the post-holder and the Chief Executive or other General Manager (for example: Clinical Director) on his behalf. For this purpose, both the post-holder and the Chief Executive will have a copy of the current job description/job plan, including an up-to-date work programme and relevant departmental statistical information, together with notes of any new or proposed service or other developments. The appraisal process aims to be a constructive and developmental one, largely concerned with the continuing development of the Consultant s skill base and career. A number of Physicians within the Medical Directorate have been formally trained for Consultant appraisal, allowing individuals a choice in the identity of their Appraiser. POSTGRADUATE MEDICAL EDUCATION The Royal Bournemouth Hospital has an active postgraduate medical education centre which organizes a weekly General Grand Round, core curriculum training for Junior Doctors, General Induction, Training Courses for Consultants in Generic Skills and also supports weekly general and specialist medical departmental meetings and training programmes. The successful candidate will be expected to provide teaching for the doctors in training in their department. He/she will be expected to share with consultant colleagues the role of Educational Supervisor. This will involve the provision of supportive formal appraisals to doctors in training at regular intervals, induction at the beginning of their contracts and career advice as appropriate. Advice on the role of Educational Supervisor can be obtained from the Clinical Tutor. There is an exceptional library based at the Postgraduate Centre and meetings of general and specialist medical content are held regularly during the week. There is an active Medical Audit Committee supervising Medical Audit within the Hospital. The Trust is fully committed to supporting continuing medical education for Consultants (CME) and study leave will be available according to statutory guidelines. Overall this equates to 30 days over 3 years and funding is available for approved CME and other educational activity through the Medical Directorate CONDITIONS OF APPOINTMENT This post will be subject to the Terms and Conditions Consultants (England) 2003 and will comprise of a main contract of employment for ten programmed activities and a supplementary annual contract for temporary additional programmed activities. Temporary additional programmed activities will be reviewed at the same time as the job plan. This is a whole time post. Applicants for job share will be considered. Any Consultant who is unable, for personal reasons, to work full time will be eligible to be considered for the post. If such a person is appointed, modification of this job plan will be discussed between the Consultant and Chief Executive, in conjunction with Consultant colleagues, if appropriate. Removal expenses for the post holder will be paid, in accordance with the Trust Conditions, although bridging loan interest will be paid for no more than six months. CRIMINAL RECORDS DISCLOSURE As part of our recruitment procedure this post will be subject to a Criminal Record Disclosure. A Disclosure is a document containing information held by the police and government departments. Disclosures provide details of a person s criminal record including convictions, cautions, reprimands and warnings held on the Police National Computer. Where the position involves working with children, Disclosures will also contain details from lists held by the Department of Health (DOH) and the Department for Education and Skills (DfES) of those considered unsuitable for this type of work. MEDICAL CLEARANCE Appointment to this post is subject to satisfactory medical clearance. If shortlisted for interview, applicants will be required to complete a medical questionnaire and attend a health interview.

11 CLINICAL GOVERNANCE The hospital has an active programme of clinical governance, led by Dr Alyson O Donnell, the Medical Director. Consultants are encouraged to participate in CME/CPD, both locally and nationally. REHABILITATION OF OFFENDERS This post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act Applicants are, therefore, not entitled to withhold information about convictions and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the exemption order is applied. RESIDENCE Residence within ten miles or thirty minutes by road, of the post holder's base is usually required unless alternative arrangements are agreed with local management. The post holder must have a current driver s license and his/her private residence must be maintained in contact with the public telephone service. COMMENCEMENT OF DUTIES The post is available as soon as possible and the post holder will be required to take up the post no longer than three months from the date of the offer of an appointment, unless special agreement is reached between the post holder and the Trust. If an applicant considers it unlikely that he/she will be able to take up the appointment within such a period, he/she is advised to point this out at the time of application. OTHER FACILITIES The Postgraduate Medical Centre has a very active education programme to which the medical staff make a major contribution. The library is professionally staffed. There are comprehensive reference, lending and inter-library facilities. Computer aided literature searches are available. The library is available around the clock by means of a key available from the porters lodge. There are similar facilities at Poole Hospital. There is a specialised library in the Cardiac Department. Other on site facilities include 40 place Crèche I/T Learning Centre Staff Car Parking provided within the grounds of the hospital. Bournemouth and the surrounding area is a major tourist attraction with outstanding beaches, large gardens and extensive shopping areas. The New Forest, Poole Bay and the Purbecks are all within easy reach and there are excellent recreational facilities. Both Bournemouth and Poole have a number of theatres and concert halls, among them the Bournemouth International Centre and The Lighthouse Theatre which is the home of the Bournemouth Symphony Orchestra. There are also numerous restaurants, pubs, night-clubs and cinemas in the area as well as facilities for many outdoor activities such as golf, tennis, all water sports and a large many trails for riding, cycling or walking in the areas of the New Forest and Purbecks - a wide variety of other sporting activities. Adjacent to the hospital complex are 2 leisure/fitness centres both with indoor swimming pool, gym/fitness room, squash courts etc. Bournemouth has its own University as well as college sites and there are many excellent schools in the area. The travel time by rail to London (Waterloo) is approximately 1 hour 40 minutes and by road (M27, M3) approximately two hours. Bournemouth has its own recently expanded airport with internal and international flights.

12 VISITING Shortlisted applicants are welcome to visit Royal Bournemouth and Christchurch Hospitals seeking further information relevant to the post from those members of the Trust detailed below. Such visits are encouraged and should be arranged via the Secretaries as follows Chief Executive Mr. Tony Spotswood (Only after shortlisting) Medical Director Dr Alyson O Donnell (Only after shortlisting) General Manager Rowena Green (Only after shortlisting) Clinical Director Dr Tristan Richardson (Only after shortlisting) Consultant Dr Raymond McCrudden Consultant Dr Earl Williams Consultant Dr Babu Krishnan Consultant Dr Safa Al-Shamma Consultant Dr Sean Weaver Consultant Dr Charles Gordon Consultant Dr Simon McLaughlin Consultant Dr Chris Hovell Consultant Dr Balint Eross RBCH reimburse expenses within the UK/point of entry to the UK, for pre-interview visits, shortlisted candidates only. HEALTH & SAFETY It is the responsibility of all Managers and Consultant Medical Staff to: Take responsibility for the management of Health & Safety within their designated area. Ensure any workplace risks are identified in order to eliminate or reduce effects. Make and implement arrangements for the effective planning, organisation, control, monitoring and review of preventative and protective measures. Provide staff with: o Information that is accessible, easily understood and relevant o Training on the risks identified o Advice on the preventative and protective measures that have been implemented. DATA PROTECTION ACT 1998 The 1998 Act establishes a set of principles with which users of personal information must comply. It imposes a new duty to process information fairly and lawfully. Process has a wider definition which covers obtaining, holding, recording information and any other operation including the disclosure of information. It is the responsibility of each member of staff to ensure that all computerised / manual personal information relating to patients or other members of staff to which he/she has access in the course of employment, is regarded as STRICTLY CONFIDENTIAL. Contravention of the 1998 Act is an offence punishable by heavy fines. (The Trust takes a serious view of failure to comply and could lead to serious misconduct and lead to disciplinary action, including dismissal) EQUAL OPPORTUNITIES The Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust is an Equal Opportunities employer. Staff are required to comply with the responsibilities placed upon them by employment legislation Job Descriptions MEDICINE.Gastro.CON10 CHG Mar 17