MEDICAL DIRECTOR Candidate Information Pack

Transcription

1 Our Purpose P atient Safety is the number one priority for everyone in the Scottish Borders Scott s View, St Boswells, Scottish Borders MEDICAL DIRECTOR Candidate Information Pack Our Values in Action Visit our website: Find us on Facebook at www. facebook.com/nhsborders Follow us on Dignity & Respect Care & Compassion Quality & Teamwork Openness, Honesty & Responsibility

2 Post Title: MEDICAL DIRECTOR Closing Date: 19 December 2016 Informal Enquiries: Our Chief Executive will be happy to discuss the post with you. Jane Davidson, on (direct line for P.A.) or Interview / Assessment Arrangements: An assessment centre which will last a full day and will include a competency and values based interview. Process for Submitting Your C.V. and Application Form: Please apply using the application form link embedded below and a full CV BY to Medical Staffing. Please include the names and addresses of three referees, including your present or most recent employer. Your application can be ed to medical.staffing@borders.scot.nhs.uk. Please phone medical staffing on for assistance and to confirm safe receipt. Alternatively send by First Class Post to the address detailed below:- Medical Staffing 1 st Floor Primary Services Block Borders General Hospital Melrose, TD6 9BS Further Information Our current Medical Director, Andrew Murray will be pleased to give you his view on the role call him on (direct line for P.A.) or fiona.black@borders.scot.nhs.uk Want to know more about why you should work for NHS Borders? see the videos at for the views of some of your prospective colleagues on living and working in the Scottish Borders Informal visits welcome just ask to arrange a suitable date and time.

3 Section one: Why work in the Scottish Borders? We think the Scottish Borders is the best place to live and pursue a professional career in the Health Service. With a revenue budget of over 190m, NHS Borders is responsible for the health of a population of over 114,000 people across the Scottish Borders area. The Scottish Borders covers a large and scenically beautiful area of the Southern Uplands of Scotland. Predominately rural, it is historically a unique part of the country, the home of the Border Reivers, where annually each town maintains its links with the past during the season of Common Ridings. Seven-a-side rugby originated in Melrose, and the Melrose event in particular draws large crowds each year. The Scottish Borders has tremendous facilities for sport and leisure. Glentress and Innerleithen mountain bike parks are world renowned for both cross country and downhill biking. The beautiful Berwickshire coast provides options for sea kayaking, surfing, diving and sea fishing. In addition there are facilities for fishing, golf, swimming, horse riding, cricket, football, hiking and many other activities. Excellent cultural opportunities in terms of music and art societies, drama, and small theatres in Melrose and Selkirk as well as amateur opera. There are excellent restaurants, cinemas and shops. Excellent Fitness Centre in Galashiels and other Scottish Borders towns. The Scottish Borders offers all the benefits of rural life with very easy access to major cities such as Edinburgh (37 miles) Glasgow (75 miles) Newcastle (75 miles). Edinburgh is renowned for its cultural activities in music, including opera and ballet, theatre, cinemas (including a film theatre) and visual arts, and of course every year there is the world famous Edinburgh International Festival and Fringe Festival. Local transport links have improved greatly in the last year or so. After an absence of almost 50 years, the Borders Railway has now re-opened, with train services to central Edinburgh running every thirty minutes (journey time 55 minutes approx). Tweedbank Railway Station is a few minutes walk from NHS Borders Headquarters.

4 On opening the railway Her Majesty Queen Elizabeth said "The Borders railway brings so much promise for sharing and invigorating this most beautiful countryside as a place to work live and enjoy. There are rail links to the rest of the country at Edinburgh, Berwick Upon Tweed, and Carlisle and there is easy access to Edinburgh Airport (approximately 1 hour 15 minutes) and Newcastle Airport (approximately 1 hour 30 minutes). Education There are 9 high schools and 63 primary schools in the Scottish Borders. Our local schools consistently demonstrate high levels of attainment - well above national average. For more information on education in the region visit There is a purpose built nursery in the grounds for hospital employees children. Relocation and Housing As part of our policy there is assistance with relocation benefits including temporary housing costs and relocation allowances up to Inland Revenue limits. We wish to ensure wherever possible that new staff obtain appropriate financial support, within HMRC regulations, for the necessary permanent move of their main home. House prices in the Borders Region are significantly less than in major cities in the U.K. and also less than many other rural parts of the country. See the Borders Property web site at There is usually accommodation available for rent in the local area and for a temporary period occasionally in our on-site residencies in the grounds of the Borders General Hospital. Appreciate it s not for everyone to live above the shop but it may help you out for a short while pending your search for your dream abode in the Borders. We have a guide that contains some advice, rules and all of the forms that you need to make an application for relocation benefits. However phone HR Medical Staffing on if you need to discuss any aspect or you are welcome to make an appointment for a face to face discussion. HMRC guidance is available from but at local level staff on the Finance Helpdesk may be able to help or Finance.Helpdesk@borders.scot.nhs.uk. Please see Websites: NHS Borders NHS Borders Medical Recruitment Scottish Borders Tourist Board Our Scottish Borders Southern Reporter

5 Section Two: Working for NHS Borders Our Values are at the heart of all that we do: Care and Compassion Quality and Teamwork Dignity and Respect Openness, Honesty and Responsibility Patients are at the centre of everything we do in our daily working lives at NHS Borders ensuring they are safe, cared for efficiently, effectively by suitably experienced and qualified staff driving quality at the heart of patient care. We are a dynamic and forward thinking team with a wealth of clinical and leadership experience. We aim for an open and honest culture and believe in nurturing future stars in the NHS. NHS Borders has taken a lead as one of very few NHS Boards in Scotland with an entirely integrated structure for management of health services. Decision-making is firmly embedded with an integrated Clinical Executive, part of a natural evolution towards more integrated care, which has seen health and social services within the Borders develop nationally-recognised joint initiatives. The NHS Borders Board covers an area jointly with the local authority (Scottish Borders Council) and has developed close and effective links, including the creation of a Joint Health and Care Partnership Board moving forward the integration of health and social care. The Clinical Executive (CE) is the body responsible for ensuring the overall management of services, operational service planning and service redesign. The CE is chaired by the Medical Director and includes the Director of Nursing, Clinical Chairs, General Managers from each of the Clinical Boards across NHS Borders (including the Mental Health Board) and SBC Social Care. The Clinical Executive therefore has the authority to manage resources across the area and to design care from a whole system perspective. Clinical Governance is well established, forming part of the Risk Management of the whole organisation. Clinical Governance is seen as a positive support to all clinicians with active participation by all professions.

6 We believe the unique factors that help to define us as an employer are: Our friendly and supportive environment; Our commitment to staff engagement and effective team working; Our track record in creativity and innovation and our ability to successfully implement change and redesign; Supporting staff s learning, development and career aspirations, from an initial comprehensive two day corporate inducation programme to the availability of a wide range of internal training programmes; Our commitment to supporting flexible working through a wide range of family friendly policies; Our commitment to support and improve our staff s health, safety, wellbeing and resilience. We do this by implementing our person centred Work and Well Being Framework which covers which sets out how we will support our staff to keep them healthy, motivated and engaged. It includes a variety of proactive initiatives to support staff health and well-being and our work life balance policies; and NHS Borders was awarded the Gold Award for Healthy Working Lives in June 2015, with the Assessor concluding This was a strong assessment, characterised by a clear strategic drive for health and wellbeing, sincere senior management backing, excellent participation from employees across a highly geographically distributed organisation. All facilitated by a dedicated and highly effective HWL Group. The organisation has a statutory responsibility to ensure the Staff Governance Standard is embedded and adhered to as part of the governance framework staff, financial, information and clinical governance in which NHS Boards operate. The Staff Governance Standard requires all NHS Boards to demonstrate that staff are: well informed; appropriately trained and developed; involved in decisions; treated fairly and consistently, with dignity and respect in an environment where diversity is valued; and provided with a continuously improving and safe working environment, promoting the health and wellbeing of staff, patients and the wider communtiy We have consulted with our staff to select the key values and behaviours which they believed were essential to create a safe, effective and person-centred working environment which benefits patients, staff and carers. This allowed us to develop our purpose, values and commitments. We passionately believe in creating a culture which is open, fair and just.

7 Section three: Delivering our services Borders General Hospital The Borders General Hospital is situated on the outskirts of Melrose. It opened in 1988 and is the only district general hospital servicing the Borders Region. The hospital has 284 beds and 1700 staff. It is well equipped providing the full range of District General Hospital services. Recent developments include the opening of a local renal unit, a new MRI scanner and DEA scanner. A Clinical Lead for Unscheduled and a new Consultant in Emergency Medicine were appointed in 2016 and G.P. qualified specialty doctors in Emergency Medicine and Emergency Nurse Practitioner complete the team. The Emergency Department and the Borders Emergency Care Services are co-located, and this latter service provides primary care out of hours services to the whole of the Scottish Borders, with emergency centres in Hawick, Duns and Kelso. Primary & Community Services Primary and Community Services (P&Cs) includes all Primary Care and Community Services provided by NHS Borders and the Independent Primary Care Contractors (excluding mental health, learning disabilities and maternity services). We employ approximately 675 staff, based in the 24 Health Centres, two GP owned premises and five community and day hospitals. There are community hospitals facilities in Hawick; Peebles; Duns and Kelso and the day hospital in Eyemouth. There are 150 beds and approximately 70 day hospital places. We also manage community nursing services, therapy services, sexual health services and the community dental service, as well as the contracts for GPs, dental and optometry. Mental Health Service With approximately 350 staff, NHS Borders Mental Health Service works across all age groups to provide assessment and treatment in a variety of settings. Services include community mental health teams, community day services, specialist drug and alcohol team, child and adolescent and in-patient services. These services are based in the towns throughout the Scottish Borders. Our philosophy is that of a personal service based on respect for the individual. We expect people to respond to their maximum potential when offered the appropriate involvement, opportunities and responsibility. We use an approach that recognises that an individual s mental health is affected by a combination of their genetic makeup, their relationships with those around them, the physical environment they live in and their own thoughts and feelings. We work closely with partner agencies to deliver more integrated care to individuals, and several services are jointly managed with Scottish Borders Council. Learning Disabilities Service The Scottish Borders Learning Disability Service is a joint Scottish Borders Council and NHS Borders service that provides a range of specialist social care and health services for people with a learning disability. The service is co-located within Scottish Borders Council s Social Work Department and comprises of two Community Learning Disability Teams, an Assertive Outreach Team and Day Support Services.

8 Section four: Job Advert NHS Borders Medical Director Excellent quality of life within 1 hour of Edinburgh, Newcastle and Superb staff who go the extra mile for patients Salary Package including allowances: 120, ,100 per annum approx. In addition performance related equivalent discretionary points ranging from 3,204-25,632 and pay progression is subject to national direction Do you recognise these values? NHS Borders is committed to its values of Care and Compassion, Dignity and Respect, Openness, Honesty and Responsibility and Quality and Teamwork We are seeking to recruit an inspirational Medical Director with enthusiasm and a passion for taking forward change in this complex environment. We serve a population of 114,000, and have over 3,000 dedicated staff. The Scottish Borders has a healthy population with a higher than average rate of economic activity, a lower than average unemployment rate, higher life expectancy for both men and women and above average proportion of older people aged 65 and over. First rate local schools, affordable housing, rural lifestyle and brand new railway access to Edinburgh are key benefits of living and working here. A full relocation package up to Inland Revenue limits is available. We are a great organisation to be a part of and thanks to our staff we perform well in many areas. You will have the ability to bring out the best in people and relish developing a positive, and confident staff culture focused on exceptional customer care and compassion underpinned by safe, high quality services. Do apply if you want an interactive role that allows your natural leadership drive and determination to influence and flourish while you lead the further development and redesign services to achieve sustainable quality services. Your exceptional communication, negotiating and influencing skills will allow you to lead NHS Borders clinical and non-clinical staff through the significant challenges ahead for both health and social care. Your leadership will be called upon to contribute to and shape the wider Scottish health agenda. You will report directly to the Board Chief Executive, with whom you will work closely on a daily basis. As a member of the NHS Borders Board and the Board Executive Team, you will contribute fully to and participate in the corporate management and governance of NHS Borders. This will require effective leadership, teamwork and creativity and a set of values that chime with the Board. You will be supported by Associate Medical Directors, and a Director of Medical Education and you will provide the Board with expert advice on Medical and Dental professional matters and will be accountable for the standard and quality of these services.

9 You will also take the lead role for Clinical Governance and Medical Workforce Planning and Development. In addition potential candidates are welcome to discuss with the Chief Executive specific areas of responsibility and interest, including possible options for a continuing regular hands-on clinical involvement if preferred. As the smallest mainland health board in Scotland there is significant advantage of agility to implement change in a more timely fashion compared to larger organisations whilst also retaining a complete overview of the whole health system. You will typically be visible and accessible to all staff. You will be a senior medical professional with full GMC registration and inclusion on the Specialist register or General Practice register, a proven track record of medical management experience and demonstrable knowledge of clinical governance. Experience of working in a strategic capacity at a senior level within a complex organisation and knowledge of the Scottish Health Service is desirable. Want to know more about why you should work for NHS Borders? see the videos at our microsite For an informal discussion about this opportunity please contact: Jane Davidson, Chief Executive on If we feel like a fit for your aspirations, please apply using the application form attached to the job description and a full CV BY to Medical Staffing, Borders General Hospital, with the names and addresses of two referees, including your present or most recent employer. For advice on applying please telephone Medical Staffing on or Fax or medical.staffing@borders.scot.nhs.uk (if ing your application please telephone Medical Staffing to confirm safe receipt). The job description can be downloaded from or can be posted or ed on request. Please quote ref: MED 784 Closing date for applications: Monday 19 December 2016 at 12 noon. An assessment centre which will last a full day and will include a competency and values based interview.

10 JOB DESCRIPTION 1. Job Details: Job Title: Accountable to: Medical Director, NHS Borders Chief Executive, NHS Borders Date: November Our Values: Our values - at the heart of all that we do: Care and Compassion Dignity and Respect Openness, honesty and responsibility Quality and Teamwork An NHS Organisation that is Striving Continuously to Improve Patient Safety, Experience and Outcomes 3. Job Purpose: As an Executive Director of the Board, the Medical Director will need to live and exhibit the values of NHS Borders. The Medical Director is responsible for the strategy for the delivery of high quality healthcare to the population of NHS Borders in accordance with local, national and regional initiatives. The Medical Director will be required to lead, motivate and inspire medical, dental and pharmaceutical staff within NHS Borders to ensure delivery of clinical strategies and achieve corporate goals. Provides professional leadership and acts as the bridge between staff and the board, aligning the interests of NHS Borders and its doctors, dentists and pharmacists. This is a delicate task, especially where it is necessary to challenge medical colleagues when interests are in conflict. The Medical Director will work with local clinical leaders and external partners to ensure that care pathways are redesigned and transformed to optimise healthcare delivery. As a member of the Executive Team, share the corporate responsibility for creating, shaping and delivering the strategic values and objectives of NHS Borders. The portfolio of responsibilities outlined in this Job Description can be subject to discussion and negotiation with the successful candidate. The Job Description is intended to be indicative and will be reviewed periodically.

11 4. Dimensions: Scottish Borders serves a population of approximately 114,000. The NHS Borders annual budget is 232M with a further 4.4M available for Capital. The area is geographically large (covering 1800 square miles) mostly rural with small burghs and very sparsely populated areas. The NHS Board area is coterminous with that of the local authority, Scottish Borders Council. Within NHS Borders there is approximately 3500 staff working over 50 different sites within Scottish Borders, including the Borders General Hospital in Melrose, and community hospital facilities in Hawick, Peebles, Duns and Kelso. The Medical Director is one of six Executive Directors working together to discharge the Board s key responsibilities including: Leadership of policy and planning; strategic leadership for reducing inequalities and improving health; Resource allocation; Performance management and corporate governance; An executive on-call rota. 5. ORGANISATIONAL CHART Medical Director & Chair of Clinical Executive Assoc MD PCS Assoc MD Acute Assoc MD Mental Health Chief Pharmacist Lead Cancer Clinician Head of Healthcare Governance Assoc MD (Director of Medical Education)

12 6. Role of the Directorate: The Medical Director is responsible for developing effective policies and strategies to improve the health of people in NHS Borders through safe and effective care. The Medical Directorate has lead responsibility for: Provision of expert professional advice to the NHS Board and its Committees on the quality of clinical services. The professional governance of doctors and dentists working within NHS Borders. Providing strong leadership for the medical workforce in Borders, ensuring a culture of openness and ownership of the Board s strategic direction, values and objectives. Medical workforce planning and the inter-relationships between undergraduate education and postgraduate medical and dental training. Providing executive leadership for key clinical areas and redesign projects The Directorate is responsible for ensuring that all doctors, indicating an intention to practice medicine in the Borers area are suitably revalidated. The Medical Director fulfils the role of Responsible Officer of NHS Borders in respect of fulfilling the Board s statutory responsibilities to ensure that appraisal for doctors takes place and GMC requirements of the revalidation process are met. The Medical Director will report to the GMC, usually every five years, about revalidation of individual doctors. As Responsible Officer you will also be responsible for ensuring that systems of clinical governance and appraisal in NHS Borders are working and are appropriate for revalidation. Representing the interests and influence of NHS Borders at appropriate regional and national venues

13 7. Key Result Areas: Providing professional medical advice to the Board and its officers, and coordinating and facilitating the communication of medical professionals views on medical matters to the Board. Providing strong leadership to the medical, dental and pharmacy workforce Providing medical input to the development of strategy and strategic thinking. Locally a key player influencing the integration of health and social care, working collaboratively with colleagues at Scottish Borders Council and the Voluntary Sector. Communicating the organisation s perspective to external leaders, ie acting as the Board s ambassador. Supporting the work and development of Associate Medical Directors and other Senior Clinicians across NHS Borders. Taking the lead role in implementing medical revalidation and reviewing doctors disciplinary and capability procedures to prevent, as far as possible, cases of poorly performing doctors. Contributing to the management of investigations of a clinical nature concerning doctors and dentists, such as those arising from complaints or untoward events where patients are involved. Jointly with the Board s Nurse Director, taking a lead role in supporting and implementing the Board s Healthcare Governance requirements and in the improvement of clinical quality through the application of clinical standards, practice guidelines, clinical audit, clinical effectiveness activities, risk management and staff development where appropriate. Supports development of undergraduate and postgraduate teaching of doctors, including the oversight of the role of the Director of Medical Education. Contributes to consultant and other senior level appointment procedures and Discretionary Points systems (or equivalent) as lead from the Board Executive Team as required. Along with the Board s other Clinical Executive Directors and leaders, facilitating and supporting multi-professional practice, and appropriate role re-design around changing patient pathways. Demonstrate and exemplify positive behaviours and attitudes which will support cooperative and partnership working to achieve progress in the redesign and provision of clinical and non-clinical services across the local health system. Acting as the management representative in discussions with the Local Negotiating Committee and leading the management-side of the Local Joint Negotiating Committee for medical and dental staff. To be responsible for all matters relating to conduct, capability or ill-health of medical staff and dentists, liaising with regulatory and advisory professional bodies, including General Medical Council (GMC), General Dental Council (GDC) and Royal Colleges.

14 8. Assignment and Review of Work: This post reports to the Chief Executive of NHS Borders and is responsible for providing high level management and coordination at corporate and strategic levels. The postholder is accountable for leading and driving progress in identified areas of responsibility and within the parameters of established national and local priorities. Review of performance is undertaken through the agreement of performance objectives and individual performance appraisal by the Chief Executive of NHS Borders, reviewed by the Board Chairman. Formal appraisal is on an annual cycle but informal reviews will take place between the postholder and the Chief Executive, NHS Borders. 9. Communications and Working Relationships: The post-holder will communicate with a wide range of senior clinical and non-clinical staff in NHS Borders, the wider NHS Scotland and beyond, and with senior officials of external organisations. Excellent communication and influencing skills are required in order to persuade others and negotiate the implementation of change. Strong presentational skills are required as is the ability to express views convincingly and coherently using a variety of media. Excluding the post-holder s immediate manager and his/her subordinates within NHS Borders, the following are key working relationships with examples of the purposes of these contacts: With non-executive directors of NHS Borders and in particular the members of the clinical governance committee to ensure the provision of information and support to enable them to effectively fulfil their roles as non-executives, particularly in relation to corporate and health and clinical governance, quality improvement (including patient safety), and modernisation/redesign of services. With other members of the Executive Team, senior managers and senior clinical staff within NHS Borders to ensure the development, implementation and review of clinical strategies. You will work closely with GP colleagues and Primary Care Contractors forging constructive relationships and partnerships. With executive directors of neighbouring NHS systems to ensure NHS Borders representation in regional planning of services. With the Chief Medical Officer and other members of the management board and senior staff of the Scottish Government Health Department to ensure high level input to national working groups, initiatives etc. and that NHS Borders is represented in discussions relating to service strategy. With representatives of local government, voluntary and independent sector agencies and private sector organisations to ensure NHS Borders representation in discussions in relation to clinical issues arising from a joint service provision. With MPs/MSPs/local health council chairs/public pressure groups/patient representatives/ etc. in order to impart information about or respond to questions or concerns about clinical issues within NHS Borders and to support patient/public engagement. With the media in order to respond to media questions about matters pertaining to clinical services in NHS Borders. With national and local representatives of staff side organisations and Partnership Forum

15 10. Most Challenging Part of the Job: To secure through effective leadership, genuine support, ownership and commitment from senior clinical staff for redesign, continuous improvement, values and efficiency of clinical services. Managing a broad portfolio of roles, responsibilities and delivering key results for NHS Borders locally and at Regional level. Contributing successfully at National level. 11. Knowledge, Training and Experience required to do the job Qualifications Active on the General Medical Council register (GP or Specialty Register) and with a current Licence to Practice Experience, Competencies and Personal Skills Considerable post qualification experience in the health service. Significant strategic leadership experience in the NHS or similar complex multidisciplinary public or private sector organisation Demonstrates a high level of competence in the leadership behaviours identified for NHS Scotland Senior Managers that is; Working in Partnership, Learning and Development, Caring for Staff, Improving Performance through Team Working, Effective Communication, Improving Quality and Achieving Results Detailed understanding of medical best practice, regulation and Government policy Ability to think strategically, corporately and act as a team player Demonstrable leadership and communication skills Demonstrable experience of managing major change within a large sector or organisation Demonstrated experience of staff management/development and multi-disciplinary working at peer level Demonstrated management, knowledge and competence in finance and managing people Evidence of successful partnership working

16 PERSON SPECIFICATION Medical Director Education/Qualifications Essential Desirable Degree level qualification and postgraduate qualifications. Full GMC Registration with a licence to practice. Included in the GMC Specialist Register or General Practice Register. Knowledge High level of understanding of epidemiology and statistics, health economics and health care evaluation. Understanding of health service and NHS in Scotland Knowledge of methods of developing clinical quality assurance, quality improvement and evidence based clinical practice Understanding of social and political environment Understanding of local authorities and social services Skills Strategic thinker with proven leadership skills Excellent oral and written communication skills (including dealing with the media) Effective interpersonal, motivational and influencing skills Ability to respond appropriately in unplanned and unforeseen circumstances Good presentational skills (oral and written) Sensible negotiator with practical expectation of what can be achieved Substantially numerate, with highly developed analytical skills using qualitative and quantitative data Computer literate, including the use of MS Office applications Ability to design, develop, interpret and implement policies Ability to concentrate for long periods (e.g. analyses, media presentations) Resource management skills High standards of professional probity and integrity Experience Significant experience in a strategic leadership role in the NHS or similar complex organisation. Demonstrates high level of competence in the NHS Scotland leadership behaviours. Evidence of successful partnership working. Project management skills Staff management and people development Practical experience in facilitating change Budget management skills Training and mentoring skills Scientific publications, presentation of papers at conferences, seminars etc Personal Attributes Strong commitment to health service principles Able to prioritise work, and work well against a background of change and uncertainty Adaptable to situations, can interact with people of all capabilities and attitudes Commitment to team-working, and respect and consideration for the skills of others Self-motivated, pro-active, and innovative High standards of professional probity and integrity

17 SPECIFICATION OF NHS VALUES NHS Values NHS Values NHS Values NHS Values Value Description Care and Compassion Expectations Treat people as though they matter Involve people Consider people as individuals and acknowledge diversity Puts the patient first Shows they care Dignity and Respect Expectations Team player Manages own attitudes and behaviour Addresses concerns with colleague as they arise Communicates respectfully, openly and professionally Listens and turns that into action Sees things form another persons perspective Openness, Honesty and Responsibility Expectations Takes person responsibility for actions Sharing of ideas for improvement Observes processes Ability to work across boundaries Commitment to work to best of their ability Quality and Teamwork Expectations Works as part of a tem to support others and improve service provision Acknowledges mistakes Takes responsibility Inspires the team Method Of Assessment Interview, Multi Disciplinary Team Discussions and Psychometric Assessment Interview, Multi Disciplinary Team Discussions and Psychometric Assessment Interview, Multi Disciplinary Team Discussions and Psychometric Assessment Interview, Multi Disciplinary Team Discussions and Psychometric Assessment

18 Appendix to the Terms and Conditions for Members of the Executive Managers Cohort LEADERS /MANAGERS CODE OF PERSONAL GOVERNANCE As a NHS Scotland Leader/Manager I will: Pursue service excellence by ensuring patients /clients needs are at the centre of decision-making seeking to protect patients/clients and staff from clinical and environmental risk encouraging service excellence and supporting changes to make this a reality Act with integrity and probity by communicating with openness and honesty in all matters including handling complaints and giving feedback to staff ensuring confidential and constructive communication managing resources and financial risk effectively and efficiently ensuring personal integrity and probity at all times seeking to protect patients/clients and NHS resources from fraud, inducements and corruption Account for my own and my team s performance by taking responsibility for my own and my team s performance complying with all statutory requirements providing appropriate explanations on performance acting on suggestions/requirements for improving performance supporting the Accountable Officer of my organisation in his/her responsibilities Engage appropriately with others in decision-making by ensuring that patients, the public, staff and partner organisations are able to influence decisionmaking in relation to NHS services supporting effective and informed decision-making by patients about their own care seeking out the views of others and building mutual understanding ensuring clarity and consistency in relation to dual accountability Develop my team and myself by building and developing effective teams, supported by appropriate leadership instilling trust and giving freedom to staff/partners to make decisions within authority being aware of and taking responsibility for my behaviour and continuous personal development as a NHS manager, to ensure my fitness for purpose

19 TERMS & CONDITIONS OF SERVICE MEDICAL DIRECTOR FOR NHS BORDERS Terms and Conditions of Service will be as determined under the Direction of the Scottish Government. Tenure of Employment Subject to the provisions in the contract of employment, this appointment is on a permanent basis. National and Regional Responsibilities Executive Director status will be confirmed by the Scottish Ministers. You will be expected as a normal part of your responsibilities to undertake a supplementary role at national (NHSS) and regional levels. This will be described in general terms in the job description and agreed and assessed annually as part of the performance management and appraisal arrangements. Hours of Work This post is available for full time, but application are welcome from candidates interested in part-time or job share. For pay purposes the full time working week will be deemed to be 40 hours or as appropriate for less than full time. Remuneration Pay arrangements for Medical Directors are subject to Direction by Scottish Ministers. The core salary is in the range 92, ,525. Placement depends on previous NHS service. A Medical Director s Management Fee of 24,633 is payable. There are eight performance related equivalent discretionary points ranging from 3,204-25,632. Performance management arrangements and pay progression will be subject to Direction by the Scottish Ministers. Personal or professional elements of remuneration may be transferred if you already employed in the NHSiS. There is an Executive on-call rota and you are expected to participate, a 3% allowance of basic salary applies. If relocating permanently to the Scottish Borders area, the successful applicant is eligible for a relocation package in accordance with our policy an d up to Inland revenue limits. Superannuation The appointment is superannuable, unless you opt out of the NHS Superannuation Scheme (Scotland) or are ineligible to join, and your remuneration will be subject to deduction of superannuation contributions in accordance with the scheme guide. Annual Leave/Statutory and Public Holidays Your annual leave entitlement will be 41 days including statutory holidays. The leave year will run from 1 April to 31 March. Annual leave will be subject to approval by the Chief Executive and will be granted subject to the exigencies of the Service. Leave will not normally be carried forward from one leave year to another. Motor Vehicle Provision Subject to your holding a current full driving licence and to it being required for the purposes of fulfilling your role, the Board may provide you with a motor car in accordance with the Leased Car provisions determined by the Remuneration Committee. If a leased vehicle is not taken, travel expenses will be reimbursed in accordance with the provisions of the UK Staff Council.

20 Confidentiality Confidentiality of patient information and personal information on staff must be preserved at all times. Your appointment will also involve you in the Board s commercial activities and other business matters. Intellectual Property/Copyright All intellectual property, copyright, works, designs, text, records, administrative and financial material and systems made, written or designed or originated by you during the course of your employment with the Board and in connection with your appointment with the Board shall vest in the Board. Outside Employment and Financial Interests Whilst in the employment of the Board you must obtain prior written approval of the Chief Executive in order to take up any other additional paid employment. You should not engage in any outside employment or in any activity which would in any way conflict with the interest of the Board or be inconsistent with your position in the Board or impact on discharging your responsibilities. You must declare to the Board any financial interest or relationship you may have which may affect the Board s policies and decisions. Acceptance of Gifts and Hospitality You must not accept excessive hospitality or gifts in the course of your employment. You should adhere to the terms of the Board s Standards of Business Conduct. Representation You have the right to join and remain a member of a trade union or professional body. Similarly you also have a right not to join a trade union or professional body should you so choose. Data Protection Information about you, your appointment and qualifications may be included in relevant computer files within the Board. By your execution of this agreement you give explicit consent to any processing by the Board of any personal data or sensitive personal data relating to you for the purpose of employment in accordance with the terms of the Data Protection Act. You also grant your consent to the disclosure by the Board of such data to third parties in the event that such disclosure is required for the proper conduct of the Board. Disciplinary Procedures In the event of misconduct you may be liable to disciplinary action in accordance with the Board s Employee Conduct procedures which also set out the appropriate appeal mechanism. Notice The minimum period of notice that you are required to give is 3 months. In the event that the Board terminates the contract with notice you are entitled to receive minimum 3 months notice in writing. This does not prevent either party waiving the right to notice, or from the Board making a payment in lieu of notice. The Board may elect to terminate immediately and pay you in lieu of notice, or in lieu of the balance of your notice period. This clause is without prejudice to any right you may have under employment legislation. Registration and Insurance You are required have full registration with the General Medical Council throughout the duration of your employment and if applicable be included on the Specialist Register or GP Register and continue to hold a licence to practice. You are normally covered by the NHS Hospital and Community Health Services indemnity against claims of medical negligence. However, in certain circumstances (especially in respect of services for which you receive a separate fee) you may not be covered by the indemnity. The NHSiS therefore advise that you maintain membership of a medical defence organisation. Copies of NHS Circular 1989 (PCS) 32 and NHS MEL (2000) 18 on indemnity arrangements may be obtained on request.

21 Employee Concerns Procedure Any grievance which you may have should be raised in the first instance with the Chief Executive. If the matter remains unresolved you may raise your grievance with the Chair of the Health Board. This does not affect your right to raise issues of concern with the Chief Executive of NHS Borders at any time. Medical Education The Board is committed to support you with continuing Medical Education as appropriate to your post. You are also entitled to appropriate training and support during and at the conclusion of this appointment to assist in a return to a full clinical role if that should be your wish. In addition potential candidates are welcome to discuss with the Chief Executive specific areas of responsibility and interest, including possible options for a continuing regular hands-on clinical involvement.