Department Description

Transcription

1 Musculoskeletal Services Unit Profile Department Description The Musculoskeletal Services Unit comprises the following services: Orthopaedics (including Ortho-geriatrics) Rheumatology Pain Management Rehabilitation Services Department Profile The Department provides comprehensive care for both elective and trauma surgery. There are two orthopaedic wards, one 31 bedded elective ward and one 32 bedded trauma/orthogeriatric ward. These beds are run in close liaison with the Department of Medicine for the Elderly and are invaluable in the early assessment and management of elderly trauma cases. The Department also has access to the Day Surgery Unit and to four dedicated laminar flow Orthopaedic Theatres, fully equipped to an extremely high standard. The Theatres are fully equipped to accommodate spinal surgery including a specialist spinal table. The Department is supported by a specialist orthopaedic theatre team, and an extended Post-Operative ward and Intensive Therapy Unit adjacent to Theatres. The Department also has access to a Somatom Siemens CT Scanner and open access to two MRI Scanners (24 hour a day) on the Southend site. The speciality also has a very close liaison with the Physiotherapy Department, and active participation in ward rounds and specialist outpatient clinics is very much supported and encouraged by the Orthopaedic Consultant staff. The Department holds bi-monthly multidisciplinary meetings. management and Clinical Governance agendas. These meetings cover both Activity The Department is extremely busy with the following expected workload in 2016/17 IP 2,504 DSU 2550 OPD (New) Trauma 2,158 The Department of Trauma and Orthopaedics consists of ten orthopaedic teams, each with a minimum of one Consultant, two with an Associate Specialist, Staff Grade/Specialty Doctor or Specialist Registrar and Senior House Officer. The Directorate is managed by Mr G J Packer. The hospital has an excellent post-graduate education centre, containing a medical library with librarians on site.

2 Medical Staffing Consultants: Mr G Packer, FRCS Special interest in upper limb surgery. Mr Packer is also the Clinical Director Mr H P Bhinda, FRCS Mr Z Dannawi, FRCS, Mr A Greer, FRCS Mr A Khan, FRCS Mr P Lusty, FRCS Mr S Raza, FRCS Mr S Sarkar, FRCS Mr A White, FRCS Mr S Prasad FRCS Mr K Ravi, FRCS Mr V Kumar, FRCS Mr A Zaidan, FRCS Special interest in Hip and Knee Surgery Special interest in Spinal Surgery Special interest in Hip & Knee Surgery, Resurfacing & Sport Injuries Special interest in Foot and Ankle Conditions. Special interest in Hip and Knee Surgery. Special interest in Lower Limb, Foot & Ankle Surgery. Special interest in Upper Limb Surgery. Special interest in Joint Replacement Surgery. Special Interest in Spinal Surgery Locum Consultant Locum Consultant Locum Spinal Consultant Associate Specialists:- Mr C Sivaji Mr S Sarsam Special Interest in Upper Limb Surgery Specialist Interest in Shoulder & Foot Surgery Staff Grade / Specialty Doctors:- Mr A Gal (Staff Grade) Mr A Reda (Staff Grade) Mr R Estfan (Specialty Doctor) Mr S Sidharthan (Specialty Doctor) Mr V Ragupathy(Specialty Doctor) Miss N Neumann (Specialty Doctor) Mr D Rupasinghe (Specialty Doctor) Mr P Iancu (Specialty Doctor) 2 of 9

3 Specialist Registrars / Specialist Trainee (ST3 + Level): There are currently three Higher Surgical Trainees on rotation with the Royal National, Chelmsford, Basildon, The Royal London and other hospital within the Eastern Region. Specialist Trainees and FY2s: There are four FY2s, one CT1, one ST1, one GPVTS providing cover on the specialist Trainee rota, as well as three clinical fellow posts. 3 of 9

4 Job Description Post Title: Reports To: Clinical Fellow in Trauma & Orthopaedics (Non-training post) Mr Greg Packer Clinical Director Introduction The Department provides comprehensive care for both elective and trauma surgery, the successful candidate will join the Orthopaedic department for a period of one year. Duties of the Post Liaise between nurses, other junior doctors, patients, relatives and senior medical staff Attend to the day to day management of day case, out-patient and in-patients Attend and participate in ward rounds and operating theatre sessions as timetabled Attend general and specialist out-patient, diagnostic and pre-assessment clinics Teach medical students as directed Take part in rostered emergency work To keep up-to date with all administrative duties including letters, results and discharge summaries as required Study for higher examinations and maintain continued professional development Undertake and assist in audit projects at various times throughout the rotations Attend weekly educational and multidisciplinary sessions To co-operate with members of the HR department when monitoring hours of work Attend induction in each hospital or new department Attend post mortem demonstrations when required Comply with all local policies including dress code, annual and study leave Clinical Governance To provide clinical services in line with the Trust s clinical governance arrangements which is designed to ensure that agreed quality standards are achieved. These requirements include:- Audit To undertake audit of clinical practice within the department to ensure that current standards and evidence-based practice are applied. Continuing Medical Education All consultants are required to maintain and develop their clinical skills. Individual training and development needs will be identified through an appraisal process taking into account Southend Hospital NHS Trust requirements. 4 of 9

5 Risk Management To work within the Trust s clinical risk management policies and in particular to participate as appropriate in clinical incident reporting. Appraisal All Consultants in the Trust participate in the Trust s appraisal process. Training Activities The hospital has Associate University status. Consequently the training of medical students, junior hospital doctors, nurses and physiotherapists has a high priority. The new colleague will be actively encouraged to pursue any interest in this area. Clinical Governance is a major part of our daily practice. The hospital is at the forefront of providing same, with a separate department and allocated clinical and ancillary staff to service same. There is a well-stocked medical library with audio-visual teaching aids, CD-ROM and a full time librarian. The library has a Medline facility. There is a thriving Postgraduate Medical Centre with regular clinical meetings and a general education programme. Main Terms and Conditions of Service The appointment is subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff and Doctors in Public Health Medicine and the Community Health Service in England and Wales made by the Board on the recommendation of an Advisory Appointments Committee, constituted in terms of the Guidance on Advisory Appointments Committees NHS Circular (2007)1. Any person suitably qualified and experienced who is unable for personal reasons to work full-time, will be eligible to be considered for the post. The salary scale will be determined based on competency leave. Policies & Procedures You are required to comply with our Policies and Procedures as may from time to time be in force. Information Security and Confidentiality All person identifiable information must be held in the strictest confidence and must be disclosed only to authorised people in accordance with the 1997 Caldicott recommendations, 1998 Data Protection Act, ratified information sharing protocols and patient consent. Where there is any doubt, the post holder must seek advice from the Caldicott Guardian or deputy. A breach of confidentiality may result in disciplinary action being taken in accordance with the Trust s disciplinary procedure It is the responsibility of the post holder to abide by all organisational policies and procedures, particularly those in the information security section of the policy folder. To meet the requirements of the 1998 Data Protection Act the post holder is responsible for the maintenance of up to date and timely data entry and to ensure that information processed is safeguarded, securely stored and safely disposed of. To maintain data quality, it is essential that clinical information extracts and reports are validated by the appropriate clinician prior to distribution. 5 of 9

6 Governance and Statutory The post holder is expected to comply with the governance arrangements and policies and procedures of the organisation, available on the Trust intranet site. Equal Opportunities and Diversity The Trust has an absolute commitment to equal opportunities based on sound management practice, respect for the individual and legislative compliance. The post-holder must at all times carry out his/her responsibilities with regard to the Trust s Equal Opportunities Policy & the Race Equality Scheme. Health and Safety & Risk management Employees must be aware of the responsibilities placed upon them under the Health and Safety Work Act 1974, to ensure that the agreed safety procedures are carried out to maintain a safe working environment for patients, visitors and employees. Employees must wear personal protective equipment where provided. All employees are expected to comply fully with the Trust and Departmental fire policies and procedures to meet their responsibilities in relation to fire safety. All staff is expected to maintain safe infection control practices at all times. All employees are responsible for reporting any accidents, untoward occurrence and potential hazards to their Head of Department even no injury or property damage has resulted. Relocation Expenses Relocation expenses may be available subject to eligibility in line with the Trusts policy. Health Clearance The appointment is made subject to satisfactory fitness for employment. The candidate will therefore be required to complete a pre-employment health screening questionnaire and may/will subsequently be required to attend for health screening. Registration The person appointed will be required to be fully registered with the General Medical Council and hold a licence to practice. Rehabilitation of Offenders Act Because of the nature of the work of this post, it is exempt from the provision of section 4(2) of the Rehabilitation of Offenders Act 1974 (Exemption Order 1975). Applicants are, therefore, not entitled to withhold information about convictions including those which for other purposes are "spent" under the provisions of the Act, and in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by Southend University Hospital. Any information given 6 of 9

7 will be completely confidential and will be considered only in relation to an application for positions to which the order applies. Medical Indemnity The Trust is financially responsible for the negligent acts and omissions of Consultant medical and dental staff in the course of their Trust employment. If, however, any private practice, within a NHS hospital or any other private hospital is undertaken, the appointee will be personally responsible for subscribing to a recognised defence organisation. The Trust will not be responsible for category 2 (e.g. reports for insurance) or Good Samaritan Acts. Health Circular HC (89) 34 provides full details of Claims of Medical Negligence against NHS Hospital and Community Doctors and Dentists. The Department of Health advises practitioners to maintain defence body membership in order to ensure they are covered for any work which does not fall within the scope of NHS Indemnity. Prospects for Change The proposals set out in the High quality care for all: NHS Next Stage Review final report (Darzi report) are likely to impact on current working arrangements. NHS South East Essex has recently published its 5 year strategic plan and the Trust is moving towards a new model of specialty ward based inpatient working. Together these may entail considerable change to the job plans of consultants including the appointee, and to the distribution of junior medical staff. The Trust will consult the members of staff concerned at the appropriate time, but meanwhile wishes to draw the attention of applicants to the possibility of change in the future. Place of Work The appointee will be based at Southend University Hospital, however he / she may be required to work at Satellite Clinics attached to the Trust and/or at Community Resource Centres (hosted by other health agencies) within the NHS South East Essex Primary Care Trust catchment area, in accordance with the Trust s aim of flexible working by staff to enhance patient care. He/she will be fully consulted regarding any changes to job plan. No Smoking Policy It is the policy of the Trust to promote positive health. Smoking, therefore, is prohibited in all buildings and the grounds of the hospital. Security In the interests of safety and security the appointee will be required to wear Hospital Staff Identification Badge at all times whilst at work. 7 of 9

8 Person Specification Clinical Fellow in Trauma & Orthopaedics Essential Desirable When evaluated Qualifications and experience Has achieved MBBS or equivalent medical qualification Satisfactory progress in PRHO posts (or equivalent evidence of competence at the time of application) Has completed no more than three years whole time equivalent medical practice post MBBS or equivalent (except in exceptional circumstances) Attendance at ALS, ATLS or equivalent Distinctions, scholarships, prizes Experience of research Experience of Foundation training Additional degrees e.g. MSc, PhD Has completed no more than two years whole time equivalent medical practice post MBBS or equivalent (except in exceptional circumstances) Application form & Interview Eligibility Eligible for full registration with the GMC at time of starting the post Application form Fitness to practice Is up to date and fit to practise safely Clinical care (knowledge and skills) Competence in basic clinic procedures Able to prioritise clinical need Aware of own limitations and knows when to consult senior colleagues Understands the principles of patient confidentiality and data protection Understands the need for and appreciates the role of audit and clinical governance in clinical practice Able to play effective part in ensuring, on a day to day basis that care is of good quality, safe and appropriate to the needs of the patients Understand the importance of working effectively in teams Knowledge of UK health systems, practices and values; awareness of current issues in the NHS Computer literate Understands the importance and impact of information systems in health care Interview Maintaining clinical competence Keeps professional knowledge and skills up to date Maintain clinical and nonclinical skills Ability to practise evidencebased medicine Interview 8 of 9

9 Acute care (Knowledge and skills). Ability to assess, recognise and initiate management of the acutely ill patient Play an effective part in advanced life support Organisation and planning Able to manage time and prioritise workload Teaching, audit and research Understanding of the basic principles of audit Contributes to teaching and learning of others in the clinical setting Active participation in clinical audit Communication & interpersonal skills Able to communicate effectively in written English Able to communicate effectively in spoken English Able to discuss treatment options with patients and carers in a way they can understand Able to establish good working relations with patients, carers and multidisciplinary colleagues Experience of working in teams Understand the responsibilities of being an employee of the NHS Evidence of communication skills Application form and interview Personal attributes and experience Recognises stressful situations and responds appropriately Demonstrates initiative, enthusiasm and common sense Respects and promotes the individual s rights, interests, preferences, beliefs and cultures Potential to benefit from the training available Evidence of leadership qualities (not necessarily medicine) Other work experience/outside interests Interview I.T Must be computer literate Health Meets professional health requirements Preemployment health screening 9 of 9