Consultant Anaesthetist

Transcription

1 Job Ref 34369D Closing Date 3rd October 2014 Interview Date 30th October 2014

2 SUMMARY INFORMATION Job Ref Title Specialty Special Interest Remit 34369D Consultant Anaesthetist Head And Neck Anaesthesia/Neurocritical Care Head and Neck Anaesthesia. Neurosurgery, Maxillofacial Surgery and Interventional Neuroradiology/MRI Closing Date Noon, Friday 3 rd October 2014 Interview Date Thursday, 30 th October 2014 Directorate Service Department Base Health Board Responsible/Accountable To Regional Services Institute of Neurological Sciences Neuroanaesthesia Institute of Neurological Sciences, Southern General Hospital, Glasgow NHS Greater Glasgow And Clyde Dr Urmila Ratnasabapathy, Lead Clinician, Head and Neck Anaesthesia and Mrs Susan Walker, General Manager, Regional Services Enquires to Anaesthetics Department, Visits to Department Working Hours Job Plan On Call SPA Tenure Should you require further information about the post contact Dr. Urmila Ratnasabapathy on (mornings only) with whom visiting arrangements can also be made. 10 PAs under the new Consultant contract. There may be an opportunity to take up to an additional 2 EPAs subject to job planning and service requirements You will be expected to follow the job plan and manage your own work programme within Board policy and procedures. A sample job plan is included in the job description. Maximum 1:6 non resident (currently as there are 19 consultants on the two tier rota, the frequency of on call is 1:7.3 with prospective cover for leave). Medium intensity supplement. SPA time will be allocated depending on your attributes and the needs of the service Permanent How to apply Please click this link to view and download application pack documents. Please return completed documents together with your CV and details of 3 referees to: nhsggcrecruitment@nhs.net quoting the job title and reference number. 1

3 THE ROLE You will provide anaesthetic cover for Neurosurgery, Maxillofacial Surgery and Interventional Neuroradiology/MRI. Anaesthetic cover is also provided for the Queen Elizabeth National Spinal Injuries Centre, which provides ventilation services for patients with spinal cord injuries from the whole of Scotland. The post will be full time and permanent and will be based at the Institute of Neurological Sciences, Southern General Hospital, Glasgow. Out of hours work involves participation in a maximum 1:6 non-resident on call rota with prospective cover for annual and study leave. You will be expected to follow the job plan and manage your own work programme within Board policy and procedures. A sample job plan is included in the job description. This is only indicative as job plans can be changed to accommodate where possible the specific requests of the candidate and the needs of the department The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council. THE REQUIREMENTS: Please view the detailed person specification on pages 6 and 7 You should be appropriately experienced and qualified in the specialty, fully registered with the GMC and have a licence to practice. Those trained in the UK should be either on the specialist register/ have evidence of higher specialist training leading to CCT/eligibility for specialist registration (CESR)/be within 6 months of confirmed entry to specialist register from date of Interview. Non UK applicants must demonstrate equivalent training. You should have a clear interest in Head and Neck Anaesthesia. INDICATIVE JOB PLAN: Note that the actual job plan may be different from this illustration. Timetable of activities which have a specific location and time (8am 8pm Monday Friday) Monday Tuesday Wednesday Thursday Friday Week 1 AM(5 hrs) PM(5 hrs) Week 2 AM(5 hrs) PM(5 hrs) Week 3 AM(5 hrs) PM(5 hrs) Week 4 AM(5 hrs) PM(5 hrs) Interventional radiology Critical care Fixed flexible Critical care Fixed flexible Critical care Maxillofacial Critical care SPA SPA SPA SPA Maxillofacial Maxillofacial Maxillofacial Maxillofacial Interventional radiology 2

4 INDICATIVE JOB PLAN cont: Note that the actual job plan may differ A split of 9:1 between direct clinical care PAs and supporting professional activities is now standard for all new consultant job plans in Scotland. As outlined in the indicative job plan above, the 1 SPA minimum will reflect activity such as appraisal, personal audit and professional development occurring outside study leave time. Once appointed, more SPA time may be agreed for activities such as undergraduate and postgraduate medical training which takes place outside direct clinical care, as well as research and/or management. These activities must be specifically and clearly identified and be agreed with the candidate and desired by the department. Points to note All s outlined in the indicative timetable are 5 hour s am s are 08.00am to 13.00pm s are 13:00 pm -18:00 pm. The allocation for On Call is 1.5 PA The minimum allocation for preoperative and postoperative visits is 0.5 PA (flexible) The job plan may require provision of late finish cover for OMFS oncology reconstruction cases. CLINICAL COMMITMENTS You will join an established team of 18 other Consultant Anaesthetists and 1 Specialty Doctor in the Department providing anaesthetic services within Neurosciences, OMFS and Spinal Injuries services. This includes the pre-operative assessment and peri- and post-operative care of patients undergoing Neurosurgery, Maxillofacial surgery, Diagnostic and Interventional Radiological procedures and care of patients in the NeuroIntensive and High Dependency Units. In addition, members of the Department are responsible for anaesthetic aspects of the care of patients ventilated in the Queen Elizabeth Spinal Injuries Centre. The on-call cover is for all patients within the Institute of Neurological Sciences including the Queen Elizabeth National Spinal Injuries Unit. There may be a requirement to provide resident on call cover. ADMINISTRATION The Lead Clinician is the medical manager responsible for the medical staff within the Department and works with the General and Clinical Services Managers to ensure quality service delivery and development, clinical governance, appraisal and job planning. Members of the Department are involved in a number of committees both within and outside the local hospital. There are regular department meetings with the posts of chairman and secretary rotating around members. Currently, Dr Paul Edgar organises the weekly and on-call rotas. You willl be expected to participate and share in these administrative duties. You will have a continuing responsibility for the care of patients in your charge, and for the proper functioning of the Department and will undertake the administrative duties associated with the care of patients and the running of the clinical department. In addition to the duties mentioned above, duties at other hospitals administered by the employing authority may be necessary. 3

5 THE SERVICE Based at the Southern General Hospital campus in the south-west of Glasgow The Institute of Neurological Sciences provides, Neurological, Clinical Neurophysiology and Neuroradiological facilities for the West of Scotland. The Institute is equipped with a Magnetic Resonance Imaging Suite, SPECT Scanner, two Computerised Axial Tomography Scanners, and angiography facilities. The Institute has ICU, HDU and outpatient facilities and also houses ENT and Oral & Maxillofacial Services. The new South Glasgow Hospital campus will open in 2015Click here for more information Spinal Injuries Unit The Queen Elizabeth National Spinal Injuries Unit for Scotland provides a spinal injuries service to the whole of Scotland. This is housed in a purpose-built facility. University Links The Southern General Hospital has built a sound academic and research base over the years with several members of the department closely involved with the University of Glasgow's Faculty of Medicine in teaching, examining and research. The hospital has an excellent teaching reputation and current provision includes libraries and lecture suites with comprehensive audio/visual facilities on site. A new state of the art purpose learning and Education Centre will open in 2015 as part of the 800m South Glasgow Hospital Campus development. THE DEPARTMENT The Department of Neuroanaesthesia provides all the anaesthetic services within the Neurosciences Directorate. There are 3-4 neurosurgical s, 2-3 maxillofacial surgical s, an interventional neuroradiology suite, 2 MRI scanners, 2 CT scanners, currently a 6 bedded Neuro-intensive care unit and a 6 bedded high dependency unit, which provide neurosurgical and maxillo facial services for the population of West of Scotland. Paediatric neurosurgery is performed at the Royal Hospital for Sick Children, which is to be on the Southern General Hospital site in Anaesthetic cover is also provided for the Queen Elizabeth National Spinal Injuries Centre, which provides services for patients with spinal cord injuries from the whole of Scotland. Ventilated patients are cared for in the Centre s High Dependency Ward and nearby Respiratory Care Unit. LEAD CLINICIAN Dr Urmila Ratnasabapathy- Appointed as lead clinician in 2012, Dr Ratnasabapathy joined the Neuroanaesthetic Consultant Department in At that time, there were 8 Consultant members of the department. As clinical lead, she has been instrumental in the introduction of an Acute Pain Service in the Institute of Neurological Sciences. As the Consultant department continues to expand under her lead, Dr Ratnasabapathy has been central to the development of both the non-training Clinical Fellow post and the Specialty Doctor post to assist with cover of the resident trainee first on call rota. Keen on undergraduate teaching, Dr Ratnasabapathy is an Honorary Clinical Senior Lecturer with the University of Glasgow School of Medicine. Her special interests are Resuscitation and Anaesthesia for Head and Neck Reconstructive Surgery. 4

6 THE TEAM Consultant members of the Department: All consultants anaesthetise for Neuro and OMFS anaesthesia and cover neurocritical care, interventional radiology and the spinal injuries unit out of hours Dr Valerie Cunningham special interest in management of the difficult airway, regional anaesthesia for carotid artery surgery, research and audit. Honorary senior lecturer and peer reviewer Dr Paul Edgar Rota maker, Anaesthesia for surgery for spinal cord injury, GMC performance assessor, Undergraduate teaching Dr Bryan Dawson Patient transfer lead, Audit lead, SHIFT course Instructor Scottish Clinical Simulation Centre Dr Kevin Fitzpatrick -College tutor. Special Interests include training, Difficult Airway management, and Regional Anaesthesia. Dr Colin Goutcher- Governance Lead, Theatre Users committee, interest in MRI D Rahul Karve most recent consultant addition to the department, Acute Pain interest Dr Michael Murray Interest in Critical Care, Undergraduate and Postgraduate teaching, Chairman Medics Against Violence Dr Kevin O Hare - special interest in the teaching/management of Difficult Airways. Honorary Clinical Senior Lecturer with Glasgow University and Examiner for the Final FRCA. Dr Andrew Rae Epidural Blood Patch lead, Human Factors, Recovery Lead Dr Nithin Roy Involved in Undergraduate and Postgraduate Education and the Gaslab Dr Kathryn Simpson- Acute Pain interest, Difficult airway management and head and neck reconstructive surgery Dr Linda Stewart Interest in Critical Care, Organ Donation, Computer systems in ITU and is an Appraiser Dr Suzanne Thomson Consultant in Aeromedical Retrieval Medicine. Special interests include anaesthesia for major reconstructive head and neck cancer surgery, advanced airway management training and health information and technology. Dr Alison Wagstaff- Epidural Blood Patch service lead, Anaesthesia for OMFS reconstructive surgery, Appraiser Dr Douglas Walker Interest in Critical Care, Spinal injuries, Appraiser Dr Eva-KonstanzeWerstler Interest in Critical Care Dr Simon Young- Interest in Paediatric Neuro and Craniofacial anaesthesia, Critical care Specialty Doctor Dr Donna Fraser recently joined the department, developing interests in critical care, teaching and quality improvement RECENT ACHIEVEMENTS Expansion of capacity to accommodate additional regional spinal work, regional workload of Oral and maxillofacial oncology reconstructive work, introduction of formal anaesthetic input to enhanced recovery clinic, consultant delivered second on call service with contribution from year long Neuro fellow. Provision of fully integrated service for Neuro and OMFS patients within INS building. 5

7 PERSON SPECIFICATION CATEGORY ESSENTIAL DESIRABLE LEGAL REQUIREMENTS Application must present evidence of higher specialist training leading to CCT or eligibility for specialist registration (CESR) OR of being within 6 months of confirmed entry from indicated date of Interview. PROFESSIONAL QUALIFICATIONS TRAINING EXPERIENCE Clinical Application must present evidence of Full registration with the General Medical Council and a licence to practise. Application must present evidence of a higher qualification e.g. FRCA or equivalent. Application must present evidence of previous appointments which provided professional training in Anaesthesia posts as approved by the Royal College of Anaesthetists or equivalent Application must have evidence of experience in Neuro-anaesthesia and Anaesthesia for Maxillofacial surgery as Specialist Registrar or post-cct MD / PhD Attendance at appropriate professional courses. Managerial Attendance at an appropriate management course. Application must evidence a working knowledge of NHS management responsibilities of Consultants Audit Application must evidence of participation in audit activities Experience of clinical audit. Supervision Application must evidence experience of supervising junior medical staff and relevant staff in other disciplines 6

8 PERSON SPECIFICATIONcont TEACHING RESEARCH / PUBLICATIONS Application must evidence participation in teaching postgraduate medical staff OR an Interest in undergraduate and postgraduate medical teaching. Application must evidence experience and evidence of research and relevant publications. Experience of teaching other staff. Evidence of participation in Undergraduate Teaching. Evidence of recent and current research, with relevant publications. PROFESSIONAL INTERESTS Application must evidence membership of appropriate professional society (ies) CIRCUMSTANCES RESIDENCE Candidates should demonstrate in their application a knowledge of up to date literature. Agree to live an appropriate distance from the respective organisations. Car owner with full driving licence. INTERPERSONAL SKILLS REQUIRED The ability to communicate and liaise effectively with patients and their relatives using a variety of methods and to respond to questions and queries The ability to communicate effectively with clinical colleagues, colleagues in other disciplines and support staff The ability to be able to work harmoniously with all levels of staff on an individual and multidisciplinary basis The ability to take responsibility and show evidence of leadership The ability to adapt and respond to changing circumstances The ability to work under pressure and cope with setbacks The ability to present effectively to an audience An awareness of personal limitations 7

9 TERMS AND CONDITIONS OF SERVICE The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council. TYPE OF CONTRACT GRADE AND SALARY HOURS OF DUTY SUPERANNUATION REMOVAL EXPENSES EXPENSES OF CANDIDATES FOR APPOINTMENT TOBACCO POLICY DISCLOSURE SCOTLAND CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK Permanent Consultant, 75, ,451 per annum (pro rata) New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer. Full time, 40 Hours per week New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via: Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment. Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses. Reimbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment. NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds. This post is considered to be in the category of Regulated Work and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership. NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that all employees are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made. 8

10 TERMS AND CONDITIONS OF SERVICE cont. REHABILITATION OF OFFENDERS ACT 1974 The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as spent after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are spent under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential. DISABLED APPLICANTS GENERAL EQUAL OPPORTUNITIES NOTICE MEDICAL NEGLIGENCE A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview. NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual. The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde s Equal Opportunities Policy. The employment is subject to three months notice on either side, subject to appeal against dismissal. In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme. 9