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MODEL JOB PLAN FORMAT Name: Specialty: Grade: Effective Date of Job Plan: Next Expected Review Date: Contract: Full Time / Part Time Weekly PAs: Weekly APAs: TOTAL HOURS: Principal Place of Work Other Regular Workplaces: On-Call Availability Supplement: None / 2% / 4% / 6% (delete as appropriate) Out of Hours Work:: Predictable: PAs Unpredictable: PAs Managerially Accountable to Clinically Responsible to: a) Timetable of activities which have a specific location and time DAY HOSPITAL / LOCATION DESCRIPTION OF WORK CATEGORY Monday PA TYPE DC SPA AR ED PA APA Tuesday Wednesday Thursday Friday Saturday Sunday BB004DEC2008

b) Description of Activities which are not undertaken at specific locations or times (This section should include details of activity category and PA/APA allocation for such activities) c) Description of Activities during Premium Rate Hours of Work e.g. hours outwith 7am- 7pm Monday to Friday (This section should further define activities that have already been included at a) in terms of location and timing) d) Additional Programmed Activities (This section outlines the reason for allocation of APAs including the expected duration of the APAs)

MODEL JOB PLAN Type of activity Description of activity including when and where activity is conducted. Direct Clinical Care (DC) (work that directly relates to the prevention, diagnosis or treatment of illness) Average number of hours spent on each activity per week including travel where appropriate Emergency duties (including work carried out during or arising from on-call) (refer to Schedule 6) Operating sessions including pre-operative and post-operative care Ward rounds Outpatient activities Clinical diagnostic work Other patient treatment Public health duties Multi-disciplinary meetings about direct patient care Patient-related administration linked to clinical work i.e.directly related to the above (primarily, but not limited to, notes, letters and referrals) Total Direct Clinical Care Activities

Type of activity Description of activity including when and where activity is conducted. Supporting Professional Activities (SPA) (activities that underpin Direct Clinical Care) Average number of hours spent on each activity per week including travel where appropriate Audit Continuing professional development Local clinical governance activities Training Formal teaching Appraisal Job planning Research Any other supporting professional activities (including external duties) Total Supporting Professional Activities

Type of activity Description of activity including when and where activity is conducted. Average number of hours spent on each activity per week including travel where appropriate Additional NHS Responsibilities (AR) (special responsibilities within the employing organisation not undertaken by the generality of doctors, which are agreed between the doctor and the employer which cannot be absorbed in the time set aside for Supporting Professional Activities) Clinical manager Clinical audit lead Clinical governance lead Clinical tutor Educational supervisor Other additional responsibilities Total Additional Responsibilities

Type of activity Description of activity including when and where activity is conducted. Average number of hours spent on each activity per week including travel where appropriate External Duties (ED) (duties that are not included in the definitions of Direct Clinical Care, Supporting Professional Activities and Additional NHS Responsibilities and not included within the definition of Fee Paying Services or Private Professional Services, but are undertaken as part of the prospectively agreed job plan by agreement between the doctor and the employing organisation without causing undue loss of clinical time) Trade union and professional association duties Undertaking assessments for NHS Education for Scotland, NHS Quality Improvement Scotland or equivalent bodies Reasonable amounts of work for the Royal Colleges or Government Departments in the interests of the wider NHS Work for the General Medical Council or other national bodies concerned with professional regulation NHS disciplinary procedures and NHS appeals procedures Other external duties Total External Duties

Facilities and Resources Details of the facilities and resources necessary to support delivery of the doctor s/dentist s duties and objectives for all programmed activities Staffing support (administrative, clerical or secretarial) Office accommodation Equipment IT resources Any other identified resources necessary.

Objectives may cover personal development needs, training goals, organisational issues, CME and CPD e.g. acquisition / consolidation of new skills and techniques. Objective How objective will be met and resources required 1. Timescale 2. Supports service objectives 1. 3. 4. 2. 5. 6. 3. 7. 8. 4. 9. 10. 5. 11. 12.

This job plan has been agreed by:- Name of doctor (please print). Name of Health Board signatory (print name and job title).. Signed... By Doctor Date.. Signed.... On behalf of Employer Date..