JOB DESCRIPTION POST: LOCATION: REPORTS TO: RESPONSIBLE TO: Consultant in Rehabilitation Medicine Regional Acquired Brain Injury Unit, Musgrave Park Hospital Co-Director, Trauma, Orthopaedics and Rehabilitation Chief Executive GENERAL INFORMATION The Belfast Health Care Trust The Belfast Health and Social Care Trust was established in April 2007 and comprises the Belfast City Hospital, Mater Hospital, Musgrave Park Hospital, Royal Hospitals and South and East Belfast, and North and West Belfast Health and Social Services Trusts. Hospital Profiles Musgrave Park Hospital is the Regional Orthopaedic Unit for Northern Ireland. The Musgrave Park Regional Orthopaedic Service is the largest in the British Isles with 29 consultant orthopaedic surgeons and staff. On site is the Queen s University of Belfast s Department of Orthopaedic Surgery which is the largest academic unit in Orthopaedics in the British Isles with an international reputation and an extensive research output. The Royal Group of Hospitals is the largest hospital complex in Northern Ireland, comprising the Royal Victoria Hospital, the Royal Jubilee Maternity Hospital (RJMH), the Royal Belfast Hospital for Sick Children (RBHSC) and the School of Dentistry. It provides virtually all referral services in Northern Ireland and undoubtedly the vast majority of local research. Major re-developments of the Royal Group of Hospitals are underway, which includes the Royal Belfast Hospital for Sick Children. A new Critical Care Building with ED and theatres is currently in the process of opening. The Royal Hospitals play a major role in clinical education, training and research, with most academic departments linked to the Queen s University of Belfast Medical School on the Royal Hospital s complex medicine, surgery, ophthalmology, child health, obstetrics and gynaecology, and pathology. 1
Belfast City Hospital (BCH) is a major teaching hospital, most of which is housed within the Tower (opened in 1985). The Northern Ireland Cancer Centre opened on the campus in March 2006. A strong strategic focus on molecular medicine, cancer and renal services has enabled the development of a vigorous research programme, together with a large Cancer Clinical Trials Unit. There is a modern radiology department and substantial AHP Services (e.g. Physiotherapy, Podiatry, Occupational Therapy, Speech & Language Therapy, Nutrition & Dietetics, etc.) and a comprehensive range of pathology. The Mater Hospital is a long established general hospital with teaching status affiliated to the Queen s University of Belfast. A new state of the art ward block, the McAuley Building, was opened in January 2002. The X-Ray Department is sited in the Dempsey Building, which was opened in 1991. The Dempsey Building also houses the Emergency Department, the Operating Theatres, the Intensive Care/High Dependency Unit, the Outpatient Department and the Maternity Unit. The main Psychiatric Unit occupies a separate building next to the Dempsey Building. There is also a Psychiatric Day Hospital on a separate site, approximately one mile from the main hospital. JOB SUMMARY/MAIN PURPOSE: Hospitals where services are to be provided: Regional Acquired Brain Injury Unit (RABIU), Musgrave Park Hospital Department of Rehabilitation Medicine, Royal Victoria Hospital A summary of the services across the different hospitals is provided in the table below: Site General Services Specialist Services Belfast City Hospital A&E (temporarily closed) Acute & General Medicine Anaesthesia (including critical care) Pain Management Adult Cystic Fibrosis Breast Services (including reconstructive surgery) Cardiology Dermatology Gynaecology & Gynaecological Oncology Haematology Haemophilia Service Medical Genetics Medical Oncology Nephrology (including Renal Dialysis) Radiotherapy Respiratory Medicine Rheumatology Transplant Surgery Urology Mater Hospital A&E Acute & General Medicine Anaesthesia (including critical care) 2 Surgical specialties, including Hepatobiliary, Ophthalmology, Gynaecology, Psychiatry
Site General Services Specialist Services Pain Management Musgrave Park Hospital Royal Hospitals Anaesthesia Pain Management A&E Acute & General Medicine Anaesthesia (including critical care) Pain Management Regional Orthopaedic unit Rheumatology Rehabilitation, SCIU, RDS Regional Acquired brain injury unit Care of the elderly unit Recognised trauma centre Dermatology Paediatrics (RBHSC) Obstetrics & Gynaecology (Royal Jubilee Maternity Hospital) School of Dentistry Regional services include: neurosciences, medical and surgical cardiology, thoracic surgery, ophthalmology and specialised endocrinology, ENT, general surgery, vascular surgery, hepatology All of the major laboratory services are also available including: Immunology Haematology (including Transfusion Services) Bacteriology Virology Pathology Immunopathology Clinical Chemistry The Belfast HSC Trust functions through a series of Directorates. The Rehabilitation Service forms part of the Specialist Hospitals & Women s Health Directorate. WORK OF THE REHABILITATION SERVICE / MAIN DUTIES The RABIU is a neurorehabilitation unit for adults (primarily over 16 years with) with Acquired Brain Injury. There is a 25-bedded inpatient ward and an outpatient service for up to 15 daily attendees with rehabilitation needs following neurological disease. Outpatient clinic services are located within the RABIU building and at the Department of Rehabilitation Medicine, Royal Victoria Hospital. In the financial year 2016/2017 there was a total of 97 new inpatient admissions to the two Consultant led teams at RABIU, with an average length of stay of 66 days. In the same year, there were 885 day-attender patient episodes. The successful applicant will provide Consultant level care to adults with acquired brain injury. They will be expected to provide, maintain and develop services in acquired brain injury rehabilitation. Training in this area is an essential pre-requisite for the post. 3
The job is a replacement post and includes a commitment to inpatient rehabilitation and outpatient day attender rehabilitation at the Regional Acquired Brain Injury Unit in addition to outpatient clinic commitments at Musgrave Park Hospital and the Royal Victoria Hospital. The post holder will provide rehabilitation liaison to the Regional Neurosciences Centre. The post holder will have access to beds and admitting rights in the Regional Acquired Brain Injury Unit. The post holder will alternate the weekly CASBAH (Clinic for Adults with Spina Bifida and Hydrocephalus) clinic with Dr Hillan. There is a commitment to the provision of rehabilitation input into the acute hospitals within the Belfast Health and Social Care Trust, for those persons requiring the specialist services provided by the Regional Acquired Brain Injury Unit. The post-holder will be involved in the teaching of undergraduate and graduate medical, nursing and professions allied to medicine personnel. The post-holder will be expected to participate in Trust Research, Audit, and Quality Improvement activities. There are a total of five Consultants in Rehabilitation Medicine on the Musgrave Park Hospital site with two based in RABIU (including this post), one in the Amputee Rehabilitation Unit (ARU), one in the Spinal Cord Injury Unit (SCIU) and one in a combination of ARU and SCIU. There are 3 Specialty Doctors in Rehabilitation Medicine and 2 rotational training ST posts; the holders of these posts will rotate through neurorehabilitation services. Administrative support will be provided by the existing secretarial resource. The post holder will have an allocated office space with computer access. There is a commitment to the provision of rehabilitation input into the acute hospitals within the Belfast Health and Social Care Trust, for those persons requiring the specialist services provided by the Regional Acquired Brain Injury Unit. The post-holder will be expected to participate in Trust Research, Audit, and Quality There are a total of five Consultants in Rehabilitation Medicine on the Musgrave Park Hospital site with two based in RABIU (including this post), one in the Amputee Rehabilitation Unit (ARU), one in the Spinal Cord Injury Unit (SCIU) and one in a combination of ARU and SCIU. CONSULTANT STAFF involved in the provision of Rehabilitation Services Dr L E Graham - Consultant in Rehabilitation Medicine Dr S Maguire - Consultant in Rehabilitation Medicine Dr J P McCann - Consultant in Rehabilitation Medicine Dr S Caldwell - Consultant in Rehabilitation Medicine Dr J Hillan - Consultant in Rehabilitation Medicine Dr P Watson - Principal Bioengineer Dr C Wilson - Consultant Clinical Neuro Psychologist Dr S Carson - Consultant Clinical Psychologist 4
JUNIOR MEDICAL STAFF Two Specialty Trainees in Rehabilitation Medicine Three Specialty Doctors in Rehabilitation Medicine Dr S Glackin Dr S Connolly Dr ST Zafar On-Call On appointment of this post there will be a 1:5 on-call rota with prospective cover. The on-call commitment provides cover to RABIU, the Spinal Cord Injury Unit and the Amputee Rehabilitation ward at Musgrave Park Hospital. Educational Activities The post-holder will be expected to participate in all educational activities in the form of weekly education and business meetings and involvement in the neurorehabilitation round, multidisciplinary education and neurorehabilitation audit meetings. The post-holder will be entitled to SPA time, study leave and courses on terms and conditions as a consultant. A commitment to 3 rd year clinical SSC students sits within this job plan. Teaching Teaching junior trainees at all levels during ward rounds, undergraduate medical students and nursing staff. SPA allocation for trainee supervision will follow to the appropriate clinical supervisor at the SPA rate agreed by the Northern Ireland Medical and Dental Training Agency who require trainer status to allow the role of Clinical Supervisor. Research Facilities exist for clinical research including on-site library, media services and computer with Internet access, etc. depending upon the individual s interest and motivation. Involvement in any on-going research and publications is encouraged. Research time will only be allocated within SPAs where there is an external funding stream to cover the costs and where trust governance procedures have been fully complied with. General Responsibilities Employees of the Trust are required to promote and support the mission and vision of the service for which they are responsible and: At all times provide a caring service and to treat those with whom they come into contact in a courteous and respectful manner. 5
Demonstrate their commitment by their regular attendance and the efficient completion of all tasks allocated to them. Comply with the Trust s Smoke Free Policy. Carry out their duties and responsibilities in compliance with the Health and Safety Policies and Statutory Regulations. Adhere to Equality and Good Relations duties throughout the course of their employment. Ensure the ongoing confidence of the public in-service provision. Maintain high standards of personal accountability. Comply with the HPSS Code of Conduct. ADDITIONAL INFORMATION Terms & Conditions This appointment is subject to the Consultant Terms & Conditions of Service (Northern Ireland) 2004, and as amended. Registration Registration with the General Medical Council and License to Practice must be maintained. Salary As per current Consultant salary scale in line with the Consultant Terms & Conditions of Service and pay circular HSC (TC8) 2/2016. Indemnity Employees are normally covered by the HPSS and Community Health Service Indemnity against claims for medical negligence. However, certain circumstances may not be covered by the Indemnity, especially where a separate fee is received. The Department of Health, Social Services & Public Safety (DHSS&PS) therefore advises that membership of a medical defence organisation is maintained. Team working The successful candidate will be expected to work with local managers and professional colleagues in the efficient running of clinical services and will share with consultant colleagues in the medical contribution to management. Subject to the provisions of the Terms and Conditions of Service, the successful candidate is expected to observe the Unit s agreed policies and procedures, drawn up 6
in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of the Trust. The applicant will be expected to adhere to consultant terms and conditions of service (NI) 2004 as amended, in addition to all Trust policies and procedures. The successful candidate will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of his/her patients to be able to contact him/her when necessary. Mentoring In line with Trust policy, newly appointed consultants will be offered the opportunity of having a more senior mentor. Consultant Appraisal Appointees are required to participate in Consultant Appraisal processes in accordance with DHSS&PS requirements, which will be used to inform the revalidation process. Quality Patient satisfaction must be at the forefront of the concern of each member of staff. Every patient is to be treated as an individual and provided with high quality service in terms of courtesy, kindness, interest and efficiency. Residence In order to meet the on-call requirements of the post, the appointee is required to reside within a reasonable distance to their principal place of work, as per terms and conditions of service. Type of Appointment The appointment shall be on a whole time basis, or part-time by agreement, based on the needs of the service. Medical Examination Appointment to this post is subject to a satisfactory pre-employment health assessment with the Trust s Occupational Health service. Pension Membership of the Health Services Superannuation Scheme is voluntary. There is reciprocity between the Northern Ireland scheme and that in mainland Britain. Private Practice All private professional services and fee paying services that are not part of the Contract of Employment must be undertaken in accordance with Schedules 9, 10 and 11 of the Contract of Terms & Conditions of Service (NI) 2004. 7
Date on which post is available The appointee may take up post upon satisfactory completion of essential preemployment checks on and not before 01 August 2017. Visiting Candidates selected for interview are encouraged to contact Ms Joyce Shaw (Service Manager) to discuss the post and make arrangements to visit the relevant hospitals (Tel. No 07826867189). Travelling expenses (within the United Kingdom) incurred, in the process of attending for interview, will be reimbursed. Travelling expenses (within the United Kingdom) incurred, in the process of attending for interview, will be reimbursed. Canvassing Canvassing will disqualify. Any approach to a member of the Belfast HSC Trust or a member of any Committee or Panel of the hospital by or at the request of a candidate, will be treated as canvassing. Removal Expenses If eligible a fixed relocation grant may be available to assist with essential removal expenses, as outlined in the Trust s Re-Location and Associated Expenses Policy. The amount must be agreed in advance of incurring expenditure. Equality Employees of the Trust are required to comply with the Trust s Equality Scheme. A full copy of this scheme is available in the Human Resources Directorate, Employment Equality Team. Ionising Radiation Regulations The Ionising Radiation (Medical Exposure) Regulations (2000) require that any person clinically or physically directing a procedure which involves exposure to radiation should have appropriate training. This can be provided locally as necessary. Records Management All employees of Belfast Health & Social Care Trust are legally responsible for all records held, created or used as part of their business within the Belfast Health and Social Care Trust, including patient/client, corporate and administrative records whether paper based or electronic and also including e-mails. All such records are public records and are accessible to the general public, with limited exceptions, under the Freedom of Information Act 2000, the Environment Regulations 2004 and Data Protection Act 1998. Employees are required to be conversant with the Belfast Health and Social Care Trust policy and procedure on records management and to seek advice if in doubt. 8
Environmental Cleaning Strategy The Trusts Environmental Cleaning Strategy recognizes the key principle that Cleanliness matters is everyone s responsibility, not just the cleaners Whilst there are staff employed who are responsible for cleaning services, all Trust staff have a responsibility to ensure a clean, comfortable, safe environment for patients, clients, residents, visitors, staff and members of the general public. Infection Prevention and Control The Belfast Trust is committed to reducing Healthcare associated infections (HCAIs) and all staff have a part to play in making this happen. Staff must comply with all policies in relation to Infection Prevention and Control and with ongoing reduction strategies. Standard Infection Prevention and Control Precautions must be used at all times to ensure the safety of patients and staff. This includes:- Cleaning hands either with soap and water or a hand sanitiser at the appropriate times (WHO 5 moments ); Using the correct 7 step hand hygiene technique; Being bare below the elbows when in a clinical environment; Following Trust policies and the Regional Infection Control Manual (found on intranet); Wearing the correct Personal Protective Equipment (PPE); Ensuring correct handling and disposal of waste (including sharps) and laundry; Ensuring all medical devices (equipment) are decontaminated appropriately i.e., cleaned, disinfected and/or sterilised; Ensuring compliance with High Impact Interventions. Values The Belfast Trust aims to recruit staff not only with the right skills but also with the right values to ensure the delivery of excellent patient care and experience. Staff will be expected to be committed to provide safe, effective, compassionate and person centred care by:- Treating Everyone with Dignity and Respect Displaying Openness and Trust Being Accountable Being Leading Edge Maximising Learning and Development By embedding the above values we will make a significant contribution to the delivery of the Trust s Vision. Personal Public Involvement 9
Staff members are expected to involve patients, clients, carers and the wider community were relevant, in developing, planning and delivering our services in a meaningful and effective way, as part of the Trust s ongoing commitment to Personal Public Involvement (PPI). Please use the link below to access the PPI standards leaflet for further information. http://www.publichealth.hscni.net/sites/default/files/ppi_leaflet.pdf Clause: This job description is not meant to be definitive and may be amended to meet the changing needs of the Belfast Health and Social Care Trust. 10
JOB SPECIFICATION POST: LOCATION: Consultant in Rehabilitation Medicine Regional Acquired Brain Injury Unit, Musgrave Park Hospital ESSENTIAL CRITERIA 1. Hold Full Registration with the GMC and a Licence to Practise (must have both at time of appointment) 2. MRCP(UK), FRCS or MRCGP, or equivalent qualification 3. Entry on the GMC Specialist Register in Rehabilitation Medicine via: (i) (ii) (iii) CCT (proposed CCT date must be within 6 months of interview date), or CESR, or European Community Rights 4 All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues 5 Must have access to a means of transport to facilitate movement between sites 6 Eligibility to work in the UK as per UKBA Immigration Regulations DESIRABLE CRITERIA 1. At least two years of training in Neurological Rehabilitation are encouraged to apply. 2. Good interpersonal and communication skills, demonstrated by the presentation of original work, participation in discussions at Medical Conferences and experience in teaching post-graduates. 11
INDICATIVE CONSULTANT JOB PLAN NAME: JOB PLAN FOR PERIOD: Initial three months GMC: SPECIALTY: Rehabilitation Medicine CONTACT DETAILS: SERVICE GROUP: Trauma Orthopaedics and Rehabilitation 1. Whole time consultant in Rehabilitation Medicine for Belfast Health & Social Care Trust. WTE: 1.0 General Provisions and Accountability Arrangements 2. You will be expected to work with management and professional colleagues in the efficient running of clinical services and will share with consultant colleagues in the medical contribution to management. Subject to the provisions of the Terms and Conditions of Service, you are expected to observe the Trust's agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of the Trust. In particular, where you manage employees of the Trust, you will be expected to follow the local and national employment and personnel policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary. 3. All medical and dental staff employed by Health and Social Care Trusts are expected to comply with the governance and assurance framework of the Trust. 4. In accepting a consultant post in the Belfast Health & Social Care Trust you have agreed that you will have responsibility for the training and supervision of medical/dental students and junior medical/dental staff who work with you and you will devote time to this activity on a regular basis. You may also be required to teach multi-professional staff. 12
Job Plan Review 5 This job plan is subject to review at least once a year by you and the Clinical/Associate Medical Director before being approved by the Service Group Director. For this purpose, a copy of the current job plan, (and job description if appropriate), including an up-to-date work programme, objectives agreed at annual appraisal and any notes provided by either side - of any new or proposed service or other developments need to be available. In the case of a new employee a review of the job plan will take place 3 months after commencement and annually thereafter as above. 6. If it is not possible to agree a job plan, either initially or at an annual review there are agreed procedures for facilitation and appeal with the final decision normally being accepted by the Trust Board. 7. Where regional guidance on job planning is available it should be used to inform the process. 8. Job Purpose (including other NHS responsibilities as appropriate) Please set out the overall purpose and key functions of job To provide Rehabilitation Medicine services, rehabilitation within Belfast HSCT, and to other sites as may be needed on an ad hoc basis. 9. Objectives Please set out objectives under following subheadings, with details of how they are to be achieved. Objectives should cover direct clinical care (DCC), supporting professional activities (SPA), your personal development plan and other duties. Programmed activities (Pas) will be based on these objectives. An outline of activities against which PAs can be allocated and some general guidance is given in appendix 1 of this document. SPAs are divided between core and common SPAs. All consultants will receive 1.5 core SPAs for specified activities as outlined in appendix 1. Additional common SPAs will be by agreement between the consultant and his/her clinical manager and based on the objectives set out below. External duties will be considered outwith SPAs. Consultants can approach the Trust for discretionary leave. This must be with the agreement of the service group. The onus will be on the consultant to demonstrate how the impact of an external duty, on direct clinical care, can be minimized. 9.1 Service Developments/Objectives Outline service developments and key targets that you are committed to and will impact on your personal objectives and PAs. To assist in implementation of RABIIG priorities for inpatient care of persons with ABI 13
9.2 Personal Objectives Outline the objectives against which PAs will be allocated, both for direct clinical care and supporting professional activities. Also outline objectives with respect to other NHS duties/external duties for which there is agreement that the Trust will support you To manage inpatient and outpatient duties as indicated in weekly job plan To develop management skills, perform clinical audit and attend appropriate updates in brain injury management as per appraisal PDP. Under normal circumstances you will be expected to provide the following outpatient sessions: 2.5 Clinics per week within BHSCT (105 per year) You are allocated 1.5 core SPAs to include time for activities that will support relicensing and recertification and ensure the quality and safety of services. This time will be primarily for appraisal, job planning, audit, personal clinical management and CPD activities. Where this allocation not be fully utilized, it would be expected that the residual time will be used flexibly for SPA activity that occur on an ad hoc basis. This will be reviewed at annual appraisal. 9.3 Team Objectives To maintain and develop the Rehabilitation Medicine Service in cooperation with the multidisciplinary teams and management within the BHSCT and HPSSNI. This job plan outlines the number of DCC PAs that you would normally expect to perform on an annual basis. In so doing, the purpose is to clarify for you the Belfast Trusts expectation that you would attend these sessions. However, both parties recognise that it may not be possible for you to do so because of factors partly, or entirely, out with your control. In such circumstances the Trust may ask you to be flexible in trying to maintain the level of service and take on alternative sessions. Any alternative sessions that you undertake would be by mutual agreement and would as far as possible, not disrupt planned activities already outlined in your job plan. The Trust also undertakes to provide reasonable notice of such sessions. Failure to fulfil this commitment due to factors outside your control would not result in any penalty to you; specifically, it would not be grounds for preventing pay progression. 10. Education and teaching responsibilities All consultants in the Belfast Trust are expected to undertake service based teaching as part of their direct clinical care activities. Additional teaching activities may be agreed as part of SPAs. Consultants may incorporate this within core SPA activity by mutual agreement, but where additional responsibilities are agreed that cannot be accommodated in core SPA, they should be timetabled in common SPA time. 14
Please provide detail of agreed undergraduate, postgraduate and multidisciplinary teaching activities: Neurorehab round coordination and occasional teaching. Induction programme teaching currently twice per year. 3 rd year medical student SSCs teaching, coordination and feedback to Deanery. (There are currently 2 students accepted per 3 week programme. Programme occurs twice yearly.) Ad-hoc, as requested multidisciplinary teaching. 11. Research Research time will generally only be allocated within SPAs where there is an external funding stream to cover the costs and where trust governance procedures have been fully complied with. 12. Resources and Support required to meet job plan 12.1 Staffing Support-MDT, secretary, NCG medical staffing. 12.2 Any other required resources Programmed Activities 13.1 The table below gives a breakdown of the total agreed PA s on average per week and the agreed annualized PAs to due the nature of certain elements within the job plan. Programmed Activity Number of PA s per week Direct Clinical Care 8.25 Supporting Professional Activities -Core SPAs Common SPAs Total SPAs 1.75 University (joint appointments) Total PAs 10.00 1.5 to include: 1.25 Appraisal, audit, job planning and CPD. 0.25 0.25 mandatory training 0.25 to include Additional teaching responsibility 3 rd and 4 th year undergraduate students Number of PAs annualised 15
13.2 External duties/other NHS responsibilities Please insert duties/responsibilities as agreed with your clinical director/associate medical director. The following indicates all your regular weekly commitments as agreed. It does not include activities that occur on an ad hoc basis. Ad hoc ward attendance to ensure continuity of care of patients and clinical administration time is included in your Direct Patient Care PA s. The timetable does not include external duties unless timetabled in SPAs. Day Time Work Activity Location PAs DCC Monday 0900-1100 Ward round RABIU 0.5 1100-1300 SPA RABIU 0.5 1300-1330 Lunch 1330-1700 Outpatient clinic RVH 1.0 Tuesday 0900-1130 RABIU 1.0 Interdisciplinary team meeting 1130-1230 Admissions meeting RABIU 1230-1300 Lunch RABIU 1300-1700 CASBAH RABIU 1.0 clinic/consults Wednesday 0900-1300 RVH consults RVH 1.0 1300-1330 Lunch 1330-1700 SPA/teaching RABIU 1.0 Thursday 0900-1230 Combined ward round and complex case review Family meetings RABIU 1.0 PAs SPA Comments (EG Agreed/Cancelled following weekend oncall) 1230-1300 lunch Alternate weeks 1300-1530 Consults/Admin BHSCT/ 0.625 other Friday 0900-1230 RABIU OP clinic RABIU 1.0 1230-1300 Lunch 1230-1630 0.75 Ward Round/Admin RABIU 0.75 and 0.25 SPA 0.25 On call rota 1:5 with fellow rehabilitation consultant colleagues PA allocation 0.375 Flexible to facilitate teaching commitments Total PAs: 8.25 1.75 10.00 16
Emergency Work This section includes all of your prospective emergency on-call work and the agreed availability for on-call. Type Day/Time Location Allocated PA s Predictable emergency on-call work Unpredictable emergency on-call work Saturday am MPH 0.375 On-call period On-site, at home on telephone and traveling to and from site Agreed on-call rota 1.5 Agreed category A On-call supplement 5% Statement of availability As your agreed availability is category A when on-call you need to be available to be within 30 minutes travel time of the Trust to which you are on-call to. 16. Private Practice and Fee Paying Services TBC 17. Programmed Activities The above timetable represents a job plan totaling 10 PA s per week for the period.. This includes 0 PA s above the normal expected commitment above 10 PA s. 17
18. Agreement (to be completed and forwarded to Medical Director s Office) Signed: Signed: Consultant:. Clinical Director/ Associate Medical Director:. Date:.. Date:. Signed: Signed: Service Group Director:. Head of School:. Date:.. Date:. (for joint appointments) 18
APPENDIX 1 PROGRAMMED ACTIVITES Programmed activities (PAs) are linked in the job plan to each consultant s service, personal and where appropriate, team objectives. They are categorised as direct clinical care (DCC) and supporting professional activities (SPAs). For the purposes of job planning within the Belfast Trust the following guiding principles will be applied to ensure consistency across our service groups and sites. DIRECT CLINICAL CARE (DCC) DCC covers:- Emergency attendance Out-patient or other clinic Operating session (including anesthetics) Ward round Other patient treatment or relative consultation Telephone advice to hospital Multidisciplinary meetings about direct clinical care Investigative, diagnostic or laboratory work Public health duties Travelling time between sites, not to usual place of work Patient administration Service Linked teaching (eg during ward rounds) Clinics and operating sessions Clinical supervision SUPPORTING PROFESSIONAL ACTIVITIES (SPA) Core SPA - All consultants will be allocated 1.5 SPAs. Core SPA includes time for activities that will support re-licensing and recertification and ensure the quality and safety of services. These activities include: Appraisal Job Planning Audit (attendance at audit meetings and general audit activity) CPD Core SPA also includes 2 hours (0.5 PA) to be used flexibly. The consultant and medical manager should agree appropriate use of this time, based on the consultant s objectives, development needs and responsibilities. This needs to be defined and justified within the job plan. Appendix 1 continued 19
Common SPA To be agreed on basis of both Trust and consultant s requirements. Common SPA may include:- Clinical management (not directly affecting patient care) Service maintenance and development Teaching responsibilities or specified roles Undertaking specific audit projects and / or audit responsibilities or lead roles/activities associated with clinical and social care governance. Other trust duties Postgraduate training and supervisory responsibilities Research External duties (if small in quantity) may be accommodated in SPA time. If external duties are more substantial, either separate PA allocation or special leave should be used. Research time will only be allocated within SPAs where there is an external funding stream to cover the costs and where trust governance procedures have been fully complied with. The trust will expect that joint appointments meet their undergraduate teaching responsibilities from within their university time. Discretionary leave will be considered for external duties, and must be agreed in advance with the clinical manager. The consultant and the Trust should be flexible in order to minimise the impact of any external duty on DCC if possible. There is an obligation on all parties to ensure that the time required to undertake external duties is fairly allocated between consultants. 20