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INFORMATION PACK FOR THE POST OF CONSULTANT IN RESTORATIVE DENTISTRY 3.0 Programmed Activities (2.5 PA + 0.5 SPA) MD/309/11 JOB DESCRIPTION CONSULTANT IN RESTORATIVE DENTISTRY Summary This post will compliment our team of 2.0 Consultant Maxillofacial Surgeons and 2.0 Consultant Orthodontists within NHS Ayrshire and Arran. NHS Ayrshire and Arran comprises two principle District General Hospitals; Crosshouse Hospital in Kilmarnock and The Ayr Hospital. The Consultant in Restorative Dentistry will be an independent part of the Head and Neck Directorate, with maxillofacial, orthodontic and ENT services. The directorate is part of the Planned Care team within NHS Ayrshire and Arran. The post will share the facilities of the Maxillofacial and Orthodontic Unit at Crosshouse Hospital, the main base for maxillofacial and orthodontic services, and where inpatient, day case and outpatient treatment is provided. Crosshouse Hospital (539 beds - base population 225,000) was opened in 1982 and has been expanded and upgraded regularly since then. It stands on a greenfield site just outside Kilmarnock and has excellent trunk road access and free car parking. There is also easy access to rail and air services. It provides local services in all major specialities as well as area services for Ayrshire in Laboratory Medicine, Renal Medicine, Infectious Diseases, Dermatology, ENT (including the Scottish National Cochlear Implant Centre), Maxillofacial Surgery (with laboratory), Orthodontics, Gynaecology and the South West Scotland Breast Screening Unit. Maternity services also moved into a new-build unit on the Crosshouse site in August 2006. 2 The Scope of the Service An oral and maxillofacial surgery service and an orthodontic service have been provided in Ayrshire and Arran since 1974 and 1991 respectively. Both services have two consultants. This post was initially introduced in NHS Ayrshire and Arran in 2005 with the purpose of providing a Restorative Dentistry Consultant service for rehabilitation of patients with acquired or developmental maxillofacial and dental defects. NHS Ayrshire and Arran is responsible for providing an area wide oral health service for more than 368,000 people living within the Ayrshire and Arran area covering the following local authority areas. Local Authority Population North Ayrshire East Ayrshire South Ayrshire 135,817 120,235 112,097 TOTAL 368,149 Regional discussions are ongoing in relation to the possible centralisation of some inpatient service from Crosshouse Hospital to the Southern General Hospital. However, it is envisaged that only the inpatient service will move and the majority of out patient and day case treatments carried out in Ayrshire will continue to be carried out in the day surgery unit The Maxillofacial and Orthodontic Unit at Crosshouse Hospital has been expanded and contains 6 dental surgeries and two consulting rooms. The new department was opened in 2001. Ayr Hospital has outpatient services and facilities for outpatient treatments, though Restorative sessions are not planned at The Ayr Hospital at present. Both hospitals have Accident and Emergency departments which are due for further expansion over the next few years as part of the NHS Ayrshire and Arran Building for Better Care project. 3 The staffing of the Head and Neck Directorate is as follows: Consultant Staff Mr Stuart Hislop Mr Roger Currie Crosshouse Hospital Crosshouse Hospital Maxillofacial Maxillofacial Dr Richard Pilley Mr David Morrant Crosshouse Hospital Crosshouse Hospital Orthodontics Orthodontics Mr John Dempster Miss Mary Shanks Mr Peter Wardrop Mr Andrew Murray Mr Andrew Whymark Crosshouse Hospital Crosshouse Hospital Crosshouse Hospital Crosshouse Hospital Crosshouse Hospital ENT ENT ENT ENT (Clinical Director) ENT Vacancy post) Crosshouse Hospital Restorative Dentist (this Crosshouse Hospital Crosshouse Hospital Orthodontics Maxillofacial Associate Specialist Mrs Anne Pilley Ms Fiona MacKenzie Staff Grade/Specialty Doctor Dr Ainsley Ness Dr Julie Cross Crosshouse Hospital Crosshouse Hospital Maxillofacial Maxillofacial The departments are supported by training grade doctors. Annual Workload: Maxillo Facial Department ENT Department Orthodontics Elective Inpatient Admissions 2009/10 445 1088 n/a Daycase Admissions 2009/10 600 New Outpatient Appointments 2009/10 2484 Review Outpatient Appointments 2009/10 4617 683 n/a 7910 908 8896 9482 The Directorate is committed to working towards the various national targets for maximum waiting times. 4 The scope of the service with reference to Restorative dentistry within Ayrshire is: Maxillofacial Services: 1 Head and Neck Oncology and Reconstructive Surgery. The department has undergone sub-specialisation. Mr Hislop is responsible for head and neck oncology and reconstruction service. Mr Dempster & Mr Murray provide the Otolaryngology input. There is cross referral and joint operating. The Restorative Consultant would be expected to take part in Head and Neck Clinics on a monthly basis and provide Specialist Restorative Dental input into the multidisciplinary management of these patients. Implantology is available for the rehabilitation of both oncology patients and those with congenital or acquired facial deformities. 2 Orthognathic surgery. A multi disciplinary team treats patients with facial deformity, both acquired and congenital. The contribution of a Restorative Consultant would be an advantage to both surgeons and orthodontists. 3 Trauma. Hard tissue trauma of the face, and jaws may require the occasional input of a Restorative Consultant 4 Cleft Lip and Palate A Cleft surgeon undertakes the primary repair at Yorkhill Children’s Hospital, Glasgow. There is however a clinic held in Ayr and there is the opportunity for future secondary and tertiary work including orthognathic surgery and oral rehabilitation to be carried out in Ayrshire. 5 Dento alveolar surgery. This constitutes a major part of the work carried out by the unit, which is mainly dealt with by the specialty doctors and surgical trainees under Consultant supervision. Occasionally the Restorative Consultant may be required to give advice in relation to proposed treatment plans. Orthodontic Services: 1. Hypodontia A number of orthodontic patients undergoing routine orthodontic treatment require advice / treatment for small or missing teeth. Some patients have more extensive hypodontia requiring long term planning for implants 2. Cleft Lip and Palate Orthodontic treatment is provided for these patients within the National Managed Clinical Network for Cleft Lip and Palate (CLEFTSiS) and may require post orthodontic restorative treatment. 5 Facilities Supporting Maxillofacial and Orthodontic Services at Crosshouse Hospital The Maxillofacial and Orthodontic teams share a suite for out-patient work at Crosshouse Hospital. There are also office accommodation and junior staff rooms in the unit. Nursing support is available to the Restorative Consultant. The Consultant would have office accommodation and access to a medical secretary. There are two secretaries for the Maxillofacial Unit along with two part-time typists. The Orthodontic unit also has two secretaries. Crosshouse also has a full supporting diagnostic facility including a spiral CT scanner with 3D reconstruction and a new MRI scanner. There are also new CT and MRI scanners at Ayr Hospital. There is a fully equipped oral and facial laboratory staffed by five technicians, one of who has a prosthetic training and two of who have training in Oral and Maxillofacial Prosthetics. Both intraoral and craniofacial prostheses are made at Crosshouse Hospital. Education: The organisation is very fortunate to have the Alexander Fleming Education Centre. This is conveniently sited in the centre of the Hospital, and has a well stocked library with good electronic facilities, a lecture theatre with state-of-the-art equipment and meeting rooms. These facilities are currently being extended. The Directorate is fully involved in the teaching of Glasgow University undergraduates and the postholder will have the opportunity to contribute to both undergraduate and postgraduate teaching programmes. 6 1. The Post Consultant in Restorative Dentistry for NHS Ayrshire & Arran based primarily at Crosshouse Hospital. 2. Proposed Weekly Timetable: Each Consultant will require to agree a job plan with the Associate Medical Director/Clinical Director. This will be reviewed on an annual basis or more frequently and revised as necessary to meet local, regional and national clinical priorities. Through the West of Scotland Regional Planning Group a programme of work is underway to redesign Restorative Dentistry provision across the West of Scotland and NHS Ayrshire & Arran is participating fully in this work. Implementation of the redesign is likely to impact on this post. It is expected that the postholder’s activities and the location of these activities may change with greater contribution to regional working. Any change would be taken forward through consultation and job planning. The Consultant in Restorative Dentistry will have the following weekly commitment : No. Programmed Activities 2.5 P.As direct clinical care inc. associated administration No. Supporting Professional Activities (SPAs) - 0.5 S.P.As Work Timetable Description OP Tues a.m. New Patient Clinic Tues p.m. Review Patient Clinic / Treatment* Any Other New/Re Day/time view (to be Clinic / negotiate SPA d) TOTAL Direct Clinical Care (hours) Admin Total Teaching Job plan, CPD Audit / Total revalidation Research 3 1 4 0 3 1 4 0 2 2 10 0.50 0.50 1.0 2 2 * This will be replaced by Head and Neck Implant Clinic once per month, and occasionally with an orthodontic clinic on an ad hoc basis. Also ad hoc theatre attendance may be required. 7 3. Duties and Responsibilities The main duties and responsibilities of the post include: 4. i. Provision of restorative dentistry service including specialist treatment for patients requiring Maxillofacial oncology rehabilitation and for those with craniofacial and developmental problems within the context of the Multidisciplinary Team. ii. The postholder will also be responsible for planning rehabilitation for patients undergoing major head and neck surgery and those with developmental problems, which may be treated by both Surgical and Orthodontic colleagues. This will be facilitated through the monthly Head and Neck clinics and monthly Implant clinics. Combined orthodontic clinics will be held as required. The postholder will provide the advanced restorative treatment required by these patients. iii. Contribute to the professional supervision of Junior Medical Staff. iv. Participate in the development of a restorative services network in NHS Ayrshire and Arran. v. Responsibilities for carrying out teaching, accreditation and examination duties as required, and for contributing to undergraduate and postgraduate medical education. The postholder will be expected to comply with College recommendations on Continuing Medical Education. vi. The postholder will be required to comply with NHS Ayrshire and Arran Policies on Clinical Governance. vii. Responsibilities which relate to a special interest where agreed by NHS Ayrshire and Arran viii. Requirements to participate in medical audit and in continuing medical education. ix. Involvement in research where approved by NHS Ayrshire and Arran. ix. Work on behalf of NHS Ayrshire and Arran, such as domiciliary consultations or services provided for other agencies, where appropriate and agreed. General Provisions The post is within the Head and Neck Directorate and the postholder will be accountable to the Clinical Director who will agree the Job Plan. He/she will be expected to work with local managers and professional colleagues in the efficient running of services and will share with Consultant colleagues in the medical contribution to management. Subject to the provisions of the Terms and Conditions of Service, he/she is expected to observe NHS 8 Ayrshire and Arran’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 NHS Ayrshire and Arran. In particular, where he/she formally manages employees of NHS Ayrshire and Arran, the postholder will be expected to follow the Local and National Employment and Personnel Policies and Procedures. He/she will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of patients to be able to make contact with the postholder when necessary. 9 5. Health and Safety The postholder is required to comply with NHS Ayrshire and Arran Health and Safety Policies. 6. Resources The medical staff resources of the Head and Neck Directorate are listed elsewhere. Medical staff in the Head and Neck Directorate are supported by a wide multidiscplinary team including ward and outpatient nursing staff, dental nurses, a part time dental hygienist, a team of maxillofacial prosthetists among other general hospital staff. The Head and Neck inpatient services are provided from one inpatient ward with 29 beds. In addition there is access to a 5 bedded Intensive Care Unit. The postholder will have access to such general administrative support as is required for the discharge of his/her duties and responsibilities. This will include the provision of adequate secretarial and clerical support and the availability of accommodation, equipment etc. The postholder will receive support from such other professional staff as are employed within NHS Ayrshire and Arran and are deployed to his/her area of patient care. 7. Annual Appraisal The successful candidate will also be required to participate in annual appraisal. Objectives agreed following the appraisal process will be discussed and taken account of during the annual job plan review. 8. Terms and Conditions of Service: Are those determined by the Terms and Conditions of the New Consultant Grade (Scotland) as amended from time to time. The distance that a consultant can reside from the hospital, where travel time is seen as more important than mileage, is subject to the agreement of the Associate Medical Director. Further Information and Visiting: Applicants wishing further information about the post are invited to contact Mr Roger Currie, Consultant Oral and Maxillofacial Surgeon with whom visiting arrangements can also be made. Candidates may also wish to meet Mr Andrew Murray, Clinical Director, Head and Neck Directorate. The last date for application is 19th November 2011. Interview date has been scheduled for the afternoon of 9th December 2011. 10 PERSONAL SPECIFICATION POST OF LOCATION : CONSULTANT in RESTORATIVE DENTISTRY : NHS AYRSHIRE AND ARRAN (based at Crosshouse Hospital) QUALIFICATIONS: ESSENTIAL DESIRABLE Full GDC Registration Completed Specialist Training in Restorative Dentistry or be within six months of gaining CCT and be eligible for the Specialist register. SKILLS/KNOWLEDGE/COMPETENCE REQUIREMENTS ESSENTIAL General Experience: DESIRABLE Experience in Restorative Dentistry of maxillofacial oncology and / or craniofacial development problems Ability to communicate effectively with all levels of staff and patients Ability to work efficiently and timeously IT literacy Team Working Effective Team Player Development Experience of appraisal, assessment and personal development planning Teaching & Training Proven ability to deliver high quality teaching 11 Research & Publications Clinical Audit Management and Administration Personal and Interpersonal Skills Evidence of completed audit projects with measurable outcomes Ability to lead a clinical team Management experience Understanding of resource management and quality assurance. Proven organisational skills Effective communicator and negotiator Demonstrate effective leadership 12 Evidence of publications of a high standard relating to specialty Knowledge of recent changes in the NHS in Scotland A willingness to accept flexibility to meet the changing needs of the NHS in Scotland