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STR LOCUM APPOINTMENT FOR TRAINING (LAT)/CLINICAL FELLOW PAEDIATRIC SURGERY ROYAL HOSPITAL FOR CHILDREN, GLASGOW INFORMATION PACK REF: 44361D CLOSING DATE: 4TH NOVEMBER 2016 www.nhsggc.org.uk/medicaljobs SUMMARY INFORMATION RELATING TO THIS POSITION POST: STR LOCUM APPOINTMENT FOR TRAINING (LAT)/CLINICAL FELLOW PAEDIATRIC SURGERY BASE: ROYAL HOSPITAL FOR CHILDREN, GLASGOW Applications are invited for the above post in Paediatric Surgery commencing from as soon as possible for a period of 6 months with the possibility of extension. Applicants must have completed 2 years foundation training or equivalent, have completed core surgical training in posts approved by the Royal Colleges of Surgeons in the UK, Ireland (or equivalent) and possess MRCS/FRCS/AFRCS (or equivalent). Applicants should be able to demonstrate competencies appropriate to their experience. It is desirable to have additional experience in a general or paediatric surgical post(or equivalent) or in a neonatal medicine or paediatric intensive care post. This post will not lead to a CCT in the specialty, but time spent in this post may be recognised by the SAC in Paediatric Surgery on subsequent appointment to a recognised run-through training post in the specialty. This post holds educational approval from the Postgraduate Dean. If appointed as aClinical Fellow the post will not be recognised for training. To practice medicine in the UK you need to hold both GMC registration and a licence to practice. Applicants will be expected to provide evidence of their competence to communicate in English. Informal enquiries should be made to Mr. Martyn Flett, telephone Secretary on 0141451 6530 NHS EDUCATION FOR SCOTLAND – WEST OF SCOTLAND REGION StR LOCUM APPOINTMENT FOR TRAINING (LAT) /CLINICAL FELLOW) IN PAEDIATRIC SURGERY Job Description REF: 44361D 1. INTRODUCTION The post will be appointed a StR Locum Appointment for Training or clinical fellow as appropriate to the successful applicant. The post forms part of the West of Scotland Training Programme in Paediatric Surgery and has training approval from the Royal Colleges of Surgeons and PMETB and as such will conform to the formal training guidelines laid out in the Royal College and PMETB documents. During training the trainee will be allocated a supervisor. Performance assessment and feedback will be on a regular basis throughout the post as laid out by the SAC/PMETB for contemporary specialist trainees. Summative assessment is conducted annually and is based on in-house training assessment criteria and the West of Scotland Postgraduate Committee (ARCP). Engagement with the ISCP and other assessment tools will be expected. The training programme is supervised by the Regional Postgraduate Training Committee in Paediatric Surgery on which there are representatives of the Training Hospitals, University and Junior Staff. Individual trainees are required to sign a training programme agreement and a learning agreement with their assigned educational supervisor shortly after taking up post. Study leave conforms to the terms and conditions of service for the Specialty Registrar grade. The post provides 6 months of training in Paediatric Surgery with the likelihood of extension for further if period by mutual agreement Training will be supervised by the Sub-Committee in Paediatric Surgery of the West of Scotland Postgraduate Medical Education Board. This StR (LAT)/ Clinical Fellow post is based solely at the Royal Hospital for Children, Glasgow. An overview of children’s services in the region is included as an appendix for information. A summary of the personal specification is also attached as Appendix 2. 2 ENTRY REQUIREMENTS The Trainee will be appointed by a Committee established by the Women & Children’s Directorate of NHS Greater Glasgow. Applicants must have completed 2 years foundation training or equivalent, have completed core surgical training in posts approved by the Royal Colleges of Surgeons in the UK, Ireland (or equivalent) and possess MRCS/FRCS/AFRCS (or equivalent). Applicants should be able to demonstrate competencies appropriate to there experience. It is desirable to have an additional 1 year or more in a general or paediatric surgical post, or equivalent, and have 6 months experience in neonatal medicine. Applicants will be expected to provide evidence of their competence to communicate in English. Appointment will be subject to satisfactory occupational health and Enhanced Disclosure Scotland (through the PVG scheme) clearance This post will not lead to a CCT in the specialty, but time spent in this post may be recognised by the SAC in Paediatric Surgery on subsequent appointment to a recognised run-through training post in the specialty. 3 DUTIES OF THE POST (i) Training The Trainee must make full use of the training opportunities provided in this placement. (ii) Clinical Clinical Duties will involve working as a member of a surgical team looking after the in-patients, out-patients and day-patients of the relevant Consultant staff, operating and supervising the work of junior colleagues (iii) Administration The Trainee will be expected, when appropriate, to participate in the day to day running of the department in administrative activities such as organisation of rotas, organisation of undergraduate training, patient reports and letters. The Trainee will have the opportunity to develop management skills as required by the College. (iv) Communication This will include: Discussion with Consultants regarding clinical problems. Communication with General Practitioners - including telephone discussion of problems and writing of letters about cases seen in the Department. Liaison with Specialists in other hospitals/agencies, such as district nurses, ambulance, police etc. (v) Rota The trainee will participate in the on call system. The rota remains under regular review as the out of hours commitments are significant. In respect of this Duties and commitments change and the rota may be subject to revision. 4 EDUCATION (i) Continuing Education Management development is encouraged and the Trainee will be expected to attend appropriate courses. (ii) Teaching This post has a commitment to the teaching of undergraduate medical students during university term time. The registrar is also expected to take an active part in the postgraduate educational programme of the hospital and the Directorate; this includes regular weekly audit and clinical meetings, radiology, pathology, oncology, renal, nutrition team, foetal medicine meetings and a journal club. The Royal Hospital for Children has a full educational calendar throughout the year and includes weekly Grand Rounds, departmental meetings and guest lectures/seminars. The hospital has access to library and computing facilities based in the University Teaching and learning centre, on the same campus. (iii) Library Facilities Departmentalsurgical textbooks are held in the Surgical hub and other texts may be found in individual units. Other Library facilities are in the University Teaching and learning centre as noted above. (iv) Postgraduate Medical Education Courses available in the locality The co-located adult and maternity hospitals have active educational programmes that are open to all staff. There are additional facilities and lecture series in the Teaching and learning centre. Lectures in the Royal College of Physicians and Surgeons of Glasgow, the University of Glasgow, the University of Strathclyde and Western Postgraduate Centre (Lancaster Place) take place on a regular basis. Special Courses and Seminars are arranged from time to time. Formal in-post training is arranged by the Surgical Directorate, the Postgraduate Tutor and by the Yorkhill Medical Staff Association. Attendance at PALS and ATLS courses is encouraged. 5 RESEARCH AND AUDIT (i) Research There is a strong tradition of research in the West of Scotland. Facilities and support for research activities are available through the University academic department and within hospital departments. The trainee will be encouraged to participate in clinical research and time will be allocated consistent with current Terms & Conditions. (ii) Audit Audit is an essential component of Paediatric Surgery practice and the Trainee will be required to participate in local and national audit activities. 6 LOCATION OF DUTIES Duties are entirely within the site of the Royal Hospital for Children, Yorkhill. 7 ASSESSMENT (i) (ii) (iii) 8 The Trainee will be continuously assessed by the trainers in their place of work with formal interviews as required by the training programme. Competency based assessment schemes (work based assessment tools) are currently in use complying with the SAC and PMETB requirements. If in the opinion of the Training and Assessment Committee, the Trainee fails to show adequate commitment or progress, career guidance will be arranged, and exceptionally, in the absence of satisfactory progress, the committee may recommend that the contract be terminated. Trainees are required to keep a logbook following the requirements laid down by the Royal Colleges of Surgeons. GENERAL INFORMATION The hours of duty will be the standard working week of 40 hours for which a standard salary (as detailed in paragraph 8b, Appendix 1 of the Terms and Conditions of Service, appended under general information) will be paid. From December 1st 2000, a new system for calculating Junior Doctor's out of hours pay was introduced, the 'Banded Intensity Contract'. The standard hours of duty will remain 40 hours per week and in addition a supplement will be paid. The banding for the hospitals on the rotation will be confirmed on appointment. Please note that reflecting ongoing monitoring exercises the current Banding may be subject to change. An offer of Employment may not reflect the current Banding. Further Information For further information on the training programme, please contact: Mr. Martyn Flett, West of Scotland trainer for Paediatric Surgery, (Telephone: 0141 451 6530 - Secretary) Appendix 1 Overview Hospital Paediatric and Neonatal Services across NHS Greater Glasgow and Clyde The majority of acute children’s services in NHS Greater Glasgow and Clyde are provided from the Royal Hospital for Children (RHC). A paediatric ward and neonatal unit in the Royal Alexandria Hospital supports acute non-surgical care for children and young people and neonates in the Clyde catchment area of the NHS Board. Neonatal intensive care is provided at the Southern General Maternity Hospital, Princess Royal Maternity and Royal Alexandria Hospital. The RHC is based within the South Glasgow Hospitals campus with the Queen Elizabeth University Hospital (including Maternity services) in Govan. The Royal Hospital for Children RHC which opened on 10th June 2015 is the largest paediatric teaching hospital in Scotland. It provides care for children resident within the Greater Glasgow area and acts as a tertiary referral centre for children from the West of Scotland and beyond in a range of subspecialties including invasive paediatric cardiac, nephrology and renal transplantation services. All paediatric medical and surgical subspecialties are provided, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology (bone marrow transplant service), neurology, neurosurgery, craniofacial and maxillofacial surgery, nephrology, cardiology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, rheumatology and orthopaedics, general paediatric and neonatal surgery, paediatric urology and renal transplant surgery. The children’s hospital features 244 paediatric beds with a further 12 neonatal beds in the maternity unit next door. The vast majority of the paediatric beds are in single rooms with space for overnight accommodation for parents. The hospital also features a cinema - the Medicinema, Science Centre interactive activity walls (funded by the Yorkhill Children’s Charity), indoor and outdoor play areas and a roof garden. There are 9 full operating theatres including a dental and endoscopy suit. Four of these theatres are fully integrated for minimally invasive work, a number have laminar flow air hoods for ultra clean surgery and the neurosurgical theatre is equipped for stereotactic surgery. Adjacent to the theatre complex is a day surgery and 23 hour unit supported by a pre-assessment team. The paediatric radiology department has a full suite of state of the art scanners, nuclear medicine department and 2 interventional theatres with mono and biplanar screening. There are also cardiac & respiratory physiology departments on site. National services provided from RHSC include: Cardiac Surgery and interventional cardiology Neonatal cardiology Neonatal ENT ECLS Congenital Diaphragmatic Hernia network, Vein of Galen assessment and treatment (together with Great Ormond Street as a UK service) Paediatric Renal transplantation Paediatric Stem Cell transplantation Large outpatient, medical day care, medical assessment unit and emergency department On site paediatric and neonatal transport/retrieval services A pan Greater Glasgow Child Protection Unit has been developed on site Paediatric and Family Psychiatry Laboratory services to the RHC are provided from the South Glasgow Hospitals campus. RHC provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow and accommodates the University Departments of Child Health, Child and Family Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Surgical Paediatrics. Southern General Maternity At the start of 2010 the new neonatal unit opened above the labour ward on the Southern General site with projected delivery numbers for the hospital of 5,900 births per year. Because the Ian Donald Fetal Medicine unit is on the same site, a significant proportion of the neonatal workload involves delivery of infants with known congenital anomalies. Being co-located with the RHC allows support direct integration between the paediatric surgical and other specialist teams and fetal medicine and neonatal care. There is physical space for 34 intensive care and high dependency cots and 26 special care cots. Princess Royal Maternity (PRM) The PRM is a large maternity unit, situated about 1 mile east of the centre of Glasgow. It is on the campus of Glasgow Royal Infirmary, which provides services for the population of the East and North of Glasgow. It is a purpose built 120 bed maternity hospital, with a capacity for 6,800 deliveries per annum. There are 10 intensive care cots, 23 special care cots and a four bed transitional care unit. All neonatal intensive care can be provided except for those infants who require neonatal surgery and/or extra-corporeal life support services (ECMO). A telemedicine link with the Royal Hospital for Children has been long established allowing live consultation and the transmission of ultrasound images. The University Chair of Obstetrics and Maternal Medicine is based on site and there is an active research philosophy in the unit. Golden Jubilee National Hospital (GJNH) The GJNH is located 8 miles west of the city centre along the river Clyde. It contains the West of Scotland Cardiac Centre which provides cardiac surgery and interventional cardiac services to the population of the West of Scotland. It also has some designated National services including the Scottish Adult Congenital Cardiac Service, Scottish Pulmonary Vascular Unit and Scottish Advanced Heart Failure Service. The adult congenital unit performs over 200 adult congenital operations and catheter interventions per year and is closely integrated with the paediatric congenital cardiac service. Section 2 Management Structures Greater Glasgow and Clyde NHS Board have a single operating division for all acute services. Diagram (1) highlights the local management structure underpinning operational service delivery. Diagram 1 – management structure Reports to Chief Executive of the overall NHS Board Chief Operating Officer Acute Division Directors (Adult Services) * 7 Functional Heads Associate Medical Director, Head of Nursing, Head of Midwifery, Head of Finance, Head of Human Resources, Director Women and Children’s Directorate General Manager – Hospital Paediatrics & Neonatology Planning Manager General Manager – Obstetrics & Gynaecology Clinical Services Managers * 2 Clinical Directors * 4 Acute General Paediatrics Neonatal Critical Care Lead Clinician Cardiac Services Lead Nurses * 4 Anaesthesia and Surgery Medical Sub Specialties Business and Planning Support Key Stakeholders (within Diagram 1): Robert Calderwood Board Kevin Hill Alan Mathers Directorate Jamie Redfern Services Morag Campbell (including cardiac services) Pam Cupples Heather Dawes Lynne Robertson Chief Executive; Greater Glasgow and Clyde NHS Director Women and Children’s Directorate Chief of Medicine for the Women & Children’s General Manager; Hospital Paediatrics & Neonatal Clinical Director Critical Care and Neonatology Clinical Director, Surgery & Anaesthesia Clinical Services Manager including Cardiac Services Clinical Services Manager Appendix 2 Person specification Essential Qualifications Experience Research & audit Teaching Personal Other MBChB or equivalent MRCS/AFRCS/FRCS or equivalent Current APLS or ATLS certificate Evidence of completed Foundation and Core surgical training. Demonstration of skills and knowledge appropriate to level of experience. Track record of presentation at national meetings and publications in parent specialty Evidence of active participation in personal and departmental audit in parent specialty Interest in teaching and sharing skills with co-workers Experience in undergraduate teaching Good communication and interpersonal skills Initiative and leadership skills Organisational and administrative skills Commitment to team-working Professional manner and dress Good time keeping and a responsible attitude GMC registration Enhanced disclosure from Disclosure Scotland Commitment to working in Scotland Desirable UK Intercollegiate Board Examination in Paediatric Surgery (FRCS Paeds) Have experience in paediatric and neonatal surgery at ST or equivalent level Neonatal or paediatric intensive care experience. Experience of research Higher degree Qualification in ‘teaching the teacher’ or equivalent Valid UK driver’s licence 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 Fixed Term GRADE AND SALARY StR LAT/Clinical Fellow - If appointed as an StR (Locum Appointment for Training) the salary range will be: £30,911 to £48,605 per annum (pro rata) - If appointed as a Clinical Fellow the salary range will be: £30,911 to £40,896 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. HOURS OF DUTY Full Time 40.00 SUPERANNUATION 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: www.sppa.gov.uk REMOVAL EXPENSES Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment. EXPENSES OF CANDIDATES FOR APPOINTMENT Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses. Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment. TOBACCO POLICY NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds. DISCLOSURE SCOTLAND CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK 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 it’s employees, both EEA and non EEA nationals, 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. 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 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. GENERAL 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. EQUAL OPPORTUNITIES The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy. NOTICE The employment is subject to one months’ notice on either side, subject to appeal against dismissal. MEDICAL NEGLIGENCE 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. FURTHER INFORMATION For further information on NHS Greater Glasgow and Clyde, please visit our website on www.nhsggc.org.uk View all our vacancies at: www.nhsggc.org.uk/medicaljobs Register for Job Alerts at: www.medicaljobs.scot.nhs.uk Applicants wishing further information about the post are invited to contact Mr Martyn Flett on 0141 451 6530 with whom visiting arrangements can also be made. HOW TO APPLY To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open) Medical and Dental Application and Equal Opportunities Monitoring Form Declaration Form Regarding Fitness to Practice Immigration Questionnaire Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information. NOMINATION OF REFEREES It is Board policy that no person can act as a member of an Advisory Appointments Committee and be a referee for a candidate for that post. You should therefore check with your proposed referees whether there is likely to be any difficulty in this respect for we may otherwise have to invite you to submit another name or names RETURN OF APPLICATIONS Please return your application by email to [email protected] or to the recruitment address below; Medical and Dental Recruitment Team NHS Greater Glasgow and Clyde West Glasgow ACH (formerly Yorkhill) 2nd Floor Dalnair Street, Yorkhill, G3 8SJ CLOSING DATE The closing Date will be 4th November 2016