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Sheffield Teaching Hospitals NHS Foundation Trust CONSULTANT ANAESTHETIST JOB DESCRIPTION POST: Consultant Post in Neuro Anaesthesia AREA: Directorate of Anaesthesia, Critical Care & Operating Services ACCOUNTABLE TO: Clinical Director – Anaesthetics SUMMARY OF DUTIES: To provide services in anaesthesia and related specialities to Sheffield Teaching Hospitals NHS Foundation Trust in accordance with evidence based practice. Also to participate in clinical audit, teaching of trainees and maintenance of high standards of medical practice. APPOINTMENT Whole-time or part-time Consultant Anaesthetist, with an interest in neuro anaesthesia to the Sheffield Teaching Hospitals NHS Foundation Trust. This is a replacement post. Any candidate who is unable for personal reasons to work full time will be eligible to be considered for the post; if such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with Consultant colleagues. The successful candidate may be expected to work at both campuses in the Trust and on call work being based at the Royal Hallamshire Hospital. DUTIES OF THE POST The appointee will, together with consultant colleagues, be responsible for the provision of general surgical anaesthesia services. RESPONSIBILITIES 1. Provide safe, evidence-based anaesthesia and analgesia. 2. Maintain and improve standards and quality of anaesthetic services. 3. Supervision and training of junior staff in both elective and emergency situations. 4. Maintain skills and up-date knowledge base meeting the Continuing Education and Professional Development requirements of the Royal College of Anaesthetists. 5. Participate in the audit programme of the Department. 6. Lead tutorials and departmental meetings, in rotation with other Consultant staff. 7. The appointee would be expected to have some special area of expertise/interest and to have delegated responsibility for appropriate clinical management in that area. 8. Participate in the Consultant on-call rota at Sheffield Teaching Hospitals. 9. Prepared to work on all sites for elective work. However, lists will generally be on one site in any one day. 10. The successful candidate would inevitably have responsibility for resource utilisation and would be expected to be aware of and take part in the Directorate business planning process which governs new developments. Some flexibility within duties dependent on the exigencies of the service will be expected from the appointee. The successful candidate will work according to the terms and conditions of the new consultant contract (England). The allocation of time between the main duties of the post will be open to some adjustment in consultation with consultant colleagues and the employing Trust but initially will be as follows:TIMETABLED COMMITMENTS Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Neurosurgery RHH (extended) Neurosurgery RHH (extended) SPA PA 1.5 1.5 1 Neuro ITU RHH Neurosurgery RHH alt weeks/SPA Neurosurgery RHH alt weeks 1.25 1.75 Oral/ENT Oral/ENT On Call 1.25 1.25 .5 NOTES: 1. This is a Specimen Job Plan only. Flexibility is available and final Job Plans can be negotiated on appointment. 2. This is a 10 PA post with the direct clinical care sessions being described as 1.25 PA’s 3. SPA = Supporting Professional Activity. 1.5 PA will be allocated to the successful applicant on appointment with up to 2.5 PAs being available by negotiation at job planning with the Clinical Director. 4. Flexible Clinical Sessions are fixed in time but vary according to clinical necessity and aim to provide comprehensive anaesthetic services appropriately. These are directed by the anaesthetic service organiser responding to immediate workload demands. 5. Lists may be offered on all sites, however, generally only on one site in any one day 6. On-call will be based at the Royal Hallamshire Hospital and will accrue additional PA time. An annual review of duties will take place with the Clinical Director as part of the Job Plan process. The above work allocation is based on the new “Consultant Contract” of 10 Programmed Activities divided into Direct Clinical Care, Supporting Professional Activity and On Call. The successful candidate will undertake an appropriate share of out of hours Neuro Anaesthesia Emergency care in rotation with other Neuro Anaesthetic Consultants. Similarly it is expected there will be a sharing of the administrative duties within the Directorate. The person appointed will take his/her equal share in providing emergency cover and will be required to cover for colleagues during periods of absence. He/she will have continuing responsibility for patients in his/her care and the proper functioning of the Department. The appointee will be expected to participate in and actively contribute to the clinical governance activities of the Directorate. The appointee will be expected to take an active part in Undergraduate and Postgraduate teaching and training and in this respect, as long as you remain a Consultant within the Trust, you will be regarded as an Honorary Senior Clinical Lecturer in the University of Sheffield, subject to the regulations of the University. Research and audit activity will be actively encouraged and promoted. MANAGEMENT ARRANGEMENT Clinical Directorates because operational at the Royal Hallamshire Hospital on 1 April 1991 and are now well established. Clinical Directors are appointed by the Chief Executive for a three-year period, subject to annual review. This is a large cross-city directorate which is challenged with shaping the future direction of much of the clinical activity within Sheffield Teaching Hospitals. The senior management for Critical Care, Anaesthesia, Operating Services and Sterile Services are: Dr Guy Veall, Clinical Director Mrs Jacky Rawlins, Group General Manager Mrs Julie Whitaker, Acting Nurse Director The Directorate of Critical Care, Anaesthesia and Operating Services is governed by a Perioperative Care Board covering clinical governance, professional practice and development, business and operational issues and the members are as follows: Dr Guy Veall, Clinical Director Mrs Jacky Rawlins, Group General Manager Mrs Julie Whitaker, Acting Nurse Director Dr Sumayer Sanghera (Deputy Dr Sean Clinton) Service Organiser NGH Dr Rob Atcheson (Deputy Dr Damian Doyle) Service Organiser RHH Dr. Andy Dennis, College Tutor NGH Dr Des Breen, Clinical Governance Lead Dr. Mireille Berthoud, College Tutor RHH Dr Andrew Beechey, Specialist Anaesthesia Representative NGH Dr Andrew Davidson, Specialist Anaesthesia Representative RHH Dr Stelios Michael Lead Critical Care Dr Ian Wrench Obstetric Lead The Directorate links with the University Department of Anaesthesia at the Medical School and provide significant input into the teaching programmes for Anaesthetists in training. Current trainee staffing will be shared with the new consultant. PRESENT CONSULTANT ANAESTHETISTS – ROYAL HALLAMSHIRE HOSPITAL Dr Breen Dr Bryden Dr Gerrish Dr Mills Dr Webber Dr Barron Dr Birks Dr Shepherd Dr Veall Dr Webster Dr Wrench Dr Feast Dr Davidson Dr Dobbs Dr Francis Dr Freeman Dr Jankowski Dr Mundy Dr Turnbull Dr Andrzejowski Dr Furlonger Dr Englert Dr Groves Dr Pullman Dr Thomas Dr Berthoud Dr Ayllon Dr Reilly Dr Rogozov Dr Kaur Dr Glover Dr Brand Dr Doyle Dr Murray Dr Plunkett Dr Atcheson Dr Peacock Dr Macik Specialist Interest Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Obstetrics Obstetrics Obstetrics Obstetrics Obstetrics Obstetrics Neuro Neuro Neuro Neuro Neuro Neuro Neuro Neuro General & Neuro General General General General General General General General General General & Obstetrics General General Pain Management Pain Management Pain Management Acute Pain Orthopaedics and Obstetrics PRESENT CONSULTANT ANAESTHETISTS – NORTHERN GENERAL HOSPITAL Dr Guy Veall Specialist Interest Clinical Director Anaesthesia, Critical Care & Operating Services Dr Graham Davies Dr Neil Appleyard Dr Andy Dennis Dr Kay Hawley Dr Andrew Beechey Dr Sean Clinton Dr Nick Fernandes Dr Gill Hood Dr John Hunsley Dr Paddy Knowles Dr Shalini Kurian Dr Richard Marks Dr Nick Massey Dr Nick Morgan-Hughes Dr Russ Powell Dr Jonathan Ross Dr Dave Woodward Dr Jane Bell Dr Clare Blues Dr Ian Paterson Dr Sumayer Sanghera Dr Sarah Saunders Dr John Snape Dr Nigel Coad Dr M Heap Dr Simon Keegan Dr Stelios Michael Dr Chris Scott Dr James Wigfull Dr L Sheppard Dr A Temple Dr Paul Whiting Dr Sarah Irving Dr Kevin Sadler Dr Ian Shaw Dr Phil Dobson Dr Karen Kerr Dr Cavin Gray Dr Tim Shaw Dr Paul Smith Dr David Harrison Dr Nicola Harrison Dr Guy Lepski Dr Johann Scicluna Dr Batizi Dr S Mohammed - Locum Consultant Dr Mahesh Chaudhari Dr Charles Moore Deputy Medical Director/General General General General Cardiac Cardiac Cardiac Cardiac Cardiac Cardiac Cardiac Cardiac Cardiac Cardiac Cardiac Cardiac Cardiac Orthopaedics Orthopaedics & Burns Orthopaedics Orthopaedics & Vascular Orthopaedics Orthopaedics Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Vascular Vascular Vascular Vascular Trauma Trauma Plastics & Renal Plastics Plastics Colorectal Orthopaedics General & Orthopaedics General Dr Ted Welchew Acute Pain Pain Management & Orthopaedics Pain Management ANAESTHETIC ADMINISTRATION Royal Hallamshire Hospital The Anaesthetic Department is housed on C Floor and is currently undergoing extensive refurbishment which will provide open plan office accommodation together with a large Seminar Room and IT area. There are offices situated within this area for the Service Manager, Secretarial staff, Clinical Director, General Manager and Pain Management Services. Facilities also include a newly designed kitchen, photocopying area and individual meeting/interview rooms. Northern General Hospital The Anaesthetic administrative centre is housed at the end of the main operating theatre corridor. Offices are at present used by the Anaesthetic Secretaries, Clinical Director, General Manager, Business Manager, Service Manager, Nurse Director, Consultant Anaesthetists, Service Organisers and the Acute Pain Nurses. Facilities also include a large seminar room, photocopying/printing facility and kitchen. The Chronic Pain Service is housed in Out-Patient Department 4 at the NGH following a successful merger of Pain Services in June 2007. KEY INFORMATION POINTS 1. The Department of Anaesthesia at both the Royal Hallamshire and Northern General Hospitals are both well established departments. Both departments have a range of facilities including lecture and workshop discussion facilities together with good audiovisual aids including access to powerpoint software. 2. There are a range of anaesthetic sub-specialities available for development within the Trust. 3. The Directorate participates in a well-established rotational training programme with Sheffield University Hospitals Trust as the administrative centre. All grades of junior staff and medical students rotate through the Department. 4. The Trust oversees the management of all sites via 9 major groups of clinical and non clinical directorates; it is well organised and patient focused. The Trust offers most clinical services expected in the modern NHS provides 2050 inpatient beds with 12,000 highly committed members of staff. The Trust comprises of 5 hospitals sited on a central and northern Sheffield campus. The Royal Hallamshire Hospital is a 750 bedded general hospital which also houses the medical school of the University of Sheffield. Speciality services provided are head and neck, urology, communicable diseases, tropical medicine, haemotology, rheumatology and dermatology. The Jessop Wing on site provides the base for obstetrics, gynaecology, community maternity services and neonatal intensive care. Western Park Hospital provides specialist cancer services. Charles Clifford Dental Hospital is a co-location of the University of Sheffield School of Clinical Dentistry providing specialist dental services. As a Trust, we have very close clinical teaching and research links with the local Universities. The Northern General Hospital is a 1300 bedded unit 3 miles North East of the central campus. The hospital houses the single accident and emergency department for the City of Sheffield and also manages the emergency admissions unit at the Royal Hallamshire Hospital. Acute general medicine is managed on this site by a single directorate overseeing the service at the Royal Hallamshire Hospital. Surgical services provide plastics, general and orthopaedic surgery. The hospital also houses vascular, burns and cardiothoracic services, renal, spinal and specialist rehabilitation and specialised medical services are also present. Both campus sites provide a comprehensive range of clinical treatment and support services for both general and highly specialised interests: Medical physics, imaging, pharmacy, laboratory medicine and professional services along with Anaesthesia, Operating Services and Critical Care. 5. Recent review of General Surgery provision in Sheffield has seen this service reconfigured, Upper GI, Breast and Endocrinology based at the Royal Hallamshire Hospital, Colorectal at the Northern General Hospital. Unification of other inpatient base specialities has been a major principle across the Trust. 6. The hospitals are easily accessible. Good public transfer routes place us in the centre of the M1, M62, M18 and A1(M) network and London is only 90 minutes away by Inter City train. An international airport opened in Doncaster in Spring 2005 on the site of the former RAF base at Finningley. 7. There is a whole range of housing choices within the Sheffield area including suburban or town centre developments and a number of village settlements, all within the required travelling distance of the hospitals. 8. The major industries in the area historically have been coal mining and engineering, however the decline in these activities has seen significant diversification and introduction of new industries. The Sheffield area allows a high quality of life, boasting leisure and lively cultural activities in the centre and being surrounded by the scenic countryside of the Peak District with Meadow Hall shopping centre is only 30 minutes away – one of Europe’s larges indoor shopping malls. Leisure and recreation facilities are well provided for, especially at Ponds Forge and the Don Valley Stadium. Sheffield also has a dry ski slope with excellent facilities. MAJOR CLINICAL SERVICES – SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST Royal Hallamshire Hospital Theatres There are 12 main operating theatres, 3 obstetric theatres, 5 theatres within the day case unit (with inpatient capability). Neuro Anaesthesia. Care is provided for elective and emergency neuro surgical procedures in dedicated theatres, interventional neuro radiology, MRI and CT scanning suites. There is a dedicated Neuro ITU/HDU which is to expand its provision in the near future. This unit has full daytime Neuro Consultant and trainee anaesthetic cover. Obstetrics & Gynaecology The Obstetric Jessop Wing is located at the back of the tower block and is supported by a team of dedicated specialist anaesthetists. The unit currently supports 7000 deliveries per year. Gynaecology has dedicated facilities located in the main block. Urology Provides facilities for highly specialised surgery and a full stone service. General Surgery – Upper GI Specialises in hepato biliary surgery. Head & Neck Specialises in general, specialist oncology and trauma surgery. Full ENT service and a comprehensive neurosurgical facility with trauma access 24 hours per day. Emergency Theatre A dedicated theatre is available 24 hours a day for emergency surgical cases. The anaesthetic cover is provided by a team of anaesthetists led by a Consultant Anaesthetist. Post-Operative Surgical Unit There is an 8 bedded unit that will expand to 12 beds by 2009/10. Acute Pain Team A dedicated team of Acute Pain nurses are based within the Department of Anaesthesia supported by a Lead Consultant Anaesthetist. Regular visits to the wards are made and audits conducted, but the main roles are education and support and hands on treatment for patients. Day Surgery The Day Surgery Unit at the Royal Hallamshire Hospital is incorporated into the main RHH building. It therefore has the flexibility to provide services for both day case and inpatients. Charles Clifford Dental Hospital & Weston Park Hospital Theatres are also located within the Charles Clifford Dental Hospital predominantly providing dental services under sedation. A theatre is also located in the Weston Park Hospital to accommodate on demand care for cancer patients and also provides a local anaesthesia ophthalmic service. Northern General Hospital Theatres There are 17 main operating theatres, 1 spinal injuries theatre, 2 day case theatres and local anaesthetic treatment room in the Bev Stokes unit, 5 cardiac theatres and also cardiac and vascular angiography suites. General Surgery – includes colorectal and renal access and donation. Orthopaedics – the largest single site in the country providing dedicated specialist orthopaedic, arthroplasty and 24 hour trauma facilities. Vascular – a comprehensive mix of acute and highly specialised services are provided for South Yorkshire. Plastic Surgery and Burns – provision is for general trauma and highly specialised surgery. The unit also supports the Sheffield Children’s Hospital. Day Surgery Much of the day case surgery occurs at the purpose built Bev Stokes Unit. This is a twin theatre unit with local anaesthetic accommodation. It provides facilities for all specialities. Pre-operative assessment for all specialities is nurse led. Staff are trained at Masters level. Theatre Admissions Unit The Trust has developed an admissions unit adjacent to main theatres allowing all patients admitted on the day of surgery to be prepared by dedicated theatre staff allowing effective and efficient perioperative care. Pain Management Unit The Trust has established a Pain Management Unit at Sheffield Teaching Hospitals serving the Sheffield populations and referrals taken from the surrounding district generals. A wide range of techniques for managing chronic pain are available and a multi-disciplinary practice is promoted. Post Operative Surgical Unit The directorate has a 7 bedded post-operative unit housed in the new Critical Care Department adjacent to the main theatre suite. The unit has 24 hour/5 day week F2 doctors and critical care trained nursing to support the higher dependent post-operative patient requiring pain relief, fluid management and increased monitoring and medical care Acute Pain Team A dedicated team of Acute Pain nurses are based within the Department of Anaesthesia supported by a Lead Consultant Anaesthetist. Regular visits to the wards are made and audits conducted, but the main roles are education and support and hands on treatment for patients. Pre-Operative Assessment Unit The Directorate manages a centralised pre-operative assessment unit for all patients attending main theatres at the Northern General Hospital. The unit is nurse led with daily anaesthetic Consultant surgeries to support complex cases. Emergency Theatre A dedicated theatre is available 24 hours a day for emergency surgical cases (predominantly general and vascular). The daytime anaesthetic cover is provided by a team of anaesthetists led by a Consultant Anaesthetist. THE MAIN CONDITIONS OF SERVICE The appointment will be in accordance with the Terms and Conditions of Service of Hospital Medical and Dental Staff (England) as amended from time to time. The arrangement of duties will be such as may be agreed from time to time between the employing Trust and the person appointed. Whether the successful candidate chooses to accept a whole-time or part-time contract, it is agreed that any private practice undertaken, whether limited or not by the Terms and Conditions of Service, will in no way diminish the level of service that may be expected from him/her in carrying out the duties specified above (Schedule 9 Terms and Conditions of Service). This Trust supports the concept of Continuing Medical Education and in line with Clinical Governance Senior Clinicians are expected to participate in continuing professional development (CPD). MEDICAL EXAMINATION This appointment is subject to medical fitness and the appointee may be required to undergo a medical examination and chest X-ray. Potential applicants should be aware of the Department of Health and GMC/GDC requirements with regard to HIV/AIDS, Tuberculosis, Hepatitis B and Hepatitis C viruses. Candidates are advised that they will be asked at interview whether they are aware of anything preventing them from fulfilling their professional commitments and this includes health. The successful candidate must be immune to Hepatitis ‘B’ and Tuberculosis. They will be required to provide, in advance of appointment, evidence of immunity or have a local blood test (as deemed appropriate by the Occupational Health Department). RESIDENCES AND REMOVAL EXPENSES The successful candidate will be required to maintain his/her place of residence in contact with the public telephone service and not more than 10 miles by road from the Royal Hallamshire Hospital, Sheffield, unless prior specific approval to a greater distance is given by the Trust. Removal expenses on appointment will be paid in accordance with the Sheffield Teaching Hospitals NHS Trust Terms and Conditions of Service. These documents can be seen at the offices of the Medical Personnel Department. It should be noted that it is not Trust policy to reimburse interest payment on bridging loans. POSTGRADUATE EDUCATION & CONTINUING MEDICAL EDUCATION Sheffield Teaching Hospitals NHS Foundation Trust There is an active Postgraduate Centre at Sheffield Teaching Hospitals with teaching programmes for all grades of staff. There are regular seminars where Consultants and junior staff present cases to hospital colleagues and General Practitioners, and occasional evening meetings to which eminent guest speakers are invited. There is a purpose built Medical Library within the Trust under the charge of a full-time Librarian. There are over 15,000 volumes in stock and access is available by joint scheme with other libraries and with the National Lending Library. The Library subscribes to over 150 journals. Computer facilities with Internet Access and CD Roms are available in the Library. The Trust actively encourages Directorate members to attend local and national meetings of relevance to their speciality and is fully supportive of Continuous Medical Education. Clinical skills laboratories are available for all staff on both sites. FUTURE TRUST ISSUES The Trust has been highly successful in meeting activity and financial targets, whilst meeting the demands placed upon it from its stakeholders. As with other hospitals, activity and financial pressures are not likely to diminish, but the Trust feels it is in a strong position to cope with future expectations. National tariff, patient choice, national programme for IT and the integrated care record system along with integrated care pathways are ongoing initiatives presenting the Trust with huge opportunities and challenges. VISITS If candidates wish to visit the hospital(s) concerned, they are at liberty to make arrangements direct with:Dr Guy Veall Clinical Director Department of Anaesthesia Royal Hallamshire Hospital Glossop Road Sheffield S10 2JF Mrs Jacky Rawlins Group General Manager Critical Care, Anaesthesia, Operating Services E Floor Northern General Hospital Herries Road Sheffield. S5 7AU Telephone: 0114 271 4818 Telephone: 0114 2714802