Download 1. job identification - NHS Scotland Recruitment

INFORMATION FOR CANDIDATES
POST OF: Consultant Maxillofacial Prosthetist and Technologist/Head of Service
BASE:
University Hospital Crosshouse
REF NO: T/306/15
Thank you for applying for the above post with NHS Ayrshire & Arran. This information
sheet summarises the terms and conditions related to the post.
Please note if you provide us with an email address on your application form any future
correspondence regarding this post will be emailed to you. If you do not wish to receive
this correspondence by email then please contact us as soon as possible.
A job description and person specification for the post are attached.
This post is permanent
The salary for the post is based on the Band 8B salary scale which is currently £46,625to
£57,640 per annum (pro rata for part time posts).
The hours for the post are 37.5 per week. There is no on-call commitment associated
with this post.
DISCLOSURE SCOTLAND
PROTECTION OF VULNERABLE GROUPS (PVG) SCHEME
The following provides information relevant to the post you have applied for and requires
your attention and completion.
PVG MEMBERSHIP
The post you have applied for is considered to be in the category of “Regulated Work” as
defined by the above scheme and successful candidate(s) will be required to be a
member of the scheme prior to commencing employment.
Membership currently costs £59.00. The cost of membership, if you are successful in
your application, will be paid by NHS Ayrshire and Arran.
EXISTING PVG MEMBER
Applicants who are already a PVG member will require to confirm their membership and
the regulated workforce this covers, e.g., Adults, Children or both. Prior to employment,
NHS Ayrshire and Arran will determine whether the current level of membership is
appropriate for the post offered.
If further membership to cover another regulated
workforce is required, the conditions of membership as stated above will be applied. If
however the level of current membership is appropriate, NHS Ayrshire and Arran will
seek a Scheme Record Update (SRU) and will both pay and incur the costs associated
with obtaining the update.
Further information on the scheme can be found on the Disclosure Scotland website at
www.disclosurescotland.co.uk
PVG SCHEME MEMBERSHIP MANDATE
(Please complete Sections 1+2 and return with your application)
Section 1. Personal details (* circle as applicable)
Name ____________________________
Post Reference Number:
Post Applied for: ___________________
___________
Are you currently a member of the PVG Scheme
*YES/NO
If YES, please provide
Membership Number _________________
Date
of
last
Scheme
__________________________
Member of which Regulated Workforce:
Date of Membership _______________
Record
*Adult
Update
(if
*Children
applicable)
*Both
Section 2. Declaration
I understand if my application for this position is successful, I will require to become a
member of the scheme covering the appropriate regulated workforce.
Signed:
______________________________
_______________________
Name:
______________________________
Section 3 - For office use only
Full membership required Yes/No
Update only:
Yes/No
SPN:
Date:
Post Ref no: _________________
Regulated workforce:
Adult / Children / Both
_____________________________
GENERAL CONDITIONS:
Conditions of Service - The conditions of service are those laid down and amended
from time to time by the appropriate negotiating bodies e.g. NHS Staff Council/NHS Pay
Negotiating Council.
Annual Leave – The leave year runs from 1 April to 31 March. Annual leave entitlement
for full time staff on appointment is 202.5 hours (27 days), with 217.5 hours (29 days)
upon completion of 5 years NHS service and 247.50 hours (33 days) after 10 years NHS
service. Entitlements for part time will be pro rata.
Public Holidays – Public holiday entitlement for full time staff is 60 hours based on the 8
designated Public Holidays per annum, and on a 5 day week working 7.5 hours per day.
The 60 hours entitlement is due to all whole time staff irrespective of work pattern. For
part time staff, this will be applied on a pro rata basis and also allocated in hours.
KSF - The NHS Knowledge and Skills Framework (KSF) and development review is
bout encouraging lifelong learning for all staff. It supports an ongoing cycle of annual
development review and personal development planning. This is known as Personal
Development Review or PDR. The KSF and PDR processes are designed to support
you so that you can be fully effective in your job.
Pensions - Employees are automatically opted into the NHS (Scotland) Superannuation
Scheme. Contributions are at the rate of 9.3% up to £49,472 then will rise up to 12.5%
thereafter.
Employees may opt out by obtaining and completing the relevant Opt Out form from the
Scottish Public Pensions Agency website.
Disabled Applicants - A disability or health problem does not preclude full consideration
for the job and applications from people with disabilities are welcome. All information will
be treated as confidential. NHS Ayrshire & Arran has been approved, by the
Employment Services Department, as an Equal Opportunities employer with a positive
policy towards employment of disabled people. NHS Ayrshire & Arran guarantees to
interview all applicants with disabilities who meet the minimum criteria for the post.
You will note on our application form we ask for relevant information with regards 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.
Asylum and Immigration Act 1996 and 2004 (Section 8) - The Asylum and
Immigration Act 1996 and 2004 requires employment checks to ensure that all
employees are legally employed in the United Kingdom. Candidates will be asked to
provide relevant original documents prior to an offer of employment being made. Any
offer of employment will only be made when the organisation is satisfied that the
candidate is the rightful holder of the documents and is legally eligible for employment
within the United Kingdom.
Relocation Expenses - Relocation expenses may be payable to the successful
candidate, in accordance with the Policy. This is available on request from the
Department of O&HR Development. Candidates who require to relocate to take up post,
should discuss this with the interview panel.
Medical Examination - Any offer of employment is conditional upon a satisfactory
medical report from our Occupational Health Services. You may be offered employment
conditional on confirmation that you are medically fit for employment. A commencement
date for employment will only be agreed following this confirmation.
Policy Relating to Staff with Bloodborne Virus Infection - Candidates for posts which
involve exposure prone procedures will not be allowed to commence employment until
they have been assessed as fit to perform EPPs by Occupational Health. The preemployment screening must be completed prior to any job offer being made. Where a
candidate is not able to perform EPPs, Occupational Health will notify the appropriate
manager that the candidate is ‘fit with restrictions’ and is unable to perform EPPs. The
health status of the individual will not normally be notified to management. Where the
restrictions recommended by Occupational Health are unable to be accommodated due
to the clinical duties of any of the posts within the staff groups specified in the policy, an
offer of employment to the post will not be made.
Candidates who are not offered employment due to being deemed unfit to undertake
EPPs as an essential requirement for a post, may be offered the opportunity to apply for
another advertised vacant post and be considered with other applicants. The preemployment screening for EPP posts above do not apply to staff undertaking non-EPP
posts who could have direct contact with blood, bloodstained body fluids or patients’
tissue in the course of their work activities. These staff will be offered and strongly
advised to be immunised against Hepatitis B in line with the Immunisation Policy
including recall for boosters and further antibody checks.
References - Two satisfactory written references must be obtained prior to any offer of
employment being made. These should include current and previous employers as
requested in the job application form. This is in line with the Recruitment and Selection
Policy.
YOUR APPLICATION:
Informal Enquiries - Informal enquiries are welcomed by Mr. Roger Currie, Consultant
Oral and Maxillofacial Surgeon on 01563-827293.
Closing Date - Your completed application form should be submitted by 17 September
2015 via the online application form on the SHOW website. Alternatively your completed
application form can be returned to the address below or can be e-mailed to:
[email protected]
Department of O&HR Development
63A Lister Street
University Hospital Crosshouse
KILMARNOCK
Ayrshire
KA2 0BE
ADDITIONAL INFORMATION:
LOCATION - AYRSHIRE
Situated in attractive south-west Scotland on the Firth of Clyde coastline is the glorious
countryside of Ayrshire which you’ll soon discover is a very special corner of Scotland.
Ayrshire roads are quiet, the countryside peaceful but even so its easy to get here by
road, rail, or air.
Local attractions include country parks, museums - there’s Robert Burns and 1000’s of
years of history and heritage to enjoy, sports - sailing, watersports, swimming, riding, golf
to mention but a few.
Starting in the North at the family resort of Largs the coastal route runs south through the
seaports of Ardrossan and Saltcoats to Irvine - Scotland’s only New Town by the sea.
From Irvine you can take in the breathtaking beauty of the Ayrshire countryside - visit
Kilmarnock with its famous Dean Castle and Country Park then inland through the lace
making towns of Galston, Newmilns and Darvel. Further south and you are in Doon
Valley - the heart of Ayrshire’s industrial heritage. Back on the coastal route south of
Irvine is Troon, another popular resort and the start of Ayrshire’s famous Golf Coast. On
this stretch of Ayrshire Coast Ayr is the premier resort and is also the ideal base for
exploring the Burns Heritage Trail and visiting Burn’s birthplace in Alloway.
From Ayr the coastal route to Girvan includes the picturesque harbour village of Dunure
and the National Trust’s major attraction - Culzean Castle. Inland is the ancient capital
of Carrick - Maybole with its castle and tollbooth. Here in South Ayrshire the nearby
Carrick forests and hills offer superb walking country. The popular seaside town of
Girvan would be your last port of call or you could continue southwards to Ballantrae
along a spectacular rugged coastline notorious in the past as a haven for smugglers.
From North to South the countryside is very varied with something to suit everyone - we
like living and working here - and think you will too!
WITHIN EASY ACCESS TO GLASGOW
Most locations within Ayrshire are also within easy access of Glasgow by rail or road with
all the benefits and attractions found in a major city.
TOBACCO POLICY
Fresh Air Policy - Please note that, in line with the national Tobacco Control Strategy
(2013-2018), NHS Ayrshire and Arran are working towards smoke free grounds by
March 2015 (with the exception of mental health facilities).
ALCOHOL AND DRUG POLICY
NHS Ayrshire & Arran operates an Alcohol and Drug Policy to protect the safety of all
patients, visitors and staff with the aim of promoting well being and reducing harm.
STAFF BENEFITS:
STAFF LOTTERY
The Board has set up a staff lottery and the cost of a chance in each monthly draw is
deducted directly from your wage/salary if you decide to enter the scheme. Half the
proceeds of the lottery are paid out as prizes and the remaining half is used to provide
amenities, facilities and services for both patients and staff.
During the year bumper prizes can be won and in the past these have included large
cash prizes, luxury holidays and cars.
STAFF DISCOUNTS
Information on Discounts given to staff by several local businesses will be available on
taking up employment.
1. JOB IDENTIFICATION
Job Title:
Consultant Maxillofacial Prosthetist and Technologist/
Head of Service
Responsible to (insert job title):
General Manager – Surgical Services /
Clinical Director Head and Neck
Department(s):
Oral Facial Laboratory
Directorate:
Surgical/Head and Neck
Operating Division:
Acute Services
Job Reference:
T/306/15
No of Job Holders:
1
Last Update (insert date):
2. JOB PURPOSE
To manage the Oral Facial Laboratory department, by organising, implementing, teaching,
training and maintaining multi-specialised laboratory services, and directly provide scientific and
advisory services to patients for their rehabilitation by restoration utilising implants, splints,
active/passive appliances and prostheses.
3. DIMENSIONS
The Oral Facial Laboratory serves the patient population of Ayrshire and Arran and beyond by
providing clinical, technical and advisory services, so that timely and high quality support is
provided for all service users.
This post is primarily responsible for directly managing, supervising and training 2 x Highly
Specialist Orthodontic Technician/Maxillofacial Prosthetists, 1 x Highly Specialist
Orthodontic/Prosthodontic Technician, 1 x Healthcare Support Worker, students when allocated
and supervising one personal secretary to the Oral Facial Laboratory department, and directly
provide clinical technical and advisory services to the following specialities.
 Oral and Maxillofacial Surgery
 Orthodontic Service
 Advanced Restorative Dentistry
 Ear, Nose and Throat Service
 Ophthalmology Service
ORAL FACIAL LABORATORY BUDGET
SALARIES AND WAGES
£258,067
SUPPLIES AND SERVICES
£ 33,880
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As Head of the Service, accountable for direct delivery of multi clinical, technical and
advisory services
Authorised budget holder for departmental services
Authorised signatory for non stock\stock requisition purchase orders, invoice certification,
expenses\duty sheets
Responsible as Head of Service for multi disciplines
Responsible for policy implementation and service development
Independent lead practitioner providing a complete ocular prosthesis design, fabrication,
fitting and advisory service to patients
Providing through advice, design and fabrication an extensive orthodontic appliance
service to the orthodontic department for patient provision
Providing through advice, design and fabrication an extensive maxillofacial appliance
service to the maxillo\craniofacial department for patient provision
Providing through advice, design and fabrication an extensive prosthetic appliance
service to the restorative consultant for patient provision
Deliver clinical, technical and advisory expertise in the provision of the orthognathic
model planning service
Teaching and training junior members of staff, students and fellow professionals
4. ORGANISATIONAL POSITION
5. ROLE OF DEPARTMENT
Provide scientific and advisory services to the patient population of Ayrshire and Arran and
beyond through provision of the following :
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Ocular Prosthetic advisory, design, fabrication and fitting service
Facial Prosthesis advisory, design, fabrication and fitting service
Orthodontic Appliance advisory, design and fabrication service
Orthognathic Surgical Planning service
Maxillofacial Appliance advisory, design and fabrication service
Prosthodontic Appliance advisory, design, and fabrication service
Intra Oral\Extra Oral Osseointegration Implantology advisory, design, fabrication and
fitting service
All of the above services require liaison with consultants, junior medical staff, patients and other
relevant parties to ensure up to date information and episodes relating to patient care and
future planning of treatment.
6. KEY RESULT AREAS
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Responsible as Head of Service for ensuring that the department operates within its
authorised capital and revenue budgets and that value for money is obtained in respect
of operational efficiency, quality of work, purchasing of equipment\supplies and
contracting out of work to external laboratory contractors
Managing preparing and implementing business plans for developing income
generation opportunities through the provision of highly specialised clinical, technical,
advisory and training services
Design data collection tools, i.e. collect, compile and analyse data auditing
effectiveness, highlighting irregularities and making recommendations, producing
reports to ensure informed decision making and best practice
Responsible for selection, recruitment and day to day direct management of all
members of staff within the Oral Facial Laboratory through work allocation and
monitoring of appliance/prosthesis, job appraisal, personal development planning, and
performance/attendance issues
Responsible for day to day work allocation required of personal secretary such as
organisation of patient case notes, correspondence via email/letter/fax and telephone,
equipment/material stock control orders, accessing/inputting database spreadsheet
information, organising patient appointments, checking and preparation for dispatch of
sterilisation kits following patient use etc.
Promote innovation and ensure that all laboratory members of staff remain abreast of
the latest clinical and technical developments within their specialised fields. (Continuous
Personal Development)
Manage delivery of postgraduate teaching training to junior members of staff and
visitors and provide Undergraduate in house training to students as required
Requirement to present major Oral Facial Laboratory issues when attending local and
national meetings
Independent lead practitioner providing to patients a comprehensive ocular prosthesis
service incorporating consultation, design, fabrication, fitting and maintenance for
restoration of aesthetics and form due to natural eye loss through disease, genetics or
trauma
Independent lead practitioner providing to patients a comprehensive facial prosthesis
service incorporating consultation, design, fabrication, fitting and maintenance service
for restoration of facial deformity due to trauma, genetics or disease
Provision of highly specialised intra/extra oral osseointegrated implantology retaining
systems incorporating consultation, design, fabrication, fitting and maintenance for use
in retaining oral/facial prosthesis directly to underlying cortical bone
Manage the provision of a broad and extensive range of highly complex maxillofacial
appliances incorporating innovative design and fabrication techniques in the treatment
of craniofacial injuries
Manage the provision of a broad and extensive range of highly complex orthodontic
appliances incorporating innovative design and fabrication techniques for the correction
of patients’ malocclusions and tempromandibular joint dysfunction
Manage the provision of a broad and extensive range of highly complex restorative
appliances incorporating innovative design and fabrication techniques for the restoration
of speech, mastication and facial form
Manage the provision of the orthognathic surgical planning service for the correction of
mandibular/maxillary skeletal jaw discrepancies requiring osteotomy/ostectomy surgical
intervention
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Identify, action, research and development as required for own mandatory Continuous
Personal Development, e.g. attending conferences/courses, reading journals,
implement patient audits regarding service provision/prosthesis material analysis. For
example, an ongoing Research Project to devise study model levelling system to aid
reduction in material costs and technicians fabrication time. Required to initiate, support
and be involved in clinical trials and equipment testing, e.g. taking part in the National
Managed Clinical Network for Cleft, Lip and Palate Services in Scotland.
Participate with clinicians as appropriate and advise other health care professionals
relevant to scope of own knowledge and practice on matters specific to the Oral Facial
Laboratory specialised services
Provide clinical and technical information regarding the long term management of
medical devices
Ensure that all members of staff observe and comply with current COSHH, Health and
Safety Legislation to safely handle and use laboratory equipment and materials
Comply with Medical Devices Directive 93/42/EEC ensuring all materials, component
parts and processes for prosthesis and appliance patient provision meet national
guidelines
Adhere to Departmental policy and guidelines regarding cross infection control in
relation to safe working practice
IT communication skills required, e.g. email, word processing to produce written reports,
internet for research purposes and compiling presentation materials
Participate in Continuous and Personal Development Plans through regular appraisals
with General Manager for Surgical Services
7a. EQUIPMENT AND MACHINERY
Syringes - Used as a means of expressing impression material into defect areas of the human
body such as anophthalmic sockets (eye sockets), auditory canal, breast, nasal cavity, etc. Also
used as a means of irrigation of facial/ocular cavities.
Socket Extractors – for the removal of ocular prosthesis from anophthalmic/eye sockets.
Socket Impression Trays - used in the recording of anophthalmic socket detail, e.g. tray is
inserted into eye socket following removal of the natural eye to support setting impression
material and then facilitate removal of material from eye socket.
Eye Impression Trays - As above but this type of tray is used to support the impression material
when recording detail of a natural phisical blind eye.
Light Cure Processing Unit - utilised for bonding hand painted patients iris units onto corneal
lens as an aspect in the process of artificial eye fabrication and for fabrication of patient’s
impression trays, additions of occlusal cover to orthodontic appliances where patients have
sensitivity to acrylic resins.
Dry Heat Oven - utilised for the heating and drying of painted scleral varnish as a process in
artificial eye fabrication, also utilised for drying out of models, etc.
Disinfection Baths – utilised for disinfection of facial/ocular/body and oral impressions.
Natural Daylight Lighting - required for tissue matching patients skin tones with suitable shaded
silicones so that facial/body prosthesis mimics natural tissue tones of individual patients. Also
utilised for colour matching of patients’ iris and scleral eye colours when painting colour shades
and patterns onto iris discs to simulate patients’ natural eye.
Examination Torch – required for examining patients’ oral/facial cavities.
Magnifiers – for enlargement of intricate and extremely fine items of work.
Sterile Instrument Kits for Ocular Prosthesis - required when treating ocular patients where it
is imperative sterile instruments be used.
Astec Fume Extraction System - required for removal of harmful methyl/methacrylate fumes
created during iris painting, scleral tinting of natural eye at patients’ chairside.
Clinic Patient Chair - required for treatment of patients who may require to be upright, suppline
or positioned on their sides for impression taking techniques and varying procedures required for
prosthesis provision.
Computerised Vernier Gauge - required for recording facial ocular measurements, e.g.
measuring diameter of patients iris, pupil, palpebral aperture, nasal structures, auricular
dimensions, etc.
Branemark Implantology Torque Driver - a specialised instrument incorporating a torque
limiter to ensure that when screwing Branemark Osseointegrated Implant components into the
connecting abutments or implant fixtures which are embedded in facial/mandibular/maxillary
cortical bone, that the correct amount of torque required to connect the components together is
supplied (very important as overtightening can result in implant failure).
Branemark Magnetic Screwdrivers - utilised for the connection/removal of magna caps/magna
abutments to osseointegrated Branemark/Bonefit implant systems, abutments and fixtures which
are imbedded in cortical bone. Used to connect magnetic attachments imbedded in prosthesis
into place.
Sterile Instrument Kits for Facial Prosthesis - required when treating facial patients when it is
imperative that sterile instruments are used.
Electronic Weighing Scales - required for calculating ratio of silicone body elastomer to be
mixed with silicone catalyst to provide a patient prosthesis of the desired specifics, e.g. degree of
softness required in relation to shore hardness, etc.
Hanau Face bow - used to record and transfer patients facial/skeletal information, e.g. face bow
recording is taken by attaching bow to condyler heads of patient's mandible, bite fork to maxilla
and orbital pointer is placed on lower border of orbital bone. This records 3 points of reference
for data transfer on to a specialised recording instrument called an articulator prior to
orthognathic model surgery planning taking place.
Fridge - utilised for the storage of materials to extend shelf life.
Various Types of Anatomical Articulators - utilised for orthognathic model planning following
transfer of patients data by face bow and appropriate model surgery employed establishing the
required movements of the maxillary/mandible through splitting or re-setting of jaw in theatre to
establish normalised jaw relationship/ensuring balanced occlusion of prosthodontic/maxillofacial
appliances.
Sterile Instrument Kits for Orthognathic Surgical Planning- required for the recording of
patients facial data in the treatment of orthognathic appliance fabrication.
Centrifugal Casting Machine - used in the casting of metals for the provision of silver cast cap
splints required in the treatment of facial, mandibular, maxillary bone fractures by relocating and
stabilising the fractured fragments in place to permit bone healing to take place, also used in the
casting of metals for the provision of silver cast cap orthodontic expansion appliances required in
the treatment of patient malocclusions.
Furnace - required for heating and burning out of wax from investment moulds prior to soldering.
Gas-Air Blow Torch – required for heating of investment moulds and subsequent soldering of
gold bar/implantology components in fabrication of intra oral retention systems and for soldering
of nickel silver wire in the fabrication of mandibular/maxillary arch bars for the stabilisation of
fractured bone fragments in the treatment of patients’ trauma injuries.
External Fume Extraction System – utilised for the safe removal of harmful fumes created in
the fabrication of medical devices, e.g. soldering, metal casting, heating of investment models,
processing of acrylic resins and silicones, etc.
Sandblaster - required for removal of contaminants from the surfaces of metal splints (cast cap)
and appliances.
Vacuum Forming Machine -utilised for adapting various types of plastic material closely to
working models in the fabrication process of mouthguards, anti-snoring devices, essix orthodontic
retainers, vacuum trauma splints, etc.
Calipers – for recording material thickness of appliances to microns of accuracy.
Workstation Natural Daylight Lighting – essential for fabrication of extremely fine appliance
wires, components in the provision of patient prosthetics and the modelling of dental/facial
waxes.
Dental Surveyor Parallelometer - utilised for analysing the path of insertion and planning and
tracing of plates and clasps by locating and recording undercut depths present in patients’
maxillary/mandibular arches, prior to appliance fabrication.
Full Sets of Carving and Modelling Instruments - required for the sculpting and modelling of
various consistencies of wax to form facial prosthesis/ocular prosthesis/nasal prosthesis/oral
prosthetics/certain types of orthodontic appliances, etc.
Bunsen Burners - required for heating of various types of waxes for sculpting, modelling
purposes in the prosthesis/appliance fabrication.
Micro-torches - required for flaming and smoothing of modelling/carving/casting waxes during
sculpting and modelling procedures.
Computer Controlled Dry Heat Electric Oven – required for the processing of various types of
materials by changing the materials from, e.g. acrylics from dough stage to hard acrylic stage,
silicones from a runny/stringy stage to a soft solid stage in the manufacture of dental obturators in
the treatment of hemi/partial maxillectomy patients, restorative, maxillofacial and orthodontic
appliances.
Polishing/Abrading Units Incorporating Internal Extraction Systems - utilised in the
abrading/polishing processes of appliance fabrication.
Computer Controlled Safety Cell Trimming Units Incorporating Integral Dust Extraction
Systems and Micro Motor Hand Pieces - for the trimming, shaping of appliances utilising
computerised electrical micromotors with constant adjustable dust extraction employed.
High Speed Grinder - required for the trimming to shape of extremely hard metals such as
cobolt chromium.
Computer Controlled Downflow Fume Extraction Systems - employed to remove harmful
methyl-methylacrylate fumes in the mixing and spraying techniques involved in acrylic resin
appliance fabrication and iris scleral painting.
Steam Cleaner – required for removing residue from appliance surfaces following de-flasking
process.
Workstation Dust Extraction Systems - required for removal of harmful acrylic/metal dusts
created through shaping and trimming process.
Ultrasonic Bath - utilised for the removal of ingrained materials from appliances following deflasking of appliance from plaster or investment moulds. Also used in conjunction with
ammoniated cleaning fluid for the removal of tarnish from metals.
Computer Controlled Soldering Unit - required for the soldering of gold, stainless steel
appliance and system components, e.g. gold bars onto gold abutments as a process in the
forming of implant retention systems. Stainless steel wires and tubes in the fabrication of
orthodontic appliances, etc.
Computer Controlled Electrically Heated Pressure Vessel - utilised in the manufacture of auto
polymerising acrylic resin materials, e.g. changing the state of acrylic resin from a fluid material
into a hard surface material in the forming of orthodontic, maxillofacial appliances and devices,
etc.
Microwave - required for quick method heating of reversible hydrocolloid material for model
duplication purposes.
Computer Controlled Duplicating Machine – utilised for the duplication of large numbers of
plaster models.
Computer Controlled Vacuum Mixer - required for the mixing of plaster of paris/stone model
materials producing a vacuum to ensure that all air is removed from the material prior to use in
model casting.
Glue Gun - utilised for dispensing specialised adhesive glues onto soft laminate materials for
bonding of maxillary/mandibular components when fabricating anti-snoring devices.
Full Sets of Orthodontic Pliers and Cutters - required for the forming of extremely intricate,
fine wire components in the fabrication of all types of orthodontic and certain maxillofacial
appliances.
Plaster Oscillator - utilised for the removal of occluded air from plaster/investment material
during casting/investing procedures.
Lap Top Computer - required when working outwith Laboratory for typing reports, statistics,
results of audits, database management.
Dictaphone - utilised for dictating Consultants/GPs end of treatment letters and referrals, etc
which are required for audio typing by Personal Secretary.
Computer - for producing typewritten documents, maintenance of databases, retrieval of
information, accessing email, internet for research and development purposes, etc.
Printer/Scanner/Copier - producing hard copies of work stored on computer.
7b. SYSTEMS
The postholder is responsible for ensuring that the following administrative systems are adhered
to and maintained in relation to personnel records/training/personal development, confidential
patient information, appointments, patient treatment, procurement:
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SSTS; PMS; PECOS; Medical Imaging; Digital Dictation; Eksf; Learnpro
PC Databases – ensure the maintenance, amendment and retrieval of information in
relation to patient appointments/statistical gathering
Manual Records – ensure patient review list printouts; appliance prescription cards stored
chronologically for retrieval by technical/admin staff; diaries of appliance/work requests
updated daily; files holding information on Laboratory staff for leave, training, etc; paper
diaries of staff; resource files for reference purposes, e.g. Safety Health and
Environmental manual, requisitions made, brochures of supply companies, etc. File
containing copies of timesheets, expense claims, study leave forms, monthly analysis
sheets which have been sent to various internal departments for processing
Resources - Implementation of a bring forward, pending and returning filing system
ensuring availability of casenotes for quick retrieval of accurate and up to date information
to facilitate the treatment of patients accordingly. Maintain highly confidential and up to
date patient paper filing system for future reference by appropriate personnel
Theatre Sterile Supplies kits - System for timely return of utilised kits, following patient
clinic sessions, operating within proper protocols by ensuring that sterilised kits are stored
correctly within Laboratory and process for return and receipt of kits is strictly adhered to;
log information for future reference in relation to used kits before return for sterilisation
Patient’s medical photography: filing systems on J-peg and photographic prints which
can be accessed at future dates for patients review purposes. Also for teaching and
training purposes for Junior Members of staff/students, e.g. presentations, etc where
permission has been explicitly given by patients
Medical Devices Directive Recording and Tracking System: This system is utilised for
the documenting of C marked materials and components which are provided to patients
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through the provision of prosthesis and appliances on completion of their treatment plans.
This also permits the tracking of components and materials to their supplying company
where LOT numbers can be checked for conformity where failure of material component
has occurred. These forms are filed in chronological order and retained for 5 years.
Risk Management: Located through resource file and computerised information systems.
A system requiring: 1. Identification; 2. Decisions as to who could be harmed and in what
circumstances; 3. Evaluation of the risk arising from the hazards and precautions to be
taken; 4. Recording the findings; 5. Review & assessment.
Safe Systems of Work: Located through resource file and computerised information
system. A System for analysing job safety by: 1. Selecting the process of work to be
studied; 2. Recording through observation of how work is done, equipment, material used;
3. Evaluation of risk involved in the individual activities; 4. Develop safe systems of
working practices; 5. Implementation of the safe systems; 6. Maintenance of the systems
and monitoring of staff carrying out the work to ensure adherence to the approved
systems.
Osseointegrated Implantology Systems: employed in the production of patients’
prosthesis and appliances ensuring that stock of required components are in place for
individual patient appointments. Customised components required for patients are
ordered by postholder in advance from supplier, with patients’ details provided for medical
device certification to be issued with components specific to the individual patient.
Components are then fitted to patient at various stages of treatment gradually, building up
the retaining system of choice and fabricating the individual system components together
to permit engagement and retention of the prosthesis/appliance to the osseointegrated
implantology fixtures previously embedded in the facial/oral cortical bone.
Tissue Matching Colouring Systems: utilisation of various intrinsic and extrinsic
colouring systems such as Cosmesil and Factor II silicone systems. These systems are
employed in the tissue matching stages of facia/body provision. The instrinsic systems
would include a body elastomer silicone base material, catalysts, thixotropic agents, base
skin body colours of which there are 8, master colours of which there are 24, flockingrayon fibres totalling 19, extrinsic colouring kit of which there are 16, extrinsic tri-fluid,
silicone paste dry pigments of which there are 8. The above materials would be mixed
and blended in various proportions and at various stages to produce an exact colour
match of the patients’ tissue when viewed under natural daylight lighting.
Artificial Eye Colour Matching System: Utilising full range of Windsor-Newton oil paint
pigments and Ocular Prosthesis Supplies/Medway scleral tints and vasculerisation fibres
in an attempt to replicate patient’s natural iris/scleral pattern and colour hues. The above
colouring system would be mixed with solvents and varnish to produce an exact colour
match and pattern of the patient’s natural eye when viewed under natural daylight lighting.
8. ASSIGNMENT AND REVIEW OF WORK
As Head of Service and independent Lead Practitioner, patients are referred directly to
postholder through written referrals from Consultants, Junior Medical Staff, Optometrists and
G.P.s for provision of the following services:
 Ocular Prosthesis Service
 Facial Prosthesis Service
On receipt of referral letter, an initial appointment would be allocated to patient. Case notes
would be requested and treatment plan and timescale would be determined by postholder.
Patients due for review appointments would be identified from computer database and
appropriate appointment date assigned.
Responsible for supervising and delegating all administrative and secretarial duties to Personal
Secretary to the Oral Facial Laboratory in relation to patient referral/activity and appliance/work
requests.
Work which is referred to the laboratory from the specialist orthodontic, maxillofacial and
restorative clinics would be delegated according to degree of complexity to appropriate members
of staff. Work which would be of a highly complex and problematic nature would be undertaken
by postholder.
Working in close liaison with all involved specialist consultants ensures that quality of service
problems can be identified and rectified at a very early stage through informal verbal
communication and formal written communication. Wider issues can be identified and resolved
through regular team meetings.
Responsible as Head of Service for ensuring that the department operates within its authorised
capital and revenue budgets and that value for money is obtained in respect of operational
efficiency, quality of work, purchasing of equipment\supplies, contracting out of work to external
laboratory contractors and deployment of income generation projects.
Work is reviewed by General Manager, Surgical Services/Head and Neck through regular
personal contact and formal meetings, written reports and Personal Development Planning.
9. DECISIONS AND JUDGEMENTS
 General requirement to interpret organisational and national policy.
 Area responsibility for interpretation of professional boundaries.
 Management of waiting list and categorisation of patients short or long term wait
 Head of Service responsibilities for colleagues and junior staff. For example, ensuring
adequate cover in laboratory during periods of annual leave, judgements made for appropriate
training needs of staff, decisions in relation to allocation of work, decisions reached in relation
to personnel issues i.e. carers leave/parental leave, general staff supervision decision making,
i.e. staff conflict, timekeeping, etc
 Making judgements and decisions in relation to purchasing of equipment and materials, e.g.
their suitability, appropriate company all within the confines of laboratory budget
 Judgements concerning the adequacies of a broad range of Health & Safety issues/situations
in a busy working laboratory
 Creating income generation opportunities by providing new specialised services. The following
judgements would be made after communication with the appropriate lead consultant of the
surgical service. Is there a service requirement, if so can the work be undertaken with the skills
and knowledge already obtained by the laboratory staff, if not can the skills and knowledge be
acquired through secondment to a unit which provides this service, if not is there an
appropriate training course available, if so what is the cost implication. Can the new service
provision be supported by the present number of staff without compromise to patient care of
existing services? If not how many new members of staff would be required to be appointed
and at what grade and cost implication. Are the laboratory's facilities appropriate? If not what
changes would be required and at what cost. What timescale would be required for treatment
planning and prosthesis provision? What income generation charge would be required to
provide such a service? All of the above information would be correlated and a final business
plan formed in conjunction with the General Manager for Surgical Services prior to presentation
of business plan for funding approval.
 Treatment of patient presenting with a disfigured, phthisical blind eye requiring a cosmetic
scleral shell would require the following judgements to be made prior to design, fabrication and
fitting of the prosthesis. Is there sufficient space between the corneal lens and inner surface of
eyelids to permit fitting of the prosthesis without (over) increasing the palpebral aperture?
Assess the degree of sensitivity present within the eye, reference to patient’s case notes to
establish information regarding condition of the globe. Decision as to whether globe will
withstand pressure required to record a syringe expressed impression of the eye socket
without risk of haemorrhage. If so judgement as to whether administering of a local anaesthetic
will be required prior to impression taking, depending upon degree of sensitivity present.
Assessment is required of patient’s state of mind, e.g. is the patient mentally prepared to
undergo the numerous lengthy clinical procedures involved in scleral shell provision. Does the
patient have the manual dexterity skills required for safe insertion and removal of the
prosthesis? If not will the utilisation of a removal and fitting aid help, if not are family members
available and prepared to carry out the removal, fitting and cleansing procedures
 When treating oncology patients with large facial defects requiring facial prosthesis provision
following radical ablative surgery: Prior to prosthesis fabrication, a full facial impression may be
required. The patient assessment would be conducted through reference to their casenotes
and if deemed necessary, case conferencing with Maxillofacial/ENT Consultants involved and,
most important, discussion with patient and relatives regarding the procedure and assessing
their thoughts and concerns expressed relating to the stages involved prior to formulating a
detailed treatment plan. Typical judgements made when treating such a patient would be as

follows: type of intubation required to provide airway during full facial coverage with
alginate/elastomer/plaster of paris impression materials; assess patients health through direct
questioning e.g. are there contra-indications regarding patient being placed in certain positions
for prolonged periods of time, if so decision to be made in using an alternative position;
determine appropriate impression materials to be utilised, this will depend on the type, location,
tissue condition of defect area and timeframe that patient can tolerate fixed position.
Analyse patients psychological state of mind regarding their ability to undergo complete facial
impression coverage for an extended period of time, e.g. 30-40 minutes; prior to connection of
impression copings onto implant abutments, on close evaluation of the defect site the degree
of packing out of the cavity would be established depending on the depth of inner body surface
detail that is required of the impression; decision to be made on areas of defect site to be
packed to ensure patient safety, e.g. for nasal impression taking procedures risk of impression
material/implant components ingressing into patients bronchia if correct packing procedure not
employed.
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
1. In the provision of prosthesis to patients suffering from large facial deformities due to
disease, genetics, congenital abnormalities or trauma often resulting in radical ablative surgery.
As each patient is an individual, they will present with totally different defect sites and surrounding
tissue involvement, they will have differing skin types, will generally have suffered mental trauma
associated with severe facial deformity, speech site, hearing and smell is often affected depending on
defect involvement. Patients will have varying attitudes to their disfigurement and deformities, however
most will be very self-conscious leading to embarrassment that can result in psychotic disturbances,
therefore any type of disfigurement becomes a major area of concern which can seriously affect not
only the patient, but also the lives of their family members and friends.
In the provision of facial prosthesis, it is imperative that time, patience, motivation, understanding and
empathy is shown to this very vulnerable patient group as psychological as well as practical and
technical problems have to be surmounted.
The practical and technical problems associated with fabricating and fitting prosthesis to these patients
are as follows:
Due to the extent of soft tissue loss, large areas require to be reconstructed which can incorporate the
use of multi specialised technical skills, e.g. patients diagnosed with squamous cell carcinoma,
involvement in the sinus area may require a hemi-maxillectomy (partial palate removal) in conjunction
with exenteration of the orbit (removal of the orbital contents) and partial rhinectomy (partial removal of
the nose).
To provide a prosthesis of this magnitude, ocular prosthetic skills are required for the fabricating of the
artificial eye to match the patient’s companion eye. Prosthodontic skills are required in the provision of
a complex denture construction incorporating an obturation extension into the void and possibly
incorporating magnets for connection to the base of the ocular prosthesis housing magnet keepers for
connection purposes to aid stability of the prosthesis in situ. Facial prosthetic skills must also be
employed for shaping, sculpting and tissue matching of the nasal prosthesis and replacing the loss of
eye lids and surrounding orbital soft tissue due to the ablative surgery employed. Advanced
osseointegrated implantology knowledge and skills may also be required to provide direct retention of
the orbital prosthesis to the cortical orbital bone. This in turn would provide stability to the magnetically
connected obturated denture.
2. The number of specialties that the post requires to provide direct services to, and the
diversity of knowledge and skills required for the provision and implementation of each
individual service, inevitably can result in difficulties being experienced through the frequency
of unavoidable interruptions.
Due to the nature of the post, keeping up to date with the latest innovative techniques for each
specialised service becomes very challenging as many units in the country have departments
specialising in a single individual specialty only. This post has to achieve and maintain similar high
levels of knowledge and skills in not one but all multi specialties in the provision of high quality services
to patients.
11. COMMUNICATIONS AND RELATIONSHIPS
Ophthalmology, Orthodontic, Maxillofacial, Restorative, Surgical,Ear, Nose and Throat
Consultants and Junior Medical Staff - require frequent communication face to face, written,
telephone and email for information sharing on patient referrals; case conferencing; prosthesis
appliance design and fabrication; patient treatment outcomes, team briefings; theatre sessions;
presentations to Junior Medical Staff.
Nurses – frequent communication face to face and by telephone for information sharing
regarding timescale for appliance construction, appointment times for clinic patients, e.g.
orthognathic surgery planning patients. Attending team briefings in relation to future training of
nurses in basic laboratory techniques for Personal Development Plan.
Therapists – face to face, telephone and electronic communication.
Theatre Staff – face to face communication when directly involved in impression taking of
patient’s anophthalmic socket following exenteration of orbital contents in the provision of ocular
prosthesis; provide guidance on extra/intra oral implant placement and undertake abutment
connection.
General Practitioners - through telephone, written regarding referral of Ophthalmology patients
for the provision of ocular prosthesis and treatment outcomes.
General Dental Practitioners - communication through telephone and written regarding income
generation appliance provision.
General Manager, Surgical Services/Head and Neck & Assistant General Manager
Surgical Services - face to face, telephone, written and email communication. Presentation of
statistical information in support of directorate funding for improvements to Oral Facial
Laboratory Services; sanctioning of courses, conferences, leave and appraiser of postholder’s
Continuous Personal Development/Personal Development Plan; participation in Surgical
Directorate Meetings and presentation of major Oral Facial Laboratory issues; dealing with any
problems which arise in relation to the day to day operation of the Laboratory.
Management Accountant - face to face, telephone, written and email communication. Joint
meetings regarding setting of Laboratory capital and revenue budgets annually; intermediate
meetings regarding proposed and future service changes; frequent communication in relation to
budgetary control matters; arranging means of additional funding for courses, e.g. utilising
income generation money, etc; monitoring of external Laboratory contractors charges; invoicing
private patients for income generation monies following prosthesis appliance provision.
Human Resources - face to face, telephone, written and email communication regarding
personnel issues, e.g. employee friendly policies and other conditions of service; policy
awareness sessions; advertising and interviewing for personnel appointments; general
information sharing and reporting.
Works Department - face to face, telephone, written and email communication regarding
equipment maintenance and repair; hardware installation; organisation of Health and Safety
dust/fume extraction testing via external companies.
IT Department - face to face, telephone, written and email communication in relation to updating
and maintenance of PC systems; fault reporting and problem solving; purchasing and installation
of new hardware and software.
External Laboratory Contractors - face to face, telephone, written and email communication.
Design of appliances requested; quality of work issues; invoice payments; provision of
specialised training courses; case conferencing.
Laboratory Secretary - face to face, telephone, written and email communication for daily
delegation and supervision of work; information sharing regarding patients appointment
scheduling; dictating letters to consultants, GPs, Junior Medical Staff regarding patient
outcomes/referrals;
requesting
case
records
for
clinic
sessions;
requesting
prosthesis/appliance/patient statistics from database; sanctioning material and equipment
purchasing; sanctioning laboratory staff personal leave, training, course attendance, Personal
Development Plan and Continuous Personal Development accreditation courses, overtime
payments; arranging diary and scheduling meetings; organisation of Central Decontamination
Unit sterilisation kits; discussions regarding various internal requirements for smooth running of
laboratory.
Medical Records - Requesting and returning patient case records.
Central Decontamination Unit - face to face, telephone, written and email communication
regarding processing and delivery of sterilised equipment; reporting discrepancies such as
missing items or items suffering from degradation within kits where replacement is required.
Patients - face to face, telephone and written communication in the treatment of patients,
through provision of ocular, facial, body and oral prosthesis\appliances in the restoration and
rehabilitation of patients defects caused through trauma, genetics or disease, often resulting in
radical ablative surgery. Due to the severe mental and physical trauma that many of these
patients have endured good communication skills incorporating motivation, persuasion,
reassurance and empathy are routinely employed during patient appointments. Due to the
complexity of design, fabrication and fitting, prosthesis provision requires numerous, lengthy
patient visits (many of which can be of 2-3 hours duration) with regular review appointments
required throughout the lifetime of the patient.
This can create a degree of familiarity with patient and families, which can be emotionally
demanding particularly in cases of terminal care patients. Many patients have combinations of
speech, hearing and sight impairment, making communication problematic, which can require
the services of an interpreter.
College\University Lecturers - telephone, written and email communication regarding the
authorisation and payment of course fees for the training of undergraduate\postgraduate
members of staff. Organising and teaching aspects of the courses which are in house based.
Interpreters - face to face, telephone and written communication requesting their services for
accompaniment of patients to clinic appointments who are speech and hearing impaired.
Medical Photography - face to face, telephone and written communication requesting picture
format, quantity and viewing angle to be taken of patient/prosthesis and defect site for recording
into case records and presentation use. Request for photographs to be mounted on display
boards for use in table top presentations.
Ambulance Service - face to face, telephone and written communication requesting ambulance
pick up of infirm patients for attending clinic appointments.
Education Department - face to face, email and telephone communication regarding
organisation of time tables for career visits to the Oral Facial Laboratory incorporating hands on
demonstrations and presentations. Career advice, information and table top demonstrations
also provided for school leavers in the education centre and public Open Days.
Prison Officers - face to face and written communication required for escorting patients who are
serving custodial sentences to their clinic appointments for treatment.
Sales Representatives - face to face, telephone, email and written communication.
Involvement in specialised prototype component testing, receiving information on new
techniques, materials and equipment, returning unsatisfactory goods, negotiating discounts,
ordering materials/equipment/components, following up undelivered orders\unpaid invoices, etc.,
attending company demonstrations.
Communications Team - face to face, telephone, email promoting through advertising of the
Oral Facial Laboratory services via newspapers, magazines, G.P.s surgeries, Open Days etc.
Camouflage Clinic - written, telephone communications regarding further possibilities of
disguising patient disfigurements.
12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
PHYSICAL SKILLS NEEDED FOR THE JOB - highly developed manual dexterity skills
required when constructing precision appliances by the use of specialised instruments and
equipment for the manipulation of extremely fine and intricate components such as micro screw
systems, osseointegrated implantology components and associated materials.
Highly
developed artistic skills are a pre requisite for sculpting and shaping synthetic materials to
imitate and recreate the form of lost human tissue. Excellent colour differentiation is a
requirement for colour matching the synthetic prosthesis to the natural human tissue shades
around the defect site, hand painting the colours and patterns of the iris and sclera to match the
natural companion eye for ocular prosthesis provision. Keyboard skills required for
communication purposes.
Physical effort needed for the job - frequent standing or sitting for long periods, sudden lifting
effort for short periods.
Standing for protracted periods of time attending theatre, various stages of prosthesis\appliance
fabrication e.g. flasking\packing\polishing. Clinic sessions e.g. facial impression taking, tissue
matching, etc.
Sitting for protracted periods of time fabricating orthodontic\maxillofacial\prosthodontic
appliances\iris\scleral painting ocular prosthesis, carving and modelling ocular
globes\nasal\auricular, etc.
Lifting requiring sudden short bursts of effort e.g. lifting heavy 25kg bags of plaster,
manoeuvring patients into chair, carrying\lifting material\equipment deliveries into stock
cupboard etc.
MENTAL DEMANDS OF THE JOB - requirement for frequent, prolonged, intense concentration
when treating patients who require tissue matching all types of facial and body prosthesis,
ocular prosthesis iris\scleral painting, ocular\nasal\auricular impression taking of facial defects
especially demanding when cranio facial implants are involved, complex and highly complex
orthodontic\maxillofacial and restorative appliances, obturation cases etc.
Due to the extremely broad spectrum of specialised work undertaken and the nature of that
work being of an non routine nature, combined with the day to day management duties required
of the post it is inevitable that perpetual interruptions complicate the working day.
When treating ophthalmology patients requiring provision of an artificial eye following
exenteration of the orbital contents where there is a requirement for an impression of the
anophthalmic socket to be taken in theatre under general anaesthetic.
ENVIRONMENTAL AND WORKING CONDITIONS OF THE JOB
Frequent daily contact with body fluids when treating ocular\facial patients e.g. as part of patient
hygiene control cleansing mucopurulent matter from ocular patients anophthalmic sockets, prior
to syringe delivery of impression material cleansing blood and mucous from within nasal cavity
in preparation for impression taking of the defect site, further cleansing of the impression on
removal from cavity, cleansing blood and debris from around osseointegrated implant abutment
sites, dealing with patient sickness etc.
Monomeric fumes from acrylic resins used in prosthesis\appliance fabrication, fine pumice dusts
created during abrading of appliances, fine dusts\fumes when heating and abrading nickel\silver
during the fabrication of arch bars for the stabilisation of fractured bone segments in trauma
treatment, risk of inhalation of fine silica dust particles during the investment stage of metal cast
cap splint construction used for the stabilisation of fractured bone segments, inhalation of fine
plaster dusts when model casting etc.
Frequently working alone with patients, where the potential for exposure to verbal\physical
aggression inevitably exists.
Noise pollution during operation of laboratory machinery and equipment.
EMOTIONAL DEMANDS OF THE JOB
Due to the nature of the post which primarily involves the rehabilitation, through the prosthetic
restoration, of patients who have undergone radical ablative surgery to the head, face, neck and
body due to disease, genetics or trauma, distressing circumstances are routinely encountered
when treating this patient group. Examples of such circumstances are as follows.
Treatment of patients who have recently been diagnosed as terminally ill.
Empathising with terminally ill patient’s family.
Treatment of young children recently diagnosed with retinoblastoma (eye tumour) resulting in
excision of eye.
Treatment of malignancy patients who have undergone extensive radical ablative surgery e.g.
hemi-maxillectomy incorporating orbital exentration, rhinectomy etc. These types of patients are
often mentally traumatised due to the extent of their disfigurement and require to be shown
considerable empathy and given continuous reassurance and motivation throughout their many
protracted prosthesis fabrication clinic appointments and reviews.
13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
BSc (Hons) Degree in Dental Sciences (4 years)
+
MSc in Maxillofacial & Craniofacial Technology (2 years) plus a further ( 1 year) vocational
training to gain membership of the Institute of Maxillofacial Prosthetists and Technologists
totalling (3 years).
Or
Degree in Dental Sciences (4 years)
+
Post Graduate Diploma in Maxillofacial Prosthetics (2 years)
+
2 Years vocational training to MSc level
+
Postgraduate diploma in Orthodontic Technology (2 years) to gain membership of the
Orthodontic Technicians Association plus further experience and training in a range of advanced
orthodontic technical procedures to masters degree level equivalent.
+
Postgraduate diploma in Prosthodontic Technology (2 years) plus further experience and training
in a range of advanced prosthodontic procedures to masters degree level equivalent
+
Registration with the General Dental Council
In depth knowledge of ocular prosthetics with a minimum of 5 years experience in this highly
specialised field of work.
Laboratory management experience of a minimum 5 years incorporating a knowledge of
business management, health and safety management, man management and communications
skills.
Computer proficient requiring a working knowledge of Microsoft Software Packages.
Experience of teaching/instructing members of staff and other fellow professionals in
clinical/technical aspects of undergraduate and postgraduate course content.
Experience of invasive intra-oral, extra-oral and intra ocular clinical procedures and operating
theatre practice.
In depth knowledge and experience of advanced craniofacial techniques associated with extraoral osseointegrated implantology.
In depth knowledge and experience of advanced restorative techniques associated with intraoral osseointegrated implantology.
In depth knowledge and a minimum of 5 years postgraduate experience of 3 dimensional facial
body prosthesis design, fabrication and fitting.
Knowledge and a minimum of 5 years postgraduate experience of orthognathic surgical planning
systems.
In depth highly specialised knowledge and a minimum of 5 years postgraduate experience of
orthodontic functional, fixed and removable appliances.
In depth highly specialised knowledge and experience of restorative obturation devices.
In depth knowledge and a minimum of 5 years postgraduate experience of highly complex
prosthodontics utilising semi and fully adjustable articulation.
Fully conversant with legislation covering data protection and patient confidentiality.
Knowledge of current COSHH, health and safety legislation to safely handle and use laboratory
equipment and materials.
Knowledge of legislation relating to Medical Devices Directive 93/42/EEC ensuring all material,
component parts and processes for prosthesis and appliance patient provision meet national
guidelines through knowledge of relevant materials science, use of bio-compatible materials,
chemistry, rheology and toxicology.
NHS Ayrshire and Arran
Person Specification
Post Title:
Consultant Maxillofacial Prosthetist and Technologist/Head of Service
Post Reference Number: T/306/15
Selection Factors
(Person
Specification)
Criteria
QUALIFICATIONS Essential
& TRAINING
Desirable
EXPERIENCE
Essential
Desirable
KNOWLEDGE
Essential
BSc (Hons) Degree in Dental Sciences or equivalent
MSc in Maxillofacial & Craniofacial Technology or equivalent
Postgraduate Diploma in Orthodontic Technology
Postgraduate Diploma in Prosthodontic Technology
Membership of General Dental Council
Management Qualification
Membership of the Institute of Maxillofacial Prosthetists
Membership of the Orthodontic Technicians Association
Substantial experience in ocular and facial prosthetics
Substantial experience as a Maxillofacial Prosthetist
Substantial experience as an Orthodontic Technician
Substantial experience as a Prosthodontic Technician
Substantial laboratory management or supervisory experience
Experience of managing an ocular prosthetic service
Experience of managing a multi-disciplinary team
Experience of developing policy/guidelines and protocols and interpreting
organisational and national policy
Computer proficient requiring a working knowledge of Windows applications
Ability to demonstrate an understanding of business management, data protection,
Desirable
COMPETENCIES
& SKILLS
Essential
COMPETENCIES
& SKILLS
Desirable
PERSONAL
CHARACTERISTI
CS AND OTHER
Essential
Desirable
COSHH, Health and Safety Legislation
In depth knowledge of ocular prosthetics
In depth knowledge of facial prosthetics
Demonstrate a broad knowledge of maxillofacial prosthetics, orthodontics and
prosthodontic technology
In depth understanding of all aspects of patient care in the management of an ocular
prosthetic service
Ability to identify all mandatory and statutory requirements for self and team members,
and maintain responsibility for own Continuous Professional Development as evidence
for Personal Development Review
Highly developed written, oral and electronic communication skills
Demonstrate adherence to the I.M.P.T. Fitness to Practice guidelines
Ability to problem solve in the management of highly complex tasks and issues
Ability to plan complex/highly complex work activities for self and others
Highly developed manual dexterity skills
Demonstrate leadership skills
Constructively respond to knowledgeable assessment of own conduct and proactive ability to motivate self and others
Ability to effectively work under pressure
High level of mental resilience