SPECIALTY DOCTOR IN BREAST SURGERY

ACUTE SERVICES DIVISIONNHS FIFE

INFORMATION PACK

www.medicaljobs.scot.nhs.ukwww.nhsfife.org www.medicaljobs.scot.nhs.ukwww.nhsfife.org

Information for Candidates

CONTENTS

Page(s)

Post Information 3

Queen Margaret Hospital, Dunfermline 3

Post Description 4

Duties & Responsibilities 4

Job Planning 5, 6

Person specification 7

Terms and Conditions of Service 8, 9

Fife Region 10

How to Apply 10

Further Information 11

POST INFORMATION

POST: Specialty Doctor in Breast Surgery

BASE: Queen Margaret Hospital, Dunfermline

You will join a well established team of 2 Consultant Surgeons, 1 Staff Grade Surgeon and 3 Specialist Nurses who provide elective and emergency services in Fife.

This is a full-time post based at Queen Margaret hospital, Dunfermline which is a 23 hour stay facility in Fife, acute services are bases at the Victoria Hospital in Kirkcaldy. The Breast Service is responsible for over 2500 new patient episodes each year and treats approximately 130 new cancers every year. A full range of breast procedures is offered by the unit, including reconstructive, oncoplastic procedures and symmetrising surgery. Free flaps are undertaken by the regional plastic surgery service.

The post holder will be expected to help in the administration of the unit and participate in operating lists, new patient clinics, follow-up clinics and emergencies where appropriate. The on-call commitment is currently two nights per fortnight.

Queen Margaret Hospitals

The Queen Margaret Hospital (QMH) is a 23 hour and short in-patient facility with 5 theatres and full out-patient department. One-stop and follow-up clinics are performed on site.

Pre assessmentWithin VHK, there is a dedicated "Pre-Assessment Suite" which provides pre-operative assessment for all general surgical, orthopaedic, urology, oral, maxillofacial, breast and vascular specialties. It has been operational for more than 10 years and has a throughput of approximately 5500 patients per annum. The service has evolved into a comprehensive nurse lead assessment service providing the patient with vital personal contact, pre-operative information, instruction and follow up tests. Nurse practitioners perform full physical examination including heart and lung assessment, ECG interpretation and prescribing where necessary. The pre-assessment staff have an excellent working relationship with the cardiology department providing the patient with immediate cardiology opinion when necessary.

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POST DESCRIPTION

Introduction

The advertised post of whole time Specialty Surgeon in Breast is an established post to join a team of 2 consultant colleagues who also provide services at the Western General Hospital in Edinburgh, 1 specialty doctor and an expert team of 3 Breast specialist Nurses.

Consultant StaffingMr. G.T. Neades, Clinical LeadMr. I. Young

DefinitionWhole time Specialty Doctor based at Queen Margaret Hospital, Dunfermline. This post entails provision of a comprehensive core Breast service to the Operational Division of NHS Fife with Consultant and Specialist colleagues. Previous experience in Breast Surgery is essential.

DUTIES AND RESPONSIBILITIES

Clinical

The key role of this new post will be to provide cover and support for the usual clinical activities of the Breast Service Team. These duties will include:

Attendance at Outpatient Clinics, one stop new patient clinics and follow-up clinics Operating Sessions, for day case and short term inpatient procedures Inpatient ward rounds Attend weekly MDMs Provide administrative cover for the Breast Service, including dealing with GP referrals and

managing long-term follow-up Out of hours cover will be required. This is currently two nights per fortnight to provide cover

for post-operative cases and is shared with an Associate Specialist from NHS Lothian.

The post holder would be expected to have appropriate skills for management of the Elective Breast Surgical cases. Support would be available from more senior staff.

The post holder will be available for help and advice and to give opinions to a general medical inpatient or an A&E attendee as well as other hospital colleagues.

Administrative duties that would be part of the post include those associated with care of patients and sharing with colleagues the efficient organisation of the specialty.

The appointee will be expected to participate in all aspects of the Clinical Governance structures developed by the Trust to monitor, maintain and develop quality and effectiveness of care. As indicated above, this will include involvement in audit and appraisal. As part of the latter meeting requirements for continuing medical education and attention to continuing professional development will be required

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Job PlanThe Job Plan is well established and consists of 10Pas. The level of participation in on-call will be agreed at job planning. Your job plan will be subject to review once a year by you, your colleagues in the Breast Service and the Lead Clinician/Clinical Director, as laid out in the terms & conditions of the new consultant contract.

In the event of any significant changes in the circumstances affecting this job plan, it is agreed that it will be renegotiated jointly in collaboration with consultant colleagues.

AM PMMonday Operating List Operating ListTuesday Alternate new patient clinic/admin MDM. Alternate new patient

clinic/admin/SPAWednesday New patient clinic New patient clinicThursday New patient and follow-up clinic Admin/SPA

Friday Follow-up clinic Local Anaesthetic list once per month/admin/SPA

Part A: Fixed Programmed Activities (10 PA’s)

Weekly timetable of Fixed Programmed Activities* (i.e. regular scheduled NHS activities in accordance with paragraph 30B of the terms and conditions of service).

Each elective theatre session equates to a 5.0 hour Direct Clinical Care Session as defined by the Specialty Doctor contract which includes pre and postoperative care. We may be able to incorporate a specialty interest for a suitable candidate.

The job plan will be subject to review once a year by you and the Clinical Head for Breast, as laid out in the terms & conditions of the Specialty Doctor contract.

Appraisal/RevalidationThe successful candidate will participate in the appraisal and revalidation processes. You will participate in an annual appraisal. You will be allocated to an appraiser on appointment. The successful candidate will also attend an annual Mandatory Training update. Dates will be circulated by the Medical Director’s Office.

Teaching, Research and AuditThe successful candidate will be expected to take an active interest in the teaching of undergraduates and in the training of junior medical staff.

Candidates will be expected to encourage the audit and research activities of junior medical staff in addition to their own personal audit and research activities.

The post holder will be required to participate in multidisciplinary / multi professional meetings based at Queen Margaret Hospital

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The post holder will be required to play an active role in medical and clinical audit

Continuing Medical EducationThe Board supports and will require the successful candidate to participate in continuing medical education (CME). You are entitled to 30 days paid study leave within any 3-year period, with expenses for the purposes of CME.

Clinical GovernanceThe Planned has an active Clinical Governance programme, in which the junior staff are expected to participate. Clinically based research projects are frequently undertaken by junior staff with strong support from the Consultants and good secretarial support.

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SPECIALTY DOCTOR IN BREAST

PERSON SPECIFICATION

CRITERIA ESSENTIAL DESIRABLEQualification Candidate will have completed at

least four years full time postgraduate training (or equivalent gained on a part-time basis) at least two of which should be in a specialty training programme or a fixed term specialty trainee in relevant specialty or shall have equivalent experience and competencies.

FRCS

Full registration with the GMC and hold a current licence to practise.

Postgraduate Breast qualification.

Experience Three to four year’s training in Breast.

Experience of Breast in the UK

Knowledge Knowledge and understanding commensurate with experienced SpR level.

Teaching Proven ability to deliver high quality teaching.

Experience in teaching of undergraduates.

Research Evidence of publications relating to Breast

Audit Evidence of participation in audit activities

Management Basic understanding of health service management structures.

Interest and Motivation

Genuine commitment to the Specialty.

Sensitivity to professional issues, standards and ethics.Ability to work as part of a multidisciplinary team.

Knowledge of recent changes in the NHS in Scotland

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TERMS AND CONDITIONS OF SERVICE

The post is covered by the Hospital Medical and Dental Staff and Doctors in Public Health and The Community Health Service (Scotland), Specialty Doctor Grade, Terms and Conditions of Service.

TYPE OF CONTRACT Permanent

GRADE AND SALARY Specialty Doctor£37,547 to £70,018 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 hours per week (pro rata to 40 hours for part time staff)

SUPERANNUATION You have the option to join the NHS Superannuation Scheme, to participate in the State Earnings Related Pension Scheme or to take out a Personal Pension. Employee’s contributions to the NHS Scheme are Tiered based on your earnings and the employers contribution equates to 13.5 % of salary. Employees in the NHS Scheme are “Contracted-out” of the State Earnings Related Pension Scheme and pay a lower rate of National Insurance contributions. Employees who choose to participate in the State Earnings Related Pension Scheme pay the higher rate of National Insurance contribution. A Stakeholder Pension is also available. A Personal Pension is a private arrangement agreed with the pension provider that will be an organisation such as a Bank, Building Society or Insurance Company.

REMOVAL EXPENSES Assistance with removal and associated expenses may be given and should 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.

SMOKING POLICY NHS Fife operates a No Smoking Policy in all premises and grounds.

DISCLOSURE SCOTLAND

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.

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CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK

NHS Fife 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 Fife. 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 Fife guarantees to interview all applicants with disabilities who meet the minimum criteria for the post.

EQUAL OPPORTUNITIES

The post holder will undertake their duties in strict accordance with NHS Fife’s Equality Diversity and Human Rights Policy.

NOTICE The employment is subject to three 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 the post holder’s 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.

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Additional Information for Candidates

FIFE REGION

The region of Fife is bounded in the north by the Firth of Tay, in the east by the North Sea and in the South by the Firth of Forth. The region spans and area of 130,700 hectares and has a population of 360,000. There is a highly developed agricultural area in east and North east Fife, and in the west there is an extensive cross section of highly skilled and scientifically orientated industry. The largest towns are Dunfermline, Kirkcaldy and Glenrothes. The cathedral city of St Andrews is the seat of Scotland’s oldest and the UKs second oldest university.

Fife is an area of considerable scenic and historic interest. A wide range of sporting facilities are available including golfing, with St Andrews and Gleneagles nearby; sailing along all coasts, motor sports at Knockhill international racing circuit, swimming, fishing, curling, soccer, rugby, cricket, and gliding. The Cairngorm Mountains are within easy reach providing access to skiing, mountaineering, orienteering, stalking and salmon fishing. Wide ranges of cultural activities are available in Fife and in the nearby cultural centres of Edinburgh and Glasgow. The main urban and leisure centres of central Scotland are closeby and there are excellent air, rail, and motorway links to the rest of the UK. Edinburgh and Glasgow Airports are within easy reach by road.

HEALTH CARE IN FIFE

Health care in Fife is provided by an Acute Services Division and three Community Health Partnerships:

Acute Services Division – Acute services for Fife

Three Community Health Partnerships Community, Learning Disability and Mental Health Services

Corporate Services are based at the Board’s Headquarters, Hayfield House, adjacent to Victoria Hospital, Kirkcaldy.

FIFE COUNCIL

www.fifedirect.org.uk

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FURTHER INFORMATION

For further information on NHS Fife, please visit our website on www.show.scot.nhs.uk

View all our vacancies at www.medicaljobs.scot.nhs.uk

Prospective applicants wishing further information about the post are invited to contact Mr K Janjua with whom visiting arrangements can also be made.

HOW TO APPLY

Application forms can be obtained by emailing sharon.rushford@nhs.net. Please note we will no longer accept CVs as part of the recruitment process which brings us in line with the normal recruitment practices for other staff groups and best practice.

Application forms should be emailed to sharon.rushford@nhs.net

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