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(Incorporating general information about Guy’s and St Thomas’ NHS Foundation Trust)
Full Time At Guy’s & St Thomas’ NHS Foundation Trust (GSTT)
Section Section 1: Section 2: Section 3: Section 4: Section 5: Section 6: An introduction to this Appointment Guy’s & St Information Thomas’s NHS Foundation
Page 3 Trust 4 5 6
Directorate & Department Information Key Result Areas, Main Duties & Responsibilities
General Information Relating to Terms & Conditions of 16 Service Person Specification 27
This means that some staff groups will increasingly be asked to work a more flexible shift patter so that we can offer services in the evenings or at weekends. This is an excellent opportunity to join a first class team in an active and progressive central London teaching hospital environment. enthusiastic and forward thinking team. enhanced recovery & difficult airway skills.3 GUY’S & ST THOMAS’ NHS FOUNDATION TRUST 1.uk or Dr Jonathan Watkiss. General enquiries.nhs. about the job or for an informal discussion about this post should be directed to Dr Eoin Sherry. regional anaesthesia.000 patients per year. The Department covers all surgical specialities with the exception of neurosurgery and liver transplantation. The department has a special interest in teaching & training. eoin. We are about to introduce a computerised perioperative record. An introduction to the Appointment These posts arise from new service development The Department of Anaesthesia is seeking new full-time (10 PA) Consultants to join a dynamic. 3 . We anaesthetise over 45.uk As an organisation we are committed to developing our services in ways that best suit the needs of our patients.watkiss@gstt. Deputy Clinical Lead for Anaesthesia jonathan. patient optimisation. Phillips monitors & sonosite ultrasound for nerve blocks. We have recently equipped all our anaesthetic sites with Drager Primus anaesthetic machines. The department is currently involved in many exciting initiatives and are looking for an individual with appropriate skills to complement this team and help keep the service in the forefront of clinical and academic excellence. Clinical Lead for Anaesthesia.nhs.sherry@gstt. We have an active role in the trust’s new high fidelity simulation centre.
For further information about Kings’ Health Partners. King’s College Hospital and South London and Maudsley NHS Foundation Trusts.org . clinical services. and we are home to the Evelina Children’s Hospital. Kings College London and our research please see the following links: www. http://www. which comprises King’s College London.kingshealthpartners. Our AHSC brings together the best of basic and translational research. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends. as well as community health services for people living in Lambeth and Southwark. dating back almost 900 years. women’s and orthopaedic services.guysandstthomas. clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. and Guy’s Hospital at London Bridge. We are part of King’s Health Partners Academic Health Sciences Centre (AHSC).uk/research/research. We provide a full range of hospital services for our local communities. Through our AHSC. We also provide specialist services for patients from further afield. KHP is one of just five accredited UK Academic Health Sciences Centres (AHSCs).4 2. and training and development across all of the KHP partner organisations. including the Evelina Children’s Hospital. kidney.guysandstthomas. Our hospitals have a long and proud history. The King’s Health Partners Integrated Cancer Centre (ICC) is the vehicle for developing and managing cancer research. We have one of the largest critical care units in the UK and one of the busiest A&E departments in London. As an organisation we are committed to developing our services in ways that best suit the needs of our patients. Guy’s & St Thomas’ NHS Foundation Trust Information The Trust consists of St Thomas’ Hospital at Waterloo.ac. and have been at the forefront of medical progress and innovation since they were founded. a pioneering collaboration between one of the world’s leading research-led universities and three of London’s most successful NHS Foundation Trusts.aspx 4 .uk/medicine/index.nhs.biomedicalresearchcentre. http://www. cardiac. we are committed to making research and education integral to the delivery of high quality clinical care. teaching and research excellence.aspx and www. King’s College Hospital NHS Foundation Trust and South London and Maudsley NHS Foundation Trust.uk/aboutus/how-we-are-doing/home.uk for further details. We also have a positive approach to corporate social responsibility and are keen to engage our staff in an agenda that ranges from promoting environmental sustainability to the creation of local employment opportunities.kcl. See www.aspx.nhs.nhs.guysandstthomas.org Finally information regarding how we score on patient safety and experience can be found in the following specific report http://www. including cancer. We are also part of King’s Health Partners (KHP). We continue to build on these traditions and have a reputation for clinical. Our AHSC is one of only five in the UK and consists of King’s College London and Guy’s and St Thomas’. Guy’s and St Thomas’ NHS Foundation Trust.
There are. Barbara Bolton and Rosie Hanratty at Guy’s and Diane Wallis and Verline Forrest at St Thomas’. Respiratory. in addition several link Consultants for anaesthetic sub-specialties. The Clinical Lead for Anaesthesia is Eoin Sherry.Paediatrics Dr David Burt Dr Amit Chawla . However. Paul Bennett. it is a requirement of your employment that you be prepared to work at any additional or different location owned or served by the trust.5 3.simulation Dr Tahzeeb Bhagat – Paediatrics Dr Katherine Brand . either on an on-going or temporary basis according to the demands of the service. Tak Lee are joint heads of our CAG. The work covers main theatres. day surgery. obstetrics. Both sites have a library and a seminar room. and Pain (PCCP).cardiac & paediatrics Dr Rina Mehrotra Dr Don Miller Dr Shyamala Moganasundram – Paediatrics Dr Andrew Morley – Lead Clinician liaising with A&E Dr Franco Moscuzza – Clinical Lead for Theatres Dr Chris Munns – cardiac and TOE lead Dr Cheng Ong. cardiac catheters. Critical Care.Cardiac Dr Christopher Chin . Main place of employment: The post will be based at the Guy’s and St Thomas’ site.difficult airway & Thoracic Dr Geraldine O’Sullivan – Specialist Lead for 5 . Clinical Directorate & Department Information The Anaesthetic Service Structure The Anaesthetic Service provides care for patients across all hospital sites. Anaesthetics and Pain Clinical Academic Group with the AHSC. critical care unit. Function Anaesthetic services are provided for all major specialties except neurosurgery. Facilities There are anaesthetic offices on both sites with shared IT facilities and desk space. Anaesthesia sits within the Allergy.000 anaesthetics every year. Dr Richard Beale and Prof. Critical Care. The Clinical Director is Dr Richard Beale and the Directorate General Manger is Amelia Godson. Departmental Staff Consultants Dr Imran Ahmad Dr Emad Aziz-Ultrasound & regional blocks Dr Joseph Azzopardi – chronic pain Dr Craig Bailey – cardiac & paediatrics Dr James Barron . who work with the assistants for managing undergraduate and postgraduate training along with the organisation of the St Thomas’ FRCA courses. There are a number of service administrative staff on each site. accident and emergency and overnight intensive recovery. this includes the Birth Centre. It forms part of the Clinical Directorate of Perioperative Medicine. The department gives over 45. pain services. The Trust provides a shuttle bus between the 2 sites operating every 20 minutes from 0700 to 2200. MRI.
Paediatrics Dr Claire Shannon – Regional Advisor. To ensure patients are involved in decisions about their care and to respond to their views.Paediatrics Dr Morton Lim – FRCA Course Organiser Dr Simon Liu . This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends. Clinical lead for Anaesthesia. 6 . To ensure prompt attendance at agreed direct clinical care Programmed Activities. Paediatric & Cardiac Anaesthesia Dr Eoin Sherry – Clinical Lead for Anaesthesia Dr Marcin Sicinski – Lead for Risk and CNST Dr Dan Taylor .undergraduate teaching Dr Sanjay Gulati. Provide High Quality Care to Patients The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice To develop and maintain the competencies required to carry out the duties required of the post.cardiac & paediatrics Dr Claire Mallinson – Sub Dean Dr Stuart Marshall-thoracic and spinal Sx Obstetric Anaesthesia/Analgesia Dr Adrian Pearce –thoracic and airway Dr Rachel Pegg Paediatrics Dr Veda Ponnaiah . Main Duties and Responsibilities The post-holder will be accountable to Dr Eoin Sherry.obstetrics Dr Sangeeta Mahajan Dr Dev Mahtani .Paediatrics Dr Tessa Hunt .cardiac Dr Helen Harker .Paediatrics Dr Jonathan Watkiss – College Tutor for ST3/4 and Training Lead Dr Georgina Wilson Dr Karen Wouters .rota master Guy’s site Dr.Obstetrics Dr Neena Seth .Paediatrics Trainees 6 x ST1 8 x ST2 40 x ST3/4/5/6/7 4.Cardiac Dr Ben Fitzwilliams Paediatrics Dr Vip Gill .Paediatrics Dr Charles Thoburn pre-op assessment Dr. Key Result Areas. Amit Pawa – ultrasound nerve blocks Dr Arsenyj Powroznyk .Cardiac Dr Jan Schumacher Dr Helena Scott – College Tutor for ST5/6/7 Dr Jason Scott .cardiac Dr Stuart McCorkell – Cardiac Dr Sarah McDonald .Cardiac Dr Madhu Puchakayala .A.6 Dr Marina Choudhury Dr Winston Coutinho Dr Helen Daly – Lead for Audit Dr David Daniels – Lead Clinical Governance Dr Caroline Ward-Davies . Huw Thomas Dr Lance Tooke . As an organisation we are committed to developing our services in ways that best suit the needs of our patients.Paediatrics Dr Bernd Thiessen .Ultrasound & R.Cardiac Dr David James – Deputy Medical Director Dr Doug Justins – chronic pain Dr Paul Kelly – spinal surgery Dr Anita Kovacic .Paediatrics Dr Charlotte Taylor – Specialist Lead for Priority Table Dr Emma Taylor – Cardiac Dr Mandy Thadsad .Paediatrics Dr Leslie DSouza Dr Michael Duncan – chronic pain Dr Robert Feneck .Paediatrics Dr Yasmin Dean . Dr George Hallward .
at all times meeting the full requirements of Research Governance. Operational efficiency e. To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director. Financial management e. monitoring and managing the drug budget to target. Performance Management To work with medical. To work closely with the Directorate. Medical Staff Management To work with colleagues to ensure junior doctors’ hours are compliant in line with EWTD and New Deal. To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas. 7 . identification. Teaching and Training Where possible to collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio.g. Governance To review clinical outcomes in designated area using external benchmarking data where appropriate. managing locum agency spend.g. To be responsible for the annual appraisal of all doctors in training. reducing cancelled operations Quality of outcomes e.g. infection control targets. Participate in clinical audit.g. To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis. Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager. Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas. To role model good practice for infection control to all members of the multidisciplinary team.g.7 Research. day-case rates. reducing re-admission rates. To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post. waiting list activity and demand management. to identify and advise variances to the Clinical Director. Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director. To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director. incident reporting and analysis and to ensure resulting actions are implemented. nursing and managerial colleagues to ensure high performance in the following areas: Clinical efficiency e. To participate in team objective setting as part of the annual job planning cycle. implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e. ensuring accuracy of clinical data for the team. including on-call commitments To participate in the recruitment of junior medical staff as and when required. Trust doctors.
involving appropriate parties. the Trust and when participating in national or local initiatives. clinical teams. as delegated by the Clinical Director.8 Strategy and Business Planning To participate in the business planning and objective setting process for the directorate and Trust where appropriate. Leadership and Team Working To demonstrate excellent leadership skills with regard to individual performance. Adhere to Trust/departmental guidelines on leave including reporting absence. To chair regular meetings for the specialties. To represent the Trust at appropriate clinical networks/other external clinical meetings. To resolve conflict and difficult situations through negotiation and discussion. To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required. 8 .
5 SPAs on appointment.25** Total 10 **SPAs are allocated in accordance with the trust policy on SPA allocation (copy available on request). . New appointees are allocated 1. Anaesthesia (cannula to skin) is expected to commence at 08. The initial job plan for this post is planned to be: Number of programmed activities 5. This means that some staff groups will increasingly be asked to work a more flexible shift patter so that we can offer services in the evenings or at weekends. mandatory training Undergraduate teaching Postgraduate training Additional clinical governance responsibilities Research Clinical management Supporting programmed activities: 0.0 3. As an organisation we are committed to developing our services in ways that best suit the needs of our patients. such that the work content of the weekly timetable of commitments will vary in terms of: Hospital / location Type of Work Start time and finish time.5 1 0.9 Job Plan Your job plan is anticipated to contain 10 Programmed Activities per week on average to be carried out on Guy’s & St Thomas’ sites and includes on-call commitments.30 to start pre-operative assessment. Typically. The trust encourages all-day 9 . consultants arrive at 7. according to the demands of the anaesthesia service.25** 0. the post holder is required to work flexibly. The job plan will be negotiated between the consultant and his/her clinical director at least annually.30. clinical governance. Proposed timetable On commencement of employment. continuing professional development. Final agreement on the timetable of commitments will be undertaken on starting in post and then reviewed at least annually as part of the job planning process. appraisal. This is an outline programme and you will be expected to discuss and agree a detailed job plan including your personal and professional objectives with your Clinical Director within 3 months of your start date.0 Fixed Lists Programmed activities for direct clinical Team Based annualised Flexible Sessions care: Administration On call ( predictable & unpredictable) Job Planning.
m. The anaesthetic department makes every effort to ensure that anaesthetists receive statutory rest breaks. Evening elective work (5 p. The job plans will be built following a team approach to the delivery of anaesthetic services.) Monday to Friday 2. This job plans contain annualised sessions to allow for the demand from surgical specialties for 52 week cover. The Trust has a service requirement in a wide variety of surgical specialties. Daytime elective working at the weekend no more frequent than 1 in 4. Future Job Plans may include 1. we would be able to construct the job plan to suit individual areas of expertise and interest.30 after the safe transfer of the patient to the recovery unit. The working day typically finishes at 17. In the desire to recruit excellent candidates. The following Job Plans are indicative only and give examples of 10 PA job plans within the department. We plan to introduce a ‘on the floor consultant anaesthetist’ to reduce turn around time between cases and allow rest breaks. The timing of these sessions will be reviewed and agreed on a quarterly basis with the rota master to allow for service delivery by the department and work-life balance for the consultant. to 9 p. The breadth of skills required and maintained by the consultant will be reflected in the work that they are asked to deliver in these flexible sessions. The annualised DCC sessions are delivered according to demand and thus need to be flexible in time and specialty.m.10 lists where feasible. 10 .
25 1. 1x6 wks 1x1 wk) 1x1 1x1x DCC DCC DCC 1.11 Post 1 Hospital/ location Type Work of Start time and finish time 07:3012:30 Frequency: DCC or (e.5 2.30 1x1 1x1 1x1 SPA SPA DCC 1 0.25 2.g. SPA 1x4 wks.7 STH Monday STH Trustwide Tuesday Plastic Surgery CEPOD list 12:3017:30 Annualised team– based flexible sessions Wednesday STH Thursday STH STH Friday CPD/CME Teaching Colorectal 08:3012:30 13:0015:00 07.3 0.5 Saturday STH STH Emergency 08:00Theatre 17:00 on call 1x10 1x20 DCC DCC 0.3017.5 This post includes 113 annualised team-based flexible PAs of Direct Clinical Care 11 .
5 Friday Saturday STH STH Emergency Theatre on call 08:0017:00 1x10 1x20 DCC DCC 0.5 STH Monday STH Trustwide Gynae (Mr Nath) Tuesday Annualised team–based flexible sessions CPD Teaching Ortho trauma 08.3017.3012. 1x6 wks 1x1 wk) 1x1 DCC 2.12 Post 2 Hospital/ location Type Work of Start time and finish time 07:3017:30 Frequency: DCC or (e.5 2. SPA 1x4 wks.7 Guys Wednesday Guys Thursday STH SPA SPA DCC 1 0.3 0.g.30 1x1 1x1 1x1 DCC 2.30 13:0015:00 07.5 This post includes 113 annualised team-based flexible PAs of Direct Clinical Care 12 .
7 Saturday STH STH DCC DCC 0. SPA 1x4 wks. 1x6 wks 1x1 wk) 1x1 SPA 1x1 1x1 SPA DCC or 1 0.5 Tuesday Wednesday STH Thursday Plastic Surgery 07:3017:30 1x1 DCC 2.30 13:0015:00 07:3017:30 Monday STH STH STH CPD Teaching Ortho Trauma Frequency: DCC (e.g.13 Post 3 Hospital/ location Type Work of Start time and finish time 08.5 2.5 This post includes 113 annualised team-based flexible PAs of Direct Clinical Care 13 .3 0.5 Trustwide Friday Annualised team–based flexible sessions Emergency Theatre on call 08:0017:00 1x10 1x20 DCC 2.3012.
5 1.5 Trustwide Thursday Annualised team–based flexible sessions Cleft Surgery DCC 1.25 Tuesday Wednesday Guys Breast Surgery Renal 07:3012:30 12:3017:30 1x1 1x1 DCC DCC 2.3 0.5 This post includes 61 annualised team-based flexible PAs of Direct Clinical Care 14 . 1x6 wks 1x1 wk) 1x1 SPA 1x1 1x2 SPA DCC or 1 0.30 07:3017:30 1x2 1x2 DCC DCC 2. SPA 1x4 wks.g.45 Guys Friday Urology 07.5 Saturday STH STH Emergency Theatre on call 08:0017:00 1x10 1x20 DCC DCC 0.14 Post 4 Hospital/ location Type Work of Start time and finish time 08:3012:30 13:0015:00 07:3017:30 Monday STH STH STH CPD/CME Teaching Interventional radiology Frequency: DCC (e.3017.
5 DCC 2. SPA 1x4 wks.5 Trustwide Tuesday Annualised team–based flexible sessions CPD/CME Teaching DCC 2. 1x6 wks 1x1 wk) 1x1 2. On call category and %: A 3% 15 .3012.15 Post 5 Hospital/ location Type Work of Start time and finish time 07:3017:30 Monday Guys Urology Frequency: DCC or (e.3 0.30 08:3012:30 08:0017:00 1x2 1x2 1.g.5 Thursday STH Friday General Surgery (Hubbard) Plastic Surgery (Healy) 08.25 DCC 1.5 This post includes 113 annualised team-based flexible PAs of Direct Clinical Care On Call Rota 1 in 20.5 Saturday STH STH Emergency Theatre on call 1x10 1x20 DCC DCC 0.25 DCC 2.7 Wednesday Guys Guys 08:3012:30 13:0015:00 1x1 1x1 SPA SPA 1.
need to be agreed in advance with the clinical director and allocated as PA time for additional NHS responsibilities in the job plan. The timing and location of these activities should be included in the job plan. They are subject to change or withdrawal upon three months notice given by either party. but will be subject to withdrawal and pay will automatically revert to the number of 16 Additional responsibilities Additional Programmed Activities (APAs) . offer the consultant the opportunity to carry out up to one Programmed Activity per week on top of the standard commitment set out in their contract of employment. which are deemed appropriate. Salary scale: As stated in the advert London Weighting: As stated in the advert ASPECT OF JOB Additional Increments DETAILS Increments over and above the minimum of the salary scale will only be given for previous consultant level experience or where training has been lengthened by virtue of being in a flexible training scheme or because of undergoing dual qualification. Time spent doing a higher qualification or additional years spent doing clinical work. Consultants must offer the Trust any additional capacity they may have if they wish to undertake private professional services. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends. APAs are a temporary addition to the substantive contract and they must be agreed annually. examples include undergraduate and postgraduate deans and Caldicott Guardian Any additional NHS responsibilities. General Information Relating to Terms and Conditions of Service Main Conditions of Employment. The Terms and Conditions applicable to this appointment. If a consultant fails to submit the job plan for annual review then any APAs previously agreed will not automatically be renewed. but is not obliged to. research or sub-speciality training does not count towards additional credit (see Schedule 12 of the Terms and Conditions).16 5. The Trust may. As an organisation we are committed to developing our services in ways that best suit the needs of our patients. are available on request. These are responsibilities undertaken within or without the Trust – and are specific to individual consultants.
agreed NHS commitments should take precedence over private work. including the timing. Guidance on appraisal is available from the Medical Directors office (GSTT) Consultants need to have fully participated in the appraisal and job planning process prior to applying for Clinical Excellence Awards It is a Trust requirement that clinical staff participate in 4 formal clinical governance sessions each year. consultants should include in their job plan. The provision of services for private patients should not prejudice the interest of NHS patients or disrupt NHS services. A consultant who wishes to undertake private practice must offer any additional capacity to the Trust for NHS work. and NHS facilities. Full time consultants who are currently working the equivalent of 11 or more Programmed Activities. patients and health service business and be aware of the Data 17 Appraisal Clinical Awards Excellence Clinical Governance Code of Conduct on Private Practice . details of regular private practice commitments. With the exception of the need to provide emergency care. Individual specialities may undertake additional governance sessions providing it does not impact on clinical activity. and needs to have been undertaken prior to the launch of the job planning process. Annual Leave Schedule 18 of the Terms and Conditions sets out the entitlement for annual leave as follows: Up to Seven years completed NHS service as a consultant – 32 days (based on a 7 day week) Seven or more years – 34 days (based on a 7 day week) The appraisal process is distinct though interlinked with the job planning process.17 substantively agreed Pas as set out in the contract until the matter is resolved. staff and services may only be used for private practice with the prior agreement of the NHS employer. and who have agreed with their clinical manager that the same level of activity should form part of their Job Plan. As part of the annual job planning process. will not be expected to offer any additional NHS work. Confidentiality The post-holder must maintain confidentiality of information about staff. location and broad type of activity to facilitate effective planning of NHS work and out of hours cover. 100% attendance is expected.
which will not be unreasonably withheld. All employees of Guy’s and St Thomas NHS Foundation Trust must not. This includes details of cautions. as well as convictions. In circumstances where it is known that a member of staff has communicated to an unauthorised person those staff will be liable to dismissal.direct. other NHS or voluntary organisation) or in any activity which may compete for any NHS contracts to supply goods or services to the Trust. In addition the NHS Code of Conduct and Standards of Business Conduct for NHS Staff require you to declare all situations where you or a close relative or associate has a controlling interest in a business (such as a private company. You should not engage in such interests without the written consent of the Trust.18 Conflict of Interests Protection Act (1984) and Access to Health Records Action (1990). You may not without the consent of the Trust engage in any outside employment and in accordance with the Trust’s Conflict of Interest Policy you must declare to your manager all private interests which could potentially result in personal gain as a consequence of your employment position in the Trust. either on appointment or subsequently. Further information is available from the Criminal Records Bureau and Disclosure websites at www. whenever such interests are gained. the Data Protection Act l998 also renders an individual liable for prosecution in the event of unauthorised disclosure of information. reprimands. Moreover. You must therefore register such interests with the Trust. All doctors who are offered employment will be subject to an enhanced disclosure check by the Criminal Records Bureau before the appointment is confirmed.uk All contracts must be predominantly DCCs and all Programmed Activities (including SPAs) must be evidenced and agreed. It is your responsibility to ensure that you are not placed in a position which may give rise to a conflict of interests between any work that you undertake in relation to private patients and your NHS duties.gov. without prior permission disclose any information regarding patients or staff. 18 . All applicants who are offered employment will be subject to a criminal record check from the Criminal Records Bureau before the appointment is confirmed. public organisation. final warnings. Criminal Bureau Records Direct Clinical Care (DCC) Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974.
the Trust or the wider NHS o Agreed in advance o No loss of service delivery within the specialty/department unless replacement of this loss is agreed o Part of appraisal and regular review. with number of days and activities undertaken recorded o External duties will not normally count towards the assessment of additional PAs particularly where they replace required Trust clinical work It is important that before consultants enters into any new external commitments which would impact on their job plan. External duties Fee paying services The approach defining how to handle fee paying services is covered in the section on Private Practice and set out in the terms and conditions of the consultant contract (Schedules 10 and 11). o College work and examinations o National representation on committees and teaching o London Deanery o Trade union activities o External lectures External duties need to fulfil the following criteria. o Emergency duties o Operating sessions o Ward rounds o Frontline clinical work (ICM. o Demonstrable benefit to the individual.HDU.19 DCC activity is work directly relating to the prevention. Some consultants undertake additional duties for organisations which are associated with the NHS but not formally part of it.HBC) o Outpatient activities o Clinical diagnostic work o Other patient treatment o Public health duties o MDT meetings about direct patient care o Administration directly related to these activities above All of this detail needs to be included in the weekly timetable and must include start and end times for each activity. It is important for consultants to identify whether 19 . that they secure the agreement of their Clinical Director to assess the impact on the service and colleagues. Some examples include. diagnosis or treatment of illness and includes.
whether clinical or non-clinical. safe procedures for using aseptic techniques and safe disposal of sharps) in relation to the prevention of the spread of health care associated infection (HCAI’s) and the wearing of uniforms. recorded. In addition. upon receipt of their advice. Personal Protective Equipment Policy. if it is payment for activity carried out in Trust paid time. Freedom Information of The post holder should be aware of the responsibility placed on employees under the Freedom of Information Act 2000 and is responsible for helping to ensure that the Trust complies with the Act when handling or dealing with any information relating to Trust activity The post holder must co-operate with management in discharging its responsibilities under the Health and Safety at Work Act l974 and take reasonable health and safety of themselves and others and to ensure the agreed safety procedures are carried out to maintain a safe environment for patients. employees and visitors. to familiarise themselves with and adhere to current policies including those that apply to their duties. Staff are required to communicate any infection risks to the infection control team and. (See Policy on PP for GSTT) The job plan must include all private practice sessions undertaken in the Trust or elsewhere with times and locations. Clinical staff – on entering and leaving clinical areas and between contacts with patients all staff should ensure that they apply alcohol gel to their hands and also wash their hands frequently with soap and water. or whether they may keep the fee. It is the responsibility of all staff. then the fee should be given to the Trust. processed or handled by you during the course of your work 20 Health and safety Infection Control . report hospitalacquired infections in line with the Trust’s Incident Reporting Policy. (such as Hand Decontamination Policy.20 they should remit any fee paid to them to the Trust. They must attend mandatory training in Infection Control and be compliant with all measures known to be effective in reducing HCAIs. Information Quality Assurance As an employee of the Trust it is expected that you will take due diligence and care in regard to any information collected. even if in another hospital and even if “out of hours”. As a general rule. staff should ensure the appropriate use of personal protective clothing and the appropriate administration of antibiotic therapy.
as well as statutory obligations. As a matter of good practice. often as a consequence of a period of on-call work (e. The Trust policy is that these should be planned around a minimum of 30 minutes additional to a 6 – 8 hour working day and an hour additional to an 8 – 12 hour working day. work activities should be designed. The national Contract does not provide for these breaks to be paid. Unpredictable on-call: Unpredictable emergency work arsing from out of hours duties. It is important. recall to 21 Medical Examinations Normal premium time and working . both in terms of equity of treatment and overall affordability. All appointments are conditional upon prior health clearance by the Trust’s Occupational Health Service. This is work done whilst on call and associated directly with the consultants on-call duties e. recorded. Premium time is outside the period 7am to 7pm Monday to Friday. However. to allow for meal breaks to be taken. visitors and staff and to safeguard their property.g. Management Violent Crime Meal/Rest Breaks of The Trust has adopted a security policy in order to help protect patients. post take ward rounds) Calculation of Pas will take account of the frequency of the on call pattern. and that activity can then count as working time. as far as practical. that we are as consistent as possible in our approach. nor is there the funding in the system for discretionary payment. and any time on a Saturday or Sunday. Scheduled PA work during premium time will be a reduction in the timetable value of the PA itself (or another) to 3 hours No smoking On-call arrangements (including Emergency Work arising from on call) The Trust operates a non-smoking policy Category of on-call duties: Predictable on-call: predictable emergency work – this is emergency work that takes place at regular and predictable times. or public holiday For any scheduled work agreed during premium time there will be a reduction in the timetabled value of the PA itself (or another) to 3 hours. processed and handled in compliance with Trust requirements and instructions.21 and that such information is collected. Failure to provide continuing satisfactory evidence will be regarded as a breach of contract. there will be times when activities are unavoidably scheduled in a way that precludes a consultant taking a break.g.
Category B on-call supplement This applied where the consultant can typically respond by giving telephone advice and or by returning to work later Level of supplement The level of supplement depends upon the frequency of the rota: High (1-4): A=8%. Personal objectives should be specific. based in Payroll. B=1% Pension Membership of the NHS Pension Scheme is available to all employees over the age of 16. taking into account the frequency of the on-call commitment. Category A on-call supplement This applies where the consultant is typically required to return immediately to site when called or has to undertake intervention with a similar level of complexity to those that would normally be carried out on site. such as telemedicine or complex telephone conversations. This should be averaged from the diary cards and annualised to a maximum of 2 PA. if you join the Scheme your employment will be contractedout of the State Earnings Related Pension Scheme (SERPS). Membership is subject to the regulations of the NHS Pension Scheme. Employees not wishing to join the Scheme or who subsequently wish to terminate their membership must complete an option out form – details of which will be supplied upon you making a request to the Trust’s Pensions Manager. B=2% Low (9 or more): A=3%. relevant.22 hospital to operate on an emergency basis. timed and tracked. B=3% Medium (5-8): A=5%. measurable. and performance within budgetary limits These should be kept under review throughout the year and assessed as part of the appraisal process 22 Personal objectives . achievable. A contracting-out certificate under the Pensions Schemes Act 1993 is in force for this employment and. which is administered by the NHS Pensions Agency. subject to the rules of the Scheme. agreed. Objectives are expected to include delivery of activity levels and quality standards. the introduction of new ways of working.
Research-related activity can be taken during SPA time– and it is best that it features as agreed specific Programmed Activities in order to ensure that it is substantive research and the costs and funding are properly identified. This should be identified in advance and specified in the job plan and reflected in the personal objectives A full-time consultant is contracted is for 10 PAs – and anything above this is on a temporary basis. Each job plan should assume that it will be for 10 PAs – and anything else is by exception The Trust will not offer more than 12 Pas in total i. R&D-related activity and outcomes need to feature in objective-setting (and appraisals) 23 .e.23 Professional Association/Trade Union Membership Professional Registration/Licence to Practice Professional study leave and It is the policy of the Trust to support the system of collective bargaining and as an employee in the Health Service you are therefore encouraged to join a professional organisation or trade union. Proof of registration/licence to practice must be produced on appointment and if renewable. Staff undertaking work which requires professional/state registration/licence are responsible for ensuring that they are so registered/licensed and that they comply with any Codes of Conduct application to that profession.e. 3 hours = 0. proof of renewal must also be produced Consultants can apply for professional and study leave over a three year period up to 30 days (on average 10 days per year). Statutory and Mandatory training must be taken within the leave allocation. Appropriate time means a time outside working hours. Research needs to distinguish between grant application.75 of a PA) Any research undertaken by a consultant needs to be approved as part of the Trust’s specific R&D policy as well as the job planning process itself. supervision. Programmed activities less than 11 = basic contract of 10 PAs Programmed activities of 11 and above but less than 12 = basic contract + 1 APA Programmed activities of 12 and above = basic contract + 2 PAs Programmed activities (PAs) Research development and A PA is for a 4 hour session – anything taking less time is counted as pro rata (i. You have the right to belong to a trade union and to take part in its activities at any appropriate time and to seek and hold office in it. actual R&D and committee work.
The consultant work to be delivered is quantified and a team approach is taken to agreeing and delivering the activity with agreement. revalidation and appraisal. scheduled and on-site (off-site by exception) with clear outputs and reflected in the personal objectives Teaching commitments Consultants are expected to participate in education as part of their employment – teaching done in clinic. Additional education and training commitments. medical education and teaching o Continuous professional development o Audit o Clinical governance o Job planning o Appraisal and revalidation o Research o Recruitment formal SPA activity needs to be of benefit to both the consultant and the Trust. individual job plans need to be agreed and signed off Directorates/departments are expected to agree 24 Team-based planning job . patient related administration. The Clinical Director should identify and quantify SPA activity that is proportionate to the size of the department and its objectives. This can be used either to launch job planning to establish a framework within which the individual job plans are then agreed or throughout the process.5 PA per consultant should be allocated to under graduate teaching.25 Programmed Activities a week per trainee (capped at 4 trainees/1PA). SPA time can be made of: o Training. for example on the typical length and frequency of ward rounds. an educational supervisor will attract 0.24 Safeguarding children and vulnerable adults Supporting Professional Activities (SPAs) Post holders have a general responsibility for safeguarding children and vulnerable adults in the course of their daily duties and for ensuring that they are aware of the specific duties relating to the role. In all cases. be specified. MDT or department meeting attendance. A full time consultant will have a maximum allocation of 1 PA to cover such responsibilities including CPD. job planning. theatre and on the ward is part of DCC activity and not awarded separate PA allocation although it can be recognised that this might affect the volume of clinical activity undertaken As a guide. a maximum of 0. audit.
frequency. regular. a consultant will work for 42 weeks over the year net of annual and professional leave For each PA. timing and nature of clinical activities. 25 . relevant activity and workload indicators need to be established. work can be undertaken from home. such as the average number of patients to be seen in the clinic. Productivity indicators should also be used – such as the new: follow up outpatient ratio and number of patients per operating list. and may therefore be reviewed and changed The work output may be reviewed at the annual job planning meeting In addition consultants should be aware that the Trust has a number of policies that support staff in helping to maintain a good work/home life balance. the member of staff is available for normal contact from the hospital The appropriate facilities are available at home for the work to be undertaken The arrangement is discretionary and subject to the needs of the service. minimum number of radiological films expected to be reported. beds numbers to be covered on a ward round. These specific activity levels need to make the necessary contribution so that the Trust delivers on it service obligations. Each specialty will set the target numbers in advance of the job planning process commencing as part of their capacity plan.25 Working from Home the number. General Managers will be able to assist in producing relevant activity data. Workload productivity indicators and It is expected that on average. it must be done on the basis that: Time spent regularly working from home is clearly documented in the job plan The department is aware that a colleague will be working from home and the views of colleagues will betaken into account Whilst working from home. This is a matter of agreement between the individual consultant and their clinical director. The Trust expects consultants to conduct their work activity from their normal place of work and to be available to participate in the everyday activities of their department and the hospital. Delivery on target will be assessed as part of the appraisal process. By exception. numbers of operations. Where home working is undertaken.
The Trust is unable to employ or continue to employ you if you do not obtain or maintain a valid Right to Work (leave to remain). any appointment offered will be subject to the Resident Labour Market test (RLMT). The Trust will expect full time consultants to have their activities evenly spread across the working week Monday to Friday and for SPAs to be worked on site unless otherwise agreed 26 .26 Work Visa/Permits/Leave to Remain If you are a non-resident of the United Kingdom or European Economic Union.
Publications in peer APP Form Ref/ Int 27 . Where evaluated APP Form GMC CV Professional Qualifications Eligible for full UK GMC registration and a Licence to Practise. Ability to work as an effective member of a multidisciplinary team. ALS/PALS. Ability to organise and independently manage the safe conduct of operating lists. Clinical Experience Comprehensive training and clinical experience in anaesthesia equivalent to that required for gaining UK CCT in anaesthesia. Person Specification Essential Criteria Desirable Criteria Higher Qualification recognised by the University of London. NB: Non UK trained doctors must be on the GMC/ GDC Specialist Register in anaesthesia by date of interview.27 6. Evidence of understanding of the role of clinical management. (certificates in date) APP Form Ref/ Int Clinical Skills APP Form Ref/ Int Audit Management & IT Evidence of contribution to effective clinical audit and clinical risk management. Research. Teaching skill & experience Understanding of the principles Evidence of original and applications of clinical research. Academic distinction or Prizes. research. Post CCT experience. Evidence of effective leadership.g. Evidence of CPD in relevant specialist areas e. On GMC Specialist Register or within six months of attaining CCT. APP Form Ref/ Int Formal management training or qualification. Appraisal training. regional anaesthesia. Experience in clinical guideline development.
Knowledge of finance and budgets reviewed literature. patience and ability to work co-operatively with others. ability to communicate with clarity and intelligently in written and spoken English. Ability to work as part of a team Staff Management. respond to changing circumstances and to cope with setbacks or pressure. listen. persuade/ negotiate. Ref/Int Evaluation Key: APP Form [Application Form] Ref [References] Int [Interview] 28 . Able to change and adapt. Accountability. developing and motivating staff Finance. postgraduates and junior medical staff. lead. make decisions and exert appropriate authority. Interpersonal Skills. Experience of performance management. ability to take responsibility. ability to build rapport. listening skills.28 Experience of teaching and training undergraduates. Leadership / Management skills Communication. understanding. Teaching qualification. Empathy.