Candidate information pack

Transcription

Our purpose
Working together to achieve the healthiest
life possible for everyone in Ayrshire and Arran
Candidate
information pack
Post title:
Consultant in Obstetrics and Gynaecology
Job reference number:
MD/680/15
Closing date:
26 February 2016 (noon)
Process for submitting application:
Applications, in the form of a current CV, submitted to medicalrecruitment@aapct.scot.nhs.uk
stating Job Reference Number. All applicants must submit, name and address (postal and
email) of 2 referees and complete Sections 1-6 of the Job Pack (word.doc format). Applicants
for Consultant vacancies must also provide evidence of eligibility of entry to the GMC Specialist
Register or evidence of being within 6 months of the anticipated award of CCT or CESR at the
date of interview.
Follow us on Twitter @NHSaaa
Find us on Facebook at www.facebook.com/nhsaaa
Visit our website: www.nhsaaa.net
All our publications are available in other formats
Welcome from the Chief Executive
Thank you for the interest you have shown in
this post. I hope that the information in this
pack will help you to decide and encourage
you to apply for this post.
In recent years we have re-defined the purpose
and values that are the foundation for our
approach to health and social care delivery.
You will find more information on our purpose
and values in this pack.
As with other health and social care providers,
we are delivering our services in challenging
times. Demographic changes, increasing
demand and wider socio-economic factors all impact on service delivery.
We are committed to working together with our teams and communities to
re-design services to meet these challenges and fulfil our purpose.
Delivering high quality, safe, person-centred care to every person every time
is our clear aim. This can only be achieved when our staff feel valued and
fully engaged. NHS Ayrshire & Arran has a clear commitment to the health,
safety and wellbeing of our staff.
I am sure that you will have many questions and we would be delighted to
hear from you in order to further your knowledge of this post and of NHS
Ayrshire & Arran.
Kind regards,
John G Burns
Chief Executive
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Section one: About NHS Ayrshire & Arran
NHS Ayrshire & Arran is one of 14 territorial NHS Boards within
NHSScotland. Ayrshire and Arran NHS Board is responsible for the
protection and improvement of the local population’s health and for the
delivery of frontline healthcare services. The NHS Board membership consists
of executive and non-executive members, and is accountable to the Cabinet
Secretary for Health, Wellbeing and Sport. Our operational frontline services
are provided through four distinct operational units – Acute Services and the
Health and Social Care Partnerships in East, North and South Ayrshire. You
can find further detail on the role of the NHS Board,
and our organisational structure on our website – www.nhsaaa.net.
NHS Ayrshire & Arran serves a mixed rural and urban
population of 376,000. We have a full range of
primary and secondary clinical services, covering the
mainland of Ayrshire and the islands of Arran and
Cumbrae. NHS Ayrshire & Arran covers three local
authority areas: East, North and South Ayrshire. There
are major areas of widespread deprivation and social
exclusion in both rural and urban areas.
The healthcare challenge within the area is considerable: our population
suffers higher than average rates of coronary heart disease, lung cancer,
respiratory illnesses and premature death among males. Ongoing lifestyle
issues, such as the prevalence of smoking, poor diet and lack of exercise, are
key factors, as is the steadily ageing profile of the population.
Here in NHS Ayrshire & Arran, we want the best for our staff and the best
for local people. We pride ourselves on improving health and providing
a comprehensive range of high quality, safe, effective and person-centred
health services. Our strategic direction is based on continuous improvement
and services that are centred on patients and service underpinned by our
organisational commitments.
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Our purpose
Our commitments to you
Our service users and communities
We will work with you and your family to:
• Promote and improve your health
• Improve your safety, outcomes and quality of
experience while in our care
• Live up to our customer care commitments
Our values
Our workforce
We will work together to create an open, fair and just
culture where:
• We are all valued, respected and developed to be
our best
• We are all informed, involved, listened to and
treated fairly and consistently
• We are all safe and are supported to improve our
health and wellbeing
Our partners
We will work together with partners to:
• Improve health, prevent disease and
reduce inequalities
• Join up our service delivery to improve outcomes
• Make best use of our resources
MIS13-086-GD
Our values
Caring
I will show concern for others and care about the health, safety,
and wellbeing of everyone I come into contact with.
Safe
I will do my job well, striving to learn and do things better,
while taking responsibility for the quality, safety, and
effectiveness of my actions.
Respectful
I will see everyone as an individual, be open, approachable,
and treat everyone with dignity and respect.
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2020 vision
In September 2011, the Scottish Government set out the strategic vision for
the delivery of healthcare services in Scotland.
Our vision is that by 2020, everyone is able to live longer healthier lives at
home, or in a homely setting. We will have a healthcare system where:
• we have integrated health and social care;
• there is a focus upon prevention, anticipation and supported self
management;
• if hospital treatment is required, and cannot be provided in a
community setting, day case treatment will be the norm;
• whatever the setting, care will be provided to the highest standards of
safety and quality with the person at the centre of all decisions; and
• there will be a focus on ensuring that people get back into their home
or community environment as soon as possible with minimal risk of
readmission.
In February 2014, Ayrshire and Arran NHS Board approved ‘Our Health
2020’ as NHS Ayrshire & Arran’s health and wellbeing framework. The
framework described how we would fulfil the national 2020 vision for health
services locally. Our corporate objectives, as illustrated below, reflect the
aims of the 2020 vision:
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For more information on how we make decisions, how we perform and
our key publications detailing our strategic intent and plans for delivery of
healthcare services within Ayrshire, visit the NHS Ayrshire & Arran website
www.nhsaaa.net.
Section two: NHS Ayrshire & Arran as an employer
NHS Ayrshire & Arran recognises that our staff are vital to delivering our
purpose, values and commitments and to achieving our strategic objectives.
Our aim is to create an organisation where people want to work and strive
to deliver excellence each day; where staff wellbeing and personal resilience
are supported; where careers are interesting and developed; where staff
are encouraged to reach their full potential; and
where staff feel their contribution is recognised and
valued.
To do this, we need to attract, develop, support
and retain our staff and enhance their work
experience. This will directly contribute to our
aspiration to deliver excellent high quality services
to every person every time.
Our employees have told us the unique factors
that help to define us as an employer are:
• our friendly and supportive environment;
• our commitment to staff engagement and effective team working;
• our track record in creativity and innovation and our ability to
successfully implement change and redesign;
• our track record in supporting our staff’s learning, development and
career aspirations, from an initial comprehensive three-day corporate
induction programme to the availability of a wide range of internal
training programmes;
• our commitment to supporting flexible working through a wide range
of family friendly policies; and
• our commitment to support and improve our staff’s health, safety,
wellbeing and resilience. We do this by implementing our Staff Health,
Safety and Wellbeing Strategy, and in our work towards achieving and
maintaining the Healthy Working Lives Gold Award. In addition, our
Staff Care and Occupational Health Service provide a range of support
and interventions to our staff.
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The Staff Governance Standard is embedded and
adhered to as part of the governance framework –
staff, financial, information and clinical governance - in
which NHS Boards operate. The Staff Governance
Standard requires all NHS Boards to demonstrate
that staff are:
• well informed;
• appropriately trained and developed;
• involved in decisions;
• treated fairly and consistently, with dignity and
respect in an environment where diversity is
valued; and
• provided with a continuously improving and safe working
environment, promoting the health and wellbeing of staff, patients and
the wider community.
Section three: Delivering our services
The map below illustrates the key hospital sites throughout Ayrshire and
Arran.
Lady Margaret Hospital
ISLE OF CUMBRAE
H
Largs
Millport
NORTH AYRSHIRE
H Ayrshire Central
Arran War
Memorial Hospital
Hospital
Irvine
H
Brodick
ISLE OF ARRAN
Crosshouse
Firth of Clyde
Biggart Hospital
Population of Ayrshire and Arran - 367,160
Kilmarnock
H University Hospital
H
Ayr
Ailsa Hospital
East Ayrshire - 120,210
32.7 per cent of total population
H H University
Hospital Ayr
North Ayrshire - 135,510
Girvan
South Ayrshire - 111,440
SOUTH AYRSHIRE
H Girvan Community
Hospital
Key
H Acute Hospital with accident and
emergency department
H Community Hospital
7
EAST AYRSHIRE
Ayrshire
H East
Community Hospital
Cumnock
Acute services
Emergency and elective hospital services are provided by our acute
services, which includes inpatient, outpatient and day case care. There are
two district general hospitals within Ayrshire: University Hospital Ayr and
University Hospital Crosshouse. These hospitals provide a wide range of
acute services:
• University Hospital Ayr
University Hospital Ayr provides medical and
surgical services on an inpatient, day case
and outpatient basis. It is the main Accident
and Emergency service for South Ayrshire. It
provides a number of Ayrshire-wide services
including Vascular Surgery, Ophthalmology
and Urology.
•University Hospital Crosshouse
University Hospital Crosshouse provides
medical and surgical services on an inpatient,
day case and outpatient basis. It is the main
Accident and Emergency service for East
and North Ayrshire. Inpatient paediatrics,
the Ayrshire Maternity Unit and the
main Laboratories for Ayrshire are on the
Crosshouse site.
Community, mental health and learning disabilities services
Following the introduction of Health and Social Care Integration, the
operational delivery for the range of community healthcare services and
mental health and learning disabilities services is through the newly created
Health and Social Care Partnerships and the Integrated Joint Boards:
• East Ayrshire Health and Social Care Partnership
• North Ayrshire Health and Social Care Partnership
• South Ayrshire Health and Social Care Partnership
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Community services
General medical and dental services are provided
throughout Ayrshire and Arran by general
practitioners, dentists, community pharmacies
and optometry practices. Community nurses,
health visitors and Allied Health Professionals are
all involved in providing care within our local
communities.
Out-of-hours general medical services are
provided by Ayrshire Doctors on Call (ADOC)
within the community.
Mental health and learning disability services
Inpatient mental health services, including
the Intensive Psychiatric Care Unit, are largely
delivered at Ailsa Hospital in Ayr with further
mental health inpatient services provided at
University Hospital Crosshouse.
Learning disability services are provided from
Arrol Park in Ayr. Elderly mental health inpatient
services are provided from Ayrshire Central
Hospital in Irvine, and East Ayrshire Community Hospital in Cumnock.
Community based services are provided throughout Ayrshire for a range of
clinical groups: adults, child and adolescent, elderly and addiction services.
For more information on the full range of clinical services provided by
NHS Ayrshire & Arran, visit our website www.nhsaaa.net.
Section four: Investing for the future
There are two major capital developments underway within NHS Ayrshire &
Arran to ensure safe, effective and person centred care:
Building for better care
We are investing £27.5 million to provide fit for purpose front door services
for University Hospitals Ayr and Crosshouse, in order to improve emergency
and urgent care for patients who come to hospital for anything other than a
scheduled appointment.
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• University Hospital Ayr: new
emergency department with
resuscitation bays, high care areas
and cubicles and fully integrated
with the minor injury unit and NHS
Ayrshire Doctors on Call (ADOC).
• University Hospital Crosshouse:
Combined Assessment Unit
being built alongside the existing
emergency department which will
include 35 en-suite bedrooms, as
well as new patient assessment and
ambulatory care areas. The unit will
provide the physical environment
needed to allow patients to
be rapidly assessed and either
discharged safely or admitted to a
specialty ward for further care and treatment.
North Ayrshire Community Hospital
We are investing £47 million to provide a 206 en-suite bedroom integrated
mental health and community facility, including older people’s long term
care and rehabilitation. This development will bring together a full range of
outpatient and inpatient facilities. It will include:
• an outpatient consultation area
to support a full range of mental
health and psychology related
outpatient activity;
• tribunal suite;
• therapy areas with treatment
and recovery spaces that will
also be used as flexible clinical
accommodation for Allied Health
Professions;
• an inpatient clinical pharmacy and dispensary service to all wards; and
• a staff library.
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Section five: Key facts and figures
Our spending...
2014 /15 financial year
The population we serve...
Total population of 367,000 which
is projected to change by 2032.
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Primary care
services...
291 GPs across
56 GP practices
22 dentists
within
community and
salaried dental
service
96 community
pharmacies
Primary care
services...
171 optometrists
across 63 practices
15 orthodontists
across four
orthodontic
practices
164 general
dental practitioners
across 59 practices
Inpatient beds in Ayrshire ...
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Our staff...
13
Our activity in 2014 /15
Section six: Why work in Ayrshire?
Ayrshire is situated in South-west of Scotland on the Firth of Clyde, and is
characterised by 80 miles of varied coastline, picturesque beaches, rolling
green hills and islands.
Just a 30-minute drive from Glasgow city centre, Ayrshire is an ideal location
for those who want to enjoy city life, with all the benefits of living in a semirural area. Ayr, Irvine and Kilmarnock are the largest towns. However, there
are many rural towns, villages and communities throughout the area should
you wish to relocate to Ayrshire. Whether you decide to locate to Ayrshire or
a neighbouring area, you will find that property prices are more affordable
than in other parts of the UK.
Local educational standards are very high at primary and secondary level.
However, private education is also available in the area. 14
See below for more information on local authority
services:
East Ayrshire Council
www.east-ayrshire.gov.uk
North Ayrshire Council
www.north-ayrshire.gov.uk
South Ayrshire Council
www.south-ayrshire.gov.uk
Working in Ayrshire provides an easy commute from
both Glasgow and the wider central belt. There is an
excellent network of both rail and bus links throughout
Ayrshire to Glasgow and beyond. There are UK and
international flights available from Glasgow Airport,
as well as a range of services from Glasgow Prestwick
Airport.
Ayrshire provides a wide range of excellent recreational
activities: whether you are interested in history and
heritage, outdoor pursuits, events and festivals, or
simply food and drink, there is something for everyone.
Ayrshire boasts more than 40 quality golf courses,
including two Open Championship courses at
Turnberry and Royal Troon.
For more information on the range of recreational
activities in Ayrshire, visit www.visitscotland.com.
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All of our publications are available in different languages, larger print,
braille (English only), audio tape or another format of your choice.
Tha gach sgrìobhainn againn rim faotainn ann an diofar chànanan, clò
nas motha, Braille (Beurla a-mhàin), teip claistinn no riochd eile a tha
sibh airson a thaghadh.
0800 169 1441
Tell us what you think...
If you would like to comment on any issues raised by this document, please complete
this form and return it to: Communications Department, 28 Lister Street, Crosshouse
Hospital, Crosshouse KA2 0BB. You can also email us at: comms@aaaht.scot.nhs.uk. If
you provide your contact details, we will acknowledge your comments and pass them
to the appropriate departments for a response.
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Last reviewed: December 2014
Leaflet reference: MIS14-268-GD
NHS Ayrshire & Arran Medical Job Description
0
We have a dynamic Department of Obstetrics and Gynaecology committed to developing
and improving services for the women of Ayrshire and the Isle of Arran. There are 15
consultants within the department. The creation of a new post will bring the total number to
16 consultants.
Ayrshire and Arran health board have an established relationship with quality improvement
and safety and have worked closely with Health Improvement Scotland (HIS) through the
Scottish Patient Safety Programme (SPSP) since inception. Within the organisation, we
have trained many fellows who have used their skills to develop projects to improve health
and care for the people of Ayrshire. NHS Ayrshire and Arran have established a firm code of
values for both staff and the people of Ayrshire. These are to ensure a caring, safe and
respectful environment to achieve the healthiest life possible for everyone in Ayrshire and
Arran.
NHS Ayrshire & Arran provides a comprehensive healthcare service to approximately
367,000 people living in Ayrshire and Arran. University Hospital Crosshouse is a large,
modern district general hospital with 625 beds. A purpose built maternity unit was opened
on the Crosshouse site in August 2006 and deals with approximately 3800 deliveries each
year. We also provide level 3 neonatal services alongside labour ward with capacity for 5
intensive care cots. There are 18 gynaecology beds co-located in a purpose-built ward
adjacent to the maternity unit with a fully equipped treatment room with gynaecological scan
facilities to ensure rapid access to acute care. We also have new and modern outpatient
facilities fully equipped to provide one stop gynaecology services in both the north and south
of Ayrshire.
Facilities
Obstetrics
Inpatient obstetrics is based at Ayrshire Maternity Unit in a modern purpose built facility
opened in August 2006. There are currently around 3800 deliveries per year. Antenatal care
is, in the main, community based and there are close links between the Community
Midwifery Teams and medical staff. Consultant led antenatal clinics are offered in all major
centres of population throughout Ayrshire. Kilmarnock (2), Ayr (2), Cumnock (1) and Irvine
(3).
Our maternity outpatient (MOPs) unit based within the hospital provides our unplanned “front
of house” services as well as a planned daily review for women with more complex issues.
The planned patients are at present managed by consultants, and areas of development for
this service could include more protocol driven midwife led review, to improve the patient
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journey and experience. The unplanned attendances are usually self-referrals triaged by
midwives and the service is available 24/7. The on call middle grade tier has initial
responsibility for these women. This unit has 7 consulting rooms and also provides the
space for the high risk clinics described below, including the medical and multiple pregnancy
clinics. Also perinatal psychiatry, genetics and anaesthetics all run outpatient services
through this department. In times of high throughput we have access to a further 3 rooms in
the in-patient ward. Within the Maternity Unit there is an Early Pregnancy Assessment Suite
open 6 days a week.
Existing fetal medicine services are currently provided by 3 Consultants and an associate
specialist. The ultrasound department currently provides two routine scans throughout
pregnancy. These are the “booking” ultrasound at around 12 weeks of gestation, when those
patients wishing 1st trimester screening for Down’s syndrome will have a CUBS assessment,
and the 20 week anomaly scan. The booking scan is provided at the community based
clinics and at present the 20 week scan is provided within the maternity unit. Three
consultants and an associate specialist doctor provide a detailed scanning, amniocentesis
and CVS service for high risk pregnancies. Our tertiary referral centre for fetal abnormalities
is the Fetal Medicine Unit at the Queen Elizabeth University Hospital in Glasgow. A
specialist midwife supports the fetal medicine service.
Currently a combined diabetic/obstetric clinic runs twice monthly and is attended by a
consultant obstetrician, diabetologist and specialist diabetic liaison nurse. Also twice per
month there is a maternal medical disorders/high risk obstetric clinic. Pre-conceptual
counselling services are also available for both these high risk groups. There is also an
additional clinic held on a fortnightly basis to provide care for gestational diabetic patients
and a specialist midwife supports this service.
The Labour Ward is sub-divided into an 8 bedded Midwifery Unit for low risk women and an
adjacent medical labour ward comprised of 7 delivery rooms, 2 HDU beds and 3 recovery
beds. There are 2 operating theatres within labour ward, accommodating both elective and
emergency cases. There is a 36 bedded in-patient ward, with 5 beds designated as “hostel”
beds for women coming to the hospital from our rural communities to await labour or for
mothers who have babies in the neonatal unit for an extended stay.
Termination services are provided via a day ward located within the Maternity unit and offers
surgical and medical management. This service is nurse led under the clinical leadership of
a Sexual and Reproductive Health Consultant. The successful applicant would not be
required to participate in this service, unless providing emergency care.
Gynaecology
General Gynaecology -There is a 18 bed dedicated gynaecology ward within University
Hospital Crosshouse situated adjacent to the Maternity Unit and connected via a link
corridor. A full range of Gynaecological surgery is undertaken either in Main theatre or the
Day Surgery Unit. In the future gynaecological day surgery services may be developed at
the University Hospital Ayr site to cater for patients from the south of the region, in addition
to the current service at University Hospital Crosshouse. A rapid access gynaecology
service has recently been established on the ward three times per week, providing
gynaecological ultrasound and assessment for emergency referrals.
As with obstetrics, gynaecology clinics are held in centres of population. There are 3
general gynaecology clinics at Ayrshire Central Hospital, 3 at University Hospital Ayr and 1
at East Ayrshire Community Hospital.
2
Post-menopausal Bleeding – There are 5 weekly clinics which offer ultrasound scanning,
outpatient hysteroscopy and endometrial biopsy/polypectomy facilities within the MacDonald
Suite and University Hospital Ayr. Under the tutelage of our team, a specialist nurse has
recently completed her training to become the first nurse hysteroscopist in Scotland.
Menstrual Disorders Clinic – There is a weekly clinic for the one stop investigation of
menstrual disorders. A nurse hysteroscopist is due to complete her accreditation within the
unit later this year.
Minimal Access Surgery – There is a full range of laparoscopic equipment available for all
minimal access gynaecological surgery, including major endometriosis surgery. Modern
operative hysteroscopic equipment is available including a Gynaecare Versapoint system for
outpatient operative hysteroscopy.
Endometrial Ablation – Novasure and Thermachoice endometrial ablation are both
available within the unit funded for treatment where appropriate.
Gynaecological oncology – There are close links with Glasgow through a Managed
Clinical Network Service with a weekly telemedicine link. Gynaecological oncology clinics
are run by two of the local Consultants, supported by a dedicated oncology clinical nurse
specialist.
Colposcopy – The Colposcopy Service is provided in the MacDonald Suite, a specialist
gynaecology outpatient facility. The service is well developed with 5-6 colposcopy clinics per
week. This service is also recognised for training for RCOG/BSCCP Certification. The clinic
has adopted the Scottish National Colposcopy Clinical Information and Audit system.
Patients with abnormal cytology are referred directly to the clinic via the Scottish Cytology
Call/Recall System.
Urogynaecology – There is a well established service led by a subspeciality-accredited
Urogynaecologist. A comprehensive diagnostic service exists and a wide range of
conservative and surgical treatment modalities are provided by 3 consultants. This service is
supported by a women’s health physiotherapy team, dedicated continence nurse specialists
as well as a urology and colorectal consultant. There are weekly nurse-led pessary and
urodynamics clinics. A full range of therapeutic measures for the care of women with urinary
and bowel dysfunction is offered.
There is an active research programme with the main theme of conservative and surgical
treatment of stress urinary incontinence.
Reproductive Medicine –Infertility clinics are held weekly for the investigation of subfertility.
A joint urology/gynaecology clinic is held on a monthly basis for the specialist investigation of
male factor subfertility. Patients are currently treated up to the level of ovarian stimulation
and intrauterine insemination. Patients who require IVF, ICSI or DI are presently referred to
the tertiary centre in Glasgow Royal Infirmary, with which there are close links.
General
Education – The Department is committed to education at all levels. One weekly session
(Friday afternoon) has generally been cleared of all routine clinical activities and is thus free
for teaching and administrative meetings.
There are excellent educational facilities within the department with a dedicated educational
area within the Maternity Unit. The postgraduate education centre, within the main hospital,
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has a well stocked library and a clinical skills lab, which we hope to develop for the provision
of clinical skills teaching in Obstetrics and Gynaecology.
Clinical Governance - is well established in both Obstetrics & Gynaecology and
multidisciplinary meetings are arranged on a regular basis (8 meetings per year). Under the
umbrella of governance, clinical risk management and clinical effectiveness committees are
established in both obstetrics and gynaecology. There are monthly alternating
multidisciplinary perinatal mortality and morbidity meetings attended by both medical and
midwifery obstetric staff as well as paediatric colleagues and a perinatal pathologist.
Community Sexual and Reproductive Health – Dr Ruth Holman is Lead Consultant in
Sexual and Reproductive Healthcare. She is responsible for a variety of community based
clinical services (for details see http://shayr.com/) , supported by Dr Catriona Melville, and a
multi-professional team. There are close links between Dr Holman’s Department and
gynaecological services.
Medical Staff Resources
The medical staffing of the department of obstetrics and gynaecology is as follows:
Consultants
Dr Jane Ramsay
Clinical Director: Obstetrics
Dr David Rae
Clinical Director: Gynaecology & Sexual Health
Dr Francis Inyang
Dr Gill Irvine
Dr Lucie Buck
Dr Sham Prasad Konamme
Dr Marjory Maclean
Dr Wael Agur
Dr Kirstyn Brogan
Dr Inass Osman
Dr Rita Panigrahy
Dr Vivian Franklin
Dr Santanu Acharya
Dr Inna Sokolova
Dr Sonal Anderson
Special Interest
Maternal Medicine
Obstetric ultrasound
Minimal Access Surgery
Urogynaecology
Gynaecology Oncology
Postmenopausal bleeding service
Outpatient Hysteroscopy
Menstrual Disorders/Outpatient Hysteroscopy
Emergency Gynaecology
Gynaecological Oncology
Outpatient hysteroscopy
Early pregnancy Lead
Recurrent miscarriage
Medical Education
Urogynaecology
Labour Ward Lead
Obstetric Ultrasound
Fetomaternal Medicine
Obstetric Ultrasound Lead
Colposcopy lead
Out Patient hysteroscopy
Vulnerable pregnancy (including BBV) Lead
Subfertility and Reproductive medicine
Urogynaecology
Minimal access Surgery
Gynaecological Ultrasound
Outpatient hysteroscopy
4
Associate Specialist
Ashraf Habib
Special Interest
Obstetric Ultrasound
Urogynaecology
There are also 7 middle grade staff, 1 research fellow, 1 teaching fellow, 1 subfertility fellow,
2 or 3 ST1/2 doctors in obstetrics and gynaecology, 4 GPST2 doctors and 4 or 5 FY2
doctors working within the department. Out of hours cover for gynaecology is provided by
the hospital at night team although there is a consultant available, on call from home, as well
as the obstetric team at the Maternity Unit.
Activity (average per annum):
Gynaecology
New
Return
General GOPD
Outpatient Hysteroscopy (PMB)
Colposcopy
Fertility OP
~3600
~900
~1200
~260
~4200
~1650
~500
Obstetrics
Deliveries
Caesarean Section Rate
Assisted delivery Rate
~3800
~29%
~10%
Within Obstetrics we plan to consolidate on our initial experiences with the SPSP. Our aims
are to prevent avoidable harm and improve women’s experience of care they receive whilst
pregnant and after they have their baby. Underpinning these aims we hope to reduce
stillbirth by 15% and post partum haemorrhage by 30%. Policies that will contribute to this
are the Growth Assessment protocol (GAP) for better detection of SGA, involvement in the
AFFIRM study for consistent management of reduced fetal movements and the THISTLE
study introducing PROMPT training to Scotland.
We will work closely with the Early Years collaborative to ensure our changes have lasting
benefits to women and their families.
We plan to address the issue of obesity in pregnancy and have already established clinics to
provide dietary and exercise advice.
We have a motivated specialist midwife who runs the gestational diabetes service through
telemedicine processes to ensure women receive person centred, timeous and appropriate
management of their condition.
We would aim to develop and unite these services improving education for women and staff.
5
We plan to establish better “linked up” services for vulnerable women and families and this
will be consolidated by improved integration with social services through the Health and
Social Care act.
Ultimately we wish to fortify work already commenced to ensure safe, effective and person
centred care for the women of Ayrshire in line with the Scottish Government’s strategic
vision for 2020.
Within Gynaecology, nurse led gynaecology services are being developed and a nurse
hysteroscopist has recently completed her training and is contributing to PMB services. A
working group has been established to address better ways of triaging and processing
referrals to the service to address the significant increase in throughput most likely
consequent to the increase in the ageing population. In the infertility service, there is a large
input from the nursing staff undertaking ultrasound tracking of follicles and counselling of
patients.
There is support for an extended gynaecology day surgery service, making more use of the
23 hour facility that exists at University Hospital Crosshouse.
Proposed Weekly Programme
The proposed weekly programme is shown below. Activities with current fixed time
commitments will be carried out as detailed in the work programme e.g. clinics. Other DCC
and SPA activities are shown with indicative timings within the weekly programme and will
be discussed with the appointee. This timetable will be reviewed three months following
appointment and should therefore be regarded as an interim programme.
Notes on the Programme
Patient Administration. This activity covers the management of individual patients
including Out Patient administration, results reporting, letters/phone calls to patients, carers,
GP’S and members of the wider multidisciplinary team involved in the patients care.
Ward Rounds: the time allocated is indicative and will be discussed with the appointee.
Ward work will include teaching ward rounds as required.
Travel: Any travel allocation will be included within the Total Programmed Activities and will
be determined by location at which Direct Clinical Care and Supporting Professional
activities are carried out.
On call arrangements:
The successful applicant will participate in the Obstetric rota only. They will not participate on
the gynaecology rota. The working pattern for daytime provision of cover in Obstetrics is
currently divided into a first on call consultant and a 2nd on call consultant, the latter being
responsible for the elective obstetric theatre list and offering consultant support to the Early
Pregnancy Assessment Suite and Maternity Outpatient Department (Day Care Monitoring).
6
Out of Hours on call cover for this post is provided in the following way:
Weekday evening cover This shift usually follows on from labour ward day, running from
16:30 until 21:00 and occurs 8 times in every 15 weeks. Following the evening shift the
consultant remains available for major emergencies overnight.
Weekend cover This shift is a first on 12 hour night shift from 21:00 – 09:00 on Friday,
Saturday and Sunday. On the same weekend one remains available for major emergencies
only during the daytime. This will occur twice in a 15 week rota cycle.
Weekday night cover These are four consecutive night shifts from 2100 to 09:00 Monday to
Thursday and occur once in a 15 week rota cycle. During this week all daytime direct
clinical sessions are cancelled but SPA and administration activity is preserved.
A second on call consultant is available at all times, the provision of this cover is not arduous
and is reflected in the frequency of on call and remunerated.
Overall this equates to a 2:12 rota (1:5.2 with prospective cover). Remuneration for on call is
currently 2 sessions and an 8% supplement, with appropriate compensatory leave
As a consultant group we regularly review emergency cover arrangements and the pattern
has evolved significantly over the last 8 years. A review is currently underway and on call
provision may change before or shortly after the successful applicant joins the department.
Supporting Professional Activities: NHS Ayrshire and Arran recognise the important role
Job Planning has in ensuring consultants are supported in delivering high quality, safe,
sustainable clinical care to patients. It is therefore important to ensure there is an adequate
balance between direct clinical care activities and activities which support both the personal
and professional development of the consultant workforce and facilitates agreed contribution
to activities including:
•
•
•
•
•
•
Under and post graduate teaching/training
Clinical Governance
Quality and Patient Safety
Research and Innovation
Service management and planning
Work with professional bodies
All consultants will have 1 SPA as a minimum to support job planning, appraisal and
revalidation. However the final balance of SPA and DCC activity will be agreed between the
appointee and clinical manager prior to contracts being agreed.
There may be a requirement to vary the DCC outlined in the indicative timetable at section 4
when the final balance of DCC and SPA is subsequently agreed. There may also be
opportunities to contract for Extra Programmed activities Opportunities subject to service
requirements and in accordance with national terms and conditions of service.
If the post-holder will be responsible for the formal training and supervision of post-graduates
and under-graduates, a suitable additional allocation of SPA time will be made in
accordance with national guidance.
Job Plan Review
New appointees will have an interim Job Plan review conducted at 3 months post
commencement to review the balance previously agreed. The agreed job plan will include all
the consultant’s professional duties and commitments, including agreed Supporting
Professional Activities. Thereafter Job Planning will be carried out annually as part of the
Boards Job Planning process.
7
Research: Research is encouraged and supported by an active Research and
Development Committee. The appointee will be encouraged to develop research interests
associated with their specialist interest.
Teaching: Consultant staff are expected to devote some of their SPA time to teching and
training undergraduates and undertaking educational supervisory roles for a number of the
postgraduates trainees within the department.
Private Practice: If the post-holder wishes to undertake any private practice, they are
obliged to inform their employer at the time of appointment of their intentions to do so. This
should be submitted in writing to the Executive Medical Director.
The post-holder shall be free to undertake private practice without approval provided such
work is undertaken outside the time agreed in the job plan for programmed activities. (Refer
Section 6 of the New Consultant Contract).
8
PROPOSED WEEKLY PROGRAMME
Work Timetable
Description
Direct Clinical Care (hours)
On-Call Labour Theatre
Suite
Supporting Professional Activities (hours)
OPC Admin Ward Total Teaching
Work
4
Mon am
Lead duties for
maternity out patients
Mon pm Special Interest
session
Tues am Off
Audit CPD Research Other Total
4
4
4
4
4
4
4
Tues pm Off
Wed am Post-Menopausal
Bleeding clinic
Wed pm Antenatal Clinic
Thurs am Labour Suite
4
4
Thurs pm Labour Suite
4
4
Fri am
Patient administration
Fri pm
SPA
Sat am
Sat pm
Sun am
Sun pm
Out of hours
4
1
8
TOTALS
1
1
1
4
8
36
32
4
0
Post: Obstetrics (lead for maternity outpatient services) &
Office Gynaecology
The clinical components of this post encompass predominantly Obstetrics. An interest in outpatient and office gynaecology would also be significantly beneficial. The successful
incumbent will have a regular weekly Obstetric daytime on call session (supported by a
middle grade doctor). Together with a 2nd on consultant these sessions will cover labour
ward/elective obstetric theatre list and maternity day care. A weekly general antenatal clinic
will also be provided. They will also participate in the out of hours on call service for
Obstetrics but not gynaecology.
The successful candidate will assist our quality improvement team in supporting the clinical
improvement programme in Obstetrics. We are looking for an individual with leadership skills
to engage and develop our service, specifically with respect to quality improvement and
safety. It would useful if the successful applicant had experience or knowledge of using
quality improvement methodology and the SPSP maternity stream (MCQIC) or equivalent
outwith Scotland. This post will therefore have a dedicated session for clinical lead for
maternity out-patient services (including hospital day care and assessment unit). Additional
skills in maternal or fetal medicine, obstetric ultrasound or high risk pregnancy may also
complement our service.
Skills in out-patient hysteroscopy and gynaecological ultrasound would be particularly
beneficial to the department and ideally this post would have at least one session to provide
input to the one stop hysteroscopy service.
The Terms and Conditions of Service are those determined by the Terms and Conditions of
the New Consultant Grade (Scotland) as amended from time to time. The distance that a
consultant can reside from the principal base hospital, where travel time is seen as more
important than mileage, is subject to the agreement of the Executive Medical Director, but it
is usually anticipated that a journey that takes no more than 30 minutes for any emergency
situation would be acceptable.
0
Applicants wishing further information about the post are invited to contact Dr Jane Ramsay,
Clinical Director: Obstetrics on 01563 825467 jane.ramsay@aaaht.scot.nhs.uk or Dr David
Rae, Clinical Director: Gynaecology and Sexual Health 01563 825468
david.rae@aaaht.scot.nhs.uk
The last date for application is 26 February 2016 (noon). It is anticipated that the interviews
will take place on 11 March 2016.
1
Post of:
Consultant Obstetrician & Gynaecologist
Location: University Hospital Crosshouse,
Ayrshire Maternity Unit.
Qualifications:
Essential
Desirable
Full GMC Registration with a current Licence to
Practice.
Member of Royal College of Obstetricians and
Gynaecologists
Existing Consultants: Inclusion on the GMC
Specialist Register
New Consultants: Be within 6 months of the
anticipated award of CCT or CESR at the
interview date.
Higher Medical Degree
•
•
Completion of RCOG ATSM in obstetric
specialty eg Advanced Antenatal Practice,
Advanced Labour Ward Practice, Maternal,
Fetal medicine or evidence of equivalent
experience.
Completion of RCOG ATSM in
hysteroscopy or evidence of equivalent
experience.
•
•
Evidence of competency in
Gynaecological ultrasound
equivalent to RCOG
intermediate level
Evidence of competency in
Obstetric/early pregnancy
ultrasound equivalent to
RCOG intermediate level
2
Skills/Knowledge/Competence
Requirements
Essential
General Experience:
• Expertise in
generalist field
• Expertise in subspecialty field
•
•
•
•
Teaching & Training
•
•
Team Working
•
•
Development
•
•
Research &
Publications
Knowledge of and skill
relevant to the
management of patients.
Evidence of recent
practice (within last year)
using qualifications
required above
Ability to communicate
effectively with all levels
of staff and patients
Ability to work efficiently
and timeously within
nationally agreed waiting
times.
IT literacy
Willingness to participate
in teaching and training
Ability to lead others,
think strategically
Effective Team Player
Desirable
•
•
•
Experience of quality
improvement science and
methodology.
Involvement in or
knowledge of the MCQIC
stream of SPSP or
equivalent.
Experience and training
in complex and high risk
obstetrics
•
Completion of NES or
equivalent recognised
training on providing
Educational Supervision
•
Willingness and ability to
work with other members
of team to update and
develop
Obstetric
services within Ayrshire.
Evidence of relevant
Continuing Professional
Development
Evidence of satisfactory
compliance with
appraisal requirements
Evidence of interest and
contribution to clinical
research relating to
specialty
Evidence of publications in
peer reviewed journals
3
Clinical Audit
Evidence of interest and
depth of experience in
medical audit
Evidence of publication or
improvements that have
been introduced
subsequent to clinical
audit.
Management and
Administration
•
•
•
•
Personal and
Interpersonal
Skills
•
•
•
•
•
•
Proven ability to lead a
clinical team
Commitment to effective
departmental
management and
management of a
multidisciplinary group
Proven organisational
skills
A willingness to accept
flexibility to meet the
changing needs of the
NHS in Scotland
Effective communicator
and negotiator
Demonstrate effective
leadership
A willingness to develop
special interests which
conform to the needs of
NHS Ayrshire and Arran
Ability to operate on a
variety of different levels
Open and nonconfrontational
•
•
•
Proven management
experience
Understanding of
resource management
and quality assurance.
Evidence of management
training
Knowledge of recent
changes in the NHS in
Scotland
4

Candidate information pack

Transcription

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