consultant general surgeon belford hospital fort william · vascular (1), urology (2), breast care...

Consultant General

Surgeon Belford Hospital

Fort William

Information Pack MS12.18.23

APPOINTMENT OF CONSULTANT GENERAL SURGEON

INFORMATION PACK

Section 1 Welcome

Section 2 Advert

Section 3 Job Information

Section 4 Job Plan

Section 5 Person Specification

Section 6 Terms and Conditions

Section 1 – Welcome

Introduction

Thank you for your interest in joining NHS Highland. This information package contains details

relating to the local area, this post and the Terms and Conditions of Service.

NHS Highland is committed to becoming a learning organisation, recognising that staff require

access to opportunities to learn, maintain and develop skills and knowledge, and we recognise the

importance of valuing and supporting our staff throughout their time here.

We offer:

Policies to help balance commitments at work and home and flexible family friendly working

arrangements

Excellent training and development opportunities.

On-site library services at the Centre for Health Sciences

Access to NHS staff benefits/staff discounts

Cycle to Work Scheme

Excellent student support

Access to NHS Pension scheme

Recruitment Process Applicants are expected to make contact with the department before applying and we would

strongly encourage those that are shortlisted to visit the department prior to interview. The cost of

one preliminary visit will be met by NHS Highland.

When organising a visit, candidates must agree appropriate travel and accommodation

arrangements with the Medical Staffing Department prior to booking. Expenses will be reimbursed

to candidates who are subsequently shortlisted.

Failure to confirm arrangements with Medical Staffing may result in limited reimbursement of expenses.

Departmental Contacts: Mr Ron Coggins, Consultant Surgeon and Clinical Director

for Surgery and Anaesthetics based at Raigmore Hospital,

01463 706360

Mr Stuart Scott, Surgeon based at Belford Hospital

[email protected] 07818 747053

Mrs Anne Boyd-MacKay, Rural Hospital Manager 01397 702481

Preliminary Visit Expenses: Jackie Sutherland, Medical Staffing Manager [email protected] How to Apply

Applicants should complete an Application Form and return to the email noted below as we

are unable to accept CVs.

All candidates and employees are afforded equal opportunities in the recruitment and

selection process and in employment irrespective of their age, disability, gender

reassignment, marriage or civil partnership, pregnancy and maternity, race, religion or

belief, sex or sexual orientation.

Your personal information will not be sent with the application for shortlisting. The

application form will be identified by the candidate number only to ensure that no

applicant will be unfairly discriminated against.

Completed applications should be submitted to Medical Staffing, Office Suite 4 Zone 6, Raigmore Hospital, Old Perth Road, Inverness IV2 3UJ or by email to [email protected] Job reference: MS12.18.23 Closing date: 16 September 2018 Interview date: 2 October 2018 in Fort William. For further information on NHS Highland, please visit our website on www.nhshighland.scot.nhs.uk

mailto:[email protected]



http://www.nhshighland.scot.nhs.uk/

Section 2 – Advert

Applications are sought for a Consultant General Surgeon to work in our unique, busy Rural General Hospital in Fort William. The hospital itself is located in the Scottish Highlands but close enough to be able to drive to the central belt in 2 hours. So you have the beauty of the sensational outdoors, combined with the convenience of being within striking distance of the major Scottish centres – and London is only a sleeper-train away! 'Generalism is our Specialism', and we are happy to consider any subspecialty interest provided you are ‘Emergency General Surgery’ trained. We are eager to support other training or experience you may require, making this a truly unique opportunity. Key to our strategy is that rural surgical practice should not be isolated practice. In addition to local consultant colleagues in Medicine and Anaesthesia, you will also be a member of the wider surgical team based at Raigmore Hospital, a District General Hospital in Inverness. This will involve regular clinical attachments to Raigmore as supernumerary, enabling you to access a more intense mix of operating and complex care of surgical patients. In addition you will participate in departmental meetings both in person and via video conference to foster an ethos of teamwork across multiple sites and develop professional networks. This isn’t a job for someone interested in just maintaining rural surgical services. This is about making them fit for the future. The job is advertised on a 10 PA (plus 2 EPAs) basis, but applications for part time/flexible working will be considered.

Section 3 – Job Information

Department of General Surgery in Belford Hospital: Consultant Surgeons; Vacancy (currently recruiting) Vacancy (currently recruiting) Vacancy (currently recruiting) Consultant Physicians; Dr Brian Tregaskis Consultant Gastroenterologist & Clinical Director. Dr Patrick Byrne Consultant Physician & GP. Dr Karen Le Ball Consultant Geriatrician (part time in the community) Vacancy Consultant Anaesthetists; Dr Alex Kollar Consultant Anaesthetist. Dr Katrina Gannon Consultant Anaesthetist. Prof Lester Critchley Consultant Anaesthetist & Intensive Care Other Doctors; FY1 Medicine (4 month placement) 3 x FY2 RHM (4 month placement) FY1 Surgery (4 month placement) CT1 Surgery (6 month placement) 3 x GPST (Rotational – 1 year placement) The FY1’s work as ward ‘continuation’ so they don’t do any out of hours work apart from 1 in 4 weekend days. The remaining 7 do a 1 in 7 rota of days, long days and nights. Rural General Hospital Manager; Mrs Anne Boyd-MacKay is our Hospital manager. Department of General Surgery and Urology in Raigmore Hospital There are currently ten Consultant General Surgeons, three Consultant Vascular Surgeons, five Consultant Urologists and three Consultant Breast Surgeons in post. The specialty interests are as follows: Consultant Surgeons: Mr Ron Coggins Upper GI / Hepatobiliary and General, Clinical Director Mr Appou Tamijmarane Upper GI / Hepatobiliary and General Mr Stephen McNally Upper GI / Hepatobiliary and General Mr Ray Oliphant Colorectal and General, Prof Kenneth G Walker Colorectal and General Prof Angus Watson Colorectal and General Mr Mike Lim Colorectal and General, Service Lead Mr Mike Walker Colorectal and General Mr Amlan Banerjee General (locum for Ms Hogg- maternity leave) Mr Alan Grant General Clinical Lead for Endoscopy Training Mr Ian R Daltrey Breast and Oncoplastic

Mr Russell Mullen Breast and Oncoplastic Mr Nick Abbott Breast and Oncoplastic Miss Catriona Semple Vascular Mr Bernhard Wolf Vascular and General Mr Zsolt Varga Vascular Consultant Urologists: Mr Karina Laing Endourology and Pelvic Floor Continence Mr Ian Wilson Laparoscopic urological surgery Mr David Douglas Urological cancer, prostate Miss Sarah Ramsey Endourology Mr Thierry Bonin Endourology The Department benefits from the services of Specialist Nurses in Colorectal/ Stoma Care (3), Vascular (1), Urology (2), Breast Care (2) and Upper and Lower GI Endoscopy (4 shared with gastroenterology). Visiting Consultants from Aberdeen and Edinburgh hold clinics in Neurosurgery, Cardiothoracic surgery, Plastic Surgery and Clinical Genetics. The visiting Plastic Surgeons also carry out elective operating lists at Raigmore Hospital. The Combined Assessment Unit – Belford Hospital Our Combined Assessment Unit provides patient assessment, stabilisation, diagnosis, transfer and discharge alongside a Combined Step-Down Unit (Ward 1), and a Day Case Unit (DCU). Every patient is discussed at a morning ‘board-round’ with medical and surgical consultants, junior doctors, nurses, physiotherapists, occupational therapists and social-workers present. A decision is made to either discharge the patient or admit them for further treatment. Accident and Emergency – Belford Hospital We see a variety of trauma / minor injuries / medicine / surgery and all other specialities in the accident and emergency unit. Because of our unique position at the foot of Ben Nevis we see a large volume of sporting trauma for a hospital of our size. – The volume of this does change with the season. A&E is manned by junior doctors 24/7 and by very experienced nursing staff many of who are ENP's. The consultants of all 3 specialities are ‘A&E top cover’ when on call. There is help available from all specialities by telephone / VC for any cases that require specialist investigation / advice from other subspecialties. For the majorly ill patients we work a “stabilise and transfer” system. Once stabilised (this may or may not include theatre) patients are transferred to a tertiary centre (e.g. to neurosurgery for major head injuries). This may involve transfer by one of the following;

Paramedics & the Scottish Ambulance service.

The EMRS (Emergency Medical Retrieval Service) who operate out of Glasgow.

The Navy or RAF who will fly in difficult conditions (that the EMRS are not able to fly in) And the challenge is that if it's the middle of winter the roads can be impassable in bad weather and if there's a blizzard the helicopters can’t fly – so we then have to do what we can. Combined Assessment Unit (CAU) – Belford Hospital All acute cases not presenting to A&E come to CAU. They are assessed and then admitted or discharged to GP or ambulatory care review in hospital.

Step Down Ward (Ward 1) – Belford Hospital Any patient no longer requiring high level acute care but needing time to get back on feet can be transferred to Step Down Ward from CAU and discharged as soon as practicable. Surgical patients can be admitted to ward 1 for rehab as appropriate after a major procedure. Most surgery is day case and patients are admitted to Day Case Unit on The CAU corridor. Out Patients – Belford Hopsital Surgical clinics; (Consultants rotate) these are all day Monday and Wednesday. New patients’ in the morning, returns in the afternoon. Pre-operative assessment clinics run on the same days in the pre operative assessment unit. Medical Clinics; Run on Tuesdays there is currently joint working in the form of joint clinics (& joint endoscopy lists) between 1 of the surgeons (HPB / Upper GI) and 1 of the physicians (Gastroenterology). This can be expanded dependent on interest. Outreach clinics; A variety of outreach clinics from other specialties are held in the outpatient department – these vary from month to month but include; Vascular, Obs and Gynae, Orthopaedic, Rheumatology, Dermatology, ENT etc. The consultants usually travel down from the larger centre in Inverness. Theatre All lists start at 9am and are all day lists. The Consultant Surgeons have theatre lists on Tuesdays, Wednesdays and Thursdays. The lists rotate between the 3 WTE surgeons as per availability. Minor Ops are done in outpatients every 2nd week (usually Tuesday or Thursday) Endoscopy Consultant Surgeons perform endoscopies in rotation on Monday afternoon and Friday morning. Dr Tregaskis’s endoscopy lists are on Wednesday morning and all day Thursday. Trauma clinics The consultant Surgeons run these are run on Monday and Wednesday mornings. Though Dr Craig Macmillan, one of our local GP’s, job ‘swaps’ on a Wednesday with Dr Byrne who goes to “GP land” (he’s dual trained in GP and General Internal Medicine) he often helps run the Wednesday trauma clinic. This involves reviewing injuries that have been seen out of hours by the junior doctors. There is remote advice available for Orthopaedics in Raigmore (Inverness) for any challenging or interesting cases. Service Potential The way we run our service is unique and it is constantly changing but with patient care at the heart of everything we do. Our CAU has won awards for innovation & excellence. Our Consultants have been invited to speak on National and International stages about service redesign and innovation. It is hoped that you, our new colleague, will add to this.

Innovations include;

The conception and introduction of our Combined Assessment Unit (CAU)

The concept of 'joint working' across specialties.

The innovative post of Consultant physician and GP (Dual qualified - on specialist register for both)

Rotating posts from Inverness

A 'Virtual Ward' for admission prevention.

The introduction of a dedicated 'rural' Day-case unit.

Linking with Edinburgh University to take placement students and elective from all over the world.

Finally (for now), we have recommenced running the MRCP(UK) PACES Examination at Belford.

Radiography department; Superintendent Radiographer – Samantha Butler The X-Ray department is staffed by a skilled and talented group of radiographers, who, between them provide a comprehensive radiography service. We have once a fortnight visits from a consultant radiologist who works in Oban. Laboratories; Tina Webster – Laboratory Manager We have a comprehensive laboratory service (on the second floor at the front of the hospital) providing analysis of routine and emergency investigations as well as blood transfusion/crossmatch. Physiological measurement; Kathy Tighe provides a wide service including ECG, resp function tests, ETT's and echocardiography. MacMillan Team (Based at Fort William Health Centre) Physiotherapy & Occupational Therapy. Night Nurse / Day Nurse Practitioner Service These are Senior Nurses and are undertaking advanced clinical practice The Department of Surgery - Raigmore Hospital This District General Hospital located in Inverness offers the full range of oesophago-gastric and hepato-biliary surgery provided by three Consultant Surgeons including a tertiary service for patients with benign and malignant disease along with a sub-speciality UGI surgical service. Five consultants provide specialist colorectal services with all rectal cancers and most colon cancers managed in Raigmore. All GI cancer cases are discussed at a weekly GI MDT and there is active participation in the North of Scotland Cancer Network (NOSCAN) managed clinical network. The surgery of inflammatory bowel disease is relatively common and a pelvic exenterative service is available with a full range of pelvic floor services. The vascular service is delivered by three Consultant Vascular Surgeons supported by a Vascular Nurse Specialist who offer a full range of vascular surgical services. The department works closely with the stroke physicians and 50 cartoid enarterectomies are performed each year. The breast service is currently delivered by three Consultant Surgeons and the hospital also supports a significant sized renal dialysis unit and the department provides access for these patients.

Teaching / Training. The morning ‘Board round’ is the start of the teaching day. Separate Surgical and Medical ward rounds follow this, although once a week and at weekends we try to do a joint ward round. All students and juniors have commented on the amount of teaching and learning as each case is discussed, and questioning is encouraged from all staff. Teaching is both formalised and impromptu sessions – e.g. often on foot of a seemingly innocent question. We firmly believe that every aspect of clinical practice has a teaching or learning component and have volumes of evidence to back this claim (our junior doctors night log-book being one such example). Our consultants have a variety of teaching roles both within and externally to the hospital. Three of us are Educational and Clinical Supervisors to the junior doctors. Dr Tregaskis and Dr Byrne examine for the MRCP across the country and as previously mentioned we are once again an MRCP PACES centre. Dr Byrne runs a national & international revision course for medical students. Wednesday & Friday morning tutorials 7.45 – 8.30. This is strictly voluntary - the juniors do not have to attend (due to hours restrictions) but most do and all the students attend. Belford Hospital Consultants provide local in-house teaching on a variety of medical, surgical and anaesthetic topics between them. You will be expected to participate in this. Friday lunchtime postgraduate meetings 12.30 – 2.00. This is your own internal CPD.

Rotational; Journal club, Internal morbidity & mortality, case reports, external speakers.

Every Friday except 1st Friday of the month (Consultant meeting) There is FY2 teaching on a monthly basis between Fort William and Oban. Again, we would expect you to be involved when it is our turn to run this. Medical Students. We get many students through the year from a variety of sources. They come from Aberdeen & Edinburgh Universities on placement. Also from the rest of Scotland, UK and worldwide on elective. From August to the start of February we take 2 Edinburgh students on rotational placement for medicine and 1 on placement for surgery. In March / April we take Edinburgh students for their ‘Preparation for practice’ blocks. From September until April we take 2 Aberdeen students on rotational placement for surgery. Over the year we take a varying number of elective students because of our size we take a maximum of six students at any one time. We take students at least at the end of their Fourth Year, or in their Final Year. The reason for this is that we encourage our students to work to FY1 standard (with cover) i.e. the traditional ‘final year elective’ we expect them to be at a stage where they have worked regularly on wards and understand hospital etiquette. Students are challenged to ‘act up to level of FY1’ because that is what they will be doing shortly when they qualify. When delegating to anyone, it is beholden on us to check the person is competent to do the task required, and often supervise initially (sometimes several times) before allowing independence (in common with the FY training). It is also appropriate for the student to present their case directly to the consultant and on the morning board rounds we find they gain a huge amount from this. We would expect our new colleague to take-over some responsibility for the 2 'surgical' placement students from the University of Aberdeen and be involved in the teaching and training of all students as well as junior doctors.

Audit It is essential to your governance that you regularly participate in audit. You will be expected to perform any audit relative to your caseload and take a lead in audits with junior members of staff in addition to linking to departmental meetings in Raigmore. Management You will be expected to develop the service within the available resources as agreed with the Clinical Director. All Consultant Medical Staff are expected to participate in Consultant Appraisal and Job Plan Review on an annual basis and the revalidating process when necessary. CME / CPD Study Leave may be available at the discretion of management. Other Support Professional leadership is provided by the Clinical Lead and Clinical Director for the North and West Operational Unit. Administrative support of 18.5hrs is shared with another consultant and peripheral clinics and typing are supported by Band 2s. Remote IT support is available via the e health department based at the Raigmore Hospital site in Inverness. An office will be made available for administrative tasks and other activities.

Section 4 – Job Plan

THE POST

1. Full-time/part time Consultant General Surgeon based at Belford Hospital, Fort William with some clinical time spent in Raigmore Hospital as agreed with the Clinical Director.

2. You will be working alongside local managers and professional colleagues in the efficient

running of the service, and will share with Consultant colleagues in the medical contribution to management. Subject to the provisions of the Terms and Conditions of Service, you are expected to observe the NHS Highland Board's agreed policies and procedures, drawn up in consultation with the profession, on clinical matters, and to follow the standing orders and financial instructions of NHS Highland. In particular, where you formally manage employees of NHS Highland, you will be expected to follow the local and national employment and personnel policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff, involved in the care of your patients, to be able to contact you when necessary.

3. You are required to comply with NHS Highland’s Health and Safety Policies.

4. You have agreed that you will be responsible for the training and supervision of the junior medical staff that work with you, and you will be expected to devote time to this activity on a regular basis. In addition, you will be expected to ensure that junior staff have access to advice and counseling. If appropriate, you will be named in the contracts of doctors in training grades, as the person responsible for overseeing their training, and as the initial source of advice to such doctors, on their careers.

5. The main duties and responsibilities:

a) New appointments to this department will allow a period of service redesign. The appointee, along with general surgical colleagues, will participate in the on call at the Belford Hospital, Fort William with some clinical attachment time in Raigmore.

b) The appointee will further develop and deliver general surgical services for the Highlands.

c) The appointee will undertake his/her full share of teaching to the junior medical staff,

undergraduates and other hospital staff. An interest in developing the delivery of medical education would be actively encouraged.

d) The post is an 10.5:1.5 post, namely 10.5 Direct Clinical Care and 1.5 Supporting

Professional Activity Programmed Activities. Applicants who are unable to work full-time may be able to negotiate a shorter working week.

e) Requirements to participate in medical audit and in continuing medical education (where

appropriate and agreed)

f) Managerial, including budgetary, responsibilities (where appropriate and agreed)

g) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided but NHS Highland for other agencies.

6. It is a requirement for all Consultants to have a job plan. Agreed job plans will be

prospective and will set out:

All professional commitments

Time and service commitments

Accountability and management arrangements

Objectives

Resources

Any agreed extra programmed activities All job plans will follow the model format contained at Appendix 4 of the New Consultant Contract. The job plan will be subject to review at least annually, or more often, if changes to staffing resources, or working practices, or the Consultant’s circumstances require it.

NHS Highland Health Board.

Basic Information

Job plan status In 'Discussion' stage

Appointment Full Time

Cycle Rolling cycle - 1 week

Start Week 1

Report date 10 Jul 2018

Expected number of weeks in attendance 42 weeks

Usual place of work Belford Hospital, Fortwilliam

Alternate employer None Specified

Contract New

1 PA of premium time equates to 4 hours

Private practice No

Job plan stages

Job plan stages Comment Date stage achieved Who by

In 'Discussion' stage 16 Mar 2018 Mrs Leah Morrison

PA Breakdown

Main Employer PAs Core PAs EPA PAs Total PAs Core hours EPA hours Total hours Premium hours

Direct Clinical Care (DCC) 10.337 8.441 1.896 10.337 33:44 7:35 41:19 6:05

Supporting Professional Activities (SPA) 1.482 1.482 0.000 1.482 5:56 0:00 5:56 0:00

Total 11.819 9.924 1.896 11.819 39:40 7:35 47:15 6:05

On-call summary

Rota Name Location Weekday Freq

Weekend Freq

Level Supplement PAs

On-call Rota Belford Hospital, Fortwilliam 3 4 1 8% 3.069

Type Normal Premium Cat. PA

Total: 3.069

Predictable 3:00 2:00 DCC 1.702

Unpredictable 0:00 7:45 DCC 1.367

The total PAs arising from your on-call work is: 3.069

Your availability supplement is: 8% (based on the highest supplement from all your rotas)

On-call rota details

General information

What is your on-call activity? On-call Rota

Where does your on-call rota take place in? Belford Hospital, Fortwilliam

What is your on-call classification? 1

Weekday work

What is the frequency of your weekday on-call work? 1 in 3.00

Do you work your weekday on-call on a specific day? Monday

Predictable Unpredictable

What are your average hours of emergency work per weekday on-call? 11:00 01:45

How much of this takes place between 20:00 & 08:00? (premium time) 00:00 01:45

How much of your weekday predictable on-call work displaces other activities?

08:00

Weekend work

(A weekend is classed as Saturday to Sunday for this rota)

What is the frequency of your weekend on-call work? 1 in 4.00

Predictable Unpredictable

What are your average hours of emergency work per weekend on-call? 02:00 06:00

Does your weekend predictable work displace other activities? No

Other information

Which objective does this on-call work relate to?

Comments

Sign off

Role: Clinical Director

Name: Dr Jones, Katharine

Signed:

Date:

Role: Clinical Director

Name: Dr Jones, Katharine

Signed:

Date:

Role: Unkown

Name: Unkown

Signed:

Date:

Timetable

Activities E Extra Programmed Activities Type Day Time Weeks Activity Employer Location Cat. Num/Yr PA Hours

Total: Core EPA

3.741 0.658

14:56 2:38

Mon

08:30 - 09:00

Board Round NHS Highland Health Board. Belford Hospital, Fortwilliam DCC 16 0.048 0:11

Mon

09:00 - 10:00

Post- take ward round NHS Highland Health Board. Belford Hospital, Fortwilliam DCC 16 0.095 0:23

Mon

10:00 - 12:30

Clinic other Comments: new and returns both 15 minute appointments need total of 100 clinics a year which is 33 per surgeon twice a week

NHS Highland Health Board. Belford Hospital, Fortwilliam DCC 16 0.238 0:57

Mon 12:30

Endoscopy NHS Highland Health Board. Belford Hospital, Fortwilliam DCC 16 0.381 1:31

Type Day Time Weeks Activity Employer Location Cat. Num/Yr PA Hours

- 16:30

Comments: Endoscopy Session

Mon

14:00 - 16:00

Clinic other NHS Highland Health Board. Belford Hospital, Fortwilliam DCC 16 0.190 0:46

Tue

08:30 - 09:00


Tue

09:00 - 10:00


Tue

09:00 - 16:30

Theatre NHS Highland Health Board. Belford Hospital, Fortwilliam DCC 16 0.714 2:51

E Tue 10:00 - 13:00

Specialist clinic Comments: fracture clinic


Wed

08:30 - 09:00


Wed

09:00 - 10:00


Wed

10:00 - 12:30

Clinic other Comments: new and returns both 15 minute appointments need total of 100 clinics a year which is 33 per surgeon twice a week


Wed

14:00 - 16:00

Clinic other NHS Highland Health Board. Belford Hospital, Fortwilliam DCC 17 0.202 0:49

Thu

08:30 - 09:00


Thu

09:00 - 10:00


Thu

09:00 - 16:30

Theatre NHS Highland Health Board. Belford Hospital, Fortwilliam DCC 17 0.759 3:02

Fri

08:30 - 09:00


Fri

09:00 - 10:00


E Fri 09:00 - 12:30

Endoscopy NHS Highland Health Board. Belford Hospital, Fortwilliam DCC 17 0.354 1:25

Fri

10:00 - 12:30

Local Anaesthetic List Comments: one stop shop local anaesthetic list


No specified day "( )" Refers to an activity that replaces or runs concurrently E Extra Programmed Activities Type Normal Premium Activity Employer Location Cat. Num/Yr PA Hours

Total: Core EPA Replaced

3.113 1.238 (0.000)

24:44 4:57 (0:00)

10:00 0:00 Job planning


Belford Hospital, Fortwilliam

SPA 1 0.060 0:14

15:00 0:00 Personal Appraisal / Revalidation



SPA 1 0.089 0:21

Type Normal Premium Activity Employer Location Cat. Num/Yr PA Hours

2:00 0:00

Meetings - consultant Comments: Belford Hospital Consultant Team Meeting



SPA 10 0.119 0:29

2:00 0:00

Mortality and Morbidity Meeting Comments: Local M&M meetings, audit presentations, departmental incident reviews



SPA 10 0.119 0:29

1:00 0:00

Audit Comments: Critically ill patient transfer audit review and learning



SPA 10 0.060 0:14

2:00 0:00

MDT Colorectal diseases Comments: join via VC



DCC 17 0.202 0:49

E 8:00 0:00

Clinic other 120 minutes travel from Belford Hospital, Fortwilliam. 120 minutes travel to Belford Hospital, Fortwilliam.


Mackinnon Memorial Hospital, Broadford

DCC 26 1.238 4:57

4:00 0:00

Admin other (please specify) Comments: 613hrs of clinical activity needing admin equals 153 sessions needing 1hr of admin per session so 4hrs per working week assuming 42 weeks of work per year



DCC 42 1.000 4:00

1:00 0:00

Educational Supervision P/G (GMC recognised Role)



SPA 42 0.250 1:00

1:00 0:00 Clinical Supervision P/G (GMC recognised Role)



SPA 42 0.250 1:00

1:00 0:00 CPD - Personal (max 1 hour per week)



SPA 42 0.250 1:00

8:00 0:00

Audit Comments: Raigmore surgical dept audit day to network with NHS Highland Surgical Directorate and undertake reflective learning relevant to speciality 120 minutes travel from Belford Hospital, Fortwilliam. 120 minutes travel to Belford Hospital, Fortwilliam.


Raigmore Hospital, Inverness

SPA 6 0.286 1:09

12:00 0:00 On Call


Raigmore Hospital, Inverness

DCC 6 0.429 1:43

Board Objectives

Care To improve the experience of care and caring for people by: - Minimising the time that individuals have to be away from home and their families to receive care. - Supporting more individuals and their families to make choices about their care, particularly when nearing the end of their life. - Preventing people from falling.

People To attract staff and improve our staff experience working for NHS Highland by: - Making NHS Highland the employer of choice. - Ensuring staff are proud of their contribution to delivering safe and effective care. - Increasing the number of staff who feel engaged and valued as part of our team.

Quality To improve access to and coordination of services by: - Improving timely access to the right person who can best meet people's needs. - Increasing the number of people who can be supported through the use of modern technology. - Providing timely access to clinically appropriate care.

Section 5 – Person Specification

Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role. Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage.

Desirable Criteria - these are attributes which would be useful for the candidate to hold. When short listing,

these criteria will be considered when more than one applicant meets the essential criteria.

Requirement Essential Desirable

1. Qualifications FRCS (Gen) or equivalent.

Other relevant medical and non-medical training / degree. Other relevant postgraduate qualification.

2. GMC/Specialist Registration Entry on the GMC specialist register via relevant CCT (proposed CCT date ideally will be within 6 months of interview).

3. Clinical Experience Wide experience in general surgery A special interest to complement that of the existing post-holders. Experience in & ability to manage major trauma. Willingness to learn new techniques and procedures. Experience in endoscopy. JAG Certification or auditable evidence.

1

JAG accreditation in colonoscopy. ATLS accreditation (you will be expected to have this prior to taking up a post).

4. Teaching & Training Willingness and ability to supervise, mentor and teach junior doctors. Commitment to continuing medical education, appraisal and clinical governance.

Experience of teaching to undergraduates and postgraduates and members of multi-disciplinary team.

5. Research & Audit Experience Clinical presentations at national and regional scientific meetings. Participation in clinical audit. Commitment to CPD.

Training in statistical methods, critical appraisal and evidence based medicine. Peer-reviewed publications. Completed “Training the Trainers” course.

6. Team Working & Interpersonal Skills Capacity to be alert to dangers Show ability to learn from

or problems. Demonstrates awareness of good decision making and aware of own limitations. People management skills Leadership skills Excellent communication skills and team-working with patients, colleagues, managers and other staff. Ability to work under pressure. Good organizational skills. Good team-worker. Good IT skills. Understanding of rural issues. Willingness to adhere to agreed guidelines of management. Enquiring, critical approach to work. Professional integrity and respect for others. Able to present information in a clear and concise manner.

experience.

1 It is envisaged that the successful applicant will contribute to the endoscopy service within NHS

Highland. This could be both upper and lower endoscopy or one or the other. For applicant's having recently completed training, it would be expected that they would have JAG certification in either upper or lower endoscopy or both. For applicants who have been a consultant for a number of years and do not have JAG certification, they should provide auditable evidence of their recent endoscopic competence. This would be within the last 12 months and be extracted from their current endoscopy reporting system and be relevant to their expected endoscopic activity within NHS Highland.

Section 6 – Terms and Conditions

TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract

in accordance with the Hospital Medical & Dental Staff (Scotland) and current General Whitley

Council. Further information can be found here: http://www.msg.scot.nhs.uk/pay/medical

Job Title Consultant General Surgeon

Type of Contract Full time

Permanent

Location Belford Hospital, Fort William

Salary £78,304 - £105570 per annum

Placing on the salary scale will be on the minimum point unless

the successful applicant has previous experience in a NHS

Consultant post or previous non-NHS experience equivalent to

that gained in an NHS Consultant post.

Arrangement of

Duties

See separate Job Plan.

Medical Negligence NHS Highland takes responsibility for expenses and damages

arising from medical negligence where they, as the employer, are

vicariously liable for the acts and omissions of their medical and

dental staff. However, the appointee is strongly advised to maintain

separate medical defence or insurance cover for all work which

does not fall within the scope of the Board's indemnity scheme,

details of which are given in NHS Circular 1989(PCS) 32.

Registration with

General Medical

Council

Applicants must have full registration with the General Medical

Council, a licence to practise and be eligible for inclusion on the

GMC Specialist Register. Those trained in the UK should have

evidence of higher Specialist Training leading to a CCT or be within

six months of confirmed entry from the date of interview or obtained

specialist registration through CESR (CP). Non UK applicants must

demonstrate equivalent training.

Disclosure of

Criminal

Convictions

Appointment to this post will be made subject to satisfactory

screening by Disclosure Scotland. This post is considered to require

registration with the Protecting Vulnerable Groups (PVG) Scheme

as it involves substantial access to children and / or vulnerable

http://www.msg.scot.nhs.uk/pay/medical

adults. A PVG Scheme Record will contain details of all convictions

on record, whether spent or unspent. This means that even minor

convictions, no matter when they occurred will be included in the

Scheme Record. It may also contain non conviction information held

locally by the police, where this is considered relevant to the post.

Following the selection interview only the "successful" candidate will

be subject to registration with the PVG Scheme. Offers of

appointment will be made subject to satisfactory PVG Scheme

screening and medical fitness. Please note that a commencement

date will only be issued once this clearance has been received.

Rehabilitation of

Offenders Act 1974

The Rehabilitation of Offenders Act 1974 provides for many people

who have been convicted of certain criminal offences the

opportunity to have no need to refer to these convictions or the

circumstances relating to them in the course of their daily lives.

Certain convictions can, therefore, be regarded as “spent” after the

lapse of a period of years under the terms of the Act. The National

Health Service employment for which you are applying is excluded

in the provisions of the Act unless otherwise stated in the job

description. If the post is excluded you are required not to withhold

information about convictions which for other purposes are “spent”

under the provisions of the Act. In the event of employment, any

failure to disclose such convictions could result in dismissal or

disciplinary action by your employer. Any information given,

however, will be completely confidential and will be considered only

in relation to the post for which this application form refers.

Medical Fitness All prospective members of staff are asked to submit a confidential

health questionnaire to the Occupational Health Service. On the

basis of this, they may be passed fit, or an appointment for further

information or screening may be required. All entrants must be

certified medically fit and employment is conditional on such

certification. All appointees are expected to comply with NHS

Highland’s Immunisation Policy.

Those posts classified as Exposure Prone Procedures

appointments are dependent on satisfactory proof of immunity or

freedom from Hep B infection prior to appointment.

Right to Work NHS Highland 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 Highland 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. You

will be required provide appropriate documentation prior to any

appointment being made.

Annual Leave &

Public Holidays

The leave year shall run from date of taking up appointment and in

a full year the postholder will be entitled to 6 weeks’ annual leave

plus 10 statutory and public holidays as agreed by NHS Highland.

Superannuation New entrants to NHS Highland who are aged sixteen but under

seventy five will be enrolled automatically into membership of the

NHS Pension Scheme. Should you choose to "opt out"

arrangements can be made to do this via: www.sppa.gov.uk or

01896 893000

Notice The postholder will be required to give and is entitled to receive a

minimum of three months notice of termination of employment.

Removal Expenses Assistance with Removal expenses will be given in accordance with

the NHS Highland Long Term Relocation Policy. It is compulsory

that you discuss any arrangements relating to your relocation with

us before arranging anything. Failure to do so may result in limited

or no assistance being given.

Private Residence Your private residence shall be maintained in contact with the public

telephone service and shall be not more than 10 miles or 30

minutes by road from your hospital base, unless the Board gives

specific approval to you residing at a greater distance.

Identity Badge

Policy

NHS Highland has a policy that all staff will be issued with and

required to wear an Identity Badge at all times when on duty. If your

badge needs replacing for any reason you are required to contact

the Fire/Security Office, Estates Department to arrange for a

replacement. All identity badges are the property of NHS Highland

and must be returned when you terminate your employment.

Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or

e-cigarettes in any of our properties, vehicles or grounds. When

selecting new staff NHS Highland does not discriminate against

applicants who smoke but applicants who accept an offer of

http://www.sppa.gov.uk/

employment will in doing so agree to observe and familiarise

themselves with NHS Highland's Smokefree policy.

Confidentiality In the course of your duties you may have access to confidential

material about patients, members of staff or other health service

business. On no account must information relating to patients be

divulged to anyone other than authorised persons - for example

medical, nursing or other professional staff, as appropriate who are

concerned directly with the care, diagnosis and/or treatment of the

patient.

If you are in any doubt whatsoever as to the authority of a person or

body asking for information of this nature you must seek advice

from your superior officer. Similarly no information of a personal or

confidential nature concerning individual members of staff should be

divulged to anyone without the proper authority having first been

given. Failure to observe this rule will be regarded by your

employers as serious misconduct, which could result in serious

disciplinary action being taken against you including dismissal. The

unauthorised disclosure of official business under consideration by

the Board Management Team or one of its Committees by an

employee is also regarded as a breach of confidence and may lead

to disciplinary action.

Scottish Workforce

Information Standard

System (SWISS)

The information that staff provide will be used for employment

purposes and where necessary to comply with legal obligations.

The purpose of holding this information is for administration i.e.

employment and pay amendments, superannuation, workforce

management/planning and other personnel matters in relation to

employment. Any requests for information outwith the above will

only be processed with individual consent (e.g. building society

mortgage applications etc.)

Staff information will be held securely, and will be accessed at a

local, regional and national level to meet the requirements outlined

above. Managers may also hold information within your

department. There will be no unauthorised access.

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