CONSULTANT IN MEDICAL MICROBIOLOGY & INFECTION CONTROL

10 Programmed Activities: Full-time

JOB DESCRIPTION

January 2021

KING’S COLLEGE HOSPITAL NHS FOUNDATION TRUST King’s College Hospital NHS Foundation Trust is one of the UK’s largest and busiest teaching hospitals with over 1.5 million patient contacts a year and more than 13,000 staff based across five main sites in South East London and Kent. The Trust provides a full range of local hospital services across its different sites, and specialist services from King’s College Hospital (KCH) site in Camberwell and the Princess Royal University Hospital (PRUH) site in Bromley, Orpington Hospital, and some services at Beckenham Beacon and Queen Mary’s Sidcup. The Trust is recognised internationally for its work in liver disease and transplantation, neurosciences, cardiac, haemato-oncology, fetal medicine, stroke, major trauma, and Emergency Department. King’s is a key partner in one of London's foremost Academic Health Science Centres, King's Health Partners (KHP). KHP is one of only six Department of Health-designated AHSCs in England. It brings together a world-leading research-led university – King’s College London – and three successful NHS Foundation Trusts: King’s College Hospital, Guy’s and St Thomas’, and South London and Maudsley. With the acquisition of the PRUH and Orpington Hospitals in October 2013, the Trust increased in size and importance, now caring for patients in the boroughs of Bromley and Bexley in addition to Lambeth, Southwark and Lewisham. Many services, such as Trauma and Neurosurgery, are delivered on a regional basis, whilst people from throughout the UK and beyond come to us for our world renowned specialist services such as Liver and Foetal Medicine. Already one of only 4 major trauma centres in London, King's became the largest provider of stroke services with Hyper Acute Stroke Units based on both acute hospital sites in Kent and London. An elective orthopaedic centre was established in 2013 at Orpington Hospital, and this has already grown to become the second largest orthopaedic centre in London.

King's specialist services include some world renowned departments. The Liver Department has the largest transplant centre in Europe, and is celebrated for its innovative practice, the development of split liver transplants, as an example. In foetal medicine, the Harris Birthright Centre under Professor Kypros Nicolaides has led the world in the development of foetal scanning and surgery. King's has two "A" rated hyper acute stroke centres, and the centre at King's Denmark Hill was rated as the best in the country in a recent Royal College of Physicians national study. The Hospital also provides innovative cardiac, neurosurgery and haemato-oncolgy departments, and the largest Bone Marrow transplant centre in Europe. King’s College Hospital NHS Foundation Trust has an enviable track record in research and development and service innovation. In partnership with King’s College London, the Trust has recently been awarded a National Research Centre in Patient Safety and Service Quality. It is also a partner in two National Institute for Health Research biomedical research centres. The first is a Comprehensive centre with King’s College London and Guy’s and St Thomas’ NHS Foundation Trust and the second is a Specialist centre with the South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry. King’s College Hospital NHS Foundation Trust has also recently strengthened its research and development infrastructure in order to better support clinical researchers across the organisation.

King’s College Hospital NHS Foundation Trust is part of CLAHRC (Collaboration for Leadership in Applied Health Research), a collaborative partnership between universities and surrounding NHS organisations, focused on improving patient outcomes through the conduct and application of applied health research. The work of the CLAHRC South London is funded for five years (from 1st January 2014), by the NIHR (National Institute for Health Research).

The Trust has an annual income of around £1 billion, around half of which is derived from Clinical Commissioning Groups. However, education and research are also important sources of income, currently contributing around 8% of the total. The Trust is embarking on a strategy to achieve greater diversification of its income, with growth anticipated in tertiary referrals, research and commercial services activities. There is also a developing fund raising partnership within King’s Health Partners for the Institute programs in Cardiovascular, Haematology and Neurosciences.

King’s College Hospital NHS Foundation Trust has a very positive culture, built on the core staff and service values of: • Understanding you • Inspiring confidence in our care • Working together • Always aiming higher • Making a difference in our community We offer a family friendly working approach for all staff to ensure a good work-life balance. The Trust provides a supportive mentoring and career planning programme. Applications for job sharing are welcome. King’s Health Partners Academic Health Science Centre (AHSC) King's is known as an innovative organisation and it is working hard to develop significant partnerships with health and social care partners across London and with industry, designed to improve the provision of integrated care to patients. It is a pivotal founding member of one of the country's Academic Health Sciences Centres (AHSC) known as King's Health Partners (KHP). King’s Health Partners is a pioneering collaboration between King’s College London, Guy’s and St Thomas’, King’s College Hospital and South London and Maudsley NHS Foundation Trusts. This unique combination brings together one of the world’s leading research-led universities and three of London’s most successful NHS Foundation Trusts. The driving purpose behind King’s Health Partners is to continually seek and bring about swifter and more effective improvements in health and well-being for patients and people everywhere, by combining the best of basic and translational research, clinical excellence and world-class teaching to deliver ground-breaking advances in physical and mental healthcare. King’s Health Partners (KHP) is one of only five Academic Health Science Centres in the UK accredited by the Department of Health. This followed a selection process carried out by a panel of internationally renowned clinicians and researchers. One of only six AHSCs in the UK, it brings together an unrivalled range and depth of clinical and research expertise, spanning both physical and mental health. The AHSC's combined strengths will drive improvements in care for patients, allowing them to benefit from breakthroughs in medical science and receive leading edge treatment at the earliest possible opportunity. The partnership brings together: • Three of the UK's leading NHS Foundation Trusts; • One of the top 20 universities in the world; • Services provided across central and outer London locations, including seven mental

• health and physical healthcare hospitals and many community sites;

• 4.2 million patient contacts each year; 36,000 staff; 25,000 students; and a combined

• annual turnover of £3.1bn. Further information on KHP can be found on its website www.kingshealthpartners.org

Pathology provider The current pathology provider is Viapath. This is a Limited Liability Partnership owned in equal parts by GSTT and KCHNFT. Although part owned by KCHNFT, Viapath is a separate company in its own right and is the entity from which the Trust purchases an end-to-end (i.e. from sample receipt to final report issued) accredited pathology service. It is an integral part of the Trust provision to our patients and the role of our Consultant Pathology staff in supporting this partnership is crucial for KCHNFT and for the care of our patients. From the 1st April a new provider, Synlab will take on the pathology laboratory services. Synlab is Europe’s leading provider of laboratory diagnostic services. There will be a hub and spokes model implemented with an essential service laboratory at the Denmark Hill, KCH site. Consultant microbiologists will likely be expected to attend the hub laboratory which will be off site. A critically important part of any laboratory service is the role undertaken by the Consultant Pathologists. Although Viapath/Synlab employs its own technical, scientific and operational staff, they do not employ their own medically-qualified clinical pathology consultants and this aspect of the service is provided to them by KCH. This includes both diagnostic activities and medical leadership. In addition to providing pathology services to the Trust, Viapath/Synlab also provides pathology services to third parties including the private sector.

DEPARTMENT DESCRIPTION

1. INTRODUCTION King’s College Hospital NHS Foundation Trust Microbiology Services are delivered by one department from both the Denmark Hill site (DHS) and Princess Royal University Hospital (PRUH) site. The Pathology laboratories at both DHS and PRUH are managed by Viapath - a Joint Venture between KCHNFT and Guy’s & St Thomas’s NHS Trust. The DHS laboratory is UKAS accredited. In April 2021, the pathology service will be changed over to the new provider Synlab.

2. CLINICAL ORGANISATION The management arrangements are consistent with the recommendations of the DH Strategic Review of Pathology services (1995), notably paragraphs 4.22-4.26. Infection Sciences sits within Precision Medicine (Clinical Director: Dr Roopen Arya) which is part of the Networked Care Division. The Executive Medical Director for the Trust is Dr Leonie Penna. The Clinical Lead for infection Sciences Dr Silke Schelenz. All Consultants and holders of Consultant equivalent posts are eligible to be considered for the Clinical Lead role.

King’s College Hospital NHS Foundation Trust Staff

Consultants – Microbiology

Princess Royal University Hospital

Dr Mustafa Atta (CMM – PRUH Antimicrobial Stewardship Lead) Dr Sumati Srivastava (CMM – PRUH Infection Control Lead) Dr Martin Brown (CMM -- PRUH)

Denmark Hill site

Dr Silke Schelenz (CMM – Clinical Lead for Infection sciences & Viapath Laboratory

Director*; Mycology, haematology/oncology) (Vacant post) (CMM +/- ID – Medical Microbiology, OPAT, Orthopaedics) (Vacant post) (CMM +/- ID – Medical Microbiology, Lead area TBD)

Dr Anita Verma (CMM – Adult & Paediatric Hepatology) (Vacant post) (CMM – Trust Antimicrobial Stewardship Lead,) Dr Carmel Curtis (CMM – Neonates, Critical Care, Infection Control) Dr Mauricio Arias (CID/MM) - ID/microbiology, OPAT, Endocarditis, TB) Dr Julia Colston (CID/MM - ID/microbiology, Training Lead, Renal) (This Post) (CMM – Trust Infection Control Doctor, Critical Care) * KCHNFT Clinical Lead and Viapath Laboratory Director roles may be rotated between Consultants within Infection Sciences in the future Junior Medical Staff - Microbiology (DHS) Dr Cecilia Drapeau (Clinical Fellow) Dr Jeevani Kumarage (Clinical Fellow) Dr Manganalath Udukala (Clinical Fellow) Dr Harshula Abeydeera (Clinical Fellow) Dr Lasantha Rajakaruna (Clinical Fellow) 5x HEE Microbiology/Virology-ID trainees (1x Virology and 4x Microbiology) Consultants – Virology (DHS) Dr Mark Zuckerman (Consultant Virologist & Lead for Virology) Dr Malur Sudhanva (Consultant Virologist) Dr Temi Lampejo (Consultant Virologist/Infectious diseases) KCH Pathology Development & Liaison Manager (cross-sites) Mr John Roberts Infection Control Surveillance (based at DHS) Mrs Nergish Desai (lead)

Mrs Kirstin Khonyongwa Departmental secretaries (DHS) Ms Roxy Landell (lead) Ms Anna-Maria Gomez-Danso

Viapath senior staff Service Delivery Manager (DHS) Senior Clinical Scientist (DHS) Mr Fearghal Tucker Dr Mel Smith Lead BMS (DHS Microbiology) Interim Operational (DHS Virology) Mrs Katy Stocker Ms Colleen Gilkes Mr Gary Nicholson Laboratory Administrator (DHS) General Manager Core Pathology Mrs Linda Akkad Ms Liz Ford Infection Prevention & Control Team The Director of Infection Prevention & Control (DIPC) for KCH NHS Foundation Trust is the Chief Nurse,

Prof Nicola Ranger. The Deputy DIPC is Mrs Ashley Flores, who works on both the DHS and the PRUH

site and manages the IPC teams on both sites. The Trust infection control doctor is based at DHS; Dr

Srivastava is the lead consultant for IP&C at the PRUH site and reports to the ICD.

The post-holder will work closely with: Clinical lead for Infection Sciences, Consultant Medical Microbiologists and Virologists at the Denmark Hill site and the PRUH (including the Infection Control Doctor and lead for Antimicrobial Stewardship), Assistant Medical Director, Director of Infection Prevention and Control (DIPC); Deputy DIPC;, Pharmacists; Microbiology and Virology trainees and Clinical Fellows, and the Infection Prevention & Control Department.

• Infection Control department

• Infection Control R&D and Surveillance

• Consultants and other clinicians at the DHS, PRUH, Orpington Hospital and Beckenham Hospital

• Other staff in Microbiology, Virology and Pathology

• Consultants in Communicable Disease Control and other staff in the PHE Health Protection Units

• Occupational Health staff

• Estates staff

3. INDICATIVE WORKLOAD

Test (sample type) Total (per annum) Average/month

BC 28,711 2393

Fluids 4,046 337

Faeces 12,380 1,032

Wounds 22,975 1915

Genitals 10,512 876

GUM 916 76

Sputum 8,611 718

TB 3,607 301

Urines 55,438 4620

MRSA 120,764 10064

CRE 36,586 3049

VRE 2,161 180

Screening including MRSA, CRE, VRE

159,511 13293

C.auris 29 2

Mycology 1,123 94

BDG 7,051 588

We do note some considerable variations to test numbers through the SARS-CoV-2 pandemic, with total tests in 2019 at 378,406 (monthly average 31,534) and total tests in 2020 at 474,421 (monthly average 39,535).

Virology samples received and tests performed data from 2017 to 2019

2017 2018 2019

Total received

Total tests performed

Total received

Total tests performed

Total received

Total tests performed

Blood samples 154410 640272 163241 685388 169287 680415

Non-blood samples 24725 98089 25444 100052 27383 119313

Chlamydia + Neisseria

29872 95098 27291 87561 26811 86904

Candida auris DNA 1 3 12158 49517 13885 55907

Total 209008 833462 228134 922518 237366 942539

4. MEDICAL STUDENT TEACHING The appointed physician will normally participate in teaching medical students, post-graduate doctors and other groups at King's College Hospital NHSFT and King’s College London (KCL) School of Medicine.

King’s College Hospital NHS Foundation Trust, as a major teaching Trust, works in partnership with King’s College London to provide the highest possible quality of medical education. The mutual interest of the Trust and School in quality medical education is supported by the SIFT contract. All consultants are expected to be committed to teaching and to play their part in the delivery of the undergraduate curriculum. These activities would include the planning and review of teaching, and the assessment of students, which could, where properly structured, be undertaken simultaneously with service delivery commitments, including ward rounds and outpatient clinics. Of necessity, the requirements of the undergraduate medical curriculum changes over time and it is not always possible to identify specific teaching commitments in job plans. Some specific roles will be job planned. The need for flexibility is acknowledged by the Trust and within a service department, it is possible that the overall teaching commitment can be unevenly allocated between staff to achieve optimal teaching and service quality.

5. POSTGRADUATE TEACHING The Trust has over 700 training posts and over 400 Trust doctors across all specialties. The postholder will be expected to participate in teaching and training postgraduate doctors, which in addition to direct clinical supervision is likely to include acting as an ‘educational supervisor’ to one or more individuals, providing them with regular appraisal and support. Consultants that undertake educational supervision will be provided with appropriate training in accordance with national requirements and accredited by the Director of Medical Education. Allocation of time for post graduate education is normally job planned as a team.

6. RESEARCH AND INOVATION Involvement in high quality research is strongly encouraged at King’s NHSFT, as this supports both the delivery of high quality clinical care, and our role as a partner in a major Academic Health Sciences Centre. Support for Research An important component of the Trust’s Research and Innovation (R&I) strategy is to strengthen the support available to researchers, to make it as easy as possible to participate in, and to lead, clinical investigator led or commercial portfolio adopted research. Each Division is aligned with Research Delivery units, including designated R&I Leads. R&I Facilitators link to the central R&I Office. The Trust’s philosophy is to devolve research funding based on weighted recruitment to NIHR CRN portfolio studies e to Research Delivery Units (RDU), allowing engagement of research co-ordinators and research nurses, who support one or more active researchers within the clinical specialties for CRN activity. Departments and RDUs are encouraged to maintain a mixed model balanced portfolio of research activity, including CLRN studies, commercial studies, charity funded studies and health services research. Assistance for PIs is also provided in research design (Research Design Service, based at Guy’s Hospital), a research support clinic local to KCH, a statistics service (available on the Denmark Hill Campus supported by KCH R&I and financial support for costing research proposals and grant applications (R&I finance). Commercial trials are costed by the KHP Clinical Trials Office (CTO) and this office also provides CRAs to audit all non-commercial CTiMP studies. GCP training is supported by the KHP CTO. Multi-disciplinary involvement in the research process is strongly encouraged. Research and Job Planning The undertaking of research within a job plan should be discussed during appraisal and as part of job planning activities. All staff should be aware of the research being undertaken within their Division and in the Trust, and actively support recruitment into relevant open portfolio adopted studies, whether or not they have a primary research component to their Job Plan. All individuals undertaking research are expected to have a good working knowledge of research governance standards, and are required to undertake GCP training as appropriate for the research they are involved in.

Governance of Research All R&I projects are registered with the Trust’s R&D office, which manages and co-ordinates the R&D approvals process. This ensures that all projects meet the prevailing standards of research quality, and are in receipt of appropriate ethical approval and local agreements, prior to R&D governance approval being issued. Each RDU is required to convene a local research governance meeting chaired by the RDU research lead, where feasibility is discussed and peer review co-ordinated.

7. CLINICAL GOVERNANCE The postholder will be expected to contribute to and participate in the Department’s ongoing clinical audit programme and quality improvement programmes, and will carry out all necessary administrative duties associated with the care of their patients. The postholder also has a general duty of care for the health, safety and well-being of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post.

8. STUDY AND ANNUAL LEAVE The postholder will be expected to comply with the Continuing Professional Development (CPD) requirements of the relevant Royal College or Faculty and/or provide appropriate documentation and reflection in their appraisal documentation. Study leave may be requested in accordance with the Trust’s Policy for CPD. Annual leave may be taken in accordance with the Trust’s Guidelines on Leave Arrangements for Medical and Dental Staff. To ensure the smooth running of the service the postholder will ensure that, in conjunction with colleagues, adequate arrangements are made to cover planned absences and the expected approvals would go through e leave planning (SARD, medirota) or another agreed system. Leave must be booked with appropriate time lines to allow effective service continuity.

9. TERMS AND CONDITIONS The post is covered by the current Terms and Conditions - Consultants (England) 2003, the Terms and Conditions of Service of NHS Medical and Dental Staff (England) 2002 and Trust Policies and Procedures where relevant. There is a commitment to undertake routine job planned work on Saturdays or Sundays with appropriate job planning and commensurate time without commitment to the Trust. Appointment is conditional upon a satisfactory medical assessment, which may include an examination.

10. SAFEGUARDING RESPONSIBILITIES The Trust takes the issues of safeguarding children, adults and addressing domestic abuse very seriously. All employees have a responsibility to support the organisation in our duties by;

• Attending mandatory training on safeguarding children and adults • Familiarising themselves with the Trust's processes for reporting concerns • Reporting any safeguarding child or adult concerns appropriately

11. APPRAISAL & JOB PLANNING Annual appraisal is a contractual requirement in the NHS. You have a responsibility to have an appraisal within twelve months of your last appraisal or within six months of starting at King’s if you have not had an appraisal previously in the UK. ARCPs count as previous appraisals for former HEE trainees. Job planning review is conducted annually in line with the departmental/Divisional operational plan.

The above represents an outline of the duties of the post and will, together with the job plan, be reviewed on an annual basis in accordance with the Trust’s performance review scheme for consultants. Consultants will be expected to be compliant with statutory and mandatory training.

CONSULTANT IN MEDICAL MICROBIOLOGY

& INFECTION CONTROL

JOB DESCRIPTION AND OUTLINE JOB PLAN

GENERAL This is a replacement consultant post for the role as Trust Infection Control Doctor with an interest in adult intensive care. Due to a number of retirements the department has taken the opportunity to build a new consultant team with a clinically driven focus on infection management that incorporates innovative diagnostic approaches and encourages academic liaisons to improve patient’s outcomes. This service consists of Microbiology, Virology and Infection Prevention and Control. The department is currently also building a collaboration with the HIV/GUM team to develop a comprehensive infectious diseases and OPAT service. Candidates with CCT in infectious diseases have the opportunity to participate. We are looking for a person that will be keen to lead Infection Prevention & Control advice within the Infection Control team at King’s and the wider Trust. A smaller part of the post will be dedicated to supporting the infection service for adult critical care, one of the largest in the country. The post holder will work within a team of existing consultant colleagues in the department who also have dedicated PAs for IPC and adult critical care. The successful candidate will join a dynamic team of established as well as recently qualified consultants with a range of expertise including mycology, neurosurgery, infection control, infectious diseases, liver, bone marrow transplantation and immunocompromised adults and children. In conjunction with the other infection consultants, the post-holder will be encouraged to contribute to ward-based consults and telephone advice on the prevention, diagnosis and management of infection. This involves ad hoc clinical consults arising from referrals or significant laboratory results, attending multi-disciplinary clinical meetings and time tabled consult ward rounds. Laboratory duties include result authorisation, contribution to the day-to-day running of the diagnostic service, trouble-shooting of unexpected results, and participation in laboratory management and development so as to ensure provision of a state of the art, effective and responsive, clinically-led diagnostic service. The appointee will participate in the 1:5 to 1:8 ‘clinical service week’ both overseeing the junior doctors and providing ‘second on’ out-of-hours cover for that week. This represents an on-call commitment of an average 1:7 rota (band B). The post holder will also have a commitment to teaching and training of junior staff. Opportunities for the development of new and innovative services and research will be encouraged. Overall, it is envisaged that the appointee will contribute to the development and delivery of aspects of these services depending upon their interests and experience. As a senior employee of the Trust the successful candidate will work in close co-operation with, and support other clinical, medical professional and managerial colleagues in providing high quality healthcare to the Trust’s patients. Integral to these responsibilities is the following:- ▪ The provision of a first class clinical service ▪ Effective leadership to all staff engaged in the specialty ▪ Sustaining and developing teaching and research in conjunction with King’s College London ▪ Undertaking all work in accordance with the Trust’s procedures and operating policies ▪ Conducting clinical practice in accordance with contractual requirements and within the parameters

of the Trust’s service plans

▪ Maintaining the confidence of business plans and development strategies formulated for the specialty, the Division or the Trust

INFECTION CONTROL DOCTOR DUTIES AND RESPONSIBILITIES Managerial accountability: Clinical Lead / Laboratory Director, Infection Sciences Professional accountability: Clinical Lead / Executive Medical Director Liaises with: DIPC; PRUH IP&C Clinical Lead; Infection prevention and control team; Infection Surveillance team; Trust Executive Medical Directors and Associate Medical Directors; Trust Governance staff; Viapath/Synlab laboratory staff and senior staff; Consultants in health protection / CCDC; Clinical and nursing colleagues; microbiology and virology consultants and colleagues; antimicrobial stewardship lead; Occupational Health department; and miscellaneous other services (domestic, catering, Estates, etc.) Administrative duties

• Be an integral member of IP&CT, advising and supporting the ICNs as agreed with the DIPC

• Contribute to the hospital infection control committee

• Organise the infection control clinical leads meetings

• Lead on finding solution to IP&C issues where appropriate

• Support the Trust (through the DIPC if appropriate) in preparing the IP&C work programme

• Lead and support clinical effectiveness systems within the Trust as appropriate.

• Advise and support the Laboratory Director / Clinical Director of Pathology / Trust Medical Directors and Executive Medical Director with regard to infection control issues.

Clinical duties The infection control doctor will, subject to agreement on priorities, and within the time and resources allocated in the contract:

• Help lead and support the Trust/Health Board executive team (through the DIPC if appropriate) on all aspects of IP&C in the hospital and on implementation of agreed policies, including compliance with the Code of Practice on the prevention and control of infections (in England). Such matters include surveillance and control aspects of healthcare ventilation, operating theatres, isolation facilities, kitchens, laundries, housekeeping, waste disposal, antibiotic usage and infection control aspects of nursing procedures

• Provide advice and support to the DIPC on matters relating to microbiology and the medical management of infections, and lead the IP&CT contribution to the medical management of infections

• Lead and co-ordinate Consultant Microbiologists’ input to the trust IP&C programme to ensure effective delivery of objectives

• Depending on specific Trust arrangements, chair and/or be an active member of the hospital infection control committee

• Advise and contribute to the planning and implementation of relevant activities required to achieve the Trust’s aims and objectives and NHS standards and targets as set by regulatory authorities at the time

• Contribute to the planning, delivery and implementation of standards required to achieve the indemnity level appropriate to Trust

• Lead and influence the medical workforce to achieve increasing medical engagement and ownership of the IP&C agenda (including antimicrobial prescribing in conjunction with the Trust antimicrobial lead) by clinicians across the Trust

• Lead, or, where relevant, assist the DIPC in the investigation and management of outbreaks of hospital infection. Close liaison with the consultant for communicable disease control (CCDC) will be necessary along with liaison with the CCGs

• Provide expert advice for the root cause analysis of infection prevention aspects of adverse event and SI investigation (including all hospital-acquired MRSA bacteraemias and HCAI related deaths)

• Provide support to the IP&C staff (including ICNs, link nurses, etc) on a planned as well as ad hoc basis

• Assist in the preparing and updating of IP&C policies, as agreed in the annual work plan

• Act as the key link to the microbiology laboratory for the IP&CT, and work with key Viapath laboratory staff to provide assurance that laboratory processes are in accordance with those contained in national IP guidance

• Support the IPC nurses in the interpretation of clinical results relevant to IPC

• Be involved in the planning and upgrading of hospital facilities

• Be involved in the setting of quality standards with regard to hospital infections and in audits of infection

• Represent the IP&CT on internal and external meetings and committees as appropriate to ensure the provision of infection prevention expertise

• Prepare reports for the IP&C Operations Committee, and other groups and meetings in collaboration with the DIPC

• Review surveillance, audit, and other outcome data in liaison with the IPNs and DIPC, both for action and to assess and prioritise areas for further work to minimize risk.

• Lead on IP&C related R&D projects.

• Provide expert advice for any IP&C related medico-legal issues, and provide input to team responses to complaints, litigation etc.

• Support and contribute to the training of medical students, medical and nursing staff and other healthcare workers of all grades

• Liaise with other infection control doctors and CCDC/consultants in health protection in developing regional infection prevention and control programmes, as appropriate

• Provide, in conjunction with microbiology/infectious diseases colleagues, a 24-hour infection control medical on-call service.

• Take on additional specific responsibilities as agreed with the DIPC All employees are expected to undertake work on any of the Trusts sites as required by the service. As a senior employee of the Trust you will work in close co-operation with, and support other clinical, medical professional and managerial colleagues in providing high quality healthcare to the Trust’s patients. Integral to these responsibilities is the following: -

• The provision of a first class clinical service

• Effective leadership to all staff engaged in the specialty

• Sustaining and developing teaching and research in conjunction with King’s College London / KHP

• Undertaking all work in accordance with the Trust’s procedures and operating policies

• Conducting clinical practice in accordance with contractual requirements and within the parameters of the Trust’s service plans

• Maintaining the confidence of business plans and development strategies formulated for the specialty, the Division or the Trust

KEY DUTIES AND RESPONSIBILITIES 1. The provision of a comprehensive clinical medical microbiology service including advice regarding

appropriate specimens, involvement in specimen analysis, validation and interpretation of results for transmission to clinicians, and involvement in the management of individual patients through full clinical liaison. This will involve duties at the PRUH, DH and Orpington sites.

2. As outlined in Accountability Arrangements for King’s Consultant Pathologists who provide Medical

Services to Viapath/Synlab and working with the Laboratory Director and Viapath senior staff, provide the following services to Viapath/Synlab: reporting and validating tests; clinical interpretation of pathology results; expert or second pathology opinions; evaluation and introduction of new tests and services; assisting in preparation for accreditation; contributing to the governance, quality and risk management agenda, including audit, RCAs and investigation of incidents; and advice on strategic direction for the laboratories.

3. In conjunction with King’s consultants, provide IP&C support and leadership to the Infection Control Department and attend IP&C meetings as required

4. Provide clinical supervision of junior medical staff as a shared responsibility with other consultant

colleagues.

5. Responsible for carrying out teaching, examination and accreditation duties as required and

contributing to CPD and clinical governance initiatives. 6. Responsible for outpatient clinic commitments in peripheral hospitals as agreed with the Divisional

management team. 7. Contribute to departmental research interests in accordance with the Trust’s R&D framework. 8. Contribute to the audit programmes, Morbidity and Mortality, clinical governance programs and learning

from Deaths. 9. Take an active role in the formulation, implementation and monitoring of the department’s/ Division’s

Business Plan. This may include assisting with discussions regarding service plans and developments with internal and external agencies.

10. Conduct all activities within the contracted level of service and operating plan for service(s). 11. Exercise professional leadership for all staff working in the specialty. This will include fostering and

developing projects focused towards these ends and ensuring that the momentum of post-qualification professional education and other appropriate training is maintained.

12. Work in conjunction with clinical and other professional colleagues to ensure that the productivity of

staff within the specialty is maintained and their job satisfaction is enhanced. This may include involvement in the appraisal process for peers and/or junior colleagues.

13. Undertake Divisional management duties as agreed with the Divisional/departmental Manager/Clinical

Director. 14. Be aware of, and comply with, all Trust infection prevention and control policies, to include hand

hygiene, personal hygiene, environmental and food hygiene. 15. Prepare for and undertake the protective interventions that you are responsible for in a manner that is

consistent with evidence-based practice and maintaining patient safety. Generic Statements for inclusion in all job descriptions: 1. You have a general duty of care for the health, safety and well-being of yourself, work colleagues,

visitors and patients within the hospital in addition to any specific risk management or clinical governance responsibilities associated with this post.

2. You are required to observe the rules, policies, procedures and standards of King’s College Hospital

NHS Foundation Trust together with all relevant statutory and professional obligations, including complying with statutory and Trust core training.

3. You are required to observe and maintain strict confidentiality of personal information relating to

patients and staff. 4. You are required to be responsible, with management support, for your own personal development and

to actively contribute to the development of colleagues. 5. The post-holder has an important responsibility for, and contribution to make to, infection control and

must be familiar with the infection control and hygiene requirements of this role. These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures, which will be made clear during your induction and subsequent refresher training. These standards must be strictly complied with at all times.

6. All employees must hold an 'nhs.net' email account, which will be the Trust's formal route for email

communication. You are therefore required to check this regularly and to deal with such communication promptly.

7. This job description is intended as a guide to the general scope of duties and is not intended to be

definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post-holder.

PERSON SPECIFICATION

ATTRIBUTES ESSENTIAL DESIRABLE

1. Qualifications 2. Higher

Qualifications 3. Registration

Registerable medical qualification (MBChB, MBBS or equivalent) FRCPath (UK), or show evidence of equivalent qualification Full and specialist registration (and with a current licence to practise) with the general Medical Council (GMC) (or be eligible for registration within six months of interview) in Medical Microbiology-Infectious Diseases Applicants that are UK trained, must ALSO be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview. Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT

Diploma in Hospital Infection Control (or equivalent)

MRCP (UK) or show evidence of equivalent qualification Other higher degree or diploma (e.g., MD or PhD) Holder of Certificate of Completion of Training (CCT) in Infectious Diseases, or within six months of award of CCT or equivalent by date of interview

4. Training and Experience

Wide experience in all aspects of Microbiology and Infection, culminating in award of CCT or equivalent.

Experience of working with the clinical and laboratory aspects of Medical Microbiology.

Specialist training in Microbiology and/or Infectious Diseases

Extensive experience of delivering Infection prevention & Control including outbreak management

Experience in critical care microbiology/infection management

Familiar with all aspects of infection control and Prevention such as water safety, ventilation, disinfection/sterilisation, waste management, laundry services etc.

Familiar with surveillance systems and tools

5. Administration

6. Management and

Leadership

Experience in day to day organisation of Infection services in a busy Teaching Hospital Able to demonstrate leadership capability within multi-disciplinary teams

Familiar with current structure of Health Service and conversant with recent initiatives and changes Management course and/or qualification

7. Audit 8. Research and Publications

Thorough understanding of principles of medical audit. Must have undertaken and completed audit projects. Experience of clinical research. Publication of relevant review articles or case reports.

Publications related to infection control

9. Personal Skills 10. Personal

attributes 11. Kings Values

Effective communicator, able to work in a close-knit team and co-operate with all medical and paramedical staff Flexible, able to cover colleagues’ absence Professional attitude towards work, reliability, good record of attendance and tidy personal appearance Able to demonstrate an understanding of Kings Values Commitment to uphold Kings Values

Familiarity with information technology and general computer skills

12. Teaching Experience of undergraduate and post-graduate teaching and exam preparation.

Teaching skills course/qualification

PROVISIONAL JOB PLAN (2003 Contract)

A formal job plan will be agreed between the appointee, the existing Consultant Microbiologist team and the Clinical Lead within 3 months of commencement of the appointment. The job plan will be reviewed annually. Duties are performed flexibly to meet the needs and demands of the service.

1. CONTRACT DETAILS: KCHNFT (DHS) Whole time

2. TYPICAL WEEKLY model JOB PLAN (including Trust and non-Trust activity carried out off-site, and commitments relating to private work) 8.5 PAs will be Direct Clinical Care (6.5 PA IPC,2 PA microbiology/critical care) and 1.5 PAs supporting PAs (SPAs).

Day Time

(From – To) Hospital/ Location

Type of Work Classification of

Activity No. of PAs

Monday am 09.00 – 15.30 KCH

Infection control and Prevention (IPC) Including DIPC weekly meeting

DC 1

Monday pm 15.30 – 17.30 KCH Critical care ward round/Microbiology/ID

DC 1

Tuesday am 09.00 – 13.00 KCH Complex case discussions Teaching

DC SPA

1 0.5

Tuesday pm 13.30 – 17.30 KCH IPC 1

Wednesday am 09.00 – 13.00 KCH IPC including attending weekly IPC team meeting

DC 1

Wednesday pm 13.30 – 17.30 KCH Critical care ward round/microbiology/ID

DC 1

Thursday am 09.00 – 13.00 KCH Leading IPC clinical leads meeting

DC 1

Thursday pm 13.30 – 17.30 KCH Audit/CPD/R&D, including post grad teaching

SPA 1

Friday am 09:00 – 13.00 KCH Clinical/IPC as required DC 1

Friday pm 13.30 – 17.30 KCH IPC including IPC committee DC 1

Saturday am

Saturday pm

Saturday eve

Sunday am

Sunday pm

Sunday eve

3. ACTIVITY SUMMARY

ACTIVITY CLASSIFICATION

No. of PA’s

DIRECT CLINICAL CARE (including unpredictable On- Call)

8.5

SUPPORTING PROFESSIONAL ACTIVITIES

Undergraduate Teaching 0.25

Postgraduate Teaching 0.25

CPD / revalidation 1

SUB-TOTAL 1.5

OTHER NHS RESPONSIBILITIES 0

EXTERNAL DUTIES 0

TOTAL 10

4. ON-CALL AVAILABILITY SUPPLEMENT

Agreed On-Call Rota (eg. 1 in 5) :

Agreed Category (indicate A or B) :

On-Call Supplement % (eg. 5% - see chart below)

Frequency of rota commitment Value of supplement as a percentage

of full-time basic salary

Category A Category B

High Frequency: 1 in 1 to 1 in 4 8% 3%

Medium Frequency: 1 in 5 to 1 in 8 5% 2%

Low Frequency: 1 in 9 or less frequent 3% 1%

5. ADDITIONAL PROGRAMMED ACTIVITIES

1 Are you undertaking private medical practice as defined in the terms of services

YES NO

2 If YES, are you already working an additional Programmed Activity above your main commitment?

YES NO

3 If NO, has the Trust offered you an additional Programmed Activity this year?

YES NO

4 If YES, has this been taken up? YES NO

5 If NO, have other acceptable arrangements been made (eg. taken up by a colleague)?

YES NO

6 If YES to 5 – please describe arrangements:

6. PAY PROGRESSION (not applicable for new appointments)

At the end of the Job Plan Review, the Clinical Director should complete the following table. The table details the criteria that the individual has to meet in order to pay progress in the current year. If any of the boxes are ticked ‘no’, then this should be highlighted to the Medical Director, before they are asked to counter-sign the form.

The Consultant has: 1 made every reasonable effort to meet the time and service

commitments in the Job Plan YES NO

2 participated satisfactorily in the appraisal process;

YES NO

3 participated satisfactorily in reviewing the Job Plan and setting personal objectives;

YES NO

4 met the personal objectives in the John Plan, or where this is not achieved for reasons beyond the consultant’s control, made every reasonable effort to do so;

YES NO

5 worked towards any changes identified in the last Job Plan review as being necessary to support achievement of the employing organisation’s objectives;

YES NO

6 taken up the offer to undertake additional Programmed Activities that the employing organisation has made to the consultant in accordance with Schedule 6 of the Terms and Conditions;

YES NO

7 met the standards of conduct governing the relationship between private practice and NHS commitments set out in Schedule 9

YES NO

1 in 7

2%

7. WORKING TIME REGULATIONS (as applied to NHS working hours)

The Working Time Regulations set out minimum statutory health and safety requirements for employers in relation to working time. The Regulations provide for certain aspects of these rights to be applied flexibly or set aside for workers providing healthcare and/or those who work shifts. Further information is available from the Medical HR Department.

Declaration: (Please delete as applicable)

i. I do not believe my working week exceeds 48 hours of work on average per week based on a 26-

week reference period from April to September OR

ii. I believe my working week exceeds 48 hours of work on average per week (based on a 26 week reference period from April to September and I have signed the individual agreement to opt-out of the 48 hour (average) weekly maximum working time, attached to this job plan review form.

OR iii. I believe my working week exceeds 48 hours of work on average per week (based on a 26-week

reference period from April to September but I do not wish to sign an opt-out and would like to review a reduction in my working hours.

Signed (Consultant): _________________________________________

8. SIGNED OFF AND AGREED

Consultant: ____________________________________________ (Name)

Signed: ____________________________________________ (Consultant)

Date: ____________________________

Clinical Director: ___________________________________________ (Name)

Signed: ___________________________________________ (Clinical Director)

Date: ____________________________

Medical Director: ___________________________________________ (Name)

Signed: ___________________________________________ (Medical Director)

Date: ____________________________

OPT-OUT AGREEMENT – D Career Grade Doctors

(Consultant, Associate Specialist and Specialty Doctor)

(TO BE COMPLETED BY CONSULTANTS/CLINICIANS WITH 12 PAs) I ______________________________employed as ___________________________ with King’s College Hospital NHS Foundation Trust agree that Regulation 4(1) of the Working Time Regulations 1998 which states that a worker’s working time, including overtime, in a reference period of 26 weeks, shall not exceed an average of 48 hours for each seven days shall not apply to me, and that I may work in excess of 48 hours in each 7-day period. I agree to give 3 months written notice to my Clinical Director or General Manager if I wish to terminate this agreement. Subject to this, this agreement shall apply indefinitely. Signed __________________________________ Dated _______________________ Signed __________________________________ Dated _______________________

[GM/CD signature to acknowledge receipt]

Please return to the Medical HR Manager, Human Resources Department

HR Department, King’s College Hospital, Jennie Lee House