Applicant Information Pack · Applicant Information Pack Consultant in Obstetrics & Gynaecology with a Special Interest in Urogynaecology POST REFERENCE 365-A-19-116734 @WorcsAcuteNHS

Applicant Information PackConsultant in Obstetrics & Gynaecology with a Special Interest in UrogynaecologyPOST REFERENCE 365-A-19-116734

www.worcsacute.nhs.uk @WorcsAcuteNHS @WorcsAcuteNHS

Applicant Information Pack

2Oct 2019

Contents

Why Worcestershire? ..............................................................................3

Your Application and Invitation to attend an AAC ...................................4

Introduction to Worcestershire Acute Hospitals NHS Trust .......................5

#PuttingPatientsFirst ...............................................................................6

Management Structure ..........................................................................8

Department of Obstetrics & Gynaecology ................................................9

Job Description .....................................................................................15

Provisional job plan and timetable .........................................................16

Person Specification ..............................................................................18

Terms and Conditions of Service ...........................................................20

Medical Education ................................................................................25

Research and Development ...................................................................26

Trust Leadership Team ..........................................................................27

WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST

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Why Worcestershire?A great place to work, a great place to live

Worcestershire is a largely rural county, with four main towns – Bromsgrove,

Kidderminster, Redditch and Worcester – lying between the Cotswolds, the Welsh border and Birmingham. There are four further substantial market towns, Droitwich, Evesham, Malvern and Pershore.

Worcestershire has many sites of historical interest and natural beauty. The economy of the county is based on agriculture, horticulture, light engineering and service industries.

There are a number of high quality state and private schools across the county and the University of Worcester is continuing to expand and develop. The University has a £100m investment programme to provide for new, improved and refurbished facilities. Recently completed projects include its new City Campus, home to the Worcester Business School.

The major motorway network of the M42, M5 and M6 provide excellent links to the rest of the West Midlands. Local leisure facilities are well developed and the area has easy access to Birmingham where the National Indoor Arena and International Convention Centre are located. Stratford and the Royal Shakespeare Company are within easy reach.

Worcester City lies on the banks of the River Severn. It has a world famous cathedral and is home to Worcestershire County Cricket Ground, Worcester Warriors Rugby Club and Elgar’s Birthplace Museum. The county has further leisure facilities in the Malvern Hills - an area of outstanding natural beauty - and the Wyre Forest.


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Your Application and Invitation to attend an Appointments Advisory Committee

Applications are being sought to join our Orthodontic Consultant body at Worcestershire Acute Hospitals NHS Trust. This applicant information pack will provide you with the post details including the job description and person specification, job plan, and departmental structure. Your application should be made online through www.jobs.nhs.uk, quoting the vacancy reference on the front of this information pack. Supplementary information or CVs cannot be accepted.

All consultant appointments are made in accordance with the NHS (Appointment of Consultants) Regulations 1996 Statutory Instrument and accompanying good practice guidance. This guidance sets out the panel membership for our consultant Appointments Advisory Committee (AAC), and provides reassurance that the job description for this role will have approval of your Royal College.

Posts advertised as full-time will be contracted at 10 programmed activities. Any additional programmed activities agreed with the appointed candidate above this level will be under separate agreement, renewable on an annual basis, in accordance with the consultants (England) 2003 terms and conditions, schedule 6, paragraph 6. The Trust is committed to flexible working and welcomes invitations from applicants seeking to work on a flexible or part-time basis.

Applicants will have completed specialist training in the specialty prior to taking up this appointment. You should be entered onto the GMC Full and Specialist Register and hold a current licence to practise

through the award of a Certificate of Completion of Training (CCT) or Certificate of Eligibility for Specialist Registration (CESR) by no later than six months after the date of the AAC.

References for applicants successfully invited for interview will be sought, including from your current employer.

By submitting your application, you are telling us that you understand, and are happy to accept, your rights and responsibilities as detailed below and the associated Job Description of the post you have applied for. Failure to do so will affect revalidation, eligibility to apply for CEAs and pay progression.

Finally, you will also find details of our senior leadership team who would welcome the opportunity to talk to you informally regarding this role and the contribution you could bring to the Trust. However, in accordance with the Statutory Instrument, applicants should not canvas the panel and such action will result in your application being disqualified.


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Introduction to Worcestershire Acute Hospitals NHS Trust

We are a large organisation providing acute services from the Alexandra Hospital in Redditch, Kidderminster Hospital and Treatment Centre and Worcestershire Royal Hospital to a population of 580,000 people in Worcestershire - as well as caring for patients from surrounding counties and further afield.

We also run some facilities at Evesham and Malvern Community Hospitals.

Our workforce is nearly 6,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward signature behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Last year, we provided care to more than 231,448 different patients – that is 40% of the Worcestershire population received care at one of our hospitals.

We saw 2618 patients per day, including:

T 156,160 A&E attendances T 152,712 Inpatients T 641,486 Outpatients T 5,261 births

We employ nearly 6,000 people and around 800 local people volunteer with us helping to deliver care. We have an annual turnover of over £400 million.

A Year in Numbers - our video gives you a quick look at what goes on in our hospitals.

tiny.cc/WorcsAcuteYear


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standards within available resources for the benefit of our patients and the wider health and care system.

Best people: We will invest in our people to ensure that we recruit, retain and develop the right staff with the right skills who care about, and take pride in, putting patients first.

These objectives are underpinned by our 4ward signature behaviours which remain firmly at the heart of everything we do.

Steering us along the way are our enabling strategies which will describe how our services are organised effectively across our sites into the future. We will introduce a single improvement methodology to support the changes we will need to make.

To make it happen we must work together.

Our Signature BehavioursAll staff across the Trust are asked to adhere to our four Signature Behaviours. These Signature Behaviours are at the heart of our 4ward programme - a long-term, far-reaching initiative which aims to help colleagues across our Trust collectively work together, as we tackle the challenges we face and make the most of the opportunities that the future will bring.

#PuttingPatientsFirst

Ensuring our staff know the plans for the future of our organisation is key to our success. The graphic (on page 7) sets out how our strategies and culture will help us achieve our goals.

Our purpose is plain and simple. Putting Patients First.

That’s why we’re all here.Our purpose shapes our vision and our purpose and vision shape our objectives:

Best services for local people:We will develop and design our services with patients, for patients. We will work actively with our partners to build the best, sustainable services which enable people in the communities we care for to enjoy the highest standards of health and wellbeing.

Best experience of care and best outcomes for our patients: We will ensure that the care our patients receive is safe, clinically excellent, compassionate and an exemplar of positive patient experience. We will drive the transformation and continuous improvement of our care systems and processes through clinically-led innovation and best use of technology.

Best use of resources: We will ensure that services - now and in the future - meet the highest possible


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Our behaviours are:

Do what we say we will do

No delays, every day

We listen, we learn, we lead

Work together, celebrate together

Our focus going 4ward is twofold. We want to transform our culture whilst at the same time improving our performance across the whole of Trust, particularly around our wide-

ranging quality improvement programme, improving the flow for patients who attend our Emergency Departments, our preparations for winter and our efforts to achieve financial stability.

Our aim is to have all our staff positively demonstrating these behaviours and working together to achieve our shared goals.

Making the Trust a better place for our staff, our patients and our local community

is the ultimate goal of 4ward, so we want everyone to focus on how we

behave, what we deliver and create a culture we can all be proud of.


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TRUST BOARD

URGENT CARE

SURGERYWOMEN AND

CHILDREN

SPECIALISED CLINICAL SERVICES

SPECIALIST MEDICINE

Management Structure

Overall responsibility for the Trust rests with the Trust Board. Operationally the Trust is divided into six divisions – Specialty Medicine, Urgent Care, Surgery, Women and Children, Specialised Clinical Services and Corporate. Services are run on a countywide basis. Each Division is represented by a Divisional Medical Director, Divisional Director of Operations and a Divisional Nursing Director.

Specialist Medicine Divisional Medical Director

Dr Jasper Trevelyan

Urgent Care Divisional Medical Director

Dr Jules Walton

Surgery Divisional Medical Director

Mr Paul Rajjayabun

Women and Children Divisional Medical Director

Mr Angus Thomson

Specialised Clinical Services Divisional Medical Director

Dr Julian Berlet


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Department of Obstetrics & Gynaecology

This is a very exciting time to join the Trust as the clinical model for reconfiguration of services has been approved after a period of public consultation. Worcestershire Acute Hospitals NHS Trust will now be able to take forward an application for a £29.6m capital investment to implement necessary improvements to deliver the clinical model. This will include the opportunity to develop the infrastructure to provide “Woman Centred” care Trustwide. The successful candidate will have the opportunity to join a friendly and dynamic consultant team and to help shape the future of Obstetrics and Gynaecology Services in Worcestershire.

This is a replacement post for a full time Consultant Obstetrician and Gynaecologist to expand the Urogynaecology Team (to 4 consultants).

The following pages include description and overview of:

T The Obstetrics & Gynaecology Department

T This Consultant post – description, responsibilities, representative timetable, person specification

T General roles and responsibilities of Consultants within the Trust

T The Trust profile

Introduction to departmentThe successful candidate will join a cohesive team of 19 consultants working between the 3 acute hospital sites with all on calls and emergency commitments at the Worcestershire Royal Hospital (WRH).

The post will be countywide with clinical sessions at Worcestershire Royal Hospital (WRH) and also at the two other acute sites - Kidderminster Treatment Centre (KTC) and the Alexandra Hospital, Redditch (AH). There may be sessions at one of the community sites within the county (Evesham, Malvern, Tenbury Wells, Bromsgrove).

Gynaecology T General gynaecology T Urogynaecology (inc. PFAP clinics) T Endometriosis and Pelvic Pain Clinic T Colposcopy T Gynae oncology T Menopause/Endocrine T Infertility T Paediatric and Adolescent gynaecology T Ambulatory care (EPAU/EGAU/OP

hysteroscopy)

Obstetrics T Fetal Medicine (inc multiple pregnancy) T Maternal Medicine T High Risk Obstetrics T General perinatal care T OASIS clinics (PFAP clinic)

Most consultants contribute to both Obstetrics and Gynaecology rotas working comprising 1:20 Obstetrics (24 hour cover) and 1:18 Gynaecology (worked as hot week Friday 13:00-Friday 13:00)). Those consultants working Obstetrics only on call work 1 in 10. Those consultants working gynaecology only on call work 1 in 9. It is anticipated that the successful candidate


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would participate in both the Obstetric and Gynaecology on call rota.

Gynaecology ServicesThe Gynaecology department is strongly supported by a Gynaecology Matron and Specialist Nurses in Gynae Oncology, Colposcopy, Infertility, Endometriosis and Urogynaecology, as well as an Advanced Scrub Practitioner and Senior Nursing staff in Early Pregnancy Assessment. There are dedicated Gynaecology Clinical Governance and Risk Management Leads. We were one of the first BSUG accredited units for Urogynaecology. The Urogynaecology unit was successfully re-accredited in 2018. The Unit has also been accredited as a BSGE Endometriosis Centre and remains one of the busiest within the country. There is wide clinical expertise in advanced laparoscopic surgery within the directorate and wider Trust.

There are weekly countywide MDT meetings for the Gynae Oncology Team, which are well supported by the MDT coordinators, specialist nurses, Histopathology, Radiology and Oncology Consultants. In addition there are bi-monthly MDTs for Colposcopy and monthly MDTs for the Urogynaecology and Endometriosis teams. There are plans in place to increase Urogynaecology MDT in line with national guidelines.

There are close links between the Obstetrics and Gynaecology Directorate and the other Directorates within the Trust. We have a superb Colorectal team with excellent laparoscopic capabilities and good links with

the Urology department who are aiming to purchase equipment for robotic surgery. The vascular surgery team and interventional radiology team are based at WRH and are always available for advice and support where required.

The gynaecology oncology service is further supported with the recent opening of the Worcestershire Oncology Unit which is a £23 million state of the art radiotherapy centre housing 3 linear accelerators supported by the recent appointment of a number of new Oncologists.

Outpatient and diagnostic gynaecology services take place in the three main hospital sites and also at four community hospital sites (Evesham, Bromsgrove, Malvern, Tenbury Wells). At AH we have developed a ‘Women’s Health Unit’ performing the majority of ambulatory procedures and we also have OP hysteroscopy at KTC and a busy OP cystoscopy service at Evesham Community Hospital. Day case and short stay intermediate procedures are performed mainly at KTC and AH, with most complex surgery occurring at the main WRH site.

Maternity ServicesThe Maternity Services were rated ‘Good’ by the CQC when last inspected in 2018. The service is currently supported by the Maternity Data Information System (K2 Guardian /Athena system) and is due to migrate to the ‘Badgernet’ Maternity Information System in the coming year. In April 2015 the ‘Meadow Birth Unit’ opened– a co-located Midwifery Led Birthing


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Unit located close to the Delivery Suite on the Worcester site. This was awarded “National Birth Centre of the Year” in 2017. The service is also enhanced by excellent bereavement and debrief support services with specialist midwives – another award winning service.

We anticipate 5300-5800 deliveries per year. The labour ward at WRH has 10 delivery rooms (including a pool room), one Obstetric Theatre and one Obstetric Intervention Room.

The special care baby unit at Worcester is a Level 2 Unit adjacent to the delivery suite and has 4 Neonatal Intensive care cots. We therefore accept in utero transfers of mothers who are in premature labour or who require premature delivery from 28 weeks gestation. Below 27 weeks babies are transferred to the regional tertiary unit at Birmingham Women’s Hospital (or other available units). There are good lines of communication between the Obstetric and Paediatric staff and there are weekly Obstetric Case Review meetings and Perinatal Mortality & Morbidity meetings on alternate months to discuss previous or current cases.

The communication between the units and the tertiary centre at Birmingham Women’s Hospital is extremely good, as is the case with the regional genetics, cytogenetics and neonatal pathology services.

Antenatal clinics are held daily at WRH where there are 2 dedicated ultrasound machines for the antenatal clinic and another for the labour ward. There are antenatal clinics 4 days per week at the AH, 3 days

per week at KTC and weekly in community hospitals at Evesham and Bromsgrove. There are also Obstetric Day Assessment Units (DAU) open daily at WRH, AH and KTC.

In Kidderminster the antenatal clinic is positioned alongside the gynaecology clinic and both have been extensively recently refurbished. Pre assessment clinics also take place within this facility. There are 2 designated scan rooms within the antenatal/gynaecology clinic with facilities for trans-vaginal scanning. The middle grades (StRs and Specialty Doctors) who work a countywide on call rota attend clinics and theatre sessions at Kidderminster as well as other sites within the county.

At the Alexandra Hospital site there is a newly opened Women’s Unit offering excellent facilities for ambulatory and day case services.

Post ProfileThis appointment is for a full-time Consultant Obstetrician and Gynaecologist with special interest in Urogynaecology. The applicant should have the appropriate training and experience to fulfil the requirements of this post and be on the Specialist Register. Applicants should have evidence of advanced training and experience in Obstetrics and/or Gynaecology including ATSMs or Sub-specialty training in urogynaecology. Ideally, the candidate should be independently competent at vaginal and abdominal/laparoscopic procedures for advanced apical prolapse.


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Following Good Medical Practice, the post holder will be responsible for the clinical care of Obstetrics and Gynaecology patients. The post holder will work independently in elective and emergency situations but can rely on the additional support of consultant colleagues within the Directorate.

The successful applicant may be asked in the future to act as the lead in their special interest area across the county. If a specific departmental leadership role is undertaken by the post-holder it is expected that 1 DCC will be converted into an SPA session to allow for additional duties.

The successful applicant will participate in regular clinical meetings, post-graduate activities and maintain continuing medical education in accordance with the requirements of the Royal College of Obstetricians and Gynaecologists and General Medical Council. The Post-holder will ensure their own practice is up to date and they support the principles of revalidation by the GMC.

The post holder will be responsible for the maintenance of proper case records and investigations on patients, and correspondence with General Practitioners and others as required.

The post holder may run joint clinics/theatre sessions with another consultant colleague in the same area of special interest.

Specific Responsibilities This post comprises 10 Programmed activities: 8.5 direct clinical care and 1.5 supporting professional activities.

The proposed timetable will be based on a combination of 1:20 Obstetrics (24 hour cover) and 1:18 Gynaecology (worked as a hot week Friday 13:00-Friday 13:00).

The Obstetric Consultant will be resident until 8.30am-9pm in addition to a dedicated Gynaecology Consultant. Obstetric on call is non-resident between the hours of 9pm and 8.30 am. It is expected that as part of the on call duties the on call Obstetric Consultant will undertake a ward round of Obstetric inpatients and the Gynaecology hot week consultant will undertake a ward round of all Gynaecology inpatients.

Gynaecology on call consists of hot week with all other clinical activities cancelled that week. On call and hot week commitments will have to be swapped in advance if there is a need to take Annual or Study leave (ie prospective cover).

By working in teams of consultants, the operational principle that we aim to achieve whenever possible is for another consultant to re-use patient contact sessions that would otherwise be cancelled or remain uncovered due to leave or other agreed reasons for absence. Weekends will include Direct Clinical Care sessions.

Supporting professional activities (SPAs) are expected to be worked on site unless agreed otherwise with the Clinical Director


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and specified in the job plan. The standard 1.5 SPAs include: audit, research, teaching, self organised Continuing Medical Education (CME) and departmental meetings (Governance, Directorate, Perinatal, Audit).

The successful candidate must have extensive experience in Obstetrics and Gynaecology. Applicants should possess the MRCOG or equivalent and Certificate of Completion of Training (CCT) or equivalent and be on the GMC Specialist Register.

The candidate must demonstrate an ability to work as part of the broad consultant team, with the expectation that further changes will occur in all job plans as the department develops. They will work as part of a multidisciplinary team to provide continuity of care for patients in the Trust.

Applicants will need to be registered with the Continued Professional Development (CPD) program run by the Royal College of Obstetrics and Gynaecology (RCOG) and to participate in GMC revalidation, the Trust’s annual consultant appraisal, general and directorate specific audit and clinical governance programs.

Consultant staff: Mr Sam Agwu (O&G) Fetal Medicine, Menopause, Gynaecology

Mrs Pratibha Arya (Gynae only) Ambulatory Gynaecology, Countywide RCOG Tutor

Miss Alex Blackwell (O&G) Urogynaecology, Paediatric and Adolescent Gynaecology

Miss Kiri Brown (O&G) Infertility

Miss Rachel Duckett (Obs only) Fetal and Maternal Medicine, Clinical Director

Miss Anna Fabre-Gray (Obs only) Fetal and Maternal Medicine

Miss Donna Ghosh (O&G) Minimal Access Surgery

Mrs S Ghosh (O&G) Fetal Medicine, Maternal Medicine

Mrs Catherine Hillman-Cooper(Obs only) Maternla Medicine

Mr Jon Hughes (O&G) Gynae Ultrasound, Infertility and Endometriosis/Pelvic Pain.

Mrs Joanne Lee (O&G) Oncology

Mrs Rosie Malhas(O & G locum) Minimal Access Surgery

Mr Paul Moran (Gynae only) Urogynaecology

Miss Rina Panchal (O&G) Oncology

Miss Mamta Pathak (O&G) Ambulatory Gynaecology,


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Mrs Jamila Shahid (O&G) Infertility

Mr Prabath Suraweera (O&G) Minimal Access Surgery, Ambulatory Gynaecology

Mr Angus Thomson (O&G) Endometriosis/Pelvic Pain, Urogynaecology, Divisional Medical Director

Miss Manon Van Seters (O&G) Oncology Lead

Miss Laura Veal (O & G locum) Ambulatory Gynaecology

Reporting ToMiss Rachel Duckett, Clinical Director of Obstetrics & Gynaecology.

Career Grades county wide: T 16 Middle Grades comprising ST4+

trainees, Associate Specialist/Specialty Doctors, Clinical Fellows

T 16 Junior Grades comprising ST1-2,StR GP trainees, FY2 trainees, MTI’s


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Job Description

This job description, together with the job plan, will be reviewed annually and agreed with the Clinical Director and Divisional Medical Director, on behalf of the Chief Medical Officer, to ensure that it continually reflects the areas of work, clinical responsibility of the post and purchaser requirements.

A suitably experienced post-holder will be expected to provide a clinical service in the relevant specialty to patients of the Worcestershire Acute Hospitals NHS Trust and to General Practitioners.

The post-holder will be expected to provide a service to patients of the Worcestershire Acute Hospitals NHS Trust, General Practitioners and to attend multi-disciplinary meetings. The successful candidate will be expected to work within multi-disciplinary teams in providing high quality clinical care. It is anticipated work will be undertaken on three sites and closer to the patients home. The Trust is seeking to extend services to GP surgeries/health centres etc and job plans may be revised in due course.

The post-holder will provide support to the A&E department and acute medicine to ensure timely appropriate care and patient flow through the hospital.

The post-holder will provide consultation and advisory service to clinical colleagues in the Trust and Primary Care.

The post-holder will attend cross county and cross site meetings.

To collaborate with colleagues to deliver

a high quality, timely service and to work towards meeting the Trust’s and departmental objectives.

The post-holder will, if relevant, participate in the on call rota to ensure that both emergency and urgent services are provided out of normal hours, to be shared equally with Consultant colleagues in post.

The Trust would expect a consultant whilst undertaking on-call duties to attend the hospital site to review patients when clinically necessary. The consultant on call must be prepared to attend willingly whenever requested to do so by a member of their medical and nursing team.

The post-holder, whilst undertaking weekend on call duties, will attend the hospital to undertake patient reviews.


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Provisional job plan and timetable

A formal job plan will be agreed between the post-holder and their Clinical Director and Divisional Medical Director, on behalf of the Chief Medical Officer, three months after the start date of the post. The job plan for the first three months will be based on the provisional timetable shown on the next page.

The Job Plan is subject to annual review and will be a prospective agreement that sets out a consultant’s duties, responsibilities and objectives for the coming year, covering all aspects of professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide an agreed schedule of commitments, both internal and external. In addition, it will include personal objectives, including details of their link to wider service objectives, and details of the support if any required by the consultant to fulfil the job plan and the objectives.

Provisional Assessment of Programmed Activities in Job Plan:For a full time contract.

Direct Clinical Care:

8.5 PAs on average per week (includes clinical activity, clinically related activity, predictable and unpredictable emergency work)

Cross-site travel and clinical administration time is included in each session of DCC.

Supporting Professional Activities:

1.5 SPAs per week to support your personal

CPD and revalidation related activities.

Although 1.5 SPA is the minimum required amount for revalidation, additional PA allocations are provided for leadership roles (clinical lead 1 PA), educational supervision (0.25 PA per trainee), governance roles (0.25 PA for audit, NICE or mortality leads), appraiser role (0.25 PA for trained appraisers) or other pre-agreed additional activities.

Provisional timetableThe following provides scheduling details of the clinical activity and clinically related activity components of the job plan, which occur at regular times in the week.

Agreement should be reached between the post-holder and their Clinical Director with regard to the scheduling of all other activities, including the Supporting Professional Activities.

On call: Rota frequency is anticipated to be 1 in 18 Gynaecology and 1 in 20 Obstetrics.


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Day Time Location Work Catagory PAs

Monday09:00 - 13:00 Admin DCC 1

13:30 - 17:30 Gynae OPD DCC 1

Tuesday08:00 - 18.00 WRH / KTC/ ALX Theatre list all day x15 per year DCC 0.9

13:30 - 16:30 Urodynamics DCC 0.75

Wednesday08:00 - 18.00 WRH / KTC/ ALX Theatre list all day x15 per year DCC 0.9

13:00 - 17:00 Urogynaecology MDT week 1 DCC 0.25

Thursday 08:00 - 08:00 Obstetric on call 24 hrs 1:20 DCC

Friday

09:00 - 13:00 GOPD DCC 1

13:00 - 17:00 SPA SPA 1

Flexible SPA SPA 0.5

On call 1 in 20 on call Obstetrics (24hr) 1 Gynae Hot Week in 18

DCC 2.6

9.9

WRH = Worcestershire Royal Hospital, ALX, Alexandra Hospital, Redditch, KTC = Kidderminster Treatment Centre, Kidderminster Hospital

On-call availability supplement

Agreed on-call rota: 1 in 20 on call Obstetrics (24hr) 1 Gynae Hot Week in 18

Agreed category: A

On-call supplement: 3%

Sample Timetable


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REQUIREMENTS ESSENTIAL DESIRABLE

Qualifications Full GMC Registration with a Licence to practise.

Entry on Specialist Register in Obstetrics & Gynaecology (or CCT expected within 6 months of interview date)

Success in Intercollegiate Specialty Examination or overseas equivalent

Higher degree

Clinical Experience

Clinical training and experience equivalent to that required for gaining (UK) CCT in Obstetrics & Gynaecology

Ability to offer expert clinical opinion on range of problems both emergency and elective within specialty

Ability to take full and independent responsibility for clinical care of patients

ATSM or equivalent experience and training in appropriate special interest such as Advanced labour Ward Practice.

Expertise and/or ATSM or subspecialty training in urogynaecology

Experience at consultant level

Ability to perform both vaginal and abdominal laparoscopic surgery for apical prolapse

Membership of relevant special interest society (eg BSUG +/-BSGE)

Management and Administrative Experience

Ability to organise and prioritise workload effectively

Ability to advise on efficient and smooth running of specialist service

Ability to organise and manage outpatient priorities

Ability to manage and lead the specialty firm and multi-disciplinary team

Experience of audit management and conducting clinical audit

Ability to manage and lead specialist unit and working parties as appropriate

Ability to use the evidence based and clinical audit to support decision making

Familiarity and experience of MDT meetings and working

Person Specification

Your application must demonstrate how you fulfil the essential criteria listed below to be considered for shortlisting.


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REQUIREMENTS ESSENTIAL DESIRABLE

Teaching Experience

Ability to teach clinical skills to medical, nursing staff and other disciplines

Postgraduate qualification in teaching

Experience of teaching clinical skills to undergraduates and postgraduates

Research Experience

Ability to apply research outcomes to clinical problems.

An awareness of current specialty specific developments and initiative.

Publications in relevant peer- reviewed journals in the last 5 years

Evidence of having undertaken original research.

Personal Attributes

Ability to work in a team

Enquiring, critical approach to work

Ability to communicate effectively with patients, relatives, GPs, nurses and other agencies

Commitment to Continuing Medical Education.

Willingness to undertake additional professional responsibilities at local regional or national levels.

Other requirements

An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues

Able to meet the travel requirements of the job and return to the hospital within 30 minutes when on call.

Standard Clauses

A Disclosures and Barring Service (DBS) check will be carried out where the position is eligible in accordance with the 2012 Protection of Freedom Act and the guidance issued by the DBS.


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Terms and Conditions of Service

Appointments will be made under the Consultant England (2003) terms and conditions of service, supported by the Conditions of Service for Hospital Medical and Dental Staff (England and Wales) and the General Whitley Council for the Health Services (Great Britain) Conditions of Service. The Trust undertakes local negotiation with the BMA through its Local Negotiating Committee (LNC).

Overall professional accountability will be to the Trust’s Chief Medical Officer and Responsibility Officer. Day to day line management will be through your Clinical Director.

Worcestershire Acute Hospitals NHS Trusts provides services across the county at three main hospital sites, and satellite services on premises of primary care and commissioning partners. This post is therefore a countywide position and you will be expected to provide services at any of our provider sites.

Our Employer Commitment We are an equal opportunities employer committed to fair and equitable treatment of all our staff and all job applicants. We are opposed to any form of negative discriminatory or unfair treatment in all aspects of employment.

We will ensure our workforce are committed to their duty in eliminating discrimination on the basis of gender, race, age, disability, religion, belief or sexual orientation, and are given the necessary training to support our efforts in this respect.

All our employment policies and services are developed and reviewed in conjunction with our staff side colleagues and subject to an equality impact assessment.

We are committed to making a real and positive difference to the lives of all who are affected by what we do.

Pay and allowancesAnnual salary will be paid as described in the Consultant England (2003) terms and conditions of service, and pay and conditions circular for the year of appointment to post. The salary scale currently ranges from £76,761 - £103,490 per annum (2017/2018).

Where you participate in a non-resident on-call rota, a supplement will be payable in accordance with Schedule 16 of the Consultant England (2003) terms and conditions of service.

Induction to the RoleIn supporting newly appointed consultants to the Trust, a period of up to four weeks will be protected for departmental orientation and familiarisation. During this time there will be an opportunity to discuss with senior colleagues how we can support or develop any areas of your clinical practice to ensure you can confidently perform duties of the role.

You will be responsible for limiting your actions to those which you feel competent to undertake. If you have any doubts as to your


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competence during the course of your duties then you should immediately speak to your line manager or supervisor.

Professional Development and PerformanceWhilst adhering to the GMC Good Medical Practice guidance, you will work collaboratively with clinical and managerial colleagues to deliver a high quality, timely service and to work towards meeting the Trust’s and departmental objectives. This will include the development of diagnostic and therapeutic protocols and guidelines, and involvement of primary care and commissioning colleagues.

Whilst maintaining professional registration you will comply with its code of conduct, as well as the Code of Conduct for Private Practice if you practice outside of the NHS, and adhere to the pledges as laid out in the NHS Constitution.

The Trust supports the requirements for Continuing Medical Education as laid down by the relevant Royal College and is committed to providing time and financial support for these activities. Activities include, but not limited to, participation in an annual appraisal and job plan review in line with Trust policy and practices, and updating mandatory and essential training as deemed appropriate for your role, to ensure your own practice is up to date and support the principles of revalidation by the GMC.

You will be aware of local policies and procedures and comply with the standing

orders and standing financial instructions of the Trusts. You will not further your private interests in the course of your NHS Duties, and will declare any interest, direct or indirect, with contracts involving the Trust.

MentoringNew Consultants will be allocated a senior consultant in the Trust to meet with and provide support during their first years.

Raising concernsEvery member of staff has a right and a duty to raise concerns at the earliest reasonable opportunity about the provision of care or any other malpractice (such as a risk to patient safety, fraud or breaches of patient confidentiality) within the Trust where care and/or behaviour/conduct is believed to be inadequate or unacceptable.

Organisation of wards and servicesIn order to offer the best possible care to all patients, the Trust requires that all patients are discharged from an acute setting as soon as they are clinically fit to do so. We use the Department of Health approved system for ‘Expected date of discharge’ (EDD). Medical plans are to be recorded in patient’s notes to facilitate nurse-led discharge.

Working within our agreed Standards of Medical Ward Rounds, you will undertake Consultant rounds in a planned manner with nursing and (as appropriate) MDT input.


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Consultants routinely work in specialty and ward based teams to enable patients to be reviewed on a daily basis by a decision making Doctor. Our standard also requires all patients to be reviewed by a Consultant within 15 hours of admission (24 hours on weekends and Bank Holidays).

LeaveLeave will be coordinated within the department to ensure an appropriate level of service (emergency, urgent and routine) is maintained. Approval for any absence from the Trust such as annual leave, professional leave, study leave and other leave will be sought from your Clinical Director. Locum cover for leave will not normally be provided.

Annual Leave is provided in accordance with Schedule 18 of the consultants (England) 2003 terms and conditions. The Trust’s study and professional leave policy provides 30 days over a three year cycle.

GovernancePatients managed by the Trust expect and deserve the highest quality care available.

You have a duty to ensure that high quality care is delivered. Quality care is defined as:

T Evidence based care T Delivered safely T Meeting patient expectations.

The Trust’s clinical governance department coordinate the systems, policies and processes to deliver high quality care,

including risk, mortality, patient safety, clinical audit, treatment pathways and on- going assurance of compliance with national guidance.

You will facilitate effective quality assurance and audit and take part in departmental and multi-disciplinary audit programmes in addition to undertaking individual audit, to ensure that services are evidence based and comply with national standards and guidance. You will also support regular morbidity and mortality reviews in accordance with best practice guidance.

The trusts Patient Safety Committee will approve any new procedure not previously performed in the trust to ensure patient safety. The committee will expect the service to be effective and all staff involved are appropriately trained.

The Trust has invested in an e-consent system that enables specific information to be provided to patients and also ensure only appropriate individuals consent the patient. In line with best practice you are not expected to take consent for a procedure you would not normally do unless specifically trained to do so.

Health care is a publically funded service with constantly rising public and user expectations. Whilst recognising on occasions complaints may be arise from unrealistic expectations the vast majority are absolutely justified. As an ambassador of the Trust you should listen to the patients concern and work with them to provide a solution, constructively accept comments from complaints, respond in accordance with


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Trust policy, learn from them and offer an apology when it is due.

The Trust fully upholds the ‘Caldicott Report’ principles and you are expected within your day to day work to respect the confidentiality of patient identifiable information. Other than in the performance of normal duty or with the specific consent of the Trust, you must not, during your employment with the Trust, disclose or use any confidential information relating to patients, staff, visitors or Trust business. This includes the safeguarding of all personal data stored on computers and memory devices. The unauthorised use or disclosure of patient or other personal information is a dismissible offence and in the case of computerised information, could result in a prosecution for an offence or action for civil damages under the Data Protection Act 1998.

All employees are expected to fulfil a proactive role towards the management of risk in all their actions, making assessment and taking appropriate actions including the reporting of incidents, near misses and hazards promptly and supporting any investigations undertaken.

The outcomes of the trusts quality assessments are expected to lead to continuous improvement by generating and implementing demonstrable quality improvements.

IndemnityYou are not contractually obliged to subscribe to a professional defence

organisation but should ensure that they have adequate defence cover for non-NHS work.

Safeguarding Children and Vulnerable AdultsYou have a responsibility for promoting and safeguarding the welfare of the children/ young people/vulnerable adults that you come into contact with or are responsible for in your job role and sphere of competence.

Staff and OfficeYou will be provided with shared office accommodation, including IT facilities, and shared secretarial support. PCs with intranet and internet access are provided across the Trust.

Consultants are required to reside within a distance of 30 minutes or ten miles by road of your hospital base. Exceptions must be agreed with the Chief Medical Officer.

Health and Safety / Infection Prevention and ControlEmployees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974) and the Manual Handling Operations Regulations (1992). This ensures that the agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors to the Trust.


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Employees must accept personal responsibility and accountability for Infection Prevention and Control practice. Employees should ensure they are familiar with, and comply with, all relevant Infection Control policies for minimising the risk of avoidable ‘Health Care Associated Infection’. All Employees must undertake annual mandatory updates in Infection Control.

Disability The Trust may make ‘reasonable adjustments’ to the post/work place in order to facilitate the employment of individuals with a disability. These adjustments will be in line with the requirements of the Equality Act 2010.

Conflict of interestThe Trust is responsible for ensuring that the service provided for patients and its care meet the highest standard. Equally, it is responsible for ensuring that staff do not abuse their official position for personal gain or to benefit their family or friends.

Pre-Employment ClearancesYour appointment will be subject to pre- employment clearances, including and not limited to references being satisfactory to the Trust, Enhanced Disclosure Check by the Disclosure and Barring Service and Workplace Health clearance.

Criminal records will be taken into account for recruitment purposes, only when the conviction is relevant. The Trust

will undertake the relevant Standard or Enhanced DBS disclosure in accordance with 2012 Protection of Freedom Act and DBS guidance. Consultant appointments are subject to an Enhanced DBS Check (including the Children’s and Vulnerable Adults barring lists). This reflects your ‘Regulated Activity’ which involves caring/supervising or being in sole charge of children/vulnerable adults.


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Medical Education

You will be expected to assist in supervision, teaching and training of junior medical staff and other professional groups within the Trust, in line with your roles and responsibilities as a consultant (Clinical Supervisor). Moreover, you may apply to become an Educational Supervisor in postgraduate education (an allocation of 0.25 PA per trainee is available for a formal Educational Supervisor role within job plans). The postgraduate program is overseen by the Postgraduate Clinical Tutor, assisted by a Deputy Tutor (overseen by the Director of Medical Education).

The Trust is playing an increasingly important role in undergraduate medical education. We have a long established role in the training of Birmingham University medical students and Warwick University undergraduates. In addition, the Trust will be training medical students from the new Aston Medical School and also is assisting the development of the University of Worcester’s pledge in developing a local medical school within the county. There are therefore considerable opportunities to develop a career in medical education. In addition to becoming part of the faculty of undergraduate educators, there are opportunities for honorary appointments (at lecturer, senior lecturer or professorial level) with our partner medical schools. The undergraduate programs are led by the Heads of Academy (overseen by the Director of Medical Education).


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Research and Development

Research is a key activity for Worcestershire Acute Hospitals NHS Trust, and we recently launched an ambitious research strategy to double our activity in three years, believing this will enable patients to access the highest quality services and retain health professionals. As such, post-holders are expected to engage with research, to be aware of the trials taking place and make appropriate referrals where necessary. Many of our appointments are active Principal Investigators for international clinical trials, having built up an excellent reputation with academic and commercial sectors. Activity can be accommodated in supporting PAs ad negotiated in job plans.

Post-holders have access to a strong R&D department including a research nursing team and support to conceive, design and conduct innovative research projects using state-of-the-art technology. The Trust has its own Islet Research Laboratory, a purpose- built research unit that has conducted several pre-clinical proof-of-concept studies in islet cell replacement therapy and stem cells. We are an active partner of the Clinical Research Network West Midlands and work with clinical academic leads to attract research to the Trust. The Trust is also the host to the Herefordshire and Worcestershire Research Consortium, a collaboration with Worcestershire Health and Care NHS Trust and Wye Valley NHS Trust to streamline research between the Trusts. We also have links with academic departments, including the University of Worcester.

Research activities are led by the associate medical director for research and development, and research operations lead,

who are overseen by the Research Expert Forum. Further information regarding the Department can be obtained directly from R&D on 01905 760221 or contacting Emma Rowan, [email protected]


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Trust Leadership Team

Chief Executive Matthew Hopkins

PA – Donna Wark 01905 733960

Divisional Medical Director for Women & Children Mr Angus Thomson

PA – Julies LeFeuvre 01905 761499 ext 30772

Clinical Lead for Obstetrics & Gynaecology Miss Rachel Duckett

PA – Chris Green 01905 760655 ext 39441

Chief Medical Officer Mr Mike Hallissey

PA – Sarah Ranson 01905 733960

In considering your application to this position, the Trust welcomes informal enquiries to our senior leadership team:


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Medical Resourcing team [email protected]

Postal address:

Human Resources Department Worcestershire Acute Hospitals NHS Trust Worcestershire Royal Hospital Charles Hastings Way Worcester WR5 1DD

Useful links

Worcestershire Acute Hospitals NHS Trustwww.worcsacute.nhs.uk

/WorcsAcuteNHS

@WorcsAcuteNHS

@WorcsAcuteNHS

/WorcestershireAcute

/WorcestershireAcute

NHS jobswww.jobs.nhs.uk

Documents

Applicant Information Pack · Applicant Information Pack Consultant in Obstetrics & Gynaecology with a Special Interest in Urogynaecology POST REFERENCE 365-A-19-116734 @WorcsAcuteNHS