James Paget University Hospitals NHS Foundation Trust v3.0

James Paget University Hospitals NHS Foundation Trust v3.0

© Royal College of Physicians 2018 (v3.0)

Job description review formConsultant/honorary consultant posts

This form must be completed by the appointing body (employer) to start the review process. Use a new blank form for each job description – please do not overwrite an existing one. Email this form and the job description to your RCP regional office. Find your regional office’s contact details on the RCP website. The JD and person spec should be submitted in one document

Employer: Fill in the Basic information section and the ‘Employer’ column in the Checklist Criteria section. Make sure each criteria is cross‐referenced to the relevant page in the job description. If a criteria is not addressed, leave the check box blank and explain why in the ‘Employer comments’ section below the checklist. Regional Specialty Advisers (RSAs): Check that each criteria is addressed in the job description and tick the corresponding box. If it isn’t, leave the box blank and enter a comment in the comments log. Regional Advisers (RAs): Taking into account the RSA’s comments, check that each criteria is addressed in the job description and tick the corresponding box. If it is not addressed leave the box blank and enter a comment in the comments log. After each review round, complete the ‘Outcome of review’ section at the end of the form.

Basic information To be completed by the employer

*These fields must be completed before the form is submitted

*Post title Consultant Dermatologist

Job description reference (RCP admin)

2260074000

Main hospital base of postholder James Paget Hospital NHs Trust

*Number of posts

1

*Grade (We do not approve locum or 1‐year fixed‐term posts)

Consultant

*Reason for post

New post

*Main specialty

Dermatology

*Contract type

Full‐time

Sub‐specialty(s)

[Subspecialty 1]

[Subspecialty 2]

*Is the post already advertised?

(The job description should be reviewed before advertising the post.)

No

*DCC 7.5

*SPA 2.5

*Is there a general internal medicine (GIM) requirement?

No GIM component

Date and time of Advisory Appointments Committee (AAC)

[AAC date]

Primary contact details

*Name Candy Wadeson

Job title Medical Staffing Team Leader

Phone 01493 452677

*Email [email protected]

Clinical lead / job description author contact (optional; will be cc’d into correspondence)

Name Dr Ingrid Salvary

Job title Consultant Dermatologist

Phone 01493 452452

Email [email protected]



Checklist criteria All parties should tick the relevant box against each criterion. If the job description does not meet the criterion, leave the box blank and insert comments in the comments log section.

Criteria *Employer *Page number

RSA 1 RSA 2

(if applicable) RA

1. Inclusion of a job description that includes a job plan and person specification

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Job description

2. A commitment to secretarial support and an adequately equipped office, including information technology (IT) facilities

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22 ☒ ☐ ☒

3. A statement on expectations regarding medical audit ☒

6 & 22 ☒ ☐ ☒

4. A statement on expectations for continuing professional development (CPD)

☒ 6 & 7 ☒ ☐ ☒

5. A statement on commitment to revalidation ☒

21, 22 & 26 ☒ ☐ ☒

6. A description of the department/directorate (a list of colleagues’ names and titles)

☒ 14,15 &16 ☒ ☐ ☒

7. Workload figures are included, eg:

inpatient and outpatient workload (new and follow‐up)

expectations of the personal workload

☒ 4 & 5 ☐ ☐ ☒

8. A statement about staff that will be available to support the appointee

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9. A statement that there will be consideration of time off in lieu (such as for weekend working)

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10. A reference to information about access to mentoring for newly appointed consultants (job descriptions should always include this)

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Job plan

11. A sample weekly timetable that takes account of the programmed activities (PAs) outlined below and is broken down into AM and PM sessions with timings

Common issues:

o full‐time posts should have a 10 PA framework

o include time for lunch and travel

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Criteria *Employer *Page number

RSA 1 RSA 2

(if applicable) RA

12. Honorary consultant posts only:

NHS academics will usually have a ratio of direct clinical care to supporting professional activities of 3:1 (eg a 5 clinical PAs should be split into 3.75 DCC and 1.25 SPAs).

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13. Direct clinical care (DCC)

a) 7.5 PAs per week should be dedicated to direct clinical care (7 in Wales)

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6 ☐ ☐ ☒

b) Of the 7.5 DCC PAs, 1.5–2.5 should be assigned to dictating letters, attending multidisciplinary team meetings, seeing relatives, reviewing results and attending X‐ray meetings and case presentations

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6

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14. Supporting professional activities (SPAs)

a) A minimum of 1.5 SPA is included for revalidation only (a minimum of 1 if the post is less than 10 PAs). This includes audit, CPD, and appraisal.

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b) Additional SPAs have been allocated such as for teaching, research, assessment of trainees, clinical governance and service development.

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c) Honorary consultant posts only: Where SPAs are expected to contain a contribution to research that is specified, it is reasonable that the following commitment is required, depending on the size of research study: • acting as principal investigator 0.1–0.5 SPAs • acting as chief investigator 0.1–1 SPAs • research and good clinical practice (GCP) training 0.125 SPAs.

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15. On‐call commitments should be clearly stated (the overall or weekday and weekend frequency if applicable) ☐

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16. If acute on‐take duties are part of the job description, there must be a specific commitment to post‐take ward rounds.

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Person specification

17. The post‐holder should hold the MRCP(UK) or an equivalent qualification.

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18. Entry on the General Medical Council (GMC) Specialist Register via one of the following:

a. Certificate of Completion of Training (CCT) (the proposed CCT date must be within 6 months of the interview)

b. Certificate of Eligibility for Specialist Registration (CESR)

☒ 3 ☒ ☐ ☒



19. Desirable ‐ an appropriate higher degree (eg an MD, PhD or equivalent)

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Comments log Indicate the relevant checklist number above when inserting comments

Initial employer comments

Employer comments

Click here to enter text

Review round 1

RSA comments

Would you like to be made aware of the final review outcome? Select an option No

GUM posts only Should this JD be reviewed by the Faculty of Sexual and Reproductive Health (FSRH)? Select an option No

RA comments

7. I could not see that details of departmental and personal workload were included.

13. There is an error in the calculation of DCC, in that the Monday afternoon surgical list has been recorded as SPA rather than DCC. Correction of this means that DCC is 8.25 PAs

It is unclear for some of the sessions what the SPA and DCC commitment will be : Monday 13‐14hoo session is recorded as SPA, but includes ward round and referrals (which should be recorded as DCC); the Wednesday afternoon session appears to be largely DCC from the timetable, but is recorded as majority SPA.

Monday morning 9‐1pm session is recorded as 1.5PAs for 4 hour session

14a. Due to the error in recording a surgical list on Monday afternoon as SPA (as above), there is insufficient SPA in the job plan for revalidation once this is corrected (total 0.75).

12, 14c, 16. Not applicable

The above are the RSA comments (although I largely agree!). As the RA, I have the following comments:

1. There is no statement on the Trust's commitment to revalidation. P22 refers to the appointees responsibilities. The RCP recommends the following or similar "The trust has the required arrangements in place, as laid down by the Royal College of Physicians, to ensure that all doctors have an annual appraisal with a trained appraiser and supports doctors going through the revalidation process".

2. Details of departmental and personal workload, in terms of patient numbers, are not provided. Applicants do find this information useful.

3. The timetable contains several errors and does not indicate the 2.5 SPAs claimed. 0.75 SPA (Mon pm) are clearly DCC, 0.25 (Mon lunchtime) includes clinical work, 4 hours on Monday am is double counted as 0.75 DCC and as 0.75 SPA, 3 hours on Thur pm is counted as 0.75 DCC and 0.25 SPA. On the other hand the timetable implies that 3 hours on Tuesday afternoon might be clincal or SPA activity (presumably the Trust is open to negotiation), but is counted as DCC.

The timetable should be improved to give a clearer idea of the post and to correct the PA allocations. This and the statement on revalidation are required for RCP approval. Workload details are advisory.

Employer response Click here to enter text

Review round 2

RSA comments Click here to enter text

RA comments All issues satisfactorily addressed.

Employer response Click here to enter text

Additional review rounds (continue in the box below, stating whether you are the employer, RSA or RA)

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Outcome of review Final sign‐off is by the regional adviser only

Approved ☒ Not approved ☐ (tick this box if the JD requires changes or cannot be approved)

Approver: Regional adviser

Regional Adviser: Dr Gooding

Regional Specialty Adviser: Dr Gass

Date of final review

18/06/2020

The review is valid for 1 year, provided the job description remains completely unchanged. The AAC must be within the review validity date.

! For RCP admin use only

Review expiry date 18/06/2021

DCC 7.5

SPA 2.5

Appointment of:

Consultant in

Dermatology

Post Reference No: 177-MDST-885

Lowestoft Road Gorleston

Norfolk NR32 6LA

Hospital Switchboard: 01493 452452

Medical Staffing: 01493 45 3117/3415

Website: www.jpaget.nhs.uk

James Paget University Hospitals NHS Foundation Trust

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CONTENTS

Section 1 Person Specification

Section 2 Job Description

Section 3 Department Information

Section 4 The Trust and Local Area

Section 5 Education and Further Information

Section 6 General Conditions of Appointment

Section 7 Application Information


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SECTION 1 PERSON SPECIFICATION

Job Title: Directorate: Reports to:

Consultant in Dermatology Emergency Division Divisional Director of the Division Of Medicine, Diagnostics & Clinical Support

Criteria Essential/Desirable Criteria

Assessment Method

A I T REducation and Qualifications

MBBS or Basic Medical Degree E MRCP or equivalent E Hold a certificate or being within 6 months of completion of training or being on or eligible for the UK Specialist Register at the date of interview.

E

Full GMC registration E Have sub-specialisation recognised on CCT D MD/PhD D

Experience & KnowledgeAbility to provide expert clinical opinion across a wide range of problems within Dermatology.

E

Able to plan and develop a modern service in keeping with current trends E Academic Achievements Ability to use research outcomes in clinical practice E Knowledge of using evidence base medicine to support decision making E Experience of conducting clinical audit E Involvement in research projects and published papers D Key Skills Capable of organising and prioritising work effectively E Motivation and ability to plan and develop the service E Willingness to participate in clinical governance E Leadership qualities E Energy and enthusiasm and an ability to work under pressure E Conscientious and highly motivated with the ability to communicate clearly with colleagues and staff

E

Able to form part of a team and recognise the importance of team working

E

An interest in developing and reinforcing interdepartmental relations E Experience in teaching junior medical staff E Experience of teaching medical students D Experience of committee work/project management D Forward thinking and not afraid of the challenges that change brings D Formal training in teaching skills D Other Awareness and respect for colleagues, patients and relatives’ dignity, privacy, integrity, cultural and religious beliefs

E

Good previous attendance record E Ability to travel to meet the requirements of the post D Physically fit for post. Completion of Trust’s Occupational Health assessment. Full immunisation status including Hep B & Hep C status

E Dec Health form

Satisfactory Criminal Records Bureau Disclosure and/or Certificate of Good Conduct (Police Check) from country of residence

E Police/DfES/DoH

Eligibility to work in the UK E Immigration clearanceAssessment Criteria A= Application, I= Interview, T= Test, R= References


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SECTION 2 JOB DESCRIPTION

Title

Consultant in Dermatology

Location

Based at James Paget University Hospital (JPUH)

New or Replacement Post

New post

Accountable to

Divisional Director of the Divisional Director of the Division Of Medicine, Diagnostics & Clinical Support

Principle Job Purpose

To provide Dermatology services in conjunction with colleagues for the Trust.

Main Duties

1. Share with consultant colleagues the Dermatology workload.

2. Provide with the other Consultants cover for annual, study and professional leave.

3. Liaise with medical staff in other specialities and participate in the regular clinical meetings and other post-graduate activities of the hospital.

4. Maintain and develop team working practices involving other medical staff, nursing staff and allied health professionals.

5. Take part in the Royal College of Physicians continuing medical education programme. The Trust will provide study leave expenses in line with national terms and conditions of service.

6. Participate in the rolling process of clinical governance.

7. Teach undergraduates from the Norwich Medical School, University of East Anglia (UEA) during clinical attachment at JPUH and participation of other teaching activities (lectures, seminars, examinations). Teaching will involve bedside (clinic and ward) teaching.

8. Act as educational supervisor and engage in regular appraisal and assessment of all doctors in training or in equivalent posts for whom the post-holder has educational or organisational responsibility.

9. Comply with the outline Consultant work programme (under provisions of Circular HC90/16) and the weekly timetable of fixed commitments (i.e. regular scheduled NHS activities in accordance with paragraph 30B of the TCS).


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Other Responsibilities

Subject to the provisions of the Terms and Conditions of Service to observe the Trust’s agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of the Trust.

To observe local and national employment and personnel policies and procedures, and to comply with Regional and Trust Health and Safety policies.

To assume responsibility for and facilitate contact from members of staff with delegated duties for personally accountable patient care.

Duties of the Post This is a permanent 1.0 WTE appointment based at the James Paget University Hospital (JPUH) for 5 days per week Monday to Friday. The appointee will help the department achieve the skin cancer waiting time targets and the 18 week referral to treatment time targets and other targets as become relevant. The candidate would be encouraged to develop a special interest and undertake research and teaching in this and other areas. The James Paget University Hospital Dermatology department and the Norfolk and Norwich University Hospital Dermatology departments work closely together particularly in skin cancer, teaching and research and this post will continue the move towards closer integration of the two units. The post-holder will be accountable clinically and managerially to the dermatology Clinical Lead (Dr Ingrid Salvary) and the Medical Director (Dr Hazel Stuart). The appointment is to the Trust, not to specific hospitals however the appointee may be expected, as part of their duties, to undertake clinics in community hospitals or outreach clinics. There will be no on-call commitments. Any dermatology patient needing admission to hospital will be admitted to the general medical ward where they will be stabilised and referred to the dermatology team the following day for review. The appointee will be expected to contribute to the teaching of under-graduates at the University of East Anglia, School of Medicine. The appointee will contribute towards the supervision and training of junior doctors in dermatology at the NNUH and JPUH. This may include work as an educational supervisor and supervision of case reports, scientific abstracts and clinical research by specialist registrars. The appointee will be expected to contribute to undergraduate and postgraduate teaching within the Trust. The appointee will share with the other consultants in the supervision of nurse-led clinics in the departments. These include acne, leg ulcer, Cryotherapy, Photodynamic therapy, day treatment and surgery lists. The appointee will be expected to attend the department’s meetings including the monthly Monday lunchtime departmental and consultant meeting, monthly Clinical


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Governance meeting, weekly Skin MDT meeting and fortnightly Wednesday afternoon educational joint clinics for complex cases. All consultants, including the appointee, will be expected to be involved in implementing the Trust’s Clinical Governance program. This includes active participation in clinical audit, quality, clinical guidelines/pathways (including National Institute of Health and Care Excellence and British Association of Dermatologists guidelines), professional development, appraisal and risk management. The appointee will be a member of the Consultant Medical Staff Committee. Job Plan

The Job plan and detailed timetable, which will depend on both experience and interests of the candidate and the needs of the department, will be agreed with the Divisional Director on behalf of the Medical Director, within three months of the commencement date of the appointee. This will be signed by the Chief Executive and will be effective from the date signed by the Divisional Director. The job plan will then be reviewed annually, following an Appraisal Meeting. The document will be a prospective agreement that sets out a consultant’s duties, responsibilities and objectives for the coming year. It will cover all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear 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 required by the consultant to fulfil the job plan and the objectives. Breakdown of PA allocation Direct Clinical Care 7.5 PAs on average per week

(Including ward rounds, MDTs, OP clinics and clinical admin): Supporting Professional Activities: 2.5 SPAs on average per week

SPAs are likely to include at least 0.5 PAs to allow the appointee to familiarise themselves with all relevant guidelines, policies and procedures (Includes CPD, audit, teaching and research) This is for a 10PA contract. The allocation of PA`s is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the Job Plan. The SPA sessions, in addition to CPD time, audit, teaching and guideline development should include time for the appointee to familiarise themselves with the Trust’s policies, procedures and guidelines and to undergo training at the UEA in order that they can become a recognised teacher. There is also a requirement that all Consultants attend appropriate training to meet the requirements provision of Clinical and Educational Supervision. A mentor will be appointed to support the consultant in adjusting to the new role and responsibilities.


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Medical Student teaching The appointee will be expected to contribute to undergraduate teaching. There is an expectation that the appointee will also participate in admission assessments for applicants to the medical school, lectures, seminars, examinations and small group problem based learning (PBL) teaching that occurs throughout the academic year. There will be an increase in Medical Student numbers over the next few years. Any time contributed to Medical Student teaching by the appointee will need to be agreed by the existing physicians providing the stroke and acute service and the Divisional Director but in general this will be supported and encouraged. Timetable

The following provides scheduling details of the fixed 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 appointee and their Divisional Director with regard to the scheduling of all other activities, including the Supporting Professional Activities.

SPAs are likely to include at least 0.5 PAs to allow the appointee to familiarise themselves with the Trust policies, guidelines and procedures, other SPAs to be used for CPD, audit, guidelines and governance. At the review point the number of SPAs will be adjusted dependent on whether or not the new appointee has taken on new roles within the department/Trust/Region. Workload Each clinic session comprise 4 new and 8 follow up patients. Depending on the specialist area of expertise the number of clinics per week can vary from 4 clinics per week and at least 2 minor operating sessions per week. Each minor operating session will Depending on the demand at times there may be a need for more clinics and fewer minor operating sessions and vice versa depending on the number and type of patient referrals. Each minor operating session will have 3 to 6 patients depending on the complexity of the procedure. Internal patient referrals can vary from 4 to 8 per day. There are no on call commitments. Sample Work Programme

PROVISIONAL TIMETABLE The following provides an outline of the expected 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 appointee and their Clinical Director with regard to the scheduling of all other activities, including the Supporting Professional Activities. Upon appointment the consultant with be given a specific “work programme” detailing the initial allocation of direct clinical care activities and supporting activities.


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Day Time Location Work NHS Activity Code Number of PAsMonday 0800-

0900 JPUH Skin Cancer MDT

meeting + pt admin DCC

0.250900-1300

JPUH Patient Admin/ Ward rounds/referrals teaching/ Research

0.75 DCC/ 0.75SPA

1300 - 1400

JPUH Meetings (directorate and consultants Week 3) /Clinic Gov

0.25 SPA

1400 - 1700

JPUH Surgical List 0.75 DCC

Tuesday 0900 - 1300

JPUH Clinic 1 DCC

1400 - 1700

Research/special interest clinic/teaching

0.75 SPA

Wednesday

0900 - 1200

JPUH Clinic 0.75 DCC

1300 - 1700

NNUH Week 3 journal club/ lymphoma MDT/ combined clinic Week 1: Addenbrookes combined clinic Weeks 2/4: Patient Admin/Audit

0.5 SPA 0.375 DCC

Thursday 0900-

1300 JPUH Clinic 1 DCC

1400-1700

JPUH Pt Admin/ Ward referrals /Teaching

0.75 DCC/0.25SPA

Friday 0900-

1300 JPUH Minor op 1 DCC

1300-1400

JPUH 1st/3rd/5th Fri

LSMDT 0.125DCC

1400- 1700

Emergency Clinic 0.75 DCC

Saturday

Sunday

Additional agreed activity

Predictable on-call work

Unpredictable emergency on-call work


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TOTAL PAS 10 PAs

This is a sample programme, which allows an equitable distribution of the work. Modifications will be made depending upon the needs of the service and to cover periods of leave. If a doctor works a day outside of their rostered duty, they will be entitled to time off in lieu.

Appraisal and Revalidation The James Paget University Hospitals NHS Foundation Trust has the required arrangements in place, as laid down by the Royal College of Physicians, to ensure that all doctors in the trust have an annual appraisal with a trained appraiser, and supports doctors going through the revalidation process.


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SECTION 3 DEPARTMENTAL INFORMATION

The Post The James Paget University Hospitals NHS Foundation Trust (JPUH) is seeking to appoint a Consultant in Dermatology, this is permanent appointment. The post holder will have responsibility for providing a Dermatology service in conjunction with consultant colleagues. The position provides an excellent opportunity for a suitably qualified specialist to actively contribute to the further development of a modern Dermatology service within this highly regarded Trust with its wide range of acute and community services, which will afford high professional visibility. The Department The Department of Dermatology is an integrated out patient, day-patient, unit with specialist dermatology nursing staff. It serves a population of 230,000 residents across Great Yarmouth, Lowestoft and Waveney, as well as the many visitors who come to this part of East Anglia. The new department opened in January 2003. Our department consists of 4 consultation/examination rooms, 3 minor surgery rooms, and 2 nurse treatment rooms. A light treatment Unit and facilities for Patch and Prick testing. Services Provided Minor surgery PUVA, TLO1 Therapy Photodynamic Therapy Patch and prick testing Paediatric Clinics General Dermatology clinics Nurse led specialist clinics: Roaccutane Leg ulcer Cryotherapy Photodynamic therapy We have close links with other hospital specialities including Plastic surgery Ophthalmology and Oculo-plastics, Paediatrics, Rheumatology and Genito-urinary medicine. General dermatology outreach outpatient clinics are also held at Beccles Hospital. We work closely with The NNUH in the management of Skin cancer via weekly SSMDT meeting. We are supported by a small but very efficient Medical/Clinical photography team.


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Consultants Dr I Salvary: Clinical lead: Special clinical interests Paediatric Dermatology, Genital dermatoses and Dermatopathology, Medical school Derm Lead Dr R Graham: Skin cancer, Contact Dermatitis, Phototherapy RCP/BAD exam question writer for national exit exam in dermatology/MRCP Contributing author to Rook’s textbook of Dermatology 5th, 6th and 7th vols mostly on skin signs of systemic disease BMA POWAR Mr N Sheppard: Plastic Surgeon; Reconstructive Surgery, following removal of large and cosmetically sensitive skin lesions. Specialist Dermatology/plastics clinics. Mr D Morritt: Plastic Surgeon; Reconstructive Surgery, following removal of large and cosmetically sensitive skin lesions. Specialist Dermatology/plastics clinics. Dr J Kimmritz: Visiting Locum Consultant Dermato-surgeon Dr Daniele Torchia: Locum Consultant Dermatologist Middle grade staff Associate specialist Dr M Ellisen: Dermato-surgery one day/week, Dermatology clinic 1/2 day per week. Speciality Doctors Dr M Zaman Dr L Gologan Dr U Zaidi Dr A James Junior Staff NNUH SpR one day/week Nursing Staff Dermatology Speciality Nurses Julii Errington Helen French Krystle Dennis Cancer Nurse Specialist Helen Scott Skin cancer coordinator Mr Ben Smith One Dermatology Healthcare Assistant In addition to supporting Clinical staff, between them they manage nurse led Roaccutane clinics, Leg Ulcer clinics, Cryo-therapy clinics, Photodynamic therapy, Patch and Prick test application as well as lesion and general follow up clinics. Dermatology Inpatients are cared for within the Emergency Division. Education and Training


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Combined clinical meetings with regional Consultant Dermatologists at: Addenbrookes Hospital monthly Norfolk and Norwich Hospital monthly James Paget University Hospital & Queen Elisabeth Hospital Kings Lynn annually Journal club monthly Hospital Grand Rounds once weekly Consultants are encouraged to attend and contribute to the monthly clinical meetings of the dermatology section of the Royal Society of Medicine, London.


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THE EMERGENCY DIVISION

Accident and Emergency Care of Elderly

Emergency Assessment and Discharge Unit General Medicine

ITU and HDU General Medicine

Medical Specialties Radiology

The post holder will be employed within the Emergency Division of the James Paget University Hospitals NHS Foundation Trust. General Medicine, Acute Medicine and Acute Care of the Elderly services are fully integrated within the Emergency Division. Divisional Director Dr Paul Banim Divisional Operations Director Diane Goodwin Divisional Director Dr Paul Banim (Care of Elderly, Stroke, Cardiology, Diabetes & Endocrinology, Respiratory Medicine, Gastroenterology)

Clinical Director for Urgent & Emergency Care Dr Anna Blackburn Clinical Director Dr Rawya Badreldin (Imaging Services, Endoscopy) Clinical Director Dr Venkat Mahadevan (Haematology, Oncology, Palliative Care Clinical Director – Integrated Business Unit Dr Venkat Mahadevan (Neurology, Rheumatology, Dermatology) Clinical Lead Cardiology Dr Toomas Sarev Clinical Lead Respiratory Dr Tim Cotter Clinical Lead Diabetes & Endocrinology Dr Jo Randall Clinical Lead Care of the Elderly Dr Mazhar Zaidi Clinical Lead Gastroenterology Dr Paul Banim Clinical Lead A&E Dr Jim Crawfurd Clinical Lead ICU Dr Karl Blenk Clinical Lead EADU Dr Anna Blackburn The bed complement of the Division is: Beds Acute Cardiac Unit (4 High Dependency & 1 intervention room) 10 Emergency Assessment and Discharge Unit (EADU) 34 Integrated General Medical and Elderly Care (including stroke ward) 133 Haematology/Infectious Diseases/Dermatology ward 19

The ICU/HDU (8 beds), opened in 2003, is situated close to the medical wards and lies within the Emergency Division. The Haematology / Dermatology / Infectious disease ward has single rooms and positive pressure ventilation for high risk cases.


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A 22-Bed Infection Control Escalation Ward opened in April 2009. A Day Treatment Unit (Sandra Chapman Centre) is available for treatment of rheumatology patients requiring infusions, in addition to haematology and oncology patients. There is a 18 bed satellite Renal Dialysis Unit with six further beds where local renal patients receive haemodialysis under the supervision of a Norfolk & Norwich University Hospital based Consultant Nephrologist. Genito-Urinary Medicine is based at Northgate Hospital, Great Yarmouth. Medical Staffing in the Emergency Division Consultant General Physicians

Dr A Blackburn Acute Medicine Dr J Stosic Acute Medicine Dr E Russell Acute Medicine Dr A Green Acute Medicine Dr Thandar Soe Acute Medicine Dr A Selvakumar Acute Medicine/Stroke Medicine (50:50) Dr D Makkuni General Medicine and Rheumatology (Royal College Tutor) Dr J Zaman Cardiology Dr A Ryding Cardiology (Joint post with NNUH) Dr T Sarev Cardiology (Joint post with NNUH) Dr Santosh Nair Cardiology (Joint post with NNUH) Dr Sunil Nair Cardiology (Joint post with NNUH) Dr K Jesudason G(I)M (Part Time) Dr J Randall Diabetes and Endocrinology Dr L Krishnan Diabetes and Endocrinology Dr M Venu Diabetes and General Medicine Dr R Badreldin Gastroenterology Dr P Banim Gastroenterology Dr B Brett Gastroenterology Dr A DeSilva Gastroenterology Dr M Williams Gastroenterology Dr A Saleem Gastroenterology Dr Z Zeino Gastroenterology (Locum) Dr T Cotter Respiratory Medicine Dr V Mahadevan Respiratory Medicine Dr A Kisseljov Respiratory Medicine Dr P Babu General Internal Medicine and Respiratory Medicine (Locum) Dr M Zaidi Care of the Elderly (Orthogeriatrics) Dr H Wyllie Stroke & Rehabilitation (Locum) Dr C Canepa Stroke Medicine Dr Ajmal Anversha Stroke Medicine / Acute Medicine (50:50)

Speciality Medicine

Dr S Sadullah Clinical Haematology Dr M Mangi Clinical Haematology Dr K D Maw Clinical Haematology (Locum) Dr R Graham Dermatology Dr I Salvary Dermatology Dr U Dernedde Medical Oncology Dr J Thomas Rheumatology Dr Carlo Canepa Neurology


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Dr L Delaj Neurology (Locum)

Visiting Consultants (from Norfolk and Norwich University Hospital)

Dr C Ross Nephrology (2 sessions/week) Dr M Karim Nephrology (1 session/week) Dr D Dick Neurology (1 session/fortnight) Dr M Lee Neurology (1 session per week) Dr Z.Tasigiannopoulos Radiotherapy and Oncology (2 sessions per week) Dr R Wade Radiotherapy and Oncology (1 sess per week plus 2 every other

week) Dr D Biswas Radiotherapy and Oncology Dr A Harnett Radiotherapy and Oncology Dr J Nobes Oncology Dr T Marshall Rheumatology Dr M van Leuven Thoracic and Oesophageal Surgery (1 session per week) Dr L Freeman Cardiology Dr Iain Williams Cardiology Professor R Hall Cardiology (1 per month – Thurs) Associate Specialist (AS), Specialty/Staff Doctors (SD)

Dr Z Kozlowska (SD) General Internal Medicine and Cardiology Dr R Srinivasan (SD) General Medicine and Diabetes and Endocrinology Dr Syed Alam (SD) Acute Medicine/Cardiology Specialty Registrars

SpR/ST3-4 x2-3 Acute Medicine/EADU (Rotation with NNUH) SpR/ST3-4 x1 General Medicine/Care of the Elderly (Rotation with NNUH)

SpR/ST3-4 x2 General Medicine / Respiratory Medicine / ICU (Rotation with NNUH, Cambridge & Papworth)

SpR/ST3-4 x2 General Medicine/Gastroenterology. (Rotation with the NNUH)

SpR/ST3-4 x1 General Medicine/Diabetes & Endocrinology Junior Medical Staff

20 Foundation Year 1’s and 6 Foundation Year 2’s 4 General Practice Specialty Trainees 7 Core Medical Trainees 1 Clinical Fellow (ST1) level 2 ACCS trainees Accident & Emergency Consultants

Dr J Crawfurd Dr J Garside Mr D Peacock Dr D Wade Mr R Franklin Dr J Baldry Dr F Sutherland Dr R Fareed Intensive Care Consultants

Dr K Blenk


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Dr P Bothma Dr A Brodbeck Dr R Ganepola Dr M Karlikowski Dr M Lundberg Dr I Misane Dr H Stuart Dr L Induruwage Dr H Eid Radiology Consultants

Dr K Ashraf Dr S Boddu Dr L Disini Dr N Mahmood Dr K Syrros Dr A Eka Dr A Bishara Dr N Vachtsevanos Dr A Madathil (Locum) Dr S D Sugumar (Locum) Diagnostic and Associated Services at the James Paget University Hospitals NHS Foundation Trust The Hospital is equipped to high standard with excellent diagnostic services. a Department of Clinical Measurement (within the Medical Directorate) Investigative facilities in this department include: Cardiology Treadmill ECG exercise testing

Echocardiography, Transthoracic and Multiplane Transoesophageal, with Colour Doppler

Ambulatory ECG tape monitoring

Temporary cardiac pacing

More Extensive facilities are available at NNUH and Papworth Hospital (see below)

Respiratory Medicine Flexible bronchoscopy Pulmonary Function Laboratory (Jaeger Masterlab) Overnight oximetry service Gastroenterology C13 urea breath test Capsule endoscopy


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b. Diagnostic Imaging

The department provides all standard imaging services including MRI (1.5T) and two 16 slice CT scanners; these are located in dedicated suites for IP and OP work; Ultrasound facilities and a dedicated Breast Care Unit. There is direct access to PET-CT via the Norfolk and Norwich University Hospital. A GE PACS system was installed two years ago and the radiology information system upgraded in the last month, these systems provide easy access to images and reports throughout the Trust. The department is staffed by seven permanent radiologists supported by 3 locums.

c. Pathology Laboratory Services The Pathology laboratory has full CPA accreditation and provides a

comprehensive range of services in morbid anatomy and Histopathology, Microbiology, Chemical Pathology and Haematology. The laboratory provides a full service, daily and out of hours; to support emergency work and consultant advice is available at all times. The Histopathology department has now merged with the Norfolk and Norwich University Hospital (NNUH) to ensure a rapid and high standard of sub-specialty reporting whilst still supporting Multi-disciplinary meetings.

d. Facilities in Associated Hospitals

Invasive Cardiology services are provided at the Norfolk and Norwich University Hospital (NNUH). The NNUH Cardiology unit has 2 catheter suites and 2 lists per week are available for consultants based at the James Paget University Hospital. Angiograms, other imaging, difficult cases and audit results will be discussed once a week at a joint meeting – Teleconferencing facilities are available. The NNUH is initiating an angioplasty service from April 2006. Patients are also admitted to the NNUH for permanent cardiac pacing. There is a possibility for a consultant based on this site to develop an interest in cardiac pacing. In addition Papworth Hospital provides coronary angiography, angioplasty, and coronary stenting. Cardiothoracic Surgery is also provided at Papworth Hospital. Plastic surgery and radiotherapy/oncology services are provided by NNUH consultants. Upper GI cancer care is coordinated between the James Paget University Hospitals NHS Foundation Trust and the NNUH via the multidisciplinary Upper GI Cancer Network. Addenbrooke’s Hospital is the regional liver transplant centre, providing liver transplant services, specialist care of acute and chronic hepatology cases, and regional postgraduate training courses.

Visiting consultants from the NNUH provide neurology and renal services:

There is an onsite renal dialysis unit. Weekly outpatient clinics are held at the James Paget University Hospitals NHS Foundation Trust. Regional neurosurgical services are based at Addenbrooke’s Hospital, Cambridge.


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ICU/HDU This is a state of the art combined 12 bedded ICU/HDU, fully computerised and equipped with flexibility to change ratio of ICU/HDU patients and admitting well over 400 patients per year. 8 Intensive Care Consultants cover the unit with a separate one in eight on-call rota. There is an excellent critical care outreach team and early warning score system. The ICU team maintains good relationships with all of the consultant staff and hold joint forums with all surgical specialties, A&E, Medicine, Paediatrics and the respiratory teams. The Intensive Care Unit is situated in the centre of the hospital opposite to the theatre suite adjacent to the Anaesthetic Department. The current capacity is: 12 beds that are allocated flexibly between level 3 and level 2 to accommodate clinical need. (The use is flexible and if necessary can accommodate up to 8 ICU beds) All admissions are on a Consultant to Consultant referral basis. There is an active multidisciplinary team involved in critical care, which meets daily on the ICU Ward Round.


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SECTION 4 THE TRUST AND LOCAL AREA

The Trust provides comprehensive acute care for the population of Great Yarmouth, Lowestoft and the South Waveney area and for many visitors to the area. This acute care provided from the James Paget University Hospital site at Gorleston is supported by other community services at the Newberry Centre, Kirkley Rise North Lowestoft, and outreach clinics. The Trust serves a population of approximately 230,000, with 500 beds, 3,370 members of staff, both full and part time and a budget of £129 million per annum. We are a University Hospital with a medical school; training the next generation of health professionals and developing research. The James Paget University Hospital is a high performing hospital with a history of strong performance both financially and in terms of achieving national and local targets. There is a close working relationship between staff and management with a strong culture of team working which contributes to a friendly working environment. The Trust has successfully undertaken several national pilots. The Hospital has a strong reputation for Education and Training and this has been furthered by the close working relationship with the UEA Medical School. The hospital contributes approximately a third of secondary care teaching. With the hospital’s new University Hospital status there is now a growing emphasis on establishing a research culture within the Trust. The Hospital is based in the coastal town of Gorleston between the resorts of Great Yarmouth and Lowestoft. Other coastal resorts such as Southwold, Caister and Hemsby also lie within the Trust’s catchment area along with several Broadland villages/towns such as Beccles, Acle and Oulton Broad. The historic city of Norwich is a short journey away. The North Norfolk coast and Southern Suffolk coast are also within easy reach. There is a good supply of high quality housing at reasonable prices from barn conversions and historic houses to architect designed modern builds. There is a good choice of locations from rural and village to coastal and town. There are many high quality state and private schools from Nursery through to 6th form colleges and the UEA. There are a variety of local industries including agriculture, leisure and tourism including sailing, offshore industries, insurance and catering. For further information on the Trust please see separate documents named ‘Information for Medical Staff’ and “JPUH – Working for Us”


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SECTION 5 EDUCATION AND FURTHER INFORMATION

Norwich Medical School University Of East Anglia This is a joint venture involving the UEA, Norfolk & Norwich University Hospital and James Paget University Hospital NHS Foundation Trust (JPUH), Norfolk Mental Health and General Practitioners in Norfolk and Suffolk. The first intake of students in Autumn 2002. The James Paget consultants are involved in the development and delivery of the Curriculum and Teaching Programme, with approximately 30% of all secondary care teaching being based at JPUH,. In addition a significant proportion of the lectures / seminars / teaching sessions / assessments at the UEA for Medical Students are also delivered by employees of the Trust. The medical school emphasises the importance of innovative teaching methods especially problem-based learning in the education of under-graduates. The appointee will have the opportunity to apply for specific teaching roles in the delivery and development of the undergraduate curriculum and to become a Recognised Teacher in the Medical School. Honorary UEA appointments are awarded to consultants making a significant contribution to MB/BS teaching. Research The hospital is part of a Research Consortium in association with the Norfolk & Norwich University Hospital and the University of East Anglia. These links are being enhanced to facilitate collaborative projects and ideas. As a University Hospital there is a drive to increase research activity. Collaborative partners include The School of Health, University of East Anglia, which has particular expertise in epidemiology and Health economics. A number of consultants in the James Paget University Hospitals NHS Foundation Trust hold honorary Senior Lecturer appointments at the University of East Anglia. Participation in research is actively encouraged and supported and we are particularly interested in recruiting clinicians with experience of applying for research grants. The JPUH has a Research Support Group which will give practical advice. Postgraduate Medical Education Post Graduate Education is based within the Education and Training Centre at the JPUH. There is also a good medical reference library within the Trust which has recently been relocated to newly refurbished facilities at the Burrage Centre which is located on the hospital site. The centre provides a wide and varied programme to support continuing education with the local consultants and visiting specialists participating. There is a GP


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vocational training scheme and an active teaching programme for junior staff in which most consultants participate. A major expansion of teaching facilities has recently taken place. Consultants from the trust play an active regional role in training trainers. The teaching programme within the Trust includes: Weekly curriculum teaching/clinical presentations for Junior Doctors Weekly ½ day protected teaching for FY1s and FY2s Weekly ½ day protected teaching for GPSTs Fortnightly Grand Round Journal Club meetings CMT MRCP Tuition

Regular MDT/teleconferencing meetings take place linking to regional hospitals Clinical Divisions have their own education and audit programmes. The Trust expects all Consultant medical Staff to comply with the current guidelines from their professional bodies, GMC, Royal Colleges etc. concerning education and revalidation. Emphasis is placed on training senior staff in teaching and training skills. All new consultants are expected to have attended or be willing to attend a teaching course. Those intending to develop an interest in Medical Education will be encouraged to obtain a qualification in this field. The Trust recognises that training in adult learning is an important part of undertaking undergraduate training as a partner in the joint venture medical school at UEA. The appointee will have the opportunity to be involved in the professional supervision and training of junior medical staff and will be invited to become an Educational Supervisor for Foundation Trainees. Education and Training Centre This purpose-built centre provides a wide range of state-of-the-art teaching facilities and most rooms have built-in modern audio-visual presentation facilities. There are seminar rooms and consultation and examination rooms both in this building and at the Burrage Centre, a spacious entrance area, a coffee lounge along with wet and dry skills rooms and an IT training room. The centre provides teaching and training facilities for a wide range of staff including Medical Students and BLS/ ILS/ ALS/ ALERT courses. Study Leave Study Leave will be obtainable within the limits of the Terms and Conditions of Service of Hospital Medical and Dental Staff (England & Wales) as amended, subject to the Regional Postgraduate Medical Educational Policy. This year the CME Budget provided £1000 per Consultant for the financial year 2020/2021.


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Audit Audit is considered to be an important item within the Trust agenda. The requirement is overseen by the Clinical Audit and Effectiveness Committee. Personal Facilities The appointee will be provided with shared secretarial support and office accommodation at the James Paget University Hospitals NHS Foundation Trust. There are computer-based projects in progress to use IT to improve clinical communications. He/she will have a desktop computer linked to the hospital intranet with facilities for CD-rom, internet connection and e-mail. Ample car parking is available on site at a very low annual charge compared to other local hospitals and nationally. Personal Development For Consultants All new consultant recruits are given the opportunity to review their personal development with an independent management consultant and agree a personal development plan. Although this is very much owned and driven by the individual, the Trust will provide financial support for personal development activities. Each year all consultants are required to undergo an appraisal with either their Divisional Director or another consultant selected from a list of appraisers to discuss their development and in anticipation of revalidation. The Trust has recognised the time commitment that this requires and that clinical work may have to be delayed to ensure appraisal takes place. Clinical Governance The Trust has introduced Clinical Governance under the joint leadership of the Medical and Nurse Directors. It has been at the forefront of the introduction of Risk Management. The Trust was one of the first to achieve CNST Level 2. Recent appointments of Senior Staff to support Clinical Governance emphasise the Trust’s commitment and it is expected that all Medical Staff will participate. Improving Working Lives Flexible Career Scheme The scheme has been developed to give all doctors, both junior and senior levels, the opportunity to work flexibly e.g. part-time working and career breaks. Further details of this scheme are available from the Medical Staffing Department. Disclosure & Barring Service Forms All successful applicants will be required to complete and return a Disclosure & Barring Service Form.


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If you have not been resident in the UK you will be required to produce a “Certificate of Good Standing” or “Police Check” from an authorised Police Authority from the country of your last residence. Safeguarding Children All employees have a duty for safeguarding and promoting the welfare of children. Staff must be aware of the Trust’s procedure for raising concerns about the welfare of anyone with whom they have contact. Staff must also ensure they receive the appropriate level of safeguarding children training depending on their role in the Trust. Infection Control Staff working in a clinical environment must ensure that they understand and follow the infection control policies, procedures and best practice applicable within the Trust. In order to do so they must;

Observe all infection control policies and practices relevant to the post Act as a role model to others regarding infection control best practice Ensure that they keep up to date and attend all relevant training relating to

infection control issues applicable to their post Ensure that patients, visitors and contractors are aware of and follow

infection control best practice (where applicable). Report non-compliance or concerns regarding infection control issue/best

practice to their line manager. This post is offered under the terms and conditions of service of the new contract. Confidentiality All employees are required to ensure the confidentiality of all patients, staff and other sensitive, including commercially and financially sensitive, information that is made available to them as part of their duties. This post is offered under the terms and conditions of service of the new contract.


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SECTION 6 GENERAL CONDITIONS OF APPOINTMENT

General Conditions of Appointment The appointee will enjoy terms based on the nationally agreed Terms and Conditions of Service for Consultants (England) 2003. The appointee will be expected to cover for colleagues’ absence from duty on the basis of mutually agreed arrangements with the Department and with the Employing Trust. This is arranged by mutual agreement of consultant colleagues and approval of the Divisional Director, in accordance with standard Trust and NHS regulations. It is essential that six weeks notice is given to allow for proper planning and prevent cancellations of patients' appointments/surgery. This includes all forms of leave. All appointments are subject to satisfactory Occupational Health Clearance being obtained. The appointment is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation Act 1974 (Exemptions) Order 1975. Applicants are not entitled therefore to withhold information about convictions which for other purposes are "spent" under the provision of the Act, and in the event of employing any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information given will be completely confidential and will be considered in relation to an application for positions to which the Order applies. With the Terms of DHSS Circular (HC) (88) – Protection of Children – applicants are required when applying for this post to disclose any record of convictions, bind-over orders or cautions. The Trust is committed to carefully screening all applicants who will work with children and you will be expected to undertake a 'disclosure' check.


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GENERAL CONDITIONS OF EMPLOYMENT Salary: Within Whitley Council scale for the new consultant

contract, pro rata part-time. This is a whole-time post. Pension: NHS contributory scheme. Life insurance: Covered within NHS superannuation scheme. Holidays: As per terms and conditions of service schedule 18,

paragraph 1. Notice period: 3 months. Relocation package: Comprehensive package. Please note relocation

expenses are considered to be a taxable benefit by Inland Revenue and you are liable to pay any tax that is due. The claim should only be used for appropriate expenses i.e. stamp duty, removal firm fees, solicitor, storage and is payable on submission of receipts.

Modern onsite single accommodation may be

available, if required. However, if married accommodation is required you will need to seek this yourself in the private sector

Terms: Post is subject to Terms and Conditions of Service of

Hospital Medical and Dental Staff (England and Wales) and General Whitley Council Conditions of Service, as amended from time to time.

Location: The successful candidate will normally be required to

reside within 15 miles of the main hospital base or 30 minutes travel time unless specific approval is given by the Trust to your residing at a greater distance. The post holder is based at the James Paget Hospital but may be required to undertake duties at the Norfolk and Norwich University Hospital Foundation Trust and may be required to undertake duties at other locations within the locality.

Medical: Required to complete Trust's Confidential Occupational

Health Services medical questionnaire and undergo medical examination, if necessary. The post holder will require validated identity verification of immunisations for Hepatitis B, HIV and Hepatitis C screen prior to commencing.


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Rehabilitation of Offenders: Exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 (exemptions) Order 1975.

Equal Opportunities: James Paget University Hospitals NHS Foundation

Trust is committed to the promotion thereof, on the basis of opportunity and advancement correlating with ability, qualification and fitness for work.

Expenses: Reimbursed interview travel and subsistence expenses

limited to two preliminary site visits (where appropriate from the point of entry to the U.K.)

Registration: Required to have and maintain full registration and be

on the GMC Specialist Register. To comply with requirements for revalidation and C.M.E as laid down by the General Medical Council, colleges and similar bodies. Required to conform to GMC guidelines for good medical practice. Membership of a Medical Insurance Society is strongly recommended.


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SECTION 7 APPLICATION INFORMATION

To apply for this role with the James Paget University Hospitals NHS Foundation Trust please access the NHS Jobs website at www.jpaget.nhs.uk If you have any queries regarding applying online please contact the Medical Staffing Team.

Applicants who require further information about the post and/or who wish to make an informal visit are invited in the first instance to contact:

Dr I A Salvary FRCP UK Consultant Dermatologist James Paget University Hospitals NHS Foundation Trust Telephone: 01493 452313/452613 Email: [email protected] or [email protected]

Or

Candy Wadeson Medical Workforce Team Leader James Paget University Hospitals NHS Foundation Trust Lowestoft Road, Gorleston Great Yarmouth Norfolk NR31 6LA Telephone 01493 452677 Email: [email protected] Please note: Expenses of short-listed candidates will be reimbursed at rates equivalent to those listed in the Terms and Conditions of Service for Hospital Medical and Dental Staff. For further information about the Trust please log onto our website www.jpaget.nhs.uk.

All roles within the Trust require staff to demonstrate our core values in the care they provide to patients. All members of

staff should consider these behaviours an essential part of their job role:

Please note that the James Paget University Hospitals NHS Foundation Trust operatives a No Smoking Policy

Documents

James Paget University Hospitals NHS Foundation Trust v3.0