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JOB DESCRIPTION

LOCUM CONSULTANT IN PAEDIATRIC GASTROENTEROLOGY, HEPATOLOGY AND NUTRITION

1. THE POST

This is a temporary, fixed-term post to cover the leave of absence of an existing Consultant Dr Christine Spray from 18th April 2011 to 28th October 2011. The postholder will work with 2 other full-time Consultants in Paediatric Gastroenterology based at the Bristol Royal Hospital for Children (BRHC) to provide a secondary and tertiary service in Paediatric Gastroenterology, Hepatology and Nutrition to Bristol and the South West Region including parts of Wiltshire; a total referral population of approximately 1 million children. A multidisciplinary approach is taken to patient care and the Department enjoys excellent working relationships with clinical colleagues in paediatric surgery and adult gastroenterology, surgery and hepatology. This post takes the lead for paediatric hepatology patients, including a monthly specialist clinic and twice yearly joint hepatology clinic with a visiting hepatologist from Birmingham Children’s Liver department (Dr Patrick McKiernan). The Department of Paediatric Gastroenterology is actively involved in clinical research and postgraduate teaching and training.

The post would be ideal for an established consultant specialist wanting to spend 6 months in the UK or for a senior trainee in their last few months of training prior to applying for a substantive appointment.

The applicant should be trained in General Paediatrics and have spent three years in approved posts/programmes in paediatric gastroenterology, hepatology and nutrition. Applicants must be experienced in upper and lower gastrointestinal endoscopy. Therapeutic endoscopy is led by Dr Dharam Basude and further training in this area is available to the postholder.

2. UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION TRUST (UHBristol)

Situated in the heart of Bristol, UHBristol is a large city centre Teaching Trust employing over 7000 staff, with annual revenue of nearly £400 million and with a total of 1156 beds throughout the Trust. We are one of the largest employers in Bristol and provide a wide range of in-patient, out-patient and day-care services to the local population within Bristol, as well as being the biggest specialist referral centre for the South West England.

Bristol is a vibrant city with excellent travel access to the South West, Wales, London and the North. Bristol airport is an expanding centre for air travel, with many national and international connections.

Hospital and outpatient services are based over eight sites comprising: the Bristol Royal Infirmary, Bristol General Hospital, Bristol Eye Hospital, Homeopathic Hospital, Bristol Haematology and Oncology Centre, Bristol Dental Hospital, St

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Michael’s Hospital and BRHC. A significant capital redevelopment programme is underway with re-provision and expansion of facilities for Paediatric, Cardiac and Medical patients.

The Hospital has close links with both city Universities. University of Bristol is the largest Medical School in Southwest England, with Bristol Royal Infirmary delivering the largest proportion of teaching to its Medical and Dental Students. The Trust Executive Group has bi-monthly meetings with its teaching and research partners. The Dean of the Medical and Dental School is a non-Executive Director of the Trust.

The Trust Board consists of 7 Executive members and 7 Non-Executive Directors including 1 independent member. There are four public Board meetings a year, normally held on the fourth Tuesday of the month. In addition, the Trust Board holds an Annual General meeting, normally in September. Members of staff and public are welcome to attend these meetings.

The Public Trust Board Meeting agenda contains issues for decision on major strategy and policy direction, as well as regular public reporting on performance against key targets.

As a Foundation Trust, UH Bristol are accountable to the local community and patients.  The community and patients are invited to become members of the Trust and currently the Trust has 8,500 members.  The membership, which includes staff members, voted in a formal election for governors to represent them on the Membership Council which sits alongside the Trust Board.  The Council advises the Board on strategic direction and members and governors are active in improving the services at the Trust.

The Trust structure is based on five autonomous Clinical Divisions: Medicine and Emergency Care Surgery and Head & Neck Women’s and Children’s Services Specialised Services Diagnostic and Therapy Services

The Divisions are supported by a sixth Division – Trust Services which comprises of a number of corporate functions including Finance, IM&T, and Human Resources.

A clinical Head of Division, supported by a Divisional Manager leads each Division.

The Trust is committed to increasing both clinical engagement and the involvement of staff and their representatives in key decisions. A Clinical Reference Group comprising senior clinicians and representatives of clinical professions including the Heads of Divisions, is chaired jointly by the Medical Director and Chief Nurse/Director of Governance.

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The group works collaboratively with a range of committees and groups within the Trust, in order to ensure that there is strong clinical advice, leadership and engagement in all decision-making processes.

3. UNIVERSITY OF BRISTOL LINKS

The University of Bristol Faculty of Medicine

http://www.bris.ac.uk/fmd/

The University of Bristol offers an exciting academic environment with centres of excellence in all of its faculties. It also has an ambitious programme for expansion and a well-established major “campaign for resources” to facilitate future developments. The University is in the city centre and the medical school and basic science departments are within walking distance of UHBristol.

Bristol is one of the few universities with schools of medicine, dentistry and veterinary science, all in close proximity. The Medical School has an intake of 250 students each year to its undergraduate medical course following recent expansion. The Dental School has also recently expanded and now has an intake of 75 undergraduate students per year. The Faculty’s research philosophy is to undertake internationally recognised basic and applied medical and health services within a setting which patients are cared for in association with undergraduate teaching and postgraduate training.

4. THE DIVISION OF WOMEN’S AND CHILDREN’S SERVICES

The BRHC was founded in 1866 and is the second oldest Children’s Hospital in the country. In April 2001 the hospital relocated to new purpose built premises immediately adjacent to and linked to the Bristol Royal Infirmary and the Bristol Oncology and Haematology Centre. The hospital specialties include acute paediatrics, sub specialty paediatrics, cardiology and cardiac surgery, nephrology, intensive care (15 beds), haematology and oncology, paediatric surgery, most surgical subspecialties and a bone marrow transplant unit. There is an adolescent ward facility. Each year approximately 27,000 children are seen in the paediatric emergency department.

A short stay day unit and a clinical investigations unit are available. A full range of investigative facilities is available including neurophysiology and there are comprehensive imaging services including MRI and CT supported by a team of paediatric radiologists. The BRHC is the regional centre for paediatric intensive care, cardiology, haematology and oncology, neurology, paediatric surgery, clinical genetics, endocrinology, gastroenterology, respiratory paediatrics and paediatric immunology and infectious diseases including HIV. The hospital provides supra-regional services in bone marrow transplantation, cardiac surgery and nephrology / dialysis.

The remaining specialist paediatric services provided by North Bristol NHS Trust (paediatric neurosciences including neurology and neurosurgery, burns

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and plastic surgery) will be transferring to the BRHC to provide a comprehensive single-site paediatric in-patient facility in 2012/13.

St. Michael's Hospital accommodates the Neonatal Intensive Care Unit which services approximately 5000 births per annum. NICU has 25 cots and supports the regional feto-maternal medicine department and provides a regional service for neonatal surgery. St. Michael’s is a level 3 unit which delivers general neonatal intensive care and manages surgical, extremely preterm and complex newborn infants. Newborn infants requiring subspecialty input (nephrology, urology, endocrinology, neurology and pre operative cardiology) are managed within the neonatal unit.

5. THE WORK OF THE DEPARTMENT

The Paediatric Gastroenterology and Nutrition service is based within the BRHC. The service is Consultant led and supported by 3 full time Consultants in the specialty; Professor Bhupinder Sandhu, internationally recognised for clinical research in Inflammatory Bowel Disease, appointed in 1987, Dr Christine Spray (clinical lead), appointed in 2000 and Dr Dharam Basude was appointed in September 2009. The gastroenterology department has developed over the last 10 years to provide a regional service for children and young adults in Bristol and the South West (referral population of approximately 1 Million children) with acute and chronic GI and Liver disease and those requiring nutritional support. Approximately 45 new patients per year with inflammatory bowel disease are diagnosed at the BRHC around 300 children with IBD being managed directly or as shared care within the managed clinical network. Management of regional tertiary patients is via shared care with the local DGH paediatrician or locally designated lead Consultant who has or is developing a special interest in gastroenterological conditions. The department is committed to further development of clinical network within the region. Presently 4 out-reach clinics are held each year in Swindon (Professor Sandhu) and Truro (Dr Christine Spray). We hold regular educational meetings with our colleagues where difficult cases are discussed.

Over 1,400 children with gastro intestinal problems are seen each year in the gastroenterology outpatient clinics, with approximately 400 of these being new referrals. There is a facility to see urgent new referrals and follow ups on the medical clinical investigations unit.

The Department also has responsibility for management of in-patients with anorexia and has good working relationships with CAHMS and a level 4 in-patient psychiatric residential unit locally.

The hospital is the regional centre in the south west for most paediatric specialities and provides supra-regional and national services in some specialties. The Department works closely with the Paediatric Surgical Department, particularly in the management of newborns and infants with intestinal failure, and there is a primary liaison surgeon for IBD surgery (Miss E Cusick). Presently we supervise 5 children on home TPN. A monthly joint

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gastro surgical clinic is held. There are weekly clinical pathological meetings and gastro-radiology meetings. There is also close liaison with adult gastroenterology, hepatology and adult surgical colleagues based at the BRI adjacent to the BRHC. A twice yearly adolescent transition clinic takes place.

A full range of diagnostic and therapeutic endoscopic services is available. Dr Spray takes the lead for hepatology and holds a monthly liver clinic and collaborates closely with Birmingham supra-regional liver unit and undertakes investigations such as liver biopsy. A joint clinic is held twice yearly with Dr McKiernan.

Dr Basude has taken the lead for development of endoscopy services and there would be an opportunity for the postholder to gain further training and to support development in therapeutic endoscopy such as polypectomy (upper GI and lower GI), oesophageal dilatation for oesophageal strictures and acahlasia

Support for specialist GI investigations is maintained by a nurse specialist, Mrs Jackie Porter. A second nurse specialist, Mrs Sarah Sandman looks after the patients with chronic GI conditions and serves as liaison between patients, their families and Consultants.

The clinical workload of the department will be shared between all 3 Consultants, currently based on a rotation of 2 weeks on service followed by 2 weeks off service when possible according to diary commitments and agreed between colleagues. The on service Consultant will be responsible for acutely unwell in-patients, consults and urgent new referrals and will provide cover for urgent reviews of chronic patients if the named Consultant is not available. The 2 weeks off service will include 2 clinics/week (Tuesday & Wednesday afternoon) as a regular commitment. A weekly elective endoscopy list exists and will soon expand to 2 lists per week. The majority of planned endoscopies will be covered by Dr Basude and the locum Consultant (this post). Urgent endoscopies will usually be the responsibility of the Consultant on service but colleagues are expected to assist with this service depending on clinical and other commitments. Presently, extra endoscopy lists are requested on an ad hoc basis in order to meet demand and is agreed flexibly amongst Consultants.

Consultant Staff

Professor Bhupinder Sandhu Consultant Paediatric Gastroenterologist,Hon Professor of gastroenterology & nutrition

Locum to replace Dr Christine SprayConsultant Paediatric Gastroenterologist Lead for Hepatology & Anorexic services

Dr Dharam BasudeConsultant Paediatric GastroenterologistLead for nutrition and development of endoscopy

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Miss Eleri CusickConsultant Paediatric SurgeonLead for IBD surgery

Dr Pramilla RamaniConsultant Paediatric Histopathologist

Dr David Grier / Dr Stephanie MacKenzieConsultant Paediatric Radiologist

Mrs Sarah Sandman GI nurse specialistMrs Jackie Porter GI Investigation Nurse (Part-Time)Miss Zoe Hull Paediatric DieticianMrs Kirsten Thomas Pharmacist

Junior Staff

1 National grid trainee (year 1)1 Specialist Registrar on general paediatric rotation (year 3)1 ST 2/3 (general paediatric rotation)

Support Facilities (Offices/Secretary):

The department has the support of one full time and one part time Medical Secretary. Office accommodation and computer are provided and shall be housed in the King David Building.

6. DUTIES AND RESPONSIBILITIES

a) Clinical:

The successful candidate will be expected to comply with all relevant Trust policies relating to administration of patient care. This includes working to set timescales for the triage of referrals, the completion of discharge summaries prior to patients being discharged, following the specified process for the management of patients that do not attend (DNA) their appointment or admission, and the completion of all paperwork deemed necessary to support the management of their patients within agreed timescales. Consultants are also expected to work with service managers and clinical colleagues to manage their caseload in a flexible way, to ensure both clinical, national and local priorities, such as maximum waiting times for referral to treatment, are achieved.

b) Managerial

The management responsibility of the post-holder will be to the Lead Doctor for Paediatric Medicine and the Head of Division who is responsible to the Chief Executive and Trust Board.

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c) Clinical Audit and Clinical Governance

The successful appointee is expected to take a full role in the delivery of the Trust’s wide agenda for Governance. The Trust believes in an open learning environment with a clear risk management strategy that allows innovation and improvement in care whilst placing patient safety at the centre of our values. The Consultant will take an active part in the department audit arrangements.

d) On-Call Commitment

No formal on-call commitment

e) Leave

6 weeks and 2 days per year, of which two are in lieu of the two NHS statutory days.

Consultants who have completed seven years service in the consultant grade will receive two additional days leave.

There is no locum policy and consultants in the department participate in cover for annual and study leave. Absence must be planned in advance by discussion with consultant colleagues.

f) Annual Appraisal

All staff within the trust participate in a formal appraisal process and attend an appraisal meeting on an annual basis. The aim of the appraisal process is to improve the quality of health services provided by the trust through the development and enhancement of employees’ job performance.

For consultants, the appraisal process involves using the NHS Appraisal toolkit to provide a framework to identify development needs. The process also includes providing an ongoing portfolio of supporting evidence which conforms to national, General Medical Council and Royal College standards and guidance. On going monitoring of progress of the Personal Development Plan continues throughout the year leading to a final progress review towards the end of the year. The Medical Director holds a list of the Trust’s trained and approved medical appraisers and the trust’s appraisal policy can be found on the trust’s ‘HR Web’ site.

g) Continuing Medical Education

The Trust supports the requirements for continuing Medical Education and is committed to providing time and financial support for these activities.

h) Teaching

This is a teaching Trust and the Consultant will teach medical students as part of the commitment of their Division to undergraduate education.

On occasions, a practitioner may be asked to give lectures to healthcare professionals.

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i) Research and Effectiveness

UHBristol is a leading international centre for healthcare research and education and has a considerable reputation for innovative research and development.

The appointee will be expected to contribute to the Trust’s research portfolio through active participation in projects led by colleagues (internal and external), through supervising research performed by trainees and through initiating research projects which address local, national and international healthcare needs. Collaboration with University partners, including the Universities of Bristol and the West of England with which the Trust has close links, will be actively encouraged. In addition, the Trust supports involvement in high-quality commercially sponsored research studies which are of benefit to the Trust and the patients in its care.

All research must be performed in accordance with the Research Governance Framework. The Trust's active Research and Development Office and the pan Bristol Research and Development Support Unit will support consultants involved with research, which provide high-quality training and guidance as well as support for individual projects.

7. MEDICAL ADVISORY MACHINERY

The post-holder will be a member of the Hospital Medical Committee (HMC) and the Division of Women and Children

8. WORK PROGRAMMEThe work programme attached to this job plan is detailed in Appendix A.

Agreement should be reached between the appointee and the Head of Division with regard to the scheduling of the Supporting Professional Activities.

The job plan will be reviewed annually and all consultants are reminded of the obligation to remain up-to-date with statutory and mandatory training.

9. GENERAL PROVISIONS

You will be expected to work with local managers and professional colleagues in the efficient running of services and will share with Consultant colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions, you are expected 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 Instruction of the University Hospitals Bristol NHS Foundation Trust. In particular, where you manage employees of the Trust, you will be expected to follow the local and national employment and personnel policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary.

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All medical and dental staff employed by the Trust are expected to comply with all Health and Safety Policies within the University Hospitals Bristol NHS Foundation Trust.

You will have responsibility for the training and supervision of (junior) medical staff who work for you and you will devote time to this activity on a regular basis. If appropriate, you will be named in the contracts of doctors in training grades, as the person responsible for overseeing their training, and as the initial source of advice to such doctors on their careers.

10. MAIN CONDITIONS OF SERVICE

(i) Locum Pay Scales apply to this post.

(ii) The successful candidate will be required to live within 10 miles, by road; from (hospital). Permission to live within 15 miles distance will be at the discretion of the appropriate Head of Division. Travelling allowance will only be payable for 10 miles.

(iii) The successful applicant must be fully registered with the General Medical Council. Proof of confirming registration will be required on an annual basis.

(iv) Any offer of employment will be conditional on satisfactory health clearance by Occupational Health. This is usually by health questionnaire, but may involve a medical examination.

The successful applicant will be required to provide documentary evidence of natural or acquired immunity to hepatitis B. Where this is not possible, the post-holder will be required to demonstrate by recent (within the last year) evidence of serology showing the absence of hepatitis B surface antigen. These provisions are to meet the requirements of the Department of Health’s instructions to Trusts (HSG (93)40).

(Schedule 14, paragraphs 4, 5 and 6 of the terms and conditions)

(v) Consultants will become eligible for additional pay thresholds at the intervals set out below on the anniversary of appointment subject to meeting the criteria set out in Schedule 15 of the terms and conditions for consultants.

11. REVIEW OF JOB PLAN

Job Plan

A formal job plan will be agreed between the appointee and their Head of Division, on behalf of the Medical Director, three months after the commencement date of the appointee. This will be signed by the Head of Division on behalf of the Chief Executive.

The job plan will be based on the provisional timetable shown at Appendix A.

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The Job Plan will then be reviewed annually, following the Appraisal Meeting. The Job Plan will be a prospective agreement that sets out a consultant’s duties, responsibilities and objectives for the coming year. It should cover all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It should 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.

Provisional assessment of Programmed Activities in Job Plan

For a whole-time contract:

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

Supporting Professional Activities 1.5 PAs on average per week(includes CPD, audit, teaching and research)

12. PERSON SPECIFICATION

Please see Appendix B

General Information:University Hospitals Bristol NHS Foundation Trust is committed to provide patient care, education and research of the highest quality. In delivering this ambition, we will be guided by the following values:

Respecting Everyone Embracing Change Recognising Success Working Together

The Trust expects all staff to work in ways which reflect these values at all times as follows:Respecting Everyone

We treat everyone with respect and as an individual We put patients first and will deliver the best care possible We are always helpful and polite We have a can do attitude in everything we do

Embracing Change We will encourage all change that helps us make the best use of our

resources We learn from our experiences and research new ideas We look to constantly improve everything we do

Recognising Success We say thank you and recognise everyone’s contribution

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We take pride in delivering the best quality in everything we do We share and learn from each other We encourage new ideas that help us to be the best we can

Working Together We work together to achieve what is best for our patients We support each other across the whole Trust We listen to everyone We work in partnership

Equal OpportunitiesThe Trust is committed to eliminating unlawful discrimination and promoting equality of opportunity. All staff have a personal responsibility to contribute towards an inclusive and supportive environment for patients, carers, visitors and other colleagues from all the equality strands (race, gender, age, sexual orientation, religion, disability).

Staff have a personal responsibility to: Ensure their behaviour is not discriminatory Does not cause offence To challenge the inappropriate behaviours of others Adhere to the Trust’s values, including ‘Respecting Everyone’, as well as

the Staff Conduct Policy and the Equal Opportunities policy

Health and SafetyUnder the provisions contained in the Health and Safety at Work Act 1974, it is the duty of every employee to:

Take reasonable care of themselves and for others at work To co-operate with the Trust as far as is necessary to enable them to carry

out their legal duty Not to intentionally or recklessly interfere with anything provided including

personal protective equipment for Health and Safety or welfare at work.

Senior Management is responsible for the implementation throughout the Trust of suitable arrangements to ensure the health, safety and welfare of all employees at work and the health and safety of other persons who may be affected by their activities. Where health and safety matters cannot be resolved at Senior Management level the appropriate Executive Director must be notified.

Each Line Manager is responsible for the health and safety management of all activities, areas and staff under their control. This includes responsibility for ensuring risk assessments are completed and implementation of suitable and sufficient control measures put in place. Health and safety issues are dealt with at the lowest level of management practicable. Where health and safety matters cannot be resolved at a particular management level the appropriate Senior Manager must be notified.

Child Protection

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University Hospitals Bristol is committed to safeguarding and promoting the welfare of all children, young people and vulnerable adults, and as such expects all staff and volunteers to share this commitment.

Clinical GovernanceClinical Governance is the framework through which this Trust is accountable for continuously improving the quality of its services and safeguarding the high standards of care. It does so by creating and maintaining an environment in which excellence in clinical care will flourish.

Every member of staff must work within this framework as specified in his/her individual job description. If you have concerns on any clinical governance matters these should be raised with your line manager, professional adviser, or a more senior member of management. Your attention is also drawn to the Trust guidance on Raising Concerns about Provision of Patient Care.

You have a responsibility for contributing to the reduction of infections

Information GovernanceIt is the responsibility of all staff to respect the confidentiality of patients and staff, as specified in the Caldicott Principles, Data Protection Act and the Human Rights Act.  It is the duty of every employee to:

Only access person identifiable information as required in the execution of their duties.

Disclose information appropriately, in line with the Data Protection Act 1998.

To ensure good quality data by recording, promptly and accurately, clinical and non-clinical information within agreed timescales to PAS, the health record or the appropriate clinical or non-clinical information system

Always trace patient notes on the Patient Administration System

Maintain the confidentiality of their password / username and if in possession of a ‘Smartcard’ abiding by the terms and conditions of its use.

The timetable provides scheduling details of the 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 Head of Division with regard to the scheduling of all other activities.

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APPENDIX A CONSULTANT IN PAEDIATRIC GASTROENTEROLOGY, WEEKS 1,ON SERVICE

17 weeks /yr)

Day Time Location Work Categorisation No. of PAs

Monday

9.00 – 13 Ward Consultant led WR

DCA 1

13 - 14 Education Centre Joint Paediatric / Adult gastroenterology meeting

SPA 0.25

14 – 17 Ward/office Clinical enquiries

DCA 0.75

Tuesday

9.00 – 13.00

Ward Consultant led WR

DCA 1

13 – 14 Radiology Xray meeting DCA 0.2514 – 17 Ward/CIU/office Consults/urgent

referrals & follow ups

DCA 0.75

Wednesday

9.00 – 12.00

Ward Consultant led WR

DCA 0.75

12- 13 Seminar rm 6 Histopathology meeting

DCA 0.25

13 - 14 Office Post endoscopy GP letters

DCC 0.25

14 – 17 Ward/CIU/office Consults/urgent referrals & follow ups

DCA 0.75

Thursday

9.0 - 13 Grand round Consultant led WR

DCA 1

13 – 14.30 Office Journal club SPA 0.375

14.30 – 17 Ward/CIU/office ConsultsRapid access clinic

DCA 0.625

Friday

9 - 13 Theatre Endoscopy DCA 1.2513 -14 Ed Centre Hospital Grand

RoundSPA 0.25

14 - 17 Post endoscopy WR and hand over

Ward DCC 0.75

SaturdaySundayAdditional agreed activity to be worked flexibly

Paed GI Business meeting

Office SPA

TOTAL PAs DCC 4 per 42 wksSPA 0.4 per 42 wks

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WEEK (3), OFF SERVICE (12.5 weeks)

Day Time Location Work Categorisation No. of PAs

Monday 9 – 1313 -14

14 – 17

WardEducation centre

Office

Ward roundJoint paed/adult GI meetingCPD/audit

DCCSPA

SPA

10.25

0.75

Tuesday

9.00 – 13.00

Office Clinical admin DCA 1

13 – 14 Radiology Xray meeting DCA 0.2514 – 17 OPD OPD DCA 0.75

Wednesday

9.00 - 12 Office Clinical admin DCC 0.7512- 13 Seminar rm 6 Histopathology

meetingDCA 0.25

13 - 14 Office Admin re endoscopy

DCC 0.25

14 – 17.00 OPD OPD DCA 0.75

Thursday

9.00 - 13 Grand round Consultant led WR

DCA 1

13 – 1515 - 17

OfficeCIU

Journal clubUrgent patient assessments new or follow up

SPADCC

0.50.5

Friday

9 - 11 Ward/Office/OPD Clinical admin /assessment

DCC 0.5

11 - 13 Office CPD/audit /teaching

SPA 0.5

13 - 14 Education Centre Hospital Grand Round

SPA 0.25

PM OFF OFF OFF OFF

SaturdaySundayAdditional agreed activity to be worked flexibly

Extra/CEPOD theatre timeGastro/surgical clinicTruro out reach clinicJoint hepatology clinic

DCA 0.5

Predictable emergency on-call workUnpredictable emergency on-call workTOTAL PAs DCC - 2.2 per 42 wks

SPA - 0.7 per 42 wks

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WEEK 4, OFF SERVICE (12.5 weeks)

Day Time Location Work Categorisation No. of PAs

Monday Day OFF OFF OFF OFF OFF

Tuesday

9.00 – 13.00

Office/wards/CIU Clinical DCA 1.0

13 – 14 Radiology Xray meeting DCA 0.2514 – 18 OPD OPD DCA 1.0

Wednesday

9 - 12 Office/wards/CIU Clinical DCC 0.7512- 13 Seminar rm 6 Histopathology

meetingDCA 0.25

13 - 14 Office Endoscopy Admin

DCC 0.25

14 – 18.00 OPD OPD DCA 1.0

Thursday

9.00 - 13.00

Grand round Consultant led WR

DCA 1

13 - 1515 – 17

OfficeCIU

Journal clubUrgent patient review new & follow ups

SPADCC

0.50.5

Friday

9.00 – 13 Ward Ward round DCA 113 – 14 Education centre Hospital Grand

roundSPA 0.25

14 – 16 Office CPD/audit SPA 0.5

16 – 17.00 Ward/office Clinical/ weekend handover

DCA 0.25

SaturdaySundayAdditional agreed activity to be worked flexibly

Extra/CEPOD theatre timeGastro/surgical clinicTruro out reach clinicJoint hepatology clinic

DCA 0.5

Predictable emergency on-call workUnpredictable emergency on-call workTOTAL PAs DCC - 2.3 per 42 wks

SPA – 0.4 per 42 wks

Total DCC = 8.5

SPA = 1.5

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APPENDIX B

Person Specification

CATEGORY ESSENTIAL DESIRABLE

Qualifications and training

Full Registration with the GMC Specialist registration with the General Medical Council (GMC) (or eligible for specialist registration within six months of interview) Holder of Certificate of Completion of Training (CCT), or evidence of within six months of award of CCT or equivalent by date of interviewHigher academic qualification *

Experience

Evidence of thorough and broad training and experience in relevant specialtyAble to take responsibility for delivering service without direct supervisionProficient in diagnostic endoscopy (upper & lower)

Evidence of a special interest and expertise that complements those of other consultants in the department and is consistent with the Trust’s service strategyExperience in therapeutic endoscopy

Clinical Knowledge and skills

Up to date knowledge and experience of relevant specialtyKnowledge of NHS priorities with reference to specialtySkills in …………………….

Broad range of IT skills

Clinical Governance and Audit

Understanding of clinical governance and the individual responsibilities it impliesKnowledge of the principles of clinical audit and evidence of participation Positive approach to evidence based practiceParticipation in continuing professional development (CPD) scheme and, where relevant, evidence of participation

ResearchKnowledge of the principles involved in research

Evidence of involvement in researchEvidence of peer review research papers

Teaching and Training

Experience of teaching medical students.Experience of supervising trainees.Knowledge of teaching to a multidisciplinary team

Formal teaching qualification

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CATEGORY ESSENTIAL DESIRABLE

Management & Leadership

Evidence of management training and evidence of learning from itAbility to organise efficient and smooth running of a specialist serviceAbility to cope with and effectively organise the workload of a consultantAbility to practice independently as a consultantAbility to take on responsibility and show evidence of leadershipAbility to work under pressure and cope with setbacks

Demonstration of knowledge of NHS management structuresManagement experience

Interpersonal, communication and team working skills

Ability to communicate effectively with patients, relatives, clinical colleagues, support staff and other colleagues. Good knowledge of, and ability to use, spoken and written English.Ability to present effectively to an audience, using a variety of methods, and to respond to questions and queries Ability to develop effective working relationships on an individual and multi-professional basis with all levels of staff both within and across divisionsAbility to be a flexible team member

Any other Abilities and Aptitudes

Ability to adapt and respond to changing circumstancesAwareness of personal limitations

Other

Meets professional health requirementsWillingness to travel to and work in other sites necessitated by the role

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