1 Consultant Surgeon Recruitment and Information Pack NHS Orkney Consultant Surgeon Recruitment and Information Pack Application Reference Number: DW18443 Application Closing Date: Wednesday 15 th November 2017 at midnight Recruitment Team Balfour Hospital New Scapa Road Kirkwall Orkney KW15 1BH 01856 8888186 [email protected]http://nhso.engageats.co.uk/
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NHS Orkney Consultant Surgeon Orkney... · introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall
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1 Consultant Surgeon Recruitment and Information Pack
NHS Orkney Consultant Surgeon Recruitment and Information Pack Application Reference Number: DW18443 Application Closing Date: Wednesday 15th November 2017 at midnight
14. Other information .......................................................................................... 16
To assist you with your application for the post of Consultant Surgeon, NHS Orkney, this pack provides useful information about NHS Orkney and post information.
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Welcome Thank you for your interest in our Consultant Surgeon vacancy based in the Balfour, Rural General Hospital at NHS Orkney. We believe working in a rural hospital can be both professionally and personally tremendously rewarding. We pride ourselves in delivering high quality care that is person centred, safe and effective and you would be joining at a time when we are building our state of the art new Hospital. Partnership working with our population, our patients, our staff and teams, and our colleagues in Orkney Islands Council and the third sector is important to us and NHS Orkney also for a number of specialist services rely on Service Level Agreements with other Health Boards. Over recent years NHS Orkney has seen significant changes in the delivery of healthcare. The pace of change continues to accelerate as our committed staff adopt new and innovative ways of working fit for the coming decade. The successful candidates in this post will have a key role in the stabilisation and management of patients until transfer, usually via air ambulance, to a more specialised unit/ITU on the Scottish mainland. There is also an important role in working with the Anaesthetic, Medical and Obstetrics/Gynaecology Teams to optimise the management of patients across a wide range of conditions.
Our new hospital is planned to open in 2019 and we work towards the provision of and investment in our outer island facilities, these developments allow us to drive forward service improvement with confidence. If you believe you can fulfil these roles, we at NHS Orkney look forward to receiving your application.
Marthinus Roos Medical Director NHS Orkney
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Introduction to Orkney
Lying off the northern coast of Scotland, between John O’Groats and the Shetland Isles, Orkney is an archipelago of over 70 beautiful islands, 17 of which are inhabited. The total population is approximately 22,000 with most people living on the Mainland. Kirkwall, the capital with its spectacular red sandstone 12th century cathedral, with a population of 7,500, it is the administrative centre of Orkney with a good mix of shops, supermarkets and businesses. Orkney is a wonderful place to live and work and voted the happiest place to live in the UK. Orkney also offers; low pollution, low crime, excellent schools, good leisure facilities, unique wildlife and amazing scenery. Orkneys economy is mainly occupied by the farming industry. Commonly within Orkney Most farmers breed and rear beef cattle of the highest standard, although dairy cows and sheep are also kept. Agriculture is the main industry of the islands and generates some £30 million per year, followed closely by tourism and oil. And fishermen compete with seals and sea birds to enjoy something of the rich bounty provided by the surrounding seas. Orkney is at the forefront of the renewable energy drive in the UK. Wind turbines are dotted around the islands and wave energy research is on-going. In economical terms Orkney hold an impeccable rate of those in employment/seeking, with the percentage of 84.7, the islands statistics are above the average for Scotland and Great Britain. Thus, unemployment levels are again on average lower than Scotland and the UK, in relation to long-term unemployment. Kirkwall is truly a place for children, a great place for a family. The community spirit is amazing. There is so much for children and adults - theatre, drama, dance and ballet classes. Schools in Kirkwall are very good (no private fees). Imagine all of these within walking distance of your home and workplace. And for adults and visiting relatives and friends there is so much to see and do, playing a round of golf, fishing, kayaking, walking, cycling, diving, wind surfing are but a few. The Pickaquoy centre provides a lovely modern well equipped gymnasium and entertainment centre.
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CONSULTANT VACANCIES
Dear Prospective Candidate
Have you ever considered working in one of Scotland’s most attractive NHS Island Boards? NHS Orkney is working hard to be the best remote and rural health care provider in the UK – do you want to help us achieve our ambition?
In common with other NHS Boards in Scotland, NHS Orkney is required to provide routine and urgent care whilst at the same time have the infrastructure to be able to respond to life threatening emergencies and in other situations resuscitate, support and care for patients of all ages whilst we wait for emergency retrieval services to transport people to a more appropriate care setting. NHS Orkney in partnership with NHS Highland is looking for Consultants to join its existing talented pool of Consultants as we transform the healthcare landscape of this stunning archipelago. Our new hospital and healthcare facility with state of the art diagnostics will open in 2019. This new facility will have 49 inpatient beds with purpose built emergency, high dependency, diagnostic and theatre facilities. There will be increased technical connectivity to support videoconferencing and telemedicine enabled care.
Cathie Cowan, Chief Executive and Mr Marthinus Roos, Medical Director invite applications from suitable candidates for the post of Consultants in the following specialties:
Anaesthetics (DW18442)
medicine (DW18441)
surgery (DW18443)
Each of these posts requires a certain type of doctor - a generalist who is happy to utilize digital technologies to involve clinical colleagues from outwith the organisation to inform and support decision making when required. Can you see yourself in one of these new roles? These posts require a broad spectrum of clinical skills which for many are greater than those covered by specialty training. To help we have agreed with the Post Graduate Deanery to offer a bespoke training programme to assist consultants to gain the skills required to competently fulfill these roles. Opportunities to spend time working in NHS Grampian and/or NHS Highland together with access to an attractive CPD package will help you maintain your skills.
In return you can expect a person specific contract to meet both your own and NHS Orkney’s needs. For some staff, living in Orkney permanently is not an option and they have opted for a two week time on island and two week off island; accommodation for those entering into this type of contractual arrangement is available. For others who wish to work as volunteers
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overseas we are willing to consider a partnership to accommodate your placements. Our ability to offer flexibility makes NHS Orkney an attractive employer. We can and will work with you to meet your needs. Interested, why not get in touch and spend time with us to sample Orkney life and see firsthand our clinical setting and the many opportunities for clinicians working in a remote and rural context. In return, we can arrange a 3 day visit to the Island to support you experience Island life.
For those interested in working with us in NHS Orkney, Orkney lies off the northern coast of Scotland, between John O’Groats and the Shetland Isles. The total population is approximately 22,000 with most people living on the Mainland. Kirkwall, the capital, with a population of 7,500, it is the administrative centre of Orkney with a good mix of shops, supermarkets and businesses.
Orkney is a wonderful place to live and work and voted the happiest place to live in the UK. Orkney also offers low pollution, low crime, excellent schools, good leisure facilities, unique wildlife and amazing scenery. Access to the islands is easy. The recent announcement by the Scottish Government to introduce a ‘Road Equivalent Tariff’ on the Pentland Firth routes improves transport links for Orkney with the Scottish mainland. Kirkwall has several flights a day (just under 1 hour) connecting to the mainland, and with high speed broadband available on the islands, friends and family are just a click away. Homes are very affordable - what might you get for £200,000 in London, Edinburgh, Glasgow or Leeds? For that sort of money, you get 4 bedroom detached homes in the most sought after locations in Kirkwall and the best bit is there being very little traffic anywhere. But don’t take our word for it - come and see for yourself! Please feel free to visit the island and the Balfour Hospital where you will find a very warm welcome.
To find out more about living and working in Orkney got to www.orkney.com or www.visitorkney.com Further information on NHS Orkney can be found at www.ohb.scot.nhs.uk.
For further information on the posts please contact Dr Paul Cooper, Lead Hospital
Follow the link for more job details and to apply online http://nhso.engageats.co.uk/ Please note that in order to apply for a position at NHS Orkney the standard NHS application form needs to be completed – CVs are not accepted. Closing date for applications: Wednesday 15th November at midnight
These posts are subject to PVG Scheme Record checks
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Information for Applicants NHS Scotland The NHS is one of our nation’s biggest and most important public services. Each day thousands of Scots depend on it for treatment and care. Each day it saves hundreds of lives. The nation’s largest employer, more than 150,000 dedicated and skilled staff work for NHS Scotland. Since devolution, the Scottish Government has been striving to make Scotland healthier for all of us. The work undertaken by the 14 territorial NHS Boards across the country provides the strategic framework to ensure that the management of our healthcare is more efficient, more accountable and more effective. These Boards bring together key partners to deliver healthcare. One of the main functions of these different bodies is to put government policies into practice in the best way possible. An NHS Board is a board of governance, which has responsibility for issues such as health improvement, strategic planning and resource allocation. NHS Orkney The smallest of the territorial Boards, NHS Orkney employs circa 567 substantive employees. The Board Comprises of 15 Members:
o The Board Chairperson o 6 Non- Executive Members o 2 Stakeholder Members
- Employee Director - Chair of Clinical Forum
o 5 Executive members - Chief Executive - Director of Finance - Medical Director - Director of Public Health - Director of Nursing, Midwifery and Allied Health Professionals - Director of Workforce (in attendance) joint post with NHS Grampian
The Non-Executive members are lay-people who are invited to sit on the Board. These people generally have other jobs but they receive some remuneration for activities involving their Health Board duties.
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Selection Process and Recruitment Timetable
KEY NOTE DATES
Recruitment Stage Planned Date
Recruitment Advert opens Wednesday 18th October 2017
Closing date for returned applications Wednesday 15th November 2017
Shortlisting to take place Thursday 16th November and Friday 17th November 2017
Candidates informed to advise of outcome of Shortlisting
Tuesday 21st November 2017
Shortlisted Candidates will be invited to participate in the following:
Meet and greet, tour of the hospital and panel interviews
December 2017 – dates to be confirmed
Special Requirements for Selection Events
Where appropriate NHS Orkney is fully supportive in discussing making any reasonable adjustments to the recruitment process to ensure no candidate is disadvantaged as a result of a disability or any other health condition.
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Job Description
TITLE: Consultant General Surgeon
LOCATION: Balfour Hospital, Kirkwall, Orkney
1. Introduction
NHS Orkney is at the forefront of developing sustainable and cost-effective care in a remote
and rural environment. The successful candidates will have the opportunity to participate in
the challenge of providing this evolving service in a Remote and Rural General Hospital as
well as being linked into a networked service for professional development, clinical practice
and support with NHS Grampian.
The posts are based at the Balfour Hospital in Kirkwall, which serves the population of circa
20,000 across the islands served by NHS Orkney..
The post requires a broad spectrum of clinical skills in the management of the full range of
general surgical presentations. Sub-specialist surgical emergencies, as well as obstetric,
orthopaedic, vascular, and urological emergencies, as can be expected to occur in a remote
area where transport to specialist centres are hours away, and can sometimes be delayed
for many hours due to weather conditions..
The post calls for enthusiasm and adaptability, providing surgical services for patients of all
ages undergoing both elective and emergency procedures at the Balfour Hospital. In
addition, the post holder will have a key role in the stabilisation and management of patients
until transfer, usually via air ambulance, to a more specialised unit/ ITU on the Scottish
mainland. There is also an important role in working with the Anaesthetic, Medical and
Obstetrics/Gynaecology Teams to optimise the management of surgical patients
The post provides an opportunity to enjoy an outstanding quality of life as part of a vibrant
and forward thinking community, in an area of superb natural beauty, heritage and culture
which also enjoys subsidised and frequent air and sea links to mainland Scotland.
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2. Balfour Hospital
Bed complement: 47 beds (not including Day Surgery):
Acute ward - medical and surgical 23 beds
High Dependency Unit 2 beds
Day Surgery Unit 6 beds
Maternity Unit - 4 beds
Macmillan Unit - 4 beds
Continuing Care, Rehabilitation, Dementia Assessment, Mental Health 14 beds
The fully equipped Theatre Suite is fitted out with newly acquired surgical and monitoring
equipment. There is an A&E/Receiving Area and short-stay bay, resuscitation facilities and
general assessment bays for receiving both acute admissions and minor injuries
presentations. A High Dependancy Unit is adjacent to A&E. Visiting Consultants provide
Ophthalmology, ENT and Oral Surgery during their visits.
Across the whole hospital, enthusiastic and adaptable Nursing and Allied Health
Professional staff have experience, and in some cases extended skills, in order to meet the
generalist approach to care in Orkney.
Waiting lists and waiting times are small in comparison to the Scottish Mainland as would be
expected with the local population count. There is sufficient capacity within the hospital and
the vast majority of patients are managed within the required waiting times. Suspected
cancer and urgent cancer referrals are almost all jointly managed with NHS Grampian, with
opportunities to participate in the regional Multidisciplinary Team meetings that have been
put in place for this.
Medical Services for adults and children are designed to be appropriate for a non-specialist
unit. The Critical Care Team, which is composed of nursing staff, the Medical Team,
Surgeons and Anaesthetists, are responsible for the resuscitation, stabilisation and ongoing
management of critically ill patients, with air ambulance evacuation of adults (by the
Emergency Medical Retrieval Service) or by the nation-wide paediatric and neonatal retrieval
teams.
Visiting Consultants from mostly Grampian and Highland Health Board Areas support a wide
range of additional specialist clinics.
Support services include Laboratory, Blood Transfusion and Radiological services (including
diagnostic ultrasound), Physiotherapy and Occupational Therapy departments.
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Cancer and Palliative care services are provided in Macmillan House by the patient’s own
GP, supported by a multidisciplinary team.
A new CT scanner has recently been installed to provide scheduled and emergency CT
scans, and will be fully operational shortly to provide a 24/7 service.
3. Medical Staff
This recruitment is for 2 Consultant Surgeon posts to bring the number of surgeons to 3.
Currently, there is an establishment of 2 WTE Consultant General Surgeons, of which
one will become vacant shortly. The consultant posts are supported by one part-time
Clinical Assistant, and one junior doctor allocated to the surgical department on a rolling
basis. A part time Orthopaedic Surgeon performs a limited range of procedures. The majority
of the elective workload is day-case surgery, with endoscopy a major component.
Emergency surgery includes surgical and orthopaedic emergencies, as well as caesarean
sections. A recently developed High Dependency Unit is available to manage complex
emergency patients, who tend to be transferred to larger centres, as the capability to
manage such patients on island is limited.
The Anaesthetic Team complement is 3.4 WTE Consultants.
Consultant physicians provide medical care. The service is provided by Consultants who
have flexible working arrangements, but equivalent to 3 fulltime posts.
Obstetrics and Gynaecology is provided by 2 fulltime O&G Consultants, supported by a
GP with Special Interest in Obstetrics.
Hospital at Night care, as well as support for the consultant led services during daytimes are
provided by a Non-Consultant rota of Specialty Doctors and GPST trainees.
Visiting Consultants from predominantly NHS Grampian and NHS Highland Health Boards
support a wide range of additional specialist out-patient clinics and some elective theatre
lists (ENT, Oral Surgery, Ophthalmology).
Support services include laboratory and radiological services and CT scanner. There is a
range of AHP services available, including physiotherapy and occupational therapy
departments. An Intermediate Care Team service provides support for patients across the
hospital and those returning from external Boards.
There is a wealth of opportunity to teach staff across the organisation, including those in
training. Providing a comprehensive teaching service, and engendering good links to
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practice and teaching opportunities with mainland colleagues are essential to sustaining
services on island and reducing professional isolation.
4. New Hospital
The construction phase of our innovative new hospital and healthcare facilitity are far
advanced. This will bring the hospital, the Kirkwall GP practices, community nurses, the
community mental team, AHPs and dentistry all under one roof
5. Management Structure
NHS Orkney Board is accountable for the provision of healthcare across primary and
secondary care. Integration of health and social care in Orkney is currently in the planning
stages,, and this will improve the care given to patients, especially those that make use of
both services.
Formal medical representation at board level is through the Medical Director and the
Chairman of the Area Medical Committee. It is Health Board philosophy to involve and
integrate senior clinicians into all relevant major aspects of health care management and
strategy.
6. Principal duties
The main duties and responsibilities of the posts include: -
1. Provide General Surgical Services in accordance with modern evidence based practice
and current guidelines to the people of Orkney. The post is based in the Balfour Hospital
in Orkney in a network with Grampian, delivering acute and elective surgical services,
providing specialist advice and clinical intervention where required.
2. A broad range of General Surgical skills, including emergency interventional endoscopy
skills to allow dealing with GI bleeding are essential for this post.
3. Skills in managing emergency obstetric, orthopaedic and urology care, as well as
selected elective procedures in these disciplines is highly desirable, and training to gain
these skills after appointment can be arranged.
4. Follow-up of patients managed by various mainland surgical services are provided, if
appropriate.
5. The service is provided on a 24/7 hour basis and will include a 1:3 on-call rota for
Orkney. There is an 8% allowance for this level of on-call. It is expected that the surgeon
on call will not be involved in elective theatre or clinic activities.
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6. Locum cover will only be available for sickness and occasional unplanned absences.
7. Under normal circumstances leave will not be granted to more than 1 person at a time.
8. There is close cooperation with the Emergency Medical Retrieval Service operating from
Glasgow for retrieval of patients destined for intensive care on the Scottish mainland, or
with retrieval services for Neonate, Paediatric, Obstetrics and Mental Health patients
where appropriate.
9. The contract will be for 8+2 sessions (8 PAs, and 2SPA).
10. Two Extra Programmed Activity sessions are available for negotiation, and will be
included in the Job Plan if agreed. This time will include Clinical Governance, Patient
Safety, Clinical Reviews, Leadership and Audit activity. Further sessions for non-clinical
activities can be negotiated. The postholder will participate in the management of the
department.
11. Responsibility for the supervision and education of multi-disciplinary colleagues,
including trainee doctors and medical students, are expected, where appropriate. This
will include both formal education programmes, and fostering by example an atmosphere
within the hospital which encourages engagement, learning and continuous
improvement. It is expected that the post- holder will complete a course such as Training
the Trainees to enable compliance with the upcoming GMC requirements to train junior
doctors.
12. Participation in annual appraisal, revalidation and licensing, and CPD to maintain and
refresh skills and competencies are required.
13. A requirement to undertake other appropriate clinical work on behalf of NHS Orkney
such as participation in Major Incident Planning and supporting work around future
service design options is required
14. Implementation of the clinical strategy of “Our Orkney, Our Health”