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Candidate information pack

Working together to achieve the healthiest life possible for everyone in Ayrshire and Arran

Our purpose

Post title:

Job reference number: Closing date:

Process for submitting application:

Locum Consultant in General Surgery

MD/642/17 22 January 2018 (noon)

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Welcome from the Chief Executive

Thank you for the interest you have shown in this post. I hope that the information in this pack will help you to decide and encourage you to apply for this post.

In recent years we have re-defined the purpose and values that are the foundation for our approach to health and social care delivery. You will find more information on our purpose and values in this pack.

As with other health and social care providers, we are delivering our services in challenging times. Demographic changes, increasing demand and wider socio-economic factors all impact on service delivery. We are committed to working together with our teams and communities to re-design services to meet these challenges and fulfil our purpose.

Delivering high quality, safe, person-centred care to every person every time is our clear aim. This can only be achieved when our staff feel valued and fully engaged. NHS Ayrshire & Arran has a clear commitment to the health, safety and wellbeing of our staff.

I am sure that you will have many questions and we would be delighted to hear from you in order to further your knowledge of this post and of NHS Ayrshire & Arran.

Kind regards,

John G Burns

Chief Executive

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Section one: About NHS Ayrshire & Arran

NHS Ayrshire & Arran is one of 14 territorial NHS Boards within NHSScotland. Ayrshire and Arran NHS Board is responsible for the protection and improvement of the local population’s health and for the delivery of frontline healthcare services. The NHS Board membership consists of executive and non-executive members, and is accountable to the Cabinet Secretary for Health, Wellbeing and Sport. Our operational frontline services are provided through four distinct operational units – Acute Services and the Health and Social Care Partnerships in East, North and South Ayrshire. You can find further detail on the role of the NHS Board, and our organisational structure on our website – www.nhsaaa.net.

NHS Ayrshire & Arran serves a mixed rural and urban population of 376,000. We have a full range of primary and secondary clinical services, covering the mainland of Ayrshire and the islands of Arran and Cumbrae. NHS Ayrshire & Arran covers three local authority areas: East, North and South Ayrshire. There are major areas of widespread deprivation and social exclusion in both rural and urban areas.

The healthcare challenge within the area is considerable: our population suffers higher than average rates of coronary heart disease, lung cancer, respiratory illnesses and premature death among males. Ongoing lifestyle issues, such as the prevalence of smoking, poor diet and lack of exercise, are key factors, as is the steadily ageing profile of the population.

Here in NHS Ayrshire & Arran, we want the best for our staff and the best for local people. We pride ourselves on improving health and providing a comprehensive range of high quality, safe, effective and person-centred health services. Our strategic direction is based on continuous improvement and services that are centred on patients and service underpinned by our organisational commitments.

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Our service users and communities We will work with you and your family to:

• Promote and improve your health • Improve your safety, outcomes and quality of

experience while in our care• Live up to our customer care commitments

Our workforceWe will work together to create an open, fair and just culture where:

• We are all valued, respected and developed to be our best

• We are all informed, involved, listened to and treated fairly and consistently

• We are all safe and are supported to improve our health and wellbeing

Our partners We will work together with partners to:

• Improve health, prevent disease and reduce inequalities

• Join up our service delivery to improve outcomes • Make best use of our resources

MIS13-086-GD

Our purpose

Our commitments to you

Our values

CaringI will show concern for others and care about the health, safety, and wellbeing of everyone I come into contact with.

SafeI will do my job well, striving to learn and do things better, while taking responsibility for the quality, safety, and effectiveness of my actions.

RespectfulI will see everyone as an individual, be open, approachable, and treat everyone with dignity and respect.

MIS13-088-GD

Our values

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2020 visionIn September 2011, the Scottish Government set out the strategic vision for the delivery of healthcare services in Scotland.

Our vision is that by 2020, everyone is able to live longer healthier lives at home, or in a homely setting. We will have a healthcare system where:

• we have integrated health and social care;

• there is a focus upon prevention, anticipation and supported self management;

• if hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm;

• whatever the setting, care will be provided to the highest standards of safety and quality with the person at the centre of all decisions; and

• there will be a focus on ensuring that people get back into their home or community environment as soon as possible with minimal risk of readmission.

In February 2014, Ayrshire and Arran NHS Board approved ‘Our Health 2020’ as NHS Ayrshire & Arran’s health and wellbeing framework. The framework described how we would fulfil the national 2020 vision for health services locally. Our corporate objectives, as illustrated below, reflect the aims of the 2020 vision:

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For more information on how we make decisions, how we perform and our key publications detailing our strategic intent and plans for delivery of healthcare services within Ayrshire, visit the NHS Ayrshire & Arran website www.nhsaaa.net.

Section two: NHS Ayrshire & Arran as an employerNHS Ayrshire & Arran recognises that our staff are vital to delivering our purpose, values and commitments and to achieving our strategic objectives.

Our aim is to create an organisation where people want to work and strive to deliver excellence each day; where staff wellbeing and personal resilience are supported; where careers are interesting and developed; where staff are encouraged to reach their full potential; and where staff feel their contribution is recognised and valued.

To do this, we need to attract, develop, support and retain our staff and enhance their work experience. This will directly contribute to our aspiration to deliver excellent high quality services to every person every time.

Our employees have told us the unique factors that help to define us as an employer are:

• our friendly and supportive environment;

• our commitment to staff engagement and effective team working;

• our track record in creativity and innovation and our ability to successfully implement change and redesign;

• our track record in supporting our staff’s learning, development and career aspirations, from an initial comprehensive three-day corporate induction programme to the availability of a wide range of internal training programmes;

• our commitment to supporting flexible working through a wide range of family friendly policies; and

• our commitment to support and improve our staff’s health, safety, wellbeing and resilience. We do this by implementing our Staff Health, Safety and Wellbeing Strategy, and in our work towards achieving and maintaining the Healthy Working Lives Gold Award. In addition, our Staff Care and Occupational Health Service provide a range of support and interventions to our staff.

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The Staff Governance Standard is embedded and adhered to as part of the governance framework – staff, financial, information and clinical governance - in which NHS Boards operate. The Staff Governance Standard requires all NHS Boards to demonstrate that staff are:

• well informed;

• appropriately trained and developed;

• involved in decisions;

• treated fairly and consistently, with dignity and respect in an environment where diversity is valued; and

• provided with a continuously improving and safe working environment, promoting the health and wellbeing of staff, patients and the wider community.

Section three: Delivering our servicesThe map below illustrates the key hospital sites throughout Ayrshire and Arran.

SOUTH AYRSHIRE

NORTH AYRSHIRE

EAST AYRSHIREISLE OF ARRAN

Firth of Clyde

ISLE OF CUMBRAE Largs

Irvine

Millport

Brodick

Kilmarnock

Cumnock

Girvan

Ayr

H

HLady Margaret Hospital

H Ayrshire CentralHospital

University Hospital Crosshouse

H East Ayrshire Community Hospital

H University Hospital Ayr

HAilsa Hospital

HBiggart Hospital

HArran War Memorial Hospital

H Girvan CommunityHospital

Acute Hospital with accident and emergency department

Community Hospital

H

H

Key

Population of Ayrshire and Arran - 367,160

East Ayrshire - 120,21032.7 per cent of total population

North Ayrshire - 135,51036.9 per cent of total population

South Ayrshire - 111,44030.4 per cent of total population

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Acute servicesEmergency and elective hospital services are provided by our acute services, which includes inpatient, outpatient and day case care. There are two district general hospitals within Ayrshire: University Hospital Ayr and University Hospital Crosshouse. These hospitals provide a wide range of acute services:

•University Hospital AyrUniversity Hospital Ayr provides medical and surgical services on an inpatient, day case and outpatient basis. It is the main Accident and Emergency service for South Ayrshire. It provides a number of Ayrshire-wide services including Vascular Surgery, Ophthalmology and Urology. There are approximately 330 inpatient beds at Ayr.

•University Hospital CrosshouseUniversity Hospital Crosshouse provides medical and surgical services on an inpatient, day case and outpatient basis. It is the main Accident and Emergency service for East and North Ayrshire. Inpatient paediatrics, the Ayrshire Maternity Unit and the main Laboratories for Ayrshire are on the Crosshouse site. There are approximately 600 inpatient beds at Crosshouse

Community, mental health and learning disabilities servicesFollowing the introduction of Health and Social Integration, the operational delivery for the range of community healthcare services and mental health and learning disabilities services is through the three Partnerships in Ayrshire:

• East Ayrshire Health and Social Care Partnership

• North Ayrshire Health and Social Care Partnership

• South Ayrshire Health and Social Care Partnership

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Community servicesGeneral medical and dental services are provided throughout Ayrshire and Arran by general practitioners, dentists, community pharmacies and optometry practices. Community nurses, health visitors and Allied Health Professionals are all involved in providing care within our local communities.

Out-of-hours general medical services are provided by Ayrshire Doctors on Call (ADOC) within the community.

Mental health and learning disability servicesThe majority of our inpatient mental health services, including the Intensive Psychiatric Care Unit, are provided at the newly built Woodland View facility in Irvine.

Learning disability services are provided from Arrol Park in Ayr. Elderly mental health inpatient services are provided from Ayrshire Central Hospital in Irvine, and East Ayrshire Community Hospital in Cumnock. Community based services are provided throughout Ayrshire for a range of clinical groups: adults, child and adolescent, elderly and addiction services.

For more information on the full range of clinical services provided by NHS Ayrshire & Arran, visit our website www.nhsaaa.net.

Section four: Investing for the future

Building for better careWe have invested £27.5 million to provide fit for purpose front door services for University Hospitals Ayr and Crosshouse, in order to improve emergency and urgent care for patients who come to hospital for anything other than a scheduled appointment.

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• University Hospital Ayr: new emergency department with resuscitation bays, high care areas and cubicles and fully integrated with the minor injury unit and NHS Ayrshire Doctors on Call (ADOC).

• University Hospital Crosshouse: Combined Assessment Unit being built alongside the existing emergency department which will include 35 en-suite bedrooms, as well as new patient assessment and ambulatory care areas. The unit will provide the physical environment needed to allow patients to be rapidly assessed and either discharged safely or admitted to a specialty ward for further care and treatment.

Woodland ViewWe have invested £47million providing a 206 en-suite bedroom integrated mental health and community facility, including older people’s long term care and rehabilitation. This development brings together a full range of outpatient and inpatient facilities including:

• an outpatient consultation area to support a full range of mental health and psychology related outpatient activity;

• tribunal suite;

• therapy areas with treatment and recovery spaces that will also be used as flexible clinical accommodation for Allied Health Professions;

• an inpatient clinical pharmacy and dispensary service to all wards; and

• a staff library.

The population we serve...

Total population of 367,000 which is projected to change by 2032.

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Section five: Key facts and figures

Our spending... Our typical annual revenue spend is approximately £750+million of which approximately 50% is expenditure on staffing.

Staffing

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Primary care services...

Primary care services...

291 GPs across56 GP practices

96 community pharmacies

171 optometrists across 63 practices

164 general dental practitioners across 59 practices

15 orthodontists across four

orthodontic practices

22 dentists within

community and salaried dental

service

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Our staff...

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Our typical annual activity

Section six: Why work in Ayrshire?Ayrshire is situated in South-west of Scotland on the Firth of Clyde, and is characterised by 80 miles of varied coastline, picturesque beaches, rolling green hills and islands.

Just a 30-minute drive from Glasgow city centre, Ayrshire is an ideal location for those who want to enjoy city life, with all the benefits of living in a semi-rural area. Ayr, Irvine and Kilmarnock are the largest towns. However, there are many rural towns, villages and communities throughout the area should you wish to relocate to Ayrshire. Whether you decide to locate to Ayrshire or a neighbouring area, you will find that property prices are more affordable than in other parts of the UK.

Local educational standards are very high at primary and secondary level. However, private education is also available in the area. 

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See below for more information on local authority services:

East Ayrshire Council

www.east-ayrshire.gov.uk

North Ayrshire Council

www.north-ayrshire.gov.uk

South Ayrshire Council

www.south-ayrshire.gov.uk

Working in Ayrshire provides an easy commute from both Glasgow and the wider central belt. There is an excellent network of both rail and bus links throughout Ayrshire to Glasgow and beyond. There are UK and international flights available from Glasgow Airport, as well as a range of services from Glasgow Prestwick Airport.

Ayrshire provides a wide range of excellent recreational activities: whether you are interested in history and heritage, outdoor pursuits, events and festivals, or simply food and drink, there is something for everyone.

Ayrshire boasts more than 40 quality golf courses, including two Open Championship courses at Turnberry and Royal Troon.

For more information on the range of recreational activities in Ayrshire, visit www.visitscotland.com.

All of our publications are available in different languages, larger print, braille (English only), audio tape or another format of your choice.

0800 169 1441Tell us what you think...If you would like to comment on any issues raised by this document, please complete this form and return it to: Communications Department, 28 Lister Street, Crosshouse Hospital, Crosshouse KA2 0BB. You can also email us at: comms@aaaht.scot.nhs.uk. If you provide your contact details, we will acknowledge your comments and pass them to the appropriate departments for a response.

Name ______________________________________________________

Address ______________________________________________________

______________________________________________________

Comment ______________________________________________________

______________________________________________________

Tha gach sgrìobhainn againn rim faotainn ann an diofar chànanan, clò nas motha, Braille (Beurla a-mhàin), teip claistinn no riochd eile a tha sibh airson a thaghadh.

Last reviewed: May 2016 Leaflet reference: MIS14-268-GD

We seek to appoint a Locum Consultant in General Surgery. Suitable experience in General surgery is essential. An interest in Upper GI surgery would be beneficial. The successful applicant will join a team of nine General Surgeons with two Upper GI, four colorectal and two general / paediatric sub-specialty interests. The postholder will participate in the emergency on-call rota for general surgery (1 in 9). University Hospital Crosshouse (539 beds - base population 225,000) was opened in 1982, and has been expanded and upgraded regularly since then. It stands on a green field site just outside Kilmarnock, and has excellent trunk road access and free car parking. There is also easy access to rail and air services (Prestwick and Glasgow airports). The majority of services in the major specialities are provided at the hospital. These include; Ayrshire-wide services in Resectional Upper GI Surgery for malignant disease, Laparoscopic Colorectal Surgery, Breast Surgery, Paediatric Surgery, Laboratory Medicine, Renal Medicine, Infectious Diseases, Dermatology, ENT (including the Scottish National Cochlear Implant Centre), Orthopaedic surgery, Maxillo-Facial Surgery, and Women and Children Services. The South West Scotland Breast Screening Unit is based in Ayrshire Central Hospital, but all surgical activity generated is carried out at University Hospital Crosshouse. The Ayrshire Maternity Unit is also based in a new build on the Crosshouse site. Ayrshire and Arran paediatric inpatient and day case services are provided at the Crosshouse site. A significant programme of development and refurbishment of the West Wing of the hospital has created 3 purpose-built theatres in the Day Surgery Unit, plus a 4-procedure room endoscopy suite. We are in the process of upgrading the radiological equipment in the endoscopic suite and are also starting to build up use of trans-nasal endoscopy equipment. In addition the 8 theatres in the main theatre complex have all been upgraded and refurbished. We have recently acquired new laparoscopic surgery stacks and hope to acquire an integrated theatre system in the medium term. There is a recently opened same day admission unit for elective surgery.

Facilities The General Surgical Unit at University Hospital Crosshouse provides a comprehensive elective and emergency service to both adults and children, within a catchment population of 225,000. Inpatient Beds Emergency and elective inpatient care provided from 81 beds, including 12 surgical HDU beds. The hospital has a 5 bed ITU. In addition there are 4 general surgical paediatric beds in the paediatric department.

Main Theatres The 8-theatre complex has recently undergone refurbishment. Two of the main theatres are primarily allocated for the use of General Surgery with their associated teams of theatre nursing staff with the skills and equipment to support all major open and laparoscopic gastrointestinal surgery. There is a dedicated emergency theatre shared between all surgical specialties with the exception of orthopaedics who have a separate trauma theatre.

Day Surgery The purpose built Day Surgery Unit has three fully staffed theatres along with an additional treatment room for minor procedures. The unit also provides overnight beds for ‘23hr’ patients. Pre-operative Assessment Unit There is a dedicated Preoperative Assessment Unit with Anaesthetic sessions for all surgical patients.

Endoscopy There is a purpose built endoscopy unit with four procedure rooms which are fully equipped and staffed. Currently the surgical department does about 80% of endoscopic procedures in the hospital, the rest being performed by two consultant gastroenterologists. The full range of upper and lower GI endoscopic procedures are performed, including narrow band imaging, EMR, stenting, laser ablation and ERCP. There are 2 fully trained nurse endoscopists attached to the surgical department performing upper and lower GI endoscopy lists.

Outpatient Clinics A range of general and specialist out patient clinics are held in the out patient department which has also recently been expanded with a new suite of rooms. Specialist clinics include a weekly

one-stop breast clinic, three one-stop colorectal clinics, and paediatric surgical clinics. The Department also provides regular outpatient services at the War Memorial Hospital on the Isle of Arran. Vascular Surgery Vascular Surgery is provided by a team of four vascular surgeons based at University Hospital Ayr with weekly clinics in University Hospital Crosshouse. Multi disciplinary meetings There are weekly breast, colorectal, and upper GI cancer MDT meetings with visiting oncologists from the Beatson Oncology Centre in Glasgow. Joint Inflammatory Bowel Disease MDT meetings are held monthly. Regular Bariatric Surgery MDT meetings are held in University Hospital Ayr.

Oncology Services Within University Hospital Crosshouse, there is an Oncology ward which caters for in-patients and day-patients. This is under the management of the medical directorate. Medical oncology support is provided from the Beatson Oncology Centre, Glasgow. Outreach sessions are provided within Ayrshire and Arran. Access to palliative care is readily available with consultant sessions from the Ayrshire Hospice.

Nurse Specialists The surgical department currently has 3 breast care, 2 colorectal and 1 upper GI cancer nurse specialists plus 2 stoma nurse specialists. Agreement has been reached to provide further Upper GI nurse specialist support (0.6 WTE). There are 2 experienced nurse endoscopists who carry out upper and lower GI endoscopy, including colonoscopy. The department is supported by specialist nurses in palliative care and pain management.

Diagnostics University Hospital Crosshouse also has a full supporting diagnostic facility including 2 spiral CT scanners with 3D reconstruction and a new MRI scanner.

Education University Hospital Crosshouse has excellent education facilities based within the Alexander Fleming Education Centre. This is conveniently sited in the centre of the Hospital, and has a well stocked library with good electronic facilities, a lecture theatre with state-of-the-art equipment and meeting rooms. The Directorate is fully involved in the teaching of Glasgow University undergraduates and Foundation Years trainees. The Department is also very active in the postgraduate surgical arena with specialty registrar and core surgical training.

Medical Staff Resources

Consultant Staff

Subspecialty Interest General/Colorectal Surgery Mr RH Diament

Mr JR McGregor Mr I Felsenstein (Lead Clinician for Endoscopy) Mr E Leung Mr C Ray

General/Upper GI Surgery Ms CM Sharp Mr K Robertson(Lead Clinician for Upper GI Cancer)

General/Paediatric Surgery Mr AD Newland Mr M Khine

Breast Surgery Miss S Tovey (Lead Clinician for Breast Surgery) Miss S Elgamal Miss J Reid Miss J Campbell Ms S Pareek (Associate Specialist)

Although Bariatric Surgery is currently being provided at our neighbouring hospital in Ayr, consultants from Crosshouse have been routinely performing bariatric procedures there. We are in the process of upgrading the radiological equipment in the endoscopic suite and also hope to obtain trans-nasal endoscopy equipment in the near future. In addition the 8 theatres in the main theatre complex have all been upgraded and refurbished. We have recently acquired new laparoscopic surgery stacks and hope to acquire an integrated theatre system in the medium term. There is a recently opened same day admission unit for elective surgery. There have been a number of developments in the general surgical department over the past few years.

Oesophagogastric cancer management, both resectional and palliative, is currently undertaken at University Hospital Crosshouse for all Ayrshire patients. Benign Upper Gastrointestinal conditions are managed along with our Gastroenterologists who provide 24 hour pH monitoring and manometry studies and liver disease management. Pancreatic

surgery is undertaken by the Regional Pancreatic Unit in Glasgow Royal Infirmary which has strong links to the department.

Full facilities for minimal access/endoscopic surgery are available in all of the elective and

emergency theatres. Laparoscopic biliary tract, upper GI and lower GI procedures are carried out regularly in the unit including cholecystectomy, bile duct exploration, anti-reflux surgery, colorectal resection, hernia repair (groin and incisional). The Upper GI Team participate in the local Bariatric Service with laparoscopic bariatric operations performed in the University Hospital Ayr.

A full range of open and laparoscopic colorectal surgery is provided for cancer,

inflammatory bowel disease and functional bowel disorders with equipment for transanal endoscopic resection and fistuloscopy.

Bariatric surgery is currently provided in University Hospital Ayr and is a service that is likely

to expand.

Endoscopy services in University Hospital Crosshouse are comprehensive and cover a full range of diagnostic and therapeutic techniques. Approximately 8,500 procedures are carried out each year with about 80% being performed by members of the surgical department.

The surgical components of NHS Ayrshire and Arran Breast and Bowel Screening Services

are based in University Hospital Crosshouse. In addition the breast team provide breast screening surgery for Dumfries and Galloway Health Board.

Crosshouse has been designated as the trauma unit for Ayrshire when the National Trauma Network is activated. Development of the services at Crosshouse to support this will take place over the next three years.

Proposed Weekly Programme The proposed weekly programme is shown below. Activities with current fixed time commitments will be carried out as detailed in the work programme e.g. clinics. Other DCC and SPA activities are shown with indicative timings within the weekly programme and will be discussed with the appointee.

Notes on the Programme This programme is based upon a core job plan of 10 programmed activities however opportunities may exist for Extra Programmed Activities to be undertaken subject to service requirements and in accordance with national terms and conditions of service. The post-holders weekly programme will include 2.5 operating lists, 1 endoscopy list, 1 clinic and 1 special interest session. These sessions will be team based and run on a two weekly cycle over an eight week period (please see below an example of one of the weeks’ activities in the job plan). An equitable balance of activity for all members of the department is seen as paramount and a more detailed job plan will be available upon request.

Patient Administration. This activity covers the management of individual patients including Out Patient administration, results reporting, letters/phone calls to patients, carers, GP’S and members of the wider multidisciplinary team involved in the patients care. Ward Rounds: the time allocated is indicative and will be discussed with the appointee. Ward work will include teaching ward rounds as required. Travel: Any travel allocation will be included within the Total Programmed Activities and will be determined by location at which Direct Clinical Care and Supporting Professional activities are carried out. On call arrangements: The successful applicant will contribute to the on call rota on a 1:9 basis. This rota attracts a 5% supplement. Supporting Professional Activities: NHS Ayrshire and Arran recognise the important role Job Planning has in ensuring consultants are supported in delivering high quality, safe, sustainable clinical care to patients. It is therefore important to ensure there is an adequate balance between direct clinical care activities and activities which support both the personal and professional development of the consultant workforce and facilitates agreed contribution to activities including:

Under and post graduate teaching/training Clinical Governance Quality and Patient Safety Research and Innovation Service management and planning Work with professional bodies

All consultants will have 1 SPA as a minimum to support job planning, appraisal and revalidation. However the final balance of SPA and DCC activity will be agreed between the appointee and clinical manager prior to contracts being agreed. One further SPA beyond that described above will be available to enable the successful post-holder to engage in one, or more of the following departmental supporting professional activities, commensurate with their level of experience/interest

Supervision Clinical governance improvement leadership

There may be a requirement to vary the DCC outlined in the indicative timetable below when the final balance of DCC and SPA is subsequently agreed. There may also be opportunities to contract for Extra Programmed activities Opportunities subject to service requirements and in accordance with national terms and conditions of service. If the post-holder will be responsible for the formal training and supervision of post-graduates and under-graduates, a suitable additional allocation of SPA time will be made in accordance with national guidance. Job Plan Review New appointees will discuss the indicative job plan with the Clinical Director, prior to commencement and will at that time review the balance of activities. Where it is possible to agree a revisions to the indicative plan in advance of commencement this will be acted upon. In any event however, there must be an interim Job Plan review conducted at 3 months post commencement to agree and finalise the Job Plan. The consultant at time of induction should ask for an interim review date to be scheduled. The agreed job plan will include all the consultant’s professional duties and commitments, including agreed Supporting Professional Activities. Thereafter Job Planning will be carried out annually as part of the Boards Job Planning process. Private Practice: If the post-holder wishes to undertake any private practice, they are obliged to inform their employer at the time of appointment of their intentions to do so. This should be submitted in writing to the Clinical Director. The conduct of private practice will be in accordance with the Consultant Contract (Scotland) Terms and Conditions. The post-holder shall be free to undertake private practice without approval provided such work is undertaken outside the time agreed in the job plan for programmed activities. (Refer Section 6 of the New Consultant Contract).

PROPOSED WEEKLY PROGRAMME Work Timetable Direct Clinical Care (hours) Supporting Professional Activities (hours)

Description On- Call

Theatre OPC Admin WardWork

Total Teaching Audit

CPD Research Other Total

Mon am Endoscopy 4 1 5

Mon pm SPA 1 2 3

Tues am Ward/ Admin 4 4

Tues pm Ward 1 1

Wed am MDT Outpatient Clinic

4

1 1 4

Wed pm SPA 2 2 4

Thurs am

Theatre (DSU) 4 1 5

Thurs pm

Lunch time unit meeting 1 1

Fri am Theatre 4 4

Fri pm Theatre 4 4

Sat am 1 in 9 on-call

Sat pm 1 in 9 on-call

Sun am 1 in 9 on-call

Sun pm 1 in 9 on-call 4 4

TOTALS 4 16 4 5 3 32 4 4 8

We seek to appoint a Locum Consultant in General Surgery for a six month period. Experience in General emergency surgery is essential with an Upper GI surgery interest beneficial. The successful applicant will join a team of nine General Surgeons with two Upper GI, four colorectal and two general / paediatric sub-specialty interests. The postholder will participate in the emergency on-call rota for general surgery (1 in 9). The post will be based at University Hospital Crosshouse (539 beds – base population 225,000) that opened in 1982 and has been expanded and upgraded regularly since then including recent additions of a Combined Assessment Unit and a Same Day Admissions Unit. The Terms and Conditions of Service are those determined by the New Consultant Contract (Scotland) 2004 and each post is offered on a 10 programmed activity basis, although opportunities for Extra Programmed Activities are likely subject to service requirements. Applications from individuals who may wish to work on a part-time or job share basis will be considered. Applicants will be appropriately experienced and hold Full GMC Registration and current Licence to Practice.

The Terms and Conditions of Service are those determined by the Terms and Conditions of the New Consultant Grade (Scotland) as amended from time to time.

The distance that a consultant can reside from the principal base hospital, where travel time is seen as more important than mileage, is subject to the agreement of the Executive Medical Director, but it is usually anticipated that a journey that takes no more than 30 minutes for any emergency situation would be acceptable.

NHS Ayrshire & Arran Medical Job Description 0

For information and informal visits, please contact Mr C MacLeod, Clinical Director for General Surgery, tel: 01563 827896 and Mr Robertson, Clinical Lead for Upper GI Service, tel: 01563 827869 with whom visiting arrangements can also be made. Application in the form of a current CV with evidence to support your entry onto the Specialist Registration, together with the names and addresses (postal & email) of two referees including your most recent Educational Supervisor or Clinical Director should be submitted to: medicalrecruitment@aapct.scot.nhs.uk no later than 22 January 2018 (noon). Please Quote Reference Number: MD/642/17. Interviews will be scheduled shortly after closing date.

NHS Ayrshire & Arran Medical Job Description 1

Post of: Locum Consultant in Upper GI and General Surgery Location: University Hospital Crosshouse

Qualifications:

Essential

Desirable

Full GMC Registration with a current Licence to Practice

Inclusion on the GMC Specialist Register

Fellowship of the Royal College of Surgeons or equivalent

Specialist Higher Degree

Skills/Knowledge/Competence Requirements

Essential Desirable

General Experience: Expertise in generalist field Expertise in sub-specialty field

Specialist training in the diagnosis and management of patients presenting to the general surgical department. Knowledge of and skill relevant to the management of patients using both open and basic laparoscopic GI surgery. Ability to communicate effectively with all levels of staff and patients Ability to work efficiently and timeously IT literacy

Advanced therapeutic endoscopy and ERCP

NHS Ayrshire & Arran Medical Job Description 2

NHS Ayrshire & Arran Medical Job Description 3

Teaching & Training Proven ability to deliver high quality teaching

Team Working Effective Team Player Ability to work flexibly

Development Evidence of relevant Continuing Professional Development

Ability to provide a complete employment history

Evidence of satisfactory career progression

Research & Publications

Evidence of publications.

Clinical Audit Evidence of participation in audit

Management and Administration

Proven organisational skills

All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following:

Understanding of resource management and quality assurance.

Personal and Interpersonal Skills

Effective communicator A willingness to develop special interests which conform to the needs of NHS Ayrshire and Arran Ability to function at different levels Open and non-confrontational

Knowledge of recent changes in the NHS in Scotland and current challenges facing the service.