NHS Education for Scotland Candidate Information Pack information Pack 1321BR.pdf · - provide general dental services, including specialist services, for those who cannot obtain

NHS Education for Scotland Candidate Information Pack

General Guidance

• All applications should be made online. We do not accept CVs. If you need to contact us

regarding your online application or have any technical issues, please email us as soon as possible at [email protected] to enable us to provide assistance before the closing date. We strongly advise that you complete your application as early as possible as we will not be able to accept late applications.

• If you are unable to complete an online form due to a disability please contact us to discuss

your requirements.

• No applicant will be unfairly discriminated against. We are particularly alert to eliminating discrimination on account of age, cultural/religious/political belief, disability, ethnicity, gender, race, relationship status, sexual orientation, and/or Trade Union membership or stewardship.

• Only Sections 2, 3 & 4 of the online form will be made available to short-listing panels.

Sections 1 to 4 (inclusive) would then be used by the interviewing panel if you are selected for interview. Sections 5 to 8 will be viewed only by the HR department.

• Required questions are denoted with an asterisk. When you have answered the questions

on a page, click the Next button to continue. The last section of the application form will have a Submit button to complete the application process.

• The 'Save as draft' button below saves your information as a draft to be completed at a

later time. You can retrieve your saved application from the NES Vacancies page of the NES website (http://www.nes.scot.nhs.uk/recruitment/nes-vacancies) and clicking the link at the bottom left of that page. You will require your registration email and password to log back in.

• PLEASE NOTE: Clicking the Clear or Close button at anytime will clear and close your

application form WITHOUT SAVING your information. To reduce this risk, it is recommended that you use the 'Save as draft' button as you complete each section of the online form.

• If you would like to paste your response from an external document simply right click and

paste or use a keyboard shortcut: CTRL+V for Windows users, Apple+V for Mac users.

• Once you have submitted your application you will receive an automatic response to the email address you provided. If you do not receive this email, please contact [email protected] to check we have received your application.

mailto:[email protected]

http://www.nes.scot.nhs.uk/recruitment/nes-vacancies

mailto:[email protected]

Personal Details section

• This gives us your contact details such as name and address. Under ‘title’ you would put either Mr, Mrs, Ms, Dr or just leave blank if you prefer.

• All our primary communications to you will be via the email address you provide so please

ensure you provide an accurate email address.

• Work Permit – Is it your responsibility to ensure you have the right to work in the UK. HR will verify your right to work in the UK as part of pre-employment checks for the preferred candidate.

Qualifications section

• Please tell us of any qualifications you have. This can include school standard grades, GCSEs, highers, or work based qualifications such as SVQs or NVQs.

• Remember to include any ‘non formal’ qualifications or certificates that you think are

relevant to the job you are applying for.

Membership or Professional Regulatory Bodies section

• If the post requires you to be professionally registered, please provide details of your Professional Membership e.g. GMC, NMC, GDC etc.

Employment History section – present or most recent

• If you are currently unemployed, please write this in the ‘job title’ space.

• Please state your start date in month/year format DD/MM/YYYY.

• Please tell us briefly about your duties (what you do or did in your job). You could tell us your role, the main tasks, and any responsibility for supervising others. There is not a lot of space here so continue on a separate sheet if you need to.

• There is a 4000 character limit (including spaces) for this question. If you would like to paste your response from an external document please use a keyboard shortcut: CTRL+V for Windows users, Apple+V for Mac users.

Employment History section - previous employment

• Please provide details of your employment history.

• Start with your most recent employment and work down the page.

• If a job supports the position applied for, please say more about it in your Application Support statement.

Statement in Support of Application

• Please tell us your personal qualities, skills and attributes, experience and any major achievements and show how they match those needed for this job. Please refer to the Person Specification (within the Job Information Pack) when completing your statement.

• There is a 4000 character limit (including spaces) for this question. If you would like to paste your response from an external document please use a keyboard shortcut: CTRL+V for Windows users, Apple+V for Mac users.

• Where the role is specialist, additional questions may be asked within this section.

Where did you see the advert section

• Please try to remember where you heard about this job, and tick the relevant box. The information you give will help us find out how effective our advertising is.

References

• NHS policy requires us to obtain at least two references, verifying a minimum of 3 years previous employment, one of which must be your current or most recent employer.

• Please identify below, referees who are authorised to confirm your employment and the

details given on your application. Please ensure a minimum 3 year period is covered by the details you provide. For periods of unemployment/study please provide a character referee e.g. college/university tutor.

• You should not use family or friends as referees.

• Our pre-employment screening also includes, where appropriate, health and fitness for

work, criminal records, qualifications and professional registration.

• Note that references will only be taken up for the Preferred Candidate following interview.

• Please note that we may contact you for further referee information if required.

Disability Arrangements

• The Equality Act 2010 defines disability as ‘a physical or mental impairment that has a substantial and long-term adverse effect on a person’s ability to carry out normal day to day activities.’

• NHS Scotland is “Positive About Disabled People”, therefore no applicant will be

discriminated against on the grounds of disability. If you are invited to interview, you will have the opportunity at that point to discuss any particular requirements that you would have when attending for interview e.g. Induction Loop, Wheelchair access, Signer etc...

• In addition, NHS Scotland operates a Job Interview Guarantee (JIG) scheme, which means that if you have a disability, and meet the minimum criteria outlined within the Person Specification, you will be guaranteed an interview.

• However, some disabled people prefer not to take this option, so please tick your

preference if you are a disabled candidate.

Declarations

• NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. This means that unless stated in the job description, person specification or application pack, you must tell us about any previous convictions either classed as ‘spent’ or ‘unspent’.

• If you are offered employment, any failure to disclose such convictions could result in

dismissal or disciplinary action.

• Any information you give will be considered only in relation to the post for which this application form refers.

• Information will be verified by Disclosure Scotland for relevant posts.

• Read, consider and tick the declaration at the bottom of the page.

Equal Opportunities Monitoring

• We want to ensure that our job opportunities are open to all. The only way we can ensure there is equal opportunity is to monitor applications we receive and compare the profile of people who apply with those appointed. Therefore the form asks you for your ethnic origin, gender, disability, religion, sexuality and age.

• The information you provide in this part of the form (Section 8) is confidential and is NOT

used in the selection process.

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THE TAYSIDE PUBLIC DENTAL SERVICE

Provisional Training Programme for StR in Special Care Dentistry

The Tayside Public Dental Service (TPDS) TPDS is a Tayside-wide service currently contained in the Access Directorate of NHS Tayside. The service operates from 3 main bases, one within each CHP area, with clinical care provided in a range of different locations based in hospitals and the wider community. The main role of the Public Dental Service is to:

- promote oral health; - monitor the oral health of the population; - inspect selected populations for oral disease; - provide general dental services, including specialist services, for those who

cannot obtain this from general dental practice; complementing the current GDS and specialist services, especially in remote and rural areas

- provide emergency and urgent dental care as well as a short course of treatment and follow up care where appropriate.

Defining the client group In the recent past the service has provided care to patient groups defined as:

- anyone with a physical or learning disability who has difficulty accessing care in general practice;

- anyone with a medically compromising condition who has difficulty accessing care in the general dental service;

- anyone with a drug or alcohol abuse problem whose condition makes it difficult for them to access the general dental service;

- any child whose family cannot or will not take them to a dentist; - school children under the NDIP inspection programme; - anyone with a mental illness who cannot access care in general dental

practice - any patient in hospital - anyone in a care home who has difficulty accessing care in general practice - anyone whose fear of dentistry discourages them from seeking care - homeless people who have difficulty accessing care and - other special needs patient groups such as people with haemophilia

As access to general dental practice improves, and as directed by the Scottish Government, there is an increasing emphasis on concentrating the delivery of care to those patients who have a moderate to severe disability. Tayside is a large geographical area, covering 755,813 hectares in total and with a population of more than 400,000. The region is geographically diverse with sparsely populated rural areas, a number of small towns and two major population centres (Dundee and Perth). Dundee is an industrial city and Perth a county market town and half of the population of Tayside live in these two urban areas. NHS Tayside therefore serves diverse populations with a range of different needs. There are significant pockets of deprivation and NHST is one of only two Scottish Health Board areas with populations living in the greatest material deprivation

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(DEPCAT 7). There are also issues with overt urban, and hidden rural, homelessness; substance abuse; mental health problems and we serve a significant prison and forensic psychiatric community. There are a number of community homes for people with learning difficulty, dementia and complex needs. This means that the StR will be exposed to a wide range of medical needs, oral and general pathologies, and a high level of dental need. Also there are major demographic changes predicted, increasing Tayside’s population by 15% over the next 15 years. The population increase is most marked in the very young and very old.

The StR Timetable The StR timetable is based on a weekly pattern. However there is considerable flexibility within this to ensure access to all aspects of training needs. This will allow the StR to be work alongside all of the Specialists in Special Care Dentistry and Consultant colleagues on an individual basis,

Induction The first month of the training programme will be dedicated to mandatory induction training at a local level as part of TPDS and at a National level as part of the NES Scotland Training programme. This will allow for full orientation within the Special Care Dentistry team and the wider PDS.

Hospitals

Ninewells Hospital, University of Dundee Ninewells Hospital is the major teaching hospital in Tayside, with a full range of clinical specialities. Public dental service has a number of general anaesthetic and anaesthetist-led sedation lists within Ninewells, to which the StR will have regular access. There is access to other clinical specialties, with opportunities for shared care, and access to in-patient beds as necessary. Tayside OMFS are based in Ninewells. There is a Maggie’s Centre within the grounds.

Perth Royal Infirmary, Perth This District General hospital provides services to the population of the west of Tayside, including a number of dental general anaesthetic and anaesthetist-led sedation lists. There is access to other clinical specialties, with opportunities for shared care, and access to in-patient beds as necessary There is a four-surgery OMFS and orthodontic unit, to which the StR will have access. There is a palliative care centre in the grounds.

Stracathro Hospital, Brechin This is an elective ambulatory care unit, with monthly general anaesthetic and sedation lists for patients with dental anxiety and mild to moderate special care needs.

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Royal Victoria Hospital, Dundee This comprises a hospice for adults (Roxburghe House), brain injury rehabilitation unit and psycho-geriatric services (in-patient and day centre). Dental care is provided via a surgery within the hospital complex, and in the wards as necessary.

Long-stay hospitals There are a number of long-stay geriatric and psychogeriatric wards across Tayside, where dental treatment is provided on a domiciliary-type basis.

Murray Royal Hospital, Perth and Carseview Centre, Dundee In and out-patients are provided with appropriate care within the wards if necessary, or in the nearest PDS clinic.

Special Care Dental Clinics Patients with special care needs are fundamental to the PDS and are seen and treated in all localities. Patients with moderate to severe needs are seen by one of the five specialists in Special Care Dentistry. The StR will usually work alongside one of the Specialists in Special Care Dentistry. Patients with widely varying special care and additional needs will be seen, and appropriate full range of care provided for, or onwards referral where necessary.

Conscious Sedation Training Intravenous and inhalational sedation will be provided in practice by initially Iain Hay (SDO and Specialist in Special Care Dentistry), and Wendy George (SSGDP for sedation). Iain Hay has the Diploma in Dental Sedation from Guy's Hospital, University of London and a number of other experienced staff hold the Diploma in Conscious Sedation from the University of Newcastle. Mr Hay’s main area of interest is conscious sedation for adults requiring special care. Conscious sedation experience for the more medically complex patient will also be provided by the anaesthetists who are responsible for the hospital theatre lists.

General Anaesthesia Training in provision of dentistry for patients with special care needs will commence with Anna Macdonald, Gillian Elliot, Heather MacRitchie and Iain Hay (Specialists in Special Care Dentistry) and Wendy George (SSGDP in Sedation). These are day case lists, but there is provision for access to inpatient care as and when required.

Domiciliary Provision of Care This will be under the direction of the locality specialists in Special Care Dentistry and will encompass care homes, people living independently and others who find it physically impossible to access a surgery.

Prison Care NHS Tayside is responsible for one secure prison, and one open estate. The secure prison encompasses high security and local prisoners, all of whom are treated by PDS within the prison health centre (Perth Prison). Patients from HMP Castle Huntly attend the clinic in Dundee as part of their preparation for liberation. The StR will be

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able to take advantage of both, subject to the constraints of the additional training required to work independently within the prison.

Adolescent Care (16-18 years) Experience will be provided by both the Specialist in Special Care Dentistry, Anna Macdonald, and the Specialist in Paediatric Dentistry, Morag Curnow.

Emergency Care for Patients This will be through the normal provision of care for Special Care Dentistry, but also with occasional sessions in Broxden Dental Centre or Kings Cross dental department.

Other dental specialities (Oral surgery, oral medicine, orthodontics, restorative) Dundee Dental Hospital consultants and clinical leads will enable attachments as necessary. These will include observation and participation in consultant-led clinics in community settings (eg oral surgery in Broxden).

Training and Supervision An element of the StR training will include teaching and supervision of undergraduate dental students and dental therapy students within a community setting.

Mandatory Training There are in-house sessions for all aspects of mandatory training, and the StR will be expected to attend as directed. These include BLS (adult and paediatric), ILS, working with vulnerable adults, child protection etc. In addition they will be expected to complete all mandatory Learn pro modules as defined by Tayside PDS.

Special Care External Training It has been agreed in principle with Clinical Director, Morag Curnow, that the StR will be funded to attend appropriate national conferences and training events.

Academic Training This will be accessed through the University of Glasgow. There will be locality-based tutorials to complement the National programme. The StR will be required to participate in audit and the clinical governance agenda. Anna Macdonald Senior Dental Officer Specialist in Special Care Dentistry February 2014

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Table 1: Opportunities in Tayside for Pan Scotland Clinical Training Hospital / Clinic Description Curriculum Clinical Lead Comments

Broxden/KX/SMC Anxiety and Behavioural

management, Inhalational

sedation - CBT

2.6.12 – 2.6.17 WG

HBM/IH/GE/SA

Variable

Broxden/KX/SMC IV and oral sedation 2.6.16

2.6.27

WG/IH/GE Variable

PRI/NW/SHX Anaesthetist led IV sedation

(propofol)

2.6.16

2.6.27

WG./IH/ALM/GE Tues/Thurs/Fri –

depends on location

Case-by-case basis

Broxden

Sp Care Sedation

PG teaching

IH and WG Varied

Broxden/KX IV sedation paediatric patients 2.6.16

2.6.27

IH/WG As required

Most paediatric cases

would be IHS

Broxden/KX/SMC

Clinic at A2A

Medically compromised–

haemophilia and thrombosis unit

and linking with Liver and renal

units and ICU

Latex free dentistry

Section 1 of

curriculum 6.d

2.1.24-2.1.74

2.1.22;2.1.23;2.

1.58

DK

All senior staff

OMFS Thursday am

May need to link to

other areas for

adequate experience.

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Hospital / Clinic Description Curriculum Clinical Lead Comments

NWs Anaesthetist led assessment

clinic

2.8.1 – 2.8.8 Ute Goldmann/ALM

anaesthetist

Variable but usually

Wed/Thurs am

NWs/PRI/SHX Outpatient and in patient GA

(inpatient GA is arranged on a

case by case basis)

2.6.16

2.6.27

2.6.28

2.6.34

2.6.35

ALM/WG/IH/GE/HBM Tuesday am (PRI/2A)

Thurs am (PRI/NWs)

Friday (SHX)

Broxden/KX Dentist led sedation more

complex medical conditions and

bariatric patients

2.6.16

2.6.27

IH/WG

More complex cases –

in hospital

Case by case basis

Variable work load

NWs/PRI/SHX Anaesthetist led sedation for

medically complex patients

2.6.16

2.6.27

ALM/WG/IH/GE/HBM As per GA lists

Broxden/KX/SMC Domiciliary Care 2.6.7

ALM/HBM/GE As required

Broxden/KX/SMC (no

dedicated facilities in

psychiatric units)

Provide oral health care for those

with mental ill health and those

in a secure units (mental health +

forensic health)

2.4.2

2.5.2

2.5.15

2.5.38

2.5.38

IH

JW (Castle Huntly)

HM – Rossie Unit

Clinicians in Dundee

and Angus

Variable

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All Broxden/KX/SMC Provide oral health care for

patients with profound learning

disabilities with challenging

behaviour

2.5.37 ALM/GE/HBM/IH Variable

NWs Haematology / Oncology 2.5.1

2.6.2

2.6.3

2.6.8

HBM – paediatric

Monday am (every 4-6

weeks)

May need other health

board input for adults

NWs Head and Neck Oncology

Multidisciplinary clinic for newly

diagnosed cases joint working

with Consultant in Restorative

Dentistry

2.4.15

2.5.37

2.6.8

2.6.29

2.6.30

Mr McLoughlin

Restorative consultant

and Doug Kennedy

8.15 Wednesday am

Thursday pm every 3/12

NWs Head and neck oncology follow

up clinics

As above As above

Broxden/KX/SMC Provide oral health care for

patients with patients with

learning disabilities movement

disorders/ dementia/ sensory

disability/physical disabilities

ALM/HBM/IH/GE

Variable depending on

clinic

8


PRI Cornhill End of life / Palliative Care /

hospice visits

2.8.16 ALM As required

CHC

The Steeple, Dundee

Dental Care for the homeless/

drug addictions

SA Wed pm

Weekly from MDU –

drop in service

Broxden/KX/SMC Provision of domiciliary care to:

Hospitals and care homes for frail

elderly people including

specialist dementia units

Section 6 of

curriculum

2.6.23

ALM/HBM/GE

Variable

Kings Park

Broxden/KX/SMC

Dental services to:

Special schools

Comprehensive dental care for

adult special care patients

Transitional care services for

special care patients

Section 6 of

curriculum

2.6.23

LS

ALM/HBM/GE/IH

HBM/AM

Term-time

Variable

9


Oral Health

Improvement team

To include Oral Health

Promotion and

including access to oral

health care services

Oral health promotion team

strength based

carrying out oral health promotion

functions including:

ChildSmile

Smile4Life

eg Delivering fluoride varnish

programme in schools and

nurseries

Section 5 of

curriculum – 5

2.5.26

2.5.27

DK

GE

Variable

Dental public health

functions in community

dental services

including epidemiology

NDIP

National and local screening

programmes

National and local health

improvement/promotion

programmes

Section 4 of

curriculum -2

2.4.3-2.4.6

IH

MC

DR

Tayside PDS

developing and

managing services /

leader ship role

Section 5 of

curriculum -

1-5

MC

HBM

ALM/GE

10


Tayside PDS-clinical

governance in primary

and secondary care

including risk

management / risk

assessment

Governance leadership

Departmental clinical governance

group

Section 8 of

curriculum –

Legislation,

Ethics,

Governance

1-5

IH

DDH/Broxden/NWs Oral medicine

OMFS

Oral surgery including

bisphosphonate clinic

Restorative

Paediatrics

Orthodontics

Section 2.2 of

curriculum

5, 6a and 6b

2.1.7- 2.1.20

2.1.53-2.1.55

2.1.68

Section 7 of

curriculum

2.7.1-2.7.69

LT

DK

MM

AS

MC

LG/GM

AS/MM

Principles of

management of

hypodontia. MDT

(monthly but not fixed

times)

Implant multi-

disciplinary group.

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Location as required Advanced sedation

2.6.16

2.6.27

IH/WG/GE and

anaesthetists

All areas theatre and

clinic lists

Outreach clinics

Sp Care Sedation

UG teaching

1.2.15 IH/WG

GS/SA/HE

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THE HIGHLAND PUBLIC DENTAL SERVICE

Provisional Training Programme for StRs in Special Care Dentistry

The Highland Public Dental Service (HPDS)

HPDS is a comprehensive service which lies within the structure of Highland Health Board covering all four regions (South and Mid, North, West and Argyll and Bute). The geographic and demographic spread covers both urban and remote and rural areas which presents unique challenges for service planning and delivery The service operates from multiple locations based in hospitals, health centres, primary care/healthy living centres, Special Needs schools, and has an established centre within the Centre for Health Science in Inverness which delivers under-graduate training for students of Oral Health sciences and final year dental students from Dundee and Glasgow Dental Hospitals. The main role of the Public Dental Service, is to:




Defining the client group Whilst in the past the service has provided care to patient groups defined as :





practice - any patient in hospital - anyone in a care home who has difficulty accessing care in general practice - anyone whose fear of dentistry discourages them from seeking care - homeless people who have difficulty accessing care and - other special needs patient groups such as Haemophiliacs.

There is an increasing emphasis on concentrating the delivery of care to only those patients who have a moderate to severe disability as access to general dental practice improves and as directed by the Scottish Government , with the formation of the Public Dental Service.

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NHS Highland contains significant areas of greatest multiple deprivation and remote and rural locations in Scotland and there are major demographic changes predicted, with population increases especially in the very young and very old – populations which make most use of Public Dental Service. In particular, there is an expected 60%+ increase in over 65s in this time period

The StR Timetable The StR timetable is based on a fortnightly pattern. This is to ensure flexibility of StR training and access to all to all aspects of their training needs. This will allow the StR to be trained alongside the Specialist in Special Care Dentistry and Consultant colleagues on an individual basis. Induction The first month /( 3-4 weeks ) of the training programme will be dedicated to allow for mandatory induction training at a local level as part of HPDS and at a National level as part of the NES Scotland Training programme. This will allow for full orientation within the Special Care Dentistry team – location, staff, facilities etc. and the completion of mandatory e-learning modules and Immediate life support training in order to participate in IV sedation.

Major Acute Teaching Hospital Raigmore Hospital, Inverness The Medically compromised Dental Unit is located within the OMFS out-patient department adjacent to the orthodontic department with restorative consultant input also, and will allow the StR to work on a hospital site with access to hospital services, such as

- Maxillo facial Surgery Services are based here , with the establishment of a specialist head and neck unit, and other surgical specialties including ENT.

- Radiology – full range of radiography techniques, and Consultant reporting

where needed. - Phlebotomy services – including use of haematology and biochemistry

laboratories. - Back-up support of medical teams, in both general and emergency care. The

possibility of patient admission to wards and day surgery unit with prior arrangement with medical teams.

- Access to haematology care – such as, factor replacement , DDAVP and tranexamic acid provision.

- Specialist services include on-site renal dialysis, on-site Maggies Centre Highland has a diverse spread of socio-economic need, with areas of high level deprivation including homeless, travellers and also drug-taking communities.

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There are a number of community homes for people with learning difficulty, dementia and complex needs. In the wider area, there is a significant rural population. This means that out StR’s will be exposed to a wide range of medical needs, oral and general pathologies, and a high level of dental need. Inverness Dental Centre, Centre for Health Science, Inverness This is a state of the art facility opened in 2008 which combines an 8-surgery service wing, with comprehensive bariatric service, conscious sedation service, difficult extraction and oral surgery service, visiting paediatric consultant service. There is also a 13-unit poly clinic teaching facility which provides training for students completing the Bachelor in Oral Health Science, and outreach training for final year dental students from both Dundee and Glasgow Dental Hospitals with phantom head lab, and a Restorative consultant service. The Centre for Health Science is the main teaching facility for nurse training, medical post-graduate teaching, BLS/ILS training, and houses a large library (overseen by The University of Stirling), several lecture theatres and numerous tutorial rooms and practical training units and has extensive VC facilities. It is located on the Raigmore campus adjacent to the specialist Diabetes centre. Ambulance transport is available for those who require it. New Craigs Hospital, Inverness This is the psychiatric in-patient facility in Highland, which has adult in-patient facilities including a secure unit for forensic psychiatry and patients, psychogeriatric units and an acute treatment unit for learning disability patients, and provides ECT. It provides many out-patient services relating to mental health including CBT, clozapine clinics, CPN services, psychiatry and psychology services, TAG therapy service, art therapy and physiotherapy. The dental department is a single surgery unit located within the treatment suite, from which the clozapine clinic, ECT service and ECG service are delivered. The dental department includes facilities to provide dentist-led IV sedation, inhalational sedation, anaesthetist-led GA and IV services, as well as general special care services for a wide range of special care patient groups. Ambulance transport is available for those who require it. There is a doctor-led crash team on site, and an emergency barrel system for challenging patients.

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Royal Northern Infirmary, Inverness The RNI is a community hospital with in-patient wards, a day hospital and physiotherapy, occupational therapy and CPN services. The medical and nursing service for the homeless is located here. The dental department is a single surgery unit seeing widely varying special care and additional needs patients, and appropriate full range of care provided for, and ambulance transport is available for those who require this.

Conscious Sedation Training Intravenous and inhalational sedation will be provided in practice by initially Joanna McKerrow , Senior dentist (Special Care and Sedation and Specialist in Special Care Dentistry), alongwith Fiona MacCallum and Dan Sowter, who all hold the Diploma in Conscious Sedation from the University of Newcastle Conscious sedation training for the more medically complex patient will be provided by Dr Lisa Handcock Consultant Anaesthetist at Raigmore and New Craigs Hospitals in year 3.

General Anaesthesia Training in provision of dentistry for patients with special care needs will commence with Rhona Brown (Specialist in Special Care Dentistry) at New Craigs Hospital and Dan Sowter at Raigmore Hospital, Inverness. These are primarily day case lists but there is facility at Raigmore for admission if required.

Domiciliary Provision of Care This will be in tandem with both the Specialist in Special Care Dentistry and, where appropriate, with senior clinical colleagues and necessary nursing support.

Particular reference will be given to: Risk assessment Cross-infection control Medical Emergency Training and Equipment Adult with Incapacity Act Best interest case conferences

(These are not exclusive to domiciliary care – but it is pertinent that these areas are not forgotten in the domiciliary environment).

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Prison Care This will be accessed via prior arrangement and necessary security precautions at Her Majesty’s Prison Porterfield in Inverness. StR’s will be with the Senior Dentist Dan Sowter for prison services and the Dental Nurse team at the prison .

Emergency Care for Patients This will be through the normal provision of care for Special Care Dentistry, and involvement in the Out of Hours rota covering Unscheduled Care is expected. .

Oral Surgery Dento-alveolar surgery, including apical surgery and biopsy technique, will be taught by Specialists in Oral Surgery (Helen Devennie, and the OMFS team) both at IDC and Raigmore Hospital, under LA, conscious sedation, and GA.

Oral Pathology & Oral Medicine The Special Care Team within HPDS has an excellent working relationship with the Oral Surgery Department at Raigmore Hospital.

Medical and Surgical Training It is hoped that multi-disciplinary team working will be extended to the StR’s for Haematology and Oncology teams - for StR’s to attend ward rounds, consulting clinics, Oral and Maxillofacial Surgery - for StR;s to attend ward rounds, consulting clinics and theatre lists – led by Mr Adrian Farrow, Renal and dialysis unit, Cardiology and Palliative Care team

Highland Hospice, Inverness Special Care Team within HPDS provides emergency and urgent dental to patients within the hospice The StR will have the opportunity to assess and treat patients within the hospice on an adhoc basis whilst based at the RNI clinic under the mentorship of Rhona Brown, Senior Dentist and Specialist in Special Care Dentistry .

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Training and Supervision Occasional teaching and supervisions, with prior discussion and arrangement with the Specialist in Special Care Dentistry, for undergraduate therapists , dental therapists, dental hygienists, dental health educators and dental nurses in special Care Dentistry, in order that the trainee can enhance their own development in this respect.

Involvement with Community Learning Disability Team and Community Psychiatric Teams The Special Care team within HPDS has excellent and mutually supportive networks with both CLDT and CPN teams in the area. Early involvement with these teams in the StR training programme will be strongly encouraged, in order to facilitate the StR’s development and holistic patient care. In year 2 the StR will have the opportunity to assess and work up there own patient for general anaesthesia working with the learning disability nurse specialisst under the mentorship of one of the specialists in Special Care Dentistry, and be involved/lead in Care Programme Approach/ case conference / best interest meetings to the provision of treatment under GA and post operative follow up.

Medical Emergency Training StR’s will be expected to participate in ILS (Immediate Life Support (UK) Resus Council) in Year 1 and Year 2 and Year 3 of their training. Mandatory training on Basic Life Support and AED training is given yearly within HPDS and the StR will be expected to attend this.

IRMER StR’s will be expected to attend full IRMER training once during their 3-year programme.

Mandatory Trust Training StR’s will be expected to attend Mandatory Training within the service in subjects such as Child Protection, Vulnerable Adults, Adult with Incapacity Act, COSHH, Conflict Resolution, Diversity Training, Moving & Handling , Violence and Aggression etc. in addition they will be expected to complete all mandatory Learn pro modules as defined by Highland Health Board and HPDS

7

Special Care External Training It has been agreed in principle with Clinical Director Catherine Lush that the StR will be funded to attend appropriate national conferences on an annual basis in Special Care Dentistry. Those recommended are:

• BSDH (British Society of disability Oral Health) Spring & Winter Scientific Conference

• BSG (British Society of Gerdontology) Spring & Winter Scientific Conferences

• BDA/CDS Annual Presidential and Scientific 3-Day Meeting in October.

• Royal College of Surgeons Conferences, as recommended by the Specialist in

Special Care Dentistry

• Other Special Care Conferences as appropriate, after discussion with Robert Naysmith .

Academic Training Rhona Brown BDS Senior Dentist (Special Care) Specialist in Special Care Dentistry February 2014

8

Table 1: Highland Public Dental Service Clinical Training – as mapped to the Curriculum in Special Care Dentistry Hospital / Clinic Description Curriculum Clinical Lead Comments including

days

New Craigs Hospital Anaesthetist-led GA/IV

sedation (adults)

2.6.16

2.6.27

Rhona Brown

Lisa Handcock

Tuesday all day

alternate

New Craigs Hospital,

Inverness Dental

Centre

Dentist-led IV sedation 2.6.16

2.6.27

Joanna McKerrow Tuesday, Wednesday

Raigmore Hospital Anaesthetist-led GA, IV

sedation (adults and children)

including more medically

complex patients

2.6.16

2.6.27

Dan Sowter

Hamish Hay

Alternate Friday am

Raigmore Hospital

Medically compromised

patients including

haematology, renal unit,

cardiac unit, oncology

Curriculum 6

2.1.24-2.1.74

2.5.1

2.6.1

2.6.3

2.6.8

Helen Devennie Thursday

Royal Northern

Infirmary

Special Care clinic – LD,

movement disorders,

2.5.37 Rhona Brown Tuesday pm

Friday

9

dementia, sensory and

physical disabilities

Various sites Inhalational sedation 2.6.12-2.6.17 Joanna McKerrow various

New Craigs Hospital Anxiety management, oral

sedation, inhalational

sedation

2.6.12-2.6.17 Joanna McKerrow Monday, Wednesday,

Thursday

Inverness Dental

Centre

Bariatric patients Helen Devennie various

Various Domiciliary care –

RNI

IDC

Hospice

Nursing homes

2.6.7

2.8.16

2.6.23

Rhona Brown

Helen Devennie

Rhona Brown

various

various

New Craigs Hospital Mental Health and forensic

in-patients

2.4.2

2.5.2

2.5.15

2.5.38

Joanna McKerrow

Rhona Brown

Monday, Thursday,

Friday

Inverness Dental

Centre, Raigmore

Hospital

Head and neck oncology,

MDT, joint working with

OMFS and restorative

consultants

2.4.15

2.5.37

2.6.8

2.6.29

Adrian Farrow

Manar Elkhasindar

Rhona Brown

10

2.6.30

Royal Northern

Infirmary

Homeless service Rhona Brown

Andrea Roger

Thursday am

Drummond School Special schools including

transitional care

Section 6

2.6.23

Anne Gornall Tuesday

Oral Health

Improvement teams

Rowans, New Craigs

OHE team including

Childsmile, Caring for Smiles,

Smile 4 Life

Section 5

2.5.26

2.5.27

David Babb

Kirstin Edmiston

various

Raigmore Hospital OMFS

Oral medicine

Restorative consultant

services

Section 2.2

5,6a, 6b

2.1.7-2.1.20

2.1.53-2.1.55

Adrian Farrow

Manar Elkhasindar

various.

Royal Northern

Infirmary

End of life / Palliative Care /

hospice visits

2.8.16 Rhona Brown Variable

HPDS -Dental public

health functions in

community dental

services including

epidemiology

NDIP

Other ?

Section 4 of

curriculum -2

2.4.3-2.4.6

11

Clinical governance in

primary and secondary

care including risk

management / risk

assessment

Dental Clinical Governance

and Risk Management Group

Section 8 of

curriculum –

Legislation, Ethics,

Governance

1-5

Catherine lush

quarterly

1

THE LOTHIAN PUBLIC DENTAL SERVICE

Provisional Training Programme for StRs in Special Care Dentistry

The Lothian Public Dental Service (LPDS) SPCDS is a Lothian-wide service currently hosted by West Lothian CHCP. The service operates from 33 locations based in hospitals, health centres, primary care/healthy living centres, Special Needs schools, as well as two dedicated dental centres, one in central Edinburgh and one in Midlothian. The main role of the Public Dental Service, is to:




Defining the client group Whilst in the past the service has provided care to patient groups defined as :





practice - any patient in hospital - anyone in a care home who has difficulty accessing care in general practice - anyone whose fear of dentistry discourages them from seeking care - homeless people who have difficulty accessing care and - other special needs patient groups such as Haemophiliacs.

There is an increasing emphasis on concentrating the delivery of care to only those patients who have a moderate to severe disability as access to general dental practice improves and as directed by the Scottish Government , with the formation of the Public Dental Service. NHS Lothian contains 9% of the areas of greatest multiple deprivation in Scotland and there are major demographic changes predicted, increasing Lothian’s population by 17% by 2031. The population increase is most marked in the very young and very old – populations which make most use of Public Dental Service. In particular, there is an expected 63% increase in over 65s in this time period

2

The StR Timetable The StR timetable is based on a fortnightly pattern. This is to ensure flexibility of StR training and access to all to all aspects of their training needs. This will allow the StR to be trained alongside the Specialist in Special Care Dentistry and Consultant colleagues on an individual basis, Induction The first month /( 3-4 weeks ) of the training programme will be dedicated to allow for mandatory induction training at a local level as part of LPDS and at a National level as part of the NES Scotland Training programme. This will allow for full orientation within the Special Care Dentistry team – location, staff, facilities etc. and the completion of mandatory e-learning modules and Immediate life support training in order to participate in IV sedation.

Major Acute Teaching Hospitals The Royal Infirmary of Edinburgh The Special Care Dental Unit at the Royal Infirmary allows the StR to work on a hospital site with access to hospital services, such as - Radiology – full range of radiography techniques, and Consultant reporting


laboratories. - Back-up support of medical teams, in both general and emergency care. The

possibility of patient admission to wards and day surgery unit with prior arrangement with medical teams.

- Access to haematology care – such as, factor replacement , DDAVP and tranexamic acid provision.

- Specialist services include East of Scotland cardiac surgery unit , Scottish Liver Transplant Unit, kidney and pancreas transplants, with on-site renal dialysis

Lothian itself is an area of mixed socio-economic need, with areas of high level deprivation including homeless, travellers and also drug-taking communities. There are a number of community homes for people with learning difficulty, dementia and complex needs. In the wider area, there is a significant rural population. This means that out StR’s will be exposed to a wide range of medical needs, oral and general pathologies, and a high level of dental need.

3

St Johns Hospital in Livingston Has a dedicated dental department , with 2 dental surgeries providing Specialist led Orthodontic and Special Care Dentistry services as well as 3 teaching bays which provides training facilities for the StR in Special Care Dentistry , LDFTs, Dental Care Professionals and junior members of staff. The Special Care Dental Unit at St John’s Hospital In Livingston , allows the StR to work on a hospital site with access to hospital services, such as - Ear, nose and throat (ENT) surgery and Maxillo facial Surgery Services are

based here , with the establishment of a specialist head and neck unit, Special Care Dentistry has a close working relationship with the unit .

- Radiology full range of radiography techniques, and Consultant reporting where needed.

- Phlebotomy services – including use of haematology and biochemistry laboratories.

- Back-up support of medical teams, in both general and emergency care. The possibility of patient admission to wards and day surgery unit with prior arrangement with medical teams.

- On-site MacMillan unit Western General Hospital - Edinburgh This is a newly refurbished unit opened in January 2014. The trainee will have a placement one day a week in years 2 -3 training alongside one of three specialists in Special Care Dentistry. In year 3 the trainee will be involved as part of the South east Scotland managed clinical network for head and neck cancer , led by the Consultant in Restorative Dentistry , Chris Millen . The 3-surgery Special Care Dental Department is adjacent to one of three LPDS laboratories and provides an excellent opportunity for the trainee to develop a close working relationship with our experienced senior dental technicians fro the more complex prosthodontic cases. The Western General Hospital is the South east Scotland Regional Centre for Oncology services , Stroke rehabilitation ,department of clinical neurology , Intensive Care and Coronary Care Units , assessment and rehabilitation services for Older People, Gastroentrology and general medical and surgery units in addition to the regional infectious diseases unit. This provides a high level of quality inter & multi-disciplinary working with the medical and surgical teams for our special care patients. As with the other two major acute teaching hospitals there is full access to hospital

services - Radiology full range of radiography techniques, and Consultant reporting


laboratories.

4

- Back-up support of medical teams, in both general and emergency care. The possibility of patient admission to wards and day surgery unit with prior arrangement with medical teams.

- On-site Maggies centre

Special Care Dental Clinics These will be usually alongside the Specialist in Special Care Dentistry and, where possible, divided into Consultation joint clinics and treatment clinics. Patients with widely varying special care and additional needs will be seen, and appropriate full range of care provided for, or onwards referral where necessary.

Conscious Sedation Training Intravenous and inhalational sedation will be provided in practice by initially Karen Innocent (SDO and Specialist in Special Care Dentistry), and Carol MacIntyre ( SDO with a special interest in conscious sedation ) and in years 2 and 3 with an additional SDO /Specialist in Special Care Dentistry , currently on maternity leave at Duncan Street Dental Clinic . Both Carol Macintyre and Caitlin Laird ( SDO on Mat leave) hold the Diploma in Conscious Sedation from the University of Newcastle Conscious sedation training for the more medically complex patient will also be provided by Dr Arnie Arnstein Consultant Anaesthetist at St Johns Hospital in Livingston one session per week in year 3 .

General Anaesthesia Training in provision of dentistry for patients with special care needs will commence with Chris Cunningham and Karen Gordon (Specialists in Special Care Dentistry at St Johns Hospital in Livingston). This is a day case list, but there is provision for access to inpatient care as and when required.

Domiciliary Provision of Care This will be in tandem with both the Specialist in Special Care Dentistry and, where appropriate, with senior clinical colleagues and necessary nursing support.

Particular reference will be given to: Risk assessment Cross-infection control Medical Emergency Training and Equipment Adult with Incapacity Act Best interest case conferences

(These are not exclusive to domiciliary care – but it is pertinent that these areas are not forgotten in the domiciliary environment).

5

Prison Care This will be accessed via prior arrangement and necessary security precautions at Her Majesty’s Prisons Addiewell West Lothian or Saughton Prison in Edinburgh. StR’s will be with assistant clinical director Douglas Duncan and the Senior Dental Officer for prison services and the Senior Dental Nurse at the prison .

Adolescent Care (16-18 years) Will be with both the Specialist in Special Care Dentistry, Judith Lopes and Consultants within the Department of Paediatric Dentistry EDEC .

Emergency Care for Patients This will be through the normal provision of care for Special Care Dentistry, but also with occasional sessions in Chalmers Dental Centre Dental Access centre (no more than 1 session per month). .

Head Injury and Neuro-Rehabilitation This will be via the Neuro-Rehabilitation and Challenging Behaviour Unit at the Royal Edinburgh and the Charles Bell Pavilion , Astley Ainslie Hospital , together with the Specialist in Special Care Dentistry , Karen Innocent .

Oral Surgery Dento-alveolar surgery, including apical surgery and biopsy technique, will be taught by Specialists in Oral Surgery (Iain Jackson and Consultants within the department of oral Surgery in EDEC , under LA, conscious sedation, and GA.

Oral Pathology & Oral Medicine The Special Care Team within Lothian PDS has an excellent working relationship with the Oral Surgery Department at EDEC. Oral pathology specimens are sent to Dr Brendan Conn , Oral Pathologist, and a member of the head and neck cancer managed clinical network, Dr Conn is very supportive of our training needs

6

Medical and Surgical Training ( All Three Acute Hospital sites ) The Special Care Team has strong and robust links with a number of medical and surgical Consultant teams, with direct fast-track referral of patients to our service. There are dental clinics in each of the 3 Acute Teaching Hospital sites, and the StR will gain experience across all of these sites . Excellent multi-disciplinary team working already exists with these teams, which will be extended to the StR’s. Already agreed is:

Haematology and Oncology teams - for StR’s to attend ward rounds, consulting clinics. Oral and Maxillofacial Surgery - for StR;s to attend ward rounds, consulting clinics and theatre lists – led by Mr Martin Paley and Mr James Morrison Consultants in Oral & Maxillofacial Surgery. Renal and Liver transplant Unit RIE (Dialysis and Transplant Cases) – CC awaiting confirmation from (Professor Hayes and Dr Whitworth and Dr Denova Cardiology - CC awaiting a reply from Dr Peter Bloomfield Consultant Cardiologist . Palliative Care team and Pain Control Clinic –Awaiting reply from Professor Marie Fallon

St Columba’s Hospice – Edinburgh Special Care Team within Lothian Public Dental service provides emergency and urgent dental to patients within the hospice The StR will have the opportunity to assess and treat patients within the hospice on an adhoc basis whilst based at the WGH clinic under the mentorship of Susan Baines SDO and Specialist in Special Care Dentistry .

Consultant-Led Training in Dental Specialties Restorative Dentists:- Professor Angus Walls has agreed for StR’s to attend a Restorative new patient consultants clinic . Paediatric Dentistry:- Dr Judith Lopes has agreed to provide training for the Adolescent, Relative Analgesia,. Other named consultants to be confirmed

7

Training and Supervision Occasional teaching and supervisions, with prior discussion and arrangement with the Specialist in Special Care Dentistry, for undergraduate therapists , dental therapists, dental hygienists, dental health educators and dental nurses in special Care Dentistry, in order that the trainee can enhance their own development in this respect.

Involvement with Community Learning Disability Team and Community Psychiatric Teams The Special Care team within LPDS has excellent and mutually supportive networks with both CLDT and CPN teams in the area. Early involvement with these teams in the StR training programme will be strongly encouraged, in order to facilitate the StR’s development and holistic patient care. In year 2 the StR will have the opportunity to assess and work up there own patient for general anaesthesia working with Martha Knox , learning disability nurse specialist under the mentorship of one of the specialists in Special Care Dentistry . In year 3 the trainee will be expected to “work up” a full case from Triage to discharge , Chair the case conference / best interest meeting to the provision of treatment under GA and post operative follow up.

Medical Emergency Training StR’s will be expected to participate in ILS (Immediate Life Support (UK) Resus Council) in Year 1 and Year 2 and Year 3 of their training. Mandatory training on Basic Life Support and AED training is given yearly within the Lothian Public Dental Service and the StR will be expected to attend this. There are 2 sessions per annum in-house medical emergency training with special emphasis on the provision of conscious sedation . StR’s will attend this as part of their IV sedation training.

IRMER StR’s will be expected to attend full IRMER training once during their 3-year programme.

Mandatory Trust Training StR’s will be expected to attend Mandatory Training within the service in subjects such as Child Protection, Vulnerable Adults, Adult with Incapacity Act, COSHH, Conflict Resolution, Diversity Training, Moving & Handling , Violence and Aggression

8

etc. in addition they will be expected to complete all mandatory Learn pro modules as defined by Lothian Health and the LPDS

Special Care External Training It has been agreed in principle with Clinical Director Robert Naysmith that the StR will be funded to attend appropriate national conferences on an annual basis in Special Care Dentistry. Those recommended are:

• BSDH (British Society of disability Oral Health) Spring & Winter Scientific Conference

• BSG (British Society of Gerdontology) Spring & Winter Scientific Conferences

• BDA/CDS Annual Presidential and Scientific 3-Day Meeting in October.

• Royal College of Surgeons Conferences, as recommended by the Specialist in

Special Care Dentistry

• Other Special Care Conferences as appropriate, after discussion with Robert Naysmith .

Academic Training Karen Gordon BDS MSc Community Health Assistant Clinical Director Specialist in Special Care Dentistry February 2014

9

Table 1: Lothian Public Dental Service Clinical Training – as mapped to the Curriculum in Special Care Dentistry Hospital / Clinic Description Curriculum Clinical Lead Comments including

days

Duncan Street Dental

Clinic

Anxiety and Behavioural

management, Inhalational

sedation - CBT

2.6.12 – 2.6.17 Karen Innocent

Jen Holland

Karen Gordon

Friday


Clinic

IV and oral sedation 2.6.16

2.6.27

Caitlin Laird Wednesday


Clinic

Anaesthetist led IV sedation

(propofol)

2.6.16

2.6.27

Karen Innocent Every second Monday


Clinic

Sp Care Sedation

PG teaching

Karen Innocent

Caitlin Laird

Jen Holland

varied


Clinic

IV sedation paediatric

patients

2.6.16

2.6.27

Judith Lopes Thursday

Royal Infirmary of

Edinburgh

Medically compromised–

haemophilia and thrombosis

unit and linking with Liver

and renal units and ICU

Latex free dentistry

Section 1 of

curriculum 6.d

2.1.24-2.1.74

2.1.22;2.1.23;2.1.58

Chris Cunningham Monday and Wednesday

10

St Johns Anaesthetist led assessment

clinic

2.8.1 – 2.8.8 Duncan Henderson

anaesthetist

TBC

St Johns Outpatient and in patient GA

( inpatient GA is arranged on

a case by case basis

2.6.16

2.6.27

2.6.28

2.6.34

2.6.35

Chris Cunningham

Karen Gordon

Tuesday am

Friday am

St Johns

St Johns Dentist led sedation more

complex medical conditions

and bariatric patients

2.6.16

2.6.27

Caitlin Laird Thursday am and pm

St Johns Anesthetist led sedation for

medically complex patients

2.6.16

2.6.27

Caitlin Laird Thursday am and pm

St Johns Domiciliary Care 2.6.7

Anna Cairns Wednesday am/pm

Royal Edinburgh

Hospital

Provide oral health care for

those with mental ill health

and those in a secure units

(mental health + forensic

health)

2.4.2

2.5.2

2.5.15

2.5.38

2.5.38

Karen Innocent Every second Tuesday

Wednesday

Royal Edinburgh

Hospital


patients with profound

2.5.37 Karen Innocent Tuesday and

Wednesday

11

learning disabilities with

challenging behaviour

Western General

Hospital

Haematology / Oncology 2.5.1

2.6.2

2.6.3

2.6.8

Karen Gordon

Susan Baines

Rachel Magill

Wednesday

Thursday

Friday

Western General

Hospital

MDT Head and Neck

Oncology

cases in conjunction with

restorative consultant EDEC

2.6.8 (need to

check

comptentcies)

2.6.29

2.6.30

Karen Gordon

Susan Baines

Tuesday am and pm.

Western General

Hospital

Head and Neck Oncology

Multidisciplinary clinic for

newly diagnosed cases in

conjunction with restorative

consultant EDEC

2.4.15

2.5.37

Karen Gordon

Susan Baines

Tuesday

Western General

Hospital

Head and neck oncology

follow up clinics

Karen Gordon

Susan Baines

Rachel Magill

Wednesday

Thursday

12


Centre/Bonnyrigg

Dental Centre


patients with patients with

learning disabilities

movement disorders/

dementia / sensory disability

physical disabilities

Jen Holland

Karen Innocent

Monday

Western General

Hospital and St Johns

End of life / Palliative Care /

hospice visits

2.8.16 Karen Gordon/Anna

Cairns

Variable

Spittal Street /Cowgate Dental Care for the

homeless/ drug addictions

Anna Brieva/ Anja

Grajek

Tuesdays and every

third Friday

Clinics across LPDS

Royal Victoria Hospital

Wester Hailes


Clinic

Provision of domiciliary care

to: Hospitals and care homes

for frail elderly people

including specialist dementia

units

Section 6 of

curriculum

2.6.23

Susan Baines

Anna Cairns

Rachel Magill

Variable

LPDS Dental services to:

Special schools

Comprehensive dental care

for adult special care patients

Section 6 of

curriculum

2.6.23

Judith Lopes

Jen Holland

Variable

Monday/Thursday/Friday

13

Transitional care services for

special care patients

Oral Health

Improvement team

To include Oral Health

Promotion and

including access to oral

health care services

Oral health promotion team

strength based

carrying out oral health

promotion functions

including:

ChildSmile

Widesmile

Lifesmile

Eg Delivering fluoride varnish

programme in schools and

nurseries

Section 5 of

curriculum – 5

2.5.26

2.5.27

Vanessa Strong - Head

of OH improvement

Karen Gordon

Variable

LPDS -Dental public

health functions in

community dental

services including

epidemiology

NDIP

Other ?

Section 4 of

curriculum -2

2.4.3-2.4.6

LPDS developing and

managing services /

Section 5 of

curriculum -

Robert Naysmith

Robert Naysmith

14

leader ship role 1-5 Gill Watson

Karen Gordon

Chris Cunningham

LPDS-EDI-clinical

governance in primary

and secondary care

including risk

management / risk

assessment

Governance leadership

Departmental clinical

governance group

Section 8 of

curriculum –

Legislation, Ethics,

Governance

1-5

Josie Marshall Clinical

Governance Lead

LPDS

Chris Cunningham

Edinburgh Dental

Education Centre

Oral medicine

OMFS / Oral surgery

including bisphosphonate

clinic

Restorative

Paediatrics

Orthodontics

Section 2.2 of

curriculum

5, 6a and 6b 2.1.7-

2.1.20

2.1.53-2.1.55

2.1.68

Section 7 of

curriculum

2.7.1-2.7.69

Currently not available Epidermolysis Bullosa clinic 2.5.37

15

2.6.21

Advanced sedation

2.6.16

2.6.27

Sp Care Sedation

UG teaching

1.2.15

3 Year Specialty Training Programme in Special Care Dentistry PERSON SPECIFICATION

1

REQUIREMENTS

ESSENTIAL

DESIRABLE EVIDENCED BY

QUALIFICATIONS

& ACADEMIC ACHIEVEMENTS

• BDS or equivalent • Eligible to work in a primary care setting

(VT number or can demonstrate equivalence)

• Further qualification relevant

to special care dentistry (SCD) • FDS – MFDS – MJDF or equivalent • Distinctions, prizes, awards and

scholarships

• Application form

EXPERIENCE

• Minimum of 2 years clinical experience

post-qualification, including experience in primary care

• Broad experience of dental specialties • Experience in the care of adults in the

field of SCD • Experience of use of conscious

sedation techniques and provision of oral health care under GA

• Application form • Interview


2

IT SKILLS

• Good presentation skills • Good IT skills

(e.g. word processing, Power point and Email)

• ECDL


SKILLS & ABILITIES

• Demonstrates a commitment and interest

in the field of SCD • Shows good practical skills • Competent to work without direct

supervision where appropriate • Clear logical thinking showing an analytical

approach • Appropriate knowledge base and capacity

to apply sound clinical judgement • Organisational ability

• Shows good practical skills and

observational skills • Shows good time management skills • Experience of delegation of supervision

of staff in the context of team working

• OSCE

SPECIAL KNOWLEDGE

• Up to date with GDC requirements • Good knowledge of basic science and ability to

apply this to clinical practice

• An understanding of trends in health care

provision • An understanding of issues facing people

requiring SCD.

• OSCE • Interview

AUDIT/CLINICAL GOVERNANCE

• Evidence of participation in, and understanding

of the principles of audit and clinical governance

Evidence of clinical audit of relevance to SCD. Evidence of clinical activities of relevance to SCD



3

ACADEMIC RESEARCH

SKILLS

• Evidence of an understanding of the basic principles and importance of research

• Ability to critically evaluate scientific literature

• Evidence of publications (posters/papers/abstracts)


TEACHING SKILLS

• Exposure to different teaching methods

• Understanding of principles of adult

learning • Enthusiasm for teaching

• OSCE

COMMITMENT TO SPECIALTY

• Demonstrates a realistic insight and

interest in SCD • Demonstrates self awareness and insight,

and commitment to personal and professional practice

• Support for specialty through membership

of relevant specialist societies • Other activities/ achievements relevant to

SCD

• Interview

PERSONAL SKILLS & ATTITUDE

• Capacity to operate effectively under

pressure, and remain objective in pressurised and changing situations

• Judgement under pressure • Awareness of own limitations and when to

ask for help

• Communication Skills - Can communicate in English

• Empathy with patients

• Professional relationship with colleagues as

well as patients

• Interview • OSCE


4

• Problem Solving • Capacity to bring a range of approaches to

problem solving

• Situation Awareness • Capacity to monitor and anticipate

situations that may change rapidly

• Decision Making • Demonstrates effective judgement and

decision making skills

• Team Involvement • Capacity to work effectively in a multi-

disciplinary team and demonstrate management skills appropriate to level of experience

• Capacity to establish good working relations with others

• Organisation and Planning • Capacity to manage time and prioritise

workload

MOTIVATION

• Motivated to work with people needing

special care • Demonstrates initiative, drive, enthusiasm

and self discipline

• INterview


5

CAREER PROGRESSION

• Evidence that career progression to date is

consistent with personal circumstances • Must have or be eligible to work in primary

care


PROBITY/ PROFESSIONAL INTEGRITY

• Displays honesty, integrity, and is aware of

ethical dilemmas and respects confidentiality

• Takes responsibility for own actions, demonstrates respect for the rights of all

• Aware of importance of being the patients advocate, child protection, protection of vulnerable adults, clinical governance and responsibilities of an NHS employee.

• Interview • OSCE

PHYSICAL REQUIREMENTS

• Satisfactory Occupational Health clearance • Able to travel between centres participating

in the training scheme, and be able to deliver services effectively.

• Occupational health

assessment • Valid clean driving

licence

APPLICATION COMPLETION

All sections of application form fully completed.


CONDITIONS OF SERVICE TITLE: LOCATION:

Specialty Registrar – Special Care Dentistry NHS Highland, NHS Lothian, NHS Tayside

GRADE: SALARY SCALE:

In accordance with the Specialty Registrar scale, as outlined in PCS(DD)2013/2. £31,301 - £47,175. Pay protection will not apply to this post.

HOURS AND DAYS OF WORK:

Based on a normal working week of 40 hours. However the training programme is equally open to those who may, either from the outset or subsequently, wish to train flexibly.

REHABILITATION OF OFFENDERS CLASSIFICATION:

This post is exempt under the Rehabilitation of Offenders Act 1974 and a Disclosure Scotland /PVG check will be required for the successful candidate(s), as a condition of the offer letter.

SMOKING POLICY:

There is a ban on smoking at the workplace.

HEPATITIS B STATUS:

It is policy that prospective employees involved in exposure prone procedures submit laboratory evidence of freedom from Hepatitis B or immunity to Hepatitis B prior to their commencement date and at appropriate up-dates during the course of employment. Non-responders to the vaccine and those in whom the vaccine is contra-indicated for medical reasons must provide laboratory evidence of freedom from infection. Failure to provide the required information will delay commencement.

EQUAL OPPORTUNITIES:

NHS Scotland is an equal opportunities employer. All employees and potential employees will be treated equally and fairly and decisions on recruitment, selection, training and personal development will be based solely on objective and job related criteria, irrespective of their gender, age, race, disability, background, sexuality and religion.

The conditions above are for information purposes only and may be subject to variation. They do not form the

basis of a legal contract.

Documents

NHS Education for Scotland Candidate Information Pack information Pack 1321BR.pdf · - provide general dental services, including specialist services, for those who cannot obtain