consultant in paediatric otolaryngology
royalhospital for children, glasgow
INFORMATION PACK
REF: 40709d
cLOSING DATE: nOON 15th january 2016
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: consultant in paEdiatric otolaryngology
base: royalhospital for children, glasgow
The Women & Children’s Directorate (an Acute Operating Division of NHS Greater Glasgow & Clyde) is a world leader in the care of child and maternal health services. Located in a new campus adjacent to the QueenElizabethUniversityHospital, the RoyalHospital for Children opened in June this year as a state-of-the-art children’s facility. In addition to its many national and regional specialist tertiary services, the Directorate also supports an extensive array of community child health services.
The post holder will join a team including 4 consultant paediatric otolaryngologists, an associate specialist, a specialty doctor and a paediatric audiological physician. The department has a developing research portfolio and is actively involved in undergraduate and postgraduate education.
The department has a major paediatric airway workload including the NSD-designated Scottish National Service for Complex Paediatric Airway Surgery. The department also undertakes a varied workload of secondary- and tertiary-level paediatric otolaryngology including head and neck surgery, chronic otitis media surgery, bone-anchored hearing aids, and audiological medicine. This post will therefore offer an excellent opportunity to develop areas of specialist expertise to complement those of the existing consultants. An interest and experience in paediatric otology would be an advantage.
Applicants should have full GMC registration, a licence to practice, MRCP or equivalent and eligibility for inclusion on the Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to CCT or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. Non-UK applicants must demonstrate equivalent training.
NHS Greater Glasgow & Clyde
Women and Children’s Directorate
Information Pack
for the post of
CONSULTANT
IN
PAEDIATRIC OTOLARYNGOLOGY
RoyalHospital for Children
Glasgow
1.RoyalHospital for Children, NHS Greater Glasgow and Clyde
Background
The Post will be based at the new RoyalHospital for Children,Glasgow.The brand new children’s hospital, with a separate identity and entrance, is adjoined to the adult hospital on the Southern General Hospital campus. It replaces the former RoyalHospital for Sick Children located in Yorkhill. The children’s hospital features 244 paediatric beds with a further 12 neonatal beds in the maternity unit next door. The vast majority of the paediatric beds are in single rooms with space for overnight accommodation for parents. The hospital also features a Medicinema, Science Centre interactive activity walls funded by the Yorkhill Children’s Charity, indoor and outdoor play areas and a roof garden.
It is the largest children’s hospital in Scotland and provides a wide range of clinical services to the local population of Glasgow in addition to fulfilling regional and national functions.There is a 20-bedded paediatric intensive care unit with high dependency level beds and an PICU patient retrieval service.
All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology and bone marrow transplantation, cardiology and cardiac surgery, neonatology, nephrology and renal transplantation, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, orthopaedics and general paediatric and neonatal surgery. The hospital also provides national services for ECMO, paediatric cardiac surgery and renal transplantation.
The Hospital includes The Duncan Guthrie Institute for Medical Genetics and has excellent Diagnostic Imaging, Pathology, Biochemistry and other Laboratory Medicine Services. All clinical areas within the Otolaryngology Department are well supported by the professions allied to medicine. Hospital paediatrics is closely integrated with the community child health programme. There are many links with the major adult medicine and surgery units within the city.
University Links
The hospital participates in the undergraduate teaching programme of the University of Glasgow in Child Health, Child & Adolescent Psychiatry, Medical Genetics, Human Nutrition, Pathological Biochemistry, and Surgical Paediatrics. There is an adjacent Teaching and Learning centre and astratified medicine research unit.
2.WORK OF THE DEPARTMENT
The otolaryngology department undertakes the full range of paediatric ear, nose and throat services, including a National Services Division-designated national service for complex airway reconstruction and a supra-regional referral service for airway disorders in general. The only service not provided on site is cochlear implantation, which is provided as a national service at CrosshouseHospital in Kilmarnock.
RHC is the main tertiary referral centre for paediatric airway disorders for Scotland. All airway conditions are dealt with including choanal atresia, laryngomalacia, subglottic stenosis, recurrent respiratory papillomatosis and tracheal pathology. This work is made possible by the support of a large paediatric intensive care unit, skilled anaesthetists, a national paediatric transport and retrieval service and experienced ENT nurses. Equipment available in the operating theatre includes a CO2 laser, a KTP laser, a microdebrider, microscopes, various rigid and flexible telescopes and video equipment. We have recently purchased half a million pounds-worth of new endoscopes for airway work.
Funding was obtained within the last few years to support the provision of digital hearing aids for all children, and for modernisation of audiology facilities in the hospital and various community settings. Audiology facilities in the hospital include otoacoustic emissions testing and ABR. Universal neonatal screening for hearing impairment was introduced in 2006. That year also saw the appointment of Dr Juan Mora, Consultant in Paediatric Audiological Medicine. The department has a bone-anchored hearing aid programme, and undertakes surgery for chronic otitis media and prominent ears on a regular basis.
The department also provides a service for children with head and neck lesions, including vascular malformations, branchial cleft anomalies and neck masses. Currently the following specialist clinics are in operation: Voice (Mr Wynne), BAHA / Microtia (Mr Clement), Saliva Control (Mr Kubba), Complex Airway (Mr Kubba, Mr Clement,Mr Wynne and Ms Kunanandam), Head and Neck (Ms Kunanandam), Down Syndrome preschool surveillance (Mr Kubba), Tracheostomy (Mr Clement and Mr Kubba, with Dr Phil Davies from Respiratory Medicine), Cleft Palate (Mr Wynne and Mr Sadiq), Craniofacial (Mr Wynne) and Otology (Mr Morrissey).
3.THE JOB ITSELF
(a)Title:
Consultant Paediatric Otolaryngologist
(b)Relationships:
(i)Name of Health Board(s)/Trust:
NHS Greater Glasgow and Clyde.
(ii)Names of Consultant members of the Department:
Mr Simon Morrissey (Lead Clinician)
Mr David Wynne
Ms Tash Kunanandam
Mr Haytham Kubba
Mr Andrew Clement
(iii)Junior Medical Staff
1 Senior Clinical Fellow (usually post-CCT)
2 Specialty Registrars, West of Scotland Rotation
1 GP trainee
1 Foundation Year 1 doctor
(iv)Other Medical Staff
Mr H A Sadiq, Associate Specialist
Dr Juan Mora, Consultant Paediatric Audiological Physician
Sylvia Harrison, Clinical Nurse Specialist in Tracheostomy and Complex Airway
Tracey-Ann Baird, Clinical Nurse Specialist in Tracheostomy and Complex Airway
(c)Duties of the Post:
(i)Clinical - details of all clinical commitments
The appointee will provide a service in general paediatric otolaryngology, and will have the opportunity to develop areas of special interest to complement those of the existing consultants. It is likely that the appointee will play a major role in delivering otological surgery including bone anchored hearing aids and middle ear surgery, and in providing otological support to the Scottish National Service for Microtia (led by Mr Ken Stewart, plastic surgeon).There will also be the opportunity to provide otological and airway surgery support to the craniofacial team. The appointee will be expected to play a role in the national referral service for children with airway disorders, and in particular will be expected to deal with a wide range of complex emergency airway cases on call.
The post holder will have a provisional job plan comprising a mix of flexible and fixed operating sessions and outpatient clinics in addition to responsibilities of ward rounds, continuing care, administration, teaching, audit and research. The exact timing of these sessions will not be confirmed until a review of job plans across the whole department is complete. It is envisaged that there will be an average of 2.5 operating lists and 3 clinics per week
The appointee will provide emergency cover on-call for the RoyalHospital for Children. On-call is on a dedicated paediatric on-call rota on a 1 in 5 basis.
(ii)Teaching
The successful applicant will be expected to take a role in undergraduate and postgraduate teaching. He or she will also be expected to be responsible for the professional supervision, training and development of doctors in training grades.
(iii)Research
The successful applicant will be expected to develop a research interest and supervise research projects undertaken by doctors in training grades. The postholder will also develop a lead role in clinical audit.
(iv)Administration
The postholder will be expected to undertake such administrative duties as are required for his or her patients and the proper functioning of the department.
(d)Timetable
This timetable is given only as an example as the exact timing and nature of sessions have yet to be determined.
Day / Hours / Hospital or Clinic and Description of Duties e.g. ward Rounds, Theatres and Out-patients etc.MON / AM / Flexible SPA/ theatre/ general clinic (cover for leave)
MON / PM / Flexible SPA/ theatre/ general clinic (cover for leave)
TUES / AM / Ward round; availability for emergencies
TUES / PM / Availability for emergencies
WED / AM / General outpatient clinic, RHSC
WED / PM / BAHA clinic
THURS / AM / Otology clinic
THURS / PM / Availability for emergencies (cover for leave)
FRID / AM / Theatre
FRID / PM / Theatre
SAT / AM
SAT / PM
SUN / AM
SUN / PM
Job Plan Review
This job plan is negotiable and will be agreed between the successful applicant and the Clinical Director. NHS Greater Glasgow & Clyde initially allocates all full time consultants 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core Supporting Professional Activities (SPA) for CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine communication and management meetings. The precise allocation of SPA time and associate objectives will be agreed with the successful applicant and will be reviewed at annual job planning.
Human Resources
General Provisions
You will be expected to work with local managers and professional colleagues in the efficient running of services and will share with Consultant colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions, you are expected to observe the organisation’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instruction NHS Greater Glasgow & Clyde, in particular, where you manage employees of the organisation, you will be expected to follow the local and national employment and personnel policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary.
All medical and dental staff employed by NHS Greater Glasgow & Clyde are expected to comply with the central Health and Safety Policy.
You will have responsibility for the training and supervision of (junior) medical staff who work for you and you will devote time to this activity on a regular basis. If appropriate, you will be named in the contracts of doctors in training grades, as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers.
Medical Negligence
In terms of NHS Circular 1989 (PCS)32, dealing with Medical Negligence, the Division does not require you to subscribe to a Medical Defence Organisation. The Division will indemnify you under the Crown Indemnity Scheme for all work carried out for the Division
It may however be in your interest to subscribe to a defence body in order to ensure that you are covered for any work, which does not fall within the scope of the indemnity scheme.
Private Earnings
There are special provisions relating to extra programmed activities which apply to a consultant who wishes to undertake private practice. These provisions are set out in paragraphs 4.4.7 – 4.4.12 of NHS circular PCS(DD) 2004/2.
Candidates wishing to visit the hospital may do so and should make their arrangements direct with:
- Mr David Wynne, Ms Tash Kunanandam, Consultant Otolaryngologist
Shortlisted candidates also welcome to contact:
- Dr Alan Mathers, ,Associate Medical Director Women and Children’s Directorate
- Mr Jamie Redfern, General Manager Women and Children’s Directorate
Person Specification for Consultant Paediatric Otolaryngologist
Essential Requirements / Desirable Requirements- Qualifications and Professional Training
- Professional Practice and Experience
Should have completed all relevant training in general otolaryngology
Should have fellowship-level experience in otology and paediatric otolaryngology including specialist airway work / Special areas of interest and expertise to complement those of the existing consultants
Should have completed management training.
- Research; Publications; Teaching
Interest and experience in teaching at undergraduate and postgraduate levels.
- Personal Attributes
Leadership skills.
Organisational and administrative skills
Commitment to team working.
- Other General Requirements
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.
TYPE OF CONTRACT / PermanentGRADE AND SALARY / Consultant
£76,761 £ 103,490 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.
HOURS OF DUTY / Full Time40.00
SUPERANNUATION / New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via:
REMOVAL EXPENSES / Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.
EXPENSES OF CANDIDATES FOR APPOINTMENT / Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses.Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.
TOBACCO POLICY / NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.
DISCLOSURE SCOTLAND / This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.
CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK / NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.
REHABILITATION OF OFFENDERS ACT 1974 / The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.
DISABLED APPLICANTS / A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.
GENERAL / NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES / The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE / The employment is subject to three months’ notice on either side, subject to appeal against dismissal.
MEDICAL NEGLIGENCE / In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.
FURTHER INFORMATION