Consultant in Sexual Health & Hiv Medicine
consultant in sexual health & hiv medicine
joint post – nhs greater glasgow & clyde and nhs ayrshire & Arran
INFORMATION PACK
REF: 40834d
cLOSING DATE: nOON 5th february 2016
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: consultant in sexual health & hiv medicine
base: joint post – nhs greater glasgow & clyde and nhs ayrshire & Arran
Applications are invited from an enthusiastic consultant to provide direct clinical care within integrated sexual health and related services at Sandyford or any of its other sites, and in Ayrshire at the Irvine, Ayr and/or Kilmarnock sites with a particular emphasis on urgent care of symptomatic individuals and management of complex presentations; to provide clinical leadership, participate in local and national audit, to assist in research as required; to provide and take part in educational activities; toundertake administrative tasks in order to ensure smooth liaison and partnership development with all relevant statutory and non-statutory agencies, and to undertake any other task deemed suitable that may arise as a result and at the request of the Sandyford management team.
This post is a fixed term contract for 2 years.
Sandyford offers a comprehensive range of Sexual Health services, including Genitourinary Medicine, Sexual & Reproductive Health and Counselling. The service commitment and training opportunities would be tailored according to the successful applicant’s core skills and development needs.
NHS Greater Glasgow & Clyde
JOB DESCRIPTION
Consultant
Sandyford Sexual Health Services, Glasgow
With duties in Ayrshire Sexual Health, Irvine
1.0 WTE Fixed term appointment for two years
1. Job details
Job title: Consultant in Sexual Health and HIV Medicine
Employer: NHS Greater Glasgow & Clyde
Location: Based at Sandyford Central, G3 7NB
Professionally accountable to: Clinical Director, Sandyford
Managerially accountable to: Head of sexual health services, Sandyford
2. Qualifications
Candidates must hold a CCT in Genitourinary Medicine or be within 6 months of obtaining CCT at the interview date. Experience of working within integrated sexual health services is desirable, as is a qualification in SRH.
3. Sandyford
Sandyford is the comprehensive specialist service for sexual, reproductive and emotional health for NHS Greater Glasgow and Clyde. The service covers a population of 1.1 million and there are approximately 110000 patient contacts per year. The Sandyford ethos is ‘to provide health improving services in a client focused, inclusive and anti-discriminatory way, through constantly innovating to meet the needs of men and women’, promoting excellence in sexual and reproductive health and to influence others to provide positive, open access approaches to health and well-being for all.
Sandyford delivers an integrated range of services based around Genitourinary Medicine and Sexual and Reproductive Health. There are also services targeted at population groups including The Place (for young people), Steve Retson Project (for men who have sex with men) and the Gender Identity Service. There is a large sexual problems service.
While mainly based in Sandyford Central, G3 7NB, services are also delivered in 14 community hubs and satellites across the Health Board area. All services provide integrated sexual health care, with patients attending generic services with a range of issues and being seen by members of a multidisciplinary team who will work within their skills and competencies to meet the patient’s needs or refer on to appropriate team members or other professionals.
A comprehensive Genitourinary Medicine service is provided for both men and women, with specialist clinics for people with complex or chronic conditions. Men who have sex with men are seen both in routine integrated services at Sandyford Central and the hubs and in the specialist Steve Retson Project.
There is an on site laboratory at Sandyford Central, staffed by a biomedical scientist who provides a rapid slide-reading service for Sandyford Central and the community clinics. There is excellent local laboratory support with an emphasis on molecular diagnostics. There are excellent relations with reference laboratories, public health and epidemiologists.
Sandyford provides a complete range of contraceptive services including LARC and vasectomy counselling and operating. Specialist reproductive and sexual health clinics include menopause clinics, psychosexual medicine service, gender identity service, medical gynaecology clinic, colposcopy diagnosis and treatment, pelvic ultrasound, hysteroscopy and minor operative procedures. Sandyford also offers early pregnancy counselling services with direct referral for termination of pregnancy within the assessment and referral (TOPAR) service.
The unit has many services which are tailored to meet the needs of specific groups such as people involved in prostitution, young people, asylum seekers, lesbians, men who have sex with men, transgender people, different ethnic groups and people with disabilities. An equality impact assessment of the service was undertaken in 2015.
Sandyford Counselling and Support Services (SCaSS) provide comprehensive counselling services for men and women, particularly for issues which have an impact on sexual health.
Sandyford is committed to a social holistic model of health and has very close ties with the Board’s health improvement team for sexual health which is based at Sandyford. Sandyford has a part-time Community Access Co-ordinator whose role is to ensure the views of users are taken into account in designing and delivering services and the strategic direction of the service. He also liaises with different community groups in an effort to reach non-users.
Sandyford is involved in education with many different groups ranging from the general public to youth groups and medical undergraduates, health care professionals, teachers and many others. Special Study Modules are provided for undergraduate medical students from Glasgow University and the Directorate has close links with Caledonian University and the University of the West of Scotland.
There is a comprehensive national sexual health IT system, the NaSH system, in use across Scotland. All routine consultations are paperless. The system provides a significant amount of routine reportable information and facilitates dispersed working, secure messaging, and a high degree of automation. Test results are imported and interpreted automatically and made available via an automated telephone system.
Archway Glasgow is Scotland’s first SARC (sexual assault referral centre), which aims to improve the care provided for those who have been raped or sexually assaulted by providing forensic and medical services, counselling and follow-on support for women, men and adolescents who have been raped or sexually assaulted in the Greater Glasgow area. Archway is a partnership between the statutory and voluntary sector including the NHS, Glasgow City Council, Strathclyde Police, Crown Office Procurator Fiscal Service and Glasgow Violence Against Women Partnership and is hosted within Sandyford.
HIV clinical care is provided through the Acute Division at the Brownlee Centre, Gartnavel General Hospital, G12 0YN. Around 1300 patients attend shared between a team of 8 consultants (currently 4 Genitourinary and 5 Infectious Diseases consultants). In-patients are admitted to the Brownlee Ward under the care of one of the Infectious Disease physicians. There is excellent multidisciplinary team support including specialist nursing, liaison psychiatry, specialist pharmacists, AHPs, liaison psychiatry and counselling. The Brownlee is located on the same campus as the immunology and virology laboratories. Consultations are semi-paperless with extensive use of Clinical Portal and a comprehensive unit database which is used for audit and cost containment. There are regular HIV and Infectious Disease update meetings, teaching and training.
3. Sexual Health Ayrshire
Under a service level agreement with NHSGGC, the post holder will join the multidisciplinary team providing sexual health services in Ayrshire and act as a lead for GUM within the integrated sexual health service, providing clinical care and contributing to service development.
The Sexual Health Department is based in Irvine and provides a community based integrated sexual health service across Ayrshire. NHS Ayrshire and Arran serves a total population of approximately 367,000 across 3 local authority areas. Sexual health services are provided within the strategic direction of the Scottish Government’s Sexual Health and BBV Action Plan and Local Action Plan.
The Ayrshire and Arran NHS Board has a Sexual Health Programme Board to oversee delivery of its Sexual Health Strategy. A consultant in Sexual and Reproductive Health is the Lead Clinician for the Strategy. Sexual health services are provided by a range of providers across community and acute services, primary care and community pharmacy, with close links to the Health Promotion team and school nursing. The service has several regular training commitments within and outwith the service for a range of professional groups.
The department is based in a dedicated building known as The Gatehouse at Ayrshire Central Hospital in Irvine. The building was purpose built and opened in 2010. It contains clinical and administrative accommodation. Clinics are increasingly integrated and staff are expected to have competencies in sexual health and contraception. Community clinics are held in NHS accommodation in Ardrossan, Kilbirnie, Kilmarnock, Cumnock , Ayr and Girvan.
Sexual and reproductive health (SRH) clinics take an integrated approach, providing contraception, cervical screening, pregnancy tests and advice as well as sexual health screening (including blood tests for HIV and syphilis) and treatment for chlamydia and gonorrhoea. These clinics provide insertion and removal of implants. IUDs are fitted at most daytime SRH clinics, and in evening clinics as emergency contraception.
The majority of nursing staff are non-medical prescribers and have health advising competencies, seeing patients independently.Some clinics are specialist appointment clinics for more complex reproductive health and genitourinary medicine needs.
Clinics undertake counselling of women requesting sterilisation as part of a pathway designed to ensure women are offered a full range of contraception and consistent counselling. There is an outpatient vasectomy service.
The department, in common with all specialist sexual health services in Scotland, uses the Scottish national IT system for sexual health (NaSH) for electronic patient records and administration, and telephonetics for patient results.
Both NHSGGC and NHSAA sexual health services are part of the West of Scotland Managed Care Network for sexual health, with many shared protocols and a collaborative approach to clinical care, audit and research. More details are available at http://www.wossexualhealthmcn.org.uk/west-of-scotland-managed-clinical-network
4. General Responsibilities
1) Provide direct clinical care within integrated sexual health and related services at Sandyford or any of its other sites, and in Ayrshire at the Irvine, Ayr and/or Kilmarnock sites with a particular emphasis on urgent care of symptomatic individuals and management of complex presentations.
2) Provide clinical leadership.
3) Participate in local and national audit.
4) Assist in research as required.
5) Provide and take part in educational activities.
6) Undertake administrative tasks in order to ensure smooth liaison and partnership development with all relevant statutory and non-statutory agencies.
7) Any other task deemed suitable that may arise as a result at the request of the Sandyford management team.
8) It is emphasised that duties and responsibilities of this post may change as a result of new evidence and service development.
5. Areas Of Special Responsibility
To be agreed depending on the successful applicant’s interests and expertise and the needs of the service; the immediate service need is to provide senior Genitourinary physician support to integrated urgent care clinics at Sandyford Central and complex GUM care in Sexual Health Ayrshire. There may be an opportunity for suitably qualified individuals to act as Educational Supervisor to GUM doctors in training programmes.
6. NHS Scotland
The Scottish Government’s Sexual Health Strategy (Respect and Responsibility), launched in 2005, made recommendations on how sexual health should be delivered and emphasised the importance of patients having choice in obtaining services and the role of primary care in partnership with other service providers. The Sexual Health and Blood Borne Virus Framework, which succeeded this, combines areas of work surrounding Sexual Health, HIV, hepatitis C and hepatitis B. It is a multi-agency, cross agenda approach based on five high level outcomes. It was updated in Autumn 2015: http://www.gov.scot/Resource/0048/00484414.pdf.
NHS Healthcare Improvement Scotland (formerly Quality Improvement Scotland) developed standards for sexual health services and NHS Both Greater Glasgow and Clyde and NHS Ayrshire and Arran had an external review of their compliance with these standards in 2011.
7. ORGANISATIONAL STRUCTURE
Sandyford is hosted within the North West Sector of Glasgow City Health and Social Care Partnership.
Sandyford Management Team
Ms Rhoda Macleod Head of Sexual Health Services
Dr Pauline McGough Clinical Director & lead clinician for Sexual Health NHSGGC, Consultant in SRH
Mrs Lorraine Forster Nurse Consultant & head of profession
Mrs Fiona Noble Performance and Planning Manager
Mrs Jennifer Schofield Operations Manager
The successful applicant will join a medical team which includes 15 Consultant staff across four specialties, 1 FY2 Doctor, specialist trainees in GUM and SRH, specialty and associate specialist doctors. The wider multidisciplinary team includes advanced nurse practitioners, specialist sexual health nurses and health care support workers, health advisers, administrative & clerical staff and biomedical scientists, counsellors and others.
Services within NHS Ayrshire and Arran will be provided by service level agreement.
The Sexual Health Service is part of The Women’s Health Directorate with gynaecology. The Sexual Health Ayrshire team includes
Dr Ruth Holman Consultant in SRH, lead clinician Sexual Health NHSAA
Dr Tina Melville Consultant in SRH (0.6wte)
Carolyn McAdam Senior charge nurse
Helen Kenyon Practice development nurse
Julie McCamily Associate specialist Lead for Education & Training (0.7 wte)
Ruth Evans Associate specialist, Lead for Clinical Governance (0.3 wte)
There are another 2 staff grade doctors providing 1 WTE clinical sessions, a total of 10.5 WTE nursing staff providing clinical care including health advising and services for people with learning difficulties, health care support workers and 0.4 WTE counselling provision for post-termination and psychosexual counselling.
A full time administration supervisor leads the team who provide reception, secretarial and administrative functions.
Consultants have dedicated office space with IT equipment, access to the internet and secretarial support.
9. Provisional Job Plan
A final job plan will be agreed with the post holder on appointment and will be reviewed annually to take account of the evolving needs of the services. See appendix D for an indicative job plan.