Job Description

Service / National Medical Services
Job Title / Medical Director – MP753
Hours / 37.5 hours per week
Salary Range / Depending on skills and qualifications
Reports to / Chief Executive Officer
Purpose of Job / The postholder will be an integral member of the senior executive management team chaired by the Chief Executive Officer.As a member of the Executive Management Team (EMT), the Medical Director will contribute to all discussions and decision making processes that relate to the organisation’s strategic plans and their implementation.
The Medical Director will be a registered and licenced doctor with appropriate skills and experience to provide clinical care, clinical leadership and support the EMT with professional clinical advice and interpretation.
The post holder will assume the corporate responsibility for ensuring the business strategy and related objectives and targets are clearly communicated across the organisation and translated into personal and team objectives.
They will take responsibility for the strategic direction of clinical services ensuring they are aligned with the overall strategy and the values of the organisation
The Medical Director will ensure proactive management of risk at corporate level.
The Medical Director will support the delivery of the following processes:
  • Patient safety and quality of care and aligned work streams
  • Ensuring quality and safety of medical and relevant clinical interventions across the organisation, by providing clinical leadership in a number of key strategic areas including alcohol and drug treatment, mental health, and business development.
The post holder will be responsible for implementing policies and strategies agreed by the Executive Management Team.
The Medical Director will support the delivery of the following workstreams:
  • Development of our integrated models of care
  • Care pathways design
  • Development of quality dashboards
  • Service performance reviews
  • Patient safety – analysis of performance information, patient feedback, design of improvement initiatives
The Medical Director will apply their clinical expertise within the organisation as follows:
  • Professional leadership and guidance, appraisals of clinical staff, support with employment issues, chairing conflict resolution meetings for clinical staff
  • Support the implementation of revalidation for doctors (appraisals, CPD), audits, research, educational and academic activities.
  • Support the professional development of other clinical professions including nursing revalidation
  • Public Health initiatives including development, design and sign off of relevant PGDs.
  • Financial governance including oversight of drugs costs and clinical review of new business viability.
  • Corporate team including all work streams where clinical input is required.
  • Quality and safety.
  • Medicine management, independent review, prescribing advice, HealthCare Acquired Infections (related management/communications), trend analysis, monitoring review, occurrence reports.
  • Complaints
  • Internal safeguarding responsibilities
The other key areas of responsibility will be:
  • To ensure all medical practices abide by General Medical Council core ethical guideline of Good Medical Practice, and CRI clinical policies, protocols, guidelines and procedures, agreed by the Medical Directorate, Medicines Management Group, and colleagues from the Quality and Safety Directorate.
  • To provide expert advice to EMT in achieving contract targets whilst ensuring quality of care and safe practice, through the design and development of clinical service models and strategies, contribution to tenders and presentations to commissioners.
  • To work flexibly across a number of operational sites as required and work flexibly within an agreed number of hours to maintain the most appropriate level of service provision.
  • The postholder will be expected to take responsibility for personal development, identify personal training needs and participate in regular supervision and appraisal.
  • The Medical Director will undertake the role of senior clinician on the Integrated Governance Committee, will be responsible for the Medicines Management Group, Chair the Mortality Rates Committee and provide clinical leadership to the Research Oversight Group.
  • The Medical Director will be the Responsible Officer for CRI (see appendix RO JD).

Areas of Responsibility:

Management Accountability

To the Chief Executive Officer who will provide direct line management and supervision

Significant Working Relationships

The Medical Director willbe supported by Associate Medical Directors, the Director of Nursing, the Lead Pharmacist, Lead Psychologist and a Business Manager. The Medical Director will line manage and provide monthly supervision to the above mentioned leads.

  • In addition the Medical Director will be expected to maintain a high level of dialogue and relationship with partner agencies and commissioning bodies.
  • The Medical Director will be expected to work closely with the Medical Business Manager to ensure the appropriate HR and Finance systems are in place.
  • The Medical Director will be expected to support and advise EMT and operational directors to implement national and regional clinical strategies and policies agreed by the senior clinical team.
  • The Medical Director will be further supported by a Revalidation Support Officer and Medical Business administrator to ensure the clinical standards meet internal CRI Quality Standards and external standards set by Care Quality Commission, Monitor orCommissionersand are in line with CRI policies, procedures and the GMC GMP.

The post holder will ensure that:

  • Doctors working under his/her supervision are fully compliant with GMC Good Medical Practice, and all medical treatments adhere to CRI clinical protocols and procedures approved by the Medicines Management Committee.
  • Service performance audits are carried out diligently in line with CRI policies, and recommendations are implemented swiftly.
  • All medical procedures and practices are in line with CQC / HIW regulations. In doing so, the Medical Director will work hand in hand and support the operational staff responsible for CQC / HIW compliance.
  • Safeguarding of children and vulnerable adults is embedded in medical practice.
  • All doctors, nurses, psychologists and pharmacists working for CRI receive monthly clinical supervision, attend monthly clinical meetings, and comply/engage with relevant revalidationregulations.
  • Doctors or services failure to comply with statutory regulations (GMC, CQC/HIW, DoH) is reported immediately to the EMT in line with CRI policies.
  • Parity of working conditions and practice for all doctors, nurses, psychologists and pharmacists working for CRI are preserved or achieved. This applies to salaries, remunerations, working conditions, special appointments, on-calls, or any other aspect affecting medical staff.
  • Concerns or complaints about a doctor’s practice or behaviour, and doctors’ concerns about quality of care, safety and working conditions are addressed, and when deemed appropriate, investigated according to CRI policies and protocols and responsible officer regulations.
  • Medicines Management Group policies and protocols are implemented and personal input is provided to the MMG on a regular basis.

Location will be flexible depending on allocated areas of responsibility. However, there is an expectation that you will allocate sufficient time at each of CRI’s projects to ensure high standards of service delivery and effective line management capability across all teams.

  1. Responsibilities

This post-holder will be responsible to the CEO in fulfilling the following duties:

1.1.Good Medical Care

  • To ensure all doctors receive monthly medical supervision, advice and support.
  • To ensure all doctors have the appropriate resources to deliver safety and high quality medical interventions.
  • To regularly review and monitor services performance.
  • To keep accurate appropriate and up-to-date medical and administrative documentation including computer records.
  • To liaise closely with other relevant professionals bodies and organisations including non-statutory addiction services, adult psychiatric services, general practitioners, medical colleagues, Social Services and Prison Services
  • To provide clinical advice, liaison and consultation for complex cases as required to colleagues in primary care, community services and acute specialties in line with new ways of working.
  • Work with other EMT members to ensure same quality of care is provided across all CRI medical services.
  • To liaise and interact with fellow members of the EMT and CRI Directors ensuring clinical and business goals are met whilst clinical standards are kept high.
  • To ensure care plans reviews and audits, health education especiallyaround harm minimisation, blood borne viruses and overdose prevention are carried out.
  • Provide training, advice and support to other clinical and managerial staff to ensure safe and effective service delivery.
  • To attend and contribute to senior clinical and management meetings.
  • Represent CRI at a range of meetings with other professionals and agencies in order to evaluate, monitor and develop treatment services and minimise barriers to treatment.
  • To lead in the implementation, adherence and development of internal and external clinical governance procedures.

The post holder should also accept that he/she might be required to perform duties in occasional emergencies and unforeseeable circumstances at the request of the CEO in consultation with EMTcolleagues.

1.2.Maintaining good medical practice

  • The Medical Director is the Responsible Officer for CRI reporting to PHE South Region. (See appendix RO JD).
  • To encourage and support doctors to engage in Revalidation process, including annual appraisals, continuing professional development, and joining PDP groups.
  • To make recommendations for Revalidation.
  • To support and encourage doctors to take their study leave entitlement in line with Royal College Guidelines and to support the development needs identified in their PDP, Peer Group reviews and appraisal.
  • The post-holder will have an annual appraisal with the PHE allocated RO appraiser and full support for any requirement to comply with Revalidation for Responsible Officers, and personal Professional Development Plan (PDP).
  • To produce annual reports on revalidation and clinical performance to the EMT and Board of Trustees.
  1. Audit and health and social care governance
  • The post holder will be expected to lead national clinical audits and other clinical governance activity including development and review of policy and process as directed.
  • The post holder will be expected to participate in Medicines Management Group meetings including development and review of policy and process as directed.
  1. Promoting Equality, Diversity and Inclusion
  • Promote Equality, Diversity and Inclusion in employment practices and leadership relationships.
  • Ensure that CRI proactively supports the principles and practice of equality of opportunity as detailed in the organisation’s strategies, policies and in accordance with its legal obligations.

General terms of reference:

In carrying out the above duties the post holder will:

  • Work flexibly across operational sites as required.
  • Work flexibly within an agreed number of hours of work to maintain the most appropriate level of service provision.
  • Seek to improve personal performance, contribution, knowledge and skills.
  • Participate in appraisal, supervision and Learning & Development processes.
  • Keep abreast of developments in services, legislation and practice relevant to the relevant client group.
  • Ensure the implementation of all CRI policies.
  • Contribute to maintaining safe systems of work and a safe environment.
  • Undertake other duties appropriate to the grade of the post, including attendance at Senior Management Meetings

OTHER

  • This post is subject to the terms and conditions of employment of CRI.
  • This is not an exhaustive list of duties; staff are therefore required to undertake any other duties commensurate with the grade and in line with the requirement of this post.
  • All CRI staff must comply with CRI Staff Code of Conduct.

CRI is expanding its healthcare provision offer; therefore this job description is a reflection of current thinking and may be subject to change.

Person Specification
QUALIFICATIONS AND EXPERIENCE
Significant senior Medical management experience.
Proven record of successful delivery of services in a large and complex organisation.
Experience of successfully driving change and transformational programmes.
Experience of applying clinical expertise to complement management practice in a competitive environment
Demonstrate both professional and personal credibility and be recognised and respected as a leader in their field.
Demonstrable experience of developing creativity and innovation within staff groups at all levels.
Demonstrable experience in treating patients with mental health and co-occurring (dual diagnosis) disorders.
Evidence of leading change and delivering excellent service to clinical peers.
Full GMC / UK Registration with a licence to practise. / Essential
General Practitioner in the GMC GP register.
Master in Public Health.
Consultant Psychiatrist in the GMC Specialist Register, Member of the Royal College of Psychiatrists.
Academic affiliation to a leading British University
Experience in delivering Health and Wellbeing programmes.
Experience in clinical research
Experience in teaching at undergraduate and postgraduate levels
Published medical papers and/or books
Other medical, legal or business qualifications / Desirable
KNOWLEDGE, SKILLS AND ATTRIBUTES
Good understanding and knowledge of addictions medicine including the treatment of alcohol related disorders.
Thorough knowledge of the Health and Social Care policy and regulatory framework within which our core services operate
Thorough knowledge of applicable legislation
Demonstrable evidence of effective communication skills
An understanding of the work of partner agencies including non-statutory services
Sound and demonstrable knowledge of clinical prescribing issues, particularly controlled drugs.
Demonstrable experience working within recovery environments in health and social care organisations.
Sound administrative and organisational skills.
Commitment to the principles of equality and diversity in relation to all people
Employ a professional, empathetic and non-judgmental attitude towards service users.
Communicate confidently and effectively, verbally and in writing.
Respond flexibly to the demands of the post.
Ability to encourage and support the involvement of other colleagues in service delivery
Show a capacity to work alone and the ability to keep calm under pressure.
Member of a medical defence association
Proven ability to liaise and maintain a professional relationship with a diverse range of people / Essential

This post is subject to a DBS check at an enhanced level.

Amendments: This description accurately reflects the present position; it may be amended and reviewed. Any change will be made following a proper period of consultation.

APPENDIX

RESPONSIBLE OFFICER JOB DESCRIPTION

Job Title: Responsible Officer

Responsible to: Chief Executive

Professionally accountable to: The General Medical Council for his or her ethics and decision making.

Hours: To be confirmed

Duration: To be agreed

Salary: Additional remuneration or time in lieu may be agreed by CRI

THIS JOB DESCRIPTION SHOULD BE READ AS AN ADDENDUM TO AND IN CONJUNCTION WITH ANY EXISTING JOB DESCRIPTION FOR YOUR ROLE AS MEDICAL DIRECTOR

1. REVALIDATION

The three core components of revalidation are to improve: Patient safety by ensuring that doctors are maintaining and raising further professional standards Effectiveness of care by supporting a professional ethos to improve further the effectiveness of clinical care Patient experience by ensuring that patients’ views are integral to evaluations of a doctor’s fitness to practise

2. JOB PURPOSE AND SUMMARY

• To ensure that the CRI carries out annual appraisals on medical practitioners

• To establish and implement procedures to investigate concerns about a medical practitioner’s fitness to practise raised by patients or staff of the designated body or arising from another source

• To refer concerns about the medical practitioner to the General Medical Council where appropriate

• To monitor compliance with those conditions or undertakings where a medical practitioner is subject to conditions imposed by or undertakings agreed with the GMC

• To make recommendations to the GMC about medical practitioners’ fitness to practice

• To maintain records of practitioners’ fitness to practise evaluations including appraisals and any other investigations or assessments

3. OVERALL DUTIES AND RESPONSIBILITIES

• To maintain a list of doctors the RO is responsible for

• To ensure there is an integrated system for monitoring doctors’ performance, recognising good practice, encouraging and supporting development and learning

• To ensure that effective systems and processes for appraisal are in place

• To ensure appropriate action is taken to remedy identified areas of weakness

• To ensure medical practitioners have qualifications and experience appropriate to the work to be performed and that appropriate references are obtained and checked

• To ensure doctors’ performance and conduct is monitored

• Appropriate timely action is taken when concerns about shortcomings in performance or conduct are identified Job description RO, 05/02/2011 Page 2 of 7 3.

KEY WORKING RELATIONSHIPS

• Chief Executive and Board members

• Professional Executive Committee (PEC)

• Director of Quality and Clinical leadership

• Relevant Human Resources staff

• Information analysts/managers

• Tutors & Appraisal co-ordinator

EXTERNAL RELATIONSHIPS

• General Medical Council (GMC)

• National Clinical Assessment Service (NCAS)

• Royal Colleges

• Responsible Officer Support Network

• Service commissioners (GP consortia)

4. OTHER DUTIES AND RESPONSIBILITIES

4.1 Appraisals

The RO must ensure that doctors obtain and include all relevant supporting information for their appraisals, including that advised by the GMC and by the relevant Royal College or specialty association. The RO should ensure that information held by CRI about doctors’ performance is shared with them in a timely manner to contribute usefully to their appraisals. This information includes data from reported adverse incidents, complaints and litigation as well as any monitoring data CRI holds on doctors’ efficiency and effectiveness.

The RO should ensure that doctors understand their personal responsibility to bring information about all their areas of practice (including those outside CRI) to their appraisal.

4.2 Contracts of employment

The RO must ensure that:

• Medical practitioners have qualifications and experience appropriate to the work to be performed