locum consultant in sexual health & reproductive hiv Medicine

sANDyford sexual health services

INFORMATION PACK

REF: 41113d

cLOSING DATE: nOON 12th february 2016

SUMMARY INFORMATION RELATING TO THIS POSITION

Post: locum consultant in sexual health & reproductive hiv medicine

base: sandyford sexual health services

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, with 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, undertake administrative tasks in order to ensure smooth liaison and partnership development with all relevant statutory and non-statutory agencies. Any other task deemed suitable that may arise as a result at the request of the Sandyford management team.

This post is locum appointment for one year.

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 applicants’ core skills and development needs.

Candidates must have full GMC registration and a licence to practise.

NHS Greater Glasgow and Clyde /

Locum Consultant in Sexual Health and HIV Medicine

1.0 WTE Locum appointment for one year

SANDYFORDSEXUAL HEALTH SERVICES

2-6 SANDYFORD PLACE

GLASGOW G3 7NB

NHS Greater Glasgow and Clyde

A.

Job Description

NHS Greater Glasgow & Clyde

JOB DESCRIPTION

Locum Consultant

Sandyford Sexual Health Services, Glasgow

1.0WTE locum appointment for one year

1.Job details

Job title:locum Consultant in Sexual Health andHIV Medicine

Employer:NHS Greater Glasgow & Clyde

Location: Based at Sandyford Central,G3 7NB

Professionally acountable to: Clinical Director, Sandyford

Managerially accountable to: Head of Sexual Health Services, Sandyford

2.Qualifications

Candidates should have full GMC and a Licence to practise. 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 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, transgendered 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. She 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 GlasgowUniversity and the Directorate has close links with CaledonianUniversity and University of the West of Scotland.

There is a comprehensive 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). 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.

NHSGGC 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

  1. General Responsibilities

1)Provide direct clinical care within integrated sexual health andrelated services at Sandyford or any of its other sites, with a particular emphasis on urgent care of symptomatic individuals and management of complex presentations and support for the multiprofessional team.

2)Provide clinical leadership.

3)To participate in local and national audit.

4)To assist in research as required.

5)To 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.

  1. 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 clinics including the SRP for men who have sex with men. There is an opportunity for suitably qualified individuals to act as Educational Supervisor to GUM doctors in the training programme.

6.NHS Scotland

The Scottish Government’s Sexual Health Strategy (Respect and Responsibility), launched in 2005 and updated in 2015, 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 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.

NHS Healthcare Improvement Scotland (formerly Quality Improvement Scotland) developed standards for sexual health services in 2008. NHS Greater Glasgow and Clyde had an external review of 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 MacleodHead of Sexual Health Services

Dr Pauline McGoughClinical Director & Lead Clinician for Sexual Health NHSGGC,Consultant in SRH

Mrs Lorraine ForsterNurse Consultant & head of profession

Mrs Fiona Noble Performance and Planning Manager

Mrs Jennifer SchofieldOperations 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.

9.Provisional Job Plan

A final job plan will be agreed with the postholder on appointment and will be reviewed annually to take account of the evolving needs of the services. See appendix D for an indicative plan. Applications from those who wish to work less than full time or job share will be considered.

Direct Clinical Care 8 PAs

  • These will be divided betweenintegrated urgent care and specialist appointment clinics and case review work. One session should take place in the early evening when the Consultant will also provide clinical support for all Sandyford services. Timetabling is flexible subject to mutual consent.
  • There is currently no inpatient or outpatient care for people living with HIV associated with this post, although people living with HIV continue to attend Sandyford services for their sexual reproductive and emotional health. Applicants with a particular interest in this work are urged to discuss with the Clinical Director before application.

Supporting professional activities 2 PAs

  • This will encompass audit, CPD, appraisal, revalidation, teaching and training of the multidisciplinary team and service development activities.
  • Monthly meetings are chaired by the lead clinician. The post holder will be expected to attend these and the monthly integrated consultants meetings.
  • Appraisal occurs annually and links to but is separate from the annual Job Plan Review. Appraisal will be undertaken by NES trained appraisers in NHSGGC.

10.Continuing Professional Development

  • A comprehensive range of postgraduate courses, lectures and meetings is available and will be tailored to the postholder’s individual learning plan. The postholder will be expected to use study leave to fulfil reasonable CPD requirements in line with their personalised learning plan.

11.Teaching and Training

The postholder will make a contribution to both undergraduate and postgraduate teaching and training. This will include commitment to Sandyford workshops in integrated sexual health and HIV (SWISHH), Diploma in sexual and reproductive health courses in both Boards, and undergraduate medical student teaching, and additional activities by mutual agreement. There is an opportunity for interested and qualified individuals to act as Educational Supervisor to a GUM ST; if so time will be allocated in the job plan by mutual consent.

12.Research

A wide range of opportunities are available within Glasgow. The department has a profile in epidemiological and health services research. Current collaborators include Health Protection Scotland, the Glasgow University Department of Public Health, Strathclyde and GlasgowCaledonianUniversities, University of West of Scotland and the MRC Social & Public Health Sciences Unit.

There are also close working relationships with the West of Scotland Specialist Virus Laboratory and other microbiology departments in Scotland, including the National Neisseria Gonorrhoeae Reference Laboratory in Edinburgh, which provide valuable collaborative research opportunities.

This post does not contain a research component; those particularly interested in research should discuss that interest before application.

13.Line Management

The candidate will be employed by NHS Greater Glasgow & Clyde and be line managed by and professionally accountable to the Clinical Director, Sandyford. Managerial accountability to the Northwest sector of Glasgow City CHP will be through the Sandyford General Manager.

14.Conditions of Appointment

For all entrants to NHSGG&C, occupational health assessment may be required prior to confirmation of appointment. Enhanced SCRO disclosure is undertaken.

15.Location Of Post

Sexual health services are based at the Sandyford at Sandyford Place, Glasgowand at several other locations across the Health Board area .

16.Arrangements For Visiting Services

For informal discussion, please contact Dr Pauline McGough (Tel: 0141 211 8605email: ) or Dr Fiona Fargie 0141 211 8642. The Sandyford website is at

C.

Person Specification

NHS Greater Glasgow and Clyde

JOB TITLE Locum Consultant DEPARTMENT/SECTION Sandyford
FACTOR / ESSENTIAL / DESIRABLE
EXPERIENCE / Wide experience of genitourinary medicine and HIV care, sexual and reproductive health.
Postgraduate and undergraduate teaching experience.
Participation in audit including completed audit cycles.
Experience of change management activities in practice. / Experience of managing and developing Sexual Health and HIV clinical services in a social medicine or community environment.
Formal training in teaching techniques.
Work in an integrated sexual health setting.
Experience of partnership working with other statutory and voluntary bodies.
Experience in SRH.
QUALIFICATIONS
RESEARCH
PUBLICATIONS / Candidates should have full GMC and a Licence to practise. Experience of working within integrated sexual health services is desirable, as is a qualification in SRH.
MRCP (UK), DipGUM, DipHIV / Higher academic degree.
MFSRH
DFSRH
Experience of collaborative research.
Ability to supervise research of trainees.
Holder of external research grants.
Publications in Medline listed peer-reviewed journals.
KNOWLEDGE
AND SKILLS / Specialist skills relevant to GUM and HIV care.
Knowledge of sexual health strategies relevant to the UK and Scotland
Proficient use of information technology.
Demonstrable understanding of child protection and adult support and protection issues
Excellent communication skills:
-written (including CV and job application)
-verbal
-understanding underlying social factors which may affect sexual & reproductive health / Ability to conduct evidence-based reviews.
Able to manage and motivate a wide range of staff, both medical and non-medical.
Ability to relate to community groups and work with and encourage user involvement in service planning.
Ability to undertake a health needs assessment or service review and manage change as a result of its findings.
Ability to work with marginalised groups and show an understanding of the multiple factors that contribute to adverse outcomes and experiences.
DISPOSITION
Personal (transferable) skills / Enthusiasm.
Ability to work well as a member of a multi-professional team.
Be able to maintain confidentiality. / Commitment to patient-centred care and promotion of integrated sexual health.
Evidence of professional leadership.
Other / Pre-employment health screening
Evidence of Hepatitis B immune status
Able to work evenings
Fluency in English
Able to travel independently to clinics in different locations / Member of defence organisation

D Indicative Job plan

Indicative Job Plan Consultant in Sexual & Reproductive Health/Genitourinary Medicine *

Direct clinical care/public health (DCC) / Supporting Professional Activities (S) / External Responsibilities (E)
1. / Integrated GUM/SRH urgent care services at Sandyford Central including clinical administration / Personal Development Plan including appraisals, outside conferences and departmental teaching & meetings / -
2. / Complex GUM at Sandyford Central (or hub by arrangement) / Audit and governance activities, teaching of a range of professionals and educational supervision (by mutual agreement) / -
3. / Non-patient facing direct clinical care including managing complex results and communication with patients, support for multiprofessional team, SRP and GUM casework meetings / -
4. / -
Total No of Sessions / 8 / 2
  • *timetable would be subject to negotiation and mutual agreement with the successful applicant but expectation is that one DCC PA would be in the early evening with finish no later than 2000.

Indicative timetable: