NHS Lanarkshire - Vacancy s1
POSITION: Consultant Physician in Occupational Medicine /
Reference / MS/1117/25 / Quote on all correspondence
Grade / Consultant Physician in Occupational Medicine
Location / Salus Occupational Health, Safety and Return to Work Services, 14 Beckford Street, Hamilton
Hours / PA’s / 10PAs per week (Part-time may be considered)
Salary Scale / £78,304 – £105,570
Closing Date / Wednesday 3rd January 2017
Your Application / Thank you for expressing an interest in the above post within NHS Lanarkshire. Please find all the relevant information attached to begin the application process.
Should you require further information regarding this post you can contact the Medical Staffing team or make informal enquiries with the department using the contact details below.
To ensure we can process your application as easily as possible please complete all the information required within the Application Pack and email with your CV.
Contact Details / Telephone / 01698 377735
Email /
Application Process / To apply, please email your CV to the above, along with the attached completed Application Pack.
Additional Arrangements / Informal enquiries regarding this post will be welcomed by:-
Mr M Kennedy / General Manager / 01698 206320
Dr D Reetoo / Clinical Director / 01698 206348
Mrs A Boyle / PA Clinical Director / 01698 206349
Date when the Post is Vacant / The position is available from February 2018. A start date will be agreed with the successful candidate.
NHS Lanarkshire / For further information regarding NHS Lanarkshire and it’s hospitals, please visit our website:- www.nhslanarkshire.org.uk
We are an Equal Opportunities Employer and Positive about Disabled People.
Integration of Health and Social Care Services
From the 1st of April 2016, two new legal bodies, North Lanarkshire Joint Integration Board (JIB) and South Lanarkshire Integration Joint Board (IJB) have responsibility for planning, commissioning and overseeing the delivery of community health and social care services. The Boards drawn from North and South Lanarkshire Councils, NHS Lanarkshire, professional health and care disciplines and third and independent sector organisations, will plan and commission local support and care services. These will be delivered primarily by the Councils and NHS Lanarkshire working together in teams in a new integrated way, to transform, re-design and improve the outcomes for the localities across North and South Lanarkshire.
The JIB and IJB are preparing Strategic Commissioning Plans to manage and integrate functions and drive a long-term programme of service transformation, re-design and improvement, particularly seeking to address local needs, change the culture, improve corporate systems and delivery processes while achieving a range of National Outcomes related to integration. The Plans will have to be affordable and will be effective in achieving an agreed level of performance. Throughout the planning process the JIB will respect our staff, our service users, our carers, our patients, our partners and those with whom we choose to contract.
Management Structure / The supporting operational and clinical management structures are focused on enhancing patient safety, quality improvement and local delivery at hospital level, with visibility of clinical leadership and support for individual professional accountability. Our Medical Managers will provide professional leadership to medical staff, ensuring that they are effectively developed, organised, integrated and managed to support the strategic aims of each Division and meet the needs of the patient.
The Department / Salus Occupational Health, Safety and Return to Work Services
Salus is an NHS based provider of Occupational Health (OH), Health & Safety and Return to Work Services. Salus has grown and developed significantly since its inception in 1996 and from a starting point of OH provision to the NHS in Lanarkshire, now provides a wide range of services to a diverse range of clients across the public, private and third sectors. It is one of the largest NHS based multidisciplinary services of its kind and employees approximately 170 staff.
Salus Organisational Structure:
Salus has held ISO 9001:2008 accreditation (or its previous equivalents) since 1999 and in October 2012 was the first NHS OH service in Scotland to achieve SEQOHS Registration. There is a strong focus on Quality and Quality Improvement, which is underpinned by a comprehensive Quality Management System and a range of Standard Operating Procedures.
Salus has close links with the University of Glasgow Healthy Working Lives Group and all clinicians are encouraged to undertake research. Over the last few years, OH Physicians have published papers on topics including peer review of OH reports, development of clinical algorithms in OH, and the health of fire fighters. Teaching on medical undergraduate and postgraduate courses is also an option.
NHS Lanarkshire
Salus provides a comprehensive OH and Health & Safety service to approximately 11,800 NHS Lanarkshire employees from its base in Hamilton and from OH departments in the 3 acute hospitals at Hairmyres, Monklands and Wishaw. Clinics are held at all 4 departments, which are staffed and open during office hours.
External Business Division
Salus has a large and growing External Business Division, based in Beckford Street. A broad range of OH services are provided to clients including Local Authorities, other Health Boards, Higher Education establishments, health and social care providers, heavy industry, building and construction, production and manufacturing, IT companies, call centres, voluntary organisations, and numerous SMEs. External Business clinics are carried out in Hamilton, Glasgow, Hairmyres, Edinburgh, and on customers’ premises across the country.
Salus operates in a model similar to a Social Enterprise and surplus generated from External Business and other commercial activities is returned to NHS Lanarkshire to support patient care and economic growth.
Salus Northwest
Salus has a satellite unit based in Lancashire (Fleetwood), which is staffed by a team that includes an Operations Manager, OH nurses, and an administrator. The Fleetwood site provides OH services to 3 organic chemical processing companies (including one that handles vinyl chloride monomer), as well as having contracts with a wide range of organisations. At the present time, OH Physician input is provided by 2 sessional OH physicians, who travel to Fleetwood on a weekly basis. The successful candidate may be required to provide cover for Fleetwood and the surrounding area.
Health & Safety
The Health & Safety (H&S) Team is based in Beckford Street and Coathill Hospital, and includes H&S specialists, Manual Handling Advisors, and Prevention and Management of Violence & Aggression Advisors. The H&S Team also undertakes work for commercial clients via the External Business Division.
Healthy Working Lives
Salus hosts the local Healthy Working Lives (HWL) Team within Lanarkshire. HWL is a free service available across Scotland, which provides occupational health and safety advice and support to businesses www.healthyworkinglives.com.
EASY – Early Access to Support for You
EASY is an early intervention sickness absence management service that is used within NHS Lanarkshire and also by some of our External Business clients. The service is staffed by a team of Call Handlers and Case Managers, who are based in Beckford Street.
Personal Independence Payment Assessments
Salus has been subcontracted by ATOS to undertake Personal Independence Payment (PIP) Assessments on behalf of the Department of Work & Pensions. These are carried out by a dedicated PIP Team from premises in Glasgow, Edinburgh, Ayr, Stranraer and Dumfries.
Fit for Work Service
Salus has a lead role in the co-ordination and administration of the Fit for Work Service (formerly known as the Health and Work Advisory Service).
POST INFORMATION
The Post / The precise details of the job plan will be dependent on the successful candidate’s subspecialty training and interests.
The job is offered as a full-time post on a 10 PA basis but applications will be considered from those wishing to work less than full-time. If full-time up to 2 EPA’s may be available to undertake additional outpatient and/or procedure sessions or management activity.
All new substantive Consultants are initially offered a minimum of 1 PA for SPA duties but this will be reviewed within 6 months (or earlier if required) of appointment and revised upwards if additional responsibilities have been undertaken. Additional SPA time (up to 2.5 PA’s in total) can be incorporated into the job plan depending on the time required to support the successful candidate’s professional activities and the needs of the service.
NHS Lanarkshire is supportive of applications from individuals with well developed ideas for improving services who are able to demonstrate a commitment to quality improvement, patient safety (including human factors training), Medical Education and Research & Development.
The Board has a well established, bespoke Medical Education and Training Centre with simulation facilities and is developing a faculty for Human Factors training. We have a strong commitment to Patient Safety and Quality Improvement with an increasing number of consultants who are trained Patient Safety Fellows.
Applicants who are able to demonstrate a commitment to any of the above areas and are wishing to commence on more than 1 PA for SPA duties should discuss proposals with the identified Lead contact and Service Medical Manager (Associate Medical Director or Divisional Medical Director).
Consultant Physician in Occupational Medicine employed by NHS Lanarkshire, to replace vacancy. This post is based principally at Salus Headquarters (14 Beckford Street, Hamilton, Lanarkshire ML3 0TA) but travel to the three acute hospital sites within Lanarkshire, locations across Central Scotland, and occasionally beyond will be required.
General Provisions / You will be answerable to Clinical Director, who will agree your job plan.
Health and Safety / You are required to comply with NHS Lanarkshire Health and Safety Policies.
Junior Medical Staff / You will be responsible for the training and supervision of the Junior Medical staff who work with you, and you will be expected to devote time to this on a regular basis. In addition, you will be expected to ensure that staff have access to advice and counselling. 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 career.
Resources / The following resources are available: -
Consultants in Occupational Medicine
Dr Dravendranath Reetoo / 1.0 WTE
Dr Robert Phillips / 0.6 WTE
Vacancy / 1.0 WTE
Sessional Doctors (3) / 0.7 WTE
Specialist Trainee 1 / Currently vacant
Specialist Trainee 2 / Currently vacant
Nursing Team (including Occupational Health Advisers, Nurses, and Technician) / 25.0 WTE
Occupational Therapist / 0.55 WTE
Secretarial Support:
Secretarial support will be provided from existing admin teams based in individual sites.
Office/Dedicated Desk/Laptop Computer/Docking Station/Blackberry will be available.
DUTIES AND RESPONSIBILITIES
Main Duties / This role involves medical provision of a comprehensive range of OH activities. This includes assessment of NHS Lanarkshire staff and those working for clients of Salus. The post-holder will operate across the different parts of Salus, including the NHS and External Business divisions.
The successful applicant will undertake and support colleagues, managers and the organisation in various areas of OH practice including:
· Management referrals
· Self-referrals
· Fitness for work medicals
· Case conferences and case discussions
· Multidisciplinary team meetings (MDTs)
· Workplace assessments
· Attendance management
· Pre-placement health screening
· Drug and alcohol screening
· Immunisation
· Health surveillance (including Appointed Doctor medical surveillance)
· Capability assessments
· Early retirement on the grounds of ill health
· Communicable disease management
· Ensuring compliance with legislative requirements
· Medical input into accident/incident investigation
· Policy development and review (at a local, regional and national level)
· Attendance at relevant meetings of groups and committees
The successful applicant will be delegated responsibility for parts of the service and will be expected to operate effectively within a multidisciplinary team and demonstrate appropriate clinical leadership skills. The post-holder’s work will be principally self-directed in achieving agreed objectives. Specific areas of lead responsibility will be negotiated and an indicative job plan and arrangements for agreeing the job plan can be found on page 9 of this document. At the present time, the post attracts an 8% on-call supplement.
Salus has a strong External Business division and the post-holder will be expected to contribute to the growth and development of this, and other parts of the service. The successful applicant will also be Lead Clinician for certain External Business customers and manage these contracts from a clinical delivery perspective.
Salus staff have close working relationships with other NHS Lanarkshire departments and this role will involve working with Public Health, Infection Control, Human Resources, medical and non-medical management, and Organisational Development.
The successful applicant will be expected to take part in Clinical Governance activities, including clinical audit, Salus SOP development and review, and clinical risk management. There is also a requirement to maintain and develop quality improvement programmes, including those required for ISO and SEQOHS accreditation. The post-holder will participate in the NHS Annual Appraisal process, as required for Revalidation.
Salus has a long history of training clinicians and the successful applicant will be expected to contribute to the training and support of staff. Clinical and Educational Supervisor responsibilities may also be allocated to the post-holder.
Work Programme / As required under Section 3 of the Terms and Conditions of Service, the duties and responsibilities are supported by a job plan and work programme detailed as follows:
Job Planning/Programmed Activities
The job plan will be dependent on the successful candidate’s subspecialty training and interests. A minimum of 1 SPA will be included in the job plan but please refer to the guidance above under the general description of the post.
On taking up post a Job Plan will be agreed between the person appointed and the Clinical Director/Associate Medical Director. This job plan is subject to review at least once a year by the post holder and the Clinical Director/Clinical Lead as noted in the terms and conditions. The procedures set out in the ‘Terms & Conditions of Service’ must be followed if it is not possible to agree a job plan, either initially or at an annual review.
The timetable is indicative and subject to negotiation with the Clinical Director / Associate Medical Director. The core 10 PA working week will be based on 9 PA’s of Direct Clinical Care (DCC) duties and 1 PA of SPA time for a full-time post-holder.
The indicative weekly timetable included in the work programme shows likely elective PA’s within the 10 PA post and indicated the location where each activity will be undertaken and the type of work involved.
Fixed Commitments / Days / Hours / Type of Work
Monday / AM / NHS Clinic
PM / Clinical Admin/MDT meeting
Tuesday / AM / NHS clinic
PM / Clinical Admin/OHA support
Wednesday / AM / Clinical Meetings/Department SOP/Audit
PM / NHS clinic
Thursday / AM / NHS clinic
PM / Clinic Admin /MDT meeting
Friday / AM / External Business/NHSL Clinic
PM / SPA
In addition, other activities not occurring at fixed times. / · Discussing referral and management of cases with colleagues (daily)
· Speaking to HR and managers
· Responding to requests for advice from admin team, clinical colleagues and employer representatives
· Workplace visits
· Case conferences with employees and management
· Meetings with HR/management as required
· Contract management and tendering
· Service development
· Investigation of complaints
· CPD and Appraisal
· Audit
Review of the Job Plan / This job plan is subject to review at least once a year by the post holder and the Clinical Director/Associate Medical Director as noted in the terms and conditions. The procedures set out in the ‘Terms & Conditions of Service’ must be followed if it is not possible to agree a job plan, either initially or at an annual review.
Audit and research / The successful candidate will be expected to participate in audit processes and there is an active clinical audit department available to assist. An interest in research will be supported.
Continuing Professional Development / Study leave is available within the terms and conditions of service with the approval of the General Manager. The appointee will be required to fulfil such demands for continuing professional development as the Faculty of Occupational Medicine (or other relevant bodies) may make.
Honorary Academic Status / If involved in undergraduate teaching status can be applied for. Applications can be made via the Hospital Sub-Dean and then to the appropriate academic department within the University.
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