Posts 14A, 15A SWANSEA NHS TRUST Morriston Hospital SENIOR HOUSE OFFICER Oral and Maxillofacial Surgery Job Description Swansea NHS Trust Swansea NHS Trust was established on 1st April 1999. It provides a comprehensive range of hospital and community health services for the Swansea. The Trust provides many specialist services for the people across south and mid Wales and some specialist services for the whole of Wales. Services are provided from 9 hospitals with over 1,800 beds and in a range of community premises. These include psychiatric day centres and resource centres, health centres, health clinics, hired premises, GP surgeries and patients’ homes. The Trust is one of the largest in Wales with an annual income in excess of £240 million. The number of staff employed by the Trust is approximately 7,000. In collaboration with UWS and UWCM, the hospitals and community facilities of Swansea NHS Trust form the teaching hospitals of the Swansea Clinical School. Area Served Wales second largest principal City, Swansea has the population of around 300,000, and is situated and surrounded by picturesque countryside and adjacent to miles of beautiful beaches, Swansea’s amenities include: A large Shopping Centre, Restaurants, Bars and Cafes, a wide range of sporting facilities, including several leisure centres a variety of water sports, Golf courses and indoor tennis centre. Music is catered for extensively and there is an annual Music Festival and a popular Gower Festival. Swansea has a live Theatre and an annual music festival. The Glamorgan County Cricket ground is situated in the town. The new Lyberty stadium hosts the regional rugby side the Neath / Swansea Ospreys, providing Celtic League and European Cup Rugby first class Rugby Clubs, and the first class rugby clubs Dunvant, Llanelli and Neath are in the area.. There are many excellent golf courses throughout the county. The seaside areas of Mumbles and Swansea Marina provide excellent watersport facilities including three yacht clubs, water-skiing and rowing. The Brecon Beacons Mountains are easily accessible as are the holiday resorts, fishing and shooting facilities of West Wales. Swansea is situated less than an hour away from Cardiff City Centre and the Airport, and buses and trains keep Swansea well connected to the rest of the UK. The Swansea- Cork Ferry also runs daily, and Fishguard and Pembroke Dock, also offering links to Ireland are a pleasant drive up the West Coast. The Gower peninsular, the first area in Britain to designated an Area of Outstanding Natural Beauty, is home to beautiful beaches, lush countryside and shady woods, and is rich in legends and folklore about King Arthur and smugglers. The many castles and landmarks, including an ancient burial ground, are shrouded in mystery, and ghost stories cling to the ruined buildings dotted around. Swansea Marina is home to the Dylan Thomas literature centre, which is host to a permanent exhibition on the life and work of the poet. It is here too that special events take place such as the Dylan Thomas Festival and Swansea Maritime and Shanty Festivals. Cardiff, the capital of Wales, is easily reached by the M4, the journey taking approximately 45 minutes and there is a regular rail service to London, the journey taking less than 3 hours. The University of Wales Swansea is situated to the south of the city adjacent to Singleton Hospital and there are several good comprehensive and private schools in the area. Hospital Services Swansea NHS Trust was established on 1st April 1999. It provides a comprehensive range of hospital and community health services for the Swansea. The Trust provides many specialist services for the people across south and mid Wales and some specialist services for the whole of Wales. Services are provided from 9 hospitals with over 1,800 beds and in a range of community premises. These include psychiatric day centres and resource centres, health centres, health clinics, hired premises, GP surgeries and patients’ homes. The Trust is one of the largest in Wales with an annual income in excess of £240 million. The number of staff employed by the Trust is approximately 7,000. In collaboration with UWS and UWCM, the hospitals and community facilities of Swansea NHS Trust form the teaching hospitals of the Swansea Clinical School. Following the Calman Hine and Cameron reports on Cancer services provision, Swansea has been designated as the Cancer Centre for South West Wales and this encompasses all of the specialist cancer site work carried out in the local hospitals. The Cancer Centre supports CANTORIS, its own cancer treatment and outcomes registry. The Trust is currently pursuing the redevelopment of its postgraduate facilities and aims to become the site for a clinical effectiveness development centre for South West Wales. This will incorporate a clinical research unit and “state of the art” educational facilities. Morriston Hospital Morriston Hospital itself currently has 800 beds, the majority of which are housed in modern accommodation, which has been built since 1981. The range of specialist services provided at Morriston Hospital now includes Renal Medicine, Neurology and Neurosurgery, Oral and Maxillofacial Surgery, the Welsh Centre for Burns and Plastic Surgery and the second Cardiac Centre in Wales. Rheumatology and Palliative Medicine are also provided to a wide catchment area. These services are supported by critical care facilities, which include an 11-bedded General ITU and HDU and a full range of high quality diagnostic and therapeutic services. The District General Hospital component encompasses a Coronary Care Unit, several General Medical sub specialities, a well- developed Trauma and Orthopaedic service & a range of General Surgical specialities. Morriston Hospital is also the site of the major Accident and Emergency Department for Swansea and, with its accessibility to the South West Wales population, is fast progressing towards a designated Major Trauma Centre status for the area. The Radiology Department provides a comprehensive service including CT scanning, Magnetic Resonance Imaging, DSA, Ultrasound and Isotope Scanning. Singleton Hospital Singleton Hospital is the other District General Hospital serving the Swansea area overlooking Swansea Bay and approximately 8 miles from Morriston, adjacent to the campus of University College of Swansea. It has approximately 650 beds with out patient facilities including Acute General Medicine, General Surgery, ENT Surgery, Care of the Elderly, Ophthalmology, Obstetrics, Gynaecology, Dermatology and Paediatrics, in addition to High dependency Unit and Coronary Care. The sub-regional radiotherapy department for West Wales is based at Singleton Hospital, together with the administrative headquarters of the Cancer Centre. The departments of medical physics, oncology and neonatal medicine provide a sub-regional service for South West Wales. The department of surgery has special expertise in colorectal, gastro-oesophageal, breast and endocrine surgery. The department of gynaecology has a busy colposcopy unit. A new integrated diagnostic breast centre in Singleton brings together existing teams working in breast cancer in the are to ensure high quality breast cancer diagnosis and treatment. Singleton Hospital houses the South West Wales cancer Centre. Close contact is maintained with the appropriate departments within the University and there is direct access to the University Computing Centre. The Pathology Unit includes the PHLS reference laboratory. The Department of Medical Photography and an excellent medical library are on site. Recent developments include the Diabetes and Eddocrine Unit and the Medical Assessment Unit. Cefn Coed Hospital Cefn Coed Hospital is the main psychiatric hospital for the area. It is situated one mile from Singleton Hospital. Community Hospitals The 4 hospitals provide rehabilitation facilities for elderly patients close to their own homes. A twenty place Day Hospital is provided at Hill House where patients are under the care of the Geriatricians and a multidisciplinary team. The Maxillofacial Unit The unit is a sub regional unit and accepts patients from the whole of Southwest Wales, catchments area of some 1.25 million people and for some types of patient from the whole of South and parts of Mid Wales (2.5million). A full spectrum of Oral and Maxillofacial surgery is undertaken, including the treatment of facial deformity, salivary gland pathology and oral malignant disease with prosthetic and free tissue reconstruction. Joint osteotomy planning clinics are held with the Orthodontic Department regularly and there are close links with the Radiotherapy Unit and Neurosurgical Service. The unit also supports the work of the Welsh Centre for Burns, Plastics and Maxillofacial Surgery and holds clinics including combined clinics in Morriston, Cardiff and Gwent. There is a major interest in craniofacial and oral implants as well as the management of cleft and other craniofacial anomalies. The regional centre for Cleft Lip and Palate in Wales is Morriston. Craniofacial access surgery for tumours is carried out jointly with the neurosurgeons. The outpatient unit was opened in 1982 and is set on two levels. The lower floor is given over to orthodontics and restorative dentistry. A spacious, well-equipped maxillofacial laboratory is situated within the complex. There are 3 maxillofacial technicians and 11 dental/ orthodontic technicians. 14 dedicated Maxillofacial adult Beds, the children’s ward and theatre are in the main and modern hospital buildings. Consultants Mr D W Patton Consultant Oral & Maxillofacial Surgeon Mr S Hodder Consultant Oral & Maxillofacial Surgeon Mr K Silvester Consultant Oral & Maxillofacial Surgeon (Clinical Director) Mr A W Sugar Consultant Cleft & Maxillofacial Surgeon Mrs P Baxter Consultant Oral & Maxillofacial Surgeon Mr D Drake Consultant Cleft Lip& Maxillofacial Surgeon Dr Jeremy Knox Consultant Senior Lecturer in Orthodontics Mr K Bishop Consultant in Restorative Dentistry Mr J Owen Consultant in Restorative Dentistry Professor M L Jones, Consultant in Orthodontics both at the Dental School in Cardiff and Mr I Griffith, Consultant ENT Surgeon in the University Hospital of Wales, Cardiff are Honorary Consultants. Non-Consultant Staff The Non Consultant Staff consists of 2 Staff Grade, 3 Specialist Registrars and 7 Senior House Officer in Oral & Maxillofacial Surgery with 1 Senior House Officer in Restorative Dentistry. There are also a number of Clinical Assistants and 5 Clinical Nurse Practitioners. The Post The working pattern is 1:7 full shift. The Senior House Officer (Maxillofacial Surgery) posts entail the care of both in and outpatients, dentoalveolar surgery under local anaesthesia and Day Care general anaesthesia lists, with weekly journal clubs teaching sessions. Duties are in the main at Morriston Hospital although the Senior House Officer will be required to travel to other hospitals on occasions for which they will need their own transport. Part of the rotation will be to Bridgend Hospital for out patient procedures and clinics with the Consultants and inpatient operating and cover. Within Morriston there is a dedicated operating theatre for Maxillofacial Surgery with 5 all-day lists each week. There are three GA day lists and 5 LA lists (including IV sedation). Postgraduate study and research are encouraged and good library facilities exist within the School of Postgraduate Studies in Medicine and Health Care on site. Academic Facilities There are active Postgraduate Medical Centres at Singleton and Morriston Hospitals with full programmes of activities. The main hospital library for the area is situated at Singleton Hospital under the aegis of a Chartered Librarian. Weekly medical clinical meetings, x-ray meetings, journal clubs and Grand Rounds are held at which Consultants are expected to play an active part. Each month one session is devoted to medical audit. The library services at both sites are comprehensive, and Professional librarians and clerical officers staff the libraries. Swansea School of Medicine Professor Julian Hopkin is the Director of the Swansea Clinical School. He is a Professor of Medicine, has an interest in molecular biology and respiratory medicine and is based at Singleton Hospital and in the University of Wales Swansea. It is now three years since the School was established with its centre at the main campus of University of Wales Swansea and new-build teaching units at each of Singleton, Morriston and Cefn Coed. The collaboration between the University and Trust has been outstanding, and the School is flourishing because of this. By the end of 2004 there will be 19 professors, 60 clinical and non-clinical senior lecturers and lecturers, 50 senior clinical tutors and 120 other post- holders – ensuring that the School’s business of research, teaching and linkage to the health service throughout West and mid-Wales moves forward effectively. The Senior Clinical Tutorship of the School, appointed from amongst the Consultant body of Swansea NHS Trust, has made medical student teaching for years 4 and 5 of the MB curriculum an outstanding success at Swansea. The students feel valued, and receive top-quality and enthusiastic teaching. With the support of the Welsh Assembly Government, the School is extending its teaching with the launch of the Swansea Graduate Entry fast-track MB programme from September 2004. There were 550 applications for the 35 places in 2004 and the offer of places has been made to outstanding individuals. From 2005 onwards the course will enter 70 students per annum – and engage them in a novel and stimulating curriculum which puts strong medical science firmly within the context of clinical medicine. In research, led by the Professorship of the School, there has been rapid progress with the appointment of outstanding staff to the Professorship and at the lecturer and senior lecturer grades. The research effort of the School now has strengths in the areas of public health, clinical epidemiology and Health Services Research (the CHIRAL Centre) and in the experimental sciences in the areas of cancer, infection and immunity, fertility, and neuro-psychiatry. The School is moving towards the foundation of an Institute of Life Science which will complement the strengths described with strengths at other departments of University of Wales Swansea in order to develop a multi-disciplinary approach to the development of new knowledge and new solutions for health and medical problems. Conditions of Appointment The post is subject to the Terms and Conditions of Services of Hospital Medical and Dental Staff as modified from time to time. Your attention is drawn particularly to the following: - a) Registration All Hospital Medical and Dental Staff are required to be appropriately registered with the General Dental Council to practice in this country (i.e. be fully registered or be eligible for limited registration). b) Medical Negligence You are normally covered by the NHS Hospital and Community Health Services Indemnity against claims for medical negligence. However, in certain circumstances (especially in services for which you receive a separate fee) you may not be covered by the indemnity. The Health Departments therefore advise that you maintain membership of a medical defence organisation. c) Medical Examinations The appointment is subject to the receipt of a satisfactory medical examination with the Trust’s Occupational Health Department. d) References All staff appointments are made subject to the receipt of satisfactory references being obtained. e) Ionisation Radiation Regulations 1988 It is a statutory requirement that all medical staff and dental staff undertake training in radiation protection. f) Non Smoking Singleton Hospital has a non-smoking policy. Applicants should be aware that if appointed they would be required to observe the Trusts non-smoking policy regulations. Confidentiality Any matters of a confidential nature including, in particular manual or computerised information relating to the diagnosis and treatment of patients, individual staff records whether manual or computerised and detail of contract prices and terms, must under no circumstances be divulged or passed on to any unauthorised person or persons. Any breach of confidentiality may result in dismissal without notice. Pecuniary Interests The attention of all staff is drawn to the need to declare in advance any pecuniary interest they may have in respect of agencies with whom the Trust might enter into contract for the supply of goods and/or services. Such interests should be communicated, in writing to the Chief Executive or her nominee. Additional Information The above Job Description is not intended to be exhaustive and is provided as a guide to the main areas of responsibility of the post and the duties may be subject to change. In common with all Trust employees, the postholder will be required to maintain complete confidentiality in relation to patients, staff and the Trust's business. The Post will adhere to all Departmental/Trust policies and procedures (including Financial, Personnel, and Health & Safety. Professional and Technical staff are required to comply with the requirements of their professional body. Those employees with responsibility for staff are required to participate fully in the supervision of those staff members. All employees have responsibilities relating to risk management and they should make themselves aware of those responsibilities. The main duties in relation to risk management are:- to follow all policies, procedures, protocols and guidelines. to complete incident forms and reports of untoward incidences as appropriate to inform their Manager of risks they have identified.