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					     SOUTH TEES HOSPITALS NHS
        FOUNDATION TRUST
CONSULTANT DERMATOLOGIST JOB DESCRIPTION

          The James Cook University Hospital
         Marton Road, Middlesbrough, TS4 3BW




                             +

                  The Friarage Hospital
       Northallerton, North Yorkshire, DL6 1JG
                                    CONTENTS PAGE

Post Information                                                           3

South Tees Hospitals NHS Foundation Trust                                  3

Divisions and Directorates                                                 4

Corporate Directorates                                                     4

The James Cook University Hospital                                         5

The Friarage Hospital                                                      6

Education, Teaching and Research                                           6

Junior Doctors‟ Hours and Implementation of the European Working Time
Directive                                                                  7

Other Facilities                                                           7

The Locality                                                               7

Local Amenities                                                            7
        Leisure/Recreation                                                7
        Housing                                                           8
        Education                                                         8
        Transport                                                         9

The Specialty                                                              10

             Directorates
             The Department and Staff
             Clinical
             Teaching
             Audit
             CPD
             Appraisal
             Managerial Duties
             Hospital Infection Control
             Job Plan
             Proposed Timetable

Main Conditions of Service                                                 12

             Travel and Subsistence
             Rehabilitation of Offenders
             Equal Opportunities

Enquiries and Visits                                                       13
Applications                                                               13

Person Specification                                                       14


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                        CONSULTANT DERMATOLOGIST

          SOUTH TEES HOSPITALS NHS FOUNDATION TRUST


POST INFORMATION

This is a replacement post to join a team of 6 based at James Cook University HospitaL. It
is advertised on a whole time (10 PA basis), although any candidate who is unable to work
full time will be eligible to apply and, if appointed, modification of the job content will be
discussed in consultation with consultant colleagues and the Medical Director.

SOUTH TEES HOSPITALS NHS FOUNDATION TRUST

South Tees Hospitals NHS Foundation Trust is the largest hospital trust in the Tees Valley
serving the people of Middlesbrough, Redcar and Cleveland and Hambleton and
Richmondshire and beyond and provides health care from two main sites – The James Cook
University Hospital in Middlesbrough and the Friarage Hospital in Northallerton.
http://www.southtees.nhs.uk

The organisational structure comprises of the Board of Directors with the Chief Executive,
Trust Chair, Corporate Directors and Non-executive Directors with a Management Group
made up of the Chief Executive, Corporate Directors and Chiefs of clinical divisions which
are Acute Medicine, Specialty Medicine, Surgery, Women and Children, Trauma,
Cardiothoracic, Neurosciences, Anaesthesia and Theatres, Radiology and Pathology. There
is a separate Academic Division with its own Chief of Service and a Division of Clinical
Support Services.

The Trust is part of the recently formed North of England Cancer Network which is made up
of the old Northern Cancer Network and the Cancer Care Alliance.

The Regional Spinal Injuries Unit provides a comprehensive spinal cord injury service for the
North of England (population 3.4 million).

It also covers a range of highly specialist tertiary services extending to 1.5 million people in
Teesside and parts of Cumbria, Durham and North Yorkshire with leading expertise in heart
disease, cancer, trauma, neurosciences, renal services and spinal injuries.

The Trust‟s core business is to provide secondary healthcare to:

   Around 274,000 people living in Middlesbrough and the local area of Redcar and
    Cleveland
   124,000 people in an area stretching from the North Yorkshire Moors to the central
    Pennines, the borders of York district in the south and the borders of Darlington in the
    west.

In 2009/10 the Trust‟s budget is £418.1m and it employs almost 7,000 full and part time staff.

Hospital at Night
The Trust has developed an at night wireless communication system between ward and
medical staff via a night co-ordinator. This allows on-call clinicians receiving ward requests

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for help to prioritise calls, using supplied clinical observations, through a PDA, gives access
to protocols on patient management and also allows data collection on patient and ward
activity and response times to seeing patients and completing tasks. This system has been
awarded the prestigious HSJ Award for e-technology and has also won a BT award.

In January 2006 the Trust achieved Practice Plus status for work on Improving Working
Lives. This is an important recognition for commitment to good working practices and, as
equally important, how staff find working in the Trust.

             DIVISIONS                            DIRECTORATES
ACADEMIC                                 Postgraduate
                                         R&D
                                         Undergraduate
ANAESTHESIA AND THEATRES                 Elective
                                         Emergency
                                         Sleep/Pain
CARDIOTHORACICS                          Cardiac Surgery
                                         Cardiology
                                         Anaesthetic/CICU
CLINICAL SUPPORT SERVICES
ACUTE MEDICINE                        Acute Medicine
                                      Respiratory
                                      Elderly Care
                                      Critical Care
                                      (Diabetes/FHN)
                                      Clinical Infection Directorate
                                      A&E
                                      Gastroenterology
SPECIALTY MEDICINE                    Nephrology
                                      Haem/Radioth/Oncology
                                      Dermatology
                                      Rheumatology
NEUROSCIENCES                         Neurology/Neurophysiology/
                                      Neurorehabilitation
                                      Neurosurgery/Neuroradiology
PATHOLOGY                             Cellular Pathology
RADIOLOGY                             Single Directorate Division
SURGERY                               Ophthalmology
                                      ENT
                                      Urology
                                      General/Vascular Surgery
TRAUMA                                Elective Orthopaedic Surgery
                                      Orthopaedic Trauma Surgery
                                      Spinal Services
                                      Plastic Surgery
                                      Maxillofacial Surgery
WOMEN AND CHILDREN                    Maternity and Neonates
                                      Gynaecology
                                      Paediatrics
                            CORPORATE DIRECTORATES
Chief Executive‟s Office                            Human Resources
Finance                                             Information
Healthcare Governance (includes Nursing)            Operational Services
                                                    Planning
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THE JAMES COOK UNIVERSITY HOSPITAL

One of Europe‟s most modern hospitals, The James Cook University site is the largest of its
type and has a wide range of specialities. This hospital was opened in October 2003 and has a
capacity of 1,007 beds. Based on the original site of South Cleveland Hospital, all acute and
elective medical and surgical specialties are accommodated. Tertiary services, in addition to
cardiology and cardiac surgery, include renal medicine/haemodialysis, neurosurgery, vascular
surgery and the regional spinal injuries unit.

This site contains a modern central operating suite containing 22 well-equipped theatres,
with two recovery areas. This is immediately adjacent to an Adult Surgical Day Unit
containing a further three theatres and also to the Paediatric Day Unit. The 16 bedded
general ICU is across the corridor. Two additional theatres for gynaecology and obstetrics
are in the Central Delivery Suite and two more in the Ophthalmology Day Unit.

The Accident and Emergency Department on this site is the designated Regional Trauma
Centre for Teesside, South Durham and North Yorkshire. The hospital has a 24-hour Acute
Admissions Unit.

There is a 21 room imaging department equipped with a full range of mainly digital
modalities, a trust-wide PACS system and a purpose built 6 bed Radiology Day Unit. A
Medical Physics Department is also on this site together with isotope imaging.

The central clinical laboratory provides a comprehensive pathology service with electronic
links to wards and departments. Electronic requesting is being piloted.

There is a purpose-built Endoscopy centre.

The hospital has a comprehensive tertiary level fertility service and houses the Gynaecology
Cancer Centre (North of England Cancer Network).

The hospital caters for more than 4000 deliveries in purpose built delivery and low
dependency suites. The birth rate is increasing. Fetal medicine and high dependency
delivery referrals are accepted.

There is a regional tertiary neonatal intensive care unit with 9 intensive cots, which accepts
both local and regional admissions. It supports a neonatal transport service and has a strong
academic record. Any babies born at the Friarage hospital (c1100 deliveries per year)
requiring intensive care are transferred to this unit.

There is an established Academic Centre embracing postgraduate medical education, Nurse
Training School, the School of Radiography and library facilities. It encompasses two large
lecture theatres with the latest audio-visual aids and a considerable number of classrooms and
seminar rooms, including ward facilities for teaching and examining. There is a new library with
comprehensive IT suite.

A dedicated undergraduate teaching centre has been commissioned recently and there are
plans to have a dedicated simulation-training centre on site in the near future.

An accredited major trauma receiving hospital, it contributes to UK Trauma, Audit &
Research Network (UK TARN). It occupies a leading UK position in its survival rates from
blunt trauma as evidenced from UK TARN.




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THE FRIARAGE HOSPITAL

The Friarage Hospital at Northallerton, situated approximately 23 miles from The James Cook
site, merged with South Tees Hospitals NHS Foundation Trust in April 2002. It provides a wide
range of secondary services to its local population and is well known for its friendly atmosphere.

A fully equipped district general hospital with 314 beds, it provides a 24-hour accident &
emergency service and offers inpatient and outpatient facilities in general surgery including
colorectal, breast (including mobile screening) and urology services, orthopaedics and
trauma. Medical specialties include acute medicine, diabetes and endocrinology,
rheumatology, gastroenterology, respiratory and rehabilitation medicine. Inpatient and
outpatient obstetrics/gynaecology, paediatrics and adult psychiatry services are on site

Cardiology, encompassing CCU and cardiography, functions as a self-contained unit but is part
of the cardiology directorate. There are two cardiologists in post. Increasing integration of the
cardiology services across the two sites is planned.

The hospital is furnished with a well-equipped medical library with facilities for electronic
searching of medical databases and access to the Internet. A full programme of
postgraduate educational meetings is held on this site.

Support services on this site include haematology, chemical pathology, histopathology,
microbiology, physiotherapy, occupational therapy and speech and language therapy.
Patients requiring cardiothoracic or neurosurgical services, nuclear medicine or MRI
scanning are referred to other hospitals including The James Cook University Hospital and
Leeds General Infirmary (45 miles).

The Ministry of Defence Hospital Unit (MDHU) has been based at the Friarage since July
1999 with contribution of military doctors, nurses and other staff who are integrated into the
hospital‟s services.

EDUCATION, TEACHING AND RESEARCH

The modern Academic Centre at The James Cook University Hospital is housed within two
linked buildings. They contain two large lecture theatres, which have audio-visual links.
There are many seminar rooms of varying sizes, which are used for teaching,
demonstrations, lectures and conferences. There is a new library which is well equipped
with most of the general and specialist journals relevant to the Trust‟s clinical activity. There
is a large IT suite of over 40 stations within the library complex.

The Academic Centre also houses the Clinical Trials Unit which has recently been extended
with links to the unit at the Royal Victoria Infirmary in Newcastle. Clinicians who are
interested in developing a clinical trials programme are encouraged to contact the Research
& Development Department.

There are close links with the College of Health at Teesside University for the training of
nurses and midwives, radiographers and physiotherapists.

There is an active postgraduate district and divisional curriculum on site based in the
postgraduate education centre under the direction of a university clinical tutor. There is an up-
to-date medical library within this centre. Consultants are expected to undertake activities
suitable for continuing medical education in accordance with Royal Colleges.

As part of the national expansion of medical student numbers, the Universities of Newcastle
and Durham have formed a partnership increasing the undergraduate intake to 340 students

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as from September 2002. The first two years of the curriculum are being taught at the
Queen‟s Campus of the University of Durham in Stockton as well as the Medical School in
Newcastle. Currently it is planned that 102 students will be based in Stockton and 245 in
Newcastle including 25 in the accelerated programme. At the end of year 2 the entire
cohort of students will be divided up for their third year between base units of acute and
community trusts and PCTs around the Northern Region. South Tees has been designated
the lead trust for the Teesside Unit which currently comprises Bishop Auckland and
Darlington, North Tees and Hartlepool, as well as South Tees and the corresponding Mental
Health Trusts of Tees, Wear and Esk Valley and South Durham and the associated PCTs.

In order to accommodate these medical students, a new purpose-built clinical Academic
Centre, including a teaching unit, has recently been completed at The James Cook
University Hospital. There are active plans to further develop both teaching and research
within the Trust including the appointment of a new Chair in Rheumatology (Newcastle) and
Cardiology (Durham).

Research is actively encouraged. The Trust employs several visiting Professors (Orthopaedics
(2), Anaesthetics (2), Academic Emergency Medicine (1), Paediatrics (1), Medicine (1), Surgery
(1) and Maxillofacial Surgery (1). The Sub-Dean of the Medical School (Professor Bilous) is
also based at JCUH.

As a result of these activities the Trust was designated a University Hospital in 2002.

JUNIOR DOCTORS' HOURS AND IMPLEMENTATION OF THE EUROPEAN
WORKING TIME DIRECTIVE

The region and Trust are committed to these nationally agreed initiatives. All junior doctors‟
posts are anticipated to be compliant with the 48hour working week by 2009 and currently 60%
of juniors are already working a 48-hour week. It is expected that consultant staff will contribute
to the education supervision, appraisal and assessment of junior medical staff and support the
on call arrangements that exist in their Directorate. The Trust also supports the changes to
competency-based assessments of trainees as envisaged by MMC despite the initial problems
with MTAS.

OTHER FACILITIES

The James Cook University Hospital has an on site family friendly crèche open from 0730
until 1800hrs.

THE LOCALITY

Teesside is surrounded by the delightful countryside of the North Yorkshire Moors National
Park, the North East Coastal beaches and the attractive countryside in South and West
Durham, and North Yorkshire, with excellent rural pursuits. It also provides one of the
largest petrochemical complexes in Europe and is also the major steelworks site of Corus
(previously British Steel).

Northallerton, one of England‟s best-loved country towns is on the doorstep of the Yorkshire
Dales.




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LOCAL AMENITIES

Leisure/Recreation

There are major shopping centres at Teesside Park (Stockton), Middlesbrough and
Darlington. Newcastle and Gateshead Metro Centre are within reach, as are the historical
Cities of York and Durham. Hartlepool Marina and Hartlepool Historic Quay and Maritime
Museum are part of a multi-million pound development also only a short distance away. The
historic spa town of Harrogate is within easy reach of Northallerton.

There are excellent facilities in the area for most sports, including golf, swimming, squash,
rugby, cricket and tennis. There is an excellent indoor tennis centre (David Lloyd) close to
the Durham University campus in Teesdale (4 miles from the James Cook University
Hospital) and there are excellent golf courses at Wynyard and Romanby near Northallerton
with driving range facility. The Tees Barrage has allowed the creation of simulated white
water canoeing and rafting centre in Teesdale that attracts canoeing enthusiasts from all
over the UK.

There is easy access to the coast, the North Yorkshire Moors National Park, the Pennines
and Dales. There is an extensive range of recreational and cultural facilities in the
immediate vicinity. The Cleveland hills offer opportunities for a variety of outdoor pursuits,
including rambling, gliding and hang-gliding. There is active support for the arts in the
region, both at professional and amateur level, with a wide range of cultural events and
activities available. These include theatre, ballet, opera and all types of music, as well as a
variety of museums.

There are multi-screen cinemas in Middlesbrough, Teesside Park (Stockton) and Hartlepool
Marina with bowling facilities at Teesside Park. Middlesbrough, Stockton, Yarm, Stokesley,
Great Ayton and Northallerton have a wide range of family friendly eateries. The majority of
small towns and villages surrounding Middlesbrough and Northallerton have excellent
restaurants offering a variety of different cuisine.

The enthusiastic spectator can follow all football, rugby and cricket. Middlesbrough Football
Club has a superb new ground on the developing Middlehaven site, close to the banks of the
river Tees (Riverside Stadium) regularly featuring Premiership football.

Housing

There is a choice of housing in comfortable residential areas in the many pleasant rural and
urban areas in the surrounding countryside and within easy reach of the trust. Stokesley,
Great Ayton, Eaglescliffe, Yarm and the villages surrounding Northallerton offer a range of
quality houses at sensible prices. A range of executive houses is available, including
exclusive developments at Wynyard, Nunthorpe and surrounding villages. Marske and
Saltburn offer the opportunity to live by the sea and there are many beautiful village locations
at the edge of the Dales National Park area accessible from Northallerton.

Education

There is a complete range of educational facilities ranging from nursery to higher education,
with Universities at Teesside, Durham, Sunderland and Newcastle, offering a wide choice of
degree courses. The local secondary schools are comprehensive and many in Nunthorpe,
Stokesley, Yarm, Eaglescliffe and Northallerton enjoy an excellent national reputation with
high positions in the league tables. There are also excellent local private schools in Yarm
and Eaglescliffe as well as a number of first class preparatory and public schools in the area.


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Transport

Road links are excellent in all directions allowing quick and easy commuting. Due to the
good road system and ease of travel, many consultants live outside the „traditional‟ 10 miles
distance.

Road: The A19 links to the A1 (M) and the A66 links Teesside to the beautiful Lake District
      and Cumbria. Travel time to the Lake District is just 1.5 hours by car. Whitby and
      York are just 1 hour away

Rail:     Darlington and Northallerton railway stations are only a short driving distance away,
          from which London is 2.5 hours away and Edinburgh 2 hours.

Air:      Durham and Tees Valley International Airport is also about twenty minutes from
          Middlesbrough and has frequent services to, Amsterdam, Dublin and Aberdeen as
          well as a large number a large number of holiday destinations in Europe.

          Newcastle and Leeds/Bradford International Airports are within easy driving distance.




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THE SPECIALTY Dermatology

DIRECTORATES Dermatology

DEPARTMENT Dermatology


CONSULTANT/CLINICAL STAFF
               CONSULTANT                                 SPECIAL INTERESTS

Dr Andrew Carmichael                            Paediatric Dermatology
Dr Willson Taylor                               Skin Cancer
Dr Helen Horne                                  Contact Dermatitis
Dr Jaskiran Azad                                Vulval Disease

Clinical General Dermatology, dermatological surgery and sub speciality interest.



Teaching Medical students – Foundation Teaching, SPR training. FY2 Doctor
teaching.



Audit Three Sub-Regional Audit Meetings per year with the departments of
Dermatology from Sunderland and Durham.


CPD

The successful candidate will be expected to take advantage of continuing professional
development. The Medical Director holds the budget centrally and all reasonable requests
for study leave have been honoured to date and funded within the allowances contained with
the Medical and Dental Whitley Council and its successors.

Appraisal

Annual appraisals are mandatory for all Consultants and are carried out by the Clinical
Director. Appropriate time and assistance will be provided for preparation.

Managerial Duties

Consultants would be expected to undertake administrative duties as well as
eventually taking a lead role within the directorate which will have a managerial component.
Eg. Governance lead

Hospital Infection Control




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The Trust regards control of healthcare-associated infections as a high priority. The
appointed Consultant will be expected to promote high standards of infection control practise
among the junior doctors he/she supervises.



Job Plan

A formal job plan will be agreed between the appointee and their Clinical Director on behalf
of the Medical Director three months after the commencement date of the appointment.

The job plan will then be reviewed annually. It will cover all aspects of a consultant‟s
professional practice including clinical work, teaching, research, education and managerial
responsibilities. It should provide a clear schedule of commitments, both internal and
external. In addition, it should include personal objectives, including details of their link to
wider service objectives and details of the support required by the consultant to fulfil the job
plan and the objectives.

Proposed Timetable

DAY                           AM                            PM
Monday
                              Admin / Audit                 Ward round/Admin
Tuesday
                              Clinic JCUH                   Admin / Ward referrals
Wednesday
                              Clinic FHN                    Clinic FHN
Thursday
                              Clinic UHH                    Clinic UHH
Friday
                              Ward Round/Admin              CPD/Clinical Meetings

Category B on call one in six




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MAIN CONDITIONS OF SERVICE

The terms and conditions are identical to the new Consultant Terms and Conditions of
Service of Hospital Medical and Dental Staff (England and Wales) and General Whitley
Council Conditions of Service, as amended from time to time.

1         Any Consultant who is unable to work full time for personal reasons will be eligible to
          be considered for the post. If such a person is appointed, modifications of the job
          content will be discussed on a personal basis in consultation with consultant
          colleagues and the Medical Director.

2.        The successful applicant will normally be required to reside within the „traditional‟ ten
          miles (or within 30 minutes) of their base hospital although reasonable requests to
          extend this are usually agreed by the Medical Director.

3.        The appointee will be subject to a medical examination.

4.        The current salary applicable to the post will be in line with the new Consultant
          Contract.

5.        Relocation expenses will be offered and are negotiated on an individual basis with
          the successful applicant.

6.        Secretarial assistance and office accommodation will be made available.

Travel and Subsistence

Travel and subsistence will be reimbursed for preliminary visits only to those candidates
selected for interview. Reimbursement is restricted to two such visits, whether they are
made before or after the constitution of a shortlist. In the case of candidates travelling from
abroad, travelling expenses are normally payable from the point of entry into the United
Kingdom.

Rehabilitation of Offenders*

Because of the nature of this work, the post is exempt from the provisions of Section 4(2) of
the Rehabilitation of Offenders Act 1974 (exemptions) Order 1975. You are therefore not
entitled to withhold information about convictions, which for other purposes are “spent” under
the provisions of the Act, and any failure to disclose such convictions could result in
disciplinary action by the Authority. Any information given will be kept in strict confidence,
and used only in relation to the position to which the order applies.

Equal Opportunities**

The Trust is committed to the promotion of equal opportunities, both as an employer and in
the services provided. All employees of the South Tees Hospitals NHS Foundation Trust
and all applicants for employment will have equality of opportunity for employment and
advancement on the basis of their ability, qualifications and fitness for work. The Trust is
committed not only to the letter of the law but also the promotion of equality of opportunity in
all fields.

*Rehabilitation of Offenders Monitoring Form will be posted to successfully shortlisted candidates
prior to interview.
**The Equal Opportunities Monitoring Form A should be completed on-line as part of the application.


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ENQUIRIES AND VISITS

Applicants or prospective applicants are encouraged to contact our recruitment consultant
Laurence Wolahan of Hays Executive on 020 7520 5973.

APPLICATIONS

Applications should be submitted online via www.hays.co.uk/jobs/southtees


Any queries regarding application submission or interview please contact:

Laurence Wolahan of Hays Executive

Telephone 020 7520 5973

Laurence.wolahan@hays.com




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                                PERSON SPECIFICATION

                            CONSULTANT IN DERMATOLOGY

            CRITERIA                ESSENTIAL                                DESIRABLE


 Basic qualifications        Registerable medical degree
                             MRCP (UK) or equivalent higher
                             qualification.


Higher qualifications        On the specialist register or within
                             six months of expected date of
                             certificate of completion of specialist
                             training (CCST)

 Relevant experience         Extensive out-patient and                 Special interest
          in                 in-patient experience in
                             Dermatology
      specialty
     Clinical skills         Sound experience in all                   Commitment to the
                             aspects of dermatology                    development of a special
                                                                       interest.

  Management skills          Ability to work within a
                             multi-disciplinary team
                             approach.

          Audit skills       Knowledge of audit                        Experience of clinical
                             Principles                                process and outcome audit.

                             Enthusiasm for clinical
    Teaching skills          teaching of undergraduates nurses,
                             general
                             practitioners, hospital
                             doctors and others.

      Academic                                                         Evidence of familiarity with
achievements/researc                                                   research methods which
                                                                       have resulted in a series of
          h                                                            publications
     publications
   Personal skills   Evidence of willingness to                        Resilience – evidence of an
                             participate in a team                     ability to prioritize when
                             environment to provide an                 under pressure.
                             integrated service –
                             evidence of innovation and
                             good communication skills.

       Physical              Pre-employment health evaluation.
     requirements




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Description: CONSULTANT dermatitis