23655D consultant allergy

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					COUNSULTANT IN PAEDATRIC
ALLERGY

ROYAL HOSPITAL FOR SICK
CHILDREN, YORKHILL


INFORMATION PACK




REF: 23655D

CLOSING DATE: 30TH SEPTEMBER 2011



                   -
SUMMARY INFORMATION


CONSULTANT IN PAEDIATRIC ALLERGY

ROYAL HOSPITAL FOR SICK CHILDREN, YORKHILL


The Women & Children’s Directorate (An Acute Operating Division of Greater Glasgow & Clyde,
NHS Board) is a world leader in the care of child and maternal health services. Located in the West
end of Glasgow, the Royal Hospital for Sick Children hosts many national and regional specialist
services.

The Directorate also supports an extensive array of community child health services.

A New Children’s Hospital is due to open in 2015.

This new consultant post will be the third full time appointment creating a team of 3 consultants
within the department of infectious diseases, immunology and allergy..

This post has been created to maintain excellence in Paediatric Allergy and to develop the managed
clinical network in paediatric allergy within the West of Scotland.

Candidates should be trained in general paediatrics and ideally will have spent at least 2 years in
approved posts/programmes in paediatric allergy.

Applications will also be considered from those trained in immunology/infectious diseases, or
general paediatrics if they clearly demonstrate experience and interest in allergy

Applicants must have full registration with the General Medical Council and a licence to practice
medicine in the UK.

Those trained in the UK should have evidence of higher Specialist Training leading to CCT (or be
within six months of confirmed entry from the date of interview) or have equivalent training and
experience. Non-UK applicants must demonstrate equivalent training.




                                           -
     NHS Greater Glasgow & Clyde

   Women and Children’s Directorate




            Information Pack

             for the post of

    Consultant in Paediatric Allergy,
Royal Hospital for Sick Children, Glasgow

      POST REFERENCE: 23655D




              -
                            CONSULTANT IN PAEDIATRIC ALLERGY

                                        JOB DESCRIPTION

THE POST

This post has been created to maintain excellence in Paediatric Allergy and to develop the managed
clinical network in paediatric allergy within the West of Scotland (WoS).

Candidates should be trained in general paediatrics and ideally will have spent at least 2 years in
approved posts/programmes in paediatric allergy. Applicants should possess, or be within six
months of receiving CCST/CCT in general paediatrics

Any Consultant who is unable for personal reasons to work full-time will be eligible to be considered
for the post; if such a person is appointed, modification of the job content will be discussed on a
personal basis with the directorate in consultation with consultant colleagues.


Children’s Services across NHS Greater Glasgow and Clyde

The post is based at the Royal Hospital for Sick Children, Yorkhill, Glasgow (RHSC).The hospital
was founded in 1883 and the present buildings opened in 1971. The hospital forms part of the NHS
Greater Glasgow and Clyde Women and Children’s Directorate, Acute Division. The RHSC is one of
the largest children’s’ hospitals in the United Kingdom and the largest in Scotland. The Division
provides secondary health care to a local population of 900,000, but tertiary paediatric services to
the entire West of Scotland, population 3 million. Several national services are provided at Yorkhill,
including Renal Transplantation, Paediatric Cardiac Surgery, Complex Airway, Bone Marrow
Transplant, Erbs Palsy and ECMO (Extracorporeal membrane oxygenation).

All paediatric medical and surgical subspecialties are represented, including general medical
paediatrics, cardiology, neonatology, neurology, nephrology, respiratory, endocrinology,
gastroenterology, immunology and infectious diseases, dermatology, haematology/oncology,
rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, orthopaedics and
general paediatric and neonatal surgery. A selection of child and adolescent psychiatry facilities are
located within the campus along with a recently opened Child Protection Unit. Paediatric
neurosurgery, is currently based at the Institute of Neurological Sciences, Southern General
Hospital, Glasgow, but there are plans for relocation to the Yorkhill site There is an Emergency
Department at RHSC which sees 45,000 new patients annually. There is also a 16 bed Paediatric
Intensive Care Unit and a 6 bed High Dependency Unit. An operating theatre complex was opened
in 1998. It comprises seven operating theatres, a dedicated endoscopy room and a dental suite. The
complex also includes a spacious Day Surgery Unit.


The diagnostic imaging facilities available on-site include MRI, CT, ultrasound and nuclear medicine,
and a fluoroscopic digital screening room. A Scotland-wide PACS for transmission of digital
diagnostic imaging has been rolled out. Virtually all the hospitals in Glasgow, including Yorkhill are
filmless. Laboratory provision includes a Department of Paediatric Pathology and the regional
Department of Medical Genetics. There is on site clinical audit and research and development
support to assist with departmental research projects.

Yorkhill is a major centre for research and education. The hospital provides the major
Undergraduate Paediatric Teaching facility for the University of Glasgow and accommodates the
University Departments of Child Health, Child and Family Psychiatry, Medical Genetics, Human
Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery. There are also links
with both Caledonian and Strathclyde Universities. The Research and Development Department and
the Department of Clinical Audit provide assistance with research projects. A Scottish Medicines for
Children Network (SMCN) supports research projects adopted through Clinical Studies Groups of
UK based Medicines for Children Research Networks.



                                           -
In order to provide the city with child, maternal and adult services on a single site, a new children’s
hospital is planned on the Southern General Hospital site, and is due to open in 2014.


Other Paediatric Services in Glasgow and Clyde

Maternity services are delivered at the Southern General Hospital, the Princess Royal Maternity
Hospital and Royal Alexandra Hospital, Paisley, all with neonatal facilities. There is also a
Paediatric Ward in the Royal Alexandra Hospital.

Paediatric Neurosurgery is currently located in the Institute of Neurosciences at the Southern
General Hospital. A redesign of service provision in this area is work in progress.

Paediatric Radiotherapy (under general anaesthetic) is completed at the Beatson Oncology Centre
(located at the Gartnavel campus).

There is an extensive range of specialist community based children’s services across NHS Greater
Glasgow and Clyde. Managed within Community Health and Social Care partnerships, these
services are integrated with Primary Care and Social Care Services. Well established clinical links
across combined Acute and Community settings within the NHS Board are in place.

New Hospital Build / Service Re-organisation

In 2004 there was ministerial announcement for the development of a new children’s hospital to be
built within the Greater Glasgow area, this build co-located within acute adult facilities. Within this
new build on the Southern General site, re-provision of RHSC facilities will be provided alongside
the neonatal and maternity service. Completion of this new tripartite clinical arrangement covering
acute care of adult, children and maternity services was set at five years with an expected
completion date of 2014.



PAEDIATRIC SERVICES

Clinical Leadership

The paediatric allergy service is a key component of integrated hospital paediatric services within
the Women and Children’s Directorate (of Acute Operating Division, NHS Greater Glasgow and
Clyde)

   Dr. Graham Stewart (Consultant Paediatrician) is the Clinical Director for Hospital Paediatrics
    and is supported by a number of Link Clinicians.

For paediatric allergy this is:
 Dr Rosie Hague (Consultant in Paediatric Infectious Diseases and Immunology)

Link clinicians support general and paediatric sub-speciality services.
The structure of clinical leadership is mirrored within surgical services.




                                            -
National Service Contracts
The Royal Hospital for Sick Children hosts a number of paediatric national services. These national
services are listed in box 1 below:
Box 1 / Paediatric National Services

 Paediatric Cardiac Surgery             Paediatric Interventional Cardiology
 Neonatal Cardiology                    Extra Corporeal Life Support (ECLS)
 Transport of Critically Ill Child      Bone Marrow Transplantation
 Cleft Lip/Palate Surgery               Complex Airway Management
 Brachial Plexus Surgery                Intensive Care (from 2007/2008)
 Renal Transplantation
 Renal and Urology Network              In-patient Psychiatry Network
 Scottish Genital Anomaly Network       Epilepsy Network
Future Service Developments

University Of Glasgow Links

The Yorkhill academic campus is part of the Division of developmental medicine. The Professor has
recently retired, and the post will shortly be re-appointed. The Department of Child Health was
founded in 1924 and is located in the heart of the Royal Hospital for Sick Children. It is responsible
for the teaching of paediatrics and child health to undergraduate students, and has major research
programmes in Paediatric Gastroenterology and Nutrition, Paediatric Endocrinology, Paediatric
Respiratory Disease, Epidemiology and Community Child. In addition to the academic, research and
administrative staff, Honorary Clinical Senior Lecturers and Honorary Clinical Lecturers assist in
undergraduate teaching and examining, and postgraduate training.

Child Health has close links with the other four University Sections on the Yorkhill site – Human
Nutrition, medical genetics and surgical paediatrics. Together these academic departments are
partners in the Division of Medicine, and collaborate with several NHS Departments with strong
research programmes. Child Health shares laboratories with Human Nutrition, and has a special
interest in the application of stable isotopes for biomedical research.

For more information visit our website http://www.gla.ac.uk/departments/yorkhill/index.html



The Work of the Paediatric Allergy Service

The Royal Hospital for Sick Children, Yorkhill, Glasgow provides secondary paediatric services for
the children of Greater Glasgow, and specialist services for the West of Scotland, together with
some national services. The current model of provision for allergy reflects this pattern of care.

The specialist allergy service was established with the appointment of a consultant in infectious
diseases and immunology in 1994. Initially, because of the lack of provision of allergy services
generally, referrals were accepted from throughout the West of Scotland and beyond. More recently,
however, links have been made with local paediatricians to ensure good quality of secondary allergy
care within district general services. Currently, therefore referrals are accepted from primary care for
children residing in Greater Glasgow, and from general paediatricians throughout Scotland – but
chiefly the West.

Not all children with atopic disease are seen within the specialist allergy service. Services are also
provided by various system speciality services (eg dermatology, respiratory, GI, ENT) , as described
below.




                                            -
The specialist allergy service

The major remit of this service is assessment and management of children who may be at risk of
anaphylaxis. Referral criteria are therefore: children up to the age of 13 currently, but up to 16 once
relocated to the New Children’s Hospital; symptoms compatible with type 1 immediate
hypersensitivity reactions following exposure to a potential allergen, which in the majority of cases is
food. At present, due mainly to limited capacity, referrals of children with histories suggestive of
other forms of food intolerance are directed to general paediatrics, as are the majority of referrals of
children with suspected allergic asthma or allergic rhinitis, whose parents request “allergy testing”.
Children with severe or complex multiple allergy are seen, as are children who may be candidates
for immunotherapy, such as those with severe aero-allergen induced symptoms.


Current personnel

2 full time consultants in paediatric infectious diseases and immunology providing 1 clinic/week each
1 consultant general paediatrician who provides secondary allergy services in Clyde and 1
clinic/month average in RHSC.
1 consultant general paediatrician from Dumfries and Galloway who provides monthly in-reach.
1 middle grade trainee providing supervised clinic sessions in association with consultant led clinic

2 nurse practitioners sharing 1 nurse led clinic per week
1 newly appointed nurse practitioner in allergy who will lead additional clinics once trained.

Additional consultant led new patient clinics are currently being provided due to waiting list
pressures.

Services involved
Nurse led allergy diagnostic service (see below)
Dietician:
Out patient phlebotomy
Community liaison: health visitor/ school nurse + administration

Allergic eczema service

Atopic children commonly present initially with their infantile eczema to the dermatology service.
Over the last few years close links have been developed between the dermatology and specialist
allergy service, aiming to ensure a common approach to care, with agreed guidelines and well
defined pathways between the 2 services. All paediatric dermatologists see children with allergic
eczema, and when appropriate, children are investigated within this service for specific allergen
triggers to their eczema. If potential food allergens are identified, their diets may be restricted, with
input from the dietician. Some of these children also have type 1 immediate hypersensitivity
reactions to the same foods. While such children may be referred to the allergy service at any point,
many of these children continue to be managed by the dermatologists, who address this aspect of
their care, and ensure that a management plan is in place. As their eczema improves, to the point
when they no longer need specialist dermatology input, those who remain on restricted diets are
assessed to establish whether they are at ongoing risk of type 1 reactions. If this is the case, they
are referred to the allergy service.

Contact dermatitis and its potential triggers is investigated by the dermatology service, which
provide patch testing when required. The dermatology service also sees children presenting with
unexplained urticaria.




                                            -
Nurse led allergy diagnostic service

This is based on the ambulatory unit, ward 1C, and involves all the nursing staff on the unit. It is led
by the ambulatory care nurse practitioners, and will also involve the allergy nurse practitioner.
Referrals are accepted from general and specialist services in Yorkhill. It also supports allergy
services elsewhere in the West of Scotland by arranging investigations, which are not available
locally. It currently provides:

      Skin prick testing service to all clinics described above, and other “ad hoc” requests
      Oral challenge sessions.
      Support and advice for all other hospital departments in aspects of allergy
      Antibiotic and other drug sensitivity testing
      Very limited immunotherapy

The staff involved in this service have many other roles in provision of ambulatory care, in addition
to their responsibilities for allergy.
It is anticipated that the allergy nurse practitioner will have a major role in the further development of
the drug allergy service and immunotherapy.


Allergy provision in other services

The respiratory service may initiate investigations for allergy, particularly to inhaled allergens, as
part of the holistic assessment of asthma. Skin prick testing requests generated are managed by the
nurse led service. Children identified with food allergies will be referred to the specialist allergy
service.

The ENT service sees the majority of children referred with allergic rhinitis, supported in SPT by the
nurse led allergy service. While for the majority, treatment is symptomatic, or occasionally surgical,
with the evolution of immunotherapy, it is anticipated that this service may generate an increasing
number of requests for consideration of this treatment.

The GI service sees some children where food intolerance may be included in the differential
diagnosis.

At present, most questions regarding possible non-IgE mediated food intolerances are addressed by
general paediatricians. General paediatricians may also identify children with other forms of allergy,
and either manage with input from the specialist service, or refer.


Relationship with regional and national service

Informal links with the general paediatric services providing local care for children attending their
local district general hospitals with allergy are already well-established. The breadth of service
provided locally is still variable, with some sites not being able to provide the full range of diagnostic
services.

Nationally, there is an active multi-disciplinary “Scottish Paediatric Allergy Group” which is a forum
for education, sharing good practice, and support for the National Allergy Network, created as part of
the National Delivery Plan for Specialist Children’s Services.

Medical Staff:

Dr Rosie Hague, Consultant in Paediatric Infectious Diseases and Immunology (link clinician)

Dr Conor Doherty, Consultant in Paediatric Infectious Diseases and Immunology




                                             -
Members of Multi-disciplinary Team

Sister Maureen Lilley, Ambulatory Paediatric Ward

Sister Allison Ambulatory Paediatric Ward

Sister Elizabeth Morton, Paediatric Allergy Nurse Practitioner

Paediatric dieticians offer sessions to the service



Non Consultant Career Grades & Trainees

In general there is one designated middle grade trainee in the paediatric allergy, infectious diseases
and immunology service. Glasgow is not currently accredited by CSAC for tertiary training in
paediatric allergy, nor in infectious diseases and immunology. All trainees participate in the general
medical on call rota and when on call are not available for subspeciality work..

Consultant Staff in Allied Departments

Dermatology

Dr Paula Beattie
Dr Catherine Jury
Dr Pamela McHenry

Transition arrangements

Young people requiring ongoing specialist input can be referred to the West of Scotland anaphylaxis
service, based in Gartnavel General Hospital.


Support Facilities (Offices/Secretary):

A shared office, secretarial and IT support will be available. HISS, Clinical Portal and PACS provides
an automatic download facility of chemical pathology, haematology, radiology and histopathology
results.


Library and Education Facilities:

i)     The Hospital has its own medical library on site with a full time librarian. Electronic journal
       access is facilitated in conjunction with NHS Glasgow e-library project and also through the
       University of Glasgow with whom the postholder will have honorary senior clinical lecturer
       status.

ii)    The Glasgow University Library is ten minutes’ walk from the Yorkhill site.




                                            -
DUTIES AND RESPONSIBILITIES

     a)    Clinical


           The allergy service in the Royal hospital for Sick Children, Glasgow has been
           managed from within the paediatric infectious diseases and immunology service
           which is currently staffed by 2 consultants. With increasing workload and a need to
           develop further capacity and therapies within the service a new consultant post and a
           nurse practitioner post in allergy have been created.. It is envisaged that the new
           consultant will take responsibility for the majority of the allergy workload, allowing the
           2 existing consultants to concentrate on the demands of the infectious diseases and
           immunology service. The existing consultants will, however continue to give some
           support to the allergy service, at a level appropriate to the experience of the
           successful candidate.

           The post holder’s responsibilities will include outpatient clinics, provision of a
           consultation service for children admitted acutely with allergic disease, and advice to
           other departments within Yorkhill, telephone advice for other clinicians in the West of
           Scotland and occasional emergency referrals. The postholder will be expected to
           work closely with the nurse practitioners in allergy and ambulatory care as part of a
           multidisciplinary team who provide the diagnostic service, supervise food challenges,
           and drug allergy testing. They will be expected to develop an immunotherapy service,
           as well as expand the drug allergy service. The post holder will be expected to
           develop and implement appropriate evidence based policies, pathways, protocols
           and guidelines to support allergy practice and to support both general paediatric and
           specialist services patients with allergy.

           Depending on the background and interest of the post-holder, limited sessions may
           be available to maintain skills in general paediatrics, or in infectious diseases and
           immunodeficiency. It is not envisaged that these would exceed 2PAs per week, and
           would be dependent on negotiation of a job plan which satisfied the primary goal of
           allergy service provision.


           The successful candidate will be expected to organise their workload and operate
           appointment systems in a manner that is consistent with good practice as laid out in
           the Board Policy for Management of Waiting Lists and Times. The candidate will be
           expected to work with directorate management to make optimum use of Medical
           wards, clinics and other resources to contribute towards providing a high quality
           services for children and meeting Board targets.


     b)    Managerial

           The postholder is managerially responsible to the General Manager and
           professionally accountable to the Clinical Director via the link clinician in infectious
           diseases and immunology.

     c)    Clinical Audit, Data Management and Clinical Governance

           The postholder must be aware of clinical governance and clinical risk management
           and take an active part in their implementation, including audit.

           The Consultant will take an active part in the department audit arrangements.




                                       -
d)   On-Call Commitment

     Depending upon the background and experience, of the post holder, the appointee
     will participate in the acute general paediatric rota, which operates a “hot week”
     system, currently a 1 in 12, and / or in the specialist infectious diseases and
     immunology rota, which currently provides on call for the local service and is aiming
     towards providing telephone advice on a national basis with a colleague in
     Edinburgh.



e)   Leave

     For 1 WTE: 6 weeks and 10 days per year of statutory public holidays. In addition, in
     accordance with the consultant contract, there are recognised extra leave days related to the
     frequency of the on-call provision.

     There is a no locum policy and consultants in the department participate in cover for annual
     and study leave. Absence must be planned in advance by discussion with consultant
     colleagues.


f)   Research

     Yorkhill has excellent research facilities in which the Consultant will be invited to
     initiate and participate actively in research projects and to supervise clinical research
     by trainees. The directorate encourages all Consultants to contribute to research in
     their specialties, whether in basic or clinical areas or in the evaluation of health care.
     Collaboration with University clinical and pre-clinical departments is particularly
     encouraged. The Acute Division has a Research and Development Support Unit and
     the Directorates have appointed associate directors and/or co-ordinators for research
     and development.


g)   Teaching

     The appointee will be encouraged to negotiate sufficient SPA time to take part in the
     active postgraduate education programmes.          This involves running education
     programmes for junior staff, (both for in-service training and post graduate
     examinations), local educational programmes which contribute to CPD and
     involvement in interagency education and training.

     The appointee will be encouraged to take part in the teaching and assessment of
     medical students, particularly during the third, fourth and fifth years of their medical
     course.     There will also be opportunities to teach postgraduates and other
     professionals including nurses, health visitors and professions allied to medicine.


h)   Continuous professional development

     Continuous professional development is supported according to the guidance of the
     Royal College of Paediatrics and Child health




                                  -
         Weekly timetable


                  Mon                 Tues                Wed                 Thurs               Fri
Am                Urgent allergy      Diagnostic          Optional day*       SPA                 Allergy clinic
                  referral clinic     session
                  MDT meeting         supervision
                                      Ward referrals
pm                Allergy network     immunotherapy       Optional day        Allergy clinic      Admin
                  responsibilities


* Optional day:          specialist allergist: further clinic/diagnostic session/service development in area of
                         interest within allergy:


ID/Immunology trained: ID/Immunology grand round and participation in ID/Immunology clinic with
                      compensatory time for on call


General paediatrician:    Participation in general paediatric on call rota with compensatory time off for on call.


Within the Women and Children’s Directorate the following list of useful contact names and
addresses are available:

        Mr Kevin Hill, Director, Women and Children’s Services, RHSC, Tel Number 0141 201 0473
        Dr Jim Beattie, Associate Medical Director, RHSC,
        Dr Graham Stewart, Clinical Director, Hospital Paediatrics
        Mr Jamie Redfern, General Manager, Women and Children’s Directorate, RHSC




                                                -
GENERAL PROVISIONS

You will be expected to work with local managers and professional colleagues in the efficient
running of services and will share with consultant colleagues in the medical contribution to
management. Subject to the provision of the Terms and Conditions, you are expected to
observe the Directorate’s agreed policies and procedures, drawn up in consultation with the
profession on clinical matters, and to follow the standing orders and financial instruction of
NHS Greater Glasgow and Clyde. In particular, where you manage its employees, you will
be expected to follow the local and national employment and personnel policies and
procedures. You will be expected to make sure that there are adequate arrangements for
hospital staff involved in the care of your patients to be able to contact you when necessary.

All medical and dental staff employed by NHSGGC are expected to comply with all Hospital
Health and Safety Policies within the Board.

You will have responsibility for the training and supervision of (junior) medical staff who work
for you and you will devote time to this activity on a regular basis. 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 careers.

MEDICAL ADVISORY MACHINERY

The postholder will be a member of the Yorkhill Medical Staff Association and the Medical
Division.

WORK PROGRAMME

The work programme attached to this job plan is detailed in Appendix A.


JOB PLAN REVIEW

A formal job plan will be agreed between the appointee and their link clinician with the
Clinical Director, on behalf of the respective medical management structures within Greater
Glasgow and Clyde NHS Board. The job plan will be based on the provisional timetable
shown in Appendix A. The Job Plan will then be reviewed annually, following the Appraisal
Meeting. The Job Plan will be a prospective agreement that sets out a consultant’s duties,
responsibilities and objectives for the coming year. It should cover all aspects of a
consultant’s professional practice including clinical work, teaching, research, education and
managerial responsibilities. 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. On appointment, or thereafter, more SPA time can be
negotiated with the successful candidate for specific, clearly identified additional Supporting
Professional Activities. These activities must be desired by the Board and agreed by the
Clinical Director.




                                  - 13 -
                      PERSON SPECIFICATION - Paediatric Allergy Consultant

                                  Essential                                   Desirable                 How
                                                                                                     assessed
Qualifications        MBBS or equivalent                               Recognised higher sub       CV
& Training            MRCPCH or equivalent                              specialisation in
                      Should have completed a recognised                Paediatric allergy i.e.
                       higher specialised training programme             must have a
                       (or equivalent) in paediatrics                    CCST/CCT or be within
                                                                         6 months of attaining it.
                                                                        Relevant higher degree
Clinical              Wide experience in paediatrics within a          Experience of managed       CV/
Experience             dedicated paediatric unit                         clinical networks           Interview
                      Specific specialist interest experience in
                       allergy

Audit/                Competence in clinical audit                    Able to initiate and carry   CV/
Research              Training in management and audit at              out medical research         Interview
                       SPR or equivalent level                          projects.Authorship of
                                                                        research papers
                                                                       Publications in peer
                                                                        reviewed journals.
                                                                       Ability to increase the
                                                                        academic profile of
                                                                        department
                                                                       Experience in
                                                                        applications to ethical
                                                                        committees and grant
                                                                        applications

Teaching              Experience in training undergraduate            Specific training in         CV/
                       medical students and postgraduate                education and/or             Interview
                       doctors                                          appraisal
                      Interest in teaching                            Qualification in Teaching


                      Leadership skills                               Experience of                CV/
Management            Knowledge of clinical governance                 management                   Interview
                      Evidence of experience and                      Specific management
                       effectiveness in management                      training

Other qualities       Demonstrable evidence of leadership                                           CV
                       skills                                                                        /Interview
                      Evidence of effective team working                                            References
                      Evidence of good communication skills
                       with patients, colleagues, and all team
                       members
                      Evidence of flexibility, diplomacy and
                       integrity. Willingness to undertake
                       additional professional responsibilities
                       at local, regional or national forum
                      Commitment to continuing professional
                       development
                      IT Skills

Other                 GMC Registration                                                              CV
Requirements          Right to residency in UK
                      Ability to meet on call requirements &
                       Regional commitments

                                         - 14 -
                          GENERAL TERMS AND CONDITIONS OF SERVICE

The conditions of service are those laid down and amended from time to time by the Hospital and Medical &
Dental Whitley Council.


TYPE OF CONTRACT              Permanent


GRADE AND SALARY              Consultant, £ £74,504 - £100,466 (pro rata)

                              New Entrants to the NHS will normally commence on the minimum point of the
                              salary scale, (dependent on qualifications and experience). Salary is paid
                              monthly by Bank Credit Transfer.


HOURS OF DUTY                 Whole time, 40 hrs


SUPERANNUATION                You have the option to join the NHS Superannuation Scheme, to participate in
                              the State Earnings Related Pension Scheme or to take out a Personal
                              Pension.

                              Employee’s contributions to the NHS Scheme are Tiered based on your
                              earnings and the employers contribution equates to 13.5 % of salary.
                              Employees in the NHS Scheme are “Contracted-out” of the State Earnings
                              Related Pension Scheme and pay a lower rate of National Insurance
                              contributions. Employees who choose to participate in the State Earnings
                              Related Pension Scheme pay the higher rate of National Insurance
                              contribution. A Stakeholder Pension is also available.

                              A Personal Pension is a private arrangement agreed with the pension provider
                              that will be an organisation such as a Bank, Building Society or Insurance
                              Company.


REMOVAL EXPENSES              Assistance with removal and associated expenses may be given and would be
                              discussed and agreed prior to appointment.


EXPENSES OF                   Candidates who are requested to attend an interview will be given assistance
CANDIDATES FOR                with appropriate travelling expenses.
APPOINTMENT
                              Re-imbursement shall not normally be made to employees who withdraw their
                              application or refuse an offer of appointment.


TOBACCO POLICY                NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises
                              and grounds.


                              This post is considered to be in the category of “Regulated Work” and
DISCLOSURE SCOTLAND           therefore requires a Disclosure Scotland Protection of Vulnerable Groups
                              Scheme (PVG) Membership which currently costs £59.00. The cost of the
                              PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and
                              will required to be repaid through a payroll deduction mandate from the

                                          - 15 -
                         successful candidate’s first salary.



CONFIRMATION OF          NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to
ELIGIBILITY TO WORK IN   ensure that it’s employees, both EEA and non EEA nationals, are legally
THE UK                   entitled to work in the United Kingdom. Before any person can commence
                         employment within NHS GGC they will need to provide documentation to
                         prove that they are eligible to work in the UK.

                         Non EEA nationals will be required to show evidence that either Entry
                         Clearance or Leave to Remain in the UK has been granted for the work which
                         they are applying to do. Where an individual is subject to immigration control
                         under not circumstances will they be allowed to commence until the right to
                         work in the UK has been verified.

                         ALL applicants regardless of nationality must complete and return the
                         Confirmation of Eligibility to Work in the UK Statement with their completed
                         application form. You will be required provide appropriate documentation prior
                         to any appointment being made.


REHABILITATION OF        The rehabilitation of Offenders act 1974 allows people who have been
OFFENDERS ACT 1974       convicted of certain criminal offences to regard their convictions as “spent”
                         after the lapse of a period of years. However, due to the nature of work for
                         which you are applying this post is exempt from the provisions of Section 4 of
                         the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of
                         Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants
                         are required to disclose information about convictions which for other purposes
                         are “spent” under the provision of the act in the event of employment, failure to
                         disclose such convictions could result in dismissal or disciplinary action by
                         NHS Greater Glasgow and Clyde. Any information given will be completely
                         confidential.


DISABLED APPLICANTS      A disability or health problems does not preclude full consideration for the job
                         and applications from people with disabilities are welcome. All information will
                         be treated as confidential.

                         NHS Greater Glasgow and Clyde guarantees to interview all applicants with
                         disabilities who meet the minimum criteria for the post.

                         You will note on our application form that we ask for relevant information with
                         regard to your disability. This is simply to ensure that we can assist you, if
                         you are called for interview, to have every opportunity to present your
                         application in full. We may call you to discuss your needs in more detail if you
                         are selected for interview.


GENERAL                  NHS Greater Glasgow and Clyde operates flexible staffing arrangements
                         whereby all appointments are to a grade within a department. The duties of an
                         officer may be varied from an initial set of duties to any other set, which are
                         commensurate with the grade of the officer. The enhanced experience
                         resulting from this is considered to be in the best interest of both NHS Greater
                         Glasgow and Clyde and the individual.

EQUAL OPPORTUNITIES      The postholder will undertake their duties in strict accordance with NHS
                         Greater Glasgow and Clyde’s Equal Opportunities Policy.




                                     - 16 -
NOTICE               The employment is subject to three months’ notice on either side, subject to
                     appeal against dismissal.


MEDICAL NEGLIGENCE   In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the
                     Health Board does not require you to subscribe to a Medical Defence
                     Organisation.       Health Board indemnity will cover only Health Board
                     responsibilities. It may, however, be in your interest to subscribe to a defence
                     organisation in order to ensure you are covered for any work, which does not
                     fall within the scope of the indemnity scheme.




                                 - 17 -
FURTHER INFORMATION

For further information on NHS Greater Glasgow and Clyde, please visit our website on
www.show.scot.nhs.uk

Applicants wishing further information about the post are invited to contact Dr. Rosie Hague,
Consultant in Paediatric Infectious Diseases and Immunology, Tel 0141 201 0323 email
rosie.hague@ggc.scot.nhs.uk, with whom visiting arrangements can also be made.

HOW TO APPLY

To apply for these posts please include your CV and names and addresses of 3 Referees, along
with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to
access application for and CV submission information.

NOMINATION OF REFEREES

It is Board policy that no person can act as a member of an Advisory Appointments Committee and
be a referee for a candidate for that post. You should therefore check with your proposed referees
whether there is likely to be any difficulty in this respect for we may otherwise have to invite you to
submit another name or names


RETURN OF APPLICATIONS

Please return your application by email to nhsggcrecruitment@nhs.net or to the recruitment
address below;

Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde Recruitment Services
5th Floor, Tara House
46 Bath Street
Glasgow
G2 1HJ

CLOSING DATE

The closing Date will be 30th September 2011




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