CONSULTANT OBSTETRICIAN AND GYNAECOLOGIST

CONSULTANT OBSTETRICIAN AND GYNAECOLOGIST July 2015 1

J O B D E S C R I P T I O N POST CONSULTANT OBSTETRICIAN and GYNAECOLOGIST DURATION Commencing 1.9.2015 LOCATION REPORTS TO RESPONSIBLE TO Western Health and Social Care Trust based at South West Acute Hospital, Enniskillen. Lead Clinician in Obstetrics & Gynaecology, Southern Sector of Western Trust Director of Women and Children s Services (Managerial) Medical Director (Professional) Purpose of Post The successful candidate will provide on-call cover for one of the fulltime consultants plus outpatient and theatre work up to and not exceeding 10 PA s. as part of a team of then 4.5 whole time equivalent consultants. This is a consultant lead service providing the full range of inpatient and outpatient obstetrical and gynaecological services including Colposcopy, Urodynamics, Outpatient Hysteroscopy, but excluding gynae-oncology, within the southern sector of the Western Trust. All full range of services is provided at the South West Acute Hospital, as well as day case surgery and a full range of outpatient services at Tyrone County Hospital (Omagh). The whole time equivalent Obstetricians/Gynaecologists operate a 1:4.5 on-call rota with a pro rata prospective cover arrangement. The unit facitlitates approximately 1300 births per year. The consultant team are supported by Junior Medical staff consisting of 7.5 Specialty doctors and 2-3 ST1-2/GP trainees. They are providing a key role in the promotion of the service including development and implementation of plans to encourage the use of Obstetric/Gynaecological services provided by the Trust. General Description The southern sector of the Western Trust provides services to a population of approximately 115,000 and is responsible for the provision of a complete range of Health and Social Care services in hospital and in the community. There are two hospitals in the southern sector of the Western Trust which are 28 miles apart. These are the new South West Acute Hospital (SWAH) in Enniskillen, which opened on 21.6.12, and Tyrone County Hospital, a local hospital in Omagh, providing outpatient and minor day surgery service. There are plans for a new-built local hospital in Omagh. Completion for this is anticipated for 2016. 2

South West Acute Hospital: The new 276m South West Acute Hospital opened for patients on the 21 June 2012. The hospital is located to the north of Enniskillen. The site is at Wolf Lough, off the main A32 Enniskillen to Omagh Road and approximately 1 mile from Enniskillen town. The new acute hospital provides up to 312 in-patient and day-case beds. The new hospital delivers a wide range of services including acute medicine, surgery, older people and paediatric services; day and elective surgery, critical care, accident and emergency services, imaging and diagnostics and consultant-led maternity services. Also included in the new development is staff and key worker accommodation. The model of care promotes the delivery of safe, accessible, sustainable, equitable, affordable, high quality services, working in a network with other hospitals. At the core of the Trust s new model is a focus on providing a better patient experience and improved patient outcomes. Tyrone County Hospital Tyrone County Hospital is an enhanced local hospital which offers a range of services, including a 24-hour Urgent Care and Treatment Centre, cardiac assessment unit, renal unit, inpatient rehabilitation and palliative care services, day case theatres, X-Ray, laboratory and a comprehensive range of outpatient services. 3

The hospital site consists of a range of buildings including: Main Hospital Block ward areas, medical imaging, theatres, day case unit, renal unit, urgent care and treatment centre, women and children s centre and cardiac assessment unit) Outpatients Department (OPD) Post Graduate Centre Riverside House (Outpatients department, diabetes unit, ear, nose and throat unit, audiology, physiotherapy) Nurses Home / Administration Laboratory The new Local Hospital for Omagh is due to Open in 2018. Key Clinical Tasks The postholder will share the responsibility for all Inpatient (at SWAH site), Outpatient and Day Case services at both sites. Participate in the On-call rota with the other Consultant Obstetricians/Gynaecologists as detailed above. Share in the provision of Outpatient antenatal and gynae, services at SWAH and Tyrone County, Omagh, (28 miles) as required. Will develop a special interest session at 1 PA /week suitable for and appropriate to the needs of the unit Key Organisational Relationships Provide advice to the Director of Women and Children s Services in the Western Trust via the Lead Clinician and Clinical Director on all aspects of Obstetric and Gynaecology Responsible to the Medical Director for the maintenance of personal professional standards. Participate in risk management and the clinical and corporate governance structures within the Western Trust. Set out a clear work plan for Junior Medical staff and provide appropriate supervision at all times. Participate in the teaching and development and assessment of undergraduate medical students and postgraduate medical staff. 4

Participate when required in Maternity Services Liaison Committee or on any other consumer forum, which may develop. The postholder will be a member of the Trust Medical Staff Committee. The postholder will work as part of a wider clinical network, particularly in relation to the management of cancer cases with the Cancer Centre and Cancer Unit. Responsibilities a) Quality The Obstetric/Gynae consultant team will establish protocols and systems for setting and monitoring standards of care, reviewing effectiveness and efficiency of practise in light of available evidence and recommended guidelines. The Obstetric/Gynae consultant team will assist with the development and implementation of systems that measure the level of services providing best practice standards offered by the Trust The Obstetric/Gynae consultant team will participate in medical and clinical audit activities and apply the results to improve the service. A yearly programme identifying priorities for audit will be agreed. b) Managerial Work with consultant colleagues, Clinical Services Manager, Senior Midwifery/Nursing staff and others in formulation/updating policy guidelines and initiatives to develop and enhance services within the Trust Undertake administrative duties associated with patient care to ensure arrangements are in place to meet quality standards for appointments and discharge procedures etc within contracts. Take part in annual appraisal and revalidation as required by the GMC. c) Information 5 The post holder will liaise with Business Services on the preparation, collection and dissemination of statistics and other information in relation to the provision and planning of this service.

Office Accommodation and Secretarial Support The appointee will have office accommodation provided in the South West Acute Hospital and will share existing secretarial support staff. The systems used to support administrative and information are largely computerised and all clerical support staff are trained in diagnostic coding, audio typing and all other office automation and clerical tasks. Consultant staffing: Dr Orla Conlon, MRCOG Dr. S S Cheah FRCOG Dr. A Abdelmageed, MRCOG Dr. A. McKinney, MRCOG Dr Salman Kidwai, MRCOG Special interest: Labour Ward, Colposcopy, and Urodynamics Special interest: Reproductive Medicine, Retiring Special interest: Colposcopy, Postgraduate and Undergraduate Tutor Lead Clinician Special interest: Obstetric Risk Management Special interest: Maternal medicine, Obstetric Risk Management Middle Grade staff Dr. Wael El-Sergany, Permanent Staff Grade Dr Mohamed Osman, Temp. Specialty Doctor Dr Iman Abugarga, Temp Specialty Doctor Dr Mohamed Eltom, Locum Staff Grade Dr Adewale Folarin, Locum Staff Grade Dr Mudasser Iqbal, Locum Staff Grade Dr Seif Eltigani, Locum Staff Grade Junior Medical staff The consultants are supported by a team of junior doctors appointed centrally by NIMDTA on an annual basis. Library Facilities There are Medical libraries in SWAH and Tyrone County Hospitals, which are supplied with books by the Medical Library of Queen s University, Belfast. Both libraries have a personal computer with CD ROM facility and have Cochrane Database installed. The Maternity unit has it s own education suite with computer access, printed and electronic educational material, as well as equipment for practical skills training. 6

Qualifications and Continuing Medical Education Applicants are expected to hold an appropriate higher medical qualification and to have extensive appropriate experience and training in obstetrics and Gynaecology. The Trust is committed to Continued Medical Education. It is anticipated that in addition to Research and Audit, appropriate time will be set aside to facilitate Continued Medical Education requirements. The successful candidate will be expected to enrol in the CPD program of the Royal College of Obstetricians and Gynaecologists. Terms and Conditions Remuneration The successful applicant will be offered a 10 PA contract under the new consultant contract (Northern Ireland). This will include prospective cover as well as predictable and unpredictable on-call. A 5% on-call supplement, category A will apply. Contributions will be payable under the Health and Social Service Superannuation Scheme. There is reciprocity between Northern Ireland scheme and that in operation in mainland Britain. Hours The hours of work will be determined by the Obstetric/Gynaecology services offered by the Trust. Substantial leave periods should only be taken by one consultant at any one time. Start Date Appointment to the post will be 1 st of September or as soon as possible thereafter, subject of the period of notice required by the successful candidate. Residence The post will be based at the SWAH. The post holder must live within 10 miles of the SWA hospital and must maintain contact with the public telephone service. Registration and Defence Registration with the GMC must be maintained. The Trust bears responsibility for claims of Dental/Medical negligence against practitioners occurring in the course of their Health Service employment. Practitioners are advised to maintain their defence body membership in order to ensure that they are covered for any work, which does not fall within the scope of the indemnity scheme. Private Practice Private practice is regulated according the terms and conditions of the new consultant contract (Northern Ireland). 7

Medical Examination Any offer of appointment will be subject to the completion of a satisfactory general health assessment. This will be arranged by the Trust. Locality Profile The post is based on the outskirts of the island town of Enniskillen at the new South West Acute Hospital with outpatient and day care services at the Tyrone County Hospital in Omagh (28 miles away). The successful applicant will join four other Consultants in post to make a 1:4.5 whole time equivalent roster and will be involved in the general delivery of obstetrics and gynaecology services to this largely rural population. The unit currently delivers approximately 1300 babies per year. Enniskillen is a busy market town between upper and lower Lough Erne and is a centre for tourism and water sports. It has friendly people, excellent schools, shopping, theatre, cinema and sports facilities. Visit to Hospital Site(s) Candidates selected for interview are encouraged to visit the Hospitals by request to Personnel Department at: Tyrone and Fermanagh Hospital, Omagh, County Tyrone, BT79 0NS Applications Applications must be made on the prescribed form and must be returned, by specified closing date, to: Personnel Department (Recruitment) Tyrone and Fermanagh Hospital Omagh County Tyrone BT79 0NS The duties and responsibilities outlined in the above job description are not intended to be definitive nor restrictive, and may be amended to meet the changing needs of the Trust. The Western Health and Social Care Trust is committed to providing the highest possible quality of service to patients, clients and community. Members of staff are expected, at all times, to provide a caring service and to treat those with whom they come into contact in a courteous and respectful manner. The Western Health & Social Care Trust is committed to the development and implementation of systems under Clinical and Social Care Governance to ensure continuous improvement in the quality of services provided. The post-holder will be expected to co-operate and work with such systems. The postholder is required to ensure that equality and human rights issues are addressed within the postholder s area of responsibility in accordance with Western Health & Social Care Trust s Equality Scheme. 8

The Trust operates a zero tolerance policy to preventable healthcare associated infections and the post holder is required to comply with all extant infection prevention policies, guidelines, protocols and procedures. Records Management: All employees of the Trust are legally responsible for all records held, created or used as part of their business within the Trust including patient/client, corporate and administrative records whether paper-based or electronic and also including emails. All such records are public records and are accessible to the general public, with limited exceptions, under the Freedom of Information Act 2000, the Environmental Information Regulations 2004 and the Data Protection Act 1998. Employees are required to be conversant with the Trust s policy and procedures on records management and to seek advice if in doubt. You should note that under Health & Safety at Work Legislation you are required to take all reasonable steps while at work to ensure your own health and safety and the health and safety of those who may be affected by your acts or omissions at work. You should also be aware that we operate a No Smoking and No Alcohol Policy within the Trust. The Trust is an equal opportunities employer. 9

P R O P O S E D J O B P L A N FIXED SESSIONS PA S Antenatal Clinic 1.0 DCC Gynae Outpatient Clinics 1.0 DCC Labour Ward and Patient Administration 2.2 DCC Gynae Theatre List 1.0 DCC Special interest session 1.0 DCC TOTAL FIXED SESSIONS 6.2 FLEXIBLE SESSIONS On Call 1:4.5 1.8 DCC - Predictable on-call 0.3 PA s - Unpredictable on-call 1.5 PA s Prospective cover 0.5 DCC Supporting Professional Activities 1.5 SPA TOTAL FLEXIBLE 3.8 Total Direct Clinical Care Total SPA s Overall total 8.5 PA s 1.5 PA s 10 PA s This job plan is subject to review after 3 months with an option to increase the number of PA s. 10

Proposed fortnightly program of work (The actual weekly/fortnightly job plan will be agreed in conjunction with the Lead Clinician who will job share and the rest of the consultant team.) Week 1 Week 2 Day a.m. p.m. a.m. p.m. Monday Flexible session DPU, SWAH Main theatre list Tuesday GOPD, TCH ANC, TCH Special interest session Currently DPU, TCH Wednesday Core SPA Special interest session Core SPA Flexible session ANC, TCH GOPD, SWAH Thursday Labour ward Labour ward Labour ward Labour ward Friday SPA for undergrad. teaching Labour ward Once per month when on-call Friday night On-call Thursday nights, plus weekends 1:4.5. Free Free Legend: GOPD: SPA: DPU: ANC: OT: TCH: SWAH: Gynae outpatient clinic Supporting professional activity Day Procedure List Antenatal Clinic Major theatre list Tyrone county hospital South West Acute hospital 11

Supplementary Information. 1. Providing a Quality Service The Western Health & Social Care Trust is committed to providing a Quality Service for its patients. Every employee has a responsibility to support the Trust in this aim by: - Adhering to policies, procedures and standards adopted by the Trust. Supporting and contributing to Trust quality initiatives Evaluating personal practice. At all times upholding high standards of courtesy, respect and care towards patients and colleagues. The Trust wishes to encourage staff to air clinical or other concerns in a responsible manner and at the earliest opportunity and employees attention is drawn to the Clinical Incident Reporting Policy and the Whistle blowing Policy. 2. Working with Children and Vulnerable Adults The Trust is committed to carefully screening all staff and volunteers who work in a regulated position and have substantial, unsupervised access to children and vulnerable adults in accordance with the Protection of Children and Vulnerable Adults (NI) Order (2003). 3. Confidentiality Clause All information concerning patients and staff must be held in the strictest confidence and may not be divulged to any unauthorised person. A breach of confidentiality will result in disciplinary action being taken in accordance with the Trust s disciplinary procedure and may lead to dismissal. 4. Data Protection Computer data should only be accessed if this has been authorised and is necessary as part of your work. Unauthorised access to computer data or helping others to access such data will result in disciplinary action being taken in accordance with the Trust s disciplinary procedure and may lead to dismissal. 5. Health and Safety The post holder has personal responsibility for safety as outlined in the Trust s Health and Safety Policy and the Health and Safety at Work NI Order 1978. 6. Smoking, Alcohol and Nutrition The Trust operates a policy on smoking, alcohol and nutrition and staff are requested to participate with the implementation of these policies. 7. Job Description Review The duties of the post may be reviewed and, if appropriate, changed by discussion with the post holder to ensure the provision of effective and efficient services. 8. Standing Financial Instructions All staff must comply with the Standing Financial Instructions of the Trust. 9. Equality & Human Rights In accordance with the Trust s Equality Scheme, to ensure that equality and human rights are addressed with the post holder s area of responsibility. 10. Environmental Cleanliness The Trust is committed to an environmental cleanliness policy and the post holder is required to comply with all those issues relevant to this post. 12

WESTERN HEALTH AND SOCIAL CARE TRUST PERSONNEL SPECIFICATION POST: CONSULTANT OBSTETRICIAN & GYNAECOLOGIST DEPARTMENT: OBSTETRICS & GYNAECOLOGY LOCATION: SOUTH WEST ACUTE HOSPITAL DATE: July 2015 Each statement contained in the Personnel Specification must be justifiable by evidence obtainable from an analysis of the job. The specification should describe the person who is capable of doing the job adequately. Factors shown below are examples and may not be relevant for all posts. If so they should be marked Not Applicable. Blank boxes are available to note additional factors. Please note, however, that the completion of the qualifications and/or experience section is compulsory. See paragraph 7.5.5 for examples. FACTORS ESSENTIAL % DESIRABLE % QUALIFICATIONS AND/OR EXPERIENCE (Length and Type) Applicants must hold Full registration or eligibility for registration (must be registered at time of appointment) with the General Medical Council (GMC), London and a License to Practice Entry on the GMC Specialist Register for Obstetrics & Gynaecology via:- CCT (proposed CCT date must be within 6 months of interview date) CESR or European Community Rights Higher degree, MD or PhD or equivalent (From App Form) MRCOG or approprate specialist qualification Research (Queens University Rep) Publications/ Presentations Either hold a full; current driving licence and have access to a car or other form of transport which will permit the full requirements of the post to be met. TOTAL 13

FACTORS ESSENTIAL % DESIRABLE % PROFESSIONAL OR CLINICAL DEPARTMENT KNOWLEDGE COMPETENCIES Proven experience in operative Obstetrics and Gynaecology, including the management of complications. Competent in antenatal care, including high risk pregnancies and general out-patient and emergency gynaecology. Competent in Labour ward management, as well as Obstetric and gynaecological Ultrasound Clinical Governance. Revalidation/Appraisal. Audit Good Communication / Interpersonal Skills. Teamwork/Leadership Additional clinical experience/training in outpatient hysteroscopy OR urogynaecology OR gynae endocrinology ORminimal access surgery Teaching of Junior Medical Staff SPECIAL CIRCUMSTANCES Reside within ten miles or within 30 minutes response time to SWAH while on emergency call. TOTAL 14