Job Description For Dental Core Training Posts in Oral and Maxillofacial Surgery Page 1 of 14
GENERAL INFORMATION The RUH provides hospital and community health services for a population of 500,000 within Somerset, Wiltshire and South Gloucestershire. There are 9 hospitals in the district with services centred at the Royal United Hospital, which is the major District General Hospital. The Royal United Hospital The Trust occupies a 52-acre site about 1½ miles from Bath city centre and became a National Health Service Trust in 1992 and a Foundation Trust in 2014. The Trust provides 565 beds and a comprehensive range of acute services including medicine and surgery, services for women and children, accident and emergency services, and diagnostic and clinical support services. The Trust employs around 4,800 staff, some of who also provide outpatient, diagnostic and some day case surgery services at local community hospitals in Bath & North East Somerset, Somerset and Wiltshire. This fulfils part of the Trust's aim to provide high quality care to people in their local communities. The hospital provides healthcare to the population served by four Clinical Commissioning Groups (CCGs); Bath and North East Somerset CCG, Wiltshire CCG, and Somerset CCG (Mendip Federations), as well as one Social Enterprise, Sirona Health & Care CIC. Management Structure The Trust has adopted a divisional structure. There are three clinical divisions, Medicine, Surgery and Women and Children s Health supported by Corporate Services and Estates & Facilities. Each Clinical Division is managed by a senior management team, consisting of a Clinical Head, Divisional Manager and a designated Assistant Director of Nursing. Operational management decisions are made by the Management Board which consists of the executive directors and representatives from the three divisions. The senior management team meets with other divisional colleagues to discuss both operational and strategic issues for the specialities within the division. The hospital is managed by a Trust board, which consists of a chairman, five nonexecutive directors and seven executive directors. The day-to-day management of the hospital is the responsibility of the chief executive assisted by the executive directors. Page 2 of 14
Executive directors: Chief Executive; Chief Operating Officer; Director of Finance; Director of Nursing; Medical Director, Director of Human Resources, Commercial Director and Director of Estates & Facilities. Dental Core Trainee JOB OUTLINE INTRODUCTION The Dental Core Trainees assist with diagnosis and treatment of dental and maxillo-facial injuries, oral surgery and oral medicine and orthognathic surgery. Care of head and neck cancer cases is shared with the ENT department. Core Trainees attend operating sessions in day surgery, inpatient surgery, and participate in sedation and local anaesthetic outpatient lists as well as outpatient clinics The Department of Oral and Maxillofacial Surgery, which is situated at the Royal United Hospital, is supported by one Chief Dental Technician, one Dental Technician, one Sister, part-time, RGNs, Dental Surgery Assistants, and Health Care Assistants. Staff in the Department The staffing complement of the Oral Surgery and Orthodontics Department is as follows:- Mr A Felstead: Consultant in Oral & Maxillofacial Surgery Professor A Ireland: Consultant in Orthodontics (Lead Clinician for Oral Surgery and Orthodontics) Mr P Wilson: Consultant in Restorative Dentistry working two sessions/fortnight 4 Core Dental Trainees in Oral and Maxillofacial Surgery 1 Specialist Registrar in Oral and Maxillofacial Surgery 1 Staff Grade in Oral and Maxillofacial Surgery 1 Clinical Assistant in Orthodontics 1 Specialist Registrar in Orthodontics working 2 sessions per week 5 Specialist Registrars in Orthodontics working 2 sessions per week EDUCATION AND TRAINING The post is covered by the Contract for Education and Training EL(92)63. The Educational Supervisor on commencement will be Mr Andrew Felstead, Consultant for the DC2/3 Doctors and Ms Hannah Pepper, Specialty Doctor for the DC1 Doctors. Core Trainees will also receive an induction programme Page 3 of 14
upon commencement. A personal assessment of each trainees training needs will be made with the Educational Supervisor within the first two weeks of commencement. In addition to the contract of employment, Core Trainees will be required to establish with the Educational Supervisor an Agreement for Education and Training. This training agreement will determine the training programme designed to meet each Core Trainees training needs. The Educational Supervisor will meet each Core Trainees at regular intervals during the post to conduct appraisals. Appraisal is defined as constructive and regular dialogue between the Educational Supervisor and the trainee, focusing on the trainee's personal and preferred needs for career progression. In addition to the above, Core Trainees should be aware of the specifications required of the Trust through the Contract of Education and Training signed between the trust and the Postgraduate Dean. There is a Postgraduate Medical School, a large, very active Postgraduate Medical Centre and comprehensive medical library with full-time librarians. At present Bath has a regular supply of undergraduate medical students from the University of Bristol. In addition students from many other medical schools spend their elective period in Bath. AUDIT There are active audit programmes, and trainees are expected to carry out at least one audit annually and present their findings. The audit office is keen to offer support, particularly with design and data interpretation. Conditions of Service The successful candidate will be employed by the Royal United Hospital Bath NHS Foundation Trust. The person appointed will be a medical practitioner with full registration with the General Dental Council. This is a full time appointment which will be from 2 nd September 2015 until 6 th September 2016. The salary scale for this post is 28,076-39,092 per annum. The appointment will be terminable by one months notice in writing on either side. Page 4 of 14
The duties to be performed will be determined by the Trust in consultation with such Consultants as may be concerned. You are normally covered by the NHS Hospital and Community Health Services indemnity against claims of medical negligence. However, in certain circumstances (especially in services for which you receive a separate fee) you may not be covered by the indemnity. You are therefore advised that you maintain membership of your Medical Defence Organisation. Charges will be payable for services, e.g. board, residence, etc. provided by the Royal United Hospital Bath NHS Trust, on such scales as the Department of Health may from time to time determine. The appointment will be governed by the Terms and Conditions of Service for Hospital Medical and Dental Staff (England and Wales) for the National Health Service. The National Health Service Superannuation Scheme is voluntary. You will become a member of the Scheme and pay the appropriate contributions unless you complete Form SD502 to opt out. A junior doctor must accept that he/she will perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant in consultation, where practicable, with his/her colleagues both senior and junior. It has been agreed between the professions and the Department that while juniors accept they will perform such duties, the Secretary of State stresses that additional commitments arising under this sub-section are exceptional and, in particular, the junior should not be required to undertake work of this kind for prolonged periods or on a regular basis. There is no peripheral allowance payable in respect of this post. Owing to the vulnerability of people receiving health care, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974. Details of any criminal convictions you may have had must be disclosed. Failure to do so could result in dismissal. Annual Leave Core Trainees are entitled to leave at the rate of 5 weeks pro rata per annum to be approved by the Lead Clinician. Requests should be submitted at least six weeks before leave is required. Requests for annual leave over three weeks should be submitted three months before leave is required. Up to 5 annual leave days may be carried over from one leave year to the next with the agreement of the Lead Clinician. Page 5 of 14
Conditions of Appointment The appointment is subject to a satisfactory medical assessment carried out at the hospital's own Occupational Health Department. The medical is on the basis of a questionnaire issued at the time of appointment to the post. This post has been identified as one involved with exposure-prone procedures. As such satisfactory Hepatitis B status is a condition of your employment with this Trust. You will be required to either undergo the immunisation process or produce written evidence of satisfactory Hepatitis B status prior to taking up this appointment. As this appointment may provide substantial access to children, a police check on convictions will also be necessary. Residence and Availability Registrar posts in this Region are considered to be non-resident but single hospital accommodation may be available if required. If you reside in hospital accommodation a deduction from salary for lodgings will be made in accordance with the Terms and Conditions of Service. Accommodation would only be available for the tenure of the appointment in the Trust. Owing to the limited availability of accommodation at the Royal United Hospital, Licences are issued for an initial 6 months with review. The successful candidate will be expected to reside at a distance whereby he/she can satisfy the hospital that clinical commitments can be met on time. When standing by and in receipt of Additional Duty Hours payments, your availability must be such that you are as fully accessible as if you are on standby at the hospital. It is your responsibility to ensure that when on-call you will be available by telephone and able to reach your hospital in time to meet your clinical commitments. If you decide to remain in RUH accommodation after you have rotated to another Trust or General Practice, i.e. as part of the GPVT scheme or Medical Rotation, you will be expected to pay full rates. ACCOUNTABILITY The Chief Executive is managerially responsible for the services provided by the Trust and the Lead Clinician is responsible for the provision of the service. The post holder will be responsible for the discharge of their contractual duties through the Lead Clinician to the Chief Executive. The Royal United Hospital Bath NHS Foundation Trust will take direct responsibility for costs and damages arising from medical negligence in the Page 6 of 14
treatment of NHS patients, where they (as employers) are vicariously liable for the acts and omissions of their medical and dental staff. However, it is strongly advised that the person appointed maintains defence body membership in order to cover any work, which does not fall within the scope of the hospital policy. A medical professional indemnity scheme is available to cover compensation (including claimants' costs and expenses) arising from medical negligence in the treatment of private patients at the Royal United Hospital. It is a condition of this policy that all employed and non-employed consultants involved in the business of the Royal United Hospital shall be a member of a Medical Defence Organisation. Clinical Governance The NHS Executive has defined Clinical Governance as: A framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish In line with Government requirements, the Trust has established a clinical governance committee. The Chief Executive is the accountable officer and the lead is the Director of Nursing, who is responsible for ensuring that systems for clinical governance are in place and monitoring their continued effectiveness. As part of the requirements of clinical governance, the Trust s Committee is ensuring that all hospital doctors participate in audit programmes, including, where appropriate, specialty and sub-specialty national audit programmes endorsed by the Commission for Health Improvement. Procedures are in place for all professional groups to identify and remedy poor performance, including critical incident reporting, professional performance and supporting staff to report any concerns they may have about colleagues professional conduct and performance. ACADEMIC FACILITIES The Royal United Hospital has two centres for academic support. The Post Graduate Medical Centre has excellent lecture and meeting facilities and a new surgical simulation suite. The Bath Academy Education Centre houses an excellent medical library, clinical simulation suite, resuscitation training and again has extensive meeting facilities. In addition to these facilities the Wolfson Centre houses a number of departments that are linked to Bath University with whom the hospital has Page 7 of 14
excellent links. Bath University has a School for Health where academics collaborate actively with hospital staff over a wide range of disciplines. The hospital is also closely linked with Bristol University Medical School. Undergraduate and post graduate training is undertaken on site. Many consultants have honorary appointments at Bath and Bristol Universities. There are strong links with several other universities and several members of staff have honorary chairs. There is a long tradition of research and education at the hospital and a regular supply of undergraduate students. All consultants are expected to take part in these teaching activities. There is an active research and development department which fosters and facilitates research in all medical disciplines. Formal medical audit in the Department is in operation. GENERAL RESPONSIBILITIES POLICIES AND EXPECTED STANDARDS The postholder is required to familiarise themselves with all Trust policies and procedures and to comply with these at all times. The Code of Expectations of Employees in particular set out what you as a postholder are required to follow at all times and you should study this carefully. Failure to comply with any of the Trust s policies may result in disciplinary action up to and including dismissal. TRUST RESPECT BEHAVIOURS All staff are required to follow the Trust s Respect Behaviours at all times. These have been agreed with staff and Staff Side and are as follows: Treat others as you would like to be treated Listen to and support others and make time to do so Seek, acknowledge and value others experience and contribution Acknowledge others beliefs Be courteous and considerate to all Treat others fairly and equally Be honest and trustworthy and act with integrity Encourage others to treat all staff with respect Challenge the behaviour of staff who do not show respect to others CONFIDENTIALITY & INFORMATION GOVERNANCE All post holders must comply with all relevant legislation & Trust Policy with regards to Confidentiality & Information Governance, including the Data Protection Act (1998) ensuring that no information obtained through work is Page 8 of 14
communicated to any persons other than those requiring it to complete their duties. SEGUARDING ADULTS & CHILDREN All Trust staff have a responsibility to safeguard adults & children which includes an understanding of the relevant Trust & Local Safeguarding Adults & Children s Board Policies. HEALTH AND SETY Employees must act at all times in line with relevant Trust Policies & the Health and Safety at Work Act (1974) to ensure a safe environment for patients, visitors and staff. HEALTHCARE ASSOCIATED INFECTIONS (HCAIs) All Employees are responsible for ensuring that: your practice so far as is reasonably practicable, protects patients, staff and other persons against risks of acquiring HCAIs; where patients present with an infection or acquire an infection during treatment, that they are identified promptly and managed according to good clinical practice to treat the infection and reduce the risk of transmission. you follow all Trust policies, procedures and processes to meet the duties set out in the NHS Hygiene Code and assist in their full compliance by all staff within your department. HEALTH & WELL BEING The Royal United Hospital is committed to promoting the Health & Wellbeing of its staff. The Trust is a smoke free site; smoking is not permitted anywhere in the grounds. The Trust has a Stress Management Policy, which staff should familiarise themselves with to ensure that they have adequate support for the management of their own, and their colleagues stress. The Trust has an onsite Employee Assistance Programme (EAP) which is available to all staff, offering support to staff & their families. EQUALITY & DIVERSITY The Trust values Diversity and actively works towards promoting Equality both in terms of its healthcare provision and within its current and potential workforce. PATIENT AND CARER EXPERIENCE The RUH Trust continuously aims to improve the experience of patients and carers using the RUH. All staff are expected to follow the guidance contained in the Patient Experience Strategy for the RUH; the 3 main points to remember are: 1) Communicate clearly with people; 2) Involve patients and Page 9 of 14
carers in their care and with the hospital; 3) Seek out and use patient and carer feedback in all services. Also refer to the Carer Policy, Respect behaviours and references to improving experience contained in policy and guidance; all staff will be aware of Equality and Diversity and will assist with accommodating people with special needs. Your individual behaviour can make a significant difference to patient and carer experience. FLEXIBILITY This job description is intended to provide a broad outline of the main responsibilities only. The postholder is required to be flexible in developing their role in agreement with their designated manager. In addition they may be required by their manager to carry out any other duty commensurate with their banding and expertise. Page 10 of 14
PERSON SPECIFICATION Dental Core Trainee in Oral and Maxillofacial Surgery QUALIFICIATIONS ESSENTIAL Eligible for registration with the GDC BDS (or equivalent) WHEN EVALUATED DESIRABLE BSc (or other intercalated degree), other degrees / qualifications WHEN EVALUATED CLINICAL EXPERIENCE CLINICAL SKILLS 1 st Part of MFDS/MJDF (or equivalent) Applicants must have a minimum of two years postgraduation experience One year experience in a setting dealing with patients referred from primary care by the time of appointment. Life Support skills update within one year Understanding of clinical risk management Competent to work without direct supervision where appropriate Clear, logical thinking showing an analytical/scientifi c approach Completed MFDS / MJDF Less than 36 months postgraduate experience working as a dentist (full time) I/V I/V, Ref KNOWLEDGE Appropriate level Ref, I/V Demonstrates breadth of Page 11 of 14
of clinical knowledge Shows knowledge of evidenceinformed practice Shows awareness of own limitations Evidence of DCT activity I/V I/V, Ref experience and awareness in and outside specialty Demonstrates use of evidence informed practice Other relevant experience, training, courses I/V ORGANISATION AND PLANNING Ability to prioritise clinical need Ability to organise oneself & own work Experience and ability to work in multi-professional teams Understanding of NHS, clinical governance & resource constraints. I/V, Ref I/V, Ref, Ref Information technology skills TEACHING SKILLS AUDIT / RESEARCH Evidence of understanding of audit Evidence of undertaking clinical audits Evidence of teaching experience Enthusiasm for teaching; exposure to different groups / teaching methods Research experience, presentations, publications, prizes and honours Understanding of the principles of research I/V Page 12 of 14
CAREER PROGRESSION Commitment to further training in a dental speciality or OMFS, IV START DATE September / October 2013 PERSONAL SKILLS COMMUNICATION, Ref & LANGUAGE SKILLS (the ability to communicate with clarity and intelligibility in written and spoken English; ability to build rapport, listen, persuade, negotiate) DECISIVENESS/ ACCOUNTABILITY (ability to take responsibility, show leadership, make decisions, exert appropriate authority) INTERPERSONAL, Ref SKILLS (see patients as people, empathise, work co-operatively with others, open and non-defensive, sense of humour) USES A NON- Ref JUDGMENTAL APPROACH TO PATIENTS AND COLLEAGUES regardless of their sexuality, ethnicity, disability, religious beliefs or financial status FLEXIBILITY (able I/V, Ref to change and adapt, respond to rapidly changing I/V Page 13 of 14
PHYSICAL REQUIREMENTS circumstances) RESILIENCE (able to operate under pressure, cope with setbacks, selfaware) THOROUGHNESS (is well prepared, shows selfdiscipline / commitment, is punctual and meets deadlines) SHOWS INITIATIVE/ DRIVE/ENTHUSIA SM (self-starter, motivated, shows curiosity, initiative) PROBITY (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality) Meets professional health requirements I/V, Ref I/V, Ref, Ref I/V, Ref preemployment health screening Page 14 of 14