CONSULTANT IN OPHTHALMOLOGY
Information Pack
Closing date: 14/01/2021
Welcome from Grant Archibald, Chief Executive, NHS Tayside
Thank you for your interest in this post. As you’ll see we have put together some information on this site both about NHS Tayside and where we are located in Scotland. I hope that you find this useful and that you translate your interest in this post into a formal application.
NHS Tayside has a strong track record in delivering high-quality, safe and effective care for all our patients. However, like other NHS Boards across Scotland, NHS Tayside is facing significant challenges including growing demand for all services, workforce challenges that are impacting upon how we deliver services and continuing pressures on our finances.
In response to these challenges, NHS Tayside has embarked up on a programme of transformation to ensure that services are safe, affordable and, importantly, sustainable for the future. Transforming Tayside aims to deliver Better Health, Better Care, Better Workplace and Better Value for the population of Tayside.
The programme is clinically-led and is being delivered in partnership with our staff and trades unions and our local health and social care partnerships. It is structured to respond to issues and make changes to services in the short to medium-term, as well as presenting an ambitious vision of transformation for Tayside in the longer term. It will provide clear and credible choices for transforming the future of local healthcare.
A new, innovative leadership model for clinical directorates is now in place to drive the changes necessary in health and social care across the whole system. Clinicians are taking the lead to design and provide evidence-based models of care which are safe, accessible, effective and person-centred in the Transforming Tayside programme.
Innovation and research are at the forefront of what NHS Tayside stands for and we are proud to have established the first academic health science network in Scotland, jointly supported by the Scottish Government and the University of Dundee. The Academic Health Science Partnership in Tayside brings together the delivery of healthcare services, education, quality improvement and research with the purpose of improving the health of patients. NHS Tayside, alongside the Academic Health Science Partnership, has welcomed funding announced in the Tay Cities Deal to grow the Tayside Biomedical Cluster. The project aims to make the region one of the most attractive and sought after biomedical locations in the UK. A £25million investment to grow the Tayside Biomedical Cluster was one of the projects announced to receive investment in the Tay Cities Deal Heads of Terms Agreement. The funding will stimulate a step change in innovation-led growth and create new jobs for the region.
The final thing I would like to say to any potential applicant is that Tayside occupies an enviable location on the east coast of Scotland with rivers, hills, mountains and rolling countryside right on our doorstep, as well as vibrant urban areas. The V&A Museum of Design in Dundee is an international centre of design and the centrepiece of Dundee’s innovative new waterfront development. This, along with Tayside’s great links to all other major cities in Scotland, means the area can offer employees plenty of choice when it comes to both accommodation and opportunities of things to do in the pursuit of the right work-life balance.
We would be delighted to hear from you should you have any questions or require any further information regarding the post.
Grant R Archibald, Chief Executive of NHS Tayside
NHS TAYSIDE VISION, AIM AND VALUES Our Vision
To find out more about NHS Tayside visit our website at:
http://www.nhstayside.scot.nhs.uk/index.htm
About NHS Tayside
NHS Tayside is responsible for delivering healthcare to more than 415,000 people living in Tayside. We employ around 14,000 staff and provide a comprehensive range of primary, community-based and acute hospital services for the populations of Dundee City, Angus and Perth & Kinross. Our annual budget is now circa £910 million of public money which works out at around £2.5 million spent by NHS Tayside for every day of the year.
Tayside area
Within NHS Tayside and based on the western edge of Dundee, Ninewells Hospital is one of the largest teaching hospitals in Europe. It is internationally renowned for introducing laparoscopic surgery to the UK as well as being a leading centre in developing fields such as the management of cancer, medical genetics, cardiovascular disease, diabetes, informatics, neuroscience and imaging.
Our hospital sites across Tayside also have nursing and research links with the University of Dundee and University of Abertay, Dundee.
In Tayside, we have 83,000 admissions every year, which is made up of 66,000 inpatient admission and 17,000 'same' day procedures. We also see 1,030,000 outpatient attendances annually.
In addition, at the heart of health services in our communities are our GP and primary care services which are there supporting our patients and their families where they live and work.
Health and Social Care Partnerships
There are three Health and Social Care Partnerships in Tayside: Angus; Dundee; and Perth and Kinross.
NHS Tayside works very closely with colleagues in the partnerships as they provide a range of adult health and social care services to our local communities.
Academic Health Science Partnership in Tayside (AHSP)
NHS Tayside has embarked on a major collaborative initiative, Academic Health Science Partnership in Tayside (AHSP). It is the first Academic Health Science Network in Scotland with an ambition to transform healthcare locally and globally at the time when it faces many difficult challenges.
Building upon the success of previous University of Dundee and NHS Tayside collaborations, AHSP is bringing together the delivery of healthcare services, education, quality improvement and research with the purpose of improving the health of patients through more effective integration of these functions in routine practice.
LIVING IN TAYSIDE
Discover award-winning towns and cities, breathtaking beaches and alluring countryside. Historically rich and home to Scotland’s longest river, Tayside is an innovative and exciting place to begin or expand your career. Dundee, Angus and Perth and Kinross make up this vibrant region - between them offering the perfect blend of city, country and coastline. In fact, you can easily enjoy the tranquility and scenery of neighbouring towns and villages within reach of the region’s cities of Dundee and Perth.
Find out more about living and working in Tayside at:
www.dundeecity.gov.uk
www.angus.gov.uk
www.pkc.gov.uk
Education in Tayside
In Tayside there are a host of schools, both public and private and excellent colleges and universities making Tayside a family friendly location.
Housing in Tayside
Whether you want to live in the rural countryside or one of Tayside’s vibrant cities or towns, you’ll have a variety of housing choices, many below the national average house price. For more information about housing in Tayside, visit the Tayside Solicitors Property Centre and/or Perthshire Solicitors Property Centre websites: http://www.tspc.co.uk/ http://www.pspc.co.uk/
Getting around
There are excellent connections to and within the region. It only takes approximately 30 minutes to drive between Dundee and Perth and just over an hour between Dundee and Edinburgh, Aberdeen and Glasgow.
Travelling and commuting within Tayside is easy by road, bus or train. Dundee’s regional airport offers daily flights to London Stansted in addition to private and leisure flights. The international airports at Edinburgh, Glasgow and Aberdeen will ensure you are connected from Scotland to the rest of the world.
Enter job description here.
NHS TAYSIDE
NINEWELLS HOSPITAL AND MEDICAL SCHOOL
APPOINTMENT OF
CONSULTANT IN OPHTHALMOLOGY
(10PA’s per week)
WITH A SPECIALIST INTEREST IN PAEDIATRIC OPHTHALMOLOGY OPHTHALMOLOGY AND ADULT CATARACT SURGERY
Post reference: AR.80.20
CONTENTS
SECTION 1 Job Description and General Information
SECTION 2 Person Specification
SECTION 3 Duties of the Post
SECTION 4 The Department of Ophthalmology
SECTION 1 Job Description and General Information
Title: Consultant in Ophthalmology
Specialty Area : Paediatric Ophthalmology and Cataract Surgery
Location: Based at Ninewells Hospital, Dundee with duties at other hospitals within NHS Tayside
New or Replacement Replacement Post
Prime responsibility: To provide an Ophthalmology service for NHS Tayside
Accountable to: Associate Medical Director
Reports to: Clinical Director for Specialist Surgery and Clinical Leader for Ophthalmology
Key Tasks: Maintenance of the highest clinical standards in the management of Ophthalmology new and follow-up outpatients and delivery of treatment.
Teaching and training of junior staff, medical students and other healthcare professionals.
Commitment to ongoing CPD
To actively participate in both departmental and NHS Tayside clinical governance, audit and management of safety and risk.
To actively participate in NHS Tayside on call service.
To have responsibility for ensuring active participation in continuing medical education (CME).
SECTION 2 Person Specification
NHS Tayside is committed to the principle of equality of opportunity in employment and accordingly its advertising and recruitment literature will not imply that there is a preference for any one group of applicants, e.g. by the use of discriminatory job titles or material depicting or describing certain sexual or racial groups.
In general, the short listing process will be conducted so as to give all candidates equal consideration against defined selection criteria. The following criteria will, therefore, be applied equally to all candidates irrespective of age, sex, religion, ethnic origin or disability and avoiding judgements on the basis of assumptions or stereotypes.
CRITERIA ESSENTIAL DESIRABLE METHOD OF EVALUATION
1. QUALIFICATIONS: MBChB (or equivalent) Additional postgraduate CV/Interview qualifications e.g. MD, PhD, FRCOphth ( or equivalent) MRCP
Applicants must be on GMC specialist register, eligible for entry on register or within 6 months of the anticipated award of CCT or CESR (CP) accreditation at the time of interview for the post and hold a current licence to practise 2. EXPERIENCE: Comprehensive experience of Advanced speciality training CV/Interview managing and co-ordinating in paediatric ophthalmology care of patients with general including the management paediatric ophthalmic of childhood squint, ROP, conditions. paediatric cataracts and genetic diseases. Comprehensive experience in managing acute presentations of paediatric ophthalmic emergency services.
Experience in general
ophthalmic surgery.
Comprehensive experience of managing and co-ordinating care of patients with cataracts.
.
3. KNOWLEDGE & Comprehensive knowledge of CV/Interview/ SKILLS: Management of Advanced sub-speciality References amblyopia training in paediatric Childhood squint ophthalmology surgery Retinopathy of prematurity Childhood screening Paediatric orthoptics Paediatric cataracts/tumours Genetic diseases Non Accidental Injury
Specific knowledge of contemporary cataract surgery and biometry.
Able to demonstrate excellence in cataract surgery.
Knowledge and management of ophthalmic presentations to the Acute Referral Centre.
Management of new general ophthalmic referrals.
4. TEACHING Evidence of both CV/Interview/ undergraduate and postgraduate teaching at Further qualification in References medical education formal & informal levels. Experience of teaching contemporary cataract surgery.
5. RESEARCH & Evidence of commitment to CV/Interview AUDIT research, presentations and publications.
6. MANAGEMENT Evidence of quality Experience in development Interview/ improvement projects. of a cataract clinical pathway. References
7. OTHER: Commitment to supporting Interview clinical activity across Tayside. (eg travel across Tayside)
SECTION 3: Duties of the Post
3.1 Duties & Responsibilities of the Post
i. provision with Consultant colleagues of an Ophthalmology service to NHS Tayside, its regional partners and the surrounding area, with the responsibility for the prevention, diagnosis and treatment of illness, and the proper functioning of the department ii. out-of-hours responsibilities, including participation in Consultant on-call rota where applicable iii. cover for colleague’s annual leave and other authorised absences; iv. work to develop a dedicated special interest, in conjunction with appropriate allied specialties v. professional supervision and management of junior medical staff vi. responsibilities for carrying out teaching, examination and accreditation duties as required and for contributing to undergraduate, postgraduate and continuing medical education activity, locally and nationally vii. participating in medical audit, clinical governance processes and in CPD viii. involvement in research ix. managerial, including budgetary or service delivery responsibilities where appropriate
3.2 Job Plan
A formal job plan will be agreed between the appointee and their Clinical Lead on behalf of the Medical Director, three months after the commencement date of the appointee. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.
The job plan will be developed taking into consideration the demands of the service, the sub- specialty interest and the development requirements of the post holder.
This is a full-time post (up to 10 PAs per week) – based at Ninewells Hospital, Dundee, but with sessions across the regional territory.
A 9:1 prorata job plan is anticipated which will include the following clinical commitments:-
2 Operating session per week 3 Outpatient sessions per week
An indicative timetable to be discussed is provided below:
1 General outpatient clinic at Perth Royal Infirmary (PRI) 1 General outpatient clinic at Ninewells Hospital. This new clinic would be part of a step- down model being populated by general ophthalmology patients requiring short-term review following attendance at the Acute Referral Clinic. It is expected the postholder would liase closely with the Acute Referral Clinic to provide appropriate pathways for the discharge or onward referral of casualty patients. Included in the remit of this clinic would be new urgent referrals.1 Cataract Assessment Clinic 1 Cataract Theatre session
Monday Tuesday Wednesday Thursday Friday
AM PRI PRI (Paeds) NW Paeds Theatre 1:4Paed alt/Admin theatre 1:4 PRI CAC 2:4 Admin
PM Admin PRI Genetics 2:4 Theatre Postgraduate Teaching ROP Screening
In addition, other direct patient care sessions will include ward rounds, on-call, administration, travel and multi-disciplinary meetings. To allow development of collaborative management some flexibility of sessional arrangements will be expected. A minimum of one SPA will be included. Any job plan will be subject to future scrutiny and development as per routine Consultant appraisal/revalidation
3.3 On Call Availability
The current oncall requirement for this role attracts a 5% salary supplement and designated programmed activity time in the job plan for work arising from the on call period.
3.4 Future Developments/Change in Job Plans As a consequence of transformational work within NHS Tayside and NHS Scotland the service is under review and redesign. There is an expectation that the post holder will actively contribute to service redesign outcomes as appropriate.
3.5 Teaching and Training The appointee is expected to participate in teaching and training of junior staff, medical students and trainees and to supervise junior medical staff within the specialty. There is active participation in the undergraduate teaching in the Medical School at Dundee University. Ophthalmology is a popular choice for student self-selected modules. Students in both the second and fourth years spend time in the department.
The Ophthalmology department has always had an excellent reputation for post-graduate training. The trainee rotation includes some time in Fife. There is an active postgraduate teaching programme plus research and audit are supported and encouraged. There is access to a surgical simulator and annual cadaver sessions. The Department is committed to high quality training and works closely with trainees and related agencies to deliver this.
3.6 Study & Training
The applicant is expected to participate in professional continuing medical education; study leave is provided for this purpose, and the appointee will be entitled to apply to the NHS Tayside Study Leave Committee for a contribution to funding of this activity.
3.7 Conditions of Service
The terms and conditions of employment will be subject to NHS Tayside Terms and Conditions of Service for Medical Staff as agreed locally with the BMA Local Negotiating Committee. Until such time as they come into force you will remain subject to the Terms and Conditions of Service for Hospital Medical and Dental Staff (Scotland) and the General Whitley Council Conditions of Service both as amended from time to time.
Membership of the NHS Superannuation Scheme is not compulsory. All medical and dental staff are entitled to choose if they wish to join the scheme or not. Until such time as a positive option not to join the scheme is expressed, a member of staff will be regarded as a member of the scheme from the first day of service. This will not affect any individual right to make alternative arrangements. Initially, the employment covered in this contract will be contracted out of the State Pension Scheme.
The appointment will be on a part-time basis. Consultants are required to adhere to the provisions set out in Appendix 8 of the new Consultants Contract governing the relationship between NHS commitments and private practice.
Any Consultant who is unable, for personal reasons, to work the required number of sessions, 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 in consultation with the Clinical Lead and the Clinical Director for Specialist Services.
The successful candidates will be expected to reside within an approved distance of Ninewells Hospital.
3.8 Responsibility for Records Management
All records created in the course of the business of NHS Tayside are corporate records and are public records under the Public Records (Scotland) Act 2011. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment.
SECTION 4: NHS Tayside Ophthalmology Service
4.0 NHS Tayside NHS Tayside provides a comprehensive range of general and specialist acute services for its population. Dundee is a centre for innovative medical and technological development and world renowned for the close collaboration between basic science and clinical medical disciplines. The Department of Ophthalmology based in Ninewells Hospital provides an Ophthalmology service for the populations of Dundee, Angus, Perthshire and Northeast Fife.
NHS Tayside is a major health service provider and focus for medical, dental, nursing and midwifery education. The medical school was originally part of the University of St Andrews, but became the Faculty of Medicine of the University of Dundee when the university received its Charter in 1967. The present annual intake of medical students is 150 and the total number of students at the University is 11,000.
Dundee, with a population of around 170,000 is the fourth principal city in Scotland and is situated on the north bank of the River Tay. It is Scotland's only south-facing city, giving it a claim to being Scotland's sunniest and warmest city. It is conveniently near the three other large cities – Edinburgh, Glasgow and Aberdeen, none more than an hour and a half away by road or rail. London is just six hours away by rail link and around an hour by air from the local airport where direct flights are also available to Belfast.
Tayside provides an excellent standard of living with high quality, reasonably priced housing, good schools and childcare facilities, both public and private. The river and its estuary, the coasts of Angus and Fife and the nearby hills and mountains of Angus and Perthshire offer scope for every conceivable outdoor activity. Golfers are particularly well served with St Andrews and Carnoustie only a 30 minute drive away. Hill walkers, skiers, sailors and fishermen fare equally well as do those looking more to the arts. There are flourishing professional repertory theatres in both Dundee and Perth, and concert halls which host regular concerts of the Royal Scottish National Orchestra as well as visiting opera and popular musical performances. The Victoria and Albert Museum (London) have chosen Dundee to establish a new museum, the first of its kind outside London. This prestigious institute opened in 2018 and, along with RRS Discovery, is a focal point to the waterfront redevelopment programme.
4.1 Ninewells Hospital
Ninewells Hospital is the main teaching hospital associated with the University of Dundee and the major acute service provider in the area.
The hospital was opened in 1974 and with 810 acute beds is one of the largest units of its kind in the British Isles, and was specifically designed with the medical school and hospital integrated in a way that provides for growth and change in future years.
The Clinical Skills Centre and Cushieri Skills Centre are also based within Ninewells Hospital.
. The Clinical Skills Centre is a University of Dundee Faculty of Medicine, Dentistry and Nursing facility which provides a variety of learning opportunities for both graduate and undergraduates to develop skills in a safe environment. The Clinical Skills Centre has strong links with NHS Tayside, NHS Education for Scotland and the local community.
. The Cuschieri Skills Centre (formally Surgical Skills Centre), University of Dundee, was set up in 1992 to provide specialist training for surgeons, physicians and other allied health professionals. The Centre acts as a focus for multidisciplinary teaching and faculties are drawn from practising clinicians and other experts who ensure the high quality and relevance of the courses.
In addition, the following are also based within the Ninewells Hospital campus; Tayside Medipark, Drug Development (Scotland) Limited, Karl Storz (surgical instrument maker) and Tayside Academic Health Sciences Centre (TAHSC) which was formally established on 1st January 2010 and combines the research strengths of the University of Dundee with NHS Tayside and is a node of the national Scottish Academic Health Sciences Collaboration. It brings together, within a single organisational framework, the Clinical Research Centre, the Tayside Clinical Trials Unit and the joint functions of the NHS Research & Development office and the University's Research & Innovation Services (in relation to clinical research). This strategic alignment brings greater efficiency to research management and governance across the University and NHS.
4.2 Perth Royal Infirmary
Perth Royal Infirmary is 23 miles west of Dundee and provides the District General Hospital Service for the Perthshire and Kinross area of western Tayside. It is a 200 + bed hospital with supporting Specialist Services.
Stracathro Hospital is situated approximately half way between Dundee and Aberdeen, just three miles from the Angus county town of Brechin. It provides ambulatory diagnostic and treatment services to Tayside, Grampian and Fife.
4.4 Department of Ophthalmology
The Department of Ophthalmology based at Ninewells Hospital is well established within the region and organisation. As well as delivering Ophthalmology services within a university and teaching hospital environment, a wide range of sub specialty interests have been developed to national and international acclaim. Being part of a large regional centre offers
many opportunities to develop areas of interest with other specialities in a multidisciplinary context.
The Service has a dedicated outpatient facility and IVT treatment room based in Ninewells Hospital with additional clinic facilities in Stracathro Hospital, Arbroath Hospital, Montrose Hospital and Perth Royal Infirmary.
There are 2 ophthalmology operating theatres with a daycase unit in close proximity. There is also a dedicated paediatric theatre attached to the paediatric surgical ward however a fantastic new build paediatric theatre complex is currently in construction. The department benefits from having a EyeSci surgical simulator in the department which complements surgical training.
The current and ongoing service review and redesign offers excellent opportunities for a dynamic individual to develop professionally with the existing supportive and successful team of consultants.
The medical staff are supported by team of extremely experienced and dedicated nursing, optometry, orthoptics, ophthalmic imaging and administration staff. Current junior staff have opportunities for experience across the consultant body for training and service commitment, assisting in clinics and theatres.
4.5 Staffing: NHS and Academic
The present medical staff establishment comprises:
Consultant Ophthalmologist Dr H Murgatroyd Consultant Ophthalmologist Dr C Cobb
Consultant Ophthalmologist Dr J Ellis
Consultant Ophthalmologist Vacancy
Consultant Ophthalmologist Dr S Gillan
Consultant Ophthalmologist Dr P Johnstone, Clinical Lead
Consultant Ophthalmologist Dr S Tarafdar
Consultant Ophthalmologist Dr U O’Colmain
Consultant Ophthalmologist Dr J Welch
Consultant Ophthalmologist Dr J Vallance
Consultant Ophthalmologist Dr Gong Associate Specialist Dr G Sharpe Associate Specialist Dr J Wallace Specialty Doctor Dr S Hill Specialty Doctor Dr J Nair
Divisional management team comprises:
Clinical Director Dr John Nagy
General Manager, Surgical Directorate Audrey Warden
Clinical Services Manager Christina Robinson
Trainee numbers (correct at time of printing):
SAS 3.5
FY1 1
FY2 1
ST 9
4.6 Accommodation
Office accommodation will be available on a shared basis, and access to secretarial support and IT facilities will be provided at Ninewells, Dundee Dental Hospital and Perth Royal Infirmary
4.7. Further Information
For further information and to arrange an informal visit, please contact Dr Paul Johnstone, Clinical Lead for Ophthalmology, Tel: 01382 632713.