Director of Public Health Recruitment Pack

Application reference number: 041965

© NHS Fife 2021 Published: January 2021

This document is licensed under the Creative Commons Attribution- Non commercial-No Derivatives 4.0 International Licence. This allows for the copy and redistribution of this document as long as NHS Fife is fully acknowledged and given credit. The material must not be remixed, transformed or built upon in any way. To view a copy of this licence, visit https://creativecommons.org/licenses/by-nc-nd/4.0/ www.nhsfife.org

Contents

Message from our Chair and Chief Executive ...... 2

Post Advert ...... 4

Job description ...... 6

Organisational chart ...... 12

Person specification ...... 13

NHS Fife – Our vision, mission and values...... 14

NHS Fife – our priorities ...... 15

National context ...... 16

Appointment arrangements ...... 18

Summary of NHS Fife terms and conditions ...... 21

Appendix one: Discover NHS Fife ...... 22

NHS Fife Director of Public Health Recruitment Pack | 1 Message from our Chair and Chief Executive

Welcome

Thank you for your interest in the position of Director of Public Health for NHS Fife.

This post provides an exciting opportunity to work collaboratively with a strong and effective Executive Team, to truly drive the transformation and reform of our health and care services for the citizens of Fife.

We are a high performing, forward thinking organisation constantly seeking to deliver our performance targets in the mid to upper quartile benchmark across Scotland, to ensure quality, person-centred and clinically excellent care.

If you relish a challenge, have a passion to help others then NHS Fife will provide a great opportunity for you to realise your potential.

As one of the most dynamic health boards in Scotland, providing a full range of primary, community, mental health, acute and elective hospital services for a population of over 370,000 across the Kingdom of Fife. We are rooted in the communities we serve and are driven by our vision to improve the health of our population by developing integrated healthcare services delivered thorough our highly talented and committed workforce.

We now require an outstanding Director of Public Health to provide the inspired leadership to a talented and dedicated public health team and to collaborate with other health and care professionals, policy makers, planners, politicians as well as the independent and voluntary sectors to drive forward the public health agenda in Fife.

Never before have the roles and responsibilities of Public Health come so sharply into focus, with the response to the global Covid-19 pandemic and the need to protect our communities, reduced transmission and support the most vulnerable.

Health matters to everyone and touches on every part of our society and the communities we serve, and its impact can have far reaching consequences not just for the current population, but for future generations.

Fife like many Boards in Scotland is not renowned for being the healthiest part of the UK, but considerable improvements have taken place for example in addressing health inequalities, screening, smoking cessation, encouraging physical activity and uptake in our immunisation programmes.

NHS Fife 2 | Director of Public Health Recruitment Pack

Yet, the difficult life circumstances of many people resident in our area mean that their health suffers, and we have an duty to try to tackle this by working with partner agencies in promoting good work, good housing and raising educational attainment. Ensuring that hazards to health are effectively recognised and controlled. As well as providing services to support behaviour change. We are realistic in respect of the challenges we face, but highly ambitious for our staff and our communities.

We are seeking a compassionate and inspiring individual who has the ability to lead wide ranging and sustained and community focused service development.

You will be committed to collaboration and partnership working, demonstrating outstanding people and engagement skills to forge new relationships with public and partner organisations.

You will play a key role in the planning and evaluation of health services across Fife to make sure they properly meet the needs of the public and that they use the best and most up to date research evidence on what works best to treat and manage illness.

In joining us as Director of Public Health, you will have the opportunity to make a career defining impact within the NHS in Scotland, developing our staff to their fullest potential and improving the health and wellbeing of our communities.

We look forward to receiving your application.

Tricia Marwick Carol Potter

The Right Honourable Tricia Marwick Carol Potter Chair of NHS Fife Board Chief Executive, NHS Fife

NHS Fife Director of Public Health Recruitment Pack | 3 Post Advert

Director of Public Health Salary:

Non-Medical Appointment – £83,463 - £109,127per annum, Executive Grade E

Medical Appointment –£84,984 - £112,925 per annum, plus DPH supplement, Consultant Salary

Do you have the passion to make a difference in a Health Board dedicated to improving the health and wellbeing of people living in the Kingdom of Fife?

We are looking for a driven and experienced public health professional to provide strategic direction and embrace partnership working and to lead us through this demanding and challenging period and beyond.

The vital role of Public Health and social determinants of health have recently come to the fore as we manage our ongoing response to the Covid-19 global pandemic.

Never before has there been greater public awareness of the range of factors that can impact on our own health and wellbeing.

The focus on health inequalities has now moved beyond individual behaviour, to the heart of our communities and the collective responsibility required to address public health challenges.

Key to this role will be building on this awareness and championing the public health agenda in our services and in the wider community.

As a member of NHS Fife’s Executive team the post holder will be responsible for the development and delivery of Fife’s public health agenda to ensure that we can make a lasting difference to the life chances of children and adults in an area that has some significant inequalities in relation to the rest of Scotland.

We want to use your significant aptitude for managing change, leading and inspiring others to build on previous successes and address remaining challenges, making a real difference within Fife.

NHS Fife 4 | Director of Public Health Recruitment Pack

This post presents an exciting opportunity to influence and shape strategies and actions that will reduce inequalities within the Fife population. It also presents an opportunity to enhance the provision of services within an integrated landscape working with Health and Social Care Partnership colleagues and other community and planning partners.

Experience of operating at a senior level within the NHS and partnership settings is essential. The successful candidate will have the ability to influence thinking both locally and nationally and be able to demonstrate a track record in addressing health inequalities.

You can find out more about this exciting and challenging role and how to apply, by visiting https://apply.jobs.scot.nhs.uk

For an informal discussion with Carol Potter, Chief Executive, NHS Fife, please contact Valerie Muir PA to Chair and Chief Executive on Tel: 01592 648080.

The closing date for applications Sunday 7 February 2021.

Indicative dates for selection processes: Assessment – 22 February 2021 Interview – 25 February 2021

Please note we are unable to accept CV applications.

NHS Fife Director of Public Health Recruitment Pack | 5 Job description

Job purpose

To actively contribute to the strategic direction and effective performance of the NHS Fife Board and Executive Directors Group, routinely providing challenge beyond the area of their functional expertise, to secure delivery and achievement of success across the aspects of the health and care agenda in Fife.

The post has responsibility for the provision of high-profile public health leadership across Fife.

NHS Fife 6 | Director of Public Health Recruitment Pack

Population of Fife: 373,550

NHS Fife Budget: £779m Public Health Budget: £3.23m

Public Health Directorate Workforce WTE: 36.54

Role of the department

The Public Health Directorate makes a vital contribution to Fife NHS Board’s corporate aim of maintaining and improving the health of the community in Fife. The primary tasks of the department are:

surveillance and assessment of the health and health care needs of the population protecting and promoting health including communicable disease control and environmental health managing knowledge and putting research evidence into practice managing, analysing and interpreting information into statistics developing and influencing policy developing health alliances with all sectors which impact on health and health care advising on health and health care prioritisation developing governance in public health practice facilitating the further development of public health research and audit, and ensuring co-ordination and advice on the development, production and implementation of civil emergency plans applicable to the health service in Fife to ensure an immediate and effective response to any major emergency which might occur.

Directors of Public Health work across three domains of public health: health improvement; health protection; and promoting and maintaining quality and effective health services (including women and children’s services, primary and community care, dental services, cancer, screening and regional planning), underpinned by health intelligence, with the DPH leading on health improvement and reducing health inequalities.

NHS Fife Director of Public Health Recruitment Pack | 7 Key result areas

Provide professional leadership and management of the specialist public health workforce ensuring they work together in the most effective and efficient way.

Ensure that the Board’s responsibilities for Health Protection and Emergency Planning are properly organised and discharged in line with the Public Health, etc (Scotland) Act 2008 and Civil Contingencies Act 2004. This encompasses surveillance, investigation, control and prevention of communicable disease and environmental factors and the production of the Joint Health Protection Plan every two years. Meeting national health protection challenges through collaborative working. The post holder will participate in the out-of-hours PH rota or the Executive on call rota.

Provide oversight and leadership of system wide business continuity and resilience responsibilities. Provide public health assurance on key population programmes including screening and immunisation.

Provide public health advice to the Fife NHS Board and Fife Council. This will include the interpretation and presentation of highly complex, epidemiological and statistical information about the health of populations in a relevant form to the NHS, Local Authority and Voluntary Organisations

Lead a range of key strategic planning groups and processes to drive programmes to improve health and reduce inequalities. This will include working with Community Planning Partners on the development and implementation of multi-agency long-term health programmes in line with the Community Empowerment Act 2015.

Produce an annual report on the health of the population of Fife.

Contribute to the corporate planning, policy and performance management frameworks to ensure public health issues are comprehensively and appropriately represented.

Working with the Executive Lead for Digital and Information, lead the development of the information base required to underpin the strategic framework for NHS Fife ensuring effective arrangements are in place for population register and death and health status monitoring of the population.

Provide expert public health advice and leadership to support and inform an evidence-based approach to development, prioritisation and delivery of high quality equitable services across primary, secondary and social care, and across sectors including local authorities and voluntary organisations, in potentially contentious and hostile environments where barriers to acceptance may exist.

Contribute to the development of the Scottish public health network and play an active role in the Scottish Directors of Public Health group.

Act as Executive Lead for Health Promoting Health Service, which also encompasses staff health and wellbeing, providing strategic advice on promoting better health in the workforce, supporting a culture shift towards wellness and whole person care in the organisation and across all health and social care providers in Fife.

NHS Fife 8 | Director of Public Health Recruitment Pack

Support the development of a coherent professional approach to the development of training and leadership in public health and the clinical professions, particularly the training of public health specialists and practitioners in the public health system.

Ensure that there is an effective training programme for Specialist Registrars in Public Health, Public Health Dentistry and Public Health Specialists Trainees and to actively contribute to it.

Establish effective partnerships with academic institutions, to develop and deliver a shared research programme.

As Director of Public Health, work with colleagues to deliver public health education to undergraduates and the wider workforce.

In line with the Boards approach to the work of the research and ethics committees, ensure the protection and safety of patients and other research participants and work with the Board’s Medical Director to ensure there are robust arrangements for research governance across the full range of local NHS organisations, ensuring the protection and safety of patients and other research participants.

Assignment and review of work

The postholder is directly accountable to the NHS Fife Chief Executive and works unsupervised to deliver Government priorities and policies for health that then translate into NHS Fife’s corporate objectives. The post holder also operates within NHS Fife’s own strategic framework, to which the post holder fully contributes to as a member of the Executive Team and Executive Directors Group (EDG).

The postholder works within established national and local parameters including the identification and implementation of innovative solutions requiring analytical interpretation and a significant degree of evaluative judgement establishing new procedures and guidance for the NHS.

The postholder is expected to take decisions on a range of differing issues and to give training, advice and support to others on a wide range of issues on a daily basis without reference to others.

The postholder is required to exercise judgement and will determine the most effective way to fulfil their remit within professional and statutory limits and is accountable for decisions taken but can refer to others for specialist advice and support if required.

Review of performance in this post is undertaken through the agreement of performance objectives and individual performance appraisal by the Chief Executive, reviewed by the Remuneration Committee.

Formal appraisal is undertaken on an 6 monthly cycle, and the Chief Executive (and NHS Board) will undertake more frequent, ongoing informal reviews of current developments and progress on major issues, giving authority where necessary for the post holder to proceed with matters outwith the scope of his/her responsibility. In addition, all post-holders will be expected to fulfil the requirements for medical/public health appraisal and revalidation appropriate to the terms and conditions of service under which they are appointed. The postholder will develop and maintain a self-directed CPD programme, underpinned by a Personal Development Plan (PDP), which is supported by NHS Fife.

NHS Fife Director of Public Health Recruitment Pack | 9 Most challenging/difficult parts of the job

To ensure that there is effective public health influence and improvement across the whole system that impacts on the social determinants of health and makes a contribution to reducing inequalities.

Communications and working relationships

The post holder will be expected to develop effective communications and working relationships at a senior level both externally and internally.

There will be a high level of involvement with Executive Directors, Non-executive Directors and Divisional General Managers of Community Services

External relationships will include:

Scottish Government Health Department

Senior officers in other NHS Boards

Local Authority partners

Universities and Colleges

Members of the Public

Press/media

Politicians at local and national level

Scottish Directors of Public Health Group

Public Health Scotland

Qualifications and/or experience specified for the post

Medical Candidates (For appointment under NHS Terms and Conditions for Doctors in Public Health Medicine Inclusion in the GMC Full and Specialist Register with a license to practice/GDC Specialist List (or be eligible for registration within six months of interview) If included in the GMC Specialist Register/GDC Specialist List in a specialty other than public health medicine/dental public health, candidates must have equivalent training and/or appropriate experience of public health practice Meets the minimum CPD requirements (i.e. be up to date) in accordance with Faculty of Public Health requirements or other recognised body Membership/Fellowship of a Royal College, or appropriate Faculty.

NHS Fife 10 | Director of Public Health Recruitment Pack

Non Medical Candidates (For appointment under NHS Terms and Conditions for Senior Managers as Specialists in Public Health) Inclusion in the UK Public Health Register (UKPHR) for Public Health Specialists (or be eligible for registration within six months of interview) Educated to Masters degree with a relevant professional qualification of equivalent levels or professional and technical knowledge through extensive experience Meets the minimum CPD requirements (i.e. be up to date) in accordance with Faculty of Public Health requirements or other recognised body Membership/Fellowship of a Royal College, or appropriate Faculty.

All Candidates

A proven track record in sound and effective leadership, the ability to think strategically, corporately, and to act as a team player are critical to the success of the post

Consultant level competence in health protection and evidence of necessary skills, knowledge and experience to be designated as Competent Person under the 2008 Public Health Act: Demonstrates ethics, values and personal qualities / behaviours consistent with the vision, culture and values of NHS Fife. Excellent communication skills are required. The post holder is expected to have strong presentation skills and to be able to express a view convincingly and coherently, verbally and in writing More details are provided in the Person Specification section.

NHS Fife Director of Public Health Recruitment Pack | 11 Organisational chart

NHS Fife 12 | Director of Public Health Recruitment Pack

Person specification Experience

Significant experience as a Consultant or equivalent in Public Health Able to work at Board level, including influencing other Directors and Board Members Managerial experience Partnership working Track record in developing public health practice Policy Development

Qualifications/Training Refer to the section on qualifications in the job description above

Knowledge Developments within public health, health improvement, health protection, and how public health in Scotland is structured Health care provision and service development Extensive knowledge on the social determinants of health and the evidence base for reducing inequalities Up to date knowledge and experience of communicable disease control

Skills Proven track record in effective leadership Highly developed analytical skills Excellent communication skills, including; strong presentation skills, the ability to express views coherently and convincingly and evidence of good interpersonal skills.

Aptitude Ability to think strategically and corporately Awareness of many factors which impact upon health services Ability to establish effective working relationships with interdependent functions, services and other organisations Demonstrates ethics, values and personal qualities / behaviours consistent with the vision, culture and values of NHS Fife.

Statutory Responsibilities Skills, knowledge and experience to undertake the role of designated competent person under the 2008 Public Health Act.

Other Team Player Ability to travel throughout Fife and nationally.

NHS Fife Director of Public Health Recruitment Pack | 13 NHS Fife – Our vision, mission and values

Our vision The people of Fife live long and healthy lives

Our mission Transforming Health and Care in Fife to be the best

Our values Care and compassion Dignity and respect Openness, honesty and responsibility Quality and teamwork

NHS Fife 14 | Director of Public Health Recruitment Pack

NHS Fife – our priorities

Our corporate objectives

Person-centred: Listen to what matters to you Design services in partnership with service users, carers and communities Give you choices and information Create environments that encourage caring and positive outcomes for all Develop and redesign services that put patients first supporting independent living and self-management

Clinically excellence: Work with individuals to receive the best care possible Ensure there is no avoidable harm Achieve and maintain quality standards Ensure environment is clean, tidy, well maintained, safe and something to be proud of Embed patient safety consistently across all aspects of healthcare provision

Sustainable: Optimise resource for health and wellbeing Ensure cost effective and within budget Increase efficiency and Reduce Waste Service redesign will ensure cost effective, lean and minimise adverse variation Optimise use of property and assets with our partners

Exemplar employer: Create time and space for continuous learning Listen to and involve staff at all levels Give staff skills, resources and equipment required for the job Encourage staff to be ambassadors for Health and Social Care in Fife Create high performing multidisciplinary teams through education and development Equip people to be the best leaders

NHS Fife Director of Public Health Recruitment Pack | 15 National context

Quality healthcare

Annually the Scottish Government sets NHS Boards with performance targets in order to ensure that resources made available to them are directed at areas which are a priority for improvement, and are consistent with the Scottish Government’s Purpose and National Outcomes. These targets are focused on Health Improvement, Efficiency, Access and Treatment (also known as HEAT targets).

Working in partnership with Local Authorities and the Third Sector

NHS Scotland works in partnership with local authorities and the Third Sector to achieve a healthier Scotland. “The Quality Strategy provides NHS Scotland with a basis on which partnerships such as the aforementioned can be formed.

This is done through Community Planning Partnerships which secures progress towards a number of strategic priorities, and the outcomes agreed locally and nationally through the National Performance Framework.

Caring and compassionate staff and services. Clear communication and explanation about conditions and treatment. Effective collaboration between clinicians, patients and others. A clean and safe care environment. Continuity of care; and Clinical excellence.

Fife Local Resilience Partnership

Local resilience Partnerships (LRPs) are multi-agency partnerships made up of representatives from local public services, including the emergency services, local authorities, the NHS, the Scottish Environmental Protection Agency and others. These agencies are known as Category 1 Responders, as defined by the Civil Contingencies Act. Fife Local Resilience Partnership has been a key component in NHS Fife’s planning and response to the current global pandemic.

Health and Social Care Integration

In 2016 the Scottish Government legislated to bring together health and social care in to a single, integrated system. The legislation created 31 integration authorities across Scotland who are now responsible for £8.5 billion of funding for local services. These services were previously managed separately by NHS Boards and local authorities.

In Fife, we have one Joint Integration Board and the purpose of health and social care integration is to transform people’s experience of care and the outcomes they experience. This is necessary

NHS Fife 16 | Director of Public Health Recruitment Pack because when services are planned and delivered together, closer co-ordination will enable the fundamental changes in care models required to keep pace with people’s changing needs.

You will provide leadership as part of a multiagency approach comprising of Fife Health and Social Care Partnership and Fife Council to ensure value for money and enhanced outcomes for patients across both acute and community care settings in Fife.

Links to our key strategic documents and national resources

NHS Fife Strategic Documents Improving Services NHS Fife

http://www.nhsfife.org/nhs/index.cfm?fuseaction=nhs.displaytheme&themeid=E44C37C3-5056- 8C6F-C003CD63C15D8FF0

More information on NHS Fife Board can be found by visiting www.nhsfife.org

National Resource Links Re-mobilise, Recover, Re-design: the framework for NHS Scotland

Sets out how health boards will safely and incrementally prioritise the resumption of some paused services, while maintaining COVID-19 capacity and resilience.

https://www.gov.scot/publications/re-mobilise-recover-re-design-framework-nhs- scotland/pages/2/

Scotland’s National Performance Framework

Information on Scotland’s National Performance Framework and how Scotland is performing against it.

https://nationalperformance.gov.scot

Realistic Medicine

Realistic medicine recognises that a one size fits all approach to health and social care is not the most effective path for the patient or the NHS.

https://www.realisticmedicine.scot/

Scottish Government Website:

http://www.scotland.gov.uk/Topics/Health/About/NHS-Scotland

NHS Fife Director of Public Health Recruitment Pack | 17 Appointment arrangements

Applications

Applications are made electronically from https://apply.jobs.scot.nhs.uk, through the JobTrain Application Tracking System.

Employment references

References should include current and previous employers covering the last 3 years of your employment history. References will be taken up for the successful candidate only, which is in line with the Recruitment and Selection Policy.

Evidence of qualifications

Candidates will be required to provide evidence of their qualifications.

Medical assessment

Any offer of employment is subject to satisfactory Occupational Health Clearance. The Occupational Health Service will make an assessment on your fitness to carry out the post based on the information contained within the questionnaire. In certain circumstances further information is required before clearance can be given and Occupational Health may contact you by telephone or request that you attend for an appointment. Clearance must be obtained before a new employee commences employment with NHS Fife.

Applicants with Disability

A disability or health problem does not preclude full consideration for the job and an application from a person with a disability(ies) is welcome. All information will be treated as confidential. NHS Fife has been approved, by the Employment Services Department, as an Equal Opportunities employer with a positive policy towards employment of disabled people. NHS Fife guarantees to interview all applicants with disabilities who meet the minimum criteria for the post.

NHS Fife 18 | Director of Public Health Recruitment Pack

Criminal conviction check

All applicants who apply for posts which are exempt from the Rehabilitation of Offenders Act 1974 and who will have access to patients in the course of their employment will be required to consent to a Disclosure Scotland Criminal Records Check or join the Protection of Vulnerable Groups Scheme. Any offer of employment is conditional upon a satisfactory check or confirmation of scheme membership being received and a commencement date for employment will only be agreed following this confirmation.

Failure to disclose convictions information as required will result in the offer of employment being withdrawn. If you are appointed, and it is found that you did not reveal a previous conviction you will be subject to disciplinary action and your employment may be terminated. Information in relation to Scotland’s disclosure and rehabilitation of offenders’ regime can be found on the Disclosure Scotland website www.disclosurescotland.co.uk.

Prevention of illegal working

Candidates must be eligible to work in the UK – The successful candidate will be required to provide original evidence of his/her eligibility to work in the UK. Guidance on suitable documentation will be provided.

Provision of false information

Candidates should also note that the provision of false information or the omission of material information in their application or at interview may lead to the offer of employment being withdrawn or summary dismissal.

Visit to NHS Fife – candidate preparation

If COVID-19 restrictions allow, shortlisted candidates can, by appointment, take up the opportunity to visit NHS Fife and some of the key sites. This is an optional part of the process and will depend on the prevalence of COVID-19 and the associated guidance on travel etc. at the time.

Travel Expenses

If incurred, reasonable travel expenses will be reimbursed when attending the assessment and interview day. The travel expenses for the successful candidate will be paid when they take up post and will be included in their first monthly salary.

Please note, however, reimbursement of expenses shall not be made to individuals who refuse an offer of employment on grounds which, in the opinion of NHS Fife are inadequate.

NHS Fife Director of Public Health Recruitment Pack | 19 Interview and assessment arrangements

Due to the Covid-19 pandemic response, the selection process may be conducted virtually via Microsoft Teams.

The Job Description and Person Specification is designed to inform potential applicants on the essential and desirable personal attributes which are sought in this appointment

Assessment against these attributes will feature throughout the recruitment and selection process for this appointment.

NHS Scotland introduced a Values Based Approach to the recruitment of all appointments at Chief Executive, Executive Director, Director and the other next level immediate direct line reports to the Chief Executive. While it remains the responsibility of individual NHS Boards to carry out recruitment to the Executive Cohort they must do so in line with the guidance contained with Values Based Recruitment Process for NHS Board Executive level appointments. This can be found through the following link: https://projectlift.scot/wp-content/uploads/2020/09/Values-Based-Recruitment- Process-for-NHS-Board-Executive-Team-appointment.pdf

In practice this means that the shortlisted candidates will participate in:

Psychometric Tests Real Play Exercise Presentation (which will form part of the interview) Values Based Competency Interview

Further details of the above will be shared with the shortlisted candidates.

Indicative dates are: Assessment date: 22 February 2021 Interview date: 25 February 2021

Informal Enquiries

For an informal discussion with Carol Potter, Chief Executive, NHS Fife, please contact Valerie Muir PA to Chair and Chief Executive on Tel: 01592 648080.

NHS Fife 20 | Director of Public Health Recruitment Pack

Summary of NHS Fife terms and conditions

Agreement on Pay and Conditions of Service is as per the Scottish Government, Executive and Senior Management Pay and Conditions of Service 2018-19. Salary Non-Medical Appointment – £83,463 - £109,127per annum, Executive Grade E. Medical Appointment –£84,984 - £112,925 per annum, plus DPH supplement, Consultant Salary Entry point to the salary scale will take account of previous experience. Your salary will be paid into your bank account on the last Thursday of each month. Contract Permanent Pension fund The appointment is superannuable under the NHS (Scotland) Superannuation Scheme unless you opt out in favour of some other scheme or are ineligible to join. Your remuneration will be subject to deduction of superannuation contributions in accordance with the scheme. Costs and contributions are available on the SPPA website: www.sppa.gov.uk NHS Fife encourages staff to join the scheme. Hours of work Hours of work are flexible dependant on the hours necessary to meet the demands of the post. For pay purposes the full time hours for the post will be deemed to be 37.5 hours per week. Holiday entitlement Annual holiday entitlement is 27 days annual leave per year on commencement, rising to 29 days after 5 years service and 33 days after 10 years service. There are also eight fixed public holidays in a year. Relocation Relocation expenses may be payable to the successful candidate, in accordance with the Policy. This is available on request from the Workforce Directorate. Shortlisted candidates who require relocating to take up post should discuss this with the Director of Workforce before attending the assessment and interview process. Period of notice Appointment is subject to termination by either side giving 6 months written notice. No Smoking Policy NHS Fife operates a No Smoking Policy and it is the case that employees are not permitted to smoke on the premises or grounds. It is a condition of employment that you comply with these requirements.

NHS Fife Director of Public Health Recruitment Pack | 21 Appendix one: Discover NHS Fife

NHS Fife 22 | Director of Public Health Recruitment Pack

Inspiring healthcare, inspiring life

The National Health Service (Scotland) Act 1947 came into effect on 5 July, 1948 and created the National Health Service in Scotland.

Since then the NHS in Scotland has gone from strength to strength, taking advantage of new technologies and innovations and continually changing and evolving to meet the needs of the communities it services.

NHS Fife is one of 14 Regional NHS Boards in Scotland. The organisation provides healthcare to over 367,000 people and employs just over 8,700 staff, making it one of the largest employers in the region.

As a large rural area with varied geography and several centres of population, there are particular challenges to meeting the health needs of the people of Fife.

To address these challenges NHS Fife works closely with a variety of partners at a local, regional and national level, including Fife Council, Fife Health & Social Care Partnership, other Health Boards in Scotland, the voluntary and independent sector and, most importantly, the public.

Brief overview of NHS Fife

NHS Fife provides healthcare to over 367,000 residents of Fife and employs around 8,700 staff. As a large rural area with varied geography and several centres of population, there are particular challenges to meet the health needs of the people of Fife.

Fife is home to two large hospitals - the Victoria Hospital, a district general in the centre of the Kingdom; and in West Fife.

The majority of NHS Fife’s acute services are provided from the Victoria Hospital in the town of . The Queen Margaret Hospital in Dunfermline is home to a considerable number of community and therapy services, alongside a minor injuries unit and a state-of-the-art diagnostic and treatment centre.

Fife is home to a further eight community hospitals spread across the Kingdom; in Dunfermline; Glenrothes Hospital; Whyteman’s Brae Hospital in Kirkcaldy, in Windygates, Randolph Wemyss Memorial Hospital in Buckhaven, in Springfield, in Cupar and; St Andrews Community Hospital.

NHS Fife Director of Public Health Recruitment Pack | 23

In addition, there is also a wide range of Primary Care services available in Fife. There are 55 GP practices, 59 Dentists, 46 Opticians and 85 community pharmacies throughout Fife.

Improving services provided by NHS Fife

NHS Fife, along with help from its partners, the public, other NHS Boards, Fife Council and voluntary agencies, is working to improve its services. The board is working on a number of strategic projects that will shape the future of health care in Fife through the transformation of service provision and facilities. This includes work currently underway in developing;

Primary Care Hubs Mental Health Fife Elective Orthopaedic Centre

NHS Fife 24 | Director of Public Health Recruitment Pack

Demographic and social profile of Fife

The Kingdom of Fife is a peninsula in eastern Scotland with a coastline of 170 kilometres (105 miles) bounded by the Firth of Forth to the South and the Firth of Tay to the North. It is the third largest local authority area in Scotland with a population of over 370,330. This represents 7% of the total population of Scotland. 96% of Fife residents live in 134 settlements, the largest of these being Kirkcaldy, Dunfermline and Glenrothes. 59% of residents feel they have access to quality green space, from award winning beaches to historic town parks.

Fife shares inland boundaries with Perth & Kinross and Clackmannanshire, and is divided into seven administrative or business areas:

Cowdenbeath Dunfermline Glenrothes Kirkcaldy Levenmouth North East Fife South West Fife

By 2039, the population of Fife is expected to increase by 4.5% to 387,214. The 16 to 19 age group is expected to reduce and those aged 75+ to see the greatest increase. This may be attributed to a declining birth rate and increased life expectancy in Fife, which is currently greater than the Scottish average for both males and females.

The baseline for the minority ethnic population in Fife is still the 2011 Census. This estimated that approximately 1.6% of Fife’s population were from an ethnic minority group, with the highest percentage categorised as Asian Pakistani.

The extent of deprivation in Fife is fairly evenly spread across the different data zone bands from most to least deprived. The 2009 Scottish Index of Multiple Deprivation (SIMD) indicates that Fife has an increasing share of Scotland’s most deprived areas. Fife has the sixth highest local authority share of the 15% most deprived data zones in Scotland. 51 (5.2%) of the 976 data zones in the top 15% across Scotland are located in Fife, 8 of which fall into the top 5%. The 2009 data also confirms enduring deprivation in specific areas of Fife.

The proportion of young people not in education, employment or training in Fife is higher than for Scotland overall. The proportion of the working age population with no qualifications is 10.4 per 100,000 of the population, which is also below the Scottish average. Physical health data is positive and among the best in Scotland. This shows evidence of good general health and nurture, and the emergency hospital rate is lower than the Scottish average.

In recent years Fife’s economy has moved away from traditional manufacturing industries towards the service sector.

NHS Fife Director of Public Health Recruitment Pack | 25 Realise your full potential with NHS Fife

With its stunning beauty, rich history and abundance of sporting and leisure activities, Fife is a fantastic place to live and work, with an identity and a character all of its own. The cost of living here is lower than the national Scottish average and house prices offer superb value for money, providing you with a high standard of living and quality of life.

The major economic and cultural hubs of Edinburgh, Stirling, Perth and Dundee are all within easy commuting distance. In Fife you really can have it all.

Work life balance

As one of the largest employers in the region, NHS Fife is a forward-thinking and innovative organisation which offers an exciting and diverse range of work, training and study opportunities for people from all backgrounds.

NHS Fife works to provide a supportive environment for staff where strong teams work and develop together and where individuals can flourish to realise their full potential. Our ’Well at Work’ programme has helped to bring about a truly positive culture within NHS Fife, helping to reduce stress, increase motivation and improve productivity among staff.

It’s a beautiful life

The Kingdom of Fife occupies the peninsula formed by the Firth of Forth to the south and the Firth of Tay to the north. The region’s landscape is as beautiful as it is diverse, with rolling hills, lochs and spectacular coastline.

This is a place steeped in history. Dunfermline was the first capital of Scotland, home to royal inhabitants, as well as birthplace of Andrew Carnegie, steel magnate and philanthropist whose legacy lives on across the world to this day. The more recent past saw the establishment of the pits and coal mines, heavy industry whose rich heritage is still evident today in the close-knit communities of Cowdenbeath, Lochgelly and Kelty.

The town of St Andrews, named after Scotland’s patron saint, sits on its own on a wide bay on our north east shores, boasting not only Scotland’s first university, but also its oldest golf club, the Royal and Ancient Golf Club, which helped to establish the sport as one of Scotland’s greatest exports.

Nowadays it’s Kirkcaldy and new town Glenrothes that offer the modern bases favoured by major manufacturing and services industries. Both towns are well connected to Scotland’s capital, Edinburgh and the North via the M90 motorway and are easily accessible in less than half an hour by car.

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Well connected

Getting to and around Fife is simple, with excellent public transport links from around the UK. This fabulous region is not far from Scotland’s cities and is also very easy to get around.

With Edinburgh just to the south, Dundee and Perth to the north, and Glasgow to the south west, Fife is in a great position in Scotland and getting here is simple thanks to excellent air, road, rail and public transport links from around the UK.

By road If you are driving from Edinburgh and the south, Edinburgh is directly connected by the Queensferry Crossing. Then head to Dunfermline where the A92 takes you further into Fife.

From Glasgow and the west, it is easiest to take the M8 to Edinburgh and then head to Fife from there. The best route from Aberdeen and Dundee is to head for the Tay Road Bridge where the A92 continues into Fife. If you are heading to Fife from Inverness, Perth and the north, follow the A9 from Inverness to Perth. Continue down the M90 from either the A912 at the Bridge of Earn, or continue to Dunfermline on the A92.

The A92 connects the whole region and is perfect for car touring with many well sign-posted scenic routes linking the smaller towns and villages.

NHS Fife Director of Public Health Recruitment Pack | 27 By train If you wish to get the train here, there are a number of train stations which have direct rail connections to other towns and cities in Scotland, including Edinburgh, Glasgow, Dundee, Aberdeen and Inverness. There are also links to major English towns and cities on the east and west coast. Fife Circle trains make stops at numerous towns and villages in south west Fife, while there are also regular trains which run between Edinburgh and Dundee.

By air National and international flights fly into Edinburgh International Airport and Dundee Airport, which are both just a 20-minute drive from the Kingdom of Fife. In addition, there is Glasgow International Airport, which is just over an hour away.

By bus Buses from all over the UK stop at Inverkeithing Ferrytoll, where you can continue your journey throughout Fife by bus. An express coach network links Anstruther, Dunfermline, Kirkcaldy, Leven, Glenrothes, Cupar and St Andrews and is complemented by local bus networks in each town.

Sustainability NHS Fife seeks to encourage staff to be mindful of the impact that their journey to work has on the environment. We encourage staff car sharing, provide electric vehicle charging points at our larger hospitals and offer low emissions pool cars for use of staff. There is also a regular shuttle bus between the QMH and Victoria hospitals for staff use.

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Firsts for NHS Fife

At NHS Fife we are always developing and improving services to meet the needs of our local population through innovative and pioneering work across the organisation.

Here are just some examples of recent work that is making a real difference to our patients and services on a local and national scale:

NHS Fife became the first Board in Scotland to pilot Urolift, a minimally invasive procedure for enlarged prostate. Patients now recover faster and the risk of permanent side effects is eradicated.

In another ‘first’, we were the first Scottish Health Board to pilot successful day surgery hip replacement. This groundbreaking procedure has reduced the length of stay for some patients to less than 12 hours, where previously the average length of stay was three days.

Our frailty assessment service at Victoria Hospital was the first of its kind in Scotland, bringing together different disciplines to identify frailty in patients. The service ensures frailty in patients is identified at the earliest opportunity and patients are given the right treatment in the best place.

A programme developed by NHS Fife, Fife Health and Social Care Partnership and Macmillan Cancer Support Scotland to support patients with advanced lung cancer is providing comprehensive and individualised care while allowing patients to spend significantly less time in hospital and more time at home.

Our laboratories have achieved the international quality accreditation standard known as ISO 15189 – one of the first labs in the whole of the UK to be awarded this gold standard.

NHS Fife is the first Health Board in Scotland to deploy a full scale electronic track and trigger system, having gone live with Patientrack at Victoria Hospital. Patientrack enables nurses to capture vital signs digitally at the patient’s bedside. The technology can then accurately calculate an early warning score for the patient and automatically call medical staff to intervene when signs of deterioration are present.Life-enhancing innovations

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Clinical research is a vital, everyday part of the NHS. It confirms what works best, improves current care and helps to discover new treatments and medications.

Over 100 of Fife’s clinical staff are currently involved in some 250 commercial and non-commercial research studies, with strong links to prestigious neighbouring universities and colleges. These include work with the University of St Andrews (actively participating in its Digital Health Science Initiative), collaboration with the University of Dundee’s Health Informatics Centre, and as an internationally accepted site for European research.

NHS Fife’s Research & Development Department provides ongoing support to Fife’s NHS Research Scotland Research Fellows, PhD scholarships and other postgraduate activities, along with assisting successful recipients of CSO, MRS, Wellcome and other grants from large grant-awarding bodies.

Our established R&D Department, with its dedicated Research Nurses and Clinical Research Assistants, provides support to researchers on study design, governance, day-to-day study management, approvals, study set-up, conducting patient assessments, data collection, dealing with study paperwork and advising on Intellectual Property. In addition, training courses are run on a wide range of research topics.

Along with a purpose-built Clinical Research Facility at Victoria Hospital, where a range of healthcare and life science related research activities are undertaken, R&D has fully equipped laboratory areas for sample processing, and archiving facilities for long-term storage of study documentation.

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NHS Fife provides accessible communication in a variety of formats including for people who are speakers of community languages, who require Easy Read versions, who speak BSL, read Braille or use Audio formats. NHS Fife SMS text service number 07805800005 is available for people who have a hearing or speech impairment. To find out more about accessible formats contact: [email protected] or phone 01592 729130

NHS Fife Hayfield House Hayfield Road Kirkcaldy, KY2 5AH www.nhsfife.org facebook.com/nhsfife @nhsfife youtube.com/nhsfife @nhsfife