Oxford University Hospitals NHS Foundation Trust
CONSULTANT DERMATOLOGIST At Churchill Hospital, Oxford and Royal Berkshire Hospital, Reading
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Oxford University Hospitals NHS Foundation Trust
CONSULTANT DERMATOLOGIST
POST OF: CONSULTANT IN DERMATOLOGY
A 10 PA post as a consultant dermatologist is available from August 2021 onwards at the Churchill Hospital, Oxford (7 PA) & Royal Berkshire Hospital, Reading (3 PA).
The appointment can be on a full OR part-time basis.
Candidates are highly recommended to visit the departments and hospitals and are invited to contact Dr John Reed, Clinical Lead (Tel: 01865 228202; email: [email protected]) or Dr Rustam Rea, Directorate Lead (email [email protected]), Department of Dermatology, Oxford University Hospitals NHS Trust, The Churchill Hospital, Oxford, OX3 7LE and Dr Dhru Laheru, Clinical Lead, Royal Berkshire Hospital, Reading (email [email protected]) and Dr Alex Evans, Care Group Director for Networked Care, Royal Berkshire Hospital, Reading, RG1 5AN (Tel: 0118 322 7591; email [email protected]).
Suitably qualified job-share candidates will receive serious consideration.
The following papers are attached:
1. Advertisement
2. Job Description
3. Person Specification
4. Outline Job Plan
5. Division and service information
6. Main Conditions of Service
7. Oxford University Hospitals NHS Trust Profile
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Oxford University Hospitals NHS Foundation Trust
1. Advertisement wording
OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST & ROYAL BERKSHIRE NHS FOUNDATION TRUST
CONSULTANT DERMATOLOGIST
Applications are invited to apply for the above post in Dermatology at the Churchill Hospital, Oxford University Hospitals NHS Foundation Trust (OUH) & Royal Berkshire Hospital (RBH), Reading. The post is based at the Department of Dermatology, Churchill Hospital, Oxford.
We are pleased to be able to advertise for a 10 PA consultant dermatologist to join our experienced team in Oxford (7 PA) and Reading (3 PA). This is a replacement post building on the new alliance of skin care across Oxfordshire & Berkshire. Located within the Thames Valley. Oxford’s service is a recognised centre of excellence with the region having one of the highest incidences of skin cancer in the UK. We have state of the art surgical, diagnostic and laboratory facilities in a purpose built unit with plans for additional investment in the estate to cope with increasing demand. We have excellent on-site links with plastic surgery and oncology with a centralised head and neck skin cancer service. The successful applicant will also support the current delivery of the busy & innovative Dermatology services at the Royal Berkshire Hospital whilst contributing to development of skin care provision in the locality. We are keen to recruit a colleague, who will relish the opportunity of working and teaching in this inspirational environment and relishes the challenge of developing services across the region.
To gain further details of this post go to NHS Jobs via www.ouh.nhs.uk/about/working-for-us/default.aspx
Please apply via this website and e-mail your CV to [email protected] quoting vacancy reference and your application reference number as issued by NHS jobs.
In the interest of equal opportunities, we want to make sure that information about candidates is provided in the same format so all applicants should fill in the standard application form on the NHS Jobs website.
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Oxford University Hospitals NHS Foundation Trust
2. Job Description
1. JOB TITLE: Consultant Dermatologist
2. GRADE: Consultant
3. DEPARTMENT: Dermatology
4. ACCOUNTABLE TO: Managerial Responsibility: Dr John Reed, Clinical Lead & Dr Rustam Rea, Directorate Lead Professional Accountability: Professor Meghana Pandit, Medical Director administered through, Dr Larry Fitton, Divisional Director OUH & Dr Alex Evans, Care Group Director, RBH
5. PRINCIPAL ACTIVITIES:
The post-holder’s duties will be at the Churchill Hospital, Oxford (7 PA) and Royal Berkshire Hospital (3 PA), but it is a condition of the appointment that the post-holder will be willing to work in any of the Trusts’ locations.
Clinical The post-holder will use most of his/her time in clinical activities directly relating to Dermatology. The total NHS work load is 10 PAs each week. The post-holder’s duties will be based at the Department of Dermatology, Churchill Hospital, Oxford (7PA) & Townlands Hospital, Henley-on- Thames (3PA), but part of this post may require delivery clinical activity at an alternative clinic eg Royal Berkshire Hospital, Reading or West Berkshire Community Hospital, Newbury. Their presence may from time to time be required in other parts of the Trusts. Clinical care may involve collaboration with and/or supervision of an intermediate dermatology service. The post-holder will also be required to maintain excellent links with primary care at a personal and administrative level. New substantive consultant appointees will be offered mentoring within the Department of Dermatology and by a more senior colleague from another speciality. The Trust also has a Future Leaders Training Programme available to new and junior consultants.
Junior medical support and training: The Dermatology services participate in the Oxford Training Rotation, which consists of specialist training posts shared between several hospitals (The Churchill & John Radcliffe Hospitals, Oxford, the Horton Hospital, Banbury and the Royal Berkshire Hospital, Reading). At any one time, we have at least 6 registrars based in Oxford & Reading each spend approximately 24 months based in each department.
Out-patient clinics: The clinical work plan (see below) will typically involve PA sessions in out- patient clinic settings and PA sessions in supporting activity. The Dermatology Service in Oxford sees more than 48,000 patients per year, in addition to this the RBH service sees more than 26,000 patients per year including new referrals, follow-up consultations and clinical procedures including laser and surgery. Clinics at both sites normally consist of lists staffed by a consultant with a specialist or research registrar and ST1-2. Nurse led clinics and surgical lists are well established and consultant supervised. There is a well-established email advice service In Oxford providing clinical advice by consultants with a 24-48 hour response time. We would like to develop this for Reading as well.
Ward rounds & in-patient cover: All in-patients are admitted on the Churchill site where possible or over at the John Radcliffe Hospital. Reading patients are admitted to the RBH. 4
Oxford University Hospitals NHS Foundation Trust
There are no acute general medicine on-call duties, but the dermatology consultants at Oxford take part in supervising the non-resident registrar on-call rota currently on a 1 in 10 basis. The Churchill Hospital has a resident general medical hospital-at-night ST1-2 rota shared between departments.
All consultants are expected to participate in the direction of the department’s clinical audit programme, which will normally be carried out with the aid of the registrars.
Teaching/Research Oxford University Hospitals NHS Foundation Trust is a teaching hospital trust, and the post-holder will be required to participate in programmes for teaching clinical students, training junior doctors and in clinical examinations. It is expected that this will be an integral part of everyday clinical activity. The post-holder’s contribution to teaching, training and research will be included in the regular job plan review.
Clinical Governance The post-holder will participate in all clinical governance activities, including clinical audit, clinical effectiveness, risk management, quality improvement activities as required by the Trust, and external accrediting bodies.
Personal and Professional Development The post-holder will be required to keep himself/herself fully up-to-date with their relevant area of practice and to be able to demonstrate this to the satisfaction of the Trust. Professional or study leave will be granted at the discretion of the Trust, in line with the prevailing Terms and Conditions of Service, to support appropriate study, postgraduate training activities, relevant CME courses and other appropriate personal development needs as part of revalidation.
Management The post-holder will be required to work within the Trust's management policies and procedures, both statutory and internal, accepting that the resources available to the Trust are finite and that all changes in clinical practice or workload, or developments requiring additional resources must have prior agreement with the Trust. He/she will undertake the administrative duties associated with the care of his/her patients, and the running of his/her clinical service under the direction of the lead clinician and/or directorate chair.
Risk Management The management of risk is the responsibility of everyone and will be achieved within a progressive, honest and open environment.
Staff will be provided with the necessary education, training and support to enable them to meet this responsibility.
Staff should be familiar with the: . Major Incident Policy . Fire Policy and should make themselves familiar with the ‘local response’ plan and their role within that response.
Responsibilities for Health & Safety The post holder is responsible for ensuring that all duties and responsibilities of this post are carried out in compliance with the Health & Safety at Work Act 1974, Statutory Regulations and Trust Policies and Procedures. This will be supported by the provision of training and specialist advice where required.
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Oxford University Hospitals NHS Foundation Trust
Infection Control Infection Control is everyone’s responsibility. All staff, both clinical and non clinical, are required to adhere to the Trusts’ Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections.
All staff employed by the Trust have the following key responsibilities:
Staff must decontaminate their hands prior to and after direct patient contact or contact with the patient’s surroundings. Staff members have a duty to attend mandatory infection control training provided for them by the Trust. Staff members who develop an infection (other than common colds and illness) that may be transmittable to patients have a duty to contact Occupational Health.
Equality and Diversity The OUH values equality and diversity in employment and in the services we provide. We are committed to promoting equality and diversity in employment and will keep under review our policies and procedures to ensure that the job related needs of all staff working in the Trust are recognised. The Trust will aim to ensure that all job applicants, employees or clients are treated fairly and valued equally regardless of sex, marital status, domestic circumstances, age, race, colour, disablement, ethnic or national origin, social background or employment status, sexual orientation, religion, beliefs, HIV status, gender reassignment, political affiliation or trade union membership. Selection for training and development and promotion will be based on the individual’s ability to meet the requirements of the job.
Freedom of Information The post holder should be aware of the responsibility placed on employees under the Freedom of Information Act 2000 and is responsible for helping to ensure that the Trust complies with the Act when handling or dealing with any information relating to Trust activity.
Patient and Public Involvement The Trust is committed to, and has a statutory duty to involve service users, carers and the public in the work of the organisation. We consider that patient and public involvement is the responsibility of every individual working for our Trust. All staff have a responsibility to listen to the views of patients and to contribute to service improvements based on patient feedback. You will be expected to support the Trust with this through your working practice.
Serious Incidents All staff must report incidents and near misses so that the Trust can reduce the risk of harm by investigating and incorporating risk reducing measures to safe guard patients, visitors and staff, in accordance with the Trust Incident Reporting Policy.
Children’s Rights The post holder will endeavour at all times to uphold the rights of children and young people in accordance with the UN Convention Rights of the Child.
Safeguarding Children and Vulnerable Adults The Trust is committed to safeguarding children and vulnerable adults throughout the organisation. As a member of the trust there is a duty to assist in protecting patients and their families from any from of harm when they are vulnerable.
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Oxford University Hospitals NHS Foundation Trust
Information Governance You must maintain a Trust email account. All staff must complete annual information governance training. which can be completed on-line.
General The post-holder will assume a continuing responsibility for the care of patients in his/her charge and the proper functioning of his/her department.
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Oxford University Hospitals NHS Foundation Trust ______3. Person Specification
Post: Consultant in Dermatology Job reference: S5/
Requirements Essential Desirable
Qualifications/Training MRCP or equivalent Higher medical degree e.g. PhD or MD Professional qualifications submitted or awarded CCST / CCT or registration on GMC Specialist Professional training Register in Dermatology OR within 6 months of achieving CCT at the time of interview OR CESR Experience General training in Dermatology to consultant Work experience level or equivalent
High level of competence in diagnosis & management of skin cancer including use of dermoscopy
Competence and high standard in skin cancer surgery and use of biologic therapy
Level of responsibility Evidence of ability to make decisions at consultant level and to manage complex clinical problems.
Skills and Knowledge
Leadership skills Excellent leadership skills. Evidence of ability to lead a clinical team at the level of a consultant in a teaching hospital demonstrating accountability for quality of care, financial controls and efficient management of workforce
Organisation and Effective administrative and time management Management qualification. management skills skills. Training in clinical management.
Professional - extra skills or Evidence of significant contribution to achievements successful teamwork
Communication and Good spoken and written English. Highly interpersonal skills developed communication and interpersonal skills.
Teaching and training skills Experience of formal and informal contributions Education qualification to teaching and training.
Clinical governance Evidence of effective and sustained contribution experience to clinical governance, clinical risk management and clinical audit activities. Ability to work within clinical governance guidelines
Research skills Track record of publications in peer reviewed Previous research experience +/- journals research grants
Other Requirements
GMC Registration Full registration and licence to practise
Transport Driving licence
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Oxford University Hospitals NHS Foundation Trust ______
4. Outline Job Plan A Weekly provisional Programmed Activities
An indicative timetable and job-plan is outlined below. The final job-plan for the post will be agreed with the clinical lead / director of both organisations upon appointment – the job-plan could be worked over 5 days if shorter working days are preferred.
No. of Day Time Location Work Categorisation PAs 09.00 – Home AnG DCC O 0.5 Monday 11.00 0.5 07.30 – Churchill Admin DCC O 0.9375 11.15 11.15 – Churchill Supporting activity SPA 0.3125 12.30 13.00 – Churchill wk 1 Clinical academic DCC / SPA P 0.25 17.00 meeting / morbidity 0.125 / 0.125 & mortality & consultant meeting +/- clin admin 13.00 – Churchill wk 2 Regional complex DCC / SPA P 0.25 17.00 case meeting + 0.1875 / 0. 0625 Tuesday education session 13.00 – Churchill wk 3 Business & SPA P 0.25 17.00 governance meeting and consultant meeting 13.00 – Churchill wk 4 Surgical & SPA P 0.25 17.00 consultant meeting +/- SME / CPD 17.00 – Churchill CPD / revalidation SPA P 0.25 18.00 supporting activities 2.5 08.00 – Townlands Admin +/- OUH DCC R 0.25 09.00 pathology meeting via Teams 09.00 – Townlands General clinic DCC R 1.0 13.00 Wednesday 13.30 – Townlands 2 week wait clinic DCC R 1.0 17.30 17.30 – Townlands Admin DCC R 0.25 18.00 2.5 08.00 – Churchill (or RBH) Skin cancer MDT DCC O 0.25 09.00 09.00 – Churchill Skin cancer clinic DCC O 1.0 13.00 Thursday 13.30 – Churchill Admin DCC 0.75 17.30 13.30 – RSM wk 3 CPD SPA P 0.25 17.30 2.25 09.00 – OUH / RBH MOp DCC O 1.0 13.00 13.30 – OUH Gen derm DCC O 1.0 Friday 17.30 17.30 – OUH Admin DCC O 0.25 18.30 2.25
Saturday
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Oxford University Hospitals NHS Foundation Trust ______
Sunday
Additional agreed activity to be worked flexibly Direct clinical Predictable care emergency on-call work On-site, at Unpredictable Variable home on the Direct clinical emergency telephone and care on-call work travelling to and from site
TOTAL PAs DCC 8.5 SPA 1.5 10
Programmed activity Number
Direct clinical care (including unpredictable on-call) 8.5
Supporting professional activities 1.5
Other NHS responsibilities
External duties
TOTAL PROGRAMMED ACTIVITIES 8
Anticipated on-call availability supplement
1 in 10 Agreed on-call rota e.g. 1 in 5:
Agreed category (delete): B
On-call supplement %: 1%
This is an indicative job plan, the actual initial job plan worked will be negotiated with the Clinical Director of both organisations upon appointment.
Annual and study leave arrangements must be co-ordinated within the specialty to ensure there is an acceptable level of consultant cover.
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Oxford University Hospitals NHS Foundation Trust ______Time off in lieu or locum payment is offered for additional DCC clinical workload above that agreed in the final job-plan.
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Oxford University Hospitals NHS Foundation Trust ______5. Division and Service Information
OUH
DIVISION Emergency Medicine Therapies & Ambulatory
Divisional Director: Larry Fitton General Manager: Arun Chandran Divisional Nurse: Louise Rawlinson
DIRECTORATE Ambulatory
Clinical Director: Rustam Rea Operational Services Manager: Jenny Tyrie
AMBULATORY DIRECTORATE
Dermatology The challenge in 2021 is to develop and evolve the service further to match the ever increasing demand i.e. ~12-15% increase in 2 week wait referrals year on year 2009-2019 whilst adapting to the challenges and changes brought about by the pandemic. The Oxford Department of Dermatology is a busy regional centre for dermatology. We provide an excellent skin cancer and general dermatology service to the patients of Oxfordshire and beyond. We train all the registrars in the Oxford Rotation at some stage.
We have trained GPwSIs to develop a commissioned low risk tumour service in the community and train all our GP registrars in basic surgical techniques. We have trained Australian and New Zealand registrars in surgical fellowships in the past and have offered surgical sabbaticals to a number of consultants from UK, Europe and Russia. Oxford was one of only two UK skin surgery units who were awarded Department of Health funding for a post CCT fellowship in skin surgery for 2009/2010.
There are daily consultant-led skin cancer screening clinics (up to 34 patients: 11x 2 week wait new, 13x routine new and 10x follow-up patients with support from a dermatology StR and an ST1-2 GP trainee or FY1) with parallel minor ops clinics allowing for a one-stop service (2-3 lists with 2-3 booked patients and one-stop cases with a consultant, registrar, fellow and/or GP assisting). This is under review currently as the make-up of clinics evolves with the pandemic and active triage of referrals.
The unit performs on average 300 day case operations per month of varying complexity from simple excisions to complex flap repairs and grafts. All procedural work is consultant supervised. Surgical outcomes are regularly audited and all cancer cases are reviewed weekly with regard to diagnosis and adequacy of excision. All common tumours have an agreed management protocol for Oxfordshire, which has resulted in a robust and trusting relationship with our surgical and oncology colleagues. We meet weekly with the plastic surgeons in parallel clinics in the Churchill & Horton Hospital, Banbury and at the weekly MDT clinics.
We have 2 dedicated skin cancer nurse specialists. Mohs surgery serves both the local population and as far as a field as Somerset and Northampton. The case mix is half ocular (William Perkins; also DFSP) and half non-ocular (Richard Turner & Sarah Felton) - on average ~300 cases per year in total.
Laser work is primarily pulsed dye and Nd:YAG laser with a general anaesthetic list once per month. These are supervised by Dr Wali +/- Dr Felton. 12
Oxford University Hospitals NHS Foundation Trust ______
The photodynamic therapy (PDT) service is onsite with weekly nurse-led clinics.
General dermatology patients are seen in out-patient clinics at the our main unit on the Churchill site and also at The Horton Hospital. We are supported by a highly experienced dermatology nursing team, skin cancer nurse specialists, biologic nurse prescribers and a dedicated pharmacist. We have good working relationships with our colleagues supporting a number of specialist interests and clinics eg oral medicine, rheumatology.
Facilities The Department of Dermatology is a stand alone building annexed to the main hospital via a link corridor and is adjacent to the new Oxford Cancer Centre. Head & Neck surgery and Skin Cancer Plastic Surgery are in a dedicated unit next to the department on the Churchill site allowing for an integrated service in conjunction with the internationally recognised Melanoma Oncology Unit and Haematology where an increasing number of bone marrow allografts are performed. Additional bowel and pancreas transplants are also performed at the Churchill. We are fortunate to have a full range of surgical and medical facilities on site.
Theatre suite We have a dedicated state of the art skin surgery suite which includes: 4 dedicated skin surgical theatres all with integrated oxygen and suction facilities. 3 bed recovery area - with integrated oxygen and suction facilities. Office area
Minor-op room A separate biopsy rooms are used for minor diagnostic and vulval biopsies in out-patients.
Post-op dressing room All post-op wounds are seen in this dedicated area.
Wound care suite All patients with leg ulcers or chronic wounds are reviewed in this recently renovated dedicated 2 bed area.
Phototherapy suite We have narrow-band UVB and PUVA machine as well as hand and foot machines. We are also fortunate to have a phototesting monochromator.
Photography studio We are very fortunate to have Medical Illustration run a photographic studio in the department 5 days a week.
Patch test room We have a dedicated latex free room and patch test studio.
Research facilities Laboratory: The first floor of the dermatology unit includes a dedicated laboratory. All Mohs’ sections are fully processed here. Microscope rooms: There are two separate microscopes: one triple headed microscope in the laboratory and a double headed Nikon microscope is in the seminar room for slide reporting and meetings. Seminar Room: Digital projection is available for histopathology cases in the weekly pathology review meeting. This enables clinical, dermoscopic and histopathological correlation to be available for all suspicious pigmented tumours that are excised.
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Oxford University Hospitals NHS Foundation Trust ______Office Space: Each member of the consultant staff has an allocated desk with a computer and internet access with suitable secretarial support.
Skin Cancer Skin Cancer Governance The department produces regular audits of performance, which are discussed at the MDT or at the monthly departmental governance meeting.
MDT & SSMDT The weekly MDT & SSMDT meetings take place in the state of the art facility £109 million Oxford Cancer Centre. The West Thames Specialist Skin MDT is video-conferenced to Reading and Swindon from Oxford.
Combined Oncology, Plastic Surgery and Dermatology Clinic Once monthly, following the MDT, a combined clinic occurs to review the patients with complex disease.
General +/- paediatric dermatology clinics run daily with consultant lists of 8 new and 6 follow- up patients ± supervising registrar lists. New to follow-up ratio is ~1:1.
Transplant Clinics Oxford has a large transplant population ie kidney, heart, bowel / pancreas and bone marrow, who are reviewed in the weekly skin transplant clinic.
Skin Cancer Research Oxford is one of the country’s 5 Biomedical Research Centres. The Skin Cancer Clinical Trials Unit is next door to the Department of Dermatology in the Cancer Centre. Its location ensures good communication between clinicians and researchers. The department is actively involved in melanoma clinical trials.
Summary We have enviable facilities and a great working team.
Staffing
Consultants
Name Qualifications Sessions Special Interest *Sue Burge OBE BSc (Bristol) 1 Medical Education BMBCh DM (Oxon) FRCP Charles Archer BSc MSc MBBS MRCP 10; 6 at General & skin surgery [Derm] Reading Sue Cooper MDMBChB MRCGP 3 Patch testing FRCP Sarah Felton MA MD MRCP [Derm] 7 General Skin Cancer (Mohs) Photosensitivity Laser Rachael Jarett DPhil MRCP [Derm] 10; 5 at Patch testing & vulval Reading General Tess McPherson MD MA MBBS MRCP 8.65 Paediatric dermatology Psoriasis *Graham Ogg DPhil MA BM BCh 1 Allergy (Oxford) FRCP Research Rubeta Matin PhD MRCP [Derm] 10 dermatology 14
Oxford University Hospitals NHS Foundation Trust ______Skin Cancer & lymphoma William Perkins MB BS FRCP 7.5 Transplant dermatology General Skin cancer (Mohs) Training Prog Director John Reed PhD FRCP 10; 3 at Skin cancer Reading Allergy Richard Turner MB BCh (Wales) FRCP 10 Skin Cancer (Mohs) Male genital Lymphoma Stephanie Arnold MBBS FACD 6.8 Vulval Skin cancer Antonia Lloyd-Lavery BMBCh MA MRCP 7 General dermatology Psoriasis Gorav Wali MA (Hons) BM BCh 10 General & skin cancer MRCP [Derm] Acting governance lead Neil Walker BSc MBBS (London) Honorary Mohs FRCP Laser Inge Kreuser-Genis 8; 3 at Paediatrics and vulval Reading dermatology
* University Staff
Junior Academic FY1 SHO x2 (ST1-2 GP trainees) Specialist registrars x4 including 1-2 Australian clinical fellows
Other Staffing 5x CCG commissioned GPwSIs / clinical assitants for skin cancer
RBH
The Royal Berkshire Hospital was rated as an ‘Outstanding’ Hospital in its January 2018 CQC report, and was ranked as the number one place to complete foundation training in 2017.
The Royal Berkshire Hospital achieved Foundation Trust status on 1st June 2006. It was the first Foundation Trust in the South Central Strategic Health Authority. The Trust has a successful track record of delivering high quality acute medical and surgical services for 500,000 patients across West Berkshire, an area extending from Newbury in the west to Henley-on-Thames in the east, and including Wokingham and parts of Hampshire to the south and parts of Oxfordshire to the north. The Trust is one of the largest general hospital Trusts in the country and is Reading’s biggest employer.
The hospital provides all those services normally associated with a very large District General Hospital. The hospital provides services on a single site for all the major specialities including Accident and Emergency, Trauma and Orthopaedics, Intensive Care, Gynaecology and Obstetrics, Genitourinary Medicine, Ophthalmology, ENT, Maxillo-Facial surgery, paediatrics (including a NICU), general medicine (including all major medical specialities including CCU, Renal Unit, ITU and gastroenterology), radiotherapy and oncology, and all the general surgical specialities.
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Oxford University Hospitals NHS Foundation Trust ______The trust provides several services Berkshire-wide (eg Ophthalmology, renal). Following the principle of care closer to home, the Royal Berkshire NHS Foundation Trust offers services from many locations, including King Edward VII Hospital, Windsor, Windsor dialysis unit, West Berkshire Community Hospital, Royal Berkshire Bracknell Healthspace, Townlands Hospital Henley and there are visiting clinics in Wallingford and Wantage.
Trust Management The Trust is under the leadership of Graham Sims, Chair, Steve McManus, Chief Executive and Lindsey Barker, Medical Director. Successfully achieving Foundation Trust status was an important landmark for the Trust and recognised the commitment of its management team and clinicians to maintain the high quality of its service delivery.
The Trust has in place a Clinically Led structure placing the decision making responsibilities with Clinicians supported by management teams. As an organisation we do not stand still and our success is because of the strong clinical leadership and the ‘can do’ attitude of the staff. There are 3 Care Groups (Urgent, Planned and Networked Care).
The Appointment This is a new 10 PA shared post for a Consultant Dermatologist at the Royal Berkshire NHS Foundation Trust (6PA) & Oxford University Hospitals NHS Foundation Trust (4PA).
Our service covers a large area encompassing both East and West Berkshire and parts of Oxfordshire and Hampshire. We are lucky to work in very beautiful area of the country including Henley and West Berkshire.
We pride ourselves on being a very friendly department and have gone from strength to strength in the last few years in terms of expanding our department, services and non-consultant grade workforce and it is now time to expand our consultant numbers.
The successful applicant will support the current delivery of the Dermatology service, including contribution to the development of these services at the Royal Berkshire NHS Foundation Trust. Subspecialty interests of successful candidates can also be accommodated.
The appointee will join the existing team to provide specialist care to this growing population of patients, and raise departmental profiles through teaching and education.
The aim of the Royal Berkshire NHS Foundation Trust Dermatology service is to become a leader in the field of dermatological management and the successful applicant must therefore have the pre-requisite procedural and leadership skills as well as team work, drive and ambition to succeed in achieving these goals.
The Speciality Our department is a busy acute dermatology department which saw the following patients in March 2017 – April 2018
2WW 4,135 Urgent 414 Routine 4,600 Follow-up 16,884 (incl.procedures)
The Dermatology Offices are situated in the main part of the hospital. All consultants share a large open plan office.
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Oxford University Hospitals NHS Foundation Trust ______Clinic facilities are provided in the main outpatients department and include 2 fully equipped minor ops theatre and treatment rooms for PDT.
The department works around a hub and spoke model and peripheral clinics include: Bracknell Health Space, Bracknell, equipped with outpatient facilities and a skin surgery theatre. Townlands Hospital, Henley, new facilities including a skin surgery theatre. West Berkshire Community Hospital, Thatcham with facilities for skin surgery and phototherapy.
There are weekly dermatology MDT meetings, which are administered by dedicated MDT co- ordinators and attended by plastic surgery, medical and clinical oncologists, oculoplastic and ENT consultants as well as dermatologists. All relevant skin cancer cases are discussed with a histopathologist present. Twice a month we take part in SSMDT meetings with Oxford via video conferencing, followed by an MDT clinic where patients who need a multidisciplinary approach are seen
We have a phototherapy suite. This is staffed by a dedicated nurse and houses 2 TLO1 machines, plus facilities for topical phototherapy. We also have a TLO1 machine at West Berkshire Community Hospital to treat patients living in the West Berkshire locality.
We have close links with our rheumatology colleagues. Every quarter there is a combined dermatology/rheumatology clinic and a vasculitis clinic.
We have no dedicated dermatology beds but any dermatology emergencies are admitted to a general medical ward under the care of the general physician on that day, with dermatology input. We admit few patients and find this system works well.
We provide a specialist referral service for inpatients to assist our colleagues and successful candidates will contribute to the provision of this service.
We also have a Reading Dermatology Research Group, which has been actively involved in research over the last few years.
The Speciality Management Team Name Job Title and Specialism Dr Janet Lippett Medical Director Dr Alex Evans Care Group Director Dr Dhru Laheru Clinical Lead Dr Charles Archer Deputy Clinical Lead Ms Alison Drew Matron for Integrated Medicine Marlese Dinolan Nursing Lead Ms Vanessa Sternkopf Consultant nurse Ms Theresa Matthews Directorate Manager for Integrated Medicine Ms Claire Mullis Service Manager for Dermatology
The Speciality Clinical Team Name Job Title and Specialism Dr Dhru Laheru Consultant Nail Dermatology Dr Charles Archer Consultant Skin cancer and surgery Dr Rachael Jarrett Consultant General & vulval dermatology Dr Inge Kreuser-Genis Consultant Paediatric & vulval dermatology Dr Sacha Goolamali Consultant Male Genitourinary Dermatoses & HIV 17
Oxford University Hospitals NHS Foundation Trust ______Dr Caroline Higgins Consultant Vulval Dermatoses, Paediatric, Biologics Dr Athanasios Karatolias Locum Consultant Dr Manu Mehra Locum Consultant Clinical Governance Lead Dr Aamna Adel Specialist Registrar – Oxford rotation Dr Laura Nestor Specialist Registrar – Oxford rotation
Non-Consultant Staff 2 StRs on the Oxford Dermatology training rotation, 1 GP VTS trainee, 1 specialty doctor, 2 GPsSIs and 3 dermatology clinical nurse specialists and various support staff in outpatients who perform phototherapy and PDT. We have a dermatology cancer nurse specialist who works closely with the MDT.
The department is also supported by our ‘Clinical Administration Team’ consisting of 10 staff including a booking officer.
Immediate Responsibilities of the Appointee The post holder will share clinical and managerial leadership within the Dermatology service with the present consultants. An office base with secretarial and administrative support will be provided.
This is a new substantive NHS posts in the Department of Dermatology due to expansion of the unit and development of a skin care alliance across Berkshire & Oxfordshire.
Applicants must be on the General Medical Council Specialist Register or within six months of being admitted to the Register for trainees if in a training programme within the UK. In accordance with the regulations, all other categories of doctors must be on the GMC Specialist Register to be considered for a consultant appointment by the Advisory Appointments Committee. The appointee must have a CCT in Dermatology. Wide experience is required in all aspects of Dermatology.
The trust is committed to ongoing training and support of consultants, There is a structured two year programme of induction and leadership development. Every consultant appointed is offered a choice of mentors and expected to meet with them on a regular basis.
Clinical Objectives 1. To provide, with colleagues, Dermatology services in both in-patient and out-patient settings.
2. To contribute to on-call cover 9am-5pm for the Dermatology service.
Management responsibilities 1. Active participation in monthly clinical governance meetings within the department.
2. Participation and involvement in meetings and other business in the Dermatology service
3. The post holders will be expected to participate fully in the teaching of pre-clinical & clinical undergraduate medical students from Oxford University. They will also be expected to contribute to the programmes of F1/F2, Core Trainee and Specialist Registrar teaching.
In addition, attendance is expected at the following: • Oxford Regional Meeting pm on 2nd Tues of month • Monthly pathology meeting 2nd Thursday of month, RBH
4. The successful applicants will be expected to contribute to medical audit and clinical governance and clinical governance meetings take place on alternate months.
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Oxford University Hospitals NHS Foundation Trust ______
5. The successful candidates will be expected to maintain his/her professional development to the level set by the Royal College of Physicians. The department runs an annual appraisal system in line with the National Appraisal Scheme for Consultant Medical Staff (as outlined in MD5/01) and expects every consultant to maintain a personal development portfolio.
6. Main Conditions of Service
1. The post is covered by the national Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales) and the Conditions of Service determined by the General Whitley Council for the Health Services (Great Britain), as amended from time to time. As the Trust develops it will review these terms and may vary the national agreements to respond to local conditions and reflect Trust requirements following negotiation with the BMA Local Negotiating Committee.
2. The new consultant will be required to maintain his/her private residence in contact with the public telephone service, and to reside within ten miles by road from the Churchill Hospital unless specific written approval for a greater distance is given by the Medical Director of the Trust.
3. The salary scale is £75,249 – 101,451 with nine thresholds (1 April 2013).
4. The successful candidate must hold full registration and licence to practice with the GMC.
5. The successful candidate must have CCT (or equivalent for non-UK applicants of equivalent status), or be accredited (or equivalent), and be on the GMC Specialist Register in the specialty appropriate for the consultant post at the time of taking up the consultant appointment.
6. The successful candidate is not required to subscribe to a recognised professional defence organisation to fulfil his/her contractual obligations to this Trust, but should ensure he/she has adequate defence cover as appropriate, for example, for private and Category 2 work, and for GMC disciplinary proceedings.
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Oxford University Hospitals NHS Foundation Trust ______
7. Oxford University Hospitals Foundation Trust Profile
Text to be added by Resourcing Team – HR Department prior to advertisement
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