Nhs Tayside Agenda for Change s2

Important Job Application Information

Thank you for your interest in NHS Tayside vacancies.

Please see below Job Description/Specification and General Conditions of Service.

Your Application Form must be completed in full. Please note copies of Curriculum Vitae, Qualifications and Course Certificates will not be accepted at this stage.

Please return your completed Application Form to [email protected] (quoting the Post Reference Number in the subject box) or to the postal address given on the General Conditions of Service.

All completed applications are held in Human Resources until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly, including your spam/junk box.

This process takes approximately six weeks. Therefore, if you have not been contacted regarding interview within six weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from Human Resources.

ADDITIONAL INFORMATION:-

Find out more about living and working in Tayside at: www.dundeecity.gov.uk www.angus.gov.uk www.pkc.gov.uk

Job Description 1. JOB IDENTIFICATION Job Title Photobiology Technologist (1 Year Fixed Term Secondment Cover) Department(s)/Location Photobiology Unit / Department of Medical Physics Number of Job Holders 2. JOB PURPOSE To assist with the provision of technical services for the Photobiology Unit, which include skin phototesting, ultra-violet light therapy procedures, laser treatment, and photodynamic therapy. The postholder is appointed to Photobiology as an outposted Technologist.

3. ORGANISATIONAL POSITION Job Reference Number The staffing complement of the Photobiology Unit consists of this post, 9 specialist technologists & technologists, an assistant technologist, two scientists and three consultant clinicians including the Head of the Photobiology Unit and the Clinical Lead for Phototherapy and Scottish Porphyria Service. 4. SCOPE AND RANGE The Photobiology Unit is part of the Dermatology Department and provides a unique service throughout Scotland for the diagnosis, treatment and research of photodermatological conditions. This includes the treatment of people who have adverse reactions to ultra-violet (UV) and visible radiation, such as urticarial conditions and malignant disease. The diagnostic process involves testing the patient’s skin reaction to different wavelengths of light, in order to recommend an appropriate treatment. These diagnostic investigations require up to 4 days of testing and the unit deals with, on average, 240 patients annually. As a national referral centre, the unit provides educational, scientific and technical support to colleagues throughout Scotland, organising and running courses for this purpose.

Phototherapy, the treatment of inflammatory skin conditions such as psoriasis and atopic eczema, is carried out within the Photobiology Unit and is one of 35 centres within the Photonet Managed Clinical Network. The network ensures equity of service with standardised treatment protocols in place and a centralised computer programme that can identify patients at risk of skin cancer. A typical course of phototherapy requires approximately 24 treatments over 8 weeks, with about 900 courses carried out annually, within the department. Technical involvement includes performing the initial test doses for each patient and the maintenance and dosimetry measurements of the phototherapy equipment. Clinical research programmes undertaken in the unit, have resulted in optimal treatment protocols, using evidence based recommendations, for patient management, thereby improving patient care. There are satellite phototherapy centres in Perth, Stracathro and St Andrews, which fall under the umbrella of the hub based at Ninewells.

Laboratory based scientific research provides support for ongoing clinical studies (eg pharmacokinetics) in addition to biochemical characterisation and development of light activated drugs and chemicals in in vitro cell culture models. The Photobiology Laboratory has a particular interest in mechanisms of phototoxicity and photogenotoxicity.

The Scottish Cutaneous Porphyria Service is also located in the Photobiology Unit and provides a biochemical diagnostic service for the detection and identification of porphyria – a heterogenous group of metabolic disorders arising from defects in the haem biosynthetic pathway.

The UV calibration laboratory, within Photobiology, ensures accurate UV measurements which is fundamental to the research carried out in the unit and to routine patient care. Accreditation by UKAS and ISO9001 demonstrates the unit’s commitment to quality. The laboratory provides an internal and external service in calibrating the unit’s own radiometers and other phototherapy centres’ radiometers to UKAS standards.

The Scottish Photodynamic Therapy Centre is also based in the Photobiology Unit and the primary objective is to provide photodynamic therapy (PDT) for malignant and pre-malignant conditions affecting a range of organs. This form of therapy requires collaboration between multi speciality medical, nursing, technical and Job Reference Number scientific personnel and is recognized with improving results in the cure of early cancers and provides palliation in advanced cancers. Around 1000 skin PDT treatments are performed annually using a variety of visible light sources including lasers.

In addition to this, laser treatment of facial vascular lesions, pigmented lesions and laser hair removal is carried out, including a technician led service, with around 700 treatments a year.

The postholder will perform a wide range of highly specialised clinical and technical procedures ensuring these tasks are carried out competently, with the aim of providing the optimum service possible to patients, staff and visitors alike. The postholder will report directly to the Highly Specialist Technologist in charge. 5. MAIN DUTIES/RESPONSIBILITIES Times are assigned but are approximate only

Clinical/ Technical (90%)

1) Undertakes duties directly related to phototesting the skin, ultra-violet photochemotherapy and ultra-violet phototherapy. This includes monochromator phototesting, photopatch, patch and minimal eythema/ phototoxic dose testing. These are all complex clinical procedures requiring considerable care and attention to detail. Standard reports are generated from these procedures which lead to the recommendation of an appropriate treatment for the patient.

2) Undertakes regular calibration procedures and quality control checks of highly complex optical equipment used in patient diagnosis and therapy. Maintains records of these procedures and of replacements, adjustments and repairs. This includes phototest, PDT & phototherapy equipment, as well as Home Phototherapy.

3) Undertakes the treatment of malignant and premalignant skin lesions using Photodynamic Therapy (PDT). This initially involves the preparation of the lesion by using a curette to abrade the lesion, which removes any surface scale present. After the application of photosensitising prodrug in a cream, a dressing is applied that stays in place for a predetermined length of time. This results in the subsequent light irradiation of the lesion using laser and non ionising light sources. As many patients find these procedures painful, it is necessary to establish a good relationship with the patient and provide reassurance throughout the procedure.

4) Undertakes Laser procedures conforming to local rules as designated by the Head of Scientific Services. Assists in the technician led clinics. This includes adhering to the Local Rules in place and obtaining advice from the Laser Protection Advisor when necessary.

5) Undertakes the recording of patient related results, assessments and reports including transcribing within departmental notes and patient case records. Undertakes the collating of patient questionnaires and the computer input, retrieval and updating of patient data and will be happy to assist with data analysis as required. Competency in the use of all four databases is Job Reference Number required, three of which use different software.

6) The postholder will comply with the Data Protection Act, Caldicott Guidelines and local policies regarding confidentiality and access to medical records.

7) Assists with the development of new phototesting procedures and the development of techniques for improving performance, safety and reliability of equipment in use within the Unit.

8) Participates in clinical audit programmes to ensure continuous development of evidence based practice.

Health & Safety (5%)

1) Complies with the Health and Safety protocols adopted by the Photobiology Unit including the co- ordination of the obligatory H&S responsibilities, guidelines, policies and procedures. Adherence to the quality control measures and methods in place, including UKAS and ISO9001.

2) Adheres to the infection control measures adopted by the department and NHS Tayside.

3) Adheres to policies and protocols relating to the handling and disposal of contaminated blood to ensure safety of both self and other staff.

Research/ Educational/ Other (5%)

1) Assists in the various drug and clinical research studies involving volunteers and patients. This includes carrying out the procedures ensuring the protocol is adhered to and the recording of data is within good clinical practice guidelines.

2) Assists with the maintenance of stocks of materials and spares required by the Unit.

3) Assists with the maintenance of the laboratories and facilities of the Unit.

4) Attends appropriate training courses and scientific meetings and participates in continuing professional development programmes, thereby keeping up to date with technical and scientific developments in the relevant fields, ensuring own personal developmental needs are met.

5) Demonstrates various clinical procedures and use of equipment to other multidisciplinary groups of staffing including medical students carrying out placements, nursing students and visiting academic, technical and clinical staff from outwith NHS Tayside.

6) Assists with equipment demonstrations at the Biannual Photodermatology Job Reference Number Courses and in various other study days / courses held within Photobiology.

7) Complies with departmental policy with regard to conduct with patients.

Induction Standards & Code of Conduct Your performance must comply with the national “Mandatory Induction Standards for Healthcare Support Workers 2009” and with the Code of Conduct for Healthcare Support Workers.

6. COMMUNICATIONS AND RELATIONSHIPS The post holder must have good communication skills and be able to deal effectively and professionally with patients while maintaining an effective working relationship with colleagues and other NHS Tayside and University of Dundee staff.

The post holder communicates complex matters to patients, relatives and other health care professionals to ensure provision of care. This includes conveying complex technical and scientific information that must be converted in a manner that is understood by that particular person whether it is a patient, staff member or visitor to the department. An essential element is establishing good relationships with patients despite barriers of language and understanding, for example, when dealing with children.

Due to the broad spectrum of different procedures carried out, a compassionate manner is required for dealing with a number of groups of patients. This is evident in the laser clinics where sensitivity must be shown for some of the conditions treated and in the PDT clinics where reassurance and empathy is required as a large percentage of elderly, infirm and confused patients attend these clinics.

The postholder will, occasionally, be required to deal with verbal complaints, aggression and challenging behaviour from patients and be able to act accordingly. 7. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB BSc Degree in an appropriate subject and /or relevant experience.

Registration as a member of the Register for Clinical Technologists or willing to work towards registration.

Understanding a range of work procedures and practices, some of which are non- routine, which require a base level of theoretical knowledge. This is normally acquired through formal training or equivalent experience.

The postholder will be expected to gain knowledge and understanding of complex physics, and the interaction of UV and laser radiation within the body.

Knowledge and understanding of complex dosimetry and calibration procedures and the expertise to operate highly specialised equipment.

Demonstration of excellent team working skills. 8. SYSTEMS AND EQUIPMENT Assists in the regular maintenance and calibration of a wide diversity of highly specialist equipment (approximate total value of £500,000) and needs to have the Job Reference Number specialist clinical knowledge to ensure the safe operation and use of the equipment. These include  irradiation monochromators (replacement value £20000)  spectroradiometer,  photodynamic diagnosis detection equipment  multiple ultra-violet and visible light sources (replacement value £15000 for some units)  5 lasers used for patient care, three of which are used for different applications, and responsibility for day to day maintenance and calibration extends to these devices also. Replacement value of each of these lasers is >£40000.

The post holder should be computer literate to enable the use of various software packages including Microsoft Office applications (Excel, Word), Access databases and patient database systems that are in place.

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 terms of the Public Records (Scotland) Act 1937. 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.

9. PHYSICAL DEMANDS OF THE JOB Physical skills/ effort

On a basis of two to three times weekly, assistance is often required for helping patients on and off beds, on and off treatment chairs and from wheelchairs to beds (weights being in excess of 50kg generally). Safe manual handling techniques are employed to enable the patients to be in the correct position for testing or treatment.

Laser treatments involve short periods of time (10 minute sessions with breaks), standing in restrictive positions and in using specialist manipulative skills, the postholder must ensure good contact between the laser aperture and the patient.

Maintenance of phototest and phototherapy equipment requires moderate physical effort in the replacement of optical equipment and UV lamps and tubes. This is on a monthly basis and involves dismantling phototherapy units and optical equipment to allow lamp and/or starter replacement. In doing so, the postholder must carry out frequent repetitive bending and stretching manoeuvres. In the course of the working week, various pieces of equipment need to be moved for treatment purposes, some of which need to be pushed using considerable effort due to the weight of the equipment (some equipment can be greater than 50kg in weight).

Mental effort

There is a frequent need for prolonged concentration when carrying out calibration, spectroradiometry measurements and dosimetry calculations in order to ensure measurements are accurate and consistent. Concentration is required when checking documents/ patients notes whilst subject to frequent interruptions from patients/ relatives or other colleagues. Job Reference Number

Emotional Effort

Emotional demands include communicating with distressed, anxious, worried patients and their relatives on a regular basis and providing support in the working environment to junior staff.

Working Conditions

Daily exposure to unpleasant working conditions is inevitable, with patient body odours, MRSA, bodily fluids, and verbal aggression. The postholder is also exposed to patients, on a daily basis, with distressing skin conditions such as psoriasis and atopic eczema, and to cancerous skin lesions which have broken down and, at times, can be ulcerated or hyperkeratotic in nature. Occasional exposure to infectious skin conditions is unavoidable.

The postholder will be required to work, on a daily basis, with potentially dangerous ultra-violet radiation and high power lasers. This requires extreme care to ensure that risks are as low as reasonably achievable and the use of personal protective equipment and measures.

10. DECISIONS AND JUDGEMENTS The postholder adheres to an appraisal system with performance levels reviewed annually.

The postholder adheres to set protocols and procedures in place and reports to the Section Manager.

Accountable for own professional actions, whilst working within professional codes of practice, departmental policies and procedures.

11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Maintaining a high standard of work, tailored to meet the needs of the Photobiology Unit and its patients.

Understanding the highly complex scientific basis of the procedures and keeping up to date with advances and application of new techniques.

Ability to re-assure patients while carrying out laser, PDT and phototherapy procedures which are often painful to the patient. 12. JOB DESCRIPTION AGREEMENT

A separate job description will need to be signed off by each postholder to whom the job description applies. Job Reference Number General Conditions of Service

POST REF NO: D/CH/51a/17 JOB TITLE/GRADE: Clinical Technologist, Band 5 LOCATION: Photobiology, Ninewells Hospital

Conditions of The terms and conditions of service for this post are those determined by Service the NHS Staff Council. Remuneration The current salary scale for the post is £22,440 to £29,034 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service.

Salary is paid monthly by Bank Credit Transfer.

Hours of Duty The hours of the post are 37.5 per week.

This is a fixed term/secondment post for 1 year to provide cover for

a secondment. The end date is subject to amendment should the

substantive post-holder give notice to change their return.

Internal applicants: Written approval must be sought from your line manager prior to applying for this secondment. You will be required to bring this if shortlisted for interview.

Start and finish times will be determined by the needs of the service.

Superannuation Membership of the NHS Superannuation Scheme is not compulsory but is open to all staff between the ages of 16 and 70 (65 in some instances).

The contributions paid are a percentage of superannuable pay, which is essentially basic pay excluding, for example, overtime or travelling expenses.

Contribution rates with effect from 01.04.17 are as follows:

Annual Pensionable Pay Contribution (Full-time equivalent) Up to £16,528 5.2% £16,529 to £22,217 5.8% £22,218 to £27,634 7.3% £27,635 to £50,971 9.5% £50,972 to £72,770 12.7% £72,771 to £113,625 13.7% £113,626 and above 14.7%

Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay.

Annual Leave On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per Job Reference Number

After 5 years aggregated service = 29 days (pro rata for part-time staff) or 5.8 weeks per year

After 10 years aggregated service = 33 days (pro rata for part-time staff) or 6.6 weeks per year

Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year

References All offers of appointment are subject to receipt of two satisfactory references.

Occupational All offers of appointment to new entrants to the National Health Service Health are subject to a medical examination. Medical examinations are Clearance arranged and undertaken by Occupational Health (OH).

Rehabilitation of All current or spent criminal convictions, cautions, warnings or any case Offenders Act pending must be disclosed prior to commencing in employment as 1974 (Exclusions detailed on the application form. and Exceptions) (Scotland) Order Please note that having a conviction will not automatically debar you from 2003 obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated.

Disclosure The successful applicant will be required to become a member of the Scotland Protecting Vulnerable Groups Scheme (PVG) in respect of regulated work with protected adults and regulated work with children.

Immigration, It is a criminal offence for an employer to employ anyone who does not Asylum and have permission to live or work in the UK. Nationality Act 2006 Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents.

Professional New entrants to NHS Tayside will be required to achieve the mandatory Registration/ Induction Standards for Healthcare Support Workers (HCSWs) in Induction Standards Scotland& and comply with the Code of Conduct for HCSWs throughout Code of Conduct your employment. Internal candidates will be required to comply with the Code of Conduct for HCSWs Smoking Policy NHS Tayside operates a No Smoking Policy and smoking is prohibited within NHS premises and grounds. Job Reference Number

Fair Processing NHS Tayside is under a duty to protect the public funds it Notice administers, and to this end may use the information you provide on your Application Form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. For further information see: http://www.nhstayside.scot.nhs.uk/YourRights/NationalFraudInitiativ e/index.htm or contact [email protected].

Applications Completed forms should be returned to:

[email protected] quoting the job reference in the subject line or to HR & OD Directorate, NHS Tayside, Level 9, Ninewells Hospital, Dundee DD1 9SY

By closing date of 10 August 2017

All shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly, including your spam/junk box.