Nhs Primary & Community Division s2

REFERENCE NUMBER: PHA/RIE/2015/16/039

JOB TITLE: Dispensary Manager

GRADE: Band 7

LOCATION: Royal Infirmary of Edinburgh

CONTRACT DURATION: Permanent

HOURS: 37.5

CLOSING DATE: 1st September 2015

SALARY SCALE: £31,383- £41,373 per annum (pro-rata)

Apply on-line www.jobs.scot.nhs.uk

**Please note – the e-mail address you provide on the application form will be used to communicate any further correspondence relating to this vacancy**

This post requires the post holder to have a PVG Scheme membership/ record. If the post holder is not a current PVG member for the required regulatory group (i.e. child and/or adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post.

NHS LOTHIAN JOB APPLICATION PACK

This information package has been compiled to provide prospective candidates with details of the post advertised. The contents of this package are as follows:

 General Information for Candidates  Working in Edinburgh and the Lothian’s  Working Time Regulations Form (please complete and return with application form)  Person Specification and Job Description  NHS Lothian - Our Values  Information on Application Process  Workforce Equality Monitoring  Equal Opportunities Policy Statement

GENERAL INFORMATION FOR CANDIDATES

Data Protection Act 1988 Please note that any personal information obtained from you throughout the recruitment process will be collected, stored and used in line with the Data Protection Act 1998. Information will be available to the recruiting manager and to the Human Resource staff.

Counter Fraud NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian’s intranet (Counter-Fraud and Theft page) and further information is available at http://www.audit-scotland.gov.uk/work/nfi.php.

References All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job.

Disclosure Scotland Where a Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available from the recruitment centre.

Work Visa If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website www.ind.homeoffice.gov.uk

Overseas Registration and Qualifications NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post.

Job Interview Guarantee Scheme As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview. Terms and Conditions For an overview of our Agenda for Change terms and conditions visit: www.msg.scot.nhs.uk/pay/agenda-for- change

Travel Expenses Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair.

WORKING IN EDINBURGH AND THE LOTHIANS

NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits.

The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians.

Edinburgh and the Lothians NHS Lothian serves a population of approximately 800,000 people living in and around Edinburgh, Scotland’s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian.

It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages.

Useful Contacts For useful guidance on relocating to Scotland visit: www.talentscotland.com

For a comprehensive list of services to help moving to the City of Edinburgh, please visit the City of Edinburgh Council Website at: www.edinburgh.gov.uk .

NHS Lothian ______

WORKING TIME REGULATIONS RECRUITMENT PRO-FORMA

In accordance with Working Time Regulations, no individual should knowingly be contracted to work for more than an average of 48 hours per week.

For Completion by Applicant (to be submitted along with application form)

- Do you intend on holding any other employment (either NHS or non-NHS) YES / NO

If yes please complete the details below:

Name and address of additional employer(s)

Average number of hours worked for this employer per week

Signed

For Completion by Appointment Panel

- Would the offer of this post put the applicant in a position whereby they would exceed the 48-hour working limit? YES/NO

Signed

Please Note - It is the responsibility of the appointment panel to ascertain whether the prospective employee intends to retain any other post held in addition to the one for which they are applying.

Refer to the Recruitment Guidance Pack for further information regarding working time regulations. Royal Infirmary of Edinburgh

Pharmacy Services

Dispensary Manager

The Royal Infirmary of Edinburgh is a large teaching hospital with an established reputation for offering the best practice across a wide variety of specialist services. The pharmacy delivers high quality dispensing services to in-patients and out-patients including clinical trials. In 2016, the pharmacy department will begin a programme of enabling works to prepare for the new Royal Hospital for Sick Children and Department of Clinical Neurosciences due to open on the Little France Campus in September 2017 which includes the renovation of the dispensary, extension of the patient waiting room and implementation of automation amongst other alterations.

We are looking for a motivated pharmacy technician to manage the dispensary service throughout this period of change. Candidates must be registered with the General Pharmaceutical Council; be a designated checking technician and hold the HNC in Pharmaceutical Sciences or equivalent. Your practice experience will have been gained working in a patient focussed environment utilising excellent interpersonal skills, quality improvement techniques and demonstrable leadership qualities.

For informal queries please contact Fiona McIntyre, Site Lead Pharmacist Tel 0131 242 2900 [email protected] NHS Lothian – University Hospital Division PERSON SPECIFICATION Job title Dispensary Manager

Base Department of Pharmacy, The Royal Infirmary of Edinburgh (Little France)

Requirements Attribute

Qualifications NC Pharmaceutical Services or equivalent E HNC Pharmaceutical Sciences or equivalent E Pharmacy Dispensary Checking Technician Qualification E Member of the General Pharmaceutical Council E

Experience Relevant post graduation experience in hospital or E community pharmacy practice

Knowledge, skills Accurate dispensing skills including knowledge of E and ability national standards Safe and secure handling of medicines E Advanced written and oral communication skills E Advanced numeracy skills E Management of people and resources E Supervision skills E Good computing and keyboard skills E Able to work within teams, interpersonal abilities E Ability to work under time pressure and manage own E time E Ability to assign and organise work of others E Ability to lead and motivate others E Record of continuing professional development

Other Enthusiastic, highly motivated and team player with e.g. personal ability to motivate and lead change E attributes Flexible and adaptable, calm disposition, empathetic E Able to work flexibly out-with normal core working hours E JOB DESCRIPTION TEMPLATE

1. JOB IDENTIFICATION Job Title: Dispensary Manager

Responsible to (insert job title): Site Lead Pharmacist

Department(s): Pharmacy, RIE

Directorate: Pharmacy

Operating Division: NHS Lothian

Job Reference: U-CN-PHM-RIE-DM

No of Job Holders: 1.0

Last Update (insert date): July 2015

2. JOB PURPOSE To manage, co-ordinate and develop dispensary services to meet the needs of patients in the Royal Infirmary of Edinburgh and Princess Alexandra Eye Pavillion in accordance with identified divisional priorities.

To support the activities of the Lauriston Building pharmacy service.

To develop and co-ordinate an efficient one stop dispensing system within a multidisciplinary team. One stop dispensing system refers to the practise of combining inpatient and discharge medicines into a single labelled supply for discharge.

To contribute to the strategic and operational planning of pharmacy services and to help ensure the highest standards apply to all aspects of medicine supply. To optimise the role of electronic systems in supporting the delivery of a highly efficient dispensing service.

3. DIMENSIONS (i) Staffing

The postholder is responsible for the management structure of:

Rotational pharmacists 1.5wte Senior Technicians (Disp) 2.0wte Senior Technicians (One stop) 4.0wte Rotational Technicians 5.0wte Trainee Technicians 2.0wte Assistant Technical Officers 2.0wte

(ii) Budget

The Dispensary has a stock value of approximately: RIE £70,000 The post holder analyses dispensary and one stop dispensing performance to ensure delivery of a safe, effective service with economic use of resources both human and material. They identify trends with respect to both areas of activity. 4. ORGANISATIONAL POSITION

Pharmacy Dispensary, RIE

Lead Pharmacist

Dispensary Manager THIS POST

Rotational Technicians, Higher Level Technicians, Higher Level Pharmacists Dispensary On-Stop

Rotational pre- Rotational Rotational Pharmacy registration Technicians Technicians Technicians pharmacists One-Stop

Assistant Rotational Technical Trainee Officers Technicians

5. ROLE OF DEPARTMENT

The aim of the Pharmacy Service is to assure quality of patient care in the provision of treatment with medicines. To this end the objectives are:-

(i) to provide pharmaceutical care to individual patients by meeting their particular needs while maximising efficiency in the use of resources. (ii) to provide medicines through systems of quality control which ensure safe, effective and economic use.

Dispensing services supports the achievement of the above objectives through the provision of dispensed medicines that comply within legal, national and local guidance.

The Pharmacy Department has a major role in the teaching and professional development of Pharmacists and Pharmacy Technicians and other health care staff.

The Pharmacy Department participates in and supports the organisation’s clinical effectiveness programme through participation in clinical audit and research and development.

6. KEY RESULT AREAS

(i) Main duties and responsibilities ( 90% of activity )

Management

To be responsible for the management and lead the strategic development of Dispensing activities, to ensure medicines are dispensed accurately to individual patients and supplied efficiently, from dispensaries and ward based one stop dispensing services. To work within the agreed national and local strategies and statutory requirements for medicine supply, to ensure that required dispensed medicines are available to the patient at the time they are needed. To ensure that the supervision of day-to-day activities in the dispensary is provided by suitably trained personnel and that the correct skill mix is maintained To liaise with ward based staff in reviewing and developing dispensing services to ensure best use of pharmacy resources. To undertake the change management required to modernise the dispensary services with reference to the departments’ strategic plan. To collate and report on all dispensary workload activity data to influence decisions on service development To facilitate effective communication systems for dispensary staff. To participate in working groups when required as appropriate. To liase with the clinical pharmacy teams to provide adequate pharmacist cover for dispensary activities, prioritising and directing as required to ensure service delivery is maintained at optimum. To plan and co-ordinate technical resources to provide adequate cover for the ward service activity, prioritising and directing as required to ensure service delivery is maintained at optimum. To participate in audit (internal and external) of Dispensing Services and action as required. Undertake a systematic approach to good dispensing practice. To manage and develop the patient pack over-labelling system to support one stop dispensing.

Professional Activity To accurately dispense discharge, outpatient, inpatient and clinical trial and prescriptions as required, so that patients receive the correct medicines. To accuracy check and final release of dispensed medicines, inpatient supplies and patient pack overlabelling to ensure that patients receive correct medicines

Human Resources

To undertake sickness absence and disciplinary reviews in conjunction with Human Resources in accordance with current NHS Lothian policies and procedures. To manage resolution of staff issues, for example absence management or conflict when required. To identify and manage under-performance by implementing and supporting corrective remedial action. To co-ordinate and participate in the recruitment and selection of relevant pharmacist, technical and pharmacy support staff.

Education and training

To participate in and co-ordinate and maintain a system of performance appraisal in accordance with the principles of continuing personal development and Performance Planning Systems. To review, participate in and encourage continuing professional development for dispensary staff to ensure personal knowledge base is maintained and improved as required for registration with the General Pharmaceutical Council To co-ordinate and supply in-service education and training to pharmacists, pre-registration pharmacists, technicians, and support staff. To co-ordinate and supply in-service education and supervision of locum, vocational and seasonal staff within the department. To liaise with the clinical trials team to support training for pharmacy staff on aspects of handling of clinical trials and provide an internal and external pharmacy contact for help and advice regarding clinical trials To participate in the teaching, training and presentation on external and internal courses and conferences.

Quality

To co-ordinate key performance indicators. Review, monitor and maintain quality and performance standards and risk management strategies for the dispensary functions. To co-ordinate in the development, maintenance and monitoring of standard operating procedures within the dispensing section of the department to achieve improvements in service quality and to conform with the Quality Policy (BSEN ISO 9001:2000) To review, investigate and report on customer complaints. To report, investigate incidents and near misses and to implement preventative and corrective action in accordance with risk management policies. Take the dispensary lead for external audits by BSI and internal audits by the Quality Assurance department. Take action on any non-conformance or observations reported after these audits. To prepare and review all documentation relevant to extemporaneous dispensing and to establish and maintain a document control system

Health and Safety

To co-ordinate essential health and safety reviews and assessments. To co-ordinate environmental monitoring and maintenance of essential equipment. To attend Fire lectures and Life support training annually: Manual handling, Health and Safety and COSHH assessment management as required.

Information technology

To work with the Head of Procurement and Distribution, the Information Services Department and JAC Pharmacy System Manager to develop and maintain the pharmacy computer database to ensure that it is secure, accurate and fit for purpose. To utilise, introduce, develop and implement electronic solutions to optimise the efficiency of the dispensing service.

Physical resources

Ensure facilities and equipment are maintained to the appropriate standard and optimum use if made of them. To manage medicine stocks held in the dispensaries and co-ordinate stock management controls which include weekly stock value and regular stock holding reviews, annual, rolling and high value stock takes.

Medicines Management

Collaborate with Medicine Management Pharmacy staff to assist with implementation and promote awareness of evidence based prescribing within the Lothian Joint Formulary, guidelines and prescribing algorithms. Interpret data in order to prepare reports to support the analysis and decision making process within Lothian for the introduction of new medicines

(ii) Other duties ( 10% of activity)

To participate in deciding and implementing departmental policies and procedures in liaison with other section managers and the Site lead Pharmacist. To be jointly responsible with other staff members for security of pharmaceuticals, security of keys and use of the alarm system. To participate in research in to appropriate areas of practice as required. To supervise project work Participate in departmental rotas including evenings, weekends and public holidays. 7a. EQUIPMENT AND MACHINERY To use JAC pharmacy stock control and dispensing system for labels, management reports, import new products, stock management and password maintenance i.e. undertake superuser role To use Microsoft Office suite for e-mail, Internet enquires (CPD), word processing for documentation (management information statistics) PowerPoint (presentations of management information, CPD, training and presentation / teaching) and Access databases as required. To use Datix risk management software in accordance with divisional policies. To use unidirectional airflow cabinet. To use PeCos for placing, authorising and receipt of orders for supplies. To use other electronic systems to process worksheets and labels for overlabelled items.

7b. SYSTEMS To comply with the Royal Pharmaceutical Society of Great Britain’s ‘Medicines, Ethics and Practice’

To ensure compliance of ICH GCP (International Conference of Harmonisation Good Clinical Practice) in relation to clinical trials To ensure compliance for the provision of clinical trial medicines under the Medicines for Human Use (Clinical Trials) Regulations 2004 To comply with the Quality Policy of the Hospital Pharmacy Service. To ensure that the requirements of the Quality System (BS EN ISO 9001:2000) are met. To work with the Head of Procurement and Distribution, the Information Services Department and the JAc Pharmacy System Manager to develop and maintain the pharmacy computer database to ensure that it is secure, accurate and fit for purpose.

8. ASSIGNMENT AND REVIEW OF WORK

The post holder is a member of the senior staff of the department representing the dispensing service at departmental operational and risk management meetings Operates within strategic and personal objectives defined policies and procedures. Undertakes continuing professional development. Quarterly service review meetings with the Site Lead Pharmacist. The Site Lead Pharmacist in accordance with the principles of the performance appraisal system carries out review of performance and objective setting.

9. DECISIONS AND JUDGEMENTS

Directly responsible for management, co-ordination and development of dispensing services within defined procedures and standards of work. Responsible for identifying and resolving deficiencies in the service within the scope of work or report them to the Site Lead Pharmacist. Contributes to the strategic and operational planning of pharmacy services. The post-holder has a high degree of autonomy and is responsible for the effective use of own time. Plans and organises own workload and the workload of the dispensary staff. Required to anticipate and assess situations and circumstances to determine the appropriate course of action when problems arise, for example dealing with medication incident reports and ensuring delivery of service is not interrupted due to staffing deficiencies e.g. business continuity planning Required to act independently within guidelines and decide when it is necessary to refer to line manager. 10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

To maintain an effective and efficient service, in an environment of constant development and change. To promote effective team working across different sites.

11. COMMUNICATIONS AND RELATIONSHIPS

Liases with Section Managers, Royal Infirmary of Edinburgh Clinical Pharmacists Clinicians and nurses NHS Lothian Dispensary Managers Senior Technicians, Royal Infirmary of Edinburgh

The post holder will have links with Clinical Lead Pharmacists and ward and clinic managers to ensure that the level of service is appropriate and responsive. The post holder is required to have a high degree of co-ordination with section managers and divisional section managers. Communicates effectively with all pharmacy and non-pharmacy staff verbally and in the preparation of written reports. Provides information advice and counselling on medicines to patients and their carers' to support the safe and effective use of medicines. Communicates directly to patients and their carer’s and fellow health professionals, in response to medication incidents reports. To provide and receive highly complex, sensitive and contentious information whilst maintaining a position of integrity and confidentiality when dealing with patient related issues Employ de-escalation techniques to manage and resolve issues of customer expectations. Makes presentations to meet in service training and external training requirements.

Participates in the following Groups:

Weekly departmental operations meeting to contribute to strategic and operational planning of pharmacy services Participate in the Pharmacy Health and Safety Committee to promote essential health and safety reviews and assessment. Participate in the JAC User Group meetings to develop and maintain the pharmacy database. Core member of the RIE Pharmacy Senior Technicians Group.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

High degree of concentration, precision and accuracy for dispensing and final prescription checking, often with strict time constraints and interruptions. Lengthy periods of standing during dispensing and final prescription checking process. Manual handling related to stock and use of equipment. General keyboard skills, can involve lengthy periods of VDU operation. Potential exposure to toxic pharmaceutical materials. Resolution of staff issues, for example absence management, dealing with conflict or conveying unwelcome news may be emotionally demanding. Resolution of customer complaint may be emotionally demanding, including the occasional requirement to deal with aggressive behaviour from patients or staff. Supporting staff that have made a dispensing error, which may have resulted in patient harm, help them cope with having made the mistake and encouraging reflection of their performance at an emotive time may be emotionally demanding. 13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

NC Pharmaceutical Services or equivalent HNC Pharmaceutical Sciences or equivalent Pharmacy Dispensary Checking Technician Qualification Member of the General Pharmaceutical Council Relevant post registration experience in hospital or community pharmacy practice Accurate dispensing skills including knowledge of national standards Safe and secure handling of medicines Advanced written and oral communication skills Advanced numeracy skills Management of people and resources Supervision skills Good computing and keyboard skills Able to work within teams, interpersonal abilities Ability to work under time pressure and manage own time Ability to assign and organise work of others Ability to lead and motivate others Record of continuing professional development Enthusiastic, highly motivated and team player with ability to motivate and lead change Flexible and adaptable, calm disposition, empathetic Able to work flexibly out-with normal core working hours

14. JOB DESCRIPTION AGREEMENT A separate job description will need to be signed off by each jobholder to whom the job description applies.

Job Holder’s Signature: Date:

Head of Department Signature: Date: NHS LOTHIAN - OUR VALUES

NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients.

NHS Lothian – Our Values into Action:

Care and Compassion • We will demonstrate our compassion and caring through our actions and words • We will take time to ensure each person feels listened to, secure, understood and is treated compassionately • We will be visible, approachable and contribute to creating a calm and friendly atmosphere • We will provide a safe and caring setting for patients and staff, and an efficient, effective and seamless care experience • We will meet people’s needs for information and involvement in all care, treatment and support decisions.

Dignity and Respect • We will be polite and courteous in our communications and actions • We will demonstrate respect for dignity, choice, privacy and confidentiality • We will recognise and value uniqueness and diversity • We will be sincere, honest and constructive in giving, and open to receiving, feedback • We will maintain a professional attitude and appearance.

Quality • We will demonstrate a commitment to doing our best • We will encourage and explore ideas for improvement and innovation • We will seek out opportunities to enhance our skills and expertise • We will work together to achieve high quality services • We will use our knowledge and enthusiasm to implement positive change and overcome challenges.

Teamwork • We will understand and value each other’s role and contribution • We will be fair, thoughtful, welcoming and kind to colleagues • We will offer support, advice and encouragement to others • We will maximise each other’s potential and contribution through shared learning and development • We will recognise, share and celebrate our successes, big and small.

Openness, Honesty and Responsibility • We will build trust by displaying transparency and doing what we say we will do • We will commit to doing what is right – even when challenged • We will welcome feedback as a means of informing improvements • We will use our resources and each other’s time efficiently and wisely • We will maintain and enhance public confidence in our service • We will be a positive role model.

Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values. NHS SCOTLAND APPLICATION PROCESS

The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for.

Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required.

Please note for equal opportunity purposes NHS Lothian do not accept CV’s as a form of application.

General guidance

There are currently three ways of applying for vacancies within NHS Lothian:

On-Line: www.jobs.scot.nhs.uk Telephone (hard copy): 0131 536 3030 Email: [email protected]

If you are applying by ‘hard copy’ please use black ink and write clearly in block capitals.

 The vacancy reference number, job title and location can be obtained from the job advert.

 The candidate number will be populated by recruitment team once the application has been returned. This is to ensure each application remains anonymous.

 Only part C of the application form will be sent for short listing. The application form will be identified by the candidate number only to ensure that no applicant will be unfairly discriminated against.

 Please complete all sections of the application form. Those sections that are not relevant please indicate ‘not applicable’, do not leave blank.

 Please feel free to use additional paper if required. Please do not add your name to any additional information provided; secure it to the relevant section and Recruitment Admin will add a candidate number.

For general help and advice on how to complete an application form visit: www.myworldofwork.co.uk/content/job-application-form-advice

Please return completed application forms to:

The Recruitment Centre, Staff Residencies, St John’s Hospital, Howden Road West, Livingston, EH54 6PP

When returning your completed application and any associated enclosures by Royal Mail, please ensure that the correct postage is paid. Underpaid mail will be retained by the Post Office which will result in applications not being returned until after the closing date and not being included for shortlisting.

WORKFORCE EQUALITY MONITORING

NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued.

In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally. NHS LOTHIAN

EQUAL OPPORTUNITIES POLICY STATEMENT

NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination.

The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.

Our Equal Opportunities in Employment policy can be viewed at: www.nhslothian.scot.nhs.uk/WorkingWithUs/Employment/Pages/EqualOpportunities.aspx