Faculty of Medicine and Health

Faculty of Medicine and Health School of Medicine

Section of Rehabilitation Medicine Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM)

Associate Clinical Professor in Rehabilitation Medicine / Honorary Consultant in Rehabilitation Medicine

This is an exciting new post, working across the School of Medicine’s Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM) and Leeds Community Healthcare (LCH) NHS Trust.

You will run a programme of international-quality research focusing primarily on the development and delivery of translational research in Rehabilitation Medicine with a focus on musculoskeletal conditions, as part of the Institute of Rheumatic and Musculoskeletal Medicine and work closely with the NIHR Leeds Musculoskeletal Biomedical Research Group.

You will also join an established clinical team, delivering clinical care to patients in the LCH Musculoskeletal and Rehabilitation Service. There will be opportunities for translational research, in collaboration with teams of scientists and engineers working in this area. You will also contribute to the provision of services and clinical research, working as part of the established multidisciplinary team.

You should have a significant record of successful research and publication together with demonstrated administrative and teaching skills. Qualifications and a special interest in musculoskeletal rehabilitation is essential. Candidates will be expected to have a postgraduate research degree, hold the MRCP or equivalent and be included on the GMC’s Specialist Register for Rehabilitation Medicine (or within 6 months of doing so).

Salary will be on the New Consultant Contract (£76,001 - £102,465 p.a.) depending upon seniority within the consultant contract.

The University of Leeds is committed to providing equal opportunities for all and offers a range of family friendly policies ( http://hr.leeds.ac.uk/homepage/4/policies ). The University is a charter member of Athena SWAN and holds the Bronze award. The School of Medicine gained the Bronze award in 2013. We are committed to being an inclusive medical school that values all staff, and we are happy to consider job share applications and requests for flexible working arrangements from our employees.

Informal enquiries regarding the post should be directed to:

 Professor Paul Emery, Director of the Leeds Institute of Rheumatic and Musculoskeletal Medicine, [email protected]  Dr Amanda Thomas, Executive Medical Director, Leeds Community Healthcare NHS Trust, [email protected]

 Professor Rory O'Connor, Charterhouse Professor of Rehabilitation Medicine, [email protected]

 If you have any specific enquiries about your online application please contact Gayle Iype tel: + 44 (0)113 392 3884 email: [email protected].

Job Reference: MHLRM1062 Closing Date: 10 May 2017

2 Job Description

This post is based in the Section of Rehabilitation Medicine within the Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM), and the National Demonstration Centre for Rehabilitation at Leeds Teaching Hospitals NHS Trust and the Musculoskeletal and Rehabilitation Service in Leeds Community Healthcare NHS Trust.

This post will support and develop ongoing programmes of clinical and translational research aligned with existing programmes in Rehabilitation Medicine. Specifically, the successful candidate will be encouraged to engage in established interdisciplinary working within the University of Leeds to develop new research into musculoskeletal rehabilitation.

The Clinical Associate Professor will have responsibility to carry out the clinical rehabilitation of patients with musculoskeletal conditions within Leeds Community Healthcare NHS Trust. Within that clinical practice, the successful candidate will be encouraged to engage in established interdisciplinary working within the University of Leeds to develop and lead new research in musculoskeletal rehabilitation. The close integration of clinical and basic science research is a major principle of the Section and Institute and to promote this, the Associate Professor will link their clinical work with laboratory programmes of the Section, Institute, and University.

You will be expected to have a postgraduate research degree, hold the MRCP or equivalent and be included on the GMC’s Specialist Register for Rehabilitation Medicine (or be within six months of being admitted to the Register for trainees if currently in a training programme within the UK). The candidate must be able to demonstrate a high level of clinical experience and competence in all aspects of Rehabilitation Medicine, with particular expertise in musculoskeletal rehabilitation.

Main purpose of the job:

To draw on extensive academic excellence to underpin and carry out research, teaching, leadership and management in the field of Rehabilitation Medicine, within the Section of Rehabilitation Medicine and within the wider Institute, School and Faculty. In particular, you will undertake leading international research in the area of Rehabilitation Medicine, contributing to teaching and providing academic leadership within the Department of Rehabilitation Medicine and the Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM).

To support and strengthen the existing clinical research and clinical service team in the Musculoskeletal and Rehabilitation Service, the post will need to add to and maintain the excellence in research, teaching, clinical service, leadership and management in the field of Rehabilitation Medicine, within Leeds Institute of Rheumatic and Musculoskeletal Medicine, and the wider School and Faculty, promoting opportunities for interdisciplinary collaboration and fostering appropriate links with outside bodies.

There is a well-established Musculoskeletal and Rehabilitation service within the Leeds Community Healthcare NHS Trust with experience in managing patients with a range of disabling musculoskeletal conditions. The department is active in research, with involvement in portfolio, commercial and self-directed projects.

3 Main duties and responsibilities:

General:

 To contribute to the development and achievement of University, Faculty and School strategy within the context of an international, research-led university  To be recognised as an authority in musculoskeletal rehabilitation, developing and maintaining an external profile  To maintain scholarly activity and keep up to date with developments in musculoskeletal rehabilitation to carry out the duties of the post  Adhere to University values and standards, including the Leadership and Management Standard, and in line with University policies and procedures and local faculty/school benchmarks as appropriate, upholding high professional standards and leading by example  To be aware of and work in line with the University’s student education partnership agreement and work with our students as members of a learning community to provide world class education and an excellent student experience  To maintain own continuing professional development  To maintain a safe and healthy work environment, including ensuring compliance with health and safety legislation and the undertaking of appropriate risk assessments  To integrate the University value of inclusiveness into all appropriate aspects of the job; respecting the dignity and diversity of all members of the University community and of visitors to the University  Have a basic knowledge of the financial and procurement procedures and regulations and will be required to undertake relevant training/induction courses in order to gain this knowledge

Clinical Research, Innovation and Impact:

As a Clinical Associate Professor the successful candidate will conduct international-level basic, translational and/or clinical research equating to 5 PAs, facilitating the development of a research programme, with the support of the clinical research team.

You will aim:

 To pursue, develop and lead research, innovation and impact at an appropriately benchmarked level  To develop the strategic direction within musculoskeletal rehabilitation  To promote the integration of own research area with other research interests within and, as appropriate, outside the School and Faculty  To maintain a high quality record of regular and original research publications of external standing as appropriate to Rehabilitation Medicine  To attract research income on an individual and collaborative basis, as appropriate to Rehabilitation Medicine, to underpin high quality research activity  To provide high quality postgraduate supervision and attract research students to the University

4  To take part in knowledge transfer activities, where appropriate and feasible

Academic outcomes are subject to annual review within LIRMM as part of the joint Appraisal/Job Planning process between the University of Leeds and Leeds Community Healthcare NHS Trust.

Clinical Programmed Activities:

An Honorary Consultant appointment with Leeds Community Healthcare NHS Trust (5 PAs) will be available for the successful candidate, fully supported by a specialist musculoskeletal rehabilitation team.

Details of the Consultant team and information about the Musculoskeletal and Rehabilitation Medicine department is provided in appendix 1.

The post holder must have the ability to perform a full assessment of the musculoskeletal system in order to recommend the best course of management. This assessment will use the full range of diagnostic techniques and investigations in the following key areas: 1. Musculoskeletal examination of joints, muscles and in particular the spine.

2. Biopsychosocial evaluation of patients with musculoskeletal pain.

3. Understanding of therapeutic interventions for musculoskeletal conditions.

4. Injection techniques these including joint, spinal (Nerve Root, epidural & facet) sacroiliac and soft tissue injections.

5. Interpretation of musculoskeletal imaging, particularly x-ray, spinal MRI/CT and ultrasound.

6. Experience and competence in the provision of diagnostic and interventional ultrasound is essential.

In addition, you should appreciate and understand the role of the following in the management of musculoskeletal problems:

1 Surgery/Secondary Care 2 Pain Management 3 Psychology 4 Physical therapy/Podiatry 5 Occupational Health Practitioners 6 General and Vocational Rehabilitation

Subsequent to the assessment stage, the following groups of patients will be referred onto the most appropriate department for further treatment:

 Those who have an underlying serious pathology  Those for whom surgery is the most suitable method of treatment  Those with inflammatory lesions

The post holder will treat the remaining patients. A management plan for each patient will be developed and treatment methods may include: 5  Injections, this may include the use of steroids as well as other medications, and may be performed with or without x-ray control. In all cases the post holder will offer advice to patients and carers about the medical and social management of the patients’ condition  Advice to patients and carers re management of their condition  Diagnostics including MRI, X-Ray, Bloods, EMGs etc  Referral to Allied Health Professional’s within the service for non-surgical management

The post will be subject to joint job planning and appraisal by the University and NHS.

Student Education:

 To undertake research-led teaching at different levels on undergraduate and/or postgraduate taught courses, regularly collecting, and responding to, student feedback  To contribute at an appropriate level to School and Faculty policy and practice in student education  To play a significant role in the design, development and planning of modules and programmes within the subject area as required  To play a significant role in the review of modules and programmes and in quality assurance and enhancement as required  To develop innovative approaches to student education as appropriate  To provide timely feedback and assessment of coursework and examinations  To provide general support and guidance to students, resolving issues and/or referring to specialist parties, where appropriate  To act as a personal tutor, including pastoral care and supporting students in maximising the benefit of their time at Leeds  The extent of the appointee’s teaching responsibilities will be determined by their teaching commitment, agreed through the joint job planning exercise

To provide academic leadership through:

 Significant contribution to the overall work of the University and/or equivalent external organisations by representing the School and Faculty on appropriate committees and groups  Effective contribution to the management and administrative processes and committee structures of the School, Faculty and University  Managing or leading major initiatives or areas of work (as either sustained or one-off projects) which facilitate School, Faculty or University performance or business as required  Involvement in the recruitment, management and development of staff and act as a mentor to more junior/less experienced colleagues  The promotion of the values of collegiality within the academic community  Actively promoting and engaging with the objectives of our valuing and developing all our staff agenda via compliance with the University’s People Management Framework to ensure high standards of employment practices across the School

6 This job description provides a framework for the role and it may be necessary for an Associate Clinical Professor to undertake any duties commensurate with the post as might reasonably be required.

University Values

All staff are expected to operate in line with the university’s values and standards, which work as an integral part of our strategy and set out the principles of how we work together. More information about the university’s strategy and values is available at http://www.leeds.ac.uk/comms/strategy/

7 Person Specification

General Academic and Clinical Training and Qualifications:

The appointee must have completed a period of research training and have obtained a postgraduate research degree (PhD or MD) in a subject related to Rehabilitation Medicine. The appointee must hold a CCT in Rehabilitation Medicine or equivalent. Applicants must be on the Specialist Register for Rehabilitation Medicine (or within 6 months of being admitted to the register for trainees if currently in a training programme within the UK).

In accordance with the regulations, all other categories of doctors must be on the Specialist Register to be eligible for consideration for a Consultant appointment by the Advisory Appointments Committee. Applicants must provide information regarding their status (or eligibility) from the GMC and/or relevant Royal College.

You should hold full GMC registration and MRCP or equivalent acceptable overseas qualification (as per the GMC regulations – please see the GMC website for further guidance: http://www.gmc- uk.org/doctors/registration_applications/acceptable_primary_medical_qualification.asp

The research contribution from you must be, or become, excellent. It is therefore expected that you will have begun to develop, and will continue to build on, a national and international profile in translational research in musculoskeletal rehabilitation, with appropriate research output in terms of presentations and publications. This aspect of the post will be subject to annual review.

Essential:

 Membership of Royal College of Physicians or equivalent  Must have completed a recognised training programme in Rehabilitation Medicine  On the GMC specialist register in Rehabilitation Medicine or be within 6 months of CCT date (or eligible to apply for registration for international applicants)  Hold a Higher Research Degree in Rehabilitation Medicine or a related subject (PhD or MD or equivalent)  A record of an international standard, or at least with the potential to achieve this standard in musculoskeletal rehabilitation  Ability to manage and initiate clinical research independently  Experience of contributions to clinical research, for example through obtaining informed consent and data collection for patients in clinical trials  Interest in developing a strong academic focus on musculoskeletal conditions  Experience in all aspects of clinical Rehabilitation Medicine  Specific science-based research in Rehabilitation Medicine  Ability to write scientific papers, proposals and to publish internationally recognised research regularly  Previous experience in grant writing

8  Effective communication, presentation and organisational skills  Experience and ability to participate constructively in complex multidisciplinary meetings and decision processes  Have an understanding of current NHS management and Trusts and be aware of the responsibilities that a consultant post brings  Highly self-motivated, flexible and highly organised, demonstrated by proven ability to prioritise work and successfully initiate, manage and complete projects.  Ability to work well as a team member and to motivate junior research staff  Experience in teaching undergraduate medical students and training postgraduate doctors  Ability to work effectively both independently and collaboratively  Capacity for original thought and to solve problems, identify issues and plan strategic action  Experience in developing, implementing and monitoring policies, guidelines and Standard Operating Procedures  Capacity for, and interest in, strategy development and implementation  An ability to teach effectively at all levels within higher education  Experience and competence in the provision of diagnostic and interventional ultrasound  Evidence of formal training in peripheral injection therapy

Desirable:

 Previous experience of developing, delivering and reporting translational research  A qualification in student education  Evidence of formal training in spinal injection techniques

9 Honorary Consultant Contract

You will be awarded an honorary NHS contract with Leeds Community Healthcare NHS Trust (LCH) and Leeds Teaching Hospitals NHS Trust (LTHT).

You will join a team of established consultants in the city to provide a comprehensive rehabilitation service. Your general conduct in this respect should comply with the standards set out by the Trusts, which includes standards of conduct and behaviour, training, leave arrangements, infection control, health and safety, equality and diversity and your responsibility as a senior leader within the organisation.

You will require an honorary contract with LCH and LTHT to undertake clinical research activities.

Relationships

The appointee will be responsible to Professor Paul Emery, Head of Leeds Institute of Rheumatic and Musculoskeletal Medicine and through him to the Dean of the School of Medicine and ultimately the Dean of Faculty of Medicine and Health.

For non-University reporting, the appointee will be responsible to Dr Amanda Thomas, Executive Medical Director at Leeds Community Healthcare NHS Trust and Professor Rory O’Connor, Charterhouse Professor of Rehabilitation Medicine at Leeds Teaching Hospitals NHS Trust.

You will have a series of key professional relationships. There will be close links with the relevant site specialist Musculoskeletal and Rehabilitation Service teams, the multidisciplinary teams and the academic teams.

Job Plan and Working Arrangements

The job plan will incorporate clinical PAs and academic PAs. The precise details will be dependent on the interest(s) of the successful candidate, the research priorities and the needs of the Musculoskeletal and Rehabilitation Service. An indicative job plan is included below.

A job plan review will take place annually, normally with the Associate Medical Director of Leeds Community Healthcare NHS Trust and the University of Leeds academic lead (Institute Director or Head of Section). The annual job plan review may result in a revised prospective job plan. There may be an interim review of the job plan where duties, responsibilities, accountability arrangements or objectives have changed or need to change significantly within the area.

The post is subject to clinical governance arrangements through the NHS Trusts and a rolling programme of audit is conducted, with support.

Please note that this is an indicative job plan. The exact details of the sessional timetable will be negotiated with the successful candidate. The duties of the post may be changed with the agreement of the post holder and funding bodies.

10 Joint Appraisals

In line with the Follett Report recommendations, the University of Leeds has been working closely with the local NHS Trusts in implementing joint appraisals. You will be expected to participate in a joint appraisal arrangement as agreed locally on an annual basis. A ‘joint appraisal’ will be conducted by two appraisers, one from the University and one from the NHS, working together with one appraisee on a single occasion. There will be annual job planning meetings.

Leeds Community Healthcare NHS Trust has a dedicated Responsible Officer team to support revalidation, appraisal and Job planning. The Trust uses the PReP IT system for appraisal and revalidation and will be using the system for job planning in 2016/17. The Responsible Office team provide support for staff using the PReP system.

Continuing Professional Development (CPD)

In the discharge of their responsibilities, the Associate Clinical Professor/Honorary Consultant will be expected to maintain and update their skills and knowledge through appropriate continuing professional development.

The University and Trust are committed to continuing professional development and fully support the requirement for CPD by the relevant Royal College and the GMC. This essential component of an Associate Clinical Professor/Honorary Consultant’s professional activities will be reviewed during the joint appraisal process. Time and financial support for these activities will be allowed in accordance with the Trusts’ Leave policy.

Professional Registration

All honorary consultants should maintain their specialist registration with the GMC and comply with the standards expected by their Royal College (or equivalent) so that they are professionally ‘in good standing’. Regular joint appraisal is both the key activity underpinning revalidation and is also a contractual requirement for all honorary consultant staff.

The University and the Trusts attach considerable importance to this approach, which is intended to be of benefit to individual honorary consultants and to support the highest possible standards in the delivery of healthcare and services.

You will be required to maintain GMC specialist registration so long as you remain employed with the University of Leeds, confirming to your line manager that renewal has been carried out as required. You should produce documentation giving evidence of your registration upon request.

Mentoring

The University has a mentorship scheme in which Associate Clinical Professors/Honorary Consultants are eligible to participate. In addition, the NHS Trusts encourage all honorary consultants to participate in the activities established by the Trusts to support doctors in their new role.

11 Indicative Job Plan

No. of Day Time Location Work Categorisation PAs Monday 08.30-12.30 University of Academic University 1 Leeds 12.30-13.00 Lunch 13.00-17.00 University of Academic University 1 Leeds 08.30-09.00 Wharfdale Triage/patient DCC 0.125 General Hospital administration 09.00-12.30 Wharfdale Clinic DCC 0.875 Tuesday General Hospital 12.30-13.00 Lunch 13.00-17.00 Wharfdale Clinic DCC 1 General Hospital Wednesday 08.30-12.30 University of Academic SPA (University) 1 Leeds SPA activity 12.30-13.00 Lunch 13.00-17.00 Wetherby Health CPD/ SPA (NHS) 1 Centre Audit/Clinical Governance/Cli nical Supervision 08.30-09.00 Wetherby Health Triage/patient DCC 0.125 Centre or administration Armley 09.00-12.30 Wetherby Health Clinic DCC 0.875 Centre or Thursday Armley 12.30-13.00 Lunch 13.00-17.00 Wetherby Health Clinic DCC 1 Centre or Armley 08.30-12.30 University of Academic University 1 Leeds Friday 12.30-13.00 Lunch 13.00-17.00 University of Academic University 1 Leeds Saturday None Sunday None Additional agreed activity to be worked flexibly Predictable As emergency agreed on-call work Unpredictabl As e emergency agreed on-call work

12 TOTAL PAs 10 PAs: 5 University and 5 LCH

Note that travel time will be included within DCC time.

Following the offer of the post, a job plan will be agreed though joint job planning, which includes. After consultation, it is expected that the appointee will agree to a flexible job plan dependent on the particular demands of the University and Trusts.

Resources available to support you:

 Staff – details are provided on the appendices attached  Outpatient clinics – the Musculoskeletal and Rehabilitation Service clinic areas will be available to the honorary consultant  Research programme and criteria – you will be encouraged to facilitate and contribute to the current clinical research programmes on-going in the department  A shared office with IT facilities (PC, email etc) and secretarial support will be provided  Access to Leeds Musculoskeletal Biomedical Research Unit Centre, including research support staff  Laboratory space at the Charterhouse Rehabilitation Technologies Laboratory if required

Faculty Information

With more than 6,000 students, 1,600 staff and annual research income of £60m, the Faculty of Medicine and Health at Leeds is bigger than some Universities. Leeds has one of the largest medical and bioscience research bases in the UK, and is an acknowledged world leader in cancer, cardiovascular, psychiatric, genetic, musculoskeletal and health services research. Treatments developed in Leeds are transforming the lives of people around the world living with conditions such as HIV, TB, diabetes and malaria.

The School of Medicine

The School of Medicine at the University of Leeds is a major international centre for research and education. Our ambition is to improve health and reduce health inequalities, locally and globally, through excellent scientific research and the translation of that research into healthcare practice, and through the education of future scientific and clinical leaders who will advocate and practise an evidence-based approach. Our major strategic aims are to:

 Deliver outstanding research including basic discovery science through to applied health research that makes a significant difference to health.  Produce exceptional graduates, clinicians, educators, doctoral and post-doctoral fellows whose learning has been informed and inspired by our research excellence and who will form the next generation of academic and clinical leaders.  Develop and support knowledge transfer activities that flow from our academic activities.

13  Create and maintain an efficient and sustainable environment for research and teaching within an organisational culture and management style that enacts and supports the university’s core values of community, inclusiveness, integrity and professionalism.

The School of Medicine is organised into seven Institutes. All are committed to high quality research-led teaching, through their training of postgraduate research students, delivery of postgraduate taught courses, and its leadership in undergraduate teaching. The School works closely with the local NHS, having a number of jointly funded clinical posts to ensure this relationship is effective and strong for both research and student education.

Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM), Director: Professor Paul Emery

LIRMM is dedicated to improving diagnosis, therapy, intervention and outcome across the spectrum of rheumatic and musculoskeletal medicine. It boasts a dynamic portfolio of research and education, delivering wide-ranging clinical, translational and basic research across five Sections: Clinical Musculoskeletal Medicine, Experimental Musculoskeletal Medicine, Clinical Biomechanics and Physical Medicine, Rehabilitation Medicine and Orthopaedics. A multi-disciplinary approach is the core of our activities, with significant interdisciplinary links between Experimental and Clinical research. LIRMM’s clinical activities are focussed at Chapel Allerton Hospital, which is also base for our NIHR Musculoskeletal Biomedical Research Unit (LMBRU) and our basic sciences at St James’s University Hospital.

The other Institutes are detailed in Appendix 2

14 Additional Information

Terms and Conditions

Details of the terms and conditions of employment for all staff at the university, including information on pensions and benefits, are available on the Human Resources web pages accessible via the links on the right hand side, or at http://hr.leeds.ac.uk/policies

Disclosure and Barring Service checks

This post falls under the remit of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. As such, all applicants are required to declare any convictions, cautions, reprimands and warnings, including any pending criminal prosecutions and those which would otherwise be considered 'spent' under the 1974 Act. However, amendments to the Exceptions Order 1975 (2013) provide that certain ‘spent’ convictions and cautions are now 'protected' and are not subject to disclosure to employers, and cannot be taken into account. Guidance and criteria on the filtering of these cautions and convictions can be found on the Disclosure and Barring Service website. https://www.gov.uk/government/organisations/disclosure-and-barring-service and at http://www.legislation.gov.uk/uksi/2013/1198/pdfs/uksi_20131198_en.pdf

Declarations of any such information as described above, should be made in the ‘other personal details’ section of the application form and details sent to the Recruitment Officer at [email protected].

Enhanced Disclosure from the Disclosure and Barring Service (DBS) is required for this position. The successful applicant will be required to give consent for the University to check their criminal record status through independent verification (from the DBS). Information will be kept in strict confidence. Your offer of appointment will be subject to the University being satisfied with the outcome of these checks.

Disabled Applicants

The post is located at Leeds General Infirmary, Wetherby Health Centre and other NHS facilities in the Leeds area. Disabled applicants wishing to review access to the buildings are invited to contact the departments directly. Additional information may be sought from the Recruitment Officer, email [email protected] or tel + 44 (0)113 343 1723.

Disabled applicants are not obliged to inform employers of their disability but will still be covered by the Equality Act once their disability becomes known.

Further information for applicants with disabilities, impairments or health conditions is available in the applicant guidance.

15 Appendix 1

List of consultant staff, and other medical colleagues with whom the post holder will work

Leeds Rehabilitation Medicine academic staff Professor Rory O’Connor MD MEd FHEA FRCP, Charterhouse Professor of Rehabilitation Medicine This post (in conjunction with Leeds Community healthcare NHS Trust) Vacant post (Associate Clinical Professor in Rehabilitation Medicine) Emeritus Professor Alan Tennant BA PhD, Professor of Rehabilitation Studies Emeritus Professor M Anne Chamberlain BSc DCH FRCP FRCP&CH OBE Five full and part-time research staff of different grades including two Academic Clinical Fellows in Rehabilitation Medicine

Leeds Rehabilitation Medicine and Musculoskeletal NHS staff Dr Marek Lubiecki FRCS (Leeds Community healthcare NHS Trust MSK staff) Vacant post (Leeds Community healthcare NHS Trust MSK staff) Dr Tamsin Collins MRCP (Leeds Community Healthcare NHS Trust Neurological Rehabilitation staff) Dr Matthew Smith MD MRCP (Leeds Teaching Hospitals NHS Trust) Dr Kanchana Devinuwara MBBS MRCP (Leeds Teaching Hospitals NHS Trust) Dr Agata Dworak-Kula MD (Leeds Teaching Hospitals NHS Trust)

Speciality Trainees in Rehabilitation Medicine (5) (Health Education Yorkshire and the Humber training rotation) Core Medical Training doctor (1) (Leeds Teaching Hospitals NHS Trust) Foundation Year doctor (1) (Leeds Teaching Hospitals NHS Trust)

North and West Yorkshire Rehabilitation Medicine NHS staff Dr Elizabeth Stoppard MBBS, FRCP (Airedale NHS Foundation Trust) Dr Kate Sansam MD MRCP (Harrogate and District NHS Foundation Trust) Dr Ruth M Kent B Med Sci MD FRCP (Mid Yorkshire Hospitals NHS Trust Mr Firas Jamil FRCS (Mid Yorkshire Hospitals NHS Trust) Mr Wajid Raza FRCS (Mid Yorkshire Hospitals NHS Trust)

We have close links with the rehabilitation services in the Princess Royal Spinal Injuries Centre in Sheffield and other rehabilitation services in South and East Yorkshire and North Lincolnshire.

16 Appendix 2

Other Institutes in the School of Medicine

Leeds Institute of Cardiovascular and Metabolic Medicine (LICAMM), Director: Professor Mark Kearney

LICAMM integrates basic and clinical scientists with a common goal of understanding the mechanisms underpinning common chronic diseases of human health and developing new approaches to treating patients at an individual and population level. At the heart of LICAMM’s philosophy is a vibrant multidisciplinary approach to science that provides a platform to deliver internationally competitive translational research and teaching in disorders including cardiovascular disease, diabetes, cancer and neurodegenerative diseases) our key aim is to improve the lives of our patients and the experience of our students.

Leeds Institute of Health Sciences (LIHS), Director: Professor Tim Ensor

LIHS delivers problem-driven research that supports decisions about the content or delivery of healthcare. Our interdisciplinary approach incorporates expertise in applied health research designs, health implementation sciences, social sciences, health economics, informatics and statistics, as well as skills in communicating with basic scientists, policy makers, healthcare providers, public and patients. We conduct research at the individual, population and organisational level.

Leeds Institute of Medical Education (LIME) Director: Professor Trudie Roberts

LIME provides the administrative support, co-ordination and leadership for the School of Medicine’s undergraduate medical degree, including admissions, curriculum development, assessment, student support and clinical placement liaison. It provides the technology- enhanced learning and innovation support for the School of Medicine. LIME also has a very active scholarship programme of research and innovation in medical education and uses its expertise to influence medical education policy and practice nationally and internationally. To achieve this it works with a range of stakeholders including the academic community, the profession, the public, regulators and policy makers.

The Leeds Institute of Cancer Studies and Pathology (LICAP) Director: Professor Tim Bishop

The Leeds Institute of Cancer Studies and Pathology addresses both laboratory based and clinical research into cancer with a major focus on translational science. LICAP is one of the largest cancer Institutes in the country and has major financial support from the cancer charities. The laboratories and clinical research are all based on the St James’s site with laboratory activities being located in the Wellcome Trust Brenner Building and adjacent buildings while the clinical work is based within Bexley Wing.

Leeds Institute of Biomedical & Clinical Sciences (LIBACS) Director: Professor Philip Hopkins

LIBACS undertakes clinically-driven research from the level of the gene through cellular, tissue and organ to clinical trials. Our vision is to develop a sustainable centre of excellence for the advancement of patient care by translating research results into clinical

17 practise and contributing to medical education at undergraduate and postgraduate levels. Our research interests are encapsulated in 6 clinical themes (Gastrointestinal inflammation & tumorigenesis, Genetic disorders, Infection & immunity, Neuroscience, Perinatal medicine, Perioperative outcomes & technologies) underpinned by 4 generic science technology strands (Animal models, Cell biology, Gene regulations & Genomics). We are based predominantly at the St James’s University Hospital site.

Leeds Institute of Clinical Trials Research (LICTR) Director: Professor Julia Brown

LICTR delivers innovative design, delivery and knowledge transfer in clinical trials research. Our multidisciplinary approach, in collaboration with basic scientists, clinicians, policy makers, healthcare providers, public and patients and University colleagues, delivers internationally competitive research and teaching that makes a significant contribution to the evidence base for healthcare delivery. The Institutes research is conducted through the Clinical Trials Research Unit where we have expertise in design and conduct of complex clinical trials incorporating novel designs to evaluate CTIMPs, complex interventions, diagnostics, medical devices and surgery.

St James’s University Hospital Campus Infrastructure and Facilities (SCIF)

This group covers activities that cover School of Medicine functions for Institutes at St James’s University Hospital that span more than one institute including biomedical research facilities, student education, IT, health and safety, estates, seminars, PGR studentships and business support functions. These functions help support the 5 adjacent buildings on the site.

There are 3 Institutes with staff and students at St James’s: LICAP (Leeds Institute of Cancer studies and Pathology), LIBACS (Leeds Institute of Biomedical and Clinical Sciences), LIRMM (Leeds Institute of Rheumatic and Musculoskeletal Medicine). These three institutes are dedicated to basic, translational, clinical and health research integrated with student education.

18 Appendix 3

Clinical responsibilities

The Musculoskeletal and Rehabilitation Service office base is currently at Wetherby Health Centre where the post holder will have dedicated Medical Secretarial support along with access to computer and on line facilities.

The service uses electronic patient records on SystmOne. New users will be provided with training and support to use the system. The use of clinical templates facilitates the clinical consultation to be recorded during the actual appointment. Additional administration time is provided for processing test results, verifying clinic letters/onward referral letters and clinical triage.

The successful applicant will be expected to work in collaboration with the Head of MSK, medical colleagues and other senior team members to promote continual development of this service. The post holder will be expected to work in a variety of sites including Hospital premises, Health Centres, GP Practices across the city, managing a musculoskeletal caseload referred by primary care, allied health professionals and secondary care colleagues.

The post holder must be able to demonstrate continuing professional development in the field of musculoskeletal rehabilitation. The post holder must have the ability to perform a full assessment of the musculoskeletal system in order to recommend the best course of management. This assessment will use the full range of diagnostic techniques and investigations. Leeds Community Healthcare NHS Trust Vision and Values

Our vision is that we provide the best possible care to every community in Leeds.

We will do this by:

Working with children, adults and families to deliver high quality care Being a good partner Developing and valuing our staff Using our resources wisely and efficiently

Our vision is underpinned by our values:

We are open and honest and do what we say we will We treat everyone as an individual We are continuously listening, learning and improving

Our Website – find out more

Find out more about our services by visiting our website: www.leedscommunityhealthcare.nhs.uk

19 Appendix 4

General provisions for management arrangements within LCH The honorary consultant will be expected to work with local managers and professional colleagues in the efficient running of services, and will share with consultant colleagues in the medical contribution to management. Subject to the provisions of the Terms and Conditions of Service, the honorary consultant will be expected to observe the Trust's agreed policies and procedures, drawn up in consultation with the profession on clinical matters, including clinical governance, and to follow the standing orders and financial instructions of the Trust. In particular, where the honorary consultant manages employees of the Trust, she/he will be expected to follow its personnel policies and procedures. The honorary consultant will be expected to ensure that there are adequate arrangements for staff involved in the care of their patients, and to be able to contact them where necessary. All staff are expected to comply with the Trust's Health and Safety policies.

The post holder’s private residence shall be maintained in contact with the public telephone service.

The appointee is expected to also observe the Leeds Teaching Hospitals NHS Trust’s agreed policies and procedures when working on the Leeds Teaching Hospitals NHS Trust premises and will hold an Honorary contract with the Leeds Teaching Hospitals NHS Trust.

The items and conditions of employment are set out in the 2003 Consultant Terms and Conditions of Employment, and associated Contract of Employment, which will be issued to the post holder upon commencement. The post holder will also be expected to adhere to Leeds Community Healthcare NHS Trust policy and procedure. Copies of all internal policies can be found on the Leeds Community Healthcare NHS Trust website www.leedscommunityhealthcare.nhs.uk

Part-time, Flexible or Job sharing The post is suitable for job sharing, part-time or flexible applicants. When filled on this basis the post will attract all normal terms and conditions of service, but on a pro rata basis if appropriate.

Lines of accountability The honorary consultant will be accountable to the Chief Executive of the Leeds Community Healthcare NHS Trust, professionally accountable to the Executive Medical Director via the Medical Lead of Children’s Services and managerially accountable to the Executive Director of Operations via the General Manager of Children’s Services.

Equal Opportunities Leeds Community Healthcare NHS Trust is an equal opportunity employer.

20 Appendix 5

Details of the service

Overview of the City Leeds is a major commercial City with excellent road (M1, A1, M62), rail (London and Edinburgh 2¼ hours) and air (Leeds/Bradford and Manchester airports) links. It is surrounded by a number of pleasant residential areas and is within easy reach of the Yorkshire Dales, North Yorkshire Moors, the Lake District, Peak District and Northumberland. Good public and private schools are available and house prices are reasonable.

Leeds also has a great deal to offer culturally. Home of the Royal Armouries Museum, Thackray Medical Museum and Temple Newsam House, the city also offers a City Museum, the Henry Moore Institute and Art Gallery. Opera North is based at the Grand Theatre, and the Leeds Civic Theatre and the award winning West Yorkshire Playhouse are all located in the city centre. The city has an excellent programme of concerts and stage shows, an Art and Sculpture Gallery and several museums, and major sporting facilities.

The health services in Leeds serve a population of 800,000 and the child health services in Leeds serve a population of 180,000 children and young people (0-19years). Although there has been significant urban regeneration, there are still many areas of social deprivation, both in the inner city and post-war housing estates. Parts of the city have a cosmopolitan ethnic background with significant numbers of people from Eastern European, South Asian and Afro- Caribbean backgrounds.

Research The Section of Rehabilitation Medicine is one of the premier academic departments of Rehabilitation Medicine in the UK as demonstrated by its record of innovation, NIHR/MRC/EPSRC/Charity funded research, publications and development of early career researchers. The underlying principle governing our research programme is using rehabilitation research to promote independence and dignity and reduce disability in people with long-term conditions (such as acute or progressive disabling musculoskeletal and neurological conditions).

We have a long track record in multidisciplinary research as evidenced by strong links between basic science and clinical research across health (psychology, medicine, surgery) and physical sciences (computing, engineering, mathematics) and involvement of disabled adults and children and their families in our research. The Section’s research programme has three broad themes, (1) development of novel restorative rehabilitation technologies to improve recovery of those with disabling conditions and investigation of the impact existing and novel health technologies through early stage feasibility studies through to multi- centre Phase 3 clinical trials, (2) development of robust health outcomes using modern measurement approaches to measure impact of health care interventions across disabling long term conditions; (3) clinical services research focused at improving lives of disabled people (such as rheumatic, neurological and psychiatric conditions).

Research Facilities The section has substantial infrastructure to support our research programme.

21 The department hosts the Charterhouse Rehabilitation Technologies Laboratory which is a fully accessible and equipped laboratory for restorative rehabilitation technology development which facilitates user centred design processes (for adults and children). The Charterhouse Laboratory is an interdisciplinary environment for undergraduate, postgraduate and post-doctoral researchers. The Charterhouse Laboratory is linked to the Institute of Robotics in the Faculty of Engineering within the University of Leeds.

The psychometrics laboratory, PsyLab, which is widely recognised as the principal European centre for applying modern measurement approaches to develop robust health outcomes. PsyLab provides postgraduate research training and short courses, which attract delegates from around the world. The research and educational activities undertaken through the Psychometric Laboratory have led to an extensive international collaborative programme of research and development in the field of health outcome measurement including collaborations with the World Health Organisation on analysis of its health and ageing survey.

The department has an excellent national and international reputation with strong collaborations across faculties locally, nationally and internationally. It has very strong links to the acute and community NHS infrastructure in Leeds, as well as nationally, which facilitates local and multi-centre research.

Clinical Facilities Leeds Community Healthcare NHS Trust is a new organisation (formerly Leeds Community Healthcare) created on 1st April 2011 and is now working towards achieving Foundation Trust Status in 2017. The Chief Executive is Thea Stein, the Executive Medical Director and responsible Officer is Dr Amanda Thomas and the Executive Director of Operations is Mrs Sam Prince. Andrea North is the General Manager of Specialist Services, Richard Chillery is the Clinical Lead and Drs Florence McDonagh and Charles Stanley are the Associate Medical Directors for the three Business Units.

Leeds Community Healthcare NHS Trust provides a wide range of community healthcare services for adults and children. Our services include Community Nursing, Heath Visiting, Physiotherapy, Podiatry, Occupational Therapy, Intermediate Care, Speech and Language Therapy, Community Dentistry, Primary Care Mental Health, and Smoking Cessation Services. We work in communities across Leeds, providing services 24 hours a day, seven days a week. We help people stay in their home, reducing the need for them to go into hospital. We employ around 3,000 staff and spend around £140m each year.

The citywide Leeds Musculoskeletal and Rehabilitation Service was established in August 2000 within primary care to provide timely access for the assessment and treatment of musculoskeletal problems for Leeds residents, who would otherwise have had to attend orthopaedic outpatients within secondary care. The service provides the most appropriate advice, treatment, investigations and, where necessary, onward referral to the most suitable clinician. The Musculoskeletal and Rehabilitation Service consists of a specialist team of physiotherapists supported by three Consultants in Musculoskeletal Medicine.

Orthopaedic triage commenced in October 2001 with Extended Scope Physiotherapy Practitioners who have developed unique roles undertaking certain aspects and procedures traditionally carried out by doctors. This includes peripheral joint injections under patient group directions and access to diagnostics under agreed protocols.

22 The service has had a significant and positive impact on the number of patients referred to orthopaedics by diverting patients to more appropriate and timely services. Work has been undertaken, and continues, to develop integrated care pathways between primary and secondary care for patients with low back pain, elective hip and knee replacements and shoulder problems. The service has worked closely with Neurosurgery to develop a care pathway approach between our services.

The service currently receives in excess of 39,000 referrals a year. The service has developed roles and responsibilities within the service whilst developing a collaborative, evidence-based, multidisciplinary approach to the treatment of musculoskeletal conditions. Over the last five years the Musculoskeletal and Rehabilitation Service has developed an integrated approach to patient care. The successful applicant will be expected to have a caseload of patients, which have been jointly triaged with senior allied health professionals and work in combination with such clinicians within combined clinics.

The successful applicant will be expected to work in collaboration with the Head of the Musculoskeletal and Rehabilitation Service, medical colleagues and other senior team members to promote continual development of this service.

23 Appendix 6

General Conditions of Appointment

The appointee will enjoy terms based on the nationally agreed Terms and Conditions of Service for Consultants (England) 2003.

The appointee will be expected to cover for colleagues’ absence from duty on the basis of mutually agreed arrangements with the Department and with the Employing Trust. This is arranged by mutual agreement of consultant colleagues and approval of the Service Director, in accordance with standard Trust and NHS regulations. It is essential that six weeks’ notice is given to allow for proper planning and prevent cancellations of patients' appointments/surgery. This includes all forms of leave.

The Trust requires the successful candidate to have and maintain full registration with the General Medical and to fulfil the duties and responsibilities of a doctor as set down by the General Medical Council.

All appointments are subject to satisfactory Occupational Health Clearance being obtained.

The appointment is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation Act 1974 (Exemptions) Order 1975. Applicants are not entitled therefore to withhold information about convictions which for other purposes are "spent" under the provision of the Act, and in the event of employing any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information given will be completely confidential and will be considered in relation to an application for positions to which the Order applies.

This post falls within the scope of The Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) (England and Wales) Order 2007 and Section 115 of the Police Act 1997. In accordance with these pieces of legislation the Trust is obliged to check the background of all candidates appointed to medical posts with the Criminal Records Bureau. Accordingly you will be expected to undertake a 'disclosure' check.

Study leave is granted in accordance with the Medical and Dental terms and conditions of service, currently equivalent to 10 days per year (or 30 days over 3 years). Preference will be given to courses which are organised locally within the region.

In accordance with the Trust’s Removal Expenses policy in appropriate cases assistance may be given in respect of removal costs.

All medical staff employed at the Trust should ensure they are familiar with, and apply, the agreed procedure for reporting concerns, quickly and confidentially, relating to the conduct, performance or health of medical colleagues.

Child Protection training is mandatory for all staff in the Trust. Training is required every three years with some evidence of updating knowledge and skills in the intervening years. There are three levels of training. The level required for staff members is determined by the amount of contact with children and families in their work and the level of responsibility staff are required to take in dealing with child protection matters. This information is laid

24 out in the Trusts Child Protection Training Strategy. Postholders will require level 2 child safeguarding training

Both the line manager and the staff member have responsibility for ensuring that training is completed and the member of staff’s line manager will inform them of the level of training they require.

Training courses are run both by the local safeguarding board (www.safeguardingchildren.co.uk) and by the safeguarding team within the Trust. It is the employee’s responsibility to ensure that the training department is kept informed of any updates to their training record.