Western Isles Health Board
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JOB DESCRIPTION
CONSULTANT
IN
OBSTETRICS AND GYNAECOLOGY
WESTERN ISLES HEALTH BOARD
1 1. THE WESTERN ISLES
The Western Isles lie approximately 30 miles off the West Coast of Scotland and consist of many small islands in the Outer Hebrides. The main ones being Lewis, Harris, the Uists and Barra, with a total population of 26,500. They are easily accessible by ferry from Ullapool, Skye and Oban and by air from Aberdeen, Inverness, Edinburgh and Glasgow. There is a bus service to Inverness from Ullapool which runs in conjunction with the ferry timetables and links with rail services from Inverness.
Stornoway is the administrative “capital” of the Western Isles. It has a population of approximately 8,000 and has all the facilities one would expect to find in a town of this size. There are many primary schools on the islands as well as secondary schools. They are all well equipped and have a good reputation for academic achievement. Adult education is provided through the Lews Castle Technical College which is part of the University of the Highlands & Islands. Degree courses are available at the College.
2. WESTERN ISLES HOSPITAL
The Western Isles Hospital is a general rural hospital serving the Outer Hebrides area. The hospital was opened in 1992, is modern and well equipped. The main hub hospital is in Stornoway with 96 beds covering specialties in General Medicine, General Surgery, Orthopaedics and Trauma, Obstetrics and Gynaecology, Psychiatry, Paediatrics and Radiology.
The Hospital has an up-to-date laboratory service covering the main disciplines of haematology, blood transfusion, microbiology and clinical chemistry with ready access to more specialised investigations at Raigmore laboratories and other specialised laboratories in Scotland.
The Radiology Department is modern with fully digitized imaging, ultrasound, Doppler scanning and a 64-slice CT scanner. The department is fully integrated with PACS.
The obstetric ultrasound scans are performed by trained sonographers with direct links with the Fetal Medicine Ultrasound Department in the Southern General Hospital, Glasgow.
Locally based consultant services
General Medicine General Surgery, Orthopaedics Anaesthesia Paediatrics Obstetrics and gynaecology Psychiatry Radiology Dental Services
Visiting consultant services
2 Respiratory Medicine Rheumatology/rehabilitation Dermatology Oncology Neurology Ophthalmology Renal Medicine Otolaryngology Urology Child & Adolescent Mental Health
Tertiary referrals
The main referral centres are in Inverness and Glasgow, but hospitals in Edinburgh and other hospitals in Scotland are used when necessary in accordance with established referral management system.
Outpatient Facilities
There are excellent outpatient facilities within the hospital. Visiting consultants from Inverness and Glasgow (see above) support various subspecialties.
3. DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY
The current bed status for this Unit is:
a) Labour Suite - 2 delivery rooms well equipped for instrumental deliveries and neonatal resuscitation.
b) 8 Combined antenatal and postnatal beds
c) Early pregnancy assessment unit.
d) In-patient gynaecological beds in a mixed specialties surgical ward
e) Day Surgery Unit with 8 beds in a mixed specialty ward.
f) Pre-operative assessment unit located in out patients’ department.
Consultants: Dr Greg Ofili (lead clinician) and Dr Grazyna Stanczuk (long term locum)
Doctors in training: Foundation Year 2 x 1; GPST x 1 (in Mixed Specialties rotation)
Undergraduate/Postgraduate Training
The Western Isles Hospital has an active and enthusiastic undergraduate and postgraduate training programme.
Medical students from the Universities of Aberdeen and Edinburgh and elective medical students from other Scottish Universities are regularly attached to the department throughout the year. The
3 post holder will be expected to contribute in teaching medical students and in training junior staff, as a Clinical Supervisor and also as an Educational Supervisor should the need arise.
Regular Combined Mortality and Morbidity meetings take place which are well attended by the medical staff and by other members of the Multi Disciplinary Team.
Monthly Combined Divisional Teaching meetings give each department an opportunity to present to the wider team.
The Consultant Committee meeting is convened on a monthly basis. There is a weekly MDT cancer network meeting with the Western Infirmary in Glasgow via videolink.
Research
The Board encourages and where possible gives assistance to the pursuit of research by consultant staff.
4. THE POST
The post-holder will be involved in the assessment, planning, implementation and evaluation or evidence based care and treatment for the inpatients and outpatients at the Western Isles Hospital and Uist and Barra Hospital and other sites as required by the Board. The appointee will be expected to cross-cover from time to time for absent colleagues.
The post-holder will be expected to devote time to non-clinical service development for the Board, such as Audit Design, Clinical Education, Risk Assessment etc the particular area to be agreed on the basis of previous experience, aptitude and job planning requirements.
The post-holder is expected to implement agreed national and local standards and guidelines in obstetrics and gynaecology practice. It is expected that the post-holder will deliver person centred high quality care, with particular emphasis on developing a special interest to complement the existing interests. The post-holder is required to effectively participate in and promote all appropriate Scottish Patient Safety Programme measures and other relevant quality and safety initiatives
The post-holder will participate in the RCOG continuing medical education activities to obtain the required CME credits as part of their continuing professional development.
The post-holder will have formal yearly enhanced appraisal interviews. The appraisal process is conducted locally by NES approved appraisers as part of GMC Revalidation process.
The post-holder has good secretarial support and has an allocated office space.
The post-holder is expected to respond in a timely manner and address all complaints, concerns, adverse events and claims in accordance with policies/procedures.
Study and Training
4 Study leave entitlement is a maximum of 30 days including off duty days within the leave period, in any period of three years, in relation to leave with pay and expenses in the UK. Priority will be given to CME.
PROVISIONAL TIMETABLE
The following timetable is an example of daily activities:
AM PM MONDAY Administration Family Planning & Sexual Health/Special Interest TUESDAY Gynae Theatre/Benbecula Labour Ward/Benbecula Clinic Clinic (alternate weeks) (alternate weeks) WEDNESDAY Labour Ward Ante Natal Clinic THURSDAY Gynae. Clinic Labour Ward FRIDAY Theatre/Labour Ward (alternate CPD/Divisional meeting weeks)
Early Pregnancy Clinic from 8:30— 9 a.m. daily from Monday — Friday. On-call duties will be shared on the basis of 1:2 rota. Short period cover for colleagues when on leave.
5 5. MAIN CONDITIONS OF SERVICE
1 The post is subject to the Terms and Conditions of Services for Hospital Medical and Dental Staff (Scotland), as amended from time to time.
2 Subject to agreement of a satisfactory job plan the Contract will be for 10 (8:2) Programmed Activities per week. The Health Board may offer up to 2 extra programmed activities according to diaried on-call activity. The salary will attract an 8% availability allowance.
3 Residence – the successful applicant will be required to reside within 10 road miles of the Western Isles Hospital.
4 Where relocation assistance has been agreed, the Board’s Policy on Removal and Associated Expenses will apply and further details will be provided as and when required.
5 For pre-employment health assessment purposes, as part of the Board’s Occupational Health Service, the successful applicant will be required to complete a health questionnaire. This will be treated in strict confidence. The successful applicant will be required to undergo a medical examination.
6 Compliance with all approved Board policies and procedures
7 Annually revised and agreed job plan. The Job Plan will essentially be driven by the evolving and changing needs of the patients and services.
8 In exceptional circumstances, theatre sessions may be required across the 7 days of the week in order to meet the TTG and the needs of patients
Further Enquiries:
Prospective applicants are encouraged to visit the hospital and to meet the staff.
To arrange a visit or to make informal enquiries, please contact:
Dr Angus McKellar NHSWI Medical Director (01851 708050) email: [email protected]
Dr Greg Ofili and Dr Grazyna Stanczuk (contact via the Gynaecology secretary: 01851 708305)
6 6. PERSONAL SPECIFICATION
REQUIREMENT ESSENTIAL DESIRABLE MRCOG or equivalent CCT or equivalent Entry on the Specialist Register or QUALIFICATION Other postgraduate eligibility for entry within 6 months S degrees of the date of interview. GMC full registration and license to practice. Special skills in General obstetrics and gynaecology hysteroscopy EXPERIENCE experience that is commensurate Family Planning and with consultant status Sexual Health • Labour ward procedures. • General gynaecological surgical skills. ABILITY Presentation skills. • Gynaecological ultrasound scanning • Laparoscopic surgeries. Commitment to teaching and training • Pleasant with excellent communication and interpersonal skills. • Leadership qualities • Ability to manage conflicting Experience of PERSONALITY priorities with good organisational coaching and training skills. other professionals. • Strong team player with proven management skills. • Undertake audits that change clinical Participation in AUDIT practice. research
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