Job Description Review Form Consultant/Honorary Consultant Posts

Southend University Hospital NHS Foundation Trust v3.0 Job description review form Consultant/honorary consultant posts

This form must be completed by the appointing body (employer) to start the review process. Use a new blank form for each job description – please do not overwrite an existing one. Email this form and the job description to your RCP regional office. Find your regional office’s contact details on the RCP website. The JD and person spec should be submitted in one document Employer: Fill in the Basic information section and the ‘Employer’ column in the Checklist Criteria section. Make sure each criteria is cross-referenced to the relevant page in the job description. If a criteria is not addressed, leave the check box blank and explain why in the ‘Employer comments’ section below the checklist. Regional Specialty Advisers (RSAs): Check that each criteria is addressed in the job description and tick the corresponding box. If it isn’t, leave the box blank and enter a comment in the comments log. Regional Advisers (RAs): Taking into account the RSA’s comments, check that each criteria is addressed in the job description and tick the corresponding box. If it is not addressed leave the box blank and enter a comment in the comments log. After each review round, complete the ‘Outcome of review’ section at the end of the form.

Basic information To be completed by the employer *These fields must be completed before the form is submitted Job description reference (RCP admin) *Post title 2260059900 Consultant in Palliative Care Main hospital base of postholder *Number of posts Fairhaven's Hospice 1 *Grade (We do not approve locum or 1-year fixed-term posts) *Reason for post Consultant Retirement *Main specialty *Contract type Palliative Medicine Full-time Sub-specialty(s) *Is the post already advertised? [Subspecialty 1] (The job description should be reviewed before advertising [Subspecialty 2] the post.) No

*DCC 8.25 *SPA 1.75

*Is there a general internal medicine (GIM) requirement? Date and time of Advisory Appointments Committee (AAC) No GIM component [AAC date]

Primary contact details Clinical lead / job description author contact (optional; will *Name Uche Erukunuakpor be cc’d into correspondence) Job title Medical Recruitment Officer Name Kate Gretton Phone 01702435555 Job title Clinical Lead for Palliative Medicine *Email [email protected] Phone [Clinical lead contact number] Email [email protected]

© Royal College of Physicians 2018 (v3.0) Southend University Hospital NHS Foundation Trust v3.0 Checklist criteria All parties should tick the relevant box against each criterion. If the job description does not meet the criterion, leave the box blank and insert comments in the comments log section.

RSA 2 *Employer *Page number RSA 1 RA Criteria (if applicable)

1. Inclusion of a job description that includes a job plan and Click or tap here ☒ ☒ ☐ ☒ person specification to enter text. Job description

2. A commitment to secretarial support and an adequately

equipped office, including information technology (IT) ☒ ☐ ☒ ☒ 16 facilities ☒ 3. A statement on expectations regarding medical audit 14 ☒ ☐ ☒

4. A statement on expectations for continuing professional ☒ 14 ☒ ☐ ☒ development (CPD)

☒ ☒ ☐ ☒ 5. A statement on commitment to revalidation 14

6. A description of the department/directorate (a list of ☒ 8 ☒ ☐ ☒ colleagues’ names and titles) 7. Workload figures are included, eg:  inpatient and outpatient workload (new and follow- Click or tap here ☐ ☐ ☐ ☐ up) to enter text.  expectations of the personal workload

8. A statement about staff that will be available to support ☒ 13 ☐ ☐ ☒ the appointee

9. A statement that there will be consideration of time off ☒ ☒ ☐ ☒ in lieu (such as for weekend working) 14

10. A reference to information about access to mentoring for newly appointed consultants (job descriptions should ☒ 15 ☒ ☐ ☒ always include this) Job plan

11. A sample weekly timetable that takes account of the programmed activities (PAs) outlined below and is broken down into AM and PM sessions with timings Common issues: ☒ 13 ☒ ☐ ☒ o full-time posts should have a 10 PA framework o include time for lunch and travel

RSA 2 *Employer *Page number RSA 1 RA Criteria (if applicable)

12. Honorary consultant posts only: ☐ Click or tap here NHS academics will usually have a ratio of direct clinical ☐ ☐ ☐ care to supporting professional activities of 3:1 (eg a 5 to enter text. clinical PAs should be split into 3.75 DCC and 1.25 SPAs). 13. Direct clinical care (DCC) ☒ a) 7.5 PAs per week should be dedicated to direct ☒ ☐ ☒ 13 clinical care (7 in Wales)

b) Of the 7.5 DCC PAs, 1.5–2.5 should be assigned to dictating letters, attending multidisciplinary team ☒ ☒ ☐ ☒ meetings, seeing relatives, reviewing results and 13 attending X-ray meetings and case presentations

14. Supporting professional activities (SPAs)

a) A minimum of 1.5 SPA is included for revalidation ☒ 13 ☒ ☐ ☒ only (a minimum of 1 if the post is less than 10 PAs). This includes audit, CPD, and appraisal.

b) Additional SPAs have been allocated such as for teaching, research, assessment of trainees, clinical ☒ n/a ☒ ☐ ☒ governance and service development. c) Honorary consultant posts only: Where SPAs are expected to contain a contribution to research that is specified, it is reasonable that the following commitment is required, depending on the ☐ Click or tap here ☐ ☐ ☐ size of research study: to enter text. • acting as principal investigator 0.1–0.5 SPAs • acting as chief investigator 0.1–1 SPAs • research and good clinical practice (GCP) training 0.125 SPAs. 15. On-call commitments should be clearly stated (the overall or weekday and weekend frequency if applicable) ☒ 14 ☒ ☐ ☒

16. If acute on-take duties are part of the job description, ☐ n/a ☐ ☐ ☐ there must be a specific commitment to post-take ward rounds. Person specification

17. The post-holder should hold the MRCP(UK) or an ☒ 20 ☒ ☐ ☒ equivalent qualification.

18. Entry on the General Medical Council (GMC) Specialist Register via one of the following: a. Certificate of Completion of Training (CCT) (the proposed CCT date must be within 6 months of ☒ 20 ☒ ☐ ☒ the interview) b. Certificate of Eligibility for Specialist Registration (CESR) c. European Community Rights

19. Desirable - an appropriate higher degree (eg an MD, PhD ☒ 20 ☒ ☐ ☒ or equivalent) Comments log Indicate the relevant checklist number above when inserting comments Initial employer comments

Employer comments Click here to enter text

Review round 1

Would you like to be made aware of the final review outcome? Select an option No GUM posts only Should this JD be reviewed by the Faculty of Sexual and Reproductive Health (FSRH)? Select an option No This is a relevant post for an expanding team. Working closely with Cancer cnetre staff at a hospital and provididng hospice cover. There is clear mention of SPA support , revalidation and education . Person specification is rel;vant to this post and it is also clear that RSA comments supervision of juniors is expected. My main concern is that it lists 6 current consultants within the department with no clear understanding of WTE or WTE across sites at hospital and Hosptal. This mean that the incombent in the post may or may not have sufficent syuppotr and the expanding serivce may not be covered adequalty . I would expect an indication of WTE and what amount of ciumminty cover is expected or provided before I would fully support this. Once this is completed I would approve this post. As this is inteded to cover retirement I expect these details are already available Good JD with a clear layout and personal specification etc. It was however, the indcative time table did not include start/finish time or RA comments PA allocation for each duty. I wouldalso advice to clarify the duty in more detail i.e., out patient clinic or in patients ward at hospital. And also to explain what particular duty at Hospice the time was allocated for. I noted a day in Lieu for weekend work. But will oncall work otherwise will be included in allocated PA or will it be separate oncall payment, Updated Job plan with times and clarity around clinic/inpatient work Employer response Added a section to reflect WTE plus the amount of community/hospice and hospital cover expected from the team On call availability payments separate to PA allocation Review round 2

RSA comments Click here to enter text

RA comments Happy to approve this

Employer response Click here to enter text

Additional review rounds (continue in the box below, stating whether you are the employer, RSA or RA) Click here to enter text

Outcome of review Final sign-off is by the regional adviser only

Not approved ☐ Approved ☒ (tick this box if the JD requires changes or cannot be approved)

Approver: Regional adviser Regional Adviser: Dr Myint Regional Specialty Adviser: Dr Proffit

Date of final review 01/10/2019

! For RCP admin use only

Review expiry date The review is valid for 1 year, provided the job 01/10/2020 description remains completely unchanged. The AAC

must be within the review validity date. DCC 8.25 SPA 1.75

Information Pack

Consultant in Palliative Care x 2

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About Southend University Hospital

Southend University Hospital NHS Foundation Trust provides acute services from our main Prittlewell Chase site and at outlying satellite clinics across the region. We maintain nearly 600 inpatient beds, serving a local population of 338,800. We have 4,419 staff comprising 183 consultants, 333 doctors, 1,269 nurses and 2,634 support staff.

We provide a comprehensive range of acute services including acute medical and surgical specialties, general medicine, general surgery, orthopaedics, ear, nose and throat, ophthalmology, cancer treatments, renal dialysis, obstetrics and gynaecology, and children's services.

Southend University Hospital is the South Essex cancer centre offering:  State of the art Radiotherapy  Dedicated Chemotherapy unit  Surgical centre for uro-oncology and gynae-oncology surgery

We also offer breast screening, ophthalmology and orthodontic services to the wider south Essex population. In addition we provide a number of support services including outpatient services, pharmacy, nutrition and dietetic services, pathology, diagnostic services, radiology, physiotherapy, rehabilitation, occupational therapy and pain management.

Our Vision and Values

In our shared vision for Mid & South Essex we know that for most people to benefit, we must release resources and invest in local teams, increase skills and innovation in local settings, closer to our communities, supporting more people outside of hospital. We all have to take action to address rising demand and costs - use of Emergency Departments in our area is increasing at double the national average. This cannot be sustained by the NHS long-term, current services have to change. Our Sustainability and Transformation Partnership have said that a network of urgent and emergency care could help solve the current problems of access, and also stated that we want to create a system of excellence using our network of hospital centres. Our local goals and priorities support the transformation work being undertaken as part of the Mid and South Essex Sustainability and Transformation Partnership including our vision; 'high quality care for every patient, every time.' Our ambitions are clear. We want to improve what we do whilst ensuring we spend money wisely. We want to ensure the safety and quality of care at all times, and we want to work in a much more integrated way with our partners who provide health and social care services in our community.

Our Values Page | 2

Our Strategic Goals

 Excellent patient outcomes  Excellent patient experience  Engaged and valued staff  Financial and operational sustainability

We will continue to expand our areas of research and innovation so that we can attract more excellent staff and enhance our reputation for high quality care from committed staff

Our Priorities

Excellent Patient Outcomes

 Drive quality improvement for patients to become one of the safest healthcare organisations in the UK  Improve outcomes based on evidence and deliver care in the right place, first time, every time  Reduce harm and focus on avoidable deaths  Be an outstanding research and education centre Page | 3

 Investment in ward and department nurse staffing – matching the highest standards in the UK by 2017  Become 24-hours a day, seven days a week acute hospital service, having senior medical cover and diagnostics available in all our in-patient facilities  Match and exceed our commissioners’ published expectations and our regulator’s care quality standards  Increase the number of patients having access to trials and experimental research studies  Grow and train our own world-leading medical talent by enhancing the undergraduate and postgraduate educational experience.

Excellent Patient Experience

 Focus on the patient and their experience ensuring a ‘no decision about me, without me’ approach at all times  Involve patients in their treatment and use their feedback on services they receive  Ensure the basics like cleaning, privacy, dignity, the hospital environment and patient information are of the highest possible standard  Improve the way we handle our patients’ complaints and concerns  Continue to engage with patients and local people to support us to shape services around their needs  Ensure the six Cs, part of the NHS nursing vision, form the foundation of our nursing care: Commitment, Care, Compassion, Competence, Communication, Courage

Engaged and valued staff

 Develop a highly engaged, high-performing workforce to enable them to focus on a positive patient centred culture - delivering high quality care  Develop our values and ensure they are translated into action and embedded in everything we do  Everyone will receive an appraisal and receive feedback and support on their work, performance and development  Continue to improve internal communication with staff ensuring we share information in a timely way and offer clear opportunities to feedback  Ensure directors and senior leaders are visible and accessible to staff, helping to build a culture of openness  Use innovative recruitment methods to ensure we attract and recruit staff who share our values and reflect the diverse community we serve

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 Look at our support services and see if we could share services with other organisations to boost efficiency.

Financial and operational sustainability

 Improve financial margins to support the delivery of high quality care  Ensure that our buildings, IT and infrastructure support the changing vision for how we deliver healthcare  Seek out mutual business development growth opportunities  Improve care and services through integration and collaboration with our partners  Ensure the trust is a leading provider of specialist services  Improve patient pathways through innovation

Our Team

Trust Board

Claire Panniker Chief Executive and Accountable Officer Dr Celia Skinner Chief Medical Officer Tom Abell Chief Transformation Officer Diane Sarkar Chief Nurse Danny Harriam Chief People and OD Director James O’Sullivan Chief Finance Officer Martin Callingham Chief Information Officer Jonathan Dunk Chief Commercial Officer Eamon Malone Chief Estates and Facilities Director

Local Leadership Team

Yvonne Blücher Managing Director Neil Rothnie, MS, FRCS Medical Director Denise Townsend Director of Nursing Sue Bridge Head of HR Shaun Burke Director of Estates and Facilities Louisa Cowell Director of Finance

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Clare Burns Director of Ops Planned and Schedules Care Michael Quinn Director of Ops Emergency & Unscheduled Care Alan Tobias, OBE Chairman

A total of 4,410 staff are employed by the Trust comprising of 493 Medical and Dental staff, 1,282 Nursing and Midwifery staff and 2,635 support staff. We pride ourselves on our ability to attract a high calibre of staff and aim to provide an environment that encourages continual development and progression.

Facts and Figures

Hospital activity for the last three years:

2012/2013 2013/2014 2014/2015 activity activity activity Elective inpatients 8,564 9,119 10,222 Emergency inpatients 41,791 42,622 43,491 Day cases 42,979 42,513 44,208 Outpatient attendances 537,697 544,565 539,269 Accident & Emergency 93,433 89,965 92,532

Hospital acquired infections for the last three years:

2012/2013 2013/2014 2014/2015 activity activity activity MRSA 3 0 2 C difficile 24 31 28

Our Clinical Management Structure

The Trust has seven clinical directorates lead by a Clinical Director who is supported by an Associate Director and a Head of Nursing. These seven directorates include:  Theatres, Critical Care and Anaesthetics  Diagnostic and Therapeutic  Medicine  Emergency Medicine  Musculoskeletal  Surgery  Women’s and Children’s

Further Information

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A range of information about our Trust and the services we provide is available on our website: www.southend.nhs.uk Follow us on Twitter @SouthendNHS, Facebook and LinkedIn. Oncology & Radiotherapy services

Recent strategic developments across the STP have seen the creation of a single integrated medical team for Oncology working across the three acute trusts. The vision for this larger single team will facilitate cross cover, support increased sub specialisation and facilitate individual job plans in line with Royal College Guidance on tumour site cover.

The Oncology team provides the Oncology Service for South Essex from the Oncology Centre based at Southend University Hospital. Outpatient clinics are held at Southend University Hospitals, Broomfield Hospital (Mid Essex Hospitals NHS Trust) and Basildon & Thurrock University Hospitals. The Department is referred in excess of 2,500 new patients per annum.

Cancer Services Management team:

Clinical Director – Dr Catherine O’Doherty Director of Cancer Services – Mr Michael Catling Clinical Lead for Oncology - Dr Imtiaz Ahmed General Manager, Oncology – Ms Paula Glenister Matron – Shinila Kokkadan Nurse Consultant for Chemotherapy - Kathy Corcoran Head of Medical Physics – James Green

The Oncology service within Southend Hospital is provided in the following locations:-

 In Patients - Elizabeth Loury & Estuary Oncology Wards  Out Patients – Centre for Clinical Oncology  Chemotherapy Treatment Unit  Radiotherapy Department

Elizabeth Loury Ward comprises 22 beds, with 20 beds on Estuary Ward. Elizabeth Loury Ward includes a purpose built suite of seven en-suite side rooms and a radio-active iodine suite.

The Chemotherapy Treatment Unit (CTU) moved to a new purpose built facility in May 2010. The CTU has twenty-two chairs and two side rooms for treatment and two consulting rooms. There is an Oncology Nurse Consultant, who is also the Lead Cancer Nurse for the Trust, and undertakes oral chemotherapy clinics and provides support and expert advice to the chemotherapy nurses. The CTU is managed by a chemotherapy Clinical Nurse Specialist supported by 15 WTE chemotherapy nurses of varying grades, 3 HCAs and clerical staff. Within the building is a MHRA licensed cytotoxic reconstruction unit staffed specialist oncology pharmacists and technicians. All solid tumour chemotherapy for South Essex is delivered at Southend Hospital.

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The Radiotherapy Department is compromised of the following equipment:-

 3 Elekta Linear Accelerators (plus one service continuity machine) with 6 & 10MV photon energies, electron treatment capabilities, electronic portal imaging and multileaf collimation. All 3 deliver external beam Radiotherapy using IGRT and IMRT.  The department implemented VMAT in 2013.  Nucletron microselectron HDR Brachytherapy Unit – a dedicated theatre facility opened in 2016.  Nucletron Simulix Simulator with CT scanning facility  Toshiba wide-bore dedicated CT-Sim.  The Oncology Management System is IMPAC, MOSAIQ  Mould room suite  XIO CMS and Monaco planning system used for external beam radiotherapy.  Prosoma Virtual Simulation

The Oncology Centre is situated in a two storey building which includes:

 Ground floor: Treatment suite housing two of the Linear accelerators and accessory accommodation.  First floor: Clinic accommodation with 8 examination rooms and accessory accommodation

Staffing

 Dr I Ahmed MB BS, MRCP, FRCR - Clinical Oncologist –Clinical Lead  Dr H Algurafi MBBCh, MRCP, FRCR – Clinical Oncologist  Dr A Cyriac MRCP FRCR Clinical Oncologist  Dr G Dancey MBBS, MRCP – Medical Oncologist  Dr N George MRCP FRCR – Clinical Oncologist  Dr K Madhavan MD, FRCR - Clinical Oncologist  Dr H Nam MRCP, FRCR – Clinical Oncologist  Dr R Islam MRCP, FRCR Clinical Oncologist  Dr A Jalil MBBS MRCP Medical Oncologist  Dr I Maund MRCP, FRCR Clinical Oncologist  Dr S Skaria, MRCP, FRCR – Clinical Oncologist  Dr G Sioftanos MRCP, FRCR Clinical Oncologist  Dr D Tsang MRCP, FRCR - Clinical Oncologist  Professor J Whelan MD MRCP - Medical Oncologist (1 session/month)

 Dr M Pigott BM BS MRCP Consultant in Palliative Medicine  Dr K Gretton, BM, BS, MRCP Consultant in Palliative Medicine  Dr P Ahlquist MB, ChB (Bristol) MRCP (UK) Consultant in Palliative Medicine  Dr C O’Doherty PhD FRCP Consultant in Palliative Medicine  Dr R Foo MBBS, MRCP, MSc Consultant in Palliative Medicine  Dr J Balls, Consultant in Palliative Medicine  Dr J Ashworth, Consultant in Palliative Medicine Page | 8

Consultants are responsible for the care of patients and for the clinical activities of the Department; undertake the administrative duties associated with the care of their patients and the running of their clinic. All consultants are expected to assume responsibility for the management of junior medical staff. This includes the professional development of their trainees.

Oncology Junior Medical Staff at SUHFT complement is:-

 3 x Staff Grade / Specialty Doctor  4 x SpR/ST3+ in Clinical Oncology  1 x SpR/ST3+ in Medical Oncology  1 x Specialist Trainee on medical rotation, 1 x Specialist Trainee on the GPVTS  4 x FY1’s who participate in the medicine on-call rota

Palliative Care Junior Medical Staff complement is:-

 1 x SPR/ST3+  1 x Shared FY1 (shared with Haematology)  1 x Staff Grade

The Oncology SpRs and staff grades participate in a specialty based on-call rota.

The Radiotherapy Department is headed by James Green, Head of Radiotherapy and Medical Physics. The Department currently comprises the following staff:

 22.81 WTE. radiographers  5 WTE registered physicists  3 WTE trainee physicists  13.40 WTE. admin & clerical staff

Departmental Clinical Links

There are historically very strong links between the Oncology Department and all other departments at Broomfield (MEHT), Basildon and Southend University Hospitals.

There are CT & MRI facilities available on site and a static PET scanner operated by Alliance medical.

There are a number of weekly and monthly joint clinics in both Trusts in sub-specialities such as head and neck cancer, gynaecological cancer, urological cancer, thyroid cancer & clinical haematology. There are also weekly multidisciplinary meetings on both sites in all tumour types.

The newly appointed consultant would be expected to take part in the relevant joint clinics and sub-groups.

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Governance Arrangements

There are regular audit, mortality and morbidity, and clinical governance meetings for oncology, haematology and palliative care services. The post holder will be expected to attend these meetings and participate in the presentation of audits and any actions arising from the meetings.

Fairhavens Hospice

Fair Havens has been serving the local community since 1983. It has grown significantly and now Havens Hospices is a charity, receiving some NHS grants, with a very active board of trustees. We employ a CEO and board of directors, with good working relationships between them and the Clinical Lead. There is a well-developed clinical governance structure including quality improvement and audit plans, medicines management and pharmacy support. The post holder will be joining at an exciting time of further expansion. The clinical lead will have a unique opportunity to have a key role in shaping these services and deliver quality end of life care.

In 2020, we will be opening our new adult hospice in Prittlewell. With its welcoming and reassuring environment, Fair Havens will cover the population of Southend, Castle Point and Rochford, bringing together a range of specialist services to support people in making choices about their care from the day they receive their diagnosis, as they live with their illness, and as the end of their life approaches.

This larger, modern hospice can care for twice as many patients, offer more treatments and support more families in a welcoming and therapeutic environment which contrasts with the stark, clinical atmosphere many people want to avoid. It will incorporate up to 16 in-patient bedrooms, clinic rooms, increased Day Hospice services, additional family support and beautifully landscaped gardens and grounds.

Palliative care consultant team

The palliative care consultant team is comprised of 5.95 WTE,

In South East Essex 1.85 WTE cover the hospital, 0.7 WTE cover the hospice and 0.6 WTE cover the community.

In South West Essex, 1 WTE cover the hospital, 1 WTE cover the hospice and 0.8 WTE cover the community.

The consultant team are:

 Dr C O’Doherty PhD FRCP Consultant in Palliative Medicine  Dr R Foo MBBS, MRCP, MSc Consultant in Palliative Medicine  Dr J Balls, Consultant in Palliative Medicine  Dr J Ashworth, Consultant in Palliative Medicine

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Job Description

Post Title: Consultant in Palliative Care (x2) Period: Substantive Appointments Programmed Activities: 10 Programmed Activities Base hospital: Dependant on post (please see job plans below) Responsible To: Clinical Lead for Palliative Care Accountable To: Clinical Director for Cancer Services

Job overview

Southend University Hospital is looking to appoint two dynamic and enthusiastic Consultants to join our Specialist Palliative Care Team.

The successful candidates will support the provision of a seamless specialist palliative care and end of life care service across South Essex.

The services provide Specialist Palliative Care to the adult population of South Essex. The team is currently comprised of seven Consultants in Palliative Medicine, each with lead responsibility for one clinical area but cross covering and providing on call cover to all areas.

One of the posts also includes working with the local hospice, Fairhavens. The successful candidate will also be expected to represent Fairhavens Hospice in regional palliative care networks. This is an exciting opportunity to be involved with the hospice as it begins its journey into a brand new, £16.5 million purpose built unit at the heart of the community.

Main duties and responsibilities

Clinical

 Provide specialist advice in the field of Palliative Medicine to clinical staff within the community, hospital or hospice.  Provide rapid assessment of patients referred by GP’s, Consultants or Community Palliative Care services through outpatient clinic, domiciliary visiting and review in day care or admission, liaising closely with the GP and primary care team in their management.  Accept ongoing responsibility for patients admitted under the Palliative Care services within the hospitals or hospices.  Share in the night and weekend on call rota and provide cover for holiday and study leave of colleagues by mutual agreement.  Participate in the delivery of specialist education to local medical and other clinical staff.  Lead on embedding evidence based clinical practice to Fairhavens Hospice.

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Organisational

 To promote interdisciplinary working between relevant palliative care providers.  Consultants undertake the administrative duties associated with the running of the department and are responsible both single, and corporately, for the management of junior medical staff, their training and professional development.  The successful candidate is expected to concern themselves with the professional development, both clinical and personal, of their trainees.  The successful candidate will be required to undertake an active part in both post-and under-graduate teaching within the Department, hospital and hospice as a whole. Active research is encouraged.  The successful candidate will be expected to partake in hospice and hospital wide audit. Formal audit half-day meetings occur monthly.  Work with the Director of Care at the hospice to explore the development of new innovative services.

Job Plan

The Clinical Lead for Palliative care and General Manager for Oncology at Southend Hospital are responsible for the review of the job plan in conjunction with the post-holders.

A formal job plan will be agreed with the appointees, the Clinical Lead and General Manager on behalf of the Medical Director, three months after the commencement date of the appointee. The job plan for the first three months will be based on the provisional timetables shown below. The job plan will then be reviewed at least annually, following an appraisal meeting.

The job plan will be a prospective agreement that sets out the consultant’s duties, responsibilities and objectives for the coming year. It should cover all aspects of the consultant’s professional practice, including clinical work, teaching, research, education and managerial responsibilities. It should provide a clear schedule of commitments, both internal and external. In addition it should include personal objectives, including details of their link to wider service objectives and details of the support required by the consultant to fulfil the job plan and the objectives. If the appointee takes on additional teaching or educational supervisory roles, these will attract an additional supporting professional activity payment.

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Weekly Timetable

The timetables below are indicative based on the 2 posts covering duties across the Hospital, community and hospice settings. Based on full time or part time options these could be subject to adjustment depending upon a successful candidate’s preferences/availability and in line with the overall plan above. The flexibility within the service would easily accommodate job sharing if desired.

Position A: Full time position of 10 PAs consisting of 8 Direct Clinical Care and 2 Supporting Professional Activities.

Duties cover Southend and Basildon Hospitals

Monday Tuesday Wednesday Thursday Friday

0900 - 1200 0900 - 1200 0930 - 1100 0900 - 1200 0900 - 1030

Inpatient Inpatient Specialist Inpatient SPA care/ward care/ward palliative care/ward 1030 - 1200 round (BTUH) round (BTUH) medicine MDT round (BTUH) AM (SUH) Inpatient 1200 – 1300 care/ward 1100 - 1300 Hospital round (BTUH) SPA advisory team (BTUH)

Lunch

1230 - 1700 1230 - 1700 1330 - 1700 1400 - 1600 1230 - 1700

SPA Hospital Outpatient Colorectal Hospital advisory team Clinic (SUH) MDT advisory team

(BTUH) (BTUH) 1600 – 1700 PM Hospital advisory team (BTUH)

Position B: Full time position of 10 PAs consisting of 8 Direct Clinical Care and 2 Supporting Professional Activities.

Duties cover Southend Hospital and Havens Hospice (including inpatient and day care) Page | 14

Monday Tuesday Wednesday Thursday Friday

0900 – 1200 0800 – 1030 0930 - 1100 0900 - 1200 0900 - 1200 Havens Urology MDT Specialist Inpatient SPA Hospice (SUH) palliative care/ward

medicine MDT round (SUH) 1030 – 1200 (SUH)

Outpatient 1100 – 1200 Clinic (SUH) SPA

1200 – 1400

Gynae MDT

Lunch (30 mins)

1230 – 1530 1230 – 1300 1430 – 1500 1230 – 1300 1230 – 1300

SPA Travel Travel Travel Travel

1530 - 1700 1300 - 1600 1500 - 1730 1300 - 1700 1300 - 1700

Havens Havens Havens Havens Havens Hospice Hospice Hospice Hospice Hospice

The successful candidate has a continued responsibility for patients in his or her care. Proper clinical records must be kept and good communications maintained with patients and their General Practitioners in the form of timely discharge summaries and clinic letters.

Management responsibilities will be by arrangement and agreement between the Clinical Lead, the Departmental Chairman, the Clinical Tutor and the appointee.

Clinical support

There are presently two full time SpRs based in South Essex from the Eastern Deanery rotation in Palliative Medicine. The SpR posts are one year posts in each of the acute Trusts.

The other shared medical staff at Southend University Hospital comprise four FY1 posts, two GP VTS speciality training post and three permanent Staff Grade shared between the Palliative Medicine, Oncology and Haematology teams (the latter also have SpRs / ST3s). The beds at

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Basildon University Hospital are supported by a FY1 post and one GP VTS speciality training post.

Fairhavens and St Lukes hospice both have one and a half GP VTS speciality training doctor.

The consultant would take responsibility for supervising the trainees when they are working in an area where they have lead clinical responsibility. Both the independent hospice trusts are committed to providing specialist palliative care and hence have consultant level clinical leadership. The area is committed to implementing all end of life guidance. All new and complex cases are reviewed at a weekly MDT in each locality (Southend and Basildon).

On call

The on call rota will be 1 in 7 for the Palliative Care services. Both hospitals have junior staff cover. The hospices require first on call cover during the week and second on at the weekend, but this is under review. There will be consideration of time off in lieu if the on call led to long periods in any unit.

Annual leave and study leave will require agreement and cover from within the senior medical team. Generally no more than two are away at the same time. Clinical Governance

The post holder will provide clinical services in line with the Trust’s clinical governance arrangements which are designed to ensure that agreed quality standards are achieved. These requirements includes:-

 Audit – The Palliative care department has a full and varied clinical audit program, including both departmental and multidisciplinary audit. The appointee will be expected to contribute to this and will be encouraged to play an active role in the audit programme.

 Continuing medical education – Clinical governance and professional revalidation, requires the appointee to practice to a high standard and to maintain that standard. To achieve this, the appointee will be expected to participate in the CPD scheme of the Royal College of Radiologists (RCR) and will be responsible for maintaining a portfolio to include evidence of structured learning and a personal CPD action plan, which can be used as a basis for annual professional review/appraisal. This Trust supports the concepts of CPD, clinical audit and External QA and actively encourages all consultants to participate in this. It currently provides £1000 per annum and thirty days per three years to support each consultant's CPD activities.

 Risk management – To work within the Trust’s Clinical Risk Management Policies and in particular the individual is expected to follow the Trusts procedures with regards to clinical incident reporting. Concerns and issues can also be raised to the Medical Director via the Clinical Lead in writing or by email. A bi-monthly communications board is also set up in the department.

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 Appraisal – All consultants in the Trust must participate in the Trust’s appraisal process. In lines with the Trust’s guidance consultants will be able to select their appraiser from a pool of trained appraisers within the Trust.

Teaching & Training Activities

There is an expectation that part of this job should involve on-going teaching and training of primary care colleagues through group teaching and practice-based sessions in order to disseminate specialist skills and provide a forum for the discussion of case studies and set clinical guidance.

Southend Hospital has University status. Consequently the training of medical students, junior hospital doctors, nurses, physiotherapists and other health care professionals has a high priority. The new colleague will be actively encouraged to pursue any interest in this area.

Southend Hospital has a dedicated clinical governance department with allocated clinical and administrative staff to facilitate this.

There is a well-stocked medical library with audio-visual teaching aids, computer equipment and a full time librarian in the individual sites. There is a thriving Postgraduate Medical Centre with regular clinical meetings and a general education programme.

All consultants are expected to take advantage of study leave as appropriate to maintain and develop their clinical skills to comply with CME requirements.

Other Matters

The list of duties given above is not an exhaustive list and the post holder may be asked to adjust duties to meet the needs of the service. The job description reflects the core activity of the post at a particular time, and that as the department and the individual develop there will inevitably be changes in the emphasis and duties of the post. If changes to a job become significant, the Clinical Lead, the general manager and post holder should review the job plan formally together.

Applications

Earlier visits (at the candidate's own expense) would be welcomed and arrangements can be made with either:-

Palliative Medicine Consultant: Dr Kate Gretton - 01702 385190

Director of Care at Havens Hospices: Ellie Miller - 01702 426228

Mentoring

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All new consultants will be provided with a mentor from the consultant body in order to aid professional development and provide advice.

Residence

The successful candidates will be required to maintain his/her residence within easy reach and not more than 10 miles by road from their base hospital though alternative arrangements may be approved by the Clinical Director.

Office, Administrative Support and IT Support

The consultant would have office space at Fair Havens which would provide secretarial support. Each office has desk space, telephone and computer terminals. There would also be desk space available in the Trust.

Both hospital offices have a small library of specialist media.

Main Terms and Conditions of Service

The appointment will be made by the Board on the recommendation of an Advisory Appointments Committee, constituted in terms of the Guidance on Advisory Appointments. Any person suitably qualified and experienced who is unable for personal reasons to work full- time, will be eligible to be considered for the post.

The appointment is subject to Terms and Conditions, Consultants (England) 2003. It is subject to the National Health Service (Superannuation) Regulations. The conditions are exclusive of appeal rights to the Secretary of State (Section 190).

The starting salary for new Consultants is £75,249 per annum.

Policies & Procedures

You are required to comply with our policies and procedures as may from time to time be in force.

Information Security and Confidentiality

All person identifiable information must be held in the strictest confidence and must be disclosed only to authorised people in accordance with the 1997 Caldicott recommendations, 1998 Data Protection Act, ratified information sharing protocols and patient consent.

Where there is any doubt, the post holder must seek advice from the Caldicott Guardian or deputy. A breach of confidentiality may result in disciplinary action being taken in accordance with the Trust’s disciplinary procedure.

It is the responsibility of the post holder to abide by all organisational policies and procedures, particularly those in the information security section of the policy folder. Page | 18

To meet the requirements of the 1998 Data Protection Act the post holder is responsible for the maintenance of up to date and timely data entry and to ensure that information processed is safeguarded, securely stored and safely disposed of.

To maintain data quality, it is essential that clinical information extracts and reports are validated by the appropriate clinician prior to distribution.

Governance and Statutory

The post holder is expected to comply with the governance arrangements and policies and procedures of the organisation, available on the Trust intranet site.

Equal Opportunities and Diversity

The Trust has an absolute commitment to equal opportunities based on sound management practice, respect for the individual and legislative compliance. The post-holder must at all times carry out his/her responsibilities with regard to the Trust’s Equal Opportunities Policy & the Race Equality Scheme.

Clinical Lead Posts

All consultants are eligible for consideration for the roles of Clinical Leads in line with the Trust’s Recruitment Policy.

Health and Safety & Risk Management

Employees must be aware of the responsibilities placed upon them under the Health and Safety Work Act 1974, to ensure that the agreed safety procedures are carried out to maintain a safe working environment for patients, visitors and employees.

Employees must wear personal protective equipment where provided.

All employees are expected to comply fully with the Trust and Departmental fire policies and procedures to meet their responsibilities in relation to fire safety. All staff is expected to maintain safe infection control practices at all times.

All employees are responsible for reporting any accidents, untoward occurrence and potential hazards to their department manager even no injury or property damage has resulted.

Relocation Expenses

Relocation expenses may be available subject to eligibility in line with the Trusts policy.

Health Clearance

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The appointment is made subject to satisfactory fitness for employment. The candidate will therefore be required to complete a pre-employment health screening questionnaire and may/will subsequently be required to attend for health screening.

Registration

The person appointed will be required to be fully registered with the General Medical Council and hold a licence to practice.

Rehabilitation of Offenders Act

Because of the nature of the work of this post, it is exempt from the provision of section 4(2) of the Rehabilitation of Offenders Act 1974 (Exemption Order 1975). Applicants are, therefore, not entitled to withhold information about convictions including those which for other purposes are "spent" under the provisions of the Act, and in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by Southend University Hospital. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order applies.

Annual and Study Leave

The annual leave is 30 working days plus two statutory day holidays.

All consultants are expected to take advantage of study leave to maintain and develop their clinical skills to comply with CME requirements.

Study leave is available as provided for under the Terms and Conditions of Service and Hospital Medical and Dental Staff. Study leave consists of 30 days over a three year period. A maximum of £1,000 per financial year (1st April – 31st March is payable for full time employees in accordance with the Trust’s study leave guidelines.

Approval of annual and study leave is subject to the procedures set out within the individual departments and the Medical Education Department.

So far as is practical, the Consultant appointed will be expected to share in the provision of cover for the annual and study leave of other Consultants in the specialty. Generally no more than two are away at the same time.

Termination of Contract

Termination of the appointment is subject to three months' notice on either side.

Private Practice

The successful applicant may undertake private practice in accordance with the Schedules 9 & 10 of Terms and Conditions of Service. However where such practice might conflict directly with the Trust’s interests, the appointee must bring this to the attention of the Medical Director. Page | 20

Medical Indemnity

The Trust is financially responsible for the negligent acts and omissions of consultant medical and dental staff in the course of their Trust employment. If, however, any private practice, within a NHS hospital or any other private hospital is undertaken, the appointee will be personally responsible for subscribing to a recognised defence organisation. The Trust will not be responsible for category 2 (e.g. reports for insurance) or ‘Good Samaritan’ Acts. Health Circular HC (89) 34 provides full details of ‘Claims of Medical Negligence against NHS Hospital and Community Doctors and Dentists’.

The Department of Health advises practitioners to maintain defence body membership in order to ensure they are covered for any work which does not fall within the scope of NHS Indemnity.

Prospects for Change

The proposals set out in the High quality care for all: NHS Next Stage Review final report (Darzi report) are likely to impact on current working arrangements. NHS South East Essex has recently published its 5 year strategic plan and the Trust is moving towards a new model of specialty ward based inpatient working. Together these may entail considerable change to the job plans of consultants including the appointee, and to the distribution of junior medical staff. The Trust will consult the members of staff concerned at the appropriate time, but meanwhile wishes to draw the attention of applicants to the possibility of change in the future.

Place of Work

The appointee will be based at Southend University Hospital with regular clinical commitments at Fairhaven’s Hospice. The Trust is working closely with neighbouring organisations within the Mid and South Essex Hospital Group to design the models for future service provision which may require clinical teams and individuals to work at others sites within Mid & South Essex in the future. The appointee will be fully consulted with regards to any potential changes in the future in line with the terms and conditions for Consultants.

No Smoking Policy

It is the policy of the Trust to promote positive health. Smoking, therefore, is prohibited in all buildings and the grounds of the hospital.

Security

In the interests of safety and security the appointee will be required to wear a hospital staff identification badge at all times whilst at work.

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Person Specification – Consultant in Palliative Medicine

REQUIREMENTS ESSENTIAL DESIRABLE

Qualifications Entry on GMC Specialist Register in Palliative Medicine; eligible for entry on Register or within Possess or working towards three months of receipt of Certificate of higher qualification in Completion of Specialist Training (CCST) at time Palliative Medicine (MSc or of interview PhD)

MRCP, MRCGP, FRCA or equivalent qualification

Clinical Experience Clinical training and experience equivalent to that required for gaining UK CCT in palliative medicine

Significant supervised Ability to offer expert clinical opinion on a range training in an appropriate of problems SpR equivalent training programme

Oncology experience at SHO Ability to take full and independent responsibility and above for clinical care of patients Consultant experience

Wide experience of palliative medicine in a variety of settings.

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Management and Administrative Be able to lead, communicate, liaise and Experience negotiate effectively with others

Understanding of healthcare reforms and how they impact on service development. Familiarity with the current structure and developments

within the NHS and palliative An innovative approach to management issues. and cancer care fields

Ability to advise on efficient and smooth running Management training of the service

IT – familiarity with standard Experience of clinical governance, quality office packages, clinical and assurance and audit. research databases, and use of internet The ability to plan strategically and exercise sound judgement when faced with conflicting pressures

IT literate

Teaching Experience Experience of supervising junior doctors. Ability to supervise postgraduate research

Ability to teach clinical skills to medical students, GP’s and other members of the multi-disciplinary Participate in wider palliative team care education programmes

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Research Experience Ability to apply research outcomes to clinical problems Research project experience

Evidence of critical thinking Publications in peer-reviewed journals Evidence of ability to apply evidence in practice. Presentation at conferences Evidence of audit projects completed

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Personal Evidence of good personal organisation, including time management and meeting deadlines Attributes

Evidence of effective interpersonal and communication skills, particularly in handling difficult situations.

Ability to work in a multidisciplinary team both as a member and a leader.

Enquiring, critical approach to work

Caring attitude to patients and carers Vision for palliative medicine

Ability to communicate effectively with patients, relatives, GPs, nurses and other agencies Strong influencing and leadership skills

Commitment to Continuing Medical Education and the requirements of Clinical Governance and Ambition and drive Audit

Willingness to undertake additional professional responsibilities at local, regional and national levels

Evidence of flexibility and willingness to work collaboratively within a team of Consultants and other clinical leads.

Sense of humour

Self awareness and reflexivity

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Physical Medically fit to fulfil all aspects of the post and to be able to respond quickly to emergencies as required.

Other Car owner/driver with a full driving licence

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