APPOINTMENT of a CONSULTANT MEDICAL MICROBIOLOGIST Or INFECTIOUS DISEASES and MEDICAL MICROBIOLOGY
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APPOINTMENT OF A CONSULTANT MEDICAL MICROBIOLOGIST Or INFECTIOUS DISEASES and MEDICAL MICROBIOLOGY Contents Section Page 1. Job Summary 4 2. Duties and Responsibilities 4-5 - Lead Microbiologist Responsibilities 5 - Infection Prevention and Control 5 - Duties of Infection Control Doctor 6 - Organisational 6 - Clinical Governance, Audit and Quality Management 6 - Management 6-7 - Antimicrobial Stewardship Responsibilities 7 3. Details of the Microbiology Department/Service 7-8 - The microbiology Laboratory 8 4. Proposal/Example of a Weekly Job Plan 9 5. Department Structure – Medical Staffing and Other Staff 9-10 6. Education, Teaching/Training 11 7. Research 11 8. Clinical Governance, Audit and Risk Management 11 9. Induction 11 10. Revalidation & Appraisal 12 11. Raising Concerns 12 12. Secretarial/Administrative Support 12 13. Clinical Excellence Awards 12 14. Private Practice 12 15. Professional Structures 12 16. Preliminary Visits 12 Information about the Trust The Hillingdon Hospitals NHS Foundation Trust and Surrounding Area 13 Shaping a Healthier Future 13 Whole Systems Integration Pilot 13 Trust Cares Values 14 Hospital Management Structure 14 Terms and Conditions of Employment 15 Salary 15 GMC Registration 15 Page Clinical and Professional Responsibilities 15 Confidentiality 15 Job Plan 15 Removal Expenses 16 Medical Clearance 16 Arrangements for Annual/Study Leave 16 Rehabilitation of Offenders Act 1974 16 Disclosure and Barring Service 16 Safeguarding 16 No Smoking Policy 16 Security 16 Health & Safety 17 Infection Prevention and Control 17 Hepatitis B 17 Equal Opportunities 17 Risk Management 17 Code of Conduct for Professional Groups 17 Person Specification 18-19 THE HILLINGDON HOSPITALS NHS FOUNDATION TRUST Job Title: Consultant Medical Microbiologist or Infectious Diseases and Medical Microbiology Department: Pathology Number of PAs: 10 PAs (Full time) Location: Hillingdon Hospital and Mount Vernon Hospital including Northwest London Pathology Laboratories Division: Cancer and Clinical Support Services Reports to: Divisional Director for Cancer and Clinical Support Services For Laboratory services to Head of Specialty for Infection and Immunity at North West London Pathology Accountable to: Medical Director / Responsible Officer 1. Job Summary This is a replacement post. The post holder will play a key role in realising our ambition to build a high quality clinical service by bringing new skills to our Microbiology Service. The successful applicant will be a committed clinician with specialist training in Infectious Diseases and Medical Microbiology or Medical Microbiology and Virology with a track record of excellent clinical service delivery, service improvement, teaching, training and other qualities as identified in the person specification. The successful applicant will be expected to develop their leadership skills to support succession planning for the department. It is a requirement of the post that every doctor takes part in annual job planning and annual appraisal as part of the revalidation cycle. Job planning is outlined in point 4, as is a draft proposed job plan. 2. Duties / Responsibilities of the Post General Clinical The content of this Job Description represents an outline of the post only and is therefore not a precise indication of duties and responsibilities. The Job Description is therefore intended to be flexible and will be subject to review and amendment in the light of changing circumstances, following consultation with the post holder. The post-holder will be responsible to the Microbiology Clinical Lead and then to the Divisional Director of Cancer and Clinical Support Services at The Hillingdon Hospital, with a job plan negotiated annually. It is a 10 PA post – 8 direct clinical care (DCC), 2 supporting professional activities (SPA), the latter includes clinical and educational supervision, audit and personal CPD. Individuals who are unable for personal reasons to work full-time will be eligible to be considered for the post; if such an individual is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with consultant colleagues. CPD must be included as part of annual appraisal which is mandatory and required for the revalidation process. A proportion of this DCC and SPA relating to laboratory services is delivered through North West London Pathology (NWLP) and for these sessions the post holder is responsible to the Lead Microbiologist for NWLP, then Head of Specialty for Infection and Immunity and then to the Clinical Director for North West London Pathology. The post holder is an employee of The Hillingdon Hospitals NHS Foundation Trust. The post holder will, together with consultant colleagues and other health care professionals in the Directorate and North West London Pathology: 10 Provide an efficient, cost-effective and comprehensive diagnostic microbiology service for all patients and support continuing service developments. Liaise with clinical colleagues regarding investigation and management of patients with suspected or confirmed infections. Liaise with and advise the Health Protection Teams and Public Health England. Work in close liaison with the Occupational Health department. Provide a clinical service to all clients of Hillingdon Hospitals Foundation NHS Trust, and General Practitioners who send samples to the Hillingdon Hospitals NHS Foundation Trust Laboratories (see Clinical Responsibilities). Support Hillingdon Hospitals in aspects of Infection prevention and control, as determined by discussions with the Lead Microbiologist in consultation with the Director of Infection Prevention and control Support Hillingdon Hospitals in aspects of antimicrobial stewardship, as determined by discussions with the Lead Microbiologist Provide with consultant colleagues ICU, NNU and other ward rounds, Diabetic Foot Clinic liaison, and TB and other MDTs as agreed locally Support and advise laboratory staff regarding day-to-day performance of diagnostic tests, and reporting of results. Contribute to the NWLP consortium as agreed through the Joint Governance structure. The post holder will participate in the on-call microbiology rota on a 1:3 basis. This is under review subject to negotiation with North West London Pathology. The successful candidate will in discussion with their colleagues mutually agree to undertake rotational departmental roles including Infection Prevention and Control Doctor (IPCD), Antimicrobial Stewardship, Lead for Clinical and Liaison and Lead for Laboratory Liaison for the department. A key focus will be increasing the clinical profile of the department. Further representative details of these roles and activities are outlined below. Laboratory responsibilities: Involvement in internal and external Quality Assurance Schemes through NWLP. Contribute as required to maintenance of appropriate laboratory accreditation. Contribute to education of the laboratory staff. Work and liaise with external organisations such as PHE, DH and various Reference Laboratories. Contribute to performance and review of vertical and horizontal audits in the laboratory and across the clinical service. Support and advise the laboratory staff in reviewing procedures for diagnostic tests. Be proactive in evaluating and introducing new diagnostic tests. Contribute to and where appropriate provide leadership in the further integration of laboratory services with the NWL Pathology Network. Attend relevant National and International meetings to keep up-to-date with recent developments in the field. Represent the department at relevant governance and Trust level meetings. To liaise, support and work with the Laboratory Management Team on a regular basis regarding the smooth running of the department. Contribute to and where indicated chair relevant laboratory meetings. To contribute to ongoing service development and improvement in microbiology in collaboration with consultant colleagues in microbiology. Contribute to and support appropriate notification of organisms of Public Health significance. Contribute to bench rounds at Hillingdon Hospital and subsequently at Charing Cross Hospital as agreed. 10 Clinical Responsibilities Contribute to appropriate and agreed liaison with clinical colleagues to provide the best possible management of infection in THH. Provide microbiology, clinical infection and antibiotic advice and liaison to GPs using the THH service and diagnostics. Contribute to communication of significant results to relevant clinicians. Contribute to antimicrobial stewardship by advising on appropriate investigation and treatment. Attend and contribute to MDTs, Morbidity and Mortality Reviews, Post Infection Reviews and Root Cause Analyses or other appropriate investigations. Provide regular ward rounds or liaison for high dependency units such as ICU. Contribute to bacteraemia and serious infection reviews. Infection Prevention and Control The Consultant Microbiologist is a member of the Infection Prevention & Control Team (IPCT). The Executive Director responsible for Infection Prevention & Control is the Director of Nursing. The ICD is managerially responsible to the DIPC and professionally to the Medical Director. The IPC Team members also includes a Deputy DIPC, IPC Lead nurse, 2wte IPC nurses (Band 7), a further wte IPC nurse (Band 6/7) is to be appointed, and 1.0wte (Band 4) administrative support. The annual budget is £262,176 of which the majority is attributed to pay.