Rural Emergency Practitioner Belford Hospital

Information Pack MS17053195

APPOINTMENT OF RURAL EMERGENCY PRACTITIONER BELFORD HOSPITAL

INFORMATION PACK

Section 1 Welcome Section 2 Advert Section 3 Job Information Section 4 Person Specification

Section 5 Terms and Conditions Section 1 – Welcome

Introduction

Thank you for your interest in joining NHS Highland. This information package contains details relating to the local area, this post and the Terms and Conditions of Service.

NHS Highland is committed to becoming a learning organisation, recognising that staff require access to opportunities to learn, maintain and develop skills and knowledge, and we recognise the importance of valuing and supporting our staff throughout their time here.

We offer:  Policies to help balance commitments at work and home and flexible family friendly working arrangements  Excellent training and development opportunities.  On-site library services at the Centre for Health Sciences  Access to NHS staff benefits/staff discounts  Cycle to Work Scheme  Excellent student support  Access to NHS Pension scheme

Applicants are expected to make contact with the department before applying and we would strongly encourage those that are shortlisted to ensure they have spoken to the informal contacts and other relevant senior colleagues. You can ask for a Teams meeting to be set up through the department contact.

Due to the current travel restrictions in place all interviews will be held via Microsoft Teams.

Department Contact: Anne Boyd-Mackay, Clinical Hospital Manager 01397 702481

Karen Le Ball, Lead Clinician; [email protected] 07773068887

How to Apply

 Applicants should complete an Application Form on the NHS Scotland National Recruitment portal. https://apply.jobs.scot.nhs.uk/. Please note we do not accept CVs.

 All candidates and employees are afforded equal opportunities in the recruitment and selection process and in employment irrespective of their age, disability, gender reassignment, marriage or civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation.

 Your personal information will not be sent with the application for shortlisting. The application form will be identified by the candidate number only to ensure that no applicant will be unfairly discriminated against.

 NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. As part of any offer of employment in regulated work candidates will be subject to Protection of Vulnerable Groups Scheme membership.

Job reference: MS17053195 Closing date: Midnight 8 June 2021

PLEASE NOTE - You should apply for this post by completing the application process on Job Train. We suggest you use Internet Browser "Google Chrome" or "Microsoft Edge" DO NOT upload a CV as this will not be used for short listing purposes. Once you have submitted your application form you will be unable to make any amendments. For help to complete an application on Job Train please click here.

Please contact [email protected] for any queries regarding submitting your application to the NHS Scotland National Recruitment website.

Section 2 – Advert

RURAL EMERGENCY PRACTITIONER POSTS Belford Hospital, Fort William Permanent Post £93,727 to £112,513 per annum pro rata dependent on experience Job Reference MS17053195

Due to a need to provide robust general support to our emergency department we are looking to recruit a Rural Emergency Practitioner to join our team.

As a member of a new innovative team of senior generalists, you will provide a focal point for acute medical services in Belford Hospital. Your work will be an exciting amalgamation of all your previous experience but in a magnificent rural setting. You will be involved in running a unique new service providing support to the Accident and Emergency department which deals with >10,000 encounters per year from the Lochaber area.

Applicants should either hold the Certificate of Completion of Training for General Practitioners and be registered with the General Medical Council with a licence to practice or a CCT in Emergency medicine.

You will be based at the Belford Hospital. You will join our established team of senior nurses, medical, surgical and anaesthetic consultant colleagues who have a unified role providing for the needs of the population. In addition you will be involved in supporting FY2, ST1 and GPST doctors in training.

This is an exciting prospect, providing broad clinical exposure to the full range of emergency care and supporting medical and surgical inpatient care in a modern environment with full support facilities and a superb continuing professional development package. You will have a key leadership role when on shift in providing senior advice and interventions across the hospital.

Belford Hospital Fort William is unique. It is a Rural General Hospital located in the Scottish Highlands (but close enough to be able to drive to the central belt in 2 hours). So you have the beauty of the Scottish Highlands combined with the convenience of being within striking distance of the major Scottish centres (and London is only a sleeper-train journey away). We have 37 acute beds and 9 day-case beds. The three acute specialties of Surgery, Medicine and Anaesthesia have 24/7 consultant cover.

Prior experience in A&E, trauma, paediatrics and basic anaesthetic skills would be welcomed but ongoing additional training is also available.

Informal enquiries would be welcomed by: Anne Boyd MacKay, Clinical Hospital Manager 01397 702481 or Dr Karen Le Ball, Lead Clinician [email protected] tel: 07773068887

Closing Date: Midnight 8 June 2021

Section 3 – Job Information

JOB DESCRIPTION

1. JOB IDENTIFICATION

Job Title: Rural Emergency Practitioners

Department(s): Belford Hospital

Job Reference: MS17053195

Hours of Work: 40 hours per week

Remuneration: Salary scale £93,727 to £112,513 per annum (pro rata for part time practitioners)

 Point 00 - remunerated at £93,727 p.a. relates to less than 2 years experience;  Point 01 – remunerated at £99,992 p.a. relates to more than 2 or more but less than 6 years experience;  Point 02 – remunerated at £106,253 p.a. relates to 6 or more but less than 8 years experience;  Point 03 – remunerated at £112,513 relates to 8 or more years experience

2. JOB PURPOSE

Role Context The role is based in Belford Hospital Fort William which is the Rural General Hospital for the Lochaber area in the North west Highlands serving a population of about 20,000. This can increase by 30% in the tourist season

The Belford Hospital is a well-equipped Rural General Hospital with facilities including CT scanning, a High Dependency Unit, Day Case Unit and Rehabilitation Ward in addition to standard in and outpatient departments. Most tertiary specialist services are provided at Inverness (65 miles north) other than neurosurgery and cardiothoracic surgery which are at Aberdeen or Edinburgh/Glasgow. There are close links with Raigmore Hospital; Inverness and teleconferencing facilities allow participation in educational and multi-disciplinary meetings. Good relationships are developed with the Emergency Medical Retrieval Service (EMRS) from Glasgow.

The role involves dealing primarily with the full range of varied unscheduled emergency care, supervising junior staff in the ED department and providing out of hours advice to the juniors and potentially some cover to the OOH GP service. This can either be worked as a full time contract or those wishing to maintain their GP skills/registration, the post could incorporate some days in General practice

Role Purpose

The purpose of this role is to work within a multi-disciplinary team to provide the full range of clinical skills that are required to safely manage the varied workload within the hospital 24 hours a day. This will involve management and transfer of critically ill patients on occasion. Specialist decision making support will be available from Consultants at the Belford in Medicine Surgery and Anesthetics in and out of hours and also consultants in Raigmore via phone or telemedicine links. (eg paediatrics).

You will be expected to undertake training, in particular to maintain ALS ATLS EPLS and maintain your CPD in line with the expectation of the role.

3. ORGANISATIONAL POSITION

Associate medical

director North & West

Operational Unit Area Manager Raigmore Hospital, North and West Belford Hospital Regional Referral Clinical Lead Centre

Belford & Visiting RGH Manager Consultants (varied specialties) Rural Emergency Practitioner Doctors in NHS 24 Training

Community General Practice Paramedical Nursing Staff, Nurses and Colleagues Staff Belford Hospital Midwifes

Professionally accountable: NHSH Board Medical Director

4. SCOPE AND RANGE

This post is based in Belford Hospital, Fort William. The hospital has 34 inpatient medical beds including a 2 bedded high dependency unit, a surgical theatre, an obstetric / midwife unit, radiology unit, outpatient clinic facilities and a modern emergency room. Currently 6 beds are allocated to Covid but this will be under regular review. The hospital provides an A+E service, sorting, resuscitating and transferring where necessary to our referral hospital at Raigmore, Inverness. There are 3 local surgeons to perform essential day-case surgery, endoscopy and provide a surgical consultation service. Consultants in the conventional hospital based services from Raigmore use the hospital as a base for out-patient consultation. Though this may be more remote in future as a result of the pandemic

Your hours of work will be 40 per week on a shift system. This results in 130hrs of direct clinical care per month, 16 hours of supporting professional activity and 3-4 overnight shifts per month. You will be expected to cover all aspects of the rota including overnight work, daytime hospital work and weekend work. You will have advance notice of your part in the rota. This is open to negotiation depending on the specialty and interest of the applicant

Your annual leave year commences on April 1st and you are entitled to 6 weeks per year plus 10 public holidays. In addition you are entitled to 2 weeks of study leave per year. Furthermore, for skills update and personal development you will be given the option to undertake 4 weeks per year of clinical attachment in busier units.

5. MAIN DUTIES/RESPONSIBILITIES KNOWLEDGE, SKILLS AND COMPETENCIES REQUIRED Belford Hospital  ED skills and experience Provide day to day cover at the hospital;  Triage and assessment skills  Resuscitation skills  ED role dealing with a full range of clinical  Airway management skills and presentations including minor illness and injury. experience Involvement in follow up fracture clinics may be  Stabilisation & transfer skills required.  Excellent diagnostic ability including  Resuscitation, stabilisation and transfer of critically ill radiological patients.  Inpatient management skills and  Liaison with higher specialist units and the Scottish experience Ambulance Service to arrange all aspects of transfer of Awareness of own limitations and critically ill patients. those of unit  Provide senior review of inpatients in conjunction with  Planning and organisational medical and surgical teams  Prioritisation and management of risk

Interpersonal Skills  Influencing, listening and  Support and encourage all clinical colleagues, communication skills nursing staff and hospital staff involved in provision  Diplomacy and trust building of care  Function in a holistic manner in dealing with patients  Encourage an environment of team work with colleagues

Personal Professional Development

 Develop a Personal Development Plan to include  Literature updates skill areas of clinical expertise  Critical appraisal skills  Adopt a personal life long learning culture  Awareness of national standards of  Be fully involved in annual appraisal as dictated by care NHS Highland and GMC  Provide mentorship to nursing colleagues

Professional Issues  In depth knowledge of professional  Work and practice at all times in accordance with code of conduct. the GMC code of Professional Conduct.  Advocacy  Actively demonstrates a positive approach to  Creative thinking sustaining and developing personal and  Negotiation skills professional knowledge required to undertake own  Motivational skills role.  Dealing with complexity and  To be advocates in taking forward service change contentious information and delivery  Effective communication skills

 Ability to work across organisational

boundaries.

6. SYSTEMS AND EQUIPMENT

 PC and Microsoft office – Operational work.  Email system – Day to day communications  Intranet / Internet – Source of reference material and NHS Highland protocols

 Laboratory Computer interface for results of patient tests  Computer based discharge letter system  Numerous monitoring equipment used in the clinical area  Resuscitation equipment and ventilator  Near patient testing equipment

7. DECISIONS AND JUDGEMENTS

 Working mostly autonomously and with minimal supervision.  Ability to recognise scope of personal abilities and clinical judgement  Ensure safety of practice at all times by liaison with other professionals and by adherence to national guidance and standards

8. COMMUNICATIONS AND RELATIONSHIPS KNOWLEDGE, SKILLS AND COMPETENCIES REQUIRED  Responsible for partnership working, involving all staff at the earliest opportunity to influence  Leadership and relationship building change if required and provide most efficient,  Effective communication skills effective and safe service  Effective interpersonal skills  Collaborate with a range of colleagues both  Good negotiation skills locally and in higher specialist units in  Strategic thinking provision of patient care and in personal  Influencing skills professional development

9. PHYSICAL DEMANDS OF THE JOB

 Ability to work in a sustained and focused manner  Ability to make immediate decisions  Ability to cope with stressful situations  Resilience

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

The Rural Practitioner will have a high degree of autonomy in providing patient care within locally agreed and nationally guided standards. The key challenges will be:

 Providing a very wide range of medical expertise in a challenging environment  Updating clinical skills and continuing professional development  Gaining respect and developing and maintaining effective working relationships with a range of colleagues, nurses and other Allied Health Professionals locally and nationally.  Balancing your education and training demands with service demands, satisfying both within the resources available to you  Determination and persistence in achieving successful teamworking where there may be competing priorities and agendas.  Maintaining balance between competing demands in the job and between the job and other “life priorities”.

11. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

 Current full General Medical Council registration with a licence to practice  CCT in General Practice  Emergency Department experience  Basic anaesthetic skills – training to achieve this can be provided within the post if necessary  Acute hospital inpatient experience advantageous  Computer Literate  Expert communicator possessing influencing and negotiation skills  Current, valid driving licence

Section 4 – Person Specification

Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role. Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage.

Desirable Criteria - these are attributes which would be useful for the candidate to hold. When short listing, these criteria will be considered when more than one applicant meets the essential criteria.

Requirement Essential Desirable

1. Qualifications Qualifications - Essential criteria ALS - Accredited in GP (GP CCT) OR Emergency Medicine (CCT) ATLS EPLS or APLS ALSO NLS

2. GMC/Specialist Full Registration with GMC Registration eligible to be included in NHS Highland’s Performer’s List MB ChB or equivalent qualification 3. Clinical Experience Four years post registration Airway Management skills Inpatient Management skills Previous Out of Hours Primary Care experience Rural Practice experience 4. Aptitudes Effective communication skills both written and verbal Basic IT/computer skills Ability to work independently while being part of a multi disciplinary team. Able to prioritise work Able to work under pressure Aware of own limitations 5. Other Prepared to commit to extensive Prepared to undergo Airway CME as per our contract. training by attachment to Full Driving Licence Raigmore over three months

Ability to work across organisational boundaries

Advocacy

Creative thinking

Section 5 – Terms and Conditions

RURAL EMERGENCY PRACTITIONER

TERMS AND CONDITIONS OF SERVICE

The appointment is in accordance with the Terms and Conditions of Service for Hospital Medical and Dental Staff (Scotland) employed in the National Health Service as amended by the Secretary of State for Scotland from time to time.

Salary The post will be reimbursed on a salary scale: £93,727 to £112,513 pro rata per annum. There are four incremental points: Point 00 £93,727; Point 01 £99,992; Point 02 £106,253; Point 03 £112,513. The successful candidate will be placed at an appropriate point dependent upon experience, since completing their training.

Hours of Duty Your hours of work will be 40 per week or agreed variation. You will be expected to cover all aspects of the rota including overnight work, daytime hospital work and weekend work. You will have advance notice of your part in the rota and each member of the team will rotate through all aspects of the rota. There may be additional shifts available for you to undertake and these will be paid pro rata to annual salary up to a maximum of 48 hours per week.

Registration with the General Medical Council The successful applicants will be required to maintain current registration with a licence to practice with the General Medical Council at all times during their employment with NHS Highland. Post holders will be required to produce to NHS Highland evidence in the form of original documents to verify registrations, certifications and memberships as required before commencing duties and annually produce evidence of renewals as appropriate. Failure to maintain full GMC registration, including suspension or erasure from the Register and the imposition of conditions upon your registration will entitle NHS Highland to suspend you immediately from duty, usually with pay, pending investigation.

Medical Negligence NHS Highland takes responsibility for expenses and damages arising from medical negligence where they, as the employer, are vicariously liable for the acts and omissions of their medical and dental staff. However, the appointee is strongly advised to maintain separate medical defence or insurance cover for all work which does not fall within the scope of the Board’s indemnity scheme, details of which are given in NHS Circular 1989(PCS)32, which will be issued to the successful candidate.

Medical Fitness All entrants to NHS Highland posts must be certified medically fit for such posts and appointments are conditional on such certification. The Director of Occupational Health Services, is responsible for the way in which this is arranged and keeps any necessary records.

Disclosure of Criminal Convictions Appointment to this post will be made subject to satisfactory screening by Disclosure Scotland. This post is considered to require registration with the Protecting Vulnerable Groups (PVG) Scheme as it involves substantial access to children and / or vulnerable adults.

A PVG Scheme Record will contain details of all convictions on record, whether spent or unspent. This means that even minor convictions, no matter when they occurred will be included in the Scheme Record. It may also contain non conviction information held locally by the police, where this is considered relevant to the post.

Following the selection interview only the "successful" candidate will be subject to registration with the PVG Scheme. Offers of appointment will be made subject to satisfactory PVG Scheme screening and medical fitness. Please note that a commencement date will only be issued once this clearance has been received.

Superannuation Auto Enrolment

All employees, eligible to join the NHS must be automatically included in the scheme from the first day of employment. Eligible employees will no longer be allowed to opt out of the scheme before they take up employment. They must be enrolled in the first instance.

Those who are ineligible to join the scheme will be enrolled in NEST, again opt out can only occur once in the scheme.

Further information can be found on the Pension Regulators website www.sppa.gov.uk

Practitioners and Non GP Partners

Tier Whole time equivalent pensionable contribution earnings percentage rate 1 Up to £16,129 5.2% 2 £16,129 to £21,817 5.8% 3 £21,818 to £27,360 7.3% 4 £27,361 to £50,466 9.5% 5 £50,467 to £72,050 12.7% 6 £72,051 to £112,490 13.7% 7 £112,491 and above 14.7%

Changes to the NHS Pension Scheme from 1 April 2015 – for further information please visit the SPPA website www.sppa.gov.uk or email: [email protected]

Pensionable pay should be rounded down to the nearest pound.

If you require more information about the scheme or about your Pension please view the SPPA website www.sppa.gov.uk or contact Tel: 01896 893000. If you wish to Opt-Out of the pension scheme please contact the SPPA as soon as possible after a formal offer to obtain the necessary documentation

Sick Pay Scheme The conditions of service provide for the operation of a scheme related to length of service.

Annual Leave and Public Holidays The leave year shall run from 1 April to 31 March and in a full year the postholder will be entitled to 6 weeks’ annual leave plus 10 statutory and public holidays (pro rata for this part time post) as agreed by NHS Highland.

Minimum Notice The post holder will be required to give and is entitled to receive a minimum of three month’s notice of termination of employment.

Smoke Free Highlands Please be aware that smoking tobacco products or e-cigarettes is not allowed anywhere in NHS Highland properties, vehicles or grounds. All staff who smoke can access information regarding services provided by Occupational Health and locality based Stop Smoking Advisers for smoking cessation support - for more information please visit www.smokefreehighland.co.uk.

All NHS Highland employees will have the same part to play when maintaining the Smokefree Policy. It will be everyone’s role to enforce the policy by reminding people that NHS Highland provides a smoke-free environment and that they cannot smoke anywhere inside it’s buildings or in it’s grounds.

When selecting new staff NHS Highland does not discriminate against applicants who smoke but applicants who accept an offer of employment will in doing so agree to observe and familiarise themselves with NHS Highland's Smokefree policy.

Identity Badge Policy NHS Highland has a policy that all staff will be issued with and are required to wear an NHS Highland Identity Badge at all times when on duty. If your badge needs replacing for any reason you are required to contact the HR Services Team, Caithness General Hospital to arrange for a replacement. All identity badges are the property of NHS Highland and must be returned if you terminate your employment.

Liability NHS Organisations are liable for work carried out by their employees in the course of their NHS duties:  Where a clinical trial is authorised, the employing authority is liable in respect of a claim against a doctor involving his or her NHS patients  All trials must have the required approval of the Local Ethical Committee and the formal approval of NHS Highland. In this connection, the Medical Director must be informed of all clinical trials in which staff are taking part in the course of their NHS employment  NHS organisations are not responsible for an employees private practice

Research Individuals or groups publishing research findings whether following a Joint Ethical Committee approved project or clinical reports based on clinical practice, have a duty of care to ensure the confidentiality of medical information relating to patients. Post holders are urged to ensure that they have adequate medical defence cover should any claim or litigation arise which is based on an alleged breach of confidentiality through publication of articles/papers.

Grievance Procedure The agreed procedure for settling differences between successful candidates and NHS Highland where the difference relates to a matter affecting conditions of service will be that determined in consultation with staff-side representatives. Details of the procedure are available, on request from the Human Resources Department.

Disciplinary Procedures The Secretary of State for Scotland has determined that paragraph 190 of the Terms and Conditions of Service for Hospital Medical and Dental Staff (Scotland) will not be incorporated in new contracts of employment. NHS Highland has negotiated new disciplinary procedures with the local negotiating committee and can be viewed in the department of human resources.

Personal Property NHS Highland accepts no responsibility for damage to or loss of personal property, with the exception of small valuables handed to their officials for safe custody. Post holders are, therefore, advised to take out a suitable insurance policy to cover their personal property.

Confidentiality In the course of their duties, post holders will have access to confidential material about patients, members of staff or other matters. On no account must information relating to patients be divulged by anyone other than those who are concerned directly with the care, diagnosis and/or treatment of the patient or other persons specifically authorised. Similarly, no information of a personal or confidential nature about individual members of staff should be divulged without proper authority having been obtained. If a post holder is in doubt as to the authority of a person or body requesting information, advice should be sought from the Clinical Lead. Failure to observe this procedure will be regarded by NHS Highland as serious misconduct that may lead to disciplinary action being taken. This does not affect the post holder’s rights under paragraph 330 of the Hospital Medical and Dental Staff (Scotland) Terms and Conditions of Service.

Health and Safety NHS Highland will take all reasonable practical steps to ensure post holder’s health, safety and welfare whilst at work. NHS Highland shall ensure that all premises or surgeries from where post holders provide medical services under the provisions of their contract are fully equipped for the provision of such services.

Healthy Working Lives Healthy Working Lives (formerly SHAW, Scotland’s Health at Work) is the national award programme designed to encourage and reward employers in their efforts to improve the health and well-being of their staff. Healthy Working Lives involves having policies and practices in place which help employees be better informed to make healthy choices. It also involves recognising that organisations themselves can have a direct impact on the health and well-being of the individual members of staff.

Over the last few years, NHS Highland has placed the wellbeing of staff high on our list of priorities and is committed and signed up to achieving the Healthy Working Lives Award.

Healthy Working Lives needs the support and involvement of staff. To find out where your nearest contact for Healthy Working Lives is, contact Susan Birse on [email protected]

Scottish Workforce Information Standard System (SWISS)

DATA STATEMENT

The information that staff provide will be used for employment purposes and where necessary to comply with legal obligations. The purpose of holding this information is for administration i.e. employment and pay amendments, superannuation, workforce management/planning and other personnel matters in relation to employment. Any requests for information outwith the above will only be processed with individual consent (e.g. building society mortgage applications etc.) Staff information will be held securely in a national database, which will be accessed at a local, regional and national level to meet the requirements outlined above. Managers may also hold information within your department. There will be no unauthorised access.