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CONSULTANT ANAESTHETIST Candidate Information Pack NHS Shetland CONSULTANT ANAESTHETIST Candidate Information Pack June 2021 RECRUITMENT PACK NHS SHETLAND 1 NHS Shetland Pack Contents To assist you with your application for the post of Consultant Anaesthetist, NHS Shetland, this pack will provide useful information about the post, about NHS Shetland and about the region more generally. Section 1 Welcome from Kirsty Brightwell, Medical Director Page 3 Section 2 Working for NHS Shetland Page 4 Section 3 Advert Page 9 Section 4 Job Description Page 10 Section 5 Organisation and Departmental Information Page 13 Section 6 Main Duties and Responsibilities Page 17 Section 7 Person Specification Page 19 Section 8 Terms and Conditions of Service Page 22 Section 9 General Information for Candidates Page 26 RECRUITMENT PACK NHS SHETLAND 2 NHS Shetland Section 1 Welcome Dear Candidate, Thank you for your interest in our Consultant Anaesthetist vacancy based at The Gilbert Bain Rural General Hospital, Shetland. We are looking to work with individuals who understand the needs of small, generalist teams working with the challenges of distance and weather to together provide high quality, person-centred services to the population of Shetland. We understand that having a flexible approach to contracts and supporting people to maintain skills and other interests can create mutually beneficial ways of working. Currently NHS Shetland is recruiting permanent posts in General Practice, Surgery, Medicine and Anaesthetics to create teams in each speciality. This will strengthen current arrangements which are partially dependent on long term locums. We aim to appoint the right individuals to our posts and to achieve this are flexible in the contracts we are prepared to offer to the right candidates. Being remote is also an opportunity and Shetlanders are resourceful and community-spirited. There is a tradition of working together and partnership working with the Scottish Ambulance Service, Primary Care, the local authority and third sector organisations is well-established. Our patients are benefitting from the innovations in IT with more remote consulting locally and with Grampian. The Gilbert Bain Hospital is one of the oldest in Scotland and we are in the process of planning for a new health hub. We have been working with the public and our partners to consider what a building for the next 50 plus years should provide. You will be involved in how we start to meet the changing requirements of our population in preparation to a move to a new site. The balance of diagnostics and definitive care and how we work with our tertiary care centre and ambulance service colleagues are conversations you will help shape. In the meantime our teams provide adult and paediatric surgery both routine and emergency. You would be instrumental to the management and stabilisation of surgical and trauma emergencies. Being a small team means that colleagues will support each other in emergency situations. For the surgeons this particularly means playing a role in Gynaecology and Obstetrics to support single- handed colleagues. You will also need to build networks of support to maintain and improve the quality of care for the diversity of presentations that you will face. We extend a warm welcome to you from Shetland and would love to explore with you how we could support a mutually beneficial relationship to bring you challenge and enjoyment. You can email me at [email protected] to organise a discussion about your next steps. RECRUITMENT PACK NHS SHETLAND 3 NHS Shetland Section 2 Working for NHS Shetland Who are we? NHS Shetland provides primary and secondary care for the Shetland Islands. The NHS Board determines strategy, allocates resources and provides governance across the health system working in partnership with the Integration Joint Board for Community Health and Adult Social Care services. About NHS Shetland NHS Shetland is the most northerly Health Service in the country and a unique setting in which to provide healthcare services. We are, of course, a small organisation, with around 700 staff looking after the health needs of some 23,000 people spread across 15 islands. However, what we lack in size, we more than make up for by way of the tight-knit, highly professional ethos that characterises every aspect of our operations. Local hospital services are provided from the Gilbert Bain Hospital in Lerwick. In addition, visiting consultants from NHS Grampian provide out-patient clinics as well as in-patient and day- case surgery to supplement the service provided by our locally-based Consultants in General Medicine, General Surgery, Anaesthetics and Psychiatry. There are 10 health centres spread across Shetland, with GPs, Advanced Nurse Practitioners, District Nurses and Practice Nurses providing primary health care. We have a progressive agenda within Shetland and work in partnership, not only with other local stakeholders but with the NHS in Scotland as a whole, and NHS Grampian in particular along with health boards in the North region. Your job should you care to join us – is to provide surgical services to, and strive to improve the overall health of, the population of this most delightful part of the British Isles. As well as the Gilbert Bain Hospital there are Local Community Services, which are provided via GPs and Community Nurses , Dentists, Pharmacists, Allied Health Professionals and Social Care workers working from one of our ten Health Centres/ or Care Homes and other locations including mobile units and schools. All in all, you’ll find a superb degree of professionalism allied to a practical, resolute approach to the challenges of providing healthcare in a northern island setting. Working at NHS Shetland What’s it like to work in the Health Service in Shetland? Well, the remote and rural nature of our service brings its own challenges, however you can be assured that appropriate facilities and equipment are as good as any you’ll get on the mainland. Moreover, the friendliness and professionalism of your new colleagues will help you to quickly find your feet and feel at home in your new surroundings. RECRUITMENT PACK NHS SHETLAND 4 NHS Shetland Living in Shetland We cheerfully admit that Shetland is not for everyone – if you want to go on the underground train to a West End Theatre then we’re going to disappoint you – but for those looking for a rural lifestyle and an indisputably higher quality of life then we should be on right at the top of your list. It is a land of many contrasts - rugged hills and flower-strewn meadows; large new houses and traditional crofts; ultramodern ships and small boats which can trace their ancestry back to Viking times. Islands which are distinctly Norse in character yet part of Scotland’s islands with a fascinating heritage and a timeless quality. Watch myriads of seabirds over an ultramarine sea or the breathtaking loveliness of a reflected sunset. Listen to the sigh of the waves or the weird “drumming” of the snipe at dusk. Smell the heady fragrance of massed wildflowers or the evocative tang of peat smoke. What we can offer you Working with NHS Shetland offers a variety of opportunities and benefits: • Access to the NHS pension scheme • Financial and peer assistance relocating to Shetland • NHS Shetland is an equal opportunities employer and promotes work-life balance and family-friendly policies • A beautiful setting to live and work and to take time out after a busy day or week • Access to a transport network offering easy travel links to the rest of the UK and Europe, as well as international options Teaching and Training Opportunities & Research Continuing education and professional development (CEPD) The Board recognises this to be a crucial aspect of the appointment as part of its provision of high-quality health care and responsibility for clinical governance. CEPD is undertaken not only in line with individual Personal Development Plans but also as part of departmental service development. A medical library has been recently established and is rapidly evolving under the guidance of senior medical and nursing staff. Internet access, the e-library and an on-line retrieval system is available locally. Arrangements exist for access to the extensive medical library at Aberdeen Royal Infirmary for research and study purposes not catered for in Shetland. CEPD programmes are encouraged and take full advantage of study leave opportunities. Requests are considered flexibly to allow for the difficulties of off-island travel. The Board is at the forefront of videoconference use as an innovative tool to support remote learning. In recognition of the potential difficulties of professional isolation the Board also looks RECRUITMENT PACK NHS SHETLAND 5 NHS Shetland favourably on short secondments to other units, especially if designed to update clinical skills or to further develop clinical networks. Clinical audit is regarded as an integral part of the CEPD package: some assistance and guidance in performing clinical audit is available from the Clinical and Governance Team. Regular inter-departmental meetings are being developed to capitalise on local expertise and to enhance cross-fertilisation of knowledge, and videoconferencing is used to access Deanery and Royal College Programmes. Inter-disciplinary ward ‘mortality and morbidity’/governance meetings are currently scheduled every two weeks. Regular service-wide multi-disciplinary clinical governance activities are in place. Outside the hospital the local Postgraduate Education Adviser organises an active postgraduate training programme for doctors in both primary and secondary care and all are encouraged to participate. In addition mainland experts are invited at intervals to lecture both to this group and to local symposia. Whilst small we do provide teaching and training opportunities for junior doctors. We enjoy close links with the University of Aberdeen (http://www.abdn.ac.uk) whose Medical School is renowned for preparing its medical students to become doctors.
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