Consultant in Trauma & Orthopaedics,

Hospital

Information Pack

Closing date: 21 November 2019

Reference Number: AR.24.19

Welcome from Grant Archibald, Chief Executive, NHS Tayside

Thank you for your interest in this post. As you’ll see we have put together some information on this site both about NHS Tayside and where we are located in . I hope that you find this useful and that you translate your interest in this post into a formal application.

NHS Tayside has a strong track record in delivering high-quality, safe and effective care for all our patients. However, like other NHS Boards across Scotland, NHS Tayside is facing significant challenges including growing demand for all services, workforce challenges that are impacting upon how we deliver services and continuing pressures on our finances.

In response to these challenges, NHS Tayside has embarked up on a programme of transformation to ensure that services are safe, affordable and, importantly, sustainable for the future. Transforming Tayside aims to deliver Better Health, Better Care, Better Workplace and Better Value for the population of Tayside.

The programme is clinically-led and is being delivered in partnership with our staff and trades unions and our local health and social care partnerships. It is structured to respond to issues and make changes to services in the short to medium-term, as well as presenting an ambitious vision of transformation for Tayside in the longer term. It will provide clear and credible choices for transforming the future of local healthcare.

A new, innovative leadership model for clinical directorates is now in place to drive the changes necessary in health and social care across the whole system. Clinicians are taking the lead to design and provide evidence-based models of care which are safe, accessible, effective and person-centred in the Transforming Tayside programme.

Innovation and research are at the forefront of what NHS Tayside stands for and we are proud to have established the first academic health science network in Scotland, jointly supported by the Scottish Government and the University of . The Academic Health Science Partnership in Tayside brings together the delivery of healthcare services, education, quality improvement and research with the purpose of improving the health of patients. NHS Tayside, alongside the Academic Health Science Partnership, has welcomed funding announced in the Tay Cities Deal to grow the Tayside Biomedical Cluster. The project aims to make the region one of the most attractive and sought after biomedical locations in the UK. A £25million investment to grow the Tayside Biomedical Cluster was one of the projects announced to receive investment in the Tay Cities Deal Heads of Terms Agreement. The funding will stimulate a step change in innovation-led growth and create new jobs for the region.

The final thing I would like to say to any potential applicant is that Tayside occupies an enviable location on the east coast of Scotland with rivers, hills, mountains and rolling countryside right on our doorstep, as well as vibrant urban areas. The V&A Museum of Design in Dundee is an international centre of design and the centrepiece of Dundee’s innovative new waterfront development. This, along with Tayside’s great links to all other major cities in Scotland, means the area can offer employees plenty of choice when it comes to both accommodation and opportunities of things to do in the pursuit of the right work-life balance.

We would be delighted to hear from you should you have any questions or require any further information regarding the post.

Grant R Archibald, Chief Executive of NHS Tayside

NHS TAYSIDE VISION, AIM AND VALUES Our Vision

To find out more about NHS Tayside visit our website at:

http://www.nhstayside.scot.nhs.uk/index.htm

About NHS Tayside

NHS Tayside is responsible for delivering healthcare to more than 415,000 people living in Tayside. We employ around 14,000 staff and provide a comprehensive range of primary, community-based and acute services for the populations of Dundee City, Angus and Perth & Kinross. Our annual budget is now circa £910 million of public money which works out at around £2.5 million spent by NHS Tayside for every day of the year.

Tayside area

Within NHS Tayside and based on the western edge of Dundee, is one of the largest teaching in Europe. It is internationally renowned for introducing laparoscopic surgery to the UK as well as being a leading centre in developing fields such as the management of cancer, medical genetics, cardiovascular disease, diabetes, informatics, neuroscience and imaging.

Our hospital sites across Tayside also have nursing and research links with the and University of Abertay, Dundee.

In Tayside, we have 83,000 admissions every year, which is made up of 66,000 inpatient admission and 17,000 'same' day procedures. We also see 1,030,000 outpatient attendances annually.

In addition, at the heart of health services in our communities are our GP and primary care services which are there supporting our patients and their families where they live and work.

Health and Social Care Partnerships

There are three Health and Social Care Partnerships in Tayside: Angus; Dundee; and Perth and Kinross.

NHS Tayside works very closely with colleagues in the partnerships as they provide a range of adult health and social care services to our local communities.

Academic Health Science Partnership in Tayside (AHSP)

NHS Tayside has embarked on a major collaborative initiative, Academic Health Science Partnership in Tayside (AHSP). It is the first Academic Health Science Network in Scotland with an ambition to transform healthcare locally and globally at the time when it faces many difficult challenges.

Building upon the success of previous University of Dundee and NHS Tayside collaborations, AHSP is bringing together the delivery of healthcare services, education, quality improvement and research with the purpose of improving the health of patients through more effective integration of these functions in routine practice.

LIVING IN TAYSIDE

Discover award-winning towns and cities, breathtaking beaches and alluring countryside. Historically rich and home to Scotland’s longest river, Tayside is an innovative and exciting place to begin or expand your career. Dundee, Angus and Perth and Kinross make up this vibrant region - between them offering the perfect blend of city, country and coastline. In fact, you can easily enjoy the tranquility and scenery of neighbouring towns and villages within reach of the region’s cities of Dundee and Perth.

Find out more about living and working in Tayside at:

www.dundeecity.gov.uk

www.angus.gov.uk

www.pkc.gov.uk

Education in Tayside

In Tayside there are a host of schools, both public and private and excellent colleges and universities making Tayside a family friendly location.

Housing in Tayside

Whether you want to live in the rural countryside or one of Tayside’s vibrant cities or towns, you’ll have a variety of housing choices, many below the national average house price. For more information about housing in Tayside, visit the Tayside Solicitors Property Centre and/or Perthshire Solicitors Property Centre websites: http://www.tspc.co.uk/ http://www.pspc.co.uk/

Getting around

There are excellent connections to and within the region. It only takes approximately 30 minutes to drive between Dundee and Perth and just over an hour between Dundee and Edinburgh, Aberdeen and Glasgow.

Travelling and commuting within Tayside is easy by road, bus or train. Dundee’s regional airport offers daily flights to London Stansted in addition to private and leisure flights. The international airports at Edinburgh, Glasgow and Aberdeen will ensure you are connected from Scotland to the rest of the world.

Enter job description here.

HOW TO APPLY

To apply, please submit:

 Curriculum Vitae (CV) - a copy of your current CV. This should contain the names, addresses and email addresses of 3 referees, including your current or most recent employer. We are unable to accept applications submitted on the NHS Scotland Application Form.

Please include details of your registration on the Specialist Register of the General Medical Council or your expected date of completion of training.

 Supplementary Form - completed Immigration Status Form (see below);

 Supplementary Form - completed Declaration Statement in respect of Fitness to Practice and Criminal Convictions (see below);

 Supplementary Form - completed Equal Opportunities Form (see below). The information you provide is confidential and not used in the selection process. This form will be separated from your application.

It is essential to complete and submit the above Supplementary Forms, along with your CV, as part of your application.

Please quote reference AR.24.19 in the subject box.

As an Equal Opportunities Employer, it is NHS Tayside’s policy to ensure that all applicants are given the same consideration in relation to job selection, promotion and treatment.

The closing date for receipt of completed applications is XXXXXXX.

Interviews are scheduled to take place on Monday 9 December 2019.

Applications should be submitted to [email protected]

Owing to the number of applications received and to make the best use of resources, we are unable to acknowledge receipt of applications or to advise all candidates of the outcome of their application. If you have not heard from us within 6 weeks of the closing date you may assume that, on this occasion, your application has been unsuccessful. Thank you for your interest in working for NHS Tayside.

We look forward to receiving your formal application.

IMPORTANT NOTICE

IMMIGRATION STATUS

Please be aware that shortlisted applicants will be required to bring their original passport and visa documents with them, for inspection, when attending for interview.

Are you a national from Austria, Belgium, Cyprus, Denmark, Finland, YES NO France, Germany, Greece, Iceland, Ireland, Italy, Liechtenstein, Luxembourg, Malta, Netherlands, Norway, Portugal, Spain, Sweden, , Switzerland, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Slovakia, Slovenia, Bulgaria, Romania and Croatia?

If you have circled ‘NO’ to the above sections please tick the box which relates to your current immigration status, and provide expiry dates:

Tick Status Expiry Date

I require a Certificate of Sponsorship.

I hold refugee status

I have indefinite leave to remain in the United Kingdom

I have right of abode

Any other immigration status – please specify:

Print Name: …………………………………......

Signature:…………………………………………………………………………………………………….

Date: ……………………………………………………………………………………………………..

APPOINTMENT AND REVIEW PROCEDURES

Declaration Statements and Statements of Policy

Statement of Policy regarding fitness to practise proceedings by a licensing/regulatory body and relating to criminal investigations in the UK or overseas.

Registration with the General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of medical care for, and to behave appropriately, towards patients. NHS Employers also have a duty to ensure that patients receive a good standard of medical care and ensure as far as possible the safety of patients. We therefore need to establish if you have been found guilty of a criminal offence, been bound over or cautioned or are currently the subject of proceedings which might lead to a conviction, an order binding you over or a caution, in the UK or any other country.

This post is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. This means that you must tell us if you have been convicted of a criminal offence either classed as ‘spent’ or ‘unspent’, been bound over or cautioned or are currently the subject of any police investigations, which might lead to a conviction, an order binding you over or a caution in the UK or any other country. Information will be verified by Disclosure Scotland.

We also need to establish if you have been the subject of any fitness to practise proceedings in the past, or any fitness to practise proceedings are being contemplated, by a licensing or regulatory body in the UK or another country and this is also reflected in the declaration. This information will be treated in confidence and will not debar you from appointment unless the selection panel considers that it renders you unsuitable for appointment. In reaching such a decision we will consider the nature of the conviction/action, how long ago it took place and any others factors that may be relevant.

Failure to disclose a criminal offence, or cautioned, or that you are currently the subject of criminal proceedings which might lead to a conviction, an order binding you over or a caution, or fitness to practise proceedings undertaken or being undertaken by an appropriate licensing or regulatory body, may disqualify you from appointment, or result in summary dismissal/disciplinary action and referral to the General Medical Council [General Dental Council] for consideration if such a discrepancy came to light.

If you would like to discuss what effect any previous convictions, police investigations or fitness to practise proceedings taken or being taken either in the UK or by an overseas licensing or regulatory body might have on your application, you may telephone the Recruitment Services Team (Medical Staffing) on Tel: 01382 632000 for advice. All calls will be treated in confidence.

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Declaration Statement regarding

(a) any criminal offence, being bound over or cautioned, or current proceedings which might lead to a conviction, an order binding you over or a caution and

(b) fitness to practice proceedings taken or being currently contemplated by a licensing/regulatory body

1. Have you been convicted of a criminal offence, been bound over or cautioned or are currently the subject of any police investigations, which might lead to a conviction, an order binding you over or a caution in the UK or any other country? YES/NO

Note: Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. You are required to declare prosecutions or convictions, including those considered ‘spent’ under this Act.

If yes, please provide details of the criminal offence, order binding you over or caution or details of any current proceedings which might lead to a conviction, an order binding you over or a caution, including approximate date, the offence, and the authority and country which dealt with the offence.

2. To the best of your knowledge have you been or are you currently subject to any fitness to practise proceedings by an appropriate licensing or regulatory body in the UK or any other country? YES/NO

If yes, please provide details of the nature of proceedings undertaken, or contemplated, including approximate date of proceedings, country where proceedings were undertaken and the name and address of the licensing or regulatory body concerned.

I hereby declare that the information given here is true.

Signature: ______

Print Name: ______

Date: ______

DISABILITY CONFIDENT EMPLOYER

Disability

The Equality Act 2010 defines disability as follows: “any physical or mental impairment which has a substantial and long-term effect negative effect on your ability to carry out normal day to day activities”. NHS Tayside is accredited as being a Disability Confident Employer and operates a Job Interview Guarantee (JIG), which means that if you have a disability, and meet the minimum criteria outlined within the person specification, you will be guaranteed an interview. However, some disabled people prefer not to take this option, so please tick your preference if you are a disabled candidate.

Do you want to participate in the guarantee scheme? Yes No

Please specify any special requirements you require if attending for interview, e.g. Induction Loop, Wheelchair Access, Signer

NHS TAYSIDE EQUAL OPPORTUNITIES MONITORING FORM

Equal Opportunities Monitoring

We want to ensure that our job opportunities are open to all. The only way we can ensure there is equal opportunity is to monitor applications we receive and compare the profile of people who apply with those appointed. Therefore this form asks you for your ethnic origin, gender, disability, religion, sexuality and age. The information you provide in this document is confidential and is not used in the selection process. It will be separated from the rest of your application when we receive it. 1) If you are currently an employee of NHS Tayside, will getting this job be a promotion?

Yes No 2) You are:

Female Male

3) Have you undergone, are you undergoing or do you intend to undergo gender reassignment? For example, this includes having changed your sex (gender)?

Yes No Prefer not to say

4) What is your age? I am years old, and my date of birth is: 5) Do you have a physical or mental health condition or disability that: . has a substantial effect on your ability to carry out day to day activities? . has lasted or is expected to last 12 months or more?

Yes No Prefer not to say

. If you answered ‘yes’ please tick if it is either of the following: Learning Disability Physical impairment Long standing illness Sensory impairment

Mental health condition

Other (please describe):

. Again, if yes, please describe any particular arrangements you would need for your work location:

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6) What is your ethnic group? Choose one section from A to F, then tick the appropriate box to indicate your cultural background

A: White Scottish Irish Other British

Polish Gypsy Traveller

Any other White background

B: Mixed Any mixed background

C: Asian; Asian Scottish; Asian British Pakistani Indian Chinese

Bangladeshi Any other Asian background

D: Black; Black Scottish; Black British Caribbean African Any other Black background

E: Other ethnic background Any other background

F: Prefer not to answer

7) To which religion, religious denomination or body do you actively belong?

(Christianity) - Church of Scotland Hinduism

(Christianity) - Roman Catholic Sikhism

Christianity (other) Judaism

Other faith / belief Islam

Buddhism No religion (none)

Prefer not to answer 8) Which of the following best describes your sexual orientation?

Bisexual Gay Man

Heterosexual Lesbian/Gay Woman

Other Prefer not to answer

Thank you.

GENERAL INFORMATION

TYPE OF CONTRACT Permanent

GRADE AND SALARY Consultant

£82,669 to £109,849 per annum

Salary is paid on the last Thursday of each month by Bank Credit Transfer.

HOURS OF DUTY 40 per week

SUPERANNUATION New employees are automatically enrolled into the NHS (Scotland) Superannuation Scheme, but may opt out later should they choose. The pension scheme is provided by Scottish Public Pensions Agency. All benefits are explained on the SPPA website www.sppa.gov.uk

Employee contribution rates with effect from 1 April 2018 are as follows:

Annual Pensionable Pay Contribution (Full-time equivalent) Up to £16,928 5.2% £16,929 to £22,439 5.8% £22,440 to £27,910 7.3% £27,911 to £51,481 9.5% £51,482 to £73,498 12.7% £73,499 to £114,760 13.7% £114,761 and above 14.7%

Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay.

PROFESSIONAL You must be registered with the General Medical Council and hold a REGISTRATION licence to practice

You must also be on the Specialist Register or be within 6 months of the anticipated award of CCT or CESR(CP) at the time of interview for the post

RELOCATION EXPENSES Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.

SMOKING POLICY NHS Tayside operates a No Smoking Policy and smoking is prohibited within NHS premises and grounds

DISCLOSURE SCOTLAND This post requires membership of the Protection of Vulnerable Groups Scheme (PVG) in respect of regulated work with protected adults and children

MEDICAL EXAMINATION All offers of appointment are subject to a satisfactory medical examination. Medical examinations are undertaken by Occupational Health (OH)

REFERENCES All offers of appointment are subject to receipt of three satisfactory references

THE IMMIGRATION, It is a criminal offence for an employer to employ anyone who does not ASYLUM and have permission to live or work in the United Kingdom NATIONALITY ACT 2006 Shortlisted applicants will be asked to produce specific original documentation when attending for interview e.g. passport or full birth certificate together with an official document giving the applicants’ permanent National Insurance number and name issued by a Government Agency or a previous employer, as well as clear photocopies of these documents

THE REHABILITATION OF The Rehabilitation of Offenders Act 1974 allows people who have been OFFENDERS ACT 1974 convicted of certain criminal offences to regard their convictions as (EXCLUSIONS and “spent” after the lapse of a period of years. However, due to the nature EXCEPTIONS) of work for which you are applying this post is exempt from the (SCOTLAND) AMENDMENT provisions of the Rehabilitation of Offenders Act 1974 by virtue of the ORDER 2015 Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Amendment Order 2015.

Therefore, applicants are required to disclose information about all unspent convictions and spent convictions for offences on the ‘always’ disclose list. Offences on the ‘always’ disclose list can be found at

https://www.mygov.scot/offences-always-disclosed/uksc-offences- always-disclosed-list-2015.pdf?inline=true

There is a separate ‘rules’ list for offences like fraud, theft or assault. If you have a spent conviction for an offence on the ‘rules’ list, Disclosure Scotland follow rules set out in law about the length of time they will disclose them. The rules are:

 Fifteen years, if you were 18 or over at the date of the conviction

 Seven and a half years, if you were under 18 at the date of the conviction

If Disclosure Scotland discloses a conviction on the ‘rules’ list, we will ask you about this also. Offences on the ‘rules’ list can be found at https://www.mygov.scot/offences-disclosed-rules/uksc- offences-disclosed-rules-list-2015.pdf?inline=true

Any information provided will be treated confidentially and only shared with those who need to know

Having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question

If you are appointed and it is found you did not disclose previous conviction(s), disciplinary action up to and including dismissal may be taken

MEDICAL NEGLIGENCE In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.

FAIR PROCESSING NHS Tayside is under a duty to protect the public funds it NOTICE administers and to this end may use the information you provide in your application for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. Further information can be found at: http://www.nhstayside.scot.nhs.uk/YourRights/NationalFraudInitiat ive/index.htm or contact [email protected]

NHS TAYSIDE, NINEWELLS HOSPITAL AND

CONSULTANT TRAUMA & ORTHOPAEDIC SURGEON – 1 POSTS

Lower Limb Arthroplasty including Revision arthroplasty & Trauma surgery

The Department of Trauma & Orthopaedic Surgery is looking for Consultant Trauma and Orthopaedic Surgeon with an appropriate specialist interest – in Lower Limb Arthroplasty and to provide emergency trauma service based at Ninewells Hospital and Medical School with other sessions at or , Brechin.

As an organisation NHS Tayside is going through rapid improvement program with new clinically led and managerially enabled model. We are excited to be part of Transforming Tayside with several streams of work integrating to provide best quality of patient care with efficiency and effectiveness embracing realistic medicine. With service realignment already underway with now established and well functioning Major Trauma Centre in Ninewells Hospital site, with elective care centre program finalising. Elective care program is developing to streamline elective activity at Perth Royal infirmary and Stracathro Hospital with Ninewells Hospital providing emergency services in orthopaedics and complex elective services.

The new clinical leadership teams working towards making NHS Tayside a very attractive organisation to work as a team member.

NHS Tayside and Dundee University Medical School have an excellent international reputation. NHS clinical department of trauma and orthopaedics has very good reputation for high quality undergraduate teaching provided by NHS Consultants and Speciality Registrars. The University of Dundee orthopaedic department is going through transformation as well with established links between academic and clinical teams strengthened of our teaching hospital unit. Audit teams working with university and clinical teams providing robust long term date not only for research but for service development and innovative future delivery of service based on outcome data. Recent additions to already well known lower limb arthroplasty audit are upper limb and foot ankle audit programs. The close links between these institutions are greatly valued offering a highly stimulating and rewarding working environment.

Tayside offers a very high standard of living with good schools, a wide choice of cultural activities, many and varied outdoor and sporting opportunities which are easily accessed via an excellent uncluttered road system. There are major rail links and offers regular daily flights to London.

Informal enquiries may be directed through the Admin Services Manager, Mrs. Karen Blackwood, telephone (01382) 496342.

Applications in the form of a current CV, including the names, addresses, email addresses and telephone numbers of 3 referees (including your current or most recent employer) should be 18

emailed, to [email protected] quoting reference number AR.24.19 in the subject box.

You must also include the further particular forms available via the www.jobs.scot.nhs.uk website, please do not complete the NHS Tayside Application Form, your CV is your application

Closing date for applications is 21 November 2019.

Interviews are arranged for Monday 9 December 2019.

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NHS TAYSIDE

NINEWELLS HOSPITAL AND MEDICAL SCHOOL

APPOINTMENT OF

CONSULTANT IN TRAUMA AND ARTHROPLASTY SURGERY

Post reference: AR.24.19

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CONTENTS

SECTION 1 Job Description and General Information

SECTION 2 Person Specification

SECTION 3 Duties of the Post

SECTION 4 Department of Trauma & Orthopaedics

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SECTION 1 Job Description and General Information

Title: Whole-time Consultant in Orthopaedic Surgery

Combined Specialty Lower Limb Arthroplasty Surgery including revision surgery and Area : trauma

Location: Based at Ninewells Hospital and Medical School with duties at Perth Royal infirmary

New or Replacement Replacement Post

Prime responsibility: To provide Primary and revision hip arthroplasty service including comprehensive trauma on call service as part of major trauma service team Accountable to: Associate Medical Director

Reports to: Clinical Care Group Director for Trauma & Orthopaedics

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Key Tasks: Maintenance of the highest clinical standards in the management of acute trauma patients including initial and ongoing management of polytrauma patients. The post also involves joining the lower limb arthroplasty service which includes revision hip arthroplasty. Participation in ,out-patient management, surgical treatment and ongoing care of all aspects of arthroplasty care will be expected as part of the arthroplasty team.. There will be an emphasis on providing arthroplasty services as part of the efficiency improvement drives across NHS Tayside. The elective part of the post will focus on enhanced recovery, reduction in length of stay and higher volume throughput. This is in alignment with NHS Tayside’s “Transforming Tayside” service initiatives which aims to improve efficiency and quality of care for Tayside patients.

The trauma aspect of the post encompasses joining trauma surgical colleagues to deliver the trauma service. You will be part of a group of 12 consultants delivering acute trauma covering weekends, week of nights and major trauma over a 12-week cycle. The successful applicant will be required to liase with consultant arthroplasty colleagues, audit nurses& allied specialities when managing elective and trauma surgery.

Teaching and training of junior staff, medical students and other healthcare professionals with special reference to spinal service.

Commitment to ongoing CPD To actively participate in both departmental and NHS Tayside clinical governance, audit and management of safety and risk SECTION 2 Person Specification To actively participate in continuing medical education (CME). NHS Tayside is committed to the principle of equality of opportunity in employment and accordingly its advertising and recruitment literature will not imply that there is a prefe rence for any one group of applicants, e.g. by the use of discriminatory job titles or material depicting or describing certain sexual or racial groups.

In general, the shortlisting process will be conducted so as to give all candidates equal consideration against defined selection criteria. The following criteria will, therefore, be applied equally to all candidates irrespective of age, sex, religion, ethnic origin or disability and avoiding judgements on the basis of assumptions or stereotypes.

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JOB TITLE: Consultant in Trauma & Orthopaedic Surgery [Sub specialty Lower limb arthroplasty, trauma and revision hip arthroplasty] LOCATION: Ninewells Hospital based and elective duties at Perth Royal Infirmary

CRITERIA ESSENTIAL DESIRABLE METHOD OF EVALUATION EXPERIENCE: Post Fellowship experience CV/Interview Lower limb arthroplasty in complex primary hip and Log book Fellowship including some knee surgery, including experience in revision hip revision surgery surgery

Comprehensive & current lower limb (hip and knee) Higher Degree primary arthroplasty experience as evidenced by log book QUALIFICATIONS: FRCS (Tr & Orth) or ATLS Instructor status CV/Interview equivalent GMC UK Specialist Register or within 6 months of attaining CCT or already on Specialist Register through CESR ATLS Provider status KNOWLEDGE & Competence in assessment Arthroplasty related Primary CV/Interview/ SKILLS: of all lower limb arthroplasty author publications and References patients and competence in presentations at peer providing primary hip and reviewed high impact knee replacement surgery meetings Service including revision hip surgery. Comprehensive experience and knowledge in the management of trauma TEACHING Ability to engage in Competence in CV/Interview/ undergraduate and postgraduate education and References postgraduate education training

RESEARCH & AUDIT Evidence of some completed Original service CV/Interview research is required. improvement audits in arthroplasty with completion Track record of peer- of cycle reviewed publications Evidence of audit in outcomes / safety MANAGEMENT Leadership training as Ability to work in service Interview/ postgraduate doctor with development compatible References evidence of management with NHS Tayside 24

experience Transformation

OTHER: Ability to travel within Interview (eg travel across Tayside Tayside)

SECTION 3: Duties of the Post

Duties & Responsibilities of the Post

i. Participation pro rota in provision of an emergency trauma and orthopaedic 24/7 service with Consultant Colleagues at Ninewells Hospital. ii. Provide prospective cover for trauma colleague’s annual leave and other authorised absences; iii. To work to support lower arthroplasty surgery service in conjunction with appropriate allied specialties and colleagues providing primary and revision arthroplasty surgery iv. Professional supervision and management of junior medical staff v. Responsibilities for carrying out teaching, examination and accreditation duties as required and for contributing to undergraduate, postgraduate and continuing medical education activity, locally and nationally vi. Participating in medical audit, clinical governance processes and in CPD vii. Involvement in research viii. Managerial, including budgetary or service delivery responsibilities where appropriate ix. Undergraduate teaching as per agreed job plan up to 0.5 sessions per week in an annualised job plan.

Job Plan (Attached separately)

This is a fulltime post (10 PAs per week) based at Ninewells Hospital with elective sessions in Perth Royal Infirmary. Up to 2 additional EPAs will be available to manage trust waiting lists which will be annualised spread between new clinics and theatres based on service needs across elective areas in NHS Tayside.

The initial job plan is indicative and will be subject to review at three months and annually thereafter.

1 SPA is allocated for personal continued professional development and a further SPA is dependent on the needs of the directorate to manage teaching, clinical and educational supervision of Speciality trainees and Foundation doctors, service development work and rationalising services as desired by the surgical division on discussion with Care Group Director at first job plan review.

8 PA s of direct clinical care are annualised to provide a combination of elective theatre sessions and outpatient clinics to be worked flexibly depending on patient flows. 25

On Call Availability

The on-call requirement for this role attracts a 5% salary supplement as 1 in 12 with prospective cover.

Future Developments/Change in Job Plans

NHS Tayside is going through an ambitious program of Transforming Tayside 2019-2022 and shaping Orthopaedic services is part of the transformation. There is possibility of services being realigned following this. We anticipate the appointed candidate to have minimal changes to job plan based on the outcome of the consultation, with key elements of the job and locations will remain same.

Teaching and Training

The appointee is expected to participate in teaching, training and supervision of junior staff, medical students and trainees. The higher surgical training programme is an asset to the department led by a very committed training programme director. Fifteen NTN specialty registrars include two on rotation to Raigmore. Specialty registrars, two clinical fellows and one core trainee work a two level rota to provide emergency cover on the Ninewells site Study & Training

The applicant is expected to participate in professional continuing medical education; study leave is provided for this purpose, and the appointee will be entitled to apply to the NHS Tayside Study Leave Committee for a contribution to funding of this activity. Conditions of Service

The terms and conditions of employment will be subject to NHS Tayside Terms and Conditions of Service for Medical Staff as agreed locally with the BMA Local Negotiating Committee. Until such time as they come into force you will remain subject to the Terms and Conditions of Service for Hospital Medical and Dental Staff (Scotland) and the General Whitley Council Conditions of Service both as amended from time to time.

Membership of the NHS Superannuation Scheme is not compulsory. All medical and dental staff are entitled to choose if they wish to join the scheme or not. Until such time as a positive option not to join the scheme is expressed, a member of staff will be regarded as a member of the scheme from the first day of service. This will not affect any individual right to make alternative arrangements. Initially, the employment covered in this contract will be contracted out of the State Pension Scheme.

The appointments will be on a whole-time basis. Consultants are required to adhere to the provisions set out in Appendix 8 of the new Consultants Contract governing the relationship between NHS commitments and private practice.

Any Consultant who is unable, for personal reasons, to work full-time, will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis in consultation with the Clinical Lead and the Clinical Director.

The successful candidates will be expected to reside within an approved distance of Ninewells Hospital.

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Responsibility for Records Management

All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment.

SECTION 4: NHS Tayside Trauma & Orthopaedic Service NHS Tayside

NHS Tayside provides a comprehensive range of general and specialist acute services for its population including comprehensive trauma and orthopaedic service. Dundee is a centre for innovative medical and technological development and world renowned for the close collaboration between basic science and clinical medical disciplines.

In November 2018 Ninewells Hospital acquired full functionality as one of the earlier Major Trauma Centres in Scotland with 6 bedded fully functional Major Trauma Ward supported by full complement of multidisciplinary teams Monday-Friday.

NHS Tayside is a major health service provider and focus for medical, dental, nursing and midwifery education. The medical school became the Faculty of Medicine of the University of Dundee when the university received its Charter in 1967. The recent annual intake of medical students is 150 and the total number of students at the University is 11,000.

Dundee, with a population of around 170,000 is the fourth city in Scotland and is situated on the north bank of the . It is Scotland's only south-facing city, giving it a claim to being Scotland's sunniest and warmest city. It is conveniently near the three other large cities – Edinburgh, Glasgow and Aberdeen, none more than an hour and a half away by road or rail. London is just six hours away by rail link and around an hour by air from the local airport where direct flights are also available to Belfast. Tayside provides an excellent standard of living with high quality, reasonably priced housing, good schools and childcare facilities, both public and private. The river and its estuary, the coasts of Angus and Fife and the nearby hills and mountains of Angus and Perthshire offer scope for every conceivable outdoor activity. Golfers are particularly well served with St Andrews and only a 30 minute drive away. Hill walkers, skiers, sailors and fishermen fare equally well as do those looking more to the arts. There are flourishing professional repertory theatres in both Dundee and Perth, and concert halls which host regular concerts of the Royal Scottish National Orchestra as well as visiting opera and popular musical performances. The Victoria and Albert Museum (London) have chosen Dundee to establish a new museum, the first of its kind outside London. This prestigious institute is due for completion in 2018 and will form, along with RRS Discovery, a focal point to the waterfront redevelopment programme.

Ninewells Hospital

Ninewells Hospital is the main teaching hospital associated with the University of Dundee and the major acute service provider in the area.

The hospital was opened in 1974 and with 810 acute beds is one of the largest units of its kind in the British Isles, and was specifically designed with the medical school and hospital integrated in a way that provides for growth and change in future years. 27

The Clinical Skills Centre and Cushieri Skills Centre are also based within Ninewells Hospital.

In addition, the following are also based within the Ninewells Hospital campus; Tayside Medipark, Drug Development (Scotland) Limited, Karl Storz (surgical instrument maker) and Tayside Academic Health Sciences Centre (TAHSC) which was formally established on 1st January 2010 and combines the research strengths of the University of Dundee with NHS Tayside and is a node of the national Scottish Academic Health Sciences Collaboration. It brings together, within a single organisational framework, the Clinical Research Centre, the Tayside Clinical Trials Unit and the joint functions of the NHS Research & Development office and the University's Research & Innovation Services (in relation to clinical research). This strategic alignment brings greater efficiency to research management and governance across the University and NHS.

Perth Royal Infirmary

Perth Royal Infirmary is 23 miles west of Dundee and provides the District General Hospital Service for the Perthshire and Kinross area of western Tayside. It is a 200 + bed hospital with supporting Specialist Services and it is envisaged the current job will add to service improvement programmes to establish centre of excellence of elective orthopaedic surgery at Perth with high volume arthroplasty service provision along with out-patient clinics.

Stracathro Hospital Stracathro Hospital is situated approximately half way between Dundee and Aberdeen, just three miles from the Angus county town of Brechin. Current scheduling includes two to 3-day weekday stay for carefully selected major joint replacements through a robust preadmission service, short stay and day case surgery in orthopaedics. It also provides ambulatory diagnostic and treatment services to Tayside, Grampian and Fife. Department of Trauma & Orthopaedic Surgery

Trauma surgery is concentrated on the Ninewells site where complex trauma, multiple injuries, hand trauma and paediatric trauma is carried out. Elective Orthopaedic surgery is carried out at Perth Royal Infirmary, Stracathro Hospital and at Ninewells. The catchment area covers the populations of Dundee, Angus, Perthshire and Northeast Fife. Potential changes to trauma service will be decided based on the outcome of consultation of shaping orthopaedic surgical services. It is envisaged higher than current amount of elective work will be provided at Perth Royal Infirmary to which successful applicant of this post will contribute.

There are close links between clinical practice and the University of Dundee. The University Department of Orthopaedic and Trauma Surgery and the Institute of Motion Analysis and Research are undergoing changes as the university department seeks new head of the department. The Department has an international reputation in the areas of medical education and functional studies of foot/ ankle and gait and hosts a Master of Orthopaedic Surgery Course with postgraduate students integrated for clinical attachments in the unit at all three hospital sites.

Future rota changes will allow for all surgeons to meet twice weekly on Ninewells and PRI sites to support patient management and to plan and to ensure continuity of care with a robust 28

'buddying' system that’s being developed.

The department is developing a new profile of leadership with an NHS Tayside philosophy of having a clinically led and managerially enabled organisation. Our enthusiastic clinical leads are working on the opportunities that will develop all three sites to their best efficiency in service delivery, quality of patient care and training for all staff including undergraduate and postgraduate teaching.

The arthroplasty service is adequately supported by AHPs audit teams and nurse practitioners across Tayside. Arthroplasty service has monthly arthroplasty team meetings for peer support and review to make service robust with quality improvements and service developments. Any further career interests of applicants will be assessed carefully and supported if it fits within the vision of NHS Tayside transformation program.

4.5. Staffing: NHS

The Consultant Staff comprises:

Mr. Benedict Clift Trauma, arthroplasty including revision arthroplasty surgery Honorary Senior Clinical Lecturer

Mr. Douglas Robinson Trauma & Upper Limb Surgery (FY Lead and Undergraduate teaching)

Mr. Fraser Harrold Trauma, Foot & Ankle surgery (Clinical Lead)

Mr. David Nicoll Trauma, Lower limb arthroplasty & Soft tissue Knee (Clinical Lead) Honorary Senior Clinical Lecturer

Mr. Graeme Foubister Lower limb Arthroplasty, Soft tissue Knee (Undergraduate teaching and mentoring)

Mr. Simon Johnson Trauma, Hands and Wrist Surgery (Training Program Director East of Scotland Higher Orthopaedic Surgical Training)

Miss Triin Nurm Trauma, Foot & Ankle Surgery

Mr. Sankar Sripada Trauma & Lower Limb Arthroplasty (Joint Clinical Care Group Director Surgery & Orthopaedics)

Mr. Gavin Love Trauma & Lower Limb Arthroplasty, deformity correction

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Mr. Faz Alipour Trauma & Lower Limb Arthroplasty (Clinical Lead)

Mr Arpit Jariwala Trauma & Upper Limb Surgery (Clinical Lead) Honorary Clinical Reader

Mr. Stephen Dalgleish Trauma, Lower limb arthroplasty & Soft tissue Knee (Undergraduate Teaching)

Mr. Donald Campbell Paediatric Surgery, Foot and Ankle surgery (SAC) Honorary Senior Clinical Lecturer

Vacant Post Trauma & Lower Limb Arthroplasty & revision Advertised and awaiting appointment

Mr. Carlos Wigderowitz Hands & Upper Limb surgery Honorary Senior Clinical Lecturer

Vacant post Trauma & Spinal surgery Advertised and awaiting appointment

Mr Brian Singer Trauma & Lower Limb Arthroplasty including revision PRI on call service Mr. Manhal Nassif Trauma & Lower Limb Arthroplasty including revision PRI on call service

Mr. Jamie Maclean Trauma & Paediatric surgery, Hand surgery PRI on call service Honorary Senior Clinical Lecturer

Mr. Jaroslav Tomasek Lower Limb Arthroplasty (Locum) PRI on call service

Mr Petros Boscainos Lower Limb Arthroplasty Honorary Senior Clinical Lecturer

Mr Richard Buckley Knee surgery 0.6 WTE Stracathro Hospital

Divisional management team comprises:

Associate Medical Director Dr. Pamela Johnston Clinical Care Group Directors Mr. Sankar Sripada and Mr Christoph Kulli Clinical Care Group Manager Mr. Stuart Keys

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Clinical Care Group Lead Nurse Mrs Lynn McAteer

4 4.6. Accommodation

Office accommodation will be available on a shared basis, and access to secretarial support will be provided at Perth Royal Infirmary and at Stracathro

5 6 7 8 4.7. Further Information

For further information and to arrange an informal visit, please contact Mrs Karen Blackwood Group Administrative Assistant Tel: 01382 496342 or Miss Vanessa McCafferty PA to Leadership teams 01382 740129 to arrange informal discussions or appointments with Leadership teams

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Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Week 1 AM Theatre Clinic SPA Flexible Clinic PRI Off Off PRI PRI Clinical Day PM Theatre SPA SPA SPA/CBM/P Off Off PRI G teaching/ Arthroplasty meeting Week 2 AM Theatre Clinic SPA Flexible Clinic PRI Off Off PRI PRI Clinical Day PM Theatre SPA SPA Clinic PRI SPA/CBM/P PRI G teaching/ Off Off Arthroplasty meeting Week 3 Ninewells AM Theatre Fracture Trauma Post take Orthopaedic Off Off Ninewells Clinic Theatre ward round Clinic Ninewells

PM Theatre Ward Trauma SPA SPA/CBM/P Off Off Ninewells Round Theatre G teaching/ SPA Arthroplasty meeting

Week 4 AM Theatre Clinic SPA Flexible Trauma Off Off PRI PRI Clinical Day Theatre

PM Theatre SPA SPA Flexible Trauma Off Off PRI Clinical Day Theatre

Week 5 AM Theatre Clinic SPA Flexible Clinic PRI Off Off PRI PRI Clinical Day PM Theatre SPA SPA Flexible SPA/CBM/P Off Off PRI Clinical G teaching/ Day/SPA Arthroplasty meeting Week 6 Theatre Fracture Trauma Post Take Clinic AM Ninewells Clinic Theatre ward round Ninewells Off Off Ninewells PM Theatre Ward Trauma SPA SPA/CBM/P Off Off Ninewells Round Theatre G teaching/ SPA Arthroplasty meeting Week 7 Theatre Clinic SPA Flexible Clinic PRI AM PRI PRI Clinical Day Off Off PM Theatre SPA SPA Flexible SPA/CBM/P Off Off PRI Clinical Day G teaching/ Arthroplasty 32

meeting

Week 8 Theatre Clinic SPA Flexible Theatre AM PRI PRI Clinical Day Ninewells Off Off PM Theatre SPA SPA Flexible Theatre PRI Clinical Day Ninewells Off Off

Week 9 SPA Fracture Trauma Post Take Fracture Weekend Weekend AM Clinic Theatre ward round Clinic on Call on Call Ninewells PM SPA Ward Trauma SPA SPA/CBM/P Weekend Weekend Round Theatre G teaching/ on Call on Call SPA Arthroplasty meeting Week 10 Post Theatre SPA Flexible Orthopaedic AM Weekend Ninewells Clinical Day Clinic Off Off ward Ninewells round PM Off Theatre SPA Flexible SPA/CBM/P Ninewells Clinical Day G teaching/ Off Off Arthroplasty meeting Week 11 Nights Nights Nights Nights Nights AM PM Nights Nights Nights Nights Nights

Week 12 MTC MTC MTC MTC MTC AM PM MTC MTC MTC MTC MTC

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