Obstetrics and Gynaecology Consultant

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Western Isles Health Board 1 The best at what we do

A Message from the Medical Director

Dr Francis McAuley

Thank you for your interest in our Consultant in Obstetrics and Gynaecology post. We pride ourselves as an organisation that is at the forefront of innovation whilst delivering truly person-centred care services for our patients.

I joined NHS Western Isles in March 2020 as Medical Director for a number of reasons; not just to gain an interesting and promoted post, but also for the lifestyle that the Western Isles has to offer, from its scenic beaches to its more peaceful, safe and tranquil way of life. My role as Medical Director has allowed me to continue to promote innovation and transformation within health and social care. The islands have an appetite for change, but also an enthusiasm to maintain their character while developing resilient health and social care services for their residents.

NHS Western Isles Health Board is proud to employ around 1045 members of staff and have nine GP Practices at fourteen sites throughout our beautiful islands. We recognise that people who work in our teams are central to ensuring that we deliver the highest quality of safe and effective person-centred care.

I hope you find the information pack and supporting documents useful in deciding to make a formal application.

If you believe you have the skills, determination, and drive we are seeking then I look forward to receiving your application, which will be given careful consideration.

Email [email protected]

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Job Advert

OBSTETRICS AND GYNAECOLOGY Consultant Salary £84,984 – £112,925 per annum Plus Distant Island Allowance £1,074 per annum Permanent

The Western Isles is located 30 miles off the North West coast of , and is 130 miles long from the Butt of Lewis in the North to the Isle of in the South. The population of the Western Isles is approximately 26,500. The Health Board employs over 1,000 staff. There is easy access to the mainland, with regular flights between and , Edinburgh and Inverness and ferry services to Ullapool.

Applicants must be on the GMC Specialist Register, with Licence to Practise, or be eligible for inclusion on the Specialist Register within 6 months of the date of interview. Applicants would be fully supported whilst working toward this. The post is for 12 PAs (8 PAs, 2 SPAs plus 2 EPAs per week) subject to agreement of a satisfactory job plan, plus an 8% availability allowance. However, the successful candidate may decide to work 10 programmed activities a week on an annualised basis, and be granted an additional 8 weeks leave a year which will be recognised in his/her Job Plan. The Terms and Conditions of service are those determined by the New Consultant Contract (Scotland) 2004. If you do not hold permanent residential status in the UK or an EU passport, you should be eligible to apply under the current immigration process for this post. It is your responsibility to ensure your eligibility and entitlement to work in the UK in line with UK Border Agency/Immigration rules and regulations. NHS Western Isles cannot guarantee that that a certificate of sponsorship could be obtained.

This post is eligible for relocation costs. The successful applicant will be required to register with the PVG (Protecting Vulnerable Groups) Scheme. Applicants should return applications along with a full CV together with the names of 2 referees relating to posts held in the last 2 years.

For further information, contact Dr Frank Mcauly, Medical Director, NHS Western Isles on 01851 708 050 [email protected].

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NHS WESTERN ISLES

JOB DESCRIPTION

CONSULTANT

IN

OBSTETRICS AND GYNAECOLOGY

WESTERN ISLES HEALTH BOARD

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1. THE WESTERN ISLES

The Western Isles lie approximately 30 miles off the West Coast of Scotland and consist of many small islands in the . The main ones being Lewis, Harris, the Uists and Barra, with a total population of 26,500. They are easily accessible by ferry from Ullapool, Skye and Oban and by air from Inverness, Edinburgh and Glasgow. There is a bus service to Inverness from Ullapool which runs in conjunction with the ferry timetables and links with rail services from Inverness.

Stornoway is the administrative “capital” of the Western Isles. It has a population of approximately 8,000 and has all the facilities one would expect to find in a town of this size. There are many primary schools on the islands as well as secondary schools. They are all well equipped and have a good reputation for academic achievement. Adult education is provided through the Lewis Castle Technical College which is part of the University of the Highlands & Islands. Degree courses are available at the College.

2. WESTERN ISLES HOSPITAL

The Western Isles Hospital is a general rural hospital serving the Outer Hebrides area. The hospital was opened in 1992, is modern and well equipped. The main hub hospital is in Stornoway with 96 beds covering specialties in General Medicine, , Orthopaedics and Trauma, Obstetrics and Gynaecology. , Paediatrics and Radiology.

The Hospital has an up-to-date laboratory service covering the main disciplines of haematology, microbiology and clinical chemistry with ready access to more specialised investigations at other specialised laboratories in Scotland.

The Radiology Department is modern with fully digitized imaging, ultrasound, Doppler scanning and a 64-slice CT scanner. The department is fully integrated with PACS.

The obstetric ultrasound scans are performed by trained sonographers with direct links with the Fetal Medicine Ultrasound Department in the Southern General Hospital, Glasgow.

Locally based consultant services  General Medicine  General Surgery,  Orthopaedics  Anaesthesia  Paediatrics  Obstetrics and gynaecology  Psychiatry  Radiology  Dental Services

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Visiting Consultant Services  Respiratory Medicine  Rheumatology  Dermatology  Oncology  Neurology  Ophthalmology  Renal Medicine  Otolaryngology  Urology  Child & Adolescent Mental Health

Tertiary referrals

The main referral centres are in Inverness and Glasgow, but hospitals in Edinburgh and other hospitals in Scotland are used when necessary in accordance with established referral management system.

Outpatient Facilities

There are excellent outpatient facilities within the hospital. Visiting consultants from Inverness and Glasgow (see above) support various subspecialties.

3. DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY

The current bed status for this Unit is:

a) Labour Suite - 2 delivery rooms well equipped for instrumental deliveries and neonatal resuscitation. One of them contains the berthing pool

b) 6 Combined antenatal and postnatal beds

c) Early pregnancy assessment unit.

d) In-patient gynaecological beds in a surgical ward

e) Day Surgery Unit with 8 beds in a mixed specialty ward.

f) Pre-operative assessment unit located in out patients’ department.

Consultants: Dr Grazyna Stanczuk (long term locum); Dr Dapo Erenle (long term locum)

Doctors in training: Foundation Year 2 x 1; GPST x 1 (in Mixed Specialties rotation)

Undergraduate/Postgraduate Training

The Western Isles Hospital has an active and enthusiastic undergraduate and postgraduate training programme.

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Medical students from the Universities of Aberdeen and Edinburgh and elective medical students from other Scottish Universities are regularly attached to the department throughout the year. The post holder will be expected to contribute in teaching medical students and in training junior staff, as a Clinical Supervisor and also as an Educational Supervisor should the need arise.

Regular Monthly Combined Mortality and Morbidity meetings are well attended by staff. Monthly Combined Divisional Teaching meetings give each department an opportunity to present to the wider audience.

The Consultant Committee meeting is convened on a quarterly basis. There is a weekly MDT cancer network meeting with the Western Infirmary in Glasgow via videolink.

Research

The Board encourages and where possible gives assistance to the pursuit of research by consultant staff.

4. THE POST

The post-holder will be involved in the assessment, planning, implementation and evaluation of evidence based care and treatment for the inpatients and outpatients at the Western Isles Hospital and Uist and Barra Hospital and other sites as required by the Board. The appointee will be expected to cross-cover for absent colleague.

The post-holder will be expected to devote time to non-clinical service development for the Board, such as Audit Design, Clinical Education, Risk Assessment etc the particular area to be agreed on the basis of previous experience, aptitude and job planning requirements.

The post-holder is expected to implement agreed national and local standards and guidelines in obstetrics and gynaecology practice. It is expected that the post-holder will deliver person centred high quality care, with particular emphasis on developing a special interest to complement the existing interests. The post-holder is required to effectively participate in and promote all appropriate Scottish Patient Safety Programme measures and other relevant quality and safety initiatives

The post-holder will participate in the RCOG continuing medical education activities to obtain the required CME credits as part of their continuing professional development.

The post-holder will have formal yearly enhanced appraisal interviews. The appraisal process is conducted locally by NES approved appraisers as part of GMC Revalidation process.

The post-holder has good secretarial support and has an allocated office space.

The post-holder is expected to respond in a timely manner and address all complaints, concerns, adverse events and claims in accordance with policies/procedures.

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Study and Training

Study leave entitlement is a maximum of 30 days including off duty days within the leave period, in any period of three years, in relation to leave with pay and expenses in the UK.

PROVISIONAL TIMETABLE

The following timetable is an example of daily activities:

AM PM MONDAY Administration Family Planning & Sexual Health/Special Interest TUESDAY Gynae Theatre/ Labour Ward/Benbecula Clinic (alternate weeks) Clinic (alternate weeks) WEDNESDAY Labour Ward Ante Natal Clinic THURSDAY Gynae. Clinic Labour Ward FRIDAY Theatre/Labour Ward CPD/Divisional meeting (alternate weeks)

Early Pregnancy Clinic from 8:30— 9 a.m. daily from Monday — Friday. On-call duties will be shared on the basis of 1:2 rota. Cross cover for colleague when on leave.

5. MAIN CONDITIONS OF SERVICE

1. The post is subject to the Terms and Conditions of Services for Hospital Medical and Dental Staff (Scotland), as amended from time to time.

2. Subject to agreement of a satisfactory job plan the Contract will be for 10 (8:2) Programmed Activities per week. The Health Board may offer up to 2 extra programmed activities according to diaried on-call activity. The salary will attract an 8% availability allowance.

3. Residence – the successful applicant will be required to reside within 10 road miles of the Western Isles Hospital.

4. Where relocation assistance has been agreed, the Board’s Policy on Removal and Associated Expenses will apply and further details will be provided as and when required.

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5. For pre-employment health assessment purposes, as part of the Board’s Occupational Health Service, the successful applicant will be required to complete a health questionnaire. This will be treated in strict confidence. The successful applicant will be required to undergo a medical examination.

6. Compliance with all approved Board policies and procedures

7. Annually revised and agreed job plan. The Job Plan will essentially be driven by the evolving and changing needs of the patients and services.

8. In exceptional circumstances, theatre sessions may be required across the 7 days of the week in order to meet the TTG and the needs of patients

Further Enquiries:

Prospective applicants are encouraged to visit the hospital and to meet the staff.

To arrange a visit or to make informal enquiries, please contact:

Dr Frank Mcauley, Medical Director (01851 708050) email: [email protected]

6. PERSONAL SPECIFICATION

REQUIREMENT ESSENTIAL DESIRABLE

QUALIFICATIONS  MRCOG or equivalent CCT  Other postgraduate degrees or equivalent  Entry on the Specialist Register or eligibility for entry within 6 months of the date of interview.  GMC full registration and license to practice. EXPERIENCE  General obstetrics and  Special skills in gynaecology experience that  hysteroscopy is commensurate with  Family Planning and Sexual consultant status Health

ABILITY  Labour ward procedures.  Presentation skills.  General gynaecological surgical skills.  Gynaecological ultrasound scanning  Laparoscopic surgeries.  Commitment to teaching and training PERSONALITY  Pleasant with excellent  Leadership qualities communication and  Experience of coaching and interpersonal skills. training other professionals.  Ability to manage conflicting priorities with good organisational skills.  Strong team player with proven management skills. AUDIT  Undertake audits that change  Participation in research clinical practice. 6

About the Western Isles

The Western Isles, also known as the Outer Hebrides, are a chain of islands which lie 55km off the west coast of Scotland. The islands have a population of around twenty-seven thousand people.

Those who enjoy outdoor activities will find that the islands have a lot to offer. Outdoor pursuits such as horse riding, hiking, and fishing are popular, as are water sports such as canoeing, surfing, and kayaking. Further information about outdoor and sporting activities can be found on the Outer Hebrides Tourism Information website.

The local Council website provides information regarding schools, jobs, bus timetables, and opening times of the leisure centre.

If you have any specific queries regarding your move, please do not hesitate to contact your Line Manager, who will do their best to answer them.

Links

wihb.scot.nhs.uk/wihrr.pdf visitouterhebrides.co.uk welovestornoway.com hebrides-news.com cne-siar.gov.uk

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About NHS Western Isles

The Western Isles Health Board employs over one thousand members of staff, excluding GPs and Dentists. There are three main hospitals situated in the Western Isles:

Stornoway—Western Isles Hospital (Ospadal nan Eilean Siar) Benbecula—Uist and Barra Hospital (Ospadal Uibhist agus Bharraigh) Barra—St Brendan’s Hospital

There are a number of GP and Dental Practices across the Western Isles. Community nursing services operate out of general practice premises and at community offices in key locations.

There are only two medical practices in Stornoway: the Broadbay Medical Practice on Francis Street (tel 01851 703588) and the Group Practice on Springfield Road (tel 01851 703145). Both have a pharmacy attached to the practice for the dispensing of prescriptions.

Web wihb.scot.nhs.uk

The latest information about the Board’s response to the COVID-19 pandemic can be found on the Board’s dedicated website.

Web coronavirus.wi.nhs.scot

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Transport Information

The islands are accessible from mainland Scotland by ferry or by plane (please note that both services can be affected in the winter).

There are three on the Western Isles: Stornoway , , and Barra Airport. The following destinations can be reached from these airports:

Stornoway Airport—Benbecula, Edinburgh, Glasgow, Inverness, Manchester Benbecula Airport—Glasgow, Inverness, Stornoway Barra Airport—Glasgow

All flights to and from the Western Isles are operated by .

If you live in the Highlands and Islands region of Scotland, you can apply for cheaper air travel through the Air Discount Scheme. Further information on the discounts available can be obtained via the Air Discount Scheme website.

There are nine ferry ports operating in the Western Isles. Routes run between the islands, as well as to and from the mainland. All routes are operated by Calmac. Further information on the individual routes, including timetables and prices, can be obtained via the Calmac website.

Links

Ferry Travel: Air Travel: calmac.co.uk loganair.co.uk

Car Hire: Air Discount Scheme: carhire-hebrides.co.uk airdiscountscheme.com lewis-car-rental.com

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