This Is a Replacement Post for Current Incumbent, Mr. Mazhar Iqbal Who Has Secured a Post for Family Reasons Closer to His Home in North Wales

JOB DESCRIPTION

CONSULTANT IN ORAL AND MAXILLOFACIAL SURGERY WITH SPECIAL INTEREST IN ONCOLOGY & RECONSTRUCTION

This is a replacement post for current incumbent, Mr. Mazhar Iqbal who has secured a post for family reasons closer to his home in North Wales. The post will become vacant from mid-October 2020. Currently the post is based at Wythenshawe hospitals with additional clinical sessions at Stepping Hill Hospital, Stockport and MDT and Clinic at the Christie Hospital, Manchester. Maxillofacial Surgery and Head and Neck Oncological services in Manchester are undergoing re-organization/transformation into a single operational site. The post holder will be expected to accommodate their sessions to fit into the new service. The employing Trust is Manchester Foundation Trust (MFT)

Vision The vision of Manchester University Foundation Trust (formerly CMFT & UHSM) is to be recognised internationally as leading healthcare; excelling in quality, safety, patient experience, research, innovation, and teaching; dedicated to improving health and well-being for our diverse population.

Our Values

Open and Honest Dignity in Care Working Together Everyone Matters

Profile

Manchester University NHS Foundation Trust (MFT is a major teaching Trust with nine hospitals. The hospitals are Manchester Royal Infirmary (MRI), Manchester Royal Eye Hospital (MREH), St Marys Hospital (SMH), and Royal Manchester Children’s Hospital (RMCH) all at the main Central Manchester site, the University Dental Hospital and Trafford General Hospital (TGH) and Wythenshawe Hospital, Withington Hospital, Altrincham Hospital.

We aim to position the Trust as:  The leading provider of tertiary and specialist services in the North West  A prestigious internationally renowned centre for research and innovation  An excellent district general hospital for the residents of central Manchester  At the heart of the regeneration of Manchester  The best place to train and work

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Incorporating: Altrincham Hospital • Manchester Royal Eye Hospital • Manchester Royal Infirmary • Royal Manchester Children’s Hospital • Saint Mary’s Hospital • Trafford General Hospital • University Dental Hospital of Manchester • Wythenshawe Hospital • Withington Community Hospital • Community Services

And we are committed to:  Treating our customers safely, courteously and with dignity and respect  Providing care and treatments for patients within state of the art facilities that are clean and free from infection  Delivering care, treatment and advice that combines clinical excellence with the highest standards of patient safety, is based upon the best research and employs the latest clinical technologies  Offering a unique range of services to the North West treating and managing the simplest to the most complex conditions and diseases

THE POST

This is a substantive post with an exciting opportunity for the successful applicant to develop and strengthen joint working arrangements across two NHS Trusts, both of which are university teaching hospitals. This post offers the opportunity to work within a major teaching hospital adjacent to one of the largest university campuses in Western Europe, in collaboration with the Medical School and Dental School of Manchester. There are good prospects for research and teaching at all levels and the development of special interests at a tertiary level. The post demands an individual who has recognised postgraduate training in Oral and Maxillofacial surgery, has obtained the Intercollegiate Exit FRCS(OMFS) It is desirable that the individual has FDSRCS or MFDSRCS.

The appointee will have a collaborative subspecialty interest in oncology and reconstructive surgery. The post will be responsible for the management of the Head and Neck Cancer Manchester through the hospitals of Manchester Royal Infirmary and Manchester Children’s Hospitals. Elective operating will be undertaken at the Central site and shall arise from the multi-disciplinary Head and Neck clinic at Manchester Royal Infirmary any general clinics, the University of Manchester Dental Hospital, or any other satellite facilities deemed appropriate.

The contract for this post will be held with the Surgical Division of Wythenshawe Hospital. The Clinical Lead/ Manager for Maxillofacial Surgery at the Wythenshawe is Mr and the Directorate Manager is Julia Mitchell. Please note that the Maxillofacial Surgery services between Wythenshawe and MRI are currently undergoing transformation with a view to functioning as a single unit

The clinical programmed activity for the current post is split across multiple sites. With reorganisation of Maxillofacial services across Greater Manchester there will be regular review of the current clinical sessions at MRI, Wythenshawe, Stepping Hill Hospital, and the Christie Hospital.

The Oral and Maxillofacial Department at Wythenshawe

The Oral & Maxillofacial Department of Wythenshawe currently has a service with a hub (apart from surgery on head and neck cancer patients) treating patients from the local area and hospitals in Stockport and Macclesfield. This post is partly funded on a service level agreement from Stockport and has clinical sessions, both outpatients and ambulant day case surgery at Stepping Hill Hospital Stockport. The South MDT is www.mft.nhs.uk

currently held at the Christie Hospital (the North MDT at North Manchester Hospital), there are plans to amalgamate all three MDT’s into a single Head and Neck MDT serving whole of Manchester.

The consultant trauma on-call commitment for this post will be 1 in 11, cross covering both South and Central Manchester with a total population of 1.5 million. This includes the peripheral sites of Stockport Wigan and Macclesfield. The Central Manchester campus supports the major trauma centre in Salford. The Manchester Royal Infirmary is co-located with the Royal Manchester Eye Hospital and Royal Manchester Children’s Hospital within the same complex.

The post holder will collaborate closely with Mr Blackburn, Mr Maranzano, Mr. Saunuddin and work in tandem with Mr Patel. There is a separate on-call arrangement for cover of microvascular reconstruction. All definitive head and neck cancer surgery (apart from diagnostic type work) is undertaken at the MRI

Laboratory facilities are currently provided at both Wythenshawe Hospital and in Manchester Dental Hospital. Reconstruction for ENT resections is regularly undertaken. There is a strong collaboration of team working with ophthalmology and neurosurgery.

Patients undergoing surgery are admitted to the Elective Treatment Centre / ward in Manchester Royal Infirmary which houses a specialised Head and Neck Surgical ward area, which is shared with ENT.

This ward currently has 27 beds with separate single sex accommodation and some side rooms for inpatients. The Ward staff has a rolling programme of tracheostomy care training.

There is a recently expanded critical care department.

Medical staff –Consultant Surgeons

Mr S Azzopardi Consultant Oral & Maxillofacial Surgeon / Orthognathic

Ms V. Beale Consultant Oral & Maxillofacial Surgeon & Cleft Surgeon

Mr T. Blackburn Consultant Oral & Maxillofacial Surgeon / Oncology & Reconstruction Mr S Clark Consultant Oral & Maxillofacial Surgeon /Orthognathic & Trauma/ Clinical Lead MRI Mr D Doumpiotis Consultant Oral & Maxillofacial Surgeon / Orthognathic and Trauma Mr M Iqbal Consultant Oral & Maxillofacial Surgeon / Oncology & Reconstruction Mr S Khandavilli Consultant Oral & Maxillofacial Surgeon Orthognathic &Trauma

Mr A Kalantzis Consultant Oral & Maxillofacial Surgeon / Orthognathic & TMJ specialist www.mft.nhs.uk

Mr M Maranzano Consultant Oral & Maxillofacial Surgeon / Oncology & Reconstruction Mr M Patel Consultant Oral & Maxillofacial Surgeon / Oncology & Reconstruction/Clinical Lead Wythenshawe Mr. Sajid Sainuddin Consultant Oral & Maxillofacial Surgeon / Oncology & Reconstruction

This post Consultant Oral & Maxillofacial Surgeon/ Oncology & Reconstruction

Higher Surgical Trainees 4 Interface H&N Fellow 1 Dental Core Trainee 3 1 Dental Core Trainee 1 7 Dental Core trainees 1&2 Wythenshawe Hospital 5

Senior Nursing Staff

Margaret Israel, Lead Nurse for Surgery (over H&N Specialist nurses and H&N ward) Amanda Pagett, Matron for Royal Manchester Eye & Dental Hospitals (for the medical nurses assisting with OMFS outpatient clinics) Ellie Maher, Matron for Dental hospital dental nurses (for the dental nurses assisting with OMFS outpatient clinics) Helen Townson, Theatre Nurse Team Leader (ENT, Maxillofacial) Anna Chittim and Phil Bryce, 2 Head & Neck Specialist Oncology Nurses

Ward Staff

The Head and Neck Surgical Unit is led by a Band 7 Ward Manager and is fully established to support a 27- bedded unit.

Administrative Staff

The department is supported by 3 full time PA/Medical Secretaries

University Hospital of South Manchester

The Department of Oral * Maxillofacial Surgery already provides cross cover at consultant (4) and specialist trainee (2) level. This contributes to the 1 in 11 consultant cover and provides a full tier of specialist trainee second on call. The department is in the process of combining with the Central Manchester OMFS team as www.mft.nhs.uk

part of Manchester University Foundation NHS Trust. There are 5 dental core trainees contributing to the throughput of the department.

MAIN DUTIES AND RESPONSIBILITIES

The successful candidate will join an established team of senior medical and nursing staff committed to providing a high-quality surgical service. The common aim will be to develop the department in all aspects of

clinical service, teaching and research. Close teamwork is an essential requirement. The post holder will be expected to:-

 Share with colleagues, on-call responsibility for the department including responding to unexpected absences.  Undertake specific management functions, as agreed with the Lead Consultant, in the running of the department.  Attend departmental Head & Neck business meetings arranged at monthly intervals.  Ensure, wherever possible, that clinical practice is standardised and evidence based.  Provide management of in-patients including ward rounds at weekends when on-call.  Together with fellow consultant colleagues, assist with the clinical supervision of all staff working in the department in addition to the organisation and delegation of clinical work within the department.  Manage clinical and non-clinical complaints in accordance with the Trust policies with emphasis on timescales and local resolution.  Adhere to Trust policy with regards to waiting list management and facilitate the delivery of the various KPI’s associated.  Understand and respond to activity targets under Payment by Results and risk share agreements (PbR).

EXPERIENCE REQUIRED

A wide range of Oral and Maxillofacial surgery is undertaken at Manchester Royal Infirmary and includes the management of oncology & reconstruction, facial deformity, facial trauma, implant surgery, temporo- mandibular joint surgery, surgical dermatology and facial aesthetic/reconstructive surgery. Applicants for this post will be expected to have a broad range of experience and a specialist interest in oncology and reconstructive surgery.

INDICATIVE JOB PLAN www.mft.nhs.uk

The job carries 10 programmed activities, with 8% supplement for trauma and microvascular on-call. The job plan is subject to annual review and has been prepared in accordance with Schedule 3 of the new terms and conditions for consultants. This is a provisional plan to allow the post holder to start work immediately. Manchester University Hospitals NHS Foundation Trust is a teaching hospital for the University of Manchester Medical School and the University Dental School and the successful candidate will participate in teaching. The post holder will be expected to become involved in undergraduate and/or postgraduate education at the medical/dental interface in accordance with the academic group’s objectives.

RESEARCH AND INNOVATION

MFT undertakes research in a diverse range of clinical areas and regularly recruits first global patients into clinical trials. We believe that clinical research is most successfully translated into improved care for patients through the combined efforts of patients, clinicians, scientists, industry, and other partners.

We are dedicated to improving health and well-being for our diverse population. Research and innovation are central to our vision to be recognised internationally as a leading centre for healthcare provision.

Why work for MFT?

Patients. Some 2.6 million people live in Greater Manchester, with demographics representative of all major developed world disease areas, ethnic groups and areas of considerable deprivation. Over one million patients per year are cared for across our eight hospitals and community services.

Location. Greater Manchester is in the top three UK regions for attracting industry studies, and is home to a large, diverse and stable patient population. CMFT is located at the heart of the largest clinical-academic campus in Europe.

Connections. We are intrinsically connected with The University of Manchester – through colocation, and our joint biomedical research strategy, appointments, and medical training programme. With the University of Manchester we are one of seven partners in the Manchester Academic Health Science Centre (MAHSC), the only AHSC outside of Southern England; designated by the Department of Health, this is a quality stamp for the research we conduct. We host the National Institute for Health Research (NIHR) Clinical Research Network: Greater Manchester and work closely with the Greater Manchester Academic Health Science Network and the Northern Health Science Alliance.

Quality of research. We are home to the NIHR / Wellcome Trust Manchester Clinical Research Facility (adults and children’s), the NIHR Manchester Musculoskeletal Biomedical Research Unit and one of the NHS England 100K Genome Centres.

Infrastructure. We empower our staff to identify and assess unmet needs and support them in working with industry and other partners to craft co-developed diagnostics, treatments and devices.

At MFT, principal investigators work as part of a cross-functional team (divisional research managers, research nurses/midwives/coordinators, research office administrators, quality manager, innovation management service [TRUSTECH], etc.) dedicated to driving research and innovation.

Performance. We are continuously looking for ways in which we can improve delivery of our research studies. Over the past three years, we have significantly reduced the average time for study approval and www.mft.nhs.uk

first patient recruited (NIHR targets). Research and Innovation Division reports directly to the CMFT Board providing timely decision making, as well as strategic oversight and assurance to the Trust Board in relation to the management and governance of all research activities within the Trust and in our collaborations and partnerships.

Our world-leading research facilities, and the provision of internal pump-priming grants, provide a first-class environment for translational research in a hospital setting

CLINICAL AUDIT AND CME/CPD

The post holders are expected to take responsibility for their own continuing professional development and take part in continuing medical education activities. The Trust supports the requirements for medical education and standards laid down by the Royal College of Physicians. The Trust is committed to providing both the time and financial support for these activities.

The post holders will be expected to be committed to the concept of lifelong learning and produce and maintain a personal development plan in agreement with the Clinical Director.

COLLEAGUE COVER Consultants are expected to cover colleagues for annual leave, study leave and short-term sickness absence.

APPRAISAL

All Consultants are expected to undergo annual appraisal and job plan review. Appraisal will normally be arranged with suitably trained Consultants within the Division of Medicine. Job plan reviews will take place with the Clinical Director for Specialist Medicine.

NEW CONSULTANT DEVELOPMENT PROGRAMME All new Consultants to CMFT are required to participate in the New Consultant Development programme. This programme is designed to aid the transition from trainee to Consultant through an iterative and interactive programme running over the course of a year. The programme is delivered through a monthly daylong session which replaces other activity on that day, including clinical activity.

This equates to an additional 0.5 SPA over the year, with a corresponding decrease in DCC activity

MAINTAINING MEDICAL EXCELLENCE AND CLINICAL GOVERNANCE The Trust is committed to providing safe and effective care for patients; there are agreed procedures within the Trust for the reporting and monitoring of either actual or potential adverse incidents. All employees are required to comply with these policies.

DISCLOSURE OF CRIMINAL BACKGROUND OF THOSE WITH ACCESS TO CHILDREN AND/OR VULNERABLE ADULTS All NHS employers are required to check with the Criminal Records Bureau the possible criminal background of staff and volunteers who apply for work with vulnerable patients. It is a requirement of the post that such a check be undertaken, successful applicants will be asked to complete and sign a Disclosure Form giving permission for the screening to take place.

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Having a criminal record will not necessarily bar you from working with the Trust. This will depend on the nature of the position and the circumstances and background of offences.

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ADDITIONAL REQUIREMENTS

Risk management (Health and Safety) a) You will follow risk management procedures at all times. The risk management procedures for the Trust and the department are kept by the departmental manager. b) You are personally responsible for risk management issues in respect of yourself and colleagues. c) If you identify a potential hazard you should report it to your manager/supervisor at once. If in doubt you should speak to your manager for guidance. d) You must always use safety equipment provided, and report any defects to your manager. You must attend risk management training as directed by your manager

Infection Prevention and Control a) You are personally responsible for ensuring that you protect yourself, patients, visitors and colleagues from the risks of infection associated with health care activities and the care environment. b) You must adhere to infection prevention and control policies at all times, liaising with the infection control team and acting on any instructions given. c) You must attend regular infection and prevention control update training. d) You should always promote and demonstrate good practice for the prevention and control of infection.

Confidentiality To safeguard always, confidentiality of information relating to patients and staff.

This list of duties and responsibilities is by no means exhaustive, and the post holder may be required to undertake other relevant and appropriate duties as required.

This job description is subject to regular job plan review and appropriate modification in consultation with the post holder.

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Current timetable

MONDAY Week: 1 08:00 – 09:00 Ward Round - Standard 09:00 – 20:00 Pre-Op/Theatre 20:00 – 20:30 Ward Round – Post-Op TUESDAY 08:00 – 09:00 MDT – Head & Neck 09:00 – 12:00 Outpatient Clinic – Head & Neck 12:00 – 12:30 Patient Administration 12:30 – 13:00 Pre-Op Theatre 13:00 – 14:00 Ward Round – Pre-Op 14:00 – 17:30 Pre-Op/Theatre 17:30 – 18:00 Ward Round – Post-Op WEDNESDAY 08:00 – 09:00 Ward Round - Standard 09:00 – 10:00 Patient Administration 10:00 – 12:00 Educational Supervision – Core SPA 17:00 – 17:30 Ward Round - Standard FRIDAY 08:00 – 09:00 Patient Administration 09:00 – 13:00 Outpatient Clinic – New/Review 13:00 – 17:00 Pre-Op/Theatre 17:00 – 17:30 Ward Round – Post-Op

MONDAY Week: 2 08:00 – 09:00 Ward Round - Standard 09:00 – 20:00 Pre-Op/Theatre 20:00 – 20:30 Ward Round – Post-Op TUESDAY 08:00 – 09:00 MDT – Head & Neck 09:00 – 12:00 Outpatient Clinic – Head & Neck 12:00 – 12:30 Patient Administration 12:30 – 13:00 Pre-Op Theatre 13:00 – 14:00 Ward Round – Pre-Op 14:00 – 17:30 Pre-Op/Theatre 17:30 – 18:00 Ward Round – Post-Op WEDNESDAY 09:00 – 13:00 Outpatient Clinic – New/Review 13:00 – 14:00 Patient Administration 14:00 – 17:00 Core SPA 17:00 – 17:30 Ward Round Standard FRIDAY 08:00 – 09:00 Patient Administration 09:00 – 13:00 Outpatient Clinic – New/Review 13:30 – 15:00 Ward Round – Standard

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15:00 – 15:30 Patient Administration 15:30 – 16:30 Educational Supervision 16:30 – 17:00 Non-Clinical Admin 17:00 – 19:00 Core SPA

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PERSON SPECIFICATION

Requirements Essential / Method of Please state whether or Desirable Assessment not you meet the criteria, providing brief details… Qualifications & Training FRCS (OMFS) Essential CV Subspecialty Interest Head and Neck (OMFS) Essential CV Oncology MFDS/FDS Desirable CV Completion of basic medical training Essential CV Completion of higher training (CCT or within 6 Essential CV months of obtaining) Teaching and Audit Teaching of medical students Desirable CV, Interview Experience of Audit Desirable CV, Interview Teaching of junior medical staff Essential CV, Interview Ability and experience to teach clinical skills Essential CV, Interview Experience of supervising ST’s Essential CV, Interview Academic Achievements and Research Publications in recognised relevant journals Essential CV, Interview Research projects relating to the specialist area Desirable CV, Interview Interpersonal Skills Interview, Organisational skills Essential Refs & Presentation Interview, Communication skills Essential Refs & Presentation Interview, Leadership skills Essential Refs & Presentation Management & Administration Experience Ability to organise and manage a busy clinical CV, Interview Essential practice Ability to manage and lead a medical firm Essential CV, Interview Management training Desirable CV Other Requirements Specialist Registration with the General Medical Essential CV, Interview Council and Licensed to Practice Completed by: Mr Manu Patel

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