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Nuclear Medicine Consultant and Hospital 344-8905CONCSK

Dear candidate,

Welcome to East Kent Hospitals University NHS Foundation Trust.

We are a pioneering Trust, on an exciting journey of healthcare transformation, with award- winning research and innovation, and a strong team ethos. We’re looking for positive clinical leaders who want to help us deliver first-class patient care to a fascinating and complex population and be part of something special.

As you would expect from a large teaching Trust, we prize training doctors, nurses and other health professionals and we already work closely with local universities and King’s College, University of . We now have the exciting new opportunity of working with Kent and ’s new Medical School, jointly provided by the and Canterbury Christchurch University, which opens in September 2020.

The Trust has five hospitals providing a wide range of high quality services and opportunities for innovation. The Hospital in Ashford has the full range of district general hospital services, as well as regional specialities, including the country’s best performing trauma unit. The Queen Elizabeth, The Queen Mother Hospital in , also provides district general hospital services, while Kent & Canterbury Hospital in Canterbury is a specialist services hub which provides adult medical care, inpatient renal, urology and vascular services and robotic surgery.

Our new hospital in , the Buckland, and Royal Victoria Hospital, , provide a variety of outpatient, diagnostic and minor injury services, alongside a range of services throughout the local area.

We have a clear clinically-led strategy to transform secondary care in east Kent to deliver outstanding standards across all specialties which build services around the characteristics of our patients and a commitment to refreshing our estate and facilities. We support clinicians who see opportunities to make tertiary care available locally for our population, and we have a strong research ethic as a high recruiter to research studies.

Our vision is to provide ‘great healthcare from great people’, and we are proud of what we have achieved to date for our population and are excited about what’s to come. If you would like to be part of this exciting journey, your rewarding work-life will be complemented by the advantages of living in the Garden of , with a choice of rural, seaside and picturesque places to enjoy and live in, alongside the essentials like excellent schools and easy access to London – and Europe.

In March 2018 the Government and Health Education England announced that a joint bid by Canterbury Christ Church University and the University of Kent to establish a medical school was successful.

The medical school opens its doors in September 2020, offering 100 undergraduate medical places on a yearly basis. The five year programme will be taught at the Canterbury campuses of both universities with medical placements within Primary, Community and Secondary Care across Kent and Medway.

The Kent & Medway Medical School (KMMS) will be Kent and Medway’s first ever medical school, bringing together the existing centres of excellence in health and medical education provided by the two universities, and local healthcare organisations such as East Kent Hospitals University Foundation Trust. It will offer a new model of patient-focused medical education.

The KMMS will also play a key part of the solution to the challenges of recruiting and retaining medical professionals for this region. You will have the chance to be there at the start of what is expected to be an exciting and productive relationship and help to shape the Drs of the future.

One of the largest acute trusts in England, we have a predicted turnover of almost £600 million. We serve a population of 695,000 people in East Kent and over a million through our regional services, employ 7,950 staff and have 1,000 beds across three main hospital sites.

If you think this could be the start of something special, please apply as quickly as possible because we will close the advert for this job once we’ve received sufficient applications.

If you have a disability or long-term health problem, we are committed to offering reasonable adjustments throughout the recruitment process and employment. If you would like more information or support, please contact the Resourcing Team on 01227 866450 or [email protected], who will be happy to help.

Yours faithfully, Susan Acott, Chief Executive

Our Mission, Vision and Values

Our mission is "Improving health and wellbeing"

Our vision is "Great healthcare from great people"

Our values are

 People feel cared for as individuals  People feel safe, reassured and involved  People feel teamwork, trust and respect sit at the heart of everything we do  People feel confident we are making a difference

Our strategic objectives

Our strategic objectives aim to lead us to: a Good and then Outstanding CQC rating; to drive performance, particularly in the key access standards; to make the Trust a great place to work; deliver integration and a more sustainable future for our services across east Kent; develop our staff and teams and improve our finances.

You can find out more about what we do on our website at www.ekhuft.nhs.uk and view our organisational structure charts here.

Job Description

THE CLINICAL SERVICES CARE GROUP

Clinical Director: Sally Hall

Operations Director: Chris Hudson

The Clinical Support Services Care Group was formed in October 2018 bringing together the clinical support and diagnostic departments of Laboratory Medicine, Outpatients, Pharmacy, Radiological Sciences, Therapies and Audiology with a combined budget of over £73 million.

The six distinct departments all have differences ranging from their regulatory bodies through to ways of working. One common theme is that our services are required in all sectors of healthcare, be it acute or primary and is essential to the delivery of all critical pathways.

The Care Group is based across all Trust sites, Kent and Canterbury Hospital KCH, Canterbury , QEQM Hospital, Margate, WHH Hospital, Ashford, RVH Hospital Buckland as well as other sites within the local community.

The nuclear medicine team prides itself in having a great team atmosphere where everyone fells respected and is equal, with a joint determination to make a difference in patient care. The ethos within the department is that the patient is at the centre of everything we do and we strive to serve referrers in the best possible manner. The team has been nominated for the “Team of the Year” trust awards in 2019.

THE RADIOLOGY DEPARTMENT

The nuclear medicine service is part of the Radiological Sciences team. The Radiology Departments operate seven day week services. All non-medical staff work shift patterns to support the extended seven-day opening hours. In nuclear medicine the current working pattern is Monday – Friday, core hours 8:30AM to 17:30. It is likely that there will be an extended working day service rolled out in the near future with a possible weekend service.

This is a successful Department with extended practitioners working in MRI, CT and breast services as well as fluoroscopy and plain film reporting. In addition the Consultant Practitioner role has been established in Breast Imaging and recruitment to a Ultrasound Consultant Practitioner is underway. The Trust is conforming to the six weeks wait for diagnostics.

There are five CT scanners and five MRI scanners with mobile MRI and CT increasing capacity further.

The Trust has introduced two SPECT/CT units in Nuclear Medicine and an additional dedicated interventional unit to support the arterial centre for Kent and Medway which will be hosted at the Kent and Canterbury Hospital. This unit will expand the scope of the service and build on the good well established relationship with colleagues in vascular surgery.

The PET/CT service is operated from the William Harvey Hospital on a dedicated build from a fixed site unit. It is a well established service with high clinical visibility and turnover, run in conjunction with our partners Alliance Medical.

There is a transformation and optimisation plan with support from the Trust Board which aims to focus on clinical engagement and leadership within the Service over the next two years. If you want to influence the development of one of the NHS largest Trusts and Radiology Services now is the time.

Staff Consultant Staff

Nuclear Medicine Dr Gordon Ellul Dr Liviu Stanisor

Interventional Radiology Dr Robert Kaikini, Clinical Lead for Interventional Radiology Dr Neelan Das Dr Mikolaj Wojtaszek

Kent and Canterbury Hospital Dr Iain Morrison Dr Kate Entwistle Dr Paul Elton Dr Asim Zafar Dr Julie Nothenius Dr Mohammed Eraibey Dr Mohammed Yaktien Dr Mohammed Elbailey Queen Elizabeth, the Queen Mother Hospital Dr Anne Greenhalgh, Clinical Lead , Radiological Sciences Dr Paul Matravers Dr Giorgio Giancola Dr Alessandra Plichta Dr Jadwiga Raasz Dr Rizwan Basit Dr Hristina Hristova-Angelova Dr Sidappa Laksmiah Dr Eeelco Boorsma Dr Maurice Fortune William Harvey Hospital Dr David Rand Dr Rached Hadj-Ali Dr William Webb Dr Kashif Naeem Dr Venkata Sontenam Dr Miguel Bertoni Dr Simon Spencer Dr Sushil Ingole Dr Michael Anderson Dr Colm Murphy Breast Imaging and Breast Screening Service

Dr Sarah Moorhouse, (Director EK Breast Screening Service and Clinical Lead - Breast Imaging) Dr Carol Rickenbach Dr Sandeela Sattar Dr Hebe Ramaden

Dr Ritu Choudhary Kirstie , Consultant Practitioner.

Non-Consultant Staff

Grade Site

Gemma Collins General Manager

Seonaid Floyd Principal Radiographer CT WHH

Raghurajan Maraparambil Principal Radiographer MRI K&CH

Mark Dwyer Principal Radiographer NM K&CH

Fiona McPartlin Principal Radiographer Breast Screening K&CH

Gemma Mathews Principal Radiographer General QEQMH

Claire Hooker Principal Physicist (NM) K&CH

Nursing/Support Staff

Name Role and Site

Rebecca Clark Matron K&CH

Deborah Jordan Senior Sister QEQMH

The Trust hosts medical students on attachment from GKT, UCL and Imperial Medical Schools and became a University Hospital linked to GKT in 2009.

Radiological Sciences Department

The Radiology Delivers the following services from its three main sites at Margate’ Canterbury and Ashford, supported by community sites at Dover, Folkestone, Deal, and .

 Plain film radiology  CT  MRI  Obstetric and Non Obstetric Ultrasound

 Breast Imaging – including the NHS screening service from the centre at KCH and mobile units in the wider community.  Nuclear Medicine (including radio pharmacy)  Medical Physics  Interventional Radiology

Meetings between clinicians and radiologists There are excellent contacts between the radiologists and clinicians, with weekly multi- disciplinary meetings in all cancer sites, and in other disciplines, e.g. neurology, stroke, dementia.

Duties of the post

The post is concentrated upon the support of the nuclear medicine service. The primary tasks include

 Reporting a wide range of NM studies including SPECT/CT and PET/CT.  Clinical support for NM cardiac studies.  Thyroid radionuclide therapy service and scope for performing other therapies including but not exclusively Radium 223 prostate cancer treatments.  Clinical support for technologists carrying out procedures.  Support and guidance for referrers to the NM service.  Authorising referrals for nuclear medicine examinations.

This appointment will be to the ‘new’ consultant contract.

The post holder will ensure compliance with the Trust’s Risk Management Policies and Procedures. These describe the Trust’s commitment to risk management, the recognition that our aim is to protect patients, staff and visitors from harm, and stress that all staff have a responsibility to minimise risk.

The post will be flexible to some degree based on workload and activity across Trust locations. The post-holder is expected to support the training of the SpRs in all aspects of nuclear medicine and respond to changes in demand of both inpatient and outpatient work. In order to maintain appropriate specialist skills,

The post will be based at the Kent and Canterbury Hospital

The Trust would consider support for any/all tasks within this broad remit and any other sub- specialist interest.

The job plan will be agreed with the successful candidate and will have a minimum of 10 PAs. If the candidate wishes to offer a further clinical PA it may be possible to accommodate this.

Other responsibilities include:

To contribute to and attend regular Clinical Governance activity and meetings timetabled for the Radiology Department.

Junior staff: Recruitment, appointment and educational supervision including educational contracts, regular appraisal, organisation of study leave, annual leave and rotas

Budget: Co-operate with the Clinical Director and Operational Director on budget issues

Communication: This will include responsibility for and arrangement of: - Communication and liaison with all other medical and service departments within the hospital including: General Management, Medical Records, and Social Work Department - Communication with General Practitioners will include telephone discussion of problems and writing of letters about cases seen in the department - Communication with other hospitals and special departments in other hospitals

Teaching: Junior doctors and medical students, nurses and other paramedical staff in the team in speciality and special interest.

Non-Emergency Work in Premium Time: The Trust will require you, in line with service needs to undertake non emergency work during premium time.

The duties and responsibilities in this job description may need further discussion in the future to ensure that they continue to meet the needs of the service, future service developments and the post holder.

Patient Safety, Clinical Governance, Education and Training

The Trust is fully committed to improving patient safety and experience. Consultants are expected to comply with GMC guidance and all Clinical Risk Management processes. They must audit their own clinical outcomes, report clinical incidents, alert the trust to risk, participate in annual appraisal and work to foster good team relationships.

It is expected that the appointee will plan a programme of personal development and continuing medical education and through the appraisal process ensure that adequate training is undertaken both to maintain their skills, knowledge and expertise and to ensure revalidation. There is extensive local support and the Trust provides reasonable costs for formal study leave.

An annual review of the job plan will take place between the Care Group Clinical Director/Clinical Lead for Radiological Sciences and the Consultant in accordance with the arrangements in the new contract. This will include discussions regarding the needs of the service, with agreement of objectives for clinical standards, goals and workload.

Each of the three main hospital sites has a well-equipped multi-disciplinary Education Centre, including internet facilities and a library. Each runs full programmes of educational meetings. The Trust is designated as an Associate University Provider NHS Trust for undergraduate

education. Doctors in Training are recruited to the Trust from London medical schools on matching schemes.

All Consultants have responsibilities for teaching doctors, students and non-medical healthcare professionals, and should ensure they use the time allowed in their working week for duties of teaching and supervision. New Consultants are required to enrol on the Deanery Certificate of Teaching programme within the first 12 months of appointment. All Consultants should include some element of educational development within their personal development plan, using at least one half day per year of their external study leave to this end.

Research and Innovation

The Trust wishes to “make a difference to the experience and outcomes of health care to the people of Kent, the NHS and internationally through Research, Enquiry and Innovation" and we have an ambitious strategy to deliver this vision from 2016 to 2020. You can read more about our approach to research on our website.

We are one of the most research-active acute Trusts in the Kent, and region, with over 120 NIHR CRN Portfolio studies open to recruitment across more than 20 specialty areas, with at least 15 new industry funded/sponsored studies opening each year. All newly appointed Consultants are encouraged to take on the role of Principal Investigator and considerable training and support is available.

Trust clinicians are also actively supported in developing their own research ideas and participate in local, regional & international academic collaborations. We have been awarded research funding (£100k to £2m) by NIHR (RfPB and HTA), MRC, Pfizer and other major funding bodies in recent years. The Trust also has internal funding schemes to assist researchers, including those without previous experience, to gain pump-priming monies for individual projects, or to support individual sessional research time.

We have a strategic alliance with University of Kent’s KentHealth, and have active collaborations between the Trust and all our local universities (UoK, Canterbury Christ Church University (CCCU) and Medway School of Pharmacy) as well as many other UK and international partners. A number of staff hold joint University-Trust appointments, including Centre for Health Services Studies at UoK, and the England Centre for Practice Development at CCCU with its expertise in sustainable transformation and development.

The Trust wishes to increase the number of joint appointments, and applicants who have commensurate research experience are invited to contact Dr Tim Doulton, Director of Research and Innovation.

Infection Control

In accordance with the Health Act (2006) all staff are expected to comply with National and local Infection Control policies and procedures, and any other related infection prevention policies or procedures. In addition, all staff whose normal duties are directly or indirectly concerned with patient care should ensure they have received annual mandatory training (including hand hygiene). It is expected that all Consultants will lead by example in this area which receives maximum attention.

Summary Terms and Conditions of Appointment

The post will be appointed to under the Terms and Conditions of Service for Hospital Medical and Dental Staff as amended from time to time. The post-holder is required to be fully registered with the General Medical Council and on the Specialist Register or eligible for inclusion on the Specialist Register within six months of the date of interview.

The appointee will be required to reside not more than 30 minutes away from their main base, unless specific approval is given by the Chief Executive and Medical Director. The post-holder's private residence shall be maintained in contact with the public telephone service.

The passing of a medical examination is a condition of employment. Every Consultant must adhere to the Trust policies and procedures including documentation of all activity both in outpatients and theatre.

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

Salary

The Consultant salary scale is currently £82,096 - £110,683 per annum (pro rata where applicable).

Annual leave

The annual leave entitlement is six weeks and two days and applications are subject to approval by the Clinical Director. A minimum of eight weeks’ notice of leave arrangements is requested so that adequate cover arrangements can be made. Annual leave entitlements increased for consultants with seven or more years of completed service with effect from 1 April 2005 by an additional 2 days.

Study leave

Study leave is available according to local agreements. All clinical staff are required to give eight weeks’ notice.

Removal Expenses

Where a practitioner intends to claim reimbursement of removal or associated expenses, it is important that he/she first obtains a copy of the Trust's policy on removal expenses and should discuss the proposals with the Personnel department prior to taking up duty.

Visiting Arrangements

Further details and information may be obtained by contacting on 01227 766877.

Candidates who are shortlisted for interview will be expected to attend a site visit as part of the selection process. Details on how this can be arranged will be sent to you with your invitation to interview.

Person Specification

Criteria Group Essential Desirable Measurement/ Testing method  The most important skills Consultant in Application Form Experience attribute is the ability to report a Nuclear Medicine wide range of nuclear medicine for three or more tests including SPECT/CT and years. PET/CT and to perform myocardial stress testing

 Ability to deliver/develop a therapy service and have experience in performing at consultant level  Full GMC Registration Experience in Application Form Skills  CCST Specialist Registration or working in and evidence will obtain within 6 months of multidisciplinary brought to interview date group meetings interview  Minimum of English Level 2 (GCSE grade C or equivalent), IELTS, or graduate of a UK Medical School  The person must hold certificate of completion of training (CCT) in nuclear medicine  Research activities – experience with published scientific articles

Values and  Welcoming and polite Interview Commitments –  Attentive and helpful People feel cared for  Respect others’ time as individuals  Speak up on behalf of those who can’t Values and  Consistently safe Application Form Commitments –  Vigilant about safety Interview People feel safe,  Reassuringly professional reassured and  Listen and clearly communicate involved Values and  Respect people and their dignity Interview Commitments –  Work as a team People feel  Take responsibility teamwork, mutual  Be a leader trust and respect sit at the heart of everything we do Values and  Delivers the best outcomes Application Form Commitments –  Appreciate good work Interview People feel  Always improving our

confident we are selves/services making a difference Other  Most roles require an on-call Application Form commitment and travel across and evidence sites. Candidates must be able brought to to demonstrate the ability to interview travel effectively between sites  Upholds and models the Trust values

Additional Terms and Conditions Summary

The Post holder must maintain the confidentiality of information about Confidentiality patients, staff and other health service business in accordance with Trust Policy. The post holder, for the purposes of the Data Protection Act 1998, consents to the processing of all or any personal data including sensitive personal data as defined under the Data Protection Act 1998 (in manual, Data Protection electronic or any other form) relevant to their employment, by the Trust and/or any public body or any other third party as nominated by the Trust for the purposes of audit and bound by a duty of confidentiality. The post holder will ensure compliance with the Trust’s risk management policies and procedures. These describe the Trust’s commitment to risk Risk management, the recognition that our aim is to protect patients, staff and Management visitors from harm, and stress that all staff have a responsibility to minimise risk. In accordance with the Health Act (2006) all staff are expected to comply with National and local Infection Control policies and procedures and any Infection other related infection prevention policies or procedures. In addition all Control staff who‘s normal duties are directly or indirectly concerned with patient care should ensure they have received annual mandatory training (including hand hygiene). The Trust is committed to improving the health and wellbeing of staff by supporting them to make healthy choices and lead healthy lives. Health and Everyone employed by the Trust has a responsibility for promoting and Wellbeing participating in the staff health and well-being planned programmes, promotions and activities. The post holder will treat all colleagues, service users and members of the public with respect and dignity regardless of their gender, age, race, colour, religious beliefs, religion, nationality, ethnic origin, social Equal background, sexual orientation, marital status, disability, real or Opportunities suspected HIV/Aids status, criminal background and Trade Union status. The Trust has Policy for Equality and it is the responsibility of all staff to ensure that this is implemented. Everyone employed by the Trust regardless of the work they do has a statutory duty to safeguard and promote the welfare of children. When children and/or their carers use our services it is essential that all concerns for the safety and welfare of children and young people are both recognised and acted on appropriately. You have a responsibility to ensure you are familiar with and follow the Safeguarding Children Safeguarding procedures and the Trust’s supplementary Safeguarding Children Policy Children which is accessed electronically on the Trust's Intranet site. You have a responsibility to support appropriate investigations either internally or externally. To ensure you are equipped to carry out your duties effectively, you must also attend Safeguarding Children training and updates at the competency level appropriate to the work you do and in accordance with the Trust's Safeguarding Children Strategy. Safeguarding Everyone employed by the Trust regardless of the work they do has a Adults duty to safeguard and promote the welfare of vulnerable adults. When

patients and/or their carers use our services it is essential that all protection concerns are both recognised and acted on appropriately. You have a responsibility to ensure you are familiar with and follow Trust policies in relation to safeguarding vulnerable adults. You have a responsibility to support appropriate investigations either internally or externally. To ensure you are equipped to carry out your duties effectively, you must also attend vulnerable adult protection training and updates at the competency level appropriate to the work you do and in accordance with the Trust's vulnerable adult protection training guidance

All staff must be aware of the responsibilities placed on them by the Health and Health & Safety at Work Act (1974) to ensure that the agreed safety Safety procedures are carried out to maintain a safe condition for employees, patients and visitors. You are required to act at all times in accordance with the relevant Professional professional Codes of Conduct and Accountability (including, where and NHS Codes applicable, those for Board Members). In addition, all management staff of Conduct must comply with the ‘Code of Conduct for NHS Managers’ and

‘Standards of Business Conduct for NHS staff’. All staff are responsible for the security and the property of the Trust, Financial avoiding loss or damage, and being economical and efficient in the use Management of resources. Staff are required to act in accordance with the rules and and Control of regulations as described in the Trust’s ‘Policy Relating to the Financial Resources Management and Control of Resources’. Mandatory All staff are required to attend mandatory training as designated by the Training Trust. No Smoking East Kent Hospitals University NHS Foundation Trust has a no smoking policy. Staff are not permitted to smoke within or on Trust premises

Please note that these terms and conditions are subject to change and may differ from your proposed contract should you be successful in your application.