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Applicant information pack
ICENI FELLOWSHIP
IN OBSTETRICS AND GYNAECOLOGY
Table of contents
1.0 Invitation to apply ..................................................................................................................... 3
2.0 About our trust .......................................................................................................................... 3
3.0 Department and role overview ................................................................................................. 5
4.0 Job description: duties and responsibilities .......................................................................... 7
5.0 Person Specification ............................................................................................................... 11
6.0 Example timetable ................................................................................................................... 13
7.0 Training and Postgraduate Education .................................................................................. 14
8.0 General terms and conditions and information ................................................................... 15
1.0 Invitation to apply
Applications are invited for Iceni Fellowship Doctor in Obstetrics and Gynaecology 2019. The
post offers a unique opportunity to develop advanced laparoscopic and imaging skills in
Gynaecological surgery, as well as general clinical and administrative responsibilities in
Obstetrics and Gynaecology at senior middle Grade Level. These include, Labour Ward,
Antenatal Clinic, Ambulatory Obstetrics. Elective Caesarean section lists and Maternity
Inpatient care as well as Gynaecology outpatients, Acute /Emergency Gynaecology,
Gynaecology Theatre and Inpatient Care. There will be an associated supportive
professional activity for aspects of continued professional development and
appraisal/revalidation.
2.0 About our trust
We’re an ambitious NHS trust committed to removing unnecessary stress and frustration for
you and your patients, providing you with more time to care and make the most of your skills.
If your ambition matches ours, we’d love to hear from you - come and join us.
This is an exciting time to be joining us. East Suffolk and North Essex NHS Foundation Trust
was formed on 1 July 2018 from a merger of Colchester Hospital University NHS Foundation
Trust and The Ipswich Hospital NHS Trust.
Our larger scale will provide you with opportunities to develop skills and experience, and our
time matters philosophy will help us to see patients at the right time, attract and retain the
best people and provide the latest treatments locally.
Our vision for the future is simple: to provide the communities we serve with excellent
healthcare and build a better future for east Suffolk and North Essex. We look forward to you
joining us and being part of this vision.
3.0 Department and role overview
Department The Obstetric and Gynaecology department is managed within the Division Women’s and Children’s Health. The management team are as follows: Divisional Clinical Director Dr Julia Jenkins Associate Director for Operations Mrs Shume Begum Head of Nursing Mrs Sarah Smith Head of Midwifery Mrs Alison Littler Director of Midwifery Mrs Anna Shasha General Manager (Women’s Health) Miss Valerie Pentney Clinical Lead (Obstetrics and Gynaecology) Miss Sally Price Clinical Director Miss Philippa Greenfield General Information The Department is located on the main Colchester General Hospital site. The Medical Staff Consultants:
Miss Philippa Greenfield - General Obstetrics and Gynaecology
Special interest High Risk Obstetrics, Perinatal Mental Health and Labour Ward Lead Clinical Director of Department Miss Joanne Osborne - General Obstetrics and Gynaecology
Special interest in colposcopy and Vulval disorders Mr David Sanderson - General Obstetrics and Gynaecology
Special interest in Urogynaecology Mr Barry Whitlow - General Obstetrics and Gynaecology
Director (ICENI Centre) Special interest in minimal access surgery, endometriosis centre lead and Undergraduate tutor
Mr Fadi Alfhaily - General Obstetrics and Gynaecology
Special Interest in Maternal Medicine and Urogynaecology Miss Sally Price - General Obstetrics and Gynaecology
Special Interest in complications of Early Pregnancy Colposcopy Lead Miss Tint Tint Wai General Obstetrics and Gynaecology Special Interest in Minimal Access Surgery, Endometriosis and pelvic pain College Tutor Mr Wassim Hassan – General Obstetrics and Gynaecology
Special Interest in Fetal Medicine and Advanced Ultrasound Mr Jonathan C Evans-Jones – less than full-time Gynaecologist
Special interest in Gynaecological Oncology Miss Neeraja Yeddula – General Obstetrics and Gynaecology
Special interest in Infertility Mr Kamran Safdar Rao – General Obstetrics and Gynaecology
Special interest in complex Benign Gynaecology Clinical audit lead Miss Ballari Ghosh – General Obstetrics and Gynaecology Oncology Specialty Doctors: Miss Ada Eronini Miss Cedar Bahnam-Beaten Dr Abdulrahman Abdullahi Dr Maxwell Dagba Dr Saadia Farrukh There are also a number of full and part time junior doctors in training within the Department Other Staff: Direct professional relationship with midwifery, nursing and secretarial staff.
4.0 Job description: duties and responsibilities
JOB TITLE: Whole-Time/Part-Time ICENI Fellowship in Obstetrics &
Gynaecology GRADE: Clinical Fellow DEPARTMENT: Obstetrics and Gynaecology ACCOUNTABLE TO: Medical Director REPORTS TO: Divisional Clinical Director HOURS: Basic 40 hours plus out of hours LOCATION: Colchester General Hospital The Post The ICENI Centre Fellow doctor will have a responsibility of supporting the Consultant Obstetrics and Gynaecology team. They will work at the Senior Middle Grade level in terms of clinical responsibility. They will have responsibilities in clinical and administrative roles within Obstetrics and Gynaecology. Additionally the post holders will take part in the on-call/out of hours rota (1:8/1:9) in line with the requirements of the department, which will form part of the job plan. Responsibilities will also include the supervision of junior staff and involvement in a regular teaching programme as well as participating in weekly meetings and monthly audit meetings. There will be support for CPD and appraisal within the job plan in line with current NHS contract. The ICENI Clinical Fellow Doctor will develop advanced specialist skills in laparoscopy and ultrasound/MRI, dependant on the requirement of the applicant and the needs of the department. Should you wish to visit the hospital, please make the necessary arrangements through the Obstetric and Gynaecology Department, Colchester General Hospital. Telephone: 01206 742979. Informal enquires should be made by email to Miss Greenfield, Consultant Obstetrician and Gynaecologist: [email protected]
5.0 Key Information about the Post, Duties and Responsibilities
GENERAL The post-holder will:
Work with colleagues to provide a service with the highest standard of care
Work with the multi-professional team following care pathways and clinical guidelines
Follow and maintain good working practices
Offer educational, clinical support and leadership to junior medical colleagues, nursing
colleagues and other members of the multi-disciplinary
Ensure appropriate information is made available to staff to measure clinical
performance and enable meaningful benchmarks to be established and evaluated within
your area of responsibility
Ensure there is a robust process for reviewing the quality of services provided,
explaining the causes of success and failure and ensure the highest standards are
maintained
Provide a role model of professional leadership, which underpins the corporate values
and behaviours agreed by the organisation, ensuring these are understood and
demonstrated by the medical workforce within your area and take remedial action where
poor behaviour are demonstrated
Participate in the appraisal of medical staff within the department in line with the Trust’s
agree policy
POST SPECIFIC Clinical:
On call and Emergency cover
Out of hours (on call) there is a 1:8/1:9 rota for middle grade doctors. Handover is 08:30
and 20:30 hours. For out of hours (20:30 - 09:00 hours) there is a resident ST grade or
Speciality Doctor covering Delivery Suite, Maternity Inpatients, as well as Gynaecology
Emergencies and Inpatients. This role is supported by a junior grade doctor resident, and
a Consultant on call (non-resident).
During normal working hours 08:00-17:30, the emergency duties are shared between a
middle grade for Delivery Suite and a Middle Grade for Wards and Gynaecology
Emergencies.
From 17:30 the Gynaecology Middle Grade will handover care to the Obstetric/Labour
Ward Registrar.
A Consultant is resident in the hospital for Delivery Suite and Ward Round from 08:30 –
20:30 hours
The on call/emergency cover role takes precedence over all other clinical work and you are expected to remain within the hospital grounds when you are the duty registrar.
At changeover time there should be a face to face handover of clinical cases and the bleep on the Delivery Suite.
Obstetrics:
Ward Rounds on the Maternity Ward – both antenatal and postnatal patients
Antenatal Clinic
Maternity Triage and Antenatal Assessment Unit
Delivery Suite Management
Elective Caesarean Section Lists
Accept referrals and review Obstetric patients admitted to other parts of the hospital
Gynaecology:
Ward Rounds and assessment of patients on the Gynaecology Ward for both acute
admissions and elective surgical cases
Gynaecology Theatre – Inpatient and Day case Lists (level of supervision as appropriate
to surgical cases and experience of the doctor
Gynaecology Outpatients
Emergency Gynaecology – assessment and initial management of acute/emergency
attendances both on Gynaecology Ward as direct referrals and in Accident and
Emergency Department
Accept referrals and review Gynaecology patients admitted to other parts of the hospital
Support to the Early Pregnancy Complication Service (EPU) while providing cover for
Emergency Gynaecology
Supervision and Support of Colleagues
There are ten junior grade doctors within the department – ST1/2 in O&G, GPST, and
foundation year doctors.
The role of the middle grade doctors as their immediate senior, is to provide support and
supervision in caring for patients in both Obstetrics and Gynaecology.
With the transition of ST2 to ST3 in Obstetrics and Gynaecology Speciality training, the
department runs a system of on call resident middle grade support for the ST3’s for their
first 6 months on the middle grade rota. The speciality grade doctors have previously
supported the junior grades in this transition by being resident on call while they do their
nights.
ADMINISTRATION
The incumbent will be expected to participate in case presentations and audit activity
Participate in the teaching programme
Involvement in Anaesthetic meetings of the Directorate
There are no other formal administrative duties ARRANGEMENTS FOR LEAVE
Your entitlement to annual leave will be 27 days until completion of two years as a
Specialty Doctor when this increases to 32 days per annum
Annual leave requests should be planned and advised within two weeks of initially taking
up your post
Six weeks’ notice of leave must be given therein – any request for leave without this
period of notice may be refused
Leave request forms must be submitted for approval to the appropriate Consultant,
Clinical Director (Clinical Lead) and Service Manager. Unsigned or incorrectly submitted
forms will be returned without approval which may delay your leave confirmation.
Leave will not be granted unless/until an annual leave request form has been approved
by the Consultant/Service Manager / Clinical Director (Clinical Lead).
Please do not assume your leave has been approved until you receive a confirmation.
Please refer to specialty guidelines for rules governing numbers allowed to be absent at
any one time, leave when on the on-call rota etc.
RESEARCH, AUDIT AND TEACHING
In conjunction with consultant colleagues he/she will organise and supervise the
teaching of junior medical staff and students in the department.
Research, audit and teaching are vital for the growth of effective clinical care. The
specialty doctor will be expected to support and foster these non-clinical roles in
conjunction with the incumbents and to take part in the teaching of medical
undergraduates and postgraduates.
6.0 Person Specification
Iceni Fellow (Doctor) in Obstetrics and Gynaecology
Criteria Essential Desirable
Qualifications MBBS or equivalent medical qualification
Part 1 MRCOG
Part 2 MRCOG or equivalent
Eligibility Eligible for full registration with the GMC at time of appointment and hold a current licence to practice.
Eligibility to work in the UK
Fitness To Practise
Is up to date and fit to practise safely
Language Skills
All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following:
o applicants have undertaken undergraduate medical training in English; or
o achieved the following scores in the academic International English Language Testing System (IELTS) in a single sitting within 24 months at time of application – Overall 7.5, Speaking 7.5, Listening 7.5, Reading 7.5, Writing 7.5
If applicants believe they have adequate communication skills but do not fit into one of these examples they must provide supporting evidence
Health Meets professional health requirements (in line with GMC standards/ Good Medical Practice)
Previous Experience
Possess up-to-date knowledge of principles and practices in Obstetrics and Gynaecology
Demonstrate experience in covering out of hours on middle grade rota for at least one year
Two years previous experience at ST1-2 level (or equivalent) in Obstetrics and Gynaecology
Previous experience of audit
Experienced in use of Regional techniques
Experienced in medicine outside Obstetrics and Gynaecology
Skills and knowledge
A confident person who has the ability to manage, motivate and teach the junior medical staff
Capacity to manage time and prioritise workload, balance urgent & important demands, follow instructions
Evidence of contributing to teaching & learning of others
Aware of ethics of research
Able to write new research proposals and protocols
Clear plan for continued professional development
Probity Demonstrated probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality)
Capacity to take responsibility for own actions
7.0 Example timetable
The rota is based on a 1:8 week timetable. The hours are 40 hour basic with on call supplement/banding.
Week 1 Week 2 Week 3 Week 4
Mon Long Team Day Mon Off Mon Nights Mon Long Team Day
Tues Team Tues Off Tues Nights Tues Team
Wed Team Wed Team Wed Nights Wed Team
Thurs Off Thurs Team Thurs Nights Thurs Team
Fri Nights Fri Team Fri Off Fri Team
Sat Nights Sat Sat Sat
Sun Nights Sun Sun Sun
Week 5 Week 6 Week 7 Week 8
Mon Team Mon CDS Long Day Mon Team Mon Team
Tues Long Team Day Tues CDS Long Day Tues Team Tues Off
Wed Team Wed CDS Long Day Wed Team Wed Long Team Day
Thurs Team Thurs CDS Long Day Thurs Off Thurs Team
Fri Team Fri Off Fri CDS Long Day Fri Team
Sat Sat Sat CDS Long Day Sat
Sun Sun Sun CDS Long Day Sun
8.0 Training and Postgraduate Education
Induction An induction programme will be organised for you on commencement of the post. General There is an excellent Postgraduate Medical Centre with a lecture theatre. The centre includes seminar rooms and a small but extensive library on a site adjacent to Colchester General Hospital. The Library supplies books, journals, some interactive software and access to electronic bibliographic databases and journals. Time will be allowed for the appointee to attend meetings etc. for the purposes of Continuing Medical Education. The post-holder will be required to participate in programmes for teaching medical students and training junior doctors. It is expected that this will be an integral part of everyday clinical activity. The post-holder will be required to keep himself/herself fully up-to-date with their relevant area of practice and to be able to demonstrate this to the satisfaction of the Trust. Professional or study leave will be granted at the discretion of the Trust, in line with the prevailing Terms and Conditions of Service, to support appropriate study, postgraduate training activities, relevant CME courses and other appropriate personal development needs. Post Specific There is no protected sleep time on night shifts so no on-call room is available in the hospital. The junior doctors’ mess has facilities for the making of hot beverages and snacks. Meals are taken in the hospital restaurant. Undergraduate Education Colchester Hospital University NHS Foundation Trust is now an associated university teaching hospital. Medical students from Barts and The London School of Medicine are regularly attached to the department, with eight or nine groups per year of four final year students.
9.0 General terms and conditions and information
Applicants for Clinical Fellow posts must have full GMC registration with a licence to practice. The post is covered by the Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales). Salary scale – as per current Whitley Council rates MC46 pay scale (Part-time staff will be paid pro-rata) Candidates will be required to complete a Health Statement and the Trust may require an officer to pass a medical examination as a condition of appointment. Because of the nature of the work of this post it is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act, 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975. Applicants are, therefore, not entitled to withhold information about convictions, including those which for other purposes are "spent" under the provisions of the Act, and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information should be sent to the Trust Medical Director in an envelope marked for his/her personal attention and will be completely confidential and be considered only in relation to an application for positions to which the order applies. ‘The Trust is committed to providing safe and effective care for patients. To ensure this, there is an agreed procedure for medical staff that enables them to report, quickly and confidentially, concerns about the conduct, performance or health of medical colleagues’ (Chief Medical Officer, December 1996). All medical staff practising in the Trust should ensure that they are familiar with the procedure and apply it. Counselling The incumbent’s pastoral and professional supervisor will be his/her supervising consultant, but where conflict might arise the Clinical Director will take his/her place or, when appropriate, nominate a non-medical counsellor. Medical Negligence The post-holder agrees to:
Co-operate fully with The Trust and its Legal Advisors in the investigation of any Patient Complaint/Incident involving but not limited to any allegation of negligence or misconduct on the part of the post-holder.
To provide The Trust, on request, with a full written statement concerning the said Patient Complaint/Incident.
Clinical Governance The post-holder will participate in clinical governance activities, including clinical audit, clinical effectiveness, risk management, quality improvement activities as required by the Trust, and external accrediting bodies. Management The post-holder will be required to work within the Trust's management policies and procedures, both statutory and internal, accepting that the resources available to the Trust are finite and that all changes in clinical practice or workload, or developments requiring additional resources must have prior agreement with the Trust. He/she will undertake the administrative duties associated with the care of his /her patients and the running of his/her clinical department under the direction of the lead clinician and/or directorate chair. Admissions Policy The responsibility for identifying available beds rests broadly with the Administrator/On-Call Manager but the responsibility for allocating patients and agreeing which bed to use rests with the On-Call Doctor. Hours of Duty The post-holder should be prepared to perform duties in occasional emergencies and unforeseen circumstances. Commitments arising in such circumstances are however, exceptional, and the post-holder will not be required to undertake work of this kind for prolonged periods or on a regular basis. Infection Control Infection Control is everyone’s responsibility. All staff, both clinical and non-clinical, are required to adhere to the Trusts’ Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA. All staff employed by the Trust have the following key responsibilities:
Staff must wash their hands or use alcohol gel on entry and exit from all clinical areas and/or between each patient contact.
Staff members have a duty to attend mandatory infection control training provided for them by the Trust.
Staff members who develop an infection (other than common colds and illness) that may be transmittable to patients have a duty to contact Health & Wellbeing Department.
AMENDING THE JOB DESCRIPTION: It is expected that as the organisation develops and
changes, it may be necessary to vary the tasks and/or the responsibilities of the postholder.
This will be done in consultation with the postholder and it is hoped that agreement can be
reached to any reasonable changes.
CONFIDENTIALITY: The postholder must at all times maintain complete confidentiality of
the material and information that they handle. Any matters of a confidential nature, or in
particular, information relating to diagnoses and treatment of patients and individual staff
records must not, under any circumstances, be divulged or passed on to any unauthorised
person or persons. The postholder must respect patient named confidentiality in keeping
with “Caldicott principles”.
DATA PROTECTION: The postholder must at all times respect the confidentiality of
information in line with the requirements of the Data Protection Act. This includes, if
required to do so, obtaining, processing and/or using information held on a computer in a
fair and lawful way, holding data only for the specified registered purposes and using or
disclosing data only to authorised persons or organisations as instructed.
POLICIES AND PROCEDURES: The postholder will be expected to comply with all
statutory legislation, Trust Financial Framework Guidance and approved national and local
policy. The postholder is also expected to be aware of the Trust’s Risk Management
Strategy which includes the responsibilities placed on them by the Health & Safety at Work
etc Act (1974) and the Clinical Governance Framework. All employees are expected to
comply with all Trust Policies and Procedures.
GENERAL: The postholder will be expected to be responsible for his/her continuing
professional development and to take a proactive approach to maintaining personal and
professional effectiveness in an evolving role.
The duties and responsibilities described in this Job Description are intended to be
indicative but not exhaustive of the responsibilities of the postholder. As the Trust develops,
the requirements of the job may change and the postholder is expected to adapt to these
changes.
HEALTH AND SAFETY: HEALTH AND SAFETY: Employees must share responsibility for
abiding by health and safety policies and regulations, infection prevention and control
policies and act in accordance with the Risk Management Policy. This includes compliance
with The Health Act 2006 Code of Practice for the prevention and control of healthcare
associated infection (available on the Trust Intranet). In addition, be aware of the
responsibilities placed on them by the Health & Safety at Work etc Act (1974) to ensure that
the agreed safety procedure is carried out to maintain a safe environment for themselves,
other employees and visitors.
EQUAL OPPORTUNITIES POLICY AND ANTI-HARASSMENT: The postholder will
immediately report to their line manager any breach or suspected breach of both equal
opportunity and anti-harassment guidelines
SMOKING CONTROL POLICY: The Trust has adopted a smoking control policy. The
policy applies to all staff, patients and visitors, and extends to the hospital grounds as well
as internal areas.
SAFEGUARDING CHILDREN
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 child protection concerns are both recognised and acted on
appropriately. You have a responsibility to ensure you are familiar with and follow the
Southend Essex and Thurrock (SET) child protection procedures and the Trust's
supplementary child protection guidance which is accessed electronically on the Trust's
website. To ensure you are equipped to carry out your duties effectively, you must also
attend mandatory child protection training and updates at the competency level appropriate
to the work you do and in accordance with the Trust's safeguarding children training
guidance.
SAFEGUARDING ADULTS
Everyone employed by the Trust regardless of the work they do has a 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. To ensure you are equipped to carry
out your duties effectively, you must also attend mandatory 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.
We strive to provide excellence by valuing; listening and learning from the patients and
carers we serve to ensure we provide a service that genuinely meets their needs.
