FOI REF: 16/351 - East Sussex Healthcare NHS Trust · FOI REF: 16/351 30th August 2016 ... 2016 Offer Letter ... Please note that we have attached the 2016 TCS and offer letter in

FOI REF: 16/351 30th August 2016

FREEDOM OF INFORMATION ACT I am responding to your request for information under the Freedom of Information Act. The answers to your specific questions are as follows: Please provide all the information you have given to new junior doctor starters at induction at the beginning of August 2016 regarding the new junior doctor contract. Please state if you are requiring any of these new junior doctors of any grade to sign a contract that differs from the 2002 national terms and conditions of service*. If you are requiring any doctor to sign a contract or other document different to this, please provide a generic copy of that contract/statement that you are requesting any doctor sign. Please provide all correspondence (emails etc) involved in the creation of this new document you are requesting any doctor to sign. * Available here: http://www.nhsemployers.org/your-workforce/pay-and-reward/nhs-terms-and-conditions/junior-doctors-dentists-gp-registrars/junior-doctors-terms-and-conditions-of-service-and-associated-documents Please note that East Sussex Healthcare NHS Trust have, in accordance with national guidance, made offers using the 2002 Contract and terms and conditions of service (TCS). The Trust will transfer all Doctors onto the new 2016 TCS as stipulated in the Implementation Timeline attached above. As such, no Doctors within the Trust have as yet been asked to sign the 2016 TCS. We can confirm that Doctors who started on 3rd August 2016 and who attended Induction were provided with the following regarding the New Junior Contract: 1) Pre-Employment Check Letter offering 1st Rotation on 2002 TCS (FYI Pre

Employment Offer.doc attached) 2) Offer Letter (Offer Ltr 2002.doc attached) 3) 2002 Contract of Employment – the following documents are attached: FY1 2002 Contract.doc JD 2016 Contract Template.docx 3) Induction Agenda 2016 Eastbourne District General Hospital (Induction Agenda 2016

EDGH.doc attached)

4) Induction Agenda 2016 Conquest (Induction Agenda 2016 CQ.doc attached)

http://www.nhsemployers.org/your-workforce/pay-and-reward/nhs-terms-and-conditions/junior-doctors-dentists-gp-registrars/junior-doctors-terms-and-conditions-of-service-and-associated-documents



5) Shadow Week Plan for Eastbourne District General Hospital & Conquest Hospital

(attached) 6) 2016 Offer Letter (Template Offer Ltr Pre Employ Chk for August 2016.docx attached) It is important to note that only ST3 Doctors in Obstetrics & Gynaecology who commence on 5th October 2016 will move onto the new 2016 TCS immediately which is in accordance with National Guidance. A copy of the 2016 TCS and Model Contract (Model contract for doctors in training July 2016.docx attached) that will be used by the Trust is attached for your perusal in addition to the Generic Work Schedule and Work Pattern (Sample generic work schedule OG ST3 August 2016.pdf attached). Please note that we have attached the 2016 TCS and offer letter in order to advise what the Trust will give to ST3s who start in October as they are the first to be given the new contract. Please note that the attached copy email correspondence has been redacted to remove names and email addresses for data protection reasons. According to our Freedom of Information Policy we only release the names and contact details of staff on Grade 8a and above. If I can be of any further assistance, please do not hesitate to contact me. Should you be dissatisfied with the Trust’s response to your request, please write to Lynette Wells, Director of Corporate Affairs, East Sussex Healthcare NHS Trust ([email protected]) quoting the above reference. Yours sincerely Jo Shoesmith Freedom of Information Manager

mailto:[email protected]

Statement of Terms and Conditions of Employment Medical and Dental Staff

Foundation Year 1 Rotation

Name

Email Address

Address

Appointment Foundation Year 1

Employer East Sussex Healthcare NHS Trust

Rotation:

From 3 August 2016

To 7 December 2016

Specialty Stroke Medicine

Base Eastbourne

Banding 50%

Annual Leave days 9

Date of commencement of

Appointment

3 August 2016

End date for fixed term

appointment

7 December 2016

Main Base(s) Your base is defined in the rotation grid, subject to any

future requirements to undertake your role at a different

base/travel to any Trust site. Any such change will be after

full discussion with you.

Base Salary £22,636

Incremental Date 3 August 2016

Hours of work 40 per week

Notice Period 4 weeks

Annual Leave Entitlement Annual Entitlement: 27 days per leave year

Leave entitlement split across rotation as per grid

Trust Continuous Service

Date (CSD)

3 August 2016

Any change in circumstances, for example a change in address or next-of-kin, must be

notified to your manager as soon as possible so that the Trust has up-to-date contact details

for its employees.

1. Terms and Conditions

1.1 Your appointment is subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff and doctors in Public Health Medicine and the Community Health Service (England and Wales) as amended from time to time and any reference in those Terms and Conditions to any employing Authority shall be construed as if it were to include a reference to an employing Trust. Your contract of employment will not override any statutory provisions.

1.2 The Trust reserves the right, in agreement with a recognised union or other employee representative, to amend your Terms and Conditions of Service of Hospital Medical and Dental Staff and doctors in Public Health Medicine and the Community Health Service (England and Wales). In accepting employment with the Trust you accept that your terms and conditions of employment may be varied according to this procedure and accept any such variation. You will be notified of any variations in writing. Such local terms and conditions shall prevail over any provision in this Contract.

1.3 By accepting these Terms and Condition of employment, you enter into an express commitment to abide by the Trust Values of Working Together; Respect and Compassion; Improvement and Development and Engagement

and Involvement.

1.4 By accepting these Terms and Condition of employment, you enter into an express commitment to abide by the NHS Constitution and the specific staff pledges:

aim to maintain the highest standards of care and service, taking responsibility not only for the care you personally provide, but also for your wider contribution to the aims of your team and the NHS as a whole.

aim to take up training and development opportunities provided over and above those legally required of your post.

aim to be open with patients, their families, carers or representatives, including if anything goes wrong; welcoming and listening to feedback and addressing concerns promptly and in a spirit of co-operation. You should contribute to a climate where the truth can be heard and the reporting of, and learning from, an error is encouraged.

2. Duties

2.1 You will be available for duty hours, which in total will not exceed the duty

hours set out for your working pattern in paragraph 20 of the Terms and

conditions of Service.

2.2 Your working pattern is described as full shift with controls on hours as defined

in the Terms and Conditions of Service paragraph 20. Changes to the work

pattern are not permitted without the agreement of your Clinical Director,

Senior General Manager and Medical Staffing to comply with EWTD 2009

and Health and Safety Legislation.

A copy of the Terms and Conditions is available here:

http://www.nhsemployers.org/your-workforce/pay-and-reward/nhs-terms-and-

conditions/junior-doctors-dentists-gp-registrars/junior-doctors-terms-and-

conditions-of-service-and-associated-documents

2.3 A non-pensionable supplement at paybands detailed above will be payable in

accordance with paragraph 22 of the Terms and conditions of Service. (For

rotations, banding supplements may differ for each individual

post/placement).

2.4 Banding supplements may be altered (in accordance with paragraphs

5.5 and 6.3 below) in the light of changes in working patterns in order to

make posts compliant with the New Deal. If the payband changes, you

will be issued with a letter of variation (in accordance with paragraph 6

below). Pay protection will apply in accordance with paragraph 21 of the

Terms and Conditions of Service.

3. Pay

3.1 Your base salary is detailed on the front page of these terms and conditions,

paid monthly and will progress by annual increments, per annum, in

accordance with the current national agreed salary scale for your grade.

(These rates are subject to amendment from time to time by national

agreement.) See Note 1.

3.2 Your incremental date is listed on the front page of these Terms and

Conditions. Your salary has incremental credit for previous service. If you




have any enquiry about how this has been calculated, please contact Medical

Staffing.

3.3 You will receive, in addition to your base salary a supplement at the rate

shown overleaf of your base salary for duty contracted band as set out in

paragraph 2.3 above, which will be payable monthly. (These rates may be

amended from time to time by national agreement).

4. Pension Scheme

4.1 The Pension Act 2008 requires employers to automatically enrol all new employees into a pension scheme on commencement of their employment. Details of the scheme benefits are contained in the NHS Pension Scheme Guide which you can download from the website: www.nhsbsa.nhs.uk/pensions

4.2 The NHS Pensions Scheme (NHSPS) is a qualifying pension scheme and

is the default Scheme for all NHS employees. You will be automatically enrolled in the NHS Pension Scheme if you meet the scheme’s eligibility criteria. If you do not meet the eligibility, the Trust will enrol you in the alternative qualifying pension scheme, National Employee’s Savings Trust (NEST).

4.3 Retirement

In order to retire and claim your NHS Pension Benefits, please contact the

trusts pensions department, at least four months before your intended

retirement date.

5. Monitoring of working patterns

5.1 The Trust is contractually obliged to monitor junior doctors’ New Deal

compliance and the application of the banding system, through robust local

monitoring arrangements supported by national guidance. You are

contractually obliged to co-operate with those monitoring arrangements.

5.2 These arrangements will be subject to:

Review by the regional improving junior doctors working lives action team (or equivalent) and

For the Trust, the performance management systems.

http://www.nhsbsa.nhs.uk/pensions

5.3 The Trust must collect and analyse data sufficient to assess hours’

compliance and/or to resolve pay or contractual disputes. Therefore, when

the Trust reasonably requests you to do so, you must record data on hours

worked and forward that data to the Trust.

5.4 The Trust is required to ensure that staff in all training grades comply with the

controls on hours of actual work and rest detailed in sub-paragraph 22.a of

the Terms and Conditions of Service, and with the requirements of the

Working Time Regulations as amended from time to time.

5.5 You are required to work with your employer to identify appropriate working

arrangements or other organisational changes in working practice which

move non-compliant posts to compliant posts and to comply with reasonable

changes following such discussion.

6. Revision to Pay Banding

6.1 The Trust will notify you in writing of its decision on banding.

6.2 Full details of the procedure for appealing against banding decisions are in

the Terms and Conditions of Service sub-paragraph 22.l

6.3 Full details of the procedure for rebanding posts are in the Terms and

Conditions of Service sub- paragraph 22.m.

7. Notice

7.1 The Departments and the profession have agreed that minimum periods of

notice should be applied as follows, unless there is agreement by both parties

to a contract that a different period should apply:

Foundation Year 1 2 weeks

Foundation Year 2 1 month

Specialty Registrar (Fixed term) 1 month

Specialty Registrar (Core Training) 1 month

Specialty or Specialist Registrar 3 months

7.2 The Employment Rights Act 1996 provides entitlement to minimum periods of

notice, dependent upon an employee’s length of continuous employment as

follows:

Period of continuous employment Notice entitlement

1 month or more but less than 2 years Not less than 1 week

2 years or more but less than 12 years Not less than 1 weeks for each

year of continuous employment

12 years or more Not less than 12 weeks

8. Registration and insurance

.

8.1 You are required to be registered and hold a licence to practice with the

General Medical Council throughout the duration of your employment.

8.2 You are normally covered by the NHS Hospital and Community Health

Services indemnity against claims of medical negligence. However, in certain

circumstances (especially in services for which you receive a separate fee)

you may not be covered by the indemnity. The Health Departments therefore

advise that you maintain membership of your medical defense organisation.

9. Continuous Service

9.1 Trust employment date

For the purposes of the Employment Rights Act 1996, your period of continuous

service with the Trust is stated on the first page of these terms and conditions

9.2 Previous eligible employment

Your continuous employment with other relevant NHS bodies, for this purpose, will

be recognised in relation to the entitlements such as annual leave, sick pay,

maternity pay and redundancy benefits.

10. Additional Work

You agree not to undertake locum medical or dental work for this or any other

employer where such work would cause your contracted hours (or actual

hours of work) to breach the controls set out in paragraph 20 of the Terms

and conditions of Service.

11. Residence

The appointment does not require you to reside in hospital but should you

choose to do so a deduction from salary for lodgings will accordingly be made

in accordance with the Terms and Conditions of Service and occupation set

out in the tenancy agreement/licence.

It is your responsibility to ensure that when on call you will be available by

telephone and able to reach your hospital in time to meet your clinical

commitments. Copies of HSC2000/036 relating to standards of residential

accommodation may be obtained on request.

12. Leave

12.1 Your leave entitlement is detailed on the front page of this terms and

conditions.

12.2 Full details of both annual leave and sick leave allowances and the conditions

governing those allowances and study leave, are set out in the Terms and

Conditions of Service. All leave to be approved by the Consultant and co-

ordinated by the Clinical Unit Administrator.

13. Property

13.1 East Sussex Healthcare NHS Trust accepts no responsibility for damage to or

loss of personal property, with the exception of small valuable handed to their

officials for safe custody. You are therefore recommended to take out an

insurance policy to cover your personal property.

13.2 Notwithstanding (a) above, East Sussex Healthcare NHS Trust undertakes,

so far as is reasonably possible, to ensure that lodgings are maintained in a

secure condition.

13.3 You should, through the exercise of normal diligence, also seek to maintain

the security of your lodgings.

14. Deductions

East Sussex Healthcare NHS Trust will not make deductions from or

variations to your salary other than those required by law without your

express written consent.

15. Sickness Absence

The provisions relating to absence by you because of sickness appear in

paragraph 225 – 244 of the Terms and Conditions of Service.

16. Grievance procedure

The Grievance procedures, which apply to your employment, are set out on

the Intranet

17. Disciplinary procedure

Wherever possible, any issues relating to conduct, competence and

behaviour should be identified and resolved without recourse to formal

procedures. However, should we consider that your conduct or behaviour

may be in breach of our code of conduct, or that your professional

competence has been called into question, the matter will be resolved

through our disciplinary or capability procedures and will be subject to the

appear arrangements set out in these procedures (which will be consistent

with the ‘Maintaining High Professional Standard in the Modern NHS’

framework). Copies of HSC 2000/031 – Modernising Pay and Contracts for

Hospital Doctors and Dentists in Training may be obtained on request.

18. Acceptance

If you agree to accept the appointment on the terms specified above, please

sign the form of acceptance and return one complete copy of this terms and

conditions to me. A second signed copy of this is attached, which you should

also sign, and retain for your future reference

Yours sincerely

Medical Staffing on behalf of East Sussex Healthcare NHS Trust

PLEASE DO NOT DETACH

I hereby confirm my acceptance of the offer of appointment mentioned in the foregoing letter

on the terms and subjects to the conditions referred to in it.

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

Print

Name:…………………………………………………………………………………………………………

This offer and acceptance of it shall together constitute a contract between the parties.

13th June 2016 Dear I am pleased to confirm our offer of employment as an FY1 Junior Doctor in General Surgery Hastings with East Sussex Healthcare Trust, to commence on 03/08/2016 and end on 06/12/16. You will receive another offer of employment for any subsequent placements on your training programme in due course. This offer of employment is conditional upon the following being received prior to commencement of employment: i) full occupational health clearance ii) evidence of GMC/GDC registration and GMC Licence to Practise iii) evidence of immigration status (a passport/immigration documentation) iv) satisfactory Disclosure (DBS) check v) PLEASE SEND ALL DOCUMENTATION IN ONE EMAIL TO [email protected] Please use the post office verification service http://www.postoffice.co.uk/document-certification-service Occupational Health Please complete questionnaire and return to [email protected] Disclosure and Barring Service (DBS) Check (formerly CRB) Please complete C7 and C9 and send back to [email protected] With verified ID documents – use post office verification service then scan and send Proof of Identity Please send verified ID documents – 2 address documents ( dated in last 3 months) Photo ID – Passport or Driving licence Evidence of Immigration Status Please send verified passport / immigration documentation via post office verification service


http://www.postoffice.co.uk/document-certification-service

http://www.postoffice.co.uk/document-certification-service



Salary The salary for this post will be in accordance with nationally agreed pay scales applicable to this grade. This post attracts an out of hours pay supplement of Band at 50% Information Governance Code of Conduct See starter pack Accommodation See starter pack Your working pattern To be Confirmed Please confirm your acceptance of this offer of employment,, please complete the above documentation and return to us within 3 working days of receipt within [No later than Friday 17th June]. If your acceptance is not received within this timescale this offer of employment may be withdrawn. Yours sincerely Medical Staffing Team Lead

ESME East Sussex Medical Education

INDUCTION Doctors in Training

Wednesday 3rd August 2016 Eastbourne District General Hospital

7.30 Registration & Breakfast Occupational Health ID Photos

Occupational Health Team Security Supervisor 8.00 8.10 8.20

Welcome to East Sussex Health Care Foundation Lead Executive tbc. Medical Education Manager & Medical Education Team

Hospital@Night Consultant Breast Surgeon

Palliative Care Palliative Care/End of Life

Group A Yellow Group B Peach Rotate Around 8.30 - 10.30

Occupational Health Occupational Health Team

Medical HR Assistant Medical Staffing Manager

ID Photos Security Officer

Foundation Programme Foundation Programme/ Staff Engagement & Well Being/ Quality Improvement Process/ Speak up Guardian Foundation Administrator TBC.

Library Medical Librarian

8.30 Dementia Dementia Care Pathway Lead

8.45 Resuscitation Senior Resuscitation Officer

9.00 Blood Transfusion Transfusion Practitioner

9.30 Esearcher esearcher

9.50 VitalPAC VitalPAC Project Support Officer

10.30 Coffee & Biscuits Coffee & Biscuits

Group B Peach Group A Yellow Rotate Around 10.45 - 12.45


Medical HR Assistant Medical Staffing Manager

ID Photos Security Officer

Foundation Programme Foundation Programme Foundation Programme/ Staff Engagement & Well Being/ Quality Improvement Process/ Speak up Guardian Foundation Administrator TBC

10.45 Dementia Dementia Care Pathway Lead


11.15 Blood Transfusion Transfusion Practitioner

11.45 Esearcher

esearcher

12.10 VitalPAC VitalPAC Project Support Officer

Library Medical Librarian

12.30 Sepsis 6 Consultant Anaesthetist

13.00 Lunch - Depart the Education Centre to attend Departmental Induction

ESME East Sussex Medical Education

INDUCTION Doctors in Training

Wednesday 3rd August 2016 Conquest Hospital

7.30 Registration & Breakfast Occupational Health ID Photos Occupational Health Team Security Supervisor

8.00 8.10 8.20

Welcome to East Sussex Health Care Executive tbc. Clinical Tutor Deputy Medical Education Manager & Medical Education Team

Hospital@Night Consultant Anaesthetist

Palliative Care Palliative Care/End of Life

Group A Group B Rotate Around 8.30 - 10.30


Medical HR Medical Personnel Manager

ID Photos Security Supervisor

Foundation Programme/ Staff Engagement & Well Being/ Quality Improvement Process/ Speak up Guardian Foundation Admin - TBC

Library Trust Library Manager

8.30 Dementia Consultant Physician


9.00 Blood Transfusion Lead Transfusion Practitioner

9.30 JOE / Esearcher

9.50 VitalPAC Clinical Systems Specialist

10.30 Coffee & Biscuits Coffee & Biscuits

Group B Group A Rotate Around 10.45 - 12.45


Medical HR Medical Personnel Manager

ID Photos Security Supervisor

Foundation Programme/ Staff Engagement & Well Being/ Quality Improvement Process/ Speak up Guardian Foundation Admin - TBC

Library Trust Library Manager

10.45 Dementia Consultant Physician


11.15 Blood Transfusion Lead Transfusion Practitioner

11.45 JOE / Esearcher

12.10 VitalPAC Clinical Systems Specialist

12.30 Sepsis 6 Consultant Anaesthetist/Sepsis Lead

13.00 Lunch - Depart the Education Centre to attend Departmental Induction

Doctor or Dentist in an Approved Training Post

STATEMENT OF TERMS AND CONDITIONS OF EMPLOYMENT

THIS CONTRACT IS BETWEEN:

East Sussex Healthcare NHS Trust

Kings Drive, Eastbourne, East Sussex, BN21 2UD

2

THE POST

1. Doctor in Approved Training

1.1. Your job title is [ i] in [ ]ii.

1.2. The appointment is subject to the national Terms and Conditions of Service for doctors and dentists in training (“the TCS”), 2016, which may be amended from time to time. A copy of the TCS is available on the NHS Employers website.

1.3. Your employment is conditional upon you continuing to hold a place in an approved postgraduate training programme.

1.4. It is a condition of your employment that you sit and pass such examinations as are required for the completion of your training. These must be completed in accordance with the curriculum and within the timescale approved by the General Medical Council (GMC) and/or for dentistry the General Dental Council (GDC) or other relevant body.

1.5. It is a condition of your employment that you have, and retain throughout your employment, the correct level of professional registration commensurate with your grade, and that during this period, you additionally continue to hold a licence to practise.

2. Commencement of Employment and Pay Point

2.1. Employment under this contract commences on 5th October 2016 and will terminate/terminates on 4th October 2017.

2.2. Your continuous employment with this employing organisation, for the purposes of the Employment Rights Act 1996, begins on [ iii].

2.3. For the purposes of certain NHS conditions of service, previous service within the NHS, whether with this employer or another NHS employer, although not continuous for the purposes of the Employment Rights Act 1996, will count as reckonable. For some purposes, dates prior to the dates in paragraphs 2.1 and 2.2 above may, therefore, be taken into account.

2.4. The standard full-time working week under this contract is 40 hours per week. Your actual hours of work under this contract will be no more than 48 hours per week on average and will be as set out in your work schedule. Should the hours in your work schedule be varied following a change of post or placement or following a work schedule review (as detailed in Schedule 5 of the 2016 TCS), your salary will be amended accordingly.

2.5. Your salary will be assessed in accordance with the pay framework set out in Schedule 2 of the 2016 TCS. If you are working less than the standard full-time working week, your salary will be adjusted pro rata in accordance with your contracted hours of work.

3

2.6. The maximum number of hours that may be worked in any given week is set out in Schedule 3 of the 2016 TCS.

2.7. Up to 40 hours of work per week are pensionable in the NHS Pension scheme.

3. General Mutual Obligations

3.1. While it is necessary to set out formal employment arrangements in this contract, we also recognise that you are a professional employee. It is essential that you and your employer work in a spirit of mutual trust and confidence. Your employment in a training post requires you to actively progress in your training, including the sitting and passing of such examinations as are set out in your training curriculum, and requires your employer to provide an appropriate training environment. You and we agree to the following mutual obligations in order to achieve the best for patients and to ensure the efficient running of the service:

3.1.1. to co-operate with each other and maintain goodwill;

3.1.2. to carry out our respective obligations in operating a work schedule;

3.1.3 to carry out respective obligations in accordance with educational and training requirements;

3.1.4 to carry out our respective obligations relating to the employer’s policies, objectives, rules, working practices and protocols; and

3.1.5 to carry out our respective obligations as defined in the Terms and Conditions of Service for NHS Doctors and Dentists in Training (England) 2016.

THE WORK

4. Location

4.1. Your principal place of work is [ iv]. Other work locations, including off site working, may be incorporated in your work schedule where appropriate. You will be expected to undertake duties at the principal place of work, other sites where your employer offers services or other locations identified in the work schedule. You may also be required to travel between work sites and attend official meetings at other locations.

5. Duties

5.1. Except in emergencies or where otherwise agreed with your manager, you are responsible for fulfilling the duties and responsibilities set out in Schedule 1 of the 2016 TCS and undertaking the activities set out in your work schedule, as reviewed from time to time in line with the provisions in paragraph 7.2 below.

4

6. Emergency Responses

6.1. In exceptional circumstances you may be asked to return to site or remain at work for emergencies outside of the expectations in your work schedule; however, you are not required to be available for such eventualities.

7. Work Scheduling

7.1. In accordance with Schedule 4 of the 2016 TCS, the purpose of your work schedule is to set out in clear and transparent terms the service commitments expected of you while in the post, and the parts of your training curriculum which can be achieved in the post. Additionally, you will be required to meet with your educational supervisor to agree and to include in your personalised work schedule other objectives that should reasonably be covered during this employment. The work schedule is not contractually binding in itself, but you have a duty to make all reasonable efforts to follow it.

7.2. The process for discussion and review of work schedules is set out in Schedules 4 and 5 of the 2016 TCS.

7.3. Scheduling of Activities

7.3.1. The work schedule will set out the hours and range of activities that are necessary to fulfil your duties and responsibilities under this contract, and include the duration and locations at which these activities are scheduled to take place.

7.3.2. Additional hours (up to the maximum set out in Schedule 3 of the TCS) may be contracted for separately from time to time. The rates for basic pay are set out in the latest pay circular.

7.3.3. Any variations in your scheduled weekly commitments should be averaged out over the length of the rota cycle, the length of your placement or 26 weeks, whichever is shorter, so that your average commitment is consistent with the provisions of the Working Time Regulations 1998 as amended from time to time.

7.4. Where emergency work takes place at regular and predictable times and / or in predictable amounts, it will be accounted for prospectively within the work schedule. You may be required to participate in an on-call rota to respond to unpredictable emergencies.

7.5. Where you have approved external duties included in your work schedule, you will provide six weeks’ written notice to your employer of the dates upon which the external duties will be carried out. Shorter notice periods may be agreed by local arrangement or by agreement between you and your manager.

5

8. Spare Professional Capacity

8.1. The 2016 TCS, Schedule 3, outlines contractual limits on working hours and rest periods. While in this employment, you should not ordinarily undertake work outside of this contract. Where you do wish to undertake any such work as a locum, you must first offer your services to the NHS as set out in the paragraphs pertaining to locum work in Schedule 3 of the TCS.

9. Hours which attract a pay enhancement

9.1. To recognise the unsocial nature of work undertaken at nights and on weekends, the provisions of Schedule 2 of the 2016 TCS will apply.

10. On-Call Rotas

10.1. If you are required to be on an on-call rota, the provisions of Schedule 3 of the 2016 TCS will apply.

10.2. Your on-call commitment will be set out in your work schedule.

PAYMENT

11. Pay

11.1. The full-time equivalent basic salary applicable on commencement in this employment is [£ v ] per annum. Your actual salary will be assessed on the basis of your work schedule and may comprise one or more of the following:

11.1.1. If your work schedule requires you to undertake additional hours of work over and above the standard week of 40 hours, you will be paid at the rate of 1/40th of the full time equivalent basic pay;

11.1.2. If part of the work in your work schedule is undertaken at a time which attracts an enhanced hourly rate of pay, that part will be paid as set out in Schedule 2 of the 2016 TCS;

11.1.3. If you are required to participate in work at the weekend, you will receive a weekend allowance calculated in accordance with Schedule 2 of the 2016 TCS;

11.1.4. If you are required to participate in an on-call rota, you will receive an on-call availability allowance calculated in accordance with Schedule 2 of the 2016 TCS;

11.1.5. Flexible pay premia is payable in certain circumstances as specified in

6

Schedule 2 of the 2016 TCS. If you are eligible for one or more premia, payments will be made in accordance with this Schedule;

11.1.6. London Weighting (where applicable) is payable in accordance with Schedule 2 of the 2016 TCS.

11.2. Your salary will be payable monthly in arrears on 24th day of each month unless that day falls on a weekend and or bank holiday in which case payment will be made the day before.

12. Deductions from Pay

12.1. We will not make deductions from, or variations to, your salary as set out at paragraph 11.1 other than those permitted by law without your express written consent.

13. Pension

13.1. Unless you are deemed ineligible, you will automatically be enrolled as a member of the NHS Pension Scheme subject to its terms and rules, which may be amended from time to time.

13.2. Pensionable pay will include basic salary and any other pay expressly agreed to be pensionable in Schedule 2 and Schedule 14 of the 2016 TCS.

14. Expenses

14.1. You may be entitled to reimbursement for travel, subsistence and other expenses, as set out in Schedule 11 of the 2016 TCS. Claims for expenses must be submitted in a timely manner (normally within one month of the time that the expenses were incurred).

OTHER CONDITIONS OF EMPLOYMENT

15. Leave and holidays

15.1. Full details of annual leave and public holidays, professional and study leave and sick leave are set out in Schedule 9 of the 2016 TCS.

15.2. Schedules 9 and 13 of the 2016 TCS set out where arrangements for special leave, maternity, paternity, parental, carer’s and adoption leave can be found.

16. Transfer of information

16.1. Where you are required to rotate between employing organisations, you acknowledge that we may receive and transfer personal and confidential information regarding your employment and training, as necessary for the continuation of your training. Such personal and confidential information may include personal and sensitive personal data for the purposes of the Data Protection Act 1998.

17. Policies and Procedures

7

17.1 You are required to familiarise yourself and comply with your employer’s policies and procedures and those of any other sites, identified in your work schedule, where your employer offers services.

18. Disciplinary Procedure

18.1 The procedure for dealing with matters of alleged misconduct is detailed in your employer’s policy and procedure which can be found [Note: employing organisation to add reference to local procedures].

19. Grievance Procedure

19.1 The procedure for dealing with grievances is detailed in your employer’s policy

and procedure which can be found [Note: employing organisation to add

reference to local procedures]. This procedure does not have contractual

effect.

20. Intellectual Property

20.1 You will comply with our procedures for intellectual property which reflect ‘The NHS as an Innovative Organisation, Framework and Guidance on the Management of Intellectual Property in the NHS’.

Termination of employment

21.1 The provisions governing termination of employment are set out in Schedule 10 of the 2016 TCS

22. Governing Law

22.1 This contract and any dispute or claim arising out of or in connection with it, or

its subject matter, or formation, shall be governed and construed in accordance

with English law and the parties agree that the courts of England and Wales

shall have exclusive jurisdiction to settle any dispute or claim that arises out of

or in connection with this contract.

23. Entire terms

23.1 This contract, together with the TCS and any local agreements, contains the entire terms and conditions of your employment with us, such that all previous agreements, practices and understandings between us (if any) are superseded and of no effect. Where any external term is incorporated by reference, such incorporation is only to the extent so stated and not further or otherwise.

8

AGREEMENT

I [insert name or employeevi]

and

East Sussex Healthcare NHS Trust

have understood and agree to honour the terms and conditions set out in this contract.

[ ] Doctor’s signature

Date:……………………………….

[ ] Representative of employing organisation’s signature

Date:……………………………….

Date of this agreement [ ]*

9

Notes

You are normally covered by the NHS indemnity scheme against claims of medical negligence. However, in certain circumstances you may not be covered by the indemnity. We therefore advise you to maintain membership of a medical defence organisation. Details of the NHS indemnity scheme may be obtained from the Human Resources department upon request. If you are on a training programme which includes placements in a general practice setting, you may be required to effect and maintain membership of a recognised medical defence organisation, commensurate with your professional duties, throughout the period of your employment. This may initially be at your own expense. You are advised to check with your employer what arrangements apply locally in relation to GP indemnity.

Updates on salary values are published in the NHS Employers website www.nhsemployers.org

Data required for mail merge

i Job title

ii Specialty or department

iii Insert date [ERA date]

iv Insert location [base or main location for this contract]

v Insert value of pay point

vi Name of employee

http://www.nhsemployers.org/

MODEL CONTRACT FOR DOCTORS AND DENTISTS

IN TRAINING

Information for employers (this page does not form part of the contract of employment and should be omitted when the contract is issued).

This contract is for use only for doctors and dentists in training where the post is accredited for training by the General Medical Council (GMC) / Health Education England (HEE) and the post holder is registered as having been accepted as a trainee under the auspices of the Postgraduate Dean.

The contract may be adapted as indicated below for full-time appointments, less than full-time appointments and locum appointments for training (LAT). Employers may need to add additional clauses to reflect local agreements and policies; any such insertion should be placed before the current paragraph 23.

This contract should not be used for service posts (trust doctor / clinical fellow), either temporary or permanent; nor should it be used for locum posts, other than for appointment as a locum for training (LAT).

This template is not for use by lead employers; a separate template has been prepared for employers acting as lead employer on behalf of host organisations.

This template has been designed to support mail-merge functionality; mail-merge fields are indicated with footnotes. Employers should use these fields to create mail merges as required.

The obligations of the employer under this contract should be read in conjunction with the learning and development agreement between the employer and HEE for the employer to provide training to a standard acceptable to the GMC/GDC. The doctor also has obligations under a separate training agreement with HEE (local office).

2

Doctor or Dentist in an Approved Training Post

STATEMENT OF TERMS AND CONDITIONS OF EMPLOYMENT

THIS CONTRACT IS BETWEEN:

[Insert name of employing organisation]i and

[Insert name and address of employee]1ii

3

THE POST

1. Doctor in Approved Training

1.1. Your job title is [ iii] in [ ]iv.

1.2. The appointment is subject to the national Terms and Conditions of Service for doctors and dentists in training (“the TCS”), 2016, which may be amended from time to time. A copy of the TCS is available on the NHS Employers website.

1.3. Your employment is conditional upon you continuing to hold a place in an approved postgraduate training programme.

1.4. It is a condition of your employment that you sit and pass such examinations as are required for the completion of your training. These must be completed in accordance with the curriculum and within the timescale approved by the General Medical Council (GMC) and/or for dentistry the General Dental Council (GDC) or other relevant body.

1.5. It is a condition of your employment that you have, and retain throughout your employment, the correct level of professional registration commensurate with your grade, and that during this period, you additionally continue to hold a licence to practise.

2. Commencement of Employment and Pay Point

2.1. Employment under this contract commences on [ v ] and will terminate/terminates on [ vi].

2.2. Your continuous employment with this employing organisation, for the purposes of the Employment Rights Act 1996, begins on [ vii].

2.3. For the purposes of certain NHS conditions of service, previous service within the NHS, whether with this employer or another NHS employer, although not continuous for the purposes of the Employment Rights Act 1996, will count as reckonable. For some purposes, dates prior to the dates in paragraphs 2.1 and 2.2 above may, therefore, be taken into account.

2.4. The standard full-time working week under this contract is 40 hours per week. Your actual hours of work under this contract will be no more than 48 hours per week on average and will be as set out in your work schedule. Should the hours in your work schedule be varied following a change of post or placement or following a work schedule review (as detailed in Schedule 5 of the 2016 TCS), your salary will be amended accordingly.

2.5. Your salary will be assessed in accordance with the pay framework set out in Schedule 2 of the 2016 TCS. If you are working less than the standard full-time working week, your salary will be adjusted pro rata in accordance with your contracted hours of work.

4

2.6. The maximum number of hours that may be worked in any given week is set out in Schedule 3 of the 2016 TCS.

2.7. Up to 40 hours of work per week are pensionable in the NHS Pension scheme.

3. General Mutual Obligations

3.1. While it is necessary to set out formal employment arrangements in this contract, we also recognise that you are a professional employee. It is essential that you and your employer work in a spirit of mutual trust and confidence. Your employment in a training post requires you to actively progress in your training, including the sitting and passing of such examinations as are set out in your training curriculum, and requires your employer to provide an appropriate training environment. You and we agree to the following mutual obligations in order to achieve the best for patients and to ensure the efficient running of the service:

3.1.1. to co-operate with each other and maintain goodwill;

3.1.2. to carry out our respective obligations in operating a work schedule;

3.1.3 to carry out respective obligations in accordance with educational and training requirements;

3.1.4 to carry out our respective obligations relating to the employer’s policies, objectives, rules, working practices and protocols; and

3.1.5 to carry out our respective obligations as defined in the Terms and Conditions of Service for NHS Doctors and Dentists in Training (England) 2016.

THE WORK

4. Location

4.1. Your principal place of work is [ viii]. Other work locations, including off site working, may be incorporated in your work schedule where appropriate. You will be expected to undertake duties at the principal place of work, other sites where your employer offers services or other locations identified in the work schedule. You may also be required to travel between work sites and attend official meetings at other locations.

5. Duties

5.1. Except in emergencies or where otherwise agreed with your manager, you are responsible for fulfilling the duties and responsibilities set out in Schedule 1 of the 2016 TCS and undertaking the activities set out in your work schedule, as reviewed from time to time in line with the provisions in paragraph 7.2 below.

5

6. Emergency Responses

6.1. In exceptional circumstances you may be asked to return to site or remain at work for emergencies outside of the expectations in your work schedule; however, you are not required to be available for such eventualities.

7. Work Scheduling

7.1. In accordance with Schedule 4 of the 2016 TCS, the purpose of your work schedule is to set out in clear and transparent terms the service commitments expected of you while in the post, and the parts of your training curriculum which can be achieved in the post. Additionally, you will be required to meet with your educational supervisor to agree and to include in your personalised work schedule other objectives that should reasonably be covered during this employment. The work schedule is not contractually binding in itself, but you have a duty to make all reasonable efforts to follow it.

7.2. The process for discussion and review of work schedules is set out in Schedules 4 and 5 of the 2016 TCS.

7.3. Scheduling of Activities

7.3.1. The work schedule will set out the hours and range of activities that are necessary to fulfil your duties and responsibilities under this contract, and include the duration and locations at which these activities are scheduled to take place.

7.3.2. Additional hours (up to the maximum set out in Schedule 3 of the TCS) may be contracted for separately from time to time. The rates for basic pay are set out in the latest pay circular.

7.3.3. Any variations in your scheduled weekly commitments should be averaged out over the length of the rota cycle, the length of your placement or 26 weeks, whichever is shorter, so that your average commitment is consistent with the provisions of the Working Time Regulations 1998 as amended from time to time.

7.4. Where emergency work takes place at regular and predictable times and / or in predictable amounts, it will be accounted for prospectively within the work schedule. You may be required to participate in an on-call rota to respond to unpredictable emergencies.

7.5. Where you have approved external duties included in your work schedule, you will provide six weeks’ written notice to your employer of the dates upon which the external duties will be carried out. Shorter notice periods may be agreed by local arrangement or by agreement between you and your manager.

8. Spare Professional Capacity

8.1. The 2016 TCS, Schedule 3, outlines contractual limits on working hours and

6

rest periods. While in this employment, you should not ordinarily undertake work outside of this contract. Where you do wish to undertake any such work as a locum, you must first offer your services to the NHS as set out in the paragraphs pertaining to locum work in Schedule 3 of the TCS.

9. Hours which attract a pay enhancement

9.1. To recognise the unsocial nature of work undertaken at nights and on weekends, the provisions of Schedule 2 of the 2016 TCS will apply.

10. On-Call Rotas

10.1. If you are required to be on an on-call rota, the provisions of Schedule 3 of the 2016 TCS will apply.

10.2. Your on-call commitment will be set out in your work schedule.

PAYMENT

11. Pay

11.1. The full-time equivalent basic salary applicable on commencement in this employment is [£ ix ] per annum. Your actual salary will be assessed on the basis of your work schedule and may comprise one or more of the following:

11.1.1. If your work schedule requires you to undertake additional hours of work over and above the standard week of 40 hours, you will be paid at the rate of 1/40th of the full time equivalent basic pay;

11.1.2. If part of the work in your work schedule is undertaken at a time which attracts an enhanced hourly rate of pay, that part will be paid as set out in Schedule 2 of the 2016 TCS;

11.1.3. If you are required to participate in work at the weekend, you will receive a weekend allowance calculated in accordance with Schedule 2 of the 2016 TCS;

11.1.4. If you are required to participate in an on-call rota, you will receive an on-call availability allowance calculated in accordance with Schedule 2 of the 2016 TCS;

11.1.5. Flexible pay premia is payable in certain circumstances as specified in Schedule 2 of the 2016 TCS. If you are eligible for one or more premia, payments will be made in accordance with this Schedule;

11.1.6. London Weighting (where applicable) is payable in accordance with Schedule 2 of the 2016 TCS.

7

11.2. Your salary will be payable monthly in arrears on [ x ].

12. Deductions from Pay

12.1. We will not make deductions from, or variations to, your salary as set out at paragraph 11.1 other than those permitted by law without your express written consent.

13. Pension

13.1. Unless you are deemed ineligible, you will automatically be enrolled as a member of the NHS Pension Scheme subject to its terms and rules, which may be amended from time to time.

13.2. Pensionable pay will include basic salary and any other pay expressly agreed to be pensionable in Schedule 2 and Schedule 14 of the 2016 TCS.

14. Expenses

14.1. You may be entitled to reimbursement for travel, subsistence and other expenses, as set out in Schedule 11 of the 2016 TCS. Claims for expenses must be submitted in a timely manner (normally within one month of the time that the expenses were incurred).

OTHER CONDITIONS OF EMPLOYMENT

15. Leave and holidays

15.1. Full details of annual leave and public holidays, professional and study leave and sick leave are set out in Schedule 9 of the 2016 TCS.

15.2. Schedules 9 and 13 of the 2016 TCS set out where arrangements for special leave, maternity, paternity, parental, carer’s and adoption leave can be found.

16. Transfer of information

16.1. Where you are required to rotate between employing organisations, you acknowledge that we may receive and transfer personal and confidential information regarding your employment and training, as necessary for the continuation of your training. Such personal and confidential information may include personal and sensitive personal data for the purposes of the Data Protection Act 1998.

17. Policies and Procedures

17.1 You are required to familiarise yourself and comply with your employer’s policies and procedures and those of any other sites, identified in your work schedule, where your employer offers services.

8

18. Disciplinary Procedure

18.1 The procedure for dealing with matters of alleged misconduct is detailed in your employer’s policy and procedure which can be found [Note: employing organisation to add reference to local procedures].

19. Grievance Procedure

19.1 The procedure for dealing with grievances is detailed in your employer’s policy

and procedure which can be found [Note: employing organisation to add

reference to local procedures]. This procedure does not have contractual effect.

20. Intellectual Property

20.1 You will comply with our procedures for intellectual property which reflect ‘The NHS as an Innovative Organisation, Framework and Guidance on the Management of Intellectual Property in the NHS’.

21. Termination of employment

21.1 The provisions governing termination of employment are set out in Schedule 10 of the 2016 TCS

22. Governing Law

22.1 This contract and any dispute or claim arising out of or in connection with it, or

its subject matter, or formation, shall be governed and construed in accordance

with English law and the parties agree that the courts of England and Wales

shall have exclusive jurisdiction to settle any dispute or claim that arises out of

or in connection with this contract.

23. Entire terms

23.1 This contract, together with the TCS and any local agreements, contains the entire terms and conditions of your employment with us, such that all previous agreements, practices and understandings between us (if any) are superseded and of no effect. Where any external term is incorporated by reference, such incorporation is only to the extent so stated and not further or otherwise.

9

AGREEMENT

I [insert name or employeexi]

and

[insert employerxii]*

have understood and agree to honour the terms and conditions set out in this contract.

[ ] Doctor’s signature

Date:……………………………….

[ ] Representative of employing organisation’s signature

Date:……………………………….

Date of this agreement [ ]*

10

Notes

You are normally covered by the NHS indemnity scheme against claims of medical negligence. However, in certain circumstances you may not be covered by the indemnity. We therefore advise you to maintain membership of a medical defence organisation. Details of the NHS indemnity scheme may be obtained from the Human Resources department upon request. If you are on a training programme which includes placements in a general practice setting, you may be required to effect and maintain membership of a recognised medical defence organisation, commensurate with your professional duties, throughout the period of your employment. This may initially be at your own expense. You are advised to check with your employer what arrangements apply locally in relation to GP indemnity.

Updates on salary values are published in the NHS Employers website www.nhsemployers.org

Data required for mail merge

i Name of employing organisation

ii Name and address of employee

iii Job title

iv Specialty or department

v Insert date (actual start date under this contract)

vi Insert end date

vii Insert date [ERA date]

viii Insert location [base or main location for this contract]

ix Insert value of pay point

x Insert date/ day in month of payday

xi Name of employee

xii Name of employing organisation

http://www.nhsemployers.org/

FORM C18

Private & Confidential 12th July 2016 Sent Via Email Dear Dr FY2 CONTRACT OF EMPLOYMENT Enclosed are two copies of your new Contract of Employment with East Sussex Healthcare NHS Trust from 03/08/2016 to 07/12/2016. Once and if national agreement has been reached East Susses Healthcare NHS Trust will issue you with a further contract relating to the newly agreed Terms & Conditions of Service. Your attention is drawn to the following documents, which can be found on the Trust intranet under Human Resources, and forms part of your contract of employment:

Absence Management Procedure

Individual and Collective Grievance Procedure

Maintaining High Professional Standards in the Modern NHS

Dignity at Work Policy

Whistleblowing Procedure Please sign both copies to indicate your acceptance of the Terms and Conditions contained therein and return one copy to Medical HR Recruitment Department at the above address. This offer is of course subject to satisfactory clearance of all relevant pre-employment checks. Yours sincerely Medical HR

1 Employer implementation guidance - doctors in training

Generic Work Schedule

Training Programme: Obstetrics and Gynaecology run-through training

Specialty placement: Obstetrics and Gynaecology

Grade: ST3

Length of placement: 12 months

Employing organisation: St Elsewhere NHS Foundation Trust

Host organisation (if different from the above): N/A

Site(s): St Elsewhere District General

Educational Supervisor: Dr G. Smith

Clinical Lead/Rota Co-Ordinator: Dr C. Sultant

Name of Guardian: Dr J. Khan

Contact details of Guardian: [email protected], 01234 567890

Medical Workforce Department Contact Details: [email protected], 0987 654321

Working pattern: Shift rota Rota Template:

Week Mon Tue Wed Thu Fri Sat Sun

1 0900-1800

0900-2200 0900-2200 0900-2200

2 0900-1800

0900-2200 0900-1800 0900-1800 3 2100-1000 2100-1000 2100-1000 2100-1000

4 0900-1800 0900-2200 0900-1800 0900-1800 0900-1800 5 0900-2200 0900-1800 0900-1800 0900-1800

6

0900-1800 0900-1800 0900-1800 2100-1000 2100-1000 2100-1000

7

0900-1800 0900-1800 8 0900-1800 0900-1800 0900-1800 0900-2200 0900-1800

Junior doctors

The new 2016 contract




Your working pattern is arranged across a rota cycle of 8 weeks, and includes:

20 Normal days – on normal days typically allocated doctors will attend clinics, maternity day units,

elective caesarean patients, and antenatal and postnatal ward rounds.

7 Long days (of which 2 are at the weekend) - on long days you will typically be doing an all day

theatre list, antenatal and postnatal ward rounds.

7 Night shifts (of which 2 are at the weekend) - on nights you will typically be providing emergency

cover on the labour ward, maternity day unit, acute gynaecology and providing support to the on-

call ST2 covering early pregnancy unit and acute gynaecology

4 Weekend shifts - on weekends you will typically be providing emergency cover on the labour ward,

maternity day unit, acute gynaecology

Average Weekly Hours of Work: 45.25

Your contract is a full-time contract for 40 hours.

You will in addition be contracted for an additional 5.25 hours, making for total contracted hours of

45.25.

The distribution of these will be as follows:

Average weekly hours at basic hourly rate: 33.0

Average weekly hours attracting a 37 per cent enhancement: 12.25

Note: these figures are the average weekly hours, based on the length of your rota cycle, as

required by Schedule 2 of the Terms and Conditions of Service. These may not represent your actual

hours of work in any given week.

Annual pay for role*

Basic Pay (Nodal Point): £45,750

Pay for additional hours above 40: £6,005

Enhanced pay at 37% rate: £5,184

Weekend allowance: £3,431

On-call availability supplement : N/A

Flexible Pay Premia [Type]: N/A

Total pensionable pay: £45,750

Total non-pensionable pay: £14,620

Total annual pay for this role: £60,370

Should your placement be for less than 12 months, your pay will be pro-rated to the length of your

placement.

*Please note- if you are entitled to pay protection in line with Schedule 2 of the TCS or to transitional pay

protection in line with Schedule 14 of the TCS, then your actual salary may be greater than the above figure.

Where this is the case, your salary will contain one or more additional pay protection elements so as to

maintain your salary at its protected level.


Training Opportunities:

Insert the curriculum mapped outcomes that can be achieved whilst in this placement, together

with the formal and informal learning opportunities available to the post-holder.

St Elsewhere NHS FT expects that the following should be able to be achieved whilst in this post, in

line with the Royal College of Obstetricians and Gynaecologists expectation of educational

progression:

Curriculum progression (as evidenced in the log book on the ePortfolio) - progress with signing

off intermediate competencies, completion of basic ultrasound modules for trainees starting as

ST1 from August 2013.

Clinical skills - work on-call without direct supervision when competencies have been confirmed.

Formative OSATS (SLE) showing evidence of training since last ARCP – hysteroscopy,

laparoscopy, operative laparoscopy (e.g. laparoscopic sterilisation/ simple adnexal surgery.

At least 3 summative OSATS confirming competence by more than one assessor (can be

achieved prior to the specified year) - Basic ultrasound modules with relevant summative OSATs

for trainees starting as ST1 from August 2013 onwards.

Evidence of at least one consultant observed summative OSAT for each item confirming

continuing competency since last ARCP - caesarean section, operative vaginal delivery, surgical

management of miscarriage.

Mini-CEX x8 and CbDs x8 - These should be obtained throughout the year, not just in the weeks

before ARCP/RITA. The WBAs should reflect a level of complexity expected at that year of

training. Trainees should have a mixture of obstetrics and gynaecology WBAs and, in the first 5

years of training, there should be four in obstetrics and four in gynaecology. Thereafter, they

should reflect the nature of the attachments undertaken.

Reflective practice x8 - The number of reflective practice logs that have been revealed to the

educational supervisor. Reflective practice logs should include reflection on all serious and

untoward incidents and complaints that the trainee has been named in.

Regional teaching - attendance at regional teaching programme as per regional guidelines.

Obligatory courses - obstetric simulation course – ROBUST or equivalent for trainees entering

ST1 from August 2015 onwards.

Team observation (TO) forms - TO1s at least twice per year as per RCOG recommendations.

Clinical governance (patient safety, audit, risk management and quality improvement) - 1

completed and presented project, Evidence of attendance at local risk management meetings.

Teaching experience - documented evidence of teaching (e.g. to medical students/ foundation

trainees/GPSTs), organising departmental teaching of medical students/FYs/ GPSTs.

Leadership and management experience - evidence of departmental responsibility e.g. rota/

departmental meetings, working with consultants to organise (e.g. “office work”) including

clinical administration and dealing with correspondence.

Presentations and publications (etc) - as per previous annual review discussion.

Trainee Evaluation form (TEF) - TEF completed on ePortfolio.


Departmental timetable

Monday am Doctor's Office, Labour

Ward

Handover of cases along with consultants for

obstetrics and gynaecology hot week.

Allocated doctors will attend clinics, maternity day

units, elective caesarean patients, antenatal and

postnatal ward rounds.

Early pregnancy unit and acute gynaecology will

be managed by the on-call ST2s with the help and

guidance form ST3+ as well as hot week

gynaecology consultants.

High risk obstetric antenatal clinic.

pm Monday Lunch time

meeting : 13:00 to

14:00

High Risk Obstetric

Antenatal Clinic

First Monday of each month - diagnostic imaging

meeting. This is attended by a consultant

radiologist and trainees or consultants present

their cases.

Third Monday each month - neonatal morbidity

and mortality meeting attended and facilitated by

consultants from both obstetrics and neonatology

department.

Tuesday am Doctor's Office, Labour

Ward







be managed by on-call ST2s with the help and



High risk obstetric antenatal clinic day surgery

session.

pm Vaginal birth after

caesarean clinic (VBAC)

Main theatre session

Day Surgery Session

Wednesday am 0800-0900 Formal

Teaching – Seminar

Room

Doctor's Office, Labour

Ward

Hand-over of cases along with consultants for









High risk obstetric antenatal clinic.

Main theatre session.

pm Gynaecology clinic

Main theatre session


Thursday am 0800-0900 Formal

Teaching CTG Meeting

Doctor's Office, Labour

Ward










Diabetic antenatal clinic.

Main theatre session.

pm Gynaecology Oncology

clinic

Friday am Doctor's Office, Labour

Ward










High risk obstetric antenatal clinic

Day surgery session

pm Day Surgery Session

Multidisciplinary

Gynaecology Oncology

Meeting

Emergency

Cover

Labour ward

Maternity Day Unit

Acute Gynaecology

The following should be achievable through the formal and informal teaching opportunities provided

above, with the following possible exceptions that are delivered outside the routine schedule.

https://www.rcog.org.uk/en/careers-training/specialty-training-curriculum/core-curriculum

Core Module Possible exception Comment

Core Module 1 Formal course: Breaking bad news

Core Module 2 Formal courses in: Appraisal and

assessment teaching skills

Presentation skills are taught as a form

of regional trainee away days

Core Module 3

Core Module 4

Core Module 5 Formal course: Obtaining consent -

basic practical skills in obstetrics and

gynaecology course (RCOG

approved)

Attendance at these courses will be

facilitated. The nearest hospital where

this course is conducted on a regular

basis is St. Somewhere NHS Trust.

https://www.rcog.org.uk/en/careers-training/specialty-training-curriculum/core-curriculum


Core

Module 6

Core

Module 7

Core

Module 8

Basic obstetric ultrasound theoretical

course,

Attendance at these courses will be

facilitated. The nearest hospital where this

course is conducted on a regular basis is

St. Somewhere NHS Trust.

Core

Module 9

Core

Module 10

PrOMPT courses are held locally on a four

weekly basis.

Core

Module 11

Core

Module 12

Massive obstetric haemorrhage

Perineal trauma course

Attendance at the yearly RCOG’s MOH

course will be facilitated

Attendance at the 6-monthly Wherever

University Hospitals Perineal Trauma

course will be facilitated

Core

Module 13

Problems of puberty

rape/ forensic gynaecology

paediatric gynaecological problems

All taught as a form of regional trainee

away days

Core

Module 14

Assisted reproduction course

Core

Module 15

Core

Module 16

Core

Module 17

Core

Module 18

Core

Module 19

Ultrasound

training

These need to be completed by the end of

ST3 training. No problems foreseen with

delivering this element of training.

Other:

In addition to the formal opportunities identified through the curriculum, opportunities may also

arise in the post to gain experience teaching and supervising, and to participate in audits and quality

improvement work.

ESHT Shadow Week Programme – Eastbourne Timetable Monday 25th July - Friday 29th July & Monday 1st - Tuesday 2nd August 2016 (inclusively)

Red = Planned but not confirmed/Blue = Contact made but no final confirmation/Black Bold = Confirmed and / or booked

Time Mon 25 July & Tues 26 July

Wednesday 27 July Thursday 28 July Friday 29 July Mon 1 August Tues 2 August

08.30 – 12.30

ILS Monday 25th July Resus Team Clinical Skills Room / SR3

Mon 25th July 7.00 pm – late Welcome BBQ Cooden Beach Hotel, Bexhill

ALERT Tuesday 26th July Seminar Room 3

8.30 Welcome & Breakfast Dr Adrian Bull, Chief Executive via VC (10 mins) DME/Clinical Tutor (8.40am 10 mins) Foundation Lead (8.50am 10 mins) MEM 9.00 Medical HR (Group) Bob Webster Room 9.30 Rotate through:

Occupational Health

Medical HR & Library

ID Photos

/ MECC / Staff Wellbeing / /Clinical Skills/ Seminar Room 3/

9.00 Blood Cultures IV Team Lead 11.00 eSearcher Training / FY1 11.45 ePortfolio FY1

9.00 Introductory Educational Session 10.00 Prescribing Assessment 11.30 Feedback 12.00 VitalPAC Training

DEPARTMENT INDUCTION & Shadowing & checklists Medicine Induction @ EDGH on Wednesday 3rd August 1.00pm Seminar Room 3

Shadowing

12.30 12.30 Lunch with Current FY1s

12.30 Lunch with BMA (Rob Macey)

12.30 - 13.30 Lunch sponsored by MPS & Awards Event /Lecture Theatre

13.00 – 17.00

13.15 Social Aspects / Handover current FY1s 14.00 - 15.30 STFS Slides & Information Consultant Oral Surgery / FTPD & Foundation Admin 15.30 Sepsis 6 Consultant Anaesthetist 16.00 Tour of Hospital (SHR) (Including Radiology) Current FY1s (2 Groups) – 16.30 Blood Gas (2 Groups - 16.30 & 17.00) (A&E)

13.30 Clinical Coding / FY1 14.30 Blood Transfusion & ICE 15.30 - 17.00 Moving and Handling Practitioner Basement Training Room (near Resus)

14.00 Infection Control 15.00 Palliative / EOLC 16.00 H@N

Shadowing

Shadowing

ESHT Shadow Week Programme – Conquest Timetable Monday 25th July - Friday 29th July & Monday 1st - Tuesday 2nd August 2016 (inclusively)




08.30 – 12.30

ALERT Monday 25th

July Room 10, Skills Room & Lecture Theatre


ILS Tuesday 26th July Resus Team Rooms 9/10 & Skills Room

8.00 Breakfast, Atrium 8.30 Welcome, Lect Theatre Dr Adrian Bull Chief Executive (10 mins) VC to EDGH Clinical Tutor (10 mins) 9.00 Medical HR (Group) 9.30 Rotate through:

Occupational Health

Medical HR / IT Passwords

Library

ID Pictures

MECC / Staff Wellbeing / Atrium, Rooms 4, 6, 7 & 8

9.00 – 11.00 Rotate in Groups Blood Cultures Skills Room Blood Transfusion & ICE(?) Room 4 Blood Gas A&E (by Ophthalmic cubicle, opposite x-ray in A&E)

11.30 - 12.30 Infection Control Lecture Theatre

9.00 - 10.00 Prescribing Introductory / Educational Session 10.00 - 11.30 Prescribing Assessment Lecture Theatre / Room 4 11.30 - 12.15 Feedback Lecture Theatre / Room 4

DEPARTMENT INDUCTION Surgery 11.00 am Surgical Sem Room, Level 2 Medicine Wed 3rd August 3.00 pm Doctors Library, Level 1 Orthopaedics Wed 3

rd August

2.00 pm Fracture Clinic, Level 3

Shadowing & checklists

Shadowing

12.30 12.30 - 13:15 Lunch with Current FY1s Lecture Theatre

12.30 Lunch with BMA Lecture Theatre & Atrium

12.30 - 13.30 Lunch with MDU Awards Event Lecture Theatre & Atrium

13.00 – 17.00

13.15 Social Aspects with all current FY1s Sexpectations and MEDSTART 13.45 Clinical Coding Lecture Theatre 14.30 STFS Slides Medical Education 15.30 ePortfolio Lecture Theatre 16.00 Sepsis 6 Lecture Theatre

13.30 - 16.15 Moving & Handling (2 groups at 1.30pm & 3.00pm) Room 9 Palliative Care /EOLC (2 groups at 1.30 pm & 3.00pm) Room 4 or LTH 16.15 – 16.45 VitalPAC

13.30 eSearcher Training FY1 Lecture Theatre 14.15 – 15.00 Tour of Hospital (Including Radiology) With current FY1s (6 groups) Meet in Atrium

Shadowing

Shadowing

15.30 H@N TBC 16.00 – 17.00 Surviving as an FY1

ESHT Shadow Week Programme – Conquest Timetable Monday 25th July - Friday 29th July & Monday 1st - Tuesday 2nd August 2016 (inclusively)




08.30 – 12.30

ILS Monday 25th July Resus Team Clinical Skills Room SR3


ALERT Tuesday 26th July Seminar Room 3 COURSES AT EASTBOURNE DGH

8.00 Breakfast, Atrium 8.30 Welcome, Lect Theatre Dr Adrian Bull Chief Executive (10 mins) VC to EDGH Clinical Tutor (10 mins) 9.00 Medical HR (Group) 9.30 Rotate through:

Occupational Health

Medical HR / IT Passwords

Library

ID Pictures

MECC / Staff Wellbeing / Atrium, Rooms 4, 6, 7 & 8

9.00 – 11.00 Rotate in Groups Blood Cultures Skills Room Blood Transfusion & ICE(?) Room 4 Blood Gas A&E (by Ophthalmic cubicle, opposite x-ray in A&E)

11.30 - 12.30 Infection Control Lecture Theatre

9.00 - 10.00 Prescribing Introductory / Educational Session 10.00 - 11.30 Prescribing Assessment Lecture Theatre / Room 4 11.30 - 12.15 Feedback Lecture Theatre / Room 4

DEPARTMENT INDUCTION Surgery 11.00 am Surgical Sem Room, Level 2 Medicine Wed 3rd August 3.00 pm Doctors Library, Level 1 Orthopaedics Wed 3

rd August

2.00 pm Fracture Clinic, Level 3

Shadowing & checklists

Shadowing

12.30 12.30 - 13:15 Lunch with Current FY1s Lecture Theatre

12.30 Lunch with BMA Lecture Theatre & Atrium

12.30 - 13.30 Lunch with MDU Awards Event Lecture Theatre & Atrium

13.00 – 17.00

13.15 Social Aspects with all current FY1s Sexpectations and MEDSTART 13.45 Clinical Coding Lecture Theatre 14.30 STFS Slides Medical Education 15.30 ePortfolio Lecture Theatre 16.00 Sepsis 6 Lecture Theatre

13.30 - 16.15 Moving & Handling (2 groups at 1.30pm & 3.00pm) Room 9 Palliative Care /EOLC (2 groups at 1.30 pm & 3.00pm) Room 4 or LTH 16.15 – 16.45 VitalPAC Lecture Theatre

13.30 eSearcher Training FY1 Lecture Theatre 14.15 – 15.00 Tour of Hospital (Including Radiology) With current FY1s (6 groups) Meet in Atrium

Shadowing

Shadowing

15.30 H@N TBC 16.00 – 17.00 Surviving as an FY1

[Date offer letter sent] Medical Staffing/HR [delete as appropriate]

[Address]

[Title] [First name] [last name] Tel:

[address] email:

website:

Dear [title] [last name]

I am pleased to confirm our offer of employment as [grade] in [specialty] with [trust], to commence on

[start date of first placement] and end on [end date of first placement]. You will receive another offer

of employment for any subsequent placements on your training programme in due course. This offer

of employment is conditional upon the following being received prior to commencement of

employment:

i) full occupational health clearance

ii) evidence of GMC/GDC registration and GMC Licence to Practise

iii) evidence of immigration status (a passport/immigration documentation)

iv) satisfactory Disclosure (DBS) check

v) [insert any other checks required, for example references]

Occupational Health

[insert local information and process for obtaining occupational health clearance]

Disclosure and Barring Service (DBS) Check (formerly CRB)

[insert local information and process for DBS check)

Proof of Identity

[insert local information and process for verifying identity]

Evidence of Immigration Status

[insert local information and process on right to work in the UK]

GMC Registration and Licence to Practise

[insert local information and process on registration and licence to practise]

Salary

The salary for this post will be in accordance with nationally agreed pay scales applicable to this grade.

This post attracts an out of hours pay supplement of Band [insert banding].

Information Governance Code of Conduct

[insert local information and process on Governance]

Accommodation

[insert any local information if appropriate]

Details of how to book annual leave

[trust to insert details of how to book annual leave, or insert details (e.g. annual leave policy) as an

annex]

Your working pattern

[trust to insert a copy of the rota the doctor will be working on, or to append as an annex].

Please confirm your acceptance of this offer of employment, [insert process for accepting offer],

within [insert local deadline]. If your acceptance is not received within this timescale this offer of

employment may be withdrawn.

Yours sincerely

[insert name of relevant Medical Staffing/HR officer]

Documents

FOI REF: 16/351 - East Sussex Healthcare NHS Trust · FOI REF: 16/351 30th August 2016 ... 2016 Offer Letter ... Please note that we have attached the 2016 TCS and offer letter in