JOB DESCRIPTION AND FURTHER DETAILS OF THE POSTS ...
JOB DESCRIPTION AND FURTHER DETAILS OF THE POSTS ...
JOB DESCRIPTION AND FURTHER DETAILS OF THE POSTS ...
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<strong>JOB</strong> <strong>DESCRIPTION</strong> <strong>AND</strong> <strong>FUR<strong>THE</strong>R</strong> <strong>DETAILS</strong> <strong>OF</strong> <strong>THE</strong> <strong>POSTS</strong> WITHIN<br />
FOUNDATION YEAR ONE PROGRAMME 2011 - 2012<br />
1.0 GENERAL<br />
1.1 The employing Trust for the above post is the Northern Devon Healthcare Trust.<br />
1.2 The post is based at North Devon District Hospital, Barnstaple, within the Northern Devon<br />
Healthcare Trust. A brief description of the hospital and facilities can be found at Appendix A.<br />
2.0 SPECIALTY / DEPARTMENTS:<br />
2.1 General Surgery, Acute Admissions Units (Medical), Trauma & Orthopaedics, Medical<br />
Specialties, Paediatrics. (This job will rotate through some of the above posts)<br />
2.2 Brief details of the size and main functions of the Departments are attached at Appendix B.<br />
3.0 <strong>THE</strong> POST<br />
3.1 Title / Grade: Foundation Year One Doctor<br />
3.2 Relationships: Names of Consultants and details of other members of the departments are<br />
attached at Appendix B. The job requires appropriate professional relationships with other<br />
staff e.g. nursing, professional and technical as necessary in the execution of duties.<br />
3.3 Duties and location of posts: Attached at Appendix B.<br />
3.4 Emergency: Foundation Year One doctors may also be asked to perform duties in occasional<br />
emergencies and unforeseen circumstances at the request of the appropriate Consultant, in<br />
consultation, where appropriate, with senior and junior colleagues. Such additional<br />
commitments in this sub-section should be exceptional and not for prolonged periods.<br />
4.0 STUDY <strong>AND</strong> TRAINING<br />
4.1 The post is recognised for postgraduate training as specified below:<br />
The Postgraduate Dean confirms that this placement and/or programme has the required<br />
educational and dean's approval with a view to full registration.<br />
We have an excellent and dynamic Medical Education Centre, which offers<br />
portfolio learning opportunities to students from around the country. The library has obliging<br />
staff and a good range of journals, Medline and Internet access. We also have<br />
teleconferencing facilities and a local intranet for clinical and service guidelines and reference.<br />
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4.2 Other Postgraduate medical education courses are held at Barnstaple e.g.<br />
Daily Departmental Teaching sessions<br />
Weekly Clinical Meetings<br />
Weekly Morning Report, Journal Club, Grand Round<br />
Monthly Morbidity and Mortality Meetings<br />
Various Certificated Advanced Life Support Courses including ALS<br />
Further details regarding study leave or medical education courses may be obtained from the<br />
Medical Education Centre.<br />
5.0 MAIN CONDITIONS <strong>OF</strong> SERVICE<br />
5.1 The post is subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff<br />
and the Northern Devon Healthcare Trust’s local agreements, as amended from time to time.<br />
5.2 The appointment is full time, with four months being spent within each specialty.<br />
5.3 The current basic salary scale is £22,412 - £25,209 pa plus the appropriate banding<br />
supplement, where applicable. Most posts attract banding in two of three rotations.<br />
5.4 Accommodation: Residential accommodation may be available on site.<br />
5.5 The following accommodation described below is provided, subject to signature of a legally<br />
binding Tenancy Agreement.<br />
Single accommodation: Furnished - comprise single bed / sitting room with a shared<br />
bathroom, kitchen and common room, within the hospital grounds. (subject to availability and<br />
subject to the appropriate charges)<br />
Married accommodation: (subject to availability and subject to the appropriate charges):<br />
Furnished - comprises 2/3 bedrooms (as required and subject to availability).<br />
Accommodation Fees: Information on current fees is available from the Accommodation<br />
Supervisor or Medical Personnel Office at the North Devon District Hospital.<br />
6.0 CONDITIONS <strong>OF</strong> APPOINTMENT<br />
6.1 The post is subject to The Terms and Conditions of Service of Hospital Medical and Dental<br />
Staff, and Northern Devon Healthcare Trust’s local agreements, as modified from time to<br />
time. Current copies of these Terms and Conditions may be requested from the Medical<br />
Personnel Office. Your attention is drawn particularly to the following extracts:<br />
6.2 Registration: All Hospital Medical and Dental Staff are required to be appropriately registered<br />
with the General Medical Council to practice in this country. Such staff must ensure that<br />
registration is maintained for the duration of the appointment. Overseas graduates should<br />
note that full registration does not necessarily preclude the need for a period of Clinical<br />
Attachment and assessment.<br />
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Qualified practitioners are responsible for ensuring that your professional registration and<br />
Licence to Practice is maintained. Failure to maintain registration will result in reassignment<br />
to a junior role which does not require professional registration, until evidence is provided.<br />
Where evidence is not forthcoming a disciplinary investigation will be undertaken which could<br />
result in your employment being terminated. You are required to produce evidence of your<br />
professional registration on request.<br />
You are responsible for ensuring that you abide by the Codes of Professional Practice relevant<br />
to your role. Failure to do so will result in formal investigation and action under the Trust's<br />
Disciplinary or Capability<br />
6.3 All Hospital Medical and Dental Staff are required to have the appropriate Home Office Visa<br />
status if not a member of the EEA which must be updated / maintained for the duration of the<br />
appointment.<br />
6.4 Medical Examination: All initial appointments to the NHS are made subject to satisfactory<br />
medical evidence being produced. The employing Trust reserves the right to make any offer<br />
of appointment subject to the receipt of such medical evidence including a medical<br />
examination where this is deemed necessary.<br />
In the interest of all staff and patients, it may be desirable and necessary for periodic medical<br />
checks to be undertaken in addition to those on initial appointment.<br />
6.5 The Trust is committed to providing safe and effective care for patients to ensure there is an<br />
agreed procedure for medical staff that enables them to report quickly and confidentially<br />
concerns about conduct, performance or health of medical colleagues (Chief Medical Officer,<br />
December 1996). All medical staff practising in the Trust should ensure that they are familiar<br />
with the procedure and apply it.<br />
6.6 References: All staff appointments are made subject to the receipt of satisfactory<br />
references.<br />
7.0 HEALTH & SAFETY<br />
7.1 In carrying out their duties, the employee is required to take reasonable care to avoid injury or<br />
accident which may be caused by work. These duties must be performed in accordance with<br />
departmental guidelines which is designed to secure safety in work practices and in the<br />
handling of materials and equipment.<br />
8.1 O<strong>THE</strong>R FACILITIES<br />
8.1 Details of other facilities / general information can be found at Appendix C.<br />
9.1 <strong>FUR<strong>THE</strong>R</strong> INFORMATION<br />
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9.1 Details of the rotations can be found at Appendix D.<br />
9.2 For further information and application details please contact:<br />
Employment Services<br />
Suite 7 Munro House<br />
North Devon District Hospital<br />
Raleigh Park<br />
Barnstaple<br />
N Devon EX31 4HX<br />
Telephone: 01271 322399<br />
Fax: 01271 314069<br />
Email: susan.roy@ndevon.swest.nhs.uk<br />
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_______________________________________________________________________________________<br />
BRIEF <strong>DETAILS</strong> <strong>OF</strong> <strong>THE</strong> HOSPITAL<br />
Appendix A<br />
_________________________________________________________________________________________<br />
Name of the Base Hospital:<br />
Address:<br />
NORTH DEVON DISTRICT HOSPITAL<br />
Raleigh Park<br />
Barnstaple<br />
Devon<br />
EX31 4JB<br />
Telephone: 01271 322577<br />
Type:<br />
ACUTE<br />
Size:<br />
220 beds (approx)<br />
Outpatient Attendance pa 93,000<br />
Discharges and Deaths pa 19,000<br />
The Northern Devon Healthcare Trust<br />
Acute Services are centred at the North Devon District Hospital. A wide range of specialist services are<br />
provided including General Surgery, Urology, ENT, Ophthalmology, Oral Surgery, Paediatrics, Obstetrics and<br />
Gynaecology, Psychiatry, Orthopaedics and acute Trauma, as well as an Accident and Emergency<br />
Department.<br />
The North Devon District Hospital has full supporting services from Physiotherapy, Occupational Therapy,<br />
Speech Therapy, Diagnostic Services including Pathology, Radiology, Electrophysiology. There is also a spiral<br />
CT scanner within the main building. An MRI facility has recently become available.<br />
Community services are provided in the Cottage Hospitals across the District with a total bed number of<br />
approximately 180. Community Services include day hospital facilities, inpatient rehabilitation and General<br />
Practice admitting beds. They also have support from the Physiotherapy, Occupational and Speech Therapy<br />
Departments.<br />
The Trust also provides services to Health Authorities and General Practitioners (GPs) outside of the area.<br />
Each year we continue to meet the unpredictable demands of holidaymakers during the summer months.<br />
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_________________________________________________________________________________________<br />
<strong>THE</strong> DEPARTMENTS<br />
Appendix B<br />
_________________________________________________________________________________________<br />
General Medicine<br />
There are 11 consultant physicians covering a number of specialties within medicine – Gastroenterology,<br />
Cardiology, Respiratory, Elderly Care, Endocrinology and Acute Care. We provide a comprehensive medical<br />
service both at the North Devon District Hospital and the local community hospitals. There are close links<br />
with Exeter, Plymouth and Bristol, which are likely to increase in the future with developments in services<br />
and the Peninsula Medical School project.<br />
Emergency Rota<br />
There is a fully integrated emergency medical take with all admissions under a single physician of the day.<br />
Referral to the appropriate speciality is done according to need on the post take ward round.<br />
The admitting junior doctor team currently comprises two specialty trainees and one F1 on the day shift and<br />
a specialty trainee and F1 overnight. A hospital at night scheme has started. A STR takes the place of the<br />
second specialty trainee on Tuesdays, Wednesdays, Thursdays and Sundays. Adjustments to this pattern of<br />
care will be made in the light of modernising medical careers and expansion in STR numbers.<br />
The average combined acute medical take is approximately 25 patients per day. The majority of these are<br />
admitted through the medical assessment unit that is open 24 hours per day. The intention is to combine<br />
the medical and surgical assessment units, in a larger clinical area.<br />
The beds are distributed as follows:<br />
NDDH 3 acute medical wards Staples 30 beds<br />
Level 5 (all ages) Glossop 30 beds<br />
Level 1 MAU 13 beds<br />
Level 3 ITU, HDU 4 & 3 beds flexible<br />
Level 1 Stroke Unit, Budd 16 beds<br />
Rehabilitation/Palliative care Alexandra 16 beds<br />
4 Community Hospitals: 84 beds<br />
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_________________________________________________________________________________________<br />
<strong>THE</strong> DEPARTMENTS (contd)<br />
Appendix B (contd)<br />
_________________________________________________________________________________________<br />
General Surgery and SAU<br />
The Department of Surgery is based at the North Devon District Hospital and is staffed by eight Consultant<br />
Surgeons. The middle grade staffing comprises of three Associate Specialist, and three Specialist Registrars.<br />
The junior team is made up of 4 specialist trainees, 2 trust service doctors and 6 F1s doctors. The service has<br />
strong links with the both Musgrove Park Hospital in Taunton and RD&E Hospital in Exeter.<br />
There are two main surgical wards (King George V and Fortescue) with access to paediatric beds on the<br />
Children’s ward. There is a fully equipped and dedicated Day Case Unit. The Roborough Suite is a private<br />
patient facility sited in the main hospital complex.<br />
The Trust has a Vascular Nurse Specialist in post and a Vascular Sonographer providing a full Duplex Vascular<br />
Service. The X-ray department provides all modalities of Vascular Imaging.<br />
Emergencies in General Surgery and Urology are admitted out of hours by the surgical on-call team, urology<br />
patients are transferred the following morning.<br />
Academic meetings, which embrace various aspects of surgical diagnosis and management, are held on a<br />
regular basis throughout the week. There is a Surgical Department and Pathology meeting on Friday<br />
afternoons, Directorate meetings once a month and regular academic activities such as the Grand Ward<br />
Round and Surgical Unit audit presentations by the General Surgeons and Urologists.<br />
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_________________________________________________________________________________________<br />
<strong>THE</strong> DEPARTMENTS (contd)<br />
Appendix B (contd)<br />
_________________________________________________________________________________________<br />
CLINICAL (Medical & Surgical)<br />
(nature of tasks to be performed)<br />
1. The general care of patients with acute medical and surgical conditions<br />
as directed by the Consultant to whom attached.<br />
2. Clerking of admissions, both routine and emergency, arranging<br />
appropriate investigations and preparing patients for theatre.<br />
3. Routine ward duties.<br />
4. Patient discharge summaries.<br />
5. Ward rounds with Consultant/Specialist Registrar/SHO.<br />
6. On call duty as part of shift rotas.<br />
7. Assisting in theatre work, both routine and emergency.<br />
8. Practical ward procedures and basic routine cases.<br />
9. Care of post operative patients.<br />
TEACHING:<br />
There is an active teaching programme which takes place in the purpose built<br />
Medical Education Centre. This includes departmental teaching programmes,<br />
grand rounds, journal clubs, and MDT Meetings. Library facilities are of a high<br />
standard and are comprehensive.<br />
RESEARCH:<br />
N/A<br />
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<strong>THE</strong> DEPARTMENTS<br />
Appendix B (contd.)<br />
Trauma & Orthopaedics<br />
The Department of Orthopaedics and Trauma is based at the North Devon District Hospital and is staffed by<br />
six Consultants. The middle grade (non-resident on-call 1:5) staffing comprises of one Associate Specialist,<br />
four Staff Grades and two Specialist Registrars. The junior team is made up of 2 specialist trainees, 3 F2s, and<br />
4 Trust Grade, 2 F1s doctors operating a full shift system. The Orthopaedic service has strong links with the<br />
RD&E Hospital in Exeter.<br />
Capener Ward is the trauma ward at the North Devon District Hospital which has 22 beds with a further 7<br />
flexible beds for busy periods, typically required in the summer months. The elective Orthopaedic ward is<br />
Lundy Ward with 15 beds but there are plans for a new ward of 25 beds plus 2 elective Theatres to replace<br />
existing elective theatres. Paediatric beds are available on Caroline Thorpe ward, a 22 bedded children’s<br />
ward. A departmental training and seminar room is on Capener Ward.<br />
The care of the elderly department in North Devon has evolved to meet the needs of a very elderly and rural<br />
population over its lifetime. As a consequence the key needs have been stroke services and community care. We<br />
are now addressing services for falls, bone health, orthogeriatrics and acute elderly care to ensure best care for<br />
our frailest and most complex patients. In doing so we hope to prevent admission and re-admission, facilitate<br />
discharge, optimise preventative interventions and minimise dependency across the district.<br />
North Devon is a designated Cancer Unit with visiting Oncologists from the Royal Devon & Exeter Trust.<br />
There is a dedicated Chemotherapy unit in the Hospital. Plans are being drawn up to expand this Unit and<br />
develop the service for the next 5 years.<br />
The X-ray Department has imaging facilities, which include a new spiral CT and MRI. Radiotherapy services<br />
are sited at the Royal Devon & Exeter Trust. There is a fully equipped and dedicated Day Case Unit. The<br />
Roborough Suite is a 10+ bedded private patient facility sited in the main hospital complex. Private<br />
operating lists are available out of hours.<br />
General Paediatrics<br />
Eight consultants are based within this department. There are 2 Specialty Grades, 1 ST4, 3 ST3, 2 FTSTA 2/3<br />
along with 2 STGP doctors and an F1. Caroline Thorpe Ward has 15 nominal beds, and 2 assessment beds,<br />
which provides for all children in the DGH. A 2 bedded, staffed Paediatric High Dependency Unit opened in<br />
2008. The current ward has the facility for the options of one 8-bedded, one 6-bedded bay, and 5 cubicles,<br />
divided according to age and clinical needs of the children. There is a full time teacher and a ward school.<br />
There is a ward playroom facility staffed by a qualified play leader, and a purpose built outdoor play area.<br />
The paediatric outpatient suite is on the same floor and close to the Caroline Thorpe Paediatric ward and has<br />
2 consulting rooms with its own paediatric waiting area and specially designed play facilities as well as a<br />
nurse led investigation unit. General Paediatric Outpatient clinics are also held in peripheral clinics in<br />
Bideford, South Molton, Holsworthy, and Ilfracombe. Specialist diabetic clinics also occur in these peripheral<br />
hospitals.<br />
Visiting specialists from Bristol Children’s Hospital, and Exeter conduct regular clinics in cardiology,<br />
neurology, nephrology, urology, endocrinology, oncology and clinical genetics.<br />
Paediatric intensive care is provided jointly with the anaesthetists in the general ITU on a short term basis.<br />
There is close liaison with the PICU at Bristol Children’s Hospital, who offer a 24 hour retrieval service.<br />
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_________________________________________________________________________________________<br />
O<strong>THE</strong>R FACILITIES / GENERAL INFORMATION<br />
Appendix C<br />
_________________________________________________________________________________________<br />
<strong>THE</strong> DISTRICT<br />
This covers the North Quarter of Devon and a small portion of North Cornwall with nearly 50 miles of<br />
coastline from Lynton to Bude. Most of the land mass is rural with the administrative centre being<br />
Barnstaple.<br />
The population of approximately 170,000 is scattered throughout the district with concentrations in<br />
Barnstaple, Bideford, Ilfracombe and the small market towns of South Molton, Holsworthy, Bude and<br />
Torrington. During the summer months the population increases considerably due to an influx of holiday<br />
makers.<br />
The main areas of employment are agriculture and tourism, the latter having a large seasonal element.<br />
There is an increasing amount of light industry in all the main centres of population. There is a large<br />
retirement population which adds to the burden on medical services.<br />
The North Devon District Hospital is situated on the outskirts of the town of Barnstaple. There are good<br />
sports and recreational facilities in the area catering for most water sports, golf, fishing, etc and there is a<br />
well equipped leisure centre. There is an active Doctors Mess on site with access to tennis courts, a pool<br />
table and satellite television. Adequate parking is available.<br />
The nearest beach, where water sports are very popular, can be reached within fifteen minutes. Outdoor<br />
recreational opportunities are superb including surfing, sailing, rock climbing, walking, mountain biking and<br />
horse riding. More cultural pastimes can be found in the two theatres, museums and a range of local arts<br />
and crafts. There are also good restaurants and an active nightlife.<br />
The road communications have been improved by the introduction of a single carriageway link-road from<br />
Bideford to the M5 at Tiverton. There is a branch railway line from Exeter to Barnstaple which runs a regular<br />
service.<br />
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