ST RICHARD'S HOSPITAL - KSS Deanery

EXAMPLE JOB DESCRIPTIONWESTERN SUSSEX HOSPITALS NHS TRUSTJOB DESCRIPTIONJOB DETAILSGrade:Specialty:Division:Location:Accountable to:Senior House OfficerMaxillofacial DepartmentSurgerySt. Richards Hospital, Chichester and must be prepared to travel toall sites within the Trust as part of their duties.Chief of Service – Mr. David AllenWESTERN SUSSEX HOSPITALS NHS TRUSTThe former Royal West Sussex and Worthing and Southlands Hospitals NHS Trustsmerged on 1 April 2009. This means that St Richard’s, Worthing and Southlandshospitals are managed as one NHS Trust covering all three sites.This large, more stable organisation presents new career development opportunities forstaff and developing specialist services will be able to offer staff:Enhanced role developmentMore training opportunitiesContinuing professional development opportunitiesResearch-based practice, andBetter planned career pathwaysIt also enables the development of even stronger clinical and professional networksacross organisations and regions.ST RICHARD'S HOSPITALSt Richard’s Hospital, is an acute hospital of some 430 beds serving a population of230,000. With 25% of the population being over 65 years and forecast to increase by19% over the next 10 years, and 4% over 85, compared to a national average of 2%, thehospital caters for the needs of an unusually elderly population. It covers an area ofapproximately 400 sq miles centred on Chichester, the County Town of West Sussex.The hospital provides a full range of general acute services, medicine, surgery,orthopaedics, trauma, paediatrics, obstetrics, and A&E. The hospital combines the1

unpredictability of patients arriving at A&E with those patients requiring plannedsurgery.The Chichester Treatment Centre (CTC) opened in March 2005. This £21m developmentincluded a new kitchen and restaurant for the whole hospital. The CTC enabled patientpathways to be redesigned and increased the capacity of the hospital to meet therequirements of the NHS Plan. The CTC comprises four theatres, an overnight ward with22 beds, outpatient facilities and diagnostics, including an angiography suite.A new cancer unit opened in September 2009. The hospital is aiming to provide patientswith a dedicated pharmacy service within the new centre and additional equipment tomake patients more comfortable during their visit.The hospital employs over 2000 staff and in 2009/10 treated 40,000 inpatients, 15,500day cases, 146,000 outpatients, 51,000 A&E attendees and 2,600 births. The Trust alsoholds the Investors in People award.The culture of the hospital is friendly and open, encouraging participation and goodcommunication both within and between Divisions. Doctors, nurses and otherprofessionals are well integrated into the management of the Trust enabling discussionand agreement on key issues. This open style and a positive approach to incidentreporting has enabled quality, risk management and complaints handling to bedeveloped together in a ‘fair blame’ culture and with a strong emphasis on continuousimprovement.St Richard’s has tremendous support from local people with over 500 volunteers whogive their time and energy to support patients and staff at the Hospital. There isenthusiastic fundraising support for the St Richard’s Hospital Charitable Trust whichacts as a bridge between the Hospital and local people and enables the Trust’s progressand priorities to be discussed with a wide range of groups and individuals.The hospital has an established record for high clinical quality as recognised by both theDr Foster Good Hospital Guide and benchmarking company CHKS. It has consistentlyachieved all its access and other targets. It has a reputation for attracting high calibrestaff and is a popular teaching centre.DemographyThe hospital is situated in a very pleasant part of the country, just south of the Downsand about six miles from the Channel coast. As the county town of West Sussex,Chichester is an important administrative, industrial and business centre. ThisCathedral city is a local centre of culture as well as a popular tourist venue. TheChichester Festival Theatre, which is within walking distance of the hospital, is aninternationally famous tourist attraction. Chichester Harbour and the coastal resortsoffer excellent facilities for sailing and other water sports. The well-known racecoursesof Goodwood and Fontwell are nearby, as are facilities for a wide variety of sporting andother recreational activities including a local tennis and squash club.The main industries of the district are farming and horticulture, with extensiveglasshouse facilities in the coastal area. In addition, service and light manufacturingindustries are now assuming increasing prominence. The extraction of naturalresources, particularly from the greensand beds to the north of the Downs and the2

gravel pits centred on Chichester, is currently much in demand, with exploration for oilas a more recent development.Both road and rail communications are good with a direct link to London, Victoria inunder two hours, and to Gatwick Airport. There is also a rail service along the southcoast to Brighton in the east and to Portsmouth in the west.WORTHING AND SOUTHLANDS HOSPITALSWorthing and Southlands Hospitals is a modern, innovative and friendly health careorganisation that prides itself on serving its community with excellent care andtreatment. We provide:• Acute hospital services to around 300,000 people living in Worthing, Shoreham-by-Sea and surrounding areas of West Sussex. The hospitals have over 600 beds.• Specialist services, such as the eye unit and West Sussex breast screening, to morethan 600,000 people in a wider catchment area running from Chichester in the westto Brighton in the eastThe services are provided at two sites:• Worthing Hospital underwent a £50 million development programme in 1997 and1998.• Southlands Hospital is in Shoreham-by-Sea.Worthing Hospital offers a full range of emergency and high dependency care, includingmaternity and children’s services, while Southlands focuses on day surgery,orthopaedics, intermediate care and medicine for the elderly. Southlands also hostsneurological and stroke rehabilitation services. Both sites have extensive outpatient andsupport facilities.The Trust additionally delivers midwifery and therapy services from community clinics inLittlehampton, provides eye services at St Richard’s Hospital, Chichester, and links withother hospitals in the local community and beyond - principally Brighton & SussexUniversity Hospitals – in the provision of intermediate care and specialist services.Worthing’s East Wing was built in 1998 and its £1.3 million Children’s Centre opened itsdoors three years later, while Southlands’ new, expanded day surgery unit beganoperating in 2005.In 2009-10, the 3,000-plus staff:• Treated around 61,000 inpatients and day surgery cases• Saw 60,000 people – an average of more than 160 a day – in the Accident andEmergency unit• Made 237,000 outpatient appointments• Delivered nearly 3,000 babiesThe running of the hospitals is overseen by a board of directors, known as the TrustBoard.Our community3

The hospitals’ catchment area takes in Shoreham-by-Sea, Worthing and Littlehamptonalong the South Coast and extends inland as far as Storrington, Pulborough andHenfield. This health community is a diverse one with a character that presents uniquechallenges to our hospitals and their partners.Its population structure reflects the region’s “retirement and resort” status, and soincludes an above-average proportion of elderly residents, with almost a quarter of itsinhabitants being aged over 65. However, at the other end of the age spectrum, there isalso a growing under-five population.Although the coast and downs area is generally relatively healthy and well-off, its overallsocial and economic profile conceals pockets of real deprivation. Several of WestSussex’s poorest wards lie within the Adur, Arun and Worthing districts and importanthealth issues here include heart disease, teenage pregnancy and substance misuse.To meet these challenges, the Western Sussex Hospitals NHS Trust is committed toworking closely with our partner organisations in the health care, public and voluntarysectors. These include:• NHS West Sussex (PCT)• South Downs Health NHS Trust• Sussex Partnership NHS Foundation Trust• West Sussex Social and Caring Services• West Sussex County Council• Worthing Borough Council• Adur District Council• Arun District CouncilMANAGEMENTThere is a divisional system in operation with a Hospital Executive comprising ofdivisional directors, clinical leads from each division and the executive members of theTrust Board. Chiefs of Service and Directors of Clinical Services (non-clinical) sharecorporate responsibility for the operational management of the hospital. The Divisionsare responsible for the:• Management of all staff, financial, physical and non-pay resources of theirdirectorate.• Delivery of the directorate services in line with their service agreements.• Review of all resources used by the directorate and the identification of their mostcost effective and efficient use.• Production of an annual business plan for the directorate, including theidentification of options for service development.• Achievement of all quality standards with the PCT.The four Divisions are each represented on the Hospital Executive. The Chief of Servicefor the Surgery Division is Mr. David Allen. Chiefs of Service are appointed by the ChiefExecutive and Medical Director in consultation with all consultants within thedirectorate.The Chief of Service for the Surgery Division is supported by Integrated Clinical leads -the Integrated Clinical Lead in Maxillofacial is Mr. Alan Wilson.THE DEPARTMENT4

THE MAXILLOFACIAL UNITThe Unit staff comprises five Consultants:Mr D W MacphersonMr C A PrattMr A W WilsonMr M EthunandanMr S WalshOne Associate Specialist (Mr C Sams), one Specialty Doctor (Miss A Boynton), one parttimeTrust Doctor – middle grade (Miss V Mager), two Specialty Registrars on the Wessexrotation, and five Senior House Officers and a medical F2 physician attached to the unit.There are two Consultant Orthodontists (Miss J Clark and Mr A Pringle) who have apart-time SpR and their own Specialty Doctor and Hospital Practitioner (both part-time).Mr P D Cheshire and Dr Ginny Kingsmill are the part-time Consultants in RestorativeDentistry based in Chichester.There is a Maxillofacial Laboratory staffed by a Senior Chief Maxillofacial Technician, aChief Maxillofacial Technician, Chief Orthodontic Technician and a Senior OrthodonticTechnician.Each Senior House Officer works predominantly at one hospital at any one time, but allmembers of the Unit are required to travel freely between all three hospitals sites.DUTIES OF THE POSTThis post will be based at St Richard’s Hospital, Chichester. A non-resident on-call rotais in operation.Although all in-patient beds are in Chichester and all SHOs are based there, clinics andday case lists are held at Worthing and Southlands hospital and it is essential, therefore,that applicants should hold a valid driving licence and be in possession of a car.The clinical workload is very varied. Chichester and Worthing are major accidentcentres providing the opportunity to gain experience in all aspects of maxillofacialtrauma. The department has a particular interest in the management of skin cancerand salivary gland diseases. Major oncology patients are managed in liaison with theJoint Clinics at the Radiotherapy Centre, Queen Alexandra Hospital, Portsmouth. As aresult of joint consultations with the Consultant Orthodontist, there is a constant flow ofmandibular and maxillary osteotomies.The Senior House Officer's other duties include the care of in-patients and preparationof theatre lists. There are ten theatre sessions and nine local anaesthetic sessions everyweek and there will be ample opportunities to be involved in these and the out patientclinics. The Senior House Officer has a commitment to cover maxillofacial injuries seenin the Accident and Emergency Department.The Chichester Suite is a purpose built 27 bedded Private Patients Unit which opened inJuly 1997. The suite is an integrated part of St Richard’s Hospital (work in this area maybe included within this post).THE POSTJob Title5

Senior House Officer (DF2 equivalent) in the Maxillofacial Department.Employing AuthorityWestern Sussex Hospitals NHS TrustLocationThe postholder will be based at St. Richards Hospitals, Chichester and must be preparedto travel to all sites within the Trust as part of their duties.POSTGRADUATE MEDICAL EDUCATIONS AND TRAININGBoth St Richard’s Hospital and Worthing Hospital have a long tradition of high qualitypostgraduate education.There is an excellent and active Medical Education Centre supported by acomprehensive library with full facilities for on-line computer searching of researchliterature. A wide variety of courses, tutorials and seminars with local and visitingspeakers are organised by the Director of Medical Education, for clinical staff of alldisciplines. All grades of medical staff are able to meet at lunch facilities within thecentre.St Richard's Hospital is recognised for undergraduate teaching by the Universities ofLondon, Southampton and Brighton. A large number of undergraduate medicalstudents are placed in Chichester each year and are accommodated in the MedicalStudent Centre within purpose built residential accommodation.The Worthing Postgraduate Medical Centre offers a comprehensive library service,including high tech audio-visual equipment and IT, and has a full-time librarian and ITsupport officer. There is an active postgraduate programme at lunchtime and onoccasional evenings. Other facilities include a full audio-visual suite to produceeducational material for presentation and in-house use. Lunches are available fromMonday to Friday.A number of undergraduate medical students are on attachment to Worthing each yearfrom GKT, Southampton and Worthing participates in a programme of teaching overseasmedical students. Final year medical students from Brighton and Sussex MedicalSchool (BSMS) undertake a major part of the final year training at Worthing, and severalConsultants are teachers/senior lecturers at the medical school.There is a comprehensive departmental teaching programme (every Thursdayafternoon), and joint pathology and radiology meetings. There are ampleopportunities for audits, research, presentations and publications, which will beencouraged. The successful applicant will be expected to take an active role in teachingpostgraduate and undergraduate medical staff, and in the training of nursing andparamedical staff as appropriate.RECOGNITION AND TRAININGThis post is recognised for training. All posts will be subject to stringent recording ofeducational content, clinical activity and experience and this may prove useful in anyfuture submissions to PMETB for retrospective specialty recognition. The maintenance ofgood logbooks and learning portfolios is a requirement of each post.6

Facilities are given for study leave in accordance with the regulations.There is an active Medical Education Centre. A wide variety of courses, tutorials andseminars with local and visiting speakers are held under the auspices of the Director ofMedical Education, Mr David Beattie, for clinical staff of all disciplines, including generalpractitioners. All categories of medical staff are able to meet in the doctors’ dining roomwithin the centre at lunchtime. The large lecture theatre has the latest computerisedpresentation technology.Library support for clinical activity, research and education is provided by ChichesterHealth Libraries, one of the largest non-university health libraries on the south coast.Facilities include 200 journals, multimedia viewing, networked Medline and otherdatabases and internet access.MAIN CONDITIONS OF SERVICEThere are local policies for grievance/disciplinary procedures, removal expenses, travelexpenses and subsistence. The terms and conditions of service otherwise offered are setout in the Terms and Conditions of Service of Hospital Medical and Dental Staff andGeneral Whitley Council Conditions of Service as amended from time to time.The salary range is £27,798 - £38,705 per annum and no peripheral allowance ispayable. The payment of out-of-hours work is currently being reviewed. The Trust isactively working towards compliance with New Deal and the European Working TimeDirective this will mean changes in working patterns that involve groups of doctors intraining working full shifts or being non resident on call.The appointments will be subject to passing a medical examination satisfactorily(including chest x-ray) prior to commencing duties, unless this requirement has beenwaived.The Western Sussex Hospitals NHS Trust operates a No Smoking Policy, to which allstaff must adhere.The Trust is committed to providing safe and effective care for patients. To ensure thisthere is an agreed procedure for medical staff that enables them to report, quickly andconfidentially, concerns about conduct, performance or health of medical colleagues(Chief Medical Officer, December 1996). All medical staff, practising in the Trust, shouldensure that they are familiar with the procedure and apply it.In the event of a major incident or civil unrest all Western Sussex Hospitals NHS Trustemployees will be expected to report for duty on notification. All Trust employees arealso expected to play an active part in training for and preparation or a major incident orcivil unrest.Healthcare workers have an overriding duty of care to patients and are expected tocomply fully with best practice standards. You have a responsibility to comply withTrust policies for personal and patient safety and for prevention of healthcare-associatedinfection (HCAI); this includes a requirement for rigorous and consistent compliancewith Trust policies for hand hygiene, use of personal protective equipment and safedisposal of sharps. Knowledge, skills and behaviour in the workplace should reflect this;at annual appraisal you will be asked about application of practice measures known tobe effective in reducing HCAI.7

Health and safety is the responsibility of all staff and the postholder is required to takedue care at work, report any accidents or untoward occurrences and comply with theTrust Health and Safety Policy in order that it can fulfil its Health and Safetyresponsibilities.Employees of the Trust have a responsibility at all times to ensure the well being andsafety of children under the care of the organisation and to comply with the Trust’spolicies and procedures in this respect.It is mandatory to attend hospital induction programmes and sessions specific to eachclinical area at the start of the post.The postholder should ensure confidentiality at all times. Employees of the Trust mustnot without prior permission disclose any information regarding patients or staffobtained during the course of employment, except to authorised bodies or individualsacting in an official capacity. Failure to adhere to this instruction will be regarded asserious misconduct and may lead to disciplinary action. The Data Protection Act mayrender an individual liable for prosecution in the event of unauthorised disclosure ofinformation.The Trust is responsible for ensuring that the service provided for patients in its caremeet the highest standard. Equally it is responsible for ensuring that staff do not abusetheir official position for personal gain or to benefit their family and friends . The Trust’sStanding Orders require any officer to declare any interest, direct or indirect, withcontracts involving the Trust. Staff members are not allowed to further their privateinterests in the course of their NHS duties.The Trust has adopted an equal opportunities policy and it is the duty of every employeeto comply with the detail and spirit of the policy.CONDITIONS OF APPOINTMENTThe post will be offered subject to the following:Three satisfactory references of which one must be from the most recent employerCurrent GMC/GDC registration with licence to practiceEvidence of the right to take paid employment in the UKOccupational Health clearance including medical examination if requiredFulfil on-call commitments as per rotaEnhanced Criminal Records Bureau disclosure clearance.POST VACANTFebruary 20128