Consultant Interventional Radiologist Kent And Canterbury Hospital - BMJ

Transcription

Consultant InterventionalRadiologistKent and Canterbury Hospital

Dear candidate,Welcome to East Kent Hospitals University NHS Foundation Trust.We are a pioneering Trust, on an exciting journey of healthcare transformation, with awardwinning research and innovation, and a strong team ethos. We’re looking for positive clinicalleaders who want to help us deliver first-class patient care to a fascinating and complexpopulation and be part of something special.As you would expect from a large teaching Trust, we prize training doctors, nurses andother health professionals and we already work closely with local universities and King’sCollege, University of London. We now have the exciting new opportunity of working withKent and Medway’s new Medical School, jointly provided by the University of Kent andCanterbury Christchurch University, which opens in September 2020.The Trust has five hospitals providing a wide range of high quality services and opportunitiesfor innovation. The William Harvey Hospital in Ashford has the full range of district generalhospital services, as well as regional specialities, including the country’s best performingtrauma unit. The Queen Elizabeth, The Queen Mother Hospital in Margate, also providesdistrict general hospital services, while Kent & Canterbury Hospital in Canterbury is aspecialist services hub which provides adult medical care, inpatient renal, urology andvascular services and robotic surgery.Our new hospital in Dover, the Buckland, and Royal Victoria Hospital, Folkestone, provide avariety of outpatient, diagnostic and minor injury services, alongside a range of servicesthroughout the local area.We have a clear clinically-led strategy to transform secondary care in east Kent to deliveroutstanding standards across all specialties which build services around the characteristicsof our patients and a commitment to refreshing our estate and facilities. We supportclinicians who see opportunities to make tertiary care available locally for our population, andwe have a strong research ethic as a high recruiter to research studies.Our vision is to provide ‘great healthcare from great people’, and we are proud of what wehave achieved to date for our population and are excited about what’s to come. If you wouldlike to be part of this exciting journey, your rewarding work-life will be complemented by theadvantages of living in the Garden of England, with a choice of rural, seaside andpicturesque places to enjoy and live in, alongside the essentials like excellent schools andeasy access to London – and Europe.In March 2018 the Government and Health Education England announced that a joint bid byCanterbury Christ Church University and the University of Kent to establish a medical schoolwas successful.The medical school opens its doors in September 2020, offering 100 undergraduate medicalplaces on a yearly basis. The five year programme will be taught at the Canterburycampuses of both universities with medical placements within Primary, Community andSecondary Care across Kent and Medway.The Kent & Medway Medical School (KMMS) will be Kent and Medway’s first ever medicalschool, bringing together the existing centres of excellence in health and medical educationprovided by the two universities, and local healthcare organisations such as East KentHospitals University Foundation Trust. It will offer a new model of patient-focused medicaleducation.

The KMMS will also play a key part of the solution to the challenges of recruiting andretaining medical professionals for this region. You will have the chance to be there at thestart of what is expected to be an exciting and productive relationship and help to shape theDrs of the future.One of the largest acute trusts in England, we have a predicted turnover of almost 600million. We serve a population of 695,000 people in East Kent and over a million through ourregional services, employ 7,950 staff and have 1,000 beds across three main hospital sites.If you think this could be the start of something special, please apply as quickly as possiblebecause we will close the advert for this job once we’ve received sufficient applications.If you have a disability or long-term health problem, we are committed to offering reasonableadjustments throughout the recruitment process and employment. If you would like moreinformation or support, please contact the Resourcing Team on 01227 866450 orresourcing@nhs.net, who will be happy to help.Yours faithfully, Susan Acott, Chief Executive

Our Mission, Vision and ValuesOur mission is "Improving health and wellbeing"Our vision is "Great healthcare from great people"Our values are People feel cared for as individualsPeople feel safe, reassured and involvedPeople feel teamwork, trust and respect sit at the heart of everything we doPeople feel confident we are making a differenceOur strategic objectivesOur strategic objectives aim to lead us to: a Good and then Outstanding CQC rating;to drive performance, particularly in the key access standards; to make the Trust agreat place to work; deliver integration and a more sustainable future for our servicesacross east Kent; develop our staff and teams and improve our finances. You can find out more about what we do on our website at www.ekhuft.nhs.uk andview our organisational structure charts here.

Job DescriptionTHE CLINICAL SERVICES CARE GROUPClinical Director:Sally HallOperations Director:Chris HudsonThe Clinical Support Services Care Group was formed in October 2018 bringingtogether the clinical support and diagnostic departments of Laboratory Medicine,Outpatients, Pharmacy, Radiological Sciences, Therapies and Audiology with a combinedbudget of over 73 million.The six distinct departments all have differences ranging from their regulatory bodiesthrough to ways of working. One common theme is that our services are required in allsectors of healthcare, be it acute or primary and is essential to the delivery of all criticalpathways.The Care Group is based across all Trust sites viz Kent and Canterbury HospitalKCH, Canterbury , QEQM Hospital Margate, WHH Hospital Ashford, RVH Hospital Bucklandas well as other sites within the local community.THE RADIOLOGY DEPARTMENTThe Radiology Departments operate seven day week services. All non-medical staff workshift patterns to support the extended seven-day opening hours.This is a successful Department with extended practitioners working in MRI, CT and breastservices as well as fluoroscopy and plain film reporting. The Trust is conforming to the sixweeks wait for diagnostics.There are 5 CT scanners and 5 MRI scanners with mobile MRI and CT increasing capacityfurther.The Trust has recently introduced two SPECT/CT units in Nuclear Medicine and anadditional dedicated interventional unit has been agreed to support the arterial centre forKent and Medway which will be hosted at the Kent and Canterbury Hospital. This unit willexpand the scope of the service and build on the good well established relationship withcolleagues in vascular surgery.StaffConsultant StaffDr Robert Kaikini, Clinical Lead for Interventional RadiologyDr Neelan DasDr Mikolaj WojtaszekDr Iain MorrisonDr Kate EntwistleDr Paul EltonDr Asim ZafarDr Julie NoltheniusDr Mohammed EraibeyDr Mohammed Yaktien

Dr Anne Greenhalgh, Clinical Director , Radiological SciencesDr Paul MatraversDr Giorgio GiancolaDr Alessandra PlichtaDr Jadwiga RaaszDr Rizwan BasitDr Hristina Hristova-AngelovaDr Sidappa LakshmaiahDr Eelco BoorsmaDr Maurice FortuneDr David RandDr Rached Hadj-AliDr William WebbDr Kashif NaeemDr Venkata SontenamDr Miguel BertoniDr Simon SpencerDr Sushil IngoleDr Michael AndersonDr Sarah Moorhouse, (Director EK BreastScreening Service and Clinical Lead - Breast Imaging)Dr Carol RickenbachDr Sandeela SattarDr Hebe RamadenKirstie Wiltshire, Consultant PractitionerNon-Consultant StaffGradeSiteCara BarlowHead of Radiological SciencesSeonaid FloydPrincipal Radiographer CT WHHRaghurajan MaraparambilPrincipal Radiographer MRI K&CHMark DwyerPrincipal Radiographer NM K&CHFiona McPartlinPrincipal Radiographer Breast ScreeningK&CHGemma MathewsPrincipal Radiographer General QEQMHClaire HookerPrincipal Physicist (NM) K&CHNursing/Support StaffNameRole and SiteDeborah JordanSenior Sister QEQMH

The Trust hosts medical students on attachment from GKT, UCL and ImperialMedical Schools and became a University Hospital linked to GKT in 2009.Duties of the postThis post is for a Radiologist with a specialised interest and training in InterventionalRadiology, including vascular (EVAR and peripheral) and non-vascular intervention.There is a thriving practice in non-oncological embolotherapy including uterineartery embolization, prostate artery embolization, and treatment of pelvic congestion(which the department would like to expand further). We have also started a deepvenous intervention MDT in conjunction with haematology and vascular surgery andaim to become a regional centre for this. There are on-going talks with the regionalcommissioners for East Kent Hospitals Trust to become the hub for a Kent wideVascular network which will bring many opportunities to develop special clinical andresearch interests.We have an excellent stroke department and the trust has been chosen to be oneof three hyperacute stroke centres across Kent. East Kent Hospitals will be one ofthe outlying sites where stroke thrombectomy will be performed by non neurointerventional radiologists. One of our Consultants is currently on a trainingprogramme to achieve this competency which is being supported by St GeorgesHospital. The new appointee will have the opportunity to be part of this should theyso wish to.We work closely with the regional renal department based at Kent and Canterburyand provide a dialysis access maintenance service, as well as supporting them withrenal artery embolization in the case of biopsy related bleeding.The duties will be based at the Kent and Canterbury Hospital (KCH).At KCH, the post will include access to the Endovascular Theatre to perform avariety of elective examinations, depending on the specialist interest of theconsultant, and emergency interventions. The Trust is planning to repatriateoncology interventions to the Trust, and the successful candidate will be able toperform such procedures.At QEQMH or WHH, the post will include both general and interventional work, butnot complex vascular intervention. The department is flexible as to the type ofgeneral radiology the candidate might offer e.g. ultrasound interventions/biopsies,cardiac CT, MSK MRI. and the proportion of the role delivered across the wider Trust.The post will have components of general radiology, including plain film reporting,CT, Ultrasound and MRI. Each department undertakes a range of interventionalimage-guided procedures, and the successful candidate will be expected toparticipate in these.In addition, it is hoped that the successful candidate will be able to offer subspecialist experience in GI/Colorectal or Gynaecological radiology. Other subspecialist interests including Cardiac radiology, and Paediatric radiology would bewelcomed. The Trust would consider any other sub-specialist interest.This appointment will be to the ‘new’ consultant contract and includes a commitmentto the on call roster.

The job plan will be agreed with the successful candidate and will have aminimum of 10 PAs. If the candidate wishes to offer a further clinical PA it may bepossible to accommodate this.Other responsibilities include:Junior staff: Recruitment, appointment and educational supervision including educationalcontracts, regular appraisal, organisation of study leave, annual leave and rotasBudget: Co-operate with the Clinical Director and Operational Director on budget issuesCommunication: This will include responsibility for and arrangement of:- Communication and liaison with all other medical and service departments within thehospital including: General Management, Medical Records, and Social WorkDepartment- Communication with General Practitioners will include telephone discussion ofproblems and writing of letters about cases seen in the department- Communication with other hospitals and special departments in other hospitalsTeaching: Junior doctors and medical students, nurses and other paramedical staff in theteam in speciality and special interestNon-Emergency Work in Premium Time: The Trust will require you, in line with serviceneeds to undertake non-emergency work during premium time.On Call Arrangements:The duties and responsibilities in this job description may need further discussion in thefuture to ensure that they continue to meet the needs of the service, future servicedevelopments and the post holder.Currently there are 3 consultants providing a 1:5 rota with ad hoc cover when notformally on call. The trust are looking to move to at least a 1:6 rota and perhaps 1:8should the regional vascular network formally come to East Kent Hospitals.

Patient Safety, Clinical Governance, Education and TrainingThe Trust is fully committed to improving patient safety and experience.Consultants are expected to comply with GMC guidance and all Clinical RiskManagement processes. They must audit their own clinical outcomes, report clinicalincidents, alert the trust to risk, participate in annual appraisal and work to fostergood team relationships.It is expected that the appointee will plan a programme of personal development andcontinuing medical education and through the appraisal process ensure thatadequate training is undertaken both to maintain their skills, knowledge andexpertise and to ensure revalidation. There is extensive local support and the Trustprovides reasonable costs for formal study leave.An annual review of the job plan will take place between the Clinical Director/ClinicalLead and the Consultant in accordance with the arrangements in the new contract.This will include discussions regarding the needs of the service, with agreement ofobjectives for clinical standards, goals and workload.Each of the three main hospital sites has a well-equipped multi-disciplinaryEducation Centre, including internet facilities and a library. Each runs fullprogrammes of educational meetings. The Trust is designated as an AssociateUniversity Provider NHS Trust for undergraduate education. Doctors in Training arerecruited to the Trust from London medical schools on matching schemes.All Consultants have responsibilities for teaching doctors, students and non-medicalhealthcare professionals, and should ensure they use the time allowed in theirworking week for duties of teaching and supervision. New Consultants are requiredto enrol on the Deanery Certificate of Teaching programme within the first 12 monthsof appointment. All Consultants should include some element of educationaldevelopment within their personal development plan, using at least one half day peryear of their external study leave to this end.Research and InnovationThe department of interventional radiology over the last three years and moving forward hasparticipated/is participating in 5 NIHR studies. It is the aim of the department to increase thenumber of NIHR studies it is part of. We are well supported by the R and D department aswell as the Research Design Service South East. The development of fresh researchproposals is also very welcome, with regular opportunities to win both internal and externalfunding for proposals. In fact the department successfully secured 75000 of internal fundingto start a renal denervation service several years ago. .In addition the Trust is looking to develop a long term relationship with an artificialintelligence application provider.The Trust wishes to “make a difference to the experience and outcomes of health care to thepeople of Kent, the NHS and internationally through Research, Enquiry and Innovation" andwe have an ambitious strategy to deliver this vision from 2016 to 2020. You can read moreabout our approach to research on our website.

We are one of the most research-active acute Trusts in the Kent, Surrey and Sussex region,with over 120 NIHR CRN Portfolio studies open to recruitment across more than 20 specialtyareas, with at least 15 new industry funded/sponsored studies opening each year. All newlyappointed Consultants are encouraged to take on the role of Principal Investigator andconsiderable training and support is available.Trust clinicians are also actively supported in developing their own research ideas andparticipate in local, regional & international academic collaborations. We have been awardedresearch funding ( 100k to 2m) by NIHR (RfPB and HTA), MRC, Pfizer and other majorfunding bodies in recent years. The Trust also has internal funding schemes to assistresearchers, including those without previous experience, to gain pump-priming monies forindividual projects, or to support individual sessional research time.We have a strategic alliance with University of Kent’s KentHealth, and have activecollaborations between the Trust and all our local universities (UoK, Canterbury ChristChurch University (CCCU) and Medway School of Pharmacy) as well as many other UK andinternational partners. A number of staff hold joint University-Trust appointments, includingCentre for Health Services Studies at UoK, and the England Centre for PracticeDevelopment at CCCU with its expertise in sustainable transformation and development.The Trust wishes to increase the number of joint appointments, and applicants who havecommensurate research experience are invited to contact Dr Tim Doulton, Director ofResearch and Innovation.Infection ControlIn accordance with the Health Act (2006) all staff are expected to comply with National andlocal Infection Control policies and procedures, and any other related infection preventionpolicies or procedures. In addition, all staff whose normal duties are directly or indirectlyconcerned with patient care should ensure they have received annual mandatory training(including hand hygiene). It is expected that all Consultants will lead by example in this areawhich receives maximum attention.Summary Terms and Conditions of AppointmentThe post will be appointed to under the Terms and Conditions of Service for HospitalMedical and Dental Staff as amended from time to time. The post-holder is required to befully registered with the General Medical Council and on the Specialist Register or eligible forinclusion on the Specialist Register within six months of the date of interview.The appointee will be required to reside not more than 30 minutes away from their mainbase, unless specific approval is given by the Chief Executive and Medical Director. Thepost-holder's private residence shall be maintained in contact with the public telephoneservice.The passing of a medical examination is a condition of employment. Every Consultant mustadhere to the Trust policies and procedures including documentation of all activity both inoutpatients and theatre.Any Consultant, who for personal reasons is unable to work full-time will be eligible to beconsidered for this post; if such a person is appointed modification of the job content will bediscussed on a personal basis in consultation with the Clinical Director.

SalaryThe Consultant salary scale is currently 82,096 - 110,683 per annum (pro rata whereapplicable).Annual leaveThe annual leave entitlement is six weeks and two days and applications are subject toapproval by the Clinical Director. A minimum of eight weeks’ notice of leave arrangements isrequested so that adequate cover arrangements can be made. Annual leave entitlementsincreased for consultants with seven or more years of completed service with effect from 1April 2005 by an additional 2 days.Study leaveStudy leave is available according to local agreements. All clinical staff are required to giveeight weeks’ notice.Removal ExpensesWhere a practitioner intends to claim reimbursement of removal or associated expenses, it isimportant that he/she first obtains a copy of the Trust's policy on removal expenses andshould discuss the proposals with the Personnel department prior to taking up duty.Visiting ArrangementsFurther details and information may be obtained by contacting Dr Robert Kaikini on 01227766877.Candidates who are shortlisted for interview will be expected to attend a site visit aspart of the selection process. Details on how this can be arranged will be sent to youwith your invitation to interview.

Person SpecificationCriteria GroupEssential Experience DesirableMeasurement/Testing methodApplication FormSpecialtySpecificqualificationsApplication Formand evidence boughtto interviewMedical degreeSpeciality qualification inClinical Diagnostic RadiologyTraining and experience inInterventional with ability toperform a wide range ofinterventionsGeneral and Vascular CTand MRI reportingAbility to take full andindependent clinicalresponsibility Values andCommitments –People feel cared foras individuals Values andCommitments –People feel safe,reassured andinvolvedValues andCommitments –People feelteamwork, mutualtrust and respect sitat the heart ofeverything we doValues andCommitments –People feelconfident we aremaking a differenceOther Full GMC RegistrationCCST Specialist Registration orwill obtain within 6 months ofinterview dateMinimum of English Level 2(GCSE grade C or equivalent),ILETS, or graduate of a UKMedical SchoolWelcoming and politeAttentive and helpfulRespect others’ timeSpeak up on behalf of those whocan’tConsistently safeVigilant about safetyReassuringly professionalListen and clearly communicate Respect people and their dignityWork as a teamTake responsibilityBe a leader Delivers the best outcomesAppreciate good workAlways improving ourselves/servicesApplication FormInterview Most roles require an on-callcommitment and travel acrosssites. Candidates must be ableto demonstrate the ability totravel effectively between sitesUpholds and models the TrustvaluesApplication Formand evidence boughtto interviewSkills InterviewApplication FormInterview

Additional Terms and Conditions SummaryConfidentialityData ProtectionRiskManagementInfectionControlHealth SafeguardingAdultsThe Post holder must maintain the confidentiality of information aboutpatients, staff and other health service business in accordance with TrustPolicy.The postholder, for the purposes of the Data Protection Act 1998,consents to the processing of all or any personal data including sensitivepersonal data as defined under the Data Protection Act 1998 (in manual,electronic or any other form) relevant to their employment, by the Trustand/or any public body or any other third party as nominated by the Trustfor the purposes of audit and bound by a duty of confidentiality.The post holder will ensure compliance with the Trust’s risk managementpolicies and procedures. These describe the Trust’s commitment to riskmanagement, the recognition that our aim is to protect patients, staff andvisitors from harm, and stress that all staff have a responsibility tominimise risk.In accordance with the Health Act (2006) all staff are expected to complywith National and local Infection Control policies and procedures and anyother related infection prevention policies or procedures. In addition allstaff who‘s normal duties are directly or indirectly concerned with patientcare should ensure they have received annual mandatory training(including hand hygiene).The Trust is committed to improving the health and wellbeing of staff bysupporting them to make healthy choices and lead healthy lives.Everyone employed by the Trust has a responsibility for promoting andparticipating in the staff health and well-being planned programmes,promotions and activities.The post holder will treat all colleagues, service users and members ofthe public with respect and dignity regardless of their gender, age, race,colour, religious beliefs, religion, nationality, ethnic origin, socialbackground, sexual orientation, marital status, disability, real orsuspected HIV/Aids status, criminal background and Trade Union status.The Trust has Policy for Equality and it is the responsibility of all staff toensure that this is implemented.Everyone employed by the Trust regardless of the work they do has astatutory duty to safeguard and promote the welfare of children. Whenchildren and/or their carers use our services it is essential that allconcerns for the safety and welfare of children and young people areboth recognised and acted on appropriately. You have a responsibility toensure you are familiar with and follow the Safeguarding Childrenprocedures and the Trust’s supplementary Safeguarding Children Policywhich is accessed electronically on the Trust's Intranet site. You have aresponsibility to support appropriate investigations either internally orexternally. To ensure you are equipped to carry out your dutieseffectively, you must also attend Safeguarding Children training andupdates at the competency level appropriate to the work you do and inaccordance with the Trust's Safeguarding Children Strategy.Everyone employed by the Trust regardless of the work they do has aduty to safeguard and promote the welfare of vulnerable adults. Whenpatients and/or their carers use our services it is essential that allprotection concerns are both recognised and acted on appropriately. Youhave a responsibility to ensure you are familiar with and follow Trustpolicies in relation to safeguarding vulnerable adults. You have aresponsibility to support appropriate investigations either internally or

externally. To ensure you are equipped to carry out your dutieseffectively, you must also attend vulnerable adult protection training andupdates at the competency level appropriate to the work you do and inaccordance with the Trust's vulnerable adult protection training guidanceHealth andSafetyProfessionaland NHS Codesof ConductFinancialManagementand Control ofResourcesMandatoryTrainingNo SmokingAll staff must be aware of the responsibilities placed on them by theHealth & Safety at Work Act (1974) to ensure that the agreed safetyprocedures are carried out to maintain a safe condition for employees,patients and visitors.You are required to act at all times in accordance with the relevantprofessional Codes of Conduct and Accountability (including, whereapplicable, those for Board Members). In addition, all management staffmust comply with the ‘Code of Conduct for NHS Managers’ and‘Standards of Business Conduct for NHS staff’.All staff are responsible for the security and the property of the Trust,avoiding loss or damage, and being economical and efficient in the useof resources. Staff are required to act in accordance with the rules andregulations as described in the Trust’s ‘Policy Relating to the FinancialManagement and Control of Resources’.All staff are required to attend mandatory training as designated by theTrust.East Kent Hospitals University NHS Foundation Trust has a no smokingpolicy. Staff are not permitted to smoke within or on Trust premisesPlease note that these terms and conditions are subject to change and may differ from yourproposed contract should you be successful in your application.

Kent and Medway's new Medical School, jointly provided by the University of Kent and Canterbury Christchurch University, which opens in September 2020. The Trust has five hospitals providing a wide range of high quality services and opportunities for innovation. The William Harvey Hospital in Ashford has the full range of district general