Job Description

CONSULTANT IN ANAESTHESIA AND

CHRONIC PAIN

September 20151 of 16

Contents

Page

The Post 3

The Department of Anaesthetics 3/4- Education, Research and Audit 5- Description of Programmed Activities and On-Call Commitments 5/6

Dumfries and Galloway Region 7

NHS Dumfries & Galloway 8- Structure 8- NHS D&G Corporate Aims 8- Staff 8- Services 8- Dumfries and Galloway Royal Infirmary 9- DGRI Education Centre 10- DGRI Future Re-development 10- Galloway Community Hospital 11- Midpark Hospital 11- Cottage Hospitals 11/12

Qualifications 12

Terms & Conditions of Service 12-13

Enquiry Arrangements 14

Selection Criteria 15

Relocation 16

Dumfries and Galloway Royal Infirmary

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CONSULTANT ANAESTHETIST

THE POST

This is a replacement post. The successful candidate will join a team which comprises fifteen Consultants, 6 Specialty Doctors and 5 trainees.

THE DEPARTMENT OF ANAESTHETICS

The Anaesthetic Department is based at Dumfries and Galloway Royal Infirmary, the district general hospital for the Dumfries and Galloway Region.

There is a modern 6 theatre operating department suite with recovery area and an adjacent endoscopy/day case suite with 20 trolley spaces and two endoscopy rooms. In addition there is an ophthalmology operating theatre adjacent to the ophthalmology ward and an obstetric operating theatre in the Birthing Suite. Equipment in Theatres is of a high standard with all anaesthetic machines equipped with electronic flowmeters/end tidal control; BIS and videolaryngoscopes in each theatre; fibreoptic bronchoscopes, oesophageal Doppler and ultrasound facilities for regional anaesthesia readily available.

A Pre-operative Assessment clinic sees all elective surgical cases with nurse assessments supported by dedicated consultant sessions. Day surgery, 23hr unit and day of surgery admissions are used for the majority of cases with plans for this to increase further.

The Chronic Pain Service is supported by two consultant Anaesthetists, each with 3 sessions per week of clinical time. They in turn are supported by a multi-disciplinary team. A pilot is underway for a multi-disciplinary Pain Management Programme with a view to this being a sustainable part of the service. Links with Primary Care, Palliative Care and the Third Sector are strong with the Pain Association being integrated in to the service provision via a direct referral pathway. Intervention sessions are currently performed in the main theatre complex but a high definition radiology intervention suite is also available and may be part of future provision. A radiofrequency ablation machine is currently on trial with a view to imminent purchase.

The Intensive Care Unit is staffed for four level 3 patients and is well equipped, currently with Evita ventilators, Philips monitoring and Oesophageal Doppler, PICCO and echocardiography available. Multi-modality renal support is used. The Intensive Care Unit runs a closed model and is staffed by six Consultant Anaesthetists with an interest in Critical Care on a ‘week at a time’ daytime rota. The unit actively participates in audit and multi centre research. There is a separate 4 bed Surgical High Dependency Unit and an 8 bed Medical High Dependency/Coronary Care Unit which are currently run as an open model with support from Anaesthesia and Intensive Care when requested.There is full Medical Physics back-up, day and night for all departments.

There is a well established Specialist Nurse led Acute Pain Service with Consultant Anaesthetist support.

The regional Accident and Emergency Department is supported by the Department of Anaesthesia and Intensive Care in resuscitation and stabilisation of patients in the Emergency Department and on occasions is responsible for transport of critically ill patients to tertiary centres, particularly for neurosurgical and cardiothoracic intervention.

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In addition, the Department supports the following facilities:

1. Cresswell Maternity Wing, which provides a specialist Obstetric and Neonatal Service for south-west Scotland, with around 1,400 deliveries per year. The resident anaesthetist is always trained in obstetric anaesthesia. A labour epidural service and remifentanil PCA are offered. There are two Consultant sessions for elective cases on Tuesday and Thursday mornings.

2. ECT. This is now provided in the day surgery unit following the move of psychiatric services to the new Midpark Hospital.

3. Galloway Community Hospital, which has a separate anaesthetic rota staffed by the two Galloway Community Hospital consultants, supported by a visiting specialty doctor. Locum sessions are occasionally available to support this rota.

4. Ophthalmology. A fully equipped operating theatre is used in the ophthalmology ward for local anaesthesia and occasional general anaesthetic cases.

The Anaesthetic Department establishment at present is as follows:

Consultants: Special Interest:Dr D Christie (w/t) ICU, Deteriorating PatientDr V Edwards (w/t) Emergency Surgery, RotaDr H Goonesekera (w/t) Chronic Pain: in post until October 2015Dr D Macnair (w/t) ObstetricsDr J Muthiah (w/t) Chronic Pain, OrthopaedicsDr J Neil (w/t) Obstetrics, Blood TransfusionDr W Peel (w/t) ICU, Vascular Surgery, ECT, Dr V Perkins (w/t) Pre-operative Assessment, Ambulatory SurgeryDr J S Rutherford (w/t) ICU, Vascular Surgery, Acute Pain, Paediatric Anaesthesia,

APLS Course Director, Non technical skillsDr L Verner (p/t) Regional Anaesthesia, OrthopaedicsDr D Williams (w/t) ICU, Vascular Surgery, Specialty Lead Clinician for ICU,

ALS Course DirectorDr S Wilson (w/t) ICU, Airway leadDr W Wrathall (w/t) ICU, Vascular Surgery, ALERT Course Co-ordinator,

Clinical Director of Anaesthesia & Intensive CareDr N Yatiwelle (w/t) Enhanced Recovery, Pre-operative Assessment

Dr R J Spicer (p/t).......GCH Inter-hospital Transfer, Asthma, Day SurgeryVacant post (locums) GCH

Specialty Doctors:Dr D Ballingall (wt/)Dr K Shahzad (w/t)Dr C Fernando (w/t)Dr M Lawrence (w/t)Dr N Roux (w/t)Dr J Deutsch Dr J Carruthers (p/t) Locum appointment

Dr D Coyle (p/t)…..GCH Provides 1 in 4 weekend on-call

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Trainees: Five CT1,2 doctors, recognised by the College for basic specialist training, on the West of

Scotland training rotation One ST3, for six months per year

Education, Research and Audit

The Department holds weekly Intensive Care lunch-time meetings and monthly half-day “Continuing Education and Professional Development” sessions. There is a tutorial programme and a series of lectures to theatre nursing staff.Video conferencing facilities are widely used and the department currently participates in the weekly Edinburgh Royal Infirmary Critical Care Journal Club.

The Department is accredited for basic level training in Intensive Care Medicine and is currently being assessed for intermediate level training in Intensive Care Medicine

The Department is heavily involved in Critical Care and Resuscitation teaching with ALERT, IMPACT, APLS, ALS, SCOTTIE courses, all being run in the Education Centre and Resuscitation Training Centre. SIM-MAN and HAL mannequins are used in much of the teaching

Future Developments

Members of the Department of Anaesthesia and Intensive Care have been heavily involved in the design of the new General Hospital (see below) scheduled to open in 2017. The design incorporates an 8 theatre operating suite and a 16 bed Critical Care unit combining existing ICU and HDU facilities.

Description of Programmed Activities and On-call Commitments

A detailed Job Plan will be negotiated with the successful candidate to accommodate sub-specialty interest; a typical job plan is illustrated below. The job plan comprises 10 Programmed Activities (PAs), a split of 9:1 between Direct Clinical Care PAs and Supporting Professional Activities is standard, but the balance between DCC and SPA will be agreed between the Board and successful applicant. The Department of Anaesthesia and NHS Dumfries and Galloway value the development of non-clinical interests and, as these roles expand, additional time may be allocated.

Up to 2 additional PAs may be offered. A minimum of 1 SPA will reflect activities such as appraisal, personal audit, professional development (outwith study leave) and teaching. The SPA session is taken flexibly.

The department has a flexible approach to clinical sessions and it is hoped that the successful candidate will work with the same flexibility as the existing consultants.

Job Plan(For illustration this job plan includes 2 additional PAs.)

Mon Tues Wed Thur Fri08.00-13.00 Orthopaedics

TheatreChronic Pain Clinic

Fixed/FlexibleTheatre

Gynaecology theatre

13.00-18.00 Orthopaedics Theatre

Chronic Pain Interventions

Pain Admin &Development

Chronic Pain Clinic

(This weekly plan is an example of a possible job plan: other sessions may be available and subspecialty interests will be accommodated if possible.)

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1 SPA to be taken flexibly during the week.

2 PAs are allocated to out of hours clinical work generated by the 1:6.5 on call rota (see below). This calculation is supported by consultant diary evidence.

A clinical session is allocated 5 hours, or 1.25 PA, to allow for pre and post-operative clinical input and admin time associated with clinics. A typical morning session therefore is from 08.00-13.00 and afternoon session 13.00-18.00.

Up to 10 days of funded external study leave per year is allocated. In addition Professional Leave for additional external duties may be available at the discretion of the Medical Director for Acute Services.

A hierarchical on call system operates; a resident CT/ST or Specialty Doctor is first on-call (always obstetric anaesthesia competent), Consultants are second and third on-call, one of which always has an ICU interest. At present, the Consultants work 1:13 2nd on-call and 1:13 3rd on call, making the overall on call rota 1:6.5 with prospective cover. The on call is non-resident.

The on call nights rotate through the week so no one consultant has a fixed on call night. Following a night second on call, no clinical commitments are allocated for the following day. Following a night third on call with a CT trainee, no clinical commitments are allocated for the morning session.

The on call case mix covers all sub-specialties including Obstetrics, Paediatrics, Intensive Care and resuscitation and transport for tertiary care for specialties not locally available eg Cardiothoracic and Neurosurgery.

Compulsory resident overnight duties are not part of current job plan, however future re-designs may be necessary to accommodate changes in working practices and it may be necessary to negotiate consultant resident out of hours duties. This is not, however the current model of future service provision.

The department is accommodated in an open plan office with each consultant having a desk space and networked PC, fully supported by the IT department with access to PACS, lab browser, patient records, pre-assessment clinic records, theatre management system, dictation facilities, NHS.net and clinical support including e-library. The Health Board is moving towards a fully electronic patient record. Department administration is provided by one full-time and one part-time secretary.

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DUMFRIES AND GALLOWAY REGION

The population of Dumfries and Galloway is 148,000, within a large geographical area of about 2,500 square miles. Dumfries and Galloway stretches from Langholm in the East to Stranraer in the West, and from Kirkconnel in the North down to the Solway Coast. There are a number of community hospitals in various towns throughout the region, and an intermediate unit – Galloway Community Hospital (with medical and maternity in-patient beds) in Stranraer.

Dumfries has a population of approx. 48,000 and is situated in the eastern half of the region. The River Nith runs through the town to the Solway coast and the city of Carlisle is approximately 45 minutes drive from Dumfries. Glasgow is within 1½ hours, Edinburgh and Newcastle within 2 hours, and Manchester and Liverpool within 2½ hours driving time from Dumfries.

Dumfries and Galloway offers the very best of Scottish countryside............from rugged cliffs and sandy beaches to forests, hills and rolling farmland. You’re spoilt for choice in the range of activities on offer, with watersports, fishing, birdwatching, golf, mountain-biking or cycling along the network of rural roads . . . and much more. The Southern Upland Way runs for 212 miles from Portpatrick in the west to Cockburnspath in the eastern Scottish Borders, through some of Scotland’s wildest country.

There are many attractions, ranging from the University Town of Dumfries, Scotland’s National Booktown Wigtown, Artists’ Town Kirkcudbright, Castle Douglas Food Town to the historic monuments, castles and abbeys, beautiful gardens, fascinating museums throughout the region. The local Council is committed to investing in education, with high achieving schools that earn top marks in HM Inspector of Education Reports. Children are encouraged to develop their talents and interests, with first-class opportunities in music, arts and sports. High quality sport and leisure facilities are available throughout the region. Property offers exceptionally good value.

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NHS DUMFRIES & GALLOWAY

NHS Dumfries & Galloway became operational on 1st April 2003 when the two Trusts (Acute & Maternity and Primary Care) were dissolved and one NHS organisation was created, incorporating all NHS services along with the Health Board.

Structure

The NHS Board has its headquarters on the Crichton site in Dumfries. Comprising executive and non-executive Directors, its key responsibility is to ensure delivery of our Local Delivery Plan and Single Outcome Agreement with Council.

NHS D&G Corporate Aims

Our Purpose: To deliver excellent care that is safe, effective, efficient and reliable. To reduce health inequalities across Dumfries and Galloway.

Achieved by: Creating a momentum for improvement by engaging the enthusiasm of staff to achieve excellence.

Our Outcomes: Improved outcomes for patients. Improved working environment for staff leading to improved job satisfaction. Efficiencies to support continuous quality improvement and sustainability.

Staff

NHS Dumfries & Galloway employs over 4500 staff from a range of different clinical and non-clinical backgrounds, made up of the following broad groupings:

Nursing/Midwifery 49.1% AHPs 6.8%Administrative Services 17.9% Senior Management 0.5%Support Services 11.5% Healthcare Sciences 2.7%Medical & Dental 7.5% Medical & Dental Support 1.1%Emergency Services 0.4% Personal & Social Care 0.1%Other Therapeutic 2.4%

Services

A wide range of services are provided from over 50 bases across the region. These services are provided via one of seven General Management Directorates – Operations, Acute, Diagnostics, Primary Care & Community Care – East, Primary Care and Community Care – West, Women’s & Children’s Services, and Mental Health. Most acute services are based at Dumfries and Galloway Royal Infirmary with a network of out-patient clinics held throughout the region and a range of acute services provided at the Galloway Community Hospital in Stranraer.

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The map below highlights the main service bases throughout the region.

Dumfries and Galloway Royal Infirmary

Dumfries and Galloway Royal Infirmary contains 392 staffed beds (+ 11 cots), and includes the Departments of: Anaesthetics Cardiology Dermatology ENT Surgery General Medicine General Surgery Geriatric/Rehabilitation/Stroke Medicine Haematology Laboratory Services Neurology Obstetrics and Gynaecology Ophthalmology Oral and Maxillofacial Surgery Orthodontics Orthopaedic Surgery Paediatrics Palliative Care Radiology Renal Medicine Urology

In the summer of 2002, a “New Build” was opened next to the Accident and Emergency Department, with accommodation for both the GP Out-of-Hours Co-operative and the Musculo-skeletal Service. This released space for the A & E Department, thereby allowing development of the service. A helicopter landing site was also provided as part of this development.

The Operating Department, adjacent to the Day Surgery Unit, has six theatres (one allocated for emergency cases), endoscopy suite and minor treatment area. There is an Intensive Care Unit of

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four beds, a Surgical High Dependency Unit of four beds and a Medical High Dependency / Coronary Care Unit of eight beds. There is also a separate theatre in the Ophthalmology Day Case ward.

In April 2002, a new Day Surgery Unit opened and the Obstetrics Unit moved to the new “state of the art” extension (having previously been off-site). One of the existing wards has been converted in to a 23hr unit.The Macmillan Cancer Centre on-site opened in 2003; this provides oncology out-patient, chemotherapy and palliative care services.

DGRI Education Centre

Dumfries and Galloway Royal Infirmary is the recognised Post-Graduate Medical Centre for south-west Scotland. The Education Centre has recently been refurbished, with state of the art facilities enabling us to deliver using a range of teaching methods, and providing videoconferencing facilities.

Dumfries and Galloway Royal Infirmary welcomes students from Glasgow (departments of medicine, surgery, trauma and orthopaedics), Edinburgh (departments of geriatrics, psychiatry, paediatrics and obstetrics), and Dundee (department of psychiatry).

The curricula of the universities differ, and appropriate induction is provided into the methods used in the department selected.

In addition to undergraduate teaching Foundation and GPST programmes run, other specialist training posts are run as blocks from regional programmes.

There is a good programme of departmental teaching in all departments, and CPD for primary and secondary care clinicians.

For further information on the Dumfries and Galloway Education Centre go to www.dgeducationcentre.scot.nhs.uk

DGRI Future Re-development It is an exciting time in Dumfries and Galloway as a new District General Hospital is being built, due to open in winter 2017. Redesign of services at Dumfries & Galloway Royal Infirmary is currently underway. Work has commenced on the NHS D&G ‘new build’ hospital based on the western outskirts of the town. This new build will ensure NHS Dumfries & Galloway staff are able to continue to provide high quality clinical care to the population of Dumfries & Galloway in a modern environment. Full information on the DGRI Redevelopment Project can be found on the NHS Dumfries & Galloway website – www.nhsdg.scot.nhs.uk

Please click on the link below to experience a walk-through of our new state of the art hospital.https://www.youtube.com/watch?v=425ePpuzzy4&feature=youtu.be

Galloway Community Hospital

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The Galloway Community Hospital is located in Stranraer, 75 miles from Dumfries. It opened in September 2006 replacing the former Dalrymple and Garrick Hospitals.

Services provided at this site include Day Surgery (12 trolley area); Assessment & Rehabilitation (24 beds); Palliative Care (2 beds); Acute Medicine (20 beds); Maternity Services (2 beds); Renal Services (4 station unit haemodialysis); as well as Accident and Emergency, Anaesthetics, Laboratory, Radiology, Out-patients (provided by a number of Consultants and specialist nurses from Dumfries & Galloway Royal Infirmary), and Out-of-Hours.

Health professionals based in the Galloway Community Hospital include:  Physiotherapy, Occupational Therapy, Speech and Language, and Podiatry Services.

Midpark Hospital

The new Mental Health facility opened in January 2012 on a site adjacent to the Crichton Campus.   Facilities provided at the new site include - a 15 Bed elderly ward; 16 bed dementia/organic illness ward;   6 bed IPCU; 34 Bed adult (2 wards – 17 bed each);  Acute hub accommodation;  8 Bed rehab recovery;  8 Bed rehab long stay; and Rehab hub accommodation.   These facilities have an average annual admission rate of over 700 and approximately 7,000 out-patient attendances per year.  They provide a full range of psychiatric services for patients of all ages in the Dumfries & Galloway region.  The Emergency Department is supported by a Psychiatric Liaison Nurse.

Cottage Hospitals

As well as the Galloway Community Hospital, there are a further eight Cottage Hospitals within Dumfries and Galloway:

Annandale & Eskdale Annan Hospital

24 beds (palliative care and rehabilitation) Lochmaben Hospital

16 beds (palliative care and rehabilitation) Moffat Hospital

12 beds (GP acute and rehabilitation) and Minor Injuries Unit Thomas Hope Hospital

12 beds (palliative care and rehabilitation)

Dumfries & Upper Nithsdale Thornhill Hospital

13 beds (rehabilitation)

Stewartry Castle Douglas Hospital

21 beds (GP acute and rehabilitation) and Minor Injuries Unit Kirkcudbright Hospital

14 beds (GP acute) and Minor Injuries Unit

Wigtown Newton Stewart Hospital

22 beds (GP acute, palliative care and rehabilitation) and Minor Injuries Unit11 of 16

(In some cases patients may be admitted directly from the DGRI Emergency Department to Cottage Hospitals through local General Practitioners)

QUALIFICATIONS

All candidates are required to be on the GMC Specialist Register and hold a License to Practise.

The candidate will hold any of the following: a CCT or be within 6 months of obtaining the certificate, CESR (CP), CESR (Article 14).

TERMS AND CONDITIONS OF SERVICE

The terms & conditions of service offered are those determined by the Consultant Contract 2008 Scotland (as amended from time to time).

This is a permanent position.

Salary scale£76,761 - £103,490 (basic, whole-time equivalent). New entrants to the NHS or the consultant grade will normally commence on the minimum point of the salary scale (dependant on qualifications and experience).

Hours of duty The hours of duty are 40 per week.

Superannuation You have the option to join the NHS Superannuation Scheme, to participate in the State Earnings Related Pension Scheme or to take out a Personal Pension. Employee’s contributions to the NHS Scheme are Tiered based on your earnings and the employers contribution equates to 13.5 % of salary. Employees in the NHS Scheme are “Contracted-out” of the State Earnings Related Pension Scheme and pay a lower rate of National Insurance contributions. Employees who choose to participate in the State Earnings Related Pension Scheme pay the higher rate of National Insurance contribution. A Stakeholder Pension is also available. A Personal Pension is a private arrangement agreed with the pension provider that will be an organisation such as a Bank, Building Society or Insurance Company.

Removal expenses Assistance with relocation and associated expenses may be given and can be discussed prior to appointment. A quick reference of entitlements is attached for you.

Expenses for candidates attending for interview / visit Candidates who are required to attend an interview will be given assistance with appropriate travelling expenses. Re imbursement shall not normally be made to employees who withdraw their application or refuse an offer without good reason.

Disclosure Scotland / PVG This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership which currently

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costs £59.00. The cost of the PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and will required to be repaid through a payroll deduction mandate from the successful candidate’s first salary.

Right to work in the UK NHS Dumfries & Galloway has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS D&G they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under not circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.

Rehabilitation of Offenders Act The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Dumfries & Galloway. Any information given will be completely confidential.

Disabled Applicants A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Dumfries & Galloway guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.

Notice The employment is subject to three months’ notice on either side, subject to appeal against dismissal.

Medical negligence In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.

Accommodation The post is non-resident, but temporary single accommodation may be available for a fixed period.

ENQUIRY ARRANGEMENTS

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For further information please contact Dr Wayne Wrathall, Clinical Director of Anaesthesia & Intensive Care (direct dial – 01387 241873; e-mail address -davidwayne.wrathall@nhs.net) or Dr John Muthiah, Consultant Anaesthetist (direct dial 01387 241810; email address –j.muthiah@nhs.net).

Arrangements to visit the department can be made through Patsy Pattie, Project Lead for Medical Recruitment on 01387 241790, (e-mail address – patsy.pattie@nhs.net).

SELECTION CRITERIA

DUMFRIES AND GALLOWAY ROYAL INFIRMARY

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Appointment of:-

CONSULTANT ANAESTHESIA AND CHRONIC PAIN MANAGEMENT

Job Requirement Essential Desirable

Qualifications Name on GMC Specialist Register, or within six months at time of interview of gaining CCT

Additional training/experience and/or qualifications in Chronic Pain Management like FFPMRCA

Experience

Clinical Skills &Technical SkillsKnowledge

Exposure to anaesthesia for all surgical specialties essential.

Competence in Emergency and Trauma Management across all age groups and all medical specialties.

Experienced in general and local anaesthetic techniques. Competent to perform intra-vascular monitoring

Advanced difficult airway management

Advanced regional anaesthesia techniques

Ability Familiarity with the casemix and demands of working in an isolated DGH

Motivation Record of getting on well with medical and nursing colleagues

Good communicator with patients and relatives

Prepared to accept a degree of flexibility in working week

Evidence of training in non technical skills.

Personality Evidence of ability to work in a multidisciplinary team environment

Audit Ability to identify and carry out worthwhile projects if recognised in job planBasic computing skillsEvidence of involvement in audit/quality improvement activity throughout career

Advanced computing skills such as the development and manipulation of databases.Evidence of lead role in substantial audit/similar projects and evidence of the ability to translate the outcome of these projects into improvement in patient care

Research Willingness to participate in multi-centre research projects undertaken by the department if recognised in job plan

Evidence of involvement with research projects

Management Ability Willingness to play a part in the development of the Department and the Hospital if recognised in job plan.

Evidence of training and/or experience in service development and manpower skills.

Prepared By: Dr W Wrathall Date: September 2015 Clinical Director of Anaesthesia & Intensive Care

NHS DUMFRIES & GALLOWAY RELOCATION POLICY(Your entitlement at a glance)

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£10,560 is the maximum reimbursement which is available in accordance with the following headings.

£8000 is the tax limit therefore, anything reimbursed above this amount will be taxed.

Cost incurred Maximum reimbursementHouse sale/purchase fees £4,700

Preliminary visits to area x 2 Mileage + Subsistence

Temporary accommodation i.e. rent (where have another commitment) for 6 months

£3300

Removal / storage of furniture & effects £1000

Miscellaneous allowance £1100

There are conditions which must be met for all of the above reimbursement entitlements therefore, it is important that the above is read alongside the full policy when a claim is

being prepared.

A copy of the full policy is available on the intranet in the Services Section – Workforce – Policies.

Or from the HR helpline which is:HR Helpline ext 34888 or via switchboard 01387 246246

Email dumf-uhb.hrenquiries@nhs.net

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