JOB DESCRIPTION & PERSON SPECIFICATION

(Incorporating general information about Guy’s and St Thomas’ NHS Foundation Trust)

For

General Consultants in Anaesthesia

With an interest

At Guy’s & St Thomas’ NHS Foundation Trust

(GSTT)
Contents

Section Page
Section 1: An introduction to this Appointment 3
Section 2: Guy’s & St Thomas’ NHS Foundation Trust 5
Information
Section 3: Directorate & Department Information 6
Section 4: Key Result Areas, Main Duties & Responsibilities 9
Section 5: General Information Relating to Terms & Conditions of 14
Service
Section 6: Person Specification 25

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GUY’S & ST THOMAS’ NHS FOUNDATION TRUST
TAP Directorate
General Consultant Anaesthetists with an Interest
1. An introduction to the Appointment

The Theatre, Anaesthesia and Peri-operative Medicine (TAP) directorate has

increased its team of Consultant Anaesthetists by a third in the last three years as
clinical activity has continued to increase. It now has over 100 consultants in adult
anaesthesia, all with varied interests and specialist areas, working in the dynamic
Guys and St Thomas’ Foundation Trust, in the Centre of London.

The Directorate is seeking to further expand the medical workforce. For this
recruitment round we will be looking to interview both in January and February 2020
to maximise capture of candidates completing their training in anaesthesia or those
who have already has some post CCT experience. Expansion projects over the next
few years include an orthopaedic suite at Guy’s, new theatres at St Thomas’, a new-
build state-of-the-art cardiovascular centre and use of theatres at Sidcup in Kent.

Candidates with a specialist interest are sought which maybe in a clinical or non
clinical area. The clinical areas for which there are Job Plan vacancies are:

Plastics
Gynaecology
Major GI
Spinal
Urology
Interventional Radiology

We also look to increase our back up for the complex clinical areas:

Vascular
Thoracic
Renal

Other areas of contribution/interest could be in:

Peri-operative medicine
Academic research
Quality Indicators and clinical governance
Theatre management and efficiency
Shared patient decision making and choosing wisely
Teaching and simulation
Nursing education and evaluation of physician’s assistants
Information technology

The directorate is happy to consider full-time and part-time flexible working contracts,
if working patterns help to provide a more efficient service.

Candidates will be invited to nominate their specialist interest areas on their

application form. The newly appointed consultants who be expected to be able to
work across all the general clinical areas on both the Guy’s and St Thomas sites. On-
call emergency cover will initially be on the Guy’s site, covering thoracic, difficult
airway and renal transplant anaesthesia unless the candidate’s specialist interests
are more suitable for the St Thomas Site; vascular GI and HDU. These posts do not
cover obstetrics or cardiac anaesthesia.

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The department has developed a strong reputation for leadership at a national and
international level, inclusive of Amit Pawa, (President of Regional Anaesthesia UK),
Imran Ahmad, (Honorary Secretary, Difficult Airway Society), Claire Shannon and
Claire Mallinson, (Royal College of Anaesthetists Council Members), Kariem El-
Boghdadly and Craig Bailey, (editorial team, Anaesthesia Journal and Anaesthesia
Reports), and Ramai Santhirapala, (Academy of Medical Royal Colleges/Centre for
Perioperative Care). The new research group is already very productive and led by
Kariem El-Boghdadly.

The TAP directorate was formed in May 2018 combining Theatres, Anaesthesia and
Peri-operative medicine. Paediatric anaesthesia is now managed separately under
Evelina London Children’s Hospital.

Adult anaesthesia is delivered in a day surgery unit at both sites, two main theatre
suites, cardiac theatres, interventional radiology, assisted conception unit,
endoscopy, dental surgery, opthalmic surgery, cardiac catheter lab and the birth
centre. There is a pre-assessment service and an acute pain team. TAP provides
support services to ITU in terms of transport for investigations and difficult airway
assistance and has responsibility for the Overnight Intensive Recovery (OIR)on the
St Thomas’ site.

All new employment contracts include Saturday working; therefore, a number of

Saturdays will be built in to all new job plans. This usually works out as 6 per year for
full-time consultants

General enquiries about the job or for an informal discussion about this post should
be directed to: Dr Paul Kelly, Clinical Director for TAP, [email protected] or Dr
Jonathan Watkiss, [email protected], Clinical Service Lead for
Workforce.

The proposed interview dates are either Thursday 30 th January 2020 or Friday 28 th
February 2020 with a combined shortlisting process.

2. Guy’s & St Thomas’ NHS Foundation Trust Information

The Trust consists of St Thomas’ Hospital at Waterloo, including the Evelina

Children’s Hospital, and Guy’s Hospital at London Bridge. We are also part of King’s
Health Partners (KHP), which comprises King’s College London, Guy’s and St
Thomas’ NHS Foundation Trust, King’s College Hospital NHS Foundation Trust and
South London and Maudsley NHS Foundation Trust. KHP is one of just five
accredited UK Academic Health Sciences Centres (AHSCs). Through our AHSC, we
are committed to making research and education integral to the delivery of high-
quality clinical care. The King’s Health Partners Integrated Cancer Centre (ICC) is
the vehicle for developing and managing cancer research, clinical services, and
training and development across all of the KHP partner organisations.

Our hospitals have a long and proud history, dating back almost 900 years, and have
been at the forefront of medical progress and innovation since they were founded.
We continue to build on these traditions and have a reputation for clinical, teaching
and research excellence.

We provide a full range of hospital services for our local communities, as well as
community health services for people living in Lambeth and Southwark. We also

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provide specialist services for patients from further afield, including cancer, cardiac,
kidney, women’s and orthopaedic services, and we are home to the Evelina
Children’s Hospital. We have one of the largest critical care units in the UK and one
of the busiest A&E departments in London. See www.guysandstthomas.nhs.uk for
further details.

As an organisation we are committed to developing our services in ways that best

suit the needs of our patients. This means that some staff groups will increasingly be
asked to work a more flexible shift pattern so that we can offer services in the
evenings or at weekends. We also have a positive approach to corporate social
responsibility and are keen to engage our staff in an agenda that ranges from
promoting environmental sustainability to the creation of local employment
opportunities.

We are part of King’s Health Partners Academic Health Sciences Centre (AHSC), a
pioneering collaboration between one of the world’s leading research-led universities
and three of London’s most successful NHS Foundation Trusts. Our AHSC is one of
only five in the UK and consists of King’s College London and Guy’s and St Thomas’,
King’s College Hospital and South London and Maudsley NHS Foundation Trusts.
Our AHSC brings together the best of basic and translational research, clinical
excellence and world-class teaching to deliver groundbreaking advances in physical
and mental healthcare. For further information about Kings’ Health Partners, Kings
College London and our research please see the following links:
www.kingshealthpartners.org , http://www.kcl.ac.uk/medicine/index.aspx,
http://www.guysandstthomas.nhs.uk/research/research.aspx and
www.biomedicalresearchcentre.org

Finally information regarding how we score on patient safety and experience can be
found in the following specific report http://www.guysandstthomas.nhs.uk/about-
us/how-we-are-doing/home.aspx

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3. Clinical Directorate & Department Information

The Anaesthetic Service

Structure
The Anaesthetic Service provides care for patients across both the adult hospital
sites. Anaesthesia forms part of the Theatre, Anaesthetic and Peri-operative
Medicine directorate (TAP).

The Clinical Director of TAP is Dr Paul Kelly and the directorate General Manager is
Dale-Charlotte Moore. The Clinical Service Lead for Guy’s is Dr Imran Ahmad and for
St Thomas’ is Dr Madhu Puchakayala. The clinical service lead for workforce is Dr
Jonathan Watkiss. There are, in addition several link Consultants for anaesthetic
sub-specialties and departmental roles.

Anaesthesia sits within the Allergy, Respiratory, Critical Care, Anaesthetics and Pain
Clinical Academic Group for the the AHSC (Academic Health Sciences Centre)

Function
Anaesthetic services are provided for all major specialties except neurosurgery. The
work covers main theatres, day surgery, obstetrics, MRI, cardiac catheters, acute
pain services, ITU airway support, accident and emergency support and overnight
intensive recovery/HDU care. The department gives over 50,000 anaesthetics every
year. It also coordinates surgical pre-op assessment, and the enhanced recovery
pathways.

Teaching
There are around 60 postgraduate trainees in Anaesthesia at any one time on site as
part of their rotational programme. There is a strong educational faculty within the
consultant body with its constituent Educational Supervisors, College tutors and
Royal College representatives. There is also a substantial undergraduate
commitment, contributing to in-theatre teaching, simulation supervision, tutorials and
running specialist modules.

Quality Improvement/Clinical Governance and Research

Clinical governance (CG), is coordinated within the directorate, incorporating quality
improvement projects, morbidity and mortality reviews and risk management. The
CG meetings allow for regular academic updates. We have recently appointed a
Research Lead who along with a newly formed research group are building an
academic base aligning itself with the King’s College academic strategy.

Facilities
There are anaesthetic offices on both sites with shared IT facilities and desk space.
There are a number of service administrative staff on each site, Barbara Bolton at
Guy’s and Diane Wallis at St Thomas’ (Service Co-ordinators), Verline Forrest
(Course Organiser) and Jennifer Williams (Postgraduate Co-ordinator). Both sites
have a library and a seminar room.

The Trust provides a shuttle bus between the 2 sites operating every 20 minutes
from 0700 to 2200.

Main place of employment

The posts will be based at both the Guy’s and St Thomas’ site. However, it is a
requirement of your employment that you are prepared to work at any additional or

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different location owned or served by the trust, either on an on-going or temporary
basis according to the demands of the service.

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Departmental Staff

Consultants

Dr Hani Abdulla Dr Stuart Marshal l-Thoracic and Spinal Lead

Dr Imran Ahmad- Clinical Lead Guy’s Dr Stuart McCorkell - Clinical Governance
Site/Airway, Research Lead
Dr Suresh Anandakrishnan Obs and regional Dr Sarah McDonald
Dr Lindsay Arrandale- Enhanced Recovery Dr Rina Mehrotra
Dr Emad Aziz- Equipment Dr Sonja Meier - Trauma Lead
Dr Joseph Azzopardi - Chronic pain Dr Britta Millhoff - Plastics Lead
Dr Sheela Badigar-Urology Dr Ewa Miller
Dr Craig Bailey - Editor Anaesthesia Dr Imran Mohammed - Clinical Governance
Dr Pele Banugo- Recovery lead STH Dr Andrew Morley - Research
Dr Diana Bareisiene Dr Nat Nguyen-Lu - ACULead/ obs research
Dr Divna Batas Dr Cheng Ong - Airway & Thoracic
Dr Sebastian Baxter- Cardiac Dr Desire Onwochei - Airway/Obs
Dr Tahzeeb Bhagat - Paediatrics Dr Jaimin Patel- Vascular
Dr Heena Bidd; Vascular, Research Dr Nisha Pattni
Dr Serena Bourke - Obstetrics Dr Amit Pawa- Regional Lead
Dr Clarissa Carvelho- IT Lead Dr Veda Ponnaiah - Rota master/College
Dr Holly Chamerette - Renal Lead Tutor/Training lead
Dr Christos Chamos - Cardiac Dr. Jackie Porter - Acute Pain Services
Dr John Chaterjee- Pre-Hospital/HEMS Dr Arsenyj Powroznyk - Cardiac
Dr Amit Chawla - Cardiac Dr Madhu Puchakayala - Clinical Lead STH
Dr Kate Cheesman- IR, Sedation Dr Suneil Ramessur; Acute pain
Dr Marina Choudhury- College Tutor Dr Marwa Salman
Dr George Christodoulides- Safety Lead Dr Ramai Santhirapala - Peri-operative
Dr David Daniels Medicine
Dr Camilla Davies Dr Doda Sarrisou - Cardiac
Dr Toby Dixon – HDU, QI/Audit Dr Christine Sathanathan
Dr Leslie DSouza Dr Jan Schumacher - Academic /Teaching
Dr Gunjeet Dua; Teaching and Courses, TPD Dr Helena Scott
Dr Michael Duncan; IR Lead Dr Jason Scott - Obstetrics Lead
Dr Kariem El-Boghdadly; Research Lead Dr Sohini Sengupta - Undergraduate Lead
Dr Ade Ezihe-Ejiofor Dr Claire Shannon - Paediatric & Cardiac
Dr Ben Fitzwilliams Paediatrics & Obsterics Anaesthesia
Dr. Anna Fourie- Recovery, Rota master Dr Mike Shaw
Dr Vip Gill Dr Eoin Sherry -Trust Appraisal Lead
Dr Paul Greig - Research Dr Marcin Sicinski
Dr Sian Griffiths- Obstetrics Dr Tom Smith
Dr Sanjay Gulati- Orthopaedics Lead Dr Dan Taylor - Paed Cardiac/Vascular
Dr George Hallward - Cardiac Dr Charlotte Taylor - Pre-op Assessment
Dr Aine Heaney Lead
Dr Aofie Hegarty Dr Charles Thoburn
Dr Maeve Henry- Cardiac Dr. Huw Thomas
Dr David Hutchinson Dr Madhvi Vaghela - Cardiac Lab Lead
Dr Mark Ibrahim- Day Surgery/IT Lead Dr Ulka Vamadevan - Day Surgery (Guys)
Dr David James Dr Jonathan Watkiss - Clinical Lead
Dr Anna Janowizc Workforce
Dr Jey Jeyarajah Dr William Whiteley - Risk Lead
Dr Martin John Dr James Wight
Dr C Johnstone Dr Davina Wong - Paeds Cardiac
Dr Paul Kelly - Clinical Director
Dr Nazia Khan
Dr Maria Kostaki
Dr Anita Kovacic
Dr Morton Lim
Dr Simon Liu - Cardiac Lead

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Dr Asta Lukosuite
Dr Samson Ma
Dr Dev Mahtani
Dr Sangeeta Mahajan
Dr Claire Mallinson - Post Graduate Director
& Deputy Medical Director

Trainees
 8 x ST1; 8 x ST2; 40 x ST 3/4/5/6/7

4. Key Result Areas, Main Duties and Responsibilities

Responsible to: Clinical leads at Guy’s and St Thomas’ Hospitals

Accountable to: Dr Paul Kelly, Clinical Director

Job Summary:

 To provide anaesthetic services to the Trust, including on call, in

general fields of anaesthesia.
 To participate in clinical and other service activities with the object of
ensuring a high standard of patient care
 To take an active part in undergraduate and postgraduate teaching
and training
 To contribute to the management of the clinical service and service
development

Provide High Quality Care to Patients

 The post holder must be medically qualified and maintain GMC specialist
registration and hold a licence to practice
 To develop and maintain the competencies required to carry out the duties
required of the post.
 To ensure prompt attendance at agreed direct clinical care Programmed
Activities.
 To ensure patients are involved in decisions about their care and to respond to
their views.

Research, Teaching and Training

 Where possible to collaborate with academic and clinical colleagues to enhance
the Trust’s translational research portfolio, at all times meeting the full
requirements of Research Governance. To become a member of the ‘research
group’
 To provide high quality teaching to medical undergraduates and members of
other health care professions as required by the Clinical Director.
 To act as educational supervisor and appraiser as delegated by the Clinical
Director to ensure external accreditation of training post.

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Performance Management
 To work with medical, nursing and managerial colleagues to ensure high
performance in the following areas:
 Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA
rates.
 Quality of outcomes e.g. infection control targets, reducing re-admission rates.
 Financial management e.g. identification, implementation and achievement of
cost improvement programmes and participating in efforts to ensure services are
provided cost effectively e.g. managing locum agency spend, monitoring and
managing the drug budget to target, ensuring accuracy of clinical data for the
team.
 Operational efficiency e.g. day-case rates, waiting list activity and demand
management.

Medical Staff Management

 To work with colleagues to ensure junior doctors’ hours are compliant in line with
EWTD and New Contract.
 To ensure that adequate systems and procedures are in place to control and
monitor leave for junior medical staff and to ensure that there is appropriate cover
within the clinical areas, including on-call commitments
 To participate in the recruitment of junior medical staff as and when required.
 To participate in team objective setting as part of the annual job planning cycle.
 To be responsible for the annual appraisal of all doctors in training, Trust doctors,
Clinical Fellows and non-consultant grades as delegated by the Clinical
Director/General Manager.

Governance
 To review clinical outcomes in designated area using external benchmarking data
where appropriate, to identify and advise variances to the Clinical Director.
 Participate in clinical audit, incident reporting and analysis and to ensure resulting
actions are implemented.
 To work closely with the Directorate, Patient and Public Involvement panels in
relation to clinical and services developments as delegated by the Clinical
Director.
 Participate in ensuring NICE requirements are reviewed and implemented and
monitored in the speciality areas.
 To ensure clinical guidelines and protocols are adhered to by junior medical staff
and updated on a regular basis.
 To keep fully informed about best practice in the speciality areas and ensure
implications for practice changes are discussed with the Clinical Director.
 To role model good practice for infection control to all members of the
multidisciplinary team.

Strategy and Business Planning

 To participate in the business planning and objective setting process for the
directorate and Trust where appropriate.
 To represent the Trust at appropriate clinical networks/other external clinical
meetings, as delegated by the Clinical Director.

Leadership and Team Working

 To demonstrate excellent leadership skills with regard to individual performance,
clinical teams, the Trust and when participating in national or local initiatives.
 To work collaboratively with all members of the multi-disciplinary team and Kings
Health Partners as required.

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 To chair regular meetings for the specialties.
 To resolve conflict and difficult situations through negotiation and discussion,
involving appropriate parties.
 Adhere to Trust/departmental guidelines on leave including reporting absence.

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Job Plan
Your job plan is anticipated to contain 10 Programmed Activities per week for a full
time contract, but flexible or part-time contracts will be considered. All work will be
carried out on Guy’s & St Thomas’ sites and includes on-call commitments. This is an
outline programme and you will be expected to discuss and agree a detailed job plan
including your personal and professional objectives with your Clinical Director within
3 months of your start date. The Job Plan will be matched to the candidate’s area of
interest in terms of clinical expertise and training and the SPA will evolve to
encompass any specific non-clinical roles.

The job plan will be negotiated between the consultant and his/her clinical director at
least annually. The initial job plan for this post is planned to be:

Number of
programmed
activities
Programmed Fixed Lists and Team Based annualised Flexible 8
activities for Sessions
direct clinical
care:

On call (predictable & unpredictable) 0.5

Supporting Job Planning, appraisal, continuing professional 1.0
programmed development, clinical governance, mandatory
activities: training

Assigned SPA on Starting 0.5

(research, teaching, Quality Improvement,
management) This will expect to raise to 1.0 after
the first year when roles are established

Total 10

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Proposed timetable (Indicative example)
Final agreement on the timetable of commitments will be agreed on taking up the
post and then reviewed at least annually as part of the job planning process.

PAs
Hospital Type of Work Start time Frequency: DCC or
/ and finish (e.g. SPA
location time 1x4 wks,
1x6 wks
1x1 wk)
STH FIXED LIST 07:30 – 1x1 DCC 2.5
Monday In area of 17:30
specialist
interest

CPD/CME 08:30 – 1x1 SPA 1

Tuesday appraisal 12:30

undergrad & 13:30- 1 x1 SPA 0.5

postgrad 15:30
education or
SPA area of
interest/lead
role

Wednesday

Thursday

GUYS Fixed 07:30- 1x1 DCC 2.5

Friday List in 17:30
secondary
area of interest

Saturday STH/ Saturday 07:30- 6 Sats per DCC 0.5

GUYS Elective or 17:30 year
Trauma List

Unspecified STH Annualised Equivalent DCC 2.5

Day team-based to 42, 2
flexible in year session
sessions to fill days all
service year
requirements.
May be part of
team based
job planning in
specialist
areas
GUYS On-call DCC 0.5
TOTAL PA 10.0

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Some specialties have moved towards ‘3 Session Days’ and therefore fixed or
flexible sessions may be 3PA days

FIXED LISTS are likely to be in Orthopaedics, Urology, Renal, Vascular,

Interventional Radiology, Pre-Assessment, Cardiac cath Lab, Day Surgery with other
areas opening up as the service expands

THE ANNUALISED FLEXIBLE SESSIONS are to allow flexible working in the

department to cover areas of leave and are flexible in time and location and normally
should be delivered evenly across the leave year or targeted to fill predictable gaps in
service.

SPA is initially set at 1.5 until specific roles or projects are identified. It would
normally be expected for the average amount of SPA to be 2 PAs per week. The
department has a strong teaching, research and quality improvement agenda and is
building on its profile in research within the Academic Health Sciences Centre.
Candidates with proven records in these areas will be encouraged to continue with
projects after appointment.

ON CALL ROTA
The appointee will be required to participate in an on-call rota, category A, for the the
general rota initially at Guy’s Hospital. The St Thomas’ Rota covers Vascular and
General emergencies and the Guys Rota covers Thoracic, Airway and Renal
emergencies. Separate on call rotas exist for Obstetrics, Paediatrics and Cardiac;
these are not being sought for this appointment.

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5. General Information Relating to Terms and Conditions of Service

Main Conditions of Employment;

The Terms and Conditions applicable to this appointment are available on
request.

Salary scale: As stated in the advert

London Weighting: As stated in the advert

ASPECT OF JOB DETAILS

Additional Increments over and above the minimum of the
Increments salary scale will only be given for previous
consultant level experience or where training has
been lengthened by virtue of being in a flexible
training scheme or because of undergoing dual
qualification. Time spent doing a higher
qualification or additional years spent doing
clinical work, research or sub-speciality training
does not count towards additional credit (see
Schedule 13 of the Terms and Conditions).

Additional These are responsibilities undertaken within or

responsibilities without the Trust – and are specific to individual
consultants, examples include undergraduate and
postgraduate deans and Caldicott Guardian

Any additional NHS responsibilities, which are

deemed appropriate, need to be agreed in
advance with the clinical director and allocated as
PA time for additional NHS responsibilities in the
job plan. The timing and location of these
activities should be included in the job plan.

Additional Consultants must offer the Trust any additional

Programmed capacity they may have if they wish to undertake
Activities (APAs) private professional services. The Trust may, but
is not obliged to, offer the consultant the
opportunity to carry out up to one Programmed
Activity per week on top of the standard
commitment set out in their contract of
employment.

APAs are a temporary addition to the substantive

contract and they must be agreed annually. They
are subject to change or withdrawal upon three
months’ notice given by either party. If a
consultant fails to submit the job plan for annual
review, then any APAs previously agreed will not
automatically be renewed but will be subject to
withdrawal and pay will automatically revert to the
number of substantively agreed Pas as set out in
the contract until the matter is resolved.

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Annual Leave Schedule 18 of the Terms and Conditions sets out
the entitlement for annual leave as follows:

Up to Seven years completed NHS service as a

consultant – 32 days (based on a 7-day week)
Seven or more years – 34 days (based on a 7-day
week).

Appraisal The appraisal process is distinct though inter-

linked with the job planning process and needs to
have been undertaken prior to the launch of the
job planning process. Guidance on appraisal is
available from the Medical Directors office
(GSTT).

Clinical Excellence Consultants need to have fully participated in the

Awards appraisal and job planning process prior to
applying for Clinical Excellence Awards.

Clinical Governance It is a Trust requirement that clinical staff

participate in 4 formal clinical governance
sessions each year. 100% attendance is
expected. Individual specialities may undertake
additional governance sessions providing it does
not impact on clinical activity.

Code of Conduct on A consultant who wishes to undertake private

Private Practice practice must offer any additional capacity to the
Trust for NHS work. Full time consultants who are
currently working the equivalent of 11 or more
Programmed Activities, and who have agreed with
their clinical manager that the same level of
activity should form par t of their Job Plan, will not
be expected to offer any additional NHS work.

The provision of services for private patients

should not prejudice the interest of NHS patients
or disrupt NHS services.
With the exception of the need to provide
emergency care, agreed NHS commitments
should take precedence over private work; and
NHS facilities, staff and services may only be
used for private practice with the prior agreement
of the NHS employer.
As part of the annual job planning process,
consultants should include in their job plan, details
of regular private practice commitments, including
the timing, location and broad type of activity to
facilitate effective planning of NHS work and out
of hours cover.

Confidentiality The post-holder must maintain confidentiality of

information about staff, patients and health
service business and be aware of the Data

16
 Protection Act (1984) and Access to Health
Records Action (1990). All employees of Guy’s
and St Thomas NHS Foundation Trust must not,
without prior permission disclose any information
regarding patients or staff. In circumstances
where it is known that a member of staff has
communicated to an unauthorised person those
staff will be liable to dismissal. Moreover, the
Data Protection Act l998 also renders an
individual liable for prosecution in the event of
unauthorised disclosure of information.

Conflict of Interests You may not without the consent of the Trust
engage in any outside employment and in
accordance with the Trust’s Conflict of Interest
Policy you must declare to your manager all
private interests which could potentially result in
personal gain as a consequence of your
employment position in the Trust.
In addition, the NHS Code of Conduct and
Standards of Business Conduct for NHS Staff
require you to declare all situations where you or
a close relative or associate has a controlling
interest in a business (such as a private company,
public organisation, other NHS or voluntary
organisation) or in any activity which may
compete for any NHS contracts to supply goods
or services to the Trust. You must therefore
register such interests with the Trust, either on
appointment or subsequently, whenever such
interests are gained. You should not engage in
such interests without the written consent of the
Trust, which will not be unreasonably withheld. It
is your responsibility to ensure that you are not
placed in a position which may give rise to a
conflict of interests between any work that you
undertake in relation to private patients and your
NHS duties.

Criminal Records Applicants for posts in the NHS are exempt from
Bureau the Rehabilitation of Offenders Act 1974. All
applicants who are offered employment will be
subject to a criminal record check from the
Criminal Records Bureau before the appointment
is confirmed. All doctors who are offered
employment will be subject to an enhanced
disclosure check by the Criminal Records Bureau
before the appointment is confirmed. This
includes details of cautions, reprimands, final
warnings, as well as convictions. Further
information is available from the Criminal Records
Bureau and Disclosure websites at
www.direct.gov.uk

Direct Clinical Care All contracts must be DCCs and all Programmed
(DCC) Activities (including SPAs) must be evidenced and

17
 agreed.
DCC activity is work directly relating to the
prevention, diagnosis or treatment of illness and
includes;
o Emergency duties
o Operating sessions
o Ward rounds
o Frontline clinical work (ICM, HDU, HBC)
o Outpatient activities
o Clinical diagnostic work
o Other patient treatment
o Public health duties
o MDT meetings about direct patient care
o Administration directly related to these
activities above

All of this detail needs to be included in the weekly

timetable and must include start and end times for
each activity.

External duties Some consultants undertake additional duties for

organisations which are associated with the NHS
but not formally part of it. Some examples
include;
o College work and examinations
o National representation on committees and
teaching
o London Deanery
o Trade union activities
o External lectures

External duties need to fulfil the following criteria;

o Demonstrable benefit to the individual, the
Trust or the wider NHS
o Agreed in advance
o No loss of service delivery within the
specialty/department unless replacement of
this loss is agreed
o Part of appraisal and regular review, with
number of days and activities undertaken
recorded
o External duties will not normally count towards
the assessment of additional PAs particularly
where they replace required Trust clinical work

It is important that before consultants enter into

any new external commitments which would
impact on their job plan, that they secure the
agreement of their Clinical Director to assess the
impact on the service and colleagues.

Fee paying services The approach defining how to handle fee paying
services is covered in the section on Private
Practice and set out in the terms and conditions of
the consultant contract (Schedules 9, 10 and 11).

18
 It is important for consultants to identify whether
they should remit any fee paid to them to the
Trust, or whether they may keep the fee. As a
general rule, if it is payment for activity carried out
in Trust paid time, then the fee should be given to
the Trust. (See Policy on PP for GSTT)

The job plan must include all private practice

sessions undertaken in the Trust or elsewhere
with times and locations, even if in another
hospital and even if “out of hours”.

Freedom of The post holder should be aware of the

Information responsibility placed on employees under the
Freedom of Information Act 2000 and is
responsible for helping to ensure that the Trust
complies with the Act when handling or dealing
with any information relating to Trust activity
Health and safety The post holder must co-operate with
management in discharging its responsibilities
under the Health and Safety at Work Act l974 and
take reasonable health and safety of themselves
and others and to ensure the agreed safety
procedures are carried out to maintain a safe
environment for patients, employees and visitors.

Infection Control It is the responsibility of all staff, whether clinical

or non-clinical, to familiarise themselves with and
adhere to current policies including those that
apply to their duties, (such as Hand
Decontamination Policy, Personal Protective
Equipment Policy, safe procedures for using
aseptic techniques and safe disposal of sharps) in
relation to the prevention of the spread of health
care associated infection (HCAI’s) and the
wearing of uniforms. They must attend
mandatory training in Infection Control and be
compliant with all measures known to be effective
in reducing HCAIs.

Clinical staff – on entering and leaving clinical

areas and between contacts with patients all staff
should ensure that they apply alcohol gel to their
hands and also wash their hands frequently with
soap and water. In addition, staff should ensure
the appropriate use of personal protective clothing
and the appropriate administration of antibiotic
therapy. Staff are required to communicate any
infection risks to the infection control team and,
upon receipt of their advice, report hospital-
acquired infections in line with the Trust’s Incident
Reporting Policy.

Information Governance All staff must comply with information governance

requirements. These includes statutory responsibilities

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 (such as compliance with the Data Protection
Act), following national guidance (such as the NHS
Confidentiality Code of Practice) and compliance with
local policies and procedures (such as the Trust's
Confidentiality policy). Staff are responsible for any
personal information (belonging to staff or patients) that
they access and must ensure it is stored, processed
and forwarded in a secure and appropriate manner.

Information Quality As an employee of the Trust it is expected that

Assurance you will take due diligence and care in regard to
any information collected, recorded, processed or
handled by you during the course of your work
and that such information is collected, recorded,
processed and handled in compliance with Trust
requirements and instructions.

Management of The Trust has adopted a security policy in order

Violent Crime to help protect patients, visitors and staff and to
safeguard their property.

Meal/Rest Breaks As a matter of good practice, as well as statutory

obligations, work activities should be designed, as
far as practical, to allow for meal breaks to be
taken. The Trust policy is that these should be
planned around a minimum of 30 minutes
additional to a 6 – 8 hour working day and an
hour additional to an 8 – 12 hour working day.

The national Contract does not provide for these

breaks to be paid, nor is there the funding in the
system for discretionary payment.

However, there will be times when activities are

unavoidably scheduled in a way that precludes a
consultant taking a break, and that activity can
then count as working time. It is important, both in
terms of equity of treatment and overall
affordability, that we are as consistent as possible
in our approach.

Medical All appointments are conditional upon prior health

Examinations clearance by the Trust’s Occupational Health
Service. Failure to provide continuing satisfactory
evidence will be regarded as a breach of contract.

Normal and Premium time is outside the period 7am to 7pm

premium working Monday to Friday, and any time on a Saturday or
time Sunday, or public holiday

For any work scheduled during premium time

there will be a reduction in the timetabled value of
the PA itself (or another) to 3 hours.

Scheduled PA work during premium time will be a

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 reduction in the timetable value of the PA itself (or
another) to 3 hours

No smoking The Trust operates a non-smoking policy

On-call Category of on-call duties:

arrangements
(including Predictable on-call: predictable emergency work –
Emergency Work this is emergency work that takes place at regular
arising from on call) and predictable times, often as a consequence of
a period of on-call work (e.g. post take ward
rounds) Calculation of PA’s will take account of
the frequency of the on-call pattern.
Unpredictable on-call: Unpredictable emergency
work arsing from out of hours’ duties. This is work
done whilst on call and associated directly with
the consultants on-call duties e.g. recall to
hospital to operate on an emergency basis. This
should be averaged from the diary cards and
annualised to a maximum of 2 PA, taking into
account the frequency of the on-call commitment.

Category A on-call supplement

This applies where the consultant is typically

required to return immediately to site when called
or has to undertake intervention with a similar
level of complexity to those that would normally
be carried out on site, such as telemedicine or
complex telephone conversations.

Category B on-call supplement

This applied where the consultant can typically

respond by giving telephone advice and or by
returning to work later

Level of supplement

The level of supplement depends upon the

frequency of the rota:
 High (1-4): A=8%; B=3%
 Medium (5-8): A=5%; B=2%
 Low (9 or more): A=3%; B=1%

Pension Membership of the NHS Pension Scheme is

available to all employees over the age of 16.
Membership is subject to the regulations of the
NHS Pension Scheme, which is administered by
the NHS Pensions Agency. Employees not
wishing to join the Scheme or who subsequently
wish to terminate their membership must
complete an option out form – details of which will
be supplied upon you making a request to the
Trust’s Pensions Manager, based in Payroll. A
contracting-out certificate under the Pensions

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 Schemes Act 1993 is in force for this employment
and, subject to the rules of the Scheme, if you join
the Scheme your employment will be contracted-
out of the State Earnings Related Pension
Scheme (SERPS).

Personal objectives Personal objectives should be specific,

measurable, achievable, agreed, relevant, timed
and tracked. Objectives are expected to include
delivery of activity levels and quality standards,
the introduction of new ways of working, and
performance within budgetary limits

These should be kept under review throughout

the year and assessed as part of the appraisal
process.

Professional It is the policy of the Trust to support the system

Association/Trade of collective bargaining and as an employee in the
Union Membership Health Service you are therefore encouraged to
join a professional organisation or trade union.
You have the right to belong to a trade union and
to take part in its activities at any appropriate time
and to seek and hold office in it. Appropriate time
means a time outside working hours.

Professional Staff undertaking work which requires

Registration/Licence professional/state registration/licence are
to Practice responsible for ensuring that they are so
registered/licensed and that they comply with any
Codes of Conduct application to that profession.
Proof of registration/licence to practice must be
produced on appointment and if renewable, proof
of renewal must also be produced.

Professional and Consultants can apply for professional and study

study leave leave over a three-year period up to 30 days (on
average 10 days per year). Statutory and
Mandatory training must be taken within the leave
allocation.

This should be identified in advance and specified

in the job plan and reflected in the personal
objectives.

Programmed A full-time consultant is contracted is for 10 PAs –

activities (PAs) and anything above this is on a temporary basis.
Each job plan should assume that it will be for 10
PAs – and anything else is by exception

The Trust will not offer more than 12 Pas in total

i.e.

 Programmed activities less than 11 =

basic contract of 10 PAs

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  Programmed activities of 11 and above but
less than 12 = basic contract + 1 APA
 Programmed activities of 12 and above =
basic contract + 2 PAs

A PA is for a 4 hour session – anything taking less

time is counted as pro rata (i.e. 3 hours = 0.75 of
a PA)
Research and Any research undertaken by a consultant needs to
development be approved as part of the Trust’s specific R&D
policy as well as the job planning process itself.
Research-related activity can be taken during
SPA time– and it is best that it features as agreed
specific Programmed Activities in order to ensure
that it is substantive research and the costs and
funding are properly identified. Research needs
to distinguish between grant application,
supervision, actual R&D and committee work.
R&D-related activity and outcomes need to
feature in objective-setting (and appraisals).

Safeguarding Post holders have a general responsibility for

children and safeguarding children and vulnerable adults in the
vulnerable adults course of their daily duties and for ensuring that
they are aware of the specific duties relating to the
role.

Supporting The Clinical Director should identify and quantify

Professional SPA activity that is proportionate to the size of the
Activities (SPAs) department and its objectives.

A full time consultant will have a maximum

allocation of 1 PA to cover such responsibilities
including CPD, audit, job planning, revalidation
and appraisal.

SPA time can be made of:

o Training, medical education and formal
teaching
o Continuous professional development
o Audit
o Clinical governance
o Job planning
o Appraisal and revalidation
o Research
o Recruitment

SPA activity needs to be of benefit to both the

consultant and the Trust, be specified, scheduled
and on-site (off-site by exception) with clear
outputs and reflected in the personal objectives.

Sustainability It is the responsibility of all staff to minimise the Trust’s

environmental impact by recycling wherever possible,
switching off lights, computers monitors and equipment

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 when not in use, minimising water usage and reporting
faults promptly.

Teaching Consultants are expected to participate in

commitments education as part of their employment – teaching
done in clinic, theatre and on the ward is part of
DCC activity and not awarded separate PA
allocation although it can be recognised that this
might affect the volume of clinical activity
undertaken
As a guide, a maximum of 0.5 PA per consultant
should be allocated to under graduate teaching.
Additional education and training commitments;
an educational supervisor will attract 0.25
Programmed Activities a week per trainee
(capped at 4 trainees/1PA).

Team-based job This can be used either to launch job planning to

planning establish a framework within which the individual
job plans are then agreed or throughout the
process. The consultant work to be delivered is
quantified and a team approach is taken to
agreeing and delivering the activity with
agreement, for example on the typical length and
frequency of ward rounds, patient related
administration, MDT or department meeting
attendance. In all cases, individual job plans need
to be agreed and signed off

Directorates/departments are expected to agree

the number, frequency, timing and nature of
clinical activities.

Working from Home The Trust expects consultants to conduct their

work activity from their normal place of work and
to be available to participate in the everyday
activities of their department and the hospital. By
exception, work can be undertaken from home.
This is a matter of agreement between the
individual consultant and their clinical director.
Where home working is undertaken, it must be
done on the basis that:
 Time spent regularly working from home is
clearly documented in the job plan
 The department is aware that a colleague
will be working from home and the views
of colleagues will be taken into account
 Whilst working from home, the member of
staff is available for normal contact from
the hospital
 The appropriate facilities are available at
home for the work to be undertaken
 The arrangement is discretionary and
subject to the needs of the service, and
may therefore be reviewed and changed

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  The work output may be reviewed at the
annual job planning meeting

In addition, consultants should be aware that the

Trust has a number of policies that support staff in
helping to maintain a good work/home life
balance.

Workload and It is expected that on average, a consultant will

productivity work for 42 weeks over the year net of annual and
indicators professional leave

For each PA, regular, relevant activity and

workload indicators need to be established, such
as the average number of patients to be seen in
the clinic, numbers of operations, beds numbers
to be covered on a ward round, minimum number
of radiological films expected to be reported.

These specific activity levels need to make the

necessary contribution so that the Trust delivers
on it service obligations. General Managers will be
able to assist in producing relevant activity data.

Productivity indicators should also be used – such

as the new: follow up outpatient ratio and number
of patients per operating list. Each specialty will
set the target numbers in advance of the job
planning process commencing as part of their
capacity plan. Delivery on target will be assessed
as part of the appraisal process.

Work If you are a non-resident of the United Kingdom or

Visa/Permits/Leave European Economic Union, any appointment
to Remain offered will be subject to the Resident Labour
Market test (RLMT). The Trust is unable to
employ or continue to employ you if you do not
obtain or maintain a valid Right to Work (leave to
remain).

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6. Person Specification

Essential Criteria Desirable Criteria Where

evaluated
Eligible for full UK GMC
Professional registration and a Licence to APP Form
Qualifications Practise. GDC/GM
Recent CCT with additional C
On GMC Specialist Register or experience CV
within six months of attaining
CCT at Interview Unique experience which
would could bring in a new
Appropriate Career progression contribution to the
to be applying for a new Consultant Team
Consultant post

Specialist interests of candidate

match requirements of
department (appropriate fit)

Comprehensive clinical Additional fellowships in a APP Form

Clinical experience in Anaesthesia specialist areas Ref/ Int
Experience equivalent to UK CCT
Overseas experience in an
international centre of
excellence
Additional APP Form
Clinical Skills Evidence of Life support diplomas/certificates in Ref/ Int
course activity in the last 3 specialist areas including
years Regional Anaesthesia, ICM,
Echo, Perioperative
Medicine
Audit Evidence of contribution to Experience in clinical APP Form
Management & effective clinical audit quality guideline development and Ref/ Int
IT improvement publication

Evidence of contribution to Management training or

patient safety and risk qualification
management Bespoke IT skills such as
web design or app
development
CV contains evidence of Evidence of original APP Form
Research. academic interest and activity research Ref/ Int
Teaching skill including contributions to
& experience research and academic CPD Publications

Experience of teaching and External presentations

training undergraduates,
postgraduates and junior Collaboration in national
medical staff. projects

Presenting and teaching Teaching qualification

preferably beyond immediate

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 place of work Leadership/Specific Role in
Education/External faculty
or workshops

Simulation experience
Leadership / Communication; Leadership/Management APP/Ref/I
Management Ability to communicate with Role undertaken nt
skills clarity and intelligently in
written and spoken English;
ability to build rapport, listen, Leader of change project
persuade/ negotiate. with achievements/ or
evidence of innovation
Accountability;
Ability to take responsibility,
lead, make decisions and exert
appropriate authority. Evidence of performance
management and
Interpersonal Skills; motivation of people/teams
Empathy, understanding,
listening skills, patience and
ability to work co-operatively
with others.

Able to change and adapt,

respond to changing
circumstances and to cope
with setbacks or pressure.

Ability to work as part of a

team

Evaluation Key: APP Form [Application Form] Ref [References] Int [Interview]

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