Appointment of

Clinical Research Fellow (Core)

in
Otolaryngology (ENT)

This post is available from 02 August 2023 until 06 August 2024

Post Reference No. 180-CRF-4478

Medical Staffing Department

Box: 154
Cambridge University Hospitals NHS Foundation Trust
Cambridge Biomedical Campus
Hills Road, Cambridge
CB2 0QQ

Medical Staffing: 01223 216913

[email protected]
www.cuh.nhs.uk
 Cambridge University Hospitals NHS Foundation Trust

The Department of Otolaryngology

The department, which is based at both Cambridge University Hospitals and West Suffolk
Hospital, covers a population of 680,000 and provides management of all aspects of ENT
surgery, including a significant emergency workload.

In keeping with today’s technologically driven healthcare sector, the department is in the early
stages of adopting mixed reality technology in delivering education and clinical care.

The ENT department at Addenbrooke’s has a high national profile, with the Oto-neurosurgical
and Skull based surgery teams having a worldwide reputation. The Skull base team is
comprised of Neurotologists, Skull base surgeons, Neurosurgeons, Neuroradiologists and
Geneticists. The department is one of 4 national centres offering NF2 care and one of 2
nationally accredited Auditory Brain Stem Implantation centres.

As one of 17 national cochlear implant centres, the department is able to manage all aspects of
Otology. The Cambridge Centre for hearing implants has unrivalled facilities dedicated to the
management of deafness, serving a population of over 6 million. The centre has implanted over
1,000 adults and children and has a large bone anchored hearing aid programme.

The team includes:

4 Implant Surgeons
6 Audiological Scientists
6 Adult and Paediatric Rehabilitationists
2 Speech Therapists

The department of ENT has been designated a Grade 1 Head and Neck Cancer Centre with a
multidisciplinary clinic that includes Oncologists, Head and Neck, Plastic and Maxillofacial
surgeons. The team manage all forms of Thyroid and Head & Neck cancer from a wide referral
base.

The department has two Rhinologists who cover all aspects of Rhinosinusitis and Facial Plastic
Surgery.

The unit is progressive in its approach to new ideas, and Clinical Nurse Practitioners play an
important role in tracheostomy care, cochlear implantation, head and neck cancer, skull base
surgery, neurofibromatosis type 2 and Otology. Aural care facilitators offer dedicated care in an
outpatient setting.

The department of Audiology offers the most complex range of services presently available/
Addenbrooke’s was a pilot site for digital hearing aids, and also has a neonatal screening
program.

The ENT department offers the very best in facilities, including a new 32-bedded adult ward,
departmental library based in the outpatient department, and a thriving postgraduate centre and
library holding all relevant ENT journals and texts. Children are admitted to a recently opened
paediatric ward, where there is access to PICU and ITU facilities.

The ENT and Neurosurgical operating theatre is equipped with the latest operating microscope
as well as facilities for otology, including otoendoscopy and laser surgery. Both endoscopes
and the microscope are linked to the latest digital video facilities. The day surgery unit (located
in the Addenbrooke’s Treatment Centre) is similarly equipped.

Outpatient facilities have recently undergone an extensive £1.5million refurbishment and now
comprise a suite of 8 consulting rooms with two treatment/microscope rooms. A range of video-
linked flexible and rigid endoscopes is available.
 Cambridge University Hospitals NHS Foundation Trust

General clinics are held at Addenbrooke’s Hospital and the department also offers specialist
clinics in Neurotology, Skull Base surgery, Cochlear Implantation, Neurofibromatosis type 2,
Head and Neck, Thyroid and Rhinology and Allergy.

ENT emergencies are admitted 7 days a week with cover provided from the ENT Junior
Doctors.

Staffing: NHS and Academic

At Addenbrooke’s only:

• Mr N Jonas (Specialty Lead)

Paediatric ENT Surgery
• Mr JR Tysome
Otology, Neurotology, Skull Base and Hearing Implantation
• Mr NP Donnelly
Otology, Neurotology, Skull Base and Hearing Implantation
• Mr PR Axon
Otology, Neurotology, Skull Base and Hearing Implantation
• Prof M Bance
Otology, Neurotology, Skull Base and Hearing Implantation
• Mr B Fish
Laryngology, Head & Neck and Thyroid Surgeon
• Miss E Irune
Laryngology, Head & Neck and Thyroid Surgeon
• Miss J Bewick
Paediatric ENT Surgery
• Miss I Fitzgerald O’Connor
ENT Surgery
• Mr R Sharma
Rhinology
• Mr L Masterson
Laryngology, Head & Neck and Thyroid Surgeon
• Mr D Borsetto
Otology, Neurotology, Skull Base and Hearing Implantation
• Mr M Smith
Otology, Neurotology, Skull Base and Hearing Implantation
• Miss P Roche
Laryngology, Head & Neck and Thyroid Surgeon
• Miss Claudia Russell
Tracheostomy Nurse Consultant

At West Suffolk Hospital and Addenbrooke’s:

• Mr D McKiernan
Rhinology

Other Medical Staff:

• Ms A Mitchell Associate Specialist Part Time
• Mr T Chandrappa Associate Specialist Full Time
• Mr S Hashmi Associate Specialist Full Time
• Clinical Fellow Neurotology & Skull Base Surgery
• Clinical Fellow Otology & Hearing Implant Surgery
• Clinical Fellow Head & Neck Surgery
 Cambridge University Hospitals NHS Foundation Trust

Trainee Medical Staff:

• Specialty Registrars (year 3 and above)
• Specialty Registrars (years 1 and 2)
• Anatomy Demonstrators
• Foundation House Officer Two
• GP Trainees

Duties of this post

This post is primarily clinical based and will allow the candidate to achieve proficiency in many
core aspects of ear, nose and throat surgery. In addition, this post will offer the ability for the
post holder to build their portfolio towards a competitive advantage with Core Surgical and ST3
applications. A dedicated academic supervisor will also be provided to help the post holder with
specific goals and a career development plan.

The post holder will have exposure to mixed reality techniques in teaching and will be expected
to contribute towards the application of this exciting technology during their time in post. Post
holders will be required to attend the department’s medical audit, morbidity and mortality
meetings, as well as the in-house continuing medical education programme.

Throughout the course of this post, you will rotate through sub-specialty firms in Head and
Neck, Rhinology, Paediatric ENT, Otology, Cochlear Implantation and Skull Base Surgery.

Post holders will participate in a full-shift rolling rota that provides a balanced combination of
consultant supervised, firm based teaching with clinical work covering the ward, referrals from
A&E and ENT emergency clinics. This ensures that consultant-supervised sessions are
provided to optimise the training opportunities available for the Clinical Fellows. Post holders
are also required to participate in audit and research projects and in the Cambridge
Undergraduate and Postgraduate teaching programme.

The University of Cambridge Postgraduate Certificate in Clinical

Research, Education and Leadership course (2122PCB412)
Cambridge University Health Partners, in conjunction with the Institute of Continuing Education
at the University of Cambridge are pleased to offer a one year Postgraduate Certificate in
Clinical Research, Education and Leadership course (2122PCB412) integrated within this post.

Sixteen days of study leave will be incorporated into your rota over the academic year, to
enable participation with the PGCE course run by the University of Cambridge. You will be
supported in participating in wider research within the department, with a specific focus on
medical education via mixed reality techniques.
 Cambridge University Hospitals NHS Foundation Trust

Educational Opportunities

EDUCATIONAL OPPORTUNITIES AVAILABLE IN THE DEPARTMENT:

• In clinic – ENT general and specialist clinics run every morning and afternoon
Monday to Friday.
• On ward – Daily ward round led by Specialty Trainee or Senior Clinical Fellow with
daily Consultant board round then physical daily Consultant round of new admissions
and others where relevant.
• In theatre – There are 2-3 ENT operating lists all day Monday to Friday, which
Clinical Fellows have the opportunity to attend.
• In MDT – Weekly head and neck, biweekly skull base, hearing implant, pituitary,
monthly NF2.
• In procedural session – Multiple opportunities on the ward and in clinic to learn and
perform procedures including flexible nasendoscopy, microsuction, etc.
LOCAL / REGIONAL TEACHING:
• Departmental – Monthly journal club, monthly Radiology teaching, monthly-extended
Consultant teaching ward round. Registrar led teaching Friday 8.30-9am is held on
some weeks.
• Access to Trust based teaching - Grand Rounds.
• Study Leave - The entitlement for Clinical Fellows is £300 and up to 30 days
(according to the needs of the service) per annum.
QUALITY IMPROVEMENT / AUDIT:
• Details of opportunity to complete projects – Audit opportunities are available,
supervised by a senior colleague.
• Attendance at M&M – Monthly M+M and quarterly clinical governance meetings.
• Attendance at audit meetings – Monthly audit meeting from 09:00-12.30.
DEPARTMENTAL/LOCAL INDUCTION:
• Takes place on the Thursday and Friday of the first week and covers managing
emergencies, procedures and equipment as well as timetables and training
opportunities.

Cambridge University Health Partners, the academic health sciences centre, in conjunction
with the Institute of Continuing Education at The University of Cambridge are pleased to offer a
one year Postgraduate Certificate in Clinical Medicine to all clinicians employed in Cambridge.
Further details and registration: www.ice.cam.ac.uk/ClinMed

Study and Research

You are eligible for up to 30 days study leave per annum pro rata in agreement with your clinical
lead. Study leave allowance is £300 per annum, pro rata.

Arrangements for Leave

The annual leave entitlement for a full-time Clinical Fellow is based on a standard working
week of five days:
a. On first appointment to the NHS: 27 days
b. After five years’ completed NHS service: 32 days.
 Cambridge University Hospitals NHS Foundation Trust

Arrangements for booking leave are departmental and will be confirmed as part of local
induction.
 Cambridge University Hospitals NHS Foundation Trust

Person Specification

Entry Criteria Essential Desirable

MRCS or other postgraduate
MBBS or equivalent Medical Degree
qualification
Qualifications Full Registration and a Licence to
ALS
Practice with the General Medical
Council at time of application
CCrISP
Completion of Foundation House Officer Completion of a Core Surgical
competencies or equivalent Training Programme or
equivalent
Previous experience in a surgical
specialty Experience in Otolaryngology
Experience
Able to deal with general emergency Presentations/Publications
admissions
Logbook indicating validated
Logbook indicating validated experience experience of appropriate range
of appropriate range and number of and number of clinical
clinical procedures procedures.
Basic surgical skills and patient care
including a completed Basic Surgical
Skills Course

Competence in basic pre-operative and

post-operative management of surgical Basic computer skills including
Skills / Ability /
patients Microsoft word and Outlook
Knowledge
Good organisation

Ability to organise own learning and time

Previous experience of audit

Ability to work as part of a team
Ability to undertake research
Ability to keep good medical records and projects and audit
Qualities / communicate with other hospital
Attributes departments and primary care Show interest in investigative,
audit and research work outside
Ability to understand and communicate immediate clinical responsibility
with patients and colleagues
 Cambridge University Hospitals NHS Foundation Trust

Entry Criteria Essential Desirable

The applicant must have demonstrable
skills in listening, reading, writing and
speaking in English that enable effective
communication about medical topics with
patients and colleagues, as set out in the
GMC’s Good Medical Practice (2014)

If the Primary Medical Qualification

including clinical contact was not carried
Language out using English, applicants must either:
Requirements
• Have an academic IELTS score of at
least 7.5 in each domain and overall, or
demonstrate equivalence by providing
evidence of English language skills.
or
• Complete the Occupational English
Test (OET) and achieve grade B in each
of the four domains tested in the OET to
meet the GMC’s requirements.
 Cambridge University Hospitals NHS Foundation Trust

General Information
Cambridge University Hospitals NHS Foundation Trust (CUH) in profile

We are one of the largest and best known acute hospital trusts in the country. The ‘local’
hospital for our community, delivering care through Addenbrooke’s and the Rosie, CUH is also
a leading regional and national centre for specialist treatment.

The hospital fulfils a number of important functions; its three main core actives are clinical care,
research and teaching. It is the local hospital for people living in the Cambridge area, providing
emergency, surgical, medical and maternity care but as well as delivering care, it is also:
• A leading national centre for specialist treatment for rare or complex conditions such as
organ transplantation, cancer, neurosciences and paediatrics. (For further information about
clinical services www.cuh.nhs.uk/services-0)
• A government-designed biomedical research centre and part of the National Institute for
Health Research (NIHR)
• One of six academic health science centres in the UK
• A university teaching hospital with a worldwide reputation
• A partner in the development of the Cambridge Biomedical Campus.

Our vision is to improve people’s quality of life through innovative and sustainable healthcare.

Our CUH Together Strategy has been developed with staff, patients and partners. Patients are
central to everything we do and we want to ensure that CUH is an exciting and supportive place
to work. Our vision is to improve people’s quality of life through innovative and sustainable
healthcare. We will deliver our vision in a way that is consistent with our values of Together –
Safe | Kind | Excellent, and the associated behaviours that define how we care for our patients
and work with our colleagues and partners.

Our strategy has four key priorities:

• Improving patient journeys

• Working with our communities
• Strengthening the organisation
• Contributing nationally and internationally

We share our site with a range of other organisations including the University Clinical School,
the National Blood Authority, and laboratories funded by the Medical Research Council (MRC),
the Wellcome Trust and Glaxo SmithKline, University of Cambridge Hutchison/Cancer
Research UK (CRUK) Cancer Centre and The Medical Research Council’s facility to house the
Laboratory of Molecular Biology. The most recent addition is Royal Papworth Hospital which
relocated to the Campus in April 2019. Building is currently underway on a new global R&D
Centre and Corporate HQ for AstraZeneca.

In December 2018 it was announced that The Cambridge Childrens Hospitals will be added to
the campus with construction due to start in 2024. The Childrens Hospital vision is to treat the
whole child, not just the illness or condition.

The children’s hospital project will be delivered through an innovative joint proposal between
ourselves, Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), providing mental
health services and the University of Cambridge, providing world-leading academic research.
We are acutely aware that this hospital needs to provide support to develop and strengthen
paediatrics across the whole region and we will be working with our networks to build a shared
vision for this. The partnership is pioneering the full integration of physical and inpatient mental
healthcare in the same setting, alongside ground breaking genomic science and mind and body
mental health research to find new ways of preventing and detecting childhood diseases. The
 Cambridge University Hospitals NHS Foundation Trust

hospital will provide a permanent and sustainable home for CPFT’s inpatient children and
young people’s mental health services currently provided on the Ida Darwin site in Cambridge.

It is an exciting time for the city and the region. For us at CUH, being based at the heart of the
Cambridge Biomedical Campus means we are perfectly situated to make the most of the
opportunities that are arising.

We pride ourselves on the teamwork, energy and commitment of our excellent staff – they are
our most important assets. Recognising this, we have taken a positive approach to supporting
them in their work through schemes to help work-life balance, improvements in the working
environment and initiatives to make it easier for staff to explore new career opportunities and to
develop professionally and personally.

Cambridge University Hospitals - Board of Directors

Chair and Chief Executive:

Dr Mike More – Chair
Roland Sinker – Chief Executive

Non-Executive Directors:
Daniel Abrams
Adrian Chamberlain
Dr Annette Doherty
Professor Ian Jacobs
Ali Layne-Smith
Professor Patrick H Maxwell
Rohan Sivanandan
Professor Sharon Peacock

Executive Directors:
Nicola Ayton – Chief Operating Officer
Dr Sue Broster – Director of Innovation, Digital and Improvement
Mike Keech – Chief Finance Officer
Dr Ashley Shaw – Medical Director
Claire Stoneham – Director of Strategy and Major Projects
Lorraine Szeremeta – Chief Nurse
Ian Walker – Director of Corporate Affairs
David Wherrett – Director of Workforce

Cambridge University Hospitals NHS Foundation Trust in detail

Last year 58,086 men, women and children were treated as inpatients, 130,729 people
attended accident and emergency, and there were 868,889 visits to outpatient clinics
(2021/2022 figures). CUH medical staff hold clinics in 14 different regional hospitals so that
patients do not have to travel to Cambridge. Nearly 100 of our Consultants hold some form of
joint appointment with a dozen neighbouring hospitals.

CUH is a teaching hospital for medical undergraduates and postgraduates, nurses and
students in other clinical professions and has a variety of initiatives to encourage life-long
learning’. Many training schemes are in place in our National Vocational Qualification Centre,
Postgraduate Medical Education Centre and Learning Centre. Training schemes include cadet
schemes in nursing, office technology, science, modern apprenticeships in clinical engineering
and supporting training placements for biomedical scientists.

CUH has:
• Around 11,000 staff of which approx. 2,000 are medical and dental staff
• 5,573 births per year
 Cambridge University Hospitals NHS Foundation Trust

• Around 1,000 beds

• 195,455 admissions including inpatients, day cases and births (2021/2022 figures)

During 2021/22 we saw a substantial increase in overall activity compared to 2020/21. This was
primarily due to the lower activity in 2020/21 which saw the largest fall across outpatients (-
178,000) during the first and second waves of COVID. Compared to pre-COVID levels
(2019/20) there was an increase for A&E attendances, outpatients, births and day cases. Over
the same period, in-patient care reduced by up to 14%.

Addenbrooke's history

Addenbrooke's was one of the first provincial, voluntary hospitals in England. The Hospital
opened its doors in 1766 with 20 beds and 11 patients. Dr John Addenbrooke, a fellow and
former Bursar of one of the Cambridge Colleges, left just over £4500 in his will "to hire and fit
up, purchase or erect a small, physical hospital in the town of Cambridge for poor people".

In 1540, two centuries before Addenbrooke's was founded, the Regius Professorship of Physic
in the University of Cambridge was founded by Henry VIII. Medical training on a modest scale
developed at Addenbrooke's during the late 1700s, and in 1837 (the year of Queen Victoria's
accession to the throne) the hospital became a recognised school of medicine. Addenbrooke's
grew rapidly during the 19th and early 20th centuries, as medical science developed. By the
1950s, the hospital was having difficulty accommodating the expansion generated by the
introduction of the National Health Service.

In 1959, building began on a new 66-acre site south of Cambridge, and the first phase of the
Hospital was opened by Her Majesty the Queen in May 1962. Work continued to provide the
majority of Addenbrooke's as we know it today, with a fully-fledged Clinical School being
established in 1976.

History

1766 Addenbrooke's Hospital was opened in Trumpington Street

1847 The first general anaesthetic using ether at Addenbrooke's was carried out two weeks
after it was first used in the USA
1918 Addenbrooke's welcomed its first female medical student
1962 New site on Hills Road was officially opened by the Queen
1966 The first kidney transplant in the NHS was carried out at Douglas House Renal Unit
1968 Professor Sir Roy Calne carried out the first liver transplant in the NHS
1975 The first open heart surgery was carried out at Addenbrooke's
1981 Addenbrooke’s first whole body scanner opened by Prince of Wales
1983 The Rosie Hospital was opened on the Addenbrooke’s Campus
1984 Last patient left the ‘old’ Addenbrooke’s Hospital site in Trumpington Street
1992 Addenbrooke's NHS Trust formed
1995 MRC Cambridge Centre for Brain repair opened by Duke of Edinburgh
2004 Addenbrooke's Hospital becomes a Foundation Hospital as is known as- Addenbrooke’s
Hospital Cambridge University Hospitals NHS Foundation Trust
National Centre for pancreatic surgery was opened
2006 Addenbrooke’s Hospital was named one of five National Institute for Health Research
comprehensive biomedical research centres
2007 New European headquarters for Cancer Research UK based on the campus were
opened by the Queen
2009 CUH and local partners in clinical care, education and research became one of the
government’s new academic health science centres, forming an alliance called
Cambridge University Health Partners
2009 CUH was named by Dr Foster as one of the country’s best performing trusts for patient
safety
2012 CUH is now the designated level 1 Major Trauma Centre for the East of England region
 Cambridge University Hospitals NHS Foundation Trust

2014 Our new electronic patient record system (EPIC) was implemented at CUH making us
the first hospital in the UK to go paperless
2019 The Royal Papworth Hospital was opened by Queen Elizabeth II

Positioning for the future

Cambridgeshire is one of the fastest growing counties in the UK and it is estimated that the
number of people over 45 years of age will rise by 55% over the next 20 years, and the county
will see the continued expansion of research, business and high-tech industries.

Planning is already well advanced for additional capacity to meet this growing local demand.
But it is not just a matter of providing extra beds and recruiting extra staff. The hospital needs to
ensure high standards of patient care by supporting training and education for staff, and work
closely with NHS partners and others to ensure that care is tailored to the needs and
expectations of users. This is likely to involve developing some alternatives to hospital-based
care.

Another challenge will be to ensure that improvements in clinical facilities keep up with the rapid
pace of research investment, and that processes and governance support this growing
research activity, some of which involves sensitive ethical, legal and social issues.

CUH contributes to the economic strength of the greater Cambridge area as a major employer
and, with our research partners, to the biotechnology sector. As a public benefit corporation,
the new NHS Foundation Trust will work in partnership with other local bodies, primarily local
authorities and education providers, to support sustainable economic development in the
locality.

Research and development

Cambridge medical research enjoys a world-wide reputation. More organisations and more
individuals continue to be attracted to the city; working alongside each other they have created
one of the richest pools of clinical and scientific knowledge and expertise not only in the country
but in the world. At CUH this is reflected in clinical teams working in the hospital alongside
world-class scientists from a wealth of internationally renowned organisations such as the
Medical Research Council (MRC) which shares the hospital campus. Doctors and scientists
collaborate across disciplines and specialties and it is this co-existence of experience and
expertise that fosters translational research – turning basic science into new drugs and new
therapies giving patients innovative and excellent care.

We work with many partners in other NHS organisations, universities, research councils,
research charities and industry to provide infrastructure and networks to build research capacity
and support clinical research.

With the University of Cambridge, CUH is a partner in the National Institute for Health Research
(NIHR) Cambridge Biomedical Research Centre (CBRC). This partnership uses our combined
strengths in biomedical science – the science that forms the basis of medicine including
scientific laboratory-based knowledge and understanding – and translates them into clinical
research. Established in 2007 the centre was recently awarded funding of £114.5m for 2012 to
2017. It was judged by the international selection panel as to have an outstanding breadth of
world-leading investigators and represented the UK’s primary academic resource in biomedical
research.

Outstanding facilities for research exist in Addenbrooke’s Clinical Research Facility (ACRC)
which includes the Wellcome Trust Clinical Research Facility and the Clinical Investigation
Ward. For example the CIW includes a research endosocopy suite and area dedicated to
intravenous treatment including cancer chemotherapies.
 Cambridge University Hospitals NHS Foundation Trust

University of Cambridge School of Medicine

The University of Cambridge School of Clinical Medicine is a major centre for biomedical
research and education of world leading quality. In the most recent University Funding Council
Research Selectivity Exercise Cambridge shared the highest score for any Medical School in
the country. Whilst the University of Cambridge has granted medical degrees since at least
1363, the university could not offer undergraduate clinical education until the Clinical School
was formally established in 1975 with purpose built accommodation at Addenbrooke’s. In
addition to these facilities comprising lecture theatres, seminar rooms and first class medical
library, a postgraduate education centre was opened in the Clinical School building in 1980.
The most recent HEFC teaching quality assessment of the undergraduate clinical education
judged the learning facilities and the teaching in the clinical school to be of the highest quality.

Cambridge University Health Partners, the academic health sciences centre, in conjunction
with the Institute of Continuing Education at The University of Cambridge are pleased to offer a
one year Postgraduate Certificate in Clinical Medicine to all clinicians employed in Cambridge.
Further details and registration: http://www.ice.cam.ac.uk/mst-clinical-medicine

General Information

Cambridge is a city in the East of England, home to the University of Cambridge and one of the
fastest growing technology hubs in the UK. The Arts Theatre within Cambridge is thriving and
there are many musical activities to enjoy. The Fitzwilliam Museum is world famous.

For those with children of school age, there is a full range of public and private education
institutions covering all age groups.

Cambridge is served by the national motorway network and regular train services to London
King’s Cross or London Liverpool Street have a journey time of less than one hour.

Within CUH, the main concourse offers shopping facilities; an advice centre; Bank; cafés;
clothes boutique; financial advisory services; hairdressing salon; Marks and Spencer Simply
Food; newsagent; The Body Shop; gift shop and on site solicitors . There is a Food Court
which offers “fast-food”, as well as conventional options 24 hours a day.

In addition the Frank Lee Leisure and Fitness club provides comprehensive facilities for
swimming, racquet sports, a multi-sports hall, a floodlit outdoor multi-sports facility, gym and
bar facilities.

The Cambridge University Postgraduate Medical Centre has catering facilities as well as the
library, lecture theatres and seminar rooms.

Within the University of Cambridge, there is an unrivalled range of educational facilities, diverse
cultural, sporting and other leisure activities.
Cambridge University Hospitals NHS Foundation Trust
General Conditions of Appointment

1. This appointment shall be governed by the Terms and Conditions of Service for Clinical
Fellows at Cambridge University Hospitals 2018, as amended from time to time, and
adhere to Trusts policies and procedures as appropriate.

2. All matters relating to patient’s health and personal affairs and matters of a commercial
interest to the Trust are strictly confidential and under no circumstances is such information
to be divulged to any unauthorised person. Breach of Trust policy may result in disciplinary
action in accordance with the Trust’s disciplinary procedure. A summary of the Trust’s
Confidentiality Policy, Data Protection and IM & T Security Policy are provided in the Staff
Handbook.

3. Cambridge University Hospitals NHS Foundation Trust is committed to a policy of Equal

Opportunities in Employment. A summary is detailed in the staff handbook. Any act of
discrimination or harassment against staff, patients, service users or other members of the
public will be subject to disciplinary proceedings which could include dismissal.

4. As an employee of a Trust, you are expected to develop the IT skills necessary to support
the tasks included in your post. You will therefore be required to undertake any necessary
training to support this. As a user of Trust computer facilities you must comply with the
Trust’s IM & T Security Policy at all times.

5. You are normally covered by the NHS Hospital and Community Health Services indemnity
against claims of medical negligence. However, in certain circumstances (especially in
services for which you receive a separate fee) you may not be covered by the indemnity.
The Health Departments therefore advise that you maintain membership of your medical
defence organisation.

6. The Trust will ensure compliance with the Health and Safety at Work Act 1974.

7. The post is based on a whole time appointment calculated on an average of 40 hours work
per week; the salary for this appointment at is £40,257.00 per annum (April 22 figures). This
is a fixed nodal pay point and does not increase incrementally.

8. In addition weekend and on-call allowances will be paid where appropriate for agreed hours
of duty within the working pattern.

9. This post is superannuable and you will be subject to the NHS Superannuation Scheme
unless you chose to opt out.

10. The successful candidate will be expected to complete a medical questionnaire and attend
the Cambridge Centre for Occupational Health at Addenbrooke’s for clearance of the form.

11. The Trust requires the successful candidate to have and maintain registration and a license
to practice with the General Medical Council and to fulfill the duties and responsibilities of a
doctor as set out by the GMC.

12. With the Terms of DHSS Circular (HC)(88) – Protection of Children – applicants are
required when applying for this post to disclose any record of convictions, bind-over orders
or cautions. The Trust is committed to carefully screening all applicants who will work with
children and you will be expected to undertake a 'disclosure' check.

The appointment is exempt from the provisions of Section 4(2) of the Rehabilitation of
Offenders Act 1974 by virtue of the Rehabilitation Act 1974 (Exemptions) Order 1975
Applicants are not entitled therefore to withhold information about convictions which for
 Cambridge University Hospitals NHS Foundation Trust

other purposes are "spent" under the provision of the Act, and in the event of employing any
failure to disclose such convictions could result in dismissal or disciplinary action by the
Trust. Any information given will be completely confidential and will be considered in
relation to an application for positions to which the Order applies.

13. The appointment is conditional upon the following being received prior to the
commencement of employment; full occupational health clearance, satisfactory references,
evidence of GMC/GDC registration, immigration status and all medical qualification.

14. This post is not recognised for training.

15. Removal expenses will be available to successful applicants within the limits of the Trust
policy.