CONSULTANT CLINICAL SCIENTIST AND CLINICAL LEAD, BAND 8D, BLOOD SCIENCES, NINEWELLS HOSPITAL, DUNDEE

Information Pack

Job Reference: CH/27/18

Closing date: 15 JUNE 2018

NHS TAYSIDE VISION, AIM AND VALUE

Our Vision

Our Aim and Values

To find out more about NHS Tayside visit our website at:

http://www.nhstayside.scot.nhs.uk/index.htm

About NHS Tayside

NHS Tayside is responsible for delivering healthcare to more than 400,000 people

living in Tayside. We employ around 14,000 staff and provide a comprehensive

range of primary, community-based and acute hospital services for the populations

of Dundee City, Angus and Perth & Kinross. Our annual budget is now circa £825

million of public money which works out at around £2.3 million spent by NHS Tayside

for every day of the year.

Tayside area

Within NHS Tayside and based on the western edge of Dundee, Ninewells Hospital

is one of the largest teaching hospitals in Europe. It is internationally renowned for

introducing laparoscopic surgery to the UK as well as being a leading centre in

developing fields such as the management of cancer, medical genetics,

cardiovascular disease, diabetes, informatics, neuroscience and imaging.

Our hospital sites across Tayside also have nursing and research links with the

University of Dundee and University of Abertay, Dundee.

In Tayside, we have 80,000 admissions every year and there are another 17,000

'same' day procedures. We also run 280,000 outpatient clinic sessions annually.

In addition, at the heart of health services in our communities are our GP and

primary care services which are there supporting our patients and their families

where they live and work.

The science of improvement

NHS Tayside has been at the forefront of patient safety and the science of

improvement. Our aim is to be the best at getting better. We were the first site in

Scotland, and one of only four in the UK, to be a pilot site for The Health

Foundation's Safer Patient Initiative. The significant successes of this project have

embedded a pioneering Tayside-wide approach to patient safety and improvement.

Academic Health Science Partnership in Tayside (AHSP)

NHS Tayside has embarked on a major collaborative initiative, Academic Health

Science Partnership in Tayside (AHSP). It is the first Academic Health Science

Network in Scotland with an ambition to transform healthcare locally and globally at

the time when it faces many difficult challenges.

Building upon the success of previous University of Dundee and NHS Tayside

collaborations, AHSP is bringing together the delivery of healthcare services,

education, quality improvement and research with the purpose of improving the

health of patients through more effective integration of these functions in routine

practice.

LIVING IN TAYSIDE

Discover award-winning towns and cities, breathtaking beaches and alluring countryside. Historically rich and home to Scotland’s longest river, Tayside is an innovative and exciting place to begin or expand your career.

Dundee, Angus and Perth and Kinross make up this vibrant region - between them offering the perfect blend of city, country and coastline. In fact, you can easily enjoy the tranquility and scenery of neighbouring towns and villages within reach of the region’s cities of Dundee and Perth.

Find out more about living and working in Tayside at:

www.dundeecity.gov.uk

www.angus.gov.uk

www.pkc.gov.uk

Education in Tayside

In Tayside there are a host of schools, both public and private and excellent colleges and universities making Tayside a family friendly location.

Housing in Tayside

Whether you want to live in the rural countryside or one of Tayside’s vibrant cities or towns, you’ll have a variety of housing choices, many below the national average house price. For more information about housing in Tayside, visit the Tayside Solicitors Property Centre and/or Perthshire Solicitors Property Centre websites: http://www.tspc.co.uk/ http://www.pspc.co.uk/ Getting around There are excellent connections to and within the region. It only takes approximately 30 minutes to drive between Dundee and Perth and just over an hour between Dundee and Edinburgh, Aberdeen and Glasgow. Travelling and commuting within Tayside is easy by road, bus or train. Dundee’s regional airport offers daily flights to London Stansted in addition to private and leisure flights. The international airports at Edinburgh, Glasgow and Aberdeen will ensure you are connected from Scotland to the rest of the world.

Enter job description here.

1 JOB IDENTIFICATION Job Title Consultant Clinical Scientist (Clinical Biochemistry) and Clinical Lead

Department(s)/Location Blood Sciences (Clinical Biochemistry modality), Ninewells Hospital, Dundee

Number of job holders 1

2 JOB PURPOSE

The level of responsibilities is as outlined in Department of Health, Advanced Letter AL(SP)1/90. The post holder will act as Clinical Lead, Clinical Biochemistry Modality, and Professional Head of Service.

3 ORGANISATIONAL POSITION

4 SCOPE AND RANGE

The post holder will assume all the duties and responsibilities for direction of a comprehensive Clinical Biochemistry service to NHS Tayside, with some additional national services. The service provides in excess of 8 million test results per annum, arising from some 750,00 requests. The service is provided from two sites, and includes the Scottish Bowel Screening Laboratory. Duties and responsibilities will be commensurate with those outlined in Standard B1 of the CPA UK Ltd Publication Standards for Medical Laboratories: - “The responsibilities of the laboratory director or designee(s), shall include clinical, scientific, professional, consultative, advisory, organisational, administrative and educational activities relevant to the services provided”

5 MAIN DUTIES AND RESPONSIBILITIES

1 As Clinical Lead, post holder will demonstrate professional excellence and the ability to deliver effective care, bearing responsibility for the delivery of a modern, accurate and efficient Clinical Biochemistry service, including the following: -

Develop and expand the service in line with (and contribute to) local, regional and national policy for diagnostic services

Act as the representative of the speciality, and develop professional relationships across the organisation and beyond Tayside, throughout Scotland and the UK, contributing to national policy making through professional bodies

Participate in and foster regional and national shared services initiatives.

Chair departmental meetings and prepare formal minutes.

Write the annual quality report and disseminating to users through the intranet and for circulation to all consultant level medical staff and all general practitioners.

Lead clinical governance reporting for the service, and participate in the Diagnostics Improvement Group. 2 The post holder will

Lead the medical and clinical biochemist staff in the performance and development of the Duty Team role.

Arrange complex Duty Team, weekend and out of hours rosters, taking leave and desires into account.

Chair meetings of the Duty Team and prepare formal minutes of these and other similar meetings.

Lead and participate in training and monitoring of new staff in the workplace.

Ensure new staff members have initial training and ongoing support for weekends/evenings following departmental policy.

3 The post holder will

Participate in the Duty Biochemist roster, providing advice on the selection, performance and interpretation of clinically relevant tests.

Independently provide expert clinical guidance and scientific advice to clinicians including senior medical staff, in both primary and secondary care, in order to facilitate the diagnosis, treatment, monitoring and understanding of disease, and to provide senior expert opinion, in highly complex situations, where expert opinion may differ.

Actively contribute to the provision of an associated consultant-level advisory and interpretive service on a 24/7 basis in a 1 in 4 roster, including ward rounds as required, providing advice on investigation and treatment in complex cases across all areas of own responsibility.

Deal with requests for samples from police/CID/forensic pathologists. 4 The post holder will

Work with other Clinical Leads in Blood Sciences,

Take an active role in ongoing management of the Managed Services Contract, and provide leadership and expert opinion in procurement of a new Managed Service Contract for Blood Sciences and other departments within Diagnostic Services

In association with the Quality Manager, take a lead role in quality management in the speciality.

Lead and encourage service design and redevelopment.

Develop long and medium term regional strategies for the speciality and be responsible for their delivery.

Oversee and approve selection of equipment and analytical methods.

Chair appropriate management meetings within the service.

Participate in the monitoring of the department budget, which includes Clinical Biochemistry, Haematology and Immunology services.

5 The post holder will

Lead long and medium term planning and strategy to ensure quality management system moves forward.

Lead in the maintenance of the UKAS ISO 15189 based quality management system of the service.

Lead the completion of forms for UKAS, correspond with UKAS and lead the preparation of annual reports.

Inspect all returns from external quality assessment schemes for all three laboratories.

Keep documents up to date, including appraising and updating SOPs, where relevant. Initiate and stimulate quality improvements.

Be familiar with service IT systems in order to develop and create statistical reports requiring formulae 6 The post holder will

Co-ordinate and implement programmes in the service, for independent or joint research and development on relevant scientific and clinical problems.

Initiate and secure funding, and direct research.

Disseminate knowledge gained through presentation at local, national and international meetings and publication in peer reviewed media.

Be responsible for granting approval for clinical researchers and medical students to access results in laboratory information system for research and development projects.

Be responsible for the supervision of postgraduate projects and dissertations required by professional bodies for postgraduate trainees.

7 The post holder will

Co-ordinate Tayside participation in activities of ACB Scottish and national audit groups.

Co-ordinate responses to UKNEQAS for Interpretative Comments.

Circulate results to all medical, clinical biochemist and BMS staff.

Initiate and participate in clinical audit pertinent to Clinical Biochemistry and other Blood Sciences specialties as appropriate.

8 The post holder will

Provide relevant teaching and training to medical, nursing and midwifery and other undergraduates.

Participate in the training of BMS, Clinical Biochemists and medical staff in training.

Participate regularly in the Departmental arrangements for CPD, giving presentations on a regular basis, and

Supervise the postgraduate projects of Clinical Biochemist Trainees. 9 The post holder will

Be line manager of all clinical staff.

Be responsible for allocation of their duties and supervision, appointments, job descriptions, appraisals, delegation of tasks, discipline, promotion, encouragement, supervision of work projects, dealing with all types of leave.

Supervise the Grade A/B Trainee Clinical Biochemists and Clinical Biochemists in Higher Specialist Training.

10 The post holder will

Be responsible for the management of the Scottish Grade A/B Clinical Biochemist Training Scheme (10 – 12) posts across NHS Scotland, including: -

co-ordination of Trainees’ activities and Supervisors; participation in medium and long term training policies and strategies with National Health

Services Education for Scotland(NES); responsibility for the budget; responsibility for appointments, advertising, liaison with ACB Regional Tutor and University of

Surrey; preparation of reports for NES.

11 The post holder will

Regularly review SIGN, NICE, ACB and other national and international guidelines and recommendations on best practice and assess both whether the guidelines can be followed and whether they should be implemented in Tayside.

Liaise with relevant senior clinical staff regarding strategies for adoption of new or modified practice.

Develop strategic plans for the introduction of new procedures and ways of working to ensure best practice is instituted and maintained.

Prepare written documentation on new tests and procedures, as well as bulletins for all clinical staff in NHS Tayside.

Actively promote and develop Demand Optimisation strategies for the service 12 The post holder will participate in clinical liaison by

Organising meetings with individual and groups of users when required.

Developing clinical guidelines for testing strategies and the development of clinical protocols within the Department.

Leading the preparation of the Laboratory User guide and other material for users.

Encouraging preparation of Biochemical Medicine Bulletins and organise their circulation.

Dealing with problems and complaints raised by users.

Dealing with confrontational situations between users of the laboratory and laboratory staff members.

Determining the best combination of tests included in request profiles, the method of test requesting, sample handling and result reporting.

Leading efforts in workload management and demand optimisation

General Duties: -

1. The post holder will liaise with staff from other Departments concerning the provision of a comprehensive service.

2. The post holder will lead/participate in appointment and selection of staff and Trainees.

3. The post holder will participate in appropriate meetings in Blood Sciences, Diagnostics Group and other disciplines. The post holder will participate at Health Board and national level.

4. The post holder must possess HCPC registration and must show evidence of participating in continuing education (e.g., the CPD scheme of the Royal College of Pathologists).

5. The post holder will participate in professional affairs.

6. The post holder is required to take reasonable care to avoid injury or accident, and must undertake NHS

Tayside mandatory training. Duties must be performed in accordance with Departmental Codes of Practice and comply with normal regulations.

7. The duties and responsibilities of the post will be reviewed as part of annual joint staff review. The post holder will also undertake annual appraisal of other staff.

8. This job description is an outline of the current position and may be amended in detail or emphasis in the light of the future requirements of the service. All amendments and changes to the job description MUST be agreed with the post holder.

9. The post holder will undertake other duties commensurate with the grade.

6 COMMUNICATIONS AND RELATIONSHIPS

Provide and receive highly complex and contentious information; highly developed tact and persuasive skills required; bridge barriers to understanding; present complex and contentious information to large groups; communicate highly complex, sensitive and contentious information in an antagonistic atmosphere. The post holder will need to interact at all levels of organisation in NHS Tayside both as a professional in Clinical Biochemistry in delivery of a clinical service, as a scientist/clinician and manager. The post holder will need to communicate with healthcare professionals, other professionals, students, trainees, with patients and their relatives/carers, and lay individuals to enable understanding on a range of complex scientific, clinical and management issues. The post holder will undertake relevant presentations/representations at a local and national level within the NHS organisation and at local, national and international level to relevant professional bodies/professionally organised events. The post holder will participate as a member of the Diagnostics Group and local Clinical Leads meetings, and other relevant NHS Tayside committees as required by the Clinical Group Director or Medical Director.

7 KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

The post holder will have undertaken training as Clinical Scientist and registered with the Health Care Professions Council in the modality of Clinical Biochemistry. They will hold a post graduate qualification at Doctorate level (or equivalent) in Clinical Biochemistry, would be expected to have extensive experience at consultant clinical scientist level, and have competence at the level of the Fellowship of the Royal College of Pathologists or equivalent. They will therefore have extensive knowledge and expertise in Clinical Biochemistry, and relevant management experience in delivery of Clinical Biochemistry services. The post holder will be competent in the use and application of IT systems within the department, and have knowledge of management theory, including personnel management, risk management and health and safety. The post holder will under be able to demonstrate participation in continuing professional development.

8 SYSTEMS/EQUIPMENT/FINANCE

As Clinical Lead the post holder will have responsibility for the Clinical Biochemical modality of Blood Sciences. This is a highly automated and computerised service based on two sites, with an annual budget in excess of £4 million per annum. Changes within NHS Tayside management structures envisage that this post will be the budget holder.

Responsibility for Records Management All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment.

9 PHYSICAL DEMANDS OF THE JOB

Prolonged periods of working in a restricted position (at a VDU or complex analytical machinery) with loss of sleep when on call; advanced keyboard skills for working with IT systems extant in Blood Sciences. Good hand-eye co-ordination and manual dexterity to enable safe working with complex analytical equipment as well as hazardous and infectious materials

MENTAL DEMANDS OF THE JOB Frequent requirement for prolonged concentration, with occasional periods of intense concentration (database, analytical and statistical analyses) with frequent interruptions to this by bleep; work pattern unpredictable; availability on call overnight and at weekends with loss of sleep; proficient at deductive reasoning and solving complex problems; able to analyse highly complex information; able to advise health professionals and managers in complex situations taking into account data from other services

EMOTIONAL DEMANDS OF THE JOB Frequent (weekly) exposure to distressing or emotional circumstances: this may include dealing with complaints, difficult staffing issues, and managing change. Dealing with failure of complex systems may have immediate clinical impacts on the management of large populations of patients; such situations may involve dealing with many groups of individuals under high pressure, demanding immediate answers and reassurances, and require a need for difficult decisions with wide reaching impacts.

10 DECISIONS AND JUDGEMENTS

The post holder will have freedom to act as a consultant professional in Clinical Biochemistry and as head of service. The post holder will interpret policies for application to and development of the service.

11 MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

The diversity of the role within a demand led service being delivered to a dynamic health care system, that is rapidly evolving, means that the post holder will find it challenging both professionally and managerially to drive forward and enable the required level of reactive and pro-active change to enable delivery of a fit for purpose service.

Person Specification

POST REF NO: CH/27/18 JOB TITLE/BAND: Consultant Clinical Scientist and Clinical Lead, Band 8D LOCATION: Blood Sciences - Clinical Biochemistry, Ninewells Hospital HOURS: 37.5 per week

CRITERIA ESSENTIAL DESIRABLE METHOD OF EVALUATION

EXPERIENCE: Broad experience in all aspects of Clinical Biochemistry

Wide experience of dealing with and resolving analytical problems in Clinical Biochemistry

Evidence of Management and Leadership experience or training

Experience of training laboratory personnel including Clinical Scientists, and supervising research projects (e.g. for MSc)

Experience of formally presenting information to large groups of people (lectures to students or staff, Primary Care colleagues, potential suppliers)

Experience of procurement, implementation of new equipment and introduction of new methods and services

Experience of liaising with medical staff concerning service provision

Experience of HR management, recruitment, appraisal and disciplinary issues as a line manager

Extensive experience in the discipline with evidence of expert status

Work experience in a variety of Clinical Biochemistry environments within the NHS

A track record of research/development with publication experience Experience of business planning, capital bid preparation, bids for resources to extend the service A track record of implementing and managing change

Application/ CV

QUALIFICATIONS: (Training; Research; Publications)

Fellowship of the Royal College of Pathologists

State Registration with the Health Professions Council as a Clinical Scientist (Clinical Biochemistry)

Evidence of participation and satisfactory achievement in CPD with the Royal College of Pathologists A higher qualification – PhD or equivalent

Application/ CV

KNOWLEDGE & SKILLS:

Wide and up to date knowledge of Clinical Biochemistry Knowledge of principles of clinical governance and their application to

Application/ CV/ Interview

Clinical Biochemistry Comprehensive knowledge of management of quality within the laboratory Comprehensive working knowledge of information and official advice relevant to the provision of a modern clinical biochemistry service, from such sources as scientific and medical publications, SIGN and NICE guidance, Health Technology Assessments, recommendations from the Royal College of Pathologists, other Royal Colleges and professional associations in health care Awareness of scientific developments and modern technology in Clinical Biochemistry and how they may influence the future of the service Written and oral communication skills at a high level, capable of dealing with specialised complex and contentious material. Able to write scientific papers, business cases, clinical guidelines and lectures, and present such contentious information persuasively and with confidence to small and large groups of staff, locally, regionally and nationally Able to manage the quality of the service provided, and formulate strategic plans for the future of the service on the basis of knowledge of recent developments in laboratory medicine, and of the population and clinical specialities served. Good interpersonal skills, effective at negotiation and influencing others, particularly in challenging and contentious situations. Able to liaise effectively with clinicians and managers, and build, motivate and lead the activities of staff of all grades and backgrounds effectively Able to manage resources effectively – staff and finance Proficient in the use of word processing, spreadsheet and database packages, with understanding of order comms and

LIMS systems Technical and scientific skills, proficient at deductive reasoning and solving complex problems; able to analyse highly complex information Able to liaise with clinical staff internally and externally, regarding the use of tests, demand optimisation and requesting protocols; able to advise health professionals on investigations and interpretation of biochemical and metabolic processes in complex situations involving individual patients, taking into account data from other services

PERSONAL QUALITIES:

Confident, calm, reliable, responsible and organised person

Self motivating; able to identify and pursue own educational development

Able to work under pressure

Able to accept and respond to constructive criticism

Able to adapt to changing situations and learn quickly

Able to concentrate over long periods, with frequent interruptions

Able to accommodate the demands of the post, with flexible working as required, and ability to participate in Consultant on call rota

Application/ CV/ Interview

OTHER: (eg travel across Tayside)

Good hand-eye coordination to enable safe working with complex analytical equipment as well as hazardous and infectious materials

Able to travel between laboratory sites

General Information

POST REF NO: CH/27/18

JOB TITLE/GRADE: Consultant Clinical Scientist/Clinical Lead, Band 8D

LOCATION: Blood Sciences, Ninewells Hospital

Conditions of Service

The terms and conditions of service for this post are those determined by the NHS Staff Council.

Remuneration The current salary scale for the post is £68,599 to £84,932 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service. Salary is paid monthly by Bank Credit Transfer.

Hours of Duty The hours of the post are 37.5 per week. The contracted weekly hours may be worked over any reference period, e.g. 150 hours (pro rata for part time staff) over four weeks or annualised hours, with due regard for compliance with employment legislation, such

as the Working Time Regulations. Start and finish times will be determined by the needs of the service.

Superannuation New employees are automatically enrolled into the NHS (Scotland) Superannuation Scheme, but may opt out later should they choose. The pension scheme is provided by Scottish Public Pensions Agency. All benefits are explained on the SPPA website www.sppa.gov.uk Employee contribution rates with effect from 1 April 2018 are as follows:

Annual Pensionable Pay (Full-time equivalent)

Contribution

Up to £16,928 5.2%

£16,929 to £22,439 5.8%

£22,440 to £27,910 7.3%

£27,911 to £51,481 9.5%

£51,482 to £73,498 12.7%

£73,499 to £114,760 13.7%

£114,761 and above 14.7%

Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay.

Annual Leave On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year. After 5 years aggregated service = 29 days (pro rata for part-time staff) or 5.8 weeks per year

After 10 years aggregated service = 33 days (pro rata for part-time staff) or 6.6 weeks per year Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year

References All offers of appointment are subject to receipt of two satisfactory references.

Occupational Health Clearance

All offers of appointment to new entrants to the National Health Service are subject to a medical examination. Medical examinations are arranged and undertaken by Occupational Health (OH).

Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003

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 specified period of time. The period of time depends upon the sentence imposed. However, some criminal convictions can never be regarded as spent. These convictions are for serious crimes and must always be disclosed. Further guidance on the offences included in the list can be found at: https://www.mygov.scot/offences-always-disclosed/

Any information you do disclose will be treated confidentially and only shared with those who need to know.

Having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. If you are appointed and it is found you did not disclose previous conviction(s), which you were legally obliged to disclose, then disciplinary action up to and including dismissal may be taken.”

Disclosure Scotland

The successful applicant will be required to become a member of the

Protecting Vulnerable Groups Scheme (PVG) in respect of regulated

work with protected adults and regulated work with children. A PVG

certificate contains all unspent and certain spent conviction information. It

also contains any other non-conviction information that the police or other

government bodies think is relevant.

Disclosure Scotland continually monitor PVG scheme members' records

for vetting information including criminal convictions that may affect their

suitability to work with vulnerable groups. Immigration, Asylum and Nationality Act 2006

It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK.

Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents.

Professional Registration/ Induction Standards & Code of Conduct

You should have current and continuing professional registration with HCPC and hold the appropriate qualification(s).

Smoking Policy NHS Tayside operates a No Smoking Policy and smoking is prohibited within NHS premises and grounds.

Fair Processing Notice

NHS Tayside is under a duty to protect the public funds it administers, and to this end may use the information you provide on your Application Form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. For further information see: http://www.nhstayside.scot.nhs.uk/YourRights/NationalFraudInitiative/index.htm or contact robert.mackinnon@nhs.net.

Applications Completed forms should be returned to: recruitment.tayside@nhs.net quoting the job reference in the subject line or HR & OD Directorate, NHS Tayside, Level 9, Ninewells Hospital, Dundee DD1 9SY By closing date of 15 June 2018

Your Application Form must be completed in full. Please note copies of Curriculum Vitae, Qualifications and Course Certificates will not be accepted at this stage.

All completed applications are held in HR & OD Directorate until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly, including your junk/spam folder. This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from HR & OD Directorate.

Thank you for your interest in working for NHS Tayside.