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Candidate information pack

Working together to achieve the healthiest life possible for everyone in Ayrshire and Arran Candidate information pack Post title: Consultant Obstetrician Job reference number: MD/106/18 Closing date:
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Working together to achieve the healthiest life possible for everyone in Ayrshire and Arran Candidate information pack Post title: Consultant Obstetrician Job reference number: MD/106/18 Closing date: 12 June 2018 (noon) Process for submitting application: Applications in the form of a current CV with evidence of your entry onto the Specialist Register/ CCT/CESR date, names and addresses of 2 referees, and completed Sections 1-6 of the Job Pack should be submitted to: by the closing date. Follow us on Find us on Facebook at Visit our website: All our publications are available in other formats Welcome from the Chief Executive Thank you for the interest you have shown in this post. I hope that the information in this pack will help you to decide and encourage you to apply for this post. In recent years we have re-defined the purpose and values that are the foundation for our approach to health and social care delivery. You will find more information on our purpose and values in this pack. As with other health and social care providers, we are delivering our services in challenging times. Demographic changes, increasing demand and wider socio-economic factors all impact on service delivery. We are committed to working together with our teams and communities to re-design services to meet these challenges and fulfil our purpose. Delivering high quality, safe, person-centred care to every person every time is our clear aim. This can only be achieved when our staff feel valued and fully engaged. NHS Ayrshire & Arran has a clear commitment to the health, safety and wellbeing of our staff. I am sure that you will have many questions and we would be delighted to hear from you in order to further your knowledge of this post and of NHS Ayrshire & Arran. Kind regards, John G Burns Chief Executive 2 Section one: About NHS Ayrshire & Arran NHS Ayrshire & Arran is one of 14 territorial NHS Boards within NHSScotland. Ayrshire and Arran NHS Board is responsible for the protection and improvement of the local population s health and for the delivery of frontline healthcare services. The NHS Board membership consists of executive and non-executive members, and is accountable to the Cabinet Secretary for Health, Wellbeing and Sport. Our operational frontline services are provided through four distinct operational units Acute Services and the Health and Social Care Partnerships in East, North and South Ayrshire. You can find further detail on the role of the NHS Board, and our organisational structure on our website NHS Ayrshire & Arran serves a mixed rural and urban population of 376,000. We have a full range of primary and secondary clinical services, covering the mainland of Ayrshire and the islands of Arran and Cumbrae. NHS Ayrshire & Arran covers three local authority areas: East, North and South Ayrshire. There are major areas of widespread deprivation and social exclusion in both rural and urban areas. The healthcare challenge within the area is considerable: our population suffers higher than average rates of coronary heart disease, lung cancer, respiratory illnesses and premature death among males. Ongoing lifestyle issues, such as the prevalence of smoking, poor diet and lack of exercise, are key factors, as is the steadily ageing profile of the population. Here in NHS Ayrshire & Arran, we want the best for our staff and the best for local people. We pride ourselves on improving health and providing a comprehensive range of high quality, safe, effective and person-centred health services. Our strategic direction is based on continuous improvement and services that are centred on patients and service underpinned by our organisational commitments. 3 The vision, values and objectives of NHS Ayrshire & Arran, as agreed in 2017, are set out in the diagram below: 4 2020 vision In September 2011, the Scottish Government set out the strategic vision for the delivery of healthcare services in Scotland. Our vision is that by 2020, everyone is able to live longer healthier lives at home, or in a homely setting. We will have a healthcare system where: we have integrated health and social care; there is a focus upon prevention, anticipation and supported self management; if hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm; whatever the setting, care will be provided to the highest standards of safety and quality with the person at the centre of all decisions; and there will be a focus on ensuring that people get back into their home or community environment as soon as possible with minimal risk of readmission. In February 2014, Ayrshire and Arran NHS Board approved Our Health 2020 as NHS Ayrshire & Arran s health and wellbeing framework. The framework described how we would fulfil the national 2020 vision for health services locally. Our corporate objectives, as illustrated below, reflect the aims of the 2020 vision: For more information on how we make decisions, how we perform and our key publications detailing our strategic intent and plans for delivery of healthcare services within Ayrshire, visit the NHS Ayrshire & Arran website 5 Section two: NHS Ayrshire & Arran as an employer NHS Ayrshire & Arran recognises that our staff are vital to delivering our purpose, values and commitments and to achieving our strategic objectives. Our aim is to create an organisation where people want to work and strive to deliver excellence each day; where staff wellbeing and personal resilience are supported; where careers are interesting and developed; where staff are encouraged to reach their full potential; and where staff feel their contribution is recognised and valued. To do this, we need to attract, develop, support and retain our staff and enhance their work experience. This will directly contribute to our aspiration to deliver excellent high quality services to every person every time. Our employees have told us the unique factors that help to define us as an employer are: our friendly and supportive environment; our commitment to staff engagement and effective team working; our track record in creativity and innovation and our ability to successfully implement change and redesign; our track record in supporting our staff s learning, development and career aspirations, from an initial comprehensive three-day corporate induction programme to the availability of a wide range of internal training programmes; our commitment to supporting flexible working through a wide range of family friendly policies; and our commitment to support and improve our staff s health, safety, wellbeing and resilience. We do this by implementing our Staff Health, Safety and Wellbeing Strategy, and in our work towards achieving and maintaining the Healthy Working Lives Gold Award. In addition, our Staff Care and Occupational Health Service provide a range of support and interventions to our staff. 6 Section three: Delivering our services The map below illustrates the key hospital sites throughout Ayrshire and Arran. Population of Ayrshire and Arran - 367,160 East Ayrshire - 120, per cent of total population Arran War Memorial Hospital Lady Margaret Hospital H ISLE OF ARRAN ISLE OF CUMBRAE Millport Brodick H Largs NORTH AYRSHIRE Irvine H Firth of Clyde Biggart Hospital H Ayrshire Central Hospital Woodland View Ayr Ailsa Hospital H H University Hospital Ayr Kilmarnock H University Hospital Crosshouse EAST AYRSHIRE H East Ayrshire Community Hospital Cumnock North Ayrshire - 135, per cent of total population South Ayrshire - 111, per cent of total population SOUTH AYRSHIRE Girvan H Girvan Community Hospital Key H H Acute Hospital with accident and emergency department Community Hospital Acute services Emergency and elective hospital services are provided by our acute services, which includes inpatient, outpatient and day case care. There are two district general hospitals within Ayrshire: University Hospital Ayr and University Hospital Crosshouse. These hospitals provide a wide range of acute services: University Hospital Ayr University Hospital Ayr provides medical and surgical services on an inpatient, day case and outpatient basis. It is the main Accident and Emergency service for South Ayrshire. It provides a number of Ayrshire-wide services including Vascular Surgery, Ophthalmology and Urology. There are approximately 330 inpatient beds at Ayr. 7 University Hospital Crosshouse University Hospital Crosshouse provides medical and surgical services on an inpatient, day case and outpatient basis. It is the main Accident and Emergency service for East and North Ayrshire. Inpatient paediatrics, the Ayrshire Maternity Unit and the main Laboratories for Ayrshire are on the Crosshouse site. There are approximately 600 inpatient beds at Crosshouse Community, mental health and learning disabilities services Following the introduction of Health and Social Integration, the operational delivery for the range of community healthcare services and mental health and learning disabilities services is through the three Partnerships in Ayrshire: East Ayrshire Health and Social Care Partnership North Ayrshire Health and Social Care Partnership South Ayrshire Health and Social Care Partnership Community services General medical and dental services are provided throughout Ayrshire and Arran by general practitioners, dentists, community pharmacies and optometry practices. Community nurses, health visitors and Allied Health Professionals are all involved in providing care within our local communities. Out-of-hours general medical services are provided by Ayrshire Doctors on Call (ADOC) within the community. 8 Mental health and learning disability services The majority of our inpatient mental health services, including the Intensive Psychiatric Care Unit, are provided at the newly built Woodland View facility in Irvine. Learning disability services are provided from Arrol Park in Ayr. Elderly mental health inpatient services are provided from Ayrshire Central Hospital in Irvine, and East Ayrshire Community Hospital in Cumnock. Community based services are provided throughout Ayrshire for a range of clinical groups: adults, child and adolescent, elderly and addiction services. For more information on the full range of clinical services provided by NHS Ayrshire & Arran, visit our website Section five: Key facts and figures Our spending... Our typical annual revenue spend is approximately 750+million of which approximately 50% is expenditure on staffing. Our typical annual activity 9 Our staff (approximate headcount) 10 Section six: Why work in Ayrshire? Just a 30-minute drive from Glasgow city centre, Ayrshire is an ideal location for those who want to enjoy city life, with all the benefits of living in a semi-rural area. Ayrshire is situated in South-west of Scotland on the Firth of Clyde, and is characterised by 80 miles of varied coastline, picturesque beaches, rolling green hills and islands. Ayr, Irvine and Kilmarnock are the largest towns. However, there are many rural towns, villages and communities throughout the area should you wish to relocate to Ayrshire. Whether you decide to locate to Ayrshire or a neighbouring area, you will find that property prices are more affordable than in other parts of the UK. Local educational standards are very high at primary and secondary level. However, private education is also available in the area. See below for more information on local authority services: East Ayrshire Council North Ayrshire Council South Ayrshire Council Working in Ayrshire provides an easy commute from both Glasgow and the wider central belt. There is an excellent network of both rail and bus links throughout Ayrshire to Glasgow and beyond. There are UK and international flights available from Glasgow Airport, as well as a range of services from Glasgow Prestwick Airport. Ayrshire provides a wide range of excellent recreational activities: whether you are interested in history and heritage, outdoor pursuits, events and festivals, or simply food and drink, there is something for everyone. Ayrshire boasts more than 40 quality golf courses, including two Open Championship courses at Turnberry and Royal Troon. For more information on the range of recreational activities in Ayrshire, visit 11 All of our publications are available in different languages, larger print, braille (English only), audio tape or another format of your choice. Tha gach sgrìobhainn againn rim faotainn ann an diofar chànanan, clò nas motha, Braille (Beurla a-mhàin), teip claistinn no riochd eile a tha sibh airson a thaghadh Tell us what you think... If you would like to comment on any issues raised by this document, please complete this form and return it to: Communications Department, 28 Lister Street, Crosshouse Hospital, Crosshouse KA2 0BB. You can also us at: If you provide your contact details, we will acknowledge your comments and pass them to the appropriate departments for a response. Name Address Comment Last reviewed: May 2018 Leaflet reference: MIS GD We have a dynamic Department of Obstetrics and Gynaecology committed to developing and improving services for the women of Ayrshire and the Isle of Arran. There are 17 consultants within the department. Ayrshire and Arran health board have an established relationship with quality improvement and safety and have worked closely with the Scottish Patient Safety Programme (SPSP) Maternity stream (MCQIC) since inception. Within the organisation, we have trained many fellows who have used their skills to develop projects to improve health and care for the people of Ayrshire. NHS Ayrshire and Arran have established a firm code of values for both staff and the people of Ayrshire. These are to ensure a caring, safe and respectful environment to achieve the healthiest life possible for everyone in Ayrshire and Arran. NHS Ayrshire & Arran provides a comprehensive healthcare service to approximately 367,000 people living in Ayrshire and Arran. University Hospital Crosshouse is a large, modern district general hospital with 625 beds. A purpose built Women and Children s unit was opened on the Crosshouse site in August 2006 and deals with approximately 3500 deliveries each year. We also provide level 3 neonatal services alongside labour ward with capacity for 5 intensive care cots. There are 12 gynaecology beds within the unit with a fully equipped treatment room with gynaecological scan facilities to ensure rapid access to acute care. We also have new and modern outpatient facilities fully equipped to provide one stop gynaecology services in both the north and south of Ayrshire. Post: Obstetrics This post would suit an individual with an interest and training in high risk obstetrics. Ultrasound skills and experience of specialist antenatal clinics, such as multiples clinic, would be an asset. Other skills that would be beneficial to the department would also be considered. There is no regular gynaecology component within this post. The successful incumbent will have a regular weekly Obstetric daytime on call session (supported by a middle grade doctor). Together with a 2 nd on consultant these sessions will cover labour ward/elective obstetric theatre list and maternity day care. A weekly general antenatal clinic will also be provided, along with a weekly high risk antenatal clinic commitment. They will also participate in the out of hours on call service for Obstetrics but not gynaecology. At present the department is reviewing new ways of providing cover to these areas in light of the evolving demands of both obstetrics and gynaecology unscheduled services. The successful candidate will also contribute to our Maternity Services Integrated Risk and Quality Improvement Team, and to implementation of the Being Open programme. Our aim is to enhance and strengthen the existing approach across Maternity Services to integrated risk, patient safety and quality; and focus on delivery, assurance and governance of: - Clinical risk management - Adverse event management - Health and Safety - Quality Improvement (including patient safety and audit) - Learning from improvement (including patient experience) - Practice development - Training and education - Guideline, policy, protocol development Facilities Obstetrics Inpatient obstetrics is based at Ayrshire Maternity Unit in a modern purpose built facility opened in August There are currently around 3500 deliveries per year. Antenatal care is, in the main, community based and there are close links between the Community Midwifery Teams and medical staff. Consultant led antenatal clinics are offered in all major centres of population throughout Ayrshire. Kilmarnock (2), Ayr (2), Cumnock (1) and Irvine (3). Our maternity outpatient (MOPs) unit based within the hospital provides our unplanned front of house services. A separate new maternity daycare facility has recently opened in a newly refurbished co-located clinical area adjacent to the maternity. This has allowed separation of planned and unplanned work with appropriate midwifery and sonographic staffing. This new unit has 7 consulting rooms and provides the space for the high risk clinics: general medical obstetric, diabetes and multiple pregnancy clinics. Also perinatal psychiatry, genetics and anaesthetics will run outpatient services through this department. The planned patients are at present managed by consultants with protocol driven midwife led review, to improve the patient journey and experience. The unplanned attendances are usually self-referrals triaged by midwives and the service is available 24/7. The on call middle grade tier has initial responsibility for these women. Within the Maternity Unit there is an Early Pregnancy Assessment Suite open 6 days a week. This is a very successful, predominantly midwife led service with input from the on call medical team and oversight by a lead Consultant who also runs a recurrent miscarriage service. Developments within this service include the introduction of manual vacuum aspiration of non-continuing pregnancy under local anaesthetic and it would be useful if the candidate could contribute to this service. Existing fetal medicine services are currently provided by 4 Consultants and an associate specialist. The ultrasound department currently provides two routine scans throughout pregnancy. These are the booking ultrasound at around 12 weeks of gestation, when those patients wishing 1 st trimester screening for Down s syndrome will have a CUBS assessment, and the 20 week anomaly scan. The booking scan is provided at the community based clinics and at present the 20 week scan is provided within the maternity unit. The clinicians provide a detailed scanning, amniocentesis and CVS service for high risk pregnancies. Our tertiary referral centre for fetal abnormalities is the Fetal Medicine Unit at the Queen Elizabeth University Hospital in Glasgow. A specialist midwife supports the fetal medicine service. Currently a combined diabetic/obstetric clinic runs twice monthly and is attended by a consultant obstetrician, diabetologist and specialist diabetic liaison nurse. Also twice per month there is a maternal medical disorders/high risk obstetric clinic. Pre-conceptual counselling services are also available for both these high risk groups. A multiple pregnancy clinic runs on a weekly basis. Ayrshire and Arran have fully engaged with RCOG guidance on management of reduced fetal movements and also the Perinatal Institute s GAP programme to screen for and diagnose small for gestational age babies using customised growth charts. As a team, all those with input to antenatal care, engage with and contribute to multidisciplinary review of all cases of morbidity and mortality using a web based objective review tool from the Perinatal Institute (SCOR) and have registered to become a first user of the new National Tool as developed by MBBRACE. We commit t
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