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THE MID YORKSHIRE HOSPITALS NHS TRUST
SPECIALTY DOCTOR IN OBSTETRICS & GYNAECOLOGY
Consultant in O&G New posts. February 2009
CONTENTS:
SECTION 1 Advertisement, Person Specification and Job Description
SECTION 2 Main Terms and Conditions
Consultant in O&G New posts. February 2009
THE MID YORKSHIRE HOSPITALS NHS TRUST
SPECIALTY DOCTOR IN OBSTETRICS AND GYNAECOLOGY
JOB DESCRIPTION
Opportunity to review the medical staff on the middle grade tier has resulted in a
number of Specialty Doctor posts being created in line with the recently
published amendment to national terms and conditions of service for medical and
dental staff. These will be developmental posts and the successful individual(s)
will be given support with training, examinations and CPD.
These posts will assist in the department running EWTD compliant working
patterns. Individuals will participate in the wide practice of Obstetrics and
Gynaecology, and will include a Gynaecology theatre session and participation
on the Specialist Registrar Obstetrics & Gynaecology rota. The duties after 5pm
at night and at weekends are supported by both a junior StR (level 1-2) or FH02
and a consultant. When on duty, you are responsible for both Obstetrics and
Gynaecology.
The weekly programme is compliant with EWTD regulations and will vary from
week to week but sessions, over the complete duty cycle will include:
• Antenatal Clinic
• Gynaecology Clinic
• Labour Ward Session
• Operating Session
• Research and administration session included as part of CPD.
The applicant will work with a team of nineteen Consultants in Obstetrics and
Gynaecology working at Mid Yorkshire. The consultant staffing will consist of
three Consultants based at Pinderfields General Hospital (PGH), Wakefield, eight
Consultants based at Pontefract General Infirmary (PGI) and eight based at
Dewsbury & District Hospital (DDH).
The labour ward and in-patient Obstetrics and in patient gynaecology are based
in both Pontefract and Dewsbury with clinics based on all three sites.
Although the successful candidate(s) will be predominantly based at Dewsbury &
District Hospital, they should expect to undertake sessions in all hospitals and
should live within 30 minutes travelling time of all 3 sites.
The successful candidate(s) must be willing to work with a flexible job plan to
maximise the resources of the department.
Consultant in O&G New posts. February 2009
Mr P Macrow (Infertility) is the current Clinical Director. The other consultants
based at Pinderfields and Pontefract are:
Mr P Assassa (Urogynaecology)
Mr R Burr – Clinical Lead Obstetrics
Mr G Hunter – Clinical Lead Oncology
Mrs V Kaul (Colposcopy)
Mr C Kremer (Minimal access surgery)
Mr J Jolly (Clinical Tutor)
Miss C Reiss (Early Pregnancy Assessment, Audit)
Miss C Rajapolan
Miss R Kousar
Miss A Fattah
The consultants based at Dewsbury are:
Mr A Trehan (Minimal access)
Miss K Fishwick (Urogynaecology)
Mrs T Aslam-Tariq
Mrs S Anwar
Miss F Thomas (Early pregnancy, CNST)
Mrs R Adekunle
Mr S Sharma
Miss S Dhingra
*Special interests/lead roles in brackets
Together, with your consultant colleagues, you will be required to provide a
comprehensive District wide service. You will share the workload with junior staff
in an equitable way, reflecting clinical commitments, training requirements and
special interests. You will provide cover for holidays and other necessary
absences from duties, for colleagues on a mutually agreed basis. You will play a
role in the training of staff, including medical students.
Proposed Timetables
Job plans will be reviewed on an annual basis. The post will work as part of the
middle grade full shift rota, which consists of days, lates and nights over a 1:8
rota cycle. There is currently no cross cover between then 2 labour wards at but
this will change once the new hospitals are commissioned.
The job plan will work on an 8 week rolling rota a week would typically include:
1 or 2 labour ward sessions
1 or 2 ANC
1 GOPD
1 or 2 theatre lists
Consultant in O&G New posts. February 2009
1 or 2 special GOPD (PMB, minor procedures, colposcopy)
1 SPA
The job plans will be a total of 12 PAs, with a split of 11 DCCs and 1 SPA.
Middle grade doctors in obstetrics & gynaecology are second on-call for
emergencies in obstetrics and gynaecology and Labour Ward. They are
expected to review inpatients daily. The middle grade doctor will be expected to
work closely with the consultants and seek help and advise when necessary in
the management of more complex cases.
The middle grade doctors will be expected to perform their administrative duties
in a timely manner. These include dictating letters, reviewing investigations
results, organising rotas if required and serving on appropriate committees.
DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY
OBSTETRICS – DEWSBURY & DISTRICT HOSPITAL
The obstetric unit has 40 beds and a fully equipped labour suite with
approximately 3,500 deliveries per annum. Within the Unit there is currently a 10
cot neo-natal unit, offering intensive care, high dependency and special care.
A 24 hour epidural service is available in the department. It is available to
patients on demand and is used in deliveries for Caesarean sections. 24 hour
obstetric anaesthetic cover is also provided.
There is 40 hours of dedicated Consultant cover 9am-5pm Monday-Friday on the
delivery suite, this will be increased to 60 hours when the new consultant posts
being advertised are appointed to.
A completely flexible length of stay allows women to address their own specific
needs within the postnatal period. Midwife led care accomplishes over 80% of
the postnatal work.
All patients are offered a dating scan and 18-20 week anomaly scans and triple
screening for Down’s syndrome to appropriate groups. Repeat scans are
performed according to medical need.
OBSTETRICS - PINDERFIELDS & PONTEFRACT HOSPITALS
At Pontefract the delivery Suites have 9 labour/delivery rooms, 1 birthing pool
room and a 2 bed high dependency room. There are 2 dedicated Obstetric
theatres and a 2 bed recovery area. There is a fetal pH machine on each delivery
Consultant in O&G New posts. February 2009
suite. There are 32 Obstetric beds for antenatal and postnatal patients on each
site. There are approximately 3,500 deliveries per annum.
In both units a 24-hour epidural service is available to patients on demand and
for operative deliveries.
There is currently 40 hours of dedicated Consultant cover 9am-5pm Monday-
Friday on the delivery suite, this will be increased to 60 with these appointments.
A completely flexible length of stay allows women to address their own specific
needs within the postnatal period. Midwife led care accomplishes over 80% of
the postnatal work.
All patients are offered a dating scan and 18-20 week anomaly scans and triple
screening for Down’s syndrome to appropriate groups. Repeat scans are
performed according to medical need.
WOMEN’S HEALTH – TRUSTWIDE
EARLY PREGNANCY/FETAL ASSESSMENTS UNITS
Both Pinderfields and Pontefract Hospitals have early pregnancy/fetal
assessment units. They have dedicated scanning facilities operated by qualified
ultrasonographers and are staffed by Senior Midwifery/Nursing staff with cover
from junior medical staff.
The laboratory can provide serum hCG measurements during working hours.
Dr Reiss is the clinical lead for this service.
COLPOSCOPY
Colposcopy clinics are held in dedicated suites at PGI and DDH. Ms Kaul is the
clinical lead for this service. Major gynaecological surgery is undertaken on the
PGI site and DDH.
ONCOLOGY
Gynaecology oncology services are currently being reorganised in accordance
with the latest guidelines, working towards cancer unit status. Mr Hunter is the
lead Consultant for these services. There are dedicated chemotherapy facilities
with fully qualified nurse practitioners and a dedicated oncology clinic on the
Pontefract site. Mr Hunter holds a weekly outpatient session in Dewsbury and
District hospital though patients are referred for chemotherapy, radiotherapy and
radical cancer surgery to tertiary services. A palliative care team exists and
contributes an important role in management of gynaecological malignancy.
Colposcopy with computer support and CO² laser is provided within the Trust.
Consultant in O&G New posts. February 2009
INFERTILITY
A dedicated infertility clinic is run by Mr Macrow at Pinderfields General Hospital.
A satellite IVF service runs between this clinic and St James Leeds. At
Dewsbury full facilities exist for the investigation and diagnosis of infertility and
assisted re-production is undertaken by contracts at Leeds General Infirmary with
an agreed protocol.
UROGYNAECOLOGY
Mr Assassa is lead urogynaecologist for the Pinderfields and Pontefract sites and
Miss Fishwick for Dewsbury. Facilities exist for full urodynamic assessment.
There is an excellent working relationship between the Gynaecologists and the
urologists working for the Trust.
INPATIENT AND DAY CARE
Major Gynaecological surgery is undertaken at both PGI and DDH, supported by
inpatient wards. Both sites undertake emergency Gynaecology. There are also
day surgical units on both sites.
In addition there is a dedicated day case unit comprising 19 beds and 4 theatres,
situated at Clayton Hospital, a short drive (5 minutes) from Pinderfields General
Hospital.
MINIMAL ACCESS SURGERY
Mr Kremer and Mr Trehan undertake level IV Laparoscopic surgery. All
Gynaecology theatres are fully equipped with up to date equipment for minimal
access surgery. Outpatient hysteroscopy is undertaken in the endoscopy unit at
PGH, with a number of clinics running weekly. Versapoint equipment is available
for outpatient polypectomy.
Consultant in O&G New posts. February 2009
PAEDIATRICS
The Consultant Paediatricians are:
Pinderfields General Hospital
Dr S T Jones
Dr J E Glass
Dr R Tawfik
Dr F Scott
Dr S Gakenyi
Pontefract General Infirmary
Dr M Hassoon
Dr K Stone – Clinical Director
Dr A Grove
Dr K Shyamanur
Dr I Saad
Dr S Gardiner
Dewsbury and District Hospital
Dr P Mackay – Clinical Lead
Dr A Soulioti
Dr R K Singh
Dr V K Sharma
Dr B Allagoa
Together with 2 tiers of junior staff they provide round the clock cover for the
delivery suites. The neonatal unit is well equipped and able to provide short term
intensive care.
MEDICAL EDUCATION
Pinderfields General Hospital
Directorate of Medical Education, Medical Education Centre, PGH
1. The Centre offers a comprehensive range of postgraduate and
multidisciplinary training services, including a clinical skills lab and video
conferencing facilities.
2. Weekly tutorials are held in: Anaesthetics, General Medicine, Neurology,
Orthopaedics, ENT, Accident & Emergency, Burns and Plastic Surgery, GI
Radiology, Maxillofacial and Elderly Medicine. There are weekly teaching
programmes for Foundation trainees.
3. Monthly audit meetings are held for all specialties.
Consultant in O&G New posts. February 2009
4. The GP Vocational Training Scheme and Dental Vocational Training are
organised through the Centre.
7. Video recording equipment is available for educational purposes through the
education centre.
8. Medical Education processes appraisal systems for all Specialty Doctor and
other career grade doctors within the Trust.
Library and Information Service
The Mid Yorkshire Hospitals NHS Trust offers a Library & Information Service at
Dewsbury, Pinderfields and Pontefract hospitals. The libraries have a one ticket,
one service policy, which means Trust staff can register at one site, and then
access any one of the three service points. All three libraries have extensive
book collections and the combined book catalogue can be searched from the
Library webpage, which is accessible from the Trust Intranet
(http://nww.midyorks.nhs.uk).
Approximately 250 journal titles form a reference collection across the three
sites. Additionally over 1000 journals, databases, textbooks and other electronic
resources can be accessed via NeLH: National Electronic Library for Health
(www.nelh.nhs.uk) from any PC with Internet, including those in the libraries,
wards/departments and even home.
The libraries have a number of PCs with Internet access and Microsoft Office
packages. Networked printers are available. Library induction programmes are
offered to new members of staff upon request and training is available on how to
conduct literature searches using electronic databases.
Pontefract General Infirmary
Directorate of Medical Education, Medical Education Centre, PGI
1. The centre offers a comprehensive range of Postgraduate and
undergraduate training services.
2. Core curriculum lectures are held most Thursdays.
3. MDT meetings are held on a regular basis in Lung; Respiratory/Pathology;
Dermatology/Histopathology.
4. MRCP and MRCGP Tutorials are held weekly.
5. The Integrated Medicine team meet on Monday lunchtime.
6. Medical Audits are held monthly. Occasionally these are conducted Trust
wide via video conference links.
7. X-ray meetings are held on Friday lunchtime.
8. There is a General Practice vocational training programme.
9. Medical Education processes appraisal systems for all Specialty Doctor and
other career grade doctors within the Trust.
Consultant in O&G New posts. February 2009
Library and Information Service
The Mid Yorkshire Hospitals NHS Trust offers a Library & Information Service at
Dewsbury, Pinderfields and Pontefract. The libraries have a one ticket, one
service policy, which means Trust staff can register at one site, and then access
any one of the three service points. All three libraries have extensive book
collections and the combined book catalogue can be searched from the Library
webpage, which is accessible from the Trust Intranet
(http://nww.midyorks.nhs.uk).
Approximately 250 journal titles form a reference collection across the three
sites. Additionally over 1000 journals, databases, textbooks and other electronic
resources can be accessed via NeLH: National Electronic Library for Health
(www.nelh.nhs.uk) from any PC with Internet, including those in the libraries,
wards/departments and even home.
The libraries have a number of PCs with Internet access and Microsoft Office
packages. Networked printers are available. Library induction programmes are
offered to new members of staff upon request and training is available on how to
conduct literature searches using electronic databases.
Continuing Medical Education
Specialty Doctors are encouraged to undertake continuing medical education
and pursue research in fields of professional interest within the policies of the
Trust.
You will be expected to fulfil the Royal College of Obstetricians and
Gynaecologists requirements for ongoing CME.
The Trust has an appraisal system in place for Specialty Doctors. Participation in
appraisal is a contractual obligation for all Specialty Doctors.
Teaching
The Trust is keen to attract the highest calibre of trainee doctors. It realises that
to maintain that aim for the future, the quality of teaching and training must be of
the highest quality. Whilst consultant staff are responsible for the training and
supervision of junior medical staff a Specialty Doctor would be expected to
contribute to this.
Audit
Monthly audit meetings are held on a rolling half-day programme. A multi
disciplinary meeting is held on a weekly basis and the appointee will be
Consultant in O&G New posts. February 2009
encouraged to be involved in research to which end a full time research nurse
has been to appointed for the Trust. Support is available from the clinical audit
department.
Management Arrangements
Women’s Services is part of Group 3 Business Unit, which also consists of
Children’s Services, Anaesthetics, Critical Care and Pain, Radiology and
Pathology.
VISITS TO THE DISTRICT
Interested applicants may make arrangements to visit the District by contacting:
Mr P Macrow
Clinical Director
Consultant in Obstetrics and Gynaecology
Tel: (01924) 213912
Mr R Burr
Consultant in Obstetrics & Gynaecology (Lead Obstetrics)
Pontefract General Infirmary
Tel: (01977) 606709
Should you require any further information please contact the Medical Staffing
Department on (01924) 212753 (direct line).
The Trust is an equal opportunities employer and operates a no smoking policy.
Consultant in O&G New posts. February 2009
SECTION 2
MAIN TERMS AND CONDITIONS
Consultant in O&G New posts. February 2009
MAIN TERMS AND CONDITION OF EMPLOYMENT
Conditions of Employment
The appointment will be on the basis of the new Specialty Doctor contract laid
down by the Hospital Medical and Dental Staff Terms and Conditions of Service
and General Whitley Council. Any subsequent changes will be notified to the
successful candidate and thereafter form part of his/her contract of employment.
The arrangement of duties will be such as may be agreed from time to time
between the employing Trust and the person appointed.
The Trust has established negotiating and consultation machinery for its
employees and has a specialist sub-committee for Medical and Dental Staff.
Duties and Responsibilities
Associated Duties and Responsibilities
1. Whilst on duty a doctor has clinical and professional responsibility for their
patients or, for doctors in public health medicine, for a local population. It
is also the duty of a doctor to:
• keep patients (and/or their carers if appropriate) informed about their
condition;
• involve patients (and/or their carers if appropriate) in decision making
about their treatment;
• maintain professional standards and obligations as set out from time to
time by the General Medical Council (GMC) and comply in particular with
the GMC’s guidance on ‘Good Medical Practice’ as amended or
substituted from time to time;
2. A doctor is responsible for carrying out any work related to and reasonably
incidental to the duties set out in their Job Plan such as:
• the keeping of records and the provision of reports;
• the proper delegation of tasks;
• maintaining skills and knowledge.
Consultant in O&G New posts. February 2009
3. Doctors will be expected to be flexible and to cooperate with reasonable
requests to cover for their colleagues’ absences where they are safe and
competent and where it is practicable to do so. Where doctors undertake
duties in accordance with this paragraph and such duties take place
outside of their contracted hours they will receive either an equivalent off
duty period or remuneration. Where this adversely impacts on the Job
Plan and/or opportunities for individual doctors a temporary Job Plan will
be agreed for the period of cover. Where covering is not practicable, the
employing organisation (and not the doctor) shall be responsible for the
engagement of a locum tenens, but the doctor shall have the responsibility
of bringing the need to the employer’s notice.
The employing organisation shall assess the number of Programmes Activities
required.
Specialty Doctors' Job Plan
Job planning will be based on a partnership approach. The clinical manager or
doctor will prepare a draft job plan, which will then be discussed and agreed with
the clinical manager and Specialty Doctor. Job plans will list all the NHS duties
of the Specialty Doctor, the number of Programmed Activities for which the
Specialty Doctor is contracted and paid, the Specialty Doctor’s objectives and
agreed supporting resources.
The duties and responsibilities set out in a Job Plan will include, as appropriate:
Direct Clinical Care duties including on-call work
Supporting Professional Activities
Additional NHS responsibilities
External Duties
Appraisal
The postholder, as with all other Specialty Doctor, is required to participate in the
Trust’s appraisal process.
The Post
The post is available on a full-time basis (12 programmed activities). This
includes participation on the middle grade full shift rota for a maximum of 48
hours per week and is EWTD compliant. The post(s) is not recognised for
training. Any applicant who is unable, for personal reasons, to work full-time will
be eligible to be considered for the post. If such a person is appointed,
modification of the job content will be discussed on a personal basis, in
consultation with clinical manager.
Consultant in O&G New posts. February 2009
Salary
The salary is based on the Specialty Doctors salary scale as outlined in the
Medical and Dental Whitley Council.
Base
The Specialty Doctor’s main base will be Dewsbury & District Hospital. There
may be a requirement to work at other hospitals within the Trust, subject to
service needs as described previously in this document.
Registration
The Trust requires the successful applicant to have and maintain full registration
with the General Medical Council. While membership of a medical defence
organisation is not a contractual requirement, medical staff are strongly advised
to take out/continue membership of one of the medical defence organisations.
Pre-Employment Screening
The appointment is subject to satisfactory medical health clearance from the
Trust’s Occupational Health Department. The successful applicant may be
required to undergo an examination prior to taking up appointment.
Criminal Records Bureau
The appointment is subject to an enhanced Criminal Records Bureau Disclosure
being completed and clearance received.
Pension
There is an option of joining the NHS Pension Scheme. Further details are
available on request.
Leave and Holidays
Schedule 18 of the Terms and Conditions sets out the entitlements in respect of:
annual leave
professional and study leave
sabbaticals
sick leave
special leave
maternity leave and domestic personal and care relief.
Consultant in O&G New posts. February 2009
Public holidays will be 8 days in line with national terms and conditions of
service. The 2 Tuesday Bank Holidays have been removed, following
consultation with JLNC and medical staff have been credited with an
additional 2 days annual leave.
Private Residence
The postholder should be able to reach any of the 3 main hospital sites for the
Trust in normal traffic conditions within 30 minutes. The postholder should also
be connected to the public telephone service.
Rehabilitation of Offenders Act 1974
Because of the nature of the work concerned, this post is exempt from the
provisions of section 4 (2) of the Rehabilitation of Offenders Act 1974. You are
not entitled to withhold information about convictions which for other purposes
are ‘spent’ under the provisions of the Act. Any information given will be
completely confidential and will be considered only in relation to your application
for this post.
Disciplinary and Grievance Procedures
In matters of professional conduct or competence the arrangements set out in
the Maintaining High Professional Standards: Conduct, Capability, Ill Health and
Appeals Policies and Procedures for Medical and Dental Staff will be followed.
In cases of personal conduct, the Trust Disciplinary Procedure will apply and the
power to dismiss lies with the Chief Executive.
Any grievance related to your employment should be raised in the first instance
with the General Manager in accordance with the Trust Grievance Procedure.
Health and Safety at Work
There is a requirement to observe all the safety rules and instructions at the
workplace. It is the responsibility of all staff to bring to the immediate attention of
the General Manager any aspects of their work, or the conditions in which they
work, which they do not consider to provide the degree of safety normally
expected.
Conflict of Interest
You must declare to the Trust any financial interest or relationship which you
have which may affect the Trust’s policies or decisions.
Consultant in O&G New posts. February 2009
Criminal Records Bureau
This post requires a Criminal Records Bureau check and your appointment is
subject to the express condition that we receive a qualification of disclosure
(provided by a Criminal Records Bureau) to check as to the existence and
content of any criminal record.
February 2009
Consultant in O&G New posts. February 2009


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