Specialty Doctor in Dermatology

Job responsibilities

Clinical

The appointee is expected to be involved in and assist with the development of an innovative and high quality service. The appointed dermatologist needs to remain flexible in regard to the changing needs of the service as a whole, as it continues to develop and expand.

The post holder will be expected to provide a full service to all Hywel Dda patients who need to be seen in clinic. This could include:

• Outpatient and inpatient management of patients with dermatological diseases.
• Dermatological emergencies.
• Provision of teledermatological support/management advice.
• Contribution to the CPD of the GPs in working in Primary and Secondary Care in Ceredigion, Carmarthenshire and Pembrokeshire.
• Provision of clinical guidance and support to Dermatology Specialist Nurses working within the Region.
• Provision of clinical advice and support to enable the further development/modernisation of Dermatology Services within Pembrokeshire/Carmarthenshire/Ceredigion.
• Supervision and training of F2 doctors and Specialist Registrars if relevant.
• Participation in clinical audit, medical student teaching and research.
• The post-holder will be required to comply with the requirements for CME/CPD and governance policies. The Health Board supports study leave.
• Job plan reviews are held regularly and the Health Board is developing a strategy for implementing appraisals.
• Compliance with clinical governance.

Teaching/Training (as agreed with Clinical Team Lead/ MD)

• To provide conditions for improved training opportunities in line with national and local recommendations arising out of MMC and related requirements
• To participate in the undergraduate teaching programme
• To assist and participate with the development of postgraduate training for F1s, F2s, CTs, STs, and other staff as appropriate
• Where agreed, to act as Educational Supervisor to junior and middle grade medical staff

Audit (as agreed with Clinical Team Lead/MD)

• To promote evidence-based clinical practice
• To undertake regular audit

Research (as agreed with Clinical Lead/R&D Director/MD)

The Health Board has University status with strong links to the Swansea & Cardiff Universities to promote research & development and multi-professional teaching.

HDUHB is committed to enhance local research and development and the successful applicant would be strongly encouraged to develop a local research portfolio as part of their core NHS responsibilities (Handbook to the NHS Constitution, January 2009)as it improves patient outcomes (http://www.crncc.nihr.ac.uk/ppi/why_is_research_important) and is a Welsh Government priority (https://www.wales.nhs.uk/sites3/page.cfm?orgid=580&pid=59041).

The annual operating R&D Budget has increased by over 750% since 2008 and research operates across all 4 hospital sites with increasing opportunities in Primary Care.

- Basic sciences: we have memoranda of understanding with Swansea and Aberystwyth Universities, jointly funding post-doctoral researchers and co- supervising MSc, MPhil and PhD students in e.g. sport science, rehabilitation, medical engineering, psychology & qualitative research, management change, biomarker discovery and most recently metabolomics

- Commercial Trials: with experienced research nurses dealing solely with commercial companies working on your behalf and pharmacists dedicated only for clinical trials, our clinicians are working increasingly with major companies. This is not only in our established areas of strength such as diabetes and respiratory medicine, but new studies have just opened with Consultants as

- Principal Investigators in cardiology, lipid medicine, urology, rheumatology and dermatology

- Portfolio trials: there are specialist researchers from the Health & Care Research Wales and NIHR workforce recruiting patients into National and International trials across all 4 hospital sites and increasingly in Primary Care. New funding and a specialist R&D Manager will help any clinician act as a local Principle Investigator or develop their own pathway to portfolio work.

We have an 8-room Clinical Research Facility in PPH, with state of the art facilities that was opened in 2012 and new initiatives involve BioBanking, EU Lead for telemonitoring at scale and new Clinical Research Fellowships. For more details, please contact the Director of R&D.

Revalidation & Appraisal

The post holder will be expected to participate in annual appraisal and to maintain a portfolio of supporting information to bring to appraisal as a basis for discussion. The All Wales format for appraisal is the online Medical Appraisal and Revalidation System (MARS),

You will be expected to maintain GMC Revalidation as and then required, and will be supported through this process by the appointed Revalidation Manager.

Quality and Standards

To be familiar with and actively promote adherence to the regulatory framework including NICE and National Service Framework Guidance and to actively promote professional standards The Duties of a Doctor

To undertake all work in accordance with the Health Boards procedures and operating policies

Learning Organisation

To be involved in and actively manage complaints and any medico legal claims in their area of practice, management of serious incidents and responsibility for sharing any organisational learning from these

Patient Experience

To monitor and respond to measures of patient experience

Patient Safety

To work actively to reduce unintended harm to patients

To contribute actively to the content areas of the 1000 Lives Campaign and any other subsequent patient safety campaign

To adhere to the Health Boards Clinical Incident Policy

Personal Development

To attend accredited conferences and meetings to update personal level of clinical practice, teaching and management skills in line with CME requirements

To participate in an annual Job Planning Review process

To participate in the Health Boards Annual Appraisal process

Equal Opportunities

It is the aim of the Hywel Dda HB to ensure that no job applicant or employee receives less favourable treatment on grounds of gender, religion, race, colour, sexual orientation, nationality, ethnic or national origins or is placed at a disadvantage by conditions or requirements which cannot be shown to be justifiable. To this end, the HB has an Equal Opportunities Policy and it is for each employee to contribute to its success.

Flexible Working & work-life balance

Flexibility in employment is a key factor in demonstrating our commitment to fair and equal treatment inside the workplace and in attracting the highest calibre of applicants to work for the organisation. It is the aim of the Health Board that employees in all areas and levels of the organisation will be considered for flexible working in accordance with the Equality Act 2010 and regardless of their level of seniority, their current working pattern, or whether they are employed on a permanent or fixed term basis.

Management (as agreed with Clinical Lead/ Clinical Director/MD)

To provide medical information for the development of systems appropriate for Health Board needs

To participate in departmental consultant and senior staff meetings

To attend other departmental, Divisional and Health Board meetings as necessary To attend regional and national meetings as necessary

To undertake all work in accordance with Health Board procedures and operating policies

To work within the financial and other restraints decided upon by the Health Board. Additional expenses of any kind will not be committed without the approval of the appropriate manager/budget holder.

To co-operate with local management in the efficient running of services and an expectation to share with consultant colleagues in the medical contribution to management. In addition, it should be noted that a system of Clinical Directorship is in operation and close liaison with appropriate colleagues will be required

To ensure that arrangements are in place for adequate medical staff to be available in relation to the treatment and care of patients

The post holder has a general duty of care for their own health, safety and wellbeing and that of work colleagues, visitors and patients within the hospital. This statutory duty is in addition to any specific risk management or clinical governance accountabilities associated with the post.

Finally, the post holder is expected to:

Observe the rules, policies, procedures and standards of Hywel Dda University Health Board.

Be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues

Location

The principal place of work for this post is Carmarthen. Exceptions will include travelling between work sites and attending official meetings away from the workplace. A planned and cost effective approach is expected, and is included in the DCC sessional allocation. The post holder may be required to work at any site within the Health Board, including new sites.

Review

This job description will be regularly reviewed. It is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder.

The Health Board is fully committed to supporting employees to achieve an appropriate work life balance. We are continually developing ways in which to support greater flexibility. Job sharing and part-time working is already widespread throughout the organisation. Training and education are central to the function of the Health Board, forming a core element of the Clinical Governance Strategy.

Qualifications

Essential

• o4 years post-registration in full-time hospital service
• oMinimum two years experience in Dermatology or Skin Surgery
• oWillingness to undertake additional professional training

Desirable

• -Membership of the Royal College of Physicians
• -Diploma in dermatology

Clinical Experience

Essential

• -Minimum of 4 years clinical training in hospital posts at SHO level and above including adequate experience in the specialty
• -Ability to take full and independent responsibility for clinical care of patients.

Clinical Governance

Essential

• -Evidence of participation in clinical audit and understanding role of audit in improving medical practice
• -Comprehension of core philosophy and building blocks of Clinical Governance

Desirable

• Knowledge of risk management
• Knowledge of annual job planning/appraisal review process

Research

Essential

• -Demonstrate previous experience of research and audit
• -Experience and knowledge of critical appraisal of evidence so as to improve clinical outcomes.

Desirable

• Evidence of initiating, progressing and concluding research projects with publication
• -Publication in journals &presentations to learned societies.

Teaching

Essential

• -Experience of teaching basis clinical skills to undergraduates

Desirable

• -Experience of supervision FP1s and CT's/FP2s

Managment

Essential

• -Ability to act on results such as histories and other pathology results

Desirable

• -Evidence of audit management

Other Requirments

Essential

• -All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues
• -Satisfactory Immigration Status
• -Satisfactory Health Clearance
• -Satisfactory Declaration, Enhanced CRB Disclosure Check
• -Ability to fulfil all duties of post, including on-call commitments and travel to meet requirements of the post

Personal Qualities

Essential

• -Ability to work as part of a team
• -Good interpersonal skills
• -Ability to communicate effectively with patients, relatives, GPs, nurses and other health professionals
• -Commitment to continuing medical education

Desirable

• -Evidence of leadership attributes
• -Motivational skills
• -Enquiring, critical approach to work

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).