CARDIFF AND VALE UNIVERSITY HEALTH BOARD

Caring for People, Keeping People Well

SENIOR CLINICAL FELLOW In PRE-HOSPITAL EMERGENCY MEDICINE

And EMERGENCY MEDICINE

Job Description

Cardiff and Vale University Health Board is the operational name of Cardiff and Vale University Local Health Board. Bwrdd Iechyd Prifysgol Caerdydd a’r Fro yw enw gweithredol Bwrdd Iechyd Lleol Prifysgol Caerdydd a’r Fro.

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CARDIFF AND VALE UNIVERSITY HEALTH BOARD

POST: SENIOR CLINICAL FELLOW IN EMERGENCY MEDICINE AND COMMUNITY PRE-

HOSPITAL EMERGENCY MEDICINE (Speciality Registrar pay level)

We are delighted to offer for the first time 2 innovative posts at University Hospital Wales, Cardiff. These posts are aimed at strengthening the links between the Prehospital & Emergency Department, and in providing an enjoyable, CV-enhancing post which will attract high calibre candidates. UHW is the first major Trauma Centre (MTC) in Wales and will be providing full trauma services for South Wales. Together with our partner Welsh Ambulance Service (WAS) – The Welsh Enhanced Care Response Unit (WECRU) is an innovative idea pushing the concept of PHEM within the community – recently termed Community Emergency Medicine. International and national health policies advocate greater integration of emergency and community care. The WECRU will aim to responds to 999 calls ‘taking the Emergency Department to the patient’ within Cardiff. The WECRU model provides community emergency medical care and early patient contact with a senior clinical decision-maker. It engages with community providers in order to manage patients in the community. We believe the WECRU offers an effective model of community emergency medicine and helps to integrate local emergency and community providers. This model provides a unique opportunity for streamlining various acute clinical pathways and platform for individual quality improvement projects. The post offers an excellent opportunity to build portfolios and experience in PHEM. Completion of the post is expected to deliver competitiveness for recruitment into PHEM training programmes. The post would also be suitable for those wishing to take time out of programme (OOPE), although this must be discussed in detail with relevant current training programme directors. The post is based at UHW. The Consultant body has current FRCEM examiners and provides educational supervision to regional trainees. There will be a specifically-designed training and teaching package for all successful applicants and there will be a designated Consultant supervisor for the duration of the rotation. The Emergency Department at the UHW has a good reputation for teaching & training of all professional groups including junior doctors, emphasis is placed on extended consultant shop-floor presence & supervision. The department has strong links with Cardiff University and access to excellent post graduate training and support including simulation suites and library facilities. The post holder must be registered with GMC and hold a licence to practice.

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THE HEALTH BOARD Cardiff and Vale University Health Board was established in October 2009 and is one of

the largest NHS organisations in the UK. We have a responsibility for the promotion of health and well-being of around 472,400 people living in Cardiff and the Vale of Glamorgan, the provision of local primary care services, running of health centres, community health teams, hospitals – providing treatment and care when health and well-being isn’t the best it could be.

We are increasingly focussing the planning and delivery of our care based on

neighbourhoods and localities to help ensure people receive care as close to home as possible where it is safe and effective to do so. We also provide specialist services for people across South Wales and in some cases the whole of Wales.

The Health Board also serves a wider population of 2.5 million people across South and Mid Wales and manages a number of services of a regional and sub-regional nature namely cardiology, cardiac surgery, PICU, neurology, neurosurgery, ophthalmology, medical genetics, bone marrow transplantation, renal transplant and toxicology. On-site services include 24/7 PCI, stroke thrombolysis, maxillo-facial, trauma, general medicine, general surgery, urology and paediatrics.

Phase II of the Children’s Hospital for Wales was completed in 2015 and has seen re-

development and consolidation of all paediatric specialities into a dedicated Children’s hospital with five theatres, PICU, Medical and Surgical Wards OPD, Radiology and an admission and assessment unit.

We are also a teaching Health Board with close links to Cardiff University which boasts a

high profile teaching, research and development role within the UK and abroad; and enjoy strengthened links with the University of South Wales and Cardiff Metropolitan University. Together, we are training the next generation of clinical professionals.

1.1 Values & Behaviours

In 2012, Cardiff and Vale University Health Board undertook a listening exercise entitled ‘Picture the Future’ in which staff were invited to provide feedback about working within the Health Board. As a result of this feedback, a plan of action was devised - named ‘Organising for Excellence’ - which aims to secure the kind of future we want to offer to the people we serve.

‘Picture the Future’ also identified key Values and Behaviours which should underpin the work of its staff in order achieve success for the organisation. These can also be closely aligned with the principles of ‘Good Medical Practice’ standards as published by the General Medical Council.

Our Values

Care about the people we serve and the people we work with.

Act with kindness – because it costs nothing, and makes all the difference in the

world.

Show trust – because our staff have been trained to do their jobs and we work at

our best when we feel we are being trusted.

Take and expect personal responsibility – because everyone has a job to do and

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we are all responsible for doing our jobs as well as we can.

Be respectful – because this is what we want for ourselves.

Always act with integrity – because we build trust and respect if we keep our promises, do what we say we will do, and work as colleagues together.

Our Behaviours

How these values become part of our everyday behaviour:-

Being enthusiastic and taking responsibility for what we do.

Doing what we say we will do and being honest with ourselves and others

Treating people as we would like to be treated, and always with compassion

Thanking people, celebrating success and, when things go wrong, asking “what can we learn?”

Looking for feedback on how we’re doing and always striving for better ways of doing things

Never letting structures get in the way of doing the right thing

The Health Board needs to be sure that the staff they employ have values and behaviours that are aligned with those of the organisation thereby ensuring that appointees will be able to make an ongoing contribution to the positive culture of the organisation and meet the required standards of behaviour to patients, carers and the public and to one another.

It is therefore likely that interviewees will be asked questions which encourage them to talk about themselves and provide insight into their personal values and behaviours.

2. THE HEALTH BOARD STRUCTURE THE HEALTH BOARD STRUCTURE Medical Director (Responsible Officer): Dr Stuart Walker Medical & Dental services are delivered via 7 main Clinical Boards:- Medicine Surgery Specialist Services Clinical Diagnostics & Therapeutics Children & Women’s Services Primary, Community & Intermediate Care Mental Health This post sits within the Clinical Board for Medicine which includes the

Directorate of Emergency Medicine & Acute Medicine Clinical Board Head of Operations & Deliver: Geraldine Johnston Clinical Board Director: Dr Aled Roberts Clinical Director: Dr Katja Empson Directorate Manager: Sarah Follows

3. THE JOB ITSELF POST: CLINICAL FELLOW

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Base location: Emergency Unit, University Hospital of Wales

3.1 Responsible to:- Clinical Director – Emergency Medicine – Dr Katja Empson 3.2 Names of Consultant members of the Department with areas of interest Dr Syed Masud Emergency Medicine, Pre-hospital Emergency Medicine Clinical Lead for Welsh Enhanced Care Response Unit Dr Sue Allen Sepsis Lead, Stroke Lead Dr Munawar Al-Mudhaffer Education Governance (C+V Train the trainers), RCEM examiner Dr Tim Ayres Quality Improvement Lead, Ultrasound Lead Dr Farbod Babolhavaeji Quality Improvement, Health Pathways Dr Nikola Creasey Paediatric Emergency Medicine, Paediatric Clinical Lead, Compassion and Well Being Dr Clare Davies Mental health Lead Dr Sara Edwards Paediatric Emergency Medicine, Paeds Trauma Lead, CAMHS Dr David Hanna Paediatric Emergency Medicine, Quality and Safety Dr Lyndsey MacDonald College Tutor, CDU Lead, Regional LTFT lead. Dr Nick Manville R+D lead, Lead for Medical Informatics, M+M lead Dr Jeff Morgan Paediatric Emergency Medicine, Safeguarding, Research, Guidelines & Pathway Lead Dr Jo Mower Clinical Director National Programme for Unscheduled Care in Wales, Vice President of RCEM Wales, RCEM examiner Dr Hannah Murch Paediatric Emergency Medicine, Paeds Medical Education Lead Dr Elizabeth Murray Education, workforce Dr Krishna Nakirikanti Induction Lead, Audit Lead Dr Bethan Nicholas Undergraduate Education Lead, Special Interest in Medical Education, Regional Careers Lead Dr Melissa Rossiter Major Trauma Clinical Lead, Airway Lead Dr Zoe Roberts Paediatric Emergency Medicine, Child Health M+M Lead, Safety Lead

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Dr Nadia Spencer Paediatric Emergency Medicine, Educatio, Adolescent Dr Duncan Thomas Lead for Advance Nurse Practitioner Training, Lead for ACCS training Clinical Lead for Organ Donation In addition there are 2 WTE long term locum consultants

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3.2 Other Medical Staff in the Department Currently:- 5 ST4-6 Emergency Medicine Trainees 5 ST3 Emergency Medicine Trainees 1 ST6 Paediatric Emergency Medicine 5 CESR Clinical Fellows (ST3+ level) 4 Junior Clinical Fellows 2 ACCS 13 F2 / ST doctors 2 Academic F2 doctors 1 F1 doctor 16 Emergency Nurse Practitioners 6.4 Advanced Nurse Practitioners The review of services and the implementation of Government initiatives may result in revision to junior staffing levels and support. 3.3 Other Relevant Staff Mr Wayne Parsons Lead Nurse for Emergency and Acute Medicine Mrs Sarah Follows General Manager for Emergency and Acute Medicine There are at present 130 WTE nursing staff in the Emergency Unit at University Hospital of Wales including 16 Emergency Nurse Practitioners and 6.4 WTE Advanced Nurse Practitioners providing 24/7 cover. There are administrative and clerical staff within the Unit. The Emergency Unit has funding established for a WTE Consultant Nurse in Emergency Medicine, this post is currently vacant and we are actively seeking to recruit. 3.4 Secretarial Support and Accommodation There are currently 2.5 Secretaries in post and two Directorate Support. Office space is provided in the Directorate offices near the Emergency Unit. An expansion in secretarial support is imminent. 4.0 THE WORK OF THE DEPARTMENT

The Emergency Unit is the only one in Cardiff and serves a nominal catchment population of circa 470,000. Cardiff is the main teaching hospital of Cardiff University’s School of Medicine and by virtue of the various regional and supra-regional specialties, tends to attract patients from a much wider area. Reconfiguration of emergency services is being discussed in the South Wales Plan and separate to this are proposals for the development of a Major Trauma Centre in Wales. We are also developing a business case for a single point of access for all paediatric cases to the hospital. The Emergency Unit completed a major re-build of the adult areas resulting in a 7-bedded Resus area with separate areas for majors, ambulatory care, streaming, and a Clinical Decisions Unit in 2014. Minors is a primarily 24/7 ENP-led minor injuries area within the Emergency Unit and we are developing a 24/7 ANP service. There is a separate paediatric area with 36,000 attendances per annum and it is envisaged this will undergo a major refurbishment into a combined GP / Emergency Assessment Unit. This

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is open 24 hours a day and is staffed by trained paediatric nursing staff including paediatric ENP’s. The Paediatric Emergency Department is co-located next door to the main Emergency Unit with a shared reception area. The Paediatric unit comprises a separate waiting area, 5 trolley spaces, an adolescent room, a minor injuries room with 3 further trollies and a dedicated resus bay located within the adult resuscitation area.

The Emergency Unit has been at the forefront of service innovation and working within

the unit there are minor injury co-ordinators, extended scope physiotherapy practitioners with specialist acute knee and acute shoulder expertise and urgent physiotherapy follow-up. There is a general physiotherapist in the unit and support on a regular basis from Age Concern. In addition, staff include Domestic Violence Nurse, Child Protection Nurse and Children’s Play Therapist. There are outreach teams with an acute response team and an emergency care access scheme.

There is close involvement in the Cardiff Anti-Violence Group, working collaboratively to reduce assaults within the catchment area. Recently, setting up the Alcohol Treatment Centre in town has been shown to reduce patients with acute alcohol intoxication attending the Unit – instead receiving their treatment in town.

There is close liaison with Paediatrics, PICU, Trauma & Orthopaedics, Paediatric

specialities and Toxicology.

There is a PACS system in use throughout the hospital. An Emergency Unit work station (patient information and tracking system) is also in place.

We have close affiliations with Cardiff University’s School of Medicine and are committed to providing teaching to undergraduate students. To this end there are also resources available to support teaching using simulation and a wide range of clinical teaching tools.

All consultants and current middle grade doctors support teaching and provide clinical support on the shop floor. There is also good provision for training towards professional examinations and support in career development. The Emergency Unit provides a Consultant lead emergency Services between the hours of 08:00 and 22:00 on weekdays and extended hours of the weekend, outside these hours consultants are on-call from home. There is support from the trauma team, radiology and adult and paediatric intensivists.

5. DUTIES OF THE POST 5.1 Administrative responsibilities

5.1.1 You will be responsible for undertaking the administrative duties associated with the care

of patients and the administration of the department in the UHB. 5.1.2 You will be required to comply with the appropriate Health and Safety Policies. 5.1.3 Travel as necessary between UHW and Barry Minor Injuries Unit may occasionally be

required. A planned and cost effective approach will be expected. 5.1.4 You may have some input into the postgraduate and undergraduate teaching. 5.2 Research

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Excellent opportunities are available to pursue research, both those currently being undertaken in the Department and those of interest to the individual.

5.3 Clinical

5.3.1 You will provide a service in the speciality to the hospitals so designated, with

responsibility for the prevention, diagnosis and treatment of accidents and acute emergencies.

5.3.2 You will have responsibility for the care of patients in your charge and for the proper

functioning of the department in line with the Department’s Operational Policy. 5.3.3 You will be responsible for the professional supervision and management of junior

medical staff. 5.3.4 You will be required to participate in continuing medical education 5.3.5 You will be required to participate in and contribute to Clinical Audit in line with the

UHB’s policy on the implementation of Clinical Governance. 5.3.6 The successful candidate will participate in a rota together with their other colleagues to

ensure cover of the Emergency Unit at the University Hospital of Wales and Minor Injuries Unit.

6. WORKING PATTERN INCLUDING OUT-OF HOURS COMMITMENT 6.1 Job Plan 6.1.1 This post will be split into 70% time in the Emergency Unit as part of a team middle

grade doctors supporting a 24 hour shop-floor rota. Details of the working pattern of this post will be provided prior to taking up the appointment.

6.1.2 The remaining 30% of time with be spent working on the PHEM unit of WECRU. This

component of the job will require training in PHEM including simulation training. 6.1.3 Rota planning is supported by electronic rostering; Healthrota. This enables improved

forward planning, electronic requesting and to a certain extent self rostering. 6.1.4 Medical posts within the Department are compliant with the New Deal and the European Working Time Directive. 6.1.5 The UHB is contractually obliged to monitor junior doctors’ New Deal compliance and

the application of the banding system, through robust local monitoring arrangements supported by national guidance. You are contractually obliged to co-operate with those monitoring arrangements.

7. 1 TEACHING

The successful applicant will be expected to partake in the teaching commitments of the Emergency Unit, including teaching of undergraduates, nursing staff and postgraduate trainees. There is dedicated formal junior doctor teaching every Wednesday and informally on a daily basis. Cardiff Medical school has a new curriculum, C21 which is

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currently being rolled out. Emergency Medicine doctors are encouraged and supported to provide an active role in teaching at all levels. The successful applicant will also be able to attend a number of teaching opportunities aimed at their level of experience and to cover the specific pre hospital components of this role. This includes but is not limited to regular simulation training, journal club, exam preparation, case reviews and lectures. The post holder will be able to apply for study budget to attend regional and national events.

7.2 QUALITY IMPROVEMENT

The UHB is passionate about providing high quality and safe care to all of patients. An out of programme fellow will work closely with senior management to initiate and provide input for a range of strategic projects, for example, service delivery, expansion and redesign. At the heart of all these projects are patient safety and the delivery of high quality effective care that ensures the patient is treated in the right place at the right time. The UHB also participates in a number of National Quality and Safety initiatives such as 1000lives plus, links for projects and support could be made with existing networks.

7.3 LEADERSHIP AND MANAGEMNT

The UHB is looking to develop clinical leaders and managers in order to help develop the Medicine Clinical Board. The Fellow could be (if interested) enrolled on to the UHB’s Silver Practitioner IQT Programme which would provide a very good grounding in improvement methodology. Once enrolled programme requires candidates to develop, design and deliver a test of change with support from a coach within the Continuous Service Improvement Team.

8. CONTINUING EDUCATION

Access is available to the Medical Library at Cardiff University which provides excellent facilities.

9. FACILITIES FOR STUDY LEAVE

9.1 There is a Consultant led departmental teaching programme held weekly 9.2 Study leave may be granted for education purposes to attend courses at the discretion

of the Clinical Director, provided the clinical service is covered and must be planned well in advance. At least six weeks notice is required. Study Leave Approval Form must be completed and authorised by Consultant and Clinical Director.

9.3 Postgraduate Training - This post does not attract postgraduate financial support. 10. MAIN CONDITIONS OF SERVICE

10.1 This post is covered by the terms and conditions of service, including pay, which apply to

medical and dental staff employed in Wales as amended form time to time. Details of these may be obtained from the Medical Workforce Department.

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10.2 The normal working pattern week is 40 hours.

a) The Specialist Registrar salary scale will apply to this post. b) The appointment is designated as non-resident but you are required to remain on the premises during your rostered working hours. c) The appointee accepts that he will also perform duties in occasional emergencies

and unforeseen circumstances at the request of the appropriate Consultant, in consultation with his colleagues both junior and senior.

10.3 Applications for annual leave must be submitted in writing to the rota co-ordinator at

least eight weeks before leave is taken. It must also be requested having first taken into account your colleagues leave so as to enable adequate clinical cover to be maintained.

11. JOB LIMITATION

At no time should you work at a level exceeding your competence. All medical staff therefore have a responsibility to inform those supervising their duties if they have any concerns regarding this or if they feel that they are not competent to perform a particular duty. 12. CONDITIONS OF APPOINTMENT

12.1 The completion of a satisfactory health declaration questionnaire and screening is a

condition of the appointment. The postholder must comply with the UK Health Department guidance on "Protecting Health Care Workers and Patients from Hepatitis B" (PSM(93)12) as implemented by the ULHB.

12.2 Because of the nature of the work of this post it is exempt from the provision of Section 4

(2) of the Rehabilitation of the Offenders Act 1974 (Exemption Order 1975). Applicants are therefore not entitled to withhold information about convictions of the Act. In the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action. Any information given will be completely confidential and will be, considered only in relation to an application to which the order applies.'

12.3 You must hold current registration with the General Medical Council with a licence to

practise throughout the duration of this contract. 12.4 You are normally covered by the NHS Hospital and Community Health Services

indemnity against claims of medical negligence. However, in certain circumstances (e.g. in service for which you receive a separate fee or in an emergency situation outside of work) you may not be covered by the indemnity. The Health Departments, therefore, strongly advise that you maintain membership of your medical defence organisation.

13. DISCLOSURE OF CRIMINAL BACKGROUND OF THOSE WITH ACCESS TO PATIENTS

It is the policy of the Health Board that in accordance with the appropriate legislation, pre-employment Disclosure Checks are undertaken on all newly appointed Doctors and Dentists. The Disclosure & Barring Service is authorised to disclose in confidence to the

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Health Board details of any criminal record including unspent and spent convictions, cautions, reprimands and final warnings. Applicants being considered for this post must provide this information on the application form before they can be considered. Any information disclosed will be treated in the strictest confidence and all circumstances will be taken into account before any decision is reached. The successful applicant will be required to complete a DBS Disclosure Check application form and to provide the appropriate documentation. Applicants should be aware that a refusal to comply with this procedure may prevent further consideration for the post.

14. THE IONISING RADIATION (MEDICAL EXPOSURE) REGULATIONS 2000

The Ionising Radiation (Medical Exposure) Regulations 2000 impose a legal responsibility on Health Boards for all staff who refer patients for medical radiation exposures such as diagnostic x-rays to supply sufficient data to enable those considering the request to decide whether the procedure is justified.

15. NO SMOKING POLICY

Cardiff and Vale University Local Health Board operates a No Smoking Policy within the UHB.

16. REMOVAL EXPENSES Reimbursement of removal and associated expenses will only be offered in exceptional

circumstances following consideration and agreement by the Medical Director and in accordance with the UHB policy for doctors in the training grades.

17. MONITORING

The UHB is contractually obliged to monitor junior doctors’ New Deal compliance and the application of the banding system, through robust local monitoring arrangements supported by national guidance. You are contractually obliged to co-operate with those monitoring arrangements.

18. APPRAISAL / REVALIDATION

All licensed doctors / dentists who are registered with the General Medical Council are

required to ‘revalidate’ every five years in order to maintain their licence to practise. To inform this process, it is important that GMC licensed doctors / dentists participate in the UHB’s annual appraisal reviews which are based on the General Medical Council’s ‘Good Medical Practice’ principles and include a Patient and Peer Multi-Source Feedback process. The post holder will be expected to use the Medical Appraisal & Revalidation System (MARS) where applicable.

19. OTHER FACILITIES

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19.1 Cardiff, the City and the Capital of Wales, has a typical air of a cosmopolitan city, being

the administrative, business, cultural and education centre for Wales. Cardiff has much to offer, modern shopping centres, Edwardian arcades with exclusive boutiques and a large indoor market.

19.2 Cardiff Castle sits in the middle of the city along with impressive buildings such as the

City Hall and the National Museum of Wales. For entertainment, Cardiff has many venues – Wales Millennium Centre and St David's Hall for world class concerts, the New Theatre and Sherman Theatre, large cinema complexes as well as Chapter Arts Centre.

19.3 The city also contains the Welsh National Ice Rink, National Sports Centre, Millennium

Rugby Stadium and two sailing clubs. The development of some 2,700 acres of Cardiff Bay has created a 500 acre lake, 8 miles of waterfront and a new commercial and leisure environment. The Vale of Glamorgan stretches to the coast and is dotted with small country villages. Situated in the Vale are the picturesque beaches of Southerndown and Llantwit Major. Within an hour from Cardiff is varied countryside - the Brecon Beacons and the Wye Valley.

19.4 Night Life - Restaurants in Cardiff are excellent and there is a wide choice of nightclubs, discos, a jazz centre and bars. 19.5 Clubs - All staff within the ULHB are eligible for membership of the University of Wales

Hospital Sports and Social Club which includes facilities for squash, badminton, swimming etc, a sauna and jacuzzi together with a large social club.

19.6 Car Parking - There are parking facilities at UHW and Barry Minor Injuries Unit. A charge

is applicable at UHW and a parking permit may be requested. Issue of a parking permit will be dependent on your circumstances

19.7 Shopping - Adequate shopping facilities within a convenient distance of all Hospitals. 19.8 Transport - All Hospitals are on regular bus routes with rail stations nearby. 20. DATE POST IS VACANT This post is available to commence immediately. Clinical Fellow appointments are not educationally approved for training purposes and

do not therefore attract a National Training Number. Posts do however offer the post holder excellent specialty experience within a university teaching hospital setting.

In accordance with Health Board principles regarding Clinical Fellow appointments,

posts are offered for a period of 12 months in the first instance but may be extendable up to a maximum of 24 months by mutual agreement.

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21. DETAILS OF ARRANGEMENTS FOR APPLICANTS VISITING THE HOSPITAL

Candidates wishing to visit the hospital or to discuss the detail of these posts further can make arrangements by contacting:

Syed Masud WECRU Clinical Lead, Consultant in PHEM, PEM and EM Katja Empson Clinical Director/Emergency Medicine Consultant 029 2074 8004

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CARDIFF AND VALE UNIVERSITY LOCAL HEALTH BOARD

Person Specification Form

GRADE: WECRU Clinical Fellow SPECIALTY: Pre-Hospital and Emergency Medicine HOSPITAL: University Hospital of Wales

REQUIREMENTS ESSENTIAL DESIRABLE 1) QUALIFICATIONS MBBS or equivalent

Current GMC certificate with licence to practise Life Support provider status on ALS, APLS or ATLS/ETC

MCEM Intercalated Degree MSc or PHD Academic Excellence (Prizes, merits, distinctions etc.,) Instructor status in Life support Courses

2) PREVIOUS EXPERIENCE 12 months experience of working in Emergency Medicine in the UK as a middle grade (i.e. able to lead a department at night with remote supervision). 4 years of post graduate experience in specialities relevant to emergency medicine

Some experience in Pre-Hospital Emergency Medicine, paediatrics, intensive care, anaesthesia, acute medicine.

3) SKILLS, KNOWLEDGE , ABILITIES Demonstrable skills in written and spoken English adequate to enable effective communication about medical and legal topics with patients and colleagues Special interest or previous experience in medicolegal medicine. Up to date with current medical practices Evidence of recent quality improvement projects or audit.

Evidence of Teaching experience

4) ATTIDUDE, APTITUDES PERSONAL CHARACTERISTICS

Motivated and efficient Able to relate to patients, staff and medical colleagues Flexible, caring and hardworking Ability to work as part of a team

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5) ADDITIONAL CLINICAL EXPERIENCE

USS

6) SPECIAL INTERESTS

Teaching Service Improvement Programme

7) OTHER REQUIREMENTS e.g. On-call duty

Satisfactory immigration status for length of contract Satisfactory Health Clearance Satisfactory DBS Clearance