Job responsibilities
Our
vision is based on The Leeds Way, which is a clear statement of who we are and
what we believe, founded on values of working that were put forward by our own
staff. Our values are to be:
Patient-centred
Fair
Collaborative
Accountable
Empowered
We
believe that by being true to these values, we will consistently achieve and continuously
improve our results in relation to our goals, which are to be:
1. The best for patient safety, quality
and experience2. The best place to work
3. A centre of excellence for specialist
services, education, research and innovation
4. Hospitals that offer seamless,
integrated care
5. Financially sustainable
Leeds
Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute
Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West
Yorkshire and Harrogate working together to provide the best possible care for
our patients.
By
bringing together the wide range of skills and expertise across West Yorkshire
and Harrogate we are working differently, innovating and driving forward change
to deliver the highest quality care. By
working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a
part of that change.
WYAAT
is the acute sector arm of the West Yorkshire and Harrogate Health and Care
Partnership, one of the largest integrated care systems in the country. The
Partnerships ambition is for everyone to have the best possible health and
wellbeing, and the work of WYAAT, and each individual trust, supports that
ambition.
2. OBJECTIVES OF THE POST
1. To work with trainees and Consultant
colleagues in the provision of a comprehensive
anaesthetic service in the Leeds Teaching
Hospitals NHS Trust.
2. To develop and/or consolidate expertise
in anaesthesia.
3. To maintain and expand the excellence
of teaching and research already established
within the Trust.
4. To develop services for the specialty,
taking account of the changes in clinical practice and
new technologies available.
5. To participate in and progress Clinical
Governance.
3. REQUIREMENTS OF THE POST
3.2 Quality
The
Trust has a programme of activities that are designed to help Specialists
improve the quality of the service they offer.
This includes a range of activities shown below as examples not all
activities can be undertaken every year!
Specialists are expected to routinely engage in relevant activities in
their specialty that are focussed on quality improvement. This participation should be reflected at
annual appraisal and job planning and will be discussed in specialties as part
of clinical governance programmes and meetings.
Clinical
Audit and standard setting
Clinical audit projects
Development and application of agreed
clinical guidelines
Ensuring compliance against relevant
national specifications, e.g. NICE guidelines
External Peer review and relevant
national audits
Implement improvements identified in
GIRFT reviews
Clinical
outcome review
Mortality and morbidity reviews
Structured Judgement Reviews
Monitoring of outcomes reflected in
routinely collected data
Participation in clinical coding
review and improvement
Improving
patient safety
Participation in Trust-wide
programmes, including mandatory learning
Respond to national patient safety
alerts
Implementation of local improvements,
including actions from serious incident investigation reports, following
clinical review
Promptly record patient safety
incidents on Datix and immediately escalate potential serious incidents to the
CSU management team
Ensure Duty of Candour requirements
are met
Improving
service effectiveness and efficiency
Service or system improvement
projects, including small scale change, lean or other recognised improvement
methods
Conducting or considering reviews of
the evidence to plan better service delivery
Where agreed, working with commissioners
to match service delivery with requirements of relevant populationsImproving
the patient experience
Implementing service improvements
based on individual or service feedback from patients or carers
Raising the profile and impact of
patient participation in decisions about their own care
Involvement in understanding and
improving the ethical basis of care provided, utilising where necessary the
trusts clinical ethics committee
Respond to complaints in a timely and
open manner and ensure lessons are learned for future patient care
3.3 Research
The
Trusts Research Strategy encourages all clinicians to participate in high
quality, nationally recognised clinical research trials and other well-designed
studies, with a particular emphasis on work supported by the National Institute
for Health Research. The Trust has several major programmes in experimental
medicine and applied health research, developed in partnership with the
University of Leeds, which reflect strengths described in the Strategy and
clinicians are encouraged to participate in these programmes.
The
Trust also supports bespoke academic development and participation programmes
linked to the Research Strategy, including academic mentoring, and embedding of
clinicians within the major research programmes.
Sessional
time required for any participation in research activity will be agreed on
commencement and kept under review, but not all consultants will require such
sessional time.
3.4 Teaching
The
Trust is a Teaching Hospital and therefore considers the active participation
of specialists and other medical staff in teaching and training to be part of
our core activities. Not all specialists
will have regular and substantial teaching commitments, but all will be
involved in related activities from time to time, if only through informal
opportunities, for example as part of service quality improvement (see above).
It is therefore expected that all specialists will be familiar with the
principles of effective teaching and will enable the service and colleagues to
fulfil their obligations to learn and teach about effective care.
The
remainder of this section concentrates on teaching and training for medical
colleagues, but the Trust actively supports and encourages medical staff to
participate in and deliver teaching and training to any colleagues, within and
outside of the Trust, where this is agreed as an appropriate time commitment.
Undergraduate
medical teaching
The
Trust actively promotes links with the University of Leeds, School of Medicine
for teaching medical undergraduates and all clinical medical staff are required
to participate to the level agreed within their service.
Where
it is agreed by the Clinical Director that the postholder will be significantly
involved in delivering undergraduate medical teaching, the following
requirements have been agreed with School of Medicine, University of Leeds.
Postgraduate
medical teaching
As
with undergraduate teaching, specialists are expected to contribute to overall
programmes of postgraduate teaching in their service. Where there is a lead or
significant role agreed as part of the specialists job plan, the following
expectations apply:
Specialists
will be expected to act as a clinical supervisor for any or specified junior
doctors working with them. All Specialists must undergo clinical/educational
supervisor training. Training is envisaged as needing renewal every 5 years.
Specialists
may take up specific educational roles in the speciality which includes
educational supervisor. The core 1.5
SPA includes 0.25 SPA for educational supervision of 2 trainees. If the
Specialist is not an educational supervisor, then alternative activities (e.g.
specialty audit lead etc.) should be substituted instead.
If
the Specialists have a role in either under- or post-graduate medical
education, the GMC expects that evidence of the quality of this education is
presented at annual appraisals.
3.5 Continuing Professional Development (CPD)
In
the discharge of their responsibilities, the specialist in anaesthesia will be
expected to maintain and update their skills and knowledge through appropriate
continuing professional development.
The
Trust fully supports the requirement for CPD by the relevant Royal College and
the GMC. This essential component of a
specialist in anaesthesia professional activities will be reviewed during the
appraisal process. Time and financial support for these activities will be
allowed in accordance with the Trust policy.
Leadership
All
Specialists in anaesthesia are senior members of the Trusts staff and are
therefore seen by colleagues as leaders. Specialists in anaesthesia are
expected to make allowance for this, given that the most powerful leadership
influence they exert is the example they set.
In
addition, the Trust places great emphasis on the role of doctors in leading
service improvement and change, both in their normal daily role of delivering
care and in relation to specific issues.
It is expected that a Specialist in anaesthesia will lead on specific
areas of priority for their service from time to time, as part of their
duties. Such departmental or Specialty
leadership roles would be agreed, for example, in respect of leading or
co-ordinating:
clinical governance
quality improvement
appraisal
research
teaching
The
Trust supports these activities as part of the normal job plan commitments of
any Specialist in anaesthesia. On appointment, all Specialists will be encouraged
to participate in the activities established by the Trust to support doctors in
their new role, a mentor will be assigned.
JOB
PLAN AND WORKING ARRANGEMENTS - 10 PAsThe
job plan review will take place annually, normally with the Lead Clinician / Clinical
Director. Any job plan review may result
in a revised prospective job plan where duties, responsibilities,
accountability arrangements or objectives have changed or need to change
significantly within the area..
Please see enclosed JD for details.
