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APPLICATION PACK FOR

HONORARY PROFESSOR OF MEDICINE


&
CONSULTANT IN ACUTE & GENERAL MEDICINE

UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST &


UNIVERSITY OF LEICESTER
CONTENTS

PAGE
NO.

SECTION 1 ABOUT UHL NHS TRUST


3

SECTION 2 UNIVERSITY OF LEICESTER, LEICESTER


MEDICAL SCHOOL & LEICESTERSHIRE
ACADEMIC HEALTH PARTNERS (LAHP) 4

SECTION 3 LEICESTER, LEICESTERSHIRE & RUTLAND


9

SECTION 4 DEPARTMENT INFORMATION & RESEARCH


COLLABORATIONS 10

SECTION 5 JOB DESCRIPTION (INCLUDING JOB PLAN)


16

SECTION 5A ENQUIRIES & VISITS 25

SECTION 5B JOB DESCRIPTION: GENERAL POLICIES, 26


PROCEDURES & PRACTICES
28
SECTION 6 PERSON SPECIFICATION

SECTION 7 PRE-EMPLOYMENT / ON-GOING EMPLOYMENT


CHECKS 30

SECTION 8 CONDITIONS OF SERVICE 33

SECTION 9 RECRUITMENT SERVICES CONTACT


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INFORMATION

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SECTION 1: ABOUT UHL NHS TRUST

We are one of the largest and busiest acute teaching Trusts in England with a team of
approximately 15,000 dedicated employees.

Our patients are the most important thing to us and we are constantly striving to improve the
care they receive, through looking at the ways we work, ensuring our staff are highly trained
and encouraging research which allows us to offer our patients the latest technologies,
techniques and medicines.

We serve the one million residents of Leicester, Leicestershire and Rutland – and
increasingly specialist services over a much wider area.

Spread over the General, Glenfield and Royal Infirmary hospitals, we work closely with
partners at the University of Leicester and De Montfort University, providing world-class
teaching to nurture and develop the next generation of doctors, nurses and other healthcare
professionals, many of whom go on to spend their working lives with us.

Wherever employees work at whatever level, they are valued and contribute to the Trust’s
purpose of delivering ‘caring at its best’.

Our Trust Values are:


1. We treat people how we would like to be treated
2. We do what we say we are going to do
3. We focus on what matters most
4. We are one team and we are best when we work together
5. We are passionate and creative in our work

At UHL NHS Trust we:


 Have a mentorship scheme for all new Consultant staff, this is designed to help and
assist new appointees to settle into working at UHL as easily as possible. It is
designed to assist individuals in a personal way to familiarise them with the Trust and
how things work in practice.
 Fully involve our staff in both local and Trust-wide decision making.
 Support our employees’ health and wellbeing.
 Truly embrace diversity, individuality, new ideas and staff innovations.
 Offer learning and development opportunities and career paths for real job
satisfaction and personal progress.
 Offer a number of staff benefits that can save staff money.

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SECTION 2: ABOUT THE UNIVERSITY OF LEICESTER
The University of Leicester, College of Life Sciences
http://www2.le.ac.uk/colleges/medbiopsych

Pro-Vice-Chancellor, Head of College & Dean of Medicine: Professor Philip Baker BM


BS, DM, FMedSci

Based in some of the newest purpose-built and modern facilities in the UK, the College offers
a wide range of courses and education in the areas of laboratory, clinical, and population
health through the provision of innovative education and globally recognised research.

Since it was founded in 2009, the College has created the academic and physical
environment to enable scientists and clinicians to work together across traditional boundaries
to address some of the key outstanding questions in biomedical research, and to engage
with increasing effectiveness with commercial and public bodies. We are a thriving
community of academic expertise based in laboratory, clinical, health and social science
settings.

The high calibre of our academic endeavour is increasingly being recognised. For example
in the 2018 Shanghai International ranking, Leicester was ranked 34 (of almost 3,000
medical schools); Leicester was 6th in the UK (the highest rank for clinical medicine outside
of the Golden Triangle).
The college comprises of four teaching schools and six research departments:

• Leicester Medical School


• School of Biological Sciences
• School of Psychology
• School of Allied Health Professions

• Cardiovascular Sciences
• Genetics and Genome Biology which hosts the Leicester Cancer Research Centre
• Health Sciences which host the Diabetes Research Centre
• Respiratory Sciences
• Molecular and Cell Biology
• Neuroscience, Psychology and Behaviour

The George Davies Centre is the largest investment in medical teaching and applied
research by a UK university in the last decade. When you add to this the friendliness and
resources of the University and the city’s excellent facilities, you will understand why we
attract leading scientists here – not to mention some of the most promising students from the
UK and around the world.

College Research Priorities

In 2015 the University launched its new institutional research strategy emphasizing our
commitment to outstanding research that informs and enhances our teaching and learning,
and is underpinned by the core values of excellence, rigour, originality and integrity. A key
part of this strategy was the establishment of a small number of flagship interdisciplinary
Research Institutes, Centres and Networks. We are proud to host a number of these within
our College around which much of our research is now focused.

4
These include the Leicester Institute of Structural and Chemical Biology, the Leicester
Precision Medicine Institute, Centre for Black and Minority Ethnic Health, and Centre for
Environment, Health and Sustainability. In the wider University are the Institute for Advanced
Studies https://www2.le.ac.uk/institution/lias (or see further down), and CAMEo the Research
Institute for Cultural and Media Economies https://www2.le.ac.uk/institutes/cameo/about-
cameo.

The College’s central provision in support of research and teaching includes a Core
Biotechnology Service (covering bioinformatics, imaging technologies and protein and DNA
facilities); a Central Technical Service (supporting teaching laboratories); a Clinical Trials
Unit, and the Leicester Drug Discovery and Diagnostics Centre

With renewed energy and focus, our College doubled its annual research awards in 2016/17,
and research income has been sustained at these levels since. This step-change in activity
has been maintained as a result of the dual approach of encouraging individuals to win
project grants and personal fellowships, and supporting teams to achieve major awards with
large strategic initiatives. Examples of Leicester’s success include the award of an NIHR
Biomedical Research Centre in partnership with the University Hospitals of Leicester (UHL)
NHS Trust, an MRC funded Midlands Cryo-Electron Microscope Facility, the Midlands Health
Data Research UK Substantive Site, and a Wellcome Trust Institutional Strategic Support
Fund.

We are responding to the rapidly changing national and international research landscape that
places an increasing emphasis on interdisciplinary and impactful research. For this purpose,
we are working closely with our key NHS partners, UHL and the Leicester Partnership Trust,
and growing our industrial engagement with biotech companies and pharma to meet the
goals of the Government’s Industrial Strategy and Life Science Sector Deal. This includes
major investment in the Charnwood Life Sciences Opportunity Zone, where we will establish
a Living Laboratory to showcase the healthcare research of the University and a bio-
incubator space for new start-ups and grow-on companies. In addition, we are building
exciting research programmes with partners in overseas countries through the Global
Challenges Research Fund. We are also very conscious of the need to play to our
institutional and regional strengths, and are engaging closely with Leicester City and County
Councils, and the Midlands Health Innovation network of regional Universities.

Transformative and Innovative Teaching

Teaching across the College of Life Sciences is research-led. Our ambition is to deliver a
world-class, discovery-led and discovery-enabling learning experience in all teaching
programmes to produce high quality, resourceful, independent and resilient graduates. There
are programmes in Medicine and a growing range of allied health professions including
Midwifery with Leadership and Nursing with Leadership.

In addition there is a broad range of programmes in Biological Sciences and Psychology at


both undergraduate and postgraduate levels, currently including the DClinPsych. A new suite
of postgraduate programmes reflecting the areas of research excellence in the College is
under development including strengths in epidemiology and social sciences in medicine.

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Education and Training at Leicester Medical School https://le.ac.uk/medicine

Head of Leicester Medical School: Professor Richard Holland

A new patient-centred, apprenticeship-based programme in Medicine was launched in 2016.


Our course is growing, having expanded from an intake of 240 students in 2016 to 290
students in 2019. We are currently achieving high levels of student satisfaction with high
quality placements in Leicester and our partner Trusts and GP academies. In the National
Student Survey (2019) our students rated their overall satisfaction as 92% which places us
within the top third of UK medical schools. Details of the new curriculum are available on the
Medical School web site:
http://www2.le.ac.uk/departments/medicine/curriculum-redesign-project.

Overarching aims and outcomes of our UG medical course


The broad aim of our new curriculum is that our graduates should have the clinical
competence to work as FY1 Doctors whilst being genuinely compassionate.
Phase 1
Our course is made up of two phases. Phase 1 (years 1-2) is based at our state of the art
building – the George Davies Centre, where students learn underpinning medical sciences to
prepare them for their clinical practice. Students undertake significant amounts of group
work (generally daily), allowing them to consolidate their lectures. We also have a very large
dissection room, where students undertake guided, clinically orientated, whole-body
dissection. Throughout this phase, students complete our new Compassionate, Holistic,
Diagnostic, Detective course, where they learn the central importance of good consultation
skills, and begin to learn how to examine patients and make diagnoses.
Phase 2: philosophy and apprenticeship Model
In Phase 2 our students are expected to take a greater role in their “self-directed learning”.
When on clinical placements students are expected to be fully integrated into teams on the
wards. They are expected to work alongside the medical and nursing staff, developing
insights into medicine and surgical services, and the skills needed to function as a competent
FY1 doctor of the future. Structured teaching in the form of traditional lectures is rarer,
replaced by patient centred learning in small groups, bedside teaching or teaching clinics.
Our new curriculum has a number of key aspects to support student learning:
 Longer, more generalist, placements in Year 3: these are focussed on students
gaining core competencies so that they can take a history, perform an examination and
initiate a problem-solving process for common presentations. The 12-week blocks*
provide a real opportunity to get to know doctors and other healthcare workers, thus
providing better supervision and feedback.

 Focussed specialist placements in Year 4: the teaching is more modular and designed
to give key skills and breadth of understanding of the wider curriculum, including
psychiatry, paediatrics, O&G, cancer care and two new blocks:

o Neurology and Special Senses: Clinical neurology is often seen as very


complex, so this provides an opportunity for understanding the key concepts,
including stroke medicine, whilst also providing dedicated time for teaching
ophthalmology, ENT and dermatology.

o Integrated care: This is unique to Leicester. It is a community-based placement


led by GPs and Hospital-based Care of the Elderly physicians. It allows students
to learn about how primary, community, secondary care and social services are
delivered and work together with voluntary organisations to care for patients. It
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further develops students’ ability to assess and manage patients with complex
needs and multi-co-morbidities holistically as part of the MDT.

 A greater experience of Primary Care: This has been fundamental to our re-design and
reflects UK government priorities and our own belief in supporting students’ holistic and
generalist learning. We consider that a thorough experience in primary care will allow our
students to develop the broad knowledge and skills all doctors need. Across their early
introduction during phase 1, their third year primary care block and the final year primary
care assistantship, students now spend over 24 weeks in primary care (i.e. approximately
¼ of their placement time).

 Final Year Foundation Assistantships: these are a large component of the redesign,
reflecting our aim to ensure our students graduate extremely well prepared for their FY1
posts. These include:
o An Emergency Medicine placement
o Two hospital-based placements (medicine and surgery)
o A GP placement
o A post-Finals student-selected placement
o A post-Finals medical elective

These 5-6 week placements are designed to provide a very broad experience from
emergency admissions and ward-based based working to community placements. This
reflects placements provided to Foundation Doctors. The student-selected component
provides a range of opportunities for ‘career tasters’.
Our course also excels in widening participation (WP) – with a high quality Foundation
course (year 0, for up to 35 students) which leads in to our five year course, for those from a
WP background.

Leicestershire Academic Health Partners (LAHP)

Director: Professor Nigel Brunskill

The University of Leicester (UoL), the University Hospitals of Leicester NHS Trust (UHL) and
the Leicestershire Partnership Trust (LPT) have established the Leicestershire Academic
Health Partners (LAHP) to harmonise activities of mutual interest in key areas.

The opportunities for Leicester, Leicestershire and Rutland (LLR) are immense particularly
around our world leading clinical areas of strength and underpinning infrastructure. The aim
is to enable us to develop programmes of health and social care research which have real
impact on the lives of people who live in Leicester, Leicestershire and Rutland, in the UK and
globally.

The overarching vision for LAHP is to create an integrated partnership to harness academic
excellence in an environment that facilitates the performance and implementation of
excellent research to improve healthcare for the people of Leicester, Leicestershire and
Rutland delivered by a highly trained workforce.

In short, the partnership will aim to:


 embed key research findings rapidly into clinical care

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 provide a platform for our three organisations to work with the Academic Health
Sciences Network (AHSN) and industry to speed up the introduction of innovative
products and services into the local NHS system
 act as a focal point to showcase our world-leading clinical research, clinical services
and teaching to external audiences, such as future students and employees, policy
makers, funders and investors.

Some of the key priorities for the LAHP include:


 Harnessing the power of “big data” to improve healthcare and support research
 Creating a co-ordinated approach to frailty and multi-morbidity
 Supporting the study of diversity in healthcare
 Enabling the implementation of evidence-based quality improvement (QI) in
healthcare

Professor Brunskill is also currently Director of Research and Innovation at UHL and Clinical
Research Lead in the College of Life Sciences at the University of Leicester.

Honorary Titles
Major contributions made by consultant colleagues to the academic mission at the University
through research, teaching and education, clinical leadership, enterprise and innovation are
recognised by the award of a range of honorary titles from Honorary Fellow through to
Honorary Professor. We anticipate that the postholder will be awarded an Honorary
Professorship.

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SECTION 3: LEICESTER, LEICESTERSHIRE AND RUTLAND,
A GREAT PLACE TO LIVE AND WORK

Leicester, Leicestershire and Rutland are vibrant, diverse and welcoming places to live, from
the modern, bustling city to ‘picture postcard’ villages.

Leicester is home to over 100 shops including a flagship John Lewis and big name
designers. St Martin’s Square and a number of arcades house a range of independent and
regional retailers and the famous city centre covered market is the largest in Europe. The
Golden Mile on Belgrave Road has the largest concentration of Indian jewellery shops
outside India.

The city offers an amazing chance to join many different cultural celebrations, including the
UK’s largest celebration of Diwali and biggest Caribbean Carnival.

You can take your taste buds on a gastronomic journey around Leicester, Leicestershire and
Rutland with award-winning chefs, city restaurants, rural country pubs, contemporary gastro
pubs and country tea rooms. The nightlife and entertainment scene also includes:

 A fantastic range of clubs, pubs and bars


 The O2 Academy and De Montfort Hall bringing in international acts
 More intimate venues such as The Musician, Firebug, The Donkey and Y Theatre.
 The second biggest annual comedy festival in the UK
 The Curve theatre and Phoenix independent cinema.

Leicester also has a great sporting reputation, with the following:

 Leicester City Football Club


 Leicester Tigers Rugby Club
 Leicestershire County Cricket Club
 Leicester Riders Basketball Team
 Horse racing at Leicester Racecourse

The county is crisscrossed by footpaths, cycle trails and canals. Outdoor attractions include
the National and Charnwood Forests, Bradgate Park, Beacon Hill and Swithland Wood, a
number of stately homes and Rutland Water.

The strong transport infrastructure also means that you are never far from other destinations
in the UK or even abroad.

Find out more at Visit Leicester and Discover Rutland (links below):
http://www.jobsatleicestershospitals.nhs.uk/welcome-to-leicester/
https://www.visitleicester.info/
https://www.discover-rutland.co.uk/

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SECTION 4: DEPARTMENT INFORMATION

Emergency & Specialist Medicine Clinical Management Group

There are 7 Clinical Management Groups within UHL. The ESM CMG comprises of a
number of departments including Emergency Medicine, Acute Medicine, Diabetes &
Endocrine, Geriatrics, Infectious Diseases, Dermatology and Rheumatology.
The Clinical Director is Dr Rachel Marsh. The CMG:
 currently manages 74 acute admissions beds
 delivers 30,000 non-elective admissions annually and delivers almost 140,000
emergency attendances annually
 employs 66 consultants

Acute & General Medicine

The Acute Medical Unit (AMU) at the Leicester Royal Infirmary comprises a dedicated 74
bedded Unit. The consultant team is well supported 24/7 by AMU-based junior medical staff
(FY1, FY2, CT1-2 and ACCS), a team of approximately 9 Acute Medicine STRs, as well as a
comprehensive multidisciplinary team. Four consultants (including one Geriatrician) staff the
unit on a daily basis, currently working in blocks of 5-day weeks (Monday to Friday) or 2-day
weekends (Saturday and Sunday) during which time they are based on AMU throughout the
working day and on-call from home at night. Regular AMU meetings take place to discuss
clinical cases, audit, governance and changes to the service. The Acute Medical
Department also covers several other clinical areas including a 26 bedded short stay unit, a
28 bedded General Medicine ward and Ambulatory Care.

At present the substantive consultants within the department include:


Dr V. Jadhav (Head of Service & Honorary Lecturer)
Dr L. Walker (Honorary Fellow)
Dr N. Langford (Honorary Senior Lecturer)
Dr B. Simon (Honorary Senior Lecturer)
Dr M. Ardron
Dr R. Denton-Beaumont
Dr D. Biswas
Dr P. Swales
Dr N. Patel
Dr N. Shah
Dr C. Phyu
Dr S. Abbas
Dr M. Fotherby

RESEARCH

At Leicester’s Hospitals we are lucky to have dedicated researchers who are passionate
about all areas of medicine.

Professor Tim Coats is the Research Lead for the Emergency and Specialist Medicine CMG.

“The areas of medicine that we cover can feel unique because we cover the patient pathway
from the intensity of acute medicine right through to the long term care of chronic diseases

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such as diabetes. All of this means that the research that we deliver, has the patient at its
heart.

The NIHR Biomedical Research Centre https://www.leicesterbrc.nihr.ac.uk/ is a high profile


centre of international excellence and includes the activities of the former NIHR BRUs in
Cardiovascular Sciences, Respiratory Sciences and the Leicester-Loughborough Lifestyle
Unit which focuses on the care of patients with diabetes.

Within the Emergency Department we have the Diagnostic Development Unit


https://www2.le.ac.uk/departments/cardiovascular-
sciences/research/intervention/emergency-medicine-group/research/illness-
identification/ddu-leicester, which is cutting edge research being jointly delivered by our
Trust, the academics in Emergency Medicine, the Space Science Centre and the
Atmospheric Chemistry Unit.

Also at Leicester Royal Infirmary, we have the Clinical Research Facility which supports
many of our specialties and the research teams within them.

Our clinicians within the CMG are taking part in some high-profile studies which really matter
to the public, such as the Brains for Dementia programme. There are clinical trials of brand
new treatments currently going on in neurology, stroke, diabetes, emergency care, infectious
disease, rheumatology and dermatology.

We have a great team of researchers in our CMG whose innovations really enrich the patient
pathway.”

Emergency Medicine & the Diagnostics Development Unit

The Emergency Department is currently taking part in the HALT-IT, IPED, MCG, and
ECLIPSE, trials, and has recently completed the ProMISe trial (published in the New
England Journal of Medicine). This work is supported by the East Midlands Comprehensive
Research Network as has led to a doubling of the number of patients recruited to Emergency
Medicine trials over the last 2 years.

The Leicester Emergency Medicine Academic Group (EMAG) www.le.ac.uk/emag has a


national and international reputation for high quality research. There are several academic
staff working with Professor Tim Coats. EMAG delivers a portfolio of cutting edge research
projects focussed on the application of novel technologies (devices and treatments) in
emergency care. There is a particular interest in coagulation in trauma, and cardiovascular
medicine. The move into the new Emergency Department has provided a fantastic
opportunity to integrate clinical research with emergency care, which has been recognised by
the recent award of MRC Clinical Research Facility funding.

The Academic Group consists of Prof T Coats, Dr Damian Roland (Hon Associate Professor
in Paediatric Emergency Medicine), Dr Ffion Davies (Hon Senior Lecturer in Paediatric
Emergency Medicine), Dr Richard Wright (Hon Associate Professor Medical Education), Dr
Jonathan Acheson (Hon Associate Professor in Medical Education), 1 Visiting PhD Student,
one NIHR Academic Clinical Fellow and 3 clinical research officers.

The ED hosts the Diagnostics Development Unit (www.le.ac.uk/ddu) is a facility for the
design and evaluation of novel instrumentation and analysis for non-invasive or minimally

11
invasive patient monitoring for both adults and children. The facility is co-located in the
Emergency Department Resuscitation Area and was funded under the Capital Infrastructure
Funding by the University of Leicester. Worldwide this is a unique facility and and supports
BSc, MD and PhD students, as well as being a leading centre for industry studies in
emergency care.

The Leicester Emergency Medicine Academic Group was the first in the UK to support
academic training in Paediatric Emergency Medicine, and the Department is actively seeking
to increase its research portfolio and become the UK’s leading centre for Academic
Paediatric Emergency Medicine.

Cardiovascular Research https://www2.le.ac.uk/projects/bru/cbru


Head of the Department of Cardiovascular Sciences: Professor T G Robinson
BMedSci MD FRCP FESO

Our mission is to undertake bench-to-bedside research, education and training, and clinical
practice that improves the health and well-being of patients and the public.

Cardiovascular research has been a major strength of the Leicester Medical School since its
inception. In the 2014 Research Exercise Framework, Cardiovascular Sciences contributed
significantly to the University’s Clinical Medicine (UoA1) submission. Over 70% of research
was classified as internationally excellent (22% world-leading), and all impact studies (two of
which were cardiovascular) were considered internationally excellent (65% world-leading).
The strategy for cardiovascular research is based on two main principles: (i) to integrate high
quality basic and clinical science research and (ii) to focus on common cardiovascular
diseases and focus on questions of direct clinical relevance and impact.

Cardiovascular research in the University is centred in the Department of Cardiovascular


Sciences, one of six departments within the College of Life Sciences. The Department has
over 130 staff and students with over 20 principal investigators. The Department hosts two
British Heart Foundation-funded Chairs (Cardiology: formerly held by Professor Sir Nilesh
Samani; Cardiac Surgery: Professor Gavin Murphy), an NIHR Professor in Cardiac Imaging
(Professor Gerry McCann) and is part of the (NIHR) Biomedical Research Centre (BRC).
There are strong links with the University Hospitals of Leicester NHS Trust, where senior
clinical academics provide leadership in patient care, as well as undergraduate and
postgraduate medical teaching and training.

The Department has laboratory and clinical research facilities at Glenfield Hospital, the
regional cardiac centre, including the £12.5M state-of-the-art University of Leicester British
Heart Foundation Cardiovascular Research Centre, as well research facilities at the Robert
Kilpatrick Clinical Sciences Building and the Henry Wellcome Building on the main campus.
These provide an environment in which research can be translated ‘from bench to bedside’,
and gives opportunities for collaborative working between laboratory, translational and
clinical scientists. Research maps to the following key themes:

 Cardiovascular Precision and Stratified Medicine: Biomarkers, Genomics and


Imaging

 Device and Drug Discovery, Intervention and Clinical Trials (D3ICT)

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Respiratory Research https://www2.le.ac.uk/colleges/medbiopsych/research/r-
themes/respiratory/respiratory-sciences-theme-at-leciester

There are several major areas of research interest within the department. These are:-

 Pathogenesis and management of asthma and COPD (Prof P Bradding, Prof C


Brightling, Prof R Green, Dr N Greening, Prof S Siddiqui, Prof A Wardlaw)
 Disability, exercise and rehabilitation in chronic conditions (Prof B Morgan, Prof S Singh,
Prof M Steiner, Dr R Evans)
 Lung cancer and Mesothelioma (Mr A Nakas, Prof J Bennett, Dr Ryanna, Dr S Agrawal,
Dr Tufail)
 TB (Dr G Woltmann, Dr P Haldar)
 ILD (Dr S Agrawal, Dr Woodhead, Prof P Bradding, Prof B Gooptu)

Respiratory research

 Respiratory science is one of the strongest research areas supported of the University
College of Life Sciences. The diseases which are the main current interest within the
theme are asthma and COPD and lung infections (TB and pneumonia) where we interact
with the microbial pathogenesis network. We also have an emerging interest in
pulmonary fibrosis and work closely with the cancer group on lung cancer which is one of
main areas of interest in the Leicester Cancer Research Centre. Research within the
theme takes place on three sites. Glenfield Hospital which is the location of the NHS
respiratory medicine department and the adult respiratory research group, the main
University site and the Leicester Royal Infirmary which is the location of the paediatric
respiratory group. The majority of the members of the respiratory theme are based in the
University Department of Infection, Immunity and Inflammation, but also have strong links
with the Departments of Genetics and Genome Biology and Molecular and Cell Biology.

 Respiratory research in Leicester has always placed a strong emphasis on forging close
links between research active investigators based in the university and those whose
contracts are held by University Hospitals of Leicester NHS Trust.

 One of the main aims of the Leicester Institute for Lung Health (ILH)
http://www2.le.ac.uk/institution/ilh/introduction which was created by University Senate in
2000 to act as an umbrella grouping for all respiratory research in Leicester was to foster
a seamless interaction between investigators based in the two institutions and to
encourage NHS staff to bring a research focus to their clinical sub-specialist interests.

 The adult respiratory group has an international reputation for its work in the
pathogenesis and management of asthma and COPD. This was recognised with the
award of a NIHR Respiratory Biomedical Research Unit in 2012 which also provided
funding for a three floor state-of-the-art clinical research building. The BRU funding and
the new building have provided a first class infrastructure for taking forward our research
programme in stratified medicine. The respiratory theme now forms part of the NIHR
Biomedical Research Centre. The group includes three non-clinical professors/readers as
well as the clinical staff identified in the staffing list.

 There are over 100 research staff in the group consisting of laboratory-based
researchers, members of the large and very active Centre for Exercise and Rehabilitation
Science and a large number of specialist research nurses. Our faculty includes the
current chair of the British Thoracic Society, Science Council Chair-elect for the
European Respiratory Society, past president of the British Society of Allergy and Clinical
immunology and Chair of the NIHR Respiratory Translational Research collaboration.
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 Members of the ILH have published more than 250 papers in the last five years cited over
5,000 times in high impact journal such as Nature Genetics, NEJM, Lancet, Lancet
Respiratory Medicine and Science Translational Medicine. We have made seminal
observations in the field with five of the 20 most highly cited original papers in asthma
since 2002 coming from our group.

 We have a close relationship with the pharmaceutical industry with participation in the
last five years in over 50 early phase clinical trials and led several phase 2 and 3 trials.
In collaboration with GSK we have led the development of a new drug for asthma,
mepolizumab which blocks the eosinophil growth factor IL-5 and prevents severe
exacerbations.

 Investigators have been awarded in excess of £25 million in external funding in the last
five years including two NIHR clinical fellowships, a senior Wellcome Fellowship, a British
Lung Foundation Professorship, a NIHR funded EME grant to investigate new treatments
in asthma, an MRC programme in measuring volatile organic compounds in breath, major
European funding including leading the Respiratory theme of the €80M 3TR EU-IMI and
major initiatives for pulmonary rehabilitation in the UK and developing countries.

 Of specific interest to this post we recognise the unique opportunities for research into
acute respiratory care offered by the CDU environment. To take full advantage of this the
respiratory BRU are investing in a research platform to help establish a programme of
research in this area. This will include work done under a major MRC grant (EMBER) led
by Chris Brightling to investigate the value of 'breathomics' in the diagnosis and
management of the breathless patient. It is anticipated that this new appointment will play
an important role in making the acute research platform a success

 The main laboratory interests of the group are the biology of the airway smooth muscle
(ASM) and other structural cells in the airway in relation to asthma and COPD, the role of
mast cells and eosinophils in asthma and related conditions, biomarkers including novel
imaging modalities, and advanced biostatistical approaches to understanding complexity
in airway inflammatory diseases. We are also developing an increasing interest in the
role of viral, bacterial and fungal infections in asthma and COPD. We have particular
expertise in techniques related to inflammatory mechanisms and ion channel physiology.
The focus of the group is on using primary lung tissues derived from people with carefully
phenotyped disease (and healthy subjects) to test novel hypotheses about disease
pathogenesis. We have an increasing interest in identifying targets that would be
amenable to therapeutic intervention for respiratory disease.

 Laboratory Capabilities at the Glenfield Hospital campus include a 2,500m2 dedicated


respiratory research facility with dedicated immunohistology, cytology and cell culture
laboratories. We have 7-colour flow cytometry and cell sorting capabilities and advanced
microscopy. We run the largest airway inflammometry service in the world analysing >
2000 sputum slides per year and hosting the national MRC/EPSRC breathomics Centre
‘EMBER’. Our laboratories are ISO accredited and work in line with robust and
comprehensive standard operating procedures. We have acted as central laboratory for
>30 studies over the last 20 years.

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Acute Medicine Toxicology Research

The Acute Medicine Unit in Leicester has a special interest in toxicology research, led by
Dr Nigel Langford (Hon Senior Lecturer). Current recruitment is for the IONA study, which
involves the identification and characterization of the clinical toxicology of novel psychoactive
substances (NPS).

University of Leicester Innovation funding is supporting the development of a novel near-


patient test of paracetamol levels, a collaboration between Acute Medicine, Emergency
Medicine and the University Departments of Chemistry and Space Science.

The Leicester Diabetes Centre

The LDC is hosted within former clinical space at the Leicester General Hospital and is co-
located with the Diabetes Outpatient Department at the LGH. The LDC is co-directed by Prof
Melanie Davies and Prof Kamlesh Khunti. The LDC offers excellent access for people with
diabetes, their families and carers, particularly those from Black and minority ethnic groups
from the east side of Leicester City. The Centre now forms one of the largest facilities in
Europe for conducting world class clinical research in diabetes, with in excess of £60M
competitive grant income and a publication record of a peer-reviewed paper per week. With
a floor space of over 4000m2. This physical space has facilitated the co-location, of our
growing number of research, academic, technical, administrative and clinical staff, providing
the opportunity to work together as one team (The team has around 160 staff). The facilities
include a state of the art exercise laboratory, indirect calorimetry, DEXA scanner, ample
clinical space in addition to teaching rooms and lecture theatre. The post-holder will be
located in the Leicester Diabetes Centre (LDC) and in a hospital clinic in the Leicester
General Hospital Diabetes Outpatient Department.
LDC is a partnership between the NHS, the National Institute for Health Research, University
Hospitals of Leicester NHS Trust, and is academically affiliated with the University of
Leicester College of Medicine, and Biological Sciences.
The LDC has attracted a range of prestigious National Institute of Health Research (NIHR)
funded infrastructure and other funding notably from the British Heart Foundation, European
Union, Medical Research Council and Diabetes UK. The LDC also hosts EM Applied
Research Centre (ARC) Leicester Biomedical Research Centre (BRC). The Centre also
hosts the University of Leicester Centre for Black and Minority Health and the Real World
Evidence Unit.

15
SECTION 5: JOB DESCRIPTION

JOB TITLE: Honorary Professor of Medicine & Consultant in


Acute & General Medicine

LOCATION:

GRADE: Consultant + any CEAs

MANAGERIALLY Clinical Director (Emergency & Specialist Medicine)


REPORTS TO: & UHL Director of Clinical Education & the University
of Leicester Head of College/Associate Dean for
Clinical Affairs

PROFESSIONALLY
ACCOUNTABLE TO: Medical Director

ABOUT UHL, OUR VALUES AND BEHAVIOURS

Our purpose. We are here to provide Caring at its best to our patients and their
carers

Caring at its best means at all times, we behave in line with our values.

1.We treat people how we would like to be treated

2. We do what we say we are going to do

3. We focus on what matters most

4. We are one team and we are best when we work together

5. We are passionate and creative in our work

16
Becoming the best: Becoming the Best is our new Quality Strategy.

Whilst we are clear on what good looks like, there is much work to do on the how. This will
involve everyone working together across the Trust, and with our patients, to do some more
detailed thinking about how we deliver the approach which is set out in the Quality
Strategy. This is a long term plan, not a quick-fix, and you should not expect to see
everything change all at once.

Based on what we have seen work elsewhere, we will be applying the approach below to
everything that we do:

 We will understand what is happening in our services, so that we know what needs
to be improved
 We will have clear priorities and plans for improvement, so that we are clear about
what we are trying to do
 We will develop our culture and leadership, so that everyone is empowered and
encouraged to make improvements
 We will adopt a single approach to improvement (our quality
improvement methodology), and give people at all levels the skills to use it
 We will always involve our patients when we are making improvements that impact
on them and their care
 We will integrate this work with the wider health and social care system, of which
we are a part.

17
Our annual priorities: Every year we will create a set of annual priorities that will help us on
our Becoming the Best journey. By delivering these we will fulfil our purpose to provide
‘Caring at its best’.

BACKGROUND

This is a new post which presents an exciting opportunity to contribute to the


provision of Acute/General Medical Care and to Champion the development of
general medical education, education scholarship and research within the Trust and
the University of Leicester. This role will be undertaken with close liaison with the
Medical Director, Director of Clinical Education and the University of Leicester and
we anticipate that the post holder will awarded an Honorary Professor contract by the
University

In the UK people are living longer, but often with complex, chronic conditions and
disability related to physical and mental health problems. These demographic
changes have created challenges to the provision of GIM clinical services and GIM
training in the UK which has been acknowledged by the Royal College of Physicians
and the Shape of Training review http://www.shapeoftraining.co.uk/

Leicester aims to be at the forefront of developments to train more doctors with


generalist skills in addition to those with highly specialist skills. The Trust recognises
that being a high-quality training organisation is important in maintaining the quality
and safety of patient care, maintaining the motivation and enthusiasm of staff and in
attracting new and high-quality staff to the organisation.

The Trusts has endorsed an Education Quality Improvement plan which outlines a
portfolio of improvements to support and enhance undergraduate and postgraduate
GIM training.

The GMC Regional visit report 2016 identified that “The trust is clearly committed to
education and training with defined, transparent educational governance systems
and structures in place as well as a strong educational team. The Trust displays clear
accountability for educational governance at a trust board and directorate level which
includes the engagement of the lead Non-Executive Director for Education and
patient partners to improve the quality of education. “

UHL is the largest provider of clinical placements for Leicester Medical students and
provides training at Foundation, Core and Higher Specialty level in GIM. Recent
student and trainee surveys, engagement events and feedback have highlighted a
need to further develop undergraduate and postgraduate education in GIM and led to
the development of this Chair.

APPOINTMENT
The appointment will be whole time. Any consultant 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 consultant colleagues.

18
MAIN DUTIES AND RESPONSIBILITIES

This will be a Consultant role encompassing 0.5 WTE clinical service in Acute and
General Internal Medicine and 0.5WTE Medical Education and Training

Role Description
Aims of the role:
1. Provision of high quality Acute (AIM) & General Medicine (GIM) services at
University Hospitals Leicester (UHL). This will include work on a Medical
Ward, the Acute Medical Unit and Outpatient work.
2. To lead the delivery of postgraduate and support the delivery of excellent
undergraduate GIM/AIM education and training within UHL. The appointee
will champion an excellent learning culture with AIM/GIM and regularly engage
in delivering high quality GIM teaching to all grades of learner.
3. Working with the UHL Director of Clinical Education and Senior
Undergraduate Tutor, Year 3 medicine block lead and year 5 assistantship
lead, pro-actively support the management of the GIM undergraduate
teaching. Take a lead role in the oversight of Core and Higher Specialist GIM
training such that UHL becomes a national leader in AIM/GIM training
provision.
4. Act as a consultant advocate for GIM Registrars with responsibility of
providing professional and pastoral support.
5. Work with local leaders in medical education to provide and develop education
scholarship in UHL.
6. Develop a range of fora to support education scholarship and the further
development of medical educators in Leicester.
7. Develop an area of interest in medical education research which attracts
funding from Regional and National bodies
8. Engage with and support Honorary appointees and Academic Champions in
GIM education to support medical education scholarship
9. Support, supervise and develop NIHR Academic Clinical Fellowships and
Lectureships in Medical Education in liaison with those responsible for
delivering the local integrated Clinical Academic Training programme.
10. To develop and support Clinical Teaching Fellow roles within UHL.
11. Support delivery of higher qualifications in Medical Education and other
related professional courses through the Leicester Healthcare Education
Academy.

PRINCIPAL MEDICAL EDUCATION/ACADEMIC ELEMENTS OF THE POST

The post holder will lead the delivery of postgraduate and support the delivery of
excellent undergraduate GIM/AIM education and training within UHL.

19
 Provide leadership for and role model the delivery of excellent clinical
education in GIM or AIM
 Champion GIM training across the Trust, generating enthusiasm for the
discipline and leading others in supporting excellent delivery and support for
education and trainees.
 Work with other education leaders and CMG Education leads to deliver
significant education training improvements and improved trainee and student
satisfaction
 Work collaboratively to support the development and delivery of innovative
multi-professional education for all healthcare roles across the Trust
 Lead on using education approaches to improve patient safety
 Work with the Director of Clinical Education to promote a positive learning
culture and teaching excellence by working to establish a programme of
teaching observation and peer review of teaching in UHL
 Work with the Director of Clinical Education (and Royal College Tutors) to
deliver excellence in postgraduate GIM medical education and provide
evidence of excellence in the provision of postgraduate medical education
 Work with the Director of Clinical Education to support development of and
contribute to new educational programmes for medical and other healthcare
professional students, postgraduate trainees in UHL
 Promote educational scholarship in UHL by supporting development of
educational research and implementation of educational research findings and
evidence based practice in teaching.
 Supervise and support the development of Education Fellows and NIHR
academic trainees in medical education
 Maintain a ‘high profile’ as a leader in Medical Education
Nationally/Internationally
 Exploit opportunities for educational funding for further developments and
make bids as appropriate for education scholarship and research activities
 Be actively involved in educational innovation seeking opportunities to use
new technologies
 Give an annual Leicester University keynote lecture on a medical education
topic and subsequently consider delivery of an annual GIM/AIM study
day/conference
 Assist in delivery of UG medicine teaching and assessment, including
relevant student support and guidance
 Contribute to UG medicine curriculum development and quality assurance
 To support the implementation of the GIM & AIM Registrar quality criteria at a
local level, alongside Heads of School, TPDs and College Tutors.
 To maintain and / or protect the quality of local training through liaison with
trainees, ESs, CSs, TPDs, Heads of School and DMEs.
 To support and / or mentor trainees in the absence of appropriate support
elsewhere.

In addition the post holder will have broader academic responsibilities as agreed with
the University of Leicester. These may include:
 Attendance at University & Trust Committees where issues relating to
undergraduate GIM/AIM education and training are to be discussed.
20
Within UHL the post-holder will work closely with the Associate Medical Director &
Director of Clinical Education and other senior educators within UHL.

The post-holder will be an integral member of the UHL Education team and be an
integral part of the clinical leadership of the Trust.

There will be a strong working relationship with the University of Leicester Medical
School and the Royal College Tutors within UHL.

CLINICAL ASPECTS OF THE POST

This post will deliver a new 0.5 WTE to the clinical service in Acute & General
Medicine created in order to facilitate further expansion in provision of Acute &
General Medical Care within the Emergency & Specialist Medicine Clinical
Management Group (ESM CMG). Successful candidates will join the existing 12.5
WTE Acute Medicine consultant team and will help cover a General Medical Ward
along with contribute to on-call cover of the Acute Medical Unit.

The Acute Medical Department currently covers several areas including a 74 bedded
Acute Medical Unit which incorporates a higher level receiving area referred to as the
Acute Care Bay and Acute Frailty Unit; along with a separate Ambulatory Area and
26 bedded Short Stay Unit. It is also responsible for a 28 bedded General Medical
ward.

The Acute Medicine Department aims to sustain its position at the forefront of
advances in Acute Medicine. It is developing ambulatory care & triage services to
prevent admissions and to offer new options to GPs seeking advice for acutely
unwell patients. It is bringing diagnostics closer to the assessment unit and is
refining the provision of high-level care for extremely acute medical patients. It has
also recently moved into a new bespoke Acute Medicine floor which includes a
purpose built Acute Medical Unit co-located with the Emergency Department and
Emergency Radiology. This includes a dedicated Higher Dependency Area,
Ambulatory Area and Acute Frailty Unit.

PRINCIPAL CLINICAL ELEMENTS OF THE POST WILL BE: -


 To provide senior cover of a General Medical Ward. It is anticipated this will
involve being responsible for 14 beds on alternate weeks with the consultant
providing 3 ward rounds and 2 board rounds.
 To provide senior clinical decision making in the Acute Medical Unit when on-
call. To participate in the acute general medical take at the LRI contributing to
a shared weekday and weekend commitment to the Acute Medical Unit
 Supervise and train junior medical staff
 To develop acute medicine for the benefit of patients along with the other
Consultants at UHL, and our external commissioners and provider partners
 To ensure the provision of good standards of practice and care as described
in the GMC Guidance ‘Duties of a Doctor’ are followed at all times; and that
bad practice is reported.
21
 To ensure that clinical practice is both effective and efficient and that
appropriate monitoring of clinical care takes place. To actively participate in
audit.
 To work with the CMG management team to ensure that services are
delivered efficiently and reflect best practice with processes and governance
to match - this may require new and flexible ways of working in the future
 To provide continuing responsibility for the care of the patients in their charge
and for the proper organisation and functioning of their clinical practice.
 To work closely with other specialties, departments and outside agencies to
deliver the objectives of the Clinical Management Group and Department.
 To take responsibility for ensuring that critical clinical incidents, as defined in
the Trust’s ‘Critical Incident Policy’, are reported in a timely manner.
 To participate in yearly joint appraisal and job planning with the Clinical
Directorate & University.
 To undertake Mandatory & Statutory training as determined by the Trust and
Clinical Management Group

WORK PROGRAMME

JOB PLAN:

The job plan will be subject to annual review, with any revisions sought by mutual
agreement but it is expected that the successful candidate will work with the CMG
management team to ensure that services are delivered efficiently and reflect best
practice with processes and governance to match - this may require new and flexible
ways of working in the future.

Supporting Professional Activity (SPA)

Most consultants within the Trust will have 2.5 PAs for Supporting Professional
Activities.

UHL allocates 1.5 PAs as a minimum to all consultants in order to support the
requirements of revalidation, which include activities such as participating in audit,
M&M, CPD, completion of mandatory training, taking part in job planning, appraisal,
associated administration, and to support clinical supervision of undergraduates and
postgraduate specialty trainees (that done in DCC time).
Appointees are required to undertake the Trust Corporate and Directorate specific
Induction and competency Programmes appropriate to role.

Up to a further 1 SPA will be available by mutual agreement as part of the job


planning process for further appropriate identified/measured SPA time. SPAs will be
subject to regular review and have defined and agreed objectives and measurable
outcomes where possible.

22
It is expected that the post holder’s additional 1 SPA will be made up of activities that
directly support delivery of educational excellence within GIM at both undergraduate
& postgraduate levels.

Clinical Programmed Activities (DCC)

An example breakdown of the clinical responsibilities are shown below:

1) On alternate weeks to provide senior cover of 14 beds on a General Medical


ward. It is anticipated this would include 3 morning ward rounds per week and
two morning Board rounds on the other weekdays (Alternative options could
be considered depending on the candidate’s speciality).
2) Prospective weekend cover of the AMU (Saturday & Sunday 8am to either
5pm or 8pm). This will be a 1 in 10 frequency.
3) Participation in the non-resident overnight on call rota for Medical Consultants.
This currently amounts to approximately 10 nights per year and is associated
with a Category A low frequency on-call supplement (3%).

The successful candidate will also be offered 0.5 PA to undertake a General


Medicine Follow up clinic. This session could by negotiation be used for another
option such as a specialist clinic or diagnostic session.

23
Example Job plan Summary
The job plan will be subject to annual review and agreement by the Trust and
University, in line with the new consultant contract

Activity PAs

General Medical Ward cover or 1.75


alternative Speciality work.

Acute Medical Unit Weekends with 0.75


prospective cover

GIM OPD clinic or alternative 0.5


speciality interest

Clinical Admin 0.5

1.5
SPA

Educational/Academic work 5

TOTAL
10

Specimen Timetable

Week 1

Mon Tues Wed Thurs Fri


Ward Board Ward Board Ward
Round Round Round Round Round
AM (9am-1pm) (9am-10am) (9am-1pm) (9am-10am) (9am-1pm)
+ SPA + SPA
(10am-1pm) (10am-1pm)
Academic Academic Academic Academic Academic
PM work work work work work

24
Week 2

Mon Tues Wed Thurs Fri


Clinical SPA Academic GIM OPD SPA / OFF
AM Admin Work clinic (alternating)
Academic Academic Academic Academic OFF
PM work work work work

The successful candidate is expected to be able to account for his/her non-fixed PAs.
This may be filled with additional teaching, audit, research and/or administrative
duties. The post holder will have shared responsibility for handling patient and user
complaints about medical and elderly medicine services.

Research
All Consultants are expected to contribute to the collaborative program of research in
acute care, in particular NHS Portfolio studies and work to develop collaborations
with the University of Leicester (in particular the Diagnostics Development Unit and
the Cardiovascular and Respiratory research groups within the Biomedical Research
Centre). This time is recognised in the job plan, however there may be additional
research time available, through the Clinical Research Network, for clinicians who
take on a major role in the delivery of Portfolio research. The HALT-IT and PROMISE
studies are currently being undertaken. GCP training is available and it is expected
that all consultants have current GCP certification.

On Call Duties
The physicians at LRI work a shared system of on-call whilst working on AMU.
Between 8pm and 8am the following morning, one of the two consultants working on
AMU at the weekend, will remain on call from home afterwards. An on-call
supplement will be available. This is likely to be Low Frequency, Category A
(currently 3% supplement).

Junior Staff Provision


The post will be supported by appropriate junior medical staff, including SpR, ST and
Foundation Grades.

Other Support
Office space and appropriate administrative support for the clinical role will be
provided. There is a mentorship scheme for all new consultant staff, this is designed
to help and assist new appointees to settle into working at UHL as easily as possible.
It is designed to assist individuals in a personal way to familiarise them with the Trust
and how things work in practice.

Appraisal
The appraisal process in the University Hospitals of Leicester is now formalised
under the leadership of the Trust’s Medical Director and is in keeping with the recent
GMC document on revalidation and will be undertaken jointly with the University.

25
SECTION 5A: ENQUIRIES & VISITS

Candidates are invited to visit the hospitals concerned and may make arrangements
to do so through contacting the following:
 Dr Rachel Marsh
CMG Director – Emergency & Specialist Medicine
0116 258 6675
 Dr Lee Walker,
CMG Deputy Director – Emergency & Specialist Medicine
0116 258 6982
 Dr Vittal Jadhav
HOS Acute & General Medicine
0116 258 6982
 Mr Mark McCarthy
Director of Education
Mark.mccarthy@uhl-tr.nhs.uk

Candidates are encouraged to also visit the University and should contact the
following in the first instance:

 Professor Kevin Harris


Associate Dean for Clinical Affairs
krgh1@le.ac.uk

 Professor Richard Holland


Head of the Leicester Medical School
rch23@le.ac.uk

26
SECTION 5B: JOB DESCRIPTION
(GENERAL POLICIES, PROCEDURES & PRACTICES)

GENERAL POLICIES, PROCEDURES AND PRACTICES


The post holder will be expected to comply with all Trust policies, procedures and practices
and to be responsible for keeping up to date with any changes to these.

HEALTH AND SAFETY


All employees are subject to the requirements of the Health & Safety at Work Act and
prevailing Acts since. It is the post-holders responsibility to ensure they are familiar with all
UHL Health and Safety related policies that apply to their workplace or work –practice. The
post holder is required to ensure that as an employee, his or her work methods do not
endanger other people or themselves.

 To support the implementation of an annual Health and Safety Action Plan for the
CMG.
 To help implement the objectives of the Health and Safety Policy by providing a
safe hospital environment for all employees, patients and visitors within the
CMG.
 Ensure that all employees under their control fully understand and comply with
their legal obligations with regard to health and safety at work.
 Ensure that the effectiveness of the Health and Safety Policy and procedures are
monitored continuously and the results brought to the attention of the Service
Manage.
 Ensure that provision is made for the performance of suitable and sufficient risk
assessments by competent persons.

In addition, all employees at University Hospitals of Leicester NHS Trust are


expected to comply with the general duties detailed below:

 To take reasonable care to prevent injury to themselves or others who may be


affected by their acts or omissions.
 To co-operate fully in discharging the Trust policies and procedures with regard
to health and safety matters.
 To immediately report to their manager any shortcomings in health and safety
procedures and practice.
 To report any accidents or dangerous incidents to their immediate manager and
safety representative as early as possible and submit a completed
accident/incident form.
 To use protective clothing and equipment where provided.

Whilst the aim of the Trust is to promote a co-operative and constructive view of
health and safety concerns in the organisation, all staff must be aware that a wilful or
irresponsible disregard for safety matters may give rise to disciplinary proceedings.

27
DATA PROTECTION / CONFIDENTIALITY
In accordance with the Employer’s privacy notice for employees, the Employer will
hold computer records and personnel files relating to you which contain personal
data. The Employer will comply with its obligations under the General Data
Protection Regulation, the UK Data Protection Act 2018 and all other data protection
legislation. The data the Employer holds may include employment application
details, references, bank details, performance appraisals, holiday and sickness
records, salary reviews and remuneration details and other records, (which may,
where necessary, include special category data and criminal offence data relating to
your health, data held for ethnic monitoring purposes, and regarding DBS
checks). The Employer requires such personal data for personnel administration and
management purposes and to comply with its obligations regarding the keeping of
employee records. The privacy notice sets out the Employer’s legal basis for
processing your personal data. Your rights of access to this data are prescribed by
law.

You will familiarise yourself with the Employer’s data protection policy which sets out
its obligations under the General Data Protection Regulation, the UK Data Protection
Act 2018 and all other data protection legislation. You must comply with the
Employer’s data protection policy at all times and you agree that you will only access
the systems, databases or networks to which you have been given authorisation and
only for the purposes of your work for the Employer. The Employer will consider a
breach of its data protection policy by you to be a disciplinary matter which may lead
to disciplinary action up to and including summary dismissal. You should also be
aware that you could be criminally liable if you disclose personal data outside the
Employer’s policies and procedures. If you have any queries about your
responsibilities in respect of data protection you should contact the Employer’s Data
Protection Officer.

EQUAL OPPORTUNITIES POLICY


All employees must comply with the Trust’s Equal Opportunities Policy and in line
with the Equality Act 2010, must not discriminate on grounds of age, disability,
gender reassignment, race, religion or belief, marriage or civil partnership, pregnancy
or maternity, sexual orientation or sex. Other grounds on which they should not treat
others unfavourably include trade union membership (or non-membership) or political
affiliation, or any other grounds which cannot be shown to be justifiable.

INFECTION CONTROL
All healthcare professionals on a professional register are personally accountable for
their standards of practice which must include compliance with the Trust’s infection
prevention and control policies and guidelines. In addition all registered practitioners
are expected to challenge non-compliance when observed to protect patients and
promote patient safety. Local clinical leaders have a responsibility to maintain an
organisational culture of vigilance through their role in supervising other staff.

SAFEGUARDING CHILDREN AND VULNERABLE ADULTS


The post holder is responsible for safeguarding the interests of children and adults
who they come into contact with during their work. To fulfil these duties post holders
are required to attend training and development to recognise the signs and
28
symptoms of abuse or individuals at risk, to follow local and national policy relating a
safeguarding practice and to report and act on concerns that they may have.

ELECTRONIC ROSTERING
Our Electronic Rostering system is key to ensuring staff are in the right place with the
right skills at the right time, to ensure we carry out this responsibility effectively; all
UHL staff must adhere to the rostering standards and guidelines set out in the
Electronic Rostering Policy, pertaining to their role.

29
Section 6: PERSON SPECIFICATION – Sample below
based on UHL Consultant in Acute Medicine

CRITERIA ESSENTIAL REQUIREMENTS DESIRABLE REQUIREMENTS


Commitment to Trust
Values & Behaviours
 Must be able to demonstrate behaviours
consistent with the Trust’s Values and
Behaviours
Qualifications /
Training
 MB BS or Equivalent  Membership of relevant
 Full GMC Registration Specialist Societies or
 Fully Accredited for Higher Specialist Associations.
Training or will be eligible for inclusion on the  Relevant higher degree e.g.
Specialist Register, in an appropriate MSc, MD or equivalent
specialty, within 6 months of the interview  SFHEA and/or Masters in
date. Medical education
 MRCP/MRCS or Equivalent
 Current BLS Certification
 FHEA or equivalent
Experience /
Clinical Skills
• Previous training in GIM &/or AIM  Evidence of clinical or research
 Excellent clinical skills and experience commitment and a relevant
requisite to meeting all aspects of the Job specialty interest.
Plan.
 Ability to apply sound clinical judgment to
problems.
 Demonstrates clear, logical thinking /
analytical approach.
Management
 Ability to work effectively as part of a  Evidence of management and
multidisciplinary team and supervise juniors. administration experience.
 Experience of leading teams and awareness  Management training on an
of leadership styles. accredited course.
 Ability to effectively organise, prioritise and  Awareness of Service
manage clinical workload. Development issues.
 Understanding of wider health agenda and
modern NHS.
 Ability to work to overcome barriers to
change (negotiating, influencing and
persuasion skills).
 Knowledge and understanding of clinical
governance issues.

Communication Skills
 Demonstrable skills in written and spoken
English that are adequate to enable effective  Highly developed emotional
communication with patients and colleagues. intelligence
 To be empathic and sensitive; capacity to  High standard of presentation
take others perspectives and treat others with both written and verbal
understanding.  Demonstrable track record of
30
 Highly Developed Emotional Intelligence successful change management
 Proven ability to maintain focus
in a demanding environment

Motivation
 Personal integrity and reliability.  Commitment to further develop
 Ability to motivate and develop both medical the post and the service
Staff and non-medical staff. provided.

Audit/ Quality
Improvement
 Effective participation in and a commitment  Undergone training in teaching
to clinical audit. and willingness to organise
 Participation in a quality improvement relevant audit activities including
programme quality improvement evidence
 Experience of quality improvement work  Completion of formal courses in
and audit Audit and quality improvement.
 Published Audit including quality
improvement.
Research
 Understanding and interest in research.  Publications in nationally and
 Ability to appraise research critically internationally recognised peer-
 Ability to supervise juniors undertaking reviewed journals on subjects
research projects. relevant to the specialty.
 Evidence of recent research and
development activity

Teaching

 Experience & competence and a  Willingness to develop new


commitment to training/ teaching approaches to teaching.
undergraduate and postgraduates.  Experience of the use of
 Strong interest in & commitment to quality in technology in education
education and teaching  Experience of creating
 Experience in examining at UG and PG level assessment material, either
with various assessment techniques written or clinical
including written examination, OSCEs etc.
 Academic teaching qualification
 Appraisal skills.
 Ability to asses clinical competencies
 Enthusiastic and ability to inspire and lead
others.

Equality & Diversity


 Able to demonstrate a commitment and
understanding of the importance of treating
all individuals with dignity and respect
appropriate to their individual needs.

31
SECTION 7:

PRE-EMPLOYMENT / ON-GOING EMPLOYMENT CHECKS

PROFESSIONAL REGISTRATION
All persons appointed to the post are required to hold registration with their appropriate
professional Regulatory Body and to comply with their professional code of conduct.
Evidence of on-going registration will be required.

HEALTH CLEARANCE FOR HEALTHCARE WORKERS (‘OCCUPATIONAL HEALTH


CHECKS)
1) It is recommended that all new healthcare workers have checks for tuberculosis (TB)
disease/immunity and are offered hepatitis B immunisation (with post-immunisation
testing of response) and blood tests for evidence of infection with hepatitis C and HIV [1].
Being free of infectious tuberculosis is mandatory. Checks for immunity to measles,
mumps, rubella and varicella (chicken pox) will also be made and vaccination offered if
immunity is not detected.
These standard health clearance checks will be completed on appointment. Managers
should inform new workers that they must contact the OH department so the necessary
arrangements can be made. Even if the new worker has had similar checks recently
elsewhere, or has worked in UHL before, they will still need to attend for a review, unless
these were undertaken at UHL as part of a current rotational medical appointment.

2) For healthcare workers who will perform exposure-prone procedures (EPPs), work in a
renal unit*, or likely to practice in an exposure prone environment, additional health
clearance must be undertaken. Additional health clearance includes testing or
demonstration of satisfactory test results for:
 HIV
 Hepatitis B
 Hepatitis C

The exact standards that must be met are described in detail in the Public Health England
document: Integrated guidance on health clearance of healthcare workers and the
management of healthcare workers infected with blood borne viruses (hepatitis B, hepatitis C
and HIV) October 2017, or revisions thereof.
*Workers in renal units only need to demonstrate satisfactory results for Hepatitis B.

These additional checks should be completed before confirmation of an appointment to an


applicable post, as the healthcare worker will be ineligible if they do not meet the required
criteria. Those who refuse to have the required tests will not be given clearance to start work.

All tests will be arranged in confidence through the Occupational Health department. All
costs for testing will be borne by the employing organisation.

[1] Health clearance for tuberculosis, hepatitis B, hepatitis C and HIV: New healthcare
workers. DoH 2007.

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DISCLOSURE AND BARRING SERVICE CLEARANCE
This post requires an enhanced disclosure by the Disclosure and Barring Service (DBS) as it
is regulated by statute. Failure to disclose details if you are currently / or in the future the
subject of police investigation / proceedings which could result in a conviction, caution, bind
over order or charges is a disciplinary matter, and may result in dismissal.

To expedite the process the Trust will meet the initial costs of the disclosure which
will be deducted from the individuals’ salary over a three month period commencing
on their first months payment.

STATEMENT ON THE RECRUITMENT OF EX-OFFENDERS


As an organisation using the Disclosure and Barring Service (DBS) to assess applicants’
suitability for positions of trust, the University Hospitals of Leicester NHS Trust complies fully
with the DBS Code of Practice and undertakes to treat all applicants for positions fairly. It
undertakes not to discriminate unfairly against any subject of a Disclosure on the basis of
conviction or other information revealed.

The University Hospitals of Leicester NHS Trust is committed to the fair treatment of its staff,
potential staff or users of its services, regardless of race, gender, religion, sexual orientation,
responsibilities for dependants, age, physical/mental disability or offending background.

We have a written policy on the recruitment of ex-offenders, which is made available to all
Disclosure applicants at the outset of the recruitment process.

We actively promote equality of opportunity for all with the right mix of talent, skills and
potential and welcome applications from a wide range of candidates, including those with
criminal records. We select all candidates for interview and appointment based on their
skills, qualifications and experience.

A Disclosure is only requested after a thorough risk assessment has indicated that one is
both proportionate and relevant to the position concerned. For those positions where a
Disclosure is required, all application forms, job adverts and application packs will contain a
statement that a Disclosure will be requested in the event of the individual being offered the
position.

Where a Disclosure is to form part of the recruitment process, we encourage all applicants
called for interview to provide details of their criminal record at an early stage in the
application process. We request that this information is sent under separate, confidential
cover, to a designated person within the University Hospitals of Leicester NHS Trust and we
guarantee that this information is only seen by those who need to see it as part of the
recruitment process. Unless the nature of the position allows the University Hospitals of
Leicester NHS Trust to ask questions about your entire criminal record we only ask about
“unspent” convictions as defined in the Rehabilitation of Offenders Act 1970.

We aim to ensure that all those in the University Hospitals of Leicester NHS Trust who are
involved in the recruitment process have been suitably trained to identify and assess the
relevance and circumstances of offences. We also ensure that they have received
appropriate guidance and training in the relevant legislation relating to the employment of ex-
offenders, e.g. the Rehabilitation of Offenders Act 1970.

33
At interview, or in a separate discussion, we ensure that an open and measured discussion
takes place on the subject of any offences or other matter that might be relevant to the
position. Failure to reveal information that is directly relevant to the position sought could
lead to withdrawal of an offer of employment.

We make every subject of a DBS Disclosure aware of the existence of the DBS Code of
Practice and make a copy available on request.

We undertake to discuss any matter revealed in a Disclosure with the person seeking the
position before withdrawing a conditional offer of employment.

Having a criminal record will not necessarily bar you from working with us. This will depend
on the nature of the position and the circumstances and background of your offences.

34
SECTION 8: CONDITIONS OF SERVICE
CONDITIONS OF SERVICE
The appointment will be made on Trust terms and conditions which presently reflect the
terms and conditions of service for Consultants (England) 2003, as amended from time to
time.

Relocation
Where applicable, removal expenses will be paid to the successful candidate in accordance
with the Trust policy. It is advised that you seek advice before making any commitments.

Salary
The starting salary of the appointment (exclusive of any distinction and meritorious service
award payable to you) will be the appropriate threshold on the Consultant pay scale (MC72)
ranging from £79,860 - £107,668 (or the appropriate transition scale threshold on MC51).

Notice Period
The employment is subject to three month’s notice on either side, subject to the provisions of
schedule 19 of the Terms and Conditions of Service for Consultants (England) 2003.

Annual Leave
The post-holder will be entitled to 32 days annual leave per year. After 7 years’ service 2
additional days are awarded.

The Trust would normally require 6 weeks’ notice for leave booked.

Study Leave
A maximum of 30 days study leave with pay and expenses can be taken over a three year
period, or ten days each year.

Residence
The successful candidate will be required to maintain his/her private residence in contact
with the public telephone service and to reside 10 miles by road from base hospital unless
specific approval for greater distance is given by the Trust.

Medical Excellence
The Trust is committed to providing safe and effective care for patients. To ensure this, there
is an agreed procedure for medical staff that enables them to report quickly and
confidentially, concerns about the conduct, performance or health of medical colleagues. All
medical staff, practising in the Trust, should ensure that they are familiar with the procedure.

35
SECTION 9: RECRUITMENT SERVICES CONTACT INFORMATION

RECRUITMENT SERVICES TELEPHONE (CONSULTANT RECRUITMENT):


0116 258 6399

RECRUITMENT SERVICES E-MAIL (CONSULTANT RECRUITMENT):


uhlconsultantrecruitment@uhl-tr.nhs.uk

RECRUITMENT SERVICES ADDRESS:


University Hospitals of Leicester NHS Trust
Paget House
2 West Street
Leicester
LE1 6XP

WEB ADDRESSES:
You can also visit the UHL Website via the following web links:
http://www.leicestershospitals.nhs.uk/aboutus/our-hospitals/

http://www.leicestershospitals.nhs.uk/aboutus/work-for-us/

36

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