Job Description Consultants

PART-TIME
LOCUM CONSULTANT
DERMATOLOGIST

Building for Excellence

October 2018
Job Description Consultants

General Information

The Princess Alexandra Hospital NHS Trust is a District General Hospital providing acute
services to the population of West Essex and East Hertfordshire from a 489 bedded site in
Harlow, Essex (PAH) and two Community hospitals In-patient, St Margaret Hospital (SMH),
Epping and the Herts and Essex Hospital (HEH) in Bishops Stortford. Originally opened in
1965, the Trusts vision is to become one of the best local hospitals in the country and this is
based on the foundation of its four values: to be Respectful, Caring, Responsible, and
Committed.

The Princess Alexandra Hospital NHS Trust is climbing the performance league tables
and was shortlisted for the first ever National Compassionate Patient Care Award and
finished runner-up in the 500 entry Guardian Public Service Award for measuring excellence.
In addition to this the Trust has been nationally recognized for having one of the highest
ratings from "Friends and Family" surveys. Focused on patient experience the Trust has
launched a Patient Experience Department and Patient Panel which meets on a monthly
basis, receiving presentations from clinical teams across the Trust describing the changes
that are enabling the Trust to become more focussed on the needs of patients, families and
carers.

Employing just fewer than 3,000 employees with vast amount of experience, skill and
expertise, employee performance has placed the Trust amongst the best hospitals in
England and Wales. The Trust has significantly changed the way it operates, to strengthen
the role of senior doctors, nurses and other clinicians in the running of the Trust. This is a
major development as part of the Building for Excellent vision which launched in 2012. The
“Clinical Led organisation” structure contains five Clinical Directors directly responsible and
accountable for key decisions about patient care, operational performance and budgets. The
Trust believes in investing in employees and rewarding high standards of care and expects
all employees to uphold the Trust Values to the highest standard. Professional development
is encouraged to work towards role enhancement and the Postgraduate Medical Centre is
housed in the listed 19th Century Pardon Hall. Set within the hospital grounds, Pardon Hall
contains an extensive library, lecture theatre, study rooms and IT resource room supported
by the Trust’s Librarians. Pardon Hall also hosts a range of comprehensive postgraduate
teaching programmes.

The Princess Alexandra Hospital NHS Trust is conveniently located in Harlow, Essex, 25
minutes’ drive to London Stansted Airport and 30 minutes train ride to London Liverpool
Street. Harlow also has excellent road connections across England which includes M11,
M25, A10, M1 and A1 all in close proximity and PAH site is within walking distance to the
town Centre. One of the original New Towns, designed by architect Sir Frederick Gibberd to
ease overcrowding in London following World War II, Harlow is a vibrant community with
many attractions to appeal to visitors and residents alike including, Parks, Gardens, Art
Galleries, Shopping Malls, Theatres and Sports and Leisure facilities. Harlow is both one of
the most modern and oldest settlements in England. While the master plan for Harlow New
Town was drawn up in 1947, Old Harlow has been around for centuries and the first written
record of Harlow was in the Domesday Book of 1086 and features interesting Architecture,
History and Heritage.

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LOCATION OF DEPARTMENT AND DESCRIPTION OF SERVICES

Department of Dermatology

The Department provides a range of Dermatology services to a population of approx.

385,000 in West Essex and E&N Hertfordshire. The Department is a specialty within the
Medicine Directorate which provides a comprehensive range of Medicine and Elderly Care
Services.

The departmental headquarters are based in Bevan ward at PAH, Harlow. The post holder
will be expected to conduct outpatient sessions at Princess Alexandra Hospital in Harlow, St
Margaret’s Hospital in Epping, and Herts and Essex Hospital in Bishop’s Stortford

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SERVICE ACTIVITY

Dermatology Services

The Consultants provide teaching and supervision at three clinics where GP trainees attend
on a weekly basis. The department has close links with the Royal London Hospital and The
Royal Free hospital and all Consultants attend the combined clinics and academic meetings.

The Dermatology Service provision includes:

Dermatological Surgery

Dermatological Surgery is provided at Princess Alexandra Hospital, St Margaret’s Hospital,

and Herts & Essex Hospital.

UV Phototherapy

In association with the CCG, having developed a close relationship with local private
providers, phototherapy cabinets (UVA, narrowband UVB) are provided at the Rivers
Hospital, Sawbridgeworth and Holly house, Buckhurst Hill. Facilities are also provided for
hand and foot PUVA. Consultants and Associate Specialists provide mentoring and
supervision to the Physiotherapists running the service.

Iontophoresis

This service is delivered at the Rivers hospital. This is a local private hospital who is
commissioned to deliver the service to NHS Patients in partnership with the local CCGs.
Patients who find it effective are encouraged to purchase their own equipment.

Patch Testing

This is undertaken in the Outpatients Department at SMH and H&E with the help of the
specialist nurses. A wide range of test antigens is stocked.

Histopathology

An excellent service is provided to the Department with MDT meetings for skin cancers, and
dermatopathology meetings. We have a dedicated Dermatopathologist who also liaise with
St John’s institute of Dermatopathology for difficult cases when expert opinion is requested.

Cryotherapy

Liquid nitrogen cryotherapy is available in all clinics.

Immunofluorescence

We use the service provided by the St John’s Institute of Dermatology.

Pharmacy

There is in-house dispensing of all the commonly used dermatological preparations at

Princess Alexandra Hospital, and a first-class drug information service is available. We have

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developed a joint formulary with the CCG and shared care guidelines are available for the
most commonly used immunosuppressant’s (Methotrexate, Cyclosporine, Azathioprine
Mycophenolate Mofetil).

Photodynamic Therapy

The service owns an Aktilite Lamp and Aminolevulinic acid cream is on Formulary for the
treatment of patients affected with Basal Cell Carcinomas, Bowens, and confluent Actinic
Keratoses when other treatment are unsuitable. Specialist nurses are trained to deliver the
service.

Cosmetic Camouflage

This service is provided at a monthly clinic at Princess Alexandra Hospital by the Red Cross.

MDT meetings

These are undertaken weekly and are attended by Dermatologists, Histopathogists, and
Head & Neck Surgeons, plastic surgeons, oncologists and GPs. A dedicated MDT for GPs is
also hosted the second Thursday of the month in the Pathology Department.

Plastic Surgery

There is close liaison between Dermatology and Plastic Surgery. There are weekly Plastic
Surgery clinics and Day Case Surgery at St Margaret’s Hospital. A close link has also been
forged with the plastic surgeons at the Royal Free Hospital for Sentinel Lymphnode
procedure mainly for Melanoma patients.

Oncology and Radiotherapy

Oncology services are provided from Princess Alexandra Hospital.

Cytology

This service is provided for the rapid diagnosis of basal cell carcinoma.

Biochemistry

We have excellent facilities at Princess Alexandra Hospital including assays for PIIINP and
TPMT. We have good arrangements for porphyrin assays and other special investigations.

Mycology

There is an excellent mycology and microbiology service provided at Princess Alexandra

Hospital.

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DEPARTMENT STRUCTURE

Job Title Name Specialist Area

Associate Medical Director Dr Jane Snook Medical Health Group

(Interim)

Clinical Service Lead and Dr R Verdolini Speciality Medicine/Dermatology

Lead Dermatology Consultant

Locum Consultant Dr E Verga Dermatology,

Locum Consultant Dr K Wolpert Dermatology

Consultant 0.5 Vacant Post

Service Manager Karyn Bann Dermatology Based at Arundel Hse

PAH site.

Assistant Service Manager Jo Batrick Dermatology Based at Arundel Hse

PAH site.

Specialty Registrar Dr A Liakopoulou Dermatology

Specialty Registrar Maternity leave

cover

Clinical Assistant – 1 weekly Dr K Gerlis Dermatology SMH

session

Clinical Assistant – 2 weekly Dr J Obasi Dermatology H&E

session

Clinical Assistant – 1 monthly Dr P Pavlou Dermatology SMH

session/Speciality Doctor 1
weekly session

Clinical Assistant – 1 weekly Dr R Khajuria Dermatology SMH

session

Clinical Nurse Specialist Elaine Al-Fattal Dermatology- Biologics/PDT/Patch

Testing

Clinical Nurse Specialist Jenny Ingram Dermatology-

Biologics/PDT/Prescriber.

Clinical Nurse Specialist Rebecca Davis Dermatology- Patch Testing / Skin

lesion clinic.

Consultant Lead Nurse – Annette Aldridge Minor Ops all sites New and Follow
up patients.

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Total Number of Junior Doctors in training in department 0

Total Number of other Medical Trust Appointed in department 2

SUPPORTING RESOURCES

Secretarial services

A team of two experienced Medical Secretaries and one clerk based at Bevan ward PAH
support the Department. There is also clerical support provided at Princess Alexandra
Hospital and Herts & Essex Hospital.

Medical photography

There is a well-staffed service at Princess Alexandra Hospital which is now fully digital.

Office Accommodation

The Consultants share an office on the back of Bevan Ward. There are PCs provided for
clinical staff with the Choose and Book facility and full Internet and Intranet access.

JOB PURPOSE AND OBJECTIVES

Responsibilities and Duties of the Post

The Princess Alexandra Hospital is seeking a part Locum Consultant Dermatologist to cover
maternity leave. We are looking for a dynamic and enthusiastic individual to assist in
providing, maintaining and developing a high quality local service for the people of West
Essex and E&N Hertfordshire.

The post holder will be based at Princess Alexandra Hospital, in Harlow, and will be
expected to conduct outpatient sessions at St Margaret’s Hospital, Herts and Essex Hospital
in Bishop’s Stortford.

The successful candidate will work in partnership with the existing Consultants in
Dermatology, developing dermatology service for the local population. The work within
Dermatology will involve close liaison with general practitioners and other primary healthcare
professionals to ensure an effective interface between primary and secondary care. The
development of joint protocols, educational programmes and audit arrangements will be
important to the success of the service. The post-holder will also work closely with the
general physicians within the Trust.

Induction and Mentoring

In addition to the week-long Trust Induction there will also be localised Departmental
Induction. This will involve introduction to the Team plus other associated colleagues across
all three sites. Processes and systems of work will be introduced and training will be
provided for the Electronic Patient Record and other Clinical Information Systems

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The Team meet on a regular monthly basis to discuss General and Financial Performance,
Patient Safety, Quality and Governance, Resource Planning and general issues and news
regarding the Service.

The Dermatology Team organises an Annual Dermatology Educational Day which is

attended by General Practitioners and other Healthcare Professionals.

MAIN DUTIES AND RESPONSIBILITIES

Dermatology Services at the Princess Alexandra Hospital NHS Trust

a) Outpatients

The majority of dermatology treatment and investigation is outpatient based. With the
appointment of the new Dermatologist we hope to improve the current service by reducing
waiting times and increasing patient choice. The current Dermatologists will continue to hold
clinics at Princess Alexandra Hospital Harlow, St Margaret’s Hospital and Herts & Essex
Hospital. The postholder will also hold clinics at three sites thus providing all patients with a
choice of Consultant and site.

The postholder will be expected to support strategies to speed up access to outpatient

services and to help revise and activate the protocols for shared care of common
dermatological problems in conjunction with the Primary Care Trusts (West Essex CCG and
North & East Herts CCG. This will include service development, training and audit.

Support is provided by Clinical Assistants to Consultants in a number of outpatient clinics.

Some Dermatology Clinics run parallel to each other on same sites offering the opportunity
to discuss cases with colleagues. Nurse led clinics will also run alongside Consultant led
clinics.

b) In-patient services

There are no inpatient wards associated with Dermatology but the service accepts referrals
for inpatient and provides assessment and advise to the consultant team caring for the
patient.

c) CME

The postholder will be responsible for updating their clinic knowledge to meet their CME
requirements.

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Clinical Work

The post will serve to provide consultant advice and treatment to all patients with
dermatology problems.

The postholder will undertake a share of the current outpatient workloads but will be
expected to continue to review and develop the service in partnership with the existing Lead
Consultant, the other consultant and the Medical Health Group management team to meet
the requirements of the local population. It is envisaged that the post will comprise 5 PAs
with 0.75 SPA time.

In each outpatient clinic Consultants see approximately 12 new or 16 follow up patients or a

combination of news and follow ups. Each minor operations list will have approximately 6
slots depending on complexity.

A detailed work programme will be agreed with the postholder on appointment and will be
reviewed annually to take account of the changing needs of the services provided by the
Medicine Directorate.

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Provisional Job Plan- to be reviewed on appointment

A standard full-time job plan will contain Ten programmed activities with a timetable value of
four hours or in half units of two hours. For part time jobs this will be calculated pro-rata.
Contractual and Consequential services include as appropriate; Direct Clinical Care including
on-call work, Supporting Professional Activities, Additional NHS Responsibilities, External
Duties and Travelling Time when working between sites as defined in schedule 12 of the
Consultants Terms and Conditions.

Day Time Location Work Categorisation No. of PAs

Monday

Tuesday

13:30-16:30 Herts & Essex Minor op clinic DCC 1.0

Hospital
Wednesday 16:30-17:30 Clinical admin DCC

09:00-12:00 Herts & Essex Outpatient DCC 1.0

Hospital clinic
12:00-13:00 Clinical admin DCC
Thursday
13:30-16.30 PAH SPA SPA 0.75

16:30-17:30 PAH Clinical admin DCC 0.25

09:00-12:00 St Margaret’s Outpatient DCC 1.0
Hospital clinic
12:00-13:00 Clinical admin

Friday Outpatient DCC 1.0

13:30-16:30 St Margaret’s clinic
Hospital DCC
16:30-17:30 Clinical admin

TOTAL PAs

Programmed activity (PAs) 5.00

Direct clinical care (Highlighted are the CCG contracted, income 4.25
generating activities)
Supporting programmed activities (SPAs)1 0.75
- additional responsibilities and external duties

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ON CALL
There is no on call commitment.

Category A: this applies where the doctor is typically required to return

immediately to site when called or has to undertake interventions with a similar level of
complexity to those that would normally be carried out on site, such as telemedicine
or complex telephone consultations.

Category B: this applies where the doctor can typically respond by giving
telephone advice and/or by returning to work later.

Please indicate as appropriate:

Cat A Cat B

High frequency: 1–4

Medium frequency: 5–8

Low frequency: 9 or more

STUDY LEAVE

Study leave is granted within a maximum of 30 days in any period of 3 years for professional
purposes within the United Kingdom in accordance with national and local guidelines. The
post holder is expected to meet the Continuing Professional Development requirements of
the Royal College.

RESIDENCE

Residence required within either 10 miles or 30 minutes by road from The Princess
Alexandra Hospital, unless alternative arrangements are agreed with Trust Management.
The post holder must have access to transport and a residence address must be maintained
with a public telephone service.

POLICIES AND PROCEDURES

All Staff under contract with The Princess Alexandra Hospital will be expected to comply will
all local and national policies and procedures.

TRUST VALUES
The Princess Alexandra Hospital’s unique organisational identity is based on the following
values, Respectful, Caring, Responsible, and Committed. The Trust believes in investing in
all our staff and rewarding high standards of care whilst building for excellence and in return
we expect our staff to uphold the Trust values to the highest level.
This job profile is not a definitive or exhaustive list of responsibilities but identifies
the key responsibilities and tasks of the post holder. The specific objectives of the
post holder will be subject to review as part of the individual performance review
process.

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The post holder will undergo at minimum annual job planning and appraisal to inform
personal developments probity and revalidation.

JOB DESCRIPTION AGREEMENT

The post is covered by the current terms and conditions of service of the
Medical and Dental 2003 consultant contract, Trust policies and procedures.

A separate job description and job plan will need to be signed off by each
jobholder to whom the job description applies.

Job Holder’s Signature:

Date
Clinical Director Signature:
Date

Initial 6 Month Job Plan Review Date on appointment

Date
Annual Review Date
Date

Royal College Approved Date

Building for Excellence

October 2018