PROPOSED CONSULTANT APPOINTMENT This document sets out the details of the Proposed Consultant Appointment under the following headings: 1) Summary of Position Sought, 2) Business Case, 3) Indicative Consultants’ Work Practice Plan and 4) Job Description. It is effective for all applications submitted from 1st January 2017.

This document has two purposes; firstly to allow the Consultant Applications Advisory Committee (CAAC) to make a recommendation as to whether or not the Proposed Consultant Appointment should be approved. Secondly, once the proposed appointment has been approved this document will be re-titled as Approved Consultant Appointment, and will be made available to applicants during the recruitment process along with the Letter of Approval.

The Approved Consultant Appointment document serves as the record of what the Consultant post is intended to deliver, the facilities that will be provided for the Consultant and what is required of the individual Consultant once appointed.

It is envisaged that the Approved Consultant Appointment document will be the subject of discussion between the employer and the Consultant at regular intervals including; induction, probation and appraisal. These discussions may result in revisions to the document to reflect changes in organisational health service structures, service demands and relevant policy developments.

Submitting the Proposed Consultant Appointment for Consideration by CAAC1. Once the Proposed Consultant Appointment document has been signed by the Hospital Group CEO/CHO Chief Officer it should be emailed to the relevant Clinical Programme Lead (or nominee of CAAC) for their review.

2. The Clinical Programme Lead (or nominee of CAAC) must then complete the Clinical Programme Lead/ Nominee of CAAC Evaluation Form within 10 working days of receipt of the document and return the evaluation form to the Hospital Group CEO/CHO Chief Officer.

3. The Hospital Group CEO/CHO Chief Officer then submits the Proposed Consultant Appointment document together with the Clinical Programme Lead/Nominee of CAAC Evaluation Form to the Consultants Division, NDTP at: consultant.applications@hse.ie.

The Proposed Consultant Appointment document cannot be sent to NDTP without a completed Clinical Programme Lead/Nominee of CAAC Evaluation Form.

Queries in relation to this document should be directed to the Consultants Division, NDTP at the email address above or by phone on 01 6352445.

HSE National Doctors Training & Planning, August 2016

SECTION A – SUMMARY OF POSITION SOUGHT

1. Is the application for a new or replacement post? (please tick)

New Replacement

2(a) What is the source of the proposed post? (please tick)

National Service Plan Local decision Other – please specify

2(b) What is the funding source of the proposed post? (please tick)

National Service Plan In current budget Other – please specify

3. Name of Hospital Group/CHO:

4. Name of Employer(s):

5. Please specify the location(s) of proposed post and the hourly commitment per site:

Location(s) of proposed post Hourly commitment for each site

5(a) Please list the approved title of this post using the ‘Qualifications Specified by the HSE’ for Consultant Posts document: (Any additional or different commitments can be reflected in the Job Description and advertisement).

5(b) Please set out any proposed revision to the title and the rationale for same:

6(a) Will this post hold the academic consultant contract? (please tick)

Yes No

6(b) If yes, what grade of academic post is being sought?

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Professor /Consultant

Associate Professor/ Consultant

Senior Lecturer /Consultant

7. If this is a replacement post, state:

Post Reference Number from previous HSE Letter of Approval:

Name of consultant being replaced:

Reason for replacement:

If replacement is due to resignation, please give reason for the resignation:

Date on which the vacancy arises:

Current hours and location(s) of this post:

8(a) Is the post currently occupied?

Yes No

8(b) If yes, what is the name of the postholder, their medical council number, when did they commence in the post, when are they due to finish in the post and what is their tenure?

Name of Post holder:

Medical Council No:

Commencement Date:

Termination /Retirement Date:

What is the tenure of the post holder? (please tick one)

Permanent consultant/ Consultant with a contract of indefinite duration (CID)

Temporary consultant employed on a fixed term contract

Temporary consultant employed on a specified purpose contact

Locum consultant employed on a fixed term contract

Locum consultant employed on a specified purpose contact

8(c) Please note that it is a condition of approval that on appointment of the successful candidate to the approved post the above post holder will no longer continue in this post. Please indicate your agreement to this.

Yes No

If No, please explain why:

9. Contract Type:

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9(a) What contract type is sought?

Type A Type B Type C

9(b) Please state the reason(s) for selecting the particular contract type indicated above:

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SECTION B – BUSINESS CASE

10(a) Give a brief description of the existing service/speciality and how it functions within the hospital, within the hospital group/community healthcare organisation/mental health service, at national level and how it is aligned to the national clinical programmes and their models of care. (Word count limit of 300 words)

10(b) What is the strategy (number and disposition of posts) within the Hospital Group/ CHO for development of the speciality or sub-speciality service to which this Consultant post application relates taking into account the services in neighbouring Groups / CHOs?As part of your response to this question, please identify specialties whose workload will change significantly as a result of this appointment.(Word count limit of 300 words)

10(c) Give an assessment of the need for this post. (Word count limit of 300 words)

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10(d) Describe how this post holder will function including their integration within the Consultant team and the sharing of resources.Please describe:

Integration within the Consultant team (e.g. (1) Specialist colleagues and sub-specialty interests of each, and (2) Other specialists as part of an integrated care team) (Word count limit 200 words)

Delivery of commitments by the Consultant team across each location covered by the team (e.g. Outpatients, theatre, endoscopy or other) (Word count limit 200 words)

Staff resources specific to this appointment – please indicate if shared (e.g. NCHDs plus number on training programmes, Specialist nurses, Allied Health and Social Care Professionals, Pas, Secretaries, Business Managers or other) (Word count limit 200 words)

Enhanced or newer consultant delivered services (e.g. Acute Ambulatory Care Medicine, Acute General Surgeon) (Word count limit 200 words)Please refer to any relevant guidance from clinical programmes here.

Extended consultant presence including weekends including time commitment and frequency (Word count limit 200 words)Please refer to any relevant guidance from clinical programmes here.

Describe how this will reduce dependency on NCHDs (Word count limit 200 words)

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10(e) Are all the resources for the post holder to carry out their duties in place in each site?

Clinical Facilities appropriate to the consultant’s speciality including:

Clinical Facilities Yes No Details N/A

Beds No of beds shared by specialty

Acute:

Elective:

Theatres – specific to this post

Number of sessions

Days of the week:

Times:

Access to Day Unit – specific to this post

Bed numbers:

Access to Out-patient Procedures including Minor Operations – specific to this postEndoscopy – specific to this post

Type of endoscopy:

Available sessions:

Days of the week:

Times:

Specialist Diagnostic Facilities Appropriate to Position (e.g. Cardiac Catheterization Lab, Vascular Lab, Audiometry Service) – specific to this post

Specialist Procedural Equipment (e.g. Robotic Surgery, Vascular Interventional Suite) – specific to this post

Outpatient Department – specific to this post

Number of sessions

Days of the week:

Times:

Community FacilitiesConsultant Psychiatrists

Give details

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- Team Base- Offices for MDT

patient inputs- Day Hospital

10(f) Generic Facilities appropriate to the consultant’s specialty including:

Generic Resources – specific to this post Yes No Details N/A

Dedicated Workspace

Computer facilities, internet access, offsite access

Access to relevant databases/ medical literature

Multi-disciplinary team (including medical staff as appropriate)

List by discipline and number

Secretarial/ administrative support

Support for and access to CPD/training

Support for Audit

Time to participate in supporting professional activities

Time – leave and duties for public service, training or regulatory organisations other than the employer

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10(g) How will the consultant team and the service deliver an enhanced service as a result of this post? (Word count limit 200 words)

10(h) Performance Measurement(Word count limit 300 words)

What performance measurement processes exist to ensure that the post will deliver on the service objectives and what key performance indicators (KPIs) will be used to monitor the service:

Describe how performance/ measurement takes place?

Please indicate details of:

Induction (including name and contact details of person responsible for induction)

Probation

Appraisal

10(i) Consultation with Relevant Consultant/Specialist Grouping within the employing hospital/service

Please confirm that the relevant consultant/specialist grouping in the hospital/service has been consulted regarding this application:

Yes No

Please insert the name of this consultant/specialist grouping:

___________________________________________________________________________________

Please confirm that the relevant hospital Clinical Director has been consulted regarding this application:

Yes No

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EXISTING STAFFING RELEVANT TO THIS POST

11. Staffing in the Specialty / Department:

11(a) Give details of the existing permanent consultant posts in the specialty / department:

Name Medical CouncilNumber

Method of Appointment*

Contract Type

Special interest if any

Post Ref Number from Letter of Approval

Base hospital/ site(hrs/wk)

Other hospital / site/ medical school(hrs/wk)

* Standard competitive consultant interview process/ CID

11(b) Give details of all other existing consultant appointments, including type of appointment (e.g. temporary, locum, sessional etc.) in the specialty / department:

Name Medical CouncilNumber

Contract TypeunderConsultantsContract

State Temporary/ Locum and specified purpose/fixed term

Post Ref Number from Letter of Approval

Approved Post Yes/No

Date of appointment

Purpose of appointment

Is the consultant eligible for a CID?Yes/No

11(c) Present position regarding the filling of vacant approved permanent consultant posts in the specialty / department:

Post Post Ref Number from

Letter of ApprovalDate of approval Stage of filling

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SECTION C – INDICATIVE CONSULTANTS’ WORK PRACTICE PLAN

Please indicate what the indicative consultants’ work practice plan for this post would be. It is acknowledged that this plan may change between submission of the application and filling of the post.

Hospital / Agency commitment:Employer 1:Employer 2:Employer 3:

Hours p/w:Hours p/w:Hours p/w:Total hours p/w:

On-call commitment Is there an on-call commitment as part of this post?

Yes No

If yes, please describe in full the on-call rota(s)/commitment for this post. If it is a general rota please specify the frequency the sub-speciality is on-call and the frequency the individual consultant is on-call.

Guidance notes on completion Practice Plan must total the hourly commitment to each Hospital/Employer. The total hourly commitment should not exceed the contract hours, which for a full time consultant is 39

hours. The practice plan should clearly show the start and finish times for each entry. Commitments should be inclusive of travel time between service locations. Teaching time should be included in the weekly commitment, it should be protected and be a minimum of 2

hours p/w in cases where the post does not have academic sessions. In general, the clinical hours should be a minimum of 30 hours of the 39 hours worked p/w (pro-rata for a

consultant working less than full time hours). The normal week of 39 hours is worked 5 days over of 7, however, with the employer’s agreement the 5

days can be reduced to a minimum of 4 days p/w presence in the hospital (pro-rata for a consultant working less than full time hours). This is no way reduces the requirement to perform duties over 5 days.

Hours of attendance should reflect times of patient related activity e.g. OPD, ward rounds etc. Hours of attendance must be in line with other consultants on the team to ensure consultant always

available during hours of operation of the service/specialty. If the schedule alternates on a weekly/monthly basis an additional template should be completed.

Day Times

From To

Details (please select from the details list below on page 11)

Hospital/ Employer Hours Per Day

EXAMPLE

7am 8am Grand Rounds Name of Hospital 1 18am 10am Ward Rounds Name of Hospital 1 2

10am 1pm OPD Name of Hospital 1 31pm 5pm Theatre Name of Hospital 2 45pm 6pm Administration/Dictation Name of Hospital 2 1

Total hrs 11

MONDAY

Monday hrs

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Day Times

From To

Details (please select from the details list below on page 11)

Hospital/ Employer Hours Per Day

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TUESDAY

Tuesday hrs

WEDNESDAY

Wednesday hrs

THURSDAY

Thursday hrs

FRIDAY

Friday hrs

SATURDAY

Saturday hrs

SUNDAY

Sunday hrsWEEKLY TOTAL HRS (should equal 39 hrs for full time posts)

Indicative List of ActivitiesTheatre Teaching/TrainingWard Rounds CME/CPDDay Care Commitment Audit/Quality/RiskOut-patient Department (please specify clinic) Specific Activities

for AnaesthesiaITU, ICU & HDU

Endoscopy Pre & Post Op. Patient Care

Specialised Diagnostic Procedures (please specify procedures)

Specific Activities for Pathology

Lab Analysis

Day hospital commitment Lab Supervision

Consults Reporting/ sign-out of test resultsGrand Rounds AutopsyCase Conference (please specify) Specific Activities

for RadiologyReporting

MDT Meeting (please specify) Interventional Administration/Dictation Other (please specify)

SECTION D - JOB DESCRIPTION

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Please complete the following job description for the proposed post. Please note some sections are specific to psychiatry posts only as indicated below.

Job Title Reporting Relationship Consultant Contract 2008 states that the Consultant’s reporting relationship and

accountability for the discharge of his/her contract is: to the Chief Executive Officer/General Manager/Master of the hospital (or other employing institution) through his/her Clinical Director (where such is in place) or in the case of Consultant Psychiatrists, to the Clinical Director and the Area Manager, Community Health Organisation (where the Consultant is employed by the HSE) / Chief Executive Officer (where the Consultant is not employed by the HSE).

Detail any other required reporting relationships:

Population (Population to be served by relevant age bracket. State catchment area and sector, where relevant, and any special features of the population.)

Integrated Care (i) Relevant internal integrated pathways (e.g. Care of Older Persons and Trauma and Orthopaedics or hip fractures)

(ii) Relevant external integrated pathways

(iii) If more than one consultant in a team, how that will operate - to be completed for Psychiatry posts only

Type of Service

To be completed for Psychiatry posts only

Type of service to be delivered i.e. Model of Care covering(i) in the community e.g.

OPD assessment Domiciliary assessment Assertive Outreach Model etc.

(ii) Inpatient work(iii) Link, if any with, local acute hospital e.g. consultation work(iv) Any special features of the work

Resources

To be completed for

(i) Base(ii) Access to named facilities to be stated

Day hospital (site)

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Psychiatry posts only Acute inpatient beds (number and site) Other

(iii) MDT by discipline and number. To include administrator member of the MDT

Principal Duties and Responsibilities

Standard Duties and Responsibilities for all Consultant posts are as per Section 12 of the Consultant’s Contract.

Please insert the operational, strategic, developmental, clinical, administrative and other duties that will apply to the post. Please expand this section as required.

The above is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office.

Other requirements specific to the post

Please include any other requirements that are specific to the post e.g. the Consultant is required to have access to transport

Skills, competencies and/ or knowledge

Please include any specific skills, competencies and/or knowledge that are essential for the post holder to have to carry out this post.

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SECTION E – GROUP SIGNOFF IN SUPPORT OF THE APPLICATION

If this application is for a post in a HSE funded agency (including voluntary hospitals and agencies), has it been approved by the CEO or equivalent of the agency?

Yes No

Hospital Group Clinical Director/ CHO Executive Clinical Director

Name of Hospital Group Clinical Director/ CHO Executive Clinical Director: ______________________________________

My signature below confirms my support for this consultant post and certifies that the funding for this post is in place and is in line with the Hospital Group/CHO funded workplan.

Signature of Hospital Group Clinical Director/CHO Executive Clinical Director: _______________________________________

Date: ________________________

Hospital Group CEO/CHO Chief Officer:

Name of Hospital Group CEO/CHO Chief Officer: ________________________________

My signature below confirms my support for this consultant post and certifies that the funding for this post is in place and is in line with the Hospital Group/CHO funded workplan.

Signature of Hospital Group CEO/CHO Chief Officer: ______________________________

Date: ________________________

Once this document has been signed by the Hospital Group CEO/CHO Chief Officer it should be emailed to the relevant Clinical Programme Lead (or nominee of CAAC) for their review. The Clinical Programme Lead (or nominee of CAAC) must then complete the Clinical Programme Lead/Nominee of CAAC Evaluation Form within 10 working days of receipt of the document and return the evaluation form to the Hospital Group CEO/CHO Chief Officer. The Hospital Group CEO/CHO Chief Officer then submits this document together with the Clinical Programme Lead/Nominee of CAAC Evaluation Form to NDTP for consideration by the CAAC. The Proposed Consultant Appointment document cannot be sent to NDTP for consideration by the CAAC without a completed Clinical Programme Lead/Nominee of CAAC Evaluation Form.

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