Consultant in Sexual Health and Hiv Medicine

consultant in sexual health and hiv medicine

the sandyford initiative

Information pack

reF: 25630d

Closing Date: 20th july 2012

www.nhsggc.org.uk/medicaljobs

SUMMARY INFORMATION

Post: consultant in sexual health and hiv medicine

Base: the sandyford initiative

Applications are invited for a full time Consultant Post in Sexual Health & HIV Medicine based at Sandyford.

Sandyford is a comprehensive specialist service offering sexual reproductive and emotional health for NHS greater Glasgow and Clyde. The service covers a population of 1.1 million. and there are approximately 110000 patient contacts per year. The Sandyford ethos is ‘to provide health improving services in a client focused, inclusive and anti-discriminatory way, through constantly innovating to meet the needs of men and women’. Our aim is to promote excellence in sexual and reproductive health and to influence others to provide positive, open access approaches to health and well-being for all.

Sandyford delivers an integrated range of services based around genitourinary medicine and sexual and reproductive health. There are also services targeted at population groups including The Place (for young people), Steve Retson Project (for Men who have sex with men) and the Gender Identity Service. There is a large sexual problems service. HIV clinical care is provided through the Acute Division at the Brownlee Centre , Gartnavel General Hospital, G12 0YN. Around 1300 patients attend shared between a team of 8 consultants (currently 3 Genitourinary and 5 Infectious Diseases). In-patients are admitted to the Brownlee Ward under the care of one of the Infectious Disease physicians. There is excellent multidisciplinary team support including specialist nursing, liaison psychiatry, specialist pharmacists, AHPs, liaison psychiatry and counselling.

Those trained in the UK should have evidence of higher specialist training leading to CCT Genito-urinary Medicine or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. Experience of working within integrated sexual health services is desirable.

NHS Greater Glasgow and Clyde /

Consultant in Sexual Health and HIV Medicine

Full time post

SANDYFORD SEXUAL HEALTH SERVICES

2-6 SANDYFORD PLACE

GLASGOW G3 7NB

NHS Greater Glasgow and Clyde

NHS Greater Glasgow & Clyde

JOB DESCRIPTION

Consultant

Sandyford Sexual Health Services, Glasgow

Full Time

1. Job details

Job title: Consultant in Sexual Health and HIV Medicine

Employer: NHS Greater Glasgow & Clyde

Location: Based at Sandyford Central, G3 7NB

Professionally acountable to: Clinical Director, Sandyford

Managerially accountable to: General Manager, Sandyford

2. Qualifications

Those trained in the UK should have evidence of higher specialist training leading to CCT Genito-urinary Medicine or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. Experience of working within integrated sexual health services is desirable.

3. Sandyford

Sandyford is the comprehensive specialist service for sexual, reproductive and emotional health for NHS Greater Glasgow and Clyde. The service covers a population of 1.1 million and there are approximately 110000 patient contacts per year. The Sandyford ethos is ‘to provide health improving services in a client focused, inclusive and anti-discriminatory way, through constantly innovating to meet the needs of men and women’. Our aim is to promote excellence in sexual and reproductive health and to influence others to provide positive, open access approaches to health and well-being for all.

Sandyford delivers an integrated range of services based around genitourinary medicine and sexual and reproductive health. There are also services targeted at population groups including The Place (for young people), Steve Retson Project (for Men who have sex with men) and the Gender Identity Service. There is a large sexual problems service.

Sandyford also is supported by a range of services including counselling, community access, press office, and a dedicated Library/Information service.

While mainly based in Sandyford Central, G3 7NB, services are also delivered in 19 community hubs and satellites across the Health Board area. All services provide integrated sexual health care, with patients attending generic services with a range of issues and being seen by members of a multidisciplinary team who will work within their skills and competencies to meet the patient’s needs or refer on to appropriate team members or other professionals.

A comprehensive Genitourinary Medicine service is provided for both men and women, with specialist clinics for people with complex or chronic conditions. Men who have sex with men are seen both in routine integrated services at Sandyford Central and the hubs and in the specialist Steve Retson Project.

There is an on site laboratory at Sandyford Central, staffed by a biomedical scientist who provides a rapid slide-reading service for Sandyford Central and the community clinics. There is excellent local laboratory support with an emphasis on molecular diagnostics. There are excellent relations with reference laboratories, public health and epidemiologists.

Sandyford provides a complete range of contraceptive services including LARC and vasectomy counselling and operating. Specialist reproductive and sexual health clinics include menopause clinics, psychosexual medicine service, gender identity service, medical gynaecology clinic, colposcopy diagnosis and treatment, pelvic ultrasound, hysteroscopy and minor operative procedures. Sandyford also offers early pregnancy counselling services with direct referral for termination of pregnancy within the TOPAR service.

The unit has many services which are tailored to meet the needs of specific groups such as people involved in prostitution, young people, asylum seekers, lesbians, men who have sex with men, transgendered people, different ethnic groups and people with disabilities. An equality impact assessment of the service was undertaken in 2011.

Sandyford Counselling and Support Services (SCaSS) provide comprehensive counselling services for men and women, particularly for issues which have an impact on sexual health.

Sandyford is committed to a social holistic model of health and has very close ties with the Board’s health improvement team for sexual health which is based at Sandyford. Sandyford has a part-time Community Access Co-ordinator whose role is to ensure the views of users are taken into account in designing and delivering services and the strategic direction of the service. He also liaises with different community groups in an effort to reach non-users.

Sandyford is involved in education with many different groups ranging from the general public to youth groups and medical undergraduates, health care professionals, teachers and many others. Special Study Modules are provided for undergraduate medical students from Glasgow University and the Directorate has close links with Caledonian University and University of the West of Scotland.

There is a comprehensive sexual health IT system, the NaSH system in use across Scotland. All routine consultations are paperless. The system provides a significant amount of routine reportable information and facilitates dispersed working, secure messaging, and a high degree of automation. Test results are imported and interpreted automatically and made available via an automated telephone system.

There is a public and a staff library with internet access for both the public and staff. These facilities are supported by a full time librarian. The public library is linked electronically to the Glasgow City Council library system.

Archway Glasgow is Scotland’s first SARC (sexual assault referral centre), which aims to improve the care provided for those who have been raped or sexually assaulted by providing forensic and medical services, counselling and follow-on support for women, men and adolescents who have been raped or sexually assaulted in the Greater Glasgow area. Archway is a partnership between the statutory and voluntary sector including the NHS, Glasgow City Council, Strathclyde Police, Crown Office Procurator Fiscal Service and Glasgow Violence Against Women Partnership and is hosted within Sandyford.

HIV clinical care is provided through the Acute Division at the Brownlee Centre, Gartnavel General Hospital, G12 0YN. Around 1300 patients attend shared between a team of 8 consultants (currently 3 Genitourinary and 5 Infectious Diseases). In-patients are admitted to the Brownlee Ward under the care of one of the Infectious Disease physicians. There is excellent multidisciplinary team support including specialist nursing, liaison psychiatry, specialist pharmacists, AHPs, liaison psychiatry and counselling. The Brownlee is located on the same campus as the immunology and virology laboratories. Consultations are semi-paperless with extensive use of Clinical Portal and a comprehensive unit database which is used for audit and cost containment. There are regular HIV and Infectious Disease update meetings, teaching and training.

3.  General Responsibilities

1)  Provide direct clinical care within integrated sexual health and related services at Sandyford or any of its other sites.

2)  To provide general direct clinical care within the HIV services at the Brownlee Centre, Gartnavel Hospital.

3)  Provide clinical leadership.

4)  To participate in local and national audit.

5)  To assist in research as required.

6)  To provide and take part in educational activities.

7)  Undertake administrative tasks in order to ensure smooth liaison and partnership development with all relevant statutory and non-statutory agencies.

8)  Any other task deemed suitable that may arise as a result at the request of the Sandyford senior management team.

9)  It is emphasised that duties and responsibilities of this post may change as a result of new evidence and service development.

4.  Areas Of Special Responsibility

To be agreed depending on the successful applicant’s interests and expertise and the needs of the service.

5. NHS Scotland

The Scottish Government’s Sexual Health Strategy (Respect and Responsibility), launched in 2005, made recommendations on how sexual health should be delivered and emphasised the importance of patients having choice in obtaining services and the role of primary care in partnership with other service providers. The Sexual Health and Blood Borne Virus Framework 2011-2015 combines areas of work surrounding Sexual Health, HIV, hepatitis C and hepatitis B. It is a multi-agency, cross agenda approach based on five high level outcomes.

NHS Healthcare Improvement Scotland (formerly Quality Improvement Scotland) developed standards for sexual health services and NHS Greater Glasgow and Clyde had an external review of their compliance with these standards in January 2011.

6. ORGANISATIONAL STRUCTURE

Dr Pauline McGough Clinical Director &Consultant in SRH

Dr Rosie Ilett General Manager

Mrs Lorraine Forster Head of Nursing

Mrs Fiona Noble Manager (Business & Development)

Mrs Jennifer Schofield Operations Manager (Business & Admin)

Consultant Staff

Dr Christine Black Sexual & Reproductive Health

Dr Audrey Brown Sexual & Reproductive Health

Dr Fiona Fargie Sexual health and HIV medicine

Dr David Gerber Mental Health (0.5wte)

Dr Tamsin Groom Sexual & Reproductive Health

Dr Anja Guttinger Sexual & Reproductive Health (0.6 wte)

Dr Jean Irvine Genitourinary Medicine (0.5 wte)

Dr Kay McAllister Gynaecology (0.7 wte)

Dr Louise Melvin Sexual & Reproductive Health

CEU Director (0.8 wte)

Dr Noreen Mir Genitourinary Medicine (0.2 wte)

Dr Rak Nandwani Sexual Health and HIV medicine

Lead Clinician, West of Scotland sexual health MCN

Dr Anthony Rea Sexual Health and HIV medicine

Dr Deborah Wardle Genitourinary Medicine

Dr Andy Winter Sexual health and HIV medicine

The successful applicant will join a medical team which includes Consultant staff, 1 FY2 Doctor, specialist trainees in GUM and SRH, specialty and associate specialist doctors. The wider multidisciplinary team includes specialist sexual health nurses and health care assistants, health advisers, administrative & clerical staff and laboratory scientists, counsellors, in addition to other members of the team such as a community access worker and library staff employed by partner services within the Sandyford Initiative.

Sandyford is hosted within the North West Sector of Glasgow City Community Health Partnership.

7. Provisional Job Plan

A final job plan will be agreed with the postholder on appointment and will be reviewed annually to take account of the evolving needs of the service. See appendix D for an indicative plan.

Direct Clinical Care 7.5 PAs

·  The majority of these (5 PAs) will be within the integrated Sexual & Reproductive Health services with a mixture of generic walk-in and specialist appointment services and case review work. One session will take place in the early evening when the Consultant will also be provide clinical support for all Sandyford services. The remainder (2.5 PAs) will be within the HIV services.

Supporting professional activities 2.5 PAs

·  These will be agreed with the postholder and will include time for CPD, appraisal, revalidation, teaching and training of the multidisciplinary team and service development.

8. Continuing Professional Development

A comprehensive range of postgraduate courses, lectures and meetings is available. One dedicated afternoon per week is set aside for educational meetings, tutorials and journal club presentations with trainees and colleagues from other disciplines. There are also opportunities for CPD as part of the West of Scotland sexual health Managed Care Network.

9. Teaching and Training

The postholder will make a contribution to both undergraduate and postgraduate teaching and training. This will include commitment to Sandyford workshops in integrated sexual health and HIV (SWISHH), Diploma in sexual and reproductive health courses, and undergraduate medical student teaching, and additional activities by mutual agreement.

10. Research

A wide range of opportunities are available within Glasgow. The department has a profile in epidemiological and health services research. Current collaborators include Health Protection Scotland, the Glasgow University Department of Public Health, Strathclyde and Glasgow Caledonian Universities and the MRC Social & Public Health Sciences Unit.

There are also close working relationships with the West of Scotland Specialist Virus Laboratory and other microbiology departments in Scotland, including the National Neisseria Gonorrhoeae Reference Laboratory in Edinburgh, which provide valuable collaborative research opportunities.

11. Management Duties

Appropriate administrative duties are included with the responsibilities of the post. This includes supervision of trainees and other staff, organisation of service delivery, management of rota and clinical audit.

12. Line Management

The candidate will be employed by NHS Greater Glasgow & Clyde and be professionally accountable to the Clinical Director, Sandyford. Managerial accountability to the Northwest sector of Glasgow City CHP will be through the Sandyford General Manager.

13. Conditions of Appointment

For all entrants to NHSGG&C, occupational health assessment may be required prior to confirmation of appointment. Enhanced SCRO disclosure is undertaken.