Health Education South West Postgraduate Dental Education Specialty Registrar in Special Care Dentistry based at Bristol Dental Hospital & School TITLE OF POST Specialty Registrar (StR) in Special Care Dentistry GRADE Specialty Registrar (StR) SPECIALTY Special Care Dentistry (SCD) AREA South West Dental Deanery FULL/PART TIME Full Time/Part Time SALARY MN37 for Specialty Registrar: currently £30,002 - £47,175 (Note: Salary protection is only available to the level of the top point on the StR pay scale). ANNUAL LEAVE 30 days TRAINING PROGRAMME DIRECTOR (TPD) Tony Brooke LEAD TRAINERS/ SUPERVISORS Tony Brooke, Petrina Wood BASE The post is based in the University Hospitals Bristol NHS Foundation Trust ROTATIONS Potential rotations involving Exeter, Barnstaple & Gloucester to be introduced in years 2 & 3 of training EDUCATIONAL APPROVAL The training programme has educational approval confirmed by the regional Postgraduate Dental Dean. Main duties and responsibilities This full time training post will be based at Bristol Dental Hospital and School, University Hospitals Bristol NHS Foundation Trust. Progress in training will be regularly assessed and reviewed at appraisal meetings with the Educational Supervisor. Regular informal meetings 1 with Consultants will take place in addition to more formal meetings with all the clinical trainers, including the Programme Director. Annual reports will be made to the annual review of competence progression (ARCP) panel organised by the department of Postgraduate Dental Education, Health Education South West and progression at each stage of training is dependent on a satisfactory outcome at this review. The training programme will require the trainee spending approximately 80% of their time over a 3 year period carrying out Clinical Special Care Dentistry training with the remaining 20% associated with obtaining skills in dealing with management issues/clinical administration/audit/CPD training, plus a combination of other relevant material. It is expected that the SCD training programme will result in a successful outcome in the Tri-Collegiate Specialist Membership Examination in Special Care Dentistry. Progress towards this outcome will be monitored by the trainers in the clinical setting and the S.W. Deanery at the annual ARCP. The Special Care Dentistry (SCD) training programme is designed to fulfil the requirements of the GDC leading to the award of a certificate of Completion of Specialty Training (CCST). The StR post will be for a period of 3 years full-time during which the trainee will be expected to work towards developing a clinical portfolio across all the domains in the SCD curriculum, as specified by the SAC and Tri-Collegiate examiners for SCD. Towards the end of this period, after a minimum of 30 months of full-time training, it would be expected that the StR would be eligible to sit the Tri-Collegiate Membership examination in SCD and, if successful, would be eligible at 36 months for completion of training, enabling the award of a CCST in SCD and registration on the GDC specialist list in Special Care Dentistry. At this time there are no further formal training positions in SCD following entry on the specialist list University of Bristol Dental Hospital and School The Dental Hospital, situated in the University Hospitals Bristol complex in the centre of the city, is affiliated with the University of Bristol Dental School. Bristol University department of Oral and Dental Science is responsible for the delivery of undergraduate and postgraduate teaching programmes and clinical teaching occurs at the Bristol Dental Hospital and School, with outreach teaching at South Bristol Community Hospital. The Department of Oral & Dental Science has a strong research culture and is recognised as one of the leading research schools in the UK. Research in the Department is managed under three autonomous research groups: 1. Applied Clinical and Materials Science 2. Infection and Immunlogy 3. Lifecourse Epidemiology and Population Oral Health 2 Each group comprises a mix of clincal academics and basic scientists who support the ethos of integration and translation of oral and dental research. We address questions of high relevance to the NHS. There are also strong links with the Department of Social Medicine. For further details of research programmes, individual staff members’ interests and publications you are directed to the School website: http://www.bristol.ac.uk/dental/research/ SPECIAL CARE DENTISTRY A full range of Specialist led services in Special Care Dentistry are provided by the Trust for patients resident within Avon and the South West. These services are mainly based at Bristol Dental Hospital with outreach clinics provided through the Salaried Dental Service. Practitioners within Special Care Dentistry contribute to a number of multi-disciplinary, primary, secondary and tertiary referral clinics managing patients with many varied Special Care problems including:Medically compromised patients, Immunosuppressed patients, Bone marrow transplant patients, General Oncology and Head and Neck malignancy patients, Patients with learning difficulties, Patients with dental anxiety and dental phobias The clinical care and teaching within Special Care Dentistry is integrated primarily between the medically compromised patient treatment unit at BDH and Avon Salaried Dental Service. A brief description of each is outlined below; other specialities with high involvement in this area are oral surgery and restorative dentistry. Medically compromised patient treatment unit Patients are referred for assessment and treatment to this unit by other medical & dental practitioners for patients with complex medical problems whose dental management requires treatment in a specialised hospital setting. Patients are also seen following requests from other medical specialists within University Hospitals Bristol Trust for Oral screening prior to the treatment with High Dose Chemotherapy, Bone Marrow Transplantation, Head & Neck Oncology screening prior to Chemo-Radiotherapy or Surgery, Patients with Hereditary or Acquired Coagulopathies, Patients with acquired immunosuppression, Pre-organ transplant screening, Many other patients with more complex medical problems requiring dental management. Patients with behavioural or learning difficulties are also assessed on clinics prior to treatment planning. 3 The post-holder will be invited to attend and contribute to the regular oral medicine speciality meetings where issues relating to teaching and clinical service are raised. Avon Salaried Dental Service Avon Salaried Dental Service is part of Dental Services, UH Bristol. It provides dental treatment for priority groups who cannot obtain treatment through the General Dental Service. These include patients whose medical, mental, physical or behavioural conditions that make routine dental care difficult or complicated. A high level of emphasis is placed on domiciliary care. Avon salaried Dental Service also provides a safety net service for socially disadvantaged children in areas where there is no treatment provision through the General Dental Service. It undertakes dental screening and epidemiological surveys and oral health promotion for a population of approximately 800,000. Treatment facilities are provided within the Dental Hospital, and at nine clinics and health centres in Bristol, Weston-Super-Mare and the surrounding areas of North Somerset and South Gloucestershire. There is an ongoing programme of refurbishment to develop and update community dental surgeries ADDITIONAL POST DETAILS The clinical training programme follows the curriculum recommended by the SAC in Special Care Dentistry. Training is geared towards fulfilment of the GDC requirements for a certificate of Completion of Specialist Training (CCST) in Special Care Dentistry and the trainee will be allocated a National Training Number. Progression at each stage of training is dependent on a satisfactory outcome at the ARCP Training programme director Mr Tony Brooke Consultant in Special Care Dentistry NHS supervisors Dr Petrina Wood Mr Tony Brooke Clinical Director of PCDS Consultant in Special Care Dentistry The timetable for the StR will be tailored to maximise their exposure to all the domains within the national curriculum for SCD and to enhance a successful entry for the Membership examination. The trainee will be exposed to a wide variation of clinical situations and patient management scenarios, including the provision of treatment under inhalational or conscious sedation plus Day Case General Anaesthesia. 4 Proposed Timetable Rotation A Monday SCD Consultant Clinic Tuesday PCDS Wednesday Consultant Clinic / Learning Difficulties Thursday St Michaels Hospital Theatre Friday PCU /OS B3 treatment PCDS SPA B3 treatment OS 1:2/SPA Tuesday Med comp Assessment clinic / treatment session Oral Surgery/ Sedation list Wednesday B3 treatment Thursday PK restorative 1:2 CB sedation OS 1:2 Friday B3 Treatment SPA Oral Medicine Consultant Clinic Problem based learning/SPA Rotation B Monday PCDS PCDS During their training the StR will be expected to supervise the dental undergraduates and to provide selected teaching for both dental undergraduate students and postgraduate dentists / doctors as part of their specialist training in specific aspects of SCD. The StR will be expected to carry out clinical audit and encouraged to participate in formal research. There is at present no formal continuing placement outside of University Hospitals Bristol NHS Foundation Trust arena, however through the PCDS, satellite clinics are attended on a weekly basis under the supervision of the Clinical Director, Petrina Wood. The training programme is intending to link with the salaried services in North Devon with the potential of providing short term rotations involving Exeter & Barnstaple community based clinics during years 2 & 3 of training. There is the possibility that these rotations may be extended to include the Community services in Gloucester and Somerset. 5 Facilities and support The trainee will have dedicated desk space within Bristol Dental School. There are extensive dental and medical libraries available to the trainee within the University. The post will have IT infrastructure and access to secretarial support. Main Conditions of service 1. The full time appointment will commence as soon as possible following successful interview. Any candidate who is unable, for personal reasons, to work full-time will be eligible to be considered for training flexibly in post. 2. The post is covered by the Terms and Conditions of Service of Hospital Medical and Dental Staff and terms of appointment are as for NHS Speciality Registrar grade. Appointee must meet requirements of Trust employer, i.e. Enhanced CRB disclosure, Occupational Health requirements etc. 3. The salary will be in the StR salary depending on age, qualifications and experience of the person appointed. NB: Salary protection is only available to the level of the top point on the StR pay scale. current salary scale for Specialty Registrars is £30,002 - £47,175 (may be subject to change) 4. The StR will hold his/her appointment with Dental Services (UH Bristol) and for day-today duties he/she will be responsible to the appropriate Clinical Supervisor and ultimately to Mr Tony Brooke, Training Programme Director, Special Care Dentistry. 5. The StR will be entitled to 30 days annual plus an allocation of study leave per annum. Formal training provided within the training programme will be counted as part of the study leave. Funding for study leave will be in accordance with current Deanery guidelines and funding. 6. HONORARY CONTRACT It is expected that the University of Bristol will offer an honorary contract for the duration of the post. 6 CONDITIONS OF APPOINTMENT The passing of a medical examination is a condition of appointment of all practitioners within the scope of the National Health Service Superannuation Scheme. ‘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 and apply it. The procedure is available within your Medical Staffing Department’. The successful applicant will be required to provide documentary evidence of natural or acquired immunity to hepatitis B. Where this is not possible, the post holder will be required to demonstrate by recent (within the last year) evidence of serology showing the absence of hepatitis B antigen. These provisions are to meet the requirements of the Department of Health's instruction to Trusts (HSG(93)40). PROTECTION OF CHILDREN Disclosure of Criminal Background of those with access to Children The person appointed to this post may have substantial access to children as defined in Joint Circular No HC(88)9, HOC8/88 and WHC(88)10. Applicants are, therefore, advised that shortlisted candidates will be asked to complete a form disclosing any convictions, bind-over orders or cautions, and to give permission in writing for a police check to be carried out. Refusal to do so could prevent further consideration of the application. Attention is drawn to the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986 which allow convictions that are spent to be disclosed for this purpose by the police and to be taken into account in deciding whether to engage an applicant. Candidates are assured that the completed form will be treated with strict confidentiality and will not be disclosed to the Appointments Advisory Committee until the successful candidate has been selected. A police check will only be requested in respect of the candidate recommended for appointment. All forms completed and returned by other candidates will be destroyed when the final selection of the candidate to be recommended for appointment has been made. JUNIOR DENTAL STAFF ANNUAL AND STUDY LEAVE (BRISTOL DENTAL HOSPITAL) Arrangements for allocation of annual leave In accordance with the Terms and Conditions of Service, leave arrangements are outlined below. All annual leave must be approved in writing by the Supervising Consultants and applied for at least SIX weeks in advance of commencement of leave. 7 APPLICATIONS for leave Application forms should be completed well in advance. Once countersigned by your Consultant recommending that the leave be agreed subject to necessary arrangements being made to cover the absence they should be forwarded to the Dental Hospital Office who coordinate the leave. STUDY LEAVE Specialty registrars may apply for up to 15 days per year (or 7.5 days in 6 months posts) to attend recognised courses and conferences with reasonable expenses payable. United Hospitals Bristol - General Information The Trust’s Values University Hospitals Bristol NHS Foundation Trust is committed to provide patient care, education and research of the highest quality. In delivering this ambition, we will be guided by the following values: Respecting Everyone Embracing Change Recognising Success Working Together The Trust expects all staff to work in ways which reflect these values at all times as follows: Respecting Everyone We treat everyone with respect and as an individual We put patients first and will deliver the best care possible We are always helpful and polite We have a can do attitude in everything we do Embracing Change We will encourage all change that helps us make the best use of our resources We learn from our experiences and research new ideas We look to constantly improve everything we do Recognising Success We say thank you and recognise everyone’s contribution We take pride in delivering the best quality in everything we do We share and learn from each other We encourage new ideas that help us to be the best we can Working Together We work together to achieve what is best for our patients We support each other across the whole Trust We listen to everyone We work in partnership 8 Transforming Care Transforming Care challenges everyone at University Hospitals Bristol to play their part in supporting quality changes and improvements in their work place, building efficient care systems critical for our patients and their families, both today and in the future. The Trust’s mission is to deliver clinical services, teaching and research of the highest quality. Our vision is to provide first class technical care, with humanity, compassion and sensitivity to the needs of each patient. Delivering best care, Improving patient flow, Delivering best value, Renewing our hospitals, Building capability, Leading in partnership. These are the core elements essential to Transforming Care. Delivering sustainable healthcare services to our patients, which are effective, efficient and driven by excellence, is at the heart of our organisation. Equal Opportunities The Trust is committed to eliminating unlawful discrimination and promoting equality of opportunity. All staff have a personal responsibility to contribute towards an inclusive and supportive environment for patients, carers, visitors and other colleagues from all the equality strands (race, gender, age, sexual orientation, religion, disability). Staff have a personal responsibility to: Ensure their behaviour is not discriminatory Does not cause offence To challenge the inappropriate behaviours of others Adhere to the Trust’s values, including ‘Respecting Everyone’, as well as the Staff Conduct Policy and the Equal Opportunities policy Health and Safety Under the provisions contained in the Health and Safety at Work Act 1974, it is the duty of every employee to: Take reasonable care of themselves and for others at work To co-operate with the Trust as far as is necessary to enable them to carry out their legal duty Not to intentionally or recklessly interfere with anything provided including personal protective equipment for Health and Safety or welfare at work. Senior Management is responsible for the implementation throughout the Trust of suitable arrangements to ensure the health, safety and welfare of all employees at work and the health and safety of other persons who may be affected by their activities. Where health and safety matters cannot be resolved at Senior Management level the appropriate Executive Director must be notified. Line Managers are responsible for the health and safety management of all activities, areas and staff under their control. This includes responsibility for ensuring risk assessments are completed and implementation of suitable and sufficient control measures put in place. Health and safety issues are dealt with at the lowest level of management practicable. Where health 9 and safety matters cannot be resolved at a particular management level the appropriate Senior Manager must be notified. Everyone has a responsibility for contributing to the reduction of infections. Safeguarding Children and Vulnerable Adults University Hospitals Bristol is committed to safeguarding and promoting the welfare of all children, young people and vulnerable adults, and as such expects all staff and volunteers to share this commitment. Quality and Clinical Governance Quality in the NHS has three core dimensions: Patient Safety, Patient Experience and Clinical Effectiveness. Clinical Governance is about the systems, processes and behaviours to ensure that high quality services are provided to patients. Every member of staff has a role to play in striving for excellence: it is important that everyone is aware of and follows policies and procedures that govern their work; and if something goes wrong, everyone has an obligation to report it so lessons can be learned from mistakes, incidents and complaints. If any member of staff has concerns on any clinical governance matters, they should raise them with their line manager, professional adviser, or a more senior member of management. Reference should be made to the Trust’s guidance on Raising Concerns about provision of patient care. Information Governance It is the responsibility of all staff to respect the confidentiality of patients and staff, as specified in the Caldicott Principles, Data Protection Act and the Human Rights Act. It is the duty of every employee to: Only access person identifiable information as required in the execution of their duties. Disclose information appropriately, in line with the Data Protection Act 1998. To ensure good quality data by recording, promptly and accurately, clinical and nonclinical information within agreed timescales to PAS, the health record or the appropriate clinical or non-clinical information system Always trace patient notes on the Patient Administration System Maintain the confidentiality of their password / username and if in possession of a ‘Smartcard’ abiding by the terms and conditions of its use. APPLICATIONS Applications to arrive by 12 noon on 20th August 2014. Please follow the links on our website to download application forms http://www.bristol.ac.uk/dentalpg. Interviews are likely to be held during the week commencing 8th September 2014. All appointments will be made subject to satisfactory occupational health and employment checks Enquires should be made to: Mr Tony Brooke, Tel: 0117 3421814 (secretary) [email protected] [email protected] 10
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