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KeeleUniversity Institute for Science and Technology in Medicine together with University Hospital of North Staffordshire Medical Division Neurosciences Directorate Job Pack – Post Ref: AC12/08WS Senior Lecturer/Reader and Consultant in Stroke Medicine CONTENTS About KeeleUniversity About the Trust Stroke Services Job Description Person Specification Work Programme/Job Plan Applications and VisitingKeeleUniversity and the Trust Main Conditions of Service Terms and condition of Service Tenure Salary Annual Leave Superannuation Registration Conditions of Employment Verification ID & Right to work CRB disclosure- protection of Children & Vulnerable Adults References Health Screening Professional Registration An Insight into KeeleUniversity KeeleUniversity Research Strategy Educational programmes Research Enterprise and knowledge transfer University Resource Institute for Science & Technology in Medicine An Insight into the University Hospital of North Staffordshire NHS Trust Introduction Our Services Our estate How we are organised Our Strategic Framework The UndergraduateManagement School Fit for the Future and the Modernisation of the Health Service Research & Development Education And Library Facilities HealthcareCareers & SkillsAcademy 2 Our Local Area Thank you for enquiring about this vacancy. We hope this document will give you enough information about our University andTrust to help you take your application forward. You will find more information on our website: www.keele.ac.uk&www.uhns.nhs.uk ABOUT KEELE UNIVERSITY Keele was the first higher education institution established after the Second World War in the United Kingdom, gaining degree-giving powers in 1949 as the University College of North Staffordshire. University status, as the University of Keele, followed in 1962. Its founders espoused radical educational principles and the University was founded to promote interdisciplinary and multi-disciplinary scholarship. Building on its founding tradition, Keele's distinctive mission is to be "The UK's leading open, integrated intellectual community." With 7,500 FTE students, Keele is a relatively small University, but it has growth potential and ambitions, and continues to make a unique contribution to higher education by emphasising the strength of broad education and innovative learning environments. Keele is a residential university, and is the UK's largest integrated campus occupying an attractive 617 acre estate, of which a hundred acre area adjacent to the 19th century Keele Hall has designated conservation status, confirmed by Newcastle Borough Council. Many architectural and landscape features dating from the 19th century are of regional significance. Almost three quarters of undergraduate students live on campus, along with a number of postgraduate students. Some 720 study bedrooms have been built since 1992 in award winning residential centres. Uniquely, Keele also has a significant proportion of staff living on campus, with a total of 172 houses and apartments. Located centrally within the UK, in North Staffordshire, Keele is a major contributor to its local economy. With a turnover in excess of £85m, and a total staff of some 1,700, the University generates around £40m of business in the region. ABOUT THE TRUST We are very proud of University Hospital of North Staffordshire. We are one of the biggest hospitals in the country and have one of the busiest emergency departments. In march 2012 we will move into a new state of the art hospital with all relevant specialities, investigation and treatment facilities on one site. We are one of 3 regional trauma centres. We are one of 3 regional trauma centres and offer both secondary and tertiary clinical services. A number of our consultants have an international reputation in both clinical work and research. We are a teaching hospital with a very successful, highly regarded medical school. The University Hospital is home to the Bedside Clinical Guidelines which are now used in a quarter of the country's acute trusts. We are located on the border of Stoke-on-Trent and Newcastle-under-Lyme. Stoke-on-Trent has quick and easy road and rail access to Manchester and Birmingham, Derby and Shrewsbury and beyond. The City is surrounded by some of the most beautiful rural settings in the country including the Cheshire Plains and the Peak District. We like it. We hope you will too. 3 THE STROKE SERVICES The Stroke Service was established in 1995 and is now jointly provided by the University Hospital of North Staffordshire Trust and the Stoke PCT. We have a 32 bed combined acute stroke unit (hyper acute beds, acute beds and rehabilitation beds) and a 19 bed specialist stroke rehabilitation unit. The latter is situated at the state of the art newly built HaywoodHospital and integrated with specialist neurorehabilitation with access to a spasticity clinic and functional electrical stimulation. There is a daily rapid access TIA clinic, closely linked with vascular surgery. We have 24/07 access to CT, CT angiography, perfusion and diffusion imaging and MRI. UHNS is one of the most active thrombolysis centres in the region with an average of 2 patients lysed a week (15% of all admitted strokes). There are close links with imaging, vascular surgery, and neurosurgery, supported by multi-disciplinary meetings for case review. UHNS is one of only 8 Hyperacute Stoke Research Centres in England and one of the most experienced centres in the delivery of interventional stroke treatments such as thrombectomy and intra-arterial thrombolysis in the UK. Our service is recognized nationally for innovation and excellent care. At 7% we had one of the lowest 30 day mortality rates in the UK in the 2010 National Sentinel audit. There is a rolling programme of multi-disciplinary staff teaching, regular 6 day courses on stroke management within the Stroke School, a Stroke Rehabilitation Course, regular Thrombolysis Training courses, and a course in the management of spasticity, as well as a monthly stroke research seminar, and an annual multidisciplinary stroke study day. We are one of very few universities in the UK offering a Master' s degree in Stroke. The training provided by our team in conjunction with StaffordshireUniversity, KeeleUniversity, and the Heart and Stroke network has shaped stroke services locally and regionally. We have close links with service users and user organizations (Stroke Association, Strokes R Us) who contribute to our research and were involved in developing the stroke unit. In collaboration with the Stroke Association we introduced a pool of ex-patient and carer volunteers who support patients in hospital and the community. The stroke service publishes its own newsletter (Stroke in Stoke) and website (http://www.stroke-in-stoke.info/). Research is encouraged and well supported by the West Midlands Local Stroke Research Network and the Academic Stroke Department. At any one time there are 15 or more several local and multicentre studies ongoing. Over 20% of our stroke patients participate in clinical research. Staffing The stroke team consists of five consultants in addition to the new post, a stroke co- ordinator, a nurse consultant, a stroke register officer, and an administrative assistant as outlined below: Prof. Christine Roffe (Consultant Stroke Physician, Clinical Lead of the West Midlands Stroke Research Network and Professor of Stroke Medicine at KeeleUniversity) Dr Indira Natarajan (Consultant Stroke Physician, Clinical Lead for Stroke at UHNS and for the Shropshire and Staffordshire Heart and Stroke Network) Prof Anthony Ward (Consultant Rehabilitation Medicine/ Stroke Rehabilitation) Dr IndranilMukhopadhyay (Consultant Stroke Physician at Mid Staffordshire General Hospital, providing 2 PA input into Acute Stroke at UHNS. Dr RanjanSanyal (Consultant Stroke Physician commencing 06.02.2012) 1 F1, 1 F2, 1 GPVTS, 1 staff grade on ASU and 1 staff grade on the rehabilitation stroke unit 4 2 Stroke Specialist Registrars 2 SpRs on the Geriatric Medicine Rotation (covering rehabilitation unit, medical on take) Emma Hall (OT and Stroke Co-ordinator) Fiona Lunn (Nurse Consultant) Magritte O'Mara (Lead of the Early Supported Discharge team) Nicola Edwards (Secretary) Janet Butler (Stroke Register Officer) Dr Kate Wilde, Kay Finney, Holly Maguire, Sarah Gomm, Jeanette Lucas, Sue Lyjko, Jean Leverett, Dr Sarah Pountain, Jackie Richards, Dr Frank Lally (Stroke Research Team) Dr Simon Ellis and Dr Mark Welton (GPWSI) TIA and minor stroke out patient service and work closely with the stroke service. The stroke service develops and changes flexibly to meet the needs of patients on specialist stroke wards, general wards and in the community and job plans of team members may change in the light of new developments. The stroke service functions as one unit with all consultants sharing the required tasks on a flexible basis. Stroke Physician of the Day The Stroke consultant of the day reviews all new admissions on the Acute Stroke Unit and sees acute stroke and TIA patients in MAU / A&E for thrombolysis, advice and to enable rapid transfer to the Acute Stroke Unit supported by a thrombolysis trained nurse form the Stroke Early Assessment (SEAT) team, which covers 24/07. The consultant of the day covers all patients on the acute unit, irrespective of which team the patient is in, provides advice to back up the Stroke Hotline, and reviews patients found to have significant stenosis on carotid Doppler to arrange vascular review for urgent carotid endarterectomy. In the absence of the consultant the SpR will deputise for those duties with the support of one of the other stroke consultants. The Stroke Physician of the day duties are shared between 5 Consultants including the post holder. Thrombolysis and interventional stroke treatments The Stroke Service has been thrombolysing stroke patients for 8 years. We were the fourth highest recruiter worldwide to the IST-3 study and thrombolyse over 100 patients per year therapeutically. Dr Natarajan, the Stroke lead, set up the network wide 24/07 thrombolysis service with centres in Staffordshire and Shropshire and 15 consultants covering a population of over 2 million. This will be supported by telemedicine form spring 2012. A&E physicians are formally trained in thrombolysis and have lysed patients independently since 2008 with specialist support from Stroke and Neurology Consultants. The acute stroke unit is pioneering a new model of working where all the band 6 nurses are trained in thrombolysis and reach into A&E to support acute stroke patients and those thrombolysed from the portal of entry and into the unit. We have an established pathway for interventional endovascular procedures (intra-arterial lysis +/- thrombectomy) and treated 58 patients so far with excellent results (recently [presented at the UK Stroke forum. 5 Post Ref: AC12/08 Senior Lecturer/Reader and Consultant Physician in Stroke Medicine Job Description School/RI/Directorate/ Neurosciences and Elderly Care Medicine, University Hospital of North Work-base: Staffordshire (NHS) Trust and Haywood, Within the Stroke team offices Office base: with access to a computer. Secretarial support will be provided by the Stroke Secretaries. Institute of Science & Technology in Medicine, Keele University, School of Medicine Accountable to: Medical Director – UHNS Trust Clinical Dean of Keele University – Faculty of Heath – Academic Responsible to: Clinical Director for Neurosciences and Clinical Lead for Stroke and Professor of Stroke Medicine Director of Institute for Science & Technology Key Relationships: Consultant Colleagues, Clinical Director, Directorate Manager Associate Director (Divisional Manager), Stroke Team, Stroke Research Group,Colleauges in ISTM and School of Health and Rehabilitation, and Local Stroke Research Network team Grade/Sessions: Grade: Consultant Hours: Full time Sessions: 10 .3 PAs Part Time Incremental Scale: Starting Salary: Role Summary: To contribute to the success of the Stroke Research Group by supporting students and on-going research, independently developing research projects that are congruent with the research in the current group, seeking funding, and publication of results. To provide expert patient care in Stroke with an emphasis on hyper-acute stroke management, stroke rehabilitation or stroke prevention. There is no commitment to acute medicine. The job links into both undergraduate and postgraduate teaching. Main Duties and Responsibilities: Academic Duties and Responsibilities To independently develop a programme of research that complements the current work within the research group. To seek funding from appropriate funding agencies for your research. To supervise research students (and undertake a programme of research supervisor training) To disseminate the findings form your research in International journals and conference . To link with members of the Institute for Science and Technology in Medicine, the School of Health and Rehabilitation and appropriate other Keele Staff to develop joint projects. 6 To promote Stroke Research and our results locally and nationally by dissemination activities and teaching. To be fully compliant with research governance procedures Clinical Duties Stroke Medicine at University Hospital of North Staffordshire Diagnosis and treatment of ward and outpatients in stroke/ TIA services. Regular ward rounds on the acute stroke unit and Stroke physician of the day duties. Continuing clinical responsibility for the patients in your charge allowing for all proper delegation to and training of your staff. Diagnosis and treatment of patients occupying accommodation made available under section 58, 65, and 66 of the National Health Act 1977, insofar as such patients have not made private arrangements for such treatment under section 65(2) of the Act. To see ward consults/referrals when on call. Two clinics per week: Stroke/TIA management with rapid access clinic. Supervision (when on call) of SpRs and support rapid access TIA service when Stroke Physician of the day. Work Processes and results Management and Service Development In conjunction with Directorate Manager and Consultant colleagues, to take a role in the daily business of the directorate and to develop the service in accordance with the Trust's strategic direction. In conjunction with Directorate Manager and Consultant colleagues, to provide the TIA services and weekend working to cover TIA and Stroke Services. Take part in meetings and other activities as agreed with the Clinical Director. In conjunction with Consultant colleagues, to take responsibility for the best use of directorate staffing and other resources to ensure the maximum efficiency of the directorate. Team Work To provide cover for Consultant colleagues in respect of periods of leave in accordance with Directorate arrangements and Trust policy. To ensure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary. To ensure that periods of leave do not coincide with those of your 'paired' Consultant. Communication / Documentation Communicate effectively across a wide range of audiences. Liaise, establish and maintain positive links with external agencies and providers. Clinical Governance In conjunction with Consultant colleagues, to ensure that the requirements of clinical governance are met, including attending the appropriate mandatory training and the respiratory/ID morbidity and mortality meetings and, when possible those held by the acute physicians. 7 Supervision / Staffing. In conjunction with Consultant colleagues, to play a full part in the professional supervision and management of junior medical staff. In conjunction with Consultant colleagues, to take responsibility for and devote time to teaching, examination and accreditation duties as required for junior medical staff. Contribute to the formal teaching programme of junior staff both within the specialty and the hospital as a whole. To participate in the Directorates commitment to the Under Graduate Medical School. This session could include firm based teaching, basic skills, examiner, PBL Tutor etc. Contribute to the teaching programmes of other health professionals in the hospital. Personal Development / Performance Research, Education, Audit and Continuing Professional Development In conjunction with Consultant colleagues, to make a full contribution to postgraduate and continuing medical education activity locally and nationally. To take responsibility for your own continuing professional education in accordance with guidelines set out by the appropriate college/faculty/professional body. To initiate and participate in research and audit programmes in accordance with Trust policies and procedures. To take responsibility for acquiring the skills necessary for teaching undergraduate medical students, delivering such teaching as required. To work in collaboration with colleagues in developing skills to provide new ways of working across different professions, organisations i.e. community/primary care. To participate in the annual appraisal process, and where necessary appraise others. Demonstrate a commitment to continuing Personal/Professional Development. Ability to observe and define priorities and timetables in the achievement of strategic and operational objectives. Adhere to the University's environmental policy and procedures and seek to promote environmental sustainability within area of responsibility. To take every reasonable opportunity to maintain and improve your professional knowledge and competence To participate in personal objective setting and review, including the creation of a personal development plan and the Trust's appraisal process. Standards of Behaviour Managers who have responsibility for supervising/managing people must comply with the guidelines that can be found in the "Code of Conduct for NHS Managers" The principles of "Improving Working Lives" must be upheld at all times Equality, Diversity, Health and Safety and Strategy A strong commitment to the principles and practice of equality and diversity Take reasonable care of the Health and Safety of yourself and that of any other person who may be affected by your acts or omissions at work. Co-operate with Keele University in ensuring as far as is necessary, that Statutory Requirements, Codes of Practice, University Policies and School/Departmental health and safety arrangements are complied with. 8 To co-operate with University Hospital of North Staffordshire Trust in ensuring that statutory regulations, codes of practice, local policies and departmental health and safety rules are adhered to To promote equality and diversity in your working life ensuring that all the staff you work with feel valued and treated in a fair and equitable manner Confidentiality To ensure that confidentiality is maintained at all times and that data belonging to the Trust is protected Infection Control Infection Control is everyone's responsibility. All staff, both clinical and non-clinical, are required to adhere to the Trusts' Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA. All staff employed by the UHNS Trust have the following key responsibilities: Staff must wash their hands or use alcohol gel on entry and exit from all clinical areas and between each patient contact. Staff members have a duty to attend mandatory infection control training provided for them by the Trust. Staff members who develop recurrent skin and soft tissue infections and other infections that may be transmittable to patients have a duty to contact Occupational Health. Safeguarding Children and Young People All staff are responsible for ensuring that they are familiar with and adhere to the Trusts Safeguarding Children procedures and guidelines. All health professionals who come into contact with children, parents and carers in the course of their work have a responsibility to safeguard and promote the welfare of children and young people up to the age of 18 years of age as directed by the Children's Act 1989/2004. Health professionals also have a responsibility even when the health professional does not work directly with a child but may be seeing their parent, carer or other significant adult. All staff are required to attend safeguarding awareness training and undertake any additional training in relation to safeguarding relevant to their role. Other This job description is not intended to be an exhaustive list and may be subject to change from time to time. This job description is subject to annual review and amendment by you, you're Clinical Director and the Medical Director, as part of the Trust's appraisal process. All documents referred to throughout this Job Description can be found on the Trusts intranet, or alternatively copies can be obtained from the Human Resources Directorate. This is not intended as an exhaustive list of duties or a restrictive definition of the post but rather should be read as a guide to the main priorities and typical areas of activity of the post-holder These activities are subject to amendment over time as priorities and requirements evolve and as such it may be amended at any time by the line manager following discussion with the post holder. 9 Post Ref: AC12/08 PERSON SPECIFICATION Evidence Key A= Application Senior Lecturer/Reader in Stroke I = Interview Medicine and Consultant Physician in R= References Stroke Medicine T= Test P= Presentation (or a combination) Criteria Evidenced Evidenced Headings Essential by Desirable by Qualifications/ Entry on Specialist Register in A CCT in Stroke A Education/ Geriatric Medicine Training Medicine/Neurology/Rehabilit Up to date GCP ation/General Medicine (or certificate entry expected within 6 Training in months from the date of Thrombolysis in interview) acute Stroke MRCP or equivalent MD, Ability to supervise PhD or equivalent research PhD and DM experience* students Sub-speciality training in Stroke Medicine (or equivalent level of experience) Experience Expertise in at least one A,I Successful in A,I aspect of stroke care e.g. obtaining research acute care including grant funding from thrombolysis or stroke RCUK approved rehabilitation funding bodies Experience of conducting clinical audit Experience in developing and conducting research projects Experience in the supervision of students conducting undergraduate or postgraduate research Experience in teaching and verbal presentation of research findings Experience in submitting grant applications as a PI Skills/ Publications in peer reviewed A,I,P A,I Aptitudes/ journals Competences/ Completion of a grant application Development of own research project Ability to organise research and work within research 10 governance procedures Ability to motivate and develop members of the clinical and research teams Other Ability to inspire Ability to think strategically An enquiring and critical approach to work Caring attitude to patients Ability to communicate effectively Appointment to a Readership at Keele University acknowledges outstanding distinction and achievement in the conduct, outcome and dissemination of research whether basic and/or applied, beyond the level expected for a Senior Lecturer. A successful candidate should provide evidence that their contribution to the advancement, application and dissemination of knowledge distinguishes them as an acknowledged expert in their discipline, endorsed by recognised authorities. Where appropriate this may also include proven success in research leadership and/or management of a research team. Candidates will be expected to evidence at least one successful grant application and the supervision of at least one successful MD/PhD studentship. For clinical academics for whom research and teaching is only part of the job plan clinical commitments will be taken into account in the assessment. * Success in obtaining peer reviewed research grant funding as a PI is considered appropriate experience. Please note this appointment is subject to both medical clearance and ongoing medical surveillance by the University Occupational Health provider and Criminal Records Bureau checks Please do not hesitate to contact Professor Christine Roffe: firstname.lastname@example.com or Professor Gordon Ferns: email@example.com for more details, informal advice, or a visit to the department. Job packs available: www.keele.ac.uk/jobs, firstname.lastname@example.com, Human Resources, Keele University, Staffordshire, ST5 5BG or Fax: 01782 733471 Please quote post reference: AC12/08WS Closing date for applications: 9 May 2012 11 Senior Lecturer/ Consultant Physician in Stroke Medicine Job Plan The job plan is subject to a review once a year by you and the Clinical Director, and ultimately, the Medical Director. The review process is subject to local procedures and includes discussion of proposals and plans for any proposed developments or proposed changes to service. To undertake the review, both you and the Clinical Director will have copies of the work plan, relevant department statistical information, preferably over a 12-month period and any service development plans or proposals. Failure to agree a work plan either immediately or at an annual review results in the instigation of local procedures, which may culminate in discussion and appearance at the Trust Board. No of Day Time Location Work Categorisation PAs 0900- ASU ward round DCC 1 1300 Monday 1400- TIA clinic/ Admin DCC 0.75 1700 0900- ASU Ward Round DCC DCC 1 Tuesday 1300 ( Stroke 1400- Stroke Clinic DCC DCC Physician of 1700 0.75 the day) 0900- Keele 1 Wednesday 1300 1300- CPD/SPA SPA 1 1500 0900- Keele 1 1300 Thursday 1300- Keele 1 1600 0900- Keele 1300 1 Friday 1300 Keele 1 1700 09:00 Weekend ward rounds DPC 0.8 Saturday & 13:00 1:4 weekend Sunday (covering stroke unit and high risk TIA) Unpre- dictable emergency on-call work 10.3 10.3 TOTAL PAs 2. On-call availability supplement 12 Agreed on-call rota e.g. 1 in 5: 1:15 Thrombolysis rota (Regional Rota) Agreed category (delete): A On-call supplements e.g. 5%: 3% The above job outline is constructed in accordance with the new consultant contract (i.e. a minimum of 7.5 clinical and 2.5 programmed activities) (pro rata for a 50% academic /50% clinical contract) and is compatible with existing job plans. This job plan represents the commitments numerically, distribution of activities throughout the week/month can be changed in agreement with the clinical and academic lead. This work programme is subject to annual review and amendment by you, your Clinical Director and the Medical Director for NHS commitments and the Professor of Stroke Medicine and Director of ISTM for the academic commitments as part of the Trust/ Keele University appraisal processes. Any changes required to your job plan as a result of this will be discussed with you in advance of any changes. In light of national NHS budget constraints it is very likely that all consultant's job plans will be amended, following consultation. 13 APPLICATIONS AND VISITING KEELE UNIVERSITY AND THE TRUST APPLICATION PROCESS Formal applications should be made through Keele University website: www.keele.ac.uk/vacancies Further information and visiting the University and Trust The University welcomes applicants who wish to seek further information or visit. Please contact the following to arrange a visit or for an informal discussion: Further information and visiting the University Professor Gordon Ferns, Director The Institute of Science & Technology,Keele University, University Hospital of North Staffordshire R&D Tel: 01782 554253 Further information and visiting the Trust The division welcomes applicants who wish to seek further information or visit. Please contact the following to arrange a visit or for an informal discussion: Dr Simon Ellis Clinical Director 01782 553055 or Dr Indira Natarajan Clinical Lead Stroke and TIA services 01782 555878 Prof. Christine Roffe 0300 123 1465 Prof. Gordon Ferns 14 MAIN CONDITIONS OF SERVICE Terms and Conditions of Service The successful appointee will be employed by the Keele University, subject to national Terms and Conditions as per the Clinical Academic Contract as amended from time to time. Any changes to National terms and conditions determined at a local level are subject to the Trust's collective bargaining arrangements which include the Trust's Local Negotiating Committee for medical staffing issues. Tenure The appointment is to a substantive, indefinite, full time/part time Senior Lecturer position. The required notice period is three months on either side. The appointment is subject to the Terms & Conditions of the Clinical Academic Contract of Employment. Salary The starting salary is based upon the appointee's clinical salary and seniority, which is then translated by UCEA for academic purposes. The current clinical salary scale ranges from £74,504 rising to £100,446 per annum, based on 10 programmed activities per week (1 FTE). Any agreed Additional Programmed Activities (APAs), and on-call requirements will be paid in addition to the basic salary. Where a candidate has service in or outside the NHS which he / she feels should be taken into account in determining the starting salary, this will be considered following the offer of appointment by the AAC. Pay progression is normally on the anniversary of appointment (dependent upon level of seniority and year of Transfer) and is subject to satisfactory participation in annual appraisal, the completion of a job plan review and agreed personal objectives as set out in the Clinical Academic Contract Terms and Conditions. Annual Leave Your annual leave entitlement is as per the Clinical Academic Contract Terms and Conditions. At least six weeks notice is required before taking annual leave. Numbers of Years of Completed Service as a Year Consultant Up to Seven Years Seven Or More Years Until 31 March 2004 Six weeks Six weeks 1 April 2004 – 31 March Six weeks Six weeks + one day 2005 From 1 April 2005 Six weeks Six weeks + two days Superannuation This post is superannuable under the Health Service Superannuation Scheme. 15 Registration You must be able to evidence full, continuous registration with the GMC and provide a valid certificate annually. In addition, you are required to appear on the Register of Specialists and hold a License to Practice CONDITIONS OF EMPLOYMENT The following conditions must be met before the University and the Trust will confirm an offer of employment: Verification of ID and Right To Work All employees must provide the Trust with the following documentation to prove their ID and eligibility to work in the UK: UK Passport UK Birth Certificate (if passport is unavailable) National Insurance evidence (P60 / recent payslip / P45) EEA (European Economic Area) Passport Residence permit issued by the Home Office or UKBA Driving Licence (ID card + counterpart) 2 addressed bills or statements (Bank / utility bill / phone bill) Proof of qualifications GMC Registration number, and proof of License to Practice Note: if you are a British citizen but do not hold a UK passport then we require a UK Birth Certificate combined with National Insurance evidence CRB Disclosure Protection of Children & Vulnerable Adults In accordance with Safeguarding Vulnerable Groups Act 2006, the University and the Trust are required to seek disclosure of criminal records when considering employing an individual who will be working with children or have regular contact with vulnerable adults. Disclosure will include checks on the information held in the Police National Computer, local Police records and, where appropriate, lists held by the Department of Health and the Department of Education and Employment. Disclosure need not necessarily be a bar to obtaining the position you have applied for. The information you provide and the Disclosure documents returned by the Criminal Records Bureau (CRB) will be available only to those who need them as part of the recruitment process. Disclosure documents will not be retained for longer than 6 months after the recruitment decision has been made. References It is a condition of employment that references are provided which are acceptable to both the University and Trust. 16 Health Screening It is a condition of employment that all successful candidates undertake pre-employment screening and are cleared before formal confirmation of the appointment is sent to candidates. Professional Registration The successful candidate is required to be registered with the GMC and hold a current License to Practice. Membership of the approved Medical Defence/Protection Society is not a mandatory requirement for the post but is strongly advisable. AN INSIGHT INTO KEELE UNIVERSITY Keele University Research Strategy The Keele University Research Strategy is a University strategy that reflects and supports the University Strategic Plan 2010-2015, in particular: Strategic Aim 1: to be a broad-based University of about 10,000 students, recognised internationally for excellence in education and research Strategic Aim 3:to deliver international excellence and impact in focused areas of research The underpinning strategic objectives as a research-led University are: to focusourresearcheffortin areas oftheoretical,applied,andpractice-basedresearch wherewe can achievethehighestlevelsofqualityandimpact to foster innovation and enterprise with partners Research-related Key Performance Indicators Research Excellence Framework: To ensure a high level of performance inthe forthcoming Research Excellence Framework (REF) Research grant income: To improve the University's performance in securing research income year-on-year (increasing research grant income levels by 70% and net overhead recovery rates by 25% by 2015). Research students: to significantly increase research student numbers year-on- year(increasing by 70% by 2015). STRATEGIC AIMS AND OBJECTIVES 1. Quality 2. Impact 1. To deliver research of the highest quality, 1. To have significant social, cultural, recognised internationally for its environmental and economic impact, excellence working with external partners and 2. To demonstrate our research excellence collaborators to benefit society by performance in the Research 2. To effectively communicate our research Excellence Framework, research grant successes regionally, nationally and successes, publications and outputs, internationally to promote our distinctive international collaborations and contribution, raising our external profile partnerships and reach 17 3. To continue to raise the ambition of our 3. To foster innovation and enterprise research as a research-led University, engaging with business and external and our external profile and reputation partners nationally and internationally 4. To advance knowledge through high quality independent research and academic enquiry, disseminating our researchthrough high quality publications and external media, internationally and nationally 5. To foster relationships with research users and external stakeholders to facilitate the dissemination, impact and promotion of research outcomes 3. People and Environment 4. Focus 1. To develop, nurture and support our 1. To focus our research effort in areas of researchers at all stages of their career, theoretical, applied, and practice-based including research students and early research of international excellence career researchers 2. To promote and develop Keele's 2. To continue to develop a vibrant distinctiveness, in particular in our over- research culture, environment and arching themes of Ageing, Sustainability community where research flourishes and Health 3. To develop the quality, diversity and size 3. To actively promote interdisciplinary of the postgraduate research student research and emerging disciplines community 4. To use research management to clearly 4. To provide strong and effective identify and promote our research mentorship for all researchers strengths 5. To create research leaders for the future 6. To ensure we have a research environment that attracts new high quality researchers 7. To provide a research-led environment that contributes towards the highest quality learning and teaching experience 5. Resources 1. To provide the infrastructure and support systems to fully support research excellence and maximise its impact 2. To ensure that research is funded by a balance of HEFCE QR income and a diverse range of external funding bodies 3. To promote Keele's external research profile nationally and internationally 4. To maximise the visibility and impact of Keele's research by promoting use of and access to the institutional repository 5. To demonstrate flexibility and responsiveness to the constantly changing external contexts 18 EDUCATIONAL PROGRAMMES AT KEELE Keele's student population has grown robustly in recent years. Buoyant application levels for undergraduate programmes have complemented planned expansion. It is a long-standing objective of the University to grow, though the scale and timescale envisaged for this depends on government policy for increased student numbers. Currently the student profile comprises over 7,500 full-time students, approximately 1,800 students engaged on part-time degrees or diplomas, and approximately 4,000 participants on a variety of part-time, short and award bearing courses through Keele's continuing and professional education programmes. Of this number a significant and growing proportion of students are registered on postgraduate degree programmes. RESEARCH AT KEELE "Keele is a research-based university and has significantly increased its research profile in the last five years. Research grant and contract income was £12million in 2010-11, having grown from £8million 2006-07. To enhance its research position, Keele is focusing its research profile further, building on areas of recognised national and international strength across its three faculties: Health, Natural Sciences, and Humanities & Social Sciences. The Research Assessment Excercise in 2008 found that 85% of the University's research is now classified as world leading and of international importance. Keele has top rated departments in all of its three Faculties, and the RAE results reveal the University's world class research activities across a wide spectrum of subject areas. The results represent a step-up in Keele's performance from the very good results the University achieved in the last RAE in 2001. Then, 6% of submitted research achieved the top grade. Now, some 11% is judged to be 4* or 'world leading', the highest available category score. Subject areas where research at Keele has been rated world class in terms of originality, significance and rigour are Primary Care, Physics, Applied Mathematics, Business and Management, Law, Politics, Russian, English Language and Literature, Social Policy and Administration, History, Music and General Engineering (which includes Biomedical Engineering and Environmental Engineering). Keele has performed particularly well in Music, Applied Mathematics, Social Policy and Administration and History." ENTERPRISE AND KNOWLEDGE TRANSFER The University is also increasing its focus upon applied research and knowledge transfer, not least through the rapidly growing Science Park, which includes companies focusing on medical technology and IT in medicine and is fully integrated with Keele campus. The Science Park was been designated by Advantage West Midlands (the Regional Development Agency) as a priority investment site, particularly focusing on the emerging medical technology cluster in North Staffordshire, for which Keele is the hub. The Science Park attracts both University spin-offs and companies seeking to relocate here: it currently houses 35 companies and has created almost 500 jobs, with future employment projections reaching 2000.Keele has a taken a leading role in North Staffordshire Regeneration Zone and is leading the Zone's programme on Medical Technology and Health, one of only three 19 priorities for the Zone. The Science Park is therefore continuing to attract substantial public and private sector investment. KEELE 2006: POSITIONING THE UNIVERSITY TO RESPOND TO CHANGE The 2004 HE Bill, its predecessor White Paper on Higher Education and the Roberts Review of the RAE, set out a clear policy direction for higher education, including: greater selectivity in research funds; wider access to higher education; increased differentiation within and greater collaboration across the sector and increased reliance upon private funding. Keele, like other institutions, seeks to respond positively to the opportunities and challenges which these policies present, and is implementing a programme of change designed to position the University best, whilst consolidating its distinctive place in UK HE. Keele wishes to ensure that its founding values of educational breadth are given the platform from which the institution can continue to play a leading role in the changing context of UK higher education. Significant changes are therefore being introduced to the academic structure of the University with the creation of Research Institutes to manage research and larger Schools to manage teaching. The strengthening of the management responsibilities at Faculty level, with the introduction of executive faculty deans, is a key factor of the change process. UNIVERSITY RESOURCE One of Keele's biggest assets is its land, which extends over 650 acres, with a 70-acre site earmarked for a new development in the Local Plan for a number of years. Keele has now submitted a hybrid planning application for its development. This represents an unrivalled opportunity to think about the focus and shape of the University, physically and strategically, over a long time scale. This is not just about the best use of new site but about how the new development will connect with, and add to, the existing campus, as well as the wider sub- region. Essentially, this potential growth is being seen as an opportunity to plan the future of Keele - in all its aspects - in the longer term. The Vision is to develop the estate to the benefit of the staff, students and local community. INSTITUTE FOR SCIENCE & TECHNOLOGY IN MEDICINE The Institute for Science and Technology in Medicine has evolved from Keele's internationally respected strength in biomedical engineering and expanded rapidly over the last ten years. In the UK national Research Assessment Exercise 2008, 90% of the Institute's submitted staff were rated as international quality researchers, with 10% ranked as world-leading. Previous ratings in RAE2001 and 1996 were at the highest levels of 5 and 5*. The Institute bridges the interface between new advances in basic science and medicine, allowing the translation of laboratory findings into benefits for patients. A truly multi-disciplinary approach to research is used to address clinical problems with an excellent integration of the skills and knowledge of engineers, mathematicians, biologists, physicists and clinicians. The focussed interaction of scientist and clinician in a single unit is key to the success of the Institute, building on the strength of the individual researchers. Clinically there are strong areas in orthopaedics, renal and respiratory medicine, cancer, pathology, neonatal medicine and obstetrics and gynaecology which exist across hospitals in North Staffordshire and Shropshire that include the University Hospital of North Staffordshire,RJAH Orthopaedic Hospital, Oswestry and the Heywood Hospital, Burslem. The Institute's "bench to bedside" approach also fosters excellent working relationships with worldwide medical and biotechnology industries. Research in the Institute is grouped into four major themes, each with around 20 academic and clinical staff Bioengineering & Therapeutics 20 Clinical & Diagnostic Science Infection, Inflammation & Immunity Neuroscience & Human Metabolism The Institute has laboratories at the University's Hartshill campus where Keele and the NHS have invested £3million in The Guy Hilton Research Centre to provide a patient treatment facility alongside state-of-the-art equipment for translational research, which includes cell therapy suites, genomic facilities, and advanced laser and diagnostic laboratories. The Institute has spacious new refurbished bioscience facilities at Huxley Building on Keele campus, and new laboratories at the RJAH Hospital including a Proteomics facility. The Institute attracts major research grant funding of almost £4million per year from the UK Research Councils, the European Union, National Institutes for Health USA, Department of Health, the Royal Society, and many major UK funding charities. It currently has in training around 100 doctoral students and supports four successful Masters courses. The Institute has developed an international profile for its recent work at the cutting edge of stem cell therapies, and is a Centre of Excellence in Tissue Engineering at national and European level. Institute members have active collaborations with universities throughout the UK, and over 35 countries in Europe, USA and the developing world. Overall, the Institute provides a dynamic and stimulating environment for biomedical, translational and clinical research. An Insight into the University Hospital of North Staffordshire NHS Trust Our new hospital Our new £370m hospital is almost complete and we are already providing some services in the new buildings. The new publicly financed maternity centre and cancer centre opened in 2009 and we started moving services into the new PFI funded main block in November 2011. The complex moves are phased over a period or around ten months. The first move involved respiratory, gastro, neurology, elective orthopaedics and some theatres and critical care. March 2012 will see the major transfer of the emergency department with trauma and neuro, more theatres and critical care, cardiac surgery, imaging and children's services. Later in the year they will be joined by the remaining services including cardiology, outpatients, pathology and renal. Our new hospital is an integral part of North Staffordshire's Fit for the Future programme – a new whole system approach to providing health services throughout the area. As part of the programme community hospitals and clinics have been upgraded and some services previously provided at our acute hospital are being transferred to community settings. Once the new building and refurbishment of existing buildings is complete we will have 1,018 beds. Our services We provide a full range of general acute hospital services for approximately half a million people living in and around North Staffordshire and specialised services for a population of some three million in a wider area, including neighbouring counties and Wales. Our specialised services include cancer diagnosis and treatment, cardiothoracic surgery, neurosurgery, renal and dialysis services, neonatal intensive care and paediatric intensive care. 21 We are also recognised for our particular expertise in respiratory conditions, spinal surgery, upper gastro-intestinal surgery, complex orthopaedic surgery, laparoscopic surgery and the management of liver conditions. In 2010/2011 over 100,000 patients attended our Emergency Care Centre (A&E). Many emergency patients are brought to us from a wide area by both helicopter and land ambulance because of our skills in treating trauma cases. Indeed, we have just been awarded Trauma Centre status under the national reconfiguration of trauma services. The Medical School, created in 2002, now has around 130 students on each of its year groups. Initially Keele University delivered the medical degree on behalf of Manchester University but, from 2011/12, graduates will receive the Keele degree. This will be a landmark moment for the school that has been so popular with students and received such praise from the regulatory bodies and partner organisations. The Keele curriculum is an innovative, modern medical curriculum that includes problem- based learning. The distinctiveness of the course is that it has been designed to allow diversity and integration. It allows students with different personalities, aspirations, preferences, learning styles and strengths and weaknesses to be successful, to enjoy their undergraduate time and to be able to build on these experiences during postgraduate training. Offering patients an opportunity to take part in high quality research projects continues to be a high priority for us at University Hospital. During 2010 we recruited 3242 patients into 101 National Institute for Health Research (NIHR) projects across 20 medical/surgical specialties. This equates to an additional 1085 participants compared to 2009. Since 1st April 2010 we have opened 62 new NIHR studies, of which 18 are commercial trials. Our target for 2011/12 is 4000 patients. We are on target to double the number of participants recruited into NIHR studies by 2014. In partnership with Keele University we secured £1.1m of research grant income during 2010/2011. This partnership delivers a 'bench to bedside' approach to research so that the results of research feed through to daily clinical practice in clinics and on the wards. We continue to work towards foundation trust status, in particular building on our links with the public and developing our future strategy with a view to becoming a Foundation Trust by 2014. Our geography University Hospital of North Staffordshire is a large acute teaching hospital on the border of Stoke-on-Trent and Newcastle-under-Lyme in Staffordshire. We are one of the largest hospitals in the West Midlands and have one of the busiest emergency departments in the country. We have good transport links, being close to the M6 and A50, and lie roughly centrally between Manchester and Birmingham to the north and south, and Derby and Shrewsbury to the east and west. How we are organised Our services are organised into four divisions, each of which is made up of a number of individual directorates or departments. Our clinical divisions are surgery, medicine and 22 clinical support services. Each division is led by an associate director, the clinical directors of each directorate and, within surgery and medicine, a divisional nurse. They are supported by a human resources manager and finance manager. We have introduced a service line management structure that places a consultant, a senior nurse and a manager together at the head of each clinical specialty or service line. Each of the 35 service line teams is led by a clinician managing the safety, clinical quality, patient experience and financial aspects of their particular service. As their team performance improves, they are given increasing levels of freedom to control and manage their own area to give the best possible quality and service to their patients. Our non-clinical staff support the work of the Trust's clinical teams. Some work within the clinical departments and others are organised into departments of central functions. These include our executive directors, human resources, operations and performance. The corporate services division includes estates, facilities, catering, cleaning, portering and security.On average during 2010/11 we employed the equivalent of 6420 full time staff. A number of staff transferred to Sodexo and more will transfer during 2011/12. Sodexo provide some non-clinical hospital services as part of the Private Finance Initiative agreement. Our full annual report and Review of the Year can be viewed at: http://www.uhns.nhs.uk/AboutUs/AnnualReportsandAccounts.aspx TRUST MANAGEMENT ARRANGEMENTS - EXECUTIVE TEAM Julia Bridgewater - Chief Executive Julia began her career as an NHS Management Trainee based with the West Midlands Regional Health Authority. Since then she has undertaken a variety of managerial roles at Burton on Trent and Stafford before joining the Trust. Julia was appointed as Director of Operations in May 2003, Chief Operating Officer/Deputy Chief Executive in April 2006 and became Chief Executive for the Trust in June 2007. Elizabeth (Liz) Rix - Chief Nurse Liz joined the Trust in August 2009. She trained at the West Glamorgan School of Nursing, and following a variety of nursing roles in ITU, Surgery and, as a clinical nurse specialist, undertook the NHS Management Training Scheme. On completing this, Liz held a variety of senior roles within the NHS in Wales. In 2006 Liz attained her first Director of Nursing role in Swansea NHS Trust. Liz comes to University Hospital with a wealth of acute senior nurse experience in large hospitals, and joins us direct from her post as director of patient safety at Abertawe Bro Morgannwg University NHS Trust, the largest in Wales. John Maddison – Director of Finance John moved to University Hospital of North Staffordshire in January 2012 to take up post of Director of Finance. Prior to joining UHNS John had been Director of Finance, Information & Technology for North Tees & Hartlepool NHS Foundation Trust since 2007 and Financial Controller at the same Trust from 2005. During this time John was involved in the hospital achieving Foundation Trust status developing governance documentation, the set up and embedding the cost efficiency governance framework to ensure delivery of challenging cost improvement targets. Previous to this John worked for County Durham and Tees Valley SHA, Head of Finance from 2003 and other Health Authorities from 1982. 23 Andrew Underwood - Director of Corporate Services Andrew is the Project Director for the Fit for the Future PFI Project and Head of the Corporate Services Division with responsibility for capital programme management. Previously Director of Operations and Estates and Acting Deputy Chief Executive, he is a chartered surveyor with masters degrees in law and business administration and is a Gateway assessor and accredited project director. He joined the North Staffordshire Health Authority in 1990 as Director of Estates and has worked in the NHS for over 30 years – at Board level since 1985. Margot Johnson - Director of Human Resources Margot has been the Director of Human Resources since 2003 having worked in the NHS since 1979. Her first 3 years were spent in a variety of roles within finance; subsequent years have been building a career in Human Resources. Margot has gained a broad experience through both generalist and specialist roles eg: Workforce Planning' Employment Relations; Organisational Development; Medical Personnel, with a 12 months working as a business manager and 18 months working as part of a multi-agency team. Rob Courteney-Harris - Medical Director Robert Courteney-Harris is Medical Director of University Hospital. He continues to practice as an ENT Surgeon with a special interest in paediatric ENT, having trained mainly in London and East Anglia. Robert joined the Trust in 1996. Rob was Clinical Director for Specialist Surgery for 6 ½ years and Clinical Director for A&E for 2 years. He was Deputy Medical Director for 18 months before being appointed substantively as the Trust Medical Director in October 2007. PROFILE OF THE TRUST BOARD MEMBERS Chairman John MacDonald John MacDonald joined University Hospital as Chairman in November 2010. John has seven years experience in chair and non-executive roles, and plays an active role in his local education and business communities. He has twenty years experience of the NHS, including fifteen years managing large acute and teaching hospitals. In recent years John has been involved in a number of reviews of NHS services within the Midlands and the North East. John has international planning and advisory experience prior to joining the NHS. He worked in Africa and the Middle East in rural development programmes, economic adviser to the World Bank, UN and British Government. Specialising in leadership, he has lectured at both University of Birmingham and University of York. Non Executive Members Kevin Fox Kevin Fox is a Non Executive Director on the Board of University Hospital. He was a career civil servant having spent some 24 years in the court service in various parts of England, 24 including three years in the Potteries as the Manager of the County Court, before setting up the office of the Legal Services Ombudsman in 1990. In 1993 Kevin moved to the Crown Prosecution Service where he held senior position in Liverpool and Manchester before retiring in 2006. Kevin has been a governor at St Gabriel's Catholic Primary School in Alsager for some 20 years and Chairman for 15 years. He is also the Vice Chairman of the Patients Panel at Mereport Medical Centre in Alsager. Robert Collins Robert Collins was appointed as non-executive director in July 2010. He has held director posts in both the private and public sectors. He has a strong background in finance and has developed particular expertise in contract negotiations and developing grant aid programmes. Robert has been heavily involved in regeneration programmes with both Stoke-on-Trent City Council and the commercial sector. He currently runs his own company. 25 Professor Andy Garner Professor Any Garner trained in physiology and pharmacology. Following Royal Society and Swedish MRC research fellowship he joined ICI (now AstraZeneca), becoming Head of Gastrointestinal Research (1979) and Company Senior Scientist (1982). In addition to working in Scandinavia and North America, Professor Garner spent 5 years at UAE University as Research Dean before returning to the UK in 1997. He has experience of working across the NHS/university interface, having been Director of R&D then Executive Director of Academic Affairs at Hope Hospital in Salford then Head of the Medical School at Manchester University, where he was also Professor of Physiology and Medical Sciences. Professor Garner moved to Keele University in 2006 as Executive Dean of the Faculty of Health. He joined the Board of the University Hospital of North Staffordshire in January 2007. Keith Norton Keith is a Chartered Certified Accountant. After qualifying in 1964, his early career was spent in the heavy engineering, construction and leisure industries, but for the past fifteen years he has been Management Accountant at Harper Adams University College, which is based near Newport in Shropshire. Keith was appointed to Shropshire Health Authority in April 1996 where he served as Vice Chairman. He was a Non-Executive Director and Chairman of the Audit Committee of the Shropshire and Staffordshire Health Authority prior to taking up his post with the University Hospital. Professor Paulene Collins Paulene Collins was appointed to the Board of University Hospital of North Staffordshire in 2007. Paulene was Head of Department of Law at Staffordshire University and has also held senior management posts in the Law Society of England and Wales and the College of Law, where she was appointed Professor in 1998. Paulene has also held public appointments at a senior management and Board level with the Lord Chancellor's Department, the Department for Constitutional Affairs, the Home Office and the then Department for Education and Skills. She was a local councillor for 14 years serving on Shropshire County Council and North Shropshire District Council; she was chairman of the District Council 1984-86. She was awarded an OBE in 1996 for services to legal education.Paulene's particular areas of interest are governance, diversity and equality, disability and special needs and patients' interests in general. John Marlor John Marlor was appointed Non-Executive Director in September 2011. John is a Chartered Accountant who has recently retired from Balfour Beatty plc, latterly as Finance Director of Romec Ltd. During his career John has also been involved in operating facilities management contracts at PFI hospitals and Schools and has extensive experience at Board level leading finance functions. John is also Non Executive Treasurer with Catch22 a young persons national charity. 26 Caring With Knowledge, Value Through Quality OUR STRATEGIC FRAMEWORK 2011 to 2016 Introduction Welcome to the summary of our strategy to provide high quality and cost effective hospital care for the people of North Staffordshire and beyond. This strategy has been developed in consultation with patients, our key partners and our staff. We will judge the success of our strategy by becoming one of the best performing hospitals in the UK delivering safe, appropriate and effective care; being a recognised centre for healthcare, teaching, education and research; developing and reinvesting in our services through providing clinically and financially viable care; having a reputation based on excellent patient experience and strong relationships with the wider health and social care community. We aim to become a Foundation Trust and this strategy provides the basis on which to achieve this. We have developed clinical strategies for all our services and a long term financial plan which underpins the delivery of our strategy. If you would like more information please visit our website. Julia Bridgewater John MacDonald Chief Executive Chairman Mission Statement We will be a leading centre in healthcare driven by excellence in patient experience, research, teaching and education This means that: We are here for our patients, their carers and families. We will strive to continually improve patient experience and the safety and effectiveness of our services. We will support both current and future generations of healthcare professionals by instilling a culture of clinical innovation, research, teaching and education. We will work with other health and social care organisations to provide continuity of care from hospital to home. Values High quality care is provided by valued, motivated and well trained staff. Respect & Dignity - Our patients are our first priority and we aim to provide consistent, high quality treatment. We treat our patients as individuals, listening to their particular stories and supporting them in their individual circumstances. Safety is a Priority - We strive to keep our patients safe from harm and we create an environment to keep our staff safe in their work. Everyone Counts - Our staff are valued, listened to and supported. Everyone is part of the University Hospital team and we treat everyone as an individual. Learn from Experience - We reflect when things go right and when they go wrong. This way we can improve where necessary and build on the things we do well. Working Together - We put our patients first in everything we do, by reaching out to staff, patients, carers, families, communities and health and social care partners. We put the needs of the patient before NHS and other organisational boundaries. 27 Strategic priorities In order to deliver our mission, we will focus on our four specific priorities and 16 goals 28 THE UNDERGRADUATE MEDICAL SCHOOL In September 2003, Keele University commenced teaching the full 5-year undergraduate medical course under the auspices of Manchester University. In September 2007, Keele School of Medicine commenced its own independent 5-year medical course which is delivered in partnership with NHS trusts in Staffordshire and Shropshire and with General Practitioners in Staffordshire and Shropshire. The first students from the Keele course will graduate in 2012. The Keele course is in the final stages of accreditation by the General Medical Council, and the latest report can be seen at: http://www.gmc-uk.org/static/documents/content/Keele_report_and_response_to_publish_2011.pdf The Keele undergraduate course structure is driven by our desire to increase clinical exposure in the early years, to provide a highly integrated course and to maximise the relevance of classroom learning to the student's current clinical placement. There is a continuing desire to promote adult learning skills and a close link between the curriculum and the learning objectives of "Tomorrow's Doctors 2009"; the guide to medical curricula produced by the General Medical Council. The five themes of the course are 'scientific basis of medicine', 'clinical, communication and information management skills', 'individual, community and population health', 'quality and efficiency in health care' and 'ethics, personal and professional development'. The first year of the new course is spent in a broad overview of medicine with considerable patient contact that tests the first year student's vocation as well as extending their knowledge of the basic science underlying medical practice. In the second year clinical learning increases to 20% of the timetable, with one day a week in clinical settings.The third year is 50% clinical and 50% basic medical science with 4 days per week spent in community and hospital (mainly UHNS) clinical environments. Students continue to relate their clinical learning to medical science in the fourth year with exclusively clinical placements. A significant proportion of these placements in Year 4 will be in our affiliated teaching hospitals including those in Shrewsbury and Telford as well as Stafford. The fourth year culminates in examinations, prior to a final year spent in preparation for professional practice with student assistantships spent in hospitals and in Primary Care. Assessment in the final year includes work place based assessment as well as an OSCE focussed on the skills required of a doctor entering Foundation Programme. Keele also offers undergraduate students an opportunity to pursue an intercalated degree, with particular encouragement to undertake a Masters degree between years 4 and 5 of the course. The School has developed a medical research pathway option, commencing with a Research Methods Students Selected Component (SSC) in year 3, leading to a range of intercalated degrees which offer opportunities to develop, carry out and publish a piece of research with an academic research group. For further information on the School of Medicine please visit http://www.keele.ac.uk/health/schoolofmedicine/ For information on the Keele undergraduate curriculum please consult our course brochure via the link at: http://www.keelemedicalschool.org.uk/keele_medical_school/resources/course_broc_2012_web.pdf 29 FIT FOR THE FUTURE AND THE MODERNISATION OF HEALTH SERVICES Fit for the Future is a major strategic project which will modernise health care systems and clinical practice across North Staffordshire. The project has sign up from all members of the local NHS, local authorities and educational establishments. The essence of the project is the remodelling of services around the needs of the patients, adopting a whole health systems approach with more care offered in locality settings. This will be achieved by the development of a new single site acute hospital on the City General site of University Hospital and the development of a new community hospital on the Haywood Hospital site, with the LIFT programme developing Health Centres across the Health Economy. The construction aspect of the programme is being procured by means of two separate schemes: Maternity & Oncology development at City General Hospital – procured by public funding under a Procure 21 contract. The main emergency, elective and outpatient facilities at City General Hospital and the Haywood Development – procured as a PFI scheme. These developments are being undertaken by University Hospital of North Staffordshire (NHS) Trust and NHS Stoke on Trent. Fit for the Future will: Create an integrated acute hospital based on the City General site Include a special centre for Emergency Care, which will be able to provide a central point of entry for all emergencies and will bring Medical, Surgical and Paediatric Assessment closer together, based around the Emergency Department Create a new Maternity Centre, a new Cancer Centre and improved inpatient facilities Develop a modern community and sub acute hospital at the Haywood Development Develop intermediate care in community hospitals and make provisions for extended primary care Develop integrated models of care across primary, secondary and tertiary health systems which centre on providing a seamless journey for the patient Reorganisation of clinical services will be based around the requirements of clinical teams to allow closer links between departments and therefore improve quality of patient care. Throughout the process clinical teams have been extensively involved in shaping future models of care and the hospital redesign. The formulation of expert teams for each service area provides the vehicle for regular discussion and input into the redevelopment process and future healthcare provision. The Fit for the Future PFI New Hospitals Project reached Financial Close in 2007. The £370M development is well underway on the City General site. The new CSSD building, new Catering Building and temporary restaurant opened in 2008 along with the first phase of the transfer of staff from the Trust to Sodexo Facilities Management. Phase 2 of the construction on the City General site is well underway with the new Hub and Wards due to complete in 2012. A new £32M community hospital development at the Haywood site also opened in September 2009. This is part of the new hospitals project but comes under the remit of NHS Stoke on Trent. A separate £71M, publicly funded development for a new Maternity Centre and Cancer Centre was completed and opened in 2009. 30 RESEARCH AND DEVELOPMENT University Hospital of North Staffordshire (UHNS) NHS Trust aims to be involved in the development and delivery of new medicines, therapies, medical devices and the Innovations of Tomorrow for the benefit of its patients and staff. Research and Innovation are vital for the future well-being of patients, the prosperity of the Trust and the local community. The Trust aims to build on its successes by aligning its research strengths with national initiatives, local priorities and clinical need. This is to ensure that research, development and innovation underpin the delivery of clinical services and research findings get translated into practice for the benefit of our patients. This research and innovation strategy aims to deliver the following 6 underpinning objectives: 1. To enhance the profile and culture of Research and Innovation within the Trust and embed it as a priority at all levels within the organisation 2. To increase the capacity to deliver recruitment into NHS National Clinical Research studies 3. To increase the capacity to develop new Research and Innovation activity 4. To increase income and overhead for research from all potential sources including: direct research income, NHS research support income and commercial Research and Innovation income 5. To enhance the involvement of patients and the public in Research and Innovation, including the setting of priority areas 6. To improve the pathway to adopt research findings, new technologies and procedures into clinical practice The National Institute for Health Research Clinical Research Network (UKCRN) was developed to support clinical research within the NHS. As part of the UK Clinical Research Collaboration (UKCRC), it aims to develop a world class infrastructure to support clinical research in the UK. The national portfolio comprises research which is funded by the National Institute for Health Research, the Research Councils and the major charities. Industry sponsored funded studies go through a review process before adoption onto the portfolio. Entry to the portfolio is a mark of quality and of relevance to the NHS and, for these reasons, UHNS is fully committed to providing patient recruitment opportunities to as many patients as possible. We have approximately 130 studies open to recruitment in a broad range of medical specialities with around 4000 patients recruited each year. The Trust has a well-developed commercial portfolio which provides opportunities for Trust income and support for clinical research. Some commercial trials have been adopted onto the NIHR portfolio and contribute towards our recruitment target in those areas as well. The commercial portfolio, however, can and will be expanded. The Trust also conducts contract laboratory research in a number of areas. These studies link to the NHS and often require use of patient derived tissue samples, blood and DNA. Further information can be obtained from Dr Darren Clement 31 EDUCATION AND LIBRARY FACILITIES Clinical Education Centre The Centre was officially opened on 4 March 2005 by Kate Billingham, Deputy Chief Nurse for the Department of Health and Sir Liam Donaldson, Chief Medical Officer for the Department of Health. This is a partnership between the Trust and Keele University which is nearby and gives us a central resource which enables skills to be enhanced, the latest developments in clinical practice to be debated, facilitates team development and gives an opportunity for cross fertilisation of professions and specialities. The Clinical Education Centre (CEC) provides a purpose built facility to support professional clinical education in North Staffordshire. This impressive facility is the final building of a three phase development of the Medical School, which gives an outstanding opportunity to develop and rationalise current arrangements for all education needs and be responsive to future needs. There is state of the art teaching equipment and facilities which include various size seminar rooms, interview rooms, an impressive library and access to lecture theatres in nearby phase one and at Keele University. The £16M CEC provides new accommodation for nurses, midwives and other health professionals training under one roof. Along with the first Medical School building this forms the core of our on-site education campus. Within the Clinical Education Centre the Health Library and its associated IT Suite occupies a large part of the ground floor overlooking the A34 on the City General site. This new integrated service combines the resources of the NHS in North Staffordshire with those available to Keele University staff and students. The library is open to all staff working with or for the NHS and to staff and students of Keele University. The Library provides a comprehensive service and is committed to supporting information needs for clinical practice, education and research. The NHS library service recently achieved the highest level of accreditation following a HeLiCon inspection. The Library is open from 8.30 am weekdays until 9.45 pm Monday to Thursday, 7.45 pm on Friday and from 10.00 am until 4.45 pm on Saturday. 32 HEALTHCARE CAREERS & SKILLS ACADEMY The Healthcare Careers and Skills Academy (HCSA) is based at the University Hospital of North Staffordshire (UHNS) and has been set up through collaboration between UHNS, West Midlands funding agencies, Stoke on Trent College, Skills for Health, Job Centre Plus and the Skills Funding Agency (formerly the LSC). The Academy offers access to training, access to employment and careers advice to support new, existing and future employees. Amongst its portfolio of short courses the Academy delivers: Corporate Induction Skills for Work IT workshops Leadership and Management workshops Post Graduate Medical Education The Academy also offers qualifications in the following subject areas: Business Administration Healthcare Support Customer Service Management Pharmacy Information Technology Skills for Life Information, advice and guidance is provided by the Academy on an array of employment and training matters within the Trust and operates on an informal, one-to-one basis, offering impartial, confidential information, advice and guidance. In addition, for the past 4 years the HCSA has supported the 14-19 agenda working with and across the health economy including: Young Apprentices 14-16 yr olds Post 16 Apprenticeships Student Apprentices 16-18 yr olds Young Carers Work Experience Teacher Placements Medical Summer Schools Career events To find out more about what we do please contact the Academy at email@example.com 33 THE LOCAL AREA North Staffordshire is an area of contrasting scenes at the heart of Britain and covers approximately 340 square miles. It is bordered to the west by Shropshire and the North East by the Derbyshire Peak District and is separated from the Black Country to the south by some 30 miles of agricultural land, in the middle of which lies the county town of Stafford. The Trust boundaries correspond to those of the local government districts of Newcastle-under-Lyme, Stoke-on-Trent and Staffordshire Moorlands. About two thirds of the population is concentrated in the conurbation of the City of Stoke-on-Trent and the borough of Newcastle-under-Lyme. The Potteries Shopping Centre is the award winning focal point of the City Centre (Hanley) which has many major high street stores as well as indoor and outdoor markets. The other towns in the City have their own shopping centres, each with its own distinctive atmosphere. Home to the world's most beautiful china, Stoke-on-Trent has visitor centres and many factory shops to visit. Gladstone Pottery Museum provides 'hands on' experience and the award winning City Museum and Art Gallery has a wide range of exhibitions and events throughout the year. The five theatres offer a wide choice of entertainment with drama, music and live acts for all age groups throughout the year. The Borough of Newcastle-under-Lyme was granted its first charter by Henry II in 1173 and, under the protection of the new castle from which its name is derived, the town soon became the main route and market centre in North Staffordshire. Today, Newcastle remains a busy market town, with many charming villages on the outskirts, and beautiful surrounding countryside. Staffordshire Moorlands District is a large upland area where stockbreeding is the main farming activity and is the gateway to the Peak District National Park. The numerous walking and cycling routes enable visitors to appreciate the area's spectacular view of charming countryside and the main villages of character. A main attraction of the area is Alton Towers, famous for its white-knuckle th rides, shows and attractions set in 19 century parklands. Along with nature reserves and a steam railway to visit, Staffordshire Moorlands offers other activities including climbing and boating. Housing is plentiful, varied and cheap, with excellent shopping and cultural facilities. There are also fast road and rail links. Stoke-on-Trent and Newcastle-under-Lyme are adjacent to the M6 (Junction 15) motorway, about one hour's drive from both Manchester and Birmingham. There is an Inter City rail service, with London less than two hours away, and three international airports within a 50 mile radius. The indigenous population has been remarkably stable for several generations – presenting considerable opportunities for longitudinal studies and research into epidemiological problems. The 2001 Census showed that within the last ten years, pre-school children aged 0-4 in the County have dropped by 12% and recorded an even larger reduction of 17.9% in the 15-29 age range. However; although the younger population appears to be diminishing, Staffordshire's ageing population has increased by 12.8% and is now 21% of the County's population. Further information can be obtained from www.enjoystaffordshire.com or http://www.visitstoke.co.uk/ Equipment and Facilities State-of-the-art equipment available within ISTM includes Dedicated Human Genomics Facility. Fluorescence Activated Cell Sorting (FACS) and Fluorescence Imaging. Microarray Analysis and Real-Time, Quantitative PCR. 34 Modern synthetic and spectroscopic facilities, eg GC-MS, NMR spectroscopy. Selected Ion Flow Tube (SIFT) equipment for use in breath gas analysis. Electron Microscope Unit: TEM with digital camera, field-emission SEM. IP Rights IP rights reside with the employer, the University of Keele, pending an agreement between Keele and the Trust regarding IP issues. Income from patent agreements is divided between Keele and the postholder according to an agreed formula. The resource that proceeds to Keele is then shared with the Trust in accordance to a formula agreed between the University and Trust in proportion to the relevant input and costs incurred. Spin-off Companies The Trust and University both encourage the development of Spin-off companies where appropriate. ISTM has several successful examples. Funding The successful applicant will apply for research funding where appropriate and where possible from European Framework Funding and Research Councils. Full economic costings are required and are to be estimated at Keele. An agreed formula is then developed to distribute overheads between the University and Trust in proportion to the relevant input and costs incurred. Resource Responsibility must be supported by resource. It is therefore a requirement that this post includes the transparency agreement already in place with other Keele researchers at the Trust. This apportions income from teaching courses and the RAE that flows through the University. This resource resides in a T account under the supervision of the University. The post-holder will have the use of this resource to support his or her research and teaching activities but only with consent of the University Group, and in support of the aims specified by the Research Committee and University. 35
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