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HEALTH & COMMUNITY SERVICES, JERSEY Post: Consultant Orthodontist Director General for Health and Community Services: Caroline Landon Group Managing Director: Robert Sainsbury Acting Group Medical Director: Mr Patrick Armstrong Jersey General Hospital Switchboard: 01534 442000

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Working as a Doctor in Jersey

Medical Staffing 2nd Floor Peter Crill House (West Wing)

Gloucester Street St Helier JE1 3QS

Telephone: +44 (0)1534 445405 or 445414

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Contents

• Welcome Page 2

• Introduction to Jersey Page 3

• General Information Page 4

• Job Description Page 8

• Proposed Job Plan Page 11

• Person Specification Page 12

• States of Jersey Core Values Page 14

WELCOME

Dear applicant Thank you for your interest in our vacancy based at The General Hospital, Jersey, Channel Isles. Jersey is separate from the NHS. For further information about the services we provide, please click on the following link. We believe that working in Jersey can be both professionally and personally rewarding. We pride ourselves in delivering high quality care that is patient-centred, safe and effective. Our aim is to deliver excellent clinical services and to make sure that our patients’ experience is of the highest quality. This is your opportunity to make a difference to the patients you are treating on the Island of Jersey. Subject to satisfactory performance, incremental progression is automatic for between points 1 – 17 on the pay scale. Formal applications are required for points 18 – 20. We have a rotation of Junior doctors from Health Education Wessex. We are currently developing the plans for our new hospital so the next few years will be an exciting time for Health & Community Services, Jersey. Jersey is a wonderful place to live and work, offering low crime rates, excellent education, good sports and leisure facilities, unique wildlife and breath-taking scenery. We welcome all applications irrespective of disability, gender, sexual orientation, race or religion and encourage all prospective applicants to research Jersey to see what it can offer you and your family as well as what our hospital can offer you and your career. If you believe you fulfil our criteria and will be an asset to our organisation, we look forward to receiving your application. Health & Community Services, Jersey

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INTRODUCTION TO JERSEY

What is Jersey like?

50 miles of coastline ensure you never have to travel far to find a beach and, when you do, what a wealth of choice and quality; wild expanses, pebbly coves, rocky outcrops and golden, sandy shores. These are nature’s playgrounds and they offer a jaw-dropping amount of activities to enjoy!

The out-going tides of the south-east coast reveal a lunar-landscape of rock formations that are teeming with life; rock pool rambles are a must for families with children eager to beachcomb or spot hermit crabs and starfish. Armed with a pot of salt, low tides also offer amateur fishermen the chance to forage for razor fish and cockles in the wet sand. Confident swimmers can take a snorkel and mask to discover marine creatures in the crystal waters of Beauport Bay. Be you a seasoned surfer, budding body boarder or novice sandcastle builder – the world class cleanliness of our sees make it perfect for a paddle.

Create your own al-fresco dining experience by using the permanent BBQ pits that dot the east coast and offer views of France.

Enjoy the footpaths around the Islands beautiful reservoirs or challenge yourself over the 15 miles of cliff paths that transverse the breath-taking North Coast. If you prefer a gentler pace, relax with a gentle stroll around St Helier’s marinas.

The vast network of Jersey’s Green Lanes and cycle routes wind peacefully through verdant countryside peppered with Jersey’s celebrated cows and photogenic granite farmhouses.

Feel the flavour of France by playing the ever popular Gallic game of pétanque; pitches are dotted around the town. The remains of 13th century Grosnez Castle can be found perched high on the towering cliffs of the north-west. St Aubin’s Fort sits proudly near the harbour that bears its name; cross the causeway to this Tudor fortress as the tide recedes and view the historic village from a different perspective.

Jersey sits in the Bay of St Malo, 19 miles from the coast of France and 85 miles south of the English coast. Jersey’s population is approximately 100,000. Our transport links to all major cities in the UK are excellent, with London only a 40-minute flight away and also sharing the same time zone as the UK.

Jersey is divided into twelve districts or parishes. St Helier is the Islands capital and main retail centre. It offers a varied, low tax shopping experience with many of the shops seen on the UK high street. St Helier boasts two Victorian covered markets: The Central Market, with its cherub-adorned fountain and beautifully decorated gates, specialises in the finest fresh fruit, vegetables, meat and flowers. The smaller Beresford Market is home to an impressive array of fresh fish and seafood. There is also an abundance of restaurants and nightlife. English is the main language spoken. Other languages include French, Polish, Portuguese, Romanian and Jerriais.

Take a trip to the magnificent Les Ecréhous and Les Minquiers offshore reefs and perhaps you will be fortunate enough to see the seals and dolphins that live in our surrounding waters. At various times throughout the year, motor sports like the Jersey Rally, the Bouley Bay Hill Climb and sand racing make exciting viewing; add to that the Jersey Marathon, cycle tours and grueling triathlons and you’ll find there is always a sport to watch

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GENERAL INFORMATION The Health and Community Services Department

The Jersey Health and Community Services Department is independent from the U.K. National Health

Service and is the political responsibility of the Health and Community Services Ministry, consisting of an

elected Minister and two Assistant Ministers who serve as part of the Island’s Government system. A

Director General directs the department for Health and Community Services - Caroline Landon. The

Group Managing Director for Health and Community Services is Robert Sainsbury. The position of Acting

Group Medical Director is Mr Patrick Armstrong.

Funded by the States of Jersey from taxation revenue, the Department of Health and Community Environmental Health for the residents of the island. The island has a resident population of approximately 99,000 which increases to approximately 120,000 in the summer tourist season.

The General Hospital

Jersey General Hospital is the sole location of acute hospital services in Jersey. The hospital provides approximately 250 acute beds, 2 day case theatres, 4 main theatres and 2 more being constructed. There is a dedicated endoscopy suite and Breast Clinic along with a full range of other services and facilities. A wide spectrum of care is available including the following specialties:-

General Medicine General Surgery Gastroenterology Trauma and Orthopaedics Renal Medicine Sports Medicine Urology Gynaecology Respiratory Medicine Oral and Maxillofacial Surgery Cardiology Orthodontics Accident & Emergency Community Dental Oncology Maternity/Obstetrics Paediatrics Breast Screening Haematology Breast Surgery Genito-Urinary Medicine Anaesthetics Dermatology ENT Ophthalmology Adult Psychiatry Neurology Vascular Surgery Colorectal Surgery Critical Care Unit (Level 2 & 3 Care) Consultants representing the following specialties visit regularly from the UK:-

Rheumatology Orthopaedics (specialist cases) Clinical Oncology Vascular Surgery Cardio – Thoracic Surgery Paediatric (sub-specialities)

Support Services are well-developed with first class facilities in Radiology, Pathology, Physiotherapy and Medical and Surgical Intensive Care.

Private patients are treated on the Private Wing which consists of two wards with 26 single rooms. All

consultants have admitting rights to these beds. Other facilities within Health and Community Services include Adult Mental Health and Old Age

Psychiatry, Overdale (EMI day centre, Rehabilitation unit, out-patient facilities for Neurology/ Rheumatology/ Care of the Elderly/ Diabetes and Endocrinology/ Chronic Pain service/ Uro-dynamics, Child Development Unit, Hearing Assessment Unit, Psychology Dept, Speech and Language Therapy Dept, Occupational Therapy Dept), The Limes and Sandybrook wards (long term care wards for the elderly).

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Primary Care

Primary dental care is not the responsibility of the Government of Jersey but is provided as a fee based service by independent general dental practitioners. There are approximately 65 general dental practitioners on the island grouped into practices of various sizes. There is a capitation scheme subsidising treatment for patients in full time education between the ages of 11 and 21.

Management Structure The Director General for Health and Community Services - Caroline Landon. The Group Managing

Director for Health and Community Services - Mr Robert Sainsbury. The position of Acting Group Medical

Director for Health & Community Services is Mr Patrick Armstrong.

. Heads of Scheduled and Tertiary Care and Associate Medical Directors: Mr Patrick Armstrong and Dr Effie Liakopoulou. Head of Unscheduled Care and Associate Medical Director: Dr Simon Chapman. Heads of Women and Children and Family Care Group and Associate Medical Directors: Dr Fiona Nelson and Dr Muktanshu Patil. Head of Clinical Support Services and Associate Medical Director: Dr Nick Dodds. The new appointee will be expected to take his/her share of divisional and hospital administrative/managerial duties and will be expected to be an active member of the Divisional Management Team and the Medical Staff Committee.

Safeguarding

Health & Community Services, Jersey, has a responsibility for, and is committed to, safeguarding and promoting the welfare of children and young people as well as vulnerable adults in our care and for ensuring that they are protected from harm. The post holder will take responsibility for the safeguarding and welfare of all children, adults and/or families within their care and must be familiar with the signs and symptoms of abuse and know what to do if any such concerns are raised. He/she shall be aware of and comply with all child protection, safeguarding policies and procedures. As this position will involve working in ‘regulated activity’, the successful applicant will be subject to an Enhanced DBS disclosure as part of their pre-employment clearances. Any offer of employment is subject to satisfactory clearances being obtained.

Equality and diversity Health & Community Services values equality and diversity in employment and in the services we provide. We are committed to promoting equality and diversity in employment and aim to ensure that all job applicants, employees and service users are treated fairly and valued equally regardless of sex, marital status, age, race, colour, ethnic origin, sexual orientation or religion.

Confidentiality and data protection

All employees are expected to comply with all States of Jersey policies and procedures related to confidentiality and data protection and to work in accordance with the Jersey Data Protection Law 2005.

Infection Control

All employees have a duty to comply with Health & Community Services’ guidelines and policies in relation to Infection Prevention and Control. The post holder will have a duty to ensure that they minimise the risk of infection and infectious diseases. This responsibility includes minimising the risk by highlighting any concerns to the appropriate person.

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Smokefree policy

Health and Community Services operates a smokefree policy. The goal of this policy is to benefit the community by creating a healthy environment for all employees, volunteers, clients, residents, patients, and visitors. Smokefree means that there is no smoking allowed anywhere within our hospital or any other clinical and non-clinical buildings or grounds belonging to Health and Community Services.

Resource Management

The post holder will demonstrate awareness of the departmental budget and the factors which contribute to over/under spending.

Education Centre The Education Centre is a shared facility for the Health and Community Services Department. The

recently refurbished centre is furnished and equipped to a very high standard. The medical library is well stocked with books, journals and computer facilities, including internet access. The centre has numerous excellent teaching rooms and a 90 seat lecture theatre equipped with the highest standard presentation technology.

There is a full time administrator and one of the Consultants is elected as the Postgraduate Educational Tutor. The Post-Graduate Educational Committee meets on a regular basis. At present there are mortality and mobility days with additional audit days.

Teaching The Hospital has been a recognised ATLS centre since 1990 and ALS centre since 1995. Four courses of

each are held annually, one of the ATLS courses is held in conjunction with an ATNC course. APLS courses commenced in 2002 and it is intended to run two courses each year.

The hospital has a Governance committee supported by a team of clinical audit officers. The post holder will be expected to contribute and participate in the Department’s ongoing clinical audit programme. Health & Community Services work with Health Education Wessex to provide high quality medical education to FY1, FY2 and GP Trainee doctors on a rotational basis. The post holder will assist junior staff to identify and meet learning objectives by using the principles of teaching and learning.

Continued Professional Development

The post holder will seek opportunities to develop knowledge, skills and experience and be expected to maintain continued professional development to satisfy the requirement of yearly appraisals including attendance at relevant courses and conferences, involvement at locally organised CME events and comparative audit. Health & Community Services supports the requirements for Continuing Medical Education and is committed to providing reasonable amounts of time and financial support for these activities. Study leave of 30 days in 3 years and an annual study leave allowance is provided, subject to the approval of the Clinical Director / Medical Director. The post holder will be expected to meet the Continuing Professional Development requirements of their relevant Royal College.

Clinical Effectiveness Active and regular participation in Clinical Audit will be expected. Increased emphasis is placed upon medical audit and the post holder will also play a crucial role in co-ordinating these activities

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Corporate Governance Health & Community Services place a high importance on excellence in clinical practice. Full participation in ensuring compliance with the organisation’s clinical governance process is required. Dr Paul Hughes is the Lead for this area.

Professional Standards All Medical Staff are expected to comply with management arrangements in place to follow the guidelines on practice laid down by the General Dental Council and to be accountable to the hospital for their actions and the quality of their work.

Appraisal & Review

The post holder is required to participate in the annual appraisal and review process which has been implemented for all medical staff and is in line with the GMC guidelines for re-validation. Training is available for appraisers.

Allocate

The organisation uses electronic web-based software to support job planning, e-Leave, e-Appraisal and e-360. Training in the use of these systems will be provided to the successful appointee where appropriate and necessary.

Commencement of duties

The appointee will be required to take up the post no later than three months from the date of the offer of an appointment, unless a special agreement has been made between the appointee and Health & Community Services. If you consider it unlikely that you will be able to take up the appointment within such a period, you are advised to point this out at the time of your application.

Relocation The relocation entitlement for this position is up to £8,000. For further information, please discuss with Medical Staffing.

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JOB DESCRIPTION

JOB TITLE: Consultant in Orthodontics

EMPLOYMENT STATUS: Substantive

PROFESSIONALLY ACCOUNTABLE TO: Group Medical Director MANAGERIALLY ACCOUNTABLE TO: Associate Medical Director SALARY SCALE: £87,624 - £159,455 (Dependent on experience and points 18 – 20 are by application and panel agreement only) BASIC PROGRAMMED ACTIVITIES: 10 LIEU PAs: 0 TOTAL PROGRAMMED ACTIVITIES: 10 ON-CALL COMMITMENT: No on Call This is a replacement consultant post (7.5 DCC’s, 2.5 SPA/Admin). The successful applicant will be expected to provide an Orthodontic Service and to work with colleagues in the Dental department and specifically with the Oral and Maxillofacial surgeon to provide a comprehensive Orthodontic Service. Working on an island offers a unique opportunity where the case mix offers both diversity and complexity. The successful candidate will enjoy a role that is both challenging and rewarding. It is essential that the applicant is on the GDC Specialist Register and provide GDC confirmed eligibility for entry on the Specialist Register. It is essential that the applicant has a willingness to work flexibly to meet the needs of the service. Jersey General Hospital provides healthcare for 100,000 people. The consultant will provide training for the Orthodontic Clinical Assistant, the Orthodontic Therapist and future specialists, plus participating in continuing professional education programmes for all trained providers of orthodontic care. The successful applicant will be expected to provide orthodontic opinions to general dental practitioners and community dental officers, plus consultants in Oral & Maxillofacial Surgery and Restorative Dentistry. The consultant will be competent to provide advice on complex clinical problems and inter-disciplinary planning and treatment. The provision of second opinions for concerned patients at the request of dental practitioners or consultant colleagues. The post holder will be expected to participate in audit, governance and departmental meetings as required. Private Practice within the organisation is actively encouraged and is subject to negotiation upon review.

1. THE POST

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There is no orthodontic on call service out of hours. Emergencies are seen with the clinic as required.

At present the Department consists of a Part time Consultant Orthodontist. There is a full-time Orthodontic Therapist and a Dental Assistant who works one session a week. The service is located within the Dental Department, which is a modern, six chair facility, commissioned in 2004, shared with the Oral & Maxillofacial Surgery Department and the Community Dental Department. The Orthodontic Department provides a service for patients who meet certain accepted criteria. They need to be in full-time education to be seen for a consultation. For treatment to be offered, they need to fall into an IOTN Grade 4 and 5 classification. The only exception to this would be for patients referred by the Oral & Maxillofacial Team for remedial work, post trauma/pathology or cases treated for teaching purposes The island has one Specialist Orthodontic Practice, some orthodontists who visit from the mainland and a number of general dentists with a specialist interest (DwSi). The option of providing treatment planning or supervision for cases for patients outside the hospital is provided. Extra-oral 2D imaging is available within the Department and more typically, the Radiology Department provide this service, on request Staffing Consultant Staff:

• Mr Michael Belligoi Consultant Oral Maxillofacial Surgeon & Clinical Lead

• Mr Andre Kichenaradjou Consultant Oral Maxillofacial Surgeon

• Mr Bruce Skinner Consultant Orthodontist (P/T) (this post)

• Mr Mike Cassidy Consultant in Restorative Dentistry and Lead Clinician Community Dental Services (P/T)

• Dr Anna Fekete Associate Specialist in Oral Maxillofacial Surgery

Non Medical Staff

• Orthodontic Therapist, line managed by Dental Department manager, professional lead is Consultant orthodontist

The Dental Department has appropriate clerical and administrative support. Equipment The department and its dental surgeries are extensively equipped. All the surgeries dental chairs were replaced in 2015. The department is also a pilot site for introducing an Electronic Data Management System.

2. ON CALL ROTA

3. THE SPECIALTY

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APPROXIMATE WORKLOAD STATISTICS FOR 2018 Approximate workload statistics

Clinic attendances:

• New patients 399

• Follow up patients 5451

• Total 5850

Orthodontic Organizational Chart

The Surgical Departments encompass a diverse, exciting and very busy service that strives to provide safe quality care that meets the needs of all patient groups. We have many challenges ahead to maintain this quality service but the hospital has a committed highly skilled team who will take the service forward to continually improve and implement changes in practice to deliver this care. The hospital has a Group Director (Mrs Robert Sainsbury) supported by Director of Operations (Mrs Michelle West ), Group Medical Director (Professor John McInerney and Responsible officer for the postholder) supported by a clinical directorate structure .

The Ward and Departmental Managers cover a range of services comprising:

• 3 Surgical Wards - Portelet, Beauport and Rayner Ward

• Intensive Care Unit which includes Medical and Surgical Intensive Unit/H.D.U

• Endoscopy Unit on Aubin Ward

• Designated Day Surgery Theatre

• Main theatre Suite

• Outpatient Dental Department

• Outpatient Ophthalmology and ENT Departments

• 2 Private Wing Wards

• Radiology Department

• Physiotherapy Department

• Anaesthetic Department

4. SPECIALTY MEDICAL STAFF

5. OTHER HOSPITAL DEPARTMENTS

Consultant

Orthodontic Therapist Dental Nurses

Dental Department Manager

General Manager – Scheduled Care Clinical Lead – Dental Department

Reception/Admin team

Medical Secretary

Associate Medical Director

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Job Plan All consultants have a 10 PA contract for public work. The final job plan will be agreed with the incumbent consultant orthodontist, the Clinical Director for Surgery and Group Director, and ratified by the Medical Director. The post holder’s job plan will be reviewed annually, and will be appraised according to the current guidance.

Post: Consultant – Indicative Job Plan

Specialty: Orthodontist

Day Time Location Work Categorisation

Monday 08.00am SPA

1.00pm SPA

Tuesday 08.00am JGH CLINIC

1.00pm JGH CLINIC

Wednesday 08.00am JGH CLINIC

1.00pm JGH CLINIC

Thursday 08.00am JGH

CLINIC

1.00pm JGH 0.5 CLINIC 0.5 SPA

Friday 08.00am JGH CLINIC

1.00pm JGH CLINIC

Categorisation Number of Programmed Activities

Direct Clinical Care • Outpatient clinics (7.5)

Admin SPA

• Admin Admin time is factored into the clinic

• SPA (2.5)

This is an indicative job plan and evening/weekend session’s maybe a requirement and are pending a review. A clinic session is generally 4hours hence subject to negotiation indicative sessions are:- 8.00 – 1200hrs / 1pm – 5pm. The evening session is currently optional with the new appointee and subject to negotiation and tends to be shorter (5.30pm – 9.00pm). On average there x1 new clinic per fortnight but we are endeavouring to work towards x1 a week. There is x1 multi-disciplinary clinic with oral surgery per week The final job plan may change subject to departmental staffing changes and will be agreed with the Consultants in the Department, with the Clinical Director and Group Director, and ratified by the Medical Director. The post holder’s job plan will be reviewed annually with the Medical Director, and will be appraised according to the current guidance.

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Person Specification POST: Consultant

DEPARTMENT: Orthodontist

_________________________________________________________________________

Criteria for Selection

Essential or Desirable?

Method of

assessment Qualifications and Skills & Specilaist Skills: Basic Dental qualification (BDS or equivalent) Entry on GDC Specialist Register or, provide GDC confirmed eligibility for entry on the Specialist Register Membership in Orthodontics (MOrth) (or equivalent) Completion of CCST in Orthodontics or equivalent Passed Intercollegiate Specialty Fellowship exit Examination in Orthodontics, or equivalent (before commencement of post) Successful completion of an SAC-approved minimum three year training programmed in Orthodontics Successful completion of an SAC approved 2 year in a Fixed Term Training Appointment (FTTA) / Post – CCST training appointment, which follows on from the pre-CCST training period of three years or within 6 months of completion or equivalent for other European Economic Area Nationals

Essential Essential Essential Essential Desirable Essential Essential

Application form/CV Application form/CV Application form/CV Application form/CV Application form/CV Application form/CV Application form/CV

Skills / Personal Attributes Good team player and ability to work flexibly with Colleagues to provide services Ability to work effectively with a Multi-Disciplinary Team Ability to communicate effectively with colleagues, patients, relatives, dentists, nurses, management and other agencies. Highly motivated Experience of Teaching,Training & Supervision of Junior Medical/Dental Staff and undergraduate students Understanding of, and experience in, medical/dental management

Essential Essential Essential Essential Essential Desirable

Interview Interview Interview Interview Application/CV/Interview Application/CV/Interview

Leadership & Management Skills Ability to Work Effectively with a Multi-Disciplinary Team, motivating and influencing others through their enthusiasm. Ability to communicate effectively with colleagues, patients, relatives, Dentists, nurses, management and other agencies. Highly motivated Able to work within a team Experience of Teaching,Training & Supervision of Junior Medical Staff and undergraduate students An understanding of and ability to demonstrate your ability to:

• Empower others

• Lead through change

• Influence strategically

• Collaborative working

• Drive for Improvement

Essential Essential Essential Essential Essential Essential

Interview Interview Interview Interview Interview Interview

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• Integrity

Other: Satisfy OH requirements and Good attendance record Hepatitis Vaccination Demonstrates a committment to safeguarding young people and vulnerable adults Evidence of annual appraisal Participation in Clinical Audit & Risk Management Activiities Experience of Service Planning Evidence of research and publication in peer reviewed journals Interest and commitment to Orthodontic training

Essential Essential Essential Essential Essential Desirable Essential Essential

Application/CV/Interview Interview Application/CV/Interview Application/Interview Application/Interview Application/CV Application/CV/Interview Application/CV/Interview

Date updated: December 2019 Health & Community Services, Jersey

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Government of Jersey core values We put the customer at the heart of everything we do

• We listen to what our customers want/need us to deliver and we act on what they tell us.

• We develop stretching quality standards and focus our efforts on meeting them.

• We aim to resolved customers’ queries at the point of first contact.

We take pride in delivering an effective public service for Jersey • We believe that every individual has an obligation to respond to customers’ needs.

• We take pride in working for the Government of Jersey.

• We celebrate success.

• We recognise those who make a real difference to what and how we deliver.

We relentlessly drive out waste and inefficiency

• We constantly look for ways to improve value for money.

• We challenge practices that are duplicated or inefficient.

• We do not treat resources as personal possessions.

We will always be fair and honest and act with integrity

• We trust each other.

• We support each other to achieve our potential.

• We communicate openly and tell our staff what’s going on before we tell the media.

• We confront and deal with poor performance.

• We do not tolerate actions that could jeopardise our ability to provide an effective public service.

• We don’t use bureaucracy as an excuse for not taking action.

We constantly look for ways to improve what we do and are flexible and open to change

• We encourage our people to devise and take forward ideas for improvement.

• We expect people to learn from their mistakes, not be blamed.

• We delegate decisions to the right level.

• We recognise and reward those who achieve a real difference.

• We openly share knowledge and good practice so that we all learn. We will achieve success in all we do by working together

• We work to common and consistent standards wherever possible.

• We link everything we do to the Government of Jersey Strategic Plan.

• We share resources and put them where they are most needed.

• We don’t think in isolation.

• We actively look for opportunities where we can operate on a cross-departmental basis.

• We take pride in our identity as the Government of Jersey.