PROPOSED CONSULTANT APPOINTMENT
This document sets out the details of the Proposed Consultant Appointment under the
following headings:
1) Summary of Position Sought, 2) Business Case, 3) Indicative Consultants’ Work Practice
Plan and
4) Job Description. It is effective for all applications submitted from 1st January 2017.
This document has two purposes; firstly to allow the Consultant Applications Advisory
Committee (CAAC) to make a recommendation as to whether or not the Proposed
Consultant Appointment should be approved. Secondly, once the proposed appointment
has been approved this document will be re-titled as Approved Consultant Appointment,
and will be made available to applicants during the recruitment process along with the
Letter of Approval.
The Approved Consultant Appointment document serves as the record of what the
Consultant post is intended to deliver, the facilities that will be provided for the Consultant
and what is required of the individual Consultant once appointed.
It is envisaged that the Approved Consultant Appointment document will be the subject of
discussion between the employer and the Consultant at regular intervals including;
induction, probation and appraisal. These discussions may result in revisions to the
document to reflect changes in organisational health service structures, service demands
and relevant policy developments.
Submitting the Proposed Consultant Appointment for Consideration by CAAC
1. Once the Proposed Consultant Appointment document has been signed by the Hospital
Group CEO/CHO Chief Officer it should be emailed to the relevant Clinical Programme Lead
(or nominee of CAAC) for their review.
2. The Clinical Programme Lead (or nominee of CAAC) must then complete the Clinical
Programme Lead/ Nominee of CAAC Evaluation Form within 10 working days of receipt of
the document and return the evaluation form to the Hospital Group CEO/CHO Chief Officer.
3. The Hospital Group CEO/CHO Chief Officer then submits the Proposed Consultant
Appointment document together with the Clinical Programme Lead/Nominee of CAAC
Evaluation Form to the Consultants Division, NDTP at: [email protected].
The Proposed Consultant Appointment document cannot be sent to NDTP without a
completed Clinical Programme Lead/Nominee of CAAC Evaluation Form.
1
Queries in relation to this document should be directed to the Consultants Division, NDTP at
the email address above or by phone on 01 6352445.
HSE National Doctors Training & Planning, August 2016
SECTION A – SUMMARY OF POSITION SOUGHT
1.
Is the application for a new or replacement post? (please tick)
New
2(a)
What is the source of the proposed post? (please tick)
National Service Plan
2(b)
Replacement
Local decision
Other – please specify
What is the funding source of the proposed post? (please tick)
National Service Plan
In current budget
Other – please specify
3.
Name of Hospital Group/CHO:
4.
Name of Employer(s):
5.
Please specify the location(s) of proposed post and the hourly commitment per site:
Location(s) of proposed post
Hourly commitment for each site
5(a)
Please list the approved title of this post using the ‘Qualifications Specified by the HSE’ for
Consultant Posts document: (Any additional or different commitments can be reflected in the Job
Description and advertisement).
5(b)
Please set out any proposed revision to the title and the rationale for same:
6(a)
Will this post hold the academic consultant contract? (please tick)
Yes
6(b)
If yes, what grade of academic post is being sought?
Professor /
Consultant
7.
No
Associate
Professor/
Consultant
Senior
Lecturer /
Consultant
If this is a replacement post, state:
Post Reference Number from previous HSE Letter of
Approval:
Name of consultant being replaced:
Reason for replacement:
If replacement is due to resignation, please give
reason for the resignation:
Date on which the vacancy arises:
Current hours and location(s) of this post:
8(a)
Is the post currently occupied?
Yes
8(b)
No
If yes, what is the name of the postholder, their medical council number, when did they commence
in the post, when are they due to finish in the post and what is their tenure?
Name of Post holder:
Medical Council No:
Commencement Date:
Termination /Retirement Date:
What is the tenure of the post holder? (please tick one)
Permanent consultant/ Consultant with a contract of indefinite
duration (CID)
Temporary consultant employed on a fixed term contract
Temporary consultant employed on a specified purpose contact
Locum consultant employed on a fixed term contract
Locum consultant employed on a specified purpose contact
8(c)
Please note that it is a condition of approval that on appointment of the successful candidate to the
approved post the above post holder will no longer continue in this post. Please indicate your
agreement to this.
Yes
If No, please explain why:
No
9.
Contract Type:
9(a)
What contract type is sought?
Type A
9(b)
Type B
Type C
Please state the reason(s) for selecting the particular contract type indicated above:
SECTION B – BUSINESS CASE
10(a)
Give a brief description of the existing service/speciality and how it functions within the hospital,
within the hospital group/community healthcare organisation/mental health service, at national
level and how it is aligned to the national clinical programmes and their models of care.
(Word count limit of 300 words)
10(b)
What is the strategy (number and disposition of posts) within the Hospital Group/ CHO for
development of the speciality or sub-speciality service to which this Consultant post application
relates taking into account the services in neighbouring Groups / CHOs?
As part of your response to this question, please identify specialties whose workload will change
significantly as a result of this appointment.
(Word count limit of 300 words)
10(c)
Give an assessment of the need for this post.
(Word count limit of 300 words)
10(d)
Describe how this post holder will function including their integration within the Consultant team
and the sharing of resources.
Please describe:
Integration within the Consultant team (e.g. (1) Specialist colleagues and sub-specialty interests of each, and (2)
Other specialists as part of an integrated care team) (Word count limit 200 words)
Delivery of commitments by the Consultant team across each location covered by the team (e.g. Outpatients,
theatre, endoscopy or other) (Word count limit 200 words)
Staff resources specific to this appointment – please indicate if shared (e.g. NCHDs plus number on training
programmes, Specialist nurses, Allied Health and Social Care Professionals, Pas, Secretaries, Business Managers
or other) (Word count limit 200 words)
Enhanced or newer consultant delivered services (e.g. Acute Ambulatory Care Medicine, Acute General
Surgeon) (Word count limit 200 words)
Please refer to any relevant guidance from clinical programmes here.
Extended consultant presence including weekends including time commitment and frequency (Word count
limit 200 words)
Please refer to any relevant guidance from clinical programmes here.
Describe how this will reduce dependency on NCHDs (Word count limit 200 words)
10(e)
Are all the resources for the post holder to carry out their duties in place in each site?
Clinical Facilities appropriate to the consultant’s speciality including:
Clinical Facilities
Beds
Yes
No
Details
No of beds shared by specialty
Acute:
Elective:
Theatres – specific to
this post
Number of sessions
Days of the week:
Times:
Access to Day Unit –
specific to this post
Access to Out-patient
Procedures including
Minor Operations –
specific to this post
Endoscopy – specific to
this post
Bed numbers:
Type of endoscopy:
Available sessions:
Days of the week:
Times:
Specialist Diagnostic
Facilities Appropriate to
Position (e.g. Cardiac
Catheterization Lab,
Vascular Lab,
Audiometry Service) –
specific to this post
Specialist Procedural
Equipment (e.g. Robotic
Surgery, Vascular
Interventional Suite) –
specific to this post
Outpatient Department
– specific to this post
Number of sessions
Days of the week:
Times:
Community Facilities
Consultant Psychiatrists
- Team Base
Give details
N/A
-
Offices for MDT
patient inputs
Day Hospital
10(f)
Generic Facilities appropriate to the consultant’s specialty including:
Generic Resources –
specific to this post
Dedicated Workspace
Yes
No
Details
Computer facilities,
internet access, offsite
access
Access to relevant
databases/ medical
literature
Multi-disciplinary team
(including medical staff as
appropriate)
Secretarial/
administrative support
Support for and access to
CPD/training
Support for Audit
Time to participate in
supporting professional
activities
Time – leave and duties
for public service, training
or regulatory
organisations other than
the employer
List by discipline and number
N/A
10(g)
How will the consultant team and the service deliver an enhanced service as a result of this post?
(Word count limit 200 words)
10(h)
Performance Measurement
(Word count limit 300 words)
What performance measurement processes exist to ensure that the post will deliver on the service objectives
and what key performance indicators (KPIs) will be used to monitor the service:
Describe how performance/ measurement takes place?
Please indicate
details of:
Induction (including name and contact details of person responsible for induction)
Probation
Appraisal
10(i)
Consultation with Relevant Consultant/Specialist Grouping within the employing hospital/service
Please confirm that the relevant consultant/specialist grouping in the hospital/service has been consulted
regarding this application:
Yes
No
Please insert the name of this consultant/specialist grouping:
___________________________________________________________________________________
Please confirm that the relevant hospital Clinical Director has been consulted regarding this application:
Yes
No
EXISTING STAFFING RELEVANT TO THIS POST
11.
Staffing in the Specialty / Department:
11(a)
Give details of the existing permanent consultant posts in the specialty / department:
Name
Medical
Council
Number
Method of
Appointment*
Contract
Type
Special
interest if any
Post Ref Number
from Letter of
Approval
Base
hospital/
site
(hrs/wk)
Other
hospital /
site/ medical
school
(hrs/wk)
* Standard competitive consultant interview process/ CID
11(b)
Give details of all other existing consultant appointments, including type of appointment (e.g.
temporary, locum, sessional etc.) in the specialty / department:
Name
Medical
Council
Number
11(c)
Present position regarding the filling of vacant approved permanent consultant posts in the specialty
/ department:
Post
Contract
Type
under
Consultants
Contract
State
Temporary/
Locum and
specified
purpose/fixed
term
Post Ref
Number
from Letter
of Approval
Post Ref Number from
Letter of Approval
Approved
Post Yes/No
Date of approval
Date of
appointment
Purpose of
appointment
Stage of filling
Is the
consultant
eligible for a
CID?
Yes/No
SECTION C – INDICATIVE CONSULTANTS’ WORK PRACTICE PLAN
Please indicate what the indicative consultants’ work practice plan for this post would be. It is
acknowledged that this plan may change between submission of the application and filling of the post.
Hospital / Agency commitment:
Employer 1:
Employer 2:
Employer 3:
On-call commitment
Hours p/w:
Hours p/w:
Hours p/w:
Total hours p/w:
Is there an on-call commitment as part of this post?
Yes
No
If yes, please describe in full the on-call rota(s)/commitment for this post. If it
is a general rota please specify the frequency the sub-speciality is on-call and
the frequency the individual consultant is on-call.
Guidance notes on completion
 Practice Plan must total the hourly commitment to each Hospital/Employer.
 The total hourly commitment should not exceed the contract hours, which for a full time consultant is 39
hours.
 The practice plan should clearly show the start and finish times for each entry.
 Commitments should be inclusive of travel time between service locations.
 Teaching time should be included in the weekly commitment, it should be protected and be a minimum of 2
hours p/w in cases where the post does not have academic sessions.
 In general, the clinical hours should be a minimum of 30 hours of the 39 hours worked p/w (pro-rata for a
consultant working less than full time hours).
 The normal week of 39 hours is worked 5 days over of 7, however, with the employer’s agreement the 5
days can be reduced to a minimum of 4 days p/w presence in the hospital (pro-rata for a consultant working
less than full time hours). This is no way reduces the requirement to perform duties over 5 days.
 Hours of attendance should reflect times of patient related activity e.g. OPD, ward rounds etc.
 Hours of attendance must be in line with other consultants on the team to ensure consultant always
available during hours of operation of the service/specialty.
 If the schedule alternates on a weekly/monthly basis an additional template should be completed.
Day
Times
Details (please select from the Hospital/ Employer
Hours
details list below on page 11)
Per Day
From
To
7am
8am
Grand Rounds
Name of Hospital 1
1
8am
10am
Ward Rounds
Name of Hospital 1
2
EXAMPLE
10am
1pm
OPD
Name of Hospital 1
3
1pm
5pm
Theatre
Name of Hospital 2
4
5pm
6pm
Administration/Dictation
Name of Hospital 2
1
Total hrs
11
MONDAY
Monday hrs
Day
Times
From
Details (please select from the
details list below on page 11)
Hospital/ Employer
Hours
Per Day
To
TUESDAY
Tuesday hrs
WEDNESDAY
Wednesday hrs
THURSDAY
Thursday hrs
FRIDAY
Friday hrs
SATURDAY
Saturday hrs
SUNDAY
Sunday hrs
WEEKLY TOTAL HRS (should equal 39 hrs for full time posts)
Indicative List of Activities
Theatre
Teaching/Training
Ward Rounds
CME/CPD
Day Care Commitment
Audit/Quality/Risk
Out-patient Department (please specify clinic)
Specific Activities
for Anaesthesia
Endoscopy
Specialised Diagnostic Procedures
(please specify procedures)
Day hospital commitment
Consults
Grand Rounds
Case Conference (please specify)
MDT Meeting (please specify)
Administration/Dictation
Specific Activities
for Pathology
ITU, ICU & HDU
Pre & Post Op. Patient Care
Lab Analysis
Lab Supervision
Specific Activities
for Radiology
Other
Reporting/ sign-out of test results
Autopsy
Reporting
Interventional
(please specify)
SECTION D - JOB DESCRIPTION
Please complete the following job description for the proposed post. Please note some sections are specific
to psychiatry posts only as indicated below.
Job Title
Reporting Relationship
Consultant Contract 2008 states that the Consultant’s reporting relationship and
accountability for the discharge of his/her contract is: to the Chief Executive
Officer/General Manager/Master of the hospital (or other employing institution)
through his/her Clinical Director (where such is in place) or in the case of
Consultant Psychiatrists, to the Clinical Director and the Area Manager,
Community Health Organisation (where the Consultant is employed by the HSE)
/ Chief Executive Officer (where the Consultant is not employed by the HSE).
Detail any other required reporting relationships:
Population
(Population to be served by relevant age bracket. State catchment area and
sector, where relevant, and any special features of the population.)
Integrated Care
(i) Relevant internal integrated pathways (e.g. Care of Older Persons and Trauma
and Orthopaedics or hip fractures)
(ii) Relevant external integrated pathways
(iii) If more than one consultant in a team, how that will operate - to be
completed for Psychiatry posts only
Type of Service
To be completed for
Psychiatry posts only
Resources
Type of service to be delivered i.e. Model of Care covering
(i) in the community e.g.
 OPD assessment
 Domiciliary assessment
 Assertive Outreach Model etc.
(ii) Inpatient work
(iii) Link, if any with, local acute hospital e.g. consultation work
(iv) Any special features of the work
(i) Base
To be completed for
Psychiatry posts only
(ii) Access to named facilities to be stated
 Day hospital (site)
 Acute inpatient beds (number and site)
 Other
(iii) MDT by discipline and number. To include administrator member of the
MDT
Principal Duties and
Responsibilities
Standard Duties and Responsibilities for all Consultant posts are as per Section
12 of the Consultant’s Contract.
Please insert the operational, strategic, developmental, clinical, administrative
and other duties that will apply to the post. Please expand this section as
required.
Other requirements
specific to the post
The above is not intended to be a comprehensive list of all duties involved and
consequently, the post holder may be required to perform other duties as
appropriate to the post which may be assigned to him/her from time to time
and to contribute to the development of the post while in office.
Please include any other requirements that are specific to the post e.g. the
Consultant is required to have access to transport
Skills, competencies
and/ or knowledge
Please include any specific skills, competencies and/or knowledge that are
essential for the post holder to have to carry out this post.
SECTION E – GROUP SIGNOFF IN SUPPORT OF THE APPLICATION
If this application is for a post in a HSE funded agency (including voluntary hospitals and agencies), has it been
approved by the CEO or equivalent of the agency?
Yes
No
Hospital Group Clinical Director/ CHO Executive Clinical Director
Name of Hospital Group Clinical Director/
CHO Executive Clinical Director:
______________________________________
My signature below confirms my support for this consultant post and certifies that the funding for this post is
in place and is in line with the Hospital Group/CHO funded workplan.
Signature of Hospital Group Clinical Director/
CHO Executive Clinical Director:
_______________________________________
Date: ________________________
Hospital Group CEO/CHO Chief Officer:
Name of Hospital Group CEO/CHO Chief Officer: ________________________________
My signature below confirms my support for this consultant post and certifies that the funding for this post is
in place and is in line with the Hospital Group/CHO funded workplan.
Signature of Hospital Group CEO/CHO Chief Officer: ______________________________
Date: ________________________
Once this document has been signed by the Hospital Group CEO/CHO Chief Officer it should be emailed to the
relevant Clinical Programme Lead (or nominee of CAAC) for their review. The Clinical Programme Lead (or
nominee of CAAC) must then complete the Clinical Programme Lead/Nominee of CAAC Evaluation Form within
10 working days of receipt of the document and return the evaluation form to the Hospital Group CEO/CHO
Chief Officer. The Hospital Group CEO/CHO Chief Officer then submits this document together with the
Clinical Programme Lead/Nominee of CAAC Evaluation Form to NDTP for consideration by the CAAC. The
Proposed Consultant Appointment document cannot be sent to NDTP for consideration by the CAAC without a
completed Clinical Programme Lead/Nominee of CAAC Evaluation Form.