71826207_Consultant Physician in Respiratory Medicine

Advertised role location: ROYAL VICTORIA HOSPITAL
Official document: Job Description (pdf)
JOB DESCRIPTION
POST : Consultant Physician in Respiratory Medicine
LOCATION : Based in the Belfast HSC Trust
REPORTS TO : Clinical Director, Respiratory Medicine
RESPONSIBLE TO : Chief Executive
GENERAL INFORMATION
The Belfast Health Care Trust
The Belfast Trust delivers integrated health and social care to approximately 360,000
citizens in the greater Belfast area and provides the majority of regional specialist
services for the population of Northern Ireland (1.9 million people). With an annual
budget of almost £1.9bn and a workforce of over 20,000, we are also a Trust with
teaching hospitals and have strong links with our local university partners providing
high quality training for medical and other health care professionals across all
disciplines.
Hospital Profiles
The Royal Hospitals is the largest hospital complex in Northern Ireland, comprising
the Royal Victoria Hospital, the Royal Jubilee Maternity Hospital (RJMH), the Royal
Belfast Hospital for Sick Children (RBHSC) and the School of Dentistry. In
combination with its sister hospitals it provides virtually all tertiary referral services in
Northern Ireland. The Royal Hospitals play a major role in clinical education, training
and research, with most academic departments linked to the Queen’s University of
Belfast Medical School. The Royal Hospitals is a Level 1 Trauma Centre and supports
the Northern Ireland Trauma Network and Northern Ireland Air-Ambulance Service.
Belfast City Hospital (BCH) is a major teaching hospital, most of which is housed
within the Tower (opened in 1985). The Northern Ireland Cancer Centre opened on
the campus in March 2006 providing for the development of an internationally
recognised cancer centre. A strong strategic focus on molecular medicine, cancer
and renal services has enabled the development of world leading research
programmes and a leading Cancer Clinical Trials Unit linked with the ROI and the
NCI Washington DC in a tripartite arrangement. There is a modern radiology
department and substantial AHP Services (eg Physiotherapy, Podiatry, Occupational

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Therapy, Speech and Language Therapy, Nutrition and Dietetics, etc) and a
comprehensive range of pathology.
The Mater Hospital has a 24-hour Emergency Department alongside day case
surgery, inpatient medical wards and mental health services.
Musgrave Park Hospital is the Regional Orthopaedic Unit for Northern Ireland. The
Musgrave Park Regional Orthopaedic Service is the largest in the British Isles with an
international reputation and an extensive research output.
All of the major laboratory services are available within the Trust including:
• Immunology
• Haematology (including Transfusion Services)
• Bacteriology
• Virology
• Pathology
• Immunopathology
A summary of the services across the different hospitals is provided in the table
below:
Site General Services Specialist Services
Royal Hospitals Emergency Department
Acute & General Medicine
Anaesthesia (including critical
care)
Pain Management
Regional Trauma Centre
Paediatrics (RBHSC)
Obstetrics & Gynaecology (Royal Jubilee
Maternity Hospital)
School of Dentistry
Regional services include:
vascular and endovascular surgery,
interventional radiology,
neurosciences, medical and surgical
cardiology, thoracic surgery,
ophthalmology and specialised
endocrinology, ENT, emergency general
surgery, hepatology
Belfast City
Hospital
Acute & General Medicine
Anaesthesia (including critical
care)
Pain Management
Major surgery specialties including
hepatopancreatobiliary,
oesophagogastric, colorectal, urology
(both major oncological resections and
benign), benign gynaecology and gynae-
oncology surgery, Breast surgery
(including reconstructive surgery) and
renal transplant surgery
Haematology
Haemophilia Service
Medical Genetics, Medical Oncology
Nephrology (including Renal Dialysis)
Radiotherapy, Respiratory Medicine

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Site General Services Specialist Services
Mater Hospital Emergency Department
Acute & General Medicine
Anaesthesia
Pain Management
Surgical specialties, including,
Ophthalmology, Gynaecology, ENT,
general, breast
Psychiatry including ECT
Musgrave Park
Hospital
Anaesthesia
Pain Management
Regional Orthopaedic unit
Rheumatology
Rehabilitation
Regional Acquired brain injury unit
Care of the elderly unit
SERVICE INFORMATION
The Belfast Trust is managed through a system of clinical and non-clinical
directorates of which Unscheduled and Acute Care Services is one. The Service
Director, with the Co-Directors, is responsible for the management arrangements
within the Directorate. There are also medical “Chairs of Division” and several
Clinical Directors.
The Directorate has a broad teaching commitment, with medical students from first
to final year being attached during the academic year.
The Directorate is responsible for maintaining non-elective medical admissions as
part of its current take-in responsibility, as well as elective admissions following
referral from the general practitioner, outpatients or other hospitals. At present over
20,000 unscheduled medical inpatients per year are admitted to the Belfast HSC
Trust.
The Unscheduled and Acute Care Services Directorate also includes the General
Practitioner Out of Hours Services.
Consultant in Respiratory Medicine
The appointee will work alongside the current Respiratory colleagues in delivering
respiratory services in the Belfast Trust.
Outpatient Respiratory clinics
The appointee will be expected to provide outpatient clinics in respiratory medicine in
the Belfast Trust. There may be respiratory Specialty Trainee support for some of the

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clinics. A standard template for a consultant-only general respiratory clinic would
usually be 3 new patients and 8 review patients.
On-call
Respiratory medicine on-call will be provided as part of the existing consultant on-
call rotas. Currently this is approximately a 1-in-16 out of hours rota, with 1-in-8
weekend cover.
Inpatient Work – Respiratory / General Medicine
The Trust respiratory service currently treats approximately 5800 acute non-elective
respiratory admissions per year. For this post, this will equate to around 400
admissions per year. Inpatient care will be supported by respiratory specialty
trainees allocated from the current pool of junior doctors in training.
Medical Staff Respiratory Medicine (with Special Interests)
Respiratory Medicine at the Belfast Trust is currently staffed by the following
consultants:
Dr A Atalla (Sleep)
Dr C Bradley (Lung cancer)
Dr C Butler (asthma)
Dr S Caskey (Cystic Fibrosis and Bronchiectasis)
Dr T Craig (Non-invasive ventilation)
Dr D Comer (Sleep)
Dr K Cullen (Sarcoid and Undergraduate teaching)*
Prof D Downey (Cystic Fibrosis and Bronchiectasis) *
Dr S Guy (Community care)
Prof L Heaney (Asthma)*
Dr J Kidney (COPD)
Dr J Leggett (Sleep)
Dr D Linden (COPD) *
Dr J Lindsay (Interstitial lung disease)
Dr S Lovell (NIV and sleep)
Dr N Magee (Pleural disease)
Dr E Major (Respiratory and Critical Care Medicine)
Dr D McCracken (Lung cancer and pleural disease)
Dr J McDowell (Asthma) *
Prof L McGarvey (Cough and COPD)*
Dr P McKeagney (Occupational medicine and COPD)
Prof C O’Kane (Tuberculosis)*
Dr J Rendall (Cystic Fibrosis)
Dr G Riddell (COPD)
Dr M Riley (NIV and Connective tissue diseases)
Dr S Ringrow (Respiratory and Acute Medicine)
Dr Murali Shyamsundar (Respiratory and Critical Care Medicine)
Dr T Warke (Lung Cancer)
Dr E Wright (Cystic Fibrosis and Bronchiectasis)

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(*Clinical Academics with Queen's University, Belfast)
The Belfast Trust Respiratory Service has 9 Senior Specialty Trainees, 7 of which are
usually based in the Mater Hospital. There are also five funded respiratory specialty
doctors. Three are based in the Mater Hospital, two are based in the Royal Victoria
Hospital.
JOB SUMMARY/MAIN PURPOSE:
The post-holder will work with consultant colleagues in the provision of Respiratory
Medicine Services in the Belfast HSC Trust. He/she will be expected to support the
education and training of students, doctors in training and other professional groups.
MAIN RESPONSIBILITIES/JOB PLAN
1 To take part in the respiratory specialty triage at the Royal Victoria Hospital
and participate with the on-call rota for respiratory medicine. This will involve
both inpatient management and outpatient follow-up as appropriate.
2 To deliver 0.5 general respiratory clinics, 1 pleural disease clinic and 1 lung
cancer clinic per week, approximating to 105 clinics per year.
3 To deliver a bronchoscopy or other procedure list on 3 weeks out of 4.
4 Inpatient respiratory work in RVH is undertaken as part of the team-based
inpatient system. Each consultant will do 4 separate stand-alone weeks of
‘Outlier’ cover per year, mainly doing post take rounds of new patients, with an
average of 8 new patients per day on top of an average of 25 existing outlying
patients. In addition, the consultant will do four two-week blocks of respiratory
ward cover per year (i.e. 8 weeks total per year). On average that would entail
seeing 1-2 new patients per day on top of an average of 28 existing respiratory
ward patients.
5 An indicative full-time job plan is included below for reference. Applicants
interested in part-time working will also be considered. The working pattern
will be agreed with the successful applicant on appointment.
6 The post holder will be expected to adhere to requirements for continuing
medical education and to ensure that all skills and expertise are maintained.
The Trust is committed to fully supporting and resourcing nationally agreed
CME requirements to facilitate this. The post holder is expected to work
within the Trust’s Clinical Governance Framework and GMC guidance on
good medical practice.
7 The post holder will participate fully in medical and multi-professional clinical
audit.

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8 The post holder will be expected to participate actively in the teaching of
undergraduate and post graduate students as well as staff in related
disciplines and to co-operate with colleagues in developing local educational
programmes.
9 The post holder will be expected to take part in the annual appraisal
programme, job plan review and revalidation.
Managerial Responsibilities
The post holder will:
1 Undertake the administrative duties associated with the care of his/her
patients and the running of the department in conjunction with colleagues.
2 Maintain staff relationships and morale among the staff reporting to him/her.
3 Delegate appropriate responsibility and authority to the level of staff within
his/her control, consistent with effective decision making, while retaining
overall responsibility and accountability for results.
4 May be required to undertake, from time to time, various management roles in
relation to the activities of the specialty and the Belfast Trust
5 Identify objectives with the Clinical Director and agree an action plan ensuring
personal development.
6 Participate in the selection and appointment of staff in accordance with
hospital procedures.
7 Take such action as may be necessary in disciplinary and grievance matters
in accordance with the procedures laid down and approved by the Trust.
General Responsibilities
Employees of the Trust are required to promote and support the mission and vision
of the service for which they are responsible and:
1 At all times provide a caring service and to treat those with whom they come
into contact in a courteous and respectful manner.
2 Promote and support effective team working, fostering a culture of openness
and transparency. The post holder will ensure that they take all concerns
raised with them seriously and act in accordance with Belfast Trust’s
Whistleblowing Policy and their professional code of conduct, where
applicable.
3 The post holder will, in the event of a concern being raised with them, ensure
it is managed correctly under the Belfast Trust’s Whistleblowing Policy, and

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ensure that feedback/learning is communicated at individual, team and
organisational level regarding the concerns raised, and how they were
resolved.
4 Demonstrate their commitment by their regular attendance and the efficient
completion of all tasks allocated to them.
5 Comply with the Trust’s Smoke Free Policy.
6 Carry out their duties and responsibilities in compliance with the Health and
Safety Policies and Statutory Regulations.
7 Adhere to Equality and Good Relations duties throughout the course of their
employment.
8 Ensure the ongoing confidence of the public in-service provision.
9 Maintain high standards of personal accountability.
10 Comply with the HPSS Code of Conduct.
ADDITIONAL INFORMATION
Terms & Conditions
This appointment is subject to the Consultant Terms & Conditions of Service (Northern
Ireland) 2004, and as amended.
Registration
Required to maintain full and specialist registration (and hold a current license to
practice) with the General Medical Council
Salary
As per current Consultant salary scale in line with the Consultant Terms & Conditions
of Service.
Annual Leave
Annual leave is in accordance with the terms and conditions of the new Consultant
Contract. All leave (annual, study and professional) is subject to the needs of the
Trust and must be approved in advance by the Clinical Director.
Indemnity
Employees are normally covered by the HPSS and Community Health Service
Indemnity against claims for medical negligence. However, certain circumstances may
not be covered by the Indemnity, especially where a separate fee is received. The

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Department of Health, Social Services & Public Safety (DHSS&PS) therefore advises
that membership of a medical defence organisation is maintained.
Team working
The successful candidate will be expected to work with local managers and
professional colleagues in the efficient running of clinical services and will share with
consultant colleagues in the medical contribution to management.
Subject to the provisions of the Terms and Conditions of Service, the successful
candidate is expected to observe the Trust’s agreed policies and procedures, drawn
up in consultation with the profession on clinical matters and to follow the standing
orders and financial instructions of the Trust.
The successful candidate will be expected to make sure that there are adequate
arrangements for hospital staff involved in the care of his/her patients to be able to
contact him/her when necessary
Mentoring
The Belfast Trust supports schemes for mentoring of newly-appointed consultants
and a mentoring programme will be offered to the successful candidate.
Teaching and Research
The successful candidate will be expected to be involved in the teaching of
undergraduate medical students and the training of junior medical staff.
Multi-professional Audit and Continuing Medical Education
The post holder will be required to take part in the Directorate audit programme. They
will also be required to undertake such continuing educational activities as are
necessary for them to remain accredited by their Royal College.
Consultant Appraisal and Revalidation
Appointees are required to participate in Consultant Appraisal processes in
accordance with DHSS&PS requirements and Revalidation processes with the GMC.
Support and Office Facilities
The appointee will work as part of a multi-disciplinary team, supported by other
consultant colleagues, doctors in training, nursing and administrative/ secretarial
staff.
There is appropriately equipped office accommodation for all consultant staff within
the respiratory departments
Quality

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Patient satisfaction must be at the forefront of the concern of each member of staff.
Every patient is to be treated as an individual and provided with high quality service in
terms of courtesy, kindness, interest and efficiency.
Residence
In order to meet the on-call requirements of the post, the appointee is required to
reside within a reasonable distance to their principal place of work, as per terms and
conditions of service.
Type of Appointment
The appointment shall be on a whole time basis, or part-time by agreement, based on
the needs of the service.
Medical Examination
Appointment to this post is subject to a satisfactory pre-employment health
assessment with the Trust’s Occupational Health Service.
Pension
Membership of the Health Services Superannuation Scheme is voluntary. There is
reciprocity between the Northern Ireland scheme and that in mainland Britain.
Private Practice
All private professional services and fee paying services that are not part of the
Contract of Employment must be undertaken in accordance with Schedules 9, 10 and
11 of the Contract of Terms & Conditions of Service (NI) 2004.
Date on which post is available
The appointee may take up post upon satisfactory completion of essential pre-
employment checks.
Visiting
For further information regarding this post, or to arrange a visit, you are encouraged
to informally contact: Dr David McCracken, Consultant Respiratory Physician, Tel:
View phone number on meeveem.com or View email address on meeveem.com.
Canvassing
Canvassing will disqualify. Individual applicants nor other persons should canvass
support for any application in respect of Consultant posts.
Removal Expenses
If eligible a fixed relocation grant may be available to assist with essential removal

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expenses, as outlined in the Trust’s “Re-Location and Associated Expenses Policy”.
The amount must be agreed in advance of incurring expenditure.
Other Facilities
The main hospital sites are located close to Belfast City Centre. Belfast is now a
vibrant, busy city with a wide range of cultural, sporting and other recreational
activities. For those with children of school age there is a full range of public and
private schools. Public schooling is free and of a very high standard. Housing in Belfast
is of good quality and affordable and getting to and from work is generally easy, by
car, bicycle and public transport.
Equality
Employees of the Trust are required to comply with the Trust’s Equality Scheme. A
full copy of this scheme is available in the Human Resources Directorate, Employment
Equality Team.
Ionising Radiation Regulations
The Ionising Radiation (Medical Exposure) Regulations (2017) require that any person
clinically or physically directing a procedure which involves exposure to radiation
should have appropriate training. This can be provided locally as necessary.
Information Governance
All employees of Belfast Health & Social Care Trust are legally responsible for all
records held, created or used as part of their business within the Belfast Health and
Social Care Trust, including patient/client, corporate and administrative records
whether paper based or electronic and also including e-mails. All such records are
public records and are accessible to the general public, with limited exceptions,
under the Freedom of Information Act 2000, the Environment Regulations 2004, the
General Data Protection Regulation (GDPR) and the Data Protection Act 2018.
Employees are required to be conversant and to comply with the Belfast Health and
Social Care Trust policies on Information Governance including for example the ICT
Security Policy, Data Protection Policy and Records Management Policy and to seek
advice if in doubt.
Environmental Cleaning Strategy
The Trusts Environmental Cleaning Strategy recognizes the key principle that
“Cleanliness matters is everyone’s responsibility, not just the cleaners” Whilst there
are staff employed who are responsible for cleaning services, all Trust staff have a
responsibility to ensure a clean, comfortable, safe environment for patients, clients,
residents, visitors, staff and members of the general public.

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Infection Prevention and Control
The Belfast Trust is committed to reducing Healthcare associated infections (HCAIs)
and all staff have a part to play in making this happen. Staff must comply with all
policies in relation to Infection Prevention and Control and with ongoing reduction
strategies. Standard Infection Prevention and Control Precautions must be used at all
times to ensure the safety of patients and staff. This includes:-
• Cleaning hands either with soap and water or a hand sanitiser at the appropriate
times (WHO ‘5 moments’);
• Using the correct ‘7 step’ hand hygiene technique;
• Being ‘bare below the elbows’ when in a clinical environment;
• Following Trust policies and the Regional Infection Control Manual (found on
intranet);
• Wearing the correct Personal Protective Equipment (PPE);
• Ensuring correct handling and disposal of waste (including sharps) and laundry;
• Ensuring all medical devices (equipment) are decontaminated appropriately
i.e., cleaned, disinfected and/or sterilised;
• Ensuring compliance with High Impact Interventions.
Personal Public Involvement
Staff members are expected to involve patients, clients, carers and the wider
community were relevant, in developing, planning and delivering our services in a
meaningful and effective way, as part of the Trust’s ongoing commitment to Personal
Public Involvement (PPI).
Please use the link below to access the PPI standards leaflet for further information.

Clause: This job description is not meant to be definitive and may be
amended to meet the changing needs of the Belfast Health and
Social Care Trust.

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POST: Consultant Physician in Respiratory Medicine
LOCATION: Based in Belfast HSC Trust
ESSENTIAL CRITERIA:
1. Full registration with the General Medical Council and a Licence to Practise
(must have both at time of appointment)
2. Entry on the GMC Specialist Register for Respiratory Medicine via
a. CCT (proposed CCT date must be within 6 months of interview date) or
b. CESR or
c. European Community Rights
3. Membership of the Royal College of Physicians or equivalent qualification
4. All applicants to have demonstrable skills in written and spoken English that are
adequate to enable effective communication about medical topics with patients
and colleagues.
5. Must have access to a means of transport to facilitate movement between
sites
6. Eligibility to work in the UK as per UKBA Immigration Regulations.
DESIRABLE CRITERIA:
1. MD / PhD or equivalent
2. Demonstrates experience and skills in the management of lung cancer and
pleural disease

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Candidates who are shortlisted for interview will need to demonstrate at interview
that they have the required competencies to be effective in this demanding
leadership role.
The competencies required are detailed in the NHS Medical Leadership Competency
Framework (MLCF) available at:
Medical-Leadership-Competency-Framework
Particular attention will be given to the following:
Leadership Domains
Demonstrating Personal Qualities
Working with Others
Managing Services
Improving Services
Setting Direction
NOTE:
Where educational/professional qualifications form part of the criteria you will be
required, if shortlisted for interview, to produce original certificates, and one
photocopy of same, issued by the appropriate authority. Only those certificates
relevant to the shortlisting criteria should be produced. If educational certificates are
not available an original letter and photocopy of same detailing examination results
from your school or college will be accepted as an alternative. You will also be
required, if shortlisted for interview, to produce your registrable qualifications.
If successful you will be required to produce documentary evidence that you are
legally entitled to live and work in the United Kingdom. This documentation can be a
P45, Payslip, National Insurance Card or a Birth Certificate confirming birth in the
United Kingdom or the Republic of Ireland. Failure to produce evidence will result in
a non-appointment.

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HSC Values

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CONSULTANT JOB PLAN
NAME:
GMC NUMBER:
JOB PLAN FOR PERIOD:
SPECIALTY: Respiratory Medicine
CONTACT DETAILS:
DIRECTORATE: Unscheduled and Acute Care Services
1. Whole time locum consultant respiratory medicine for Belfast Health & Social
Care Trust.
WTE: 1.0
General Provisions and Accountability Arrangements
2. You will be expected to work with management and professional colleagues in
the efficient running of clinical services and will share with consultant colleagues
in the medical contribution to management. You will be expected to make sure
that there are adequate arrangements for hospital staff involved in the care of
your patients to be able to contact you or another delegated consultant when
necessary.
3. All medical and dental staff employed by Health and Social Care Trusts are
expected to comply with the governance and assurance arrangements of the
Trust.
4. The training and supervision of medical/dental students and junior medical/dental
staff is an important aspect of most consultants’ jobs and should where
appropriate be accommodated in your job plan. You may also be required to
teach other members of the multidisciplinary team.

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Job Plan Review
5 This job plan is subject to review at least once a year by you and the Clinical
Director before being approved by the Chair of Division. For this purpose, a copy
of the current job plan, (and job description if appropriate), including an up-to-date
work programme, objectives agreed at annual appraisal and any notes provided
by either side of any new or proposed service or other developments need to be
available. In the case of a new employee a review of the job plan will take place 3
months after commencement and annually thereafter as above. You can request
a job plan review at any time if your workload changes.
6. If it is not possible to agree a job plan, either initially or at an annual review, there
are agreed procedures for facilitation and appeal with the final decision normally
being accepted by the Trust Board.
7. Regional guidance on job planning is available and should be used to inform the
process.
8. Job Purpose (including other NHS responsibilities as appropriate)
• To provide a respiratory medicine service within the Belfast Trust.
• To provide acute medical services within the Belfast Trust
• To work effectively within a multidisciplinary team.
9. Objectives
Please set out objectives under following subheadings, with details of how they
are to be achieved. Objectives should cover direct clinical care (DCC), supporting
professional activities (SPA), your personal development plan and other duties.
Programmed activities (PAs) will be based on these objectives plus other duties,
other HPSS responsibilities and the service to be provided for which you are
responsible. An outline of activities against which PAs can be allocated and some
general guidance is given in appendix 1 of this document. SPAs are divided
between core and common SPAs. All full time consultants will receive 1.5 core
SPAs for specified activities as outlined in appendix 1. Additional common SPAs
will be by agreement between the consultant and his/her clinical manager and
based on the objectives set out below. External duties will be considered within
the job plan, either within PAs or through discretionary leave. Accepting external
duties must be with the agreement of the service group. The onus will be on the
consultant to demonstrate how the impact of an external duty, on direct clinical
care, can be minimised.

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9.1 Service Developments/Objectives
You will work with the Trust and the Directorate:
• To respond to regional and commissioners’ strategies and Trust and
directorate management plans.
• To support the reform and modernisation agenda, particularly the
development of community services to manage patients with chronic disease,
notably those with COPD.
• To support emergency service modernisation which includes the Review of
Acute (General) Medicine, the delivery of access targets and emergency care
reforms within the Belfast Trust
• To provide high quality, cost-effective care.
9.2 Personal Objectives
• To maintain respiratory medicine services including inpatients and outpatients
within the Belfast Trust.
• Participate in training of junior medical staff and medical students, ensuring
this is of the highest quality.
Direct Patient Care
• To take part in the specialty triage and on-call rotas for unscheduled
admissions.
• To deliver 0.5 general respiratory clinics, 1 pleural disease clinic and 1 lung
cancer clinic per week, approximating to 105 clinics per year.
• To deliver a bronchoscopy or other procedure list on 3 weeks out of 4.
• To participate in respiratory MDT meetings
• To make all reasonable efforts to ensure that access targets in relation to
outpatient and emergency care reforms and discharge targets are met, in
particular:
o Ensure that clinical ward rounds are scheduled to facilitate twice daily
senior decision making and appropriate discharge of patients including
supporting nurse facilitated discharge.
o All inpatients should have a discharge-focused treatment plan within 24
hours of admission including an expected date of discharge.

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o To work proactively with patient flow teams to ensure effective bed
utilisation.
o Actively engage in both simple and complex discharges.
• Inpatient respiratory work in RVH is done as part of the team-based inpatient
system. Each consultant will do 4 separated stand-alone weeks of ‘Outlier’
cover per year, mainly doing post take rounds of new patients, with an
average of 8 new patients per day on top of an average of 25 existing outlying
patients. In addition, the consultant will do four two-week blocks of respiratory
ward cover per year (i.e. 8 weeks total per year). On average that would
entail seeing 1-2 new patients per day on top of an average of 28 existing
respiratory ward patients.
• To meet Trust targets with regard to timeliness of discharge, clinic and results
letters and response to complaints.
• A standard template for a respiratory OP clinic would be 3 new patients and
up to 8 review patients, which could be a mixture of face-to-face or virtual
telephone reviews.
Supporting Professional Activity
• To maintain skills and knowledge in general and respiratory medicine in line
with the outcomes of the annual appraisal process.
• You will take the lead on an audit project this year as identified by you or the
audit co-ordinator and agreed with the Associate Medical Director.
• You will undertake 0.25 PA of clinical management within your core SPA to
assist in the development of the service including unit and Trust activities both
internal and external, to include management of waiting lists and access
targets.
• You will ensure research governance procedures are followed for research
projects.
• Secretarial support will be provided from within the Directorate, information
technology (IT) facilities and an adequately equipped office.
• Attendance at and participation in the audit of the structure, process and
outcomes is a requirement of the division. The post holder will be expected to
adhere to and participate in the Trust's Clinical Governance procedures.
• The Trust supports the requirements for CPD, as laid down by the Royal College
and is committed to providing time and financial support for these activities.
• The post holder will have access to a mentoring service within the Trust.

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• The postholder will be expected to conform to current and any future GMC
guidelines on revalidation.
The Belfast Trust has established a dedicated revalidation support group which ensures all doctors have an annual appraisal
with a trained appraiser and supports all doctors through the revalidation process. The Trust has also appointed a Consultant
Lead for appraisal and revalidation.
9.3 Team Objectives
• To work with team members to ensure continuity of care for patients within
the service and agree activity objectives.
• To manage outpatient clinic performance in line with guidelines established
within and agreed by the respiratory team.
• To seek to meet SBA targets provided that the target is reached by fair
agreement between the commissioners and Trust
• To work with the Trust in developing flexible working arrangements to help
deal with winter/summer variations in inpatient workload.
• To review length of stay data and seek to bring Belfast Trust performance into
line with other national comparators; and to work with management and other
clinical colleagues to address issues that may hinder this (service,
infrastructure and resource issues).
• To continue to develop close working relations with respiratory colleagues
across the Trust and with other clinical teams
This job plan outlines the number of DCC PAs that you would normally expect to
perform on an annual basis. In so doing, the purpose is to clarify for you the
Belfast Trusts’ expectation that you would attend these PAs. However, both
parties recognise that it may not be possible for you to do so because of factors
partly, or entirely, out with your control. In such circumstances the Trust may ask
you to be flexible in trying to maintain the level of service and take on alternative
duties/PAs. Any alternative PAs that you undertake would be by mutual
agreement and would as far as possible, not disrupt planned activities already
outlined in your job plan. The Trust also undertakes to provide reasonable notice
of such changes.
Failure to fulfil this commitment due to factors outside your control would not
result in any penalty to you; specifically it would not be grounds for preventing
pay progression.
10. Education and teaching responsibilities
All consultants in the Belfast Trust are expected to undertake informal teaching
arising in the course of clinical work. Additional teaching activities may be agreed
as part of SPAs.
Please provide detail of agreed undergraduate, postgraduate and
multidisciplinary teaching activities:
• No additional duties

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11. Research
Research time will generally only be allocated within SPAs where there is an
external funding stream to cover the costs and where trust governance
procedures have been fully complied with.
Please provide detail of agreed research activity: none.
12. Resources and Support required to meet job plan
12.1 Staffing Support
Consultant colleagues
Specialty Doctors
Resident doctors: The respiratory teams are supported by a pool of junior
medical staff in training in the related specialties.
In addition, the following members of staff work within the service:
Service Manager
Senior Nursing Staff
Nursing staff
Healthcare Assistants
Admin and clerical staff
Secretarial support
12.2 Any other required resources
There is an existing shared office in the respiratory department for the new
appointment and they will share an existing experienced respiratory secretary
with one of the other respiratory consultants.

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Programmed Activities
13.1 The table below gives a breakdown of the total agreed PAs on average per week
and the agreed annualised PAs due to the nature of certain elements within the
job plan.
Programmed Activity
Number of PAs per week
Direct Clinical Care 8.0 to include:
2.5 general respiratory clinic
0.75 bronchoscopy/other
procedures
1.0 admin re OP clinics/procedures
0.5 MDM
0.25 referral grading
2.25 ward work
0.75 on call
Supporting
Professional Activities
Core SPAs 1.5 to include:
1.5 appraisal, audit, job planning,
and CPD
Common SPAs 0.5 to include:
Induction
(with a view to be transferred
to clinic activity)
Total PAs 10.0
13.2 External duties/other NHS responsibilities
None

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14. The following indicates all your regular weekly commitments as agreed. It does
not include activities that occur on an ad hoc basis. Ad hoc ward attendance to
ensure continuity of care of patients and clinical administration time is included in
your Direct Patient Care PAs. The timetable does not include external duties
unless timetabled in SPAs.
Day Time Work Activity Location PAs
DCC
PAs
SPA
Comments
Mon 09:00-13:00 Ward Round BHSCT 1.0
13:00-17:00 Clinic BHSCT 1.0
Tue 09:00-13:00 Clinic BHSCT 1.0
13:00-17:00 Ward Round BHSCT 1.0
Wed 09:00-13:00 Bronchoscopy/Procedures BHSCT 0.75 3 weeks out of
4
09:00-13:00 SPA BHSCT 0.25 1 week out of
4
13:00-17:00 SPA BHSCT 1.0
Thu 09:00-13:00 Clinic BHSCT 0.5 Alternate
weeks
09:00-11:00 Referral grading BHSCT 0.25 Alternate
weeks
11:00-13:00 Admin BHSCT 0.25 Alternate
weeks
13:00-14:00 Ward Round BHSCT 0.25
14:00-15:00 Admin BHSCT 0.25
Fri 09:00-11:00 Admin BHSCT 0.5
11:00-13:00 MDM BHSCT 0.5
13:00-16:00 SPA BHSCT 0.75
On-call BHSCT 0.75
Total 10.0 8.0 2.0

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15. Emergency Work
This section includes all of your prospective emergency on-call work and the
agreed availability for on-call.
Type Day/Time Location Allocated PAs
Predictable
emergency on-call
work
Weekend and
evening ward
work
Belfast Trust
0.75
Unpredictable
emergency on-call
work
On-call period On-site, at home, on
telephone and travelling
to and from site
Agreed on-call rota 1:16.5
Agreed category A
On-call supplement 3%
The PA allocation for this rota reflects the following working arrangement:
Weekend Days [2 people on for morning ward rounds across 3 sites]
12 hours each day ie 52 weekends per year * 2 days per weekend* 12 hours per
day = 1248 hours per annum
Bank Holidays [2 people on for morning ward rounds across 3 sites]
12 hours each day ie 10 per annum * 12 hours per day = 120 per annum
Weekdays
1 hour each day ie (52 weeks * 5 days per week) less 10 Bank Holidays already
covered = 250 per annum
TOTAL HOURS = 1618 hours per annum or 31.12 per week
Multiply by 52/42 to factor in prospective cover
= 38.5 hours per week = ~12.8 PAs per week
12.8 PAs distributed across 16.5 WTE = 12/16.5 = 0.78, i.e. 0.75 PAs for each WTE
This is for both predictable and unpredictable on-call and includes prospective cover
for study and annual leave.
A consideration will be given for time off in lieu (such as weekend working)
Statement of availability
Category A: You are typically required to return immediately to the Trust when called
or to undertake interventions with a similar level of complexity to those that would
normally be carried out on site, such as telemedicine or complex telephone
consultations.

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16. Private Practice and Fee Paying Services
(delete as appropriate)
You are not currently undertaking regular private practice however if this
changes during the year you must inform the clinical director before any
changes are made to your work pattern.
OR
You are currently undertaking regular private practice outside of the Trust as
outlined in your job plan and have agreed to undertake / are undertaking an
additional PA (if offered), up to a maximum of 11 PA’s per week, as detailed in
the terms and conditions of service.
AND/OR
You are currently undertaking private practice within the Trust and it is agreed
that this practice may continue, provided it does not affect the efficiency of
multidisciplinary team working. You have agreed to ensure that if any of your
agreed NHS activity is displaced due to private practice you will carry out the
NHS activity at an agreed later stage.
Timetabling of NHS and Private roles must be documented to ensure
appropriate accountability for NHS remunerated time.
17. Programmed Activities
The above timetable represents a job plan totalling 10.0 PAs per week.

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18. Agreement
(to be completed and forwarded to Medical Director’s Office)
Signed: …………. Signed:
…………………………...
Consultant: … …. Clinical Director:
… …………...
Date: ……………. Date:
……………...
Signed: …………………………………. Signed:
Co-Director …… …. Chair of Division
Date: …………………. Date:
FOR JOINT APPOINTEES ONLY
Signed: ………………………………….
For the University : ………………………………….
Date: ………………………………….

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Appendix 1 Programmed Activities
Programmed activities (PAs) are linked in the job plan to each consultant’s service,
personal and where appropriate, team objectives. They are categorised as direct
clinical care (DCC) and supporting professional activities (SPAs). For the purposes of
job planning within the Belfast Trust the following guiding principles will be applied to
ensure consistency across our service groups and sites.
DIRECT CLINICAL CARE (DCC)
DCC covers:-
• Emergency attendance
• Out-patient or other clinic
• Operating session (including anaesthetics)
• Ward round
• Other patient treatment or relative consultation
• Telephone advice to hospital
• Multidisciplinary meetings about direct clinical care
• Investigative, diagnostic or laboratory work
• Public health duties
• Travelling time between sites, not to usual place of work
• Patient administration
• Service Linked teaching (eg during ward rounds)
• Clinics and operating sessions
• Clinical supervision
SUPPORTING PROFESSIONAL ACTIVITIES (SPA)
SPA - Consultants will be allocated SPAs for activities that will support re-licensing
and recertification and ensure the quality and safety of services. These activities
include:
• Appraisal
• Job Planning
• Audit (attendance at general audit activity outwith time already allotted for
DCC)
• CPD
• Local Clinical Governance activities
Training requirements to include the objectives contained within a job plan and those
identified through Annual Appraisal should be considered and appropriate SPA time
discussed and agreed as part of the job planning meeting.

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Additional SPAs
To be agreed on basis of both Trust and consultant’s requirements.
To include:-
• Clinical management (not directly affecting patient care)
• Service maintenance and development
• Teaching responsibilities or specified roles
• Undertaking specific audit projects and / or audit responsibilities or lead
roles/activities associated with clinical and social care governance.
• Other Trust duties
• Postgraduate training and supervisory responsibilities
• Research
Research time will only be allocated with additional SPAs where there is an external
funding stream to cover the costs and where Trust governance procedures have been
fully complied with.
The Trust will expect that joint appointments meet their undergraduate teaching
responsibilities from within their university time.
Discretionary leave will be considered for external duties, and must be agreed in
advance with the clinical manager.
The consultant and the Trust should be flexible in order to minimise the impact of any
external duty on DCC if possible. There is an obligation on all parties to ensure that
the time required to undertake external duties is fairly allocated between consultants.
ADDITIONAL HSC RESPONSIBILITIES
Duties not included in any of the foregoing definitions and not included within the
definition of Fee Paying Services or Private Professional Services, but undertaken as
part of the Job Plan by agreement between the consultant and employing
organisation. These might include undertaking inspections for the Commission for
Health Improvement (or its equivalent or successor body in Northern Ireland), acting
as an external member of an Advisory Appointments Committee, or undertaking
assessments for the National Clinical Assessment Authority.