This is a new post created for the Greater Manchester NHS Clinical Assessment and Treatment Services which will commence in early 2009. The scope of work will include paper clinical triage of referrals from General Practitioners, face to face clinical assessment of patients, treatment planning and onwards referral to secondary care if indicated. Minor procedures suitable for a clean room environment as per HCC guidance will be performed.

Job Details
The workload will include for example:

 Flexi-cystoscopy
 Vasectomies
 Urethral dilatation
 Removal of Ureteric stents

The Mobile Clinics

The scheme will consist of two mobile clinics covering a total of seven locations in the Greater Manchester area – Bolton, Rochdale, Denton, Oldham, Salford, Stretford and Longsight. In addition to this there will be one Endoscopy Unit and a Patient Management Centre.

In addition to assessments the clinics will be supported by the full spectrum of diagnostics inclusive of MRI, CT, X-ray and Ultrasound. Supportive therapy that will be available includes Physiotherapy, Occupational Therapy, Audiology, Podiatry and Speech and Language.

Management Structure for this post

The service will have a management team of Clinical Lead and Unit Manager. There will also be a support team of Specialist Nurses, General Nurses and Health Care Assistants.

Key working relationships
Internally:
 The Lead Nurse, Clinical Lead and Manager for the Centre
 Consultant colleagues in own and other specialities
 Members of the nursing and allied health professional team
 Other members of the Patient Management Centre support team
Externally:
 Secondary care colleagues in own and other specialities
 Professional bodies
 Referring General Practitioners
 Community Health Structures
 Deanery

Hours of work

A full time post will be 40 hours per week (10 sessions of four hours). The appointee will be
Expected to work a shift system Monday – Sunday. Of the 4 hours; 3,5 hours will be allocated
to direct patient care and 0.5 hours for supporting administrative activities.

Workload figures

It is envisaged that the service will conduct 8-10 new patient consultations per session.

Administrative support

The appointee will undertake administrative duties associated with the running of his/her clinical work. He/she will have administrative support from the Patient Management Centre and access to a PC and the Internet for work purposes. All clinical records will be managed through a paperless clinical software solution. It is the responsibility of the consultant to ensure all records are accurately maintained

Health Clearance

Any offer of employment will be conditional on satisfactory health clearance by Occupational Health. This is usually by questionnaire but may involve a medical examination.

Principal Duties and Responsibilities

• Take ongoing responsibility for patients under his/her care.
• Participate in the development of the Urology service, treatment protocols and guidelines and the greater knowledge in the management of conditions.
• Take a lead in the management of patients.
• Develop and maintain collaborative relationships with medical colleagues in other specialities and participate in regular clinical meetings.
• Take responsibility for the professional supervision and development of trainee doctors within the speciality.
• Develop and maintain good communications with General Practitioners and colleagues from acute hospitals.
• Demonstrate a firm involvement in clinical governance, risk management and clinical audit. This will include the development and maintenance of appropriate systems and practices to ensure continuous safe clinical practice.
• Share responsibility for data protection arising out of the use of computers.
• Participate in all aspects of clinical governance. The appointee is required to participate actively.
• The post holder will ensure that all services are provided in an effective and efficient manner and that the principles of risk management and clinical governance are maintained at all times.

Qualifications
Desirable Qualifications • Experience of teach junior medical staff and students.
• Ability to teach clinical operative and practical procedures.
• Appropriate accreditation with relevant Deanery as a trainer.

Skills/Experience
Essential Experience • Full current GMC registration on appropriate specialist Register.
• Evidence of experience and expertise in relevant clinical speciality.