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Job plan approval for new consultants

Process for getting College approval for a consultant job description

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Who’s involved

Three key individuals are involved in getting College approval for a consultant job description. They are:

  • Clinical Director / HR
  • Hannah Mackenzie (RCOG Job Plan Administrator)
  • RCOG Council Representative
  • Alison Wright (RCOG VP)

 

Job description approval process

Please send job descriptions ready for approval to jplans@rcog.org.uk.

 

Approval checklist for RCOG job descriptions

Principles of Job Plan Approval for New Consultant Posts

  • RCOG encourages a transparent, departmental approach to job planning and this should be linked to developmental objectives of the new appointee and the department.
  • A timetabled job plan should enable the Consultant to maintain continuity of patient care with his/her caseload
  • For Consultant posts with resident night shifts, time off before and after night shifts should be clear in the job plan and should neither  impinge on clinical care, nor on professional development
  • Consultants should not have to travel between sites more than once in a day
  • Those with an academic/management component to their job plans should have this taken into account
  • Subspecialty posts should have at least 2 PAs per week (or equivalent) for subspecialty activities
  • Jobs advertised with a special interest should have appropriate PA’s built into the job plan

 

DCC/SPA Split

  • The total number of PAs per week must be clearly stated in a regular timetable, showing clinical duties and allocated DCC’s, SPAs and time off (which may be used for private practice).
  • If annualised, this needs to be shown as the average per week
  • If total job plan is 7 or more PA’s then a minimum of 1.5 SPA’s should be allocated.
  • If total job plan is less than 7 PA’s there should be a minimum of 1 SPA.

 

DCC Time

  • Job plans will have a maximum of 85% DCC, of which at least 10% will be clinical administration
  • DCC time must be allocated for appropriate ward rounds (e.g. pre and post-operative, and obstetric inpatients)
  • MDT’s and ward rounds should be included in DCC’s and activity captured in job plans
  • Other aspects of direct clinical care should be captured during DCC planning, including communications with patients and colleagues, GP advice and related administration

 

SPA Time

  • SPA’s must be minimum 15% of the total PAs, including at least 1 SPA for mandatory training, appraisal, audit and CPD.
  • Trusts may wish to allocate further SPA’s for research, education or specific activities.

 

 

Out of Hours (OOH) Work

  • Job plans should include a maximum of 3 PAs per week OOH, i.e. 5pm-9am and weekends, either predictable / unpredictable on call, or resident shifts (job plans may be approved with up to 4 OOH PA’s in those trusts who are actively planning to reduce this number).
  • All OOH (non-resident) on-call work should be Band A.

 

Obstetrics On Call

  • Posts which cover obstetrics OOH, should have at least 0.5 PA per week (or equivalent in annualised job plans) on labour ward during normal daytime working hours (8am-5pm)
  • It should be made clear within the job plan that the Consultant is not on duty for the labour ward whilst covering services on another site or doing private practice.
  • Consultants should not be on duty for the labour ward whilst being timetabled for other clinical duties, such as antenatal or gynaecology clinics.

 

Gynaecology On Call

  • The recommended number of gynaecology theatre lists is at least alternate weekly, but on call gynaecology capabilities should be competency based.
  • Competency should be maintained in laparotomy, diagnostic laparoscopy, management of miscarriage and ectopic for OOH work.
  • The job plan should specify how competency will be maintained in emergency gynaecology, or include a description of how patient safety will be assured. For example, individualising their gynaecology emergency cover or having a ‘second on’ rota for gynaecology.
  • Trusts need to consider regional network models for complex emergency gynaecological surgery.

 

 

Elsewhere on the site

Person specification for an O&G consultant
Template person specification showing the minimum requirements for a consultant in O&G
Sample weekly timetable
Sample timetable showing a typical weekly schedule for a consultant in O&G