Locum / Specific Purpose Consultant Obstetrician & Gynaecologist

Contract Details

This is a consultant appointment on a Public Only Contract 2023 with a commitment of 23 hours per week in Midlands Regional Hospital, Portlaoise and 14 hours per week in The Coombe Hospital under the Consultant’s Contract 2023

The Public Only Contract 2023 provides for a normal working week of 37 hours. This 37-hour commitment will normally be scheduled to occur between 8.00 am and 10.00 pm on rostered Mondays to Fridays and between 8.00 am and 6.00 pm on rostered Saturdays. or as outlined in section 13 of the Consultant Contract March 2023. The normal duties for the post as outlined in the documentation and agreed by the HSE.

The successful candidate duties will include the following:

• Will work in the Coombe Hospital part of a multidisciplinary team under the direction of the Master/CEO & CCOO and Midlands Regional Hospital, Portlaoise under the direction of CEO & CCOO.

• Will work as part of the Obstetrics & Gynaecology and Obstetric Divisions within the Hospital.

• Will possess the necessary skill-mix to address current deficiencies.

• Responsibility for organisation and development of obstetrical and gynaecological services at TCH.

• Responsibility for education, training and involvement in audit in relation to these services.

• On call commitments.

• Responsibility for improving the access of women to:

o Improve access to both at assessment and treatment levels of gynaecology both acute and chronic.

o Obstetrics and Gynaecological OPD services – special interest in benign gynaecology desirable.

o Surgery (Ambulatory, day case, inpatient)

o Labour ward service and on call services

• Involvement in Clinical Audit Committee and Ethics Committee as required.

• Will provide clinical leadership in MDT context - hand-over, ward-rounds, clinical risk & morbidity/mortality

• Conferences, teaching, training and audit.

• Ward Rounds

• Labour Ward

• On call services to Midlands Regional Hospital, Portlaoise and The Coombe Hospital

• Multidisciplinary Skills and drill training, Risk Management and Quality Improvement strategies.

• Provide support for primary care services.

• Continuous Professional Development

• Will conduct ward rounds (including Labour ward and HDU) - senior decision maker, enhanced efficiency

and safety.

• Provision of out-patient care obstetric and gynaecological care

• Provision of in-patient care obstetric and gynaecological care

• Provision of antenatal, intrapartum and postnatal care

• Provision of surgical care across obstetrics and gynaecology

• Participation in the emergency obstetrical and gynaecological care on-call rota

Background to the Post’s

The post’s has been developed in the context of the National Women and Infants Health Programme, the National Clinical Programme in Obstetrics & Gynaecology, the recommendations of the Institute of Obstetricians & Gynaecologists, "Creating a Better Future Together, National Maternity Strategy 2016-2026" and "HIQA Standards Safer and Better Maternity Services". This post forms a very important part of the hospital's overall plan to lead and deliver Obstetrics and Gynaecology Services. The hospital has an extensive gynaecology service and with increased demand for gynaecology services, this post has the capacity to increase the number of women cared for. Progression of the plans for the new Theatre Development remains essential to increase the overall capacity for Gynaecology and this has been brought to design phase. The hospital

continues to work with HSE Estates in this regard.

This post-holder will have:

• A commitment of 23 hours per week in Midlands Regional Hospital, Portlaoise and 14 hours per week in The Coombe Hospital.

• Responsibility for organisation and development of obstetrical and gynaecologist services at TCH.

• Responsibility for education, training and involvement in audit in relation to these services.

• On Call Commitments.

In addition, this post will specifically address the need to:

a) Improve access both at assessment and treatment levels of gynaecology both acute and chronic

b) Obstetric and Gynaecological OPD services – Special interest in benign gynaecology desirable

c) Surgery (ambulatory, day case in-patient and obstetric)

d) Labour ward service and on call services

e) This post will also provide labour ward and on-call services.

The post-holder will also actively participate in multidisciplinary skills and drills training, risk management

and quality improvement strategies and liaise and provide support for primary care services and their

seamless integration with hospital-based services.

This post will significantly (a) improve access (b) reduce waiting times (c) reduce length of stay - due to

involvement in decision-making re admissions and discharge planning and the expansion of ambulatory

and day case treatments (d) increase patient safety and quality of care. Increased efficiency will off-set

the need for significant expansion in other services.

GENERAL ACCOUNTABILITY

The person chosen will:

• Will work as part of a multidisciplinary team under the direction of the Master/CEO & CCOO in TCH and under

the direction of CEO &CCOO in the Midlands Regional Hospital, Portlaoise.

• Will work as part of the Obstetric and Gynaecology Divisions within the Hospital.

• Will possess the necessary skill-mix to address current deficiencies.

• Will provide clinical leadership in MDT context - hand-over, ward-rounds, clinical risk & morbidity/mortality

conferences, teaching, training and audit. The Consultant’s reporting relationship and accountability for the discharge of his/her contract is to the Master of the hospital.

The successful candidate:-

Should be fully trained to the level of Consultant Obstetrician and Gynaecologist.

Will be expected to demonstrate leadership in all matters relating to patient care. S/he will be expected to play a key role in the further development of women's health services, including the planned expansion of surgical gynaecological services at the Hospital.

S/he may have additional experience in other specialist areas to meet the needs of the Hospital. There may be the opportunity to develop other special interest sessions dependent on the clinical need.

The post-holder will be responsible for the clinical management of patients under his/her care, and, in liaison with consultant colleagues, continuity of care when the candidate is absent.

SPECIFIC RESPONSIBILITY AND ACCOUNTABILITY

The successful candidate will perform the following duties appropriate to the candidate:-

Clinical

• Provision of Obstetrics & Gynaecology services to the TCH & MRHP

• Responsibility for organisation and provision of Obstetric and Gynaecology services

• Responsibility for education, training and audit in relation to these services

• Establishment of a multi-disciplinary Implementation Committee for abortion services

• On-call commitment in TCH

• Other commitments as may be required by the Master / CEO & CCOO for TCH and MRHP

The duties of the post-holder will include:

a) To attend at TCH & MRHP at such times as may be determined by the TCH & MRHP and in emergencies as required, and to remain in attendance thereat as long as his/her services are required.

b) To attend at any clinic or site maintained by the TCH within the group catchment as appropriate and to

provide either thereat or in the appropriate hospital such diagnostic, treatment or consultation service as may be appropriate and to provide either there or in the appropriate hospital such diagnostic, treatment or consultant service as may be appropriate.

c) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of

competence, as set out within the Clinical Directorate Service Plan/TCH in line with policies as specified by

the Employer.

d) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and

possible disruption of services.

e) To alternate with the other Consultants in the Department and to act for them as required during short-term

absences including weekend and off-duty leave.

f) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.

g) To provide teaching and lectures as required in the hospitals for student midwives/nurses, other

midwives/nurses in training and other staff.

h) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital

Doctors (NCHDs) treating patients under the Consultant’s care

i) To examine any person referred to him/her by the appropriate TCH for examination and report and to

furnish a full report of his/her findings on such examination, unless the person referred informs the officer that he/she objects to the examination or to the submission of such report, in which event the officer shall notify the TCH concerned.

j) To provide on-call services in Obstetrics and Gynaecology at TCH.

k) To provide outpatient obstetric and gynaecology services.

l) To provide in-patient obstetric and gynaecology services.

m) To provide Termination of Pregnancy Services.

n) To provide emergency gynaecology services.

o) To provide labour ward cover.

p) To provide operating theatre services.