Advertised role location: 77-81 LISBURN ROAD
Official document: Job Description (pdf)
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JOB DESCRIPTION
TITLE OF POST: Consultant Physician in Respiratory Medicine and Cystic
Fibrosis
LOCATION: Belfast Trust
REPORTS TO: Clinical Director, Respiratory Medicine
RESPONSIBLE TO : Chief Executive
GENERAL INFORMATION
The Belfast Health Care Trust
The Belfast Health and Social Care Trust was established in April 2007 and comprises
the Belfast City Hospital, Mater Hospital, Musgrave Park Hospital, Royal Hospitals and
South and East Belfast, and North and West Belfast Health and Social Services Trusts.
Hospital Profiles
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 29
consultant Orthopaedic surgeons and staff. On site is the Queen’s University of
Belfast’s Department of Orthopaedic Surgery which is the largest academic unit in
Orthopaedics in the British Isles with an international reputation and an extensive
research output.
The Royal Group of 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. It
provides virtually all referral services in Northern Ireland and undoubtedly the vast
majority of local research. Major re-developments of the Royal Group of Hospitals are
underway, which includes the Royal Belfast Hospital for Sick Children. A new Critical
Care Building with ED and theatres is in the process of opening. 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 on the Royal
Hospital’s complex – medicine, surgery, ophthalmology, child health, obstetrics and
gynaecology, and pathology.

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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. A strong strategic focus on molecular medicine, cancer
and renal services has enabled the development of a vigorous research programme,
together with a large Cancer Clinical Trials Unit. There is a modern radiology
department and substantial AHP Services (e.g. Physiotherapy, Podiatry,
Occupational Therapy, Speech & Language Therapy, Nutrition & Dietetics, etc) and
a comprehensive range of pathology.
The Mater Hospital is a long established general hospital with teaching status
affiliated to the Queen’s University of Belfast. A new state of the art ward block, the
McAuley Building, was opened in January 2002. The X-Ray Department is sited in
the Dempsey Building, which was opened in 1991. The Dempsey Building also
houses the Accident & Emergency Department, the Operating Theatres, the
Intensive Care/High Dependency Unit, the Outpatient Department and the Maternity
Unit. The main Psychiatric Unit occupies a separate building next to the Dempsey
Building. There is also a Psychiatric Day Hospital on a separate site, approximately
one mile from the main hospital.
A summary of the services across the different hospitals is provided in the table
below:
Site
Musgrave Park Hospital
225 Adult beds, 34
Paediatric beds
General Services
Anaesthesia
Pain Management
Specialist Services
Regional Orthopaedic unit
Rheumatology
Rehabilitation
Regional Acquired Brain
Injury unit
Care of the Elderly Unit
Royal Hospitals
900 inpatient beds
A&E
Acute & General Medicine
Anaesthesia (including
Critical Care)
Pain Management
Recognised Trauma
Centre
Paediatrics (RBHSC)
Obstetrics & Gynaecology
(Royal Jubilee Maternity
Hospital)
School of Dentistry
Regional services include:
Neurosciences,
Medical and Surgical,
Cardiology,
Thoracic Surgery,
Ophthalmology and
Specialised
Endocrinology, ENT,
General Surgery, Vascular
Surgery, Hepatology
Belfast City Hospital
800 inpatient beds
Acute & General Medicine
Anaesthesia (including
Adult Cystic Fibrosis
Breast Services (including

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Site
Mater Hospital
287 inpatient beds
General Services
Critical Care)
Pain Management
A&E
Acute & General Medicine
Anaesthesia (including
Critical Care)
Pain Management
Specialist Services
Reconstructive Surgery)
Cardiology
Cochlear Implant Service
Gynaecology &
Gynaecological Oncology
Haematology
Haemophilia Service
Medical Genetics
Medical Oncology
Nephrology (including
Renal Dialysis)
Radiotherapy
Respiratory Medicine
Transplant Surgery
Urology
Surgical Specialties,
including Hepatobiliary,
Ophthalmic and ENT
Obstetrics & Gynaecology
Psychiatry
All of the major laboratory services are also available including:
• Immunology
• Haematology (including Transfusion Services)
• Bacteriology
• Virology
• Pathology
• Immunopathology
The Belfast HSC Trust functions through a series of Directorates. Respiratory
Medicine forms part of the Unscheduled and Acute Care Services grouping.
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 is also a Chair 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.

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The Consultant in Respiratory Medicine and Cystic Fibrosis
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 Cystic Fibrosis (CF) and
respiratory medicine in the Belfast City Hospital. There will be respiratory Specialty
Trainee support for some of the clinics. A standard template for a consultant- only
general respiratory clinic would usually be 3 new patients and 8 review patients. Cystic
Fibrosis clinics are multi-disciplinary and would have a maximum of 16 patients at a
clinic.
On-call Cystic Fibrosis
CF out of hours care will be provided as part of the existing consultant on-call rotas.
Inpatient Work – Cystic Fibrosis and Bronchiectasis
The appointee will provide inpatient care to CF and bronchiectasis inpatients. There
are 340 cystic fibrosis patients at present managed by the service and there are
usually 1-2 inpatients at any one time.
Inpatient work – Acute respiratory admissions
The Trust respiratory service currently treats approximately 5800 acute non-elective
respiratory admissions per year. For this post with a 0.25 WTE contribution to the
acute respiratory inpatient service on BCH site this should be around 100 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:
Prof D Downey* (Cystic Fibrosis and Bronchiectasis)
Dr E Wright (Cystic Fibrosis and Bronchiectasis)
Dr S Caskey (Cystic Fibrosis and Bronchiectasis)
Dr M Riley (NIV and Connective tissue diseases)
Prof L Heaney (Asthma)*
Prof C O’Kane (Tuberculosis)*
Dr N Magee (Pleural Disease)
Prof L McGarvey (Cough and COPD)*
Dr S Lovell (NIV and sleep)
Dr S Guy
Dr J Kidney (COPD)
Dr G Riddell (COPD)
Dr T Warke (Lung cancer)
Prof K Cullen*

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Dr P McKeagney (COPD)
Dr C Butler (Asthma)
Dr A Atalla (Sleep)
Dr J Leggett (Sleep)
Dr T Craig
Dr D Comer
Dr J Lindsay (Respiratory, ILD and Acute Medicine)
Dr Suzanne Ringrow (Respiratory and Acute Medicine)
Dr David McCracken (Respiratory, Pleural Disease and
Acute Medicine)
(*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. 3 are based in the Mater Hospital, 2 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 Duties/Responsibilities:
The post-holder will be required:
1. To manage patients with respiratory disorders admitted to the Belfast City
Hospital. This will involve both inpatient management and outpatient follow-up
as appropriate.
2. To have continuing clinical responsibility for patients in his/her care at inpatient,
outpatient and day care locations
3. To deliver 3.5 general respiratory/bronchiectasis/CF outpatient clinics per week on the
Belfast City Hospitals site, approximating to 126 clinics per annum.
4. To deliver 1 CF subspecialty clinic every 8 weeks on the Royal Victoria Hospital site,
approximating to 5 clinics per annum.
5. To deliver inpatient care with existing colleagues for CF patients, and to
supervise the care of inpatients with bronchiectasis.
6. To participate in the CF consultant on-call rota (1 in 4 frequency).
7. Inpatient respiratory work in RVH is done as part of the team-based inpatient system. A
0.25 contribution to the wards will involve 2 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 two two-week blocks of respiratory ward cover per year (i.e. 4 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.

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8. The respiratory inpatient team is supported by the following junior doctors: 2 respiratory
and 1 general medicine registrar, four trainees at IMT1-2/ST1-2/GPST level and four F2s.
In addition there are usually up to 4 locum doctors at equivalent to IMT level. There are
usually 5 or 6 F1s.
9. To work with the existing team to continue to develop and improve CF and
bronchiectasis services for the Trust and region in line with the guidelines laid
out in the respiratory service framework for Northern Ireland.
10. To co-operate with managers in meeting access targets. This may involve
pooling waiting lists where appropriate, caring for consultant colleagues’ cases
in their absence and accepting transfers of cases from, or providing transfers
to, colleagues.
11. To share in the management of other Consultants’ patients in their absence, e.g.
annual leave, study leave or sick leave.
12. To actively participate in the teaching of undergraduate students and
postgraduate doctors, to include Nursing and Professions Allied to Medicine.
13. To participate in Departmental Audit Meetings and Postgraduate Conferences.
14. To adhere to the 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.
15. To work within the Trust’s Clinical Governance Framework and GMC guidance
on good medical practice.
16. To take part in the annual appraisal programme and job plan review.
Management Responsibilities:
The post-holder will:
1. Undertake administrative duties associated with the care of his/her patients and
the running of the service in conjunction with colleagues.
2. Be expected to be involved in the planning, implementation and management of
Specialist Respiratory Services.
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. Identify objectives with the Clinical Director and agree an action plan ensuring
personal development.

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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. Demonstrate their commitment by their regular attendance and the efficient
completion of all tasks allocated to them.
3. Comply with the Trust’s Smoke Free Policy.
4. Carry out their duties and responsibilities in compliance with the Health and
Safety Policies and Statutory Regulations.
5. Adhere to Equality and Good Relations duties throughout the course of their
employment.
6. Ensure the ongoing confidence of the public in-service provision.
7. Maintain high standards of personal accountability.
8. 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
Registration with the General Medical Council and License to Practice must be
maintained.
Salary
As per current Consultant salary scale in line with the Consultant Terms & Conditions
of Service and pay circular.
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 Unit’s agreed policies and procedures, drawn up
in consultation with the profession on clinical matters and to follow the standing orders

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and financial instructions of the Trust.
The applicant will be expected to adhere to consultant terms and conditions of service
(NI) 2004 as amended, in addition to all Trust policies and procedures.
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.
Induction and mentoring
The Trust offers an induction programme and is developing a mentoring programme
for newly appointed consultants.
Consultant Appraisal
Appointees are required to participate in Consultant Appraisal processes in
accordance with DHSS&PS requirements to support ongoing revalidation.
Quality
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.
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
Department of Health, Social Services & Public Safety (DHSS&PS) therefore advises
that membership of a medical defence organisation is maintained.
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.

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Pension
Membership of the Health and Social Care (HSC) Superannuation Scheme is
voluntary. There is reciprocity between the Northern Ireland scheme and the NHS
Scheme in GB.
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 Gareth Riddell, Consultant Respiratory Physician and Clinical
Director, Telephone: 028 9024 0503 Extn 56058 or
Gareth.riddell@belfasttrust.hscni.net.
Canvassing
Canvassing will disqualify. Any approach to a member of the Belfast HSC Trust or a
member of any Committee or Panel of the hospital by or at the request of a candidate,
will be treated as canvassing.
Patients’ Charter
The post-holder must be committed to meeting the directives of the Patients’ Charter.
Equality
Employees of the Trust are required to comply with the Trust’s Equality Scheme. A
full copy of this scheme is available from the Human Resources Directorate.
Removal Expenses
If eligible a fixed relocation grant may be available to assist with essential removal
expenses, as outlined in the Trust’s “Re-Location and Associated Expenses Policy”.
The amount must be agreed in advance of incurring expenditure.
Health and Safety/Clinical Governance
Employees of the Trust have a legal duty:
• To take reasonable care of their own health & safety and that of others who may
be affected by what they do or do not do.

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• To co-operate with the Trust on Health & Safety matters.
• To use correctly work items provided by the Trust in accordance with training and
instructions, including personal protective equipment.
• Not to interfere with or misuse anything provided for health, safety or welfare.
Appointees must make themselves aware of Health & Safety and Clinical Governance
Policies affecting the work place and conform with procedures regarding reporting on
incidents/accidents, safe systems of work, use of equipment, protective clothing, no
smoking rules, etc.
Records Management
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 and Data
Protection Act 1998. Employees are required to be conversant with the Belfast Health
and Social Care Trust policy and procedure on records management and to seek
advice if in doubt.
Ionising Radiation Regulations
The Ionising Radiation (Medical Exposure) Regulations (2000) 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.
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.
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;

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• 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.
http://www.publichealth.hscni.net/sites/default/files/PPI_leaflet.pdf
Values
The Belfast Trust aims to recruit staff not only with the right skills but also with the
right values to ensure the delivery of excellent patient care and experience. Staff will
be expected to be committed to provide safe, effective, compassionate and person
centred care by:-
· Treating Everyone with Dignity and Respect
· Displaying Openness and Trust
· Being Accountable
· Being Leading Edge
· Maximising Learning and Development
By embedding the above values we will make a significant contribution to the
delivery of the Trust’s Vision.
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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PERSONNEL SPECIFICATION
JOB TITLE: Consultant Physician in Respiratory Medicine & Cystic Fibrosis
DEPT / DIRECTORATE:
Notes to applicants:
1. You must clearly demonstrate on your application form under each question, how you meet
the required criteria as failure to do so may result in you not being shortlisted. You should
clearly demonstrate this for both the essential and desirable criteria.
2. Shortlisting will be carried out on the basis of the essential criteria set out below, using the
information provided by you on your application form. Please note the Trust reserves the
right to use any desirable criteria outlined below at shortlisting. You must clearly
demonstrate on your application form how you meet the desirable criteria.
3. Proof of qualifications and/or professional registration will be required if an offer of
employment is made – if you are unable to provide this, the offer may be withdrawn.
ESSENTIAL CRITERIA
The following are ESSENTIAL criteria which will initially be measured at shortlisting stage although
may also be further explored during the interview/selection stage.
You should therefore make it clear on your application form whether or not you meet these criteria.
Failure to do so may result in you not being shortlisted. The stage in the process when the criteria
will be measured is stated below.
Factor Criteria
Method of
Assessment
Qualifications
Registration
Experience
Full registration with the General Medical Council and a
Licence to Practise (must have both at time of
appointment)
Fellowship or Membership of the Royal College of
Physicians or hold other appropriate equivalent
Qualifications
Entry on the GMC Specialist Register for Respiratory
Medicine via
I. CCT (proposed CCT date must be within 6
months of interview date)
II. CESR or
III. European Community Rights
At least 3 months experience working in a unit
specialising in cystic fibrosis and bronchiectasis.
Shortlisting by
Application Form
Other (eg
Driving etc)
Must have access to a means of transport to facilitate
movement between sites.
Where disability prohibits driving, this criteria will be
waived if the applicant is able to organise suitable
Shortlisting by
Application Form

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alternative arrangements
Eligibility to work in the UK as per UKBA Immigration
Regulations
Knowledge
Skills
Abilities
Be able to demonstrate skills in both written and spoken
English adequate to enable effective communication
about medical topics with patients and colleagues
demonstrated by one of the following:
Applicants must have taken undergraduate medical
education/training in English.
OR
Have achieved the following scores in the academic
International English Language Testing System (IELTS)
in a single sitting within 24 months at time of application
– Overall 7.5, Speaking 7, Listening 7, Reading 7,
Writing 7 or Have taken the medical version of the
Occupational English Test (OET), achieving at least a
grade B in each testing area (Speaking, Listening,
Reading and Writing) in the same test and have
obtained them in the most recent sitting of the test
OR
If applicants believe they have adequate communication
skills but do not fit into one of these examples they must
provide supporting evidence
Shortlisting by
Application Form
And / Or
Interview / Test
DESIRABLE CRITERIA
Desirable criteria will ONLY be used where it is necessary to introduce additional job related criteria
to ensure files are manageable. You should therefore make it clear on your application form how
you meet these. Failure to do so may result in you not being shortlisted.
Factor Criteria
Method of
Assessment
Qualifications
Registration
Experience
MD / PhD or equivalent
Fellowship training in Cystic Fibrosis
Shortlisting by
Application Form
And / Or
Interview / Test
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

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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.
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
Whilst employees will be expected to portray all the values, particular attention is drawn to the following
values for this role
HSC Values

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NOTE:
You will 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.
CONSULTANT JOB PLAN
NAME:
GMC NUMBER:
JOB PLAN FOR PERIOD:
SPECIALITY:
DIVISION :-
Respiratory Medicine & Cystic Fibrosis
Unscheduled and Acute Care Services
CONTACT DETAILS:
1. Whole time consultant in Respiratory Medicine and Cystic Fibrosis 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.

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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 your Clinical
Lead / 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)
Please set out the overall purpose and key functions of job.
• To provide a respiratory medicine and cystic Fibrosis/Bronchiectasis service
within the Belfast Trust.
• To support 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 Priorities for Action, regional and commissioners’ strategies
and Trust and service group management plans.
• To support the reform and modernisation agenda, particularly the
development of community services to manage patients with chronic disease.
• To support emergency service modernisation including 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 services including inpatient and outpatient
management of non-elective and elective admissions.
• 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 on-call rota for the CF Unit (1 in 4).
• To take part in the specialty triage rota for unscheduled respiratory
admissions. Inpatient respiratory work in RVH is done as part of the team-
based inpatient system. The consultant will do 2 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 two two-
week blocks of respiratory ward cover per year (i.e. 4 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 deliver CF and non-CF bronchiectasis care, including non-tuberculous
mycobacterial disease patients.
• To deliver 3.5 general respiratory/bronchiectasis/CF outpatient clinics per
week on the Belfast City Hospitals site, approximating to 126 clinics per
annum.
• To deliver 1 CF subspecialty clinic every 8 weeks on the Royal
Victoria Hospital site, approximating to 5 clinics per annum.
• To contribute to ad hoc assessments of casual attenders or referrals from
the nurse-led bronchiectasis clinic and oversee the bronchiectasis inpatient

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service (in conjunction with another colleague).
• To participate in the weekly MDT cystic fibrosis meeting
• Participation in respiratory MDT meetings

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• 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.
o To work proactively with patient flow teams to ensure effective bed
utilisation.
o Actively engage in both simple and complex discharges.
• To meet Trust targets with regard to timeliness of discharge, clinic and results
letters and response to complaints.
Supporting Professional Activity
• To maintain skills and knowledge in general and respiratory medicine in line
with the outcomes of the annual appraisal process availing of appropriate
CPD.
• You will take the lead on an audit project this year as identified by you or the
audit co-ordinator and agreed with the divisional director.
• You will deliver clinical management within your core SPA to include some of
the following:
o Day-to-day management of junior doctor rotas
o Absence management for junior doctors including return to work
interviews and referrals to Occupational Health
o Interviewing for junior medical staff
o Reviewing and monitoring the effective use of resources
o Development of care pathways, care bundles and other clinical
protocols
o Interfacing with key stakeholders within and outside the acute
hospital environment
o Supervision and monitoring of middle grades and associate
specialists.
• You will ensure research governance procedures are followed for research
projects.
• To contribute to the improvement and further development of CF and
bronchiectasis services for the Trust and region.

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9.3 Team Objectives
• To work with team members to ensure continuity of care for patients within
the service and agree activity objectives.
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 Trust’s 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 fulfill 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:
(to be inserted)
11. Research
Research time will 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.
(to be inserted)

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12. Resources and Support required to meet job plan
12.1 Staffing Support
Consultant colleagues (BCH, MIH and RVH)
Specialty Doctors (BCH and RVH)
Junior 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
Appropriate secretarial support will be provided from the existing CF
secretarial team.
Office accommodation with computer and IT access will be provided.
12.1 Staffing Support
12.2 Any other required resources

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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:
3.625 outpatient clinics
0.5 CF MDT meeting
1.125 Acute respiratory
inpatient care
1.625 CF Consultant of the
month (inc. ward work and
ambulatory care)
0.875 clinical administration
0.25 on-call
Supporting
Professional
Activities
Core SPAs
1.5 to include:
1.0 appraisal, audit, job
planning, and CPD
0.25 clinical management
0.25 teaching
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 HSC/NHS responsibilities
Please insert duties/responsibilities as agreed with your Clinical Lead /
Clinical Director, and how these are to be supported by the Trust.

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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.
The inpatient care sessions for CF and respiratory acute inpatient care will be
delivered on a flexible basis which will vary from week to week. Other outpatient
commitments will then adjust in proportion.
Day Time Work Activity Location PAs
DCC
PAs
SPA
Comments
Mon 09.00 - 11.00 CF MDT BCH 0.5
11.00 - 13.00 CF / Resp inpatient work RVH 0.5
13.00 - 14.00 Admin BCH 0.25
14.00 - 16.00 SPA BCH 0.5
Tue 09.00 - 13.00 CF / Resp inpatient work RVH 1.0
13.00 - 17.00 CF / general clinic BCH 0.5 Alt weeks
13.00 - 17.00 SPA BCH 0.5 Alt weeks
Wed 09.00 - 13.00 SPA BCH 1.0
13.00 - 17.00 CF / general clinic BCH 1.0
Thu 09.00 - 11.00 CF / Resp inpatient work RVH 0.5
11.00 - 13.00 Admin RVH 0.5
13.00 - 17.00 CF subspecialty clinic BCH 0.125 1 week in 8
13.00 - 17.00 Admin RVH 0.125 1 week in 8
13.00 - 17.00 CF / Resp inpatient work RVH 0.75 6 week in 8
Fri 09.00 - 13.00 Bronchiectasis / general clinic BCH 1.0
13.00 - 17.00 CF Clinic BCH 1.0
On-call 0.25
Other
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.
Cystic fibrosis rota
% frequency payment is 8% for those contributing to the cystic fibrosis rota (1:4). An
allocation of 0.25 PAs is included for predictable on-call work (weekends/public
holidays). The unpredictable emergency on call work for cystic fibrosis equates to less
than 30 minutes per week on average. In such circumstances compensatory time will
be deducted from normal DCC activities on an ad hoc basis and may be accrued.
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.
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
Type Day/Time Location
Allocated PAs
CF
Predictable
emergency on-call
work
Unpredictable
emergency on-call
work
Weekend and
evening ward
work, public
holidays
On-call period
Belfast Trust 0.25
On-site, at home,
on telephone and
travelling to and
from site
Agreed on-call rota
Agreed category
On-call supplement
1:4 for CF
A
8%

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additional PA (if offered), up to a maximum of 11 PAs 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 totaling 10.0 PAs per week for the
period (to be inserted).
18. Agreement
(to be completed and forwarded to Medical Director’s Office)
Signed:
………………………………….
Signed:
…………………………...
Consultant: …………………………………. Clinical Lead/
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.

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