Contract Details This is a consultant appointment on a Public Only Contract 2023 with a commitment of 25 hours per week in The Coombe Hospital and 12 hours per week in Tallaght University 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 and Tallaght University Hospital as part of a multidisciplinary team under the direction of the Master/CEO & CCOO.

• Provision of and oversight for obstetrics and gynaecology for The Coombe Hospital and Tallaght University Hospital.

• It will offer a streamlined service to the women who attend for obstetrics and gynaecology.

• Will offer a strong professional network across TCH and TUH based on MDT meetings

• Will provide obstetrics and gynaecology services in the most appropriate clinical setting delivered by the most appropriate personnel.

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

• Responsibility for organisation and development of obstetrical and gynaecological services at The Coombe Hospital.

• 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

• 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

The post 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, including ambulatory gynaecology , 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:

• Responsibility for organisation and development of obstetrical and gynaecologist services at The Coombe Hospital.

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

• On Call Commitment in The Coombe Hospital and Tallaght Hospital.

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.

CANDIDATE PROFILE

1. Be a fully trained specialist in Obstetrics and Gynecology

2. Applicants must be registered as a Specialist in the Specialist Division of the Register of Medical Practitioners maintained by the Medical Council of Ireland in the speciality of Obstetrics and Gynaecology.

3. Provide consultant on-call cover in both Obstetrics and Gynecology.

4. Provide training and train other consultants, NCHDs, other staff as appropriate.

5. Excellent leadership skills.

6. Excellent communication and teamwork skills.

7. Thorough understanding of clinical governance and risk management and participate in same.

8. Excellent interpersonal relationships.

9. Be an experienced clinician demonstrating an area of international clinical expertise in the specialty of Obstetrics & Gynecology.

10. Excellent relationship management skills and the ability to engage effectively with stakeholders from patients, organizations, clinical and academic partners, funders and industry.

11. The appointee will be a dynamic, inquisitive leader who is driven to provide the best clinical care for patients and who teaches and inspires the next generation to do the same.

12. Strong leadership and influencing skills in both academic and clinical environments.

13. Proven management skills including previous experience in management of research and training staff.

14. An ability to communicate effectively with colleagues and work as a team member.

GENERAL ACCOUNTABILITY

The person chosen will:

Clinical

15. Provision of Obstetric & Gynecological services at The Coombe Hospital and Tallaght University Hospital

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

17. Involvement and provision of services at the Coombe

18. Other commitments as maybe required to the Master/CEO and CCOO

19. On Call commitment to The Coombe Hospital and Tallaght University Hospital

20. To attend at TCH and TUH and at such times as may be determined by the TCH and TUH and in emergencies as required, and to remain in attendance there at as long as his/her services are required.

21. To attend at any clinic or site maintained by the TCH and TUH within the group catchment as appropriate and to provide either there or in the appropriate hospital such diagnostic, treatment or consultation service as may be appropriate.

22. To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Service Plan/TCH and TUH in line with policies as specified by the Employer.

23. To ensure that duties and functions are undertaken in a manner that minimizes delays for patients and possible disruption of services.

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

25. To provide teaching and lectures as required in the hospitals for student midwives/nurses, other midwives/nurses in training and other staff.

26. To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care

27. To provide emergency gynecology services on call.

28. To provide labour ward cover.

29. To provide operating theatre services.

CONSULTANT OBSTETRICIAN & GYNAECOLOGIST