Scottish Clinical Leadership Fellowship About the SCLF

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1 Scottish Clinical Leadership Fellowship About the SCLF

2 Scottish Clinical Leadership Fellowship This guide introduces the Scottish Clinical Leadership Fellowship (SCLF) for doctors and dentists in training, host organisations, and NHS Boards. It sets out the purpose of the fellowship and benefits for those involved to make clear all the opportunities that are available. A separate document, The Commitments of Those Involved in the Scottish Clinical Leadership Fellowship, describes what is expected from each of the Fellows, host organisations and NHS Education for Scotland (NES) to help ensure that the most is made of what the SCLF has to offer. What is the Fellowship? The SCLF is a one year programme which aims to develop clinical leaders for the future NHS in Scotland. It is open to medical and dental trainees in an established training programme, and is supported by NES, the Scottish Government, and other partner organisations. Leadership and personal development is achieved through commitment to project work with the host organisations, a tailored education programme, and a wide range of other experiential opportunities. It is a chance for Fellows to show professional autonomy under the guidance of the programme organisers. Benefits for the Fellow An emphasis on personal development of leadership qualities Enhanced ability to effect changes in organisations and services Improved transferable skills such as team working, communication, and personal reflection Bespoke opportunities to learn from senior leaders in a variety of organisations Improved understanding of the structure and governance of the wider organisations involved in Scotland s health and social care services, regulatory and professional bodies Networking opportunities with other Fellowship schemes around Scotland, the UK more widely, and internationally Personal coaching, peer support, and ongoing support from an alumni network Benefits for your local service and NHSScotland Fosters clinical leadership among trainees The sharing of knowledge, skills and experience gained by the Fellow Clinicians equipped to engage with management on service change and improvement A new way of bringing best practice and innovation into the organisation Benefits for Host Organisations The direct benefits and outcomes of the Fellow s project(s) To bring the perspective of trainees into the organisation Collaborative project links between Fellows with other organisations The opportunity to learn from trainees about the organisation s own processes, culture and approaches to work.

3 Quotes The Scottish Clinical Leadership Fellowship has given me a unique opportunity to appreciate our health and social care system from a whole other perspective that s just not possible through my medical training alone. I ve had the chance to work or participate in various projects over the year, and to remain involved in similar areas when returning to clinical practice after the Fellowship. The scheme has given me experiences and insights into how to be a medical leader that would otherwise have taken years to gain, and I expect these will go on to influence my future career and my ability to shape the services and departments I gain responsibility for. SCLF Fellow, Cohort 6 Tailored Education Programme There are many possible components to the NES-led group education days, including: Theory Based Modules Action Learning 1:1 Coaching Portfolio Development and Support Coordinating 360 feedback from colleagues What the Fellowship is Not A standalone accredited leadership scheme, although the experience can contribute to other qualifications An opportunity to pursue an individual project that is not relevant to your host organisation An unsupervised period with few expectations on what Fellows can achieve An easy year away from clinical practice NHS Scotland is continually improving and developing its services. Successful improvement needs leaders who can engage and work with others across all disciplines. The Scottish Clinical Leadership Fellowship is an excellent programme that offers our future clinical leaders the opportunity to learn about the wider organisation, and to work alongside policy makers, managers, and clinicians. Through the Fellowship, I see clinicians building the skills that will enable them to lead change and improvement in the future. Paul Gray (Director General of Health and Social Care) We need effective clinical leaders to achieve the ambitious aims set out in Realistic Medicine. Our future leaders will need to design systems that are organised to provide safe, fair and person-centred care, focusing on the individual while understanding what the service needs. The Scottish Clinical Leadership Fellowship helps the next generation of clinicians to understand this wider context and to develop the skills that will help our services meet the demands of the future. Dr Catherine Calderwood (Chief Medical Officer) It is hard to overstate the importance of skilled clinical leadership in supporting the mission of the NHS to deliver the best possible care for patients. Scottish Clinical Leadership Fellowships provide an outstanding opportunity for those responsible for patient care the doctors, dentists and others who work in our NHS to develop the skills they will need to lead an NHS that delivers continually improving care for its patients. Professor D Stewart Irvine (Medical Director & Deputy Chief Executive, NHS Education for Scotland)

4 Examples of Previous Project Themes Realistic Medicine: Fellows have worked on both Realistic Medicine reports in an editorial and authoring capacity and have worked on implementation of Realistic Medicine across different host organisations Overseas Volunteering: A previous project centred on publishing a policy report with the Royal College of Physicians and Surgeons of Glasgow on the mutual benefits of international volunteering by Scottish health service workers. Trainee engagement & resilience: Fellows have led on several projects through NES and the Scottish Government to engage with trainees. This includes use of the imatter survey and development of web-based resources to engage with trainee resilience. Improving junior doctor rotas and working environments: Several Fellows have worked with the Scottish Governments Workforce Directorate on workforce planning, and the development and implementation of the Professionalism Compliance Analysis Tool (PCAT) to assess and improve hospital working environments. Recruitment and retention of trainees: Working with and for trainees to improve communication with the Scotland Deanery, and provide skills for a life in medicine through provision of resilience training. Widening access to medical school: There has been collaborative work between the Scottish Government and Scottish universities for the widening access agenda. This has included the creation of preentry medical programmes. Anticipatory care planning Working to help introduce the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) to a Health Board, supported by the Scottish Government Healthcare Planning and Quality division. Data intelligence Fellows based with National Services Scotland have considered how to engage clinicians on data intelligence through a series of planned workshops and test strategies to improve the quality of clinical coding. Rare Diseases One project area reviewed the communication and engagement strategy for rare diseases across the country. Scottish Trauma Network Working with National Services Scotland and the National Trauma Network Implementation Group on the prioritisation strategy for the introduction of the new trauma centres.

5 Further Information Available at: This document is the result of an evolving process and it is expected that it will be updated following consultation between future Fellows, their host organisations and NES to ensure that their experiences of the SCLF matches expectations as the programme develops. This resource may be made available, in full or summary form, in alternative formats and community languages. Please contact us on or to discuss how we can best meet your requirements. NHS Education for Scotland Westport 102 West Port Edinburgh EH3 9DN NHS Education for Scotland You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES.

6 Scottish Clinical Leadership Fellowship Commitments

7 Scottish Clinical Leadership Fellowship This Scottish Clinical Leadership Fellowship (SCLF) is a one year programme which develops clinical leaders for the future NHS in Scotland. It is open to medical and dental trainees in an established training programme, and is supported by NHS Education for Scotland (NES), the Scottish Government, and other partner organisations. This document sets out the commitments and responsibilities of those involved to make clear all the opportunities that are available. A separate document, All About the Scottish Clinical Leadership Fellowship, introduces the different elements and benefits of the programme. Commitment from the Scottish Clinical Leadership Fellows The Fellows Will... Be committed to NHS Scotland and clinical leadership at local, national, and potentially UK and international levels Be willing to adopt new ways of working and open to challenge Actively seek out opportunities to meet their objectives and benefits of the Fellowship Be dedicated to developing their personal leadership and management capability Engage with their mentors to tailor their experience Make a meaningful contribution to their host organisation and NHS Scotland more broadly Maintain a record of their achievements, reflection and experiences Act as an ambassador for clinical leadership and engage with colleagues to promote this widely Self-organise with other Fellows to accelerate and maximise learning, contribute to the education programme, and support their peers Fellows should ask themselves what they should do to meet these commitments, which will aid developing a personal development plan for the duration of the fellowship.

8 Commitment from Host Organisations The Host Organisations Will... Provide a mentor for oversight of projects and to support personal development. They will meet regularly with the Fellow and actively engage to develop learning objectives for the year In conjunction with the Fellow, plan a project(s) that supports the achievement of these objectives, with clarity over the Fellow s role and responsibilities The host organisations should ask themselves what they should do to meet these commitments and allocate a mentor with sufficient time to provide the necessary support to the Fellow. Facilitate shadowing and networking with relevant colleagues Provide flexibility and time for Fellows to access other agreed opportunities outside their project(s) (relevant to the development plan) Allow time to maintain some clinical activity, as negotiated Fulfil the necessary requirements for the Fellow at their speciality training ARCP (Annual Review of Competence and Progression) while they are out of programme on the SCLF (e.g. a brief supervisor s report or Absence Declaration)

9 Commitment NES NES Will... Support Fellows to gain the best experience from the year Deliver a tailored education programme for leadership development Provide resources to support group educational events, up to financial limits previously agreed by the Programme Board Be accommodating of Fellows wishing to pursue a post-graduate qualification in leadership Organise the Fellowship, provide a governance framework and, through the Programme Board, give it a strategic overview and direction Those in the SCLF Operational Group and Programme Board at NES should consider what is required to meet these commitments. Delivery of These Commitments To achieve the commitments outlined and to deliver the objectives of the Scottish Clinical Leadership Fellowship programme, the following are agreed: Regular meetings between the host, their mentors and line management responsibility through the NES Post-Graduate Dean lead. Regular educational days supported by NES, with the opportunity for Fellows to discuss experiences with each other through both informal and formal group sessions An agreement to be formed at the first educational day on how the new Fellows will treat and behave towards one another. 1:1 coaching sessions for personal support Biannual meetings of the Operational Group and Programme Board, each with representatives from the Fellows to feedback on any issues. A consolidation event at the end of the year for Fellows to present their experiences and project work

10 List of Supporting Host Organisations General Medical Council (from cohort 2) Healthcare Improvement Scotland (from cohort 4) Medical and Dental Defence Union of Scotland (from cohort 5) National Services Scotland (from cohort 2) NHS Education for Scotland Medical Directorate (from cohort 1), and Dental Directorate (from cohort 4) North of Scotland Planning Group (from cohort 7) Royal College of Anaesthetists (from cohort 2) Royal College of Physicians & Surgeons of Glasgow (from cohort 2) Royal College of Physicians of Edinburgh (from cohort 6) Royal College of Surgeons of Edinburgh (from cohort 2) Scottish Deans Medical Education Group (from cohort 3) Scottish Government Health & Social Care Directorates (from cohort 1), consisting of the Health Workforce Directorate, Quality and Improvement Directorate, Chief Medical Officer, and the Chief Dental Officer

11 Good Practice in Mentoring a Scottish Clinical Leadership Fellow The importance of effective mentoring is recognised as central to supporting a Fellow s development and helping to make the most of their time on the SCLF programme. Fellows from previous cohorts have drawn from their personal experiences to inform this guidance that outlines positive mentoring characteristics. Approachable & available Regular contact gives Fellows an opportunity to clarify any questions they may have, review progress on projects and plan how to overcome challenges. As a guide, hosts may start off scheduling weekly catchup sessions that could consider reducing in frequency in the second half of the Fellowship as a Fellow s confidence increases. Getting to know them Gain an understanding of a Fellow s unique interests and skills and support them in identifying and fulfilling personal objectives. Inclusive Support the integration of Fellows into the teams where they will be working. Protective Empower Fellows to prioritise commitments and to turn down additional work which may not be relevant to their learning objectives or surplus to capacity. Create opportunities Facilitate shadowing and networking with relevant colleagues. Create space Support Fellows working collaboratively across organisations, professional groups and nations. Allow Fellows space to explore their curiosity.

12 Plan ahead Make Fellows aware of upcoming events and opportunities including initially offering advice on the prioritisation of conflicting events. Maintain oversight of work that is being handed over between cohorts to ensure a smooth transition. When there are two When a Fellow is working across two host organisations, ensure the Fellow is able to access mentorship from at least one of the hosts. This may involve liaison between comentors.

13 Further Information Available at: This document is the result of an evolving process and it is expected that it will be updated following consultation between future Fellows, their host organisations and NES to ensure that their experiences of the SCLF matches expectations as the programme develops. This resource may be made available, in full or summary form, in alternative formats and community languages. Please contact us on or to discuss how we can best meet your requirements. NHS Education for Scotland Westport 102 West Port Edinburgh EH3 9DN NHS Education for Scotland You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES.

14 Application Pack For Posts Commencing August 2018

15 Contents Introduction 3 Programme Structure 3 Host Organisations 4 Support 4 Key Areas of Responsibility 5 Evaluation 5 Pre Employment Checks 5 Frequently Asked Questions 7 Further Information 10 Useful Links 10

16 Introduction NHS Education for Scotland (NES) in partnership with the Scottish Government is pleased to launch the seventh cohort of the Scottish Clinical Leadership Fellow (SCLF) programme for medical and dental trainees. The Fellowship is open to medical and dental specialty trainees who, at the time of application are in a substantive training post in Scotland. To be eligible to commence the fellowship, medical specialty trainees must have successfully completed CT2/ ST2 at the time of commencing the post, and dental specialty trainees must have successfully completed two years of dental specialty training. This prestigious programme is aimed at trainees that have the curiosity and ambition to push their development to new heights. Fellows will have a bespoke opportunity to develop leadership and management capabilities, and contribute to aspects of contemporary health care and medical and dental education development in an apprenticeship style model. These one year posts are an integral aspect of NHS Scotland s approach to developing Professionalism and Excellence in the medical and dental professions. The Fellows will work closely with leading figures in the host organisations, and find themselves immersed in the practicalities of running an organisation at a national level. The programme aims to provide NHS Scotland with a cadre of doctors and dentists who are committed to living and working in Scotland and who have enhanced capability to offer leadership in their work place and potentially at national and international levels. Programme Structure The programme is national and whilst it is managed for employment purposes within NES, Fellows will be based in a number of organisations in Scotland, the majority being in Edinburgh and Glasgow. As a component part of the Fellowship, NES will provide a bespoke leadership and management development programme to include coaching, paired learning opportunities, a modular programme, action learning and opportunities to learn with Leadership Fellows in other UK programmes. There will also be opportunity to work closely with existing teams working in policy areas as outlined including; A Route Map to the 2020 Vision for Health & Social Care, the Shape of Training report, the 2016 Chief Medical Officer s report Realistic Medicine, the National Clinical Strategy and the Professionalism & Excellence Report. Depending on the host organisation, there may scope for Fellows to continue with a small clinical commitment. Host Organisations Fellows may either by immersed in one organisation for the whole year, or be based in two organisations working on complementary projects such flexibility can be accommodated as negotiated between the Fellow, their mentor and the available host organisations. 3

17 The principal host organisations in previous years have included: Scottish Government Health & Social Care Directorates (Edinburgh), including Health Workforce, Chief Medical Officer, Chief Dental Officer and Quality and Improvement Directorates NES Medical & Dental (Glasgow, Edinburgh, Dundee, Aberdeen or Inverness) Scottish GMC Office (Edinburgh) Healthcare Improvement Scotland (HIS) NHS Health Services Scotland (NSS) The Royal College of Physicians and Surgeons of Glasgow (RCPSG) The Royal College of Surgeons of Edinburgh (RCSEd) The Royal College of Anaesthetists (RCoA) The Scottish Deans Medical Education Group (SDMEG) The Medical and Dental Defence Union of Scotland (MDDUS) The Royal College of Physicians of Edinburgh (RCPE) The General Medical Council (GMC) The North of Scotland Planning Group For the eighth cohort, NES in partnership with Scottish Government will recruit a number of Fellows to the programme (up to 12) and a number of the above listed organisations (and potential others) will act as hosts for this cohort. As well as working as part of their host organisations, Fellows will have the opportunity to work collaboratively with a number of key groups, which include: Scottish Association of Medical Directors Directors of Medical Education Group Scottish Chief Executives Group Support Internal to the programme Fellows will be supported by: An executive sponsor in the host organisation facilitating and promoting the Fellowship A leadership mentor who will be a senior medical leader not necessarily from the same host organisation focusing on the development of leadership and management skills A project mentor whose main focus will be the practicalities of delivering a project within the host organisation A leadership supervisor from NES and coaches/ mentors as appropriate A lead Postgraduate Dean for NES, which is the recruiting and employing organisation Peers in the programme Other national Clinical Fellows as relevant e.g. Quality and Safety Fellows 4

18 Sponsor Mentor A (Leadership) Mentor B (Project) Supervisor NLU Lead Postgraduate Dean The Fellows (SCLF, FMLM, Quality & Safety and QI) External support will include: Relevant contacts in NHS territorial Health Boards; Health and Social Care Partnership organisations; and other National Health Boards. UK organisations with a leadership and management focus: e.g. King s Fund; Health Foundation; and the Faculty of Medical Leadership and Management FMLM. Key Areas of Responsibility Throughout the year Fellows will contribute creatively to a wide variety of projects in their host organisations, forming a platform for developing their own personal leadership and management capabilities. They will actively engage with their assigned mentors to develop tailored programme objectives and to plan and undertake a project that supports these objectives. Fellows will engage with the NES provided bespoke leadership and management development programme Fellows are encouraged to participate in other leadership and management organisations e.g. FMLM, King s Fund, or the Institute for Healthcare Improvement. Evaluation Whilst there will be no formal assessment of Fellows in the programme, there is an expectation that Fellows will be highly motivated to achieve tangible outcomes that will enhance their personal portfolios and make a meaningful contribution to NHS Scotland. Fellows will need to ensure a well 5

19 evidenced approach is taken to understanding and documenting achievement through their personal portfolio development, and in terms of demonstrating contribution to delivery of hosts objectives. PRE EMPLOYMENT CHECKS Full pre and post employment checks will be carried out by the relevant HR department for the successful candidates. Please note that failure to comply with requests for information/forms may result in a delayed start to the Fellowship. 6

20 Frequently Asked Questions: Q: I am currently in my first year of a GP training post would I be able to take a year out of my post for this fellowship? A: No. The Fellowship opportunity is for those who have successfully completed CT2/ ST2, or above. Q: I have just commenced an ST3 post, would I be able to take a year out of my post for this fellowship? A: You have to be in your training post for at least 12 months to be eligible for OOPE. Please discuss your plans with your Educational Supervisor and Training Programme Director before applying for the Fellowship. Please see the Gold Guide for further information: gold guide Q: I am currently in a LAT post, am I eligible to apply? A: No. You have to be in a substantive training post (and have a national training number) to be eligible to apply for the fellowship. Q: I am currently based in England/Wales/North Ireland and would like to apply for the SCLF programme, am I eligible? A: You have to be in a substantive training post in Scotland at the time of application. If you are in a training post elsewhere in the UK your application may be considered if you intend to remain in Scotland following your Fellowship. Q: I am an FY2, am I eligible? A: No. The Fellowship opportunity is for those who have successfully completed CT2/ ST2, or above Q: I complete my training before the Fellowship commences, can I apply as a post CCT fellow? A: You have to be in a substantive training post in Scotland at the time of application. If you have completed training but not taken up a substantive career post at the time the Fellowship commences, your application may be considered. You will forfeit any period of grace. It is however available to dentists in post CCST training in Orthodontics and in Paediatric Dentistry. Q: I am not Scottish, am I eligible? A: Yes, as long as you are in a substantive training post in Scotland at the time of application and have the right to work in the UK. Q: I am a CMT2 and will be applying for ST3 soon, am I eligible? A: Yes, you are, as long as you complete CT2 successfully. However, if you are successful you will have to forfeit your ST3 post and reapply for ST3 again at the end of the Fellowship year. Please discuss your plans with your educational supervisor and Training Programme Director before applying for the Fellowship. 7

21 Q: Can I apply for deferred entry once I secure a post on the SCLF scheme? A: Deferment may be considered. Q: Is this post available for less than full time basis? A: Yes, but only for one year. Q: Do I have to resign from my job to join the Fellowship? A: No. If your application is successful, you need to apply for an Out of Programme Experience (OOPE) through your Training Programme Director. To leave your training for a year, the Deanery must approve your application and a six month notice period is recommended to request OOP approval. Please discuss your plans with your Educational Supervisor and Training Programme Director before applying for the Fellowship. Q: How do you learn on the job? A: Fellows work closely with leading figures in the host organisations, so they learn by active engagement in an apprenticeship model. For example, if a fellow is working in NES they will be working on projects related to improving quality of training in Scotland, and if the fellow is based in the Government their work will involve projects related to Government policy and implementation. There is a common core of management and leadership training that fellows in all host organisations will be exposed to. NES delivers this core training. All fellows will work in a team to build a Scottish network of clinicians interested in improving the quality of health care and cascading a better understanding of future challenges that face the implementation of the 2020 Vision for Scotland. Q: Do I have to relocate to Edinburgh? A: You do not have to relocate, as long as you are prepared to travel to your host organisation. Any request for relocation expenses should be discussed at interview and would have to be approved in writing by the employing organisation in advance of appointment. Q: How much am I going to be paid? A: NES will pay your salary at the appropriate point on clinical scale based on your last pay, without banding supplement; i.e you will be paid your basic salary only. You may want to take some locum work over the weekends to supplement your income. Q: What are my hours and days of work: A: Exact working pattern to be agreed with host organisation but likely to be Monday Friday 09:00 17:00. Similarly, the inclusion of up to one clinical day per week can be discussed. Q: Would I be able to carry on doing clinical work to maintain my clinical skills while on the Fellowship? A: You can negotiate with your host organisation and clinical base what shifts you would like to carry on doing to help provide service and maintain your skills during your OOPE year. These shifts are included as part of your basic salary, and do not attract any extra pay. However, you can do locum 8

22 work over the weekends or bank holidays/annual leave if you choose to. Q: Would my host organisation support any clinical courses relevant to my specialty? A: Study leave can be negotiated with NES and the host organisation. Fellows have the opportunity to attend courses relevant to their specialty as well as leadership and management. Q: Can I work from any of the NES offices? A: Most of the host organisations are based in the central belt and the Edinburgh or Glasgow offices would be very suitable. However, NES offices in Aberdeen, Dundee or Inverness could be used as a base for NES hosted Fellows. However, the Fellow would still need to attend regular events in Edinburgh and Glasgow. Q: What will this post entail from day to day? A: The working day is an indicative 9am to 5pm office job. As a Fellow who is based in the NES office for example, you will attend meetings with the NES team, actively participate in a project related to medical training and link it to national strategies such as 2020 vision and Professionalism and Excellence in Scottish Medicine. The Fellow will have access to leadership and management training workshops alongside management trainees and senior clinicians. Q: What are the positives of this post? A: The Fellowship provides a different type of a challenge to what you will normally face as a doctor. It gives access to decision making circles, and an insight into how policies are shaped on a national level. The environment of the programme is very supportive, there are no limits to creativity and hard work is highly valued. Q: What are the negatives of this post? A: The Fellowship is, by design, not as well defined or structured as your medical training programme; you have to experiment and improvise on the go. The year will be a mixture of hard work and adventure and will involve a steep learning curve. Another disadvantage is that the Fellow will lose banding supplements, and may wish to locums every now and then. Q: Is it a worthwhile experience? Would previous fellows recommend it to others? A: Current Fellows highly recommend it and we will be pleased to put any prospective applicants in touch. Here is a sample testimony from a previous Fellow: As a doctor, I want to be an active participant in how patient care is designed. I don't want to be frustrated by system failures, I want to be inspired by the challenge, and this fellowship is helping me acquire the knowledge, skills and contacts required to do so. Q: Are there any further opportunities for a post graduate degree in medical leadership and management? A: The programme does not include a PG certificate. However, there are several short courses 9

23 available on distance learning basis that you might want to consider. Q: Would the fellowship prolong my training? A: The Fellowship is an Out of Programme Experience (OOPE), and so it will not count towards your training. If you join the fellowship then you will extend your training by another year. It is well worth it though! Further Information For more information please contact: Medical Trainees: Professor Ronald MacVicar, Postgraduate Dean, Professor Rowan Parks, Deputy Medical Director, Dr John Colvin, Scottish Government Lead, Dental Trainees: Dr Ann C Shearer, Associate Postgraduate Dental Dean ann.shearer@nes.scot.nhs.uk Arrangements can be made to discuss the fellowship with current post-holders. Useful Links The Scotland Deanery ( NHS Education for Scotland ( The Scottish Government ( Faculty of Medical Leadership and Management ( SCLF blog ( SCLF Twitter handle (@SCLF_) 10

24 NHS EDUCATION FOR SCOTLAND n JOB DESCRIPTION 1. JOB DETAILS JOB REFERENCE JOB TITLE DEPARTMENT AND LOCATION IMMEDIATE MANAGER S TITLE Scottish Clinical Leadership Fellow NES (employer) Medical Directorate for medical trainees and Dental Directorate for dental trainees. Postgraduate Dean (Professional Development workstream) for medical trainees or Associate Postgraduate Dental Dean (core and specialty training) for dental trainees. 2. JOB PURPOSE The Scottish Clinical Leadership Fellows (SCLF) programme is an integral aspect of NHS Scotland s approach to developing Professionalism and Excellence in the medical and dental professions. Fellows will have a bespoke opportunity to develop leadership and management capabilities and contribute to aspects of contemporary health and care-related activity. The programme aims to provide NHS Scotland with a cadre of doctors and dentists that are committed to living and working in Scotland and have enhanced capability to offer leadership in their work place and potentially at national and international levels. 3. DIMENSIONS Fellows will spend up to one year in post during which time they will be employed by NHS Education for Scotland (NES) and will be based in one or two host organisations that will include (final details of host organisations to be confirmed): NHS Education for Scotland The Scottish Government Health Improvement Scotland NHS National Services Scotland Some of the Royal Colleges Defence Organisations General Medical Council Territorial Boards/ Regional Planning Groups During the year, Fellows will be offered a bespoke NES-provided leadership and management development programme including coaching, action learning sets, a customised programme and learning opportunities with Leadership Fellows in programmes elsewhere in the UK. There will also be opportunity to work closely with existing teams working in policy areas as outlined in A Route Map to the 2020 Vision for Health & Social Care. 1

25 4. ORGANISATION CHART 5. ROLE OF THE DEPARTMENT NHS Education for Scotland (NES) is a Special Health Board with a corporate mission to provide educational solutions that support excellence in healthcare for the people of Scotland. Our work is fully aligned with the NHS Scotland Quality strategy. NES has leads for each of the professional groups in the NHS, organised within a Directorate structure. The Medical Directorate has a number of roles encompassing areas specific to Medicine in addition to more corporate responsibilities: Enable the education of undergraduate medical students through the distribution and performance management of the Medical Additional Costs of Teaching (Medical ACT funding). Through a robust system of educational governance, operate all approved foundation and speciality (including GP) training programmes. Ensure the effective delivery of the Quality Improvement Framework for medical education and training as laid down by the General Medical Council (GMC), through a system of Quality Management capable of demonstrating that Local Education Providers are meeting the GMC standards. Manage study leave, clinical academic training, flexible training, careers guidance, trainer development and training for doctors in difficulty. Support and manage, with others clinical skills and Patient Safety training across NES. Contribute to the agenda of supporting the development of multi-professional education where appropriate. Manage the IT systems that support medical education quality management including the Scottish training Survey, the Scottish Quality Data Hub and the trainee data base system. The Dental Directorate has a number of roles encompassing areas specific to Dentistry in addition to more corporate responsibilities: Enable the education of undergraduate dental students through the distribution and performance management of the Additional Costs of Teaching (ACT funding) and through the Dental Outreach Centres. Enable the education of dental care professionals (dental nurses, dental hygienists and therapists, dental technicians, Orthodontic Therapists) through funding of programmes 2

26 Through a robust system of educational governance, operate all approved vocational, core and specialty training programmes. Ensure the effective delivery of a quality improvement framework for dental education and training. Manage study leave, clinical academic training, flexible training, careers guidance, trainer development and training for dentists in difficulty. Provide CPD for dentists and dental care professionals and support audit in Primary Dental Care Contribute to the agenda of supporting the development of multi-professional education where appropriate. Manage the IT systems that support dental education and training. The programme is national and whilst it is managed for employment purposes within NES, Fellows will be based in a number of organisations, all in Scotland, most of which are in Edinburgh. 6. KEY AREAS OF RESPONSIBILITY: KEY RESULT AREAS / MAIN TASKS Ongoing throughout the year Contribute creatively to specific aspects of the host organisation s purpose, from a platform of developing personal and professional leadership and management capability Engage actively with the assigned mentor and develop programme objectives Maintain a leadership and management portfolio to evidence experience and learning. Required components Engagement with all elements of the bespoke leadership and management development programme Peer support and learning Pursuance of a relevant project that meets the Fellow s leadership and management objectives Networking with other health and social care professionals to further the cause of leadership for improvement. contribute to the evaluation and evolution of the SCLF and of its composite parts 3

27 7. USE OF PHYSICAL RESOURCES Equipment and machinery Computer Storage devices Communication devices Systems Software Data systems 8. ASSIGNMENT, GENERATION AND REVIEW OF WORK Work will be generated with Fellows by the host organisation and associated groups. It is anticipated that Fellows will be able to co-produce a work plan with guidance from their assigned mentor and as far as possible tailored to the learning needs of the Fellow in the context of the agreed broad theme and needs of the host organisation. Whilst there will be no formal assessment of Fellows in the programme, there is an expectation that the Fellow will be highly motivated to achieve tangible outcomes that will enhance their personal portfolios and make a meaningful contribution to NHS Scotland. 9. COMMUNICATIONS AND WORKING RELATIONSHIPS Internal to the programme Mentor who will be a senior, experienced leader within their organisation Sponsor A senior leader in the hosting organisation at chief executive level NES Postgraduate Dean (professional development workstream) for medical trainees or Associate Postgraduate Dental Dean (core and specialty training) for dental trainees Leadership and Management development programme faculty, coaches and mentors Peers in the programme Other national Clinical Fellows as relevant e.g. Quality and Safety Fellows External Relevant contacts in NHS territorial Health Boards; Health and Social Care Partnership organisations; other National Health Boards UK organisations with leadership and management focus: e.g. FMLM 4

28 10. MOST CHALLENGING PARTS OF THE JOB You will be at the leading edge of a new approach to developing leaders for the future NHS in Scotland. As such there will be high expectation and an emergent structure that you will be a part of creating. You will need to be well-organised, self-starting, resilient and open to challenge and change. If co-creation doesn t interest you, this may not be the programme for you. You will need to balance your own and others time-pressures and priorities, to negotiate and influence, to build and maintain professional relationships and effective networks across boundaries. The aim of the Fellowship is to help you to recognise, and to further develop these important skills. 11. EFFORT REQUIRED TO DELIVER THE REQUIREMENTS OF THE POST Physical skills No role-specific requirements Physical effort No role-specific requirements Mental effort No role-specific requirements Emotional effort Good emotional intelligence Working Conditions Office-based, normally during recognised office hours, although there will be exceptions, with variable bases and an expectation that travel will be involved 5

29 12. QUALIFICATIONS AND/OR EXPERIENCE SPECIFIED FOR THE POST MBChB or equivalent (medical trainees); BDS or equivalent (dental trainees) Full Registration and a Licence to Practise with the GMC (medical trainees); registration with the GDC (dental trainees) At the time of interview, in a substantive training post in Scotland; medical specialty trainees must have successfully completed CT2/ ST2 at the time of commencing the post, and dental specialty trainees must have successfully completed two years of dental specialty training. Evidence of satisfactory progress to date in your career Evidence of a commitment to your leadership and management development Evidence of an intention to contribute to UK healthcare into the future 6

30 THIS SECTION TO BE REMOVED FOR JOB MATCHING PURPOSES 13. JOB DESCRIPTION AGREEMENT Job holder s signature: Date: Manager s signature: Date: 7

31 PERSON SPECIFICATION Essential Criteria these are attributes without which a candidate would not be able to undertake the full remit of the role. Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage. Desirable Criteria these are attributes which would be useful for the candidate to hold. When short listing, these criteria will be considered when more than one applicant meets the essential criteria. Means of Assessment please note that candidates invited for interview will be notified if there will be a requirement to undertake a test or presentation. These additional assessments may be used to judge one or more criteria within the factor. Qualifications Factors Essential Desirable Academic/Professional MBChB or equivalent (medical trainees), or BDS or equivalent (dental trainees) Full Registration and a Licence to Practise with the GMC (medical trainees); registration with the GDC (dental trainees) Additional degree Professional qualifications Publications Presentations Means of Assessment Application Application, Interview and Assessment At the time of application, in a substantive training post in Scotland; medical specialty trainees must have successfully completed CT2/ ST2 at the time of commencing the post, and dental specialty trainees must have successfully completed two years of dental specialty training. Evidence of satisfactory progress in career to date

32 Leadership & Management Commitment to developing expertise in leadership and management CONDITIONS OF SERVICE Evidence of awareness of own development needs Evidence of interest in leadership Evidence of aptitude to lead Application, Interview and Assessment Some understanding of the range of opportunities and challenges facing public sector leaders in Scotland Education and Teaching Interest in, and experience of teaching Evidence of involvement in regular teaching Application, Interview and Assessment Quality/Service Improvement Understanding of quality improvement processes Evidence of involvement in quality improvement projects Application, Interview and Assessment Some understanding of the structure of the Scottish healthcare system Publications Presentations Skills Flexible approach to working arrangements Application, Interview and Assessment Willing and able to travel to various locations Able to communicate at all levels No role specific physical skills, physical effort or mental effort requirements

33 Personal Well organised, selfstarting and resilient CONDITIONS OF SERVICE Open to challenge and change Application, Interview and Assessment Good emotional intelligence

34

35 CONDITIONS OF SERVICE TITLE: Scottish Clinical Leadership Fellow LOCATION: Flexible, travel necessary if not Edinburgh based REPORTING TO: Postgraduate Dean (Professional Development work stream) Medical Fellows Associate Postgraduate Dental Dean Dental Fellows GRADE: Remuneration in accordance with current salary SALARY SCALE: n/a HOURS AND DAYS OF WORK: The number of hours available for each post is flexible and will be agreed with the successful candidates. Candidates are expected to work Monday Friday 09:00 17:00; exact working pattern to be agreed. The inclusion of clinical sessions can be considered. JOB STATUS: Fixed term for 12 months. The successful candidates will be employed by NHS Education for Scotland (secondment not available). NOTICE PERIOD: 4 weeks ANNUAL HOLIDAYS: In line with employers contractual terms and conditions. PUBLIC HOLIDAYS: 8 local/ Public Holidays per annum REHABILITATION OF OFFENDERS CLASSIFICATION: The exemption status of posts within NES may change in the future and all successful candidates should be aware that they may be asked to obtain a further Disclosure from the Criminal Records Bureau at a later date, should a post s status change, or if they are transferred or promoted into a post that is exempt. Maternity Leave and Pay: The maternity policy of the employing organisation will apply to these appointments. Sick Pay: The contractual employer s policies and procedures will apply. Disclosure: Pre employment checks may be undertaken and appointments will be subject to satisfactory clearances. Health Screening: All appointments will be subject to satisfactory health clearance and preemployment health checks may be required. Discipline & Grievance Procedures: The contractual employer s policies and procedures will apply. Relocation: Any request for relocation expense should be discussed at interview and would have to be approved in writing by the employing organisation in advance of appointment. Expenses: All associated expenses will be paid as per NES s guidelines. The maternity policy of the employing organisation will apply to these appointments.

36 CONDITIONS OF SERVICE SUPERANNUATION: Please note under changes to workplace pension arrangements introduced by the UK Government, NHS Education for Scotland along with other employers requires to ensure all staff are automatically enrolled in a pension scheme. Consequently, all new starts from 1 October 2013 will be automatically enrolled into the NHS Superannuation Scheme (Scotland). Contributions are based on whole time pensionable earnings as set out in the table below; Employee contribution rates 2017/18 Tier Annual Pensionable Pay (Full Time Equivalent) Contribution 1 Up to 16, % 2 16,529 to 22, % 3 22,218 to 27, % 4 27,635 to 50, % 5 50,972 to 72, % 6 72,771 to 113, % 7 113,626 and above 14.7% Sessional workers who work more than 10 sessions per week under NHS condition may be unable to contribute further to the superannuation scheme. The conditions above are for information purposes only and may be subject to variation. They do not form the basis of a legal contract.

37 Online Application Guidance General Guidance No applicant will be unfairly discriminated against. We are particularly alert to eliminating discrimination on account of age, cultural/religious/political belief, disability, ethnicity, gender, race, relationship status, sexual orientation, and/or Trade Union membership or stewardship. Only Sections 2, 3 & 4 of this online form will be made available to short-listing panels. Sections 1 to 4 (inclusive) would then be used by the interviewing panel if you are selected for interview. Sections 5 to 8 will be viewed only by the HR department. Required questions are denoted with an asterisk. When you have answered the questions on a page, click the Next button to continue. The last section of the application form will have a Submit button to complete the application process. The 'Save as draft' button below saves your information as a draft to be completed later. You can retrieve your saved application from the NES Vacancies page of the NES website ( and clicking the link at the bottom left of that page. You will require your registration and password to log back in. PLEASE NOTE: Clicking the Clear or Close button at anytime will clear and close your application form WITHOUT SAVING your information. To reduce this risk, it is recommended that you use the 'Save as draft' button as you complete each section of the online form. If you would like to paste your response from an external document simply right click and paste or use a keyboard shortcut: CTRL+V for Windows users, Apple+V for Mac users. Personal Details section This gives us your contact details such as name and address. Under title you would put either Mr, Mrs, Ms, Dr or just leave blank if you prefer. All our communications will be sent to you via - please ensure you provide an accurate address which you will have regular access to throughout the recruitment process. Applicants should regularly check Junk/SPAM folders to ensure key communications aren t missed. Similarly, applicants using NHS.net accounts have reported difficulties receiving communications, with s hitting their local firewall. Please contact your local IT if this is the case, or you may wish to consider using an alternative address. Work Permit It is the responsibility of the candidate to ensure that they have the right to work in the UK.

38 Qualifications section please tell us of any qualifications you have. This can include school standard grades, GCSEs, highers, or work based qualifications such as SVQs or NVQs. CONDITIONS OF SERVICE remember to include any non formal qualifications or certificates that you think are relevant to the job you are applying for. Membership or Professional Regulatory Bodies section If the post requires you to be professionally registered, please provide details of your Professional Membership e.g. GMC, NMC, GDC etc. Employment History section present or most recent If you are currently out of work, please write this in the job title space. Please state your start date in month/year format DD/MM/YYYY. Please tell us briefly about your duties (what you do or did in your job). You could tell us your role, the main tasks, and any responsibility for supervising others. There is a 4000 character limit (including spaces) for this question. If you would like to paste your response from an external document please use a keyboard shortcut: CTRL+V for Windows users, Apple+V for Mac users. Employment History section - previous employment Please provide details of your employment history. Start with your most recent employment and work down the page. If a job supports the position applied for, please say more about it in your Application Support statement. Statement in Support of Application Please tell us your personal qualities, skills and attributes, experience and any major achievements and show how they match those needed for this job. Please refer to the Person Specification (within the Job Information Pack) when completing your statement. There is a 4000 character limit (including spaces) for this question. If you would like to paste your response from an external document please use a keyboard shortcut: CTRL+V for Windows users, Apple+V for Mac users. Page 2 of 4

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