Contract DetailsThis is a consultant appointment on a Public Only Contract 2023 with a commitment of 23 hours per week in Midlands Regional Hospital, Portlaoise and 14 hours per week in The Coombe Hospital under the Consultants Contract 2023The Public Only Contract 2023 provides for a normal working week of 37 hours. This 37-hour commitment will normally be scheduled to occur between 8.00 am and 10.00 pm on rostered Mondays to Fridays and between 8.00 am and 6.00 pm on rostered Saturdays. or as outlined in section 13 of the Consultant Contract March 2023. The normal duties for the post as outlined in the documentation and agreed by the HSE.The successful candidate duties will include the following:Will work in the Coombe Hospital part of a multidisciplinary team under the direction of the Master/CEO & CCOO and Midlands Regional Hospital, Portlaoise under the direction of CEO & CCOO.Will work as part of the Obstetrics & Gynaecology and Obstetric Divisions within the Hospital.Will possess the necessary skill-mix to address current deficiencies.Responsibility for organisation and development of obstetrical and gynaecological services at TCH.Responsibility for education, training and involvement in audit in relation to these services.On call commitments.Responsibility for improving the access of women to:o Improve access to both at assessment and treatment levels of gynaecology both acute and chronic.o Obstetrics and Gynaecological OPD services special interest in benign gynaecology desirable.o Surgery (Ambulatory, day case, inpatient)o Labour ward service and on call servicesInvolvement in Clinical Audit Committee and Ethics Committee as required.Will provide clinical leadership in MDT context - hand-over, ward-rounds, clinical risk & morbidity/mortalityConferences, teaching, training and audit.Ward RoundsLabour WardOn call services to Midlands Regional Hospital, Portlaoise and The Coombe HospitalMultidisciplinary Skills and drill training, Risk Management and Quality Improvement strategies.Provide support for primary care services.Continuous Professional DevelopmentWill conduct ward rounds (including Labour ward and HDU) - senior decision maker, enhanced efficiencyand safety.Provision of out-patient care obstetric and gynaecological careProvision of in-patient care obstetric and gynaecological careProvision of antenatal, intrapartum and postnatal careProvision of surgical care across obstetrics and gynaecologyParticipation in the emergency obstetrical and gynaecological care on-call rotaBackground to the PostsThe posts 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 " and "HIQA Standards Safer and Better Maternity Services". This post forms a very important part of the hospital's overall plan to lead and deliver Obstetrics and Gynaecology Services. The hospital has an extensive gynaecology service and with increased demand for gynaecology services, this post has the capacity to increase the number of women cared for. Progression of the plans for the new Theatre Development remains essential to increase the overall capacity for Gynaecology and this has been brought to design phase. The hospitalcontinues to work with HSE Estates in this regard.This post-holder will have:A commitment of 23 hours per week in Midlands Regional Hospital, Portlaoise and 14 hours per week in The Coombe Hospital.Responsibility for organisation and development of obstetrical and gynaecologist services at TCH.Responsibility for education, training and involvement in audit in relation to these services.On Call Commitments.In addition, this post will specifically address the need to:a) Improve access both at assessment and treatment levels of gynaecology both acute and chronicb) Obstetric and Gynaecological OPD services Special interest in benign gynaecology desirablec) Surgery (ambulatory, day case in-patient and obstetric)d) Labour ward service and on call servicese) 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 managementand quality improvement strategies and liaise and provide support for primary care services and theirseamless integration with hospital-based services.This post will significantly (a) improve access (b) reduce waiting times (c) reduce length of stay - due toinvolvement in decision-making re admissions and discharge planning and the expansion of ambulatoryand day case treatments (d) increase patient safety and quality of care. Increased efficiency will off-setthe need for significant expansion in other services.GENERAL ACCOUNTABILITYThe person chosen will:Will work as part of a multidisciplinary team under the direction of the Master/CEO & CCOO in TCH and underthe direction of CEO &CCOO in the Midlands Regional Hospital, Portlaoise.Will work as part of the Obstetric and Gynaecology Divisions within the Hospital.Will possess the necessary skill-mix to address current deficiencies.Will provide clinical leadership in MDT context - hand-over, ward-rounds, clinical risk & morbidity/mortalityconferences, teaching, training and audit. The Consultants reporting relationship and accountability for the discharge of his/her contract is to the Master of the hospital.The successful candidate: -Should be fully trained to the level of Consultant Obstetrician and Gynaecologist.Will be expected to demonstrate leadership in all matters relating to patient care. S/he will be expected to play a key role in the further development of women's health services, including the planned expansion of surgical gynaecological services at the Hospital.S/he may have additional experience in other specialist areas to meet the needs of the Hospital. There may be the opportunity to develop other special interest sessions dependent on the clinical need.The post-holder will be responsible for the clinical management of patients under his/her care, and, in liaison with consultant colleagues, continuity of care when the candidate is absent.SPECIFIC RESPONSIBILITY AND ACCOUNTABILITYThe successful candidate will perform the following duties appropriate to the candidate: -ClinicalProvision of Obstetrics & Gynaecology services to the TCH & MRHPResponsibility for organisation and provision of Obstetric and Gynaecology servicesResponsibility for education, training and audit in relation to these servicesEstablishment of a multi-disciplinary Implementation Committee for abortion servicesOn-call commitment in TCHOther commitments as may be required by the Master / CEO & CCOO for TCH and MRHPThe duties of the post-holder will include:a) To attend at TCH & MRHP at such times as may be determined by the TCH & MRHP and in emergencies as required, and to remain in attendance thereat as long as his/her services are required.b) To attend at any clinic or site maintained by the TCH within the group catchment as appropriate and toprovide either thereat or in the appropriate hospital such diagnostic, treatment or consultation service as may be appropriate and to provide either there or in the appropriate hospital such diagnostic, treatment or consultant service as may be appropriate.c) To participate in development of and undertake all duties and functions pertinent to the Consultants area ofcompetence, as set out within the Clinical Directorate Service Plan/TCH in line with policies as specified bythe Employer.d) To ensure that duties and functions are undertaken in a manner that minimises delays for patients andpossible disruption of services.e) To alternate with the other Consultants in the Department and to act for them as required during short-termabsences including weekend and off-duty leave.f) To provide, as appropriate, consultation in the Consultants area of designated expertise in respect of patients of other Consultants at their request.g) To provide teaching and lectures as required in the hospitals for student midwives/nurses, othermidwives/nurses in training and other staff.h) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant HospitalDoctors (NCHDs) treating patients under the Consultants carei) To examine any person referred to him/her by the appropriate TCH for examination and report and tofurnish a full report of his/her findings on such examination, unless the person referred informs the officer that he/she objects to the examination or to the submission of such report, in which event the officer shall notify the TCH concerned.j) To provide on-call services in Obstetrics and Gynaecology at TCH.k) To provide outpatient obstetric and gynaecology services.l) To provide in-patient obstetric and gynaecology services.m) To provide Termination of Pregnancy Services.n) To provide emergency gynaecology services.o) To provide labour ward cover.p) To provide operating theatre services.