Please may I have a job?!

1. Please may I have a job?! The sort of stuff you need to be thinking about… …even if it’s a couple of years away! Hannah Zacharias

2. What to think about? • CV • Management and leadership stuff • How does the NHS work? (well today, anyway!) • Generic NHS stuff • Palliative Care • How do hospices work? • Interview preparation

3. CV • Just make a start – now • You will, repeatedly, massively underestimate the time it will take to finish • Be ready to justify everything you write

4. Improving your CV • Attend management meetings • Teach as much to as many people as you can • Book reviews • Online comments to journals etc • Short reports / Case reports • Posters and prizes • Ask your consultant if any opportunities are coming up • e.g. peer reviewing journal articles

5. Management & Leadership • Deanery courses • St Christopher’s course • Rota management / STC etc • Ask to be involved / attend meetings • (They can be quite boring) • Write a list of questions to ask later

6. Service development / change • Must have something to talk about at interview • It doesn’t have to be internationally ground-breaking • it’s the process that’s important

7. The ‘new’ NHS…made simple • www.kingsfund.org.uk/altguidenhs

8. …Sort of

9. Health & Social Care Bill • Summary of the Health and Social Care Act 2012 • The Bill proposes to create an independent NHS Board, promote patient choice, and to reduce NHS administration costs. • Key areas • establishes an independent NHS Board to allocate resources and provide commissioning guidance • increases GPs’ powers to commission services on behalf of their patients • strengthens the role of the Care Quality Commission • develops Monitor, the body that currently regulates NHS foundation trusts, into an economic regulator to oversee aspects of access and competition in the NHS • cuts the number of health bodies to help meet the Government's commitment to cut NHS administration costs by a third, including abolishing Primary Care Trusts and Strategic Health Authorities.

10. Which bits are important to know about? • Vague idea (ie inwardly digest that video!) about all of it • Health and social care bill (into effect 1/4/13) • Time to make friends with your local CCG • Francis Report

11. Initiatives • CQUINs • Commissioning for Quality and Innovation • National (e.g. friends and family, VTE, pressure sores) • Local • Payment By Results • Patient Reported Outcome Measures • Started with e.g. hip/knee surgery • Now expanding

12. Specific to Palliative Care? • End of Life care Strategy • GSF • ‘More Care, Less pathway’ • EPACCS • Palliative Care Funding Review • Benchmarking / Peer review • 24/7 SPC models • SPOC • Up skilling generalists

13. People to be aware of… • The King’s Fund • Leadership Alliance • NHS IQ • National end of life care intelligence network • ELCQuA

14. How hospices work • (If you don’t do the St Christopher’s management course) • Board of Trustees • SMT • Paid employees • Volunteers • Strategy

15. Applications • Pre-application visit? • Check your CV – it may need amending! • Match every answer to the job description and person specification • Referees • If you match the job spec (which you will), you will be asked for interview. • Think about terms and conditions

16. Interview prep • Go on a course • Know your CV • Know the unit • Know your audience • Meet them • Research them • Know what their interests are • Ask consultants to do mock interviews / check your presentation

17. The panel • Always: • Consultant in Palliative Medicine • RCP representative (to see fair play) • Hospice: • Chairman of the board • Chief Executive • Director of Patient Services / Director of Nursing • Other board members • ?HR • Trust: • Directorate Manager • Hospital Consultant / Clinical Director • ?HR • Assorted others!

18. Expect • A presentation • ‘Assessment centres’ • Psychological profiling • Group assessment / trial by sherry • Standard interview • (The unexpected)

19. Ask for help