Part 1 to be completed by the applicant Forename:

Transcription

1 ACCEA FORM A (Application Form) Employer-Based Award CLINICAL EXCELLENCE AWARDS SCHEME APPLICATION FORM 2012 Round It is the consultant s responsibility to ensure that this form is fully completed all boxes to be completed Surname: Bukhari Employer(s) name(s) with number of sessions per employer (Lead NHS employer first) University Hospitals of Morecambe Bay NHS foundation trust 12 sessions plus clinical lead supplement Part 1 to be completed by the applicant Forename: Professional Title: Marwan Dr List of consultant appointments in date order consultant rheumatologist from 1st April 2001 to present Application type: Level applying for: New CEA Level 8 Accredited Specialties (main first) Rheumatology Year appointed to the consultant grade 2001 Primary Medical Qualification (Date and Institution) University o Khartoum 1988 Current level CEA LEVEL 7 Year awarded 2011 Ethnic origin African Subsequent Qualifications (Date and Institution) MRCP 1993, Royal Collge of Physicians MSc (Manc) 1996 PhD (Manc) 2002 FRCP 2006 Preferred address for correspondence GMC/GDC Reg No Work tel (Direct Line) marwan.bukhari@mbht.nhs.uk You cannot fill this form out without using the Guide to the Scheme, to which you must adhere strictly PERSONAL STATEMENT Give up to four examples that summarise your achievements. These should be since your last award. (Box limited to 1350 characters). Since my last award in 2011 I have continued to support excellence in my specialty both regionally and nationally. I have become the northern regional adviser to the national rheumatoid arthritis patient charity, I have led on a quality metrics project which has included patients and commioners (CQRA) and I have benchmarked my management and patient satisfaction using the metrics (Abstracts presented atnational meetings ) and found my practice to be commensure with large academic centres including centres in London and Oxford. I have co-written RCP documentation on commisioning in rheumatology (5th Edition revision) October I have been selected to be on the MRCP rheumatology exit exam board from January I review research grants as part of the USER committee for Arthritis Research Uk ( 20 million funds) and advice the NIHR on health technology appraisals. I am first author on 3 NICE accredited national guidelines. I have been the highest recuiter in my trust to portfolio studies with an award from the NIHR for advancing recruitment. 1

2 JOB PLAN List agreed programmed or other activities relevant to the NHS. The Plan should itemise the number of remunerated direct clinical care PAs, the number of remunerated supporting PAs (SPAs), the number of other remunerated sessions / PAs for activities described in this application with a description of what these are, and also list unremunerated activities. (Box limited to1350 characters). Two sessions teaching undergraduates two seasons research, one funded by SIFT and one funded by the NIHR network, half a session academic foundation lead, one session as associate director of medical education and 6.5 clinical sessions of which 5.75 are DCC including 3.25 physical clinics, one DEXA clinic, two ward rounds an electronic advice service to GP's in addition to a multi-disciplinary meeting per week Domains If you are applying for levels 1-9 you can include additional information for Domain 3 OR Domain 4 OR Domain 5. Please provide additional information for one domain only. DOMAIN 1: DELIVERING A HIGH QUALITY SERVICE (see Guide) (Box limited to 1350 characters). I have benchmarked my practice and found that my management of rheumatoid arthritis is commensure with other centres including centres of excellence in rheumatology (London and Oxford). This was published at the British Society for rheumatology (BSR) meeting. I have also developed the first ever reported patient experience measure in rheumatology which has shown that the patient journey was good with 94% being satisfied or very satisfied with my service (presented at BSR meeting in 2013 and 2014).I have continued to atttract patients from out of region and a cohort that self referred to me after my colleagues retired in January and June I am the northern regional advisor for the patient charity NRAS as of July I have been an invited speaker for the national osteoporosis group and the North West Lupus group in the last 3 years. The rheumatology department at the RLI has been cited as an exemplar unit,one of only three in the country and a case report on excellence in rheumatology provision has been lodged with the department of health. I have also started having MDT meetings with the pain team and MSK radiologists monthly to streamline the management of patients who would otherwise bounce between our departments. My new to follow-up ratios are at the 20 th centile, the lowest locally. DOMAIN 2: DEVELOPING A HIGH QUALITY SERVICE (see Guide) (Box limited to 1350 characters) I am the clinical lead for rheumatology appointed October Since the retirement of two of my colleagues I have been pro-active in trying to engage our local commisioners and have sat on planning meetings of the pathfinder group to redesign musculokeletal services in North Lancashire. I have successfully managed to recruit replacement posts to enhance the local services. I have implemented sector wide guidelines on biologics and disease management, being a member of the north lancashire alliance for rheumatology (Preston, Blackburn,Blackpool and Lancaster). I am also the representative from Lancaster to the regional Manchester based osteoporosis group (since October 2011). From charitable funds I have updated the departmental ultrasound machine which now can provide more information on early disease and is used routinely in cases of diagnostic uncertainty. I have trained GP's in the patients who need to be fast tracked so that early arthritis can be diagnosed and treated in order to prevent complication (BMJ masterclasses). I have adopted protocols and pathways from the alliance and am implementing them cross bay to harmonise care. 2

3 DOMAIN 3: MANAGING AND LEADING A HIGH QUALITY SERVICE (see Guide) (Box limited to 1350 characters) If a candidate at any national level completes form F to illustrate their leadership and management achievement it is not necessary to fill in domain 3; simply enter see form F. As clinical lead for rheumatology I have been involved with commisoning rheumatology services locally and sit on the musculoskeletal group in the CCG. Nationally I am the BSR informatics lead in rheumatology interfacing with the Royal College of physicians and the centre for workforce intelligence inputting into "Consultant Physicians Working with Patients" rheumatology chapter and last author on the revised 5 th edition I also continue to input nto the national tarriff as the national expert working group chair on chapter HD, working with the HSCIC. Current national informatics activity includes dealing with the HSCIC on casemix on which I also input. I am one of the clinicians that have inputted into and developed the commisioning metrics for rheumatoid arthritis that has won a silver working with industry award by the pharma times. I developed a patient reported experience measure working within a national multidisciplinary group that is now incorporated into the national HQIP audit in rheumatoid arthritis. I have also been a member of the national treat to target group as from November 2011, a national group to promote optimal treatment of rheumatoid arthritis. DOMAIN 4: CONTRIBUTING TO THE NHS THROUGH RESEARCH AND INNOVATION (see Guide) (Box limited to 1350 characters) If a candidate at any national level completes form D to illustrate their research achievement it is not necessary to fill in domain 4; simply enter see form D. I have been successful in co supervising one scienctific MSC, and three intercalating MSc students and a PhD student in collaboration with Lancaster University. Work from this collabaroation has resulted in many abstract presentations, at national and international meetings, including the American College of Rheumatology meeting ( 2011, 2012 & 2013 ) and at the European meeting (2011, 2013 & 2014). I have also supervised two Manchester clinical rhematology MSc students (2011 and 2013). Since my last award I have contributed 46 communication to learned socities, of which 38 were at international meetings. I am the first author on national guidelines on the use of rituximab in rheumatoid arthritis which has got NICE accreditation and co-author on two others. I have advised the national institute of health research on priorities for funding on five projects and have sat on the USER arthritis research Uk committee which advised on circa 20 million pounds of funding. I am associate editor of the Journal Rheumatology with an impact factor of 4.2 handling 497 manuscripts in the 3 yeara to end 2013 and personally reviewing 24 of those. I represented the UK on the European consensus statement on the use of rituximab in rheumatoid arthritis. I am the biggest recruiter locally to NIHR studies.. Within the last 5 years, indicate how many publications you have had, how many of these were in peer reviewed journals and list the 3 most important ones. No other text is allowed. (Text limit 1350 characters) I have had 8 publications in the last 5 years, all in peer reviewed journals 1. BSR and BHPR guidelines on the use of rituximab in rheumatoid arthritis. Bukhari M, Abernethy R, Deighton C; Ding T, Ledingham J,, Westlake S, Hyrich K, Lunt M, Luqmani R, Kiely P, Bosworth A, Ostor A, Gadsby K, McKenna F, Finney D, Dixey J, Standards, Audit and Guidelines Working Group of BSR Clinical Affairs Committee; BHPR Rheumatology (2011) doi: /rheumatology/ker106a First published online: May 4, Burr ML, Viatte S, Bukhari M, Plant D, Symmons DP, Thomson W, Barton A. Long-term stability of anti-cyclic citrullinated peptide antibody status in patients with early inflammatory polyarthritis.arthritis Res Ther May 9;14(3):R109. [Epub ahead of print] 3. Oldroyd A, Mitchell K, Bukhari M. The prevalence of osteoporosis in an older population with very high body mass index: evidence for an association.int J Clin Pract Jan 22. doi: /ijcp [Epub ahead of print] 3

4 DOMAIN 5: CONTRIBUTING TO THE NHS THROUGH TEACHING AND TRAINING (see Guide) (Box limited to 1350 characters) If a candidate at any national level completes form E to illustrate their teaching and training achievement it is not necessary to fill in domain 5; simply enter see form E. I am on the MRCP specialty exam board for rheumatology since January 2010 and set the specialty exam yearly. I teach on the national BMJ Masterclasses for GP's and the BMJ musculoskeletal masterclass with feedback that puts me as the best clinical teacher in each course. Locally I have worked with our GP tutors to deliver a course on musculoskeletal examination, investigation and injections to GP's. I have lectured to the Cumbria faculty of the RCGP in 2011, 2012 and I continue to lead on teaching medicine to year two and four undergraduates with good feedback and being named "an inspiring teacher". I undertake entrance interviews, formative and summative OSCE's at Lancaster University. I have co-supervised four MSc students and one PhD student for Lancaster Univeristy and two MSc studens for the University of Manchester. I have been invited and lectured to the pan arab rheumatology conference 2014 and the International Immunology Summit I sit on the Rheumatology STSC on behalf of Lancaster and am careers lead for the deanery. I am the site base associate director of medical edcuation, leading on induction and assuring training quality. Verification of Completion I declare that to the best of my belief this information is accurate and I am not aware of any disciplinary or professional conduct and performance issues against me Full Name Signature : Marwan Bukhari (The applicant needs to print a hard copy, which needs to be signed and retained.) Assessment by domain For each of the domains please indicate your assessment of the candidate in terms of contribution to work for the primary employer and the wider environment of health care locally, eg in the SHA or Deanery. You are not asked to judge national or international contributions, for which ACCEA will receive advice separately. X No contribution in this domain U Has not delivered contractual obligations at a level expected C Delivers contractual expectations at a level expected P Some aspects of delivery have been clearly over and above expectations E Outstanding delivery of service Domains Please give your reasons if you have marked any domain U, P or E (box limited to500 characters) 4

5 GIVE YOUR ASSESSMENT OF THE CANDIDATE OVERALL FOR THIS LEVEL OF AWARD (Please give your reasons for your assessment of the candidate box limited to 500 characters) a) Is the consultant to the best of your knowledge working to the standards of professional and personal conduct required by the GMC and/or the GDC? Has the consultant during the last 12 months b) had a formal appraisal c) agreed his/her job plan d) fulfilled his/her contractual obligations e) complied with the private practice code of conduct? f) Are you aware of any actual or potential disciplinary or professional proceedings inside or outside the Trust? If the answer to (a-e) is No or the answer to (f) is Yes, further details must be supplied. (Box limited to about 500 characters) Name of person completing this form: Position Held: I, as Chief Executive, certify that the contents of Part 2 are accurate. The comments represent the considered opinion of the employer. Chief Executive Name: Direct Line tel: Direct address: Date: Chief Executive of: Signed by Chief Executive Note to Chief Executive: Please sign personally and date the copy which the candidate will retain. 5