Total 31,929 job vacancies in The United States of America

To demonstrate excellent organisational skills, must be flexible in approach, able to exercise initiative and demonstrate a consistently high standard of professionalism, being aware of the need for confidentiality and integrity. Liaising with other organisations including acute, and community providers. Deliver excellent customer care and support to both internal and external patients, visitors and colleagues. Provide and receive routine information, verbal and written to inform work colleagues, patients and visitors of information as required including where there may be barriers to understanding. To be proficient in using Microsoft office packages and other identified IT systems and support other team members in their use. Make appointments for team, adjusting where necessary, i.e., conflicting diary appointments and ensuring documents and equipment is available Assist in the preparation, collection, scanning, photocopying, printing and processing of materials for training, service information and meetings. Receiving patients and log in referrals into the appropriate caseload and checking details held are correct. Answer telephone, deal with enquiries, direct as appropriate, take accurate messages and forward to relevant person/department. Managing team diaries and arranging meetings, preparing agenda, venues and refreshments Goods receipt received orders and distribute to correct department and assist with annual stock take. Sorting of incoming e-mail and distributing to addressed department / individual. Use reporting systems to log any maintenance / equipment testing requirements i.e., NHSPS Helpdesk, Medical Physics, MEMS etc.

WHAT YOULL DO: The job will include reporting benign and oncological head and neck imaging studies (CT & MRI staging investigations, cochlear implant imaging, sinus imaging maxillofacial imaging, sialography) including inpatient /emergency work. The successful candidate must be proficient at neck ultrasound and US guided FNA and core biopsy procedures. The role will include active participation in the head and neck MDT and Thyroid MDT and regular benign ENT/OMFS meetings, working closely with clinicians in the relevant specialties and providing consultations and imaging reviews as part of your job plan. As part of a successful Wessex radiology training programme and South East Imaging Academy, active participation in teaching and training is an integral part of the role. WHAT WERE LOOKING FOR We are looking for a consultant head and neck radiologist, with adequate subspecialty level, ideally at tertiary level, to continue to grow our enthusiastic team. Beyond the expected clinical attributes, the applicant should demonstrate organisational, communication and professional skills to a level to effectively undertake the consultant role. They should have enthusiasm for teaching and be able to work well in a team. ADDITIONAL INFORMATION Individuals wishing to apply must be registered with the General Medical Council (GMC). The successful candidate will be employed under the terms and conditions of service for Consultants (England) 2003. Interviews will be held on Monday, 17 June 2024 Job Reference: - This vacancy closes on or before: 26 May 2024 Should you have any queries, please use the contact details below to get in touch.

Job Title: - Registered Midwife Trust Location: - Wirral University Teaching Hospital NHS FT Pay Rate: £19-£30 What you'll be responsible for: Assessing the needs of women, partners, families, and carers Plan, deliver and evaluate standards of evidence-based midwifery care. Providing full antenatal care, including parenting classes, clinical examinations, and screening Identifying high-risk pregnancies The role will involve, but not be limited to you performing the above. About the Trust - Wirral University Teaching Hospital NHS FT provides a range of acute hospital and community services as well as some specialist services such as rehabilitation. As one of the biggest and busiest acute NHS trusts in the North West, the Trust has been recognised by numerous national awards in areas including dermatology, dementia, patient experience, patient safety, scientific innovation and staff engagement. Wirral has a stunning coastline and a beautiful countryside, with 50 miles of rural walking routes, cycle areas and beaches. The busy cities of Liverpool, Chester and Manchester are within easy reach with excellent transport links. Who are NHS Professionals? We specialise in putting people in places to care. Every year we help thousands of dedicated candidates and highly skilled NHS workers enjoy better career opportunities, access to more shifts and a healthier work-life balance, giving more choice and control to our members. As an equal opportunities' organisation, NHSP is committed to the equal treatment of all current and prospective Bank members and does not condone discrimination on the basis of age, disability, sex, sexual orientation, pregnancy and maternity, race or ethnicity, religion or belief, gender reassignment, or marriage and civil partnership. We believe there is a strong case for the Equality, Diversity and Inclusion agenda and we strongly encourage suitably qualified applicants from a range of backgrounds to apply. Disclaimer Please note, you will be contacted by email throughout the recruitment process, so please check your emails, including your junk/spam regularly. We regret we cannot contact everyone who is not selected for an interview, therefore if you do not hear from us within 21 days after submitting your application, please assume you have not been successful on this occasion.

Please see the attached Job Description which is not exhaustive and is subject to amendment in the light of the evolving role

Please view the attached job description and person specification to view the full details about the role

Our Vision An innovative, ambitious, and sustainable county, where everyone has the opportunity to prosper, be healthy and happy. Our Outcomes We want everyone in Staffordshire to: Have access to more good jobs and share the benefit of economic growth. Live in thriving and sustainable communities Be healthier and more independent for longer. Our Values Our People Strategy sets out what we all need to do to make Staffordshire County Council a great place to work, where people are supported to develop, flourish, and contribute to our ambitious plans. Our values are at the heart of the Strategy to ensure that the focus is on what is important to the organisation and the people it serves: Ambitious We are ambitious for our communities and the people of Staffordshire. Courageous We recognise our challenges and are prepared to make courageous decisions. Empowering We empower and support our people by giving them the opportunity to do their jobs well. About the Service Adults in prisons and approved premises are entitled to receive the same access and provision of services as if they were a member of the local community. The Prisons and Approved Premises team aims to provide care and support services to adults in custodial settings across the full spectrum of need. Ensuring that adults in custodial settings have the care and support options they need to maximise their independence. Scope: Staffordshire has the largest prison population in England and Wales with about 5,400 prisoners. There are 7 prisons in Staffordshire; Stafford, Dovegate, Featherstone and Oakwood have adult male prisoners over the age of 21, with around 50% aged 30 to 49 years. Drake Hall has adult female prisoners over the age of 18, with only 3% aged 18-21 years old and over 50% aged 30 to 49. Swinfen Hall has adult male prisoners aged 21 to 25 with 70% aged between 20 and 24. Brinsford has young adult males aged 18 to 21. About the Role We now have a great opportunity for an Occupational Therapist to join the Prisons and Approved premises team as part of the Health and Care Directorate at Staffordshire County Council. Our team support the Adult Social Care Service to deliver the statutory care and support offer that the council provides to individuals in the Prisons and Approved premises. Occupational therapy assessment and support is an integral part of the assessment and delivery of support process adhering to the teams core principles. Core Principles: i. collaborate with individuals so they gain choice and control. ii. collaborate with individuals to enable them to articulate their needs. iii. develop and maintain positive working relations with appropriate partners e.g., in-reach health teams, prisons. iv. co-produce a holistic understanding of need and outcomes. v. co-produce a person-centered plan for individuals and their families. vi. plan for future, as well as presenting needs. vii. provide a key-working approach. viii. broker arrangements to achieve outcomes. ix. enable access to inclusive community activities. x. value diversity and promote peoples skills and successes. xi. maximise independence. xii. provide value for money. This position is considered as a Politically Restricted Post under the Local Government and Housing Act 1989 and subsequent amendments introduced by the Local Democracy, Economic Development and Construction Act 2009. This post is designated as a casual car user. Reporting Relationships Responsible to: Adult Safeguarding Team Leader Responsible for: NA Key Accountabilities: Under the direction of the Team Leader, to provide Occupational Therapy, including assessment and service provision, to adults with care and support needs in Prisons and approved premises settings. To carry an active caseload and undertake assessments of adults and older people with less complex needs, which could include initial assessments, including needs of carers, in accordance with Departmental Policy and procedure. To contribute to the development and implementation of care plans. Identify and assess risks associated with Moving and Handling and contribute towards the implementation of recommendations to reduce risk. Provide Occupational Therapy intervention to adults with less complex needs including recommendations for adaptations and equipment, planning and implementation of rehabilitation programmes, and counselling and advice, as necessary. To provide Occupational Therapy advice on initial enquiries, supporting the first contact service. To build links with other agencies and other departments of the Local Authority to support service delivery. To review services provided as necessary in accordance with Departmental Procedure. To understand and participate in the implementation of quality standards and cost effectiveness of the service. To maintain case records and documentation in accordance with departmental procedure, policy, and practice, and prepare reports, as necessary. To participate in training and development activities as necessary to ensure up to date knowledge and skills. and continued professional development. To find and use evidence on which to base professional practice. To undertake other duties appropriate to the post as required. Other Information The Occupational therapist will require to visit Prison and approved premises locations covered by Staffordshire. The appropriate Health and Safety training will be provided. Professional Accountabilities: The post holder is required to contribute to the achievement of the Council objectives through: Financial Management Personal accountability for delivering services efficiently, effectively, within budget and to implement any approved savings and investment allocated to the service. People Management Engaging with People Management policies and processes Equalities Ensuring that all work is completed with a commitment to equality and anti-discriminatory practice, as a minimum to standards required by legislation. Climate Change Delivering energy conservation practices in line with the Councils climate change strategy. Health and Safety Ensuring a work environment that protects peoples health and safety and that promotes welfare, and which is in accordance with the Councils Health & Safety policy. Safeguarding Commitment to safeguarding and promoting the welfare of vulnerable groups. The content of this Job Description and Person Specification will be reviewed on a regular basis. Person Specification A = Assessed at Application I = Assessed at Interview T = Assessed through Test Minimum Criteria for Disability Confident Scheme * Criteria Measured by Qualifications/Professional membership Diploma of the College of Occupational Therapy - BSc in Occupational Therapy Registered with Health Professions Council. (HCPC) A/I/T Knowledge and Experience Of the needs of older and people with Care and support needs Understanding of the role and function of the Local Authority in providing services to older and people with disabilities Of Equipment and adaptations available and their application Of other caring agencies Of working as part of a multi-disciplinary team Assessment of older and adults with care and support needs in relation to their home environment Knowledge of the Care Act 2014 Knowledge of the problems of disadvantaged groups. A/I/T Skills Ability to pass information accurately and concisely between service users, carers, colleagues and other. agencies. Ability to organise and prioritise own workload. Ability to conduct functional assessments of older and adults with care and support needs. Car driver -This post is designated as a casual car user. Ability to move and handle equipment necessary for assessment and provision. Ability to conduct safe functional assessments and give physical assistance to older persons and adults with care and support needs where necessary. A/I/T If a disabled person meets the criteria indicated by the Disability Confident scheme symbol and provides evidence of this on their application form, they will be guaranteed an interview. We are proud to display the Disability Confidence Symbol, which is a recognition given by Job centre plus to employers who agree to meet specific requirements regarding the recruitment, employment, retention, and career development of disabled people.

To be responsible for ensuring the data on the required electronic patient care record or Local Authority systems, if required, is accurate and up to date. The post holder will review the Trust dashboard or extract routine data for the Trust and/or team members. To address and alert teams to errors and problems as they arise. To support team members in being able to access basic information held on My Dashboards and Pulse To ensure that appointments are booked for clinical staff and discharges are completed in a timely fashion. To be responsible for ensuring referrals to the teams are processed on the day received. To facilitate effective communication within the team by providing team members with messages and information. To ensure that all telephone enquiries to the team are handled politely and sympathetically, ensuring that all messages are passed on to the appropriate person in a timely and accurate manner which may often involve dealing with difficult and distressed patients on the phone. To support the administration of multi-agency meetings, panels, Safeguarding Meetings and forums as required to attend, including the preparation/distribution of agendas and associated papers, formal minute taking and follow up actions and distribute these as appropriate. To maintain confidentiality at all times as the content of multi-disciplinary meetings, panels and Safeguarding Organise meetings including room bookings or video conferencing were possible as required Ensure that Admin related Trust KPIs are addressed through regular reports provided by the Team Manager. Co-ordinate all the support services provided to the team including domestic, catering, security, To be responsible for the ordering and purchasing of stationery and office supplies for staff as well as monitor and ensure that adequate levels of stationery supplies are maintained and distributed accordingly liaising with the Procurement Team regarding any problems. To have the need for confidentiality of service users and professional information Photocopy/fax/scan/email as requested by other members of the team To implement Trust and team policies/procedures and propose changes to practices if necessary.

MAIN DUTIES & RESPONSIBILITIES General reception duties. Operate switchboard. Administration of repeat prescriptions. Updating and maintaining clinical & computer records. General office duties. Any other delegated duties considered appropriate to the position. Work strictly to the Reception Team Rota to ensure that we have enough receptionists on duty at any one time SPECIFIC TASKS Greet patients and help with their enquiries. Make appointments. Take messages and process these efficiently and accurately. Process repeat prescription requests. Input data onto the computer system as required. Assemble and file patients notes. Open & close Practice premises. Record home visits requests. Transfer telephones for out of hours cover. Process requests for medical reports and copies of patient records. Work effectively in a team Interact with patients and colleagues in a professional manner

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac.

Please refer to the job description attached. If you have any questions about this position please do not hesitate to contact us.

Under the supervision of a clinical psychologist, to contribute and participate in undertaking comprehensive functional assessments, such as direct observation in various care settings, data collection and evaluation, and interviews with carers. To contribute to formal assessments undertaken by the Psychology Service, e.g. by collecting relevant data, background information, conducting observations and assisting with the assessment tools. To assist in the assessment and management of risk, including risks to personal safety and the development of collaborative crisis plans with service users and their carers. In conjunction with the Clinical Psychologist and other team members, to assist in implementing and monitoring intervention packages in collaboration with the individual and their carers, such as developing accessible resources (such as easy read and social stories), providing direct modelling and contributing to training with carers/staff. To develop positive relationships and work collaboratively with carers and offer support, empathy, and respect. To actively contribute and participate in evaluating the work of the Psychology Service using specified outcome measures and client and carer satisfaction measures and service audit. To participate in reviews and meetings in a professional manner. This will include presenting information in relation to individuals currently being worked with, reporting progress and obtaining direction, and working collaboratively with other members of the MDT. To contribute to the development of the Psychology and Complex Behaviour Support Serviceand the ongoing learning process of other team members by presenting views and ideasduring team and other meetings, and by attending and contributing to in service training(such as Difference and Diversity reflective sessions and PBS training). To collate and graph baseline and routine data collected in relation to referred behaviour,risk management and quality of life and the implementation of intervention. To produce and present to individuals, carers and other professionals, written sectionswithin an assessment report which give details of the persons quality of life, skills, and theassessment process used. To participate in chairing meetings and taking minutes where necessary. To work independently without written or spoken instruction, and to manage workloadindependently. There may be an occasional requirement to work outside of core workinghours. Use weekly supervision to reflect on and guide work-based interventions and to developnew skills

Please refer to the job description attached. If you have any questions about this position please do not hesitate to contact us.

JOB PURPOSE To perform physiotherapeutic assessment of patient with diverse presentations and complex physical and psychological conditions, to provide a diagnosis and develop and deliver an individualised treatment programme. The post-holder will participate in the senior rotational scheme which involves working across a range of settings. To be responsible for their own continuing professional and personal development 3. JOB DIMENSIONS To hold responsibility for own case load and be responsible for a defined area of the service or a particular patient type, working without direct supervision. Access to advice and support from a senior physiotherapist is available if required, clinical work is not routinely evaluated. To undertake all aspects of clinical duties as an autonomous practitioner within this specialist field. KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED Qualifications Degree or equivalent Attendance on relevant post graduate courses Experience Significant experience working as a physiotherapist Working with a wide range of professionals including medical, nursing and therapy colleagues Skills Ability to communicate effectively verbally and in writing Ability to prioritise, organise and allocate workload Time management skills Knowledge Insight into clinical speciality e.g. through academic study at post Graduate level or equivalent Insight into current professional issues and those influencing the NHS standards of professional practice Personal Attributes Professional and patient focused Ability to work independently and as part of a team Flexible, adaptable capable of lateral thinking Good interpersonal skills 8. CORE BEHAVIOURS AND SKILLS Teaching skills with the ability to use various media Communication skills Time management skills Team player Professional Research conscious 9. CORE KNOWLEDGE AND UNDERSTANDING An understanding of the organisational structure and working practices of this specialist area To have a working knowledge of Professional Standards set by the Charted Society of Physiotherapy, Health Professions Council and National Standards e.g. NSFs 9. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY Clinical To be professional and legally responsible and accountable for all aspects of your own work relating to the assessment and treatment of patients in your care undertaking clinical duties as an autonomous practitioner. To undertake the comprehensive assessment and treatment of patients including those with diverse / complex / multi pathological presentation. This will necessitate the use of investigative and analytical skills to formulate an accurate diagnosis and treatment from a range of options. Using investigative and analytical skills to formulate individualised management and treatment plans including the development of comprehensive discharge plans. To accept clinical responsibility for a designated caseload of patients and to organise this effectively and efficiently with regard to clinical priorities and use of time. To demonstrate dexterity, co-ordination and palpatory skills in the assessment and manual treatment of patients. To develop and deliver the physiotherapy element of the rehabilitation programme and on occasion to deliver some elements normally undertaken by nursing or occupational therapy colleagues. Use a range of verbal and non-verbal communication tools to communicate effectively with patients to progress treatment and rehabilitation programmes. This will include patients who may have difficulties in understanding or communicating. Ability to work in a stressful environment imparting information regarding poor rehabilitation prognosis on a daily basis. Ability to deal effectively with emotional and / or aggressive patients and / or carers on a daily basis. This will necessitate the use of communication skills e.g. to motivate and reassure. Assess patient understanding of treatment proposals, gain valid informed consent and have knowledge to work within a legal framework with patients who lack capacity to consent to treatment. To ensure a high standard of clinical care for the patients under your management and support more junior staff/ students to do likewise. Formulate and deliver physiotherapy treatment programmes based on a sound knowledge of evidence based practice and treatment options using clinical assessment, reasoning skills and knowledge of treatment options using e.g., manual physiotherapy techniques, patient education, exercise classes, electrotherapy techniques and other alternative options. Represent the physiotherapy service and / or individual patients at multi-disciplinary team meetings, to ensure the delivery of a co-ordinated multidisciplinary service, and integration of physiotherapy treatment. This will include discussion of patient care, patient progress and involvement in discharge planning. Education and Training To provide spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals to promote understanding of the aims of physiotherapy and to ensure a consistent approach to patients care. To communicate effectively with patients and carers to maximise rehabilitation potential and to ensure understanding of their condition. Be an active member of the in-service training programme by attendance at, and participation in tutorials individual training sessions external courses peer review and reflective practice. To contribute to the teaching of student physiotherapists to graduate level on physiotherapeutic skills and knowledge within core clinical areas. Teach, assess and contribute to the performance assessment and appraisal of junior physiotherapists and physiotherapy assistant staff. To provide daily support, guidance and training to junior physiotherapist, support workers and students, assessing evaluating and ensuring competence. Professional and Managerial Maintain and develop current knowledge of evidence based practice in the areas of each rotation, developing knowledge of a variety of conditions and patient types. As a senior member of the clinical team you may be required to ensure that you implement policy and service development changes and ensure other do likewise. To be responsible for maintaining own competency to practice through continued Professional Development activities and maintain a portfolio which reflect your own personal development. To communicate effectively and work collaboratively with medical, nursing and therapy colleagues to ensure delivery of a co-ordinated multidisciplinary service. This will include case conferences, ward rounds and discharge planning as appropriate. To participate in the staff appraisal scheme as an appraise and appraiser and be responsible for complying with your agreed personal development programmes to meet set knowledge and competencies. To undertake the measurement and evaluation of your work and current practices through the use of evidence based projects, audit and outcome measures, either individually or with others. Make recommendations for changes as appropriate. To demonstrate an understanding of Clinical Governance and Risk Management and apply to work situation. To maintain own continuing professional development by keeping abreast of any new trends and developments, incorporating them as necessary into your work. In the absence of a senior staff member to supervise more junior staff, technical instructors, assistants and students. To allocate individual task to more junior staff and support workers as required. Organisational To be responsible for a designated area of work, as agreed with the Clinical Physiotherapy Manager and to plan and organise efficiently and effectively with regard to patients management and use of time. To decide priorities for won workload, balancing other patient related demands. To be responsible for the safe and competent use of individually prescribed equipment used by patient and general therapy equipment used by physiotherapy staff through teaching and supervision of practice. To maintain accurate comprehensive and up-to-date documentation, in line with legal and departmental requirements, and communicate assessment and treatment results to the appropriate disciplines in the form of verbal / written reports / letters. To be actively involved in the collection of appropriate data and statistics for the use of the department. To be aware of Health and Safety aspects of your work and implement any policies, which may be required to improve the safety of your work area, including your prompt recording and reporting of accidents to senior staff, and ensuring that equipment use is safe To comply with the organisational and departmental policies and procedures and to be involved in their reviewing as appropriate. To undertake any other duties that might be considered appropriate by the Clinical Physiotherapy Manager or the Head of Physiotherapy.

SCOPE This role covers all product and service requests from all areas within UHL Our Future Hospitals programme covering purchases ranging from Medical & surgical consumables and equipment to professional services required. Training Project Managers about the procurement systems will be a key element to the role. Taking and responding to helpdesk calls will be part of this role. To have a good working knowledge of the procure to pay process including approval levels above £1million, and an understanding of Framework Agreements. To support the Tendering process and manage correspondence with external stakeholders. To process invoices, analysing a range of facts to determine action required; liaising with appropriate stakeholders to resolve queries. To establish software based administrative processes and maintaining comprehensive records to support Project Managers manage their budgets, and adhering to NHS document and retention guidelines. Policy Responsibility to follow local Trust guidelines on product type, where it exists, and to adhere to any Trust controls in place. Standing Financial Instructions and Standing Orders should be adhered to. Communications This role involves a considerable amount of communication with a wide variety of internal and external stakeholders, including outsourced contractors, via telephone, e-mail and face to face, where there are often barriers to customers understanding. This communication is often complex. KEY WORKING RELATIONSHIPS UHL and External Project Managers: Daily Capital Projects Compliance Manager: Daily Procurement Team: Daily Accounts Payable Department: Daily Deputy Director, Estates & Facilities: Regularly External stakeholders: Regularly Reconfiguration Programme Director: Occasionally KEY RESULT AREAS Service Delivery This postholder will be flexible in approach to duties carried out at any of the University of Leicester NHS Trust Hospital sites when required, and ensure compliance with all Trust Standing Orders and Standing Financial instructions, Trust policies, Health and Safety and all other issues appertaining to the efficient delivery of a first class procurement function. To respond to Project Managers requests to raise and process Reconfiguration and Capital purchase orders in a timely manner. Governance Responsible for policing/monitoring ongoing compliance with local guidelines and national policies on purchasing as required and to assist in providing full and precise records relating to all activities undertaken and store efficiently to enable swift retrieval for Audit purposes. Customer Service Responsible for ensuring that consistent high standards of customer service are delivered at all times. This includes the manning of a helpdesk function to provide guidance on issues ranging from missed delivery or training, to the fast track processing of a Capital Order request. Efficiency Responsible for the accurate recording of any efficiencies or savings made as a result of the work that the Reconfiguration team carry out and the presentation of any data gathered as appropriate when requested to do so. Training Responsible for the training/guidance of Reconfiguration Team members using the efinancials Procurement System when required. This postholder has a commitment to attend appropriate training sessions as agreed in order to enhance the service delivered and to increase customer confidence in all aspects of the duties carried out on their behalf. They are also responsible for requesting that full training and development of him/her is arranged and carried out in order to produce excellent results and increase confidence in all aspects of their daily duties. IM&T This postholder will use departmental technology in the course of the successful despatch of their duties and will give full co-operation in any upgrade activities as and when required. Meetings This postholder is accountable for attendance at meetings designed to inform or train staff within the Procurement or Inventory & Supplies function. This is to ensure that all necessary information required to carry out daily activities are understood; and to take part in discussion around the development of the team. This postholder will be responsible for developing agendas, leading meetings and taking minutes where required.

There are outpatients facilities on both sites, with the main department at Brighton. Both sites have Visual Field analysers and OCT scanning facilities. The main orthoptic department is at SEH but there is also a service at PRH. We provide Medical Retina services at Hove Polyclinic. Most surgery is performed in 2 ophthalmic theatres at SEH, one with anaesthetic cover; and cataract surgery is also performed at Lewes Victoria Hospital. Paediatric Surgery is provide at the Royal Alexander Hospital which is the childrens Hospital on the main hospital site at the Royal Sussex County Hospital and has a team of anaesthetic anaesthetists and other specialist paediatric staff. Special care baby units at Brighton (Trevor Mann Baby Unit) Level 3 and at Princess Royal Hospital Level 2. We work closely with Neurology and Neurosurgery and Dr Sarah Cooper is a Neurologist with a special interest in Neuro ophthalmology and works within our department. We provide a service to the regional Pituitary service a multidisciplinary team of Neurosurgery, Endocrinology and Neuroradiology