LOCUM CONSULTANT
PHYSICIAN IN
RESPIRATORY & GENERAL
MEDICINE
GLASGOW ROYAL
INFIRMARY
INFORMATION PACK
REF: 41201D
CLOSING DATE: NOON 29TH JANUARY 2016
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
POST: LOCUM CONSULTANT PHYSICIAN IN RESPIRATORY & GENERAL
MEDICINE
BASE: GLASGOW ROYAL INFIRMARY
This is a Locum Consultant post commencing February 2016 for a period of 6
months. You will join an established team of 10 other consultants delivering
clinical care in Respiratory Medicine, with both in-patient and out-patient
responsibilities. Respiratory Medicine operates a 16 bed acute respiratory
ward, and 4 downstream wards, with a total of 83 in-patient beds. Acute
medical receiving is via the acute respiratory ward. The Department operates
a full range of specialty and sub-specialty clinics. Experience in the
management of interstitial lung disease or tuberculosis is desirable, but not
essential. Participation in the Consultant on-call rota will be required.
Candidates must have full GMC registration and a licence to practise.
BACKGROUND INFORMATION
NHS Greater Glasgow and Clyde (NHSGGC) is one of 14 regional NHS Boards
inScotland.
The Board provides strategic leadership and performance management for the entire
local NHS system in the Greater Glasgow and Clyde area and ensures that services
are delivered effectively and efficiently. Responsible for the provision and
management of the whole range of health services in this area including hospitals
and General Practice, NHSGGC works alongside partnership organisations including
Local Authorities and the voluntary sector. NHSGGC serves a population of 1.2
million and employs 44,000 staff – it is the largest NHS organisation in Scotland and
one of the largest in the UK. If you want to know more about the NHS in Scotland
then please visit www.show.scot.nhs.uk.
NHS Greater Glasgow and Clyde’s purpose is to: “Deliver effective and
high quality health services, to act to improve the health of our population and
to do everything we can to address the wider social determinants of health
which cause health inequalities”
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Serves a population of 1.2 million
Employs over 38,000 staff
More than 300 GP Surgeries (General Practitioners)
35 Hospitals of different types
Dental Services in more than 270 locations
Almost 180 Optician practices
Over 50 Health Centres and Clinics
More than 300 Pharmacies.
Area Covered
From Gourock to Easterhouse, Lennoxtown to Eaglesham, Alexandria to
Bishopbriggs, NHSGGC serves the people of:
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Inverclyde,
Renfrewshire,
East Renfrewshire,
Glasgow,
East Dunbartonshire,
West Dunbartonshire,
Part of South Lanarkshire, including Rutherglen and Cambuslang.
Acute Services Division
The Acute Services Division is the largest group of adult acute hospitals in
Scotland. It enjoys close links with Glasgow’s three universities and makes a
significant contribution to teaching at both undergraduate and postgraduate
level. Research also has a high profile within the organisation. Education
facilities are provided at Glasgow Royal Infirmary and the new ambulatory
care hospital at Stobhill Hospital. The service in North Glasgow presently
employs more than 14,300 staff serving a core catchment population of
560,000.
Glasgow Royal Infirmary (GRI) & new Stobhill Ambulatory Care Hospital
(nSACH)
Glasgow Royal Infirmary is one of the major teaching complexes of the
University of Glasgow. It provides the Emergency Medicine service for the
North Eastern districts of Glasgow and has inpatient beds in general medicine
and related specialities, medicine for the elderly, general surgery,
orthopaedics, plastic surgery and obstetrics and gynaecology. There are also
beds in intensive care, medical and surgical high dependency, and coronary
care. Following the closure of Stobhill Hospital March 2011 all acute medical
beds, with the exception of some long-stay care of the elderly beds, are on
the GRI site. The new Stobhill Ambulatory Care Hospital is a modern purpose
built ACH providing a full range of out-patient and ambulatory care services
including an ENP led Minor Injuries Unit (MIU). Radiology, Cardiology and
Respiratory diagnostic services are provided both at GRI and nSACH.
Staff at GRI and nSACH are proud of the close inter-departmental links and
co-operation. They are at the forefront of a progressive agenda in relation to
clinical standards, managed clinical networks and patient focused service redesign. There are close clinical links with colleagues in the Community Health
Care Partnership and other hospitals in NHS Greater Glasgow and Clyde,
Glasgow, Strathclyde and Glasgow Caledonian Universities. There is a
dedicated hospital wide academic programme supported by a strong service
educational commitment.
GRI and nSACH are provided with dedicated
education centres and IT support. Both have excellent reputations in
supporting and nurturing its clinical staff and also have an excellent reputation
for under and post graduate training.
There are academic units in
Anaesthetics, Cardiology, Human Nutrition, Medicine, Surgery, and Obstetrics
and Gynaecology.
At GRI medical emergencies are admitted via an Acute Assessment Unit
(AAU) run by acute physicians or via the Emergency Department (ED) to an
Acute Medicine Unit (AMU). This comprises 4 geographically defined ward
areas covered by specific specialty teams – general medical, respiratory,
gastroenterology and medicine for the elderly. Where bed availability permits,
patients with specific conditions are triaged to the appropriate specialty team
e.g. patients with respiratory disease to the respiratory area. Four consultant
physicians representing each speciality group take part in acute receiving
each day in the AMU with morning and evening ward rounds.
Acute admissions to medicine range from 45 to 70 per day. Patients requiring
a short stay are discharged from AMU. Those requiring longer stays are
transferred ‘downstream’ to medical, care of elderly or cardiology beds. There
are 216 downstream medical beds split into specialty units/wards; Respiratory
Medicine, Rheumatology, Gastroenterology, Diabetes and Endocrinology.
Consultants from the department of medicine for the elderly (DOME)
contribute to receiving duties, but also have 183 in-patient beds in a number
of wards within Glasgow Royal Infirmary with additional rehabilitation beds at
Lightburn Hospital and Stobhill Hospital. There is a separate Stroke Ward.
The Respiratory Department
Respiratory outpatient services are provided at nSACH and GRI, with
inpatient beds at GRI.
Respiratory Team
Medical Team
The advertised post is to join the existing medical team who consist of
Consultants in Respiratory Medicine. The service has the support of middle
grade junior doctors and ward based cover by FY1/2 doctors. Middle grade
doctors and sessional GPs provide support to out-patient clinics.
Consultants
Dr George Chalmers (Lead Consultant) - Interstitial Lung Disease / Vasculitis
Dr Mark Cotton - Respiratory Infections / Airways Disease
Dr Melanie Brewis – Pulmonary Vascular disease/asthma
Dr Douglas Cowan - Asthma
Dr Brian Choo-Kang – Pleural Disease / Respiratory Infections
Dr Eric Livingston – Sleep
Dr John Maclay – Lung Cancer
Dr Joris Van der Horst – Lung Cancer / Interventional Bronchoscopy
Dr Brian Neilly - Nuclear Medicine
Dr Robert Milroy – Lung Cancer P/T
This post
Specialty Trainees
There are currently 4 ST trainees in Respiratory Medicine attached to the unit.
Sessional General Practitioners
Dr John Farley
Dr Cameron Livingston
Respiratory Nurse Specialists
There are Respiratory Nurse Specialist (RNS) across GGC who specialise in
various areas of Respiratory Nursing (Lung cancer, Asthma & COPD,
Interstitial Lung disease, Breathing Support, Cystic Fibrosis and Pulmonary
Vascular Disease)- 8.4 WTE in North East Glasgow. These RNS’s provide
expert respiratory clinical skills to manage patients across both Secondary
care and Primary care settings. The RNS's play a key role on improving the
quality of care for respiratory patients by reducing unplanned hospital
admissions, facilitating early discharge, offering care at home and improving
patient self-management skills. There are well established links with the
British Lung Foundation. Two TB nurses are based in the respiratory
department.
Respiratory Physiotherapy
A specialist respiratory physiotherapist provides out patient services
and supports in-patient physiotherapy with the assistance of the
general physiotherapy service.
Respiratory Clinical Physiology
Respiratory physiology services are based at both Glasgow Royal Infirmary
and the new Stobhill Ambulatory Care Hospital. The respiratory physiology
and sleep laboratories have the aim of providing an efficient,
comprehensive clinical, therapeutic and pulmonary function assessment
service for the diagnosis and rehabilitation of patients with respiratory and
sleep related breathing disorders. The two laboratories provide a full range
of routine pulmonary function tests (lung volumes by body plethysmography,
spirometry, and single breath gas transfer assessment, response to
bronchodilator and blood gas assessment by arterialised ear lobe capillary
sampling). Specialist respiratory physiology and sleep assessment are also
provided, in particular Progressive Cardiopulmonary Exercise Testing,
Bronchial Provocation Testing, Respiratory Muscle assessment, Oxygen
Assessment (LTOT, Ambulatory and Fitness to Fly) and Sleep diagnostic
studies (Screening and Full Polysomnography). A full therapeutic service
(CPAP/NIV) for patients with sleep related breathing disorders is also
provided. The department currently has 10 WTE Clinical Physiologists and
1WTE unqualified Support Worker providing the specialised services in
sleep and exercise physiology.
Lung Cancer
The NE Respiratory service diagnoses about approximately 400 new lung
cancer cases per year. The service is greatly supported by lung cancer
nurse specialists, a consultant-led palliative care team visiting from the local
hospice (whose Macmillan nurses also lend community support) and a
consultant-led oncology team visiting from the West of Scotland Oncology
Unit. There is a weekly NE sector multi-disciplinary meeting, incorporating
GRI, Stobhill and Beatson Oncology Hospitals, Golden Jubilee National
Hospital (Thoracic Surgery) and the Southern General Hospital (Pathology
Department). This is attended by a core group of respiratory physicians,
thoracic surgeon, radiologists, oncologists, pathologists, lung cancer nurse
specialists, and audit representation.
Interstitial Lung Disease
There is a weekly interstitial lung disease / vasculitis clinic which provides
detailed assessment and management of patients with interstial lung
diseases Patients are discussed at the monthly Interstial Lung disease MDT
involving specialist radiologists and pathologists. Systemic and biological
therapies are administered utilising the rheumatology day unit, and there are
close working relationships with the rheumatology service. The service is
supported by a clinical nurse specialist and is involved in clinical and
therapeutic research in interstitial lung disease.
Investigation/Invasive Procedures
Bronchoscopy, is well developed, advanced and diagnostic procedures
carried out within the modern purpose built Endoscopy suites at GRI and
Stobhill. There are five bronchoscopy sessions each week approximately.
Facilities include EBUS, approximately 300 procedures per annum, electro
magnetic navigation, radiological screening, interventional bronchoscopy
including cryotherapy and electrotherapy and stenting. Interventional
radiologists support stenting, specialist respiratory radiologist’s neck node
FNA and CT-guided biopsy. In addition to this both GRI and Stobhill are
supported by modern, well staffed radiology departments with access to
Pleural Ultrasound, CT and MRI facilities.
Duties of Post:
Specialist interest and out-patient clinics.
Respiratory outpatient clinics are provided both at GRI and Stobhill. They
include General Respiratory Medicine, Lung Cancer, ILD, Complex Asthma,
Bronchiectasis, TB and Sleep clinics attended by consultants, specialty and
middle grade doctors. The postholder’s outpatient clinics may be provided on
both the GRI and Stobhill sites. There may be a requirement to participate in
specialty MDT meetings.
Acute Medical Receiving (Glasgow Royal Infirmary) and In-patient work
The Respiratory Unit contributes a speciality component for medical receiving
having 16 acute respiratory beds in the receiving complex and continuing care
of patients in downstream medical wards. The medical receiving is shared
with all the major specialties except Renal and Cardiology. The rota is 1:10,
and includes morning and evening ward rounds in the receiving ward and inpatient speciality referrals from other units.
The respiratory medicine in-patient beds are situated in Wards 2, 6, 7/16 and
ward 10. These wards predominantly function as a specialist respiratory unit
but may also be used for general medical patients (following acute receiving).
Teaching
The Unit has a major commitment to training junior staff and teaching medical
students. During term-time the unit has third, fourth and final year students on
the ward and there are frequently post-graduate students training for the
MRCP examination. Teaching of practical procedures including pleural
procedures and bronchoscopy to post graduates is a key component of the
work of the unit The Unit runs a weekly clinical seminar in addition to
participation in a range of MDT meetings in cancer, TB, ILD and
mesothelioma, and participates regularly at grand rounds and postgraduate
conferences.
Clinical Audit
The Respiratory Medicine Unit has been actively involved in audit
programmes in several areas including Lung Cancer. The new appointee will
be expected to have an active involvement in leading clinical audit.
Consultant Responsibilities
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As agreed with the Clinical Director in ECMS to provide (with
consultant colleagues) a service in acute and respiratory medicine with
responsibility for the prevention, diagnosis and management of illness
and for the proper functioning of the service.
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To provide cover for consultant colleagues during annual and study
leave or at such other times as agreed with the Clinical Director.
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To motivate staff within the service through leading by example and
fostering good working relationships at all levels in line with the
principles of the local Partnership Agreements.
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To participate fully in consultant appraisal and personal development
planning activities.
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To ensure the efficient and effective use of Acute Services resources.
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To participate in the delivery of agreed national and local performance
indicators e.g. Health, Economic Access Targets (HEAT).
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To participate in the Health Board and the Acute Division’s Clinical
Governance framework and policies.
This job plan is negotiable and will be agreed between the successful
applicant and the Clinical Director. NHS Greater Glasgow & Clyde
initially allocates all full time consultants 10 PAs made up of 9 PAs in
Direct Clinical Care (DCC) and one core Supporting Professional
Activities (SPA) for CPD, audit, clinical governance, appraisal,
revalidation, job planning, internal routine communication and
management meetings. The precise allocation of SPA time and associate
objectives will be agreed with the successful applicant and will be
reviewed at annual job planning.
Proposed timetable
10 PA - Fixed sessions -9 direct clinical care, 1 SPA
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Bronchoscopy
Ward work / Admin
In patient W/R
PM
Specialty Clinic
Specialty Clinic
General Resp Clinic
Acute W/R / SPA alt Referrals / SPA alt
weeks
weeks
It is anticipated that this appointment will provide support for the
Specialty clinics in Interstitial Lung Disease and Tuberculosis
/bronchiectasis, but flexibility including timing of sessions will be necessary
to take into consideration the changing service needs and absence of
colleagues, such commitments will be incorporated into the post holder’s job
plan. The final job plan will be agreed at or shortly after interview by
agreement with the Clinical Director, General Manager and successful
candidate.
Management Arrangements
General (Internal) Medicine and Acute Medicine are part of the North Sector
services Mr Jonathan Best is the Director and is supported by Dr Chris
Deigan Chief of Medicine and Mr John Stuart as Chief Nurse.
At Glasgow Royal Infirmary the Clinical Director for Medicine is Dr Russell
Drummond who is supported by Dr David McCarey, Lead Clinician. Service
management responsibility for Medicine at Glasgow Royal Infirmary and
Stobhill Hospital is held by Mr Russell Coulthard, General Manager,
supported by Ms Rosemary Brogan, Clinical Service Manager.
Living & Working in Glasgow
Today Glasgow is a compact, vibrant and modern city. In fact Glasgow’s scale
comes as a surprise to many people. It has the largest suburban rail network
outside London and is second only to the UK Capital as a retail centre. There
are good schools, excellent leisure facilities, beautiful golf courses and
elegant accommodation across all price ranges. The night life and restaurants
are renowned and its opera, theatres, art galleries and museums offer plenty
of cultural stimulation. From Glasgow, it is only a short journey to many
picturesque sites including Loch Lomond (45 minutes), the Argyll peninsula –
or over the sea to Arran, Skye, Iona and Mull.
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital
and Medical & Dental Whitley Council.
TYPE OF CONTRACT
Fixed Term
GRADE AND SALARY
Locum Consultant
£ 76,761 £ 103,490 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the
salary scale, (dependent on qualifications and experience). Salary is paid
monthly by Bank Credit Transfer.
HOURS OF DUTY
Full Time 40.00
SUPERANNUATION
New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but
under seventy five will be enrolled automatically into membership of the NHS
Pension Scheme. Should you choose to "opt out" arrangements can be made
to do this via: www.sppa.gov.uk
REMOVAL EXPENSES
Assistance with removal and associated expenses may be given and would be
discussed and agreed prior to appointment.
EXPENSES OF
CANDIDATES FOR
APPOINTMENT
Candidates who are requested to attend an interview will be given assistance
with appropriate travelling expenses. Re-imbursement shall not normally be
made to employees who withdraw their application or refuse an offer of
appointment.
TOBACCO POLICY
NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises
and grounds.
DISCLOSURE SCOTLAND
CONFIRMATION OF
ELIGIBILITY TO WORK IN
THE UK
This post is considered to be in the category of “Regulated Work” and
therefore requires a Disclosure Scotland Protection of Vulnerable Groups
Scheme (PVG) Membership.
NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to
ensure that it’s employees, both EEA and non EEA nationals, are legally
entitled to work in the United Kingdom. Before any person can commence
employment within NHS GGC they will need to provide documentation to
prove that they are eligible to work in the UK. Non EEA nationals will be
required to show evidence that either Entry Clearance or Leave to Remain in
the UK has been granted for the work which they are applying to do. Where
an individual is subject to immigration control under no circumstances will they
be allowed to commence until the right to work in the UK has been verified.
ALL applicants regardless of nationality must complete and return the
Confirmation of Eligibility to Work in the UK Statement with their completed
application form. You will be required provide appropriate documentation prior
to any appointment being made.
REHABILITATION OF
OFFENDERS ACT 1974
The rehabilitation of Offenders act 1974 allows people who have been
convicted of certain criminal offences to regard their convictions as “spent”
after the lapse of a period of years. However, due to the nature of work for
which you are applying this post is exempt from the provisions of Section 4 of
the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of
Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants
are required to disclose information about convictions which for other purposes
are “spent” under the provision of the act in the event of employment, failure to
disclose such convictions could result in dismissal or disciplinary action by
NHS Greater Glasgow and Clyde. Any information given will be completely
confidential.
DISABLED APPLICANTS
A disability or health problems does not preclude full consideration for the job
and applications from people with disabilities are welcome. All information will
be treated as confidential. NHS Greater Glasgow and Clyde guarantees to
interview all applicants with disabilities who meet the minimum criteria for the
post. You will note on our application form that we ask for relevant information
with regard to your disability. This is simply to ensure that we can assist you,
if you are called for interview, to have every opportunity to present your
application in full. We may call you to discuss your needs in more detail if you
are selected for interview.
GENERAL
NHS Greater Glasgow and Clyde operates flexible staffing arrangements
whereby all appointments are to a grade within a department. The duties of an
officer may be varied from an initial set of duties to any other set, which are
commensurate with the grade of the officer. The enhanced experience
resulting from this is considered to be in the best interest of both NHS Greater
Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES
The postholder will undertake their duties in strict accordance with NHS
Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE
The employment is subject to one months’ notice on either side, subject to
appeal against dismissal.
MEDICAL NEGLIGENCE
In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the
Health Board does not require you to subscribe to a Medical Defence
Organisation.
Health Board indemnity will cover only Health Board
responsibilities. It may, however, be in your interest to subscribe to a defence
organisation in order to ensure you are covered for any work, which does not
fall within the scope of the indemnity scheme.
FURTHER INFORMATION
For further information on NHS Greater Glasgow and Clyde, please visit our website
on www.nhsggc.org.uk
View all our vacancies at: www.nhsggc.org.uk/medicaljobs
Register for Job Alerts at: www.medicaljobs.scot.nhs.uk
Applicants wishing further information about the post are invited to contact Dr Russell
Drummond on 0141 211 4972 or Dr George Chalmers on 0141 211 9395 with whom
visiting arrangements can also be made.
HOW TO APPLY
To apply for these posts please include your CV and names and addresses of 3
Referees, along with the following documents; (click on the hyperlinks to open)
Medical and Dental Application and Equal Opportunities Monitoring Form
Declaration Form Regarding Fitness to Practice
Immigration Questionnaire
Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to
Apply” tab to access application for and CV submission information.
NOMINATION OF REFEREES
It is Board policy that no person can act as a member of an Advisory Appointments
Committee and be a referee for a candidate for that post. You should therefore
check with your proposed referees whether there is likely to be any difficulty in this
respect for we may otherwise have to invite you to submit another name or names
RETURN OF APPLICATIONS
Please return your application by email to nhsggcrecruitment@nhs.net or to the
recruitment address below;
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde
Recruitment Services, 1st Floor
Modular Building, Gartnavel Royal Hospital
1055 Great Western Road
GLASGOW
G12 0XH
CLOSING DATE
The closing Date will be 29 January 2016