Job Description
Speciality Doctor- Cardiac Surgery
Fixed term 1 year with possibility of extension
National Waiting Times Centre NHS Board
Job Description
1.
Job Identification
Job Title:
Speciality Doctor- Cardiac Surgery
Responsible to: Cardiac Surgery Operational & Strategic Lead
Accountable to: Chief Executive
Department(s):
2.
Department of Cardiothoracic Surgery
Introduction.
The Golden Jubilee Hospital is a state of the art tertiary referral centre on the banks of the River
Clyde in close proximity to Glasgow International Airport and within 30 minutes of the centre of
Glasgow by road and rail links
The hospital was originally built as a private hospital in 1995 and is now the National Waiting Time
Centre which is a special health board of NHS Scotland. The Golden Jubilee National Hospital has
300 beds overall with all wards having single or two bedded rooms with ensuite facilities. The estate is
one of a high specification and has the invaluable asset of a hotel and conference centre as an
integral unit alongside the hospital.
All facilities are managed by the National Waiting Times Centre
Board
The main clinical services provided are Heart and Lung Specialties, elective major Orthopaedics,
General Surgery, Plastic Surgery, Endoscopy and Diagnostic Imaging.
The West of Scotland Heart and Lung Centre
The Centre was created in March 2008 at the Golden Jubilee Hospital, bringing Interventional
Cardiology and Cardiothoracic services previously provided by Greater Glasgow and Clyde and
Lanarkshire onto our Specialist Tertiary Centre at the Golden Jubilee National Hospital. The
interventional cardiology service which includes primary PCI is among the busiest in the UK. The
Centre also provides the regional electrophysiology service for the West of Scotland. In addition to
these regional specialist services the GJNH is the site for the co-location of three services funded by
the National Services Division of National Services Scotland (accountable for commissioning
specialist services provided on a national basis on behalf of the Scottish Executive). These include
the Scottish Adult Congenital Cardiac Service (SACCS), the Scottish Advanced Heart Failure Service
(SAHFS) and the Scottish Pulmonary Vascular Unit (SPVU). The SAHFS provides cardiac
transplantation and mechanical support services for the treatment of advanced heart failure to the
Scottish population. With this array of specialist cardiopulmonary services for a catchment population
of 2.2 million, the GJNH is one of the largest heart and lung centres in Europe. The Heart and Lung
Centre also benefits from MRI and CT imaging facilities with capabilities for CT angiography and a
brand new 64 slice CT.
Management Structure
The NHS National Waiting Times Centre is a Special Health Board of Scotland which reports directly
to the Scottish Government. Within the hospital there two divisions of which Anaesthesia, ICU and
Theatres are part of the Surgical Specialties Division.
Management team:
Associate Medical Director, Surgical Specialties Dr Alistair Macfie
Head of Operations, Surgical Specialties
Mrs Lynn Graham
Interim Head of Nursing
Mrs Theresa Williamson
Theatre Manager
Mrs Karen Boylan
Operations Manager
Mrs Claire MacArthur
Services Manager
Mrs Claire Fenwick
Medical leadership in department structure
CEO
DIRECTOR OF
BUSINESS SERVICES
DIRECTOR OF
NURSING
MD
HEAD OF
OPERATIONS
HEAD OF
NURSING
AMD
OPERATIONS &
STRATEGIC LEAD
GOVERNANCE LEAD
CONSULTANT
Consultant Workforce
There are currently 15 consultant surgeons. All work exclusively at GJNH apart from three who also practice
paediatric cardiac surgery at Royal Hospital for Sick Children Yorkhill Hospital).
The following are members of the department in sub-specialty groups:
Thoracic
Adult Cardiac
Cardiac Transplant
Alan Kirk
Mohammed Asif
Michael Klimatsidas
Ian Colquhoun
Geoff Berg
Vivek Pathi
Nawwar Al Attar
Mahesh Balakrishnan
Philip Curry
John Butler (CT)
John Butler
David Quinn
(locum)
Ian Colquhoun (CT)
Fraser Sutherland
Udim NKere
Stewart Craig
Zahid Mahmood
(locum)
Adult Congenital
Cardiac
Kenny MacArthur
Andrew McLean
Mark Danton
Ed Penn
Facilities of the Heart and Lung Centre
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4 Cardiac Operating Theatres
2 Thoracic Operating Theatres
2 Intensive Care Units (ICU)
2 Cardiothoracic High Dependency Units (HDU)
1 Cardiac Ward
1 Thoracic Ward
1 Surgical Day Unit
4 cardiac catheterisation laboratories (one dedicated EP)
9 bedded national services unit which includes a new dedicated procedures room for
haemodynamic assessments and myocardial biopsy
Coronary Care Unit (8 beds)
Cardiology day and inpatient wards
All standard non invasive cardiological services
Non invasive cardiac imaging including
Full range of echocardiographic facilities
Full range of pulmonary function testing including CPEX
Outpatient facilities
Excellent well appointed dedicated area for advanced heart failure and devices
Links with Glasgow, Strathclyde, Caledonian and Stirling Universities
Leadership
In view of the framework of the Surgical Division there will be potential to take a significant leadership
role for the National Waiting Times Centre Health Board attached to this post for candidates with
management experience or willingness to develop within this area.
Research, Development and Innovation
Research is a very important component of the activity at the GJNH and is supported a R&D Steering Group and
dedicated R&D Manager. There are currently 85 projects hosted by GJNH. These projects are either actively
recruiting or in follow-up. Contract (commercial) research is encouraged and staff use income generated from
this source to maintain research support staff such as Clinical Research Fellows and Research Nurses.
Academic research is also encouraged and the new appointment will be strongly encouraged to take an active
role in this activity. Collaboration with Glasgow Universities and NHS GG&C has been agreed as part of the
Board’s strategy. The appointee will also be expected to work with other national and UK collaborative projects
that are relevant to position. A number of consultants undertake significant research work.
Beardmore Centre for Health Science
This centre contains a dedicated Clinical Research Facility which is designed to provide a ‘fit for
purpose’ space for patients recruited to clinical trials. There are four consulting rooms; one is set up for
echocardiography and one as an exercise tolerance suite. The remaining two rooms are general
consulting rooms. The rest of the centre is made up of preparation rooms, simulator training wet lab
work stations and a patient waiting area. The Centre is adjacent to the main auditorium of the
conference centre providing excellent opportunities to develop teaching techniques and learning.
Improved audiovisual links to theatre and the cardiac cath lab are installed as part of this development.
The Beardmore Hotel and the integral conference centre attached to the Golden Jubilee Hospital is a
unique arrangement in the UK and will enable important national and ‘focus’ international meetings for
the Heart and Lung specialties to share learning in the UK and beyond.
Governance and Risk management
The Board has a comprehensive programme that covers both clinical and research governance
domains and all medical staff are expected to uphold clinical and non-clinical policies and be exemplar
role models for all other medical and non-medical staff. The importance of infection control, hand
hygiene and dress code must be adhered to at all times.
Patient safety underpins clinical practice and initiatives following the guidance of the SPSP and
subsequent programmes apply to all staff.
Medical staff are required to undergo annual appraisal meeting the requirements for revalidation that
will be directed by the GMC. The Medical Director is the Responsible Officer for the Board and he/she
will ensure that an appropriate appraisal process and a nominated appraiser are in place.
The appointee will be accountable to the Medical Director for matters related to the GMC’s guidance on
Good Medical Practice and the Duties of the Doctor. Any concerns raised relating to GMC guidance are
referred to the Medical Director.
MAIN DUTIES/RESPONSIBILITIES
The responsibilities of the post are mainly, but not exclusively:

To help provide pre operative and post operative assessment and management of cardiac
patients. This will be within the outpatient clinic as well as on the ward.

Participate in a collaboration medical and multi disciplinary team and take part in active
management of patients within ward improving patient consistency and quality of care.
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Lead on ward rounds, make safe and autonomous judgements on the pathway of patient care.
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Contributing to a ward based rota in line with other speciality doctors in order to provide cover
to cardiothoracic patients across HDU and ward areas.

Supporting the early mobilisation and enhanced recovery of cardiothoracic patients.
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Contribute to cross cover Post operative follow-up of patients in the outpatient clinic.
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Undertaking audit and research / quality improvement projects related to cardiac activity.

Working closely with the cardiac audit data in order to ensure maintenance of high quality
clinical data for cardiac surgery both for m and m meeting and national submission

Play an active role in teaching and mentoring both medical students and nurse practitioners
through their development and exposure to the surgical ward area i.e. nurse prescribing.

To carry out and co-ordinate Cardio versions / sternal wiring in theatre as required in liaison
with consultant colleagues , theatres and cardiac scheduling
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Ability to assist the Consultants and operating surgeons within practical sessions in the
operating theatre
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Taking active part in teaching sessions and Journal club.
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The careful and timely recording of clinical data both written and electronic as outlined in the
principles of Good Medical Practice described by the GMC.
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Deliver a safe environment for the management of cardiothoracic patients.

Working alongside nurse practitioners in the caring for patients and ensuring consultant
colleagues are kept informed of relevant change and developments in patient’s condition.
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Maintaining appropriate documentation on decision making and management of patients.

Provide urgent patient care and identify patients with deteriorating conditions and
management and escalate patient as appropriate.

Maintain a positive outlook focused on quality improvement and enhancing the delivery of care
for our cardiac patients and where possible developing and delivering improvements to the
patient pathway i.e. criteria lead discharge

Ensuring they are up to date in relevant professional development to deliver enhanced patient
care.
On-Call and Additional Duty Payment
This Indicative Job Plan is based on a 10 PA contract with 1 EPA’s (Extra Programme Activities, DCC or
SPA) may be agreed following objective setting to undertake other duties (e.g. Education supervisor,
management, specific projects for service improvement and patient safety and operating list etc).
Indicative Job Plan
Monday
HOSPITAL/
LOCATION
GJNH
Tuesday
GJNH
DAY
Wednesday GJNH
Thursday
GJNH
Friday
GJNH
Saturday
GJNH
Sunday
Total
GJNH
TYPE OF WORK
Ward
Quality improvement /
Innovation
Ward
Outreach support to
pre-assessment
Quality Improvement/
Innovation
Ward/ HDU
Outreach support to
pre-assessment
Clinical Audit
Ward
Outpatient/ Ward Clinic
Ward
SPA
Teaching/Education
Predictable
/
unpredictable hour up
to
3hours
every
weekend
COMMENT
PAs
0800 - 1700
2.25
0800-1700
2.25
0800-1700
2.25
0800-1700
2.25
0800- 1200
1
1
0.75
0.25
12
1 SPA - to be allocated
Theatres duties to be discussed on appointment
*designated EPA
On-Call and Extra PA’s (EPA’s)
PA’s that are recognised for additional predictable and unpredictable out of hours work are required to
be part of the basic job plan and EPA’s are allocated to other activities. If any reduction or increase of
total PA’s occurs as a result of job planning review, these would be agreed with the senior management
team of Surgical Division on behalf of the Medical Director.
Prospective cover of colleague for annual and study leave is a requirement of the post.
This post is predicted to have 1 EPA.
Workload Flexibility
Job plans are reviewed on an annual basis by the Associate Medical Director and Operations manager.
Changes will be discussed and agreed with the post holder in line with service needs and objectives set
for the consultant.
The appointee will be expected to work flexibly on the basis of the needs of the Cardiac service
5. Terms & Conditions of Service

The post is subject to pre employment checks such as Disclosure Scotland, Occupational Health, Visa
clearance (where applicable) and satisfactory references.

You are required to be registered with the General Medical Council/General Dental Council throughout
the duration of your employment and to comply with and abide by the relevant code of professional
practice, as appropriate.

Salary scale: National Salary Scales per annum for a speciality doctor.

The appointee will be expected to follow the local and national employment and personnel policies and
procedures.

All medical and dental staff employed by the Centre are expected to comply with the agreed health and
safety policies.
JOB DESCRIPTION AGREEMENT
Job Holder’s Signature:
Date:
Print name:
Date:
Head of Department Signature:
Date
Intending applicants are welcome to visit the Department and to discuss the post in detail by
arrangement.
In the first instance please contact:
Mr Ian Colqhoun
Thoracic Operational and Strategic Lead consultant
Golden Jubilee National Hospital
Dr Alistair Macfie
Associate Medical Director
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY
Tel: 0141 951 5519/ 07721521062
Email: [email protected]
7. Applications
Completed applications to be returned to:
Ms Sandra Hill
Recruitment Section
Human Resources Department
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY
Agamemnon Street
Clydebank
G81 4DY
Tel: 0141 951 5600/ 07729055204
Email: [email protected]
Person Specification for Post
Essential
Qualifications/Training
1. MBChB or equivalent
Desirable
*Evidence
gathered at
Interview
9. Higher Degree
2. MRCS, MRCP, FRCA or
equivalent.
Experience
3. Experience in
Cardiothoracic surgery or
respiratory medicine or
intensive care medicine
10. Evidence of
research experience
Skills/Knowledge
4. Teaching experience.
11. Evidence of surgical
or practical skills
5. *Excellent knowledge of
written and spoken English.
Additional job
requirements
e.g. car driver,
unsocial hours
6. *Evidence of excellent
communication & team
working skills.
7.*Have appropriate
knowledge base and ability to
apply sound clinical
judgement to problems.
Any other additional
information
8. Full registration with GMC
with licence to practice.
12. Have some formal
training in teaching
methods
*Evidence
gathered at
Interview
13. Evidence of
involvement in clinical
audit and can
demonstrate an
understanding of
importance of audit and
research
*Evidence
gathered at
Interview
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National Waiting Times Centre NHS Board