Services - NHS Scotland Recruitment

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Job Description
523.15
CONSULTANT IN ANAESTHESIA
GALLOWAY COMMUNITY HOSPITAL
WE ARE WAITING APPROVAL FROM AN EXTERNAL ASSESSOR FOR
THIS JD
July 2015
Galloway Community Hospital
CONSULTANT ANAESTHETIST
THE POST
Two posts are available. One is a replacement for a colleague who is retiring in the near future, the
second is a vacancy for a colleague recently retired.
The successful candidate will provide anaesthetic services to the Galloway Community Hospital
(GCH), Stranraer, Dumfries & Galloway. A wide range of subspecialty interest is desirable but
experience and training in Resuscitation and Transfer of the Critically ill is particularly desirable.
Roles and Responsibilities
The Galloway Community Hospital anaesthetist works as part of a team to provide the following
services:
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Anaesthesia for elective daycase surgery across a range of surgical specialties, working
largely with consultant surgeons visiting from the Dumfries and Galloway Royal Infirmary.
Participation in the out of hours rota primarily for resuscitation (see below): there is no out
of hours operating at GCH.
Resuscitation and stabilisation of critically ill patients in the Emergency Department.
Communication with secondary and tertiary hospitals and the Emergency Medical Retrieval
Service (EMRS, Glasgow based) to prepare for transfer of the critically ill patients
Transfer of the critically ill patients on occasions when the EMRS is unable to provide the
service.
Assessment of deteriorating patients on the wards.
Difficult venous access, assistance with pain control
Neonatal resuscitation at the Community Midwifery Unit
Pre-operative assessment in conjunction with the Pre-admission assessment nurse
Training and development of staff
The Department has close links to the Department of Anaesthesia at the regional DGH: Dumfries
and Galloway Royal Infirmary. Rotation of daytime clinical sessions is encouraged to give the GCH
anaesthetist access to a wider range of subspecialties and casemix.
The Galloway Community Hospital
The hospital is a modern 2 storey facility, officially opened in 2007, and is located in Stranraer,
which lays at the head of Loch Ryan, in Galloway, South West Scotland. Stranraer is 75 miles west
of Dumfries 50 miles south of Ayr, and 80 miles south of Glasgow. GCH has 52 beds, and has the
following services:
 Emergency Department staffed by Rural Hospital Practitioners and Emergency Nurse
Practitioners
 An acute medical ward
 Day surgery complex
 Chronic renal dialysis unit
 Palliative Care unit
 Community Midwifery Unit
 Rehabilitation unit
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Outpatient facilities, including physiotherapy, podiatry, etc.
Laboratory & X-ray facilities (including CT scanner)
A helipad opposite the A&E entrance.
A large primary care centre is situated adjacent to the hospital.
The Day Surgery Unit is spacious and well equipped and comprises of one operating theatre,
anaesthetic room, recovery room and rooms for endoscopy and minor procedures. The nursing
workforce is stable and experienced and there is dedicated anaesthesia assistance.
The Emergency Department is well equipped and contains a resuscitation bay with an Anaesthetic
machine and transport ventilators, invasive monitoring, ultrasound and videoconferencing facilities
to provide live distant support
There is an Anaesthetic Office with 2 computer bays, desk space and IT access to the regional
NHS intranet. This gives access to eCasenote, SCI store (letters and reports) labs and imaging,
pre-assessment reports and a range of local and national guidelines and other educational
resources: elibrary and UpToDate for example. The Day Surgery Unit is very spacious with a large
staff/coffee room for Nurses & Doctors. The hospital environment is very cordial.
A clinical session is allocated 5 hours, or 1.25 PA, to allow for pre and post-operative clinical input
and admin time associated with clinics. A typical morning session therefore is from 08.00-13.00
and afternoon session 13.00-18.00.
Up to 10 days of funded external study leave per year is allocated. In addition Professional Leave
for additional external duties may be available at the discretion of the Medical Director for Acute
Services.
Internal education and professional development is linked to the department in Dumfries with much
of the educational programme being available via videoconferencing.
SAMPLE JOB PLAN
08.00 – 13.00
Monday
On Call
Tuesday
Gen Surg
Wednesday
Orthopaedics
Alternate weeks
13.00 – 17.30
On Call
Orthopaedics
Alternate weeks
17.30 – 08.00
On Call
On Call
Thursday
Friday
Community Dental
Sat
Sun
On Call 1:4
On Call 1:4
On Call 1:4
On Call 1:4
On Call 1:4
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On Call 1:4
On Call 1:4
Note:
1. Monday pm & night off after weekend on call.
2. DGRI sessions can be added or substituted for session(s) above.
This weekly plan is an example of a possible job plan: other sessions may be available and
subspecialty interests will be accommodated if possible.
1 SPA to be taken flexibly during the week.
On Call
The on call rota is shared between the two consultant anaesthetists during the week and supported
by a visiting Associate Specialist and locums for the 1:4 weekend rota. On call is non resident, and
can be comfortably covered from a base within a 10 mile radius. Out of hours workload is not
onerous as there is no out of hours surgery. Between 20 and 40 Critical Care transfers are
perfomed per year with the GCH anaesthetists involved in all of these. There is a significant
number of other assessments and stabilisations for patients subsequently not transferred or
transferred with nurse/paramedic escort only.
QUALIFICATIONS
All candidates are required to be on the GMC Specialist Register and hold a License to Practise.
The candidate will hold any of the following: a CCT or be within 6 months of obtaining the
certificate, CESR (CP), CESR (Article 14) or will be an established consultant.
Training in resuscitation and transfer is considered highly desirable. Accreditation in ALS, APLS,
ATLS are considered suitable and the successful candidate should be willing to undertake this
training early in their contract if they do not hold similar accreditation.
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The Department of Anaesthesia and Intensive Care, Dumfries and Galloway Royal Infirmary
The Department of Anaesthetics at Galloway Community Hospital has close links with the
department at the Dumfries and Galloway Royal Infirmary, the District General Hospital for the
Dumfries and Galloway Region.
There is a modern 6 theatre operating department suite with recovery area and an adjacent
endoscopy/day case suite with 20 trolley spaces and two endoscopy rooms. In addition there is an
ophthalmology operating theatre adjacent to the ophthalmology ward and an obstetric operating
theatre in the Birthing Suite. Equipment in Theatres is of a high standard with all anaesthetic
machines equipped with electronic flowmeters/end tidal control; BIS and videolaryngoscopes in
each theatre; fibreoptic bronchoscopes, oesophageal Doppler and ultrasound facilities for regional
anaesthesia readily available.
The Intensive Care Unit is staffed for four level 3 patients and is well equipped, currently with Evita
ventilators, Philips monitoring and Oesophageal Doppler, PICCO and echocardiography available.
Multi-modality renal support is used. The Intensive Care Unit runs a closed model and is staffed by
6 Consultant Anaesthetists with an interest in Critical Care on a ‘week at a time’ daytime rota. The
unit actively participates in audit and multi centre research. There is a separate 4 bed Surgical
High Dependency Unit and an 8 bed Medical High Dependency/Coronary Care Unit which are
currently run as an open model with support from Anaesthesia and Intensive Care when
requested. There is full Medical Physics back-up, day and night for all departments.
There is a well established Specialist Nurse led Acute Pain Service with Consultant Anaesthetist
support.
The regional Emergency Department is supported by the Department of Anaesthesia and Intensive
Care in resuscitation and stabilisation of patients in the Emergency Department and on occasions
is responsible for transport of critically ill patients to tertiary centres, particularly for neurosurgical
and cardiothoracic intervention.
The multidisciplinary chronic pain service is led by two consultant anaesthetists with interest in
chronic pain, with out-patient clinics and dedicated theatre sessions to perform interventions. There
are links with the acute pain and palliative care services, General Practitioners and the voluntary
sector.
In addition, the Department supports the following facilities:
1. Cresswell Maternity Wing, which provides a specialist Obstetric and Neonatal Service for
south-west Scotland, with around 1,400 deliveries per year. The resident anaesthetist is always
trained in obstetric anaesthesia. A labour epidural service and remifentanil PCA are offered.
There are two Consultant sessions for elective cases on Tuesday and Thursday mornings.
2. ECT - This is now provided in the day surgery unit following the move of psychiatric services to
the new Midpark Hospital.
3. Galloway Community Hospital, which has a separate anaesthetic rota staffed by the two
Galloway Community Hospital consultants, (one post currently vacant) supported by a visiting
specialty doctor. Weekend and night locum sessions are available if individuals from the
Department wish to support this.
4. Ophthalmology - A fully equipped operating theatre is used in the ophthalmology ward for local
anaesthesia and occasional general anaesthetic cases.
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The Anaesthetic Department establishment at present is as follows:
Consultants:
Dr D Christie (w/t)
Dr V Edwards (w/t)
Dr D Macnair (w/t)
Dr J Muthiah (w/t)
Dr J Neil (w/t)
Dr W Peel (w/t)
Dr V Perkins (w/t)
Dr J S Rutherford (w/t)
Dr H Goonesekera (w/t)
Dr N Yatiwelle (w/t)
Special Interest:
ICU, Deteriorating Patient
Emergency Surgery, Rota
Obstetrics
Chronic Pain, Orthopaedics
Obstetrics, Blood Transfusion
ICU, Vascular Surgery, ECT,
Pre-operative Assessment,
ICU, Vascular Surgery, Acute Pain, Paediatric Anaesthesia,
APLS Course Director, Non technical skills
Regional Anaesthesia, Orthopaedics
ICU, Vascular Surgery, Specialty Lead Clinician for
ICU, ALS Course Director
ICU, Airway lead
ICU, Vascular Surgery, ALERT Course Co-ordinator,
Clinical Director of Anaesthesia & Intensive Care
Chronic Pain
Perioperative medicine, ERAS
Dr R J Spicer (this post) at GCH
Inter-hospital Transfer, Asthma, Day Surgery
Dr L Verner (p/t)
Dr D Williams (w/t)
Dr S Wilson (w/t)
Dr W Wrathall (w/t)
Specialty Doctors:
Dr D Ballingall (wt/)
Dr K Shahzad (w/t)
Dr C Fernando (w/t)
Vacant post – (currently advertised)
Vacant post – (currently advertised)
Dr J Deutsch
Dr N Roux – (currently on sabbatical)
Dr J Carruthers (Locum p/t)
Dr D Coyle (p/t) at GCH
Provides 1 in 4 weekend on-call
Trainees:
 Five CT1,2 doctors, recognised by the College for basic specialist training, on the West of
Scotland training rotation
 One ST3, for six months per year
Education
The Department holds weekly Intensive Care lunch-time meetings and monthly half-day
“Continuing Education and Professional Development” sessions. There is a tutorial programme
and a series of lectures to theatre nursing staff.
The Department is accredited for basic level training in Intensive Care Medicine and is currently
being assessed for intermediate level training in Intensive Care Medicine
The Department is heavily involved in Critical Care and Resuscitation teaching with ALERT,
IMPACT, APLS, ALS, SCOTTIE courses, all being run in the Education Centre and Resuscitation
Training Centre. SIM-MAN and HAL mannequins are used in much of the teaching.
There are regular monthly educational & medical staff committee meetings at GCH.
The Department holds weekly Intensive Care lunch-time meetings and monthly half-day
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“Continuing Education and Professional Development” sessions. There is a tutorial programme
and a series of lectures to theatre nursing staff.
The Department is accredited for basic level training in Intensive Care Medicine and is currently
being assessed for intermediate level training in Intensive Care Medicine
The Department is heavily involved in Critical Care and Resuscitation teaching with ALERT,
IMPACT, APLS, ALS, SCOTTIE courses, all being run in the Education Centre and Resuscitation
Training Centre. SIM-MAN and HAL mannequins are used in much of the teaching
Future Developments
Members of the Department of Anaesthesia and Intensive Care have been heavily involved in the
design of the new General Hospital in Dumfries (see below) scheduled to open in winter 2017. The
design incorporates an 8 theatre operating suite and a 16 bed Critical Care unit combining existing
ICU and HDU facilities.
GENERAL PROVISIONS
Policies & Procedures
 The successful candidates are required to work within the local management structure and cooperate with other professional colleagues to ensure the efficient running of the service and
will take part, with other consultant colleagues in the medical contribution to management.
 Subject to the provision of terms and conditions of service, the postholder is required to
observe the organisation’s agreed Policies and Procedures, drawn up in consultation with the
profession on clinical matters, and to follow the Standing Orders and Financial Instructions of
the organisation.
 The postholder is required to ensure that there are adequate arrangements in place for
hospital staff involved in the care of patients for contacting him/her when necessary.
 The postholders are required to comply with the Organisation’s and the Department’s Standing
Operating Procedures including Health and Safety Policies.
 The post-holder will be professionally accountable to the Clinical Director.
 The post-holder will be managerially responsible to the General Manager.
Travel
Any travel allocation will be included within the Total Programmed Activities and will be determined
by the location at which Direct Clinical Care and Supporting Professional activities are carried out.
Administration
This activity covers the management of individual patients including out patient administration,
results reporting, letters/phone calls to patients, carers, GPs and members of the wider
multidisciplinary team involved in the patients care.
Supporting Professional Activities
A minimum of one SPA is included in the indicative job plan, which shall normally be sufficient to
reflect activities such as revalidation, appraisal, personal audit, and professional development
(occurring outwith the 30 days of study leave entitlement in any three year period). Time
permitting, it may also cover minimal teaching, training and non-clinical administration. Any
additional SPA allocation will require to be evidenced as being mutually beneficial and required by
the department. Adjustment to the programme to incorporate additional SPA will require other
activities to be reviewed to accommodate any increase as necessary. It will be requested that
SPAs are delivered at the normal place of work, unless there are mutual advantages to it being
performed elsewhere. The exact timing and location of SPAs, and flexibility around these, will be
agreed during the 1:1 meeting with the Clinical Director/Associate Medical Director and included in
the prospective job plan.
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The Department of Anaesthesia and NHS Dumfries and Galloway value the development of nonclinical interests and, as these roles expand, additional time may be allocated.
The department has a flexible approach to clinical sessions and it is hoped that the successful
candidate will work with the same flexibility as the existing consultants.
Private Practice
If the postholder wishes to undertake any private practice, he/she is obliged to inform his/her
employer at the time of appointment of his/her intention to do so. This should be submitted in
writing to the Medical Director.
The postholder shall be free to undertake private practice without approval provided such work is
undertaken outside the time agreed in the job plan for programmed activities and is in accordance
with the national terms and conditions to service. (Refer Section 6 of the New Consultant
Contract).
Annual Appraisal & Job Planning
You shall also be required to participate in annual appraisal. Job planning is linked closely with,
but is separate to, the agreed appraisal scheme for consultants. The job plan review will take into
account the outcome of the appraisal discussion and reflect the agreed personal development
plan.
TERMS & CONDITIONS OF SERVICE
The terms & conditions of service offered are those determined by the Consultant Contract 2004
Scotland (as amended from time to time).
This is a permanent position.
Salary scale
£76,761 - £103,490 (depending on seniority point)
New entrants to the NHS or the consultant grade will normally commence on the minimum point of
the salary scale (dependant on qualifications and experience).
Hours of duty
The hours of duty are 40 per week.
Superannuation
You will automatically be entered to the NHS Superannuation Scheme, in accordance with Auto
Enrolment legislation. Full information regarding the pension scheme including information on auto
enrolment is available from the SPPA website www.SPPA.gov.uk.
Removal expenses
Assistance with relocation and associated expenses may be given and can be discussed prior to
appointment. A quick reference of entitlements is attached for you.
Expenses for candidates attending for interview / visit
Candidates who are required 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 without good reason. Expenses will be paid from port of entry into
the UK only.
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Disclosure Scotland / PVG
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 which currently
costs £59.00. The cost of the PVG Membership will be paid by NHS Dumfries & Galloway.
Right to work in the UK
NHS Dumfries & Galloway 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 D&G 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
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 Dumfries & Galloway. 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
Dumfries & Galloway 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.
Notice
The employment is subject to three 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.
Accommodation
The post is non-resident, but temporary single accommodation may be available for a fixed period.
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DUMFRIES AND GALLOWAY REGION
The population of Dumfries and Galloway is 150,830, within a large geographical area of about
2,500 square miles. Dumfries and Galloway stretches from Langholm in the East to Stranraer in
the West, and from Kirkconnel in the North down to the Solway Coast. There are a number of
community cottage hospitals in various towns throughout the region, and an intermediate unit –
Galloway Community Hospital (with medical and maternity in-patient beds) in Stranraer.
Dumfries has a population of approx. 48,000 and is situated in the eastern half of the region. The
River Nith runs through the town to the Solway coast and the city of Carlisle is approximately 45
minutes drive from Dumfries. Glasgow is within 1½ hours, Edinburgh and Newcastle within 2
hours, and Manchester and Liverpool within 2½ hours driving time from Dumfries.
Dumfries and Galloway offers the very best of Scottish countryside............from rugged cliffs and
sandy beaches to forests, hills and rolling farmland. You’re spoilt for choice in the range of activities
on offer, with watersports, fishing, birdwatching, golf, mountain-biking or cycling along the network
of rural roads . . . and much more. The Southern Upland Way runs for 212 miles from Portpatrick in
the west to Cockburnspath in the eastern Scottish Borders, through some of Scotland’s wildest
country.
There are many attractions, ranging from the University Town of Dumfries, Scotland’s National
Book Town Wigtown, Artists’ Town Kirkcudbright, Castle Douglas Food Town to the historic
monuments, castles and abbeys, beautiful gardens, fascinating museums throughout the region.
The local Council is committed to investing in education, with high achieving schools that earn top
marks in HM Inspector of Education Reports. Children are encouraged to develop their talents and
interests, with first-class opportunities in music, arts and sports. High quality sport and leisure
facilities are available throughout the region. Property offers exceptionally good value, at very
competitive prices.
Stranraer.
The town of Stranraer is in the west of Dumfries & Galloway, south west Scotland. It lies on the
shores of Loch Ryan, on the northern side of the isthmus of the Mull of Galloway peninsula.
Stranraer is Dumfries & Galloway's second largest town with a population of nearly 13,000. The
Stenna and P&O Ferries have now moved a few miles north to Cairnryan,, but the main industries
still involve the ferries, as well as farming & tourism. The quaint harbour village of Portpatrick is
only 5 miles away, and is a popular tourist resort. Belfast, Northern Ireland, is just a short hop away
(approximately 2 hour sail), courtesy of daily regular ferries from Cairnryan.
Leisure activities include fishing, sailing (Stranraer has a marina, and some yachts are based in
Portpatrick), and golf. There are 5 golf courses within a 5 mile radius.
The area is particularly suited to walkers, with coastal paths (eg Mull of Galloway trail), the
Galloway hills (including the Merrick at 843 metres), and, of course, the Southern Upland Way.
The minor country roads in Wigtownshire are well suited to road bikes, and mountain biking is
popular at Kirroughtree Forrest park (including the famous "7 Stanes").
There are all weather tennis courts, squash court at the Rugby Club, and a number of bowling
greens.
The Ryan Centre has a theatre/ cinema, 3 gymnasiums, plus a 25 metre swimming pool and very
active swimming club. There are also spin classes, & many other exercise classes, including
Pilates, Yoga, etc.
In the winter, Stranraer is home to European & World champion Curlers. The Curling rink is
situated in the North West Castle hotel.
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There are a number of excellent hotels & restaurants in the area.
Transport:
There are buses to London and
Ayr & Glasgow are linked directly by rail.
other
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cities,
including
Glasgow
&
Edinburgh.
NHS DUMFRIES & GALLOWAY
NHS Dumfries & Galloway became operational on 1st April 2003 when the two Trusts (Acute &
Maternity and Primary Care) were dissolved and one NHS organisation was created, incorporating
all NHS services along with the Health Board. NHS Dumfries & Galloway has led the process of
integration and is seen as the model for the rest of Scotland to follow. Continuing new investment
has resulted from the system always having met all financial and waiting times targets.
Structure
The NHS Board has its headquarters on the Crichton site in Dumfries. Comprising executive and
non-executive Directors, its key responsibility is to ensure delivery and development of the local
Health and Community Care Plan. You can see a copy of the HCCP on the NHS Dumfries and
Galloway website on www.nhsdg.scot.nhs.uk
NHS D&G Corporate Aims
Our Purpose:
 To deliver excellent care that is safe, effective, efficient and reliable.
 To reduce health inequalities across Dumfries and Galloway.
Achieved by:
 Creating a momentum for improvement by engaging the enthusiasm of staff to achieve
excellence.
Our Outcomes:
 Improved outcomes for patients.
 Improved working environment for staff leading to improved job satisfaction.
 Efficiencies to support continuous quality improvement and sustainability.
Staff
NHS Dumfries & Galloway employs approximately 4400 staff from a range of different clinical and
non-clinical backgrounds, made up of the following broad groupings:
Nursing/Midwifery
Administrative Services
Support Services
Medical & Dental
Emergency Services
Other Therapeutic
49.2%
16.8%
11.6%
7.9%
0.2%
2.4%
AHPs
Senior Management
Healthcare Sciences
Medical & Dental Support
Personal & Social Care
7.1%
0.4%
2.7%
1.2%
0.4%
Services
A wide range of services are provided from over 50 bases across the region. These services are
provided via one of seven General Management Directorates – Operations, Acute, Diagnostics,
Primary Care & Community Care – East, Primary Care and Community Care – West, Women’s &
Children’s Services, and Mental Health. Most acute services are based at Dumfries and Galloway
Royal Infirmary with a network of out-patient clinics held throughout the region and a range of
acute services provided at the Galloway Community Hospital in Stranraer.
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The map below highlights the main service bases throughout the region.
NHS
STRATHCLYDE
KIRKCONNEL
SANQUHAR
BORDERS
MOFFAT
THORNHILL
Annandale & Eskdale Locality
Nithsdale Locality
AYRSHIRE & ARRAN
LOCHMABEN
DUMFRIES
LANGHOLM
LOCKERBIE
Stewartry Locality
NEWTON
STEWART
Wigtown Locality
Gretna
ANNAN
CASTLE
DOUGLAS
Eastriggs
DALBEATTIE
STRANRAER
Carlisle
CUMBRIA
KIRKCUDBRIGHT
DUMFRIES and GALLOWAY
Dumfries and Galloway Royal Infirmary
Dumfries and Galloway Royal Infirmary contains 352 staffed beds (+ 11 cots), and includes the
Departments of:
 Anaesthetics
 Cardiology
 Dermatology
 ENT Surgery
 General Medicine
 General Surgery
 Geriatric/Rehabilitation/Stroke Medicine
 Haematology
 Laboratory Services
 Neurology
 Obstetrics and Gynaecology
 Ophthalmology
 Oral and Maxillofacial Surgery
 Orthodontics
 Orthopaedic Surgery
 Paediatrics
 Palliative Care
 Radiology
 Renal Medicine
 Urology
A GP Out-of-Hours Service is located on the DGRI site, adjacent to the Emergency Department;
this service shares the accommodation utilised by the Orthopaedic Department during the day. A
helicopter landing site is located outside the Emergency Department.
The Operating Department, adjacent to the Day Surgery Unit, has six theatres (one allocated for
emergency cases), endoscopy suite and minor treatment area. There is an Intensive Care Unit of
four beds and a Surgical High Dependency Unit of four beds. There is also a separate theatre in
the Ophthalmology Day Case ward.
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In April 2002, a Day Surgery Unit opened and the Obstetrics Unit moved to the new “state of the
art” extension (having previously been off-site).
The Macmillan Cancer Centre on-site opened in 2003; this provides oncology out-patient,
chemotherapy and palliative care services.
A new Renal Unit, providing 18 dialysis stations, opened in April 2006, replacing services
previously provided in a former ward in DGRI.
The Radiography Department has recently undergone extensive refurbishment, both physically
and operationally, with PACS successfully implemented and a new MRI scanner which became
operational in 2008.
The Education Centre
Dumfries and Galloway Royal Infirmary is the recognised Post-Graduate Medical Centre for southwest Scotland and has been refurbished. The Education Centre at DGRI provides:
programme of weekly meetings, covering all specialties
induction programme for junior doctors
well-stocked library
internet access
superb audio-visual facilities
98-seat lecture theatre
DGRI Future Re-development
It is an exciting time in Dumfries and Galloway Cardiology as a new District General Hospital is
being built, due to open in 2018. Redesign of services at Dumfries & Galloway Royal Infirmary is
currently underway. NHS D&G have been given the approval to start planning for a ‘new build’
hospital on a site on the western outskirts of the town. This new build will ensure NHS Dumfries &
Galloway staff are able to continue to provide high quality clinical care to the population of
Dumfries & Galloway in a modern environment. Full information on the DGRI Redevelopment
Project can be found on the NHS Dumfries & Galloway website – www.nhsdg.scot.nhs.uk
Galloway Community Hospital
The Galloway Community Hospital is located in Stranraer, 75 miles from Dumfries. It opened in
September 2006 replacing the former Dalrymple and Garrick Hospitals.
Services provided at this site include Day Surgery (12 trolley area); Assessment & Rehabilitation
(24 beds); Palliative Care (2 beds); Acute Medicine (20 beds); Maternity Services (2 beds); Renal
Services (4 station unit haemodialysis); as well as Accident and Emergency, Anaesthetics,
Laboratory, Radiology, Out-patients (provided by a number of Consultants and specialist nurses
from Dumfries & Galloway Royal Infirmary), and Out-of-Hours.
Health professionals based in the Galloway Community Hospital include:
Occupational Therapy, Speech and Language, and Podiatry Services.
Physiotherapy,
Midpark Hospital
A new Mental Health facility has opened in January 2012 on a site adjacent to the Crichton
Campus. Facilities provided at the new site include - a 15 Bed elderly ward; 16 bed
dementia/organic illness ward; 6 bed IPCU; 34 Bed adult (2 wards – 17 bed each); Acute hub
accommodation; 8 Bed rehab recovery; 8 Bed rehab long stay; and Rehab hub accommodation.
These facilities have an average annual admission rate of over 700 and approximately 7,000 outpatient attendances per year. They provide a full range of psychiatric services for patients of all
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ages in the Dumfries & Galloway region. The Emergency Department is supported by a
Psychiatric Liaison Nurse.
Community Cottage Hospitals
As well as the Galloway Community Hospital, there are a further eight Community Cottage
Hospitals within Dumfries and Galloway:
East
 Annan Hospital
24 beds (palliative care and rehabilitation)
 Lochmaben Hospital
16 beds (palliative care and rehabilitation)
 Moffat Hospital
12 beds (GP acute and rehabilitation) and Minor Injuries Unit
 Thomas Hope Hospital
12 beds (palliative care and rehabilitation)
Dumfries & Upper Nithsdale
 Thornhill Hospital
13 beds (rehabilitation)
West
 Castle Douglas Hospital
21 beds (GP acute and rehabilitation) and Minor Injuries Unit
 Kirkcudbright Hospital
14 beds (GP acute) and Minor Injuries Unit
 Newton Stewart Hospital
22 beds (GP acute, palliative care and rehabilitation) and Minor Injuries Unit
(In some cases patients may be admitted directly from the DGRI Emergency Department to
Community Hospitals through local General Practitioners)
ENQUIRY ARRANGEMENTS
For further information please contact Dr Ranald Spicer, Consultant Anaesthetist, (direct dial –
01776 707707); e-mail address –ranald.spicerl@nhs.net) or Dr Ken Donaldson, Associate Medical
Director; email address – kdonaldson@nhs.net, (direct dial – 01387 241861)
Arrangements to visit the Department and the hospital can be made through Patsy Pattie, Project
Lead for Medical Recruitment on 01387 241790 or email patsy.pattie@nhs.net
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Galloway Community Hospital
SELECTION CRITERIA
Appointment of:CONSULTANT ANAESTHETIST
Job Requirement
Essential
Desirable
Qualifications
Name on GMC Specialist Additional
Register, or within six months at qualifications
time of interview of gaining CCT Medicine
Experience
Exposure to anaesthesia for all Advanced
surgical specialties essential.
management
Clinical Skills &
Technical Skills
Knowledge
Ability
Motivation
Competence in Emergency and Advanced
Trauma Management across all techniques
age groups and all medical
specialties.
training
and/or
in Intensive Care
difficult
regional
airway
anaesthesia
Experienced in general and local
anaesthetic
techniques.
Competent to perform intravascular monitoring
Familiarity with the casemix and
demands of working in an
isolated DGH
Record of getting on well with Evidence of training in non technical
medical and nursing colleagues skills.
Good
communicator
patients and relatives
with
Prepared to accept a degree of
flexibility in working week
Personality
Evidence of ability to work in a
multidisciplinary
team
environment
Audit
Ability to identify and carry out
worthwhile projects if recognised
in job plan
Basic computing skills
Evidence of involvement in
audit/quality improvement activity
throughout career
Research
Advanced computing skills such as
the development and manipulation
of databases.
Evidence of lead role in substantial
audit/similar projects and evidence
of the ability to translate the outcome
of these projects into improvement in
patient care
Willingness to participate in Evidence of involvement with
multi-centre research projects research projects
undertaken by the department if
recognised in job plan
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Management Ability
Willingness to play a part in the Evidence
of
training
and/or
development of the Department experience in service development
and the Hospital if recognised in and manpower skills.
job plan.
Prepared By: Dr R Spicer & Dr DW Wrathall
Date: June 2015
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NHS DUMFRIES & GALLOWAY RELOCATION POLICY
(Your entitlement at a glance)
£10,560 is the maximum reimbursement which is available in accordance with the following
headings.
£8000 is the tax limit therefore, anything reimbursed above this amount will be taxed.
Cost incurred
House sale/purchase fees
Maximum reimbursement
£4,700
Preliminary visits to area x 2
Mileage + Subsistence
Temporary accommodation i.e. rent (where
have another commitment) for 6 months
£3300
Removal / storage of furniture & effects
£1000
Miscellaneous allowance
£1100
There are conditions which must be met for all of the above reimbursement entitlements
therefore, it is important that the above is read alongside the full policy when a claim is
being prepared.
A copy of the full policy is available on the intranet in the Services Section – Workforce – Policies.
Or from the HR helpline which is:
HR Helpline ext 34888 or via switchboard 01387 246246
Email dumf-uhb.hrenquiries@nhs.net
Recruitment Helpline (general and medical) ext 32757 or 01387
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