NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
Your Application
MS/1013/09R1
Locum Consultant
Quote on all correspondence
Monklands Hospital
10 PAs per week (Part-time may be considered)
Locum Consultant
Noon on Friday 4 th July 2014
Thank you for expressing an interest in the above post within NHS
Lanarkshire. Please find all the relevant information attached to begin the application process.
Should you require further information regarding this post you can contact the Medical Staffing team or make informal enquiries with the department using the contact details below.
To ensure we can process your application as easily as possible please complete all the information required within the Application Pack and email with your CV.
Contact Details Telephone 01698 377720
Email lynn.cliens@lanarkshire.scot.nhs.uk
Application
Process
To apply, please email your CV to the above, along with the attached completed Application Pack.
Application Pack .doc
Lanarkshire NHS
Inserts.pdf
Additional
Arrangements
Informal enquiries regarding this post will be welcomed by:-
Dr M Hand Lead Clinician- Nephrology 01236 712641
Dr I Shilliday
Dr C Nolan
Consultant Physician
Consultant Physician
01236 712582
01236 713167
Date when the The post is available immediately post is Vacant
NHS Lanarkshire
For further information regarding NHS Lanarkshire and it’s hospitals, please visit our website:- www.nhslanarkshire.org.uk
We are an Equal Opportunities Employer and Positive about Disabled People.
Page 1

NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
POST INFORMATION
The Department Emergency and Medical Services Directorate
This encompasses the departments of Emergency Medicine, General
Internal Medicine (GIM) and its related specialties. There are 144 general medical beds including a 8 bed coronary care unit and 4 bed high dependency unit. The medical wards are specialty based. There are an additional 100 care of the elderly beds including a stroke unit and geriatric
Orthopaedic rehabilitation which are part of
Lanarkshire’s Medicine for the
Elderly Directorate.
The Emergency Medicine Department is responsible for more than 75 000 emergency medicine attendances (of which 25% are children), 12 000 acute admissions and 5 000 new outpatient referrals per year. Acute medical admissions are admitted to the emergency care ward which admits all medical admissions. Patients are initially assessed and stabilised and usually triaged within 24 hours to the appropriate specialty ward as far as is practically possible.
General/Acute Internal Medicine (AIM)
The Medical Assessment Unit (MAU) admits approximately 12 000 new patients per year. These patients are admitted to our 36 bedded medical assessment unit and our 12 bedded combined coronary care and medical high dependency unit. A small number of patients are admitted directly to the stroke ward and adult critical care unit. All patients are assessed by the on call physician on one of the twice daily post take ward rounds. Those patients who are not discharged from MAU within 24-48 hours are triaged to one of 7 specialty wards for continuing care depending on their clinical needs. The acute receiving rota is 1 in 16 with 2 physicians responsible per weekday and 1 each on Saturday and Sunday. On the weekdays, one consultant is on-call for a 24 hour period from 9am, undertaking post receiving ward round from 2pm onwards until early evening. The following morning the post receiving ward round is done by different physician i.e. the receiving physician, patients being admitted after 5.30pm the previous day will be reviewed by this physician and not the on-call physician for that period. The Care of the Elderly physicians take appropriate referrals from the medical take directly into their service. In conjunction with our consultant colleagues in the Emergency Medicine department, we are currently developing alternative pathways for patients who may not require an acute admission. The Monklands Site Improvement Group has identified and supported the development of Acute Internal Medicine as a key part of its work. We propose a major expansion of acute physician numbers to facilitate a number of proposed service developments.
Page 2

NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
Nephrology.
Nephrology services cover the whole of Lanarkshire with a reference population of approx. 560,000. Inpatient renal services are based at
Monklands Hospital (ward 1) which has a complement of 17 inpatient beds including x2 HDU Renal beds. There is an ongoing expansion of RRT with approximately 195 outpatient haemodialysis patients, 15-20 Peritoneal patients and 200 post transplant patients. General nephrology clinics take place on all three of the acute Lanarkshire Hospital sites, Monklands,
Wishaw and Hairmyres Hospitals. Low clearance clinics are held at
Monklands Hospital and supported by a dedicated multidisciplinary team including Dietician, pre-dialysis nurse and anaemia co-ordinator with access to vascular access co-ordinator and palliative care nurse. Vascular access is supported by a team of vascular surgeons, interventional radiologists, vascular access surveillance nurse and Associate Specialist. Acute renal transplantation is undertaken within Glasgow and combined kidneypancreas transplantation within Edinburgh. Patients return to Lanarkshire for long term follow up at Monklands Hospital 12 months post transplant.
Transplant assessment, including live donor assessment is facilitated by a transplant specialist nurse with Consultant Nephrologist support.
Nephrology on-call us undertaken by the 5 nephrologists (ie 1 in 5 with prospective cover) with ward rounds within the Renal Unit at week-ends.
The Nephrologists are also involved in the Medical Receiving rota (see above) with a base Medical ward (ward 14) separate from the Renal Unit
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NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
The Post This post is to provide support during the wind down to retirement of one of the Consultant Nephrologists. As such, the post is for a Consultant
Nephrologist/Physician in General or Acute Internal Medicine. However, applications for a purely General or Acute Internal Medicine post would also be actively considered.
General
Provisions
Health and
Safety
Junior Medical
Staff
You will be answerable to Clinical Director, who will agree your job plan.
You are required to comply with NHS Lanarkshire Health and Safety
Policies.
You will be responsible for the training and supervision of the Junior
Medical staff who work with you, and you will be expected to devote time to this on a regular basis. In addition, you will be expected to ensure that staff have access to advice and counseling. If appropriate, you will be named in the contracts of Doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such Doctors on their career.
Resources The following resources are available:-
Consultants
Consultant Physicians
Surgery
Special Interest
Diabetes and Endocrinology, Cardiology,
Respiratory Medicine, Infectious Diseases,
Gastroenterology, Renal Medicine,
Dermatology, Hematology
Care of the Elderly Physicians Stroke, Falls, Parkinson, Day Hospital,
Hospital at Home (ASSET)
Consultant Physicians- regional and visiting
Radiology
Dermatology, Hematology, Neurology,
Rheumatology, Oncology
USS, CT, MRI, Interventional Radiology
On site In-patient Urology
General Surgery
Vascular Surgery
Page 4

NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
Specialist Registrars on rotation from the West of
Scotland Training Scheme.
CMT/ACCS/VTS/FTSTA Trainees
FY2
FY1
Renal Associate Specialists
Renal Specialist Nurses (Vascular access, transplant, palliative care, pre-dialysis, PD, anaemia co-ordinator)
Renal Dietician
Renal Social Work
Secretarial Support:
12
17
9
10
2
7
2
1
Secretarial support will be provided for the post from within existing medical division resources.
Office/ Desk/Computer will be available for this post.
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NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
DUTIES AND RESPONSIBILITIES
Main Duties The post is essentially taking over the clinical responsibility of our retiring
Consultant Nephrologist.
As such, in addition to the retiring nephrologist, the post holder will be joining an established team of 4 Consultant
Nephrologists and 2 Associate Specialists. The post holder will be responsible for the retiring nephrologists Medical and Renal in-patient duties as well as taking on the nephrologists on-call duties (Medical, 1 in 16;
Renal, 1 in 5) and outpatient clinics in a phased manner. An availability supplement is payable for out of hours work. The post holder will also be expected to participate fully in the clinical and educational supervision of junior medical staff with particular reference to training in medicine and nephrology.
Should the candidate apply for solely General/Acute Internal Medicine, the
Job plan would include taking over Medical inpatients and the Medical oncall of the established nephrologists to allow the Nephrologists to take on an increased nephrology workload.
The exact details of the job plan will be discussed with the candidate. An illustrative job plan is included with this job pack.
Work
Programme
As required under Section 3 of the Terms and Conditions of Service, the duties and responsibilities are supported by a job plan and work programme detailed as follows:
Job Planning/Programmed Activities
One SPA will be included in the job plan.
On taking up post a Job Plan will be agreed between the person appointed and the Clinical Director. The Job Plan will be reviewed informally after 3 months in post and then, should the locum post be extended, again on a formal basis after 6 months in post.
The indicative timetables identify those fixed commitments which are dependent on other hospital resources, both physical and human.
Please see overleaf
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NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
Fixed
Commitments
Illustrative Job Plan
Days Hours Type of Work
Monday AM Low Clearance clinic/clinical
(alternate weeks) admin
PM
Location
Monklands Hospital
Renal Unit
Tuesday AM Ward round (Feb, Gen
Med: March Renal)
PM ERU (Feb and March)
Gen Neph clinic ( April)
Wednesday AM General Nephrology
Clinic/clinical Admin
(alternate weeks)
PM Multidisciplinary Team
Meeting
Clinical Admin
Thursday AM Ward round (Feb and
April Gen Med: March
Renal)
PM SPA
Friday
Monklands Hospital
Wards 1 and 14
Monklands ERU
Monklands OP
Monklands Hospital
OP
Monklands Hospital
Renal Unit
Monklands Hospital
Monklands Hospital
Wards 1 and 14
AM From March: Alternate week Diabetes/renal clinic
PM ERU-Feb
Gen Nephrology Clinic
(from March)
Monklands Hospital
Hairmyres Hospital
Monklands Hospital
Hairmyres Hospital
In addition, other activities not occurring at fixed times.

Reviewing new admissions.

Discussing referrals, in patient and out patient with Colleagues

Discussing management/investigation of patients with colleagues in other appropriate Clinical Support Services

Ward Referrals, Discussing patient management/ reviewing patients with doctors in training and Nursing Staff out with formal ward rounds.
 Speaking to GP’s, outpatients re results.

Vetting Fast Track clinic referrals/ allocating appointments

CPD and Appraisal

Audit
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NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
Review of the
Job Plan
This job plan is subject to review by the post holder and the Specialty
Clinical Director as noted in the terms and conditions. The procedures set out in the ‘Terms & Conditions of Service’ must be followed if it is not possible to agree a job plan, either initially or at review.
Audit and research
The successful candidate will be expected to participate in audit processes and there is an active clinical audit department available to assist. An interest in research will be supported.
Continuing
Professional
Development
Study leave is available within the terms and conditions of service with the approval of the Specialty Clinical Director. The appointee will be required to fulfill such demands for continuing professional development as the Royal
College of Physicians (or other relevant bodies) may make.
Honorary
Academic Status
If involved in undergraduate teaching status can be applied for.
Applications can be made via the Hospital Sub-dean and then to the appropriate academic department within the University.
Page 8

NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
PERSON PROFILE
Attributes Essential Useful
Qualifications MBChB or equivalent.
MRCP or equivalent qualifications.
Training GMC Registration with a license to practice.
Evidence of satisfactory completion of training in Nephrology or within 12 months of attainment. (if application for Nephrology and
Medicine locum)
Higher academic degree (MD, PhD).
Evidence of satisfactory completion of training in either General Internal
Medicine or Acute Internal Medicine with a CCT in GIM or Acute Internal
Medicine or CESR (CP) or within 12 months of attainment.
CCT in Nephrology
CCT in General Internal Medicine.
CCT in Acute Internal Medicine.
Relevant research experience. Research
Publications
Commitment to audit.
Experience Recent and relevant clinical experience and competency in all major areas of General
Internal/Acute Medicine.
If application is for Nephrology and Medicine will need recent and relevant clinical experience and competency in all major areas of Nephrology
Publications in peer-reviewed journals.
Experience in the use and administration of IT systems
Knowledge and Skills
Knowledge and skills in a wide range of
General/Acute Medicine.
Insertion of temporary HD lines/central lines
Disposition Excellent team player absolutely essential.
Good time management and organisational skills.
Flexible disposition
Empathic patient centred approach.
Enthusiasm.
Good communication skills (verbal and written).
A high level of integrity and probity.
Interest in teaching. Other
If there is any reason why a disabled person should not be considered suitable for this post, please provide details:
Renal Biopsy
Tunneled HD lines
Ability to demonstrate initiative
Flexibility towards anticipated future changes in job description and service reconfiguration.
Car driver.
The post requires physical dexterity.
Uncorrected visual or hearing defect would be incompatible with the nature of the work.
Name
Designation
Date
Prepared By:-
Dr M Hand
Approved By:-
Dr M Devers
Lead clinician-Nephrology Deputy Clinical Director
April 2014 April 2014
Page 9

NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
TERMS AND CONDITIONS a) This appointment is offered on the Terms and Conditions of the Consultant Contract on a locum basis. b) This appointment is superannuable under the NHS Superannuation Scheme, which
is contracted out of the State Earnings Related Pension Scheme (SERPS). New
employees commencing employment from 1 March 2013 onwards will automatically
be enrolled in the pension scheme and your remuneration will be subject to deduction
of superannuation contributions.
To opt-out, you must contact the Scottish Public Pensions Agency directly on Tel:
01896 893000. Should you choose to opt-out in accordance with these changes you
will be enrolled into the scheme again every 3 years (June 2016, 2019 etc) when the
same process will apply.
For further information on the benefits of the scheme, please contact an advisor of The
Scottish Public Pensions Agency (SPPA) Tel: 01896 893100, or download/view a member’s guide at www.sppa.gov.uk/nhs/forms.htm
. c) The employment is subject to 1 months’ notice on either side subject always to the appeal and other provisions of paragraphs 10.4 & 10.5 of the Terms and Conditions of
Service of Hospital Medical and Dental Staff and Doctors in Public Health and the
Community Health Service Consultant Grade. d) The successful candidate, if not already employed by the NHS Lanarkshire, will be required to complete a medical questionnaire to obtain medical clearance from the
Occupational Health Physician. e) The successful candidate will be required to complete a disclosure Scotland PVG
(Protecting Vulnerable Groups Scheme) form. No approach will be made without written permission of the successful applicant who will be asked to sign and complete a
Disclosure PVG application, giving authorization for the check to be undertaken. f) NHS Lanarkshire does not negotiate salary placements. On commencement the salary will be in line with paragraph 11.1.2 of the terms and conditions of the new consultant contract. Appointees start on the scale minimum except in the circumstances of paragraphs 11.1.3 – 11.1.4 of the terms and conditions of service. g) From 1 st April 2014 the starting salary for the post is £76,001 per annum (based on 10
Programmed Activities per week). The successful candidate’s total salary will be dependent on his/her previous service history. Remuneration for any extra programmed activities will be dependent upon the job plan agreed at the time of appointment
Page 10

NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
DECLARATIONS/CONVICTIONS STATEMENT
The following should be used when completing DECLARATIONS/ CONVICTIONS within the application pack.
Registration with the General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of medical care and to behave appropriately, towards patients. NHS Employees also have a duty to ensure that patients receive a good standard of medical care and ensure as far as possible the safety of patients.
We therefore need to establish if you have been found guilty of a criminal offence, been bound over or cautioned or are currently the subject of proceedings which might lead to a conviction, an order binding you over or a caution, in the UK or any other country.
Applications for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974.
Application forms will include a declaration for applicants to complete declaring any previous or pending prosecutions or convictions, including those considered “spent” under the Act.
Forms will also include a declaration of any cautions or bind overs.
We also need to establish if you have been the subject of any fitness to practise proceedings in the past, or if any fitness to practise proceedings are being contemplated, by a licensing or regulatory body in the UK or another country and this is also reflected in the declaration.
This information will be treated in confidence and will not debar you from appointment unless the selection panel considers that it renders you unsuitable for appointment. In reaching such a decision we will consider the nature of the conviction/action, how long ago it took place and any other factors which may be relevant
Failure to disclose a criminal offence, having been bound over or cautioned or that you are currently the subject of criminal proceedings, which might lead to a conviction, an order binding you over a caution, or fitness to practice proceedings undertaken or being undertaken by an appropriate licensing or regulatory body, may disqualify you from appointment, or result in summary dismissal/disciplinary action and referral to the General
Medical Council (General Dental Council) for consideration if such a discrepancy came to light.
If you would like to discuss what effect any previous convictions, police investigations or fitness to practice proceedings taken or being taken either in the UK or by an overseas licensing or regulatory body might have on your application, you may telephone: Marlene
Fraser (01698) 377752 in confidence, for advice.
Page 11

NHS Lanarkshire – Information Pack
POSITION: Locum Nephrologist/ Physician General
(or Acute) Internal Medicine
IMMIGRATION
Overseas
Doctors and
Dentists
Changes to
Immigration
Impact of
Change
For the purpose of immigration status, overseas doctors and dentists are those who, regardless of where they obtain their primary medical/dental qualification, are not nationals of the European Economic Area (EEA). A list of EEA countries is attached.
On 7 th March 2006 the Department of Health announced changes to the immigration rules for postgraduate doctors and dentists. The changes came into effect on 3 rd April 2006 and mean that all doctors and dentists who wish to work in the UK from outside the EEA will need to meet the requirements of an employment category such as the work permit provisions. New applications for permit-free training visas will no longer be granted for doctors undertaking training posts
Non-EEA doctors and dentists will still be able to come and train in the
UK and are still eligible to apply, in open competition for training posts provided all the other eligibility criteria is met. However, training posts will now be considered employment for immigration purposes. Work permits will only be issued where there is a specific post for the overseas doctors that cannot be filled by someone from the EEA.
Further
Information
The changes in immigration requirements for trainee doctors and dentists are a result of a Scottish Executive Health Department announcement and immigration issues are the remit of the Home Office.
Clarification and further information can be accessed from the following:-
EEA Countries
Home Office www.ind.homeoffice.gov.uk
Work Permits www.ukba.homeoffice.gov.uk/workingintheuk/
Austria
Belgium
Bulgaria
Cyprus
Czech Republic
Denmark
Estonia
Greece
Hungary
Iceland
Italy
Latvia
Liechtenstein
The Netherlands
Norway
Poland
Republic of Ireland Portugal
Romania
Slovakia
Slovenia
Finland
France
Lithuania
Luxembourg
Spain
Sweden
Germany Malta UK
NB – Switzerland is not in the EEA, Swiss Nationals have the same rights as EEA nationals.
Page 12