NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory Medicine
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
MS/1113/02
Quote on all correspondence
Locum Consultant Respiratory and General Medicine (6 months)
Wishaw General Hospital
10 PAs per week
Locum Consultant
Friday 20th December 2013
Your
Application
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
Application
Process
Telephone
Email
01698 377720
Lynn.cliens@lanarkshire.scot.nhs.uk
To apply, please email your CV to the above, along with the Application Pack.
Lanarkshire NHS
Inserts.pdf
Application Pack.doc
Additional
Arrangements
Informal enquiries regarding this post will be welcomed by:Dr. K Dagg
Consultant Respiratory Physician 01698366071
Date when the
post is Vacant
The post is vacant immediately and a start date will be agreed with the
successful candidate.
NHS
Lanarkshire
For further information regarding NHS Lanarkshire and it’s hospitals, please
visit our website:- www.nhslanarkshire.org.uk
Page 1
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory Medicine
POST INFORMATION
The Post
NHS Lanarkshire is recruiting a Full Time Locum Consultant in Respiratory and
General Medicine based at Wishaw General Hospital. This 6 month post has
been created to support the increasing clinical workload in the respiratory
medicine department over the winter months. The successful applicant will join
a team of 6 consultant respiratory physicians (5WTE excluding this post)
delivering in-patient and out-patient respiratory care with a commitment to GIM
on call shared with four of the full time respiratory consultants.
The job is offered as a full-time post on a 10 PA basis (9 DCC and 1SPA).
Although working on a part-time basis will be considered.
Department of
Medicine
The Department of Medicine has 168 beds. Acute admissions are channeled
through an Emergency Receiving Unit (36 beds). There is a Coronary Care
Unit of 6 beds and a medical HDU with 6 beds. Regional maternity and
paediatric services are located on the Wishaw site
Consultant Physicians’ inpatient responsibilities are arranged in specialty
groupings and each medical specialty has a defined allocation of beds. This
has allowed the development of specialist care in the wards.
The Department of Medicine is managed within the Acute Division. The
Department has over 13,000 acute admissions annually and approximately
5,400 new outpatient referrals.
The Medical Unit is involved with undergraduate teaching in all years of the
new curriculum at Glasgow University and also has students form Dundee and
Edinburgh Universities.
Respiratory
Medicine
Medical Staffing: The Respiratory Medicine service will be provided by six (5
WTE posts excluding this post) Consultant Physicians with support from a fulltime Specialty Doctor in Respiratory Medicine. There is also a ST3 in
Respiratory Medicine and/or ST3 trainees from other specialties rotating
through respiratory medicine as part of their general medicine training. There
is an FY2 and two CMT trainees attached to the Respiratory Medicine. There
is an FY1 trainee attached to the Respiratory ward.
Specialist Nursing: There are 6 Respiratory Nurse Specialists – one leading
on Asthma, three on COPD, and two on Lung Cancer and they cross-cover
their duties during periods of leave. There is also a full-time Smoking
Cessation Nurse Specialist.
Page 2
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory Medicine
Inpatients: The Respiratory Physicians are based on Ward 7 (24 beds) which
is the focus for inpatient respiratory care. The majority of acute admissions
with respiratory illness are triaged from the Emergency Receiving Unit to Ward
7 and clinical responsibility transfers to the Respiratory Physicians. Elective
respiratory admissions are to this ward.
The medical high dependency unit has 3 BiPAP non-invasive ventilatory
support machines and 2 TOSCA machines to allow monitoring of
transcutaneous CO2. Ward based chest ultrasound is also available in ward 7
to improve the safety of pleural procedures and there is a dedicated ultrasound
machine housed in the x-ray dept for this purpose.
Outpatients: There are out-patient clinics for general respiratory medicine,
airways disease, lung cancer, sleep and neuromuscular disease and interstitial
lung disease – with space for emergency new referrals each week. There is a
fast-track lung cancer service. The development of subspecialty clinics and
Area specialty services in collaboration with colleagues at Wishaw, Monklands
and Hairmyres Hospitals will be discussed and encouraged. This post will
deliver clinics in general respiratory medicine with subspecialty interests to be
discussed with the successful applicant.
Chemotherapy: chemotherapy for small cell and non-small cell lung cancer is
given in the Haematooncology ward (in-patient and day case), this is
undertaken by Medical Oncology.
There are nurses trained in the
administration of intravenous chemotherapy in that area.
Bronchoscopy and related procedures: this is carried out in a purpose
designed endoscopy suite with the support of endoscopy nursing staff. There
is space for 6 day-cases. The endoscopy rooms are spacious and equipped
with modern video facilities. Transbronchial lung biopsy is carried out under
fluoroscopic screening in the Radiology Department.
There are 2
bronchoscopy lists per week.
The Respiratory Function Lab: has 2 patient test rooms and a respiratory
physiologists’ office and is located in the medical day unit. There is a patient
waiting room. The majority of the equipment is SensorMedics and includes 2
test stations for full lung function, whole body plethysmography, and facilities
for histamine challenge, testing exhaled nitric oxide levels, undertaking flight
assessments and long term oxygen studies. Overnight screening sleep studies
are also undertaken with new dedicated equipment. Skin prick tests to assess
atopic allergy are carried out. A dedicated nebulizer and oxygen assessment
services for patients is also run from the lab. The lab is staffed by 3 WTE
Respiratory Physiologists.
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NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory Medicine
Physiotherapy: There is a full-time Senior Respiratory Physiotherapist. She
delivers an inpatient service. Outpatients are seen as required. She runs the
Pulmonary Rehabilitation Programme with the respiratory nurses.
Radiology: The radiology support is excellent from three radiologists with a
specialist interest in respiratory medicine. A CT guided biopsy service and
other interventional procedures including SVC stenting are available within
NHS Lanarkshire. There is a new MRI scanner on site. There is a weekly
Respiratory Radiology meeting in addition to the weekly lung cancer MDT
meeting
Thoracic Surgery: Thoracic Surgery is undertaken at the Golden Jubilee
National Hospital at Clydebank with all other West of Scotland cardiothoracic
services.
Clinical Oncology: 2 Clinical Oncologists and 1 medical oncologist from the
lung team at the Beatson Oncology Centre (Glasgow) visit one day per week
for the Lanarkshire joint oncology lung cancer clinic and to run the on-site
chemotherapy service for lung cancer patients. This clinic is held at Monklands
Hospital and patients are referred.
General
Provisions
You will be answerable to Clinical Director, who will agree your job plan.
Health and
Safety
You are required to comply with NHS Lanarkshire Health and Safety Policies.
Junior Medical You will be responsible for the training and supervision of the Junior Medical
Staff
staff who work with you. In addition, you will be expected to ensure that staff
have access to advice and counseling.
Page 4
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory Medicine
Resources
The following resources are available:Consultants
Consultant Physicians
(23)
Medicine for the Elderly
(6)
Special Interest
Cardiology, Respiratory Medicine,
Gastroenterology, Diabetes & Endocrinology,
Acute Medicine, Rheumatology and
Haematology.
Care of the Elderly
Support and Training Grade Staff:
The department is staffed by trainees in Core Medicine, ACCS, and General
Practice, which cover Medicine, Respiratory Medicine, Cardiology, care of
the Elderly and Rheumatology. Wishaw General Hospital is recognised for
Higher Training in Medicine and a number of medical specialties (including
Respiratory Medicine) with ST3 trainees and Specialist Registrars in various
specialties in the West of Scotland Deanery being attached to the
Department of Medicine. The junior medical staff have a high success rate in
the MRCP(UK) examination. There are visiting specialists form neurology,
renal medicine, urology and Ear nose and throat medicine with outpatient
clinics also undertaken in theses specialties.
Page 5
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory Medicine
DUTIES AND RESPONSIBILITIES
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
The job plan will be dependent on the successful candidate’s
subspecialty training and interests. 1SPA 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.
The detail of the job plans and the weekly timetable will be discussed
with the appointee. An indicative breakdown of PAs for the different
elements of the job would be as follows within a 10 PA contract: The
core 10PA working week will be based on 9 PAs of Direct Clinical
Care (DCC) duties and 1 SPA time for a full-time post-holder.
Activity
Supporting Professional Activity
Ward Rounds/referrals/relatives
Clinics
MDT & X-Ray Meetings
Clinical Administration
On call
No of PAs
1.0
2.0
3.0
1.0
1.5
1.5
Total 10 10
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NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory Medicine
In addition, other
activities not
occurring at fixed
times.









Reviewing new admissions on rota basis.
Discussing patient management/reviewing patients with Junior
Medical & Nursing Staff out with formal ward rounds
Seeing Ward referrals on rota basis.
Discussing referrals (in patient & out patient with colleagues).
Discussing management/investigation of patients with colleagues
in other appropriate Clinical Support Services
Discussing management/ investigation of patients with colleagues
in Radiology and other appropriate Clinical Support Services.
Discussing results with patients
Discussing patients with GPs.
Attending meetings in relation to duties as member if Respiratory
Team
Review of the Job This job plan is subject to review by the post holder and the Clinical
Plan
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 an annual 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 with additional SPA
time if required and as agreed at the Job Plan Review by the Clinical
Director.
Continuing
Professional
Development
Study leave is available within the terms and conditions of service with
the approval of the 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.
Page 7
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory Medicine
PERSON PROFILE
Attributes
Essential
Desirable
Qualifications
MBChB or equivalent.
BSc/MSc
MRCP(UK) or equivalent.
Higher degree in respiratory medicine Current full registration with GMC MD/PhD
with a licence to practice.
On Specialist Register Respiratory
Medicine or within 6 months of CCT or
CESR (CP) at interview.
Experience
Extensive
experience
in
the Subspecialty expertise within an area of
management of respiratory patients Respiratory Medicine
Ability to take full and independent
responsibility for clinical care of
patients with respiratory illness
Research/Audit Experience in organising and Research and publications relevant to post
undertaking clinical audit
Publications
Presentations relevant to General
Publications or presentations at national
or Respiratory medicine.
meetings relevant to General or
Respiratory medicine.
Teaching
Previous involvement in the Interest in and commitment to teaching
delivery of undergraduate or and training.
postgraduate teaching.
Experience of providing problem-based
teaching.
Experience of providing supervision and
or mentorship.
Knowledge
Excellent communication skills
Recognised teaching skills course.
and Skills
Interpersonal skills
Organisational skills
Teaching experience
Disposition
Ability to lead, teach and relate to
patients, relatives and other hospital
staff and to work as part of a team
Managerial
Evidence or possession of management
skills and of experience of management
within the NHS.
Leadership
Ability to motivate and develop
junior medical staff and other staff
The post requires physical dexterity. Uncorrected visual or
If there is any reason why a
hearing defect would be incompatible with the nature of the
disabled person should not be
work.
considered suitable for this
post, please provide details:
Prepared By:Approved By:Name
Dr. K Dagg
Designation
Consultant
Date
November 2013
Page 8
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory 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 1st April 2013 the starting salary for the post is £75,249 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 9
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory 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 10
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory Medicine
IMMIGRATION
Overseas
Doctors and
Dentists
Changes to
Immigration
Impact of
Change
Further
Information
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 7th March 2006 the Department of Health announced changes to the
immigration rules for postgraduate doctors and dentists. The changes
came into effect on 3rd 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.
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:Home Office
Work Permits
EEA Countries
www.ind.homeoffice.gov.uk
www.ukba.homeoffice.gov.uk/workingintheuk/
Austria
Greece
Belgium
Hungary
Bulgaria
Iceland
Cyprus
Republic of Ireland
Czech Republic
Italy
Denmark
Latvia
Estonia
Liechtenstein
Finland
Lithuania
France
Luxembourg
Germany
Malta
NB – Switzerland is not in the EEA, Swiss
as EEA nationals.
The Netherlands
Norway
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
Sweden
UK
Nationals have the same rights
Page 11