NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General Medicine
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
MS/0714/10
Quote on all correspondence
Locum Consultant
Hairmyres Hospital
10 PAs per week (Part-time may be considered)
£76,001 to £ 102,465 pa
Noon on Thursday 16th October 2014
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
Telephone
Email
Application
Process
To apply, please email your CV to the above, along with the attached
completed Application Pack.
3 Recruitment Lanarkshire NHS Inserts.pdf
01698 377720
Lynn.cliens@lanarkshire.scot.nhs.uk
Application Pack.doc
Additional
Arrangements
Informal enquiries regarding this post will be welcomed by:Dr Sameer Patel
Consultant
01355 584833
Dr Pratheega Mahendra Consultant
01355 584645
Date when the
post is Vacant
This is a new post 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
We are an Equal Opportunities Employer and Positive about Disabled People.
Page 1
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General Medicine
Management
Structure
To simplify and streamline the governance arrangements within our hospitals,
the structure of our managers, including Medical Managers is being actively
redeveloped. The new structure will enhance local delivery at hospital level,
heighten leadership visibility and increase site accountability. Our Medical
Managers will provide professional leadership to medical staff, ensuring that
they are effectively developed, organised, integrated and managed to support
the strategic aims of each Division and meet the needs of the patient.
POST INFORMATION
The
The Department of Medicine has 120 beds. The Medical Unit provides an Acute
Department
Medical receiving service, and fully staffed specialty services in Cardiology,
Respiratory, Gastroenterology and Diabetes. Each of these specialties has its
own dedicated ward area. 24 beds are allocated to the Acute Medical Receiving
Unit (AMRU). There is also a 4 bedded Clinical decision unit (CDU) adjacent to
the medical receiving ward to facilitate the assessment of GP admissions.
We have a Neurologist and a Rheumatologist who provide an in reach service
for inpatients in addition to outpatient clinics on site. There are also visiting
consultants in, Haematology, Oncology, ENT, Dermatology and Ophthalmology.
There is a shared Oncology and Haematology Day Unit allowing on site
chemotherapy for our lung cancer patients. We also have a visiting Palliative
Care consultant.
There is an excellent and well staffed Department of Care for the Elderly with a
dedicated Stroke Unit and lead stroke physicians.
Respiratory Medicine
The respiratory ward has 18 beds plus a 4 bedded Medical High Dependency
Unit which is covered during the week by the Respiratory consultants, acute
Physicians and an associate specialist. The out of hours cover is by the on-call
consultant.
Respiratory outpatient clinics take place on site in the general outpatients
department and are supported by a fully equipped and staffed lung function
laboratory. Specialist lung cancer clinics take place on Monday afternoons,
supported by a lung cancer specialist nurse. Lung cancer MDTs are held on
Tuesday and are attended by Respiratory physicians, Thoracic surgeons,
Oncologist and Radiology in addition to the Lung Cancer nurses, either in
person or via video link. We have excellent radiology support with both imaging
Page 2
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General Medicine
and interventional support of a very high standard. There has been a significant
amount of redesign work recently within Lung Cancer which has produced very
favourable results in terms of national targets, and this process is ongoing.
Sub-specialist clinics in relation to asthma, sleep medicine and interstial lung
disease are being proposed.
There are three consultant respiratory Physician at Hairmyres. Dr. S Roy, Dr. P.
Mahendra and Dr. S Patel. The respiratory unit is supported by an Associate
Specialist, Dr L Cochrane, with a specialist interest in pulmonary physiology and
cardiopulmonary exercise testing.
There is a well-equipped Respiratory Function Laboratory which includes
facilities for full body plethysmography, exercise respiratory physiology,
histamine challenge and skin testing, and home sleep study (Embletta) in
addition to the usual pulmonary function tests.
3 dedicated Respiratory Specialist Nurses, a Smoking Cessation Nurse, Lung
Cancer Specialist nurse(s), Palliative Care Nurse, and lung cancer patient
pathway co-ordinator help provide a high level of nursing support to the
respiratory service. In addition to this, we have a well-developed Pulmonary
Rehabilitation Programme with respiratory physiotherapy and occupational
therapy input.
We operate a Non Invasive Ventilation service administered by nursing staff on
the Respiratory ward and the Acute medical receiving ward (with support from
our Hospital Emergency Care Team {HECT}).
Bronchoscopy takes place weekly on a Wednesday morning in the Day Surgery
Unit. A business case is in submission for EBUS on the Hairmyres site.
Hairmyres hospital is recognized for training of Respiratory SpR`s.
General Medicine
The Acute Medical Receiving Unit (AMRU) is situated on Level 1 near to the
Accident and Emergency department. All new patients at present are admitted
via the Emergency Department. Approximately 10,500 patients are assessed on
AMRU on an annual basis. The receiving consultant physician provides a twice
daily ward round on the receiving unit at 0900 and 1600. Following assessment
by the on-call medical consultant, patients are then triaged to specialty wards.
Care of Elderly physicians take over the 8 most appropriate newly admitted
patients each morning.
Page 3
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General Medicine
Patients with cardiac pathology can be admitted directly to the Coronary Care
Unit and then are reviewed by cardiology colleagues. The cardiologists also run
a separate interventional cardiology rota and also provide an in reach service
during week days for patients on AMRU and Clinical Decision Unit.
There are currently 13 consultant physicians participating in the general
medicine weekday rota, and 15 on the weekend rota; there are also 2 new
acute consultant physician posts currently under recruitment which will bring the
total number of consultants including this post, up to 15 covering weekdays and
17 covering weekends
Respiratory Medicine in Lanarkshire
There are currently 5 Respiratory Physicians in Wishaw General Hospital (Dr K
Dagg, Dr KS Tan and Prof H Scott, Dr. Smith and Dr. M Patel, three Respiratory
Physicians in Monklands Hospital (Dr. L McAlpine, Dr. S Baird and Dr R.
Syyed). There is collaboration between the hospitals in area-wide protocols and
clinical audit. With the increase in consultant staffing, it is anticipated that areawide specialist services could be developed such as in difficult asthma,
interstitial lung disease, TB and sleep disordered breathing.
A Respiratory Managed Clinical Network was launched in April 2007. It has
received substantial investment to develop a number of services for COPD such
as open access spirometry, community pulmonary rehabilitation and early
supported discharge.
Respiratory Medicine in the South West of Scotland
More specialist services relevant to Respiratory Medicine including the Beatson
Oncology Centre, Regional Thoracic Surgery Unit (Golden Jubilee Hospital,
Clydebank), Regional Pulmonary Vascular Unit (Gartnavel), Cystic Fibrosis Unit,
Sleep Medicine Unit, and so forth are all easily accessed in nearby Glasgow.
Our Lung Transplant Centre is in Newcastle.
The West of Scotland organize Regional Respiratory meetings to encourage
opportunity to discuss interesting cases and network with colleagues.
Page 4
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General Medicine
The Post
Locum Consultant Physician in General and Respiratory Medicine. The
appointee will provide an integral role in the development of Respiratory
Services. The appointee will share responsibility for providing general medical
services (including acute receiving, outpatient services and domiciliary
consultations) with the other physicians.
The appointee with contribute to the clinical supervision of the medical high
dependency unit.
The precise details of the job plan will be dependent on the successful
candidate’s subspecialty training and interests.
NHS Lanarkshire is supportive of applications from individuals with well
developed ideas for improving services who are able to demonstrate a
commitment to quality improvement, patient safety (including human factors
training), Medical Education and Research & Development.
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
Staff
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.
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NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General Medicine
Resources
The following resources are available:Consultants
Consultant Physicians (18)
Medicine for the Elderly (8)
Associate Specialist
FY2/ST Trainees
FY1
Secretarial Support:
WTE Secretary
Special Interest
Cardiology, Neurology, Rheumatology, Renal,
Respiratory Medicine, Gastroenterology, Diabetes
& Endocrinology
Care of the Elderly
1
3
1
3
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. 1 SPA will be included in the job plan. Additional SPA time (up to
2.5 PAs in total) can be incorporated into the job plan depending on the time
required to support the successful candidate’s professional activities and the
needs of the service.
Applicants wishing to commence on more than 1PA for SPA duties should
discuss proposals with the identified Lead contact and Service Medical Manager
(Associate Medical Director or Divisional Medical Director).
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 timetable is indicative and subject to negotiation with the Clinical Director.
The core 10PA working week will be based on 9 PAs of Direct Clinical Care
(DCC) duties and 1 PA of SPA time for a full-time post-holder, but candidates are
referred to the description of post above. Applications will be considered from
those wishing to work less than full time.
Page 6
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General Medicine
Fixed
Commitments
Days
Hours
Type of Work
Location
Monday
AM
PM
AM
PM
Ward Round
Clinic
Clinical Admin/Referrals
Lung Cancer MDT &
Respiratory Outpatient Clinic
Bronchoscopy in rotation
every 3-4 weeks/Admin
Respiratory Outpatient Clinic
AMRU//On Call/Flexible
SPA
Respiratory ward round
Off
Respiratory Ward
Outpatient Department
Office
Outpatient Department
Tuesday
Wednesday
Thursday
Friday
In addition,
other
activities not
occurring at
fixed times.















AM
PM
AM
PM
AM
PM
Day Surgery Unit
Outpatient Department
As per rota
On site
Respiratory Ward
1.5 PAs for weekend post receiving ward rounds and unpredictable on call.
Reviewing new admissions on rota basis.
Contributing to the day time MHDU rota (1 in 6)
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.
Vetting Fast Track clinic referrals/ allocating appointments.
Attending meetings in relation to duties as member if Respiratory Team.
CPD and Appraisal
Audit
Teaching & Training
Page 7
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General Medicine
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 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.
Honorary Academic If involved in undergraduate teaching status can be applied for.
Status
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 Consultant Physician in
Respiratory & General Medicine
PERSON PROFILE
Attributes
Essential
Qualifications MBchB or equivalent.
MRCP (UK) or equivalent.
Training
Experience
Useful
Higher Degree or other Diploma.
ALS Provider.
Current full registration with GMC
with a licence to practice.
On Specialist Register for General Medicine
& Respiratory Medicine or within 6 months
of CCT or CESR (CP) at interview.
Training in a subspecialty of Training at ST/SPR level in communication,
Respiratory Medicine or in another teaching or management.
allied area of clinical practice (e.g.
ITU/HDU, Acute Medicine etc.)
Training in advanced clinical procedures
e.g. thoracoscopy, pleural ultrasound or
EBUS.
At least 3 years experience at Further experience in specific subspecialties
senior trainee level in General of Respiratory Medicine or General
(internal) Medicine with regular (internal) Medicine.
unselected
acute
on
call
commitment.
At least 3 years experience at
senior trainee level in Respiratory
Medicine.
Research
Awareness
research.
of
principles
of Involved in design of research relevant to
general or respiratory medicine.
Participation in audit.
Experience of design of audit.
Participation in research relevant to
General or Respiratory medicine.
Publications
Presentations relevant to General or Publications or presentations at national
Respiratory medicine.
meetings relevant to General or Respiratory
medicine.
Teaching
Previous involvement in the delivery Interest in and commitment to teaching and
of undergraduate or postgraduate training.
teaching.
Experience of providing problem-based
Experience of providing supervision teaching.
and or mentorship.
Page 9
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General Medicine
Knowledge
and Skills
Disposition
Wide experience of managing acute Ability to perform trans-bronchial lung
medical
emergencies
and biopsy under screening.
respiratory conditions.
Experience in the use of pleural ultrasound,
Ability
to
perform
fibreoptic thoracoscopy, or EBUS.
bronchoscopy independently.
Ability to interpret and report Good IT skills.
pulmonary
function
tests
independently.
Excellent communication skills.
A natural leader.
Ability to work under pressure.
Ability to work effectively in a
multidisciplinary team.
Responsive
to
change
and
innovation, promoting a culture for
organisational development.
Flexible approach.
Ability to demonstrate reflective
practice with evidence of regular
appraisal with clear Personal
Development Plan relating to
Continuing
Professional
and
Personal Development.
Managerial
Awareness of the principles and Involvement in service re-design
core practices involved in service
management, project management Involvement in project delivery.
and effective meetings.
Involvement in NHS-related meetings.
Leadership
Awareness of the principles of team Evidence of role as leader within groups.
leadership and effective people
management.
If there is any reason why a disabled person The post requires physical dexterity.
Uncorrected visual or hearing defect would be
should not be considered suitable for this
incompatible with the nature of the work.
post, please provide details:
Prepared By:Approved By:Name
Dr John Keaney
Designation
Clinical Director
Date
September 2014
Page 10
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General 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 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 11
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General 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 12
NHS Lanarkshire – Information Pack
POSITION: Locum Consultant Physician in
Respiratory & General 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 13