National Waiting Times Centre NHS Board
Job Description
1. Job Identification
Job Title:
Locum Consultant Cardiologist - Intervention
Responsible to:
Associate Medical Director / Head of Operations Regional and national medicine
Accountable to:
Chief Executive
Division:
National and Regional medicine
2. Introduction
This post is a replacement for a Cardiologist with a special interest in intervention. The appointee will join a team of high
volume interventionists and would be expected to develop a practice focussing on more complex procedures including
left main, multi-vessel and rotablation.
The post is based at Golden Jubilee National Hospital in Clydebank, where the appointee will work predominantly. There
are also clinical duties in the Cardiology Directorate of the Greater Glasgow and Clyde Health Board.
The Golden Jubilee National Hospital
The Golden Jubilee Hospital is a state of the art tertiary referral centre for cardiothoracic surgical and interventional
cardiological services on the banks of the River Clyde in close proximity to Glasgow International Airport and within 30
minutes of the centre of Glasgow by road and rail links. Direct overnight sleeper rail service to Euston, London is
available at Dalmuir station 5 minutes from the hospital. Clydebank is on the westerly outskirts of Glasgow in close
proximity to the West of Scotland and Loch Lomond. The city has a vibrant cultural life, with first class galleries,
museums, class sports and leisure facilities, and is only 45 miles from Edinburgh.
The hospital is managed by its own Special Health Board called The National Waiting Times Centre Board is part of NHS
Scotland. Built recently in the 1990’s, it is a very modern hospital with 300 beds overall and all wards having single or two
bedded rooms with en-suite facilities. The estate is one of a high specification and has the unusual feature of a hotel and
conference centre as an integral unit alongside the hospital. It has recently also opened The Beardmore Centre of Health
Science, a facility which provides educational and research capabilities Overall, the hospital is regarded by the staff as a
very pleasing and attractive working environment and desirable patient experience.
The main clinical services provided are heart and lung, elective major orthopaedics, general surgery, plastic surgery and
endoscopy services.
Catchment Population
Glasgow and the immediate surroundings has a population of around 580,000. It is the largest city and the commercial
capital of Scotland. The regional cardiology service extends to the entire West of Scotland and additionally receives
national referrals through the National Service Divisions The West of Scotland catchment population is 2.2 million. The
Territorial Health Boards for the West of Scotland are Greater Glasgow and Clyde, Lanarkshire, Forth Valley, Ayrshire
and Arran, Dumfries and Galloway, all of which are part of the West of Scotland Regional Cardiac Service oversees
cardiac services for the region.
The West of Scotland Heart and Lung Centre
The Centre was created in March 2008 at the Golden Jubilee Hospital, bringing interventional cardiology and specialist
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surgical heart and lung services previously provided by other hospitals in the region to the present site. GJNH is a
dedicated regional unit for interventional cardiology including primary percutaneous coronary intervention (PCI). In 2009
the hospital carried out approximately 2600 PCI procedures (including 700 PPCI’s), 400 device implants (CRT and ICD)
and 350 electrophysiology interventions. With this array of specialist cardiopulmonary services the GJNH is one of the
largest heart and lung centres in Europe.
Management Structure
The NHS National Waiting Times Centre is one of eight Special Health Boards of Scotland. It reports directly to the
Scottish Government. The hospital has recently undergone a process of organisational change, restructuring of services
into Divisions. Interventional Cardiology is part of the Regional and National Medicine Division which manages all
aspects of cardiology and the nationally designated services.
Senior Management Team
Associate Medical Director
Operational Lead Clinician
Head of Operations
Clinical Specialties manager / Senior Nurse
Dr Hany Eteiba
Dr Mitchell Lindsay
Ms Lynne Ayton
Ms Jenny Hunter
The AMD takes lead responsibility for professional governance of doctors and shares quality management and
governance with the Senior Nurse. The Head of Operations is responsible for operational and financial processes.
The Interventional Cardiology team will be expected to work alongside the senior management team to develop its
service specifications in line with national and board requirements.
The structure in other departments will mirror the same overall framework within the Division and responsible leads will
contribute to ensuring the service is delivered in a clinical, cost effective, and patient centred manner.
Medical Line Management of post holder
CEO
DIRECTOR OF
OPERATIONS
HEAD OF
OPERATIONS
DIRECTOR OF
NURSING
MD
Clinical
Specialties
Manager
AMD
OPERATIONS &
STRATEGIC LEAD
GOVERNANCE LEAD
CONSULTANT
This post
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The Cardiology Department
The following are members of the department
Consultant Cardiologists
Vacant Post
Intervention
Dr H Eteiba
Intervention (Assoc. medical Director)
Prof. KG Oldroyd
Intervention
Dr MM Lindsay
Intervention
Dr M McEntegart
Intervention
Prof C Berry
Intervention
Dr A Davie
Intervention
Dr S Hood
Intervention
Dr RJ Northcote
Intervention
Dr S Watkins
Intervention
Dr DT Connelly
Prof AC Rankin
Dr AP Rae
Dr RS Gardner
Electrophysiology/Device Therapy
Electrophysiology
Electrophysiology + Intervention
Heart failure/ Device therapy
Dr MC Petrie
Dr John Payne
Heart Failure + Intervention (Director SNAHFs)
Heart Failure
Dr H Walker
Dr N Walker
Scottish Adult Congenital Cardiac Service (Director SACCS)
Scottish Adult Congenital Cardiac Service/ACHD Intervention
Dr H Papaconstantinou
Dr H McAlpine
Cardiology
Cardiology
Dr N Tzemos
Dr J Adams
Dr J Byrne
Dr P Sonecki
Senior Lecturer (University of Glasgow)/Imaging
Cardiac CT
Cardiac CT
Echocardiography
Consultant Respiratory Physicians
Prof AJ Peacock Scottish Pulmonary Vascular Unit (Director)
Dr Martin Johnson Scottish Pulmonary Vascular Unit
Dr Colin Church
Scottish Pulmonary Vascular Unit
Consultant Cardiothoracic Surgeons
Thoracic
Alan Kirk
Ali Jilaihawi
John Butler (also cardiac)
Ian Colquhoun (also cardiac)
(New post to be appointed)
Adult Cardiac
Geoff Berg
Vivek Pathi
Fraser Sutherland
Adult Congenital Cardiac
Kenneth MacArthur (also Paediatric)
Mark Danton (also Paediatric)
Andrew McLean (also Paediatric)
Cardiac Transplant
Saleem Haj-Yahia (Deputy
Director SNAHFs)
Udim Nkere
Stewart Craig
3. Activity
The interventional cardiology service performs around 6500 procedures. This includes approximately 2600 PCI, of which
685 were primary or rescue PCI. There are 3 dedicated coronary labs including one recently installed biplane system.
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One lab operates 0900-1700, the other two from 0900 -1930. There is 24/7 provision for PPCI. We carry out a full range
of coronary interventional techniques and have access to both BSCI and Volcano IVUS with plans to upgrade to OCT in
early 2011. There is one full day/week of GA cover in one lab predominantly for ACHD intervention There are 12
interventional cardiologists (including this post), 10 of whom take part in the on-call rota. They all have hospital
responsibilities at various sites throughout Greater Glasgow and Clyde as well as the GJNH.
Facilities of the Heart and Lung Centre
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4 cardiac catheterisation laboratories (one dedicated EP, one biplane, pressure wire, IVUS, rotablation)
8 cardiothoracic operating theatres (one for pacing)
21 Intensive Care beds in 2 Units (ICU)
3 Cardiothoracic High Dependency Units (HDU)
Coronary Care Unit (8 beds)
Cardiology day and in-patient wards
2 Cardiothoracic wards
9 bedded National Services Division unit which includes a new dedicated procedures room for haemodynamic
assessments and myocardial biopsy
All standard non-invasive cardiological services
Non-invasive cardiac imaging including
o Multi-channel spiral CT scanner
o Siemens Avanto 1.5T CMR scanner
o Echocardiography department including
 1 Philips iE33 TTE scanner (3D TTE and TOE probes)
 1 GE Vivid 7
 1 GE Vivid S6
o Cardiopulmonary exercise testing
o Full range of pulmonary function testing
Outpatient facilities
o Excellent well appointed dedicated area for advanced heart failure and devices
Links with Glasgow, Strathclyde, Caledonian and Stirling Universities
Services
Services provided at the GJNH include:
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Interventional cardiology services, including angioplasty, angiography, electrophysiology and complex device
implantation
Cardiac surgery
Adult thoracic surgery including lung, oesophageal and chest wall surgery
Scottish Advanced Heart Failure Service
Scottish Adult Congenital Cardiac Service
Scottish Pulmonary Vascular Unit
Leadership
A number of key roles within the department require leadership provided by consultants. This post will need experienced
leadership skills or demonstration of potential ability. In view of the framework of the Regional and National Medicine
Division there will be potential to take a significant leadership role for the National Waiting Times Centre Health Board
attached to this post for candidates with management experience.
Research, Development and Innovation
Research is a very important component of the activity at the Golden Jubilee National Hospital and is supported by a
R&D steering group and dedicated manager. Of the 17 active research projects hosted by the Board in the 08/09
financial year, 13 recruited patients from within the Heart and Lung Directorate. Contract (commercial) research is
encouraged and staff use income generated from this source to maintain research support staff such as Clinical
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Research Fellows and Research Nurses. Academic research is also encouraged and the new appointment will be
strongly encouraged to take an active role in this activity. There are established links with all three Glasgow Universities
and NHS GG&C under the administrative structure of Glasgow Biomedicine. The appointee will be expected to support
local and national collaborative projects that are relevant to his/her activity. The Board is committed to the development
of innovative clinical programmes and activity.
The Beardmore Hotel and the integral conference centre attached to the Golden Jubilee is a unique arrangement in the
UK and facilitates a variety of local, national and international meetings for the Heart and Lung specialties to share
learning in the UK and beyond.
Professor Keith Oldroyd .is the Research and Development Director
Beardmore Centre for Health Science
This brand new centre will contain a dedicated Clinical Research Facility which is designed to provide a ‘fit for purpose’
space for patients recruited to clinical trials. There will be four consulting rooms; one is set up for echocardiography and
one as an exercise tolerance suite. The remaining two rooms are general consulting rooms. The rest of the centre is
made up of prep rooms, simulator training wet lab work stations and a patient waiting area. The Centre is adjacent to the
main auditorium of the conference centre providing excellent opportunities to develop teaching techniques and learning.
Improved audiovisual links to theatre and the cardiac cath lab are installed as part of this development. The Beardmore
Hotel and the integral conference centre attached to the Golden Jubilee Hospital is a unique arrangement in the UK and
will enable important national and ‘focus’ international meetings for the Heart and Lung specialties to share learning in
the UK and beyond.
Governance and Risk management
The Board has a comprehensive programme that covers both clinical and research governance domains and all medical
staff are expected to uphold clinical and non-clinical policies and be exemplar role models for all other medical and nonmedical staff. The importance of infection control, hand hygiene and dress code must be adhered to at all times.
Patient safety underpins clinical practice and initiatives following the guidance of the SPSP and subsequent programmes
apply to all staff.
Medical staff are required to undergo annual appraisal meeting the requirements for revalidation that will be directed by
the GMC. The Medical Director is the Responsible Officer for the Board and he/she will ensure that an appropriate
appraisal process and a nominated appraiser are in place.
The appointee will be accountable to the Medical Director for matters related to the GMC’s guidance on Good Medical
Practice and the Duties of the Doctor. Any concerns raised relating to GMC guidance are referred to the Medical
Director.
Junior medical staff and education
Junior staffing in the cardiology department is provided by a resident on-call 1 in 8 rota populated by a combination of
research fellows, fellows attached to the advanced heart failure and adult congenital services and 3 CCU fellows In
addition, cardiology trainees in the West of Scotland in year ST4 and above rotate through the CCU and provide middle
grade out-of-hours cover. Finally, sub-specialty trainees undertake modular training in the GJNH during their final two
years.
The Board is committed to developing a strong educational ethos within the department and the new appointee will be
expected to provide education and support to these staff members and develop the key educational skills to be an
effective clinical supervisor. There is a forward thinking Department of Education and Learning led by a manager, Mrs
Cathy Fox. There are close links with the West of Scotland Deanery and the Faculty of Medicine at Glasgow University.
There is an excellent MDT/ educational room for the department which is close proximity to the junior doctors’ common
room, study rooms with computer workstations and lockers. There is a small library adjacent to the department.
Mr Alan Kirk is the Director of Medical Education of the Board. There will be commitment to the education of
undergraduate Medical students from Glasgow University.
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Indicative Job Plan is based on a 10 PA contract using the 9:1 SPA formula approved in Scotland
Indicative Job Plan
Activity
GG&C
Clinic
2.00
DPCA
0.25
Backfill for GJ CCU
GJNH
Cath lab session (fixed)
2.50
Cath lab session (flex)
1.00
OOHs PCI
1.50
Consultant of week
1.33
MDT
0.50
SPA
1.00
includes DPCA
includes 1 flex cath
session
10.08
Workload Flexibility
Job plans are reviewed on an annual basis by the Associate Medical Director and Head of Operations on behalf of the
Medical Director. Changes will be discussed and agreed with the post holder in line with service needs and objectives set
for the consultant.
The successful candidate will have secretarial support, office accommodation and access to a personal computer. The
appointee will be expected to work flexibly on the basis of the needs of the Cardiology service
4. Terms & Conditions of Service
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National terms and conditions of service (Consultants (Scotland) 2004) cover the post.
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The post is subject to pre employment checks such as Disclosure Scotland, Occupational Health, Visa
clearance (where applicable) and satisfactory references.
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You are required to be registered with the General Medical Council/General Dental Council through out the
duration of your employment and to comply with and abide by the relevant code of professional practice, as
appropriate.
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Salary scale: National Salary Scales per annum
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The appointee will be expected to work with local managers and professional colleagues in the efficient running
of services and will share with consultant colleagues the medical contribution to management. The appointee
will be expected to follow the local and national employment and personnel policies and procedures.
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All medical and dental staff employed by the Centre are expected to comply with the agreed health and safety
policies.
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The appointee will have responsibility for the training and supervision of junior medical staff who work with
him/her and will devote time to this on a regular basis. If appropriate he/she will be named in the contracts of
junior doctors in training grades as the person responsible for overseeing their training and as a main source of
advice to such doctors on their careers.
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The successful candidate(s) will normally be required to live within 30 minutes drive of GJNH.
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Where, however the successful candidate already resides within 45 minutes drive of GJNH, he/she will not be
required to remove his/her home nearer to the Centre.
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Where the successful candidate’s present residence is more than 45 minutes drive from GJNH, he/she will be
required to move his/her home to meet the residential clauses of his/her contract, unless he/she has the written
consent of the Board to the contrary.
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The Terms and Conditions of Service state that the “removal expenses shall be reimbursed and grants paid
only when the employing authority is satisfied that the removal of the practitioners home is required and the
arrangements proposed are reasonable”. Therefore, successful candidates are advised not to enter into
contractual arrangements for the removal of their home until such a time as the formal approval of the Centre is
confirmed in writing.
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Annual appraisal and job planning is a requirement for all permanent medical staff.
5. Further information and arrangements to visit
All enquiries will be treated in strict confidence and in the first instance please contact either:
Dr Hany Eteiba
Associate Medical Director- Regional and National Medicine
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY
Tel: 0141 951 5860
To arrange to visit and for further information please contact:
Ms Lynne Ayton
Head of Operations – RNM Division
West of Scotland Regional Heart & Lung Centre
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY
Telephone:
0141 951 5098
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6. Applications
Completed applications to be returned to:
Ms Lynn Mitchell
Recruitment Section
Human Resources Department
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY
Closing Date: 10 February 2013
12. JOB DESCRIPTION AGREEMENT
A separate job description will need to be signed off by each jobholder to whom the job description applies.
Job Holder’s Signature:
Head of Department Signature:
Date:
Date:
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National Waiting Times Centre NHS Board
Qualifications/ Training
Essential
MRCP.
Desirable
Higher degree
How or where to be judged
Application
Interview
Experience in more complex referrals
including left main, multi-vessel and
rotablation.
Application
CCT – Cardiology
Experience
Extensive training in interventional
cardiology.
Experience of primary PCI for STEMI
General Cardiology experience sufficient
to provide Consultant-level care to
patients in CCU, general Cardiology
Wards and to provide a general
Cardiology consultant service for inpatients & out-patients.
Experience in advanced techniques for
treating chronic total coronary occlusions
including the retrograde approach and/or
TAVI
Recent experience of working within the
NHS
Experience of introduction
technology or procedures
Human Factors
Interview
of
new
Effective in MDT working.
Interview
Excellent team working skills.
Understanding the
objectives of NWTC
Board
Committed to developing a centre of
excellence
Teaching & Education
To provide clinical supervision of
postgraduate training doctors
Interview
Educational supervisor of postgraduate
doctors
Application
Understanding of risk management and
patient safety initiatives
Application
Extensive research experience and leading
research projects.
Application
Interview
Teaching undergraduates and other
health professionals
Clinical Audit & Risk
Management
Demonstrate experience of clinical audit
and evidence based practice
Interview
Key principles of Clinical Governance
and Data Protection
Research and
innovation
Previous and current active interest in
research with evidence of publications.
Interview
(Demonstration of success in major grant
applications.)
Involvement in grant application
Journal editorial experience.
Supervision of trainees in research
Understanding of GMC
Requirements
Human Factors and
Communication Skills
Knowledge of ‘duties of doctor’
Understanding of revalidation
Good written and excellent verbal English
skills
Interview
CV and Interview
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