National Waiting Times Centre NHS Board
Job Description
1. Job Identification
Job Title:
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 be a high volume
interventionist cardiologist and would be expected to develop a practice focussing on more complex procedures including
left main, multi-vessel and rotablation. Expertise in intravascular imaging, physiological measurement in addition to
structural heart disease and transcatheter valve intervention would be desirable for future development.
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 post is a joint appointment by the two Health Boards with the National Waiting Times Centre Board being the main
employer. You will be accountable to the Medical Director of the GJNH who will also be the 'Responsible Officer' for the
post holder.
The successful candidate will join a team of Cardiologists who work jointly between the two boards. Both Boards are
committed to developing a high quality service for patients requiring cardiology interventions and work towards providing
a world class reputation. The job description is in two parts to represent the content of each Health Board, firstly, that of
the main employer.
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, and recently established Scottish Innovation Centre, facilities which provide 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.
1
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
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), device
implantation and electrophysiology. With this array of specialist cardiopulmonary services the GJNH is one of the largest
heart and lung centres in Europe.
Additionally the Board hosts three National services; The Scottish National Advanced Heart Failure service (SNAHFs),
The Scottish Adult Congenital Cardiac service (SACCs), The Scottish Pulmonary Vascular service (SPVUs).
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
Head of Operations
Clinical Specialties manager / Senior Nurse
Operational and Strategic Lead
Clinical Governance Lead
Educational Lead
Dr Hany Eteiba
Ms Lynne Ayton
Ms Jenny Hunter
Dr Mitchell Lindsay
Professor Colin Berry
Dr Niko Tzemos
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.
In the new medical management structure there is be an Operational/Strategic Lead and a separate person as
Governance Lead for Cardiology. The posts are accountable to the respective members of the Senior Management
team. There is also an Educational Lead who will have shared responsibility to the Director of Medical Education.
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.
2
Medical Line Management of post holder
CEO
DIRECTOR OF
OPERATIONS
DIRECTOR OF
NURSING
MD
HEAD OF
OPERATIONS
Clinical
Specialties
Manager
AMD
OPERATIONS &
STRATEGIC LEAD
GOVERNANCE LEAD
CONSULTANT
This post
The Cardiology Department
The following are members of the department
Consultant Cardiologists
This Post
Intervention
Dr H Eteiba
Intervention (Assoc. medical Director)
Prof. KG Oldroyd
Intervention ( Director of Research & Development )
Dr MM Lindsay
Intervention ( Operational & strategic lead )
Dr M McEntegart
Intervention
Dr Stuart Watkins
Intervention
Dr C Berry
Intervention
Dr A Davie
Intervention
Dr S Hood
Intervention
Dr Richard Good
Locum Interventional Cardiologist
Dr DT Connelly
Prof AC Rankin
Dr AP Rae
Dr RS Gardner
Dr Karen Hogg
Dr Gary Wright
Electrophysiology/Device Therapy
Electrophysiology
Electrophysiology + Intervention
Heart failure/ Device therapy
Heart failure/Device therapy and palliative care
Locum Consultant Electrophysiologist
Dr MC Petrie
Dr John Payne
Dr Roy Gardner
Heart Failure + Intervention (Director SNAHFs)
Heart Failure
Hear Failure & Devices
Dr H Walker
Dr N Walker
Scottish Adult Congenital Cardiac Service (Director SACCS)
Scottish Adult Congenital Cardiac Service/ACHD Intervention
3
Dr H McAlpine
Cardiology
Dr N Tzemos
Dr J Adams
Dr J Byrne
Dr P Sonecki
Senior Lecturer (University of Glasgow)/Imaging & Education Lead
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
John Butler (also cardiac)
Ian Colquhoun (also cardiac)
Mo Asif
Adult Cardiac
Stewart Craig
Vivek Pathi
Fraser Sutherland
Geoff Berg
Cardiac Transplant
Saleem Haj-Yahia
Udim Nkere
Nawwar Al-Attar (Director)
Phil Curry
Adult Congenital Cardiac
Kenneth MacArthur (also Paediatric)
Mark Danton (also Paediatric)
Andrew McLean (also Paediatric)
3. Activity
The interventional cardiology service performed around 6700 cath lab and 350 device procedures in 2013/14. This
includes approximately 2700 PCI, of which 750 were primary or rescue PCI. There are 3 dedicated coronary labs with 1
further lab utilised mainly for EP work, including one recently installed biplane system. All three coronary lab operate
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 and SJM OCT and have integrated pressure wire system provision. There
is one full day/week of GA cover in one lab predominantly for ACHD intervention.
Facilities of the Heart and Lung Centre










4 cardiac catheterisation laboratories (one dedicated EP, one biplane, pressure wire, IVUS, rotablation, OCT)
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 GE 1.5T CMR scanner
4
o
o
o


Echocardiography department including
 1 Philips iE33 TTE scanner (3D TTE and TOE probes)
 1 GE Vivid 7
 1 GE Vivid S6
Cardiopulmonary exercise testing
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:






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 Development
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. The majority of the active research projects hosted by the Board in the
recruitment of 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 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 contains a dedicated Clinical Research Facility which is designed to provide a ‘fit for purpose’
space for patients recruited to clinical trials. There are 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
5
enables important national and ‘focus’ international meetings for the Heart and Lung specialties to share learning in the
UK and beyond.
Scottish Innovation Centre
The government recently announced an initial £100,000 national health and social care innovation fund, which aims to
raise millions of pounds, to develop original and pioneering treatments for Scotland’s patients. The Golden Jubilee
National Hospital will also work on behalf of NHS Scotland to raise funds for new initiatives from a variety of sources,
including donations and European grants. New medical devices could be rolled out to Scottish hospitals more quickly
under an innovative scheme being piloted by the Golden Jubilee National Hospital.
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.
6
Indicative Job Plan is based on a 10 PA contract using the 9:1 SPA formula approved in Scotland
Indicative Job Plan
GJNH
Cath lab sessions Fixed / Flex
3.5
Consultant of the week GJNH 1:7
0.5
On call Optimal Reperfusion Service (ORS) 1:10
1.5
MDT
0.5
SPA
1
GG&C
CCU consultant of the week 1:8*
1.5
DPCA
0.5
Clinic
1
10
EPAs will be negotiated depending on clinical need for e.g. cath lab sessions
and clinics
This session is allocated to cover CCU weeks, location to be agreed, 1:8 for 50 hrs / wk (8 – 18.00hrs) and
prospective cover for cath lab sessions left vacant by colleagues on CCU cover – 32 sessions / annum @ 1.25 pa /
session.
Workload Flexibility
Job plans are reviewed on an annual basis by the Associate Medical Director or Lead Clinician 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

National terms and conditions of service (Consultants (Scotland) 2004) cover the post.

The post is subject to pre employment checks such as Disclosure Scotland, Occupational Health, Visa
clearance (where applicable) and satisfactory references.

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.
7

Salary scale: National Salary Scales per annum

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.

All medical and dental staff employed by the Centre are expected to comply with the agreed health and safety
policies.

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.

The successful candidate(s) will normally be required to live within 30 minutes drive of GJNH.

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.

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.

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.

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 :
Dr Hany Eteiba
Associate Medical Director- Regional and National Medicine
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY
Tel: 0141 951 5180
Or
Dr Mitchell Lindsay
Lead Clinician – Interventional Cardiology
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY
Tel: 0141 951 5431
8
Informal visits can be arranged through;
Ms Lynne Ayton
Head of Operations – RNM Division
Via PA, Ms Kelly Rodger
West of Scotland Regional Heart & Lung Centre
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY
Tel: 0141 951 5873
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 24 October 2014
The dates for the selection process for this post will be 20 and 21 November 2014
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:
Date:
Head of Department Signature:
Date:
9
National Waiting Times Centre NHS Board
Recruitment Person Specification
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.
Interview
Experience in advanced techniques for
treating chronic total coronary occlusions
including the retrograde approach and/or
structural Heart Disease for future
development
Recent experience of working within the
NHS
Experience of introduction
technology or procedures
of
new
CMRI CT experience
Human Factors
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
Knowledge of ‘duties of doctor’
Understanding of revalidation
10
Interview
Requirements
Human Factors and
Communication Skills
Good written and excellent verbal English
skills
CV and Interview
11