RURAL GENERAL HOSPITAL
CONSULTANT
GENERAL SURGEON
GENERAL INFORMATION
The Western Isles Hospital
The Western Isles Hospital is a Rural General Hospital in Stornoway. It is a modern, well
resourced and well equipped hospital. It opened in 1992 and has 96 beds.
This post provides the unique and exciting opportunity of contributing to the development and
delivery of a remote and rural health care system which is safe, modern and sustainable.
There are four acute wards, two medical one surgical and a maternity unit. In addition there
are medical beds in Erisort Ward which incorporates 6 stroke beds, 3 intermediate care beds
and 8 general and orthopaedic rehabilitation beds. There is a Day Surgery Unit, well equipped
twin theatre suite, state of the art endoscopy suite and a renal unit. . There is an acute adult
psychiatric unit and a psychogeriatric unit.
The population of the Western Isles is approximately 26,500 of which 22,000 are resident in
the island of Lewis and Harris. Because of its geographical position, the Western Isles
Hospital accepts patients with all types of emergencies. Those requiring further specialty
treatment in a mainland hospital (usually Glasgow, Inverness or Edinburgh) are transferred by
air ambulance or helicopter depending on the clinical condition. The Emergency Medical
Retrieval Service (based at the Royal Alexandra Hospital, Paisley) is available to transfer
acutely ill patients. This is necessary for patients needing ventilatory support who require
transport to a mainland intensive care unit.
Surgical Department
Local Surgical services based in Western Isles Hospital include general surgery, orthopaedics
and gynaecology.. The general surgical service is provided for the population of the Western
Isles which meets both elective and emergency needs.
Visiting surgeons from Inverness (NHS Highland) provide ENT, ophthalmology and Urology
services.
General Surgery
The locally based surgeons provide a general surgical service which includes: gastrointestinal
endoscopy, laparoscopic cholecystectomy, large bowel disease and basic urology. Some
major general surgery and surgery in patients with severe concomitant medical disease is
transferred to larger surgical units on the mainland.
The main base is the Western Isles Hospital in Stornoway but outpatient clinics and outreach
services are also provided in the Uist and Barra Hospital in Benbecula. There will be GI
endoscopy sessions in Uist and Barra Hospital in Benbecula from January 2015. The
responsibility for these outreach services is shared amongst the three surgeons.
There are no surgical in-patient facilities within St Brendans Hospital, Barra.
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The organisation of surgical services within NHS Western Isles is kept under regular review
in response to population health needs, national targets and guarantees. Close working with
other surgical specialties and input to the overall modernisation programme for the hospital
will be among the areas that successful candidates will contribute to.
Workload
General Surgery deals with around 1,000 inpatients and 900 day cases per year. There are 1 –
4 (average 1.5) emergency admissions per day. The bed occupancy runs at 70 – 75%.
There are approximately 1,300 new outpatients per year and some 2,000 ‘return’ patients. Our
outpatient waiting times are shorter than the national average and we continue to meet the
TTG for inpatients.
Timetable
The General Surgical Unit provides the following services:
In-patient care relating to emergency and elective patients with 18 in-patient beds, 2 High Dependency
Area beds and a 12 bed day care unit.
Ward rounds
Monday, Tuesday, Thursday and Friday 0830 onwards (usually 0915 -0930)
Wednesday teaching ward round combined with unit business meeting 0930 – 1030
Weekends (on call consultant) 0900/0930 onwards.
Consultant availability for patient problems throughout the day with particular requirement to see sick
patients in HDU, wards and A&E departments and see in- hospital referrals.
Operating Theatre sessions
Operating theatre capacity and utilisation is kept under regular review and reflects the most efficient
and effective response to patient needs.
General Anaesthetic - Monday, Thursday and alternate Fridays (at present used for GI endoscopy)
0930 - 1600
Local anaesthetic – Minor Operations Thursday 1400 - 1600
Endoscopy
Monday and Thursday (at present alternate Fridays) 0930 – 1400
Out patients
Parallel morning and afternoon clinics on Tuesday Scheduled 0930 – 1300 and Wednesday 1400 –
1630
Urology
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Every three months Consultant urologists from Raigmore Hospital in Inverness come to the Western
Isles Hospital for outpatient clinics and perform operating sessions over a two day period. These
sessions are within the surgical schedule.
There is a monthly visiting oncology service from Raigmore. A video link paediatric surgical
consultation takes place with the Royal Hospital for Sick Children in Glasgow once per month.
The General Surgical Consultants have educational, training and supervisory responsibilities for one
Foundation Year 1 House Officer, one Core Surgical trainee, one GPST trainee (Mixed Surgical
Specialities) – 5 weeks every 4 months, phase IV Aberdeen University undergraduate students for 20
weeks/year, one Phase V Edinburgh University undergraduate student, other undergraduates as and
when clinical attachees as required
A videolink gastrointestinal malignancy multi disciplinary team meeting trakes place every Friday. It
involves Surgeons, Oncologists, Physicians, Histopathologists and Radiologists from Raigmore
Hospital in Inverness, the Belford Hospital in Fort William and the Caithness General Hospital in
Wick.
Uist and Barra Hospital (UBH)
On alternate Thursdays there is an Outpatient Clinic at UBH. This requires a day trip by air. From
January there will be a requirement to perform endoscopies at UBH. Therefore the frequency of
attendance will increase to twice monthly.
A job plan will be agreed and renewed annually with the consultant to incorporate the above
mentioned service commitments and to reflect patient/service demands.
Undergraduate/Postgraduate Training
Medical students from the Universities of Aberdeen and Edinburgh, other UK and EU
Universities and commonwealth countries are regularly attached to the department throughout
the year. The post holder will be expected to contribute in teaching medical students and in
training junior staff.
The Western Isles Hospital has an active and enthusiastic undergraduate and postgraduate
training programme.
The medical department runs a regular weekly lunchtime (Tuesday) meeting.
The post holder will have a computer in his/her office with access to appropriate clinical and
other systems.
Research
The Board encourages and where possible gives assistance to the pursuit of research by
consultant staff.
Rehabilitation Services
There is a modern physiotherapy, occupational therapy and speech therapy department.
These departments also provide services in the community.
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Locally based consultant services
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General Medicine
General Surgery,
Orthopaedics
Anaesthesia
Paediatrics
Obstetrics and gynaecology
Psychiatry
Radiology
Dental Services
Visiting consultant services
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Respiratory Medicine
Rheumatology/rehabilitation
Dermatology
Oncology
Neurology
Ophthalmology
Renal Medicine
Otolaryngology
Urology
Child & Adolescent Mental Health
Diagnostic services
The Laboratory in the Western Isles Hospital provides haematology, blood transfusion,
biochemistry and microbiology services. Raigmore Hospital, Inverness provides consultant
haematological and histopathological services.
The Radiology Department is modern with fully digitized imaging, ultrasound, Doppler
scanning and a 64-slice CT scanner. The department is fully integrated with PACS.
Tertiary referrals
The main referral centres are in Inverness and Glasgow, but hospitals in Edinburgh and other
hospitals in Scotland are used when necessary in accordance with established referral
management system.
Outpatient Facilities
There are excellent outpatient facilities within the hospital. Visiting consultants from
Inverness and Glasgow (see above) support various subspecialties.
Main Conditions of Services
1
The post is subject to the Terms and Conditions of Services for Hospital Medical and
Dental Staff (Scotland), as amended from time to time.
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2
Subject to agreement of a satisfactory job plan the Contract will be for 10 (8:2)
Programmed Activities per week. The Health Board may offer up to 2 extra
programmed activities according to diaried on-call activity. The salary will attract an
8% availability allowance.
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Residence – the successful applicant will be required to reside within 10 road miles of
the Western Isles Hospital.
4
Where relocation assistance has been agreed, the Board’s Policy on Removal and
Associated Expenses will apply and further details will be provided as and when
required.
5
For pre-employment health assessment purposes, as part of the Board’s Occupational
Health Service, the successful applicant will be required to complete a health
questionnaire. This will be treated in strict confidence. The successful applicant will
be required to undergo a medical examination.
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Active participation in SPSP with effective implementation of local and/or nationally
agreed systems of care/care bundles.
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Compliance with all approved Board policies and procedures
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Annually revised and agreed job plan. The Job Plan will essentially be driven by the
evolving and changing needs of the patients and services.
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Theatre sessions may be required across the 7 days of the week in order to meet the
TTG and the needs of patients
Study and Training
Study leave entitlement is a maximum of 30 days including off duty days within the leave
period, in any period of three years, in relation to leave with pay and expenses in the UK.
Priority will be given to CME.
Rehabilitation of Offenders
Because of the nature of this work, the post is exempt from the provisions of Section 4(2) of
the Rehabilitation of Offenders Act 1974 (exemptions) Order 1975. You are therefore not
entitled to withhold information about convictions, which for other purposes are “spent”
under the provisions of the Act, and any failure to disclose such convictions could result in
disciplinary action by the Board. Any information given will be kept in strict confidence, and
used only in relation to the position to which the order applies.
Visiting Arrangements
Prospective applicants are encouraged to visit the hospital and to meet the Consultants.
Informal enquiries to: Dr Angus McKellar (01851 708050) or email: angus.mckellar@nhs.net
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PERSON SPECIFICATION
FACTOR
ESSENTIAL
DESIRABLE
1.
ATTAINMENTS: e.g.
education, qualifications or
training
Primary medical degree FRCS Higher degree by
or equivalent
examination or thesis
On Specialist Register or within
6 months of CCT
2.
KNOWLEDGE: e.g. procedures,
techniques, legislation, new
technology
Capable of independent
practice in all aspects of
general surgery.
3. WORK EXPERIENCE: e.g. level,
knowledge acquired as a result
of training/education,
responsibilities
4. SKILLS: e.g. secretarial,
manual, mechanical, computer,
supervisory, management,
specialised
5. DISPOSITION: e.g.
decisiveness, stress tolerance,
initiative, judgement, persistence,
dependability
Completed JAG recognized
training re colonoscopy or
equivalent qualifications
.
To have worked in broad
based general surgery at a
senior level
Ability to take on responsibility
for educational and clinical
supervision of a Foundation
year 1 doctor, a Core
Specialist Trainee and a
General Practice Specialist
Trainee.
Teaching and supervision of
undergraduate medical
students.
Audit
Expertise in the
management of anal canal
disease and faecal
incontinence
Experience of diagnostic
urology (cystoscopy)
Completed JAG recognised
training re colonoscopy
Management experience
Attended appropriate
SCOTS courses
Computer literacy
Knowledge of wider aspects
of remote and rural health
care.
Able to work as a member of a
team
6. INTERESTS: e.g. intellectual,
physical, social, artistic
7. OTHER: e.g. health, appearance,
manner, car driver, special
demands of post, e.g. to work
unsocial hours/on-call/areas
covered
Good health record, smart
appearance, car driver, able to
work unsocial hours and oncall
August 2014
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