NHS Lothian
University Hospital Services
Directorate of Medicine
St John’s Hospital, Livingston
CONSULTANT PHYSICIAN IN ACUTE MEDICINE, DIABETES & ENDOCRINOLOGY
1.
Outline of the post
This is a new post for a General Physician with an interest in Diabetes and Endocrinology,
based at St John’s Hospital, Livingston. The post holder will deliver comprehensive acute and
continued care to inpatients admitted on a general medical take and see new and return
outpatients with diabetes and endocrine diseases. In addition there will be an opportunity to
contribute to the introduction of a community diabetes service and to formalise the medical
input to the in-patient diabetes service.
The diabetes and endocrine department at St John’s Hospital is part of the Edinburgh Centre
for Endocrinology and Diabetes, there will be the opportunity for the post holder to be
involved in subspecialty clinics in the tertiary referral centres in NHS Lothian, as appropriate,
subject to negotiation. The post is available from 1st December 2014.
2.
NHS Lothian
NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental
health and hospital services. Mr Tim Davidson is Chief Executive and Dr David Farquharson
is Medical Director.
The NHS Board determines strategy, allocates resources and provides governance across
the health system. Services are delivered by Lothian University hospitals division, the Royal
Edinburgh hospital and associated mental health services, 4 community health (and social
care) partnerships (CH(C)Ps) in City of Edinburgh, West Lothian, East Lothian and
Midlothian, and a Public Health directorate.
NHS Lothian serves a population of 850,000.
The Department of Plastic Surgery provides a supraregional service to Fife, the Borders and
Highland regions and serves a population of 1.4 million
2.1 University Hospital Services
The University Hospital Services provides a full range of secondary and tertiary clinical
services to the populations of Edinburgh, Midlothian, East Lothian and West Lothian. The
Division is one of the major research and teaching centres in the United Kingdom.
Hospitals included in the Division are:
The Royal Infirmary of Edinburgh
The Western General Hospital
The Royal Hospital for Sick Children, Edinburgh
St Johns Hospital
Royal Victoria Hospital
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Liberton Hospital
The Princess Alexandra Eye Pavilion.
The Royal Infirmary (RIE) is a major teaching hospital on a green field site in the South
East of the city of Edinburgh built in 2003. It comprises 25 wards, 869 beds, and 24
operating theatres, and is equipped with modern theatre and critical care equipment and
monitoring. Within the main building is a dedicated, multidisciplinary, 5 theatre day
surgery complex. The hospital provides for most specialities and is the centre for:
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General surgery with a focus on the upper GI tract
Vascular surgery
Hepato-biliary and Transplant medicine and surgery
Cardiac and Thoracic surgery
Elective and trauma Orthopaedics surgery
Neonatology
Obstetrics & Gynaecology
Cardiology
Renal Medicine
Sleep Medicine
Regional major Accident and Emergency centre.
There is a Combined Assessment Unit which takes unselected GP or direct emergency
referals, and from A&E. CAU includes the Dept of Liaison Psychiatry and the Scottish
Poisons Bureau and Treatment Centre. There are full supporting Laboratory and
Diagnostic Radiology Services (including CT, MR, Ultrasound and NM and PET scanning.
There is a full range of lecture theatres, a library and AV facilities.
The Western General Hospital (WGH) has 600 beds and 5 operating theatres and is
equipped with modern theatre and critical care equipment and monitoring. The hospital
provides for most specialties and is the centre for:
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Neurology, Neurosurgery and neuropathology
UK CJD unit
Colorectal Surgery
Urology and Scottish Lithotriptor Centre
Breast Surgery and Breast screening
Metabolic Medicine
Gastro-Intestinal disease
Rheumatology
Infectious Diseases
Haematology Oncology
Medical Oncology
Radiation Oncology (including 6 LINACs)
Dermatology (Inpatient)
Acute Medicine
Liaison Psychiatry
Respiratory Medicine (including adult cystic fibrosis)
Medicine of the Elderly/Stroke Medicine
There is an Acute Receiving Unit, which accepts GP referrals and 999 ambulance
medical cases on a zoned basis within the city, and a nurse led Minor Injuries Unit. There
is no trauma unit at this hospital. There are full supporting Laboratory and Diagnostic
Radiology Services (including CT, MR, Ultrasound and NM).There is a full range of
lecture theatres, a library and AV facilities.
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St John’s Hospital opened in 1989 and is located in the centre of Livingston; about 30
minutes drive west from Edinburgh. The hospital provides for most common specialties
but does not have emergency general surgery or orthopaedic trauma operating. The
hospital has a paediatric ward and is the centre for:
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General Medicine with specialists in Cardiology, Diabetes & Endocrinology,
Gastroenterology, Respiratory Medicine and Care of the Elderly
Obstetrics & Gynaecology
Child Health including Paediatrics and community child health
The supraregional Burns and Plastic Surgery unit.
Oral and Maxillofacial Surgery
ENT
Critical Care (ITU, HDU and CCU)
Accident and Emergency
General Surgery
Orthopaedics
Anaesthetics
Mental Health including ICCU and ICPU
Since 2005 general surgery and orthopaedics have been reconfigured in NHS Lothian
with SJH being developed as a major elective centre for the region. Lothian’s ENT service
was relocated to SJH to create an integrated head and neck unit with OMFS and Plastic
Surgery.
Recent developments at SJH include a new endoscopy suite, a Day of Surgery unit an
Intensive Psychiatric Care Unit, a digital mammography unit, an oncology (cancer care)
day centre, a satellite renal dialysis unit and a £2.75m reprovision of A&E. There are full
supporting Laboratory and Diagnostic Radiology Services, including CT and Ultrasound.
Nuclear Medicine services are based at the RIE and WGH.
The hospital has been accredited full teaching hospital status by the University of
Edinburgh. There is a full range of lecture theatres, a library and AV facilities.
The Royal Hospital for Sick Children (RHSC) is a 141 bedded hospital providing
general and specialist services for children. The hospital is situated in a residential area
close to the centre of Edinburgh and is approximately 3 miles from the site of the New
Royal Infirmary and the co-located University of Edinburgh Medical School and 3 miles
from the Western General Hospital. The RHSC is the main paediatric teaching hospital for
the South-East of Scotland providing general and specialised services on a local, regional
and national basis. It acts as the local paediatric referral centre for the children of
Edinburgh
and surrounding areas, and as a tertiary referral centre for intensive care
patients; gastroenterology, hepatology & nutrition; respiratory medicine; cardiology;
nephrology; neurology; oncology; haematology; neonatal surgery; plastic surgery;
orthopaedic surgery; urological surgery and aspects of general surgery.
Hospital accommodation encompasses five theatres, a critical care unit comprising a 6/8
bedded Paediatric Intensive Care Unit, 4/6 bedded High Dependency Unit and a 3
bedded Neonatal Intensive Care Unit. There is an excellent library facility and a modern
lecture theatre with a full range of audio-visual equipment.
All services are supported by comprehensive radiology, neurophysiology, laboratory and
therapy services. The local radiology department provides on site Magnetic Resonance
Imaging, CT Scanning, nuclear scanning and ultrasound. On site laboratories provide
biochemistry, haematology, pathology and neuropathology services
2.2 Community Healthcare Partnerships
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The four established Lothian Community Health (and Social Care) Partnerships serve the
population of Edinburgh, Midlothian, East Lothian and West Lothian.
Hospitals in the CH(C)Ps include:
The Astley Ainslie Hospital in Edinburgh
Rosslynlee Hospital in Midlothian
Herdmanflat Hospital
Roodlands Hospital in East Lothian.
The four CHPs are co-terminous with Edinburgh, Midlothian, East Lothian and West
Lothian Councils bringing together those responsible for planning, managing and
providing community-based health services for the population of Edinburgh and the
Lothians.
There are 7,500 members of staff. In addition, there are approximately 1,000
independent contractors in General Medical and Dental Practice, as well as pharmacists
and opticians. A population of 850,000 people is served across health board area. The
range of services care of the elderly, medical rehabilitation, community mental health,
substance misuse and learning disability, district nursing and health visiting, family
planning, well woman, , comprehensive dental care and those provided by Professions
Allied to Medicine, such as physiotherapy, pharmacies and optometrists. Specialist
services provided include brain injury rehabilitation, bio-engineering and prosthetics,
drugs and alcohol misuse and harm reduction, AIDS/HIV and Children and Family
Psychiatric Services.
2.3 Royal Edinburgh Hospital and Associated Services
The Royal Edinburgh and Associated Services provides a range of Mental Health
services to the population of Lothian and other Boards within Scotland.
The Royal Edinburgh Hospital is located on the south side of the City of Edinburgh. It
comprises some 20 wards, 420 beds, day hospitals and outpatient facilities. The hospital
provides the following range of specialities:
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Acute Mental Health
Rehabilitation
Psychiatric Emergency Team 24/7
Outpatients
Assessment Phychiatry of Old Age
Forensic Medium Security Unit
Inpatient facilities for under 18s
Psychotherapy Service
Psychology Services
Services for Eating Disorders
Day Hospitals – Psychiatry of Old Age
There are an additional 46 beds and a day hospital for Psychiatry of Old Age in the north
of the city at the Royal Victoria Hospital.
The hospital is currently housed in a mix of accommodation ranging from 19th century to
contemporary. There is a major project now in place to take forward a reprovisioning
programme in line with the strategic vision of the “Delivery for Mental Health” (Scottish
Executive 2006).
2.4 Department of Public Health Medicine
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The aim is to improve the health of the people of Lothian in collaboration with many other
partners. Using our range of knowledge, experience and networking capability, our distinctive
contributions are:
 the promotion of specific measures to monitor and improve health;
 the collation and interpretation of health related information.
The following objectives have been agreed as the basis for the Department’s work plans:
1. To monitor the health status and health needs of people in Lothian;
2
To promote improvements in the health of Lothian people directly, and by providing
information and advice to the public on health matters;
3. To assist Lothian NHS Board to fulfil its statutory obligations;
4. To contribute to strategic changes within the NHS in Lothian by providing information on
clinical effectiveness;
5. To facilitate improvements in health and health care services directly, and through ‘managed
clinical networks’ and wider alliances;
6. To contribute on a 24 hour basis to the control and prevention of communicable diseases and
environmental hazards;
7. To maintain commitments to teaching, training, professional development, audit and
research.
To enable efficient management of the Department: there are at present four groups in the
Directorate. These are; Healthy Communities, Healthcare; Health Protection and Health
Information.
3.
University of Edinburgh
The University of Edinburgh was established in 1582 and is one of the largest in the United
Kingdom located on a number of prominent sites in Scotland’s capital city. It is Scotland’s
premier research University and within the top 5 Universities in Europe for its Biomedical
Sciences.
The University of Edinburgh’s College of Medicine and Veterinary Medicine (CMVM; Head
Professor Sir John Savill) is an internationally leading force in basic-to-clinical translational
research. The College has a consistent 30-year strategy of interdisciplinarity and integration
of basic and clinical sciences. In the most recent Research Assessment Exercise (2008), the
University of Edinburgh was top in the United Kingdom within the UoA4 category of Hospitalbased Clinical Subjects. In 2008/9, CMVM attracted over £120 million in external peerreviewed grant funding.
It has established several major interdisciplinary research Centres:
i. MRC Centre for Inflammation Research (Director, Professor John Iredale)
ii. Centre for Cardiovascular Science (Director, Professor Brian Walker) incorporating the
BHF Centre of Research Excellence (Director, Professor John Mullins)
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iii. Centre for Reproductive Biology (Director, Professor Phillipa Saunders) and MRC Human
Reproductive Sciences Unit (Director, Professor Robert Millar) including the Tommy’s
Centre (Director, Professor Jane Norman).
iv. MRC Centre for Regenerative Medicine (Director, Professor Sir Ian Wilmut)
v. Centre for Molecular Medicine (Director, Professor David Porteous)
vi. Centre for Cancer Research (Director, Professor David Harrison)
vii. Centre for Population Health Sciences (Director, Professor Harry Campbell)
viii. MRC Human Genetics Unit (Director, Professor Nick Hastie)
These Centres are predominantly based at two sites: the Queen’s Medical Research Institute
at the Royal Infirmary, and the Institute of Genetics and Molecular Medicine at the Western
General Hospital. The co-location of basic science and clinical groups within state-of-the-art
infrastructure and technology provides an excellent and exciting opportunity to conduct
translational research at the highest level.
This academic power base is supported by clinical research infrastructure that includes:
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Wellcome Trust Clinical Research Facility
Clinical Research Imaging Centre
Edinburgh Clinical Trials Unit (UKCRN Registered) and Health Services Research Unit
Scottish Brain Imaging Research Centre
Experimental Cancer Medicine Centre
Academic and Clinical Central Office for Research and Development
NHS Library and Postgraduate Facilities
There are excellent facilities on all sites in Lothian.
5.
Departmental Information
GENERAL MEDICINE, ST JOHN’S HOSPITAL
The Department of Medicine at SJH is lead by the Consultants listed below
Clinical Staff
Dr Helen Gillett
Dr Andrew Williams
Dr Clive Goddard
Dr Ashok Jacob
Dr Donald Farquhar
Dr Scott Ramsay
Dr John Wilson
Dr Latana Munang
Dr Maria Corretge
Dr Jane Rimer
Dr Donald Noble
Dr Anna Lithgow
Dr Iain Murray
Vacancy
Dr Andrew Jamieson
Dr Karen Adamson
Dr James Walker
Dr Mukhtar Ahmed
Dr Ali Harmouche
Specialist Interest
Gastroenterology (Clinical lead)
Gastroenterology
Gastroenterology
Cardiology
Medicine of the Elderly
Medicine of the Elderly
Medicine of the Elderly
Medicine of the Elderly
Medicine of the Elderly
Medicine of the Elderly
Respiratory
Respiratory
Respiratory
Respiratory
Acute Medicine and Eating Disorders
Diabetes and Endocrinology
Diabetes and Endocrinology
General Medicine
Acute Medicine
Associate Specialist – Dr Katherine Jackson
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Speciality Doctor – Dr Usman Shah
The Consultants are supported by 18 middle grade doctors in training (STRs, CMT, CT3, GPST, FY2),
13 FY1s and 8 Clinical Nurse Practitioners. The on-call rota for General Medical takes is presently 1 in
10 with prospective cover and the unit admits approximately 13,000 patients per annum. There is a
Medical Admissions Unit (MAU) and a Primary Assessment Area where patients are assessed and
reviewed and 3 down stream medical wards, a rehabilitation ward and a stroke unit. Within MAU is an
area for closer monitoring of patients. The hospital operates a ‘Hospital at Night’ service with a pilot
currently operating as ‘Hospital at Weekend’ team.
The Medical Unit is support by a Consultant Neurologist, and visiting Dermatologists, Rheumatologists
and Oncologists along with surgical specialists from Edinburgh.
The Observation ward is largely supervised by Accident and Emergency Consultants.
There are excellent links with Primary Care, laboratory and radiological services.
Management Team
Mr Chris Stirling, Site Director
Dr James McCallum, Associate Medical Director
Dr Helen Gillett, Clinical Director for Acute Medicine
Ms Agnes Ritchie, Chief Nurse
Mrs Shirley Douglas-Keogh – Service Manager
Mrs Lorraine Canning – Assistant Service Manager
Ms Karen MacFarlane, Clinical Nurse Manager
Ms Vivien McKay, Clinical Nurse Manager
The Department of Diabetes and Endocrinology at SJH is led by Drs. Karen Adamson and James
Walker supported by a Consultant Physician with an interest in diabetes (Dr Mukhtar Ahmed)), 3
Specialty doctors, 4 Diabetes Nurse Specialists (DNS) (one of whom has in-patient responsibilities), 1
band 5 Nurse, 2 dieticians, 1 podiatrist and 4 Clinic Support Workers. It provides a full range of
secondary care services including DAFNE courses, an insulin pump service, a nurse-run ante-natal
diabetes service, joint renal clinics, dynamic endocrine testing, radioiodine therapy for hyperthyroidism.
DESMOND courses are run in primary care in West Lothian.
There are approximately 880 patients with Type 1 and 1500 with Type 2 diabetes attending the clinics.
Most of those with Type 2 diabetes are taking injectable therapies. The clinic uses SCI-Diabetes as a
clinic management eHealth system. Diasend is used for meter downloading.
General diabetes clinics are held on Wednesday, Thursday and Friday mornings with an Adolescent
clinic on a Monday afternoon every six weeks. The DNS are based in OPD 1 where all the out-patient
clinical activity takes place.
There are approximately 450 slots per annum for new endocrine referrals and 750 return slots. Dynamic
endocrine testing occurs in OPD 1. DEXA scanning, thyroid technetium uptake scanning and radioiodine
therapies are provided at the Western General Hospital in Edinburgh. Thyroid ultrasound is provided on
site by the excellent radiology department. There are close links with thyroid surgeons. Fine needle
thyroid aspiration is not performed in OPD 1 at present, but is performed by radiology colleagues locally.
Post clinic meetings are held after all diabetes and endocrine clinics.
The department is involved in some clinical research with pharmaceutical company-funded trials
ongoing. Regular process and outcome audits and surveys are completed.
Lothian Diabetes MCN
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The Diabetes MCN is responsible for the strategic planning of the delivery of care to those with diabetes
in Lothian. There is representation from all involved in the delivery of diabetes care in Lothian. Current
priorities are shifting the balance of care and empowering patient self management. Through engaging
with primary care, it is anticipated that this post would contribute to meeting these aims.
RESEARCH IN DIABETES AND ENDOCRINOLOGY
Academic Facilities
The University of Edinburgh has a substantial presence in Diabetes and Endocrinology, which
complements the strength of the specialty in the NHS in Lothian. The University activity is
now focused on the Little France (RIE) campus, where several active research groups moved
into the new Queen’s Medical Research Institute (QMRI) in July 2005. This £52 million
Institute houses 620 researchers and is adjacent to the Chancellor’s Building, which houses
an additional 100 researchers, making this one of the largest biomedical research campuses
in Europe. Endocrinologists are especially well represented in the Centre for Reproductive
Biology and in the Endocrinology Unit within the Centre for Cardiovascular Science: each
Centre has one of the three floors in the QMRI.
Research Activities
A wide range of basic and clinically related research is pursued in the field of endocrine and
metabolic disease. The main thrust of interest is in the role of glucocorticoids and their
metabolism in disease processes. The group has facilities to address problems from “cloning
to clinic”; with extensive opportunities for research at molecular, cellular, physiological model
(including transgenesis) through to detailed clinical investigation. There is ongoing research
addressing the molecular basis of ‘early life’ programming of adult disease by prenatal
glucocorticoid exposure, the role of 11β-hydroxysteriod dehydrogenases in determining
glucocorticoid action in the metabolic syndrome, and the modulation of glucocorticoid effects
in the ageing CNS. There is also a major research interest in foetal programming and the
HPA axis.
Excellent opportunities are also available for participation in clinical research. Professor J
McKnight is one of the principal investigators in the Scottish Diabetes Research Network
Epidemiology group and is closely involved in major national diabetes epidemiology projects
in Scotland.
6.
Details of the Post
The post is a new full time substantive post available from 1st December 2014.
The successful candidate will be an accredited general physician with an interest in Diabetes
and Endocrinology
A specialist interest that complements those within the department would be welcome.
The successful candidate would be joining the acute receiving rota for general medicine at
SJH and participate in the diabetes and endocrine in-patient rota for the hospital.
The appointee will form close links with the related departments including radiology and
laboratory medicine.
A primary medical qualification, MRCP(UK) or equivalent is essential, as is a proven trackrecord of extensive general medical and diabetes and endocrine experience.
This is an exposure prone post and evidence of the relevant immunities will be required
before starting work.
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This post has 9 PAs for DCC and 1 PA for SPA.
Interested candidates must be registered with the GMC or nearing CCT in General Medicine
and be on or eligible for inclusion on the GMC Specialist register for Diabetes and
Endocrinology.
This post has been designed for St John’s Hospital but if service demands prevailed it is
expected that the successful applicant might have to work across the division in order to
support safe patient care.
7.
Research and Development
Opportunities are available for the successful candidate to take part in clinical research.
8.
Teaching
There are no specific teaching or training activities attached to this post, however there are
many such opportunities available for diabetes and endocrinology teaching, as well as
occasional teaching of nursing staff and other professions allied to medicine.
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9.
Job Plan
Specialty:
Principal place of work:
Contract:
Programmed activities:
Availability supplement:
General Medicine, Diabetes and Endocrinology
St John’s Hospital, Livingston
Full Time
10 PA
9.0 DCC PA; 1.0 SPA
3%
Managerially accountable to:
Clinical Director of Medicine
a)
Timetable of activities that have a specific location and time
Type of work
DCC
Monday
(A)
0900 – 1300
Ward round
1.0
1300 – 1700
Admin/ triage/ review of results etc
1.0
(B)
0900-2000
On call 1 in 4
Tuesday
(A)
0900 - 1300
admin/triage/ review of results
1300 – 1400
1400-1700
Grand Round
CPD
(B)
0800-1300
Post take ward round 1 in 4
Wednesday
0900 - 1300
SPA
1.0
0.25
0.75
Diabetes clinic (general clinic alternating with
primary care contact, 1:2)
1.0
1300-1400
medical unit management meeting
0.25
1400-1500
In-patient diabetes ward round,
0.25
1500-1600
Admin
0.25
Thursday
0900-1300
Diabetes clinic
1.0
1300-1330
Post clinic meeting
0.25
13.30 – 17.30
Endocrine clinic and post clinic meeting
1.0
Friday
(A)
0900 - 1300
ward round
1.0
(B)
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0900-2000*
On call. 1 in 16 weeks
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Saturday
and Assessment of admissions
Sunday (A)
Post take ward round 0800-1300
0800-2000*
Ward round 1630-1800
1:16
Consultation service to hospital and GPs
On site availability 0800-2000; on call 2000-0800
Saturday
and "Back door" physician cover for medical wards
Sunday (B)
(4,8,9,21 and 25)
0900-1330*
1:16
Mean
weekly
total out of hours
DCC
1.0
Total PA
9.0
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1.0
10. Contact Details
Interested candidates are invited to contact
Dr Karen Adamson (01506 523 838): Karen.adamson@nhslothian.scot.nhs.uk
or Dr Helen Gillett (Clinical Lead) (01506 523 000): helen.gillett@nhslothian.scot.nhs.uk
11. Person Specification
Requirements
Essential
Desirable
Qualifications
and training
Registered with the General Medical Council
License to practice.
On the specialist register for general medicine,
diabetes and endocrinology or within six months of
being eligible for the register at the time of
interview.
MRCP (UK) or equivalent.
Evidence of detailed
clinical experience and
also
with
special
interests complementing
those already in the
department
DAFNE trained
Experience
Wide experience in the management of inpatients Evidence of research or
and outpatients with general medical, diabetes and audit to enhance a
endocrinological conditions.
service.
Ability
Ability to work independently as a consultant
physician and take responsibility for management
of patients.
Academic
achievements
Understanding of the principles of medical research Publications
and ability to critically assess evidence.
Presentations
Experience in research, with high quality Higher Degree
publications and presentations.
Teaching
audit
and Demonstrable experience of participation in clinical
audit and implementation of its findings.
Committed to formal and informal teaching and
training of SpRs, junior doctors and medical
students.
Formal qualification in
medical education.
Training the trainers
course.
Motivation
Evidence of commitment to patient focused care, Audit data demonstrating
continuous professional development, effective and an
improvement
in
efficient use of resources.
service
Commitment to development of general medical,
diabetes and endocrine services in a district
general hospital as part of a managed network for
the provision of services.
Personal
attributes
Ability to work within the general physician Previous
managerial
colleagues at St John’s Hospital and local GPs.
training and experience
Ability to communicate complex diagnoses and
management plans to patients and other staff
members.
Able to work in a team with colleagues in own and
other disciplines.
Effective interpersonal skills.
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Well organised and with good time management
skills.
Flexible and adaptable.
The NHS Structured Application and job description can be obtained by e-mailing
lister.careerrec@luht.scot.nhs.uk
The completed NHS Structured Application together with the names, email and postal
addresses of three referees should be sent to the above email address by the closing date of
*****, no applications will be considered after this time. Please quote reference ****
Please note that we no longer accept application by CV.
In accordance with recent Home Office guidelines, doctors who require a work permit will only
be appointed to posts which cannot be filled by UK/EEA applicants or doctors who do not
require work permits
We are working towards Equal Opportunities.
12.
Draft Advertisement
NHS - LOTHIAN UNIVERSITY HOSPITAL SERVICES
St John’s Hospital, Livingston
Consultant in Acute Medicine, Diabetes and Endocrinology
Applications are invited for this new consultant physician post in Acute Medicine, Diabetes and Endocrinology. The
post holder will join an established team of 18 Consultant Physicians. The post is vacant from 1st May 2014 and is
substantive. The post entails 10 programmed activities. Applications from individuals who wish to work less than
full-time would be welcomed.
Candidates should be on the specialist register for Acute Medicine, diabetes and endocrinology or be within 6
months of achieving a CCT by the date of interview.
Informal enquiries are encouraged and should be addressed in the first instance to:
For further information and arrangements to visit contact:
Dr Helen Gillett
Clinical Director for Acute Medicine,
St John’s Hospital
Livingston
EH546PP
Telephone:
01506 523 3880
E Mail:
helen.gillett@nhslothian.scot.nhs.uk
"mailtohelen.gillett@nhslothian.scot.nhs.uk
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HYPERLINK
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