Job Description Speciality Doctor- Cardiac Surgery Fixed term 1 year with possibility of extension National Waiting Times Centre NHS Board Job Description 1. Job Identification Job Title: Speciality Doctor- Cardiac Surgery Responsible to: Cardiac Surgery Operational & Strategic Lead Accountable to: Chief Executive Department(s): 2. Department of Cardiothoracic Surgery Introduction. The Golden Jubilee Hospital is a state of the art tertiary referral centre 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 The hospital was originally built as a private hospital in 1995 and is now the National Waiting Time Centre which is a special health board of NHS Scotland. The Golden Jubilee National Hospital has 300 beds overall with all wards having single or two bedded rooms with ensuite facilities. The estate is one of a high specification and has the invaluable asset of a hotel and conference centre as an integral unit alongside the hospital. All facilities are managed by the National Waiting Times Centre Board The main clinical services provided are Heart and Lung Specialties, elective major Orthopaedics, General Surgery, Plastic Surgery, Endoscopy and Diagnostic Imaging. The West of Scotland Heart and Lung Centre The Centre was created in March 2008 at the Golden Jubilee Hospital, bringing Interventional Cardiology and Cardiothoracic services previously provided by Greater Glasgow and Clyde and Lanarkshire onto our Specialist Tertiary Centre at the Golden Jubilee National Hospital. The interventional cardiology service which includes primary PCI is among the busiest in the UK. The Centre also provides the regional electrophysiology service for the West of Scotland. In addition to these regional specialist services the GJNH is the site for the co-location of three services funded by the National Services Division of National Services Scotland (accountable for commissioning specialist services provided on a national basis on behalf of the Scottish Executive). These include the Scottish Adult Congenital Cardiac Service (SACCS), the Scottish Advanced Heart Failure Service (SAHFS) and the Scottish Pulmonary Vascular Unit (SPVU). The SAHFS provides cardiac transplantation and mechanical support services for the treatment of advanced heart failure to the Scottish population. With this array of specialist cardiopulmonary services for a catchment population of 2.2 million, the GJNH is one of the largest heart and lung centres in Europe. The Heart and Lung Centre also benefits from MRI and CT imaging facilities with capabilities for CT angiography and a brand new 64 slice CT. Management Structure The NHS National Waiting Times Centre is a Special Health Board of Scotland which reports directly to the Scottish Government. Within the hospital there two divisions of which Anaesthesia, ICU and Theatres are part of the Surgical Specialties Division. Management team: Associate Medical Director, Surgical Specialties Dr Alistair Macfie Head of Operations, Surgical Specialties Mrs Lynn Graham Interim Head of Nursing Mrs Theresa Williamson Theatre Manager Mrs Karen Boylan Operations Manager Mrs Claire MacArthur Services Manager Mrs Claire Fenwick Medical leadership in department structure CEO DIRECTOR OF BUSINESS SERVICES DIRECTOR OF NURSING MD HEAD OF OPERATIONS HEAD OF NURSING AMD OPERATIONS & STRATEGIC LEAD GOVERNANCE LEAD CONSULTANT Consultant Workforce There are currently 15 consultant surgeons. All work exclusively at GJNH apart from three who also practice paediatric cardiac surgery at Royal Hospital for Sick Children Yorkhill Hospital). The following are members of the department in sub-specialty groups: Thoracic Adult Cardiac Cardiac Transplant Alan Kirk Mohammed Asif Michael Klimatsidas Ian Colquhoun Geoff Berg Vivek Pathi Nawwar Al Attar Mahesh Balakrishnan Philip Curry John Butler (CT) John Butler David Quinn (locum) Ian Colquhoun (CT) Fraser Sutherland Udim NKere Stewart Craig Zahid Mahmood (locum) Adult Congenital Cardiac Kenny MacArthur Andrew McLean Mark Danton Ed Penn Facilities of the Heart and Lung Centre 4 Cardiac Operating Theatres 2 Thoracic Operating Theatres 2 Intensive Care Units (ICU) 2 Cardiothoracic High Dependency Units (HDU) 1 Cardiac Ward 1 Thoracic Ward 1 Surgical Day Unit 4 cardiac catheterisation laboratories (one dedicated EP) 9 bedded national services unit which includes a new dedicated procedures room for haemodynamic assessments and myocardial biopsy Coronary Care Unit (8 beds) Cardiology day and inpatient wards All standard non invasive cardiological services Non invasive cardiac imaging including Full range of echocardiographic facilities Full range of pulmonary function testing including CPEX Outpatient facilities Excellent well appointed dedicated area for advanced heart failure and devices Links with Glasgow, Strathclyde, Caledonian and Stirling Universities Leadership In view of the framework of the Surgical 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 or willingness to develop within this area. Research, Development and Innovation Research is a very important component of the activity at the GJNH and is supported a R&D Steering Group and dedicated R&D Manager. There are currently 85 projects hosted by GJNH. These projects are either actively recruiting or in follow-up. 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. Collaboration with Glasgow Universities and NHS GG&C has been agreed as part of the Board’s strategy. The appointee will also be expected to work with other national and UK collaborative projects that are relevant to position. A number of consultants undertake significant research work. Beardmore Centre for Health Science This 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 preparation 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 non-medical 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. MAIN DUTIES/RESPONSIBILITIES The responsibilities of the post are mainly, but not exclusively: To help provide pre operative and post operative assessment and management of cardiac patients. This will be within the outpatient clinic as well as on the ward. Participate in a collaboration medical and multi disciplinary team and take part in active management of patients within ward improving patient consistency and quality of care. Lead on ward rounds, make safe and autonomous judgements on the pathway of patient care. Contributing to a ward based rota in line with other speciality doctors in order to provide cover to cardiothoracic patients across HDU and ward areas. Supporting the early mobilisation and enhanced recovery of cardiothoracic patients. Contribute to cross cover Post operative follow-up of patients in the outpatient clinic. Undertaking audit and research / quality improvement projects related to cardiac activity. Working closely with the cardiac audit data in order to ensure maintenance of high quality clinical data for cardiac surgery both for m and m meeting and national submission Play an active role in teaching and mentoring both medical students and nurse practitioners through their development and exposure to the surgical ward area i.e. nurse prescribing. To carry out and co-ordinate Cardio versions / sternal wiring in theatre as required in liaison with consultant colleagues , theatres and cardiac scheduling Ability to assist the Consultants and operating surgeons within practical sessions in the operating theatre Taking active part in teaching sessions and Journal club. The careful and timely recording of clinical data both written and electronic as outlined in the principles of Good Medical Practice described by the GMC. Deliver a safe environment for the management of cardiothoracic patients. Working alongside nurse practitioners in the caring for patients and ensuring consultant colleagues are kept informed of relevant change and developments in patient’s condition. Maintaining appropriate documentation on decision making and management of patients. Provide urgent patient care and identify patients with deteriorating conditions and management and escalate patient as appropriate. Maintain a positive outlook focused on quality improvement and enhancing the delivery of care for our cardiac patients and where possible developing and delivering improvements to the patient pathway i.e. criteria lead discharge Ensuring they are up to date in relevant professional development to deliver enhanced patient care. On-Call and Additional Duty Payment This Indicative Job Plan is based on a 10 PA contract with 1 EPA’s (Extra Programme Activities, DCC or SPA) may be agreed following objective setting to undertake other duties (e.g. Education supervisor, management, specific projects for service improvement and patient safety and operating list etc). Indicative Job Plan Monday HOSPITAL/ LOCATION GJNH Tuesday GJNH DAY Wednesday GJNH Thursday GJNH Friday GJNH Saturday GJNH Sunday Total GJNH TYPE OF WORK Ward Quality improvement / Innovation Ward Outreach support to pre-assessment Quality Improvement/ Innovation Ward/ HDU Outreach support to pre-assessment Clinical Audit Ward Outpatient/ Ward Clinic Ward SPA Teaching/Education Predictable / unpredictable hour up to 3hours every weekend COMMENT PAs 0800 - 1700 2.25 0800-1700 2.25 0800-1700 2.25 0800-1700 2.25 0800- 1200 1 1 0.75 0.25 12 1 SPA - to be allocated Theatres duties to be discussed on appointment *designated EPA On-Call and Extra PA’s (EPA’s) PA’s that are recognised for additional predictable and unpredictable out of hours work are required to be part of the basic job plan and EPA’s are allocated to other activities. If any reduction or increase of total PA’s occurs as a result of job planning review, these would be agreed with the senior management team of Surgical Division on behalf of the Medical Director. Prospective cover of colleague for annual and study leave is a requirement of the post. This post is predicted to have 1 EPA. Workload Flexibility Job plans are reviewed on an annual basis by the Associate Medical Director and Operations manager. Changes will be discussed and agreed with the post holder in line with service needs and objectives set for the consultant. The appointee will be expected to work flexibly on the basis of the needs of the Cardiac service 5. Terms & Conditions of Service 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 throughout the duration of your employment and to comply with and abide by the relevant code of professional practice, as appropriate. Salary scale: National Salary Scales per annum for a speciality doctor. 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. JOB DESCRIPTION AGREEMENT Job Holder’s Signature: Date: Print name: Date: Head of Department Signature: Date Intending applicants are welcome to visit the Department and to discuss the post in detail by arrangement. In the first instance please contact: Mr Ian Colqhoun Thoracic Operational and Strategic Lead consultant Golden Jubilee National Hospital Dr Alistair Macfie Associate Medical Director Golden Jubilee National Hospital Agamemnon Street Clydebank G81 4DY Tel: 0141 951 5519/ 07721521062 Email: lynn.graham@gjnh.scot.nhs.uk 7. Applications Completed applications to be returned to: Ms Sandra Hill Recruitment Section Human Resources Department Golden Jubilee National Hospital Agamemnon Street Clydebank G81 4DY Agamemnon Street Clydebank G81 4DY Tel: 0141 951 5600/ 07729055204 Email: alistair.macfie@gjnh.scot.nhs.uk Person Specification for Post Essential Qualifications/Training 1. MBChB or equivalent Desirable *Evidence gathered at Interview 9. Higher Degree 2. MRCS, MRCP, FRCA or equivalent. Experience 3. Experience in Cardiothoracic surgery or respiratory medicine or intensive care medicine 10. Evidence of research experience Skills/Knowledge 4. Teaching experience. 11. Evidence of surgical or practical skills 5. *Excellent knowledge of written and spoken English. Additional job requirements e.g. car driver, unsocial hours 6. *Evidence of excellent communication & team working skills. 7.*Have appropriate knowledge base and ability to apply sound clinical judgement to problems. Any other additional information 8. Full registration with GMC with licence to practice. 12. Have some formal training in teaching methods *Evidence gathered at Interview 13. Evidence of involvement in clinical audit and can demonstrate an understanding of importance of audit and research *Evidence gathered at Interview