Job Description 523.15 CONSULTANT IN ANAESTHESIA GALLOWAY COMMUNITY HOSPITAL WE ARE WAITING APPROVAL FROM AN EXTERNAL ASSESSOR FOR THIS JD July 2015 Galloway Community Hospital CONSULTANT ANAESTHETIST THE POST Two posts are available. One is a replacement for a colleague who is retiring in the near future, the second is a vacancy for a colleague recently retired. The successful candidate will provide anaesthetic services to the Galloway Community Hospital (GCH), Stranraer, Dumfries & Galloway. A wide range of subspecialty interest is desirable but experience and training in Resuscitation and Transfer of the Critically ill is particularly desirable. Roles and Responsibilities The Galloway Community Hospital anaesthetist works as part of a team to provide the following services: Anaesthesia for elective daycase surgery across a range of surgical specialties, working largely with consultant surgeons visiting from the Dumfries and Galloway Royal Infirmary. Participation in the out of hours rota primarily for resuscitation (see below): there is no out of hours operating at GCH. Resuscitation and stabilisation of critically ill patients in the Emergency Department. Communication with secondary and tertiary hospitals and the Emergency Medical Retrieval Service (EMRS, Glasgow based) to prepare for transfer of the critically ill patients Transfer of the critically ill patients on occasions when the EMRS is unable to provide the service. Assessment of deteriorating patients on the wards. Difficult venous access, assistance with pain control Neonatal resuscitation at the Community Midwifery Unit Pre-operative assessment in conjunction with the Pre-admission assessment nurse Training and development of staff The Department has close links to the Department of Anaesthesia at the regional DGH: Dumfries and Galloway Royal Infirmary. Rotation of daytime clinical sessions is encouraged to give the GCH anaesthetist access to a wider range of subspecialties and casemix. The Galloway Community Hospital The hospital is a modern 2 storey facility, officially opened in 2007, and is located in Stranraer, which lays at the head of Loch Ryan, in Galloway, South West Scotland. Stranraer is 75 miles west of Dumfries 50 miles south of Ayr, and 80 miles south of Glasgow. GCH has 52 beds, and has the following services: Emergency Department staffed by Rural Hospital Practitioners and Emergency Nurse Practitioners An acute medical ward Day surgery complex Chronic renal dialysis unit Palliative Care unit Community Midwifery Unit Rehabilitation unit -1- Outpatient facilities, including physiotherapy, podiatry, etc. Laboratory & X-ray facilities (including CT scanner) A helipad opposite the A&E entrance. A large primary care centre is situated adjacent to the hospital. The Day Surgery Unit is spacious and well equipped and comprises of one operating theatre, anaesthetic room, recovery room and rooms for endoscopy and minor procedures. The nursing workforce is stable and experienced and there is dedicated anaesthesia assistance. The Emergency Department is well equipped and contains a resuscitation bay with an Anaesthetic machine and transport ventilators, invasive monitoring, ultrasound and videoconferencing facilities to provide live distant support There is an Anaesthetic Office with 2 computer bays, desk space and IT access to the regional NHS intranet. This gives access to eCasenote, SCI store (letters and reports) labs and imaging, pre-assessment reports and a range of local and national guidelines and other educational resources: elibrary and UpToDate for example. The Day Surgery Unit is very spacious with a large staff/coffee room for Nurses & Doctors. The hospital environment is very cordial. A clinical session is allocated 5 hours, or 1.25 PA, to allow for pre and post-operative clinical input and admin time associated with clinics. A typical morning session therefore is from 08.00-13.00 and afternoon session 13.00-18.00. Up to 10 days of funded external study leave per year is allocated. In addition Professional Leave for additional external duties may be available at the discretion of the Medical Director for Acute Services. Internal education and professional development is linked to the department in Dumfries with much of the educational programme being available via videoconferencing. SAMPLE JOB PLAN 08.00 – 13.00 Monday On Call Tuesday Gen Surg Wednesday Orthopaedics Alternate weeks 13.00 – 17.30 On Call Orthopaedics Alternate weeks 17.30 – 08.00 On Call On Call Thursday Friday Community Dental Sat Sun On Call 1:4 On Call 1:4 On Call 1:4 On Call 1:4 On Call 1:4 -2- On Call 1:4 On Call 1:4 Note: 1. Monday pm & night off after weekend on call. 2. DGRI sessions can be added or substituted for session(s) above. This weekly plan is an example of a possible job plan: other sessions may be available and subspecialty interests will be accommodated if possible. 1 SPA to be taken flexibly during the week. On Call The on call rota is shared between the two consultant anaesthetists during the week and supported by a visiting Associate Specialist and locums for the 1:4 weekend rota. On call is non resident, and can be comfortably covered from a base within a 10 mile radius. Out of hours workload is not onerous as there is no out of hours surgery. Between 20 and 40 Critical Care transfers are perfomed per year with the GCH anaesthetists involved in all of these. There is a significant number of other assessments and stabilisations for patients subsequently not transferred or transferred with nurse/paramedic escort only. QUALIFICATIONS All candidates are required to be on the GMC Specialist Register and hold a License to Practise. The candidate will hold any of the following: a CCT or be within 6 months of obtaining the certificate, CESR (CP), CESR (Article 14) or will be an established consultant. Training in resuscitation and transfer is considered highly desirable. Accreditation in ALS, APLS, ATLS are considered suitable and the successful candidate should be willing to undertake this training early in their contract if they do not hold similar accreditation. -3- The Department of Anaesthesia and Intensive Care, Dumfries and Galloway Royal Infirmary The Department of Anaesthetics at Galloway Community Hospital has close links with the department at the Dumfries and Galloway Royal Infirmary, the District General Hospital for the Dumfries and Galloway Region. There is a modern 6 theatre operating department suite with recovery area and an adjacent endoscopy/day case suite with 20 trolley spaces and two endoscopy rooms. In addition there is an ophthalmology operating theatre adjacent to the ophthalmology ward and an obstetric operating theatre in the Birthing Suite. Equipment in Theatres is of a high standard with all anaesthetic machines equipped with electronic flowmeters/end tidal control; BIS and videolaryngoscopes in each theatre; fibreoptic bronchoscopes, oesophageal Doppler and ultrasound facilities for regional anaesthesia readily available. The Intensive Care Unit is staffed for four level 3 patients and is well equipped, currently with Evita ventilators, Philips monitoring and Oesophageal Doppler, PICCO and echocardiography available. Multi-modality renal support is used. The Intensive Care Unit runs a closed model and is staffed by 6 Consultant Anaesthetists with an interest in Critical Care on a ‘week at a time’ daytime rota. The unit actively participates in audit and multi centre research. There is a separate 4 bed Surgical High Dependency Unit and an 8 bed Medical High Dependency/Coronary Care Unit which are currently run as an open model with support from Anaesthesia and Intensive Care when requested. There is full Medical Physics back-up, day and night for all departments. There is a well established Specialist Nurse led Acute Pain Service with Consultant Anaesthetist support. The regional Emergency Department is supported by the Department of Anaesthesia and Intensive Care in resuscitation and stabilisation of patients in the Emergency Department and on occasions is responsible for transport of critically ill patients to tertiary centres, particularly for neurosurgical and cardiothoracic intervention. The multidisciplinary chronic pain service is led by two consultant anaesthetists with interest in chronic pain, with out-patient clinics and dedicated theatre sessions to perform interventions. There are links with the acute pain and palliative care services, General Practitioners and the voluntary sector. In addition, the Department supports the following facilities: 1. Cresswell Maternity Wing, which provides a specialist Obstetric and Neonatal Service for south-west Scotland, with around 1,400 deliveries per year. The resident anaesthetist is always trained in obstetric anaesthesia. A labour epidural service and remifentanil PCA are offered. There are two Consultant sessions for elective cases on Tuesday and Thursday mornings. 2. ECT - This is now provided in the day surgery unit following the move of psychiatric services to the new Midpark Hospital. 3. Galloway Community Hospital, which has a separate anaesthetic rota staffed by the two Galloway Community Hospital consultants, (one post currently vacant) supported by a visiting specialty doctor. Weekend and night locum sessions are available if individuals from the Department wish to support this. 4. Ophthalmology - A fully equipped operating theatre is used in the ophthalmology ward for local anaesthesia and occasional general anaesthetic cases. -4- The Anaesthetic Department establishment at present is as follows: Consultants: Dr D Christie (w/t) Dr V Edwards (w/t) Dr D Macnair (w/t) Dr J Muthiah (w/t) Dr J Neil (w/t) Dr W Peel (w/t) Dr V Perkins (w/t) Dr J S Rutherford (w/t) Dr H Goonesekera (w/t) Dr N Yatiwelle (w/t) Special Interest: ICU, Deteriorating Patient Emergency Surgery, Rota Obstetrics Chronic Pain, Orthopaedics Obstetrics, Blood Transfusion ICU, Vascular Surgery, ECT, Pre-operative Assessment, ICU, Vascular Surgery, Acute Pain, Paediatric Anaesthesia, APLS Course Director, Non technical skills Regional Anaesthesia, Orthopaedics ICU, Vascular Surgery, Specialty Lead Clinician for ICU, ALS Course Director ICU, Airway lead ICU, Vascular Surgery, ALERT Course Co-ordinator, Clinical Director of Anaesthesia & Intensive Care Chronic Pain Perioperative medicine, ERAS Dr R J Spicer (this post) at GCH Inter-hospital Transfer, Asthma, Day Surgery Dr L Verner (p/t) Dr D Williams (w/t) Dr S Wilson (w/t) Dr W Wrathall (w/t) Specialty Doctors: Dr D Ballingall (wt/) Dr K Shahzad (w/t) Dr C Fernando (w/t) Vacant post – (currently advertised) Vacant post – (currently advertised) Dr J Deutsch Dr N Roux – (currently on sabbatical) Dr J Carruthers (Locum p/t) Dr D Coyle (p/t) at GCH Provides 1 in 4 weekend on-call Trainees: Five CT1,2 doctors, recognised by the College for basic specialist training, on the West of Scotland training rotation One ST3, for six months per year Education The Department holds weekly Intensive Care lunch-time meetings and monthly half-day “Continuing Education and Professional Development” sessions. There is a tutorial programme and a series of lectures to theatre nursing staff. The Department is accredited for basic level training in Intensive Care Medicine and is currently being assessed for intermediate level training in Intensive Care Medicine The Department is heavily involved in Critical Care and Resuscitation teaching with ALERT, IMPACT, APLS, ALS, SCOTTIE courses, all being run in the Education Centre and Resuscitation Training Centre. SIM-MAN and HAL mannequins are used in much of the teaching. There are regular monthly educational & medical staff committee meetings at GCH. The Department holds weekly Intensive Care lunch-time meetings and monthly half-day -5- “Continuing Education and Professional Development” sessions. There is a tutorial programme and a series of lectures to theatre nursing staff. The Department is accredited for basic level training in Intensive Care Medicine and is currently being assessed for intermediate level training in Intensive Care Medicine The Department is heavily involved in Critical Care and Resuscitation teaching with ALERT, IMPACT, APLS, ALS, SCOTTIE courses, all being run in the Education Centre and Resuscitation Training Centre. SIM-MAN and HAL mannequins are used in much of the teaching Future Developments Members of the Department of Anaesthesia and Intensive Care have been heavily involved in the design of the new General Hospital in Dumfries (see below) scheduled to open in winter 2017. The design incorporates an 8 theatre operating suite and a 16 bed Critical Care unit combining existing ICU and HDU facilities. GENERAL PROVISIONS Policies & Procedures The successful candidates are required to work within the local management structure and cooperate with other professional colleagues to ensure the efficient running of the service and will take part, with other consultant colleagues in the medical contribution to management. Subject to the provision of terms and conditions of service, the postholder is required to observe the organisation’s agreed Policies and Procedures, drawn up in consultation with the profession on clinical matters, and to follow the Standing Orders and Financial Instructions of the organisation. The postholder is required to ensure that there are adequate arrangements in place for hospital staff involved in the care of patients for contacting him/her when necessary. The postholders are required to comply with the Organisation’s and the Department’s Standing Operating Procedures including Health and Safety Policies. The post-holder will be professionally accountable to the Clinical Director. The post-holder will be managerially responsible to the General Manager. Travel Any travel allocation will be included within the Total Programmed Activities and will be determined by the location at which Direct Clinical Care and Supporting Professional activities are carried out. Administration This activity covers the management of individual patients including out patient administration, results reporting, letters/phone calls to patients, carers, GPs and members of the wider multidisciplinary team involved in the patients care. Supporting Professional Activities A minimum of one SPA is included in the indicative job plan, which shall normally be sufficient to reflect activities such as revalidation, appraisal, personal audit, and professional development (occurring outwith the 30 days of study leave entitlement in any three year period). Time permitting, it may also cover minimal teaching, training and non-clinical administration. Any additional SPA allocation will require to be evidenced as being mutually beneficial and required by the department. Adjustment to the programme to incorporate additional SPA will require other activities to be reviewed to accommodate any increase as necessary. It will be requested that SPAs are delivered at the normal place of work, unless there are mutual advantages to it being performed elsewhere. The exact timing and location of SPAs, and flexibility around these, will be agreed during the 1:1 meeting with the Clinical Director/Associate Medical Director and included in the prospective job plan. -6- The Department of Anaesthesia and NHS Dumfries and Galloway value the development of nonclinical interests and, as these roles expand, additional time may be allocated. The department has a flexible approach to clinical sessions and it is hoped that the successful candidate will work with the same flexibility as the existing consultants. Private Practice If the postholder wishes to undertake any private practice, he/she is obliged to inform his/her employer at the time of appointment of his/her intention to do so. This should be submitted in writing to the Medical Director. The postholder shall be free to undertake private practice without approval provided such work is undertaken outside the time agreed in the job plan for programmed activities and is in accordance with the national terms and conditions to service. (Refer Section 6 of the New Consultant Contract). Annual Appraisal & Job Planning You shall also be required to participate in annual appraisal. Job planning is linked closely with, but is separate to, the agreed appraisal scheme for consultants. The job plan review will take into account the outcome of the appraisal discussion and reflect the agreed personal development plan. TERMS & CONDITIONS OF SERVICE The terms & conditions of service offered are those determined by the Consultant Contract 2004 Scotland (as amended from time to time). This is a permanent position. Salary scale £76,761 - £103,490 (depending on seniority point) New entrants to the NHS or the consultant grade will normally commence on the minimum point of the salary scale (dependant on qualifications and experience). Hours of duty The hours of duty are 40 per week. Superannuation You will automatically be entered to the NHS Superannuation Scheme, in accordance with Auto Enrolment legislation. Full information regarding the pension scheme including information on auto enrolment is available from the SPPA website www.SPPA.gov.uk. Removal expenses Assistance with relocation and associated expenses may be given and can be discussed prior to appointment. A quick reference of entitlements is attached for you. Expenses for candidates attending for interview / visit Candidates who are required to attend an interview will be given assistance with appropriate travelling expenses. Re imbursement shall not normally be made to employees who withdraw their application or refuse an offer without good reason. Expenses will be paid from port of entry into the UK only. -7- Disclosure Scotland / PVG This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership which currently costs £59.00. The cost of the PVG Membership will be paid by NHS Dumfries & Galloway. Right to work in the UK NHS Dumfries & Galloway has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS D&G they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made. Rehabilitation of Offenders Act The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Dumfries & Galloway. Any information given will be completely confidential. Disabled Applicants A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Dumfries & Galloway guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview. Notice The employment is subject to three months’ notice on either side, subject to appeal against dismissal. Medical negligence In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme. Accommodation The post is non-resident, but temporary single accommodation may be available for a fixed period. -8- DUMFRIES AND GALLOWAY REGION The population of Dumfries and Galloway is 150,830, within a large geographical area of about 2,500 square miles. Dumfries and Galloway stretches from Langholm in the East to Stranraer in the West, and from Kirkconnel in the North down to the Solway Coast. There are a number of community cottage hospitals in various towns throughout the region, and an intermediate unit – Galloway Community Hospital (with medical and maternity in-patient beds) in Stranraer. Dumfries has a population of approx. 48,000 and is situated in the eastern half of the region. The River Nith runs through the town to the Solway coast and the city of Carlisle is approximately 45 minutes drive from Dumfries. Glasgow is within 1½ hours, Edinburgh and Newcastle within 2 hours, and Manchester and Liverpool within 2½ hours driving time from Dumfries. Dumfries and Galloway offers the very best of Scottish countryside............from rugged cliffs and sandy beaches to forests, hills and rolling farmland. You’re spoilt for choice in the range of activities on offer, with watersports, fishing, birdwatching, golf, mountain-biking or cycling along the network of rural roads . . . and much more. The Southern Upland Way runs for 212 miles from Portpatrick in the west to Cockburnspath in the eastern Scottish Borders, through some of Scotland’s wildest country. There are many attractions, ranging from the University Town of Dumfries, Scotland’s National Book Town Wigtown, Artists’ Town Kirkcudbright, Castle Douglas Food Town to the historic monuments, castles and abbeys, beautiful gardens, fascinating museums throughout the region. The local Council is committed to investing in education, with high achieving schools that earn top marks in HM Inspector of Education Reports. Children are encouraged to develop their talents and interests, with first-class opportunities in music, arts and sports. High quality sport and leisure facilities are available throughout the region. Property offers exceptionally good value, at very competitive prices. Stranraer. The town of Stranraer is in the west of Dumfries & Galloway, south west Scotland. It lies on the shores of Loch Ryan, on the northern side of the isthmus of the Mull of Galloway peninsula. Stranraer is Dumfries & Galloway's second largest town with a population of nearly 13,000. The Stenna and P&O Ferries have now moved a few miles north to Cairnryan,, but the main industries still involve the ferries, as well as farming & tourism. The quaint harbour village of Portpatrick is only 5 miles away, and is a popular tourist resort. Belfast, Northern Ireland, is just a short hop away (approximately 2 hour sail), courtesy of daily regular ferries from Cairnryan. Leisure activities include fishing, sailing (Stranraer has a marina, and some yachts are based in Portpatrick), and golf. There are 5 golf courses within a 5 mile radius. The area is particularly suited to walkers, with coastal paths (eg Mull of Galloway trail), the Galloway hills (including the Merrick at 843 metres), and, of course, the Southern Upland Way. The minor country roads in Wigtownshire are well suited to road bikes, and mountain biking is popular at Kirroughtree Forrest park (including the famous "7 Stanes"). There are all weather tennis courts, squash court at the Rugby Club, and a number of bowling greens. The Ryan Centre has a theatre/ cinema, 3 gymnasiums, plus a 25 metre swimming pool and very active swimming club. There are also spin classes, & many other exercise classes, including Pilates, Yoga, etc. In the winter, Stranraer is home to European & World champion Curlers. The Curling rink is situated in the North West Castle hotel. -9- There are a number of excellent hotels & restaurants in the area. Transport: There are buses to London and Ayr & Glasgow are linked directly by rail. other - 10 - cities, including Glasgow & Edinburgh. NHS DUMFRIES & GALLOWAY NHS Dumfries & Galloway became operational on 1st April 2003 when the two Trusts (Acute & Maternity and Primary Care) were dissolved and one NHS organisation was created, incorporating all NHS services along with the Health Board. NHS Dumfries & Galloway has led the process of integration and is seen as the model for the rest of Scotland to follow. Continuing new investment has resulted from the system always having met all financial and waiting times targets. Structure The NHS Board has its headquarters on the Crichton site in Dumfries. Comprising executive and non-executive Directors, its key responsibility is to ensure delivery and development of the local Health and Community Care Plan. You can see a copy of the HCCP on the NHS Dumfries and Galloway website on www.nhsdg.scot.nhs.uk NHS D&G Corporate Aims Our Purpose: To deliver excellent care that is safe, effective, efficient and reliable. To reduce health inequalities across Dumfries and Galloway. Achieved by: Creating a momentum for improvement by engaging the enthusiasm of staff to achieve excellence. Our Outcomes: Improved outcomes for patients. Improved working environment for staff leading to improved job satisfaction. Efficiencies to support continuous quality improvement and sustainability. Staff NHS Dumfries & Galloway employs approximately 4400 staff from a range of different clinical and non-clinical backgrounds, made up of the following broad groupings: Nursing/Midwifery Administrative Services Support Services Medical & Dental Emergency Services Other Therapeutic 49.2% 16.8% 11.6% 7.9% 0.2% 2.4% AHPs Senior Management Healthcare Sciences Medical & Dental Support Personal & Social Care 7.1% 0.4% 2.7% 1.2% 0.4% Services A wide range of services are provided from over 50 bases across the region. These services are provided via one of seven General Management Directorates – Operations, Acute, Diagnostics, Primary Care & Community Care – East, Primary Care and Community Care – West, Women’s & Children’s Services, and Mental Health. Most acute services are based at Dumfries and Galloway Royal Infirmary with a network of out-patient clinics held throughout the region and a range of acute services provided at the Galloway Community Hospital in Stranraer. - 11 - The map below highlights the main service bases throughout the region. NHS STRATHCLYDE KIRKCONNEL SANQUHAR BORDERS MOFFAT THORNHILL Annandale & Eskdale Locality Nithsdale Locality AYRSHIRE & ARRAN LOCHMABEN DUMFRIES LANGHOLM LOCKERBIE Stewartry Locality NEWTON STEWART Wigtown Locality Gretna ANNAN CASTLE DOUGLAS Eastriggs DALBEATTIE STRANRAER Carlisle CUMBRIA KIRKCUDBRIGHT DUMFRIES and GALLOWAY Dumfries and Galloway Royal Infirmary Dumfries and Galloway Royal Infirmary contains 352 staffed beds (+ 11 cots), and includes the Departments of: Anaesthetics Cardiology Dermatology ENT Surgery General Medicine General Surgery Geriatric/Rehabilitation/Stroke Medicine Haematology Laboratory Services Neurology Obstetrics and Gynaecology Ophthalmology Oral and Maxillofacial Surgery Orthodontics Orthopaedic Surgery Paediatrics Palliative Care Radiology Renal Medicine Urology A GP Out-of-Hours Service is located on the DGRI site, adjacent to the Emergency Department; this service shares the accommodation utilised by the Orthopaedic Department during the day. A helicopter landing site is located outside the Emergency Department. The Operating Department, adjacent to the Day Surgery Unit, has six theatres (one allocated for emergency cases), endoscopy suite and minor treatment area. There is an Intensive Care Unit of four beds and a Surgical High Dependency Unit of four beds. There is also a separate theatre in the Ophthalmology Day Case ward. - 12 - In April 2002, a Day Surgery Unit opened and the Obstetrics Unit moved to the new “state of the art” extension (having previously been off-site). The Macmillan Cancer Centre on-site opened in 2003; this provides oncology out-patient, chemotherapy and palliative care services. A new Renal Unit, providing 18 dialysis stations, opened in April 2006, replacing services previously provided in a former ward in DGRI. The Radiography Department has recently undergone extensive refurbishment, both physically and operationally, with PACS successfully implemented and a new MRI scanner which became operational in 2008. The Education Centre Dumfries and Galloway Royal Infirmary is the recognised Post-Graduate Medical Centre for southwest Scotland and has been refurbished. The Education Centre at DGRI provides: programme of weekly meetings, covering all specialties induction programme for junior doctors well-stocked library internet access superb audio-visual facilities 98-seat lecture theatre DGRI Future Re-development It is an exciting time in Dumfries and Galloway Cardiology as a new District General Hospital is being built, due to open in 2018. Redesign of services at Dumfries & Galloway Royal Infirmary is currently underway. NHS D&G have been given the approval to start planning for a ‘new build’ hospital on a site on the western outskirts of the town. This new build will ensure NHS Dumfries & Galloway staff are able to continue to provide high quality clinical care to the population of Dumfries & Galloway in a modern environment. Full information on the DGRI Redevelopment Project can be found on the NHS Dumfries & Galloway website – www.nhsdg.scot.nhs.uk Galloway Community Hospital The Galloway Community Hospital is located in Stranraer, 75 miles from Dumfries. It opened in September 2006 replacing the former Dalrymple and Garrick Hospitals. Services provided at this site include Day Surgery (12 trolley area); Assessment & Rehabilitation (24 beds); Palliative Care (2 beds); Acute Medicine (20 beds); Maternity Services (2 beds); Renal Services (4 station unit haemodialysis); as well as Accident and Emergency, Anaesthetics, Laboratory, Radiology, Out-patients (provided by a number of Consultants and specialist nurses from Dumfries & Galloway Royal Infirmary), and Out-of-Hours. Health professionals based in the Galloway Community Hospital include: Occupational Therapy, Speech and Language, and Podiatry Services. Physiotherapy, Midpark Hospital A new Mental Health facility has opened in January 2012 on a site adjacent to the Crichton Campus. Facilities provided at the new site include - a 15 Bed elderly ward; 16 bed dementia/organic illness ward; 6 bed IPCU; 34 Bed adult (2 wards – 17 bed each); Acute hub accommodation; 8 Bed rehab recovery; 8 Bed rehab long stay; and Rehab hub accommodation. These facilities have an average annual admission rate of over 700 and approximately 7,000 outpatient attendances per year. They provide a full range of psychiatric services for patients of all - 13 - ages in the Dumfries & Galloway region. The Emergency Department is supported by a Psychiatric Liaison Nurse. Community Cottage Hospitals As well as the Galloway Community Hospital, there are a further eight Community Cottage Hospitals within Dumfries and Galloway: East Annan Hospital 24 beds (palliative care and rehabilitation) Lochmaben Hospital 16 beds (palliative care and rehabilitation) Moffat Hospital 12 beds (GP acute and rehabilitation) and Minor Injuries Unit Thomas Hope Hospital 12 beds (palliative care and rehabilitation) Dumfries & Upper Nithsdale Thornhill Hospital 13 beds (rehabilitation) West Castle Douglas Hospital 21 beds (GP acute and rehabilitation) and Minor Injuries Unit Kirkcudbright Hospital 14 beds (GP acute) and Minor Injuries Unit Newton Stewart Hospital 22 beds (GP acute, palliative care and rehabilitation) and Minor Injuries Unit (In some cases patients may be admitted directly from the DGRI Emergency Department to Community Hospitals through local General Practitioners) ENQUIRY ARRANGEMENTS For further information please contact Dr Ranald Spicer, Consultant Anaesthetist, (direct dial – 01776 707707); e-mail address –ranald.spicerl@nhs.net) or Dr Ken Donaldson, Associate Medical Director; email address – kdonaldson@nhs.net, (direct dial – 01387 241861) Arrangements to visit the Department and the hospital can be made through Patsy Pattie, Project Lead for Medical Recruitment on 01387 241790 or email patsy.pattie@nhs.net - 14 - Galloway Community Hospital SELECTION CRITERIA Appointment of:CONSULTANT ANAESTHETIST Job Requirement Essential Desirable Qualifications Name on GMC Specialist Additional Register, or within six months at qualifications time of interview of gaining CCT Medicine Experience Exposure to anaesthesia for all Advanced surgical specialties essential. management Clinical Skills & Technical Skills Knowledge Ability Motivation Competence in Emergency and Advanced Trauma Management across all techniques age groups and all medical specialties. training and/or in Intensive Care difficult regional airway anaesthesia Experienced in general and local anaesthetic techniques. Competent to perform intravascular monitoring Familiarity with the casemix and demands of working in an isolated DGH Record of getting on well with Evidence of training in non technical medical and nursing colleagues skills. Good communicator patients and relatives with Prepared to accept a degree of flexibility in working week Personality Evidence of ability to work in a multidisciplinary team environment Audit Ability to identify and carry out worthwhile projects if recognised in job plan Basic computing skills Evidence of involvement in audit/quality improvement activity throughout career Research Advanced computing skills such as the development and manipulation of databases. Evidence of lead role in substantial audit/similar projects and evidence of the ability to translate the outcome of these projects into improvement in patient care Willingness to participate in Evidence of involvement with multi-centre research projects research projects undertaken by the department if recognised in job plan - 15 - Management Ability Willingness to play a part in the Evidence of training and/or development of the Department experience in service development and the Hospital if recognised in and manpower skills. job plan. Prepared By: Dr R Spicer & Dr DW Wrathall Date: June 2015 - 16 - NHS DUMFRIES & GALLOWAY RELOCATION POLICY (Your entitlement at a glance) £10,560 is the maximum reimbursement which is available in accordance with the following headings. £8000 is the tax limit therefore, anything reimbursed above this amount will be taxed. Cost incurred House sale/purchase fees Maximum reimbursement £4,700 Preliminary visits to area x 2 Mileage + Subsistence Temporary accommodation i.e. rent (where have another commitment) for 6 months £3300 Removal / storage of furniture & effects £1000 Miscellaneous allowance £1100 There are conditions which must be met for all of the above reimbursement entitlements therefore, it is important that the above is read alongside the full policy when a claim is being prepared. A copy of the full policy is available on the intranet in the Services Section – Workforce – Policies. Or from the HR helpline which is: HR Helpline ext 34888 or via switchboard 01387 246246 Email dumf-uhb.hrenquiries@nhs.net Recruitment Helpline (general and medical) ext 32757 or 01387 - 17 -