NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
Your Application
MS/0414/15
Quote on all correspondence
Consultant
Post based at Hairmyres Hospital, Monklands Hospital or Wishaw General Hospital.
10 PAs. Other hours may be considered and there may be the opportunity to work
up to 12PAs.
Consultant
Tuesday 27th May 2014
Thank you for expressing an interest in the above post within NHS Lanarkshire.
Please find all the relevant information attached to begin the application process.
Should you require further information regarding this post you can contact the
Medical Staffing team or make informal enquiries with the department using the
contact details below.
To ensure we can process your application as easily as possible please complete
all the information required within the Application Pack and email with your CV.
Contact Details
Telephone
Email
Application
Process
To apply, please email your CV to the above, along with the Application Pack.
Application Pack .doc
01698 377735
pamela.migues@lanarkshire.scot.nhs.uk
Recruitment Lanarkshire NHS Inserts.pdf
Additional
Arrangements
Informal enquiries regarding this post will be welcomed by:Mrs Judith Park
Director of Access
Dr F Gardner
Associate Medical Director
Dr J Guse
Site Clinical Director
Dr S Millar
Site Clinical Director
Dr B Macpherson
Site Clinical Director
Interview Date
Interviews are scheduled to take place on.
Date when the
post is Vacant
The post is vacant immediately and a start date will be agreed with the successful
candidate.
NHS Lanarkshire
For further information regarding NHS Lanarkshire and it’s hospitals, please visit
our website:- www.nhslanarkshire.org.uk
01698 366002
01355 585787
01236 712175
01355 585779
01698 366550
We are an Equal Opportunities Employer and Positive about Disabled People.
Page 1
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
THE DEPARTMENTS
The Radiology Directorate is part of the Cancer and Diagnostics Division.
There is a radiology department in each of the three acute hospitals.
The radiology directorate has a good record of innovation, both in terms of
working practices and adoption of new technology.
There is active
encouragement of opportunities for role development of staff, where this will
provide an enhanced service to patients. Lanarkshire were early introducers
of IV injections by radiographers and radiographer barium enemas.
Ultrasonographers on each site perform and report their own studies. Three
radiographers are trained in A&E reporting and a further two are trained
mammogram readers, supporting double-reporting of all symptomatic
mammograms.
Flexible working is encouraged, with, for example, several radiologists
undertaking some of their radiology reporting sessions in the evening.
The presence of a single Lanarkshire-wide PACS/RIS also allows radiologists
to undertake some reporting at a different site from their base hospital, if
convenient.
Lanarkshire radiologists have utilised teleradiology to support CT reporting
from home while on call since the late 1990s, and this is now provided by
means of secure broadband links. Lanarkshire has had a full county-wide
PACS system since 2001 and during 2008-09 was transferred to the national
Carestream PACS. Voice recognition typing was introduced in 2009.
Dr Fiona Gardner is the Associate Medical Director for the Division. Each
hospital has a Site Clinical Director for Radiology. The Imaging Services
Manager, Mr Eddie McGoldrick, has a deputy on each site.
Page 2
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
THE DEPARTMENTS
The departments are accredited by The Royal College of Radiologists for
professional training and are affiliated to the West of Scotland Radiology
Training Scheme. The radiology departments are formally associated with
Glasgow Caledonian University for the practical training of B.Sc. Radiography
students.
The hospitals are recognised for post-graduate medical training in many
specialties and for undergraduate training in Medicine, Surgery and
Paediatrics from the Universities of Glasgow, Dundee and Edinburgh.
Regular cancer multi-disciplinary team meetings are held with appropriate
specialties, and there are less formal film review meetings with physicians,
surgeons and care of the elderly specialists. A wide variety of radiology staff
are involved in multi-disciplinary audit.
The departments carry a wide range of bench books for day-to-day use.
There are large seminar rooms (Wishaw and Hairmyres) with excellent
facilities for viewing PACS images in clinical review meetings and tutorials. A
video-conferencing link connects the Lanarkshire hospitals and the Beatson
Oncology Centre, facilitating multi-disciplinary team meetings.
IMAGING FACILITIES
The departments provide a wide range of diagnostic and interventional
techniques. They comprise diagnostic rooms including digital fluoroscopy,
angiography/interventional, mammography, ultrasound, multi-slice CT and
1.5T MRI on each site. A fourth Lanarkshire CT scanner was installed in
Hairmyres in 2009, with a fifth installed in Wishaw in 2013, in response to
rising demand. This additional capacity is shared with Monklands Hospital, so
that all three departments have equal access.
RADIOLOGY MANAGEMENT SYSTEM
Carestream RIS management system is in place, linked with the new
Caresteam PACS.
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NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
OFFICE ACCOMMODATION
Each Consultant has his/her own office, provided with:


A PC with email and Internet access.
A PACS Diagnostic Workstation, linked to RIS, with voice recognition
typing.
Full clerical and secretarial support is provided.
Page 4
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
POST INFORMATION
The Post
Applicants must possess the FRCR or equivalent higher professional
qualification and be on the GMC specialist register for Clinical Radiology, or,
for applicants currently in training, should have a CCT by the date of
appointment. The post requires a comprehensive knowledge of all aspects of
cross-sectional imaging. Development of a sub-specialty interest will be
supported, and an interest in Breast imaging, ENT, MSK or Gastro-Intestinal
imaging would be preferred.
The post is full-time, offered at 10 PAs. There may be the option to increase
this with EPAs, to a maximum of 12PAs in total. Consideration will also be
given to applicants who, for personal reasons, may wish to work part-time.
Some of the current post-holders work on a flexible basis, and the
departments would be happy to discuss the possibilities for flexible working
with applicants.
General
Provisions
You will be answerable to Site Clinical Director, who will agree your job plan.
Health and
Safety
You are required to comply with NHS Lanarkshire Health and Safety Policies.
Junior Medical
Staff
You will be responsible for the training and supervision of the Junior Medical
staff who work with you and you will be expected to devote time to this on a
regular basis. In addition, you will be expected to ensure that staff has access
to advice and counselling. If appropriate, you will be named in the contracts
of Doctors in training grades as the person responsible for overseeing their
training and as the initial source of advice to such Doctors on their career.
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NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
2013/2014
HAIRMYRES
HOSPITAL
HAIRMYRES MAIN
MONKLANDS
HOSPITAL
MONKLANDS MAIN
DEPT
WISHAW GENERAL
WISHAW MAIN
DEPT
Att
Exam
Att
Exam
Att
Exam
CT
12727
19909
9894
16134
13476
21974
DENTAL
1060
1248
1989
2171
838
1047
Fluoro
763
775
792
806
875
883
57630
69704
59375
70859
71692
86403
Inter
972
1304
684
739
18
20
Mammo
1633
3094
902
1635
2823
5095
Mobiles
5196
5360
4385
4612
5113
5610
MR
4201
4711
3412
4054
3685
4624
1358
1360
General
NM
Theatre
1138
1177
1141
1189
1208
1227
US
16736
19568
18707
21020
19431
23477
102056
126850
102639
124579
119159
150360
Total
Total
Attend
Total
Exams
36097
58017
3887
4466
2430
2464
188697
226966
1674
2063
5358
9824
14694
15582
11298
13389
1358
1360
3487
3593
54874
64065
323854
401789
Page 6
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
Medical Staffing
and Secretarial
Support
Consultants
Wishaw
Dr B Macpherson
Site Clinical Director
Dr J Roberts
Consultants
Hairmyres
Dr F Gardner
Associate Medical
Director
Dr S Millar Site Clinical
Consultants
Monklands
Dr. J Guse
Site Clinical Director
Dr A McGhee
Director
Dr S Reid
Dr M Mohan
Dr M Rashid
Dr A Shenoy
Dr M Strauss
Dr J Addison
Dr D Steele
Dr J Harper
Dr L Hinksman
Dr A Forrester
Dr K Gray
Dr C Murch
Dr D Edwards
Dr F Lau
Dr B Hamilton
Dr J Ballantyne
Dr G Harold
Dr N Mathias
Dr I Cameron
Dr E Teasdale
Specialty Doctors
Specialist Registrars on rotation from the West
of Scotland Training Scheme.
STR’s on BST
STRs/FY’s
Secretarial Support:
WTE Senior Secretary
WTE Waiting List Co-Ordinator- (if applicable)
WTE Secretaries
Audio Typists (if applicable)
Dr T Schiszler
Dr K Nwafor
Dr S Khan
Dr Y Husami
Dr A Paddon
Dr E Owens
Dr L Smart
Dr U Nachtrab
Dr P Nowak
0
1-2 per site
n/a
n/a
n/a
n/a
2 per site
n/a
Page 7
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
DUTIES AND RESPONSIBILITIES
Main Duties
The main duties and responsibilities of the posts include:

Provisions of a general radiology service dependent on the needs of
the hospital and primary care division.

Provision of cover for colleagues during annual, study or short-term
sickness leave.

Participation in the supervision, training and management of junior
medical staff.

Management responsibility where appropriate as agreed with the
site clinical director.

Participation in staff appraisal process.

Participation in appropriate internal or external quality assurance
programmes.

Participation in clinical audit.

Participation in both undergraduate and postgraduate teaching
programmes.

Compliance with Royal College of Radiologists’ recommendations
on continuing Medical Education.

Work on behalf of NHSL such as domiciliary consultations or
services provided by other agencies, e.g. Scottish Prison Service.
Radiology is a consultant-based service.
Some functions have been
delegated to other staff but the overall responsibility for all services
remains with the consultants. The managerial head of each department is
a consultant radiologist who has responsibility for the operational
management of the department and its services
Page 8
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
Clinical duties are rostered to achieve a balance between the special
interests of individual consultants and the needs of the service. A rota
details the day-to-day responsibilities of consultants. This will be as stable
as possible and provides the basis for individual consultant job plans. Of
necessity it is altered to take into account the absence of colleagues due to
compensatory time off post on call, annual leave, study leave and short
periods of sick leave (currently 2 weeks). The ‘core’ rota will include all
direct clinical care and supporting professional activities of the consultant
staff. Individual weekly rotas will also include any extra-programmed
activities as contracted separately.
Consultants will be available within the radiology department during all
those programmed activities that involve direct clinical care.
It is
anticipated that most supporting professional activities will also be carried
out within the hospital or related facility. Any SPA time spent elsewhere
will be with the agreement of the Clinical Director.
Working Hours - The routine working hours of the departments are
Monday - Friday, 9am – 5pm, when a comprehensive in and out patient
service is provided. Some radiologists choose, with the agreement of their
site clinical director, to undertake some of their reporting sessions in the
evening, rather than during the normal working day.
In addition, all Lanarkshire acute hospitals provide a 7-day radiology
service. At weekends and on public holidays, the designated on call
radiologist undertakes routine in patient and A&E work during the daytime,
as well as being available for emergency work out of hours. This allows all
reporting to kept up to date, and optimises management of in patients,
through 7-day availability of CT and ultrasound scanning.
Daytime weekend working whilst on call is compensated by means of time
off the following week. This arrangement has proved highly successful in
providing routine 7-day access to imaging for the hospitals, and, due to the
compensatory time off provided, is very popular with the radiologists.
On-Call Rota - The on-call rota is shared equally by the Consultant
Radiologists. A teleradiology link allows emergency CTs to be reported
from home. There is an allowance in the job plan of 4 hours per week for
unpredictable on call.
Page 9
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
Work
Programme
As required under Section 3 of the Terms and Conditions of Service, the
duties and responsibilities are supported by a job plan and work
programme detailed as follows:
Job Planning/Programmed Activities
The job plan will be dependent on the successful candidate’s subspecialty
training and interests. A minimum of 1 SPA will be included in the job
plan. Additional SPAs (up to 2.5 in total) can be incorporated into the job
plan depending on the time required to support the successful candidate’s
professional activities and the needs of the service.
On taking up post a Job Plan will be agreed between the person appointed
and the Site Clinical Director /Associate Medical Director. The Job Plan will
be reviewed informally after 3 months in post and then again on a formal
basis after 6 months in post.
Procedural DCC activities will include all aspects of cross-sectional
imaging, and the work will represent a balance of general and specialist
interest sessions. Work involving direct clinical care is composed of two
types. First is procedural work (including CT, MRI, ultrasound, screening
lists and routine reporting). Direct clinical care also includes ‘nonprocedural’, more flexible, clinical activity e.g. request card vetting, liaison
with requesting clinicians, correspondence regarding patients and
preparation for and attendance at multi-disciplinary clinical meetings.
All DCC activities will initially be undertaken at the appointee’s base
hospital. However, there may be a requirement in future to work in any of
the NHSL acute hospitals.
The detailed job plan will be agreed by the appointee and the Site Clinical
Director, but all consultants are required to be flexible in relation to their
agreed time-table in order to meet varying service requirements and cover
for colleagues’ absences.
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NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
In addition, other
activities not
occurring at
fixed times.






Discussing referrals, in patient and out patient with Colleagues (daily).
Discussing management/investigation of patients with colleagues in
other appropriate Clinical Support Services
Speaking to GP’s, outpatients re results.
Vetting electronic referrals (daily).
CPD and Appraisal
Audit
Review of the
Job Plan
The job plan is subject to review at least once a year by the post holder
and the Site Clinical Director as noted in the terms and conditions. The
procedures set out in the ‘Terms & Conditions of Service’ must be followed
if it is not possible to agree a job plan, either initially or at an annual review.
Audit and
research
The successful candidate will be expected to participate in audit processes
and there is an active clinical audit department available to assist. An
interest in research will be supported.
Continuing
Professional
Development
Study leave is available within the terms and conditions of service with the
approval of the Site Clinical Director/Associate Medical director. The
appointee will be required to fulfill such demands for continuing
professional development as the Royal College of Radiologists (or other
relevant bodies) may make.
Honorary
If involved in undergraduate teaching status can be applied for.
Academic Status Applications can be made via the Hospital Sub-dean and then to the
appropriate academic department within the University.
Page 11
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
PERSON PROFILE
Attributes
Qualifications
Training
Research
Publications
Experience
Knowledge and
Skills
Disposition
Other
Essential
Useful
Fellowship of the Royal College Other Postgraduate qualifications e.g.
of Radiologists or equivalent.
MRCP or MRCS.
GMC registration with a current
licence to practice and be on the
GMC Specialist Register or within
6 months of receiving their
certificate of completion of
training (CCT) in Radiology or
CESR (CP) at the time of
interview.
Experience and interest in clinical Previous experience of presentations in
audit.
clinical radiology.
Not Essential.
Previous publications relevant to the
practice of Clinical Radiology. Evidence
of involvement in clinical research.
Wide range of experience in all
aspects of Diagnostic Radiology.
Skills in all aspects of general
diagnostic radiology, particularly
cross-sectional imaging, including
MRI.
An ability to communicate well
with colleagues and other staff.
Ability to work as part of a team.
A flexible approach to duties,
which satisfies the needs of the
service.
Interest in undergraduate
teaching and post graduate
training.
Subspecialty interest in MRI, in Breast
imaging, or Head and Neck, MSK
imaging or Gastro-Intestinal imaging is
preferred.
A commitment to continuing
medical education.
Preference to work in a District General
Hospital.
Experience of formal or informal
teaching and training of students and
radiology trainees.
Working experience within the
Willingness to give at least 5 years’
NHS in the UK
service.
If there is any reason why a disabled person
The post requires physical dexterity. Uncorrected
should not be considered suitable for this post,
visual or hearing defect would be incompatible
please provide details:
with the nature of the work.
Name
Designation
Date
Prepared By:Dr J. Guse
Site Clinical Director
April 2014
Approved By:Dr. F Gardner
Associate Medical Director
April 2014
Page 12
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
TERMS AND CONDITIONS
a)
This appointment is offered on the Terms and Conditions of the new Consultant
Contract.
Additional NHS Lanarkshire Policies which support the Contract are listed below and are
available on request:





b)
Additional & External Duties
Fee –Paying Work in the New Consultant Contract
On-Call Availability and Payment of Supplement
Generic Objectives
Resident On-Call Duties
This appointment is superannuable under the NHS Superannuation Scheme, which
is contracted out of the State Earnings Related Pension Scheme (SERPS). New
employees commencing employment from 1 March 2013 onwards will automatically
be enrolled in the pension scheme and your remuneration will be subject to
deduction of superannuation contributions.
To opt-out, you must contact the Scottish Public Pensions Agency directly on Tel:
01896 893000. Should you choose to opt-out in accordance with these changes you
will be enrolled into the scheme again every 3 years (June 2016, 2019 etc) when the
same process will apply.
For further information on the benefits of the scheme, please contact an advisor of
The Scottish Public Pensions Agency (SPPA) Tel: 01896 893100, or download/view
a member’s guide at www.sppa.gov.uk/nhs/forms.htm.
c)
The employment is subject to 3 months’ notice on either side subject always to the
appeal and other provisions of paragraphs 10.4 & 10.5 of the Terms and Conditions of
Service of Hospital Medical and Dental Staff and Doctors in Public Health and the
Community Health Service Consultant Grade.
d)
Reimbursement of certain telephone charges may be payable on application to NHS
Lanarkshire. The successful candidate must be contactable throughout any on-call
period.
e)
The successful candidate, if not already employed by the NHS Lanarkshire, will be
required to complete a medical questionnaire to obtain medical clearance from the
Occupational Health Physician.
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NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
f)
The successful candidate will be required to complete a disclosure Scotland PVG
(Protecting Vulnerable Groups Scheme) form. No approach will be made without
written permission of the successful applicant who will be asked to sign and complete a
Disclosure PVG application, giving authorization for the check to be undertaken.
g)
NHS Lanarkshire does not negotiate salary placements. On commencement the salary
will be in line with paragraph 5.1 of the terms and conditions of the new consultant
contract. Appointees start on the scale minimum except in the circumstances of
paragraphs 5.1.2 – 5.1.7 of the terms and conditions of service.
h)
From 1st April 2014 the starting salary for the post is £76,001 per annum (based on 10
Programmed Activities per week). The successful candidate’s total salary will be
dependent on his/her previous service history. Remuneration for any extra
programmed activities will be dependent upon the job plan agreed at the time of
appointment.
i)
Dependent upon present place of residence, NHS Lanarkshire may require
the
successful candidate to undertake to remove home to a distance acceptable to NHS
Lanarkshire, normally within 10 miles of the base Hospital, in which case removal
expenses will be payable in accordance with NHS Lanarkshire Policy. In some cases,
however, a residence more than 10 miles distant from the base hospital will be
acceptable and in this case removal expenses will be subject to the prior approval of
the Associate Medical Director for such a residence. The position will be made clear to
the successful candidate on application.
Page 14
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
DECLARATIONS/CONVICTIONS STATEMENT
The following should be used when completing DECLARATIONS/ CONVICTIONS within the
application pack.
Registration with the General Medical Council or General Dental Council imposes on doctors
and dentists the duty to provide a good standard of medical care and to behave
appropriately, towards patients. NHS Employees also have a duty to ensure that patients
receive a good standard of medical care and ensure as far as possible the safety of patients.
We therefore need to establish if you have been found guilty of a criminal offence, been
bound over or cautioned or are currently the subject of proceedings which might lead to a
conviction, an order binding you over or a caution, in the UK or any other country.
Applications for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974.
Application forms will include a declaration for applicants to complete declaring any previous
or pending prosecutions or convictions, including those considered “spent” under the Act.
Forms will also include a declaration of any cautions or bind overs.
We also need to establish if you have been the subject of any fitness to practise proceedings
in the past, or if any fitness to practise proceedings are being contemplated, by a licensing or
regulatory body in the UK or another country and this is also reflected in the declaration.
This information will be treated in confidence and will not debar you from appointment unless
the selection panel considers that it renders you unsuitable for appointment. In reaching
such a decision we will consider the nature of the conviction/action, how long ago it took
place and any other factors which may be relevant
Failure to disclose a criminal offence, having been bound over or cautioned or that you are
currently the subject of criminal proceedings, which might lead to a conviction, an order
binding you over a caution, or fitness to practice proceedings undertaken or being
undertaken by an appropriate licensing or regulatory body, may disqualify you from
appointment, or result in summary dismissal/disciplinary action and referral to the General
Medical Council (General Dental Council) for consideration if such a discrepancy came to
light.
If you would like to discuss what effect any previous convictions, police investigations or
fitness to practice proceedings taken or being taken either in the UK or by an overseas
licensing or regulatory body might have on your application, you may telephone: Marlene
Fraser (01698) 377752 in confidence, for advice.
Page 15
NHS Lanarkshire – Information Pack
POSITION: Consultant Radiologist
IMMIGRATION
Overseas
Doctors and
Dentists
Changes to
Immigration
Impact of
Change
Further
Information
For the purpose of immigration status, overseas doctors and dentists are
those who, regardless of where they obtain their primary medical/dental
qualification, are not nationals of the European Economic Area (EEA). A
list of EEA countries is attached.
On 7th March 2006 the Department of Health announced changes to the
immigration rules for postgraduate doctors and dentists. The changes
came into effect on 3rd April 2006 and mean that all doctors and dentists
who wish to work in the UK from outside the EEA will need to meet the
requirements of an employment category such as the work permit
provisions. New applications for permit-free training visas will no longer
be granted for doctors undertaking training posts
Non-EEA doctors and dentists will still be able to come and train in the
UK and are still eligible to apply, in open competition for training posts
provided all the other eligibility criteria is met. However, training posts
will now be considered employment for immigration purposes. Work
permits will only be issued where there is a specific post for the
overseas doctors that cannot be filled by someone from the EEA.
The changes in immigration requirements for trainee doctors and
dentists are a result of a Scottish Executive Health Department
announcement and immigration issues are the remit of the Home Office.
Clarification and further information can be accessed from the following:Home Office
Work Permits
EEA Countries
www.ind.homeoffice.gov.uk
www.ukba.homeoffice.gov.uk/workingintheuk/
Austria
Greece
The Netherlands
Belgium
Hungary
Norway
Bulgaria
Iceland
Poland
Cyprus
Republic of Ireland Portugal
Czech Republic
Italy
Romania
Denmark
Latvia
Slovakia
Estonia
Liechtenstein
Slovenia
Finland
Lithuania
Spain
France
Luxembourg
Sweden
Germany
Malta
UK
NB – Switzerland is not in the EEA, Swiss Nationals have the same
rights as EEA nationals.
Page 16