CLINICAL FELLOW IN
RENAL TRANSPLANT
SURGERY
WESTERN INFIRMARY
INFORMATION PACK
REF: 27523D
CLOSING DATE: NOON 28TH DECEMBER 2012
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: CLINICAL FELLOW IN RENAL TRANSPLANT SURGERY
BASE: WESTERN INFIRMARY
This post is available from present for a period 2012. The Directorate
provides Renal Services for Greater Glasgow & Clyde and Forth Valley Health
Boards and Renal Transplant Services for the West of Scotland. Inpatient
services have recently relocated to new facilities within the Western Infirmary.
The post will offer excellent training and experience in renal transplant surgery
and nephrology. Previous surgical experience and FRCS is preferable but not
essential.
To practice medicine in the UK you need to hold both GMC registration and a
licence to practice.
This post does not have educational approval from the Postgraduate Dean
and is not recognised for training.
CLINICAL FELLOW
in
RENAL TRANSPLANT SURGERY
(including the surgery of renal failure)
NHS Greater Glasgow and Clyde
Base: Western Infirmary, Glasgow
Post:
Clinical Fellow
Renal Transplantation and Surgery of Renal Failure
Based Initially:
Western Infirmary
Reports To:
Clinical – Mr Marc Clancy, Lead Surgeon for Renal
Transplantation
1.
Brief Description of the Health Board
NHS Greater Glasgow and Clyde is the largest group of adult acute
hospitals in Scotland – offering many opportunities to ensure job
satisfaction and career development. It provides a wide range of
services from community-based care through to supra-regional
services including cardiac and renal transplantation.
It enjoys close links with Glasgow’s three Universities and makes a
significant contribution to teaching at both undergraduate and
postgraduate level. Research also has a high profile within the
organisation.
Renal services are included within the Regional Services Directorate
which manages the following services
- Institute of Neurosciences
- Spinal Injuries Unit
- West of Scotland Beatson Cancer Centre
- Plastic Surgery and Burns Unit
- Renal Services
- Homeopathy Hospital
2.
Hospitals and Clinics where Services are to be provided
The Renal Transplant Unit at the Western Infirmary is the sole
provider of Renal Transplantation for the adult population of the West
of Scotland (population approximately 2.7 million). This Service
performs more than 90 renal transplants a year, has one of the largest
Living Donor programmes in the UK and supports the Scottish
Paediatric Transplant Programme which is based at The Royal
Hospital for Sick Children. The Department also provides vascular
access surgery for the 300 patients on haemodialysis, access surgery
for peritoneal dialysis as well as general surgery for patients with renal
failure.
The Renal Transplant Unit is now located in a newly refurbished 16
bedded ward, co-located with the vascular surgery unit, on level 9 of
the Phase One Building of the Western Infirmary - a modern and wellequipped tower block that also houses a suite of Operating theatres
and an 8 bedded Intensive Therapy Unit. All inpatient nephrology
services for Glasgow, Clyde and Forth Valley now occupy the whole of
level 7 in the Western Infirmary. Outpatient haemodialysis activity for
the Western Infirmary and the peritoneal dialysis unit are on the
second floor of G block – adjacent to a new suite of consultant offices
Most outpatient haemodialysis occurs outside the inpatient facility with
units situated at New Victoria Hospital, Glasgow Royal Infirmary, New
Stobhill Hospital, Inverclyde Hospital, Vale of Leven Hospital and
Larbert Hospital. carried out at satellite haemodialysis units at New
Stobhill Hospital, New Victoria Hospital, Falkirk District Hospital,
Inverclyde Hospital, and Vale of Leven Hospital.
Paediatric renal transplants are performed at the Royal Hospital for
Sick Children working in association with the paediatric surgeons
based there.
All renal outpatient clinics are conducted in the new Victoria and
Stobhill Hospitals which have excellent modern facilities including day
case surgery suites which are used for renal (access) surgery in all
appropriate patients. A fully supported integrated renal access service
between the renal transplant surgeons and the vascular surgeons is
being developed.
There is a close working relationship between the transplantation
programme and the University Department of Surgery where excellent
laboratory facilities exit for research related to all aspects of organ
transplantation. There is also close collaboration between the
vascular surgery service and Strathclyde University.
3.
The Work of the Directorate/Department/Specialty
There has been an expansion in renal transplant activity over the last
decade and a total of over 2000 transplants have been carried out at
the Western Infirmary. More than 90 cadaveric, living related and
unrelated donor operations are performed annually with approximately
25-30% being from live donors. The current waiting list for renal
transplantation in the West of Scotland is over 300. There are
approximately 60 CAPD patients and 600 haemodialysis patients
being treated within Greater Glasgow and Clyde and Forth Valley on
an outpatient basis. In addition to the local catchment population, the
renal unit at the Western Infirmary also provides more complicated
dialysis access surgery for other renal units and functions as a
specialist referral centre. The unit is therefore one of the largest in the
country.
There are 5 Consultant Transplant Surgeons and the renal surgical
junior staff posts consist of one Specialist Registrar, a Clinical
Research Fellow, and three surgical trainees STs/FTSTAs – (2 x
vacant posts). Joint physician/surgeon ward rounds are conducted
daily. There are also regular Renal Unit research, audit,
mortality/morbidity, pathology and radiology meetings. There is an
emergency theatre 24 hours a day which is available for emergency
and unscheduled work including transplants.
As well as being one of the largest transplant programmes in the
country with opportunities for clinical research, excellent facilities exist
within the University Department of Surgery. There are established
links for experimental research in the fields of transplantation
immunology and cellular biology at Strathclyde University. We have
several projects and post-graduates involved in understanding the
vascular changes associated with renal failure with both cellular and
small animal studies.
4.
Current Consultant Establishment
Mr Marc Clancy
Lead Consultant & Transplant Surgeon
Mr Enric Murio
Consultant Transplant Surgeon
Mr David Kingsmore
Consultant
Transplant
and
Vascular
Surgeon
5.
Mr Vlad Shumyeko
Consultant Transplant Surgeon
Mr John Asher
Consultant Transplant Surgeon
Duties of the Post
Clinical Commitments:
The appointee will participate with his/her middle grade colleagues in
the pre-operative assessment and preparation, surgical management
and post operative care of patients with renal failure. This includes
attendance at outpatient clinics, ward rounds, a day surgery list as
well as elective and emergency operating sessions. This clinical
activity will account for an average of 2 sessions a week. There is a 1
in 6 on call commitment. The unit does not have Foundation Year
doctors and all the routine ward care of the patients is undertaken by
Case Managers / Nurse Practitioners who refer to the middle grade
doctors for diagnostic and treatment decisions.
Teaching:
During term time there is a regular commitment to the undergraduate
medical course particularly in ward teaching. There is a commitment
to the postgraduate education of the trainees within the renal
department.
Clinical Research:
There is an active clinical research activity associated with this large
and busy transplantation programme and the appointee will be
expected to contribute to this.
Laboratory Research:
Laboratory research is ongoing with several trials at the University of
Strathclyde looking at the cellular responses of the vascular tree. This
program of activity has been established over the past few years and
successfully attracted competitive funding. There is the opportunity to
gain laboratory experience in addition to clinically supporting this
work.
Timetable:
The appointee will work with the trainees to provide middle grade
cover for the transplant and renal surgery service. This will involve
consultant run operating sessions, both inpatient and day surgery,
transplant follow up clinics and assessment and renal surgery clinics.
The appointee will be involved in the management of the inpatient
care of the renal patients.
The on call will be a 1 in 6 rota (with prospective cover). Whilst on call
for renal surgery the appointee will provide middle grade cover for
emergency vascular and peritoneal dialysis at the Western Infirmary,
advice and if necessary attendance at the NVSHs as well as for
kidney implantation and associated problems in the renal patients.
The middle grade posts within the department are currently graded as
Band 3 and under review plus is reassessed on a regular basis and
may be subject to change.
The appointee will also perform ward rounds and contribute to
radiology, pathology, mortality, research and other departmental
meetings within the combined nephrology and renal surgery multidisciplinary structure.
The post is for 12 months in the first instance.
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital
and Medical & Dental Whitley Council.
TYPE OF CONTRACT
Fixed Term
GRADE AND SALARY
Clinical Fellow
£ 29,705 £ 39,300 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the
salary scale, (dependent on qualifications and experience). Salary is paid
monthly by Bank Credit Transfer.
HOURS OF DUTY
Full Time 40.00
SUPERANNUATION
You have the option to join the NHS Superannuation Scheme, to participate in
the State Earnings Related Pension Scheme or to take out a Personal
Pension. Employee’s contributions to the NHS Scheme are Tiered based on
your earnings and the employers contribution equates to 13.5 % of salary.
Employees in the NHS Scheme are “Contracted-out” of the State Earnings
Related Pension Scheme and pay a lower rate of National Insurance
contributions. Employees who choose to participate in the State Earnings
Related Pension Scheme pay the higher rate of National Insurance
contribution. A Stakeholder Pension is also available. A Personal Pension is a
private arrangement agreed with the pension provider that will be an
organisation such as a Bank, Building Society or Insurance Company.
REMOVAL EXPENSES
Assistance with removal and associated expenses may be given and would be
discussed and agreed prior to appointment.
EXPENSES OF
CANDIDATES FOR
APPOINTMENT
Candidates who are requested 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 of
appointment.
TOBACCO POLICY
NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises
and grounds.
DISCLOSURE SCOTLAND
CONFIRMATION OF
ELIGIBILITY TO WORK IN
THE UK
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 initially paid by NHS Greater Glasgow and Clyde and
will required to be repaid through a payroll deduction mandate from the
successful candidate’s first salary.
NHS Greater Glasgow and Clyde (NHSGGC) 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 GGC 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 not 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 1974
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 Greater Glasgow and Clyde. 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 Greater Glasgow and Clyde 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.
GENERAL
NHS Greater Glasgow and Clyde operates flexible staffing arrangements
whereby all appointments are to a grade within a department. The duties of an
officer may be varied from an initial set of duties to any other set, which are
commensurate with the grade of the officer. The enhanced experience
resulting from this is considered to be in the best interest of both NHS Greater
Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES
The postholder will undertake their duties in strict accordance with NHS
Greater Glasgow and Clyde’s Equal Opportunities Policy.
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.
FURTHER INFORMATION
For further information on NHS Greater Glasgow and Clyde, please visit our website
on www.show.scot.nhs.uk
View all our vacancies at www.nhsggc.org.uk/medicaljobs
Subscribe to our Medical Jobs Vacancy Bulletin Click Here
Register for Text Alerts for medical vacancies – email your mobile number and
the grade and specialty you are interested in to gg-uhb.medicaljobs@nhs.net
Applicants wishing further information about the post are invited to contact Marc
Clancy on 0141 211 1750 on with whom visiting arrangements can also be made.
HOW TO APPLY
To apply for these posts please include your CV and names and addresses of 3
Referees, along with the following documents; (click on the hyperlinks to open)
Medical and Dental Application and Equal Opportunities Monitoring Form
Declaration Form Regarding Fitness to Practice
Immigration Questionnaire
Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to
Apply” tab to access application for and CV submission information.
RETURN OF APPLICATIONS
Please return your application by email to nhsggcrecruitment@nhs.net or to the
recruitment address below;
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde
Recruitment Services, 1st Floor
Modular Building, Gartnavel Royal Hospital
1055 Great Western Road
GLASGOW
G12 0XH
CLOSING DATE
The closing Date will be Noon 28th December 2012