Consultant in Gastroenterology
(Full-time or part-time)
CONTENTS
Page
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The Forth Valley Area
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NHS Forth Valley Acute Services
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Overview of the Post
Consultant Responsibilities
Contractual Details
Job Plan
General Employment Information
Selection Criteria
Application Process
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CONSULTANT IN GASTROENTEROLOGY
Full time or part-time
Salary Scale £74,504 - £100,446
Applications are invited for an enthusiastic individual to join a dynamic GI service in Forth Valley.
The postholder will replace a full time colleague within a team of 5 Consultant Gastroenterologists
and 1 Associate Specialist.
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The successful candidate will be required to contribute to the general Gastroenterology service and
specifically to support the existing luminal and endoscopy services however in addition the
development of a subspecialty interest would be welcome. Existing sub-specialty roles within the
department include inflammatory bowel disease, hepatology, viral hepatitis, nutrition and upper GI
cancer. A contribution to the ERCP service would be welcomed but is not essential.
The GI service functions as a fully integrated unit with all members contributing to a team-based
approach to patient care and this appointment will play an important role in the continuing
development and redesign of Gastroenterology services. The Gastroenterology senior staff
comprises five consultants, one associate specialist and five specialist nurses. We have permanent
funding for 1.6 wte IBD nurses in addition to three established viral hepatitis nurses. We have a fully
equipped endoscopy department with 4 rooms (including one screening room) and an endoscopy
team consisting of colorectal and upper GI surgical colleagues as well as five nurse endoscopists.
We currently have a joint GI Medical / Surgical ward for complex inpatient care (hepato-pancreatobiliary disease, IBD, acute GI bleeds) and weekly upper GI / HPB / colorectal / IBD MDT.
It is expected that there will be a contribution to acute general medical receiving (1 in 15) in the first
instance although with anticipated recruitment into acute physician posts this commitment from
gastroenterology is likely to diminish.
NHS Forth Valley provides acute services for a population of 310,000 people in Central Scotland.
Acute Services, emergency and complex care, and planned services are provided for at Forth Valley
Royal Hospital (FVRH). Relocation of our acute services into this new hospital site at FVRH was
completed in July 2011.
Candidates are encouraged to visit the Department and meet senior staff. Informal enquiries to: Dr
David Watts, Consultant Gastroenterologist / Clinical Lead, tel. no. 01324 566827 or Dr Peter
Bramley, Consultant Gastroenterologist, tel. no. 01324 566840.
Candidates will be expected to have a wide range of experience in gastroenterology and possess
the MRCP (UK) or equivalent.
The completed medical application form which should include, names and addresses of 3 referees
(one of which should be your current or most recent employer), details of GMC registration and
licence to practice, and CCT or CESR (CP) (or evidence of eligibility to apply) should be submitted
to the above address by 12 noon, Friday 14th June 2013
Job descriptions are available from the Career Grade Medical Workforce Team, Medical Workforce,
Euro House, 1st Floor, Wellgreen Place, Stirling, FK8 2DJ. Tel: 01786 431160 fvuhb.medicalworkforcerecruitment@nhs.net
Interview Date: Tuesday 6th August 2013
Reference No: 0413175
NHS Forth Valley is an equal opportunities employer
BACKGROUND TO NHS LOCALLY
NHS Forth Valley has a new acute hospital, Forth Valley Royal Hospital in Larbert, which is
supported by a network of four community hospitals in Stirling, Falkirk, Clackmannanshire and
Bo'ness. We also have a number of day and inpatient hospitals which provide care for older people
and patients with mental illness.
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Forth Valley Royal Hospital in Larbert is a state-of-the-art acute hospital which provides a wide
range of inpatient, outpatient and day services. These include emergency, maternity, children and
acute mental health services for the whole of Forth Valley.
Stirling Community Hospital has a Minor Injury Unit and also provides a wide range of outpatient
services, whilst Falkirk Community Hospital provides a range of outpatient services and also has two
inpatient wards for patients who require rehabilitation, palliative and continuing care. Bo'ness
Community Hospital provides a range of inpatient and outpatients services and is also the base for 2
GP practices. Clackmannanshire Community Healthcare Centre provides a range of inpatient,
outpatient and day services. It is also the base for 3 GP practices.
The NHS is the largest employer in Forth Valley and is committed to ensuring that its Human
Resources policies and procedures are best practice. Amongst the areas currently being developed
by Human Resources are Work Life Balance initiatives taking account new of new legislation e.g.
Race, Religion and Age. Copies of all HR policies are available on the intranet site.
THE FORTH VALLEY AREA
The working environment at both hospitals is excellent, but of crucial consideration to any
prospective applicants must be the quality of life that Forth Valley has to offer them and their
families. The area has stunning scenery, such as the ‘Trossachs’ and Loch Lomond and is steeped
in history with Callendar House at Falkirk, Stirling Castle, and the Wallace Monument to name a few
of the sites in the area. It also has many cultural and leisure facilities such as the Falkirk Wheel (the
largest canal barge wheel in the world), the MacRobert Arts Centre at Stirling and National Sports
Academy at Stirling University.
Forth Valley lies equidistant between Scotland’s two main cities Edinburgh, and Glasgow. Edinburgh
and Glasgow with their respective airports, are little over half an hour from most parts of Forth
Valley, and can be reached by the fast and reliable trains, from stations in the Falkirk, Larbert and
Stirling.
There are long established undergraduate and postgraduate links between Forth Valley and the
medical schools in Dundee, Edinburgh and Glasgow. The Royal Colleges of Physicians and
Surgeons in both Edinburgh and Glasgow are also conveniently nearby. Stirling University provides
nursing education for Forth Valley and Highland Health Board areas and also supports several other
health-related academic disciplines.
House hunters in Forth Valley are spoiled for choice. The area, offers a large array of established
and new properties in a variety of attractive settings.
Primary and Secondary Education in the area is first class with a large number of schools having
been built or modernised over the past few years. There is also long-established provision for
private education in the area.
The area also is well served for further education. Stirling University attracts a high proportion of
students Scotland and outside the United Kingdom due to its beautiful campus, flexible study
options and its high ratings for teaching and research. There are also colleges based in Alloa,
Falkirk, and Stirling offering a wide range of courses and resources.
In addition to its scenery, history, culture and shops, residents in Forth Valley have convenient
access to a very wide range of leisure and sporting facilities. There are excellent golf courses, there
is easy access to nearby hills and mountains, and outdoor activities including sailing, hang-gliding,
windsurfing and skiing are all on the doorstep.
More information on the area can be found on the following websites:
www.falkirk.gov.uk - Falkirk Council
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www.stirling.gov.uk - Stirling Council
http://www.clacksweb.org.uk/ - Clackmannanshire
www.show.scot.nhs.uk/nhsfv/ - NHS Locally
www.visitscotland.com - Scottish Tourist Board
www.stirling.ac.uk - Stirling University
NHS FORTH VALLEY ACUTE SERVICES
Forth Valley Royal Hospital and the Community Hospitals provide a range of specialties and
also support the provision of more specialised services. The range of specialties provided is
highlighted in the table below.
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Services and Facilities
Specialty
Accident & Emergency
Acute Medicine
Cardiology
Clinical Haematology
Dermatology
Diabetes & Endocrinology
ENT
Gastroenterology
General Medicine
General Surgery
Genitourinary Medicine
Geriatric Assessment
Gynaecology
Intensive Care (medical & surgical)
Medical Genetics
Neonatal Intensive Care
Nephrology
Neurology
Obstetrics
Oncology
Ophthalmology
Oral & Maxillofacial Surgery
Orthodontics
Orthopaedic & Trauma Surgery
Paediatric Medicine
Paediatric Surgery (limited to over 3 year-old)
Pain Relief
Rehab for Younger Physically Disabled People
Respiratory Medicine
Rheumatology
Special Care Baby Unit
Stroke Medicine
Sub-fertility
Urology
Vascular Surgery
Inpatient Out-Patient Day Patient
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† in-patient services are provided within General Medicine and/or General Surgery
* service currently provided
OVERVIEW OF THE POST
General Medicine and Acute Medical Receiving
Since the centralisation of the emergency services, there has been an average of 37
emergency admissions per day (of all ages) with 25 patients admitted under general medicine.
There is a 20-bedded Combined Assessment Unit (CAU) shared with surgical specialties and
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adjacent to the A&E Department. There is a 48-bedded Acute Admissions Unit adjacent to
CAU. Patients admitted to hospital from AAU and triaged to the relevant specialty specific
clinical area (critical care, cardiology, gastroenterology, respiratory, endocrine, stroke or general
medicine (general medical patients over 75 years are cared for by colleagues in Ageing and
Health). There is a large Day Medicine unit on the FVRH site which provides a range of options
for ambulatory management of patients.
Patients likely to be discharged within 48 hours of admission are discharged from the Acute
Admissions Unit by either the Acute Medicine team (4 existing consultant acute physicians) or
the on call team responsible for the admission. Patients likely to stay longer will be transferred
to a specialist inpatient ward. Those patients requiring longer periods of rehabilitation are
transferred to the Community Hospital facilities under the care of colleagues in Ageing and
Health medicine.
There are 15 Consultant Physicians on the Acute Medical Receiving Rota, with a 1/15 ‘on-call’
frequency. There is an active recruitment process for further appointments in acute medicine
that will further dilute the sessional contribution of specialty staff to unselected acute medical
care. This process of refining acute medical care will evolve over the coming months.
Medical Staffing
a) Acute Medicine:
The Acute Medicine service has at present 4 substantive consultants in post, Drs. David
Thetford, Andrea Strang, Dan Beckett and Jennifer Gray.
b) Cardiology:
There are 3 Consultant Physicians with a special interest in Cardiology. These are Dr. Allan
Bridges, Dr. Stephen Glen and Dr. Alistair Hargreaves who contribute to the acute medicine on
call rota. Dr. James Spratt and Dr Catherine Labinjoh are Consultant Cardiologists with no
commitment to acute medicine.
c) Diabetes/Endocrinology:
There are 5 Consultant Physicians with a special interest in Diabetes and Endocrinology; Dr.
Chris Kelly, Dr. Nick Barwell, Dr. John Doig, Dr. Linda Buchanan and Dr. Alison MacKenzie.
d) Gastroenterology:
As outlined above, Drs. David Watts (Clinical Lead), Peter Bramley, Richard Burnham, Stuart
Paterson are currently supported by an Associate Specialist, Dr. Patrick Law.
e) Respiratory Medicine:
There are four Physicians with an interest in Respiratory Medicine, Drs. Stan Wright, Dougie
Morrison, Billy Newman, Fraser Wood and Melanie Cross.
Other specialists supporting General Medicine
There is further support from a group of 9 Consultant Physicians in Ageing & Health, 3
Consultant Haematologists who look after inpatients with haematological and lymphoproliferative
disorders, 1 Consultant Rheumatologist and an Associate Specialist in Rheumatology, 2.5
Consultant Neurologists and 1 Consultant in Rehabilitation Medicine. There are visiting
Consultants in Nephrology and Oncology.
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Current Junior Medical Staffing
We are supported by 22 FY1 grades, 8 FY2 grades, and 30 trainees in specialty training.
In addition, we have a team of 11 Advanced Nurse Practitioners and Nurse Practitioners.
Current Gastroenterology Service in Forth Valley
Endoscopy Unit
In FVRH site this currently consists of four ‘state of the art’ endoscopy rooms with dedicated
video-endoscopy stacks and provision for two ERCP sessions per week in the screening room.
Emergency and high-risk endoscopy is carried out in one room each morning Monday - Friday.
One further video-endoscopy stack is available for emergency use in main theatres. Emergency
endoscopy out of hours is provided for by surgical colleagues.
We have currently three nurse endoscopists, trained in upper GI endoscopy, flexible
sigmoidoscopy and colonoscopy with one further nurse trained in upper GI endoscopy, and one
trained in flexible sigmoidoscopy.
Outpatient Services
A regional outreach Hepatology Service is functioning for the treatment and monitoring of
patients with Hepatitis B and C with specialist support nurses.
A nurse-led IBD outpatient service is led by two specialist IBD nurses.
Currently nurse-led Haemochromatosis and/or Coeliac services, and iron deficiency anaemia
and jaundice pathways are being set up. The successful applicant could be involved in the
further development of any of these services.
Specialist Nursing
Hepatitis Specialist Nurses –There are 18 nurse led clinics supporting patients with Hepatitis for
initial assessment, counselling and monitoring of treatment. These include three local prison
establishments, Drug Addiction centres and needle exchange sites, as well as work within
traditional hospital outpatient settlings
Inflammatory Bowel Disease Nurses – This has been supported by 1.6 WTE independent nurse
practitioners commitment to the IBD/colitis workload, providing Telephone clinics, nurse led
outpatient clinics and a helpline, with expansion of this service to all IBD patients in Forth Valley
with opportunities for audit and establishing a comprehensive IBD database.
Nutrition & PEG Service
PEG referrals are handled by a dedicated PEG nurse coordinator with support from consultant
gastroenterologists and allied specialty colleagues. This service is run and supervised by Dr
Richard Burnham
Out of Hours Emergency Endoscopy
This is currently undertaken by GI surgical colleagues.
Imaging Service
Excellent support is offered and facilities include CT and MRI scanning as well as a nuclear
medicine service.
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Postgraduate and Developmental Facilities
There is a purpose-built Education Centre on the FVRH site. It houses the Postgraduate Library
and audio-visual facilities and offers opportunities for a wide range of development activities for
all staff groups. This is a modern, high quality facility which is widely used by groups throughout
the country.
A wide range of full-text and e-journals are freely available. Internet access is available in both
centres, and also in consultant workspace accommodation.
There are regular postgraduate meetings in both hospitals. Glasgow and Edinburgh with their
Royal Colleges, university medical schools and postgraduate facilities are within easy reach.
Forth Valley Royal is the site of the Scottish Clinical Simulation centre.
CONSULTANT RESPONSIBILITIES

As agreed with the Associate Medical Director (Medicine), to provide with consultant colleagues
an area service in GI Medicine with responsibility for the prevention, diagnosis and management
of illness, and for the proper functioning of the service;

To provide cover for consultant colleagues during annual and study leave or at such other times
as agreed with the Associate Medical Director (Medicine);
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
To offer professional supervision, training and appraisal of junior medical, nursing and technical
staff as appropriate so as to enhance role extension and job skills within the Gastroenterology
service in order to improve the service provided to patients;

To motivate staff within the service, through leading by example, and fostering good working
relationships at all levels in line with the principles of the local Partnership Agreements;

To contribute to developments and initiatives within Acute Services as appropriate and as
requested;

To undertake teaching, accreditation and examination duties, and contribute to postgraduate
and continuing medical education activity across the Area service;

To agree and implement an annual medical audit and clinical governance programme with the
Associate Medical Director (Medicine), in line with NHS Forth Valley’s Clinical Effectiveness
Strategy;

To participate fully in consultant appraisal and personal development planning activities;

To ensure the efficient and effective use of Acute Services resources;

To work with Consultant colleagues to ensure the effective and efficient development and
implementation of support systems.
The posts’ requirements will change through time in line with clinical advances and developments in
services provided by the NHS in Forth Valley.
CONTRACTUAL DETAILS

Contracted activities for this appointment will be defined and agreed with the postholder and
Medical Director.

The postholder will be professionally responsible to the Medical Director and managerially
responsible to the General Manager of the Emergency & Inpatient Services Unit.
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
The consultants in the department
gastroenterology/hepatology duties.

The consultant post is available on a full-time basis but the Board welcomes applications from
individuals who are unable to undertake a full time commitment and who may wish to work on
either a part-time or job share basis.

The terms and conditions of service for the appointments are those determined by the Terms
and Conditions of the New Consultant Grade (Scotland) as amended from time to time.

NHS Forth Valley will require each consultant in to agree with the Medical Director a job plan of
fixed and other commitments, which will be reviewed on an annual basis and revised as
necessary to meet the requirements of the local and national service issues.

The successful candidates will be required to undergo satisfactory medical screening before a
formal appointment may be made.
will
agree
arrangements
for
cover
of
The employment is subject to three calendar months’ notice on either side.JOB PLAN
The detail of fixed commitments, including any special interest, will need final agreement following
appointment of the successful applicant. It is expected that initially, 9 programmed activities per
week will be devoted to direct clinical care, with 1 programmed activity for supporting professional
activities (for audit, professional development and appraisal / revalidation). Following interview,
depending on the needs of the service and the attributes of the successful candidate, it may
be possible to negotiate additional SPA time. This will require the approval of the General Manager
and Associate Medical Director.
An example outline of the proposed job plan is shown below:
a)
Timetable of activities which have a specific location and time
DAY
HOSPITAL / LOCATION
Monday
Forth Valley Royal Hospital
Tuesday
Wednesday
Thursday
Friday
TYPE OF WORK
09:00-12.30 Ward round
12.30–13.30 Medical Unit Clinical Meeting
13.30-17.00 Endoscopy
Forth Valley Royal Hospital
09:00-12.30 Administration
13.30-17.30 Outpatient clinic
Forth Valley Royal Hospital
09:00-12.30 Outpatient clinic
13.30-17.30 SPA : GI Unit meeting / audit / research
Forth Valley Royal Hospital
09:00-12.30 Administration
13.30-17.30 Outpatient clinic
Forth Valley Royal Hospital
08:00-12.30 Endoscopy
13.30-17.30 Ward round
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This proposal will alternate in rotation (2 weeks out of 9 weeks) with existing colleagues as
‘Gastroenterologist of the week’ (emergency endoscopy cover 0900-1700, inpatient and outpatient
referrals and urgent outpatient activity).
GENERAL EMPLOYMENT INFORMATION
Equality in Employment
NHS Forth Valley fully supports the principle of equality in employment and opposes all forms of
unlawful and / or unfair discrimination which cannot be shown to be justified. NHS Forth Valley is
committed to ensuring equality of treatment for both present and potential employees.
Human Resources Policies and Services
NHS Forth Valley is the largest employer in Forth Valley and is committed to ensuring its
employment and Human Resources policies and procedures reflect best practice. As a progressive
employer, NHS Forth Valley is committed to supporting and developing all employees. Examples of
recent initiatives and areas of work including work life balance, flexible working and the introduction
of parental leave provisions.
Career Grade Medical Workforce Department
The Career Grade Medical Workforce Department provides a dedicated Human Resources service
for all career grade medical staff. For assistance or information, please contact:
John Lowe
Human Resources Manager
01786 431178 extension 178
johnlowe@nhs.net
Jacqui Crilley
Medical Workforce Adviser
01786 431162 extension 162
jacqui.crilley@nhs.net
Laura Bayley
Medical Workforce Adviser
01786 431165 extension 165
laura.bayley@nhs.net
Elspeth Gillespie
Medical Workforce Adviser
01786 431159 extension 159
Elspeth.gillespie@nhs.net
Lynsey Doherty
Medical Workforce Adviser
01786 4311170 extension 170
Lynsey.doherty@nhs.net
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Pre-Employment Screening
 Criminal Convictions – Protecting Vulnerable Groups (PVG) Scheme
In February 2011 the Scottish Government introduced a new membership scheme to replace and
improve upon the current disclosure arrangements for people who work with vulnerable groups. The
duties of this post requires you to undertake regulated work with children and young people
(individuals aged under 18 years) and/or protected adults (individuals aged 16 or over who is
provided with (and thus receives) a type of care, support or welfare service). Candidates who are
successful at interview for this post will therefore be required to be a member of the PVG Scheme
and consent to NHS Forth Valley obtaining a Scheme Record or Scheme Record Update. Any
failure to disclose such convictions could result in the withdrawal of any offer of employment, and
disciplinary action, including dismissal, may be taken.
 Health Screening
The successful candidate will be required to produce evidence of Hepatitis B and C status prior to
appointment and to undergo the health screening required for the post. Any offer of employment will
be subject to satisfactory Occupational Health assessment.
Confidentiality
During the course of their employment with NHS Forth Valley, employees may have access to
information about staff or patients or other aspects of NHS Forth Valley’s activities, about which they
have a duty to maintain confidentiality at all times. In common with all other staff, the post holder
will have, in addition, a responsibility to ensure that information relating to your work and the
operation of the Forth Valley Acute Services in general is kept and maintained securely in
accordance with the requirements of the Data Protection Act (1998), the Board’s policies and good
practice. In particular, the disclosure of commercial or other confidential information which may
affect the Board’s business interests or endangers the survival of any of its services will be regarded
as a fundamental breach of the mutual confidence which must exist between the employer and the
employee.
Infection Control and Hand Washing Policy
NHS Forth Valley is committed to providing as clean and safe environment as possible for staff,
patients and visitors. The post holder will be required to comply with the Infection Control and Hand
Washing Policies.
Health & Safety at Work
All employees have a responsibility for their own health & safety and the health & safety of others
who may be affected by what they do. Employees also have a duty to co-operate with their
employer by following NHS Forth Valley policies and procedures and safe systems of work; by using
equipment safely and by bringing any shortcomings in health and safety arrangements to the
attention of their employer. Where something is provided in the interests of health & safety
employees must not interfere or misuse it. All employees have a legal responsibility to report any
shortcomings in terms of this in their area. Managers and supervisors have a responsibility for
monitoring health & safety arrangements and ensuring staff are following policies and procedures
and safe systems of work.
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Partnership Agreement
NHS Forth Valley is committed to partnership working. All employees are required to contribute to
the development of partnership working by:



supporting NHS Forth Valley in delivering its goals and objectives;
supporting continuous improvement in individual performance and the performance of the
relevant team / department, directorate and NHS Forth Valley;
attending training, development and other activities aimed at improving individual skills for the
benefit of the organisation and patient care.
Tobacco Policy
It is the policy of NHS Forth Valley to discourage the habit of smoking within the organisation and to
provide a smoke free environment.
NHS Forth Valley’s policy is to establish no smoking as the norm and smoking is not permitted
anywhere within NHS premises including residences and grounds. The Occupational Health Service
will assist members of staff who wish to stop smoking by providing or facilitating the following
services:





Information on smoking and ways to stop
Personal support
Health Education materials and helpline numbers
Nicotine replacement therapy
Smoking Cessation support
Nursery Facilities
There is an independently run on-site nursery at Stirling Community Hospital with places open to
staff and the general public. For further information please contact:
Chapter One Childcare (SCH site): (01786) 465112
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CRITERIA FOR CONSULTANT IN GASTROENTEROLOGY
Qualifications
Essential
MRCP (UK), or equivalent *
Desirable
Higher degree e.g. MSc, MD or
PhD higher degree
Full GMC registration *
MBA or other relevant diplomas
Completion Certificate of
Specialist Training (CCST) in
General Medicine and
Gastroenterology or eligible to
apply for CCST.
Experience
Candidates who are within six
months of achieving CCST, at
the time of interview are also
eligible to apply. *
At least 2 years General
Competence in independent
Professional Training in General ERCP
Medicine*
At least 12 months of Higher
Specialist Training in general
medicine *
Knowledge and skills
Willing to work unsupervised
and make decisions
Good written and oral
communication skills
Demonstrated ability to work
unsupervised and make
decisions
Demonstrated ability to lead a
multi-disciplinary team
Demonstrated ability to manage
time effectively
Demonstrated ability to
communicate effectively e.g.
Experience of working in a multi- report writing; thesis
disciplinary team
Appropriate sub specialty
Demonstrated ability to work
interest and knowledge.
unsupervised and make
decisions
High level of competence in the
clinical aspects of
Gastroenterology and evidence
of an ability to develop new
skills and train colleagues as
appropriate.
Good IT and administrative
skills.
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Academic
Participation in research or
Formal research training;
clinical audit to improve clinical demonstrated ability to design a
care.
research or audit project
Participation in departmental
teaching
Formal training in teaching
methods; demonstrated ability in
teaching / training.
Management
Understanding of management Demonstrated ability to manage
issues including medical
e.g. project work; mentoring
discipline; clinical governance, junior staff
service planning and willingness
to contribute to the activity of the
NHS in Forth Valley.
Other
Ability to work flexibly according
to the needs of the service, and
contribute to team and skills
development.
Willing to travel as required by
the duties of the post.
Must pass Occupational Health
Screening and have a suitably
up to date immunisation record
(e.g. Hep B, C etc)
Shortlisting decision will be based on the essential criteria and those with a *; assessment against
the remaining criteria will be made during the interview process.
APPLICATION PROCESS
To apply for this post, please submit a completed medical application form giving names and
addresses of 2 referees (one of which should be your current or most recent employer), details of
GMC registration, licence to practice and CCT or CESR(CP) (or evidence of eligibility to apply) to:
Career Grade Medical Workforce
Euro House
1st
Floor
Wellgreen Place
Stirling
FK8 2DJ
reference number: 0413175
Interview date: XXXX
Closing date: 12 noon, Friday 5th July
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