National Waiting Times Centre NHS Board

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National Waiting Times Centre NHS Board
Job Description
1. Job Identification
Job Title: Consultant Cardiologist - Scottish Adult Congenital Cardiac Service
Responsible to: Associate Medical Director / Head of Operations Regional & National Medicine
Accountable to: Chief Executive
Responsible Officer: Medical Director
Department: Cardiology
2. Introduction
The Golden Jubilee National Hospital (GJNH), which is part of NHS Scotland, has 300 beds overall with all wards
having single or two bedded rooms with ensuite facilities. The estate is of a high specification with a four star hotel
and conference centre as an integral unit alongside the hospital. This has provided a very pleasing and attractive
working environment for staff and a desirable patient experience. The main clinical services provided are heart and
lung, elective major orthopaedics, general surgery, plastic surgery, diagnostic imaging and endoscopy services.
The GJNH is a state of the art tertiary referral centre on the banks of the River Clyde adjacent to the Erskine Bridge, in
close proximity to Glasgow International Airport and within 30 minutes of the centre of Glasgow by road and rail links. A
direct overnight sleeper rail service to Euston, London is available at the local station 5 minutes from the hospital. It is
effectively situated west of Glasgow City and is minutes away from the countryside of the West of Scotland and Loch
Lomond.
Glasgow and the immediate surroundings have a population of around 580,000. It is the largest city in and the commercial
capital of Scotland. The city has a vibrant cultural life, with municipal art galleries and museums, first class sports and
leisure facilities, a wide range of theatres and restaurants, excellent shopping and is only 45 miles from Edinburgh.
The West of Scotland Heart and Lung Centre
The Centre was created in March 2008 bringing interventional cardiology and specialist surgical heart and lung
services previously provided by three different units in the West of Scotland onto the one site under one
management team. The interventional cardiology service which includes primary PCI is among the busiest in the UK.
The Centre provides one of the primary PCI services in the UK and also the regional electrophysiology service for
the West of Scotland. In addition, it is the centre for the Scottish Adult Congenital Cardiac Service (SACCS), the
Scottish National Advanced Heart Failure Service (SNAHFS) and the Scottish Pulmonary Vascular Unit (SPVU).
With this comprehensive range of specialist cardiopulmonary services for a catchment population of 2.2 million (and
over 5 million for the national services), the GJNH is one of the largest heart and lung centres in Europe.
Management Structure
The NHS National Waiting Times Centre Board is one of eight Special Health Boards of Scotland. It reports directly
to the Scottish Government. The clinical services are structured into two divisions: Surgical Specialties and Regional
and National Medicine.
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Board Chair
Chief Executive
Medical Director
Nurse Director
Jeane Freeman
Jill Young
Mike Higgins
Shona Chaib
The National and Regional Medicine Division Management and Specialties:
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Associate Medical Director (AMD)
Head of Operations
Clinical Specialities Manager
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Cardiology
Clinical Nutrition
Imaging
Labs
Medical Physics
Pharmacy
Radiology
Rehabilitation
Dr Hany Eteiba
Lynne Ayton
Jennifer Hunter
The division also leads on the management of the following national services:
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Scottish National Advanced Heart Failure Service.
Scottish Adult Congenital Cardiac Service
Scottish Pulmonary Vascular Unit
The Surgical Specialties Division Management and Specialties:
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Associate Medical Director (AMD)
Head of Operations
Head of Nursing
Operations Manager
Theatre Services Manager
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Anaesthetics
Cardiothoracic
Critical care
CSPD- Central Sterilising and Processing Department
Orthopaedics
Perfusion
Dr Alistair Macfie
Lynn Graham
Anne Marie Cavanagh
Claire MacArthur
Karen Boylan
The Associate Medical Director takes lead responsibility for professional governance of doctors and shares quality
management and governance with the Senior Nurse/ Clinical Specialities Manager. The Heads of Operations are
responsible for operational and financial management.
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National Waiting Times Centre Board Reporting Structure
CEO
Executive
team
Divisional
Management
Team
Department
DIRECTOR OF
BUSINESS SERVICES
HEAD OF
OPERATIONS
MD
AMD
OPERATIONS &
STRATEGIC LEAD
DIRECTOR OF
NURSING
HEAD OF
NURSING
GOVERNANCE LEAD
CONSULTANT
The Scottish Adult Congenital Cardiac Service
This is a replacement post and the postholder will join the existing team comprising the Scottish Adult Congenital
Cardiac Service, based at the Golden Jubilee National Hospital in Clydebank. The major focus of the appointment
will be to expand the clinical resource of the service and facilitate the development of support for local and regional
Adult Congenital Cardiac Services in Scotland, together with the existing transition and cardiac obstetric services in
Glasgow. It is anticipated that the postholder will bring subspecialty interest in imaging within the field of Adult
Congenital Heart disease to the team to augment the existing expertise. There is a clinical need for expansion of the
imaging capacity for the adult congenital patients, and an interest in advanced imaging in our patients (echo, CT or
MRI) is required.
The Scottish Adult Congenital Service was recognised as a National Service in 2007 with the aim of offering
specialist care throughout Scotland to patients over the age of 16 years with congenital heart disease. The service at
GJNH remains the only centre in Scotland providing the full complement of disciplines required to provide specialist
ACHD care. The service has grown substantially since formation with the number of ACHD patients known to
SACCS increasing from 1300 to over 4600. There have been major improvements in all aspects of care provided to
this group of patients in Scotland with the introduction of a contemporary approach to management. This can be
recognised by the growth in surgical numbers from less than 40 annually prior to the formation of SACCS to the
current level of 105 cases in 2012/2013. Advanced imaging with cardiac CT, MRI and echocardiography together
with detailed physiological assessment combines with a core multi-disciplinary approach to achieve a high quality of
clinical decision making. The three congenital cardiac surgeons working between the paediatric services (based at
the Royal Hospital for Sick Children at Yorkhill in Glasgow (NHS GGC)) and the adult unit provide a comprehensive
surgical service and combined working between the paediatric and adult congenital catheter interventionalists allows
for complex intervention including percutaneous pulmonary valve implantation.
The population of Scotland is currently approximately 5.2 million and it was estimated that in 2010, over 15,000
people with a diagnosis of adult congenital heart disease were residing within the country. Whilst many of these
individuals will not require the support of a specialist service, it is clear that the service will continue to grow at a
rapid rate as access to the service continues to improve. Until the development of SACCS, the care of patients with
adult congenital heart disease in Scotland was a largely local and regional issue. Care was fragmented and poorly
linked to units with substantial expertise. The east side of the country developed a network of peripheral clinics
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supported by the Edinburgh Royal Infirmary under the guidance of a Paediatric Cardiologist providing local links with
more specialist care. Aberdeen provided a regional service under the direction of Dr Steve Walton. The development
of a National Service has allowed these units to link with the specialist centre in Clydebank improving access to
specialist multi-disciplinary assessment and high volume surgery and catheter intervention. With the exception of a
small ASD/PFO closure service in Edinburgh all other congenital surgery and catheter intervention is now performed
in Clydebank.
Despite the development of a more structured approach to ACHD care in Scotland, inequity of access to specialist
care remains. The major challenge for the future will be the delivery of high quality care throughout all regions of
Scotland irrespective of geographical location. In 2012, the SACCS Clinical Strategy described a model for the future
delivery of ACHD care in Scotland. It proposed a clinical network in which a key component was the support of local
services by the National Service. At the beginning of 2013, the Scottish Government commissioned the Scottish
Congenital Cardiac Network to provide the framework with which to develop both paediatric and adult congenital
cardiac services. Although the different priorities of the two age groups are recognised by separate sub-networks,
close working between the groups will allow the development of areas in which there is collaboration such as
transition. The development of an effective clinical network is a key priority for the service and the postholder will be
involved in key areas of service delivery and network development.
The National Service comprises the following core personnel:
Dr Hamish Walker
Dr Niki Walker
Mr Kenneth MacArthur
Mr Mark Danton
Mr Andrew McLean
Mr Jim Mearns
Mrs Sandra Jansz
Mrs Elaine Muirhead
Consultant cardiologist and Director of Service
Consultant cardiologist
Deputy Director of SACCS (Surgical Lead)
Consultant surgeon – paediatric adult
Consultant surgeon – paediatric/adult
Clinical Nurse Specialist Practitioner
Clinical Nurse Specialist Practitioner
Clinical Nurse Specialist Practitioner
Additional funding provides for 2 MRI radiographers and radiography administrative support, sessional commitment
from a congenital cardiac echo technologist and cardiopulmonary exercise testing within the respiratory laboratory. A
full time clinical fellow has been appointed to start in August 2013.
Other administrative support includes two WTE PA’s, one WTE coordinator and one WTE data manager responsible
for maintaining the national database and co-coordinating the data submissions to CCAD and the pulmonary
hypertension national databases.
The three congenital cardiac surgeons provide surgery for both the paediatric patients at Yorkhill and the adult
patients at the Golden Jubilee National Hospital. With the exception of Fontan revision surgery and congenital
cardiac transplantation, all other adult congenital surgical procedures are offered. Valve sparing aortic root surgery is
provided and the service has a programme for the care of Marfan patients in the West of Scotland. A ventricular
assist device programme has been initiated at the GJNH under the auspices of the Scottish National Advanced
Heart Failure Service. Right ventricular assist device support for adult congenital cardiac patients as a bridge to
recovery post cardiotomy forms a component of the service. There are good links between Glasgow and other
surgical units such as Southampton, Newcastle, Oxford, and The Royal Brompton and Heart Hospitals in London.
Cardiac catheter intervention has developed substantially since the appointment of Dr Niki Walker, facilitated by two
congenital catheter laboratory sessions each week with general anaesthetic provision. Increasing complexity of
intervention and the introduction of newer techniques including percutaneous pulmonary valve implantation
combines with an increasing demand for detailed catheter data including combined catheter and MRI diagnostic
procedures.
Co-location and close collaboration with the electrophysiology team allows for management of arrhythmias in adult
congenital heart disease at the GJNH. Dr Derek Connelly leads the congenital aspect of the arrhythmia service.
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Arrhythmia ablation and complex devices are becoming increasingly important in the management of ACHD patients
and are provided by the arrhythmia team.
Facilities for advanced imaging at the GJNH include 4 dedicated sessions on a Siemens Avanto 1.5Tesla MRI
scanner supported by fully trained radiographic staff. The sessions are cardiologist led by Dr Hamish Walker but
close links with the radiology service allow clarification of non-cardiac diagnoses. Physiological and pharmacological
stress MRI is available and interaction with cardiologists providing other aspects of cardiac MRI imaging allows for
collaborative working. A second GE Optima 1.5Tesla MRI scanner installed in 2012 with cardiac capability is
currently used primarily for orthopaedic and neurological imaging but does offer the potential for expansion of
aspects of the cardiac service.
Cardiac CT is provided by a 64 slice GE 750HD Discovery scanner. A large CT coronary angiography service is
supported by three cardiologists together with access to cardiac CT when required by SACCS. Complex echo is
provided for the service including 3D and stress techniques. A comprehensive respiratory laboratory provides
cardiopulmonary exercise testing and other cardiac and respiratory assessment tools. This laboratory is supported
by the respiratory consultant Dr Martin Johnson.
SACCS independently provides treatment for patients with pulmonary hypertension as a result of congenital heart
disease and is funded to prescribe endothelin antagonists and phosphodiesterase inhibitors. In pregnant women,
nebulised iloprost is also available to the clinicians. Other targeted therapies are prescribed in conjunction with
collaborative working with the Scottish Pulmonary Vascular Unit.
Dedicated inpatient facilities are provided within the NSD ward jointly with the SPVU and SAHFS. Although this 8
bedded unit provides facilities to all three National Services, flexible usage and extension into surrounding
cardiothoracic ward space allows for greater numbers of inpatient beds when required. Patients recovering from
surgical and catheter procedures are admitted to separate surgical and cardiology ward beds. Admissions to the unit
are either from home, outpatient clinic or via transfer from other hospitals.
Specialist trainees rotate through SACCS for periods as part of their cardiology core training for ACHD together with
those registrars wishing subspeciality experience. They assist with inpatient care and other aspects of patient care.
Additional support can be provided by the cardiology/CCU team. The postholder would take responsibility for
inpatient care for one week out of three. Currently no formal out of hours arrangement exist for the two current
consultants.
The weekly adult congenital cardiac clinic in held as an all-day clinic and is in a period of transition. Historically
providing the base for the regional service for the West of Scotland, this component of the clinic is in the process of
being transferred from National Service responsibility to a regional Cardiologist led service. The transfer of the
regional service will allow an expansion in the outpatient resource for the more specialist aspects of care delivered
by the National Service. Each session currently has 20 booked slots with 2 consultants supporting both sessions.
Attendance by junior medical staff joining the Service as part of their training is mandatory. Non-invasive
investigations including ECG, echo, Holter and ambulatory monitoring are located within the clinic as a one stop
facility. Dedicated nurse support and phlebotomy are also provided. Referrals to the service originate occasionally
from primary care but predominantly from other cardiologists, hospital physicians and outreach congenital heart
disease clinics. Patients travelling from long distances are offered free accommodation in the adjoining Beardmore
Hotel.
A major component of the service is the elective and comprehensive assessment of patients from all over Scotland.
Patients attend over a period of days and are offered free accommodation if they live a distance from Clydebank in
the adjoining Beardmore Hotel. An individualised series of investigations combines with clinical review to ensure that
the patient leaves the unit with a plan for future management including the frequency of their local review and timing
for re-attendance to the specialist service.
Paediatric patients are transitioned to adult service via a monthly transition clinic which is held at Yorkhill hospital
with input from consultant paediatric cardiology when needed. The youngest patients are 14 years with an intention
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to transition all paediatric patients by the age of 18 years. Echo and ECG facilities are provided within the cardiology
department. Approximately 150 patients are transitioned each year to the adult service.
The Southern General Hospital Maternity Unit provides the location for the combined cardiac obstetric clinic, held
every two weeks within the antenatal clinic. This busy service has grown substantially in recent years and receives
referrals from all over the West of Scotland, and occasionally further afield. A consultant cardiologist from SACCS
together with a consultant obstetrician with an interest in cardiac disease attends the clinic. Specialist echo facilities
are located within the ante-natal clinic. Currently, approximately 12 patients are seen each clinic. The service
provides all aspects of care from pre-conception counselling through to post-delivery care.
Currently, women with low risk cardiac issues are allowed to deliver within their local obstetric units. Women at
moderate to high risk from their cardiac disease are encouraged to deliver at the Southern General Hospital
Maternity Unit where there is on site experienced cardiology support. Women at the highest risk from their cardiac
disease are offered delivery within the GJNH with full cardiac, obstetric, neonatal and anaesthetic support.
A key component of the ACHD clinical network is the support of local ACHD clinics. SACCS currently provides
support to Edinburgh, Aberdeen and Raigmore Hospitals. The National Service will provide support in a similar
manner to the West of Scotland Regional Service when it transfers to local clinicians. Support for other key clinics in
Dundee, Perth, Borders, Kirkcaldy will commence in the near future. The postholder will join the existing SACCS
cardiologists in providing support for these clinics.
A weekly multi-disciplinary meeting is held at the GJNH on a Friday morning. Attendance by the SACCS and
paediatric teams is very good and the meeting is extended by videoconference to allow participation by clinicians
based further afield or whose clinical duties prevent them from attending in person. A second combined
electrophysiology and adult congenital cardiac meeting is held on a monthly basis on a Thursday morning to address
the growing problem of arrhythmia management in congenital heart disease. The MDM coordinator facilitates the
administration of meetings.
SACCS activity can be broken down into the following areas for the year 2012-2013:
Clinics
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Assessment clinic: a total of 442 patients were seen with comprehensive assessment
Outpatient clinic: a total of 1116 patients were seen in clinic
Obstetric clinic: 185 patients were managed within the service
Transition clinic: 74 patients passed through the transition service
Surgical procedures
A total of 105 congenital cardiac surgical procedures were performed during the year – 24% procedures involved
pulmonary valve replacement
Catheter intervention
125 catheter procedures were performed, including percutaneous pulmonary valve replacements.
The Cardiology Department
The following are members of the department
Consultant Cardiologists
Dr H Walker +
Dr N Walker +
Dr H Eteiba +
Prof. KG Oldroyd +
Dr M Lindsay +
Scottish Adult Congenital Cardiac Service (Director SACCS)
Scottish Adult Congenital Cardiac Service/ACHD Intervention
Coronary Intervention (Associate Medical Director)
Coronary Intervention (Director of Research and Development)
Coronary Intervention (Operational Lead)
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Dr M McEntegart +
Prof C Berry *
Dr A Davie
Dr S Hood
Dr RJ Northcote
Dr E Peat
Dr S Watkins +
Dr DT Connelly +
Prof AC Rankin
Dr AP Rae
Dr G Marshall
Dr RS Gardner +
Dr MC Petrie +
Dr J Payne +
Dr H Papaconstantinou
Dr H McAlpine
Dr N Tzemos *
Dr J Adams
Dr J Byrne
Dr P Sonecki
Coronary Intervention
Coronary Intervention (Clinical Governance Lead)
Coronary Intervention
Coronary Intervention
Coronary Intervention
Coronary Intervention
Coronary Intervention
Electrophysiology/Device Therapy
Electrophysiology
Electrophysiology + Coronary Intervention
Electrophysiology/Device Therapy
Heart failure/ Device therapy
Heart Failure + Coronary Intervention (Director SNAHFS)
Heart Failure
Cardiology
Cardiology
Senior Lecturer (University of Glasgow)/Imaging
Cardiac CT
Cardiac CT
Echocardiography
+ Employed by NWTC Board
* Employed by Glasgow University
Consultant Respiratory Physicians
Prof AJ Peacock
Dr Martin Johnson
Dr. Colin Church
Scottish Pulmonary Vascular Unit (Director)
Scottish Pulmonary Vascular Unit
Scottish Pulmonary Vascular Unit
Cardiothoracic Department and Surgeons
Thoracic
Alan Kirk
Ali Jilaihawi
John Butler (also
cardiac)
Ian Colquhoun (also
cardiac)
Mo Asif
Adult Cardiac
Geoff Berg
Vivek Pathi
Fraser Sutherland
Adult Congenital Cardiac
Kenneth MacArthur
Mark Danton
Andrew McLean
Cardiac Transplant
Nawwar Al-Attar (surgical lead)
Saleem Haj-Yahia
Udim Nkere
Phil Curry
Stewart Craig
Facilities of the Heart and Lung Centre
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4 cardiac catheterisation laboratories (one dedicated EP, one biplane, pressure wire, IVUS, rotablation,
intracardiac echo)
8 cardiothoracic operating theatres (one for pacing 4 sessions/week)
21 Intensive Care beds in 2 Units (ICU)
3 Cardiothoracic High Dependency Units (HDU)
Coronary Care Unit (8 beds)
Cardiology day and in-patient wards
2 Cardiothoracic wards
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1 Thoracic ward
8 bedded National Services Division unit which includes a dedicated procedures room for haemodynamic
assessments and myocardial biopsy
All standard non-invasive cardiological services
Non-invasive cardiac imaging including:
Siemens Avanto 1.5T CMR scanner with full cardiac capability
GE Optima 1.5T MRI with potential cardiac capability
GE 750HD Discovery CT scanner
Echocardiography department including
 1 GE Vivid e9 with 3D TTE and TOE probes
 1 GE Vivid 7
 1 GE Vivid s6
Respiratory laboratory
Cardiopulmonary exercise testing
Full range of pulmonary function testing
Outpatient facilities
Excellent well appointed dedicated area for specialist outpatient review
Links with Glasgow, Strathclyde, Caledonian and Stirling Universities
Leadership
A number of key roles within the department require leadership provided by consultants. This post will need
experienced leadership skills or demonstration of potential ability. In view of the framework of the Regional and
National Medicine Division there will be potential to take a significant leadership role for the National Waiting Times
Centre Health Board attached to this post for candidates with management experience.
Research, Development and Innovation
Research is a very important component of the activity at the Golden Jubilee National Hospital and is supported by a
R&D steering group and dedicated manager. Of the 73 active research projects hosted by the Board in the current
financial year, most recruit patients from within the Heart and Lung service. Contract (commercial) research is
encouraged and staff use income generated from this source to maintain research support staff such as Clinical
Research Fellows and Research Nurses. Academic research is also encouraged and the new appointment will be
strongly encouraged to take an active role in this activity. There are established links with all three Glasgow
Universities and NHS GG&C under the administrative structure of Glasgow Biomedicine. The appointee will be
expected to support local and national collaborative projects that are relevant to his/her activity. The Board is
committed to the development of innovative clinical programmes and activity.
The Beardmore Hotel and the integral conference centre attached to the Golden Jubilee is a unique arrangement in
the UK and facilitates a variety of local, national and international meetings for the Heart and Lung specialties to
share learning in the UK and beyond.
The Research and Development Director is Professor Keith Oldroyd.
Beardmore Centre for Health Science
This brand new centre contains a dedicated Clinical Research Facility which is designed to provide a ‘fit for purpose’
space for patients recruited to clinical trials. There are four consulting rooms; one is set up for echocardiography and
one as an exercise tolerance suite. The remaining two rooms are general consulting rooms. The rest of the centre is
made up of prep rooms, simulator training wet lab work stations and a patient waiting area. The Centre is adjacent to
the main auditorium of the conference centre providing excellent opportunities to develop teaching techniques and
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learning. Excellent audiovisual links to theatre and the cardiac cath lab are installed as part of this development and
are shared between the Centre and the Beardmore Hotel conference auditorium. The Beardmore Hotel and the
integral conference centre attached to the Golden Jubilee Hospital is a unique arrangement in the UK which enables
important national and ‘focus’ international meetings for the Heart and Lung specialties to share learning in the UK
and beyond.
Governance and Risk management
The Board has a comprehensive programme that covers both clinical and research governance domains and all
medical staff are expected to uphold clinical and non-clinical policies and be exemplar role models for all other
medical and non-medical staff. All aspects of infection control, hand hygiene and dress code must be adhered to at
all times.
Patient safety underpins clinical practice and initiatives following the guidance of the Scottish Patient Safety
Programme and subsequent programmes apply to all staff.
Medical staff are required to undergo annual appraisal meeting the requirements for revalidation as directed by the
GMC. The Medical Director is the Responsible Officer for the Board and he will ensure that an appropriate appraisal
process and a nominated appraiser are in place.
The appointee will be accountable to the Medical Director for matters related to the GMC’s guidance on Good
Medical Practice and the Duties of the Doctor. Any concerns raised relating to GMC guidance are referred to the
Medical Director.
Junior medical staff and education
Junior staffing in the cardiology department is provided by a resident on-call 1 in 8 rota populated by a combination
of research fellows, fellows attached to the advanced heart failure and adult congenital services and 3 CCU Clinical
Fellows. In addition, cardiology trainees in the West of Scotland in year ST4 and above rotate through the CCU and
provide middle grade out-of-hours cover. Finally, sub-specialty trainees undertake modular training in the GJNH
during their final two years.
The Board is committed to developing a strong educational ethos within the department and the new appointee will
be expected to provide education and support to these staff members and develop the key educational skills to be an
effective clinical supervisor. There is a forward thinking Department of Education and Learning led by a manager,
Mrs Cathy Fox. There are close links with the West of Scotland Deanery and the Faculty of Medicine at Glasgow
University. There is an excellent MDT/ educational room for the department which is close proximity to the junior
doctors’ common room, study rooms with computer workstations and lockers. There is a small library adjacent to the
department.
Mr Alan Kirk is the Director of Medical Education of the Board. There is a commitment to the education of
undergraduate Medical students from Glasgow University.
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Indicative Job Plan is based on a 10 PA contract using the 9:1 formula approved in Scotland
Indicative Job Plan
Day
Monday
Site
Am
Pm
Activity
Sub - specialty interest
Sub - specialty interest
PA’s
1
1
Tuesday
Am
pm
Echo clinic
Ward Round / Peri op care
1
1
Wednesday
am
pm
Ward Round / Peri op care
Outreach
0.75
1.25
Thursday
GJNH
GJNH
am
pm
Clinic
Clinic
1
1
Friday
GJNH
am
GJNH
pm
MDT
DPCA
SPA
0.25
0.75
1
Total
10
On-Call
Currently no out of hours arrangements for adult congenital cardiologists exist within the service.
Workload Flexibility
Job plans are reviewed on an annual basis by the Associate Medical Director and Operations manager. Changes will
be discussed and agreed with the post holder in line with service needs and objectives set for the consultant.
The successful candidate will have secretarial support, office accommodation and access to a personal computer.
The appointee will be expected to work flexibly on the basis of the needs of the SACCS service
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4. Terms & Conditions of Service
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National terms and conditions of service (Consultants (Scotland) 2004) cover the post.
The post is subject to pre employment checks such as Disclosure Scotland, Occupational Health, Visa
clearance (where applicable) and satisfactory references.
You are required to be registered with the General Medical Council/General Dental Council through out
the duration of your employment and to comply with and abide by the relevant code of professional
practice, as appropriate.
Salary scale: National Salary Scales per annum
The appointee will be expected to work with local managers and professional colleagues in the efficient
running of services and will share with consultant colleagues the medical contribution to management.
The appointee will be expected to follow the local and national employment and personnel policies and
procedures.
All medical and dental staff employed by the Centre are expected to comply with the agreed health and
safety policies.
The appointee will have responsibility for the training and supervision of junior medical staff who work
with him/her and will devote time to this on a regular basis. If appropriate he/she will be named in the
contracts of junior doctors in training grades as the person responsible for overseeing their training and
as a main source of advice to such doctors on their careers.
The successful candidate(s) will normally be required to live within 30 minutes drive of GJNH.
Where, however the successful candidate already resides within 45 minutes drive of GJNH, he/she will
not be required to remove his/her home nearer to the Centre.
Where the successful candidate’s present residence is more than 45 minutes drive from GJNH, he/she
will be required to move his/her home to meet the residential clauses of his/her contract, unless he/she
has the written consent of the Board to the contrary.
The Terms and Conditions of Service state that the “removal expenses shall be reimbursed and grants
paid only when the employing authority is satisfied that the removal of the practitioners home is
required and the arrangements proposed are reasonable”. Therefore, successful candidates are
advised not to enter into contractual arrangements for the removal of their home until such a time as
the formal approval of the Centre is confirmed in writing.
Annual appraisal and job planning is a requirement for all permanent medical staff.
5. JOB DESCRIPTION AGREEMENT
A separate job description will need to be signed off by each jobholder to whom the job description applies.
Job Holder’s Signature:
Date:
Head of Department Signature:
Date:
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National Waiting Times Centre NHS Board
Recruitment Person Specification
Consultant Cardiologist with a Special Interest in Adult Congenital Heart Disease
Essential
Desirable
Qualifications/Training Full GMC Registration
MRCP or equivalent
Included on Specialist Register for
adult cardiology (or eligible for
admission to the register within 6
months of the interview date)
Experience
Wide experience in cardiology and
adult congenital heart disease.
Has worked in the NHS within the last 3
years.
Skills/Knowledge
Subspeciality interest in imaging within
the field of adult congenital heart
disease
MD/PhD
Understanding of the SACCS
objectives of the
SACCS service and
NWTC Board
Teaching & Education Experience in clinical supervision of
postgraduate doctors
Clinical Audit & Risk
Management
Demonstrate experience of clinical
audit and evidence based practice
Research
Experience in research
Innovation
Willingness to be innovative
Understanding of
GMC Requirements
Leadership
Knowledge of and compliance with
‘duties of doctor’
Basic understanding of leadership
competencies
A good team player
How or where
to be judged
CV /
Interview
Management of heart disease in
pregnancy
CV /
Interview
Imaging
CV /
Interview
NWTC Board
Interview
Experience in educational
CV /
supervision of postgraduate doctors Interview
Experience in teaching
undergraduates and other health
professionals
Understanding of risk management CV /
and patient safety initiatives and key Interview
principles of clinical governance and
data protection
Interview
Track record of obtaining grant
funding for CSO- support- eligible
projects
CV /
Interview
Peer reviewed research
publications in high impact journals
Substantial involvement in service
Interview/
development
CV
Interview
Interview
Leadership training
Experience in formal leadership
Interview
CV /
Interview
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