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. 1 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: Associate Medical Director (AMD) Head of Operations Clinical Specialities Manager 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: Scottish National Advanced Heart Failure Service. Scottish Adult Congenital Cardiac Service Scottish Pulmonary Vascular Unit The Surgical Specialties Division Management and Specialties: Associate Medical Director (AMD) Head of Operations Head of Nursing Operations Manager Theatre Services Manager 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. 2 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 3 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. 4 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 5 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 - 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) 6 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 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 7 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 8 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. 9 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 10 4. Terms & Conditions of Service 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: 11 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 12 13