CONSULTANT IN RENAL
TRANSPLANTATION
QUEEN ELIZABETH
UNIVERSITY HOSPITAL
INFORMATION PACK
REF: 38742D
CLOSING DATE: NOON 25TH SEPTEMBER 2015
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
SUMMARY INFORMATION
POST: CONSULTANT IN RENAL TRANSPLANTATION
BASE: QUEEN ELIZABETH UNIVERSITY HOSPITAL GLASGOW
This full time post is based at the New Queen Elizabeth University Hospital
Glasgow where all in-patient renal services for Glasgow, including
transplantation for the West of Scotland, are now located. The post involves
adult renal transplantation for the West of Scotland, access surgery, surgery
associated with renal failure for the population of Greater Glasgow & Clyde
and Forth Valley. The successful applicant will also perform some general
surgical duties, elective and on call. The successful appointee will contribute
to development of a complex vascular access service supporting the wider
renal replacement therapy program.
The Acute Services Division of NHS Greater Glasgow & Clyde is the largest
group of adult acute hospitals in Scotland. The Division provides Renal
Services for Greater Glasgow & Clyde and Forth Valley Health Boards along
with Renal Transplant Services for the West of Scotland. The Renal Unit
currently supports approximately 600 haemodialysis patients, 50 peritoneal
dialysis patients, 900 renal transplant patients and more than 200 patients per
year with acute kidney injury requiring renal replacement therapy. One
hundred and ten new renal transplants were performed last year.
The successful appointee will share responsibility with his/her Consultant
colleagues for provision of all emergency and elective surgery related to the
renal transplant programme including surgery for dialysis access and many
other general surgical problems of the patient population with renal failure.
As one of the largest transplant programmes in the country there are
opportunities for clinical research and excellent facilities exist within the
University Department of Surgery for experimental research particularly in the
field of transplantation immunology and cellular engineering.
Applicants must have full GMC registration, a licence to practice and be
eligible for inclusion in the GMC Specialist Register. Those trained in the UK
should have evidence of higher specialist training leading to CCT or eligibility
for specialist registration (CESR) or be within 6 months of confirmed entry
from the date of interview. Non-UK applicants must demonstrate equivalent
training.
NHS GREATER GLASGOW AND CLYDE
CONSULTANT
in
RENAL TRANSPLANT SURGERY
(including Surgery of Renal Failure)
NHS Greater Glasgow and Clyde
Base: Queen Elizabeth university Hospital, Glasgow
Post Reference: 38724D
INFORMATION PACK
TOPIC
1.
Glasgow - A Great Place to Live and Work
2.
Brief Description of the Board
3.
The New South Glasgow Hospitals Campus
4.
Hospitals And Clinics Where Services Are To Be Provided
5.
The Work of the Directorate/Department/Specialty
6.
Current Consultant Establishment
7.
Duties of the Post
Clinical Commitments
Teaching
Research
Timetable
8.
General Surgery
9.
Terms & Conditions of Service
10.
Further information
Post:
Consultant Surgeon
Renal Transplantation
Based Initially:
Queen Elizabeth University Hospital Glasgow
Reports To:
Lead Consultant (Mr Marc Clancy)
Clinical Director, Renal and Integrative Care Services
(Dr Scott Morris)
Responsible To:
Services
General Manager, Renal and Integrative Care
(Ms Julia Little)
1.
GLASGOW – A GREAT PLACE TO LIVE AND WORK
Greater Glasgow and Clyde Valley is one of the world’s most thrilling
and beautiful destinations. There is a wealth of attractions to discover,
the UK’s finest Victorian architecture to astound, internationally
acclaimed museums and galleries to inspire, as well as Glasgow’s own
unique atmosphere to soak up.
Be entertained in one of Europe’s top cultural capitals by its year-long
calendar of festivals and special events and enjoy outstanding
shopping, superb bars and restaurants - all located within a stone’s
throw of some of the country’s finest parks and gardens.
The area also stands at the gateway to some of Scotland’s most
spectacular scenery, with Loch Lomond and the Trossachs only 40
minutes away. What’s more, we are easily accessible by air, rail and
road so getting here could not be easier.
2.
BRIEF DESCRIPTION OF THE BOARD
NHS Greater Glasgow and Clyde is the largest group of adult acute
hospitals in Scotland – offering many opportunities to ensure job
satisfaction and career development. We provide a wide range of
services from community-based care through to the full range of
general hospital services.
Much complex surgical work is also carried out in our hospitals as we
are home to a number of the country’s tertiary and national services
including heart and renal transplantation.
We enjoy close links with Glasgow’s three Universities and make a
significant contribution to teaching at both undergraduate and
postgraduate level. Research also has a high profile within the
organisation.
Employing more than 44,000 staff, we serve a core catchment
population of 560,000. Our patients, however, come not only from
Glasgow but also in some instances from the whole of the West of
Scotland and, for our national services, from the whole of Scotland.
With and annual budget of 1 billion pounds now is a particularly
exciting time to be joining Greater Glasgow’s health service. We are
investing more than £750 million over the next decade – the largest
single investment programme in the history of Scotland’s NHS – giving
our hospitals and those living in the south of Glasgow 21st century
accommodation for 21st century medicine.
The plans for Glasgow seek to ensure that the local access to health
services will continue whilst our services are reorganised to enable
patients to receive the best treatment from appropriately skilled and
supported clinical teams – be that as an inpatient, day case or
outpatient.
By joining us now you will have the opportunity to be involved in the
development and re-design of this transformation – enjoying a real
chance to shape services for the future, bringing benefit to you, your
colleagues and our patients.
Regional Services Directorate
The Directorate manages the following services
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3.
Institute of Neurosciences
Spinal Injuries Unit
West of Scotland Beatson Cancer Centre
Plastic Surgery and Burns Unit
Renal Services
Centre for Integrative Care
THE NEW SOUTH GLASGOW HOSPITALS CAMPUS
All Inpatient services for adult and paediatric transplantation and
associated renal surgery moved to the new Queen Elizabeth university
Hospital in 2015. The new South Glasgow Hospitals Campus will
deliver a truly gold standard of healthcare on the Govan site with
maternity, children’s and adult acute services all together on the one
campus. It will also have the biggest Critical Care complex and one of
the biggest Emergency Departments in Scotland. The New Adult
Hospital will see a brand new 11-floor adult hospital with 1109 beds
and state of the art Emergency, Acute Receiving, Critical Care,
Theatres and Diagnostic Services. The facility will offer acute specialist
inpatient care, medical day case services and also outpatient clinics
servicing the local population.
4.
HOSPITALS AND CLINICS WHERE SERVICES ARE TO BE
PROVIDED
The renal transplant unit at the QEUHG is the sole provider of renal
transplantation for the adult population of the West of Scotland
(population approximately 2.7 million). This service is commissioned
to perform around 160 renal transplants a year and also has one of
the largest living donor programmes in the UK and supports the
Scottish Paediatric Transplant Programme which is based at the new
Royal Hospital for Children. The Department also provides vascular
access surgery for patients on haemodialysis, access surgery for
peritoneal dialysis as well as general surgery for the patients with
renal failure in Glasgow, Clyde and Forth Valley.
From May 10th 2015, the Renal Transplant unit has been located in a
new 15 bedded ward, co-located with the main renal unit on the 4 th
floor of the QEUHG This state of the art unit, with 100% single rooms,
is integral to the West of Scotland renal unit and includes a higher
dependency area for the management of patients with Acute Kidney
Injury plus dedicated day case and rapid assessment areas.
Outpatient haemodialysis activity within the QEUHG and the
peritoneal dialysis unit are now accommodated on the second floor of
the new hospital.
Most outpatient haemodialysis occurs outside the inpatient facility with
units currently situated at New Victoria Hospital, Glasgow Royal
Infirmary, New Stobhill Hospital, Inverclyde Hospital, Vale of Leven
Hospital, and Forth Valley Royal Hospital.
Paediatric renal transplants are performed at the newly opened Royal
Hospital for Children working in association with the paediatric
surgeons and paediatric nephrologists based there.
All renal outpatient clinics are conducted in the New Victoria and
Stobhill Hospitals which have excellent modern facilities including day
case surgery suites which within the Stobhill Hospital is used for renal
(access) surgery in all appropriate patients. A fully supported
integrated renal access service between the renal transplant
surgeons and the vascular surgeons has been developed with a
dedicated vascular access team inclusive of coordinator and on-site
interventional radiology support
UK wide planning of organ retrieval services donor activity is coordinated by a group of donor co-ordinators for the whole of Scotland
with all abdominal organ retrievals (heart beating and non heart
beating) being undertaken by the regional retrieval team manned by
the transplant surgeons from the Edinburgh Transplant Unit.
Visits to the dialysis units throughout the West of Scotland and
working within the other hospitals of Greater Glasgow should be
anticipated.
There is a close relationship between the transplantation programme
and the University Departments of Surgery and Cardiovascular
Sciences where excellent laboratory facilities exist for research
related to all aspects of organ transplantation.
5.
THE WORK OF THE DIRECTORATE/DEPARTMENT/SPECIALTY
There has been an expansion in renal transplant activity over the last
decade and a total of over 2000 transplants have been carried out at
the Western Infirmary. In 2015, adult kidney transplant became a
nationally designated service delivered by both NHS GG&C and NHS
Lothian. The West of Scotland Unit is commissioned to perform
around 160 transplants per annum with increasing numbers of
transplants over the subsequent 5 years. These projections include an
increasing number of living donor transplants: related, unrelated,
antibody-incompatible, altruistic and national paired/pooled. The
current waiting list for renal transplantation in the West of Scotland is
over 300. There are currently about 60 CAPD and 600 haemodialysis
patients from the West of Scotland being treated within Greater
Glasgow, Clyde and Forth Valley on an outpatient basis. In addition to
the local catchment population, the renal unit at the QEUHG also
provides more complicated dialysis access surgery for other renal
units and functions as a specialist referral centre. The unit is therefore
one of the largest in the country.
Renal surgical junior staff posts consist of one senior surgical trainee
(ST4 or above on a 1 year placement), two more junior ST / FTSTA
surgical trainees (on 6 month placements), a GPST trainee (on a 6
month placement) and two Clinical/research Fellows. Across the city,
the renal service is supported by 18 consultant nephrologists inclusive
of a Clinical Director and a Lead Clinician, 2 Associate Specialists and
their junior staff. A subgroup of the compliment of Consultant
Nephrologists is actively involved in the Acute Transplant Service and
joint physician/surgeon ward rounds are undertaken daily. There are
also regular Renal Unit research, audit, mortality/morbidity, pathology
and radiology meetings.
The successful appointee will share responsibility with his/her
Consultant colleagues for provision of all emergency and elective
surgery related to the renal transplant programme including surgery
for dialysis access and many other general surgical problems of the
patient population with renal failure.
As one of the largest transplant programmes in the country there are
opportunities for clinical research and excellent facilities exist within
the University Department of Surgery for experimental research
particularly in the field of transplantation immunology and cellular
engineering. The tissue typing laboratory based at Gartnavel Hospital
which is managed by NHS GG&C provides tissue typing services.
This laboratory is led by a Consultant Clinical Scientist and a network
of tissue typing expertise exists for the whole of Scotland. Specialist
expertise and excellent facilities are available in the Department of
Radiology and Nuclear Medicine for diagnostic and interventional
radiological procedures for renal patients. The pathology service is
provided by a Consultant with a special interest in renal disease in the
University Department of Pathology.
There are 2 emergency theatres 24 hours a day which are available
for emergency and unscheduled work including transplants.
6.
CURRENT CONSULTANT ESTABLISHMENT
At present the renal transplant department consists of
Mr Marc Clancy
Consultant Surgeon and clinical lead for
transplantation
7.
Mr Enric Murio
Consultant Surgeon
Mr David Kingsmore
Consultant Surgeon
Mr Vlad Shumeyko
Consultant Surgeon
Mr John Asher
Consultant Surgeon
DUTIES OF THE POST
This job plan is negotiable and will be agreed between the successful
applicant and the Clinical Director. NHS Greater Glasgow & Clyde
initially allocates all full time consultants 10 PAs made up of 9 PAs in
Direct Clinical Care (DCC) and one core Supporting Professional
Activities (SPA) for CPD, audit, clinical governance, appraisal,
revalidation, job planning, internal routine communication and
management meetings. The precise allocation of SPA time and
associate objectives will be agreed with the successful applicant and
will be reviewed at annual job planning.
Clinical Commitments:
The appointee will share with his/her Consultant colleagues the
responsibility for pre-operative assessment and preparation, surgical
management and post operative care of patients with renal failure.
This includes attendance at outpatient clinics, ward rounds, a day
surgery list as well as elective and emergency operating sessions.
Outreach meetings will be held with the other West of Scotland
nephrology units to provide an integrated transplant and renal surgery
service and the new appointee will be expected to participate in these
visits. Opportunities will be available for individual members of the
consultant team to develop and maintain a leading interest in different
aspects of the Transplant and Renal Surgery Programme, within the
clinical teams, e.g. live donors, paediatric transplantation, access
surgery, laparoscopic donation, clinical research. The appointee will
specifically be expected to develop expertise in complex vascular
access surgery and work towards optimisation of incident and
prevalent vascular access in the ESRD patient group within
NHSGG&C.
Job Plan:
The Formal job plan structure for this new post is attached and will be
prospectively reviewed in accordance to the health board job-planning
policy.
Teaching:
There is limited dedicated time within the job plan for teaching and
training activities. Additional SPA time may be available by agreement
post appointment as part of the job planning process.
During term time there is a commitment to the undergraduate medical
course in renal transplantation particularly in ward teaching and
students regularly opt to come to the unit for a special study module
(SSM). In addition, there are occasional postgraduate lectures to
University students, nurses and other related professional groups.
There is a commitment to the postgraduate education of junior staff
within the renal department.
Important work
and deceased
Scotland and
opportunity to
Scotland.
of the department includes efforts to promote living
organ donation activity throughout the West of
in this connection the appointee may have the
give lectures in hospitals throughout the West of
Research Opportunities:
There is an active clinical research activity associated with this large
and busy transplantation programme. The successful candidate may
be able to take an active role in clinical research within his / her
clinical practice should the number of SPAs attached to this post
increase in the future.
Timetable:
As a consequence of its non-elective nature, much of the surgical
transplantation activity will not fit in a pattern of fixed sessions, but are
calculated into a job plan of programmed activities.
Elective surgical work will be a full day weekly list without prospective
cover on a specific day of the week to be confirmed. The appointee
will also perform a share of the weekly departmental day case surgical
list at Stobhill hospital. The outpatient commitments to the transplant
follow-up clinics will be in line with the attached job plan and exclude
prospective cover.
Outpatient commitment to, the transplant
assessment / live donor / renal surgery clinics will in line with the
attached job plan with prospective cover.
The on call will be a 1 in 6 rota (with prospective cover) for renal
transplantation/renal surgery. Whilst on call for renal surgery the
appointee will provide cover for emergency vascular access and
peritoneal dialysis. For the contract the on call is calculated as
frequent and high intensity.
The appointee will also perform ward rounds, attend departmental
MDT’s, outreach clinics and contribute to radiology, pathology,
mortality, research and other departmental meeting within the
combined nephrology and renal surgery multi-disciplinary structure
and a limited amount of training and teaching will be conducted while
providing patient care.
The consultant has a continuing responsibility for the care of patients
in his/her charge, and
for the proper functioning of his/her
department.
A concurrent 1 in 3 rota for the national paediatric transplant
programme (based at the Royal Hospital for Children) is in operation.
The successful candidate will have the opportunity to take part in this
rota with sufficient consultant experience.
The consultant will undertake the administrative duties associated
with the care of his/her patients, and the running of his/her clinical
department.
This appointment is made under terms of the new consultant
contract.
8.
GENERAL SURGERY
General surgical duties will involve a flexible, equal share of general
surgical receiving with three other consultant transplant surgical
colleagues (1 in 5 weeks 0800-2000 on Monday to Thursday plus 24
hours on Fridays to Sunday’s equivalent to 1:20 net). Elective
general surgery will include one clinic every 4 weeks and elective
surgery will fall within the weekly in-patient elective list above.
9.
ARRANGEMENTS TO VISIT
Informal visits are encouraged.
In the first instance candidates are invited to contact
Mr Marc Clancy, Consultant Transplant Surgeon. QEUHG
Tel 0141 451 5145
Further information can be obtained from
Dr Scott Morris, Clinical Director, Renal Services, QEUHG
Tel 0141 451 5111
Consultant Job Plan
(9 DCC and 1 SPA)
Direct Clinical Care PA’s – Out-of-
2.5
Direct Clinical Care – Other
6.5
SPA’s
1
Hours
NHS GREATER GLASGOW & CLYDE
Person Specification for Consultant in Renal Transplant and General
Surgery
Essential
Desirable
1.
1.1
Attainments
Full registration with the General Medical Council and a licence to
Practice
1.2
Must be eligible for inclusion in the GMC Specialist Register.
Those trained in the UK should have evidence of higher specialist
training leading to CCT or eligibility for specialist registration
(CESR) or be within 6 months of confirmed entry from the date of
interview.

1.3
MRCS or equivalent

2.
2.1
Experience/Training
Good general surgical training

2.2
Experience of multi-disciplinary team working

2.3
Experience of audit and research

2.4
Awareness of use of protocols in practice

3.
3.1
Special Aptitudes & Abilities
Excellent organisational & communication skills

3.2
Sound IT Skills

3.3
Effective in the teaching and training of junior colleagues

3.4
Patient focussed

3.5
Knowledge of general management issues
4.
4.1
Disposition
Proven team player
4.2
Excellent communication with patient, relatives and staff, both
written and oral

4.3
Proactive

4.4
Motivational skills

4.5
Experience of mentoring students/staff

5.
5.1
Special Factors
Current driving licence
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Essential
5.2
Desirable
Flexibility in working hours
(within constraints of the Consultant Contract)

TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital
and Medical & Dental Whitley Council.
TYPE OF CONTRACT
Permanent
GRADE AND SALARY
Consultant
£ 76,761 to £ 103,490 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the
salary scale, (dependent on qualifications and experience). Salary is paid
monthly by Bank Credit Transfer.
HOURS OF DUTY
Full Time 40.00
SUPERANNUATION
New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but
under seventy five will be enrolled automatically into membership of the NHS
Pension Scheme. Should you choose to "opt out" arrangements can be made
to do this via: www.sppa.gov.uk
REMOVAL EXPENSES
Assistance with removal and associated expenses may be given and would be
discussed and agreed prior to appointment.
EXPENSES OF
CANDIDATES FOR
APPOINTMENT
Candidates who are requested to attend an interview will be given assistance
with appropriate travelling expenses. Re-imbursement shall not normally be
made to employees who withdraw their application or refuse an offer of
appointment.
TOBACCO POLICY
NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises
and grounds.
DISCLOSURE SCOTLAND
CONFIRMATION OF
ELIGIBILITY TO WORK IN
THE UK
This post is considered to be in the category of “Regulated Work” and
therefore requires a Disclosure Scotland Protection of Vulnerable Groups
Scheme (PVG) Membership which currently costs £59.00. The cost of the
PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and
will required to be repaid through a payroll deduction mandate from the
successful candidate’s first salary.
NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to
ensure that it’s employees, both EEA and non EEA nationals, are legally
entitled to work in the United Kingdom. Before any person can commence
employment within NHS GGC they will need to provide documentation to
prove that they are eligible to work in the UK. Non EEA nationals will be
required to show evidence that either Entry Clearance or Leave to Remain in
the UK has been granted for the work which they are applying to do. Where
an individual is subject to immigration control under not circumstances will they
be allowed to commence until the right to work in the UK has been verified.
ALL applicants regardless of nationality must complete and return the
Confirmation of Eligibility to Work in the UK Statement with their completed
application form. You will be required provide appropriate documentation prior
to any appointment being made.
REHABILITATION OF
OFFENDERS ACT 1974
The rehabilitation of Offenders act 1974 allows people who have been
convicted of certain criminal offences to regard their convictions as “spent”
after the lapse of a period of years. However, due to the nature of work for
which you are applying this post is exempt from the provisions of Section 4 of
the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of
Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants
are required to disclose information about convictions which for other purposes
are “spent” under the provision of the act in the event of employment, failure to
disclose such convictions could result in dismissal or disciplinary action by
NHS Greater Glasgow and Clyde. Any information given will be completely
confidential.
DISABLED APPLICANTS
A disability or health problems does not preclude full consideration for the job
and applications from people with disabilities are welcome. All information will
be treated as confidential. NHS Greater Glasgow and Clyde guarantees to
interview all applicants with disabilities who meet the minimum criteria for the
post. You will note on our application form that we ask for relevant information
with regard to your disability. This is simply to ensure that we can assist you,
if you are called for interview, to have every opportunity to present your
application in full. We may call you to discuss your needs in more detail if you
are selected for interview.
GENERAL
NHS Greater Glasgow and Clyde operates flexible staffing arrangements
whereby all appointments are to a grade within a department. The duties of an
officer may be varied from an initial set of duties to any other set, which are
commensurate with the grade of the officer. The enhanced experience
resulting from this is considered to be in the best interest of both NHS Greater
Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES
The postholder will undertake their duties in strict accordance with NHS
Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE
The employment is subject to three months’ notice on either side, subject to
appeal against dismissal.
MEDICAL NEGLIGENCE
In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the
Health Board does not require you to subscribe to a Medical Defence
Organisation.
Health Board indemnity will cover only Health Board
responsibilities. It may, however, be in your interest to subscribe to a defence
organisation in order to ensure you are covered for any work, which does not
fall within the scope of the indemnity scheme.
FURTHER INFORMATION
For further information on NHS Greater Glasgow and Clyde, please visit our website
on www.show.scot.nhs.uk
View all our vacancies at www.nhsggc.org.uk/medicaljobs
Subscribe to our Medical Jobs Vacancy Bulletin Click Here
Register for Text Alerts for medical vacancies – email your mobile number and
the grade and specialty you are interested in to gg-uhb.medicaljobs@nhs.net
Applicants wishing further information about the post are invited to contact Mr. Marc
Clancy on 0141 451 5145, Dr. Scott Morris on 0141 451 5111 or Dr Chris Deighan on
0141 211 2658 with whom visiting arrangements can also be made.
HOW TO APPLY
To apply for these posts please include your CV and names and addresses of 3
Referees, along with the following documents; (click on the hyperlinks to open)
Medical and Dental Application and Equal Opportunities Monitoring Form
Declaration Form Regarding Fitness to Practice
Immigration Questionnaire
Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to
Apply” tab to access application for and CV submission information.
RETURN OF APPLICATIONS
Please return your application by email to nhsggcrecruitment@nhs.net or to the
recruitment address below;
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde Recruitment Services
5th Floor, Tara House
46 Bath Street
Glasgow
G2 1HJ
CLOSING DATE
The closing date will be 25th September 2015
INTERVIEW DATE
The interview date will be 29th October 2015