CONSULTANT IN
EMERGENCY MEDICINE
ACUTE SERVICES DIVISION
NHS FIFE
INFORMATION PACK
REF: 012345A
CLOSING DATE: NOON 7TH FEBRUARY 2014
www.medicaljobs.scot.nhs.uk
www.nhsfife.org
Information for Candidates
CONTENTS
Page(s)
Post Information
Emergency Medicine, Victoria Hospital, Kirkcaldy
Minor Injuries Unit, Queen Margaret Hospital, Dunfermline
3
4-5
5
Post Description
5-6
Duties & Responsibilities
6-7
Job Planning
7-8
Person specification
9
Sample 12 Week Rota
10
Terms and Conditions of Service
11-12
Fife Region
13
How to Apply
14
SUMMARY INFORMATION
POST:
Consultant in Emergency Medicine
BASE:
Victoria Hospital, Kirkcaldy
EMERGENCY MEDICINE, VICTORIA HOSPITAL, KIRKCALDY
Acute Care in Fife was centralised in January 2012, with the opening of the new phase of the
Victoria Hospital, Kirkcaldy. A new state of the art Emergency Department opened at this time and
saw over 60,000 patients in the first year of operation.
The new Department includes an 8 bay resuscitation area, a 9 bay majors area, a 6 bay minors
area and 2 paediatric rooms. There is a dedicated Procedures room and a 6 bedded Emergency
Medicine Observation Unit. There is access to electronic pathology and radiology ordering.
Departmental guidelines, protocols and rotas are on the Departmental intranet web pages.
The Emergency Department has 24 hour senior doctor presence, with current shop floor
Consultant presence daily from 0800 to 2300. The advertised Consultant posts will help ensure
maintenance of this direct shop floor presence and leadership.
There is a co-located GP Out of Hours service in the evenings and at weekends, allowing
redirection of appropriate patients.
FACILITIES
Resuscitation Area






8 resuscitation bays, including a dedicated paediatric bay, with capability to accommodate
5 ventilated patients
All bays have full invasive monitoring capability
Facilities for CPAP / BiPAP
Mobile x-ray and processing
Dedicated Blood gas analyser
Telemedicine link for Stroke Thrombolysis out-of-hours
Majors / Immediate Care Area


9 monitored cubicles
Central staff base island with computer access to results and PACS x-rays
Procedures Room

1 one-bedded fully equipped procedures room used for procedural sedation and regional
anaesthesia
Paediatrics

Paediatric waiting area separate from the main waiting area, with direct access into 2 dedicated
paediatric consulting rooms
Minors


Staff base with computer access.
6 consulting bays and 3 rooms currently used for ENT, Eyes and O&G assessments.
Psychiatry Interview Room

A secure interview room with access to waiting area and emergency Department
Emergency Medicine Observation Unit (EMOU)

6 bed observation unit solely for admission of patients under the care of the on-call emergency
physician. This includes head injury observation, toxicology and post sedation observation and
other conditions at the discretion of the on-call Consultant. This clinical area is never used for
the accommodation of patients awaiting admission under other specialties and there are strict
admission criteria.
In addition, there is Consultant office space, senior nursing and doctors’ offices, secretarial
accommodation and a relatives’ room.
In-Patient Specialty Support On site
On site support includes Anaesthetics and ICU, General Medicine (with Medical HDU), Cardiology
and CCU, General Surgery (with Surgical HDU), Trauma and Orthopaedics, Maxillofacial Surgery,
Paediatrics and Obstetrics & Gynaecology.
ENT is on site Monday 0800 to Friday 1700.
Emergency radiology is provided in a dedicated emergency diagnostic suite directly adjacent to the
Department. There is 24 hour access to CT scanning. MRI is available on site within office hours.
Emergency laboratory investigations are available 24 hours per day.
There is a stroke thrombolysis service which operates 24/7 either through on-site stroke or
emergency physicians or telemedicine support from the regional hub.
Minor Injuries Unit, Queen Margaret Hospital (QMH), Dunfermline
A 24/7 Emergency Nurse Practitioner minor injuries/illness unit runs in the former Emergency
Department at the Queen Margaret Hospital, Dunfermline. Telephone support is provided by the
Consultant and middle grade staff at VHK.
POST DESCRIPTION
Posts of Consultant in Emergency Medicine, Fife Acute Services Division
The post holders will assist in the provision of a high quality emergency care in Fife. The posts
currently attract 10 Programmed Activities. Special interests or part-time working will be
considered and there is scope for candidates to pursue other areas of interest.
Definition
Whole time Consultants in Emergency Medicine based at Victoria Hospital, Kirkcaldy. These posts
entail responsibility for the running of the Emergency Medicine service within Fife in conjunction
with the current Consultants.
Staffing
Funding is available for 13 WTE Consultants. The Department has recently undergone an
extensive recruitment drive resulting in a number of middle grade appointments, with appointments
to Junior and Senior Clinical Fellow grades. A third round of Junior Clinical Fellow posts has been
advertised with the successful appointment of a further excellent candidate, in addition to the 4.7
listed below. 4 GPs have also been appointed for a number of sessions per week to help cover
evenings and weekends, as detailed below.
There are currently 7.25 whole time equivalent Consultants.








Dr Bappa Roy
Dr Lorna Jackson
Dr Andrew Kinnon
Dr Maggie Currer
Dr Julie Thomson
Dr Surinder Panpher
Dr Nilesh Champaneria
Dr Kate Searle
1.1
0.55
1.0
0.6
1.0
1.0
1.0
1.0
Clinical Lead in Emergency Medicine
Middle Grades
ST3 – ST6:
From SE Scotland rotation
2.5
LAS
Dr F Gillies
0.5
Senior Clinical Fellows:
Dr T Watson
Dr L Whittaker
1.0
1.0
Junior Clinical Fellows
Start date August 2014
4.7
GP with special interest (4)
Sessions in A&E. Each works 1 shift per week (1400-2200) and 1
weekend per month (1000-2200). All intend to work here long term,
and all but 1 are ex-trainees from NHS Fife ED.
12 Junior Doctors
6 FY2 and 6 GPSTs
ENPs
An Emergency Nurse Practitioner (ENP) service started 6.1.14 for 12
hours per day, 5 days a week. The short term aim is to expand this to
2 periods of 12 hours per day, covering the 0800-0000 period.
DUTIES AND RESPONSIBILITIES
The main duties and responsibilities for the posts include the following:
Clinical Duties
The Consultants will be responsible for the reception, resuscitation, diagnosis and initial treatment
of all emergencies. They will make arrangements for patients to be admitted into hospital beds,
special units or other hospitals, to outpatients or back to the community.
The appointees will be expected to participate actively in the clinical workload of the Department,
undertaking direct management and assessment of patients. During these Departmental sessions,
the post holders will need to be aware of the junior doctors’ workload and to take action to ensure
that excess hours are not worked.
During these Departmental sessions, the post holders will be expected to maintain an overview of
Departmental activity so that any threat to achieving the 4 hour target can be identified early and
dealt with. Duty Consultants hold the responsibility for liaising with other teams so that the process
of care is safe, smooth and does not involve unnecessary delays. Consultant emergency
physicians hold ‘admission rights’ to both acute medical and surgical admission units.
The Emergency Medicine Observation Unit is a Consultant delivered service, caring mainly for
head injuries and overdoses.
There is a Consultants’ meeting held on the a monthly basis, and a senior staff meeting also
involving senior nurses, ENPs and a middle grade representative (usually the most senior trainee).
The post holders will be expected to attend and contribute to these meetings whenever possible.
JOB PLANNING
The successful candidate’s job plan will be negotiated between the Consultant and the Clinical
Lead for Emergency Care annually.
The current shift patterns are as follows:
Monday
Tuesday
Wednesday
Thursday
Friday
WRM
WRM
WRM
WRM
WRM
DSC
DSC
DSC
DSC
DSC
BSC
BSC
BSC
BSC
BSC
OC
OC
OC
OC
OC
WRM (ward round / minors)
DSC (day shift Consultant)
BSC (back shift Consultant)
OC (on-call)
WDS (week-end day shift)
WOC (weekend on-call)
Saturday
Sunday
WDS
WDS
WOC
WOC
0900-1900 = 2.5 PAs, includes 2 hours of clinical admin
0800-1800 = 0800-1600 Department, 1600-1800 clinical admin = 2.5 PAs
1400-2130 = 1400-2130 Department = 2 PAs
1800-2300 = Department + 1PA on call = 2.5 PAs
0800-1700 = Department = 3 PAs
1400-2300 = Department + 1 PA on call = 4 Pas
The job plan based on a standard 10 PA contract would have a DCC:SPA split of 9:1. However,
as the role of Consultant in Emergency Medicine involves considerable time for workforce planning
and service development, in addition to all aspects of clinical and educational supervision and
governance, it is expected that the final DCC:SPA split will be 8:2.
The on call frequency will vary depending upon the number of appointees, but will be a maximum
of a 1:8. The frequency of weekends worked will be a maximum of 1:5, although this will fall to 1:6
from January 2014. See sample 12 week rota on page 10.
In the event of any significant changes in the circumstances affecting this job plan, it is agreed that
it will be renegotiated jointly in collaboration with Consultant colleagues in Emergency Medicine.
Cover for Consultant Colleagues
Annual / Study Leave – You will be required to provide emergency cover for Consultant colleague
during his absence on annual or study leave. If for any reason such deputising is not practicable,
Fife Acute Services Division undertakes to authorise immediate Consultant locum cover.
Teaching
Clinical supervision of trainees has a high profile in the Department and is an important part of the
Consultant role.
There is an ongoing programme of daily and weekly Departmental teaching sessions for the junior
doctors (FY2 & GPST) in which the post holders will be expected to participate. STs attend weekly
afternoon teaching sessions at their base hospital (Edinburgh Royal Infirmary) and Fife
Consultants are expected to contribute to this programme. One to one teaching for middle grades,
including assessment of their management and non-technical skills, has commenced.
Medical students from St Andrews University attend afternoon sessions on a Thursday for 2
semesters per year. The Department also takes students from other Medical Schools for elective
placements.
NHS Fife has an adult simulator which can be utilised for scenario based teaching and this is kept
within the Emergency Department.
Continuing Medical Education
The Board supports and will require the successful candidate to participate in continuing medical
education (CME). You are entitled to 30 days paid study leave within any 3-year period, with
expenses, for the purposes of CME.
Clinical Research
Interest in research is welcomed and would be supported by Consultant colleagues. The
Department has been involved in recent multi-centre trials.
Clinical Governance
NHS Fife is committed to maintaining a high quality of services to patients, with particular regard to
patient safety, by continual development of practice in the light of research evidence and by audit
based against relevant standards. There is a designated Audit Lead and active audit programme
which includes participation in CEM audits.
CONSULTANT IN EMERGENCY MEDICINE
PERSON SPECIFICATION
Requirements
Essential
FCEM or equivalent higher
qualification (currently held or
expected within 6 months of the date
of interview).
Qualifications
Desirable
Higher qualification in a related
specialty (e.g. MRCP).
On the Specialist Register in
Emergency Medicine or within 6
months of being eligible at the time of
interview.
Full registration with the GMC and a
License to Practice.
Clinical Skills and
Experience
Wide clinical experience in
Emergency Medicine as per the CEM
curriculum.
Provider status in ATLS, ALS & APLS
(or equivalent)
Experience in observation
medicine.
Teaching
Evidence of formal or informal
teaching, training and supervision of
junior medical staff, medical students
and other clinical staff.
Instructor status for any one of
ALS, ATLS or APLS.
Proven experience of clinical audit.
Proven use of audit as a tool to
manage change in clinical
practice.
Able to undertake critical appraisal of
clinical research.
Publication in peer-reviewed
journals.
Proven experience in helping to
manage an EM service.
Desire to develop services for
patients.
Audit
Research and
Publication
Management
Formal training in extended EM
skills such as USS etc
Experience in initiating change.
Able to work in a team with colleagues
in own and other disciplines.
Able to organize time efficiently and
effectively.
General Attributes
Good communication skills.
Adaptable and open to new ideas.
Commitment to CPD.
Complement the existing team of
Consultants.
SAMPLE 12 WEEK ROTA
Mon
Tue
Wed
Thur
Fri
Sat
Sun
DCC
SPA
BSC
SPA
WRM
OFF
FOC
WOC
WOC
15
2
SPA
WRM
OFF
OFF
OFF
2.5
2
AL
AL
AL
AL
AL
0
0
MOC
SPA
DSC
BSC
WRM
9.5
2
OFF
DSC
BSC
WRM
SPA
7
2
DSC
SPA
OC
OFF
WRM
7.5
2
WRM
OC
OFF
SPA
FBS
13
2
OFF
SPA
SL
SL
DSC
6.5
2
SPA
DSC
OFF
OC
WRM
7.5
2
AL
AL
AL
AL
AL
0
0
OFF
OC
BSC
SPA
WRM
7
2
DSC
SPA
WRM
BSC
OFF
7
2
WDS
WDS
DSC
0800 – 1600 Resus / Majors
1600 – 1800 Clinical Admin
BSC
1400 – 2130 Resus / Majors
WRM
0900 – 1100 Ward Round
1100 – 1900 Minors, with Clinical Admin during
worked during this period.
OC
1800 – 2300 Shop Floor
2300 – 0800 On-call
WOC
1400 – 2300 Shop Floor
2300 - 0800 On-call
WDS
0800 – 1700 Ward Round and Shop Floor
TERMS AND CONDITIONS OF SERVICE
The post is covered by the Hospital Medical and Dental Staff and Doctors in Public Health and The
Community Health Service (Scotland), Consultant Grade, Terms and Conditions of Service.
TYPE OF CONTRACT
Permanent
GRADE AND SALARY
Consultant
£ 76,001 - £ 102,465 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 Fife 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.
SMOKING POLICY
NHS Fife operates a No Smoking Policy in all premises and grounds.
DISCLOSURE
SCOTLAND
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.
CONFIRMATION OF
ELIGIBILITY TO WORK
IN THE UK
NHS Fife 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 no
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 Fife. 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 Fife
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.
EQUAL OPPORTUNITIES
The post holder will undertake their duties in strict accordance with
NHS Fife’s Equality Diversity and Human Rights 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 the post holder’s 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.
Additional Information for Candidates
FIFE REGION
The Region of Fife is bounded in the north by the Firth of Tay, in the east by the North Sea and in
the south by the Firth of Forth. The Region spans an area of 130,700 hectares and has a
population of 360,000. The population served by NHS Fife is currently around 280,000. There is a
highly developed agricultural area in east and north-east Fife, and in the west there is an extensive
cross-section of highly skilled and scientifically orientated industry. The largest towns are
Dunfermline, Kirkcaldy and Glenrothes. The cathedral city of St Andrews is the seat of Scotland’s
oldest and the UK’s second oldest university.
Fife is an area of considerable scenic and historical interest. The usual range of sporting facilities
are available locally including golf, swimming, fishing, curling, soccer, rugby, cricket, sailing, motor
sport and gliding. The Cairngorm Mountains are within easy reach providing access to skiing,
mountaineering, orienteering, stalking and salmon fishing. Wide ranges of cultural activities are
available in Fife, and in the cultural centres of Edinburgh and Glasgow. The main urban and
leisure centres of central Scotland are within easy reach and there are excellent air, rail and
motorway links to the rest of the UK. Edinburgh & Glasgow Airports are within easy reach by road.
HEALTH CARE IN FIFE
Health care in Fife is provided by an Acute Services Division and three Community Health
Partnerships:
Acute Services Division
–
Acute services for Fife
Three Community Health Partnerships
–
Community, Learning Disability and Mental
Health Services for Fife
Corporate Services are based at the Board’s Headquarters, Hayfield House, adjacent to Victoria
Hospital, Kirkcaldy.
HOW TO APPLY
Completed application forms should be sent by 21st February 2015 to:
Human Resources Directorate
Hayfield House
Victoria Hospital
Hayfield Road
Kirkcaldy
Fife KY2 5AH
Application forms can be downloaded on SHOW. Please note that this will mean that we will no
longer accept CVs as part of the recruitment process.
Prospective applicants wishing to visit the Department, or who would like further information should
contact:
Dr Bappa Roy
Clinical Lead for Emergency Medicine
Victoria Hospital
Hayfield Road
Kirkcaldy
Fife KY2 5AH
Tel: (01592) 643355 ext 28234
E-mail: broy@nhs.net
or
Dr Gordon Birnie
Associate Medical Director – Acute Services Division
Hayfield House
Victoria Hospital
Hayfield Road
Kirkcaldy
Fife KY2 5AH
Tel: (01592) 643355 ext 28138
E-mail: gordonbirnie@nhs.net