JOB TITLE: Clinical Fellow in Cardiac Electrophysiology BASE: Glenfield Hospital HOURS: 40 ABOUT UHL, OUR VALUES AND BEHAVIOURS UHL’s purpose is to deliver “Caring at its best” for all the people who visit Leicester’s hospitals, either as patients, the public or as staff. As one of the largest and busiest teaching hospitals, our vision is to move from where we are now to where we want to be. Locally known as the journey from ‘Good to Great’. In undertaking this role you are expected at all times to behave in accordance with our Trust values which demonstrate your commitment to the delivery of high quality services to patients. This will be in accordance with agreed objectives, targets, quality standards, controls and resource constraints. Our values are: 1.We treat people how we would like to be treated 2. We do what we say we are going to do 3. We focus on what matters most 4. We are one team and we are best when we work together 5. We are passionate and creative in our work APPOINTMENT Applications are invited for the post of clinical fellow in cardiac electrophysiology. The post is based within the Department of Cardiology at Glenfield Hospital and is intended to provide comprehensive training in invasive and non-invasive arrhythmia management for individuals intending to pursue a career as a cardiac electrophysiologist. Applicants are expected to have had substantial training in general cardiology and be in possession of an NTN or equivalent. In addition, applicants are expected to have a sound base of experience in device therapy for brady and tachycardia treatments. In addition basic experience in diagnostic electrophysiology is required and a clear interest and motivation to develop high-level electrophysiology and ablation skills/experience. Successful candidates will also be expected to undertake a research project during their fellowship. CONTRACTED HOURS Standard Hours Glenfield Hospital 40 No out-of-hour service commitment is expected with this position but service needs may be updated from time to time. About University Hospitals of Leicester NHS Trust University Hospitals of Leicester NHS Trust comprises of three acute hospitals based in Leicester:Glenfield Hospital, Leicester General Hospital and Leicester Royal Infirmary. The three hospitals joined together to form the Trust on 1st April 2000 to meet the increasing demands for providing better healthcare. The Trust is one of the largest acute teaching hospitals in the United Kingdom, with nearly 10,000 staff and an annual operating income of over £400 million. The importance of working with patients and the public is paramount to the strategy of continuing to improve healthcare services. The Pathway project is a major PFI scheme costing over £400 million and is due to be completed in 2010. Glenfield Hospital is situated about three miles north west of Leicester city centre. The hospital has around 520 beds and over 2100 staff providing a range of in-patient, day case and outpatient services within the specialty groupings of Orthopaedics, Critical Care and Theatres, Cardiac Services and Integrated Medicine. Within Cardiac Services the Rapid Access Chest Pain Clinic, providing specialist cardiological assessment for suspected cardiac pain, has been awarded ‘Beacon Site’ status by the National Health Service (NHS). Leicester General Hospital is situated approximately three miles east of Leicester city centre and offers a range of in-patient, day case and outpatient services across the specialties of Medicine, Nephrology, Obstetrics and Gynaecology, Surgery, Anaesthesia and Clinical Support Services. Leicester General Hospital has approximately 680 beds and over 2700 staff. Leicester Royal Infirmary is located close to Leicester city centre. The hospital has over 1100 beds and over 5300 staff and provides the only Accident & Emergency service. The main specialty groupings at the hospital are Medical, Obstetrics and Gynaecology, Surgery, Children’s Hospital, Clinical Diagnostic Services, Cancer Services, Theatres and Critical Care and A & E / Orthopaedic Trauma. The Hearing Services Department (Surgical Directorate) at Leicester Royal Infirmary has been awarded two Charter Marks in 1996 and 1999, for delivering excellence in public service. CARDIAC ELECTROPHYSIOLOGY, DEPARTMENT OF CARDIOLOGY: The Department of Cardiology at Glenfield Hospital provides a tertiary arrhythmia management service to a population of approximately 4.5M. The electrophysiology service is one of the largest in the country. Activities include diagnostic and interventional electrophysiology, pacemaker and ICD implantation. Within these services the unit performs approximately 700 electrophysiology procedures a year, including ablation of all complex arrhythmias and an active AF ablation (300 in 2010) programme, utilising both conventional and 3-dimensional mapping. Approximately 900 bradyarrhythmia devices are implanted yearly and the unit has an active heart failure pacing programme. Approximately 150+ new tachyarrhythmia devices are implanted yearly including dual and biventricular devices. Additionally this unit provides a regional lead extraction service and a supraregional paediatric electrophysiology service to the Midlands and beyond. THE HOSPITAL: The Glenfield Hospital, as one of England’s newer teaching hospitals, is a 500 bedded centre of medical excellence for clinical services, teaching and research. As one of the three teaching hospitals in Leicester, it serves and is served by the University of Leicester Medical School and pays particular attention to the Undergraduate teaching of medical students. The Glenfield Hospital has, year on year, increased the number of patients treated, introduced service developments and expanded the range of treatments available. We have also gained an excellent reputation for the quality of services we provide as recognised by the results in the Quality Health Patients’ Satisfaction Survey as well as achieving full accreditation by the Health Quality Service (formally known as the King’s Fund). Glenfield Hospital provides a comprehensive range of clinical services. Many of these complement each other, enabling patients to obtain all the care they need within the hospital. The following medical services are provided: Anaesthetics & Critical Care, Breast Screening & Breast Surgery, Cardiology, Cardiac Surgery, General Surgery, Integrated Medicine (including the acute stroke unit), Medicine for the Elderly, and Rehabilitation, Orthodontics, Orthopaedic Surgery, Radiology, Restorative Dentistry, Respiratory Medicine and Thoracic Surgery. Many of the Trust's Medical Specialties are now recognised as Centres of Excellence and Glenfield can boast the following: one of the largest and most technically advanced Cardiothoracic Units in the country currently performing around 1500 open heart cases per year on adults and children. recognition as the leading centre of only four in the country performing neo-natal ECMO (extracorporeal membrane oxygenation) which has led to the designation as a supra Regional Centre, and the only U.K. provider of paediatric and adult ECMO. recognition as a specialist centre for Orthodontics and Restorative Dentistry. one of the best equipped radiological departments in the country incorporating cardiac catheter rooms, gamma camera facilities, C.T. and MRI scanners. one of the country's largest Bone Banks, which is a co-ordinating centre for other Bone Banks facilitating the availability of donor bone for transplant purposes. Britains Leading Centre for Pulmonary Rehabilitation. Glenfield currently has 6 professorial posts in Cardiology, Medicine for the Elderly, Respiratory Medicine and Cardiac Surgery. Clinical research is undertaken by all the major medical specialties. THE WORK OF THE DEPARTMENT: The Department of Cardiology provides specialised services for the investigation and treatment of patients with cardiac conditions from Leicestershire, Derbyshire, Nottinghamshire, Mansfield, Northamptonshire and the southern half of Lincolnshire. The work of the department involves all aspects of Adult and Paediatric Cardiology. A full range of investigations are performed including cardiac catheterisation and angiography, trans-oesophageal echocardiology, exercise stress testing, ambulatory, stress echo, ECG monitoring, and radio nuclear studies. Coronary angioplasty/stenting and adult valvulosplasty are routinely performed. The Unit is the Regional centre for pacemaking and for the management of arrhythmias including electro-physiological studies, radio frequency ablation and internal defibrillator implantation. Department of Cardiovascular Sciences Head: Professor N J Samani BSc, MD, FRCP, FACC, F Med Sci Cardiovascular research has been a major strength of the Leicester Medical School since its inception. Its sustained excellence has been recognised by being specifically flagged in all the Research Assessment Exercises and in the 2001 RAE, cardiovascular research at Leicester received a 5 rating. The formation of the new Department of Cardiovascular Science as a recognition of this strength will provide additional focus and value and further strengthening of this research area is a strategic objective of the Medical School. Groups within the Department of Cardiovascular Science undertake research ranging from molecular and cellular work, all the way through translational research and into clinical studies in several areas in which Leicester has an international reputation. The areas include: Molecular genetics (Professor NJ Samani, Professor R Trembath, Dr N Chong). Hypertension (Professor B Williams, Professor H Thurston, Dr R Norman, Dr Lodwick), Coronary artery disease (Professor K Woods, Dr AH Gershlick), Heart failure (Professor L Ng, Dr I Squire, Dr J Davies), Stroke and baroreceptor regulation (Professor J Potter, Professor R Panerai, Dr M Fotherby, Dr T Robinson), Electrophysiology (Dr A Ng, Dr W Toff, DR JD Skehan), Peripheral vascular disease (Professor N London, Professor D Evans, Professor R Naylor, Dr N Brindle, Mr R Sayers), Myocardial protection and regeneration (Professor M Galiñanes), Valvular heart disease (Professor T Spyt), Cardiac imaging (Professor G Cherryman), Thrombosis and haemostasis (Professor A Goodall). The Department is organised in Research Groups. These are: Cardiology (Professor NJ Samani, Professor A Goodall, Professor G Cherryman, Dr GA Ng, Dr W Toff, Dr N Chong, Dr AH Gershlick) Vascular Medicine (Professor B Williams, Professor H Thurston, Dr R Norman, Dr K Herbert, Dr D Lodwick, Dr A Stanley, Dr S Carr, Dr MJ Davies, Dr TA Howlett) Vascular Surgery (Professor N London, Professor R Naylor, Dr N Brindle, Dr J Thompson, Mr R Sayers, Mr M Bown, Mr P Hayes, Mr C D Karkos, Mr I Loftus) Cardiac Surgery (Professor M Galiñanes, Mr L Hadjinikolou, Professor T Spyt) Clinical Pharmacology (Professor D Barnett, Professor K Woods, Professor L Ng, Dr I Squire, Dr J Davies, Dr R O’Brien) Ageing and stroke medicine (Professor J Potter, Dr M Fotherby, Dr T Robinson) Medical Physics (Professor D Evans, Professor R Panerai, Dr M Horsfield, Dr K Martin, Dr C Deehan) Transplant Surgery (Professor M Nicholson, Mr S White) Medical Genetics (Professor R Trembath, Dr C Talbot, Professor I Young, Dr M Barrow) Ophthalmology (Professor I Gottlob, Mr F Proudlock, Mr C Knapp) Emergency Medicine (Professor T Coats) The Department currently occupies accommodation in the Robert Kilpatrick Clinical Sciences Building at the Leicester Royal Infirmary, the Clinical Sciences Wing of Glenfield Hospital and on the University campus. STAFFING Medical: Consultant Cardiologists: Dr F A Bu’Lock (Paediatric) Dr D T-E Chin Dr C Duke (Paediatric) Dr A H Gershlick Dr I Hudson Dr J Kovac Dr G A Ng Dr R Pathmanathan Dr M Khan (Paediatric) – Locum Dr G Richardson Dr G McCann Professor N J Samani Dr A J Sandilands Dr J D Skehan (Clinical Director for Cardio-Respiratory) Dr P J Stafford Dr M A G Tofeig (Paediatric) Specialist Registrars: 9 Adult Cardiology 2 Honorary Clinical Research Fellows 4 Paediatric Cardiology 4 ECMO Fellows 1 ECMO Honorary Clinical Research Fellows Senior House Officers: 5 Adult Cardiology 4 Paediatric Cardiology Ward Medical Officers: (SHO Grade) 5 Adult Cardiology 1 Paediatric Cardiology Radiologists: Dr R Coulden Dr R P Keal Dr C Reek Cardiothoracic Surgeons: Mr R K Firmin Mr L Hadjinikolaou Mr M St J Hickey Mr J N Leverment Mr G Peek Mr A W Sosnowski Mr T J Spyt Professor M Galinanes Technical: Physiological Measurements, Pathology Laboratory & X-ray DUTIES This post is offered as a 12-month post initially with the option of extension pending satisfactory performance and review and is suitable for NTN holders at year 4 or above in their cardiology specialist training, who wish to become specialist electrophysiologists. There are no new NTNs available, and candidates should have the agreement of their programme director and Dean to bring their NTN with them (undertaking this post as an ‘out of programme experience’). The fellow will be expected to participate in a maximum of two out-patient clinics per week at Glenfield Hospital within the electrophysiology service. He/she will be trained to perform basic and advanced pacing and ICD implantation. Attendance at a minimum of two electrophysiology lists a week is anticipated where training will be given in diagnostic electrophysiology and radiofrequency ablation including conventional and 3D mapping techniques in simple and complex (AF and VT) ablations. Suggested Weekly Timetable Monday Tuesday AM EP EP PM Pacing Outpatients Wednesday Thursday Friday Pacing EP Lab Outpatients Research EP lab / Research Ward Round Administration On-call/Emergency Duty Rota There is no out-of-hours service commitment with this post. TEACHING The Fellow will be expected to attend regular Wednesday morning clinical EP / MDT / research meeting and other clinical Cardiological departmental meetings, the monthly afternoon audit meeting and will also be expected to participate in lectures to colleagues at the Glenfield Hospital with whom close academic ties are maintained. He/she will give occasional lectures to nursing staff at Glenfield Hospital and to nursing staff from other hospitals on the Intensive Care course, and will participate in the general training and supervision of the SHOs and other junior medical staff in Cardiology and in the teaching of medical students and physiological measurements technicians. RESEARCH The Fellow is expected to engage in research projects to be arranged with the Consultants. ADMINISTRATION The Fellow will be expected to participate in the day to day organisation of the electrophysiology service, to dictate out-patients' letters and organise the dictation of discharge summaries of in-patients and to report on 24hour tapes (GP direct referral service). STUDY AND TRAINING There are medical library facilities at Glenfield Hospital. The librarian is able to obtain on loan books and journals not available in the libraries. A newly opened Postgraduate Education Centre provides library facilities and an active programme of educational meetings. There is an extensive Medical School library in the Clinical Sciences Building at the Leicester Royal Infirmary. There are Postgraduate Medical Centres at Glenfield and at the Leicester Royal Infirmary. Lectures on all topics are held regularly and this centre is actively concerned in the vocational training of General Practitioners in the District. There are weekly postgraduate clinical presentations or lectures. STUDY LEAVE This is granted in accordance with the recommended allowance subject to the maintenance of the service and to prior formal approval by the appropriate Unit. TEACHING There is teaching for a firm of senior medical students from Leicester for the PRHOs and SHOs, as below; and MRCP teaching. Postgraduate Meetings: The candidate will be expected to participate in weekly physicians' meetings, weekly X-Ray conferences, and weekly Journal Club/Pathology/Topic Teaching. College of Medicine, Biological Sciences and Psychology Pro-Vice-Chancellor & Head of College: Professor David Wynford-Thomas FMedSci The College’s mission is to pursue the highest standards of research, education and training in biomedical and related subjects, and to apply this knowledge and expertise to enhance the quality of life and economic prosperity of populations, both locally and in the wider world. Its considerable academic resources mean that it is already widely recognised for the international impact of its research and the quality of its undergraduate and postgraduate teaching. This is reflected in the high proportion of academic staff regarded as international in the 2008 Research Assessment Exercise, and the consistently high ratings achieved in the National Student Survey. This is an exciting time to join a dynamic new academic enterprise and contribute to its development. The new College is creating the academic and physical environment to enable scientists and clinicians to work together across traditional boundaries to address some of the key outstanding questions in biomedical research and to engage with increasing effectiveness with commercial and public bodies. The College brings together 10 departments: Biochemistry, Biology, Cancer Studies and Molecular Medicine, Cardiovascular Sciences, Cell Physiology and Pharmacology, Genetics, Health Sciences, Infection, Immunity and Inflammation, Medical and Social Care Education and Psychology. In addition the University hosts the MRC Toxicology Unit, with which there is close collaboration. Building on existing strengths, multi-disciplinary research themes have been developed to exploit synergies between basic science, clinical medicine and psychology in the College. These themes are in the fields of genome science; molecular & cellular bioscience; cancer; cardiovascular sciences; respiratory science; microbial science; neuroscience and behaviour; and population science. A further theme is exploring the research which underpins teaching & learning. (http://www2.le.ac.uk/colleges/medbiopsych/research) The College has approximately 295 academic staff and 718 research, administrative and other staff, with a total of approximately 2,350 fte undergraduate students and 850 postgraduates. It has an annual turnover of £64M. MAIN CONDITIONS OF SERVICE The posts are covered by the Terms and Conditions of Service for Hospital Medical and Dental Staff (England and Wales) as amended from time to time, and also such other policies and procedures as may be agreed by the University Hospitals of Leicester NHS Trust. Salary is in accordance with the current nationally agreed salary scales of the Medical and Dental Whitley Council. N.B. It is possible that during the lifetime of this contract of employment, further, appropriate adjustments will be made to the working patterns for the post, in order to meet the requirements of the European Working Time Directive or for other reasons. As this post does not have a specific set rotation, in line with the NHS Employers interpretation of pay protection, the postholder will receive confirmation of the terms and conditions of service (including banding supplement), only after a specific post has been allocated to the post holder. The banding supplement payable to the postholder will be the pay band applicable to the rota at the time when a specific post is allocated. Pay protection will not be applied from date of appointment. In line with this situation, if you are offered a training post , it will be on the following basis: "This is a confirmation of your training placement, and not an offer of employment. Each Trust on the rotational training programme will send you an appointment letter and confirm the terms and conditions of employment to be offered in your contract with them as soon as possible” In accordance with the Trusts policy on Hepatitis B and health care, appointment to this post is subject to satisfactory clearance by the Leicestershire Occupational Health Department. RESIDENCE This is a non-resident post. ACCOMMODATION The three Leicester acute Hospitals are extremely short of married accommodation and this cannot be guaranteed. The three Leicester hospitals only pay abatements when you are living and working at the same hospital. If you choose not to move in the course of a rotation you will lose your abatement. REMOVAL EXPENSES You should not commit yourself to any expenditure in connection with relocation before first obtaining advice and approval from the medical staffing department at the relevant hospital, otherwise you may incur costs which you will be unable to reclaim. GMC REGISTRATION The appointee is required to maintain full registration with the General Medical Council and have a license to practice. Medical staff re advised to continue membership of one of the Medical Defence Organisations. MAINTAINING MEDICAL EXCELLENCE The University Hospitals of Leicester NHS Trust is committed to providing safe and effective care for patients. To ensure this, there is an agreed procedure for medical staff that enables them to report quickly and confidentially, concerns about the conduct, performance or health of medical colleagues (Chief Medical Officer, December 1996). All medical staff, practising in the Trust, should ensure that they are familiar with the procedure. CRIMINAL RECORDS BUREAU CHECKS This post requires a standard/enhanced disclosure by criminal record certificates as it is regulated by statute. Failure to disclose details if you are currently / or in the future the subject of police investigation / proceedings which could result in a conviction, caution, bind over order or charges is a disciplinary matter, and may result in dismissal. The cost of undertaking a CRB disclosure at the required level and associated processing costs will be met by the individual. To expediate the process the Trust will meet the initial costs of the disclosure which will be deducted from the individuals’ salary over a three month period commencing on their first months payment. INFECTION CONTROL All healthcare professionals on a professional register are personally accountable for their standards of practice which must include compliance with the Trust’s infection prevention and control policies and guidelines. In addition all registered practitioners are expected to challenge non compliance when observed to protect patients and promote patient safety. Local clinical leaders have a responsibility to maintain an organisational culture of vigilance through their role in supervising other staff. SAFEGUARDING CHILDREN AND VULNERABLE ADULTS The post holder is responsible for safeguarding the interests of children and adults who they come into contact with during their work. To fulfil these duties post holders are required to attend training and development to recognise the signs and symptoms of abuse or individuals at risk, to follow local and national policy relating a safeguarding practice and to report and act on concerns that they may have. HEPATITIS ‘B’ If the post may involve carrying out Exposure Prone Invasive Procedures, in line with the Trust’s policy on “Protecting Health Care Workers and Patients with Hepatitis ‘B’, the following paragraph should be included in the job description. “The duties of this post require the post-holder to carry out exposure prone invasive procedures on patients of the University Hospitals of Leicester NHS Trust. In order to protect its patients from acquiring blood borne virus infections from staff the University Hospitals of Leicester NHS Trust requires that the following conditions be met before appointment to the post is made. 1. The candidate must provide documentary evidence to the Occupational Health Service as part of pre-employment screening of immunity to Hepatitis ‘B’ infection either by immunisation or natural immunity. If the candidate is non-immune the University Hospitals of Leicester NHS Trust will require a blood test to be carried out for Hepatitis ‘B’ e antigen before appointment. The duties of this post are such that no Hepatitis ‘B’ e antigen positive candidate could be appointed. 2. Any appointee who is not immune to Hepatitis ‘B’, but is currently carrying out exposure prone invasive procedures accepts that regular checks on Hepatitis ‘B’ markers may need to be carried out by the Occupational Health Service appointed by the University Hospitals of Leicester NHS Trust. The tests can be arranged, if the candidate agrees, in confidence through a local Consultant Microbiologist or the Occupational Health Physician. All costs for testing will be borne by the University Hospitals of Leicester NHS Trust. GENERAL All employees are subject to the requirements of the Health & Safety at Work Act. The post holder is required to ensure that as an employee, his or her work methods do not endanger other people or themselves. All employees are subject to the requirements of the Data Protection Act and must maintain strict confidentiality in respect of patient’s and staff’s records. All employees must comply with the Trust’s Equal Opportunities Policy and must not discriminate on grounds of age, colour, race, nationality or ethnic origin, religion, belief, gender, marital status, sexuality, disability, trades union membership (or non-membership) or political affiliation, or any other grounds which cannot be shown to be justifiable. This job description is not to be taken as an exhaustive list of duties and it may be reviewed in the light of changed service needs and development. Any changes will be fully discussed with the post holder. The post holder will be required to carry out the duties appropriate to the grade and scope of the post. In order to ensure the Trust’s ability to respond to changes in the needs of the service, after appropriate consultation and discussion with you (including consideration of personal circumstances current skills, abilities and career development) the Trust may make a change to your location, duties and responsibilities that are deemed reasonable in the circumstances. Your normal place of work will be as discussed at interview and will be confirmed in Section 1 of your contract but you may be required to work in other locations of the Trust. In particular, flexibility is required across the three main Hospital sites (Leicester Royal Infirmary, Leicester General Hospital, Glenfield Hospital). If your initial location is based at one of these sites, excess travel reimbursement will not apply for a permanent/temporary change to base. SALARY The Specialist Registrar salary scale is at present £30,992.00 per annum, progressing by nine annual increments to a maximum of £46,708.00 per annum. It is subject to amendment from time to time in the light of national agreements. STUDY LEAVE Study Leave is granted in accordance with the recommended allowance subject to the maintenance of the service and to prior approval by the Director of Postgraduate Education at the appropriate administrative trust. Study Leave is defined as leave taken to attend a formal course of study designed to further the employees career and to enable the employee to obtain his/her professional qualification or gain necessary expertise in order to carry out his/her job. Where ever possible employees should attend courses organised within Trent Region. ANNUAL LEAVE Specialist Registrars on the third or higher incremental points of their payscale shall be entitled to leave at the rate of 6 weeks a year. Specialist Registrars on the minimum, 1st or 2nd incremental points of their payscale shall be entitled to leave at the rate of five weeks a year. REMOVAL EXPENSES Hospitals on the Leicester rotation operate their own policy for the reimbursement of relocation expenses. You should not commit yourself to any expenditure in connection with relocation before first obtaining advice and approval from your lead hospital, otherwise you may incur costs which you will be unable to reclaim. NOTIFICATION OF TERMINATION OF EMPLOYMENT The post holder is required to give a minimum of three months' notice of termination of their employment. Only in exceptional circumstances will less than three months' be allowed. VISITING Applicants wishing to visit the hospital and meet existing members of staff should contact Dr Andre Ng Senior Lecturer / Hon Consultant Cardiologist Training Programme Director Clinical Sciences Wing Glenfield Hospital Groby Road Leicester LE3 9QP Tel: (0116) 2563297 Dr Peter Stafford Consultant Cardiologist Glenfield Hospital Groby Road Leicester LE3 9QP Tel: (0116) 2563183 Dr Alastair Sandilands Consultant Cardiologist Glenfield Hospital Groby Road Leicester LE3 9QP Tel: (0116) 2563297 Dr Ravi Pathmanathan Consultant Cardiologist Glenfield Hospital Groby Road Leicester LE3 9QP Dr Derek Chin Consultant Cardiologist Glenfield Hospital Groby Road Leicester LE3 9QP Dr J Douglas Skehan Consultant Cardiologist Glenfield Hospital Groby Road Leicester LE3 9QP Tel: (0116) 2563888