NHS Lothian
University Hospitals Division
Department of Laboratory Medicine
Pathology Service
FULLTIME LOCUM CONSULTANT HISTOPATHOLOGIST WITHIN THE
PAN LOTHIAN PATHOLOGY SERVICE
1. Outline of the post
This is a fulltime Locum Consultant post in Pathology, available from October 2014, offering the
successful candidate the opportunity to work within the histopathology / cytopathology service in
one of the leading Departments of Pathology in the United Kingdom. It is a temporary locum
post, consequent on the resignation of a consultant. It is full-time (1.0 wte, 10 PA), and based at
the Western General Hospital and/or Royal Infirmary of Edinburgh (RIE) dependent on the
subspecialist interests of the successful candidate. Applications from candidates with a
subspecialist interest and experience in Gastrointestinal pathology would be particularly welcome
but other subspecialist interests could also be accommodated.
2 to 4 TO BE ADDED BY RECRUITMENT
5. Departmental Information
Pathology services are currently delivered from 2 sites, the Royal Infirmary of Edinburgh (RIE)
and Western General Hospital (WGH). Laboratory Medicine is managed as an integrated service
which with Pathology (histopathology and cytopathology) and Forensic Medicine includes
Medical Microbiology, Haematology, Biochemistry, Laboratory Reproductive Medicine and
Genetics with a single senior management structure. Professor David Harrison is Director of
Laboratory Medicine. There are more than 500 WTE members of staff in the Department of
Laboratory Medicine and 2.5 million samples are processed each year. The Pathology service
has adopted a Specialist Team reporting structure facilitating implementation of national
standards and participation in EQA schemes.
Overall, the histopathology service reports in excess of 62,000 biopsies and diagnostic cytology
specimens along with 75,000 cervical cytology specimens. Below is the current team structure
and as will be obvious, many consultants work in more than one team.
The Gastrointestinal pathology team delivers services at both WGH and RIE sites. Upper GI
pathology including hepatobiliary and pancreatic pathology are based at RIE, while lower GI
pathology is based at WGH. This reflects the current division or the clinical specialty of
gastroenterology within Edinburgh. The Gynaecological pathology team is based primarily at
RIE.
Consultant Staff
Respiratory pathology
Liver / kidney / transplant
Dermatopathology
Gastrointestinal
Urology
Breast
Dec 2009
W Wallace; H Monaghan; D Salter
C Bellamy; D Harrison
T Brenn; J Goodlad; M Mathers; A Biswas
P Fineron; C Black; C Cowan; T Doig;
B Langdale-Brown; J Loane; K Robertson (current post);
V Save; D Worrall, N Zucchini; M Arends
M O’Donnell; C Black; P Fineron; N Zucchini
J Thomas; C Cowan; M O’Donnell; J Loane; D Worrall
Page 1 of 6
Gynaecological
Haematological
OA and soft tissue
Endocrine / head and neck
Paediatric pathology
Neuropathology
Molecular Pathology
Oral pathology
Forensic Pathology
A Al-Nafussi; E Duvall; A Thomson; A Williams
J Goodlad; T Doig
D Salter; A Al-Nafussi; H Monaghan; A Oniscu; W Wallace
E Duvall; H Monaghan; A Thomson; W Wallace
M Evans; K McKenzie
C Smith; J Ironside; A Torgersen; vacancy
A Oniscu; D Harrison
B Conn; H Monaghan
R Ainsworth; R Bouhaider; C Bryce; K Shearer; I Wilkinson
Non-Medical Staff
WTE
Clinical Manager
BMS 3
BMS 2
BMS1
Advanced Practitioner
Screeners
MLA
MTO
A&C
1
5
16
34.97
2
5
15
6
23.11
Workload Figures
2010
Cervical cytology
Non-gyn cytology
Biopsy requests
Autopsy*
GI Team
Gynae Team
74719
7135
58546
552
16611
8108
2011
83477
8187
59794
562
18549
8156
2012
79843
6597
61197
530
18661
8212
2013
74805
6700
62002
495
19267
8411
*includes adult, paediatric and neuropathology in-house and referred cases
6.
Details of the Post
This is a locum 1.0 wte post. The post holder is based mostly at the Western General Hospital
and/or Royal Infirmary of Edinburgh and has a principal commitment to the (Upper)
Gastrointestinal Pathology Teams. Duties will include reporting of biopsy and resection
specimens including where appropriate cancer screening programme cases, and may include
participation in related multidisciplinary meetings. The possible involvement with other
subspecialty pathology teams will depend on the interests of the successful candidate. The
histopathology service in Edinburgh spans both hospitals and the successful candidate may be
expected to carry out duties at either hospital site.
All consultants are expected to be involved in direct clinical care, CPD and audit, to participate in
relevant EQA schemes, and to be available for teaching and involved in research as appropriate.
There is also a requirement for the post holder to participate in annual appraisal / revalidation.
Multidisciplinary meetings are a key part of direct clinical care. We work in subspecialty teams
which have flexibility and are designed to allow individual variation, for example in accruing PAs
to take blocks of time of time off service or setting aside a specific time each week for special
activities. Workload, using Royal College guidelines, is recorded as a part of reporting biopsies.
On call is only necessary for consultants providing forensic cover and transplant services. The
department has full accreditation and the post holder will be expected to contribute to ongoing
work to maintain this status.
Dec 2009
Page 2 of 6
7.
Research and Development
Edinburgh has a strong track record of collaborative research between pathologists with
recognised areas of special interest and their clinical / academic counterparts in other NHS and
University departments / institutes. The University of Edinburgh has a number of first class
research institutes with modern facilities where projects on neoplasia and inflammatory disorders
could be conducted in collaboration with clinical and non-clinical research workers.
8.
Teaching
The post holder will be expected to participate in the teaching of undergraduate and postgraduate
medical students, and other relevant groups.
9.
Job Plan
The locum job has 6 Programmed Activities, subject to review. In addition Extra Programmed
Activities may be offered as part of a separate contract, if service needs dictate.
Nine PAs are allocated for Direct Clinical Care, and 1 SPA is available. A job development plan
should be agreed before starting in post to reflect personal interest and service needs, and to
allow time for discussion with other team members if required to adjust balance of activities.
Dec 2009
Page 3 of 6
9.
Job Plan
Name:
Specialty:
Pathology
Principal Place of Work:
Royal Infirmary of Edinburgh
Contract:
Full time
Programmed Activities:
10
EPAs:
None
Availability Supplement:
None
Managerially accountable to: Prof David Harrison, Director of Laboratory Medicine
a)
Typical timetable of activities that have a specific location and time
DAY
TIME
Monday
Base: RIE
09.00 to 13.00
Tuesday
Base: RIE
09.00 to 13.00
Wednesday
Base: RIE
09.00 to 13.00
Thursday
Base: WGH
and RIE
09.00 to 13.00
Friday
Base: RIE
09.00 to 13.00
13.00 to 17.00
13.00 to 17.00
13.00 to17.00
13.00 to 17.00
13.00 to 17.00
TYPE OF WORK
DCC
SPA
EPA
Total
Reporting specimens / supervising
trainees
Reporting specimens
1
1
1
1
Reporting specimens / supervising
trainees / MDT meeting.
Reporting specimens
1
1
1
1
Reporting specimens / supervising
trainees
Reporting specimens / preparation for
MDTs
1
1
1
1
Reporting specimens / supervising
trainees
Audit, learning etc
1
1
1
Reporting specimens / supervising
trainees
Reporting specimens
1
1
1
1
1
Saturday
Base
Sunday
Base
Total Hours 9
10. Contact Details
Dec 2009
Page 4 of 6
1
10
For informal enquiries and arrangements to visit, please contact Dr Joseph Loane, Head
of Specialty, Pathology Department, Western General Hospital, Crewe Road South,
Edinburgh EH4 2XU, tel: 0131 537 1953, e-mail Joseph.Loane@luht.scot.nhs.uk, and Dr
Hannah Monaghan, Lead Pathologist, Pathology Department, Royal Infirmary of
Edinburgh, 51 Little France Crescent, Edinburgh EH16 4AS, tel: 0131 242 7139, e-mail:
Hannah.Monaghan@luht.scot.nhs.uk
In accordance with recent Home Office guidelines, doctors who require a work permit will only be
appointed to posts which cannot be filled by UK/EEA applicants or doctors who do not require
work permits
We are working towards Equal Opportunities.
Dec 2009
Page 5 of 6
REQUIREMENTS
Qualifications
and Training
ESSENTIAL





DESIRABLE
FRCPath or equivalent
GMC registered medical
practitioner
Be on, or be eligible for
inclusion on within 6 months
of interview, the GMC
Specialist Register in
Histopathology
Evidence of regular appraisal
Learning and continuous
professional development

Additional postgraduate
qualifications e.g. MD, PhD.
Post Specific
Experience

Experience in
gastrointestinal,
gynaecological or
genitourinary pathology

Advanced training in
gastrointestinal,
gynaecological or
genitourinary pathology or
equivalent
Ability

Ability to take full
responsibility for independent
management of patients

Evidence of ability to redesign
clinical services or processes
Academic
Achievements

Evidence of commitment to
research, publications and
presentations

Evidence of previous
experience in successful
research funding, review and
publication
Teaching and
Audit

Evidence of commitment to
formal and informal teaching
and training of Junior Medical
Staff and medical students.
Evidence of participation in
audit projects

Evidence of teaching
qualification or learning
Designing and effecting audit
programmes
Evidence of commitment to:
o Patient focused care,
o Effective and efficient
use of resources
o
Evidence of teamwork with
colleagues in own and other
disciplines
Ability to organise time
efficiently and effectively

Evidence of contribution to
development of pathology
services.


Ability to motivate colleagues
Previous managerial training
and experience

Motivation

Team Working


Dec 2009
Page 6 of 6
