CONSULTANT IN
DIAGNOSTIC RADIOLOGY
ACUTE SERVICES DIVISION
NHS FIFE
INFORMATION PACK
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January 2015
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SUMMARY INFORMATION
POSTS: 3 CONSULTANTS IN DIAGNOSTIC RADIOLOGY
POST: CROSS-SITE BETWEEN QUEEN MARGARET HOSPITAL, DUNFERMLINE
AND VICTORIA HOSPITAL, KIRKCALDY.
We are seeking new consultant colleagues to join our enthusiastic team of
consultant radiologists. Subspecialty interests would be fostered and encouraged.
We would particularly value candidates with expertise in musculoskeletal and head
and neck imaging.
Flexible working/extended hours would be considered if desired. Remote access is
utilised for on call scans with the current rota being 1:11. Overnight CT on call has
been outsourced to a teleradiology company
The departments utilise Carestream PACS, 2 modern MRI scanners, 3 multi-slice CT
scanners, a gamma camera, 6 ultrasound rooms, angiographic room and 3
fluoroscopy rooms..
ENTER CRITERIA FOR POST. You should be trained in diagnostic radiology and will
have spent at least 5 years in approved posts/ programmes to achieve CCT or
equivalent.
Applicants must have full registration with the General Medical Council and a
licence to practice medicine in the UK. 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 date of Interview.
Non-UK applicants must demonstrate equivalent training.
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NHS FIFE
COMMISSIONERS OF HEALTH CARE IN FIFE
At present NHS Fife commissions approximately 95% of all health care in Fife.
NHS Fife Board Headquarters
NHS Fife Board Headquarters is situated at Hayfield House, Victoria Hospital, Kirkcaldy.
Strategic planning is an area function performed by the Board’s headquarters staff. The
Director of Public Health is Dr Edward Coyle.
Community Medicine
The primary task of the Department of Community Medicine is the analysis of problems of
health and health care in Fife and the planning of measures to promote health, prevent illhealth and provide health care. The aim of the department is the maintenance and
improvement of the health of the community. Community Medicine Specialists advise the
Director of Public Health on specified clinical areas including Acute Services, Mental
Health, Care of the Elderly, Physical Handicap, Child Health, Well-Woman & Family
Planning, Communicable Disease Control, and Environmental Health.
Health Education
The Department of Health Education supports all health educators in the community,
including medical staff, and runs the Board’s Resource Centre and Library.
CHPs
The Department of Primary Care is responsible for administration of all Primary Care
Services.
This is a devolved service to three Community Health Partnerships (CHPs) delivering
Primary Care Services. Community Health Partnerships will seek to bridge the divide
between primary and secondary care and between health and social care. By devolving
resources and decision making to frontline staff this enables health and social care
professionals to look at the whole picture of care from a patient’s point of view. This is
essential for achieving shifts in the balance of care and for developing new models of care
that meet patients’ needs. The three CHPs operating within NHS Fife are:
Kirkcaldy & Levenmouth Community Health Partnership
Glenrothes & North East Fife Community Health Partnership
Dunfermline & West Fife Community Health Partnership
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PROVIDERS OF HEALTH CARE IN FIFE
Health care in Fife is provided by one Division and three CHPs:Acute Services Division
Community Healthcare Partnerships
Acute services for Fife
Community services for Fife
Postgraduate Medical Education
There is a Fife Area Postgraduate Medical Education Committee with an Associate
Director of Medical Education, Professor Morwenna Wood, in post. There are two
Foundation Tutors, Dr S Mowbray and Mr A Ballantyne. Postgraduate Medical Centres are
located at Victoria Hospital, Kirkcaldy and Queen Margaret Hospital, Dunfermline; both
offer study and library facilities.
There is an extensive programme of postgraduate
courses, lectures and clinical meetings.
Further library facilities are provided in other hospitals and there is ready access to library
facilities and postgraduate activities in Edinburgh. Many units maintain links with the
University of Edinburgh and are involved in the Rotations Training Schemes at Edinburgh
University, Vocational Training Scheme for General Practitioners and Rotational Training
Scheme for Specialist Registrars (with NHS Lothian University Hospitals).
Undergraduate Medical Education
Fife has an ongoing Undergraduate Medical Education Programme in partnership with the
Universities of Edinburgh and Dundee. Approximately 600 medical students attend for
clinical attachment, in various specialties, throughout the academic year.
Short clinical attachments and site visits in medicine, including elderly medicine, surgery,
paediatrics and obstetrics are also organised for medical students from the University of St
Andrews.
Kirkcaldy and Levenmouth Community Attachment Scheme (KLCAS) will bring 160
medical undergraduate students to the Randolph Wemyss Memorial Hospital from the
University of St Andrews.
HOSPITALS
The area
Fife Hospitals serve a population of approximately 380,000. District General Hospital
Services are provided at Dunfermline (Queen Margaret Hospital) and Kirkcaldy (Victoria
Hospital). All acute inpatient services are provided on one site, the Victoria Hospital in
Kirkcaldy. Queen Margaret Hospital, (QMH), is a dedicated Day Surgery and ambulatory
care centre (diagnostic and treatment centre), along with day hospital, in-patient
rehabilitation, intermediate care and continuing care beds. The nearest teaching hospitals
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providing regional services are in Edinburgh (Western General Hospital and Royal
Infirmary) and Dundee (Ninewells Hospital).
Victoria Hospital
Victoria Hospital (VHK) is a large fully equipped District General Hospital with a major new
build which opened in January 2012.
The hospital has approximately 600 beds and provides a full range of general hospital
services to the residents of Fife. There is a critical care area consisting of an Intensive
Care Unit and both Medical and Surgical High Dependency Units. Fully equipped
endoscopy rooms operate throughout the week. The hospital includes the regional
Obstetric Unit for the whole of Fife with a small midwife led unit at QMH.
Specialties provided within the hospital
a) In-Patients
General Medicine/MHDU
Elderly Medicine
Cardiology/CCU
Nephrology
Respiratory Medicine
Gastroenterology
Diabetes/endocrinology
Stroke medicine
Infectious Diseases
Palliative care/Hospice
Haematology
Medical and Surgical Paediatrics
Anaesthetics/ICU/SHDU
General Surgery
Vascular Surgery
Orthopaedics/Trauma
Elective orthopaedics
Maxillo/facial surgery
Urology
Ophthalmology
ENT
Obstetrics and Gynaecology
Psychiatry
b) Out-Patient Services
In addition to the above specialties the following clinics are provided
Dermatology
Plastic Surgery
Radiation Oncology
GU Medicine
Rapid access TIA clinic
Thoracic Surgery
Neurology
Medical Oncology
Rheumatology
Movement Disorders
c) Radiology
There is an excellent Radiology Service. In addition to general radiology there are
facilities for digital screening, ultrasound, radioisotope scanning and DEXA
scanning.
Specialist Vascular Interventional Radiologists for nephrostomies,
angiography and embolisation are available. Modern multislice CT and 1.5T MRI
scanners are on both sites. 2 128 slice CT scanners recently installed in Kirkcaldy.
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d) Radiotherapy/Oncology
Oncology services are provided from the Western General Hospital, Edinburgh.
Clinical Oncologists with special interests in most cancers hold large outpatient
clinics each week.
e) Theatres
There are 8 main theatre suites within the new build, including a dedicated fully
staffed 24 hour emergency theatre.
f) Library
As part of a well-equipped medical education centre.
g) Regional Laboratory Service
The Fife Regional Laboratory is on site. The department provides a comprehensive
service in haematology, immunology, histopathology, cytology, microbiology and
clinical chemistry on a Fife-wide basis. The Microbiology Department provides an
overall microbiological surveillance system throughout the region.
Queen Margaret Hospital
The hospital is now a fully equipped ambulatory and day care centre providing day surgery
services for the whole of Fife. A full range of out-patient clinics are provided for the
residents of West Fife. There are two fully equipped endoscopy rooms. There is also
radiology support for ERCPs. In addition there are a range of elderly medicine services
including a 30 place day hospital (supporting rapid community assessment, specialist
clinics, early supported discharge and rehabilitation), a 60 bed assessment and
rehabilitation unit, and continuing care beds.
Specialties provided within the hospital
(a)
In-Patients
Elderly medicine – rehabilitation including orthopaedic and stroke
(b)
Out-Patients
The full range of out-patient clinics is provided
(c)
Radiology
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There is a full range of radiology services available, including a spiral 64 slice CT
scanner and an MRI suite opened in 2008. Mammography, fluorscopy and
ultrasound scanning are also on site.
(d)
Library
As part of a well-equipped medical education centre.
St. Andrews Community Hospital
This local hospital provides rehabilitation, transitional and long term care beds and
outpatient facilities for North East Fife. Clinics provided are:
Urology
Orthopaedics
ENT
Respiratory Medicine
Parkinson’s Disease
General Surgery
Gynaecology
Gastroenterology
Cardiology
Geriatric Medicine
A theatre and recovery area is available for Endoscopy and Local Anaesthetics only.
Adamson Hospital, Cupar
This small friendly local hospital provides a range of surgical outpatient and day care
services, as well as community GP and NHS long term care beds. St Andrews Community
Hospital and Adamson Hospital have an outpatient dermatology service provided by NHS
Tayside. The hospital is currently undergone renovation and the new build has better
inpatient and diagnostic facilities.
Cameron Hospital, near Windygates, Leven
This hospital is situated at Windygates, approximately 5 miles from VHK. The Sir George
Sharp Unit houses the Fife Rehabilitation Service, which provides specialist rehabilitation
for under 65s. There is a 12-bedded stroke rehabilitation unit, along with beds for both
elderly general rehabilitation and interim care.
Other Hospitals
Other hospitals include Stratheden Hospital, near Cupar and Whyteman’s Brae Hospital,
Kirkcaldy, which provide mental health services. Randolph Wemyss Memorial Hospital
provides day hospital facilities, as well as community based rehabilitation and 16 NHS long
term beds. There are also GP beds at Glenrothes Hospital.
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NHS Fife
Operational Division
Ambulatory Care Directorate
Information Pack
for the post of
Consultant Radiologist
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CONSULTANT IN DIAGNOSTIC RADIOLOGY
JOB DESCRIPTION
REF:
THE POST
Introduction
The advertised posts will be mainly based at the Victoria Hospital, although you will be required to
work at both Victoria and Queen Margaret Hospitals. These hospitals are 12 miles apart and easily
reached by car via the A92. Both hospitals are within walking distance from train stations with
onward connections to Edinburgh and beyond.
These are new and replacement posts funded through new investment into the radiology service by
NHS Fife. You will have a strong background in general cross-sectional imaging although
opportunities exist to develop, or continue with the practice of, a wide range of sub-specialist
interests. All subspecialty interests would be considered, but we would particularly value expertise
in musculoskeletal and head and neck imaging.
Definition
Whole time Consultant Radiologist based at Victoria Hospital with sessions at Queen Margaret
Hospital This post entails responsibility for providing, with consultant colleagues, a comprehensive
Radiology service to NHS Fife.
Medical Staff:
Current Establishment:
Radiology is part of the ambulatory care directorate. The clinical director for ambulatory care is Dr
Susan Smith, consultant microbiologist.
Dr Jonathan Serhan – Lead Radiologist, full time. Interests include cross sectional imaging and
body MRI. 6 years as a consultant in Fife.
Dr Alastair Matthews – full time. Interests include cross sectional imaging and body MRI. 12
years as a consultant in Fife.
Dr Katharine Jamieson - full time. Interests include musculoskeletal and cross sectional imaging.
14 years as a consultant in Fife.
Dr Kieran McBride – full time. Interventional radiologist and vascular imaging. 10 years as a
consultant in Fife.
Dr Nicola Bargeton - part time. Interests include breast imaging. 8 years as a consultant in Fife.
Dr Raj Bhat- 2 sessions. Interventional imaging. Full time post shared with NHS Tayside.
Dr Ashwini Sharma - part time. Interests include breast imaging and cross sectional imaging. 7
years in Fife.
Dr Marion Walker - 2 sessions barium work, partially retired.
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Dr William Reid – full-time. Interests include body and neuro MRI. 25 years as a consultant in
Fife.
Dr Maria-Lena Gregoriades – full-time. Interests include body, paediatric and women’s imaging.
4 years in Fife.
Dr Deepak Subedi – full-time. Interests include body, neuroradiological and head and neck
imaging. 4 years in Fife.
Dr Tom Hartley – full time. Interests include cross sectional CT and MRI including cardiac CT. 3
year in Fife.
Dr D Collie – part time. Neuroradiologist and musculoskeletal MRI. 4 years in Fife.
Dr D Szapiro – full time. Cross sectional imaging. Special interests include cardiac imaging. 6
months in Fife.
Support Facilities (Offices/Secretary):
Office accommodation will be provided on both sites. You will have access to typists for
reports although VR is currently being introduced to the department. You will have support
from departmental personal assistants on both sites as well as by the PACS teams.
DUTIES AND RESPONSIBILITIES
a)
Clinical
You will provide radiological interpretations for CT, MRI, ultrasound and plain
film examinations. Opportunities exist for fluoroscopy and some
interventional radiology if desired. Core “general work” is shared by all
radiologists but you will have the opportunity to develop your sub-specialist
interests in a number of clinical areas. These include, but are not limited to
paediatric, breast, head and neck, musculoskeletal, nuclear medicine, GI,
GU and chest imaging. We have excellent relationships with our medical
staff in Fife and you will also liaise with them on your duty session in regards
to discussing cases/ arranging examinations. You will be encouraged to
attend and support some of the wide variety of MDT meetings according to
your clinical interests.
b)
Managerial
You will be expected to work with local managers and professional
colleagues in the efficient running of services and will share with consultant
colleagues in the medical contribution to management.
c)
Clinical Audit, Data management and Clinical Governance
Clinical audit is important, both in regard to quality improvement of the
department and personal revalidation, and as such you will be encouraged to
contribute to the audit and clinical governance activities within the
department.
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d)
Leave
Annual leave entitlement is as laid out under terms & conditions of the new
consultant contract. Leave entitlement will be calculated on a pro rata basis
for those working part-time.
e)
Research
Opportunities for research exist internally; in addition there are possibilities to
cultivate research links with the University of St Andrews.
f)
Teaching
We are part of the South East Scotland Radiology rotation and regularly have
radiology trainees joining us from there. We also enjoy teaching students
from the Universities of Edinburgh, Dundee and St Andrews on a weekly
basis, as well as junior medical staff based in Fife. You will be encouraged to
play an active role in teaching all these groups.
g)
Continuous professional development
You will be entitled to 10 days of study leave per year to allow you to fulfill
your CPD needs as outlined by the Royal College of Radiologists.
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WORK PROGRAMME
The work programme attached to this job plan is detailed in Appendix A.
Job Plan Review
The Job Plan included is indicative and still to be finalised. In particular, you may be asked
to consider extra programmed activities of direct clinical care. The level of participation in
on-call will be agreed at job planning and appropriate PAs agreed (either as extra
programmed activities or in exchange for other DCC activity). Your job plan will be subject
to review once a year by you, your colleagues in radiology and the Lead Clinician/Clinical
Director, as laid out in the terms & conditions of the new consultant contract.
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.
Cover for Consultant Colleagues
Annual/Study Leave - You will be required to provide emergency cover for consultant
colleagues during absence on annual or study leave. If for any reason such deputising is
not practicable, the Operational Division of NHS Fife undertakes to authorise immediate
consultant locum cover.
GENERAL PROVISIONS
You will be expected to work with local managers and professional colleagues in the
efficient running of services and will share with Consultant colleagues in the medical
contribution to management. Subject to the provision of the Terms and Conditions, you
are expected to observe the Division’s agreed policies and procedures, drawn up in
consultation with the profession on clinical matters, and to follow the standing orders and
financial instruction of NHS Fife. In particular, where you manage employees, you will be
expected to follow the local and national employment and HR policies and procedures.
You will be expected to make sure that there are adequate arrangements for hospital staff
involved in the care of your patients to be able to contact you when necessary.
All medical and dental staff employed by NHS Fife are expected to comply with all Hospital
Health and Safety Policies within the Division.
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SAMPLE JOB PLAN – for Consultant (sample job plan which would be adaptable
depending on a radiologist’s specialist interests.
Name:
Speciality: Radiology
Contract:
Whole time
Part A: Fixed Commitments
Weekly timetable of Fixed Commitments * (i.e. regular scheduled NHS activities in
accordance with paragraph 30B of the terms and conditions of service).
Day
Monday am
Hospital/Other
Location
VHK
Type of Work
PAs
CT
DCC (4hrs)
Monday pm
Tuesday
am
VHK
VHK
Duty
Ultrasound
DCC (4hrs)
DCC (4hrs)
Tuesday
pm
VHK
Reporting
DCC (4hrs)
Wednesday am
QMH
Clinical Admin
DCC
Wednesday pm
Thursday am
QMH
CT
DCC (4hrs)
Thursday
pm
QMH
SPA (4hrs)
Friday
am
VHK
Audit/teaching/
revalidation
Reporting
Friday
pm
VHK
MRI
DCC (4hrs)
(4hrs)
DCC (4hrs)
* Each fixed session equates to a 4.0 hour Direct Clinical Care Session as defined by the
new consultant contract
*This timetable represents the type of work we would expect you to undertake. The precise
timetable will be discussed to take into account departmental needs and
interest/experience of appointee. This would include the possibility of extending the job by
up to 2 EPAs if mutually acceptable.
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Out of hours
The current on-call rota is 1:9 and accounts for 4 hours of DCC activity. We have now
outsourced on call CT to an external company between 10 pm and 7 am Monday – Friday
and 8 pm to 8 am Saturday and Sunday. There is a secure network to allow reporting of
on call scans from home.
Out of hours interventional radiology is performed in Ninewells Hospital, Dundee.
Although a split of 9:1 between direct clinical care PAs and supporting professional
activities is now the advertised standard for all new consultant job plans within NHS Fife;
we continue to support an 8:2 split, provided this can be justified by SPA commitments.
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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
£ 76,001 £ 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
You have the option to join the NHS Superannuation Scheme, to participate in
the State Earnings Related Pension Scheme or to take out a Personal
Pension. Employee’s contributions to the NHS Scheme are Tiered based on
your earnings and the employers contribution equates to 13.5 % of salary.
Employees in the NHS Scheme are “Contracted-out” of the State Earnings
Related Pension Scheme and pay a lower rate of National Insurance
contributions. Employees who choose to participate in the State Earnings
Related Pension Scheme pay the higher rate of National Insurance
contribution. A Stakeholder Pension is also available. A Personal Pension is a
private arrangement agreed with the pension provider that will be an
organisation such as a Bank, Building Society or Insurance Company.
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
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 Fife and will required to be
repaid through a payroll deduction mandate from the successful candidate’s
first salary.
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 Fife 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
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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.
GENERAL
EQUAL OPPORTUNITIES
The postholder will undertake their duties in strict accordance with NHS Fife’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.
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FURTHER INFORMATION
For further information on NHS Fife, please visit our website on www.show.scot.nhs.uk
View all our vacancies at www.medicaljobs.scot.nhs.uk
Applicants wishing further information about the post are invited to contact Dr J. Serhan at
j.serhan@nhs.net with whom visiting arrangements can also be made.
We would be happy to consider applications on a part-time or job-share basis and NHS Fife has a
number of Family Friendly Policies.
HOW TO APPLY
Application forms should be submitted electronically to angela.mitchell1@nhs.net
quoting reference number. An information pack can be obtained at the same email
address.
Closing Date: 28th February 2015
Anticipated Interview Date: 2nd April 2015
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NHS FIFE
OPERATIONAL DIVISION
SHORTLISTING CRITERIA FOR APPOINTMENT OF
CONSULTANT MEDICAL AND DENTAL STAFF
General statement on NHS Fife equal opportunities: NHS Fife is an Equal Opportunity employer. Its aim is to
ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, marital status,
religion, colour, race, nationality, ethnic or national origins, and is in no way disadvantaged by conditions which cannot
be shown to be justifiable.
The format below is suggested as a basis for preparation of shortlisting criteria for individual posts by the
appropriate Clinical Director or Consultant in Charge of Department in conjunction with the Chairman of the
Advisory Appointments Committee.
Any essential criteria may be indicated with an E in the right hand column.
POST Consultant Diagnostic Radiology
CRITERION
EXPECTED MINIMUM
1
Length of Service
Minimum training requirement for CCT
2
Qualifications
MBChB or equivalent
Accreditation by relevant committee eg
possession of Certificate of Completion
of Specialist Training (CCST)
CCT or equivalent in diagnostic radiology
3
Advanced clinical training and experience
At least 6 month ‘Specialist option’ block during
training for specialist interest
4
Teaching experience
Interest in teaching desirable
5
General experience
Interest in educational supervision and appraisal
desirable
6
Particular requirements and/or areas of special
interest
Any subspecialty interest desirable
7
Research and publications
Desirable
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8
Management training
Desirable
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