NHS DUMFRIES AND GALLOWAY
CONSULTANT
Description
PHYSICIANJob
WITH
AN INTEREST IN
DIABETES AND ENDOCRINOLOGY
Closing Date:
LOCUM CONSULTANT PHYSICIAN WITH AN
INTEREST IN DIABETES & ENDOCRINOLOGY
MATERNITY COVER
April 2015
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NHS DUMFRIES & GALLOWAY
LOCUM CONSULTANT PHYSICIAN WITH AN INTEREST IN
DIABETES AND ENDOCRINOLOGY
JOB DESCRIPTION
THE POST
This is a post to cover a period of maternity leave. The successful applicant will join a team which
consists of a Consultant in Diabetes and Endocrinology, a Consultant Biochemist with an interest in
diabetes and weight management, a Speciality Doctor in Diabetes and General Medicine, two (wte)
Specialist Nurses, 3 Community Diabetes Specialist Nurses and 4 Specialist Dieticians and will be
based at Dumfries and Galloway Royal Infirmary. Over the last 10 years the diabetes service has
undergone a period of substantial redesign and offers all aspects of modern diabetes care including
delivery of the DAFNE and DESMOND structured education, a multidisciplinary ANC,
multidisciplinary foot clinic, a combined renal/diabetes clinic, a CSII pump clinic and a transitional
diabetes service. Diabetes care is delivered from a dedicated diabetes centre located on the
Crichton Campus.
DUMFRIES AND GALLOWAY REGION
The population of Dumfries and Galloway is 148,000, within a large geographical area of about
2,500 square miles. Dumfries and Galloway stretches from Langholm in the East to Stranraer in the
West, and from Kirkconnel in the North down to the Solway Coast. There are a number of
community hospitals in various towns throughout the region, and an intermediate unit – Galloway
Community Hospital (with medical and maternity in-patient beds) in Stranraer.
Dumfries has a population of approx. 48,000 and is situated in the eastern half of the region. The
River Nith runs through the town to the Solway coast and the city of Carlisle is approximately 45
minutes drive from Dumfries. Glasgow is within 1½ hours, Edinburgh and Newcastle within 2
hours, and Manchester and Liverpool within 2½ hours driving time from Dumfries.
Dumfries and Galloway offers the very best of Scottish countryside............from rugged cliffs and
sandy beaches to forests, hills and rolling plains. You’re spoilt for choice in the range of activities
on offer, with watersports, fishing, birdwatching, golf, mountain-biking or cycling along the
network of rural roads . . . and much more. The Southern Upland Way runs for 212 miles from
Portpatrick in the west to Cockburnspath in the eastern Scottish Borders, through some of
Scotland’s wildest country.
There are many attractions, ranging from the University Town of Dumfries, Scotland’s National
Booktown Wigtown, Artists’ Town Kirkcudbright, Castle Douglas Food Town to the historic
monuments, castles and abbeys, beautiful gardens, fascinating museums throughout the region. The
local Council is committed to investing in education, with high achieving schools that earn top
marks in HM Inspector of Education Reports. Children are encouraged to develop their talents and
interests, with first-class opportunities in music, arts and sports. High quality sport and leisure
facilities are available throughout the region. Property offers exceptionally good value, at very
competitive prices.
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NHS DUMFRIES & GALLOWAY
NHS Dumfries & Galloway became operational on 1st April 2003 when the two Trusts (Acute &
Maternity and Primary Care) were dissolved and one NHS organisation was created, incorporating
all NHS services along with the Health Board. NHS Dumfries & Galloway has led the process of
integration and is seen as the model for the rest of Scotland to follow. Continuing new investment
has resulted from the system always having met all financial and waiting times targets.
Structure
The NHS Board has its headquarters on the Crichton site in Dumfries. Comprising executive and
non-executive Directors, its key responsibility is to ensure delivery and development of the local
Health and Community Care Plan. You can see a copy of the HCCP on the NHS Dumfries and
Galloway website on www.nhsdg.scot.nhs.uk.
Staff
NHS Dumfries & Galloway employs over 4500 staff from a range of different clinical and nonclinical backgrounds, made up of the following broad groupings:
Nursing/Midwifery
Administrative Services
Support Services
Medical & Dental
Emergency Services
Other Therapeutic
49.1%
17.9%
11.5%
7.5%
0.4%
2.4%
AHPs
Senior Management
Healthcare Sciences
Medical & Dental Support
Personal & Social Care
6.8%
0.5%
2.7%
1.1%
0.1%
Services
A wide range of services are provided from over 50 bases across the region. These services are
provided via one of seven General Management Directorates – Operations, Acute, Diagnostics,
Primary Care & Community Care – East, Primary Care and Community Care – West, Women’s &
Children’s Services, and Mental Health. Most acute services are based at Dumfries and Galloway
Royal Infirmary with a network of out-patient clinics held throughout the region and a range of
acute services provided at the Galloway Community Hospital in Stranraer.
The map below highlights the main service bases throughout the region.
NHS
STRATHCLYDE
KIRKCONNEL
SANQUHAR
BORDERS
MOFFAT
THORNHILL
Annandale & Eskdale Locality
Nithsdale Locality
AYRSHIRE & ARRAN
LOCHMABEN
DUMFRIES
LANGHOLM
LOCKERBIE
Stewartry Locality
NEWTON
STEWART
Wigtown Locality
Gretna
ANNAN
CASTLE
DOUGLAS
Eastriggs
DALBEATTIE
STRANRAER
Carlisle
CUMBRIA
KIRKCUDBRIGHT
DUMFRIES and GALLOWAY
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Dumfries and Galloway Royal Infirmary
Dumfries and Galloway Royal Infirmary contains 352 staffed beds (+ 11 cots), and includes the
Departments of:
 Anaesthetics
 Cardiology
 Dermatology
 ENT Surgery
 General Medicine
 General Surgery
 Geriatric/Rehabilitation/Stroke Medicine
 Haematology
 Laboratory Services
 Neurology
 Obstetrics and Gynaecology
 Ophthalmology
 Oral and Maxillofacial Surgery
 Orthodontics
 Orthopaedic Surgery
 Paediatrics
 Palliative Care
 Radiology
 Renal Medicine
 Urology
The Operating Department, adjacent to the Day Surgery Unit, has six theatres (one allocated for
emergency cases), endoscopy suite and minor treatment area. There is an Intensive Care Unit of
four beds and a Surgical High Dependency Unit of four beds. There is also a separate theatre in the
Ophthalmology Day Case ward.
DGRI Education Centre
Dumfries and Galloway Royal Infirmary is the recognised Post-Graduate Medical Centre for southwest Scotland. The Education Centre has recently been refurbished, with state of the art facilities
enabling us to deliver using a range of teaching methods, and providing videoconferencing
facilities.
Dumfries and Galloway Royal Infirmary welcomes students from Glasgow (departments of
medicine, surgery, trauma and orthopaedics), Edinburgh (departments of geriatrics, psychiatry,
paediatrics and obstetrics), and Dundee (department of psychiatry).
The curricula of the universities differ, and appropriate induction are provided into the methods
used in the department selected.
In addition to undergraduate teaching Foundation and GPST programmes run, other specialist
training posts are run as blocks from regional programmes.
There is a good programme of departmental teaching in all departments, and CPD for primary and
secondary care clinicians.
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For further information on the
www.dgeducationcentre.scot.nhs.uk
Dumfries
and
Galloway
Education
Centre
go
to
DGRI Future Re-development
It is an exciting time in Dumfries and Galloway as a new District General Hospital is being built,
due to open in 2018. Redesign of services at Dumfries & Galloway Royal Infirmary is currently
underway. NHS D&G have been given the approval to start planning for a ‘new build’ hospital on
a site on the western outskirts of the town. This new build will ensure NHS Dumfries & Galloway
staff are able to continue to provide high quality clinical care to the population of Dumfries &
Galloway in a modern environment. Full information on the DGRI Redevelopment Project can be
found on the NHS Dumfries & Galloway website – www.nhsdg.scot.nhs.uk
Please click on the link below to experience a walk-through of our new state of the art hospital.
https://www.youtube.com/watch?v=425ePpuzzy4&feature=youtu.be
Galloway Community Hospital
The Galloway Community Hospital is located in Stranraer, 75 miles from Dumfries. It opened in
September 2006 replacing the former Dalrymple and Garrick Hospitals.
Services provided at this site include Day Surgery (12 trolley area); Assessment & Rehabilitation
(24 beds); Palliative Care (2 beds); Acute Medicine (20 beds); Maternity Services (2 beds); Renal
Services (4 station unit haemodialysis); as well as Accident and Emergency, Anaesthetics,
Laboratory, Radiology, Out-patients (provided by a number of Consultants and specialist nurses
from Dumfries & Galloway Royal Infirmary), and Out-of-Hours.
Health professionals based in the Galloway Community Hospital include: Physiotherapy,
Occupational Therapy, Speech and Language, and Podiatry Services.
Crichton Royal Hospital
Crichton Royal Hospital is located in Dumfries, adjacent to the Royal Infirmary site. It has 75 beds
in admission wards on the Crichton campus and a further 71 beds in other NHS facilities within a
mile radius of the Crichton campus. These facilities have an average annual admission rate of over
700 and approximately 7,000 out-patient attendances per year. They provide a full range of
psychiatric services for patients of all ages in the Dumfries & Galloway region. The Emergency
Department is supported by a Psychiatric Liaison Nurse.
A new Mental Health facility is currently under construction on a site adjacent to the Crichton
Campus. Facilities provided at the new site will include - a 15 Bed elderly ward; 14 bed
dementia/organic illness ward; 6 bed IPCU; 17 Bed adult ward; Acute hub accommodation; 8
Bed rehab recovery; 8 Bed rehab long stay; and Rehab hub accommodation. Construction work for
the new facility is scheduled for completion in the spring of 2012.
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Community Hospitals
As well as the Galloway Community Hospital, there are a further eight Community Hospitals
within Dumfries and Galloway:
Annandale & Eskdale
 Annan Hospital
24 beds (palliative care and rehabilitation)
 Lochmaben Hospital
16 beds (palliative care and rehabilitation)
 Moffat Hospital
12 beds (GP acute and rehabilitation) and Minor Injuries Unit
 Thomas Hope Hospital
12 beds (palliative care and rehabilitation)
Dumfries & Upper Nithsdale
 Thornhill Hospital
13 beds (rehabilitation)
Stewartry
 Castle Douglas Hospital
21 beds (GP acute and rehabilitation) and Minor Injuries Unit
 Kirkcudbright Hospital
14 beds (GP acute) and Minor Injuries Unit
Wigtown
 Newton Stewart Hospital
22 beds (GP acute, palliative care and rehabilitation) and Minor Injuries Unit
(In some cases patients may be admitted directly from the DGRI Emergency Department to
Community Hospitals through local General Practitioners)
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THE DEPARTMENT OF MEDICINE
The Medical Unit provides acute hospital medical services to the population of South-West
Scotland. The Division meets once weekly to discuss the challenges of the unit, which recently
have included MMC and targets for acute medical admissions. The Consultant Physicians who
participate in the emergency on-call rota are as follows:
Dr P Rafferty, Dr S Little
Medicine
Dr MJ McMahon
Dr G Jones
Diseases
Dr F Green, Dr L Clark (this post)
Endocrinology
Dr S Saha, Dr A Wahab
Dr IFC Hay, Dr R Holden
Elderly
Dr S Finlay
Respiratory
Rheumatology
Infectious
Diabetes&
Gastroenterology
Care
of
the
Acute Medicine
The following Consultant Physicians provide specialist services only:
Dr GW Tait, Dr A McKay, Dr H Ahmed (Locum), Dr H Elmahy
Dr L Yeo, Dr C Malone
Dr O Dolezal
Dr A Stark, Dr R Thomas, Dr M Khan
Dr S Pickstock
Dr T Muniraju, Dr K Donaldson
Dr A McKendrick
Cardiology
Dermatology
Neurology
Haematology
Palliative Care
Renal Medicine
Rehabilitation
Associate Specialists/Specialty Doctors:
1 x Cardiology
2 x Renal Medicine
2 x Care of the Elderly
2 x Rheumatology
2 x Rehabilitation
1 x Respiratory Medicine
1 x Gastroenterology
1 x Diabetes
1 x Infectious Diseases
The Medical Unit is currently staffed by the following junior doctors:
2 x ST3
2 x CT2
3 x CT1
7 X GPSTs
4 X FY2
6 X FY1
Emergency Medical Care
There are 117 General Medical beds, 50 beds in Geriatrics/Rehabilitation and an 8-bedded Medical
High Dependency Unit/Coronary Care Unit (distinct from the Surgical High Dependency Unit and
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Intensive Care Unit). The 10 bedded Stroke Unit is incorporated into ward 12. There is an 18station haemodialysis unit for renal patients within the hospital.
Endocrine and general medicine out-patient clinics are held at the Royal Infirmary. Diabetes clinics
are delivered in the diabetes centre and in a number of peripheral locations
The undergraduate teaching commitment is principally to Glasgow and Edinburgh University
students during their final two years and to elective students from other Universities, with an
increasing number of students applying to undertake Special Study modules. We attract
postgraduate Clinical Attachments and have an active programme of teaching for SHOs preparing
for MRCP examinations.
DIABETES & ENDOCRINOLGY
This post will provide maternity cover for one of the current two Consultant Physicians with an
interest in Diabetes and Endocrinology. Dr. Fiona Green took up post in 2004 and has developed
the lead role in the service as well as establishing the pump transitional service and the
renal/diabetes clinic. Dr Ewan Bell joined the Trust in 2005 as Consultant Clinical Biochemist and
has a strong commitment to supporting the diabetes service as well as providing lipid and metabolic
clinics in addition to his role in the biochemistry department. Dr Louise Clark joined the team in
2012 and has established a very active multidisciplinary the foot clinic.
There is a robust Managed Clinical Network for Diabetes which developed a strategy for delivering
Diabetes care over the next five years. The network is well represented from both Acute and
Primary Care, working in partnership to develop the service. The successful candidate will be
expected to participate in the MCN.
The current Diabetic and Endocrine Service comprises:
DIABETES
 There are currently 4 general diabetic outpatient clinics per week in Dumfries and Galloway
which are held in diabetes centre based at Crichton Royal Hospital (on the same site as
Dumfries and Galloway Royal Infirmary). The successful applicant will do 1 or 2 of these
clinics.

A combined diabetic antenatal clinic runs weekly and a pre-pregnancy counselling service is
integrated into this.

A joint foot clinic involving a specialist diabetes podiatrist, Diabetes Specialist Nurse,
Orthoptist, vascular surgeon and diabetologist runs on a weekly basis.

Renal/diabetes clinics run twice monthly.

Pump clinics run twice monthly.

Dumfries was one of three pilot sites in Scotland to run the DAFNE programme and has been
running the programme since 2005. These courses are now established and proving to be
invaluable for our Patients with type 1 diabetes.

Galloway Community Hospital (GCH) clinics – monthly Diabetes and Endocrinology clinics as
well as weekly Diabetes telemedicine to GCH.
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
All newly diagnosed type 2 patients in Dumfries and Nithsdale and Stewarty LHP’s attend the
DESMOND education programme. Audit has shown this to improve glycaemic control. This
programme will be rolled out to our final LHP in the next year.

A monthly adolescent clinic with input from both the paediatric and adult services was
established in 2004.
Current support for the diabetes service comprises: 
Two wte experienced diabetic specialist nurses are currently in post in Dumfries Royal
Infirmary. The nurses have experience in CSII therapy and all nurses are DAFNE trained.

3 LHP based diabetes Specialist nurse (with a nursing/educational background) are based in
Dumfries & Nithsdale and Annandale & Eskdale. This post plays a pivotal role in bridging the
primary / specialist care interface. These nurses have enhanced skills in achieving behaviour
change and are skilled in a variety of psychological tools including motivational interviewing
and CBT. These nurses are both DAFNE and DESMOND trained.

Four diabetes dieticians (DAFNE, DESMOND trained and pump trained) aligned whole time to
the service and participating in the regular DGRI based clinics.

We have links to psychology and have weekly supervision meetings.

Experienced podiatry help is available at the routine diabetes return clinic on Tuesday morning
and at other times by request. Excellent links with region wide podiatry services with ability to
provide regional specialist service – each LHCC has a senior 1 podiatrist with a high risk liaison
remit. The lead podiatrist inputs into the multidisciplinary foot clinic together with orthotics.

A Comprehensive diabetic register using the SCI-Diabetes System has been implemented
recently and there is separate diabetes secretarial support for the clinics. Current figures show
that there are approximately 6100 individuals with Diabetes in Dumfries and Galloway and
approximately 900 of them have type-1 diabetes.

Dumfries and Galloway use digital retinal screening programme as outlined in the Scottish
Diabetes Framework and have the highest rate of screening in Scotland.

A new diabetes centre was developed in Crichton Royal Hospital in 2005. This centre provides
dedicated consultation and education facilities as well as an office base for the diabetes team.
There is a long-standing commitment in general practices throughout the region to provide diabetes
care to their own patients. The impetus for that has, of course, been re-energised by the new GMS
contract but prior region-wide audits showed good compliance with all the basic elements of good
practice.
ENDOCRINOLOGY
Currently there are 4 endocrine clinics per week in Dumfries Royal infirmary. In conjunction with
this, a nurse led endocrine testing service has been established. Radioiodine therapy is available for
patients with thyrotoxicosis. Neurosurgery for pituitary disease is currently carried out in
Edinburgh with links to Glasgow for adrenal surgery.
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PERIPHERAL CLINIC COMITTMENTS
 Monthly all day clinics in GCH
 Telemedicine clinics weekly to GCH
 6 weekly into ward at GCH combined with short clinic
Research and Audit
There are active linked Research and Development Department and Clinical Audit Departments
within the Royal Infirmary and with the Scottish Diabetes Research Network Support for research
(including “own account” organisation as sponsor) has always (as published work will testify) been
a major strength in Dumfries. We were part of the Scottish type 1 bioresource programme and we
are one of the sites chosen by HTA to evaluate pump therapy versus DAFNE (REPOSE study). We
are of course part of the DAFNE collaborative. We participate in the Scottish diabetes survey and
the Scottish audit of diabetes in pregnancy. We are involved in a number of commercial drug trials.
Education
There are weekly clinical meetings organised by the Department of Medicine on Wednesdays and a
journal club on Fridays. Links with tertiary centres for continued professional development is
encouraged.
A clinical timetable is attached to this job description detailing the commitments expected of the
post holder. This will be subject to review on appointment of successful candidate.
Key Result Areas

Maintaining the high quality of clinical teaching for medical students that has existed in
Dumfries & Galloway for some years, with the feed-back reports from students being used as an
outcome measure.

Taking part in clinical audit, and all aspects of clinical governance as required by the
Department.

Completing satisfactory CPD, and an appraisal process.

The Hospital has a Research Department, and the post-holder will be able to obtain support in
the preparation and carrying out of research projects, a development which will be encouraged.

The postholder will be expected to work well with an extended multi-disciplinary team,
ensuring good communications and co-operation with all members of the medical staff.
QUALIFICATIONS
All candidates are required to be on the GMC Register.
The candidate will hold a CCT or be within 6 months of obtaining the certificate, or will be an
established Consultant.
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TERMS AND CONDITIONS OF SERVICE
General
Subject to the Board’s Terms and Conditions of Service, the postholder is required to:
observe the Board’s agreed policies and procedures, drawn up in consultation with the
profession on clinical matters.

follow the Standing Orders and Financial Instructions of the Board.

comply with Health and Safety Policies, in particular in managing employees of the Board.

follow the Board’s personnel policies and procedures.

comply with all reporting requirements, systems and duties of action put in place by the
Board to deliver research governance.
Conditions of Service
The post is covered by the Terms and Conditions of Service of Hospital Medical and Dental Staff.
The post is non-resident, but temporary married or single accommodation can be made available.
Salary scale
£76,761 - £103,490 (depending on seniority point)
ENQUIRY ARRANGEMENTS
For any further details please contact Dr F Green, Lead Clinician/ Consultant Physician with an
interest in Diabetes and Endocrinology - 01387 246246; e-mail address – fiona.green@nhs.net or
Dr K Donaldson, Associate Medical Director Acute Services –01387 241861; e-mail address –
kdonaldson@nhs.net
Arrangements to visit the department can be made through Patsy Pattie, Project Lead for Medical
Recruitment on 01387 241790 or email: patsy.pattie@nhs.net.
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NHS DUMFRIES & GALLOWAY
SELECTION CRITERIA
Appointment of:- CONSULTANT PHYSICIAN
With an Interest in Diabetes and Endocrinology
JOB
REQUIREMENT
Qualifications
Experience
ESSENTIAL
DESIRABLE
Candidates must hold MRCP or
equivalent and be included on the
General Medical Council’s Specialist
Register or hold CCT in diabetes +/endocrinology
Wide general experience in all aspects
of general medicine, diabetes/thyroid
disease
Clinical Skills & Whole spectrum relevant to all aspects
Technical
Skills (out and in-patients) of diabetes care
/general
Medicine.
Basic
Knowledge
endocrinology
Ability
Particular
expertise
endocrinology
in
As above
Able to take full responsibility for
secondary diabetic care and participate
in the managed clinical network
Able to liaise effectively with
colleagues in other centres, in primary
and secondary care
Motivation
Personality
Teaching
Committed to :

quality patient care

learning and CME

effective use of resources
Enthusiastic
Able to cope with stress
Get on well with colleagues across
primary and secondary care
Good communicator, especially with
clinical colleagues
Willing to work in team as part of
managed clinical network
Able to organise own time
Willing to contribute to teaching of
colleagues
within
and
outwith
department
Willing to take full part in formal
teaching of medical students,
junior medical staff and general
practitioners
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Able to motivate
departmental colleagues
Audit
Track record of experience of
designing and effecting audit
programmes
Research
Previous
experience
of
participating in clinical research
Management
Ability
Full contribution to diabetes
services group and diabetes
managed
clinical
network
meetings and activities
Other
Prepared to show flexibility patterns in
conjunction with colleagues
Current driving licence
Full registration with GMC
Prepared By :
Date: April 2015
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LOCUM CONSULTANT PHYSICIAN WITH AN INTEREST IN DIABETES AND ENDOCRINOLOGY
14
AM
PM
Ward round
General thyroid clinic
Monday
1 in 18 Monday rota clinic at GCH
Tuesday
SPA
Diabetes clinic
Wednesday
Admin
Alternate weeks
Foot clinic
Medical division meeting
3rd of month Stranraer Clinic
Telemedicine clinic weekly to GCH
Thursday
Ward round
Clinic (3rd of month Stranraer clinic)
Friday
Endocrinology Clinic
Admin
or
or
(1 in 9 Friday is Stranraer per Gen Medical rota Ward Round and
clinic 11:30-16:00)
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(1 in 9 Friday is Stranraer per Gen Medical rota Ward Round
and clinic 11:30-16:00)