NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
MS/0614/01
Quote on all correspondence
Consultant
Monklands Hospital
10 PAs per week and 1.5 EPAs available
Consultant
Friday 27th June
Your Application
Thank you for expressing an interest in the above post within NHS Lanarkshire.
Please find all the relevant information attached to begin the application
process.
Should you require further information regarding this post you can contact the
Medical Staffing team or make informal enquiries with the department using the
contact details below.
To ensure we can process your application as easily as possible please
complete all the information required within the Application Pack and email
with your CV.
Contact Details
Telephone
Email
Application
Process
To apply, please email your CV to the above, along with the attached
completed Application Pack.
Application Pack .doc
01698 377735
Pamela.Migues@lanarkshire.scot.nhs.uk
Lanarkshire NHS
Inserts.pdf
Additional
Arrangements
Informal enquiries regarding this post will be welcomed by:Dr. M Malekian
Associate Medical Director
01698 366562
Dr. R Mackenzie
Chief of Medical Services
01236 714002
Mrs. R Roberton
Director of Hospital Services
01236 712443
Dr N Kennedy
Clinical Director
01236 748748
Dr E McIntyre
Consultant
01236 742361
Dr T C Sandeep
Consultant
01236 743140
Date when the
post is Vacant
The post is vacant immediately and a start date will be agreed with the
successful candidate.
NHS Lanarkshire
For further information regarding NHS Lanarkshire and it’s hospitals, please
visit our website:- www.nhslanarkshire.org.uk
We are an Equal Opportunities Employer and Positive about Disabled People.
Page 1
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
POST INFORMATION
The Department Current Post
This is a new Consultant post in Diabetes and Endocrinology and provides
an opportunity to join an enthusiastic and dynamic multi-disciplinary
specialty team (currently with 4 consultants in the specialty). Sub-specialty
interests are encouraged as is clinical research within the department. This
new post has a small regular commitment to Acute Medical Assessment (1
fixed session per week) in addition to specialty and general medical inpatient work. In rotation with colleagues you will participate in the General
Medical on-call rota (currently 1 in 22) and Physician of the Week rota
within the ERU, currently 2.4 weeks per annum.
Diabetes and Endocrinology
Monklands hospital offers good opportunity for a wealth of outpatient and inpatient specialty work and along with the other acute sites within NHS
Lanarkshire (at Hairmyres and Wishaw General Hospital) all the appropriate
co-specialty care is available for diabetes patients and the majority of
endocrine patients. We are closely situated to Glasgow where tertiary
endocrinology services are located. There are strong links to Endocrine
colleagues in Glasgow with regular multi-disciplinary meetings e.g. pituitary
MDT, thyroid pathology meeting, endocrine oncology, etc. Further there are
regular West of Scotland group meetings in the early evening for both
diabetes & endocrinology which is a good opportunity to mix with local
specialty colleagues.
We are fortunate at Monklands to have a designated out-patient area for
diabetes and endocrine work, the David Matthews Diabetes Centre. The
centre is located in the grounds of Monklands hospital. Within the centre
there are 7 clinic rooms, 2 podiatry clinic rooms and podiatry administration
office. There are two rooms used for clinical measurement and clinic
phelobotomy supporting all clinics. The centre also houses the
administration space for the diabetes specialist nurses, dietitians and
research nurses. Further there are two further clinical rooms used for
counseling / individual education or research patients. A valuable space for
team work is the large education room used for group education sessions
including DAFNE courses or pump start courses and multi-disciplinary team
meetings. Finally there is shared office space for medical staff and
secretarial staff within the centre.
Monklands hospital provides all specialized specialty care for diabetes and
general endocrine patients supporting primary care colleagues. As in other
Scottish NHS board areas, the Sci-Diabetes system is used for all diabetes
consultations permitting coordination of all aspects of clinical care and
national adult of diabetes service delivery.
The 4 current consultant staff work together to share the general and subPage 2
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
specialty work permitting flexibility for on-call commitments or leave whilst at
the same time improving continuity of out-patient service. Currently each
week there are review Type 1 and complex Type 2 diabetes clinics, new
patient diabetes clinics, a multidisciplinary foot clinic and an insulin pump
clinic. There is a fortnightly combined Diabetes Renal clinic and a Young
Person Clinic which includes the Paediatric Transition clinic. There are
weekly General Endocrine and quarterly Endocrine Pituitary clinics. The
diabetes service includes a full multidisciplinary team of specialist nurses,
dietitians and podiatry services.
Structured education is delivered to diabetes patients DAFNE for Type 1
diabetes and EXPERT by community colleagues for Type 2 diabetes. There
is a diabetes MCN within NHS Lanarkshire, Dr Sue Arnott (GP) being the
MCN lead clinician and Dr Sandeep Thekkapat (Consultant Physician at
Monklands) is our lead Diabetes / Endocrine clinician.
NHS Lanarkshire has diabetes research nurses based in the David
Matthews Diabetes centre and we are part of the Scottish Diabetes
Research network currently participating in a number of multi-centered
trials.
There has been considerable expansion within the insulin pump service
within the last 12 months and this along with a new pattern of working for all
General Medical Physicians within the Medical Assessment Unit improving
the quality and continuity of patient care has led to the opportunity to recruit
a new consultant colleague. We are keen to attract an enthusiastic
colleague committed to continuing to improve services for diabetes and
endocrine patients as well as colleague skilled at delivering good general
medical care for general medical in-patients. This post offers 2.5 out-patient
clinic sessions as part of a 10 PA contract with additional appropriate
clinical administration time. Further EPAs for specialty work can be
discussed. It would be anticipated that a complex T2DM or complication
clinic would be included within the weekly timetable for the successful
applicant but balanced with a mix of T1DM work and endocrinology. All
specialty colleagues work jointly in clinics and this provides flexibility on a
weekly basis but also opportunity for the successful applicant to contribute
to sub-specialty areas following agreement with colleagues and the clinical
director through job planning.
Acute Medicine and the Emergency Receiving Unit
Monklands hospital admits just under 14,000 acute medical admissions per
annum, with around half of these coming from A&E and the other half
constituting GP referrals. Most acute medical admissions are initially
transferred to a short-stay bed on the Emergency Receiving Unit (ERU). A
smaller number of patients will be admitted directly from GPs and/ or A&E
to a specialty bed (Coronary Care, Infectious Diseases, Renal Medicine,
Haematology or Dermatology).
Approximately 50% of patients are
discharged within 48 hours, the majority from ERU. Patients requiring a
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NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
longer stay in hospital are allocated a hospital inpatient bed on a specialty
ward that is determined, as far as possible, by the patient’s clinical needs.
The rota arrangements for Acute/ General Medicine at Monklands are
currently under review and have changed substantially in 2014, with a view
to moving to a new model that is more closely aligned to the Standards that
have been developed by the Society for Acute Medicine (SAM). Enhanced
front-door consultant continuity will be an important component of this
model. Acute Physicians and General Physicians, supported by Care of the
Elderly consultants, will provide a comprehensive ‘front door’ service.
Funding has been sought for a substantial investment in new Acute
Physician posts to support this development.
Critical Care
There is excellent 5-bedded Intensive Care Unit at Monklands Hospital, run
by Intensivists/ Anaesthetists, but with ongoing consultant physician input
into the care of relevant patients. A 4-bedded medical HDU has also been
established, which is co-located with the existing Monklands Coronary Care
Unit (CCU). A Primary Coronary Intervention (PCI) service for Lanarkshire
was established in October 2008, which means that patients with acute STelevation MI are transferred directly to the cardiac catheterization laboratory
at Hairmyres Hospital rather than being admitted to CCU at Monklands.
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NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
The Post
Consultant Physician in Diabetes / Endocrinology and Acute Internal
Medicine
General
Provisions
You will be answerable to Clinical Director, who will agree your job plan.
Health and
Safety
You are required to comply with NHS Lanarkshire Health and Safety
Policies.
Junior Medical
Staff
You will be responsible for the training and supervision of the Junior
Medical staff who work with you, and you will be expected to devote time to
this on a regular basis. In addition, you will be expected to ensure that staff
have access to advice and counseling. If appropriate, you will be named in
the contracts of Doctors in training grades as the person responsible for
overseeing their training and as the initial source of advice to such Doctors
on their career.
Resources
The following resources are available:Consultants
Consultant Physicians
Care of the Elderly Physicians
Consultant Physiciansregional and visiting
Special Interest
Diabetes and Endocrinology, Cardiology,
Respiratory Medicine, Infectious Diseases,
Gastroenterology, Renal Medicine,
Dermatology, Hematology
Stroke, Falls, Parkinson, Day Hospital,
Hospital at Home (ASSET)
Dermatology, Hematology, Neurology,
Rheumatology, Oncology
Specialist Registrars on rotation from the West of
Scotland Training Scheme.
CMT/ACCS/VTS/FTSTA Trainees
FY2
FY1
12
17
9
10
Secretarial Support:
Secretarial support will be provided for the post from within existing medical
division resources.
Office/ Desk/Computer will be available for this post.
Page 5
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
DUTIES AND RESPONSIBILITIES
Main Duties
The Out-Patient duties for the post will primarily be at the David Matthews
Diabetes Centre where 2.5 PAs of clinic work per week will be scheduled.
Further EPAs for specialty work are available and candidates are welcome
to discuss this further on application. Clinics include new and review
Diabetes (including subspecialty) clinics, new and review Endocrine and
monthly General Medical follow-up clinics.
In-Patient specialty work will involve an equitable share with specialty
colleagues of consultation work within the hospital.
The General Medical In-Patient duties for the post will be on Ward 14
sharing 16 beds within this ward with other specialty consultant colleagues
in rotation. Formal ward rounds are required to occur twice per week as a
minimum with daily contact or board rounds with juniors on days without
formal ward rounds.
The post holder will also join an established group of physicians, including 3
Consultant Physicians in Acute Internal Medicine, in providing high quality
clinical care for emergency medical admissions. You will have specific
responsibilities to provide senior leadership in the Medical Assessment Unit
on a specified clinical day, i.e. you will be responsible for a fixed session per
week. The post holder will also be expected to participate fully in the clinical
and educational supervision of junior medical staff. You will contribute to
protocol development, educational activities and clinical governance and
audit activity. The post holder will contribute to the General Medical On-call
rota on an equitable basis with other colleagues and this includes Physician
of the Week in rotation (1 in 22 currently). Programmed work out of hours
and weekends is payable on a sessional basis and also an availability
supplement is payable for on-call duties out-with scheduled work.
Work
Programme
As required under Section 3 of the Terms and Conditions of Service, the
duties and responsibilities are supported by a job plan and work programme
detailed as follows:
Job Planning/Programmed Activities
The job plan will be dependent on the successful candidate’s subspecialty
training and interests. Although advertised as a 10 PA contract, the option
for additional EPAs (maximum of 2) for specialty work is available. A
minimum of 1 SPA will be included in the job plan, with additional SPA time
potentially available depending on service needs and the time required to
support the successful candidate’s professional activities.
Page 6
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
Based on a core 10PA contract, the breakdown of sessions is as below:
 1.3 PA (annualised) for Acute Physician AMU/ ERU session (e.g.
every Monday PM)
 2.5 PAs of out-patient specialty clinics
 1 PA for SPA time
 1.5 PAs for clinical administration
 1.5 PAs for ward 14 ward round duties
 1.7 PAs (annualised) for POW / POD and weekend out of hours work
 0.25 PAs for MDT
 0.25 PAs for specialty consultations
An indicative timetable is shown below (see ‘Fixed Commitments’)
Fixed
Commitments
On taking up the post a Job Plan will be agreed between the successful
applicant and the Clinical Director. The Job Plan will be reviewed informally
after 3 months in post and then again on a formal basis after 6 months.
Days
Hours Type of Work
Location
Monday
AM
General medical WR
Ward 14
PM
Tuesday
AM
PM
Wednesday AM
PM
Thursday
AM
PM
Friday
AM
PM
Patient assessment / Monklands Hospital
Ward round
AMU/ ERU
Clinical administration
Monklands Hospital
Office
SPA
Monklands Hospital
Office
Specialty referral
Monklands hospital and
MDT
David Matthews Diabetes
Centre
Specialty Clinic
David Matthews Diabetes
(alternate weeks)
Centre
General medical WR
Monklands Hospital ward
14
Specialty clinic
Monklands Hospital
David Matthews Diabetes
Centre
Specialty clinic
Monklands Hospital
David Matthews Diabetes
Centre
General medical Board Monklands Hospital ward
round ward 14
14
Clinical administration
Office
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NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
In addition, other
activities not
occurring at fixed
times.









Reviewing new admissions.
Discussing referrals, in patient and out patient with Colleagues
Discussing management/investigation of patients with colleagues in
other appropriate Clinical Support Services
Ward Referrals, Discussing patient management/ reviewing patients
with doctors in training and Nursing Staff out with formal ward rounds.
Speaking to GP’s, outpatients re results.
Vetting Fast Track clinic referrals/ allocating appointments
Service Development
CPD and Appraisal
Audit
Review of the
Job Plan
This job plan is subject to review at least once a year by the post holder and
the Specialty Clinical Director/Clinical Lead as noted in the terms and
conditions. The procedures set out in the ‘Terms & Conditions of Service’
must be followed if it is not possible to agree a job plan, either initially or at
an annual review.
Audit and
research
The successful candidate will be expected to participate in audit processes
and there is an active clinical audit department available to assist. An
interest in research will be supported.
Continuing
Professional
Development
Study leave is available within the terms and conditions of service with the
approval of the Specialty Clinical Director/Clinical Lead. The appointee will
be required to fulfill such demands for continuing professional development
as the Royal College of Physicians (or other relevant bodies) may make.
Honorary
Academic Status
If involved in undergraduate teaching status can be applied for.
Applications can be made via the Hospital Sub-dean and then to the
appropriate academic department within the University.
Page 8
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
PERSON PROFILE
Attributes
Qualifications
Training
Research
Publications
Experience
Knowledge and Skills
Disposition
Essential
MBChB or equivalent.
Useful
Higher academic degree (MD, PhD).
MRCP
or
equivalent
qualifications.
GMC Registration with a license CCT in Acute Internal Medicine.
to
practice.
Evidence
of
satisfactory completion of training
in Diabetes and Endocrinology
with a CCT in Diabetes and
Endocrinology or CESR (CP) or
within 6 months of attainment.
Commitment to audit.
Relevant research experience.
Publications in peer-reviewed
journals.
Recent and relevant clinical Experience in the use and
experience and competency in all administration of IT systems
major areas of General Internal
and Acute Medicine.
Knowledge and skills in a wide
range of General and Acute
Medicine.
Excellent team player absolutely
Demonstrated ability to take forward
essential.
projects related to acute medicine.
Good time management and
organisational skills.
Ability to demonstrate initiative
Flexibility towards anticipated future
changes in job description and
service reconfiguration.
Flexible disposition
Empathic
approach.
patient
centred
Enthusiasm.
Good
communication
(verbal and written).
Other
A high level of integrity and
probity.
Interest in teaching.
skills
Car driver.
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NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
If there is any reason why a disabled person
should not be considered suitable for this post,
please provide details:
The post requires physical dexterity. Uncorrected
visual or hearing defect would be incompatible
with the nature of the work.
Name
Prepared By:Dr E McIntyre
Approved By:Dr N Kennedy
Designation
Deputy Clinical Director
Clinical Director
Date
May 2014
May 2014
Page 10
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
TERMS AND CONDITIONS
a)
This appointment is offered on the Terms and Conditions of the new Consultant Contract.
Additional NHS Lanarkshire Policies which support the Contract are listed below and are
available on request:





Additional & External Duties
Fee –Paying Work in the New Consultant Contract
On-Call Availability and Payment of Supplement
Generic Objectives
Resident On-Call Duties
b)
The successful candidate will automatically be taken into membership of the National
Health Service Superannuation Scheme unless he/she elects not to join.
c)
The employment is subject to 3 months’ notice on either side subject always to the
appeal and other provisions of paragraphs 10.4 & 10.5 of the Terms and Conditions of
Service of Hospital Medical and Dental Staff and Doctors in Public Health and the
Community Health Service Consultant Grade.
d)
Reimbursement of certain telephone charges may be payable on application to NHS
Lanarkshire. The successful candidate must be contactable throughout any on-call
period.
e)
The successful candidate, if not already employed by the NHS Lanarkshire, will be
required to complete a medical questionnaire to obtain medical clearance from the
Occupational Health Physician.
f)
The successful candidate will be required to complete a disclosure Scotland PVG
(Protecting Vulnerable Groups Scheme) form. No approach will be made without written
permission of the successful applicant who will be asked to sign and complete a
Disclosure PVG application, giving authorization for the check to be undertaken.
g)
NHS Lanarkshire does not negotiate salary placements. On commencement the salary will
be in line with paragraph 5.1 of the terms and conditions of the new consultant contract.
Appointees start on the scale minimum except in the circumstances of paragraphs 5.1.2 –
5.1.7 of the terms and conditions of service.
Page 11
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
From 1st April 2014 the starting salary for the post is £76,001 per annum (based on 10
Programmed Activities per week). The successful candidate’s total salary will be
dependent on his/her previous service history. Remuneration for any extra programmed
activities will be dependent upon the job plan agreed at the time of appointment.
h)
i)
Dependent upon present place of residence, NHS Lanarkshire may require the
successful candidate to undertake to remove home to a distance acceptable to NHS
Lanarkshire, normally within 10 miles of the base Hospital, in which case removal
expenses will be payable in accordance with NHS Lanarkshire Policy. In some
cases, however, a residence more than 10 miles distant from the base hospital will
be acceptable and in this case removal expenses will be subject to the prior approval
of the Associate Medical Director for such a residence. The position will be made
clear to the successful candidate on application.
Page 12
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
DECLARATIONS/CONVICTIONS STATEMENT
The following should be used when completing DECLARATIONS/ CONVICTIONS within the
application pack.
Registration with the General Medical Council or General Dental Council imposes on doctors
and dentists the duty to provide a good standard of medical care and to behave
appropriately, towards patients. NHS Employees also have a duty to ensure that patients
receive a good standard of medical care and ensure as far as possible the safety of patients.
We therefore need to establish if you have been found guilty of a criminal offence, been
bound over or cautioned or are currently the subject of proceedings which might lead to a
conviction, an order binding you over or a caution, in the UK or any other country.
Applications for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974.
Application forms will include a declaration for applicants to complete declaring any previous
or pending prosecutions or convictions, including those considered “spent” under the Act.
Forms will also include a declaration of any cautions or bind overs.
We also need to establish if you have been the subject of any fitness to practise proceedings
in the past, or if any fitness to practise proceedings are being contemplated, by a licensing or
regulatory body in the UK or another country and this is also reflected in the declaration.
This information will be treated in confidence and will not debar you from appointment unless
the selection panel considers that it renders you unsuitable for appointment. In reaching
such a decision we will consider the nature of the conviction/action, how long ago it took
place and any other factors which may be relevant
Failure to disclose a criminal offence, having been bound over or cautioned or that you are
currently the subject of criminal proceedings, which might lead to a conviction, an order
binding you over a caution, or fitness to practice proceedings undertaken or being
undertaken by an appropriate licensing or regulatory body, may disqualify you from
appointment, or result in summary dismissal/disciplinary action and referral to the General
Medical Council (General Dental Council) for consideration if such a discrepancy came to
light.
If you would like to discuss what effect any previous convictions, police investigations or
fitness to practice proceedings taken or being taken either in the UK or by an overseas
licensing or regulatory body might have on your application, you may telephone: Marlene
Fraser (01698) 377752 in confidence, for advice.
Page 13
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician
Diabetes/Endocrinology & Acute Medicine
IMMIGRATION
Overseas
Doctors and
Dentists
Changes to
Immigration
Impact of
Change
Further
Information
For the purpose of immigration status, overseas doctors and dentists are
those who, regardless of where they obtain their primary medical/dental
qualification, are not nationals of the European Economic Area (EEA). A
list of EEA countries is attached.
On 7th March 2006 the Department of Health announced changes to the
immigration rules for postgraduate doctors and dentists. The changes
came into effect on 3rd April 2006 and mean that all doctors and dentists
who wish to work in the UK from outside the EEA will need to meet the
requirements of an employment category such as the work permit
provisions. New applications for permit-free training visas will no longer
be granted for doctors undertaking training posts
Non-EEA doctors and dentists will still be able to come and train in the
UK and are still eligible to apply, in open competition for training posts
provided all the other eligibility criteria is met. However, training posts
will now be considered employment for immigration purposes. Work
permits will only be issued where there is a specific post for the
overseas doctors that cannot be filled by someone from the EEA.
The changes in immigration requirements for trainee doctors and
dentists are a result of a Scottish Executive Health Department
announcement and immigration issues are the remit of the Home Office.
Clarification and further information can be accessed from the following:Home Office
Work Permits
EEA Countries
www.ind.homeoffice.gov.uk
www.ukba.homeoffice.gov.uk/workingintheuk/
Austria
Greece
The Netherlands
Belgium
Hungary
Norway
Bulgaria
Iceland
Poland
Cyprus
Republic of Ireland Portugal
Czech Republic
Italy
Romania
Denmark
Latvia
Slovakia
Estonia
Liechtenstein
Slovenia
Finland
Lithuania
Spain
France
Luxembourg
Sweden
Germany
Malta
UK
NB – Switzerland is not in the EEA, Swiss Nationals have the same
rights as EEA nationals.
Page 14