CONSULTANT PHYSICIAN IN RESPIRATORY AND GENERAL (INTERNAL) MEDICINE ROYAL ALEXANDRA HOSPITAL INFORMATION PACK REF: 37692D CLOSING DATE: NOON 19TH JUNE 2015 www.nhsggc.org.uk/medicaljobs As you may be aware, the new South Glasgow University Hospital and new Royal Hospital for Sick Children are due to open on the current Southern site early in 2015. With this in mind, please note that positions based within the Victoria Infirmary, Mansionhouse Unit, the Western Infirmary and the current Royal Hospital for Sick Children at Yorkhill will change location and move to the new hospitals. Gartnavel General Hospital and Glasgow Royal Infirmary will also have some services affected by moves to the new Hospitals. These changes mean your base may change after joining us and you will be informed as soon as possible prior to any change of base. SUMMARY INFORMATION RELATING TO THIS POSITION POST: CONSULTANT PHYSICIAN IN RESPIRATORY AND GENERAL (INTERNAL) MEDICINE BASE: ROYAL ALEXANDRA HOSPITAL Applications are invited for the post of Consultant Physician in Respiratory and General (Internal) Medicine. The post will be based at the Royal Alexandra Hospital. This post will replace a retiring physician but we would aim to accommodate the special interest of the successful candidate depending on service need. The successful candidate will integrate with existing consultant colleagues and provide clinical excellence in Respiratory Medicine within the Royal Alexandra and Vale of Leven Hospital. This post will offer an opportunity for the successful candidate to be involved in the provision of a successful modern consultant led service. All major specialties are represented within the Royal Alexandra Hospital with Consultant Physicians with special interests in Acute Medicine, Cardiology, Diabetes & Endocrinology, Gastroenterology, Respiratory Medicine, Rheumatology and Elderly Care. Applicants must have full GMC registration and a licence to Practise. 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. Particulars of the following post: Consultant Respiratory Physician with acute medical duties based at the Royal Alexandra Hospital, Paisley, with clinical commitments at the Vale of Leven Hospital, Alexandria. 1. General Information The Royal Alexandra Hospital (RAH) is situated in Paisley and provides acute health care services to Renfrewshire District, serving a population of approximately 205,000. The RAH is one of the largest and busiest non-teaching District General Hospitals (DGH) in Scotland. The hospital has 968 beds and was opened in 1986. The hospital is also the base for provision of surgical, orthopaedic, ophthalmology, paediatric and the majority of maternity services to the population north of the Clyde served by the Vale of Leven Hospital (VOL). The RAH provides a wide range of DGH specialties with excellent support facilities. The hospital has a first class radiology department with modern facilities, and recently acquired a second CT scanner. All departments participate in undergraduate teaching, and there is an active postgraduate educational programme. The hospital enjoys an enviable reputation for undergraduate teaching and is highly popular with trainee doctors. There is a good medical library and postgraduate education centre. 2. The Medical Unit The medical unit has 197 beds plus an 18 bed coronary care unit and medical beds on the High Dependency Unit. There is a 6 chair short stay chest pain assessment unit. GP emergency referrals are assessed in a consultant led 8 bed medical assessment unit, which is run by acute care physicians. All other admissions are sent to a 30 bed acute medical unit, shared between an acute physician and the physician of the week. Patients are quickly triaged to the other medical wards, with specialist diabetes and endocrinology, gastroenterology, cardiology, respiratory, rheumatology and haematology wards. There are oupatient clinics in all major medical specialties at the RAH. The medical unit is committed to contributing to consultant led intermediate care at the Vale of Leven Hospital, which is supported by local GPs and GP trainees. The Vale of Leven Vision commenced in 2010 to support the safe running of the medical unit at the VOL, with unwell patients or those needing specialist input transferred to the RAH for ongoing care. 3. Consultant Staffing In addition to the current post, there are 24 consultant physicians with special interests as noted. Dr Gautam Ray Dr Chris Foster Dr Iain Keith Dr Iain Findlay Dr Stuart Hood Dr Eileen Peat Dr Alistair Cormack Dr Claire Murphy New post Prof Martin McIntyre Dr Claire Harrow Dr Neil McGowan Dr Chris Smith Dr James McPeake Dr Mathis Heydtman Dr Graham Naismith Dr Riz Hamid Dr Selina Lamont Dr Zia Mustafa This post Dr Jane Gravil Dr Douglas Grieve Dr Yi Ling Dr Matt Embley Dr Gillian Roberts Dr Martin Perry Dr Catriona Grigor Acute Medicine Acute Medicine Acute Medicine Cardiology Cardiology Cardiology Cardiology Cardiology Cardiology Diabetes and Endocrinology Diabetes and Endocrinology Diabetes and Endocrinology Diabetes and Endocrinology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Respiratory Medicine Respiratory Medicine Respiratory Medicine Respiratory Medicine Respiratory Medicine Rheumatology Rheumatology Rheumatology A clinical haematology service is provided within ward 1 by four consultant haematologists, supported by junior staff from the medical unit. There are 4 sessions of visiting and out-patient neurology, and there is a weekly renal consultation service from the Western Infirmary Glasgow (WIG) renal unit. 4. Medical Unit Junior Staff 9 Specialist Registrars 4 core medical trainees 3 GP specialty trainees 5 Foundation Year 2 17 Foundation Year 1 There are specialist nurses in diabetes, respiratory medicine, cardiac rehabilitation, cardiac failure, haemato-oncology, gastroenterology, DVT and chest pain management. 5. Acute Medical Services There are three acute medicine consultants, who supervise the medical assessment unit and carry out a daily ward round of half of the acute medical unit. They also manage medical patients on the High Dependency Unit, with specialist input when required. 5.1 Acute Medical Unit (AMU)/ Medical Assessment Unit (MAU) Acute medical admissions are admitted to the AMU, which is shared between one of the acute medicine consultants and one of the specialty consultants on a rotating ‘Physician of the Week’ basis Monday morning to Friday afternoon. There are twice daily ward rounds. At the weekend, AMU is shared between the first and second on consultants. Patients are then triaged to the appropriate specialty wards if not for early discharge. 85% of admissions to medicine go through these beds. During the day, GP referrals are sent to the MAU and assessed by junior doctors with close consultant supervision. 5.2 Coronary Care Unit Patients with acute myocardial infarction, acute coronary syndromes, arrhythmias or congestive cardiac failure are admitted to the 18 bed coronary care unit, which includes a 6 bed chest pain assessment area. CCU is staffed during the day by one of the consultant cardiologists on a rotational basis, supported by junior medical staff from the cardiology ward. About 1000 patients are admitted per year. 5.3 Medical High Dependency Unit (HDU) Surgical HDU at the RAH includes 3 dedicated medical beds, managed by the acute care physicians, although this arrangement is flexible depending on need. 5.4 Vale of Leven (VOL) Medical Unit The consultant physicians at the RAH rotate to the VOL 1 week in 17, during which usual clinical commitments are cancelled. The acute medical receiving unit at the VOL has 12 beds, with twice daily consultant ward rounds. There is also responsibility for the 27 bed general medical ward at the VOL during that week. 5.5 Junior Doctors out of hours A Hospital at Night (H@N) and Hospital at Weekend service commenced in August 2006. Medical staff covering the out of hours period are expected to lead and participate in the H@N team, with a formal handover meeting at the start of the night shift. This is now well established and further development will aim to enhance out of hours patient care and safety. 5.6 Medicine for the Elderly Medicine for the Elderly is part of the Rehabilitation and Assessment Directorate, but there is a close working relationship between this department and adult medicine. Junior doctors from Medicine for the Elderly participate fully in the medical rota. The department consists of 90 assessment and rehabilitation beds (Wards 3, 5 & 7) and an acute stroke ward (ward 4). There is also an Older Adults assessment Unit. The Day Hospital for the Elderly (30 places), incorporating an Outpatient Consulting Suite, is located adjacent to the main hospital entrance. Thirty continuing care beds (Ward 36) are located in a separate building to the rear of the main hospital site. The department is staffed by seven consultants: Dr Graeme Simpson, Dr Carol Wilkieson, Dr Deborah Mack, Dr Lindsay Erwin, Dr Helen Slaven, Dr Oona Lucie and Dr Janice Murtagh. There is one established locum consultant who looks after long stay beds. There are 3 GP trainees, one core medical trainee and 5 FY2s attached to this unit. There is also a 0.8 whole time equivalent staff grade doctor for the Day Hospital for the Elderly. The medicine for the elderly department at the VOL is staffed separately by 2 consultants. 6. Respiratory Services The Royal Alexandra Hospital has offered a specialist respiratory service since it opened in 1986. The service offered has developed over the years and current activity is detailed below. There are opportunities for development of the department to complement the area of expertise of the successful candidate. The respiratory medicine department at the RAH has 39 inpatient beds on wards 11 and 14. We are piloting a daily visit to the acute medical unit,We have an excellent working relationship with the ITU department at the RAH, and access to medical HDU beds when necessary. Respiratory medicine has led the way in developing protocols for the management of many respiratory conditions, and most respiratory conditions can be managed locally. There are tertiary referral clinics in Glasgow for cystic fibrosis and pulmonary vascular disease, and access to interventional bronchoscopy and stenting by referral. There is a weekly lung cancer MDT meeting, and there is the opportunity to attend regional interstitial lung disease, tuberculosis and mesothelioma MDT meetings in Glasgow. 7.1 Respiratory Facilities Most GP practices in Renfrewshire have access to spirometry and run asthma/ COPD clinics. There is also a community pulmonary rehabilitation service. There are smoking cessation clinics in the community as well as a service for inpatients and staff, with a presence at the respiratory clinics. 7.2 Investigation Facilities There is a modern and well staffed radiology department with new CT and MRI facilities. There is also an interventional radiology service, with access to CT and USS guided biopsy. There are consultant led biochemistry and microbiology services at the RAH, and cytology and histopathology services are provided at the Southern General Hospital, Glasgow. There are weekly bronchoscopy lists at the RAH and the VOL, which take place in a purpose built endoscopy suite that has received excellent patient feedback. There are EBUS facilities at the VOL, and the successful candidate will be supported in learning EBUS and participating in lists. We run a pleural disease service, with a ward based procedure room for inpatient and day case procedures. There are 2 ultrasound machines with a bank of recorded images for training purposes, and we have a mannequin for chest drain teaching sessions. A medical thoracoscopy service has been running at the RAH since 2010, with facilities for inserting indwelling pleural catheters in day surgery. Complex pleural disease and VATs biopsies are referred to the regional centre at the Golden Jubilee National Hospital. There are modern and well equipped pulmonary function labs at the VOL and the RAH, with body box plethysmography at both sites, 5 channel sleep study equipment and mannitol challenge testing. There is access to CPET by referral to Glasgow Royal Infirmary. 7.3 Respiratory Nurse Specialists The department is supported by a Lung Cancer Nurse Specialist and 1.5 hospital Respiratory Nurse Specialists and 1 community bases Respiratory nurse specialist who play a pivotal role in the provision of services within the acute and the community setting. The Respiratory Nurse Specialists visit the acute receiving ward and the respiratory ward on a daily basis, and provide advice on COPD and asthma with consultant guidance. They also provide an early supported discharge service, perform spirometry and run a nurse led COPD clinic. They have protocols for LTOT and fitness for air travel assessment, and they review LTOT patients at home. They support the well established pulmonary rehabilitation service in conjunction with physiotherapy and leisure centre staff. 7.4 Respiratory Physiology Staff The department is supported by 3 Clinical Physiologists who cover the pulmonary function labs at the RAH and the VOL and support the sleep/ ventilation service, including sleep study reporting and CPAP/ NIV initiation. 7.5 Other Team Members Other team members include secretaries and ward based nurses with particular experience in managing pleural disease and NIV. There is a ward based pharmacist, a respiratory physiotherapist, a smoking cessation nurse, a tuberculosis nurse and access to audit support personnel. There are weekly consultant led ward multidisciplinary meetings. 7.6 Medical Staff The successful applicant will join the four existing consultants in Respiratory Medicine. The respiratory service is also supported by one specialist registrar, 2 core medical trainees, one GP trainee, one FY2 and 1.5 FY1s. The junior doctors are mainly ward based, but are encouraged to attend clinics. We would aim to accommodate the special interest of the successful candidate depending on service need. 7.7 Lung Cancer The unit diagnoses around 280 new lung cancer cases per year. The service is greatly supported by a lung cancer nurse specialist, a consultant led palliative care team visiting from the local hospice (whose Macmillan nurses also lend community support) and a consultant led oncology team visiting from the Beatson Oncology Centre. The service is supported by a lung cancer tracker, an MDT coordinator and an audit team. There is a weekly Clyde multi- disciplinary meeting, which discusses cases from the VOL, the RAH and Oban with video linking to Inverclyde Royal Hospital. There is thoracic surgery, oncology and pathology presence by video link, and we are well supported by three radiologists at the RAH.. There is a weekly meeting with the patient tracker to provide an overview of where lung cancer patients are within their pathway. The lung cancer nurse specialist runs follow up clinics for patients receiving best supportive care. 7.8 Invasive Procedures As mentioned above, there are weekly bronchoscopy lists at the RAH and the VOL, with EBUS facilities at the VOL. There is a medical thoracoscopy list at the RAH, and we are well supported by interventional radiology for all relevant procedures. 7.9 Clinics There are outpatient respiratory clinics at the RAH and the VOLcurrently 10 general respiratory clinics, a specialist asthma clinic and a sleep clinic. Each consultant also has a half clinic slot for lung cancer results and complex patients, which is filled at short notice. The RAH respiratory service also currently provides a respiratory service for Oban Hospital. There is a monthly respiratory clinic in Oban shared amongst the team. The tables below detail outpatient consultant led activity data for 2012/2013 and 2013 / 2104 for Respiratory: Respiratory Outpatient Activity 2012 / 2013 and 2013 / 2014 Royal Hospital Inverclyde Hospital Apr 2012 – Mar 2013 Apr 2013 – Mar 2014 New (inc DNA) Return (inc DNA) New (inc DNA) Return (inc DNA) 2756 1415 2675 1976 894 2245 633 399 577 Alexandra 1265 Royal 858 Vale of Leven Hospital 403 7. Management Arrangements The Emergency Care and Medical Specialties (ECMS) Directorate in the RAH consists of Accident & Emergency and General Medicine. The consultant appointed will be expected to participate fully in the work of the Directorate. The Clinical Director for Medicine across the Clyde Division is Dr Chris Jones based at Inverclyde Royal Hospital. The Clinical Leads for Medicine across Clyde Division are Dr Jane Gravil, based at Royal Alexandra Hospital, and Dr Lisa Hutton, based at Inverclyde Royal Hospital. 9. Summary of the Post 9.1 Duties of the Post Respiratory Medicine This post is for a consultant in General and Respiratory Medicine. The post holder will participate in a consultant led and easily accessible respiratory service. The post holder will perform 3 clinics per week- 2 general respiratory clinics (mixed new/ return, one at the RAH and one at the VOL) and a sub specialty clinic to be agreed depending on area of expertise and service need. It is envisaged that the successful appointee will support the development of services across Clyde depending on service need. The post holder will take responsibility for the daytime care of respiratory patients, out of hours cover being provided by the physician on call. The department is involved in undergraduate and postgraduate teaching and the consultant appointed will be expected to contribute to this, along with educational supervision of trainee doctors. Inpatients The successful candidate will be expected to provide a full range of consultant services as agreed with colleagues including inpatient management of respiratory and general medical patients admitted to the medical wards and the high dependency unit. The on-call commitment related to this post is outlined below. General Medicine The post holder will participate in the ‘Physician of the Week’ system 1 week in 10 (alternating between the VOL and the RAH) and 1 weekend in 8, with responsibility for unselected acute medical admissions to the acute receiving unit as outlined in Section 6.1. During the receiving week, consultants cancel their elective work. Overnight cover, Monday to Thursday, is provided by a separate consultant rota, with each consultant averaging one night per month. Overnight cover FridaySunday is by the consultants receiving that weekend. 9.1 Suggested Timetable A work programme for the week will be negotiated and agreed with the successful candidate and will be based on a 10 PA contract. The successful candidate will have subspecialty interests supported, as long as they are relevant to the wider aims of the Respiratory service and the Department of Medicine. We hope to use the new post to allow us to enhance the delivery of a specialist respiratory service to the front door, with the potential to create a "daily consultation" service to the acute medical unit. We would hope to facilitate earlier discharge and early initiation of appropriate investigations. Monday Tuesday AM Ward round RAH respiratory clinic Lunchtim e PM Unit meeting 9.2 Half day Bronchoscopy List Wednesda Thursday y Ward round SPA Ward MDT Friday Results clinic AMU drop in Lung cancer Hospital MDT meeting RAH Admin respiratory clinic Suggested Job Plan The job plan will be negotiated and tailored to the successful candidate’s interests and the following should be taken as guidance. Service development will be encouraged and may be supported by additional SPA time by negotiation. A detailed job plan will be agreed with the Clinical Lead / Lead Site Clinician and thereafter this will be subject to periodic review and adjustment if necessary. The job plan is subject to review as a minimum once a year by the post holder and the Clinical Director. Duty In patient work and administration Out patient work and administration SPA Out of Hours On Call Work TOTAL 9.3 PAs 4 4 1 1 10 On Call Duties The appointee will be expected to take a share with the existing Consultant Physicians of the general medical workload in terms of out of hours cover. Currently each consultant cancels other duties and is ‘Physician of the Week’ every tenth week and every eighth weekend. 10. Postgraduate and Undergraduate Training The unit has a postgraduate programme, which includes a weekly respiratory unit meeting, tutorial sessions for junior doctors, a weekly medical unit meeting and weekly hospital postgraduate meetings during term time. The medical unit teaches a large number of medical students from Glasgow University and participates in undergraduate exams. As part of the new curriculum teaching of years one to five is becoming established and the appointee will be expected to participate actively. 11. Further information For further information and arrangements to visit the Department, Please contact: Dr Jane Gravil Consultant Physician in Respiratory Medicine / Site Lead Clinician Medical Unit, Level 6 North Royal Alexandra Hospital Corsebar Road Paisley PA2 9PN Tel: 0141 314 6982 E Mail: jane.gravil@nhs.net Dr Chris Jones Clinical Director Inverclyde Royal Hospital Greenock NHS GREATER GLASGOW & CLYDE Statement of Policy regarding fitness to practice proceedings by a licensing/regulatory body and relating to criminal investigations in the UK or overseas. Registration with General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of medicine care for, and to behave appropriately, towards patients. NHS employers 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 on a caution, in the UK or any other country. Applicants for posts in the NHS are exempt for 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 this Act. Forms will also include a declaration of any cautions or bind overs. We also need to establish if you have been subject to 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 that might lead to a conviction, an order binding you over or a caution, or fitness to practise proceedings 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 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, please contact the Recruitment Team. PERSON SPECIFICATION QUALIFICATIONS CLINICAL EXPERIENCE MANAGEMENT AND ADMINISTRATIVE EXPERIENCE TEACHING EXPERIENCE OTHER ATTRIBUTES ESSENTIAL Applicants must have full GMC registration and a licence to Practise. 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. DESIRABLE MRCP or equivalent. Clinical training and experience equivalent to that required for gaining UK CCT. Ability to offer expert clinical opinion on a range of clinical problems in acute medicine. HDU experience Interface with Accident and Emergency and Primary Care. Ability to take full and independent responsibility for clinical care of patients. Ability to advise on the efficient and smooth running of the acute medical service. Ability to organise and manage ward patients and outpatient priorities. Experience of audit management. Ability and willingness to work within NHS GG&C and NHS Scotland performance framework and access targets. Experience of supervising medical trainees. Ability to teach clinical skills. Ability to work in a team. Good interpersonal skills. Caring attitude to patients. Ability to communicate effectively with patients, Sub-specialty interest. Attendance management for clinicians. at course Experience of MMC assessment tools. relatives, GPs, nursing staff and other relevant parties. Commitment to the requirements of clinical governance. 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 £ 76,761 £ 103,490 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 New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via: www.sppa.gov.uk 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. TOBACCO POLICY NHS Greater Glasgow and Clyde operate 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. NHS Greater Glasgow and Clyde (NHSGGC) 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 GGC 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 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 Greater Glasgow and Clyde. 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 Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview. GENERAL NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual. EQUAL OPPORTUNITIES The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’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. FURTHER INFORMATION For further information on NHS Greater Glasgow and Clyde, please visit our website on www.show.scot.nhs.uk View all our vacancies at: www.nhsggc.org.uk/medicaljobs Register for Job Alerts at: www.medicaljobs.scot.nhs.uk Applicants wishing further information about the post are invited to contact Dr Chris Jones on 01475 504284 or Dr Jane Gravil on 0141 314 6982 with whom visiting arrangements can also be made. HOW TO APPLY To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open) Medical and Dental Application and Equal Opportunities Monitoring Form Declaration Form Regarding Fitness to Practice Immigration Questionnaire Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information. RETURN OF APPLICATIONS Please return your application by email to nhsggcrecruitment@nhs.net or to the recruitment address below; Medical and Dental Recruitment Team NHS Greater Glasgow and Clyde Recruitment Services, 1st Floor Modular Building, Gartnavel Royal Hospital 1055 Great Western Road GLASGOW G12 0XH CLOSING DATE The closing Date will be 19th June 2015