LOCUM CONSULTANT
CARDIOLOGIST
ROYAL ALEXANDRA
HOSPITAL
INFORMATION PACK
REF: 34491D
CLOSING DATE: NOON 5TH SEPTEMBER 2014
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: LOCUM CONSULTANT CARDIOLOGIST
BASE: ROYAL ALEXANDRA HOSPITAL
Applications are invited for a locum post of Consultant Cardiologist for 1 year
or part thereof. Dual accreditation in General Medicine and Cardiology is
desirable but not essential. The post will be based at the Royal Alexandra
Hospital, Paisley with services at Vale of Leven Hospital, Alexandria.
Consideration will be made to accommodate training needs and maintenance
of intervention skills.
The successful candidate will integrate into a team to comprise six
Consultants. This post has been established to facilitate the redevelopment of
Cardiology services at Royal Alexandra Hospital in line with the vision of NHS
Greater Glasgow and Clyde’s Clinical Services Review. This will offer a real
opportunity for the successful candidate to be involved in the development of
a modern service which if successful will be rapidly rolled out across NHS
Greater Glasgow and Clyde. The successful candidate will be encouraged to
look critically at current service provision to promote ideas of partnership
working and novel ways of dealing with current workload.
There will be equal participation in the Consultant emergency on-call rota at
both Hospitals if the successful applicant is dual accredited
MRCP UK or equivalent qualification is essential and you must have full
registration with the GMC and a licence to practice.
1.
General Information
The Royal Alexandra Hospital (RAH) is a 968 bedded modern district general
hospital in Paisley serving the population of approximately 205,000. The RAH
is one of the largest and busy non teaching hospital in Scotland. All major
specialties are represented within the hospital. The hospital has a
progressive agenda in relation to clinical standards, managed clinical
networks and patient focused service re-design. There are close clinical links
with the Community Health Partnership, the other acute hospitals within NHS
Greater Glasgow and Clyde.
Paisley is situated approximately 15 minutes from Glasgow, and located only
5 minutes from the M8 motorway and Glasgow International Airport, the RAH
provides an ideal centralised location
The hospital provides a wide range of District General Hospital specialties
with excellent support facilities. The hospital has a first class modern
radiology department and services. 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 training grades. There is a good medical
library service.
The Vale of Leven Hospital (VOL) is situated in Alexandria, an area of
outstanding natural beauty and serving a population in excess of 88,000
largely from Dumbarton, Alexandria and Helensburgh. Services at the Vale of
Leven Hospital include unscheduled medical care led by the Consultant
Physician team based at the Royal Alexandra Hospital and supported by GP
and GP trainees. In addition there is inpatient medicine for the elderly beds,
short stay surgical beds together with day surgery and a full range of
diagnostic and support services.
2.
The Medical Unit
The Medical Unit at the Royal Alexandra Hospital has 209 beds. This
includes an 18 bedded Coronary Care / Chest Pain Unit, a 30 bedded medical
receiving ward and Medical Assessment Unit.. The medical unit provides an
acute service in general medicine with clinics in general medicine, diabetes
and endocrinology, gastroenterology, cardiology, asthma, respiratory
medicine and haematology.
The Vale of Leven Hospital medical unit includes a Medical Assessment Unit,
12 bed receiving unit with provision for monitored beds and a further 27
general medical beds.
3.
Workload of Adult Medicine
(to year ending March 2012)
Adult Medicine – Royal Alexandra/Vale of Leven Hospitals
Specialty
General Medicine
Elective Inpatient Admission
Emergency Inpatients
Day Cases
Activity 2011/2012
539
22,510
331
Cardiology – Royal Alexandra Hospital
Cardiology Procedure
Routine ECG Recordings
Ambulatory Monitors
Exercise Tests
Echocardiograms
Pacemaker Implantations
Pacemaker Checks
4.
2009-2010
33871
1609
1947
4027
133
812
2013 Projected 2014
32345
2283
2500
1986
1730
4692
5470
146
174
715
764
Consultant Staffing
Between the RAH and VOL there are currently 25 Consultant Physicians with
special interests as noted.
1. Dr Iain Findlay
2. Dr Stuart Hood
3. Dr Clare Murphy
4. Dr Eileen Peat
5. Dr Alastair Cormack
6. Prof Martin McIntyre
7. Dr Clare Harrow
8. Dr Neil McGowan
9. Dr Chris Smith
10. Dr Graham Naismith
11. Dr James McPeake
12. Dr Riz Hamid
13. Dr Mathis Heydtmann
14. Dr Selina Lamont
15. Dr Zia Mustafe
16. Dr Alistair Dorward
17. Dr Jane Gravil
18. Dr Douglas Grieve
19. Dr Yi Ling
20. Dr I Keith
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
Acute Care Physician
21. Dr C Foster
22. Dr G Ray
23. Dr G Roberts
24. Dr M Perry
25. Dr C Grigor
5.
Junior Staff
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
Specialist Registrars
ST’s
CT’s
LAT’s
Clinical Fellow
Foundation Year 2
Foundation Year 1
GPST’s
GPST’s
Acute Care Physician
Acute Care Physician
Rheumatologist
Rheumatologist
Rheumatologist
4 (RAH)
6 (RAH)
6 (RAH)
3 (RAH)
1 (RAH)
5 (RAH)
22 (RAH)
3 (RAH)
6 (VOL)
There are Specialist Nurses in Diabetes, Respiratory Medicine, Cardiac
Rehabilitation, Cardiac Failure, Haemato-Oncology, D.V.T and Chest Pain
management and Inflammatory Bowel Disease across Clyde.
6.
Cardiology Services
The Royal Alexandra Hospital provides a busy non invasive cardiology
service to the populations of Renfrewshire and to Dumbarton/ Helensburgh.
Cardiac intervention and surgery is provided at the Golden Jubilee National
Hospital in Clydebank.
6.1
Coronary Care & Chest Pain Assessment Unit
The purpose built unit opened in October 2007. Patients with acute
myocardial infarction, acute coronary syndromes, arrhythmias or congestive
cardiac failure are admitted to the 18 bedded coronary care & chest pain
assessment unit.
The unit is staffed during the day by one of the consultant cardiologists on a
rotational basis and supported by junior medical staff from the cardiology
ward. Over 2,500 patients are admitted per year.
6.2
Cardiology Ward
The cardiology ward, ward 8, has a total of 29 inpatient beds and is situated
adjacent to the Cardiac Physiology Department. Facilities on the ward include
the pacing room and treadmill.
6.3
Medical Staff
There are currently five Consultant posts at the Royal Alexandra Hospital.
They provide 1 in 5 weekly cover for CCU, rapid access chest pain clinics,
pacemaker implantation, 8 outpatient clinics per week and supervision of the
cardiology ward. Between RAH and VoL 2,300 new and 3500 return
outpatients are seen each year.
They are currently supported by an ST7 and ST5 cardiology trainee. There is
a staff grade, a CMT trainee, a GPST trainee, 1 FY2 trainee and 2 FY1
doctors.
6.4
Cardiology Physiology Department
The Department at the RAH is staffed by a total of 13.5wte comprising 6.6
trained physiologists; 1 student; 3.9 ATOs ( 1 post to be filled) ; 1 nursing
auxilliary and 1.5 clerical staff.
6.5
Cardiology Specialist Nurses
There are 2.4 wte acute chest pain nurses and 1.8 wte heart failure liaison
nurses based at the Royal Alexandra Hospital.
6.6
Cardiac Rehabilitation
We offer a gold standard cardiac rehabilitation service to all patients with a
step change in their cardiac condition. It is recognised as one of the best
services in the U.K. with a full compliment of multi-disciplinary staff.
6.7
Pacing Service
We now implant approximately 140 brady pacemakers and Reveal devices
per annum. The service is consultant led with support from NASPE trained
technicians. Patients are followed up locally at the RAH. The consultants
provide training in pacemaker implantation to cardiology registrars.
7.
Acute Medical Services
The team of Consultant Physicians at the Royal Alexandra Hospital have
responsibility for acute medical services at both the Royal Alexandra Hospital
and the Vale of Leven Hospital.
7.1
Acute Receiving Ward
GP referred medical patients are triaged from the Emergency Department to
the Medical Assessment Unit at Royal Alexandra Hospital Monday to Friday
10am to 10pm. All patients are reviewed by a senior doctor of which just
under 50% are discharged home. Patients requiring admission can be
admitted to the relevant specialty bed direct from MAU.
Acute medical admissions are admitted to the Acute Medical Unit (ward 2) at
the RAH, which is staffed by one of the consultants on a rotating ‘Physician of
the Week’ basis Monday morning to Friday lunchtime and an Acute Care
Physician. Patients are then triaged to the appropriate specialty wards if not
for early discharge.
Acute medical admissions at the VOL are admitted to ward 3, staffed by a
third consultant on a rotating ‘Physician of the Week’ basis Monday morning
through to Friday pm. The Physician of the week will also lead inpatient ward
rounds at the Vale of Leven Hospital during this week.
Weekend cover is provided by two Consultant Physicians with joint morning
ward rounds at the RAH and afternoon ward rounds at both the RAH and
VOL.
7.2
Medical High Dependency Unit (HDU)
The RAH has three medical HDU beds at present within the combined 12
bedded HDU, with scope to increase to four or more medical HDU beds if
required.
7.3
Junior Doctors out-of-hours
A Hospital @ Night service started at the RAH in August 2006. This is part of
a wider work assessing the impact of modernising Medical Careers and
implementing plans to support the delivery of high quality sustainable
services.
Junior medical support at VOL is provided by GPST1 and GPs supported by
the roll out of HAN Practitioner service.
8.
Medicine for the Elderly Service
Medicine for the Elderly is part of the Rehabilitation and Assessment
Directorate, but many of its activities and adult medicine are combined. In
particular, out-of-hours cover is provided by juniors from Medicine for the
Elderly and adult medicine and both department share educational meetings.
The Medicine for the Elderly Consultants visit the acute receiving ward at the
RAH on a daily basis and arrange transfer to the Medicine for the Elderly Unit
of those appropriate patients. A Stroke Unit (Ward 4) taking all age groups is
led by Drs L Erwin and Slavin.
The service at the Vale of Leven will support post-admission care of
appropriate patients with 37 rehabilitation beds which will also provide near to
home rehabilitation for patients admitted initially to the RAH.
9.
Management Arrangements
Cardiology is part of the Emergency Care and Medical Specialties Directorate,
NHS Greater Glasgow and Clyde. Ms Anne Harkness is the Director of
Emergency Care and Medical Specialties across NHS Greater Glasgow and
Clyde, and is supported by Dr David Raeside, Associate Medical Director.
The Clinical Director for Cardiology is Dr David Murdoch, specific
management responsibility for Cardiology is by Ms Melanie McColgan,
General Manager Cardiology, NHS Greater Glasgow and Clyde.
Emergency Care and Medical Services Directorate – Clyde Sector, consists of
Emergency Medicine and General Medicine. The consultant appointed will be
expected to participate fully in the work of the Directorate.
The Clinical Director for Medicine across Clyde is Prof Martin McIntyre, based
at RAH.
10.
Summary of the Post
10.1
Duties of the Post
ROYAL ALEXANDRA HOSPITAL
For the first three months the successful applicant will have a role supporting
the implementation of an early discharge unit for patients with suspected low
risk ACS in a new unit designed specifically for this purpose. This unit will be
run mainly by clinical nurse specialist working to the consultant cardiologist of
the week.
The successful applicant will support the development of rapid access OPD
service in Atrial Fibrillation, the development of technician Valve Led Clinic
and cardiology telephone clinic. By there nature these clinics will be
somewhat experimental and their nature revised as required . It is envisaged
after the first 3 months the cardiology rota will increase from 1 in 5
incorporating the new post to 1 in 6.
The successful candidate will then provide a full range of consultant services
as agreed with colleagues including in-patient management of patients
admitted to the Medical Wards and Coronary Care Unit. There are usually
three outpatient clinics per week. Some of the clinic commitment will be at the
Vale of Leven Hospital on a rotational basis with other colleagues at the RAH.
The successful candidate will undertake consultant duties for CCU in the RAH
on a 1 in 6 basis. This includes twice daily ward rounds Monday-Friday and a
ward round on a Saturday morning. During the CCU week the consultant
cardiologists currently see up to 3 Rapid Access Chest Pain patients daily. It
is anticipated that the cardiologist of the week will be available for telephone
consultation and support for the physician at the Vale. There is no separate
on call commitment for Cardiology at present, but there is an aspiration to
create a Clyde out-of-hours Cardiology rota in the future if Cardiologists can
be released from medical receiving duties. On call requirements for general
medicine will be discussed with candidates who are dual accredited.
10.2
Outline Job Plan
The job plan detailed below is based on a 1 in 6 rota.
The job plan will be tailored to the successful candidate’s interests and the
following should be taken as guidance.
A detailed job plan will be agreed with the Clinical Director or Lead Clinician
and thereafter this will be subject to periodic review and adjustment if
necessary. The appointee may be required to support clinical activity
elsewhere across Greater Glasgow and Clyde.
Duty
Outpatient Clinics (3 clinics, 4 weeks in 5)
CCU (1 week in 5)
Ward Rounds
Admin
Subspecialty
Out-of-hours
PAs
2.5
2.2
1.0
1.0
1.0
1.0
Total DCC
SPA
9
1.0
TOTAL
10
Cover for study leave, holidays will be provided from within existing
consultants.
10.3
On call duties
The requirement for oncall including general medical commitments will be
agreed with the successful candidate dependent on dual accreditation or
establishment of Cardiology oncall rota.
10.4
Support staff
There is secretarial support for the consultant.
11.
Postgraduate and Undergraduate Training
The unit has a postgraduate programme which includes a weekly unit
meeting, monthly journal club and SHO tutorial sessions. There are weekly
hospital postgraduate meetings during term time. Mr Andrew Renwick is the
postgraduate tutor.
The Medical Unit teaches a number of medical students from Glasgow
University. As part of the new curriculum teaching of years one to five is
becoming established.
12.
Further information
For further information and arrangements to visit the department,
Please contact:
Dr David Murdoch
Clinical Director Cardiology, Southern
General Hospital: 0141 201 1763
Dr Iain Findlay
Consultant Cardiologist, Royal Alexandra
Hospital: 0141 314 7214
Dr Stuart Hood
Consultant Cardiologist, Royal Alexandra
Hospital: 0141 314 7214
Person Specification
Consultant Cardiologist
Requirements
Essential
Desirable
Requirements necessary for safe Where available, elements
effective performance in the job
that contribute to improved,
immediate performance in
the job
Qualifications
training
and
Clinical Specialty Skills
 MB ChB, MBBS or equivalent
 MRCP or equivalent
 Completed specialist training
in Cardiology
 Applicants must have full
GMC registration and a
licence to practice.

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
Skills, knowledge and
aptitude

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


Experience


Evidence of specialty
skill
in
field
complementary
to
cardiology
Evidence of working well within
a multi-disciplinary team
Ability
to
organise
and
prioritise complex demands
Evidence of teaching and
training skills for junior doctors
Effective communication skills
Ability
to
use
research
outcomes in clinical practice

Applicants
have
experience in teaching
on ALS, ILS or IMPACT
course
Formal
training
in
teaching skills
Computer literate
Evidence of active involvement
in clinical audit

Can provide an expert opinion
in a full range of presentations
to cardiology
Demonstrates competence in
managing
critically
unwell
patients
Demonstrates competence in
management of broad range of
cardiology problems in both
inpatient
and
outpatient
settings


Evidence
of
participation in relevant

Evidence of involvement in
planning
and
developing
services


Personal Skills



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

Special Requirements

Commitment to team working
and
good
professional
relationships
Ability to provide clinical
leadership
to
the
multidisciplinary team
Enthusiasm and ability to work
under pressure
Supportive and tolerant
Caring attitude to patients
Commitment to continuing
professional development
Flexibility to respond
changing service needs
to
research,
including
publications
and
abstract presentations
Evidence of innovative
service developments
Experience of teaching
medical students
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
Fixed Term
GRADE AND SALARY
Locum 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
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 one 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 David
Murdoch on 0141 201 1763, Dr.Stuart Hood on 0141 314 7214 or Dr. Iain Findlay
on0141 314 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 Noon 05 September 2015