NHS Lothian
Edinburgh Heart Centre
Post based at the Royal Infirmary & St John’s Hospital
Consultant Cardiologist
1. Purpose of the Post
This is the first of two consultant cardiologist appointments to NHS Lothian. There are two
purposes to these posts. The first is to support the delivery of general cardiology to the Acute
Medical Receiving Service at St. Johns Hospital, Livingston. The second purpose to the post is to
in collaboration with colleagues develop a comprehensive Cardiac Failure Service across NHS
Lothian. The achievement of the 4-hour emergency access target remains a priority for NHS
Lothian together with achievement of the 18-week treatment time guarantee standard.
St. John’s Hospital, Livingston
Currently, there is a cardiologist at St John’s Hospital who, in collaboration with his colleagues
across Lothian, supports the Acute Medical Receiving Service. In addition, there are out-patient
clinics, nurse-lead clinics in chest pain, rehabilitation and a cardiac failure specialist nurse
service. These posts will support St John’s Hospital, Livingston with the aim of deploying a
cardiologist at St John’s Hospital on Monday to Friday each week. It is envisaged that this
contribution will be organised as a 1-in-3 rota. In addition to supporting Acute Receiving, there
will be an out-patient clinic (new and review), supervision of DC cardioversion, medical
supervision and input to the cardiac physiology service especially with regard to supporting the
technicians in complex echocardiography. A key dimension to the work at St John’s Hospital
would be to engage with the cardiac physiology service to organise local weekly teaching and
training meetings with a view to professional development.
The Royal Infirmary of Edinburgh
Currently, there is a team of cardiologists who delivery both local and tertiary Services for
Scotland. It is envisaged that these posts will develop a comprehensive Cardiac Failure Service
for NHS Lothian. The role of this service would be to see and assess cases of complex cardiac
failure that may benefit from cardiac transplantation and we would hope these posts would
work closely with the Scottish Advanced Cardiac Failure Service (SACFS) at the Golden Jubilee
Hospital. The Cardiac Failure Service would assess patients who would benefit from complex
advanced cardiac imaging, device implantation as well as percutaneous and surgical
revascularisation. The Royal Infirmary has an innovative cardiac surgery unit and it would be
hoped that these posts would develop a close relationship and also support the cardiac surgical
service and play a role in the development of new surgical services for cardiac failure. The
Cardiac Failure Service would also play a key role in developing and managing a cardiac failure
nurse-lead service for the assessment and long-term care of chronic heart failure patients in the
community with the aim of accurate diagnosis, management in the community together with
our primary care colleagues and prevention of admission and re-admission.
Page 1 of 15
The Cardiac Failure Service will work across Lothian with primary care to diagnose, manage
and audit our performance. There will be a regular Cardiac Failure MDT as well as time
allocated to the management of community cardiac failure. Together with our surgical
colleagues it would be hoped that firm links would be established with our South-East
Scotland partner health boards to provide assessment for complex cardiac failure and a close
working link with the SACFS in Glasgow.
It would be hoped that these posts would also contribute to the out of hours and emergency
and on-call duties in NHS Lothian. It is also hoped that these posts will encourage service
development and research and we believe that they would provide an excellent infrastructure
to develop a leading national service. There would be available to a successful candidate
allocated programmed activities for research.
The two posts will therefore be in general cardiology with special interests in 1) cardiac failure
and imaging (present post), and 2) cardiac failure and devices (subsequent post).
2.
NHS Lothian
NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental
health and hospital services. Mr Tim Davison is the Chief Executive and Dr David Farquharson
is the Medical Director.
The NHS Board determines strategy, allocates resources and provides governance across the
health system. Services are delivered by Lothian University Hospitals Division, the Royal
Edinburgh Hospital and associated mental health services, 4 community health (and social
care) partnerships (CHPs) in the City of Edinburgh, West Lothian, East Lothian and Midlothian,
and a Public Health directorate.
NHS Lothian serves a population of 850,000 within Lothian and a population of 1.6 million for
the South-East Scotland for tertiary services.
2.1 Lothian University Hospital Services
The Lothian University Hospital Service provides a full range of secondary and tertiary clinical
services to the populations of Edinburgh, Midlothian, East Lothian and West Lothian. The
service is one of the major research and teaching centres in the United Kingdom.
Hospitals included in the Services are:
The Royal Infirmary of Edinburgh
The Western General Hospital
The Royal Hospital for Sick Children, Edinburgh
St John’s Hospital at Howden
Royal Victoria Building
Liberton Hospital
The Princess Alexandra Eye Pavilion.
The Royal Infirmary of Edinburgh (RIE) is a major teaching hospital on a green field site in the
South East of the city of Edinburgh built in 2003. It comprises 25 wards, 869 beds, and 24
Page 2 of 15
operating theatres, and is equipped with modern theatre and critical care equipment and
monitoring. Within the main building is a dedicated, multidisciplinary, 5 day theatre surgery
complex. The hospital provides for most specialities and is the centre for:
• General Surgery, with a focus on the upper GI tract
• Vascular Surgery
• Hepatobiliary, Transplant Medicine and Surgery
• Cardiac and Thoracic Surgery
• Elective and Trauma Orthopaedic Surgery
• Neonatology
• Obstetrics & Gynaecology
• Cardiology
• Renal Medicine
• Sleep Medicine
• Regional major Accident and Emergency centre.
There is an Acute Medical Unit (AMU) that takes unselected GP or direct emergency
referrals, and from A&E. AMU includes the Department of Liaison Psychiatry and the Scottish
Poisons Bureau and Treatment Centre. There are full supporting Laboratory and Diagnostic
Radiology Services (including CT, MRI, ultrasound and nuclear medicine). There is a full range
of lecture theatres, a library and AV facilities. Final planning is underway to move the
Children’s Hospital and Neurology services on site for July 2017.
St John’s Hospital in Howden opened in 1989 and is located in the centre of Livingston; a
new town about 30 minutes drive west from Edinburgh. The hospital provides for most
common specialties but does not have emergency general surgery or orthopaedic trauma.
The hospital has a paediatric ward and the following departments:
•












General Medicine with specialists in Cardiology, Diabetes & Endocrinology,
Gastroenterology, Respiratory Medicine and Care of the Elderly
Obstetrics & Gynaecology
Child Health including Paediatrics and Community Child Health
The regional Burns and Plastic Surgery unit for SE Scotland
Oral and Maxillofacial Surgery
ENT
Critical Care (ITU, HDU and CCU)
Accident and Emergency
General Surgery
Orthopaedics
Anaesthetics
Mental Health including ICCU and ICPU
Since 2005, General Surgery and Orthopaedics have been reconfigured in NHS Lothian with
SJH being developed as a major elective centre for the region. Lothian’s ENT service was
relocated to SJH to create an integrated Head and Neck unit with OMFS and Plastic Surgery.
Recent developments at SJH include a new Endoscopy suite, an Intensive Psychiatric Care
Unit, a digital mammography unit, an oncology (cancer care) day centre, a satellite renal
dialysis unit and a £2.75m re-provision of A&E. There are full supporting Laboratory and
Diagnostic Radiology Services (including CT, ultrasound and NM). The hospital has been
accredited full teaching hospital status by the University of Edinburgh. The ECG department
supports echo, exercise testing, ambulatory monitoring and a pacing clinic. There is a full
range of lecture theatres, a library and AV facilities.
Page 3 of 15
The Western General Hospital (WGH) has 600 beds and 5 operating theatres and is equipped
with modern theatre and critical care equipment and monitoring. The Anne Ferguson
building was completed in 2001 and houses the clinic area and ECG department. The hospital
provides for most specialties and is the centre for:
• Neurology, Neurosurgery and Neuropathology
• UK CJD unit
• Colorectal Surgery
• Urology and Scottish Lithotriptor Centre
• Breast Surgery and Screening
• Gastroenterology
• Rheumatology
• Infectious Diseases
• Haematology
• Medical Oncology
• Radiation Oncology (including 6 LINACs)
• Dermatology (In-patient)
There is an Acute Receiving Unit, which accepts GP referrals and ambulance medical cases on
a zoned basis within the city, and a nurse-led Minor Injuries Unit. There is no trauma unit at
this hospital. There are full supporting Laboratory and Diagnostic Radiology Services
(including CT, MR, ultrasound, and nuclear medicine). The ECG department is busy and
provides a full range of services including portable echo, TOE, stress echo, contrast echo,
ambulatory monitoring, tilt testing, exercise testing and a pacing clinic. There is a full range
of lecture theatres, a library and AV facilities.
The Royal Hospital for Sick Children (RHSC) is moving to the Royal Infirmary site in 2017. The
hospital is situated in a residential area close to the centre of Edinburgh and is approximately
3 miles from the site of the New Royal Infirmary and the co-located University of Edinburgh
Medical School and 3 miles from the Western General Hospital. The RHSC is a 151-bedded
Hospital, and is the main paediatric teaching hospital for the South-East of Scotland providing
general and specialised services on a local, regional and national basis. It acts as the local
paediatric referral centre for the children of Edinburgh and surrounding areas, and as a
tertiary referral centre for intensive care patients; gastroenterology, hepatology & nutrition;
respiratory medicine; cardiology; nephrology; neurology; oncology; haematology; neonatal
surgery; plastic surgery; orthopaedic surgery; urological surgery and aspects of general
surgery.
Hospital accommodation encompasses five theatres, a critical care unit comprising a 6/8
bedded Paediatric Intensive Care Unit, a 4/6 bedded High Dependency Unit and a 3-bedded
Neonatal Intensive Care Unit. There is an excellent library facility and a modern lecture
theatre with a full range of audio-visual equipment. All services are supported by
comprehensive radiology, neurophysiology, laboratory and therapy services. The local
radiology department provides on site MRI, CT, nuclear medicine and ultrasound. On site
laboratories provide biochemistry, haematology, pathology and neuropathology services
Page 4 of 15
2.2 Community Healthcare Partnerships
The four established Lothian Community Health (and Social Care) Partnerships serve the
population of Edinburgh, Midlothian, East Lothian and West Lothian.
Hospitals in the CHPs include:
• Astley Ainslie Hospital, Edinburgh
• Rosslynlee Hospital, Midlothian
• Herdmanflat Hospital, East Lothian
• Roodlands Hospital, East Lothian
The four CHPs are coterminous with Edinburgh, Midlothian, East Lothian and West Lothian
Councils bringing together those responsible for planning, managing and providing
community-based health services for the population of Edinburgh and the Lothians. There
are 7,500 members of staff. In addition, there are approximately 1,000 independent
contractors in General Medical and Dental Practice, as well as pharmacists and opticians. A
population of 850,000 people is served across the health board area. The range of services
care of the elderly, medical rehabilitation, community mental health, substance misuse and
learning disability, district nursing and health visiting, family planning, well woman, ,
comprehensive dental care and those provided by Professions Allied to Medicine, such as
physiotherapy, pharmacies and optometrists. Specialist services provided include brain
injury rehabilitation, bio-engineering and prosthetics, drugs and alcohol misuse and harm
reduction, AIDS/HIV and Children and Family Psychiatric Services.
2.3 The Royal Edinburgh Hospital and Associated Services
The Royal Edinburgh and Associated Services provides a range of Mental Health services to
the population of Lothian and other Boards within Scotland.
The Royal Edinburgh Hospital is located on the south side of the City of Edinburgh. It
comprises some 20 wards, 420 beds, day hospitals and outpatient facilities. The hospital
provides the following range of specialities:• Acute Mental Health
• Rehabilitation
• Psychiatric Emergency Team 24/7
• Out-patients
• Assessment Phychiatry of Old Age
• Forensic Medium Security Unit
• In-patient facilities for under 18s
• Psychotherapy Service
• Psychology Services
• Services for Eating Disorders
• Day Hospitals – Psychiatry of Old Age
There are an additional 46 bed and 1 day hospital for Psychiatry of Old Age in the north of
the city at the Royal Victoria Hospital. The hospital is currently housed in a mix of
accommodation ranging from 19th century to present. There is a major project now in place
to take forward a reprovisioning programme in line with the strategic vision with the
“Delivery for Mental Health” Scottish Executive 2006.
Page 5 of 15
2.4 Department of Public Health Medicine
The aim is to improve the health of the people of Lothian in collaboration with many other
partners. Using our range of knowledge, experience and networking capability, our distinctive
contributions are:
• the promotion of specific measures to monitor and improve health;
• the collation and interpretation of health related information.
The following objectives have been agreed as the basis for the Department’s work plans:
• to monitor the health status and health needs of people in Lothian
• to promote improvements in the health of Lothian people directly, and by providing
information and advice to the public on health matters
• to assist Lothian NHS Board to fulfil its statutory obligations
• to contribute to strategic changes within the NHS in Lothian by providing information on
clinical effectiveness
• to facilitate improvements in health and health care services directly, and through
managed clinical networks’ and wider alliances
• to contribute on a 24-hour basis to the control and prevention of communicable diseases
and environmental hazards
• to maintain commitments to teaching, training, professional development, audit and
research
To enable efficient management of the Department: there are at present four groups in the
Directorate. These are; Healthy Communities, Healthcare; Health Protection and Health
Information.
3.
The University of Edinburgh
The University of Edinburgh was established in 1582 and is one of the largest in the United
Kingdom located on a number of prominent sites in Scotland’s capital city. It is Scotland’s
premier research University and within the top 5 Universities in Europe for its Biomedical
Sciences.
The University of Edinburgh’s College of Medicine and Veterinary Medicine (CMVM; Head,
Professor Sir John Savill) is an internationally recognised force in basic-to-clinical translational
research. The College has a consistent 30-year strategy of inter-disciplinary working and
integration of basic and clinical sciences. In the most recent Research Assessment Exercise
(2008), the University of Edinburgh was top in the United Kingdom within the UoA4 category
of Hospital-based Clinical Subjects. In 2008/9, CMVM attracted over £120 million in external
peer-reviewed grant funding.
The University of Edinburgh has established several major interdisciplinary research centres:
• Centre for Cardiovascular Science (Director, Professor Brian Walker) incorporating the
BHF Centre of Research Excellence (Director, Professor John Mullins)
• MRC Centre for Inflammation Research (Director, Professor John Iredale)
• Centre for Reproductive Biology (Director, Professor Phillipa Saunders) and MRC Human
Reproductive Sciences Unit (Director, Professor Robert Millar) including the Tommy’s
Centre (Director, Professor Jane Norman).
• MRC Centre for Regenerative Medicine (Director, Professor Sir Ian Wilmut)
Page 6 of 15
•
•
•
•
Centre for Molecular Medicine (Director, Professor David Porteous)
Centre for Cancer Research (Director, Professor David Harrison)
Centre for Population Health Sciences (Director, Professor Harry Campbell)
MRC Human Genetics Unit (Director, Professor Nick Hastie)
These centres are predominantly based at two sites: the Queen’s Medical Research Institute
at the Royal Infirmary, and the Institute of Genetics and Molecular Medicine at the Western
General Hospital. The co-location of basic science and clinical groups within state-of-the-art
infrastructure and technology provides an excellent and exciting opportunity to conduct
translational research at the highest level.
The University of Edinburgh was chosen by the British Heart Foundation to be one of only
four centres in the United Kingdom as a Centre of Research Excellence. Directed by Professor
John Mullins, the BHF Core is based in the Centre for Cardiovascular Science at Queen’s
Medical
Research
Institute.
The
Centre
for
Cardiovascular
Science
(http://www.cvs.med.ed.ac.uk/default.asp) incorporates approximately 200 dedicated
researchers with a particular focus on vascular injury and biology, cardiovascular
endocrinology, molecular physiology, and epidemiology.
This academic research activity is supported by clinical research infrastructure that includes:
•
•
•
•
•
•
4.
Wellcome Trust Clinical Research Facility (www.wtcrf.ed.ac.uk)
Clinical Research Imaging Centre (CRIC)
Edinburgh Clinical Trials Unit (UKCRN Registered) and Health Services Research Unit
Scottish Brain Imaging Research Centre
Experimental Cancer Medicine Centre
Academic and Clinical Central Office for Research and Development
NHS Library and Postgraduate Facilities
There are excellent facilities on all sites.
5.
Departmental Information
RIE
Clinical Director for Cardiology
Business & Performance Manager
Service Manager
Dr Neal Uren
Ms Gillian Cunningham
Kim Dickson
Site Director
Associate Medical Director
Medical Director of Acute Services
Mrs Lyn McDonald
Dr Andrew Flapan
Dr Brian Cook
SJH
Clinical Director for Medicine
Service Manager
Dr Helen Gillett
Shirley Douglas-Keogh
Site Director
Associate Medical Director
Chris Stirling
Dr James McCallum
Page 7 of 15
NHS Lothian Cardiology Services at the Edinburgh Heart Centre are recognised nationally,
providing a comprehensive cardiology service together with colleagues from Fife, Forth Valley
and Borders region to a population of approximately 1.6 million, which extends across SouthEast Scotland and includes Lothian, Borders, Fife, Forth Valley, as well as receiving tertiary
referrals from Tayside, Grampian and Highland Regions.
Services are currently provided on three adult sites in NHS Lothian:
1) Royal Infirmary of Edinburgh,
2) Western General Hospital, and
3) St John’s Hospital
Following redesign in 2008, tertiary services are delivered at the Edinburgh Heart Centre at
RIE. These include PCI, structural heart disease intervention including TAVI, electrophysiology,
pacing and devices, cardiac MR and CT and cardiac and thoracic surgery.
There are three cardiac catheterisation laboratories in the Royal Infirmary plus a pacing
theatre. There are dedicated beds to support the elective programmes in both the Cardiology
Ward and Medical Day Case Unit.
There is a CCU with 10 beds (Ward 114) and a dedicated cardiology ward (Ward 103) with 36
beds. The CCU and Cardiology Ward are directly adjacent to the Cardiothoracic Surgery
Intensive Care (Ward 111) and HDU (Ward 112) and the Cardiothoracic Ward (Ward 102).
There are close working relationships between Cardiac Surgery and Cardiology. The
outpatient facilities are shared with Respiratory Medicine and Cardiac Surgery. There is a well
developed Cardiac Physiology Service that supports out-patient one-stop clinics and the
RACPC as well as in-patient work.
The job plan for this post has been determined in conjunction with the needs of the current
cardiology service and may be designed to meet service needs in relation to achievement of
the Waiting Times Guarantees for CHD. It is hoped that this will be achieved in conjunction
with cardiologists from partner regions including the Borders, Fife, Forth Valley and Tayside,
with whom we will work as a Regional Planning Group to deliver a comprehensive regional
service.
Capacity
Royal Infirmary:
In-patient bed areas designated in Wards 114 (CCU) and 103: 10 CCU and 36 ward beds
Medical Day Case Unit: 10 beds per day (5-day week)
Cardiac catheterisation laboratories: 3 (34 Sessions funded)
Pacing theatre: 5-6 sessions funded
Western General:
In-patient beds (6-8 on average), designated in Ward 54.
Intensive Care and dedicated HDU facilities on site.
St John’s Hospital:
In-patient bed areas designated in the Medical Admissions Unit (MAU)
6 beds are designated as Medical HDU
Page 8 of 15
Current Services Provided
RIE
WGH
St John’s
A&E

Acute Receiving



Hospital at Night
√


Coronary Care Unit

√

Medical HDU
SAS Telemetry Link

Acute Cardiology Ward




Mixed Medical/Cardiology ward
Cardiac Catheterisation Laboratory

Electrophsiology Servce/RF Ablation

Cardiac Technical Services



Echocardiography



Exercise Tolerance Testing



Transoesophageal Echocardiography



Tilt Table Testing
Cardiac MRI

CT Coronary Angiography

Out-patient Services



Rapid Access Chest Pain Services



Cardiac Rehabilitation



Heart Failure Services



Brady-pacing and Device Implantation

Paccemaker & Device Follow-up



Cardiac Surgery

Vascular Surgery

RIE/WGH Consultant Cardiologists
Dr Miles Behan
Dr Nick Cruden
Dr Martin Denvir
Senior Lecturer in Cardiology
Dr Andrew D Flapan
Dr Patrick Gibson
Dr Neil Grubb
Dr Peter Henriksen
Dr Chris Lang
Professor David Newby
Dr David Northridge
Dr Nick Mills
Dr Neal Uren
BHF Professor of Cardiology
Senior Lecturer in Cardiology
Clinical Director, Cardiac Services
SJH Consultant Cardiologist
Dr Ashok Jacob
General & Interventional Cardiology
General & Interventional Cardiology
General Cardiology with a special interest in
Cardiac Failure
General & Interventional Cardiology
General Cardiology with a special interest in
Echocardiography & Adult Congenital Heart
Disease
General Cardiology & Electrophysiology/Devices
General & Interventional Cardiology
General Cardiologist & Electrophysiology/Devices
General & Interventional Cardiology
General & Interventional Cardiology with
a special interest in Echocardiography &
Structural Heart Disease Intervention
General & Interventional Cardiology
General & Interventional Cardiology
General Physician and Cardiologist
Page 9 of 15
6. Details of the Post
The post is a full-time consultant cardiologist with responsibilities for both acute and elective
cardiology in the NHS Lothian University Hospitals Division. We are seeking a colleague with a
major interest in the management of cardiac failure (complex) who would also support the
echocardiography and imaging service and build links with the community services treating
cardiac failure as well as with SACFS in Glasgow.
The post is based at the Royal Infirmary but the potholder will deliver a weekly out-patient clinic,
and support general cardiology at St John’s Hospital and the Western General in conjunction with
colleagues. The out-of-hours on-call currently is 1-in-6 weekends and covers all the acute
hospitals administered by NHS Lothian. The cardiology service is a Lothian-wide service and in
constant evolution and redesign and the job plan of the post-holder could be redesigned to
reflect this.
7. Research and Development
Opportunities are available for the appointee to take part in both clinical and laboratory based
research within the Department of Clinical and Surgical Sciences in the University of Edinburgh.
The University is likely to offer honorary Senior Lecturer status to a suitable qualified appointee.
In conjunction with NHS Lothian, the University of Edinburgh has established the CRIC with access
to cardiac MRI (Siemens Verio, 3T MR scanner funded by BHF and MRC), CT coronary angiography
(Toshiba Aquilion One, 320-multidetector CT scanner) and myocardial perfusion (MRI and CT/PET
with on-site cyclotron). There are also enormous opportunities for clinical research studies within
the wards and outpatient areas. SPA time can be negotiated for research to a successful
applicant with a proven track record for research.
8. Teaching
The post holder would be expected to play an active part in the teaching of undergraduate
students from the University of Edinburgh. This would include bedside teaching and lectures,
Supervision of special studies projects and marking of portfolio cases. Cardiology is taught as an
8-week module, which is part of a carousel that rotates through Musculoskeletal, GI and
Respiratory Medicine. Clinical bedside teaching in Cardiology regularly achieves the highest scores
from the students. SPA time to support teaching can be negotiated with the successful applicant.
There is a significant commitment to postgraduate teaching and training and the Department
trains doctors from all over the UK, Europe and Asia.
9. Job Planning
Currently, Management Group Scotland recommends that all new Consultants are 9 plus 1 (9 DCC
PAs and 1 SPA). Additional clinical EPAs maybe contracted for according to the service needs and
job plans continually evolve to meet the demands and requirements of the service. Additional
PAs may also be contracted for specific duties, for example, research and teaching.
Page 10 of 15
10. Job Description
Name:
Specialty:
Principal Place of Work:
Contract:
Programmed activities:
EPAs:
Availability supplement:
Managerially accountable to:
Current post
Cardiology
Royal Infirmary /St John’s Hospital
Full-Time
10
0
3%
Dr Neal Uren
a) Timetable of activities that have a specific location and time:
RIE Week (2-in-3)
DAY
TIME
TYPE OF WORK
Monday: RIE
09:00-12:30
13:00-17:00
09:00-13:00
13:00-17:00
09:00-13:00
14:00-17:00
09:00-12:00
Clinical administration/
Echo support
Complex Imaging (CT/MR)
SJH Out-Patient Clinic
Core SPA
Research
Chronic Heart Failure
(CHF) Out-Patient Clinic
Virtual Cardiac Failure
Clinic/ Ward referrals
/ Cardiac Failure MDT
Cross Cover/SACFS link
Cardiac MDT
Academic/M&M Meeting
Clinical administration
Consultant meeting
Tuesday: RIE/SJH
Wednesday: RIE
Thursday: RIE
13:30-17:00
Friday: RIE
09:00-12:00
12:30-13:30
13:30-15:00
15:00-16:00
16:00-17:00
Saturday
Sunday
DCC
0.75
1.0
1.0
1.0
Page 11 of 15
EPA
Total
1.75
2.0
1.0
0.5
1.5
1.0
1.0
0.75
0.25
2.0
0.25
0.25
0.5
0.5
8.0
Core SPA = job planning/appraisal/audit
SPA
0.25
1.75
2.0
10.0
Name:
Specialty:
Principal Place of Work:
Contract:
Programmed activities:
EPAs:
Availability supplement:
Managerially accountable to:
Current post
Cardiology
Royal Infirmary /St John’s Hospital
Full-Time
10
0
3%
Dr Neal Uren
b) Timetable of activities that have a specific location and time:
SJH Week (1-in-3)
DAY
TIME
TYPE OF WORK
Monday: SJH
09:00-12:00
13:00-16:30
16:30-17:30
09:00-12:00
12:30-13:30
13:30-16:30
16:30-17:30
09:00-12:00
13:00-16:00
MAU/Ward work
Echo support
MAU/Ward work
MAU/Ward work
Medical rounds
SJH Out-Patient Clinic
MAU/Ward work
MAU/Ward work
Lothian DC Cardioversion
Service
MAU/Ward work
MAU/Ward work
Core SPA
MAU/Ward work
MAU/Ward work
Cardiac MDT
Academic/M&M Meeting
Clinical administration
Consultant meeting
Tuesday: SJH
Wednesday: SJH
Thursday: SJH
Friday: SJH/RIE
16:00-17:00
09:00-12:00
13:00-16:00
16:00-17:00
09:00-11:30
12:30-13:30
13:30-15:00
15:00-16:00
16:00-17:00
DCC
0.75
0.75
0.25
0.75
SPA
EPA
Total
1.75
0. 25
1.0
0.25
0.75
2.25
0.75
0.25
0.75
1.75
0.75
0.25
0.75
0.25
1.75
0.25
0.25
0.25
1.75
1.5
9.25
Saturday
Sunday
7.75
Page 12 of 15
Name:
Specialty:
Principal Place of Work:
Contract:
Programmed activities:
EPAs:
Availability supplement:
Managerially accountable to:
c)
Current post
Cardiology
Royal Infirmary /St John’s Hospital
Full-Time
10
0
3%
Dr Neal Uren
Timetable of activities that have a specific location and time:
RIE On-Call Week (1-in-12)
DAY
TIME
TYPE OF WORK
Monday: RIE
08:30-12:30
13:00-17:00
08:30-10:30
10:30-12:30
12:30-13:30
14:00-17:00
08:30-12:30
13:00-17:00
08:30-10:30
10:30-12:30
13:00-17:00
08:30-12:30
12:30-13:30
13:30-15:00
15:00-16:00
16:00-17:00
08:30-16:00
08:30-16:00
CCU/Ward work
CCU/Ward work
CCU/Ward Work
Complex Imaging (CT/MRI)
RIE Echo meeting
CCU Ward round/work
CCU/Ward Work
CCU/Ward work
CCU/Ward Work
CHF Out-Patient Clinic
CCU/Ward work
CCU/Ward Work
Cardiac MDT
Academic/M&M
Clinical administration
CCU ward round
Emergency Ward work
Emergency Ward work
Tuesday: RIE
Wednesday: RIE
Thursday: RIE
Friday: RIE
Saturday
Sunday
DCC
1.0
1.0
0.5
0.5
0.25
0.75
1.0
1.0
0.5
0.5
1.0
1.0
0.25
EPA
Total
2.0
2.0
2.0
2.0
0.25
0.25
0.25
9.75
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SPA
2.0
0.25
10.0
11.
Person Specification
Requirements
Qualifications and Training
Essential
Desirable
GMC-registered medical practitioner.
Be on, or be eligible for inclusion on, the GMC Specialist
Register within 6 months of interview.
It is essential that the candidate has had sub-specialist
training in complex cardiac imaging and long term
assessment and management of patients who have had a
cardiac transplant or ventricular assist device
Relevant Experience
General and sub-specialty experience.
Experience across the whole range of acute cardiology
including in the management of acute coronary
syndromes, dysrhythmia and cardiac failure
Experience in managing complex cardiac failure
Experience of working in an advanced cardiac failure
service Including the assessment and follow up of patients
who have had a cardiac transplant or ventricular assist
device
It is essential that the candidate should have relevant
experience to support the regional cardiac surgery unit.
Ability
Ability to take full responsibility for the independent
management of patients
Research
Evidence of substantive research experience & peer-
Previous experience in research desirable
reviewed publications
Postgraduate thesis awarded.
A previous track record in writing
successful grants and completing projects
Teaching and Audit
Team Working
Evidence of formal and informal teaching and training of
Previous experience of designing teaching
junior doctors, medical students and other clinical staff
programmes.
with feedback.
Formal teaching in Medical Education
Commitment to learning and continuous professional
Experience of designing and effecting
development
audit programmes
It is essential that the successful candidate can effectively
as a member of a team to deliver a comprehensive
cardiology service across Lothian and South-East Scotland.
Communication skills, experience of working in
multidisciplinary teams.
Circumstances of Job
On-call requirement.
An understanding of the wider aspects of the NHS in
Scotland as well as the service goals and targets of NHS
Lothian.
These are the four-hour target for all medical emergencies
that come in and waiting times targets for treatment.
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