NHS Lothian
University Hospitals Division
Directorate of Radiology
Consultant Paediatric Radiologist
Royal Hospital for Sick Children, Edinburgh
CONSULTANT PAEDIATRIC RADIOLOGIST
1.
Outline of the post
This is a replacement post for a consultant paediatric radiologist to support the
paediatric imaging services in NHS Lothian and South-East Scotland, delivered
through Lothian University Hospitals Division (LUHD). The post will be based at the
Royal Hospital for Sick Children, Edinburgh. The appointment will be to NHS Lothian
and, as imaging services develop across Lothian and South-East Scotland, the post
holder may be required to work at other sites depending on the needs of the service.
2.
NHS Lothian
NHS Lothian is an integrated NHS Board in Scotland providing primary, community,
mental health and hospital services. Mr Tim Davison is Chief Executive and Dr David
Farquharson is 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 in City of Edinburgh, West Lothian,
East Lothian and Midlothian, and a Public Health directorate.
NHS Lothian serves a population of 850,000.
2.1
University Hospitals Division
The University Hospitals Division provides a full range of secondary and tertiary
clinical services to the populations of Edinburgh, Midlothian, East Lothian and West
Lothian. The Division is one of the major research and teaching centres in the United
Kingdom.
Hospitals included in the Division are:
The Royal Infirmary of Edinburgh
The Western General Hospital
The Royal Hospital for Sick Children, Edinburgh
St Johns Hospital
Royal Victoria Hospital
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Liberton Hospital
The Princess Alexandra Eye Pavilion.
The Royal Hospital for Sick Children (RHSC) is a 151 bedded hospital providing
general and specialist services for children. The hospital is currently 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 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, with a busy
Emergency Department, 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; spinal deformity 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, 4/6 bedded High Dependency Unit and a 3
bedded Neonatal Intensive Care Unit. There are 7 wards, a Planned Investigation Unit
and a Day Surgery 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 Magnetic
Resonance Imaging, CT Scanning, nuclear medicine scanning and ultrasound. On site
laboratories provide biochemistry, and haematology services.
There is active planning taking place to re-provide both the paediatric services
currently in RHSC and adult neurosciences (DCN) on the RIE campus at Little France
in 2017.
The Royal Infirmary (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
operating theatres, and is equipped with modern theatre and critical care equipment
and monitoring. Within the main building is a dedicated, multidisciplinary, 5 theatre
day surgery complex. The hospital provides for most specialities and is the centre for:
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General surgery with a focus on the upper GI tract
Vascular surgery
Hepato-biliary and Transplant medicine and surgery
Cardiac and Thoracic surgery
Elective and trauma Orthopaedics surgery
Neonatology
Obstetrics & Gynaecology
Cardiology
Renal Medicine
Sleep Medicine
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Consultant Paediatric Radiologist RHSC
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Regional major Accident and Emergency centre.
There is a Combined Assessment Unit which takes unselected GP or direct emergency
referrals, and from A&E. CAU includes the Dept of Liaison Psychiatry and the Scottish
Poisons Bureau and Treatment Centre. There are full supporting Laboratory and
Diagnostic Radiology Services (including CT, MR, Ultrasound and NM and PET
scanning will be available in 2008). There is a full range of lecture theatres, a library and
AV facilities.
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. 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 Breast screening
• Gastro-Intestinal disease
 Rheumatology
 Infectious Diseases
 Haematology Oncology
 Medical Oncology
 Radiation Oncology (including 6 LINACs)
 Dermatology (Inpatient)
 Medicine of the Elderly/Stroke Medicine
There is an Acute Receiving Unit, which accepts GP referrals and 999 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 NM).There is a full
range of lecture theatres, a library and AV facilities.
St John’s Hospital is a 550 bed hospital 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 operating. The hospital has a paediatric ward and is the centre for:
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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
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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 reprovision 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. There is a full range of lecture theatres, a library and AV facilities.
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 CH(C)Ps include:
The Astley Ainslie Hospital in Edinburgh
Rosslynlee Hospital in Midlothian
Herdmanflat Hospital
Roodlands Hospital in 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 health board area. The
range of services include 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
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.
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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:
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Acute Mental Health
Rehabilitation
Psychiatric Emergency Team 24/7
Outpatients
Assessment Phychiatry of Old Age
Forensic Medium Security Unit
Inpatient 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 hospitals 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 19 th 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.
2.4
Department of Public Health Medicine
The aim of the Department 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 and the collation and interpretation of health
related information.
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.
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 leading force in basic-to-clinical
translational research. The College has a consistent 30-year strategy of
interdisciplinarity and integration of basic and clinical sciences. In the most recent
Research Assessment Exercise (2008), the University of Edinburgh was top in the
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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.
It has established several major interdisciplinary research Centres:
i. MRC Centre for Inflammation Research (Director, Professor John Iredale)
ii. Centre for Cardiovascular Science (Director, Professor Brian Walker) incorporating
the BHF Centre of Research Excellence (Director, Professor John Mullins)
iii. Centre for Reproductive Biology (Director, Professor Philippa Saunders) and MRC
Human Reproductive Sciences Unit (Director, Professor Robert Millar) including
the Tommy’s Centre (Director, Professor Jane Norman).
iv. MRC Centre for Regenerative Medicine (Director, Professor Sir Ian Wilmut)
v. Centre for Molecular Medicine (Director, Professor David Porteous)
vi. Centre for Cancer Research (Director, Professor David Harrison)
vii. Centre for Population Health Sciences (Director, Professor Harry Campbell)
viii.
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.
This academic power base is supported by clinical research infrastructure that includes:
i Wellcome Trust Clinical Research Facility
ii Clinical Research Imaging Centre
iii Edinburgh Clinical Trials Unit (UKCRN Registered) and Health Services Research
Unit
iv Scottish Brain Imaging Research Centre
v Experimental Cancer Medicine Centre
vi Academic and Clinical Central Office for Research and Development
The Clinical Imaging Research Centre is located in the Queen Margaret Research
Institute of the University of Edinburgh on the Royal Infirmary campus. The CRIC is a
joint University/NHS Lothian imaging facility opened in 2009. It is a state-of-the-art
centre for human integrated imaging which includes a 320 slice CT scanner , a 3T MR
system and a CT-PET (128 slice) scanner. This will be served by a dedicated cyclotron
with radiopharmacy suite (7 hot cells) due to open in summer 2010.
4.
NHS Library and Postgraduate Facilities
There are excellent facilities on all sites.
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5.
The Radiology Directorate
The Radiology Directorate is located, along with Laboratories, within Clinical Support
Services and is led by the Clinical Director, who is managerially accountable to the
Clinical Support Services’ Head of Service and professionally accountable to the
Associate Medical Director for the University Hospitals’ Division. The Clinical Director
is supported by a Service Manager; there are Lead Radiologists at each of the four main
sites and the Primary Care Imaging Service based at Leith CTC. The Radiology
Directorate provides imaging services for each of the component hospitals within the
University Hospitals Division, as well as for Primary Care Services. There is a Divisionwide Hospital Information System which is being developed into a full Electronic
Patient Record. The Carestream PACS system has been installed as part of the national
PACS project, which allows review of images from all the radiology departments in the
Lothian Imaging Directorate and from across Scotland. The local PACS network allows
flexibility in appointing patient examinations to the different departments and
subsequent reporting of these examinations by the relevant radiologists.
6.
The Department of Radiology, Royal Hospital for Sick Children
The Department of Clinical Radiology at the Royal Hospital for Sick Children is within
the Radiology Directorate of the University Hospitals Division. The Department offers
a wide range of imaging and interventional services. The Clinical Lead within the
Department is Dr Maeve McPhillips and the East Sector Manager with responsibility
for the department is Stephen Evans.
Details of staffing and their special interests are outlined below:
Consultant Radiologists
Special Interests
Dr K Agilogba
Dr J Jones (0.5 w.t.e)
Dr McGurk (0.5 w.t.e)
Dr M McPhillips
Dr AG Wilkinson (this post)
Dr Moti Chowdhury
ENT
MSK, neonatal hips
intervention, MSK
oncology
intervention, neonatal hips
intervention, nuclear medicine
Trainee Radiologists
There are 30 training grade staff on the South East Scotland training scheme with an
intake of approximately 6 per year. These rotate through the hospitals of the Division
and also to local District General Hospitals, there are two Lothian trainees on rotation
to RHSC and further trainees from Tayside are accommodated from time to time.
Superintendent radiographers
Departmental Manager
Main X-ray
MRI/CT
Mr S Evans
Mrs C Lamont
Mrs B Nugent
There are 15.5 WTE radiographers and 4 RDA/CSW staff.
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Nursing Staff
Departmental Nurse
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Clerical Staff
Office manager
There are 3.5 WTE clerical staff
Mrs G McCafferty
Mrs N Fleming
Office accommodation
The successful candidate will be able to choose between an individual office or a share
of a multi-office with 3 other radiology consultants.
Travel requirements
This post is based at RHSC. On-going review of provision of paediatric imaging
services in NHS Lothian may require travel to other sites. Edinburgh has excellent
public transport links and should travel outside base hospital be required this could be
achieved with public transport.
Workload
The Radiology Department at the Royal Hospital for Sick Children performed 31272
examinations in 2013/14. The most recent departmental activity figures are as follows:
Arteriography/Intervention
CT
Fluoroscopy
MRI
Nuclear Medicine
Plain Films
Theatre
Ultrasound
80
962
804
3818
360
18333
882
6033
Total 31272
Details of current imaging equipment are provided in a separate appendix. (see
Appendix 2)
7.
Details of the Posts
We are seeking to appoint a consultant paediatric radiologist to provide paediatric
imaging support for the Royal Hospital for Sick Children. Subspecialty interests can be
accommodated, including some paediatric interventional work. There is a number of
multidisciplinary team meetings during the week and allowance to attend those
meetings relevant to an individual’s practice is made in job plans. The post will be
based at the Royal Hospital for Sick Children but time may be allocated to other
departments in Lothian and Fife, depending on the needs of the service and the
outcomes from a review of Radiology Services in Lothian. Significant developments are
taking place throughout the imaging service as we move to Single System Working
across Lothian and all consultants will be expected to be flexible with their working
patterns. The new consultant will participate in teaching of undergraduates and
specialist registrars, management tasks and audit. Consultant job plans are reviewed
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Consultant Paediatric Radiologist RHSC
annually by the Clinical Director or Deputy and adjusted according to the needs of
service and the individual by mutual agreement.
A provisional job plan is given in Appendix 1. NHS Lothian allocates all consultants
one SPA for CPD, audit, clinical governance, appraisal, revalidation job planning and
routine internal communication and management meetings. As a major teaching and
research contributor it would normally expect to allocate additional SPA time for
activities to do with undergraduate education, educational supervision of trainee
medical staff, research, service development and other activities. These are all areas
where NHS Lothian has a strong commitment and we recognise the contribution that
consultants are both willing and eager to make. The precise allocation of SPA time and
associated objectives will be agreed with the successful applicant.
On Call: This will be carried out at the Royal Hospital for Sick Children and will be on a
1 in 5 rota (Level 1, 8% supplement) in the first instance. On-call worked is
unpredictable and time off in lieu is allowed as appropriate. However, with the
installation of PACS across Lothian, on call arrangements across the city are being
reviewed.
8.
Research and Development
The Directorate is keen to develop strong links with various university departments as
well as academic links with other NHS groups. There are opportunities for
collaborative research with these departments, many of which have strong and
established research programmes. New consultants will be expected to participate in
teaching and research, they will be offered Honorary University status and will be
appointed to the University Clinical Teaching Staff. If appropriate a part time Senior
Lectureship maybe offered.
9.
Teaching
SpR training is co-ordinated by the Radiology Postgraduate Training Committee. This
is chaired by the Training Programme Director for the South East Scotland Radiology
Training Scheme, Dr J Anderson, the Educational Supervisors, two junior staff
representatives and the Postgraduate Dean are also included on the committee.
Consultants are also expected to contribute to the teaching of medical students at
various stages of their training.
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10.
Contact Details
Dr M McPhillips
Department of Radiology
Royal Hospital for Sick Children
9 Sciennes Road
EDINBURGH EH9 1LF
Tel: 0131 536 0842 (DL) or 0131 536 0255 (reception)
Email: Maeve.McPhillips@luht.scot.nhs.uk
The NHS Structured Application and job description can be obtained by e-mailing
lister.careerrec@luht.scot.nhs.uk
The completed NHS Structured Application together with the names, email and postal
addresses of three referees should be sent to the above email address by the closing
date of xxxx, no applications will be considered after this time. Please quote reference
xxx
Please note that we no longer accept application by CV.
In accordance with recent Home Office guidelines, doctors who require a work permit
will only be appointed to posts which cannot be filled by UK/EEA applicants or doctors
who do not require work permits
We are working towards Equal Opportunities.
11.
Person Specification
The Person Specification for this post is attached as Appendix 3
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Consultant Paediatric Radiologist RHSC
Appendix1
Proposed Job Plan
Name:
Consultant Paediatric Radiologist
Specialty:
Radiology
Principal Place of Work:
RHSC
Contract:
Full Time (Part Time available if requested)
Programmed Activities:
10
Availability Supplement:
8%
Out of hours emergency work PA’s: Time off in lieu for on call worked
Managerially responsible to:
Lead Radiologist, RHSC
Responsible for:
Provision of paediatric radiological services in NHS Lothian
Timetable of activities which have a specific location and time
DAY
HOSPITAL/
LOCATION
Monday
09.00-12.45
12.45-14.00
14.00-16.00
Tuesday
08.30-09.15
09.15-13.00
13.00-14.00
14.00-17.00
Wednesday
09.00-13.00
13.00-14.00
14.00-17.00
Thursday
09.00-12.00
12.00-13.00
13.00-14.00
14.00-17.00
Friday
08.30-09.15
09.15-12.00
12.00-1300
13.00-17.00
Saturday
Sunday
TYPE OF WORK
DCC
RHSC
RHSC
RHSC
Fluoroscopy & associated reporting
Surgical clinical meeting
Ultrasound & associated reporting
RHSC
RHSC
RHSC
RHSC
Neuro-oncology MDT
Reporting, emergencies, isotopes, ITU
RHSC Grand Round
MRI & associated reporting
RHSC
RHSC
RHSC
SPA
departmental audit/qi/education
Ultrasound & associated reporting
RHSC
RHSC
RHSC
RHSC
MR
0.75
Present Medical Meeting
0.25
Report MR from morning & ITU exams
0.25
Prepare & present orthopaedic/rheumatology Mtg
0.75
RHSC
RHSC
RHSC
RHSC
Attend oncology MDT )
US & associated reporting)
Attend neurology meeting
Reporting/SPA (alternate weeks)
SPA
1.25
0.5
1.125
0.25
0.75
1
0.25
0.75
0.875
0.25
0.5
8 DCC
0.5
2
SPA*
*A provisional job plan is given. NHS Lothian allocates all consultants one SPA for
CPD, audit, clinical governance, appraisal, revalidation job planning and routine internal
communication and management meetings. As a major teaching and research
contributor it would normally expect to allocate additional SPA time for activities to do
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Consultant Paediatric Radiologist RHSC
with undergraduate education, educational supervision of trainee medical staff,
research and other activities. These are all areas where NHS Lothian has a strong
commitment and we recognise the contribution that consultants are both willing and
eager to make. The precise allocation of SPA time and associated objectives will be
agreed with the successful applicant. Recent appointments have been to a 8:2 split
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Appendix 2
IMAGING EQUIPMENT
ROYAL HOSPITAL FOR SICK CHILDREN, EDINBURGH
General radiography
(2 rooms + dental)
Siemens Orbix Multix UH Vertix 2E (with skull unit)
Shimadzu RadSpeed
Instrumentarium OC 200D
Mobile radiography
GE AMX 4+ (x3)
Image Intensifier
Siemens Arcadis
Philips BV Libra
Fluoroscopy
Siemens Fluorospot Compact
CT
Siemens Somatom Sensation 64
MRI
Siemens Magnetom Espree
Gamma Camera
GE Discovery NM/CT 670
US
GE Logiq x2 (1 used as mobile machine)
DR
Samsung
CR
Fuji
Radiology Information
System
TRAK
PACS
Carestream
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Appendix 3
PERSON SPECIFICATION
REQUIREMENTS
Qualifications and
Training
Experience
Ability
Academic
Achievements
ESSENTIAL
DESIRABLE
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GMC Registered Medical Practitioner
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Be on, or be eligible for inclusion on,
the GMC Specialist Register within 6
months of interview
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Post-graduate radiology qualification
e.g. FRCR
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Advanced training in Radiology or
equivalent
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Evidence of regular appraisal learning
and continuous professional
development
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Specialist training in paediatric
radiology minimum 1 year
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General diagnostic paediatric
radiological experience
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Extensive background in paediatric
cross-sectional imaging
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Documented experience in paediatric
chest/abdominal drainage
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Evidence of ability to take full
responsibility for the independent
management of patients undergoing
radiological procedures
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Able to co-ordinate imaging
investigations and tailor them to
patient’s needs
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Evidence of commitment to research, 
publications and presentations
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Teaching and
Audit
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Evidence of commitment to formal
and informal teaching and training of
SpRs, Junior Doctors and Medical
Students
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Willing to develop special
interest in paediatric
neuroradiology & nuclear
medicine
Evidence of previous
experience in successful
research funding, review and
publication
Publications on radiological
and imaging topics
 Evidence of teaching/training
qualification.

Designing and effecting audit
programmes.
 Evidence of participation in audit
Motivation
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Evidence of commitment to:

Evidence of commitment to
the development of services
for patients
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Clear commitment to
developing the role of
paediatric radiology
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Able to motivate
departmental colleagues.
-Patient focused care
-Continuous Personal Development
Team Working
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Making effective and efficient use of
resources
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Good communicator
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Evidence of teamwork with colleagues
in own and other disciplines
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Able to organise time efficiently and
effectively
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Enthusiastic, self reliant and able to
cope with stress.
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Willing to develop a
leadership role within the
department