Consultant Physician with an interest in Gastroenterology

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CONSULTANT PHYSICIAN
WITH AN INTEREST IN
GASTROENTEROLOGY
ROYAL ALEXANDRA
HOSPITAL
INFORMATION PACK
REF: 29441D
CLOSING DATE: NOON 12TH JULY 2013
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: CONSULTANT PHYSICIAN WITH AN INTEREST IN
GASTROENTEROLOGY
BASE: ROYAL ALEXANDRA HOSPITAL
Applications are invited for two posts of Consultant Physician with an interest
in Gastroenterology for Clyde sector of NHS Greater Glasgow and Clyde,
based at Royal Alexandra Hospital.
The successful candidate will integrate into a team comprising seven
Consultants to develop Gastroenterology in Clyde. This will offer a real
opportunity for the successful candidate to be involved in the development of
a successful modern consultant led service serving a population of some
380,000 .
The Consultants will share four slots on the Consultant emergency on-call rota
and acute medical receiving at Royal Alexandra Hospital.
You should be appropriately experienced and qualified in the specialty, fully
registered with the GMC and have a licence to practice. 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.
NHS Greater Glasgow & Clyde
Emergency Care and Medical Services – Clyde Sector
Consultant Physician with an interest in Gastroenterology
This post of Consultant Physician with an interest in Gastroenterology will be
based at the Royal Alexandra Hospital (RAH), Paisley, five miles from the
bustling West end of Glasgow. The successful candidate will integrate into a
team comprising seven Consultants to develop services within
gastroenterology across Clyde. This will offer a real opportunity for the
successful candidate to be involved in the development of a successful
modern consultant led service for a population of c 380,000.
1.
General Information
The Royal Alexandra Hospital (RAH) is situated in Paisley and provides
acute health care services to Renfrew District (pop 205,000). The
Hospital is a 968 bed modern District General Hospital (DGH) which
opened in 1986 and is one of the largest and busiest non-teaching
DGHs in Scotland. In addition the hospital is currently 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.
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. Pathology services for the
Clyde division of Greater Glasgow and Clyde (GG&C) are centered on
this site. 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. At
the beginning of 2005 Paisley University Nursing School left the RAH
campus. Proposals for the use of the vacant space at the heart of the
hospital are being sought and are likely to include the further
development of ambulatory care, day surgery, endoscopy services and
improved educational facilities.
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
March 2012)
(Approximate
to
year
ending
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
Gastroenterology – Clyde
New Referrals
New
Returns
Endoscopy
Inpatients
Daycases
3,981
3,020
695
3,675
ERCP
Day cases / Inpatients
4.
Consultant Staffing
Between the RAH and VOL there are currently 22 Consultant
Physicians with special interests as noted.
1.
2.
3.
4.
5.
6.
7.
8.
Dr Iain Findlay
Dr Stuart Hood
Dr Clare Murphy
Dr Eileen Peat
Dr Alastair Cormack
Prof Martin McIntyre
Dr Clare Harrow
Dr Neil McGowan
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Diabetes and Endocrinology
Diabetes and Endocrinology
Diabetes and Endocrinology
9. Dr James Boyle
10. Dr Graham Naismith
11. Dr James McPeake
12. Dr Riz Hamid
13. Dr Mathis Heydtmann
14. Dr Alistair Dorward
15. Dr Jane Gravil
16. Dr Douglas Grieve
17. Dr Yi Ling
18. Dr I Keith
19. Dr C Foster
20. Dr G Ray
21. Dr G Roberts
22. Dr M Perry
5. Junior Staff
 Specialist Registrars
 ST/FTSTAs
 Foundation Year 2
 Foundation Year 1
 GPST1
Diabetes and Endocrinology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Respiratory Medicine
Respiratory Medicine
Respiratory Medicine
Respiratory Medicine
Acute Care Physician
Acute Care Physician
Acute Care Physician
Rheumatologist
Rheumatologist
4 (RAH)
5 (RAH)
6 (RAH)
22 (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.
Gastroenterology Services
6.1
There are fourty five inpatient beds provided across wards 27 and 14
at RAH for Gastroenterology serving the Clyde sector.
6.2
Staffing for Gastroenterology services in Clyde will be seven
Consultant Physicians.
6.3
Daycase and outpatient facilities include: Two endoscopy rooms in the
Day Surgery unit at RAH, two rooms available at IRH and one room
available at VOL. ERCP is carried out by two Physicians and one
Surgeon.
6.4
Four of the Consultants will support services at Inverclyde Royal
Hospital and two Consultants provide outpatient and endoscopy
sessions at Vale of Leven Hospital.
6.5
Nurse specialists in Colorectal disease, Alcohol Liaison and Hepatitis C
are already in post. An anorectal and oesophageal manometry service
is provided by Surgical Nurse Specialists.
6.5
There is an alcohol liaison service.
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
Coronary Care Unit
Patients with acute myocardial infarction, acute coronary syndromes,
arrhythmias or congestive cardiac failure at the RAH are admitted to
the 18 bedded coronary care unit, staffed during the day by one of the
consultant cardiologists on a rotational basis, supported by junior
medical staff from the cardiology ward.
7.3
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.
7.4
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 modernizing 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 Dr L Erwin.
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
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. There are two Lead Clinicians for Medicine across Clyde: Dr
Stuart Hood at RAH/VOL and Dr Chris Jones at Inverclyde Royal Hospital.
10.
Summary of the Post
The appointee will provide consultant leadership in Gastroenterology.
10.1
Duties of the Post
Inpatient Responsible for Gastroenterology beds
Outpatient Based at RAH/IRH
Endoscopy Based at RAH/IRH
10.2
Suggested job plan
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 in due course be agreed with the Clinical Director or
Associate Clinical Director 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 (x2)
PAs
2.0
Endoscopy List (x2)
Inpatient Work
MDT/Admin
Admin
2.0
3.0
1.0
1.0
9.0
Total DCC
SPA
1.0
TOTAL
10
Cover for study leave, holidays will be provided from within existing
consultants.
10.3
On call duties
The successful candidate will share the four allocated
‘Gastroenterology’ slots for receiving and oncall with the team of
Consultants.
10.4
Support staff
There is secretarial support for the consultant.
10.5
Specialty Interests
The unit will try and support the candidate in development of any
specialty interest or technique in which they wish to participate.
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
Prof. Martin McIntyre
Clinical Director, Medical Unit, VOL.
01389 817607
Dr Stuart Hood
Lead Clinician, Medical Unit, RAH
0141 314 7292
Dr James McPeake Consultant physician, Medical Unit, RAH.
PERSON SPECIFICATION
ESSENTIAL
QUALIFICATIONS 
MRCP or equivalent.

Full GMC and a licence to
practice.

Clinical
training
and 
experience equivalent to
that required for gaining UK
CCT in General Internal
Medicine
and
Gastroenterology.
Ability to offer expert
clinical opinion on a range
of
gastrointestinal
problems.
Ability to take full and
independent responsibility
for clinical care of patients.
Ability to advise on the 
efficient
and
smooth
running of the GI service.
Ability to organise and
manage ward patients,
outpatient priorities and
endoscopy lists.
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.



MANAGEMENT
AND
ADMINISTRATIVE 
EXPERIENCE



TEACHING
EXPERIENCE
Entry on GMC Specialist
Register or within 6 months
of receipt of CCT at time of
interview.

CLINICAL
EXPERIENCE


DESIRABLE
Ability to work in a team.
Sub-specialty
interest.
Attendance
at
management course
for clinicians.
Experience of MMC
assessment tools.
OTHER
ATTRIBUTES




Good interpersonal skills.
Caring attitude to patients.
Ability to communicate
effectively with patients,
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
£ 75,249 £ 101,451 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
You have the option to join the NHS Superannuation Scheme, to participate in
the State Earnings Related Pension Scheme or to take out a Personal
Pension. Employee’s contributions to the NHS Scheme are Tiered based on
your earnings and the employers contribution equates to 13.5 % of salary.
Employees in the NHS Scheme are “Contracted-out” of the State Earnings
Related Pension Scheme and pay a lower rate of National Insurance
contributions. Employees who choose to participate in the State Earnings
Related Pension Scheme pay the higher rate of National Insurance
contribution. A Stakeholder Pension is also available. A Personal Pension is a
private arrangement agreed with the pension provider that will be an
organisation such as a Bank, Building Society or Insurance Company.
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 not 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
Subscribe to our Medical Jobs Vacancy Bulletin Click Here
Register for Text Alerts for medical vacancies – email your mobile number and
the grade and specialty you are interested in to [email protected]
Applicants wishing further information about the post are invited to contact Prof
Martin McIntyre on 0141 314 6826 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 [email protected] 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 12 July 2013
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