CONSULTANT PHYSICIAN
WITH AN INTEREST IN
GASTROENTEROLOGY
CLYDE SECTOR
INFORMATION PACK
REF: 37683D
CLOSING DATE: NOON ON 12TH JUNE 2015
www.nhsggc.org.uk/medicaljobs
As you may be aware, the new South Glasgow University Hospital and new Royal Hospital for
Sick Children are due to open on the current Southern site early in 2015.
With this in mind, please note that positions based within the Victoria Infirmary, Mansionhouse
Unit, the Western Infirmary and the current Royal Hospital for Sick Children at Yorkhill will change
location and move to the new hospitals.
Gartnavel General Hospital and Glasgow Royal Infirmary will also have some services affected
by moves to the new Hospitals.
These changes mean your base may change after joining us and you will be informed as soon as
possible prior to any change of base.
SUMMARY INFORMATION RELATING TO THIS POSITION
POST: CONSULTANT PHYSICIAN WITH AN INTEREST IN GASTROENTEROLOGY
BASE: CLYDE SECTOR
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 and Inverclyde Royal Hospital, Greenock. 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 around 400,000. Acute Hospitals within Clyde are part of a
continual review of acute services aimed at maintaining and further developing high
quality clinical care. Candidates are strongly encouraged to contact and visit the teams
within Clyde, as listed below, in order to further explore the excellent opportunities
available in more detail.
Applicants should have full GMC registration, a licence to practise, MRCP or equivalent
and eligibility for inclusion on the Specialist Register. 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
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 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. 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 also a good medical library service.
Inverclyde Royal Hospital is a modern district general hospital in Greenock, and
serves the Inverclyde District (Greenock, Gourock, Port Glasgow and
Kilmacolm), parts of North Ayrshire, The Isle of Bute and the Cowal Peninsula, a
total population of approximately 120,000 comprising both urban and rural
populations. The hospital was opened in 1979 and currently has 342 beds.
All major specialties are represented within the hospital, with a 90-bedded
Geriatric Hospital and 8 bed Physically Disabled Rehabilitation Unit. There is a
dedicated hospital wide academic programme supported by a strong departmental
educational commitment. The hospital is well provided with a dedicated education
centre and IT support. The hospital has an excellent reputation in supporting and
nurturing its junior staff and has an excellent reputation for post graduate training.
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 Medical Unit at Inverclyde Royal consists of an Acute Medical Receiving
Unit and three general medical wards totalling 116 beds and an 11 bedded
Coronary Care Unit. The Medical Unit provides an acute service in general
medicine with clinics in general medicine, diabetes & endocrinology, cardiology,
rheumatology and respiratory medicine in addition to gastroenterology.
3.
Workload of Adult Medicine (to year ending March 2012)
Adult Medicine – Royal Alexandra/Vale of Leven Hospitals
Specialty
Activity 2011/2012
General Medicine
Elective Inpatient Admission
539
Emergency Inpatients
22,510
Day Cases
331
Gastroenterology – Clyde
Activity 2011 / 12
New Referrals
4, 800
New
3,020
Returns
4,580
Endoscopy
Inpatients
695
Daycases
3,675
ERCP
Day cases / Inpatients
4.
Consultant Staffing
Based at RAH there are currently 22 Consultant Physicians with special interests
as noted.
Dr Iain Findlay
Dr Stuart Hood
Dr Clare Murphy
Dr Eileen Peat
Dr Alastair Cormack
Prof Martin McIntyre
Dr Clare Harrow
Dr Neil McGowan
Dr Chris Smith
Dr Graham Naismith
Dr James McPeake
Dr Riz Hamid
Dr Mathis Heydtmann
Dr Selena Lamont
Dr Zia Mustafa
Dr Alistair Dorward
Dr Jane Gravil
Dr Douglas Grieve
Dr Yi Ling
Dr I Keith
Dr C Foster
Dr G Ray
Dr G Roberts
Dr M Perry
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
Acute Care Physician
Acute Care Physician
Rheumatologist
Rheumatologist
Based at IRH there are currently 11 consultants with specialty interests as noted.
25. Dr Andrew McCulloch
26. Dr Helen Papaconstantinou
27. Vacancy
28. Dr Christopher Jones
29. Dr Mohammed Azharuddin
30. Dr Louise Osborne
31. Dr Mohammed Hamed
32. Dr David Marshall
33. Dr Lisa Hutton
34. Dr Sanjiv Nandwani
35. Dr Nma Campbell
36. Dr Dave Sharma
37. Dr Angela Wright
Cardiology
Cardiology
Cardiology
Diabetes and Endocrinology
Diabetes and Endocrinology
Diabetes and Endocrinology
Gastroenterology
Rheumatology
Rheumatology
Rheumatology
Rheumatology
Respiratory
Respiratory
Junior Staff
Junior staff are provided by Scotland Deanery, West Region training programmes,
across all grades and a combination of staff grade doctors and clinical fellows.
RAH Middle Grade Doctors 29
RAH Foundation 1 and 2 doctors 27
IRH Middle Grade Doctors 14
IRH Foundation Doctors 12
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
1.1. There are thirty nine in-patient beds at Royal Alexandra Hospital provided across
wards 27 and 14 for Gastroenterology and currently 10-15 in-patient beds at
Inverclyde Royal.
1.2. Staffing for Gastroenterology services in Clyde will be seven Consultant
Physicians.
1.3. Nurse specialists in Inflammatory Bowel Disease (3), Hepatitis C (2), Liver Nurse
Specialist (1) and Alcohol Liaison are already in post. An anorectal and
oesophageal manometry service is provided by Surgical Nurse Specialists.
1.4. Day case and outpatient facilities include: Two endoscopy rooms in the Day
Surgery unit at RAH, two rooms available at IRH. ERCP is carried out by two
Physicians and one Surgeon, currently at both RAH an IRH. Outpatient services
are provided on three Hospital sites, although the post holder would not be
expected to work across three sites.
7.
Acute Medical Services
The team of Consultant Physicians at the Royal Alexandra Hospital have
responsibility for acute medical services mainly at the Royal Alexandra Hospital
and also Inverclyde Royal Hospital, there is a managed responsibility for
gastroenterology in-patients at Inverclyde Royal Hospital from the
gastroenterology team.
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. Separate rotas are in place to cover weekend acute and continuing care.
Acute receiving at Inverclyde Royal is based upon a seven day, 24 hour rolling
pattern with consultant presence supported by junior and middle grade staff and
advanced nurse practitioners. The medical receiving unit accepts direct GP and
ED referrals and is supported by junior and middle grade medical staff and more
recently dedicated advanced nurse practitioners.
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. IRH
has an 11 bedded unit staffed during the day by consultant cardiology staff
supported by middle grade trainees.
1.3. 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. IRH
has a combined HDU of 4 beds.
7.4
Junior Doctors out-of-hours
A Hospital @ Night service started at the RAH and IRH in August 2006. This is
part of ongoing work addressing the impact of modernising Medical Careers and
implementing plans to support the delivery of high quality sustainable services.
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-ofhours 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 H Slavin. The consultant staff at IRH are part of the acute receiving rota and
also support the unit daily with the assistance of advanced nurse practitioners.
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 Dr Chris Jones based at
IRH/RAH. There are two Lead Clinicians for Medicine across Clyde: Dr Jane
Gravil at RAH/VOL and Dr Lisa Hutton at Inverclyde Royal Hospital.
1.1.
Summary of the Post
The appointee will provide consultant leadership in Gastroenterology.
10.2
Duties of the Post
Inpatient: Gastroenterology beds based at RAH.
Gastroenterology beds based at IRH
Outpatient: Clyde, based at Royal Alexandra Hospital and Inverclyde Royal
Hospital.
Endoscopy: Clyde, based at Royal Alexandra Hospital and Inverclyde Royal
Hospital.
1.3.
Suggested job plan
The job plan will be tailored to the successful candidate’s interests and the
following should only be taken as guidance. A detailed job plan will in due course
be agreed with the Clinical Director or Associate Medical Director/Chief of
Medicine 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
PAs
Outpatient Clinics (x2)
2.0
Endoscopy List (x2)
Ward Rounds/Referrals (x 2)
MDT/Admin
Admin
2.0
2.0
1.0
1.0
Out of Hours Work
1.0
Total DCC
9.0
SPA
1.0
TOTAL
10
Cover for study leave, holidays will be provided from within existing consultants.
10.4
On call duties
The requirement for on-call including general medical commitments will be
agreed amongst the Gastroenterology team.
10.5
Support staff
There is secretarial support for the consultant.
10.6
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
Both units have 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 at RAH and Dr Manfred Staber at IRH.
The Medical Units teach 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 Chris Jones
Clinical Director, Clyde Medicine, Secretary, 01475
504501
Dr Jane Gravil
Lead Clinician, Medical Unit, RAH, 0141 314 7444
Dr G Naismith
Consultant Physician / Gastroenterologist, Medical Unit,
RAH, 0141 887 9776
PERSON SPECIFICATION
ESSENTIAL
DESIRABLE
QUALIFICATIONS
CLINICAL
EXPERIENCE

•
•
•
•
MANAGEMENT
AND
ADMINISTRATIVE
•
EXPERIENCE
•
•
TEACHING
EXPERIENCE
•
•
Applicants should have full
GMC registration, a licence to
practise, MRCP or equivalent
and eligibility for inclusion on
the Specialist Register. 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.
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.
•
Sub-specialty interest.
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.
•
Attendance at
management course for
clinicians.
Experience of supervising medical •
trainees.
Ability to teach clinical skills.
Experience of MMC
assessment tools.
OTHER
ATTRIBUTES
•
•
•
•
•
Ability to work in a team.
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
£ 76,761 - £ 103,490 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the
salary scale, (dependent on qualifications and experience). Salary is paid
monthly by Bank Credit Transfer.
HOURS OF DUTY
Full Time 40.00
SUPERANNUATION
New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but
under seventy five will be enrolled automatically into membership of the NHS
Pension Scheme. Should you choose to "opt out" arrangements can be made
to do this via: www.sppa.gov.uk
REMOVAL EXPENSES
Assistance with removal and associated expenses may be given and would be
discussed and agreed prior to appointment.
EXPENSES OF
CANDIDATES FOR
APPOINTMENT
Candidates who are requested to attend an interview will be given assistance
with appropriate travelling expenses. Re-imbursement shall not normally be
made to employees who withdraw their application or refuse an offer of
appointment.
TOBACCO POLICY
NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises
and grounds.
DISCLOSURE SCOTLAND
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.
CONFIRMATION OF
ELIGIBILITY TO WORK IN
THE UK
NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to
ensure that it’s employees, both EEA and non EEA nationals, are legally
entitled to work in the United Kingdom. Before any person can commence
employment within NHS GGC they will need to provide documentation to
prove that they are eligible to work in the UK. Non EEA nationals will be
required to show evidence that either Entry Clearance or Leave to Remain in
the UK has been granted for the work which they are applying to do. Where
an individual is subject to immigration control under no circumstances will they
be allowed to commence until the right to work in the UK has been verified.
ALL applicants regardless of nationality must complete and return the
Confirmation of Eligibility to Work in the UK Statement with their completed
application form. You will be required provide appropriate documentation prior
to any appointment being made.
REHABILITATION OF
OFFENDERS ACT 1974
The rehabilitation of Offenders act 1974 allows people who have been
convicted of certain criminal offences to regard their convictions as “spent”
after the lapse of a period of years. However, due to the nature of work for
which you are applying this post is exempt from the provisions of Section 4 of
the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of
Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants
are required to disclose information about convictions which for other purposes
are “spent” under the provision of the act in the event of employment, failure to
disclose such convictions could result in dismissal or disciplinary action by
NHS Greater Glasgow and Clyde. Any information given will be completely
confidential.
DISABLED APPLICANTS
A disability or health problems does not preclude full consideration for the job
and applications from people with disabilities are welcome. All information will
be treated as confidential. NHS Greater Glasgow and Clyde guarantees to
interview all applicants with disabilities who meet the minimum criteria for the
post. You will note on our application form that we ask for relevant information
with regard to your disability. This is simply to ensure that we can assist you,
if you are called for interview, to have every opportunity to present your
application in full. We may call you to discuss your needs in more detail if you
are selected for interview.
GENERAL
NHS Greater Glasgow and Clyde operates flexible staffing arrangements
whereby all appointments are to a grade within a department. The duties of an
officer may be varied from an initial set of duties to any other set, which are
commensurate with the grade of the officer. The enhanced experience
resulting from this is considered to be in the best interest of both NHS Greater
Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES
The postholder will undertake their duties in strict accordance with NHS
Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE
The employment is subject to three months’ notice on either side, subject to
appeal against dismissal.
MEDICAL NEGLIGENCE
In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the
Health Board does not require you to subscribe to a Medical Defence
Organisation.
Health Board indemnity will cover only Health Board
responsibilities. It may, however, be in your interest to subscribe to a defence
organisation in order to ensure you are covered for any work, which does not
fall within the scope of the indemnity scheme.
FURTHER INFORMATION
For further information on NHS Greater Glasgow and Clyde, please visit our website on
www.show.scot.nhs.uk
View all our vacancies at: www.nhsggc.org.uk/medicaljobs
Register for Job Alerts at: www.medicaljobs.scot.nhs.uk
Applicants wishing further information about the post are invited to contact Dr Chris
Jones on 01475 504501 or Dr Jane Gravil on 0141 314 7444 or Dr Graham Naismith on
0141 887 9776 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.
is respect for we may otherwise have to invite you to submit another name or names
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 on 12th June 2015
INTERVIEW DATE
The interview date will be 21st August 2015