renal transplant surgery - NHS Greater Glasgow and Clyde

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SENIOR CLINICAL FELLOW

RENAL TRANSPLANTATION

AND SURGERY OF RENAL

FAILURE

WESTERN INFIRMARY

INFORMATION PACK

REF: 34709D

CLOSING DATE: NOON ON 19

TH

DECEMBER 2014 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: SENIOR CLINICAL FELLOW IN RENAL TRANSPLANTATION AND

SURGERY OF RENAL FAILURE

BASE: WESTERN INFIRMARY

To practice medicine in the UK you need to hold both GMC registration and a licence to practice.

These posts do not have educational approval from the Postgraduate Dean and will not be recognised for training

NHS Greater Glasgow & Clyde

SENIOR CLINICAL FELLOW

in

RENAL TRANSPLANT SURGERY

(including the surgery of renal failure)

NHS Greater Glasgow and Clyde

Base: Western Infirmary, Glasgow

INFORMATION PACK

TOPIC

1. Brief Description of the Health Board

2. Hospitals & Clinics where Services are to be provided

3. The Work of the Directorate/Department/Specialty

4. Current Consultant Establishment

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5. Duties of the Post

Clinical Commitments

Teaching

Clinical Research

Laboratory Research

Timetable

6. Terms & Conditions of Service

7. Arrangements to visit

8. Return of CV

9. Closing Date

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Post: Senior Clinical Fellow

Renal Transplantation and Surgery of Renal

Failure

2.

1.

Based Initially: Western Infirmary

Reports To: Clinical – Mr Marc Clancy, Lead Surgeon for

Renal Transplantation

Brief Description of the Health Board

NHS Greater Glasgow and Clyde is the largest group of adult acute hospitals in Scotland – offering many opportunities to ensure job satisfaction and career development. It provides a wide range of services from community-based care through to supra-regional services including cardiac and renal transplantation.

It enjoys close links with Glasgow’s three Universities and makes a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation.

Renal services are included within the Regional Services Directorate which manages the following services

Institute of Neurosciences

Spinal Injuries Unit

West of Scotland Beatson Cancer Centre

Plastic Surgery and Burns Unit

Renal Services

Homeopathy Hospital

Hospitals and Clinics where Services are to be provided

The Renal Transplant Unit at the Western Infirmary is the sole provider of

Renal Transplantation for the adult population of the West of Scotland

(population approximately 2.7 million). This Service performs more than 120 renal transplants a year, has one of the largest Living Donor programmes in the UK and supports the Scottish Paediatric Transplant Programme which is based at The Royal Hospital for Sick Children. The Department also

3. provides vascular access surgery for the 500 patients on haemodialysis, access surgery for peritoneal dialysis as well as general surgery for patients with renal failure.

The Renal Transplant Unit is now located in a newly refurbished 16 bedded ward, co-located with the vascular surgery unit, on level 9 of the Phase One

Building of the Western Infirmary - a well-equipped tower block that also houses a suite of Operating theatres and an 8 bedded Intensive Therapy

Unit. All inpatient nephrology services for Glasgow, Clyde and Forth Valley now occupy the whole of level 7 in the Western Infirmary. Outpatient haemodialysis activity for the Western Infirmary and the peritoneal dialysis unit are on the second floor of G block – adjacent to a new suite of consultant offices

Most outpatient haemodialysis occurs outside the inpatient facility with units situated at New Victoria Hospital, Glasgow Royal Infirmary, New Stobhill

Hospital, Inverclyde Hospital, Vale of Leven Hospital and Larbert Hospital.

Carried out at satellite haemodialysis units at New Stobhill Hospital, New

Victoria Hospital, Falkirk District Hospital, Inverclyde Hospital, and Vale of

Leven Hospital.

Paediatric renal transplants are performed at the Royal Hospital for Sick

Children working in association with the paediatric surgeons based there.

All renal outpatient clinics are conducted in the new Victoria and Stobhill

Hospitals which have excellent modern facilities including day case surgery suites which are used for renal (access) surgery in all appropriate patients.

There is a close working relationship between the transplantation programme and the University Department of Surgery where excellent laboratory facilities exit for research related to all aspects of organ transplantation. There is also close collaboration between the vascular surgery service and Strathclyde University.

The Work of the Directorate/Department/Specialty

There has been an expansion in renal transplant activity over the last decade and a total of over 2000 transplants have been carried out at the

Western Infirmary. More than 120 cadaveric, living related and unrelated donor operations are performed annually with approximately 25-30% being from live donors. The current waiting list for renal transplantation in the West of Scotland is over 300. There are approximately 60 CAPD patients and 600 haemodialysis patients being treated within Greater Glasgow and Clyde and

Forth Valley on an outpatient basis. In addition to the local catchment population, the renal unit at the Western Infirmary also provides more complicated dialysis access surgery for other renal units and functions as a specialist referral centre. The unit is therefore one of the largest in the country.

There are 5 Consultant Transplant Surgeons and the renal surgical junior staff posts consist of one Specialist Registrar, 2 x Clinical Fellows, and

three surgical trainees STs/FTSTAs. Joint physician/surgeon ward rounds are conducted daily. There are also regular Renal Unit research, audit, mortality/morbidity, pathology and radiology meetings.

There is an emergency theatre 24 hours a day which is available for emergency and unscheduled work including transplants.

As well as being one of the largest transplant programmes in the country with opportunities for clinical research, excellent facilities exist within the

University Department of Surgery. There are established links for experimental research in the fields of transplantation immunology and cellular biology at Strathclyde University. We have several projects and postgraduates involved in understanding the vascular changes associated with renal failure with both cellular and small animal studies.

Current Consultant Establishment 4.

Mr Marc Clancy

Mr Enric Murio

Mr David Kingsmore

Mr Vlad Shumyeko

Mr John Asher

Duties of the Post

Lead Consultant & Transplant Surgeon

Consultant Transplant Surgeon

Consultant Transplant and Vascular Surgeon

Consultant Transplant Surgeon

Consultant Transplant Surgeon

5.

Clinical Commitments:

The appointee will participate with his/her middle grade colleagues in the pre-operative assessment and preparation, surgical management and post operative care of patients with renal failure. This includes attendance at outpatient clinics, ward rounds, a day surgery list as well as elective and emergency operating sessions. This clinical activity will account for an average of 2 sessions a week. There is a 1 in 6 on call commitment. The unit does not have Foundation Year doctors and all the routine ward care of the patients is undertaken by Case Managers / Nurse Practitioners who refer to the middle grade doctors for diagnostic and treatment decisions.

Teaching:

During term time there is a regular commitment to the undergraduate medical course particularly in ward teaching.

There is a commitment to the postgraduate education of the trainees within the renal department.

Clinical Research:

There is an active clinical research activity associated with this large and busy transplantation programme and the appointee will be expected to contribute to this.

Laboratory Research:

Laboratory research is ongoing with several trials at the University of

Strathclyde looking at the cellular responses of the vascular tree. This program of activity has been established over the past few years and successfully attracted competitive funding. There is the opportunity to gain laboratory experience in addition to clinically supporting this work.

Timetable:

The appointee will work with the trainees to provide middle grade cover for the transplant and renal surgery service. This will involve consultant run operating sessions, both inpatient and day surgery, transplant follow up clinics and assessment and renal surgery clinics. The appointee will be involved in the management of the inpatient care of the renal patients.

The on call will be a 1 in 6 rota (with prospective cover). Whilst on call for renal surgery the appointee will provide middle grade cover for emergency vascular and peritoneal dialysis at the Western Infirmary, advice and if necessary attendance at the NVSHs as well as for kidney implantation and associated problems in the renal patients.

The middle grade posts within the department are currently graded as Band

2A and is reassessed on a regular basis and may be subject to change.

The appointee will also perform ward rounds and contribute to radiology, pathology, mortality, research and other departmental meetings within the combined nephrology and renal surgery multi-disciplinary structure.

The post is for 6 months in the first instance.

6. Arrangements to Visit

In the first instance candidates are invited to contact

Mr Marc Clancy, Lead Consultant & Transplant Surgeon, Western

Infirmary. Tel 0141 211 1750

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

GRADE AND SALARY

Fixed Term

Senior Clinical Fellow

£ 30,302 - £ 47,647 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

HOURS OF DUTY

SUPERANNUATION monthly by Bank Credit Transfer.

Full Time 40.00

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

EXPENSES OF

CANDIDATES FOR

APPOINTMENT

TOBACCO POLICY

DISCLOSURE SCOTLAND

Assistance with removal and associated expenses may be given and would be discussed and agreed prior to 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.

NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.

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

DISABLED APPLICANTS

GENERAL

EQUAL OPPORTUNITIES

NOTICE

MEDICAL NEGLIGENCE

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.

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.

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.

The postholder will undertake their duties in strict accordance with NHS

Greater Glasgow and Clyde’s Equal Opportunities Policy.

The employment is subject to one months’ notice on either side, subject to appeal against dismissal.

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 Mr Marc Clancy,

Lead Consultant & Transplant Surgeon, Western Infirmary on 0141 211 1750 with whom visiting arrangements can also be made.

HOW TO APPLY

To apply for these posts please include your CV and names and addresses of 3

Referees, along with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to

Apply” tab to access application for and CV submission information.

RETURN OF APPLICATIONS

Please return your application by email to nhsggcrecruitment@nhs.net

or to the recruitment address below;

Medical and Dental Recruitment Team

NHS Greater Glasgow and Clyde

Recruitment Services, 1 st Floor

Modular Building, Gartnavel Royal Hospital

1055 Great Western Road

GLASGOW

G12 0XH

CLOSING DATE

The closing Date will be 10 th October 2014

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