NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
MS/0315/04
Quote on all correspondence
Consultant Physician in Gastroenterology and General Medicine
Monklands Hospital
10PAs per week (Part-time may be considered)
£76,001 - £102,465
Noon on Thursday 2nd April 2015
Your
Application
Thank you for expressing an interest in the above post within NHS
Lanarkshire.
Please find all the relevant information attached to begin the application process.
Should you require further information regarding this post you can contact the
Medical Staffing team or make informal enquiries with the department using the
contact details below.
To ensure we can process your application as easily as possible please
complete all the information required within the Application Pack and email
with your CV.
Contact Details Telephone
Email
Application
Process
01698 377735
Pamela.Migues@lanarkshire.scot.nhs.uk
To apply, please email your CV to the above, along with the attached
completed Application Pack.
Lanarkshire NHS
5 Recruitment Inserts.pdf
Application Pack - Master Sept12.doc
Additional
Arrangements
Informal enquiries regarding this post will be welcomed by:Dr R Mackenzie Chief of Medical Services
01236 712305
Mrs A Fyfe
Director of Hospital Services
01236 712305
Dr N Kennedy
Clinical Director
01236 712245
Dr A Prach
Consultant Gastroenterologist
01236 748748 Page 380
Date when the
post is Vacant
The post is vacant immediately and a start date will be agreed with the
successful candidate.
NHS
Lanarkshire
For further information regarding NHS Lanarkshire and it’s hospitals, please
visit our website:- www.nhslanarkshire.org.uk
We are an Equal Opportunities Employer and Positive about Disabled People.
Page 1
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
Integration of
Health and
Social Care
Services
Public Bodies (Joint Working) (Scotland) Bill
The purpose of the above Bill is to create statutory Health and Social
Care Partnerships in each local authority in cooperation with health
boards to replace existing Community Health Partnerships (CHP’s).
In Lanarkshire two Health and Social Care Partnerships have been
developed, one each in North and South Lanarkshire and these will
replace existing CHP’s. Discussions between NHS Lanarkshire and the
two Local Authorities are on-going in considering the range of services
that will be managed through the Health and Social Care Partnerships.
In the North a Shadow Board is being established with ongoing
recruitment taking place. In the South a Shadow Board is now in place.
A strategic plan will be developed for each Health and Social Care
Partnership including considering the range of services that will be
managed from April 2015. This service may in the future be included
within this range.
Management
Structure
The supporting operational and clinical management structures are
focused on enhancing patient safety, quality improvement and local
delivery at hospital level, with visibility of clinical leadership and support
for individual professional accountability. Our Medical Managers will
provide professional leadership to medical staff, ensuring that they are
effectively developed, organised, integrated and managed to support the
strategic aims of each Division and meet the needs of the patient.
Management Structure Overview (Acute)
Director of Acute Services
Associate
Medical Director
COTE
Director of
Hospital Services
Hairmyres
Director of
Hospital Services
Monklands
Director of
Hospital Services
Wishaw
Director of Access
Chief of Medical
Services
Hairmyres
Chief of Medical
Services
Monklands
Chief of Medical
Services
Wishaw
Associate
Medical Directors
Clinical Directors
Deputy CD's
Leads
Various Specialties
Clinical Directors
Deputy CD's
Leads
Various Specialties
Clinical Directors
Deputy CD's
Leads
Various Specialties
Divisional
Medical Director
Page 2
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
POST INFORMATION
Page 3
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
The Post
We are seeking to recruit a Consultant in Gastroenterology and General
Medicine based at Monklands Hospital. The appointee to the post will join Drs
A Prach, Dr M Gangi and Dr S Radhakrishnan in providing and developing
specialist Gastroenterology services based at Monklands Hospital.
The appointee will share responsibility for providing acute medical receiving
duties with the other Physicians (currently a 1:22 rota plus prospective cover).
The rota for acute receiving duties is based around a Physician of the Week
model (2.4 weeks/ year at present), supported by Acute Physician input and
also a Physician of the Day
The successful applicant will fully participate in delivering both the inpatient
and outpatient gastroenterology services along with general medical duties. It
is anticipated that the successful candidate will develop a specialty interest to
complement the existing services. An interest in liver disease would be
welcome, but equally the post would be entirely suitable for an appointee with
a strong interest in lumenal gastroenterology. Specific clinical interests and
an interest in research will be encouraged.
The precise details of the job plan will be dependent on the successful
candidate’s subspecialty training and interests. Appropriate office
accommodation, secretarial and IT support will be provided.
The job is offered as a full-time post on a 10 PA basis but applications will be
considered from those wishing to work less than full-time. If full-time up to 2
EPA’s may be available to undertake additional outpatient and/or procedure
sessions or management activity.
All new substantive Consultants are initially offered a minimum of 1 PA for
SPA duties but this will be reviewed within 6 months (or earlier if required) of
appointment and revised upwards if additional responsibilities have been
undertaken. Additional SPA time (up to 2.5 PA’s in total) can be incorporated
into the job plan depending on the time required to support the successful
candidate’s professional activities and the needs of the service.
NHS Lanarkshire is supportive of applications from individuals with well
developed ideas for improving services who are able to demonstrate a
commitment to quality improvement, patient safety (including human factors
training), Medical Education and Research & Development.
Applicants wishing to commence on more than 1 PA for SPA duties should
discuss proposals with the identified Lead contact and Service Medical
Manager (Associate Medical Director or Divisional Medical Director)
Page 4
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
POST INFORMATION
Department of Lanarkshire has a population of around 550,000 and is served by three
Medicine
acute Hospitals: Wishaw Hospital (Wishaw), Hairmyres Hospital (East
Kilbride) and Monklands Hospital (Airdrie). The Department of Medicine
at Monklands Hospital encompasses the specialties of Acute Medicine,
Cardiology, Dermatology, Diabetes & Endocrinology, Gastroenterology,
Infectious Diseases, Nephrology and Respiratory Medicine. It forms part
of the Emergency and Medical Directorate, which also includes
Emergency Medicine and Care of the Elderly.
Consultant Physicians’ inpatient responsibilities are arranged in specialty
groupings and each medical specialty has a defined allocation of beds.
This has allowed the development of specialist care in the wards.
Dermatology, Infectious Diseases and Nephrology are concentrated
services with all their inpatient beds at the Monklands site, while the other
medical specialties have beds at all three sites. Haematology (part of a
separate Directorate) inpatient provision is also concentrated at the
Monklands site, with close links maintained between Haematology and
the Department of Medicine.
There are visiting consultants in Neurology, Rheumatology and Oncology.
A Primary Coronary Intervention (PCI) service for Lanarkshire was
established in October 2008, which means that patients with acute STelevation MI are transferred directly to the cardiac catheterization
laboratory at Hairmyres Hospital rather than being admitted to CCU at
Monklands.
The Medical Directorate is involved with undergraduate teaching in all
years of the new curriculum at Glasgow University. The hospital is
recognized for pre-registration and postgraduate training. There is an
active postgraduate teaching programme including x-ray meeting, Journal
Club and Hospital Grand Round Meetings.
The hospital has a
postgraduate lecture theatre, a number of seminar rooms and an
excellent library.
General and Acute Medicine
Monklands hospital admits just under 14,000 acute medical admissions
per annum, with around half of these coming from Emergency Medicine
and the other half constituting GP referrals.
Page 5
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
The rota arrangements for Acute/ General Medicine at Monklands have
recently been revised, moving to a new ‘Physician of the Week’ model
that is more closely aligned to the Standards that have been developed
by the Society for Acute Medicine (SAM). The current Monday-Friday
arrangements are that the ‘Physician of the Week’ (8AM – 4PM) provides
enhanced front-door consultant continuity. S/he is supported in the
assessment of new admissions by Acute Physician sessions (8AM –
8PM) and a ‘Physician of the Day’ on-call General Physician (2PM to
10PM). Care of the Elderly consultants also provide support for ERU.
We aim to discharge a large proportion of our referrals directly from the
Acute Assessment area following senior decision maker review, or within
48 hours of admission to the ERU ward. Patients requiring a longer stay
in hospital are allocated a hospital inpatient bed on a specialty ward that
is determined, as far as possible, by the patient’s clinical needs.
NHS Lanarkshire Board has approved funding for a substantial additional
investment in Acute and/or General physicians, amounting to 6 new
Consultant posts (phased recruitment, with 3 posts initially). It is
anticipated that these appointments will allow us to further improve our
current ‘front door’ model.
Medical HDU and Critical Care
There is excellent 5-bedded Intensive Care Unit at Monklands Hospital,
run by Intensivists/ Anaesthetists, but with ongoing consultant physician
input into the care of relevant patients.
A medical High Dependency Unit (HDU) has also been established,
currently comprising four Level 2 Critical Care beds. This is co-located
with the existing Monklands Coronary Care Unit (CCU) on Ward 18. The
care of patients on medical HDU is primarily overseen by sessional input
from Acute Medicine, with plans to develop this service further.
Department of Gastroenterology
There are 4 Consultant Gastroenterologists at Monklands Hospital
(including this post). The existing Gastroenterologists all cover lumenal
gastroenterology and hepatology with inpatient and outpatient
commitments.
Page 6
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
Gastroenterology at Monklands Hospital has its inpatient base on Ward
19 (a 24-bedded ward). Acute gastroenterology patients admitted via
ERU are, as far as possible, transferred to Ward 19 for ongoing specialist
care. Strong links are maintained with the other medical and surgical
specialties at Monklands Hospital, as well as with the Liver Transplant
Unit, Royal Infirmary of Edinburgh and GI services at the Glasgow Royal
Infirmary.
Outpatient clinics primarily take place within the main Outpatient
Department, although with some smaller nurse-led clinics (IBD and
venesection) are undertaken within the endoscopy department.
An IBD nurse specialist is in post. Nurse specialists also support the
venesection programme as well as coeliac disease follow-up.
Endoscopy Unit
Upper and lower GI endoscopy takes place within a dedicated Endoscopy
Unit at Monklands Hospital which has the full range of therapeutic
facilities. The consultant-provided endoscopy lists are supported by GI
nurse-endoscopist sessions. Electronic reporting software (Unisoft) is
used. The gastroenterologists plus a general surgeon provide emergency
endoscopy on a dedicated morning slot five days per week.
ERCP is not provided on site, but is performed in NHS Lanarkshire at
Hairmyres Hospital. For candidates with a particular interest in ERCP, it
would be feasible to arrange for a sessional ERCP commitment at
Hairmyres Hospital.
A Lanarkshire-wide review of endoscopy services has recently taken
place. The aim is for the 3 site-based endoscopy departments to link
closely and provide an effective and comprehensive endoscopy service
for the whole of NHS Lanarkshire. It is anticipated that a 24/7 acute
bleeding rota for NHS Lanarkshire will be developed in due course.
Investigational facilities
Monklands Hospital has an excellent Radiology Department, with close
links to the Department of Gastroenterology. Access to CT scanning is
available 24/7 for GI emergencies. There is an on-site MRI scanner, with
MRCP and MRI enteroclysis modalities available. There is also a strong
Nuclear Medicine service based at Monklands Hospital.
The Oesophageal Physiology lab is based at Hairmyres Hospital.
Capsule Endoscopy is available in Glasgow.
Page 7
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
POST INFORMATION
General
Provisions
You will be answerable to Clinical Director who will agree your job plan.
Health and
Safety
You are required to comply with NHS Lanarkshire Health and Safety
Policies.
Junior Medical
Staff
You will be responsible for the training and supervision of Junior Medical
staff who work with you, and you will be expected to devote time to this on
a regular basis. In addition, you will be expected to ensure that staff have
access to advice and counseling. If appropriate, you will be named in the
contracts of Doctors in training grades as the person responsible for
overseeing their training and as the initial source of advice to such Doctors
on their career.
Resources
The following department resources are available:Consultants
Special Interest
Specialties linked to General
Acute Medicine (1.5 WTE currently),
Medicine (23 in total)
non-interventional Cardiology (1),
Diabetes & Endocrinology (4),
Gastroenterology (4), Infectious
Diseases (4), Nephrology (5) and
Respiratory Medicine (4)
Care of the Elderly
10
Interventional Cardiology
3
Dermatology
6
Associate Specialists (5 in total)
Nephrology (2), Care of the Elderly
(1), Dermatology (2)
Specialty Doctors (8 in total)
Respiratory Medicine (1), Care of the
Elderly (3), Dermatology (4).
Specialist Registrars on rotation
14
from the West of Scotland Training
Scheme.
CMT-1 (6), CMT-2 (2); ACCS (3)
16
and GP trainees (5)
FY2
10
FY1
10
Secretarial Support:
WTE Senior Secretary (band 4)
WTE Secretaries (band 3)
22.7
3.7
Page 8
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
DUTIES AND RESPONSIBILITIES
Main Duties
This will include programmed activities for outpatient clinics in
Gastroenterology, ward cover (Ward 19) and Emergency Receiving Unit
(ERU) duties when on call for General Medicine.
Work
Programme
As required under Section 3 of the Terms and Conditions of Service, the
duties and responsibilities are supported by a job plan and work
programme detailed as follows:
Job Planning/Programmed Activities
The job plan will be dependent on the successful candidate’s subspecialty
training and interests. As per standard arrangements for new consultant
posts in NHS Scotland, the initial job plan will be based around a DCC to
SPA sessional split of 9:1.
The 10 PAs within the job plan will be allocated as follows:








General Medical on-call - 1.5 PAs
Ward-rounds - 1.5 PAs
Outpatient clinics - 2 PAs
Elective endoscopy - 1.5 PAs
Emergency endoscopy - 0.5 PAs
Clinical administration – 1.5 PAs
Ward referrals - 0.5 PAs
SPA time - 1 PA
On taking up post a Job Plan will be agreed between the person
appointed and the Clinical Director. The Job Plan will be reviewed
informally after 3 months in post.
Fixed
Commitments
The indicative timetable identifies those fixed commitments which are
dependent on other hospital resources, both physical and human.
Days
Hours Type of Work
Location
Monday
AM
Clinical Administration
Monklands Hospital
PM
Endoscopy
Monklands Hospital
Tuesday
AM
Ward-round
Monklands Hospital
PM
SPA
Monklands Hospital
Wednesday AM
Endoscopy
Monklands Hospital
PM
Outpatient clinic
Monklands Hospital
Thursday
AM
Outpatient clinic
Monklands Hospital
PM
Friday
AM
Ward-round
Monklands Hospital
PM
Clinical administration
Monklands Hospital
Page 9
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
In addition,
other activities
not occurring at
fixed times.








Reviewing new admissions and/ or transfers of care.
Discussing referrals, in patients and out-patients with colleagues.
Discussing management/investigation of patients with colleagues in
other appropriate Clinical Support Services
Discussing patient management/ reviewing patients with doctors in
training and Nursing Staff outwith formal ward rounds (daily ‘Board
round’).
Speaking to GPs and relatives, as required..
Vetting Fast Track clinic referrals/ allocating appointments (daily).
CPD and Appraisal
Audit
Review of the
Job Plan
This job plan is subject to review at least every 3 months by the post
holder and the Clinical Director as noted in the terms and conditions. The
procedures set out in the ‘Terms & Conditions of Service’ must be
followed if it is not possible to agree a job plan either initially or at review.
Audit and
research
The successful candidate will be expected to participate in audit
processes and there is an active clinical audit department available to
assist. NHS Lanarkshire is ambitious to build a portfolio of research
projects backed by enthusiastic and dynamic individuals. It has an active
Research and Development department and would welcome discussion
regarding a potential research interest.
Continuing
Professional
Development
Study leave is available within the terms and conditions of service with the
approval of the Clinical Director/Clinical Lead. The appointee will be
required to fulfill such demands for continuing professional development
as the Royal College of Physicians (or other relevant bodies) may make.
Honorary
Academic
Status
If involved in undergraduate teaching status can be applied for.
Applications can be made via the Hospital Sub-dean and then to the
appropriate academic department within the University.
Page 10
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
PERSON PROFILE
Attributes
Essential
Qualifications
MBChB or equivalent.
MRCP (UK) (or equivalent).
Useful
BSc./MSc
Higher
PhD).
academic
degree
(MD,
Current full registration with GMC
with a licence to practice.
Training
Experience
Inclusion on GMC’s Specialist
Register in Gastroenterology and
General Internal Medicine or within
6 months of CCT or CESR (CP) at
interview.
In possession of CCT or CESR in
Gastroenterology
and
General
Internal Medicine (GIM) at the time
of interview or in an established
training programme and within six
months of CCT.
Recent
and
relevant
clinical
experience and competency in
Gastroenterology
and
General
Medicine
with
wide
general
experience, including experience in
lumenal gastroenterology and liver
disease.
Training at ST/SPR level
communication,
teaching
management.
Experience within
establishments
UK
in
or
training
Human Factors Training.
Well
developed
subspecialty
interest, e.g. Hepatology
Administrative
experience.
/
Management
Recent and relevant experience and
personal qualities to work in a busy
unit dealing with the high turnover of
planned
and
unscheduled
admissions.
Ability to supervise the clinical work
of doctors in training and relevant
staff in other disciplines.
Confident with indirect supervision
of varying grades of doctors in
training.
Previous experience in organising
NHS Services or equivalent.
Page 11
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
Audit/Research
Understanding of the principles of Experience and interest in Audit
medical audit.
and experience of design of audit.
Evidence of contribution to audit at A relevant research interest.
least at local level.
Publications
Teaching
Knowledge and
Skills
Disposition
Awareness of principles of research
with an ability to critically analyse
medical literature.
Presentations relevant to the Publications
practice of gastroenterology
journals
in
peer-reviewed
Presentations at national meetings
Previous involvement in the delivery Interest in and commitment to
of undergraduate or postgraduate teaching and training.
teaching.
Experience of providing problemExperience of providing supervision based teaching.
and or mentorship
Experience of organising teaching
programmes.
Formal
training
in
educational/clinical supervision.
Broad based knowledge and skills in Further educational certificates,
diagnosis and clinical management diploma’s, etc
within
the
Specialty
and
encompassing most sub-disciplines. Good IT skills.
Committed to Quality Patient Care.
Problem
solver/diplomat/counsellor.
Able to be understanding of and
sensitive to the needs of patients.
A natural leader.
Excellent
communication
(verbal and written)
skills
Ability to work under pressure.
Ability to work effectively in a
multidisciplinary team.
Responsive
to
change
and
innovation, promoting a culture for
organisational development.
Page 12
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
A flexible approach to duties, which
satisfies the needs of the Service in
a changing environment.
Ability to demonstrate reflective
practice with evidence of regular
appraisal with clear Personal
Development Plan relating to
Continuing
Professional
and
Personal Development.
Good time
organisation.
Managerial
Leadership
Other
management
and
Demonstrates commitment and
enthusiasm to service delivery.
Knowledge of service provision at a Involvement in service re-design.
local level.
Involvement in project delivery.
Awareness of the principles and
core practices involved in service Involvement
in
NHS-related
management, project management meetings.
and effective meetings.
Awareness of the principles of team Evidence of role as leader within
leadership and effective people groups.
management.
Commitment to the Values of NHS
Lanarkshire:- Fairness, Respect,
Quality, Working Together.
Satisfactory medical clearance by Preference to work in a District
NHS
Lanarkshire
Occupational General Hospital.
Health Service.
Current full driving licence.
Satisfactory PVG Check.
Fluent in medical English and
evidence of ability to communicate
in stressful situations.
Page 13
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
If there is any reason why a disabled person The post requires physical dexterity.
should not be considered suitable for this Uncorrected visual or hearing defect
post, please provide details:
would be incompatible with the nature of
the work.
Prepared By:Approved By:Name
Dr A Prach
Dr N Kennedy
Designation
Consultant Gastroenterologist
Clinical Director
Date
February 2015
February 2015
Page 14
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
TERMS AND CONDITIONS
a)
This appointment is offered on the Terms and Conditions of the new Consultant
Contract.
Additional NHS Lanarkshire Policies which support the Contract are listed below and are
available on request:






Additional & External Duties
Fee –Paying Work in the New Consultant Contract
On-Call Availability and Payment of Supplement
Generic Objectives
Resident On-Call Duties
Waiting List/Additional Sessions
b)
This appointment is superannuable under the NHS Superannuation Scheme, which is
contracted out of the State Earnings Related Pension Scheme (SERPS). All new
eligible employees commencing employment from 1 March 2013 onwards will
automatically become a member of the pension scheme and your remuneration will be
subject to deduction of superannuation contributions, current personal contributions
range from 5% for the lowest earners to 14.5% for the highest. Levels of contributions
and scheme regulations are subject to change, any changes will be communicated to
you or can be found on the SPPA website. Contributions are taken from your pay
before tax, so you get tax relief on any amount you pay. This can reduce the actual
amount that you pay between approximately 3.5% and 5.1% depending on your
contribution rate, earnings level and personal rate of tax. In addition to personal
contributions NHS Lanarkshire will contribute 13.5%.
In accordance with recent legislative changes, new eligible employees commencing
from 1 March 2013 onwards will automatically be enrolled in the pension scheme.
After considering the benefits and personal circumstances, you can if you wish opt out
of the scheme. To opt-out, you must complete an opt-out form which is available on
the Scottish Public Pensions Agency website and return this to the Payroll
Department, Kirklands Cottage, Kirklands Hospital. Should you choose to opt-out in
accordance with these changes you will be enrolled into the scheme again every 3
years (June 2016, 2019 etc).
Under the NHS Superannuation Scheme Regulations pension records for short term
appointments, such as Bank Staff and the equivalent kind of contracts for other staff
groups, may remain open for short breaks in pensionable employment up to but not
more than 3 months from the date on which they last paid contributions. During this
period the member will continue membership in qualifying but not pensionable terms.
Where the period of break exceeds 3 months, membership of the scheme will be
closed and leaver information will be submitted to the Scottish Public Pensions
Agency.
Page 15
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
From 1 April 2015 the NHS Pension Scheme is changing in line with other public
pension schemes. All those joining the scheme for the first time from 1 April 2015 will
join the new scheme. Existing members who are not protected will transfer to the new
scheme, with benefits in previous scheme(s) preserved. The new scheme will be
based on a proportion (1/54th) of the member’s pensionable earnings each year. The
pension will be the sum of each year’s value built up over the length of the member’s
career and revalued each year in line with the rate of inflation. This is called a Career
Average Related Earnings scheme. Normal pension age will be linked to the
member’s individual state pension age.
Some existing members of the scheme will be protected, more information is available
on the SPPA website.
Further information on the scheme, protection and/or members guides are available at
www.sppa.gov.uk Alternatively contact an advisor of The Scottish Public Pensions
Agency (SPPA) Tel: 01896 893000.
c)
The employment is subject to 3 months’ notice on either side subject always to the
appeal and other provisions of paragraphs 10.4 & 10.5 of the Terms and Conditions of
Service of Hospital Medical and Dental Staff and Doctors in Public Health and the
Community Health Service Consultant Grade.
d)
Reimbursement of certain telephone charges may be payable on application to NHS
Lanarkshire. The successful candidate must be contactable throughout any on-call
period.
e)
The successful candidate, if not already employed by the NHS Lanarkshire, will be
required to complete a medical questionnaire to obtain medical clearance from the
Occupational Health Physician.
f)
The successful candidate will be required to complete a disclosure Scotland PVG
(Protecting Vulnerable Groups Scheme) form. No approach will be made without
written permission of the successful applicant who will be asked to sign and complete a
Disclosure PVG application, giving authorization for the check to be undertaken.
g)
NHS Lanarkshire does not negotiate salary placements. On commencement the salary
will be in line with paragraph 5.1 of the terms and conditions of the new consultant
contract. Appointees start on the scale minimum except in the circumstances of
paragraphs 5.1.2 – 5.1.7 of the terms and conditions of service.
h)
From 1st April 2014 the starting salary for the post is £76,001 per annum (based on 10
Programmed Activities per week). The successful candidate’s total salary will be
dependent on his/her previous service history. Remuneration for any extra
programmed activities will be dependent upon the job plan agreed at the time of
appointment.
Page 16
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
i)
Dependent upon present place of residence, NHS Lanarkshire may require the
successful candidate to undertake to remove home to a distance acceptable to NHS
Lanarkshire, normally within 10 miles of the base Hospital, in which case removal
expenses will be payable in accordance with NHS Lanarkshire Policy. In some cases,
however, a residence more than 10 miles distant from the base hospital will be
acceptable and in this case removal expenses will be subject to the prior approval of
the Associate Medical Director for such a residence. The position will be made clear to
the successful candidate on application
Page 17
NHS Lanarkshire – Information Pack
POSITION: Consultant Physician in
Gastroenterology and General Medicine
IMMIGRATION
Overseas
Doctors and
Dentists
Changes to
Immigration
Impact of
Change
Further
Information
For the purpose of immigration status, overseas doctors and dentists are
those who, regardless of where they obtain their primary medical/dental
qualification, are not nationals of the European Economic Area (EEA). A
list of EEA countries is attached.
On 7th March 2006 the Department of Health announced changes to the
immigration rules for postgraduate doctors and dentists. The changes
came into effect on 3rd April 2006 and mean that all doctors and dentists
who wish to work in the UK from outside the EEA will need to meet the
requirements of an employment category such as the work permit
provisions. New applications for permit-free training visas will no longer be
granted for doctors undertaking training posts
Non-EEA doctors and dentists will still be able to come and train in the UK
and are still eligible to apply, in open competition for training posts
provided all the other eligibility criteria is met. However, training posts will
now be considered employment for immigration purposes. Work permits
will only be issued where there is a specific post for the overseas doctors
that cannot be filled by someone from the EEA.
The changes in immigration requirements for trainee doctors and dentists
are a result of a Scottish Executive Health Department announcement
and immigration issues are the remit of the Home Office. Clarification and
further information can be accessed from the following:Home Office
Work Permits
EEA Countries
www.ind.homeoffice.gov.uk
www.ukba.homeoffice.gov.uk/workingintheuk/
Austria
Greece
Belgium
Hungary
Bulgaria
Iceland
Cyprus
Republic of Ireland
Czech Republic
Italy
Denmark
Latvia
Estonia
Liechtenstein
Finland
Lithuania
France
Luxembourg
Germany
Malta
NB – Switzerland is not in the EEA, Swiss
as EEA nationals.
The Netherlands
Norway
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
Sweden
UK
Nationals have the same rights
Page 18