CONSULTANT
NEPHROLOGIST
WESTERN INFIRMARY
INFORMATION PACK
REF: 32114D
CLOSING DATE: NOON 21ST MARCH 2014
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: CONSULTANT NEPHROLOGIST
BASE: WESTERN INFIRMARY
Applications are invited for a Consultant Nephrologist (10 PAs) in the Glasgow Renal
and Transplant Unit. This post is available immediately resulting from a combination
of retirement and the need to support increased consultant clinical activity and will be
based initially at the Western Infirmary. The Acute Services Division of NHS Greater
Glasgow & Clyde is the largest group of adult acute hospitals in Scotland. The
Division provides Renal Services for Greater Glasgow & Clyde and Forth Valley
Health Boards along with Renal Transplant Services for the West of Scotland. The
Renal Unit currently supports approximately 600 haemodialysis patients, 50
peritoneal dialysis patients, 900 renal transplant patients and more than 200 patients
per year with acute kidney injury requiring renal replacement therapy. One hundred
and fifty new renal transplants were performed last year. All renal inpatient services
in Glasgow are located in the Western Infirmary with a plan to transfer to the new
South Glasgow Hospital in 2015.
Nephrology in-patient and out-patient care is provided by 4 medical teams. The
successful candidate will join a team of 3 other consultants to provide cover a share of
in-patient nephrology. Out-patient duties (general nephrology, low clearance and
medical transplant) are based at the New Victoria and Inverclyde Royal Hospitals.
There will be responsibility for continuing care of haemodialysis out-patients and a
commitment to in-patient referrals at the Golden Jubilee National Hospital. We would
be happy to discuss accommodating any candidate with a sub-specialty expertise in an
aspect of nephrology or renal transplantation.
Applicants must have full GMC registration, a licence to practice and be eligible for
inclusion in the GMC 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 the date of
interview. Non-UK applicants must demonstrate equivalent training.
JOB APPLICATION INFORMATION
FOR THE POST OF
CONSULTANT NEPHROLOGIST
(10 Sessions)
RENAL MEDICINE
WESTERN INFIRMARY, GLASGOW
POST REFERENCE: 32114D
NHS GREATER GLASGOW AND CLYDE
REGIONAL SERVICES DIRECTORATE
JOB DESCRIPTION
POST:
Consultant Nephrologist.
BASED INITIALLY: Western Infirmary
REPORTS TO:
Lead Consultant, Renal Service (Dr R Mactier)
Clinical Director, Renal Service & Centre for
Integrative Care (Dr C Deighan)
RESPONSIBLE TO: General Manager, Renal Service, & Centre for
Integrative Care, Plastics, Burns & OMFS
ABOUT US
•
Acute Services Division
NHS Greater Glasgow and Clyde is the largest NHS Employer in the UK
and in partnership with 8 local authorities, is responsible for the health
needs of a population of 1.2 million, almost a quarter of the entire
Scottish population. The Acute Services Division is split into nine
Directorates across 18 sites with a workforce of 27,500 and an annual
budget of £1.2 billion. The geographical area covered is diverse; it
covers the major city of Glasgow, large and small towns, villages and
some rural areas. We have significant challenges ahead as we deliver
the objectives set out in Better Health Better Care and we seek to
ensure that we have the right people for the right posts.
The Acute Services Division is the largest group of adult acute hospitals
in Scotland. This allows individuals a wide range of opportunities for
professional development whether in community-based care or general
and specialty hospital services. Our patients come not only from
Glasgow but also in some instances from the whole of the West of
Scotland and, for our national services, from the whole of Scotland.
The investment in Acute services in Glasgow in the last ten years has
been considerable with two new Ambulatory Care Hospitals opened in
2009.
Redevelopment of the Western Infirmary and Gartnavel
Hospitals to support the delivery of the Acute Services Review has
taken place in the last few years with the opening of the new Beatson
West of Scotland Cancer Care Centre and the centralisation of a
number of specialties including Renal and Vascular onto this campus.
Work is progressing well with the redevelopment of the South Glasgow
Hospitals site with Maternity, Children’s and Adult acute services being
brought together in one of the most advanced clinical provisions in
Europe with the biggest Critical care complex and Emergency
Department in Scotland. It is anticipated that the new adult hospital
will be ready for occupation in June 2015.
We enjoy close links with Glasgow’s three Universities and make a
significant contribution to teaching at both undergraduate and
postgraduate level. Research also has a high profile within the
organisation.
The plans for Glasgow seek to ensure that local access to health
services will continue whilst our services are reorganised to enable
patients to receive the best treatment from appropriately skilled and
supported clinical teams – be that as an inpatient, day case or
outpatient.
By joining us now you will have the opportunity to be involved in the
development and re-design of this transformation – enjoying a real
chance to shape services for the future, bringing benefit to you, your
colleagues and our patients.
•
Living & Working in Glasgow
Today Glasgow is a compact, vibrant and modern city. The scale of
the City comes as a surprise to many people. It has the largest
suburban rail network outside London and is second only to the UK
capital as a retail centre. There are top-ranking schools, excellent
leisure facilities, beautiful golf courses and elegant accommodation
across all price ranges. The night life and restaurants are renowned
and its high quality opera, theatres, art galleries and museums offer an
abundance of cultural stimulation. From Glasgow, it is only a short
journey to many picturesque sites including Loch Lomond (45
minutes), the Argyll peninsula – or over the sea to Arran, Skye, Iona
and Mull.
Regional Services Directorate
The Directorate manages the following services:
 Institute of Neurosciences (neurology, neurophysiology,
neuroanaesthesia, neurosurgery)
 Spinal Injuries Unit
 West of Scotland Beatson Cancer Centre
 Plastic Surgery, Burns & OMFS
 Renal Service
 Centre for Integrative Care (Glasgow Homoeopathic Hospital)
 Clinical Haematology
JOB DESCRIPTION
Renal services in Glasgow are currently the subject of ongoing
redesign. All renal inpatient services in Glasgow are located in the
Western Infirmary and will transfer to the new South General Hospital
in 2015. The Glasgow Renal & Transplant Unit provides the renal
inpatient service for NHS Greater Glasgow & Clyde plus NHS Forth
Valley along with the West of Scotland renal transplant service for NHS
Greater Glasgow & Clyde, Forth Valley, Dumfries & Galloway,
Lanarkshire, Ayrshire & Arran and occasionally other parts of Scotland.
The renal in-patient service merged on this site in early 2011 and is
located on Level 7 and Level 9 at the Western Infirmary. There are 61
renal beds all plumbed for HD (36 general nephrology, 9 high acuity
and 16 surgical/renal transplantation beds) along with dedicated 4
station day-case and rapid assessment areas. The Peritoneal dialysis
service is based at the Western Infirmary along with a new out-patient
haemodialysis facility. A satellite haemodialysis unit is based at
Glasgow Royal Infirmary. Renal and transplant out-patient clinics and
satellite haemodialysis facilities are provided at the New Victoria
Hospital, New Stobhill Hospital, Inverclyde Hospital, Vale of Leven
Hospital and Forth Valley Royal Hospital. Outpatient clinics are also
provided at the Royal Alexandria Hospital, Paisley. In-patient referral
services are provided at all of the above hospitals plus the Golden
Jubilee Hospital and Southern General Hospital.
The Glasgow Renal and Transplant Unit currently supports
approximately 700 dialysis patients (600 hospital haemodialysis
patients, 50 peritoneal dialysis patients, 35 home haemodialysis
patients), 900 renal transplant patients and about 200 patients per
year with dialysis dependent Stage III acute kidney injury. In 2013,
the unit performed a record 151 new renal transplants, with an
increasing number of live donor (including pre-emptive) transplants.
Current Nephrology Medical Staff
Dr Chris Deighan (Clinical Director)
Dr Robert Mactier (Lead Consultant)
Dr Tara Collidge (Lead for Medicines Reconciliation)
Dr Conal Daly (Clinical Governance Lead)
Prof Jonathan Fox (Chairman of SMC)
Dr Colin Geddes (Medical lead for Renal Transplantation & IT lead)
Prof Alan Jardine (Professor of Nephrology & Acting Head of the School
of Medicine)
Dr Ellon McGregor (West of Scotland Renal Training Program Director)
Dr Bruce MacKinnon (Scottish Renal Registry representative)
Dr Siobhan McManus (Clinical Guidelines lead)
Dr Margaret McMillan (Undergraduate teaching lead)
Dr Paddy Mark (Senior Lecturer)
Dr Scott Morris (Postgraduate Tutor)
Dr Neal Padmanabhan (Revalidation lead)
Dr Cath Stirling (Clinical Audit lead)
Dr Peter Thomson (Scottish Patient Safety lead)
Non-Consultant Medical Staff
2 Associate Specialists
1 Specialty Grade
14-16 middle grade doctors and research fellows
The Job Itself
Title: Consultant Nephrologist (10 Sessions)
Duties of the Post
This job constitutes of a 10 PA post, based on a 9:1 session template.
One supporting professional activity (SPA) is now the advertised
standard for all new consultant job plans within NHSGG&C. The one
SPA minimum will reflect activity such as appraisal, personal audit and
professional development occurring outside study leave time as well as
limited time for other activities.
Once the candidate has been
appointed more SPA time may be agreed for activities such as
undergraduate and postgraduate medical training which take place
outside direct clinical care, as well as research and/or management.
These activities must be specifically and clearly identified and be
agreed with the candidate and be desired by the department.
i)
Clinical – details of all clinical commitments.
This consultant post has been established due to a combination of
retirement of the Associate Medical Director (part time clinical) and the
need to support increased consultant clinical activity. The post will be
based initially at Glasgow Western Infirmary and will transfer to the
new South Hospital in 2015.
The post-holder will share cover of in-patient nephrology approximately
1 month in 3.5 with 3 colleagues (Drs Geddes and McMillan and Prof
Fox). Out-patient duties (general nephrology, low clearance and
medical transplant) will be based at the New Victoria Hospital and
Inverclyde Royal Hospital. There will be responsibility for haemodialysis
out-patients initially at the Western Infirmary Hub. There will also be a
commitment to review in-patient referrals at the Golden Jubilee
National Hospital.
The post-holder will join the other consultant nephrologists to
participate in an on-call rota that is approximately 1:16 (plus
prospective cover) on weekdays and approximately 1 in 8 on weekends
& public holidays. The unit is supported by a dedicated 2 tier middle
grade rota staffed by FY2s, CMTs, STs and Research Fellows.
ii)
Qualifications and Experience
Applicants must have full GMC registration, a licence to practice and be
eligible for inclusion in the GMC Specialist Register. Candidates should
posses MRCP and have had substantive experience in Nephrology at
Specialist Trainee or Consultant level. 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 the date of interview. Non-UK applicants must demonstrate
equivalent training. We would be happy to discuss accommodating any
candidate with a sub-specialty expertise in an aspect of nephrology or
renal transplantation
iii)
Teaching
There is limited dedicated time within the job plan for teaching and
training activities. The post-holder will be expected to participate in ward
round and outpatient clinic teaching.
The hospital makes a significant contribution to the undergraduate
teaching of the approximate 200 medical students who graduate in
medicine from the University of Glasgow each year. There may be the
opportunity to participate in bedside, outpatient and small group
teaching for undergraduate and postgraduate students.
iv)
Research and audit
It is expected that the postholder will join in the audit activity of the Unit
and will be expected to participate in the regular CME, renal biopsy and
clinical audit meetings. There is limited dedicated time within the job
plan for research activities. Additional SPA time may be negotiated
through the Appraisal and Job Planning process. The unit actively
participates in clinical research and has close links to the University of
Glasgow Cardiovascular Research Centre. There is a comprehensive
hospital library on site, as well as a library in the University of Glasgow
and the Royal College of Physicians and Surgeons. In addition the Unit
is extensively computerised.
Indicative Job Plans
It is anticipated that the outline Programmed Activities of the Job plan
will consist of:





In-patient work & on call including shared responsibility for
referrals at Inverclyde:
3.5 PAs
Out Patient Clinics (including clinical administration): 3PAs
Golden Jubilee Referrals: 1.5 PAs
Haemodialysis Cover: 1 PA
Supporting Professional Activities: 1PA
Job plan: Inpatient Rotation (1 in 3.5)
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
AM
Ward Round
Clinical
Administration
Ward Round
Haemodialysis
Ward Round
Site
WI
WI
WI
WI
WI
PM
IP referrals
Ward Cover
General
Nephrology Clinic
Ward Cover
CME / Audit /
SPA time
Site
GJNH
WI
New Victoria
Hospital
WI
WI
FRIDAY
Job plan: Out Patients Rotation (2 in 3.5)
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
AM
Transplant
Clinic (50%)
Nephrology
Clinic (50%)
Clinical
Administration
Haemodialysis
Site
New Victoria
Hospital
Inverclyde Royal
Infirmary
WI
WI
PM
IP referrals
Nephrology
Referrals (50%)
General
Nephrology
Clinic
CME / Audit /
SPA time
Site
GJNH
Inverclyde Royal
Infirmary
New Victoria
Hospital
WI
NHS GREATER GLASGOW AND CLYDE
REGIONAL SERVICES DIRECTORATE
PERSON SPECIFICATION
CONSULTANT NEPHROLOGIST
SPECIFICATION
ESSENTIAL
1. Experience in medicine within either a
hospital based career path or a GP based
career path. MB ChB

2. Evidence of higher specialist training
leading to CCT or eligibility for specialist
registration (CESR) or be within 6
months of confirmed entry from the date
of interview. Non-UK applicants must
demonstrate equivalent training

3. Experience in Renal Medicine.

4. Current GMC Registration with no
pending investigations.

5. Should have good communication skills
and ability to work in a multi-disciplinary
team.

6. Flexible approach to cope with variation
in needs of the post.

DESIRABLE
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
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
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 its 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 month's 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
Deighan on 0141 211 2658 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, 1st Floor
Modular Building, Gartnavel Royal Hospital
1055 Great Western Road
GLASGOW
G12 0XH
CLOSING DATE
The closing Date will be Noon on 21st March 2014
INTERVIEW DATE
The interview date will be 22nd April 2014