Please complete all information required within this pack. This
ensures we can process your application as easily as possible.
You must return by email: A full, up-to-date CV
 The full, completed application pack sections 1 - 6
 Eligibility for CCT Certificate (if appropriate)
Return to:
medicalrecruitment@aapct.scot.nhs.uk
May we take this opportunity to thank you for your interest in
gaining employment with NHS Ayrshire & Arran.
NHS Ayrshire and Arran – Application Pack
Section 1 - Personal and Recruitment Source Information
Please complete and return with your CV. Your application cannot be considered without this
information
Title
Forename
Surname
Reference
Location
Post Title
Closing Date
Personal
Information
MD/556/13
Quote on all correspondence
Address
EMail
Telephone
GMC Number
License to
Practice
YES / NO
PVG* Membership
Number
(If registered)
Current PVG
Children only
Yes / No
Membership
Protected Adults only
Yes / No
Relates to
Both
Yes/No
regulated work with:
Working in the
Do you have an unrestricted right to work in
Yes
UK?
the UK, e.g. UK/EEA citizen or have
No
indefinite leave to remain.
Please complete Immigration Status at Section 3
Driving Licence
Do you have a Driving Licence which allows Yes
you to drive in the UK?
No
How did you
www.medicaljobs.scot.nhs.uk
hear about the
Newspaper - Which one?
vacancy you
BMJ
have applied for
Internal Vacancy Bulletin
(response
essential for
SHOW (Scotland Health on the Web)
recruitment
Word of Mouth
monitoring
purposes)
Doctors.net
* Disclosure Scotland
Protection of Vulnerable
Groups Scheme Number
Other – Please specify.
Section 2 - References
Your referees will include your present (or most recent) employer. Please identify below the
person in your organisation (for current NHS staff this is your direct line manager) who is
authorised to confirm your employment and the details given in your application. Please
identify a second referee who may have closer knowledge of your skills, knowledge and
abilities and who may offer opinion on your suitability for this post. Note that references will
be taken up for candidates prior to interview.
Reference 1
Name
Position
Address
EMail
Telephone
Reference 2
Name
Position
Address
EMail
Telephone
Section 3 - Declarations And Convictions
Declaration Statement regarding:A - Any criminal offence, being bound over or cautioned, or current proceedings which might
lead to a conviction, an order binding you over a caution and
B - Fitness to practice proceedings taken or being currently contemplated by a
licensing/regulatory body.
If answer “Yes” to questions 1 – 10 please provide details at 11
NB – You do not need to tell us about parking offences.
1 Are you currently bound over or have you ever been No
convicted of any offence by a Court or Court-Martial in the
Yes*
United Kingdom or in any other country?
*If YES
Please provide details of the order binding you over and/or the nature of
the offence, the penalty, sentence or order of the Court, and the date and
place of the court hearing.
2 Have you ever received a police caution, reprimand or No
final warning?
Yes*
*If YES
Please include details of the caution, reprimand or final warning, including
the date and reason administered.
3 Have you been charged with any offence in the United No
Kingdom or in any other country that has not yet been Yes*
disposed of?
NB You must inform us immediately if you are charged with any offence in the UK or in any
other country after you complete this form and before taking up any position offered to you
*If YES
Please include details of the nature of the offence with which you are
charged, date on which you are charged, and details of any on-going
proceedings by a prosecuting body.
4 Are you aware of any current police investigation in the No
United Kingdom or in any other country following Yes*
allegations made against you?
*If YES
Please include details of the nature of the allegations made against you,
and if known to you, any action to be taken against you by the police.
5 Are you aware of any current NHS Scotland Counter Fraud No
Services investigations following allegations made against Yes*
you?
*If YES
Please include details of the nature of the allegations made against you,
and if known to you, any action to be taken by Counter Fraud Services.
6 Have you ever been investigated by the police, NHS No
Scotland Counter Fraud Services or other investigatory Yes*
body resulting in a caution, conviction or dismissal from
your employment?
NB Investigatory bodies include (List not exhaustive):- Local Authorities, Customs and Excise,
Immigration, Passport Agency, HMRC, Department of Trade and Industry, Department of
Work and Pensions, Security Agencies, Financial Service Authority, Banks and Building
Societies, Life Insurance Companies.
*If YES
Please include details of the nature of the allegations made against you,
and if known to you, any action to be taken by the Investigatory Body.
7 Have you ever been dismissed by reason of misconduct No
from any employment, office or other position held by you? Yes*
*If YES
Please include details of the employment, office or position held, the date
you were dismissed and the nature of the allegations of misconduct.
8 Have you ever been disqualified from the practice of a No
profession, or required to practice subject to specified
Yes*
limitations following fitness to practice proceedings, by a
regulatory or licensing body in the United Kingdom or in
any other country?
*If YES
Please include details of the nature of the disqualification, limitation or
restriction, the date, and the name and address of the licensing or
regulatory body concerned.
9 Are you currently the subject of any investigation or No
fitness to practice proceedings by any licensing or
Yes*
regulatory body in the United Kingdom or in any other
country?
*If YES
Please include details of the reason given for the investigation and/or
proceedings undertaken, the date, details of any limitation or restriction to
which you are currently subject, and the name and address of the
licensing or regulatory body concerned.
10 Are you subject to any other prohibition, limitation or No
restriction that means we are unable to consider you for the
Yes*
position for which you are applying?
*If YES
Please include details of the reason given for the investigation and/or
proceedings undertaken, the date, details of any limitation or restriction to
which you are currently subject, and the name and address of the
licensing or regulatory body concerned.
11 If you have answered YES to any of the questions above, please use this space to
provide details. Please indicate the number(s) of the questions you are responding to.
Section 4 - Immigration Status
Please complete and return along with your application. If invited for interview you will be
asked to provide evidence to confirm your immigration status. Please note failure to
evidence your right to work/immigration status at time of interview, will invalidate your
application, and will lead to your application being withdrawn.
Evidence of your status includes:
 Original Passport (personal details)
 Visa (if applicable)
 Original letter/s from the Home Office/UK Border Agency/Immigration &
Nationality Directorate (if applicable)
 Bulgarian/Romanian Citizens will require a Work Permit and Accession
Worker Card (form BR3)
Dependant Visa Status
If you are the dependant of a current visa holder, you will be required to provide evidence
of your name as the dependant on any documentation/visa.
Immigration Status
NHS Ayrshire and Arran
Full Name:
Post Applied for:
Office Use Only
Post Ref No.:
PLEASE READ ALL QUESTIONS CAREFULLY BEFORE COMPLETING THIS FORM
We need to know if you are eligible for employment in the UK EVEN IF YOU ARE A BRITISH CITIZEN.
The information you provide in this part of the form is confidential and is not used in the selection process.
It will be separated from the rest of the form when we receive it.
Please use BLOCK CAPITALS and tick the appropriate responses
1
Are you a British Citizen or a European Economic Area National?
YES
NO
If you have answered NO, please answer questions 2-7 and 8
If you have answered YES, please go straight to question 8
YES
NO
2
Do you have right of residence in the European Economic Area?
3
Passport Expiry date
Day:
Month:
Year:
4
Date of Entry to the UK
Day:
Month:
Year:
5
Please indicate which Immigration Status applies to you:
Dependant Visa Status
OOwn Visa Status
(Spouse/Partner/Civil
Partner of Visa Holder)
UK/EEA national
Tier 1 (General) Points Based
Tier 1 (Post Study Work)
Points Based
Tier 2 Certificate of Sponsorship
(formerly Work Permits)
National Identity Card
Tier 1 (General)
Clinical Attachment /
Observer
Tier 1 (Post Study Work)
Medical Training Initiative
Tier 2 Dependant
National Identity Card
Tier 4 (General Student)
n/a
Tier 4 (Student Visitor)
n/a
Refugee / Asylum
Refugee / Asylum
UK Ancestral Visa
Other – please specify:
UK Ancestral Visa
7 Date period of entry to UK ceases (visa expiry) Day:
Month:
Year:
If you have answered questions 2 to 7, please attach copies of the following documentation (originals will be
checked at interview):
8
I confirm that the information provided on this form is to the best of my knowledge correct.
I understand that failure to provide appropriate evidence on request will mean my application cannot
be considered further.
SIGNATURE
DATE
Section 5 - Equal Opportunities
Job Reference Number:
Name (Printed)
Equal opportunities monitoring
Part A
We want to ensure that our job opportunities are open to all. The only way we can ensure there is equal
opportunity is to monitor applications we receive, and compare the profile of people who apply with those
appointed. Therefore this form asks you for your ethnic origin, gender, disability, religion, sexuality and
age. The information you provide in this part of the form (Part B), is confidential and is not used
in the selection process. It will be separated from the rest of the form when we receive it.
1) If you are currently an employee of this NHS Board, will getting this job be a promotion?
Yes
No
2) You are:
Female
Male
3) Have you undergone, are you undergoing or do you intend to undergo gender reassignment?
For example, this includes having changed your sex (gender).?
Yes
No
Prefer not to say
4) What is your age?
I am
years old, and my date of birth is:
5) Do you have a physical or mental health condition or disability that:


Yes

has a substantial effect on your ability to carry out day to day activities?
has lasted or is expected to last 12 months or more?
No
If you answered ‘yes’ please tick if it is either of the following:
Learning Disability
Long standing illness
Mental health condition
Other (please describe):

Prefer not to say
Physical impairment
Sensory impairment
Again, if yes, please describe any particular arrangements you would need for your work location:
(Continued on next page)
Part B
6) What is your ethnic group?
Choose one section from A to F, then tick the appropriate box to indicate your cultural background
A: White
Scottish
Irish
Other British
Any other White background
B: Mixed
Any mixed background
C: Asian; Asian Scottish; Asian British
Pakistani
Indian
Bangladeshi
Chinese
Any other Asian background
D: Black; Black Scottish; Black British
Caribbean
African
Any other Black background
E: Other ethnic background
Any other background
F: Prefer not to answer
7) To which religion, religious denomination or body do you actively belong?
(Christianity)- Church of Scotland
Hinduism
(Christianity) - Roman Catholic
Sikhism
Christianity (Other)
Judaism
Other faith / belief
Islam
Buddhism
No religion (none)
Prefer not to answer
8) Which of the following best describes your sexual orientation?
Bisexual
Gay Man
Heterosexual
Lesbian/Gay Woman
Other
Prefer not to answer
Section 6 - Declaration
Please read and confirm you have read the following statements:-
 I have completed all the relevant parts of the application pack and confirm the details






supplied on my CV are, to the best of my knowledge, true and complete.
I understand that if appointed to this post, the information on this form will be kept as part of
my personal file record.
I authorize you to obtain my references to support this application and understand these
are required prior to the interview stage.
I understand that details of educational qualifications, membership or professional bodies
and referee reports may be verified through the establishments and individuals I have
indicated.
I consent to my details being kept confidentially and used for the specific and lawful
purposes as specified in the Data Protection Act 1998.
I declare that I have no previous convictions, or have identified any I have above.
I can confirm I have read, agree and understand this declaration
Insert
Name/Electronic
Signature
Date
/
/
NHS AYRSHIRE AND ARRAN
UNIVERSITY HOSPITAL AYR
CONSULTANT IN CARDIOLOGY
(Ref: MD/556/13)
You will be joining our existing team at an exciting time in the development of the Ayrshire
Cardiology service.
This post, based at University Hospital Ayr, will bring our
establishment to six posts, three based each at University Hospital Ayr and University
Hospital Crosshouse.
This post offers the opportunity to play a major role in the future development of cardiac
services within Ayrshire. The candidate will have a sub-speciality interest in Imaging
within Cardiology, complement our existing full range of cardiac services including
diagnostic coronary angiography, permanent pacemaker and ICD service, transthoracic
and transoesophageal echocardiography and nuclear cardiology. There is a Rapid Access
Chest pain Service and excellent relationships with local GPs, an award-winning cardiac
rehabilitation and heart failure service, comprising 2 dedicated rehabilitation nurses, 4
heart failure nurses and a well established Managed Clinical Network. One consultant
colleague also participates in interventional cardiology services performed in Hairmyres
Hospital,
There are close links with Glasgow University, and there is an active undergraduate and
postgraduate teaching programme.
Our modern District General Hospitals are situated in one of the most scenic parts of the
UK. With easy access to Glasgow and Edinburgh, excellent housing, and first class
educational and recreational facilities, such as internationally famous golf courses and
sailing, which all contribute to a first class quality of life. The Terms and Conditions of
Service are those determined by the new Consultant Contract (Scotland) 2004 and are
offered on a 10 programmed activity basis. Applications from individuals who may wish to
work on a part-time or job share basis will be considered. Opportunities may exist for
Extra Programmed Activities subject to service requirements.
Accredited in Cardiology with a sub-specialty interest in imaging, you will have the
necessary training and expertise to provide a complete range of cardiology services for
patients in Ayrshire. NHS Ayrshire and Arran aspires to develop a full non-invasive
imaging service based around CT, MRI and stress echo. Dual accreditation in General
Medicine is desirable but not essential. Applicants will be appropriately experienced with
Full GMC Registration, including a current Licence to Practice. Applicants must also be on
the Specialist Register of the GMC or be within 6 months of the anticipated award of a
CCT or CESR at the time of interview. Evidence of eligibility of inclusion on the Specialist
Register will require to be provided at time of application.
Informal enquiries may be addressed to Dr John Gemmill, Consultant Cardiologist at The
University Hospital Ayr (01292) 610555 ext 17169, and Dr. Ahmed El-Wassief at
University Hospital Crosshouse (01563-521133).
Applications in the form of a current CV, along with the names and addresses (email and
postal) of 2 referees should be submitted to medicalrecruitment@aapct.scot.nhs.uk no
later than 12 noon on 1st November 2013.
Please Quote Ref No: MD/556/13. The
interview date has been scheduled for 12 November 2013.
Job Packs, including job description, are available for download at www.jobs.scot.nhs.uk.
Details of all our Medical Posts can be found at www.medicaljobs.scot.nhs.uk. You can
obtain further information about the organisation at www.nhsaaa.net.uk.
NHS Ayrshire & Arran promotes a smoking control policy.
JOB DESCRIPTION
CONSULTANT IN CARDIOLOGY
1.
Introduction
This new post will join the existing 5 Consultant Cardiologists in NHS Ayrshire & Arran,
with 2 Cardiologists at the University Hospital Ayr and 3 in University Hospital
Crosshouse.
The post is based in the Medical Unit at The University Hospital, Ayr, but there is close
cross-site cooperation between the cardiology team, and some of the applicant’s duties
will be performed at University Hospital Crosshouse. The Medical Unit is part of the
Medical Directorate of NHS Ayrshire and Arran ICES, which is responsible for acute
services across Ayrshire & Arran, serving a population of approximately 368,000.
2.
Facilities, Resources and Activity
The University Hospital Ayr (348 beds) provides acute and out-patient medical services
to the population (approx. 180,000) of South Ayrshire. The University Hospital Ayr
Medical Directorate has 11,000 in-patient discharges per year and treats over 2,100 day
cases, 6,000 new out-patients and 15,000 review out-patients annually.
There are 144 Medical beds including an 18 bed acute medical receiving ward, a six
bed Medical High Care and a Coronary Care Unit of six beds. There has recently been
established a cross-site dedicated cardiology rota, shared between five cardiologists
and one Speciality Doctor. There is funding available for a second cardiology speciality
doctor post. The cardiology rota provides selected out-of-hours cardiology input for
Ayrshire. At the weekends the cardiologists perform ward rounds in both Acute Cardiac
Care Units.
The cardiology team works in close association with colleagues in General Medicine.
The candidate will not contribute to the General Medical rota, but will continue to
provide ongoing medical care for patients in their ward area. Priority is given to allocate
cardiology patients preferentially.
There is access to a 5 bedded Intensive Therapy Unit and a 4 bed High Dependency
Unit where clinical responsibility for medical patients is shared with Consultant
Anaesthetic staff.
Medical services are supported by the Directorates of General Surgery, Vascular
Surgery, Urology, Orthopaedics, Ophthalmology and Accident and Emergency
Medicine. Radiological support is provided by a staff of 6 Consultants, providing a full
interventional and diagnostic service including interventional radiology, CT and MR
imaging as well as Nuclear Medicine including Nuclear Cardiology.
Laboratory (haematology and biochemistry) services are provided on-site up to midnight
and on Saturday and Sunday mornings at weekends. An area laboratory service,
based at University Hospital Crosshouse, provides non-routine and ‘out of hours’
services and the Area Pathology Service is also based there.
Allied Health Professional support, including physiotherapy, occupational therapy,
dietetics, speech & language therapy and podiatry is also based at The University
Hospital Ayr.
There are visiting Consultants in Radiotherapy, Neurology and Renal Medicine and
close working relationships exist with Regional Neurosurgical and Cardiothoracic
colleagues in Glasgow.
Cardiology Services
 In-patient Cardiology services at The University Hospital Ayr are centred on a sixbedded Acute Cardiac Care Unit and a 24 bedded cardiology ward. Full monitoring
facilities are available for all CCU beds with telemetry for patients in the cardiology
ward. There are facilities for bedside echo and temporary pacing.
 Extensive non-invasive investigative techniques are well established and include colour
flow and Doppler transthoracic echocardiography, Holter and Transtelephonic
monitoring, transoesophageal echocardiography and Tilt Table Testing.
The
department is accredited with the British Society for Echocardiography. We have four
accredited echo cardiac physiologists, one of whom is accredited as an independent
operator for TOE.
 Out-patient exercise tests are supervised by Senior Physiological Measurement
Technicians and there is an open access service for ECG, exercise tests and
echocardiography. There is a Rapid Access Chest Pain clinic run by a GP with Special
Interest. Radionuclide perfusion scintigraphy and ventriculography are available within
the Nuclear Medicine Department.
 A permanent pacemaker implantation programme was established in 1993 and
approximately 120 implants are carried out each year. There are two Cardiac
Physiologists accredited by NASPE in pacing, supported by other senior Cardiac
Physiologists. This is an area service and is run with the close co-operation of the
Cardiologists from University Hospital Crosshouse.
 A regional ICD service was established in 2008, initially with follow-up service and a full
implantation programme since 2011 (approx 40 ICDs per annum).
 The Cardiac Service is supported by a team of Cardiac Physiologists (12.98 WTE).
 There is a long established nurse led cardiac rehabilitation service and a heart failure
service.
 There is a well established Resuscitation Training Department (4 WTE) in Ayrshire and
Arran, with frequent UKRC ALS, ATLS and APLS courses.
 There is well established Managed Clinical Network in Cardiology.
 Four of the Ayrshire Cardiologists have one session weekly for diagnostic
catheterisation at the University Hospital Ayr.
 A national network for the management of adult congenital heart disease is recently
established.
The successful candidate will be encouraged to develop a non-invasive imaging service
for Ayrshire. Both sites have state-of-the-art MRI and CT scanners, with some appropriate
software for cardiac imaging. There is considerable expertise in both Ayr and Crosshouse
in echocardiography, and the opportunity exists to develop a stress echo service.
Education:
The Medical Unit holds twice weekly CPD sessions, and is fortunate to have the use of a
large modern Education Centre located in the centre of the hospital. There is a well
stocked library with good e- learning facilities, a large lecture theatre with state-of-the art
equipment and meeting rooms.
The Directorate is fully involved in the teaching of Glasgow University undergraduates and
the postholder will be expected to contribute to both undergraduate and postgraduate
teaching programmes.
2.2
Medical Staff Resources
The staffing of the Medical Directorate is as follows:
Consultant Staff
CARDIOLOGY
Dr John Gemmill
Dr James McGowan
This Post
Dr Mohammed Al-Khafaji
Dr Ahmed El-Wassief
Dr Victor Chong
Base
Ayr
Ayr
Ayr
Crosshouse
Crosshouse
Crosshouse
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
General Medicine (Ayr)
Dr Chris Gillen
Vacant Post
Dr Anur Guhan
Dr David Sword
Dr Sujit Shetty
Dr Margaret Duncan
Dr Derek Baxter
Prof Andrew Collier
Ayr
Ayr
Ayr
Ayr
Ayr
Ayr
Ayr
Ayr
Dr Iqbal Malik
Ayr
Dr Sandip Ghosh
Dr Claire Copeland
Dr Andrew Watt
Dr Jillian Nicoll
Dr Judith Blair
Dr Krishna Prashad
(acting consultant)
Ayr
Ayr / Crosshouse
Ayr
Ayr
Ayr
Ayr
Gastroenterology
Gastroenterology
Respiratory Medicine
Respiratory Medicine
Rheumatology
Rheumatology
Rheumatology
Diabetes &
Endocrinology
Diabetes &
Endocrinology
Stroke Medicine
Stroke Medicine
Geriatric Medicine
Geriatric Medicine
Geriatric Medicine
Acute Medicine
Associate Specialist
Dr K. Musbahi
Ayr
Speciality Doctor
Dr Jocelyn Reid
GP with SI
Dr Richard Johnson
Specialist Interest
Base
Specialist Interest
Geriatric/Stroke
Medicine
Base
Ayr
Specialist Interest
Cardiology
Base
Ayr / Crosshouse
Specialist Interest
Chest Pain Assessment
StR/ /FY2/ FY1
16 SpR/ST/CT
(inc GPST)
1 FY2
3 FY2, 1 GPST and 1 STR
10 FY1
2.3
Base
Specialty
Various medical
specialties
Medicine
Geriatric Medicine
Medicine
Rotations
Ayr
Ayr/Biggart
Ayr
Activity (average per annum): General Medicine & Cardiology
Medicine
CCardiology
In patients
26,283
2,408
Outpatients (new)
15,114
2,524
Coronary Angiography (North & South combined)
Pacing Procedures
ICD procedures
3.
614
130
40
Future Development of Cardiology Services in Ayrshire
In line with the West of Scotland Regional Planning Group Cardiac Imaging strategy, it is
planned that there will in future be a shift from invasive coronary arteriography towards
non-invasive assessment based on cardiac CT and MRI.
4. Proposed Weekly Programme (see over)
4.
PROPOSED WEEKLY PROGRAMME
Work Timetable
Description
Direct Clinical Care (hours)
On-Call Theatre OPC
Admin Ward Work/
Total
Other DCC
0.5
3.5
Mon a.m. Ward Round
Mon p.m. Imaging
Tues a.m. Clinical admin, ward
work, SPA
Tues p.m. On-Call *
Wed a.m. Imaging
Wed p.m. Out-patient clinic
Thurs
a.m.
Thurs
p.m.
Fri a.m.
Fri p.m.
4
1
1
4
4
2
1
1
2
1
1
1
1
4
4
4
4
4
3
Clinical Admin
4
4
Allocation to recognise predictable and unpredictable contribution to
Cardiology emergency duty commitment
3
4
3
TOTALS

Teaching Audit CPD Research Other Total
4
Ward Round and SPA
Ward Round/Other
DCC and SPA
Outpatient Clinic
Supporting Professional Activities (hours)
3
4
36
4
4.1
Proposed Weekly Programme
The proposed weekly programme is shown at Section 4. Activities with current fixed time
commitments will be carried out as detailed in the work programme e.g. clinics. Other DCC and SPA
activities are shown with indicative timings within the weekly programme and will be discussed with the
appointee. This timetable will be reviewed three months following appointment and should therefore
be regarded as an interim programme. Opportunities may exist for Extra Programmed Activities to be
undertaken subject to service requirements and in accordance with national terms and conditions of
service.
4.2
Notes on the Programme
Patient Administration: This activity covers the management of individual patients including Out
Patient administration, results reporting, letters/phone calls to patients, carers, GP’S and members of
the wider multidisciplinary team involved in the patients care.
Ward Rounds: the time allocated is indicative and will be discussed with the appointee. Ward work
will include teaching ward rounds as required.
Travel: Any travel allocation will be included within the Total Programmed Activities and will be
determined by location at which Direct Clinical Care and Supporting Professional activities are carried
out.
On call arrangements: The applicant will contribute to a 1:5 Ayrshire Cardiology Rota, supported by
the Speciality Doctor. This rota provides out of hours specialist cardiology advice and procedures. It
is not expected to provide routine cardiology care for all patients which remains the responsibility of
the General Medical team. At weekends, a member of the cardiology team will perform ward rounds
on the Acute Cardiac Care Units in both Ayr and Crosshouse. This takes approximately five hours
including travel, and on-call availability remains thereafter from home.
Level 1 availability supplement is 8%. Predictable and unpredictable work associated with the
provision of on call duties including weekend receiving ward rounds equivalent to 1 PA per week.
Details thereof can be discussed on an individual basis.
Supporting Professional Activities: A minimum of 1 SPA is included in the indicative job plan,
amounting to 168 hours per annum which shall normally be sufficient to reflect activities such as
revalidation, appraisal, personal audit, and professional development (occurring outwith the 30 days
of study leave entitlement in any three year period). Time permitting, it may also cover minimal
teaching, training and non-clinical administration. Any additional SPA allocation will require to be
evidenced as mutually beneficial and required by the department. Adjustment to the programme to
incorporate additional SPA will require other activities to be reviewed to accommodation any increase
as necessary. It will be requested that SPAs are delivered at the normal place of work, unless there
are mutual advantages to it being performed elsewhere. The exact timing and location of SPAs, and
flexibility around these, will be agreed during the 1:1 meeting with the Clinical Director/Associate
Medical Director and included in the prospective job plan
Research: Research is encouraged and supported by an active Research and Development
Committee. The appointee will be encouraged to develop research interests associated with their
specialist interest.
Teaching: The postholder will be responsible for the training and supervision of post-graduates and
under-graduates and will be expected as part of their SPA allocation to devote time to this activity on
a regular basis. In addition he/she will be expected to ensure that Junior Staff and medical students
receive adequate support and advice and may act as a contact as the person responsible for
overseeing their training and as an initial source of advice.
Private Practice: If the postholder wishes to undertake any private practice, they are obliged to
inform their employer at the time of appointment of their intentions to do so. This should be submitted
in writing to the Medical Director.
The postholder shall be free to undertake private practice without approval provided such work is
undertaken outside the time agreed in the job plan for programmed activities. (Refer Section 6 of the
New Consultant Contract).
5.
The Post : Consultant in Cardiology
The postholder will be accountable to the Clinical Director who will agree the Job Plan.
He/she will be expected to work with local managers and professional colleagues in the efficient
running of services and will share with Consultant colleagues in the medical contribution to
management. Subject to the provisions of the Terms and Conditions of Service, he/she is expected to
observe the NHS Ayrshire and Arran’s agreed policies and procedures, drawn up in consultation with
the profession on clinical matters, and to follow the standing orders and financial instructions of NHS
Ayrshire & Arran.
In particular, where he/she formally manages employees of NHS Ayrshire and Arran, the postholder
will be expected to follow the Local and National Employment and Personnel Policies and Procedures.
He/she will be expected to make sure that there are adequate arrangements for hospital staff involved
in the care of patients to be able to make contact with the postholder when necessary.
The postholder is required to comply with the NHS Ayrshire and Arran Health and Safety Policies.
He/she will be responsible for the training and supervision of Junior Medical Staff who work with the
postholder and will be expected to devote time to this activity on a regular basis. In addition, he/she
will be expected to ensure that Junior Staff have access to advice and counselling. If appropriate, the
postholder 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.
5.1
Resources
The staff resources of the Directorate are listed elsewhere. The postholder will have access to such
general administrative support as is required for the discharge of his/her duties and responsibilities.
This will include the provision of adequate secretarial and clerical support and the availability of
accommodation, equipment etc.
The postholder will receive support from such other professional staff as are employed within the
Division and are deployed to his/her area of patient care.
5.2
Duties and Responsibilities
The main duties and responsibilities of the post include:


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Provision with Consultant colleagues of a service in Cardiology with responsibility for the
prevention, diagnosis and treatment of illness and the proper function of the clinical service.
Development of a non-invasive cardiac imaging service in conjunction with Cardiology
colleagues in Ayrshire and Arran and the Regional Planning Group for Cardiology.
Ongoing care for a minority of General Medical in-patients.
Provision of cover for Consultant Cardiologist colleagues during periods of leave.
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5.3
Professional supervision and management of Junior Medical Staff.
Responsibilities for carrying out teaching, accreditation and examination duties as required, and
for contributing to undergraduate and postgraduate medical education. The postholder will be
expected to comply with College recommendations on Continuing Medical Education.
The postholder will be required to comply with NHS Ayrshire and Arran Policies on Clinical
Governance.
The successful applicant will be encouraged to participate in research and to develop a relevant
subspecialty interest, subject to resources and local priorities.
Requirements to participate in medical audit and in continuing medical education.
Managerial, including budgetary, responsibilities (where appropriate).
Annual Appraisal & Job Planning
The postholder will also be required to participate in annual appraisal. Job planning is linked closely
with, but is separate from, the agreed appraisal scheme for consultants. The job plan review will take
into account the outcome of the appraisal discussion and reflect the agreed personal development
plan.
6.
Terms and Conditions of Service of the Post
Are those determined by the Terms and Conditions of the New Consultant Grade (Scotland) as
amended from time to time.
7.
Further Information and Visiting
Applicants wishing further information about the posts are invited to contact Dr John Gemmill,
Consultant Cardiologist 01292 610555 ext 17169 or Dr Ahmed El-Wassief, Consultant Cardiologist on
01563 521133.
The last date for application is 12 noon on 1st November 2013.
Interviews have been scheduled for 12 November 2013.
Personal Specification
Post of
:
Location :
Consultant in Cardiology
University Hospital Ayr
Qualifications:
Essential
Desirable
Full GMC Registration with current Licence to Practice
Royal College Membership
Existing Consultants: Inclusion on the GMC
Specialist Register – Cardiovascular Medicine
New Consultants:
CCT or evidence of Higher
Speciality Training leading to CCT or be within 6 mths
of confirmed entry to the Specialist Register from the
date of interview.
Higher Medical Qualification, eg
MD, PHD
Specialist Register –General
Internal Medicine
Skills/Knowledge/Competence
Requirements
Essential

General Experience:
 Expertise in general
Medicine
 Expertise in subspecialty field






Team Working


Development


Expertise in non-invasive
cardiac imaging modalities
Knowledge of and skill
relevant to the management
of patients
Ability to safely manage
acute cardiac rhythm
disturbances
Ability to insert temporary
pacing lines
Ability to communicate
effectively with all levels of
staff and patients
Ability to work efficiently and
timeously
IT literacy
Ability to lead others, think
strategically
Effective Team Player
Evidence of relevant Continuing
Professional Development
Evidence of satisfactory
compliance with appraisal
requirements
Desirable


Dual accreditation in
General Medicine and
Cardiology
Ability to develop noninvasive diagnostic
services across A&A
sites

Ability to deliver high quality
teaching
Clinical Audit

Evidence of interest and depth
of experience in medical audit
Management and
Administration


Ability to lead a clinical team
Commitment to effective
departmental management and
management of a
multidisciplinary group
Proven organisational skills
Teaching & Training
Research &
Publications

Personal and
Interpersonal Skills

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Interest in and knowledge
of
advances in medical
education
and training.
 Evidence of publications
of a high standard relating
to specialty



A willingness to accept

flexibility to meet the changing
needs of the NHS in Scotland

Effective communicator and
negotiator
Demonstrate effective
leadership
A willingness to develop special
interests which conform to the
needs of NHS Ayrshire and
Arran
Proven management
experience
Understanding of resource
management and quality
assurance.
Knowledge of recent
changes in the NHS in
Scotland
Innovative and
enthusiastic
A willingness to develop
special interests which
conform to the needs of
NHS Ayrshire and Arran
Further Information
1.
Appointing Authority
NHS Ayrshire and Arran Health Board.
2.
Grade and Salary ~ New Consultant Contract
The conditions of service are those laid down and amended from time to time by
the appropriate negotiating body and the General Whitley Council.
1st Time Consultant Appointment = Placed on the minimum of the Consultant
payscale.
Consultants who have held previous Consultant posts ~ subject to verification, all
previous regular service in the consultant grade in the NHS, including any
absence on authorised leave, will be counted in full in determining the starting
salary, seniority point and seniority date. Service under an honorary NHS
consultant contract and any service on a part-time basis will be regarded as
regular service in the consultant grade. Documentary evidence of all such
previous relevant service must be presented for verification. All new consultants
appointed shall be placed on the minimum point of the scale until previous
service has been confirmed. The seniority point/seniority date shall be recalculated as appropriate, to the commencement date.
Salary will be paid directly into your bank account on the last Thursday of each
month.
3.
Hours of Duty
Full time hours of duty for pay purposes will be 40 hours per week (expressed as
10 programmed activities (PA), which shall normally comprise of 9 PA for direct
clinical care, and 1 PA for supporting professional activities SPA). Any agreed
extra programmed activities (EPA) shall be paid at 1/10th of the basic salary
(inclusive of discretionary points). These EPAs are reviewed annually and may
be terminated at any time by either the consultant or the employer giving the other
a min of 3 months’ notice.
4.
Superannuation
You will be enrolled automatically into membership of the NHS Pension Scheme
(Scotland) if you are over 16 and under 75 years of age. Your level of
contribution will be dependant on your whole time equivalent superannuable
salary. Details of the scheme are given in the scheme guide which is available
from the Scottish Public Pensions Agency
http://www.sppa.gov.uk/Documents/NHS/NHS%20Useful%20Resources/NHS%2
0Guides/NHS%20Member%20guide%202008%202013%20V.1.pdf
If you do not wish to join the scheme you will require to opt-out. Full details of
auto-enrollement and opt-out will be provided prior to commencement.
Superannuation benefits accrued in the NHS Scheme elsewhere in the UK can be
directly transferred to the Scottish Scheme by arrangement between the two
pensions agencies.
5.
Private Practice
With effect from 1/4/04, any Private Practice work will be governed by the Code of
Conduct in relation to private practice activities as contained with the Terms and
Conditions of Service. You will be required to declare any private practice
interests on appointment (refer to Private Practice Protocol attached).
6.
Car Leasing
A car lease may be available in accordance with NHS Ayrshire and Arran’s Car
Leasing Policy.
7.
Location
For employment purposes, the base will be either Crosshouse Hospital, Ayr
Hospital, Ayrshire Central Hospital, or Ailsa Hospital. The post may require you
to travel to and work at various locations in Ayrshire and Arran and occasionally
further afield. Home to work expenses will be met by yourself. Travel expenses
during the course of work will be met by NHS Ayrshire and Arran.
8.
Travel Expenses Incurred When Attending for Interview
Reasonable travel expenses incurred when attending for interview will be
reimbursed. The travel expenses for the successful candidate will be paid when
they take up post and will be included in their first monthly salary. Please note,
however, reimbursement of expenses shall NOT be made to individuals who
refuse an offer of employment on the grounds which, in the opinion of NHS
Ayrshire and Arran, are inadequate. Travel expenses will normally be
reimbursed from the point of entry to the UK.
9.
Relocation Expenses
Removal expenses, associated with necessary relocation to the area, may be
payable to the successful candidate. It will be confirmed at interview whether or
not removal expenses are applicable. A maximum of £12,000 may be reimbursed
for reasonable removal expenses.
10.
Annual Leave
The annual leave entitlement appropriate to this grade is 6 weeks. Public
holidays, as determined for NHS Ayrshire and Arran staff, are granted in addition
to the annual leave entitlement.
11.
Smoking, Alcohol, Drugs and Health at Work
NHS Ayrshire and Arran operates designated policies on *smoking, alcohol and
drugs. All staff are required to observe these policies.
* subject to impending legislation
12.
Clinical Personal Development
NHS Ayrshire and Arran is committed to supporting staff in their personal
development.
Consultant Staff have an entitlement to a maximum of 30 days (including off-duty
days falling within the period of leave) in any 3 years.
13.
Disabled Applicants
NHS Ayrshire and Arran welcomes applications from people with disabilities and
has been approved by the Employment Services Department, as an employer
who is “positive about disabled people”. Please contact the Human Resources
Department in advance of interview should you have any special requirements.
14.
Offer of Employment
Any offer of employment is conditional upon receipt of a satisfactory medical
report from our Occupational Health Service, Disclosure Scotland Criminal
Records check, 3 references and proof of CCST and current full GMC registration
with a Licence to Practice.
Asylum & Immigration Act 1996 and 2004 (Section 8)
The Asylum & Immigration Act 1996 and 2004 requires employment checks to
ensure that all employees are legally employed in the United Kingdom. Any offer
of employment shall be subject to confirmation that the candidate is legally eligible
for employment within the UK. You shall therefore be required to provide relevant
original documents as proof of eligibility.
15.
Next Steps
Applications are invited by Curriculum Vitae to be submitted electronically to:
medicalrecruitment@aapct.scot.nhs.uk by the specified closing date.
Additional Information may be obtained from the following links
NHS Ayrshire & Arran Web site: http://www.nhsayrshireandarran.com
Living & Working in Scotland: http://www.scotmt.scot.nhs.uk/living-and-working-in-scotland.aspx
West of Scotland Deanery - Key Fact Sheet – useful web sites eg list of hospitals in area,
councils, transport, tourist information:
http://www.scotmt.scot.nhs.uk/media/9362/westofscotlanddeaneryfactsheet.pdf
Web Sites of Interest for Candidates
1.
2.
3.
4.
5.
6.
Scottish Health on the web:
NHS Ayrshire & Arran:
Scottish Executive:
Local Government Councils:
Ayrshire and Arran Tourist Board:
Useful Reading:
www.show.scot.nhs.uk
www.nhsaaa.net
www.scotland.gov.uk
www.east-ayrshire.gov.uk
www.south-ayrshire.gov.uk
www.north-ayrshire.gov.uk
www.ayrshire-arran.com
The following documents can be obtained via the SHOW website by accessing Publications:
“Our National Health – A plan for action, a plan for change”, sets out a clear statement of national
priorities for health and the NHS in Scotland.
“Rebuilding our National Health Service” this document provides guidance to the service on the
implementation of the policies as set out in “Our National Health – A plan for action, a plan for
change” Local Health Plan within the Ayrshire and Arran Health Board website – publications.
NHS Ayrshire & Arran
Summary Statement and Protocol Relating to Consultant Private Practice and the New
Consultant Contract
1.
1.1
1.2
2.
2.1
2.2
2.3
2.4
3.
3.1
3.2
General Statement Re Disclosure
If a consultant wishes to undertake any private practice they are obliged to inform their employer
at the time of appointment of their intentions to do so. This should be submitted in writing to the
Medical Director. (Section 4 para 4.4.8) (For consultants in post prior to 1 April 2004, similar
notification should have been submitted to the Medical Director).
Consultants will be free to undertake private practice without approval provided such work is
undertaken outside the time agreed in the job plan for programmed activities. (Section 6 para
6.1.1)
Code of Conduct: Standards of Practice
The Code of Conduct for Private Practice contained at Appendix 8 of the Terms and Conditions
of service sets out recommended standards of best practice for consultants about their conduct
in relation to private practice.
Consultants undertaking private practice are required to adhere to the Code. (Section 6 para
6.1.2)
The Code is based on 4 Key Principles:
NHS Consultants and NHS employing organisations will work on a partnership basis to prevent
any conflict of interest between private practice and NHS work. It is also important that NHS
Consultants and NHS organisation minimise the risk of any perceived conflicts of interest;
although no consultant should suffer any penalty (under the code) simply because of perception;
The provision of services for private patients should not prejudice the interest of NHS patients or
disrupt NHS Services; with the exception of the need to provide emergency care, agreed NHS
commitment should take precedence over private work; and NHS facilities, staff and services
may only be used for private practice with the prior agreement of the NHS employer.
The code will be used at the annual Job Plan review as the basis for reviewing the relationship
between NHS duties and any private practice.
Job Planning and Disclosure relating to actual or perceived conflict of interest
Consultants should declare any private practice, which may give rise to any actual or perceived
conflict of interest, or which is otherwise relevant to the practitioner’s proper performance of
his/her contractual duties. (Code of Conduct Part II)
As part of the annual Job Planning process, consultants should disclose details of regular
private practice commitments, including the timing, location and broad type of activity, to
facilitate effective planning of NHS work and out-of-hours cover.
4.
4.1
Managing Private Patients in NHS Facilities
Consultants may only see patients privately within NHS facilities with the explicit agreement of
the Medical Director and where approval is granted will be required to adhere to organisational
policy and procedure in relation to private practice.
5.
5.1
General
Consultants participating in Private Practice must familiarise themselves with the Code of
Conduct and determine what action is required of them in ensuring they fully comply.
Clarification can be sought from the Medical Director’s office of Human Resources where
required.
Consultants will be required to demonstrate adherence to the Code of Conduct, and sections
4.4.6 – 4.4.10 of the National Terms and Conditions of Service in order to secure pay
progression.