SPECIALTY DOCTOR
WITH AN INTEREST IN
DIABETES
ROYAL ALEXANDRA HOSPITAL
INFORMATION PACK
REF: 32430D
CLOSING DATE: NOON 28TH MARCH 2014
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: SPECIALTY DOCTOR WITH AN INTEREST IN DIABETES
BASE: ROYAL ALEXANDRA HOSPITAL
The post is for a Specialty Doctor with an interest Diabetes and will be based at the Royal
Alexandra Hospital.
The Royal Alexandra Hospital (RAH) is situated in Paisley and provides acute health care
services to Renfrew District (pop 205,000). The Hospital is a 968 bed modern District
General Hospital (DGH) which opened in 1986. The RAH is one of the largest and busy
non-teaching DGH in Scotland and has an annual budget of £82 million and employs
some 2,000 staff. In addition the hospital is currently the base for provision of surgical,
orthopaedic, ophthalmology, paediatric and the majority of maternity services to the
population north of the Clyde served by the Vale of Leven Hospital.
This post is for one session and the successful applicant will join a team of four Consultant
Physicians, four Clinical Nurse Specialists, two Dieticians and a Podiatrist. The Diabetic
Unit is a progressive and forward thinking unit, with both the community and acute care
teams working out of the Diabetes centre at the RAH.
The successful applicant will be trained in relevant aspects of diabetes care, and expected
to participate in relevant CPD.
Applications are sought from suitably trained individuals who have a special interest in
diabetes. It would be beneficial to possess a post graduate qualification in diabetes,
however not essential. It is proposed that this post would support either a Wednesday
morning or Thursday afternoon clinic, where both Type 1 and 2 patients are reviewed.
The post holder will be required to maintain and develop the diabetic service and work with
colleagues to progress service delivery for patients.
All applicants must have Full GMC Registration, a licence to practice and at least 4 Years
full time Post Graduate Training, two of which must have been within a Specialty Training
programme or you will demonstrate and evidence equivalent experience and
competencies.
NHS Greater Glasgow & Clyde
Emergency Care and Medical Services
JOB DESCRIPTION
Specialty Doctor – Diabetes
1.
INTRODUCTION
The Emergency Care and Medical Services Directorate of NHS Greater Glasgow and Clyde are
responsible for managing Diabetes Service across GG&C.
Diabetes services within Clyde provide outpatient services in the Royal Alexandra Hospital, and
are supported by four Consultant Physicians, four Clinical Nurse Specialists, two Dieticians and a
Podiatrist.
This post will be based within the Royal Alexandra Hospital.
The Diabetic Unit is a progressive and forward thinking unit, with both the community and acute
care teams working out of the Diabetes centre at the RAH.
There are 5 Diabetic clinics held weekly, in addition there are weekly multidisciplinary foot clinic
and an antenatal diabetes clinic which has input from the diabetic consultant. An insulin pump
therapy service is in operation and being developed to meet government CEL on insulin pump use.
As well as this there is a transitional diabetic clinic which runs in conjunction with the local
paediatric team.
Referrals to the team are controlled via the SPOA (single point of access) system. This allows
greater control of prioritisation and control of resource. The team also has weekly MDT in which
more complex cases are discussed, and updates given about community.
The Diabetic Clinical Nurse Specialists play a pivotal role in co-ordinating an integrated service
working across both the acute and community care. Patients are encouraged to use the drop in
service which operates Monday to Friday for further advice and support. Structured educational
courses; DAFNE, and DESMOND are provided for patients and these are hosted by the Diabetes
team in the RAH and VOL.
Inpatients are managed in the general medical wards under the care of Diabetes and
Endocrinology consultant team.
2.
GENERAL INFORMATION
Royal Alexandra Hospital, Paisley (RAH)
The Royal Alexandra Hospital (RAH) is situated in Paisley and provides acute health care services
to Renfrew District (pop 205,000). The Hospital is a 968 bed modern District General Hospital
(DGH) which opened in 1986. The RAH is one of the largest and busy non-teaching DGH in
Scotland and has an annual budget of £82 million and employs some 2,000 staff. In addition the
hospital is currently the base for provision of surgical, orthopaedic, ophthalmology, paediatric and
the majority of maternity services to the population north of the Clyde served by the Vale of Leven
Hospital.
The hospital provides a wide range of District General Hospital specialties with excellent support
facilities. The hospital has a first class modern radiology department and services. Pathology
services for Clyde Division are centred on this site. The current laboratory review plans to
centralise all main laboratory services in Clyde within the RAH with satellite units in other units. All
departments participate in undergraduate teaching and there is an active postgraduate educational
programme. The hospital enjoys an enviable reputation for undergraduate teaching and is highly
popular with training grades. There is a good medical library service. At the beginning of 2005
Paisley University Nursing School left the RAH campus. Proposals for the use of the vacant space
at the heart of the hospital are being sought and are likely to include the further development of
ambulatory care, day surgery, endoscopy services and improved educational.
3. DIABETES SERVICE
Consultant Staffing:
Professor Martin McIntyre
Dr Claire Harrow
Dr Neil McGowan
Dr Chris Smith
Junior Medical Staff:
1 Middle Grade Doctor
1 GPST Doctor
1 Foundation Year 2 Doctor
1 Foundation Year 1 Doctor
Clinical Nurse Specialist:
Sister Kathy Taylor
Diabetes Nurse Specialist Elaine Harkins
Diabetes Nurse Specialist Sharon Lapsley
Community Diabetes Nurse Specialist Mildred O’Neill
Clinical Support Worker Julie Woods
Other Specialist Staff: Amanda Grant, Hospital Diabetes Dietician
Laura Beaton, Hospital Diabetes Dietician
Ann Campbell, Hospital Diabetes Podiatrist
Alison Wylie, Hospital Diabetes Podiatrist
The Diabetes Nurse Specialists have played a pivotal role in the running of the diabetes service over
recent years including:
 Education of patients, carers and healthcare professionals in all aspects of diabetes.
 Diabetes drop-in facility within the diabetes centre between 10 am and 12 midday.
 Commencement of insulin, and GLP1 receptor antagonist, as an outpatient within the Diabetes
Centre and in the community.
 Once weekly diabetic foot clinic.
 Weekly joint diabetes/obstetric clinic
 Monthly adolescent diabetes clinic (with Paediatricians)
4. Clinics
The tables below detail outpatient activity data for 2011/2012 for diabetes and endocrinology:
Diabetes Outpatient Activity 2011 / 2012
New
attendances
381
New
DNA
86
Total
467
Return
attendances
2,241
Return
DNA
490
Return
attendances
1,099
Return
DNA
230
Total
2,731
Endocrinology Outpatient Activity 2011 / 2012
New
attendances
277
New
DNA
42
Total
319
Total
1,329
5.
JOB PLAN
A weekly timetable is shown below. The Specialty Doctor will be required to review new and return
patients at the outpatient clinics, in addition to providing advice to the multidisciplinary team and
junior staff.
Name:
Specialty:
Grade:
Effective Date of Job Plan:
Next Expected Review Date:
Contract: Specialty Doctor
Weekly PAs:
Weekly APAs:
Total Hours:
Principal Place of Work:
Other Regular Work Places:
On call Availability Supplement:
Out of Hours work:
Diabetes
Specialty Doctor
January 2014
January 2015
1 session
1
0
4 hours
Royal Alexandra Hospital, Paisley
As required
None
Predictable: 0
PAs
Unpredictable: 0
PAs
Managerially Accountable to: Karen Munro, CSM, Medical Services, Clyde
Clinically Responsible to:
Professor McIntyre, Consultant Physician with special interest in
Diabetes / Endocrinology
a)
Timetable of activities that have a specific location and time
Day
Thursday
1.00pm – 5.00pm
Hospital/
Location
Description
of Work
RAH
Outpatient Clinic
Category
DC
SPA
DC
AR
ED
PA Type
PA
APA
PA
One 4 hour SPA time allocation will be accommodated every 10th week.
The suggested Job Plan for the week is based on a 1 PA of Direct Clinical Care (DCC) duties. The
Job Plan is subject to review as a minimum once a year by the post holder and the Lead Clinician.
Please note that this job plan may be reviewed at any time and changed as a result of service
demands.
A work programme for 1 session will be negotiated and agreed with the successful candidate.
b)
Description of activities that are not undertaken at specific locations or times (this section should include
details of activity category and PA/APA allocation for such activities)
None
c)
Description of activities during premium rate hours of work, i.e. hours out with 7am-7pm Monday to
Friday (this section should further define activities that have already been included at a) in terms of
location and timing)
None
d)
Additional Programmed Activities (this section outlines the reason for allocation of APAs including the
expected duration of the APAs)
None
Type of activity
Description of activity including when and where activity is conducted.
Average number of hours spent on
each activity per week including travel
where appropriate
Direct Clinical Care (DC)
(work that directly relates to the prevention, diagnosis or treatment of illness)
Outpatient activities
Patient-related administration linked to clinical
work i.e. directly related to the above
(primarily, but not limited to, notes, letters and
referrals)
The postholder will review new and return patients at the outpatient clinics:
As well as undertake a range of outpatient activities and associated
administration relating to these activities.
Dictating and editing letters, reviewing results.
3.30
30minutes
Completing patient requests for diagnostic tests and completing patients case
records and all related documentation.
Reviewing of blood results and diagnostics test in order to support decision
making and advice to other regarding ongoing care and treatment for patients
Total Direct Clinical Care Activities
4 hours
Type of activity
Description of activity including when and where activity is conducted.
Average number of hours spent on
each activity per week including travel
where appropriate
Supporting Professional Activities (SPA)
(activities that underpin Direct Clinical Care)
Continuing professional development
Post holder will be supported to attend the Diabetes specific days
Training
Post holder is required to attend
0
Formal teaching
Post holder is permitted to attend
0
Appraisal
Post holder will be required to participate in annual appraisal and revalidation
Job planning
Annual review and agreement of Job Plan with Lead Clinician
Research
None
0
Any other supporting professional activities
(including external duties)
Personal CPD
0
Less than 1 hour
Annually – 1 hour
Type of activity
Description of activity including when and where activity is conducted.
Average number of hours spent on
each activity per week including
travel where appropriate
Additional NHS Responsibilities (AR)
(special responsibilities within the employing organisation not undertaken by the generality of doctors, which are agreed between the doctor and the employer which cannot
be absorbed in the time set aside for Supporting Professional Activities)
Clinical manager
Not applicable
0
Clinical audit lead
Not applicable
0
Clinical governance lead
Not applicable
0
Clinical tutor
Not applicable
0
Educational supervisor
Not applicable
0
Other additional responsibilities
Total Additional Responsibilities
0
0
Type of activity
Description of activity including when and where activity is conducted.
Average number of hours spent on
each activity per week including
travel where appropriate
External Duties (ED)
(duties that are not included in the definitions of “Direct Clinical Care”, “Supporting Professional Activities” and “Additional NHS Responsibilities” and not included within
the definition of Fee Paying Services or Private Professional Services, but are undertaken as part of the prospectively agreed job plan by agreement between the doctor and
the employing organisation without causing undue loss of clinical time)
Trade union and professional association duties
None
0
Undertaking assessments for NHS Education
for Scotland, NHS Quality Improvement
Scotland or equivalent bodies
None
0
Reasonable amounts of work for the Royal
Colleges or Government Departments in the
interests of the wider NHS
None
0
Work for the General Medical Council or other
national bodies concerned with professional
regulation
None
0
NHS disciplinary procedures and NHS appeals
procedures
None
0
Other external duties
None
0
None
0
Total External Duties
Facilities and Resources
Details of the facilities and resources necessary
to support delivery of the doctor’s/dentist’s
duties and objectives for all programmed
activities
Staffing support (administrative, clerical or
secretarial)
Secretarial, administrative and secretarial staff provided by administrative staff at RAH
Office accommodation
The post requires the post holder to have office space to undertake administrative duties.
Equipment
The post requires access to consulting rooms within the Outpatient Department
Access to a computer with internet access and printer and clinical IT systems e.g. TrakCare, PACS, Clinical Portal
IT resources
Any other identified resources necessary.
As part of your appraisal objectives will be discussed and agreed. Objectives may cover personal development needs, training goals, organisational issues,
CME and CPD e.g. acquisition / consolidation of new skills and techniques.
Objective
1.
2.
3.
4.
5.
How objective will be met and
resources required
Timescale
Supports service objectives
This job plan has been agreed by:
Name of doctor (please print):
Name of Health Board signatory (print name and job
title):
Signed by doctor:
Date:
Signed on behalf of employer:
Date:
6. TRAINING AND CAREER DEVELOPMENT
All members of the department are encouraged to develop areas of special interest
and contribute to the teaching carried out within the department. Support will be
provided to attend relevant training courses and meetings. Royal Alexandra Hospital
provides clinical teaching to medical students from Glasgow University in addition to
students completing elective attachments or special study modules.
7. OTHER FACILITIES AT ROYAL ALEXANDRA HOSPITAL
The post is non-resident.
There will be access to office facilities for dictation and paperwork purposes.
Conditions of service will be those agreed and amended from time to time by NHS
Greater Glasgow & Clyde.
For further information please contact:
Professor Martin McIntyre
Consultant Physician with special interest in Diabetes / Endocrinology/ Clinical
Director
Royal Alexandra Hospital
Telephone: 0141 314 6826
Email: Martin.McIntyre@ggc.scot.nhs.uk
Dr Chris Smith
Consultant Physician with special interest in Diabetes / Endocrinology
Royal Alexandra Hospital
Telephone: 0141 314 6882
Email: christophersmith4@nhs.net
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
Specialty Doctor
£ 37,176 - £ 69,325 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 4.00
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 it’s employees, both EEA and non EEA nationals, are legally
entitled to work in the United Kingdom. Before any person can commence
employment within NHS GGC they will need to provide documentation to
prove that they are eligible to work in the UK. Non EEA nationals will be
required to show evidence that either Entry Clearance or Leave to Remain in
the UK has been granted for the work which they are applying to do. Where
an individual is subject to immigration control under no circumstances will they
be allowed to commence until the right to work in the UK has been verified.
ALL applicants regardless of nationality must complete and return the
Confirmation of Eligibility to Work in the UK Statement with their completed
application form. You will be required provide appropriate documentation prior
to any appointment being made.
REHABILITATION OF
OFFENDERS ACT 1974
The rehabilitation of Offenders act 1974 allows people who have been
convicted of certain criminal offences to regard their convictions as “spent”
after the lapse of a period of years. However, due to the nature of work for
which you are applying this post is exempt from the provisions of Section 4 of
the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of
Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants
are required to disclose information about convictions which for other purposes
are “spent” under the provision of the act in the event of employment, failure to
disclose such convictions could result in dismissal or disciplinary action by
NHS Greater Glasgow and Clyde. Any information given will be completely
confidential.
DISABLED APPLICANTS
A disability or health problems does not preclude full consideration for the job
and applications from people with disabilities are welcome. All information will
be treated as confidential. NHS Greater Glasgow and Clyde guarantees to
interview all applicants with disabilities who meet the minimum criteria for the
post. You will note on our application form that we ask for relevant information
with regard to your disability. This is simply to ensure that we can assist you,
if you are called for interview, to have every opportunity to present your
application in full. We may call you to discuss your needs in more detail if you
are selected for interview.
GENERAL
NHS Greater Glasgow and Clyde operates flexible staffing arrangements
whereby all appointments are to a grade within a department. The duties of an
officer may be varied from an initial set of duties to any other set, which are
commensurate with the grade of the officer. The enhanced experience
resulting from this is considered to be in the best interest of both NHS Greater
Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES
The postholder will undertake their duties in strict accordance with NHS
Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE
The employment is subject to three months’ notice on either side, subject to
appeal against dismissal.
MEDICAL NEGLIGENCE
In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the
Health Board does not require you to subscribe to a Medical Defence
Organisation.
Health Board indemnity will cover only Health Board
responsibilities. It may, however, be in your interest to subscribe to a defence
organisation in order to ensure you are covered for any work, which does not
fall within the scope of the indemnity scheme.
FURTHER INFORMATION
For further information on NHS Greater Glasgow and Clyde, please visit our website
on www.show.scot.nhs.uk
View all our vacancies at: www.nhsggc.org.uk/medicaljobs
Register for Job Alerts at: www.medicaljobs.scot.nhs.uk
Applicants wishing further information about the post are invited to contact Professor
Martin McIntyre on 0141 314 6826 or Dr Chris Smith on 0141 314 6882
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 28th March 2014