NHS Lothian
Edinburgh Heart Centre
Post based at Royal Infirmary & St John’s Hospital
Consultant Cardiologist
1.
Purpose of the Post
This is the first of two Consultant Cardiologist appointments to NHS Lothian. There
are two purposes to these posts. The first is to support the delivery of General
Cardiology to the Acute Medical Receiving Service at St Johns Hospital, Livingston.
The second purpose to the post is to in collaboration with colleagues develop a
Cardiac Failure Service across NHS Lothian.
The achievement of the Emergency 4-hour Access Standard remains a priority for
NHS Lothian together with achievement of the 18 weeks Referral To Treatment
standard.
St John’s Hospital Livingston
Currently there is a Cardiologist at St John’s Hospital who in collaboration with his
colleagues across Lothian supports the Acute Medical Receiving Service. In addition
there are out patient clinics, nurse led clinics in Chest Pain, rehabilitation and a
Cardiac Failure nurse service. This post will support St John’s Hospital, Livingston
with the aim of deploying a Cardiologist at St John’s Hospital on Monday to Friday
each week. It is envisaged that this contribution will be organised as a 1 in 3 rota. In
addition to supporting Acute receiving there will be an out patient clinic (new and
review), supervision of DC cardio version, medical supervision and input the Cardiac
Technical Service especially with regard to supporting the technicians in the devices
and pacemaker clinic and also imaging. A key dimension to the work at St John’s
would be to engage with the Cardiac Technical Department and organise local
weekly teaching and training meetings to support Echocardiography as well as the
management of complex devices.
New Royal Infirmary Edinburgh
Currently there is a team of Cardiologists who deliver both local and tertiary Services
for Scotland. It is envisaged that these posts will develop a Cardiac Failure Service
for NHS Lothian. The role of this service would be to see and assess cases of
complex cardiac failure that may benefit from cardiac transplantation and we would
hope these posts would work closely with the Glasgow National Advanced Cardiac
Failure Service. The Cardiac Failure Service would assess patients who would benefit
from complex advanced cardiac imaging, device implantation as well as
percutaneous and surgical revascularisation. The Royal Infirmary has an innovative
Cardiac Surgery unit and it would be hoped that these posts would develop a close
Page 1 of 14
relationship and also support the cardiac surgical service and play a role in the
development of new surgical services for cardiac failure. The cardiac failure service
would also play a key role in developing and managing a cardiac failure nurse led
service for the assessment and long term care of Cardiac Failure patients in the
community with the aim of accurate diagnosis, management in the community
together with our primary care colleagues and prevention of admission and readmission.
The cardiac failure service will work across Lothian with Primary Care to diagnose,
manage and audit our performance. There will be a regular Cardiac Failure MDT as
well as time allocated to the management of community cardiac failure. Together
with our surgical colleagues it would be hoped that firm links would be established
with our South-East Scotland partner health boards to provide assessment for
complex cardiac failure and a close working link with the National Advanced Heart
Failure Service in Glasgow.
It would be hoped that these posts would also contribute to the out of hours and
Emergency and on call duties in NHS Lothian.
It is hoped that these posts will encourage service development and research and
we believe that they would provide an excellent infrastructure to develop a leading
national service. There would be available, to a successful candidate, allocated
programmed activities for research.
The two posts will therefore be in general Cardiology with special interests in
Cardiac Failure and devices and Cardiac Failure and advanced in Cardiac imaging.
2.
NHS Lothian
NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental
health and hospital services. Mr Tim Davison is the Chief Executive and Dr David
Farquharson is the Medical Director.
The NHS Board determines strategy, allocates resources and provides governance across the
health system. Services are delivered by Lothian University Hospitals Division, the Royal
Edinburgh Hospital and associated mental health services, 4 community health (and social
care) partnerships (CHPs) in the City of Edinburgh, West Lothian, East Lothian and
Midlothian, and a Public Health directorate.
NHS Lothian serves a population of 850,000 within Lothian and a population of 1.6 million
for the south-east region of Scotland.
2.1 Lothian University Hospital Services
The Lothian University Hospital Services provides a full range of secondary and tertiary
clinical services to the populations of Edinburgh, Midlothian, East Lothian and West
Lothian. The Services is one of the major research and teaching centres in the United
Kingdom.
Page 2 of 14
Hospitals included in the Services are:
The Royal Infirmary of Edinburgh
The Western General Hospital
The Royal Hospital for Sick Children, Edinburgh
St John’s Hospital
Royal Victoria Building
Liberton Hospital
The Princess Alexandra Eye Pavilion.
The Royal Infirmary of Edinburgh (RIE) is a major teaching hospital on a green field site in
the South East of the city of Edinburgh built in 2003. It comprises 25 wards, 869 beds, and
24 operating theatres, and is equipped with modern theatre and critical care equipment
and monitoring. Within the main building is a dedicated, multidisciplinary, 5 day theatre
surgery complex. The hospital provides for most specialities and is the centre for:
• General Surgery, with a focus on the upper GI tract
• Vascular Surgery
• Hepatobiliary and Transplant Medicine and Surgery
• Cardiac and Thoracic Surgery
• Elective and Trauma Orthopaedic Surgery
• Neonatology
• Obstetrics & Gynaecology
• Cardiology
• Renal Medicine
• Sleep Medicine
• Regional major Accident and Emergency centre.
There is an Acute Medical Unit (AMU) that takes unselected GP or direct emergency
referrals, and from A&E. AMU includes the Dept of Liaison Psychiatry and the Scottish
Poisons Bureau and Treatment Centre. There are full supporting Laboratory and Diagnostic
Radiology Services (including CT, MRI, ultrasound and nuclear medicine). There is a full
range of lecture theatres, a library and AV facilities. Final planning is underway to move the
Children’s Hospital and Neurology services on site.
Page 3 of 14
The Western General Hospital (WGH) has 600 beds and 5 operating theatres and is
equipped with modern theatre and critical care equipment and monitoring. The Anne
Ferguson building was completed in 2001 and houses the clinic area and ECG department.
The hospital provides for most specialties and is the centre for:
• Neurology, Neurosurgery and Neuropathology
• UK CJD unit
• Colorectal Surgery
• Urology and Scottish Lithotriptor Centre
• Breast Surgery and Screening
• Gastroenterology
• Rheumatology
• Infectious Diseases
• Haematology
• Medical Oncology
• Radiation Oncology (including 6 LINACs)
• Dermatology (In-patient)
There is an Acute Receiving Unit, which accepts GP referrals and ambulance medical cases
on a zoned basis within the city, and a nurse-led Minor Injuries Unit. There is no trauma
unit at this hospital. There are full supporting Laboratory and Diagnostic Radiology Services
(including CT, MR, ultrasound, and nuclear medicine). The ECG department is busy and
provides a full range of services including portable echo, TOE, stress echo, contrast echo,
ambulatory monitoring, tilt testing, exercise testing and a pacing clinic. There is a full range
of lecture theatres, a library and AV facilities.
St John’s Hospital opened in 1989 and is located in the centre of Livingston; a new town
about 30 minutes drive west from Edinburgh. The hospital provides for most common
specialties but does not have emergency general surgery or orthopaedic trauma. The
hospital has a paediatric ward and the following departments:

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
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General medicine with specialists in Cardiology, Diabetes & Endocrinology,
Gastroenterology, Respiratory Medicine and Care of the Elderly
Obstetrics & Gynaecology
Child Health including Paediatrics and Community Child Health
The regional Burns and Plastic Surgery unit for SE Scotland
Oral and Maxillofacial Surgery
ENT
Critical Care (ITU, HDU and CCU)
Accident and Emergency
General Surgery
Orthopaedics
Anaesthetics
Mental Health including ICCU and ICPU
Since 2005, General Surgery and Orthopaedics have been reconfigured in NHS Lothian with
SJH being developed as a major elective centre for the region. Lothian’s ENT service was
relocated to SJH to create an integrated Head and Neck unit with OMFS and Plastic Surgery.
Recent developments at SJH include a new Endoscopy suite, an Intensive Psychiatric Care
Unit, a digital mammography unit, an oncology (cancer care) day centre, a satellite renal
dialysis unit and a £2.75m re-provision of A&E. There are full supporting Laboratory and
Diagnostic Radiology Services (including CT, ultrasound and NM).
Page 4 of 14
The hospital has been accredited full teaching hospital status by the University of
Edinburgh. The ECG department supports echo, exercise testing, ambulatory monitoring
and a pacing clinic. There is a full range of lecture theatres, a library and AV facilities.
The Royal Hospital for Sick Children (RHSC) is moving to the Royal Infirmary site in 2017.
The hospital is situated in a residential area close to the centre of Edinburgh and is
approximately 3 miles from the site of the New Royal Infirmary and the co-located
University of Edinburgh Medical School and 3 miles from the Western General Hospital. The
RHSC is a 151-bedded Hospital, and is the main paediatric teaching hospital for the SouthEast of Scotland providing general and specialised services on a local, regional and national
basis. It acts as the local paediatric referral centre for the children of Edinburgh and
surrounding areas, and as a tertiary referral centre for intensive care patients;
gastroenterology, hepatology & nutrition; respiratory medicine; cardiology; nephrology;
neurology; oncology; haematology; neonatal surgery; plastic surgery; orthopaedic surgery;
urological surgery and aspects of general surgery.
Hospital accommodation encompasses five theatres, a critical care unit comprising a 6/8
bedded Paediatric Intensive Care Unit, 4/6 bedded High Dependency Unit and a 3-bedded
Neonatal Intensive Care Unit. There is an excellent library facility and a modern lecture
theatre with a full range of audio-visual equipment. All services are supported by
comprehensive radiology, neurophysiology, laboratory and therapy services. The local
radiology department provides on site MRI, CT, nuclear medicine and ultrasound. On site
laboratories provide biochemistry, haematology, pathology and neuropathology services
2.2 Community Healthcare Partnerships
The four established Lothian Community Health (and Social Care) Partnerships serve the
population of Edinburgh, Midlothian, East Lothian and West Lothian.
Hospitals in the CH(C)Ps include:
• Astley Ainslie Hospital in Edinburgh
• Rosslynlee Hospital in Midlothian
• Herdmanflat Hospital
• Roodlands Hospital in East Lothian.
The four CHPs are coterminous with Edinburgh, Midlothian, East Lothian and West Lothian
Councils bringing together those responsible for planning, managing and providing
community-based health services for the population of Edinburgh and the Lothians. There
are 7,500 members of staff. In addition, there are approximately 1,000 independent
contractors in General Medical and Dental Practice, as well as pharmacists and
opticians. A population of 850,000 people is served across health board area. The
range of services care of the elderly, medical rehabilitation, community mental
health, substance misuse and learning disability, district nursing and health visiting,
family planning, well woman, , comprehensive dental care and those provided by
Professions Allied to Medicine, such as physiotherapy, pharmacies and
optometrists. Specialist services provided include brain injury rehabilitation, bioengineering and prosthetics, drugs and alcohol misuse and harm reduction,
AIDS/HIV and Children and Family Psychiatric Services.
Page 5 of 14
2.3 Royal Edinburgh Hospital and Associated Services
The Royal Edinburgh and Associated Services provides a range of Mental Health services to
the population of Lothian and other Boards within Scotland.
The Royal Edinburgh Hospital is located on the south side of the City of Edinburgh. It
comprises some 20 wards, 420 beds, day hospitals and outpatient facilities. The hospital
provides the following range of specialities:• Acute Mental Health
• Rehabilitation
• Psychiatric Emergency Team 24/7
• Out-patients
• Assessment Phychiatry of Old Age
• Forensic Medium Security Unit
• In-patient facilities for under 18s
• Psychotherapy Service
• Psychology Services
• Services for Eating Disorders
• Day Hospitals – Psychiatry of Old Age
There are an additional 46 bed and 1 day hospital for Psychiatry of Old Age in the north of
the city at the Royal Victoria Hospital. The hospital is currently housed in a mix of
accommodation ranging from 19th century to present. There is a major project now in place
to take forward a reprovisioning programme in line with the strategic vision with the
“Delivery for Mental Health” Scottish Executive 2006.
2.4 Department of Public Health Medicine
The aim is to improve the health of the people of Lothian in collaboration with many other
partners. Using our range of knowledge, experience and networking capability, our
distinctive contributions are:
• The promotion of specific measures to monitor and improve health;
• The collation and interpretation of health related information.
The following objectives have been agreed as the basis for the Department’s work plans:
• To monitor the health status and health needs of people in Lothian;
• To promote improvements in the health of Lothian people directly, and by providing
information and advice to the public on health matters;
• To assist Lothian NHS Board to fulfil its statutory obligations;
• To contribute to strategic changes within the NHS in Lothian by providing information on
clinical effectiveness;
• To facilitate improvements in health and health care services directly, and through
managed clinical networks’ and wider alliances;
• To contribute on a 24-hour basis to the control and prevention of communicable
diseases and environmental hazards;
• To maintain commitments to teaching, training, professional development, audit and
research.
To enable efficient management of the Department: there are at present four groups in the
Directorate. These are; Healthy Communities, Healthcare; Health Protection and Health
Information.
Page 6 of 14
3.
University of Edinburgh
The University of Edinburgh was established in 1582 and is one of the largest in the United
Kingdom located on a number of prominent sites in Scotland’s capital city. It is Scotland’s
premier research University and within the top 5 Universities in Europe for its Biomedical
Sciences.
The University of Edinburgh’s College of Medicine and Veterinary Medicine (CMVM; Head,
Professor Sir John Savill) is an internationally-recognised force in basic-to-clinical
translational research. The College has a consistent 30-year strategy of inter-disciplinary
working and integration of basic and clinical sciences. In the most recent Research
Assessment Exercise (2008), the University of Edinburgh was top in the United Kingdom
within the UoA4 category of Hospital-based Clinical Subjects. In 2008/9, CMVM attracted
over £120 million in external peer-reviewed grant funding.
The University of Edinburgh has established several major interdisciplinary research centres:
• Centre for Cardiovascular Science (Director, Professor Brian Walker) incorporating the
BHF Centre of Research Excellence (Director, Professor John Mullins)
• MRC Centre for Inflammation Research (Director, Professor John Iredale)
• Centre for Reproductive Biology (Director, Professor Phillipa Saunders) and MRC Human
Reproductive Sciences Unit (Director, Professor Robert Millar) including the Tommy’s
Centre (Director, Professor Jane Norman).
• MRC Centre for Regenerative Medicine (Director, Professor Sir Ian Wilmut)
• Centre for Molecular Medicine (Director, Professor David Porteous)
• Centre for Cancer Research (Director, Professor David Harrison)
• Centre for Population Health Sciences (Director, Professor Harry Campbell)
• MRC Human Genetics Unit (Director, Professor Nick Hastie)
These centres are predominantly based at two sites: the Queen’s Medical Research Institute
at the Royal Infirmary, and the Institute of Genetics and Molecular Medicine at the Western
General Hospital. The co-location of basic science and clinical groups within state-of-the-art
infrastructure and technology provides an excellent and exciting opportunity to conduct
translational research at the highest level.
The University of Edinburgh was chosen by the British Heart Foundation to be one of only
four centres in the United Kingdom as a Centre of Research Excellence. Directed by
Professor John Mullins, the BHF Core is based in the Centre for Cardiovascular Science at
Queen’s Medical Research Institute. The Centre for Cardiovascular Science
(http://www.cvs.med.ed.ac.uk/default.asp) incorporates approximately 200 dedicated
researchers with a particular focus on vascular injury and biology, cardiovascular
endocrinology, molecular physiology, and epidemiology.
This academic research activity is supported by clinical research infrastructure that includes:
•
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•
•
•
•
Wellcome Trust Clinical Research Facility (www.wtcrf.ed.ac.uk)
Clinical Research Imaging Centre (CRIC)
Edinburgh Clinical Trials Unit (UKCRN Registered) and Health Services Research Unit
Scottish Brain Imaging Research Centre
Experimental Cancer Medicine Centre
Academic and Clinical Central Office for Research and Development
Page 7 of 14
4.
NHS Library and Postgraduate Facilities
There are excellent facilities on all sites.
5.
Departmental Information
Clinical Director for Cardiology & Cardiac
Services
Business & Performance Manager
Service Manager
Site Director
Associate Medical Director
Dr Neal Uren
Ms Gillian Cunningham
Kim Dickson
Mrs Lyn McDonald
Dr Andrew D Flapan
Lothian Cardiology Services at the Edinburgh Heart Centre are recognised nationally,
providing a comprehensive cardiology service together with colleagues from Fife, Forth
Valley and Borders region to a population of approximately 1.6 million, which extends
across South-East Scotland and includes Lothian, Borders, Fife, Forth Valley, as well as
receiving referrals from Tayside, Grampian and Highland Regions.
Services are currently provided on 3 adult sites in NHS Lothian (1) Royal Infirmary of
Edinburgh, (2) Western General Hospital, and (3) St John’s Hospital in West Lothian.
Following a recent redesign, tertiary services are delivered at the Edinburgh Heart Centre at
RIE. These include PCI, structural heart disease intervention including TAVI,
electrophysiology, pacing and devices, Cardiac MR and CT and cardiac and thoracic surgery.
There are three cardiac catheterisation laboratories in the Royal Infirmary plus a pacing
theatre. There are dedicated beds to support the Elective Programmes in both the
Cardiology Ward and Medical Day Case Unit.
There is a CCU with 10 beds (Ward 114) and a dedicated cardiology ward (Ward 103) with
46 beds. The CCU and Cardiology Ward are directly adjacent to the Cardiothoracic Surgery
Intensive Care and HDU and the Cardiothoracic Ward (Ward 102). There are close working
relationships between Cardiac Surgery and Cardiology. The outpatient facilities are shared
with Respiratory Medicine and Cardiac Surgery. There is a well developed Cardiac Technical
Service that supports Out-patient one-stop clinics and the RACPC as well as In-patient work.
The job plan for this post has been determined in conjunction with the needs of the current
Cardiology Service and may be designed to meet service needs in relation to achievement of
the Waiting Times Guarantees for CHD. It is hoped that this will be achieved in conjunction
with cardiologists from partner regions including Fife, Forth Valley and the Borders, with
whom we will work as a Regional Group to deliver a comprehensive Regional service.
Capacity
Royal Infirmary:
Inpatient bed areas designated in Wards 114 (CCU) and 103: 10 CCU and 46 ward beds
Medical Day Case Unit: 10 beds per day
Cardiac Laboratories: 3 (30 Sessions funded)
Western General:
In-patient bed areas, designated in Ward 54. Intensive Care and dedicated HDU facilities on
site. Out-patient Clinics with full technical support.
Page 8 of 14
St John’s Hospital:
In-patient bed areas designated in Ward 24
6 beds are designated as Medical HDU
Current Services Provided
RIE
A&E
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Acute Receiving
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Hospital at Night
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Coronary Care Unit
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Medical HDU
SAS Telemetry Link
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Acute Cardiology Ward
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WGH
St John’s
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Mixed Medical/Cardiology ward
Cardiac Catheterisation Laboratory
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Cardiac Technical Services
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Echocardiography
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ECG
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ETT
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Trans-oesophageal Echo
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Tilt Testing
Out-patient Services
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Rapid Access Chest Pain Services
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Cardiac Rehabilitation
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Heart Failure
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Transoesophageal Echocardiography
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Brady-pacing and devices
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Electrophysiology Service
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Cardiac Surgery
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Vascular Surgery
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Current Cardiologists
Dr Miles Behan
Dr Patrick Gibson
Dr Nick Cruden
Dr Martin Denvir
Dr Andrew D Flapan
Dr Neil Grubb
Dr Peter Henriksen
Dr Chris Lang
Professor David Newby
Dr David Northridge
Senior Lecturer in Cardiology
BHF Professor of Cardiology
Dr Nick Mills
Senior Lecturer in Cardiology
Dr Neal Uren
Clinical Director, Cardiac Services
Page 9 of 14
General Cardiology and Intervention
General Cardiologist with Special interest in
Echocardiography
and Adult Congenital Heart Disease
General Cardiology with a special interest in Cardiac
Failure
General Cardiology and Intervention
General Cardiologist and Electrophysiology/Devices
General Cardiology and Intervention
General Cardiologist and Electrophysiology/Devices
General Cardiology and Intervention
General and Interventional Cardiologist with special
interest in Echocardiography and Structural Heart Disease
Intervention
General Cardiology and Intervention
General Cardiology and Intervention
SJH Consultant
Dr Ashok Jacob
General Physician and Cardiologist
6. Details of the Post
The post is a full time Consultant Cardiologist with responsibilities for both acute and elective
cardiology in the NHS Lothian University Hospitals Division. We are seeking a colleague with a
major interest in the management of cardiac failure (complex) who would also support the
implantation of devices and build links with the community services treating cardiac failure as
well as the national advanced cardiac failure service in Glasgow.
The post is based at the Royal Infirmary but the potholder will deliver a weekly clinic, support
general Cardiology and St John’s and the Western General in conjunction with colleagues. The
out-of-hours on-call currently is 1 in 6 weekends and covers all the acute hospitals administered
by NHS Lothian. The cardiology service is a Lothian-wide service and in constant evolution and
redesign and the job plan of the post-holder could be redesigned to reflect this.
7. Research and Development
Opportunities are available for the appointee to take part in both clinical and laboratory based
research within the Department of Clinical and Surgical Sciences in the University of Edinburgh.
The University is likely to offer honorary Senior Lecturer status to a suitable qualified appointee.
In conjunction with NHS Lothian, the University of Edinburgh has established the CRIC with
access to cardiac MRI (Siemens Verio, 3T MR scanner funded by BHF and MRC), CT coronary
angiography (Toshiba Aquilion One, 320-multidetector CT scanner) and myocardial perfusion
(MRI and CT/PET with on-site cyclotron). There are also enormous opportunities for clinical
research studies within the wards and outpatient areas.
SPA time can be negotiated for research to a successful applicant with a proven track record for
research.
8. Teaching
The post holder would be expected to play an active part in the teaching of undergraduate
students from the University of Edinburgh. This would include bedside teaching and lectures,
Supervision of special studies projects and marking of portfolio cases. Cardiology is taught as an
8-week module, which is part of a carousel that rotates through Musculoskeletal, GI and
Respiratory Medicine. Clinical bedside teaching in Cardiology regularly achieves the highest
scores from the students. SPA time to support teaching can be negotiated with the successful
applicant.
There is a significant commitment to postgraduate teaching and training and the Department
trains doctors from all over the UK, Europe and Asia.
9. Job Planning
Currently management group Scotland recommends that all new Consultants are 9 plus 1 (9
DCC PA’s and 1 SPA). Additional clinical EPA’s maybe contracted for according to the service
needs and job plans continually evolve to meet the demands and requirements of the service.
Additional PA’s may also be contracted for specific duties for example research and teaching.
Page 10 of 14
Name:
Specialty:
Principal Place of Work:
Contract:
Programmed activities:
EPAs:
Availability supplement:
Managerially accountable to:
Dr SJH_1
Cardiology
Royal Infirmary /St John’s Hospital
Full-Time
10
0
3%
Dr Neal Uren
a) Timetable of activities that have a specific location and time:
RIE Week (2-in-3)
DAY
Monday: RIE/
SJH
Tuesday: RIE
TIME
09:00-12:30
13:0017:00
09:00-13:00
13:00-17:00
TYPE OF WORK
Clinical administration/
Pacing cross cover
SJH Out-Patient Clinic
Devices List
DCC
SPA
0.75
1.0
EPA
Total
1.75
1.0
1.0
2.0
Wednesday: RIE
09:00-13:00
Core SPA
1.0
1.0
Thursday: RIE
09:00-12:00
09:00-12:00
Chronic Heart Failure
(CHF) Out-Patient Clinic
Virtual Cardiac Failure
Clinic
Ward referrals
Cardiac Failure MDT
Cross Cover
12:30-13:30
13:30-15:00
15:00-16:00
16:00-17:00
Cardiac MDT
Academic/M&M Meeting
Clinical administration
Consultant meeting
13:30-17:00
Friday: RIE
1.0
1.0
2.0
0.75
0.25
0.25
0.25
0.25
1.75
1.5
8.5
Sunday
7.0
Page 11 of 14
Name:
Specialty:
Principal Place of Work:
Contract:
Programmed activities:
EPAs:
Availability supplement:
Managerially accountable to:
Dr SJH_1
Cardiology
Royal Infirmary /St John’s Hospital
Full-Time
10
0
3%
Dr Neal Uren
b) Timetable of activities that have a specific location and time:
SJH Week (1-in-3)
DAY
Monday: SJH
Tuesday: SJH/RIE
Wednesday: SJH
Thursday: SJH/RIE
Friday: SJH/RIE
TIME
09:00-12:00
13:00-16:00
16:00-17:00
09:00-12:00
12:30-14:00
14:00-16:00
16:00-17:00
09:00-12:00
14:00-16:00
16:00-17:00
09:00-12:00
13:00-16:00
16:00-17:00
09:00-12:00
12:30-13:30
13:30-15:00
15:00-16:00
16:00-17:00
TYPE OF
WORK
DCC
SJH MAU/Ward work
SJH Out-Patient Clinic
SJH MAU/Ward work
SJH MAU/Ward work
Medical rounds
Device Clinic
SJH MAU/Ward work
SJH MAU/Ward work
SJH DC Cardioversion
Service
SJH MAU/Ward work
SJH MAU/Ward work
Core SPA
SJH MAU/Ward work
0.75
0.75
0.25
0.75
SJH MAU/Ward work
Cardiac MDT
Academic/M&M
Meeting
Clinical administration
Consultant meeting
0.75
SPA
EPA
Total
1.75
0.3125
0.5
0.25
0.75
0.5
1.81
1.5
0.25
0.75
0.75
1.75
0.25
0.25
0.25
0.25
0.25
1.75
1.5625
8.56
Saturday
Sunday
7.0
Page 12 of 14
Name:
Specialty:
Principal Place of Work:
Contract:
Programmed activities:
EPAs:
Availability supplement:
Managerially accountable to:
c)
Dr SJH_1
Cardiology
Royal Infirmary /St John’s Hospital
Full-Time
10
0
3%
Dr Neal Uren
Timetable of activities that have a specific location and time:
RIE On-Call Week (1-in-12)
DAY
Monday: RIE
TIME
TYPE OF
WORK
08:30-12:30 CCU/Ward work
13:00-17:00 CCU ward work
DCC
SPA
EPA
Total
1.0
1.0
2.0
Tuesday: RIE
08:30-12:30 CCU/Ward Work
12:30-13:00 Echo meeting
13:00-16:00 CCU Ward round/work
0.75
0.25
1.25
2.0
Wednesday: RIE
Thursday: RIE
Friday: RIE
Saturday
Sunday
08:30-12:30 CCU/Ward Work
12:30-13:00 Echo meeting
13:00-16:00 CCU Ward round/work
08:30-12:30 CCU/Ward Work
12:30-13:00 Echo meeting
13:00-16:00 CCU Ward round/work
1.0
0.75
0.25
0.25
08:30-12:30 CCU/Ward Work
0.75
1.25
0.75
13:30-15:00 Cardiac MDT
15:00-16:00 Academic/M&M
16:00-17:00 CCU ward round
0.25
0.25
0.25
09:00-12:00 Emergency Ward work
09:00-12:00 Emergency Ward work
Page 13 of 14
1.0
1.0
11.25
2.0
2.0
0.75
2.0
1.0
1.0
12.0
10. Person Specification
Requirements
Qualifications and Training
Essential
Desirable
GMC-registered medical practitioner.
Be on, or be eligible for inclusion on, the GMC Specialist
Register within 6 months of interview.
It is essential that the candidate has had sub specialist
training in complex cardiac devices both implantation and
long term assessment and management of patients who
have had a cardiac transplant or ventricular assist device
Relevant Experience
General and sub-specialty experience. Experience across
Experience in managing complex cardiac
the whole range of acute cardiology including in the
failure
management of acute coronary syndromes, dysrhythmia
Experience of working in an advanced
and cardiac failure
cardiac failure service
It is essential that the candidate should have relevant
Including the assessment and follow up of
experience to support the regional cardiac surgery unit.
patients who have had a cardiac transplant
or ventricular assist device
Ability
Ability to take full responsibility for the independent
management of patients
Research
Evidence of substantive research experience & peer-
Previous experience in research desirable
reviewed publications
Postgraduate thesis awarded.
A previous track record in writing successful
grants and completing projects
Teaching and Audit
Team Working
Evidence of formal and informal teaching and training of
Previous experience of designing teaching
junior doctors, medical students and other clinical staff
programmes.
with feedback.
Formal Teaching in Medical Education
Commitment to learning and continuous professional
Experience of designing and effecting audit
development
programmes
It is essential that the successful candidate can effectively
as a member of a team to deliver a comprehensive
cardiology service across Lothian and South-East Scotland.
Communication skills, experience of working in
multidisciplinary teams.
Circumstances of Job
On-call requirement
An understanding of the wider aspects of the NHS in
Scotland as well as the service goals and targets of NHS
Lothian.
These are the four-hour target for all medical emergencies
that come in and waiting times targets for treatment.
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