NHS GREATER GLASGOW AND CLYDE
EMERGENCY CARE AND MEDICAL SERVICES CLYDE SECTOR
LOCUM CONSULTANT PHYSICIAN AND CARDIOLOGIST
ROYAL ALEXANDRA HOSPITAL, PAISLEY AND VALE OF LEVEN
HOSPITAL, ALEXANDRIA
REFERENCE: 23093D
Applications are invited for the post of Consultant Physician & Cardiologist for a
period of 6 months.
The successful candidate will integrate into a team comprising five Consultants
to develop Cardiology across both Hospitals. This will offer a real opportunity for
the successful candidate to be involved in the development of a successful
modern consultant led service across two Hospital sites.
Between the Royal Alexandra Hospital and the Vale of Leven there are currently
twenty two Consultant Physicians with special interests in Cardiology, Diabetes
and Endocrinology, Respiratory Medicine and Gastroenterology.
There will be equal participation in the Consultant emergency on-call rota at both
Hospitals.
For further information and arrangements to visit the department please
contact:
Prof M McIntyre, Clinical Director, ECMS Clyde, Vale of Leven Hospital,
Telephone: 01389 817241, Dr Stuart Hood, Lead Clinician, Medical Unit,
RAH, Telephone: 0141 314 7214, Prof S M Cobbe, Clinical Director,
Cardiology Services NHS GG&C, Telephone: 0141 211 4722.
Applicants must have full registration with the General Medical Council and a
licence to Practice. This post requires PVG Scheme Membership/Disclosure
Scotland Check
To obtain an application pack for this vacancy visit our website at
www.nhsggc.org.uk/medicaljobs. Alternatively email your address and the job
reference number to nhsggcrecruitment@nhs.net or call 0845 3000 831.
Closing Date: 1ST July 2011
NHS Greater Glasgow & Clyde
Emergency Care and Medical Services – Clyde Sector
Locum Consultant Physician & Cardiologist
Royal Alexandra and Vale of Leven Hospitals
REF: 23093D
This post of Consultant Cardiologist will be based at the Royal Alexandra
Hospital (RAH), Paisley, five miles from the bustling West end of Glasgow. The
post has been agreed as part of a planned expansion in Consultant numbers to
support unscheduled and planned medical services at the Vale of Leven Hospital
(VOL) as well as developments at the RAH. The successful candidate will
integrate into a team comprising five Consultants to develop Cardiology across
both Hospitals. This will offer a real opportunity for the successful candidate to
be involved in the development of a successful modern consultant led service
across two Hospital sites.
1.
General Information
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 and is one of the largest and busiest non-teaching DGHs in
Scotland. 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 the Clyde
division of Greater Glasgow and Clyde (GG&C) are centered on this site.
All departments participate in undergraduate teaching and there is an
active postgraduate educational programme. The hospital enjoys an
2
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 facilities.
The Vale of Leven Hospital (VOL) is situated in Alexandria, an area of
outstanding natural beauty and serving a population in excess of 88,000
largely from Dumbarton, Alexandria and Helensburgh. The Vale of Leven
Hospital has undergone a period of re-configuration following the
conclusion of NHS Greater Glasgow and Clyde’s consultation on the
vision for the Vale of Leven Hospital and acceptance of the
recommendations in February 2009. This vision has retained selected
unscheduled medical care at the Vale of Leven Hospital, led by the
Consultant Physician team based at the Royal Alexandra Hospital and
supported by GP and GP trainees. In addition there are inpatient medicine
for the elderly beds, short stay surgical beds together with day surgery
and a full range of diagnostic and support services.
2.
The Medical Unit
The Medical Unit at the Royal Alexandra Hospital has 178 beds. This
includes a 12 bedded Coronary Care / Chest Pain Unit and a 30 bedded
medical receiving ward. The medical unit provides an acute service in
general medicine with clinics in general medicine, diabetes and
endocrinology, gastroenterology, cardiology, asthma, respiratory medicine
and haematology. With the transfer of some of the most acute activity
from the Vale of Leven Hospital, there are plans to open another 30 bed
ward and develop a medical assessment unit adjacent to the acute
receiving ward.
The Vale of Leven Hospital medical unit includes a Medical Assessment
Unit, 12 bed receiving unit with provision for monitored beds and a further
27 general medical beds.
3.
Workload of Adult Medicine
2009)
(Approximate to year ending March
RAH
Inpatients 12,394
Day Cases 190
New outpatients 3,907
Inpatients 4,121
Day Cases 93
New outpatients 1,950
VOL
3
4.
Consultant Staffing
Between the RAH and VOL there are currently twenty two consultant
physicians with special interests as noted.
1.
Dr Iain Findlay
Cardiology
2.
Dr Stuart Hood
Cardiology
3.
Vacant post
Cardiology
4.
Dr Eileen Peat
Cardiology
5.
This Post
Cardiology
6.
Prof Martin McIntyre
Diabetes and Endocrinology
7.
Dr Claire Harrow
Diabetes and Endocrinology
8.
Dr James Boyle
Diabetes and Endocrinology
9.
Dr Neil McGowan
Diabetes and Endocrinology
10.
Dr James McPeake
Gastroenterology
11.
Dr Graham Naismith
Gastroenterology
12.
Dr Rizwana Hamid
Gastroenterology
13.
Dr Mathis Heydtmann
Gastroenterology
14.
Dr Alistair Dorward
Respiratory Medicine
15.
Dr Jane Gravil
Respiratory Medicine
16.
Dr Douglas Grieve
Respiratory Medicine
17.
Dr M Al-Shamma
Respiratory Medicine
18.
Dr G Ray
Acute Care Physician
19.
Dr Immo Weichart
Acute Care Physician (Locum)
20.
Dr Tindo Manavalan
Acute Care Physician (Locum)
21.
Dr Gillian Roberts
Rheumatology
22.
Dr Martin Perry
Rheumatology
5. Junior Staff
 Specialist Registrars
 ST/FTSTAs
 Foundation Year 2
 Foundation Year 1
 GPST1
4 (RAH)
5 (RAH)
6 (RAH)
22 (RAH)
6 (VOL)
There are Specialist Nurses in Diabetes, Respiratory Medicine, Cardiac
Rehabilitation, Cardiac Failure, Haemato-Oncology, D.V.T , Chest Pain
management and inflammatory bowel disease across both Hospitals.
6.
Cardiology Services
The Royal Alexandra Hospital provides a busy non invasive cardiology
service to the population of Renfrew and beyond. Cardiac intervention and
surgery is provided at the Golden Jubilee National Hospital in Clydebank.
6.1
Coronary Care & Chest Pain Assessment Unit
The purpose built unit opened in October 2007. Patients with acute
myocardial infarction, acute coronary syndromes, arrhythmias or
congestive cardiac failure are admitted to the 18 bedded coronary care &
chest pain assessment unit.
4
The unit is staffed during the day by one of the consultant cardiologists on
a rotational basis and supported by junior medical staff from the
cardiology ward. Over 2,500 patients are admitted per year.
6.2
Cardiology Ward
The cardiology ward, ward 8 has a total of 29 inpatient beds and is
situated adjacent to the Cardiac Physiology Department. Facilities on the
ward include the pacing room and treadmill.
6.3
Medical Staff
There are currently five Consultant posts at the Royal Alexandra Hospital.
They provide 1 in 5 weekly cover for CCU, rapid access chest pain clinics,
pacemaker implantation, 8 outpatient clinics per week and supervision of
the cardiology ward. Over 2,000 new and 4,500 return outpatients are
seen each year.
They are supported by two SHO (ST) and one middle grade doctor (SpR)
and one Foundation Year one Doctor dedicated to the running of CCU.
6.4
Cardiology Physiology Department
The Department at the RAH is staffed by a total of 13.5wte, including
support staff. There is a good skill mix with a number of staff highly skilled
in echocardiography.
Workload of the Department in 2008/09 was as follows:
Cardiology Procedure
Routine ECG Recordings
Ambulatory Monitors
Exercise Tests
Echocardiograms
Pacemaker Implantations
Pacemaker Checks
2008/09
32,167
1,467
1,917
3,733
108
764
The Department at the Vale of Leven Hospital is staffed by a total of
3.9wte.
Workload of the Department in 2008/09 was as follows:
Cardiology Procedure
Routine ECG Recordings
Ambulatory Monitors
Exercise Tests
Echocardiograms
6.5
2008/09
3,688
820
606
1,098
Cardiology Specialist Nurses
There are 2.4 wte acute chest pain nurses and 1.8 wte heart failure liaison
5
nurses based at the Royal Alexandra Hospital.
6.6
Cardiac Rehabilitation
We offer a gold standard cardiac rehabilitation service to all patients with
a step change in their cardiac condition. It is recognised as one of the best
services in the U.K. with a full compliment of multi-disciplinary staff.
6.7
Pacing Service
We implant approximately 130 brady pacemakers per annum. The service
is consultant led with support from NASPE trained technicians. Patients
are therefore followed up locally at the RAH. The consultants provide
training in pacemaker implantation to cardiology registrars.
7.
Acute Medical Services
The team of Consultant Physicians at the Royal Alexandra Hospital have
responsibility for acute medical services at both the Royal Alexandra
Hospital and the Vale of Leven Hospital.
7.1
Acute Receiving Ward
Acute medical admissions are admitted to the acute receiving ward
(currently ward 14) at the RAH, which is staffed by one of the consultants,
together with the Acute Physician on a rotating ‘Physician of the Week’
basis Monday morning to Friday lunchtime. Patients are then triaged to
the appropriate specialty wards if not for early discharge.
Acute medical admissions at the VOL are admitted to ward 3, which is
staffed by a third consultant on a rotating ‘Physician of the Week’ basis
Monday morning through to Friday pm. The Physician of the week will also
lead inpatient ward rounds at the Vale of Leven Hospital during this week.
Weekend cover is provided by two Consultant Physicians with joint
morning ward rounds at the RAH and afternoon ward rounds at both the
RAH and VOL.
7.2
Medical High Dependency Unit (HDU)
The RAH has three medical HDU beds at present within the combined 12
bedded HDU, with scope to increase to four or more medical HDU beds if
required.
7.3
Junior Doctors out-of-hours
A Hospital @ Night service started at the RAH in August 2006. This is part
of a wider work assessing the impact of Modernising Medical Careers and
implementing plans to support the delivery of high quality sustainable
services.
Junior medical support at VOL is provided by GPST1 and GPs supported
by the HAN Practitioner service.
6
7.4
Medicine for the Elderly Service
Medicine for the Elderly is part of the Rehabilitation and Assessment
Directorate, but many of its activities and adult medicine are combined. In
particular, out-of-hours cover is provided by juniors from Medicine for the
Elderly and adult medicine and both department share educational
meetings.
The Medicine for the Elderly consultants visit the acute receiving ward at
the RAH daily and arrange transfer to the Medicine for the Elderly Unit of
those appropriate patients. A Stroke unit (Ward 4) taking all age groups is
led by Dr L Erwin.
The service at the Vale of Leven supports post-admission care of
appropriate patients with 37 rehabilitation beds which will also provide
near to home rehabilitation for patients admitted initially to the RAH.
8.
GOLDEN JUBILEE NATIONAL HOSPITAL
Referrals for interventional procedure (excluding bradycardia pacing) are
made to the Golden Jubilee National Hospital (GJNH) in Clydebank, which
is the setting for the West of Scotland Heart and Lung Centre. The centre
is the dedicated unit for all interventional cardiology including primary PCI
and also provides the regional electrophysiology and complex device
implantation service for NHS Greater Glasgow and Clyde and most
surrounding Health Boards. In addition to these regional specialist
services, GJNH is also the site for the co-location of the Scottish
Advanced Heart Failure Service (SAHFS), the West of Scotland Regional
Heart Failure Service, the Scottish Adult Congenital Heart Disease
Service (SACCS) and the Scottish Pulmonary Vascular Unit (SPVU). With
this array of specialist cardiopulmonary services to be provided to a
catchment population of 2.2 million, the GJNH is among the largest heart
and lung centres in Europe.
9.
Management Arrangements
Emergency Care and Medical Services Directorate – Clyde Sector,
consists of Accident & Emergency and General Medicine. The consultant
appointed will be expected to participate fully in the work of the
Directorate.
The Clinical Director for Medicine across Clyde is Prof Martin McIntyre,
based at RAH. There are two Lead Clinicians for Medicine across Clyde;
Dr Stuart Hood at RAH/VoL and Dr Chris Jones at Inverclyde Royal
Hospital. The Lead Clinician for Cardiology at RAH is Dr Iain Findlay.
The Clinical Director for Cardiology services across NHS Greater Glasgow
& Clyde is Professor Stuart Cobbe.
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10.
Summary of the Post
The appointee will provide consultant leadership in Cardiology.
10.1
Duties of the Post
ROYAL ALEXANDRA HOSPITAL
The successful candidate will be expected to provide a full range of
consultant services as agreed with colleagues including in-patient
management of patients admitted to the Medical Wards and Coronary
Care Unit. There are usually two outpatient clinics per week. It is likely
that some of the clinic commitment will be at the Vale of Leven Hospital
on a rotational basis with other colleagues at the RAH.
The successful candidate will undertake consultant duties for CCU in the
RAH on a 1:5 basis. This includes twice daily ward rounds Monday-Friday
and a ward round on a Saturday morning. During the CCU week the
consultant cardiologists currently see up to 3 Rapid Access Chest Pain
patients daily. It is anticipated that the cardiologist of the week will be
available for telephone consultation and support for the physician at the
Vale. There is no separate on call commitment for Cardiology at present.
The appointee would be expected to be on call from home for advice for
RAH and VOL every 20th night. Weekend commitments to unscheduled
medical admission will consist of 1:20 as “first on” which would involve
twice daily ward rounds on Saturday and Sunday in the RAH and on call
for advice both nights. There would also be a 1:20 “second on” which
would consist of morning ward rounds in the acute medical admissions
unit at both the RAH and VoL. The second on person would not be on call
for advice that weekend. The total weekend commitment is therefore 1:10.
10.2
Suggested job plan
The job plan will be tailored to the successful candidate’s interests
and the following should be taken as guidance. A detailed job plan will
in due course be agreed with the Clinical Director or Lead Clinician and
thereafter this will be subject to periodic review and adjustment if
necessary. The appointee may be required to support clinical activity
elsewhere across Greater Glasgow and Clyde.
Duty
Outpatient Clinics
CCU
Ward Rounds
Admin
Subspecialty
PAs
3.0
2.0
1.0
1.0
1.0
8
Out-of-hours
Total DCC
SPA
1.0
9
1.0
TOTAL
10
Cover for study leave, holidays will be provided from within existing
consultants.
10.3
Support staff
There is secretarial support for the consultant.
11.
Postgraduate and Undergraduate Training
The unit has a postgraduate programme which includes a weekly unit
meeting, monthly journal club and SHO tutorial sessions. There are
weekly hospital postgraduate meetings during term time. Mr Andrew
Renwick is the postgraduate tutor.
The Medical Unit teaches a number of medical students from Glasgow
University. As part of the new curriculum teaching of years one to five is
being established.
12.
Further information
For further information and arrangements to visit the department,
Please contact
Prof. Martin McIntyre
Clinical Director, Medical Unit, VOL.
Consultant Physician / Endocrinologist RAH/VoL
Vale of Leven DGH
Alexandria
Tel 01389 817607
Email: martin.mcintyre@rah.scot.nhs.uk
Dr Stuart Hood
Lead Clinician, Medical Unit
Consultant Cardiologist
Royal Alexandra Hospital
Paisley
PA2 9PN
Tel 0141 314 7214
Email: stuarthood@nhs.net
9
Prof S M Cobbe
Clinical Director Cardiology Services NHS GG&C
Consutlant Cardiologist
4th Floor University Block
Queen Elizabeth Building
Royal Infirmary
Glasgow
Tel 0141 211 4722
Email; stuart.cobbe@clinmed.gla.ac.uk
10
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by
the hospital, Medical & Dental Whitley Council.
TYPE OF CONTRACT
GRADE & SALARY
HOURS OF DUTY
SUPERANNUATION
Fixed Term 6 months
£74,504.00 - £100,446.00 per annum
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.
Whole Time
You have the option to join the NHS
Superannuation Scheme, to participate in the State
Earnings
Related Pension Scheme or to take out a Personal
Pension.
Employee’s contributions to the NHS scheme
amount to 6% of salary (5% for manual staff) and
the employer’s contribution equates to 14% of
salary. Employees in the NHS scheme are
“contracted-out” of the State Earnings Related
Pension Scheme and pay a lower rate of National
Insurance contributions. Employees who choose
to participate in the State Earnings Related
Pension Scheme pay the higher rate of National
Insurance contribution. A Stakeholder Pension is
also available.
OCCUPATIONAL
HEALTH SCREENING
REMOVAL EXPENSES
EXPENSES OF
CANDIDATES FOR
APPOINTMENT
A Personal Pension is a private arrangement
agreed with the pension provider that will be an
organisation such as a Bank, Building Society or
Insurance Company.
Shortlisted applicants not currently employed by
NHS Greater Glasgow and Clyde will be required to
complete a medical questionnaire, following which
they may be required to attend the Occupational
Health Service for screening.
Assistance with removal and associated expenses
may be given and would be discussed and agreed
prior to appointment.
Candidates who are requested to attend an
interview will be given assistance with appropriate
travelling expenses.
Reimbursement shall not normally be made to
employees who withdraw their application or refuse
11
TOBACCO POLICY
ASYLUM AND
IMMIGRATION ACT
1996
REHABILITATION OF
OFFENDERS ACT
1974
DISABLED
APPLICANTS
an offer of appointment.
NHS Greater Glasgow and Clyde operate a No
Smoking Policy in all premises and grounds.
Under the Asylum and Immigration Act 1996, NHS
Greater Glasgow and Clyde is required to carry out
checks to ensure that all prospective employees
are entitled to live and work in the United Kingdom.
You will therefore be asked to provide appropriate
documentation prior to any appointment being
made.
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.
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.
GENERAL
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.
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
12
EQUAL
OPPORTUNITIES
to any other set, which are commensurate with the
grade of officer. The enhanced experience
resulting from this is considered to be in the best
interests of both NHS Greater Glasgow and Clyde
and the individual.
The postholder will undertake his/her duties in strict
accordance with NHS Greater Glasgow and
Clyde’s Equal Opportunities Policy.
13
NHS GREATER GLASGOW & CLYDE
Statement of Policy regarding fitness to practice proceedings by a
licensing/regulatory body and relating to criminal investigations in the UK or
overseas.
Registration with General Medical Council or General Dental Council imposes on
doctors and dentists the duty to provide a good standard of medicine care for,
and to behave appropriately, towards patients. NHS employers also have a duty
to ensure that patients receive a good standard of medical care and ensure as
far as possible the safety of patients. We therefore need to establish if you have
been found guilty of a criminal offence, been bound over or cautioned or are
currently the subject of proceedings which might lead to a conviction, an order
binding you over on a caution, in the UK or any other country.
Applicants for posts in the NHS are exempt for the Rehabilitation of Offenders
Act 1974. Application forms will include a declaration for applicants to complete
declaring any previous or pending prosecutions or convictions, including those
considered “spent” under this Act. Forms will also include a declaration of any
cautions or bind overs.
We also need to establish if you have been subject to any fitness to practise
proceedings in the past, or if any fitness to practise proceedings are being
contemplated, by a licensing or regulatory body in the UK or another country and
this is also reflected in the declaration.
This information will be treated in confidence and will not debar you from
appointment unless the selection panel considers that it renders you unsuitable
for appointment. In reaching such a decision we will consider the nature of the
conviction/action, how long ago it took place and any other factors which may be
relevant.
Failure to disclose a criminal offence, having been bound over or cautioned or
that you are currently the subject of criminal proceedings that might lead to a
conviction, an order binding you over or a caution, or fitness to practise
proceedings undertaken by an appropriate licensing or regulatory body may
disqualify you from appointment, or result in summary dismissal/disciplinary
action and referral to the General Medical Council for consideration if such a
discrepancy came to light.
If you would like to discuss what effect any previous convictions, police
investigations or fitness to practice proceedings taken or being taken either in the
UK or by an overseas licensing or regulatory body might have on your
application, please contact the Recruitment Team.
14
HOW TO APPLY
To apply for these posts please include 4 CVs and names and addresses of 3
Referees, along with the following documents;
Application Form (Parts A & B)
Equal Opportunities Addendum 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;
NHS Greater Glasgow and Clyde Recruitment Services
5th Floor, Tara House
46 Bath Street
Glasgow
G2 1HJ
CLOSING DATE
The closing date for applications will be 1st July 2011
15
PERSON SPECIFICATION
ESSENTIAL
QUALIFICATIONS 


CLINICAL
EXPERIENCE



MANAGEMENT
AND
ADMINISTRATIV
E EXPERIENCE




TEACHING
EXPERIENCE
OTHER
ATTRIBUTES






DESIRABLE
Full GMC and a Licence to
Practice.
MRCP or equivalent.
Clinical
training
and 
experience equivalent to
that required for gaining UK
CCT in Cardiology.
Ability to offer expert clinical
opinion on a range of
clinical
problem
in
Cardiology.
Ability to take full and
independent responsibility
for clinical care of patients.
Ability to advise on the 
efficient
and
smooth
running of the Cardiology
Service.
Ability to organise and
manage ward patients and
outpatient priorities.
Experience
of
audit
management.
Ability and willingness to
work within NHS GG&C and
NHS Scotland performance
framework
and
access
targets.
Experience of supervising

medical trainees.
Ability to teach clinical skills.
Ability to work in a team.
Good interpersonal skills.
Caring attitude to patients.
Ability to communicate
effectively with patients,
relatives, GPs, nursing staff
and other relevant parties.
Commitment
to
the
requirements of clinical
governance.
16
Sub-specialty
interest.
Attendance at
management course
for clinicians.
Experience of MMC
assessment tools.
17