CONSULTANT PHYSICIAN
WITH AN INTEREST IN
RESPIRATORY MEDICINE
ROYAL ALEXANDRA HOSPITAL
AND VALE OF LEVEN HOSPITAL
INFORMATION PACK
REF: 24607D
CLOSING DATE: 9TH MARCH 2012
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: CONSULTANT PHYSICIAN WITH AN INTEREST IN RESPIRATORY MEDICINE
BASE: ROYAL ALEXANDRA HOSPITAL AND VALE OF LEVEN HOSPITAL
Applications are invited for the replacement post of Consultant Physician with an interest in
Respiratory Medicine. The post will be based at the Royal Alexandra Hospital, Paisley and Vale of
Leven Hospital, Alexandria.
The successful candidate will integrate into a team comprising four Consultants to develop
Respiratory Medicine 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 RAH and VOL 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 and acute medical
receiving at both Hospitals.
Applicants must have full GMC registration and a Licence to Practice. Those trained in the UK
should have evidence of higher specialist training leading to CCT or eligibility for specialist
registration (CESR) or be within 6 months of confirmed entry from date of Interview.
NHS Greater Glasgow & Clyde
Emergency Care and Medical Services – Clyde Sector
Consultant Physician with an interest in Respiratory Medicine
Royal Alexandra Hospital and Vale of Leven Hospital
This post of Consultant Physician with an interest in Respiratory Medicine will be based at the
Royal Alexandra Hospital (RAH), Paisley, five miles from the bustling West end of Glasgow. The
post is a replacement post for a retiring consultant. The successful candidate will integrate into a
team comprising four Consultants to develop respiratory medicine and support acute medicine
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 District General
Hospital (DGH) which opened in 1986 and is one of the largest and busiest non-teaching
hospitals in Scotland. In addition the hospital is currently the base for provision of services
such as medicine, surgery, orthopaedics, ophthalmology, paediatrics and the majority of
maternity services to the population north of the Clyde.
The RAH provides a wide range of DGH specialties with excellent support facilities. The
hospital has a first class modern radiology department and services. 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.
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 retains some unscheduled medical care led
by the Consultant Physician team from the Royal Alexandra Hospital and is 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 186 beds. This includes a 18
bedded Coronary Care / Chest Pain Unit, an 18 bedded Medical Assessment Unit (MAU)
and a 24 bedded Acute Medical Unit (AMU). The medical unit provides an acute service in
general medicine with clinics in acute medicine, diabetes and endocrinology,
gastroenterology, cardiology, asthma, respiratory medicine and haematology. There are 4
medical High Dependency Unit (HDU) beds within a 12 bedded HDU.
The Vale of Leven Hospital medical unit has a Medical Assessment Unit, a 12 bed acute
medical receiving unit (AMRU) with provision for monitored beds and a further 27 general
medical beds.
3.
4.
Workload of Adult Medicine
(Approximate to year ending March 2011)
RAH
Inpatients 14,758
Day Cases 563 (ex Scopes)
New outpatients 4,850
VOL
Inpatients 3,335
Day Cases 79 (ex Scopes)
New outpatients 2,467
Consultant Staffing
Between the RAH and VOL there are currently twenty two Consultant Physicians with
special interests as noted.
1. Dr Alistair Dorward
2. Dr Jane Gravil
3. Dr Douglas Grieve
4. This post
5. Dr Iain Findlay
6. Dr Stuart Hood
7. Vacant post
8. Dr Eileen Peat
9. Vacant post
10. Prof Martin McIntyre
11. Dr Neil McGowan
12. Dr James Boyle
13. Dr Claire Harrow
14. Dr James McPeake
15. Dr Graham Naismith
16. Dr Mathis Heydtemann
17. Dr Razwan Hamid
18. Dr G Ray
19. Dr Chris Foster
20. Advertised Post
21. Dr Gillian Roberts
22. Dr Martin Perry
5.
Respiratory Medicine
Respiratory Medicine
Respiratory Medicine
Respiratory medicine
Cardiology
Cardiology
Cardiology
Cardiology
Cardiology
Diabetes and Endocrinology
Diabetes and Endocrinology
Diabetes and Endocrinology
Diabetes and Endocrinology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Acute Care Physician
Acute Care Physician
Acute Care Physician
Rheumatology
Rheumatology
Junior Staff
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
Specialist Registrars
ST/FTSTAs
Foundation Year 2
Foundation Year 1
GPST1
9 (RAH)
5 (RAH)
6 (RAH)
17 (RAH)
6 (VOL)
There are Specialist Nurses in Diabetes, Respiratory Medicine, Cardiac Rehabilitation,
Cardiac Failure, Haemato-Oncology, venous thrombosis and Chest Pain management and
Inflammatory Bowel Disease across both Hospitals.
6.
Respiratory Services
6.1
There are 24 inpatient beds provided in ward 11 at RAH for Respiratory Medicine with 15
further beds in ward 14 which is adjacent.
6.2
Staffing for Respiratory services in the RAH & VoL is four Consultant Physicians.
6.3
There are outpatient clinics in general respiratory medicine, sleep problems and difficult
asthma.
6.4
There is a state of the art pulmonary physiology equipment at both RAH and VOL including
body plethysmography at both sites and exercise physiology at VOL. These laboratories
are staffed by 1.6 wte pulmonary function technicians. A sleep service is also provided on
both sites
6.5
There are 2 full time respiratory nurse specialists providing a service for in patients and out
patients enhanced by nurse specialists from Glasgow. There is a lung cancer nurse
specialist
6.6
Day case and in patient bronchoscopy is carried out at both RAH and VOL. There is a
weekly thoracoscopy list depending on clinical demand. Bronchoscopy using EBUS will
start in 2012.
6.7
There is a weekly Clyde lung cancer MDT videoconference including representation from
all three Clyde sites, oncology, radiology, pathology, palliative care and surgery.
6.8
All cardiothoracic surgery is referred to the regional WOS cardiothoracic centre at the
Golden Jubilee Hospital.
6.9
There is a respiratory physiotherapist providing in-patient and out-patient physiotherapy
services.
6.10
The department has access to community based pulmonary rehabilitation for all
appropriate COPD patients
6.11
There are plans to introduce early supportive discharge in early 2012.
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
Acute medical admissions are admitted to the acute medical unit (AMU) at the RAH, which
is staffed by one of the consultants on a rotating ‘Physician of the Week’ basis Monday
morning to Friday evening. Patients are often first assessed in MAU. Patients are triaged to
the appropriate specialty wards if not for early discharge. The acute care physicians are
based in MAU and AMU and provide leadership for acute receiving as well as sharing
weekday daytime receiving duties.
Acute medical admissions at the VOL will be admitted to ward 3 (AMRU), which is staffed
by a consultant on a rotating ‘Physician of the Week’ 16 week basis Monday morning
through to Friday pm. The Physician of the week will lead inpatient ward rounds at the Vale
of Leven Hospital during this week.
Weekend cover for both hospitals will be provided by two Consultant Physicians with joint
morning ward rounds at the RAH and late morning/early afternoon ward rounds at the Vale.
There is an afternoon post receiving ward round at the RAH.
7.2
Coronary Care Unit
Patients with acute myocardial infarction, acute coronary syndromes, arrhythmias or
congestive cardiac failure at the RAH are admitted to the 18 bedded coronary care unit,
staffed during the day by one of the consultant cardiologists on a rotational basis,
supported by junior medical staff from the cardiology ward.
7.3
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.
7.4
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 modernizing Medical Careers and implementing plans to support
the delivery of high quality sustainable services.
Out-of-hours junior medical support at VOL will be provided by GPST1 and GPs supported
by the HAN Practitioner service.
8.
Medicine for the Elderly
Medicine for the Elderly is part of the Rehabilitation and Assessment Directorate, but some
of its activities and adult medicine are shared. 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 will support post-admission care of appropriate patients
with 41 rehabilitation beds which will also provide near to home rehabilitation for patients
admitted initially to the RAH.
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 Clinical Services Manager for Medicine
at RAH and VOL is Mrs Helen Colvin and the General Manager for ECMS in Clyde is Ms
Melanie McColgan both based at the RAH.
10.
Summary of the Post
The appointee will provide consultant leadership in respiratory medicine.
10.1
Duties of the Post
Acute Medicine 1 in 8 Physician at both the RAH and VOL
Inpatient General Medicine, Respiratory beds based at RAH
Outpatient Based at RAH and VOL
Bronchoscopy Based at RAH and/ or VOL
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 more 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.
Duty
Outpatient Clinics (x3)
Bronchoscopy List (x0.5)
Ward Rounds (x 2)
Ward Reviews
MDT
Patient admin
Out-of-hours
PAs
3.0
0.5
2.0
1.0
0.5
1.0
1.0
9.0
Total DCC
SPA
1.0
TOTAL
10
Cover for study leave, holidays will be provided from within existing consultants.
10.3
Notional Timetable
As noted below:
Monday
AM
Ward Round
Tuesday
SPA
Wednesday
Thursday
Friday
Admin
Ward Round
Results Clinic
Lunch
Consultant Meeting
PM
Off
Lung Cancer MDT
Educational Meeting
Bronchoscopy List
(1:2) / Ward Reviews
(1:2)
Respiratory Clinic
Respiratory Clinic
Ward Reviews (1:2)
A split of 9:1 between direct clinical care PAs and supporting professional activities is now the
advertised standard for all new consultant job plans in Scotland. The one SPA minimum will
reflect activity such as appraisal, personal audit and professional development occurring outside
study leave time. Once the candidate has been appointed more SPA time may be agreed for
activities such as undergraduate and postgraduate medical training which takes place outside
direct clinical care, as well as research and/or management. These activities must be specifically
and clearly identified and be agreed with the candidate and desired by the department.
10.4
On call duties
The appointee will be expected to take a share with the existing Consultant Physicians of
the general medical workload in terms of out of hours cover. The appointee would be
expected to be on call every 10th weekend and be on call from home for advice for RAH
and VOL every 20th night.
10.5
Support staff
There is secretarial support for the consultant.
10.6
Specialty Interests
The unit will try and support the candidate in development of any specialty interest or
technique in which they wish to participate.
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 becoming established.
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
practise 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.
PERSON SPECIFICATION
ESSENTIAL
QUALIFICATIONS




CLINICAL
EXPERIENCE



MANAGEMENT
AND
ADMINISTRATIVE
EXPERIENCE




TEACHING
EXPERIENCE
OTHER
ATTRIBUTES
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


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Full GMC and a Licence to
Practice
Those trained in the UK
should have evidence of
higher
specialist
training
leading to CCT or eligibility for
specialist registration (CESR)
or be within 6 months of
confirmed entry from date of
Interview
MRCP or equivalent.
Clinical training and

experience equivalent to that
required for gaining UK CCT in
General Internal Medicine and
Respiratory Medicine.
Ability to offer expert clinical
opinion on a range of clinical
problems in Respiratory
Medicine.
Ability to take full and
independent responsibility for
clinical care of patients.
Ability to advise on the

efficient and smooth running of
the Respiratory Service.
Ability to organise and
manage ward patients,
bronchoscopy 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.
DESIRABLE
Sub-specialty interest.
Attendance at
management course
for clinicians.
Experience of MMC
assessment tools.
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital and
Medical & Dental Whitley Council.
TYPE OF CONTRACT
Permanent
GRADE AND SALARY
Consultant
£ 74,504 - £ 100,446 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum
point of the salary scale, (dependent on qualifications and experience).
Salary is paid monthly by Bank Credit Transfer.
HOURS OF DUTY
Full Time 40.00
SUPERANNUATION
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
are Tiered based on your earnings and the employers contribution
equates to 13.5 % 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. 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.
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
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 which currently costs £59.00. The
cost of the PVG Membership will be initially paid by NHS Greater
Glasgow and Clyde and will required to be repaid through a payroll
deduction mandate from the successful candidate’s first salary.
CONFIRMATION OF
ELIGIBILITY TO WORK
IN THE UK
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 not 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
Subscribe to our Medical Jobs Vacancy Bulletin Click Here
Register for Text Alerts for medical vacancies – email your mobile number and the grade and
specialty you are interested in to gg-uhb.medicaljobs@nhs.net
For further information and arrangements to visit the department please
contact
Dr. Alistair J. Dorward, Consultant Respiratory Physician
Telephone: 0141 314 6823
Dr Jane Gravil, Consultant Respiratory Physiciain
Telephone: 0141 314 6859
Prof. Martin McIntyre, Clinical Director, ECMS Cyde, Vale of Leven Hospital
Telephone: 01389 817241
Dr. Stuart Hood,Lead Clinician, Medical Unit, Royal Alexandra Hospital
telephone 0141 314 7214.
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
5th Floor, Tara House
46 Bath Street
Glasgow
G2 1HJ
CLOSING DATE
The closing Date will be 9th March 2012