clinical fellow in renal transplant surgery
western infirmary
Information pack
reF: 27523d
Closing Date:noon28th december 2012
SUMMARY INFORMATION
Post: clinical fellow in renal transplant surgery
Base: western infirmary
This post is available from present for a period 2012. The Directorate provides Renal Services for Greater Glasgow & Clyde and Forth Valley Health Boards and Renal Transplant Services for the West of Scotland. Inpatient services have recently relocated to new facilities within the Western Infirmary. The post will offer excellent training and experience in renal transplant surgery and nephrology. Previous surgical experience and FRCS is preferable but not essential.
To practice medicine in the UK you need to hold both GMC registration and a licence to practice.
This post does not have educational approval from the Postgraduate Dean and is not recognised for training.
CLINICAL FELLOW
in
RENAL TRANSPLANT SURGERY
(including the surgery of renal failure)
NHS Greater Glasgow and Clyde
Base: Western Infirmary, Glasgow
Post:Clinical Fellow
Renal Transplantation and Surgery of Renal Failure
Based Initially:Western Infirmary
Reports To:Clinical – Mr Marc Clancy, Lead Surgeon for Renal Transplantation
1.Brief Description of the Health Board
NHS Greater Glasgow and Clyde is the largest group of adult acute hospitals in Scotland – offering many opportunities to ensure job satisfaction and career development. It provides a wide range of services from community-based care through to supra-regional services including cardiac and renal transplantation.
It enjoys close links with Glasgow’s three Universities and makes a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation.
Renal services are included within the Regional Services Directorate which manages the following services
-Institute of Neurosciences
-Spinal Injuries Unit
-West of Scotland Beatson Cancer Centre
-Plastic Surgery and Burns Unit
-Renal Services
-HomeopathyHospital
2.Hospitals and Clinics where Services are to be provided
The Renal Transplant Unit at the Western Infirmary is the sole provider of Renal Transplantation for the adult population of the West of Scotland (population approximately 2.7 million). This Service performs more than 90 renal transplants a year, has one of the largest Living Donor programmes in the UK and supports the Scottish Paediatric Transplant Programme which is based at The Royal Hospital for Sick Children. The Department also provides vascular access surgery for the 300 patients on haemodialysis, access surgery for peritoneal dialysis as well as general surgery for patients with renal failure.
The Renal Transplant Unit is now located in a newly refurbished 16 bedded ward, co-located with the vascular surgery unit, on level 9 of the Phase One Building of the Western Infirmary - a modern and well-equipped tower block that also houses a suite of Operating theatres and an 8 bedded Intensive Therapy Unit. All inpatient nephrology services for Glasgow, Clyde and ForthValley now occupy the whole of level 7 in the Western Infirmary. Outpatient haemodialysis activity for the Western Infirmary and the peritoneal dialysis unit are on the second floor of G block – adjacent to a new suite of consultant offices
Most outpatient haemodialysis occurs outside the inpatient facility with units situated at NewVictoriaHospital, Glasgow Royal Infirmary, NewStobhillHospital, InverclydeHospital, Vale of Leven Hospital and LarbertHospital. carried out at satellite haemodialysis units at NewStobhillHospital, NewVictoriaHospital, FalkirkDistrictHospital, InverclydeHospital, and Vale of Leven Hospital.
Paediatric renal transplants are performed at the RoyalHospital for Sick Children working in association with the paediatric surgeons based there.
All renal outpatient clinics are conducted in the new Victoria and StobhillHospitals which have excellent modern facilities including day case surgery suites which are used for renal (access) surgery in all appropriate patients. A fully supported integrated renal access service between the renal transplant surgeons and the vascular surgeons is being developed.
There is a close working relationship between the transplantation programme and the University Department of Surgery where excellent laboratory facilities exit for research related to all aspects of organ transplantation. There is also close collaboration between the vascular surgery service and StrathclydeUniversity.
3.The Work of the Directorate/Department/Specialty
There has been an expansion in renal transplant activity over the last decade and a total of over 2000 transplants have been carried out at the Western Infirmary. More than 90 cadaveric, living related and unrelated donor operations are performed annually with approximately 25-30% being from live donors. The current waiting list for renal transplantation in the West of Scotland is over 300. There are approximately 60 CAPD patients and 600 haemodialysis patients being treated within Greater Glasgow and Clyde and ForthValley on an outpatient basis. In addition to the local catchment population, the renal unit at the Western Infirmary also provides more complicated dialysis access surgery for other renal units and functions as a specialist referral centre. The unit is therefore one of the largest in the country.
There are 5 Consultant Transplant Surgeons and the renal surgical junior staff posts consist of one Specialist Registrar, a Clinical Research Fellow, and three surgical trainees STs/FTSTAs – (2 x vacant posts). Joint physician/surgeon ward rounds are conducted daily. There are also regular Renal Unit research, audit, mortality/morbidity, pathology and radiology meetings. There is an emergency theatre 24 hours a day which is available for emergency and unscheduled work including transplants.
As well as being one of the largest transplant programmes in the country with opportunities for clinical research, excellent facilities exist within the University Department of Surgery. There are established links for experimental research in the fields of transplantation immunology and cellular biology at StrathclydeUniversity. We have several projects and post-graduates involved in understanding the vascular changes associated with renal failure with both cellular and small animal studies.
4.Current Consultant Establishment
Mr Marc ClancyLead Consultant & Transplant Surgeon
Mr Enric MurioConsultant Transplant Surgeon
Mr David KingsmoreConsultant Transplant and Vascular Surgeon
Mr Vlad ShumyekoConsultant Transplant Surgeon
Mr John AsherConsultant Transplant Surgeon
5.Duties of the Post
Clinical Commitments:
The appointee will participate with his/her middle grade colleagues in the pre-operative assessment and preparation, surgical management and post operative care of patients with renal failure. This includes attendance at outpatient clinics, ward rounds, a day surgery list as well as elective and emergency operating sessions. This clinical activity will account for an average of 2 sessions a week. There is a 1 in 6 on call commitment. The unit does not have Foundation Year doctors and all the routine ward care of the patients is undertaken by Case Managers / Nurse Practitioners who refer to the middle grade doctors for diagnostic and treatment decisions.
Teaching:
During term time there is a regular commitment to the undergraduate medical course particularly in ward teaching.There is a commitment to the postgraduate education of the trainees within the renal department.
Clinical Research:
There is an active clinical research activity associated with this large and busy transplantation programme and the appointee will be expected to contribute to this.
Laboratory Research:
Laboratory research is ongoing with several trials at the University of Strathclyde looking at the cellular responses of the vascular tree. This program of activity has been established over the past few years and successfully attracted competitive funding. There is the opportunity to gain laboratory experience in addition to clinically supporting this work.
Timetable:
The appointee will work with the trainees to provide middle grade cover for the transplant and renal surgery service. This will involve consultant run operating sessions, both inpatient and day surgery, transplant follow up clinics and assessment and renal surgery clinics. The appointee will be involved in the management of the inpatient care of the renal patients.
The on call will be a 1 in 6 rota (with prospective cover). Whilst on call for renal surgery the appointee will provide middle grade cover for emergency vascular and peritoneal dialysis at the Western Infirmary, advice and if necessary attendance at the NVSHs as well as for kidney implantation and associated problems in the renal patients.
The middle grade posts within the department are currently graded as Band 3 and under review plus is reassessed on a regular basis and may be subject to change.
The appointee will also perform ward rounds and contribute to radiology, pathology, mortality, research and other departmental meetings within the combined nephrology and renal surgery multi-disciplinary structure.
The post is for 12 months in the first instance.
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 / Fixed TermGRADE AND SALARY / Clinical Fellow
£29,705 £ 39,300 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 Time40.00
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
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Applicants wishing further information about the post are invited to contact Marc Clancy on 0141 211 1750 on 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 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 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 Noon 28th December 2012