Consultant Cardiologist

consultant cardiologist

glasgow royal infirmary

INFORMATION PACK

REF: 37132D

cLOSING DATE: nOON 22nd may 2015

As you may be aware, the new SouthGlasgowUniversityHospital and new RoyalHospital for Sick Children are due to open on the current Southern site early in 2015.

With this in mind, please note that positions based within the Victoria Infirmary, Mansionhouse Unit, the Western Infirmary and the current RoyalHospital for Sick Children at Yorkhill will change location and move to the new hospitals.

Gartnavel GeneralHospital and Glasgow Royal Infirmary will also have some services affected by moves to the new Hospitals.

These changes mean your base may change after joining us and you will be informed as soon as possible prior to any change of base.

SUMMARY INFORMATION RELATING TO THIS POSITION

Post: CONSULTANT cardiologist

Base:glasgow royal infirmary

Applications are invited for the post of Consultant Cardiologist. This is a new post and will support further developments in Cardiology provision within the North East of Glasgow. The post will be based at Glasgow Royal Infirmary and may involve outpatient sessions at the new StobhillHospital. The successful candidate will integrate with existing consultant colleagues and provide clinical excellence in Cardiology.

This post will offer a real opportunity for the successful candidate to be involved in the provision of a successful modern consultant led service.

All major specialties are represented within Glasgow Royal Infirmary. Currently there are 55 Consultant Physicians with special interests in Acute Medicine, Cardiology, Diabetes & Endocrinology, Gastroenterology, Respiratory Medicine, Rheumatology and Elderly Care.

The post offers 9 direct clinical sessions in Cardiology and will accommodate a special interest session. This post will require participation on the Cardiology on call rota.

Applicants should have full GMC registration, a licence to practice, MRCP or equivalent and eligibility for inclusion on the Specialist Register. 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. Non-UK applicants must demonstrate equivalent training.

NHS GREATER GLASGOWANDCLYDE

GLASGOW ROYAL INFIRMARY

CONSULTANT CARDIOLOGIST

BACKGROUND INFORMATION

Health Board

NHS Greater Glasgow and Clyde is the largest health board in Scotland and serves a population of 1.1 million people. There are 8 hospitals north of the River Clyde, all with teaching responsibilities: Glasgow Royal Infirmary (including Princess Royal Maternity Hospital), NewStobhillHospital, Western Infirmary, Gartnavel GeneralHospital, GlasgowDentalHospital and School, DrumchapelHospital, BlawarthillHospital and LightburnHospital. Three hospitals are situated in the south side of the city: Southern General Hospital, Victoria Infirmary and DykebarHospital. The acute Hospitals sites in Clyde are the RoyalAlexandraHospital, InverclydeHospital and the Vale of Leven Hospital.The Golden Jubilee National Hospital (GJNH) in Clydebank is the setting for the West of Scotland Heart and Lung Centre. The centre brings together, on a single site, cardiothoracic surgical services for the West of Scotland and is the dedicated unit for all interventional cardiology including primary PCI for NHS Greater Glasgow and Clyde and most surrounding Health Boards.

Acute Services Division

The Acute Services Division is the largest group of adult acute hospitals in Scotland. 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. Excellent education facilities are provided at Glasgow Royal Infirmary and the new ambulatory care hospital at StobhillHospital. The service in North Glasgow presently employs more than 14,300 staff serving a core catchment population of 560,000.

It is anticipated that with the reorganisation of acute medical services resulting in the closure of the Western Infirmary and the opening of the new SouthHospital (nSGH) there will be an increase in acute medical and cardiac admissions to Glasgow Royal Infirmary.

Glasgow Royal Infirmary (GRI) & new StobhillAmbulatoryCareHospital (nSACH)

Glasgow Royal Infirmary is one of the major teaching complexes of the University of Glasgow. It provides the Accident and Emergency service for the North and Eastern districts of Glasgow and has inpatient beds in general medicine and related specialities, medicine for the elderly, general surgery, orthopaedics, plastic surgery and obstetrics and gynaecology. There are also beds in intensive care, medical and surgical high dependency, and coronary care. Following the closure of StobhillHospital March 2011 all acute medical beds, with the exception of some long-stay care of the elderly beds, are on the GRI site. The new StobhillAmbulatoryCareHospital is a modern purpose built ACH providing a full range of out-patient and ambulatory care services including an ENP led Minor Injuries Unit (MIU). Radiology, Cardiology and Respiratory diagnostic services are provided both at GRI and nSACH

GRI and nSACH are justifiably proud of the close inter departmental links and co-operation. Both are at the forefront of a progressive agenda in relation to clinical standards, managed clinical networks and patient focused service re-design. There are close clinical links with colleagues in the Community Health Care Partnership and other hospitals in NHS Greater Glasgow and Clyde, Glasgow, Strathclyde and GlasgowCaledonianUniversities. There is a dedicated hospital wide academic programme supported by a strong service educational commitment. GRI and nSACH are well provided with dedicated education centres and IT support. Both have excellent reputations in supporting and nurturing its clinical staff and also have an excellent reputation for under and post graduate training.

At GRI medical emergencies are admitted through an Acute Assessment Unit (AAU) or through Accident & Emergency (ED) to an Acute Medicine Unit (AMU). This comprises 4 geographically defined ward areas covered by specific specialty teams – general medical, respiratory, gastroenterology and medicine for the elderly. Where bed availability permits, patients with specific conditions will be triaged to the appropriate specialty team e.g. patients with upper GI bleedingor liver disease to the gastroenterology area. 4 consultant physicians take part in acute receiving each day in the AMU with morning and evening ward rounds.

Acute admissions to medicine range from 45 to 70 per day. Patients requiring a short stay will be discharged from AMU/acute cardiology beds. Those requiring longer stays are transferred ‘downstream’ to medical wards or general cardiology beds in ward 43B for cardiological problems. There are 216 downstream medical beds split into specialty units/wards. With primary responsibility to general (internal) medicine, namely, Respiratory Medicine, Rheumatology, Gastroenterology, Diabetes and Endocrinology and Head Injury. Consultants from the department of medicine for the elderly (DOME) contribute to receiving duties, but also have 183 in-patient beds in a number of wards within Glasgow Royal Infirmary with additional rehabilitation beds at LightburnHospital and StobhillHospital. There is a separate Stroke Ward.

The Cardiology Department

The Cardiology Unit has been a leader in developing and introducing new initiatives in the fields of electrophysiology, cardiac imaging, hypertension and heart failure. There is a focus on multidisciplinary team working in particular in the fields of coronary intervention, electrophysiology, cardiac imaging, heart failure and palliative care for advanced heart failure. Weekly departmental meetings include morbidity and mortality, complex case review, imaging and heart failure. Allied health professional services include rapid access chest pain, pacemaker and complex device management, palpitation, hypertension and heart failure.

As part of the acute services review in Glasgow, the units at GRI and StobhillHospital in the North East Glasgow sector have amalgamated and Cardiology outpatient services are provided across both sites and inpatient services concentrated at GRI.

Cardiology Wards

43A/B

CCU

Cardiology Outpatients

Cardiology out-patient clinics run daily and include general cardiology, chest pain, arrhythmia, hypertension, heart failure and palliative care for advanced heart failure.

Staff within the Cardiology Department

Consultants

Dr Alan P Rae

Dr Adrian Brady

Dr Derek Connelly

Dr Hany Eteiba

Dr Roy Gardner

Dr Karen Hogg

Dr Shona Jenkins

Dr Joanne Lindsay

Dr Gillian Marshall

Dr Mark Petrie

Professor Andrew Rankin

Dr Paul Rocchiccioli

Dr Stuart Watkins

Junior Medical Staff

• Specialist Registrars5
• CMT’s 2
• Foundation Year22
• Foundation Year 12
• GPST’s 3

Specialist Nurses

There are specialist nurses in chest pain assessment, acute medical admissions, cardiac rehabilitation and heart failure.

Duties of Post:

Specialist interest and out-patient clinics.

It is expected that this appointment will contribute a specialist Cardiology interest to complement and expand the interests and expertise of the existing Consultants, which include electrophysiology, cardiac intervention, cardiac imaging, hypertension, pacing and complex device therapy, heart failure and palliative care for patients with advanced heart failure. This post may also provide the opportunity for the appointee to develop further experience and skills in an area of special interest on agreement with colleagues/management

Outpatient clinics may be provided on both the GRI and Stobhill sites.

Cardiology Receiving (Glasgow Royal Infirmary) and In-patient work

Acute admissions to cardiology are admitted into CCU (14 beds) and ward 43A (16 beds), each consultant is consultant of the week 1:10. Ward 43B (24 beds) is the downstream cardiology ward and it would be expected that this new post would provide 2 consultant ward rounds each week to complement the other 8 consultant ward rounds. With an increase in patients to GRI with the opening of the nSGH it is likely that cardiology will expand its bed complement and this post would contribute to that in addition to the current team.

Cardiology On Call Rota

The non-interventional oncall rota 1:8 which from May 2015 will cover Glasgow Royal Infirmary only out of hours

Teaching

The Unit has a major commitment to training junior staff and teaching medical students. During term-time the Unit has fourth and final year students on the ward and there are frequently post-graduate students training for the MRCP examination.

The appointee will be encouraged to take part in the undergraduate teaching programme of the University of Glasgow and to undertake teaching of postgraduates, nursing and technical staff on an ad-hoc basis. This will require additional negotiation around SPA allowance within the proposed job plan.

Clinical Audit

The Cardiology Unit has been actively involved in audit programmes in several areas including

Consultant Responsibilities

• As agreed with the Clinical Director in ECMS to provide (with consultant colleagues) a service in Cardiology with responsibility for the prevention, diagnosis and management of illness and for the proper functioning of the service.

• To provide cover for consultant colleagues during annual and study leave or at such other times as agreed with the Clinical Director.

• To offer professional supervision, training and appraisal of junior medical, nursing and technical staff as appropriate and agreed within job planning so as to enhance role extension to improve the service provided to patients.

• To motivate staff within the service through leading by example and fostering good working relationships at all levels in line with the principles of the local Partnership Agreements.

• To participate fully in consultant appraisal and personal development planning activities.

• To ensure the efficient and effective use of Acute Services resources.

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 NHSGG&C. The one SPA minimum will reflect activity such as appraisal, personal audit and professional development occurring outside study leave time. These activities must be specifically and clearly identified and be agreed with the candidate and desired by the department. Any additional SPA activity and allowance within the job planmay be available subject to discussions between the successful candidate, Clinical Director and General Manager.

Proposed timetable

Fixed sessions - 9 direct clinical care, 1 SPA

ampm
Monday Sub-speciality
Tuesday Acute ward round Downstream ward round
Wednesday Admin Clinic
ThursdayWard round cover Clinic
FridayDownstream ward round SPA

Flexibility for sessions to include timing of, will be necessary to take into consideration the changing service needs and absence of colleagues, such commitments will be incorporated into the post holder’s job plan. The final job plan will be agreed at or shortly after interview by agreement with the Clinical Director, General Manager and successful candidate.

Management Arrangements

General (Internal) Medicine and Acute Medicine are part of the Emergency Care and Medical Specialties Directorate, NHS Greater Glasgow and Clyde. Ms Anne Harkness, is the Director of Emergency Care and Medical Specialties across NHS Greater Glasgow and Clyde, and is supported by Dr David Raeside the Associate Medical Director and Ms Lynne Scott, Interim Head of Nursing.

The Clinical Director for Cardiology is Dr David Murdoch and the General Manager is Ms Melanie McColgan. Ms Rosemary Brogan is the Clinical Services Manager for Cardiology. Nursing leadership is provided by a number of Lead Nurses within all specialty areas.

Living & Working in Glasgow

Today Glasgow is a compact, vibrant and modern city. In fact Glasgow’s scale comes as a surprise to many people. It has the largest suburban rail network outside London and is second only to the UK Capital as a retail centre. There are good schools, excellent leisure facilities, beautiful golf courses and elegant accommodation across all price ranges. The night life and restaurants are renowned and its opera, theatres, art galleries and museums offer plenty of cultural stimulation. From Glasgow, it is only a short journey to many picturesque sites including Loch Lomond (45 minutes), the Argyll peninsula – or over the sea to Arran, Skye, Iona and Mull.

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
£76,761 £ 103,490 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 / New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via:
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.
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 no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.
REHABILITATION OF OFFENDERS ACT 1974 / The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.
DISABLED APPLICANTS / A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.
GENERAL / NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES / The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE / The employment is subject to three months’ notice on either side, subject to appeal against dismissal.
MEDICAL NEGLIGENCE / In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.

FURTHER INFORMATION