consultant clinical microbiologist

Information pack

Glasgow Royal Infirmary, glasgow

REF: 49651D

CLOSING DATE: 29thDECEMBER 2017

SUMMARY INFORMATION RELATING TO THIS POSITION

Post: CONSULTANT in CLINICAL MICROBIOLOGY

Base: Glasgow Royal Infirmary, glasgow

This post will be based in the North Sector Microbiology Service, at the Glasgow Royal Infirmary. The post holder will join a team of 9other consultants working across theNorth and Clyde sector of NHS Greater Glasgow & Clyde providing a proactive clinical microbiology and infection control service.

The microbiology departments in NHSGGC provide an integrated diagnostic microbiology & virology service to the population of Glasgow and Clyde, including the Primary Care Division. This service includes a full range of diagnostic bacteriology, serology, and molecular diagnostics. In addition, the North Glasgow Laboratory hosts a range of National Microbiology Reference Services.

Applications must have full GMC registration, 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.

1.Glasgow – A Fantastic Place to Live and Work

Glasgow has a wealth of attractions including some of the UK's finest Victorian architecture, internationally acclaimed museums, galleries and cultural venues all thriving in a unique cosmopolitan atmosphere. The renaissance of Glasgow over the last decade is an urban success story to which many major UK and European cities aspire.

Glasgow is now one of Europe's top cultural capitals with a complete all year calendar of festivals and events. Native Glaswegians and visitors enjoy widely acclaimed bars and first class restaurants nestling within the best commercial shopping district outside London. All of this is located within a stone's throw of some of the country's finest parks and gardens.

Glasgow is the gateway to Scotland's most spectacular scenery, with Loch Lomond and the Trossachs only 40 minutes away. Glasgow is at the core of national rail and road networks and is served by two airports, Glasgow International and Glasgow Prestwick International (on the Ayrshire coast, south-west of the city).

2.The Hospital Modernisation Programme - The Services of Tomorrow

A massive re-organisation of NHS Greater Glasgow and Clyde (NHSGGC) has just been completed and the Diagnostics Directorate took over responsibility for all Diagnostic services in February 2006. The re-organisation was essential to align the organisational structure to the Acute Services Review (ASR) recommendations and support the Hospital Modernisation Programme which is transforming healthcare provision locally, regionally and nationally. Significant financial investment underpins the ambitious building programme that delivers truly world class and integrated care from the following major acute sector units;

  • New AcuteQueenElizabethUniversityHospital with “gold standard” triple co-location of Maternity/Children’s/AdultHospital services and Neurosciences Centre also on site.
  • New Cancer Centre, PET CT Imaging Centre and Acute Receiving/OP Unit at GartnavelGeneralHospital.
  • Re-development of Glasgow Royal Infirmary into the second major acute hospital.
  • Ambulatory Care/Diagnostic and Treatment Centres at the Stobhill and Victoria sites.
  • Development of a single dedicated Regional Cardiothoracic Centre at the GoldenJubileeHospital.

The Hospital Modernisation Programme will ensure that walk-in/walk-out hospital services are provided for the majority of patients. The pattern of service provision will shift to reflect moves towards ambulatory care. Currently 85% to 90% of patient encounters with acute hospital services are on a walk-in/walk-out same day basis. These include out-patient attendances, diagnostic tests, imaging procedures, and a range of day surgery procedures. In future, these services will be provided from ambulatory care centres designed to deliver the streamlined process of care which patients want - to be seen quickly by the appropriate specialist, to undergo clinical investigation and to receive treatment without delay.

3. Greater Glasgow & Clyde Acute Services Division

NHSGGC is the UK’s largest provider of NHS health care in Acute, Primary and Community Health, Mental Health, Addiction and Homelessness Services. We serve a population of 1.2 million covering 8 local authority areas which include the City of Glasgow as well as incorporating both urban and rural areas from East Dunbartonshire to Inverclyde.

The Acute Division brings together all acute services across the City and Clyde under a single management structure led by the Chief Operating Officer and is made up of six Directorates of clinical services each managed by a Director and management team.

4.Diagnostics Directorate

NHSGGC serves a population of around 2 million located across the West of Scotland. The New Cancer Centre serves a population of around 2.8 million i.e. over half the population of Scotland.

The Diagnostics Directorate has responsibility for all Laboratory services, Clinical Physics, Medical Photography and Diagnostic Imaging. Diagnostic Imaging includes Clinical Radiology, Nuclear Medicine and Regional imaging services (Neuroradiology, Paediatric Radiology, Oncological Imaging/PET CT, Breast Screening and Dental Radiology).

5.Laboratory Medicine

The Laboratory Medicine division of the Diagnostics Directorate has responsibility for all laboratory services which are co-ordinated on a board wide basis. These include Microbiology & Virology as well as Biochemistry, Haematology, Pathology, Immunology, Genetics and Histocompatibiltiy & Immunogenetics Laboratories.

6.Education & Training

Close links to the University of Glasgow ensure significant engagement in undergraduate and postgraduate teaching. Education is a core component of these teaching hospital posts, including the opportunity to take part in problem based learning sessions for medical students and trainee mentoring as well as other relevant undergraduate and postgraduate educational activities.

7.Research & University Links

NHSGGC has excellent working relationships with the University of Glasgow and linked clinical / academic departments. Glasgow has a very strong academic and research base, with an excellent teaching reputation. There are libraries and lecture suites at all the hospital sites.

The successful candidate will be encouraged to develop his/her expertise and to undertake high quality audit and research activity. Strong collaborations exist between the various research groups of the Division. Successful candidates may be offered honorary status with the University.

8.Valuing our Staff

NHSGGC is committed to extending training and development opportunities to all staff and is actively developing multi-disciplinary training, extending the role of on-line E-learning, and recognises the importance of developments in technology for both staff and patients.

We Offer:

  • Policies to help balance commitments at work and home and flexible family friendly working arrangements
  • Excellent training and development opportunities
  • Free and confidential staff counselling services
  • A central Glasgow location, with close access to motorway, rail and airport links
  • On-site library services
  • Subsidised staff restaurant facilities
  • Access to NHS staff benefits/staff discounts
  • Active health promotion activities
  • Bike User Group
  • Good Public Transport links
  • Commitment to staff education and life-long learning/development opportunities
  • Excellent student support
  • Access to NHS Pension scheme
  • Access to Day Nursery
  • Easy access to city centre shopping facilities
  • Access to discounted First Bus Travel
  • Active health promotion activities

9. The Microbiology Department

General Information

The Glasgow Microbiology Service forms part of the NHSGGC Acute Division, Directorate of Diagnostics.

Currently Microbiology Services are configured astwo sectors withinGlasgow and Clyde. These are the NorthSouthsectors.

The North Sector provides services to the Glasgow Royal Infirmary (GRI), NewStobhillHospital, GartnavelHospitals (including West of Scotland Cancer Centre), DentalHospital, LightburnHospital, DrumchapelHospital, RoyalAlexandraHospital (RAH), InverclydeRoyalHospital and Vale of Leven Hospital. Clinical microbiology cover is also provided for the Golden Jubilee Hospital (National Waiting Times Centre).

The South provides services to the, New Victoria Hospital ACAD, the Queen Elizabeth University Hospital (QEUH) and RoyalHospital for Children (RHC).

There are two main Microbiology laboratories, located within the New Lister Building (NLB) Glasgow Royal Infirmary (GRI) siteand South Glasgow Campus in the new laboratories building.

All departments provide an integrated diagnostic microbiology & virology service to the population of Glasgow, including the Primary Care Division. This service includes a full range of diagnostic bacteriology, serology, Chlamydia detection, antibiotic assays and mycology culture alongside molecular diagnostics.

Specialist Virology services for NHS Greater GlasgowClyde are provided by the West of Scotland Specialist Virology Centre (WOSSVC), which is co-located with the North Sector laboratory within the NLB. The NLB also hosts a range of National Microbiology Reference servicesand share a dedicated state-of-the-art molecular suite with the WOSSVC and the North Sector diagnostic microbiology laboratory.

There are close links with the Departments of Public Health and Health Protection Scotland (HPS).

Full accreditation with United Kingdom Accreditation Service (UKAS), is currently held by all laboratories.

The departments participate in all relevant National External Quality Assessment Schemes.

10. Services within Sectors

Glasgow Royal Infirmary

Glasgow Royal Infirmary (GRI), in the east of the city is a large teaching hospital serving a local population of approximately 400,000, and providing supra-regional and national tertiary referral services, including Plastic Surgery, Upper Gastrointestinal Surgery, the Hepatobiliary and Pancreatic service and the Centre for Rheumatic Disease

The Princess Royal Maternity has 6300 deliveries per annum and a large tertiary neonatal unit.

Since 2001 the Jubilee Building has been opened, providing accommodation for a new A & E department, a coronary care unit, an acute medical receiving unit and an orthopaedic surgery inpatient unit. The Canniesburn Plastic Surgery & Burns Unit has been located in the new building. It has six dedicated operating theatres and specialist inpatient and outpatient services.

Between 2010 and 2015, further work was carried out to ensure the GRI is fully equipped to serve as the main inpatient hospital for the north and east of the NHSGGC area.

Gartnavel Hospitals

The breadth and complexity of services at Gartnavel has expanded considerably over the years, with, the GlasgowHomoeopathicHospital, the Ophthalmology department, West of Scotland Cancer Centre (the TomWheldonBuilding).

The Beatson West of Scotland Cancer Centre is the lead centre for the delivery of non-surgical cancer care for the West of Scotland. It serves a population of 2.8m, and has clinical links with 16 hospitals in five surrounding Health Board areas.

The Beatson is Scotland’s largest cancer centre and the second-largest in the UK. As a result, the workload is varied - each year, the Beatson team sees more than 8,000 new patients, and more than 20,000 courses of chemotherapy and over 6,500 courses of radiotherapy are administered.

RAH and Clyde

Three hospitals cover the population of this region which is 400,000, the RoyalAlexandraHospital, Paisley, InverclydeRoyalHospital, Greenock and the Vale of Levin District General Hospital, Alexandria.

Both the RAH and IRH sites are acute hospitals with acute medical and surgical receiving, medical and surgical sub-specialities and ITU, ophthalmology, orthopaedics and elderly care. RAH also includes neonatal and general paediatrics, and maternity.

The third hospital site, based at the Vale of Leven Hospital, although smaller, provides acute medical receiving and elective surgery along with numerous other smaller specialties.

The QueenElizabethUniversityHospital

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The Queen Elizabeth University Hospitalis a teaching hospital and opened in April 2015 with “gold standard” triple co-location of Maternity/Children’s/Adult Hospital services and Neurosciences Centre also on site provides a facility that features 100% single-room patient accommodation. It has an acute operational bed complement of approximately 1600 beds.

Services include Accident and Emergency, Dermatology, ENT, General Medicine (including sub-specialties), General Surgery (including sub-specialties), Medicine for the Elderly (including Assessment, Rehabilitation and Day Services), Gynaecology, Neonatal Paediatrics, Obstetrics, Ophthalmology, Orthopaedic Surgery, Urology, Physically Disabled RehabilitationMedical specialties, renal medicine (including renal transplantation) and Continuing Care.

The Institute of Neurological Sciences is based on the South Glasgowcampus and provides Neurosurgical, Neurological, Clinical Neurophysiology, Neuroradiological and Neuropathology facilities for the West of Scotland. The Institute has recently undergone a major upgrade to incorporate ENT and Oral & Maxillofacial Services and is now equipped with additional facilities including the development of a new ward, four additional theatres, ICU, HDU and a new out-patient department.

The National Spinal Unit for Scotland provides a spinal injuries service to the whole of Scotland. This is housed in a purpose-built facility attached to the Institute of Neurological Sciences.

RoyalHospital for Children

Co-located with the QueenElizabethUniversityHospitalin June 2015, is a specialist paediatric hospital providing secondary paediatrics to the whole of Glasgow. Specialist services provided to the whole of the West of Scotland include Cystic Fibrosis and Burns and plastic surgery. National tertiary services include Bone marrow and Renal Transplantation, Cardiac Surgery, Neonatal Surgery and ECMO.

Microbiology Laboratory accommodation and equipment

Consultant offices are available, with PCs, providing access to intranet and internet facilities, and, an extensive e-library access.

A TelePath Laboratory computer system is in operation across all laboratories.

Equipment is provided on a Managed Service Contract which ensures that up to date analytical equipment will always be available. Currently this includes the BacTalert blood culture system, VITEK.2 automated sensitivity testing, MALDI-TOFbacterial identification, SYSMEX UF100 urine analysis and automated EIA platforms. AutomatedDNA/RNA extraction, thermal cyclers, and Sanger sequencing equipment are also available within the microbiology, virology and reference laboratories.

11. Laboratory Staffing

Service / Sector / Budgeted WTE
North Sector Microbiology / 106.13
South Sector Microbiology / 97.58
West of Scotland Specialist Virology Service / 76.13
Scottish Microbiology Reference Laboratories, Glasgow / 32.36
Total Budget Establishment / 312.20

12. The Consultant Microbiologist Post

  1. Title: Consultant Microbiologist
  1. Relationships
  1. Name of Health Board - NHS Greater Glasgow & Clyde
  2. Directorate -Diagnostics
  3. NHS GG&C, Diagnostic Directorate, Microbiology Management Structure (Appendix I)
  1. Duties and responsibilities of the post

The appointee will form part of the NHSGGC Microbiology Medical service and will be responsible with the other Consultant Medical Microbiologists for the provision of a comprehensive, efficient, and cost-effective Clinical Microbiology and Infection Control Service to users of the service.

The appointee will:

i)Provide liaison in a timely manner with clinicians, hospital staff, medical microbiologists, general practitioners and public health consultants concerning the management of patients, and the diagnosis and prevention of infections.

ii)Take an appropriate share of responsibility for departmental commitments.

iii)Provide expert advice to clinical colleagues by participating in ward rounds, multidisciplinary meetings, and other forms of clinical liaison as appropriate.

iv)Provide, in conjunction with microbiology colleagues, a 24-hour infection control medical on call service and a day-to-day close working relationship with the Infection Control Team.

v)Provide an out of hours service with colleagues for Microbiology and Infection Control. The Consultant out-of-hours service currently operates separately for the South Sector and North Sectors, and the responsibilities are shared between the Consultants based in each of these sectors.

In the North sector the rota will be 1:8, on a weekly basis, with Saturday and Sunday presence in an appropriate laboratory. This currently attracts 1.5 PAs. The Consultant rota provides clinical advice to all North and Clyde hospitals, including infection control, where necessary and advice and supervision of the BMS and medical trainees on-call.

vi)Be managerially accountable to General Manager of Laboratory Medicine, professionally accountable to the Head of Service Microbiology and will be expected to participate in the management process.

vii)Have continuing responsibility for the care of patients in his/her charge, and for the proper functioning of his/her Department.

viii)Undertake the administrative duties associated with the care of his/her patients and the running of his/her clinical department

ix)It is expected that the appointee will be involved in the day-to-day supervision of diagnostic methods and examination of specimens; authorisation of reports; interpretation and timeous communication of results.

x)All consultants will be expected to contribute to the following:

  1. Involvement in policy and SOP preparation.
  2. Responsibility for quality assurance performance within the department, including taking part in all relevant national external quality assurance (NEQAS) programmes.
  3. Responsibility for achieving and maintaining accreditation with Clinical Pathology Accreditation (UK) Ltd / UKAS.
  4. Business planning, including the assessment and introduction of new methods, and forward planning for staff and equipment requirements.
  5. It is also expected that the appointee will develop a specialist clinical interest complimentary to that already provided within the department
  1. Job Planning

Out of hours activity will be undertaken on the basis of the terms and condition set out in the new consultant contract (Scotland).

An indicative model job plan is provided below. This job plan is negotiable and will be agreed between the successful applicant and the Clinical Director. NHS Greater Glasgow & Clyde initially allocates all full time consultants 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core Supporting Professional Activities (SPA) for CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine communication and management meetings. The precise allocation of SPA time and associate objectives will be agreed with the successful applicant and will be reviewed at annual job planning.