CONSULTANT general physician with an interest in diabetes & endocrinology
iverclyderoyalhospital
INFORMATION PACK
REF: 34883D
cLOSING DATE: nOON 7th November 2014
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 general physician with an interest in diabetes & endocrinology
Base:inverclyderoyalhospital
This post will join the existing team of six Consultants across Clyde. The post is for a Consultant General Physician with an interest in Diabetes and Endocrinology based at InverclydeRoyalHospital. Sub speciality interests will be supported.
InverclydeRoyalHospital is a modern district general hospital in Greenock, serving the population of Inverclyde, Largs, Bute and the CowalPeninsula. All major specialties are represented within the hospital. The hospital has a progressive agenda in relation to clinical standards, managed clinical networks and patient focused service re-design. There are close clinical links with the Community Health Care Partnership, the other acute hospitals within Greater Glasgow and Clyde, and the UniversityHospitals in Glasgow.
Greenock is situated approximately 30 minutes from Glasgow, amid superb coastal and mountain scenery, and with excellent transport links.
InverclydeRoyalHospital has a team of twelve Consultant Physicians, one Specialty Doctor, fourteen Middle Grade Staff and twelve FY 1 Doctors.
The post holder will be required to maintain and develop the diabetes and endocrinology service and work with colleagues to progress service delivery for patients across Clyde.
MRCP UK or equivalent qualification is essential and you must have full registration with the GMC and a licence to practice. Those trained in the UK should have evidence of higher Specialist Training leading to a CCT in Diabetes / Endocrinology and General Acute Medicine or eligibility for specialist registration (CESR) or be within six months of confirmed entry at the date of interview. Non UK applicants must demonstrate equivalent training
The excellent clinical experience on offer is complemented by a very active and highly regarded programme of post-graduate education, taking advantage of the Hospital’s first class educational and library facilities, which benefit from investment in the most up-to-date technology
NHS Greater Glasgow and Clyde
InverclydeRoyalHospital
Greenock
CONSULTANT GENERAL PHYSICIAN WITH AN INTEREST IN DIABETES / ENDOCRINOLOGY
Particulars of the post of Consultant General Physician with an interest in Diabetes / Endocrinology based at InverclydeRoyalHospital, Greenock, Renfrewshire, Scotland
1. General Information
InverclydeRoyalHospital is a modern district general hospital in Greenock, and serves the Inverclyde District (Greenock, Gourock, WemyssBay and Port Glasgow), parts of North Ayrshire, Isles of Bute and Cumbrae, and the CowalPeninsula, with a total population of approximately 125,000. The hospital has 239 beds and was opened in 1979. Most major specialties are represented within the hospital, with a Medicine for the Elderly Unit comprising of around 90beds and a 17 bed Stroke ward. There is also an 8 bed Physically Disabled Rehabilitation Unit.
There are close clinical links with the strong community infrastructure, the other acute hospital within Clyde Division; the Vale of Leven and RoyalAlexandraHospital, and the hospitals / university hospitals in the North and South of Glasgow.
The district has excellent facilities at hand including good sports centres, playing fields, golf and sailing. The area has a modern shopping centre, a new custom-built swimming pool, open air swimming pool, leisure centre and ice rink and is within easy rail, bus and motorway links to Glasgow and Edinburgh.
Greenock is situated 30 minutes from Glasgow, amid superb coastal and mountain scenery with excellent transport links. The area offers excellent residential accommodation and first class state and private schools.
2. The Medical Unit
The Medical Unit consists of a 30 bedded Acute Medical Receiving Unit and three general medical wards totaling 105 beds. In addition, there is an 11 bedded Coronary Care Unit. The Renal Unit opened in 2000 and expanded to 12 haemodialysis stations in 2007. There is a Haematology and Oncology Day Bed Unit. The Medical Unit provides an acute service in general medicine with clinics in general medicine, diabetes, endocrinology, gastroenterology, cardiology, rheumatology, respiratory medicine and haematology.
3. Workload of Adult Medicine
General Medicine / 2011/ 2012Elective Inpatient Admission / 138
Emergency Inpatients / 8992
Day Cases / 172
4. Consultant Staffing
In addition to the current post, there are eight consultant physicians with special interests as noted.
- Dr Helen PapaconstantinouCardiology
- Dr Brian Murphy Cardiology
- Dr Andrew McCullochCardiology
- Dr Angela Wright Respiratory
- Dr Dave SharmaRespiratory
- Dr Chris JonesDiabetes and Endocrinology
- This post Diabetes and Endocrinology
- Dr Mohammed HamedGastroenterology
- Dr Abdulla Hassan (Locum) Gastroenterology
- Dr David MarshallRheumatology
- Dr Lisa HuttonRheumatology
- Dr Sanjiv NandwaniRheumatology
The gastroenterology service is currently being developed to provide a Clyde- wide gastroenterology service.
The Medicine for the Elderly Department has three consultants and support the Department of Medicine at Consultant and middle-grade level. Consultant Geriatricians contribute fully to the on-call medical rota, as detailed below:
Monday - Friday - Medical on-call rota 1:12
Saturday - Sunday - Medical on-call rota 1:13
Coronary Care is covered Monday to Friday by the Consultant Cardiologists and by the on-call Physicians at weekends. With support from the Golden Jubilee National Hospital (GJNH) for primary coronary angioplasty and out of hours pacing.
Consultant Dermatologists, Dr C Fitzsimmons, Dr I Hay and Dr M Vatve, run a busy Dermatology Ambulatory Care Treatment Centre with their own dermatology middle-grade staff.
Dr C Geddes supported by the Consultant Nephrologists, based at the Western General Infirmary (WIG) visit the Renal Unit twice weekly and run a Renal clinic from within the unit with one Associate Specialist in support.
Consultant Neurologists Dr Jack and Dr Selvarajah who provide weekly support to the hospital.
- Junior Medical Staff
- Middle Grade Doctors- 14
- Foundation Year 1- 12
6.Non Training Grade Doctors
Specialty Doctors - 3
7. Acute Medical Services
7.1 Acute Receiving Ward
Acute medical admissions are admitted to ward J North (30 beds), which is staffed by one of the consultants on a rotating ‘Physician of the Week’ basis Monday morning to Friday lunchtime, then by another of the consultants for the weekend. Patients are then triaged to the appropriate specialty wards if not for early discharge. Plans are being developed to enhance acute receiving with extra consultant support and acute medical physician input and to change the pattern of consultant cover. A medical nurse practitioner service is currently being established.
7.2 General Medical Wards
There are three general medical wards, G North (30 beds), G South (34 beds), J South (22 beds) which receive patients form the Acute Medical Receiving Ward, J North (30 beds). These wards are supported by the different specialty consultant staff and their teams of junior doctors.
7.3 Coronary Care Unit
Patients with acute myocardial infarction, acute coronary syndromes, arrhythmias or congestive cardiac failure are admitted to the coronary care unit which has 11 beds, staffed during the day by one of the cardiologists on a rotational basis, and supported by junior medical staff. Cardiology services are supported by the Golden Jubilee National Hospital which provides primary percutaneous coronary intervention service and out of hours temporary cardiac pacing from Glasgow.
7.4 Junior Doctors Out-of-Hours
A Hospital at Night and Weekend service commenced in August 2006, and medical staff covering the out of hours period are required to lead and participate in this team, as well as attending the hand over. This is now well established and further development will aim to enhance out of hours patient care and safety.
7.5 Medicine for the Elderly
Medicine for the Elderly is part of the Rehabilitation and Assessment Directorate, however many of its activities are combined with Adult Medicine. In particular, the out of hours cover is provided by junior doctors from Medicine for the Elderly and Adult Medicine.
There are three wards within the Medicine for the Elderly Unit and DayHospital are located next to the main hospital, while the Stroke ward is located within the main hospital building.
8. Diabetic Services
InverclydeRoyalHospital has offered a general diabetes service since it opened in 1979. The service offered has developed over the years and current activity is detailed below.
Within InverclydeRoyalHospital the diabetes physicians have a share of the acute medical beds. These are centred on the acute receiving ward JN and ward GN, though patients may be housed in other wards as a result of bed pressures. There are comprehensive HDU and ITU services with a strong anaesthetic support team.
8.1 Medical Staff
The advertised post is to join the existing medical team who consist of one Consultant with the support of two to three middle grade junior doctor and ward based cover by an FY1 doctor. The Junior Doctors provide ward cover and clinic cover.
8.2 Diabetes Nurse Specialists
- Sister Dorothy McMenemie1 wte
- Sister Shirley Stratton1 wte
- Sister Karen McDonald 1 wte
- Sister Gaynor Frankgate1 wte (shared with community)
The Diabetes Nurse Specialists play a pivotal role in the running of the diabetes service over recent years including:
- Education of patients, carers and healthcare professionals in all aspects of diabetes and the provision of DAFNE courses.
- Commencement of insulin as an outpatient within the Diabetes Centre and in the community.
- Weekly diabetic foot clinic.
- Weekly joint diabetes/obstetric clinic
- Monthly adolescent diabetes clinic (with Paediatric services)
8.3 Other Specialist Staff
Laura BeatonHospital Diabetes Dietitian
Carolyn Houton Specialist Diabetic Podiatrist provided by Community Podiatry service
Doreen KennedyCommunity Diabetes Nurse Specialist
8.4 Clinics
There are 3– 4 outpatient clinics per week. They include diabetic, endocrinology, general medicine and specialist diabetes clinics.
The tables below details outpatient activity data for 2011/2012 for diabetes and endocrinology:
Diabetes Outpatient Activity 2013/14
New attendances / NewDNA / Total / Return attendances / Return
DNA / Total
313 / 82 / 395 / 1,480 / 365 / 1,845
Endocrinology Outpatient Activity 2011 / 2012
New attendances / NewDNA / Total / Return attendances / Return
DNA / Total
308 / 50 / 358 / 1,094 / 215 / 1,309
9. Management Arrangements
Emergency Care and Medical Specialties at InverclydeRoyalHospital is part of the Emergency Care and Medical Specialties Directorate, Greater Glasgow and Clyde wide. Emergency Care and Medical Specialties within InverclydeRoyalHospital consists of Accident and Emergency and General Medicine.
The Consultant Physicians, Geriatricians, Haematologists and Dermatologists combine to form the Division of Medicine. The consultant appointed will be expected to participate fully in the work of the Division and Directorate.
Dr Martin McIntyre is the Clinical Director for Emergency Care and Medical Specialties, Clyde and Dr Chris Jones, Lead Clinician, InverclydeRoyalHospital.
Mrs Debbie Hardie, Interim Clinical Service Manager, Medical Services, Clyde and Ms Kirsty Orr, Clinical Service Manager, Emergency Services, Clyde.
Ms Anne Harkness, is the Director of Emergency Care and Medical Specialties across Greater Glasgow and Clyde, and is supported by Dr David Raeside the Associate Medical Director and Mrs Lynne Scott, Interim Head of Nursing.
10. Summary of the Post
10.1 Duties of the Post
Diabetes
This new post is for a replacement consultant with a specialist interest in diabetes/endocrinology. The post holder will provide a consultant-led, easily accessible diabetes service. A key feature is the training of general practitioners in the management of diabetes and its complications in accordance with Greater Glasgow and Clyde Diabetes MCN Guidelines. The service model for patients is based on regular attendance in primary care, with referral to the secondary care and support diabetes LES and the Diabetic Nurse Specialists.
The post holder will perform 3 – 4 clinics per week; diabetes clinic (combined new and return) in addition to a medical clinic and an endocrinology clinic. The clinics presently comprise of a combination of general diabetes, endocrinology, limited general medicine and support for sub specialty interests. The post holder may be required to contribute to service provision in the RoyalAlexandraHospital, Paisley.
It is envisaged that the successful appointee will support the development of services across Clyde and may wish to hold clinics on multiple sites depending on service need.
The post holder will take responsibility for the daytime care of diabetes patients, out of hours cover being provided by the physician on-call. The department is involved in undergraduate and postgraduate teaching and the consultant appointed will be expected to contribute to this.
Endocrinology
In addition to diabetes duties the consultant will undertake endocrinology duties. These will include a weekly endocrinology clinic seeing both new and return patients. Support for specialist investigation and treatment is provided by the
Acute Medicine
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 also Coronary Care Unit out of normal working hours.
Each consultant is on-call for emergency admissions either Monday – Thursday or Friday – Sunday periods. This is a fixed rotation and is planned for twelve months in advance. During the week of on-call the number of emergency patients between 9.00am – 9.00pm is seasonal, and can vary with between 15 to 35 per day, with an average of 25 patients being admitted per day.
In view of the increasing complexity of acute receiving, plans are actively being developed with senior management and as part of the ongoing review to redevelop acute receiving across Clyde.
With the appointment of the new post holders the on-call rota will be approximately 1:12 for weekdays and 1:13 for weekends, although this is likely to change.
10.2 Suggested Timetable
A work programme for the week will be negotiated and agreed with the successful candidates. The core working week will be based on 8.0 PA’s of Direct Clinical Care (DCC) duties and 1.0 PA of SPA time and 1.0 PA for out of hours commitments.
The successful candidates will have sub- specialty interests supported, as long as they are relevant to the wider aims of the Diabetic Service and the Department of Medicine.
10.3 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 be agreed with the Lead site Clinician or Medical Director and thereafter this will be subject to periodic review and adjustment if necessary.
Duty /PAs
In patient work and administration / 4Out patient work and administration / 4
SPA including teaching/educational supervision / 1
Out of Hours On Call / 1
TOTAL / 10
The job plan is subject to review as a minimum once a year by the post holder and the Clinical Director.
10.4 On Call Duties
The appointees will be expected to take a share with the existing Consultant Physicians of the general medical workload in terms of out of hours cover. Currently each consultant cancels other duties and is ‘Physician of the Week’.
11. Postgraduate and Undergraduate Training
The unit has a postgraduate tutor programme, which includes a weekly meeting, monthly journal club and SHO tutorial sessions. There are weekly hospital postgraduate meetings during term time. Dr Manfred Staber, Consultant Anaesthetist, is the Post Graduate Tutor. The Medical Unit teaches a large number of medical students from GlasgowUniversity. As part of the new curriculum teaching of one to five years is becoming established and the appointee will be expected to participate actively.
InverclydeRoyalHospital has an excellent Postgraduate Centre immediately adjacent to the main building. This provides both excellent library facilities and the latest computer and technological supports for research and study. There is one large lecture theatre (seating 80) and 4 smaller seminar rooms.
There is an active postgraduate forum within InverclydeRoyalHospital with weekly medical division clinical lunchtime meetings, at which the Department of Medicine regularly present. Each month there is a half day educational/clinical governance rolling programme involving all departments.
12. Further information
For further information and arrangements to visit the Department, please contact:
Dr Chris Jones
Consultant Physician with special interest in Diabetes / Endocrinology, Lead Clinician.
InverclydeRoyalHospital
Larkfield Road
Greenock
PA16 OXN
Tel:01475 504501 (secretary)
01475 504348 (DDI)
E mail: or
PERSON SPECIFICATION
CONSULTANT PHYSICIAN WITH AN INTEREST IN DIABETES AND ENDOCRINOLOGY
REQUIREMENTS
/ESSENTIAL
Requirements necessary for safe effective performance in the job /DESIRABLE
Where available, elements that contribute to improved, immediate performance in the jobQualifications and Training
/ MRCP UK or equivalentFull registration with GMC
Inclusion on the GMC Specialist Register in Endocrinology, Diabetes and General Medicine or within 6 months of CCT at time of interview / Training in appraisal techniques
Clinical Specialty Skills
/ Demonstrates competence in the management of diabetic, endocrine and general medical conditions / Sub-specialty interest such as young persons diabetes and pregnancySkills, knowledge and aptitude
(e.g. communication or organisations skills, proven work record) / Evidence of working in a multi-disciplinary teamAbility to organise and prioritise complex demands
Evidence of teaching and training skills for junior doctors
Effective communication skills / Management training
IT skills
Experience