consultant general surgeon

inverclyderoyalhospital

Information pack

reF: 33042d

Closing Date: noon 20th June 2014

SUMMARY INFORMATION

Post: consultant general surgeon

Base:inverclyderoyalhospital

NHS Greater Glasgow & Clyde, the largest NHS Employer in the UK, in partnership with 8 local authorities is responsible for the health needs of 1.2 million residents, almost a quarter of the entire Scottish population. The Acute Services Division is the largest group of adult acute hospitals in Scotland and the investment in new hospitals and facilities in the last ten years has been considerable. A substantial volume of complex surgical work is performed in the Glasgow and Clyde units that provide a range of tertiary and national services. This allows individuals a wide range of opportunities for professional development, and Research has a high profile within the organisation. The directorate has close links with Glasgow’s three universities and makes a significant contribution to teaching at both undergraduate and postgraduate level and there are excellent facilities for students and their tutors in the £15 million, state of the art, Wolfson Medical School based at Glasgow University.

The successful applicant would be based at the Inverclyde Royal Hospital, which currently has 5 Consultant, general surgical posts and there are 11 at

Royal Alexandra Hospital, Paisley. The Consultants work across the sites covering the major sub-specialities of Upper GI, Breast and Colorectal. Each sub-specialty employs a team approach with close links to the regional Managed Clinical Networks. Fully staffed Intensive Care, High Dependency and Palliative Care beds are well utilised.

Applicant must have full GMC Registration, a license to practice and eligible for inclusion in the GMC 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 the date of interview. Non-UK applicants must demonstrate equivalent training. You should have a broad surgical training, be able to provide an elective and emergency surgical service at consultant level and have skills in endoscopy and laparoscopic surgery.

The Inverclyde area offers excellent residential accommodation and schools. There are cultural and leisure activities for all, including the award winning Beacon Arts Centre, Inverclyde Leisure operates community facilities throughout the area including its flagship leisure complex at the Waterfront and there are several good quality golf courses and clubs in the area. Inverclyde is an area of unrivalled beauty, with breathtaking views to the Argyll Hills and Scottish Highlands, and the spectacular moorlands, hills and lochs provide unrivalled opportunities for outdoor recreational pursuits, including hill walking, sailing and other water-based sports. Greenock is situated 40 minutes from Glasgow, there are excellent transport links with swift motorway access, a fast regular rail service and Glasgow Airport is only 35 minutes away by road. We have significant challenges ahead as we deliver the objectives set out in “Better Health, Better Care” and we seek to ensure that we have the right people for the right posts delivering a comprehensive health service to the population of Greater Glasgow and Clyde.

NHS GREATER GLASGOW AND CLYDE

Acute Services Division

Directorate of Surgery and Anaesthetics

CONSULTANT GENERAL SURGEON

InverclydeRoyalHospital

NHS Greater Glasgow and Clyde is the Largest NHS Employer in the UK and in partnership with 8 local authorities, is responsible for the health needs of a population of 1.2 million, almost a quarter of the entire Scottish population. The Acute Services Division is split into nine Directorates across 18 sites with a workforce of 27,500 and an annual budget of £1.2 billion. The geographical area covered is diverse; it covers the major city of Glasgow, large and small towns, villages and some rural areas. We have significant challenges ahead as we deliver the objectives set out in Better Health Better Care and we seek to ensure that we have the right people for the right posts delivering a comprehensive health service to the population of Greater Glasgow and Clyde.

The Acute Services Division is the largest group of adult acute hospitals in Scotland. This allows individuals a wide range of opportunities for professional development whether in community-based care or general and specialty hospital services.

A total of £4.3 million capital funding has been invested into InverclydeRoyalHospital in the last year. Patients will have a pleasant surprise when they come to the hospital following a £1 million refurbishment of the Accident and Emergency and an investment of £200,000 on the main entrance area. These improvements include new access routes for patients and enhanced patient waiting and reception areas.

The investment in Acute Services in Glasgow in the last ten years has been considerable with two new Ambulatory Care Hospitals opened in 2009. The opening of the new Beatson West of Scotland Cancer Care Centre (2008) and the temporary centralisation of a number of specialties including Renal and Vascular onto the Western Infirmary site was undertaken in anticipation of the development of the Southern General site.

A substantial volume of complex surgical work is performed in the Glasgow and Clyde units that provide a range of tertiary and national services. We enjoy close links with Glasgow’s three universities and make a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation. We provide excellent facilities for students and their tutors in the £15 million, state of the art, WolfsonMedicalSchool based at GlasgowUniversity adjacent to the Western Infirmary site. Excellent education facilities are also provided at Glasgow Royal Infirmary with a full refurbishment of the UniversityTower completed in December 2013.

The hospitals north of the River Clyde, are Glasgow Royal Infirmary (including PrincessRoyalMaternityHospital), Western Infirmary, StobhillAmbulatoryCareHospital and Gartnavel GeneralHospital. Within Clyde sector the RoyalAlexandraHospital, InverclydeRoyalHospital and the Vale of Leven Hospital all provide acute surgical care with RAH and IRH also supporting unscheduled care.In south Glasgow the Southern General Hospital and the Victoria Infirmary alongside the new VictoriaHospital, providing ambulatory care, support the acute surgical patient.

From Glasgow, the West of Scotland’s jewels are within easy reach. Loch Lomond is just 45 minutes drive, a little further to the Argyll peninsula – or over the sea to Arran, Skye, Iona and Mull.

InverclydeRoyalHospital (IRH) Greenock

InverclydeRoyalHospital is a modern district general hospital in Greenock, and serves the Inverclyde District (Greenock, Gourock and Port Glasgow), Largs, Fairlie, Millport, Skelmorlie, WemyssBay, Bute and the CowalPeninsula, a total population of 160,000. The hospital has 230 beds and was opened in 1979 and provides a range of services including in-patient beds, general medical and surgical specialties, orthopaedics, ophthalmology and Accident & Emergency. A GeriatricHospital opened in February 2001 and an 8 bed Physically Disabled Rehabilitation Unit opened in Summer 2002.

The Hospital has a brand new state of the art Endoscopy Unit that was opened in June 2011 with full diagnostic and therapeutic facilities.

The Inverclyde areaoffers a range of good quality facilities. There is excellent residential accommodation available within both the town and surrounding villages. Inverclyde Council has made major investments in education over the last ten years and there are a number of newly built primary and secondary schools through out the areawhich receive excellent achievement reports. There are also good quality private schools within the town, in Kilmacolm and Glasgow. The award winning Beacon Arts Centre has been opened in the last year and offers a good program of cultural events. The Firth of Clyde is thought by many to offer the best in-shore sailing in the British Isles. There are several good quality Golf courses and clubs in the area. The town of Greenock has a modern shopping centre. Greenock, Gourock and the surrounding towns and villages have a wide range of good bars and restaurants. The Waterfront Centre offers swimming pools for both leisure and training, fitnessand gym facilities and an ice rink used for skating and curling. The newly renovated Gourock swimming pool and fitness centre offers the only out-door, heated sea water pool in Scotland.

Greenock is situated 40 minutes from Glasgow, amid superb coastal and mountain scenery. There are excellent transport links with motorway access to Glasgow and a fast regular rail service. GlasgowAirport is only 35 minutes away by road.

The RoyalAlexandraHospital (RAH), Paisley:

The RAH is a 600 acute bed hospital, opened in 1986 in a 78 acre site in the town of Paisley. Located only 5 minutes from the M8 motorway and GlasgowInternationalAirport, the RAH provides an ideal centralised location.

As well as providing healthcare to the people of Renfrewshire, RAH provides major trauma and emergency surgical care for Lomond and Argyll, stretching as far as Oban.

The staff of over 2,300 provide a comprehensive range of services, including a full 24 hour A&E, HDU/ITU, a Coronary Care Unit, General Medicine, Medicine for the Elderly, Clinical Haematology, Dermatology, Neurology, Paediatrics, Obstetrics and Gynaecology, General Surgery, Urology, Orthopaedics, ENT, Ophthalmology, Palliative Care, Plastic Surgery, Orthodontics, Anaesthetics, Radiology and Laboratory Specialities – Clinical Biochemistry, Haematology, Microbiology and Pathology. Oncology services are provided by visiting consultants.

Both the RAH and IRH are acute hospitals with both acute medical and surgical receiving and the full range of DGH and teaching DGH specialties and associated facilities.

Department Information and Scope of Post

This post will be based at the InverclydeRoyalHospital for acute surgical receiving and elective operating sessions. Some outpatient and diagnostic services might be carried out at other sites within Greater Glasgow and Clyde.

There are currently 5 consultant general surgical posts within the IRH and 11 at RAH. The consultants work across the sites covering the major sub-specialities of Upper GI, Breast and Colorectal.

Mr Reidy provides an on site vascular assessment and investigation service for scheduled patients at Inverclyde with close integration with the regional service in Glasgow. Each sub-specialty employs a team approach with close links to the regional Managed Clinical Networks. Fully staffed Intensive Care, High Dependency and Palliative Care beds are well utilised. Clinical Nurse Specialists are valued members of the teams.

Current Staffing

Surgical Team withinClyde

InverclydeRoyalHospital (IRH)

Mr John Reidy also works at WIG(Clinical Lead, IRH)

Mr Carsten Bolln

Mr Gerrit Denys

Mr Natarajan Manimaran

Vacant post

RoyalAlexandraHospital (RAH)

Mr Mike McKirdyalso works at IRH(Clinical Lead, RAH)

Ms Katherine Krupaalso works at VOL

Ms Lindsey Chisholmalso works at VOL

Mr Patrick Finnalso works at VOL

Ms Susan Moug

Mr Andrew Renwickalso works at VOL

Mr Mark Vella

Mr Anton Buter

Ms Vivienne Goughalso works at VOL

Ms Joanna Grayalso works at VOL

(VOL: Vale of LevenHospital)

The post is also supported by a number of Specialist Nursing Staff within Clyde providing both advanced practice in nursing and oncological care of patients.

Applications are sought from suitably trained individuals who are able to provide an elective and emergency surgical service at consultant level. It is expected that that successful candidate will have skills in endoscopy and laparoscopic surgery.

In addition to providing clinical services the successful candidate will be required to participate in the training and assessment of junior staff and to undertake the administrative duties required in a consultant job. This will include, but not be exclusive to, the maintenance of appropriate patient records, keeping and participating in personal and unit audit and the retention of documentation for appraisal. All consultants are required to have an annual appraisal.

Applicants should have a broad surgical training and should have full GMC registration and eligibility for inclusion on the Specialist Register. UK trainees will have evidence of Higher Specialist Training leading to CCT, or be within six months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training.

Indicative Clinical Duties / Job Plan:

The contract is based on 10 sessions, split 9:1 between direct clinical care 9 PAs and supporting professional activities 1 SPA, this is now the standard for all new consultant job plans within NHSGG&C. The one SPA is for activities such as appraisal, personal audit and professional development occurring outside study leave time. In time, more supporting professional activities may be agreed for roles such as undergraduate and postgraduate medical training (which takes place outside direct clinical care time), as well as research and/or management. If desired by the department, these activities would be identified specifically and agreed with the candidate up to an absolute maximum of 2.5 PA’s.

Work Time Table

Mon.amClinic

pmAdmin

Tues amEndoscopy IRH

pmEndoscopy IRH

WedamTheatre IRH

PmTheatre IRH

Thursam MDT

pm SPA

Fri amClinic

pmTeaching / Educational Program.

Participation on the on call emergency rota 1:5 is a requirement of the post.

On call PA allocation will be 1.0 PA in accord with the 9:1 standard contract.

PERSON SPECIFICATION – CONSULTANT GENERAL SURGEON

Essential

/

Desirable

Qualifications and

Training

/

MBCHB or equivalent

FRCS or equivalent

Sho

uld have completed a recognised higher specialised training programme (or equivalent) in surgery with Higher Specialist Training in General Surgery. Must have a CCST/CCT or be within 6 months of attaining it.

/

Relevant higher degree

Clinical Experience

/

Wide experience in a surgical unit

/

A specialist interest within surgery complementary to the interests of existing consultants

Experience of shared care clinics and managed clinical networks

Audit/Research

/

Competence in clinical audit

Training in management and audit at SPR or equivalent level

/

Able to initiate and carry out medical research projects.

Authorship of research papers Publications in peer reviewed journals.

Ability to increase the academic profile of department

Experience in applications to ethical committees and grant applications

Teaching

/

Experience in training undergraduate medical students and postgraduate doctors

Interest in teaching

/

Specific training in education and/or appraisal

Qualification in Teaching

Management

/

Leadership skills

Knowledge of clinical governance

Evidence of experience and effectiveness in management

/

Experience of management

Specific management training

Other qualities

/

Demonstrable evidence of leadership skills

Evidence of effective team working

Evidence of good communication skills with patients, colleagues, and all team members

Evidence of flexibility, diplomacy and integrity. Willingness to undertake additional professional responsibilities at local, regional or national forum

Commitment to continuing professional development

IT Skills

Other Requirements

/

Full GMC Registration

and a Licence to Practise

Right to residency in UK

Ability to meet on call requirements & Regional commitments

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
£76,001 £ 102,465 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