consultant in emergency medicine
western infirmary
Information pack
reF: 33782d
Closing Date: noon on 16th july 2014
SUMMARY INFORMATION
Post: consultant in emergency medicine
Base:western infirmary
Applications are invited for the above post as Consultant in Emergency Medicine based initially at the Western Infirmary, Glasgow. The job represents an exciting opportunity to strengthen our established team of Consultants in Emergency Medicine, providing senior care and leadership during the transition towards the development of two, state of the art, multi-Consultant Emergency Department’s in Glasgow from 2015. Support is also provided to the nurse-led Minor Injuries Service. It is expected that the successful applicant will have a high clinical profile with the drive and initiative to achieve and sustain the highest standards of emergency medical care for the approximately 62,000 new annual attendees. Applicants must have full GMC registration, a licence to practice and be 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.
NHS Greater Glasgow and Clyde
Emergency Care and
Medical Services Directorate
Information pack - for the post of
Consultant in Emergency Medicine
Western Infirmary
GLASGOW – A GREAT PLACE TO LIVE ANDWORK
Today Glasgow is a compact, vibrant and modern city. In fact Glasgow’s scale comes as a surprise to some people. It has the largest suburban rail network outside London and is second only to the UK Capital as a retail centre.
There are top-ranking 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. Greater Glasgow and ClydeValley are one of the world’s most thrilling and beautiful destinations. Be entertained in one of Europe’s top cultural capitals by its year-long calendar of festivals and special events and enjoy outstanding shopping, superb bars and restaurants - all located within a stone’s throw of some of the country’s finest parks and gardens.
What’s more, we are easily accessible by air, rail and road so getting here could not be easier. 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.
GREATER GLASGOW & CLYDE ACUTE SERVICES DIVISION
The Acute Operating Division is the largest group of adult acute hospitals in Scotland – offering many opportunities to ensure job satisfaction and career development.
Glasgow Acute ServicesClyde Acute Services
15 Hospitals3 Hospitals
4,700 beds1,100 beds
£980m income£250m income
19,500 wte staff7,000 wte staff
The Divisional Management Offices are situated within the ManagementBuilding, Southern GeneralHospital, 1345 Govan Road, Glasgow, G51 4TF.
The Division operates a No Smoking Policy within its premises.
The Acute Division brings together all acute services across the city and Clyde under a single management structure led by the Chief Operating Officer. The Division is made up of eight Directorates of clinical services each managed by a Director and clinical management team along with a Facilities Directorate. These are:
Emergency Care and Medical Services
Surgery and Anaesthetics
Rehabilitation and Assessment
Diagnostics
Regional Services
Women’s and Children’s Services
Oral Health
Clyde
Facilities
In the Emergency Care and Medical Services, Surgery and Anaesthetics and Facilities directorates the General Managers combine a city wide role with a local sectoral role for one of three sectors in the city – north and east, west and south.
Health services in Glasgow are on the verge of dramatic and exciting change, brought about by the recently approved Acute Services Review [now termed the Hospital Modernisation Programme). This ten-year £700 million strategy will see the transformation of acute services across the city including the replacement of out-dated Victorian buildings and the creation of one- stop/rapid diagnosis and treatment models for the vast majority of patients.
Core adult acute care is currently delivered from six sites within Glasgow. The Western Infirmary and Gartnavel General Hospital operate in tandem delivering acute care in the west-end of the city. In the north-east of the city acute care is delivered from StobhillHospital and Glasgow Royal Infirmary. The Victoria Infirmary serves the south-east and the Southern General Hospital the south-west of the city.
Services for children are provided centrally from the RoyalHospital for Sick Children, Yorkhill.
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.
The ambulatory care centre for the south side of the city is at the Victoria Infirmary. It houses the main out-patient centre and day surgery service for the south side of the city. In-patient services will be concentrated in a new £235 million south-side hospital currently under construction at the site of the current Southern General Hospital. This new facility, housing some 850 beds, will replace ageing acute wards in both the Southern General Hospital and the Victoria Infirmary. The new facility will work alongside some of the relatively modern buildings housing specialist services, which will be retained on the Southern General Hospital site as part of the Hospital Modernisation Programme. The new south-side hospital will be home to one of two Accident and Emergency and Major Trauma Units covering the whole of the city, the second being at Glasgow Royal Infirmary. The new south side hospital is planned to open in approximately 2015.
As already stated services for children are currently provided centrally from the RoyalHospital for Sick Children, Yorkhill. However, a new PaediatricHospital is currently under construction on the Southern General Hospital site which will fully integrate children’s maternity and adult services. The redesign and redevelopment of Glasgow’s acute services will address many of the pressures currently facing the hospital service. The new services will be provided in modern facilities rather than in 19th century buildings not designed for modern healthcare.
These facilities will enable the one-stop/rapid diagnosis and treatment models required for the future. Continuity of service will improve with the elimination of the need for patients’ notes and results to be moved from building to building.
Concentration of services will allow the requirements of junior doctors hours and issues arising from increasing sub-specialisation of medicine to be addressed through the creation of larger staff teams and sustainable rotas for both junior and senior staff.
The formation of larger clinical teams will ensure that programmes of work, including the need to cover emergencies without interfering with waiting list and ambulatory care sessions, can be planned more effectively. The concentration of in-patient services on fewer sites will help strengthen specialist services and maximise the capacity of the service.
With an annual budget of one billion pounds this is a particularly exciting time to be joining Greater Glasgow’s Health Service. Over the next 5 years there is planned investment of more than £750 million, this is the largest single investment programme in the history of Scotland’s NHS – giving the North and South Hospitals accommodation for 21st Century health care.
Emergency Care and Medical Services
The specialties included in this Directorate are:
Accident and Emergency services
Acute Medicine
Cardiology
Respiratory Medicine
Renal Medicine
Gastroenterology
Diabetes
Infectious Diseases
Rheumatology
Dermatology
This Directorate also includes the out-of-hours GP service (GEMS). EmergencyMedicine is managed by general managers on a sector basis with a lead strategic role for a citywide specialty.
At present, adult Accident and Emergency services are provided at the Western Infirmary, Glasgow Royal Infirmary, the Victoria Infirmary and the Southern General Hospital.
Valuing our staff
The Division is committed to extending training and development opportunities to all staff and is actively developing multi-disciplinary training, extending the role of on-line 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 counseling services
A central Glasgow location, with close access to motorway, rail and airport links
On-site library services
Subsidised staff restaurant facilities on each site
Access to NHS staff benefits/staff discounts
Easy access to city centre shopping facilities
Access to discounted First Bus Travel
Active health promotion activities
Bike User Group
Good Public Transport links
Commitment to staff education and life-long learning/development opportunities
Excellent student support
The Western Infirmary
The Western Infirmary is a major teaching hospital with a wide range of specialist services on site including Intensive Care, Coronary Care, Acute Medicine, Surgery, Orthopaedics, Regional Vascular Services and Specialist Renal Services. The Regional Burns Unit is located at Glasgow Royal Infirmary, Maxillofacial and Neurosurgery are located at the Southern General Hospital site. Interventional Cardiology is located at the GoldenJubileeHospital in Clydebank.
Description of the Department
The Emergency Department at the Western Infirmary is located on the ground floor of the “Phase 1” tower block building on the Western site. It serves a catchment population of approximately 250,000 in the West of the city of Glasgow and beyond. Annual attendances have been rising in recent years and currently stand at approximately 62,000 patients per annum. This is essentially an adult department with children (aged <13 years) being managed at the nearby RoyalHospital for Sick Children on the Yorkhill site.
Description of post
Title: Locum Consultant in Emergency Medicine:
Relationships:
Names of Consultants in Emergency Medicine- WIG
Name / BaseDr S Allen / WIG
Dr P Anderson / WIG
Mr P Grant / WIG
Mr S Hepburn / WIG (0.3 EMRS)
Dr S MacGlone / WIG
Dr C McGroarty / WIG
Dr S Perry / WIG
Dr A Roy / WIG
Mr W Tullett / WIG (0.6 ITU)
Dr A Whitelaw / WIG
Numbers and grades of Medical Staff
Grade of DoctorSpecialist Trainees / 3
Specialty Doctors / 2
Clinical Fellows / 3
GP Trainees / 4
FY2 / 5
Duties of the Post
Clinical Commitments
The Emergency Department medical staff are responsible for the immediate assessment and management of all self-referred patients and all patients requiring resuscitation, both GP and self referred. An ENP-led Minor Injury Service has been established and it is planned to extend and develop this further. A Consultant-led soft tissue clinic is also provided.
We operate to ensure a Consultant presence in the department 24/7. The on-call commitment will be approximately 1:5 (Monday-Thursday) and 1:5 weekends.
The main thrust of the Consultants’ clinical activity will be treating patients on the ‘shop floor’ as they present, and supervising/teaching junior medical and nursing staff. The Consultant will also participate in research, audit and other educational activities. It is expected that the successful applicant will participate fully in the managerial aspects of Emergency Medicine Services in the West.
The successful applicant will be expected to support the Lead Consultant in delivering the operational and strategic needs of the service. There will be ample scope for the appointee to further develop the service and this will be encouraged. The postholder will be expected to take leading role in tailoring changing demands upon the service within national targets. In particular, assisting in working to achieve the National Unscheduled Care Waiting Time Target determined by the Scottish Executive. The appointeewill have a strategic presence in the Emergency Department and will be expected to establish and maintain good working relationships with their Consultant colleagues in the Receiving Teams.
Administration
The Consultant will undertake the administrative duties associated with the care of his/her patients and the running of his/her clinical department.In addition, the general administration workload of the directorate is divided between all consultants under the direction of the Lead Clinician and Clinical Director. This includes participation in committees and working groups convened by the Division, health board and other bodies as required.
In addition to the duties mentioned above, duties at other hospitals administered by the Board may be necessary.
Job Plan
Detail of job plan to be agreed with Clinical Director.
Main Conditions of Service
Suitable applicants must be within 6 months of the completion date of their higher professional training in the specialty of Emergency Medicine and should hold the FCEM qualification at date of commencement of post.
Or
Applicants 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 6 months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training.
In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence, the Division does not require you to subscribe to a Medical Defence Organisation. Divisional indemnity will cover only Divisional responsibilities. It may, however, be in your interests to subscribe to a defence body in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.
Enquiries and arrangements to visit Department
Enquiries and further information can be obtained from Mr P Grant, Lead Consultant Emergency medicine West sector and Consultant in Emergency Medicine Western Infirmary (Tel: 0141 211 2651).
JOB PLAN
Specialty: EMERGENCY MEDICINE
Principal Place of Work: Western Infirmary
Contract: Full Time10 programmed activities: DCC’s 9 SPA’s: 1
Availability Supplement: Level 1 (5%)
Managerially Accountable to: Clinical Director, City-wide Emergency Medicine
Sample Weekly Rota: [on call frequency ~ 1:7.5]
These new appointments will require some overnight working within the department .
A sample weekly job plan is shown below butobviously will vary on a weekly basis. Such variations including night-shift working will be fully discussed and mutually agreed with the Clinical Director, and separately remunerated.
Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday9am-5pm
4pm-11pm
1pm-5pm / SPA / 12md-8pm
9am-6pm / 9am-6pm
On-call / On call / On-call / On-call
Teaching
There are regular blocks of medical students attached to the department. There is regular medical undergraduate and postgraduate education and supervisory activities, in all of which the Consultant will be expected to fully participate.
Administration
The Consultant will undertake the administrative duties associated with the care of his/her patients and the running of his/her clinical department.
Research
The successful candidate will be encouraged to further develop an active research interest.
Audit
The successful candidate will be expected to contribute to the clinical audit programme.
PERSON SPECIFICATION
Job Title:- Consultant in Emergency Medicine
Department: - Emergency Department
Qualifications / Essential () / Desirable ()Full GMC registration and a licence to practise / √
Evidence of higher specialist training leading to CCT or CESR or be within 6 months of confirmed entry from date of interview. / √
Experience / Essential () / Desirable ()
Previous NHS Experience OR Previous Healthcare experience in Emergency Department / √
Behavioural Competencies / Essential () / Desirable ()
Good verbal and written communication skills / √
Ability to work as part of a team / √
Dependable / √
Compassionate / √
Other / Essential () / Desirable ()
Good time keeper / √
Flexible approach to cope with variation in needs of the post
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 / PermanentGRADE AND SALARY / Consultant
£76,001 £ 102,456 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