consultant physician in rheumatology and general medicine
glasgow royal infirmary/stobhill hospital
Information pack
reF: 25011d
Closing Date: 27TH APRIL 2012
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
Post: consultant physician in rheumatology and general medicine
Base: glasgow royal infirmary/stobhill hospital
You are invited to apply for a new post of Consultant in Rheumatology and General Medicine at Glasgow Royal Infirmary. This is a new post that has been created due to clinical need that has arisen due to on-going waiting list pressures, the recent retirement of Prof Roger Sturrock, and the promotion of Prof Iain McInnes to Director of the Institute of Infection, Immunity and Inflammation, University of Glasgow.
The successful candidate will be expected to provide a full range of consultant services as agreed with colleagues and management, including out-patient and in-patient work. Out-patient work will be undertaken at Glasgow Royal Infirmary and Stobhill Ambulatory Care Hospital, and will include two new patient clinics and two return clinics. The appointee will also contribute to acute medical receiving, the consultant on-call rota and to downstream ward cover at weekends.
Glasgow Royal Infirmary is close to the centre of the city, with excellent transport links and easy access to the countryside. It is a principal teaching hospital for the University of Glasgow.
Applicants should possess 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. Non UK applicants must demonstrate equivalent training.
NHS GREATER GLASGOW AND CLYDE
GLASGOW ROYAL INFIRMARY
CONSULTANT PHYSICIAN
RHEUMATOLOGY AND GENERAL MEDICINE
REF: 25011D
BACKGROUND INFORMATION
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 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.
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), New Stobhill Hospital, Lightburn Hospital, Glasgow Dental Hospital and School, Western Infirmary, Gartnavel General Hospital, Drumchapel Hospital, and Blawarthill Hospital. Three hospitals are situated in the south side of the city: Southern General Hospital, Victoria Infirmary and Dykebar Hospital. The acute Hospitals sites in Clyde are the Royal Alexandra Hospital, Inverclyde Hospital and the Vale of Leven Hospital. The Golden Jubilee National Hospital (GJNH) in Clydebank is the setting for the new 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 also provided at Glasgow Royal Infirmary and the new ambulatory care hospital at Stobhill Hospital. The Service in North Glasgow presently employs more than 14,300 staff serving a core catchment population of 560,000.
Glasgow Royal Infirmary
Glasgow Royal Infirmary (GRI) 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 inpatients beds in general medicine, medicine for the elderly, general surgery, orthopaedics, plastic surgery and obstetrics and gynaecology. There are also beds in intensive care, high dependency, and coronary care. Following the closure of Stobhill hospital at the end of March 2011 all medical beds, with the exception of some long-stay care of the elderly beds, are on the GRI site.
GRI is well equipped for undergraduate and postgraduate teaching. There are academic units in Anaesthetics, Cardiology, Human Nutrition, Medicine, Surgery, and Obstetrics and Gynaecology.
At GRI medical emergencies are admitted through an Acute Assessment Unit (AAU) or through Accident & Emergency (A&E) 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. patient with GI bleed to gastroenterology area. 4 consultant physicians take part in acute receiving each day in the AMU with morning and evening ward rounds. There is a 40 bedded cardiology ward (ward 43) with 20 acute cardiology beds and a coronary care unit (CCU). Those needing admission for a primary cardiological problem go from AAU or A&E to the acute cardiology beds in ward 43 or CCU. The cardiologists also provide a daily consult service to patients needing review but in the AMU.
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 (non acute cardiology bed in ward 43 for cardiological problem). These ‘downstream’ medical wards are split into specialty units. 4 specialty units have primary responsibility to general (internal) medicine, namely, Respiratory Medicine, Rheumatology, Gastroenterology and Diabetes and Endocrinology. Consultants from the department of medicine for the elderly (DOME) contribute to receiving duties, but also have a number of inpatient wards in Glasgow Royal Infirmary with additional beds at Lightburn Hospital and Stobhill Hospital. There is a separate Stroke Ward.
At Glasgow Royal Infirmary medical emergencies are admitted to an acute medical admissions unit and later triaged to general medical, respiratory, gastroenterology or care of the elderly wards. There is a new expanded Acute Medical Receiving Unit with a Medical HDU attached. The acute receiving duties of the successful applicant will be undertaken primarily on ward 53 with additional responsibility for contributing cover to HDU and the Acute Medicine Unit.
Rheumatology
The Rheumatology/General Medical unit is accommodated in four wards (15, 23, 24 and 28) and has capacity for 49 general medical and Rheumatology inpatients. Consultant cover is provided by Drs Madhok, McEntegart, Wilson, Saunders and McCarey. It is envisaged that the successful candidate will contribute one ward round per week.
Rheumatology out-patient care is delivered in the out patient department at Glasgow Royal Infirmary and in the New Stobhill Ambulatory Care Hospital (ACH). There is a dedicated Rheumatology Day Ward at Glasgow Royal Infirmary and a shared day patient facility at the ACH. There is support from ESPs from Nursing and Physiotherapy and there is good provision of Occupational Therapy support.
Medical Staffing
Dr Rajan Madhok Consultant Physician and Rheumatologist
Dr Max Field Reader and Honorary Consultant Rheumatologist
Prof Iain McInnes Professor and Honorary Consultant Rheumatologist
Dr Anne McEntegart Consultant Physician and Rheumatologist
Dr Hilary Wilson Consultant Physician and Rheumatologist
Dr Sarah Saunders Consultant Physician and Rheumatologist
Dr David McCarey Consultant Physician and Rheumatologist
Dr Nicola Alcorn Specialty Doctor in Rheumatology
Junior doctor support is provided by SpR/StR, CMT, GPST, FY2 and FY1 doctors.
Duties of the Post
This is a new consultant post that has been devised due to clinical need that has arisen due to ongoing waiting list pressures, the recent retirement of Prof Roger Sturrock, and the promotion of Prof McInnes to Director of the Institute of Infection, Immunity and Inflammation.
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 wards. The appointee will contribute to acute medical receiving, the consultant on-call rota and to downstream ward cover at the weekends. The pattern and frequency of these duties will be finalised following appointment to the post.
It is envisaged that outpatient work will be undertaken both at GRI and at Stobhill ACH. It is expected that the successful candidate will provide two new patient clinics per week to support the unit in striving to meet the 12 week waiting list target. There will also be a substantial contribution to ensuring the very highest possible standards of chronic disease care to our patients with inflammatory arthritis and connective tissue disorders. The development of a subspecialty interest will be encouraged and supported. In particular, the department has a need to expand its capacity in providing musculoskeletal ultrasound imaging, however other interests could readily be accommodated.
Consultants are expected to participate actively in audit, and initiate and supervise audit projects related to specialty interest. Participation in national audit is encouraged. One SPA session is allocated for audit, appraisal, job planning and professional development. 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 NHS Greater Glasgow and Clyde. The one SPA minimum will reflect activity such as appraisal, personal audit and professional development occurring outside study leave time. Once the candidate has been appointed more SPA time may be agreed for activities such as undergraduate and postgraduate medical training which takes place outside direct clinical care, as well as research and/or management. These activities must be specifically and clearly identified and be agreed with the candidate and desired by the directorate.
Management Arrangements
General (Internal) Medicine and Rheumatology are part of the Emergency Care and Medical Specialties Directorate, NHS Greater Glasgow and Clyde. Mr Grant Archibald is the Director of Emergency Care and Medical Specialties across NHS Greater Glasgow and Clyde, and is supported by Dr David Stewart, Associate Medical Director and Mrs Joyce Brown, Head of Nursing. At Glasgow Royal Infirmary the Clinical Director for Medicine is Prof Miles Fisher, site specific management responsibility for Medicine at Glasgow Royal Infirmary is by Mr Alan Hunter, General Manager Cardiology, NHS Greater Glasgow and Clyde. Dr Duncan Porter is the speciality advisor in Rheumatology, NHS Greater Glasgow and Clyde, and Ms Cath McFarlane is the General Manager, Rheumatology, NHS Greater Glasgow and Clyde.
Proposed Timetable
10 PA (9 DCC, 1 SPA)
Monday / Tuesday / Wednesday / Thursday / FridayAM / Return Clinic
GRI / Ward Round
GRI / Return Clinic
ACH / Admin / Day ward/
X-ray MDT
GRI
Unit medical meeting
PM / SPA / New Patient Clinic
GRI / New Patient Clinic
ACH / Joint injection/ Ultrasound clinic
GRI
There is 1 DCC PA for predictable out of hours working, combining weekend cover and medical receiving duties.
Some flexibility in timing of sessions, taking into account Bank Holidays, prospective cover in colleagues’ absence, and occurrence of receiving ward rounds, will be required.
A job plan, based on the proposed timetable will be finalised after appointment.
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
£ 74,504 - £ 100,446 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 Time 40.00
SUPERANNUATION / You have the option to join the NHS Superannuation Scheme, to participate in the State Earnings Related Pension Scheme or to take out a Personal Pension. Employee’s contributions to the NHS Scheme are Tiered based on your earnings and the employers contribution equates to 13.5 % of salary. Employees in the NHS Scheme are “Contracted-out” of the State Earnings Related Pension Scheme and pay a lower rate of National Insurance contributions. Employees who choose to participate in the State Earnings Related Pension Scheme pay the higher rate of National Insurance contribution. A Stakeholder Pension is also available. A Personal Pension is a private arrangement agreed with the pension provider that will be an organisation such as a Bank, Building Society or Insurance Company.
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 which currently costs £59.00. The cost of the PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and will required to be repaid through a payroll deduction mandate from the successful candidate’s first salary.
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 not 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