COnsultant physician with an interest Rheumatology
Clyde sector
INFORMATION PACK
REF: 46653D
cLOSING daTE: 21ST april 2017
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: consultant physician with an interest in Rheumatology(Part-time (0.6 WTE)
Base: clyde sector
This post of ConsultantPhysician with an interest in Rheumatology will be based at the Royal Alexandra Hospital (RAH) Paisley (5 miles from the bustling West End of Glasgow) and will also be required to contribute to the Rheumatology Service at Inverclyde Royal Hospital, Greenock. The successful candidate will integrate into a team, currently comprising 5 Consultant, 1 SAS and 5 Specialist Nurses (with an additional10.0 WTE vacancy also advertised).This post will offer a real opportunity for the successful candidate to be involved in the development of a high performing, modern Consultant-led service for a population of around 400,000. The Hospitals within Clyde are part of a continual review of Acute Services aimed at maintaining and further developing high quality clinical care. Candidates are strongly encouraged to contact and visit the teams within Clyde, as listed below, in order to further explore the excellent opportunities available in more detail.
Applicants should have full GMC registration, a license to practice, MRCP or equivalent and eligibility for inclusion on the 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 date of interview. Non-UK applicants must demonstrate equivalent training.
NHS Greater Glasgow & Clyde
Emergency Care and Medical Services –Clyde Sector
ConsultantPhysician with an interest in Rheumatology
1.General Information
The Royal Alexandra Hospital (RAH) is situated in Paisley and provides acute health care services to Renfrew District (population approximately 205,000). The Hospital is a 968 bed, modern District General Hospital (DGH) which opened in 1986 and is one of the largest and busiest teaching DGHs in Scotland. In addition, the hospital is currently the base for the provision of Surgical, Orthopaedic, Ophthalmology, Paediatric and the majority of maternity services to the population north of the Clyde served by the Vale of Leven Hospital.
The hospital provides a wide range of DistrictGeneralHospital specialties with excellent support facilities. The hospital has a first class, modern Radiology Department and services. All departments participate in undergraduate teaching and there is an active postgraduate educational programme. The hospital enjoys an enviable reputation for undergraduate teaching and is highly popular with training grades. There is also a good medical library service.
Inverclyde Royal Hospital is a modern District General Hospital in Greenock, and serves the Inverclyde District (Greenock, Gourock, Port Glasgow and Kilmacolm), parts of North Ayrshire, The Isle of Bute and the Cowal Peninsula, a total population of approximately 120,000 comprising both urban and rural populations. The hospital was opened in 1979 and currently has 342 beds.
All major specialties are represented within the hospital, with a 90-bedded Geriatric Unit and an 8 bedded Physically Disabled Rehabilitation Unit. There is a dedicated hospital wide academic programme supported by a strong departmental educational commitment. The hospital is well provided with a dedicated education centre and IT support. The hospital has an excellent reputation in supporting and nurturing its junior staff and has an excellent reputation for post graduate training.
2.The Medical Unit
The Medical Unit at the Royal Alexandra Hospital has 209 beds.This includes a 12 bedded Coronary Care Unitand a Chest Pain Unit, a 30 bedded Medical Receiving Ward and 18 bedded Medical Assessment Unit with evolving ambulatory care pathways.
The medical unit provides an acute service in General Medicine with clinics in General Medicine, Diabetes and Endocrinology, Gastroenterology, Cardiology, Asthma, Respiratory Medicine, Rheumatology and Haematology.
The Medical Unit at Inverclyde Royal consists of an Acute Medical Receiving Unit and three general medical wards totaling 116 beds and an 11 bedded Coronary Care Unit. The Medical Unit provides an Acute Service in General Medicine with clinics in General Medicine, Diabetes & Endocrinology, Cardiology, Rheumatology and Respiratory Medicine in addition to Gastroenterology.
3.Consultant Staffing
Based at RAH there are currently 30 Consultant Physicians with special interests as detailed below:
Dr Iain FindlayCardiology
Dr Stuart HoodCardiology
Dr Clare MurphyCardiology
Dr Eileen PeatCardiology
Dr Alastair Cormack Cardiology
Dr Keith Robertson Cardiology
Prof Martin McIntyre Diabetes and Endocrinology
Dr Clare HarrowDiabetes and Endocrinology
Dr Neil McGowanDiabetes and Endocrinology
Dr Chris SmithDiabetes and Endocrinology
Dr Graham Naismith Gastroenterology
Dr James McPeake Gastroenterology
Dr Riz HamidGastroenterology
Dr Mathis HeydtmannGastroenterology
Dr Selina LamontGastroenterology
Dr Zia Mustafa Gastroenterology
Dr Laura Clark Gastroenterology
Dr Beth ReedGastroenterology
Dr Lindsey McClure Respiratory Medicine
Dr Jane GravilRespiratory Medicine
Dr Douglas Grieve Respiratory Medicine
Dr Yi LingRespiratory Medicine
Dr Matthew Embley Respiratory Medicine
Dr Iain KeithAcute Care Physician
Dr Chris FosterAcute Care Physician
Dr Gautam RayAcute Care Physician
Dr Hannah Simpson Acute Care Physician
Dr Abigail GunnAcute Care/Stroke Physician
Dr Martin Perry Rheumatology
Vacant PostRheumatology
This PostRheumatology
Based at IRH there are currently 13 consultants with specialty interests as detailed below:
. Dr Andrew McCullochCardiology
Dr Helen PapaconstantinouCardiology
Dr Omar Hasan Cardiology
Dr Christopher JonesDiabetes and Endocrinology
Dr Mohammed Azharuddin Diabetes and Endocrinology
Dr Louise Osborne Diabetes and Endocrinology
Dr Mohammed Hamed (Locum)Gastroenterology
Dr Abdalla Hassan (Locum) Gastroenterology
Dr Lisa HuttonRheumatology
Dr Laura ConnellRheumatology
Dr Nma CampbellRheumatology
Dr Gillian RobertsRheumatology
Dr Dave SharmaRespiratory
Vacant PostRespiratory
Stroke Service – RAH and IRH
Dr Julie McManus
Dr Felicity Boyce
Dr Sajid Farid
Dr Javed Akhter
Dr Abigail Gunn
4.0 Junior Staff
Junior staff are provided by Scotland Deanery, West Region training programmes, across all grades and a combination of staff grade doctors and clinical fellows.
RAH Middle Grade Doctors 29
RAH Foundation 1 and 2 doctors 27
IRH Middle Grade Doctors 15
IRH Foundation Doctors 17
Junior Doctors out-of-hours
A Hospital at Night service started at the RAH and IRH in August 2006. This is part of ongoing work addressing the impact of modernising Medical Careers and implementing plans to support the delivery of high quality sustainable services.
There are Specialist Nurses in all specialties including Acute Medicine, Diabetes, Respiratory Medicine, Cardiac Rehabilitation, Cardiac Failure, Haemato-Oncology, DVT and Chest Pain management, Inflammatory Bowel Disease and Stroke across Clyde. More specifically for this post is a group of Rheumatology and Osteoporosis nurse specialists.
5. Acute Medical Services
The team of Acute Medical Consultant Physicians at the RoyalAlexandraHospitaland InverclydeRoyalHospital have responsibility for acute medical services.
5.1Medical Assessment and Acute Receiving
GP referred medical patients are triaged from the Emergency Department to the Medical Assessment Unit at Royal Alexandra Hospital Monday to Sunday 8 am to 10pm. All patients are reviewed by a senior doctor and approximately 50% of patients are subsequently discharged home. Patients requiring admission can be admitted to the relevant specialty bed direct from MAU. A re-design of front door assessment is currently underway on the RAH site in order to provide early specialist review and to support ambulatory pathways of care. The post holder will be expected to participate in medical receiving on a 1:24 weekday and 1:8 weekend basis for Royal Alexandra Hospital and the Vale of Leven Hospital and provide continuing care for patients in the Royal Alexandra Hospital.
Acute medical admissions are admitted to the Acute Medical Unit (ward 2) at the RAH, which is staffed by one of the Consultants on a rotating ‘Physician of the Week’ basis Monday morning to Friday lunchtime and an Acute Care Physician. Patients are then triaged to the appropriate specialty wards if not for early discharge. Separate rotas are in place to cover weekend acute and continuing care.
Acute Receiving at Inverclyde Royal is based on a seven day, 24 hour rolling pattern with Consultant presence supported by junior and middle grade staff and Advanced Nurse Practitioners. The Medical Receiving Unit accepts direct GP and ED referrals and is supported by junior and middle grade medical staff and, more recently,dedicated Advanced Nurse Practitioners. The Inverclyde Hospital Site has consistently met the 4 hour waiting time standard over the last year and is looking to develop ambulatory care pathways of care. This post is not expected to contribute to the IRH Acute Receiving rota.
5.2Rheumatology
This post will join an existing team of 5 Consultant Rheumatologists in Clyde. The post is for a General Physician with an interest in Rheumatology based in the Royal Alexandra Hospital in Paisley with clinical activiy in other Clyde sites. There will also be a requirement to participate in providing a Rheumatology Service to patients in Stornoway which will equate to 1.5 sessions every 4 weeks (including travel time). The rheumatology department runs general and subspecialty interest clinics and has excellent ultrasound equipment. The interests of the applicants will be taken into account when discussing the final job plan. An interest in ultrasound or spondyloarthropathy would be viewed favourably.
5.3Coronary Care Unit
Patients with acute myocardial infarction, acute coronary syndromes, arrhythmias or congestive cardiac failure at the RAH are admitted to the 12 bedded Coronary Care Unit, staffed during the day by one of the Consultant Cardiologists on a rotational basis, supported by junior medical staff from the cardiology ward. IRH has an 11 bedded unit staffed during the day by Consultant Cardiology staff supported by middle grade trainees.
5.4 Medical High Dependency Unit (HDU)
The RAH has three medical HDU beds at present within the combined 12 bedded HDU, with scope to increase to four medical HDU beds if required. IRH has a combined HDU of 4 beds.
5.5Medicine for the Elderly Service
Medicine for the Elderly is a distinct service within Clyde sector, but many of its activities with adult medicine are combined. In particular, out-of-hours cover is provided by juniors from Medicine for the Elderly and adult medicine and both departments share educational meetings.
The Medicine for the Elderly Consultants visit the Acute Receiving Ward at the RAH on a daily basis and arrange transfer to the Medicine for the Elderly Unit of those appropriate patients. A 12-bedded Older Adult Assessment Unit is run by Medicine for the Elderly taking direct admissions from the Emergency Department and transfer of suitable patients from the AMU. Ward 4 is the Acute Stroke Unit and takes all age groups with direct admission pathways from ED. The Consultant staff at IRH are part of the Acute Receiving rota and also support the unit daily with the assistance of advanced nurse practitioners.
6.0Management Arrangements
The post will be hosted within the Emergency Care and Medical Services Directorate – Clyde Sector, which consists of Emergency Medicine and General Medicine. The consultant appointed will be expected to participate fully in the work of the Directorate.
The Clinical Director for Medicine across Clyde is Dr Lisa Hutton based at IRH/RAH. There are three Lead Clinicians for Medicine across Clyde: Dr Jane Gravil at RAH, Dr Martin Perry at VOL and Dr Louise Osbourne at InverclydeRoyalHospital.
The General Manager for Medicine in Clyde is Jacqueline Nicol, supported by Debbie Hardie, Clinical Service Manager. They are supported by Lead Nurses and a Service Support Manager.
Summary of the Post
The appointee will provide Consultant leadership as part of an established senior medical team in both Rheumatology and Medical services across the Clyde sector.
8.1Duties of the Post
Inpatient: Rheumatology/General Physician based at RAH.
Outpatient: Clyde (RAH, IRH, VOL for discussion), based at RoyalAlexandraHospital. Western Isles (Stornoway).
Suggested job plan
The job plan will be tailored to the successful candidate’s interests and the following should only be taken as guidance. The appointee may be required to support clinical activity elsewhere across Greater Glasgow and Clyde.
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.The precise allocation of SPA time and associate objectives will be agreed with the successful applicant and will be reviewed at annual job planning.
RAH colleagues currently require 0.6 SPA for educational supervision and undergraduate MSK teaching but additional SPA time but depend on the roles a new appointee would undertake.
Duty /PAs
Outpatient ActivitySPA / 5
1
TOTAL / 6
Cover for study leave, holidays will be provided from within existing consultants. An additional week of annual leave (7 weeks total) is provided as time in lieu of weekday evening oncall activity.
8.2On call duties
The out of hours duties will take place at RAH. Currently 24 consultants contribute to the oncall rota. The receiving Consultant is at RAH on site until 9pm on weekdays and depending on shift 5-6pm at weekends before providing oncall, overnight to RAH and VOL sites.
8.3Support staff
There is secretarial support for consultant appointments.
9.Postgraduate and Undergraduate Training
The Directorate has an established postgraduate programme which includes a weekly unit meeting, monthly journal club and SHO tutorial sessions. There are weekly hospital postgraduate meetings during term time. Mr Andrew Renwick is the Postgraduate Tutor at RAH and Dr Manfred Staber at IRH.
The Medical Units teach a number of medical students from GlasgowUniversity. As part of the new curriculum teaching of years one to five is becoming established.
10.Further information
Candidates are strongly urged to make contact for further information and to arrange a visit to the department:
Please contact:
Dr Chris JonesChief of Medicine, Clyde Acute Hospitals, (0141314 7421)
Dr Lisa HuttonClinical Director, Clyde Medicine, (Secretary 01475504771)
Dr Martin PerryLead Consultant, Vale of Leven Hospital (0141 314 9582)
PERSON SPECIFICATION
ESSENTIAL / DESIRABLEQUALIFICATIONS / Applicants should have full GMC registration, a licence to practise, MRCP or equivalent and eligibility for inclusion on the 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 date of Interview. Non-UK applicants must demonstrate equivalent training.
CLINICAL EXPERIENCE / Clinical training and experience equivalent
to that required for gaining UK CCT in
General Internal Medicine or
Internal Medicine and Rheumatology.
Ability to offer expert clinical opinion on a
range of problems.
Ability to take full and independent responsibility for clinical care of patients / Sub-specialty interest.
MANAGEMENT AND ADMINISTRATIVE EXPERIENCE / Ability to advise on the efficient and smooth running of the service.
Ability to organise and manage ward patients and outpatient priorities.
Experience of audit management.
Ability and willingness to work within NHS GG&C and NHS Scotland performance framework and access targets. / Attendance at management course for clinicians.
TEACHING EXPERIENCE / Experience of supervising medical trainees.
Ability to teach clinical skills. / Experience of MMC assessment tools.
OTHER ATTRIBUTES / Ability to work in a team.
Good interpersonal skills.
Caring attitude to patients.
Ability to communicate effectively with patients, relatives, GPs, nursing staff and other relevant parties.
Commitment to the requirements of clinical governance.
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
£78,304 £ 105,570 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 / Part-time 24 hrs (6PA's)
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:www.sppa.gov.uk
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