consultant radiologist with An interest in abdominopelvic radiology

south sector

Information pack

reF: 42459D

Closing Date: noon 1st JUNE 2016

SUMMARY INFORMATION

Post: consultant radiologist with interest in abdominopelvic radiology

Base:south sector

NHS Greater Glasgow and Clyde is the largest National Health Service provider in Scotland with an annual operating budget of just under £2 billion. In recent years, NHSGGC has invested £15 million in new facilities and equipment, specifically in the areas of CT, MRI, Ultrasound, Digital Mammography, PET CT / SPECT, Angiography and General Digital Imaging.

The South Sector now includes the largest hospital in Scotland.

We are looking for a highly skilled Radiologist with special interest in abdominopelvic, gastrointestinal and/or gynaecological radiology to join a team of consultant diagnostic radiologists within the South Sector to further support and develop services.

Applicants are invited to apply for the above post:

Applicants must have full registration with the General Medical Council 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 be within six months of confirmed entry from the date of interview. Non UK applicants must demonstrate equivalent training

DIAGNOSTICS DIRECTORATE

INFORMATION PACK

FOR THE POST OF

CONSULTANT RADIOLOGIST

NHS GREATER GLASGOW AND CLYDE

WITH AN INTEREST IN ABDOMINOPELVIC RADIOLOGY

BASED WITHIN THE SOUTH SECTOR

1.Glasgow – A Fantastic Place to Live and Work

Glasgow has a wealth of attractions including some of the UK's finest Victorian architecture, internationally acclaimed museums, galleries and cultural venues all thriving in a unique cosmopolitan atmosphere. The renaissance of Glasgow over the last decade is an urban success story to which many major UK and European cities aspire.

Glasgow is now one of Europe's top cultural capitals with a complete all year calendar of festivals and events. Glaswegians and visitors alike enjoy widely acclaimed bars and first class restaurants nestling within the best commercial shopping district outside London. All of this is located within a stone's throw of some of the country's finest parks and gardens.

Glasgow is the gateway to Scotland's most spectacular scenery, with Loch Lomond and the Trossachs only 40 minutes away. Glasgow is at the core of road and national rail networks. It boasts the second largest suburban rail network in the United Kingdom. GlasgowInternationalAirport is just 10 miles from the Glasgow Royal Infirmary with 16 flights per day to London and direct international flights to many European destinations, Vancouver, Philadelphia, New York and Dubai.

2.The Hospital Modernisation Programme - The Services of Tomorrow

A massive re-organisation of NHSGGC has recently been completed. As such, the Diagnostics Directorate took responsibility for all Diagnostic services in February 2006. The re-organisation was essential to align the organisational structure with the Acute Services Review (ASR) recommendations and support the Hospital Modernisation Programme. This is transforming healthcare provision locally, regionally and nationally. More than seven hundred million pounds of investment underpins an ambitious building programme, designed to deliver world class and integrated care from the following major acute sector units:

·New Cancer Centre, PET CT Imaging Centre, on the General hospital campus at Gartnavel, opened in 2007.

·Development of a single dedicated Regional Cardiothoracic Centre at Golden Jubilee Hospital, completed 2008.

·Ambulatory Care, Diagnostic and Treatment Centres at the Stobhill and Victoria sites, opened June 2009.

·New Queen Elizabeth University Hospital (QEUH) with co-location of Maternity, Children’s and AdultHospital services. Regional Neurosciences and Maxillofacial Centres are also on site, opened 2015.

·Re-development of Glasgow Royal Infirmary into the second major acute hospital from 2015.

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 same day basis. These include outpatient 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 a streamlined and rapid process of care.

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 early 20th century buildings. The purpose-designed facilities will enable the one-stop/rapid diagnosis and treatment models required for the future. State of the art IT services and PACS currently allow patients’ images and diagnostic results to be available throughout the city and beyond, regardless of which hospital site is providing services. Concentration of inpatient facilities into fewer sites across the city will satisfy the requirements of junior doctor’s 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.

3.Greater Glasgow & Clyde Acute Services Division

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 provides services from 8 hospital sites with a workforce of 27,500 and an annual budget of £1.2billion.

3.4.Diagnostics Directorate

The Diagnostics Directorate has responsibility for all Laboratory services, Clinical Physics, Medical Photography, Bio engineering and Diagnostic Imaging. Diagnostic Imaging includes Clinical Radiology, Nuclear Medicine and Regional imaging services (Neuroradiology, Paediatric Radiology, Oncological Imaging/PET CT, Breast Screening and Dental Radiology).

5.Diagnostic Imaging

Adult acute Radiology services are organised on a sector basis with Clinical Leads covering each sector (North East, South, and Clyde). Clinical Leads for Neuroradiology, PET CT, Paediatric Radiology, Adult Interventional and Breast Screening services are also in post. Clinical Leads report to the Clinical Director (DrRoss MacDuff) and General Manager (Lynn Ross). There are also two Deputy CD’s – Dr Andrew Watt and Dr Marzi Davies.

North-East Sector Lead

(Glasgow Royal Infirmary and Stobhill ACH)Dr. Richard McDonald

South Sector Lead

(Gartnavel General, (QEUH) and Victoria Infirmary)Dr. Andrew Downie

Clyde Sector

(Royal Alexandra and Inverclyde Dr. Shalini Datta

RoyalHospital and Vale of Leven

Hospital)

Paediatric Radiology Lead

(RoyalHospital for Children) Dr. Ruth Allen

Breast Screening Lead

(Breast Screening Unit)Dr. Hilary Dobson

PET CT Lead

(Greater Glasgow & Clyde)Dr. Sai Han

Interventional LeadDr Ram Kasthuri

The NHSGG Strategic Review of Imaging Services aligns the future configuration of imaging with the over-arching NHSGG Hospital Modernisation Programme. Imaging support for acute/unscheduled care activity is a clinical governance priority. The key strategic aim of the Directorate is improve the quality of care provided to patients on the basis of clinical need by consolidating acute/emergency imaging support on a 24/7, 365 day basis and by complying with emergency, cancer related and scheduled care National waiting times targets. The Directorate is committed to seven day working and extending the working day.

The NHSGG out of hours imaging model for the adult acute service includes robust vascular/interventional on-call cover city wide and a centralised diagnostic on call service based at the Royal Infirmary covering all Glasgow and Clyde acute sites.

Consultant Radiologist “out of hours” activity will be incorporated into job plans as a mix of evening/overnight “on-call” cover, weekend daytime activity and weekend daytime “on-call” cover Thus within a framework of recognised contractual hours, there is likely to be a future change in the current working practice of routine 9 to 5pm, five days a week working, to one in which extended working days, and weekend working will become the norm.

Diagnostic consultants in the South Sector provide additional out of hours support for acute care, based in QEUH, with an extended working day 5pm-8pm weeknights, and three overlapping 8 hour shifts Saturday, Sunday and Bank Holidays, providing cover 9am-8pm on these days, in addition to overnight on call from home. This is compensated for by either a sessional allowance in the job plan, or additional annualised leave allowance.

6.Education & Training

Close links to the University of Glasgow ensure significant engagement in undergraduate and postgraduate clinical teaching.

The NHSGGC Imaging Directorate is the major clinical sponsor for the West of Scotland Radiology Postgraduate Training Scheme and around 40 Specialist Registrars currently rotate through the Glasgow departments.

The Glasgow Caledonian Course in Diagnostic Ultrasound is accredited to Masters Level and trainee Sonographers are educated and mentored locally.

7.Research & University Links

NHS Greater Glasgow & Clyde has excellent working relationships with the University of Glasgow and linked clinical / academic departments. Glasgow has a very strong academic and research base, with an excellent teaching reputation. There are libraries and lecture suites at all the hospital sites, and a new joint university & NHS Teaching & Learning Centre on the QEUH site,

The successful candidate will be encouraged to develop his/her expertise and to undertake high quality audit and research activity. Strong collaborations exist between the various research groups of the Division. Successful candidates may be offered honorary status with the University.

The diagnostic directorate is currently engaged in developing even stronger links with the university to specifically support imaging based research and provide imaging support to major national and international trials.

8.Valuing our Staff

NHS Greater Glasgow & Clyde is committed to extending training and development opportunities to all staff and is actively developing multi-disciplinary training, extending the role of on-line E-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 counselling services

·A central Glasgow location, with close access to motorway, rail and airport links.

·On-site library services

·Subsidised staff restaurant facilities

·Access to NHS staff benefits/staff discounts

·Active health promotion activities

·Bike User Group (National Cycle Scheme) & Cycle to Work Scheme

·Good Public Transport links

·Commitment to staff education and life-long learning/development opportunities

·Excellent student support

·Access to NHS Pension scheme

9.The Imaging Departments

General Information

An HSS RIS system covers all Glasgow and Clyde departments. Glasgow is the lead site for the Scottish National PACS implementation and completed National acceptance testing in January 2007, triggering the Glasgow wide roll out which was completed in mid 2008.

Voice recognition technology has also been introduced at all Glasgow and Clyde hospital sites along with upgrades to the RIS/PACS systems. The Trak-Care PAS operates across GG&C and electronic requesting with “Order” Comms is in operation across all sites. GP electronic requesting is planned for future development.

The QEUH has excellent wireless facilities, and consultants are supplied with NHS laptops, which facilitate mobile on and off site working.

All acute adult and paediatric hospitals and the ambulatory care hospitals have provision of modern mulltislice CT and 1.5T MRI systems. In addition, a 3T magnet is available at the regional neurosciences unit on the Southern campus.

A Regional PET CT Centre, with two modern PET-CT scanners, has been developed adjacent to the New Cancer Centre.

Dedicated vascular/interventional facilities are available at Gartnavel, Glasgow Royal Infirmary, QueenElizabethUniversityHospital, and in Neuroradiology/INS.

Total imaging examination numbers for Glasgow approach over one million per annum (excluding Obstetric US and Cardiology). The annual incidence of cancer for the Glasgow area is in the order of 7,000 cases. Regional services cover up to half the population of Scotland, potentially doubling the caseload for some patient pathways.

The Diagnostics Directorate currently employs around 117 individual Consultant Radiologists across Glasgow:

North East Sector23 (including vacancy)

South Sector45 (including vacancy)

Neuroradiology 10

Paediatric Radiology 9

Breast Screening 7

DentalHospital 2 (including vacancy)

Clyde 21 (Including vacancy)

Around 40 Specialist Registrars rotate through the West of Scotland Training Scheme.

South Sector

The opening of the new QueenElizabethUniversityHospital, linked to the Institute of Neurological Sciences, the new Royal Children’s Hospital and the redeveloped MaternityHospital is at the core of the NHSGGC Modernisation Programme.

The South Glasgow campus is the largest acute hospital site in Scotland providing inpatient services for the population of South Glasgow and well as some city wide services including vascular, renal and regional services.

The QEUH adult department has four CT scanners and two MRI scanners, in addition to US, fluoroscopy, plain film radiography and Nuclear Medicine facilities. The adjacent Royal Children’s Hospital has its own CT and MR scanners. The site also includes two back-to-back interventional laboratories, a paediatric interventional suite, and two hybrid operating theatres with full imaging capabilities. There is further imaging provision at the Neurosciences Institute.

The site includes office space, a library and teaching space, and seminar rooms equipped with dual screen projection facilities and videoconferencing.

The main clinical campus for GlasgowUniversity and the laboratory services for Glasgowhave also relocated to the South Glasgow campus and substantial investment in research and education facilities is underway.

The New Victoria Hospital, an ambulatory care facility, opened in June 2009 and provides modern facilities for diagnostic procedures, day surgery and ‘walking wounded’ casualty services.

Facilities within the NewVictoriaHospital include a 64 slice CT Toshiba scanner, 3 ultrasound rooms with dedicated breast ultrasound and elastography and liver imaging software, a Siemens digital stereotactic and digital breast mammography unit and a multipurpose fluoroscopy unit. A 1.5T Philips MR scanner (upgradeable to 3T) with whole body imaging, a full range of phased array multichannel surface coils and a breast coil with biopsy capability will be available. There is full RIS/PACS integration. Further floor space allows for expansion of CT, MR and other services/equipment. Departmental library and seminar rooms are available for MDTs and teaching, in addition to shared Consultant office facilities.

The Gartnavel site provides outpatient and non acute inpatient care, including the Infectious Diseases Unit, the Ophthalmology service and ENT. Specialist inpatient breast services are expected to be sited at Gartnavel in the long term. The radiology department includes CT, MR, US, fluoroscopy and an interventional laboratory.

The new Beatson Cancer Centre opened in 2008 at the Gartnavel campus, and includes further imaging facilities including PETCT. Details can be found on the website

North East Sector

Glasgow Royal Infirmary is a large teaching hospital serving a local population of approximately 400,000, and providing supra-regional and national tertiary referral services, including Plastic Surgery, Upper Gastrointestinal Surgery, the Hepatobiliary and Pancreatic service and the Centre for Rheumatic Disease. It is one of two major acute sites being developed within the city.

Outpatient Imaging services are co-ordinated between the Royal Infirmary and the satellite Ambulatory Care Hospital (ACH) three miles North at Stobhill. This opened in May 2009 and provides modern facilities for diagnostic procedures, day surgery, renal dialysis and ‘walking wounded’ minor injuries services.

Clyde Sector

Consultant Radiology provision within this Sector has been organised and modernised to support the future imaging requirements for the population of this region which is 400,000.

A single area wide amalgamated and enlarged radiology team provides radiology services to each of the Sector hospital sites namely: the RoyalAlexandraHospital, Paisley, InverclydeRoyalHospital, Greenock and the Vale of Leven District General Hospital, Alexandria.

10.The Job Itself

Consultant Radiologist with an interest in Abdominopelvic Imaging

This will be based within the South Sector

The job is a new post to take account of the clinical demands and expansion of the services. It is advertised as a full time position although candidates who require to work part-time will be considered.

The Job Plan is negotiable and will be agreed between the successful applicant, and the Clinical Director. Initially consultant posts are allocated 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core SPA for CPD, audit, clinical governance, appraisal, revalidation job planning, internal routine communication and management meetings. As a major teaching and research contributor, Imaging would normally expect to allocate additional SPA time for activities to do with undergraduate education, educational supervision of trainee medical staff, research and other activities. Precise allocation of SPA time and associated objectives will be agreed with the successful applicant and will be reviewed at annual job planning.

The candidate will be expected to contribute strongly to the general work of the department, in particular the acute service. He/she will be proficient in all forms of general diagnostic imaging.

A sub-specialist interest in abdominopelvic and gastrointestinal imaging is required to complement the existing contributing radiologists. An interest in gynaecological imaging would also be beneficial. Interventional (non-vascular) skills, including image guided drainage and biopsy are a basic requirement. There may be a need to support radiologists currently providing services to gastrointestinal and/or gynaecological MDTs.