StR LOCUM APPOINTMENT FOR TRAINING/Clinical Fellow in acute medicine
royal alexandra hospital
Information pack
reF: 29893d
Closing Date: noon 9th august 2013
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
Post: str lat/clinical fellow in acute medicine
Base: royal alexandra hospital
We have vacancies within the medical units at the Royal Alexandria Hospital. These posts are available from 7 August 2013 until 5 August 2014. We also have one maternity leave post, which is available from October 2013 to 5 August 2014.
It is essential that candidates have appropriate experience in General/Acute Medicine and possession of the MRCP (UK) is desirable.
The applicants will be part of a dynamic acute team with nationally renowned quality improvement programme and will be expected to fully participate in this work. They will also be encouraged and supported to publish / present at local, national and international meetings.
These posts hold educational approval from the Postgraduate Dean. If appointed as a Clinical Fellow this post will not be recognised for Training.
To practice medicine in the UK you need to hold both GMC registration and a license to practice.
NHS GREATER GLASGOW & CLYDE
INFORMATION PACK
FOR THE POST OF
StR Locum appointment for Training /Clinical Fellow
Acute General Medicine
Royal Alexandria Hospital
Index
1. Glasgow – a great place to live and work2. About NHS Greater Glasgow and Clyde
3 NHS Greater Glasgow and Clyde Services
4. Royal Alexandria Hospital, the Post and Work of the department
5. Valuing our Staff
6. Contact Details
1. Glasgow – a great place to live and work
Greater Glasgow and Clyde Valley are one of the world’s most thrilling and beautiful destinations.
There is a wealth of attractions to discover, the UK’s finest Victorian architecture to astound, internationally acclaimed museums and galleries to inspire, as well as Glasgow’s own unique atmosphere to soak up.
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.
The area also stands at the gateway to some of Scotland’s most spectacular scenery, with Loch Lomond and the Trossachs only a short distance away.
What’s more, we are easily accessible by air, rail and road so getting here could not be easier.
2. About NHS Greater Glasgow and Clyde
NHS Greater Glasgow and Clyde is the largest provider of healthcare in Scotland and one of the largest in the UK.
NHS Greater Glasgow and Clyde’s core purposes are to assess the state of health of the people of Greater Glasgow and Clyde and plan and provide services which:
· Promote good health
· Prevent ill-health
· Improve health
Provide safe sustainable and equitable treatment for patients
In doing this, the Board works in close partnership with other NHS organisations, local authorities and other agencies to ensure that social work, education, housing, employment and environmental services unite effectively and efficiently with the NHS in tackling inequalities and underlying health problems in local communities.
A multi-million programme to modernise and reconfigure acute hospitals so that they are purpose-designed to deliver the most advanced, integrated forms of care.
Planning for this began in 2002 and should be completed by 2014/2015.
NHS Greater Glasgow and Clyde serves a population of 1.2 million (over 1/5th of the population of Scotland) with services provided by 40,000 staff. The geographical area covered includes, West Dunbartonshire, Inverclyde, Renfrewshire, East Renfrewshire, East Dunbartonshire, Glasgow City, South Lanarkshire (Rutherglen & Cambuslang) and North Glasgow (Stepps-Moodiesburn corridor).
In 2010/2011 NHS Greater Glasgow and Clyde spent £2.7 billion delivering local, regional and national services, included in which are a number of world-class specialist services. Consequently, a significant portion of NHS Greater Glasgow and Clyde’s income is from other NHS areas in exchange for providing services to non-Greater Glasgow and Clyde residents.
The healthcare challenge within the area is considerable. Many of the most deprived communities in Scotland and the UK as a whole exist within NHS Greater Glasgow and Clyde’s boundaries. In addition, people in the area suffer higher than average rates of coronary heart disease, lung cancer, respiratory illnesses and premature deaths among males. Alcohol-related disease is on the increase. The Board is at the forefront of developing new approaches to tackling these huge challenges in partnership with the Glasgow Centre for Population Health. Ongoing lifestyle issues, such as the prevalence of smoking, poor diet and lack of exercise, are key factors, as is the steadily ‘ageing’ profile of the population.
The area has experienced intensive industrialisation followed by rapid deindustrialisation. The legacy is poor population health and extreme inequalities in health. Parts of the are have seen a transformation in employment, prosperity and infrastructure over the last 20 years. Economic regeneration is increasingly visible but social renewal is much slower.
The challenge of healthcare provision, added to the rapidly changing technology and practice of healthcare were instrumental in NHS Greater Glasgow and Clyde’s decision to invest in new hospitals and new ways of working between community and hospital based systems underpinned by new IT based records and support. Key services – such as those devoted to emergency care – are undergoing root and branch reform.
This investment is evidenced by the New Beatson West of Scotland Cancer Centre at Gartnavel, which opened in May 2007, the new Gartnaval Royal Hospital providing mental health services and Rowanbank Clinic providing medium secure forensic mental health services. The new Victoria and Stobhill Hospitals were opened to patients in the summer of 2009.
Additionally, by 2010/11 further new purpose built mental health facilities and Community Health Centres will be coming on stream as part of the major capital investment programme. These changes lead up to 2013/14 when the final stages of the new plan for acute services will be put in place, in particular, the new South-Side Hospital, new Children’s Hospital and Laboratory on the site of the Southern General Hospital.
3. NHS Greater Glasgow and Clyde Services
NHS Greater Glasgow and Clyde delivers Services from within three main blocks:
Acute Services - Diagnostics
Surgery & Anaesthetics
Women & Children’s Services
Emergency Care & Medical Services
Rehabilitation and Assessment
Regional
Facilities
Partnerships - Glasgow City Community Health Partnership
East Dunbartonshire Community Health Partnership
West Dunbartonshire Community Health & Care
Partnership East Renfrewshire Community Health & Care
Partnership Renfrewshire Community Health Partnership
Inverclyde Community Health & Care Partnership
Oral Health
Corporate - Corporate Planning and Policy Finance
Human Resources
Public Health
Health Information and Technology
Communications
Administration
Finance
In addition to the above, there are a small number of services which cross over organisational boundaries; Prescribing and Pharmacy Policy, Clinical Governance and Inequalities
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 management of the out-of-hours GP service.
Acute medicine is managed by general managers on a sector basis with a lead strategic role for a citywide specialty.
4. Royal Alexandria Hospital
The Royal Alexandra Hospital (RAH) is situated in Paisley and provides acute health care services to Renfrew District (pop 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 non-teaching DGHs in Scotland. In addition the hospital is currently the base for 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 District General Hospital specialties with excellent support facilities. The hospital has a first class modern radiology department and services. Pathology services for the Clyde division of Greater Glasgow and Clyde (GG&C) are centred on this site. 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 a good medical library service.
The Vale of Leven Hospital (VOL) is situated in Alexandria, an area of outstanding natural beauty and serving a population in excess of 88,000 largely from Dumbarton, Alexandria and Helensburgh. The Vale of Leven Hospital is undergoing a period of re-configuration following the implementation of the Vale of Leven Vision in December 2010. This vision includes the retention of unscheduled medical care at the Vale of Leven Hospital, led by the Consultant Physician team based at the Royal Alexandra Hospital and supported by GP and GP trainees. In addition there are inpatient medicine for the elderly beds, short stay surgical beds together with day surgery and a full range of diagnostic and support services.
The Medical Unit
The Medical Unit at the Royal Alexandra Hospital has 203 beds.
There is a 30 bedded medical receiving ward and 8 beds / 3 trolley space Medical Assessment Unit. The Acute medicine team have recently revised the model of care for GP expected medical patients whereby patients not arriving via the ambulance service bypass the Emergency Department (ED). This change has resulted in an increased throughput in the unit and reduced the time patients spent in ED.
The medical unit also includes an 18 bedded Coronary Care/Chest Pain Unit.
Speciality outpatient clinics for acute medicine, diabetes and endocrinology, gastroenterology, cardiology, asthma, respiratory medicine and haematology are delivered on site.
The Vale of Leven Hospital medical unit includes a Medical Assessment Unit, 12 bed receiving unit with provision for monitored beds and a further 27 general medical beds.
Consultant Staffing
Between the RAH and VOL there are twenty two consultant physicians with special interests as noted
Dr Iain Findlay Cardiology
Dr Stuart Hood Cardiology
Dr Eileen Peat Cardiology
Dr Alistair McCormack Cardiology
Dr Claire Murphy Cardiology
Prof Martin McIntyre Diabetes and Endocrinology
Dr Chris Smith Diabetes and Endocrinology
Dr Clare Harrow Diabetes and Endocrinology
Dr Neil McGowan Diabetes and Endocrinology
Dr James McPeake Gastroenterology
Dr Graham Naismith Gastroenterology
Dr Rizwan Hamid Gastroenterology
Dr Mathis Heydtmann Gastroenterology
Dr Alistair Dorward Respiratory Medicine
Dr Jane Gravil Respiratory Medicine
Dr Douglas Grieve Respiratory Medicine
Dr Yi Ling Respiratory Medicine
Dr Gillian Roberts Rheumatology
Dr Martin Perry Rheumatology
Dr Gautam Ray Acute Medicine
Dr Chris Foster Acute Medicine
Dr Iain Keith Acute Medicine
Acute Medicine
The three Acute Medical Consultants lead the Acute Medical Unit (AMU). The team of Consultant Physicians at the Royal Alexandra Hospital has responsibility for acute medical services at both the Royal Alexandra Hospital and the Vale of Leven Hospital and provide acute medical care and participate in the acute medical receiving rota.
Acute medical admissions are admitted to the Acute Medical Unit (Ward 2) at the RAH where there is one Consultant in Acute Medicine. Along with a rotating ‘Physician of the Week’ basis Monday morning to Friday pm all acute medical admissions are assessed. Patients are then triaged to the appropriate specialty wards if not for early discharge. Currently there are three ward rounds daily (morning and afternoon and evening) with the acute medical consultant taking post take ward round in the morning of one half of patients in the AMU. The Acute Medicine consultants play a lead role in the new medical assessment unit, immediately adjacent to the AMU on a rotational 1:3 basis.
GP expected medical patients are admitted to the MAU where there are assessed, treated and either discharged or transferred to an inpatient bed. The unit
Acute medical admissions at the VOL are admitted to ward 3, which is staffed by a third consultant on a rotating ‘Physician of the Week’ basis Monday morning through to Friday pm. The Physician of the week will also lead inpatient ward rounds at the Vale of Leven Hospital during this week.
Weekend cover will be provided by two Consultant Physicians with joint morning ward rounds at the RAH and afternoon ward rounds at both the RAH and VOL.
Coronary Care Unit
Patients with acute coronary syndromes, arrhythmias or congestive cardiac failure at the RAH are admitted to the 18 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.
Medical High Dependency Unit (HDU)
The RAH has three to four medical HDU beds at present within the combined 12 bedded HDU. The Acute Medical Consultant will manage these patients and triage them to respective specialties as required.
Duties of this Post:
This post is based over a twelve month period and includes full participation in the on call rota. The postholder will participate in acute medical receiving and also form part of the ECMS team. They will also be the primary contact for HDU and be responsible for patient cover / referrals during 9am – 5pm.
5. Valuing our Staff
The Emergency Care and Medical Services 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
· 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
· Access to NHS Pension scheme