Locum appointment for training/clinical fellow medicine for elderly/stroke
glasgow royal infirmary/stobhill hospital/lightburn hospital
Information pack
reF: 27814d
Closing Date: noon 15th february 2013
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
Post: locum appointment for training/clinical fellow medicine for elderly/stroke
Base: glasgow royal infirmary/stobhill hospital/lightburn hospital
This post at FY2 level is available from 3rd April 2013 until 6th August 2013 and provides excellent experience and training in Acute Assessment and Rehabilitation of Elderly patients. This post is suitable for those planning a career in Hospital Medicine or General Practice.
To practice medicine in the UK you need to hold both GMC registration and a Licence to Practise.
This post holds educational approval from the Postgraduate Dean and will be Locum appointment for Training or Clinical Fellow dependant on experience. If appointed as a Clinical Fellow the post will not be recognised for training.
DEPARTMENT OF MEDICINE FOR THE ELDERLY/STROKE
FOR THE PERIOD OF 1ST FEBRUARY 2013 UNTIL 30TH MAY 2013
The department at present consists of:
Consultants:
Dr. Adam Bowman (Lead Clinician N/E)
Dr Jennifer Burns
Dr. Anne-Louise Cunnington
Dr Michael Fail
Dr. Pamela Fraser
Professor Paul Knight
Professor Peter Langhorne
Dr Christine McAlpine
Dr. Morven McElroy (mat leave)
Dr. Lynsey Simpson
Dr Jackie Taylor (Clinical Director North Glasgow)
Professor David Stott
Dr Fiona Wright
Lead Nurses – Assessment and Rehabilitation
Helen Robertson
Ann Docherty
Clinical Services Manager
Phil Cavanagh
Parkinson’s Specialist Nurse
Kay Hood
Lesley White
Jaqui Kerr
Stroke Specialist Nurse
Beverley Hordenbrink
Brenda Shearer
Kelly Smith
Case Managers
Aileen Smith
George Gentle
Secretarial Administrator
Mrs. Jean Dick
Clinical Assistant (Assessment and Rehabilitation Day Hospital)
Dr. Diane Meek
Dr Carol McCarthy
Specialist Registrar
8 SPRs
Middle Grade Staff
2 CMT2 doctors
Junior Doctors
8 FY2s , 6 GPST2 + THIS POST
Staff Grade
Dr Jim Fowler
STRUCTURE OF UNIT
Acute Assessment
At present, the Unit has 183 acute elderly and stroke assessment beds in GRI and 17 beds acute receiving beds within the receiving unit managed by Acute Medicine.
Rehabilitation Service
The rehabilitation service is based in Stobhill Ambulatory Care Hospital (48beds) and Lightburn Hospital (56 beds). These are split into stroke, ortho geriatric and frail elderly disease requiring rehabilitation.
Continuing Care
Fourhills Nursing Home and Greenfield Park provides continuing hospital care for 110 patients. Drs McElroy, Cunnington, Burns and Fail provide consultant supervision into these areas.
Day Hospital
The Assessment and Rehabilitation day Hospital provides 25 places each day per week at both Stobill and Lightburn. There is one medical clinical assistant attached to each Day Hospital. Junior Doctors on rotation provide some input.
Out-Patient Clinics Stobhill Hospital/GRI Lightburn
(As part of training, the junior SHOs are expected to take part in Clinics)
There are a range of clinics across the three sites:
General Medical Clinic
TIA Clinic
Movement Disorder Clinic
Falls Clinic
Heart Failure/ General Medical Clinic
TIA Clinics
We aim to see patients with a possible TIA or minor stroke at the Clinic within a week of referral.
Domiciliary Visits
Patients will also occasionally be admitted as the result of home visits by consultants or senior training grade staff.
Out Patients
Patients are from time to time admitted from the Day Hospital and the Out-Patient Clinics.
Unit Education Meetings
Journal Club
The Journal Club and evidence-based medicine seminars take place on Tuesdays in the Postgraduate Centre. A junior and middle grader will be paired with the middle grader presenting a paper and the junior looking at the other evidence base. The purpose is to encourage critical appraisal and stimulate discussion. A rota for this will be assembled on your arrival. It is the responsibility of the presenter to swap the date with a colleague if they are on annual leave/nights etc.
Unit Clinical Meetings
On the first Wednesday of each month there will be an x-ray meeting in the seminar room of the Radiology Department at 12.30pm. The other unit meetings take place on Wednesdays at 1pm in the Clinical teaching Centre. All staff are asked to be present at these meetings. These meetings provide an opportunity to invite guest speakers. Needless to say, a good turnout is essential. Wednesday meetings are also used for case presentations, tutorials for medical staff and an audit meeting once per month. There will be a series of tutorials for SHOs which will examine different aspects of the medicine of old age (e.g. delirium and falls).
Thursday Postgraduate Meetings
These are for continuing general medical education – in the widest sense. The meetings are organised by the district postgraduate committee. Lunch is available from 12.15pm with the meeting starting at 12.45pm.
N.B. The Thursday and Friday meetings take place in university term time.
Educational Supervision
Your educational supervisor will meet with you during your first 2 weeks in this post to discuss your educational goals while you are here and specific tasks, such as a Significant Event Analysis for FY2’s.
Duties and responsibilities of the Locum FY2
This is a locum post to cover a vacancy for four months from 1st February until 30th May 2013.
The main duties involve direct patient care on the acute assessment and rehabilitation wards. The rota is banded at 2B with 1 in 8 split into 3 and 4 nights in the week of nights. When working nights the post contributes to the Hospital at Night Team with involvement in general medical receiving. In addition there will be the opportunity for participation in out patient clinics.
The postholder will be expected to attend and participate in the Departmental Educational Meetings. There is also the opportunity to be involved in audit projects within the department.
ESSENTIAL INFORMATION
Monday morning meetings
All medical staff must attend the Monday morning meeting in the medical office at the David Livingstone Centre ward 30 at 9.00am to discuss the weekend’s medical problems which are written on the white board. This meeting also arranges the working arrangements for the week ahead.
Night Duties
The doctor on nights will receive and handover from the 5-9 person. The night doctor will be expected to deal with patients in DOME as well as participate in overnight medical receiving.
Discharged patients’ case notes
It is very important that the case records of patients who have been discharged are returned to the Unit secretaries office within twenty-four hours. An incremental discharge letter or a short discharge summary – containing dates of admission, discharge/transfer along with the diagnoses and current drug therapy must be completed.
Where patients require Day Hospital follow-up, you may be asked by ward staff to complete a referral form – please do so promptly, giving the specific reasons for Day Hospital follow-up e.g. more physiotherapy, twenty-four hour tape, speech therapy, etc.
Transfers to continuing care
Patients requiring continuing hospital care are transferred to Fourhills Nursing Home or Greenfiled Park Nursing Home. A brief summary or an IDLS immediate discharge letter must be written in the patient’s medical continuation notes before transfer. If patients are transferred there to wait other care (e.g. nursing home placement), this must be clearly stated in the case notes.
The Duty Rota
The rota for the succeeding month is made up according to the set formula. Once typed, the rota should only be changed in exceptional circumstances – and only with the agreement of the consultant on call on the relevant day(s).
Deaths in the Unit
It is vital that following death, the GP is notified within twenty-four hours. During office hours telephone the practice; in evenings and at weekends phone GEMS on 616 6200 and they will inform the GPs on the next working day. A few GPs do not use GEMS: GEMS will tell you this and you must thereafter telephone the practice yourself on the next working day. The SHO who issues the Death Certificate is responsible for this call.
The Death Certificate is usually handed directly to the relatives. The cremation certificate (1st part) should be completed by you as soon as possible and be forwarded to the Mortuary. It will be your responsibility to contact the relevant Consultant to arrange completion of the Cremation form.
The office for registration of deaths in Glasgow is in Martha Street, not Park Circus.
Procurator Fiscal
It may be necessary to report certain deaths e.g. fracture neck of femur, death within 24 hours of admission or those cases where there is an ongoing complaint. These cases must always be discussed with the relevant Consultant and/or their Middle Grade Staff.
Holidays
Junior SHOs - Holidays are predetermined on the four-month rota. Changes can be made in consultation with Dr. Fail after discussion with your colleagues. Mrs. Dick /Brown must be informed of changes. This can be arranged by discussion during the first week.
Middle Grade Staff - This will, to some extent, be governed by the doctor receiving rota but holidays should be notified to Mrs. Dick/Brown by the 15th of the previous month. No more than one FY2 should be on holiday at the same time.
Sickness absence
You are expected to maintain the rotas to cover short-term absence for sickness.
GRI NHS Trust Drug Formulary
Please restrict your prescriptions to drugs included in this formulay.
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 / Fixed TermGRADE AND SALARY / LAT/Clinical Fellow
£27,936 to £31,859 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.
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