LOCUM consultant in nephrology and acute medicine
QUEEN ELIZABETH UNIVERSITY hospital
Information pack
reF: 47804D
Closing Date: 30th JUNE 2017
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
POST: LOCUM CONSULTANT IN NEPHROLOGY AND ACUTE MEDICINE
BASE: QUEEN ELIZABETH UNIVERSITY HOSPITAL, GLASGOW
Applications are invited for this 6 month locum post to join a team of friendly Consultants providing a comprehensive nephrology service across South Glasgow & Clyde, based at the Queen Elizabeth University Hospital. This post is available from 15th November 2017. The Acute Services Division of NHS Greater Glasgow & Clyde is the largest group of adult acute hospitals in Scotland. The Division provides Renal Services for Greater Glasgow & Clyde and Forth Valley Health Boards along with Renal Transplant Services for the West of Scotland. The Renal Unit currently supports approximately 600 haemodialysis patients, 50 peritoneal dialysis patients, over 900 renal transplant patients and more than 200 patients per year with acute kidney injury requiring renal replacement therapy. One hundred and fifty new renal transplants were performed last year.
Nephrology in-patient and out-patient care is provided by 4 nephrologist teams. The successful candidate will join a team of 3 or 4 other consultants to provide cover of a share of in-patient nephrology for their team. Out-patient duties (general nephrology, low clearance and medical transplant) are based at the other hospitals in Greater Glasgow & Clyde. The successful candidate will have off-site responsibilities in two of these hospitals including on-going care of outpatient haemodialysis patients and in-patient consultations.
The successful candidate will contribute to acute medicine in the Queen Elizabeth University Hospital in the purpose-built Medical Assessment unit. The new hospital combines teams from 3 existing hospitals to provide medical receiving for South Glasgow. Out of hours emergency commitment is included in the acute medicine component of the post and is currently 1 weekend in 8 daytime (long days, no overnight on call). In addition the applicant will cover general medical inpatients with two colleagues on a 1 in 3 rota.
Applicants must have full GMC registration, a licence to practice.
Informal enquiries are invited to Dr Scott Morris, Clinical Director (0141 451 6198) Renal Unit, QEUH and Dr Scott Davidson, Clinical Director, Acute Medicine, QEUH (0141 451 6163)
ACUTE SERVICES DIVISION
Regional Services Directorate
INFORMATION PACK
FOR THE POST OF
LOCUM consultant in NEPHROLOGY AND ACUTE MEDICINE
POST REFERENCE: 47804D
LOCUM consultant in NEPHROLOGY AND ACUTE MEDICINE
(7PA NEPHROLOGY, 3 PA ACUTE MEDICINE)
base: QUEEN ELIZABETH UNIVERSITY HOSPITAL, GLASGOW
REPORTS TO: Lead Consultant, Renal Service (Dr Colin Geddes)
Clinical Director, Renal Service & Centre for Integrative Care (Dr Scott Morris)
Clinical Director Acute Medicine (Dr Scott Davidson)
RESPONSIBLE TO:
General Manager, Renal Service, & Centre for Integrative Care, Plastics, Burns & OMFS
General Manager, South Division, Glasgow
This is an exciting opportunity to join a team of Consultants providing a comprehensive nephrology service across Greater Glasgow & Clyde and Forth Valley, and to contribute to the Acute Medicine service in the purpose-built Medical Assessment Unit at the Queen Elizabeth University Hospital, Glasgow. This post will be available from 15.11.17 for six months in the first instance. The Acute Services Division of NHS Greater Glasgow & Clyde is the largest group of adult acute hospitals in Scotland. The Division provides Renal Services for Greater Glasgow & Clyde and Forth Valley Health Boards along with Renal Transplant Services for the West of Scotland. The Renal Unit currently supports approximately 600 haemodialysis patients, 50 peritoneal dialysis patients, 900 renal transplant patients and more than 200 patients per year with acute kidney injury requiring renal replacement therapy. Around 150 new renal transplants are performed per year. All renal inpatient services are located in the new Queen Elizabeth University Hospital.
Nephrology in-patient and out-patient care is provided by 4 nephrology teams. The successful candidate will join a team of 3 or 4 other consultants to provide cover of a share of in-patient nephrology for their team. Out-patient duties (general nephrology, low clearance and medical transplant follow-up) are based at the other hospitals in Greater Glasgow & Clyde. The successful candidate will have off-site clinical responsibilities in one or two of these hospitals including the on-going care of outpatient haemodialysis patients and in-patient nephrology consultations.
The successful candidate will contribute to acute medicine in Queen Elizabeth University Hospital in the purpose-built Medical Assessment Unit and General Medicine unit in a team of physicians. Out of hours emergency commitment is included in the acute medicine component of the post.
Applicants must have full GMC registration and a licence to practice.
ABOUT US
• Acute Services Division
NHS 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 is split into six Directorates across 18 sites with a workforce of 27,500 and an annual budget of £1.2 billion. The geographical area covered is diverse; it covers the major city of Glasgow, large and small towns, villages and some rural areas. We have significant challenges ahead as we deliver the objectives set out in Better Health Better Care and we seek to ensure that we have the right people for the right posts.
Our patients come not only from Glasgow but also in some instances from the whole of the West of Scotland and, for our national services, from the whole of Scotland.
Health services in Glasgow are undergoing dramatic and exciting change, brought about by the Hospital Modernisation Programme. This ten-year £700 million strategy has seen the transformation of acute services across the city including the replacement of out-dated buildings and the creation of one-stop/rapid diagnosis and treatment models for the vast majority of patients.
The Hospital Modernisation Programme ensures that walk-in/walk-out hospital services are provided for the majority of patients. The pattern of service provision has moved towards ambulatory care. The ambulatory care centres for the city are in 2 new purpose-built hospitals next to the current Victoria Infirmary and Stobhill Hospital. These state-of-the-art facilities opened in 2009. They house the main out-patient centre and day surgery services for the city. In-patient services are concentrated in the new south-side hospital (QEUH) built on the site of the current Southern General Hospital and a refurbished Glasgow Royal Infirmary. The New QEUH opened in Spring 2015.
The children’s hospital has also relocated from Yorkhill to a new £100 million building on the Southern General Hospital site to sit alongside QEUH and be fully integrated with maternity and adult services.
The new services are provided in modern facilities rather than in 19th century buildings not designed for modern healthcare. The purpose-designed facilities enable the one-stop/rapid diagnosis and treatment models required for the future. Continuity of service has improved with the elimination of the need for paper notes for out-patient encounters.
Concentration of services will allow the requirements of junior doctors’ 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.
The formation of larger clinical teams will make sure that programmes of work, including the need to cover emergencies without interfering with waiting list and ambulatory care sessions, can be planned effectively.
We enjoy close links with Glasgow’s three Universities and make a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation.
The plans for Glasgow seek to ensure that local access to health services will continue whilst our services are reorganised to enable patients to receive the best treatment from appropriately skilled and supported clinical teams – be that as an inpatient, day case or outpatient.
Living & Working in Glasgow
Today Glasgow is a compact, vibrant and modern city. The scale of the City 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 high quality opera, theatres, art galleries and museums offer an abundance of cultural stimulation. From Glasgow, it is only a short journey to many picturesque sites including Loch Lomond (45 minutes), the Argyll peninsula – or over the sea to Arran, Skye, Iona and Mull.
Regional Services Directorate
¨ Institute of Neurosciences (neurology, neurophysiology, neuroanaesthesia, neurosurgery)
¨ Spinal Injuries Unit
¨ West of Scotland Beatson Cancer Centre
¨ Plastic Surgery, Burns & OMFS
¨ Renal Services including Transplant Surgery and Surgery of Renal Failure
¨ Centre for Integrative Care (Glasgow Homoeopathic Hospital)
¨ Clinical Haematology
South Division Medical Directorate
¨ Emergency care and Medical Services
¨ Cardiology
¨ Care of the Elderly
JOB DESCRIPTION
Nephrology
All renal inpatient services in Glasgow moved from the Western Infirmary to the new Queen Elizabeth University Hospital in Spring 2015. The Glasgow Renal & Transplant Unit provides the renal inpatient service for NHS Greater Glasgow Clyde plus NHS Forth Valley along with the West of Scotland renal transplant service for NHS Greater Glasgow Clyde, Forth Valley, Dumfries Galloway, Lanarkshire, Ayrshire & Arran and occasionally other parts of Scotland.
The renal in-patient service merged on one site in early 2011. Currently in QEUH there are 65 renal beds (41 general nephrology, 8 high acuity and 16 surgical/renal transplantation beds) along with dedicated Day-case and Rapid Assessment areas. The Peritoneal dialysis service is based at the same site along with a new out-patient haemodialysis facility. The Home Haemodialysis service is located in Stobhill hospital. A satellite haemodialysis unit is based at Glasgow Royal Infirmary. Renal and transplant out-patient clinics and satellite haemodialysis facilities are provided at the New Victoria Hospital, New Stobhill Hospital, Inverclyde Hospital, Vale of Leven Hospital and Forth Valley Royal Hospital. Outpatient clinics are also provided at the Royal Alexandria Hospital, Paisley. In-patient consultation services are provided at all of the above hospitals plus the Golden Jubilee Hospital.
The Glasgow Renal and Transplant Unit currently supports approximately 700 dialysis patients (600 hospital haemodialysis patients, 50 peritoneal dialysis patients, 35 home haemodialysis patients), over 900 renal transplant patients and about 200 patients per year with dialysis dependent Stage III acute kidney injury. In 2015, the unit performed around 150 new renal transplants, with an increasing number of live donor (including pre-emptive) transplants.
Current Nephrology Medical Staff
Dr Scott Morris (Clinical Director and Renal Training Programme Director)
Dr Colin Geddes (Lead Nephrologist)
Dr Tara Collidge (Lead for Medicines Reconciliation)
Dr Conal Daly (Clinical Governance Lead)
Prof Jonathan Fox
Prof Alan Jardine
Dr Ellon McGregor
Dr Bruce MacKinnon
Dr Kathryn Stevens
Dr Siobhan McManus
Dr Margaret McMillan (Undergraduate teaching lead)
Dr Paddy Mark (Senior Lecturer)
Dr Chris Deighan (Chief of Medicine, North Sector)
Dr Neal Padmanabhan (Lead for Acute Transplantation)
Dr Cath Stirling
Dr Peter Thomson (Scottish Patient Safety lead)
Dr Jamie Traynor (Lead for eHealth)
Dr Emily McQuarrie
Dr Rajan Patel
Non-Consultant Medical Staff
2 Associate Specialists
1 Specialty Grade
14-16 middle grade doctors and research fellows
Acute Medicine
Acute Medicine is undertaken in a 118 bedded assessment area split into an immediate assessment unit (28 medical beds) and four further medicalspecialty clusters comprising of Care of the Elderly (16beds), General Medicine (16beds), Gastroenterology (12beds) and Respiratory Medicine (16 beds). The receiving complex is currently undergoing a transformation process and some remodelling may occur.Additionally there is a Medical High Dependency Unit and Coronary Care unit in close proximity to the Assessment area.
The general medical beds are located in the stacktower in the main hospital and are split into rheumatology, diabetes and endocrine, cardiology, respiratory, gastroenterology and general internal medicine wards.
Current Acute Medicine Medical Staff
Dr D Raeside (Respiratory)
Dr A McConnachie (Infectious diseases)
Dr D Bell (Infectious diseases)
Dr M Freel (Endocrine and Diabetes)
Dr J Yates (Acute Medicine and Infectious diseases)
Dr B Whyte (Acute Medicine and Infectious diseases)
Dr C Harrow (Clinical Pharmacology and Stroke)
Dr S Muir (Clinical Pharmacology and Stroke)
Dr K Stevens (Nephrology)
Dr R Patel (Nephrology)
Dr R Maitland(Endocrine and Diabetes)
Dr N Ghouri (Endocrine and Diabetes)
Non-Consultant Medical Staff
Acute Medicine Registrars (2 or 3)
FY2/CMT2 trainees
FY1 trainees
General medicine
Ongoing responsibility for general medical inpatients ison ward 6A. The ward is shared with North-Glasgow rheumatology. Therenal side of the ward has general medical inpatients in 13beds. The current renal medical team is Professor AlanJardine, Dr Rajan Patel and Dr Kate Stevens. Middle grade staff are shared across the 6th floor to ensure a minimum of oneFY1 and oneFY2 / CMT trainee.
Duties of the Posts
i) Clinical commitments (see indicative job plan below)
The post-holder will share cover of in-patient nephrology approximately 1 month in 6,with the other members of 4 consultant teams. Out-patient duties (general nephrology, low clearance and medical transplant) will be basedin South Glasgow. There will be responsibility for ongoing care of haemodialysis out-patients in one of the satellite units and a possible commitment to in-patient consultations at Glasgow Royal Infirmary.
The general medical component will consist of a contribution to acute receiving in the immediate assessment unit.This will involve daytime weekend acute medicine receiving consultant cover, 1 in every 8 weekends, with no overnight on call commitment.Furthermore,the successful candidate willshare responsibility for thecontinuing care of approximately 13General Medicine in-patients for 4 months of the year.
JOB PLAN
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.