locum consultant neuropathologist
southern general hospital
Information pack
reF: 34492d
Closing Date: noon 9th January 2015
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
Post: locum consultant neuropathologist
Base: southern general hospital
The Diagnostics Directorate seeks a Locum Consultant Neuropathologist based at the Southern General Hospital, Glasgow within an integrated Histopathology/Cytopathology department for the whole of NHS Greater Glasgow and Clyde.
Glasgow Neuropathology provides a specialist adult and paediatric Neuropathology service to the population of the West of Scotland (approx. 2.8million), with a wide range of material received for diagnostic evaluation, including neurosurgical biopsies (largely neuro-oncology), neuromuscular biopsies, cerebrospinal fluid specimens, specialist neuropathology autopsies and molecular neuropathology requests.
A substantive post will be advertised in the near future, however, at present applications for either long-term (6-12 months) and/or short term locum post would be welcomed.
Applicant must have full GMC registration and a licence to practise
NHS Greater Glasgow and Clyde
Acute Services Division
Further Particulars of Post of
Locum Consultant in Neuropathology
Based at the Southern General Hospital, Glasgow
NHS Greater Glasgow and Clyde is the UK’s largest provider of NHS health care in Acute, Primary and Community Health, Mental Health, Addiction and Homelessness Services. We serve a population of 1.2 million covering 8 local authority areas which include the City of Glasgow as well as incorporating both urban and rural areas from East Dunbartonshire to Inverclyde.
There are eight major teaching hospital sites plus seven other hospital sites, providing teaching and research facilities for medical, nursing and allied health professions.
Resources within Glasgow are being concentrated on three sites (Glasgow Royal Infirmary, Gartnavel and Southern General Campuses)to create centres of excellence for surgical, medical and emergency care. One location in particular- the new South Glasgow acute hospital at the Southern General Campus - will be among the largest in the UK. A new specialist children’s hospitalwill also be located on the Southern site. The adult and children's hospitals will be integrated within a single building, albeit with separate entrances and building identities.
The Golden Jubilee Hospital is a stand-alone health authority and does not therefore come within the management remit of NHS Greater Glasgow and Clyde although pathology services are provided by NHSGGC.
1. HOSPITAL(S) AND CLINIC(S) WHERE SERVICES ARE TO BE PROVIDED
All Pathology services for NHS Glasgow and Clyde are provided from a single new laboratory on the Southern General Campus which opened in May 2012. The Regional Neuropathology Service is located in this new build laboratory, including a ‘hot lab’ facility for immediate intra-operative reporting.
The pathology services of NHS Greater Glasgow and Clyde are part of the Laboratory Medicine Department of the Diagnostic Directorate which forms part of the Acute Services Division. The Director of the Diagnostics Directorate is Ms. Aileen McLennan and the General Manager for Laboratories is Ms Isobel Neil, supported by an Associate Medical Director, Dr Rachel Green and Clinical Director for Laboratories Dr Anne Cruikshank. The Head of Service for Pathology is Dr. Margaret Burgoyne. The Clinical Lead for Neuropathology is Dr Andres Kulla.
This post is for a Locum Consultant Neuropathologist, based in the Department of Pathology at the Southern General Hospital.
2. THE WORK OF THE REGIONAL NEUROPATHOLOGY SERVICE
The Service
Neuropathology in Glasgow provides a specialist regional neuropathology service to the population of the West of Scotland (approximately 2.8 million) in all aspects of adult and paediatric surgical, neuromuscular, autopsy and molecular neuropathology, and receives regular referral cases for review from colleagues outwith the region.
The regional neurosciences centre is located in the Institute of Neurological Sciences (INS) on the Southern General site. Currently there are 11 neurosurgeons (3 with specialist paediatric interest) and 24 neurologists in the INS, in addition to specialist neuro-anaesthetics, neuroradiology and neurophysiology colleagues.
The department has all new equipment as part of a Managed Service Contract (MSC) supplied by Abbott. There is a specimen tracking system (Cerebro) linked to the Laboratory Information System (Telepath)
The Neuropathology service has access to all the necessary specialist laboratory techniques including immunocytochemistry, enzyme histochemistry, electron microscopy and molecular pathology.
The workload comprises approximately 700 surgical biopsies (predominantly neuro-oncology), 300 Intra-operative cases, 130 neuromuscular specimens (almost all muscle biopsies), 800 cerebrospinal fluid specimens, 150 molecular neuropathology cases and 30 autopsies/ brain cuts.
Ophthalmic pathology is not currently undertaken by neuropathology, but is provided by a specialist ophthalmic pathologist co-located in the new SGH Department.
The Post in Neuropathology
This is a 10 PA per week post to work in conjunction with the neuropathologists currently in post (Dr W Stewart and Dr Z Hanzely ) The post is based at the Southern General, but the successful candidate would be expected to participate in occasional case reviews or teaching commitments in other locations in the Greater Glasgow and Clyde Health Board area and outside Health Board areas for which the neuropathology service is provided and may be required to provide intra-operative assessments at RHSC, Yorkhill between 2014 and 2015.
Duties of the Post include:
Clinical
The post would have a shared responsibility with consultant colleagues for the provision of a specialist diagnostic neuropathology service and commensurate with the agreed job-plan; though if the successful candidate wished to take a lead in any aspect of the diagnostic repertoire, this would be supported.
The surgical material includes a wide range of cases, much of it neuro-oncology based, with close clinical and research associations with neuro-oncology colleagues. Routine molecular neuropathology assessments of 1p19q and/or MGMT are performed on all appropriate local cases, with a sizeable external referral practice for diagnostic opinion and molecular assessment from services outwith the region.
Of the approximately 130 neuromuscular cases received annually, almost all are muscle biopsies, with the vast majority of those referred from the clinics of neurology and genetics colleagues with a specialist interest in neuromuscular diseases. The remainder of the muscle biopsies are referred from clinical colleagues throughout the region, predominantly from paediatric or rheumatology services.
The autopsy practice comprises specialist adult neuropathology examinations and referred brains for opinion from adult and paediatric histopathology colleagues in GG&C and the West of Scotland region. Forensic Neuropathology services for Glasgow are currently provided by colleagues outwith the region as part of a contract with the Crown Office and Procurator Fiscal Service (COPFS). This contract is due for review in the near future and may be tendered for by NHSGG&C if suited to service development.
Clinical Meetings and Audit
There is a weekly neuro-oncology multidisciplinary team meeting at which all operated cases from the previous week are discussed in addition to selected pre-operative cases and archive reviews.
There are monthly muscle biopsy review meetings with colleagues in adult and paediatric neurology, neurophysiology and genetics at which all cases from the previous month are reviewed and discussed.
The appointee would be expected to play a full part in these meetings. There is a rolling programme of audit within the service to which all staff members contribute.
Teaching
The appointee would be expected to take an active part in (i) the training and supervision of the Specialty Trainee(s) in Neuropathology and general, paediatric and forensic pathology trainees on rotation; (ii) the teaching of undergraduates and postgraduates attached to the allied clinical departments; (iii) teaching of Departmental BMS staff as part of their CPD programme.
Research
The Neuropathology service in Glasgow has a strong record in research and the appointee be encouraged to develop a research programme to suit their interests and the clinical service.
The service also participates in national and international neuro-oncology trials, both in case material for review and also as a central review laboratory. Any research undertaken is subject to approval by the West of Scotland Research Ethics Service and would require to be funded appropriately at source.
Other External Commitments
The appointee would be expected to take an active part in appropriate EQA’s and CME/CPD activities as specified by the RCPath, and the advancement of medical knowledge through contribution to appropriate learned societies. Co-operation with external case review is also expected, e.g. UKCCLG, EORTC etc.
The successful candidate will be expected to be on the specialist register or be eligible for entry to
it, with a CCST/ CCT in Neuropathology.
Pathology in the University of Glasgow:
The University Pathology Unit was integrated into the new Institute of Cancer Sciences in August 2010 when the College of Medical, Veterinary and Life Sciences was established. The restructuring of the university has resulted in the development of strength in focused areas that has over the last few years resulted in a major building programme and investment in junior and senior academic appointments. The Institute of Cancer Sciences is part of a national centre of excellence in the fight against cancer. It is a partner with the Beatson Institute for Cancer Research, which together form the core of cancer research in Glasgow. Together, there arecurrently 38 research groups housed in new research buildings at the BeatsonInstitute for Cancer Research, the Paul O’Gorman Leukaemia Research Centre and the CRUK clinical trials unit (CTU). In addition, a Translational Research Centre, opened in 2013 which will provide excellent facilities for an expanded programme of translational cancer research in Glasgow.
The University Pathology unit is housed in the new Laboratory Medicine Building at the South Glasgow Hospital and is also integrated with the Beatson Research Institute at Garscube. The underlying principle of the unit is that research findings should lead to a better understanding of disease mechanisms and have wide societal benefit. It is recognised that Pathology underpins the evaluation of novel molecular markers in cells and tissues and the development and implementation of safe and effective innovative treatments. Our research activities combine advanced morphological assessment of tissue and cells with molecular and cellular-based research to develop and validate diagnostic and prognostic markers through pre-clinical and clinical studies. Facilities include tissue-microarray production, image analysis, immunohistochemistry, mutational analysis from fresh and paraffin-embedded sections. The unit has a major commitment to teaching and training in Pathology to over 1000 undergraduate students in medicine, dentistry and life sciences. Members of the unit also contribute, together with the NHS colleagues, to the provision of pathology services within the NHS Greater Glasgow and Clyde.
the research facilities in the Unit are available to the appointee.
3. THE JOB ITSELF
(a) Title: Locum Consultant Neuropathologist
(b) Relationships:
(i) Name of Trust or Health Board:
NHS Greater Glasgow and Clyde
(ii) Name of Consultant members of the Glasgow and Clyde pathology departments:
Dr C Bowen (Paediatric) Dr G Bryson Dr M Burgoyne
Dr L Cooper Dr S Dahill Dr C Dick
Dr S Digby Dr F Duthie Dr C Evans
Dr A Foulis Dr S Fraser Dr P French (Paediatric)
Dr M Gangopadhyay Dr J Going(University) Dr Z Hanzely(Neuropathology)
Dr C Harper Dr R Jackson Dr D Kipgen
Dr G Kohnen Dr P Konanahalli Dr M Laing
Dr E MacDuff Dr D McLellan Dr A McPhaden
Dr E Mallon Dr N Maka Dr L Melly `
Dr D Millan Dr C Moyes Dr A Murphy (Paediatric)
Dr K Oien (University) Dr M Paul Dr J Paxton
Dr D Penman(Paediatric) Dr H Pitchamuthu Dr F Roberts
Dr J Salmond Dr K Scott Dr M Seywright
Dr W Stewart (Neuropathology) Dr S Syed Dr J Tolhurst
Dr C Van der Horst Dr L Whyte
Number and grades of members of other staff:
3 clinical scientists
14 trainee medical staff
216 BMS/A&C Staff
(c) Duties of the Post
(i) Details of clinical commitments:
To provide a comprehensive regional Neuropathology service in conjunction with consultant colleagues for NHS Greater Glasgow and Clyde and surrounding Health Board areas.
Teaching-undergraduate/postgraduate duties (other than those remunerated by a university or by fees in accordance with paragraph 172 of the Terms and Conditions of Service)
The appointee would be expected to take an active part in (i) the training and supervision of the Specialty Trainee(s) in Neuropathology and general, paediatric and forensic pathology trainees on rotation; (ii) the teaching of undergraduates and post-graduates attached to the clinical departments (iii) teaching of Department BMS staff as part of their
CPD programme.
This would be separately negotiated as part of job planning
Research – any research activities which are an inherent part of normal clinical duties:
An interest in research would be desirable but not essential. Any research undertaken is subject to approval by the hospitals Ethics Committee and would require to be funded appropriately at source.
This would be separately negotiated as part of job planning
Administration:
Administrative duties including those associated with the running of the laboratory and maintenance of CPA accreditation standards.
Timetable:
Weekly provisional timetable of duties, including the location(s) at which they are to be performed;
any duties which take place less frequently than once a week should be included with an indication of their average frequency.
DAY / HOURS / Hospital or clinic and description of duties e.g. wardrounds, theatres, out-patients etc.
am
MON
pm / Direct Clinical Care
SPA
am
TUE
pm / Direct Clinical Care
Direct Clinical Care
am
WED
pm / Direct Clinical Care
Direct Clinical Care
am
THU
pm / Direct Clinical Care
Direct Clinical Care
am
FRI
pm / Direct Clinical Care
Direct Clinical Care
NB: The basic contract will be for a 10 PA consultant contract. A split of 9:1 between direct clinical care and supporting professional activities is now the advertised standard for all new consultant job plans in Scotland. The one SPA minimum will reflect activity such as appraisal, personal audit and professional development occurring outside study leave time. Once the candidate has been appointed more SPA time may be agreed for activities such as undergraduate and postgraduate medical training which takes place outside direct clinical care, as well as research and/or management. These activities must be specifically and clearly identified and be agreed with the candidate and desired by the department.
(e) In addition to the duties mentioned above, duties at other hospitals administered by the