locum consultant physician in rheumatology and general (internal) medicine

glasgow royAL INFIRMARY

INFORMATION PACK

REF: 39704D

cLOSING DATE: nOON on 30th October 2015

SUMMARY INFORMATION RELATING TO THIS POSITION

Post: LOCUM consultant physician in rheumatology and general (internal) medicine

Base:GLASGOW ROYAL INFIRMARY AND sTOBHILL acH

Applications are invited for the post of Locum Consultant Physician in Rheumatology and General (Internal) Medicine. The post will be based at Glasgow Royal Infirmary. This is a locum post to provide maternity leave cover to a substantive post holder.

The successful candidate will integrate with existing consultant colleagues and provide clinical excellence in Rheumatology Medicine within Glasgow Royal Infirmary/Stobhill ACH.

This post will offer an opportunity for the successful candidate to be involved in the provision of a successful modern consultant led service.

All major specialties are represented within Glasgow Royal Infirmary currently there are 62 Consultant Physicians with special interests in Acute Medicine, Cardiology, Diabetes & Endocrinology, Gastroenterology, Respiratory Medicine, Rheumatology and Elderly Care.

By negotiation with the Clinical Director there may be some flexibility in accommodating a sessional split between Rheumatology and General Internal Medicine, a reduced number of sessions, a special interest and/or out-patient care. This post will require participation on the general medical on call rota.

Applications must have full GMC registration and a licence to practise.

NHS GREATER GLASGOWANDCLYDE

GLASGOW ROYAL INFIRMARY

LOCUM CONSULTANT PHYSICIAN RHEUMATOLOGY AND GENERAL (INTERNAL) MEDICINE

BACKGROUND INFORMATION

NHS Greater Glasgow and Clyde (NHSGGC) is one of 14 regional NHS Boards inScotland. The Board provides strategic leadership and performance management for the entire local NHS system in the Greater Glasgow and Clyde area and ensures that services are delivered effectively and efficiently. Responsible for the provision and management of the whole range of health services in this area including hospitals and General Practice, NHSGGC works alongside partnership organisations including Local Authorities and the voluntary sector. NHSGGC serves a population of 1.2 million and employs 44,000 staff – it is the largest NHS organisation in Scotland and one of the largest in the UK. If you want to know more about the NHS in Scotland then please visit

NHS Greater Glasgow and Clyde’s purpose is to:

“Deliver effective and high quality health services, to act to improve the health of our population and to do everything we can to address the wider social determinants of health which cause health inequalities”

Facts and Figures

  • Serves a population of 1.2 million
  • Employs over 38,000 staff
  • More than 300 GP Surgeries (General Practitioners)
  • 35 Hospitals of different types
  • Dental Services in more than 270 locations
  • Almost 180 Optician practices
  • Over 50 Health Centres and Clinics
  • More than 300 Pharmacies

Area Covered

From Gourock to Easterhouse, Lennoxtown to Eaglesham, Alexandria to Bishopbriggs, NHSGGC serves the people of:

  • Inverclyde
  • Renfrewshire
  • East Renfrewshire
  • Glasgow
  • East Dunbartonshire
  • West Dunbartonshire
  • Part of South Lanarkshire, includingRutherglen and Cambuslang

Acute Services Division

The Acute Services Division is the largest group of adult acute hospitals in Scotland. It enjoys close links with Glasgow’s three universities and makes a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation. Education facilities are provided at Glasgow Royal Infirmary and the new ambulatory care hospital at StobhillHospital. The service in North Glasgow presently employs more than 14,300 staff serving a core catchment population of 560,000.

Glasgow Royal Infirmary (GRI) & new StobhillAmbulatoryCareHospital (nSACH)

Glasgow Royal Infirmary is one of the major teaching complexes of the University of Glasgow. It provides the Emergency Medicine service for the North Eastern districts of Glasgow and has inpatient beds in general medicine and related specialities, medicine for the elderly, general surgery, orthopaedics, plastic surgery and obstetrics and gynaecology. There are also beds in intensive care, medical and surgical high dependency, and coronary care. Following the closure of StobhillHospital March 2011 all acute medical beds, with the exception of some long-stay care of the elderly beds, are on the GRI site. The new StobhillAmbulatoryCareHospital is a modern purpose built ACH providing a full range of out-patient and ambulatory care services including an ENP led Minor Injuries Unit (MIU). Radiology, Cardiology and Respiratory diagnostic services are provided both at GRI and nSACH.

Staff at GRI and nSACH are proud of the close inter-departmental links and co-operation. They are at the forefront of a progressive agenda in relation to clinical standards, managed clinical networks and patient focused service re-design. There are close clinical links with colleagues in the Community Health Care Partnership and other hospitals in NHS Greater Glasgow and Clyde, Glasgow, Strathclyde and GlasgowCaledonianUniversities. There is a dedicated hospital wide academic programme supported by a strong service educational commitment. GRI and nSACH are provided with dedicated education centres and IT support. Both have excellent reputations in supporting and nurturing its clinical staff and also have an excellent reputation for under and post graduate training. There are academic units in Anaesthetics, Cardiology, Human Nutrition, Medicine, Surgery, and Obstetrics and Gynaecology.

At GRI medical emergencies are admitted via an Acute Assessment Unit (AAU) run by acute physicians or viathe Emergency Department (ED) to an Acute Medicine Unit (AMU). This comprises 4 geographically defined ward areas covered by specific specialty teams – general medical, respiratory, gastroenterology and medicine for the elderly. Where bed availability permits, patients with specific conditions are triaged to the appropriate specialty team e.g. patients with respiratory disease to the respiratory area. Four consultant physicians representing each speciality group take part in acute receiving each day in the AMU with morning and evening ward rounds.

Acute admissions to medicine range from 45 to70 per day. Patients requiring a short stay are discharged from AMU. Those requiring longer stays are transferred ‘downstream’ to medical, care of elderly or cardiology beds. There are216 downstream medical beds split into specialty units/wards; Respiratory Medicine, Rheumatology, Gastroenterology, Diabetes and Endocrinology. Consultants from the department of medicine for the elderly (DOME) contribute to receiving duties, but also have 183 in-patient beds in a number of wards within Glasgow Royal Infirmary with additional rehabilitation beds at LightburnHospital and StobhillHospital. There is a separate Stroke Ward.

The Rheumatology Department

Rheumatology outpatient services are provided at nSACH and GRI,with inpatient beds at GRI.

Rheumatology Team

Medical Team

The advertised post is to join the existing medical team who consist of Consultants in Rheumatology Medicine. The service has the support of middle grade junior doctors and ward based cover by FY1/2 doctors. Middle grade doctors provide support to out-patient clinics.

Consultants

Dr D McCarey - Consultant in Administrative Charge

Dr R Madhok

Dr S Saunders

Dr A McEntegart

Dr H Wilson

Dr L McGregor – this post

Dr L McGeogh

Associate specialist

Dr N Alcorn

Rheumatology Nurse Specialists

There are RheumatologyNurse Specialist (RNS) across GGC who specialise in various areas of rheumatology in out patients and day units. The North Sector have Band 7 3.6WTE and Band 6 5.6 WTE provide expert rheumatology clinical skills to manage patients across both Secondary care and Primary care settings. The RNS's play a key role on improving the quality of care for rheumatology patients by reducing unplanned hospital admissions, facilitating early discharge, offering care at home and improving patient self-management skills.

Rheumatology Physiotherapy

Specialist rheumatology physiotherapists provide specialist out patient services such as joint injections.

Duties of Post:

Specialist interest and out-patient clinics.

Rheumatology outpatient clinics are provided both at GRI and Stobhill. The post holder’s outpatient clinics will be provided on the GRI and Stobhill sites, general rheumatology and specialty interest in CTD/Vasculitis. There will be a requirement to participate in specialty MDT meetings.

Acute Medical Receiving (Glasgow Royal Infirmary) and In-patient work

The Rheumatology Unit contributes a speciality component for medical receiving having acuterespiratory beds in the receiving complex and continuing care of patients in downstream medical wards. The medical receiving is shared with all the major specialties except Renal and Cardiology. The rota is 1:13 weekdaysm, 1:8 weekendsand includes morning and evening ward rounds in the receiving ward and in-patient speciality referrals from other units.

The rheumatology medicine in-patient beds are situated in Wards 15, 28, 20 and 21. These wards predominantly function as a specialist rheumatologyunitand general medical patients (following acute receiving). Day ward services are provided on both GRI and nSACH sites.

Teaching

The Unit has a major commitment to training junior staff and teaching medical students. During term-time the unit has third, fourth and final year students on the ward and there are frequently post-graduate students training for the MRCP examination. Teaching of practical procedures to post graduates is a key component of the work of the unit.

Clinical Audit

The Rheumatology Medicine Unit has been actively involved in audit programmes in several areas. The new appointee will be expected to have an active involvement in leading clinical audit.

Consultant Responsibilities

  • As agreed with the Clinical Director in ECMS to provide (with consultant colleagues) a service in acute and rheumatology medicine with responsibility for the prevention, diagnosis and management of illness and for the proper functioning of the service
  • To provide cover for consultant colleagues during annual and study leave or at such other times as agreed with the Clinical Director
  • To motivate staff within the service through leading by example and fostering good working relationships at all levels in line with the principles of the local Partnership Agreements
  • To participate fully in consultant appraisal and personal development planning activities
  • To ensure the efficient and effective use of Acute Services resources
  • To participate in the delivery of agreed national and local performance indicators e.g. Health, Economic Access Targets (HEAT)
  • To participate in the Health Board and the Acute Division’s Clinical Governance framework and policies

This job plan is negotiable and will be agreed between the successful applicant and the Clinical Director. 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.

Timetable

10 PA - Fixed sessions - 9 direct clinical care, 1 SPA

AM / PM
Monday / TBC / SPA
Tuesday / Out Patient Clinic nSACH / Out Patient Clinic nSACH
Wednesday / In-Patient Ward Round / Out Patient Clinic GRI
Thursday / Out Patient Clinic GRI / Out Patient Clinic /Admin GRI
Friday / Admin/MDT/Lunchtime meeting

This job plan is indicative of the distribution of work of the current post holder but the clinical sessions and clinics may be adjusted according to service or the appointee’s requirements.

Management Arrangements

General (Internal) Medicine and Acute Medicine are part of the North Sector Emergency Care and Medical Specialties Directorate, NHS Greater Glasgow and Clyde. Mr Jonathan Best is the Director for the North Sector NHS, and is supported by Dr Chris Deigan the Chief of Medicine

At Glasgow Royal Infirmary the Clinical Director for Medicine is Dr Aidan Cahill, site specific management responsibility for Medicine at Glasgow Royal Infirmary and StobhillHospital is held by Ms Rosemary Brogan, Acting General Manager, with support from two Clinical Service Managers. Nursing leadership is provided by a number of Lead Nurses within all specialty areas.

Living & Working in Glasgow

Today Glasgow is a compact, vibrant and modern city. In fact Glasgow’s scale 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 good schools, excellent leisure facilities, beautiful golf courses and elegant accommodation across all price ranges. The night life and restaurants are renowned and its opera, theatres, art galleries and museums offer plenty 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.

PERSON SPECIFICATION

ESSENTIAL / DESIRABLE
QUALIFICATIONS /
  • Applicants must have full GMC registration and a licence to Practise.
  • MRCP or equivalent.

CLINICAL EXPERIENCE /
  • Clinical training and experience equivalent to that required for gaining UK CCT.
  • Ability to offer expert clinical opinion on a range of clinical problems in acute medicine.
  • HDU experience
  • Interface with Accident and Emergency and Primary Care.
  • Ability to take full and independent responsibility for clinical care of patients.
/
  • Sub-specialty interest.

MANAGEMENT AND ADMINISTRATIVE EXPERIENCE /
  • Ability to advise on the efficient and smooth running of the acute medical service.
  • Ability to organise and manage ward patients and outpatient priorities.
  • Experience of audit management.
  • Ability and willingness to work within NHS GG&C and NHS Scotland performance framework and access targets.
/
  • Attendance at management course for clinicians.

TEACHING EXPERIENCE /
  • Experience of supervising medical trainees.
  • Ability to teach clinical skills.
/
  • Experience of MMC assessment tools.

OTHER ATTRIBUTES /
  • Ability to work in a team.
  • Good interpersonal skills.
  • Caring attitude to patients.
  • Ability to communicate effectively with patients, relatives, GPs, nursing staff and other relevant parties.
  • Commitment to the requirements of clinical governance.

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 Term
GRADE AND SALARY / Locum Consultant
£76,761 £ 103,490 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 / 40.00
SUPERANNUATION / New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via:
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 no 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 post holder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE / The employment is subject to one 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