GoldenJubileeNationalHospital
NHS National Waiting Times Centre
Chief Executive Jill Young
Recruitment line: 0800 0283 666
Dear Candidate
POST:ADVANCED MEDICAL TRAINING FELLOWSHIP (AMTF) - CARDIOTHORACIC ANAESTHESIA AND CRITICAL CARE
CLINICAL FELLOW - ANAESTHESIA AND CRITICAL CARE
HOURS: 40 HOURS PER WEEK
CLOSING DATE: 22nd AUGUST 2013
The National Waiting Times Centre Board welcomes your enquiry in connection with the above post. Please find enclosed an information pack.
Should you wish to submit an application for the above post, please ensure you do so in advance of the closing date. Late applications will not be forwarded for short listing.
Should you contact the recruitment team to discuss any queries regarding your
application it is advisable that you retain the job reference number as you will be asked
to quote this when you call. Please note that we no longer acknowledge receipt of
applications and therefore you will not receive any further communication until
after the post has been shortlisted.
In the meantime, I wish you success with your application and should you require any further information or wish to check the progress of your application please do not hesitate to contact the recruitment team on the contact telephone number shown above.
Yours sincerely
Paula Wood
Recruitment Assistant
NATIONAL WAITING TIMES CENTRE BOARD
INFORMATION PACK
FOR THE POST OF
ADVANCED MEDICAL TRAINING FELLOWSHIP (AMTF) - CARDIOTHORACIC ANAESTHESIA AND CRITICAL CARE/ CLINICAL FELLOW - ANAESTHESIA AND CRITICAL CARE
40 HOURS PER WEEK
REFERENCE NUMBER SHOW/1358
CLOSING DATE: 22ND AUGUST 2013
NATIONAL WAITING TIMES CENTRE BOARD
GENERAL INFORMATION FOR CANDIDATES
- This information package has been compiled to provide prospective candidates with details of the post and background information about GoldenJubileeNationalHospital.
- The contents of this package are as follows:-
- Job Description/person specification
- Terms and Conditions of Service
- Application Form
- Equal Opportunities Monitoring Form
- Information on Agenda for Change
- The Equal Opportunities Monitoring form is required for monitoring purposes only and will not be made available to the interview panel during any part of the recruitment process.
- Please note, to ensure that we adhere to our current policy on Equal Opportunities; CV’s received with Application Forms will be destroyed prior to Application forms being passed for Short listing.
- NWTC operates a NO SMOKING Policy on all Premises and Grounds.
- All offers of employment will be subject to the receipt of satisfactory References, Occupational Health screening and Disclosure Scotland clearance if applicable.
- Please send your completed application to:-
Recruitment Team,
HR Department
GoldenJubileeNationalHospital
Agamemnon Street
Clydebank
G81 4DY
- When returning your completed application and any associated enclosures by Royal Mail you must ensure that the correct postage cost is paid. We have been informed by the Post Office that they are retaining those which have been underpaid. This has resulted in completed applications not being returned until after the closing date, and not being included for short listing.
- The short listing process will take place shortly after the closing date.
- As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities all applicants who are disabled and who meet the minimum criteria expressed in the person specification will be guaranteed an interview.
GOLDENJUBILEENATIONALHOSPITAL
TERMS AND CONDITIONS OF SERVICE
1. Terms and Conditions of Service
The terms and conditions applicable to this post are those of all NHS Employees.
2. 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 amount to 5% to 10.9% of salary (depending on rate of Pensionable Pay) and the employers’ contribution equates to 14% 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.
3. Salary
Clinical Fellow
4. Grade
Clinical Fellow
5. Annual Leave
The annual leave entitlement in a full year commencing 1st April to 31st March is 27 days, rising to 29 days after 5 years’ service and 33 days after 10 years’ service. There are 8 Statutory and Public Holidays in each leave year. (Pro rata where applicable)
6. Hours of Duty
40 Hours per week
7. Tenure of Employment
This post is offered on a fixed term basis for 1 year.
8. Asylum and Immigration Act 1996
Under the Asylum and Immigration Act 1996, we are required to carry out checks to ensure that all prospective employees are entitled to live and work in the United Kingdom. You will therefore be asked to provide appropriate documentation prior to any appointment being made.
NHS National Waiting Times Centre
Benefits
NHS Superannuation scheme:
All staff are eligible to join this scheme from date of commencement. Employee
contributions vary from 5% to 10.9% depending on annual pensionable pay. Benefits
include a lump sum and pension when you retire, life assurance of 2 years’ pay while
you are working, pension and allowances for your spouse and children in the event of
death, and benefits for ill-health retirement. Members of the scheme receive tax
relief on contributions and Lower National Insurance contributions.
Annual leave entitlement (including public holidays):
35 days annual leave on appointment
37 days annual leave after 5 years
41 days annual leave after 10 years
Free car parking
Continuing professional development opportunities
Discounts at the associated Beardmore Hotel
Wide range of voluntary benefits also available:
Personal accident plan – A benefit which provides tax free payments if you are hospitalised, suffer from burns or fractures or suffer a disabling injury. Cost of cover ranges from a minimum of £1.50 per month for single cover to £3.00 per month for family cover.
WellWoman plan – This benefit provides up to £6,000 tax free financial support in the event of diagnosis of female cancer. Premiums are age related and start at £3.00 per month. No medical is required to join the plan.
Travel insurance – Prices range from £2.95 per month for individual European cover to £5.75 per month for family Worldwide cover.
The Health Scheme – Covers a total of 28 benefits and gives you a tax free cash lump sum to assist with medical expenses. Cost is per unit, ranging from £5.85 to £22.32 per month.
Leisure Club membership – Get fit and healthy at the Beardmore Leisure Club for only £28 per month.
Childcare vouchers – If you are a working parent with children under the age of 16 you could save up to £1,196 per parent, per annum on the cost of childcare.
For more information about the benefits and discounts available to NHS staff, visit
GoldenJubileeNationalHospital
Job Description
Advanced Medical Training Fellowship (AMTF)
Cardiothoracic Anaesthesia and Critical Care
Clinical Fellow – Anaesthesia and Critical Care
National Waiting Times Centre NHS Board
Job Description
1.Job IdentificationJob Title: Advanced Medical Training Fellowship (AMTF)/ Clinical Fellow
Cardiothoracic Anaesthesia and Critical Care
Responsible to: Head of Operations and Associate Medical Director -Surgical Division
Accountable to: Chief Executive
Department(s): Department of Anaesthetics
2Introduction.
The Golden Jubilee Hospital is a state of the art tertiary referral centre on the banks of the River Clyde in close proximity to GlasgowInternationalAirport and within 30 minutes of the centre of Glasgow by road and rail links
The hospital was originally built as a private hospital in 1995 and is now the National Waiting Time Centre which is a special health board of NHS Scotland. The Golden Jubilee National Hospital has 300 beds overall with all wards having single or two bedded rooms with ensuite facilities. The estate is one of a high specification and has the invaluable asset of a hotel and conference centre as an integral unit alongside the hospital. All facilities are managed by the National Waiting Times Centre Board
The main clinical services provided are Heart and Lung Specialties, elective major Orthopaedics, General Surgery, Plastic Surgery, Bariatric Surgery, Endoscopy and Diagnostic Imaging.
The West of Scotland Heart and Lung Centre
The Centre was created in March 2008 at the Golden Jubilee Hospital, bringing Interventional Cardiology and Cardiothoracic services previously provided by Greater Glasgow and Clyde and Lanarkshire onto our Specialist Tertiary Centre at the Golden Jubilee National Hospital. The interventional cardiology service which includes primary PCI is among the busiest in the UK. The Centre also provides the regional electrophysiology service for the West of Scotland. In addition to these regional specialist services the GJNH is the site for the co-location of three services funded by the National Services Division of National Services Scotland (accountable for commissioning specialist services provided on a national basis on behalf of the Scottish Executive). These include the Scottish Adult Congenital Cardiac Service (SACCS), the Scottish Advanced Heart Failure Service (SAHFS) and the Scottish Pulmonary Vascular Unit (SPVU). The SAHFS provides cardiac transplantation and mechanical support services for the treatment of advanced heart failure to the Scottish population. With this array of specialist cardiopulmonary services for a catchment population of 2.2 million, the GJNH is one of the largest heart and lung centres in Europe. The Heart and Lung Centre also benefits from MRI and CT imaging facilities with capabilities for CT angiography and a brand new 64 slice CT.
Orthopaedic Service
The orthopaedic service works across four laminar flow theatres with a 5th Theatre nearing completion delivering 18 per cent of all hip and knee replacements for the NHS in Scotland, and 40 per cent of those by West of Scotland hospitals. One of the great successes within the Orthopaedic Department is the ‘Caledonian’ Technique. This is a multi-disciplinary approach to peri-operative care aimed at enhanced recovery and early discharge – the programme has reduced the length of hospital stay following joint replacement to an average of 4 days.
Management Structure
The NHS National Waiting Times Centre is a Special Health Board of Scotland which reports directly to the Scottish Government. Within the hospital there two divisions of which Anaesthesia, ICU and Theatres are part of the Surgical Specialties Division.
Management team:
Operational and Strategic Lead Clinician
cardiothoracic anaesthesia and critical care. Dr Alistair Macfie
Associate Medical Director, Surgical Specialties(post currently vacant)
Head of Operations, Surgical Specialties Mrs Lynn Graham
Head of NursingMrs Anne Marie Cavanagh
Theatre ManagerMrs Karen Boylan
Operations Manager Mrs Claire MacArthur
Medical leadership in department structure
3. Work of the Department
The Department of Anaesthesia, during a period of development and expansion since becoming part of the NHS in 2004, established itself as a major centre of excellence in anaesthesia, intensive care and pain medicine.
The department has an international reputation in pain management. Consultant Anaesthetists provide support for Outpatient pre-admission clinics, with additional support from PAA’s (Physician Anaesthetic Assistants).
We have an active research programme that attracts a steady stream of clinical research fellows to the department.
The main areas of interest are:
- PK/PD of intravenous anaesthesia
- Monitoring depth of anaesthesia
- Thoracic epidural anaesthesia and pain relief
- Acute lung Injury after thoracic surgery
- Regional anaesthesia for lower limb surgery
The hospital has a modern operating theatre department which consists of 15 operating theatres to facilitate with the following distribution of specialties:
- Cardiac ( 4)
- Thoracic ( 2 )
- Orthopaedic ( 4 )
- General, and plastic surgery ( 3 )
- There is also a separate day facility providing Ophthalmic and Endoscopy activity. The operating theatres provide a 24-hour on-call service with morning lists commencing at 08.00.
There are two intensive care units with a total of 22 physical beds (currently 21 staffed) and there are 16 high dependency beds in two separate units. In addition to providing care to cardiac surgical patients, the critical care unit also manages patients critically ill with heart failure and patients undergoing heart transplant and mechanical circulatory support under the Scottish National Advanced Heart Failure Service and it supports the regional primary angioplasty service.
We serve patients undergoing complex adult congenital surgery within the Scottish Adult Congenital Service. We have links with Glasgow and surrounding obstetric services to provide peri-partum care for women with severe congenital heart disease or heart failure. The critical care service also treats occasional patients who have undergone orthopaedic or general surgical procedures in the hospital. Techniques used in the intensive care include renal replacement therapy, intra-aortic balloon pump counter pulsation, ventricular assist device support, invasive and non-invasive ventilation, pulmonary artery catheterisation, and transoesophageal echocardiography. There is dedicated prospective sessional daytime cover from the team of 10 consultant anaesthetic intensivists and a dedicated out of hours rota (see below).
The National Services ward (including the Scottish National Advanced Heart Failure Service) currently occupies an adjacent 8-bedded high dependency area.
Conference, Research and Education facilities
Research, Development and Innovation are very important components of the activity at the Golden Jubilee National Hospital supported by a steering group and dedicated manager. Contract (commercial) research is encouraged and staff use income generated from this source to maintain research support staff such as Clinical Research Fellows and Research Nurses.
Education.
The GJNH has an anaesthetic college tutor appointed by the Royal College of Anaesthesia who has responsibility for anaesthetic educational supervision. The Fellow will have a named educational supervisor. The appointee would be expected to attend educational CME meetings which occur once a month on Friday afternoons. There is also a programme of regular weekly cardiothoracic tutorials. Other educational opportunities include the Heart Failure meeting on Friday mornings.
Governance and Risk management
The Board has a comprehensive programme that covers both clinical and research governance domains and all medical staff are expected to uphold clinical and non-clinical policies and be exemplar role models for all other medical and non-medical staff.
Patient safety underpins clinical practice and initiatives following the guidance of the SPSP and subsequent programmes apply to all staff.
Medical staff are required to undergo annual appraisal, meeting the requirements that will be required for revalidation purposes. The Medical Director is the Responsible Officer for all medical staff who work principally at the Golden Jubilee National Hospital.
4. Duties of the post / Proposed Job Plan
This new Advanced Medical Fellowship Post (AMTF) post has been created with approval by the Post-graduate Dean for CCT-holders in Anaesthesia to gain additional training in cardiothoracic anaesthesia and critical care. The Clinical Fellow post does not require the post holder to be post CCT.
This one year post will include working as the cardiothoracic anaesthetic fellow in cardiothoracic theatres and the cardiac intensive care unit. The fellow will undertake training in cardiothoracic anaesthesia and critical care alongside the rotational anaesthetic trainees from the West of Scotland deanery. The post holder will take part in the cardiothoracic anaesthetic on call rota for cardiac intensive care. This rota currently has ten doctors: six rotational ST anaesthetic trainees, two anaesthetic lecturer posts supervised by Professor Kinsella of GlasgowUniversity and an associate specialist. The fellow will supervised by consultants of the anaesthetic department. The fellow will receive a training in cardiothoracic anaesthesia including intra-operative trans-oesophageal echocardiography.
There are excellent teaching opportunities within the department. Each week the junior staff have 1 hour of protected teaching time on a Tuesday afternoon which covers the cardiothoracic curriculum in a consultant led tutorial format. There is a monthly multidisciplinary M&M afternoon on the first Friday of the month (3 hours). On the third Friday afternoon there is the anaesthetic department CME (3 hours). On Friday mornings, an advanced heart failure MDT is held to discuss the selection and management of Transplant and VAD patients.
Training Objectives:
- To reach a standard of cardiothoracic anesthesia to allow independent practice without immediate supervision
- To gain accreditation within the year in trans-oesophageal echocardiography which involves the collection of 125 TOE cases and preparation of examples and passing the BSE/ACTA TOE Exam.
- To gain experience in cardiothoracic critical care.