POSITION: Consultant General Surgeon with an interest in Upper GI and Laparoscopic Surgery / /
Reference / MS/0114/01 / Quote on all correspondence
Grade / Consultant General Surgeon with an interest in Upper GI and Laparoscopic Surgery
Location / Monklands Hospital
Hours / PA’s / 10 PAs per week (Part-time may be considered)
Salary Scale / Consultant
Closing Date / Monday 3rd February 2014
Your Application / Thank you for expressing an interest in the above post within NHS Lanarkshire. Please find all the relevant information attached to begin the application process.
Should you require further information regarding this post you can contact the Medical Staffing team or make informal enquiries with the department using the contact details below.
To ensure we can process your application as easily as possible please complete all the information required within the Application Pack and email with your CV.
Contact Details / Telephone / 01698 377720
Email /
Application Process / To apply, please email your CV to the above, along with the attached completed Application Pack.
Additional Arrangements / Informal enquiries regarding this post will be welcomed by:-
Dr R Mackenzie
Mr J Cumming
Mr A Nassar / Clinical Director
Lead Clinician Gen Surgery
Consultant Surgeon / 01236 713295
01236 748748
01236 748748
Date when the post is Vacant / The post is vacant immediately and a start date will be agreed with the successful candidate.
NHS Lanarkshire / For further information regarding NHS Lanarkshire and it’s hospitals, please visit our website:- www.nhslanarkshire.org.uk
We are an Equal Opportunities Employer and Positive about Disabled People.
POST INFORMATION
The Post / The successful candidate for the post of Consultant in General Surgery NHS Lanarkshire based at Monklands General Hospital will be appointed to a full time 10PA contract.
General Provisions / You will be answerable to Clinical Director, who will agree your job plan.
Health and Safety / You are required to comply with NHS Lanarkshire Health and Safety Policies.
Junior Medical Staff / You will be responsible for the training and supervision of the Junior Medical staff who work with you, and you will be expected to devote time to this on a regular basis. In addition, you will be expected to ensure that staff have access to advice and counseling. If appropriate, you will be named in the contracts of Doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such Doctors on their career.
Resources / The following resources are available:-
Consultants / Special Interest
Mr A MacDoanld / Colo-rectal
Miss P Sharma / Colo-rectal
Mr A Nassar / Upper GI, laparoscopic biliary surgery
Mr J Cummings / General
Mr F Ruzvidzo / Locum Consultant
Mr H Qandeel / Locum Consultant
Specialty Doctors / 2
Specialist Registrars on rotation from the West of Scotland Training Scheme. / 4
STR’s on BST / 7
STRs/FY’s
Secretarial Support:
WTE Secretaries / 7
DUTIES AND RESPONSIBILITIES
Main Duties / · You will undertake with existing colleagues the continuing care of inpatients, day cases and outpatients in Monklands General Hospital
· Participation in the out of hours general surgical rota with colleagues.
· Provision of cover for colleagues during annual, study or sickness leave.
· Participation in the supervision, training and management of junior medical staff.
· Management responsibility where appropriate as agreed with the clinical director.
· Participation in staff appraisal process.
· Participation in appropriate internal or external quality assurance programmes.
· Participation in clinical audit.
· Participation in both undergraduate and postgraduate teaching programmes.
· Compliance with Royal College recommendations on continuing Medical Education.
Work Programme / As required under Section 3 of the Terms and Conditions of Service, the duties and responsibilities are supported by a job plan and work programme detailed as follows:
Job Planning/Programmed Activities
The successful candidate will be expected to contribute to the general surgery elective workload. In addition Monklands Hospital has a one-stop service for all acute biliary emergencies, including suspected bile duct stones. There is a hospital-wide protocol for referring acute admissions with gallstones to a dedicated biliary firm. This post could offer the opportunity to develop this service alongside Mr Ahmad Nassar, the consultant currently providing the service team. The team accepts (whether or not the consultant is on call) biliary emergency admissions from other consultant surgeons, consultant physicians and gastroenterologists and treats the great majority laparoscopically in one session. Therefore, the hospital does not have an on-site ERCP service. When required for occasional cases, there is ready access to ERCP for unfit patients, doubtful pathology, or postoperatively, at a sister hospital within the Trust. The department has a state of the art setup for intraoperative cholangiography and laparoscopic bile duct exploration; including a dedicated C-Arm and both 3mm and 5mm choledochoscopes. The successful candidates will be expected to have an interest in cholangiography and laparoscopic bile duct exploration. The laparoscopic biliary firm regularly attracts UK and overseas consultants and senior trainees who wish to familiarise themselves with the setup and techniques of laparoscopic bile duct exploration. It has an active research and audit program and contributes regularly to national and international meetings, producing a constant publication output. The job plan will be dependent on the successful candidate’s subspecialty training and interests. A minimum of 1 SPA will be included in the job plan.
A minimum of 1 SPA will be included in the job plan. Additional SPAs (up to 2.5 in total) can be incorporated into the job plan depending on the time required to support the successful candidate’s professional activities and the needs of the service.
On taking up post a Job Plan will be agreed between the person appointed and the Clinical Director/Associate Medical Director. The Job Plan will be reviewed informally after 3 months in post and then again on a formal basis after 6 months in post.
At present the table below provides information about current fixed commitments. Other main theatre operating time will be available on some Mondays, Tuesdays and Wednesdays as a result of sessions released through the general surgical on-call rota. Daytime daily CEPOD lists are available for emergency cases. The indicative timetable identifies those fixed commitments which are dependent on other hospital resources, both physical and human.
Fixed Commitments / Days / Hours / Type of Work / Location
Monday / AM
PM
Tuesday / AM / DSU Wk 1
Main Th Wk 2&4 / Monklands Hospital
PM
Wednesday / AM
PM
Thursday / AM / DSU Wk2&4
Clinic Wk1&3 / Monklands Hospital
Currently Cumbernauld
PM / Endoscopy / Monklands Hospital
Friday / AM / Clinic / Monklands Hospital
PM / Main Theatre / Monklands Hospital
The timetable above equates to 4.75 PA and an average of 1.25PA of additional fixed clinical activity would be expected to be provided in addition. The make up of the working week is subject to change with the Cumbernauld clinic provision currently under review by the surgical directorate. The expected fixed commitment equates to 6 sessions.
On call is on a 1 in 7 basis with prospective cover. Currently this is covered over any 2 week period by 2 consultants. Dedicated daytime emergency theatre is available to allow adherence with guidance to restrict overnight operating to life and limb threatening conditions.
In addition, other activities not occurring at fixed times. / · Reviewing new admissions.
· Discussing referrals, in patient and out patient with Colleagues (daily).
· Discussing management/investigation of patients with colleagues in other appropriate Clinical Support Services
· Ward Referrals, Discussing patient management/ reviewing patients with doctors in training and Nursing Staff out with formal ward rounds.
· Speaking to GP’s, outpatients re results.
· Vetting Fast Track clinic referrals/ allocating appointments (daily).
· CPD and Appraisal
· Audit
Review of the Job Plan / This job plan is subject to review at least once a year by the post holder and the Specialty Clinical Director/Clinical Lead as noted in the terms and conditions. The procedures set out in the ‘Terms & Conditions of Service’ must be followed if it is not possible to agree a job plan, either initially or at an annual review.
Audit and research / The successful candidate will be expected to participate in audit processes and there is an active clinical audit department available to assist. An interest in research will be supported.
Continuing Professional Development / Study leave is available within the terms and conditions of service with the approval of the Specialty Clinical Director/Clinical Lead. The appointee will be required to fulfill such demands for continuing professional development as the Royal College of Surgeons (or other relevant bodies) may make.
Honorary Academic Status / If involved in undergraduate teaching status can be applied for. Applications can be made via the Hospital Sub-dean and then to the appropriate academic department within the University.
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NHS Lanarkshire – Information PackPOSITION: Consultant General Surgeon with an interest in Upper GI and Laparoscopic Surgery / /
PERSON PROFILE
Attributes / Essential / Useful
Qualifications / FRCS or equivalent post-Graduate qualification in
Surgery. / ChM, MD or equivalent.
Training / GMC Registration with a license to practice. Inclusion on GMC’s Specialist Register or within 6 months of CCT or CESR (CP) at interview.
Research / Willingness to participate in multi-centre studies applicable. / Research experience relevant to the practice of surgery is desirable.
Publications / Articles on relevant topics
in peer review journals.
Experience / In keeping with completion
of specialist training.
Experience of and/or interest in audit and clinical management.
Previous experience in organising NHS or other health services.
Knowledge and Skills / Broad based knowledge and skills in relation to general surgery.
Training in benign upper GI surgery including experience in cholangiography.
Interest and experience in undergraduate and postgraduate teaching. / Problem solver/diplomat /counsellor.
Experience and training in laparoscopic bile duct exploration.
Disposition / Committed to Quality Patient Care.
An ability to communicate well with colleagues and other staff.
Ability to work as part of a team. / Preference to work in a District General Hospital.
Driving licence.
Other / A commitment to continuing medical education.
A flexible approach to duties, which satisfies the needs of the Service in a changing environment.
If there is any reason why a disabled person should not be considered suitable for this post, please provide details: / The post requires physical dexterity. Uncorrected visual or hearing defect would be incompatible with the nature of the work.
Prepared By:- / Approved By:-
Name / Dr. R MacKenzie / Mr. A. Khan
Designation / Clinical Director / Associate Medical Director
Date / December 2013 / December 2013
TERMS AND CONDITIONS
a) This appointment is offered on the Terms and Conditions of the new Consultant Contract.
Additional NHS Lanarkshire Policies which support the Contract are listed below and are available on request:
· Additional & External Duties
· Fee –Paying Work in the New Consultant Contract
· On-Call Availability and Payment of Supplement
· Generic Objectives
· Resident On-Call Duties
b) This appointment is superannuable under the NHS Superannuation Scheme, which is contracted out of the State Earnings Related Pension Scheme (SERPS). New employees commencing employment from 1 March 2013 onwards will automatically be enrolled in the pension scheme and your remuneration will be subject to deduction of superannuation contributions.
To opt-out, you must contact the Scottish Public Pensions Agency directly on Tel: 01896 893000. Should you choose to opt-out in accordance with these changes you will be enrolled into the scheme again every 3 years (June 2016, 2019 etc) when the same process will apply.
For further information on the benefits of the scheme, please contact an advisor of The Scottish Public Pensions Agency (SPPA) Tel: 01896 893100, or download/view a member’s guide at www.sppa.gov.uk/nhs/forms.htm.
c) The employment is subject to 3months’ notice on either side subject always to the appeal and other provisions of paragraphs 10.4 & 10.5 of the Terms and Conditions of Service of Hospital Medical and Dental Staff and Doctors in Public Health and the Community Health Service Consultant Grade.
d) Reimbursement of certain telephone charges may be payable on application to NHS Lanarkshire. The successful candidate must be contactable throughout any on-call period.
e) The successful candidate, if not already employed by the NHS Lanarkshire, will be required to complete a medical questionnaire to obtain medical clearance from the Occupational Health Physician.
f) The successful candidate will be required to complete a disclosure Scotland PVG (Protecting Vulnerable Groups Scheme) form. No approach will be made without written permission of the successful applicant who will be asked to sign and complete a Disclosure PVG application, giving authorization for the check to be undertaken.
g) NHS Lanarkshire does not negotiate salary placements. On commencement the salary will be in line with paragraph 5.1 of the terms and conditions of the new consultant contract. Appointees start on the scale minimum except in the circumstances of paragraphs 5.1.2 – 5.1.7 of the terms and conditions of service.
h) From 1st April 2013 the starting salary for the post is £75,249 per annum (based on 10 Programmed Activities per week). The successful candidate’s total salary will be dependent on his/her previous service history. Remuneration for any extra programmed activities will be dependent upon the job plan agreed at the time of appointment.
i) Dependent upon present place of residence, NHS Lanarkshire may require the successful candidate to undertake to remove home to a distance acceptable to NHS Lanarkshire, normally within 10 miles of the base Hospital, in which case removal expenses will be payable in accordance with NHS Lanarkshire Policy. In some cases, however, a residence more than 10 miles distant from the base hospital will be acceptable and in this case removal expenses will be subject to the prior approval of the Associate Medical Director for such a residence. The position will be made clear to the successful candidate on application
DECLARATIONS/CONVICTIONS STATEMENT