consultant
ORAL & maxillofacial/head & neck surgeon
QUEEN ELIZABETH UNIVERSITY HOSPITAL, GLASGOW
INFORMATION PACK
REF: 37944d
cLOSING DATE: nOON 14TH august 2015
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: CONSULTANT ORAL & maxillofaciaL/ head & NECK SURGEON
Base: QUEEN ELIZABETH UNIVERSITY HOSPITAL, GLASGOW
Applications are invited for a Consultant Oral & Maxillofacial/ Head & Neck Surgeon to join one of the busiest head and neck oncology units in the UK. The post is based at the Queen Elizabeth University Hospital, Glasgow. There are currently 8 Consultant Surgical posts in the department. The Consultants work in subspecialty teams employing a team approach with close collaboration and cross referral. The head and neck oncology team works very closely with the ENT and oncology services to provide comprehensive head and neck cancer care. The department covers all aspects of the specialty including, trauma, facial deformity, craniofacial, cleft surgery for adult and paediatric patients. The on call service is currently provided across the region with colleagues form the surrounding Health Boards.
Applicants must have full registration with the General Medical Council, a registerable dental degree, a licence to practise and be eligible for inclusion in the GMC’s Specialist Register in Oral & Maxillofacial Surgery. Those trained in the UK should have evidence of higher Specialist Training leading to CCT or eligibility for specialist registration (CESR) or be within six months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training and have some experience of working in the NHS
ACUTE SERVICES DIVISION
INFORMATION PACK
FOR THE POST OF
CONSULTANT
IN
ORAL AND MAXILLOFACIAL SURGERY/
HEAD AND NECK
1. GLASGOW – A GREAT PLACE TO LIVE AND
WORK
Greater Glasgow and Clyde Valley is one of the world’s most thrilling and beautiful destinations.
There is a wealth of attractions to discover, the UK’s finest Victorian architecture to astound, internationally acclaimed museums and galleries to inspire, as well as Glasgow’s own unique atmosphere to soak up.
Be entertained in one of Europe’s top cultural capitals by its year-long calendar of festivals and special events and enjoy outstanding shopping, superb bars and restaurants - all located within a stone’s throw of some of the country’s finest parks and gardens.
The area also stands at the gateway to some of Scotland’s most spectacular scenery, with Loch Lomond and the Trossachs only 40 minutes away.
What’s more, we are easily accessible by air, rail and road so getting here could not be easier.
2. GREATER GLASGOW & CLYDE ACUTE
SERVICES DIVISION
The Acute Division brings together all acute services across the city and Clyde under a single management structure led by the Chief Operating Officer. The Division is undergoing a major organizational change which sees the majority of clinical services being managed from 1st June 2015 via a sector based arrangement by a Director, Chief of Medicine, Chief Nurse and the respective managerial teams . These services are defined as :
North Sector Services
South Sector Services
Clyde Sector Services
Diagnostics
Regional Services
Women’s and Children’s Services
Facilities
Regional Services
This post is based within Regional Services which includes:
Neuro-sciences [including all sub-specialties except neuro-
Radiology and neuropathology]
Specialist Oncology services [including haemato-oncology]
Plastic Surgery and Burns
Renal Services including Renal Transplantation
Oral and Maxillofacial surgery
Centre for Integrative Care
Queen Elizabeth National Spinal Injuries Unit
Further services yet to be defined
3. THE QUEEN ELIZABETH UNIVERSITY HOSPITAL
The Queen Elizabeth University Hospital is a large teaching hospital with an acute operational bed complement of approximately 930 beds. The Hospital is sited in the south-west of Glasgow and provides a comprehensive range of acute and related clinical services.
Services include Accident and Emergency, Dermatology, ENT, General Medicine (including sub-specialties), General Surgery (including sub-specialties), Medicine for the Elderly (including Assessment, Rehabilitation and Day Services), Gynaecology, Neonatal Paediatrics, Obstetrics, Ophthalmology, Orthopaedic Surgery, Urology, Physically Disabled Rehabilitation and Continuing Care. In-patient Maxillofacial (trauma and elective surgery and specialist provision for head and neck cancer), Dermatology and the Assessment and Rehabilitation service for the Physically Disabled are also provided for the whole city from the Queen Elizabeth University Hospital.
There is also a wide range of therapeutic services including Audiology, Clinical Psychology, Dietetics, Occupational Therapy, ECG, Physiotherapy, Radiology (including MRI and CT provision for the general hospital service) and Speech Therapy.
The Institute of Neurological Sciences
The Institute of Neurological Sciences is based on Queen Elizabeth University Hospital campus and provides Neurosurgical, Neurological, Clinical Neurophysiology, Neuroradiological and Neuropathology facilities for the West of Scotland. The Institute is equipped with a Magnetic Resonance Imaging Suite, SPECT Scanner, two Computerised Axial Tomography Scanners, and angiography facilities. The Institute has ICU, HDU and outpatient facilities and also houses ENT and Oral & Maxillofacial Services.
Spinal Injuries Unit
The Queen Elizabeth National Spinal Injuries Unit for Scotland provides a spinal injuries service to the whole of Scotland. This is housed in a purpose-built facility.
University Links
The Queen Elizabeth University Hospital has built a sound academic and research base over the years, and has an excellent teaching reputation with libraries and lecture suites with comprehensive audio/visual facilities on site. There are close links with the University of Glasgow's Faculty of Medicine including Professors within Neurosciences.
4. WORK OF THE DEPARTMENT
The Regional Maxillofacial Unit encompasses the whole range of surgery for the specialty for both adult and paediatric patients. The department is divided into three broad teams: Deformity comprising craniofacial, cleft lip and palate, orthognathic and TMJ surgery, oncology including skull base oncology, salivary gland, skin cancer and dental/oral rehabilitation and finally trauma. There are very strong links with Oral and Maxillofacial Surgery colleagues based in the surrounding health boards and there are well-developed plans for the centralisation of all major operative activity at the Queen Elizabeth University Hospital in Glasgow. Forth Valley, Ayrshire and Arran and Dumfries and Galloway Health Boards have already centralised their major procedure in-patients. The on-call system currently covers the whole of the region.
The department has excellent facilities with three dedicated operating theatres within a suite of 7 (shared with Neurosurgery). There is considerable flexibility in the use of this resource and this allows for easy combined operating. There is access to our dedicated theatre for out of hours emergencies. Inpatients are accommodated on ward 62 and ward 66A (a 5 day ward shared with neurosurgery). The radiology department is housed within the Institute of Neurosciences and a team of specialist radiologists and radiographers supports us with access to 2 CT scanners and 2 MRI scanners as well as plain radiography. There are excellent Head & Neck interventional radiology facilities. All imaging is available on the national PACS system. Outpatient facilities comprise 3 dental type surgeries, one minor operating theatre and a flexible number of consulting rooms. The photography department has a studio in the department and all images (city wide) are stored on a central server. Within the outpatient department we have a 3D imaging system and cadcam design software. In addition we have a full service maxillofacial technology laboratory with significant expertise in all types of facial prostheses and in house 3D printing and image manipulation. We also have a camouflage make up service for oncology patients. The Institute is currently undergoing a huge refurbishment process which will continue for the foreseeable future.
The Head & Neck Oncology Service is part of the managed clinical network for head and neck oncology and there are excellent links with the ENT, neurosurgery and plastic surgery departments with collaborative operating and patient management being commonplace. The head and neck team provide both ablative and reconstructive microsurgery surgery for the management of oral, oropharyngeal and laryngeal cancers. There is a well established sentinel node service provided for oral cancers and melanoma of the head and neck. Skin cancer is treated in both outpatient and inpatient theaters and a Moh's micrographic surgery service is provided in conjunction with dermatology colleagues.
There are strong research links with the Beatson Oncology Centre and the Academic Department of Surgery. In addition there are longstanding collaborations with the Glasgow Dental Hospital and School.
The department is supported by 3 WTE and 1 part time associate specialist and has training recognition for 6 higher surgical trainees. The department has recognition for a national training interface fellow in Head and Neck Oncology. In addition seven dental SHOs work in the department on rotation.
5. THE JOB ITSELF
a. Title: Consultant in Oral & Maxillofacial Surgery/ Head & Neck
The job plan provides for 10 PAs under the new Consultant contract.
SPA time will be allocated to the successful applicant depending on their attributes and the needs of the service.
(b) Relationships:
(i) Name of Health Board(s):
NHS Greater Glasgow and Clyde
(ii) Names of Consultant members of the Department:
Mr Mark Devlin (Cleft)
Mr Jeff Downie (Deformity- Joint appointment with Forth Valley Health Board)
Mr Ian Holland (Trauma)
Mr David Koppel (Craniofacial/ deformity, Lead Clinican)
Mr Jeremy McMahon (Oncology)
Mr Craig Wales (Oncology)
Mr Colin MacIver (Oncology)
Mr Andrew Carton (Oncology - Lanarkshire Health Board)
Mr Roger Currie (Deformity-–Ayrshire & Arran Health Board)
Mr Stuart Hislop (Oncology –Ayrshire & Arran Health Board)
Mr Moorthy Halsnad (Deformity –Ayrshire & Arran Health Board)
Mr Vikas Sood (Deformity- Lanarkshire Health Board)
Mr Ewen Thomson (Oncology – Forth Valley Health Board)
(c) Duties of the Post: see also person specification
(i) Clinical - details of all clinical commitments
The post is a replacement appointment. The clinical duties involve all aspects of head and neck oncology - diagnosis, resection, reconstruction, rehabilitation and follow up. It is anticipated that the post-holder would teamwork closely with Mr Colin MacIver, with combined operating and clinic sessions.
It is anticipated that the successful applicant would take a lead in developing the academic profile of the maxillofacial unit as a whole and particularly the head and neck service. There are strong links with the University and if appropriate an honorary university appointment can be facilitated.
The on call duties involve a 1 in 6 weekend commitment to the regional on call service and a 1 in 4 commitment to the weekday on call system.
(ii) Administration
As well as the usual administrative duties associated with care of patients the appointed consultant will be expected to participate in the management structure of the Regional Maxillofacial Unit and the Regional Services Directorate.
d. Timetable (this is an indicative timetable only)
The actual timetable is indicative – the opening of The New South Glasgow University Hospital and the relocation of ENT services is allowing for a reorganisation and streamlining of the head and neck services throughout the region. The timetable identifies those fixed sessions, which are dependent on other hospital resources, both physical and human. The remaining duties are incorporated in the narrative. The following represents a specimen programme but the precise pattern of work sessions will be arranged on a weekly basis in order to take account of exigencies of the service.
DAY / HOSPITAL / LOCATION / TYPE OF WORK / DCC / SPAMonday / SGH / Operating 0800-2100 / 11
Tuesday / SGH / 0900-1300 / SPA alternate weeks / 2
Wednesday / SGH / 0900-1300 / Clinic SGH / 4
SGH / 1400-1800 / Operating SGH/WR / 4
0800-0900 / WR / 1
Thursday / 0900-1300 / SPA / 4
1300-1500 / Clinicaladmin / 2
Friday / 0800-1600 / Ward round MDT/Clinic / 8
Saturday / On Call / 4
Sunday
TOTAL / 34 / 6
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.
7. DATE WHEN POST IS VACANT
This post is available for immediate appointment.
8. DETAILS OF ARRANGEMENTS FOR APPLICANTS TO VISIT HOSPITAL
In the first instance please contact:
Mr David Koppel, Consultant Surgeon/Lead Clinician
Tel: 0141 232 7510.
Short-listed candidates are invited automatically by the Director of Human Resources to visit the hospitals concerned. If candidates on their own initiative have visited the hospital prior to short-listing, they will only be allowed expenses for that prior visit if they are subsequently short-listed. When it is thought that there will be difficulty in filling the post, the Director of Human Resources has the authority to approve a second visit.
9. POSITION OF CONSULTANTS UNABLE FOR PERSONAL REASONS TO WORK FULL-TIME
Any consultant who is unable for personal reasons to work full-time will be eligible to be considered for the post; if such a person is appointed, modification of the job content will be discussed on a personal basis in consultation with consultant colleagues.
PERSON SPECIFICATION
POST: Consultant in Oral & Maxillofacial Surgery/Head and Neck
BOARD: Greater Glasgow and Clyde
HOSPITALS: Institute for Neurological Sciences, Queen Elizabeth University Hospital Glasgow
ESSENTIALFOR THE POST / DESIRABLE
FOR THE POST
1. Legal Requirements / Inclusion on the Specialist Register / Admission to the register within 6 months from date of interview.
2. Professional Qualifications / Full registration with the general medical Council and a licence to practise.
Registrable dental qualification / MD / PhD
3. Training / Possession of CCST/CCT in OMFS / Attendance at appropriate professional courses.
Completion of head & neck Interface Fellowship
4. Experience
Clinical
Management
Audit / Experience of all aspects of head & neck oncology and traumatiology relevant to OMFS
Working knowledge of NHS management responsibilities of consultants.
Evidence of participation in audit activities / Attendance at an appropriate management course.
Experience of clinical audit.
5. Teaching / Evidence of participation in teaching postgraduate medical staff plus a commitment to Postgraduate Training and Undergraduate Teaching within the organisation. Interest in undergraduate and postgraduate medical teaching. / Experience of teaching medical and other staff.
Evidence of participation in Undergraduate Teaching.
ESSENTIAL
FOR THE POST / DESIRABLE
FOR THE POST
6. Research / Publications / Experience and evidence of research and relevant publications. / Evidence of recent and current research, with relevant publications.
7. Professional Interests / Membership of appropriate professional society (ies)
Knowledge of up to date literature.
8. Personal Skills
Relationships
Teamwork / Ability to communicate and liaise effectively with patients and their relatives, and with colleagues of all disciplines.
Ability to be able to work harmoniously with colleagues.
Experience of supervision of junior medical staff and relevant staff in other disciplines.
Ability to work as a team with professional colleagues, both surgical and other disciplines
9. Circumstances
Residence
Car owner / driver / Agree to live an appropriate distance from the respective organisations.
Car owner with full driving licence.
10. Physical requirements /
General health / Satisfactory medical clearance from Occupational Health Physician.
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.