Specialty Doctor Rehabilitation Medicine

Specialty Doctor Rehabilitation Medicine

Southern General Hospital

information pack

reF: 23859D

Closing Date: 15.10.2011

SUMMARY INFORMATION

Post:Specialty Doctor IN rehabilitation medicine

Base:southern general hospital

This is an exciting opportunity to join a team of four consultants providing a needs-led comprehensive Rehabilitation Medicine service based in the Southern General Hospital.

The post is offered on a full-time basis with no on-call attachment.

All applicants must possess Full GMC Registration, a licence to practice, with at least 4 Years full time Post Graduate Training, two of which must have been in relevant acute specialties, must have some experience in rehabilitation medicine,or you will demonstrate and evidence equivalent experience and competencies. Consideration will be given to applicants who are unable for personal reasons to work full time.

Applications from candidates who require a Tier 2 Certificates of Sponsorship (formerly Work Permits) will only be considered if no suitable UK or EEA national is identified for this post. For further information on the UK Border Agency’s new Points Based System which now governs the way individuals from outside the EEA can work in the UK please visit

ACUTE SERVICES DIVISION

Rehabilitation and Assessment Directorate

Southern General Hospital

Information Pack

For the Post of

Specialty Doctor in Rehabilitation Medicine

1. GLASGOW – A GREAT PLACE TO LIVE AND WORK

Greater Glasgow and Clyde Valley are 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.

1. ACUTE SERVICES DIVISION, NHS GREATER GLASGOW AND CLYDE

The Acute Division of NHS Greater Glasgow and Clyde is the largest group of adult acute hospitals in Scotland – offering many opportunities to ensure job satisfaction and career development.

We provide a wide range of services from community-based care through to the full range of general hospital services.

We enjoy close links with Glasgow’s three universities and make a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation. We provide excellent facilities for students and their tutors in the brand new, £15 million, state of the art, Wolfson Medical School, based at Glasgow University.

We serve a core catchment population of 560,000 with patients not only coming from Greater Glasgow and Clyde but also, in some instances, from the whole of the West of Scotland and for our national services, from the whole of Scotland.

We have eight hospitals north of the River Clyde, all with teaching responsibilities: Glasgow Royal Infirmary, Western Infirmary, Stobhill Hospital, Gartnavel General Hospital, Glasgow Dental Hospital and School, Drumchapel Hospital, Blawarthill Hospital and Lightburn Hospital. South of the river situates the Southern General Victoria Infirmary. The Royal Alexandra Hospital in Paisley, Inverclyde Royal Hospital in Greenock and the Vale of Leven District General Hospital situated in Alexandria make up the three acute sites within Clyde.

With an annual budget of over one billion pounds this is a particularly exciting time to be joining NHS Greater Glasgow and Clyde. Over the next decade there is planned investment of more than £750 million, this is the largest single investment programme in the history of NHS Scotland – giving NHS Greater Glasgow and Clyde hospital accommodation for 21st Century health care.

NHS Greater Glasgow and Clyde plans to develop a new pattern of Accident & Emergency Services for Glasgow that will see:

• Specialist Accident & Emergency and Orthopaedic teams sited 24 hours a day at two centres of excellence – Glasgow Royal Infirmary and Southern General Hospital;
• New rapid access for GP emergency referrals; and
• Five Minor Injury Units staffed by nurse practitioners under the guidance of Accident & Emergency Consultants at Glasgow Royal Infirmary, Gartnavel General Hospital, Southern General Hospital and at the Ambulatory Care Hospitals to be built at Stobhill Hospital and the Victoria Infirmary.

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 made up of six Directorates of clinical services each managed by a Director and clinical management team along with a Facilities Directorate.

These are:

• Rehabilitation and Assessment
• Emergency Care and Medical Services
• Surgery and Anaesthetics
• Regional Services
• Diagnostics
• Women and Children’s Services
• Facilities

Rehabilitation and Assessment Directorate

The Rehabilitation and Assessment Directorate brings together the management of services that have strong inter-relationships to related CHCPs.

The Directorate manages the following services:

• Stroke
• Frail Elderly
• Palliative Care
• Inpatient Physically Disabled
• West of Scotland Mobility and Rehabilitation Centre (Westmarc)
• Physiotherapy
• Dietetics
• Speech and Language Therapy
• Rehabilitation

In addition, the Directorate manages a range of community services including palliative care, a number of specialist community disability services, pain services, continence, services to care homes and falls prevention.

Emergency Care and Medical Services

The specialties included in this Directorate are:

• Accident and Emergency services
• Acute Medicine
• Cardiology
• Respiratory Medicine
• Renal Medicine
• Gastroenterology
• Diabetes
• Infectious Diseases
• Rheumatology
• Dermatology

This Directorate also includes management of the Out-of-Hours GP Service

Surgery and Anaesthetics

This Directorate includes:

• General Surgery – including vascular and breast surgery
• Orthopaedics / trauma
• Anaesthetics – including critical care (with the exception of Coronary Care)
• Ophthalmology
• Optometry
• ENT Surgery
• Audiology
• Endoscopy
• Urology

Regional Services

This Directorate includes:

• Neuro-sciences (including all sub-specialties except neuro - Radiology and neuropathology)
• Specialist Oncology services (including haemato-oncology)
• Plastic Surgery and Burns
• Cardiothoracic Surgery
• Renal Transplantation
• Oral and Maxilofacial surgery
• Homeopathy

Diagnostic Services

This Directorate includes:

• All Laboratory Medicine including Paediatrics
• Diagnostic imaging (including Beatson radiological services and Paediatric Radiology)
• Vascular and Interventional Radiology
• Breast Screening services

Women and Children’s Services

This Directorate brings together maternity, gynaecology and children’s services.

The Directorate includes:

• Obstetrics
• Gynaecology
• Neonatology
• Paediatric Medicine
• Paediatric Surgery
• Paediatric Accident and Emergency
• Paediatric Anaesthetics

Facilities Directorate

This Directorate includes:

• Site maintenance for both acute and CHCP facilities
• Hotel Services
• Laundry
• TSSU
• Supplies
• Transport
• Catering
• Telecommunications
• Waste Management

1. SOUTHERN GENERAL HOSPITAL

The Southern General Hospital is a large teaching hospital with an acute operational bed complement of approximately 900 beds. The Hospital is sited in the south-west of Glasgow and provides a comprehensive range of acute and related clinical services.

District General Hospital services are provided for the south-west of the city, with some services provided for the whole city. 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. The Obstetrics, Urology, Ophthalmology and Dermatology Departments provide the single in-patient location for the whole population of South Glasgow.

The Maxillofacial Department for the whole city was centralised at the hospital in the autumn of 2002 providing trauma and elective surgery and specialist provision for head and neck cancer. South and West Glasgow’s in-patient Gynaecology service was centralised at the Southern General Hospital in late 2003/early 2004, bringing together on one site a range of services from across the city. The Assessment and Rehabilitation service for the Physically Disabled is also provided for the whole city from the Southern General 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 the Southern General campus and provides Neurosurgical, Neurological, Clinical Neurophysiology, Neuroradiological and Neuropathology facilities for the West of Scotland. The Institute is equipped with 2 Magnetic Resonance Imaging Suites, SPECT Scanner, 2 Computerised Axial Tomography Scanners, and angiography facilities. The Institute has recently undergone a major upgrade to incorporate ENT and Oral & Maxillofacial Services and is now equipped with additional facilities including the development of a new ward, four additional theatres, ICU, HDU and a new out-patient department.

Westmarc

The Westmarc Unit houses the clinical services for prosthetics and orthotics, including the Artificial Limb and Appliance Centre, within a purpose-built facility. The centre is staffed jointly by hospital and university personnel from the National Centre for Training in Prosthetics and Orthotics of Strathclyde University.

Podiatry

The Department of Podiatry has a purpose-built 24-chair clinic and a minor procedure theatre.

Spinal Injuries Unit

The Queen Elizabeth National Spinal Unit for Scotland provides a spinal injuries service to the whole of Scotland. This is housed in a purpose-built facility attached to the Institute of Neurological Sciences.

Education

There is a long tradition of training medical students and the Southern General is one of the principal teaching hospitals in Glasgow. There are fully equipped conference facilities at the Walton Conference Centre on site and a range of other tutorial rooms throughout the hospital. There is also a Library with a Learn Direct E-Learning Centre.

University Links

The Southern General Hospital has built a sound academic and research base over the years, and have an excellent teaching reputation with libraries and lecture suites with comprehensive audio/visual facilities. There are close links with the University of Glasgow's Faculty of Medicine including Professors within Neurosciences.

VALUING OUR STAFF

The Division is committed to extending training and development opportunities to all staff and is actively developing multi-disciplinary training, extending the role of on-line learning, and recognises the importance of developments in technology for both staff and patients.

We offer:

1. Policies to help balance commitments at work and home and flexible family friendly

working arrangements / Access to Day Nursery

1. Excellent training and development opportunities / Excellent student support / On-site library services / Commitment to staff education and life-long learning/development opportunities
2. Free and confidential staff counselling services
3. A central Glasgow location, with close access to motorway, rail and airport links
4. On-site staff gym at the Southern General Hospital / Active health promotion activities
5. Subsidised staff restaurant facilities on each site
6. Access to NHS staff benefits/staff discounts
7. Easy access to city centre shopping facilities, with SGH close to Braehead Shopping Centre
8. Good Public Transport links / Bike User Group / Access to discounted First Bus Travel
9. Access to NHS Pension scheme

.

1. WORK OF DEPARTMENT OF REHABILITATION MEDICINE

The PDRU provides a consultant led multidisciplinary rehabilitation service for adults with physical disability referred from both hospital and community settings. Referrals are received from the inpatient neurological and neurosurgical units at the Institute of Neurological Sciences, as well as medical and surgical units in Glasgow and surrounding areas. Patients are also admitted from outpatient and domiciliary assessments having been referred by GPs, other specialists or community services.

Inpatients receive a multidisciplinary rehabilitation programme directed by patient centred goals. Weekly consultant led multidisciplinary team meetings and ward rounds are held to monitor patient progress and manage relevant clinical issues. Each patient will also have regular individual goal planning meetings with staff specifically working with them to set goals in detail.

Each consultant has regular outpatient and also day assessment or day case clinics. A specialist spasticity clinic is held on a regular basis, and there are also gait assessment clinics. There are good links with the West of Scotland Mobility and Rehabilitation Centre (Westmarc) and community services. Domiciliary and environmental control assessments are carried out regularly.

The Larkfield Unit also provides a consultant led multidisciplinary rehabilitation service for adults with physical disability referred from both hospital and community settings for patients mainly residing in within the Inverclyde area of NHSGGC. This service is provided across outpatient and community settings and within an 8 bedded inpatient ward based at the Inverclyde Royal Hospital.

Ward 53 provides continuing care for younger adults with severe physical disability, and there is facility for medical respite.

There is regular teaching of medical undergraduates, and there is one FY2 and one GPST2 post rotating through the PDRU. Multidisciplinary audit, clinical governance and journal club meetings are held regularly.

Bed Numbers

Southern General Hospital

Physically Disabled Rehabilitation Unit26

Ward 53 Continuing Care22

Inverclyde Royal Hospital

Larkfield Unit 8

1. THE POST

(a)Title:

Specialty Doctor in Rehabilitation Medicine

(b)Relationships

(i)Rehabilitation and Assessment Directorate

Stroke and Disability Services

Director:Ms A Harkness

Associate Medical Director:Dr M Roberts

General Manager Ms M Farrell

(ii)Names of Consultant members of the Department

Dr A WeirLead Consultant

Dr C Roy

Dr B Panesar

Dr J Benjamin

(iii)Other members of medical staff in the Department

Dr S JoseStaff Grade

Specialist Registrar2 Posts

GPST 21 Post

FY21 Post

(c)Duties of The Post

(i)The postholder will be expected to work with local managers and professional colleagues in the efficient running of the service. Subject to the provisions of the terms and conditions of Service, the postholder is expected to observe NHS Greater Glasgow and Clyde’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of the Health Board.

(ii)The postholder will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of patients to be able to make contact with the postholder when necessary.

(iii)The postholder is required to comply with GG&C Health and Safety Policies.

(iv)Direct Clinical Care:

• Referral assessments
• Out-patient and day case clinics including procedures
• Administration associated with task e.g. letters, liaison with GPs and families
• Cross-cover for absent colleagues

Supporting Professional Activities:

• Hospital meetings
• Audit
• Involvement in Clinical Governance e.g. complaints, investigation of clinical incidents
• Participation in Annual Appraisal and Job Planning

There are no on-call or out of hours duties required with this post.

Whilst this is not a training post we would be happy to support a suitable candidate who wished to consider specialist accreditation via the CESR route.

6.Proposed Weekly Programme

The proposed indicative weekly programme is below. The job plan will be reviewed with the successful candidate within 3 months of appointment and immediately after appointment if the appointee wishes to work a reduced number of sessions.

Name:

Specialty: Rehabilitation Medicine

Grade: Specialty Doctor
Effective Date of Job Plan:

Next Expected Review Date:

Contract:

Weekly PAs: 10

Principal Place of Work: Southern General Hospital

Other Regular Workplaces: Inverclyde ward if cover required

On-Call Availability Supplement: NilNone / (delete as appropriate)

Out of Hours Work: Nil

Managerially Accountable to:

Clinically Responsible to: PDRU Consultants

a)Timetable of activities which have a specific location and time

DAY / HOSPITAL/
LOCATION / DESCRIPTION OF WORK / CATEGORY / PA TYPE
Southern General Hospital or other Glasgow hospitals for liaison work / DC / SOA / AR / - / PA / APA
Monday
From / To
9am – 5pm / PDRU
Neuro outpatients / Day case clinic
Outpatient clinic / √
√ / √
√
Tuesday
From / To
9am – 5pm / Referring units
Referring units/PDRU / Referral assessments
Referral assessments/admin / √
√ / √
√
Wednesday
From / To
9am – 5pm / Neuro outpatients
Referring units / Spasticity clinic/General rehabilitation outpatient clinic
Referral assessments / √ / √
√
Thursday
From / To
9am – 5pm / Neuro outpatients/PDRU
PDRU / Spasticity clinic/procedures
SPA / √ / √ / √
√
Friday
From / To
9am – 5pm / PDRU
Neuro outpatients/PDRU / Day case clinic
General rehabilitation clinic / admin / √
√ / √
√

NHS GREATER GLASGOW AND CLYDE

ACUTE SERVICES DIVISION

REHABILITATION AND ASSESSMENT DIRECTORATE

PERSON SPECIFICATION

JOB TITLE: Specialty Doctor / SPECIALITY: Rehabilitation Medicine
FACTOR / ESSENTIAL / DESIRABLE
QUALIFICATIONS / MBBS or equivalent medical qualification
Eligibility / All applicants must possess Full GMC Registration, a licence to practice, with at least 4 Years full time Post Graduate Training, two of which must have been in relevant acute specialties, must have some experience in rehabilitation medicine,or you will demonstrate and evidence equivalent experience and competencies.
Evidence of achievement of Foundation
competencies by time of appointment in
line with GMC standards in Good MedicalPractice including:
• good clinical care
• maintaining good medical practice
• good relationships and communication
with patients
• good working relationships with
colleagues
• good teaching and training
• professional behaviour and probity
• delivery of good acute clinical care.
Evidence of achievement of ST1/CT1
competences in a relevant specialty at timeof application and likelihood of achievingST2/CT2 competences in a relevantspecialty by the start date of the post .
Eligibility to work in the UK.
Fitness to
practise / Applicant’s knowledge is up to date and isfit to practise safely
Language skills / All applicants to have demonstrable
skills in written and spoken English
that are adequate to enable effective
communication about medical topics withpatients and colleagues, which could bedemonstrated by one of the following:
• applicants have undertaken
undergraduate medical training in English
• applicants have scores in the academic
International English Language Testing
System (IELTS) or equivalent equal to
those required for recruitment to MMC
specialty training programmes.
If applicants believe that they have adequatecommunication skills but do not fit intoone of the examples they need to provideevidence.
Health / Meets professional health requirements (inline with GMC standards in Good MedicalPractice).
Application
completion / ALL sections of application form FULLY completed
Clinical skills / Acute care safe:up-to-date ALS.
Relevant specialty clinical knowledge:
capacity to apply sound clinical knowledgerelevant to the post.
Clinical judgement: experience in makingclinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need.
Practical skills:shows aptitude for practicalskills, required in the job.
Proven ability to work effectively in
different clinical settings required in the
job. / ALS instructors
Certificate
Hospital at night team working/experience or out of
hours experience relevant to the job.
Specialty
specific skills
related to the
post / Can assess patients for rehabilitation potential
Can manage common problems in rehabilitation as part of multidisciplinary teams. / Specialty knowledge
Exam
Experience of procedures carried out in rehabilitation
Commitment
to clinical
governance/
improving
quality of
patient care / Clinical governance: Capacity to be alertto dangers or problems. Demonstratesawareness of good decision making.
Awareof own limitations.
Track record of engaging in clinical governance: reporting errors, learning from errors.
Audit:evidence of active participation inaudit. / Demonstrates
understanding of the
principles of research,
evidence of relevant
academic and research
achievement.
Teaching: evidence of
experience in teaching
where required in the job.
Communication
skills / Effective communication skills:
demonstrates clarity in written/spoken
communication and capacity to adapt
language as appropriate to the situation.
Empathy and sensitivity:capacity to listenand take in others’ perspectives.
Works in partnership with patients:
always considers patients preferences whendiscussing treatment options.
Always considers the full impact of clinicaldecisions on the patients. Practice shareddecision making.
Directs and supports patients to access theinformation they need to support decision making / 360º feedback
Patient survey
feedback and
reflections.
Personal skills / Team working:
demonstrated experienceworking in a team, values the other professionals in the team.
Managing others and team involvement:
capacity to work co-operatively with
others and demonstrate leadership whenappropriate.
Capacity to work effectively inmulti-professional teams.
Coping with pressure: capacity to operateunder pressure.
Demonstrates initiative and
resilience to cope with setbacks and adaptto rapidly changing circumstances.
Problem solving and decision making:
capacity to use logical/lateral thinking to
solve problems and make decisions.
Organisation and planning:
capacity toorganise oneself and prioritise own work.
Demonstrates punctuality, preparation andself-discipline.
Understands importance of
information technology.
Flexible approach to work: able to
adapt and work with employers to deliverimproved patient care.
Equality and diversity: promotes equality and values diversity / Leadership skills: experience in
leadership
Demonstrates skills needed for effective delegation within the
team: 360º feedback
Driver with a valid
license
Probity / Professional integrity and respect forothers:
capacity to take responsibility
for own actions and demonstrate a nonjudgmentalapproach towards others.
Displays honesty, integrity, awareness ofconfidentiality and ethical issues.
Commitment
to ongoing
professional
development / Learning and personal development:
demonstrates interest in the specialty
required for the job.
Demonstrates acommitment to maintaining professionalskills and knowledge relevant to the job.
Demonstrates a willingness to fully engagein appraisal.
Self-awareness and ability to accept and learn from feedback. / Extracurricular
activities/achievements
relevant to the job
Specialty exams

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.