consultant ORTHOPAEDIC SURGEON

WITH AN INTEREST IN SPINAL SURGERY

westERN INFIRMARY

Information pack

reF: 30380d

Closing Date:noon11TH OCTOBER 2013

SUMMARY INFORMATION

Post: consultant ORTHOPAEDIC SURGEON WITH AN INTEREST IN SPINAL SURGERY

Base:westERN INFIRMARY

The opportunity has arisen within Greater Glasgow and Clyde for two Consultant Orthopaedic Surgeons with an interest in spinal surgery. The applicant will be expected to cover the full range of spinal workload that the health board area demands. At present there are spinal surgeons based in the Western Infirmary and Glasgow Royal Infirmary. This post is part of an expansion of the spinal service in order to meet high levels of demand. While primarily based at the Western Infirmary, this spinal service will cover the entire board area and may require clinical sessions on other hospital sites.

Applicants should have full GMC registration, a licence to practise and eligibility for inclusion on the Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to CCT or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. Non-UK applicants must demonstrate equivalent training.

NHS GREATER GLASGOW & CLYDE

SURGERY & ANAESTHETICS DIRECTORATE

WESTERN INFIRMARY, GLASGOW

CONSULTANT ORTHOPAEDIC SURGEON

WITH AN INTEREST IN SPINAL SURGERY

REF: 30380D

1. Brief Description of the Acute Services Division of NHS Greater Glasgow and Clyde

The Acute Division of NHS Greater Glasgow and Clyde is the largest group of adult acute hospitals in Scotland. We provide a wide range of services from community-based care through to the full range of general hospital services.

There is a significant amount of complex surgical work carried out, as we are home to a number of the country’s tertiary and national services. Glasgow is also home to the world famous Beatson oncology centre.

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. Excellent facilities for students and their tutors are provided in the brand new, £15 million, state of the art, WolfsonMedicalSchool, based at GlasgowUniversity adjacent to the Western Infirmary site.

Employing more than 14,300 staff, we serve a core catchment population of 560,000. Our patients not only come 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 (including Princess Royal Maternity Hospital), Western Infirmary, StobhillHospital, Gartnavel GeneralHospital, GlasgowDentalHospital and School, DrumchapelHospital, BlawarthillHospital and LightburnHospital. South of the river are the Southern General Hospital and the Victoria Infirmary. The RoyalAlexandraHospital is in Paisley, the InverclydeRoyalHospital is in Greenock and the Vale of Leven District General Hospital is situated in Alexandria.

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.

2. Hospital and Clinics Where Services are to be provided

The Western Infirmary is a University teaching hospital located in the west end of Glasgow. The orthopaedic department serves a local catchment population of approximately 320,000, and provides tertiary service in the subspecialties.

There are currently 12 Consultant Orthopaedic Surgeons in substantive posts in the Unit with the full range of orthopaedic sub-specialties covered.

Outpatient clinics and trauma work are carried out at the Western Infirmary, with a 30 bed trauma receiving ward and a fully staffed dedicated trauma theatre. Outpatient clinics are supported by extended scope nurse and physiotherapy practitioners, with new and return outpatient clinics and an arthroplasty outcomes service.

Elective operating is carried out at GartnavelHospital, with 3 laminar flow theatres and a day surgery theatre dedicated to orthopaedic work. There is a pre-operative assessment clinic dedicated to elective orthopaedic patients, and two orthopaedic wards with a total of 42 beds. .

The department has close links with the Rheumatology service, which is based at GartnavelHospital. The regional oncology service for the West of Scotland at the new Beatson Centre is located on the Gartnavel site. As a result, the department has the largest workload dealing with bony metastastic disease of any orthopaedic unit in the country. There are close ties also with the Imaging Department with ready access to both CT and MRI scanning, including a dedicated extremity scanner.

There are close ties with the University of Strathclyde Department of Bio-Engineering and the National Centre for Prosthetics and Orthotics.

The Consultant members of the department are involved in Undergraduate teaching for the University of Glasgow. The Unit is also recognised for Basic Surgical Training and for Higher Surgical Training in Trauma and Orthopaedics. Currently there are 7 higher surgical trainees with 4 senior SHOs and 4FY2 and FY1 trainees in the department. There is a postgraduate teaching programme for higher surgical trainees organised on a West of Scotland basis. Education is strongly supported within the unit with regular trauma meeting, educational meeting and a monthly audit meeting.

3. Work of the Department

Medical Workforce

12 consultants [see section 4 (b) (ii)]

15 junior medical staff [see section 4 (b) (iii)].

Activity

In 2012, the service saw

  • 11,058 new outpatient attendances (including fracture clinics)
  • 2,544 new elective episodes
  • 1,780 new trauma episodes

The principal relationships within the hospital are with

Accident & Emergency Department

Rheumatology Department

Imaging & Radiology Department

Care of the Elderly Medicine

ACCOMMODATION

There are 30 trauma inpatient beds at the Western Infirmary and 42 elective orthopaedic beds at Gartnavel. In addition there are Care of the Elderly beds at DrumchapelHospital which are utilised for ongoing care of the orthopaedic trauma patients.

Whilst the vacancy at present is for the Western Infirmary this will then change in 2015 when the Western will close and spinal services for the whole of Glasgow will move to the NewSouthGlasgowHospital.

THE JOB ITSELF

[a]Title; Consultant Orthopaedic Surgeon

[b]Relationships

[i] Greater Glasgow and Clyde NHS Board

[ii] Name of Consultant members of the department;

Mr W J Leach - Knee Surgery, Clinical Director - Trauma Services

Mr MP Kelly- Hip Surgery,

Mr N Hussain- Hand Surgery

Mr AT Reece- Spinal Surgery

Mr UG Fazzi - Shoulder and elbow Surgery

Mr AGR Gray- Hip Surgery

Mr JS Moir- Foot & Ankle Surgery

Mr J Roberts- Hip/Forefoot Surgery

Mr BP Rooney- Knee Surgery, Lead Clinician

Mr B Rana- Hip, Knee and Foot Surgery

Mr L Campton- Hip/Forefoot Surgery

Mr K Little- Hand Surgery

Vacant Post x 2- Spinal Surgery

[c]Duties of the post

[i]The successful applicant will be well qualified in general orthopaedics but will have developed a specialist interest in Spinal Surgery.

[ii]Teaching

Undergraduates are taught in the GG&C Hospitals. Successful applicants will have responsibilities for both formal and bedside teaching.

[iii]Research Activities

There are ongoing research projects within the departments and the successful applicant will be encouraged to pursue research in his or her area of special interest.

[iv]Administrative Duties – including those associated with care of patients and running of the department.

[d]Proposed Weekly Timetable (although subject to change)

AM / PM / Out of Hours Commitment:
Emergency Trauma
Monday / Theatre / Theatre / *
Tuesday / Admin / clinic
Wednesday / clinic
Thursday / Pre-op assessment / clinic
Friday / Theatre / SPA

* This is an indicative job plan therefore discussion with individual candidates regarding trauma commitments can take place.

A split of 9:1 between direct clinical care PAs and supporting professional activities is now the advertised standard for all new consultant job plans within NHSGG&C. The one SPA minimum will reflect activity such as appraisal, personal audit and professional development occurring outside study leave time. Once the candidate has been appointed more SPA time may be agreed for activities such as undergraduate and postgraduate medical training which takes place outside direct clinical care, as well as research and/or management. These activities must be specifically and clearly identified and be agreed with the candidate and desired by the department.

[e]The Consultant has a continuing responsibility for the care of patients in his charge and for proper functioning of the Department.

[f]The Consultant will undertake the administrative duties associated with care of his patients and aide the running of the spinal sub-speciality.

[g]In addition to the duties mentioned above, duties at other hospitals administered by the Directorate as may be necessary.

4.DATE WHEN POST IS VACANT:ASAP

5. DETAILS OF ARRANGEMENTS FOR APPLICANTS TO VISIT:

Contact details:

Mr A T Reece, Consultant Orthopaedic (Spinal) Surgeon. or Mr. Bill Leach on 0141 211 6289

  1. POSITION OF CONSULTANTS UNABLE FOR PERSONAL REASONS TO WORKFULL-TIME

Any Consultants 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

Job Title:- Consultant Orthopaedic Surgeon Sub Specialist Interest in SpinalSurgery

Department:- Orthopaedics WIG

Qualifications / Essential () / Desirable ()
MBChB (or equivalent) / x
FRCS (Tr. & Orth) (or equivalent) / x
Current ATLS Certification / x
Higher Degree / x
Experience / Essential () / Desirable ()
Broad experience of Trauma & Orthopaedic Surgery / x
Teaching Medical Students / x
Participation in Audit / x
Publications and presentations / x
Behavioural Competencies / Essential () / Desirable ()
Organisational Skills / x
Communication Skills / x
Leadership Skills / x
Managerial Skills / x
Other / Essential () / Desirable ()
Full GMC Registration and a licence to practise / x
Must be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to CCT or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training. / x

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 / Permanent
GRADE AND SALARY / Consultant
£75,249 £ 101,451 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 / Full Time40.00
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 are Tiered based on your earnings and the employers contribution equates to 13.5 % 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. A Personal Pension is a private arrangement agreed with the pension provider that will be an organisation such as a Bank, Building Society or Insurance Company.
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 not 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 postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE / The employment is subject to three 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

For further information on NHS Greater Glasgow and Clyde, please visit our website on

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Applicants wishing further information about the post are invited to contact Mr. Bill Leach on 0141 211 6289or Mr A T Reece, Consultant Orthopaedic (Spinal) Surgeon on th whom visiting arrangements can also be made.

How to apply

To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit and click on the “How to Apply” tab to access application for and CV submission information.

Return of Applications

Please return your application by email to or to the recruitment address below;

Medical and Dental Recruitment Team

NHS Greater Glasgow and Clyde

Recruitment Services, 1st Floor

Modular Building, Gartnavel Royal Hospital

1055 Great Western Road

GLASGOW

G12 0XH

CLOSING DATE

The closing Date will be Noon 11th October 2013

INTERVIEW DATE

The interview date will be 13th December 2013