Consultant Physician with an Interest in Gastroentrology

CONSULTANT PHYSICIAN WITH AN INTEREST IN GASTROENTROLOGY

gARTNAVEL gENERAL hOSPITAL/wESTERN iNFIRMARY/ROYALalexandrahospital

Information pack

reF: 30102D

Closing Date:noon6th SEPTEMBER 2013

SUMMARY INFORMATION

Post: consultant physician with an interest gastrOenterology (2 Posts)

Base: GARTNAVEL GENERAL HOSPITAL/WESTERN INFIRMARY ANDROYALALEXANDRAHOSPITAL

Applications are invited for two posts of Consultant Physician with an interest in Gastroenterology & General Medicine.

Posts are available on Gartnavel General / Western Infirmary and RoyalAlexandraHospital.

All posts take part in acute medical receiving and provide care for inpatients, outpatients and daycases. The endoscopy departments provide the full range of diagnostic and therapeutic endoscopy. The Western Infirmary has an emergency endoscopy rota. Sub-speciality services within the service include hepatology, inflammatory bowel disease, clinical nutrition and upper gastrointestinal disease and the successful candidates will have the opportunity to develop a relevant sub specialty interest. Clinical Nurse Specialists provide support in Hepatology, IBD, Viral Hepatitis and upper and lower endoscopy.

The specialty has a strong academic background and close links with the University of Glasgow, as well as close clinical and educational links between units across the city.

The posts comes at a time of major changes in the way clinical services are delivered in Greater Glasgow and Clyde, and will be integral to the planning and development of Gastroenterology services in the city in the coming years. In 2015 the new Southern General hospital will open. This is a purpose built hospital into which services from the Victoria Infirmary, Southern General Hospital and Western Infirmary will move.

Applicants must have full registration with the General Medical Council and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher Specialist Training leading to a CCT in Gastroenterology and General (Internal) Medicine or be within six months of confirmed entry from the date of interview. Non UK applicants must demonstrate equivalent training.

Further particulars of post of:

Consultant Physician in Gastroenterology and General (Internal) Medicine

Western Infirmary / GartnavelGeneralHospital, Glasgow

Emergency Care & Medical Services and Diagnostics Directorates

Acute Operating Division

NHS Greater Glasgow and Clyde

Introduction

Living and Working in Glasgow

Today Glasgow is a compact, vibrant and modern city. In fact Glasgow’s scale comes as a surprise to some people. It has the largest suburban rail network outside London and is second only to the UK capital as a retail centre.

There are top-ranking schools, excellent leisure facilities, beautiful golf courses and elegant accommodation across all price ranges.

The nightlife and restaurants are renowned and its opera, theatres, art galleries and museums offer plenty of cultural stimulation.

From Glasgow, the West of Scotland’s jewels are within easy reach. Loch Lomond is just 45 minutes drive, a little further to the Argyll peninsula – or over the sea to Arran, Skye, Iona and Mull.

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.

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 including heart and renal transplantation and cardiothoracic surgery.

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 £15 million, state of the art, WolfsonMedicalSchool, based at GlasgowUniversity adjacent to the Western Infirmary site. Glasgow Royal Infirmary also provides excellent education facilities.

Employing more than 14,300 staff, we serve a core catchment population of approximately 1.2m. 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 can be found the Southern General and Victoria Infirmary. In Paisley can be found the RoyalAlexandraHospital, while Greenock is home to InverclydeRoyalHospital 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 at Stobhill Hospital and the Victoria Infirmary.

By joining us now you will have the opportunity to be involved in the development and re-design of services enjoying a real chance to shape services for the future.

Department of Gastroenterology

The Department of Gastroenterology is based at Gartnavel GeneralHospital, and is part of the Acute Services Division, NHS Greater Glasgow and Clyde and resides within the Emergency care and medical services division.

The department provides Gastroenterology and Hepatology services to both Gartnavel GeneralHospital and the Western Infirmary, serving North West Glasgow. The Department is based on Ward 8C (24 beds) with significant services provided through the recently redeveloped Medical Day Unit, the Gartnavel Hepatitis Centre, and the Outpatient Department. Gartnavel has a 3 room endoscopy department offering diagnostic and therapeutic upper and lower gastrointestinal endoscopy and ERCP, in addition a 24hour emergency endoscopy rota is provided for the Western Infirmary. Currently the department consists of 5 consultants with interests in Inflammatory Bowel Disease, Dyspepsia, Hepatology and Clinical Nutrition. Additionally the department is supported by a Hepatology Nurse Specialist, IBD Nurse Specialist, two Hepatitis Nurse Specialists, a dedicated Research Nurse and upper and lower Nurse Endoscopists.

The successful candidate will be encouraged to develop a subspecialist interest within the fields of either Luminal Gastroenterology or Hepatology.

The Gartnavel site is also home to the Beatson West of Scotland Cancer Centre, the West of Scotland Cystic Fibrosis Unit and Scottish Pulmonary Vascular Unit, all of which require significant gastroenterology input, and it is hoped that this post can develop links further with these departments. There is also a well established interventional radiology department which works closely with the Department of Gastroenterology.

There is a large cohort of hepatitis C infected patients (approximately 1700 individuals) attending a dedicated hepatitis C service. In collaboration with the Department of Infectious Diseases and the Greater Glasgow & Clyde Hepatitis C Managed Care Network, major service developments for the testing, treatment and care of HCV infected individuals are underway. These include the newly developed Gartnavel Hepatitis Centre, and expanding community and prison based HCV services throughout the Greater Glasgow & Clyde Health Board Area.

The Department has close links with the University of Glasgow, Professor KEL McColl leads the University Department of Gastroenterology, which has an internationally renowned reputation in the fields of dyspepsia, gastro-oesophageal reflux and the pathogenesis of upper gastrointestinal cancer. Additionally, the Department has a long track record of Hepatology research, particularly in the field of viral hepatitis, and is currently involved in a number of studies and clinical trials. It is hoped that the successful applicant would eventually be able to contribute to these areas of interest.

The Gastroenterology Unit at Gartnavel already has close links with other units across the city, and it is proposed that when the New Southern General Hospital opens in 2015, the Gastroenterology units at Gartnavel, the Southern General Hospital and Victoria Infirmary will merge at the new Hospital. This will allow provision of a comprehensive Gastrointestinal Bleeding service, and more focused Gastroenterology input into acute receiving.

General Internal Medicine (GIM)

The department covers all aspects of investigation and treatment of acute and non-acute medical patients with corresponding outpatient clinics and wards in the Western Infirmary and Gartnavel General Hospital. Acute Medical Receiving is undertaken on a rotational basis between teams based at both hospitals. However, all acute medical patients are initially admitted to the 28 bed Medical Assessment Unit (MAU) at the Western Infirmary, and are later triaged to general medical or other specialist units wither within the Western Infirmary or Gartnavel General Hospital. The receiving physician of the day undertakes an evening ward round on the MAU and a post-receiving ward round the following day.

The Job Itself

1. Its title:

Consultant Physician in Gastroenterology and General (Internal) Medicine.

1. Names of consultants in the department of Gastroenterology:

• Dr Simon Dover
• Dr Jonathan Macdonald
• Prof Kenneth EL McColl
• Prof Peter R Mills
• Dr Matthew Priest
• This post

1. Number and grades of junior and non-consultant grade medical staff:

Specialist Registrar2

CMT21

CMT11

GPST11

FY12

1. Duties of the post:

See attached provisional job plan and timetable.

The duties of the post holder will be provision with Consultant colleagues of all aspects of the service in Gastroenterology and Hepatology, including participation in the haematemesis on-call rota. This will include clinical care of inpatients and out patients, audit, teaching, research, and the provision of advice by telephone and formal consultation to other hospital departments, and through administrative and committee work.

.

The post holder will contribute to the care of General Medical patients. These responsibilities will include contribution to the acute medical receiving rota and an approximately 1 in 25 basis.

a)Teaching, audit, and research:

The post holder will be expected to contribute to the clinical audit programme and clinical governance programme within the Department. With time the post holder will also be expected to contribute to the undergraduate and post graduate teaching programme.

The post holder will be expected to develop their research interests to complement those currently undertaken in the Department of Gastroenterology.

b)Administration and management:

The post holder will undertake the administrative duties associated with the care of his/her patients and in the running of the department.

The post holder will assist with junior doctor induction, educational activity, and rotas within their SPA allocation.

c)Qualifications:

Essential:

The post holder will hold the MRCP(UK) or equivalent, and will be within 6 months of completion of higher professional training in Gastroenterology and General Medicine at the time of interview.

Desirable:

A higher degree (for example, MD or PhD)

Further Information

Date When the Post is Vacant

The post is available immediately.

Details of Arrangements for Applicant to Visit Hospitals/Discuss Post

Prof Peter R Mills (tel. 0141 211 3279) or Dr Matthew Priest (tel. 0141 211 3283) for Gastroenterology.

Dr Scott Muir is the Clinical Director for G(I)M and general discussion regarding North Glasgow Division.

Provisional Job Plan and Timetable

a)Timetable of activities which have a specific location and time (8am – 8pm Monday – Friday)

b)Activities during Premium Rate Hours of Work e.g. hours outwith 8am – 8pm Monday to Friday

NHS Greater Glasgow & Clyde

Emergency Care and Medical Services

Consultant Physician with an interest in Gastroenterology

RoyalAlexandraHospital

This post of Consultant Physician with an interest in Gastroenterology will be based at the RoyalAlexandraHospital (RAH), Paisley, five miles from the bustling West end of Glasgow. This post offers a real opportunity for the successful candidate to be involved in the development of a modern consultant led service within Gastroenterology.

1.General Information

The RoyalAlexandraHospital (RAH) is situated in Paisley and provides acute health care services to Renfrew District (pop 205,000). The Hospital is a 968 bed modern District General Hospital (DGH) which opened in 1986 and is one of the largest and busiest non-teaching DGHs in Scotland. In addition the hospital is currently the base for provision of surgical, orthopaedic, ophthalmology, paediatric and the majority of maternity services to the population north of the Clyde served by the Vale of Leven Hospital.

The hospital provides a wide range of DistrictGeneralHospital specialties with excellent support facilities. The hospital has a first class modern radiology department and services. Pathology services for the Clyde division of Greater Glasgow and Clyde (GG&C) are centered on this site. All departments participate in undergraduate teaching and there is an active postgraduate educational programme. The hospital enjoys an enviable reputation for undergraduate teaching and is highly popular with training grades. There is a good medical library service. At the beginning of 2005 PaisleyUniversityNursingSchool left the RAH campus. Proposals for the use of the vacant space at the heart of the hospital are being sought and are likely to include the further development of ambulatory care, day surgery, endoscopy services and improved educational facilities.

2.The Medical Unit

The Medical Unit at the RoyalAlexandraHospital has 209 beds. This includes an 18 bedded Coronary Care / Chest Pain Unit, a 30 bedded medical receiving ward and Medical Assessment Unit.. The medical unit provides an acute service in general medicine with clinics in general medicine, diabetes and endocrinology, gastroenterology, cardiology, asthma, respiratory medicine and haematology.

The Vale of Leven Hospital medical unit includes a Medical Assessment Unit, 12 bed receiving unit with provision for monitored beds and a further 27 general medical beds.

3.Workload of Adult Medicine (Approximate to year ending March 2012)

Adult Medicine – Royal Alexandra/Vale of Leven Hospitals

Gastroenterology – Royal Alexandra/Vale of Leven Hospitals

4.Consultant Staffing

Between the RAH and VOL there are currently 22 Consultant Physicians with special interests as noted.

1. Dr Iain FindlayCardiology
2. Dr Stuart HoodCardiology
3. Dr Clare MurphyCardiology
4. Dr Eileen PeatCardiology
5. Dr Alastair CormackCardiology
6. Prof Martin McIntyreDiabetes and Endocrinology
7. Dr Clare HarrowDiabetes and Endocrinology
8. Dr Neil McGowanDiabetes and Endocrinology
9. Dr James BoyleDiabetes and Endocrinology
10. Dr Graham NaismithGastroenterology
11. Dr James McPeakeGastroenterology
12. Dr Riz HamidGastroenterology
13. Dr Mathis HeydtmannGastroenterology
14. Dr Alistair DorwardRespiratory Medicine
15. Dr Jane GravilRespiratory Medicine
16. Dr Douglas GrieveRespiratory Medicine
17. Dr Yi LingRespiratory Medicine
18. Dr I KeithAcute Care Physician
19. Dr C FosterAcute Care Physician
20. Dr G RayAcute Care Physician
21. Dr G RobertsRheumatologist
22. Dr M Perry Rheumatologist

5.Junior Staff

• Specialist Registrars 4 (RAH)
• ST/FTSTAs 5 (RAH)
• Foundation Year 26 (RAH)
• Foundation Year 122 (RAH)
• GPST1 6 (VOL)

There are Specialist Nurses in Diabetes, Respiratory Medicine, Cardiac Rehabilitation, Cardiac Failure, Haemato-Oncology, D.V.T and Chest Pain management and Inflammatory Bowel Disease across Clyde.

6.Gastroenterology Services

6.1There are thirty nine inpatient beds provided across wards 27 and 14 at RAH for Gastroenterology.

6.2Staffing for Gastroenterology services at RoyalAlexandraHospital will be five Consultant Physicians.

6.3Daycase and outpatient facilities include: Two endoscopy rooms in the Day Surgery unit at RAH and one room available at VOL. ERCP is carried out by two Physicians and one Surgeon.

6.4Two Consultants provide outpatient and endoscopy sessions at Vale of Leven Hospital.

6.5Nurse specialists in Colorectal disease, Alcohol Liaison and Hepatitis C are already in post. An anorectal and oesophageal manometry service is provided by Surgical Nurse Specialists.

6.5There is an alcohol liaison service .

7.Acute Medical Services

The team of Consultant Physicians at the RoyalAlexandraHospital have responsibility for acute medical services at both the RoyalAlexandraHospital and the Vale of LevenHospital.

7.1Acute Receiving Ward

GP referred medical patients are triaged from the Emergency Department to the Medical Assessment Unit at Royal Alexandra Hospital Monday to Friday 10am to 10pm. All patients are reviewed by a senior doctor of which just under 50% are discharged home. Patients requiring admission can be admitted to the relevant specialty bed direct from MAU.