LOCUM consultant physician
diabetes,endocrinology & general internAl medicine
GLASGOW ROYAL INfiRmArY AND STobhill HOSPITAL,
North sector
Information pack
REF: 46096D
cLOSING DATE: 24th March 2017
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: LOCUM CONSULTANT physician diabetes & endocrinology & general medicine
Base:glasgow royal infirmary
Applications are invited to apply for a locum Consultant in Diabetes, Endocrinology and General Medicine at Glasgow Royal Infirmary.
The successful candidate will be expected to provide a full range of consultant services as agreed with colleagues and management, including out-patient and in-patient work. Out-patient work will be undertaken at Glasgow Royal Infirmary, PrincessRoyalMaternityHospital and StobhillAmbulatoryCareHospital, and will include combined new and return clinics in diabetes and endocrinology as well as in patient diabetes. The appointee will also contribute to acute medical receiving, the consultant on-call rota and to downstream ward cover at weekends. This post has become available due to maternity leave.
This post will offer a real opportunity for the successful candidate to be involved in the provision of a successful modern consultant led service and may be particularly attractive to someone who aspires to relocate to Scotland.
Glasgow Royal Infirmary and Stobhill Hospital are close to the centre of the city, with excellent transport links and easy access to the countryside. It is a principal teaching hospital for the University of Glasgow.
Applicants should possess full GMC registration, a licence to practise.
NHS GREATER GLASGOW AND CLYDE
NORTH SECTOR
LOCUM CONSULTANT PHYSICIAN
DIABETES & ENDOCRINOLOGY AND GENERAL MEDICINE
REF:46086D
BACKGROUND INFORMATION
Living & Working in Glasgow
Today Glasgow is a compact, vibrant and modern city. 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 night life and restaurants are renowned and its opera, theatres, art galleries and museums offer plenty of cultural stimulation.
Health Board
NHS Greater Glasgow and Clyde is the largest health board in Scotland and serves a population of 1.1 million people. There are 8 hospitals north of the River Clyde, all with teaching responsibilities: Glasgow Royal Infirmary (including Princess Royal Maternity Hospital), New Stobhill Hospital, Lightburn Hospital, Glasgow Dental Hospital and School, Western Infirmary, Gartnavel General Hospital, Drumchapel Hospital, and Blawarthill Hospital. Three hospitals are situated in the south side of the city: Queen Elizabeth University Hospital, Victoria Ambulatory Care Hospital and Dykebar Hospital. The acute Hospitals sites in Clyde are the RoyalAlexandraHospital, InverclydeHospital and the Vale of Leven Hospital. The Golden Jubilee National Hospital (GJNH) in Clydebank is the setting for the new West of Scotland Heart and Lung Centre. The centre brings together, on a single site, cardiothoracic surgical services for the West of Scotland and is the dedicated unit for all interventional cardiology including primary ORS for NHS Greater Glasgow and Clyde and most surrounding Health Boards.
Acute Services Division
The Acute Services Division is the largest group of adult acute hospitals in Scotland. It enjoys close links with Glasgow’s three universities and makes a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation. Excellent education facilities are also provided at Glasgow Royal Infirmary and the new ambulatory care hospital at StobhillHospital. The Service in North Glasgow presently employs more than 14,300 staff serving a core catchment population of 560,000.
Glasgow Royal Infirmary
Glasgow Royal Infirmary (GRI) is one of the major teaching complexes of the University of Glasgow. It provides the Accident and Emergency service for the North and Eastern districts of Glasgow and has inpatients beds in general medicine, medicine for the elderly, general surgery, orthopaedics, plastic surgery and obstetrics and gynaecology. There are also beds in intensive care, high dependency, and coronary care. Following the closure of Stobhill hospital at the end of March 2011 all medical beds, with the exception of some long-stay care of the elderly beds, are on the GRI site.
GRI is well equipped for undergraduate and postgraduate teaching. There are academic units in Anaesthetics, Cardiology, Human Nutrition, Medicine, Surgery, and Obstetrics and Gynaecology.
At GRI medical emergencies are admitted through an Acute Assessment Unit (AAU) or through Accident & Emergency (A&E) to an Acute Medicine Unit (AMU). This comprises 4 geographically defined ward areas covered by specific specialty teams – general medical, respiratory, gastroenterology and medicine for the elderly. Where bed availability permits patients with specific conditions will be triaged to the appropriate specialty team e.g. patient with GI bleed to gastroenterology area. 4 consultant physicians take part in acute receiving each day in the AMU with morning and evening ward rounds. There is a 40 bedded cardiology ward (ward 43) with 20 acute cardiology beds and a coronary care unit (CCU). Those needing admission for a primary cardiological problem go from AAU or A&E to the acute cardiology beds in ward 43 or CCU. The cardiologists also provide a daily consult service to patients needing review but in the AMU.
Acute admissions to medicine range from 45 to 70 per day. Patients requiring a short stay will be discharged from AMU/acute cardiology beds. Those requiring longer stays are transferred ‘downstream’ to medical wards (non acute cardiology bed in ward 43 for cardiological problems). These ‘downstream’ medical wards are split into specialty units. 4 specialty units have primary responsibility to general (internal) medicine, namely, Diabetes and Endocrinology, Respiratory Medicine, Rheumatology, and Gastroenterology. Consultants from the department of medicine for the elderly (DOME) contribute to receiving duties, but also have a number of inpatient wards in Glasgow Royal Infirmary with additional beds at LightburnHospital and StobhillHospital. There is a separate Stroke Ward.
At Glasgow Royal Infirmary medical emergencies are admitted to an acute medical admissions unit and later triaged to general medical, respiratory, gastroenterology or care of the elderly wards. There is a new expanded Acute Medical Receiving Unit with a Medical HDU attached. The acute receiving duties of the successful applicant will be undertaken primarily on ward 50/51 with additional responsibility for contributing cover to the Acute Medicine Unit at weekends.
Diabetes & Endocrinology
The Diabetes & Endocrinology/General Medical unit is accommodated in three wards (3, 4 and 5) and has capacity for 56 general medical, diabetes and endocrinology inpatients. In addition, haematology patients are preferentially admitted to these wards. Consultant cover is provided by Drs Drummond, Boyle, Hughes, Carty and Profs Lean, Petrie, Fisher and Mackay. It is envisaged that the successful candidate will contribute two ward rounds per week.
Diabetes and Endocrinology out-patient care is delivered in the New Stobhill Ambulatory Care Hospital (ACH). In additions to the consultants based in Glasgow Royal Infirmary there is input to diabetes clinics and activity from Dr Robbie Lindsay and Dr Colin Perry, consultant diabetologists, and to endocrinology clinics from Drs Maurizio Panarelli& Dr Janet Horner, consultant biochemists. There is support from nurse specialists in diabetes and endocrinology, dieticians, podiatrists, nursing auxiliaries and clerical staff, based in Clinic Area D of the ACH.
Medical Staffing
Dr Russell DrummondConsultant Physician and Diabetologist& Endocrinologist
Prof Mike LeanProfessor and Honorary Consultant Physician
Dr Jim BoyleConsultant Physician and Diabetologist& Endocrinologist
Prof Miles FisherConsultant Physician and Diabetologist
Prof John PetrieProfessor and Honorary Consultant Physician &Diabetologist
Prof Gerry McKayConsultant Physician, Clinical Pharmacologist &Diabetologist
Dr Kate Hughes Consultant Physician and Diabetologist& Endocrinologist
Dr Frances McManusConsultant Physician and Diabetologist& Endocrinologist
Dr David Carty Consultant Physician and Diabetologist& Endocrinologist
Dr Joyce McKenzieSpecialty Doctor in Diabetes (Stobhill ACH)
Junior doctor support is provided by 3 FY1 doctors, 2 FY2 doctors, 2 CMTs, 3 GPSTs and STs in diabetes & endocrinology.
Duties of the Post
This is a locum consultant post to cover Maternity Leave.
The successful candidate will be expected to provide a full range of consultant services as agreed with colleagues including in-patient management of patients admitted to the wards. The appointee will contribute to acute medical receiving, the consultant on-call rota and to downstream ward cover at the weekends. The pattern and frequency of these duties will be finalised following appointment to the post.
Out-patient work will be in both Diabetes and Endocrinology, and it is envisaged that outpatient work will be undertaken both at Stobhill ACH and at GRI. This will usually consist of four clinics/week. The successful candidate will be expected to develop sub-specialty interests in diabetes/endocrinology in collaboration with existing consultant staff. At present there are several specialty clinics including pregnancy (twice/week), foot care (twice/week), renal clinic (twice monthly) pre-pregnancy (twice monthly), and adolescent clinic (monthly), monthly insulin pump clinics and monogenic diabetes clinics (3 monthly).
This post is available due to maternity leave and constitutes a 10 session post. One SPA session is allocated for appraisal, job planning and professional development. 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 in NHS Greater Glasgow and Clyde. 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 directorate.
Consultant Responsibilities
- As agreed with the Clinical Director in ECMS to provide (with consultant colleagues) a service in acute, Diabetes and Endocrinology medicine with responsibility for the prevention, diagnosis and management of illness and for the proper functioning of the service.
- To provide cover for consultant colleagues during annual and study leave or at such other times as agreed with the Clinical Director.
- To motivate staff within the service through leading by example and fostering good working relationships at all levels in line with the principles of the local Partnership Agreements.
- To participate fully in consultant appraisal and personal development planning activities.
- To ensure the efficient and effective use of Acute Services resources.
- To participate in the delivery of agreed national and local performance indicators e.g. Health, Economic Access Targets (HEAT).
- To participate in the Health Board and the Acute Division’s Clinical Governance framework and policies.
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.
Proposed timetable: Example Below.
10 PA - Fixed sessions – 9DCC, 1 SPA
Monday / Tuesday / Wednesday / Thursday / FridayAM / Ward Round
GRI / Renal DM Clinic
ACH / Medical Receiving / Ward Round
GRI / Foot Clinic
ACH
Unit diabetes & endocrine meeting / GRI Grand Round / Stobhill Grand Round / Unit medical meeting
PM / Type 1 Diabetes Clinic
ACH / SPA / Medical Receiving / Endocrine Clinic
ACH / Admin
There are 1.6 DCC PAs for predictable out of hours working, combining weekend cover (1 in 8) and medical receiving duties.Flexibility including timing of sessions will be necessary to take into consideration the changing service needs and absence of colleagues, such commitments will be incorporated into the post holder’s job plan. The final job plan will be agreed at or shortly after interview by agreement with the Clinical Director, General Manager and successful candidate.
Management Arrangements
General (Internal) Medicine and Acute Medicine are part of the North Sector, NHS Greater Glasgow and Clyde. Mr Jonathan Best is the sector Director and supported by Dr Chris Deighan, Chief of Medicine and Mr John Stuart, Chief Nurse. At Glasgow Royal Infirmary the
Clinical Director for Medicine is Dr Russell Drummond who is supported by Dr David McCarey, Lead Clinician. Service management responsibility for Medicine at Glasgow Royal Infirmary and Stobhill Hospital is held by Mr Russell Coulthard, General Manager, with Ms Kirsty May, as Clinical Service Manager. Nursing leadership is provided by a number of Lead Nurses within all specialty areas.
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 / Fixed TermGRADE AND SALARY / Locum Consultant
£74,529 - £104,525 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 / New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but fewer than seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via:
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) have 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 no 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 one 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