Consultant CARDIOLOGIST

consultant CARDIOLOGIST

royalalexandrahospital

Information pack

reF: 35978D

Closing Date:30th January 2015

As you may be aware, the new SouthGlasgowUniversityHospital and new RoyalHospital for Sick Children are due to open on the current Southern site early in 2015.

With this in mind, please note that positions based within the Victoria Infirmary, Mansionhouse Unit, the Western Infirmary and the current RoyalHospital for Sick Children at Yorkhill will change location and move to the new hospitals.

Gartnavel GeneralHospital and Glasgow Royal Infirmary will also have some services affected by moves to the new Hospitals.

These changes mean your base may change after joining us and you will be informed as soon as possible prior to any change of base.

SUMMARY INFORMATION

Post: consultant CARDIOLOGIST

Base:royalalexandrahospital

Applications are invited for the new post of Consultant Cardiologist. The post will be based at the RoyalAlexandraHospital, Paisley with services at Vale of Leven Hospital, Alexandria. Consideration will be made to accommodate training needs and maintenance of intervention skills. Dual accreditation in Cardiology and General Medicine is desirable but not essential.

The successful candidate will integrate into a team to comprise sixConsultants. This post has been established to facilitate the redevelopment of Cardiology services at RoyalAlexandraHospital in line with the vision of NHS Greater Glasgow and Clyde’s Clinical Services Review. The successful candidate will be encouraged to look critically at current service provision to promote ideas of partnership working and novel ways of dealing with current workload.

The successful candidate will participate in the Clyde Consultant Cardiology on-call rota.

MRCP UK or equivalent qualification is essential and you must have full registration with the GMC and a licence to practice. Those trained in the UK should have evidence of higher Specialist Training leading to a CCT in Cardiology or eligibility for specialist registration (CESR) or be within six months of confirmed entry at the date of interview. Non UK applicants must demonstrate equivalent training.

.

1. General Information

The RoyalAlexandraHospital (RAH) is a 968 bedded modern district general hospital in Paisley serving the population of approximately 205,000. The RAH is one of the largest and busy non teaching hospital in Scotland. All major specialties are represented within the hospital. The hospital has a progressive agenda in relation to clinical standards, managed clinical networks and patient focused service re-design. There are close clinical links with the Community Health Partnership, the other acute hospitals within NHS Greater Glasgow and Clyde.

Paisley is situated approximately 15 minutes from Glasgow, and located only 5 minutes from the M8 motorway and Glasgow International Airport, the RAH provides an ideal centralised location

The hospital provides a wide range of DistrictGeneralHospital specialties with excellent support facilities. The hospital has a first class modern radiology department and services. 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.

The Vale of Leven Hospital (VOL) is situated in Alexandria, an area of outstanding natural beauty and serving a population in excess of 88,000 largely from Dumbarton, Alexandria and Helensburgh. Services at the Vale of Leven Hospital include unscheduled medical care led by the Consultant Physician team based at the RoyalAlexandraHospital and supported by GP and GP trainees. In addition there is inpatient medicine for the elderly beds, short stay surgical beds together with day surgery and a full range of diagnostic and support services.

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(to year ending March 2012)

Adult Medicine – Royal Alexandra/Vale of Leven Hospitals

Specialty / Activity 2011/2012
General Medicine
Elective Inpatient Admission / 539
Emergency Inpatients / 22,510
Day Cases / 331

Cardiology – RoyalAlexandraHospital

Cardiology Procedure / 2009-2010 2013 Projected 2014
Routine ECG Recordings / 33871 32345
Ambulatory Monitors / 1609 2283 2500
Exercise Tests / 1947 1986 1730
Echocardiograms / 4027 4692 5470
Pacemaker Implantations / 133 146 174
Pacemaker Checks / 812 715 764

4.Consultant Staffing

Between the RAH and VOL, including this post, there will be 26 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. This post Cardiology
7. Prof Martin McIntyreDiabetes and Endocrinology
8. Dr Clare HarrowDiabetes and Endocrinology
9. Dr Neil McGowanDiabetes and Endocrinology
10. Dr Chris SmithDiabetes and Endocrinology
11. Dr Graham NaismithGastroenterology
12. Dr James McPeakeGastroenterology
13. Dr Riz HamidGastroenterology
14. Dr Mathis HeydtmannGastroenterology
15. Dr Selina LamontGastroenterology
16. Dr Zia MustafeGastroenterology
17. Dr Alistair DorwardRespiratory Medicine
18. Dr Jane GravilRespiratory Medicine
19. Dr Douglas GrieveRespiratory Medicine
20. Dr Yi LingRespiratory Medicine
21. Dr I KeithAcute Care Physician
22. Dr C FosterAcute Care Physician
23. Dr G RayAcute Care Physician
24. Dr G RobertsRheumatologist
25. Dr M Perry Rheumatologist
26. Dr C GrigorRheumatologist

1. Junior Staff

• Specialist Registrars4 (RAH)
• ST’s 6 (RAH)
• CT’s 6 (RAH)
• LAT’s 3 (RAH)
• Clinical Fellow1 (RAH)
• Foundation Year 25 (RAH)
• Foundation Year 122 (RAH)
• GPST’s 3 (RAH)
• GPST’s 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.

1. Cardiology Services

The RoyalAlexandraHospital provides a busy non invasive cardiology service to the populations of Renfrewshire and to Dumbarton/ Helensburgh. Cardiac intervention and surgery is provided at the Golden Jubilee National Hospital in Clydebank.

6.1Coronary Care & Chest Pain Assessment Unit

The purpose built unit opened in October 2007. Patients with acute myocardial infarction, acute coronary syndromes, arrhythmias or congestive cardiac failure are admitted to the 18 bedded coronary care & chest pain assessment unit.

The unit is staffed during the day by one of the consultant cardiologists on a rotational basis and supported by junior medical staff from the cardiology ward. Over 2,500 patients are admitted per year.

6.2Cardiology Ward

The cardiology ward, ward 8, has a total of 29 inpatient beds and is situated adjacent to the Cardiac Physiology Department. Facilities on the ward include the pacing room and treadmill.

6.3Medical Staff

There will be six Consultant posts (including this new post) at the RoyalAlexandraHospital. They will provide 1 in 6 weekly cover for CCU, rapid access chest pain clinics, pacemaker implantation, 8 outpatient clinics per week and supervision of the cardiology ward. Between RAH and VoL 2,300 new and 3500 return outpatients are seen each year.

They are currently supported by an ST7 and ST5 cardiology trainee. There is a staff grade, a CMT trainee, a GPST trainee, 1 FY2 trainee and 2 FY1 doctors.

6.4Cardiology Physiology Department

The Department at the RAH is staffed by a total of 13.5wte comprising 6.6 trained physiologists; 1 student; 3.9 ATOs (1 post to be filled); 1 nursing auxiliary and 1.5 clerical staff.

6.5Cardiology Specialist Nurses

There are 2.4 wte acute chest pain nurses and 1.8 wte heart failure liaison nurses based at the RoyalAlexandraHospital.

6.6Cardiac Rehabilitation

We offer a gold standard cardiac rehabilitation service to all patients with a step change in their cardiac condition. It is recognised as one of the best services in the U.K. with a full compliment of multi-disciplinary staff.

6.7Pacing Service

We now implant approximately 140 brady pacemakers and Reveal devices per annum. The service is consultant led with support from NASPE trained technicians. Patients are followed up locally at the RAH. The consultants provide training in pacemaker implantation to cardiology registrars.

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 Leven Hospital.

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.

Acute medical admissions are admitted to the Acute Medical Unit (ward 2) at the RAH, which is staffed by one of the consultants on a rotating ‘Physician of the Week’ basis Monday morning to Friday lunchtime and an Acute Care Physician. Patients are then triaged to the appropriate specialty wards if not for early discharge.

Acute medical admissions at the VOL are admitted to ward 3, staffed by a third consultant on a rotating ‘Physician of the Week’ basis Monday morning through to Friday pm. The Physician of the week will also lead inpatient ward rounds at the Vale of Leven Hospital during this week.

Weekend cover is provided by two Consultant Physicians with joint morning ward rounds at the RAH and afternoon ward rounds at both the RAH and VOL.

7.2Medical High Dependency Unit (HDU)

The RAH has three medical HDU beds at present within the combined 12 bedded HDU, with scope to increase to four or more medical HDU beds if required.

7.3Junior Doctors out-of-hours

A Hospital @ Night service started at the RAH in August 2006. This is part of a wider work assessing the impact of modernising Medical Careers and implementing plans to support the delivery of high quality sustainable services.

Junior medical support at VOL is provided by GPST1 and GPs supported by the roll out of HAN Practitioner service.

8.Medicine for the Elderly Service

Medicine for the Elderly is part of the Rehabilitation and Assessment Directorate, but many of its activities and adult medicine are combined. In particular, out-of-hours cover is provided by juniors from Medicine for the Elderly and adult medicine and both department share educational meetings.

The Medicine for the Elderly Consultants visit the acute receiving ward at the RAH on a daily basis and arrange transfer to the Medicine for the Elderly Unit of those appropriate patients. A Stroke Unit (Ward 4) taking all age groups is led by Drs L Erwin and Slavin.

The service at the Vale of Leven will support post-admission care of appropriate patients with 37 rehabilitation beds which will also provide near to home rehabilitation for patients admitted initially to the RAH.

9Summary of the Post

9.1Duties of the Post

ROYALALEXANDRAHOSPITAL

The successful applicant will have a role supporting the implementation of an early discharge unit for patients with suspected low risk ACS in a new unit designed specifically for this purpose. This unit will be run mainly by clinical nurse specialist working to the consultant cardiologist of the week.

The successful applicant will support the development of rapid access OPD service in Atrial Fibrillation, the development of technician Valve Led Clinic and cardiology telephone clinics. By their nature these clinics will be somewhat experimental and their nature revised as required.

The successful candidate will provide a full range of consultant services as agreed with colleagues including in-patient management of patients admitted to the Medical Wards and Coronary Care Unit. There are usually three outpatient clinics per week. Some of the clinic commitment will be at the Vale of Leven Hospital on a rotational basis with other colleagues at the RAH.

The successful candidate will undertake consultant duties for CCU in the RAH on a 1 in 6 basis including twice daily ward rounds Monday-Friday. During the CCU week the consultant cardiologists currently see up to 3 Rapid Access Chest Pain patients daily. It is anticipated that the cardiologist of the week will be available for telephone consultation and support for the physician at the Vale.

The plan is to develop a separate on call commitment for Cardiology. This will provideon call and CCU weekend ward rounds for both Royal Alexandra and InverclydeRoyalHospitals.

9.2 Outline Job Plan

The job plan detailed below is based on a 1 in 6 CCU rota. The job plan will be tailored to the successful candidate’s interests and the following should be taken as guidance.

A detailed job plan will be agreed with the Clinical Director or Lead Clinician and thereafter this will be subject to periodic review and adjustment if necessary. The appointee may be required to support clinical activity elsewhere across Greater Glasgow and Clyde.

Duty /

PAs

Outpatient Clinics (3 clinics, 5 weeks in 6) / 2.5
CCU (1 week in 6)
Ward Rounds
Admin
Subspecialty / 2.2
1.0
1.0
1.0
Out-of-hours

Total DCC

/ 1.0
9
SPA / 1.0
TOTAL / 10

Cover for study leave, holidays will be provided from within existing consultants.

9.3On call duties

The postholder will be required to participate in the Consultant Cardiology on call / weekend rota for the Clyde Sector on the basis of 1 in 7 Monday to Friday and 1 in 8 weekends.

9.4Support staff

There is secretarial support for the consultant.

10.Postgraduate and Undergraduate Training

The unit has a postgraduate programme which includes a weekly unit meeting, monthly journal club and SHO tutorial sessions. There are weekly hospital postgraduate meetings during term time. Mr Andrew Renwick is the postgraduate tutor.

The Medical Unit teaches a number of medical students from GlasgowUniversity. As part of the new curriculum teaching of years one to five is becoming established.

11. Management Arrangements

Emergency Care and Medical Specialties at InverclydeRoyalHospital is part of the Emergency Care and Medical Specialties Directorate, Greater Glasgow and Clyde wide. Emergency Care and Medical Specialties within InverclydeRoyalHospital consists of Accident and Emergency and General Medicine.

The Consultant Physicians, Geriatricians, Dermatologists combine to form the Division of Medicine. The consultant appointed will be expected to participate fully in the work of the Division and Directorate. The team meets regularly with managers to facilitate communication and progress the service by a collaborative approach.

Dr David Murdoch is the Cardiology Clinical Director for Emergency Care and Medical Specialties.

Ms Anne Harkness, is the Director of Emergency Care and Medical Specialties across Greater Glasgow and Clyde, and is supported by Dr David Raeside the Associate Medical Director.

Ms Melanie McColgan is the Cardiology General Manager and is supported by Ms Rosemary Brogan Clinical Service Manager both with a remit for the cardiology services across Greater Glasgow and Clyde.

The senior management arrangements are currently undergoing a review to support the Health Board’s Acute Services Review.

12.Further information

For further information and arrangements to visit the department,

Please contact:

Dr David MurdochClinical Director Cardiology, Southern GeneralHospital: 0141 201 1763

Dr Iain Findlay Consultant Cardiologist, RoyalAlexandraHospital: 0141 314 7214

Dr Stuart Hood Consultant Cardiologist, RoyalAlexandraHospital: 0141 314 7214

Person Specification

Consultant Cardiologist

Requirements / Essential / Desirable
Requirements necessary for safe effective performance in the job / Where available, elements that contribute to improved, immediate performance in the job
Qualifications and training /

• MB ChB, MBBS or equivalent
• MRCP or equivalent
• Completed specialist training in Cardiology
• Applicants must have full GMC registration and a licence to practice. 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.

Clinical Specialty Skills /

• Can provide an expert opinion in a full range of presentations to cardiology
• Demonstrates competence in managing critically unwell patients
• Demonstrates competence in management of broad range of cardiology problems in both inpatient and outpatient settings

/

• Evidence of specialty skill in field complementary to cardiology

Skills, knowledge and aptitude /

• Evidence of working well within a multi-disciplinary team

• Ability to organise and prioritise complex demands
• Evidence of teaching and training skills for junior doctors
• Effective communication skills
• Ability to use research outcomes in clinical practice

/

• Applicants have experience in teaching on ALS, ILS or IMPACT course

• Formal training in teaching skills
• Computer literate

Experience /

• Evidence of active involvement in clinical audit
• Evidence of involvement in planning and developing services

/

• Evidence of participation in relevant research, including publications and abstract presentations
• Evidence of innovative service developments
• Experience of teaching medical students

Personal Skills /

• Commitment to team working and good professional relationships
• Ability to provide clinical leadership to the multidisciplinary team
• Enthusiasm and ability to work under pressure
• Supportive and tolerant
• Caring attitude to patients
• Commitment to continuing professional development

Special Requirements /

• Flexibility to respond to changing service needs

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
£76,001 £ 102,465 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 under 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) 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 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 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