consultant cardiologist with a sub-specialty interest in Electrophysiology and device implantation
glasgow royal infirmary
Information pack
reF: 28076d
Closing Date: 22nd March 2013
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
Post: consultant cardiologist with a sub-specialty interest in electrophysiology and DEVICE IMPLANTATION
Base: glasgow royal infirmary
Applications are invited for the above post within NHS Greater Glasgow and Clyde and the West of Scotland Regional Heart and Lung Service, Golden Jubilee National Hospital (Electro-Physiology post only). The base site for this post within NHS GG&C is 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 and Stobhill Ambulatory Care Hospital, and will include combined new and return clinics in diabetes and endocrinology. The appointee will also contribute to acute cardiology receiving, the consultant on-call rota and to general cardiology cover at weekends.
Interventional cardiology services, including cardiac and thoracic services, are fully operational within the West of Scotland Regional Heart and Lung Service based at the Golden Jubilee National Hospital. Jointly, the well established medical cardiology services within NHS GG&C and the GJNH provide a high quality clinical service in all areas of cardiology including full range of cardiac catheterisation procedures, brady and complex pacing device implantation, electrophysiology, general cardiology, heart failure and adult congenital heart. Base site for the successful appointee joining the active cardiology services, and the potential requirement to work at the GJNH on a sessional basis, will be determined by post and area of specialist interest. The successful appointee will play a role in expanding and developing services – our intention is to create a single system for patients and staff across NHSGG&C and GJNH. In addition to the identified specialist interests, the successful appointees will share the general cardiology and general medical workload with other colleagues across NHSGG&C and GJNH sites. There is a substantial academic presence and very good links with Glasgow University in all areas of the services provided. A number of consultants have national and international reputations.
Applicants must have full registration with the General Medical Council, a licence to practice 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 Emergency Medicine 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 and have some experience of working in the NHS.
For further information please contact Dr David Murdoch, Cardiology Clinical Director, Department of Medical Cardiology, Southern General Hospital tel: 0141 201 1767 or Dr Hany Eteiba, Associate Medical Director, Division of Regional and National Medicine West of Scotland Heart & Lung Centre Golden Jubilee National Hospital tel; 0141 951 5000.
NHS GREATER GLASGOW AND CLYDE
GLASGOW ROYAL INFIRMARY
CONSULTANT CARDIOLOGIST with sub-specialty interest in Electrophysiology.
REF: 28076D
Person Specification
The successful candidate should have the MRCP and be within 6 months of obtaining a CCT in cardiology. You should have extensive training in cardiac electrophysiology, including pulmonary vein isolation, as well as training in general cardiology.
BACKGROUND INFORMATION
Living & Working in Glasgow
Glasgow is a compact, vibrant and modern city. 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. It’s shopping and retail sector is regarded as one of the best in the UK and arguably second only to London.
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: Southern General Hospital, Victoria Infirmary and Dykebar Hospital. The acute Hospitals sites in Clyde are the Royal Alexandra Hospital, Inverclyde Hospital 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 PCI 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 Stobhill Hospital. 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.
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 Acute Assessment Unit (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 in the Acute Medicine Unit (AMU). At GRI medical emergencies are admitted through an AAU or through Accident & Emergency (A&E) to an 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).
The Golden Jubilee National Hospital
The Golden Jubilee Hospital (GJNH) houses the West of Scotland Heart and Lung Centre and is a state of the art tertiary referral centre for cardiothoracic surgical and interventional cardiological services on the banks of the River Clyde in Clydebank on the westerly outskirts of Glasgow.
The hospital is managed by its own Special Health Board called The National Waiting Times Centre Board is part of NHS Scotland. Built recently in the 1990’s, it is a very modern hospital with 300 beds overall and all wards having single or two bedded rooms with en-suite facilities. The main clinical services provided are heart and lung, elective major orthopaedics, general surgery, plastic surgery and endoscopy services.
The West of Scotland Heart and Lung Centre was created in March 2008 at the Golden Jubilee Hospital, bringing interventional cardiology and specialist surgical heart and lung services previously provided by other hospitals in the region to the present site. GJNH is a dedicated regional unit for interventional cardiology including primary percutaneous coronary intervention (PCI). In 2009 the hospital carried out approximately 2600 PCI procedures (including 700 PPCI’s), 400 device implants (CRT and ICD) and 350 electrophysiology interventions. With this array of specialist cardiopulmonary services the GJNH is one of the largest heart and lung centres in Europe.
Cardiology.
The Cardiology unit at GRI is accommodated in CCU and Ward 43 and has capacity for 54 inpatients. Consultant cover is provided by Drs Hogg, Goodfield and the newly appointed Imaging consultant. It is envisaged that the successful candidate will contribute two ward rounds per week.
Cardiology out-patient care is delivered in the outpatient department at Glasgow Royal Infirmary and in the New Stobhill Ambulatory Care Hospital (ACH).
EP session (s) is carried out at the GJNH and an MDT is also held there.
Medical Staffing
Dr Adrian Brady (General Cardiology)
Dr Karen Hogg (Heart Failure)
Dr Nicholas Goodfield (Imaging)
Dr Joanne Lindsay (Devices)
Professor Andrew Rankin (University) (EP)
Dr Alan Rae (EP)
Dr Derek Connelly (EP)
Dr Mark Petrie (Heart Failure)
Dr Hany Eteiba (Intervention)
Dr Roy Gardner (Heart Failure and Devices)
Junior doctor support is provided by SpR/StR, CMT, GPST, FY2 and FY1 doctors.
Duties of the Post
This is a new consultant post based on the part time activity of recently retired Professor Cobbe and 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 cardiology wards. The pattern and frequency of these duties will be finalised following appointment to the post. There is also an on-call commitment to CCU envisaged to be on a 1:10 rota.
Apart from the EP session, it is envisaged that outpatient and in-patient work will be undertaken at GRI. It is expected that the successful candidate will provide three clinics per week to support the unit in striving to meet the 12 week waiting list target. There will also be a commitment to permanent pacemaker implantation. Electrophysiology session(s) will take place at the GJNH along with an MDT there.
Consultants are expected to participate actively in audit, and initiate and supervise audit projects related to specialty interest. Participation in national audit is encouraged. One SPA session is allocated for audit, 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 Scotland. 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.
Management Arrangements
Cardiology is part of the Emergency Care and Medical Specialties Directorate, NHS Greater Glasgow and Clyde. Mr Grant Archibald is the Director of Emergency Care and Medical Specialties across NHS Greater Glasgow and Clyde, and is supported by Dr David Raeside, Associate Medical Director. The Clinical Director for Cardiology is Dr David Murdoch, specific management responsibility for Cardiology is by Mr Alan Hunter, General Manager Cardiology, NHS Greater Glasgow and Clyde.
Proposed Timetable
10 PA (9 DCC, 1 SPA)
Monday / Tuesday / Wednesday / Thursday / FridayAM / Return Clinic
GRI / Ward Round
GRI / EP session
GJNH / Ward round
GRI
PM / SPA / New Patient Clinic
GRI / New/return OP
GRI / Pacing session
GRI / Admin
Some flexibility in timing of sessions, taking into account Bank Holidays, prospective cover in colleagues’ absence, and occurrence of receiving ward rounds, will be required.
A job plan, based on the proposed timetable will be finalised after appointment.
PERSON SPECIFICATION
ESSENTIAL / DESIRABLEQUALIFICATIONS / · Full GMC 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
· MRCP or equivalent.
CLINICAL EXPERIENCE / · Clinical training and experience equivalent to that required for gaining UK CCT in Acute Cardiology Medicine.
· Ability to offer expert clinical opinion on a range of clinical problems in Cardiology Medicine.
· Ability to take full and independent responsibility for clinical care of patients. / · Sub-specialty interest.
MANAGEMENT AND ADMINISTRATIVE EXPERIENCE / · Ability to advise on the efficient and smooth running of the Cardiology Service.
· Ability to organise and manage ward patients, and outpatient priorities.
· Experience of audit management and IT systems.
· Ability and willingness to work within NHS GG&C and NHS Scotland performance framework and access targets. / · Attendance at management course for clinicians.
TEACHING EXPERIENCE / · Experience of supervising medical trainees.
· Ability to teach clinical skills. / · Experience of MMC assessment tools.
OTHER ATTRIBUTES / · Ability to work in a team.
· Good interpersonal skills.
· Caring attitude to patients.
· Ability to communicate effectively with patients, relatives, GPs, nursing staff and other relevant parties.
· Commitment to the requirements of clinical governance.
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 / PermanentGRADE AND SALARY / Consultant
£ 74,504 £ 100,446 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 Time 40.00
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.