consultant cardiologist and physician
royal alexandra hospital/vale of levenhospital
information pack
reF: 24546d
Closing Date:2nd March 2012
SUMMARY INFORMATION
Post:consultant cardiologist and physician
Base:royal alexandra hospital/vale of levenhospital
Applications are invited for the post of Consultant Cardiologist and Physician within NHS Greater Glasgow and Clyde, based at the RoyalAlexandraHospital, Paisley and Vale of Leven Hospital, Alexandria. This post has been previously agreed as part of a planned expansion in consultant numbers to support unscheduled and scheduled medical services at both the RoyalAlexandraHospital and Vale of Leven Hospital.
The successful candidate will integrate into a team comprising five consultants and expected to provide a full range of consultant services as agreed with colleagues and management. This will include in-patient and out-patient care, acute medical/cardiology receiving and participation in consultant out-of-hours on call rota. This offers a real opportunity for the successful candidate to be involved in the development of a successful modern consultant led service across two hospital sites.
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 NHSGG&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. There is a substantial academic presence and very good links with GlasgowUniversity in all areas of the services provided. A number of consultants have national and international reputations. There is also a well established Cardiology Managed Clinical Network; the lead clinician is Dr D Murdoch, Consultant Cardiologist.
Both the Royal Alexandra and Hospital Vale of Leven Hospital are close to the city of Glasgow, with excellent transport links and access to the countryside.
Applicants must hold full registration with the General Medical Council and have 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. Consideration will be given to applicants who are unable for personal reasons to work full time.
NHS Greater Glasgow & Clyde
Emergency Care and Medical Services – Clyde Sector
Consultant Cardiologist & Physician
Royal Alexandra and Vale of Leven Hospitals
This post of Consultant Cardiologist will be based at the RoyalAlexandraHospital (RAH), Paisley, five miles from the bustling West end of Glasgow. The post has been agreed as part of a planned expansion in Consultant numbers to support unscheduled and planned medical services at the Vale of Leven Hospital (VOL) as well as developments at the RAH. The successful candidate will integrate into a team comprising fiveConsultants to develop Cardiology across both Hospitals. This will offer a real opportunity for the successful candidate to be involved in the development of a successful modern consultant led service across two Hospital sites.
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.
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. The Vale of Leven Hospital has undergone a period of re-configuration following the implementation of the Vale of Leven Vision in December 2010. This vision includes the retention of unscheduled medical care at the Vale of Leven Hospital, led by the Consultant Physician team based at the RoyalAlexandraHospital and supported by GP and GP trainees. In addition there will be 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 203 beds. This includes an 18 bedded Coronary Care/Chest Pain Unit and a 30 bedded medical receiving ward. 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.
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3.Workload of Adult Medicine(Approximate to year ending March 2009)
RAH
Inpatients 12,394New outpatients 3,907
Day Cases 190
VOL
Inpatients 4,121New outpatients 1,950
Day Cases 93
4.Consultant Staffing
Between the RAH and VOL there are currently 21 consultant physicians with special interests as noted.
Dr Iain FindlayCardiology
Dr Stuart HoodCardiology
Dr Eileen PeatCardiology
This post Cardiology
Vacant PostCardiology
Prof Martin McIntyreDiabetes and Endocrinology
Dr James BoyleDiabetes and Endocrinology
Dr Clare HarrowDiabetes and Endocrinology
Dr Neil McGowanDiabetes and Endocrinology
Dr James McPeakeGastroenterology
Dr Graham NaismithGastroenterology
Dr Rizwan HamidGastroenterology
Dr Mathis HeydtmannGastroenterology
Dr Alistair DorwardRespiratory Medicine
Dr Jane GravilRespiratory Medicine
Dr M Al-Shamma Respiratory Medicine
Dr Douglas GrieveRespiratory Medicine
Dr Gillian RobertsRheumatology
Dr Martin PerryRheumatology
Dr Gautam RayAcute Medicine
Dr Chris Foster Acute Medicine
Vacant PostAcute Medicine
5.Junior Staff
Specialist Registrars6.5 (RAH)
ST/FTSTAs8 (RAH)
Foundation Year 26 (RAH) moving to 6
Foundation Year 117 (RAH/VOL)
GPST1 6 (VOL)
There are Specialist Nurses in Diabetes, Respiratory Medicine, Cardiac Rehabilitation, Cardiac Failure, Haemato-Oncology, DVT, Chest Pain management and inflammatory bowel disease across both Hospitals.
6.Cardiology Services
The RoyalAlexandraHospital provides a busy non invasive cardiology service to the population of Renfrew and beyond. 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 are currently five Consultant posts at the RoyalAlexandraHospital. They provide 1 in 5 weekly cover for CCU, rapid access chest pain clinics, pacemaker implantation, 8 outpatient clinics per week and supervision of the cardiology ward. Over 2,000 new and 4,500 return outpatients are seen each year.
They are currently supported by an ST7 and ST5 cardiology trainees. There is a staff grad, 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, including support staff. There is a good skill mix with a number of staff highly skilled in echocardiography.
Workload of the Department in 2008/09 was as follows:
Cardiology Procedure / 2008/09Routine ECG Recordings / 32,167
Ambulatory Monitors / 1,467
Exercise Tests / 1,917
Echocardiograms / 3,733
Pacemaker Implantations / 108
Pacemaker Checks / 764
The Department at the Vale of Leven Hospital is staffed by a total of 3.9wte.
Workload of the Department in 2008/09 was as follows:
Cardiology Procedure / 2008/09Routine ECG Recordings / 3,688
Ambulatory Monitors / 820
Exercise Tests / 606
Echocardiograms / 1,098
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.
6.6 Cardiac 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 therefore 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 will have responsibility for acute medical services at both the RoyalAlexandraHospital and the Vale of Leven Hospital.
7.1Acute Receiving Ward
Acute medical admissions are admitted to the acute receiving ward (currently ward 2) at the RAH or through the medical assessment unit (MAU), which is staffed by one of the consultants, together with the Acute Physician on a rotating ‘Physician of the Week’ basis Monday morning to Friday lunchtime. 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, which is staffed by a third consultant on a rotating ‘Physician of the Week’ basis Monday morning through to Friday pm. The Physician of the weekwill 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 HAN Practitioner service.
7.4Medicine 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 daily 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 Dr L Erwin.
The service at the Vale of Leven supports 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.
8. Management Arrangements
Emergency Care and Medical Services Directorate – Clyde Sector, consists of Accident & Emergency and General Medicine. The consultant appointed will be expected to participate fully in the work of the Directorate.
The Clinical Director for Medicine across Clyde is Prof Martin McIntyre, based at RAH. There are two Lead Clinicians for Medicine across Clyde; Dr Stuart Hood at RAH/VoL and Dr Chris Jones at InverclydeRoyalHospital.
The Clinical Director for Cardiology services across NHS Greater Glasgow & Clyde is Professor Stuart Cobbe.
9.Summary of the Post
The appointee will provide consultant leadership in Cardiology.
10Duties of the Post
ROYALALEXANDRAHOSPITAL
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 Medical Wards and Coronary Care Unit. There are usually three outpatient clinics per week. It is likely that 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 1:5 basis. This includes twice daily ward rounds Monday-Friday and a ward round on a Saturday morning. 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. There is no separate on call commitment for Cardiology.
The appointee would be expected to be on call from home for advice for RAH and VOL every 20th night. Weekend commitments to unscheduled medical admission will consist of 1:20 as “first on” which would involve twice daily ward rounds on Saturday and Sunday in the RAH and on call for advice both nights. There would also be a 1:20 “second on” which would consist of morning ward rounds in the acute medical admissions unit at both the RAH and VoL. The second on person would not be on call for advice that weekend. The total weekend commitment is therefore 1:10.
10.2Suggested job plan
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 in due course 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, 4 weeks in 5) / 2.4CCU (1 week in 5)
Ward Rounds
Admin
Subspecialty (4 weeks in 5) / 2.0
1.0
1.0
1.6
Out-of-hours
Total DCC
/ 1.09
SPA / 1.0
TOTAL / 10
Cover for study leave, holidays will be provided from within existing consultants.
10.3Support staff
There is secretarial support for the consultant.
11.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.
12.Further information
For further information and arrangements to visit the department,
Please contact
Prof Martin McIntyre
Clinical Director,
Consultant Physician / Endocrinologist
RoyalAlexandraHospital
Paisley
Tel 0141 314 6826
Email:
Dr Stuart Hood
Lead Clinician, Medical Unit
Consultant Cardiologist
RoyalAlexandraHospital
Paisley
PA2 9PN
Tel 0141 314 7214
Email:
Dr Iain D Findlay
Link Consultant Cardiologist, Medical Unit
Consultant Cardiologist
RoyalAlexandraHospital
Paisley
PA2 9PN
Tel 0141 314 6878
Email:
Prof S M Cobbe
Clinical Director Cardiology Services NHS GG&C
Consutlant Cardiologist
3rd Floor, WaltonBuilding
QueenElizabethBuilding
Royal Infirmary
Glasgow
Tel 0141 211 4722
Email;
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 Cardiology.
- Ability to offer expert clinical opinion on a range of clinical problem in Cardiology.
- 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.
- 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 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 which currently costs £59.00. The cost of the PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and will required to be repaid through a payroll deduction mandate from the successful candidate’s first salary.
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