consultant in oral & maxillofacial head & neck surgeon

southern generalhospital

Information pack

reF: 30226d

Closing Date:noon11thoctober 2013


Post: consultant in oral & maxillofacial head & neck surgeon

Base:southern generalhospital

Applications are invited for a Consultant Oral & Maxillofacial/ Head & Neck Surgeon to join one of the busiest head and neck oncology units in the UK. The post is based at the Southern General Hospital, Glasgow. There are currently 8 Consultant Surgical posts in the department. The Consultants work in subspecialty teams employing a team approach with close collaboration and cross referral. The head and neck oncology team works very closely with the ENT and oncology services to provide comprehensive head and neck cancer care. The department covers all aspects of the specialty including, trauma, facial deformity, craniofacial, cleft and aesthetic surgery for adult and paediatric patients. The successful applicant will be expected to take on a role within the trauma service and develop the facial transplant programme. The on call service is provided across the region with colleagues form the surrounding Health Boards.

Applicants must have full registration with the General Medical Council, a registerable dental degree, a licence to practise and be eligible for inclusion in the GMC’s Specialist Register in Oral & Maxillofacial Surgery. Those trained in the UK should have evidence of higher Specialist Training leading to CCT or eligibility for specialist registration (CESR) or be within six months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training and have some experience of working in the NHS










Greater Glasgow and ClydeValley is one of the world’s most thrilling and beautiful destinations.

There is a wealth of attractions to discover, the UK’s finest Victorian architecture to astound, internationally acclaimed museums and galleries to inspire, as well as Glasgow’s own unique atmosphere to soak up.

Be entertained in one of Europe’s top cultural capitals by its year-long calendar of festivals and special events and enjoy outstanding shopping, superb bars and restaurants - all located within a stone’s throw of some of the country’s finest parks and gardens.

The area also stands at the gateway to some of Scotland’s most spectacular scenery, with Loch Lomond and the Trossachs only 40 minutes away.

What’s more, we are easily accessible by air, rail and road so getting here could not be easier.



The Acute Division brings together all acute services across the city and Clyde under a single management structure led by the Chief Operating Officer. The Division is made up of 7 Directorates of clinical services each managed by a Director and clinical management team along with a Facilities Directorate. These are:

Emergency Care and Medical Services

Surgery and Anaesthetics

Rehabilitation and Assessment


Regional Services

Women’s and Children’s Services


Regional Services

This post is based within the Regional Services Directorate which includes:

Neuro-sciences [including all sub-specialties except neuro-

Radiology and neuropathology]

Specialist Oncology services [including haemato-oncology]

Plastic Surgery and Burns

Renal Services including Renal Transplantation

Oral and Maxillofacial surgery


Queen Elizabeth NationalSpinal Injuries Unit


The Southern General Hospital is a large teaching hospital with an acute operational bed complement of approximately 930 beds. The Hospital is sited in the south-west of Glasgow and provides a comprehensive range of acute and related clinical services. Glasgow’s Acute Services Review will see a new adult and paediatric hospital built on this site by 2015.

Services include Accident and Emergency, Dermatology, ENT, General Medicine (including sub-specialties), General Surgery (including sub-specialties), Medicine for the Elderly (including Assessment, Rehabilitation and Day Services), Gynaecology, Neonatal Paediatrics, Obstetrics, Ophthalmology, Orthopaedic Surgery, Urology, Physically Disabled Rehabilitation and Continuing Care. In-patient Maxillofacial (trauma and elective surgery and specialist provision for head and neck cancer), Dermatology and the Assessment and Rehabilitation service for the Physically Disabled are also provided for the whole city from the Southern General Hospital.

There is also a wide range of therapeutic services including Audiology, Clinical Psychology, Dietetics, Occupational Therapy, ECG, Physiotherapy, Radiology (including MRI and CT provision for the general hospital service) and Speech Therapy.

The Institute of Neurological Sciences

The Institute of Neurological Sciences is based on the Southern General campus and provides Neurosurgical, Neurological, Clinical Neurophysiology, Neuroradiological and Neuropathology facilities for the West of Scotland. The Institute is equipped with a Magnetic Resonance Imaging Suite, SPECT Scanner, two Computerised Axial Tomography Scanners, and angiography facilities. The Institute has ICU, HDU and outpatient facilities and also houses ENT and Oral & Maxillofacial Services.

Spinal Injuries Unit

The Queen Elizabeth National Spinal Injuries Unit for Scotland provides a spinal injuries service to the whole of Scotland. This is housed in a purpose-built facility.

University Links

The Southern General Hospital has built a sound academic and research base over the years, and has an excellent teaching reputation with libraries and lecture suites with comprehensive audio/visual facilities on site. There are close links with the University of Glasgow's Faculty of Medicine including Professors within Neurosciences.


The Regional Maxillofacial Unit encompasses the whole range of surgery for the specialty for both adult and paediatric patients. The department is divided into three broad teams: Deformity comprising craniofacial, cleft lip and palate, orthognathic and TMJ surgery, Oncology including skull base oncology and dental/oral rehabilitation and finally Trauma. There are very strong links with Oral and Maxillofacial Surgery colleagues based in the surrounding health boards and there are well-developed plans for the centralisation of all major operative activity at the Southern General Hospital in Glasgow. Forth Valley Health Board has already centralised its in patients. The on-call system covers the whole of the region.

The department has excellent facilities with two dedicated operating theatres within a suite of 7 (shared with Neurosurgery and ENT). There is considerable flexibility in the use of this resource and this allows for easy combined operating. There is access to our dedicated theatres for out of hours emergencies. Inpatients are accommodated on ward 62 (shared with ENT) and ward 66A (a 5 day ward shared with neurosurgery). The radiology department is housed within the Institute of Neurosciences and a team of specialist radiologists and radiographers supports us with access to 2 CT scanners and 2 MRI scanners as well as plain radiography. There are excellent Head & Neck interventional radiology facilities. All imaging is available on the national PACS system. Outpatient facilities comprise 3 dental type surgeries, one minor operating theatre and a flexible number of consulting rooms. The photography departmenthas a studio in thedepartment and all images (city wide) are stored on a central server. Within the outpatient department we have a 3D imaging system and cadcam design software. In addition we have a full service maxillofacial technology laboratory with significant expertise in all types of facial prostheses. We also have a camouflage make up service for oncology patients.

The Head & Neck Oncology Service is part of the managed clinical network for head and neck oncology and there are excellent links with the ENT, neurosurgery and plastic surgery departments with collaborative operating and patient management being commonplace.

There are strong research links with the Beatson Oncology Centre and the Academic Department of Surgery. In addition there are longstanding collaborations with the Glasgow Dental Hospital and School.

The department is supported by 3 WTE and 1 part time associate specialist and has training recognition for 6 higher surgical trainees. In addition seven dental SHOs work in the department on rotation.


  1. Title: Consultant in Oral & Maxillofacial Surgery/ Head & Neck

The job plan provides for 10 PAs under the new Consultant contract.

SPA time will be allocated to the successful applicant depending on their attributes and the needs of the service.


(i)Name of Health Board(s):

NHS Greater Glasgow and Clyde

(ii)Names of Consultant members of the Department:

Mr John Devine (Oncology)

Mr Mark Devlin ((Cleft)

Mr Jeff Downie (Deformity- Joint appointment with Forth Valley Health Board)

Mr Ian Holland (Trauma)

Mr David Koppel (Craniofacial/ deformity, Lead Clinican)

Mr Jeremy McMahon (Oncology)

Mr Craig Wales (Oncology)

Mr Andrew Carton (Oncology - Lanarkshire Health Board)

Mr Roger Currie (Deformity-–Ayrshire & Arran Health Board)

Mr Stuart Hislop (Oncology –Ayrshire & Arran Health Board)

Mr Vikas Sood (Deformity- Lanarkshire Health Board)

Mr Ewan Thomson (Oncology – Forth Valley Health Board)

(c)Duties of the Post: see also person specification

(i)Clinical - details of all clinical commitments

The post is a replacement appointment, however, the duties have been designed for the successful candidate to work as part of the head and neck oncology team. The clinical duties involve all aspects of head and neck oncology - diagnosis, resection, reconstruction, rehabilitation and follow up. It is anticipated that the postholder would teamwork closely with Mr John Devine, with combined operating and clinic sessions.

There will be a commitment to the trauma service with 1 week in 4 being devoted to trauma.

The successful post holder is expected to develop a facial transplant service.

The on call duties involve a 1 in 6 weekend commitment to the regional on call service and a 1 in 4 commitment to the weekday on call system.


As well as the usual administrative duties associated with care of patients the appointed consultant will be expected to participate in the management structure of the Regional Maxillofacial Unit and the Regional Services Directorate.

  1. Timetable (this is an indicative timetable only)

The timetable identifies those fixed sessions, which are dependent on other hospital resources, both physical and human. The remaining duties are incorporated in the narrative. The following represents a specimen programme but the precise pattern of work sessions will be arranged on a weekly basis in order to take account of exigencies of the service.

Weeks 1-3

Monday / SGH / Operating 0800-2100 / 11
Tuesday / SGH / 0800-1300 Skin list or Operating / WR/Operating or skin list / 5
SGH / 1300-1700 / Clinical Admin / 4
Wednesday / SGH / 0900-1300 / SPA / 4
SGH / 1400-1700 / Clinic SGH / 3
0800-0900 / WR / 1
Friday / 0800-1600 / Ward round MDT/Clinic / 8
Saturday / On Call / 4
TOTAL / 36 / 4

Week 3

Monday / SGH / 0800-1700 WR /Operating/WR / 9
Tuesday / SGH / 0800-0900 WR / 1
SGH / 0900-1300 SPA / 4
1400-1700 Clinic SGH / 3
Wednesday / SGH / 0800-1300 WR/Trauma clinic / 5
Thursday / SGH / 0800-0900 WR / 1
SGH / 1300-1700 Operating /WR / 4
Friday / SGH / 0800-1700 WR/Operating/WR / 9
Saturday / On Call / 4
TOTAL / 36 / 4

NB Not all SPA time is shown on the indicative timetable. SPA time will be allocated to the successful applicant depending on their attributes and the needs of the service.


This post is available immediately.


In the first instance please contact:

Mr David Koppel, Consultant Surgeon/Lead Clinician

Tel: 0141 232 7510.

Short-listed candidates are invited automatically by the Director of Human Resources to visit the hospitals concerned. If candidates on their own initiative have visited the hospital prior to short-listing, they will only be allowed expenses for that prior visit if they are subsequently short-listed. When it is thought that there will be difficulty in filling the post, the Director of Human Resources has the authority to approve a second visit.


Any consultant who is unable for personal reasons to work full-time will be eligible to be considered for the post; if such a person is appointed, modification of the job content will be discussed on a personal basis in consultation with consultant colleagues.



POST:Consultant in Oral & Maxillofacial Surgery/Head and Neck

BOARD:Greater Glasgow and Clyde

HOSPITALS:Institute for Neurological Sciences, Southern General Hospital Glasgow

  1. Legal Requirements
/ Inclusion on the Specialist Register / Admission to the register within 6 months from date of interview.
2. Professional Qualifications / Full registration with the general medical Council and a license to practice.
Registrable dental qualification / MD / PhD
3. Training / Possession of CCST/CCT in OMFS / Attendance at appropriate professional courses.
Completion of head & neck Interface Fellowship
4. Experience
Audit / Experience of all aspects of head & neck oncology and traumatiology relevant to OMFS
Working knowledge of NHS management responsibilities of consultants.
Evidence of participation in audit activities / Experience of facial transplantation
Attendance at an appropriate management course.
Experience of clinical audit.
5. Teaching / Evidence of participation in teaching postgraduate medical staff plus a commitment to Postgraduate Training and Undergraduate Teaching within the organisation. Interest in undergraduate and postgraduate medical teaching. / Experience of teaching medical and other staff.
Evidence of participation in Undergraduate Teaching.
6. Research / Publications / Experience and evidence of research and relevant publications. / Evidence of recent and current research, with relevant publications.
7. Professional Interests / Membership of appropriate professional society (ies)
Knowledge of up to date literature.
8. Personal Skills
Teamwork / Ability to communicate and liaise effectively with patients and their relatives, and with colleagues of all disciplines.
Ability to be able to work harmoniously with colleagues.
Experience of supervision of junior medical staff and relevant staff in other disciplines.
Ability to work as a team with professional colleagues, both surgical and other disciplines
9. Circumstances
Car owner / driver / Agree to live an appropriate distance from the respective organisations.
Car owner with full driving licence.
10. Physical requirements /
General health / Satisfactory medical clearance from Occupational Health Physician.


The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.

£75,249 £ 101,451 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.
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.