consultant microbiologist
royal alexandra hospital, paisley (initially)
information pack
reF: 23833D
Closing Date: 14th October 2011
SUMMARY INFORMATION
Post: consultant microbiologist
Base: greater glasgow and clyde wide
NHS Greater Glasgow & Clyde (NHSGGC) are seeking the full time appointment of a part time Consultant Microbiologist based initially at the Royal Alexandra Hospital. The postholder will join 4 other consultants in providing a proactive clinical microbiology service for the Clyde sector.
The microbiology departments in NHSGGC provide an integrated diagnostic microbiology & virology service to the population of Glasgow and Clyde, including the Primary Care Division. This service includes a full range of diagnostic bacteriology, serology, chlamydia detection, and mycology culture.
The microbiologists have close working relationships with other clinical colleagues, with infection control having a high priority.
Applications are invited from medical microbiologists with relevant skills and experience who have full GMC registration and are listed in the GMC’s specialist register in medical microbiology.
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.
NHS GREATER GLASGOW AND CLYDE
DIAGNOSTICS DIRECTORATE
INFORMATION PACK
FOR THE POST OF
CONSULTANT MICROBIOLOGIST REF: 23833D
1. Glasgow – A Fantastic Place to Live and Work
Glasgow has a wealth of attractions including some of the UK's finest Victorian architecture, internationally acclaimed museums, galleries and cultural venues all thriving in a unique cosmopolitan atmosphere. The renaissance of Glasgow over the last decade is an urban success story to which many major UK and European cities aspire.
Glasgow is now one of Europe's top cultural capitals with a complete all year calendar of festivals and events. Native Glaswegians and visitors enjoy widely acclaimed bars and first class restaurants nestling within the best commercial shopping district outside London. All of this is located within a stone's throw of some of the country's finest parks and gardens.
Glasgow is the gateway to Scotland's most spectacular scenery, with Loch Lomond and the Trossachs only 40 minutes away. Glasgow is at the core of national rail and road networks and is served by two airports, Glasgow International and Glasgow Prestwick International (on the Ayrshire coast, south-west of the city).
2. The Hospital Modernisation Programme - The Services of Tomorrow
A massive re-organisation of NHSGGC has just been completed and the Diagnostics Directorate took over responsibility for all Diagnostic services in February 2006. The re-organisation was essential to align the organisational structure to the Acute Services Review (ASR) recommendations and support the Hospital Modernisation Programme which is transforming healthcare provision locally, regionally and nationally. Seven hundred million pounds of investment underpins an ambitious building programme that will deliver truly world class and integrated care from the following major acute sector units;
· New Cancer Centre, PET CT Imaging Centre and Acute Receiving/OP Unit at Gartnavel General.
· New Acute South Glasgow Hospital with “gold standard” triple co-location of Maternity/Childrens/Adult Hospital services. Neurosciences Centre also on site.
· Re-development of Glasgow Royal Infirmary into the second major acute hospital.
· Ambulatory Care/Diagnostic and Treatment Centres at the Stobhill and Victoria sites.
· Development of a single dedicated Regional Cardiothoracic Centre at the Golden Jubilee National Hospital.
The Hospital Modernisation Programme will ensure that walk-in/walk-out hospital services are provided for the majority of patients. The pattern of service provision will shift to reflect moves towards ambulatory care. Currently 85% to 90% of patient encounters with acute hospital services are on a walk-in/walk-out same day basis. These include out-patient attendances, diagnostic tests, imaging procedures, and a range of day surgery procedures. In future, these services will be provided from ambulatory care centres designed to deliver the streamlined process of care which patients want - to be seen quickly by the appropriate specialist, to undergo clinical investigation and to receive treatment without delay.
The redesign and redevelopment of NHS GGC acute services will address many of the pressures currently facing the hospital service. The new services will be provided in modern facilities rather than in 19th century buildings not designed for modern health care. The purpose- designed facilities will enable the one-stop/rapid diagnosis and treatment models required for the future. Continuity of service will improve with the elimination of the need for patients' notes and results to be moved from building to building. Concentration of services will allow the requirements of junior doctors’ doctor’s hours and issues arising from increasing sub-specialisation of medicine to be addressed through the creation of larger staff teams and sustainable rotas for both junior and senior staff.
The formation of larger clinical teams will make sure that programmes of work, including the need to cover emergencies without interfering with waiting list and ambulatory care sessions, can be planned effectively. The concentration of in-patient services on fewer sites will help strengthen specialist services and maximise the capacity of the service.
3. Greater Glasgow & Clyde Acute Services Division
Glasgow Acute Services Clyde Acute Services
15 Hospitals 3 Hospitals
4,700 beds 1,100 beds
£980m income £250m income
19,500 WTE staff 7,000 WTE staff
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 eight 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
Diagnostics
Regional Services
Women’s and Children’s Services
Oral Health
Facilities
4. Diagnostics Directorate
NHS Greater Glasgow and Clyde serves a population of around 2 million located across the West of Scotland. The New Cancer Centre serves a population of around 2.8 million i.e. over half the population of Scotland.
The Diagnostics Directorate has responsibility for all Laboratory services, Clinical Physics, Medical Photography and Diagnostic Imaging. Diagnostic Imaging includes Clinical Radiology, Nuclear Medicine and Regional imaging services (Neuroradiology, Paediatric Radiology, Oncological Imaging/PET CT, Breast Screening and Dental Radiology).
5. Laboratory Medicine
The Laboratory Medicine division of the Diagnostics Directorate has responsibility for all laboratory services which are co-ordinated on a city wide basis. These include Microbiology & Virology Laboratories as well as Biochemistry, Haematology, Pathology, Immunology and Genetics Laboratories.
6. Education & Training
Close links to the University of Glasgow ensure significant engagement in undergraduate and postgraduate teaching. Education is a core component of teaching hospital posts, including the opportunity to take part in problem based learning sessions for medical students and trainee mentoring as well as other relevant undergraduate and postgraduate educational activities.
7. Research & University Links
NHS Greater Glasgow & Clyde has excellent working relationships with the University of Glasgow and linked clinical / academic departments. Glasgow has a very strong academic and research base, with an excellent teaching reputation. There are libraries and lecture suites at all the hospital sites.
The successful candidate will be encouraged to develop his/her expertise and to undertake high quality audit and research activity. Strong collaborations exist between the various research groups of the Division. Successful candidates may be offered honorary status with the University.
8. Valuing our Staff
NHS Greater Glasgow & Clyde is committed to extending training and development opportunities to all staff and is actively developing multi-disciplinary training, extending the role of on-line E-learning, and recognises the importance of developments in technology for both staff and patients.
We Offer:
· Policies to help balance commitments at work and home and flexible family friendly working arrangements
· Excellent training and development opportunities.
· Free and confidential staff counselling services
· close access to motorway, rail and airport links.
· On-site library services
· Access to NHS staff benefits/staff discounts
· Active health promotion activities
· Bike User Group
· Good Public Transport links – not for RAH…
· Commitment to staff education and life-long learning/development opportunities
· Excellent student support
· Access to NHS Pension scheme
· Access to Day Nursery
· Access to discounted First Bus Travel
· Active health promotion activities
9. Clyde Sector
General Information
Clyde sector is part of NHS Greater Glasgow and Clyde.
Clyde has hospital sites at Royal Alexandra Hospital, Paisley; Inverclyde Royal Hospital, Greenock and Vale of Leven Hospital, Alexandria.
Royal Alexandra Hospital
Situated in Paisley and serves a population of around 200,000 from a mix of urban and rural areas.
The hospital provides a range of services including inpatient beds, general medical and surgical services, trauma and emergency surgery centre, ITU, HDU, medicine for the elderly, maternity hospital, paediatric inpatients, orthopaedics, and Accident and Emergency.
Inverclyde Royal Hospital
Situated in Greenock and serves a population of around 125,000 in the urban and rural areas of Inverclyde, Largs, Bute and the Cowal Penninsula.
The hospital provides services including inpatient beds, general medical and surgical specialities, ITU and HDU, Accident and Emergency.
Vale of Leven District General Hospital
Situated in Alexandria and serves a population of around 78,000.
The hospital provides services including inpatient beds, general medicine and a Minor Injuries Unit
Currently Microbiology Services are provided on six sites across Glasgow. There are plans to reconfigure Glasgow Microbiology Services on two sites at the Southern General Hospital (SGH) and the Glasgow Royal Infirmary (GRI), by 2012. Microbiology Services in Clyde are currently provided on the Royal Alexandra and Inverclyde Royal Site but this provision is currently being reviewed.
Departments provide an integrated diagnostic microbiology & virology service to the population of Glasgow and Clyde, including the Primary Care Division. This service includes a full range of diagnostic bacteriology, serology, chlamydia detection, antibiotic assays and mycology culture
The Virology services for NHS Greater Glasgow & Clyde are provided centrally by the Regional Virus Laboratory which is situated at Gartnavel General Hospital, North Glasgow.
There are close links with the Departments of Public Health and Health Protection Scotland (HPS)
The departments are fully CPA accredited and participate in all relevant National External Quality Assessment Schemes.
10. MicrobiologyServices in Clyde
Currently there are microbiology laboratories at RAH and IRH sites.
This provision is currently under review but it is likely that a microbiology laboratory will be retained in Clyde Sector
It is anticipated that this post will be based at RAH but that the consultant team in Clyde will provide cover for the 2 laboratory sites and the 3 hospital sites in the sector
Workload
One of the Consultant Microbiologists in Clyde has 4 pa’s dedicated to the provision of an Infection Control Service
Base 2007 / RequestsBacteriology / 201,223
Chlamydia / 7,395
Virology/postal / 3,765
Serology / 8,725
GRAND TOTAL / 226,879
Laboratory accommodation and equipment
Individual consultant offices are available, with PCs, providing access to intranet and internet facilities, and, an extensive e-library access.
An APEX Laboratory computer system is in operation throughout the Clyde Sector.
Microbiology Equipment:
This includes a Bactec blood culture system and VITEK.2 automated sensitivity/ identification reader on both sites. IRH has an Architect serology analyser, M2000 molecular testing system and VIDAS for Clostridium difficile toxin detection. RAH has IQ Sprint urine analyser and T4 for Clostridium difficile detection. Negotiations are ongoing for a Managed Service Contract which may significantly affect the provision of automated equipment.
Virology services for NHSGG&C are provided centrally by the Regional Virus Laboratory at Gartnavel General Hospital, Glasgow
There are close links with the Departments of Public Health and Health Protection Scotland (HPS)
Full accreditation with Clinical Pathology Accreditation (UK) Ltd is currently held by both laboratories.
The laboratories participate in all relevant National External Quality Assessment Schemes
11. The Consultant Microbiologist Post
A. Title: Consultant Microbiologist
B. Relationships
i. Name of Health Board - NHS Greater Glasgow & Clyde
ii. Directorate - Diagnostics
iii. NHS GG&C, Diagnostic Directorate, Microbiology Management Structure (appendix 1)
Laboratory Staffing:
RAH/IRHConsultants / Dr L Bagrade
Dr Weinhardt
Dr Claxton
Dr deVilliers
Specialist registrar / 3
FY2 / 1
Technical Services Manager / Mr R Shaw
Site Managers / 2
Quality Manager / 1
Senior Biomedical Scientists / 13.3
Biomedical Scientists / 24.4
MLAs / 11.56
Clerical staff / 6.74
Duties of the Consultant Microbiologist Post - The appointee will form part of the Clyde Sector of the Greater Glasgow and Clyde Microbiology Medical team and will be responsible with 4 other Consultant Medical Microbiologists for the provision of a comprehensive, efficient, and cost-effective Clinical Microbiology and Infection Control Service to users of the service.
The appointee will:
i) Provide liaison in a timely manner with clinicians, hospital staff, medical microbiologists, general practitioners and public health consultants concerning the management of patients, and the diagnosis and prevention of infections.
ii) Take an appropriate share of responsibility for departmental commitments.
iii) Provide expert advice to clinical colleagues, telephonically and by attending ward rounds as necessary.
iv) Provide, in conjunction with microbiology colleagues, a 24-hour infection control medical on call service and day to day close working relationship with the Infection Control Team.
v) Provide an out of hours service with colleagues for microbiology and infection control. Out of hours cover is shared equally between Consultant Medical Microbiologists and currently operates across Clyde. The rota is 1:5 with prospective cover, on a weekly basis, with remote access to laboratory information system from home. This attracts 1.5 PAs.
vi) Be managerially accountable to Ms Isabel Ferguson, General Manager of Laboratory Medicine, professionally accountable to Dr Craig Williams (Head of Service)) and will be expected to participate in the management process.