Consultant
general radiologist
(2 posts)
clyde sector
INFORMATION PACK
REF: 36552D
cLOSING DATE: nOON 3rd April 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 RELATING TO THIS POSITION
Post: CONSULTANT RADIOLOGIST
Base: CLYDE SECTOR (2 pOSTS)
NHS Greater Glasgow and Clyde is the largest National Health Service provider in Scotland with an annual operating budget of just under £2 billion. In recent years, NHSGGC has invested £15 million in new facilities and equipment, specifically in the areas of CT, MRI, Ultrasound, Digital Mammography, PET CT/SPECT, Angiography and General Digital Imaging. Clyde sector serves a third of the population of NHS GG&C and currently has 2 acute general hospital sites, Royal Alexandra Hospital and Inverclyde Royal Hospital and one non acute site, Vale of Leven Hospital.
Both posts will be based in the Royal Alexandra Hospital, Paisley, within the Clyde Sector of Greater Glasgow and Clyde Health Board with limited duties at either Inverclyde Royal Hospital, Greenock or the Vale of Leven Hospital, Alexandria
While this advertised as a general post, we will be happy to accommodate any particular areas of special interest/expertise. Special interest in MSK Radiology, GI Radiology or ENT Radiology would be particularly welcome due to service developments and increasing demand for imaging in these fields.
Applicants must have full registration with the General Medical Council, a licence to practise and be eligible for inclusion on the GMC Specialist Register. Those trained in the UK should have evidence of higher Specialist Training leading to a CCT or eligibility for specialist registration CESR (CP) or be within six months of confirmed entry from the date of interview. Non UK applicants must demonstrate equivalent training.
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. The city hosted the hugely successful 2014 Commonwealth Games.
Glasgow is now one of Europe's top cultural capitals with a complete all year calendar of festivals and events. Glaswegians and visitors alike 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 road and national rail networks. It boasts the second largest suburban rail network in the United Kingdom.
2.The Hospital Modernisation Programme - The Services of Tomorrow
A massive re-organisation of NHSGGC is underway. The re-organisation was essential to align the organisational structure with the Acute Services Review (ASR) recommendations and support the Hospital Modernisation Programme. This is transforming healthcare provision locally, regionally and nationally. More than seven hundred million pounds of investment underpins an ambitious building programme, designed to deliver world class and integrated care from the following major acute sector units:
·New Cancer Centre, PET CT Imaging Centre, on the General hospital campus at Gartnavel, opened in 2007.
·Development of a single dedicated Regional Cardiothoracic Centre at Golden Jubilee Hospital, completed 2008.
·Ambulatory Care, Diagnostic and Treatment Centres at the Stobhill and Victoria sites, opened June 2009.
·New AcuteSouthGlasgowHospital with co-location of Maternity, Children’s and AdultHospital services. Regional Neurosciences and Maxillofacial Centres are also on site. Due for completion in 2015.
·Re-development of Glasgow Royal Infirmary into the second major acute hospital from 2015.
·The RoyalAlexandraHospital will remain the 3rd major acute centre for the health board
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 same day basis. These include outpatient 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 a streamlined and rapid process of care.
The redesign and redevelopment of Glasgow's 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 early 20th century buildings. The purpose-designed facilities will enable the one-stop/rapid diagnosis and treatment models required for the future. State of the art IT services and PACS currently allow patients’ images and diagnostic results to be available throughout the city and beyond, regardless of which hospital site is providing services. Concentration of inpatient facilities into fewer sites across the city will satisfy the requirements of junior 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.
3.Greater Glasgow & Clyde Acute Services Division
Glasgow Acute Services Clyde Acute Services
15 Hospitals3 Hospitals
4,700 beds1,100 beds
£980m income £250m income
19,500 wte staff7,000 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 seven 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
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, Bio engineering 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.Diagnostic Imaging
Adult acute Radiology services are organised on a sector basis with Clinical Leads covering each sector (NE, South West, and Clyde). Clinical Leads for Neuroradiology, PET CT, Paediatric Radiology, Adult Interventional, Dental Radiology and Breast Screening services are also in post. Clinical Leads report to the Clinical Director (Dr Anne Marie Sinclair) and General Manager (Lynn Ross).
Current post holders are as follows:
South West Sector Lead
(New Southern General, Victoria ACH,
Gartnavel General and Western Infirmary) Dr. Stuart Ballantyne
North-East Sector Lead
(Glasgow Royal Infirmary and Stobhill ACH)Dr. Ross MacDuff
Clyde Sector
(Royal Alexandra and Inverclyde Dr. Marzi Davies
RoyalHospital and Vale of Leven
Hospital)
Neuroradiology LeadVacant
(Institute of Neurological Sciences)
Paediatric Radiology Lead
(RoyalHospital for Sick Children) Dr. Ruth Allen
Breast Screening Lead
(Breast Screening Unit)Dr. Hilary Dobson
Dental Radiology Lead
(DentalHospital)
PET CT Lead
(Greater Glasgow & Clyde)Dr. Sai Han
InterventionalRadiology Lead Dr Ram Kasthuri
The NHSGG Strategic Review of Imaging Services aligns the future configuration of imaging with the over-arching NHSGG Hospital Modernisation Programme. Imaging support for acute/unscheduled care activity is a clinical governance priority. The key strategic aim of the Directorate is improve the quality of care provided to patients on the basis of clinical need by consolidating acute/emergency imaging support on a 24/7, 365 day basis and by complying with emergency, cancer related and scheduled care National waiting times targets.
The NHSGG out of hours imaging model for the adult acute service includes robust vascular/interventional on-call cover city wide with plans at an advanced stage for a centralised diagnostic on call service centred at the Royal Infirmary covering all Glasgow and Clyde acute sites.
Consultant Radiologist “out of hours” activity will be incorporated into job plans as a mix of evening/overnight “on-call” cover, weekend daytime activity and weekend daytime “on-call” cover Thus within a framework of recognised contractual hours, there is likely to be a future change in the current working practice of routine 9 to 5pm, five days a week working, to one in which extended working days, and weekend working will become the norm.
Currently in the Clyde Sector, emergency and on call is provided on the basis of Consultant led service on a 1:19 on call with remote viewing access from home. This will change in February 2014 to a 2 tier system incorporating registrars on site within a central on call facility within the city. Consultants will still require to participate in the on call rota on a 1:19 basis
6.Education & Training
Close links to the University of Glasgow ensure significant engagement in undergraduate and postgraduate clinical teaching.
The NHSGGC Imaging Directorate is the major clinical sponsor for the West of Scotland Radiology Postgraduate Training Scheme and around 40 Specialist Registrars currently rotate through the Glasgow departments.
The Glasgow Caledonian Course in Diagnostic Ultrasound is accredited to Masters Level and trainee Sonographers are educated and mentored locally.
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.
The diagnostic directorate is currently engaged in developing even stronger links with the university to specifically support imaging based research and provide imaging support to major national and international trials.
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
·A central Glasgow location, with close access to motorway, rail and airport links.
·On-site library services
·Subsidised staff restaurant facilities
·Access to NHS staff benefits/staff discounts
·Active health promotion activities
·Bike User Group (National Cycle Scheme)
·Good Public Transport links
·Commitment to staff education and life-long learning/development opportunities
·Excellent student support
·Access to NHS Pension scheme
9.The Imaging Departments
General Information
An HSS RIS system covers all Glasgow and Clyde departments. Glasgow is the lead site for the Scottish National PACS implementation and completed National acceptance testing in January 2007, triggering the Glasgow wide roll out which was completed in mid 2008. This has undergone a recent upgrade to v11, with replacement of hardware and refreshing of the software package.
Voice recognition technology has also been introduced at all Glasgow and Clyde hospital sites along with upgrades to the RIS/PACS systems. The Trak-Care PAS is currently being introduced across GG&C and by autumn 2013 electronic requesting with “Order” Comms will be in operation across all sites
All acute adult and paediatric hospitals and the ambulatory care hospitals have provision of modern mulltislice CT and 1.5T MRI systems. In addition, a 3T magnet is available at the regional neurosciences unit on the Southern General campus.
A Regional PET CT Centre, with two modern PET-CT scanners, has been developed adjacent to the New Cancer Centre.
Dedicated vascular/interventional facilities are available at Gartnavel, Glasgow Royal Infirmary, Western Infirmary, Southern General Hospital, Victoria Infirmary, and in Neuroradiology/INS. Vascular/Interventional facilities in The Royal Hospital for Sick Children are shared with Cardiology.
Total imaging examination numbers for Glasgow approach over one million per annum (excluding Obstetric US and Cardiology). The annual incidence of cancer for the Glasgow area is in the order of 7,000 cases. Regional services cover up to half the population of Scotland, potentially doubling the caseload for some patient pathways.
The Diagnostics Directorate currently employ 116 individual Consultant Radiologists within GG&C, however this number is set to expand with the opening of the new SGH.
WTE posts are as follows:
North East Sector23 (including vacancies)
Northt West Sector23
South Sector23 (including vacancies)
Neuroradiology10
Paediatric Radiology 7
Breast Screening 7
DentalHospital 2
Clyde 21
Around 40 Specialist Registrars rotate through the West of Scotland Training Scheme.
Clyde Sector
Consultant Radiology provision within this Sector has been organised and modernised to support the future imaging requirements for the population of this region which is 400,000.
A single area wide amalgamated and enlarged radiology team provides radiology services to each of the Sector hospital sites namely: the RoyalAlexandraHospital, Paisley, InverclydeRoyalHospital, Greenock and the Vale of Leven District General Hospital, Alexandria.
The RoyalAlexandraHospital has a cross-sectional imaging suite equipped with 2 new Toshiba Multislice CT scannersinstalled in 2012 and 2014 respectively and a Siemens 1.5 Tesla MRI unit along with appropriate workstations, office accommodation and a conference/seminar room. It also has a separate mammography suite with full field digital mammography. The department has 4 high specification colour Doppler ultrasound machines, 2 replaced in 2014, and has recently installed a Siemens digital screening room. All the general radiography rooms have been upgraded to CR and DR.
InverclydeRoyalHospital, Greenock has undergone a major refurbishment and modernisation of the department. It already has a 64 slice Siemens CT scanner and an interventional fluoroscopy unit. It has a Siemens 1.5 Tesla MRI. A programme to replace all plain radiographic facilities with CR is complete. There are 3 newly acquired colour Doppler Ultrasound machines. The mammography suite i.e. equipped with a modern CR mammographic unit with stereotactic facilities.
Both the RAH and IRH sites are acute hospitals with acute medical and surgical receiving and the full range of District General and associated facilities.
The third hospital site, based at the Vale of Leven Hospital, although smaller, provides acute medical receiving and out patient services, This department is equipped with multi-slice Helical Siemens CT, this is funded to be replaced early in 2015, a Philips fluoroscopy unit, 2 colour Doppler ultrasound machines and general rooms equipped with CR.
Within the Clyde sector, the PACS system commenced early in 2008 as part of the Scottish PACS procurement roll out. PACS upgrade of hardware and software will be completed in December 2014. PACS based teleradiology to consultant’s homes is also provided for on-call CT studies.
Radiographer skill mix is well established with sonographers both performing and reporting ultrasound examinations and radiographers performing and reporting barium studies. Radiographers also contribute to A&E and GP plain film reporting.
The department at RAH provides both under-graduate and post-graduate training and is attached to the West of Scotland Radiology Registrar training scheme with Registrars rotating through departments. Both IRH and VOL are also accredited for radiology training.
The Jobs
Consultant General Radiologists
Both will be based within the RoyalAlexandraHospital, Clyde Sector
One is a replacement post and the other is a new post base on the installation of the second CT scanner. Both are advertised as a full time position although candidates who require to work part-time will be considered.
The candidates will be expected to contribute strongly to the general work of the department, in particular the acute service. They will be proficient in all forms of general diagnostic imaging. We would be happy to accommodate a subspecialty interest. We would particularly welcome a sub-specialist interest in MSK imaging/intervention and a GI interest to compliment the existing specialists and contributing radiologists. Interventional (non-vascular) skills, including image guided drainage and biopsy are a preferred requirement.
In line with the acute services review inpatient services are being rationalised across the city and, as this occurs, the job plan will adapt to ensure the applicant is working effectively and efficiently with colleagues to ensure high quality services across Greater Glasgow and Clyde.