With Specialist Interest in Musculo Skeletal Tumour Surgery

CONSULTANT ORTHOPAEDIC SURGEON

WITH SPECIALIST INTEREST IN MUSCULO SKELETAL TUMOUR SURGERY

glasgow royal infirmary

INFORMATION PACK

REF: 37588D

cLOSING DATE: nOON on 24th july 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 ORTHOPAEDIC SURGEON WITH SPECIALIST INTEREST IN MUSCULO SKELETAL TUMOUR SURGERY

Base:glasgow royal infirmary

We are seeking to recruit a Consultant Orthopaedic Surgeon with a specialist interest in musculo skeletaltumour surgery to start from April 2016. The post holder will be expected to support the established musculo skeletal tumour service, which presently has two surgeons based in Glasgow Royal Infirmary. Additionally, it is likely to be necessary to undertake lower limb surgery, especially arthroplasty, as required to respond to waiting list pressures.

With its central location, Glasgow Royal Infirmary attracts a significant volume of complex tertiary referrals from around the region. Glasgow is also home to the world famous Beatson Oncology Centre.There are currently 2 substantive consultant surgeons (including this post) responsible for delivering the sarcoma service in addition to a team of Nurses.

The orthopaedic unit at Glasgow Royal Infirmary prides itself on its research output with numerous publications in peer-reviewed journals each year, as well as many podium presentations and posters at national and international meetings. There is a full time research manager who facilitates research and audit in the department. Excellent facilities also exist for basic science research in collaboration with the Anatomy Department at GlasgowUniversity and the Bioengineering Departments at Glasgow Caledonian and StrathclydeUniversities.

The post holder will be expected toparticipate in the general trauma on-call rota.

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 Trauma and Orthopaedic Surgery 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.

NHS GREATER GLASGOW & CLYDE

SURGERY & ANAESTHETICS DIRECTORATE

CONSULTANT ORTHOPAEDIC SURGEON

WITH SPECIALIST INTEREST IN MUSCULO SKELETAL TUMOUR SURGERY

GLASGOW ROYAL INFIRMARY

HOSPITAL AND CLINICS WHERE SERVICES ARE TO BE PROVIDED

Glasgow Royal Infirmary is a University teaching hospital located in the east of Glasgow. The Directorate of Orthopaedics (North East) is based at Glasgow Royal Infirmary. The population served is approximately 340,000.

There are currently 14 Substantive Consultant Orthopaedic Surgeons in the Unit where the full range of trauma and elective orthopaedic sub-specialties is covered.

The orthopaedic wards at Glasgow Royal Infirmary are located in QueenElizabethBuilding in close proximity to the theatres and ITU and also in the Surgical Block. Inpatient facilities for both trauma and elective work are based here.

There are three laminar flow theatres for Elective Orthopaedic work. There are two trauma theatres at Glasgow Royal Infirmary, one general trauma theatre and one sub-specialist trauma theatre. Both are located in the main theatre suite, with one available for the management of Orthopaedic and soft tissue trauma seven days a week and the other four days a week. Day surgery sessions for Orthopaedics are available at the Ambulatory Care Hospital (ACH) on the Stobhill site where 23 hour stay facilities are also provided..

Elective Orthopaedic and Fracture clinics are based at Glasgow Royal Infirmary with a dedicated X-ray facility and medical records department. The processing of patients through the Outpatient department is greatly facilitated by extended role Specialist Orthopaedic Physiotherapists and Podiatrists who initially assess a high proportion of referrals from Primary care. A total of 38 sessions per week of Specialist Physiotherapist time is allocated to this task.

The highly successful fracture clinic redesign has resulted in a significant reduction in unnecessary attendances for simple fractures. Guidelines and protocols are agreed with the Emergency Department for many of the fractures and patients are only seen following a triage of their x-rays and Emergency Department assessment by consultants in a virtual clinic.

A number of post-operative follow-up clinics are run by nurses, physiotherapists and podiatrists. Currently all primary and revision arthroplasty, soft tissue knee and arthroscopy patients are followed a dedicated Outcome Assessment Service with uniform data collected onto a database.

Glasgow Royal Infirmary is a major teaching hospital and has all major specialties on site with the exception of Neurosurgery and Cardiothoracic surgery.

There is an excellent Intensive Care Unit run by the Anaesthetic Department at Glasgow Royal Infirmary.

The Centre for Rheumatic Diseases is a professorial unit based at Glasgow Royal Infirmary and enjoys a close relationship with the Orthopaedic Department.The regional oncology service for the West of Scotland at the new Beatson Centre is located on the Gartnavel site. As a result, the department has the largest workload dealing with bony metastastic disease of any orthopaedic unit in the country. There are also close ties with the Imaging Department with ready access to both CT and MRI scanning, including a dedicated extremity scanner.

The department also works with the University of Strathclyde Department of Bio-Engineering and the National Centre for Prosthetics and Orthotics.

The Consultant members of the department are involved in Undergraduate teaching for the University of Glasgow. The Unit is also recognised for Basic Surgical Training and for Higher Surgical Training in Trauma and Orthopaedics. Currently there are 9 ST 3 and above trainees and 6 at the more junior level. There is a postgraduate teaching programme for higher surgical trainees organised on a West of Scotland basis. Education is strongly supported within the unit with daily multi-disciplinary trauma meetings, regular educational meetings and a monthly audit meeting.

2.WORK OF THE DEPARTMENT

Medical Workforce

• 14 consultants [see section 3 (b) (ii)]
• 1 Locum (this post)
• 15 junior medical staff [see section 3 (b) (iii)].

Activity

There were:

• approximately 13,500 new outpatient attendances in 2013/14 (including fracture clinics)
• approximately 4,000 elective procedures in 2013/14
• approximately 13,025 trauma admissions in 2013/14

The principal relationships within the hospital are:

• Emergency Department
• Imaging & Radiology Department
• Plastic Surgery Department
• Rheumatology Department

ACCOMMODATION

There are 87 inpatient beds split between 4 wards at Glasgow Royal Infirmary.

1. THE POST

[a]Title:Consultant Trauma & Orthopaedic Surgeon with an interest in Sarcoma Surgery

[b]Relationships;

[i] Greater Glasgow & Clyde NHS Board

[ii] Name of Consultant members of the department;

Mr L A Rymaszewski- Elbow Surgery/Trauma,

Mr M Blyth- Knee Surgery/Trauma,

Mr P Jenkins- Upper limb Surgery/Trauma

Mr E F Wheelwright- Spinal Surgery/Trauma

Mr R Ingram- Hip Revision Surgery/Trauma Mr S Kumar - Foot & Ankle Surgery/Trauma(Lead Clinician)

Miss Jane Madeley- Foot & AnkleSurgery/Trauma

Mr A Stark- Hip Revision Surgery/Trauma

Mr A Brooksbank- Shoulder Surgery/Trauma

Mr B Jones- Hip and Knee Surgery/Trauma

Mr A Shaw- Knees Surgery/Trauma

Mr MacLean- Knee Surgery/Limb Reconstruction/ Trauma

Mr A Mahendra- MSK Oncology/Foot & Ankle/Trauma

Locum (this post)- MSK Oncology/Elective

Arthroplasty/Trauma

Mr G Sianos- Hand Surgery/Hand Trauma

[iii] Trainees;

The Unit has 9 ST3 and above trainees, 3 FY2s, 2 ST1s and 3 GP trainees.

[c]Duties of the post;

[i]The appointee will participate in the elective and trauma workload of the department.

[ii]Administrative Duties – including those associated with care of patients and running of the department.

[d]Proposed Weekly Timetable (although subject to change)

AM / PM / Out of Hours Commitment:
Emergency Trauma / Comments
Monday / Oncology Clinic / Oncology Clinic* / *** / *Sarcoma MDT (0.5 session)
Tuesday / Joint Theatre / Joint Theatre
Wednesday / Pre operative clinic (2hrs)
Thursday / Oncology Return Clinic** / MSK Radiology conference (2hrs) / **2 in 3 weeks
Friday / Theatre / Theatre / 1 in 2 weeks with prospective cover

*** This is an indicative job plan therefore discussion with individual candidates regarding trauma commitments can take place.

A split of 9:1 between direct clinical care PAs and supporting professional activities is now the advertised standard for all new consultant/locum consultant job plans in NHSGG&C. 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 department.

There are trauma meetings everyday at 8.00am, with the Trauma theatre Consultant of the day leading the meeting

[e]The Consultant has a continuing responsibility for the care of patients in his charge and for proper functioning of the Department.

[f]The Consultant will undertake the administrative duties associated with care of his patients and the running of his clinical department

[g]In addition to the duties mentioned above, duties at other hospitals administered by the Division as may be necessary.

4.DATE WHEN POST IS VACANT: From April 2016

PERSON SPECIFICATION

Job Title:- Consultant Orthopaedic Surgeon with a Specialist Interest in Musculo Skeletal Tumour Surgery

Department:- Orthopaedics, Glasgow Royal Infirmary

Qualifications / Essential () / Desirable ()
MBChB (or equivalent) / x
FRCS (Tr. & Orth) (or equivalent) / x
Current ATLS Certification / x
Higher Degree / x
Experience / Essential () / Desirable ()
Broad experience of Trauma & Orthopaedic Surgery / x
Specialist training in musculoskeletal oncology / x
Advanced Fellowship training in musculoskeletal oncology / x
Teaching Medical Students / x
Participation in Audit / x
Publications and presentations / x
Behavioural Competencies / Essential () / Desirable ()
Organisational Skills / x
Communication Skills / x
Leadership Skills / x
Managerial Skills / x
Other / Essential () / Desirable ()
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 Trauma and Orthopaedic Surgery 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. / x
Non-UK applicants must demonstrate equivalent training. / x

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 / Permanent
GRADE AND SALARY / Consultant
£76,760 £ 103,490 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 / 40.00
SUPERANNUATION / New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via:
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 no 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

For further information on NHS Greater Glasgow and Clyde, please visit our website on

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Applicants wishing further information about the post are invited to contact Mr Senthil Kimar on 0141 211 5402 or Mr Ashish Mahendra on 0141 211 5826with whom visiting arrangements can also be made.

How to apply

To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit and click on the “How to Apply” tab to access application for and CV submission information.

Return of Applications

Please return your application by email to or to the recruitment address below;

Medical and Dental Recruitment Team

NHS Greater Glasgow and Clyde

Recruitment Services, 1st Floor

Modular Building, Gartnavel Royal Hospital

1055 Great Western Road

GLASGOW

G12 0XH

CLOSING DATE

The closing Date will be noon on 24th July 2015

INTERVIEW DATE

The interview date will be 17th August 2015