clinical RESEARCH fellow / SENIOR CLINICaL RESEARCH FELLOW in Difficult ASTHMA
gLASGOW rOYAL iNFIRMARY / Stobhill ambulatory care hospital, glasgow
Information pack
REF: 43583D
CLOSING DATE: 5th August 2016
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
Post: clinical rESEARCH fellow / senior clinical RESEARCH fellow in DIFFICULT asthma
Base: GLASGOW ROYAL INFIRMARY / STOBHILL AMBULATORY CARE HOSPITAL
Applications are invited for the above post in Respiratory Medicine, based at Glasgow Royal Infirmary (GRI) and Stobhill Ambulatory Care Hospital (SACH). This post will commence in August 2016 and is outside the MTAS process.
The Difficult Asthma Service is a Tertiary Referral service for the North-East Sector and Lanarkshire. There is an active Multidisciplinary Team including 2 Consultants, a GP with a Special Interest, a Respiratory Clinical Nurse Specialist and a Specialist Respiratory Physiotherapist with support from the large clinical physiology team based both in GRI and SACH. There are close links with the GRI Clinical Research Facility and also with other Difficult Asthma Services across the city. The Difficult Asthma Service includes a weekly clinic for review of the large cohort of patients and also a weekly clinic for administration of omalizumab injections. We expect to be able to provide treatment with the novel anti-IL-5 antibody, mepolizumab, later this year.
Our active clinical research program has an expanding portfolio of activity with interests including identification of strategies to improve treatment adherence in the difficult asthma population, development of non-steroidal treatment options, the association of vitamin D with asthma, the potential role of pulmonary rehabilitation in this cohort, and the use of biomarkers in treatment rationalisation. We contribute to the UK wide BTS Difficult Asthma Registry and are participating in the UK Refractory Asthma Stratification Programme, a multicentre, MRC-funded project. Other research activities include participation in multi-centre trials both commercial and non-commercial. This new post has been developed to offer training and research opportunities in difficult asthma and respiratory medicine, whilst providing clinical service support both to the expanding difficult asthma service and to general medical and respiratory services within GRI.
Candidates would preferably be in possession of MRCP (UK) or equivalent, have appropriate experience in General and Respiratory Medicine ideally including some experience in management of difficult asthma; although these are not essential requirements and training will be provided in post. Applicants should be planning to continue in a career in Respiratory Medicine or a related specialty.
We would welcome applications from doctors at level CMT2/ST2 or above looking for 2 years research break to consolidate their training, or from senior respiratory trainees considering a pre or post-CCT senior fellowship with subspecialty training.
Clinical duties will include participation in the difficult asthma service, as well as general respiratory inpatient and outpatient work, and general medical on-call.
The post-holder will also be given the opportunity to undertake a period of supervised clinical research, leading to the award of an MD or other higher degree.
Funding is available for 2 years, however shorter-term appointments may be considered.
To practice medicine in the UK you need to hold both GMC registration and a license to practice.
This post has not been approved for Training purposes by NES.
Acute Division
NHS Greater Glasgow and Clyde
Further Particulars of Post of
CLINICAL RESEARCH FELLOW / SENIOR CLINICAL RESEARCH FELLOW IN DIFFICULT ASTHMA
Based at GLASGOW ROYAL INFIRMARY / STOBHILL AMBULATORY CARE HOSPITAL
POST REFERENCE 43583D
ABOUT US
The Acute Services Division is the largest group of adult acute hospitals in Scotland. It enjoys close links with Glasgow’s three universities and makes a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation. Education facilities are provided at Glasgow Royal Infirmary and the new ambulatory care hospital at Stobhill Hospital. The service in North Glasgow presently employs more than 14,300 staff serving a core catchment population of 560,000.
Glasgow Royal Infirmary (GRI) & Stobhill Ambulatory Care Hospital (SACH)
Glasgow Royal Infirmary is one of the major teaching complexes of the University of Glasgow. It provides the Emergency Medicine service for the North Eastern districts of Glasgow and has in-patient beds in general medicine and related specialities, medicine for the elderly, general surgery, orthopaedics, plastic surgery and obstetrics and gynaecology. There are also beds in intensive care, medical and surgical high dependency, and coronary care. Following the closure of Stobhill Hospital March 2011 all acute medical beds, with the exception of some long-stay care of the elderly beds, are on the GRI site. The Stobhill Ambulatory Care Hospital is a modern purpose built ACH providing a full range of out-patient and ambulatory care services including an ENP led Minor Injuries Unit (MIU). Radiology, Cardiology and Respiratory diagnostic services are provided both at GRI and SACH.
Staff at GRI and SACH are proud of the close inter-departmental links and co-operation. They are at the forefront of a progressive agenda in relation to clinical standards, managed clinical networks and patient focused service re-design. There are close clinical links with colleagues in the Community Health Care Partnership and other hospitals in NHS Greater Glasgow and Clyde, Glasgow, Strathclyde and Glasgow Caledonian Universities. There is a dedicated hospital wide academic programme supported by a strong service educational commitment. GRI and SACH are provided with dedicated education centres and IT support. Both have excellent reputations in supporting and nurturing its clinical staff and also have an excellent reputation for under and post graduate training. There are academic units in Anaesthetics, Cardiology, Human Nutrition, Medicine, Surgery, and Obstetrics and Gynaecology.
At GRI medical emergencies are admitted via an Acute Assessment Unit (AAU) run by acute physicians or via the Emergency Department (ED) to an Acute Medicine Unit (AMU). This comprises 4 geographically defined ward areas covered by specific specialty teams – general medical, respiratory, gastroenterology and medicine for the elderly. Where bed availability permits, patients with specific conditions are triaged to the appropriate specialty team e.g. patients with respiratory disease to the respiratory area. Four consultant physicians representing each speciality group take part in acute receiving each day in the AMU with morning and evening ward rounds.
Acute admissions to medicine range from 45 to 70 per day. Patients requiring a short stay are discharged from AMU. Those requiring longer stays are transferred ‘downstream’ to medical, care of elderly or cardiology beds. There are 216 downstream medical beds split into specialty units/wards; Respiratory Medicine, Rheumatology, Gastroenterology, Diabetes and Endocrinology. Consultants from the department of medicine for the elderly (DOME) contribute to receiving duties, but also have 183 in-patient beds in a number of wards within Glasgow Royal Infirmary with additional rehabilitation beds at Lightburn Hospital and Stobhill Hospital. There is a separate Stroke Ward.
By joining us now you will have the opportunity to be involved in the further development of our hospitals - enjoying a real chance to shape services for the future, bringing benefit to you, your colleagues and our patients.
1. General Remarks
Tenure of the above post is provisionally offered for 2 years
2. Description of the Hospital and the Post
Difficult Asthma Consultant / NRS Career Research Fellow
Dr Douglas Cowan
Other Respiratory Consultant Staff
Dr George Chalmers Dr Robert Milroy
Dr Mark Cotton Dr Eric Livingston
Dr Joris Van Der Horst Dr Melanie Brewis
Dr Brian Choo-Kang Dr Angela Wright
Dr Brian Neilly Dr Stephen Crawley
Dr John Maclay
The Department of Respiratory Medicine occupies 4 wards in the Old Block (ward 2 on 1st floor, wards 6 and 7/16 on 3rd floor, and ward 10 on 5th floor), in total 67 beds, and additionally operates 16 beds within the speciality-based medical receiving unit.
In addition to contribution to the care of general medical and general respiratory patients, the consultants contribute to most major respiratory subspecialities, including lung cancer, pleural diseases, complex sleep and ventilation, interstitial lung disease, COPD, asthma and bronchiectasis, TB and other respiratory infection.
Both GRI and SACH have pulmonary function laboratories on site that provide standard lung function, bronchial challenge, cardiopulmonary exercise testing and respiratory muscle testing.
Out-patient activities occur at both GRI and SACH, and day case activity is possible within the gastro day unit.
3. Duties of the Post
This post is for 2 years, although 1 year appointments will be considered.
The post-holder’s clinical duties will include participation in general respiratory and difficult asthma clinics (both SACH), a weekly respiratory ward round and seeing inpatient respiratory referrals (referrals page shared with respiratory STs). Supervision will be provided by Dr Cowan and colleagues.
The post-holder will participate in middle grade general medical on-call duties at GRI on a 0.5 wte basis.
. There will be access to the Scottish joint deanery training programme for Respiratory Medicine.
The post-holder will be expected to assist with the day-to-day running of ongoing in-house clinical studies. There will be ample time to undertake a period of supervised clinical research, leading to the award of an MD or other higher degree. The specific research project will be open to discussion with the appointee.
Proposed job plan:
AM / PMMonday / Inpatient Respiratory Referrals/Admin / Inpatient Respiratory Referrals/Admin
Tuesday / Ward Round / Research
Wednesday / Research / Research
Thursday / Research / General Respiratory Clinic
Friday / Difficult Asthma Clinic / Research
Inpatient Respiratory Referrals : 1 PA
Patient related admin : 1 PA
Ward Round : 1 PA
Clinics : 2 PAs
Research : 5 PAs
General Medical on-call – 0.5 WTEs
4. Study and Training
Study leave within the United Kingdom will be in accordance with the terms and conditions of service. For overseas study leave, application is made to the Divisions Clinical Director or Associate Medical Director.
An excellent and comprehensive medical library is sited in the hospital and includes a CD-ROM based reference search system. The post holder will be encouraged to attend and participate in the various post-graduate educational forums in the West of Scotland, the Infirmary itself and the Royal College of Physicians and Surgeons of Glasgow.
The trainee will be encouraged to participate in the teaching of medical, nursing and other health care professionals within the unit. There will be opportunities to contribute to undergraduate teaching of medical students from the University of Glasgow.
Research training will be directly provided, including Glasgow Clinical Research Facility modules and University of Glasgow generic training programme. In particular, the post-holder will be encouraged to completed Good Clinical Practice training early in the post.
Participation in audit within the unit is strongly encouraged.
LOCATION OF DUTIES
The post is based within the Department of Respiratory Medicine at Glasgow Royal Infirmary and Stobhill Ambulatory Care Hospital.
APPOINTMENT
The appointment is full-time, for 2 years. Accommodation is not available.
MEDICAL NEGLIGENCE
In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence, the Division does not require you to subscribe to a Medical Defence Organisation. Division indemnity will cover only Trust responsibilities.
It may, however, be in your interests to subscribe to a defence body in order to ensure you are covered for any work which does not fall within the scope of the indemnity scheme.
DATE WHEN THE POST IS VACANT
August 2016.
DETAILS OF ARRANGEMENTS FOR APPLICANT TO VISIT HOSPITAL/DISCUSS POST
Applicants may visit the Hospital and the Unit by arrangement with Dr Cowan: Secretary - 0141 211 4000 ext. 21926 or email –
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 / Fixed TermGRADE AND SALARY / Clinical Fellow/Senior Clinical Fellow
If appointed as a Senior Clinical Fellow the Salary range will be £ 30,911
to £48,605 per annum (pro rata)
If appointed as a Clinical Fellow the Salary range will be £ 30,911 to £ 40,896 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 Time 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: www.sppa.gov.uk
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 one 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