CONSULTANT congenital cardiac surgeon
royalhospital for sick children/golden jubilee national hospital
INFORMATION PACK
REF: 35513D
cLOSING DATE: nOON on 9th January 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 congenital cardiac surgeon
Base:royalhospital for sick children/golden jubilee national hospital
We welcome applications for a replacement post of Consultant Congenital Cardiac Surgeon based at the RoyalHospital for Sick Children, Glasgow and the Golden Jubilee Hospital, Clydebank. The successful applicant will join the existing team of cardiac surgeons to provide the national paediatric and adult congenital cardiac surgical service for Scotland.
The RoyalHospital for Sick Children is close to the centre of the city and the GoldenJubileeNationalHospital is approximately seven miles away and both have excellent transport links and easy access to the Highlands and Islands of Scotland.
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 Cardiac 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.
NHS Greater Glasgow & Clyde Women and Children’s Directorate in conjunction with the NHS National Waiting Times Centre Board
Information Pack
for the post of
Consultant Congenital Cardiac surgeon.
Royal Hospital for Sick Children Golden Jubilee National Hospital
Yorkhill, Glasgow Clydebank, Glasgow
NHSGGC Acute Division Women & Children’s Directorate and the GJNH Clydebank
Further Particulars of the Post of Consultant Congenital cardiac surgeon.
JOB DESCRIPTION
Applications are invited for the post of Consultant Congenital cardiac surgeon at the RoyalHospital for Sick Children, Glasgow and the GJNH, Clydebank.
The successful applicant will join a team of 3 other consultant Cardiac Surgeons delivering the Scottish Paediatric and Adult congenital heart surgical service. The Senior Surgeon will retire in 2017. It is anticipated that this is a replacement post. Support and mentoring will be provided as required.
This paediatric cardiac surgical centre is not part of the current reorganisation of surgical services in England and Wales.
This document is split into the following sections:
Children’s Services across NHS Greater Glasgow & Clyde
Adult Congenital Heart Service in the GJNH
New Children’s Hospital Build
Management Structures in NHSGGC and GJNH
The Work of the Surgical Department in RHSC and GJNH
The Job Itself/Description of Service
Contact Names
Person Specification
Terms & Conditions of Service
Further Information
The overall job pack also contains documentation around equal opportunities monitoring.
Section 1Hospital Paediatric and Neonatal Services across NHS Greater Glasgow and Clyde and the GoldenJubileeNationalHospitalClydebank
The majority of acute children’s services in NHS Greater Glasgow and Clyde are provided from the RoyalHospital for Sick Children (RHSC). A paediatric ward and neonatal unit in the RoyalAlexandriaHospital supports acute care for children and young people and neonates in the Clyde catchment area of the NHS Board. Neonatal intensive care is provided at the Southern General Maternity Hospital, Princess Royal Maternity and RoyalAlexandriaHospital. The RHSC will be re-located to a new build on the Southern General Hospital campus in 2015.
The RoyalHospital for Sick Children Yorkhill
RHSC is the largest paediatric teaching hospital in Scotland. It provides care for children resident within the Greater Glasgow area, acts as a tertiary referral centre for children from the West of Scotland and in a range of subspecialties including invasive paediatric cardiac services, from the whole of Scotland.
- All paediatric medical and surgical subspecialties are provided, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology (bone marrow transplant service), neurology, neurosurgery, cranio facial and maxillofacial surgery, nephrology, cardiology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, rheumatology and orthopaedics, general paediatric and neonatal surgery
- There are 173 inpatient beds excluding paediatric and neonatal critical care, day care and medical assessment with cardiac patients located in ward 5a (24 bed ward)
- There is a 22 bed paediatric intensive and high dependency care unit. Co located with this is further 18 neonatal intensive care cots
- There are 7 full operating theatres, day surgery unit, pre assessment team, dental suite and endoscopy room in the main theatre complex in the hospital. Cardiac surgery has a dedicated theatre and team providing 24 / 7 cover to their patients.
- There is a full radiology suite of MRI, catheterization laboratory, CT scanner and clinical physics department. There is also an extensive cardiac physiology department
- National services provided from RHSC include:
- Cardiac Surgery and interventional cardiology
- Neonatal cardiology,
- Neonatal ENT,
- ECLS
- Congenital Diaphragmatic Hernia network,
- Vein of Galen assessment and treatment (together with Great Ormond Street as a UK service).
- Paediatric Renal transplantation
- Paediatric Stem Cell transplantation
- Large outpatient, medical day care, medical assessment unit and emergency department
- On site paediatric and neonatal transport/retrieval services
- A pan Greater Glasgow Child Protection Unit has been developed on site.
Laboratory services to the RHSC are provided from the Southern General Hospital campus.
RHSC provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow and accommodates the University Departments of Child Health, Child and Family Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery.
Southern General Maternity
At the start of 2010 the new neonatal unit opened above the labour ward on the Southern General site with projected delivery numbers for the hospital of 5,900 births per year. Because the Ian Donald Fetal Medicine unit is on the same site a significant proportion of the neonatal workload involves delivery of infants with known congenital anomalies. Limited radiology support is provided by colleagues from the RHSC but infants requiring invasive procedures or complex imaging are transferred to the RHSC neonatal unit. There is physical space for 34 intensive care and high dependency cots and 26 special care cots.
When the new children’s hospital opens on the Southern general site in 2015, all neonatal services currently provided in the NICU at RHSC will move over to the Maternity unit. There will be a physical link to the intensive care floor of the new children’s hospital.
There is a dedicated fully equipped echo machine and remote telemedicine link on site together with access to the cardiac patient database kept at RHSC.
Princess Royal Maternity (PRM)
The PRM is a large maternity unit, situated about 1 mile east of the centre of Glasgow. It is on the campus of Glasgow Royal Infirmary, which provides services for the population of the East and North of Glasgow. It is a purpose built 120 bed maternity hospital, with a capacity for 6,800 deliveries per annum. There are 10 intensive care cots, 23 special care cots and a 4 bed transitional care unit. All neonatal intensive care can be provided except for those infants who require neonatal surgery and/or extra-corporeal life support services (ECMO). A telemedicine link with the RoyalHospital for Sick Children has been long established allowing live consultation and the transmission of ultrasound images. The University Chair of Obstetrics and Maternal Medicine is based on site and there is an active research philosophy in the unit.
GoldenJubileeNationalHospital (GJNH)
The GJNH is located 8 miles west of the city centre along the river Clyde. It contains the West of Scotland regional and national heart and lung centre which provides cardiac surgery, thoracic surgery and interventional cardiac services to the population of the West of Scotland. It hosts designated National services: the Scottish Adult Congenital Cardiac Service, the Scottish Pulmonary Vascular Unit and Scottish National Advanced Heart Failure Service (including heart transplantation). There is a well developed ECLS programme. The adult congenital unit performs over 200 adult congenital operations and catheter interventions per year and is closely integrated with the paediatric congenital cardiac service.
Section 2New Royal Hospital for Sick Children
The construction of a new children’s hospital (replacing the current RoyalHospital for Sick Children) is nearing completion on the Southern General Hospitals Campus alongside a new adult hospital and existing maternity unit including a new neonatal unit.
Commissioning and functioning of this new tripartite clinical arrangement for NHS Greater Glasgow covering acute care of adult, children and maternity services is expected to be completed by mid 2015.
Section 3Management Structures
Greater Glasgow and Clyde NHS Board have a single operating division for all acute services. Diagram (1) highlights the local management structure underpinning operational service delivery.
Diagram 1 – management structure NHSGGC
Key Stakeholders (within Diagram 1):
Robert CalderwoodChief Executive; Greater Glasgow and Clyde NHS Board
Jane GrantChief Operating Officer; Acute Operating Division
Kevin HillDirector Women and Children’s Directorate
Jim BeattieAssociate Medical Director; Women and Children’s Directorate
Jamie RedfernGeneral Manager; Hospital Paediatrics & Neonatal Services
Morag Campbell Clinical Director Critical Care and Neonatology (including cardiac
services)
Kenneth MacArthur Clinical Lead Cardiac Services
Heather DawesClinical Services Manager including Cardiac Services
Contact details for some of the above named personnel are available in section 9 along with a list of other key management / clinical employees within hospital paediatrics.
Diagram 2 – management structure Golden Jubilee National Hospital
Management Structure
The NHS National Waiting Times Centre Board is one of eight Special Health Boards of Scotland. It reports directly to the Scottish Government. The key Board members are as follows:
Chair Jeane Freeman
Chief Executive Jill Young
Medical Director Mike Higgins
Director of Operations June Rogers
Director of Human Resources Lindsey Ferries
Nurse Director AnneMarie Cavanagh (acting)
Surgical Specialties Division Management Team:
- Associate Medical Director (AMD)Dr Alistair Macfie
- Head of OperationsLynn Graham
- Head of NursingTheresa Williamson (acting)
- SACCS TeamDr Hamish Walker (Director)
Mr Kenneth MacArthur (Surgical Lead)
Dr N Walker (Consultant Cardiologist)
Mr Mark Danton (Consultant Cardiac Surgeon)
Mr Andrew McLean (Consultant Cardiac Surgeon)
2 vacant Consultant Cardiologist posts
Section 4Critical Care and Cardiac Services
Cardiac Services in RHSC
Cardiac services in RHSC consists of
- 3 cardiac surgeons
- 8 paediatric cardiologists (3 interventional cardiologists) who provide an attending system
- 6 paediatric cardiac anaesthetists
- A dedicated 24 / 7 cardiac theatre team
- 2WTE Advanced nurse practitioners and 4.3WTE cardiac liaison nurses
- 24 bedded ward shared with complex airways and complex respiratory specialties
- 7 commissioned cardiac intensive care beds
- 24 / 7 cardiac perfusion and physiology services
- 1wte clinical psychologist
- Access to a full suite of diagnostic facilities including catheterization laboratory
- Access to all other paediatric hospital facilities as required
- A full outpatient service including outreach clinics provision across Scotland
Critical Care Services in RHSC
The Paediatric Intensive Care Unit (PICU) is one of two centres for the care of critically ill children in Scotland admitting 650 – 700 children annually including 80 transferred from other hospitals throughout Scotland. It is the only unit dealing with post cardiac surgical patients and ECMO. The National Paediatric Critical Care Transport Service is run jointly with Edinburgh’s RoyalHospital for Sick Children. The Unit is funded for 7 cardiac intensive care beds which are run on a flexible basis to accommodate the varying workload. It is one of the four extra corporeal Life Support centres for the UK. An adjacent High Dependency Unit increases the flexibility of the critical care service.
Cardiac Services in GJNH
Cardiac services in the GJNH consist of
- 3 Congenital Cardiac Surgeons
- 2 adult congenital cardiologists (funding for 4)
- 18 Cardiac anaesthetists (6 with SACCS subspeciality interest)
- 10 Intensivists
- 24/7 cardiac theatre team
- 3 WTE Clinical Nurse Specialist.
- Access clinical psychologist
- Access to a full suite of diagnostic facilities including catheterization laboratory, cardiac MRI, Cardiac CT.
- Full range of echocardiography including stress echo.
- 24/7 perioperative TOE service
- Weekly GA cardiac intervention list
- Support from adult cardiac surgery, Interventional cardiology service,
- Suppport from Scottish National Advanced Heart Failure team, SPVU and Electrophysiology service
- Full outpatient service including shared care with a clinical network of ACHD services including outreach clinics.
Critical Care Services in GJNH
There are 38 Critical Care beds occupying 4 co-situated units, these are managed nominally as 19 ICU beds and 16 HDU beds, but there is internal flexibility dependent on workload. Together with postoperative cardiac surgical patients the unit manages critically ill patients with heart failure undergoing heart transplants through the Scottish National Advanced Heart Failure Service. Primary Cardiology Intervention patients are supported together with Thoracic work. There is an established ECLS support programme including ECMO and VADS..
Section 5.THE JOB ITSELF/DESCRIPTION OF SERVICE
(a)Title:
Consultant congenital cardiac Surgeon
(b)Relationships:
(i)Name of Health Boards:
Greater Glasgow & Clyde NHS Board and the NHS National Waiting Times Centre Board
(ii)Names of Consultant members of the Department (RHSC):
Consultant Medical Staff Cardiology in RHSC
Vacancy
Dr M llina
Dr B Knight
Dr K McLeod
Dr P Noonan
Dr B Smith
Dr M Walayat
Dr L Hunter
Dr H Walker – visiting from Golden Jubilee Hospital, Glasgow
Dr N Walker – visiting from Golden Jubilee Hospital, Glasgow
Consultant Paediatric Surgeons
Mr K MacArthur Clinical Lead Cardiac Services
Mr M Danton
Mr A Mclean
(iii)Junior Medical Staff (RHSC)
Cardiac Surgery
2 Specialist Registrars, West of Scotland Rotation
3 Fellow posts
Cardiology Service
2 Paediatric Cardiology ST
3 Paediatric ST, West of Scotland Rotation
1 FY2
(iv)Administration Support (RHSC)
The Cardiology service is supported by 4 WTE secretaries. The Cardiac Information System is supported by 2 WTE Cardiac data coordinators, allowing the ability to produce detailed activity and audit data.
(v)Nursing Support (RHSC)
The Department enjoys the services of highly skilled nurses working across, Cardiac surgery/Cardiology ward, Intensive Care, Neonatal Intensive Care, Cardiac Theatre, Catheter lab and pre-admission service. There are both Intensive Care and Cardiac specific accredited Nursing Courses in place. A Cardiac Services Coordinator manages a lead nursing service and patient support services and quality.
The service is further supported by a team of 4.3 cardiac liaison nurses and 2 cardiac nurse practitioners.
The cardiac theatre team including anaesthesia, provide dedicated cardiac surgery cover out of hours. The catheter lab, radiography and cardiac physiology staff provide an out of hours on call service for interventional cardiology.
(vi)Names of Consultant members of the Department (GJNH)
There are currently 14 permanent and one locum Consultant Cardiac and Thoracic surgeons. All work exclusively at GJNH apart from three who also practice paediatric cardiac surgery at RoyalHospital for SickChildrenYorkhillHospital).
The following are members of the department in sub-specialty groups:
Thoracic / Adult Cardiac / Cardiac Transplant / Adult Congenital Cardiac / Organ RetrievalAlan Kirk ( Operational Lead/ plus retrieval) / Udim NKere (interim operational Lead / Nawwar Al attar (Surgical Lead) / Alan Kirk
Mohammed Asif / Geoff Berg / Saleem Haj-Yahia / Kenny MacArthur / Ian Colquhoun
Michael Klimatsidas (locum) / Vivek Pathi / Udim NKere / Mark Danton / Philip Curry
John Butler / John Butler / Philip Curry / Andrew McLean
Ian Colquhoun / Fraser Sutherland
Ian Colquhoun
(vii)Junior Medical Staff (GJNH)
Cardiac Surgery
3 Specialist Registrars, West of Scotland Rotation
7 Fellow posts
2 Fy2’s and 4 CST trainees
2 staff grades
Cardiology
Junior staffing in the cardiology department is provided by a resident on-call 1 in 8 rota populated by a combination of research fellows, fellows attached to the advanced heart failure and adult congenital services and 3 CCU fellows In addition, cardiology trainees in the West of Scotland in year ST4 and above rotate through the CCU and provide middle grade out-of-hours cover. Finally, sub-specialty trainees undertake modular training in the GJNH during their final two years.
(viii)Administration Support (GJNH)
The cardiothoracic service is supported by 8 WTE secretaries. The Cardiac Information System is supported by 2 WTE Cardiac data analysts,
(ix)Nursing Support (GJNH)
The Department works with a team of highly skilled nurses working across, the wards, the Critical Care areas, ac Theatre, Catheter lab and the Out Patients department.. The service is further supported by teams from Perfusion Physiotherapy and additional AHP staff. There are a number of practitioners in advanced practice roles, including:Advanced Nurse Practitioners, Specialist Nurses, Cardiac Rehab staff, Specialist Education staff and research staff. The GJNH is focused on Quality and Improvement, with all areas of care delivery focusing on the needs of the patient using a multidisciplinary approach