CONSULTAnt in general surgerY with an interest in upper gi surgery
INVERCLYDE ROYAL INFIRMARY
INFORMATION PACK
REF: 47875d
cLOSING DATE: 4TH aUGUST 2017
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: consultant in general surgery with an interest in upper gi surgery
base: inverclyde royal hospital with sessions at inverclyde
ROYAL HOSPITAL
Applications are sought from suitably trained individuals who are able to provide an elective and emergency general surgical service at consultant level. It is expected that you will have skills in endoscopy and laparoscopic surgery, and an interest in UGI surgery would be beneficial. The receiving rota for this post will be based at the Inverclyde Royal Hospital at the current time. This post will cover elective operating sessions and outpatient/ endoscopy sessions across both Royal Alexandra Hospital and Inverclyde Royal Hospital and you will be actively involved in surgical integration between the RAH and IRH and the planning of surgical services within the Clyde Sector over the coming years.
Applicants must have full registration with the General Medical Council, a licence to practise 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 General 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.
The job is advertised as a full time position although candidates who require to work part-time will be considered.
ACUTE SERVICES DIVISION
SURGERY & ANAESTHETIC DIRECTORATE
GENERAL SURGERY SERVICE
APPOINTMENT OF A consultant surgeon in GENERAL surgery with an interest in Upper GI SUrgery Based at INVERCLYDE ROYAL hospital with sessions AT ROYALALEXANDRAHOSPITAL, PAISLEY
JOB DESCRIPTION
REF: 47875D
March 2017
ACUTE SERVICES DIVISION
Further particulars of the post of Consultant Surgeon in General Surgery with an interest in Upper GI Surgery based at Inverclyde Royal Hospital with sessions at the Royal Alexandra Hospital, Paisley
1.Introduction
Acute Services Division
NHS Greater Glasgow and Clyde is the Largest NHS Employer in the UK and in partnership with 8 local authorities, is responsible for the health needs of a population of 1.2 million, almost a quarter of the entire Scottish population. The Acute Services Division is split into nine Directorates across 18 sites with a workforce of 27,500 and an annual budget of £1.2 billion. The geographical area covered is diverse; it covers the major city of Glasgow, large and small towns, villages and some rural areas. We have significant challenges ahead as we deliver the objectives set out in Better Health Better Care and we seek to ensure that we have the right people for the right posts delivering a comprehensive health service to the population of Greater Glasgow and Clyde.
The Acute Services Division is the largest group of adult acute hospitals in Scotland. This allows individuals a wide range of opportunities for professional development whether in community-based care or general and specialty hospital services.
A total of £4.3 million capital funding has been invested into Inverclyde Royal Hospital in the last year. There has been a £1 million refurbishment of the Accident and Emergency and an investment of £200,000 on the main entrance area. These improvements include new access routes for patients and enhanced patient waiting and reception areas.
The investment in Acute Services in Glasgow in the last ten years has been considerable with two new Ambulatory Care Hospitals opened in 2009. The new Beatson West of Scotland Cancer Care Centre was opened in 2008. The Acute services plan came to fruition in May 2015 with the opening of the new Queen Elizabeth University Hospital and Royal Hospital for Sick Children on the Southern General site.
A substantial volume of complex surgical work is performed in the Glasgow and Clyde units that provide a range of tertiary and national services. We enjoy close links with Glasgow’s three universities and make a significant contribution to teaching at both undergraduate and postgraduate level. Research also has a high profile within the organisation. We provide excellent facilities for students and their tutors in the £15 million, state of the art, Wolfson Medical School based at Glasgow University. Excellent education facilities are also provided at Glasgow Royal Infirmary with a full refurbishment of the University Tower completed in December 2013.
The hospitals north of the River Clyde, are Glasgow Royal Infirmary (including Princess Royal Maternity Hospital), Stobhill Ambulatory Care Hospital and Gartnavel General Hospital. Within Clyde sector the Royal Alexandra Hospital, Inverclyde Royal Hospital and the Vale of Leven Hospital all provide acute surgical care with RAH and IRH also supporting unscheduled care. In south Glasgow the Queen Elizabeth University Hospital and the New Victoria Hospital provides ambulatory care, and the QEUH supports the acute surgical patient.
From Glasgow, the West of Scotland’s jewels are within easy reach. Loch Lomond is just 45 minutes drive, a little further to the Argyll peninsula – or over the sea to Arran, Skye, Iona and Mull.
Inverclyde Royal Hospital (IRH) Greenock
Inverclyde Royal Hospital is a modern district general hospital in Greenock, and serves the Inverclyde District (Greenock, Gourock and Port Glasgow), Largs, Fairlie, Millport, Skelmorlie, Wemyss Bay, Bute and the Cowal Peninsula, a total population of 130,000. The hospital has 230 beds and was opened in 1979 and provides a range of services including inpatient beds, general medical and surgical specialties, orthopaedics, ophthalmology and Accident and Emergency. A Geriatric Hospital opened in February 2001 and an 8 bed Physically Disabled Unit opened in Summer 2002.
The hospital has a modern and highly equipped Endoscopy Unit that was opened in June 2011 with full diagnostic and therapeutic facilities.
The Inverclyde area offers a range of good quality facilities. There is excellent residential accommodation available within both the town and surrounding villages. Inverclyde Council has made major investments in education over the last ten years and there are a number of newly built primary and secondary schools through out the area which receive excellent achievement reports. There are also good quality private schools within the town, in Kilmacolm and Glasgow. The award winning Beacon Arts Centre offers a wide program of cultural events. The Firth of Clyde is thought by many to offer the best in-shore sailing in the British Isles. There are several good quality Golf courses and clubs in the area. The town of Greenock has a modern shopping centre. Greenock, Gourock and the surrounding towns and villages have a wide range of good bars and restaurants. The Waterfront Centre offers swimming pools for bothleisure and training, fitness and gym facilities and an ice rink used for skating and curling. The recently renovated Gourock swimming pool and fitness centre offers the only out-door, heated sea water pool in Scotland.
Greenock is situated 40 minutes from Glasgow, amid superb coastal and mountain scenery. There are excellent transport links with motorway access to Glasgow and a fast regular rail service. Glasgow Airport is only 35 minutes away by road.
The Royal Alexandra Hospital (RAH), Paisley:
The RAH is a 600 acute bed hospital, opened in 1986 in a 78 acre site in the town of Paisley. Located only 5 minutes from the M8 motorway and Glasgow International Airport, the RAH provides an ideal centralised location.
As well as providing healthcare to the people of Renfrewshire, RAH provides major trauma and emergency surgical care for Lomond and Argyll, stretching as far as Oban.
The staff of over 2,300 provide a comprehensive range of services, including a full 24 hour A&E, HDU/ITU, a Coronary Care Unit, General Medicine, Medicine for the Elderly, Clinical Haematology, Dermatology, Neurology, Paediatrics, Obstetrics and Gynaecology, General Surgery, Urology, Orthopaedics, ENT, Ophthalmology, Palliative Care, Plastic Surgery, Orthodontics, Anaesthetics, Radiology and Laboratory Specialities – Clinical Biochemistry, Haematology, Microbiology and Pathology. Oncology services are provided by visiting consultants.
Both the RAH and IRH are acute hospitals with both acute medical and surgical receiving as well as the full range of DGH and teaching DGH specialties with associated facilities.
Department Information and scope of post
The receiving rota for this post will be based at the Inverclyde Royal Hospital at the current time. This post will cover elective operating sessions and outpatient/ endoscopy sessions across both RAH and IRH. The post holder will be actively involved in surgical integration between RAH and IRH and the planning of surgical services within the Clyde sector over the coming years.
There are currently 5 consultant general surgical posts within the IRH and 11 at RAH. The consultants work across the sites covering the major sub-specialities of Upper GI, Breast and Colorectal.
Each sub-specialty employs a team approach with close links to the regional Managed Clinical Networks. Fully staffed Intensive Care, High Dependency and Palliative Care beds are well utilised. Clinical Nurse Specialists are valued members of the teams.
Current Staffing
Surgical Team within Clyde
Inverclyde Royal Hospital (IRH)
(vacant post)- this post
Mr Carsten Bolln
Ms Lucia Chung
Ms Sylvia Brown
Mr Jonathan Hannay
Royal Alexandra Hospital (RAH)
Mr Mike McKirdyalso works at IRH
Ms Mary Morroghalso works at VOL
Ms Lindsey Chisholmalso works at VOL
Mr Patrick Finnalso works at VOL
Ms Susan Moug
Mr Andrew Renwickalso works at VOL (Clinical Director)
Mr Mark Vella
Mr Anton Buteralso works at VOL
Ms Vivienne Gough
Ms Joanna Grayalso works at VOL
Mr Caroluce MusyokaLocum Consultant, Breast, IRH/ RAH
(VOL: Vale of Leven Hospital)
The post is also supported by a number of Specialist Nursing Staff within Clyde providing both advanced practice in nursing and oncological care of patients.
Applications are sought from suitably trained individuals who are able to provide an elective and emergency general surgical service at consultant level. It is expected that the successful candidate will have skills in endoscopy and laparoscopic surgery, and an interest in UGI surgery would be beneficial.
In addition to providing clinical services the successful candidate will be required to participate in the training and assessment of junior staff and to undertake the administrative duties required in a consultant job. This will include, but not be exclusive to, the maintenance of appropriate patient records, keeping and participating in personal and unit audit and the retention of documentation for appraisal. All consultants are required to have an annual appraisal.
Surgical trainees, at all levels, rotate from the West of Scotland Deanery and are based at the Clyde sites. Teaching of Undergraduate medical students, trainee surgeons and visiting surgeons from overseas is considered an integral part of the work of the Directorate. It is anticipated that the appointee would contribute in a significant way to the education of Surgeons in training, using the well-equipped facilities within the Surgical Skills Laboratory
Emergency Surgery for the post is based at the Inverclyde Royal Hospital (1:5) with clinics and elective surgery at RAH and IRH. Fully staffed Intensive Care, High dependency and Palliative Care beds (RAH) are well utilised. Clinical Nurse Specialists are valued members of the teams.
Applicants should have a broad surgical training and should have full GMC registration and eligibility for inclusion on the Specialist Register. UK trainees will have evidence of Higher Specialist Training leading to CCT, or be within six months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training.
Advanced laparoscopic skills and expertise in endoscopy is desirable.
Indicative Clinical Duties / Job Plan:
This job plan is negotiable and will be agreed between the successful applicant and the Clinical Director. NHS Greater Glasgow & Clyde initially allocates all full time consultants 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core Supporting Professional Activities (SPA) for CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine communication and management meetings. The precise allocation of SPA time and associate objectives will be agreed with the successful applicant and will be reviewed at annual job planning.
In time, more supporting professional activities may be agreed for roles such as undergraduate and postgraduate medical training (which takes place outside direct clinical care time), as well as research and/or management. If desired by the department, these activities would be identified specifically and agreed with the candidate up to a maximum of 2 PA’s.
Mon.amUpper GI MDT/ Unit Meeting RAH
pmOutpatient clinic RAH- alternate weeks
Tues amOutpatient Clinic – IRH
pmEndoscopy - IRH
WedamAdmin
pmSPA
ThursamTheatre IRH
pmTheatre IRH
Fri am
pm
There will be a flexible theatre/ endoscopy list to be worked during the week. This can take place at either RAH or IRH, depending on availability of sessions.
Session Description / NEW POST CONSULTANTOn-Call / 1
Clinic / 1.5
Theatre/ Endo / 4 (includes flexible theatre/ endo list)
Ward/Admin/Pre-Assessment/ MDT / 2.5*
S.P.A. / 1
Total / 10
*includes ward referral/ review at IRH
This is an indicative job plan and may be subject to change in line with service development or requirement. Participation on the on call emergency rota 1:5 is a requirement of the post. This is currently a split week working (Week 1: Mon-Thurs, Week 2 Fri-Sun). On call PA allocation 1 PA, with an availability supplement of 8%.
Interested applicants are invited to visit the department and discuss the posts further with:
Mr Carsten Bolln, Lead Consultant Surgeon, Inverclyde Royal Hospital
Tel: 01475 504 489Email:
Mr Andrew Renwick, Clinical Director, Surgical Specialties, Royal Alexandra Hospital
Tel: 0141 314 6025 Email:
PERSON SPECIFICATION – CONSULTANT GENERAL SURGEONQualifications and
Training / MBCHB or equivalent
FRCS or equivalent
Should have completed a recognised higher specialised training programme (or equivalent) in surgery with Higher Specialist Training in General Surgery. Must have a CCST/CCT or be within 6 months of attaining it. / Relevant higher degree
Clinical Experience / Wide experience in a surgical unit / A specialist interest in Upper GI Surgery, with advanced laparoscopic surgery and interventional ERCP
Experience of shared care clinics and managed clinical networks
Audit/Research / Competence in clinical audit
Training in management and audit at SPR or equivalent level / Able to initiate and carry out medical research projects.
Authorship of research papers Publications in peer reviewed journals.
Ability to increase the academic profile of department
Experience in applications to ethical committees and grant applications
Teaching / Experience in training undergraduate medical students and postgraduate doctors
Interest in teaching / Specific training in education and/or appraisal
Qualification in Teaching
Management / Leadership skills
Knowledge of clinical governance
Evidence of experience and effectiveness in management / Experience of management
Specific management training
Other qualities / Demonstrable evidence of leadership skills
Evidence of effective team working
Evidence of good communication skills with patients, colleagues, and all team members
Evidence of flexibility, diplomacy and integrity. Willingness to undertake additional professional responsibilities at local, regional or national forum
Commitment to continuing professional development
IT Skills
Other Requirements / GMC Registration and a licence to practise
Ability to meet on call requirements & Regional commitments
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 / PermanentGRADE AND SALARY / Consultant
£ 78,304 - £105,570per 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 Time40.00
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