consultant in medicine for the elderly with an interest in stroke medicine
queen elizabeth University Hospital
INFORMATION PACK
REF: 40810d
cLOSING DATE: nOON on 26th February 2016
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: consultant in medicine for the elderly with an interest in stroke medicine
base: queen elizabeth University Hospital
This post will be based in the Queen Elizabeth University Hospital (QEUH), which opened in May of 2015. This is a replacement post with duties amended in view of the recent services reorganisation.
This is an unrivalled opportunity to participate in the establishment of a fully redesigned Geriatric Medicine and Stroke Service, including duties in a new hospital with a full range of support services, working with a large group of NHS and Academic colleagues in a very impressive modern facility.
This post will be based in the QEUH, with some outpatient commitments at New Victoria Hospital . The post will encompass acute receiving and assessment for older people , and also for Stroke , including assessment for thrombolysis , specialist Stroke rehabilitation and Stroke Clinic.
You should be appropriately experienced and qualified in the specialty, fully registered with the GMC and have a licence to practise. Those trained in the UK should have evidence of higher specialist training leading to CCT or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. Non UK applicants must demonstrate equivalent training.
ACUTE SERVICES DIVISION
South Sector Older People Service
QUEEN ELIZABETH UNIVERSITY HOSPITAL
INFORMATION PACK
FOR THE POST OF
CONSULTANT IN GERIATRIC MEDICINE
AND STROKE
QUEEN ELIZABETH UNIVERSITY HOSPITAL
GLASGOW – A GREAT PLACE TO LIVE AND WORK
Greater Glasgow and Clyde Valley are among the world’s most thrilling and beautiful destinations.
There is a wealth of attractions to discover, the UK’s finest Victorian architecture to astound you, and internationally acclaimed museums and galleries to inspire you, as well as Glasgow’s own unique atmosphere to soak up.
Be entertained in one of Europe’s top cultural capitals by its year-long calendar of festivals and special events and enjoy outstanding shopping, superb bars and restaurants all located within a stone’s throw of some of the country’s finest parks and gardens.
The area also stands at the gateway to some of Scotland’s most spectacular scenery, with Loch Lomond and the Trossachs only 40 minutes away.
We are easily accessible by air rail and road so getting here could not be easier.
1. THE HOSPITAL MODERNISATION PROGRAMME ~ THE SERVICES OF TOMORROW
A significant re-organisation of NHSGGC has recently been completed. 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 Acute South Glasgow Hospital with co-location of Maternity, Children’s and Adult Hospital services. Regional Neurosciences and Maxillofacial Centres opened in May 2015.
- Re-development of Glasgow Royal Infirmary into the second major acute hospital from 2015.
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. 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.
2. VALUING OUR STAFF
We are committed to extending training and development opportunities to all staff and are actively developing multi-disciplinary training, extending the role of on-line learning, and recognition of 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 counseling services
- A central Glasgow location, with close access to motorway, rail and airport links
On-site library services
Subsidised staff restaurant facilities on each site
Access to NHS staff benefits/staff discounts
Access to discounted First Bus Travel
Active health promotion activities
Bike User Group
Good Public Transport links
Commitment to staff education and life-long learning/development opportunities
Excellent student support
Access to NHS Pension scheme
3. Brief Description of the Hospital
The Queen Elizabeth University Hospital opened to the first patients in May 2015. It is to be one of the largest acute hospitals in the UK and home to major specialist services such as renal medicine, transplantation and vascular surgery, with state of the art Critical Care, Theatre and Diagnostic Services.
The Queen Elizabeth University Hospital has 1109 single bedded rooms, with each general ward consisting of 28 rooms with en suite facilities. This will assist in issues such as addressing hospital acquired infection (HAI), mixed sex, privacy and dignity issues. Each room has a large window onto the ward corridor to allow good line of sight between the staff and patients. To help staff deliver care, the new ward layout has special ‘touch down’ stations arranged at strategic points along ward corridors.
All bedrooms are light and airy with large window offering views to the outside world. The bedrooms provide a therapeutic and healing patient environment that is safe, clean, private, quiet and comfortable. The design also provides areas for patients to meet and socialise. All wards also have security entry to maximise security and safety.
The atrium of the Queen Elizabeth Hospital houses retail shops and also a coffee shop. There is a large restaurant/coffee area on the first floor of the hospital with a balcony and views out onto the landscaped area in front of the hospital.
The new adult hospital is integrated with the children’s hospital (albeit with separate functions and entrances).
There will also be a physical link for patients and staff from the new hospitals into the Maternity and Neurosciences Institute building with a further link from the new hospitals to the laboratory building via an underground tunnel and pneumatic tube.
Within the Queen Elizabeth University Hospital campus a new purpose built Teaching and Learning Centre has been also been built.
The £25m purpose-built Teaching & Learning Centre for training of undergraduate medical and nursing students alongside NHS staff brings a valuable asset to the Queen Elizabeth University Hospital site and underlines the close links between Glasgow University and the hospitals.
Facilities
A £6.5m dedicated innovation floor which will accommodate the Stratified Medicine Scotland Innovation Centre, a Scotland-wide collaboration with industry which will develop ‘precision medicine’ – advanced diagnostics and precise treatments for individuals across a wide range of diseases;
A new £5m Clinical Research Facility to ensure that the hospital is at the forefront of clinical trials of new medicines;
A £32m Imaging Centre of Excellence, opening in 2016, which will include a 7 Tesla MRI scanner, an ultra-high resolution scanner which will be the first of its kind on a clinical site in the UK, and world-leading clinical academic expertise in stroke, cardiovascular disease, and brain imaging.
Shared vision
The University of Glasgow and its partners NHS Greater Glasgow & Clyde, ThermoFisher and Aridhia won the Scottish Enterprise Life Sciences Award for ‘Innovative Collaboration’ earlier this year in recognition of the innovative infrastructure and collaborations at the Queen Elizabeth University Hospital.
In delivering this project we bring to fulfilment the clinical strategy for hospital services in Greater Glasgow that was agreed in 2002. Throughout this journey, successive Scottish Governments have been wholly supportive - most recently in providing £842 million of public funding for the full cost of these two state-of-the-art hospitals.
GG&C Health Board Management Structure
There has been a recent significant management re-organisationand within the Acute Services Division there are 3 sectors – North, South, and Clyde. In addition a Directorate structure has been retained for some specialties e.g. Regional, Diagnostics and Woman and Children. South Sector has a Director, Ms Anne Harkness, and Chief of Medicine , Mr George Welch. The Older People Service has a General Manager, Mr Arwel Williams , and 2 Clinical Service Managers, Ms Janice Elliott (South) and Ms Mary McKenzie (West). There is a Clinical Director , Dr Angela Campbell , and 2 Lead Clinicians , Dr Lara Mitchell ( Acute / South ) and Dr Tricia Moylan ( Rehabilitation / West ). The Stroke service also has a Lead Clinician.
Senior Medical Staff
The South Sector Older People Service currently has23 Consultants and 5 Specialty Doctors contributing to the service and with various sub-specialty interests including Falls , Ortho-geriatrics , Syncope , Dementia / Delirium , Movement Disorders , Stroke and Community liaison.
Consultants
Dr Angela Campbell ( Clinical Director )
Dr Lara Mitchell ( Clinical Lead Acute / South )
Dr Tricia Moylan ( Clinical Lead Rehabilitation / West )
Dr David Stewart ( Deputy Medical Director )
Dr Caroline Whitton Dr Lynsey Simpson
Dr Elizabeth Oommen Dr Pamela Seenan
Dr Elizabeth Burleigh Dr Lorna Christie
Dr Lucy McCracken Dr Claire Langridge
Dr Lesley Anderton Dr Philip Birschel ( Stroke )
Dr Steven Wishart Dr George Duncan ( Stroke )
Dr Colin McCarthy Dr Amy Conley ( Stroke )
Dr Ian Reeves Dr Andrew Breckenridge ( Stroke )
Dr Niall Hughes ( Stroke ) 2 Vacancies
Other Stroke Consultants
Dr Tracey Baird ( Neurology ) Prof. Kennedy Lees ( General Medicine )
Dr Jesse Dawson ( General Medicine ) Prof. Keith Muir ( Neurology )
Dr Craig Harrow ( General Medicine ) Dr Scott Muir ( General Medicine )
Dr Fozia Nazir ( Neurology ) Dr Johann Selvarajah ( Neurology )
Prof. Matthew Walters ( General Medicine )
4. The Work of the South Sector Department of Medicine for the Elderly (DME)
The Queen Elizabeth University Hospital (QEUH) now encompasses the Older People Services previously based in the Victoria Infirmary , Southern General Hospital and Western Infirmary / Gartnavel General Hospitals.
The Older People Service has 16 beds in the Acute Receiving Unit (ARU) of the QEUH (ARU4). Patients admitted to these beds will be generally age > 75 and be triaged using a frailty assessment tool as likely to benefit from Comprehensive Geriatric Assessment (CGA). There are twice daily DME Consultant ward rounds in ARU4 ( 8am and 4pm ) supported by Elderly Care Assessment Nurses (ECANs).
The Older People Service has five 30-bedded Acute Assessment wards – one in the main QEUH building and four in the adjacent Langlands building. There is also a 30 bed Dementia / Delirium ward, with specialist Psychiatry support, in the Langlands building. Rehabilitation beds are at Victoria ACH (48 beds) , Drumchapel Hospital (56 beds) and Gartnavel General Hospital ( 20 beds ).
There are continuing NHS care beds at Mearnskirk Hospital (72 beds) , Limetree House, Rowantree Nursing Home (24 beds), Drumchapel Hospital ( 30 beds) and St Margaret`s Hospice (26 beds).
Consultants provide liaison to other specialties and there are 86 GORU beds at Gartnavel General Hospital (for trauma patients triaged from both the QEUH and Glasgow Royal Infirmary). The service has interim care beds for AWI / Guardianship patients in Darnley Court and Quayside Nursing Homes ( 30 beds in each ) and community links with intermediate care beds in various locations. As well as Geriatric Medicine, OPCs and Day Hospital (including rapid access admission avoidance) sessions there are specialist clinics in clinics in Falls, Syncope , Movement Disorders and TIA / Stroke. There are three DME Day Hospitals , at Drumchapel Hospital , New Victoria Hospital and Langlands building , QEUH.
The Department is also actively involved in training of junior doctors and higher specialty trainees and in teaching of both under- and post-graduates. There are recently established Educational Governance and Clinical Governance groups. There are weekly DME CPD meetings and also weekly QEUH Grand Rounds held in the Teaching and Learning Centre.
The South Sector Stroke Service
The South Sector Stroke service encompasses the full range of Stroke services from acute thrombolysis to outpatient assessments. The hyper-acute stroke ward is a 26 bed unit , Ward 1C , in QEUH. It is situated just above the Emergency Department, beside Imaging and Medical HDU. Up to 10 of these beds will form the Hyperacute Stroke Unit (HASU) for new admissions and unstable patients, with the remaining acute beds also requiring daily review. There are 60 Stroke rehabilitation beds in Wards 56 and 57 , Langlands Unit , QEUH. There are 3 Consultants in each of these wards , with 10 beds allocated to each Consultant. In addition there are rapid access TIA and Stroke clinics. The service has excellent AHP support from staff specialising in Stroke and additionally has Stroke Clinical Nurse Specialists. A Community Stroke Team provides further rehabilitation for patients at home following hospital discharge.
Consultant on-call rotas are under review but at present:
On-call commitment for the Stroke service, including thrombolysis , is 1 weekend in 7, with 2 Consultants sharing each weekend (Friday-Sunday). One on-call consultant is responsible for Stroke thrombolysis and out of hours ward cover, as well as reviewing patients daily in the HASU, and is supported by a middle grade on call rota comprising specialty trainees in Stroke medicine, Acute Medicine, Geriatric Medicine and Neurology along with clinical research fellows. The other consultant will be responsible for the remaining acute beds and Wards 56 and 57.