consultant in rehabilitation medicine
southglasgowuniversityhospital
INFORMATION PACK
REF: 37665D
cLOSING DATE: nOON on 26th JUNE 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 in rehabilitation medicine
Base:southglasgowuniversityhospital
This is an exciting opportunity to join a team of consultants providing a needs-led comprehensive Rehabilitation Medicine service based in the South Glasgow University Hospital, South Glasgow.
The post is offered on a full-time basis with on-call commitment.
Applicants must have full GMC registration and a licence to Practice. 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
Rehabilitation and Assessment Directorate
SouthGlasgowUniversityHospital
Information Pack
For the Post of
Consultant in Rehabilitation Medicine
- GLASGOW – A GREAT PLACE TO LIVE AND WORK
Greater Glasgow and ClydeValley are one of the world’s most thrilling and beautiful destinations.There is a wealth of attractions to discover, the UK’s finest Victorian architecture to astound, internationally acclaimed museums and galleries to inspire, 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.
What’s more, we are easily accessible by air, rail and road so getting here could not be easier.
2. THE HOSPITAL MODERNISATION PROGRAMME - THE SERVICES OF TOMORROW
Health services in Glasgow are on the verge of dramatic and exciting change, brought about by the recently approved Hospital Modernisation Programme). This ten-year £700 million strategy will see the transformation of acute services across the city including the replacement of out-dated Victorian buildings and the creation of one- stop/rapid diagnosis and treatment models for the vast majority of patients.
Core adult acute care is currently delivered from six sites within Glasgow. The Western Infirmary and Gartnavel General Hospital operate in tandem delivering acute care in the west-end of the city. In the north-east of the city acute care is delivered from StobhillHospital and Glasgow Royal Infirmary. The Victoria Infirmary serves the south-east and the Southern General Hospital the south-west of the city. Services for children are provided centrally from the RoyalHospital for Sick Children, Yorkhill. Full adult Accident and Emergency services are provided at the Western Infirmary, Glasgow Royal Infirmary, the Victoria Infirmary and the Southern General Hospital. StobhillHospital has a Casualty Department which is covered by Consultant staff from GRI and the Western
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 walk-in/walk-out same day basis. These include out-patient 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 the streamlined process of care, which patients want - to be seen quickly by the appropriate specialist, to undergo clinical investigation, and to receive treatment without delay.
The ambulatory care centre for the south - side of the city is in a new £103 million purpose- built hospital – the NewVictoriaHospital - next to the current Victoria Infirmary. This state-of-the-art facility opened in June 2009. It houses the main out-patient centre and day surgery service for the south - side of the city. In-patient services will be concentrated in a new £235 million south-side hospital to be built on the site of the current Southern General Hospital. This new facility, housing some 850 beds, will replace ageing acute wards in both the Southern General Hospital and the Victoria Infirmary. The new facility will work alongside some of the relatively modern buildings housing specialist services, which will be retained on the Southern General Hospital site as part of the Strategy. The new south-side hospital will be home to one of two Accident and Emergency and Major Trauma Units covering the whole of the city. The new south - side hospital is planned to open in 2015.
The children’s hospital will also relocate from Yorkhill to a new £100 million building on the Southern General Hospitals site over the next five years to sit alongside and be fully integrated with maternity and adult services.
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 19th century buildings not designed for modern healthcare. The purpose-designed facilities will enable the one-stop/rapid diagnosis and treatment models required for the future. Continuity of service will improve with the elimination of the need for patients’ notes and results to be moved from building to building. Concentration of services will allow the requirements of junior doctors 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.
The formation of larger clinical teams will make sure that programmes of work, including the need to cover emergencies without interfering with waiting list and ambulatory care sessions, can be planned effectively. The concentration of in-patient services on fewer sites will help strengthen specialist services and maximise the capacity of the service.
3. GREATER GLASGOW & CLYDE ACUTE
SERVICES DIVISION
Glasgow Acute ServicesClyde Acute Services
15 Hospitals3 Hospitals
4,700 beds1,100 beds
£980m income£250m income
19,500 wte staff7,000 wte staff
The Acute Division brings together all acute services across the city and Clyde under a single management structure led by the Chief Operating Officer. The Division is made up of seven Directorates of clinical services each managed by a Director and clinical management team along with a Facilities Directorate.
These are:
Rehabilitation and Assessment
Emergency Care and Medical Services
Surgery and Anaesthetics
Regional Services
Diagnostics
Women’s and Children’s Services
Oral Health
Facilities
In the Emergency Care and Medical Services, Surgery and Anaesthetics and Facilities directorates the General Managers will combine a city wide role with a local sectoral role for one of three sectors in the city – north and east, west and south.
Rehabilitation and Assessment Directorate
The Rehabilitation and Assessment Directorate brings together the management of services that have strong inter-relationships to related CHCPs.
The Directorate manages the following services:
- Stroke
- Frail Elderly
- Palliative Care
- Inpatient Physically Disabled
- West of Scotland Mobility and Rehabilitation Centre (Westmarc)
- Physiotherapy
- Dietetics
- Speech and Language Therapy
- Rehabilitation
In addition, the Directorate manages a range of community services including palliative care, a number of specialist community disability services, pain services, continence, services to care homes and falls prevention.
Emergency Care and Medical Services
The specialties included in this Directorate are:
- Accident and Emergency services
- Acute Medicine
- Cardiology
- Respiratory Medicine
- Renal Medicine
- Gastroenterology
- Diabetes
- Infectious Diseases
- Rheumatology
- Dermatology
This Directorate also includes management of the Out-of-Hours GP Service
Surgery and Anaesthetics
This Directorate includes:
- General Surgery – including vascular and breast surgery
- Orthopaedics / trauma
- Anaesthetics – including critical care (with the exception of Coronary Care)
- Ophthalmology
- Optometry
- ENT Surgery
- Audiology
- Endoscopy
- Urology
Regional Services
This Directorate includes:
- Neuro-sciences (including all sub-specialties except neuro - Radiology and neuropathology)
- Specialist Oncology services (including haemato-oncology)
- Plastic Surgery and Burns
- Cardiothoracic Surgery
- Renal Transplantation
- Oral and Maxilofacial surgery
- Homeopathy
Diagnostic Services
This Directorate includes:
- All Laboratory Medicine including Paediatrics
- Diagnostic imaging (including Beatson radiological services and Paediatric Radiology)
- Vascular and Interventional Radiology
- Breast Screening services
Women and Children’s Services
This Directorate brings together maternity, gynaecology and children’s services.
The Directorate includes:
- Obstetrics
- Gynaecology
- Neonatology
- Paediatric Medicine
- Paediatric Surgery
- Paediatric Accident and Emergency
- Paediatric Anaesthetics
Oral Health
This Directorate brings together adult acute, paediatric and community dental services in a single Directorate.
Facilities Directorate
This Directorate includes:
- Site maintenance for both acute and CHCP facilities
- Hotel Services
- Laundry
- TSSU
- Supplies
- Transport
- Catering
- Telecommunications
- Waste Management
- SOUTHERN GENERALHOSPITAL
The Southern General Hospital is a large teaching hospital with an acute operational bed complement of approximately 930 beds. The Hospital is sited in the south-west of Glasgow and provides a comprehensive range of acute and related clinical services.
Services include Accident and Emergency, Dermatology, ENT, General Medicine (including sub-specialties), General Surgery (including sub-specialties), Medicine for the Elderly (including Assessment, Rehabilitation and Day Services), Gynaecology, Neonatal Paediatrics, Obstetrics, Ophthalmology, Orthopaedic Surgery, Urology, Physically Disabled Rehabilitation and Continuing Care. The Obstetrics, Gynaecology, Urology and Ophthalmology Departments provide the single in-patient location for the whole population of South Glasgow. In-patient Maxillofacial (trauma and elective surgery and specialist provision for head and neck cancer), Dermatology and the Assessment and Rehabilitation service for the Physically Disabled are also provided for the whole city from the Southern General Hospital.
There is also a wide range of therapeutic services including Audiology, Clinical Psychology, Dietetics, Occupational Therapy, ECG, Physiotherapy, Radiology (including MRI and CT provision for the general hospital service) and Speech Therapy.
The Institute of Neurological Sciences
The Institute of Neurological Sciences is based on the Southern General campus and provides Neurosurgical, Neurological, Clinical Neurophysiology, Neuroradiological and Neuropathology facilities for the West of Scotland.
WESTMARC
The Westmarc Unit houses the clinical services for prosthetics and orthotics, including the Artificial Limb and Appliance Centre, within a purpose-built facility. The centre is staffed jointly by hospital and university personnel from the National Centre for Training in Prosthetics and Orthotics of Strathclyde University.
Podiatry
The Department of Podiatry has a purpose-built 24-chair clinic and a minor procedure theatre. This service is managed by Renfrew CHP.
Spinal Injuries Unit
The Queen Elizabeth National Spinal Unit for Scotland provides a spinal injuries service to the whole of Scotland. This is housed in a purpose-built facility.
Education
There is a long tradition of training medical students and the Southern General is one of the principal teaching hospitals in Glasgow. There are fully equipped conference facilities on site and a range of other tutorial rooms throughout the hospital. There is also a Library with a Learn Direct E-Learning Centre.
University Links
The Southern General Hospital has built a sound academic and research base over the years, and have an excellent teaching reputation with libraries and lecture suites with comprehensive audio/visual facilities. There are close links with the University of Glasgow's Faculty of Medicine including Professors within Neurosciences.
VALUING OUR STAFF
The Division is committed to extending training and development opportunities to all staff and is actively developing multi-disciplinary training, extending the role of on-line learning, and recognises 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
- WORK OF DEPARTMENT OF REHABILITATION MEDICINE
The PDRU provides a consultant led multidisciplinary rehabilitation service for adults with physical disability referred from both hospital and community settings. Referrals are received from the inpatient neurological and neurosurgical units at the Institute of Neurological Sciences, as well as medical and surgical units in Glasgow and surrounding areas. Patients are also admitted from outpatient and domiciliary assessments having been referred by GPs, other specialists or community services.
Inpatients receive a multidisciplinary rehabilitation programme directed by patient centred goals. Weekly consultant led multidisciplinary team meetings and ward rounds are held to monitor patient progress and manage relevant clinical issues. Each patient will also have regular individual goal planning meetings with staff specifically working with them to set goals in detail.
Each consultant has regular outpatient and also day assessment or day case clinics. A specialist spasticity clinic is held on a regular basis, and there are also gait assessment clinics. There are good links with the West of Scotland Mobility and Rehabilitation Centre (Westmarc) and community services. Domiciliary and environmental control assessments are carried out regularly.
The Larkfield Unit also provides a consultant led multidisciplinary rehabilitation service for adults with physical disability referred from both hospital and community settings for patients mainly residing in within the Inverclyde area of NHSGGC. This service is provided across outpatient and community settings and within an 8 bedded inpatient ward based at the InverclydeRoyalHospital.
Ward 53 provides continuing care for younger adults with severe physical disability, and there is facility for medical respite.
There is regular teaching of medical undergraduates, and there is one FY2 and one GPST2 post rotating through the PDRU. Multidisciplinary audit, clinical governance and journal club meetings are held regularly.
Bed Numbers
Southern GeneralHospital
Physically Disabled Rehabilitation Unit26
Ward 53 Continuing Care22
InverclydeRoyalHospital
Larkfield Unit 8
6.THE POST
- Title:
Consultant in Rehabilitation Medicine
- Relationships
- Rehabilitation and Assessment Directorate
Acting Director:Mrs M Farrell
Associate Medical DirectorProf P Knight
Acting General Manager Mrs D Jardine
(ii)Names of Consultant members of the Department
Vacancy (this post)
Dr B Panesar
Dr J Benjamin
(iii)Other members of medical staff in the Department
Dr S JoseStaff Grade
Dr S TrivediSpecialty Doctor
Specialist Registrar2 Posts
GPST 21 Post
FY21 Post
- Duties of The Post
- The postholder will be expected to work with local managers and professional colleagues in the efficient running of the service. Subject to the provisions of the terms and conditions of Service, the postholder is expected to observe NHS Greater Glasgow and Clyde’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of the Health Board.
- The postholder will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of patients to be able to make contact with the postholder when necessary.
- The postholder is required to comply with GG&C Health and Safety Policies.
Direct Clinical Care:
- Referral assessments
- MDT meetings and Ward rounds
- General inpatient care and review
- Meetings with patients and relatives
- Occasional attendance at goal planning meetings
- Out-patient and day case clinics including procedures
- Administration associated with task e.g. letters, liaison with GPs and families
- Cross-cover for absent colleagues
Supporting Professional Activities:
- Hospital meetings
- Audit
- Involvement in Clinical Governance e.g. complaints, investigation of clinical incidents
- Participation in Annual Appraisal and Job Planning
- Teaching Medical students and staff
- Supervision and training of junior medical staff.
There are on-call or out of hours duties required with this post.
- Supporting Professional Activities
A minimum of 1 SPA is included in the indicative job plan amounting to 168 hours per annum which shall normally be sufficient to reflect activities such as revalidation, appraisal, personal audit, professional development (occurring outwith the 30 days of study leave entitlement in any three year period). Time permitting, it may also cover minimal teaching, training and non-clinical administration. Any additional SPA allocation will require to be evidenced as mutually beneficial and required by the department. Adjustment to the programme to incorporate additional SPA will require other activities to be reviewed to accommodate any increase as necessary. It will be requested that SPAs are delivered at the normal place of work, unless there are mutual advantages to it being performed elsewhere. The exact timing and location of SPAs, and flexibility around these, will be agreed during the 1:1 meeting with the Clinical Director/Associate Medical Director and included in the prospective job plan.