NHS GREATER GLASGOW AND CLYDEEMERGENCY CARE AND MEDICAL SERVICES CLYDE SECTORLOCUM CONSULTANT PHYSICIAN AND CARDIOLOGIST ROYAL ALEXANDRA HOSPITAL, PAISLEY AND VALE OF LEVEN HOSPITAL, ALEXANDRIA REFERENCE: 23093D

Applications are invited for the post of Consultant Physician & Cardiologist for a period of 6 months.

The successful candidate will integrate into a team comprising five Consultants to develop Cardiology across both Hospitals. This will offer a real opportunity for the successful candidate to be involved in the development of a successful modern consultant led service across two Hospital sites.

Between the Royal Alexandra Hospital and the Vale of Leven there are currently twenty two Consultant Physicians with special interests in Cardiology, Diabetes and Endocrinology, Respiratory Medicine and Gastroenterology.

There will be equal participation in the Consultant emergency on-call rota at both Hospitals.

For further information and arrangements to visit the department please contact: Prof M McIntyre, Clinical Director, ECMS Clyde, Vale of Leven Hospital, Telephone: 01389 817241, Dr Stuart Hood, Lead Clinician, Medical Unit, RAH, Telephone: 0141 314 7214, Prof S M Cobbe, Clinical Director, Cardiology Services NHS GG&C, Telephone: 0141 211 4722.

Applicants must have full registration with the General Medical Council and a licence to Practice. This post requires PVG Scheme Membership/Disclosure Scotland Check

To obtain an application pack for this vacancy visit our website at www.nhsggc.org.uk/medicaljobs. Alternatively email your address and the job reference number to nhsggcrecruitment@nhs.net or call 0845 3000 831.Closing Date: 1ST July 2011

NHS Greater Glasgow & Clyde

Emergency Care and Medical Services – Clyde Sector

Locum Consultant Physician & Cardiologist

Royal Alexandra and Vale of Leven Hospitals

REF: 23093D

This post of Consultant Cardiologist will be based at the Royal Alexandra Hospital (RAH), Paisley, five miles from the bustling West end of Glasgow. The post has been agreed as part of a planned expansion in Consultant numbers to support unscheduled and planned medical services at the Vale of Leven Hospital (VOL) as well as developments at the RAH. The successful candidate will integrate into a team comprising five Consultants to develop Cardiology across both Hospitals. This will offer a real opportunity for the successful candidate to be involved in the development of a successful modern consultant led service across two Hospital sites.

1. General InformationThe Royal Alexandra Hospital (RAH) is situated in Paisley and provides acute health care services to Renfrew District (pop 205,000). The Hospital is a 968 bed modern District General Hospital (DGH) which opened in 1986 and is one of the largest and busiest non-teaching DGHs in Scotland. In addition the hospital is currently the base for provision of surgical, orthopaedic, ophthalmology, paediatric and the majority of maternity services to the population north of the Clyde served by the Vale of Leven Hospital.

The hospital provides a wide range of District General Hospital specialties with excellent support facilities. The hospital has a first class modern radiology department and services. Pathology services for the Clyde division of Greater Glasgow and Clyde (GG&C) are centered on this site. All departments participate in undergraduate teaching and there is an active postgraduate educational programme. The hospital enjoys an

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enviable reputation for undergraduate teaching and is highly popular with training grades. There is a good medical library service. At the beginning of 2005 Paisley University Nursing School left the RAH campus. Proposals for the use of the vacant space at the heart of the hospital are being sought and are likely to include the further development of ambulatory care, day surgery, endoscopy services and improved educational facilities.

The Vale of Leven Hospital (VOL) is situated in Alexandria, an area of outstanding natural beauty and serving a population in excess of 88,000 largely from Dumbarton, Alexandria and Helensburgh. The Vale of Leven Hospital has undergone a period of re-configuration following the conclusion of NHS Greater Glasgow and Clyde’s consultation on the vision for the Vale of Leven Hospital and acceptance of the recommendations in February 2009. This vision has retained selected unscheduled medical care at the Vale of Leven Hospital, led by the Consultant Physician team based at the Royal Alexandra Hospital and supported by GP and GP trainees. In addition there are inpatient medicine for the elderly beds, short stay surgical beds together with day surgery and a full range of diagnostic and support services.

2. The Medical UnitThe Medical Unit at the Royal Alexandra Hospital has 178 beds. This includes a 12 bedded Coronary Care / Chest Pain Unit and a 30 bedded medical receiving ward. The medical unit provides an acute service in general medicine with clinics in general medicine, diabetes and endocrinology, gastroenterology, cardiology, asthma, respiratory medicine and haematology. With the transfer of some of the most acute activity from the Vale of Leven Hospital, there are plans to open another 30 bed ward and develop a medical assessment unit adjacent to the acute receiving ward.

The Vale of Leven Hospital medical unit includes a Medical Assessment Unit, 12 bed receiving unit with provision for monitored beds and a further 27 general medical beds.

3. Workload of Adult Medicine (Approximate to year ending March 2009)

RAHInpatients 12,394 New outpatients 3,907Day Cases 190

VOLInpatients 4,121 New outpatients 1,950Day Cases 93

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4. Consultant StaffingBetween the RAH and VOL there are currently twenty two consultant physicians with special interests as noted.1. Dr Iain Findlay Cardiology2. Dr Stuart Hood Cardiology3. Vacant post Cardiology 4. Dr Eileen Peat Cardiology5. This Post Cardiology6. Prof Martin McIntyre Diabetes and Endocrinology7. Dr Claire Harrow Diabetes and Endocrinology8. Dr James Boyle Diabetes and Endocrinology9. Dr Neil McGowan Diabetes and Endocrinology10.Dr James McPeake Gastroenterology11.Dr Graham Naismith Gastroenterology12.Dr Rizwana Hamid Gastroenterology13.Dr Mathis Heydtmann Gastroenterology14.Dr Alistair Dorward Respiratory Medicine15.Dr Jane Gravil Respiratory Medicine16.Dr Douglas Grieve Respiratory Medicine17.Dr M Al-Shamma Respiratory Medicine 18.Dr G Ray Acute Care Physician19.Dr Immo Weichart Acute Care Physician (Locum)20.Dr Tindo Manavalan Acute Care Physician (Locum)21.Dr Gillian Roberts Rheumatology22.Dr Martin Perry Rheumatology

5. Junior Staff Specialist Registrars 4 (RAH) ST/FTSTAs 5 (RAH) Foundation Year 2 6 (RAH) Foundation Year 1 22 (RAH) GPST1 6 (VOL)

There are Specialist Nurses in Diabetes, Respiratory Medicine, Cardiac Rehabilitation, Cardiac Failure, Haemato-Oncology, D.V.T , Chest Pain management and inflammatory bowel disease across both Hospitals.

6. Cardiology ServicesThe Royal Alexandra Hospital provides a busy non invasive cardiology service to the population of Renfrew and beyond. Cardiac intervention and surgery is provided at the Golden Jubilee National Hospital in Clydebank.

6.1 Coronary Care & Chest Pain Assessment UnitThe purpose built unit opened in October 2007. Patients with acute myocardial infarction, acute coronary syndromes, arrhythmias or congestive cardiac failure are admitted to the 18 bedded coronary care &

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chest pain assessment unit.

The unit is staffed during the day by one of the consultant cardiologists on a rotational basis and supported by junior medical staff from the cardiology ward. Over 2,500 patients are admitted per year.

6.2 Cardiology Ward

The cardiology ward, ward 8 has a total of 29 inpatient beds and is situated adjacent to the Cardiac Physiology Department. Facilities on the ward include the pacing room and treadmill.

6.3 Medical Staff There are currently five Consultant posts at the Royal Alexandra Hospital. They provide 1 in 5 weekly cover for CCU, rapid access chest pain clinics, pacemaker implantation, 8 outpatient clinics per week and supervision of the cardiology ward. Over 2,000 new and 4,500 return outpatients are seen each year.

They are supported by two SHO (ST) and one middle grade doctor (SpR) and one Foundation Year one Doctor dedicated to the running of CCU.

6.4 Cardiology Physiology Department The Department at the RAH is staffed by a total of 13.5wte, including support staff. There is a good skill mix with a number of staff highly skilled in echocardiography.

Workload of the Department in 2008/09 was as follows:

Cardiology Procedure 2008/09Routine ECG Recordings 32,167Ambulatory Monitors 1,467Exercise Tests 1,917Echocardiograms 3,733Pacemaker Implantations 108Pacemaker Checks 764

The Department at the Vale of Leven Hospital is staffed by a total of 3.9wte.

Workload of the Department in 2008/09 was as follows:

Cardiology Procedure 2008/09Routine ECG Recordings 3,688Ambulatory Monitors 820Exercise Tests 606Echocardiograms 1,098

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6.5 Cardiology Specialist NursesThere are 2.4 wte acute chest pain nurses and 1.8 wte heart failure liaison nurses based at the Royal Alexandra Hospital.

6.6 Cardiac Rehabilitation We offer a gold standard cardiac rehabilitation service to all patients with a step change in their cardiac condition. It is recognised as one of the best services in the U.K. with a full compliment of multi-disciplinary staff.

6.7 Pacing Service We implant approximately 130 brady pacemakers per annum. The service is consultant led with support from NASPE trained technicians. Patients are therefore followed up locally at the RAH. The consultants provide training in pacemaker implantation to cardiology registrars.

7. Acute Medical ServicesThe team of Consultant Physicians at the Royal Alexandra Hospital have responsibility for acute medical services at both the Royal Alexandra Hospital and the Vale of Leven Hospital.

7.1 Acute Receiving WardAcute medical admissions are admitted to the acute receiving ward (currently ward 14) at the RAH, which is staffed by one of the consultants, together with the Acute Physician on a rotating ‘Physician of the Week’ basis Monday morning to Friday lunchtime. Patients are then triaged to the appropriate specialty wards if not for early discharge.

Acute medical admissions at the VOL are admitted to ward 3, which is staffed by a third consultant on a rotating ‘Physician of the Week’ basis Monday morning through to Friday pm. The Physician of the week will also lead inpatient ward rounds at the Vale of Leven Hospital during this week.

Weekend cover is provided by two Consultant Physicians with joint morning ward rounds at the RAH and afternoon ward rounds at both the RAH and VOL.

7.2 Medical High Dependency Unit (HDU)The RAH has three medical HDU beds at present within the combined 12 bedded HDU, with scope to increase to four or more medical HDU beds if required.

7.3 Junior Doctors out-of-hoursA Hospital @ Night service started at the RAH in August 2006. This is part of a wider work assessing the impact of Modernising Medical Careers and implementing plans to support the delivery of high quality sustainable services.

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Junior medical support at VOL is provided by GPST1 and GPs supported by the HAN Practitioner service.

7.4 Medicine for the Elderly ServiceMedicine for the Elderly is part of the Rehabilitation and Assessment Directorate, but many of its activities and adult medicine are combined. In particular, out-of-hours cover is provided by juniors from Medicine for the Elderly and adult medicine and both department share educational meetings.

The Medicine for the Elderly consultants visit the acute receiving ward at the RAH daily and arrange transfer to the Medicine for the Elderly Unit of those appropriate patients. A Stroke unit (Ward 4) taking all age groups is led by Dr L Erwin.

The service at the Vale of Leven supports post-admission care of appropriate patients with 37 rehabilitation beds which will also provide near to home rehabilitation for patients admitted initially to the RAH.

8. GOLDEN JUBILEE NATIONAL HOSPITAL

Referrals for interventional procedure (excluding bradycardia pacing) are made to the Golden Jubilee National Hospital (GJNH) in Clydebank, which is the setting for the West of Scotland Heart and Lung Centre. The centre is the dedicated unit for all interventional cardiology including primary PCI and also provides the regional electrophysiology and complex device implantation service for NHS Greater Glasgow and Clyde and most surrounding Health Boards. In addition to these regional specialist services, GJNH is also the site for the co-location of the Scottish Advanced Heart Failure Service (SAHFS), the West of Scotland Regional Heart Failure Service, the Scottish Adult Congenital Heart Disease Service (SACCS) and the Scottish Pulmonary Vascular Unit (SPVU). With this array of specialist cardiopulmonary services to be provided to a catchment population of 2.2 million, the GJNH is among the largest heart and lung centres in Europe.

9. Management Arrangements

Emergency Care and Medical Services Directorate – Clyde Sector, consists of Accident & Emergency and General Medicine. The consultant appointed will be expected to participate fully in the work of the Directorate.

The Clinical Director for Medicine across Clyde is Prof Martin McIntyre, based at RAH. There are two Lead Clinicians for Medicine across Clyde; Dr Stuart Hood at RAH/VoL and Dr Chris Jones at Inverclyde Royal Hospital. The Lead Clinician for Cardiology at RAH is Dr Iain Findlay.

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The Clinical Director for Cardiology services across NHS Greater Glasgow & Clyde is Professor Stuart Cobbe.

10. Summary of the Post

The appointee will provide consultant leadership in Cardiology.

10.1 Duties of the Post

ROYAL ALEXANDRA HOSPITAL

The successful candidate will be expected to provide a full range of consultant services as agreed with colleagues including in-patient management of patients admitted to the Medical Wards and Coronary Care Unit. There are usually two outpatient clinics per week. It is likely that some of the clinic commitment will be at the Vale of Leven Hospital on a rotational basis with other colleagues at the RAH.

The successful candidate will undertake consultant duties for CCU in the RAH on a 1:5 basis. This includes twice daily ward rounds Monday-Friday and a ward round on a Saturday morning. During the CCU week the consultant cardiologists currently see up to 3 Rapid Access Chest Pain patients daily. It is anticipated that the cardiologist of the week will be available for telephone consultation and support for the physician at the Vale. There is no separate on call commitment for Cardiology at present.

The appointee would be expected to be on call from home for advice for RAH and VOL every 20th night. Weekend commitments to unscheduled medical admission will consist of 1:20 as “first on” which would involve twice daily ward rounds on Saturday and Sunday in the RAH and on call for advice both nights. There would also be a 1:20 “second on” which would consist of morning ward rounds in the acute medical admissions unit at both the RAH and VoL. The second on person would not be on call for advice that weekend. The total weekend commitment is therefore 1:10.

10.2 Suggested job plan

The job plan will be tailored to the successful candidate’s interests and the following should be taken as guidance. A detailed job plan will in due course be agreed with the Clinical Director or Lead Clinician and thereafter this will be subject to periodic review and adjustment if necessary. The appointee may be required to support clinical activity elsewhere across Greater Glasgow and Clyde.

Duty PAsOutpatient Clinics 3.0CCUWard Rounds

2.01.0

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AdminSubspecialty

1.01.0

Out-of-hours Total DCC

1.09

SPA 1.0

TOTAL 10

Cover for study leave, holidays will be provided from within existing consultants.

10.3 Support staffThere is secretarial support for the consultant.

11. Postgraduate and Undergraduate TrainingThe unit has a postgraduate programme which includes a weekly unit meeting, monthly journal club and SHO tutorial sessions. There are weekly hospital postgraduate meetings during term time. Mr Andrew Renwick is the postgraduate tutor.

The Medical Unit teaches a number of medical students from Glasgow University. As part of the new curriculum teaching of years one to five is being established.

12. Further information

For further information and arrangements to visit the department,

Please contact

Prof. Martin McIntyreClinical Director, Medical Unit, VOL.Consultant Physician / Endocrinologist RAH/VoLVale of Leven DGHAlexandria Tel 01389 817607Email: martin.mcintyre@rah.scot.nhs.uk

Dr Stuart HoodLead Clinician, Medical UnitConsultant CardiologistRoyal Alexandra HospitalPaisley

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PA2 9PNTel 0141 314 7214Email: stuarthood@nhs.net

Prof S M Cobbe Clinical Director Cardiology Services NHS GG&CConsutlant Cardiologist 4th Floor University BlockQueen Elizabeth BuildingRoyal Infirmary Glasgow

Tel 0141 211 4722

Email; stuart.cobbe@clinmed.gla.ac.uk

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TERMS AND CONDITIONS OF SERVICE

The conditions of service are those laid down and amended from time to time by the hospital, Medical & Dental Whitley Council.

TYPE OF CONTRACT Fixed Term 6 months GRADE & SALARY £74,504.00 - £100,446.00 per annum

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 Whole TimeSUPERANNUATION You have the option to join the NHS

Superannuation Scheme, to participate in the State Earnings Related Pension Scheme or to take out a Personal Pension.

Employee’s contributions to the NHS scheme amount to 6% of salary (5% for manual staff) and the employer’s contribution equates to 14% of salary. Employees in the NHS scheme are “contracted-out” of the State Earnings Related Pension Scheme and pay a lower rate of National Insurance contributions. Employees who choose to participate in the State Earnings Related Pension Scheme pay the higher rate of National Insurance contribution. A Stakeholder Pension is also available.

A Personal Pension is a private arrangement agreed with the pension provider that will be an organisation such as a Bank, Building Society or Insurance Company.

OCCUPATIONAL HEALTH SCREENING

Shortlisted applicants not currently employed by NHS Greater Glasgow and Clyde will be required to complete a medical questionnaire, following which they may be required to attend the Occupational Health Service for screening.

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.

Reimbursement shall not normally be made to employees who withdraw their application or refuse

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an offer of appointment.TOBACCO POLICY NHS Greater Glasgow and Clyde operate a No

Smoking Policy in all premises and grounds.ASYLUM AND IMMIGRATION ACT 1996

Under the Asylum and Immigration Act 1996, NHS Greater Glasgow and Clyde is required to carry out checks to ensure that all prospective employees are entitled to live and work in the United Kingdom. You will therefore be asked to 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

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to any other set, which are commensurate with the grade of officer. The enhanced experience resulting from this is considered to be in the best interests of both NHS Greater Glasgow and Clyde and the individual.

EQUAL OPPORTUNITIES

The postholder will undertake his/her duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.

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NHS GREATER GLASGOW & CLYDE

Statement of Policy regarding fitness to practice proceedings by a licensing/regulatory body and relating to criminal investigations in the UK or overseas.

Registration with General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of medicine care for, and to behave appropriately, towards patients. NHS employers also have a duty to ensure that patients receive a good standard of medical care and ensure as far as possible the safety of patients. We therefore need to establish if you have been found guilty of a criminal offence, been bound over or cautioned or are currently the subject of proceedings which might lead to a conviction, an order binding you over on a caution, in the UK or any other country.

Applicants for posts in the NHS are exempt for the Rehabilitation of Offenders Act 1974. Application forms will include a declaration for applicants to complete declaring any previous or pending prosecutions or convictions, including those considered “spent” under this Act. Forms will also include a declaration of any cautions or bind overs.

We also need to establish if you have been subject to any fitness to practise proceedings in the past, or if any fitness to practise proceedings are being contemplated, by a licensing or regulatory body in the UK or another country and this is also reflected in the declaration.

This information will be treated in confidence and will not debar you from appointment unless the selection panel considers that it renders you unsuitable for appointment. In reaching such a decision we will consider the nature of the conviction/action, how long ago it took place and any other factors which may be relevant.

Failure to disclose a criminal offence, having been bound over or cautioned or that you are currently the subject of criminal proceedings that might lead to a conviction, an order binding you over or a caution, or fitness to practise proceedings undertaken by an appropriate licensing or regulatory body may disqualify you from appointment, or result in summary dismissal/disciplinary action and referral to the General Medical Council for consideration if such a discrepancy came to light.

If you would like to discuss what effect any previous convictions, police investigations or fitness to practice proceedings taken or being taken either in the UK or by an overseas licensing or regulatory body might have on your application, please contact the Recruitment Team.

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HOW TO APPLY

To apply for these posts please include 4 CVs and names and addresses of 3 Referees, along with the following documents;

Application Form (Parts A & B)Equal Opportunities Addendum Form Declaration Form Regarding Fitness to PracticeImmigration Questionnaire

Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information.

RETURN OF APPLICATIONS

Please return your application by email to nhsggcrecruitment@nhs.net or to the recruitment address below;

NHS Greater Glasgow and Clyde Recruitment Services5th Floor, Tara House46 Bath StreetGlasgowG2 1HJ

CLOSING DATE

The closing date for applications will be 1st July 2011

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PERSON SPECIFICATION

ESSENTIAL DESIRABLE

QUALIFICATIONS Full GMC and a Licence to Practice.

MRCP or equivalent.

CLINICAL EXPERIENCE

Clinical training and experience equivalent to that required for gaining UK CCT in Cardiology.

Ability to offer expert clinical opinion on a range of clinical problem in Cardiology.

Ability to take full and independent responsibility for clinical care of patients.

Sub-specialty interest.

MANAGEMENT AND ADMINISTRATIVE EXPERIENCE

Ability to advise on the efficient and smooth running of the Cardiology Service.

Ability to organise and manage ward patients and outpatient priorities.

Experience of audit management.

Ability and willingness to work within NHS GG&C and NHS Scotland performance framework and access targets.

Attendance at management course for clinicians.

TEACHING EXPERIENCE

Experience of supervising medical trainees.

Ability to teach clinical skills.

Experience of MMC assessment tools.

OTHER ATTRIBUTES

Ability to work in a team. Good interpersonal skills. Caring attitude to patients. Ability to communicate

effectively with patients, relatives, GPs, nursing staff and other relevant parties.

Commitment to the requirements of clinical governance.

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