Liverpool School of Tropical Medicine

SENIOR LECTURER (CLINICAL) IN

RESPIRATORY MEDICINE

Job Ref: A-518435

Department: Clinical Research Group

Location: University Hospital, Aintree and Centre Tropical Infect Dis, LSTM

Salary: Depending on qualifications and experience

Salary Range: £74,504 - £100,406 pa

Tenure: Permanent

Hours of work: Full Time

Closing Date: 15th November 2010

Interview Date: To be confirmed

_____________________________________________________

Informal enquiries to Professor David Lalloo 0151 705 3179 or

Dr Stephen Gordon tel: 0151 705 3169 email: sbgordon@liv.ac.uk at LSTM and

Dr Chris Warburton (Clinical Director) at University Hospital Aintree

chris.warburton@aintree.nhs.uk

Application Procedure

Applications should comprise:

*A completed applicant information form (LSTM HR Dept to define)

* A copy of your full curriculum vitae

*A statement indicating the reasons for applying for this post and how your training and experience is relevant.

If you have any particular requirements should you be invited to interview, please make this clear in your application.

Submitting Applications

Applications may be submitted by e-mail to: Lstmjobs@liverpool.ac.uk

Via post: Human Resources, The Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA

Acknowledgement of Applications

Please note that we are unable to acknowledge postal applications. If you would like an acknowledgement

please enclose a stamped addressed card or envelope, and place it at the front of your application. If you e-

mail your application you will receive an automated acknowledgement.

Shortlisting and Interviews

Shortlisting and interview arrangements are the responsibility of the recruiting Department. Please contact

Professor David Lalloo on 0151 705 3179, Dr Stephen Gordon (sbgordon@liv.ac.uk) or Dr Chris Warburton

(chris.warburton@aintree.nhs.uk) if you have a query after the closing date.

Asylum & Immigration

The LSTM will comply with the Asylum and Immigration Act 1996, and will require all employees to

provide documentary evidence of their legal right to work in this country prior to commencing

employment. For posts requiring a recognised degree level or equivalent qualification, and where there

is no suitable UK or European Economic Area candidate, the University will take the necessary steps to

secure Department for Education and Employment and Home Office permission for a foreign national to

take up employment.

Diversity and Equality

The LSTM is committed to diversity and equality. All employees and applicants for jobs will be

considered on their abilities and will not be discriminated against on the grounds of age, caring

responsibilities, colour, disability, employment status, gender, gender identity, marital status,

nationality, race or ethnic origin, religion or belief, sexual orientation, socio-economic status or any

other irrelevant distinction. Training is available to support career progression within the University.

Smoking

The LSTM has adopted a Code of Practice on Smoking.

COMMITTED TO DIVERSITY AND EQUALITY OF OPPORTUNITY

1. The Post

This Clinical Senior Lectureship is within the Clinical Research Group at the Liverpool School of

Tropical Medicine and the Department of Respiratory Medicine at the University Hospital Aintree

(UHA). Suitable candidates will be offered an Honorary Consultant contract at UHA and an Honorary

Clinical Senior Lecturer contract in Liverpool University. They will have laboratory space in both the

Clinical Sciences Building at UHA and the new Centre for Tropical Infectious Diseases (CTID) at LSTM.

Candidates with interests in non-communicable pulmonary disease in the UK and world-wide are

particularly sought. You will contribute to the clinical service at UHA as detailed in section 6.

2. Respiratory Medicine at the Liverpool School of Tropical Medicine

The Liverpool School of Tropical Medicine (LSTM) was founded in 1898 as the first institution in the

world dedicated to research and teaching in tropical medicine. The LSTM has experienced a period

of recent rapid growth, from 164 UK-based staff in 2001 to 260 staff in 2008. New talent has been

attracted from around the world and the LSTM has set a goal of becoming the premier European

institution in tropical international health. The Centre for Tropical and Infectious Diseases (CTID)

opened in January 2008 as LSTM’s state of the art research facility and now houses several consortia

including the Respiratory Infections group. LSTM currently holds £130 million of research contracts

and trains over 500 students, from more than 70 countries.

The Liverpool School of Tropical Medicine (LSTM) is developing Respiratory Medicine research

themes related to pulmonary infection and non-communicable diseases, particularly pneumonia and

tuberculosis, and the effect of inhaled air pollutants particularly biomass smoke exposure. These

themes are being developed in partnership with the National Institutes of Health Research (NIHR)

Biomedical Research Centre in Microbial Diseases and in collaboration with University Hospital

Aintree (UHA), the University of Liverpool, the Liverpool Wellcome Trust Tropical Centre (WTTC), the

NIHR Comprehensive Local Research Network (CLRN) and the Malawi Liverpool Wellcome

Programme in Clinical Tropical Medicine (MLW). The themes are developing with project support

and within consortia – e.g. PASS (Pneumonia Aetiology and Severity Study) and BREATHE (Biomass

Reduction and Environmental Air Towards Health Effects).

The Respiratory group has investigators based in 4 sites: LSTM Centre for Tropical Infectious

Diseases (CTID), the Biomedical Research Centre at the Royal Liverpool University Hospital,

University Hospital Aintree and the Wellcome Trust Research Laboratories in Blantyre, Malawi. We

have major funding from NIHR, Wellcome Trust, Gates and two commercial partners – Intercell AG

and Novartis. We have recently secured funding for two Clinical Senior Lecturer positions (NHS

funded) and an NIHR Fellowship to join the existing team of 3 post-doctoral scientists, 6 PhD

students and one research assistant. The group is led by Dr Stephen Gordon.

Non-communicable Respiratory Diseases: We have major themes of research in NCD – the effect of

biomass fuel smoke on respiratory health and the burden of chronic lung diseases in Africa. This

work is funded by the Wellcome Trust and the American Thoracic Society. UHA have recently

partnered with LSTM to appoint a 5yr Senior Clinical Lecturer in NCD to work at LSTM, MLW and

UHA. We would like to expand the work, in collaboration with the Pan African Thoracic Society and

other partners including the WHO GARD initiative, to adequately describe the burden of non-

communicable disease in Africa.

Pulmonary Infection research: The Respiratory Infection group has major themes of research –

pneumococcal disease, pneumococcal vaccination and mucosal defence against infection (including

influenza and TB). These themes are funded by NIHR, Bill and Melinda Gates Foundation, Wellcome

Trust and the Crossley Barnes Fellowship. The NIHR funding is substantial including BRC project

funding, an NIHR Fellowship, matched funding with Intercell AG and CLRN project support. UHA

have recently partnered with Liverpool University Institute of Infection and LSTM to appoint a 5yr

Senior Clinical Lecturer in Respiratory Infection.

The Respiratory group is committed to Research Capacity building in developing countries,

particularly in Africa. Dr Gordon is a founder of the Pan African Thoracic Society in conjunction with

the American Thoracic Society. PATS now organises the Methods in Epidemiologic, Clinical and

Operations Research (PATS-MECOR) course annually in Africa, attracting 50 students from around

the continent. This work is supported by grant income from the Nuffield Foundation, the Societies

Pulmonologie Langue Francaise and the American Thoracic Society. We have also played a

supporting role in developing the SACORE consortium.

3. The Academic Respiratory Medicine Group at UHA

The Respiratory Medicine group currently comprises a Professor (Peter Calverley), a Reader

(Stephen Gordon, appointment at LSTM, and Deputy Director of the Liverpool BRC), a vacant Clinical

Senior Lecturer post in Respiratory Infection, two Clinical Lecturers together with technical and

laboratory staff. The focus of this Unit has been within the area of chronic obstructive pulmonary

disease, although we have also conducted research into sleep and breathing disorders.

Academically there are major strengths in respiratory physiology and a growing interest in

respiratory infection and its role in obstructive and other lung diseases. There are well equipped

laboratories on-site at UHA for physiological studies and a range of other cell and molecular

manipulations. There are excellent relationships with the other members of the Aintree Chest

Centre and close links with the School of Biological Sciences, particularly Professor Steven Edwards.

In addition, a large number of collaborations exist with other institutions in the UK and overseas.

4. Aintree University Hospitals NHS Foundation Trust

Aintree University Hospitals NHS Foundation Trust comprises 2 main hospitals providing a wide

range of acute and non-acute specialties. University Hospital Aintree is a large teaching hospital

providing Accident & Emergency services and a wide range of acute and non-acute specialties, while

Walton Hospital provides outpatient and day surgery services. .

The Trust makes a major contribution to the teaching and training of medical students and

postgraduate doctors. The Clinical Sciences Centre for Research and Education houses the research

units and offices of the University Clinical Departments and those of the Walton Centre for

Neurology and Neurosurgery NHS Trust. In addition, the new building houses the Directorate of

Medical Education, comprising offices, seminar rooms and undergraduate facilities. The Centre has

a Lecture Theatre (capacity of 225) equipped with audio visual aids and facility for video-

conferencing.

5. General Medicine and Thoracic Medicine Services

The Aintree Chest Centre treats more than 5000 in-patients and 9000 out-patients each year. The

current senior medical staff all contribute to the clinical service and individual consultants take

responsibilities for different components of the clinical service. Consequently there are dedicated

programmes for the management of asthma, care of COPD, diagnosis and treatment of lung cancer,

sleep disordered breathing and home ventilation, interstitial lung disease, occupational lung disease

and infections including tuberculosis. Junior staff consists of 4 Specialist Registrars, one staff grade,

two SpR grade Clinical Lecturers, and ten junior grades (F1 to ST2). In addition the medical Research

Fellows contribute to the clinical service.

6. Senior Respiratory Clinical Staff

Dr Chris Warburton (Clinical Director)

Dr Robert Angus

Professor Peter Calverley

Dr Bis Chakrabarti

Dr Ann Crowther (joint with AMAU)

Dr Lisa Davies

Professor Peter Davies

Dr Nick Duffy

Dr Stephen Gordon

Dr John O’Reilly

Professor Mike Pearson

Dr Lisa Spencer

Dr Paul Walker

Respiratory Intensivist post (currently being appointed)

The ward and laboratory environment of the Aintree Chest Centre is in the process of being

upgraded and modernised by the Trust in recognition of its importance to the Trust’s overall

business plan. The Aintree Ventilation Inpatient Centre has just opened and further developments

will include new purpose built sleep laboratory, respiratory laboratory and chronic nasal ventilation

suite.

7. Clinical Research

All the Chest Consultants have research-active interests. Working with them are the Lecturers, two

full time Research Fellows, graduate students and undergraduate students. Current research

interests include

the assessment of airway function in chronic airways disease (COPD) and asthma

airway inflammation in COPD and asthma

therapeutic and medical management of both acute relapses and long term care of

patients with airways disease

derivation of methods of assessing outcomes of treatment

acoustic analysis of lung sounds in airways and interstitial disease

investigation of clinical manifestations and treatment of lung cancer

investigation of disorders of ventilation during sleep

the hyperventilation syndrome

the physiology and management of acute on chronic respiratory failure

the control and epidemiology of tuberculosis and

cost effectiveness of asthma care.

8. Clinical Job Plan/working pattern

You will have shared office space in both the Clinical Sciences Building at UHA and the Centre for

Tropical Infectious Diseases at LSTM. You will develop a manageable job plan together with Dr

Stephen Gordon (Research Lead) and Dr Chris Warburton (Clinical Director). This job plan will

include sufficient time to develop and lead a successful clinical and laboratory based research

programme both in the UK and abroad, combined with clinical sessions (0.3WTE) and some teaching

of DTM&H and MSc students in the LSTM. You will be encouraged to supervise clinical PhD students

at LSTM and UHA.

You will perform your clinical work at the Aintree Chest Centre and will be expected to undertake

duties as a Consultant Physician. These will be shared in rotation with colleagues and involve an on-

off service commitment or a limited weekly activity. Clinical activities will be supported by members

of the junior medical staff from the Chest Centre, office accommodation and secretarial support will

be provided. Facilities for IT will be provided for you with access to the Hospital intranet and the

internet.

An illustrative job plan should the on-off service model be adopted is given below. It should be

emphasised that this is entirely open to negotiation and tailoring to the needs of your research

programme. You will be measured primarily on research outputs. Clinical service commitment will

both maintain your GMC accreditation and generate active research links with the clinical

department, consistent with the BMA guidance on academic medicine. The Trust recognises the

need for Continued Professional Development (CPD) and will support the appointee in applications

for leave and funding as needed for Continuing Medical Education (CME).

This job plan could be worked in rotation with other academic members of the Chest Centre staff. It

is expected that academics will contribute one-third of a full NHS consultant clinical service. The

total yearly out-patient requirement for this post will be to perform the equivalent of 1 clinic session

per week excluding annual and study leave entitlements. During ward rotations, you will take on

around 12-15 beds on the Respiratory wards (and a variable number of outlier patients on our linked

ward 16). You will be expected to provide twice weekly reviews of these patients as formal ward

rounds in addition to being available for intervention at other times when on service. The Aintree

Chest Centre provides a specialist respiratory medicine service for the Trust 24 hours a day, seven days

a week, you will be expected to contribute to this. Diagnostic bronchoscopy duties will be required to

be performed in rotation with other members of the Chest Centre senior staff.

You will be expected to participate in an on-call service for respiratory medicine. This is non-

resident but does require attendance to perform post-take ward rounds at weekends and on Bank

Holidays. This currently attracts 0.5 PA and will be within the 3% banding for on-call payments.

Specimen Job Plan when on service (10 PA job including on-call)

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Ward round

(UHA)

(0.75 PA)

Admin

(0.25 PA)

Bronchoscopy

(0.5 PA)

Or Admin (0.25

PA) and SPA

(0.25 PA)

SPA

(1.0 PA)

Ward round

(UHA)

(0.75 PA)

Admin

(0.25PA)

Clinical

Admin

(1.0 PA)

PM

General

Respiratory

Out-patient

Clinic

(UHA)

(1.0 PA)

SPA

(1 PA)

Clinical

Admin

(1.0 PA)

Sub-

speciality

Respiratory

Out-patient

Clinic

(UHA)

(1.0 PA)

Radiology

Meeting

(0.25 PA)

Chest Unit

Meeting (SPA

– 0.25 PA)

0.5 PA for out-of-hours on-call

Administrative details

1. You will work in an area which will require direct or social contact with patients. A system to control the risks is in place. Appointment will be subject to medical assessment by Occupational Health.

2. You may be required to handle pathogens or potentially infected specimens of unfixed human/animal tissue (including blood), although appropriate measures will be in place to control the risk. You may be offered appropriate immunisations and/or records of your work with infectious material/infectious micro-organisms may be kept. Appointment will be subject to medical assessment by Occupational Health.

3. The appointment will be subject to the condition that the person appointed shall not engage in remunerative private practice.

4. The Occupational Pension Scheme associated with this appointment is the Universities Superannuation Scheme (USS). Under the provisions of this scheme a member of staff currently contributes at a rate of 6.35% of his or her pensionable salary and the University such sum as may be required to maintain the full benefit of the scheme. Employees of the Faculty of Medicine who at the time of their appointment have been a member of the National Health Service Pension Scheme (NHSPS) in the previous 12 months, may apply to continue their membership of the NHSPS during their employment at the University.

5. Full particulars of the schemes can be obtained, on request, from the Director of Human Resources. 6. An acceptance of this appointment will be taken as an application to join USS or remain in NHSPS and have the appropriate contributions deducted from pensionable salary unless the Director of Human Resources expressly notified in writing either before commencing employment, within three months of that date or on expiry of three months notice, that the appointee intends to make his or her own pension arrangements.

7. Should the appointee decide to make his or her own personal pension arrangements, the University will not contribute to the personal arrangement. No other form of supplementation of pension benefits will be available from the University.

8. It may be possible for a newly appointed member of staff who has not been in USS to have his or her accrued benefits from his or her former pension scheme transferred to the USS. In such a case, USS will be asked to investigate a transfer payment and will provide, on actuarial advice, a proposal for a number of years' credit in USS which such payment would secure. The member of staff is at liberty either to accept this or elect to deal with his or her accrued benefits as determined by the rules of his or her former scheme.

9. The appointment is subject to retirement at the age of sixty-five and upon the basis of the Statutes, Ordinances and Regulations of the University for the time being. The terms of appointment will be in accordance with the Education Reform Act, 1988.

10. (a) The University will normally provide financial assistance to newly appointed members of staff (excluding research staff funded from outside sources) who are required to relocate within a reasonable distance of the University.

(b) Claims for relocation from any point in the British Isles In normal circumstances claims for reimbursement will not exceed; The full costs of removing furniture and personal effects to the new area; costs of storage incidental to the move will normally be met for a period not exceeding two weeks. The member of staff must personally obtain three written quotations from independent removal companies, if appropriate, or alternatively are permitted to submit claims for carrying out their own removal. The member of staff may choose any of the three companies, however the University will only reimburse the cost of the lowest quotation. The member of staff must submit a receipted invoice.

Any identified costs connected with the move up to a maximum of one month’s gross basic salary (as payable on commencing the appointment attracting eligibility to removal expenses) as specified in your letter of appointment or Statement of Terms and Conditions. Such other expenses may include legal fees, estate agents and surveyors fees, preliminary visits to the area to view prospective properties, stamp duty, fixtures and fittings etc. Storage costs for furniture and personal effects may be reimbursed beyond two weeks from within the one month’s gross basic sa lary claimable by the member of staff.

(c) Claims for relocation from Abroad Claims for reimbursement will be considered individually on their merits by the Director of Human Resources but will as far as possible be in line with the procedure set out in (b) above.

(d) In making a claim for removal expenses a member of staff must:- have received and accepted a written offer of employment with the University.

acknowledge that should the appointment not last for a period of three years, the University retains the right to reclaim all, or a proportion of the payment made.

Up to 6 months 100% reclaim Over 6 months up to 12 months 80% reclaim Over 12 months up to 18 months 60% reclaim Over 18 months up to 24 months 40% reclaim The requirement to repay removal expenses will be waived where a member of staff leaves before three years have expired through any change instigated by the University over which the individual has no direct control.

Any claims for relocation should normally be made within three years of taking up an appointment attracting eligibility for removal expenses.

11. This is a permanent post, but appointment will normally be for a probationary period of four years. Confirmation in appointment will be made at the end of this period provided that the Review Committee for the Faculty is satisfied that the appointee has fulfilled the criteria for confirmation. These criteria are:

that the appointee has applied himself or herself to research and the advancement of knowledge as shown by work completed or in an active state of preparation,

that he or she has satisfactorily undertaken such teaching and taken such part in University examinations as have been assigned, and

that he or she has performed such administrative duties within the department as have been assigned

The satisfactory undertaking of professional duties associated with the appointment will also be taken into account.

12. If the appointee has been confirmed in appointment at this University or another equivalent UK institution, no further probationary period would be required in this post. Relevant experience at this or another institution, without confirmation in appointment, may be taken into account when determining the length of the probationary period.

13. The University’s Learning and Teaching Strategy requires that all new probationary academic staff attend an Induction event, and undertake and complete the Certificate in Professional Studies in Learning and Teaching in Higher Education. Further details of the CPS can be obtained from Individuals may be exempted from all or part of the CPS, depending upon their qualifications and experience.

EMPLOYEE SPECIFICATION – Shortlisting Criteria

Post Title: Senior Lecturer (Clinical) in

Respiratory Medicine

Salary: £74,504 - £100,446 pa

Attributes

No.

Essential Criteria

(Identified from – Application form/CV/Supporting

Statement/Interview/References)

Desirable Criteria

(Identified from – Application form/CV/Supporting

Statement/Interview/References)

1. EXPERIENCE

1.1

1.2

1.3

MB ChB or equivalent

Doctorate (PhD or MD)

Certificate of Completion of Training (CCT) (or

equivalent for candidates outside the UK).

BSc

MRCP

2. EDUCATION

2.1

General internal medical training, CCT or equivalent

Tropical experience or interest in health issues

QUALIFICATIONS

TRAINING

2.2

2.3

2.4

Record of publishing original research in peer-

reviewed journals

Evidence of personal grant support for research

Experience of undergraduate and postgraduate

teaching

relating to the developing world

3. SKILLS, GENERAL

AND SPECIAL

KNOWLEDGE

3.1

3.3

3.4

Service experience appropriate to Consultant

Physician in Respiratory Medicine

Research interest related to pulmonary infection

Evidence of competence in the laboratory

IT skills

4. PERSONAL

ATTRIBUTES AND

CIRCUMSTANCES

4.1

4.2

4.3

Excellent communication skills (both written and

verbal).

Able to work well in a team

Excellent organisational-administrative skills