CONSULTANT PHYSICIAN WITH AN INTEREST IN GASTROENTEROLOGY (2 POSTS)

CLYDE SECTOR

INFORMATION PACK

REF: 43851D

CLOSING DATE: 9TH SEPTEMBER 2016

www.nhsggc.org.uk/medicaljobs

SUMMARY INFORMATION RELATING TO THIS POSITION

POST: CONSULTANT PHYSICIAN WITH AN INTEREST IN GASTROENTEROLOGY (2 POSTS)

BASE: CLYDE SECTOR

These posts for Consultant Physicians with an interest in Gastroenterology will be based at the Royal Alexandra Hospital (RAH) Paisley, five miles from the bustling West end of Glasgow and Inverclyde Royal Hospital, Greenock. The successful candidate will integrate into a team currently comprising seven Consultants to develop services within gastroenterology across Clyde. This will offer a real opportunity for the successful candidates to be involved in the development of a successful modern consultant led service for a population of around 400,000. Acute Hospitals within Clyde are part of a continual review of acute services aimed at maintaining and further developing high quality clinical care. Candidates are strongly encouraged to contact and visit the teams within Clyde, as listed below, in order to further explore the excellent opportunities available in more detail.

Applicants should have full GMC registration, a licence to practise, MRCP or equivalent and be eligible for inclusion on the Specialist Register. 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.

NHS Greater Glasgow & Clyde

Emergency Care and Medical Services – Clyde Sector

Consultant Physician with an interest in Gastroenterology

1. General Information

The 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 teaching DGHs in Scotland. In addition the hospital is currently the base for provision of surgical, orthopaedic, ophthalmology, paediatric and also 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. All departments participate in undergraduate teaching and there is an active postgraduate educational programme. The hospital enjoys an enviable reputation for undergraduate teaching and is highly popular with training grades. There is also a good medical library service.

Inverclyde Royal Hospital is a modern district general hospital in Greenock, and serves the Inverclyde District (Greenock, Gourock, Port Glasgow and Kilmacolm), parts of North Ayrshire, The Isle of Bute and the Cowal Peninsula, a total population of approximately 120,000 comprising both urban and rural populations. The hospital was opened in 1979 and currently has 342 beds.

All major specialties are represented within the hospital, with a 90-bedded Geriatric Hospital and an 8 bedded Physically Disabled Rehabilitation Unit. There is a dedicated hospital wide academic programme supported by a strong departmental educational commitment. The hospital is well provided with a dedicated education centre and IT support. The hospital has an excellent reputation in supporting and nurturing its junior staff and has an excellent reputation for post graduate training.

2. The Medical Unit

The Medical Unit at the Royal Alexandra Hospital has 209 beds. This includes an 18 bedded Coronary Care / Chest Pain Unit, a 30 bedded medical receiving ward and Medical Assessment Unit and evolving ambulatory care pathway. 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.

The Medical Unit at Inverclyde Royal consists of an Acute Medical Receiving Unit and three general medical wards totaling 116 beds and an 11 bedded Coronary Care Unit. The Medical Unit provides an acute service in general medicine with clinics in general medicine, diabetes & endocrinology, cardiology, rheumatology and respiratory medicine in addition to gastroenterology.

3. Workload of Adult Medicine (to year ending March 2012)Adult Medicine – Royal Alexandra/Vale of Leven Hospitals

Specialty Activity 2015/2016

General Medicine

Elective Inpatient Admission 539

Emergency Inpatients 22,510

Day Cases 331

Gastroenterology – Clyde

Activity 2015 / 16

New Referrals 4,394

New 4388

Returns 6,660

Endoscopy

Inpatients 695

Daycases 3,675

ERCP 300

Day cases / Inpatients 123

4. Consultant Staffing

Based at RAH there are currently 28 Consultant Physicians with special interests as detailed below:

Dr Iain Findlay CardiologyDr Stuart Hood CardiologyDr Clare Murphy Cardiology Dr Eileen Peat CardiologyDr Alastair Cormack Cardiology Dr Keith Robertson Cardiology Prof Martin McIntyre Diabetes and EndocrinologyDr Clare Harrow Diabetes and EndocrinologyDr Neil McGowan Diabetes and EndocrinologyDr Chris Smith Diabetes and EndocrinologyDr Graham Naismith GastroenterologyDr James McPeake GastroenterologyDr Riz Hamid GastroenterologyDr Mathis Heydtmann GastroenterologyDr Selina Lamont GastroenterologyDr Zia Mustafa GastroenterologyDr Laura Clark Gastroenterology Dr Lindsey McClure Respiratory MedicineDr Jane Gravil Respiratory MedicineDr Douglas Grieve Respiratory MedicineDr Yi Ling Respiratory MedicineDr Matthew Embley Respiratory Medicine Dr I Keith Acute Care PhysicianDr C Foster Acute Care PhysicianDr G Ray Acute Care PhysicianDr Hannah Simpson Acute Care Physician Dr G Roberts RheumatologistDr M Perry Rheumatologist

Based at IRH there are currently 14 consultants with specialty interests as detailed below:

25. Dr Andrew McCulloch Cardiology26. Dr Helen Papaconstantinou Cardiology27. Dr Omar Hasan (Locum) Cardiology28. Dr Christopher Jones Diabetes and Endocrinology29. Dr Mohammed Azharuddin Diabetes and Endocrinology30. Dr Louise Osborne Diabetes and Endocrinology31. Dr Mohammed Hamed (Locum) Gastroenterology32. Dr Abdalla Hassan (Locum) Gastroenterology 32. Dr David Marshall Rheumatology33. Dr Lisa Hutton Rheumatology34. Dr Laura Connell Rheumatology35. Dr Nma Campbell Rheumatology36. Dr Dave Sharma Respiratory37. Dr Angela Wright Respiratory

Junior StaffJunior staff are provided by Scotland Deanery, West Region training programmes, across all grades and a combination of staff grade doctors and clinical fellows.

RAH Middle Grade Doctors 29RAH Foundation 1 and 2 doctors 27IRH Middle Grade Doctors 14IRH Foundation Doctors 12

There are Specialist Nurses in Diabetes, Respiratory Medicine, Cardiac Rehabilitation, Cardiac Failure, Haemato-Oncology, D.V.T and Chest Pain management and Inflammatory Bowel Disease across Clyde.

6. Gastroenterology Services

There are 42 in-patient beds at Royal Alexandra Hospital provided across wards 27 and 14 for Gastroenterology and currently 10-15 in-patient beds at Inverclyde Royal.

Staffing for Gastroenterology services in Clyde will be 9 Consultant Physicians.

Nurse specialists in Inflammatory Bowel Disease (3), Hepatitis C (2), Liver Nurse Specialist (1) and Alcohol Liaison are already in post. An anorectal and oesophageal manometry service is provided by Surgical Nurse Specialists.

Day case and outpatient facilities include: Two endoscopy rooms in the Day Surgery unit at RAH, two rooms available at IRH. ERCP is carried out by two Physicians and one Surgeon, currently at both RAH an IRH. Outpatient services are provided on three Hospital sites, although the post holder would not be expected to work across three sites.

7. Acute Medical Services

The team of Consultant Physicians at the Royal Alexandra Hospital have responsibility for acute medical services mainly at the Royal Alexandra Hospital and also Inverclyde Royal Hospital; there is a managed responsibility for gastroenterology in-patients at Inverclyde Royal Hospital from the gastroenterology team.

7.1 Medical Assessment and Acute Receiving

GP referred medical patients are triaged from the Emergency Department to the Medical Assessment Unit at Royal Alexandra Hospital Monday to Sunday 10am to 10pm. All patients are reviewed by a senior doctor of whom 50% are discharged home. Patients requiring admission can be admitted to the relevant specialty bed direct from MAU. A re-design of front door assessment is currently underway on the RAH site in order to provide early specialist review and support ambulatory pathways of care.

Acute medical admissions are admitted to the Acute Medical Unit (ward 2) at the RAH, which is staffed by one of the consultants on a rotating ‘Physician of the Week’ basis Monday morning to Friday lunchtime and an Acute Care Physician. Patients are then triaged to the appropriate specialty wards if not for early discharge. Separate rotas are in place to cover weekend acute and continuing care.

Acute receiving at Inverclyde Royal is based upon a seven day, 24 hour rolling pattern with consultant presence supported by junior and middle grade staff and advanced nurse practitioners. The medical receiving unit accepts direct GP and ED referrals and is supported by junior and middle grade medical staff and more recently dedicated advanced nurse practitioners. The Inverclyde Hospital Site has consistently met the 4 hour waiting time standard over the last year.

7.2 Coronary Care Unit

Patients with acute myocardial infarction, acute coronary syndromes, arrhythmias or congestive cardiac failure at the RAH are admitted to the 12 bedded coronary care unit, staffed during the day by one of the consultant cardiologists on a rotational basis, supported by junior medical staff from the cardiology ward. IRH has an 11 bedded unit staffed during the day by consultant cardiology staff supported by middle grade trainees.

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. IRH has a combined HDU of 4 beds.

7.4 Junior Doctors out-of-hours

A Hospital @ Night service started at the RAH and IRH in August 2006. This is part of ongoing work addressing the impact of modernising Medical Careers and implementing plans to support the delivery of high quality sustainable services.

8. Medicine for the Elderly Service

Medicine 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 on a daily basis and arrange transfer to the Medicine for the Elderly Unit of those appropriate patients. A Stroke Unit Ward 4 is the stroke unit, which takes all age groups. The consultant staff at IRH are part of the acute receiving rota and also support the unit daily with the assistance of advanced nurse practitioners.

9. Management Arrangements

Emergency Care and Medical Services Directorate – Clyde Sector, consists of Emergency Medicine 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 Dr Lisa Hutton based at IRH/RAH. There are three Lead Clinicians for Medicine across Clyde: Dr Jane Gravil at RAH, Dr Martin Perry at VOL and Dr Louise Osbourne at Inverclyde Royal Hospital.

General Manager for Medicine in Clyde is Jacqueline Nicol, supported by Kirsty Orr, Clinical Service Manager RAH and Debbie Hardie, Clinical Service Manager, IRH

Summary of the Post

The appointee will provide consultant leadership in Gastroenterology.

10.2 Duties of the Post

Inpatient: Gastroenterology beds based at RAH. Gastroenterology beds based at IRH

Outpatient: Clyde, based at Royal Alexandra Hospital and Inverclyde Royal Hospital.

Endoscopy: Clyde, based at Royal Alexandra Hospital and Inverclyde Royal Hospital.

Suggested 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.

Duty PAs

Outpatient Clinics (x2) 2.0

Endoscopy List (x2)Ward Rounds/Referrals (x 2)MDT/Admin Admin

2.0 2.0 1.0 1.0

Out of Hours Work 1.0

Total DCC

9.0

SPA 1.0

TOTAL 10

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

10.4 On call duties

The requirement for on-call including general medical commitments will be agreed amongst the Gastroenterology team.

10.5 Support staffThere is secretarial support for the consultant appointments.

10.6 Specialty InterestsThe unit will try and support the candidate in development of any specialty interest or technique in which they wish to participate.

11. Postgraduate and Undergraduate TrainingBoth units have 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 at RAH and Dr Manfred Staber at IRH.

The Medical Units teach a number of medical students from Glasgow University. As part of the new curriculum teaching of years one to five is becoming established.

12. Further information

Candidates are strongly urged to make contact for further information and to arrange a visit to the department,

Please contact:

Dr Chris Jones Chief of Medicine, Clyde Acute Hospitals, (via secretary, 01475 504501)

Dr Lisa Hutton Clinical Director, Clyde Medicine, Secretary, 01475 504768

Dr Jane Gravil Lead Clinician, Medical Unit, RAH, 0141 314 7444

Dr G Naismith Consultant Physician / Gastroenterologist, Medical Unit, RAH, 0141 887 9776

PERSON SPECIFICATION

ESSENTIAL DESIRABLE

QUALIFICATIONS Applicants should have full GMC registration, a licence to practise, MRCP or equivalent and eligibility for inclusion on the Specialist Register. 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.

CLINICAL EXPERIENCE

Clinical training and experience equivalent to that required for gaining UK CCT in General Internal Medicine and Gastroenterology.Ability to offer expert clinical opinion on a range of gastrointestinal problems.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 GI service.Ability to organise and manage ward patients, outpatient priorities and endoscopy lists.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.

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 Permanent

GRADE AND SALARY Consultant

£ 77,529 - £104, 525 per 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 Time 40.00

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: www.sppa.gov.uk

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 SCOTLANDThis 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

For further information on NHS Greater Glasgow and Clyde, please visit our website on www.show.scot.nhs.uk

View all our vacancies at: www.nhsggc.org.uk/medicaljobs

Register for Job Alerts at: www.medicaljobs.scot.nhs.uk

Applicants wishing further information about the post are invited to contact Dr Chris Jones on 01475 504501 or Dr Jane Gravil on 0141 314 7444 or Dr Graham Naismith on 0141 887 9776 with whom visiting arrangements can also be made.

HOW TO APPLY

To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration 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.

is respect for we may otherwise have to invite you to submit another name or names

RETURN OF APPLICATIONS

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

Medical and Dental Recruitment TeamNHS Greater Glasgow and ClydeRecruitment Services, 1st FloorModular Building, Gartnavel Royal Hospital1055 Great Western RoadGLASGOWG12 0XH

CLOSING DATE

The closing date will be 9th September 2016

INTERVIEW DATE

The interview date will be 21st September 2016

Important Information - We are on the Move

The Recruitment Service is relocating on Wednesday 24 th August 2016.

We will plan the move ensuring minimum disruption to our service. However, there will be a period during the changeover day on Wednesday 24 th August 2016, that the Recruitment Service may not be accessible by phone or email. We will endeavour to ensure that this is for as short a period as possible and expect that by mid/late PM on the day of the move to be operational.

There will be No change to our telephone or email addresses

Please ensure that you take a note of our new address for any future correspondence and to visit the Recruitment Department.

NHS Greater Glasgow and Clyde Recruitment Service West Glasgow ACH (formerly Yorkhill) 2nd FloorDalnair Street, Yorkhill, G3 8SJ

We appreciate your patience at this time and look forward to welcoming you to our new location.