CONSULTANT IN EMERGENCY MEDICINE
SOUTHERN GENERAL HOSPITAL
INFORMATION PACK
REF: 32456D
CLOSING DATE: NOON ON 11TH APRIL 2014 www.nhsggc.org.uk/medicaljobs SUMMARY INFORMATION
POST: CONSULTANT IN EMERGENCY MEDICINE
BASE: SOUTHERN GENERAL HOSPITAL
Applications are invited for the above post as Consultant in Emergency Medicine within the Southern General Hospital. This post represents an exciting opportunity to support our established team of Consultants in Emergency Medicine, providing senior care and leadership in the Southern General Hospital Emergency Department and working towards the New South Glasgow Hospital in 2015. It is expected that the successful applicants will have a high clinical profile with the drive and initiative to achieve and sustain the highest standards of emergency medical care.
Applicants must have full registration with the General Medical Council, a licence to practice and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher Specialist Training leading to a CCT in Emergency Medicine or eligibility for specialist registration (CESR) or be within six months of confirmed entry at the date of interview. Non UK applicants must demonstrate equivalent training and have some experience of working in the NHS. NHS Greater Glasgow and Clyde
Emergency Care and Medical Services Directorate
Information pack - for the post of
Consultant in Emergency Medicine Glasgow Southern General Hospital
GLASGOW – A GREAT PLACE TO LIVE AND WORK
Today Glasgow is a compact, vibrant and modern city. In fact Glasgow’s scale comes as a surprise to some people. It has the largest suburban rail network outside London and is second only to the UK Capital as a retail centre.
There are top-ranking schools, excellent leisure facilities, beautiful golf courses and elegant accommodation across all price ranges.
The night life and restaurants are renowned and its opera, theatres, art galleries and museums offer plenty of cultural stimulation. Greater Glasgow and Clyde Valley are one of the world’s most thrilling and beautiful destinations.
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.
What’s more, we are easily accessible by air; rail and road so getting here could not be easier. From Glasgow, the West of Scotland’s jewels are within easy reach. Loch Lomond is just 45 minutes drive, a little further to the Argyll peninsula – or over the sea to Arran, Skye, Iona and Mull GREATER GLASGOW & CLYDE ACUTE SERVICES DIVISION
The Acute Operating Division is the largest group of adult acute hospitals in Scotland – offering many opportunities to ensure job satisfaction and career development.
Glasgow Acute Services Clyde Acute Services 15 Hospitals 3 Hospitals 4,700 beds 1,100 beds £980m income £250m income 19,500 wte staff 7,000 wte staff
The Divisional Management Offices are situated within the Management Building, Southern General Hospital, 1345 Govan Road, Glasgow, G51 4TF.
The Division operates a No Smoking Policy within its premises.
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 eight Directorates of clinical services each managed by a Director and clinical management team along with a Facilities Directorate. These are:
Emergency Care and Medical Services Surgery and Anaesthetics Rehabilitation and Assessment Diagnostics Regional Services Women’s and Children’s Services Oral Health Clyde Facilities In the Emergency Care and Medical Services, Surgery and Anaesthetics and Facilities directorates the General Managers combine a city wide role with a local sectoral role for one of three sectors in the city – north and east, west and south.
Health services in Glasgow are on the verge of dramatic and exciting change, brought about by the recently approved Acute Services Review [now termed the 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 Stobhill Hospital 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 Royal Hospital for Sick Children, Yorkhill.
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 next to the current Victoria Infirmary. This state-of-the-art facility opened in 2009. It houses the main out-patient centre and day surgery service and Minor Injury 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 Hospital Modernisation Programme. The new south-side hospital will be home to one of two Emergency Medicine and Major Trauma Units covering the whole of the city. The new south side hospital is planned to open in approximately 2015.
As already stated services for children are currently provided centrally from the Royal Hospital for Sick Children, Yorkhill. However, the children’s hospital will also relocate from Yorkhill to a new £100 million building on the Southern General Hospitals site over the next three 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.
With an annual budget of one billion pounds this is a particularly exciting time to be joining Greater Glasgow’s Health Service. Over the next decade there is planned investment of more than £750 million, this is the largest single investment programme in the history of Scotland’s NHS – giving the North and South Hospitals accommodation for 21st Century health care.
Emergency Care and Medical Services
The specialties included in this Directorate are: Emergency Medicine 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. Acute medicine is managed by general managers on a sector basis with a lead strategic role for a citywide specialty.
Full adult Emergency medicine services are provided at the Western Infirmary, Glasgow Royal Infirmary, the Victoria Infirmary and the Southern General Hospital. There are two stand-alone Minor Injury Units, one in each of the ambulatory care hospital at Stobhill and the new Victoria.
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 counselling 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 Easy access to city centre shopping facilities 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
Southern General Hospital 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 Emergency Medicine, 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.
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. 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. 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. Description of the Department
The Emergency Department of the Southern General Hospital has approximately 50000 new patient attendances. An active shop floor consultant presence is maintained as is the importance of high quality training in Emergency medicine. The Emergency Department provides a full 24 hour a day 7 day a week service for all 999 ambulance patients and patients who self present. This provides the medical staff with a very broad range of clinical practice which includes acute general medicine, cardiology, surgical emergencies, major trauma, orthopaedic surgery, ophthalmology, ENT, paediatric medicine and surgery, psychiatric care and a small percentage of primary care patients.
In addition to the Emergency Department patients, GP referrals to, surgery and orthopaedics are reviewed by the respective receiving teams in the Emergency Department. When these patients require resuscitation or immediate attention, the Emergency Department medical staff initiates initial treatment. There is a “single pile” working arrangement for all general medical presentations including GP referrals.
The Emergency Department consultant rota has recently been extensively revised to comply with the new consultant contract, extend consultant shop floor presence and foster closer working between the two departments at the Victoria and Southern General in preparation for the eventual amalgamation of the Victoria Infirmary and Southern General teams once the new SGH is open. Ultimately the directorate is moving towards the plans laid down in the GGHB Acute services review, when Emergency Medicine Services will be delivered from two minor injury units and one large Emergency Department on the Southern General site. Both departments have a number of Emergency Nurse Practitioners who provide Minor Injury Services. In addition all consultants employed within the Emergency department of the Southern General Hospital participate in the EMRS retrieval service.
Description of post – Southern General Hospital
Title: Consultant in Emergency Medicine
Relationships:
Name Base Consultant (Lead) Dr M Gordon Southern General Consultant Dr Phil Munro Southern General Consultant Dr J Long Southern General Consultant Dr P Davis (MOD) Southern General Consultant Dr C McKiernan Southern General Consultant Dr N Littlewood Southern General Consultant Dr S Ahmad Southern General Consultant Dr F Denny Southern General Consultant Dr T Parke Southern General Consultant This Post Southern General Specialty Doctor Dr K McKillop Southern General Specialty Doctor Dr N Duncan Southern General
Numbers and grades of existing Medical Staff
Grade of Doctor Southern General Specialty Doctor 2 Specialist Trainee 3 GP trainees 4 FTSTA 1 FY2 2
Duties of the Post
Clinical Commitments
The post holder will be based at Southern General Hospital in the first instance where their main clinical activity will take place.
These posts will enable a consultant presence within the department from 0800 until 2300 Monday to Friday and 0900 to 2100 alternate weekends. The on-call commitment on weekdays overnight would be expected to be 1 in 8 with prospective cover. A proportion of weekends will have double consultant cover during the day to replace middle grade staff. Weekend commitment would be a maximum 1 in 4 equivalent with at least 50% of weekends double consultant cover.
A key priority for the successful applicant will be assisting colleagues provide a safe level of senior supervision within the department whilst working with the senior team to achieve and sustain the Scottish Government National Unscheduled Care 4 hour Target for emergency care settings.
Administration The Consultant will undertake the administrative duties associated with the care of his/her patients and the running of his/her clinical department. In addition, the general administration workload of the directorate is divided between all consultants under the direction of the Lead Clinician and Clinical Director. This includes such participation in committees and working groups convened by the Division, health board and other NHS bodies as required - within the provision of the time available within the job plan. In addition to the duties mentioned above, clinical duties at other hospitals administered by the Board may be necessary.
Job Plan
The appointment is contracted as 10 Programmed Activities comprising 9 Direct Clinical Care sessions and 1 SPA. Consultant cover is already provided from 0800 to 23:00 Monday to Friday. 1 DCC for flexibility and unpredictable work on call.
Indicative Job Plan as below
Indicative Job plan
Mon Tues Wed Thurs Fri Sat Sun
1 1600-2300 0900-1700 1600-2300 0900-1800 0900-1800 ( On-call) + on-call +on call + on call
2 0800-1600 0800-1600 1600-2300
(On-call )
3 0800-1600 1200-2000 1600-2300
( On-call )
4 0830-1630 1600-2300 1200-2000 0830-1630 (Clinic) (on call) (Clinic) 5 Study Study 0800-1630 0900-1700 1200-2100 1200- Leave leave (Clinic) 2100
6 L E A V E
7 0830-1630 1200-2000 0800-1600
8 1200-2000 0830-1630 0830-1630 0800-1600
'Moving into the future this work pattern may change and a consultant presence may be required 24 hours 7 days per week. This will be part of the regular job plan and will be remunerated at the premium rate in the consultants contract (time and a third) or the PA's affected from 4 hours to 3 hours as per the 2004 Consultant Contract'
Arrangements to Visit the Department
Contact Mr M Gordon Lead Consultant in Emergency Medicine or Dr P Munro Consultant in Emergency Medicine (Tel: 0141 201 1455).
PERSON SPECIFICATION CONSULTANT IN EMERGENCY MEDICINE (REF: 32456D)
CONSULTANT IN ESSENTIAL DESIRABLE EMERGENCY MEDICINE Requirements necessary for safe effective Where available, elements that REQUIREMENTS performance in the job contribute to improved, immediate performance in the job
Qualifications and Training . FCEM or equivalent . APLS / ALS / ATLS . Applicants must have full GMC registration, instructor or other a licence to practice and be eligible for teaching qualification inclusion in the GMC 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 the date of interview. Non-UK applicants must demonstrate equivalent training.
. Evidence of participation in annual appraisal and revalidation . Clinical Specialty Skills . Demonstrates competence in the Additional clinical skills management of full range of Emergency relevant to advancing Medicine presentations ED care
. . Skills, knowledge and aptitude Evidence of working in a multi-disciplinary Management training team (e.g. communication or . Ability to organise and prioritise complex organisations skills, proven work demands record) . Evidence of teaching and training skills for junior doctors . Effective communication skills
. IT skills . . Experience Broad experience of Emergency Medicine Evidence of . Evidence of active involvement in recent participation in relevant relevant clinical audit research . Evidence of research . Experience of Major Incident Management publications
. Evidence of innovative service developments . Commitment to good team working and Personal Skills relationships . Ability to provide clinical leadership to the multidisciplinary team . Enthusiastic and ability to work under pressure . Supportive and tolerant . Caring attitude to patients
. High quality written and spoken English language skills
Special Requirements . Flexibility to respond to changing service needs
. Willingness to have regular programmed activities out with current NHSiS normal working hours for consultants 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 £ 75,249 £ 101,451 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 who are requested to attend an interview will be given assistance CANDIDATES FOR with appropriate travelling expenses. Re-imbursement shall not normally be APPOINTMENT 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.
This post is considered to be in the category of “Regulated Work” and DISCLOSURE SCOTLAND therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.
CONFIRMATION OF NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ELIGIBILITY TO WORK IN ensure that it’s employees, both EEA and non EEA nationals, are legally THE UK 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 The rehabilitation of Offenders act 1974 allows people who have been OFFENDERS ACT 1974 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. P. Munro or Mr. M Gordon on 0141 201 1455 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.
RETURN OF APPLICATIONS
Please return your application by email to [email protected] or to the recruitment address below;
Medical and Dental Recruitment Team NHS Greater Glasgow and Clyde Recruitment Services, 1st Floor Modular Building, Gartnavel Royal Hospital 1055 Great Western Road GLASGOW G12 0XH
CLOSING DATE
The closing Date will be Noon on 11th April 2014
INTERVIEW DATE
The interview date will be 9th May 2014