Aero Medical Retrieval Medicine

SENIOR CLINICAL FELLOWSHIPS AERO MEDICAL RETRIEVAL MEDICINE

MEDICAL RETRIEVAL SERVICE

INFORMATION PACK

REF: 35525D

CLOSING DATE: NOON ON 19TH DECEMBER 2014 www.nhsggc.org.uk/medicaljobs As you may be aware, the new South Glasgow University Hospital and new Royal Hospital for Sick Children are due to open on the current Southern site early in 2015.

With this in mind, please note that positions based within the Victoria Infirmary, Mansionhouse Unit, the Western Infirmary and the current Royal Hospital for Sick Children at Yorkhill will change location and move to the new hospitals.

Gartnavel General Hospital and Glasgow Royal Infirmary will also have some services affected by moves to the new Hospitals.

These changes mean your base may change after joining us and you will be informed as soon as possible prior to any change of base.

SUMMARY INFORMATION RELATING TO THIS POSITION

POST: SENIOR CLINICAL FELLOWSHIPS AERO MEDICAL RETRIEVAL MEDICINE

BASE: MEDICAL RETRIEVAL SERVICE

The Emergency Medical Retrieval Service (EMRS) is seeking to recruit doctors within three years or following the recent award of their CCT in emergency medicine, anaesthesia, or intensive care medicine. Two full-time posts of 6 months duration are available to start in August 2015 and two in February 2016. Candidates must have at least 6 months experience in anaesthesia.

The EMRS is a consultant-delivered aero-medical retrieval service unique in the UK, providing critical care to remote and rural Scotland. The service also performs primary pre-hospital missions by air and road. Missions are commonly time-critical and are clinically and personally demanding.

Successful applicants will receive full induction to the service and appropriate training prior to commencing active duties.

To practice medicine in the UK you need to hold both GMC registration and a license to practice. EMERGENCY MEDICAL RETRIEVAL SERVICE

Clinical Fellow in Aero-medical Retrieval

Job description and person specification Introduction

The Emergency Medical Retrieval Service (EMRS) is delivered by twenty-seven consultants in anaesthesia, intensive care and emergency medicine from Glasgow, Ayrshire, Lanarkshire, Dundee and Edinburgh. They contribute to the rota on a part- time basis. These consultants are accompanied by second team member: a critical care practitioner, senior trainee, or recently accredited doctor in emergency medicine, anaesthetics, or intensive care medicine.

The aim of the EMRS is to bring the resuscitation room to the patient, providing rapid access to critical care interventions and safe transfer of critically ill or injured patients to definitive care. The EMRS works in close co-operation with the air wing of the Scottish Ambulance Service and is deployed on the ambulance service EC135 helicopter and King Air fixed wing aircraft based in Glasgow. The team also works with the Royal Navy Search and Rescue aircraft based at Prestwick. Flight paramedics from the ambulance service are seen as an integral part of the retrieval team. In addition, the service performs pre-hospital ‘primary’ missions (e.g. attending road traffic collisions) with the SAS helicopter emergency medical service (HEMS) and trauma car with whom we are co-located at the SECC helipad.

The service is staffed 0800 to 1800 hours seven days a week with two on-site duty teams. Out with these hours the duty doctors are on-call with a 30 minute service response time.

The EMRS aims to develop a managed clinical network for emergency care in rural health care facilities. Integral to that are rural hospital staff training, audit, research and telemedicine advice.

Integral to the operation and long term development of the EMRS is the involvement of trainee doctors in the service. Trainees will be given the opportunity to get involved in audit and research.

Hours of work

Usual hours 0800-1800 in base then oncall until 0800 following day. Non-clinical duties are deliberately flexible and fitted in around clinical duty time. Nightime tasking mainly occurs for secondary missions.

Location of duties

When on EMRS duties, trainees will be based at the EMRS base located on the Bond helicopter base in Glasgow. When on clinical day time duties trainees will be based on site from 0800 to 1800 hours. Trainees will be expected to participate in the out of hours on call rota and, when on call, to be available to attend the base at no longer than 30 minutes notice. Supervision

One of the EMRS consultants, Dr Nicola Littlewood, has overall responsibility for trainee induction, education and training. After completion of helicopter underwater escape training (HUET) and some time spent with the SAR aircraft, a short induction to operational duties is carried out. This will be followed by a ‘test of knowledge’ at six weeks which evaluates familiarity with standard operating procedures with a particular emphasis on safety. All operational duties are conducted with an EMRS consultant.

Training opportunities

Educational and competency objectives for fulltime trainees are set out in a comprehensive curriculum which has been adopted by the RCA. Resources for achieving these objectives are specified within the curriculum and include one to one teaching from consultants both on base and on missions, structured mission debriefs, a library of relevant texts, web-based resources, and support for study leave. Trainees are encouraged to do the GNAAS PHA course and there are local courses run specifically on secondary retrieval scenarios. Registrars will get involved in the fully immersive simulation at Scotland’s Fire and Rescue training centre (UAILL) in Cambuslang in addition to regular scenario training at the base.

Domains in the curriculum include:

 Transfer and retrieval medicine  Critical care  Pre-hospital care  Non-technical skills (‘crew resource management’)  HEMS crewmember/medical passenger skills  Major incident management  Governance  Administration and management  Teaching  Audit/research/evidence-based medicine.

Trainees are encouraged to sit the Diploma in Immediate Medical Care offered by faculty of pre-hospital care of the Royal College of surgeons of Edinburgh (Dip IMC). EMRS has been instrumental in creating the Diploma in Retrieval and Transfer Medicine and registrars are welcome to sit this also after an appropriate period with the service. Person specification:

Job title: Senior Clinical Fellow in Aero-medical retrieval ESSENTIAL DESIRABLE Experience in pre-hospital care or transfer/retrieval medicine. Currently enrolled in a training programme in anaesthesia/emergency medicine/intensive care More than 6 months experience in Experience medicine and within three years of obtaining the CCT. anaesthesia. Applicants should have no less than 6 months Experience in intensive care experience in anaesthesia. medicine and/or emergency medicine according to base specialty.

MBChB or equivalent. Undergraduate Merits or relevant Registered with GMC and a licence to Practise 2nd degree Qualifications FRCA/MCEM or equivalent Additional training in teaching and training techniques At the time of application, to have successfully completed at least two of the following certificates: PHEC/MIMMS/HMIMMS ATLS / ALS / PALS / APLS / EPLS Diploma in Immediate Medical Care

Demonstration of active involvement in design and Evidence of participation in relevant Research and running of relevant clinical audit and/or research. research. audit Experience of presenting case reports, audit or Audit or research publications research results.

Understanding of the pathophysiology of acute illness and injury. Advanced competence in a range of clinical procedures. Knowledge Competent (under supervision) in advanced airway and skills management. Interest in NHS organisational and Competent to establish invasive cardiovascular management issues monitoring, tube throacostomies under supervision.

Ability to work as part of a multi- disciplinary team in the retrieval/pre- Ability to cope with stressful situations and undertake hospital environment. responsibility. Displays insight into the non- Good communication and organisational skills. technical skills essential for safe and Disposition Evidence of logical career progression and effective EMRS operations. commitment to specialty. Leadership qualities. Ability to organise ones own learning and have Evidence of insight into primary care initiative. and the challenges faced bv isolated practices.

Other Prepared to visit rural hospitals for teaching purposes. Good information technology skills. Prepared to undertake helicopter underwater escape training. Flexibility in working patterns necessitated by the unpredictable nature of EMRS operations. Evidence of Hepatitis B immune status Pre-employment health screening 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 Fixed Term

GRADE AND SALARY Senior Clinical Fellow £ 30,302 - £ 47,647 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 48.00

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 one 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. Nicola Littlewood 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 19th December 2014