Medicine for the Elderly

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Medicine for the Elderly

CONSULTANT MEDICINE FOR THE ELDERLY

ROYAL ALEXANDRA HOSPITAL

INFORMATION PACK

REF: 35793D

CLOSING DATE: NOON 16TH JANUARY 2015 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: CONSULTANT – MEDICINE FOR THE ELDERLY

BASE: ROYAL ALEXANDRA HOSPITAL

This is an exciting opportunity to join a team of Consultants providing Medicine for the Elderly services across the Renfrewshire and East Renfrewshire catchment areas. Based at the Royal Alexandra Hospital you will work with 6 other Consultants to provide a comprehensive Older Peoples Service. This post will have a specific role on the management of Orthogeriatric cases and support the development of a new needs-led service for Older Acute Medical Admissions. There is flexibility to accommodate the interests of applicants with opportunities for development.

Applicants must have full GMC registration and a licence to Practice. Those trained in the UK should have evidence of higher Specialist Training leading to a CCT in Geriatric 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. ACUTE SERVICES DIVISION

Rehabilitation & Assessment Directorate

ROYAL ALEXANDRA HOSPITAL PAISLEY

INFORMATION PACK

FOR THE POST OF

CONSULTANT IN MEDICINE FOR THE ELDERLY

1. GLASGOW – A GREAT PLACE TO LIVE AND WORK

Greater Glasgow and the Clyde Valley is one of the world’s most - thrilling and beautiful destinations. There is a wealth of attractions to discover, with the UK’s finest Victorian architecture, internationally acclaimed museums and galleries, and Glasgow’s own unique atmosphere.

Glasgow is one of Europe’s top cultural capitals with a year-long calendar of festivals and special events - all located within a stone’s throw of some of the country’s finest parks and gardens. The area also stands at the gateway to some of Scotland’s most spectacular scenery, with Loch Lomond and the Trossachs only 40 minutes away.

What’s more, we are easily accessible by air; rail and road, with excellent local transport links.

2. THE HOSPITAL MODERNISATION PROGRAMME THE SERVICES OF TOMORROW Health services in Glasgow are in the midst of dramatic and exciting change, brought about by the Hospital Modernisation Programme. This ten-year £700 million strategy sees 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 five 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 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. Full adult Accident and Emergency services are provided at the Western Infirmary, Glasgow Royal Infirmary, the Victoria Infirmary and the Southern General Hospital.

The Hospital Modernisation Programme ensures 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.

Ambulatory care centres for the south side of the city are in the new Victoria, a purpose- built hospital next to the current Victoria Infirmary. This state-of-the-art facility opened in 2008. It houses the main out- patient centre and day surgery service for the south side of the city. In-patient services will be concentrated in a new £235 million south- side hospital being 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 Strategy. The new south-side hospital will be home to one of two Accident and Emergency and Major Trauma Units covering the whole of the city. The new south side hospital is planned to open mid 2015.

The children’s hospital will also relocate from Yorkhill to a new £100 million building on the Southern General Hospitals site in 2015 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 doctor’s 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. 3. GREATER GLASGOW & CLYDE ACUTE SERVICES DIVISION

8 Hospitals 5,800 beds 26,500 wte staff 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 six 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 Facilities

In the Emergency Care and Medical Services, Surgery and Anaesthetics and Facilities directorates the General Managers will combine a city wide role with a local sectoral role for one of three sectors in the city – north and east, west and south.

Emergency Care and Medical Services The specialties included in this Directorate are: Accident and Emergency services 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.

Surgery and Anaesthetics This Directorate includes: General Surgery – including vascular and breast surgery Orthopaedics / trauma

Anaesthetics – including critical care [with the exception of Coronary care]

Ophthalmology

Optometry

ENT Surgery

Audiology

Endoscopy

Urology

The smaller surgical specialties of ophthalmology, urology and ENT surgery have a single citywide general management structure. In each of the larger surgical specialties, in addition to a pan Glasgow structure, there will be sector-based general management

Rehabilitation and Assessment Directorate The Rehabilitation and Assessment Directorate brings together the management of services that have strong inter-relationships to related CHCPs.

The Directorate manages the following services: Stroke Frail elderly Palliative Care Inpatient Physically Disabled West of Scotland Mobility and Rehabilitation Centre (Westmarc) Physiotherapy Dietetics Speech and Language Therapy Rehabilitation

In addition, the Directorate will manage a range of community services including palliative care, a number of specialist community disability services, pain services, continence, services to care homes and falls prevention.

Regional Services

This Directorate includes:

Neuro-sciences [including all sub-specialties except neuro- Radiology and neuropathology] Specialist Oncology services [including haemato-oncology] Plastic Surgery and Burns Cardiothoracic Surgery Renal Transplantation Oral and Maxilofacial surgery Homeopathy

Diagnostics Directorate This Directorate includes:

All Laboratory Medicine including Paediatrics Diagnostic imaging [including Beatson radiological services and Paediatric Radiology] Vascular and Interventional Radiology Breast Screening services

Women and Children’s Services This Directorate brings together maternity, gynaecology and children’s services. The Directorate includes: Obstetrics Gynaecology Neonatology Paediatric Medicine Paediatric Surgery Paediatric Accident and Emergency Paediatric Anaesthetics

Facilities Directorate

This Directorate includes:

Site maintenance for both acute and CHCP facilities Hotel services Laundry TSSU Supplies Transport Catering Telecommunications Waste management

1. WORK OF THE DEPARTMENT OF MEDICINE FOR THE ELDERLY The Department of Medicine for the Elderly (DME) Service in the Royal Alexandra Hospital (RAH) delivers all its in-patient services on the hospital site. There are however close links with the Vale of Leven Service (VoL), particularly with an integrated stroke care pathway

Interface with General Medicine A daily visit to the Medical Admissions unit is undertaken to review patients identified at the post-receiving round by General Physicians using agreed criteria. Direct transfers from there to Medicine for the Elderly beds takes place dependent upon bed availability. Regular liaison visits to medical wards are undertaken to ensure appropriate patients are transferred to Medicine for the Elderly beds later in the course of admission. Patients are admitted to RAH from the VoL service according to agreed criteria - generally the more medically unstable patients and all stroke patients (except those needing thrombolysis who go to the Western Infirmary, Glasgow) The group of medical patients who remain in the VoL are cared for under the supervision of a ‘Physician of the week’ rotating from RAH. Medicine for the Elderly Consultants triage patients on a daily basis for transfer to their wards. Trauma admissions are admitted to RAH and when appropriate older patients transferred directly back to Ward 15 in VoL for further geriatric-orthopaedic rehabilitation under the care of the Geriatrician.

Currently some Medicine for the Elderly patients admitted to RAH are not fit to return to VoL and are transferred to the Medicine for the Elderly service at RAH. Appropriate patients may be transferred directly from medical wards to VoL Medicine for the Elderly beds.

Stroke Service (patients of all ages) Beds for stroke patients (approx 25) are part of a 30 bedded Medicine for the Elderly ward. Work is ongoing to ensure direct admissions from A&E and early transfer to the Stroke Unit. There are approximately 399 admissions to the stoke unit per year.

Thrombolysis for patients from the RAH catchment area is delivered by the South Glasgow Stroke Service and patients repatriated thereafter. Rapid access TIA clinics are undertaken, with the number of clinics required to achieve national performance targets recently being agreed following review. There is a neurology liaison service in Royal Alexandra Hospital and Inverclyde Royal Hospital and a new member of that team has a special interest in Stroke Medicine. The Stroke service is represented on the Greater Glasgow & Clyde Stroke Managed Clinical Network.

Geriatric Orthopaedic Service Currently orthogeriatric medical care in the Royal Alexandra Hospital is provided by two physicians (Dr Wilkieson and this post) supported by a specialty Doctor. Dr Kanthi visits to review patients from the Vale of Leven area. There are both inpatient and community rehabilitation teams and links to care homes through the Gerontology Nurse Specialist with an interest in Orthogeriatrics. There is a fast track service where patients with a Fractured Hip can be transferred directly to the Geriatric Orthopaedic Unit either in the Royal Alexandra hospital or Vale of Leven Hospital as appropriate according to certain criteria. There are also over 300 liaison visits per year. There is a weekly multidisciplinary team meeting in orthopaedics. The Department of Medicine for the Elderly is strongly supported by Orthopaedics and has 22 dedicated beds in ward 3 which provide orthogeriatric rehabilitation

Day Hospital A 5 day services is provided, supported by a Specialty Doctor. The recent development of Community work and the introduction of rapid access clinic slots has been part of a review of the Day Hospital service as an alternative to admission to hospital with comprehensive geriatric assessment being lead by a Consultant Geriatrician.

Outpatient Clinics Specialist clinics are available, for Stroke, Movement Disorders and Falls.

Community Geriatric Medicine Community Geriatric Medicine was established in 2006 under the auspices of the Joint Planning Group. One geriatrician currently supports the Joint Planning Group. There are clinical links between geriatricians and the Gerontology Nurse Specialists, Parkinson’s Nurse Specialist, Rehab and Enablement Team and Interface Pharmacy. Further developments are proposed around this area.

Bed Numbers Ward 3 30 beds GORU (22) & Assessment/Rehabilitation (8)

Ward 4 30 beds Stroke (25) & Assessment/Rehabilitation (5)

Ward 5 30 beds Assessment/ Rehabilitation

Ward 6 12 beds Older Peoples Assessment Unit

Ward 7 30 beds Assessment/ Rehabilitation

Ward 36 28 beds NHS Continuing Care and Interim Care

Currently there at are 354 admissions to Wards 3 and 890 admissions to 5 and 7 per year with an average length of stay of 13-14 days. 2. THE POST

(a) Title: Consultant Physician in Medicine for the Elderly

(b) Relationships:

(I) Rehabilitation and Assessment Directorate Director: Mrs M Farrell Associate Medical Director Prof Paul Knight General Manager (Clyde): Mr J Kennedy Lead Clinician (Clyde) Dr H Slavin (Stroke) Dr L.Erwin (DME RAH /VOL)

(ii) Names of Consultant members of the Department:

Consultant: Special Interest: Dr L. Erwin Stroke / Medicine for the Elderly Dr G. Simpson Movement Disorder Dr H. Slavin Stroke / Medicine for the Elderly Dr C. Wilkieson Falls and orthogeriatric medicine Dr J Murtagh Movement Disorder / Community Dr O Lucie Community / Medicine for the Elderly Dr D. Mack Vale of Leven /Movement Disorder Dr K. Kanthi Vale of Leven/GORU/Falls/Syncope

(iii) Support Grades

Please complete Specialty Doctors 2 = 17 sessions

FY2 5

GPST 3

CMT 1

(c) Duties of the Post:

(i) The postholder will be expected to work with local managers and professional colleagues in the efficient running of the service. Subject to the provisions of the terms and conditions of Service, the postholder is expected to observe NHS Greater Glasgow and Clyde’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of the Health Board.

(ii) The postholder will be expected to ensure that there are adequate arrangements for hospital staff involved in the care of patients to be able to make contact with the postholder when necessary.

(iii) The postholder is required to comply with GG&C Health and Safety Policies.

(iii) Clinical

 The post is open to candidates who may wish to contribute to both the development of Orthopaedic Care and a Geriatric Service. The clinical duties described will depend upon final agreement of the job plan.  Needs-led acute receiving for older people in the Royal Alexandra Hospital. Weekend cover to receiving is provided by the on-call Consultant 1:8 This is on call for the service which includes input to medical receiving and covering the Rehabilitation and Assessment beds ( Stroke and Medicine for the Elderly)  Liaison and advice for appropriate older patients in medical wards.  Care of assessment and rehabilitation patients in the Medicine for the Elderly beds  Assessment and review of patients attending Day Hospital which provides open access to general practitioners and liaison with Community rehabilitation teams.  Acute stroke, stroke rehabilitation and specialist stroke clinic  The Consultant will be expected to share cover for absent colleagues on annual or study leave by prior arrangement and short-term, unplanned sick leave .

(iv) Supporting Professional Activities

 As part of supporting Professional activity, full involvement in the Clinical Governance programme of the Directorate

 Participation in Clinical Meetings and an audit programme

 The appointee will be expected to participate in annual appraisal

With negotiation about total SPA time the following may be included:

 The Consultant will be responsible, in conjunction with colleagues, for the clinical and educational supervision of trainee medical staff.

 The Consultant would be expected to take part in the undergraduate teaching for students from University of Glasgow

 The Consultant may be expected to contribute, by agreement with Clinical Director, to internal and external Health Service committees

3. Proposed Weekly Programme

3.1 Job Plan

The proposed indicative weekly programme is shown in Section 4a with a programme described based on an orthopaedic interest. Activities with current fixed time commitments will be carried out as detailed in the work programme e.g. clinics. Other DCC and SPA activities are shown with indicative timings within the weekly programme and will be discussed with the appointee.

The job plan will be reviewed with the successful candidate no later than 3 months following appointment and where possible discussion may take place in advance of appointment. Job plan review thereafter will be no less frequent than annually.

The agreed job plan will include all the consultant’s professional duties and commitments, including agreed Supporting Professional Activity.

Opportunities may exist for Extra Programmed Activities to be undertaken subject to service requirements and in accordance with national terms and conditions of service.

3.2 Notes on the Programme

Patient Administration. This activity covers the management of individual patients including Out Patient administration, results reporting, letters/phone calls to patients, carers, GP’S and members of the wider multidisciplinary team involved in the patients care. Office accommodation will be in the Royal Alexandra Hospital.

Ward Rounds: The time allocated is indicative and will be discussed with the appointee. Ward work will include teaching ward rounds as required.

Travel: Any travel allocation will be included within the Total Programmed Activities and will be determined by location at which Direct Clinical Care and Supporting Professional activities are carried out.

On call arrangements: The postholder will be part of the current Medicine for Elderly rota based at Royal Alexandra Hospital. This rota is a 1:8. Availability supplement is 5%.

A half programmed activity based on premium time per week has been included within the allocation of DCC to recognise the predictable and unpredictable hours of work associated with the provision of emergency cover.

Supporting Professional Activities: A minimum of 1 SPA is included in the indicative job plan, which shall normally be sufficient to reflect activities such as revalidation, appraisal, personal audit, and professional development (occurring out with the 30 days of study leave entitlement in any three year period). Time permitting, it may also cover minimal teaching, training and non- clinical administration. Any additional SPA allocation will require to be evidenced as mutually beneficial and required by the department. Adjustment to the programme to incorporate additional SPA will require other activities to be reviewed to accommodate any increase as necessary. It will be requested that SPAs are delivered at the normal place of work, unless there are mutual advantages to it being performed elsewhere. The exact timing and location of SPAs, and flexibility around these, will be agreed during the 1:1 meeting with the Clinical Director/Associate Medical Director and included in the prospective job plan. 4a. Indicative Job Plan

Name:- VACANCY (With special interest in Orthogeriatric Medicine)

Speciality: Medicine for the Elderly

Principal Place of Work:- Royal Alexandra Hospital

Contract:- Full time

Total No. of Programmed Activities: 10

Extra Programmed Activities: TBA Availability Supplement: 5%

Premium Rate Payment Received: Nil

Managerially Accountable to: John Kennedy, General Manager Professionally responsible to: Prof Paul Knight, Associate Medical Director

DAY HOSPITAL/LOCATION ACTIVITY Hrs SPA/ Royal Alexandra DCC FROM / TO Hospital Monday 08:00- Orthopaedic Trauma meeting 4 DCC 12:00 department and orthopaedic liaison 12:00 Office Patient 4 DCC -16:00 administration Tuesday 0900- Ward 3 Ward round and 3.5 DCC 12:30 (15 patients ) MDT 12:30- Unit meeting 1 SPA 13:30 13:30- Older adults Assessment 3.5 DCC 17:00 assessment unit Wednesday 09:00 – Day hospital MDT and patient 3 DCC 12:00 reviews 12:00- Office Patient 1 DCC 13.00 administration 13:00- Out-patients Falls clinic 3 DCC 16:00 Thursday 08:00- Orthopaedic Trauma meeting 4 DCC 1300 department and orthopaedic liaison 1300- Out-patients General clinic 4 DCC 16.00 Friday 0900- Ward 3 Ward round 3 DCC 12:00 15 patients 12:00- Hospital meeting 1 SPA 13.00 13:00- Office SPA 3 SPA 16.00 } Ward 2 Liaison Saturday RAH 1:8 Review patients 2 DCC Sunday Wards 3 - 7

5. DATE WHEN POST IS VACANT

Post is currently vacant, covered by locum staff.

6. DETAILS OF ARRANGEMENTS FOR APPLICANTS TO VISIT HOSPITAL

In the first instance please contact:

Consultant Geriatrician Dr Graeme Simpson 0141 314 6192 General Manager: Mr John Kennedy 0141 314 6183

Short-listed candidates are invited automatically by the Director of Human Resources to visit the hospitals concerned. If candidates on their own initiative have visited the hospital prior to short-listing, they will only be allowed expenses for that prior visit if they are subsequently short-listed. When it is thought that there will be difficulty in filling the post, the Director of Human Resources has the authority to approve a second visit.

7. POSITION OF CONSULTANTS UNABLE FOR PERSONAL REASONS TO WORK FULL-TIME

Any consultant who is unable for personal reasons to work full-time will be eligible to be considered for the post; if such a person is appointed, modification of the job content will be discussed on a personal basis in consultation with consultant colleagues. PERSONAL SPECIFICATION NHS GREATER GLASGOW AND CLYDE ACUTE SERVICES DIVISION REHABILITATION AND ASSESSMENT DIRECTORATE

PERSON SPECIFICATION

JOB TITLE: Consultant Physician SPECIALITY: Medicine for the Elderly Royal Alexandra Hospital

FACTOR ESSENTIAL DESIRABLE

QUALIFICATIONS Full GMC Registration and a licence to Those trained in the UK should have Practice. evidence of higher Specialist Training leading to a CCT in General Medicine Those trained in the UK should have evidence or eligibility for specialist registration of higher Specialist Training leading to a CCT (CESR) or be within six months of in Geriatric Medicine or eligibility for specialist confirmed entry at the date of registration (CESR) or be within six months of interview. Non UK applicants must confirmed entry at the date of interview. Non demonstrate equivalent training. UK applicants must demonstrate equivalent training. “Training the Trainers” Diploma EXPERIENCE Competent to manage and run an older Competent in fracture NOF pathways. peoples assessment and rehabilitation ward

Competent to manage patients undergoing Experience of Specialty Community ortho and general rehabilitation in a mixed Services for Older People. acute/rehab unit. Experience of teaching medical and Experience of selected ‘needs related’ non-medical postgraduates emergency admissions in older people. Involvement in research Experience of multidisciplinary assessment and rehabilitation in older people. Leadership of an audit project

Experience in Day Hospital.

Experience of teaching undergraduates.

Involvement in clinical audit. KNOWLEDGE AND SKILLS Ability to assess and treat elderly patients Ability to act as a clinical and within multidisciplinary settings educational supervisor

Ability to undertake comprehensive medical Knowledge of key policy issues assessment and evaluate rehabilitation relevant to the Medical Care of Older potential in older people. People in Scotland

Ability to develop effective working Record of contribution to service relationships on an individual and change and redesign multidisciplinary basis with all levels of staff

Excellent communication skills

Knowledge of clinical governance issues

Ability to organise own workload DISPOSITION Excellent communication skills and empathy. Evidence of time management e.g. Personal (transferable) skills Ability to work in multidisciplinary team

Flexibility to respond to changing patterns of work in line with service change OTHER Familiarity with future service patterns in Glasgow and Clyde

Familiarity with service integration with Community Health Care Partnerships (CHPs) 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 £ 76,001 £ 102,465 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 Graeme Simpson, Consultant Geriatrician, on 0141 314 6192, Dr Carol Wilkieson, Consultant Geriatrician or Dr Oona Lucie Consultant Geriatrician via the hospital switch board on 0141 887 9111 or Mr John Kennedy on 0141 314 6183 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 16th January 2015

INTERVIEW DATE

The interview date will be 9th March 2015

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