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The Leeds Teaching Hospitals Nhs Trust THE LEEDS TEACHING HOSPITALS NHS TRUST DEPARTMENT OF CARDIOLOGY JOB DESCRIPTION CONSULTANT INTERVENTIONAL CARDIOLOGIST WITH A SPECIALIST INTEREST IN PERCUTANEOUS CORONARY INTERVENTION (PCI) 1. BACKGROUND Leeds Teaching Hospitals is one the largest teaching hospital trusts in Europe, with access to leading clinical expertise and medical technology. We care for people from all over the country as well as the 780,000 residents of Leeds itself. The Trust has a budget of £1.1 billion. Our 20,000 staff ensure that every year we see and treat over 1,500,000 people in our 2,000 beds or out-patient settings, comprising 100,000 day cases, 125,000 in-patients, 260,000 A&E visits and 1,050,000 out- patient appointments. We operate from 7 hospitals on 5 sites – all linked by the same vision, philosophy and culture to be the best for specialist and integrated care. Our vision is based on The Leeds Way, which is a clear statement of who we are and what we believe, founded on values of working that were put forward by our own staff. Our values are to be: Patient-centred Fair Collaborative Accountable Empowered We believe that by being true to these values, we will consistently achieve and continuously improve our results in relation to our goals, which are to be: 1. The best for patient safety, quality and experience 2. The best place to work 3. A centre of excellence for specialist services, education, research and innovation 4. Hospitals that offer seamless, integrated care 5. Financially sustainable Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients. By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change. WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnership’s ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition. In relation to this post, Leeds Teaching Hospitals is appointing one interventional cardiology consultant post with a specialist interest in coronary intervention. This is a new post. The appointee will be based at the Yorkshire Heart Centre (on the Leeds General Infirmary site). The appointee will be on the on-call rota for coronary intervention including primary PCI, and will be responsible for assessment and management of in-patients with acute coronary syndromes in the cardiology unit at Leeds General Infirmary 1 The appointee will contribute to the delivery and development of complex coronary intervention in Leeds and will be expected to provide leadership in the coronary intervention clinical research department, and to enhance the reputation of the centre nationally and internationally. The appointee will participate in the existing out-of-hours coronary intervention rota. In addition to PPCI, out-of-hours on-call activity will expand to include non-STEMI patients. In-hours there will be the requirement to participate in the rota for acute intervention. The appointee will join a team of 8 interventional cardiologists responsible for the assessment and management of ACS patients on the wards. There is a separate consultant on call rota for general cardiology. There are currently 31 consultant cardiologists working part or full-time in Leeds. All consultants are based at the Yorkshire Heart Centre on the Leeds General Infirmary site. There are currently 9 consultants (7 NHS, 2 University) delivering the interventional and adult structural programme at Leeds. The planned post is in addition and complementary to the existing coronary interventional team. There are seven full time cath labs at the Yorkshire Heart Centre (YHC), currently under high spec refurbishment. There is a progressive move to 7 day working. The Yorkshire Heart Centre provides a PPCI service to Leeds and West Yorkshire currently delivering PPCI 1100 procedures annually led by Dr Jonathan Blaxill. The YHC is the regional lead for TAVI and delivers 250-300 procedures annually. The YHC as a single centre delivers the highest number of PPCI and TAVI procedures nationally. There is a strong research base within interventional cardiology with a desire to further enhance this profile. There are active Teaching and Research links with the Leeds School of Medicine and the University of Leeds, both well situated on adjacent sites. 2. OBJECTIVES OF THE POST The main objective is to contribute to the delivery of the coronary intervention service and expansion of the existing clinical coronary intervention research programme. Applicants with a specific interest in complex coronary intervention will be encouraged. 3. REQUIREMENTS OF THE POST 3.1 Service Delivery General The Trust expects consultants to deliver clinical service as agreed with commissioners and other stakeholders. This will include: meeting the objectives of the post (see above) continuously improving the quality and efficiency of personal and team practice working with other staff and teams to ensure that the various criteria for service delivery are met, such as o achieving the best clinical outcomes within the resources available o waiting times o infection control standards Consultants in LTHT are line managed by their specialty Lead Clinician working in conjunction with a Business Manager. This specialty team is then managed alongside a number of other specialties in a Clinical Service (or Support) Unit (CSU) led by a Clinical Director as the responsible person and supported by a full time General Manager and a full time Head of Nursing. The Clinical Director and their team report operationally to the Chief Operating Officer (COO). The Clinical Director will work closely with the Chief Operating Officer’s team which includes two 2 Medical Directors for Operations, Nurse Directors for Operations, Deputy Chief Operating Officer, Assistant Directors of Operations (ADOs) and a Performance Team, with each ADO aligned to specific CSUs. Professionally, consultants report to Dr Phil Wood, Chief Medical Officer General Training and Qualifications Applicants must hold the Membership of the Royal Colleges of Physicians of the United Kingdom, or equivalent, and must have completed higher specialist training in Cardiology (see next paragraph). Applicants must have good communication skills, a breadth of experience in cardiology and understanding of the requirements to be able to work effectively at consultant level within the challenging environment of the National Health Service. Applicants must be on the Specialist Register or within six months of being admitted to the Register (for trainees if currently in a training programme within the UK). In accordance with the regulations, all other categories of doctors must be on the Specialist Register to be eligible for consideration for a Consultant appointment by the Advisory Appointments Committee. Applicants must provide information regarding their status from the GMC and/or relevant Royal College at the time of application, in order for their application to be progressed further. Experience The successful appointee must be able to demonstrate a high level of clinical experience and competence in all areas of Cardiology and hold a Certificate of Completion of Specialist Training. They should also be able to offer specialist expertise in coronary intervention. A strong background in clinical research is highly desirable. Personal Attributes The appointee should have good communication skills, should be well-organised, and skilled in time management. They should be able to work effectively as part of a team. They will have an understanding of current NHS management and Trusts and be aware of the responsibilities that a consultant post brings Service specific The role of consultant Interventional Cardiologist with a specialist interest in PCI will be expected to contribute to inpatient and outpatient services, with further commitment to on call rota. Inpatient Services at the Yorkshire Heart Centre Currently there is a 10 bed CCU, a cardiology admission ward, and a cardiology long-stay ward, supported by a 12 bed short stay ward and the Take Heart Suite which is a radial lounge adjacent to the cath lab area, giving a total in-patient base of 60 Cardiology beds co-located in the Yorkshire Heart centre. As part of the coronary intervention team the appointee will be responsible for managing ACS and coronary intervention patients on CCU and the long-stay ward, and for assessing ACS patients on the admissions ward. There will be junior staff support from a ward based SpR and junior trainees. There is a 24 hour on call SpR and junior rota. Advanced care practitioners are currently in training within the department with the view to support the service. There is an extensive supporting structure of specialist nursing and technical services. 3 Outpatient Services at the Yorkshire Heart Centre Cardiology Outpatients are currently held at Leeds General Infirmary, St James’s University Hospital, Seacroft Hospital and Wharfedale Hospital. The appointees will undertake out-patient clinics focussed on rapid access chest pain referrals and specialist management of ACS and coronary intervention patients. We anticipate the development of new ways of working in relation to both the inpatient and outpatient services and this post will be actively involved in helping to shape these. On call arrangements The appointee will join the existing out-of-hours coronary intervention rota, which will involve 1 weekday night on-call every 5 weeks and 1 weekend on-call every 10 weeks. Weekends will consist of 24 hours Friday and Sunday, and will include NSTEMI and PPCI in an 8am to 5pm shift, followed by non-resident on-call for PPCI 5pm to 8am.
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