Consultant Anae sthetist

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Western Isles Hospital, Macaulay Road,

CONSULTANT ANAESTHETIST

Salary £84,984 - £112,925 per annum plus Distant Island Allowance £1,117 per annum Permanent Post

Applicants must be on the GMC Specialist Register, with License to Practice, or be eligible for inclusion on the Specialist Register within 6 months of the date of interview. Applicants would be fully supported whilst working toward this. Applications are invited for the position of Consultant Anaesthetist.

The Western Isles Hospital is a modern 97-bed general unit and the successful applicant will work with three other consultants in the Anaesthetics Department. Working in the largest and what are considered to be the most attractive Scottish islands offers a unique opportunity to combine modern and progressive clinical practice with a lifestyle that is difficult to match.

NHS Terms and Conditions of the New Consultant Grade () 2004 apply. The post is for 10 Pas per week plus up to a maximum of 2 EPAs per week and an 8% availability allowance subject to an agreed job plan. The on call rota is 1:4

This post is eligible for Relocation Expenses.

For further information, contact Dr Francis McAuley, Medical Director, NHS Western Isles on 01851 [email protected] or Dr Jacek Rychter, Clinical Lead on 01851 704704 [email protected]

The successful applicant will be required to register with the PVG (Protecting Vulnerable Groups) Scheme

All NHS Western Isles vacancies appear on the NHS Scotland website: https://apply.jobs.scot.nhs.uk/ along with a job description

Any further queries please contact 01851 762027

NHS WESTERN ISLES

JOB DESCRIPTION FOR CONSULTANT ANAESTHETIST

GENERAL INFORMATION

The Western Isles Hospital

The Western Isles Hospital is a in Stornoway. It is a modern, well resourced and well equipped hospital. It opened in 1992 and has 96 beds.

This post provides the unique and exciting opportunity of contributing to the development and delivery of a remote and rural health care system, which is safe, modern and sustainable.

There are four acute wards, two medical, one surgical and a maternity unit. There is a Day Surgery Unit, well equipped twin theatre suite, state of the art endoscopy suite and a renal unit. . There is an acute adult psychiatric unit and a psychogeriatric unit.

The population of the Western Isles is approximately 26,500 of which 22,000 are resident in the island of Lewis and Harris. Because of its geographical position, the Western Isles Hospital accepts patients with all types of emergencies. Those requiring further specialty treatment in a mainland hospital (usually Glasgow or Inverness) are transferred by air ambulance or helicopter depending on the clinical condition. The Emergency Medical Retrieval Service is available to transfer acutely ill patients of all ages. This is necessary for patients needing ventilatory support who require transport to a mainland intensive care unit.

Department of Anaesthesia Activities

A comprehensive pre-,intra-and post-operative Consultant delivered Anaesthetic service is provided for adult and paediatric patients in a wide variety of elective and emergency surgical specialties. There are locally based surgical Consultants in , Orthopaedics, Gynaecology and Obstetrics; visiting surgeons from Raigmore provide local sessions in Urology, Oral Surgery, Ophthalmology and Ear, Nose and Throat Surgery. There are also Anaesthetic requirements for Cardioversions and diagnostic procedures. Yearly Operating Theatre activity is around 1200 cases with anaesthetic input.

NHS Western Isles has recently replaced the operating theatre anaesthetic machine fleet with GE Healthcare C5650. Vital signs monitoring throughout the hospital site is GE Healthcare, including central monitors in theatre recovery and the high dependency area.

The Anaesthetic Department has ready access to ultrasound machines to support venous access and regional blockade. This includes devices by Sonosite and GE Healthcare, deployed since 2020. The Anaesthetists also have a range of video laryngoscopes to support their safe practice.

A four-bedded High Dependency Unit is jointly managed with the Physicians and Surgeons. Comprehensive invasive and non-invasive monitoring and ventilatory equipment enables a high standard of short-term critical care to be delivered when required, with longer-term care being accomplished by evacuation to mainland units.

Advice and assistance is furnished to other clinicians, particularly in the fields of vascular cannulation, cardio- respiratory care and neo-natal resuscitation.

There are currently four Consultant Anaesthetists based at the Western Isles Hospital. The post advertised is a replacement post after a retirement of one of permanent consultants. There are no trainee doctors attached to the Anaesthetic department on a permanent basis. Anaesthetic activity is fully supported by fully qualified ODPs.

The workload is divided equally among those available according to a monthly rota. Wherever possible an anaesthetist is not scheduled for a routine list after a night on call.

Audit, Postgraduate and other CPD activities are actively supported.

Based at the Western Isles Hospital, the post holder could be required to work at other locations in the Western Isles, in particular at the Ospadal Uibhist agus Bharraigh (OUaB/Uist and Barra Hospital), Benbecula.

There is a regular throughput of Medical Students and FY1 and 2 (or equivalent) trainees. Occasionally we accommodate Clinical Attachees in Anaesthesia.The post holder will also participate in the occasional teaching and supervision of Nurses, Radiographers and Ambulance or Coastguard Helicopter Paramedics in cannulation and airway skills. Recently, Rural Emergency Physicians maintaining their airway skills have been accommodated.

CPD:- The Anaesthetic Department participates fully in the local programme of post-graduate teaching and in courses run by the Resuscitation Training Officer. The Health Board has a good record of generosity in the provision of Study Leave to mainland events which are acknowledged to be essential to the maintenance of skills and current awareness in our island environment. Participation in committees etc. at national level is encouraged.

Research: - A research interest under the aegis of the Health Board Ethical Committee will be actively encouraged.

Out of Hours Commitment

The rota is essentially 1:4 reducing to 1:3 during periods of leave. For exceptional periods of Consultant leave, e.g. protracted sick leave, locum cover is provided.

Rehabilitation Services

There is a modern physiotherapy, occupational therapy and speech therapy department. These departments also provide services in the community.

Locally based consultant services

 General Medicine  General Surgery,  Orthopaedics  Anaesthesia  Paediatrics  Obstetrics and gynaecology 

 Radiology  Dental Services

Visiting consultant services

 Respiratory Medicine  Rheumatology/rehabilitation  Dermatology  Oncology  Neurology  Ophthalmology  Renal Medicine  Otolaryngology  Urology  Child & Adolescent Mental Health

Diagnostic services

The Laboratory in the Western Isles Hospital provides haematology, blood transfusion, biochemistry and microbiology services. Raigmore Hospital, Inverness provides consultant haematological and histopathological services.

The Radiology Department is modern with fully digitized imaging, ultrasound, Doppler scanning and a 64-slice CT scanner. The department is fully integrated with PACS.

Tertiary referrals

The main referral centres are in Inverness and Glasgow, but hospitals in Edinburgh and other hospitals in Scotland are used when necessary in accordance with established referral management system.

Outpatient Facilities

There are excellent outpatient facilities within the hospital. Visiting consultants from Inverness and Glasgow (see above) support various subspecialties.

Main Conditions of Services

1 The post is subject to the Terms and Conditions of Services for Hospital Medical and Dental Staff (Scotland), as amended from time to time.

2 Subject to agreement of a satisfactory Job Plan, the Contract will be for 10 programmed activities per week. The Health Board may offer up to 2 extra programmed activities in line with the agreed Job Plan and the salary will attract an 8% availability allowance. A Distant Islands Allowance also applies to all NHS Western Isles employees. The current Job Plan is based on an 8: 2 DCC : SPA split.

3 The Job Plan will be annually revised and agreed. The Job Plan will essentially be driven by the evolving and changing needs of the patients and services.

4 For pre-employment health assessment purposes, as part of the Board’s Occupational Health Service, the successful applicant will be required to complete a health questionnaire. This will be treated in strict confidence.

5 Active participation in SPSP with effective implementation of local or nationally agreed systems of care/care bundles

6 Compliance with all approved Board policies and procedures

7 Residence – the successful applicant will be required to reside within 10 road miles of the Western Isles Hospital.

8 Theatre sessions may be required across the 7 days of the week in order to meet the TTG and the needs of patients

Study and Training

Study leave entitlement is a maximum of 30 days including off duty days within the leave period, in any period of three years, in relation to leave with pay and expenses in the UK. Priority will be given to CME.

Rehabilitation of Offenders

Because of the nature of this work, the post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 (exemptions) Order 1975. You are therefore not entitled to withhold information about convictions, which for other purposes are “spent” under the provisions of the Act, and any failure to disclose such convictions could result in disciplinary action by the Board. Any information given will be kept in strict confidence, and used only in relation to the position to which the order applies.

Visiting Arrangements

Prospective applicants are encouraged to visit the hospital and to meet the Consultants. Informal enquiries to: Dr Francis McAuley (01851 708050) or email: [email protected]

Dr Jacek Rychter, Consultant Anaesthetist, and Hospital Clinical Lead (01851 704704) or email: [email protected]

PERSON SPECIFICATION Consultant Anaesthetist

FACTOR ESSENTIAL DESIRABLE

Educational & Professional FRCA or equivalent. Possession of higher Qualifications On specialist Register or within degree 6 months of CCST Membership/fellowship of professional organisations

Work & other Experience Capable of independent Chronic Pain Treatment practice in all aspects of Experience Anaesthesia and Critical Care Expertise in Peripheral Previous experience at Nerve Blocks Specialist Registrar or Consultant level FAST scanning expertise

Teaching Management experience Audit Computer literacy Ability to take on responsibility for educational and clinical supervision of JDiT

Personal Qualities & Able to show initiative in Abilities working both independently Team building and and as a member of a team. organisational skills

Leadership and decision making skills

Self motivating in a potentially stressful Environment

Good Communication and Interpersonal skills Hobbies and Interests INTERESTS, e.g. appropriate for Island intellectual, physical, living social, artistic Good health record, smart OTHER, e.g. health, appearance, car driver, able to appearance, manner, car work unsocial hours and on-call driver, special demands of Strong commitment for post, e.g. to work unsocial personal development hours/on-call/areas covered

In the event that the otherwise appoint able candidate does have one of the essential criteria and this skill may be acquired through a period of further training, consideration may be given to offering a “proleptic appointment”

The Western Isles, also known as the , are a chain of islands which lie 55km off the west coast of Scotland. The islands have a population of around twenty-seven thousand people.

Those who enjoy outdoor activities will find that the islands have a lot to offer. Outdoor pursuits such as horse riding, hiking, and fishing are popular, as are water sports such as canoeing, surfing, and kayaking. Further information about outdoor and sporting activities can be found on the Outer Hebrides Tourism Information website.

The local Council website provides information regarding schools, jobs, bus timetables, and opening times of the leisure centre.

The Board works in partnership with Hebridean Housing Partnership (HHP), which means that Key Worker Status will form part of their Housing Allocation Policy. For more information, please visit the HHP website.

If you have any specific queries regarding your move, please do not hesitate to contact your Line Manager, who will do their best to answer them.

Links

visitouterhebrides.co.uk welovestornoway.com hebrides-news.com hebrideanhousing.co.uk cne-siar.gov.uk

About NHS Western Isles

The Western Isles Health Board employs over one thousand members of staff, excluding GPs and Dentists. There are three main hospitals situated in the Western Isles:

Stornoway—Western Isles Hospital (Ospadal nan Eilean Siar) Benbecula—Uist and Barra Hospital (Ospadal Uibhist agus Bharraigh) Barra—St Brendan’s Hospital

There are a number of GP and Dental Practices across the Western Isles. Community nursing services operate out of general practice premises and at community offices in key locations.

There are only two medical practices in Stornoway: the Broadbay Medical Practice on Francis Street (tel 01851 703588) and the Group Practice on Springfield Road (tel 01851 703145). Both have a pharmacy attached to the practice for the dispensing of prescriptions.

Web wihb.scot.nhs.uk

The latest information about the Board’s response to the COVID-19 pandemic can be found on the Board’s dedicated website.

Web coronavirus.wi.nhs.scot

Transport Information

The islands are accessible from mainland Scotland by ferry or by plane (please note that both services can be affected in the winter).

There are three airports on the Western Isles: Stornoway Airport, Benbecula Airport, and Barra Airport. The following destinations can be reached from these airports:

Stornoway Airport—Benbecula, Edinburgh, Glasgow, Inverness, Manchester Benbecula Airport—Glasgow, Inverness, Stornoway Barra Airport—Glasgow

All flights to and from the Western Isles are operated by Loganair.

If you live in the Highlands and Islands region of Scotland, you can apply for cheaper air travel through the Air Discount Scheme. Further information on the discounts available can be obtained via the Air Discount Scheme website.

There are nine ferry ports operating in the Western Isles. Routes run between the islands, as well as to and from the mainland. All routes are operated by Calmac. Further information on the individual routes, including timetables and prices, can be obtained via the Calmac website.

Links

Ferry Travel: Air Travel: calmac.co.uk loganair.co.uk

Car Hire: Air Discount Scheme: carhire-hebrides.co.uk airdiscountscheme.com lewis-car-rental.com