CONSULTANT IN DIAGNOSTIC RADIOLOGY
ACUTE SERVICES DIVISION NHS FIFE
INFORMATION PACK
- 1 - NHS FIFE
CONSULTANT IN RADIOLOGY
CROSS-SITE BETWEEN QUEEN MARGARET HOSPITAL, DUNFERMLINE AND VICTORIA HOSPITAL, KIRKCALDY.
20 HOURS PER WEEK as part of a split post with NHS Lothian.
2 POSTS
We are seeking new consultant colleagues to join our friendly team of consultant radiologists based at Victoria Hospital/Queen Margaret Hospital.
You will have the opportunity to influence the future of the service in NHS Fife, alongside the Lothian component of this post.
You should be proficient in cross sectional imaging and development of sub-specialist interests will be encouraged as part of our commitment to innovation and excellence. We would particularly value candidates with expertise in colorectal, lung, urology, gynae, head and neck or musculoskeletal imaging.
There is a strong emphasis on providing a sustainable work/life balance and we are keen to consider flexible working options. The posts include a commitment to 50 % of a 1 in 10 out of hours rota. Overnight CT scans are outsourced to a ‘night-hawk’ service.
NHS Fife has a rolling plan for equipment replacement. Present imaging facilities include: two 1.5T MRI scanners, Three CT scanners (128 slice), three fluoroscopy suites, 6 (non obstetric) ultrasound scanners, one state-of-the-art intervention room and separate units for breast and nuclear medicine.
Postgraduate and undergraduate teaching is strongly encouraged, with established links with St Andrews, Edinburgh and Dundee Universities. We have a strong commitment to radiology trainees from the South East Scotland training programme. NHS Fife has a proactive Research and Development team who are committed to supporting research with established links with St Andrews and Dundee Universities.
You must be eligible for inclusion in the Specialist Register or be within 6 months of your expected CCST, at the time of interview.
We would be happy to consider applications on a part-time or job-share basis and NHS Fife has a number of Family Friendly Policies.
Informal enquiries to Jane Anderson, Radiology & Diagnostic Services Manager, 01592 643355 ext 28310 or Dr Katharine Jamieson, Clinical Lead on 01592 643355 ext 24022.
- 2 - CONSULTANT IN DIAGNOSTIC RADIOLOGY
JOB DESCRIPTION
THE POST
Introduction
The advertised posts will be 50:50 split posts, shared with NHS Lothian. The Fife component will based at the Victoria Hospital, which is easily reached by car via the A92 form Edinburgh and is within walking distance from the train station with onward connections to Edinburgh and beyond. There may be a requirement to work at the Queen Margaret Hospital, Dunfermline. This is also easily accessed by car from the A92 and across the road from the railway station.
These are replacement posts. You will have a strong background in general cross- sectional imaging although opportunities exist to develop, or continue with the practice of, a wide range of sub-specialist interests. All subspecialty interests would be considered, but we would particularly value expertise in GI, Chest, GU, gynae, head and neck or musculoskeletal imaging.
Definition
Whole time Consultant Radiologist, split 50:50 with Lothian. The Fife component is based at Victoria Hospital though you may be required to work at Queen Margaret Hospital, Dunfermline. This post entails responsibility for providing, with consultant colleagues, a comprehensive Radiology service to NHS Fife.
Clinical Staff: Radiology is part of the Women’s, Children’s and Support Services Directorate. The Clinical Lead for Radiology is Dr Katharine Jamieson, Consultant Radiologist. In addition to our substantive radiology consultants, NHS Fife has networked arrangements with interventional colleagues in NHS Tayside and colleagues in NHS Lothian. The national PACS system allows significant regional collaboration and we have established a regional reporting network, SERRIS. We have also developed a number of advanced radiography roles including reporting radiographers and sonographers.
Consultant Radiologists: Dr Nicola Bargeton (Breast) Dr Tom Hartley Dr Katharine Jamieson Dr Ash Ranade Dr Javed Rehman (Retiring end June 2021) Dr Bill Reid Dr Jon Serhan
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Support Facilities (Offices/Secretary):
Shared office accommodation will be provided on both sites, with additional reporting hubs. The department predominantly uses VR. You will have support from departmental personal assistants on both sites as well as by the PACS teams.
DUTIES AND RESPONSIBILITIES
a) Clinical
You will provide radiological interpretations for CT, MRI, ultrasound and plain film examinations. Opportunities exist for fluoroscopy and some interventional radiology if desired. Core “general work” is shared by all radiologists but you will have the opportunity to develop your sub-specialist interests in a number of clinical areas. These include, but are not limited to head and neck, GI, GU, gynae, chest and musculoskeletal imaging. We have excellent relationships with our medical staff in Fife and you will also liaise with them on your duty session in regards to discussing cases/ arranging examinations. You will be encouraged to attend and support some of the wide variety of MDT meetings according to your clinical interests.
b) Managerial
You will be expected to work with local managers and professional colleagues in the efficient running of services and will share with consultant colleagues in the medical contribution to management.
c) Clinical Audit, Data management and Clinical Governance
Clinical audit is important, both in regard to quality improvement of the department and personal revalidation, and as such you will be encouraged to contribute to the audit and clinical governance activities within the department.
d) Leave
Annual leave entitlement is as laid out under terms & conditions of the new consultant contract. Leave entitlement will be calculated on a pro rata basis for those working part-time.
e) Research
Opportunities for research exist internally; in addition there are possibilities to cultivate research links with the University of St Andrews.
f) Teaching
- 4 - We are part of the South East Scotland Radiology rotation and regularly have radiology trainees joining us from there. We also enjoy teaching students from the Universities of Edinburgh, Dundee and St Andrews on a weekly basis, as well as junior medical staff based in Fife. You will be encouraged to play an active role in teaching all these groups.
g) Continuous professional development You will be entitled to 10 days of study leave per year to allow you to fulfill your CPD needs as outlined by the Royal College of Radiologists.
WORK PROGRAMME
The work programme attached to this job plan is detailed below.
Job Plan Review
The Job Plan included is indicative and still to be finalised. In particular, you may be asked to consider extra programmed activities of direct clinical care. The level of participation in on-call will be agreed at job planning and appropriate PAs agreed (either as extra programmed activities or in exchange for other DCC activity). Your job plan will be subject to review once a year by you, your colleagues in radiology and the Lead Clinician/Clinical Director, as laid out in the terms & conditions of the new consultant contract.
In the event of any significant changes in the circumstances affecting this job plan, it is agreed that it will be renegotiated jointly in collaboration with consultant colleagues.
Cover for Consultant Colleagues
Annual/Study Leave - You will be required to provide emergency cover for consultant colleagues during absence on annual or study leave. If for any reason such deputising is not practicable, the Acute Division of NHS Fife undertakes to authorise immediate consultant locum cover.
GENERAL PROVISIONS
You will be expected to work with local managers and professional colleagues in the efficient running of services and will share with Consultant colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions, you are expected to observe the Division’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instruction of NHS Fife. In particular, where you manage employees, you will be expected to follow the local and national employment and HR policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary.
- 5 - All medical and dental staff employed by NHS Fife are expected to comply with all Hospital Health and Safety Policies within the Division.
SAMPLE JOB PLAN – for Consultant (sample job plan which would be adaptable depending on a radiologist’s specialist interests.
Speciality: Radiology
Contract: 50:50 split with Lothian
Part A: Fixed Commitments
Weekly timetable of Fixed Commitments * (i.e. regular scheduled NHS activities in accordance with paragraph 30B of the terms and conditions of service).
Day Hospital/Other Type of Work PAs Location Monday am VHK OP DCC (4hrs) reporting/specialist work Monday pm VHK Duty DCC (4hrs)
Tuesday am VHK SPA SPA (4h)
Tuesday pm VHK IP CT/MRI DCC (4hrs)
Wednesday Flexible OP reporting/On DCC 4(4hrs) call Thursday Lothian Friday Lothian
- 6 - * Each fixed session equates to a 4.0 hour Direct Clinical Care Session as defined by the new consultant contract
*This timetable represents the type of work we would expect you to undertake. The precise timetable will be discussed to take into account departmental. This would include the possibility of extending the job by up to 2 EPAs if mutually acceptable.
Out of hours
The current on-call rota is 1:10. This post will cover 50% of the full time on call commitment. This is worked as predictable evening cover between 5 and 8 pm weekdays and 9 am and 5 pm weekend days. We currently outsource on call CT to an external company between 8 pm and 9 am Monday – Friday and 5 pm to 9 am Saturday and Sunday. “On call” cover for these periods, for IT failure, carries a 3% supplement. There is a secure network to allow reporting of scans from home. Out of hours interventional radiology is performed in Ninewells Hospital, Dundee.
- 7 - NHS FIFE ACUTE SERVICES DIVISION
SHORTLISTING CRITERIA FOR APPOINTMENT OF CONSULTANT MEDICAL AND DENTAL STAFF
General statement on NHS Fife equal opportunities: NHS Fife is an Equal Opportunity employer. Its aim is to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, marital status, religion, colour, race, nationality, ethnic or national origins, and is in no way disadvantaged by conditions which cannot be shown to be justifiable.
The format below is suggested as a basis for preparation of shortlisting criteria for individual posts by the appropriate Clinical Director or Consultant in Charge of Department in conjunction with the Chairman of the Advisory Appointments Committee.
Any essential criteria may be indicated with an E in the right hand column.
POST Consultant Diagnostic Radiology
CRITERION EXPECTED MINIMUM
1 Qualifications Full GMC registration with a licence to
practise
You must be on or within six months of being on the Specialist Register at date of interview. MBChB or equivalent
2 Advanced clinical training & At least 6 month ‘Specialist option’ block experience during training for specialist interest
3 Teaching experience Interest in teaching and educational supervision and appraisal is desirable.
4 Particular requirements and/or areas Any subspecialty interest desirable of special interest
5 Research and publications Desirable
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6 Management training An understanding of basic management issues is essential
Able to work in a team with colleagues in own and other disciplines. An ability to organize time efficiently and effectively.
7 General Attributes Good communication skills. Adaptable and open to new ideas. Complement the existing team of Consultants.
- 9 - 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 £ 84,984 - £112,925 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 50% of full time 20.00
SUPERANNUATION You have the option to join the NHS Superannuation Scheme, to participate in the State Earnings Related Pension Scheme or to take out a Personal Pension. Employee’s contributions to the NHS Scheme are Tiered based on your earnings and the employers contribution equates to 13.5 % of salary. Employees in the NHS Scheme are “Contracted-out” of the State Earnings Related Pension Scheme and pay a lower rate of National Insurance contributions. Employees who choose to participate in the State Earnings Related Pension Scheme pay the higher rate of National Insurance contribution. A Stakeholder Pension is also available. A Personal Pension is a private arrangement agreed with the pension provider that will be an organisation such as a Bank, Building Society or Insurance Company.
REMOVAL EXPENSES Assistance with removal and associated expenses may be given and should be discussed and agreed prior to appointment.
EXPENSES OF Candidates who are requested to attend an interview will be CANDIDATES FOR given assistance with appropriate travelling expenses. APPOINTMENT Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.
SMOKING POLICY NHS Fife operates a No Smoking Policy in all premises and grounds.
- 10 - DISCLOSURE This post is considered to be in the category of “Regulated Work” SCOTLAND and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.
CONFIRMATION OF NHS Fife is legally obliged to ensure all its employees are legally ELIGIBILITY TO WORK entitled to work in the United Kingdom. If you are not a United IN THE UK Kingdom (UK) or Irish National, you are required to confirm your right to work in your application. Before any person can commence employment within NHS Fife they will need to provide documentation to prove that they are eligible to work in the UK. Non UK 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 OFFENDERS ACT 1974 been 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 Fife. Any information given will be completely confidential.
DISABLED A disability or health problems does not preclude full APPLICANTS consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Fife guarantees to interview all applicants with disabilities who meet the minimum criteria for the post.
EQUAL The postholder will undertake their duties in strict accordance OPPORTUNITIES with NHS Fife’s Equal Opportunities Policy.
NOTICE The employment is subject to three months’ notice on either side,
- 11 - subject to appeal against dismissal.
OTHER 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.
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NHS FIFE
COMMISSIONERS OF HEALTH CARE IN FIFE
At present NHS Fife commissions approximately 95% of all health care in Fife.
NHS Fife Board Headquarters
NHS Fife Board Headquarters is situated at Hayfield House, Victoria Hospital, Kirkcaldy. Strategic planning is an area function performed by the Board’s headquarters staff. The Director of Public Health is Dr Dona Milne.
Health Education
The Department of Health Education supports all health educators in the community, including medical staff, and runs the Board’s Resource Centre and Library.
PROVIDERS OF HEALTH CARE IN FIFE
Health care in Fife is provided by one Acute Service and three Health and Social Care Partnerships
Postgraduate Medical Education
There is a Fife Area Postgraduate Medical Education Committee with an Associate Director of Medical Education, Professor Morwenna Wood, in post. There are two Foundation Tutors, Dr S Mowbray and Mr A Ballantyne. Postgraduate Medical Centres are located at Victoria Hospital, Kirkcaldy and Queen Margaret Hospital, Dunfermline; both offer study and library facilities. There is an extensive programme of postgraduate courses, lectures and clinical meetings.
Further library facilities are provided in other hospitals and there is ready access to library facilities and postgraduate activities in Edinburgh. Many units maintain links with the University of Edinburgh and are involved in the Rotations Training Schemes at Edinburgh University, Vocational Training Scheme for General Practitioners and Rotational Training Scheme for Specialist Registrars (with NHS Lothian University Hospitals).
Undergraduate Medical Education
Fife has an ongoing Undergraduate Medical Education Programme in partnership with the Universities of Edinburgh and Dundee. Approximately 600 medical students attend for clinical attachment, in various specialties, throughout the academic year.
- 13 - Short clinical attachments and site visits in medicine, including elderly medicine, surgery, paediatrics and obstetrics are also organised for medical students from the University of St Andrews.
Kirkcaldy and Levenmouth Community Attachment Scheme (KLCAS) will bring 160 medical undergraduate students to the Randolph Wemyss Memorial Hospital from the University of St Andrews.
HOSPITALS
The area
Fife Hospitals serve a population of approximately 380,000. District General Hospital Services are provided at Dunfermline (Queen Margaret Hospital) and Kirkcaldy (Victoria Hospital). All acute inpatient services are provided on one site, the Victoria Hospital in Kirkcaldy. Queen Margaret Hospital, (QMH), is a dedicated Day Surgery and ambulatory care centre (diagnostic and treatment centre), along with day hospital, in-patient rehabilitation, intermediate care and continuing care beds. The nearest teaching hospitals providing regional services are in Edinburgh (Western General Hospital and Royal Infirmary) and Dundee (Ninewells Hospital).
Victoria Hospital
Victoria Hospital (VHK) is a large fully equipped District General Hospital with a major new build which opened in January 2012.
The hospital has approximately 600 beds and provides a full range of general hospital services to the residents of Fife. There is a critical care area consisting of an Intensive Care Unit and both Medical and Surgical High Dependency Units. Fully equipped endoscopy rooms operate throughout the week. The hospital includes the regional Obstetric Unit for the whole of Fife.
Specialties provided within the hospital
a) In-Patients
General Medicine/MHDU Anaesthetics/ICU/SHDU Elderly Medicine General Surgery Cardiology/CCU Vascular Surgery Nephrology Orthopaedics/Trauma Respiratory Medicine Elective orthopaedics Gastroenterology Maxillo/facial surgery Diabetes/endocrinology Urology Stroke medicine Ophthalmology Infectious Diseases ENT Palliative care/Hospice Obstetrics and Gynaecology Haematology Psychiatry Medical and Surgical Paediatrics
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b) Out-Patient Services
In addition to the above specialties the following clinics are provided
Dermatology Thoracic Surgery Plastic Surgery Neurology Radiation Oncology Medical Oncology GU Medicine Rheumatology Rapid access TIA clinic Movement Disorders c) Radiology
There is an excellent Radiology Service. In addition to general radiology there are facilities for digital screening, ultrasound, radioisotope scanning and DEXA scanning. Specialist Vascular Interventional facilities for nephrostomies, angiography and embolisation are available. This service is delivered by specialist interventional radiologists from Tayside and local consultants with an interest in drainages and biopsies. Modern multislice CT and 1.5T MRI .
d) Radiotherapy/Oncology
Oncology services are provided from the Western General Hospital, Edinburgh. Clinical Oncologists with special interests in most cancers hold large outpatient clinics each week. e) Theatres
There are 8 main theatre suites within the new build, including a dedicated fully staffed 24 hour emergency theatre. f) Library
As part of a well-equipped medical education centre. g) Regional Laboratory Service
The Fife Regional Laboratory is on site. The department provides a comprehensive service in haematology, immunology, histopathology, cytology, microbiology and clinical chemistry on a Fife-wide basis. The Microbiology Department provides an overall microbiological surveillance system throughout the region.
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Queen Margaret Hospital
The hospital is now a fully equipped ambulatory and day care centre providing day surgery services for the whole of Fife. A full range of out-patient clinics are provided for the residents of West Fife. There are two fully equipped endoscopy rooms. In addition there are a range of elderly medicine services including a 30 place day hospital (supporting rapid community assessment, specialist clinics, early supported discharge and rehabilitation), a 60 bed assessment and rehabilitation unit, and continuing care beds.
Specialties provided within the hospital
(a) In-Patients
Elderly medicine – rehabilitation including orthopaedic and stroke
(b) Out-Patients
The full range of out-patient clinics is provided
(c) Radiology There is a full range of radiology services available, including a spiral 128 slice CT scanner and an MRI suite opened in 2008. The MRI scanner is currently being replaced. Mammography, fluroscopy and ultrasound scanning are also on site.
(d) Library
As part of a well-equipped medical education centre.
St. Andrews Community Hospital
This local hospital provides rehabilitation, transitional and long term care beds and outpatient facilities for North East Fife. Clinics provided are:
Urology General Surgery Orthopaedics Gynaecology ENT Gastroenterology Respiratory Medicine Cardiology Parkinson’s Disease Geriatric Medicine
A theatre and recovery area is available for Endoscopy and Local Anaesthetics only.
Adamson Hospital, Cupar
This small friendly local hospital provides a range of surgical outpatient and day care services, as well as community GP and NHS long term care beds. St Andrews Community
- 16 - Hospital and Adamson Hospital have an outpatient dermatology service provided by NHS Tayside.
Cameron Hospital, near Windygates, Leven
This hospital is situated at Windygates, approximately 5 miles from VHK. The Sir George Sharp Unit houses the Fife Rehabilitation Service, which provides specialist rehabilitation for under 65s. There is a 12-bedded stroke rehabilitation unit, along with beds for both elderly general rehabilitation and interim care.
Other Hospitals
Other hospitals include Stratheden Hospital, near Cupar and Whyteman’s Brae Hospital, Kirkcaldy, which provide mental health services. Randolph Wemyss Memorial Hospital provides day hospital facilities, as well as community based rehabilitation and 16 NHS long term beds. There are also GP beds at Glenrothes Hospital.
FURTHER INFORMATION
For further information on NHS Fife, please visit our website http://www.nhsfife.org/nhs/index.cfm
Applicants wishing further information about the post are invited to contact Jane Anderson, Radiology & Diagnostic Services Manager, 01592 643355 ext 28310 or Dr Katharine Jamieson, Clinical Lead on 01592 643355 ext 24022 or by emailing [email protected]
We would be happy to consider applications on a part-time or job-share basis and NHS Fife has a number of Family Friendly Policies.
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