CONSULTANT CARDIOLOGIST WITH AN INTEREST IN INTERVENTIONAL

Contents Page

1 The Post 2

2 Royal Papworth 3

3 The Cardiology Directorate 4

4 Intensive Care Unit 6

5 Transplantation & Mechanical Circulatory Support 6

6 7

7 Thoracic Medicine 7

8 Research, Development and Audit 7

9 Postgraduate Education 8

10 Duties of the Post 8

- Draft Job Plan 9

11 Terms and conditions 9

12 Brief Terms of Appointment 10

13 General Information 13

14 Informal Visits 13

Person Specification 13

Consultant interventional substantive post Oct 2019 1/13 CONSULTANT CARDIOLOGIST WITH INTEREST IN INTERVENTIONAL CARDIOLOGY

1 The Post

This is a full-time substantive NHS Consultant post to support the interventional cardiology service at Royal Papworth Hospital.

Royal Papworth Hospital NHS Foundation Trust is seeking a Consultant Cardiologist in Interventional Cardiology. The post-holder will have appropriate experience and expertise in coronary intervention. An interest in an additional sub-speciality (e.g. structural intervention) would be welcome.

The post-holder will be appointed to the Cardiology Directorate at Royal Papworth Hospital. The interventional cardiology service currently provides PCI to around 2200 patients per annum (including 700 PPCI) and 180 TAVI per annum. The TAVI service, which has been provided at Royal Papworth Hospital for over 10 years, continues to grow rapidly and is projected to provide TAVI for 200+ patients per annum by 2020. Other structural interventional procedures are also performed at Royal Papworth (e.g. PFO/ASD closure, LAA closure, paravalvular leak closure, balloon pulmonary angioplasty) and a programme of percutaneous mitral valve treatment is under development.

This new full-time post will join the existing team of 11 interventional consultants (including 4 TAVI operators) to provide interventional cardiology services, while supporting education and research as part of Royal Papworth ’ Tripartite Mission. The appointee will take on the responsibility of supporting the coronary intervention service and will have the opportunity to participate in the structural intervention service if suitably experienced. The post-holder will also be a member of the Interventional Consultant of the Week rota and participate in the out of hours on-call service. The Job Plan is for 10 PA’s with a 1 in 12 PPCI on-call commitment with the possibility to negotiate additional PA’s.

The new consultant will be mentored and supported by the existing interventional cardiologists and will also have a named mentor outside of the immediate working environment. The post-holder will be expected to deliver a high quality service and implement Trust guidelines throughout the scope of their practice.

The post-holder will have office space, personal computer access with support from the IT Department, and secretarial support.

Key Responsibilities

1. Contribute to interventional cardiology services including ward cover, chest pain clinics, diagnostic angiography, elective angioplasty, “hot lab” sessions and admission of patients through the Primary PCI (PPCI) and rapid NSTEMI pathways. The post holder will also form part of the PPCI out of hours service after a period of buddying.

2. Managing acute coronary syndrome including urgent referral for coronary surgery and involvement in the heart team multidisciplinary team meetings.

3. Contribute to the training of junior doctors in accordance with standards required by College, Postgraduate Dean and Trust. Participate in the training, supervision and development of specialist heart nurses. Participate in the education programme for medical students attached to Papworth.

4. Demonstrate a commitment to continuing professional development.

5. Work with the team to support the research programme, and to contribute to audit Consultant interventional substantive post Oct 2019 2/13 activities.

2 Royal Papworth Hospital

Royal Papworth Hospital is at the centre of a regional and national network of hospitals caring for patients with heart and lung disease. From a tuberculosis hospital when it opened in 1917, Papworth Hospital has developed into an internationally recognised heart and lung centre and is the leading cardiothoracic specialist hospital in the United Kingdom. Royal Papworth Hospital relocated to the Biomedical Campus in May 2019, providing unprecedented opportunities for collaboration with Cambridge University Hospitals Foundation Trust and collocated research institutions and biomedical and pharmaceutical companies. http://www.royalpapworthhospital.nhs.uk/nph/

Royal Papworth Hospital currently treats around 24,400 inpatients and day patients and sees over 73,600 outpatients per year. It has over 1,800 staff, 289 beds and an annual budget of over £110 million.

We are recognised as:

 a high achieving hospital, with excellent external reviews;  the regional heart attack centre;  the regional TAVI service;  the regional ASD / PFO service;  the regional specialist valve and structural heart service;  the regional HOCM assessment and intervention service  a designated National Centre (PVDU);  being one of 5 designated centres for Respiratory ECMO;  the largest cardiac surgical unit in the UK;  one of the UK’s largest heart and lung transplant centres and one of the UK’s 3 designated centres for ventricular assist devices  having the largest mitral valve surgery programme in the United Kingdom  the only designated UK centre for pulmonary endarterectomy and balloon pulmonary angioplasty

We have a reputation for being one of the best performing hospitals in the country, a status that we are determined to maintain. There is a pioneering spirit throughout and a culture of embracing new ideas in all aspects of healthcare, but with meticulous monitoring and review of clinical outcomes both in established and novel treatment modalities.

In achieving this position, we have established a reputation for innovative clinical developments. These have been underpinned by substantial research, development and education. Royal Papworth Hospital was one of the first 20 hospitals in England to be granted NHS Foundation Trust status in 2004.

A full summary of the key clinical milestones and the capital program since 1995 can be seen on the hospitals website. http://www.papworthhospital.nhs.uk/index.php

Management and Staff

Papworth hospital has 5 clinical directorates that manage Cardiology, Thoracic services, Clinical and Diagnostics (theatres, critical care, anaesthesia, radiology and pathology), Transplantation and Surgery on a day-to-day basis. A consultant clinical director and an operational manager lead every directorate with clinical business unit leads for individual services. There are further non-clinical directorates for Research and Development, Human Resources (including Education and Development), and Clinical Governance and Risk Management, together with central General management services.

Consultant interventional substantive post Oct 2019 3/13 Papworth hospital has over 1,800 staff excluding contracted-out services. The workforce has grown considerably over the past few years. Modernisation is high on the agenda and there is continual review of networking services, changing working roles and new ways of working.

Future Developments

Over the last 10 years, we have recorded clinical and financial successes while maintaining and enhancing our excellent relationship with patients and staff. This has been achieved whilst the hospital has steadily grown.

The strategic and workforce plans indicate the growth that will be required to achieve the NHS objectives. The hospital’s track record provides a sound base on which to achieve these plans. Key to the success of our future will be continuing workforce expansion and the appointment of high calibre staff to the hospital.

The Annual Report 2018 2019 is also on the Royal Papworth Hospital website or follow the link: https://royalpapworth.nhs.uk/our-hospital/information-we-publish/annual-reports

Cambridge University Health Partners (CUHP)

Royal Papworth Hospital is a founder member of Cambridge University Health Partners, a partnership between one of the world's leading universities and three NHS foundation trusts. It will deliver world-class excellence in health care, research and clinical education and improve health for people across the Cambridgeshire region and beyond.

It is a strategic partnership aiming to improve patient care, patient outcomes and population health through innovation and the integration of service delivery, health research and clinical education. http://www.cuhp.org.uk/

3 The Cardiology Directorate

Royal Papworth Hospital is the Regional Cardiothoracic Centre for the with 18 Consultant Cardiologists based at the hospital, plus joint appointments and several visiting Consultants with sessions on site. There are well established and expanding links with Cambridge University Hospitals NHS Foundation Trust (including and the Department of Medicine in the Clinical School and the Department of Biochemistry, University of Cambridge) and our neighbouring District General Hospitals.

Cardiology has enjoyed sustained growth with a steady increase in both outpatients and numbers of patients admitted for investigation and treatment.

A full range of facilities for non-invasive and invasive investigations is available. These include 6 angiography suites (one of which is a hybrid lab). Other imaging modalities include trans-thoracic, trans-oesophageal, stress, 3D and intra-cardiac echocardiography. There is a dedicated nuclear medicine department with 2 gamma cameras including a GE VG Millennium dual headed system with PET capability as well as an imaging diagnostic centre offering advanced cardiac CT and MRI facilities.

Cardiac Intervention

Cardiac intervention is a thriving speciality with around 2000 cardiac catheters and 2000 coronary interventions performed each year. As part of this there is a 24/7 Primary PCI service serving a wide catchment area with 900 pathway activations per year and the facility Consultant interventional substantive post Oct 2019 4/13 for ECMO and Impella ventricular support. The department undertakes a comprehensive range of PCI techniques including CTO work, rotablation, intravascular ultrasound (IVUS), optical coherence tomography (OCT) and pressure wire technology through 3 dedicated interventional labs and a hybrid lab. Four StRs, an academic fellow and 2 interventional~ fellows support the service along with ACS/IHU pathway nurses.

An Interventionalist of the Week system is run with daily consultant-led ward rounds of new patients arriving into the interventional service. Consultants from Bedford, Addenbrookes, Ipswich and Peterborough form part of the team contributing to out of hours work on a separate interventional rota.

Specialist Valve and Structural Heart Service

There is an established specialist valve service designed to serve the growing population with complex heart valve disease. The service is focused around a multi-disciplinary team approach to the management of such patients. The service offers advanced diagnostic imaging including 3D TOE, stress echo, MRI and CT. The team consists of experts in valve disease imaging, intervention and surgery and is supported by experience in pulmonary vascular disease, ECMO, VAD’s and cardiac transplantation. The service receives referrals from all over the UK. The structural heart disease service, has a similar set up and is now the highest volume centre for paravalvular leak closures. It has a well-established service for ASD and PFO closure and also preforms LAAO, BMVP, BAVP and alcohol septal ablations amongst others. The service receives referrals both from the region and beyond. These services are rapidly developing and further expansion is planned.

Royal Papworth was one of the first centres in the world to undertake transcatheter aortic valve implantation (TAVI). Over time it has seen tremendous evolution from long GA cases, more often done via the transapical approach to the current default of percutaneous, conscious transfemoral intervention with discharge within 2 days. The service is growing rapidly in terms of patient numbers and is an important facet of future departmental development.

Royal Papworth is the only commissioned provider of balloon pulmonary angioplasty (BPA) in the UK to treat patients with inoperable chronic thromboembolic pulmonary hypertension and now performs 80 procedures per annum with support from PVDU and plans to expand this service.

Cardiac Rhythm Management service (CRM)

This is one of the highest volume centres in the UK for managing patients with cardiac rhythm problems. We currently perform all aspects of catheter ablation including a large number of SVT ablations, an increasing numbers of AF ablation and VT ablations. Electrophysiology is performed in 2 dedicated catheter labs, each fitted with 3-D mapping systems. The junior staff consists of an EP Fellow, 4 cardiology StRs and 4 Arrhythmia Nurse Specialists. CRM clinics are held at Royal Papworth and in outreach hospitals. As part of the inherited cardiac disease service, we also run a growing family screening clinic for relatives of victims of sudden cardiac death.

In the last year over 1200 cardiac devices were implanted at Royal Papworth Hospital, encompassing standard pacemakers (>600), CRT-P and CRT-D devices (approx.150) and standard ICDs (approx.160). Following on from recent departmental research, all patients who receive a CRT device undergo optimization prior to discharge. We are also the regional lead extraction centre.

The clinical research within the CRM department includes investigation into AF ablation (technique and mechanism) and CRT. Clinical research is underpinned by parallel basic science initiatives conducted in the University of Cambridge in both molecular biology and cellular electrophysiology.

Consultant interventional substantive post Oct 2019 5/13 Cardiac Imaging Department

Cardiac Imaging is offered by cardiologists and radiologists working closely together. The echocardiography department is a busy department, providing services at a tertiary and quaternary level. A wide spectrum of services is provided including, transthoracic, transoesophageal and stress echocardiography. The unit has a national and international reputation in its expertise of 3D echo, interventional echo and its evolving specialist valve and structural heart service. Other areas of expertise include the cardiomyopathy service, heart failure and CRT optimisation, transplant echo, pulmonary vascular disease and GUCH echo. Research is very important throughout the Trust, and a wide range of projects are supported. Recent research in the echocardiography department has predominantly focussed on 3D echo and will undoubtedly expand further as the specialist valve & structural heart and cardiomyopathy programmes develop.

In addition to echocardiography there is an array of other imaging modalities including nuclear medicine (two gamma cameras), 2 CT scanners (including a new state-of-the-art dual source 64 slice CT- Somaton Definition), and a dedicated MRI scanner including perfusion imaging.

Cardiology Directorate Medical Staffing

The Cardiology Consultants (including joint appointments), within the Cardiology Directorate, are:

Clinical Director - Dr D Begley Clinical Leads - Dr M O’Sullivan (Coronary intervention) Dr S Hoole (Non-coronary intervention) Dr P Heck (CRM)

Intervention & Structural Dr D Braganza (Peterborough & Royal Papworth) Dr P Calvert Dr S C Clarke (also Clinical Director for Strategic Development) Dr C Costopoulos Dr W Davies Dr C Densem Dr S Hoole Dr D C McNab (Ipswich & Royal Papworth) Dr P Read (Ipswich & Royal Papworth) Dr L M Shapiro Dr M O’Sullivan (Addenbrookes & Royal Papworth) Dr U Krishnan Dr P Schofield (Royal Papworth, CUH & Peterborough)

Electrophysiology & Devices Dr S Agarwal Dr D Begley Dr S P Fynn Dr A A Grace Dr P M Heck Dr M Virdee Dr G Mellor Dr C Martin

Devices Dr R Bilku (Kings Lynn & Papworth) Dr M Goonewardene (Hinchingbrooke & Papworth) Dr B Gordon (Peterborough & Papworth) Dr Pegah Salahshouri (WSH & Papworth) Dr P Venables (Ipswich & Papworth)

Consultant interventional substantive post Oct 2019 6/13

Non-invasive Dr M Marinescu (West Suffolk & Papworth) Dr R A Rusk (Addenbrooke’s & Papworth) Dr L Williams Dr M Garbi

Transplantation Dr S Bhagra Dr A Kydd Dr C Lewis (provides ACHD services also) Dr M Hughes (provides ACHD services also) Dr J Parameshwar Dr S Pettit

4 Intensive Care Unit

There are 46 intensive care beds in a modern critical care area primarily serving surgical services. Surgical patients in this area are cared for by a multidisciplinary team including surgeons and intensivists. Transplant patients and patients for pulmonary endarterectomy or VAD’s are currently managed by a small team of dedicated individuals with the support of the transplant service. Patients with other conditions (patients admitted to the unit directly from cardiology or chest medicine wards) are managed by the referring consultants and intensivist on duty. The emphasis is on shared expertise and excellent working relationship between the specialist professional groups.

Critical care covers the hospital's provision of ECMO (extra-corporeal membrane oxygenation) services: Royal Papworth is one of only five UK hospitals to provide this service.

Royal Papworth Hospital has developed and expanded very successfully the role of support staff and the unit has a very strong senior-nurse-based with trained nurse “critical care practitioners” providing the core of the surgical recovery service. One consultant anaesthetist provides the lead intensivist role and is supported by a team of consultant anaesthetists who are designated as part-time intensivists.

5 Transplantation & Mechanical Circulatory Support

Consultants in cardiothoracic surgery, anaesthetics, cardiology, pathology and chest medicine are involved in the care of the heart, heart-lung and lung transplant patients. Direct involvement in donor and recipient operations has recently been reviewed and restricted to 6 consultant surgeons.

A team of 5 specialist registrars in surgery, cardiology and chest medicine and 5 Clinicians’ Assistants supports transplant consultants. In addition, there are support staff in management, information, statistics and data collection as well as in administration and secretarial services.

Patients are referred to the service for transplantation from consultants within the UK. Prior to listing for transplantation they undergo a pre-assessment triage and a 2-day assessment with the decision to list made by the transplant multidisciplinary team.

The heart transplant programme began in 1979 and over 1000 heart transplants have now been performed at Papworth. Over the past 5 years, an average of 60-70 intra-thoracic organ transplant operations has been carried out per year.

A programme of bridging to transplant with the use of ventricular assist devices (VAD) began in 1997. Papworth Hospital is now one of three centres designated by the National Consultant interventional substantive post Oct 2019 7/13 Commissioning Group (NCG) to deliver this therapy. Both short-term and long-term VAD supports are provided. Approximately 30 patients are treated with VADs per year.

6 Cardiothoracic Surgery

Royal Papworth Hospital has the largest cardiothoracic surgical department in the UK and is one of the most active in intra-thoracic transplantation worldwide. Cardiothoracic surgery has enjoyed sustained growth with current activity of around 2,200 adult open-heart procedures per annum. About 50% of these are in myocardial revascularisation and 40% are valve surgery. In addition, around 600 thoracic operations are performed per year. Supra- regionally funded services include heart and , mechanical circulatory support for bridging to transplantation and pulmonary endarterectomy.

There is a service level agreement to cover thoracic trauma at Addenbrooke’s hospital and reciprocal cover from their general surgeons.

The Department of Surgery has 15 cardiothoracic surgeons and three dedicated thoracic surgeons. Close links are encouraged with the anaesthetic team who run the intra-operative echo service.

7 Thoracic Medicine

The Department’s chest physicians manage acute and chronic respiratory conditions in collaboration with specialist radiologists and histopathologists. The Directorate has a number of sub-specialist services, many of which have a regional or national caseload. These include the service which cares for around 300 patients and is leading the way on caring for NTM patients, an NHS England recognised specialist Interstitial Lung Disease centre with around 700 active patients under their care, the Lung Defence service who provide multi-disciplinary care to over 1500 patients with difficult lung infections, the Pulmonary Vascular Disease Unit which is an integral part of the National Pulmonary Hypertension Service and National Pulmonary Endartectomy Program (being the only hospital in the UK to offer the surgical service), the Respiratory Support and Sleep unit which provides home ventilation and sleep medicine accredited by the European Sleep Society and commissioned at the national service provider for adults with Ataxia Telangiectasia and a specialist tertiary thoracic service including a regional EBUS / EUS service specialising in diagnosis and staging of lung cancer.

8 Research, Development and Audit

Royal Papworth gives the highest priority to research, as evidenced by its worldwide reputation for scientific innovation and cutting-edge research to develop state of the art technologies and treatments. Our international standing has recently been formally recognised through Academic Health Sciences Centre Designation jointly with Cambridge University Hospitals.

The Trust encourages research via the R&D Unit which offers not just research governance approvals but a comprehensive ‘one stop shop’ service (including statistics and health economics) for developing and conducting new trials. A major strategic target is increasing National Institute for Health Research ‘Portfolio’ research trials and other well-designed studies. Our research is funded by the Health Technology Assessment Programme, the British Heart Foundation and other major grant organisations.

Last year, as part of our Research Vision, the hospital Board provided an additional £2 million over 3 years to further build research capacity in the form of new 50:50 clinician researchers (2 appointed to date in cardiology and cardiothoracic surgery), 5 research training fellows and ‘pump prime’ funding money to develop research ideas into future grant applications. Consultant interventional substantive post Oct 2019 8/13

The R&D department has been provisionally awarded the status of Clinical Trial Unit status and will become part of the planned Heart and Lung Research Institute to be built adjacent to Royal Papworth Hospital on the Biomedical Research Campus in Cambridge.

9 Postgraduate Education

There is a well-established education and training ethos throughout Royal Papworth Hospital for all grades of clinical staff. There is strong support for CPD within the Trust under the direction of the Medical Director. All consultants are encouraged to undertake CPD in accordance with Royal College guidelines.

10 Duties of the Post

The post-holder will be responsible to the Clinical Director of Cardiology and accountable to the Medical Director when undertaking the following duties:

 Have continuing responsibility for patients admitted under the care of the interventional service, and provide appropriate outpatient services. With the other current Consultants, provide a cohesive service and contribute to the smooth running of Cardiology Services.

 Participate in the interventionist of the week rota, currently a 1:9 rota. The post-holder will be responsible for the management of patients transferred across from surrounding DGH’s with acute coronary syndromes and valvular heart disease predominantly and also those patients admitted directly to Papworth on the Primary PCI pathway. During the on-call week routine work will be cancelled allowing a morning ward round, multi-disciplinary heart team meeting and then 3-5 hot lab ACS sessions per week in the afternoons

 Participate in the out of hours on call rota (currently 1:12) for the interventional service. This would be done after a period of induction and then a buddying system.

 The post holder will participate in this consultant-led service and work in close collaboration with the EP, imaging and cardiothoracic teams to ensure that patient flow is efficiently managed.

 Undertake cath lab sessions, chest pain clinics and subspecialty sessions where appropriate and after discussion at job planning. There may also be the requirement that the appointee visit local DGH’s to assist with delivery of their local service needs in terms of cardiology clinics, diagnostic angiography and MDT meetings.

 Liaison and communication with consultants, junior medical staff and GP’s involved in follow-up care for all cardiology patients under their care.

 Carry out patient-related administrative duties including triaging new referrals, liaising with referring physicians about referrals and / or transfer of patients, planning investigations for new and follow-up patients, discharge summaries and outpatient letters.

 In conjunction with colleagues, work flexibly to achieve the hospital’s agreed planned activity for in-patient and out-patient services.

 Participate in departmental and clinical meetings and other appropriate activities as may be required by the Clinical Lead for the smooth running of cardiology services.

 Take an active role in teaching and training of medical students and junior doctors.

 Maintain a portfolio of continuous professional development and attend appropriate Consultant interventional substantive post Oct 2019 9/13 training to maintain knowledge and skills.

 Undertake own research and audit in line with Trust objectives.

 Maintain personal professional development in accordance with any requirements of the Royal College of Physicians, and contribute to the leading-edge status of the Hospital

Draft Job Plan

1 DIRECT CLINICAL CARE Number Activity Days and Frequency of PAs Ward Rounds Daily when IOW otherwise 0.625 when inpatient need reviewing Ward Cover/Procedures  Out-patient clinic TBC when appointment made 6.25  Interventional cath lab lists PPCI on call MDT 0.625 Patient Administration 1 Sub Total 8.5 2 SUPPORTING PROFESSIONAL ACTIVITIES Teaching and Training 0.25 Research 0.25 Management 0.25 Continuous Professional Development 0.5 Sub Total 1.25 3 ADDITIONAL NHS RESPONSIBILITIES

4 EXTERNAL DUTIES Any external duties will be agreed with the successful candidate Total to be Agreed 10.00

 The final job plan schedule will be agreed when any additional and external duties have been discussed with the successful candidate  On call commitments will be remunerated according to the terms and conditions of the new consultant contract.  The newly appointed consultants will be supported day to day by their subspecialty colleagues and offered mentoring by a senior cardiologist outside of their speciality.

11 Terms and conditions

This appointment is exempt from the provision of Section 4 (2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders Act 1974, (Exemption Order) 1975. Applicants are not entitled therefore, to withhold information about convictions which for other purpose are ‘spent’ under the provisions of the Act. In the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information will be completely confidential and will be considered only in relation to any application for the position to which the Order relates.

The Trust is committed to providing safe and effective care for patients and one of the principles set out in the GMC’s ‘Duties of a Doctor’ is that a doctor has an ethical responsibility to act quickly to protect patients where they have reason to believe that they or a colleague are unfit to practice. To ensure this, there is an agreed procedure for medical Consultant interventional substantive post Oct 2019 10/13 staff the enables them to report, quickly and confidentially concerns about the conduct, performance or health of medical colleagues. All medical staff practicing in the Trust should ensure that they are familiar with the procedure and apply it.

The successful candidate will be required to live within 30 minutes normal travel time of the hospital, and must be contactable by telephone.

The appointee may be required to undergo a medical examination dependent on the date of last medical examination for a post within the NHS.

The Trust will require the successful candidate to have and maintain full registration with the General Medical Council, and if appropriate, membership of a recognized Medical Defence Organisation. You are strongly recommended to maintain defence body membership in order to ensure that you are covered for any work which does not fall within the NHS indemnity scheme, (e.g., private practice, even if that activity is being undertaken on NHS premises, good Samaritan acts, and for cover if you are involved in GMC disciplinary procedures or criminal proceedings).

Within their own area of responsibility, the post-holder will be responsible for assessing the risks to the health and safety of staff, patients and visitors or to the achievement of the Trust's objectives. The post-holder must ensure that identified risks are reported centrally to the Risk Management Team, so that significant clinical and non-clinical risks are included in the Trust's Risk Register.

The post-holder will participate, as required, in clinical and non-clinical audit projects aimed at improving patient care and the effective and efficient delivery of services.

Where required by safety legislation or mandatory requirements of bodies such as the NHS Litigation Authority, the post-holder will contribute to the preparation and review of written risk assessments, including clinical risk assessments, at appropriate intervals and, where necessary, develop and implement suitable risk treatment plans.

The post-holder will be responsible for ensuring attendance of staff at mandatory training sessions appropriate to the posts held and for providing a quarterly breakdown of attendance and reasons for non-attendance.

12 Brief Terms of Appointment

The post is subject to the terms and conditions for Consultant (England) 2003 for consultant medical staff, incorporating General Whitley council conditions of service as explicitly stated. Also to any amendments which are from time to time the subject of negotiation by the appropriate negotiation bodies and are approved by the Secretary of State. The post is also subject to the Trusts policies and procedures.

Noted below are the summary salary points of the consultant terms and conditions:

(a) The post is full-time with 10 programmed activities with additional remuneration for on call.

(b) Basic salary on commencement will normally be at the minimum point of the pay scale on first appointment to the consultant grade. Any consultant level experience prior to the first appointment as an NHS consultant will be reflected in a higher starting salary.

(c) Consultants will be eligible for pay increases at intervals (thresholds) specified in schedule 14 of the terms and conditions.

(d) It will be the norm for consultants to progress through the pay thresholds at the intervals specified in the pay scale schedule. Defined criteria set out in Schedule 15 identify the requirements for progression through the thresholds.

Consultant interventional substantive post Oct 2019 11/13 13 General Information

Royal Papworth Hospital is situated on the Cambridge Biomedical Campus as of May 2019. There is easy access to London by road and rail. The site is located in the South of Cambridge and is close the city centre. There are several small towns and villages with charming character in the surrounding area of Cambridge with good housing at reasonable prices. There are good state and private schools within this and neighbouring districts. Sports and leisure facilities are easily available.

14 Informal Visits

Informal visits can be arranged through the offices of:

Michael O’Sullivan, Clinical lead for interventional cardiology 01223 638000

David Begley, Clinical Director 01223 638000

Job description and person specification approved by

Dr Roger Hall David Begley (Medical Director) ………………………… (Clinical Director) …………………….

Date …………….. Date 09-10-2019

Consultant interventional substantive post Oct 2019 12/13 PERSON SPECIFICATION

REQUIREMENTS ESSENTIAL DESIRABLE Qualifications MRCP or equivalent Higher degree, e.g., MD, PhD

Full GMC Registration Specialist Register for Cardiology (or be eligible for this within 3 months of application)

Clinical training, Clinical training and experience Relevant fellowship experience and equivalent to that required for Knowledge gaining UK CCST in Cardiology

Demonstrable evidence of high volume first operator experience in PCI and exposure to PPCI

Competent in IVUS / FFR and IABP

OCT, ECMO, Impella, BPA

Training and evidence of first operator experience in TAVI / BAV

Research Research experience and peer Ongoing commitment to research review publication

Management Knowledge of the fundamentals of Management course health service management.

Audit Record of initiation of audit projects and presentation of results.

Teaching Experience in the organisation and delivery of teaching activities.

Personal Attributes Ability to work in a multi-disciplinary team. Able to communicate effectively and sensitively with patients, relatives, medical and non-medical colleagues, and to seek advice when appropriate. Has skills of leadership and ability to collaborate.

Other requirements Demonstrates commitment to CPD CCT, or holds recognised EA/EU qualification for entry on to register. Satisfactory references. Ability to travel

Consultant interventional substantive post Oct 2019 13/13