Associated University (UCL) NHS Provider Trust
Consultant in Respiratory Medicine
Our Trust
West Hertfordshire Hospitals NHS Trust is an acute trust providing hospital services to over 500,000 people living in Hertfordshire and north London. It has three hospitals (Watford General, St Albans City Hospital and Hemel Hempstead Hospital). The trust also manages an outpatient physiotherapy unit at Abbotts Langley. The Watford site is by far the biggest and is the focus for the trust’s emergency and specialised care. The trust provides a range of more specialist services to a wider population, serving residents of north London, Bedfordshire, Buckinghamshire and east Hertfordshire.
We employ around 5,000 staff and over the course of a year treat nearly a million people, including 150,900 people attending our emergency services, nearly half a million via outpatient clinics and deliver about 4,600 babies.
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For more details, please see link below. http://www.westhertshospitals.nhs.uk/about/trustboard.asp
Our hospitals
Watford General Hospital Watford is the main site for emergency and specialist care. The clinical services include: Women’s and children’s services, including a consultant-led delivery unit, midwife-led birthing unit, antenatal and postnatal clinics Emergency care, including accident and emergency, acute admissions unit Ambulatory care unit, acute wards, intensive care unit and emergency surgery Planned care, including outpatients and complex surgery Medical care, including cardiology, care of the elderly, dermatology, endocrinology-diabetes, gastroenterology, haematology, neurology, respiratory, rheumatology and stroke Clinical support, including X-ray, CT, MRI, ultrasound, pathology, pharmacy, radiology, physiotherapy, occupational therapy and dietetic services
Hemel Hempstead Hospital The clinical services offered at Hemel Hempstead include: Antenatal and community midwifery Outpatients Step-down beds for patients Urgent care centre Medical care, including endoscopy and cardiac lung function testing Diagnostic support, including X-ray, CT, MRI, ultrasound and non-urgent pathology
St Albans City Hospital St Albans is our elective, ie pre-arranged and non-emergency, care centre. The clinical services offered include: Antenatal and community midwifery Outpatients Minor injuries unit Elective and day surgery Clinical support, including X-ray, ultrasound, mammography and blood and specimen collection
Our Values
Our trust values give staff, patients and their families a common purpose. They help staff to better serve our patients and meet and exceed their expectations. They form the foundation of our working day.
Opportunities for development
The trust offers excellent educational and development opportunities for all staff. It has strong links with the local universities who have extensive portfolios of courses and programmes ranging from personal development through to leadership and management skills.
Staff health and wellbeing
The trust is committed to supporting staff and promoting a positive work and life balance. Our Balance4Life programme offers staff a wide range of regular health and wellbeing events and activities. It includes fitness classes, health checks, talks and seminars.
Local information
Our hospitals are a great place to live and work. We are close to the beautiful Hertfordshire countryside and historical places of interest, with great shopping, excellent restaurants and a vibrant night life. There is a wide variety of leisure, cultural and recreation facilities within the locality, which boasts excellent schools and colleges.
The city of London is easily reached within 30 minutes by rail travel. Bus services run between the train stations and Watford Hospital. The M25 is approximately 15 minutes away. Heathrow and Luton airports are both approximately 45 minutes away.
Hemel Hempstead is served by the M1, M10 and M25 motorways. There is a rail link from London Euston to Hemel Hempstead that takes approximately 25 minutes.
St Albans is 25 minutes from the city of London, close to the M25 and M1 and only 17 minutes by rail from London via the Thames Link.
For more information about the work of our hospitals, please visit: www.westhertshospitals.nhs.uk. You can also join our 5,000+ followers we have on Twitter (www.twitter.com/WestHertsNHS or @WestHertsNHS) or ‘like us’ on Facebook (www.facebook.com/WestHertsNHS). You can view photos from our hospitals on our Flickr page: (https://www.flickr.com/photos/westhertsnhs
Consultants in the Medical Division
Accident & Emergency H Borkett-Jones D Gaunt R Davis R Hoey N Suri M Jacobs S De Silva R Burridge S Khan S Kamal-Uddin C Shine S Ishtiaq Rizvi R Vasiraju Acute Physicians A Hamda P Pusalkar S Devendra P Saravanan M Arif M Thapa S Obaidee Cardiology Consultants N Hadjiloizou P Moore N Keenan M Van der Watt M Khan A Varnava M Koa-Wing W Wallis D Lefroy P Jain J Sehmi A Griguer Care of Elderly K Debrah D Collas L Thangaraj A Mir J Bernstein S Rizvi D Ranjith M Alam K Ekanayake R Kings M Bhandari T Adesina G Cooray Clinical Haematology S Bradley A Wood J Harrison G Abrahamson H Al-Sader B Czako Dermatology V Bataille K Batta V Blackwell M Murdoch S Dawe F Tatnall J Dyche A Brown C Allen C Champagne D Sandhu T Siah Diabetes & Endocrinology C Johnston A Ogilvie C Kong J Ostberg T Galliford P Pulsakar A Pokrajac R Kehinde A Hamda T O’Shea Gastroenterology S Catnach A Leahy A King B Macfarlane K. Wallis M Fullard M Shariff R Chaudhary J Landy A Vaziri Nephrology P Warwicker T Cairns P Hill Neurology L Parsons P Korlipara
R Brenner K Fernando N Dhanjal A Foulkes K Farrell A Gechev Z Khaleeli L Zambreanu D Rayan Respiratory Medicine J Cairn A Barlow D Evans M Knight A Jayaratnam A Jackson R Mogal S Konda K Roy Rheumatology S Bhalara K Baburaj L Patel A Seneviratne C Wing
4. Postgraduate Education
The Trust has active post graduate medical facilities on all sites. A new £1 million postgraduate medical centre has recently opened at the Watford site. Facilities include two lecture theatres, several meeting rooms equipped for computerised presentations and teleconferencing, clinical skills centre and internet access. There is also a refurbished postgraduate centre at Hemel Hempstead Hospital which boasts excellent facilities. Libraries are situated on both sites.
The Trust regularly hosts the MRCP, PACES exam and Regional College Teach-ins. The Consultant Physicians are involved in teaching of the Junior Doctors and the post holder would be expected to contribute to the F1 and F2 teaching programme as well as offer PACES teaching and occasional education to the local GP community.
5. Undergraduate Education
West Herts Hospitals NHS Trust is a University College London Associated NHS Provider. The Consultants are involved in the training of undergraduate students from UCL, Imperial College Medical Schools and St George’s University School of Medicine, Grenada.
6. Research
The Trust has a proactive attitude towards to Research & Development and the department is involved in a number of external research studies.
7. Clinical Governance (including Clinical Audit)
The Trust has a regular programme for clinical governance which includes both multidisciplinary and speciality meetings. The Department produces an annual clinical
governance report. The post holder will be expected to make an important contribution to developing the Clinical Governance Programme. The Trust places strong emphasis on audit and all departments are encouraged to undertake regular audit projects. The post holder will take an active interest and participate in departmental, divisional audits and quarterly medical audit meeting.
8. Respiratory Department
The Respiratory department at WHHT is Consultant led and the service largely Consultant delivered.
Consultants
Dr Abi Jackson – Clinical lead, lung cancer, pulmonary nodule pathway, smoking cessation Dr Andy Barlow – Interventional bronchoscopy, lung cancer and Divisional Director for Medicine Dr David Evans – CLCH Community Service Lead, COPD, TB Dr Ajitha Jayaratnam – Acute TB Lead and Assistant Divisional Director Dr Matthew Knight – Associate Dean for the East of England Deanery, allergy and asthma, pleural lead, CPET Dr Rahul Mogal – Lung Cancer Lead, interventional bronchcoscopy Dr Kay Roy – Research and Audit Lead, ILD Dr Julius Cairn – ILD, respiratory infection, pneumonia Dr Shruthi Konda – ARCU Lead, CPET, pleural Dr Patty Yunger
Dr Pancha Nandasiri – Associate Specialist Dr Fred Odhiambo – Associate Specialist
Chantoy Spencer – Assistant Divisional Manager Philip Kelso – Assistant Service Manager
Claire Taylor - Macmillan Lung Cancer Clinical Nurse Specialist Hannah Gepp - Macmillan Lung Cancer Clinical Nurse Specialist Jismol Hyncil - Macmillan Lung Cancer Clinical Nurse Specialist
Alexandre Newland-Smith – Chief Respiratory Physiologist Andre Henriques – Lung Physiologist Rosie Bourke– new Lung physiologist
5 Respiratory specialist registrars from the East of England deanery. One interventional bronchoscopy clinical fellow post A team of 6 CMT and 6 FY doctors are based on Aldenham ward.
We have a well-established community clinic service provided by our partners CLCH Healthcare Trust. Clinics are carried out throughout trust sites by the consultant team, in
collaboration with respiratory nurses employed by CLCH. The community clinics are deigned to provide a service for our patients with chronic respiratory disease including COPD, asthma, bronchiectasis and interstitial lung disease. They also provide our pulmonary rehabilitation and home oxygen services and patients can be visited at home by the nursing team in order to provide advice, avoid hospital admission or enable early discharge from hospital.
We also provide respiratory HOT clinics which are held daily in order to enable early discharge from hospital for patients with respiratory disorders. Patients can be booked in directly following their discharge from hospital and the postholder will be expected to contribute to this.
We have a dynamic secretarial team who are based at WGH and HHGH. They are involved in all aspects of our outpatient clinic services, as well as our medefer referrals triaging service which the postholder will be expected to contribute to.
Outpatient activity
The Respiratory service at WHHT provides a diagnostic and treatment service for both inpatient and outpatients, with an average of 4000 new referrals per year and an average of 9300 admissions per year. With services running at WGH, HHGH and SACH, there is also an SLA in place with CLCH (Central London Hospital Healthcare NHS Trust) whereby WHHT respiratory consultants provide community respiratory clinics. Examples of other consultant led services within the department are: CPET (Cardiopulmonary Exercise Testing), ‘HOT clinics’, Pleural procedures, bronchoscopy, EBUS day cases and NIV services and Lung function testing. Referral sources include new GP referrals, inpatients, and internal referrals from other specialities.
Respiratory activity has remained high over the past few years and the service has developed new specialist areas within the speciality which requires further development and maintenance, such as; RRMS (Respiratory Referral Management Service), ARCU, Lung Cancer Diagnostics meetings.
There are three lung cancer nurse specialists, lead by Claire Taylor. They provide inpatient and outpatient support to patients diagnosed with lung cancer. Our chemotherapy services are provided through Mount Vernon Hospital although Dr Dickson provides a clinic at Watford. Our surgical services are currently provided though Harefield Hospital. We have 3 hospices in the area: St Francis’ Hospice in Berkhamstead; The Peace Hospice in Watford and The Rennie Grove hospice in St Albans. There is an active palliative care service within the hospital.
Management
Dr Andy Barlow is the Divisional Director and Elaine Odlum is the Divisional Manager for Medicine. Dr Abi Jackson is the Lead Consultant and Chantoy Spencer is the Assistant Divisional Manager for Respiratory.
Links with other Departments
We have close working relationships with other local Trusts. Two of our consultants hold honorary consultant posts at Harefield Hospital and spend one day a week working at Harefield. We hold regular MDTs with teams at The Royal Brompton and Harefield Hospitals, and UCLH for our complicated Interstitial Lung Disease patients and for Advanced COPD patients. Our lung Cancer MDT is currently visited by Consultant Cardiothoracic Surgeon Mr Vladimir Anikin from Harefield Hospital, and Consultant Clinical oncologist, Dr Jeanette Dickson from Mount Vernon Hospital who also holds clinics within our Trust. We also have a close working relationship with the department of Thoracic Surgery at UCLH where we also refer patients. The holder of this post is not expected to visit other trusts on a regular basis.
9. This Post
The successful applicant will be based at WGH. They will work with the respiratory consultant body to provide a highly effective respiratory service for patients, local general medical practitioners, and hospital colleagues. The appointee will be an integral part of the lung cancer team which diagnoses approximately 230 cases of lung cancer per year. They will help to develop and manage our lung cancer diagnostic and treatment pathways. Depending on the expertise of the candidate, the candidate may be expected to support the bronchoscopy and pleural service.
In-patient respiratory services are based on the acute site at Watford General Hospital. Respiratory inpatients are managed on Aldenham ward (27 beds), including patients requiring acute NIV. The successful post holder will be expected to contribute to the ward rota for managing inpatients, as well as a separate rota for reviewing respiratory referrals from other wards and from the Acute Admissions Unit. We aim to transfer anyone who has a primary respiratory condition to Aldenham Ward for ongoing management. The successful post holder will also be expected to contribute to the weekend on call respiratory consultant rota which currently involves a 4 hour morning ward round on both Saturday and Sunday, as well as a weekday and weekend NIV telephone advice service provided by the respiratory consultant team. The post holder will also be expected to contribute to the general medicine weekday on call rota. Respiratory consultants may provide a separate on call service weekday service in the future, and you agree to participate in these new working patterns.
There are regular respiratory departmental and clinical governance meetings and weekly educational and radiology meetings for all of the respiratory team. There is also a weekly lung cancer MDT which the postholder will be expected to contribute to.
The post holder will be expected to teach, support and train junior medical and non-medical staff in the Respiratory department, as well as contributing to postgraduate and undergraduate teaching activities in the Trust. The post holder will also be expected, with
other Consultant colleagues, to advise and supervise Respiratory nurse specialists, and the lung Physiology Team.
The timetable shown is indicative only. A detailed job plan will be agreed on appointment following discussions between the appointee, local management, and Cardiology and Divisional Medical Leads.
It is proposed that as well as the job plans below both new Respiratory consultants would take part in the following acute activity: Ward cover- all day- AAU Level 3 1:4 weeks NIV telephone oncall, all day weekday- 1:10 Weekend oncall- 1:9 General Medicine oncall rota (To be confirmed)
Other than when rota’d for any of the above acute, the standard job plan is documented below. The job plan consists of 10 PA
Consultant 2- General Respiratory
Monday Tues Wednesday Thursday Friday Sat Sun Ward Ward round round General Morning Pleural 8.30am 8.30am SPA General clinic Triaging Resp 9am-1pm clinic -1pm, 1 -1pm, 1 Clinic in 9 in 9 weeks weeks Respiratory Lunch management Radiology Grand Time meeting/ meeting Round 1-2pm Teaching Afternoon General SPA/ General Admin 2pm-5pm clinic admin Clinic
Explanation of the timetable: The exact order/schedule of the sessions listed above may change depending on the candidate’s and WHHT’s requirements. The consultant would be expected to participate in the ward consultant (1 in 10) and referrals consultant (1 in 13) rotas. During these weeks, all other clinical activities (special interest, clinics etc) are cancelled. They will also be expected to contribute to the weekday NIV telephone advice rota (1 in 13 and the weekend respiratory on call which involves a ward round 8:00am to 12pm (4 hours) ward round on the weekend and providing telephone advice for NIV (1 in 13).
10. Appraisal, Mentoring, Continuous Professional Development and revalidation
Colleagues embarking on a first consultant appointment will be supported and mentored by an experienced colleague. The mentor will usually be from within the Respiratory Medicine department at West Hertfordshire Hospitals NHS Trust. You will be encouraged to meet your mentor within a few weeks of taking up your post and arrange subsequent meetings as mutually agreed.
West Herts Trust has a well-developed electronic programme of annual consultant appraisal to facilitate the post holder’s professional development. In addition all consultants are expected to take an active interest in the clinical and educational progress of their trainees including the conduct of regular assessments and appraisals.
The trust supports the requirements for continuing professional development (CPD) as laid down by the Royal College of Physicians and is committed to providing time and financial support for these activities.
The trust has the required arrangements in place, as laid down by the Royal College of Physicians, to ensure that all doctors have an annual appraisal with a trained appraiser and supports doctors going through the revalidation process.
11. Secretarial support
Secretarial support will be provided at the consultant’s main office base which is fully furnished and equipped with computers.
12. Person Specification
Essential Desirable
MRCP or equivalent Qualifications MD or PhD from UK University or Full registration with the GMC with a equivalent licence to practice.
CCT in Respiratory Medicine (or within 6 months at time of interview) or inclusion on the Specialist Register Ability to offer a specialist clinical Clinical opinion on the full range of acute Established track record in clinical Experience respiratory conditions, including research emergencies
Ability to take full and independent Further sub-speciality experience. responsibility for clinical care of patients, in both in-patient and out- patient settings.
Experience in lung cancer.
Ability to manage and lead junior Management / medical staff Completed basic training in Administrative management skills experience Evidence of working effectively as a part of a multidisciplinary team
Ability to initiate and lead service developments.
Willingness to be involved in departmental management
Evidence of initiating, progressing and completing audit
Direct and extensive working knowledge of the UK National Health Service
Teaching Experience in education and training of Completed a Teaching course experience medical staff, nurses and medical students Good presentation skills
Ability to work in a team Personal
attributes Evidence of IT skills and computer literacy. Able to use spreadsheets, database and PACS systems
Excellent written and verbal communication skills in English
Ability to undertake on-call duties
Valid UK driving licence, and able to travel between hospital sites
13. Terms and conditions of service
The appointee will have continuity of care for the patients in his/her chargeand will contribute to the lung cancer service.. He/she will also undertake the administrative duties associated with the care of his/her clinical department. West Hertfordshire Hospitals NHS Trust will be responsible for issuing a contract for the number of programmed activities agreed between the appointee and the trust.
The present salary scale is £79,860 to £107,668 per annum.
The successful applicant will be expected to live within 30 minutes travelling time of the three hospitals. Relocation expenses will be considered if applicable.
The successful applicant will be required to hold an appropriate higher qualification.
The post holder will require occupational health clearance. A satisfactory medical examination is a condition of employment for Medical and Dental staff in the NHS. Therefore, the successful candidate may be required to undergo such an examination unless a satisfactory one has been carried out within the last twelve months.
The post holder will have responsibility for the management of junior medical staff, including approving and monitoring leave rotas and locum arrangements. He/she will also supervise the professional and clinical development of junior doctors.
The appointee will be expected to undertake continuing professional development. He/she will be required to meet the College requirements for CME/CPD. Time will be available for participation in assessments.
Candidates wanting part-time employment are invited to apply for the post.
The appointee will be expected to cover annual and study leave of other consultant colleagues. The post holder will make timely arrangements for cancelling of clinical duties during leave periods in accordance with trust policy.
Private Practice The consultant may engage in private practice in accordance with schedule 9 of the Terms and Conditions of Service, NHS Code of Conduct for Private Practice and Trust policies on private practice. Regular private practice commitments should be stated in the job plan.
Indemnity The Trust Board will indemnify the post-holder for all National Health Service work undertaken as part of the contract of employment. Adequate defence cover should be taken out by the post holder to provide cover for any work undertaken outside the scope of the indemnity scheme.
Equal Opportunities The post holder will be expected to adhere to the trust’s Race Equality Scheme.
Health and Safety The post holder will be expected to work in accordance with the trust’s Health and Safety policy and professional codes of practice.
Smoking The trust operates a no smoking policy.
Confidentiality The post holder will be expected to maintain staff and patient confidentiality at all times.
Conflict of Interests The post holder must declare any conflicts of interest which may potentially result in personal gain.
Job Plan This will be reviewed annually with the Clinical Lead for the specialty and Divisional Director for medicine. Allocation of duties may alter to meet circumstances such as changes in consultant staffing and the introduction, expansion or reduction of services or changes in the annual work programme.
14. Visits to the hospital
Further information may be obtained from Dr Abigail Jackson on 01442 287880, [email protected]. Visits are encouraged both prior and after applying for the post.