NHS Ayrshire & Arran CONSULTANT ANAESTHETIST
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NHS Ayrshire & Arran CONSULTANT ANAESTHETIST (with interest in Intensive Care Medicine) University Hospital Ayr VACANCY Consultant in Anaesthesia University Hospital Ayr 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent Applications are invited for the position of Consultant Anaesthetist (with an interest in Intensive Care Medicine) based at University Hospital, Ayr. The post is within the Ayr Directorate of Anaesthesia, within an area-wide Anaesthetic Service which has a complement of 39 Consultant Anaesthetists. The Service serves a population of 375,000 with specialities located at University Hospital Ayr (in Ayr) and University Hospital Crosshouse (in Kilmarnock). There are currently 15 Consultant Anaesthetists based at Ayr and 24 at Crosshouse. This post is based at University Hospital, Ayr. As with all appointments to NHS Ayrshire & Arran this appointment may require the appointee to work sessions across Ayrshire. The successful applicant will be joining the Department of Anaesthesia at University Hospital Ayr, which currently has 15 Consultants, 2 Associate Specialists, 4 Specialty Grade Doctor and 5 Trainee Anaesthetists. The post holders will have the opportunity to develop sub-specialty interests to complement the existing expertise and interests of the department. The Department would welcome applications from individuals with an special interest in Intensive Care Medicine. University Hospital, Ayr is a relatively new General Hospital which opened in 1991. In addition to a wide range of laboratory and investigative facilities, it provides acute and elective care in Orthopaedics and Trauma, General and Vascular Surgery, Ophthalmology and Urology. The Medical Department provides care in all aspects of General Medicine, Cardiology and Oncology. There are a total of 343 beds. University Hospital Ayr is easily accessed by road, with the recently upgraded M77 providing rapid access to Glasgow (40 minutes from University Hospital Ayr). Rail services also link Ayr to Glasgow and other surrounding towns, and Prestwick Airport is a 15 minute drive. University Hospital Ayr provides ample, free car parking facilities. The Terms and Conditions of service are those determined by the Consultant Contract and the post is offered on a 10 programmed activity basis. Although the post is offered on a full-time basis, applicants wishing to work part-time would be considered. Applicants must have full GMC registration, a licence to practise and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to a CCT in Anaesthetics or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from the date of interview. For further information or to apply for this exciting role, please contact the NHS Scotland International Recruitment Service: Telephone: +44141 278 2712 Email: [email protected] Web: www.international.scot.nhs.uk GLOSSARY AHP Allied Health Profession CAMHS Child and Adolescent Mental Health Service CAPA Choice and Partnership Approach CBT Cognitive Behavioural Therapy CCT Certificate of Completion of Training CESR Certificate of Eligibility for Specialist Registration CPD Continuing Professional Development DCC Direct Clinical Care EEA European Economic Area FBT Family Based Treatment GIRFEC Getting it Right for Every Child GMC General Medical Council HR Human Resources HSCP Health and Social Care Partnership LD Learning Disabilities NHS National Health Service OOH Out of Hours PA Programmed Activity PVG Protection of Vulnerable Groups RMN Registered Mental Nurse SCA Scottish Centre for Autism SPA Supporting Professional Activity UK United Kingdom WTE Whole Time Equivalent JOB DESCRIPTION NHS Ayrshire & Arran Consultant Anaesthetist (with interest in Intensive Care Medicine) Facilities Critical Care in Ayrshire There are currently 2 Intensive Care Units within Ayrshire in University Hospital Crosshouse and in the University Hospital Ayr. The Intensive Care Unit in University Hospital Ayr is currently funded for 4 beds with 5 serviced bed spaces. The Renal Service is based at Crosshouse and both ICUs can provide Continuous Renal Replacement Therapy. High Dependency Unit has 4 beds for medical and surgical patients and is collocated with the ICU. Both units are staffed by the same nursing team. There are plans to expand the HDU to 10 beds. ICU has a dedicated echo machine with 2 FICE mentors in the department. Full Haemodynamic monitoring is provided including CO monitoring. Theatre Facilities The Theatre suite, expanded 3 times since 1991, now consists of 6 main theatres, 2 with laminar flow, an Interventional theatre, 3 Day Surgery Theatres and 2 Outpatient procedure rooms. The nearby Endoscopy suite has 3 fully equipped Endoscopy rooms. The 4-bedded ITU is immediately adjacent to the theatres. A dedicated Emergency Theatre is available throughout the week and over the weekend for 24 hours a day. It is shared between all surgical specialties with Orthopaedics & Trauma having weekday morning priority. On certain weekend days, depending on trainee experience, it is covered by a dedicated consultant working a session in the morning and continuing as the service demands with time allowed against flexible sessions or recouped in other ways. (see below under On-call arrangements) NHS Ayrshire and Arran continues to invest in the purchase of up to date theatre equipment and has a well established programme for the ongoing replacement of existing equipment. No. of Facilities The Ayr Hospital Main Theatres (five with laminar flow) 6 plus an interventional theatre Day Surgery Theatres 3 DSU Treatment Room 2 Endoscopy Procedure Rooms 3 Beds The following table provides a breakdown of the bed complement within University Hospital Ayr: Surgical Specialty University Hospital Ayr General Surgery 24 Vascular Surgery 24 Orthopaedic 38 Ophthalmology Admitted to surgical ward if necessary Urology 23 ENT / Maxillofacial Surgery - Plastic Surgery 0 Oncology 12 High Dependency 4 (in addition there are 4 medical high care beds and post operative care rooms within the surgical ward) ITU 4 University Hospital Ayr has opened a Combined Assessment Unit in June 2017. This is a 29 single bedded area for medical and surgical patients. There is also an initial assessment area and an ambulatory care unit. Imaging An extensive range of imaging facilities are available including spiral CT with 3D reconstruction, MRI, MRA, radio-isotope facilities and digital subtraction angiography. The Emergency Department University Hospital Ayr provides full Emergency facilities through the Emergency Department. The Unit is currently staffed by teams of consultants in Emergency Medicine, supported by Middle grade, trainee doctors and Emergency Nurse Practitioners. The University Hospital Ayr site has undergone extensive development of their front door services, with a Combined Assessment Unit opened in June 2017. Education Centres Excellent post-graduate facilities are provided at within the MacDonald Education Centre based at the University Hospital Ayr. The centre has a full size lecture theatre, classrooms, a skills lab, IT training facilities, and a number of tutorial rooms. The facilities are supported with modern audio visual and information technology, including teleconferencing facilities and incorporate an excellent up-to-date library with a resident librarian. We have an enthusiastic faculty of trained simulation facilitators from anaesthesia, general medicine, emergency medicine. Medical Photography The Medical Illustrations Department can provide a full service at both hospitals for clinical photography, preparation of slides, PowerPoint etc, for lecture purposes. Medical Staff Resources University Hospital Ayr Consultants SAS grades Dr I N Taylor (this post) Dr S Livingstone Dr RE Jackson Dr R Vidon Dr A Ziarkowski, ICU Clinical Lead Dr K Scott Dr B Parrish Dr A Mazhar Dr R McRobert, Clinical Director Dr D Belch Dr N Alaouabda Dr K Kerr Dr D McLaughlan Dr J Mitchell Dr J Todd Dr J Ramsay Dr K Walker Dr K Dick Future Plans for the Speciality The challenges currently facing all specialties centre around making more efficient use of our valuable resources and reducing inefficient practices whilst improving safety and reducing waiting times. Theatre managers meet on a weekly basis to review activity and have made significant improvements in both efficiency and safety. Key to improving these further is Pre-operative care and assessment. We have an established CPET testing facility and consultant-led pre-operative assessment clinics. In addition, we have Enhanced Recovery Programmes established in Orthopaedics and Colorectal Surgery and are expanding these to include Major Urology. The recent appointment of ER Specialist Nurses will help develop these services and facilitate an increase in same-day admission. The department consistently receives excellent feedback for its CCPOM teaching programme and has links with Glasgow Medical School in the form of two Honorary Clinical Senior Lecturers within the department. There will be opportunities for successful candidates to contribute to departmental teaching and training and for developing a role as educational supervisors and trainee appraisers. Indicative Job Plan/Programme of Activities Proposed Weekly Programme The proposed weekly programme is shown below. Activities with current fixed time commitments will be carried out as detailed in the work programme e.g. clinics. Other