Get documents about "Job Description
Document Sample
NHS Lothian
University Hospitals Division
Directorate of General Surgery
Initial Hospital Base – Western General Hospital.
EAST OF SCOTLAND
SPECIALTY DOCTOR IN UROLOGY, WESTERN GENERAL HOSPITAL, EDINBURGH
1.Outline of the post
Title: Specialty Doctor in Urology, Western General Hospital, Edinburgh
Base Hospital: Western General Hospital, Edinburgh
The post will be available from now until August 1st 2013.
2.NHS Lothian
NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental
health and hospital services. Mr Tim Davison is the Interim Chief Executive and Dr David
Farquharson is Medical Director.
The NHS Board determines strategy, allocates resources and provides governance across
the health system. Services are delivered by Lothian University hospitals division, the Royal
Edinburgh hospital and Associated mental health services, 4 community health (and social
care) partnerships (CH(C)Ps) in City of Edinburgh, West Lothian, East Lothian and
Midlothian, and a Public Health directorate.
NHS Lothian serves a population of 850,000.
The Department of Plastic Surgery provides a supraregional service to Fife, the Borders and
Highland regions and serves a population of 1.4 million
2.1University Hospitals Division
The University Hospitals Division provides a full range of secondary and tertiary clinical
services to the populations of Edinburgh, Midlothian, East Lothian and West Lothian. The
Division is one of the major research and teaching centres in the United Kingdom.
Hospitals included in the Division are:
The Royal Infirmary of Edinburgh
The Western General Hospital
April 2008 Page 1 of 11
The Royal Hospital for Sick Children, Edinburgh
St Johns Hospital
Royal Victoria Hospital
Liberton Hospital
The Princess Alexandra Eye Pavilion.
The Royal Infirmary (RIE) is a major teaching hospital on a green field site in the South
East of the city of Edinburgh built in 2003. It comprises 25 wards, 869 beds, and 24
operating theatres, and is equipped with modern theatre and critical care equipment and
monitoring. Within the main building is a dedicated, multidisciplinary, 5 theatre day
surgery complex. The hospital provides for most specialities and is the centre for:
General surgery with a focus on the upper GI tract
Vascular surgery
Hepato-biliary and Transplant medicine and surgery
Cardiac and Thoracic surgery
Elective and trauma Orthopaedics surgery
Neonatology
Obstetrics & Gynaecology
Cardiology
Renal Medicine
Sleep Medicine
Regional major Accident and Emergency centre.
There is a Combined Assessment Unit which takes unselected GP or direct emergency
referals, and from A&E. CAU includes the Dept of Liaison Psychiatry and the Scottish
Poisons Bureau and Treatment Centre. There are full supporting Laboratory and
Diagnostic Radiology Services (including CT, MR, Ultrasound and NM and PET scanning
will be available in 2008). There is a full range of lecture theatres, a library and AV
facilities.
The Western General Hospital (WGH) has 600 beds and 5 operating theatres and is
equipped with modern theatre and critical care equipment and monitoring. The Anne
Ferguson building was completed in 2001. The hospital provides for most specialties and
is the centre for:
Neurology, Neurosurgery and neuropathology
UK CJD unit
Colorectal Surgery
Urology and Scottish Lithotriptor Centre
Breast Surgery and Breast screening
Rheumatology
Infectious Diseases
Haematology Oncology
Medical Oncology
Radiation Oncology (including 6 LINACs)
Dermatology (Inpatient)
Medicine of the Elderly/Stroke Medicine
There is an Acute Receiving Unit, which accepts GP referrals and 999 ambulance
medical cases on a zoned basis within the city, and a nurse led Minor Injuries Unit. There
is no trauma unit at this hospital. There are full supporting Laboratory and Diagnostic
April 2008 Page 2 of 11
Radiology Services (including CT, MR, Ultrasound and NM).There is a full range of
lecture theatres, a library and AV facilities.
St John’s Hospital opened in 1989 and is located in the centre of Livingston, a new town
about 30 minutes drive west from Edinburgh. The hospital provides for most common
specialties but does not have emergency general surgery or orthopaedic trauma
operating. The hospital has a paediatric ward and is the centre for:
General Medicine with specialists in Cardiology, Diabetes & Endocrinology,
Gastroenterology, Respiratory Medicine and Care of the Elderly
Obstetrics & Gynaecology
Child Health including Paediatrics and community child health
The supraregional Burns and Plastic Surgery unit.
Oral and Maxillofacial Surgery
ENT
Critical Care (ITU, HDU and CCU)
Accident and Emergency
General Surgery
Orthopaedics
Anaesthetics
Mental Health including ICCU and ICPUO
Since 2005 general surgery and orthopaedics have been reconfigured in NHS Lothian
with SJH being developed as a major elective centre for the region. Lothian’s ENT service
was relocated to SJH to create an integrated head and neck unit with OMFS and Plastic
Surgery.
Recent developments at SJH include a new endoscopy suite, an Intensive Psychiatric
Care Unit, a digital mammography unit, an oncology (cancer care) day centre, a satellite
renal dialysis unit and a £2.75m reprovision of A&E. There are full supporting Laboratory
and Diagnostic Radiology Services (including CT, Ultrasound and NM).
The hospital has been accredited full teaching hospital status by the University of
Edinburgh. There is a full range of lecture theatres, a library and AV facilities.
The Royal Hospital for Sick Children (RHSC) is a 151-bedded Hospital, and is the main
paediatric teaching hospital for the South-East of Scotland providing general and
specialised services on a local, regional and national basis. It acts as the local paediatric
referral centre for the children of Edinburgh and surrounding areas, and as a tertiary
referral centre for intensive care patients; gastroenterology, hepatology & nutrition;
respiratory medicine; cardiology; nephrology; neurology; oncology; haematology; neonatal
surgery; plastic surgery; orthopaedic surgery; urological surgery and aspects of general
surgery.
Hospital accommodation encompasses five theatres, a critical care unit comprising a 6/8
bedded Paediatric Intensive Care Unit, 4/6 bedded High Dependency Unit and a 3
bedded Neonatal Intensive Care Unit. There is an excellent library facility and a modern
lecture theatre with a full range of audio-visual equipment.
All services are supported by comprehensive radiology, neurophysiology, laboratory and
therapy services. The local radiology department provides on site Magnetic Resonance
April 2008 Page 3 of 11
Imaging, CT Scanning, nuclear scanning and ultrasound. On site laboratories provide
biochemistry, haematology, pathology and neuropathology services
2.2Community Healthcare Partnerships
The four established Lothian Community Health (and Social Care)Partnerships serve the
population of Edinburgh, Midlothian, East Lothian and West Lothian.
Hospitals in the CH(C)Ps include:
The Astley Ainslie Hospital in Edinburgh
Rosslynlee Hospital in Midlothian
Herdmanflat Hospital
RoodlandsHospital in East Lothian.
The four CHPs are coterminous with Edinburgh, Midlothian, East Lothian and West
Lothian Councils bringing together those responsible for planning, managing and
providing community-based health services for the population of Edinburgh and the
Lothians.
There are 7,500 members of staff. In addition, there are approximately 1,000
independent contractors in General Medical and Dental Practice, as well as pharmacists
and opticians. A population of 850,000 people is served across health board area. The
range of services care of the elderly, medical rehabilitation, community mental health,
substance misuse and learning disability, district nursing and health visiting, family
planning, well woman, , comprehensive dental care and those provided by Professions
Allied to Medicine, such as physiotherapy, pharmacies and optometrists. Specialist
services provided include brain injury rehabilitation, bio-engineering and prosthetics,
drugs and alcohol misuse and harm reduction, AIDS/HIV and Children and Family
Psychiatric Services.
2.3Royal Edinburgh hospital and Associated Services
The Royal Edinburgh and Associated Services provides a range of Mental Health
services to the population of Lothian and other Boards within Scotland.
The Royal Edinburgh Hospital is located on the south side of the City of Edinburgh. It
comprises some 20 wards, 420 beds, day hospitals and outpatient facilities. The hospital
provides the following range of specialities:-
Acute Mental Health
Rehabilitation
Psychiatric Emergency Team 24/7
Outpatients
Assessment Phychiatry of Old Age
Forensic Medium Security Unit
Inpatient facilities for under 18s
Psychotherapy Service
Psychology Services
Services for Eating Disorders
Day Hospitals – Psychiatry of Old Age
There are an additional 46 bed and 1 day hospitals for Psychiatry of Old Age in the north
of the city at the Royal Victoria Hospital.
April 2008 Page 4 of 11
The hospital is currently housed in a mix of accommodation ranging from 19th century to
present. There is a major project now in place to take forward a reprovisioning
programme in line with the strategic vision with the “Delivery for Mental Health” Scottish
Executive 2006.
2.4Department of Public Health Medicine
The aim is to improve the health of the people of Lothian in collaboration with many other
partners. Using our range of knowledge, experience and networking capability, our distinctive
contributions are:
the promotion of specific measures to monitor and improve health;
the collation and interpretation of health related information.
The following objectives have been agreed as the basis for the Department’s work plans:
1. To monitor the health status and health needs of people in Lothian;
2 To promote improvements in the health of Lothian people directly, and by providing
information and advice to the public on health matters;
3. To assist Lothian NHS Board to fulfil its statutory obligations;
4. To contribute to strategic changes within the NHS in Lothian by providing information on
clinical effectiveness;
5. To facilitate improvements in health and health care services directly, and through ‘managed
clinical networks’ and wider alliances;
6. To contribute on a 24 hour basis to the control and prevention of communicable diseases and
environmental hazards;
7.To maintain commitments to teaching, training, professional development, audit and research.
To enable efficient management of the Department: there are at present four groups in the Directorate.
These are; Healthy Communities, Healthcare; Health Protection and Health Information.
3.University of Edinburgh
The University of Edinburgh was established in 1582 and is one of the largest in the United
Kingdom located on a number of prominent sites in Scotland’s capital city. It is Scotland’s
premier research university, graded within the top six multi-faculty British Universities in the
last national research assessment exercise (90 percent of its academic staff were in units
rated 4, 5 or 5*). It has 3,000 academic staff, over 16,000 undergraduate and over 4,000
postgraduate students and an annual expenditure of over £261M for teaching and research.
The University is organised into 3 Colleges: Humanities and Social Science, Medicine and
Veterinary Medicine, Science and Engineering.
4.NHS Library and Postgraduate Facilities
There are excellent facilities on all sites.
April 2008 Page 5 of 11
5.Departmental Information
Urology services at the Western General Hospital and the network are currently delivered by a
team of eleven consultants, covering general urology with well-developed sub-specialist interests
in all the major disease areas, as follows:
Mr S.A. McNeill – WGH: Minimally invasive management of prostate and renal cancer.
Mr D.A. Tolley – WGH: Scottish Lithotriptor Service, Endo-urology.
Mr G. Smith – WGH & Roodlands: Endo-urology, Erectile Dysfunction and General Urology.
Mr P. Bollina – WGH: Pelvic cancer
Mr L.S. Stewart – WGH: Female and reconstructive urological surgery and incontinence
Mr R. Donat – SJH & WGH: Andrology and superficial bladder cancer
Mr A.C.P. Riddick – SJH & WGH: Upper tract malignancy and minimal access surgery.
Mr P.T. Mariappan – SJH & WGH: Bladder malignancy
Mr A. Alhasso – BGH & WGH: Female and reconstructive urological surgery
Mr B. Thomas – BGH & WGH: Endo-urology and minimal access surgery
Mr S. Phipps – WGH & SJH: Endo-urology and minimal access surgery
It is a well-equipped unit with endoscopic facilities in all theatres, a full range of endoscopic and
laparoscopic equipment and a full compliment of video-urodynamic equipment. The well-
developed subspecialist organisation of the unit has allowed it to develop a tradition of leading
developments in Urology in Scotland, in all areas from andrology to laparoscopic pelvic surgery,
and it remains at the forefront in this regard having performed 1000 laparoscopic nephrectomies
and over 500 laparoscopic prostatectomies. The Scottish Lithotriptor Centre is a well-renowned
part of the Department of Urology based at the Western General Hospital, which provides a
secondary and tertiary service for the management of patients with urinary tract stones.
Urology services St John’s Hospital, Livingston include fully equipped theatres allowing
endoscopic and day case procedures. A Green Light Laser (AMS) has recently been installed
and will allow us to deliver a daycase service for patients with benign prostatic obstruction.
TRUSS biopsies are performed and prostate assessment and catheter clinics are run by Urology
Nurse Specialists alongside the consultant staff. At present services are provided by a team of
three consultant urologists who visit from the Western General Hospital.
The unit provides training as part of the East of Scotland Training Programme in Urology with and
currently offers training to six specialty trainees and 1 Endourology Fellow who share on-call
commitments on a 1:7 non-residential on-call rota. Training opportunities are focussed according
to the specific needs of each trainee.
The medical team is supported by an excellent team of theatre and ward nursing staff and nurse
practitioners who undertake roles such as prostate biopsies and flexible cystoscopy. The Nurse
Urology Unit houses facilities for assessment and follow up of patients with bladder outflow
obstruction and incontinence. This unit also takes pressure off the ward with regard to
performing trial without catheters and teaching intermittent self-catheterisation.
6.Details of the Post
The successful applicant will be offered a 10PA contract for one year.
In addition to contributing to the general urology service and helping us ensure that waiting time
targets are met, the successful candidate will benefit from an opportunity to work with
subspecialty teams
April 2008 Page 6 of 11
A weekly timetable will be agreed with the successful applicant. . The nature of fixed sessions
may vary from week to week. On average the post will include nine clinical sessions.
The post holder will be required to support the general urology sessions at the Western General
Hospital and one other site where Urology services are provided by the network.
It is expected that the individual will further contribute to service by flexibly covering additional
operating lists or clinics as they become available. This will in turn facilitate greater flexible
working by existing consultants in the unit.
The appointee will have a continuing responsibility for the care of patients in his/her charge and
will undertake the administrative duties associated with the care of his or her patients and an
appropriate share in the running of the clinical department.
The successful candidate will be expected to provide suitable cover for his/her colleagues during
periods of annual leave, professional and sick leave. The successful candidate will be offered a
10 PA contract. He/she will be responsible to the Clinical Lead of the Urology Department, in
matters concerning clinical service provision, while retaining independent clinical responsibility for
individual patient care.
7.Research and Development
The department has an active research profile in urological surgery.
8.Teaching
The appointee will be expected to take part in undergraduate and postgraduate teaching only
when such students are present in clinical settings.
April 2008 Page 7 of 11
9. Job Plan
NHS Lothian - Job Plan Format
Name:..................................………………….. Specialty: Urology
Principal Place of Work: Western General Hospital
Contract: Full Time Programmed Activities: 10 PAs
On Call middle grade remuneration to be arranged
Managerially responsible to Mr Tony Riddick
Responsible for:..................................................................
a) Timetable of activities which have a specific location and time
DAY HOSPITAL/ LOCATION TYPE OF WORK DCC SPA
Monday
From / To
09.00-13.00 Flexible Cystoscopy 4.0
Day Theatre
13.00-17.00 Main Theatre WGH General Urology 4.0
Tuesday
From / To
09.00-13.00 Outpatient Clinic General Urology 4.0
13.00-17.00 Day Theatre Flexible Cystoscopy 4.0
Wednesday
From / To
09.00-12.30 Main Theatre WGH General Urology 4.0
13.30-17.30 Main Theatre WGH General Urology
4.0
Thursday
From / To
09.00-13.00 WGH Audit, Appraisal, admin 2.0 2.0
13.00-17.00 Outpatients General Urology Clinic
4.0
Friday
From / To
09.00-13.00 Day Theatre Urology Daycase Surgery 4.0
13.00-17.00 Seminar Room/Theatre Post-Grad Teaching, Audit, Xray
flexible meeting 2.0 2.0
36 4
April 2008 Page 8 of 11
Contact Details
Candidates who may wish to see the Department(s) involved are invited to contact:
Mr Tony Riddick, Consultant Urologist, Western General Hospital, Edinburgh
(0131) 537 1573; email tony.riddick@luht.scot.nhs.uk
9.Person Specification
REQUIREMENTS ESSENTIAL DESIRABLE
Qualifications and GMC registered medical Additional post-graduate
Training practitioner qualifications
Be on, or be eligible for Diploma
inclusion on within 6 months Advanced training in Urology
of interview, the GMC
Specialist Register
Evidence of regular appraisal
Learning and continuous
professional development
Post Specific Experience in core urology
Experience Experience in laparoscopic
surgery
Ability Evidence of ability to take full
responsibility for independent
management of patients
throughout the patient journey
Academic Evidence of commitment to Evidence of previous experience in
Achievements research, publications and successful research funding,
presentations review and publication
Evidence of peer-reviewed
publications
Teaching and Evidence of commitment to Evidence of teaching qualification
Audit formal and informal teaching or learning
and training of Junior Medical Designing and effecting audit
Staff and medical students. programmes
Evidence of participation in
audit projects
Motivation Evidence of commitment to: Evidence of development of
- Patient focused care, services for patients
- Effective and efficient Clear commitment to developing
use of resources role
Team Working Evidence of teamwork with Able to motivate colleagues
colleagues in own and other Previous managerial training and
disciplines experience
Able to organise time
efficiently and effectively
April 2008 Page 9 of 11
A Specialty Doctor post is available in the department of Urology, required to start as soon as possible
until August 1st 2013
Further information can be obtained from Mr Tony Riddick, Program Director for the ESTPU, Department
of Urology, Western General Hospital, Edinburgh, Tel. 0131 537 1000, EXT 33785. Email
Tony.Riddick@luht.scot.nhs.uk
Please note that this post will commence at the Western General Hospital although you may be required
to work in any of NHS Lothian’s hospitals covering Lothian.
Please contact medical.personnel@nhslothian.scot.nhs.uk to obtain an application pack and to
submit Structured application.
Quote reference number CG 245
st
The closing date is 21 July 2012.
We are working towards Equal Opportunities.
The NHS Structured Application can be obtained by e-mailing
medical.personnel@nhslothian.scot.nhs.uk.
The completed NHS Structured Application and the names, email and postal addresses of three
referees should be sent to the above email address by the closing date of 18 th December 2010
no applications will be considered after this time. Please quote reference RT/743.
Please note that we no longer accept application by CV.
All suitable applicants are encouraged to apply for this post. However, in accordance with UK
Border Agency guidance, those requiring sponsorship under a Tier 2 visa can only be appointed
to a post if there are no suitable UK/EEA applicants or applicants not requiring sponsorship (e.g.
those on a Tier 1 visa). For more information go to
http://www.ukba.homeoffice.gov.uk/workingintheuk/
We are working towards Equal Opportunities.
April 2008 Page 10 of 11
April 2008 Page 11 of 11
