ORTHOPAEDIC SURGEON SUB
SPECIALIST INTEREST IN FOOT
ROYAL ALEXANDRA HOSPITAL
CLOSING DATE: 11TH MAY 2012
POST: LOCUM CONSULTANT – ORTHOPAEDIC SURGEON SUB SPECIALIST INTEREST
IN FOOT ORTHOPAEDICS
BASE: ROYAL ALEXANDRA HOSPITAL
The successful candidate will have an interest in Trauma and a sub-specialist interest in
Lower Limb Arthroplasty, You will join 10 Consultants primarily based at the Royal
Alexandra Hospital (RAH), Paisley. For further information call Gamada Ayana on 0141
GREATER GLASGOW & CLYDE
ROYAL ALEXANDRA HOSPITAL
SURGERY & ANAESTHETICS DIRECTORATE
JOB DESCRIPTION – CONSULTANT ORTHOPAEDIC SURGEON
INTRODUCTION AND GENERAL INFORMATION
The Royal Alexandra Hospital provides an extensive range of acute health services to
the Renfrew District and beyond, with a population in excess of 300,000.
The Hospital first opened in 1986, although the Maternity Unit was established on site in
1970. The Royal Alexandra Hospital has a current bed complement of 670 including
facilities for Care of the Elderly. Also on site are facilities for Psychiatry and Geriatric
Psychiatry under the management of Renfrewshire Community Health Partnership.
With an annual income in excess of £90 million (with £60 million being allocated to
Surgery & Anaesthetics Directorate across 3 sites), employing over 2,000 staff, the
Royal Alexandra Hospital is one of the largest and most modern of its kind in Scotland.
In any one year, the Hospital treats over 38,000 inpatients and over 123,000 outpatients
and 14,000 day cases. Approximately 64,000 people were seen in Accident and
Emergency and there were 3229 births in the Maternity Unit. The Hospital has
developed excellent links with tertiary centres in Glasgow and has a well-founded
reputation for providing a high standard of medical teaching and postgraduate medical
As part of the largest NHS Provider in the United Kingdom, practitioners based at the
Royal Alexandra Hospital provide acute services for Paisley and surrounding area along
with some specialist services for Inverclyde, Argyll and West Dunbartonshire.
The town of Paisley, situated less than 10 miles to the West of Glasgow, is known
worldwide for its historical contribution to the textile industry. Although its links with the
industry are now a thing of the past, Paisley remains the largest town in Scotland. It is
unique in terms of ease of accessibility to the cultural and culinary delights of Glasgow,
as well as to the scenic and recreational attractions of the West of Scotland. There are
excellent road and public transport links with the rest of Scotland and with the
progressive upgrading of the main road route to England, journeys to locations south of
the border are becoming ever easier. Glasgow Airport (average flight time to London
Heathrow – one hour) is located only 4 miles from the Hospital and has excellent
scheduled links to the other major airports in the British Isles, Europe, Middle East and
The major specialities, based at the R.A.H. are Orthopaedic Surgery; Accident &
Emergency; General Medicine; General Surgery and Urology; Paediatrics; ENT,
Ophthalmology, Plastic Surgery, Consultant led Maternity Services and Care of the
Elderly. Psychiatric Assessment beds are situated within the Hospital, although under a
different management. Major regional specialities available nearby in Glasgow are,
Maxillofacial Surgery and Burns, Cardiothoracic and Vascular Surgery, and
Further information on all the above can be provided by the Department of Human
THE ORTHOPAEDIC DEPARTMENT
There are currently 71 beds available in 3 Adult Wards and access to the Children’s
Ward for emergency and elective admissions. 6 orthopaedic beds are allocated to the A
& E Department as observation beds. All 3 adult wards are located on one floor and
there is easy access to the main theatre area within which 3 Orthopaedic Theatres
accommodate trauma and elective procedures. There are currently 14 dedicated trauma
sessions per week and 13 elective at the RAH with a further 8 sessions at the Vale of
Leven. In addition, there are 2.5 day surgery sessions in the dedicated day surgery unit
at the RAH and 2 at the Vale of Leven.
There are 1422 elective in-patient admissions per year, 744 elective day case
admissions and 2996 emergency admissions (2005-6 figures)
The Orthopaedic and Fracture clinics are conducted in a suite of rooms adjacent to the
Plaster and Treatment rooms with the X-ray Department in close proximity. Annual
outpatient attendances currently total 19,000 per annum, including 5,400 new patients.
These are seen not only in the Orthopaedic and fracture clinics, but also in a special low
back pain clinic run by Specialist Physiotherapists. Multidisciplinary clinics are run jointly
with the Departments of Physiotherapy and Medical Paediatrics for children with
The RAH has access to CT/ MRI and Radiologists on site with an MSK interest. The site
does not have Interventional Radiology / Nuclear Medicine facilities, but they are
accessible within the Board.
The Medical Staff currently comprise:-
Mr R. Abu-Rajab(Lead Clinician) Lower Limb Arthroplasty
Mr G. Ayana Shoulder Surgery
Mr S. L. Chitnis Hand and Knee Surgery
Mr A. Crombie Lower Limb Arthroplasty
Mr D. Macdonald Hands
Mr T. Nunn Soft Tissue Reconstruction
Mr P. Sharma Lower Limb Arthroplasty
Mr H. Shanker Shoulder & Upper Limb Surgery
Ms. J. Smith Paeds / Lower Limb Arthroplasty
Mr S. D. Smith Spine/Foot & Ankle
Mr P. Pai locum Cons
Mr M. Durrani
JUNIOR MEDICAL STAFF
3 Specialist Registrars/speciality trainees
7 Trust Middle Grade Surgeons
8 FY2 doctors/GP VTS
2 FY1 doctors
The Orthopaedic specialty forms part of the Surgery & Anaesthetics Directorate. A full
time Clinic Services Manager – Mr Rahul Shanker, has day-to-day managerial
responsibility for Directorate issues.
This appointment is made under terms of the new consultant contract. The post attracts
10 PA’s that are distributed as follows;
Total PA’s 10
OP Clinics 2
On-call commitment 0
Supporting PA’s 1
JOB PLAN FOR NEW CONSULTANT subspec interest 1. Feet / 2. Arthrplasty
This job is a 10 PA contract with 8 fixed and 2 flexible PA’s.
Fixed weekly sessions are
Monday Rah T7 Rah T7
Weds Vol T2 Vol T2
Thursday Clinic Vale Leven pm
Friday RAH Clinic Pm
A trauma meeting is held every morning at 8.30 a.m. attended by all junior medical staff
and Consultants, where all the trauma admissions from the day before are discussed. In
addition there is an educational meeting every Monday lunchtime alternating between
journal club, case presentations and a joint meeting with the radiologists. There is a
dedicated audit meeting once a month for 8 out of 12 months.
STUDY LEAVE & TRAINING
Study Leave will be in accordance with the terms and conditions of service and will be
funded by the Board.
A good library is available on site and NHS e-library access is available for all staff.
Hospital lunchtime Postgraduate programme is arranged during term time.
GETTING TO THE HOSPITAL
Paisley is very close to Glasgow Airport so the easiest way to find us is to fly and take a
taxi (about 5Km). There is also a bus direct from the airport to the hospital.
If driving, follow the M8 out of Glasgow and West towards the airport, pass the airport
and take the A737 for Irvine. Signposts for the hospital start a couple of kms down this
By train, go Paisley Gilmour Street Station and go downstairs to the bus station
underneath or take a taxi (only 2Km).
You are entitled to join the NHS Superannuation Scheme or to participate in the State
Earnings Related Pension Scheme. Employees contribution to the NHS Scheme
amounts to 6% of salary and the employer’s contribution equates to 14% 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 contributions.
Employees will have a third option of taking out a personal pension. This is a private
arrangement agreed with the pension provider, which will be an organisation such as a
Bank, Building Society, or Insurance Company.
NOTICE AND LEAVE REQUIREMENTS
The employment is subject to 3 months notice on either side.
Annual leave comprises 6 weeks plus 10 statutory public holidays.
Arrangements for leave and other absences must be approved by the Clinical Director
Candidates outwith Greater Glasgow & Clyde will be required to complete a confidential
medical questionnaire following which, attendance may be required at the Occupational
HEALTH & SAFETY
The successful candidate will be responsible for compliance with safe working
procedures in line with the Health & Safety at Work Act 1974 together with any
supplementary or amended guidelines.
The successful applicant will be required to possess a home telephone.
The successful applicant will be required to live within a 10-mile radius of the Royal
Alexandra Hospital, or at an agreed location outwith this distance that will allow quick
access to the Hospital in response to emergency calls. As clinical networks develop
under proposals from the Review of Acute Services in Scotland there may be a
requirement to undertake work at different locations.
Job Title:- Consultant Orthopaedic Surgeon Sub Specialist Interest in Foot
Department:- Orthopaedics (REF: 25342D)
Qualifications Essential () Desirable ()
MBChB (or equivalent) x
FRCS (Tr. & Orth) (or equivalent) x
Current ATLS Certification x
Higher Degree x
Experience Essential () Desirable ()
Broad experience of Trauma & Orthopaedic x
Teaching Medical Students x
Participation in Audit x
Publications and presentations x
Behavioural Competencies Essential () Desirable ()
Organisational Skills x
Communication Skills x
Leadership Skills x
Managerial Skills x
Other Essential () Desirable ()
Full GMC Registration and a licence to practice x
Must be eligible for inclusion in the GMC Specialist x
Register. Those trained in the UK should have
evidence of higher specialist training leading to
CCT or eligibility for specialist registration (CESR)
or be within 6 months of confirmed entry from the
date of interview. Non-UK applicants must
demonstrate equivalent training.
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 Fixed Term
GRADE AND SALARY Locum Consultant
£ 74,504 £ 100,446 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 Full Time 40.00
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 would be
discussed and agreed prior to appointment.
EXPENSES OF Candidates who are requested to attend an interview will be given assistance
CANDIDATES FOR with appropriate travelling expenses. Re-imbursement shall not normally be
APPOINTMENT made to employees who withdraw their application or refuse an offer of
TOBACCO POLICY NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises
This post is considered to be in the category of “Regulated Work” and
DISCLOSURE SCOTLAND therefore requires a Disclosure Scotland Protection of Vulnerable Groups
Scheme (PVG) Membership which currently costs £59.00. The cost of the
PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and
will required to be repaid through a payroll deduction mandate from the
successful candidate’s first salary.
CONFIRMATION OF NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to
ELIGIBILITY TO WORK IN ensure that it’s employees, both EEA and non EEA nationals, are legally
THE UK entitled to work in the United Kingdom. Before any person can commence
employment within NHS GGC they will need to provide documentation to
prove that they are eligible to work in the UK. Non EEA 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 not 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 been
OFFENDERS ACT 1974 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 Greater Glasgow and Clyde. Any information given will be completely
DISABLED APPLICANTS A disability or health problems does not preclude full consideration for the job
and applications from people with disabilities are welcome. All information will
be treated as confidential. NHS Greater Glasgow and Clyde guarantees to
interview all applicants with disabilities who meet the minimum criteria for the
post. You will note on our application form that we ask for relevant information
with regard to your disability. This is simply to ensure that we can assist you,
if you are called for interview, to have every opportunity to present your
application in full. We may call you to discuss your needs in more detail if you
are selected for interview.
GENERAL NHS Greater Glasgow and Clyde operates flexible staffing arrangements
whereby all appointments are to a grade within a department. The duties of an
officer may be varied from an initial set of duties to any other set, which are
commensurate with the grade of the officer. The enhanced experience
resulting from this is considered to be in the best interest of both NHS Greater
Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES The postholder will undertake their duties in strict accordance with NHS
Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE The employment is subject to three months’ notice on either side, subject to
appeal against dismissal.
MEDICAL NEGLIGENCE 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.
For further information on NHS Greater Glasgow and Clyde, please visit our website on
View all our vacancies at www.nhsggc.org.uk/medicaljobs
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Applicants wishing further information about the post are invited to contact Rashid Abu-Rajab on
with whom visiting arrangements can also be made.
HOW TO APPLY
To apply for these posts please include your CV and names and addresses of 3 Referees, along
with the following documents; (click on the hyperlinks to open)
Medical and Dental Application and Equal Opportunities Monitoring Form
Declaration Form Regarding Fitness to Practice
Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to
access application for and CV submission information.
RETURN OF APPLICATIONS
Please return your application by email to firstname.lastname@example.org or to the recruitment
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde Recruitment Services
5th Floor, Tara House
46 Bath Street
The closing Date will be 11 May 2012