CONSULTANT IN GENERAL
GLASGOW ROYAL INFIRMARY
CLOSING DATE: 29TH JUNE 2012
POST: CONSULTANT SURGEON IN SURGERY & ANAESTHETICS
BASE: GLASGOW ROYAL INFIRMARY
Applications are invited for a Consultant post in General Surgery with an interest in HPB
surgery, based at Glasgow Royal Infirmary.
This is a substantive replacement post and the successful candidate will provide general
and specialist services from Glasgow Royal Infirmary and Stobhill Ambulatory Care
The successful candidate will be able to provide an elective specialty service within general
surgery that complements the services already being provided in the hospital. The
emergency component of the post will be based at Glasgow Royal Infirmary. The elective
sessions relating to the post will be delivered from both Glasgow Royal Infirmary and
Stobhill Ambulatory Care Hospital.
Applicants must have full GMC registration and a Licence to Practice. 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 date of
ACUTE SERVICES DIVISION
SURGERY & ANAESTHETIC DIRECTORATE
GENERAL SURGERY SERVICE
APPOINTMENT OF A GENERAL SURGEON WITH AN INTEREST IN HPB SURGERY
BASED AT GLASGOW ROYAL INFIRMARY
March 2012 Final Version
ACUTE SERVICES DIVISION
Further particulars of the post of Consultant in General Surgery
with an interest in HPB SURGERY
Acute Services Division
NHS Greater Glasgow and Clyde is the Largest NHS Employer in the UK and in partnership with 8
local authorities, is responsible for the health needs of a population of 1.2 million, almost a quarter
of the entire Scottish population. The Acute Services Division is split into nine Directorates across
18 sites with a workforce of 27,500 and an annual budget of £1.2 billion. The geographical area
covered is diverse; it covers the major city of Glasgow, large and small towns, villages and some
rural areas. We have significant challenges ahead as we deliver the objectives set out in Better
Health Better Care and we seek to ensure that we have the right people for the right posts
delivering a comprehensive health service to the population of Greater Glasgow and Clyde..
The Acute Services Division is the largest group of adult acute hospitals in Scotland. This allows
individuals a wide range of opportunities for professional development whether in community-based
care or general and specialty hospital services.
The investment in Acute services in Glasgow in the last ten years has been considerable with two
new Ambulatory Care Hospitals opening in 2009. Redevelopment of the Western Infirmary and
Gartnavel Hospitals to support the delivery of the Acute Services Review has taken place in the last
two years with the opening of the new Beatson West of Scotland Cancer Care Centre (2008) and
the centralisation of a number of specialties including Renal and Vascular onto the Western
Infirmary site. Work is on schedule to deliver the new South Glasgow Hospital in 2015. This
investment in acute care, which will see Maternity, Children and Adult acute services together on a
single campus, will inevitably challenge us to deliver progressive, integrated services to all of our
patients throughout the Board area.
A substantial volume of complex surgical work is performed in the Glasgow and Clyde units that
provide a range of tertiary and national services. We enjoy close links with Glasgow’s three
universities and make a significant contribution to teaching at both undergraduate and postgraduate
level. Research also has a high profile within the organisation. We provide excellent facilities for
students and their tutors in the £15 million, state of the art, Wolfson Medical School based at
Glasgow University adjacent to the Western Infirmary site. Excellent education facilities are also
provided at Glasgow Royal Infirmary with a refurbishment of the University Tower commencing late
The Acute service in North Glasgow presently employs more than 14,300 staff serving a core
catchment population of 560,000. Our patients not only come from Glasgow but are also drawn
from within the wider Health Board area, the West of Scotland region and in the case of National
Services from across Scotland.
The hospitals north of the River Clyde, all with teaching responsibilities are Glasgow Royal Infirmary
(including Princess Royal Maternity Hospital), Western Infirmary, Stobhill Ambulatory Care Hospital
and Gartnavel General Hospital. In south Glasgow the Southern General Hospital and the Victoria
Infirmary alongside the new Victoria Hospital, providing ambulatory care, support the acute surgical
patient. Within Clyde sector we have the Royal Alexandra Hospital, Inverclyde Royal Hospital and
the Vale of Leven Hospital all providing acute surgical care with RAH and IRH also supporting
Living & Working in Glasgow
Today Glasgow is a compact, vibrant and modern city. The scale of the City comes as a surprise to
many people. It has the largest suburban rail network outside London and is second only to the UK
capital as a retail centre.
There are top-ranking schools, excellent leisure facilities, beautiful golf courses and elegant
accommodation across all price ranges.
The night life and restaurants are renowned and its high quality opera, theatres, art galleries and
museums offer an abundance of cultural stimulation.
From Glasgow, it is only a short journey to many picturesque sites including Loch Lomond (45
minutes), the Argyll peninsula – or over the sea to Arran, Skye, Iona and Mull.
2. The Work of the Department and Scope of the Job
Elective and emergency General Surgical services at present are provided at six sites in Glasgow
and Clyde. Elective surgical services are also provided from Stobhill Ambulatory Care Hospital,
Gartnavel General Hospital, and the Vale of Leven Hospital. The recent closure of Stobhill Hospital
has allowed integration of the Glasgow Royal Infirmary and Stobhill Inpatient services resulting in
15 general surgeons providing general and specialist services across both northeast locations. The
integrated unit comprises seven colorectal surgeons and seven surgeons with an upper
gastrointestinal interest, including three pancreaticobiliary surgeons and one surgeon with an
interest in liver surgery. The replacement post would be best served by a surgeon with training in
both pancreatic and hepatic surgery to complement the current team.
Elective surgical services
Glasgow Royal Infirmary provides regional pancreatic services for the West of Scotland with a “hub
and spoke” model. The unit serves a population of more than 2 million and currently performs 60-80
pancreatic resections per year. Benign and malignant pancreatic referrals are discussed within a
weekly multi-disciplinary meeting, which deals with 40-50 referrals per week, and patients are
managed remotely or transferred for specialist intervention as appropriate. There is close co-
operation and regular communication with consultant colleagues across the Health Board area and
throughout the region. All major upper GI resections are now carried out at the GRI site, while
elective general surgery for north Glasgow is primarily co-ordinated through the new ACH at
A large component of the work of the pancreatic unit comprises the management of urgent
specialist referrals from other hospitals within the region. This by necessity entails a degree of
flexibility in working patterns and the regular provision of telephone advice, reviewing of imaging
and discussion of patient management with colleagues. Further work to develop clear referral
pathways and improved mechanisms of communication is underway.
A range of liver procedures are carried out in Glasgow Royal Infirmary by one surgeon, serving the
Northeast sector with a further service contribution to liver surgery from a consultant based at the
Western Infirmary. It is envisaged that the new post holder will play a role in sustaining a defined
liver surgery service for GG & C with a local base at the GRI site and collaborating with the service
at the Western Infirmary as well as providing support for the wider GG&C patient group and
Applications are sought from suitably trained individuals who are able to provide an emergency
surgical service at consultant level. The emergency component of the post will be based at Glasgow
Royal Infirmary. The elective sessions relating to the post will be delivered from both Glasgow
Royal Infirmary and Stobhill Ambulatory Care Hospital however this may ultimately change following
development of plans for the new South Glasgow Hospital and would be subject to review as part of
planning for the new South Glasgow Hospital.
The £100 million state of the art Ambulatory Care Hospital (ACH) was opened at Stobhill two years
ago and is one of the largest hospitals in Scotland covering 4 floors with an area the size of 30,000
square metres – the equivalent of five football pitches. It supports the treatment of around 400,000
patients each year and provides a wide range of outpatient, diagnostic and day surgery services.
The ACH also has 12 short stay surgical beds with weekday overnight medical cover enabling
clinicians to extend the range of surgical procedures offered within the new hospital. It is recognised
as one of the most modern and well-equipped hospitals in the country.
In addition to providing clinical services the successful candidate will be required to participate in
the training and assessment of junior staff and to undertake the administrative duties required in a
consultant job. This will include, but will not be exclusive to, the maintenance of appropriate patient
records, keeping and participating in personal and unit audit and the retention of documentation for
appraisal. All consultants are required to have an annual appraisal. Research will be encouraged
especially if it has the potential to benefit direct patient care.
The successful candidate will be provided with appropriate clinic and theatre space to deliver
On call activities for general surgery at Glasgow Royal Infirmary have recently been amalgamated
to an arrangement of 1:15. A newly devised senior rota has recognised registrar back up for the
emergency surgeon of the week and these arrangements have been recently implemented with the
transfer of the inpatient bed complement.
Applicants must have full GMC registration, and be eligible for inclusion on the Specialist Register.
UK trainees will have evidence of Higher Specialist Training leading to CCT, or to be within six
months of confirmed entry from the date of interview. Non-UK applicants must demonstrate an
equivalent training and experience.
3. Principal Activities
General Surgery Service GG&C – Clinical Management Team
Clinical Director, Mr Graham Sunderland
Lead Clinicians for General Surgery
Mr J H Anderson / Mr C K MacKay (shared role), North Glasgow.
Mr C. Wilson, West Glasgow
Mr A. Hair, South Glasgow
Mr A Alani / Mr M McKirdy, (shared role), Clyde
Glasgow Royal Infirmary/Stobhill Ambulatory Care Hospital
Dr R McKee, Prof P Horgan, Mr C R Carter, Mr C J McKay, Mr G Fullarton, Mr E Dickson,
Mr M Forshaw, Mr A McMahon, Mr D Chong, Miss C Craig, Mr G MacKay, Locum post,
Western Infirmary / Gartnavel General Hospital
Prof P O’Dwyer, Mr D Galloway, Mr R Molloy, Mr P Chong, Mr M Duff, Ms J Doughty, Ms S Stallard;
Mr P Rogers, Mr D Byrne, Mr G Welch, Mr W Stuart, Mr D Orr, Mr P Teenan, Mr D Kingsmore,
Mr K Daly, Mr G Treharne
Southern General / Victoria Infirmary / New Victoria Hospital
Mr D Wright, Mr G Smith, Mr P Glen, Mr G Sunderland, Mr P Witherspoon, Mr A Hair,
Ms H Dorrance, Mr C Wilson, Mr I Pickford
Royal Alexandra Hospital / Inverclyde Royal Hospital / Vale of Leven Hospital
Mr J Abela, Mr A Buter, Ms L Chisholm, Mr E Eltahir, Mr P Finn, Mr M McKirdy, Mr C Porteous,
Mr A Renwick, Mr M Vella, Mr A Alani, Mr C Bollin, Mr G Denys, Mr N Manimaran, Mr J Reidy
Specialist nurses provide a commitment to Colorectal, Upper GI and Breast Surgery sub-
specialties. Nurse Endoscopists are also in post on each of the sites.
4. Duties of the Post
The post holder will be based at Glasgow Royal Infirmary and will contribute to on call receiving.
The on-call commitment is currently 1:15. It should be noted that the postholder’s job plan may be
subject to alteration in conjunction with other consultant colleagues as clinical services are reviewed
pending the transition of services to the new Southern General Hospital. This would be by
agreement and fully discussed through the clinical leads.
The Job Plan outlined below will include clinical commitments on both Stobhill and GRI sites and is
indicative of the duties of the post. This post is in addition to the number of consultants with an
interest in HPB and therefore will contribute to the redesign of the service both complex and
intermediate surgery. The construction of the job plan reflects the operative demands on the HPB
service for both GG&C and tertiary patient management. The exact detail of the duties of the post
and the timetable will be discussed with the successful candidate in consultation with the Clinical
Director and Lead Clinician and agreed in line with the needs of the service.
The post-holder will have a commitment to general surgery with sessions supporting intermediate
surgery. These sessions will be based in the new ACH. The postholder would be expected to
contribute to the delivery of care of patients requiring routine benign procedures responding with all
consultant colleagues to the requirement to facilitate timely management of patients in line with
access targets. The remaining sessions will be based on the GRI site and will be primarily to
support the HPB service, both for elective surgery and urgent cases.
The theatre provision to support the post includes a fixed session within the semi –urgent theatre;
this will be used to manage both elective and emergency patients and support the early surgical
intervention of patients with cholecystitis.
The postholder will be asked to be responsive to and commit to supporting the management of the
wider HPB patient group as a member of the consultant team. It should be recognised that this
requires a degree of flexible working which is reflected in the job plan to facilitate the assessment of
referrals and the provision of specialist clinical advice to GG&C. This aspect of the job plan will be
reviewed at the end of the first year of working.
Session Description NEW POST CONSULTANT
Clinic 2 +0.5 flexible
JOB PLAN TIMETABLE
Monday Theatre A GRI (alt) Clinic Stobhill
Liver MDT (alt)
Tuesday Flexible ( alt) *
Wednesday Theatre GRI Theatre GRI
Thursday MDT Theatre Stobhill ACH ( alt)
Friday Clinic GRI
The above session plan is only indicative and sessions will be finalised through discussions with the
Clinical Director. The flexible session marked with “*” is assigned to this day and alternates with
ACH session however could be changed. This constitutes a 10 PA post. Additional EPAs may be
available by discussion and are dependent upon the needs of the service.
PERSON SPECIFICATION – CONSULTANT GENERAL SURGEON WITH AN INTEREST HPB SURGERY
Qualifications and MBCHB or equivalent Relevant higher degree
Training FRCS or equivalent
Should have completed a recognised higher specialised training programme (or
equivalent) in surgery with Higher Specialist Training in General Surgery with a sub
specialisation in HPB surgery i.e. must have a CCST/CCT or be within 6 months of
Clinical Experience Wide experience in a surgical unit A specialist interest within surgery complementary to the interests of existing consultants
Experience of shared care clinics and managed clinical networks
Specific specialist interest experience in laparoscopic/upper GI
Ability to offer expert clinical opinion on all aspects of HPB Surgical management
Audit/Research Competence in clinical audit Able to initiate and carry out medical research projects.
Training in management and audit at SPR or equivalent level Authorship of research papers. Publications in peer reviewed journals.
Ability to increase the academic profile of department
Experience in applications to ethical committees and grant applications
Teaching Experience in training undergraduate medical students and postgraduate doctors Specific training in education and/or appraisal
Interest in teaching Qualification in Teaching
Management Leadership skills Experience of management
Knowledge of clinical governance Specific management training
Evidence of experience and effectiveness in management
Other qualities Demonstrable evidence of leadership skills
Evidence of effective team working
Evidence of good communication skills with patients, colleagues, and all team members
Evidence of flexibility, diplomacy and integrity. Willingness to undertake additional
professional responsibilities at local, regional or national forum
Commitment to continuing professional development
Other Full GMC Registration and a Licence to Practice
Right to residency in UK
Ability to meet on call requirements & Regional commitments
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
TYPE OF CONTRACT Permanent
GRADE AND SALARY 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
Subscribe to our Medical Jobs Vacancy Bulletin Click Here
Register for Text Alerts for medical vacancies – email your mobile number and the grade and specialty
you are interested in to email@example.com
Applicants wishing further information about the post are invited to contact Mr Graham Sunderland, Clinical
Director for General Surgery for Glasgow and Clyde
(0141 201 1655) or Mr Colin K MacKay, Lead Clinician
(0141 211 4293), 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 address below;
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde Recruitment Services
5th Floor, Tara House
46 Bath Street
The closing Date will be 29 June 2012.