25498D Consultant in general surgery

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					CONSULTANT IN GENERAL
SURGERY


GLASGOW ROYAL INFIRMARY

INFORMATION PACK




REF: 25498D

CLOSING DATE: 29TH JUNE 2012

www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION

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
Hospital.

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
Interview.
                      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




                         JOB DESCRIPTION

                                REF:


                       March 2012 Final Version
                                   ACUTE SERVICES DIVISION

                Further particulars of the post of Consultant in General Surgery
                               with an interest in HPB SURGERY



1.       Introduction

    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
2011.

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
unscheduled care.
    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
Stobhill.

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
pancreatic service.
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
his/her practice.

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,
Vacant 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
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

Clinical Commitments

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
On-Call                                                                1
Clinic                                                          2 +0.5 flexible
Theatre                                                              3.5
Ward/Admission/Pre-Assessment/M.D.T.                                   2
S.P.A.                                                                 1
Total                                                                 10

JOB PLAN TIMETABLE

                                 AM                                       PM
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
                        attaining it.



  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

                     IT Skills

  Other              Full GMC Registration and a Licence to Practice
Requirements
                     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
     Whitley Council.


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
                            appointment.


TOBACCO POLICY              NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises
                            and grounds.


                            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
                      confidential.


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.
FURTHER INFORMATION

For further information on NHS Greater Glasgow and Clyde, please visit our website on
www.show.scot.nhs.uk

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 gg-uhb.medicaljobs@nhs.net

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

Immigration Questionnaire

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 nhsggcrecruitment@nhs.net 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
Glasgow
G2 1HJ

CLOSING DATE

The closing Date will be 29 June 2012.

				
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