SPECIALTY DOCTOR IN EMERGENCY MEDICINE SOUTH GLASGOW INFORMATION PACK REF: 26334D CLOSING DATE: 7TH SEPTEMBER 2012 www.nhsggc.org.uk/medicaljobs RDCLOSING DATE: TBC SUMMARY INFORMATION POST: SPECIALTY DOCTORS IN EMERGENCY MEDICINE BASE: SOUTH GLASGOW Applications are invited for the above post as Specialty Doctor in Emergency Medicine within NHSGG&C teaching hospitals in South Glasgow. The post will be based in the first instance in the Victoria Infirmary. The post would be ideally suited for GP vocationally trained doctors or doctors with a broad general professional training including Emergency Medicine who wish to gain further clinical experience. The post is for 12 months with the possibility of extension. Previous experience in Emergency Medicine is required and successful applicants would be matched to roles on the middle grade rotas. The post will attract a basic payment of 10 programmed activities with up to 2 additional programmed activities being available which can be agreed as appropriate with the successful candidate. All applicants must possess Full GMC Registration, a licence to practice and at least 4 Years full time Post Graduate Training, two of which must have been in relevant acute specialties or you will demonstrate and evidence equivalent experience and competencies. NHS Greater Glasgow and Clyde Emergency Care and Medical Services Directorate Information pack - for the post of Specialty Doctor in Emergency Medicine South Glasgow (initially based in the Victoria Infirmary) GLASGOW – A GREAT PLACE TO LIVE AND WORK Today Glasgow is a compact, vibrant and modern city. In fact Glasgow’s scale comes as a surprise to some 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 opera, theatres, art galleries and museums offer plenty of cultural stimulation. Greater Glasgow and Clyde Valley are one of the world’s most thrilling and beautiful destinations. Be entertained in one of Europe’s top cultural capitals by its year-long calendar of festivals and special events and enjoy outstanding shopping, superb bars and restaurants - all located within a stone’s throw of some of the country’s finest parks and gardens. What’s more, we are easily accessible by air, rail and road so getting here could not be easier. From Glasgow, the West of Scotland’s jewels are within easy reach. Loch Lomond is just 45 minutes drive, a little further to the Argyll peninsula – or over the sea to Arran, Skye, Iona and Mull. GREATER GLASGOW & CLYDE ACUTE SERVICES DIVISION The Acute Operating Division is the largest group of adult acute hospitals in Scotland – offering many opportunities to ensure job satisfaction and career development. Glasgow Acute Services Clyde Acute Services 15 Hospitals 3 Hospitals 4,700 beds 1,100 beds £980m income £250m income 19,500 wte staff 7,000 wte staff The Divisional Management Offices are situated within the Management Building, - Southern General Hospital, 1345 Govan Road, Glasgow, G51 4TF. The Division operates a No Smoking Policy within its premises. The Acute Division brings together all acute services across the city and Clyde under a single management structure led by the Chief Operating Officer. The Division is made up of eight Directorates of clinical services each managed by a Director and clinical management team along with a Facilities Directorate. These are: Emergency Care and Medical Services Surgery and Anaesthetics Rehabilitation and Assessment Diagnostics Regional Services Women’s and Children’s Services Oral Health Clyde Facilities In the Emergency Care and Medical Services, Surgery and Anaesthetics and Facilities directorates the General Managers combine a city wide role with a local sectoral role for one of three sectors in the city – north and east, west and south. Health services in Glasgow are on the verge of dramatic and exciting change, brought about by the recently approved Acute Services Review [now termed the Hospital Modernisation Programme). This ten-year £700 million strategy will see the transformation of acute services across the city including the replacement of out-dated Victorian buildings and the creation of one- stop/rapid diagnosis and treatment models for the vast majority of patients. Core adult acute care is currently delivered from six sites within Glasgow. The Western Infirmary and Gartnavel General Hospital operate in tandem delivering acute care in the west-end of the city. In the north-east of the city acute care is delivered from Stobhill Hospital and Glasgow Royal Infirmary. The Victoria Infirmary serves the south-east and the Southern General Hospital the south-west of the city. Services for children are provided centrally from the Royal Hospital for Sick Children, Yorkhill. The Hospital Modernisation Programme will ensure that walk-in/walk-out hospital services are provided for the majority of patients. The pattern of service provision will shift to reflect moves towards ambulatory care. Currently 85% to 90% of patient encounters with acute hospital services are on a walk-in/walk-out same day basis. These include out-patient attendances, diagnostic tests, imaging procedures, and a range of day surgery procedures. In future, these services will be provided from ambulatory care centres designed to deliver the streamlined process of care, which patients want - to be seen quickly by the appropriate specialist, to undergo clinical investigation, and to receive treatment without delay. The ambulatory care centres for the south side of the city will be in a new £103 million purpose- built hospital next to the current Victoria Infirmary. This state-of-the-art facility is planned to open in 2009. It will house the main out-patient centre and day surgery service for the south side of the city. In-patient services will be concentrated in a new £235 million south-side hospital to be built on the site of the current Southern General Hospital. This new facility, housing some 850 beds, will replace ageing acute wards in both the Southern General Hospital and the Victoria Infirmary. The new facility will work alongside some of the relatively modern buildings housing specialist services, which will be retained on the Southern General Hospital site as part of the Hospital Modernisation Programme. The new south-side hospital will be home to one of two Emergency Medicine and Major Trauma Units covering the whole of the city. The new south side hospital is planned to open in approximately 2015. As already stated services for children are currently provided centrally from the Royal Hospital for Sick Children, Yorkhill. However, the children’s hospital will also relocate from Yorkhill to a new £100 million building on the Southern General Hospitals site over the next three years to sit alongside and be fully integrated with maternity and adult services. The redesign and redevelopment of Glasgow’s acute services will address many of the pressures currently facing the hospital service. The new services will be provided in modern facilities rather than in 19th century buildings not designed for modern healthcare. The purpose-designed facilities will enable the one-stop/rapid diagnosis and treatment models required for the future. Continuity of service will improve with the elimination of the need for patients’ notes and results to be moved from building to building. Concentration of services will allow the requirements of junior doctors hours and issues arising from increasing sub-specialisation of medicine to be addressed through the creation of larger staff teams and sustainable rotas for both junior and senior staff. The formation of larger clinical teams will make sure that programmes of work, including the need to cover emergencies without interfering with waiting list and ambulatory care sessions, can be planned effectively. The concentration of in-patient services on fewer sites will help strengthen specialist services and maximise the capacity of the service. With an annual budget of one billion pounds this is a particularly exciting time to be joining Greater Glasgow’s Health Service. Over the next decade there is planned investment of more than £750 million, this is the largest single investment programme in the history of Scotland’s NHS – giving the North and South Hospitals accommodation for 21 st Century health care. Emergency Care and Medical Services The specialties included in this Directorate are: Emergency Medicine Acute Medicine Cardiology Respiratory Medicine Renal Medicine Gastroenterology Diabetes Infectious Diseases Rheumatology Dermatology This Directorate also includes management of the out-of-hours GP service. Acute medicine is managed by general managers on a sector basis with a lead strategic role for a citywide specialty. Full adult Emergency medicine services are provided at the Western Infirmary, Glasgow Royal Infirmary, the Victoria Infirmary and the Southern General Hospital. There are two stand-alone Minor Injury Units, one in each of the ambulatory care hospitals at Stobhill and the new Victoria. Valuing our staff The Division is committed to extending training and development opportunities to all staff and is actively developing multi-disciplinary training, extending the role of on-line learning, and recognises the importance of developments in technology for both staff and patients. We Offer: Policies to help balance commitments at work and home and flexible family friendly working arrangements Excellent training and development opportunities Free and confidential staff counseling services A central Glasgow location, with close access to motorway, rail and airport links On-site library services Subsidised staff restaurant facilities on each site Access to NHS staff benefits/staff discounts Easy access to city centre shopping facilities Access to discounted First Bus Travel Active health promotion activities Bike User Group Good Public Transport links Commitment to staff education and life-long learning/development opportunities Excellent student support The Southern General Hospital The Southern General Hospital is a large teaching hospital with an acute operational bed complement of approximately 930 beds. The Hospital is sited in the south-west of Glasgow and provides a comprehensive range of acute and related clinical services. Services include Emergency Medicine, Dermatology, ENT, General Medicine (including sub-specialties), General Surgery (including sub-specialties), Medicine for the Elderly (including Assessment, Rehabilitation and Day Services), Gynaecology, Neonatal Paediatrics, Obstetrics, Ophthalmology, Orthopaedic Surgery, Urology, Physically Disabled Rehabilitation and Continuing Care. The Obstetrics, Gynaecology, Urology and Ophthalmology Departments provide the single in-patient location for the whole population of South Glasgow. In-patient Maxillofacial (trauma and elective surgery and specialist provision for head and neck cancer), Dermatology and the Assessment and Rehabilitation service for the Physically Disabled are also provided for the whole city from the Southern General Hospital. The Institute of Neurological Sciences is based on the Southern General campus and provides Neurosurgical, Neurological, Clinical Neurophysiology, Neuroradiological and Neuropathology facilities for the West of Scotland. The Queen Elizabeth National Spinal Unit for Scotland provides a spinal injuries service to the whole of Scotland. This is housed in a purpose-built facility. There is also a wide range of therapeutic services including Audiology, Clinical Psychology, Dietetics, Occupational Therapy, ECG, Physiotherapy, Radiology (including MRI and CT provision for the general hospital service) and Speech Therapy. Description of the Department The Emergency Department of the Southern General Hospital had approximately 50000 new patient attendances in 2011. An active shop floor consultant presence is maintained as is the importance of high quality training in Emergency medicine. The Emergency Department provides a full 24 hour a day 7 day a week service for all 999 ambulance patients and patients who self present. This provides the medical staff with a very broad range of clinical practice which includes acute general medicine, cardiology, surgical emergencies, major trauma, orthopaedic surgery, ophthalmology, ENT, paediatric medicine and surgery, psychiatric care and a small percentage of primary care patients. In addition to the Emergency Department patients, GP referrals to, surgery and orthopaedics are reviewed by the respective receiving teams in the Emergency Department. When these patients require resuscitation or immediate attention, the Emergency Department medical staff initiates initial treatment. There is a “single pile” working arrangement for all general medical presentations including GP referrals. The Emergency Department consultant rota has recently been extensively revised to comply with the new consultant contract, extend consultant shop floor presence and foster closer working between the two departments at the Victoria and Southern General in preparation for the eventual amalgamation of the Victoria Infirmary and Southern General teams once the new SGH is open. Ultimately the directorate is moving towards the plans laid down in the GGHB Acute services review, when Emergency Medicine Services will be delivered from two minor injury units and one large Emergency Department on the Southern General site. Both departments have a number of Emergency Nurse Practitioners who provide Minor Injury Services. In addition all consultants employed within the Emergency department of the Southern General Hospital participate in the EMRS retrieval service. The Victoria Infirmary The Victoria Infirmary is a teaching hospital with an acute operational bed complement of approximately 350. The hospital is situated in the south-east of Glasgow providing a range of high quality health care services including Accident and Emergency, General Medicine (including sub-specialties), General Surgery (including sub-specialties), Medicine for the Elderly (including Assessment, Rehabilitation, and Day Services), Orthopaedics and a wide range of Out-Patient clinics. Description of the Department The Emergency Department of the Victoria Infirmary saw an annual attendance of approximately 61000 in 2011, including approximately 9,000 children under the age of 12. An active shop floor consultant presence is maintained, as is the importance of high quality training in emergency medicine. The Emergency department is charged with providing an emergency service to manage all patients attending the Victoria Infirmary with acute illness or injury, either as self presentations or referral from GP OOH or NHS24. Currently all emergency admissions being admitted to the hospital pass through the Emergency Department This provides the medical staff with a very broad range of clinical practice which includes acute general medicine, cardiology, surgical emergencies, major trauma, orthopaedic surgery, ophthalmology, ENT, paediatric medicine and surgery, psychiatric care and a small percentage of primary care patients. The directorate is moving towards the plans laid down in the GGCHB Acute services review, when Emergency Medicine Services will be delivered from two minor injury units and one large Emergency Department on the Southern General site. Both departments have a number of Emergency Nurse Practitioners who provide Minor Injury Services. In June 2009 the new Victoria ACH opened and from 0900-2100 7 days a week a proportion of the minor injury service is delivered from the MIU supported in the implementation phase by Emergency Medicine Consultants. Description of post – Victoria Infirmary Title: Specialty Doctor in Emergency Medicine Relationships Names of Consultants in Emergency Medicine- Victoria Infirmary Name Base Mr D Ritchie Victoria Infirmary Dr J Gordon Victoria Infirmary Dr S Daisley Victoria Infirmary Dr K Thomson Victoria Infirmary Dr H Smith Victoria Infirmary Dr M Boyle Victoria Infirmary Dr K McCarthy Victoria Infirmary Numbers and grades of Medical Staff Grade of Doctor Victoria Infirmary Specialist Trainees 6 GP Trainees 3 FTSTA 2 FY2 4 Duties of post Clinical Commitments The main thrust of clinical activity is treating patients on the “shop floor” as they present. In addition, but depending on prior experience, specialty doctors are expected to supervise junior medical and nursing staff. The consultants currently operate a floor consultant rota to ensure a senior presence in the department at all times during office hours, evenings and for specified periods over the weekends. The duty consultant has the remit of supervising and assisting in the initial management of all patients presenting to the department including those managed by trainees and nurse practitioners. In addition to the new patients presenting to the department there are five daily morning clinics per week. There are currently no Emergency Department inpatient beds. Currently Consultants are involved in departmental ultrasound, Critical Care and sports and exercise medicine. A key priority for the successful applicant will be assisting colleagues to achieve and sustain the Scottish Executive’s National Unscheduled Care 4 hour ED Target. Sample Job Plan The appointment is full-time contracted as 10PAs (including 1 SPA) plus 2 APAs (total 12PAs). Monday Tuesday Wednesday Thursday Friday Saturday Sunday Week 1 0800-1800 OFF OFF SPA: 0900-1300 1800-0200 1800-0200 1800-0200 1300-1700 Week 2 OFF OFF SPA: 0900-1300 0800-1800 0800-1800 OFF OFF 1300-1700 Week 3 2100-0900 2100-0900 2100-0900 2100-0900 OFF OFF OFF Week 4 1200-2200 1200-2200 SPA: 0900-1300 OFF OFF OFF OFF 1300-1700 Week 5 1800-0200 1800-0200 OFF SPA: 0900-1300 2100-0900 2000-0800 2000-0800 1300-1700 Week 6 OFF OFF SPA: 0900-1700 0800-1800 0800-1800 OFF OFF Week 7 0800-1800 0800-1800 SPA: 0900-1300 OFF OFF 0800-2000 0800-2000 1300-1700 The successful candidate will be expected to provide initial treatment of new patients presenting to the department including the Resuscitation Room. He/she will also provide support and advice to more junior doctors and liaise with Consultants and relevant other specialists as and when required. In addition, the appointee will be liable for duty in occasional emergencies and unforeseen circumstances. In addition to the above clinical duties, the successful candidate will be expected to fully participate in the department’s educational activities, which may include the teaching of medical students, nurses and other groups. The Department is committed to education and training of all staff groups and the specialty doctor will be expected to play and active role in audit and other clinical governance activities. The appointee will be required to register [if not already done so] with an appropriate College for CPD, undergo an annual appraisal, and subsequently revalidation as determined by the General Medical Council [GMC]. 1PA [4 hours] will be allocated to such activities. Both departments are supported with additional Clinical Assistant sessions at weekends and on occasions out of hours. In addition to the duties mentioned above, duties at other hospitals administered by the Board may be necessary. PERSON SPECIFICATION SPECIALTY DOCTOR IN EMERGENCY MEDICINE REQUIREMENTS ESSENTIAL DESIRABLE Requirements necessary for safe Where available, elements effective performance in the job that contribute to improved, immediate performance in the job Qualifications and Full registration with GMC APLS provider Training 4 years postgraduate training ATLS provider 2 years postgraduate training in relevant specialty posts At least 4 months previous training in approved Emergency Medicine post ALS provider Clinical Specialty Demonstrates competence in the Skills management of full range of Emergency Medicine presentations Skills, knowledge Evidence of working in a multi- teaching and training and aptitude disciplinary team skills for junior doctors (e.g. Ability to organise and prioritise communication or complex demands organisations skills, Effective communication skills proven work Basic IT skills record) Experience General professional training in Evidence of involvement acute specialties including in relevant clinical audit Emergency medicine Experience of Major Incident Management Personal Skills Commitment to good team working and relationships Enthusiastic and ability to work under pressure Supportive and tolerant Caring attitude to patients Special Flexibility to respond to changing Requirements service needs 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 Specialty Doctor £ 36,807 £ 68,638 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 firstname.lastname@example.org Applicants wishing further information about the post are invited to contact Mr Malcolm Gordon, Lead Consultant South Glasgow Sector Emergency Medicine on 0141 201 1455 or Dr David Ritchie, Consultant in Emergency Medicine on 0141 201 5481 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 email@example.com 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 7th September 2012.
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