Document Sample



REF: 23226D


REF: 23226D

Ideal applicants would be GP vocationally trained doctors or doctors with a broad
general professional training including Emergency Medicine who wish to gain further
acute specialty experience. There are close working links with acute medicine, which
we aim to further develop in the south of Glasgow. Successful applicants would be
matched to roles on either junior or middle grade rotas depending on their

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.

Further information may be obtained by contacting Mr Malcolm Gordon, Consultant in
Emergency Medicine, on 0141 201 1455 or Dr Phil Munro Consultant in Emergency
Medicine, on 0141 201 1237.

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

This post may be eligible for Tier 2 General Sponsorship if no suitable UK or
EEA national is identified for the post. To obtain an application pack for this
vacancy visit our website at Alternatively email
your        address          and        the job       reference        number
to or call 0845 3000 831.

Closing Date: 1st July 2011
NHS Greater Glasgow and Clyde

     Emergency Care and
  Medical Services Directorate

         Information pack - for the post of

Specialty Doctor in Emergency Medicine
      Southern General Hospital
             REF: 23226D
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.

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
               Regional Services
               Women’s and Children’s Services
               Oral Health

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,

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. These services are 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 is in a new £103 million
purpose- built hospital next to the current Victoria Infirmary. This state-of-the-art
facility opened in 2009. It has 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 Accident and Emergency and Major Trauma Units covering the whole of
the city. The new south side hospital is planned to open in approximately 2011.

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 five 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

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 21st Century health care.

Emergency Care and Medical Services
The specialties included in this Directorate are:
               Accident and Emergency services
               Acute Medicine
               Respiratory Medicine
               Renal Medicine
               Infectious Diseases

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 Accident and Emergency services are provided at the Western Infirmary,
Glasgow Royal Infirmary, the Victoria Infirmary and the Southern General Hospital.
Stobhill Hospital’s Emergency Department is supervised by the Emergency Medical
Consultants of GRI and the Western.
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
               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 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

Description of the Department

The Emergency Department of the Southern General Hospital had 48,397 new
patient attendances in 2008. 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 initiate 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.

Description of post – Southern General Hospital

Title: Specialty Doctor in Emergency Medicine


       Names of Consultants in Emergency Medicine- - Southern General

                         Name                        Base
                     Mr M Gordon                 Southern General
                     Dr Phil Munro               Southern General
                     Dr J Long                   Southern General
                     Dr P Davis (MOD)            Southern General
                     Dr C McKiernan              Southern General
                     Dr N Littlewood             Southern General
                     Dr L Laughton               Southern General
                 Associate Specialist
                     Numbers and grades of existing Medical Staff

                                Grade of Doctor           Southern General
                            Specialty Doctor                        1
                            ST3-6                                   5
                            ST1                                     1
                            GPST1-2                                 4
                            FY2                                     2

          Duties of the 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 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. The duty consultant is expected to
          take a lead role in the resuscitation of critically ill or injured patients.

          In addition to the new patients presenting to the department there are three review
          clinics per week on Monday Wednesday and Friday Wednesday and Friday morning.
          There are currently no Emergency Department in patient beds.

          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
Week 2   OFF              OFF         SPA: 0900-1300   0800-1800        0800-1800     OFF           OFF
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
Week 5   1800-0200        1800-0200   OFF              SPA: 0900-1300   2100-0900     2000-0800     2000-0800
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
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.

Terms and Conditions of Service – all posts
The appointment is superannuable under the NHS (Scotland) Superannuation
Scheme unless you opt out in favour of some other arrangement. Your remuneration
will be subject to deduction of Superannuation contributions in accordance with the
Scheme. Details of the Scheme are given in the Scheme Guide, copies of which are
available from the Human Resources Department. Superannuable pay will include
basic salary (up to 10 programmed activities, but not any extra programmed activities
above this level), on-call availability supplements, discretionary points, distinction
awards and any other pay expressly agreed to be superannuable.

You have 3 pension options as follows:

(i)      To join the NHS superannuation scheme. Employees in the NHS scheme
         are “contracted out” of the State Earnings Related Pension Scheme and
         pay a lower rate of National Insurance Contributions. (The NHS Scheme is
         explained in the attached booklet).

(ii)     To participate in the State Earnings Related Pension Scheme

(iii)    To take out a Personal Pension. This is a private agreement with the
         pension provider, which will be an organisation such as a Bank, Building
         Society or insurance Company.

New entrants to the National Health Service who are whole time and aged sixteen
but under seventy (sixty five in the case of members of the special classes and
Mental Health Officers) will, however, be taken automatically into membership of the
NHS scheme unless they elect not to join.


£36,807.00 - £68,638 per annum (pro rata for part-time). Placement on the salary
scale will be discussed with the successful applicant prior to appointment and is
payable monthly.
Annual Leave

The full annual leave entitlement appropriate to this grade is 5 weeks (pro rata for
part-time). In addition there is an entitlement to statutory and public holidays as
determined for NHS Greater Glasgow and Clyde staff.

Hours of Duty

40 hours per week.

Period of Notice

This post is subject to three month’s notice on either side. This post is offered on a
permanent basis.

No Smoking Policy

In recognising the danger to health of smoking and the right of non-smokers to enjoy
smoke free air, NHS Greater Glasgow & Clyde has implemented a smoking ban
throughout all premises.

Interview Expenses

Interview expenses will not be reimbursed if an offer of employment is subsequently

The successful candidate will be required to complete a criminal record check
(Disclosure Scotland) form. No approach will be made without written permission of
the successful applicant who will be asked to sign and complete a disclosure
application, giving authorization for the check to be undertaken.

Enquiries and arrangements to visit Departments
Enquiries and further information can be obtained from Mr M Gordon, Consultant in
Emergency Medicine, Southern General Hospital, Glasgow (Tel: 0141 201 1455) OR
Dr P Munro (Tel. 0141 201 1237)

Shortlisted candidates are invited automatically by the Director of Personnel to visit
the hospitals concerned. If candidates, on their own initiative, have visited the
hospital prior to shortlisting they will only be allowed expenses for that prior visit if
they are subsequently shortlisted. Candidates should make their preliminary visit to
the hospital either on the same day or the day before the interview.

To apply for these posts please include 4 CVs and names and addresses of 3
Referees, along with the following documents;

Application Form (Parts A & B)

Equal Opportunities Addendum Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit and click on the “How to
Apply” tab to access application for and CV submission information.


Please return your application by email to or to the
recruitment address below;

NHS Greater Glasgow and Clyde Recruitment Services
5th Floor, Tara House
46 Bath Street
G2 1HJ

Closing Date:

The closing date for this post will be 1st July 2011


 REQUIREMENTS                             ESSENTIAL                                 DESIRABLE
                          Requirements necessary for safe effective        Where available, elements that
                          performance in the job                           contribute to improved, immediate
                                                                           performance in the job
                             Full registration with GMC and a Licence          APLS / ATLS provider
Qualifications and           to Practice
Training                     4 years postgraduate training
                             2 years postgraduate training in relevant
                             specialty posts
                             At least 4 months previous training in
                             approved Emergency Medicine post
                             ALS provider

                             Demonstrates competence in the
Clinical Specialty           management of full range of Emergency
Skills                       Medicine presentations

                             Evidence of working in a multi-disciplinary      teaching and training skills for
Skills, knowledge and        team                                             junior doctors
aptitude                     Ability to organise and prioritise complex       Basic IT skills
(e.g. communication or       demands
organisations skills,        Effective communication skills
proven work record)
                             General professional training in acute           Evidence of involvement in
Experience                   specialties including Emergency medicine         relevant clinical audit
                                                                              Experience of Major Incident
                             Commitment to good team working and
Personal Skills              relationships
                             Enthusiastic and ability to work under
                             Supportive and tolerant
                             Caring attitude to patients
                             Flexibility to respond to changing service
Special Requirements         needs

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