SPECIALTY DOCTOR IN GASTROENTEROLOGY BASED AT GLASGOW ROYAL INFIRMARY INFORMATION CK REF: 23258D CLOSING DATE: 1 ST JULY 2011 BB004DEC2008
SUMMARY INFORMATION NHS GREATER GLASGOW AND CLYDE EMERGENCY CARE AND MEDICAL SERVICES DIRECTORATE SPECIALTY DOCTOR IN GASTROENTEROLOGY GLASGOW ROYAL INFIRMARY REFERENCE: 23258D This is an exciting opportunity to join a dynamic unit at the forefront of delivering high quality innovative care to patients with liver and gastrointestinal complaints. The Department is extremely busy and there are opportunities of wide experience of all aspects of clinical gastroenterology and general medicine. The department has an ambulatory investigation and treatments unit with 9 specialist nurses. Specialist liver, IBD, oesophageal and nutrition clinics with nurse input are run in this unit with appropriate on-site investigative facilities, including radiology and physiological measurement. Seven consultant gastroenterologists, together with supporting junior medical staff are responsible for patients in this unit and also for gastroenterology and general medical patients in 41 in-patient beds situated in two separate wards. There is a purpose-built Endoscopy unit with integrated preparation and recovery, and three endoscopy rooms. The unit provides nationally recognised training programmes in gastrointestinal endoscopy and we provide many of the colonoscopy lists for the Bowel cancer screening programme. There are also close service and research links with many other departments in the hospital, especially upper and lower gastrointestinal surgical units providing central care of patients with IBD and cancer for the West of Scotland. You will ensure continuity of care within designated wards, involving care of highly dependant in-patients with complex needs, many of whom would normally be accommodated within a medical HDU. You will have opportunities of full training and experience of all aspects of gastroenterology including basic or advanced endoscopy, depending on experience, while maintaining a link with General (Internal) Medicine. You will also support junior medical staff. For further information please contact Dr. John Morris, Glasgow Royal Infirmary, on 0141 211 4470 All applicants must possess Full GMC Registration, a licence to practice, with 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. 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 www.nhsggc.org.uk/medicaljobs. Alternatively email your address and the job reference number to nhsggcrecruitment@nhs.net or call 0845 3000 831 Closing Date: 1 st July 2011
1. INTRODUCTION NHS Greater Glasgow & Clyde Emergency Care and Medical Services Directorate JOB DESCRIPTION Specialty Doctor Gastroenterology POST REFERENCE: 23258D The Emergency Care and Medical Services Directorate of NHS Greater Glasgow and Clyde is responsible for managing the Gastroenterology Departments across GG&C. This exciting opportunity to join a dynamic unit at the forefront of delivering high quality, innovative care to patients with liver and gastrointestinal complaints will seek to compliment the skill mix in the unit. The Department is an extremely busy one and there are full opportunities of wide experience of all aspects of clinical gastroenterology and general medicine. The occupant of the post will have opportunities of full training and experience of all aspects of gastroenterology including basic or advanced endoscopy (depending on experience), while maintaining a link with General (Internal) Medicine. Duties will be full-time in Glasgow Royal Infirmary The department has an ambulatory investigation and treatments unit (Ward 32) with 9 specialist nurses. Specialist liver, IBD, oesophageal and nutrition clinics with nurse input are run in this unit with appropriate on-site investigative facilities, including radiology and physiological measurement. Seven consultant gastroenterologists, together with supporting junior medical staff are responsible for patients in this unit and also for gastroenterology and general medical patients in 56 in-patient beds situated separately in wards 8,9 and 11. There is a purpose-built Endoscopy unit with integrated preparation and recovery, and three endoscopy rooms. Therapeutic upper and lower GI endoscopy, ERCP, EUS, small bowel enteroscopy and capsule endoscopy are routinely performed. The unit provides nationally recognised training programmes in gastrointestinal endoscopy. We provide many of the colonoscopy lists for the Bowel cancer screening programme. There are close service and research links with many other departments in the hospital, especially upper and lower gastrointestinal surgical units providing central care of patients with IBD and cancer for the West of Scotland. A weekly multi-disciplinary academic, radiology and clinical pathology meeting ensures high quality links and interaction with relevant departments. 2. GENERAL INFORMATION Acute Services Division The Acute Services Division is the largest group of adult acute hospitals in Scotland. It enjoys close links with Glasgow s three universities and makes 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 brand new 15 million, state of the art, Wolfson Medical School based at
Glasgow University. Excellent education facilities are also provided at Glasgow Royal Infirmary. The Service in North Glasgow presently employs more than 14,300 staff serving a core catchment population of 560,000. Glasgow Royal Infirmary Glasgow Royal Infirmary () is one of the major teaching complexes of the University of Glasgow. It provides the Accident and Emergency service for the Eastern district of Glasgow (population 161,000) and provides all the major specialties including Intensive Care, Coronary Care and Renal Dialysis, and is well equipped for undergraduate and postgraduate teaching. There are Professorial Units in Anaesthetics, Cardiology, Human Nutrition, Medicine, Surgery, and Obstetrics and Gynaecology. At Glasgow Royal Infirmary medical emergencies are admitted to an acute medical admissions unit and later triaged to general medical, respiratory, gastroenterology or care of the elderly wards. Four consultant physicians take part in acute receiving each day and do an early morning and evening (receiving ) ward round and admissions range between 30 and 60 per day. There are 4 medical units with primary responsibility to general (internal) medicine. In addition to the Diabetes and Endocrinology ( Second Floor ) Unit there are the University Medical Unit (with specialty interests in Rheumatology, Nutrition and Clinical Pharmacology), the Third Floor Respiratory Unit, and the Fourth Floor Gastroenterology Unit. Consultants from Department of Medicine for the Elderly also contribute to receiving duties. There is a separate Stroke Ward. 3. CURRENT MEDICAL STAFFING ACROSS THE DERTMENT Consultant Staffing: John Morris, Adrian J. Stanley, Ewan H. Forrest, Ruth J. Gillespie, Jack Winter, Dan Gaya and Stephen Barclay.In addition a further two consultants,dr Cahill and Jamieson are based at both and Stobhill ACAD 4. JOB PLAN The successful candidate will ensure continuity of care in wards 8/9 and 11, Glasgow Royal Infirmary (3-5 sessions /week) The post will involve care of highly dependant in-patients with complex needs,many of whom would normally be accommodated within a medical HDU. The post holder will support junior medical staff (FY1/2,CMT and GPVTS) and with appropriate training be involved in delivering many practical procedures in regular use in the department. In addition it will provide essential support to dedicated nurse specialist posts in ward 32 (day Ward) settings.(1-2 sessions/week). Regular participation in specialised IBD or Liver clinics will be encouraged.this may entail participation in clinics at Stobhill ACAD. (1-3 sessions/week,exact sessions to be confirmed as part of negotiation of Job plan) Whilst it is not anticipated that endoscopy skills will be required we would consider training the successful candidate if that were felt to be beneficial for their personal career goals The exact clinical duties of this post are to be confirmed by mutual agreement and will depend on the skills and aspirations of the successful candidate. We would consider candidates who for personal reasons wished to contract for less than 10sessions. This Job Plan for the week is based on a 9 s of Direct Clinical Care (C) duties and 1 of S time. The Job Plan is subject to review as a minimum once a year by the post holder and the Lead Clinician. Please note that this job plan may be reviewed at any time and changed as a result of service demands.
Name: Specialty: Gastroenterology Grade: Speciality Doctor Effective Date of Job Plan: April 2010 Next Expected Review Date: April 2011 Contract: Specialty doctor Full Time Weekly s: 10 Weekly As: 0 Total Hours: 40 hours Principal Place of Work: Glasgow Royal Infirmary Other Regular Work Places: On-Call Availability Supplement None Out of Hours Work: Predictable: 0 s Unpredictable: 0 s Managerially Accountable to: Prof Miles Fisher, Clinical Director, ECMS, Clinically Responsible to: Dr John Morris, Consultant Gastroenterologist, a) Timetable of activities that have a specific location and time Day Hospital/Location Description of Category Type Work S AR ED A Monday 9am - 12.30pm Ward round 1.30pm - 5pm Tuesday 9am - 12.30pm Outpatient Clinic Ward 32/referrals 1.30pm - 5pm Outpatient Clinic Wednesday 9am 12.30pm Ward round 12.30pm 1.30pm Post Graduate Educational Meeting S ¼ 1.30pm - 5pm Procedures, MDT Thursday 9am 12.30pm Ward 32/referrals 1.30pm - 5pm S S Friday 9am 12.30pm Ward round 1.30pm - 5pm Adiministration and dictation
Description of activities that are not undertaken at specific locations or times (this section should include details of activity category and /A allocation for such activities) Referrals will be seen in other wards in, particularly surgical wards b) Description of activities during premium rate hours of work, i.e. hours outwith 7am-7pm Monday to Friday (this section should further define activities that have already been included at a) in terms of location and timing) None c) Additional Programmed Activities (this section outlines the reason for allocation of As including the expected duration of the As) None
Job Plan Type of activity Description of activity including when and where activity is conducted. Direct Clinical Care () (work that directly relates to the prevention, diagnosis or treatment of illness) Average number of hours spent on each activity per week including travel where appropriate Emergency duties (including work carried out during or arising from on-call) (refer to Schedule 6) Operating sessions including pre-operative and post-operative care Ward rounds None 0 Not applicable 0 They will be required to participate in ward rounds and work within the Gastroenetrology wards, and undertake clinical examination and review of inpatients in order to provide updated management plans and ongoing review of care, investigations and treatments. 12 They will be required to review gastroenetrology patients within the general / surgical medical wards. As well as this they will be required to provided support and advice to junior staff 4 Outpatient activities The post holder will review new and return patients at the 8 gastroenterology outpatient clinics as well as undertake a range of outpatient activities and associated administration relating to these Clinical diagnostic work Procedures within ward 32 2 Other patient treatment Assessment of patients in ward 32 4 Public health duties 0 Multi-disciplinary meetings about direct patient care 2 Patient-related administration linked to clinical work i.e. directly related to the above (primarily, but not limited to, notes, letters and referrals) The Post Holder is expected to attend the weekly departmental meetings to review patients and as part of the gastroenterology team provide advice to the multidisciplinary team and junior staff attached to the department. Answering telephone inquiries regarding referrals, prescriptions and dispensing arrangements. Responding to urgent requests by allocating urgent appointments or redirecting to appropriate services. Dictating and editing letters, reviewing results. Completing patient requests for diagnostic tests and completing patients case records and all related documentation and completing patient discharge prescriptions 4 Total Direct Clinical Care Activities Reviewing of blood results and diagnostics test in order to support decision making and advice to other regarding ongoing care and treatment for patients 36 BB004DEC2008
Type of activity Description of activity including when and where activity is conducted. Supporting Professional Activities (S) (activities that underpin Direct Clinical Care) Average number of hours spent on each activity per week including travel where appropriate Audit Post holder required to participate in departmental as required in IRH / RAH 1 Continuing professional development Requires to attend weekly hospital educational meeting on a Wednesday PM Post holder will be supported to attend the Scottish national gastroenterology meetings 1 Local clinical governance activities None 0 Training Formal teaching Appraisal Post holder is permitted to attend ALS update. Possibility of attending BSR courses (e.g. MSUS) Post holder is permitted to attend SRS trainee updates organised by TPD) 2 days per annum Departmental appraisal and feedback by Dr Marshall, Consultant Physician / Rheumatologist 0 0 Less that 1 hour Job planning None 0 Research None 0 Any other supporting professional activities (including external duties) None 0
Type of activity Description of activity including when and where activity is conducted. Average number of hours spent on each activity per week including travel where appropriate Additional NHS Responsibilities (AR) (special responsibilities within the employing organisation not undertaken by the generality of doctors, which are agreed between the doctor and the employer which cannot be absorbed in the time set aside for Supporting Professional Activities) Clinical manager Not applicable 0 Clinical audit lead Not applicable 0 Clinical governance lead Not applicable 0 Clinical tutor Not applicable 0 Educational supervisor Not applicable 0 Other additional responsibilities The post holder will be required to participate in the teaching and education of other junior medical staff and health care professionals 2 Total Additional Responsibilities 2
Type of activity Description of activity including when and where activity is conducted. Average number of hours spent on each activity per week including travel where appropriate External Duties (ED) (duties that are not included in the definitions of Direct Clinical Care, Supporting Professional Activities and Additional NHS Responsibilities and not included within the definition of Fee Paying Services or Private Professional Services, but are undertaken as part of the prospectively agreed job plan by agreement between the doctor and the employing organisation without causing undue loss of clinical time) Trade union and professional association duties Undertaking assessments for NHS Education for Scotland, NHS Quality Improvement Scotland or equivalent bodies Reasonable amounts of work for the Royal Colleges or Government Departments in the interests of the wider NHS Work for the General Medical Council or other national bodies concerned with professional regulation NHS disciplinary procedures and NHS appeals procedures None 0 None 0 None 0 None 0 None 0 Other external duties None 0 Total External Duties None 0
Facilities and Resources Details of the facilities and resources necessary to support delivery of the doctor s/dentist s duties and objectives for all programmed activities Staffing support (administrative, clerical or secretarial) Secretarial, administrative and secretarial staff provided by administrative staff at Office accommodation The post requires the post holder to have a office space to undertake administrative duties. Equipment The post requires access to consulting rooms within the Outpatient Department. IT resources Access to a computer with internet access & printer. Any other identified resources necessary.
As part of your appraisal objectives will be discussed and agreed. Objectives may cover personal development needs, training goals, organisational issues, CME and CPD e.g. acquisition / consolidation of new skills and techniques. Objective How objective will be met and resources required Timescale Supports service objectives 1. 2. 3. 4. 5.
This job plan has been agreed by: Name of doctor (please print): Name of Health Board signatory (print name and job title): Signed by doctor: Date: Signed on behalf of employer: Date: 5. TRAINING AND CAREER DEVELOPMENT All members of the department are encouraged to develop areas of special interest and contribute to the teaching carried out within the department. Support will be provided to attend relevant training courses and meetings. Glasgow Royal Infirmary provides clinical teaching to medical students from Glasgow University in addition to students completing elective attachments or special study modules. 6. OTHER FACILITIES AT GLASGOW ROYAL HOSPITAL Library Facilities: There is a comprehensive hospital library. There is access to the University of Glasgow and Royal College of Physicians and Surgeons of Glasgow library facilities. Postgraduate medical education courses are available in the locality (if appropriate). 8. Arrangements to Visit the Department In the first instance please contact: Dr John Morris Glasgow Royal Infirmary (Tel: 0141 211 4470) BB004DEC2008
HOW TO APPLY 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 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; NHS Greater Glasgow and Clyde Recruitment Services 5th Floor, Tara House 46 Bath Street Glasgow G2 1HJ CLOSING DATE The closing date for applications will be 1 st July 2011