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specialty doctor in paediatric cardiac surgery

royal hospital for sick children

Information pack

reF: 31226d

Closing Date: noon 14th JANAUARY 2014

.uk/medicaljobs

SUMMARY INFORMATION

Post: specialty doctor in paediatric cardiac surgery

Base: royal hospital for sick children

Applications are invited for this post based at the Royal Hospital for Sick Children, Yorkhill, Glasgow. This is a new substantive post and represents an expansion of the Cardiac surgical team.

You will assist consultant staff and supplement senior medical trainee cover of the cardiac surgical service. The work pattern will be based on 9 scheduled clinical sessions per week with one session reserved for supporting professional activities.

You will have undertaken training in Paediatric cardiac surgery and have experience and knowledge of cardiac surgery; and possess a Postgraduate qualification (FRCS or equivalent).

This post may suit a candidate post CCT seeking a consultant position although this is not a requirement of the post.

Yorkhill is a major children’s hospital with 271 inpatient and day case beds providing acute paediatric care for the Glasgow area as well as providing a wide range of tertiary medical and surgical services.

All applicants must possess Full GMC Registration with at least 4 Years full time Post Graduate Training, two of which must have been within a Specialty Training programme, or you will demonstrate and evidence equivalent experience and competencies.

NHS Greater Glasgow & Clyde

Acute Division

Women and Children’s Directorate

Information Pack

for the post of

Specialty Doctor Paediatric Cardiac Surgery

Royal Hospital for Sick Children

Yorkhill, Glasgow

Acute Division Women & Children’s Directorate

Further Particulars of the Post of Specialty Doctor Paediatric Cardiac Surgery (with special interest in imaging)

JOB DESCRIPTION

Applications are invited for the post of Specialty Doctor Paediatric Cardiac Surgery at the Royal Hospital for Sick Children, Glasgow.

The successful applicant will join a team of 3 Consultant Cardiac Surgeons delivering the Scottish Paediatric Cardiac Surgery Service.

The post will be based at the Royal Hospital for Sick Children, Yorkhill, Glasgow.

This Paediatric Cardiac Surgical centre is not part of the current reorganisation of surgical services in England and Wales.

This document is split into the following sections:

– Children’s Services Across NHS Greater Glasgow & Clyde

– New Children’s Hospital Build

– Management Structures

– The Work of the Surgical Department

– The Job Itself/Description of Service

– Personal Specification

– Terms and Conditions of Service

– Further Information

Section 1 Hospital Paediatric and Neonatal Services across NHS Greater Glasgow and Clyde

The majority of acute children’s services in NHS Greater Glasgow and Clyde are provided from the Royal Hospital for Sick Children (RHSC). A paediatric ward and neonatal unit in the Royal Alexandria Hospital supports acute care for children and young people and neonates in the Clyde catchment area of the NHS Board. Neonatal intensive care is provided at the Southern General Maternity Hospital, Princess Royal Maternity and Royal Alexandria Hospital. The RHSC will be re-located to a new build on the Southern General Hospital campus in 2015.

The Royal Hospital for Sick Children

RHSC is the largest paediatric teaching hospital in Scotland. It provides care for children resident within the Greater Glasgow area, acts as a tertiary referral centre for children from the West of Scotland and in a range of subspecialties including invasive paediatric cardiac services, from the whole of Scotland.

• All paediatric medical and surgical subspecialties are provided, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology (bone marrow transplant service), neurology, neurosurgery, cranio facial and maxillofacial surgery, nephrology, cardiology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, rheumatology and orthopaedics, general paediatric and neonatal surgery

• There are 173 inpatient beds excluding paediatric and neonatal critical care, day care and medical assessment with cardiac patients located in ward 5a (24 bed ward)

• There is a 22 bed paediatric intensive and high dependency care unit. Co located with this is further 18 neonatal intensive care cots

• There are 7 full operating theatres, day surgery unit, pre assessment team, dental suite and endoscopy room in the main theatre complex in the hospital. Cardiac surgery has a dedicated theatre and team providing 24 / 7 cover to their patients.

• There is a full radiology suite of MRI, catheterization laboratory, CT scanner and clinical physics department. There is also an extensive cardiac physiology department

• National services provided from RHSC include:

o Cardiac Surgery and interventional cardiology

o Neonatal cardiology,

o Neonatal ENT,

o ECLS

o Congenital Diaphragmatic Hernia network,

o Vein of Galen assessment and treatment (together with Great Ormond Street as a UK service).

o Paediatric Renal transplantation

o Paediatric Stem Cell transplantation

• Large outpatient, medical day care, medical assessment unit and emergency department

• On site paediatric and neonatal transport/retrieval services

• A pan Greater Glasgow Child Protection Unit has been developed on site.

Laboratory services to the RHSC are provided from the Southern General Hospital campus.

RHSC provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow and accommodates the University Departments of Child Health, Child and Family Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery.

Southern General Maternity

At the start of 2010 the new neonatal unit opened above the labour ward on the Southern General site with projected delivery numbers for the hospital of 5,900 births per year. Because the Ian Donald Fetal Medicine unit is on the same site a significant proportion of the neonatal workload involves delivery of infants with known congenital anomalies. Limited radiology support is provided by colleagues from the RHSC but infants requiring invasive procedures or complex imaging are transferred to the RHSC neonatal unit. There is physical space for 34 intensive care and high dependency cots and 26 special care cots.

When the new children’s hospital opens on the Southern general site in 2015, all neonatal services currently provided in the NICU at RHSC will move over to the Maternity unit. There will be a physical link to the intensive care floor of the new children’s hospital.

There is a dedicated fully equipped echo machine and remote telemedicine link on site together with access to the cardiac patient database kept at RHSC.

Princess Royal Maternity (PRM)

The PRM is a large maternity unit, situated about 1 mile east of the centre of Glasgow. It is on the campus of Glasgow Royal Infirmary, which provides services for the population of the East and North of Glasgow. It is a purpose built 120 bed maternity hospital, with a capacity for 6,800 deliveries per annum. There are 10 intensive care cots, 23 special care cots and a 4 bed transitional care unit. All neonatal intensive care can be provided except for those infants who require neonatal surgery and/or extra-corporeal life support services (ECMO). A telemedicine link with the Royal Hospital for Sick Children has been long established allowing live consultation and the transmission of ultrasound images. The University Chair of Obstetrics and Maternal Medicine is based on site and there is an active research philosophy in the unit.

Golden Jubilee National Hospital (GJNH)

The GJNH is located 8 miles west of the city centre along the river Clyde. It contains the West of Scotland Cardiac Centre which provides cardiac surgery and interventional cardiac services to the population of the West of Scotland. It also has some designated National services including the Scottish Adult Congenital Cardiac Service, Scottish Pulmonary Vascular Unit and Scottish Advanced Heart Failure Service. The adult congenital unit performs over 200 adult congenital operations and catheter interventions per year and is closely integrated with the paediatric congenital cardiac service.

Section 2 New Hospital Build

The construction of a new children’s hospital (replacing the current Royal Hospital for Sick Children) has commenced on the Southern General Hospitals Campus alongside a new adult hospital and existing maternity unit including new neonatal unit.

Completion of this new tripartite clinical arrangement for NHS Greater Glasgow covering acute care of adult, children and maternity services is expected to be completed by 2015.

Section 3 Management Structures

Greater Glasgow and Clyde NHS Board have a single operating division for all acute services. Diagram (1) highlights the local management structure underpinning operational service delivery.

Diagram 1 – management structure

Section 4 Critical Care and Cardiac Services

Cardiac Services

Cardiac services in RHSC consists of

• 3 cardiac surgeons

• 8 cardiologists (3 interventional cardiologists)

• 6 cardiac anaesthetists

A dedicated 24 / 7 cardiac theatre team

• 2WTE Advanced nurse practitioners and 4.3WTE cardiac liaison nurses

• 24 bedded ward shared with complex airways and complex respiratory specialties

• 7 commissioned cardiac intensive care beds

• 24 / 7 cardiac perfusion and physiology services

• 1wte clinical psychologist

• Access to a full suite of diagnostic facilities including catheterization laboratory

• Access to all other paediatric hospital facilities as required

• A full outpatient service including outreach clinics provision across Scotland

Critical Care Services

The Paediatric Intensive Care Unit (PICU) is one of two centres for the care of critically ill children in Scotland admitting 650 – 700 children annually including 80 transferred from other hospitals throughout Scotland. It is the only unit dealing with post cardiac surgical patients and ECMO. The National Paediatric Critical Care Transport Service is run jointly with Edinburgh’s Royal Hospital for Sick Children. The Unit is funded for 7 cardiac intensive care beds which are run on a flexible basis to accommodate the varying workload. It is one of the four extra corporeal Life Support centres for the UK. An adjacent High Dependency Unit increases the flexibility of the critical care service.

Section 5. THE JOB ITSELF/DESCRIPTION OF SERVICE

a) Title:

Specialty Doctor Paediatric Cardiac Surgery

(b) Relationships:

i) Name of Health Board:

Greater Glasgow & Clyde NHS Board

ii) Names of Consultant members of the Department:

Consultant Paediatric Surgeons

Mr K MacArthur Clinical Lead Cardiac Services

Mr M Danton

Mr A Maclean

Consultant Cardiology Team

Dr B Knight

Dr K McLeod

Dr P Noonan

Dr B Smith

Dr M Walayat

Dr M llina

iii) Junior Medical Staff

Cardiac Surgery

This post

1 Specialist Registrars, West of Scotland Rotation

2 Clinical Fellows

Cardiology Service

2 Paediatric Cardiology ST

3 Paediatric ST, West of Scotland Rotation

1 FY2

Subject to change from summer 2013 as junior doctor configuration is re-organized

iv) Administration Support

The Cardiology service is supported by 4 WTE secretaries. The Cardiac Information System is supported by 2 WTE Cardiac data coordinators, allowing the ability to produce detailed activity and audit data.

v) Nursing Support

The Department enjoys the services of highly skilled nurses working across, Cardiac surgery/Cardiology ward, Intensive Care, Neonatal Intensive Care, Cardiac Theatre, Catheter lab and pre-admission service. There are both Intensive Care and Cardiac specific accredited Nursing Courses in place.

The cardiac theatre team including anaesthesia, provide dedicated cardiac surgery cover out of hours. The catheter lab, radiography and cardiac physiology staff provide an out of hours on call service for interventional cardiology.

(c) Duties of the Post:

(i) Clinical

The successful candidate will be experienced in paediatric cardiac surgery. He/she will be committed to providing paediatric cardiac surgical services in Greater Glasgow and Clyde and covering gaps in the service if they arise. This is a new post for a candidate with an interest in cardiac surgery. It is expected the successful candidate will bring skills to support those already present within the unit.

Clinical duties will include surgical assistance, ward rounds in cardiac ward and critical care; out patient clinics; and liaison with cardiology and critical care colleagues. The post holder will provide continuous on call cover of the ward area as well as support to intensive care and surgical services. .

d) Timetable

The main commitment will be assisting in the surgical programme. This will involve in theatre 2 full days per week. It is anticipated that the post holder will lead the junior staff and will provide continuity for the service.

This post may suit a candidate post CCT seeking a consultant position although this is not a requirement of the post.

Out of hours commitment:

This is likely to be during the week.

Average Sessional Commitment – 9 DCC / 1 SPA

Sample week:

|MONDAY |Day off |Day Off |

|TUESDAY |Theatre |Theatre/admin |

|WEDNESDAY |Clinic |SPA |

|THURSDAY |Theatre |Theatre/admin |

|FRIDAY |Ward round |MDT |

Day off and on call overnight will vary. The Job Plan may be subject to review and amendment following consultation and once subspecialty interest has been identified.

e) Description of Service

Cardiac Surgery

The Yorkhill unit provides a national paediatric cardiac surgery service for Scotland. The population of Scotland is just over 5 million and this service operates on patients whose ages range from neonates through to 16 years of age. The service was centralised on the Yorkhill site in July 2000. Three consultant paediatric cardiac surgeons provide the service all of whom also undertake cardiac surgery in adults at the Golden Jubilee National Hospital. Increasingly these adult sessions are for congenital rather than acquired heart disease. A small amount of paediatric thoracic surgery is undertaken.

The combined cardiology/cardiac surgery ward is shared with the cardiac surgeons and a programme of shared patient care is undertaken. There is a dedicated cardiac theatre nursing team who provide a comprehensive out of hours emergency service in conjunction with a dedicated cardiac anaesthetic service provided by a team of six consultant anaesthetists.

Within the paediatric intensive care unit cardiac surgery and catheter intervention have seven funded beds. Clinical care of the post-operative patients in ITU is shared with ten whole time consultant intensivists and a lead intensivist for cardiac services is in place. Monday to Friday, nine to five there is a dedicated cardiac consultant intensivist present on the unit.

There has been recent additional investment to support the service to meet UK safe and sustainable standards. Included in this have seen expansion in cardiology consultant numbers, additional investment targeted to liaison nursing and clinical psychology plus extra resource to data management and administration/clerical. Service is successfully re-engineering itself across a range of areas including clinical governance, research and development, data management, age appropriate care, psycho social support and transition. Organisational development supporting team ethic within and across departments is also a strong feature of the service work plan. A new nationally commissioned Managed Clinical Network for cardiac services has recently been established with the wider cardiac team featuring significantly in its activities. 2015 offers the cardiac team the opportunity to move to a new build at the Southern General Hospital Campus. Operational plans supporting this move are well established.

The Cardiac Catheter Laboratory has ensured that the department has the technology necessary to allow it to continue at the leading edge of interventional catheter treatment. It has been constructed with hybrid procedures between surgeon and cardiologist in mind, utilizing greater space, temperature control, operating theatre conditions and a tilting/rocking table.

The Cardiology Department has developed an in-house clinical information and audit system. Since its creation in 1993 it has undergone continual development and is now one of the most advanced cardiac clinical information systems in the UK. It is networked throughout the hospital and acts as an on-line medical record allowing instant access to patient details from enabled sites around the hospital. Information is held on over 14,000 patients including investigation results, cardiac surgery procedure records, diagnostic and interventional catheter lab procedures, inpatient stays, clinic visits, drug therapy and patient correspondence. The system has also been installed in the Royal Hospital for Sick Children Edinburgh and in the Golden Jubilee National Hospital based Adult congenital cardiac unit.

Contacts within Yorkhill

Within the Women and Children’s Directorate the following list of useful contact names and addresses are available:

• Mr Kenneth MacArthur, Lead clinician for cardiac services Tel number 0141 201 0251

• Mr Mark Danton Consultant Cardiac Surgeon 0141 201 0658

• Mr Andrew Mclean Consultant Cardiac Surgeon 0141 201 0658

• Ms Heather Dawes, Service Manager RHSC Tel Number 0141 201 0433

Other Facilities

A range of excellent facilities for shops, banking and public transport are available locally.

Person Specification for Specialty Doctor Cardiac Surgery

| |Essential Requirements |Desirable Requirements |

|Qualifications and |FRCS or Equivalent | |

|Professional Training | | |

| |4 Years full time Post Graduate Training, two of which must have | |

| |been within a Specialty Training programme, or you will demonstrate| |

| |and evidence equivalent experience and competencies. | |

|Clinical Experience |Broad experience in all aspects of paediatric cardiac surgery. | |

|Clinical Skills |Ability to practice independently in line with accepted guidelines.| |

|4. Audit |Evidence of commitment to clinical audit. |Evidence of published work in peer reviewed |

| | |journals relevant to Paediatric Cardiology |

|Teaching |Evidence of enthusiasm for and experience of teaching | |

| | | |

|Disposition |Leadership qualities. |Evidence of previous service development |

| |Commitment to team working. | |

| |Organisational, administrative and communications skills. | |

|Other |Full GMC Registration an a License to Practise | |

| | | |

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 |Speciality Doctor |

| |£ 37,176 £ 69,325 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 |

| |New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled|

|SUPERANNUATION |automatically into membership of the NHS Pension Scheme.  Should you choose to "opt out" arrangements can |

| |be made to do this via: .uk |

| | |

|REMOVAL EXPENSES |Assistance with removal and associated expenses may be given and would be discussed and agreed prior to |

| |appointment. |

| | |

|EXPENSES OF CANDIDATES FOR APPOINTMENT |Candidates who are requested to attend an interview will be given assistance with appropriate travelling |

| |expenses. Re-imbursement shall not normally be 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 therefore requires a Disclosure |

|DISCLOSURE SCOTLAND |Scotland Protection of Vulnerable Groups Scheme (PVG) Membership. |

| | |

|CONFIRMATION OF ELIGIBILITY TO WORK IN THE|NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, |

|UK |both EEA and non EEA nationals, are legally 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 OFFENDERS ACT 1974 |The rehabilitation of Offenders act 1974 allows people who have been 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 show.scot.nhs.uk

View all our vacancies at .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@

Applicants wishing further information about the post are invited to contact Kenny MacArthur, Clinical Lead Cardiac Services on 0141 201 0658 or by email Kenny.macarthur@ggc.scot.nhs.uk or Mark Danton Consultant Cardiac Surgeon on 0141 201 0658 or by e-mail Mark.Danton.@ggc.scot.nhs.uk., 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 .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@ or to the recruitment address below;

Medical and Dental Recruitment Team

NHS Greater Glasgow and Clyde

Recruitment Services, 1st Floor

Modular Building, Gartnavel Royal Hospital

1055 Great Western Road

GLASGOW

G12 0XH

CLOSING DATE

The closing Date will be Noon 14th January 2014

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Reports to Chief Executive of the overall NHS Board

Chief Operating Officer Acute Division

Director Women and Children’s Directorate

Directors (Adult Services) * 7

Functional Heads

Associate Medical Director, Head of Nursing, Head of Midwifery, Head of Finance,

Head of Human Resources, Planning Manager

General Manager – Hospital Paediatrics &

Neonatology

General Manager –Obstetrics & Gynaecology

Clinical Services Managers * 2

Clinical Directors * 4

Acute General Paediatrics

Neonatal Critical Care

Lead Nurses * 4

Anaesthesia and Surgery

Lead Clinician Cardiac Services

Medical Sub Specialties

Business and Planning Support

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