1 - NHSGGC : NHS Greater Glasgow and Clyde



Consultant

Orthopaedic Surgeon with an interest in Shoulder & Upper Limb

Royal Alexandra Hospital

INFORMATION PACK

REF: 55125D

cLOSING DATE: 15th March 2019

.uk/medicaljobs

SUMMARY INFORMATION RELATING TO THIS POSITION

POST: CONSULTANT ORTHOPAEDIC SURGEON WITH AN INTEREST IN SHOULDER AND UPPER LIMB SURGERY

Base: Royal Alexandra Hospital

Applications are invited for the above post as Consultant in Trauma & Orthopaedic Surgery within the Clyde Sector. This post represents an exciting opportunity to support our established team of Consultants. It is expected that the successful applicants will have a high clinical profile with the drive and initiative to achieve and sustain the highest standards of care.

This is a new consultant post to provide expertise in shoulder and upper limb as well as participating in the On Call rota for Trauma. The Consultant will be expected to provide in-patient and outpatient services at the Royal Alexandra, and Vale of Leven Hospitals.

This Consultant role will involve elective Shoulder & Upper limb surgery, complex Shoulder & Upper limb trauma as well as general trauma.

At this time the On Call is a 1 in 9 at Royal Alexandra Hospital. With the on-going re-configuration of services in Clyde, it is possible that a combined single trauma unit will be created, along with Inverclyde Royal Orthopaedic Team. It is expected that the successful applicant will actively participate in the development of a Managed Clinical Network in Orthopaedic Trauma.

Applicants must have full registration with the General Medical Council, a licence to practice and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher Specialist Training leading to a CCT in Trauma and Orthopaedic Surgery or eligibility for specialist registration (CESR) or be within six months of confirmed entry at the date of interview. Non UK applicants must demonstrate equivalent training and have some experience of working in the NHS.

NHS Greater Glasgow and Clyde

Surgery and Anaesthetics Directorate

Information pack - for the post of

Consultant in Trauma & Orthopaedics

Royal Alexandra Hospital

RENFREWSHIRE – A GREAT PLACE TO LIVE AND WORK

The Royal Alexandra is based in the town of Paisley in the west central Lowlands of Scotland.

Paisley has a wealth of history and buildings of architectural interest relating to its industrial past, with a recent bid for the UK City of Culture 2021. The majority of manufacturing has now left the area and has been replaced by other industries. However, the history and architecture remains. The surrounding countryside and villages include affluent villages such as Kilmacolm, and Bridge of Weir, with access to highly rated state and private schools. The area offers numerous shops, leisure amenities, primary and secondary schooling as well as excellent train and bus links. Paisley is convenient for Braehead Shopping Centre, as well as the Soar Outdoor Activity Arena, and the M8 Motorway network, giving easy access to Glasgow International Airport and Glasgow City Centre.

Glasgow, Scotland’s largest city, is just 25min drive from the RAH. Glasgow is a compact, vibrant and modern city. The scale of the City comes as a surprise to many. It has the largest suburban rail network outside London and is second only to the UK capital as a retail centre. There are top-ranking schools, excellent leisure facilities, beautiful golf courses and elegant accommodation across all price ranges. The night life and restaurants are renowned and its high quality opera, theatres, art galleries and world class museums offer an abundance of cultural stimulation.

From Paisley and Glasgow it is only a short journey to many picturesque sites including Loch Lomond (35 minutes), the Argyll peninsula – or over the sea to the beautiful Islands of Arran, Skye, Iona and Mull.

GREATER GLASGOW & CLYDE ACUTE SERVICES DIVISION

NHS Greater Glasgow and Clyde is the Largest NHS Employer in the UK and in partnership with 8 local authorities, is responsible for the health needs of a population of 1.2 million, almost a quarter of the Scottish population. The Acute Services Division is split into 3 sectors across 18 sites with a workforce of 27,500 and an annual budget of £1.2 billion. The geographical area covered is diverse; it covers the major city of Glasgow, large and small towns, villages and some rural areas. We have significant challenges ahead as we deliver the objectives set out in Better Health Better Care and we seek to ensure that we have the right people for the right posts.

The Acute Services Division is the largest group of adult acute hospitals in Scotland. This allows individuals a wide range of opportunities for professional development whether in community-based care or general and specialty hospital services.

The Division operates a No Smoking Policy within its premises.

The Acute Division brings together all acute services across the city under a single management structure led by the Chief Operating Officer. The Division is made up of six Directorates of clinical services each managed by a Director and clinical management team along with a Facilities Directorate. These are:

[pic] Clyde Sector

[pic] North Sector

[pic] South Sector

[pic] Diagnostics

[pic] Regional Services

[pic] Women’s and Children’s Services

Clyde Acute Services

As part of the largest NHS Provider in the United Kingdom, practitioners based at the Clyde Sector provide acute services for local and surrounding area along with some specialist services.

The Clyde Sector compromises the Royal Alexandra, Inverclyde Royal and Vale of level Hospitals. This equates to:

[pic] 3 Hospitals

[pic] 1,100 beds

[pic] £250m income

[pic] 7,000 wte staff

Surgery and Anesthetics sub Directorate

The specialties included in this Sub Directorate are:

[pic] Anaesthetics

[pic] General Surgery

[pic] Trauma and Orthopaedic Surgery

[pic] Urology

RAH Orthopaedic Department

The Orthopaedic departments in Clyde are currently configured as 2 trauma units. At the RAH there are 11 substantive consultants providing a wide range of elective and trauma services, as detailed below. There are currently 6 Consultants at IRH.

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:

[pic] Policies to help balance commitments at work and home and flexible family friendly working arrangements

[pic] Excellent training and development opportunities

[pic] Free and confidential staff counselling services

[pic] On-site library services

[pic] Subsidised staff restaurant facilities on each site

[pic] Access to NHS staff benefits/staff discounts

[pic] Access to discounted First Bus Travel

[pic] Active health promotion activities

[pic] Bike User Group

[pic] Good Public Transport links

[pic] Commitment to staff education and life-long learning/development opportunities

[pic] Excellent student support

Royal Alexandra Hospital / Vale of Leven Hospital / Inverclyde Royal Hospital

Across the 3 sites, the Orthopaedic department has 4 wards with a total of 106 beds (RAH 3 wards – 71 beds, IRH 1 ward – 35 beds), with 6 orthopaedic beds at the Royal Alexandra Hospital allocated to the A & E Department as observation beds. The Vale of Leven hospital is primarily used for Day case and 23 hour surgery, with patients managed through a day ward unit.

At the RAH, all 3 adult wards are located on one floor with a “ring fenced” elective ward for MRSA screened Arthroplasty patients. There is easy access to the main theatre area within which 3 dedicated and 1 shared Orthopaedic Theatre operate to accommodate trauma and elective procedures. There are currently 14 dedicated emergency trauma sessions per week plus 3 planned trauma sessions for sub-speciality trauma, and 21 elective inpatient theatre sessions at the Royal Alexandra Hospital. In addition, there is a day surgery session in the dedicated day surgery unit at the Royal Alexandra Hospital, and 10 day surgery sessions at the Vale of Leven, which are used by RAH and IRH based consultants.

Across the 3 sites, activity for 2017-18 was per below

| |Activity |

|Elective IP |1723 |

|Elective DC |1684 |

|Elective OP |8691 |

|Trauma |4142 |

|Fracture Clinic |6443 |

The patients are seen not only in the Consultant led Orthopaedic and fracture clinics, but also in a variety of Extended Scope Practitioner and nurse Practitioner clinics. In Addition, a number of out-reach clinics are also undertaken as part of a Service level Agreement with NHS Highland. Multidisciplinary clinics are run jointly with the Departments of Physiotherapy and Medical Paediatrics for children with neuromuscular disorders.

Description of post – Clyde Sector

Title: Consultant in Trauma & Orthopaedic Surgery

Consultant Colleagues at the Royal Alexandra Hospital:

|Name |Speciality |

|Mr R Abu-Rajab (CD) |Lower Limb Arthroplasty |

|Mr S Bell |Knee Surgery |

|Mr S Chitnis |Hand and Knee Surgery |

|Mr S Hazarika |Foot and Ankle Surgery |

|Mr J Joseph |Lower Limb Arthroplasty, Revision Hip |

|Mr I McGraw |Hand and Upper Limb Surgery |

|Mr T Nunn (Lead) |Soft Tissue Reconstruction Surgery |

|Mr P Sharma |Lower Limb Arthroplasty, Revision Knee |

|Mr H Shanker |Shoulder and Upper Limb Surgery |

|Ms J Smith |Paeds / Lower Limb Arthroplasty |

|Mr S Smith |Lower Limb Arthroplasty, Foot and Ankle Surgery |

Consultant Colleagues at Inverclyde Royal Hospital:

|Name |Speciality |

|Mr S Barnes |Upper Limb and Hand Surgery |

|Mr M Broadbent (Lead) |Upper Limb and Hand Surgery |

|Mr M Buchan |Knee Surgery |

|Mr A Chappell |Lower Limb Arthroplasty, Revision Hip |

|Mr D Donaldson |Lower Limb Arthroplasty |

|Ms A Winter |Lower Limb Arthroplasty, Knee Surgery |

Numbers and grades of existing Medical Staff

|Grade of Doctor |CLYDE SECTOR |

|Specialty Doctors |2 |

|Specialist Trainee |4 |

|Trust Clinical Fellows |13 |

|GP Trainees / FY2 |8 |

|Fy1 |4 |

The Orthopaedic specialty forms part of the Surgery & Anaesthetics Directorate. A full time Clinic Services Manager – Mr Rahul Shanker, has day-to-day managerial responsibility for Directorate issues.

Duties of the Post 

Clinical Commitments

The post holder will undertake elective commitments in the RAH and VOL, with trauma being undertaken in RAH.

The current on-call commitment at Royal Alexandra Hospital is 1 in 9 with prospective cover, for a week at a time. Over this week, elective work is replaced by trauma.

Administration

The Consultant will undertake the administrative duties associated with the care of his/her patients and the running of their clinical department. In addition, the general administration workload of the directorate is divided between all consultants under the direction of the Lead Clinician and Clinical Director.   This includes such participation in committees and working groups convened by the Division, Health Board and other NHS bodies as required - within the provision of the time available within the job plan.

In addition to the duties mentioned above, clinical duties at other hospitals administered by the Board may be necessary.

Job Plan

This job plan is negotiable and will be agreed between the successful applicant and the Clinical Director.  NHS Greater Glasgow & Clyde initially allocates all full time consultants 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core Supporting Professional Activities (SPA) for CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine communication and management meetings.  The precise allocation of SPA time and associate objectives will be agreed with the successful applicant and will be reviewed at annual job planning.

Example Job Plan

| |AM |PM |

|Mon |RAH Laminar Flow Theatre 7 or 8 (Flexible |RAH Laminar Flow Theatre 7 or 8 (Flexible 4:9) |

| |4:9) | |

|Tues |RAH Laminar Flow Theatre 7 (1:2) |RAH Laminar Flow Theatre 7 (1:2) |

| |RAH Clinic (1:2) | |

|Wed |Fracture Clinic (VoL) |Day Surgery Unit Theatre (VoL) |

|Thurs |  |  |

|Fri |RAH Pre-Op Assessment Clinic |Out Patient Clinic RAH |

Teaching

A trauma meeting is held at Royal Alexandra Hospital every morning at 8.30am, attended by all junior medical staff and Consultants, where all the trauma admissions from the previous day are discussed. In addition, there is an educational meeting every week at lunchtime alternating between journal club, case presentations and a joint meeting with the radiologists. There is a dedicated audit meeting once a month for 8 out of 12 months.

The unit is has an award winning undergraduate teaching program as part of the University of Glasgow Medical School, with rotating attachments of students within the department during term time.

Study Leave and Training

Study Leave will be in accordance with the terms and conditions of service and will be funded by the Board. A good library is available on site and NHS e-library access is available for all staff. Hospital lunchtime Postgraduate programme is arranged during term time.

Leave requirements

Annual leave comprises 6 weeks plus 10 statutory public holidays.

Arrangements for leave and other absences must be approved by the Clinical Lead / Director

Arrangements to Visit the Department

Contact Mr Rashid Abu-Rajab / Mr Tom Nunn on 0141 887 9111

[pic] 

PERSON SPECIFICATION

CONSULTANT IN TRAUMA AND ORTHOPAEDICS (REF: 55125D)

|CONSULTANT IN TRAUMA & ORTHOPAEDIC SURGERY|ESSENTIAL |DESIRABLE |

|REQUIREMENTS |Requirements necessary for safe effective performance in the job |Where available, elements that contribute|

| | |to improved, immediate performance in the|

| | |job |

|Qualifications and Training |FRCS (Tr&Ortho) or equivalent |ALS / ATLS |

| |Applicants must have full GMC registration, a licence to practice and|Appropriate teaching qualification |

| |be eligible for inclusion in the GMC Specialist Register. Those | |

| |trained in the UK should have evidence of higher specialist training | |

| |leading to CCT or eligibility for specialist registration (CESR) or | |

| |be within 6 months of confirmed entry from the date of interview. | |

| |Non-UK applicants must demonstrate equivalent training.  | |

| |Evidence of participation in annual appraisal and revalidation | |

|Clinical Specialty Skills |Demonstrates competence in the management of the full range of Trauma|Fellowship Training in Shoulder & Upper |

| |emergencies and Elective Shoulder & Upper limb surgery including |Limb Surgery |

| |arthroplasty. | |

|Skills, knowledge and aptitude |Evidence of working in a multi-disciplinary team |Management training |

|(e.g. communication or organisations |Ability to organise and prioritise complex demands | |

|skills, proven work record) |Evidence of teaching and training skills for junior doctors | |

| |Effective communication skills | |

| |IT skills | |

|Experience |Broad experience of Trauma & Orthopaedic Surgery |Evidence of participation in relevant |

| |Evidence of active involvement in recent relevant clinical audit |research |

| | |Evidence of research publications |

| | |Evidence of innovative service |

| | |developments |

|Personal Skills |Commitment to good team working and relationships |  |

| |Ability to provide clinical leadership to the multidisciplinary team | |

| |Enthusiastic and ability to work under pressure | |

| |Supportive and tolerant | |

| |Caring attitude to patients | |

| |High quality written and spoken English language skills | |

|Special Requirements |Flexibility to respond to changing service needs |  |

| |Willingness to have regular programmed activities out with current | |

| |NHSiS normal working hours for consultants | |

TERMS AND CONDITIONS OF SERVICE

The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.

| | |

|TYPE OF CONTRACT |Permanent |

| | |

|GRADE AND SALARY |Consultant |

| | |

| |£ 80,653 - £107.170 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 |New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled|

| |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 no 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 post holder 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 .uk

View all our vacancies at: .uk/medicaljobs

Register for Job Alerts at: medicaljobs.scot.nhs.uk

Applicants wishing further information about the post are invited to contact Mr. Abu Rajab, Mr Nunn or Mr Broadbent on 0141 887 9111 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.

NOMINATION OF REFEREES

It is Board policy that no person can act as a member of an Advisory Appointments Committee and be a referee for a candidate for that post. You should therefore check with your proposed referees whether there is likely to be any difficulty in this respect for we may otherwise have to invite you to submit another name or names

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

West Glasgow ACH (formerly Yorkhill)

2nd Floor

Dalnair Street,

Yorkhill,

G3 8SJ

CLOSING DATE

The closing Date will be 15th March 2019

INTERVIEW DATE

The interview date will be 24th April 2019

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