Information pack



Download 115.63 Kb.
Date conversion04.02.2017
Size115.63 Kb.



CONSULTANT HAEMATOLOGIST
ROYAL ALEXANDrA HOSPITAL
INFORMATION PACK

REF: 42620d
cLOSING DATE: nOON 10TH june 2016
www.nhsggc.org.uk/medicaljobs

SUMMARY INFORMATION
Post: consultant haematologist
Base: royal alexandra hospital, paisley
Applications are invited for a Consultant Haematologist for NHS Greater Glasgow and Clyde (GG&C), based at Royal Alexandra Hospital (RAH), Paisley with clinical and laboratory support to either Inverclyde Royal Hospital or the Vale of Leven Hospital. We are looking for a motivated individual to join the team of 28 Haematology consultants in Greater Glasgow & Clyde. The successful applicant will be based at the Royal Alexandra Hospital, Paisley, and will help support laboratory and clinical services across the Clyde region. In addition there is both clinical and laboratory support provided from the haematologists in Clyde to Lorne and the Islands Hospital in Oban. They will be part of the existing team of 8 consultants working across Clyde in busy hospitals to meet day case, outpatient, inpatient, consultative and laboratory commitments. Clinical Haematology in GG&C is in the process of reconfiguration of services following the opening of the new Queen Elizabeth University Hospital. The successful applicant will be involved in the on-going development of Clinical & Laboratory Haematology services for GG&C and will have the opportunity of developing a special interest commensurate with the needs of the service. The on-call within the department will be 1 in 8 with this post.
You should be appropriately experienced and qualified in the specialty, fully registered with the GMC and have a licence to practice. 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 date of Interview. Non UK applicants must demonstrate equivalent training.


ACUTE SERVICES DIVISION

[Regional Services Directorate]
INFORMATION PACK
FOR THE POST OF
CONSULTANT
IN
HAEMATOLOGY


1. GLASGOW – A GREAT PLACE TO LIVE AND

WORK

Greater Glasgow and Clyde Valley is one of the world’s most ­thrilling and beautiful destinations.

There is a wealth of attractions to discover, the UK’s finest Victorian ­architecture to astound, internationally acclaimed museums and galleries to inspire, as well as Glasgow’s own unique atmosphere to soak up.

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.

The area also stands at the gateway to some of Scotland’s most spectacular scenery, with Loch Lomond and the Trossachs only 40 minutes away.

What’s more, we are easily accessible by air, rail and road so getting here could not be easier.



2. GREATER GLASGOW & CLYDE ACUTE

SERVICES DIVISION

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 6 Directorates of clinical services each managed by a Director and clinical management team along with a Facilities Directorate. These are:



North Sector

South Sector

Clyde Sector

Diagnostics

Regional Services

Women’s and Children’s Services

Facilities

Regional Services

This post is based within the Regional Services Directorate which includes:



Neuro-sciences [including all sub-specialties except neuro-

Radiology and neuropathology]



Specialist Oncology services

Clinical Haematology

Plastic Surgery and Burns

Renal Services including Renal Transplantation

Oral and Maxillofacial surgery

Homeopathy

PDRU


Queen Elizabeth National Spinal Injuries Unit

However, there is joint job planning with the Diagnostics Directorate




  1. HAEMATOLOGY IN GREATER GLASGOW AND CLYDE

The managerial structure for haematology is split between the Diagnostics directorate for laboratory issues and service and Regional Services directorate for all aspects of clinical haematology including anti-coagulation service, haemophilia, bone marrow transplantation, haemato-oncology. There is joint job planning between the two directorates.

Greater Glasgow and Clyde is the largest Health Board in Scotland with approximately 1.2 million population, as well as providing specialist services both nationally and for surrounding health boards. The haematology service is provided from a number of acute service sites with varying degrees of laboratory and clinical services, which are described below. Ho



CLYDE HOSPITALS

Royal Alexandra Hospital (RAH), Paisley – The advertised posts will be based on this site and provide services to IRH and VoL hospitals. Currently there are four substantive consultants in post, two full time and two eight session posts. The RAH is a busy District General Hospital with a number of centralised services for Clyde including maternity, paediatrics, 24 hour consultant staffed ITU and Accident and Emergency department. It is the third largest admitting site in GG&C with the full range of medical and surgical specialties on-site allowing for significant consultative work.

The Haematology department at RAH provides clinical haematology services for the local population and the medical and surgical teams in the hospital. It works to BCSH level 2a with busy daypatient and outpatients services with support from a Clinical Nurse Specialist. Patients requiring inpatient care are admitted to ward 1 which has 24 beds shared between Clinical Haematology and Rheumatology/General Medicine.  Patients from Inverclyde Royal and the Vale of Leven who require inpatient care are transferred to the RAH. The Consultants work an attending system between the Laboratory, inpatients and day ward. Patients requiring intensive chemotherapy such as salvage therapy for relapsed lymphoma or high dose chemotherapy with stem cell rescue are admitted to the Queen Elizabeth University Hospital, but are reviewed at RAH clinics for decisions with regard to management and treatment plans. Adult patients requiring intensive acute leukaemia therapy or wishing to enter acute leukaemia trials are transferred to the Beatson, West of Scotland Cancer Centre (BWOSCC) for on-going care.  There are a number of clinical trials open in the RAH with more specialist trials available via BWOSCC.

Recent laboratory reconfiguration has resulted in the centralisation of a large part of haematology and biochemistry laboratory for Clyde at RAH. The service runs a core Haematology, Coagulation and Blood transfusion service with the following annual workload:

Test

FBC

ESR

COAG

INR

BONE MARROW

Group & save

crossmatch

Units issued

RAH

360000

76000

52000

17000




23000

4500

10000

This site receives non-urgent work from the other two sites in Clyde.

The laboratory uses a state of the art Abbott flex track system process the Haematology and coagulation samples and operates 24/7 using a shift system. The lab management team work Monday to Friday dayshift only and cover the whole of Clyde. Some specialised work, such as Haemoglobinopathy and Thrombophilia has been centralised in Glasgow.

These posts includes pro-rata commitment to the laboratories on all sites

Inverclyde Royal Hospital (IRH), Greenock -.Haematology at IRH provides a day patient, outpatient and laboratory service for the hospital as well as providing liaison haematology for medical and surgical specialties on site. There is a busy day care area working to level 2a which is shared with specialist oncology. Patients with disorders requiring supportive specialist haematology inpatient care are transferred to the combined inpatient unit at RAH or Queen Elizabeth University Hospital depending on clinical requirements. Adult patients requiring intensive AML therapy or wishing to enter AML trials are transferred to the Beatson, West of Scotland Cancer Centre (BWOSCC) for on-going care
The laboratory runs a core Haematology, Coagulation and Blood transfusion service for inpatients and samples from Dunoon & Rothesay. The annual workload is as follows:

Test

FBC

ESR

COAG

INR

BONE MARROW

Group & save

crossmatch

Units issued

IRH

90000

11000

15000

10000




7000

2000

4500

This site also has a 24/7 shift system in place and staff from this site support the RAH site as non-urgent work has transferred to RAH.


Vale of Leven Hospital (VoL), Alexandria - .Haematology at VoL provides a day patient, outpatient and laboratory service for the hospital as well as providing liaison haematology for the predominantly day case medical and surgical specialties on site. There is a busy day care area working to level 2a which is shared with specialist oncology. Patients with disorders requiring supportive specialist haematology in patient care are transferred to the combined inpatient unit at RAH or QEUH depending on clinical requirements. Adult patients requiring intensive acute leukaemia AML therapy or wishing to enter acute leukaemia AML trials are transferred to the Beatson, West of Scotland Cancer Centre (BWOSCC) for on-going care. This site also provides clinical haematology services for patients from Argyll region,NHS Highland. A fortnightly clinic is held at the Lorne and The Islands Hospital, Oban and laboratory support is also provided for this site by the Consultant team.
The laboratory runs a core Haematology, Coagulation and Blood transfusion service for inpatients only. The annual workload is as follows

Test

FBC

ESR

COAG

INR

BONE MARROW

Group & save

crossmatch

Units issued

VOL

20000

0

3000

7000




3000

750

1500

This site only operates Monday to Friday 9am to 8pm, with all work outside these hours being sent to RAH by taxis. The provision for automated ESRs and films has been transferred to RAH. The medical assessment unit at VOL have access to some point of care devices to obtain an Hb, WBC or INR result if required out of normal working hours.


Lorne and Islands Hospital – Oban This hospital is run by NHS Highland and has 66 in patient beds and a multi purpose day hospital. Support for out patient haematology clinics and day case therapy is provided from Clyde for geographical reasons. In addition laboratory input is provided for regulatory purposes. There is an existing service level agreement with Highland Health Board for these services. The provision of support to Lorne and Islands is included in the current reconfiguration of services and may require support from the new appointee.
The RAH, IRH and VoL consultants currently work as a team.

New patients within the Clyde hospitals are discussed at a weekly multidisciplinary team meeting (MDT). In addition there is a weekly Regional West of Scotland Clinical MDT for complex cases. Consultants are expected to attend these in person whenever possible. Each site also has a regular meeting with radiology to review relevant imaging but at present these are separate from the MDT.


On call is shared across the sites. The rota is 1 in 8. Ward rounds will be done as required by the consultant Haematologist on call for the weekend.
GLASGOW HOSPITALS
Queen Elizabeth University Hospital (QEUH) - The Haematology department at QEUH provides in patient clinical haematology services to BCSH level 3. There are 10 in patient dedicated haematology beds. Patients from Clyde requiring high dose chemotherapy or other intensive regimens for lymphoma are admitted to this site. The laboratory and liaison service supports a very busy acute hospital with a number of specialist services including the Institute for Neurosciences. There is a large new laboratory build. This houses all histopathology, cytogenetics and molecular pathology for GG&C. In addition there are 24 bone marrow transplant beds in the QEUH co-located with the existing haematology beds.
New Victoria Hospital - This is a new purpose built facility with day case surgery, out patients, imaging and a satellite haematology laboratory supported by QEUH. There is a large haematology/ oncology day case area which supports the QEUH in patient service.
Gartnavel General Hospital - The Haematology department at GGH provides liaison haematology services for the remaining services on site and for the Beatson. The haematology laboratory provides specialist services for stem cell processing and immunophenotyping. In addition the consultants provide laboratory and liaison support for the Golden Jubilee Hospital which houses all the cardiology and thoracic services for the West of Scotland. The West of Scotland Centre for the Scottish National Blood Transfusion Service (SNBTS) is on this campus at GGH.

Beatson, West of Scotland Cancer Centre (BWoSCC) - This based on the Gartnavel General Campus site.

The centre has 170 beds in 9 wards. The haematology unit supports inpatients for the North of Glasgow, in addition to outpatient and day unit work. The unit has an accredited gene therapy aseptic facility. There are 11 linear accelerators. It also houses the Clinical Apheresis Unit for the West of Scotland provided by SNBTS


Glasgow Royal Infirmary (GRI) - This is the main acute hospital for North Glasgow following the closure of Stobhill and Western Infirmary in patient beds. It has the regional haemophilia unit and provides BCSH level 1 care for the local population. All patients requiring intravenous chemotherapy or specialist nursing care are transferred to the BWoSCC for management by the specialist teams at that site.
Stobhill - This is a purpose built facility with day case surgery, out patients, imaging and a satellite haematology laboratory supported by GRI. It provides out-patient BCSH level 1 care for the local population. There is a haematology day case area, but this does not provide intravenous chemotherapy. All patients requiring intravenous chemotherapy or specialist nursing care are transferred to the BWoSCC for management by the specialist teams at that site.
Future GG&C Service Provision

Following the opening of the QEUH in 2015 and closure of the Western and Victoria Infirmaries with centralisation of a number of services there has been and will continue to be impacts on many aspects of clinical and laboratory provision for GG&C.


This is an exciting time to become part of the GG&C haematology team, as we deal with the challenges and opportunities arising from these changes. There is the opportunity to move towards a more focussed job plan in terms of areas of specialisation disease specific clinics etc.
The current consultant members of the Service are:

Royal Alexandra Hospital Inverclyde Royal Infirmary & Vale of Leven

Dr Alison McCaig Dr Patricia Clark

Dr Alison Sefcick (0.8) Dr Glenn Rainey

Dr Carol Stirling (0.8) Vacancy (Locum in Post)

Dr F Patrick

Vacancy (Locum in Post)




Beatson West of Scotland Cancer Centre

Transplant team Western Infirmary/Stobhill

Dr Andrew Clark Dr Mark Drummond

Dr Igor Novitsky Dr Edward Fitzsimons

Dr Grant McQuaker Dr Nick Heaney (TYAC consultant)

Dr Anne Parker Prof Tessa Holyoake

Dr David Irvine Dr Mike Leach

Dr Pam McKay

Dr Richard Soutar (0.5 SNBTS)

Dr Jennifer Travers

Prof Mhairi Copland


Glasgow Royal Infirmary South General Hospital

Dr Catherine Bagot Dr Alastair Hart

Dr Louisa McIlwaine Dr Gail Loudon

Dr Campbell Tait Dr Anne Morrison

Dr Ian MacDonald

In addition there is

Dr Arif Alvi, Associate Specialist for Haemophilia based at GRI

Dr Leesa Marsh, Staff Grade, based at Vale of Leven


Junior Medical Staff

Specialist Trainees – the West of Scotland deanery has 22 numbered posts for haematology with 14-15 based in GG&C adult haematology at any one time. Junior medical staff are not routinely present at RAH, but there is a recognised specialist training post available and this is filled intermittently for District General Hospital experience.



Research Opportunities
There is no allocated time for research in the job description, however, it may be possible to identify time during job planning for individuals. There is the option to develop a specialist interest within GG&C and there are NHS Research Scotland Career Research Fellowships which the successful applicant may wish to apply for.
Clinical Trials

The Clinical Research Unit at the BWOSCC is the largest of its kind to be funded by Cancer Research UK. It houses Scotland’s first ever co-ordinating centre for the National Cancer Research Institute. The unit offers support clinicians to initiate and conduct clinical trials within the BWOSCC. The unit has a large portfolio of Phase I - III studies across the range of cancer sub-specialties and has a particular interest in the development of first-in-man anti-cancer drugs. It is supported by designated staff and facilities for Phase I/early Phase II clinical trials. The trials unit has been rated alpha-star by external review. Already, at least 11% of the regional cancer centre’s patients are entered into clinical trials.


The BWOSCC is the only Scottish centre for the Leukaemia and Lymphoma Research Trials Acceleration Programme (LLR TAP).

Beatson Institute for Cancer Research

Professor Karen Vousden heads the laboratories at this internationally renowned centre, located 3 miles from the BWoSCC. This initiative, developed in collaboration with Cancer Research UK, offers unrivalled opportunity for collaboration in basic cancer research. The Beatson Institute has undergone a £30 million redevelopment funded by Cancer Research UK and the University of Glasgow. A Translational Research Centre is being built on the Garscube Estate to complete a virtual comprehensive cancer research and treatment centre, given CRUK Centre status in 2011. The Cancer Sciences Division was 4th in the whole of the United Kingdom in the 2009 Research Assessment Evaluation.


Paul O’Gorman Leukaemia Research Centre(POGLRC)

The HSCT service collaborates closely with the Paul O’Gorman Leukaemia Research Centre (POGLRC) led by Professor Tessa Holyoake, Professor Mhairi Copland is a member of the HSCT Consultant Team. The POGLRC is part of the Division of Cancer Sciences at the University of Glasgow. The Centre, opened in March 2008, is built on the Gartnavel Hospital campus and has 5 group leaders with interests in CML and leukaemia stem cell biology (Tessa Holyoake), normal and leukaemic stem cell fate and microenvironment (Mhairi Copland), CLL biology and normal lymphopoiesis (Alison Michie), the role of signal transduction in stem cell self-renewal, haemopoiesis and angiogenesis (Helen Wheadon) and paediatric AML (Karen Keeshan). The Centre houses state-of-the-art facilities, including a dedicated tissue culture suite, FACSAria cell sorter, FACSCanto flow cytometer, Taqman quantitative RT-PCR, Fluidigm Biomark, and fluorescence microscopy. Additional complimentary facilities are available at the Beatson Institute, including the Beatson Advanced Imaging Resource. The Paul O’Gorman Leukaemia Research Centre has also recently become part of the West of Scotland Cancer Research Centre “WE CAN” – a collaborative initiative between the NHS, CR-UK and all Universities in the West of Scotland to promote cancer research, identify bio-markers and develop novel therapeutics. There are also strong links with the Institute for Immunology, Inflammation and Infection, University of Glasgow.



5. THE JOB ITSELF


  1. Title: Consultant in Haematology




  1. The job plan provides for 10 PAs under the new Consultant contract.

SPA time will be allocated to the successful applicant depending on their attributes and the needs of the service.





  1. Relationships:

(i) Name of Health Board(s):

NHS Greater Glasgow and Clyde, Acute Services Division


  1. Names of Consultant members of the Department:

Dr Carol Stirling

Dr Alison Sefcick

Dr Alison McCaig

Dr Fraser Patrick

Dr Patricia Clark

Dr Glenn Rainey
1 vacancy (Locum in Post)
(d) Duties of the Post:


  1. Clinical details of all clinical commitments


Clinical Commitments: It is anticipated that the post holders would provide Clinical Haematology support for out patient clinics, day unit treatments and assessment and in patients where appropriate, in addition to providing support and advice to the Glasgow and Clyde Anticoagulant Service in the South Clyde area.
Laboratory commitment: It is anticipated that the post holders would support the laboratory service, providing diagnostic reporting and advice.


Teaching, Management, Research and Audit

This role may involve the training and supervision of nursing, medical staff, medical students and laboratory staff.

The successful applicant may be expected to participate in clinical & educational supervision of trainees.


  1. Administration

The Clinical Director for clinical haematology is the medical manager responsible for the medical staff within Clinical Haematology and works with the General and Clinical Services Managers to ensure quality service delivery and development, clinical governance, appraisal and job planning.


Members of the local Consultant team are involved in a number of committees both within and outside the local hospital. There are a number of regular meetings for Clinical and Laboratory Haematology which the successful applicant will be expected to attend. The Clyde Consultant team organises its weekly and on-call rotas. Successful applicants will be expected to participate and share in these administrative duties.
(e) Timetable
Please see indicative job plan below. Note that the actual job plan may be different from this illustration.
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.

Timetable of activities.


Monday

am

Day ward




pm

Planning meeting

Tuesday

am

Laboratory




pm

Local and Regional MDTs

Wed

am

Lab/Admin




pm

Off

Thursday

am

SPA




pm

Clinic

Friday

am

Day ward (Pro-rata)




pm

Lab/Admin

The consultant will undertake their share of administrative duties associated with the care of the team’s patients, and the running of the clinical department. During attending weeks there are two consultant ward rounds on a Tuesday and Friday morning with additional input as required. Vetting and ward referrals are also part of the attending consultants responsibilities.

The post holder participates in an on-call rota with the other consultant staff for Clyde on a 1 in 8 basis with a ward round on Saturday and if required Sunday. The on- call covers all three hospitals in Clyde ie. RAH, IRH and VoL with advice given to The Lorne and Isles Hospital as needed.
The post holder is expected to participate in yearly appraisal and job planning with the Clinical Director or his deputy.

(f) Domiciliary consultations as may be required by the employing authority.


(g) The Consultant has a continuing responsibility for the care of patients in their charge, and for the proper functioning of the Department.
(h) The Consultant will undertake the administrative duties associated with the care of patients and the running of the clinical department.
(i) In addition to the duties mentioned above, duties at other hospitals administered by the employing authority may be necessary.
Contact Personnel
For more information about this post and its exciting plans for the future, please contact

  • Dr Carol Stirling, RAH, Lead for Clyde Laboratories

carol.stirling@nhs.net 0141 577 0839


  • Dr Anne Morrison, Clinical Director for clinical haematology

Anne.Morrison2@ggc.scot.nhs.uk 0141 354 9083
Dr Ted Fitzsimons, Clinical lead for Laboratory Haematology

Edward.fitzsimons@ggc.scot.nhs.uk 0141 301
Dr David Dunlop, Chief of Medicine, Regional Services

david.dunlop@ggc.scot.nhs.uk 0141 301 7076


  • Dr Anne Cruikshank Clinical Director, Laboratory Services

Anne.cruikshank@ggc.scot.nhs.uk 0141 354 9035

MEDICAL AND DENTAL STAFF APPOINTMENTS

PERSON SPECIFICATION

POST: Consultant in Haematology
BOARD: NHS Greater Glasgow and Clyde

HOSPITALS: Royal Alexandra Hospital, Paisley






ESSENTIAL

FOR THE POST


DESIRABLE

FOR THE POST

  1. Legal Requirements




Evidence of higher specialist training leading to CCT or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview.




2. Professional Qualifications

Full registration with the general medical Council and a licence to practice.

Higher qualifications e.g. MRCP, FRCPath or equivalent.



MD / PhD

3. Training

Previous appointments which provided professional training in Haematology posts approved by the Royal College of Pathologists or equivalent

Attendance at appropriate professional courses.


4. Experience

Clinical


Management

Audit



Experience of Haematology as Specialist Trainee or equivalent
Working knowledge of NHS management responsibilities of consultants.
Evidence of participation in audit activities

Attendance at an appropriate management course.

Experience of clinical audit.








ESSENTIAL

FOR THE POST


DESIRABLE

FOR THE POST

5. Teaching

Evidence of participation in teaching postgraduate medical staff. Interest in undergraduate and postgraduate medical teaching.

Experience of teaching medical and other staff.

Evidence of participation in Undergraduate Teaching.



6. Research / Publications

Experience and evidence of contribution to research and relevant publications.




7. Professional Interests


Membership of appropriate professional society (ies)

Knowledge of up to date literature.






8. Personal Skills

Relationships

Teamwork


Ability to communicate and liaise effectively with patients and their relatives, and with colleagues of all disciplines.
Ability to be able to work harmoniously with colleagues.
Experience of supervision of junior medical staff and relevant staff in other disciplines.
Ability to work as a team with professional colleagues, both surgical and other disciplines




9. Circumstances

Residence


Car owner / driver

Agree to live an appropriate distance from the respective organisations.


Car owner with full driving licence.



10. Physical requirements /

General health



Satisfactory medical clearance from Occupational Health Physician.







The database is protected by copyright ©dentisty.org 2016
send message

    Main page