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NHS GRAMPIAN
CONSULTANT PHYSICIAN IN RESPIRATORY MEDICINE & MEDICAL HDU
MARCH 2014
JOB DESCRIPTION: SS9676
GENERAL
ABERDEEN
With a population of approximately 200,000, Aberdeen is the major centre for Grampian
(population 560,000). Strongly influenced by the oil industry over the last 40 years
Aberdeen is a cosmopolitan, prosperous modern
Northern European city which
nevertheless retains its old-fashioned charm and character making it a very attractive place
in which to live. Leisure facilities are outstanding with the Cairngorms National Park and
some of Britain's most impressive scenery and wild country within an hour's drive. Skiing, hill
walking and golf are all well catered for and Aberdeen City and Shire both offer many
excellent places in which to live.
Aberdeen has excellent communication services with other British cities - eg flying time to
London is just over one hour with regular daily flights, road and rail links are also good.
Aberdeen offers superb quality of life with first class amenities including His Majesty's
Theatre, Music Hall, Art Gallery, Museums, Sports Village and Beach Leisure centre.
Education facilities are excellent and in addition to excellent state schools several of which
are in the top 20 nationally, there are two fee-paying schools for girls, one for both girls and
boys, an international school and one co-educational college. All three cater for primary and
secondary pupils.
To find out more about Aberdeen, visit the Website at http://www.aberdeen.net.uk/
THE UNIVERSITY OF ABERDEEN
The University of Aberdeen is a fusion of two ancient universities: Kings College founded in
1495 and Marischal College which dates from 1592. The University maintains an
outstanding record in scholarship and supports a high level of teaching and learning
underpinned by a first class portfolio of research.
The Institute of Medical Sciences is adjacent to the University Medical School on the
Foresterhill site and brings together medical scientists and clinicians in a fully integrated
research facility.
http://www.abdn.ac.uk/
ROBERT GORDON UNIVERSITY
The Robert Gordon University has earned wide recognition for its pragmatic approach to
higher education both in Scotland and internationally.
For generations it has produced qualified professionals across a broad spectrum of careers
in the arts, management, engineering, sciences, pharmacy, health and the professions allied
to medicine.
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The University is actively involved in applied research in a variety of fields and many short
course programmes are being formulated to meet the growing needs of the community.
http://www.rgu.ac.uk
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DESCRIPTION OF HOSPITALS
NHS Grampian was formed on 1st April 2004. It incorporates Aberdeen Royal Infirmary,
Royal Aberdeen Children’s Hospital and Aberdeen Maternity Hospital on the Foresterhill site.
Other sites include Woodend Hospital in Aberdeen and Dr Gray’s Hospital in Elgin as well as
palliative care facilities at Roxburghe House.
Peripheral outpatients clinics are provided at various hospitals throughout the north-east of
Scotland and also at the hospitals in the Orkney and Shetland Isles.
Aberdeen Royal Infirmary, Foresterhill, with a complement of around 900 beds is situated
to the north-west of Aberdeen city centre on the teaching hospital site with the Medical
School of the University of Aberdeen. This is the principal adult acute hospital in Grampian
providing a complete range of medical and surgical specialities including Acute and General
Medicine together with allied specialities (Cardiology, Respiratory, Medical HDU,
Gastroenterology, Infectious Diseases, Neurology, Clinical Pharmacology, Stroke Medicine,
Diabetes & Endocrinology, Haematology, Nephrology, Oncology, Dermatology, Blood
Transfusion, Rheumatology and Medicine for the Elderly), General Surgery and allied
specialities (Cardiothoracic, Vascular, Orthopaedics, Neurosurgery, Plastics, Dental, ENT,
Burns, Ophthalmology, Urology), Gynaecology, ITU, A & E, Radiotherapy and Anaesthetics.
The newly built Emergency Care Centre housing most medical specialties (including
Respiratory Medicine) opened in early December 2012.
Aberdeen Royal Infirmary is also a tertiary referral centre for the North and North East of
Scotland in a number of specialities.
Woodend Hospital with a complement of around 200 beds is situated one mile west of
Aberdeen Royal Infirmary and includes the provision of elective orthopaedics and Medicine
for the Elderly.
Royal Aberdeen Children’s Hospital (RACH), with a complement of around 100 in-patient
and 13 day beds together with the Neonatal Unit, Aberdeen Maternity Hospital (AMH)
provides all specialist care for children up to the age of 14 years in the Grampian Region and
the Orkney and Shetland Islands. The new Children’s Hospital adjoining Aberdeen Royal
Infirmary opened in early 2004.
Aberdeen Maternity Hospital, with a complement of 120 beds, is the main Maternity
Hospital for the area. It has both ante-natal and post-natal beds.
Dr Gray’s Hospital, Elgin in Moray has a bed complement of over 100, serving a population
of 80,000. Many specialties, including Respiratory Medicine, provide outpatient services in
Elgin, together with an in patient referral service from Dr Gray’s.
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RESPIRATORY UNIT
Respiratory Medicine
There are 7.6 WTE Consultants in Respiratory Medicine in Grampian (excluding this post),
together with 5 Specialist Registrars training in Respiratory Medicine (2 in Inverness), 2
CMT, 1 GPST, 2 FY2 & 4 FY1s.
Consultants
Professor Graham Devereux, MA, BM, BCh, MD, PhD, FRCPEd
(Academic, 0.5 clinical)
Dr Gordon Christie, BSc, PhD, MBChB, MRCP (Clinical Lead until October 2014);
0.75 wte HDU
Dr Owen Dempsey, MB, MD, FRCP; 0.2 wte Hyperbaric Medicine
Dr Patrick Fitch, BSc. MB ChB, MD, FRCPEd (Clinical lead from October 2014)
Dr Prasima Srivastava, MBChB, MD, MRCP
Dr Graeme Currie, MBChB, DCH, Pg Dip M Ed, MD, FRCP
Dr Mahendran Chetty, MD, DM; 0.2 wte Hyperbaric Medicine
Dr Joy Miller, MBChB, MD. MRCP; 0.2 wte Hyperbaric Medicine
Dr Ratna Alluri MB ChB MRCP ; 0.25 wte HDU (locum)
Clinical Facilities
In Patients
The Respiratory Medicine Unit provides comprehensive facilities for patients with respiratory
disorders in Grampian and also provides a service for those in Orkney and Shetland (total
population approximately 600,000).
There are 30 inpatient beds in the Respiratory Medicine Unit located in Ward107 at
Aberdeen Royal Infirmary. The Respiratory Unit admits 2250 patients annually. The unit has
a significantly shorter length of stay than other Scottish teaching hospital respiratory units.
Patients are admittedvia the Emergency Department or the Acute Medical Initial Assessment
(AMIA) Unit, via the Respiratory triage service from other units or via Chest Clinics. The Unit
currently operates a Consultant of the Week model with consultants participating on a 1 in 8
basis. The first on Consultant of the Week (COW A) is responsible for all acute inpatient
activity within the Respiratory Unit during the week on call (including weekend on call). The
second on-call Consultant of the Week (COW B) is responsible for all acute in-patient activity
outwith the Respiratory Unit Monday to Friday.
Acute non invasive ventilation is based primarily in Medical HDU, with approaching 300
patients receiving NIV annually. There is also an early supported Respiratory discharge
service for the population within approximately 20 miles of Aberdeen city (approximately
300,000 people), which accepts around 350 to 400 referrals per year. Community
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pulmonary rehabilitation is established in Grampian. There is a local Managed Clinical
Network for respiratory disease and respiratory disease is identified as a major priority within
the NHS Grampian long-term conditions program. A pilot integrated care Respiratory
Specialist Practitioner post funded by the Change Fund working across Primary and
Secondary started in April 2013.
There are 350-400 new diagnoses of lung cancer in Grampian each year. The
multidisciplinary team includes respiratory medicine, oncology, radiotherapy, thoracic
surgery, pathology, radiology and cytology and meets every Thursday morning. The unit
has consistently achieved targets for referral over many years, and a higher proportion of
Grampian patients receive active treatment for lung cancer than elsewhere in Scotland. This
post will play a part in the Lung Cancer service together with the existing consultants with a
Lung Cancer interest (Dr Graeme Currie, Dr Mahendran Chetty, Dr Joy Miller)
There is a well established Interstitial Lung Disease clinic in ARI which has been running for
7 years. This post will play a part in the ILD clinic (Dr Owen Dempsey -- ILD Lead and Dr
Patrick Fitch).
There is a monthly Tuberculosis clinic (Dr Patrick Fitch and Dr Ratna Alluri). The
expectation is that this post will also contribute to the TB clinic.
There are 2 weekly Bronchoscopy sessions (Tuesday and Thursday pm). Approximately
600 procedures are performed each year. Endobronchial ultrasound is undertaken routinely.
This post will be involved in the bronchoscopy service, currently delivered by those
consultants with an identified interest in Lung Cancer although a Pleural Disease interest
would also be encouraged. Planning to start a Medical Thoracoscopy service is at an
advanced stage.
The pulmonary function laboratory within ARI provides physiological measurement and
considerable support to the sleep service. At present around 2500 tests are performed per
year, exclusive of sleep. The laboratory is staffed by 3 technicians and one nurse. A band
8A lead clinical physiologist has recently been appointed.
There is a Cardiothoracic Surgical Unit within ARI staffed by 5 Consultants of whom 2
undertake Thoracic Surgery (Mr Hardy Remmen and Mr Keith Buchan). There is also good
access to Radiology (including PET/CT, conventional CT, CTPA, MRI, isotope scanning and
interventional radiology) and 3 Consultant Radiologists with a major interest in Thoracic
Imaging (Dr Lesley Gomersall, Dr Alan Dennison, Dr Struan Wilkie). There are also
comprehensive services for Microbiology, Virology, Pathology and Immunology on site
together with a large Intensive Care Unit.
Out-Patients
The out-patient service is based at the Chest Clinic within Clinic C at Aberdeen Royal
Infirmary. Currently there are approximately 10,000 attendances each year of which
approximately 2,500 are new outpatient referrals. Within the Chest Clinic are more
specialised weekly clinics in:
 Adult Cystic Fibrosis (all day Thursday) – currently 65 patients.
 Non-CF Bronchiectasis (fortnightly)
 Sleep Medicine (Tuesday PM, Wednesday PM)
 Interstitial Lung Disease (Wednesday PM)
 Tuberculosis (Monday AM once each month)
 Difficult Asthma (Wednesday AM, monthly)
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
Lung Cancer (Monday AM, Friday AM.; Thursday AM Results Clinic)
To support these subspeciality services there are Specialist Nurses for Lung Cancer (1.75),
Lung Cancer investigation (1), Adult Cystic Fibrosis (1.8), Tuberculosis Control (1), Sleep
Medicine (2.5), Respiratory triage (1) and an outpatient Nebuliser Service (1) and Oxygen (1;
also 1 Specialist Physiotherapist). In addition there is an Early Supported Respiratory
Discharge Service for patients admitted with chronic lung disorders staffed by 5 wte nurses.
After a successful trial of Physician Associates 2 permanent PA posts were appointed in the
starting in September 2014 supporting the lung cancer service & COW B.
Specialist respiratory physiotherapist support is provided by a team shared with HDU
normally including one clinical specialist, 2 Band 7 physio based within the unit and 1
rotating band 6 physio in addition to the Oxygen post noted above. In addition the cystic
fibrosis team is supported by a further 1.2 specialist physiotherapy posts.
The Lung Function Laboratory is currently staffed by 1.8 Band 5 pulmonary function
technicians & a Band 8A Lead Physiologist starts work in October 2014.
There are regular all-day peripheral clinics held at least twice each month at local hospitals
in Peterhead, Banff and Elgin. This post will contribute to the Peterhead clinic.
Consultants participate in the night and weekend cover of the Respiratory Unit.The
appointee will be actively involved in the first on-call rota for Respiratory Medicine (COW A
approximately 1 in 8 after appointment to this post. This post will also contribute to the COW
B rota on an approximately 1 in 7 basis.
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CLINICAL DUTIES
The post is that of Consultant in Respiratory Medicine. This post offers involvement in
Respiratory Medicine in a large teaching hospital environment.
Specific duties will include the following:
1.
The care of patients referred to respiratory clinics and admitted to the Respiratory
Medicine service shared with other consultants in the specialty. Contributions to
sleep & lung cancer services, support for respiratory patients admitted to AMIA and
the provision of an emergency respiratory service for patients within ARI.
Expertise and a wish to be involved in one or more subspeciality areas within
Respiratory Medicine would be desirable. These subspeciality areas include:
 Lung Cancer
 Interstitial Lung Disease
 Pleural Disease
 Sleep Medicine
 Tuberculosis
The appointee will be expected to make a contribution to the clinical teaching in the Unit, in
the teaching of undergraduates, especially in clinical skills and Respiratory Medicine.
A commitment to undergraduate and postgraduate teaching is expected, and enthusiasm for
teaching would be highly desirable. Commitment to postgraduate critical care teaching in
particular (IMPACT or ALS) would also be highly desirable.
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RESEARCH
Numerous opportunities exist for collaboration with all the major clinical specialties and with
University staff on the Foresterhill site. There is also on-site support from the Audit
Department, from the Research & Development Department and from the Medicines
Assessment Research Unit, the latter for commercial research.
Research Interests




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The Respiratory Unit has established clinical research interests particularly in the areas
of Asthma, COPD and Adult Cystic Fibrosis. There are a number of ongoing projects
particularly in the areas of:
Studies into the early life origins of Asthma and Allergy
The natural history of wheezing syndromes: particularly factors affecting decline in lung
function including perinatal factors, childhood diagnostic category and diet
Studies into the chemotherapy and other management of Lung Cancer
Studies into the role of eosinophils and their products in the pathogenesis of Asthma
RESEARCH AND DEVELOPMENT
NHS Grampian aims to maintain the tradition of clinical excellence and to encourage clinical
staff to work in an environment where people are looking to innovate and are aware of, and
contribute to, developments within their specialities and are excited by the prospects of
involvement in the exchange of ideas within the national/international research community.
NHS Grampian’s Research and Development Strategy has been developed to prioritise and
stimulate research and development within the Trust’s fields of interest, complementing the
research strategies of the Universities and Research Institutes in the area.
The Research and Development Directorate exists to support and facilitate research within
NHS Grampian.
Candidates should contact Professor David Reid, Director, Research and Development, NHS
Grampian, Tel: (01224) 551121, to discuss their particular research area of interest.
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AUDIT
There is a Clinical Effectiveness / Audit Department on site and a Scottish Office funded
Health Services Research Unit.
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JOB PLAN
AM
Out patient Clinic 0900-1300;
TB clinic monthly
Out patient clinic
Monday
Tuesday
Wednesday
PM
SPA/ DCC Admin
Peterhead OPD (0900-1700);
weeks 2 & 4; Pleural clinic
(weeks 1, 3,5)
Lung cancer MDT (0830-1000);
lung cancer Results clinic
(1030-1200)
Thursday
Friday
Saturday
SPA/ Admin
On call (COW A); 1 in 8
(approx.); AM ward round
Sunday
On call (COW A); 1 in 8
(approx.); AM ward round
Bronchoscopy (1 in 4); SPA/
DCC Admin
ILD Clinic (non Peterhead
weeks)
Bronchoscopy (1 in 4); SPA/
DCC Admin
Off
On call (COW A); 1 in 8
(approx.); PM consults etc as
required
On call (COW A); 1 in 8
(approx.); PM consults etc as
required
Note: All routine activities cancelled for COW A (1 in 8) & COW B (1 in 7) weeks
Approximate allocation of time within job plan
Direct Clinical Care
Respiratory out patient clinics & bronchoscopy
4.5 PA
Acute in patient respiratory activity
3.0 PA
Respiratory emergency & on call activity
0.5 PA
SPA
Respiratory
SPA
Total
7
2 PA
10 PA
THE CLINICAL MANAGEMENT STRUCTURE
The clinical areas are under management of the acute services sector. Other specialties
managed within group are General (Internal) Medicine, the medical specialities, General
Surgery, the surgical specialties and Anaesthetics. Each specialty is represented by
aClinical Lead who works closely with the Unit Operational Manager (in this case for Division
1B, Associate Medical Director, Acute services medical director and General Manager.
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NHS GRAMPIAN
CONSULTANT PHYSICIAN INRESPIRATORY MEDICINE AND MEDICAL HDU
REF: POST SS9676
CONDITIONS OF APPOINTMENT
1.
The appointment will be made by the Trust on the recommendation of an Advisory
Appointments Committee, constituted in terms of the National Health Service
(Appointment of Consultants) (Scotland) Regulations, 1993 - NHS Circular 1993 No
994 (S.140) which will include University representatives. Any person suitably
qualified and experienced who is unable for personal reasons to work full-time, will
be eligible to be considered for the post.
2.
(a)
The full-time salary, exclusive of any distinction award, will be on the scale of
£76,001 to £102,465 per annum with scale placing as appropriate. The
appointment will be on a full-time or maximum part-time basis. If the person
appointed chooses to contract on a whole-time basis, his or her gross income
from private practice must not exceed 10% of gross NHS income (including
distinction award if applicable). It is agreed that any private practice you may
undertake will in no way diminish the level of service that may be expected
from you by the Trust in carrying out the duties specified above. It is also
agreed that the duties specified above are regarded as requiring substantially
the whole of your professional time and that this will involve a minimum work
commitment equivalent to 10 notional half days a week.
(b)
Job plans must be agreed in association with the appropriate Associate
Medical Director and your Head of Service and submitted to the Medical
Director for approval. Changes will be discussed and agreed by these
officers and yourself in line with Clinical Grouping service needs and changes
in service requirements as well as at annual review.
3.
The person appointed will be expected to take part in the undergraduate and
postgraduate teaching programmes. It is likely that the University of Aberdeen will
grant the status of Honorary Clinical Senior Lecturer.
4.
Consultants are expected to undertake research and development in their own field
and to link with the University research areas.
5.
Day to day arrangements for undertaking the specified duties of the post will be
made in consultation with the Head of Service, other consultants in the department
and with the Trust.
6.
The person appointed will have a continuing responsibility for the care of patients in
his or her charge and will undertake the administrative duties associated with the
care of his or her patients and an appropriate share in the running of the clinical
department.
7.
The person appointed will act as an adviser to the Trust in Acute Medicine
8.
The person appointed will be expected to undertake domiciliary consultations as may
be required by the Trust.
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9.
The person appointed will be expected to undertake advisory ("pastoral") visits to
hospitals in the Area.
10.
You may exceptionally be required to undertake duties at other hospitals in the
Grampian Area or other Health Board areas and at hospitals in Orkney, Shetland and
elsewhere for which service agreements would be arranged.
11.
The person appointed may undertake the diagnosis and treatment of patients
occupying accommodation made available under Sections 57(1), 57(2) and 58 of the
National Health Service (Scotland) Act 1978 at the above hospitals insofar as the
patients have not made private arrangements for such treatment.
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The Trust, in partnership with the BMA Local Negotiating Committee has a study
leave policy for all Career Grade Medical and Dental staff Policy available on request
from Medical Recruitment and Administrative section.
13.
The appointment will be superannuable if the person appointed so chooses. He or
she will be subject to the regulations of the National Health Service Superannuation
Scheme and the remuneration will be subject to deduction of contributions
accordingly, unless he or she opts out of the Scheme.
14.
The private residence of the person appointed, which shall be maintained in contact
with the public telephone service, shall not be more than 10 miles by road from
Aberdeen Royal Infirmary unless specific approval is given by the Medical Director.
15.
Grampian University Hospitals NHS Trust is legally liable for the negligent acts or
omissions of employees in the course of their NHS employment. Medical staff are
however advised to ensure that they have defence cover for activities not covered by
the Trust’s indemnity.
16.
The officer appointed will be required to be registered on the General Medical
Council’s Specialist Register.
**17.
The appointment is made subject to production of a certificate issued by an institute
or person competent to award degrees or diplomas confirming you have completed a
course designed to satisfy the training requirements of the Ionising Radiation
(Protection of Persons Undergoing Medical Examination or Treatment) Regulations
1988.
**18
As a result of guidance issued by the Scottish Office on "Protecting Health Care
Workers and Patients from Hepatitis B" the Grampian University Hospitals NHS Trust
is required to:Ensure health care workers who may be at risk of acquiring hepatitis B from a patient
are protected by immunisation.
Protect patients against the risk of acquiring hepatitis B from an infected health care
worker.
Due to the nature of this post, any offer of appointment will be conditional upon the
successful applicant either:Undergoing a process of screening/immunisation/monitoring in accordance with the
Trust's Policy and Procedure, or
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Producing acceptable documentary evidence that he/she is not an infective risk to
others.
In the event that he/she is an infective risk to others or if he/she fails to comply with
the above requirements, the conditional offer of appointment will be withdrawn.
As a condition of his/her subsequent employment in this post he/she is also required
to undergo further immunisation and monitoring at the intervals specified by the
Trust's Occupational Health Service in order to boost/maintain his/her level of
immunity. Should he/she become hepatitis B e antigen positive and therefore an
infective risk to others at any stage in the future the appointment will be subject to
review in accordance with the Trust's agreed Procedure for dealing with such
situations where the postholder is involved in "Exposure Prone Procedures". This
review may result in the postholder having to alter his/her clinical exposure to remove
risk to patients and others. In circumstances where this is not a practical option, it
will be necessary to provide industrial compensation for this prescribed industrial
disease prior to the postholder leaving the Trust's employment.
**19
The Trust is required to instigate a check to be made with Disclosure Scotland Office
for any convictions recorded before an offer of appointment can be made
(rehabilitation of Offenders Act 1974 amended 1985 and 1986) and (Disclosure of
Criminal Convictions of NHS Staff with Substantial Access to Children 1989).
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The appointment is made subject to satisfactory fitness for employment. The
successful candidate will therefore be required to complete a pre-employment health
screening questionnaire and may subsequently be required to attend for health
screening.
21
Termination of the appointment is subject to six months' notice on either side.
This job description serves to indicate the range of duties of the post but is not
intended to be exhaustive.
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NOTES TO CANDIDATES
Canvassing in connection with appointments is not permitted but this does not debar
candidates who wish from visiting the hospitals concerned.
Further information can be obtained and an appointment to view the Department arranged
by contacting Dr Gordon Christie Clinical Lead for Respiratory Medicine & Medical HDU or
Dr Patrick Fitch (Clinical Lead for Respiratory Medicine from October 2014), Chest Clinic,
Clinic C, Aberdeen Royal Infirmary, Foresterhill, Aberdeen Tel: (01224) 550916; bleep 3473.
When visiting NHS Grampian prospective candidates may make an appointment with the
following:
Ms Amanda Croft
General Manager Acute Sector
NHS Grampian
Foresterhill House
Contact:
Personal Assistant
Tel: (01224) 553711
Dr N Fluck
Medical Director
Foresterhill House
Tel: (01224) 553714
Dr S Wilkinson
Associate Medical Director
Foresterhill House
Tel: (01224) 554514
Professor David Reid
Director of Research & Development
Westburn House, Foresterhill
Tel: (01224) 551121
The Trust are obliged to bring to your notice that the Rehabilitation of Offenders Act 1974
provides for many people who have been convicted of certain criminal offences, the
opportunity to have no need to refer to any conviction or circumstances relating to it in the
course of daily lives. Certain convictions can, therefore, be regarded as “spent” after the
lapse of a period of years under the terms of the Act. The National Health Service
employment for which you are applying, however, has been excluded from the provisions of
the Act and you are, therefore, required not to withhold information about convictions which
for other purposes are “spent” under the provisions of the Act. In the event of employment,
any failure to disclose such convictions could result in dismissal or disciplinary action by the
Trust. Any information given, however, will be completely confidential and will be considered
only in relation to the post for which you are now making application.
There are a number of Day Nursing facilities for children of staff employed by Grampian
University Hospitals NHS Trust. These have been specially designed to accommodate
children between the ages of 6 months and 5 years. Please contact the Nursery Manager
on (01224) 552684 (Foresterhill), (01224) 556008 (Woodend) or (01343) 549244 (Elgin) for
further details.
In The Interest Of Health Promotion We Operate A No Smoking Policy
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NHS Grampian
Person Specification Form
REF: SS9678
Consultant Physician In Respiratory & High Dependency Medicine
A
REQUIREMENTS
Qualifications
ESSENTIAL
CCT in Respiratory Medicine
B
Experience
C
D
Ability
Clinical Skills and
Technical Skills
Motivation
Extensive clinical experience in
Respiratory Medicine.
Core skills required for CCT.
E
Personality
F
Audit
G
Research
Experience of research and
publication.
H
Management Ability
Awareness of role of
management.
I
Training and
Teaching
Experience
Experience of undergraduate
teaching.
J
Other requirements
Enthusiasm.
Highly motivated.
Willingness to work hard as
part of a team. A sense of
humour.
Experience of audit.
Prepared by Gordon Christie
DESIRABLE
Prior training or experience in
Critical Care Medicine or Medical
High Dependency
Higher degree (M.D. or PhD)
Training in Critical Care;
experience in Medical HDU.
Experience of managing service
change.
Committed to service
development and improvement.
Driven. Ability to inspire and
motivate. Cheerful under
pressure.
Completion of audit cycle to drive
meaningful change.
Clear and realisable ideas about
development of personal
research interest
Enthusiasm for service change
and development. Prior
experience of service change.
Formal qualification in medical
education. Experience of
postgraduate teaching.
Involvement in nationally
recognized training courses
(e.g.ALS/IMPACT).
A great deal of enthusiasm.
Flexibility.
Date
20th March 2014
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JOB PLAN
a)
Timetable of activities which have a specific location and time
Week
Mon
Tues
Wed
Thurs
1
HDU
HDU 0900HDU 0900HDU 09000900-1800
1800
1800
1800
2
HDU 1400Off
HDU 1400Off
2200
2200
3
Off
HDU 1400Off
HDU 14002200
2200
4
Off
Off
Leave
Leave
5
Respiratory
Respiratory
Respiratory
Respiratory
On Call
On Call
On Call
On Call
(COW A)
(COW A)
(COW A)
(COW A)
6-12
New Patient
Return patient
SPA AM
Lung Cancer
Clinic AM
Clinic AM
MDT &
Results Clinic
AM
SPA PM
13
14
15-16
Respiratory
On Call
(COW A)
Respiratory
On Call
(COW B)
New Patient
Clinic AM
Bronchoscopy
PM (1 in 5
approx)
Respiratory
On Call
(COW A)
Respiratory
On Call
(COW B)
Return patient
Clinic AM
ILD Clinic PM
Respiratory
On Call
(COW A)
Respiratory
On Call
(COW B)
SPA AM
Bronchoscopy
PM (1 in 5
approx)
Respiratory
On Call
(COW A)
Respiratory
On Call
(COW B)
Lung Cancer
MDT &
Results Clinic
AM
Fri
HDU 09001800
HDU 14002200
Off
Sat
HDU 09001800
Off
Sun
HDU 09001800
Off
Off
Off
Leave
Respiratory
On Call
(COW A)
Off
Off
Respiratory
On Call
(COW A)
Off
Off
Respiratory
On Call
(COW A)
Off
Respiratory
On Call
(COW A)
Respiratory
On Call
(COW B)
Off
Respiratory
On Call
(COW A)
Off
Respiratory
On Call
(COW A)
Off
Off
Off
SPA PM
Bronchoscopy ILD Clinic PM Bronchoscopy
PM (1 in 5
PM (1 in 5
approx)
approx)
Overnight on call
1400-2200 shift for Medical HDU assumes some SPA time 1400-1600
Leave above is illustrative & not fixed
Approximate allocation of time within job plan
Direct Clinical Care
HDU
2 PA
Respiratory out patient clinics & bronchoscopy
3 PA
Acute in patient respiratory activity
3.0 PA
Respiratory emergency & on call activity
0.5 PA
SPA
14
HDU
SPA
0.5 PA
Respiratory
SPA
1 PA
Total
10 PA
15