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Golden Jubilee National Hospital
Surgical Specialties Directorate
Job Description and Particulars
Relating to the Post of
Locum Consultant Anaesthetist
1. Job Identification
Job Title:
Locum Consultant Anaesthetist
Responsible to: Operational/Strategic Lead and the Associate
Medical Director
Accountable to: Chief Executive
Department(s): Department of Anaesthesia and Peri-Operative Medicine
2. Introduction
The Golden Jubilee Hospital is a state of the art tertiary referral centre on the banks of the River Clyde
in close proximity to Glasgow International Airport and within 30 minutes of the centre of Glasgow by
road and rail links. Direct overnight sleeper rail service to Euston, London is available via the local
station 5 minutes from the hospital.
The Golden Jubilee National Hospital is effectively situated a short distance west of Glasgow City and
is minutes away from the countryside of the West of Scotland and Loch Lomond. Glasgow and the
immediate surroundings have a population of around 580,000. It is Scotland’s largest city and
commercial capital. The city has a renowned vibrant cultural life, with municipal art galleries and
museums, first class sports and leisure facilities, a wide range of theatres and restaurants, excellent
shopping and is only 45 miles from Edinburgh.
The hospital was originally built as a private hospital in 1995 and is now fully part of NHS Scotland.
Together with the Beardmore Hotel and Conference Centre it forms the National Waiting Times Centre
special Health Board. It has 300 beds overall with all wards having single or two bedded rooms with
ensuite facilities. The estate is one of a high specification and has the invaluable asset of a hotel and
conference centre as an integral unit alongside the hospital. This has provided a very pleasing and
attractive working environment for staff and a desirable patient experience. All facilities are managed
by the National Waiting Times Centre Board.
The main clinical services provided are Heart and Lung Specialties, elective major Orthopaedics,
General , Plastic and Bariatric Surgery, as well as Endoscopy and Diagnostic Imaging.
The West of Scotland Heart and Lung Centre
The Centre was created in March 2008 at the Golden Jubilee National Hospital, bringing Interventional
Cardiology and Cardiothoracic services previously provided by Greater Glasgow and Clyde and
Lanarkshire onto our Specialist Tertiary Centre. The interventional cardiology service which includes
primary PCI is among the busiest in the UK. The Centre also provides the regional electrophysiology
service for the West of Scotland. In addition to these regional specialist services the GJNH is the site
for the co-location of three services funded by the National Services Division of National Services
Scotland (accountable for commissioning specialist services provided on a national basis on behalf of
the Scottish Executive). These include the Scottish Adult Congenital Cardiac Service (SACCS), the
Scottish Advanced Heart Failure Service (SAHFS, incl. Transplantation and mechanical assist service)
and the Scottish Pulmonary Vascular Unit (SPVU). With this array of specialist cardiopulmonary
services for a catchment population of 2.2 million, the GJNH is one of the largest heart and lung
centres in Europe. The Heart and Lung Centre also benefits from MRI and CT imaging facilities with
capabilities for CT angiography and a brand new 64 slice CT.
Thoracic Surgery
Thoracic Surgery in the West of Scotland is provided solely at the West of Scotland Heart & Lung Centre
at the Golden Jubilee National Hospital. Three full-time Thoracic Surgeons and two mixed practice
Cardiothoracic surgeons undertake the full range of thoracic surgical procedures including a small
component of oesophageal surgery. The unit is committed to the principle of enhanced recovery and has
recently developed programmes of VATS lobectomy and thymectomy. There is one dedicated thoracic
ward (level 4 west) which manages the majority of patients, but the two other cardiothoracic wards are
also used. Two thoracic operating rooms are available, both of them equipped to a high standard with
fluoroscopy, laser and video thoracoscopy. Although the High Dependency Units are mixed
cardiothoracic, one HDU receives the majority of the thoracic patients. All surgeons deal with referrals in a
flexible manner, but lung cancer referrals tend to based on the geographical patterns defined by the
MDTs (see below). Cardiothoracic trauma is not uncommon in the West of Scotland and all Cardiothoracic
surgeons are expected to provide emergency cover for the management of chest trauma.
Orthopaedic Service
The orthopaedic service works across four laminar flow theatres with a 5 th Theatre newly
commissioned delivering over 22% of all hip and knee replacements for the NHS in Scotland, and
approximately 50% per cent of those by West of Scotland hospitals. One of the great successes within
the Orthopaedic Department is the ‘Caledonian’ Technique. This is a multi-disciplinary approach to
peri-operative care aimed at Enhanced Recovery and early discharge – the programme has reduced
the length of hospital stay following joint replacement to an average of 4 days. There is also a growing
activity of Orthopaedic day cases, predominantly lower limb and foot surgery. Overall, the department
has also increased the rate of same day admission for joint replacements.
Acute Pain Service (APS)
The hospital runs an established Acute Pain Service that is part of the Department of Anaesthesia and
Perioperative Medicine. This service is Consultant led and supported by three specialist nurses. The
APS is the focal point for managing all sorts of local anaesthetic infusions, is involved in the
Caledonian Enhanced Recovery program and provides consulting services for the management of any
complex pain problems across the hospital. The APS is continuously involved in Audit and Research
based on a comprehensive database. The APS steering group is responsible for training and policies
and protocols that are related to their remit.
Management Structure
The NHS National Waiting Times Centre is a Special Health Board of Scotland that reports directly to
the Scottish Government. Within the hospital there are two divisions of which Anaesthesia, ICU and
Theatres are part of the Surgical Specialties Division.
Management team:
Associate Medical Director, Surgical Specialties Dr. Alistair MacFie
Head of Operations, Surgical Specialties
Mrs Lynn Graham
Operations Manager
Mrs C MacArthur
Head of Nursing
Mrs Anne Marie Cavanagh
Theatre Manager
Mrs Karen Boylan
CEO
DIRECTOR OF
BUSINESS SERVICES
MD
HEAD OF
OPERATIONS
AMD
OPERATIONS &
STRATEGIC LEAD
DIRECTOR OF
NURSING
HEAD OF
NURSING
GOVERNANCE LEAD
CONSULTANT
Medical leadership in department structure
3. Work of the Department
The Department of Anaesthesia and Perioperative Medicine, has established itself as a major centre of
excellence in anaesthesia, intensive care and pain medicine. The current medical staff comprises of 22
resident and 4 visiting consultants, one specialty doctor, two PA (A) s and two research fellows
(Glasgow University).
The department has an international reputation in pain management and Regional Anaesthesia,
attracting visiting anaesthetists from all over the world. Consultant Anaesthetists also provide support
for Outpatient pre-admission clinics. The department also runs a hospital wide service for long-term
venous access (PICC and Hickman lines).
There is additional support from two full-time PAA’s (Physician Anaesthetic Assistants) for theatre work
and in pre-assessment. We have an active research programme that attracts a steady stream of
clinical research fellows to the department.
The main areas of interest are:

Pharmacology and PK/PD of intravenous anaesthesia

Brain function monitoring and effects of anaesthesia

Multi-modal analgesia

Regional Anaesthesia and Enhanced Recovery

Mechanism of lung injury

Coagulation and blood transfusion
The hospital has a modern operating theatre department which consists of 16 operating theatres to
facilitate with the following distribution of specialties:

Cardiac ( 4 )

Thoracic ( 2 )

Orthopaedic ( 5 )

General, and plastic surgery ( 3 )

There is also a separate day facility providing Ophthalmic and Endoscopy activity. The
operating theatres provide a 24-hour on-call service with morning lists commencing at 08.00.

There is a special arrangement to accommodate unexpected over-runs
There are two intensive care units with a total of 22 physical beds (currently 21 staffed) and there are
16 high dependency beds in two separate units. Apart from post-operative cardiac and thoracic
surgical patients, the unit manages patients critically ill with heart failure and patients undergoing heart
transplant under the Scottish National Advanced Heart Failure Service and it supports the regional
primary angioplasty service. There is a mechanical circulatory support programme and there is a
contingency for complex orthopaedic and general surgical patients in critical care.
We serve patients undergoing complex adult congenital surgery within the Scottish Adult Congenital
Service. We have links with Glasgow and surrounding obstetric services to provide peri-partum care
for women with severe congenital heart disease or heart failure. Techniques used in the intensive care
include renal replacement therapy, intra-aortic balloon pump counter pulsation, ventricular assist
device support, invasive and non-invasive ventilation, pulmonary artery catheterisation, and
transoesphageal echocardiography.
There is dedicated prospective sessional daytime cover from the team of 10 consultant anaesthetic
intensivists and a dedicated out of hours rota.
The National Services ward (including the Scottish National Advanced Heart Failure Service) currently
occupies an adjacent 8-bedded high dependency area.
There is an excellent 24/7laboratory service providing Clinical Chemistry, Haematology, Blood
Transfusion (utilising electronic cross-matching) and Microbiology.
The pharmacy department provides a medicine management service to an increasing number of
clinical areas and there is a comprehensive rehabilitation department including physiotherapy,
occupational therapy, speech therapy, chiropody, podiatry, acupuncture and laser treatments.
The radiology department is well equipped with a full range of up to date diagnostic imaging equipment
including MRI, 64 slice CT, Ultrasound, Fluoroscopy and Bone Densitometry.
Conference, Research and Education facilities
Research, Development and Innovation are very important components of the activity at the Golden
Jubilee National Hospital supported by a steering group and dedicated manager. Contract (commercial)
research is encouraged and staff use income generated from this source to maintain research support
staff such as Clinical Research Fellows and Research Nurses. Academic research is also encouraged
and the new appointment will be strongly encouraged to take an active role in this activity. The appointee
will also be expected to work with other national and UK collaborative projects that are relevant to
position. A number of consultants undertake significant research and academic work.
The Board is committed to the development of innovative clinical programmes. The new Beardmore
Health Sciences Centre (BHSC) opened in May 2011. The Centre will contain a dedicated Clinical
Research Facility for managing patients recruited to clinical trials.
There are four consulting rooms; one is set up for echocardiography, one for an exercise tolerance suite
and two rooms for general consulting and volunteer studies. The rest of the BHSC is made up of a small
prep room, a nurse’s station and a patient waiting area. The facility is adjacent to the main auditorium of
the conference centre providing excellent opportunities to develop teaching techniques and learning.
Improved audiovisual links to theatre have recently been established. The Beardmore Hotel and the
integral conference centre attached to the Golden Jubilee Hospital is a unique arrangement in the UK and
will enable important national and ‘focus’ international meetings to share learning in the UK and beyond.
Governance and Risk management
The Board has a comprehensive programme that covers both clinical and research governance
domains and all medical staff are expected to uphold clinical and non-clinical policies and be exemplar
role models for all other medical and non-medical staff. Patient safety underpins clinical practice and
initiatives following the guidance of the SPSP and subsequent programmes apply to all staff.
Medical staff are required to undergo annual appraisal, meeting the requirements that will be required
for revalidation purposes. The Medical Director is the Responsible Officer for all medical staff who work
principally at the Golden Jubilee National Hospital.
Appointment of recognised Medical Appraisers, and staff education
The Board is committed to developing a strong educational ethos within the department and the new
appointee will be expected to provide education and support to medical and non-medical staff
members and develop the key educational skills to be an effective clinical supervisor. Supporting
relevant programmes will be a requirement for the new appointment.
4. Duties of the Post /Proposed Job Plan
The successful candidate would be expected to provide the following;

9 direct clinical care PA’s (DCC)

1 SPA, to include non-clinical administration, and fulfilling the requirements for
enhanced appraisal and revalidation, including participation in departmental
clinical governance, quality improvement and audit programmes.
In addition to the core job plan EPA’s (Extra Programme Activities), may be
negotiated and agreed through job-planning. These may be direct clinical care
sessions or to provide time to undertake other specific duties in line with corporate and
departmental objectives (e.g. teaching and educational supervision, service
improvement, research, committee work etc).
Indicative Job Plan
This job plan is focused on supporting the expansion of the orthopaedic activity and the Consultant led
Pre-assessment clinic.
Day
Monday
0800-1800
Tuesday
0800-1800
Wednesday
0900 -1300
1300 -1700
DCC Activity
General/Plastics and PreAssessment (alternating
weeks)
PA’s
Orthopaedic Theatre
2.75
2.5
Thursday
0800-1800
Orthopaedic Theatre
2.75
Friday
Sub Total
8
Day
Flexible Activities
SPA
PA’s
1
Unpredictable
OOH
(on call)
Subtotal
1:8 rota with prospective
cover
Grand Total
1
2
10
The tabled job plan is an indicative programme that will be revised 3 months after commencement by
Directorate Management Team. All attributes are based on flexible cover of the rota when required.
Submission and review of job plan
Job plans are reviewed on an annual basis by the Medical Director or his deputy. Changes will be
discussed and agreed with the post holder in line with service needs and objectives set for the
consultant.
On-call Arrangements
The successful candidate will have access to secretarial support, and a hot desk with access to a
personal computer. The appointee will be expected to work flexibly on the basis of the needs of the
Anaesthetic service.
The Hospital does not have a general emergency receiving unit, but will directly readmit patients with
complications that have arisen from treatment at the Golden Jubilee National Hospital. Emergency
Cardiology and Cardiothoracic patients are received directly 24/7 apart from those who are admitted to
trauma units.
There are currently 3 Consultant Anaesthetic on-call rotas:
ICU
1:10
CT Theatres/Cath lab
1:8
Non CT & Acute Pain
1:8
This post holder will be expected to participate in the Non CT & Acute Pain on call service.
Prospective cover of colleague for annual and study leave is a requirement of the post.
There is 24/7 emergency General Surgery provided by consultants with their principle employment for
adjacent health boards. They also undertake elective surgery (day or 24 hour stay procedures).
5.
Terms & Conditions of Service
 National terms and conditions of service (Consultants (Scotland) 2004) cover the post.

The post is subject to pre employment checks such as Disclosure Scotland, Occupational
Health, Visa clearance (where applicable) and satisfactory references.

You are required to be registered with the General Medical Council throughout the duration of
your employment and to comply with and abide by the relevant code of professional practice,
as appropriate. It is also required to familiarise and comply with local clinical policies and
protocols.

The appointee will be expected to work with local managers and professional colleagues in the
efficient running of services. The appointee will be expected to follow the local and national
employment and personnel policies and procedures.

All medical staff employed by the Centre is expected to comply with the agreed health and
safety policies.

The successful candidate(s) will normally be required to live within 45 minutes drive of GJNH.

The Terms and Conditions of Service state that the “removal expenses shall be reimbursed
and grants paid only when the employing authority is satisfied that the removal of the
practitioners home is required and the arrangements proposed are reasonable”. Therefore,
successful candidates are advised not to enter into contractual arrangements for the removal
of their home until such a time as the formal approval of the Centre is confirmed in writing.

Annual appraisal and job planning is a requirement for all permanent medical staff.
JOB DESCRIPTION AGREEMENT
Job Holder’s Signature:
Date:
Print name:
Date:
Head of Department Signature:
Date:
6. Further information and arrangements to visit
Intending applicants are welcome to visit the Department and to discuss the post in detail by
arrangement with Mrs. L. Graham, Head of Operations Surgical Specialties, Tel 0141 951 5519 or Prof.
S. Schraag, Operational and Strategic Lead, Tel 0141 951 5609 at the Golden Jubilee National
Hospital, Clydebank.
In the first instance please contact:
Dr Alistair Macfie, Assistant Medical Director
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY
Tel: 0141 951 5298
Email: [email protected]
Prof. Stefan Schraag, Operational and Strategic Lead Non Cardiac Specialties
Golden Jubilee National Hospital
Agamemnon Street
Clydebank
G81 4DY
Tel: 0141 951 5609
Email: [email protected]
7. Applications
Applications should contain:






Comprehensive CV
Two reference contacts
Covering letter indicating and describing the application
Copies of training certificate
Copy of GMC certificate
Evidence of further qualifications
Completed applications to be returned to:
Miss Paula Wood
Recruitment Section
Human Resources Department
Golden Jubilee National Hospital
Beardmore Street
Clydebank
G81 4HX
National Waiting Times Centre NHS Board
Recruitment Person Specification - Locum Consultant Anaesthetist
Essential
Desirable
How or where
to be
judged
1. Qualifications
MBChB or Equiv.
Higher research degree
Application
FRCA or Equiv.
Evidence of mandatory training
e.g. resuscitation, hand hygiene
and fire training.
Application
On GMC specialist register or eligible
to be within 6 months
Application
Application
Application/Interview
2. Training / Experience
Extensive training in Anaesthesia
including regional anaesthesia
Recent experience of working
within the NHS Uk provider
Application/Interview
Experience in intravenous
Application/Interview
anaesthesia (TCI)
Application/Interview
.
Specialist training in loco regional anaesthesia
Application/Interview
European Society of Regional
Anaesthesia (ESRA) diploma
3. Skills/Knowledge
Effective MDT working
Excellent team working skills
Experience in ultrasound for
regional anaesthesia
IT skills including use of clinical
systems.
4. Understanding of the objectives
of the NWTC Board Clinical
Strategy
5. Teaching & Education
Interview
Application/Interview
Application/Interview
Interview
To provide clinical supervision of
postgraduate training doctors
Ability to become an educational Application/Interview
supervisor
Teaching undergraduates and other
“Training the trainers”
Application/Interview
health professionals
qualification.
6. Clinical Audit & Risk
Management
Demonstrate recent experience of
clinical audit and evidence based
practice
Application/Interview
Application/Interview
Key principles of Clinical Governance
and Data Protection
Application/Interview
Understanding of risk management
and patient safety initiatives
7. Research and innovation
Previous and current active interest in Peer-reviewed publications in
research with evidence of
recognised journals reflecting
publications
peri-operative medicine
Previous contributions to
innovative service
developments
Application/Interview
Interview
8. Understanding of GMC
Requirements
Knowledge of ‘good medical practice’
Interview
Knowledge of
appraisal/revalidation process
Interview
Understanding of the GMC and
its new roles
Interview
9. Leadership/Management
Demonstrate leadership potential
Previous management and
Clinical Leadership roles
Interview
Application/Interview
Management qualification or
leadership training e.g. MBA
Application/Interview