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NHS Tayside
Consultant Radiologist Post
1. NHS Tayside
NHS Tayside was established on 1st April 2004. It is composed of a single system operating and
delivery structure with responsibility for secondary care and primary care services. NHS Tayside
continues the effective provision of a comprehensive range of core health services previously provided
by Tayside University Hospitals NHS Trust and Tayside Primary Care Trust to the local population of
Dundee, Perth and Kinross, Angus and North East Fife, and it delivers a number of specialist services
for Tayside region and beyond. There are five principal hospitals - Ninewells Hospital and Medical
School, Perth Royal Infirmary, Stracathro Hospital, Arbroath Infirmary and Dundee Dental Hospital and
School. It has an outstanding reputation for undergraduate and postgraduate medical and dental
education, and provides training for nurses, paramedical and technical staff.
NHS Tayside embraces a wide spectrum of clinical specialties and is at the forefront of service provision
and cutting edge research in many areas. It has a workforce of around 14,000 and a £750 million
budget. As a major cancer centre it has benefited from significant investment. A particular feature of
the hospital is the world renowned Minimal Access Therapy and the Surgical Skills Unit. Biomedical
research is a strength of Dundee University especially in the area of basic research into cancer and
vascular disease. A Clinical Research Centre has opened on the Ninewells site with a dedicated 3T
MRI and a PET CT scanner operational from February 2010. A Medipark is adjacent to the Ninewells
site to promote ancillary technological advances.
2. NHS Tayside Management Arrangements
NHS Tayside Board
Chairman
Chief Executive
Deputy Chief Executive
Chief Operating Officer
Medical Director
Mr. S. Watson
Mr. G. Marr
Ms. C. Selkirk
Ms. L. McLay
Dr. A. Russell
NHS Tayside Delivery Unit:
Associate Medical Directors:
Dr. Alan Cook
Dr. John Colvin
Dr. David Johnston
Access Directorate:
Associate Medical Director:
General Manager:
Dr. Alan Cook
Ms. Lorna Wiggin
Diagnostics Group:
Joint Clinical Directors:
Clinical Service Manager
Dr. G. Main /Dr. W. Bartlett
Mr. T. Chima
Clinical Radiology
Tayside Radiology Clinical Leader
Angus Radiology Co-ordinator
Dundee Radiology Co-ordinator
Perth Radiology Co-ordinator
CT Lead
MRI Lead
Ultrasound Lead
Dr. K. Fowler
Dr. K. Brauer
Dr. S. Pillai
Dr. J. Flinn
Dr. I. Zealley
Dr. G. Houston
Dr. S Pillai
The management structure of NHS Tayside Delivery Unit is configured as three directorates, Access,
Surgery and Medicine. Each Directorate is composed of a number of groups. The Diagnostics group
includes Clinical Radiology along with Microbiology, Haematology, Biochemistry, Immunology, Virology
and Medical Physics.
Current NHS Tayside Bed Complement (July 2008)
CLINICAL GROUPING:
Specialty
MEDICINE
General Medicine
General Medicine - Stroke
beds
Gastroenterology
Respiratory Medicine
Communicable Diseases
Geriatric Medicine
Cardiology
Cardiology (CCU)
NINEWELLS GLENLAW
87
18
54
30
14
22
54
9
PRI
ANGUS TOTAL
73
160
4
18
54
30
14
22
54
13
SURGERY & ONCOLOGY
General Surgery
Urology
Clinical Oncology
Cancer Medicine
Clinical Haematology
130
24
27
11
13
50
0
180
24
27
11
13
MUSCULOSKELETAL
Orthopaedics
Accident & Emergency
105
8
54
159
8
SPECIALIST SERVICES
ENT Surgery
Ophthalmology
Plastic Surgery
23
12
22
Dermatology **
Oral & Maxillo-facial Surgery
Neurology
Neurosurgery
Pain
13
6
14
22
0
WOMEN & CHILD HEALTH
Gynaecology
Obstetrics
Obstetrics Transitional Care
Paediatric Medicine
Mixed Surgical Paediatrics
SCBU
Transitional Care Unit
20
42
4
40
0
17
4
CRITICAL CARE
ITU
Surgical Unit
Nephrology
21
TOTAL
873
23
12
22
13
6
14
22
0
0
12
6
6
8
0
0
7
3
6
202
32
56
4
46
0
17
4
16
10
16
21
24
1105
Current Tayside Primary Care Bed Complement (March 2008)
Location
Aberfeldy
Aberfeldy Total
Adolescent Unit
Adolescent Unit Total
Ashludie
Ashludie Total
Blairgowrie
Blairgowrie Total
Carseview
Carseview Total
Childrens Unit
Childrens Unit Total
Crieff
Crieff Total
Forfar Inf
Forfar Inf Total
Little Cairnie
Little Cairnie Total
Murray Royal
Murray Royal Total
Ninewells
Ninewells Total
PRI
PRI Total
RDLH
RDLH Total
Facility Name
Long Stay
GP Other Than Obstetrics
Adolescent Unit
Dementia Continuing Care
Long Stay
Long Stay
GP Other Than Obstetrics
not specified
Acute Admission
Intensive Care
Other
Children's Unit
Dementia Assessment
Long Stay
GP Other Than Obstetrics
Dementia Continuing Care
GP Other Than Obstetrics
Long Stay
Acute Admission
Continuing Care
Dementia Assessment
Dementia Continuing Care
Forensic
Functional Acute Admission
Rehabilitation
Not specified
Other
Geriatric Assessment
Stroke unit
Continuing Care
Dementia Assessment
Dementia Continuing Care
Rehabilitation
Functional Elderly Assessment
Functional Elderly Continuing Care
Functional Elderly & Dementia
Continuing Care
not specified
Grand Total
0
12
12
7
7
13
35
48
0
25
12
37
48
12
13
73
0
0
10
0
24
34
0
0
0
28
28
43
0
38
12
28
0
0
13
134
0
0
54
8
62
0
34
17
25
17
11
0
0
104
Royal Victoria
Royal Victoria Total
St Margarets
St Margarets Total
Stracathro
Stracathro Total
Strathmartine
Strathmartine Total
Sunnyside
Sunnyside Total
The Firs
The Firs Total
Whitehills
CBIR
Geriatric Assessment
Long Stay
Palliative Care Unit
Rehabilitation
not specified
GP Other Than Obstetrics
Dementia care
Long stay
Assessment
Stroke unit
Other
Acute Admission
Alcohol Problems
Continuing Care
Dementia Assessment
Dementia Continuing Care
Functional Acute Admission
Rehabilitation
not specified
Other
Long Stay
Other
Whitehills Total
Windyridge
Other
Windyridge Total
Beechgrove House
Other
Beechgrove House Total
Whitehills HCCC
GP other than Obstetrics
not specified
Assessment
Whitehills HCCC total
Arbroath Inf.
Dementia Continuing Care
GP Other Than Obstetrics
Arbroath Inf. Total
Montrose Inf.
Long Stay
GP Other Than Obstetrics
Montrose Inf. Total
Brechin Inf.
Long Stay
GP Other Than Obstetrics
Brechin Inf. Total
Irvine Mem.
Long Stay
GP Other Than Obstetrics
not specified
Irvine Mem. Total
Grand Total
16
68
28
25
47
184
12
12
0
0
24
10
34
34
34
28
12
0
15
0
12
0
67
0
0
0
0
0
0
0
0
0
20
20
20
60
20
20
40
0
16
16
20
19
39
0
9
7
16
1041
3. Clinical Radiology Service
Clinical Radiology is part of the Access Directorate and has responsibility for the provision of
radiological services throughout NHS Tayside with major departments in Ninewells Hospital, Perth
Royal Infirmary, Stracathro Hospital and Arbroath Infirmary. There is a GP access plain film unit at
Kings Cross hospital. In addition, radiographic services are provided on smaller sites.
NHS Tayside management recognise the pivotal role of Clinical Radiology in the provision of high
quality clinical services and are committed to the development of our services. This is reflected in
the recent upgrading of the departments at Ninewells, Perth and Stracathro, their support of clinical
radiology specialist registrar training and the implementation of the Tayside Acute Services
Strategy with the complete redevelopment of the imaging department at Stracathro. Advanced
development of a Tayside-wide PACS as part of the Scottish PACS implementation is in place.
Services in Angus, Dundee and Perth are delivered on a filmless basis.
Skill mix is supported with radiographers trained to perform barium enemas and IV injections in CT
and MRI. A number of qualified sonographers are employed across the area.
Many consultant radiologists work across different sites to support MRI and CT sub-specialty
interest and service requirements.
Clinical Radiology in Angus
The main radiological services are delivered from Stracathro hospital and Arbroath Infirmary.
Radiologist input in Angus is delivered by the consultant radiologists mentioned below. These
consultants also have sessional commitments to Ninewells Hospital and are supported by other
consultants colleagues across Tayside. There is no on-call radiological requirement for Angus and
Angus based radiologists contribute to the Dundee on-call service.
Consultant Radiologists in Angus
Special Interests
Dr Katrin Brauer
Dr Winston Erng
Dr Sanjay Pillai
Dr John Tainsh
Breast Radiology
Oncology/gynae imaging
Paediatric Radiology
Musculoskeletal Radiology
The departments have full radiographic support. Mrs. Lynda Marshall is clinical specialist 1
sonographer/Angus radiography manager, Mrs. Ilona Graham is clinical specialist 1 sonographer
and Mrs. Lorna Anderson is the highly specialist radiographer in CT. Mrs. Linda Dickerson is the
specialist radiographer at Arbroath.
Stracathro Hospital
Stracathro hospital itself is being developed as an ambulatory diagnostic centre. Following the
withdrawal of acute medical and surgical specialties, Stracathro’s role in Tayside has been
redefined and there is committed substantial development of the site to operate as an outpatient
diagnostic centre. Outpatient planned day surgery is provided on site.
The Stracathro radiology department underwent a major refurbishment. The department opened on
its new site in Stracathro Hospital in January 2006. The equipments in Stracathro are as follows




2 Wolverson arcoma plain film units connected to a fuji CR system and a Philips diagnost
eleva fluoroscopy unit was installed in December 2005.
A 64-slice GE CT scanner was installed in February 2009.
A 1.5 Tesla Siemens Avanto MRI unit was installed in January 2006.
There are two ultrasound units, both Siemens antares which were installed in March 2003
and November 2005. .
Arbroath Infirmary
The radiology department in Arbroath infirmary has completed a refurbishment with a redeveloped
ultrasound room. The examinations are predominantly from outpatient clinics and general
practitioner referral along with a small number of inpatients from the geriatric unit at Arbroath
 Siemens plain film unit
 A Siemens antares ultrasound unit was installed in March 2006
Links Health Centre Montrose and Whitehills Hospital, Forfar
 Siemens plain film unit at each site.
Clinical Radiology in Dundee
Radiology services are provided by the consultants mentioned below. On call services based in
Dundee is supported also by Angus radiology consultants. As the PACS implementation is
complete, the department functions as a film less unit.
Consultant Radiologists in Dundee
Special Interests
Dr. Raj Bhat
Dr. John Brunton
Dr Roddy Cameron
Dr. Sam Chakraverty
Dr Alan Cook
Dr Bob Doull
Professor Graeme Houston
Dr Gavin Main
Dr Alan McCulloch
Dr Barry Oliver
Dr. Prasad Guntur Ramkumar
Dr. Thiru Sudarshan
Dr Tom Taylor
Dr Naveena Thomas
Dr Christine Walker
Dr. George Watson
Dr. Ian Zealley
Vascular/Intervention
Head/neck and Gynaecological oncology
Chest and uroradiology
Vascular/Intervention
Breast Imaging
Uroradiology
MRI & Vascular/Intervention
Neuroradiology & Paediatrics
GI radiology
Musculoskeletal, MRI, Teaching Lead
Cardiac Imaging and Nuclear Medicine
Oncology imaging, head and neck imaging
GI & Chest radiology
Musculoskeletal and Nuclear Medicine
Musculoskeletal & Breast Imaging
Vascular/Intervention
Vascular/Intervention
Dundee Radiography Manager
Senior Charge Nurse:
Mrs. Jane Williams-Butt
Mrs. Jane Neill
Radiographic Rooms
There are four plain film rooms within the main department. The A & E x-ray department includes
specialised plain film equipment in the resuscitation room. To coincide with the closure of in-patient
facilities in Kings Cross Hospital a new x-ray room has been built in Ninewells which incorporates
digital imaging
There are two fluoroscopy units, one a Philips MD Eleva C-arm digital fluoroscopy room, which was
installed in December 2004 and the other a Siemens ICONOS digital fluoroscopy unit.
Ultrasound
There is a 4 room ultrasound suite which is integral to the department containing three Siemens
antares units installed in March 2006 and one Siemens S 2000 unit installed in April 2009
Interventional/vascular radiology suites
There are two units, one is in a theatre style environment. Both are Siemens Artis dTA units with
flat plate detectors. The first was installed in November 2004 and the second in April 2005.
Computed Tomography
There are 2 G.E. 64-slice CT units, which were installed in February 2009.
Magnetic Resonance Imaging
There are 2 MRI scanners, a Siemens Magnatom Avanto 1.5 Tesla installed in November 2004 and
a Seimens Aera 1.5 T Tclass installed in January 2011
Clinical Radiology in Perth
The main radiological service is provided from Perth Royal Infirmary. There are limited plain film
facilities at the community hospitals in Blairgowrie, Crieff and Aberfeldy. All general radiology
including reporting, ultrasound and CT is shared between the consultant radiologists, who also have
a range of special interests.
The on call work is shared equitably between 7 whole time equivalents consultants based at Perth
Royal Infirmary. This equates to a frequency of 1 in 5.65 on call when prospective cover for annual
and study leave is included.
Consultant Radiologists in Perth
Special Interests
Dr Janet Flinn (part-time)
Dr Kenneth Fowler
Dr. Avinash Kanodia
Dr Suzanne McClelland (part-time)
Dr Robin Pearson
Dr Olivia Thomas (part-time)
Vacant Post 1
Vacant Post 2
Breast Imaging, CT, Ultrasound
Chest, Breast Imaging, Stroke & MSK
Neuroradiology
CT, MRI
CT, MRI, Neuro, GI
CT & Paediatrics
Perth based radiologists are on call for the provision of emergency radiology services in Perth.
Senior Radiographic Staff in Perth
Superintendent Radiographer/Radiographer Manager
Superintendent 3
Superintendent 3 (CT Scanning)
Ultrasound Clinical Specialist I
Ultrasound Clinical Specialist II
Mr. Douglas Mitchell
Miss Beryl Pritchard
Mrs. Linda Cruickshank
Mrs. Margaret Taylor
Mrs. Gill Millar
The Department of Radiology in Perth Royal Infirmary comprises:
Radiographic Rooms
 Fluoroscopy – Siemens Axiom Luminos TF installed October 2008
 General – IGE
 Dual couch tomography/IVU – Siemens
 General/A&E – Siemens Orbix
 Mammography –Siemens Novation full field digital mammography unit and Opdima stereotactic
biopsy unit installed April 2006
 Dental – Philips OPG, Siemens IO unit
Computed Tomography
 Toshiba Aquilion TSX101A 64 multislice CT scanner with 2 Vitrea workstations installed
January 2007
Ultrasound
 2 Siemens antares scanners both installed in March 2006
 3rd Siemens antares scanner March 2007
Magnetic Resonance Imaging
Siemens Avanto 1.5 T Class fully specified unit was installed in April 2009.
4. East of Scotland Postgraduate Clinical Radiology specialist registrar,
student radiographer and nurse training schemes
NHS Tayside is accredited by the Royal College of Radiologists for Higher Training in Clinical
Radiology. The scheme is run in conjunction with Edinburgh for year 1 training and some specialist
blocks. There are currently 12 radiology SpR NTNs. The specialist registrars are trained at
Ninewells, Perth Royal Infirmary, Stracathro hospital and Arbroath Infirmary.
The academic lectures to support training before sitting parts 1 and 2a of the FRCR exam as well
as some subspecialty blocks are delivered in Edinburgh.
Regional Postgraduate Education Adviser
Tayside Programme Training Director
Angus College Tutor
Ninewells College Tutor
Perth College Tutor
Dr. Tom Taylor
Dr. George Watson
Dr. Sanjay Pillai
Dr. Ian Zealley
Dr. Robin Pearson
Student radiographer training
The department is involved in the training of diagnostic radiography students as part of their Robert
Gordon University BSc course. In year 2008/2009 a total of 21 student radiographers were in
attachments, 4 in first year, 4 in second year, 5 in third year and 8 in fourth year. There are also 2
Healthcare Academy students present within the department.
5. Academic radiology
Research and Development
Clinical radiology has a key role in the Tayside research and development activity undertaken
across a broad range of clinical specialities. Over the last 5 years, individuals within the radiology
department have been involved in obtaining £4.6 million in grants associated with multidisciplinary
collaborative projects developed with other departments and centres. The department is actively
involved in several ongoing national multi-centre trials in association with other university and NHS
departments. These are focused on predominantly MRI and vascular topics. In addition the
department undertakes CT, ultrasound and plain film examinations as part of multicentre and local
research projects conducted primarily by other departments. Current departmental research
activities have a particular emphasis in joint projects with the departments of clinical Pharmacology,
Vascular Medicine and Surgery in vascular imaging, and with the oncology departments in cross
sectional imaging and with neurosciences in neuro imaging. The department has established links
with non-radiological post graduate students who are researching aspects of imaging which interrelate with areas of their specialist research interest, and there are students working in the
department who are studying for MSc, MD and PhD degrees.
Undergraduate Teaching
Dundee University has a new medical curriculum and achieved the highest award of “excellent” in
the SHEFC Assessment. Undergraduate teaching in radiology involves formal lectures, student
attachments, special study modules and integrated teaching.
Academic developments
The University of Dundee in collaboration with NHS Tayside opened a Clinical Research Centre
(CRC) in May 2008. This contains a Siemens 3 Tesla MRI scanner and a Siemens PET CT
operational from February 2010. The clinical research centre represents a major investment by the
University of Dundee and NHS Tayside and its anticipated that there will be heavy utilisation of
imaging aimed at facilitating joint clinical/imaging research activity across the university and NHS.
NHS radiologists support imaging based research in the CRC and this will increase with the
appointment of a planned additional consultant.
The University plans has created 2 professors in imaging. Professor Andrew Evans started in
November 2009 and Professor Graeme Houston took up post in December 2009. A Senior
Lecturer post was created and Dr Sarah Vinnicombe commenced May 2011. These positions are
intended to link between the NHS clinical department and the university to facilitate academic and
research activity throughout clinical radiology and continue to build expertise in the fields of imaging
as an integral component of our cancer, cardiovascular and neurosciences research strategies.
6. East of Scotland Vascular Network (ESVN)
The ESVN is a developing Managed Clinical Network for the care of patients with vascular disease
in the Tayside and Fife Health Board Areas covering a total population of 750,000. Out-patient
services are delivered at multiple localities in Tayside and Fife. In-patient services are based on a
dedicated 24 bed ward at Ninewells Hospital and an 18 bed ward at Queen Margaret Hospital. All
emergency services are centralised at Ninewells Hospital. Fife-based surgeons rotate to Ninewells
when on call, and during this time, their elective work is performed in Fife by rotating Tayside-based
surgeons. There are currently 6 vascular surgeons, 4 vascular physicians and 5 radiologists with a
vascular/interventional interest contributing to network services. Vascular laboratory services are
present on all sites. One of the vascular surgeons is trained in endovascular techniques and
performs a list within the Radiology department at Ninewells. All patients from Fife and Tayside
undergoing radiological and surgical investigations and treatments are discussed at a weekly
multidisciplinary meeting at Ninewells which is linked to rapid clinic review. There are regular
surgical audit meetings and close links and regular vascular access meetings with nephrology
services on both sites. TIA clinics are run in close co-operation with the vascular service.
7. East of Scotland Breast Screening and Imaging Service
Breast screening is combined with the Dundee and Angus symptomatic breast service in one breast
imaging unit which is separate from the main radiology department. Managerially, this unit is within
the Surgical Directorate. Dr. John Colvin is the Associate Medical Director, and within breast
imaging Mr. Douglas Brown, consultant surgeon is Clinical Leader. Dr. Denis McLean is a full time
dedicated breast radiologist and is involved in the screening and symptomatic breast services.
Dr. Katrin Brauer, Dr. Alan Cook and Dr. Christine Walker each have input into breast screening.
Mrs. Elizabeth Stormonth has an extended departmental role and undertakes screening
mammography film reporting and stereotactically guided core biopsy.
In Perth Royal Infirmary the surgical and radiology departments deliver all symptomatic breast
services and have developed a one-stop service. Dr Janet Flinn and Dr Kenneth Fowler are the
radiologists involved.
The breast services are delivered by a multi-disciplinary team with breast surgeon, breast clinician,
specialist breast nursing, and pathologist and radiologist input. The symptomatic service has
weekly multi-disciplinary team review meetings.
8. Nuclear Medicine Service
The Nuclear Medicine Department in Ninewells is one of the busiest in Scotland. It provides the full
range of diagnostic imaging studies, laboratory based studies and Nuclear Medicine therapies with
unsealed sources.
The imaging department is located in the polyclinic complex adjacent to Radiology. At present it has
three gamma cameras which perform approximately 7100 imaging studies per year. The department
possesses one single headed GE Millenium camera, one dual headed variable geometry Picker Axis
camera with attenuation correction capabilities and a new GE Infinia Hawkeye dual headed variable
geometry camera.
A Nuclear Medicine department opened in February 2011 at PRI with a new gamma camera and
building work has started on a new nuclear medicine department on the Ninewells site to replace the
existing department.
The imaging service supports virtually all of the clinical specialties across Ninewells, the Royal Victoria
Hospital, PRI and Stracathro sites. We are supported and supplied by an on-site radiopharmacy which
also provides the sterile product handling required to provide a labeled white cell scan service.
The Department has a total of 10 PA’s from a combination of a Nuclear Medicine Physician, Dr. John
Davidson and a Consultant Radiologists Dr John Brunton and Dr. Prasad Guntur Ramkumar.
Drs T Taylor, T Sudarshan and J Davidson provide PET CT service at the CRC
There are three Medical Physicists, 8 whole time equivalent Nuclear Medicine MTO’s, 2 Grade E staff
nurses and 1.5 w.t.e A&C staff.
The imaging service provides a comprehensive range of investigations including bone scans, V/Q lung
scans, myocardial perfusion imaging, isotope renography, MUGA, labeled white cell scintigraphy, DaT
scans, thyroid and parathyroid imaging, MIBG scans and Octreotide scans.
The Department is actively and enthusiastically involved in teaching at both and undergraduate and
postgraduate level. The Department is heavily committed to the training programme of Specialist
Registrars in Radiology based in Ninewells and is one of only two recognised training centres in the
East of Scotland.
The Department also continues to have a number of research projects made up of NHS clinical projects
and commercially funded studies.
9. Duties of the Posts
Successful applicants will be expected to:
 work flexibly with other members of the imaging teams;
 participate in the work of the departments as allocated on the duty roster (see appended job plans
which are subject to annual review).
 participate in the provision of the on call service;
 contribute to undergraduate and postgraduate teaching;
 participate in audit and research activity;
 support clinical-radiological meetings;
 undertake the administrative duties associated with the care of his/her patients and the running of
his/her department;
 be flexible in any future discussion re: allocation of duties.
10. Conditions of Service
The terms and conditions of employment will be subject to the Terms and Conditions of Service for
Consultant Grade (Scotland) and the General Whitley Council conditions of service, both as amended
from time to time.
Membership of the NHS Superannuation scheme is not compulsory, but all medical and dental staff are
entitled to choose if they wish to join the scheme. Until such time as a positive option not to join the
scheme is expressed, a member of staff will be regarded as a member of the scheme from the first day
of service. This will not affect any individual rights to make alternative arrangements. Initially, the
employment covered by this contract will be contracted out of the State Pension Scheme.
The post holder requires to be a car user.
Working in Tayside provides opportunities for a full and active lifestyle. There is a good supply of
affordable quality housing in Tayside. There are many opportunities with leisure and educational
pursuits with easy access to fine countryside but also good transport links to the rest of Scotland and
beyond.
11. Responsibility for Records Management
All records created in the course of the business of NHS Tayside are corporate records and are public
records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and
other electronic records. It is your responsibility to ensure that you keep appropriate records of your
work in NHS Tayside and manage those records in keeping with the NHS Tayside Records
Management Policy and with any guidance produced by NHS Tayside specific to your employment.
12. Applications
Applications should be submitted in the form of 2 CV’s (including the supporting documents available
from the NHS Scotland Recruitment website or by e-mailing [email protected]) to Imogen Scott,
Workforce Services Adviser, Workforce Directorate, NHS Tayside, Level 9, Ninewells Hospital, Dundee,
DD1 9SY.
January 2012