Download KU00000069 Academic Clinical Lecturer in

Keele University
Faculty of Medicine & Health Sciences
together with
University Hospitals of North Midlands (NHS) Trust
Royal Stoke University Hospital
Heart Centre Directorate within the Specialised
Services Division
1
Academic Clinical Lecturer (ACL) in Cardiology
Job Pack
CONTENTS
Introduction
Academic training and development of the ACL
Keele University
Institute for Applied Clinical Science
Cardiology Research Overview
The Trust
The Cardiology Department
Cardiology Sub-Specialties
Job Description
Person Specification
Job Plan
Applications and Visiting Keele University and the Trust
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Introduction
Keele University, together with the University Hospitals of North Midlands NHS Trust (UHNM),
wishes to appoint an NIHR-recognised Academic Clinical Lecturer (ACL) in Cardiology as part of its
long-term strategy to expand its Clinical Academic Cardiology research. As part of this expansion,
this post will be expected to contribute to the development of research and teaching programme
within the Keele Cardiovascular Research Group, Institute for Applied Clinical Sciences. As part of the
ongoing clinical training, the ACL will also have clinical commitments within the Cardiology
Directorate, University Hospitals of North Midlands NHS Trust in order to complete the clinical skills
required for his/her specialist training, towards full registration within the cardiology speciality. As
such, the post is subject to the terms and conditions of service determined by Keele University and,
in its honorary clinical capacity, by those of the UHNM NHS Trust.
Academic training and development of the ACL
This academic post is sponsored by Keele University and UHNM. It will provide a career pathway for
highly motivated and ambitious trainees in Cardiology who have already shown excellence in
research by successfully completing a PhD/MD degree [candidates must be in receipt of their
PhD/DM degree or show proof of approved submission of thesis title and named examiners to their
university/viva date]. The post supports local and regional needs to strengthen academic Cardiology
and research innovation in the field of Cardiovascular disease. Keele’s Institute for Applied Clinical
Science is a newly created multi-disciplinary Institute that brings together clinical academics whose
main focuses are around i) cardiovascular disease ii) trauma and rehabilitation. The post builds on
the excellent performance in applied clinical research from 2014 Research Excellence Framework
(http://www.keele.ac.uk/researchsupport/ref/) and the implementation of a new UHNM Trust R&D
Strategy, embedded in the clinical arena and reflected in the Trust’s 2025 Vision
(http://www.uhnm.nhs.uk/aboutus/pages/AboutUs.aspx). It is also part of the joint Keele-UHNM
plans to create a new Clinical Research Facility on the hospital campus, which will further enhance
cross-disciplinary working and house laboratory and clinical mass expertise in a central bespoke
state-of-the-art building.
KEELE UNIVERSITY
Keele's position as a leading university for research of world-class quality and international
excellence has been confirmed by the 2014 UK-wide Research Excellence Framework (REF). The REF
assesses the quality of research in all higher education institutions in the UK. It has found that 97%
of the University's research is classified as world leading and of international importance. The REF
report also noted the Institute’s strong "research strategy, extensive international collaborations,
with good evidence of a high quality staffing strategy and staff and research student development”;
[http://www.keele.ac.uk/istm/newsandevents/istmnews2015/istmrefratingsmar2014.php
Institute for Applied Clinical Sciences (IACS)
The main focuses of the IACS are cardiovascular and trauma and rehabilitation. The grounded transdisciplinary approach to all clinical research brings together the skills and knowledge of Clinical
cardiologists, Allied health professionals, biologists, statisticians and industry partners building on
the strength of individual researchers. This key “bench to bedside” approach also fosters excellent
working relationships with worldwide medical and cardiovascular device based industries. Institute
members have active collaborations with universities throughout the UK, and over 35 countries in
Europe, USA and the developing world. The successful candidate will have opportunities, and be
encouraged, to work with the Keele Cardiovascular Group’s established academic and industrial
collaborators appropriate to his/her cardiac field research field. The Keele Cardiovascular group has
strong collaborations with the National Institute of Cardiovascular Research (NICOR), The Farr
Institute, University of Manchester and Institutes of Primary Care and Health Sciences and Science
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and Technology in Medicine at Keele University. The group also has strong collaborations with
external academic partners at the University of Leeds, Newcastle and Aberdeen.
Keele Cardiovascular Group Research Overview
The ACL will join the Keele Cardiovascular Research Group within IACS Cardiovascular Theme led by
Professor Mamas Mamas (https://www.keele.ac.uk/istm/staff/mamasmamas). The Keele
Cardiovascular Research Group has a proven international track record in cardiovascular
epidemiology, using routinely collected data derived from patients with cardiovascular disease to
inform the real-world effectiveness of cardiovascular interventions to patients, and real world
outcomes of patients with cardiovascular diseases, with consistently high impact papers published in
the top cardiovascular journals. The Keele Cardiovascular group leads in the application of state of
the art statistical methods to routinely collected national society audit derived from the National
Institute of Cardiovascular Outcomes Research (NICOR), using datasets derived from The British
Cardiovascular Interventional Society (BCIS), Myocardial Infarction National Audit Project (MINAP),
BCIS / Society of Cardiothoracic Surgeons TAVI dataset and the British Heart Failure Association
national heart failure audit. Furthermore, the group has close collaborative links with the Primary
Care and Health Sciences institute at Keele where a program of work with a cardiovascular focus is
developing using primary care data derived from CPRD and THIN. The group is part of the framework
7 program grant in Heart Failure (http://www.homage-hf.eu/) and has close links with the Farr
institute and Health e Research Centre (HeRC) at the University of Manchester:
(http://www.farrinstitute.org/centre/HeRC/68_Research.html), a regional health informatics
research centre feeding e-health applications into the Northern Health Science Alliance (an alliance
of North England’s research-intensive universities and teaching hospitals, covering a 15M
population). The successful candidate will join one of the largest interventional services in the UK,
Undertaking close to 2500 PCI procedures a year as well as a full range of structural procedures such
as mitraclips, TAVI, PFO and ASD closures and LAA closure devices, as well as a rapidly developing /
growing clinical academic department that houses two Professors and a growing clinical research
team that includes statisticians and clinicians, and a NIHR ACF in cardiology.
An active clinical study program is developing within the Keele Cardiovascular group with several in
house clinical studies initiated around PCI and involvement in several international and national
randomised controlled trials including first in man studies. Finally, the group has a growing basic
science interest (Butler) studying pleiotropic effects of statins and the mobilisation of endothelial
progenitor cells in coronary disease.
A number of the Department’s Cardiology physicians also serve on prestigious national and
international academic and societal bodies, ensuring that UHNM and Keele University have a pivotal
say in setting the strategy for cardiovascular patient care and research agendas.
The University Hospital of North Midlands NHS Trust
The University Hospitals of North Midlands (UHNM) NHS Trust is one of the largest NHS Trusts in
England, providing a full range of general acute hospital and specialist services in both an inpatient
and outpatient capacity for over half a million people living in and around Staffordshire. In addition,
through its specialist networks and community clinic/drop-in services the Trust serves some three
million people over a wider geographical area, including neighbouring counties and North Wales.
The Trust comprises of two core sites: (1) The Royal Stoke University Hospital which is a large acute
teaching hospital on the border of Stoke-on-Trent and (2) The County Hospital in Stafford. The Trust
also has major trauma status and dealt with more than 116,000 trauma patients at the emergency
centre in 2014.
Keele University and UHNM host a School of Medicine with an annual intake of 130 undergraduate
medical students. It has recently received prestigious commendations for its highly student-rated,
innovative integrated MBChB five-year course committed to “Graduating Excellent Clinicians”.
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The Cardiology Department
Cardiology is part of the Heart Centre Directorate within the Specialised Division (Clinical Director, Dr
Grant Heatlie). The Cardiology Department is one of the largest of its kind in the country.
The Cardiology Department has 12 Consultants, each with a specialist interest:
Professor M Mamas
Clinical Research Lead, Interventional Cardiology
Professor J Nolan
Interventional Cardiology
Dr R Butler
Interventional Cardiology
Dr M Gunning
Interventional Cardiology
Dr A Large
Interventional Cardiology
Dr A Morley Davis
Electrophysiology
Dr R Beynon
Electrophysiology
Dr T Phan
Electrophysiology
Dr A Patwala
Devices
Dr D Barker
Devices
Dr D Satchithanda
Heart Failure
Dr G Heatlie
Imaging
Furthermore, there are a further 8 Cardiology consultants working within the department with split
site jobs with the surrounding district general hospitals.
Cardiology Sub-Specialties
 Interventional Cardiology. The interventional cardiology department is one of largest
volume centres in the UK undertaking close to 2500 PCIs each year and a full range of
structural interventions including TAVI, Mitraclip, ASD closures, Atrial appendage closures
and paravalvular leak interventions. There is a full range of imaging modalities such as OCT
and IVUS, rotablation and laser and physiological assessment tools. The interventional
cardiology service is amongst the most published in the UK with over 30 publications in high
impact journals published each year.

Devices. UHNM offers a comprehensive device service, with 800 procedures performed last
year. Devices are implanted in a dedicated pacing lab, which is being upgraded to a
dedicated facility this year. Device extractions are undertaken in this lab using bo th LASER
and mechanical systems with appropriate cardiothoracic support. The recent acquisition of
a Sonosite allows safe axillary puncture techniques, and diathermy/plasma blade is used for
implantation in anticoagulated patients. The department implants over 350 ICD’s annually,
over 200 being CRT cases. There is also a full CRT optimisation service for appropriate
patients. There are over 4500 device follow -up appointments per year. This encompasses
follow-up of implantable loop recorders, which are implanted by a dedicated trained nurse.
There is also a 24hr technical on-call service for all cardiac devices

Heart failure The heart failure services has a nationally recognised day case Heart Failure unit
(Shine Unit) supported by research funding from the Health Foundation seeing over 300
patients a year in a dedicated out-patient unit. This unit offers holistic specialist care to a
previously hospitalised population. Heart Failure is one of the key areas for co-morbidity
research development identified by the Health Services Research Unit of Keele University.
This has already led to grant funding from sources such as the NIHR and Health Foundation.
There are also close links between the heart failure, imaging and device services.

Echocardiography/CMR/Cardiac CT/ Nuclear Cardiology Over 10,000 echoes are
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performed annually: including 350 TOE and 700 DSE. The department is equipped with 2
Vivid 7 machines (3D and Tissue Doppler along with speckle tracking) linked to a dedicated
echo database (Echo Pac. A 3D TOE probe is awaited from GE. There are 3 Vivid I portable
machines, and a further Vivid 7 (and another on order) used solely in the cardiothoracic
Unit. Last year over 800 CMR scans were undertaken: the service is led by Dr Heatlie
with a second scanner due in 2016. Finally a full range of nuclear investigations is
undertaken: using 2 Siemens eCam’s approx 2000 MIBI scans were performed last year.

Electrophysiology UHNM provides tertiary centre EP to a 1.2 million population. There are
state of the art facilities with a biplane cath lab equipped with Carto and Velocity
electroanatomical mapping. UHMN offers the full range of electrophysiological
investigations and treatments for both palpitations and loss of consciousness. This includes
tilt testing, signal averaged ECG and reveal device implantation. 400 electrophysiological
studies and ablations are performed each year including ablations for atrial fibrillation and
ventricular tachycardia in the setting of ischaemic cardiomyopathy. An inherited cardiac
conditions clinic runs monthly investigating cases of sudden unexplained adult death as
well as families with known inherited cardiac conditions.
Details of the ACL Post
This post is part of the expansion of the cardiology research programme and will be supported and
guided by Professor Mamas and be encouraged to apply for a NIHR Clinical Academic Award and
other project grants. The post-holder will have access to the infrastructure resources provided by
the IACs (Director Prof Simon Davies) and the Cardiovascular Theme (Professor Mamas Mamas); and
the Trust’s Research and Development Department (Director Professor Tony Fryer;
http://www.uhnm.nhs.uk/research/Pages/Home.aspx).
Specific detail are provided in the Job Description provided below
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JOB DESCRIPTION
School/RI/Directorate:
Faculty of Medicine & Health Sciences, Research Institute for Applied Clinical
Science (IACS)
Responsible to:
Clinically: Clinical Director
Academically: Professor Mamas Mamas, Professor of Cardiology
Responsible for:
N/A
Grade:
Grade: Clinical Lecturer scale
Starting Salary: Spine point dependent
on seniority
Hours:
10 PAs
(5 clinical, 5
academic)
Role Summary:
To enhance the respiratory research programme through continuation and expansion of an academic
program in cardiovascular medicine moving towards becoming an independent researcher who would be
well positioned to apply for a future clinical academic Senior Lecturer position.
Main Duties and Responsibilities:
Research Role
The post holder will be supervised/mentored by the academic lead for Cardiology. With the support from the
allocated supervisor/mentor and with access to the Keele University Health Services Research Unit and Trust
R&D Department, to:
 Contribute to the further development of academic cardiology within Keele University and UHNM and
contribute to the development and support of in house clinical studies within the department of
cardiology by the Keele Cardiovascular group, around a theme of interventional cardiology.
 Strengthen Cardiology perspectives in the Institute’s research programmes.
 To contribute to the development of a clinical research program around big data / epidemiology in the
field of percutaneous coronary intervention, using routinely collected data locally and nationally,
working closely with other academic and clinical members with the team.
 To contribute to the support and development of a clinical meta-analysis program around
cardiovascular meta-analyses.
 Contribute to the development of systems to support acquisition, information governance, safe storage
and sharing of high-quality research data
 Development of funding proposals for both research council and industry partners.
 Prepare papers for presentation at conferences, and publications in clinical and methodological
journals.
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
Contribute to the development of the Keele Cardiovascular Group within the Institute, including
mentorship and support for more junior staff.
 Contribute to the development of research training initiatives including supervision of MPhil, MD and
PhD students.
 Develop new ideas, within the framework of the Institute’s overall programme, for student projects to
be jointly supervised by the post-holder (at Undergraduate, Masters and potentially PhD level, for
clinicians and / non-clinical researchers).
 Co-ordinate and manage the day-to-day running of specific projects within a defined project
management framework according to agreed objectives, the departments’ data security procedures,
ethical requirements and in accordance with the research governance framework.
 Keep abreast of current best practice and developments in this field, contributing to the procedures
within the Institute.
 Support initiatives developed within the Institute and with NHS partners to take outcomes of research
into practice.
 Contribute to the research culture and support the development of the Keele Cardiovascular Group
within the Institute, University and professional networks.
 Contribute generally to the intellectual life of the Institute and University by participating in the
programme of research seminars, workshops and team meetings.
 Undertake professional development activities, as identified with line manager at annual staff
development review.
 Provide input to specific studies and general support to other researchers working as part of the
research team.
Contribute to the teaching, supervision, research support co-ordination and management of activities of the
Centre.
Clinical Role
 Clinical training
The clinical training will be provided and supervised by the West Midlands Specialist Training
Committee (STC), allocating 50% of the ACL’s training time to clinical work that will lead to completion
of specialist training. This will take place at UHNM, part of Health Education West Midlands region to
facilitate minimal disruption to the ACL and continuing contact between the ACL and his/her academic
mentors. Clinical cardiology training will be undertaken at the Royal Stoke University Hospital in Stokeon-Trent.
 Research training and responsibilities
It is expected that the successful candidate will have experience with the handling and analysis of
large datasets, but there will be training opportunities to refine analytical skills through working with
Professor Mamas’ statistical team as well as other statisticians affiliated with Keele University. General
research skills will be developed during this post. The successful applicant will support the research
training and supervision of masters and PhD students as well as medical students undertaking projects
with the group.
Cardiology Departmental responsibilities
 The roles and responsibilities of the clinical work are those expected of a Specialist Trainee (i.e. the
equivalent of usual clinical training to CCT standard in Cardiology but undertaken at 0.5 rate), and will
include participation in the general cardiology workload, specifically, leading ward-rounds, regular
attendance at outpatient clinics and sub-speciality training sessions dependent on the candidates
clinical interests
 To attend Cardiology Department’s monthly Morbidity & Mortality meetings.
 To present his/her research at the Research and Clinical Audit programme and also to undertake at
least one audit per year and complete the audit cycle
 To make a contribution to teaching and training of junior staff within the Cardiology Department, with
regular formal teaching of undergraduate medical students from Keele University Medical School.
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

Line Management
All clinical staff in the Specialised Directorate are accountable to the Clinical Director who has overall
responsibility for the services within the Directorate. The Heart centre directorate has Lead
Consultants within each sub-specialty; who also act as liaison between individual consultant teams and
the Clinical Director.
Administrative duties
To undertake the administrative duties associated with the care of patients and travel as necessary
between units
Team Work
 To undertake out of hours on call service for cardiology on the on call rota with colleagues. Ensure
that contact arrangements are in place for staff in emergency situations.
 Work with colleagues to provide cover in the absence of others in accordance with directorate
arrangements.
 To ensure that periods of leave do not coincide with those of the team of Consultants.
Communication / Documentation
 Communicate effectively across a wide range of audiences.
 Liaise, establish and maintain positive links with external agencies and providers.
Supervision / Staffing
 In conjunction with Consultant colleagues, to play a full part in the professional supervision,
management and training of junior medical staff.
 In conjunction with Consultant colleagues, to take responsibility for and devote time to teaching,
examination and accreditation duties as required for junior medical staff.
 Strengthen research training and capacity development, and develop new academic training
opportunities as career pathways for young academic doctors
Personal Development / Performance
 To take responsibility for own continuing professional education in accordance with guidelines set out
by the appropriate college/faculty/professional body.
 Demonstrate a commitment to continuing Personal/Professional Development.
 Keep abreast of novel developments and current best practice in cardiology and trials.
 Ability to observe and define priorities and timetables in the achievement of strategic and operational
objectives.
 Adhere to the University's environmental policy and procedures and seek to promote environmental
sustainability within area of responsibility.
Equality, Diversity, Health and Safety and Strategy
 A strong commitment to the principles and practice of equality and diversity
 Thorough understanding and application of the Dignity and Respect Framework
 Take reasonable care of the Health and Safety of yourself and that of any other person who may be
affected by your acts or omissions at work.
 Co-operate with Keele University in ensuring as far as is necessary, that Statutory Requirements,
Codes of Practice, University Policies and School/Departmental health and safety arrangements are
complied with.
This is not intended as an exhaustive list of duties or a restrictive definition of the post but rather
should be read as a guide to the main priorities and typical areas of activity of the post-holder These
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activities are subject to amendment over time as priorities and requirements evolve and as such it
may be amended at any time by the line manager following discussion with the post holder.
References
You are asked to provide details of two referees (three if you are applying for an academic or
research post), including your current or most recent employer, on your application form. Referees
should be able to comment on your work and/or educational background and may be approached
before interview. In providing these details you are giving the University permission to request
personal information about you from your referees, which may include confirmation of your
previous salary, disciplinary and work history.
Two Ticks Scheme
Keele University is committed to taking positive steps to employ, keep and develop
the abilities of disabled staff and has been awarded the disability symbol. We
undertake to offer all applicants with a disability and who meet the minimum
essential criteria an interview. If you wish to be considered under this scheme,
please state this, providing specific information of any requirements/adjustments you may require
to assist you during the recruitment process or to enable you to carry out the duties of the post,
within your supporting statement of your application.
The information you provide on your application will be forwarded to the recruiting area so that
they may consider whether they can facilitate your requested adjustments.
Please note that if you do not state that you wish to be considered under the Two Ticks Scheme in
your supporting statement, you will not be considered under this Scheme.
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PERSON SPECIFICATION
Academic Clinical Lecturer (ACL) in Cardiology
Criteria
Headings
Qualifications/
Education/
Training
Essential
Full GMC Registration with
licence to practice.
Evidenced
by
A
MRCP
A
PhD or DM (in area relevant
to the Keele Cardiovascular
Group Research Group
themes).
A/I
Desirable
Intercalated degree
and/or additional
qualifications e.g. BSc
etc
Evidenced
by
A
A
SpR in Cardiology (with
National Training Number)
Experience
Post-registration experience
(at least 6 months
experience in Cardiology).
Specialist Registrar in
Cardiology
A/I
Understanding broad range
of research methods
A/I/P
Experience of teaching
A/I
Publication of original
research in high impact
peer reviewed journals
A/I
Presentation at national
conferences
A/I
Record of obtaining
external grant funding
A/I
Presentation at
international
conferences
A/I
Experience of handling
and analysing large
datasets
A/I
Interventional
Cardiology Training
A/I
Experience of gaining
ethical approval for
research studies
A/I
Experience of setting
up in house clinical
studies in
interventional
cardiology as PI
A/I
Experience of research
supervision
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Skills/
Aptitudes/
Competences/







Commitment to an
academic career
Excellent
communication skills
(written and oral)
Team-working
Leadership
Organisational
abilities
Ability to work flexibly
and manage workload
Ability to identify and
meet training needs
A/I/P
A/I/P
A/I/P
A/I/P
A/I
A/I
A/I
A/I
A/I
Other
Commitment to application
of the principles of research
governance and ethical
research practice
A/I
FURTHER PARTICULARS
Residence
Residence onsite at the University Hospitals of North Midlands when on call is a requirement of this
post.
Confidentiality
Ensure that confidentiality is maintained at all times and that data belonging to the Trust are
protected.
Infection Control
Infection Control is everyone’s responsibility. All staff are required to adhere to the Trusts’ Infection
Prevention and Control Policies and make every effort to maintain high standards of infection
control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA.
All staff who work on a UHNM Trust site have the following key responsibilities:



Staff must wash their hands or use alcohol gel on entry and exit from all clinical areas and
between each patient contact.
Staff members have a duty to attend mandatory infection control training provided for them
by the Trust.
Staff members who develop recurrent skin and soft tissue infections and other infections
that may be transmittable to patients have a duty to contact Occupational Health.
Safeguarding Children and Young People
All staff are responsible for ensuring that they are familiar with and adhere to the Trust’s
Safeguarding Children procedures and guidelines. All health professionals who come into contact
with children, parents and carers in the course of their work have a responsibility to safeguard and
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promote the welfare of children and young people up to the age of 18 years of age as directed by
the Children’s Act 1989/2004. Health professionals also have a responsibility even when the health
professional does not work directly with a child but may be seeing their parent, carer or other
significant adult.
All staff are required to attend safeguarding awareness training and undertake any additional
training in relation to safeguarding relevant to their role.
Please note this appointment is subject to medical clearance and ongoing medical surveillance by
the University Occupational Health provider and also a Disclosure and Barring Service check.
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Proposed ACL JOB PLAN
The exact timetable will depend on the clinical subspecialty to which he/she is attached and the
specialty training modules already completed. Below is an example job plan to demonstrate how
50% research time and 50% clinical service could be delivered.
Monday
Tuesday
Wednesday
Thursday
Friday
am
pm
am
pm
Cath Lab / sub specialty training
Cath Lab / sub specialty training
General Clinic
Consultant-led Ward Round / admin
am
pm
am
Cath Lab / sub specialty training
Research
Research
Research
pm
am
pm
Research
Research
Suggested PAs
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
Performance Review of the Job Description
The candidate will be subject to the usual joint academic/clinical annual review of competence
progression (ARCP), in line with local policies & procedures.
The job description will be reviewed each year by the post-holder, Professor Mamas Mamas, and Dr
Grant Heatlie (TPD). Local procedures will be followed in the event of any disagreement over
proposed changes culminating an appeal to a sub-committee of Keele University. Job description
changes will be reviewed under the Service Level Agreement.
APPLICATIONS AND VISITING KEELE UNIVERSITY AND THE TRUST
Application Process
Formal applications should be made through Keele University website: www.keele.ac.uk/vacancies
Closing date for applications: 3rd July 2016
Post reference: KU00000069
Further information and visiting the University and Trust
The University welcomes applicants who wish to seek further information or visit. Please contact the
following to arrange a visit or for an informal discussion:
Visiting
The main points of contact are Professor Mamas Mamas, Director of Keele Cardiovascular Research
group [email: [email protected]], Dr Grant Heatlie, TPD Cardiology, West Midlands and
clinical director [email: [email protected]].
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