Download 5. General Information Relating to Terms

JOB DESCRIPTION & PERSON SPECIFICATION
(Incorporating general information about UCL Hospitals NHS Foundation Trust)
for
Consultant Cardiologist
Programme lead - Structural Intervention
10 PA s
(Full time post)
at
UNIVERSITY COLLEGE LONDON HOSPITALS
NHS FOUNDATION TRUST
(ref)
1
Contents
Page No.
Section 1: An introduction to this Appointment
.. .. .. .. .. .. .. 3
Section 2: UCLH NHS Foundation Trust Information
.. .. .. .. .. .. .. 4
Section 3: Directorate & Department Information
.. .. .. .. .. .. .. 6
Section 4: The Role & Responsibilities of the Post-Holder .. .. .. .. .. .. .. 10
Section 5: General Information Relating to UCLH Terms & Conditions.. .. .. 2
Section 6: The Person Specification for this Appointment
2
.. .. .. .. .. .. .. 17
UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST
1. The Appointment
This is a new post designed to initiate and develop a structural intervention program,
which incorporates all percutaneous techniques for structural cardiac interventions
including valve implantation and/or repair, major vessel stenting, interventions in
adults with congenital heart disease and hybrid techniques.
It is expected that the institution will become a world leader in the field of
percutaneous interventional techniques, collaborating with industry and university
partners alike to develop and progress device technologies.
The post-holder will lead and direct a team of physicians, surgeons and nurses
dedicated to providing these services for adults with acquired and congenital heart
disease.
Start Date: It is anticipated that the successful candidate will take up their
appointment on or around 1st November 2009.
Visits to the Hospital
For informal discussions about this post please contact:
Dr Clare Dollery, Acting Divisional Clinical Director The Heart Hospital, University
College London Hospitals NHS Trust, Tel 0207 573 8888, e-mail
[email protected]
To Apply for this post
Please forward 12 copies of your CV and one completed application form to Paola Caredda,
2nd Floor West, 250 Euston Road, NW1 2PG.
3
2.
About the Trust
UCLH is one of the largest and most complex public sector organisations in the UK. It has
played a leading role in the reform of the NHS, by becoming one of the first NHS Foundation
Trusts as of 1st July 2004. The Trust has recently completed the first phase of the most
ambitious £422m PFI project in the NHS and is leading in research and development role in
biomedicine, jointly with University College London.
The Trust is a group of central London hospitals, which include:







The Eastman Dental Hospital
The Elizabeth Garrett Anderson and Obstetric Hospital [EGA]
The Heart Hospital
The Hospital for Tropical Diseases [HTD]
The National Hospital for Neurology & Neurosurgery [NHNN]
The Royal London Homeopathic Hospital
University College Hospital [UCH]
At UCLH we have around 1000 beds. The new University College Hospital and The
Elizabeth Garrett Anderson and Obstetrics Hospital, and the Rosenheim Wing have
approximately 700 beds; The Heart Hospital has 88 and the National Hospital for Neurology
& Neurosurgery has 207.
The Trust is closely associated with University College London (UCL), a multi-faculty
university. The Royal Free & University College Medical School (RFUCMS), which is one of
the highest rated medical schools in the country, forms the largest element of the Faculty of
Biomedical Sciences (FBS), which was formed on 1st August 2006.
FBS comprises the former Faculty of Clinical Sciences, four postgraduate Institutes
(Ophthalmology, Neurology, Child Health, Eastman Dental) and the Wolfson Institute for
Biomedical Research. This structural change further enhances the exceptionally strong base
of research and teaching in Biomedicine at UCL.
The clinical activity of FBS is delivered by 14 Divisions and Institutes: Division of Medicine,
Cancer Institute, Division of Surgical and Interventional Sciences, Division of Population
Health, Division of Infection and Immunity, Institute of Women’s Health, Ear Institute, Centre
for Health Informatics and Multiprofessional Education (CHIME), Division of Medical
Education and the five Institutes listed above. The departments are situated on three main
sites - the Bloomsbury Campus, the Hampstead Campus, and the Archway Campus - and
operate mainly in conjunction with four central London National Health Service Trusts and
primary health care practices. There are also strong academic links with NHS Trusts in
Greater London and the South East.
RFUCMS in its present form was created in 1998 by the merger of two major institutions UCL Medical School and the Royal Free Hospital School of Medicine. It comprises the
Faculty of Biomedical Sciences and that part of the Faculty of Life Sciences which provides
the basic science teaching for the medical undergraduates. It also offers a wide range of
graduate programmes and houses many interdisciplinary research teams. The Medical
School has consistently received one of the highest ratings in the UK in the HEFCE research
assessments undertaken during the last twelve years. Professor Ian Jacobs is Dean of the
Faculty of Biomedical Sciences and Head of the Medical School. Professor Jane Dacre is
Vice-Dean for Education. Professor Humphrey Hodgson is Vice-Dean RFUCMS and
4
Campus Director of the Hampstead Campus and Dr David Patterson is the Archway Campus
Vice-Dean RFUCMS and Campus Director.
The Trust has an arrangement with the Medical School to provide clinical teaching for the
MBBS undergraduate programme, for which purpose it receives NHS funds from the
Workforce Development Confederation. The Trust is recognised by the University of London
for this purpose.
The successful candidate for this Consultant post will be eligible to become an Honorary
Senior Lecturer at RFUCMS on the understanding that he/she will participate in
undergraduate teaching, including acting as an examiner, and support and/or facilitate
research activities in the Department of Cardiology. He/she will take direction in these
activities from the academic Head of Department, Professor Patrick Maxwell. The agreement
to define the Honorary Senior Lecturer's responsibilities and associated programmed
activities in relation to teaching time and research will be negotiated jointly between the post
holder, the Medical School (via the academic Head of Department/Institute Director and/or
the Vice-Dean/Campus Director) and the NHS Trust. It will form part of the successful
candidate’s job plan. The award of the Honorary Senior Lecturer contract will be dependent
upon a request being submitted by the Head of the Academic Department/Institute Director to
Medical School Administration.
The annual consultant appraisal procedure will include review of teaching performance, and
consideration will be given to joint academic appraisal of the consultant staff/honorary senior
lecturers, in the same was as for the clinical academics/honorary consultants.
For NHS funded consultants any research component would need to be negotiated and
agreed before an offer of appointment is made.
The services we provide
UCLH provides high quality accident & emergency, general medical and general surgical
services to the people who live, work and visit north central London. In addition, the hospital
group is home to many specialist services, which attract patients from all over the UK.
Some of our key services are:






Cancer services
Cardiac services
Infectious diseases
Neurosciences
Oral health
Women’s health.
Our Staff
The Foundation Trust has a combined staff of 6,000. Roughly 17% are doctors and dentists,
32% nurses or midwives and 51% are allied healthcare professionals, scientific and technical
staff, managers, administrators and support staff; other key services such as catering,
portering and domestic services are provided by our external partner, Interserve.
5
Our Patients
Every year we treat close to 60,000 patients in hospital, either as inpatients or day cases.
We also see nearly 500,000 outpatients per year. The majority of our patients are from our
closest health authority areas: Camden, Islington, Kensington, Chelsea, Westminster and
Haringey and the north Thames area in general.
New Hospital
The Trust’s new 16-storey, state-of the-art hospital was named University College Hospital
by the Secretary of State for Health in 2004, and opened to provide health care service in
June 2005. A new purpose-built "Elizabeth Garrett Anderson (EGA) Wing" to house Women
Services officially opened in 2009.
Investment in new medical equipment such as IT systems to provide records, test results and
X-rays electronically has been made. A new high-tech pathology building close to the new
hospital on Hampstead Road is to be built. This investment represents the most significant
programme of improvements ever seen in the NHS at a single site.
As a result the Trust will be able to treat patients in a state of-the-art hospital environment of
which we can be proud. This includes embracing modern technology and techniques to
ensure that the Trust continues to fulfil its part in meeting the health needs of both local
residents and those from further afield requiring specialist care.
Further information about the Trust, its strategic direction and hospitals can be found on the
UCLH Website @ www.uclh.nhs.uk
3.
About the Clinical Board, Division & Department
Originally the National Heart Hospital, The Heart Hospital in central London became the new
clinical cardiac centre for UCLH, London in 2001, providing tertiary and teaching hospital
cardiac services for North Central London. The Heart Hospital, located in London W1, has 4
cardiac catheter labs, 4 cardiac theatres, 95 cardiac, cardiothoracic and GUCH beds,
including 18 dedicated ITU and HDU beds, an Acute Cardiac Ward and a day case/short stay
ward. Specialist clinics (including electrophysiology, inherited cardiovascular disease and
GUCH) are located at The Heart Hospital. General cardiology outpatient facilities are located
at the Middlesex Hospital.
The Heart Hospital is part of UCLH, a three star NHS Foundation Trust that incorporates
University College Hospital (UCH), The National Hospital for Neurology and Neurosurgery,
The Hospital for Tropical Diseases, The Eastman Dental Hospital, The Elizabeth Garrett
Anderson and Obstetric Hospital and The Royal London Homeopathic Hospital.
Recent Developments - The Heart Hospital
In October 2001, Cardiology and Cardio-thoracic Services at UCLH were relocated to the
Heart Hospital on Westmoreland St, a mile west of the Middlesex Hospital. The Hospital was
purpose built and equipped as a top quality private hospital in 1997. It was acquired for the
NHS by UCLH in September 2001 and provides an exceptional environment for patients and
staff.
6
Following the acquisition of the Heart Hospital there has been a large expansion in the clinical
cardiology service and academic personnel. Professor McKenna’s cardiomyopathy group
moved to the Heart Hospital in April 2003 from St George’s Hospital and a large increase in
biventricular pacemaker and defibrillator implants has occurred in parallel with the
development of a large clinical arrhythmia and electrophysiology service led by Dr Martin
Lowe. In addition, the adult congenital (GUCH) service continues to enlarge with increasing
referrals for complex interventional procedures. Recent expansion has included an advanced
heart failure consultant to support the service lead by Dr Woldman.
Professor Chris McGregor, former department head at The Mayo Clinic and renown
transplant surgeon, joined the Heart Hospital in April 2009 to lead the Cardiothoracic Surgical
service.
The Hospital has 88 beds, including 16 critical care beds and 13 day-beds. There are 4
theatres and 4 cardiac catheter laboratories; 2 of the 4 labs are equipped for
Electrophysiology procedures.
There are direct links with UCL for the provision of laboratory based research facilities for
consultants, junior doctors and paramedical staff.
Clinical Services – Consultant Staff
Cardiomyopathy
Electrophysiology
Echocardiography
CMRI
Dr Perry Elliott (service lead)
Prof William McKenna
Dr Maite Tome
Dr Antonis Pantazis
Dr Martin Lowe (service lead)
Dr Edward Rowland
Dr Tony Chow
Dr Pier Lambiase
Dr Ron Simon
Dr Oliver Segal
Dr Denis Pellerin (service lead)
Dr James Moon
Coronary Intervention
Heart Failure
Cardiovascular Sciences
Clinical Service
Dr Howard Swanton
Dr Simon Woldman (Service
Lead)
Dr Martin Thomas
Dr Clare Dollery (service lead)
GUCH
Rapid Access Chest
Pain Clinic
Nuclear Medicine
Dr Fiona Walker (service lead)
Dr Shay Cullen
Prof. Philipp Bonhoeffer
Prof John Deanfield
Dr Elsya Speechly-Dick
Prof Peter Ell
Dr Liz Prvulovich
Dr Jamshed Bomanji
Clinical Pharmacol
Cardiac, Thoracic & GUCH
surgery
Dr Malcolm Walker
Dr Di Holdright
Dr Tom Crake (service lead)
Dr Arvinder Kabaan
Dr Shrilla Banerjee
Dr Lin Soo
& General Medicine
Prof John Martin
Prof Christopher McGregor
7
Dr Simon Woldman
Dr Jean McEwan
Dr Martin Thomas
and
Dr Raymond MacAllister
Dr Aroon Hingorani
Mr Martin Hayward
Mr Shyam Kolvekar
Mr David Lawrence
Mr John Yap
Mr Victor Tsang (GUCH)
Clinical Specialties and Academic Units:
Coronary Intervention
There are 7 Cardiologists specialising in coronary intervention at the Heart Hospital. A
significant proportion of the cases are primary or emergency PCI, with a robust mechanism
for rapid interhospital transfers. 93% od primary PCI patients have a door to balloon time of
under 90 minutes. Complex PCI is routinely undertaken, with the use of IVUS, pressure wires
and distal protection devices as required.
Cardiac, Thoracic and GUCH Surgery
Over 1400 operations are performed by the unit each year. Professor Chris MacGregor an
international leader in the field of cardiac surgery and transplantation research has recently
joined the team and will lead development of the specialist surgical program including
minimally invasive surgery, hybrid procedures and surgery in the aortic arch. Complex adult
congenital heart surgery is performed by Mr Victor Tsang.
Grown-Up Congenital Heart Disease (GUCH)
The GUCH unit provides expert care for adult patients with congenital heart disease and is
closely linked with the Great Ormond Street Hospital Cardiothoracic Unit. There is a seven
bedded inpatient unit and the full range of non-invasive and invasive investigations are
undertaken. The unit is headed by Dr Fiona Walker who along with Dr Shay Cullen provides
the service. Close links have been established with the adult electrophysiology and heart
failure services. Professor John Deanfield has research interests centred on endothelial
dysfunction and early atherosclerosis.
Inherited Cardiovascular disease Unit
Professor McKenna and his cardiomyopathy group including Dr Perry Elliott and Dr Maite
Tome and Dr Antonis Pantazis transferred from St George's Hospital to the Heart Hospital in
2003. The group provides a national referral centre for inherited cardiovascular disease in the
young, targeting cardiomyopathies, heart failure and sudden death in the young. These
specialist clinics are supported by nurse-counsellors, and underpinned by a developing
clinical genetics service, with the aim of implementing DNA diagnosis into clinical practice.
Electrophysiology & device implantation
A comprehensive cardiac arrhythmia service is provided by Drs Lowe, Chow, Rowland,
Lambiase, Simon, and Segal offering diagnostic cardiac electrophysiological studies, catheter
ablation using conventional fluoroscopically-guided activation mapping and 3-D nonfluoroscopic mapping systems, the management of arrhythmias complicating adult congenital
heart disease, and device implantation including permanent pacemakers, implantable
cardioverter-defibrillators and cardiac resynchronisation therapy. The acquisition of the UK’s
first Stereotaxis system will facilitate catheter ablation for atrial fibrillation and LV lead
placement for cardiac resynchronisation therapy. There is a dedicated cardiac arrhythmia
clinic, and a special arrhythmia clinic run jointly with Professor McKenna for the management
of individuals and families with inherited cardiac conditions associated with sudden cardiac
death. In addition there are supervised, dedicated, pacemaker and implantable cardioverterdefibrillator clinics. Current research interests centre around the use of complex mapping
systems for catheter ablation of atrial arrhythmias, cardiac restitution analysis in patients with
8
ventricular arrhythmias, and risk stratification in patients with inherited cardiomyopathies and
ion channel disease.
There are close links with the paediatric cardiology and electrophysiology service at Great
Ormond Street Hospital. Currently ablation and device implantation is undertaken by Dr
Christopher Wren from Newcastle in addition to Dr Philip Rees, based at GOSH, and Dr
Lowe. There are plans to expand the electrophysiology service at GOSH with the acquisition
of the CARTO and Ensite mapping systems, and the appointment of a full time paediatric
electrophysiologist.
Echocardiography and Imaging
The Echocardiography Service is headed by Dr Denis Pellerin. In addition to transthoracic
echo and TOE, a stress echo service is also rapidly expanding. With each technique, several
imaging modalities are used such as Tissue Doppler, Strain, contrast left ventricular cavity
opacification, myocardial perfusion, and 3-D echo. Dr James Moon is service lead for
Cardiac MRI and will lead the MRI unit awaiting construction on the Heart Hospital site.
Heart Failure
The Heart Failure Service is led by Dr Simon Woldman. The core clinical activities of the unit
are based around a weekly heart failure clinic and a nurse led service that provides drug
titration and education for patients with chronic heart failure. There are twice weekly heart
failure ward rounds to identify all patients admitted with decompensated heart failure in order
to offer evidence based, specialist care. The group works closely with other hospital and
community based. There are plans to develop heart failure surgery and possibly ventricular
assist device insertion at the THH site with the appointment of Professor Chris McGregor,
formerly of the Mayo clinic as Professor of Cardiac Surgery.
General Cardiology
This team comprises Dr Clare Dollery Dr Simon Woldman, Dr Martin Thomas and Dr Jean
McEwan, and provides a consult service to all cardiology patients admitted through A&E on a
daily consultant-led ward round on the acute admissions unit at UCH. The team also provides
cardiology support to the 30 bed general ITU. A trust-wide Cardiology Consult Service is
provided with a complex tertiary patient population reflecting the unique UCLH subspecialty
interests. The team have developed a particular interest in the management of infective
endocarditis, chemotherapy and cardiac disease, and patient pathways for patients
presenting with acute coronary syndromes. Clinical research and teaching are an increasing
part of the service with interests of the group centring on the themes above.
Rapid Access Chest Pain Clinic
UCLH and the Heart Hospital have a rapid access chest pain clinic which was set up in
response to the National Service Framework for Cardiology. The clinic is run by Dr Elsya
Speechly-Dick, providing a rapid pathway for assessment and further investigation of patients
with ischaemic heart disease..
Nuclear Medicine
The Institute of Nuclear Medicine, headed by Professor Peter Ell, is the second largest
provider of nuclear cardiology in the UK. One camera is dedicated to nuclear cardiology and
cardiac PET is also provided. Approximately 2500 myocardial perfusion imaging studies and
500 radionuclide ventriculograms (MUGA scans) are performed annually. Research interests
include techniques to detect hibernating myocardium, and the clinical evaluation of perfusion
tracers and new agents for pharmacological stress.
UCL Department of Medicine
UCL is a premier centre for UK cardiovascular research, offering extensive academic
opportunities for trainees in both clinical and basic science fields. Interests are diverse,
including gene transfection and atherosclerosis (Jean McEwan); ischaemic protection (Derek
9
Yellon); endothelial function and the vessel wall in vascular disease (Aroon Hingorani, John
Deanfield); congenital heart disease/ vascular physiology (John Deanfield). Cardiovascular
cell biology/platelet function/neovascularisation (John Martin); cardiomyopathies (William
McKenna, Perry Elliott); cardiac conformational development (Ross Breckenridge); and
cardiovascular genetics (William McKenna, Steve Humphries). There are close links with the
clinical electrophysiology service through Dr Andrew Tinker whose research interests centre
on ion channel function in relation to inherited diseases including long QT and Brugada
syndromes.
Centre for Cardiology & Hatter Institute for Cardiovascular Studies (UCL Campus).
Centre Director: Professor Derek M Yellon
The Hatter Institute for Cardiovascular Studies, as part of the Centre for Cardiology at
University College London Hospital and Medical School, is an established scientific research
facility with both basic and clinical scientists working in unison with the major component of
research focusing on investigating new means of protecting the heart against the
consequences of ischaemic and reperfusion-induced injury. The research undertaken in the
Centre for Cardiology utilises a range of models from isolated cell based studies through to
whole organ systems.
UCL partners
The cardiovascular theme of the UCL partners academic health sciences partnership
between UCL, UCLH, The Royal Free Hospital and Great Ormond Street is lead by
Professors McKenna and Deanfield, directors of the cardiovascular institute West and East
respectively. UCL partners represents an important opportunity for further development of
excellence in clinical care quality, research and education. Cooperation and true partnership
will lead to rapid translation of innovative research and education into the clinical arena.
10
4. The Role & Its Responsibilities
The post-holder will be accountable to Dr Clare Dollery (acting clinical director). The post is
within the Cardiac Directorate of the Specialist Hospitals Board.
Job Plan
The job plan is anticipated to contain 10 Programmed Activities per week on average to be
carried out on UCLH sites and includes on-call commitments. This is an outline program, and
the post holder will be expected to discuss and agree a detailed job plan including personal
and professional objectives with the Clinical Director within 3 months of their start date.
A prospective diary exercise will be undertaken to inform this process.
Proposed Job Plan
AM
PM
Monday
Tuesday
Wednesday
Thursday
Friday
Admin
Cath lab
GUCH JCC
(0800 – 0900)
Valve JCC
(0800 – 0900)
Cath lab
Intervention
clinic
Adult cardiology
JCC (0800 –
0900)
Intervention
clinic
Cath lab
Cath lab
WR
WR
Admin
SPA
Activities
There are additional commitments associated with departmental teaching, audit and joint
meetings with other Cardiologists in the North Central London Network.
Direct Clinical Care Activities
Outpatients, THH
Ward Rounds
Cath lab
JCC
Other Programmed Activities
Teaching
Audit/ Joint Meetings
Administration
2 PA
1 PA
4 PA
0.5 PA
0.5 PA
0.5 PA
1.5 PA
Direct Clinical Care Activities
The successful candidate will lead on the development of a structural intervention programme
and direct current interventional activities at the Heart. He/she will have a responsibility of
care for patients who have undergone any structural catheter interventions and will also
support the GUCH interventional programme.
On Call Rota :It is anticipated that the post holder will undertake on-call on a 1:5 rota.
11
Research
The development of a structural intervention programme will provide a wealth of research
data and it is expected that the candidate will identify key areas of research interest and work
closely with the clinical teams and basic scientists within the Trust and the Department of
Medicine to develop a comprehensive research programme.
Teaching
The successful candidate will be eligible for Senior Lecturer status in the medical school on
the understanding that he/she will participate in undergraduate teaching. There will also be a
requirement for the clinical teaching of junior doctors and medical students at the Heart
Hospital.
The Appointee
The appointee will be expected to fully contribute to the administrative, teaching and research
activities within the Heart Hospital. All consultants represent the department on various
committees within the trust as well as taking responsibility for particular delegated areas
according to their interests and availability. The Clinical Director is responsible for delegating
these responsibilities.
The appointee will contribute to the teaching of medical students and trainee cardiologists,
and to participate in weekly postgraduate meetings of the Department of Medicine as well as
audit, governance and training meetings.
Clinical governance is assuming ever greater importance within the NHS and there is strong
emphasis on this area within UCLH. The appointee will be expected to contribute and
participate in governance activities in depth and breadth. A strong desire to improve
governance standards is essential.
The appointee will have an overriding duty of care to patients and are expected to comply
fully with best practice standards. The appointee will have a responsibility to comply with
Trust policies for personal and patient safety and for prevention of healthcare-associated
infection (HCAI); this includes a requirement for rigorous and consistent compliance with
Trust policies for hand hygiene, use of personal protective equipment and safe disposal of
sharps. Knowledge, skills and behaviour in the workplace should reflect this; at annual
appraisal you will be asked about application of practice measures known to be effective in
reducing HCAI.
In line with HSC 2003/11 it is UCLH Trust policy that clinicians who wish to introduce an
interventional procedure that the clinician has not performed before or the clinician has only
performed outside the NHS must seek approval from their divisional and medical Directors.
The intention to introduce the procedure must then be notified to the Quality & safety
committee. The committee will require assurance that the divisional director has reviewed the
safety and efficacy of the procedure if it is not subject to NICE guidance and that the lead
clinician has discussed any equipment or staff training issues associated with it with the
relevant general manager(s). If the proposed interventional procedure does not appear on
the NICE website, the clinician should register it with the Interventional Procedure
Programme on the NICE website. The Clinical Effectiveness Coordinator in the Governance
department is available to help and advise clinicians wishing to introduce a new procedure
and can be contacted on 08451 555 000 ext.4801.
Secretarial Support
The successful candidate will be provided with office space (single / shared) with appropriate
IT facilities and the support of a dedicated personal assistant (ANC 5).
12
5.
General Information Relating to Terms & Conditions of Service
The post will be offered under the terms and conditions of service for Consultants [England
2003].
Basic Pay and Pay Thresholds: Basic pay is £74,504 and, subject to satisfactory job
planning and review, will rise through annual threshold increases to £100,446 London
Weighting is currently £2,162 per annum. Part-time Consultants will be paid pro rata to the
thresholds described above, based on the number of agreed weekly Programmed Activities.
The starting salary for new consultant appointments will be at the minimum of the payscale in
accordance with the Medical & Dental Whitley Council Terms and Conditions for Consultants,
Schedule 14. Previous service at Consultant level or equivalent may be taken into account
when determining the starting salary; please contact the Consultant Recruitment Adviser for
further information. An on-call availability supplement equivalent to a percentage of full time
basic salary is payable for participation in an on-call rota if required.
The Trust is entitled at any time to deduct from the post-holder’s salary, or any other monies
payable to the post-holder by the Trust, any overpayment of salary or wages, underdeduction of charges, over-payment of holiday entitlement or any other sum which the postholder may owe to the Trust and, if this is insufficient, the Trust may require payment of the
balance.
Whilst an employee may undertake private practice outside the time requirement outlined in
the job plan under his/her employment contract. The appointee must follow Trust agreed
procedures when seeking to commence private practice. Any private practice commitments
must not prejudice the basic service requirements contained in the job plan.
Appointees expressing an interest in a part time post in order to undertake private practice
will normally be expected to hold a 6 programmed activity [PA] contract.
Any offer of appointment to the post will be subject to the receipt of three references which
are satisfactory to the Trust, confirmation by the Occupational Health Department that the
pre-employment health screening is acceptable and immunisation against infectious diseases
as may be required.
The Workforce Directorate is responsible for ensuring that the Trust complies with its legal
obligation, which includes any prohibition on offering an appointment, and with any
requirements stipulated by regulatory bodies. It is essential that staff and patients are
confident that every worker has been checked to ensure the Trust has confirmed his/her:







Identity
Criminal record (where applicable)
Essential qualifications
Professional registration
References
Occupational health clearance
Eligibility to work in the UK (work permit/visa)
Clinical Governance
The post-holder will comply with the Trust’s clinical governance requirements and participate
in related initiatives where appropriate. This will include participating in clinical audit and
13
review of outcomes, working towards achievement of national and local performance
management targets, complying with risk management policies, and participating in the
consultant appraisal process.
The post-holder will also be responsible for maintaining satisfactory patient notes and, when
relevant, for entering data on to a computer database in accordance with the rules and
regulations of the Data Protection Act.
Confidentiality
All employees and honorary appointees are required to exercise discretion and maintain
confidentiality at all times.
Conflict of Interest
All applicants to any post within the Trust are required to declare any involvement directly
with any firm, company or organisation, which has a contract with the Trust. Failure to do so
may result in an application being rejected or, if discovered
after appointment that such information has been withheld, this may lead to dismissal.
Consultant Terms and Conditions
The Terms and Conditions referred to in the contract can be viewed in full on the Trust’s
Public Folders (Human Resources/New consultant contract) or via the NHS Employers’
website
(www..nhsemployers.org/PayAndConditions/consultants_and_dental_consultants.asp).
Criminal Record
In view of the nature of the work this post is exempt from the provision of Section 4 (2) of the
Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974
(Exemption order 1975). Applicants are, therefore, not entitled to withhold information about
convictions including those which for other purposes are “spent” under the provisions of the
Act. You are, therefore, required to declare any pending prosecutions or convictions you may
have, even if they would otherwise be regarded as “spent” under this Action and any
cautions. In the event of employment, failure to disclose such convictions could result in
dismissal or disciplinary action by the Authority. Any information given will be completely
confidential and will be considered only in relation to an application for positions to which the
order applies.
It is mandatory for the Trust to check with the police for the existence and content of any
criminal record of the successful applicant. Information received from the police will be kept
in strict confidence.
The disclosure of a criminal record, or other information, will not debar you from appointment
unless the selection panel considers that the conviction renders you unsuitable for
appointment. In making the decision the Trust will consider the nature of the offence, how
long ago and what age you were when it was committed and any other factors which may be
relevant, including appropriate considerations in relation to the Trust’s published Equal
Opportunities Policy.
Failure to declare a conviction, caution or bind-over may, however, disqualify you from
appointment, or result in summary dismissal/disciplinary action if the discrepancy comes to
light. If you would like to discuss what effect any conviction you have might have on your
application, in confidence, for advice, please contact a Senior Officer in the Personnel
Department.
Data Protection
14
In accordance with the Data Protection Act (1998), the Trust is authorised, if required to do
so, to obtain, process and/or use information held on a computer in a fair and lawful way.
The Trust is authorised to hold data only for the specific registered purpose and not to use or
disclose it in anyway incompatible with such purpose. It is further authorised to disclose data
only to authorised organisations as instructed.
Equality and Diversity
To comply with the Trust’s Equal Opportunities Policy and treat staff, patients, colleagues and
potential employees with dignity and respect at all times.
Health and Safety
Employees must be aware of the responsibilities placed on them under the Health and Safety
at Work Act (1974), to ensure that agreed safety procedures are carried out to maintain a
safe environment for employees, patients and visitors. The Trust also operates a No
Smoking Policy, which does not allow smoking at work other than in a designated area.
Hepatitis B
All employees who perform “exposure prone procedures” should be immunised against
Hepatitis B. Antibody response should be checked on a regular basis. If successful in being
appointed to a post, all employees MUST report to the Occupational Health Department
within two weeks of starting in post. Failure to comply with this, or the new regulations
pertaining to Hepatitis B, may result in an employee being suspended from duty. For further
information, either contact the HR Department or the Occupational Health Department. All
matters discussed will remain confidential.
Insurance Policy
The Authority accepts no responsibility for damage to or loss of personal property with the
exception of small valuables handed to their officials for safe custody. Staff are therefore
recommended to take out an insurance policy to cover personal property.
Ionising Radiation Use
Under the Ionising Radiation (Medical Exposure) Regulations 2000 the Trust is obliged to
maintain a register of all persons entitled to act as “Practitioners” or “Operators” (i.e. to justify
or to carry out a medical exposure) and to keep records of their training.
If your post includes the responsibilities of either “Practitioner” or “Operator” as defined by
these regulations you must provide the Trust with evidence of training. This should include
evidence of completion of an approved training course plus details of practical experience.
Please note that if, during the course of your duties, you refer a person for a medical
exposure you are obliged to provide sufficient relevant clinical information to the Practitioner
to justify the use of Ionising radiation. You are expected to follow any guidelines for such
referrals, which the Trust provides.
Job Sharing
UCLH has a job sharing policy under which all posts are open to job sharing, with or without a
partner.
No Smoking
UCLH operates a “No Smoking Policy” which does not allow smoking at work, in trust
buildings, entrances or grounds. Smoking is a Health and Safety issue, and all staff have a
responsibility to ensure that smoking does not occur in public areas or entrances and to be
aware of, not only health risks, but also the risks of unnecessary fire alarm activation. The
15
trust has a comprehensive staff support programme for staff who wish to give up smoking.
For more information, contact the stop smoking services Manager.
Private Practice
All consultants should adhere to the national Code of Conduct for Private Practice. Private
Practice should as far as possible, be undertaken within UCLH facilities, always ensuring that
the needs of the practitioner can be met. In this way income generated can be used to
further develop patient care within the Trust.
Public Transport and Car Parking
Car Parking facilities at the Trust are limited. The current car parking policy and permit
allocation policy has recently been revised and permit applications should be directed to the
head of staff services.
Recruitment & Selection
All employees who are responsible for recruiting new staff are required to have completed
recruitment and selection training before they can be involved in any recruitment process.
Relocation Expenses
Assistance may be given to newly appointed Consultants with part of the cost of their removal
expenses, providing (generally) this is the first appointment in the National Health Service
and also that the removal is necessary to comply with UCLH requirements concerning the
place of residence [see below].
Residential Criteria
It is considered acceptable for new employees to commute a distance of approximately 25
miles to the hospital unless there are exceptional circumstances or job requirements that
prevent this. Trust staff must be able to contact a consultant by telephone.
Service Commitment
UCLH expects its employees to communicate to colleagues, patients and visitors in a polite
and courteous manner at all times, to adhere to the UCLH Service Commitment "Putting
Patients First" and adopt a professional approach to customer care at all times.
Staff Involvement
The Trust is committed to involving staff at all levels to improve patient services and working
lives. The Trust continually strives to improve internal communication systems and
encourage staff involvement in organisational and service developments – including business
planning – to enable its staff to influence discussions which affect them and their working
conditions.
Staff Nursery/Crèche
UCLH has childcare provision at three nurseries for employees. The nurseries are based in
the following areas:
 The Mousehole nursery (23 Devonshire St.)
 The Fig Tree (4 St. Pancras Way)
Places at these nurseries are available for babies and children aged 4 months – 5 years. If a
place is not immediately available, names will be placed on a central waiting list.
Superannuation Scheme
The post-holder will be entitled to join or remain in the NHS Superannuation Scheme, which
provides:
16







A pension and a tax free lump sum on retirement
Life assurance cover
Voluntary early retirement benefits
Ill-health retirement benefits
Redundancy benefits
Family benefits
Options to increase benefits
All pension benefits are based on salary and length of membership of the Scheme.
Contribution rates for most members is 7.5% of pay, but the real cost is normally around
3.5% because of the tax relief on contributions and the lower rate of National Insurance
contributions paid as members opt out of the State Earnings Related Pension Scheme.
Legislative changes affecting the NHS pension scheme from 1ST April 2008 include the
Gender Recognition and Civil Partnerships Acts and the Finance Act 2004, introduces new
upper limits on tax free pension benefits and certain Child allowances. Medical, dental and
ophthalmic practitioners and high earners can find out more via www.nhspa.gov.uk/schemebooklets.cfm
No contribution will be made by the Trust to personal pension plans for those who opt out of
the above scheme.
17
6.
Person Specification
Post Title: Structural interventionalist, Consultant Cardiologist, Division/ Directorate:
Cardiology/ Acute Hospitals Board
Essential Criteria
Desirable Criteria
Where
evaluated
Full registration with the GMC
Professional
Qualifications
Within 6 months of CCST in Cardiology
at interview date
CCST in Cardiology at
date of interview
App Form
GMC
GDC
MRCP (UK) or equivalent
Higher degree e.g. PhD/ MD
Clinical
Experience &
Skills
Clinical
Knowledge
Audit
Management &
IT
Research.
Teaching skill &
experience
Personal
Qualities
NB: Non UK trained doctors must be on
the GMC register and specialist register
[speciality] by date of interview.
Fully trained in adult cardiology and
GUCH cardiology with experience in full
range of diagnostic and interventional
catheter techniques including
percutaneous device technologies in
adults with acquired and congenital heart
disease.
APP Form
Ref/ Int
In depth knowledge of structural heart
disease i.e. diagnosis & management.
Previous experience in management of
all aspects of acquired and congenital
heart disease.
APP Form
Ref/ Int
Ability to work within clinical governance
guidelines set by the Trust.
Undertake audits as required.
Good IT skills, use of MS Office & patient
and hospital database.
Ability to present audit data.
APP Form
Ref/ Int
Track record of publications in peer
reviewed journals
Knowledge of research ethics
Knowledge and experience of applying
for research grants
Ability to communicate with clarity and
intelligently in written and spoken English
Willingness to take responsibility, and
exert appropriate authority.
Excellent Interpersonal Skills, must be
able to work co-operatively with others
Accountability; ability to take
responsibility, lead, make decisions and
exert appropriate authority.
Interpersonal Skills; ability to see
patients as people, ability to emphathise
and work co-operatively with others.
APP Form
Ref/ Int
18
Ref/Int
Evaluation Key: App Form [Application Form] Ref [References] Int [Interview]
19