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Applicant Information
Consultant Cardiologist or Consultant Cardiologist and
General Medicine (Appendix 1)
Or
Consultant Cardiologist with an Interest in Electrophysiology
and Complex Devices (Appendix 2)
1 Post
MD0316146
1
CONTENTS
Introduction
Page 3
The Forth Valley Area
Page 4
NHS Forth Valley Acute Services
Page 5
Consultant Cardiologist – Responsibilities
Page 6
Contractual Details
Page 7
Appendix 1 - Consultant Cardiologist /General Medicine
Copy of Advertisement
Page 8
Overview of the Department and Post
Page 10
Job Plan
Page 13
Selection Criteria
Page 14
Appendix 2 - Consultant Cardiologist with Special interest
Copy of Advertisement
Page 16
Overview of the Department and Post
Page 18
Job Plan
Page 22
Selection Criteria
Page 23
General Employment Information
Page 25
Application Process
Page 27
2
INTRODUCTION TO NHS FORTH VALLEY
NHS Forth Valley is a single, integrated healthcare system comprising acute care facilities and
community based services, which are delivered through Forth Valley Community Health
Partnerships.
The Board’s vision of improving health and healthcare for the people of Forth Valley is underpinned
by its Integrated Healthcare Strategy. The principles upon which this strategy is founded have led
to significant change and development in recent years. With further service reconfiguration
planned, this is an exciting time to work with NHS Forth Valley.
NHS Forth Valley is the largest employer in the area, with approximately 8000 staff from a wide
range of professional and support occupations. Currently, services are provided in one acute
hospital, four community hospitals and fifty-six health centres. Acute Services are based in the
purpose built 860 bedded Forth Valley Royal Hospital, which opened in 2011 and provides inpatient
and outpatient services for a population of approximately 310,000.
THE FORTH VALLEY AREA
The working environment in Forth Valley Royal Hospital is excellent, as is the quality of life that the
Forth Valley area has to offer candidates and their families. The area has stunning scenery
including the Trossachs and Loch Lomond and is steeped in history with Callander House in Falkirk,
Stirling Castle, Bannockburn and the Wallace Monument to name but a few of the sites in the area.
It also has many cultural and leisure facilities such as the Helix Ecopark, home to the 100ft Kelpies,
the Falkirk Wheel, the MacRobert Arts Centre at Stirling and the National Sports Academy at Stirling
University.
Forth Valley lies equidistant between Scotland’s two largest cities; Edinburgh and Glasgow. Their
respective airports are little over half an hour from most parts of Forth Valley and road and rail links
are excellent.
House hunters in the Forth Valley area are spoiled for choice. On offer is a wide choice of
established and new properties in a variety of attractive settings. Education in the area is first class,
with excellent provision of pre-school, primary and secondary education. State schools in the area
have strong reputations and there is also easy access to a number of independent schools in Bridge
of Allan, Dollar, Crieff and beyond. On the further education front, Stirling boasts an excellent
University and access to the University cities of Glasgow and Edinburgh is easy. There are also
further education Colleges in Falkirk, Stirling and Alloa.
In addition to its scenery, history, culture and shopping facilities, residents of Forth Valley have on
their doorsteps a varied range of leisure and sporting facilities. There are numerous local sports
clubs, strong football, rugby and cricket teams and marvellous golf courses. For walkers there are
beautiful low level paths as well as hills and mountains and there is good access to water sports for
rowing, sailing and much more.
3
Forth Valley has a population of nearly 300,000 and
covers a geographic area from Killin and Tyndrum in
the North and Strathblane and Bo’ness in the South.
Further information on the area can be found on the following websites:
www.falkirk.gov.uk - Falkirk Council
www.stirling.gov.uk - Stirling Council
http://www.clacksweb.org.uk/ - Clackmannanshire www.visitscotland.com - Tourism
www.show.scot.nhs.uk/nhsfv/ - NHS Locally
www.stirling.ac.uk - Stirling University
Living & Working in Scotland
http://www.scotmt.scot.nhs.uk/living-and-working-in-scotland.aspx
Web Sites of Interest for Candidates
Scottish Health on the web : www.show.scot.nhs.uk Scottish Executive:www.scotland.gov.uk
4
NHS FORTH VALLEY ACUTE SERVICES
Specialty
Ageing and Health
Cardiology
Clinical Haematology
Dermatology
Diabetes & Endocrinology
Emergency Department
Ear, Nose and Throat Surgery
Gastroenterology
General Medicine
General Surgery
Genitourinary Medicine
Gynaecology
Intensive Care (Medical & Surgical)
Medical Genetics
Neonatal Medicine
Neurology
Obstetrics
Oncology
Ophthalmology
Oral & Maxillofacial Surgery
Orthodontics
Orthopaedic & Trauma Surgery
Paediatric Medicine
Rehabilitation for Younger Physically
Disabled People
Respiratory Medicine
Renal Medicine
Rheumatology
Stroke Medicine
Sub-Fertility
Urology
Vascular Surgery
Inpatient
*
*
†
*
*
*
*
*
*
*
*
†
*
*
*
*
*
*
†
†
*
*
*
Out-Patient
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Day Patient
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
† inpatient services are provided within General Medicine and/or General Surgery
* service currently provided
5
CONSULTANT CARDIOLOGIST RESPONSIBILITIES

As agreed with the General Manager and Associate Medical Director (Medical Directorate)
to provide with Consultant colleagues an area wide service with responsibility for the
prevention, diagnosis and management of illness, and for the proper functioning of the
service;

To provide cover for Consultant colleagues during annual and study leave or at such other
times as agreed with the General Manager and Associate Medical Director;

To offer professional supervision, training and appraisal of junior medical, nursing and
technical staff as appropriate to enhance role extension and job skills within the service in
order to improve the service provided to patients;

To motivate staff within the service, through leading by example, and fostering good working
relationships at all levels in line with the principles of the local Partnership Agreements;

To contribute to developments and initiatives within the organisation as appropriate and as
requested;

To undertake teaching, accreditation and examination duties, and contribute to postgraduate
and continuing medical education activity across the area service;

To agree and implement an annual medical audit and clinical governance programme with
the Associate Medical Director in line with the Board’s Clinical Effectiveness Strategy;

To participate fully in Consultant appraisal and personal development planning activities;

To ensure the efficient and effective use of the organisation’s resources;

To work with colleagues to ensure the effective and efficient development and
implementation of support systems.
The requirements of this post will change through time in line with clinical advances and
developments in services provided by the NHS in Forth Valley.
6
CONTRACTUAL DETAILS
Contracted activities for this appointment will be defined and agreed with the post holder and the
General Manager, Medical Directorate.
The post holder will be professionally responsible to the Associate Medical Director, Dr Allan
Bridges and managerially responsible to the General Manager, Mr Ian Aitken
The Consultants in the department will agree arrangements for cover of cardiology duties.
This Consultant post is available on a full-time basis but the Board welcomes applications from
individuals who are unable to undertake a full time commitment and who may wish to work on either
a part-time or job share basis.
The terms and conditions of service applicable to this appointment are the Consultant grade terms
and conditions of service as amended from time to time.
NHS Forth Valley will require each Consultant to agree with the General Manager and Associate
Medical Director, a job plan of fixed and other commitments, which will be reviewed on an annual
basis and revised as necessary to meet the requirements of the local and national service issues.
Consultants will be required to participate in an annual appraisal.
The post holder will normally be expected to reside within 30 minutes travelling distance of Forth
Valley Royal hospital. If NHS Forth Valley Health Board considers that the there is a requirement
for the post holder to relocate his or her home in order to take up the responsibilities of the post,
relocation expenses will be available in accordance with the Board’s Relocation Policy. Support to
the level of 15% of starting salary up to a maximum of £10,000 may be available, subject to the
provisions of the policy.
Formal appointment to this post will be conditional upon satisfactory completion of all preemployment checks, including satisfactory medical screening.
NHS Forth Valley does not negotiate salary placements. On commencement of employment,
salary will be determined in accordance with Section 5 of the terms and conditions of
service.
This appointment will be superannuable under the NHS Superannuation Scheme, which is
contracted out of the State Earnings Related Pension Scheme (SERPS). New employees will
automatically be enrolled in the scheme unless they opt out. For further information, please contact
the Scottish Public Pensions Agency (SPPA) on 01896 893100 or visit www.sppa.gov.uk
The employment is subject to three calendar months notice on either side.
The successful candidate will be expected to be registered for CPD with the Royal College of
Physicians and to fulfil requirements for annual certification and for appropriate revalidation.
Annual leave entitlement is six weeks per year (pro rata for part time post holders), with additional
statutory holiday entitlement as agreed by the Local Negotiating Committee and published annually.
7
Appendix
1
CONSULTANT CARDIOLOGIST / GENERAL MEDICINE
Full Time – 10 Programmed Activities per week
Salary Scale - £ 76,761 - £ 103,490 per annum
Applications are invited for an enthusiastic individual to join the Cardiology team in Forth Valley. The
Cardiology Team aims to provide safe, patient-focused and sustainable services for the people of
Forth Valley. The successful candidate should embrace our values in providing positive leadership
and delivering high quality clinical care.
We believe:



that our patients' individual needs and experience are our first consideration;
that we should conduct ourselves with compassion, courtesy, professionalism, integrity,
openness and respect in our relationships with patients, their families and each other;
that services are best delivered when our staff are highly skilled, motivated, patient-focused
and work together as a team; and continuously improving everything we do.
The post holder will replace sessions released by colleagues pursuing alternative local and regional
duties and will work within the existing team of 5 Consultant Cardiologists. The development of an
applicant’s subspecialty interest will be encouraged and supported. In particular, we would look
favourably on applicants with an interest in heart failure, pacemaker and cardiac device therapy and
cardiac CT/MRI. Candidates will be expected to have a wide range of experience in General
Cardiology and possess the MRCP (UK) or equivalent. Candidates with additional accreditation in
General Medicine who wish to pursue involvement in general medical services will be supported to
do so.
NHS Forth Valley provides acute services for a population of 310,000 people in Central Scotland.
The £300m Forth Valley Royal Hospital became fully operational in 2011 and is one of the most
modern and well-equipped hospitals in the country. It is situated in Larbert with excellent road and
rail links to Stirling, Edinburgh and Glasgow. Within FVRH we have a purpose built cardiology unit
hosting outpatient, inpatient and investigation services. We adopt a multidisciplinary approach to
deliver rapid access chest pain clinics, specialist valve surveillance clinics, heart failure and genetics
clinics. We have ambulatory cardiac services, specialist echocardiography, CT coronary
angiography and a chest pain assessment unit. Inpatients are managed in a 14-bedded cardiology
ward with additional beds within our adjacent high dependency unit.
Within this integrated setting we provide a team-based approach to patient care and this
appointment will play an important role in the development and continuous quality improvement of
Cardiology services. The Cardiology senior team comprises five Consultants, one Consultant Nurse
/ Department Manager and a Cardiology Investigations Manager. The department is supported by
one Specialty Doctor, three Advanced Nurse Practitioners providing inpatient and outpatient heart
failure care and a Cardiac Rehabilitation Team including Physiotherapy and 8 Specialist Nurses. We
also have a team of Specialist and Highly Specialist Clinical Physiologists (EHRA and BSE
accredited).
There is currently no routine out-of-hours cardiology service. There may be a contribution to acute
general medical receiving for those candidates with accreditation in General Medicine, by
negotiation. The General Medical receiving model has one Consultant available in the Acute
Admissions Unit from 8am until 8.30 pm and a second Consultant available at different times to
8
support the emergency take. There are currently twenty-three Consultants on the General Medical
rota.
These posts are open primarily to applicants who do not require a work permit to take up
employment in the UK. Any applications from applicants who do require a work permit will be
considered only if no suitable UK or EEA national is identified for the post. Further immigration
information is available on: https://www.gov.uk/government/organisations/uk-visas-and-immigration.
Candidates are encouraged to visit the Department and meet key staff. Informal enquiries to: Dr
Catherine Labinjoh, Consultant Cardiologist/Cardiology Clinical Lead, tel. no. 01324 566832 or Dr
Allister Hargreaves Consultant Cardiologist/Physician.
Please quote reference number MD0316146 on all correspondence. It would be greatly
appreciated if you could also indicate which post you are applying for (either Appendix 1 or
Appendix 2).
To apply, applicants must submit a fully completed Medical and Dental application form to the above
address by noon, Monday 11th April 2016. Applicants, who are not yet in receipt of a Certificate of
Completion of Training (CCT) or Certificate of Eligibility for Specialist Registration (CESR), are
required to provide documentary evidence of eligibility to apply at the time of application.
9
OVERVIEW OF THE DEPARTMENT AND POST
Current Cardiology Service in Forth Valley
Cardiologists
Dr Allan Bridges:
Dr Stephen Glen:
Dr Allister Hargreaves:
Dr Catherine Labinjoh:
Dr James Spratt:
Cardiology/General Medicine. Associate Medical Director
Cardiology/General Medicine/Echocardiography. Associate Dean
Cardiology/General Medicine/Echocardiography/Cardiac CT
Cardiology/Arrhythmia Service/Device implantation. Clinical Lead
Cardiology/Ischaemic Heart Disease/ Specialist PCI
Specialty Doctor
Dr Linda McShane:
Cardiology Outpatients/Rapid Access Atrial Fibrillation Clinic
Visiting Staff
Dr Ruth McGowans:
Consultant in Clinical Genetics
Outpatient Services
Consultant Cardiologists serve general cardiology and specialty patients supported by our
specialty doctor and specialist nurses. In addition there are a host of multidisciplinary and nurse
led out-patient services that are supported by the Consultant Nurse and Consultant Cardiologists
with clinics in Heart Failure, Coronary Intervention Follow-Up, Ischaemic Heart Disease, Atrial
Fibrillation, Aortic Valve Disease Surveillance and Suspected Angina. A Cardiac Genetic service
is provided by Dr Ruth McGowan and the West of Scotland Genetic team monthly. We are
currently developing a specialist Inherited Cardiac Conditions Clinic.
Suspected Angina Assessment Service - 6 clinics per week. Patients with suspected angina are
offered a prompt appointment. The clinic is run by a Specialist Nurse and Senior Clinical
Physiologist. The clinic is supported by the duty Cardiologist of the Week.
Specialist Valve Clinic - 2 clinic sessions per week for patients with mild to moderate Aortic Valve
disease or Aortic Valve prostheses who require ongoing surveillance. The clinic is run by a
Specialist Nurse and Highly Specialist Clinical Physiologist and supported by a Consultant
Cardiologist.
Post-Coronary Intervention Clinic - 3 clinics per week. All in-patients undergoing coronary
intervention are reviewed by a Specialist Nurse addressing both pharmacological and nonpharmacological aspects of care and rehabilitation.
Heart Failure Service – Our model of heart failure care involves advanced nurse practitioners in
inpatient care as well as follow up (7 sessions/week). There is also provision for patients
requiring outreach at home and palliative care. Weekly MDT and monthly Heart Failure/Cardiac
Devices meetings.
Ischaemic Heart Disease Clinic – A nurse-led service offering rapid out-patient assessment of
patients with known ischaemic heart disease and deteriorating symptoms.
Investigations
Electrocardiography, ambulatory electrocardiography including event monitors.
Ambulatory blood pressure monitoring.
Exercise Tolerance Testing.
Echocardiography including Transoesophageal echocardiography, Exercise and Dobutamine
Stress echocardiography and Contrast echocardiography.
CT Coronary Angiography (Limited service with plans for expansion)
Coronary Angiography and percutaneous coronary intervention performed in either the
Edinburgh Royal Infirmary or Golden Jubilee National Hospital.
10
Cardiac MRI provision within Scotland is limited. We have an MR scanner on site in FVRH with
future plans to include a cardiac package to permit local Cardiac MRI.
Arrhythmia and Device Service
The device implantation service currently spans Forth Valley and Lothian. Cardiac loop recorders
(Linq®) are implanted in our ambulatory cardiology unit by specialist Advanced Nurse
Practitioners. Permanent Pacemakers are predominantly implanted at Edinburgh Royal Infirmary.
Implantable Defibrillators are implanted on site (FVRH) and in Edinburgh Royal Infirmary.
Cardiac Resynchronisation therapy is, for the most part, provided in partnership with the National
Advanced Heart Failure Service in the Golden Jubilee Hospital in Glasgow.
Follow up of all devices takes place within FVRH by a team of highly specialist physiologists who
are EHRA accredited. We employ remote follow up widely. The device service works closely with
the heart failure service to ensure optimal follow up of this patient group.
General Medicine and Acute Medical Receiving
Those candidates with accreditation in general medicine may wish to continue general medical
practice including acute receiving. Since the centralisation of the emergency services, there has
been an average of 37 emergency admissions per day (of all ages) with 25 patients admitted
under general medicine. There is a 16 bed Combined Assessment Unit (CAU) shared with
surgical specialties and adjacent to the A&E Department. There is a 36 bed Acute Admissions
Unit adjacent to CAU. Patients admitted to hospital from AAU and triaged to the relevant
specialty specific clinical area. There is a large Day Medicine unit which provides a range of
options for ambulatory management of patients.
Patients likely to be discharged within 48 hours of admission are discharged from the Acute
Admissions Unit by either the Acute Medicine team or the on call team responsible for the
admission. Patients likely to stay longer will be transferred to a specialist inpatient ward. Those
patients requiring longer periods of rehabilitation are transferred to the Community Hospital
facilities under the care of colleagues in Ageing and Health medicine.
There are 25 Consultant Physicians participating in Acute Medical Receiving with a 1:25 on call
overnight frequency and participation in General Medical receiving 1:12. The process of refining
acute medical care will evolve over the coming months.
Medical Staffing
General medical staffing includes consultants from acute medicine, cardiology (Drs Bridges,
Glen and Hargreaves), Diabetes and Endocrinology, Gastroenterology and Respiratory
Medicine. A number of other specialties support General Medicine including Ageing & Health.
Medical patients services are also supported by three Consultant Haematologists, three
Consultant Rheumatologists and an Associate Specialist in Rheumatology, three Consultant
Neurologists and one Consultant in Rehabilitation Medicine. There are visiting Consultants from
Nephrology and Oncology.
The successful applicant will be expected to participate actively in the day to day working of the
Cardiology service. The unit is a busy one and supports a number of specialist clinics and
investigation services. NHS Forth Valley Consultant Cardiologists provide an on call service during
working hours for one week in every five with prospective cover, accepting new inpatients and
supporting the wider hospital teams as well as local general practitioners. There is no Cardiology
out-of-hours service in FVRH with patients being cared for, in the first instance, by the general
physician on call. Support, where required, comes from our tertiary service providers with whom we
have service level agreements (NHS Lothian and NHS Greater Glasgow and Clyde) and is
predominantly but not exclusively concerned with the provision of primary PCI services. It therefore
vital that in-patients are cared for with clear management plans and there is good communication
with tertiary centres where required.
11
Our new colleague will be required to work closely with Consultant colleagues and the wider
Cardiology multi-disciplinary team and support service development and continuous quality
improvement. The focus will be General Cardiology, however, the development of a subspecialty
interest will be encouraged and supported. Forth Valley has an award-winning Heart Failure service
and our team would particularly value the addition of a clinician with an interest in Heart Failure to
drive forward and build on our success in Heart Failure service provision. Additional skills in
pacemaker, cardiac device implantation and/or cardiac MR imaging would be viewed positively.
Forth Valley NHS aims to deliver high quality, patient-centred care and we aim to provide outpatient
services in a timely fashion and in accordance with current waiting time directives. It is expected that
the successful candidate will provide two general cardiology outpatient clinics per week plus a
specialty outpatient clinic (minimum of 126 clinics per year although this along with other aspects of
the job plan will be dependent on any potential general medical component) and support the work of
nurse-led outpatient services.
Postgraduate and Developmental Facilities
Forth Valley Royal Hospital has a Postgraduate Centre with Lecture Theatre and modern high
quality audio-visual facilities, a well-equipped medical library and a Quality Improvement Hub. It
offers opportunities for a wide range of development activities for all staff groups.
A wide range of full text and e-journals are freely available. Internet access is available in the centre
and also in Consultant accommodation.
There are regular postgraduate meetings with telemedicine links to Glasgow and Edinburgh with
their Royal Colleges. University medical schools and postgraduate facilities are within easy reach.
Forth Valley Royal Hospital is the site of the Scottish Centre for Simulation and Clinical Human
Factors.
12
JOB PLAN
The post holder is required to agree a detailed job plan which will be reviewed at least annually.
Efforts will be made to complete job planning prior to the date of commencement in post, or, if this is
not possible, as soon as possible following this date.
The detail of fixed commitments, including any special interest, will be finalised following
appointment of the successful applicant. This is a 10 Programmed Activity post of which one SPA
will be allocated for Personal Development.
Following commencement in post, depending on the needs of the service and the particular
attributes of the post holder, it may be possible to negotiate additional time for Supporting
Professional Activities to include audit, teaching and training. This will require the approval of the
General Manager and Associate Medical Director.
Supporting professional activities will include all of the Consultant’s professional duties and
commitment. The exact timing and location of the Supporting Professional Activities will be agreed
during the job plan review with the General Manager and Associate Medical Director and included in
the prospective job plan.
An example outline of the proposed cardiology plus general medicine job plan is shown
below.
DAY
Time
TYPE OF WORK
4 weeks in 5
TYPE OF WORK
1 week in 5
Monday
09:00-13.00
13.00-17:00
Direct Clinical Care/Ward Round
Outpatient clinic (1)/Clinic Admin
Tuesday
09:00-12.00
12:30–13:00
13.00-17:00
Administration (General/Inpatient)
SPA (displaced from on call week)
Outpatient Clinic(2)/Clinic Admin
On Call
Wednesday
09:00-17:00
Specialty session
On Call
Thursday
09:00-11.00
11.00-1300
13:00-17:00
09:00-13.00
13.00-17:00
DCC
Department meeting/M&M
Direct Clinical Care/Ward Round
SPA
Specialty OP Clinic/Clinic Admin
Friday
General
medicine
On Call
On Call
On Call
On Call
By negotiation
13
SELECTION CRITERIA FOR THE POST OF CONSULTANT
CARDIOLOGIST or CONSULTANT CARDIOLOGIST and GENERAL
MEDICINE
Criteria
Qualifications
and Experience
Essential
Full GMC registration
Desirable
MRCP (UK), or equivalent
Certificate of Completion of
Specialist Training (CCT) /
Certificate of Eligibility for
Specialist Registration (CESR)
in Cardiology. (Applicants who
are within 6 months of achieving
CCT / CESR, at date of
interview are eligible to apply).
A minimum of 2 years General
Professional Training in General
Medicine
A minimum of 12 months of
Higher Specialist Training in
General Medicine
Knowledge and Skills
Ability to work unsupervised
Strength in clinical decisionmaking
Ability to lead a multidisciplinary team
Ability to work flexibly according
to the needs of the service and
pursuing appropriate personal
development.
Ability to contribute to team and
service development through
training and leadership
Excellent written and oral
communication skills
Ability to manage time
effectively
Good computing and
administrative skills
Evidence that the applicant has
considered how they might how
they might help Forth Valley
Health Board meet its service
14
obligations.
Appropriate sub specialty
interest, knowledge and
training.
Recent experience of working in
the NHS
Committed to delivering
excellence. Can clearly
articulate this concept at
interview
Academic
Successful prior participation in
Audit and/or Quality
Improvement work.
Evidence of participation in
teaching, training and
education.
Formal training and/or
demonstrated ability to
complete a research or quality
improvement project to a high
level (research doctorate/ QI
practitioner level).
Formal training and/or
demonstrated ability and
experience in education/
teaching
Management
Understanding of the NHS in
Scotland
Understanding and experience
of leadership
Understanding of good medical
practice, clinical governance
and patient safety
Demonstrated ability to
manage teams and/or services
Understanding of the vision,
objectives and values NHS of
Forth Valley
Experience of service
development or redesign and
managing change.
(http://nhsforthvalley.com/aboutus/equality-and-diversity/)
Other
Willingness to participate fully in
Consultant appraisal and
revalidation.
Willingness to travel as required
by the duties of the post.
Meeting Occupational Health
Screening standards with up to
date immunisation record
15
Appendix 2
CONSULTANT CARDIOLOGIST with Special Interest
Full Time – 10 Programmed Activities per week
Salary Scale - £ 76,761 - £ 103,490 per annum
Applications are invited for an enthusiastic individual to join the Cardiology team in Forth Valley. The
Cardiology Team aims to provide safe, patient-focused and sustainable services for the people of
Forth Valley. The successful candidate should embrace our values in providing positive leadership
and delivering high quality clinical care.
We believe:



that our patients' individual needs and experience are our first consideration;
that we should conduct ourselves with compassion, courtesy, professionalism, integrity,
openness and respect in our relationships with patients, their families and each other;
that services are best delivered when our staff are highly skilled, motivated, patient-focused
and work together as a team; and continuously improving everything we do.
The post holder will replace sessions released by colleagues pursuing alternative local and regional
duties. The successful applicant will work within the existing team of 5 Consultant Cardiologists in
Forth Valley, in General Cardiology and within the arrhythmia service including cardiac device
implantation. Electrophysiology sessions will be based in the Golden Jubilee National Hospital in
Clydebank. Candidates will be expected to have a wide range of experience in General Cardiology
and possess the MRCP (UK) or equivalent. Candidates will be have experience in high volume
Electrophysiology and would be expected to develop a practice focussing on more complex
procedures including ablation for Atrial Fibrillation, ventricular tachycardia and ablation in adults with
congenital heart disease. The post also includes sessions for implantation of pacemakers,
implantable defibrillators and cardiac resynchronisation therapy devices.
NHS Forth Valley provides acute services for a population of 310,000 people in Central Scotland.
The £300m Forth Valley Royal Hospital became fully operational in 2011and is one of the most
modern and well-equipped hospitals in the country. It is situated in Larbert with excellent road and
rail links to Stirling, Edinburgh and Glasgow. Within FVRH we have a purpose built cardiology unit
hosting outpatient, inpatient and investigation services. We adopt a multidisciplinary approach to
deliver rapid access chest pain clinics, specialist valve surveillance clinics, heart failure and genetics
clinics. We have specialist ambulatory cardiac services including specialist echocardiography, CT
coronary angiography and a chest pain assessment unit. Inpatients are managed in a 14-bedded
cardiology ward with additional beds within our adjacent high dependency unit. There is currently no
routine out-of-hours cardiology service.
Within this integrated setting we provide a team-based approach to patient care and this
appointment will play an important role in the development and continuous quality improvement of
Cardiology services. The Cardiology senior team comprises five Consultants, one Consultant
Nurse/ Department Manager and a Cardiology Investigations Manager. The department is
supported by one Specialty Doctor, three Advanced Nurse Practitioners providing inpatient and
outpatient heart failure care and a Cardiac Rehabilitation Team including Physiotherapy and 8
Specialist Nurses. We also have a team of Specialist and Highly Specialist Clinical Physiologists
(EHRA and BSE accredited).
16
This post is open primarily to applicants who do not require a work permit to take up employment in
the UK. Any applications from applicants who do require a work permit will be considered only if no
suitable UK or EEA national is identified for the post. Further immigration information is available on:
http://www.ukba.homeoffice.gov.uk/workingintheuk
Candidates are encouraged to visit the Department and meet key staff.
Informal enquiries to:
Dr Catherine Labinjoh, Consultant Cardiologist/Cardiology Clinical Lead, tel. no. 01324 566832 or
Mrs Catherine Mondoa, Consultant Nurse and Cardiology Manager, tel no. 01324 566979.
For information on working within the Golden Jubilee Hospital candidates are encouraged to
contact:
Dr Hany Eteiba, Associate Medical Director- Regional and National Medicine, tel: 0141 951 5180 or
Dr Derek Connelly, Lead Clinician – Electrophysiology and Devices, tel: 0141 951 5431
Please quote reference number MD0316146 on all correspondence. It would be greatly
appreciated if you could also indicate which post you are applying for (either Appendix 1 or
Appendix 2).
To apply, applicants must submit a fully completed Medical and Dental application form to the above
address by noon, noon, Monday 11th April 2016. Applicants, who are not yet in receipt of a
Certificate of Completion of Training (CCT) or Certificate of Eligibility for Specialist Registration
(CESR), are required to provide documentary evidence of eligibility to apply at the time of
application.
17
OVERVIEW OF THE DEPARTMENT AND POST
Forth Valley Royal Hospital
Cardiologists
Dr Allan Bridges:
Dr Stephen Glen:
Dr Allister Hargreaves:
Dr Catherine Labinjoh:
Dr James Spratt:
Cardiology/General Medicine. Associate Medical Director
Cardiology/General Medicine/Echocardiography. Associate Dean
Cardiology/General Medicine/Echocardiography/Cardiac CT
Cardiology/Arrhythmia Service/Device implantation. Clinical Lead
Cardiology/Ischaemic Heart Disease/ Specialist PCI
Specialty Doctor
Dr Linda McShane:
Cardiology Outpatients/Rapid Access Atrial Fibrillation Clinic
Visiting Staff
Dr Ruth McGowans:
Consultant in Clinical Genetics
The successful applicant will be expected to participate actively in the day to day working of the
Cardiology service. The unit is a busy one and supports a number of specialist clinics and
investigation services. NHS Forth Valley Consultant Cardiologists provide an on call service during
working hours for one week in every five with prospective cover, accepting new inpatients and
supporting the wider hospital teams as well as local general practitioners. There is no Cardiology
out-of-hours service in FVRH with patients being cared for, in the first instance, by the general
physician on call. Support, where required, comes from our tertiary service providers with whom we
have service level agreements (NHS Lothian and NHS Greater Glasgow and Clyde) and is
predominantly but not exclusively concerned with the provision of primary PCI services. It therefore
vital that in-patients are cared for with clear management plans and there is good communication
with tertiary centres where required.
Our new colleague will be required to work closely with Consultant colleagues and the wider
Cardiology multi-disciplinary team and to support service development and continuous quality
improvement. The focus will be General Cardiology, however, developments in the arrhythmia and
cardiac devices service will be encouraged and supported alongside dedicated electrophysiology
sessions within the Golden Jubilee Hospital.
Forth Valley NHS aims to deliver high quality, patient-centred care and we aim to provide outpatient
services in a timely fashion and in accordance with current waiting time directives. It is expected that
the successful candidate will provide two general cardiology outpatient clinics per week plus a
specialty outpatient clinic (minimum of 102 clinics per year although this along with other aspects of
the job plan will be dependent on any potential general medical component) and support the work of
nurse-led outpatient services.

Outpatient Services
Consultant Cardiologists serve general cardiology and specialty patients supported by our specialty
doctor and specialist nurses. In addition there are a host of multidisciplinary and nurse led outpatient services that are supported by the Consultant Nurse and Consultant Cardiologists with
clinics in Heart Failure, Coronary Intervention Follow-Up, Ischaemic Heart Disease, Atrial
Fibrillation, Aortic Valve Disease Surveillance and Suspected Angina. A Cardiac Genetic service is
provided by Dr Ruth McGowan and the West of Scotland Genetic team monthly. We are currently
developing a specialist Inherited Cardiac Conditions Clinic.
Suspected Angina Assessment Service - 6 clinics per week. Patients with suspected angina are
offered a prompt appointment. The clinic is run by a Specialist Nurse and Senior Clinical
Physiologist. The clinic is supported by the duty Cardiologist of the Week.
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Specialist Valve Clinic - 2 clinic sessions per week for patients with mild to moderate Aortic Valve
disease or Aortic Valve prostheses who require on going surveillance. The clinic is run by a
Specialist Nurse and Highly Specialist Clinical Physiologist and supported by a Consultant
Cardiologist.
Post-Coronary Intervention Clinic - 2 clinics per week. All in-patients undergoing coronary
intervention are reviewed by a Specialist Nurse addressing both pharmacological and nonpharmacological aspects of care and rehabilitation.
Heart Failure Service – Our model of heart failure care involves specialist nurses in inpatient care as
well as follow up (7 sessions/week). There is also provision for patients requiring outreach at home
and palliative care. Weekly MDT and monthly Heart Failure/Cardiac Devices meetings.
Ischaemic Heart Disease Clinic – A nurse-led service offering rapid out-patient assessment of
patients with known ischaemic heart disease and deteriorating symptoms.

Investigations
Electrocardiography, ambulatory electrocardiography including event monitors.
Ambulatory blood pressure monitoring.
Exercise Tolerance Testing.
Echocardiography including Transoesophageal echocardiography, Exercise and Dobutamine Stress
echocardiography and Contrast echocardiography.
CT Coronary Angiography (Limited service with plans for expansion)
Coronary Angiography and percutaneous coronary intervention performed in either the Edinburgh
Royal Infirmary or Golden Jubilee National Hospital.
Cardiac MRI provision within Scotland is limited. We have an MR scanner on site in FVRH with
future plans to include a cardiac package to permit local Cardiac MRI.

Arrhythmia and Device Service
The device implantation service currently spans Forth Valley and Lothian. Cardiac loop recorders
(Linq®) are implanted in our ambulatory cardiology unit by specialist Advanced Nurse Practitioners.
Permanent Pacemakers are predominantly implanted at Edinburgh Royal Infirmary.
Implantable Defibrillators are implanted on site (FVRH) and in Edinburgh Royal Infirmary. Cardiac
Resynchronisation therapy is, for the most part, provided in partnership with the National Advanced
Heart Failure Service in the Golden Jubilee Hospital in Glasgow.
Follow up of all devices takes place within FVRH by a team of highly specialist physiologists who
are EHRA accredited. We employ remote follow up widely. The device service works closely with
the heart failure service to ensure optimal follow up of this patient group.
We anticipate that the successful candidate will contribute to the leadership of the Arrhythmia
Service, developing our ability to provide complex device therapy locally, whilst working in
partnership with the Golden Jubilee Hospital within the National Waiting Times Centre NHS Board.
Both boards are committed to developing a high quality service for patients requiring Interventional
Electrophysiology management and work towards providing a world class reputation.

Postgraduate and Developmental Facilities
Forth Valley Royal Hospital has a Postgraduate Centre with Lecture Theatre and modern high
quality audio-visual facilities, a well-equipped medical library and a Quality Improvement Hub. It
offers opportunities for a wide range of development activities for all staff groups. A wide range of
full text and e-journals are freely available. Internet access is available in the centre and also in
Consultant accommodation. There are regular postgraduate meetings with telemedicine links to
Glasgow and Edinburgh with their Royal Colleges. University medical schools and postgraduate
facilities are within easy reach.
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Forth Valley Royal Hospital is the site of the Scottish Centre for Simulation and Clinical Human
Factors.
The Golden Jubilee National Hospital
Electrophysiologists
Dr Derek Connelly
Dr Gillian Marshall
Dr Roy Gardner
Dr Brian Murphy
Dr Gary Wright
Electrophysiology/ Device therapy
Electrophysiology/ Device therapy
Heart failure/ Device therapy
Device therapy
Electrophysiology/Adult Congenital Heart Disease
Senior Management Team
Associate Medical Director
Head of Operations
Clinical Specialties manager
Clinical nurse manager
Dr Hany Eteiba
Ms Lynne Ayton
Alex McGuire
Ms Jenny Hunter
The Golden Jubilee Hospital is a state of the art tertiary referral centre for cardiothoracic surgical
and interventional cardiological services on the banks of the River Clyde in close proximity to
Glasgow International Airport and within 30 minutes of the centre of Glasgow by road and rail links.
The hospital is managed by its own Special Health Board called The National Waiting Times Centre
Board is part of NHS Scotland. Built recently in the 1990’s, it is a very modern hospital with 300
beds overall and all wards having single rooms with en-suite facilities. The estate is one of a high
specification and has the unusual feature of a hotel and conference centre as an integral unit
alongside the hospital. It has recently also opened The Beardmore Centre of Health Science, and
recently established Scottish Innovation Centre, facilities which provide educational and research
capabilities. Overall, the hospital is regarded by the staff as a very pleasing and attractive working
environment and desirable patient experience.
The main clinical services provided are heart and lung, elective major orthopaedics, general
surgery, plastic surgery and endoscopy services. The successful applicant would join the
Electrophysiology team at the Golden Jubilee Hospital
The Interventional Cardiology service performed around 6500 cath lab and 430 device procedures
in 2014/15. Within the Intervention Suite there is one dedicated electrophysiology laboratory which
provided over 450 electrophysiology procedures within this period and is likely to provide well over
500 procedures in 2015/16. The facility has both CARTO and Velocity mapping systems alongside
the most up to date catheter equipment including contact force sensing catheters, intra cardiac echo
and cryoablation technologies, and provide treatment for an increasingly complex range of
arrhythmias from SVT through to atrial fibrillation, ventricular tachycardia, and arrhythmias in adults
with complex congenital heart disease.

Facilities of the Heart and Lung Centre
4 cardiac catheterisation laboratories (one dedicated EP, one biplane, CARTO, Velocity, ICE)
8 cardiothoracic operating theatres (one used for pacing)
21 Intensive Care beds in 2 Units
3 Cardiothoracic High Dependency Units
Coronary Care Unit (8 beds)
Cardiology day and in-patient wards
2 Cardiothoracic wards
9 bedded National Services Division unit
All standard non-invasive cardiological services
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Non-invasive cardiac imaging including
Multi-channel spiral CT scanner
Siemens Avanto 1.5T CMR scanner
GE 1.5T CMR scanner
Echocardiography
Cardiopulmonary exercise testing
Links with Glasgow, Strathclyde, Caledonian and Stirling Universities

Services provided at the GJNH include:
Advanced electrophysiology and complex device implantation,
Interventional cardiology services, including angioplasty and angiography.
Cardiac surgery
Adult thoracic surgery including lung, oesophageal and chest wall surgery
Scottish Advanced Heart Failure Service
Scottish Adult Congenital Cardiac Service
Scottish Pulmonary Vascular Unit
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JOB PLAN
The post holder is required to agree a detailed job plan which will be reviewed at least annually.
Efforts will be made to complete job planning prior to the date of commencement in post, or, if this is
not possible, as soon as possible following this date.
The detail of fixed commitments, including any special interest, will be finalised following
appointment of the successful applicant. This is a 10 Programmed Activity post of which one SPA
will be allocated for Personal Development.
Following commencement in post, depending on the needs of the service and the particular
attributes of the post holder, it may be possible to negotiate additional time for Supporting
Professional Activities to include audit, teaching and training. This will require the approval of the
General Manager and Associate Medical Director.
Supporting professional activities will include all of the Consultant’s professional duties and
commitment. The exact timing and location of the Supporting Professional Activities will be agreed
during the job plan review with the General Manager and Associate Medical Director and included in
the prospective job plan.
An indicative outline of the proposed cardiology /electrophysiology job plan is shown below.
DAY
Monday
Tuesday
Time
TYPE OF WORK
4 weeks in 5
am
Direct Clinical Care/Ward Round
pm
Outpatient clinic & Clinic Admin
am
Administration (General/Inpatient)
pm
SPA (displaced from on call week)
TYPE OF WORK
1 week in 5
On Call
On Call
Outpatient Clinic & Clinic Admin
Wednesday
Thursday
Friday
am
SPA
pm
Arrhythmia Clinic & Clinic Admin
am
DCC/ Department meeting/M&M
pm
Direct Clinical Care/Ward Round
am
Electrophysiology Sessions
(Golden Jubilee Hospital)
pm
Electrophysiology Sessions
(Golden Jubilee Hospital)
On Call
On Call
On Call
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SELECTION CRITERIA FOR THE POST OF CONSULTANT CARDIOLOGIST with an
Interest in Electrophysiology and Complex Devices
Criteria
Essential
Desirable
Qualifications
and Experience
Full GMC registration
Experience in more complex
referrals including atrial
fibrillation, atrial tachycardia,
ventricular tachycardia in
patients with structural heart
disease and tachycardias in
adult patients with congenital
heart disease
MRCP (UK), or equivalent
Certificate of Completion of Specialist
Training (CCT) / Certificate of Eligibility for
Specialist Registration (CESR) in
Cardiology. (Applicants who are within 6
months of achieving CCT / CESR, at date
of interview are eligible to apply).
A minimum of 2 years General
Professional Training in General Medicine
Extensive training in Electrophysiology
and ablation as specified in the Speciality
Training Curriculum for Cardiology of the
JRCPTB
Knowledge and
Skills
Ability to work unsupervised and strength
in clinical decision-making
Ability to lead a multi-disciplinary team
Ability to work flexibly according to the
needs of the service and pursuing
appropriate personal development.
Evidence that the applicant has
considered how they might
how they might help Forth
Valley Health Board meet its
service obligations.
Experience of working in the
NHS
Ability to contribute to team and service
development through training and
leadership
Excellent written and oral communication
skills
Ability to manage time effectively
Good computing and administrative skills
Academic
Successful prior participation in Audit
and/or Quality Improvement work.
Evidence of participation in teaching,
training and education.
Formal training and/or
demonstrated ability to
complete a research or quality
improvement project to a high
level (research doctorate/ QI
practitioner level).
Formal training and/or
demonstrated ability and
experience in
education/teaching;
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Management
Understanding of the NHS in Scotland
Understanding of good medical practice,
clinical governance and patient safety
Understanding of the vison, objectives and
values NHS of Forth Valley
(http://nhsforthvalley.com/aboutus/equality-and-diversity/)
Other
Understanding and experience
of leadership
Demonstrated ability to
manage teams and/or services
Experience of service
development or redesign and
managing change.
Willingness to participate fully in
Consultant appraisal and revalidation.
Willingness to travel as required by the
duties of the post.
Meeting Occupational Health Screening
standards with up to date immunisation
record
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GENERAL EMPLOYMENT INFORMATION
Equality in Employment
NHS Forth Valley fully supports the principle of equality in employment and opposes all forms of
unlawful and / or unfair discrimination which cannot be shown to be justified. NHS Forth Valley is
committed to ensuring equality of treatment for both present and potential employees.
Human Resources Policies and Services
NHS Forth Valley is the largest employer in Forth Valley, and is committed to ensuring its
employment and Human Resources policies and procedures reflect best practice. As a progressive
employer, NHS Forth Valley is committed to supporting and developing all employees.
The Medical Workforce Team
In recognising the needs of services, operational requirements and medical staff, the operational
Medical Workforce team provides a range of services for all grades of medical and dental staff. For
assistance or information, please contact:
Jacqui Crilley
Medical Workforce Manager
01324 618334
[email protected]
Laura Bayley
Medical Workforce Adviser
(Contracts)
01324 618332
[email protected]
Lynsey Doherty
Medical Workforce Adviser
(Contracts)
01324 618330
[email protected]
Elspeth Gillespie
Medical Workforce Adviser
(Contracts)
01324 618329
[email protected]
Janice Soroka
Medical Workforce Adviser
(Recruitment)
01324 618322
[email protected]
Lauren Angus
Medical Workforce Assistant
(Recruitment)
01324 618327
[email protected]
Pre-Employment Screening

Criminal Convictions - Protecting Vulnerable Groups (PVG) Scheme
The Protecting Vulnerable Groups (PVG) scheme has replaced the previous disclosure
arrangements for people who work with vulnerable groups. The duties of this post require the post
holder to undertake regulated work with children and young people (individuals aged under 18
years) and / or protected adults (individuals aged 16 or over who is provided with (and thus
receives) a type of care, support or welfare service).
The post holder will be required to be a member of the PVG Scheme and to consent to NHS Forth
Valley obtaining a Scheme Record or Scheme Record Update, as appropriate. Any failure to
disclose convictions could result in the withdrawal of an offer of employment.
Any applicant wishing to discuss any existing criminal convictions and how these may impact upon
an application for employment should contact the Medical Workforce Manager in the first instance.
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Occupational Health Screening
This post involves the performance of exposure prone procedures and therefore the successful
applicant will be required to produce evidence of their Hepatitis B and C Immunity Status. The
successful candidate will be required to produce evidence of Hepatitis B and C status prior to
appointment and to undergo satisfactory health screening. Any offer of employment will be subject
to satisfactory Occupational Health assessment.
Infection Control and Hand Washing Policy
NHS Forth Valley is committed to providing as clean and safe environment as possible for staff,
patients and visitors. The post holder will be required to comply with the Infection Control and Hand
Washing Policies.
Health & Safety at Work
All employees have a responsibility for their own health & safety and the health & safety of others
who may be affected by what they do. Employees also have a duty to co-operate with their
employer by following NHS Forth Valley policies and procedures and safe systems of work; by using
equipment safely and by bringing any shortcomings in health and safety arrangements to the
attention of their employer. Where something is provided in the interests of health & safety
employees must not interfere or misuse it. All employees have a legal responsibility to report any
shortcomings in this regard within their area of work. Managers and supervisors have a
responsibility for monitoring health & safety arrangements and ensuring staff are following policies
and procedures and safe systems of work.
Partnership Agreement
NHS Forth Valley is committed to partnership working. All employees are required to contribute to
the development of partnership working by:
 supporting NHS Forth Valley in delivering its goals and objectives;
 supporting continuous improvement in individual performance and the performance of the
relevant team / department, directorate and NHS Forth Valley;
 attending training, development and other activities aimed at improving individual skills for the
benefit of the organisation and patient care.
Confidentiality
During the course of their employment with Forth Valley NHS Board (hereafter referred to as the
Board), employees may have access to information about staff or patients or other aspects of NHS
Forth Valley’s activities, about which they have a duty to maintain confidentiality at all times. In
common with all other staff, the post holder will have, in addition, a responsibility to ensure that
information relating to his or her work and the operation of the Board in general is kept and
maintained securely in accordance with the requirements of the Data Protection Act (1998), the
Board’s policies and good practice. In particular, the disclosure of commercial or other confidential
information which may affect the Board’s business interests or endangers the survival of any of its
services will be regarded as a fundamental breach of the mutual confidence which must exist
between employer and the employee.
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APPLICATION PROCESS
Applicant Information, including the job description for the post is available from Medical Workforce
by telephone on 01324 618327 or by email at
[email protected]
It is important that all applicable sections are completed as it will not be possible to consider
incomplete applications.
Please note that we do not accept applications in the form of Curricula Vitae.
Please quote reference MD0316146 on all correspondence. It would be greatly appreciated if you
could also indicate which post you are applying for (either Appendix 1 or Appendix 2).
Please note the following dates:
Closing Date: noon, Monday 11th April 2016.
Please return your completed application to:
Medical Workforce
Human Resources Department
Administration Offices
Falkirk Community Hospital
Westburn Avenue
Falkirk FK1 5SU
or, if returning an application electronically, please email it to:
[email protected]
All applications will be acknowledged within two working days of receipt.
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