Download 5. General Information Relating to Terms

JOB DESCRIPTION & PERSON SPECIFICATION
(Incorporating general information about UCL Hospitals NHS Foundation Trust)
For
Consultant Cardiologist
(Full time post)
at
UNIVERSITY COLLEGE LONDON HOSPITALS
NHS FOUNDATION TRUST
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Contents
Page No.
Section 1: An introduction to this Appointment
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Section 2: UCLH NHS Foundation Trust Information
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Section 3: Directorate & Department Information
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Section 4: The Role & Responsibilities of the Post-Holder .. .. .. .. .. .. .. 11
Section 5: General Information Relating to UCLH Terms & Conditions.. .. .. 13
Section 6: The Person Specification for this Appointment
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.. .. .. .. .. .. .. 18
UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST
1. The Appointment
This is a new post which has been funded in order to allow the further development of
heart failure, device implantation and general cardiology services for UCLH. The
postholder will have responsibilities on both the UCH and Heart Hospital sites, and
operating time at the Heart Hospital. Clinics will be held at UCH.
The UCLH heart failure service has an excellent reputation, and provides evidence
based heart failure management practice. The service needs to progress to provide
advanced heart failure services, particularly the assessment and treatment of patients
potentially requiring defibrillator or cardiac resynchronisation therapy. The
development of this post will also allow the Heart Hospital to become a tertiary and
quaternary referral centre for the management of heart failure, taking referrals from all
of North Central London
Visits to the Hospital
For informal discussions about this post please contact: Dr Simon Woldman,
Consultant Cardiologist, The Heart Hospital, 16-18 Westmoreland Street, London
W1G 8PH email: [email protected] or Dr Clare Dollery, Acting Divisional
Clinical Director, The Heart Hospital / University College London Hospitals NHS
Trust, 16 - 18 Westmoreland Street, London W1G 8PH, Tel 0207 573 8888, Fax 0207
573 8881, Email [email protected].
To Apply for this post
[Paola to complete]
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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:
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The Eastman Dental Hospital
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 Edward Byrne is Executive
Dean of the Faculty of Biomedical Sciences and Head of the Medical School. Professor Ian
Jacobs is Vice-Dean for Research and Professor Jane Dacre is Vice-Dean for Education.
Professor Humphrey Hodgson is Vice-Dean RFUCMS and Campus Director of the
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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 NASH 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:
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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.
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Our Patients
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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 opened in 2008.
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
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.
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.
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.
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Clinical Services – Consultant Staff at The Heart Hospital
Electrophysiology
Dr Martin Lowe
Dr Tony Chow
Dr Edward Rowland
Dr Pier Lambiase
Dr Ron Simon
Dr Oliver Segal
Cardiomyopathy
Prof William McKenna
Dr Perry Elliott
Dr Maite Tomé
Dr Antonios Pantazis
Echocardiography
Dr Denis Pellerin
Dr Camelia Demetrescu
Coronary Intervention
General Cardiology
GUCH
Dr Howard Swanton
Dr Malcolm Walker
Dr Di Holdright
Dr Tom Crake
Dr David Brull
Dr Shrilla Banerjee
Dr Arvinder Kurbaan
Dr Jean McEwan
Dr Clare Dollery
Dr Simon Woldman
New Post
Prof John Deanfield
Prof Philip Bonhoeffer
Dr Shay Cullen
Dr Fiona Walker
Mr Victor Tsang
Miss Carin van Doorn
Mr Martin Kostolny
Rapid Access Chest Pain Service
Dr Elsya Speechly-Dick
Heart Failure
Dr Simon Woldman
New post
Cardiac, Thoracic & GUCH surgery
Mr Martin Hayward
Mr Shayam Kolvekar
Mr David Lawrence
Mr John Yap
Professor of Cardiothoracic Surgery (appointment tbc)
Clinical Specialties and Academic Units
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 at the UCH site, and the aim of these is 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 services in order to develop common
diagnostic and management algorithms and a dedicated rehabilitation programme for patients
with heart failure. The Heart Failure Service has major research interests that include imaging
in heart failure, community management of heart failure, and the clinical application of
biventricular pacing. There are plans to develop heart failure surgery and possibly ventricular
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assist device insertion at the THH site with the appointment of Professor Chris McGregor,
formerly of the Mayo clinic as Professor of Cardiac Surgery.
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
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.
General Cardiology
This team comprises Dr Clare Dollery Dr Simon Woldman, and Dr Jean McEwan, and
reviews 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.
Cardiomyopathy
Professor McKenna, Dr Elliott and the cardiomyopathy group have established a national
centre for inherited cardiovascular disease 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. These new, major clinical
initiatives are supported by a strong basic science group at UCL which includes groups with
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particular expertise in cardiovascular genetics (Steve Humphries), gene therapy (John Martin
and Paul Riley), cardiovascular pharmacology (Raymond MacAllister), developmental biology
(Ross Breckenridge) and population genetics (Harry Hemingway and Aroon Hingorani). The
cardiomyopathy and arrhythmia teams run 2 clinics per week at Great Ormond Street
Hospital for Children for the management of children and adolescents with inherited forms of
cardiomyopathy, heart failure and arrhythmia.
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. Complex PCI is routinely undertaken, with the use of IVUS,
pressure wires and distal protection devices as required.
Grown-Up Congenital Heart (GUCH) Unit
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 day to day running of the unit is carried out by Drs Shay Cullen and Fiona
Walker, and three full time clinical GUCH fellows. Close links have been established with the
adult electrophysiology service. Surgical and transcatheter interventions for complex
congenital heart lesions are performed weekly. Professor Philipp Bonhoeffer leads the
percutaneous pulmonary valve replacement program , while Professor John Deanfield leads
the overall GUCH academic program.
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. The clinic is supported by cardiac nurses who are able to
advise on risk management and to pre-clerk patients for angiography.
Echocardiography
There is a consultant-lead Echocardiography Service, headed by Dr Denis Pellerin. In
addition to transthoracic echo and TOE, a stress echo service is available and rapidly
expanding. The echo service has seven echo machines at the Heart Hospital, with further
machines on the other sites. In addition, there are three echo machines permanently in
theatre for intraoperative TOE. There are also strong links with specific patient groups such
as Adult Congenital Heart Disease (GUCH) and cardiomyopathy patients.
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
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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.
Cardiac Magnetic Resonance Imaging
Cardiac Magnetic Resonance Imaging is led by Dr James Moon and is linked to a trans-UCL
program in collaboration with Dr Andrew Taylor (GOSH).
Clinical Pharmacology & General Medicine
Professor John Martin is the British Heart Foundation Professor of Cardiovascular Science at
UCL. His research interests include the role of VEGF in atherosclerosis. Professor Raymond
MacAllister has research interests in cardiovascular pharmacology, with emphasis on the
vascular endothelium and the nitric oxide pathway. Dr Aroon Hingorani, BHF Senior Fellow &
Senior Lecturer in Clinical Pharmacology, heads a research group with particular interest in
population genetics.
Cardiac, Thoracic and GUCH Surgery
Over 1400 operations were performed by the unit last year, with further plans for expansion.
Off-pump surgery and arterial revascularisation are increasingly being undertaken. Complex
adult congenital heart surgery is performed by Mr Victor Tsang and Miss Carin van Doorn.
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
Yellon); endothelial function and the vessel wall in vascular disease (Aroon Hingorani, John
Deanfield); congenital heart disease/ vascular physiology (John Deanfield); cardiac growth
and metabolic efficiency (Hugh Montgomery); Cardiovascular cell biology/platelet
function/neovascularisation (John Martin); cardiomyopathies (William McKenna, Perry Elliott);
cardiac conformational development (Ross Breckenridge); and cardiovascular genetics (Hugh
Montgomery, 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 and Hatter Institute for Cardiovascular Studies (UCL Campus)
Directed by 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.
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4. The Role & Its Responsibilities
The post-holder will be accountable to Dr Clare Dollery, Acting Divisional Clinical Director at
the Heart Hospital.
The post is within the Clinical 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. This is an outline program and you will be expected to discuss and
agree a detailed job plan within 3 months of your start date.
Proposed Job Plan
Month 1 (8months /year) Specialist Heart Failure and devices
Heart Failure
AM
PM
Mon
Admin/CPD
Alternate week
clinic specialist
HF
Device
implantation +
ward round
Tues
Admin
Wed
Device
Implantation+
ward round
Thurs
Junior Doctor
management
Friday
JCC
Admin
2pm Finish
Device
optimisation
Heart Hospital
HF Ward
Round/admin
HF clinic /
advanced HF
clinic
Month 2 (2months /year) Cardiac consult service and devices
General
Cardiology
AM
PM
Mon
Tues
Wed
Thurs
Friday
AAU + ITU
WR
Device
implantation +
ward round
AAU + Tower
WR
2pm Finish
AAU + ITU
WR
Device
optimisation
AAU + Tower
WR
Heart Hospital
HF Ward
Round /Admin
JCC
Admin
HF clinic /
advanced HF
clinic
Thurs
Heart Hospital
Ward Round /
teaching
Admin
Friday
JCC
Admin
Month 3 (2months /year) General Cardiology and devices
Heart Hospital
AM
Mon
Heart Hospital
Ward Round
PM
Device
implantation +
ward round
Tues
General
Cardiology
Clinic
2pm Finish
Wed
Device
Implantation+
ward round
Device
optimisation
HF clinic /
advanced HF
clinic
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
The appointee will be lead clinician for cardiac reynchronisation and defibrillator device
optimisation complementing their role in the heart hospital device implantation practice. The
postholder will set up and lead a once weekly device optimisation clinic.
The appointee will assist in the inception of an advanced heart failure clinic in co-operation
with Dr Simon Woldman on an alternate month basis. Patients referred from other hospitals
will be assessed for device implantation and enrolment in clinical trials for advanced heart
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failure. On the other alternate months the postholder will provide Heart Failure services to
inpatients at the University College Hospital via the heart failure ward rounds and participate
in a general heart failure clinic.
The successful candidate will join the Cardiology Consult Service at UCH for 2 months of the
year and will work with current consultant staff to provide a cardiology service to all patients
admitted to UCLH on a daily consultant-led ward round. The appointee will provide daily
review of new admissions to the acute admissions unit and the intensive care unit in addition
to advising on the cardiac care of the complex tertiary population related to specialist teams
at UCLH. He/she will work with medical teams based at The Heart Hospital to facilitate treat
and transfer of patients requiring invasive investigation, intervention or care from one of the
specialist services. For 2 months the successful candidate will also contribute to ongoing care
of inpatients at The Heart Hospital under the care of the general cardiology team working cooperatively with interventional consultants with joint appointments.
On Call Rota
It is anticipated that the post holder will not be required to participate in an on call rota.
Research
The postholder will be expected to develop a clinical research interest in heart failure
Teaching and Training
The appointee will contribute to the teaching of medical students and to participate in weekly
postgraduate meetings of the cardiology Department as well as audit, governance and
training meetings. He or she will also be given responsibility for the day to day management
of the sub-registrar grades in Cardiology at the Heart Hospital. He will be expected to gain
training as an educational supervisor.
The Appointee
The appointee will be expected to fully contribute to the administrative, teaching and research
activities within the department. 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. You 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.
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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 have a single or shared office with appropriate IT facilities and
support and dedicated clinical secretarial support.
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 £73,403 and, subject to satisfactory job
planning and review, will rise through annual threshold increases to £98,962 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.
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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
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.
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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
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
It is the aim of the Trust to ensure that no applicant or employee receives less favourable
treatment on grounds of sex, race, colour, nationality, disability or sexuality and is not
disadvantaged by conditions or requirements which cannot be shown to be justifiable. To this
end, the Trust values and promotes diversity and equality in the work place. The Trust has an
Equal Opportunities Policy and it is for each employee to contribute to its success.
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.
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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
In light of overwhelming evidence that smoking can seriously damage health UCLH operates
a “No Smoking Policy” which does not allow smoking at work other than in a designated area.
Smoking is a Health and Safety issue, and all staff has a responsibility to ensure that smoking
does not occur in public areas and to be aware of, not only health risks, but also the risks of
unnecessary fire alarm activation. The Occupational Health Department will provide advice
on smoking facilities and resources available to assist those staff who wish to give up
smoking.
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 the Facilities department .
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.
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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:
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

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

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.
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6.
Person Specification
Post Title: Locum Consultant Cardiologist
Division/ Directorate: Cardiology/ Specialist Hospitals Board
Activity: 10 PAs
Essential Criteria
Desirable Criteria
Where
evaluated
Full registration with the GMC
Professional
Qualifications
App Form
GMC
GDC
CCST in Cardiology at date of interview.
MRCP (UK) or equivalent
NB: Non UK trained doctors must be on
the GMC register and specialist register
[speciality] by date of interview.
Clinical
Experience
Clinical Skills
Clinical
Knowledge
Audit
Management &
IT
Research.
Teaching skill &
experience
Personal
Qualities
Expertise at Device (both Defibrillator
and CRT) implantation
Experience in Device Optimisation clinics
Experience working in a multidisciplinary
heart failure team
Excellent skills for Device implantation
Echocardiography
General Cardiology
Recent experience in General Medicine
Experience within
cardiac transplant
centre
Recent experience
within renal unit
Advanced
echocardiography
Accreditation in General
Medicine or Intensive
Care
APP Form
Ref/ Int
APP Form
Ref/ Int
Knowledge of General Cardiology
NICE and SIGN findings as applicable to
Heart Failure and General Cardiology
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
Evidence of track record in Research
Knowledge of research ethics
Previous experience in teaching and
training Medical Students, Junior
Doctors, Nurses and AHPs
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.
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MD/PhD or equivalent
Formal Teaching
Qualification
APP Form
Ref/ Int
Ref/Int
Evaluation Key: App Form [Application Form] Ref [References] Int [Interview]
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