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CONSULTANT PHYSICIAN IN ACUTE MEDICINE INFORMATION PACK ROYAL ALEXANDRA HOSPITAL REF: 38302D CLOSING DATE: NOONON 21ST AUGUST 2015 www.nhsggc.org.uk/medicaljobs 1 SUMMARY INFORMATION POST: CONSULTANT PHYSICIAN IN ACUTE AND GENERAL (INTERNAL) MEDICINE BASE: ROYAL ALEXANDRA HOSPITAL, PAISLEY – 1 POST Applications are invited for the post of Consultant Physician in Acute Medicine. The post holder will be based at the Royal Alexandra Hospital. This is a new post and we would aim to accommodate the special interest of the successful candidate depending on service need. The successful candidate will integrate with existing consultant colleagues and provide clinical excellence in Acute Medicine within the Royal Alexandra Hospital and within General Medicine in the Vale of Leven Hospital as part of a rota shared between all GIM consultants. This post will offer an opportunity for the successful candidate to be involved in the provision of a successful modern consultant led service. All major specialties are represented within the Royal Alexandra Hospital with Consultant Physicians with special interests in Cardiology, Diabetes & Endocrinology, Gastroenterology, Respiratory Medicine, Haematology, Rheumatology and Elderly Care. Applicants must have full GMC registration and a licence to Practise. Those trained in the UK should have evidence of higher specialist training leading to CCT in Acute Medicine or General (Internal) Medicine (Acute) or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. Non UK applicants must demonstrate equivalent training. 2 Particulars of the following post: Consultant in Acute Medicine with acute medical duties based at the Royal Alexandra Hospital, Paisley, with clinical commitments at the Vale of Leven Hospital, Alexandria. 1. General Information The Royal Alexandra Hospital (RAH) is situated in Paisley and provides acute health care services to Renfrewshire District, serving a population of approximately 205,000. The RAH is one of the largest and busiest non-teaching District General Hospitals (DGH) in Scotland. The hospital has 968 beds and was opened in 1986. The hospital is also the base for provision of surgical, orthopaedic, ophthalmology, paediatric and the majority of maternity services to the population north of the Clyde served by the Vale of Leven Hospital (VOL). The RAH provides a wide range of DGH specialties with excellent support facilities. The hospital has a first class radiology department with modern facilities, and recently acquired a second CT scanner. All departments participate in undergraduate teaching, and there is an active postgraduate educational programme. The hospital enjoys an enviable reputation for undergraduate teaching and is highly popular with trainee doctors. There is a good medical library and postgraduate education centre. 2. The Medical Unit The medical unit has 175 beds plus an 18 bed coronary care unit and medical beds on the High Dependency Unit. GP emergency referrals are assessed in a consultant led 8 bed medical assessment unit, which is run by acute care physicians. All other admissions are sent to a 30 bed acute medical unit, shared between an acute physician and the physician of the week. Patients are quickly triaged to the other medical wards, with specialist diabetes and endocrinology, gastroenterology, cardiology, respiratory, rheumatology and haematology wards. There are outpatient clinics in all major medical specialties at the RAH including a weekly Acute Medical Clinic The medical unit is committed to contributing to consultant led intermediate care at the Vale of Leven Hospital, which is supported by local GPs and GP trainees. The Vale of Leven Vision commenced in 2010 to support the safe running of the medical unit at the VOL, with unwell patients or those needing specialist input transferred to the RAH for ongoing care. 3 3. Consultant Staffing In addition to the current post, there are 24 consultant physicians with special interests as noted. Dr Gautam Ray Dr Chris Foster Dr Iain Keith This Post Dr Iain Findlay Dr Stuart Hood Dr Eileen Peat Dr Alistair Cormack Dr Claire Murphy New post Prof Martin McIntyre Dr Claire Harrow Dr Neil McGowan Dr Chris Smith Dr James McPeake Dr Mathis Heydtman Dr Graham Naismith Dr Riz Hamid Dr Selina Lamont Dr Zia Mustafa Dr Alistair Dorward Dr Jane Gravil Dr Douglas Grieve Dr Yi Ling Dr Matt Embley Dr Gillian Roberts Dr Martin Perry Dr Catriona Grigor Acute Medicine Acute Medicine Acute Medicine Acute Medicine Cardiology Cardiology Cardiology Cardiology Cardiology Cardiology Diabetes and Endocrinology Diabetes and Endocrinology Diabetes and Endocrinology Diabetes and Endocrinology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Respiratory Medicine Respiratory Medicine Respiratory Medicine Respiratory Medicine Respiratory Medicine Rheumatology Rheumatology Rheumatology A clinical haematology service is provided within ward 1 by four consultant haematologists, supported by junior staff from the medical unit. There are 4 sessions of visiting and out-patient neurology, and there is a weekly renal consultation service from the Western Infirmary Glasgow (WIG) renal unit. 4 4. Medical Unit Junior Staff 9 Specialist Registrars 4 core medical trainees 3 GP specialty trainees 5 Foundation Year 2 17 Foundation Year 1 There are specialist nurses in diabetes, respiratory medicine, cardiac rehabilitation, cardiac failure, haemato-oncology, gastroenterology, DVT and chest pain management. 5.0 Acute Medical Services There are currently three Acute Medical consultants who run the AMU. Acute Medical admissions are admitted to the AMU which is run between one of the Acute Care Physicians and the weekly rotating POW. This is from Monday morning until Friday afternoon with twice daily ward rounds. At the weekend the AMU is shared between the first and second on consultants. Patients are triaged for transfer to one of the downstream speciality wards if not for early discharge from AMU. The POW starts the morning ward round at 8am and sees half of the admitted patients and one of the Acute Care Physicians start at 9am by leading the medical shift handover and then see the other half of the admitted patients. 5.1 Medical Assessment Unit MAU supports a rapid and comprehensive assessment of selected patients from 10am until 10pm, 7 days a week. It accepts GP referrals in the day and selected patients from A&E. The purpose of the unit is to ensure all patients are safely assessed, given a treatment plan and importantly, have early senior decision making during their hospital care. Consultant review for these patients should happen in ‘real time’ rather than in a dedicated ward round to facilitate flow within the unit. This results in an admission to one of the downstream speciality wards within RAH, referred to a speciality and/or discharged from hospital. Increasingly, appropriate patients are being discharged from MAU and are managed on an ambulatory basis by being seen as a return patient to MAU for follow up on subsequent day(s) or in the Acute Medical Clinic. This often avoids what would have previously been an admission from A&E to one of the downstream wards. 5.2 Medical High Dependency Unit RAH has 3 to 4 HDU medical beds at present within the combined 12 bedded HDU. However, this is flexible. The Acute Medical Consultants manage these patients and triage them to respective specialities as required. The HDU manages both level 2 and level 3 patients, with facilities for invasive haemodynamic monitoring, non invasive positive pressure ventilation, high flow nasal oxygen, vasopressors and inotropes. We also have close links with the local ITU team 5 Additionally, the Acute Medical team have a strong ethos of Quality Improvement and service development, with existing responsibilities and clinical networks at local, board and national levels. It actively participates in the Society of Acute Medicine (UK) national audits and research activities. There is currently active research underway and there are existing links with both post and undergraduate medical education departments. The Acute Medicine and General Medicine Department is well renowned for teaching and has been awarded Awards of Excellence from the Glasgow University for delivering high quality teaching in both Undergraduate and Postgraduate Teaching. In addition the MAU has recently won the prestigious ‘Chairman’s award’ for work on the implementation of the sepsis bundle and The Facing the Future Award. 5.3 Developing Ambulatory Care Given the significant pressures that unscheduled care presents to the RAH and the impact that this has on patient safety, quality and flow, the Acute Care Physicians have recognised this and have been extremely keen to develop alternative ways of caring for emergency patients. By using a number of new outpatient ambulatory care pathways and admission avoidance protocols a significant number of bed days have been saved. Current ambulatory/early discharge initiatives include OPAT, PE, DVT, management of diabetic ketosis, programmed investigations, facilitated discharge pathways and early review. 5.4 Coronary Care Unit Patients with acute myocardial infarction, acute coronary syndromes, arrhythmias or congestive cardiac failure are admitted to the 18 bed coronary care unit, which includes a 6 bed chest pain assessment area. CCU is staffed during the day by one of the consultant cardiologists on a rotational basis, supported by junior medical staff from the cardiology ward. About 1000 patients are admitted per year. Currently OOH on-call cover for the CCU is provided by the on call physician with support for temporary pacing provided by the Golden Jubilee Hospital. The cardiology team have recently opened a successful chest pain assessment unit providing a consultant led day 0 chest pain assessment service. The cardiology team are actively engaged in nation wide research projects 5.5 Vale of Leven (VOL) Medical Unit The consultant physicians at the RAH rotate to the VOL 1 week in 17, during which usual clinical commitments are cancelled. The acute medical receiving unit at the VOL has 12 beds, with twice daily consultant ward rounds. There is also responsibility for the 27 bed general medical ward at the VOL during that week. 6 5.6 Junior Doctors out of hours A Hospital at Night (H@N) and Hospital at Weekend service commenced in August 2006. Medical staff covering the out of hours period are expected to lead and participate in the H@N team, with a formal handover meeting at the start of the night shift. This is now well established and aims to enhance out of hours patient care and safety. 5.7 Medicine for the Elderly Medicine for the Elderly is part of the Rehabilitation and Assessment Directorate, but there is a close working relationship between this department and adult medicine. Junior doctors from Medicine for the Elderly participate fully in the medical rota. The department consists of 90 assessment and rehabilitation beds (Wards 3, 5 & 7) and an acute stroke ward (ward 4). Stroke thrombolysis is delivered at the South Glasgow University Hospital site. The Day Hospital for the Elderly (30 places), incorporating an Outpatient Consulting Suite, is located adjacent to the main hospital entrance. Thirty continuing care beds (Ward 36) are located in a separate building to the rear of the main hospital site. The department is staffed by seven consultants: Dr Graeme Simpson, Dr Carol Wilkieson, Dr Deborah Mack Dr Helen Slaven, Dr Oona Lucie, Dr Julie McManus and Dr Janice Murtagh. There is one established locum consultant who looks after long stay beds. There are 3 GP trainees, one core medical trainee and 5 FY2s attached to this unit. There is also a 0.8 whole time equivalent staff grade doctor for the Day Hospital for the Elderly. The medicine for the elderly department at the VOL is staffed separately by 2 consultants. Recently an Older Adults Assessment Unit (OAAU) has been opened which provides rapid comprehensive Geriatric assessment It has six assessment beds where acutely ill frail elderly patients are referred from the Emergency Department (and occasionally from AMU or MAU) are assessed on the same day by a Consultant Geriatrician who is supported by a dedicated AHP team. The unit has well established links with the community teams who support and facilitate early assessment and discharges from the acute hospital, with follow up arranged in the community if needed. The assessment beds are complimented by a further six short stay beds to facilitate early discharge and maintain patient flow. This unit is currently a pilot. The OAAU on an average discharges around 75% patients within 72 hours and a quarter of which are on the same day thus reducing the length of hospital stay. The outstanding team work of this unit has been acknowledged at local, regional and national levels. 7 5.8 Investigation Facilities There is a modern and well staffed radiology department with new CT and MRI facilities. There is also an interventional radiology service, with access to CT and USS guided biopsy. On site access to cardiological and endoscopic investigations are available. There are consultant led biochemistry, haematology and microbiology services at the RAH, and cytology and histopathology services are provided at the Southern General Hospital, Glasgow. The Acute Medical team has procured the facility of bedside ultrasound within the unit. Blood gas analysis is available in both HDU and MAU. 6.0 Clinics The acute medical team run 1 clinic per week which sees both new general medical referrals and follow up patients post-discharge 7.0 Management Arrangements The Clinical Director for Medicine across the Clyde Division is Dr Chris Jones based at Inverclyde Royal Hospital. The Clinical Leads for Medicine across Clyde Division are Dr Jane Gravil, based at Royal Alexandra Hospital, and Dr Lisa Hutton, based at Inverclyde Royal Hospital. The day-to-day activities of the directorate are under the supervision of the General Manager, Ms Jacqueline Nicol. Ms Kirsty Orr is the Clinical Service Manager for Emergency Care and General Medical Wards in the Royal Alexandria and Vale of Leven Hospitals. Mrs Debbie Hardie is the Clinical Service Manager for Inverclyde Royal Hospital and Outpatients for Medical Specialities, South Clyde Sector. 8.0 Summary and Duties of the Post Acute Medicine This new post is for a consultant in Acute Medicine. The Acute Medical department is continually developing and has aims to develop both a well organised, innovative and comprehensive ambulatory service and an expanded more streamlined medical assessment service. The successful applicants will be expected to take an equal role in the development of these initiatives and services with the existing consultants. As part of a team of acute medical consultants the postholders will be expected to cover the following work streams 1. Ward rounds of the Acute Medical Unit daily. This is a 30 bedded ward. The morning ward round is shared between the Physician of the week and the Acute Medical consultant on an 8 2. 3. 4. 5. 6. 7. 8. equal basis. The AMU is covered by the Physician of the week in the afternoon A continuous presence in the Medical Assessment Unit. The MAU has an ethos of providing rapid senior assessment of patients by consultant staff to facilitate discharge, expedite appropriate treatment and streamline patient flow. The Consultant is expected to take a leadership role in the MAU and provide training for the Acute Medical Registrars as well as FY2/ST levels High Dependency. This is structured as a mixed medical/surgical High Dependency with a nominal split of 4:8. This is, however, flexible. The successful candidate would be expected to have the ability to lead the care of patients with multi-organ failure requiring invasive monitoring/inotropes/vasopressors/NIPPV and have the requisite practical skills and clinical knowledge to initiate these treatments. Ambulatory care. The Acute Medical Team lead the ambulatory care facility and the successful candidate would be expected to provide leadership, decision making, clinical governance and take part in the development of further ambulatory facilities. Quality Improvement and service development. The Acute Unit in RAH has a reputation for quality improvement and is continuously developing the services it provides. Currently the consultant team hold QI responsibilities at local, board and national levels. The successful candidate would be encouraged to become engaged with the units underlying QI initiatives and develop further as fit. This would be subject to requisite SPA The Acute team necessarily engage with a wide range of colleagues and as such represent the unit in a variety of settings (committees/working groups etc). The successful postholder would be encouraged to engage in similar as oppertunities become available. This would be subject to requisite SPA The successful candidates will be supported in pursuing their sub-speciality field of interest presuming it is in line with acute service priorities as agreed by the clinical director Educational supervision of trainees (FY1 to ST7) subject to requisite SPA The Acute Medical Department has plans for substantial organisational and structural development in the future. The successful candidate will be integral to the development of these initiatives. As such there may be a change to the work streams covered by the department. Any changes will be undertaken and agreed by the entire unit. Inpatients The acute medical department does not have continuing care beds outside of the acute medical unit. However, as the Acute Team 9 consultants take part in the ‘Physician of the week’ and Vale of Leven rota’s there will be an occasional in patient continuing care commitment. General Medicine The post holder will participate in the ‘Physician of the Week’ system 1 week in 8.5 (alternating between the VOL and the RAH) and 1 weekend in 9, with responsibility for unselected acute medical admissions to the acute receiving unit as outlined in Section 6.1. During the receiving week, consultants cancel their regular duties. Overnight cover for both the VoL and RAH sites, Monday to Thursday, is provided by a separate consultant rota, with each consultant averaging one night per month. Overnight cover Friday- Sunday is by the consultants receiving that weekend. Suggested Job Plan The job plan will be negotiated and tailored to the successful candidate’s interests and the following should be taken as guidance. Service development will be encouraged and may be supported by additional SPA time by negotiation. A detailed job plan will be agreed with the Clinical Lead / Lead Site Clinician and thereafter this will be subject to periodic review and adjustment if necessary. This job plan is negotiable and will be agreed between the successful applicant and the Clinical Director. NHS Greater Glasgow & Clyde initially allocates all full time consultants 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core Supporting Professional Activities (SPA) for CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine communication and management meetings. The precise allocation of SPA time and associate objectives will be agreed with the successful applicant and will be reviewed at annual job planning. Duty In patient work and administration Out patient work and administration Speciality Interest SPA Out of Hours On Call Work TOTAL 10 PAs 6 1 1 1 1 10 On Call Duties The appointee will be expected to take a share with the existing Consultant Physicians of the general medical workload in terms of out of hours cover. Currently each consultant cancels other duties and is ‘Physician of the Week’ every eighth week and every ninth weekend as described above 9. Postgraduate and Undergraduate Training The unit has a postgraduate programme, which includes a weekly acute medical unit educational meeting/ morbidity and mortality meeting, direct training for junior doctors in the MAU/AMU/HDU, a weekly medical unit meeting and weekly hospital postgraduate meetings during term time. The medical unit teaches a large number of medical students from Glasgow University and participates in undergraduate exams. As part of the new curriculum teaching of years one to five is becoming established and the appointee will have the opportunity to participate if so desired. The successful candidates will also have the potential of becoming educational supervisors with the requisite SPA allocated 10. Further information For further information and arrangements to visit the Department, Please contact: Dr Gautam Ray, Dr Chris Foster or Dr Iain Keith Acute Medical Unit Royal Alexandra Hospital Corsebar Road Paisley PA2 9PN Telephone via Hospital Switchboard: 0141 887 9111 Dr Chris Jones Chief of Medicine Medical Unit – South Clyde Sector Royal Alexandria Hospital Corsebar Road Paisley PA2 9PN Telephone via Hospital Switchboard: 0141 887 9111 E Mail: [email protected] 11 NHS GREATER GLASGOW & CLYDE Statement of Policy regarding fitness to practice proceedings by a licensing/regulatory body and relating to criminal investigations in the UK or overseas. Registration with General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of medicine care for, and to behave appropriately, towards patients. NHS employers also have a duty to ensure that patients receive a good standard of medical care and ensure as far as possible the safety of patients. We therefore need to establish if you have been found guilty of a criminal offence, been bound over or cautioned or are currently the subject of proceedings which might lead to a conviction, an order binding you over on a caution, in the UK or any other country. Applicants for posts in the NHS are exempt for the Rehabilitation of Offenders Act 1974. Application forms will include a declaration for applicants to complete declaring any previous or pending prosecutions or convictions, including those considered “spent” under this Act. Forms will also include a declaration of any cautions or bind overs. We also need to establish if you have been subject to any fitness to practise proceedings in the past, or if any fitness to practise proceedings are being contemplated, by a licensing or regulatory body in the UK or another country and this is also reflected in the declaration. This information will be treated in confidence and will not debar you from appointment unless the selection panel considers that it renders you unsuitable for appointment. In reaching such a decision we will consider the nature of the conviction/action, how long ago it took place and any other factors which may be relevant. Failure to disclose a criminal offence, having been bound over or cautioned or that you are currently the subject of criminal proceedings that might lead to a conviction, an order binding you over or a caution, or fitness to practise proceedings undertaken by an appropriate licensing or regulatory body may disqualify you from appointment, or result in summary dismissal/disciplinary action and referral to the General Medical Council for consideration if such a discrepancy came to light. If you would like to discuss what effect any previous convictions, police investigations or fitness to practice proceedings taken or being taken either in the UK or by an overseas licensing or regulatory body might have on your application, please contact theRecruitmentTeam. 12 PERSON SPECIFICATION QUALIFICATIONS ESSENTIAL DESIRABLE Applicants must have full CCT in GIM GMC registration and a licence to Practise. Those trained in the UK should have evidence of higher specialist training leading to CCT or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. Non UK applicants must demonstrate equivalent training. CCT in Acute (Internal) Medicine or CCT in GIM (Acute) MRCP or equivalent. Clinical training and experience equivalent to that required for gaining UK CCT. Ability to offer expert clinical opinion on a range of clinical problems in acute medicine. HDU experience Interface with Accident and Emergency and Primary Care. Ability to take full and independent responsibility for clinical care of patients. Ability to advise on the efficient and smooth running of the acute medical service. Ability to organise and manage ward patients and outpatient priorities. Experience of audit management. Ability and willingness to work within NHS GG&C and NHS Scotland performance framework and access targets. Experience of supervising medical trainees. Ability to teach clinical skills. Ability to work in a team. Good interpersonal skills. Caring attitude to patients. CLINICAL EXPERIENCE MANAGEMENT AND ADMINISTRATIVE EXPERIENCE TEACHING EXPERIENCE OTHER ATTRIBUTES 13 Sub-specialty interest Interest and knowledge of quality improvement methodology Experience in ambulatory care Attendance at management course for clinicians. Experience of unit development with specific examples or service design Experience of MMC assessment tools. Ability to communicate effectively with patients, relatives, GPs, nursing staff and other relevant parties. Commitment to the requirements of clinical governance. 14 TERMS AND CONDITIONS OF SERVICE The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council. TYPE OF CONTRACT Permanent GRADE AND SALARY Consultant £ 76,761. to £ 103,490 per annum (pro rata) New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer. HOURS OF DUTY Full Time 40.00 SUPERANNUATION New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via: www.sppa.gov.uk REMOVAL EXPENSES Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment. EXPENSES OF CANDIDATES FOR APPOINTMENT Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses. Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment. TOBACCO POLICY NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds. DISCLOSURE SCOTLAND CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership. NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior 15 to any appointment being made. REHABILITATION OF OFFENDERS ACT 1974 The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential. DISABLED APPLICANTS A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview. GENERAL NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual. EQUAL OPPORTUNITIES The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy. NOTICE The employment is subject to three months’ notice on either side, subject to appeal against dismissal. MEDICAL NEGLIGENCE In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme. 16 FURTHER INFORMATION For further information on NHS Greater Glasgow and Clyde, please visit our website on www.show.scot.nhs.uk View all our vacancies at: www.nhsggc.org.uk/medicaljobs Register for Job Alerts at: www.medicaljobs.scot.nhs.uk Applicants wishing further information about the post are invited to contact Dr. Jane Gravil, Lead Clinician on 0141 314 6859 with whom visiting arrangements can also be made. HOW TO APPLY To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open) Medical and Dental Application and Equal Opportunities Monitoring Form Declaration Form Regarding Fitness to Practice Immigration Questionnaire Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information. RETURN OF APPLICATIONS Please return your application by email to [email protected] or to the recruitment address below; Medical and Dental Recruitment Team NHS Greater Glasgow and Clyde Recruitment Services, 1st Floor Modular Building, Gartnavel Royal Hospital 1055 Great Western Road GLASGOW G12 0XH CLOSING DATE The closing Date will be noon on 21st August 2015 INTERVIEW DATE The interview date will be 1st September 2015 17