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CONSULTANT
PALLIATIVE MEDICINE
BEATSON WEST OF
SCOTLAND CANCER
CENTRE AND QUEEN
ELIZABETH UNIVERSITY
HOSPITAL
INFORMATION PACK
REF: 40695D
CLOSING DATE : 5TH FEBRUARY 2016
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
POST: CONSULTANT PALLIATIVE MEDICINE
BASE: QUEEN ELIZABETH UNIVERSITY HOSPITAL WITH COMMITTMENTS TO
BEATSON WEST OF SCOTLAND CANCER CENTRE
The Beatson West of Scotland Cancer Centre (BWoSCC), is seeking to appoint a
Consultant in Palliative Medicine. This is a new post following the reconfiguration of
services with the opening of the Queen Elizabeth University Hospital in May 2015,
with large numbers of oncology patients requiring specialist Palliative Care within the
QEUH. The Beatson West of Scotland Cancer Centre (BWoSCC) opened in May
2007, completing a state of the art comprehensive cancer centre that has cost £110
million. It is Scotland’s largest cancer centre, and the second largest in the UK. The
centre has undergone unprecedented investment and our clinical teams deliver
oncology services to a catchment population of 2.9 million people across 4 Health
Board areas. The centre is part of the CRUK virtual comprehensive cancer treatment
and research centre which also includes the Beatson Institute for Cancer Research
and Translational Research Centre. The Queen Elizabeth University Hospital
(QEUH) opened in June 2015. The 14 floor adult hospital building contains 1109
beds and is one of the largest acute hospitals in the UK and home to major specialist
areas such as renal medicine, haematology and vascular surgery, with support from
state of the art Critical Care, Theatre and Diagnostic Services. The site is the largest
in Scotland, with over 1400 beds when neurology, neurosurgery and Care of the
Elderly units are included. The Hospital provides care for over 60% of Glasgow,
covering a population of 574,000. The South Glasgow Palliative Care team is
currently the largest and busiest service in NHS Greater Glasgow and Clyde ( NHS
GG&C), routinely receiving in excess of 140 referrals per month. The team is
currently made up of 3 Consultants (1.2 WTE substantive), Speciality Doctor (1.0
WTE), Band 6/7 CNS (3.7 WTE), Pharmacist (0.6WTE) and a team Secretary (1
WTE). Referrals are taken from all inpatient areas of the Hospital, and provide
support and symptom advice for patients with a range of life limiting
conditions.Patients with advanced cancer make up the majority of referrals, and
regular liaison with oncology teams is a standard part of day to day practice.
Applicants must have full GMC Registration, a licence to practise and be eligible for
inclusion in the GMC Specialist Register. Those trained in the UK should have
evidence of higher specialist training leading to CCT in Palliative Medicine or
eligibility for specialist registration (CESR) or be within 6 months of confirmed entry
from the date of interview. Non-UK applicants must demonstrate equivalent training.
Glasgow has excellent schools, public transport and recreational facilities.
The Clinical Director, Dr David Dodds +44 (0)141 301 7076, e-mail
[email protected]
BEATSON WEST OF SCOTLAND CANCER CENTRE
CONSULTANT PALLIATIVE MEDICINE
TOPIC
1.
Brief description of the Beatson West of Scotland Cancer Centre and
Queen Elizabeth University Hospital
2.
Role of the Cancer Centre
3.
The work of the Directorate/Department/Specialty
4.
The job itself
5.
Duties of the post
Clinical Commitments
Teaching, Management, Research and Audit
Study and Training
Research Opportunities
Study and Training
Research Opportunities
Provisional Weekly Timetable
6.
Arrangements to visit the Cancer Centre
7
Person Specification
8.
Terms & Conditions
9.
Further Information
BEATSON WEST OF SCOTLAND CANCER CENTRE
Further Particulars of the Post of Palliative Medicine
Based at Queen Elizabeth University Hospital with commitments to
Beatson West of Scotland Cancer Centre site.
Description of the Beatson West of Scotland Cancer Centre and
Queen Elizabeth University Hospital
1.
The Beatson West of Scotland Cancer Centre (BWoSCC) is Scotland’s
largest cancer centre, and the second largest in the UK based on activity.
The centre has undergone unprecedented capital and resource investment
and our clinical teams are redesigning the way oncology services are
delivered to a population of 2.9m people across four Health Board areas. It
offers our team of professionals a truly state-of–the-art environment in which
to practise and develop their skills.An internationally-renowned teaching
centre, the Cancer Centre incorporates the academic units of Medical
Oncology, Radiation Oncology, Translational Research and Palliative Care.
The Queen Elizabeth University Hospital (QEUH) opened in June 2015. The
14 floor adult hospital building contains 1109 beds and is one of the largest
acute hospitals in the UK and home to major specialist areas such as renal
medicine, haematology and vascular surgery, with support from state of the
art Critical Care, Theatre and Diagnostic Services. The site is the largest in
Scotland, with over 1400 beds including external neurology, neurosurgery and
Care of the Elderly units. The Hospital provides care for over 60% of the of
Glasgow covering a population of 574,000.
Glasgow is a large, lively and friendly city and a great place to make a home.
The schools are excellent and many are local to the cancer centre. In addition
it has excellent transport links to other parts of Scotland, the UK and beyond.
The city was host to the Commonwealth Games in summer 2014.
2.
Role of the Cancer Centre
The role of the Cancer Centre is to deliver all non-surgical oncology services
for residents of the West of Scotland on the basis that:
 services meet equitably the assessed needs of the population served
 a high quality service, integrated within the Cancer Centre and also
with other cancer care providers, is provided
 services provided compare favourably with those elsewhere in the UK
and there is continual focus on improving care and treatment for
patients
 expenditure represents value for money
 staff are valued and encouraged to maintain high standards of patient
care through, for example, access to continuing professional
development
 clinical outcomes are monitored and are discussed in the context of
clinical audit and clinical governance
 research and development are encouraged
3.
The Work of the Cancer Centre
The Beatson West of Scotland Cancer Centre provides specialist oncology
services to 60% of the Scottish population. The centre sees over 10,000 new
patients a year and over 70,000 return patients. Over 100,000 fractions of
radiotherapy and 28,000 cycles of chemotherapy are given each year in the
centre alone. The clinical teams also deliver medical cancer treatments in 13
local hospitals in partnership with local specialist cancer teams. The centre
employs over 800 staff including 75 consultants in oncology and haematology.
The annual budget of Specialist Oncology Services is over £100m.
The centre has 170 beds in 9 wards (3 Wards of 40 beds are for haematooncology). One of these wards runs as an 8 bedded Brachytherapy Unit and
one as an 18 bed 5 day/week chemotherapy ward. There is also a large and
busy Day Case Chemotherapy Unit comprising 36 treatment stations. The
centre has a self contained Acute Oncology Assessment Unit staffed by
Advanced Nurse Practitioners which provides unscheduled care for cancer
patients on treatment. The centre has its own out-patient department and a
large aseptic facility for cytotoxic reconstitution. The unit has an accredited
gene therapy aseptic facility. Up to 10 appropriate patients are
accommodated in a local hotel while they undergo radiotherapy. The Beatson
West of Scotland Cancer Centre (BWoSCC) is superbly equipped with 11
linear accelerators, the majority of which incorporate facilities for VMAT and
on-board imaging (OBI).
National services at the Cancer Centre include sarcoma, prostate
brachytherapy, allogeneic stem cell transplantation, and ophthalmic oncology.
The Cancer Centre offers the full range of evidence-based regional oncology
services including CHART therapy for lung cancer.
The Cancer Centre is an internationally renowned academic centre, with
Professors of Clinical Oncology, Translational Research and Gynaecological
Oncology currently in post. Professor Karen Vousden heads the laboratories
at the internationally renowned Beatson Institute for Cancer Research,
located 3 miles from the centre. This initiative, developed in collaboration with
Cancer Research UK, offers unrivalled opportunity for collaboration in basic
cancer research. The Beatson Institute has undergone a £30 million
redevelopment funded by Cancer Research UK and the University of
Glasgow. A Translational Research Centre has recently been built on the
Garscube Estate to complete a virtual comprehensive cancer research and
treatment centre, given CRUK Centre status in 2011. The Cancer Sciences
Division was 4th in the whole of the United Kingdom in the 2009 Research
Assessment Evaluation
For the Cancer Centre as a whole, there are particularly close links with the
academic departments in Glasgow University of gynaecology, surgery,
pathology, dermatology and ophthalmology. These involve several joint clinics
as well as clinical research projects. Close links also exist with Caledonian
University (therapy radiography), Strathclyde University and Paisley University
(radiation physics).
In addition, the Clinical Research Facility at the BWOSCC is the largest of its
kind to be funded by Cancer Research UK. It houses Scotland’s first ever coordinating centre for the National Cancer Research Institute. The unit offers
support to all clinicians within the BWOSCC to initiate and conduct clinical
trials. The unit has a large portfolio of Phase I - III studies across the range of
cancer sub-specialties and has a particular interest in the development of firstin-man anti-cancer drugs. It is supported by designated staff and facilities for
Phase I/early Phase II clinical trials. The trials unit has been rated alpha-star
by external review. Already, at least 11% of the regional cancer centre’s
patients are entered into clinical trials.
Clinics are held in eight hospitals within NHS Greater Glasgow & Clyde and in
seven in other board areas. Chemotherapy is prescribed and delivered in nine
hospitals out with the city of Glasgow.
In 2013 the centre opened a new Acute Oncology Assessment Unit to provide
on site specialist triage and assessment of cancer patients with unscheduled
needs. Thus unit is staffed by 2 Advanced Nurse Practitioners and 4 senior
triage nurses 8-8pm Monday to Friday.
In May 2015 a dedicated High Acuity Unit (HAU) was opened to allow Level 1
care to appropriate patients with established protocols for patient transfer to
more acute facilities when clinically indicated.
There is an established Interventional Cancer Pain Service within the
palliative medicine department at BWoSCC providing assessment for
anaesthetic pain interventions for patients across GG&C
The department of Palliative Medicine is currently staffed by 3 part time
consultants, 1 Nurse Consultant, 3 Clinical Nurse Specialist, a full time
pharmacist and 3 part time secretaries.
The team sees over 1200 new patients a year. The patients are
predominantly from NHS Greater Glasgow and Clyde, but in view of the
Beatson’s supraregional status patients are seen from all over the west of
Scotland. There is therefore, a need to network with other specialist palliative
care providers in the west of Scotland. There are no specific specialist
palliative care beds and palliative care patients are cared for jointly by the
palliative medicine consultant and the relevant oncology consultant.
There is considerable provision of specialist palliative care from the voluntary
sector across NHS Greater Glasgow & Clyde from six specialist palliative care
units: Marie Curie Hospice Glasgow, the Prince and Princess of Wales
Hospice, St Margaret of Scotland Hospice, Accord Hospice, St Vincent’s
Hospice and Ardgowan Hospice.
Site-specific teams carry out the clinical work of the Beatson. The teams
include medical and clinical oncologists, site specific CNSs, radiographers
and pharmacists. The palliative medicine consultants and CNSs have also
integrated into the site-specific teams and provide input on ward rounds,
multidisciplinary meetings (MDTs) and oncology clinics.
There is a weekly educational meeting for the palliative care team, and all
team members are expected to attend and contribute.
Although the palliative care team is well integrated with the oncology teams
for delivery of patient care, it retains its own identity for strategic and
educational purposes. There are weekly business meetings for the palliative
care team, and operational and strategic issues are reviewed on a quarterly
basis.
3.
The Work of the Palliative Care Team at the QEUH
The department of Palliative Medicine in QEUH is currently staffed by 3
Consultants providing 1.2 WTE, 1 WTE Speciality Doctor, 3.7 WTE Clinical
Nurse Specialists, 0.6 WTE pharmacist and 1 team secretary.
The team sees over 1500 new patients a year across the site, from a wide
range of clinical specialties. Approximately 50% of referrals come from
medical wards, with the remaining 50% spread across surgery, haematology,
medicine for the elderly and other sub specialties. The patients are
predominantly from NHS Greater Glasgow and Clyde, but in view of the
QEUH supraregional status for a number of services, patients can be seen
from all over the West of Scotland. There is therefore, a need to network with
other specialist palliative care providers in the west of Scotland. There are no
specific specialist palliative care beds and palliative care patients are cared
for jointly by the palliative medicine consultant and the relevant specialty
consultant.
There is considerable provision of specialist palliative care from the voluntary
sector across NHS Greater Glasgow & Clyde from six specialist palliative care
units: Marie Curie Hospice Glasgow, the Prince and Princess of Wales
Hospice, St Margaret of Scotland Hospice, Accord Hospice, St Vincent’s
Hospice and Ardgowan Hospice.
There is a weekly Grand Round for QEUH, and a developing programme of
internal team educational meetings for the HSPCT.
Although the palliative care team is well integrated with the specialty teams for
delivery of patient care, it retains its own identity for strategic and educational
purposes. There are fortnightly team meetings for the HSPCT, and
operational and strategic issues are reviewed on a quarterly basis.
Prince and Princess of Wales Hospice, Glasgow
The Prince and Princess of Wales Hospice (PPWH) is a 14 bedded Specialist
Palliative Care Unit serving the Southside of Glasgow, and areas in East
Renfrewshire and South Lanarkshire. It covers a population of approximately
500,000, including a wide mix of socioeconomic groups. The Hospice is
staffed by 3 Consultants (1.6 WTE), 3 Specialty Doctors (1.6 WTE) and a
team of experienced nursing staff and AHPs. PPWH delivers a very high
standard of care to patients and families through a range of services
including; In-Patient, Out Patient and Day Services, 7 day Hospice
Community Team, Family Support Services, Carer Support, The Butterfly
Project and Widening Access - our multi cultural and minorities programme
that focuses on supporting marginalised communities with end of life care.
The Hospice is jointly funded by the NHS and donations and fundraising £1.9 million from NHS and £3.1 million by our Fundraising Team each year.
PPWH strive to deliver high quality and innovative Palliative Care, with
exciting new developments over the coming years including a new Hospice
build and expanded Transitional Care services.
4.
The Job Itself
(a)
Title:
Consultant Palliative Medicine
NHS Greater Glasgow & Clyde is the employing authority.
The Names of current consultant members of the Service are:
Palliative Medicine BWOSCC
Dr Jane Edgecombe
Dr Alison Mitchell
Dr Helen Morrison
Palliative Medicine QEUH
Dr Alistair McKeown
Dr Carolyn Datta
Dr Laura Kelly
5.
Duties of the Post
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.
Clinical Commitments:
The successful applicant will complement the existing and well established
Specialist Palliative Care Team. This involves participation in well organised
and supported site specific MDTs and ward rounds, there may also be the
opportunity to contribute to the Interventional Pain Service.
A draft timetable for the post is detailed below. Details of the timetable are
flexible and will take in to consideration any subspecialty interests of the
candidate.
There is on call commitment to the South Glasgow Rota including the Prince
and Princess of Wales Hospice. The on call frequency is 1 week on call in 4.
AM
PM
Monday
QEUH acute reviews
Team meeting
SPA
QEUH
Tuesday
Team MDT
QEUH reviews
BWoSCC Inreach
QEUH
Wednesday
Clinical Session
BWoSCC
BWoSCC Inreach
QEUH
Clinical Session
BWoSCC
Friday
QEUH H&N MDT
Team meeting
Grand round (lunchtime)
QEUH acute reviews
Sat/Sun
On call as part of
South Pall Med on
call rota (1:4)
Thursday
QEUH acute reviews
Clinical sessions
Teaching, Management, Research and Audit:
The post does not have a dedicated role in departmental teaching but the
successful applicant will be expected to participate in clinical supervision of
trainees. Clinical trial recruitment is embedded within clinical practice within
the unit. The BWOSCC has a suite of seminar rooms for lectures and
meetings, and the QEUH has a newly built education centre. There is a well
developed program of postgraduate medical education within the
department,held on a Friday afternoon within BWOSCC and regular Grand
Round sessions at QEUH. There is scope to be involved with undergraduate
and postgraduate teaching sessions in QEUH.
Study and Training:
The BWOSCC has its own specialist library run by a part time librarian, and
QEUH has a newly built library within the education centre.
Research Opportunities:
The BWOSCC has an excellent track record in clinical research. It is a major
contributor to local, national and international trials with about 1000 patients a
year being entered and randomised through the Clinical Trials Unit. Patient
numbers are such that we are often among the global top recruiting sites in
international trials, ensuring high impact publications for committed
investigators.
The consultant has a continuing responsibility for the care of patients in
his/her charge, and for the proper functioning of his/her department.
The consultant will undertake the administrative duties associated with the
care of his/her patients, and the running of his/her clinical department.
6.
Arrangements to visit the Directorate
For more information about the BWOSCC and its exciting plans for the future,
call the Clinical Director, Dr David Dodds on 44 (0) 301 7076, e-mail
[email protected]
For more information about QEUH and the HSPCT there, please contact Dr
Laura Kelly on 0141 429 9842, email [email protected].
NHS GREATER GLASGOW & CLYDE
Specialist Oncology Services
Person Specification for Consultant Palliative Medicine
Essential
Desirable
1.
1.1
Attainments
Full registration with the General Medical Council and a licence to
Practise
1.2
Must hold, or at time of interview, be within 6 months of CCT in
Palliative Medicine

1.3
MRCP or equivalent

2.
2.1
Experience/Training
Good general medical training

2.2
Demonstrable experience of up-to-date Palliative Medicine
practice

2.3
Experience of multi-disciplinary team working

2.4
Experience of audit and research

2.5
Understanding of concept of Managed Clinical Networks
2.6
Awareness of use of protocols in practice

3.
3.1
Special Aptitudes & Abilities
Excellent organisational & communication skills

3.2
Sound IT Skills

3.3
Effective in the teaching and training of junior colleagues

3.4
Patient focussed

3.5
Knowledge of general management issues
4.
4.1
Disposition
Proven team player
4.2
Excellent communication with patient, relatives and staff, both
written and oral

4.3
Proactive

4.4
Motivational skills

4.5
Experience of mentoring students/staff

5.
5.1
Special Factors
Current driving licence

5.2
Flexibility in working hours
(within constraints of the Consultant Contract)





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 £ 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
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.
CONFIRMATION OF
ELIGIBILITY TO WORK IN
THE UK
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
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.
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 David
Dodds on 0141 301 7076 or Dr Laura Kelly on 0141 429 9842 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 5th February 2016
INTERVIEW DATE
The interview date will be 17th March 2016