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This is a locum post which is available as a result of a critical care consultant sabbatical. The post is based at the Royal Alexandra Hospital Paisley. The post will have daytime sessions in both critical care and anaesthesia. On-call will be covering the intensive care unit at the RAH on a 1 in 10 basis.
This post is for 10PAs, of which 9 are DCC and 1 SPA (the SPA time is flexible) and 3 month duration. If changes to this job plan are required, this will be by negotiation in accordance with nationally agreed terms and conditions. EPAs may be available for successful candidates. EPAs will be discussed after appointment.
Currently on call duties are at the RAH covering the intensive care unit on a 1 in 10 basis.
The critical care consultant will work 2 weeks in 10 in Critical Care providing daytime cover with 1 week in the Intensive Care Unit and 1 week in the High Dependency Unit. In the remaining 8 weeks, the successful candidate will have an all-day anaesthesia list. A weekly multidisciplinary team meeting is held on a Tuesday afternoon. This includes a grand round, clinical governance activity and education.
The 1 SPA will reflect 1 PA for activity such as appraisal, personal audit and professional development occurring outside study leave time. If successful, SPA time may be granted for other activities such as undergraduate and postgraduate medical training which takes place outside direct clinical care, as well as research and/or management. These activities must be specifically and clearly identified and be agreed with the candidate and desired by the department.
NHS Greater Glasgow and Clyde is the largest group of adult acute hospitals in Scotland – offering many opportunities to ensure job satisfaction and career development. We provide a wide range of services from community-based care through to the full range of general hospital services.
The Royal Alexandra Hospital (RAH) first opened in 1986 on the site of the existing Paisley Maternity Hospital. The RAH is the largest district general hospital in Clyde Division of NHS Greater Glasgow & Clyde serving a population of over 220,000 in and around Paisley.
The RAH has all major specialties on site, including General Medicine, General Surgery, Urology, Anaesthetics, Gynaecology, Obstetrics, Older People and Stroke Services, Psychiatry, Ophthalmology, and Orthopaedic Surgery. The Radiology Department is adjacent to the Emergency Department. There is a 24 hour laboratory on-call service for Haematology, Microbiology, Blood Transfusion, and Biochemistry. There is also a Helipad in the Hospital grounds with direct access to the main Hospital building.
In any one year the hospital treats nearly 30,000 inpatients, over 103,000 outpatients and day cases, and there are some 3,000 births in the Maternity Unit. We enjoy close links with 4 local universities and make a significant contribution to teaching at both undergraduate and postgraduate level.
The Critical Care Unit in the RAH currently has recently expanded to 11 funded Level 3 beds, and 12 Level 2 beds. The aim is to merge both ICU and HDU together to create a 23 bedded critical care floor that has the capability to flex up or down as per patient need. In addition, since August 2022, a critical care transfer corridor has been in operation where all Level 3 patients from Inverclyde Royal Hospital are transferred to the Royal Alexandra Hospital after a period of stabilisation.
The ICU is located in a new (opened 2019) purpose-built unit, adjacent to one of the busiest High Dependency Units in Scotland with 12 Level 2 beds for both medical and surgical patients. We admit approximately 370 Level 3 patients each year and offer respiratory (both invasive and non-invasive), circulatory and renal support. Our service offers a purpose built, modern environment in which to care for these patients and their families and is designed to support the needs of the hospital.
The Critical Care Unit on Level 5 also includes a reception area, a dedicated Seminar Room and an on-call room.
The ICU offers not just varied and comprehensive clinical exposure but a wealth of training opportunities, including bedside USS of heart (FICE) and lungs (CUSIC), education and training of ACCPs , Quality improvement with a number of ongoing QI projects and research with an impressive track record of recruitment into trials such as REMAP-CAP, COVID-RV, RECOVERY, A2B and GenOMMIC. The unit also runs a successful post ICU clinic INSPIRE.
The department of critical care is currently staffed by 11 consultants who provide cover for both ICU and HDU on a weekly basis. Support is provided by anaesthetic, ACCS, intensive care medicine and internal medicine trainees. There is one specialty doctor, three ACCPs and four trainee ACCPs. We strive towards providing excellent, safe, and realistic patient centred care for our patients, their relatives, and our staff.
NHS Scotland is committed to encouraging equality and diversity among our workforce and eliminating unlawful discrimination. The aim is for our workforce to be truly representative and for each employee to feel respected and able to give their best. To this end, NHS Scotland welcomes applications from all sections of society.