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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.
Locum Appointed to Training (LAT) in General Surgery
ST3 level
£34,901 to £46,173 per annum pro rata
Fixed Term for up to six months
4th August 2022 to 4th February 2023
Applications are invited for the above LAT Specialty Registrar post based in the General Surgery department at Raigmore Hospital, Inverness. This post will attract training recognition from the Post Graduate Dean. This post is advertised as both a LAT or LAS position, as the post is fully accredited for training, but the award of LAT or LAS will depend on the successful applicant meeting the requisite eligibility criteria. This post has arisen due to a gap on the Vascular surgery training programme, and is a 6 month post in General Surgery
Raigmore Hospital
Raigmore Hospital is the principal acute general hospital serving the population of NHS Highland. The catchment area is geographically the largest and most northerly of any Health Board in mainland Britain. In addition, tertiary services are provided to patients from NHS Western Isles and western parts of NHS Grampian, making the total catchment population approximately 400,000. Raigmore is a modern well-equipped general hospital, and its relative geographical isolation demands higher levels of services than in most hospitals of comparable size. For example it is one of Scotland’s five cancer centres. Raigmore is also the popular second campus for the University of Aberdeen Medical School and home to the unique Centre for Health Science (www.centreforhealthscience.com).
The Department of General Surgery
The Department offers a broad spread of Gastro-Intestinal Surgery, including colonic and rectal cancer surgery, resectional oesophagogastric and hepatobiliary surgery and the full range of benign general surgery. The Upper and Lower GI cancer services are supported by weekly MDTs and appropriate cancer nurse specialists (CNS).
The GI surgeons provide the Emergency General Surgery on call service. Other surgical specialties include Urology (5 consultants), Vascular (3 consultants) and Breast Surgery (3 consultants). The department has seven Specialty Trainees on the North of Scotland General Surgery ST Programme, an Upper GI Fellow, two Clinical Research Fellows, and a CT1. The team is supported by 12 Foundation Year 1 Doctors and 2 Physician Associates.
General Surgical Emergency Receiving
The department receives emergencies including patients with abdominal pain, GI bleeding, intestinal obstruction, abdominal and polytrauma, head and chest injuries and vascular emergencies. Paediatric surgical emergencies are managed jointly with paediatricians. The department accepts inter-hospital transfers from the Rural General Hospitals, of complex or ITU-dependent cases. Neurosurgical and thoracic surgical units are available in Aberdeen, which lies 100 miles away but is accessible for consultation and for air transfer when necessary. There are three levels of surgical on-call rota: Foundation, Middle Grade and Consultant. The level of consultant support for middle grade surgeons out-of-hours, is high.
Upper GI Consultant Surgeons
Consultant Surgeons:
Mr Ron Coggins Upper GI/Hepatobiliary and General (Gen Surg TPD)
Mr Appou Tamijmarane Upper GI/Hepatobiliary and General
Mr Stephen McNally Upper GI/Hepatobiliary and General
Ms Morag Hogg Upper GI and General Surgery
Mr Alan Grant Upper GI and General Surgery
Mr Ian Thomas Upper GI and General Surgery
Colorectal Consultant Surgeons
Consultant Surgeons:
Mr Colin Richards Colorectal and General Surgery
Mr Raymond Oliphant Colorectal and General Surgery
Mr Thanesan Ramalingam Colorectal and General Surgery
Ms Angie Jones Colorectal and General Surgery
Mr Michael Walker Colorectal and General Surgery
Prof Ken Walker Colorectal and General Surgery
Prof Angus Watson
Supporting Departments and Facilities
The operating department has 10 theatres. There are 4 endoscopy rooms. There are excellent departments of Radiology (with 2 CT and 2 MRI scanners), Pathology, Gastroenterology, Oncology, Palliative Care, Urology, Orthopaedics and Paediatrics on site, amongst others. There is a Department of Critical Care run by 10 intensivists with 16 beds that provides HDU and ITU level care
Medical Education & Research
The department trains 4th and 5th year medical students, Foundation Doctors, Physician Associates and Specialty Trainees. The Fellow will be expected to contribute, at least informally to this work.
There will be the option of engaging in an academic project during the post.
Most of the educational facilities on the Raigmore campus are housed in the Centre for Health Science (www.centreforhealthscience.com). This is a new building belonging to several different stake-holding institutions: NHS Highland, NHS Education Scotland, University of Aberdeen Medical & Dental School, University of Highlands and Islands Centre for Rural Health, University of Stirling School of Nursing and Midwifery and LifeScan Scotland Ltd. The Department of General Surgery has links with several of these units, and there are excellent library, conference and research support facilities.
Duties of the Post & Terms of Employment
These will include:
- Care of inpatients, under consultant supervisory responsibility, and in Critical Care when necessary (in liaison with Intensivists). Assessment of emergency admissions.
- Supervision of Foundation Doctors and Specialist Nurses.
- Running operating and endoscopy lists, including operating or assisting, with a degree of supervision agreed between Fellow and responsible Consultant.
- Out-patient clinic, usually once or sometimes twice per elective week.
- Contribution to Morbidity & Mortality meetings and other internal audit.
- Such other duties as may be agreed to be of educational value when setting objectives with the supervising Consultant.
Post holder can expect an equitable share of the operating, endoscopy, clinic and ward round experience, with supervision or independence appropriate to their level of expertise. The rota will be compliant with European Working Time Regulations, and is constantly under review.
The post will be covered by Crown Indemnity, but the holder may also wish to subscribe to a Defence Union.
Accommodation and Environs
Single or married accommodation may be available to rent on site, or privately outside. The Highlands are known for their exceptional natural beauty, outdoor sports, and unique cultural identity. The city of Inverness has a thriving centre, with plenty of shops, theatre and music venues, and sporting facilities. Glasgow and Edinburgh are 3 hours away by road or train. There are several flights per day to London and other domestic destinations, and sleeper trains to London.
Enquiries
Informal or formal enquiries should be addressed to
Mr Stephen McNally, Service Lead, General Surgery
Tel +44 1463 705276
or to any of the above-mentioned consultants
Raigmore Hospital, Inverness, IV2 3UJ, Scotland, UK
Tel (switchboard) +44 1463 704000
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