Job Advert
Applications are invited for three Consultants in Acute Medicine based at Glasgow Royal Infirmary. The successful candidate will influence and lead the development of acute care within a unit recognized for its innovation and enthusiasm for change.
The successful candidate will integrate into a team comprising ten Consultants to develop the acute medicine service. This will offer a real opportunity for the successful candidates to be involved in the development of a successful modern consultant led service.
Within Glasgow Royal Infirmary there are currently over 50 Consultant Physicians with special interests in Cardiology, Diabetes and Endocrinology, Respiratory Medicine, Gastroenterology, Rheumatology and Older Peoples Medicine.
Glasgow Royal Infirmary (GRI)
Glasgow Royal Infirmary is one of the major teaching complexes of the University of Glasgow. It provides the Accident and Emergency service for the North and Eastern districts of Glasgow and has inpatient beds in general medicine, medicine for the elderly, general surgery, orthopaedics, plastic surgery and obstetrics and gynaecology. There are also beds in intensive care, high dependency, and coronary care. Following the closure of Stobhill hospital at the end of March 2011 all medical beds, with the exception of some rehabilitation and long-stay care of the elderly beds, are on the GRI site.
Currently at GRI, medical emergencies are admitted through an Acute Assessment Unit (AAU) or through Accident & Emergency (A&E) to an Acute Medical Receiving Unit (AMRU). This comprises 4 geographically defined ward areas covered by specific specialty teams – General Medical, Respiratory, Gastroenterology and Medicine for the Elderly. Where bed availability permits patients with specific conditions will be triaged to the appropriate specialty team e.g. patient with GI bleed to Gastroenterology area. Four consultant physicians take part in acute receiving each day in the AMU with morning and evening ward rounds.
With the reorganisation of Gastroenterology services across NHSGGC, there are plans for Gastroenterology specialists to move away from contributing to unselected general medical take and switch to providing a daily Gastroenterology consult service within AMRU. The first phase of this change will be in late 2022 to a 5 day Monday to Friday consult service with plans to move to a 7 day consult service in August 2023. This will create the opportunity for colleagues in Acute Medicine to take responsibility for one of the four receiving areas within AMRU. This will form part of our strategic plan for Acute Medicine to provide day-to-day leadership in directing clinical care and governance in AMRU.
There is a 40 bedded cardiology ward (ward 43) with 20 acute cardiology beds and a coronary care unit (CCU). Those needing admission for a primary cardiological problem go from AAU or A&E to the acute cardiology beds in ward 43 or CCU. The cardiologists also provide a daily consult service to patients needing review but in the AMRU.
Acute admissions to medicine range from 55 to 80 per day. Patients requiring a short stay will be discharged from AMRU/acute cardiology beds. Those requiring longer stays are transferred ‘downstream’ to medical wards (non acute cardiology bed in ward 43 for cardiological problems). These ‘downstream’ medical wards are split into specialty units. 4 specialty units have primary responsibility to general (internal) medicine, namely, Respiratory Medicine, Rheumatology, Gastroenterology and Diabetes and Endocrinology. Consultants from the department of medicine for the elderly (DOME) contribute to receiving duties, but also have a number of inpatient wards in Glasgow Royal Infirmary with additional beds at Lightburn Hospital and Stobhill Hospital. There are 38 acute stroke beds in GRI at present; GRI has provided stroke thrombolysis with 5 hyperacute stroke beds since September 2015.
Applicants must have full GMC registration and a license to practice. 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
The job is offered as a full-time post on a 10 PA basis but applications will be considered from those wishing to work less than full-time. Up to 2 EPA’s may be available to undertake additional outpatient and/or procedure sessions or management activity.
Additional Non DCC (up to 2 PA’s in total – Inclusive of 1 core SPA plus 1 additional non DCC can be negotiated and agreed between the successful candidate and Management depending on the time required to support professional activities and the needs of the service.
All newly qualified Consultants are initially offered a minimum of 1 Core Supporting Professional Activity (SPA) which includes CPD, audit, clinical governance, appraisal, revalidation, job planning and management meetings. This will be reviewed within
6 months (or earlier if required) of appointment and revised upwards if additional responsibilities are agreed.
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.