JOB DESCRIPTION Consultant Cardiologist South West Acute Hospital,

Consultant Cardiologist
South West Acute Hospital,
Enniskillen, Co Fermanagh
(with sessions at Altnagelvin Hospital,
July 2013
The Western Health and Social Care Trust provides services to a 3,800 square
miles area of outstanding beauty in the west of Northern Ireland. It delivers acute
services across this region through two main acute hospitals (Altnagelvin Area
Hospital in Londonderry, South West Acute Hospital in Enniskillen), supported by a
non acute local hospital the Tyrone County Hospital in Omagh.
Southern Sector
The South West Acute Hospital (SWAH, opened in June 2012) now provides all
the acute inpatient care for Fermanagh and South Tyrone. This incorporates
accident and emergency, critical care, acute surgical, acute general medicine,
cardiology, stroke, rehabilitation medicine and care of the elderly services. It is also
the base for maternity and paediatric services across the Southern Sector. The
radiology department offers comprehensive services including spiral CT and MRI
scanning. The hospital has full 24 hour laboratory services.
TCH now provides non-acute inpatient rehabilitation, ortho-geriatric care and
stroke rehabilitation. There is an Urgent Care and Treatment Centre incorporating
a cardiology assessment service, a Diabetes Day Resource Centre, and a full
range of outpatient facilities. Support facilities include a full radiology department
with multi-slice spiral CT scanning, a dedicated day procedure unit and a purpose
built laboratory block. Non invasive diagnostic CT coronary angiography is
performed at both the SWAH and TCH site, and cardiac magnetic resonance
scanning is planned to start on the SWAH site.
The SWAH, following full implementation of the TCH transition plan, anticipates
receiving approximately 5,000 acute medical admissions per year.
Northern Sector
The Western Health and Social Care Trust “area” hospital Altnagelvin is situated in
Derry/Londonderry and provides a full range of acute services. It is the largest
district hospital in Northern Ireland and has the widest range of specialties outside
Belfast City and Royal Group of Hospitals. There are approximately 450 beds on
the site covering all the acute specialities including Trauma and Orthopaedics,
Maxillo-Facial surgery and Ophthalmology in addition to the usual DGH
specialities. It is designated as a Cancer Unit linked to the Cancer Centre at
Belfast and construction work is about to start on a satellite radiotherapy unit,
serving the population of both the western part of Northern Ireland and also
Altnagelvin Hospital has undergone extensive recent refurbishment. There are
new Outpatients Department, X-Ray Department, Intensive Care Unit, High
Dependency Unit, Theatre complex and purpose built Day Surgery Unit. The main
hospital has undergone an extensive redevelopment which includes a new
coronary care unit and cardiac step down beds. A new purpose built rehabilitation
unit for the Young Chronic Sick patients opened on the hospital site in April 2004.
The Pathology Laboratory offers a fully comprehensive service with each of the
major disciplines staffed by experienced Consultants supported by skilled technical
staff. There is an established and developing on site Chemotherapy Unit. There
is an established team of Consultant Radiologists with expertise and facilities for
the full range of diagnostic and therapeutic procedures.
In addition to Conventional Radiography, Bone Density Scanning, Venometry,
Fluoroscopy, Computed Tomography (64 slice currently being installed), Nuclear
Medicine, Ultrasound including Doppler, Digital Angiography Interventional
Radiology, percutaneous coronary intervention and an MRI scanner are also
The Radiology Department offers a wide range of conventional and interventional
radiology, which is increasing rapidly.
There is a dedicated Breast Screening Department, which also provides facilities
for a rapid access one-stop breast clinic.
Both hospitals have Post-graduate Medical Education Centres attached to the
hospital with comprehensive information services to support clinical practice,
teaching, learning and research. Full participation in CME activities is encouraged,
with study leave being granted whenever possible.
Library Facilities: The MDEC Library at AAH is part of the N.I. Health and Social
Services Library system and provides services to Altnagelvin, Erne and Tyrone
county Hospitals and to Western Health & Social Services Board as well as to
anyone eligible to use the Queen’s University Library. It is located in the Multidisciplinary Education Centre on the Altnagelvin Area Hospital site. Both
Altnagelvin and the Erne support education for a range of medical students and
other disciplines including practical skills training.
The SWAH has established links to the Royal Colleges of Physicians (UK) and the
Royal College of Physicians of Ireland providing live, interactive video linked CPD
approved training.
There are also well established “image links” to neuroradiology/neurosurgery at the
Regional Unit in Belfast and all three hospitals support active involvement in
cancer care networks through use of videoconferencing links.
Planned developments
“Programme for Government” published in 2012 by the Northern Ireland
Executive indicates a plan “to expand cardiac catheterization capacity to
improve access to diagnostic intervention and treatment and further develop
a new primary percutaneous coronary intervention (PPCI) service model to
reduce mortality and morbidity arising from myocardial infarction”. To allow
delivery of this service on a province-wide basis, the Northern Ireland Health
and Social Care Board (HSCB) have commissioned the development of a
PPCI service on the Altnagelvin Hospital site, thereby allowing patients with
ST elevation myocardial infarction to be treated according to NI Regional
Cardiology Network standards, and in keeping with best practice clinical
guidelines. The successful applicant will use the South West Acute Hospital
as their main base, but will participate in the Altnagelvin interventional rota;
there will be no on call commitment in the South West Acute Hospital.
Southern Sector
At present the cardiology service in the SWAH is provided by two consultants (Prof
Mahendra Varma and Dr Andrew Hamilton) and a Staff Grade in Cardiovascular
Medicine (Dr Brian Mc Aleer) supported by coronary care specialist nurses. The
unit has a progressive outlook in service provision, teaching and training and was
at the forefront of development of pre-hospital thrombolysis and preventive
cardiology programmes.
The SWAH also provides rapid access cardiology
services by Dr. Shanker Singeravelu, medical staff grade. Outpatient cardiology
services are supported by heart failure specialist nurses, secondary prevention
nurses and a cardiac rehabilitation programme has been developed.
There is a full non-Invasive cardiology investigation services on both the SWAH
and TCH sites incorporating ECG, Transthoracic and Transoesophageal Echo, a
range of Ambulatory Monitoring, Exercise Stress Testing, and Tilt Table Testing
and cardiac CT scanning.
MRI scanning with cardiac software is available in SWAH and a service is currently
being developed to allow service provision throughout the Trust and for patients
from other Trusts. This is in keeping with the plan that the Trustwide network of
cardiac services already established between Altnagelvin, Tyrone County and the
South West Acute Hospitals will be further developed, and candidates with
interests complementary to the current staff will be encouraged to develop the
service. The new appointee will work as part of this network and non-invasive and
interventional skills will be supported through appropriate sessions,
The Western Trust plans further development of pacemaker implantation, in
addition to the full PCI services at Altnagelvin; these developments are in keeping
with the strategic vision of the Trust and the NI cardiology network.
Cardiology is part of the Acute Services Directorate. A lead clinician, Dr. A. Mc
Neill, provides clinical and managerial leadership and is responsible to the Acute
Services Director.
Northern Sector
The cardiology department at Altnagelvin Hospital provides a full range of acute
and ambulatory cardiology services. Currently diagnostic angiography and
inpatient PCI for Altnagelvin patients is delivered at this site and plans to develop a
Trustwide PCI service are well advanced. Nuclear Medical imaging,
echocardiography, cardiac CT and MRI are available at Altnagelvin. There is a
rapid access chest pain clinic, and nurse specialists in secondary prevention,
rehabilitation, and heart failure.
Consultant Cardiology Team at Altnagelvin
Dr A McNeill (Clinical lead)
Dr J Purvis
Dr P McGlinchey
Dr Sinead Hughes
Dr Michael Moore
Dr Adesh Ramsewak
Dr Aaron Peace
Associate specialist
Dr Stephen Barr
Dr. Mc Glinchey and Dr. Hughes provide outreach support to a nurse led cardiac
assessment unit at the Tyrone County Hospital.
Consultant Cardiologist
To provide a specialist Cardiology services as part of the cardiology
network of the Western Health and Social Care Trust, working principally
at the South West Acute Hospital, Enniskillen
To share in the provision of interventional cardiology services including
both primary percutaneous coronary intervention (PPCI) for patients with
ST elevation, and also elective/urgent coronary intervention by
participation in the emergency coronary intervention rota in Altnagelvin
hospital, Londonderry.
To provide investigative procedures relating to the speciality and develop
same in keeping with medical advances.
To promote and develop multidisciplinary teamwork within the speciality.
To further develop the current networks (both within the Trust and within
NI) to best serve the interests of cardiology patients from the Trust and
in keeping with the strategic vision of the Trust and the NI cardiology
To provide specialist cardiology services as part of the provision of acute
medical services within the Medical Division, Acute Services Directorate,
Western Health and Social Care Trust
and to contribute to the
development of excellence in clinical practice through research, audit and
participation in clinical and social care governance.
The post holder will be based at the South West Acute Hospital, Enniskillen
with one/two day(s) per week spent in Altnagelvin Hospital, Londonderrry
performing invasive and interventional cardiological procedures. He/she will
participate in the emergency interventional cardiology on call rota in
Altnagelvin; there will be no on call duties in SWAH. The postholder will be
facilitated in maintaining specialist skills, including working as part of a team
of interventional and non-interventional cardiologists with opportunities for
audit, teaching, research and multidisciplinary meetings to promote best
practice; it is anticipated these supporting activities will occur in both sites,
and the Job Plan will be flexibly arranged to allow adequate supporting
activities and travel time.
The post holder shall further develop the cardiology service, particularly in
the area of percutaneous coronary intervention, working with the multidisciplinary team including medical technical and nursing staff within the
hospital and across the Trust.
The post holder will have clinical responsibility and accountability for the
continuous care of his/her patients in SWAH.
The post holder will work as an integral part of the Trust cardiology network.
The post holder must ensure appropriate standards of care for patients and
appropriate standards of education and training for medical staff in training.
The post will be based in Western Health and Social Care Trust and, in
delivering services, the post holder shall:
Provide advice to the Trust Chief Executive, Medical Director and Director
of Acute Services via the Clinical Director, Emergency Care and Medicine
Division on all aspects of cardiology services.
Be responsible to the Director of Acute Services.
Report to Clinical Director of Emergency Care and Medicine Division
through the Cardiology Lead Clinician.
Be accountable to the Medical Director for the maintenance of personal and
professional standards.
Undergo appraisal on an annual basis by the Clinical Director of Medicine.
Establish a clear work plan for medical staff in training and provide clinical
Participate in teaching and development of undergraduate medical students
and postgraduate medical staff.
Participate when required in committees or consumer forums.
Be a member of the Medical Division Committee.
• Ensure that equality and human rights issues are addressed within his or
her area of responsibility, in accordance with Trust’s Equality Scheme.
• The post holder will continue to develop protocols for the establishment and
monitoring of standards of care and reviewing effectiveness of practice in the
light of available evidence and recommended guidelines.
• The post holder in conjunction with the medical consultant team will assist
with the development and implementation of systems under Clinical and
Social Care Governance that ensure the quality of general medical care
offered by Western Health and Social Care Trust.
• The medical consultant team will participate in medical and clinical audit
activities and apply the results to improve the service. A yearly programme
identifying priorities for audit will be agreed.
• The post holder will participate in teaching, appraisal and development of
undergraduate medical students, Foundation house officers and other
postgraduate medical staff.
• Any research undertaken by the post holder will be conducted in accordance
with available resources and guidelines laid down by the Trust Research
Ethics Committee.
• The post-holder will be a member of the Medical Division of Acute Services
Directorate. (S)he will be expected to work effectively with consultant
colleagues, the Lead Clinician, Assistant Director, Clinical Director, Divisional
Managers, senior nursing staff and others in the formulation and updating of
policy guidelines and initiatives to develop and enhance services within the
The post-holder will be expected to undertake administrative duties
associated with patient care and to ensure arrangements are in place to meet
quality standards for appointments and discharge procedures etc. within
Medical Division, Western Health and Social Care Trust
(Southern Sector Medical Team)
Consultant Physicians
Areas of Special Interest
Prof . MPS Varma
Cardiology/ Diabetes/General Medicine
Dr Andrew Hamilton
Consultant Cardiologist
Dr JF Kelly
Geriatric Medicine/Stroke Medicine
Dr. B. Keegan
Acute Medicine / Stroke Medicine
Dr. T. Mc Manus
Respiratory Medicine / General Medicine
Dr. A. Helmey
Endocrine / General Medicine
Dr M Geoghan
Endocrine / General Medicine
Dr. E. Campbell
Gastroenterology/General Medicine
Dr S Sreenivasan
Acute Medicine
Dr. K. Amir
Locum Geriatric Medicine
Dr B McAleer
Staff Grade Physician
Dr. Shanker Singeravelu
Staff Grade Physician
Staff Grade Physician
10 F1 grade doctors, 12 F2/CMT/ST doctors
Dr S Khwaja
Locum Geriatric Medicine
Dr F Robinson
Palliative Care Medicine
Dr I Kadir
Locum Specialty Doctor
Dr K Mann
Specialty Doctor
Dr T Novak
Specialty Doctor
The appointee will have office accommodation fully equipped with
e-mail/internet enabled PC provided on the SWAH site access to supporting
clerical staff and IT facilities to allow performance of clinical duties in Altnagelvin.
Secretarial support will be provided to the post-holder by the Medical Specialty
Team. (Approximately 0.5 WTE per consultant)
The systems used to support administration and information are largely
computerised and all clerical support staff are trained in diagnostic coding, audio
typing and all other office automation and clerical tasks.
Candidates must be eligible for inclusion on the UK General Medical Council
Specialist Register in cardiology, or for candidates in training or working outside
the UK, be within six months of eligibility by the interview date. He/she must fulfil
British Cardiovascular Interventional Society (BCIS) criteria as an independent
operator for percutaneous coronary intervention by the time of taking up post.
NHS Terms and Conditions of Service for Hospital Staff will apply. Contributions
will be payable under the Health and Social Service Superannuation Scheme.
There is reciprocity between the Northern Ireland scheme and that in operation in
Britain.Remuneration will be governed by the New Contract Framework for
Northern Ireland.
Annual leave will be six weeks and 3 days per annum plus statutory and public
Appointment to the post will be as soon as possible, subject to the period of notice
required by the successful candidate.
The post holder must live within an agreed acceptable travelling distance of the
"On Call" Hospital and must maintain contact through the public telephone service.
Registration with the GMC must be maintained. License to practice arrangements
and the proposed revalidation procedures for 2010 must be complied with. The
Trust bears responsibility for claims of Dental/Medical negligence against
practitioners occurring in the course of their Health Service employment.
Practitioners are advised to maintain their defence body membership in order to
ensure that they are covered for any work that does not fall within the scope of the
indemnity scheme.
Participation in private practice will be governed by the terms of the post holder
individual contract.
Any offer of appointment will be subject to the completion of a satisfactory general
health assessment. This will be arranged by the Trust through its Occupational
Health department.
Local Council and Northern Ireland Tourist Board publicity brochures are enclosed
with application forms, and these give a detailed description of the locality.
There are outstanding educational facilities at primary and secondary school
levels. There is also ample provision of modern leisure facilities, ready access to
some of the finest countryside in Western Europe and unparalleled value in
housing and education. Derry/Londonderry is the UK City of Culture 2013.
Canvassing will disqualify. Any approach to a member of the Trust Board by or at
the request of the candidate for the purpose of obtaining support for his/her
application will be treated as canvassing.
Supplementary Information for Job Descriptions
Providing a Quality Service
Western H&SS Trust is committed to providing a Quality Service for its patients.
Every employee has a responsibility to support the Trust in this aim by: Adhering to policies, procedures and standards adopted by the Trust.
Supporting and contributing to Trust quality initiatives
Evaluating personal practice.
At all times upholding high standards of courtesy, respect and care towards
patients and colleagues.
The Trust wishes to encourage staff to air clinical or other concerns in a
responsible manner and at the earliest opportunity and employees attention is
drawn to the Clinical Incident Reporting Policy and the Whistleblowing Policy.
Working with Children and Vulnerable Adults
The Trust is committed to carefully screening all staff and volunteers who work in a
regulated position and have substantial, unsupervised access to children and
vulnerable adults in accordance with the “Protection of Children and Vulnerable
Adults (NI) Order (2003).
Confidentiality Clause
All information concerning patients and staff must be held in the strictest
confidence and may not be divulged to any unauthorised person. A breach of
confidentiality will result in disciplinary action being taken in accordance with the
Trust’s disciplinary procedure and may lead to dismissal.
Data Protection
Computer data should only be accessed if this has been authorised and is
necessary as part of your work. Unauthorised access to computer data or helping
others to access such data will result in disciplinary action being taken in
accordance with the Trust’s disciplinary procedure and may lead to dismissal.
Health and Safety
The post holder has personal responsibility for safety as outlined in the Trust’s
Health and Safety Policy and the Health and Safety at Work NI Order 1978.
Smoking, Alcohol and Nutrition
The Trust operates a policy on smoking, alcohol and nutrition and staff are
requested to participate with the implementation of these policies.
Job Description Review
The duties of the post may be reviewed and, if appropriate, changed by discussion
with the post holder to ensure the provision of effective and efficient services.
Standing Financial Instructions
All staff must comply with the Standing Financial Instructions of the Trust.
Equality & Human Rights
In accordance with Altnagelvin Hospitals H&SS Trust’s Equality Scheme, to ensure
that equality and human rights are addressed with the post holder’s area of
Candidates selected for interview are encouraged to visit the Hospital by request
to HR Dept – Employee Resourcing at Tyrone and Fermanagh Hospital, Omagh,
County Tyrone, BT79 0NS, Telephone: 028-82-835331 who make the necessary
arrangements in conjunction with the Trust Chief Executive. Further information
may be obtained from Professor. MPS Varma, Consultant Cardiologist, Erne
Hospital (02866382000 ext 2341 or Dr. Albert Mc Neill, Clinical Lead Cardiology,
Medical Directorate Tel 028 71345171 from NI and (048) 71345171 from ROI Ext
The duties and responsibilities outlined in the above job description are not
intended to be definitive nor restrictive, and may be amended to meet the
changing needs of the Trust.
The Western Health and Social Care Trust is committed to providing the highest
possible quality of service to patients, clients and community. Members of staff
are expected, at all times, to provide a caring service and to treat those with whom
they come into contact in a courteous and respectful manner.
Western Health & Social Care Trust is committed to the development and
implementation of systems under Clinical and Social Care Governance to ensure
continuous improvement in the quality of services provided. The post-holder will
be expected to co-operate and work with such systems.
The postholder is required to ensure that equality and human rights issues are
addressed within the postholder’s area of responsibility in accordance with
Western Health & Social Care Trust’s Equality Scheme.
Records Management: All employees of the Trust are legally responsible for all
records held, created or used as part of their business within the Trust including
patient/client, corporate and administrative records whether paper-based or
electronic and also including emails. All such records are public records and are
accessible to the general public, with limited exceptions, under the Freedom of
Information Act 2000, the Environmental Information Regulations 2004 and the
Data Protection Act 1998. Employees are required to be conversant with the
Trust’s policy and procedures on records management and to seek advice if in
You should note that under Health & Safety at Work Legislation you are required
to take all reasonable steps while at work to ensure your own health and safety
and the health and safety of those who may be affected by your acts or omissions
at work. You should also be aware that we operate a No Smoking and No Alcohol
Policy within the Trust.
The Trust is an equal opportunities employer.
Applications must be made on the prescribed form and must be returned to:
Medical HR Department
Tyrone and Fermanagh Hospital
County Tyrone
BT79 0NS
The job plan is not meant to be restrictive and will be subject to review in the
context of annual appraisal and will be subject to modification by mutual consent of
the postholder, the lead clinician for cardiology and the clinical director to fulfil the
needs of the job and to fit with the job plans of the other consultant staff. In
summary the 10 programmed activities will be distributed as follows:
Consultant cardiologist: South West Acute
Hospital with sessions at Altnagelvin Hospital
Cardiac catheterisation/PCI
3 sessions in Altnagelvin
Administration (incl heart team meeting)
2 sessions
(0.5 per cath lab session + further 0.5)
On call 1
(Alt pPCI rota)
Ward round 1.0
Outpatients 0.5
Travel 1
Supporting PAs 1.5
Total 10 PAs
Indicative timetable
0.5 Ward
0.5 SPA
Heart team/
Pt admin
0.5 Ward
Pt admin
Oncall (Altnagelvin Primary PCI rota) 1 in 6. This will include predictable on call for
a weekend coronary care and cardiology pick up round 1 weekend (Saturday and
Sunday) , 1 in 30. There will be no on call commitment in SWAH and no general
medical commitment.
The Western Trust has had an innovative approach to supporting consultants
newly appointed and early in career and has provided development programmes
which it would hope to offer into the future. The Trust has arrangements in place to
offer mentoring to new appointees.
Consultant in Cardiologist
Emergency Care and Medicine Directorate
SouthWest Acute Hospital/Altnagelvin Hospital
July 2013
Each statement contained in the Personnel Specification must be justifiable by
evidence obtainable from an analysis of the job. The specification should describe
the person who is capable of doing the job adequately. Factors shown below are
examples and may not be relevant for all posts. If so they should be marked “Not
Applicable”. Blank boxes are available to note additional factors. Please note,
however, that the completion of the qualifications and/or experience section is
See paragraph 7.5.5 for examples.
(Length and Type)
Higher Qualifications
Eg. MD, PhD
Be on or be eligible to have their
name included on the GMC
Specialist Register for cardiology
Doctors in Training or working
outside UK must be within 6 months
of completion of CCT at date of
Fulfil BCIS criteria as an
independent operator for
percutaneous coronary intervention
by date of taking up post
Publications/ Presentations
Ability to demonstrate up to date
knowledge and skills in all aspects
adult clinical cardiology
Ability to demonstrate
knowledge and skills which are
complementary to the current
consultant staff
Ability to provide on call cover for
acute cardiac care on a rota basis
Clinical Governance.
Good Communication / Interpersonal