Advertised role location: ROYAL VICTORIA HOSPITAL Official document: BHSCT Locum Consultant Neuroradiologist Oct 26 (pdf) JOB DESCRIPTION POST : Locum Consultant Neuroradiologist LOCATION : Based in the Royal Victoria Hospital, Belfast HSC Trust REPORTS TO : Clinical Director, Imaging Services RESPONSIBLE TO : Chief Executive INTRODUCTION The Belfast Health and Social Care Trust is seeking to expand its team of consultant neuroradiologists based in the Royal Victoria Hospital. The successful candidate will join a dedicated team of consultant neuroradiologists, with opportunities to develop sub-specialist interests including, for example: Paediatrics Head and neck Neurooncology Ophthalmology Spinal imaging GENERAL INFORMATION The Belfast Health Care Trust The Belfast Trust delivers integrated health and social care to approximately 360,000 citizens in the greater Belfast area and provides the majority of regional specialist services for the population of Northern Ireland (1.9 million people). With an annual budget of almost £1.9bn and a workforce of over 20,000, we are also a Trust with teaching hospitals and have strong links with our local university partners providing high quality training for medical and other health care professionals across all disciplines. Hospital Profiles The Royal Hospitals is the largest hospital complex in Northern Ireland, comprising the Royal Victoria Hospital, the Royal Jubilee Maternity Hospital (RJMH), the Royal Belfast Hospital for Sick Children (RBHSC) and the School of Dentistry. In combination with its sister hospitals it provides virtually all tertiary referral services in Northern Ireland. The Royal Hospitals play a major role in clinical education, training and research, with most academic departments linked to the Queen’s University of Belfast Medical School. The Royal Hospitals is a Level 1 Trauma Centre and supports the Northern Ireland Trauma Network and Northern Ireland Air-Ambulance Service. Belfast City Hospital (BCH) is a major teaching hospital, most of which is housed within the Tower (opened in 1985). The Northern Ireland Cancer Centre opened on the campus in March 2006 providing for the development of an internationally recognised cancer centre. A strong strategic focus on molecular medicine, cancer and renal services has enabled the development of world leading research programmes and a leading Cancer Clinical Trials Unit linked with the ROI and the NCI Washington DC in a tripartite arrangement. There is a modern radiology department and substantial AHP Services (eg Physiotherapy, Podiatry, Occupational Therapy, Speech and Language Therapy, Nutrition and Dietetics, etc) and a comprehensive range of pathology. The Mater Hospital has a 24-hour Emergency Department alongside day case surgery, inpatient medical wards and mental health services. Musgrave Park Hospital is the Regional Orthopaedic Unit for Northern Ireland. The Musgrave Park Regional Orthopaedic Service is the largest in the British Isles with an international reputation and an extensive research output. All of the major laboratory services are available within the Trust including: Immunology Haematology (including Transfusion Services) Bacteriology Virology Pathology Immunopathology A summary of the services across the different hospitals is provided in the table below Proven service details The table includes specialist services in the Royal Hospitals Emergency Department Acute & General Medicine Anaesthesia (including critical care) Pain Management Regional Trauma Centre Paediatrics (RBHSC) Obstetrics & Gynaecology (Royal Jubilee Maternity Hospital) School of Dentistry Regional services include: vascular and endovascular surgery, interventional radiology, neurosciences, medical and surgical cardiology, thoracic surgery, ophthalmology and specialised endocrinology, ENT, emergency general surgery, hepatology Belfast City Hospital Acute & General Medicine Anaesthesia (including critical care) Major surgery specialties including: hepatopancreatobiliary, oesophagogastric, colorectal, urology Mater Hospital Emergency Department Acute & General Medicine Anaesthesia Pain Management Surgical specialties, including, ophthalmology, gynaecology, ENT, general, breast Psychiatry including ECT Musgrave Park Hospital Anaesthesia Pain Management Regional Orthopaedic unit Rheumatology Rehabilitation Regional Acquired brain injury unit Care of the elderly unit The Belfast HSC Trust functions through a series of directorates. Radiology Services form part of the Imaging, Medical Physics and Outpatients directorate. Radiology Services Further detail on the radiology services provided in each of the hospitals is outlined below. Royal Victoria Hospital Radiology Department The department provides a diagnostic and interventional therapy service to the Royal Hospitals and to the whole Northern Ireland region. Facilities include 2 MRI scanners, 4 CT scanners (including two spectral CT and one photon counting CT), 6 ultrasound machines, 1 screening room, 3 interventional facilities (two biplane) and 6 digital radiographic facilities. In addition there are 2 gamma cameras and a PET CT facility. There are state-of-the-art multidisciplinary meeting facilities and the hospital transferred to the regional NIPACS+ system in April 2024. Work of the Neuroradiology Department, RVH The Neuroradiology department is located in the purpose built Imaging Centre on the Royal site. A contract recently entered into with Siemens provides a complete managed equipment service within the Imaging Centre including equipment maintenance, replacement and development. The Imaging Centre currently contains four CT scanners (including one newly installed Siemens photon counting CT), two Philips MRI scanners (Achieva 1.5T and 3.0T) and a dedicated biplane neuroangiography unit (with newly installed Siemens equipment). The equipment is shared with general radiology colleagues, however neuroradiology have access to a minimum of 10 sessions each of MRI and CT per week. Paediatric neuroradiology services are provided by the neuroradiologists (CT and MRI are both performed in the adjacent children’s hospital). The neuroradiologists perform approximately 12,500 MRI studies and 15,000 CT scans (including paediatric work) per annum. Approximately 650 neurointerventional procedures are performed each year. Neuroradiology provides a formal second opinion service to other NI Trusts, with formal outreach sessions provided in three district general hospitals. Medical consultant staffing in neuroradiology comprises: Dr P Flynn Dr I Rennie (Clinical Lead Neuroradiology) Dr G Smyth Dr P Burns Dr H Kamal (Locum) Dr S O’Reilly Dr D Bhattacharya (Clinical Lead Paediatric Neuroradiology) Dr M Jamison Dr J McNamee Neuroradiology is also supported by junior medical staff, radiographic and nursing staff. Further detail on the radiology services provided in the other hospitals within the Trust is outlined below. Belfast City Hospital Radiology Department The BCH Radiology department provides its services from facilities on the Ground Floor of the Tower and the Cancer Centre. Tower: Main department (includes 4 general x-ray rooms and 2 CT scanners) Lorimer Suite (includes 3 high specification ultrasound machines) MRI Suite (1.5 T) 1 Interventional Radiology Suite (specified to theatre standard and located beside the Hospital’s main theatres) Cancer Centre: The majority of the equipment on this site is on the basis of a PFI agreement with Ergea. 2 multi-slice spiral CT scanners 2 1.5 T MRI scanners 2 digital general radiography rooms PET scanner Screening room/back up interventional room Fully equipped Nuclear Medicine Department Mater Radiology Department The main X-Ray department is located on the 4th floor of the Dempsey Building. A smaller emergency X-Ray department is sited within the Emergency Department on the ground floor. The MRI suite is in the Dorrian building also on the ground floor. The main department contains: 4 general purpose rooms containing modern DR equipment 1 Siemens fluoroscopic screening room 2 high specification ultrasound machines A Siemens CT scanner A Siemens 1.5T MRI The hospital is on the regional NIPACS+ system. Musgrave Park Hospital Radiology Department The main X-Ray Department is located on the ground floor of the outpatient building. The imaging department has: 5 general x-ray rooms 1 Siemens Artis C-arm unit 3 ultrasound rooms with high specification machines CT suite with a Siemens CT scanner MRI suite comprising a Siemens 1.5T and a 3T scanner 2 DEXA bone density scanners The hospital is on the regional NIPACS+ system. Radiologist Staffing Details of the consultant radiologists working within the Trust are provided below: Site Consultant Staff Interests Interventional Radiology team Dr S Atherton Interventional and general Dr A Collins (Clinical Site Lead) Interventional and general Dr D Conroy Interventional and general Dr J Farrell Interventional and general Dr P Kennedy (part-time locum) Interventional and general Dr R Lindsay (IR lead) Interventional and general Dr W Loan Interventional and general Dr J Reaney Interventional and general Dr R Sathyanarayana Interventional and general Dr W Wekesa Interventional and general Dr M Worthington (Clinical Director) Interventional and general Belfast City Hospital Dr M Buckley Breast imaging and general Dr D Campbell (Clinical Site Lead) Cross sectional imaging/Nuclear Med Dr A Grey (part-time locum) Oncology/Musculoskeletal Imaging/MRI Dr C McKeating (part-time) General and oncology Dr E Murtagh CT/MRI/Oncological Radiology Dr E Napier Cross-sectional imaging Dr D Pollock General and musculoskeletal Dr J Ramsey (part-time locum) Ultrasound/Cross-sectional imaging Mater Hospital Dr V Bhandari (Clinical Site Lead) General Dr B Lakomiec General Dr L Bamford Breast Imaging and general Dr E Davis Breast Imaging and general Dr K Lowry Breast Imaging and general Dr N Pierce Breast Imaging and general Musgrave Park Hospital Dr Alastair Campbell (part-time) Musculoskeletal Imaging Dr Nicholas Napier (part-time) Musculoskeletal Imaging Dr D Taylor Musculoskeletal Imaging Dr P Wilson (Clinical Site Lead) Musculoskeletal Imaging Royal Hospitals Dr P Ball General/cardiac/cross sectional Dr Aaron Campbell General Dr C Carr General Dr J Colville General and musculoskeletal Dr L Cosbey General Dr S Doherty Nuclear Medicine and general Dr A Donnelly Breast and general Dr R Fleming Nuclear Medicine and general Dr S Gillespie Cross sectional imaging Dr M Isaac General and neuroradiology Dr R Lambon General and musculoskeletal Dr M Love (part-time locum) Cross sectional and GI Dr J Malloy General and cardiac Dr M McCavert General and PET Dr O McNally Nuclear Medicine and general Dr K Mullin Nuclear Medicine and general Dr W Murphy Nuclear Medicine and general Dr D Neeson (part-time) General and musculoskeletal Dr L O’Flaherty General and musculoskeletal Dr B Purcell General Dr M Pyper General and GI Dr D Roberts General and Musculoskeletal Dr J Smyth General Dr R Thompson General and Musculoskeletal Dr A Todd General Dr D Bhattacharya Neuroradiology Dr P Burns Neuroradiology Dr P Flynn Neuroradiology Dr M Jamison Neuroradiology Dr J McNamee Neuroradiology Dr I Rennie Neuroradiology Dr S O’Reilly Neuroradiology Dr G Smyth Neuroradiology Dr P Baird Fraser Paediatric Radiology Dr S Burnside Paediatric Radiology Dr E Kukla (locum) Paediatric Radiology Dr P Logan Paediatric Radiology Dr J Marjanovic Paediatric Radiology Dr P McSherry Paediatric Radiology Dr E Sturdy Paediatric Radiology Dr S Whittaker-Axon Paediatric Radiology Other Staff BCH (Includes LHS) Mater Musgrave Royal (includes SOD & RBHSC) Junior Medical Staff 7 2 2 21 Radiographers 100 35 48 169 Radiographer Helpers/Nursing Assistants 26 3 8 40 Nursing 9 0 0 25 Admin staff 20 4 18 31 Activity Levels An indication of annual activity levels across the hospitals is shown below: BCH Mater Musgrave Royal Total examinations, incl 86,500 60,300 56,000 251,500 MRI scans 13,000 4,500 10,100 20,300 CT scans 22,000 10,700 4,000 50,500 Ultrasound exams 12,500 6,600 6,400 25,600 Interventional Radiology 1,500 – – 3,000 JOB SUMMARY The post holder will work as part of the Neuroradiology team within Imaging Services, contributing towards the provision of a comprehensive regional neuroradiology service on behalf of the Belfast Trust. MAIN RESPONSIBILITIES/JOB PLAN 1 The successful applicant will participate in the diagnostic Neuroradiology services of the Belfast Trust, located on the Royal Hospitals site. 2 On-call will be in association with the other Consultant Neuroradiologists within the Belfast Trust (1:8 rota). 3 Participation in regular multidisciplinary meetings will be required. 4 An indicative full-time job plan is included below for reference. Applicants interested in part-time working will also be considered. The working pattern will be agreed with the successful applicant on appointment. 5 The post holder will be expected to adhere to requirements for continuing medical education and to ensure that all skills and expertise are maintained. The Trust is committed to fully supporting and resourcing nationally agreed CME requirements to facilitate this. The post holder is expected to work within the Trust’s Clinical Governance Framework and GMC guidance on good medical practice. 6 The post holder will participate fully in medical and multi-professional clinical audit. 7 The post holder will be expected to participate actively in the teaching of undergraduate and post graduate students as well as staff in related disciplines and to co-operate with colleagues in developing local educational programmes. 8 The post holder will be expected to take part in the annual appraisal programme, job plan review and revalidation. Managerial Responsibilities The post holder will: 1 Undertake the administrative duties associated with the care of his/her patients and the running of the department in conjunction with colleagues. 2 Maintain staff relationships and morale among the staff reporting to him/her. 3 Delegate appropriate responsibility and authority to the level of staff within his/her control, consistent with effective decision making, while retaining overall responsibility and accountability for results. 4 May be required to undertake, from time to time, various management roles in relation to the activities of the specialty and the Belfast Trust. 5 Identify objectives with the Clinical Director and agree an action plan ensuring personal development. 6 Participate in the selection and appointment of staff in accordance with hospital procedures. 7 Take such action as may be necessary in disciplinary and grievance matters in accordance with the procedures laid down and approved by the Trust. General Responsibilities Employees of the Trust are required to promote and support the mission and vision of the service for which they are responsible and: 1 At all times provide a caring service and to treat those with whom they come into contact in a courteous and respectful manner. 2 Promote and support effective team working, fostering a culture of openness and transparency. The post holder will ensure that they take all concerns raised with them seriously and act in accordance with Belfast Trust’s Whistleblowing Policy and their professional code of conduct, where applicable. 3 The post holder will, in the event of a concern being raised with them, ensure it is managed correctly under the Belfast Trust’s Whistleblowing Policy, and ensure feedback/learning is communicated at individual, team and organisational level regarding the concerns raised, and how they were resolved. 4 Demonstrate their commitment by their regular attendance and the efficient completion of all tasks allocated to them. 5 Comply with the Trust’s Smoke Free Policy. 6 Carry out their duties and responsibilities in compliance with the Health and Safety Policies and Statutory Regulations. 7 Adhere to Equality and Good Relations duties throughout the course of their employment. 8 Ensure the ongoing confidence of the public in-service provision. 9 Maintain high standards of personal accountability. 10 Comply with the HPSS Code of Conduct. ADDITIONAL INFORMATION Terms and Conditions This appointment is subject to the Consultant Terms and Conditions of Service (Northern Ireland) 2004, and as amended. Registration Required to maintain full and specialist registration (and hold a current license to practice) with the General Medical Council Salary As per current Consultant salary scale in line with the Consultant Terms and Conditions of Service. Annual Leave Annual leave is in accordance with the terms and conditions of the new Consultant Contract. All leave (annual, study and professional) is subject to the needs of the Trust and must be approved in advance by the Clinical Director. Indemnity Employees are normally covered by the HPSS and Community Health Service Indemnity against claims for medical negligence. However, certain circumstances may not be covered by the Indemnity, especially where a separate fee is received. The Department of Health, Social Services and Public Safety (DHSSPS) therefore advises that membership of a medical defence organisation is maintained. Team working The successful candidate will be expected to work with local managers and professional colleagues in the efficient running of clinical services and will share with consultant colleagues in the medical contribution to management. Subject to the provisions of the Terms and Conditions of Service, the successful candidate is expected to observe the Trust’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of the Trust. The successful candidate will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of his/her patients to be able to contact him/her when necessary. Mentoring The Belfast Trust supports schemes for mentoring of newly-appointed consultants and a mentoring programme will be offered to the successful candidate. Teaching and Research The successful candidate will be expected to be involved in the teaching of undergraduate medical students and the training of junior medical staff and to lead on and develop the research profile of the service. Multi-professional Audit and Continuing Medical Education The post holder will be required to take part in the Directorate audit programme. They will also be required to undertake such continuing educational activities as are necessary for them to remain accredited by their Royal College. Consultant Appraisal and Revalidation Appointees are required to participate in Consultant Appraisal processes in accordance with DHSSPS requirements and Revalidation processes with the GMC. Support and Office Facilities The appointee will work as part of a multi-disciplinary team, supported by other consultant colleagues, doctors in training, radiographic, nursing and administrative/secretarial staff. There is appropriately equipped office accommodation for all consultant staff within the radiology departments. There are separate specific reporting rooms and access to all necessary IT facilities, including PACS/RIS, ECR, etc. Quality Patient satisfaction must be at the forefront of the concern of each member of staff. Every patient is to be treated as an individual and provided with high quality service in terms of courtesy, kindness, interest and efficiency. Residence In order to meet the on-call requirements of the post, the appointee is required to reside within a reasonable distance to their principal place of work, as per terms and conditions of service. Type of Appointment The appointment shall be on a whole time basis, or part-time by agreement, based on the needs of the service. Medical Examination Appointment to this post is subject to a satisfactory pre-employment health assessment with the Trust’s Occupational Health Service. Pension Membership of the Health Services Superannuation Scheme is voluntary. There is reciprocity between the Northern Ireland scheme and that in mainland Britain. Private Practice All private professional services and fee paying services that are not part of the Contract of Employment must be undertaken in accordance with Schedules 9, 10 and 11 of the Contract of Terms and Conditions of Service (NI) 2004. Date on which post is available The appointee may take up post upon satisfactory completion of essential pre-employment checks. Visiting For further information regarding this post, or to arrange a visit, you are encouraged to informally contact: Gary Burke, Imaging Services Manager, telephone: 02895047444 or email Gary.Burke@belfasttrust.hscni.net Canvassing Canvassing will disqualify. Individual applicants nor other persons should canvass support for any application in respect of Consultant posts. Removal Expenses If eligible a fixed relocation grant may be available to assist with essential relocation expenses, as outlined in the Trust’s “Re-Location and Associated Expenses Policy”. The amount must be agreed in advance of incurring expenditure. Other Facilities The main hospital sites are located close to Belfast City Centre. Belfast is now a vibrant, busy city with a wide range of cultural, sporting and other recreational activities. For those with children of school age there is a full range of public and private schools. Public schooling is free and of a very high standard. Housing in Belfast is of good quality and affordable and getting to and from work is generally easy, by car, bicycle and public transport. Equality Employees of the Trust are required to comply with the Trust’s Equality Scheme. A full copy of this scheme is available in the Human Resources Directorate, Employment Equality Team. Ionising Radiation Regulations The Ionising Radiation (Medical Exposure) Regulations (2017) require that any person clinically or physically directing a procedure which involves exposure to radiation should have appropriate training. This can be provided locally as necessary. Information Governance All employees of Belfast Health and Social Care Trust are legally responsible for all records held, created or used as part of their business within the Belfast Health and Social Care Trust, including patient/client, corporate and administrative records whether paper based or electronic and also including e-mails. All such records are public records and are accessible to the general public, with limited exceptions, under the Freedom of Information Act 2000, the Environment Regulations 2004, the General Data Protection Regulation (GDPR) and the Data Protection Act 2018. Employees are required to be conversant and to comply with the Belfast Health and Social Care Trust policies on Information Governance including for example the ICT Security Policy, Data Protection Policy and Records Management Policy and to seek advice if in doubt. Environmental Cleaning Strategy The Trusts Environmental Cleaning Strategy recognises the key principle that Cleanliness matters is everyone’s responsibility, not just the cleaners. Whilst there are staff employed who are responsible for cleaning services, all Trust staff have a responsibility to ensure a clean, comfortable, safe environment for patients, clients, residents, visitors, staff and members of the general public. Infection Prevention and Control The Belfast Trust is committed to reducing Healthcare associated infections (HCAIs) and all staff have a part to play in making this happen. Staff must comply with all policies in relation to Infection Prevention and Control and with ongoing reduction strategies. Standard Infection Prevention and Control Precautions must be used at all times to ensure the safety of patients and staff. This includes Cleaning hands either with soap and water or a hand sanitiser at the appropriate times (WHO ’5 moments’); Using the correct ’7 step’ hand hygiene technique; Being ‘bare below the elbows’ when in a clinical environment; Following Trust policies and the Regional Infection Control Manual (found on intranet); Wearing the correct Personal Protective Equipment (PPE); Ensuring correct handling and disposal of waste (including sharps) and laundry; Ensuring compliance with High Impact Interventions. Personal Public Involvement Staff members are expected to involve patients, clients, carers and the wider community were relevant, in developing, planning and delivering our services in a meaningful and effective way, as part of the Trust’s ongoing commitment to Personal Public Involvement (PPI). Please use the link below to access the PPI standards leaflet for further information. http://www.publichealth.hscni.net/sites/default/files/PPI_leaflet.pdf Clause: This job description is not meant to be definitive and may be amended to meet the changing needs of the Belfast Health and Social Care Trust. POST: Locum Consultant Neuroradiologist LOCATION: Based in the Royal Victoria Hospital, Belfast HSC Trust Notes to applicants: 1. You must clearly demonstrate on your application form under each question, how you meet the required criteria as failure to do so may result in you not being shortlisted. You should clearly demonstrate this for both the essential and desirable criteria. 2. Shortlisting will be carried out on the basis of the essential criteria set out below, using the information provided by you on your application form. Please note the Trust reserves the right to use any desirable criteria outlined below at shortlisting. You must clearly demonstrate on your application form how you meet the desirable criteria. 3. Proof of qualifications and/or professional registration will be required if an offer of employment is made – if you are unable to provide this, the offer may be withdrawn Candidates who are shortlisted for interview will need to demonstrate at interview that they have the required competencies to be effective in this demanding leadership role. ESSENTIAL CRITERIA: 1. Full registration with the General Medical Council and a Licence to Practise (must have both at time of appointment) 2. Entry on the GMC Specialist Register for Radiology via a. CCT (proposed CCT date must be within 6 months of interview date) or b. CESR or c. European Community Rights 3. Fellowship of the Royal College of Radiologists or hold other appropriate equivalent qualifications 4. Appropriate subspecialty training in diagnostic neuroradiology (minimum 24 months) in a recognised training department. 5. All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues. 6. Must have access to a means of transport to facilitate movement between sites. This criterion will be waived in the case of an applicant whose disability prohibits driving but who is able to organise suitable alternative arrangements. 7. Eligibility to work in the UK as per UKBA Immigration Regulations. DESIRABLE CRITERIA: 1. Subspecialty training eg paediatric neuroradiology, head and neck radiology, neurooncology, ophthalmology, spinal imaging 2. Evidence of participation in relevant neuroradiology research projects 3. Experience in radiological teaching of undergraduate or postgraduate students and/or paramedical staff
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