Job summary
LOCUM CONSULTANT IN CARDIOLOGY with an interest in coronary intervention
We are seeking to recruit an innovative and progressive Locum Consultant with an interest in Interventional Cardiology to join our Cardiology team. The appointee will cover our new hospital Midland Metropolitan University Hospital (MMUH) during the on call with outpatient clinics at City Health Campus and/or Sandwell Health Campus.
Applications are welcomed from candidates with CCT (or equivalent) with an interest in Coronary Intervention who are on the General Medical Council's Specialist Register in Cardiology or who will be within six months of obtaining their CCT at the time of interview. In addition, applicants should demonstrate within their application that they are fully trained in general Cardiology, can manage Primary PCI on call and can perform PCI independently.
This post is a locum job for a period of 6 months.
Main duties of the job
The appointee will perform first class diagnostic angiography and coronary interventions for elective outpatient cases, urgent inpatients (acute coronary syndromes) and primary PCI for ST elevation MIs.
On-call for primary PCI and general cardiology 1 in 8 (with internal cover).
The appointee will also cover clinics (mostly Rapid Access Chest Pain patients), ward rounds and administration duties and also have flexible cardiac catheter laboratory cover.
The post will initially be based primarily at MMUH for ward rounds and oncalls. The Trust has reconfigured its services in preparation for the implementation of the Right Care Right Here Programme and the post-holder therefore is required have outpatient work continuing on at least one of the other sites.
The appointee will take equal responsibility with existing Consultants for the proper functioning of the clinical service, working with clinical and managerial colleagues towards achieving and maintaining national maximum waiting times and developing clinical pathways.
About us
Sandwell and West Birmingham NHS Trust (SWB) serves Birmingham and the Black Country - one of the country's most culturally diverse areas. It's a friendly and welcoming place - a place where you can belong, and a place where you can grow.
We care for our patients, we care about our population, and we care about our people.
Our values - Ambition, Respect and Compassion - are at the heart of who we are. They guide us every step of the way; how we work with each other, and how we look after our patients and their families; how we respect and value the rich diversity of our team and our community.
Our Trust has always aspired to be more than a hospital, more than a healthcare provider. Our purpose is to "Improve the Life Chances and Health Outcomes of our Population." It is what inspires, drives, and unites us every day. It's what makes us unique.
We want working at SWB to feel like more than just a job. We want our Trust to be a place where you can feel you belong. A place where you feel happy, safe, and rewarded. A place where you can develop your career in whatever way you choose.When we say we're 'with you all the way' we want you to know that we mean it.Visit the SWB website to find out more about our ambitions and people plans.
Job description
Job responsibilities
Dr Vinoda Sharma is currently Specialty Lead for Cardiology; Dr Stavros Apostolakis is the Clinical Director for Admitted Care, of which Cardiology forms a part; Dr Chetan Varma (also a consultant cardiologist) is the Group Director for Medicine and Emergency Care. MMUH has Medical Admission Units adjacent to the Emergency Departments.
The cardiology consultants provide a seven day service for cardiology patients at MMUH. The Consultant Cardiologist of the Week (non-Interventionist) carries out a ward round on the Cardiology A2 ward every day, supported by junior staff. MMUH Acute Medical Uniit (AMU) Ward Rounds are covered by Interventional Cardiologists in the morning. MMUH Cardiology Ward (A2) Rounds are covered by Non-Interventional Cardiologists (all-day). On the MMUH AMU, there is a daily consultant ward round on the acute medical unit (after initial assessment by the RMO and medical on-take team) in which patients needing prolonged specialist cardiac or catheter lab management are transferred the Cardiology A2 ward. All the patients requiring cardiology management are reviewed by the cardiology team with daily ward rounds on the cardiology wards, acute medical unit and ward referrals. All suspected acute coronary syndrome patients will be seen, as well as those with significant arrhythmias and those with heart failure.
Out-patient Clinics at Sandwell and City Hospitals
At Sandwell Hospital, the out-patient department is directly adjacent to the cardiology department and therefore access to exercise testing, echocardiography and rhythm management facilities. At City Hospital, the Birmingham Treatment Centre also provides out-patient facilities adjacent to the Cardiology Department. The appointee would have two cardiology clinics per week. There may be a requirement for the appointee to do outpatient work outside the hospital in line with the Right Care Right Here programme. At present there were a total of about 18000 outpatient attendances per year in the cardiology Dept. Modern IT systems (UNITY) support delivery of service to improve rapid turnover and communication with primary care and all our patient records are electronic.
Cardiac Catheterisation and Intervention
MMUH is equipped with state of the art Siemens Artis Icono Biplane catheter labs adjacent to each other with plans to install a third catheter lab in the provided space. Cath lab coordination is supported using the dedicated Labyrinth@ IT system and dedicated nurse Cath Lab Coordinator. One cath lab runs routinely from 8am-6pm and Saturday mornings from 9am -12pm, with the second lab running 9am to 5pm Monday to Friday. Cath labs run mixed lists of acute and elective patients. Angiograms are supported using the Change Healthcare@ system, images being visible on any PC within the Trust at any time by the cardiology team as well as Cath reports and BCIS returns.
The Trust has a longstanding PCI programme and has undertaken coronary intervention with off-site surgical support from neighbouring cardiac surgical facilities for over 2 decades.
On averagemore than 1100 interventional procedures including approximately 900 PCIs are undertaken every year. A full range of diagnostic and therapeutic angioplasty devices are available including IVUS, OCT, pressure wire studies, rotational atherectomy, thrombectomy catheters, distal protection devices IVL etc.
We are a high volume radial centre with 96% of PCI cases undertaken radially in 2023. We utilise pressure wire in approximately 20% of our cases and intracoronary imaging (OCT or IVUS) in 15-20% of cases. We have the full range of tools for calcium modification including rotational atherectomy, IVL as well as orbital atherectomy.
A primary angioplasty service for acute myocardial infarction was established in the early 2000s, with 24 hours, 7 day service running since January 2005. There is a full Emergency department at the new Midlands Metropolitan Hospital. There is a 1 in 8 interventional rota (with internal cover) with approximately 250 STEMIs per year suitable for PPCI in the last calendar year. Arrangements are in place to allow for compensatory rest.
Job description
Job responsibilities
Dr Vinoda Sharma is currently Specialty Lead for Cardiology; Dr Stavros Apostolakis is the Clinical Director for Admitted Care, of which Cardiology forms a part; Dr Chetan Varma (also a consultant cardiologist) is the Group Director for Medicine and Emergency Care. MMUH has Medical Admission Units adjacent to the Emergency Departments.
The cardiology consultants provide a seven day service for cardiology patients at MMUH. The Consultant Cardiologist of the Week (non-Interventionist) carries out a ward round on the Cardiology A2 ward every day, supported by junior staff. MMUH Acute Medical Uniit (AMU) Ward Rounds are covered by Interventional Cardiologists in the morning. MMUH Cardiology Ward (A2) Rounds are covered by Non-Interventional Cardiologists (all-day). On the MMUH AMU, there is a daily consultant ward round on the acute medical unit (after initial assessment by the RMO and medical on-take team) in which patients needing prolonged specialist cardiac or catheter lab management are transferred the Cardiology A2 ward. All the patients requiring cardiology management are reviewed by the cardiology team with daily ward rounds on the cardiology wards, acute medical unit and ward referrals. All suspected acute coronary syndrome patients will be seen, as well as those with significant arrhythmias and those with heart failure.
Out-patient Clinics at Sandwell and City Hospitals
At Sandwell Hospital, the out-patient department is directly adjacent to the cardiology department and therefore access to exercise testing, echocardiography and rhythm management facilities. At City Hospital, the Birmingham Treatment Centre also provides out-patient facilities adjacent to the Cardiology Department. The appointee would have two cardiology clinics per week. There may be a requirement for the appointee to do outpatient work outside the hospital in line with the Right Care Right Here programme. At present there were a total of about 18000 outpatient attendances per year in the cardiology Dept. Modern IT systems (UNITY) support delivery of service to improve rapid turnover and communication with primary care and all our patient records are electronic.
Cardiac Catheterisation and Intervention
MMUH is equipped with state of the art Siemens Artis Icono Biplane catheter labs adjacent to each other with plans to install a third catheter lab in the provided space. Cath lab coordination is supported using the dedicated Labyrinth@ IT system and dedicated nurse Cath Lab Coordinator. One cath lab runs routinely from 8am-6pm and Saturday mornings from 9am -12pm, with the second lab running 9am to 5pm Monday to Friday. Cath labs run mixed lists of acute and elective patients. Angiograms are supported using the Change Healthcare@ system, images being visible on any PC within the Trust at any time by the cardiology team as well as Cath reports and BCIS returns.
The Trust has a longstanding PCI programme and has undertaken coronary intervention with off-site surgical support from neighbouring cardiac surgical facilities for over 2 decades.
On averagemore than 1100 interventional procedures including approximately 900 PCIs are undertaken every year. A full range of diagnostic and therapeutic angioplasty devices are available including IVUS, OCT, pressure wire studies, rotational atherectomy, thrombectomy catheters, distal protection devices IVL etc.
We are a high volume radial centre with 96% of PCI cases undertaken radially in 2023. We utilise pressure wire in approximately 20% of our cases and intracoronary imaging (OCT or IVUS) in 15-20% of cases. We have the full range of tools for calcium modification including rotational atherectomy, IVL as well as orbital atherectomy.
A primary angioplasty service for acute myocardial infarction was established in the early 2000s, with 24 hours, 7 day service running since January 2005. There is a full Emergency department at the new Midlands Metropolitan Hospital. There is a 1 in 8 interventional rota (with internal cover) with approximately 250 STEMIs per year suitable for PPCI in the last calendar year. Arrangements are in place to allow for compensatory rest.
Person Specification
Qualifications:
Essential
- oMRCP (UK) or equivalent
- oEntry on the Specialist Register in cardiology (or entry expected within 6 months from the date of interview)
Desirable
- oHigher Degree
- oInterventional Fellowship
Clinical Experience:
Essential
- oClinical training and experience equivalent to that required for gaining CCT in cardiology
- o Ability to take full and independent responsibility for the management of acute cardiac emergencies
- o Ability to take full and independent responsibility for the care of patients
Desirable
- oSpecial interest that complements the existing consultants (e.g. structural intervention, CTCA etc.)
Clinical Effectiveness
Essential
- oExperience of conducting clinical audit
- o Ability to use the evidence base and clinical audit to support decision-making
Teaching and Training experience:
Essential
- oAbility to teach clinical skills to medical and nursing staff and other disciplines.
- o The ability to appraise junior doctors and other staff.
Desirable
- oFormal training in teaching
Research, Innovation and Service Improvement Experience:
Essential
- oAbility to apply research outcomes to clinical problems
- o An awareness of current specialty developments, initiatives and issues.
Desirable
- oKnowledge and experience of the application of information technology to cardiology
- oPublications in relevant peer-reviewed journals in the last five years.
- oEvidence of having undertaken original research
Other Requirements:
Essential
Person Specification
Qualifications:
Essential
- oMRCP (UK) or equivalent
- oEntry on the Specialist Register in cardiology (or entry expected within 6 months from the date of interview)
Desirable
- oHigher Degree
- oInterventional Fellowship
Clinical Experience:
Essential
- oClinical training and experience equivalent to that required for gaining CCT in cardiology
- o Ability to take full and independent responsibility for the management of acute cardiac emergencies
- o Ability to take full and independent responsibility for the care of patients
Desirable
- oSpecial interest that complements the existing consultants (e.g. structural intervention, CTCA etc.)
Clinical Effectiveness
Essential
- oExperience of conducting clinical audit
- o Ability to use the evidence base and clinical audit to support decision-making
Teaching and Training experience:
Essential
- oAbility to teach clinical skills to medical and nursing staff and other disciplines.
- o The ability to appraise junior doctors and other staff.
Desirable
- oFormal training in teaching
Research, Innovation and Service Improvement Experience:
Essential
- oAbility to apply research outcomes to clinical problems
- o An awareness of current specialty developments, initiatives and issues.
Desirable
- oKnowledge and experience of the application of information technology to cardiology
- oPublications in relevant peer-reviewed journals in the last five years.
- oEvidence of having undertaken original research
Other Requirements:
Essential
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
