Job responsibilities
INTRODUCTION
This year the Liverpool Heart and Chest Hospital will perform 2,200 heart procedures and around
1500 thoracic procedures, including in the region of 700 major thoracic
operations. The full range of services
for adult cardiothoracic surgical patients (except for transplantation) is
provided.
The Centre is an NHS Foundation Trust, which has
seen a great deal of development in the last few years. As a result of major capital investment, the
Centre is able to provide:
245 Medical and Surgical beds (4 surgical wards)
8 dedicated Cardiothoracic Surgical Operating
Theatres including a Hybrid Theatre
Endoscopy Suite
Recovery Room
40 bedded Critical Care Unit
Radiology department with two high end CT Scanners
and two MRI scanners, 1.5T and a 3T
Pulmonary function and Oesophageal laboratory
Dedicated cystic fibrosis unit
5 Cardiac Catheterisation Laboratories and one
pacing theatre
RADIOLOGY DEPARTMENT
The Radiology Department is embarking on an
exciting new development with the creation of new posts to support the increasing
demand of Lung Services and the introduction of two new CT (Siemens Force) in
2019 and 2021 and 3T MRI scanner (Siemens VIDA) in 2018/19.
The
department originally opened in 2006 following a £80 million development. This
development included two new catheter labs, additional operating theatres, a
new expanded ITU for cardiothoracic services and provision of a diagnostic and
treatment centre (DTC) for the Royal Liverpool and BROADGREEN NHS Trust
(RLBUHT). The BGH DTC concentrates on
cold orthopaedic and urological surgery. A new joint digital imaging department
to service both Trusts was a fundamental part of the development.
There
are three separately located bi-plane catheter laboratories and two
single-plane labs installed. These are largely devoted to the performance of
invasive diagnostic cardiology, Interventional cardiology and EP studies.
There
is a separate echocardiography department within cardiology led by the imaging
cardiologists. There are facilities for
Stress Echo, TOE and 3D Echo.
The LHCH
imaging strategy has identified the need to expand cardiovascular MRI , cardiac
, chest and general CT capacity to meet rising demand for non-invasive imaging.
At present all cardiac MR operates 12-hour days and CT operates 8 hours days.
There is a GA
MRI list each month to support the ACHD referral pathway and an MRI service for
patients having pacing devices and need an MRI scan.
LHCH is
leading the National program for Lung Cancer Screening. This has increased the
demand for oncologic imaging and lung biopsies.
There are integrated
chest and cardiac imaging services with close interaction with the clinical chest
physicians and cardiologists, with several regular relevant imaging meetings
for discussion of clinical outcomes and participation in the clinical meetings
of the relevant department is encouraged.
The
department is fully digital with Carestream PACS integrated with HSS CRIS with
digital dictation. Voice recognition software is available for those who wish
to use it. There are currently fifteen LHCH PACS reporting workstations with
Siemens Syngo Via and CVI42 software, allowing advanced CT and MR
post-processing on any Trust workstation, PC and from home. The images can be
viewed anywhere in the Trust using the Carestream client. This can also be used
from home using a Trust provided VPN or secure portal for on call review of
images.
Audit/Research
The Trust has
an active audit programme. It is
expected that the post holder will take a full part in the audit
programme. The Trust is one of two pilot
sites for the UK Lung Cancer Screening Trial in collaboration with Liverpool
University.
The trust has
collaboration with Konica Minolta and has received a state-of-the-art plain
film x ray machine that can acquire dynamic images and is only the second such
device to be installed across the globe.
There is
close collaboration with AIDENCE, an AI company to support the Lung Cancer
Screening program.
The trust has
entered an academic partnership with Imperial College London and the Brompton
Hospital: The Institute of Cardiovascular Medicine and Science. This will
foster strong academic development and the post holder would be encouraged to
fully participate in joint projects.
There are
regular discrepancy meetings and clinical meetings. Clinical Quality,
Governance and the Trusts Patient Vision are integral to the Trusts day to day
activities
Teaching
There is a
formal programme of lectures based round the modular FRCR course held at the
University of Liverpool. The new post
holder would be supported to contribute to this and obtain training in workplace-based
assessments and utilisation of the college e-portfolio in order to become an
accredited Clinical Supervisor.
Some formal
teaching of Speciality Trainees, radiographers and other trust staff will be
expected. Informal tutorials for trainees and pre-examination tutorials prior
to the part II FRCR would also be expected. Currently Dr Radike is the college
tutor at LHCH.
MEDICAL
STAFF
Dr J A Holemans Radiologist
Dr S
Binukrishnan Radiologist
Dr K. Babar Radiologist
Dr M Ntouskou Radiologist
Dr M Radike Radiologist
Dr A Kharabish Radiologist
Dr M Gutierrez Radiologist
Dr Y AlKhatib Radiologist
Dr A. Reghunat Radiologist
Dr L Kuruvilla Radiologist
Dr A
Khalatbari Imaging
Cardiologist
Dr T Fairbairn
Imaging
Cardiologist
Dr R Cooper Imaging Cardiologist
Dr. J Hasleton Imaging Cardiologist
Dr S Srivastava Imaging Cardiologist
Dr P
Lech Imaging
Cardiologist
Dr S Elgamal Imaging ACHD Cardiologist
JOB PLAN
The job is intended to be a full time (10 PA) post
in general radiology and Intervention, preferably with a specialist interest in
cardiovascular Imaging at Liverpool Heart and Chest Hospital. The job plan will
include 1.5 SPA.
The draft job plan is outlined under the terms and
conditions section.
The successful candidate will have full secretarial
support, a personal computer (training available if required) and office
accommodation in line with other consultants in the unit.
There is a significant commitment to research and
audit and a training commitment to the SpRs.
The trust supports the annual appraisal process and
routine GMC revalidation for all consultants and all consultants undergo an
annual job plan. The appointee will be
expected to work flexibly on the basis of the needs of the Clinical Services
Division and the Trust. The workload
will be driven by the job planning process and be reviewed and changed
appropriate to the requirements of the Trust by the Radiology Clinical Lead with
the Divisional Head of Operations with ratification by the Medical Director. It should be noted that full mentorship will
be provided to the successful candidate.
The Trust supports the requirements for continuing
professional development (CPD) as laid down by the GMC and surgical colleges
and is committed to providing time and financial support for these activities.
PATIENT REFERRAL PATTERNS
Referrals for MR and CT are generated from within the organisation from chest,
cardiology and surgery and from external organisations that require the
specialist advice from the expert team of radiologist and imaging cardiologist
at Liverpool Heart and Chest.
GENERAL PROVISION AND SUMMARY OF MAIN CONDITIONS OF SERVICES
1.
General Provisions
1.1 The appointee
will be expected to work with local managers and professional colleagues in the
efficient running of services and will share with consultant colleagues in the
medical contribution to management.
Subject to the provisions of the Consultant Terms and Conditions of
Services, he/she is expected to observe the Centres agreed policies and
procedures, drawn up in the consultation with the profession on clinical
matters and to follow the standing orders and financial instructions of the
Liverpool Heart and Chest Hospital. The
appointee will be expected to follow the local and national employment and personnel
policies and procedures.
1.2 All medical and
dental staffs employed by the hospital are expected to comply with the agreed
health and safety policies.
1.3 The appointee will have responsibility
for the training and supervision of junior medical staffs who work with him/her
and will devote time to this on a regular basis. If appropriate he/she will be named in the
contracts of junior doctors in training grades as the person responsible for
overseeing their training and as a main source of advice to such doctors on
their careers.
2.
Main Conditions of Service
2.1 The successful
candidate(s) will normally be required to live within 30 minutes drive of the
hospital.
2.2 Where, however
the successful candidate already resides within 45 minutes drive of the
hospital, he/she will not be required to remove his/her home nearer to the
hospital.
2.3 Where the
successful candidates present residence is more than 45 minutes drive from
the hospital, he/she will be required to move his/her home to meet the
residential clauses of his/her contract, unless he/she has the written consent
of the Authority to the contrary.
2.4 The Terms and
Conditions of Service state that the removal expenses shall be reimbursed, and
grants paid only when the employing authority is satisfied that the removal of
the practitioners home is required, and the arrangements proposed are
reasonable. Therefore, successful
candidates are advised not to enter into contractual arrangements for the
removal of their home until such a time as the formal approval of the hospital
is confirmed in writing.
