UNIVERSITY OF NOTTINGHAMFACULTY OF MEDICINE AND HEALTH SCIENCES

SCHOOL OF CLINICAL SCIENCESDIVISION OF CARDIOVASCULAR MEDICINE

Job Title: PROFESSOR OR ASSOCIATE PROFESSOR IN CARDIOVASCULAR RESEARCH (CLINICAL)

Salary: Clinical associate professor or professor – salary will be within the range £74,504 - £100,446 per annum, depending on seniority

THE POST

The University of Nottingham seeks applications for a full-time appointment in Cardiovascular Research. This position is to replace Professor RG Wilcox who has retired recently and achieved Emeritus status. The appointment is in the School of Clinical Sciences and within the Division of Cardiovascular Medicine. The appointment may be made at full professor or associate professor level depending on qualifications and experience. The post combines academic responsibilities with clinical duties at Nottingham University Hospitals NHS Trust. The successful applicant will be offered an honorary consultant contract at Nottingham University Hospitals NHS Trust.

The University would wish to support a research program that fits in well with other activities in the University and the Nottingham University Hospitals NHS Trust. Our top priority is to appoint a scientist with an outstanding track record of research who would complement existing research strengths within the University. Research excellence rather than exact field is the primary criterion. Possible fields include (but are not limited to) thrombosis and haemostasis; imaging; clinical trials; genetics; infection; drug discovery; human metabolism/physiology. Further details of research in the School and Faculty are attached and we are happy to discuss how we might accommodate any area of internationally excellent research.

DIVISION OF CARDIOVASCULAR MEDICINE http://www.nottingham.ac.uk/scs/divisions/cardiovascularmedicine

Cardiovascular Medicine comprises academics (both clinical and non-clinical), NHS cardiologists, postdoctoral scientists, technicians and administrators who work together to conduct research, to provide teaching to medical students, students registered for higher degrees and young doctors in training, and to engage in service delivery.

The Division has an international history of clinical trials in patients with a wide range of cardiovascular problems. Examples of recent clinical research activity are trials of novel anti-platelet and anti-thrombotic drugs for acute ischaemic coronary syndromes and a comparison

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of pre-hospital delivery of thrombolysis with direct transfer for primary coronary artery angioplasty. There is also a reputation of high quality epidemiology and health sciences research in the fields of myocardial infarction and health economics (Dr D Gray). The clinical academic members work closely with their NHS colleagues at both the City Hospital and Queens Medical Centre sites, and with colleagues involved in basic research.

For many years the Division’s programme of basic research has been aimed at understanding the mechanisms involved in cardiovascular disease and at improving diagnosis and treatment. Much of this work is performed via the Thrombosis and Haemostasis Research Group (Professor S Heptinstall) which has a focus on the contribution of platelets and other blood cells to these pathological and physiological processes. Outcomes have contributed to publications, teaching and also translational research which culminated recently in the award of a DPFS/MRC grant, and in commercial activity via Platelet Solutions, an embedded unit that offers services to enhance healthcare. The group includes a full-time senior research fellow (Dr S Fox), two further post-doctoral fellows and 3.5 highly-skilled research assistants.

The Division is located in purpose-built accommodation at the Queens Medical Centre and comprises offices and well-equipped laboratories that are in close proximity to wards and other clinical facilities.

RESEARCH

The successful applicant will be expected to contribute to and extend the existing research activities in Cardiovascular Medicine and to foster collaborative links between the University and Trust Cardiology Department as well as with research centres nationally and internationally. The appointee will thus have established a proven track record in research and be capable of generating a complementary research programme by securing external funding and attracting and supervising postgraduate research students. Collaboration with other departments within the Medical Faculty and other Faculties within the University is actively encouraged.

Ideally the appointee will provide expertise and experience in an area that will enhance and extend the research currently performed in the Division of Cardiovascular Medicine. There are a number of research themes in the cardiology area (imaging, genetics, clinical trials, intervention and electrophysiology) and in the thrombosis and haemostasis area that would be appropriate. The researcher would liaise and collaborate with researchers in other divisions. We are looking for the potential for high performance in REF, success in attracting external research funding, and an interest in translational research leading to better health outcomes.

For appointment at Professorial level you will provide leadership in research and contribute fully to the research activities of the school. You will publish research of international quality in peer-reviewed journals and will undertake original research, of international excellence.

TEACHING

The University of Nottingham currently admits around 250 undergraduates to the medical course each year. The School is committed to playing a full role in the teaching of Nottingham Medical Faculty undergraduates and involvement in the supervision and teaching of undergraduates (knowledge and clinical skills) as well as making contributions to the management of teaching including participation in assessments (question writing, standard setting, clinical skills examinations), module coordination and curriculum development is expected. The appointee will be encouraged to offer and supervise student projects for the Honours Year programme of the B.Med.Sci. Postgraduate teaching is to PhD and DM level and includes attendance at a centralised training course that is organised within the Faculty of Medicine and Health Sciences.

The post holder will play a full role in delivering teaching duties as required by the Faculty of Medicine and Health Sciences. There is likely to be particular involvement in the third year of the BMedSci course. The post holder will also be expected to supervise PhD and DM students.

For a professorial appointment you will also be expected to allocate teaching load.

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Clinical teachers are expected to engage in professional development and attend specified training sessions as part of their role.

CLINICAL DUTIES

A clinical appointee will be expected to fulfil the following duties with the agreed Job Plan.

A full range of cardiology emergency patients are admitted to Nottingham University Hospitals NHS Trust and the appointee will be responsible for the management of those patients admitted under his/her care.

Provision with Consultant colleagues of a comprehensive elective and emergency cardiology service.

Provision of reciprocal cover for periods of leave.

Continuing responsibility for the care of patients in his/her charge and the proper functioning of the department.

These duties are subject to review from time to time in the light of the changing requirements of the service. If alterations to the described duties are required these will be mutually agreed between the appointee, his/her Consultant colleagues and the Trust.

CLINICAL CONTEXT

Cardiac services are delivered over both NUH campuses at Queens Medical Centre (QMC) and Nottingham City (NCH). The consultant cardiologists at Nottingham University Hospitals (Drs A J Ahsan, M K Baig, AA Harcombe, R A Henderson, TP Mathew, AD Staniforth, JT Walsh (Head of Service), Dr W Smith, Dr S Jadhav, Dr Salih (locum), Dr Jacobson (locum)) provide secondary and tertiary cardiology services to Nottingham and the Trent Strategic Health Authority. Dr D Gray based at the Queens Medical Campus is an academic appointment but contributes fully to the clinical service. The tertiary catchment covers Nottingham and surrounding districts, North Nottinghamshire, and parts of Lincolnshire and Derbyshire (population approximately 1.3 million). NUH has recently been accredited as a Regional Heart Attack centre. Secondary cardiology services in Nottingham are provided over both campuses with the majority of acute cardiac admissions through the Emergency Department based on the QMC campus.

The service has recently been reconfigured to deliver cardiac support over both campuses. Patients admitted through the Emergency Department at QMC are triaged and transferred when indicated to NCH campus. There are 16 acute cardiac beds on the QMC campus, including an 8 bedded Coronary Care Unit. There is a daily Consultant ward round supported by a Specialist Registrar in Cardiology and specialist cardiac nurses who together comprise the Cardiac Assessment Team. The inpatient cardiology service at Nottingham City campus consists of a 6-bed coronary care unit with two additional cardiac wards, in total providing 36 cardiac beds. Patients undergoing procedures can also be admitted to the 12 bedded short stay unit based in the Trent Cardiac Centre during the working week. The Trust has recently invested 4 million pounds in reconfiguring cardiac services to provide purpose designed cardiac wards and technician accommodation.

The Trent Cardiac Centre is a purpose built three storey build that opened in 2005 providing two new cardiac catheter laboratories, and facilities for day case echocardiography (including trans-oesophageal and stress studies). The building also includes two new cardiac surgical theatres, dedicated intensive care and high dependency units with combined cardiology and cardiac surgical ward accommodation. An additional cardiac catheter laboratory based in the radiology department remains in use for pacing, electrophysiology and diagnostic coronary work - a further catheter laboratory is expected to become operational during 2010.

The department holds several cardiology outpatient clinics per week and in 2009 the NUH cardiologists saw some 4800 new and 12,500 follow-up patients. Patients are also seen in the Nottingham Treatment Centre located on the QMC campus and the successful applicant may be required to work here. The cardiologists conduct daily ward rounds on the coronary care

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units and admission wards and are responsible for the care of a substantial proportion of patients admitted to NUH with acute coronary syndromes. A large and increasing number of patients are also transferred from surrounding hospitals for further management of acute coronary syndromes or other acute cardiac conditions.

Non invasive cardiac imaging is well established across both campuses and includes echocardiography, radionuclide scans and cardiac magnetic resonance imaging. A small number of cardiac CT scans are performed on a 16 slice scanner. There is a weekly cardiac imaging meeting (Thursday lunch time) which is widely attended by all disciplines within the Heart Services Directorate. In addition, there are regular teaching sessions for SpR’s and Physiologists. Currently there is one cardiac imaging fellow post and the deanery has advertised for a second post. The department has close links with radiology. Dr Mathew is the clinical lead for cardiac imaging.

Echocardiography

Consultants: Dr TP Mathew, Dr JT Walsh - Consultant Cardiologists

The department is equipped with eleven ultrasound machines connected to a digital server and images can be down loaded and processed on dedicated workstations. Of the 11 machines, eight were purchased in the last year and three have trans-thoracic 3D capabilities and one machine has two 3D TOE probes. Full tissue Doppler package is available on three machines and there are facilities for off-line processing including Speckle tracking and Automated Functional Imaging on limited workstations.

The department performs over 15,000 trans-thoracic echocardiograms every year and is supported by a team of twelve physiologists. There are regular sessions for Dobutamine Stress Echo’s and transoephageal echocardiograms across both sites. In addition a number of specialised echocardiographic clinics for congenital heart disease, selection and optimisation of CRT patients, contrast echo before and after PFO/ASD closures are undertaken. Transoesophageal echocardiography is routinely used in the catheter lab for guiding non coronary interventions which currently include PFO/ASD closures and percutaneous closure of paravalvular leaks. Funding has been approved for percutaneous aortic valve implantation and the programme has recently started in December 2009.

Cardiac Magnetic Resonance Imaging (CMR)

Consultants – Dr TP Mathew, Consultant Cardiologist, Dr K Pointon and Dr S Habib Consultant Radiologists with interest in cardiac and vascular imaging.

The Cardiac MRI service was established at the NUH in 2005. The service has grown in the last two years and currently provides a tertiary service for Nottingham and 4 neighbouring District General Hospitals. The Unit has two scanners (performing cardiac scans) comprising of a GE 1.5 T Signa scanner at the City Campus and Phillips 1.5 T scanner at the QMC Campus. Plans are underway for a second scanner based at the City Hospital. There are dedicated workstations based in the MRI department for analysis and reporting. A variety of CMR scans are performed including structure, function and viability assessments, flow analysis, stress and rest perfusion and congenital Imaging. Currently there are 4 CMR sessions, 2 on each site and performs 12-15 scans/week.

Nuclear Cardiology

Consultants – Dr TP Mathew, Consultant Cardiologist, Dr R O’Connor, Dr Des Green and Dr R Ganatra, Consultant Nuclear Medicine Radiologists

SPECT imaging is available at both sites and performs perfusion and functional imaging. The laboratory is fully digital and networked. Static and ECG-gated tomographic and planar images are interpreted both visually and with commercially available quantitative software (Cedar Sinai QGS/QPS software). Over 500 clinically requested studies are performed every year and most studies are carried out in conjunction with pharmacological stress testing. The department is supported by a team of nuclear medicine technologists.

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In addition to the above, exercise stress testing, ambulatory electrocardiography, ambulatory BP monitoring and tilt table facilities are available across both sites.

Coronary intervention, electrophysiology, and radiofrequency ablation services were established at Nottingham City Hospital in 1995/6. In 2008 there were over 3500 catheter laboratory procedures including over 1400 percutaneous coronary interventions. A full range of coronary interventional procedures is carried out including intravascular ultrasound. The capacity for cardiac interventional procedures at Nottingham City Hospital has recently expanded because some diagnostic work has transferred to new catheter laboratories in Mansfield and Lincoln. Primary angioplasty is currently undertaken during working hours with plans to expand to a 24 hour service during 2010.

There are strong links with cardiovascular physicians and cardiologists at other hospitals in Nottingham, Lincoln, Mansfield and Derby. Cardiac catheter laboratories are available at Derby Royal Infirmary; King’s Mill Centre, Mansfield; and Lincoln County Hospital. Several visiting cardiologists undertake coronary intervention sessions at Nottingham City Hospital, including Dr Y Butt (Chesterfield), Drs C Foster and S Bashir (Mansfield) and Dr D OBrien (Lincoln)

The cardiology department at NUH is well supported with junior clinical staff currently with eight specialist registrars, three clinical fellows and ten SHO’s. The registrars and fellows operate a middle grade cardiology on-call rota, but the SHO’s share an on-call (Hospital at Night) rota with their counterparts in acute medicine.

Cardiac surgery was established at Nottingham City Hospital in late 1995 and now provides a comprehensive adult cardiac surgical service to mid-Trent. Last year the cardiac surgeons (Mr D Richens, Mr I Mitchell, Mr S Naik, Mr J Lu, Mr R Jutley and cardiac anaesthetists (Dr J Skoyles, Dr H Skinner, Dr M Sharjar, Dr R Basu) undertook over 700 open heart operations. The cardiac surgical department holds monthly mortality and morbidity meetings and publishes an annual report, which is available on the hospital website.

SPECIALTY MEDICAL STAFF (with main subspeciality interest)

Dr A Ahsan (Electrophysiology and Coronary Intervention)Dr K Baig (Coronary Intervention)Dr D Gray (Academic Cardiology)Dr Harcombe (Coronary Intervention)Dr R Henderson (Coronary Intervention)Dr S Jadhav (Coronary Intervention)Dr TP Mathew (Cardiac Imaging)Dr Salih (Locum Consultant Imaging)Dr Jacobson( Locum Consultant Imaging)Dr W Smith (Coronary Intervention and GUCH)Dr Staniforth (Electrophysiology and Devices)Dr JT Walsh (Heart failure and Imaging – Current Head of Service)

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JOB PLAN AND TIMETABLE

The following draft Job Plan reflects our best assessment of what the final plan will be, based on 10 PAs.

Any consultant who is unable, for personal reasons, to work full-time, will be eligible to be considered for the post on a part-time basis; if such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with consultant colleagues.

This service provided by Cardiology is provided across both campuses, but your primary base is NCH campus

The main duties of the post include contributions to:

the inpatient and outpatient work of the cardiology department engagement in relevant research – such an area might be provision and further

development of advanced cardiac imaging including cardiac magnetic resonance imaging

PROGRAMMED ACTIVITIES

Direct Clinical Care:

ward rounds, admin, outpatients, MDT 3.75

Predictable and unpredictable on call 0.5

Sub Total 4.25

NHS Supporting Professional Activities:

CPD, audit, clinical governance 0.75

Sub Total 0.75

University Research & Teaching:

Research and teaching 5

Sub Total 5

On-call supplement:

Rota Frequency: 1:12

Category: A

On-call Supplement: 5%

Depending on the requirements of the service 1 or 2 additional PAs may be available by mutual agreement between the appointee and the Trust. These APAs may include an additional imaging session, and an additional session for inpatient clinical work.

The post holder will participate fully in the department’s activities, including inpatient and outpatient work. He/she may participate in the on-call rota for general cardiology (anticipated to be a 1:12) and will be expected to provide cover for colleagues during periods of leave. In addition the post holder will be expected to contribute to combined cardiac and cardiac surgical case conferences at NCH. There will be an agreed and equitable share of facilities and

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support (including junior and middle grade medical staff, outpatient and other facilities) with the other consultants in cardiology. Secretarial support, a personal office, together with a personal computer linked to the imaging network will be provided.

TIMETABLE

DAY AM PM

Monday Admin/SPA Clinic

Tuesday Academic Academic

Wednesday Academic Academic

Thursday CCU WR Academic

Friday Academic SPA

The on-call commitment is currently 1:12 supported by junior staff.

This post is deemed to be in Category A and an allowance is paid for being on-call, which is currently 5%.

Notes: This timetable reflects a 10 PA job description (direct clinical care PAs, supporting PAs and research PAs. It is expected that the timings of fixed clinical commitments (ie clinics, CCU, MDT’s) will normally be delivered at the times stated in the timetable. Other commitments may be delivered at different times to those indicated, with the expectation that the total time spent on these activities will match the weekly total outlined in the timetable.The job plan timetables a proportion of the annualized SPA activity; it is recognised that the precise timings of these activities may change but it is expected that the total time dedicated to SPA activity will be the same. The precise details of SPA activity will depend on the skills / interests of the appointee and needs of the department.

ADMINISTRATION

The appointee will be expected to participate in the administration of Cardiovascular Medicine as required. Accepting responsibilities out with the School is encouraged.

The post holder would be expected to be involved in student admissions, tutorials, examinations, course organisation and other administrative roles as required by the Faculty of Medicine and Health Sciences.

PROFESSOR OR ASSOCIATE PROFESSOR IN CARDIOVASCULAR RESEARCH

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PERSON SPECIFICATION

ATTAINMENTS ESSENTIAL FOR THE POST DESIRABLE FOR THE POST

QUALIFICATIONS

Registration:

Professional qualifications:

Higher degree:

Full registration with GMC

Possession of CCT or equivalent**Entry on the GMC Specialist Register or eligibility for entry within 6 months of the date of the Advisory Appointments Committee

MBBS or equivalent

MRCP or equivalent

MD/PhD or equivalent

Undergraduate degree (1st or 2:1) in biological discipline

High level of academic achievement in the form of prizes/awards

Clinical Skills Clinical training and experience in Cardiovascular Medicine

Expertise in cardiac MRI

Management, Audit & Clinical Governance

Evidence of management skills

Evidence of participation in clinical audit

Understanding of clinical governance issues

Commitment to development of, and adherence to, departmental guidelines and protocols and to continuing professional development

Formal management training

Evidence of willingness to participate in management Evidence of having written/ participated in the writing of evidence based guidelines

Appraisal and assessment training and skills

Evidence of management experience

Formal audit training

Personal Skills/Qualities

Able to demonstrate a good manner with patients, being sensitive to their needs and fears

Able to take overall responsibility for patients

Leadership qualities

Ability to develop good working relationships and willingness to share responsibilities as part of a team

Good organisational skills

Good oral and written communication skills in English

Ability to communicate effectively with external agencies and other disciplines

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Able to supervise junior staff effectively

Teaching Evidence of good presentation skills

Experience and enthusiasm for undergraduate and postgraduate teaching

Willingness to undertake formal training in teaching and learning skills, if required

For a professorial appointment you will also have team leadership skills and experience of an effective leadership role.

Evidence of training in teaching and learning skills

Postgraduate teaching qualification

Evidence of supervision of successful research projects at undergraduate or postgraduate level

Research Evidence of authorship of a significant numbers of peer reviewed original publications giving evidence of high international standing in chosen research field.

Must make a strong potential return in the upcoming REF exercise

Evidence of having secured significant amounts of external research funding

Evidence of leadership of research studies

Evidence of successful supervision of post-graduate research students.

Evidence of presentations at international and national learned societies.

Ability to assess and apply evidence based research into everyday clinical practice.

Evidence of authorship in areas of current major research strength in Nottingham

Evidence of keynote presentations at international and national learned societies

Citations of own peer-reviewed publications

Member of learned societies / national bodies

Other Computer/IT skills

Ability to travel between City Hospital and Queen’s Medical Centre campuses

FURTHER INFORMATION

Candidates are encouraged to make informal enquiries and arrangements to visit and should contact the following in the first instance if they wish to do so:

Professor Stan Heptinstall, Head of Division of Cardiovascular Medicine: Tel 0115 8231013Email: s.heptinstall@nottingham.ac.uk

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Dr JT Walsh, Cardiology Head of Service: Tel 0115 9249924 ext -61282/61927Email john.walsh@nuh.nhs.uk

Professor John Atherton, Head of School of Clinical Sciences: Tel 0115 8231034Email: john.atherton@nottingham.ac.uk

Professor Ian Hall, Dean of the Faculty of Medicine & Health Sciences: Tel 0115 8231064Email: ian.hall@nottingham.ac.uk

Written enquiries should be addressed to Professor S Heptinstall, Division of Cardiovascular Medicine, D Floor South Block, Queen's Medical Centre, Nottingham, NG7 2UH.

Administrative support

Office accommodation and administrative support will be provided by the University, as will a PC with e-mail and Internet access. Secretarial support will be provided from existing resources within Cardiovascular Medicine. Legal Requirements (Medical appointment)

Rehabilitation of Offenders Act

Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants are therefore not entitled to withhold information about convictions which for other purposes are "spent" under the provision of the Act and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order applies. If once employed, an employee receives a conviction they are required to inform the Trust.

Protection of Children

Following a report by the Home Office, the Government accepted its recommendations regarding the disclosure of criminal convictions of those with access to children. For all consultant posts a check will be made with the Criminal Records Bureau as to whether you have a criminal record, before the appointment can be confirmed. A child is defined as someone under the age of 18, but this may be interpreted flexibly in relation to “vulnerable adults” ( e.g. persons with a learning disability )

ADDITIONAL INFORMATION:

UNIVERSITY OF NOTTINGHAM MEDICAL SCHOOLDean: Professor Ian Hall Head of School of Clinical Sciences: Professor John Atherton

Nottingham has a strong reputation for both clinical medicine and teaching. As one of the most popular medical schools in the country it is able to select excellent students and produce and attract good junior doctors. There is a strong commitment to develop and expand our research strengths. There are excellent laboratory facilities to support the current research interests.

The Faculty of Medicine and Health Services is organized into eight academic schools, namely the School of Clinical Sciences, Biomedical Sciences, Molecular Medical Sciences, Community Health Sciences, Biology, Pharmacy, Nursing Midwifery & Physiotherapy and Veterinary Medicine & Science.

RESEARCH

Research within the Faculty is undertaken by staff and research groups within individual schools and is overseen by the Faculty Research Strategy Group, which is responsible for the

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overall strategic direction of research, coordination of faculty wide initiatives and implementation of University wide initiatives.

Within the faculty are a number of flagship clinical translational priority groups, such as the NIHR funded Biomedical Research Units (BRUs) in respiratory disease, gastrointestinal disease and hearing research, NIHR funded Collaborative Leadership in Applied Health Research and Care (CLAHRC) in Mental Health, ARC/Nottingham pain centre, Tobacco Control Studies. These and other translational areas and preclinical research areas are supported by faculty wide research platforms, covering areas such as deep sequencing, screening, human physiology and clinical research facility, MR imaging, animal imaging and clinical trials unit. These faculty platforms underpin basic research technologies within the Faculty emphasing multidisciplinary use.

In partnership with the Nottingham Universities Hospital Trust and Nottinghamshire Healthcare Trust, the Faculty has been successful in establishing the 3 NIHR-funded BRUs a CLAHRC in Mental Health which together have resulted in around £26m of additional NIHR funding coming to the Trust/University partnerships. The University has also recently been successful in major bids to develop an academic translational imaging unit and to set up the ARC/Nottingham Pain Centre.

The Faculty is a strong supporter of collaborative research, and our internationally-leading research groups have many national and international collaborations. We also actively encourage collaborations between workers in different Schools within the Faculty, particularly between basic scientists and clinicians. Increasingly we are also collaborating with researchers in other Faculties, and this has been particularly encouraged by recent strategic reviews. Particular fields of national eminence within the Faculty of Science and Engineering include biosciences, chemistry, mathematics, physics, engineering and pharmacy.

The Faculty of Medicine and Health Sciences is consistently successful in raising research funding. It generated research income of nearly £30m last year and obtained grants of more than £30m from the Research Councils and Wellcome Trust over the last three years. There has also been a major upgrade of laboratory facilities on all sites.

TEACHING

Student teaching began in 1970 with an initial intake of 48 students a years, rising progressively to 253 students last year. More recently the Faculty has established a graduate entry programme at Derby which is now in its fifth year and admits around 90 students. Undergraduate clinical teaching takes place at various hospitals in Nottingham. The responsibility for teaching within the Faculty lies with the Curriculum Policy Group which reports to Faculty Board. Course Management Committees responsible for individual attachments report to the Curriculum Committees. The School is committed to playing a full role in the teaching of the Nottingham Medical Faculty undergraduates and this includes an annual intake to the School of approximately 55 students for the Honours Year of the B.Med.Sci.

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SCHOOL OF CLINICAL SCIENCES

The School of Clinical Sciences was formed on 1st October 2008 from individuals previously in the Schools of Human Development and Medical & Surgical Sciences and includes all hospital-based medical and surgical disciplines. We are a large and dynamic school employing nearly 400 staff, principally in the Queen’s Medical Centre and City Hospital Nottingham Campuses but also at King’s Meadow Campus and the University Campus in the Centre for Biomolecular Sciences. About 70 of our staff are at Associate Professor grade or above and more than 50 of these are clinicians.

Our Mission Statement is;1. To deliver internationally-competitive research. In particular, to concentrate on research

which will make a real difference to patients in the short and longer terms.2. To provide innovative and inspiring professional teaching to undergraduate medical

students, masters students and trainee researchers working towards degrees of DM and PhD.

3. To deliver cutting edge patient care in association with our NHS colleagues.

The School supports basic, translational and clinical research and works closely with the NHS, particularly the NUH. We focus on areas of excellence where we are nationally or internationally leading. In partnership with the NUH Trust, the school has the national distinction of being the only University / NHS Trust partnership to win 3 bids for prestigious NIHR-funded Biomedical Research Units in Digestive Disease, Respiratory Disease and Hearing Research which together will result in around £18m of additional NIHR funding coming to the Trust/University partnership. The University has also recently been successful in a major bid to develop an academic translational imaging unit, which the school of Clinical Sciences is heavily involved in. We have also recently been funded by the Arthritis Research Campaign as their National Pain Centre. As well as cutting edge translational research at the interface between science and medicine, we have world-leading research programmes in basic science and run large, influential clinical trials. Strengths within the School include, but are not limited to: assisted reproduction; imaging, in particular MRI; clinical trials; effects of early life environment on development and disease; stem cell science; infection; genetics; thrombosis and haemostasis; respiratory diseases; gastroenterology and hepatology; hearing; stroke medicine; arthritis and pain; pre-clinical cancer studies. Finally, the Nottingham clinical trials unit (CTU) has recently been established as a research platform within the Faculty of Medicine.

We teach medical students undertaking the clinical components of their professional training and pride ourselves on our innovative student-centred clinical training. We also run internationally-acclaimed masters courses in stem cell technology, sport and exercise medicine, assisted reproductive technology and translational neuroimaging.

Some of our strongest recent innovations are in research training for PhD and MD degrees. We have recently established the N-Trans DTC (The Nottingham Translational Research Doctoral Training Centre). This programme, for both clinicians and basic scientists, contains taught modules in all aspects of modern translational research training alongside opportunities to perform original research in any one of our leading units, including our NIHR Biomedical Research Units. It complements other excellent PhD training within the School. Our next aim is to establish a similar programme for Clinical Trial Research training

Most of our Schools’ Senior Researchers and Teachers are also clinicians who dedicate 50% of their time to patient care within the Nottingham University Hospitals NHS Trust. This close juxtaposition brings cutting-edge clinical care to our patients and clinical relevance to our research and teaching. We are closely integrated with our full time NHS clinical colleagues, many of whom are themselves leaders in research and teaching and who work closely with the School. We are working to further increase the mutual benefit from integration between the University and NHS.

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NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST

Conditions of Service, Residence and Governance

The successful candidate will be offered an Honorary Contract with the Nottingham University Hospitals NHS Trust under the terms and conditions of the new Consultant contract. When undertaking clinical duties on this basis within the Trust, the person appointed will be expected to adhere to local policies and procedures and to take note of the standing orders and financial instructions of the Trust. In particular, where the consultant manages employees of the Trust, she/he will be expected to observe the employment and Human Resource policies and procedures of the Trust.

As a result of on-call commitments, the successful candidate will be expected to be contactable by telephone and to reside not more than ten miles, or half an hour’s travelling time, from their main base campus.

Nottingham University Hospitals NHS Trust is committed to the development of Clinical Governance. The approach taken is to develop actions plans at a directorate level. Each member of the medical staff is expected to take an active role in clinical governance activities within their directorate and each directorate has a Consultant nominated as Clinical Governance lead. The activities include (but are not restricted to) audit, incident reporting, review of complaints, risk management, CPD and Evidence Based Practice.

Professional Standards The Clinical Director (Dr Julian Skoyles; Head of Service for Cardiology – Dr John Walsh) are managerially responsible for all clinical activity and personnel in the Directorate in which the appointee will work. The Medical Director, Dr Stephen Fowlie, has overall responsibility for the professional performance of consultants, including of those holding Honorary Contracts with NUH. All Consultants and Honorary Consultants are expected to comply with management arrangements in place, to follow the guidelines on practice laid down by the General Medical Council’s “Maintaining Good Medical Practice”, and to be accountable to the Trust for their actions and the quality of their work. A yearly Joint Clinical and Academic Consultant Appraisal and Job Plan review is carried out.

Information about the Nottingham University Hospitals NHS TrustThe Nottingham University Hospitals NHS Trust is one of the largest hospital trusts in the UK with an annual budget of more than £500 Million, a total of 2,200 hospital beds across both campuses and over 11,500 staff. NUH is a major teaching trust, enjoying close links with the region’s Universities and attracting and developing the highest calibre of staff. The work carried out at NUH has led to a reputation for excellence and is making a very real difference to people’s lives. NUH is also a cancer centre – a major element of the Mid-Trent Cancer Network.

Clinical Management Arrangements in the Nottingham University Hospitals NHS TrustThe management of the Nottingham University Hospitals NHS Trust is organised via a structure of ten Directorates, which contain all the clinical departments. The Division of Cardiovascular Medicine is part of the Diabetes, Infectious Diseases, Renal and Cardiac Directorate.

The Directorate Management Team is as follows: Clinical Director Dr Julian SkoylesHead of Service for Cardiology Dr John WalshGeneral Manager Mrs Nikki PownallClinical Lead / Matron Mr John GraySpeciality Manager Dr Frances Smith

FURTHER INFORMATION ABOUT NUHT, THE TWO CAMPUSES AND THE FACILITIES PROVIDED IS AVAILABLE IN APPENDIX 1.

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Appendix 1NOTTINGHAM AND THE TWO HOSPITAL CAMPUSES

1 NOTTINGHAM

Central within the East Midlands, Nottingham is a vibrant and prosperous city with something to offer everyone. It is one of the UK’s leading retail centres, has a huge variety of restaurants, bars and nightclubs which attract people from all over the UK. Culturally it has good theatres, and an arena which attracts both national and international performers and a range of historical interests relating to subjects such as the lace industry, Lord Byron and DH Lawrence. Nottingham is also known for sport, being the home of Trent Bridge Cricket Ground, Nottingham Forest and Notts County Football Clubs, the National Water Sports Centre and the Nottingham Tennis Centre. There is a good network of roads with easy access to the M1 and the A1, the rail service to London and other major cities is frequent and Nottingham East Midlands Airport is only eighteen miles away.

The city is set within a county of outstanding natural beauty that includes Sherwood Forest, Wollaton Park, lively market towns and wonderful historic buildings. It is also home to the world’s best-loved outlaw, Robin Hood.

Housing is relatively inexpensive and, in addition to the two Universities, there are excellent schools and colleges available.

To find out more about Nottingham, use the following links:

Nottingham County Council – Tourismhttp://www.notscc.gove.uk/tourism

Virtual Nottinghamhttp://www.ukcity.com/nottingham

University of Nottinghamhttp://www.nottingham.ac.uk

Up My Street (Guide to local area including property and schools)http:/www.upmystreet.com

2 THE TRUST

The Trust works in close association with the University of Nottingham and the University of Derby. There are very strong links with nursing and midwifery training, which is part of the University of Nottingham Faculty of Medicine & Health Sciences, and with the locally-based Schools of Physiotherapy, Radiology and Radiotherapy.

The following two sections describe the services and facilities currently at the two campuses. However you should also be aware that there are ongoing discussions about the future development and location of our clinical services, as a result of which some services or parts of services may relocate to the other campus.

(i) CITY HOSPITAL CAMPUS

The City Hospital Campus offers a wide range of clinical services to the local population of greater Nottingham, plus a much larger population in such specialities as plastic surgery and burns, cardio-thoracic surgery, cancer, renal, breast services, clinical genetics and neonatology.

There is no Accident and Emergency department on the campus, although the hospital does take medical and surgical emergency patients referred by GPs or from other acute hospitals.

The Nottingham City Hospital campus has a long association with the city of Nottingham. It first opened in 1903 and the buildings are a mixture of old and new, although services have recently benefited from huge investment in improving the facilities for patients.

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These developments include the purpose-built Endoscopy Centre, Nottingham Breast Institute, Nottingham Urology Centre, Trent Cardiac Centre, Short Stay Unit, Centre for Clinical Haematology and PET scanner. New staff residences are also currently being built on site.

Research interests at the City campus include oncology, respiratory medicine, clinical haematology, rheumatology, diabetes/endocrinology, stroke medicine, urology, breast cancer and mineral metabolism. Professors in the following specialities are based on this site - Surgical Science, Respiratory Medicine, Microbial Diseases, Obstetrics and Gynaecology, Oncology, Medical Genetics and Stroke Medicine. In addition, there are academic departments of Haematology, Rheumatology, Continuing Care and Anaesthetics.

City Hospital is home to training centres in breast screening techniques and cardiac surgery and the Trust is a Cancer Centre, forming part of the Mid-Trent Cancer Network.

QUEEN’S MEDICAL CENTRE CAMPUS

As well as the hospital, the QMC building, which opened in 1978) also houses the University of Nottingham Medical School and School of Nursing and Midwifery.

Clinical services provided within QMC include a very substantial emergency workload, particularly in medical admissions. Within the Medical Division services include the Emergency Department, Medicine, (including Cardiovascular, Respiratory, Gastroenterology, Diabetes and Endocrinology, Haematology, Rheumatology, Immunology, Palliative Care,) Dermatology, Intensive Care and Health Care of the Elderly. Within the Surgical Division services include Surgery, (including Vascular, Colorectal and Hepato pancreatic biliary,) ENT, Ophthalmology, Maxillofacial, Trauma & Orthopaedics, (including Spinal,) and Neurosciences. Within the Women, Children and Clinical Support Division, services include Obstetrics and Fetomaternal Medicine, Gynaecology, (including Fertility Services,) Child Health, (including Neonatology and Paediatric Surgery,) and Occupational Health.

The QMC site has constantly developed the services it provides to enable it to meet the needs of its patients both now and for the future. A recent development is the Nottingham Eye and Ear, Nose & Throat Centre which opened in a four-storey Private Finance Initiative building at the end of 2000. Queen’s has the only Emergency Department for Nottingham and a £6m extension to the department opened in 2004 which significantly improved the facilities in what is the busiest Emergency Department in the country. As well as these major building initiatives, Queen’s is strengthening its Critical Care Facilities, having recently established a surgical HDU, increased the number of ITU beds and implemented outreach services. A state of the art Clinical Skills Centre opened in 2004 attached to the Postgraduate centre.

Nottingham Treatment CentreIn 2008 the new Nottingham NHS Treatment Centre opened on the QMC campus. The Treatment Centre is managed by Nations Healthcare – an Independent Sector Provider – however a percentage of the activity within the centre has been transferred from Nottingham University Hospitals NHS Trust. As a result of this, the work that you do may be affected in one of several ways.

1. Your work may not be affected at all2. You may be required to undertake work on behalf of the Treatment Centre3. You may be required to undertake some of your existing work in the Treatment Centre4. You may be seconded to work in the Treatment Centre.

Only a small group of staff will be seconded to the Treatment Centre and throughout the secondment these staff will remain employees of Nottingham University Hospitals Trust. Full consultation will take place with affected staff well on advance of the Treatment Centre opening.

POST-GRADUATE FACILITIES

Nottingham University Hospitals NHS Trust fully supports and recognises the importance of continuing professional development for Consultants and career-grade staff. The facilities available to support this include two large purpose-built Postgraduate Centres. The Trust

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encourages consultants to participate actively in Continuing Medical Education activities both within the Trust and externally and the provision of study leave is managed by a Trust Study Leave Committee administered within the Postgraduate Centres.

CITY CAMPUS

The Postgraduate Education Centre was opened in 1972 and has recently been extended. The Centre provides an excellent educational environment for multidisciplinary conferences and seminars, postgraduate medical education and continuing medical education. It also provides a base for the Nottingham Vocational Training Scheme for General Practice, as well as teaching facilities and common room for undergraduate students of Nottingham University Medical School and a brand new Clinical Skills Centre.

The Library in the City Campus Postgraduate Education Centre contains an extensive section of the University Library which, together with access to national lending and other libraries in the Country, provides a wide range of literature. There is a study space for 50 readers, in a purpose-built room there is a range of audio-visual equipment, including a CD-ROM, a video and a computer assisted learning package for junior doctors, and there is also photocopying and fax services.

A wide-range of postgraduate meetings are held at the City Hospital campus and the Postgraduate Centre is recognised as a Centre of innovation throughout the Mid Trent Region. Each teaching room is equipped with up to date Audio Visual technology and there is an internet and intranet web site giving information on all activities and meetings. The Centre has also recently developed an Intranet based Induction package for Locums and Junior Doctors, and is piloting the use of a Deanery based HICOM Intrepid package for the tracking and monitoring of Study Leave.

QUEEN’S MEDICAL CENTRE CAMPUS

The Post Graduate Centre at Queen’s Medical Centre campus contains eleven meeting rooms of varying sizes and audio-visual equipment including video-conferencing.

The large Greenfield Medical library is situated in the Medical School within QMC. This has an excellent retrieval service and arranges inter-library loans. All members of the hospital medical and dental staff have free access and borrowing rights. Audio Visual services are provided from the Medical Photography department located in the Medical School which has photographic, medical illustration and video recording facilities as well as a service in support of presentation materials.

The Trent Simulation and Clinical Skills Centre opened in April 2004 – a state of the art simulation centre and clinical skills facility. It is a two-storey extension to the Postgraduate Education Centre and the regional centre within Trent for advanced human patient simulation training offering a range of specialty specific and inter-professional courses.

The high fidelity simulators (adult and paediatric) use sophisticated computers to create a life like medical environment allowing realistic scenarios to be reproduced and enacted without any risk to the patient.

The patient simulator can be used to provide an extensive range of educational modules including events /scenarios involving the cardiovascular, metabolic, pulmonary, neurological and renal systems as well as trauma and airway events. In addition to normal physiology, a variety of pathological states can be superimposed to provide realistic, potentially life threatening scenarios and thereby challenge participants using complex clinical situations.

The control room operator guides the simulation in real time thereby modelling patient responses to unfolding events. The simulation is recorded on video that afterwards enables a through analysis and debriefing to take place.

Courses have an emphasis on key issues of crisis resource management, team training, leadership and communication skills.

The ground floor clinical skills centre has been designed to provide a large flexible space that can be set up to deliver a range of training.

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It can comfortably accommodate 20 candidates in a workstation station setting or alternatively the space can be subdivided to provide 3 smaller rooms each holding approximately 10 – 12 people.

Preparation and storage space has been designed to support the main skills area maximising the teaching space available.

The centre is a key site for both basic and advanced surgical skills training and is equipped with 10 laparoscopic skills stations. It is expected that this area of training will grow significantly during 2005/06.

The Centre has an endoscopy simulator (Immersion Medical) that is available for self-directed learning sessions and to support training programmes and courses.

TRUST FACILITIES

CITY HOSPITAL CAMPUS

The City Hospital campus has a variety of facilities for the use of patients, visitors and staff. There is a restaurant, three coffee bars selling hot and cold snacks, five WRVS stalls and a hospital shop. In addition, the Doctors’ Mess has its own snack bar and mobile snack bars visit most wards and departments. There is a Natwest bank onsite, as well as a Nationwide cash machine located outside the main out-patients department.

QUEEN’S MEDICAL CENTRE CAMPUS

There are a number of facilities provided in QMC, including a Newsagent, Florist, Bakery/Pizza/Sandwich bar, Clothes shop, Rooftop Garden, Bank (National Westminster) which is open daily from 10.30 – 3.30pm and a Pharmacy/Chemist’s shop. There is a large dining area, Cyber Café, roof garden and an active Doctors’ Mess with kitchen, pcs with Internet access, sitting room, billiard tables, and television.

Please indicate in a covering letter which level of post you are interested in applying for.

Informal enquiries may be addressed to Professor S Heptinstall, tel: 0115 823 1013 or Email stan.heptinstall@nottingham.ac.uk. Please note that applications sent directly to this Email address will not be accepted.

Please quote ref. VF/00217-.

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