Locum Consultant - Cardiology with interest in Coronary intervention

Sandwell & West Birmingham Hospitals NHS Trust; Smethwick; On-site; GBP 70,000 - 110,000; Full time

Job summary

A regional NHS Trust is seeking a Locum Consultant in Cardiology with a focus on interventional procedures. This role includes performing diagnostic angiography, overseeing outpatient clinics, and managing acute cardiac emergencies. Candidates must have CCT in cardiology or be close to qualifying, with experience in primary PCI and general clinical responsibilities. This position is for a 6-month duration and requires a robust understanding of the cardiology field.

Qualifications

• CCT (or equivalent) in Cardiology expected within 6 months from interview.
• Ability to manage Primary PCI on call independently.
• Experience in acute cardiac emergencies.

Responsibilities

• Perform diagnostic angiography and coronary interventions.
• Cover clinics and ward rounds.
• Participate in outpatient work as needed.

Skills

Interventional Cardiology

General Cardiology

Clinical Audit

Teaching Clinical Skills

Research Application

Education

MRCP (UK) or equivalent

Higher Degree

Interventional Fellowship

Job description

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.

Person Specification

Qualifications:

Essential

• MRCP (UK) or equivalent
• Entry on the Specialist Register in cardiology (or entry expected within 6 months from the date of interview)

Desirable

• Higher Degree
• Interventional Fellowship

Clinical Experience:

Essential

• Clinical training and experience equivalent to that required for gaining CCT in cardiology
• Ability to take full and independent responsibility for the management of acute cardiac emergencies
• Ability to take full and independent responsibility for the care of patients

Desirable

• Special interest that complements the existing consultants (e.g. structural intervention, CTCA etc.)

Clinical Effectiveness

Essential

• Experience of conducting clinical audit
• Ability to use the evidence base and clinical audit to support decision-making

Teaching and Training experience:

Essential

• Ability to teach clinical skills to medical and nursing staff and other disciplines.
• The ability to appraise junior doctors and other staff.

Desirable

• Formal training in teaching

Research, Innovation and Service Improvement Experience:

Essential

• Ability to apply research outcomes to clinical problems
• An awareness of current specialty developments, initiatives and issues.

Desirable

• Knowledge and experience of the application of information technology to cardiology
• Publications in relevant peer-reviewed journals in the last five years.
• Evidence of having undertaken original research

Other Requirements:

Essential

• Full GMC Registration

381-ME-7290696