Radiology Consultant with Subspecialist Expertise in MSK Radiology

East Lancashire Hospitals NHS Trust; West Wick; On-site; GBP 80,000 - 110,000; Full time

Job summary

East Lancashire Hospitals NHS Trust is seeking a Consultant Radiologist with subspecialist MSK radiology expertise. The role involves independently reporting MRI, CT and ultrasound, leading orthopaedic MDTs, and providing specialist MSK opinions.

The department supports multiple sites and a comprehensive imaging service. The ideal candidate will have established radiology training (UK or equivalent) and GMC registration, with a track record in MSK reporting across CT, MRI and ultrasound, plus

Qualifications

• Radiology training completed (UK or equivalent).
• Ability to independently report MRI, CT and US within MSK subspecialty.
• Proficient in CT/MRI reporting for inpatients and outpatients.
• Lead role in orthopaedic MDT and MSK imaging pathways.

Responsibilities

• Lead required MSK MDTs and orthopaedic collaborations.
• Independently report MSK X-ray, CT and MRI imaging.
• Provide specialist MSK opinions for clinicians.

Skills

MSK radiology

MSK ultrasound

MSK fluoroscopy

MRI reporting

CT reporting

X-ray reporting

Orthopaedic MDT leadership

Specialist MSK opinions

Leadership & teaching

Education

Radiology training (UK or equivalent)

General Radiology certification

GMC registration

Tools

CT scanners

MRI scanners

Ultrasound equipment

Job description

Radiology Consultant with Subspecialist Expertise in MSK Radiology

An exciting opportunity has arisen within the Radiology Directorate for a Consultant Radiologist join our highly functional, accomplished, and friendly team.

The Radiology Directorate offers a full range of diagnostic investigations over a number of sites (2 acute and 5 community).

The Royal Blackburn Teaching Hospital is part of the PFI hospital. Radiology comprises 6 general rooms, 1 fluoroscopy room, 1 multipurpose interventional suite, 4 CT scanners (Canon 640 slice, Siemens 128 slice and 2 x 80 detector row Toshiba systems), 2 MRI scanners (Siemens Sola 1.5T) and a 3 room ultrasound suite. A further 5 ultrasound rooms are situated adjacent to antenatal and include Siemens and Canon machines. The angiography suite is within the theatre complex. Further investment is planned with a hybrid theatre to be commissioned.

Our Nuclear Medicine Department has 2 Siemens SPECT enabled Gamma Cameras.

Burnley General Teaching Hospital primarily supports out-patients and GP patients. Radiology has a single CT, two MRI systems, five general rooms, a single digital fluoroscopy room and 2 ultrasound rooms. Further ultrasound equipment is located within the Lancashire Women and Newborn Centre.

Both screening and symptomatic breast imaging services are provided for the women of East Lancashire from a dedicated Breast Imaging Unit on the Burnley General Teaching Hospital premises.

The service has a mobile MRI scanner (Philips Ingenia Evolution 1.5T).

Main duties of the job

We are seeking to appoint a capable and forward-thinking doctor. The candidate should have completed the radiology training (either in the UK or equivalent abroad) and should have sufficient skills to be able to independently report MRI, CT and US examinations within their areas of sub-specialty expertise. Must have good experience with general CT and MRI, both inpatient and outpatient scans.

The candidate is required to take a lead role in the orthopaedic MDT. They must already be proficient in each of this area without needing support.

Essential skills are:

• Independently be able to perform MSK ultrasound including procedures
• Independently perform MSK fluoroscopy procedures
• Arthrograms
• Independently report MSK X-ray, CT & MRI imaging
• Independently provide specialist MSK opinions for clinicians

About us

There are currently 29 Consultant Radiologists working at East Lancashire Hospitals NHS Trust (28.5 WTE) with approximately 280 radiographic and support staff. Each modality has a Lead Radiographer overseeing operational management and service development. The Interventional Radiology Unit is supported by 6 dedicated IR radiographers and 6 dedicated IR nurses.

Secretarial support is provided within the department however, we have developed an electronic paperless department with digital dictation, voice recognition and electronic distribution of results. We have a single, central booked appointment system across all sites.

Day to day management of the service is supported by the Radiology Directorate Manager and Radiology Operations Manager.

There is an active skill mix programme within the Directorate with Radiographers participating in x-ray reporting (Chest, Abdomen & MSK), CT, MRI, Breast and Nuclear Medicine reporting.

Both hospital sites are training departments for student radiographers. There are close teaching links with the University of Cumbria and the University of Salford.

The Radiology Directorate is headed by the Clinical Director. The Directorate resides within the Diagnostics and Clinical Support Care Group. The Care Group is supported with dedicated Human Resources, Finance and Governance colleagues.

Job responsibilities

To take a lead role in the required MDTs, undertake MSK ultrasound including fluoroscopy procedures, independently report MSK Xray, CT & MRI. Provide specialist MSK opinion.

A sample 10.0 PA job plan subject to discussion would include:

• 2.5 sessions cold reporting mainly MSK scans
• 2 session hot reporting - acute MRI and/or CT
• 2.25 session diagnostic ultrasound and MSK injections (screening and/or ultrasound guided)
• 1 session MDT
• 0.75 session free in lieu of on call

1.5 SPA session

0.25 SPA is afforded to departmental meetings (directorate, audit, REALM, consultant meetings) - this activity replaces a direct clinical care session.

The on-call is a 1 in 20 rota. The radiologist is required to be on site at Blackburn 5-7pm on weekdays and 9am to 3pm on weekends.

The consultant has the option to cover the rest of the on-call from home. There is an ST3-5 on call with the consultant who is on site until 9pm. An outsourcing provider covers the on-call, reporting all the CT scans from 9pm until 9am, with the local consultant being the second on-call.

The job plan will be reviewed through discussion with the clinical director within the first 3 months and annually thereafter.

The general reporting sessions can be at either Royal Blackburn Teaching Hospital, Burnley General Teaching Hospital or Rossendale Community Diagnostic Centre, which are within an 11 mile radius. A home workstation is also provided and most radiologists choose to work 1 day per week from home. 5 hours of the core SPA is flexible and can be undertaken at home. 1 hour is usually required for departmental meetings.

As a senior employee of the Trust the candidate will work in close co-operation with clinical staff and other medical professionals and managerialcolleagues in providing high quality health care to the Trust's patients. Integral to these responsibilities is:

• The provision of a first-class service
• Effective leadership to all staff engaged in the specialty
• Sustaining and developing teaching and research
• Undertaking all work in accordance with Trust procedures and operating policies
• Conducting clinical practice in accordance with Trust procedures and operating policies

A job plan will be agreed between the appointee and the Clinical Director.

Person Specification

ATTAINMENTS

• Valid Full Registration with the General Medical Council
• Other relevant medical and non-medical training/degree.

TRAINING

• Satisfactory completion of previous posts providing professional training in core radiology
• Appropriate training in diagnostic radiology especially with respect to MSK
• Able to independently report a wide variety of CT and MRI examinations and to independently carry out a general ultrasound list
• Commitment to further development

PERSONAL SKILLS

• Experience of supervision of junior staff.
• Ability to communicate and liaise effectively with patients, their relatives and with colleagues and staff in all disciplines.
• Ability to lead the development of services and provoke best practice amongst the colleagues in a changing environment.
• Ability to work as part of a multidisciplinary team with professional colleagues, management and AHP.
• Evidence of development of leadership within the work environment.
• Willingness to undertake additional professional responsibilities.

EXPERIENCE

• High level of experience in MSK radiology in the NHS
• Be able to independently lead the rheumatology and orthopaedic MDTs
• Independently be able to perform the full breadth of MSK ultrasound including procedures
• Independently perform MSK fluoroscopy procedures
• Independently report the full breadth of MSK Xray, CT and MRI examinations
• Independently provide specialist MSK opinions for clinicians
• Attendance at courses in teaching, appraisal and mentorship
• Publications in peer reviewed journals
• Evidence of undergraduate and postgraduate teaching. Ability to mentor others
• Understanding of, and experience of, performing and participating in QI projects during general professional and higher specialist training. Willingness to undertake departmental QI projects as requested/required

PROFESSIONAL DEVELOPMENT

• Clear commitment to lifelong learning including previous CPD relating to MSK radiologyogy.
• Ability to keep up to date in the speciality.
• Membership of Radiological societies.

MANAGEMENT

• Understanding of current NHS management systems including clinical governance and risk management.
• Attendance at appropriate management courses.

OTHER

• Satisfactory medical clearance from the Trust's Occupational Health Physician.

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.

Consultant Radiologist and Clinical Director