CONSULTANT CARDIOLOGIST WITH SPECIAL INTEREST IN
PERCUTANEOUS CORONARY INTERVENTION
SOUTH TEES HOSPITALS N.H.S. TRUST
THE JAMES COOK UNIVERSITY HOSPITAL
This Consultant Cardiologist appointment, a new post, will play a vital part in delivering
the Cardiology service in the newly expanded Regional Cardiothoracic Unit at The James
Cook University Hospital, Middlesbrough. The postholder will join the existing team of
9 cardiologists, 6 cardiothoracic surgeons and 7 cardiothoracic anaesthetists in providing
a comprehensive adult cardiothoracic service to the population of Teesside, Durham and
parts of Cumbria and North Yorkshire (population 1.5 million). The postholder will have
responsibility for general adult cardiology and interventional cardiology .
Cleveland (land of the cliffs) consists of the compact boroughs of Hartlepool, Stockton
and Middlesbrough, which together with the borough of Langbaurgh has a population in
excess of 570,000. Cleveland contains one of the largest petro-chemical complexes in
Europe and has become a development area particularly for computers/electronics firms.
Away from the major conurbations are the delightful countryside areas of the North
Yorkshire Moors National Park, North East beaches and attractive countryside in South
Durham. Teesside is also within easy access of the Yorkshire Dales, the Lake District
and Northumberland with their excellent rural pursuits.
Cultural and leisure activities are well provided. There are good schools in the vicinity.
There are excellent road and rail links, with regular trains from Darlington making
central London accessible in less than 2 1/2 hours. Teesside International Airport with
regular shuttles to Heathrow and Amsterdam is less than 20 minutes drive from The
James Cook University Hospital.
South Tees Hospitals NHS Trust
This large acute Trust was formed in 1992, incorporating three hospitals across
Middlesbrough. It merged with the Friarage Hospital in Northallerton in April 2002, and
now provides all secondary care to Middlesbrough, Langbaurgh and Hambleton &
Richmondshire PCTs, a population of approximately 400,000. It also provides tertiary
services to the wider Tees valley area, and parts of County Durham, North Yorkshire and
The James Cook University Hospital (JCUH)
This modern hospital of over 1000 beds was formally opened in October 2003. Based on
the original site of South Cleveland Hospital, first opened in 1981, a major private
finance initiative build was completed in 2003. All acute and elective medical and
surgical specialties are accommodated on this site. Tertiary services, in addition to
Cardiology and Cardiac Surgery, include Renal Medicine/Haemodialysis, Neurosurgery,
Vascular Surgery and the Regional Spinal Injuries Unit.
The Accident and Emergency Department is on this site and is the designated Regional
Trauma Centre for Teesside, South Durham and North Yorkshire.
There is a modern Radiological/Imaging Department with Ultrasound, CT Scanner, MRI,
Digital Vascular Imaging suite and Gamma Camera. There is a hospital wide digital
PACS system for radiology images and reports. There is a Peripheral Vascular
Angioplasty service provided by the Consultant Radiologists. There is a purpose built
Surgical Day Unit and an Endoscopy Centre. The District Pharmacy Department is on
site as is the Supra-District Public Health Laboratory Service with microbiology.
There is an established Education Centre embracing Postgraduate Medical Education,
Nurse Training School, the School of Radiography and Library facilities. It encompasses
2 large lecture theatres with the latest audio-visual aids and a considerable number of
classrooms and seminar rooms, including ward facilities for teaching and examining.
There is a new library with comprehensive IT suite.
The Friarage Hospital, Northalleron (FHN)
This small district general hospital, 25 miles from Middlesbrough, merged with South
Tees Hospitals NHS Trust in April 2002. The Cardiology Department, encompassing
CCU and Cardiography, functions as a self-contained unit but is part of the Cardiology
Directorate. There are two Cardiologists in post. Increasing integration of the
Cardiology services across the two sites is planned.
THE CARDIOTHORACIC UNIT
THE DEPARTMENT OF CARDIOLOGY
The successful applicant will join the existing team of nine Cardiologists at JCUH and
two cardiologists at FHN - Dr Adrian Davies General Cardiology and Heart Failure), Dr
Jim Hall (Coronary Intervention), Dr Mark de Belder (Coronary Intervention), Dr
Michael Stewart (General Cardiology and Imaging), Dr Nick Linker (Electrophysiology),
Dr Rob Wright (Coronary Intervention), Dr Andrew Sutton (Coronary Intervention), Dr
Douglas Muir (Coronary Intervention, Dr Stephen Murray (Electrophysiology), Dr
Upendra Somasundram (General Cardiology) and Dr Richard Graham (General
Cardiology and Imaging).
The Cardiothoracic Unit opened in 1992 with cardiac surgery and interventional
cardiology established in 1993. We have 2 Cardiology Wards, a Cardiology HDU and a
purpose built day unit, a Cardiothoracic Surgical Ward and a mixed Surgical/Cardiology
ward. There is a 14 bed CCU and a 12 bed Cardiothoracic ITU. The CCU accepts direct
paramedic admissions and currently processes almost 3000 admissions per year, with
200 - 250 ST elevation infarcts and 600+ other acute coronary syndromes.
We utilise three catheter labs, 2 Philips digital single plane and one Philips biplane lab, all
adjacent to the cardiac theatres. A full array of ancilliary diagnostic and treatment
options are available within the catheter laboratory, including facilities for IVUS,
pressure wire studies (Radiwire), thrombus removal devices and rotablation. All images
in the department are acquired, reported and archived digitally, using ProSolve analysis
There is a dedicated cardiothoracic OPD suite. There are 3 dedicated cardiothoracic
theatres. There is a flourishing Cardiac Rehabilitation service in South Tees based on the
The new Cardiac Investigations Unit opened in May 2002. There are two GE Vivid 7
echocardiographic machines with omniplane TOE probe and stress echo facility, one GE
Vivid 5, three Hewlett Packard machines and a Cypress portable scanner. There are full
Holter/transtelephonic monitoring facilities. There are two treadmills in the department
and a further treadmill in the CCU. Nuclear Medicine is currently provided through the
Radiology department in conjunction with the South Cleveland Medical Physics
Department (a major branch of the Regional service on site). There are new MRI and CT
Scanners in the Hospital X-ray Department.
An electrophysiology programme began in 1998 and is continuing to expand. This
involves diagnostic procedures, radiofrequency ablation and the implantation of
cardioverter defibrillators. The programme is supported by a team of specialist nurse
practitioners forming a cardiac rhythm management team, undertaking pre- and post-
procedure assessment and counselling. Electrophysiology procedures take place in the
biplane catheter laboratory, which also has a Medtronic Localisa EP mapping system
Investigations performed by the department in the last twelve months are as follows:
District ECG in-patient service: 12,000
Echocardiography: 7,800 (Stress echo 174, TOE 284, + intra-
Holter Monitoring: 3,054 (Transtelephonic monitoring 93)
Exercise Stress Tests: 2,592 (Myocardial perfusion scans 105)
Cardiac catheterisation: 3, 133
PCI: Total 1249 (8590%tents; 66% urgent or
Pacemaker implants: 500 (Pacemaker checks 3,362)
ICD implants: 47
CARDIOTHORACIC SURGICAL DEPARTMENT
There are six cardiothoracic surgeons and seven cardiothoracic anaesthetists operating
through 3 dedicated Cardiothoracic Theatres and 12 Cardiothoracic Intensive Care beds.
Surgical procedures are expected to number as follows for the forthcoming year: CABG
1100, Valves 200 and Thoracic 150. The provision of an HDU facility within the
surgical ward allows for fast-tracking of patients from theatre.
There is close co-operation between the cardiologists, surgeons and anaesthetists with
regular combined administrative, planning and academic meetings.
In order to meet the demand for tertiary services and as part of the implementation of the
NSF for CHD phased expansion of the revascularisation programme has been agreed
with commissioners, planning to provide 1500 PCI and 1500 CABG procedures per
annum. This appointment, the sixth Consultant in Interventional Cardiology, is integral
to this development. We have introduced primary PCI for the local catchment population
and have plans for the further development of this service to the wider Network. We are
a pilot site for the National Infarct Angioplasty Program.
There has been a year on year increase in PCI since the Unit’s inception 10 years ago,
with over 60% of workload urgent or emergency. Transfers from local DGHs and
scheduling of workload is coordinated centrally by a nurse specialist. Care of both
elective and emergency PCI patients is shared by junior medical staff and a team of
specialist nurse practitioners.
Secondary care cardiology services to the District, including a busy CCU, and daily
Rapid Access Chest Pain Clinics, form a vital part of the workload.
Integration with surrounding units
Consultant cardiologists from adjacent hospitals visit the unit to undertake diagnostic
catheterisation. Paediatric cardiologists from Newcastle undertake outpatient clinics in
conjunction with the paediatricians at The James Cook University Hospital. Patients for
heart or heart-lung transplantation are referred to the Freeman Hospital Newcastle.
11 Cardiologists + NEW APPOINTMENT
2 Clinical Assistants/GPsI
8 Specialist Registrars (Northern Deanery Cardiology program)
1 - 2 Research Registrars
1 Teaching Lecturer (Registrar Grade)
1 Trust Registrar/Staff grade (FHN)
THE JOB ITSELF
Title: CONSULTANT CARDIOLOGIST TO
SOUTH TEES HOSPITALS NHS TRUST
Provisional Job plan
A.M. P.M. Evening
Monday Ward Round (0.5 CPA) Research/Audit (1 SPA)
Tuesday Cath lab Cath lab WR (2.25 CPA)
Wednesday Out Patients (1 CPA) Clinic Admin (1 CPA)
Thursday Cath lab (1 CPA)
Friday Academic (1 SPA) Ward Round (0.5 CPA) Admin (0.5 SPA)
(Management meetings, CME, Audit/Clinical governance meetings)
Sat/Sun CCU Ward Round 1:11 (0.25 CPA)
Emergency on call cover for coronary intervention 1 CPA
Direct clinical care 7.5 programmed activities (CPA)
Supporting professional activities 2.5 (SPA)
Additional PA(s) for prospective cover and/or additional activity may be available subject
N.B. This timetable is indicative only and it is anticipated that this will form the basis for
a job plan for the first 3 months in post. A formal job plan will then be agreed by the
successful applicant, the Director of Cardiology and/or the Chief of Service, on behalf of
the Medical Director. This will be signed by the Chief Executive and be effective from
the commencement date of the appointment.
The job plan will be reviewed annually, following an Appraisal Meeting. The job plan
will be a prospective agreement that sets out a consultant’s duties, responsibilities and
objectives for the coming year. It should cover all aspects of professional practice
including teaching, research, educational and managerial responsibilities and provide a
clear schedule of commitments, both internal and external. In addition, it should include
personal objectives, including details of the support required by the consultant to fulfil the
job plan and objectives.
The remaining sessions are flexible and will provide time for audit/clinical governance,
teaching, research, emergency work and the usual administrative duties of a consultant.
Out-patients will be held at the James Cook University Hospital and potentially also at
the Friarage Hospital. Out-patient clinics are usually for both new and review patients
and undertaken by the consultant with a registrar and SHO.
Emergency cardiology cover will be provided 1 in 11 covering junior staff and 1 in 6
providing an emergency coronary intervention service to the Region.. Consultants will
provide full time cover for periods of leave of absence of colleagues. The appointee will
be expected to reside within 10 miles of the hospital (or further afield with agreement of
Chief of Service/Medical Director).
The incumbent will have a personal secretary and an office, providing PC with access to
both local cardiology intranet and the internet. The unit has its own IT support officer
and is actively recruiting additional staff to help develop ambitious plan for the local
intranet, to provide access to images and databases at workstations across the Division.
TEACHING, RESEARCH and CPD
There is an active Postgraduate district and divisional curriculum on site based at the
Postgraduate Education Centre under the direction of District Tutor Prof Ben Corbett –
General Surgery. There is an up-to-date medical library within this centre. The
consultant will be expected to undertake activities suitable for continuing medical
education in accordance with Royal College of Physicians guidelines. Funded leave for
continuing professional development will be provided by Trust for suitable courses or
Training of junior medical staff in all aspects of cardiology and medical aspects of
cardiac surgery is required.
Research is actively encouraged and the Department of Cardiology is developing an
active programme. Academic links with Newcastle, Durham and Teesside University
departments are being established and joint research encouraged.
As part of the national expansion of medical student numbers the Universities of
Newcastle and Durham have formed a partnership increasing the undergraduate intake
to 340 students as from September 2002. The first 2 years of the curriculum are being
taught at the Queen’s Campus of the University of Durham in Stockton as well as the
Medical School in Newcastle. Currently it is planned that 95 students will be based in
Stockton and 220 in Newcastle. At the end of year 2 the entire cohort of students will
be divided up for their 3rd year between Base Units of Acute and Community Trusts
and PCT’s around the Northern Region. South Tees has been designated the lead Trust
for the Teesside Unit which currently comprises Bishop Auckland and Darlington,
North Tees and Hartlepool, as well as South Tees and the corresponding Community
Trusts of Tees and North Yorkshire and South Durham and the associated PCT’s.
In order to accommodate these students, a new purpose-built Clinical Academic
Centre, including a Teaching Unit, has recently been completed at The James Cook
University Hospital. There are active plans to further develop both teaching and
research within Cardiology, with the potential for a Senior Lecturer or Chair in
Cardiology being created in the future.
JUNIOR DOCTORS' HOURS AND IMPLEMENTATION OF THE CALMAN
The Region and Trust are committed to these nationally agreed initiatives. All consultant
staff are expected to contribute to the education supervision, appraisal and assessment of
junior medical staff.
The Trust Board have responsibility for strategic and policy issues. Day to day
management is delegated from the Trust Board to the Management Group which includes
all Divisional Chiefs of Service and Chief Executive. The current Chief of Service for
the Cardiothoracic Division is Mr Simon Kendall. The Division has its own business
manager Mrs Ruth Potiphar and a Deputy Divisional Manager Mrs Sam McLoughlin.
The Cardiothoracic Division is sub-divided into directorates each with its own Clinical
Director: Cardiothoracic Surgery Mr Andrew Owens, Cardiothoracic Anaesthesia Dr
Khalid Khan, Cardiology Dr Michael Stewart. There is a collective responsibility of all
Consultants to co-operate with and work closely with all colleagues especially their
designated Clinical Director and Chief of Service in order to ensure effective and
efficient running of the Division.
This post includes the ordinary administrative duties of a Consultant including
participation in professional audit, business planning, multidisciplinary team working and
related activities. Consultants are members of the Senior Medical Staff Committee.
Consultants are required to provide continuity of care to their patients.
South Tees Hospitals N.H.S. Trust is committed to Total Quality, has established core
values and places patients at the centre of its activity.
MAIN CONDITIONS OF SERVICE
(i) The terms and conditions of service will be those agreed by the appointee and the
Trust Board. At the time of writing these are identical to the terms and conditions
of the hospital medical and dental staff (England and Wales) and General Whitley
Council conditions of service, as amended from time to time.
(ii) Appointment will be on the new Consultant Contract and is dependant upon
negotiation of an annual job plan.
(iii) The successful applicant will be required to reside within 10 road miles of the
James Cook University Hospital unless specific approval is given by the Medical
Director to a greater distance.
(iv) The appointment will be subject to a medical examination.
(v) The current salary scale for this post is £xxxxx increasing in line with the new
(vi) Relocation expenses will be offered and are negotiated on an individual basis with
the successful applicant.
(vii) This post is available on a part time basis to any candidate who is unable to work
Registered medical degree
On the Specialist Register
or within 6 months of Higher Degree
Proficiency in adult
Proficiency in all aspects of
Coronary Intervention with
SUB-SPECIALTY Experience of infarct
evidence of current
experience in latest
Desire to participate in the
MANAGEMENT Management training
Experience of conducting
TEACHING undergraduate and
Evidence of research and
publications in peer-
Publications relevant to
Evidence of ability to
PERSONAL SKILLS communicate, organise and