University of Southampton / University Hospital Southampton NHS Foundation Trust Academic Clinical Lecturer in Respiratory Medicine Job Description Department: Medicine Respiratory Post:
Trang 1University of Southampton / University Hospital Southampton NHS Foundation Trust
Academic Clinical Lecturer in Respiratory Medicine
Job Description
Department: Medicine (Respiratory)
Post: Clinical Lecturer in Respiratory Medicine
Grade: Academic Clinical Lecturer, Honorary Specialist Registrar Responsible to: Dr Tom Wilkinson Associate Professor of Respiratory Medicine
Respiratory Medicine
Introduction
The University of Southampton, together with the University Hospital Southampton NHS
Foundation Trust, wishes to appoint an Academic Clinical Lecturer (ACL) in Respiratory
Medicine The post-holder will be pursuing his/her development of research and
teaching within the Respiratory Research Group of the Academic Unit of Clinical and Experimental Medicine Sciences of the University of Southampton, Faculty of Medicine and the Southampton NIHR Respiratory Biomedical Research Unit (BRU) The ACL will also have clinical commitments at University Hospital Southampton NHS Foundation Trust with training in clinical skills required for specialist accreditation in Respiratory and General Medicine
The post is subject to terms and conditions of service determined by the University of Southampton and in its honorary clinical capacity by the UHS NHS FT board
Details of the Post
Academic training and development of the ACL
This is an academic post sponsored by the University of Southampton and University Hospital Southampton NHS Foundation Trust It provides a career pathway for able and ambitious trainees in Respiratory Medicine who have already shown excellence in
Respiratory research by successfully completing a PhD The post supports national efforts to strengthen Respiratory academia The development and strengthening of the successful candidate’s Respiratory research will take place in the Respiratory academic group within the CES Unit, a multi-disciplinary division consisting of clinical and basic scientists focusing on mechanisms of inflammation and tissue repair in the context of a range of diseases caused by environmental agents, including allergens and microbes The Division aims to develop improved methods of diagnosis and interventions which will prevent, ameliorate and/or cure infections and chronic inflammatory and fibrosing disorders The strengths of this Unit result from the combination of an excellent scientific
community focused on elucidation of fundamental mechanisms underlying human diseases
The University of Southampton (http://www.southampton.ac.uk), member of the Russell Group of highly research active universities, and UHS NHS FT have developed a
combined research strategy since 1992
Trang 2The ACL will join the Respiratory Research Group, which is directed by Professor Rob Read, Head of the Clinical and Experimental Academic Unit, and the NIHR Respiratory Biomedical Research Unit The Group has within its ranks eminent and internationally recognised experts in both adult and paediatric lung diseases and allergy:
Professor Hasan Arshad, Professor in Allergy
Professor Howard Clark, Professor of Child Health
Professor Donna Davies, Professor of Respiratory Cell and Molecular Biology
Professor Ratko Djukanovic, Professor of Medicine
Professor John Holloway, Professor in Allergy and Respiratory Genetics
Professor Peter Howarth, Professor of Respiratory Medicine
Professor Jane Lucas, Professor in PCD Research
Professor Anthony Postle, Professor in Developmental Biochemistry
Professor Graham Roberts, Professor in Paediatric Allergy and Respiratory Medicine
Dr Paul Elkington, Associate Professor in TB Research
Dr Anthony Sampson, Reader in Allergy & Inflammation Research
Dr Andrew Walls, Reader in Immunopharmacology
Dr Tom Wilkinson, Associate Professor in Respiratory Medicine
The Group is recognised for its excellence and breadth of expertise, ranging from
epidemiology of Respiratory and allergic disorders, genetics, and basic cellular and molecular mechanisms to clinical research, including clinical trials with novel drugs such
as anti-IgE, anti-TNFα and interferon ß The Respiratory research programme is
translational and has the following broad objectives: (1) identification of key genetic and epigenetic mechanisms predisposing to the development of lung and allergic diseases, (2) elucidation of the cellular and molecular mechanisms which drive the process of airways (upper and lower) inflammation, tissue injury and repair and the interaction of these with such environmental factors as allergens, viruses, pollutants and cigarette smoke, (3) identification of targets for novel therapies of allergic and Respiratory
diseases, and (4) improved understanding of the mechanisms which underlie the clinical effectiveness of recently developed as well as established drugs
The research of the Group is embedded into the excellent infra-structure of the CES Unit, refurbished through a joint Wellcome Trust SRIF (Science Research Investment Fund) and UoS grant, totalling £10.1M, and Wellcome Trust Clinical Research Facility In July 2008, the group was awarded an NIHR Respiratory BRU with funding (total £6.25M)
to conduct a series of translational research projects and establish an excellent infra-structure in staff (research fellows, nurses, statistician, data management, technical and administrative support) Completion of the new BRU building in November 2010 and further funding success in 2012 for 5 years continued BRU support provides an
unrivalled platform for the ACL position to succeed
The Respiratory Research Group has extensive national and international collaborations including the UBIOPRED consortium programme in which Southampton is leading the
“omics” platform and the application of ex vivo human models of asthma Vaccine development with GSK and other industrial collaborators
The Respiratory group is funded by grants from the NIHR, Medical Research Council, the (US) National Institutes of Health, EU Framework Programme 5 (including a Marie Curie Host Fellowships for Early Stage Researchers), the Innovative Medicines Initiative (IMI), Wellcome Trust, Asthma UK, British Lung Foundation, Action Research, The Rayne
Trang 3Foundation, Sir Jules Thorn Trust and collaborative grants from the pharmaceutical industry
Research Duties of the ACL
The ACL will have 50% of their post protected for further research, benefiting from all the facilities of the Respiratory Group and CES, as well as any other facilities from within the Faculty of Medicine, as appropriate If required, additional arrangements can be made with other faculties of the University of Southampton
The ACL is expected to continue in research in Respiratory Medicine either developing the work he/she started during his/her PhD studies, or in a new field within the
speciality, moving from a position of an accomplished student towards that of an
independent researcher who would be competitive for a Senior Lecturer position
It is expected that the research will be supported by a Clinician Scientist Award for which the lecturer will be expected to apply.
The ACL will be responsible to a chosen supervisor/mentor (from the Unit) based on a common research interest and to Dr Tom Wilkinson, Director of Academic Respiratory Training for the Wessex Deanery In respect of personal and administrative matters- jurisdiction of CES
Clinical training of the ACL
The clinical training of the ACL will be provided and supervised by the Specialist Training Committee (STC), allocating 50% of the ACL’s training time to clinical work that would lead to completion of specialist training This would take place within the Wessex
Deanery’s region, with the Deanery being in Otterbourne and the programme covering an area from Portsmouth in the east, Basingstoke in the north, Dorchester to the west and Southampton in the south The ACL will be placed in one of the accredited NHS Trusts in agreement between the ACL, the STC Chair/Programme Director, Dr Kevin McKinlay, and the Academic Programme lead, Dr Tom Wilkinson Every attempt will be made to place the ACL in Southampton or in a nearby Trust to facilitate continuing contact between the ACL and his academic mentors
Full details of the Southampton University Hospitals Trust are provided below, while details of the whole programme in the region can be obtained on request
University Hospitals Southampton NHS Foundation Trust
UHS) is the 8th largest in the country and is recognised as a centre of clinical, education and research excellence It provides a service for acute medicine and all aspects of secondary care for the Southampton population and serves as a tertiary referral centre for a wide region in south England and, for many specialties, beyond the region
Respiratory Service, Southampton General Hospital
New out-patient attendances approx 2500/year
Follow-up out-patients attendances approx 5000/year
Admissions: Day cases (in the Respiratory centre)approx 6000/year
Emergency approx 1500/year
Trang 4Staffing of the Department
20 Consultants (14 NHS, 6 University)
6 Specialist Registrars,
5 Foundation year 2 Doctors
5 Foundation year 1 Doctors
Respiratory Consultants and their Lead duties
Academic Medicine
Professor Ratko Djukanovic, Director BRU and SCBR
Professor Peter Howarth, Professor in Respiratory Medicine, Head of Clinical Trials Unit Professor Hasan Arshad, Professor in Allergy
Dr Tom Wilkinson, Associate Professor in Respiratory Medicine
Dr Paul Elkington, Associate Professor Tuberculosis Research
Dr Hans Michael Haitchi Asthma
UHS Hospital Trust Consultants
Dr Anindo Banerjee, Clinical Lead for Respiratory Medicine and Lead for Lung cancer, bronchoscopy and Pulmonary function
Dr Ben Marshall, Lead for Tuberculosis and the Immunocompromised Host
Dr Jane Wilkinson, Lead for Sleep medicine, Domiciliary NIV
Dr Mary Carroll, Director of Cystic Fibrosis Centre
Dr Ramesh Kurukulaaratchy, Lead for Asthma, Allergy and the Respiratory Centre
Dr Julia Nightingale, Cystic Fibrosis
Dr Anastasios Lekkas, Interests Lung cancer, HDU and Domicillary NIV
Dr Rachel Limbrey, Lead for Pulmonary vascular disease & Respiratory Ward
Administrator
Dr Thomas Daniels, Cystic Fibrosis Lead
Dr Zoe Pond, COPD Integrated Care
Dr David Land HDU Lead
Dr Sophie Fletcher Lead for the Interstitial Lung Disease Service & HDU
Dr Tom Havelock COPD
Dr Paddy Dennison Asthma
Respiratory Clinical Service
The Respiratory clinical service in UHS covers all aspects of Respiratory and allergic diseases Specialist clinics are held for Respiratory and other allergic diseases, difficult airways diseases (asthma, COPD, chronic cough), lung cancer, interstitial lung diseases, sleep-related breathing disorders and chronic non-invasive ventilation, cystic fibrosis, bronchiectasis and tuberculosis The service also has a specialised Respiratory
Assessment Centre established to provide quick access to COPD patients during
exacerbations and now providing additional diagnostic and therapeutic services for Respiratory diseases Many of the services provided by these specialist clinics is
supported by multi-disciplinary teams Furthermore, there is a specialist asthma service which also provides anti-IgE monoclonal antibody treatment for selected patients with severe asthma
Clinical training of specialist registrars in Respiratory Medicine
It is anticipated that the post will comprise 6 months of academic work and 6 months of
clinical work per year Clinical training will be the equivalent of usual clinical training to
CCT standard in Respiratory Medicine During the clinical slot (50% of the post), the ACL
Trang 5and will perform all other duties expected of a clinical trainee at this stage of training,
as determined by their training needs assessed at Annual Review of Progress At
Southampton General Hospital there is specific experience in Respiratory HDU, Cystic Fibrosis, Complex Airways Disease, Complex Tuberculosis, Domiciliary Ventilation, Sleep, Allergy and Endobronchial Ultrasound There is the opportunity for ICU experience Respiratory
Clinical Timetable
The weekly clinical timetable will vary according to the needs of the clinical service and the seniority and training requirements of the appointed lecturer Clinical exposure to inpatient services and general and specialist outpatient’s clinics will be rostered with the NHS specialist trainees Contribution to the general medical on call rota will be an essential part of the post during the clinical phase of the lectureship and may be
required during the research phase
Specialty registrar education
The StR will take part in the Wessex StR training programme in both Respiratory
Medicine and general internal medicine This is an active programme, which has been well received and currently consists of ten full day sessions run at within the region, under the supervision of the Respiratory Training Committee in Wessex There is an active clinical audit and clinical governance committee at Southampton and the StR will
be expected to undertake at least one audit during his/her time at Southampton
A weekly in house educational meeting is held for Junior Doctors specifically on a
Monday lunch time and for all Respiratory staff of a Thursday morning There is a Journal Club on Friday mornings for StRs
Training and educational duties of the StR
The ACL will join the staff of the Respiratory Service in the provision of undergraduate and postgraduate education in the specialty He/she will be expected to take an active part in teaching junior doctors, medical students and allied health professionals at Southampton in both general and Respiratory Medicine
Southampton is home to a large medical school with an annual intake of over 250 medical students Undergraduate education in Respiratory Medicine is provided through
a modular course (Cardio-pulmonary course) at the University of Southampton Medical School in year 1 and a student selected unit (SSU) in Respiratory Medicine in year 3 through lectures and ward-based teaching; additionally, students rotate through the Respiratory service during the clinical period, either as part of their training in general internal medicine or through elective attachments
The post-holder will contribute to the weekly Respiratory meetings held on Thursday mornings which include Morbidity and Mortality Meetings
Management duties
Southampton General Hospital established a clinical management system in 1986 which was extended throughout Southampton University Hospitals NHS Trust in 1991 This system is one of the most highly developed Clinical Directorate organisations in the country Its continuation is a matter of paramount importance and it will be carefully
Trang 6developed and enhanced to meet the needs of the trust as a major provider in the
reforming NHS
All staff in each Directorate are managerially accountable to the Clinical Director who has overall responsibility for the services within the Directorate The medical directorate has Lead Consultants within each sub-specialty who also act as liaison between
individual consultant teams and the Clinical Director
Administrative duties
The post-holder will be required to:
1 undertake the administrative duties associated with the care of patients
2 travel as necessary between units
General provisions
Subject to the provisions of the Terms and Conditions of Service, the post-holder will be expected to observe the Trust’s agreed policies and procedures, drawn up in
consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of the Trust
In particular, where the post-holder manages employees of the Trust, he/she will be expected to follow the local and national employment and personnel policies and
procedures The post-holder will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of his/her patients and to be able to contact him/her when necessary
Visiting
The main point of contact is Dr Tom Wilkinson (t.wilkinson@soton.ac.uk), Director of the Academic Respiratory Programme For additional details about the clinical training of the post, candidates should contact Dr Ben Marshall (ben.marshall@uhs.nhs.uk) to arrange
a visit to the clinical service
Review of the Job Description
This job description will be reviewed each year by the post-holder, Dr Tom Wilkinson and
Dr Ben Marshall Local procedures will be followed in the event of any disagreement over proposed changes culminating an appeal to a sub- committee of the University of Southampton Job description changes will be reviewed under the Service Level
Agreement
TERMS OF APPOINTMENT
1 The appointment will be governed by the general conditions applicable to Clinical
Lecturers in the University of Southampton; details of these are available on request and will be sent to candidates called for interview The appointee will be subject to the relevant terms of appointment as determined by the appropriate NHS Trust, in connection with his/her clinical duties, in so far as they may apply to clinical
academic staff holding honorary NHS Trust contracts The appointee will be
responsible to the Head of the Faculty of Medicine through the Divisional
Trang 7Director/Head of the University Clinical Group for the satisfactory conduct of his/her duties
2 The successful candidate will be expected to take up their appointment
3 The appointment will be made within the Clinical Lecturer’s salary scale, depending
on qualifications and experience
4 The appointment may be terminated by a term’s notice on either side
5 In addition to the substantive contract of employment with the University, the
successful candidate will also hold an honorary NHS contract with an NHS Trust and will be required to be registered with the General Medical Council with an appropriate license to practice This honorary contract and registration is essential for the proper performance of the duties of employment with the University In the event that the honorary contract is terminated or the registration is revoked or suspended, continued employment with the University under this contract will need to be reviewed and may be terminated The procedure for considering
whether to terminate the substantive contract of employment with the University
in such circumstances is set out in the University’s Statutes and Ordinances from time to time in force and in a protocol between the University and the NHS Trust The appointee will be required during their tenure of office to undertake
appropriate clinical work on an honorary basis under the National Health Service
No professional contact with National Health Service patients may be undertaken unless a duly authorised honorary contract has been issued and is currently valid NHS pension rights may be maintained
6 The appointee will be subject to full assessment via the RITA process in addition to
appraisal with his/her University line manager
7 The actual cost of removal of personal and household effects and/or incurred legal
costs for the purchase of a house or flat in or near Southampton will be paid by the University subject to a maximum contribution of £4500 The purchase of such a house or flat must be as a consequence of taking up the appointment and the claim must normally be submitted within twelve months of taking up the post
8 The person appointed will be required to observe the Charter, Statutes and
Ordinances of the University and to carry out all orders and regulations of the
Council It should be noted that these regulations include a policy of no smoking at work which, with the exception of certain designated areas, prohibits smoking in most University buildings
Trang 89 The person appointed will be expected to work within the spirit and letter of the
University's Equal Opportunities Policy:
"The University of Southampton confirms its commitment to a comprehensive policy
of equal opportunities in employment and for students in which individuals are selected and treated on the basis of their relevant merits and abilities and are given equal opportunities within the University The aim of the policy is to ensure that no job applicant or employee, prospective student or student, should receive less favourable treatment on any grounds which are not relevant to good employment practice for staff or to academic ability and attainment for students The University
is committed to a programme of action to make the policy fully effective."
10 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 and,
in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the University The University will routinely
conduct checks on criminal records for all those appointed to posts that have contact with children or vulnerable adults Any information given will be completely
confidential and will be considered only in relation to an application for positions to which the order is applied