[ref. v62400620] NHS - Locum Consultant Radiologist
The population is characterised by its diversity the rural and the urban, the wealthy and pockets of deprivation, and wide variance in health and life expectancy. Population ageing is a recognised national trend, but is exacerbated locally by the drift of younger people out of the area and older people in.
The proportion of our population aged 85 or over is growing ahead of the national average by approximately 10 years and we have developed a Population Health Strategy in response to this demographic shift. We work within a network of other hospitals to offer a range of specialist services: Kidney transplant Pancreatic cancer surgery Neurosurgery Cardiothoracic surgery Bone marrow transplant Oesophagogastric surgery Hepatobiliary surgery Neonatal intensive care and high-risk obstetrics Plastic surgery Liver transplant evaluation Stereotactic radiosurgery FUTURE STRATEGY AND VISION Derriford Hospital opened in 1981 and has gradually expanded to replace the four major acute hospitals in Plymouth in existence at that time.
The site was chosen just outside the city limits to facilitate this expansion. The availability of adjacent land has permitted the development of a Medical City as local planners concentrate medical developments within this area. Specifically, the acquisition of land has enabled the following developments to take place: A science park adjacent to the Hospital that includes the Diving Diseases Research Centre, Medical Innovations Centre and the relatively new Undergraduate Medical School buildings.
A rehabilitation unit dedicated to the treatment of neurological and orthopaedic rehabilitation. The construction of the state-of-the-art Terence Lewis Building which houses the Southwest Cardiothoracic and Vascular Centre with full critical care facilities, library, research and teaching facilities.The Radiology academy (a Department of Health initiative) which provides full facilities for teaching and training in radiological diagnosis and treatment. New residential buildings for hospital staff. A new dialysis unit located close to but not within the hospital grounds to facilitate ease of access and parking for these patients.
The Future hospital project aimed at construction of the state-of-the art emergency department, Radiology department and operating theatres including dedicated Neuro-hybrid theatre and vascular hybrid theatres. The project planned to be completed by end of 2026.
The Trust is a cancer centre and major trauma centre for the Southwest Peninsula. The South West Cardiothoracic Centre provides a service for patients who previously had to travel substantial distances for treatment elsewhere in the United kingdom.
With continual expansion the centre performs in excess of 1500 open heart procedures per year. The Trust provides tertiary services (neurosurgery, maxillofacial surgery, plastic surgery, cardiac and thoracic surgery, transplantation, radiotherapy and oncology) for a population of up to 2 million people living in Devon, Cornwall and Dorset.
The Trust has laid out 5-year and 10-year strategy with focus on creating regional network with Cornwall to increase patient volumes given the published evidence linking volumes and outcomes in vascular surgery (POVS 2021). Our published data prior to COVID19 is in line with VS recommendations in the Provision of Vascular Services.
The Future hospital project has hybrid vascular theatre incorporated in the plan and we hope to get this ready by 2026. Central funding has also been secured for the CDC development which will encompass 2 CT, 2 MR, 2 plain film and 4 ultrasound suites providing diagnostic services in the centre of Plymouth.
This is also due to open in September 2025 and will provide dedicated consultant office and reporting space in a purpose-built city-centre environment. For more information, please visit the Trusts website at http://www.plymouthhospitals.nhs.uk The work of the department The Radiology department at UHPT is a large teaching department responsible for specialist registrar training.
Derriford Hospital is a large Teaching Hospital providing secondary and tertiary care to a population of 1.7 million. It is a busy Trauma centre. The main x-ray service is accommodated within two large adjacent departments, and a third smaller one in A&E.
The trust has a full Insignia PACS service connected to all Imaging modalities, installed in 2013. There is Voice Recognition integrated to the Radiology Information System (Wellbeing RIS with Dragon VR). Both PACS and RIS are shared systems operating across the South-West Peninsula, allowing for near seamless image sharing between the trust and neighbouring hospitals.
Reporting of inpatient and ED imaging is provided on an extended working day basis by radiology consultants (9am 7pm), with radiology registrars providing out-of-hours cover 9pm 9am with both neuroradiology and general radiology consultants providing non-resident on call.
Weekends are fully staffed by radiology registrars, again with both neuroradiology and general radiology consultants providing non-resident on call. In addition, 7 day working has been established with daily inpatient ultrasound and additional low-acuity CT reporting being provided by consultants.
The current frequency of general radiology on call is approximately 1 in 18. Peninsula Radiology Academy: The Peninsula is host to one of the 7 Radiology Academies in the UK and is one of the few purpose-built units of its kind in the world. The site has full PACS, state of the art ultrasound and a variety of novel teaching methods including interventional simulators and access to interventional models.
The teaching is underpinned by the electronic learning database, which covers the whole of the radiology curriculum and is the largest electronic teaching system in Europe. It has won several educational awards and supplements the excellent teaching delivered by the consultants in the Peninsula.
The training scheme is highly regarded for the quality of opportunity and teaching and takes up to 16 Registrars per year. The successful applicant would be encouraged to become involved in the teaching program. The Academy facility is being further developed to provide teaching and training to radiography and sonography students in addition to radiology registrars, with additional plain film and ultrasound suites providing further learning opportunities.
GENERAL WORKLOAD General x-ray examinations ~195,000 Barium examinations ~3,600 Ultrasound examinations (non-obstetric) ~41,000 CT scans ~44,500 MRI scans ~22,000 Breast screening (mobile van) ~21,000 Symptomatic and screening ultrasound/FNA/Core biopsies ~5,505 Nuclear Medicine examinations ~8,400 Proposed Job Plan: to be reviewed at 3 months Type (DCC/SPA) PA Monday AM Fluoroscopy / academy teaching / specialist reporting (to be discussed) DCC 1 PM Specialist radiology (GI/Uro) DCC 1 Tuesday AM General / Specialist US DCC 1 PM Departmental duty DCC 1 Wednesday AM General CT (OP or IP) DCC 1 PM SPA Patient related admin SPA DCC 0.5 0.5 Thursday AM SPA SPA 1 PM Specialist radiology (GI/Uro) MDT prep DCC 1 Friday AM Specialist radiology (GI/Uro) MDT chair DCC 1 PM Specialist radiology (GI/Uro) or Endoscopic US DCC 1 Totals Total DCC 8.5 Total SPA 1.5 Total PAs 10 On call This post is not envisaged to have an on call commitment.
The below is illustrative only; however if on-call work is desired by the successful candidate, this will be open to negotiation. The post-holder will be provided with a PC and PACS workstation, with the option to locate one of these off-site to facilitate home working.If the applicant wishes to work primarily remotely, this can be discussed. The post holder will be required to comply with all Trust Policies notably in relation to job planning, appraisal and leave taking in line with Departmental and Trust objectives.
The programme shown is for illustrative purposes and could be subject to modification, in agreement with the post holder and the Imaging Service Line Clinical Director. The Directorate would support any research interests of the Consultant in conjunction with the Trust lead for R & D.
All consultants are expected to actively participate in the departments audit and clinical governance program.