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Job Description

Surgery Health Group/Directorate Job Title: Consultant in Cardiac Surgery with a Special Expertise in

Major Aorto-Vascular Surgery

Band: SALARY SCALE £82,096 - £110,683 Accountable To: Mr Anantha Ananthasayanam, Medical Director Surgery Reports To: Mr Martin Jarvis Clinical Lead Cardiothoracic Surgery

1. INTRODUCTION

Applications are invited for the position of Consultant in Cardiac Surgery. This is a

substantive appointment to increase capacity for cardiac surgery and provide

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comprehensive tertiary care for adult cardiac surgery (not transplant or adult congenital) and

major aorto-vascular surgical services for the region. The successful applicant must have

proven expertise and experience in major aorto-vascular cardiac surgery, including the

frozen elephant’s trunk procedure using the Thoraflex, E-Vita Open and E-Vita Open Neo

devices.

2. Place of Work

The successful applicant will be employed by Hull University Teaching Hospitals NHS Trust

(HUTH). HUTH has two primary hospital sites: Castle Hill Hospital, located in the town of

Cottingham, East Yorkshire; and Hull Royal Infirmary, located in the centre of Hull. HUTH

has an annual budget of circa £481 million, employs over 8,000 staff and serves an

extended population of 1.4 million.

The post will be based in the Cardiothoracic and Cardiology Centre at Castle Hill Hospital,

part. The successful applicant will also be expected to work at other HUTH hospitals, such

as Hull Royal Infirmary, and to undertake HUTH activities, such as outpatient clinics, in other

hospitals and NHS trusts in the region.

3. DEPARTMENT OF CARDIOTHORACIC SURGERY

3.1. Position in the Divisional Structure

The department of cardiothoracic surgery is part of Surgical Health Group within the

organisation’s divisional structure.

3.2. Catchment Area

The Department of Cardiothoracic Surgery is a tertiary referral centre providing all aspects of

adult cardiothoracic surgery except transplant to a population of 1.4 million. This includes

the people of the city of Kingston-Upon-Hull and the East Riding of Yorkshire (pop. 550,000),

North East Lincolnshire (Grimsby and Scunthorpe), and North Yorkshire (York and

Scarborough).

3.3. Location

The department is located in a purpose-built Cardiothoracic and Cardiology Centre at Castle

Hill Hospital which opened in 2009.

3.4. Organisation

The department reorganised in 2018 to end mixed cardiothoracic practice and establish

purely cardiac and thoracic surgical teams. There are currently 6 consultant cardiac

surgeons and 4 consultant thoracic surgeons.

Within cardiac surgery there is sub-specialisation in aorto-vascular surgery and mitral valve

repair.

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3.5. On-call

The cardiac on-call is 1:6.

Currently, on-call is done in 7-day blocks; 08:00 Monday to 08:00 Monday. This arrangement

is subject to review and change in relation to operational needs, service specifications,

regulatory requirements and consultant establishment.

There is prospective cover for consultant colleague annual leave and study leave.

3.6. Surgeon-of-the-Week

An operational objective is to move to a consultant-of-the-week model of service delivery in

accordance with the NHS 7-days working plan and GiRFT recommendations. The consultant

on-call is allocated in multi-day blocks for continuity of care (not necessarily 7 days), daily

consultant ward rounds for all medically active patients in the ward, joint daily MDT review

with the ICU consultant of all long-stay cardiac surgery patients on intensive care, consultant

review of all emergency admissions within 8 hours, consultant review and decision on all

urgent in-patient referrals by the end of the next working day, consultant-level management

of patient flow, available for major trauma centre presence within 30 minutes.

3.7. Ward and Intensive Care Facilities

There are 38 dedicated cardiothoracic surgical ward beds located in wards 26 and 27. Ward

27 is a shared cardiac and thoracic surgery ward whereas ward 26 has 10 cardiac surgery

beds and is shared with cardiology. Both wards have a 6 bedded high observation bay

(HOB) for cardiothoracic patients.

An 18 bedded dedicated day-case and 5-day ward is used for day surgery and short-stay

cardiology patients.

There is a 12 bedded intensive care unit (GICU1) which is primarily used by cardiac surgery.

Level 3 as well as level 2 patients are cared for within this facility. The intensive care unit is

led by the on-call consultant cardiac anaesthetist. An additional 10 general intensive care

facilities beds are provided on GICU2.

3.8. Operating Theatres

There are three purpose-built cardiothoracic operating theatres. Two theatres are used

solely for cardiac and thoracic surgery whereas the third theatre is shared with other surgical

specialities. There is also a purpose built endoscopy room which is located within the theatre

suite.

Opened in 2021 is the Alam Robotic Centre. Funded by the generous donation of Dr Alam, a

local business man and philanthropist, the facilities will be used for a wide spectrum of robot-

assisted minimal access surgery, including robotic thoracic surgery.

The current weekly theatre allocation to cardiothoracic surgery is 11 theatre days (22

sessions) for cardiac (3 Monday, 2 Tuesday, 2 Wednesday, 2 Thursday, 2 Friday) and 3

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theatre days for thoracic (1 Tuesday, 1 Wednesday and 1 Friday). From April 2021 thoracic

will increase to 4 theatre days per week (8 sessions) as part of the implementation of the

Humber Coast and Vale Lung Health Check. The theatre allocation and days is periodically

revised and changed according to operational requirements.

The operational objective is to ensure equitable access by all consultants to limited or fixed

resources and commitments, such as theatres and MDTs. This is equivalent to

approximately 144 theatre sessions per year, allocated flexibly.

3.9. Major Trauma Centre (MTC)

The regional major trauma centre is located in the emergency department (ED) at Hull Royal

Infirmary. Cardiac and thoracic surgery provide separate major trauma input to the MTC in

accordance with the NHS England cardiac and thoracic surgery service specifications and

MTC protocols. The on-call cardiac surgeon must be able to attend the MTC within 30

minutes of call for suspected cardiac or thoracic aorto-vascular trauma.

3.10. Outpatient Clinics

Outpatient facilities are co-located in the Cardiothoracic and Cardiology Centre. Additional

clinics are run by HUTH in partner hospitals and NHS trusts in York, Scarborough,

Scunthorpe and Grimsby.

3.11. Cardiology

The cardiology team are co-located with cardiac and thoracic surgery. Cardiology ward

facilities include a 10 bed CMU, ward 28, shared 16 beds on ward 26 and the day case

ward. The cardiology cathlab is adjacent to the cardiac theatres and comprises 4 modern

catheter labs which undertake diagnostic and interventional work. The department if the

regional hub for primary PCI, complex coronary intervention, cardiac electrophysiological

investigation and therapy, TAVI and complex pacing lead extraction.

3.12. MDTs

3.12.1. CHH Revascularisation MDT

The revascularisation MDT is regional, with the exception of York, and is held every

Wednesday at 12:30.

Submissions for MDT discussion are via secure email to the cardiac MDT coordinator.

Terms of reference are to give Heart Team advice for all patients considered for

interventional or surgical coronary revascularisation.

3.12.2. CHH Structural Heart MDT

The structural heart MDT is regional, with the exception of York, and is held every Thursday

at 12:30.

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Submissions for MDT discussion are via secure email to the cardiac MDT coordinator.

Terms of reference are to give Heart Team advice for all patients considered for

interventional or surgical management of valvular heart disease or pathology of the aortic

root and ascending aorta.

3.12.3. Vascular MDT

The vascular MDT is held on alternate Fridays at Hull Royal Infirmary in collaboration with

the vascular interventional radiology team and the vascular surgery team. In relation to

cardiac surgery, the terms of reference are for the aorto-vascular team to give advice for all

patients considered for intervention or surgery on the aortic arch and descending thoracic

aorta.

3.12.4. External MDTs

External MDTs are held with the York cardiology team at York District Hospital every

Tuesday, in conjunction with an outpatient clinic.

3.13. Clinical Investigation Facilities

Echocardiography, stress echocardiography, 24-hour tape, ECG and plain radiology are

located within the Cardiothoracic and Cardiology Centre building. CT and MRI facilities are

located in the main Castle Hill Hospital building. Interventional radiology facilities are located

at Hull Royal Infirmary. There are state-of-the-art equipment for cardiac MRI and gated

cardiac CT.

3.14. Offices, Secretarial and Administrative Support

3.14.1. Offices

The cardiac and thoracic surgical teams are very fortunate to have access to a number of

offices that are a legacy from the facilities occupied before moving into the Cardiothoracic

and Cardiology Centre in 2009. However, with expansion of the team since 2018 it is not

possible for consultants to have individual offices. Shared offices are necessary, although

adequate office space will be provided.

3.14.2. Secretarial and Administrative Support

After an extensive review of administrative support for all services and departments in 2018

there was a reorganisation incorporating a hub model. Cardiac and thoracic surgery is

supported by HUB7. The team comprises three band-3 secretaries and two typists located in

the cardiothoracic office. There are also four band-3 waiting list administrators, a senior team

leader and a team manager shared with cardiology and located in the main administration

offices.

3.15. I.T. Support

Individual personal computers are provided and are currently being upgraded to Windows10.

All computers are supplied with Microsoft Word, Excel and PowerPoint. Patient

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management, electronic records and clinical results are available via Lorenzo. Clinical

dictation is with G2. General radiology is available via IMPAX and Xero, with a direct PACS

link to North Lincolnshire and Goole NHS Trust (NLAG) PACS and York Trust PACS. HUTH

cardiology imaging is available via CarddasWeb.

3.16. Workload

3.16.1. Cardiac

All aspects of adult cardiac surgery are performed with the exceptions of adult congenital

and transplant surgery. Areas of competency include major aorto-vascular surgery, mitral

valve repair, surgery for atrial fibrillation and minimal access valve surgery.

The department has increased cardiac surgery activity by 30% over the last 3 years,

achieving 850 major cardiac operations in the period FY2019-2020. The ambition is to

increase this sustainably to 900+ cardiac operations per year through the existing facilities.

A TAVI programme was established by the cardiology team in 2019. There is a weekly

revascularisation MDT in Castle Hill Hospital. In addition, we provide weekly outlying clinics

and MDT support to Grimsby, Scarborough, Scunthorpe and York Hospitals.

3.16.2. Thoracic

The thoracic surgery service reorganised in 2018 to end mixed cardiothoracic practice, in

line with the NHS England Thoracic Surgery service specification. The recruitment of a third

specialist thoracic consultant occurred in April 2018 as part of this reorganisation and was

followed by the appointment of a fourth locum thoracic consultant from December 2020 in

anticipation of increased demand following the implementation of the Humber Coast and

Vale lung health check programme. Thoracic activity increased 11% between April 2018 and

March 2020 following the introduction of endo-bronchial vales for the treatment of

emphysematous lung disease and navigational bronchoscopy for the tissue diagnosis of

small peripheral lung nodules. The lung health check is expected to increase the number of

lung resections by 20-25% per year.

Current Staffing:

There are currently six consultant cardiac surgeons:

Mr A Cale Aorto-vascular

Mr M A Chaudhry Mitral surgery, surgical health group governance lead

Mr M Jarvis Aorto-vascular, cardiothoracic clinical lead

Prof M Loubani Aorto-vascular, HUTH guardian of safe working

Mr D Ngaage Mitral surgery, Cardiac surgery governance and audit lead

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Mr Zicho Locum

There are four consultant thoracic surgeons

Mr M Cowen Robotic thoracic surgery

Mr S Qadri Mesothelioma surgery

Mr V Tentzeris Navigational bronchoscopy & endo-bronchial valves

Mr S Ganti Locum

The consultants are supported by 10 middle grade doctors:

3 NTN specialist registrars

6 Locally appointed registrars

The locally appointed registrars cite the good reputation of Castle Hill for training as their

reason for coming here. Many have already obtained significant experience elsewhere and a

number are already on the specialist register and have used the available training

opportunity to consolidate their competency

The ward medical team comprises 3 FY2 doctors on a 4-month rotation and 6 advanced

clinical practitioners.

3.17. Extended Surgical Team (EST)

The department has a long-term commitment to taking advantage of the extended surgical

team (EST) model of care. Furthermore, HUTH was successful in 2020 in a bid for £100,000

of Health Education England (HEE) funding to expand the application of the EST model,

partly based on the demonstrably successful application in cardiothoracic surgery. The ward-

based extended surgical team comprises 6 advanced clinical practitioners while there is a

separate team of 5 surgical care practitioners based in theatres.

3.17.1. Advanced Clinical Practitioners (ACPs)

The cardiothoracic department was the first department in HUTH to have ACPs, with the first

two posts created in 2015. As of January 2021 the cardiothoracic department will increase

the number of ACPs from 3 to 6.

Our ACPs are all recruited from a nursing or physiotherapy background. Their training

programme is a combination of ward-based training, comparable to undergraduate medical

training, plus a 3-year university course leading to a Master’s Degree in Advanced Practice.

On completion of their training the ACPs can do the same clinical job as the ward-based

junior doctors.

Jenny Crompton

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Karen Jarvis HUTH lead for advanced practice

Clare Hillary

Shane Conway Trainee

+ 2 trainees to start January 2021

3.17.2. Surgical Care Practitioners (SCPs)

The cardiothoracic surgery department was an early adopter of surgical care practitioners in

the 1990s. There are 5 SCPs proficient in saphenous vein and radial artery harvest, VATS

camera piloting and robotic surgery assistant, 1st assistant for cardiac and thoracic surgery

and insertion of PIC central lines.

Tony Jessop

Maxine Read

Richard Thomson

Rona Calanao

Mathew Joseph Trainee

3.18. Perfusion

The cardiothoracic department at Castle Hill has, arguably, access to the most advanced

perfusion technology in the UK. We were an early adopter of minimal bypass technologies in

2007 and currently all our bypass systems are either MiECC type 3 or type 4. Every type of

cardiac operation has been done with MiECC, including major aortic surgery, mitral valve

surgery, ASD closure and post-infarct VSD closure. This level of competency has been

achieved through a sound understanding of the technology, particularly how it works and

how it fails, and partnership between surgeons, perfusionists and anaesthetists to advance

the boundaries of application. This experience has been published in a number of peer-

reviewed journal papers and has been promoted through a locally developed course

sponsored by Heart Research UK.

3.19. Audit

The department has a Clinical Governance and Audit Lead for cardiothoracic surgery (Mr

Qadri). The audit clerks for database manager is Mr Neil Richards.

Monthly morbidity and mortality audit meetings take place in ‘Audit Friday’, on the 2nd Friday

of each month. Three times a year a joint audit meeting with cardiology and cardiothoracic

anaesthesia occurs to present and discuss topics of joint interest. Regular Trust audits and

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departmental audits are undertaken. The post holder would be expected to take an active

role in the audit process.

3.20. PATS Database and Outcomes

Each consultant is responsible for ensuring their patient-specific data is entered into the

PATS database. Data is submitted to NICOR for analysis by Neil Richards.

The consultant team take collective responsibility for outcomes and therefore maintain an

oversight of performance through periodic audit. They also take collectively take action to

investigate and address concerns, irrespective of their source.

3.21. CME/Training

There is a very active training ethic within the department and is corroborated by the

feedback from the national trainees. There is a weekly departmental teaching programme.

We also have 3rd and 5th year medical students attending. The successful candidate is

expected to take part in these programmes. The department supports the requirement for

CME by the relevant Royal Colleges and national and international bodies and

acknowledges that it is an essential component of a consultant’s professional activities.

3.22. Research

Prof. Loubani is the departmental lead for education and research.

The department has a good record for research and publication and has had a number of

NIHR funded clinical research fellows together with HUTH CT-level research fellows funded

through the Research & Development Department. All the clinical research fellows have

obtained their MD and we are also proud to have Dr Robert Bennett, perfusion scientist, who

obtained his PhD through research conducted in the department.

Attached to the operating theatres are two research laboratories.

The department is actively involved in a number of multi-centre clinical trials; including

ARTS, COMICS, and Tight-K.

4. RELATIONSHIPS WITH OTHER SERVICES

4.1. Department of Cardiology

The department of Cardiology is located within the same building and this has facilitated an

excellent working relationship between cardiology and cardiothoracic surgery. The

department of cardiology also provides an onsite acute service at Hull Royal Infirmary.

Cardiology bed base comprises of ward 28, which also includes 10 CMU beds, and 14 beds

on ward 26. There is also a day ward for elective cases.

The Cardiology Department has four cardiac catheterisation laboratories, which are located

in close proximity to the cardiothoracic theatres. There is a busy coronary intervention

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programme including PPCI to the region. The full range of EPS and devices implants are

also offered. There is also an active structural heart programme, with state-of-the-art cardiac

CT and MRI facilities, together with nuclear imaging. In 2019 the cardiology team started

their TAVI programme, which currently runs on alternate Tuesdays.

There are 17 Consultant Cardiologists:

Benjamin Davison Interventional cardiology, TAVI

Ali Ali Interventional cardiology

Prof. Andrew Clark Medical cardiology, heart failure

Prof. Angela Hoye Interventional cardiology, complex PCI

Renjith Antony Heart failure, resynchronisation therapy, cardiomyopathy

Matthew Balerdi Cardiological imaging (echo, CT, nuclear), congential heart

Thanjavur Bragadeesh Cardiological imaging (CT, MRI, stress echo)

Jane Caldwell Cardiac electro-physiology, devices, ablation

Raj Chelliah Interventional cardiology, TAVI,

Neil Hobson Cardiac electro-physiology, devices, ablation

Joseph John Interventional cardiology, TAVI

Alexandros Kouloumpinis Interventional cardiology

Richard Oliver Interventional cardiology, complex PCI

Padmanabhan Shakkottai Cardiac electro-physiology, devices

Imran Sunderji Cardiological imaging (CT, MRI, stress echo)

Ann Tweddel Cardiological imaging, nuclear cardiology

Manish Ramlall Interventional cardiology, TAVI

4.2. Department of Anaesthetics/Critical Care

There are eight consultant cardiothoracic anaesthetists / intensivists. Post-operative care is

provided jointly by the cardiothoracic intensivists and the cardiac surgeons on the ICU. The

consultant anaesthetists takes the lead for ICU-based patient management.

Consultant Cardiothoracic Anaesthetists:

Dr A Ananthakrishnan Medical Director for Surgery Health Group

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Dr R Owen-Smith

Dr C Rigg

Dr A Saleh

Dr A Vijayan

Dr S May

Dr S Raut

Dr Anand

Dr Anthony

Associate Specialist

Dr J Wright

4.3. Hull York Medical School (HYMS) – Founded in 2003

4.3.1. Undergraduate Education

Hull York Medical School is a partnership between the Universities of Hull and York and the

NHS in North and East Yorkshire, and Northern Lincolnshire. The school performs well in

league tables in recognition of its excellent undergraduate medical curriculum and research,

judged to be of high international quality in the 2008 RAE.

The first doctors to complete the HYMS MB BS programme graduated in 2008. With a

distinctive and innovate approach to training doctors for the health services of the 21st

century, HYMS aims to influence positively the recruitment and retention of doctors in the

region and the quality of local health services.

HYMS offers a five-year programme using contemporary learning and assessment methods

in an integrated structure to some 140 students each year. The programme features a

modern learning environment and high quality clinical attachment opportunities. There is a

strong focus on learning in community settings, including primary care, and on working

collaboratively with other health professionals.

4.3.2. Postgraduate Education

Since 2009, HYMS has offered postgraduate taught and research programmes. Its

postgraduate research student population has grown rapidly, with around 90 MD, PhD and

MSc by Thesis students registered for HYMS degrees, in addition to the research students

based in HYMS Centres following University of York research programmes. HYMS currently

offers three postgraduate taught programmes – a postgraduate Certificate in Medical

Education, an MSc in Human Evolution, based in the Centre for Anatomical and Human

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Sciences, as well as a Master in 2 Public Health in conjunction with the Health Sciences

department of the University of York. Further programmes in medical education are currently

being developed.

Hull is a postgraduate teaching centre with an enthusiasm for, and a commitment to high

quality training in Emergency Medicine. In addition, the Emergency Department undertakes

training of HYMS undergraduate medical students.

5. WORK PROGRAMME

The timetable is flexible, and can be modified to reflect the needs of the department and

Trust as well as the expertise of the appointee.

5.1. Provisional Timetable

The provisional work programme is as follows (subject to change depending on

requirements of department):

Day Time Location Work Categorisation No. of

PAs

Monday 0800 -

1800

CHH Theatre DCC 2.5

Tuesday

0900-

1300

CHH Outpatient Clinic

DCC 1.0

1330-

1430

CHH Ward rounds DCC

0.25

Wednesday

0800 -

0900

CHH Consultant meeting SPA SPA

1230-

1330

CHH Interventional MDT DCC 0.25

Thursday

0815–

0915

CHH Departmental

teaching

SPA SPA

1000-

1100

CHH Ward round DCC 0.25

1230-

1330

CHH Structural MDT DCC 0.25

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Friday

1300 -

1700

CHH Once a month

Audit / Business

meeting (2nd

Friday)

SPA Embedded

SPA

Other CPD/CME, Research, Audit, Non-embedded MDM,

undergraduate and postgraduate teaching, Governance,

meetings

1.5

Predictable / Unpredictable emergency on call

1.0

Flexible 0800-

1800

CHH Theatre (flexible) DCC 2.5

Total 10.0

NB A standard full time Job Plan will contain 10 programmed activities. Any extra

programmed activities will be agreed at the job planning process with the Clinical Manager.

Any such agreement will be made in writing and the additional programmed activities will be

incorporated into the Job Plan schedule.

Duties other than those clinical duties specified will be in accordance with the Job Plan

agreed between the Appointee, the present Consultants and the Chief Executive. The Job

Plan allows time for Administration, Teaching and Medical Audit.

Participation in audit/appraisal and CME is mandatory under clinical governance/GMC

guidance.

All consultants may be required to work on any of the Trust’s sites and across a seven day

period.

Secretarial support and appropriate office accommodation and IT facilities will be provided.

5.2. Specific Duties of this Post:

This replacement post is essential to maintain current levels of service provision in cardiac

surgery. The post holder will also provide the necessary on-call requirements for cardiac

surgery. The objectives of this post are listed below

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To work with consultant colleagues in the provision of a comprehensive adult cardiac

surgery service in the Hull University Teaching Hospitals NHS Trust (not transplant or

adult congenital)

To deliver service to the population in line with local targets, NHS England national

service specifications and commissioning agreements, NICE directives and GiRFT

recommendations

To participate in and progress Clinical Audit & Governance to ensure patient safety,

clinical quality, operational effectiveness and service efficiency

To participate in the adult cardiothoracic surgical on call rota and the Major Trauma

Centre trauma team

To support service plans for the specialty, taking account of the changes in

population demographics, operational requirements, clinical practice and new

technologies available

To maintain and expand the excellence of teaching and research within the

department.

6. THE HOSPITALS

The Trust comprises of two main hospital sites, Hull Royal Infirmary (HRI) and Castle Hill

Hospital (CHH) and operates outpatient clinics from various peripheral sites.

6.1. Hull Royal Infirmary (709 beds)

This hospital is the major Acute hospital in East Yorkshire and serves a population in excess

of 600,000. It has the only Accident and Emergency department, which includes the regional

Major Trauma Centre (MTC), and the following specialities:-

Neurophysiology Vascular Surgery

Diabetes/Endocrinology Ophthalmology

Oral Surgery & Orthodontics Neurosurgery

General Medicine Orthopaedic Trauma Surgery

Acute General Surgery Paediatrics

Gastroenterology Respiratory Medicine

Medicine for the Elderly Rheumatology

Neurology Renal Medicine

Obstetrics and Gynaecology Emergency Medicine

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6.1.1. Acute Admissions Unit (AAU)

The Acute Admissions Unit is situated adjacent to the Emergency Department (ED). The

Unit has promoted greater integration of the General Medical teams with the Department of

Medicine for the Elderly, allowing medical and nursing staff to cope better with the growing

pressures on emergency admissions. Close working relationships are established between

the Admissions Unit and the ED.

6.1.2. Critical Care

There are 22 beds available for ICU and HDU patients in close proximity to the 9 main

operating theatre complex. There are also separate Neurosurgical and Respiratory High

Dependency Units.

6.1.3. Women’s and Children’s Hospital

This development opened in March, 2003 and provides maternity wards and clinics, an

antenatal day unit, a delivery suite, a neonatal unit with special and intensive care, theatres,

an early pregnancy assessment unit, 22 gynaecology beds, a gynaecology day care and

outpatients’ department, and a children’s outpatient department.

6.1.4. Eye Hospital

The Hull and East Yorkshire Eye Hospital was completed in October, 2002, and provides

three operating theatres, a pre-assessment suite, a twelve bed inpatient ward, administrative

space and a seminar room.

Phase two was completed in April 2011 and provides sufficient out-patient space for

Paediatric and adult outpatient clinics, along with supporting facilities such as Orthoptics and

optometry facilities, Lucentis treatment areas and paediatric outpatients.

6.2. Castle Hill Hospital (507 beds)

The hospital is the main site for elective surgery and is the base for the cancer service.

Clinical Services currently on site include:

Clinical Haematology Urology

Clinical and Medical Oncology Plastic Surgery

ENT & Head & Neck Surgery Pain Medicine

Infectious diseases Orthopaedics

Upper and Lower GI surgery Breast Surgery

Respiratory Medicine Rehabilitation

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Medicine for the Elderly Cardiothoracic surgery

Cardiology Gynaecology oncology

6.2.1. Critical Care

There are 22 beds available for ICU and HDU patients based in two units.

6.2.2. Queens Medical Centre

This unit opened in 2008 and is the regional centre for oncology and haematology as well as

palliative care.

6.2.3. East Riding Community Hospital

Outpatients and minor injuries only. This is a community hospital which currently houses a

GP unit, minor injuries and outpatient departments. The X-Ray Department has one general

purpose room. Plans are at a developed stage for a new hospital which is to be built on this

site

6.3. Quality of Care

The Trust is registered with the Care Quality Commission (CQC) without any conditions

attached.

The most recent CQC compliance inspection was in March 2020, with an outcome of

‘Requires Improvement’ for the Trust overall. The Trust has put plans in place to address

this. For Castle Hill Hospital, the CQC 2020 inspection report gives the hospital an overall

rating of ‘Good.’

Further detailed information regarding the quality of care and performance of the Trust can

be found in the Quality Accounts published every year and available on the Trust website.

6.4. East Riding Medical Education Centre

Medical Education at Hull and East Yorkshire Hospitals NHS Trust comprises of the Medical

Education Centre (MEC), Hull Institute of Learning and Simulation (HILS) and the Clinical

Skills Facility (CSF). The department is accessed by all health care professionals and offers

a broad range of clinical training and support. These facilities are easily accessible for both

internal staff and external visitors due to its ideal location on the Hull Royal Infirmary site.

The Medical Education Centre provides a modern, flexible arena in which professionals can

train in a supportive environment. The Centre contains a 190 seat auditorium and three large

seminar rooms which are fully equipped with up to date audio visual presentation equipment

and dual projection facilities. There is an extensive Resource Centre with a sister facility at

Castle Hill Hospital. The Resource Centres have holdings of over 10,000 texts and receive

72 journals on weekly or monthly receipt, together with some Video and DVD items. Access

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is available to the numerous online resources available from the Resource Centres’ PCs.

The Resource Centres have 24/7 access via a swipe card system.

The Clinical Skills Facility is also able to offer practical skills rooms including ward areas,

operating theatre and simulation suites. Each room has been built with a high level of

flexibility and all can be customised to the user’s needs. The Clinical Skills Facility has fast

become an established and highly reputable centre of excellence in Clinical Skills training for

all healthcare professionals locally, regionally and nationally. The associated department at

Castle Hill Hospital includes a 70 seat lecture theatre with modern audio-visual equipment.

Miss Helen Cattermole is the Director of Medical Education for the Trust and is responsible

for the education of medical staff and the running of the Medical Education Centre and the

Clinical Skills Facility. Dr Dave Wright is the Director of Simulation.

There is a commitment within the Trust for Locum Consultant staff to participate in

continuing professional development.

7. APPRAISAL/CONTINUOUS PROFESSIONAL DEVELOPMENT

The Trust is committed to supporting the requirements for continuing education and

professional development is laid down by the Royal Colleges. A personal development

review will be undertaken by the Clinical Area Lead annually and objectives agreed.

Appraisal is carried out according to GMC guidance in preparation for revalidation.

8. OTHER MEDICAL INFORMATION

Local professional bodies include the Joint Hospitals Medical Staff Committee whose

membership comprises of all consultant staff and top-grade scientists; the Hull Medical

Society and a branch of the British Medical Association.

9. RESEARCH AND DEVELOPMENT

There is a Research and Development Facilitator who promotes and facilitates NHS

research in the area. The Service has an admirable record of research publications and

international presentations, and academic staff have attained MD degrees.

10. RELATIONSHIPS BETWEEN CONSULTANTS, CHIEF EXECUTIVE AND TRUSTS

The management of hospitals and other health care facilities is the responsibility of Trust

Board discharged through the Chief Executive. The Trust Board has authority to decide

policy commensurate with their responsibility.

Consultants have a primary role to provide clinical services to patients referred to them. The

Consultants have a responsibility to the Chief Executive in the execution of their role and a

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commensurate delegated authority in respect of the reasonable and effective use of such

resources and staff as they use and influence.

The successful candidate will be expected to operate within the agreed speciality budget and

workload target. There is in addition a collective responsibility falling on all consultants to

consult with their colleagues and, hence, to co-ordinate their individual commitments in order

to ensure that the particular clinical services with which they are involved operate effectively

and efficiently.

Each consultant has a specific responsibility to the appropriate Service Management for the

use of the resources.

The Department of cardiothoracic surgery is managed within the Surgery

Health Group (SHG). Mr Chris Shaw and Dr Ananth Ananthakrishnan are the Joint Medical

Directors in the surgical triumvirate.

11. THE REGION

Hull is one of the UK's main ports with the advantage of closeness to the rest of the Europe

and the Baltic countries. Timber importing and timber products are major local industries.

The Port of Hull also services some of the world’s largest wind turbine farms, located

offshore, and in 2016 Siemens Gamesa opened its UK wind turbine factory in the East Hull

docks.

Hull Paragon Station provides frequent and direct train services to London King’s Cross and

the South, and to Manchester Picadilly and the West. The M62 and M18 motorways

provides fast communications within Yorkshire and links up directly with the A1, M1 and M6

motor routes.

Humberside Airport provides low-cost and reliable service to several European cities.

There is easy access to nearby countryside and coastal. The Yorkshire dales and North

Yorkshire Moors lie to the north and provide extensive walking, climbing and mountain biking

opportunities. A network of footpaths and cycle tracks provide more local recreational outlets

from Hull and surrounding towns and villages.

The East Coast has numerous and extensive sandy beaches, together with world-renowned

Jurassic fossil beds. Bridlington, Scarborough and Whitby have fantastic beaches and are

popular holiday destinations. There is also surfing, windsurfing and kite surfing at Cayton

Bay and Scarborough . There are nature reserves all along the coast and Humber shore, at

Flamborough cliffs, Filey Bay, Hornsea Mere and Spurn Point, which are great for bird

watching. The coast and estuary are also home to a large numbers of seals which breed at

Donna Nook in Lincolnshire.

The City of York, with its Minster and many other attractions, including the Jorvik Centre, can

easily be visited in a day. Hornsea has a famous local pottery and an award winning

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Museum of Village Life. Both the City of Hull and the nearby market town of Beverley are

ancient Boroughs of considerable interest. Hull was very much rebuilt after heavy bombing in

World War II and is, therefore, a modern as well as an historic City. There is an attractive

Yacht Marina and an international ice rink and there is a good choice of theatre and concert

programmes, at both the New Theatre and Hull Truck Theatre within the city centre.

Beverley has a beautiful medieval Minster, fine Georgian and other period houses and

cobbled market square. The restored Dominican Friary, dating from the 14th Century, and

nearby racecourse are notable attractions.

The Humber Bridge links the North and South Banks of the Humber, which have a combined

population of some 900,000 people.

There are good education facilities, both private and state, for school age children and, in

addition to the University of Hull, there is a second university, the University of Lincoln,

based in the area.

Several projects have been completed in the City, to ensure that Hull is recognised as one of

the UK's Top 10 cities. These include the Deep, (a Marine Science and Visitor Centre), a

£43 million Stadium and the redevelopment of the Ferensway shopping area where the St

Stephen’s Shopping Mall is located. Since Hull City of Culture 2017 the Fruit Market area of

Hull has seen extensive rejuvenation, with many new fashionable apartments created in the

old warehouses adjacent to the marina, together with bars, restaurants and independent

shops.

Housing locally is generally more affordable than in most other parts of the country. There

are many picturesque villages to the north and west of Cottingham with good housing and

within the required travelling time. Beverley is very popular because of its market town

character, good shopping and easy access to rail and road networks to the rest of the

country.

12. RESIDENCE

The post holder must live within 30 minutes travelling time of base hospital.

13. CONDITIONS OF SERVICE

Any Consultant who is unable, for personal reasons, to work full time will still be eligible to be

considered for the post. If such a person is appointed, modification of the job description will

be discussed on a personal basis following consultation with colleagues and the Chief

Executive.

Appointment under the Department of Health Flexible Careers Scheme will be in accordance

with the provisions of that scheme and the associated guidelines for Trusts (08/05/02).

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14. TRUST SAFETY POLICIES AND PROCEDURES

You are responsible for your own health and safety and must co-operate with management

to achieve safer work processes and work places, particularly where it can impact on others.

You are to ensure suitable and sufficient equipment is provided and the adherence to Trust

safety policies, to sustain the health and safety of staff, patients and visitors, to areas within

your remit.

You are required to review all risk assessments periodically and particularly when staffing

and/or equipment changes, monitoring the effectiveness of any control measures

implemented.

You are to ensure suitable and sufficient equipment is provided to sustain the health and

safety of staff, patients and visitors to areas within your remit.

In addition to the Trust’s overall responsibilities under the Health Act Code of Practice for the

Prevention of HCAI 2006 for your safety, you have a personal responsibility to ensure that

your work adheres to this Code in the delivery of safe patient care within the organisation.

15. EQUAL OPPORTUNITIES

The Trust is an equal opportunities employer with family friendly working practices available.

16. VISITING ARRANGEMENTS AND EXPENSES

Arrangements to visit and meet the Chief Executive to be made through the Human

Resources Business Partner, Surgery Health Group (01482) 816773.

Shortlisted candidates who visit Hull for this purpose, or at the specific request of the

Management, will be granted travel and appropriate subsistence expenses on that occasion.

In the case of candidates travelling from abroad, travelling expenses are normally paid only

from the point of entry into the United Kingdom.

17. PRESENTATION

Shortlisted candidates for Consultant appointments may be required to deliver a 10-minute

presentation on a given topic as part of the selection process.

18. CHIEF EXECUTIVE

The Chief Executive is Mr Christopher Long.

19. CONSULTANT CONTACT

For further details please contact:

Mr Martin Jarvis, Clinical Lead for Cardiac Surgery on 01482 622362

Dr Ananthakrishnan Ananthasayanam, Medical Director on 01482 816654

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20. CONSULTANT IN CARDIAC SURGERY: PERSON SPECIFICATION

REQUIREMENTS ESSENTIAL DESIRABLE

Professional

Registration

Full Registration with GMC

On the Specialist Register

for Cardiac Surgery or

within 6 months of eligibility

for CCT by completion of

type 1 training programme

Previous experience at

Consultant level

Qualifications

FRCS / MRCS (UK) or

equivalent

Possession of Speciality

Board examination in

Cardiothoracic Surgery or

equivalent

Evidence of ppropriate career

progression

Training within accredited

Cardiac training posts.

Relevant higher degree

(MD. PhD, MSc etc.)

Clinical

Skills/Experience

Proficiency in adult cardiac

surgery and able to work,

offer expert opinion and make

decisions at consultant level

Able to receive and treat

emergency cardiothoracic

surgical cases

Previous work in the NHS.

Experience in delivery of a

high quality clinical

services.

Sub-Specialty Skills

Evidence of training in and

experience of cardiac aorto-

vascular surgery, including:

Aortic dissection surgery

Redo-aortic surgery

Frozen Elephant’s trunk

technique using Thoraflex, E-

Vita Open and E-Vita Open

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Neo prostheses

Management

Ability to organise and

manage out-patient priorities,

surgical waiting lists,

operating lists

Able to develop, present and

deliver service change and

improvement

Able to delegate appropriately

and work within a team

Understanding of current

issues in the NHS.

Understanding of the national

issues around cardiac surgery

A view of the future of Cardiac

Surgery

Excellent leadership skills

Evidence of previous

managerial responsibility

and training.

Organisational and political

awareness.

Evidence of involvement in

effective NHS service

development.

Audit

Experience of conducting and

participating in clinical audit.

Evidence of audit of own

practice to demonstrate it is

safe and effective with

evidence of patient

satisfaction

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Teaching

Experience of undergraduate

and postgraduate teaching.

Able to teach and support

junior medical and allied staff

effectively

Able to supervise post

graduate teaching.

Academic/Research

Evidence of research and

publications in peer-reviewed

journals.

Ability to apply research

outcomes to clinical and

surgical problems.

Success in obtaining

funding for research

Personal Skills

Able to communicate

effectively and appropriately

with patients, their families

and other health

professionals.

Use a non-judgemental

approach to patients and

colleagues.

Able to work flexibly in a

changing health service

Able to take responsibility and

to cope with stressful

situations.

Willingness to undertake

additional professional

responsibilities at local,

regional and national levels

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Health and Safety

In addition to the Trust’s overall responsibility for your health and safety you have a personal responsibility for your own health and safety. As such you are required to inform your line manager of any safety issues that you identify, that could affect you or others in the workplace. You must co-operate with management and colleagues at all times in achieving safer work processes and work places, particularly where it can impact on others. As a Trust employee you will be trained in the correct use of any equipment provided to improve safety and health within the Trust. You are required to use the equipment when necessary and as instructed which will include checking the equipment is safe to use, prior to its use and must report any defects immediately to your line manager. You are responsible for the implementation and adherence to Trust safety policies and procedures for areas within your remit. You are required to ensure suitable and sufficient risk assessments are completed for all areas within your remit. The controls identified must be evaluated and implemented where necessary. You are required to review all risk assessments periodically and particularly when staffing and/or equipment changes, monitoring the effectiveness of any control measure implemented. You are to ensure suitable and sufficient equipment is provided to sustain the health and safety of staff, patients and visitors to areas within your remit. Infection Control

In addition to the Trust’s overall responsibilities under The Health and Social Care Act 2008 Code of Practice for healthcare, including primary and adult social care on the prevention and control of infections (revised December 2010) for your safety, you have a personal responsibility to ensure your work adheres to this Code in the delivery of safe patient care within the organisation. This code relates to ALL Trust staff and contractors working within the organisation who are employed to ensure this level of care is provided. As an employee you will be trained to ensure adherence and compliance to the various Infection Control policies within the Trust. Sustainability

To actively support the Trust’s goals for sustainability by encouraging and adopting sustainable ideas and practices. Safeguarding The Trust has a duty and is committed to safeguarding all service users and provide additional measures for adults and children who are less able to protect themselves from harm or abuse. As an employee* you have an individual responsibility to contribute to the detection, reporting and prevention of abuse to safeguard those in our care (Section 11 Children Act, 2004, Human rights Act 1998, Equality Act 2010 Mental Capacity Act 2005

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Care Act 2014) and are accountable to ensure that you know how to respond when you are concerned for the safety of a child, young person or adult at risk. The Trust will assist you in this process by providing training, guidance and advice. There are corporate safeguarding teams who can be contacted for advice, support and safeguarding supervision. All concerns must be reported as per Trust Safeguarding Policies which are available on the Trust Intranet. Every member of staff must undertake regular mandatory safeguarding training at a level relevant to the role This job description is not meant to be exhaustive. It describes the main duties and responsibilities of the current post. It may be subject to change in the light of developing organisational and service needs, and wherever possible change will follow consultation with the post holder.

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Organisational Chart Job Title: Consultant cardiac surgeon

Department: cardiothoracic Surgery

Dr Anantha Ananthasayanam

Medical Director

Mr Martin Jarvis Cardiothoracic Clinical Lead

Consultant Cardiac Surgeon