SENIOR CLINICAL TRIALS OPERATIONS MANAGER

Transcription

1 ATS617 SENIOR CLINICAL TRIALS OPERATIONS MANAGER Further Particulars Norwich Clinical Trials Unit Norwich Medical School University of East Anglia

2 The Post The post-holder will lead the clinical trial operations group at the Norwich Clinical Trials Unit (CTU) with responsibility for development of the CTU Quality Management System, provision of clinical trial operations expertise to prefunding trial development and delivery of funded trials. The aim is to provide senior clinical trials operations leadership and oversight of procedures to ensure that the professional development of trial operations staff, the development of trial grant applications and the delivery of funded trials is of the standards expected of a registered CTU. The post-holder will have responsibility for the recruitment, development and management of trial staff in the Norwich CTU and take an active role in the overall development of CTU including attracting new business and funds. The post holder will also undertake some teaching and related duties relevant to clinical trials within the Norwich Medical School curriculum and training of other CTU staff as relevant. Job Description A job description follows this page. The precise duties will be agreed in discussion with the CTU Director, who will act as line manager for this post. Person Specification The person specification for this post can be found immediately following the job description. For an informal discussion please contact Professor Ann Marie Swart, Professor of Medicine and Director, Norwich CTU: tel or a.swart@uea.ac.uk

3 Job Description ATS617 Senior Clinical Trials Operations Manager The post-holder will lead the clinical trial operations group at the Norwich Clinical Trials Unit (CTU) with responsibility for development of the CTU Quality Management System, provision of clinical trial operations expertise to prefunding trial development and delivery of funded trials. The aim is to provide senior clinical trials operations leadership and oversight of procedures to ensure that the professional development of trial operations staff, the development of trial grant applications and the delivery of funded trials is of the standards expected of a registered CTU. The post-holder will have responsibility for the recruitment, development, training and management of trial staff in the Norwich CTU and take an active role in the overall development of CTU including attracting new business and funds. The post holder, who will be appointed at Lecturer B level, will also undertake some relevant teaching (on clinical trials) on our MB BS or other taught programmes. Key responsibilities: Work closely with the CTU Director to deliver the CTU strategy Lead the Clinical Trials Operations Group Recruit, develop and manage trials staff in the Norwich CTU including the co-ordination of work allocated to staff to ensure coverage of trials at all times. Provide trials management advice and support to applicants when designing protocols for the conduct of research through the Norwich CTU. This will include consideration of resources, logistics and budget implications of planned trials. Provide advice to investigators regarding regulatory, UEA and local Trust requirements in the conduct of research and the best practice in the set-up of trials, recruitment of participants, monitoring recruitment and follow-up, trial closure. Oversee the Norwich CTU Quality Management System, taking particular responsibility for parts of the system critical for clinical trial operations. Promote the Norwich Clinical Trials Unit to potential collaborators participating in relevant local/regional research networks and forging good working relationships with the University s Research and Enterprise Services and a wide range of NHS colleagues including local/regional NHS research and development managers. Assist with applications for regulatory approval. Work with UEA Research and Enterprise and NNUH R&D staff to ensure accurate and up-to-date records of the Norwich CTU activities are maintained. Participate in activities of the Norwich Clinical Trials Unit including attending at monthly management meetings. Publish in peer reviewed journals, where appropriate, as a result of contributions to research collaborations with local health and/or social care professionals. Assist with any other duties as may be assigned from time to time by the Norwich CTU Director or his/her nominee. Contribute to lectures, Problem Based Learning teaching, Student Selected Studies or other elements of the taught programmes offered within the school as appropriate to the role holder s knowledge and expertise. Contribute to the School s Enterprise and Engagement activities.

4 Person Specification ATS617 Senior Clinical Trials Operations Manager Education, Experience & Achievements Personal Attributes Essential Criteria Degree in an area of relevance to healthcare research Demonstrable experience of managing or co-ordinating at least one multi-centre Clinical Trial of an investigational medicinal product (IMP) Demonstrable experience of managing a team of research staff Experience of teaching or training Desirable Criteria A Master s degree in an area of relevance to healthcare research Experience in preparing grant applications Experience of preparing Standard Operating Procedures for use across a number of trials Qualifications or experience in Quality Management/clinical trial audit Qualifications or experience in project management Publication of clinical trials in peer-reviewed journals Essential Criteria Able to work independently and as part of a team to achieve CTU goals Well organised, methodical approach Self-motivated with attention to detail Willingness to undertake appropriate training and apply knowledge learnt Excellent interpersonal skills Excellent communication skills Ability to work in a multidisciplinary team Experience working in cross-disciplinary environment Skills & Knowledge Essential Criteria Demonstrable communication skills in English language Ability to comprehend basic science behind research projects in different therapeutic areas Knowledge of clinical trials design. Knowledge of Quality Management Systems Good knowledge of the regulatory environment applied to clinical trials Demonstrable experience of working to standards of Good Clinical Practice Ability to communicate with personnel at all levels Excellent report writing Excellent presentation skills Good time management and organisational skills. Good IT skills in Microsoft Office applications including internet, and powerpoint General knowledge of clinical research and current issues within the UK Desirable Criteria Knowledge of data management systems Knowledge of project management systems Demonstrable ability to teach/train trial staff

5 General Information Relating to Terms and Conditions of Appointment at UEA Terms and Conditions of Appointment This post is for a fixed-term of 3 years at Lecturer level. The candidate to whom an appointment is offered will receive a full statement of the terms and conditions of appointment for Academic, Teaching and Scholarship Staff, but it may be appropriate at this stage to draw your attention to the following: Enterprise & Engagement Common to both ATR and ATS staff at UEA is an expectation of appropriate contributions to teaching and related activities and to enterprise and engagement. Enterprise and engagement involves academic staff in the use of, or development of, intellectual capital which benefits both the University and non-academic sectors, through community engagement and interactions with other public sector bodies, business and the third sector. Residence The University is strongly committed to providing an excellent student experience and research environment, and it is expected that all staff will be available on campus to carry out their duties during the working week in support of these goals. Absences for significant periods are by agreement with the Head of School or Head of Division. Duties A member of faculty is required: 1. (a) to promote the study of his/her subject by teaching and research; (b) to assume such duties and responsibilities appropriate to the appointment as may be assigned to him/her by the governing bodies of the University or by the Executive Dean or Director, as appropriate, acting on their behalf; (c) to examine without further payment in the examination for degrees and diplomas of the University when required to do so. The University is strongly committed to providing an excellent student experience and research environment, and it is expected that all staff will be available on campus to carry out their duties during the working week in support of these goals. Absences for significant periods are by agreement with the Head of School or Head of Division. Joint Venture As a member of the Norwich Medical School, the appointee will be accountable to the University as employer via the Head of School (MED) and the Joint Venture Management Board (of which both the Head of School (MED) and the Executive Dean of the Faculty of Health are members, along with the Chief Executives of all NHS partners). Annual Leave Entitlement There is an annual holiday entitlement of six weeks, plus statutory (8 days) and customary (6 days) holidays. Superannuation The post is superannuable under the Universities Superannuation Scheme or, for staff already in membership, the NHS pension scheme whilst a member of the Norwich Medical School. Relocation expenses Relocation expenses are reimbursable under certain conditions. This appointment will be subject to: Proof of Qualifications The person specification for this post lists qualifications that are essential and/or desirable and you may hold some or all of these qualifications. Please note that if you are offered the post you will be asked to provide original certificates of these educational and professional qualifications. Please DO NOT provide these with your application. Occupational Health Assessment Appointment will be subject to a satisfactory Occupational Health Assessment to be carried out by the University s Occupational Health Service. Salary Salary will be 38,907 to 45,053 per annum on Academic Grade 8/Lecturer B on the single salary spine (ATS). The normal expectation is that starting salary will be at the minimum of the advertised salary scale. he appointment will be in accordance with the terms and conditions for Academic Teaching and Scholarship (ATS) staff.

6 Entitlement to Work in the United Kingdom If you are shortlisted for interview you will be asked to bring to interview original documentary evidence of permission to work in the UK. Candidates invited to interview will be provided with a list of appropriate documents that can be provided as evidence. Please DO NOT provide this with your application. Due to the nature of this role and the level of qualifications required, please note that immigration legislation allows the University to apply for a sponsorship certificate for this post. Where appropriate, the University will apply for a sponsorship certificate from the Home Office UK Immigration and Visa Service on behalf of the candidate offered employment. The individual will be required to supply original documents and certificates to support this application. Workers from outside of the EU who do not have current residency status within the UK and will require entry clearance or leave to remain approval from the Borders Agency should familiarise themselves with Tier 2 (General) of the Points Based System operated by the Home Office. Details are available at This document is available in alternative formats e.g. large print, disc and on-line. If you need this document in an alternative format please contact us on , fax , or hr@uea.ac.uk

7 Application and Recruitment Process Application Process You should submit a covering letter and three paper copies of your curriculum vitae, or one copy if submitting the application by , along with a completed application form and equal opportunities monitoring form. Your completed application form should quote the appropriate reference code as indicated on the front page of this brochure and be returned by 12 noon on 15 January You can find an application form at or by telephoning the Human Resources Division on You should return the application to us either electronically as an attachment to hr@uea.ac.uk, or by posting it to the Human Resources Division, University of East Anglia, Norwich, NR4 7TJ. Postal applications will not be acknowledged unless a stamped addressed envelope or postcard is supplied. Interviews Short-listed candidates will be asked to give a presentation to members of the School before formal interview. Candidates invited to interview will be advised of the presentation topic and timing. Candidates invited to interview may be asked to provide electronic copies of two of their recent research publications which they consider to be amongst their best. Please DO NOT submit these with your application. It is anticipated that presentations and interviews will take place in the School in February Interview Expenses Reasonable travel and incidental expenses incurred in attending the interview will be reimbursed. (Please ensure that you keep all receipts). Please note that if you are offered a post and decline the offer, travel and incidental expenses will not be reimbursed. Detailed information on the allowances will be provided on the expenses claim form which will be sent to you if you are invited to interview. Please note that applications received after the closing date will not normally be accepted. Equal Opportunities Form Please note that an Equal Opportunities Monitoring Form must be completed and returned with ALL applications, whether submitted by post or by . If submitted by , the Equal Opportunities Monitoring Form must be sent as a separate document/attachment to the Application Form. The Equal Opportunities Monitoring Form will be detached from the received application before short-listing takes place and will not form any part of either the short-listing or decision making process. Proof of Qualifications The person specification for this post lists qualifications that are essential and/or desirable and you may hold some or all of these qualifications. Please note that if you are offered a contract you may be asked to provide original certificates of these educational and professional qualifications. Please DO NOT provide these with your application. Referees In naming referees in your application, you are requested to give only those who can immediately be approached and one of these must be your current employer, or if not employed your most recent employer.

8 USEFUL INFORMATION AND LINKS The Norwich Research Park (NRP) The University of East Anglia and the Norfolk and Norwich University Hospitals NHS Foundation Trust, collaborate with four independent research centres; the John Innes Centre, the Institute of Food Research, the Sainsbury Laboratory and The Genome Analysis Centre, to form the Norwich Research Park, which is home to over 30 science and IT based companies making the NRP a vibrant place to do business as well as research. More Information on the Norwich Research Park can be found at The University of East Anglia - An International University Information can be found at Appendix A. Norwich Medical School & The Clinical Trials Unit IInformation can be found at Appendix B Faculty of Medicine and Health Sciences at the University of East Anglia (UEA) Faculty information can be found at Appendix C, and at Academic appointments at UEA Information relating to academic appointments at UEA can be found at Appendix C. The Norfolk and Norwich University Hospitals NHS Foundation Trust (NNUH) Information relating to the Trust can be found at Appendix D and at

9 An International University Founded in 1963, the University of East Anglia (UEA) is an internationally renowned University based on a campus that provides top quality academic social and cultural facilities to over 13,500 students. Located in rolling parkland, and just two miles from the centre of the beautiful cathedral city of Norwich, the University is part of the Norwich Research Park which is home to over 1,000 scientists working in several world ranked institutions. The city s motto is A fine city and its strong cultural heritage has seen Norwich maintain the best of its historical character whilst developing to become one of the most vibrant and attractive cities in Europe. The city is surrounded by beautiful countryside and within easy reach of the stunning Norfolk coast. A wide variety of visitors come to the region every year to enjoy boating on the Broads, the protected nature and wildlife habitats, as well as seaside towns and beaches. The city s medieval centre of cobbled streets remains largely intact, but there is still space for modern buildings such as the city s newest centrepiece, the Forum, which is a striking piece of contemporary architecture. The glass front overlooks the colourful open-air market (one of the largest in the country) and reflects the city in all its diversity. The city is consistently rated as one of the top ten shopping venues in the UK. If there is another city in the United Kingdom with a school of painters named after it, a matchless modern art gallery, a university with a reputation for literary excellence which can boast Booker Prize-winning alumni, one of the grandest Romanesque cathedrals in the world, an extraordinary new stateof-the-art public library then I have yet to hear of it. Norwich is a fine city. None finer. Stephen Fry The University has four Faculties: Arts & Humanities Science Social Sciences Medicine & Health Sciences These incorporate 23 Schools of Study and drive the UEA s reputation for top-quality research and teaching

10 The UEA is ranked number 1 for Student Experience (Times Higher Education Student Experience Survey 2013) 17th in the UK (Guardian University Guide 2014), World top 1% (Times World Rankings 2013) Voted Overall Winner in the last What Uni Student Choice Awards The University campus strikes a balance between a countryside and city setting; more than 320 acres of green parkland surround the campus with award-winning architecture by Sir Denys Lasdun, Lord (Norman) Foster and Rick Mather. Extensive on-campus facilities are all just a few minutes walk away from teaching and research facilities. Sporting facilities on campus include the University Sportspark which houses an Olympic-sized swimming pool and regularly hosts international sporting events. UEA also has the world famous Sainsbury Centre for Visual Arts and hosts an International Literary Festival which has included famous names such as Ian McEwan and Kazuo Ishiguro (both alumni of UEA s Creative Writing course). The 2008 Research Assessment Exercise (RAE) saw significant advances in its international research reputation as well as the scale and impact of its work. History of Art, Film and Television Studies, American Studies and International Development secured places in the top three in the country, with Environmental Sciences and Pharmacy in the top ten. Over 50 per cent of the University s research activity was deemed to be world leading or internationally excellent with 87% being of international standing. Students and Courses The University offers a choice of more than 300 courses through four Faculties. The University employs around 3,500 staff two thirds of which are full time and one third part time. More than 1,200 members of staff are academic including around 300 researchers. Administration, support, technical and general staff total over 1,300 employees. The University has over 13,500 students, including some 3,200 postgraduates and over 1,600 from outside the European Union from more than 100 countries worldwide. Former UEA Students include: Booker Prize winning authors Ian McEwan and Kazuo Ishiguro; Comedy writers and performers Charlie Higson, Arthur Smith and Paul Whitehouse Explorer Benedict Allen Meteorologist Penny Tranter Radio 1 DJ Greg James Actors Jack Davenport, James Frain, Matt Smith and Tim Bentinck. Further information available at:

11 The Norwich Medical School Appendix B The School Head of School: Professor David Crossman The Medical School at UEA was established in 2001 and has over 160 members of academic, research and support staff - and a large number of active NHS secondees and honorary appointees - from a wide range of disciplines (including medical specialties, biological sciences and a range of social and statistical disciplines, including health economics, psychology, epidemiology, and medical statistics). The School has grown with a current entry each year of 168 students. Its first students graduated in 2007 and in 2013 the Medical degree programme came equal fifth out of the 32 UK medical schools in the national Student Satisfaction Survey. The School promotes interdisciplinary teaching and learning and offers a wide range of programmes including: an innovative and highly integrated five-year MB/BS programme commenced in 2002 with an initial intake of 110 students per year, now 168 students per year a one year research intensive Masters degree in Health Research (MRes) supplying research experience and transferrable skills the modular MSc programme in Health Sciences for the continuing professional development of a wide range of health care professionals (currently attracting over 100 registered students including GPs and junior hospital doctors) a Masters in Clinical Education (MClinEd) degree Clinical Trials Unit Established in 2007, the Norwich Clinical Trials Unit (CTU) has full registration with the UKCRC. Located on the UEA campus, the Norwich CTU supports clinical trials covering the breadth of healthcare research in Norwich across medicine, mental health, nursing and rehabilitation science as well as pharmacy and elements of biological sciences and social sciences. We are particularly proud of our interdisciplinary health care and health services research and clinical trials conducted to date. This senior position is part of the strategic development of the CTU to increase capacity and expertise in multi- centre trials. Key themes for the CTU include research in areas which affect large numbers of individuals, locally, regionally and internationally including diabetes, cardiovascular disease and cancer, healthy aging/dementia, nutrition and rehabilitation with the opportunity to work with world class researchers in these themes. Clinical trials opportunities are arising from research and other investigations across the world-renowned Norwich Research Park and the University of East Anglia is committed to ensuring the future of high quality clinical trials in the Norwich area. Distinctions of the Norwich CTU are close links to a clinical research facility (CRF), the inclusion of health economics expertise within UEA as an integral part of the Unit alongside an experienced team of medical statisticians. This enables the Unit to undertake phase 3 and phase 4 trials as well as supporting earlier phase work. Core staff in the Norwich CTU includes the Director, information systems and database managers/ programmers and statisticians, health economists, and a growing group of clinical trial managers and co-ordinators, data managers/ administrators, monitors and administrative staff. a doctoral programme (ClinPsyD) in clinical psychology (with over 60 postgraduate students on the programme) the degrees of PhD, MPhil and MD, awarded by thesis or by portfolio of published work. There are a growing number of clinical academics in the areas of stroke and ageing; respiratory medicine; gastroenterology; clinical pharmacology; cardiology; surgery; primary care; public health and epidemiology; rheumatology; diabetes and orthopaedics. The Medical School has recently received an allocation of Walport academic training posts amounting to four new Academic Clinical Fellowships and two new clinical lectureships for each of the next three years. There is particular strength within the Medical School in epidemiology, statistics and health economics and exciting possibilities for appointees to develop clinical trials within the Clinical Trials Unit as well as experimental medicine within the seven bed Clinical Research Facility (CRF). The School is committed to appropriate multi-disciplinary working and the post holder will find excellent on-going collaborations across a wide range of disciplines. Further information on Norwich Medical School and the other Schools within the Faculty is available at:

12 Appendix C The Faculty of Medicine and Health Sciences The Faculty of Medicine and Health Sciences (FMH) The Faculty of Medicine and Health Sciences is led by the Executive Dean of Faculty, Professor Ian Harvey, working closely with the Heads of School, and the Associate Deans who share responsibility for the areas of Research; Enterprise and Engagement; Learning and Teaching; Admissions; and PGR. These senior academics, together with the Senior Faculty Manager, the Faculty Human Resources Manager, and the Faculty Finance Manager, form the Faculty Executive. Teaching is organised through the Faculty s three Schools of study, comprising; Norwich Medical School (MED), Nursing Sciences (NSC) and Rehabilitation Sciences (RSC), assisted by a Centre for Inter-professional Practice (CIPP). The Faculty also has strong research links with the Norwich Research Park, comprising the Institute of Food Research (IFR), the John Innes Centre (JIC), and the Norfolk and Norwich University Hospital NHS Foundation Trust, see Academic Appointments The University appoints academic staff to both Academic Teaching and Research (ATR) posts which have a strong research focus, and Academic Teaching and Scholarship (ATS) posts which have a strong teaching focus. The successful candidate will be appointed into the ATS category. Common to both ATR and ATS staff at UEA is an expectation of appropriate contributions to teaching and related activities; and to enterprise and engagement, which for ATR staff should build on their research activities. Enterprise and engagement involves academic staff in the use of, or development of, intellectual capital which benefits both the University and non-academic sectors, through community engagement and interactions with other public sector bodies, business and the third sector. Academic staff within the Faculty benefit from a strongly supportive environment for these highly valued activities, with: dedicated Associate Deans for Learning and Teaching; Research, Enterprise and Engagement; Admissions; and PGR a dedicated Business Development Manager an appropriate reduction in administrative responsibilities for Lecturers on probation support for appropriate conference and course attendance, and a supportive administrative infrastructure. The balance of academic duties undertaken is appropriately taken into account in the agreed workload distribution for each member of academic staff. Members of staff are expected to engage in, and will be supported towards, further appropriate personal development and skills acquisition.

13 The Norfolk and Norwich University Hospitals NHS Foundation Trust The Trust was first established on 1 April 1994 and was authorised as an NHS Foundation Trust on 1 May It comprises the Norfolk and Norwich University Hospital and Cromer Hospital. Traditionally it has provided acute services to an area of approximately 1,200 square miles from Wells-next-the- Sea on the north coast of the county to Thetford in the south and from Fakenham in the west to Acle in the east. This is an acute teaching Trust providing comprehensive general and specialist services for a population of up to 822,500 on two sites; the 1010 bed Norfolk and Norwich University Hospital (NNUH) and Cromer Hospital on the north Norfolk coast. The Trust s annual income in 20010/11 was 427M. In the year 20010/11 the Trust treated 150,894 in-patients and day patients, 480,355 out-patients and 98,219 emergency patients. Management arrangements within the Trust are based on the clinical directorate model. There are currently 20 clinical directorates and three support directorates split within three Divisions. Some of the old cogwheel type divisions have been retained such as the Consultant Staff Committee, and Ethics Committee and other administrative sub-committees. The appointee will be a member of the Cardiology Directorate and will be encouraged to take an active role in developing research in the Cardiology Directorate in due course. Norfolk and Norwich 21st Century Healthcare The Norfolk and Norwich University Hospital became operational in late 2001 and the new teaching hospital and state-of-theart health care facilities it offers have attracted a great deal of attention, locally nationally and internationally. Delegations from around the globe have come to Norwich to study how to design and run a modern, flexible, state-of the-art hospital. Our visitors have come from health services as far afield as Japan, China, Malaysia, Canada, Netherlands, Norway, Sweden and Estonia. That growing international recognition of what is being in acute healthcare services for the people of Norfolk has been mirrored by recognition within the UK of the modernising steps being taken within the Trust. The Norfolk and Norwich University Hospital has consistently been named as one of the country s top-performing hospitals by healthcare analysts Dr Foster and enjoys very positive patient feedback through the Healthcare Commission patient surveys. The story of the Norfolk and Norwich University Hospitals NHS Foundation Trust is the story of an expanding, innovative NHS; committed to reform and improvement in a modern hospital environment that benefits both patients and hospital staff. But we stand for more than just a busy, modern teaching hospital. We firmly believe in caring as best we can for our patients, not just treating them, and we believe in developing our staff throughout their careers in order to increase their skills, knowledge and job satisfaction. After all, it is our staff who every year treat more than 600,000 patients drawn from Norfolk, surrounding counties and other parts of the country, and without our staff, none of the progress we are making would be possible. Appendix D Cromer Hospital remains a vital part of the Norfolk and Norwich University Hospital NHS Trust and provides North Norfolk residents with expanding services including outpatient clinics, day procedures, pre-admission clinics, endoscopy services and a minor injuries unit. Originally founded in 1932, the Hospital continues to enjoy a reputation for providing excellent care for our patients, who appreciate the warm and friendly atmosphere of their local hospital. This will be maintained within plans for the new Cromer Hospital. We also have staff/services operating from a number of other sites e.g. Aldwych House and the Cotman Centre. James Paget University NHS Foundation Trust (JPUH). Post Graduate Education is based within the Education and Training Centre at the JPUH. There is a good medical reference library within the Trust. The centre provides a wide and varied programme to support continuing education with the local consultants and visiting specialists participating. There is a GP vocational training scheme and an active teaching programme for junior staff in which most consultants participate. A major expansion of teaching facilities has already begun with further expansion planned. Consultants from the trust play an active regional role in training trainers. There is a well-staffed and equipped department of Medical Illustration which provides full slide-making and other audio-visual facilities for the Trust. The Local Area On an aesthetic level, both hospitals lie within one of the most attractive parts of the country. The Norfolk Broads and a huge expanse of Norfolk and Suffolk coastline lie within the catchment area of these Trusts. Sailing, water-sports and fishing facilities abound and there are most types of sporting and leisure pursuits. The NNUH is based on the outskirts of the fine historic city of Norwich that provides much in the way of intellectual and cultural activities. Rails services from Norwich to London Liverpool Street and steadily improving road and rail links give easy access to the capital. The JPUH lies on the coast in Gorleston between the resorts of Great Yarmouth and Lowestoft. The Great Yarmouth outer harbour development is likely to provide a Ferry service to the continent within 12 to 24 months. Open, picturesque, safe and unspoilt, the location offers the discerning professional a rare opportunity to combine professional fulfilment with a quality of life that would be difficult to surpass elsewhere. Attractive, affordable, yet substantial executive and country properties are available in the area. There are high quality private fee paying and state schools in the local area. Clinical Services provided at the Norfolk and Norwich University Hospital All acute medical and surgical specialties except cardiac surgery and neurosurgery Excellent radiology, CT and MR facilities High quality pathology, clinical chemistry and haematology services Paperless radiology (PACS) and pathology (ICE) services are available.