Specialty Doctor in Community Paediatrics

Job responsibilities

The Department

The Childrens and Young Peoples Hospital and Community Service has been integrated since April 2011. This unique situation affords many new opportunities.

In-Patients (Childrens Ward and Childrens Assessment Unit)

The Hospital Childrens Unit has a 12-bedded Childrens ward, a 10-bedded short stay Childrens Same Day Emergency Care (CSDEC). CSDEC is open 24 hours, 7 days a week.

The unit also accommodates childrens surgery (general surgery, urology, orthopaedics, accident & emergency medicine, oral surgery, day case ENT and Ophthalmology). The childrens ward has one CHDU bed, which can accommodate both medical and surgical patients. Children are admitted into the CHDU bed according to the guidelines and the CHDU admission and discharge criteria. CHDU accepts any child from 0-16 years from medical and surgical specialties. Specialities other than paediatrics will get shared care with paediatricians. The anaesthetic team is always informed of a childs admission to CHDU.

Neonatal Unit (NNU)

There is a 14 cot Neonatal Unit, which includes a two-bedded Neonatal Intensive Care Unit. There are 3000 deliveries a year. Babies under 27 weeks gestation are transferred to the regional intensive care unit according to the latest network guidelines. Babies requiring neonatal surgery are transferred to Sheffield Childrens Hospital and cardiology cases are discussed with and transferred to LGI. We hold a weekly joint Consultant neonatal ward round and meet monthly with obstetric and midwifery colleagues in a regular programme of perinatal clinical audit / effectiveness.

Complex Health Needs Service

This community service is nurse-led and provides personalised care in the home, school or other community setting to 0-19 year olds suffering from a serious illness, significant disability, long-term condition, complex health need, palliative or end of life need. The service also incorporates a hospital from home model supported by the Paediatric Acute Rapid Response Outreach Team (PARROT), which aims to deliver care closer to home by admission avoidance and by expediting discharges. This sits alongside a Neonatal Outreach Team (NNOT), which supports families to allow early discharge from the unit.

Clinic and Ambulatory Services

This service area incorporates all hospital and community clinics. The Childrens Out-Patient Department offers facilities for a variety of clinics, day case assessments and investigations. These include General Paediatric Clinics as well as specialist clinics for Asthma, Epilepsy, Diabetes, Growth and Endocrine Problems and Enuresis. Regular visiting childrens tertiary speciality clinics are also held for Paediatric Cardiology, Endocrinology, Nephrology, Rheumatology, Clinical Genetics and Paediatric Surgery/Urology.

Community clinics are delivered in the Childrens Out-patient department or in a number of venues across the borough to support care closer to home. Clinics are provided for: pre-schoolers at the Child Development Centre; older children in Rotherham Community Health Centre and other community hubs; within school for children in special schools; medical input into adoption and fostering services; Looked after childrens health assessments; and medical input into the Educational Health Care Plan process, participation in safeguarding responsibilities on a multi-agency basis with partner agencies such as the Local Authority. Enuresis clinics are led by the Community team and operate within the Childrens Out-Patient Department.

Special Needs and Disability Services

This group of services includes Paediatric Therapy Services and the Child Development Centre, which is located at Kimberworth Place. The Child Development Centre provides facilities for the multi-disciplinary assessment of children with developmental disorders, including autism, and most of the Community Paediatricians have individual clinical sessions within the Centre.

Universal Services

Universal Services comprise of Health Visiting and School Nursing Services both of which regularly interface with Paediatricians with regard to children and young people on their caseloads.

Services for Vulnerable Children and Young People

These are a specific group of statutory and other services. Named Consultant Paediatricians have responsibility for the statutory services such as safeguarding, looked after children and child deaths. Other services for vulnerable C&YP include Child Sexual Exploitation; Youth Offending; Young Homeless; Migrants, Asylum Seekers and Refugees; Young parents.

Rapid Access Clinics

An Emergency Referral Clinic (Rapid Access Clinic) runs each day of the week by a Consultant for children who need urgent assessment but who may not require admission.

Ward Based Consultant Practice

Acute Paediatric Consultants contribute to an on call service. This currently follows a 1:11 ward-based model. During this week, the Consultant will cancel all clinics and lead daily ward rounds on the childrens ward and Neonatal unit and support the resident staff to manage acutely ill children presenting to the wards and via the emergency department. The ward-based consultant also provides support for safeguarding clinics and triaging incoming referrals.

Paediatric Diabetes Services

The Rotherham Diabetes service consists of a multidisciplinary team, which sits within the Yorkshire and Humber Paediatric Diabetes network and currently provides care for approx. 130 patients. The MDT includes three Consultants, three Diabetes specialist nurses, two Dieticians and a Family Support Worker. All members of the team work to agreed team targets and standards. They aim to provide a highly personalised and supportive service to all patients and their families as set up by local, network and national standards. Patients aged 17-19 are seen in Transitional Diabetes clinics, which are run jointly by Paediatric and Adult teams.

Child, Adolescent Mental Health Services (CAMHS)

Tier 2 and Tier 3 CAMHS is provided by Rotherham Doncaster and South Humber Trust (RDASH). CAMHS occasionally utilise beds on the Childrens Ward on a shared care basis specifically for children with mental health problems such as eating disorders, self-harm, overdose and acute agitation.

The Post

Main duties

To provide a clinical role in the continuing development of an efficient and high quality outpatient Community Paediatric service. You will work in two or more of the following areas:

Being the allocated doctor for one or more of Rotherhams special schools, providing assessment and monitoring, advice and well-planned transition to adult services. You will work closely with the SEND nursing and therapy teams.

Delivering neurodevelopmental clinics within community clinics

Contributing to assessment and review of children at the Child Development Centre, as a member of the multi-disciplinary team

Carrying out initial health assessments for children coming into care

You will have full continuing clinical responsibility for patients under your care and the provision of treatment. This may require the provision of advice and assistance to colleagues in other specialties, and the proper delegation to Resident medical staff.

You will be given an opportunity to discuss the job plan and the allocation of sessions.

Education and Teaching

Essential

• Experience and interest in undergraduate teaching
• Demonstrable skills and ability in formal and informal teaching

Desirable

• An understanding of current changes and challenges in medical education and training
• Previous experience in trainee supervision
• Educational supervisor course certification
• Higher teaching qualification

Experience

Essential

• 4 years full time post-graduate working in a clinical area (or its equivalent gained on a part-time or flexible basis) at least two of which will be in a specialty training programme in a relevant specialty or as a fixed term specialty trainee in a relevant specialty or equivalent experience and competencies
• Experience of managing clinical care of complex patients
• Experience of working in Community Paediatrics and conducting Neurodevelopmental assessments
• Training and experience in the identification and management of suspected child abuse and neglect
• Experience of working with vulnerable children and young families and children in challenging situations

Desirable

• Experience of multi-agency working within safeguarding or another relevant setting
• Experience or training in one or more of the following areas; child mental health, Looked After Children services, EHCP, Public health
• Level 4 Safeguarding certification

Ability/Skills

Essential

• Excellent Communication skills (both verbal and written)
• Specialist skills in examination of children who may have been abused in any of its forms
• Specialist General Paediatric clinical skills appropriate to Community Paediatrics
• Ability to compile comprehensive SEND/EHCP reports within defined timescales
• Knowledge of recognised tools for the assessment of developmental disorders (e.g. Griffiths Mental Developmental Scales, SOGS etc.)
• Knowledge of the Special Educational Needs and Disability Framework
• Knowledge of Statutory framework for Looked After Children

Desirable

• Familiarity with recognised tools for the assessment of suspected ADHD and ASD

Research and Audit

Essential

• Clear understanding of Clinical Governance
• Active audit/service improvement interest demonstrated by at least one completed project in the last year
• Understanding of NHS systems and audit processes
• Evidence of audit and the implementation of change following the audit

Desirable

• Relevant publications in peer review journals
• Experience in service development and quality improvement projects relating to Community Child Health
• Experience of writing and developing clinical guidelines
• Experience in governance processes such risk assessment, Serious Incident reviews and/or patient safety investigations

Qualifications

Essential

• Full registration and a licence to practice with the GMC
• Please confirm your GMC Registration number
• MBBS Degree
• Valid Level 3 Child Safeguarding
• Valid EPALS and NLS training

Desirable

• Other training in relevant area (e.g. Community Paediatrics, SEND, Neurodisability)
• Other degree/qualification in paediatrics

Management Skills

Essential

• Demonstrate effective team working skills
• Time management and organisational ability. An example may be they have developed and run training programmes
• Ability to form effective working relationships and inspire and motivate others
• Commitment to personal professional development
• Proven knowledge of systems and process of NHS or equivalent
• Sense of understanding and commitment to corporate responsibility
• Commitment to and understanding of their responsibility to the organisation
• Awareness of Equality, Diversity and Inclusion issues

Desirable

• Formal management training
• Demonstrated ability to take on a leadership role

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).