Job summary
Please note, Job description is pending Royal College approval
Applications are invited for two full time (10 PA) Consultants in Neonatology based at the Evelina London Children's Hospital.Our consultant team expanded in the autumn of 2023 with funding from the London Operational Delivery Network to ensure tier 3 compliance with BAPM recommendations. We have two locums in post and are now looking for substantive appointments.
We are one of the lead perinatal centres for the South London Neonatal Operational Delivery Network, providing care for our local population of Lambeth and Southwark, across the South East London LMNS, and our extended network for specialist services across Kent, Surrey, Sussex and beyond.
There are over 6500 births per year on-site, many of which are high risk due to both our inner-city local population and the co-location of tertiary women's and children's services, and our neonatal unit supports the care of all newborns including those with complex cardiac and surgical problems.
Main duties of the job
Clinical duties include providing clinical leadership, hands on clinical care and training in neonatal intensive, high dependency and special care as well as support to transitional care and the postnatal ward. The postholder will be expected to participate in the rota to cover one general neonatal outpatient clinic.
Consultants are allocated to periods of time in each clinical area including out of hours cover: the work pattern reflects the intensity of out of hours work with the expectation of remaining on site with accommodation provided.
There are close working relationships with many subspecialties but especially fetal medicine and fetal cardiology, paediatric cardiology and paediatric surgery, there are regular and dynamic multi-disciplinary meetings.
The postholder will have the opportunity to contribute to the full range of activities including teaching, educational supervision, quality improvement and clinical research.
About us
Evelina London Children's Hospital consists of 5 directorates - Medicine & Neonatology; Surgery; Cardiology, Respiratory and Critical Care (CRIC); Women's; Community.
The Neonatal Unit lies within the Medicine and Neonatology Directorate. It is based in the North Wing of the St Thomas's Site, adjacent to maternity services. It is one of the largest in the United Kingdom, with 900-1000 admissions per year (of which ~200 were <30w gestation) and ~9000 ICU/HDU cot days in 2021. There are 46 cots, of which 20 are Intensive Care, 12 High Dependency and 14 Special Care. The unit is one of three NICU in the South London Neonatal ODN. Facilities on the Neonatal Unit were purpose built, alongside the maternity unit in 2002 and we are in the process of planned refurbishment.
We also have a world leading research programme based in the Centre for the Developing Brain, led by Professor David Edwards, which utilises the MRI scanner based adjacent to the Unit, within the Evelina Perinatal Imaging Centre. In addition, we have an excellent record of recruitment of babies into multi-centres studies such as PlaNeT2 and AZTEC
Job description
Job responsibilities
Provide High Quality Care to Patients
- The post holder must be medically qualified and maintain GMC specialist registration, including revalidation and hold a licence to practice
- To develop and maintain the competencies required to carry out the duties required of the post.
- To ensure prompt attendance at agreed direct clinical care Programmed Activities.
- To ensure patients are involved in decisions about their care and to respond to their views.
Research, Teaching and Training
- Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
- To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.
- To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
Performance Management
- To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
- Quality of outcomes e.g. infection control targets, reducing re-admission rates.
- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
- Operational efficiency e.g. day-case rates, waiting list activity and demand management.
Medical Staff Management
- To work with colleagues to ensure junior doctors hours are compliant
- To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
- To participate in the recruitment of junior medical staff as and when required.
- To participate in team objective setting as part of the annual job planning cycle.
- To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.
Governance
- To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
- Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
- To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
- Participate in ensuring NICE requirements are reviewed and implemented and monitored in the specialty areas.
- To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
- To keep fully informed about best practice in the specialty areas and ensure implications for practice changes are discussed with the Clinical Director.
- To role model good practice for infection control to all members of the multidisciplinary team.
Strategy and Business Planning
- To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
- To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.
Leadership and Team Working
- To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
- To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
- To chair regular meetings for the specialties.
- To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
Job description
Job responsibilities
Provide High Quality Care to Patients
- The post holder must be medically qualified and maintain GMC specialist registration, including revalidation and hold a licence to practice
- To develop and maintain the competencies required to carry out the duties required of the post.
- To ensure prompt attendance at agreed direct clinical care Programmed Activities.
- To ensure patients are involved in decisions about their care and to respond to their views.
Research, Teaching and Training
- Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
- To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.
- To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
Performance Management
- To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
- Quality of outcomes e.g. infection control targets, reducing re-admission rates.
- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
- Operational efficiency e.g. day-case rates, waiting list activity and demand management.
Medical Staff Management
- To work with colleagues to ensure junior doctors hours are compliant
- To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
- To participate in the recruitment of junior medical staff as and when required.
- To participate in team objective setting as part of the annual job planning cycle.
- To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.
Governance
- To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
- Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
- To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
- Participate in ensuring NICE requirements are reviewed and implemented and monitored in the specialty areas.
- To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
- To keep fully informed about best practice in the specialty areas and ensure implications for practice changes are discussed with the Clinical Director.
- To role model good practice for infection control to all members of the multidisciplinary team.
Strategy and Business Planning
- To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
- To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.
Leadership and Team Working
- To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
- To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
- To chair regular meetings for the specialties.
- To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
Person Specification
Professional Qualifications
Essential
- MRCPCH by examination or equivalent
- On GDC/GMC Specialist Register for Neonatal Medicine or within six months of attaining CCT.
- Full GMC registration
Desirable
- Higher degree eg MSc, MD, PhD in paediatrics
Other
Essential
- Ability to fulfil all of the duties of the post including out-of-hours commitment
- Satisfactory enhanced DBS and required immigration status
Personal Skills
Essential
- Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
- Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
- Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
- Ability to work as part of a team
Desirable
- Able to relate needs of neonatal service to wider team members
Academic
Essential
- Experience and knowledge of critical appraisal
- Participation in clinical research with completion of Good Clinical Practice training
- Involvement in audit and quality improvement
- Experience of teaching and training postgraduates and junior medical staff.
Desirable
- Track record of research and publications
- Experience in multidisciplinary education, including simulation.
- Educational supervision training
Management and IT
Essential
- Track record of clinical governance and risk management
- Ability to take responsibility, lead, make decisions and exert appropriate authority.
- Knowledge of finance and budgets. Current financial arrangements of NHS delivered service
- Strong IT skills.
Desirable
- Able to demonstrate experience in leading a large clinical team, with multiple competing demands
- Understanding of current financial constraints.
- Recognition of importance of financial accountability for the service
- Experience with electronic patient records
Knowledge and Skills
Essential
- Ability to coordinate complex clinical care within multidisciplinary team
- Good communication skills
- Able to manage time effectively
- Meet the requirements of the GMCs 'Good Medical Practice'
Desirable
- Knowledge of job planning and appraisal
Clinical Experience
Essential
- Experience in complex and tertiary neonatal care at senior registrar or consultant level
- Experience with neonatal care for babies with subspecialist conditions.
- High level of clinical skills and knowledge appropriate for busy tertiary neonatal care.
- Valid NLS
- Valid level 3 safeguarding training
- Valid BLS training
Desirable
- Previous consultant or locum consultant experience in tertiary neonatal unit
- Experience with neonatal surgical and cardiac management.
Person Specification
Professional Qualifications
Essential
- MRCPCH by examination or equivalent
- On GDC/GMC Specialist Register for Neonatal Medicine or within six months of attaining CCT.
- Full GMC registration
Desirable
- Higher degree eg MSc, MD, PhD in paediatrics
Other
Essential
- Ability to fulfil all of the duties of the post including out-of-hours commitment
- Satisfactory enhanced DBS and required immigration status
Personal Skills
Essential
- Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
- Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
- Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
- Ability to work as part of a team
Desirable
- Able to relate needs of neonatal service to wider team members
Academic
Essential
- Experience and knowledge of critical appraisal
- Participation in clinical research with completion of Good Clinical Practice training
- Involvement in audit and quality improvement
- Experience of teaching and training postgraduates and junior medical staff.
Desirable
- Track record of research and publications
- Experience in multidisciplinary education, including simulation.
- Educational supervision training
Management and IT
Essential
- Track record of clinical governance and risk management
- Ability to take responsibility, lead, make decisions and exert appropriate authority.
- Knowledge of finance and budgets. Current financial arrangements of NHS delivered service
- Strong IT skills.
Desirable
- Able to demonstrate experience in leading a large clinical team, with multiple competing demands
- Understanding of current financial constraints.
- Recognition of importance of financial accountability for the service
- Experience with electronic patient records
Knowledge and Skills
Essential
- Ability to coordinate complex clinical care within multidisciplinary team
- Good communication skills
- Able to manage time effectively
- Meet the requirements of the GMCs 'Good Medical Practice'
Desirable
- Knowledge of job planning and appraisal
Clinical Experience
Essential
- Experience in complex and tertiary neonatal care at senior registrar or consultant level
- Experience with neonatal care for babies with subspecialist conditions.
- High level of clinical skills and knowledge appropriate for busy tertiary neonatal care.
- Valid NLS
- Valid level 3 safeguarding training
- Valid BLS training
Desirable
- Previous consultant or locum consultant experience in tertiary neonatal unit
- Experience with neonatal surgical and cardiac management.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
