Job summary
This new post as consultant in paediatric emergency department will join a dynamic team to make a team of six Paediatric Emergency Medicine (PEM) consultants working in a dedicated Paediatric Emergency Department (PED) with co-located short stay unit (PSSU) at University Hospital Lewisham.
This new post is an additional post reflecting the investment of Lewisham & Greenwich NHS Trust in the paediatric emergency department in the post covid era. The paediatric emergency department has been in temporary accommodation since March 2020 to allow for expansion of adult emergency department services and enhanced infection prevention and control during the covid 19 pandemic. Plans for a longer term redevelopment of the existing department are in progress along with looking at the footprint of the combined adult and paediatric emergency department. This post expands the consultant body in recognition of the need for additional senior support for the department.
Main duties of the job
The post holder will take part in a rota of 6 Consultants (5.6 WTE) which will include shop floor supervision and enable smooth running of the PED and governance of the PED. The candidate is not required to cover on the General Paediatric rota but will provide weekend cover (1 in 6) for the PED on a shift system. Where there is no PEM consultant the General Paediatricians cover gaps during the week and weekends.
The post is for 10 PA with rostered weekend working but no on call duties. This post is available from 1st July 2024. The applicants should have CCT (or be within 6 months of CCT) in Paediatrics (RCPCH) or Emergency Medicine (RCEM).
About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Job description
Job responsibilities
Clinical Responsibilities:
Whilst the appointee will be expected to undertake these duties, there will be an emphasis on some, rather than all of these. This emphasis may change over time.
- The key role of the consultant on the shop floor is to ensure patient flows are actively managed, using the resources available, and communicating with key staff
- Day to day running of the PED when on shift. This includes regular consultant review of patients on PSSU, and supervision of junior medical staff.
- Governance of the PED- ensuring results are reviewed including pathology and radiology, clinical guidelines are up to date and being followed
- Liaison with Matron and nurse in charge regarding clinical care of patients
- Liaison with Paediatric inpatient ward Consultant of the week regarding clinical care of patients , including robust handover
- Liaison with all medical and surgical teams that see patients in the ED eg orthopaedics, surgery and ENT
- Leading or supervising resuscitation cases including medical and trauma
- Educational supervision of PED trainees
- Teaching and supervision of medical students
- Taking part in a rota to lead and chair the weekly safeguarding MDT
- Day to day responsibility for safeguarding when on shift
- Development of an audit programme and involvement in QI projects appropriate to PEM
- Involvement in research projects (mostly via PERUKI- Paediatric Emergency Medicine Research UK and Ireland), including enrolment of patients
- Ensuring guidelines and policies are up to date
- Taking on a key role for the department eg ambulatory care, trauma care, resuscitation and HDU, safeguarding) as agreed with the Clinical Director and as per job plan
- Undertake rapid access clinic to ensure patients are seen in a timely fashion this includes patients who require follow up from the PED
- There is one consultant who will be the key rota manager but all consultants need to understand the rota and ensure that shifts are filled and all rota gaps managed actively
- One consultant will have responsibility for the departmental teaching programme
Medical Education & Teaching:
- To participate in medical student and junior doctor (all grades) teaching, clinical and seminar format especially within the clinical forum.
- Participate in nurse teaching as appropriate.
- To undertake monitoring and appraisal of junior staff within everyday practice, and take part as educational supervisor (with appropriate training).
Clinical Audit and Clinical Governance:
- Involvement in audit projects and supervision of junior staff in audit projects is possible and will be encouraged in this post
- To take an active role in clinical risk issues and clinical governance on a day to day basis and engage in the overall process for the directorate
Continuing Professional Development:
- Participate in continuing professional development at local and national level
- Implement audit and research findings as appropriate in clinical practice
- Prepare and participate in an annual appraisal in accordance with Trust policy
- A willingness to undertake additional professional responsibilities at local, regional or national levels
Policy, Planning and Management:
Support the Trust to deliver quality patient care
- Contribute to the development of clinical and organizational protocols and guidelines
- Assist in the development of the Annual Service Plan for the Directorate and Division and participate in the strategic planning of the service
- Comply with all Trust policies
- Consultants are accountable to the Clinical Director for the further development of management issues. Specific training issues will be developed in conjunction with the clinical tutor.
Job description
Job responsibilities
Clinical Responsibilities:
Whilst the appointee will be expected to undertake these duties, there will be an emphasis on some, rather than all of these. This emphasis may change over time.
- The key role of the consultant on the shop floor is to ensure patient flows are actively managed, using the resources available, and communicating with key staff
- Day to day running of the PED when on shift. This includes regular consultant review of patients on PSSU, and supervision of junior medical staff.
- Governance of the PED- ensuring results are reviewed including pathology and radiology, clinical guidelines are up to date and being followed
- Liaison with Matron and nurse in charge regarding clinical care of patients
- Liaison with Paediatric inpatient ward Consultant of the week regarding clinical care of patients , including robust handover
- Liaison with all medical and surgical teams that see patients in the ED eg orthopaedics, surgery and ENT
- Leading or supervising resuscitation cases including medical and trauma
- Educational supervision of PED trainees
- Teaching and supervision of medical students
- Taking part in a rota to lead and chair the weekly safeguarding MDT
- Day to day responsibility for safeguarding when on shift
- Development of an audit programme and involvement in QI projects appropriate to PEM
- Involvement in research projects (mostly via PERUKI- Paediatric Emergency Medicine Research UK and Ireland), including enrolment of patients
- Ensuring guidelines and policies are up to date
- Taking on a key role for the department eg ambulatory care, trauma care, resuscitation and HDU, safeguarding) as agreed with the Clinical Director and as per job plan
- Undertake rapid access clinic to ensure patients are seen in a timely fashion this includes patients who require follow up from the PED
- There is one consultant who will be the key rota manager but all consultants need to understand the rota and ensure that shifts are filled and all rota gaps managed actively
- One consultant will have responsibility for the departmental teaching programme
Medical Education & Teaching:
- To participate in medical student and junior doctor (all grades) teaching, clinical and seminar format especially within the clinical forum.
- Participate in nurse teaching as appropriate.
- To undertake monitoring and appraisal of junior staff within everyday practice, and take part as educational supervisor (with appropriate training).
Clinical Audit and Clinical Governance:
- Involvement in audit projects and supervision of junior staff in audit projects is possible and will be encouraged in this post
- To take an active role in clinical risk issues and clinical governance on a day to day basis and engage in the overall process for the directorate
Continuing Professional Development:
- Participate in continuing professional development at local and national level
- Implement audit and research findings as appropriate in clinical practice
- Prepare and participate in an annual appraisal in accordance with Trust policy
- A willingness to undertake additional professional responsibilities at local, regional or national levels
Policy, Planning and Management:
Support the Trust to deliver quality patient care
- Contribute to the development of clinical and organizational protocols and guidelines
- Assist in the development of the Annual Service Plan for the Directorate and Division and participate in the strategic planning of the service
- Comply with all Trust policies
- Consultants are accountable to the Clinical Director for the further development of management issues. Specific training issues will be developed in conjunction with the clinical tutor.
Person Specification
Qualifications
Essential
- MRCP/MRCPCH or equivalent
- CCT in Paediatrics or equivalent or within 6 months of appropriate CCT date.
- APLS/EPLS provider status (up to date).
- Child Protection/Safeguarding training (minimum Level 3) up to date.
Desirable
- Postgraduate specialist qualification eg, MSc
- APLS instructor
- Accredited SIM instructor
Clinical Experience
Essential
- Comprehensive Training and experience in Paediatric Emergency Medicine
- Experience of working in the UK
- Ability to deal with complex clinical situations in the core areas of the post.
Desirable
- Grid training in paediatric emergency medicine
- Broad experience of working within the NHS
Clinical Audit
Essential
- Active audit interest demonstrated by at least one completed clinical audit in the last two years
- Understanding of NHS systems and audit processes
- Evidence of service improvement projects and audits
Desirable
- Publication of audit results.
- Evidence of involvement and /or experience in risk processes such as Serious Incident reviews and patient safety systems
Teaching Experience
Essential
- Experience and interest in undergraduate teaching
- Skill and ability in formal and informal teaching
- Previous experience in Educational Supervision
Desirable
- An understanding of current issues in medical education and training
- Educational supervision qualification
- Knowledge of current changes in paediatric training
- Higher teaching qualification
- Presentations at National or International meetings
- Publications in peer reviewed journals
Management and Administrative Experience
Essential
- Understands the management structure of the NHS. Evidence of risk management
Desirable
- Interview/ Application/ Evidence
Other Attributes
Essential
- Effective communicator - verbal and written.
- Able to take responsibility and cope with stressful situations
Desirable
- Has experience of committee work and prepared to undertake committee work
- Postgraduate qualification in leadership / management
IT skills
Essential
- Ability to use Microsoft office packages, e.g. MS Word, Excel, Access & PowerPoint.
- Ability to use patient information systems
Person Specification
Qualifications
Essential
- MRCP/MRCPCH or equivalent
- CCT in Paediatrics or equivalent or within 6 months of appropriate CCT date.
- APLS/EPLS provider status (up to date).
- Child Protection/Safeguarding training (minimum Level 3) up to date.
Desirable
- Postgraduate specialist qualification eg, MSc
- APLS instructor
- Accredited SIM instructor
Clinical Experience
Essential
- Comprehensive Training and experience in Paediatric Emergency Medicine
- Experience of working in the UK
- Ability to deal with complex clinical situations in the core areas of the post.
Desirable
- Grid training in paediatric emergency medicine
- Broad experience of working within the NHS
Clinical Audit
Essential
- Active audit interest demonstrated by at least one completed clinical audit in the last two years
- Understanding of NHS systems and audit processes
- Evidence of service improvement projects and audits
Desirable
- Publication of audit results.
- Evidence of involvement and /or experience in risk processes such as Serious Incident reviews and patient safety systems
Teaching Experience
Essential
- Experience and interest in undergraduate teaching
- Skill and ability in formal and informal teaching
- Previous experience in Educational Supervision
Desirable
- An understanding of current issues in medical education and training
- Educational supervision qualification
- Knowledge of current changes in paediatric training
- Higher teaching qualification
- Presentations at National or International meetings
- Publications in peer reviewed journals
Management and Administrative Experience
Essential
- Understands the management structure of the NHS. Evidence of risk management
Desirable
- Interview/ Application/ Evidence
Other Attributes
Essential
- Effective communicator - verbal and written.
- Able to take responsibility and cope with stressful situations
Desirable
- Has experience of committee work and prepared to undertake committee work
- Postgraduate qualification in leadership / management
IT skills
Essential
- Ability to use Microsoft office packages, e.g. MS Word, Excel, Access & PowerPoint.
- Ability to use patient information systems
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.
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).
Additional information
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).
