Specialty Doctor in Paediatrics

Job description

Job responsibilities

The Department

All Paediatric and Neonatal Inpatient services are delivered from a single large site based at the Princess Royal Hospital in a purpose-built state-of-the-art Women and Childrens Centre. The new facilities include:

• A new 36 bed childrens ward
• Dedicated Oncology and High-Dependency Care 3-bedded Units within the ward
• Independently staffed 8-bedded Childrens Assessment Units at the Princess Royal Hospital 24/7
• A 6 bedded Paediatric Medical Day case Unit at the Royal Shrewsbury Hospital.
• A new Neonatal Unit, designated as a Level 2 / Local NNU
• New Childrens Outpatient Centres at both Hospitals.
• Co-location with the new Labour Suite, Maternity Operating Theatres and Obstetric Wards

With vastly improved estate and facilities comes staff expansion. There is already separation of rotas at junior tier (24/7) and middle-tier (09:00-17:00hrs Mon-Fri) for paediatric and neonatal services. There is separation of the Consultant tier 24/7, and the middle tier 09:00-23:00hrs 24/7. This post aims to complete tier 2 separation.

The Childrens Ward

A total of 36 beds, with 18 accommodated in 2 or 4 bedded bays, and 16 in cubicles, each with en-suite accommodation. The ward has a dedicated 3-bed Oncology Unit that has its own parent accommodation, Treatment Rooms and office accommodation, and delivers the highest quality of care as a Level 3 Paediatric Oncology Shared Care Unit. 3 beds are dedicated, and staffed, for High-Dependency Care. CPAP and High Flow Oxygen facilities are in use already in county, and the new unit sees expansion of this, along with the potential to further develop HDU care provision for the West Midlands.

The Wards resuscitation room allows for initiation of PICU support, including ventilation, and there are well-established links with the Regions PICU centres at Stoke and Birmingham and with the immensely supportive and efficient Regional Transport and PICU advice service (KIDS) based at the Birmingham Childrens Hospital.

This large ward is ideally located, being adjacent to the Princes Royal Hospital Childrens Out-Patient facility, Neonatology, Radiology, A&E, and the new Childrens Assessment Unit.

There are currently in excess of 6,000 admissions per annum to the two Childrens Wards, with a further 6,000+ attendances at the Childrens Assessment Units

The PRH Childrens Assessment Unit

Separately staffed and open 24/7 this new facility has 8 beds, with 4 as en-suite cubicles, and a separate Treatment Room for practical procedures. Length of stay is already little over 24 hours for children in Shropshire, and the CAUs are expected to further facilitate earlier discharge home and ward admission avoidance.

The RSH Paediatric Medical Day Case Unit

Reconfiguration has ensured that cost effective services are provided with an emphasis of quality and flow of care. The Paediatric Medical Day Unit at the Royal Shrewsbury Hospital is a 6-bedded unit.

The unit is staffed by highly experienced Advanced Paediatric Nurse Practitioners on a Tuesday and Thursday and by the current Associate Specialists on a Monday, Wednesday and Friday. This post would partly support this role and enable semi-elective reviews on alternate days.

Comprehensive care pathways have been developed to manage the admission of ill or injured children, whether they present to the Royal Shrewsbury Hospital or Princess Royal Hospital.

The Paediatric team at RSH is expected to play a role in supporting the Royal Shrewsbury Hospital A&E Department, which is also the designated Trauma Unit for the County. This support is available from 9am to 7 pm 5 days/week and between 12pm and 10pm on a Saturday and Sunday. There is non-resident consultant cover dedicated to support the CAU & A&E in RSH.

Childrens Outpatients

At both the Royal Shrewsbury Hospital and Princess Royal Hospital there are new, enhanced out-patient facilities. Each also contain its own treatment room, clean and dirty utility and administration areas, allowing greater delivery of care away from the in-patient unit.

Childrens general paediatric out-patient clinics are also delivered in the excellent facilities provided by a number of the local Community Hospitals (in Whitchurch, Ludlow, Bridgnorth, Welshpool and Newtown) and in the specialist Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry.

There is comprehensive provision of specialist services in the out-patients, including:

1. Visiting Tertiary Specialists: Cardiology, Nephrology, Urology, Surgery, Endocrinology, Cystic Fibrosis, Oncology & Haematology, and Genetics.
2. In-County Specialist Clinics: Gastroenterology, UTI/Renal, Cardiology, Allergy, Respiratory, Cystic Fibrosis, Rheumatology, Diabetes, Endocrinology, Oncology & Haematology, Metabolic, Epilepsy and Neurology.

Job Plan

A formal job plan will be agreed between the successful candidate and their Clinical Director and consultant colleagues, on behalf of the Medical Director within 3 months of starting in post. A full-time job plan is based on a 10 PA working week. The job plan will be reviewed annually and is a prospective agreement that sets out the doctors duties, responsibilities, and objectives for the coming year. It covers all aspects of a doctors professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external and will include personal objectives, detailing links to wider service improvements and trust strategic priorities.

For a full-time contract, the job plan will be divided on average per week (pro-rata for a part time post) as:

• 8.5 Programmed Activities (PAs) of Direct Clinical Care - includes clinical activity, clinically related activity and predictable and unpredictable emergency work.
• 1.5 Supporting Professional Activities (SPAs) - includes CPD, audit, teaching and research.

The allocation of PAs is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the team job plan.

Any applicant who is unable, for personal reasons, to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with other consultant colleagues.

Person Specification

Qualifications

Essential

• MBBS or equivalent
• APLS (or equivalent)
• NLS
• Safeguarding training appropriate to role

Desirable

• MRCPCH by exam or equivalent

Entry Criteria

Essential

• Full Registration and a licence to practise with the General Medical Council (GMC)
• Have completed at least four years' full-time postgraduate training (or its equivalent gained on a part-time basis), in paediatrics, or as a fixed term specialty trainee (or equivalent) or have equivalent experience and competencies
• Competent to work without direct supervision
• Able to conduct practical procedures required of the post
• Experienced in making clinical decision independently and managing clinical risk

Desirable

• Paediatric sub-speciality experience within paediatrics
• Previous experience as middle grade paediatrician
• 6 months neonatal experience at level III unit

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).

Employer details

Employer name

The Shrewsbury and Telford Hospital NHS Trust

Address

The Princess Royal Hospital

Apley Castle

Telford

TF1 6TF

Employer's website

http://www.sath.nhs.uk/ (Opens in a new tab)