University Hospitals of Leicester NHS Trust

CLINICAL FELLOW in PAEDIATRIC AND ADOLESCENT RHEUMATOLOGY

Information:

This job is now closed

Job summary

This post is a whole-time Clinical Fellow (middle grade) in Paediatric and Adolescent Rheumatology based at Leicester Royal Infirmary to start as soon as possible.

The Department of Paediatric and Adolescent Rheumatology provides clinical services for patients with all types of rheumatic disease. Referrals are received from the primary care, community paediatric team and other departments within the Trust. Joint injections under Entonox are carried out in the day care unit and the GA list is supported by the Paediatric Orthopaedic colleagues. The team works in close relationships with all paediatric sub-specialities including Dermatology, Endocrine, Respiratory, Cardiology, Ophthalmology, Gastroenterology and Nephrology speciality teams. There is a dedicated Paediatric Uveitis service. There is also a dedicated transitional process, attended by an Adult Rheumatology colleague. Patients in the age group 14-18 yrs. are reviewed in the transitional clinic and after 18 yrs. transitioned to the dedicated Young Adult Rheumatology clinic run by the Adult Rheumatologist.

Main duties of the job

The activities in the typical week will include, ward rounds, day-care reviews, assessment of inpatient referrals, virtual homecare prescribing, virtual day-care prescribing, response to all clinical queries, telephone consultations (outreach, primary care, other specialties) and joint injections.

  • Participate in the out-patient care of a full range of Paediatric and Adolescent Rheumatology conditions
  • Participate in the emergency and elective management of children, teenagers and young adults with rheumatology problems admitted to University Hospitals of Leicester NHS Trust
  • Review paediatric rheumatology patients as required in the paediatric/TYA day care unit.
  • Be responsible for arranging the admission of patients for inpatient and day case investigations and treatment.
  • Be responsible alongside Consultants for Entonox and theatre lists for children/TYA patients undergoing joint injections
  • Participate in assessment of in-patient referrals
  • Respond to clinical queries and communicating effectively with outreach, primary care, other specialties and families
  • Be responsible for virtual prescribing for day care and home care for Paediatric Rheumatology patients
  • Liaise closely with the specialist nurses
  • Work closely with the multidisciplinary team ensuring co-ordinated delivery of care
  • Attend/contribute to MDTs
  • Participate in teaching, audit and service development

About us

Leicester Children's Hospital provides paediatric services to just over one million residents of Leicestershire and Rutland. Tertiary services at the Leicester Children's Hospital also attract patients from further afield. All the general and specialist services are centralised on the Leicester Royal Infirmary site. The Leicester Children's Hospital currently manages around 130 beds and has a budget of over £35 Million. The Children's Hospital team includes more than 50 consultants and sees 13 000 new out-patients annually. The Children's Hospital manages 3000 day case patients and 12 000 emergency patients annually. The Children's Hospital forms part of UHL's Women and Children's Clinical Management Group (CMG).

The Paediatric Rheumatology Service at the Leicester Children's Hospital has been providing a dedicated service for the Leicestershire Children and Young People since 1998, working in collaboration with other local and National Tertiary Paediatric Rheumatology teams. University Hospitals NHS Trust runs one of the busiest Paediatric Emergency Departments in the country. Over the years, there has been a significant increase in the number of referrals to the Paediatric Rheumatology service from primary and secondary care.

Details

Date posted

21 April 2023

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£53,017 a year pa

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

358-5185850-Chil

Job locations

Leicester Royal Infirmary

Infirmary Square

Leicester

LE1 5WW


Job description

Job responsibilities

The appointee will be expected to fulfil the following duties with the agreed Job Plan.

PRINCIPLE ELEMENTS OF THE POST

Clinical

The Clinical Fellow will have ongoing involvement throughout the appointment with the routine paediatric rheumatology outpatient clinics held at LRI and outreach centres and with the paediatric rheumatology inpatient/ day-care service at LRI.

In addition, the activities in the typical week will include, ward rounds, day-care reviews, assessment of inpatient referrals, virtual homecare prescribing, virtual day-care prescribing, response to all clinical queries, telephone consultations (outreach, primary care, other specialties) and joint injections.

The successful candidate will work under the supervision of the Paediatric Rheumatology Consultants and:

  • Participate in the out-patient care of a full range of Paediatric and Adolescent Rheumatology conditions
  • Participate in the emergency and elective management of children, teenagers and young adults with rheumatology problems admitted to University Hospitals of Leicester NHS Trust
  • Review paediatric rheumatology patients as required in the paediatric/TYA day care unit.
  • Be responsible for arranging the admission of patients for inpatient and day case investigations and treatment.
  • Be responsible alongside Consultants for Entonox and theatre lists for children/TYA patients undergoing joint injections
  • Participate in assessment of in-patient referrals
  • Respond to clinical queries and communicating effectively with outreach, primary care, other specialties and families
  • Be responsible for virtual prescribing for day care and home care for Paediatric Rheumatology patients
  • Liaise closely with the specialist nurses
  • Work closely with the multidisciplinary team ensuring co-ordinated delivery of care
  • Attend/contribute to MDTs
  • Participate in teaching, audit and service development

Teaching

Both main campuses of the Trust are major centres for undergraduate and postgraduate education and teaching. The appointee will be expected to join our teaching programme helping with teaching paediatric rheumatology to undergraduate medical students and other professionals, in addition to opportunities for local and regional presentations and publications.

Audit/QIP and Research:

The appointee will be expected to actively participate in all the audit/QIP activities of the department. The paediatric Rheumatology service at UHL NHS trust is involved in a number of national and international research trials. The appointee should actively participate in all the research activities of the department

KEY RESULT AREAS

Service Delivery & Development

  • To provide paediatric and TYA outpatient and inpatient services.
  • To work collaboratively with the paediatric rheumatology team and other services.
  • To instigate and participate in clinical audits.
  • To participate in medical education, teaching and training.
  • To work with the team to develop and review protocols of care.
  • To participate in MDT meetings.
  • To actively ensure the appropriate safeguarding of patients.

Governance (E.g., NHSLA, CQC, Audit)

  • To work effectively with the CBU clinical quality & safety co-ordinator to identify and reduce risk, incidents and complaints to ensure that the team learn from any such occurrences to improve patient safety.

Patient Service

  • To be responsible for ensuring that consistently high standards of patient care is delivered by example and mentorship.
  • To ensure that patients and families become expert in their own care.

Research and Teaching at Leicester Childrens Hospital

  • To instigate and participate in clinical audits.
  • To support the paediatric research profile.
  • Participate in regular ward teaching of medical students and in weekly case presentations and junior medical staff teaching.
  • The fellow will also be encouraged to participate in the teaching programmes for nursing and paramedical staff.

It is the aim of the Leicester Children's Hospital to continue to develop the University Hospitals of Leicester as a recognised centre of excellence. This will require not only excellence in the clinical service but also an on-going programme of excellence in education and research.

Working hours:

0900-1700 hrs (Monday-Friday)

TIMETABLE (PROVISIONAL) Mon

Am

Ward cover Paediatric Rheumatology and day care

Pm

Ward work and teaching

Tues

Am

Entonox Joint injections and urgent review: day care

Pm

MDT meetings

Wed

Am

Paediatric Rheumatology clinic

Pm

Ward and day care activities

Thurs

Am

Paediatric Rheumatology clinic

PM

Paediatric Radiology MDT

Ward and day care activities

Prescribing

Fri

Am

Ward review/Clinic/ GA joint injections list

Pm

Audit /Research/publications

Note: Job plan subject to change depending on the speciality needs

Staff

  • The post does not carry any formal line management responsibility, although there will be an expectation that the post holder will be expected to lead and mentor Junior doctors and other Clinical Staff where appropriate

Policy

  • The post holder will be expected to comply with national and local polices DOH and NICE guidance where applicable. The post holder will additionally be expected to be fully engaged with the clinical and managerial teams to develop policies locally where appropriate.

Communications

  • To communicate effectively with clinical and managerial staff at all levels, patients and their families/carers.

Job description

Job responsibilities

The appointee will be expected to fulfil the following duties with the agreed Job Plan.

PRINCIPLE ELEMENTS OF THE POST

Clinical

The Clinical Fellow will have ongoing involvement throughout the appointment with the routine paediatric rheumatology outpatient clinics held at LRI and outreach centres and with the paediatric rheumatology inpatient/ day-care service at LRI.

In addition, the activities in the typical week will include, ward rounds, day-care reviews, assessment of inpatient referrals, virtual homecare prescribing, virtual day-care prescribing, response to all clinical queries, telephone consultations (outreach, primary care, other specialties) and joint injections.

The successful candidate will work under the supervision of the Paediatric Rheumatology Consultants and:

  • Participate in the out-patient care of a full range of Paediatric and Adolescent Rheumatology conditions
  • Participate in the emergency and elective management of children, teenagers and young adults with rheumatology problems admitted to University Hospitals of Leicester NHS Trust
  • Review paediatric rheumatology patients as required in the paediatric/TYA day care unit.
  • Be responsible for arranging the admission of patients for inpatient and day case investigations and treatment.
  • Be responsible alongside Consultants for Entonox and theatre lists for children/TYA patients undergoing joint injections
  • Participate in assessment of in-patient referrals
  • Respond to clinical queries and communicating effectively with outreach, primary care, other specialties and families
  • Be responsible for virtual prescribing for day care and home care for Paediatric Rheumatology patients
  • Liaise closely with the specialist nurses
  • Work closely with the multidisciplinary team ensuring co-ordinated delivery of care
  • Attend/contribute to MDTs
  • Participate in teaching, audit and service development

Teaching

Both main campuses of the Trust are major centres for undergraduate and postgraduate education and teaching. The appointee will be expected to join our teaching programme helping with teaching paediatric rheumatology to undergraduate medical students and other professionals, in addition to opportunities for local and regional presentations and publications.

Audit/QIP and Research:

The appointee will be expected to actively participate in all the audit/QIP activities of the department. The paediatric Rheumatology service at UHL NHS trust is involved in a number of national and international research trials. The appointee should actively participate in all the research activities of the department

KEY RESULT AREAS

Service Delivery & Development

  • To provide paediatric and TYA outpatient and inpatient services.
  • To work collaboratively with the paediatric rheumatology team and other services.
  • To instigate and participate in clinical audits.
  • To participate in medical education, teaching and training.
  • To work with the team to develop and review protocols of care.
  • To participate in MDT meetings.
  • To actively ensure the appropriate safeguarding of patients.

Governance (E.g., NHSLA, CQC, Audit)

  • To work effectively with the CBU clinical quality & safety co-ordinator to identify and reduce risk, incidents and complaints to ensure that the team learn from any such occurrences to improve patient safety.

Patient Service

  • To be responsible for ensuring that consistently high standards of patient care is delivered by example and mentorship.
  • To ensure that patients and families become expert in their own care.

Research and Teaching at Leicester Childrens Hospital

  • To instigate and participate in clinical audits.
  • To support the paediatric research profile.
  • Participate in regular ward teaching of medical students and in weekly case presentations and junior medical staff teaching.
  • The fellow will also be encouraged to participate in the teaching programmes for nursing and paramedical staff.

It is the aim of the Leicester Children's Hospital to continue to develop the University Hospitals of Leicester as a recognised centre of excellence. This will require not only excellence in the clinical service but also an on-going programme of excellence in education and research.

Working hours:

0900-1700 hrs (Monday-Friday)

TIMETABLE (PROVISIONAL) Mon

Am

Ward cover Paediatric Rheumatology and day care

Pm

Ward work and teaching

Tues

Am

Entonox Joint injections and urgent review: day care

Pm

MDT meetings

Wed

Am

Paediatric Rheumatology clinic

Pm

Ward and day care activities

Thurs

Am

Paediatric Rheumatology clinic

PM

Paediatric Radiology MDT

Ward and day care activities

Prescribing

Fri

Am

Ward review/Clinic/ GA joint injections list

Pm

Audit /Research/publications

Note: Job plan subject to change depending on the speciality needs

Staff

  • The post does not carry any formal line management responsibility, although there will be an expectation that the post holder will be expected to lead and mentor Junior doctors and other Clinical Staff where appropriate

Policy

  • The post holder will be expected to comply with national and local polices DOH and NICE guidance where applicable. The post holder will additionally be expected to be fully engaged with the clinical and managerial teams to develop policies locally where appropriate.

Communications

  • To communicate effectively with clinical and managerial staff at all levels, patients and their families/carers.

Person Specification

Education / Qualifications

Essential

  • oGMC registration
  • oMRCPCH or equivalent.
  • oEntitled to work in the UK.

Desirable

  • Previous experience at Paediatric Middle Grade level in the UK

Skills and Abilities

Essential

  • oExcellent English
  • oGood communication skills, verbal and written

Experience & training

Essential

  • oPrevious experience in Paediatrics, including emergencies and safeguarding**
  • oAPLS (or equivalent)
  • oSafeguarding Training Level 2-3
  • oAbility to keep accurate and legible patient records and statistical information
  • oEvidence of Leadership experience

Desirable

  • oExperience in Teaching/ training undergraduates, junior medical staff/nurses
  • oUnderstanding management of chronic illnesses

Audit/ Clinical Governance

Essential

  • oExperience of active participation in audits, formulating guidelines, quality improvement projects

Research

Essential

  • oUnderstanding the place of Research in Service Development

Desirable

  • oEvidence of participating in research

Personal Characteristics

Essential

  • oAdaptable
  • oAble to work within multidisciplinary teams
  • oAble to prioritise and manage time effectively
  • oWillingness to work flexibly when required
  • oGood organisational skills
  • oAble to work under pressure
  • oAble to work to deadlines
Person Specification

Education / Qualifications

Essential

  • oGMC registration
  • oMRCPCH or equivalent.
  • oEntitled to work in the UK.

Desirable

  • Previous experience at Paediatric Middle Grade level in the UK

Skills and Abilities

Essential

  • oExcellent English
  • oGood communication skills, verbal and written

Experience & training

Essential

  • oPrevious experience in Paediatrics, including emergencies and safeguarding**
  • oAPLS (or equivalent)
  • oSafeguarding Training Level 2-3
  • oAbility to keep accurate and legible patient records and statistical information
  • oEvidence of Leadership experience

Desirable

  • oExperience in Teaching/ training undergraduates, junior medical staff/nurses
  • oUnderstanding management of chronic illnesses

Audit/ Clinical Governance

Essential

  • oExperience of active participation in audits, formulating guidelines, quality improvement projects

Research

Essential

  • oUnderstanding the place of Research in Service Development

Desirable

  • oEvidence of participating in research

Personal Characteristics

Essential

  • oAdaptable
  • oAble to work within multidisciplinary teams
  • oAble to prioritise and manage time effectively
  • oWillingness to work flexibly when required
  • oGood organisational skills
  • oAble to work under pressure
  • oAble to work to deadlines

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).

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.

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

University Hospitals of Leicester NHS Trust

Address

Leicester Royal Infirmary

Infirmary Square

Leicester

LE1 5WW


Employer's website

https://www.jobsatleicestershospitals.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

University Hospitals of Leicester NHS Trust

Address

Leicester Royal Infirmary

Infirmary Square

Leicester

LE1 5WW


Employer's website

https://www.jobsatleicestershospitals.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Paediatric Rheumatology Consultant

Dr Chitra Sundaramoorthy

chitra.sundaramoorthy@uhl-tr.nhs.uk

Details

Date posted

21 April 2023

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£53,017 a year pa

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

358-5185850-Chil

Job locations

Leicester Royal Infirmary

Infirmary Square

Leicester

LE1 5WW


Supporting documents

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