Paediatric Rheumatology Clinical Fellow

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

Training and Qualification

Essential

• GMC registration
• MRCPCH or equivalent

Desirable

• Previous experience at Paediatric Middle Grade level in the UK

Experience

Essential

• Previous experience in Paediatrics, including emergencies and safeguarding
• APLS (or equivalent)
• Safeguarding Training Level 2-3
• Ability to keep accurate and legible patient records and statistical information
• Evidence of Leadership experience

Desirable

• Understanding management of chronic illnesses
• Experience in Teaching/ training undergraduates, junior medical staff/nurses

Communication and relationship skills

Essential

• Excellent English
• Good communication skills, verbal and written

Personal Characteristics

Essential

• Adaptable
• Able to work within multidisciplinary teams
• Able to prioritise and manage time effectively
• Willingness to work flexibly when required
• Good organisational skills
• Able to work under pressure
• Able to work to deadlines

Audit and Clinical Governance

Essential

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

Research

Essential

• Understanding the place of Research in Service Development

Desirable

• Evidence of participating in research

Equality, Diversity and Inclusion

Essential

• Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs.
• All staff are expected to engage in compassionate and inclusive leadership in the provision of high quality care and interactions with others

Commitment to Trust Values and Behaviours

Essential

• Must be able to demonstrate behaviours consistent with the Trust's Values and Behaviours

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).