CONSULTANT in PAEDIATRIC and NEONATAL SURGERY

CONSULTANT in PAEDIATRIC AND NEONATAL SURGERY

WITH AN INTEREST IN UROLOGY

ROYAL HOSPITAL FOR CHILDREN, GLASGOW

INFORMATION PACK

REF: 47088d

cLOSING DATE: 16TH JUNE 2017

SUMMARY INFORMATION RELATING TO THIS POSITION

Post: consultant in paediatric and neonatal surgery with an interest in urology

base: royal hospital for children, glasgow

Applications are invited from motivated and suitably qualified paediatric surgeons who wish to join our team at the Royal Hospital for Children, Glasgow. We are primarily seeking to appoint a Consultant Paediatric and Neonatal Surgeon with an interest in Urology as a direct replacement. Primary clinical responsibility would be to supporting the department’s elective urology activities with a contribution to the on-call rota for acute general paediatric surgery. Within the urology activity we would expect the successful candidate continue to develop transition services linking with adult colleagues and cover the renal transplantation rota. The department has a commitment to outreach services and we would anticipate further developments in this area. The RHC has strong research pedigree and links with the University of Glasgow. The successful candidate will be expected to support both of these areas of departmental development.

Applicants are required to hold FRCS (Paeds) of the Intercollegiate Board in Paediatric Surgery or equivalent qualifications, have full GMC registration, a licence to practice and must be on or eligible for inclusion in the GMC Specialist Register as a Paediatric Surgeon. Those trained in the UK should have evidence of higher specialist training leading to CCT or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training.

Further information from Mr M Flett, telephone 0141 451 6530.

NHS Greater Glasgow & Clyde

Acute Division

Women and Children’s Directorate

Information Pack

for the post of

Consultant in Paediatric and Neonatal Surgery (with an interest in Urology)

Royal Hospital for Children,

Glasgow

REF:47088D

Acute Division - Women & Children’s Directorate

Further Particulars of the Post of Consultant in Paediatric and Neonatal Surgery (with an interest in Urology), RHC, Glasgow

JOB DESCRIPTION

This document is split into the following sections:

Information on paediatric services in NHS Greater Glasgow and Clyde

General description of children’s services

Anaesthesia, Critical Care and Surgery Services

Information on the job and the selection process

The Job Itself/Description of Service and Contacts

Job Selection Process

Personal Specification

Terms and Conditions of Service

Further Information

The overall job pack also contains documentation around equal opportunities monitoring.

Section 1:Hospital Paediatric and Neonatal Services across NHS Greater Glasgow and Clyde

Within Greater Glasgow and Clyde the majority of acute children’s services are provided in the Royal Hospital for Children (RHC). There is also currently paediatric and neonatal inpatient care in the Royal Alexandria Hospital, Paisleyfor children, young people and neonates in the Clyde catchment area of the NHS Board but this is under review. Neonatal intensive care is provided at the Southern General Maternity Hospital, Princess Royal Maternity and Royal Alexandria Hospital. The RHC is based within the South Glasgow Hospitals campus with the Queen Elizabeth University Hospital (including Maternity services) in Govan.

The Royal Hospital for Children

RHC which opened on 10th June 2015 is the largest paediatric teaching hospital in Scotland. It provides care for children resident within the Greater Glasgow area and acts as a tertiary referral centre for children from the West of Scotland and beyond in a range of subspecialties including invasive paediatric cardiac, nephrology and renal transplantation services.

All paediatric medical and surgical subspecialties are provided, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology (bone marrow transplant service), neurology, neurosurgery, cranio-facial and maxillofacial surgery, nephrology, cardiology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, rheumatology and orthopaedics, general paediatric and neonatal surgery, paediatric urology and renal transplant surgery.

The children’s hospital features 244 paediatric beds with a further 12 neonatal beds in the maternity unit next door. The vast majority of the paediatric beds are in single rooms with space for overnight accommodation for parents. The hospital also features a cinema - the Medicinema, Science Centre interactive activity walls (funded by the Yorkhill Children’s Charity), indoor and outdoor play areas and a roof garden.

There are 9 full operating theatres including a dental and endoscopy suit. Four of these theatres are fully integrated for minimally invasive work, a number have laminar flow air hoods for ultra clean surgery and the neurosurgical theatre is equipped for stereotactic surgery. Adjacent to the theatre complex is a day surgery and 23 hour unit supported by a pre-assessment team.

The paediatric radiology department has a full suite of state of the art scanners, nuclear medicine department and 2 interventional theatres with mono and biplanar screening. There are also cardiac & respiratory physiology departments on site.

National services provided from RHSC include:

Cardiac Surgery and interventional cardiology
Neonatal cardiology
Neonatal ENT
ECLS
Congenital Diaphragmatic Hernia network,
Vein of Galen assessment and treatment (together with Great Ormond Street as a UK service)
Paediatric Nephrology and NephroUrology MCN
Paediatric Renal transplantation
Paediatric Stem Cell transplantation
Large outpatient, medical day care, medical assessment unit and emergency department
On site paediatric and neonatal transport/retrieval services
A pan Greater Glasgow Child Protection Unit has been developed on site
Paediatric and Family Psychiatry

Laboratory services to the RHC are provided from the South Glasgow Hospitals campus.

RHC provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow and accommodates the University Departments of Child Health, Child and Family Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Surgical Paediatrics.

Southern General Maternity

At the start of 2010 the new neonatal unit opened above the labour ward on the Southern General site with projected delivery numbers for the hospital of 5,900 births per year. Because the Ian Donald Fetal Medicine unit is on the same site, a significant proportion of the neonatal workload involves delivery of infants with known congenital anomalies. Being co-located with the RHC allows support direct integration between the paediatric surgical and other specialist teams and fetal medicine and neonatal care. There is physical space for 34 intensive care and high dependency cots and 26 special care cots.

Princess Royal Maternity (PRM)

The PRM is a large maternity unit, situated about 1 mile east of the centre of Glasgow. It is on the campus of Glasgow Royal Infirmary, which provides services for the population of the East and North of Glasgow. It is a purpose built 120 bed maternity hospital, with a capacity for 6,800 deliveries per annum. There are 10 intensive care cots, 23 special care cots and a four bed transitional care unit. All neonatal intensive care can be provided except for those infants who require neonatal surgery and/or extra-corporeal life support services (ECMO). A telemedicine link with the Royal Hospital for Children has been long established allowing live consultation and the transmission of ultrasound images. The University Chair of Obstetrics and Maternal Medicine is based on site and there is an active research philosophy in the unit.

Golden Jubilee National Hospital (GJNH)

The GJNH is located 8 miles west of the city centre along the river Clyde. It contains the West of Scotland Cardiac Centre which provides cardiac surgery and interventional cardiac services to the population of the West of Scotland. It also has some designated National services including the Scottish Adult Congenital Cardiac Service, Scottish Pulmonary Vascular Unit and Scottish Advanced Heart Failure Service. The adult congenital unit performs over 200 adult congenital operations and catheter interventions per year and is closely integrated with the paediatric congenital cardiac service.

Section 2Management Structures

Greater Glasgow and Clyde NHS Board have a single operating division for all acute services. Diagram (1) highlights the local management structure underpinning operational service delivery.

Diagram 1 – management structure

Key Stakeholders (within Diagram 1):

Robert CalderwoodChief Executive; Greater Glasgow and Clyde NHS Board

Kevin HillDirector Women and Children’s Directorate

Alan MathersChief of Medicine for the Women & Children’s Directorate

Jamie RedfernGeneral Manager; Hospital Paediatrics & Neonatal Services

Morag CampbellClinical Director Critical Care and Neonatology (including cardiac services)

Pam CupplesClinical Director, Surgery & Anaesthesia

Heather DawesClinical Services Manager including Cardiac Services

Lynne RobertsonClinical Services Manager

Section 3. THE JOB ITSELF

(a) Title:

Consultant in Paediatric and Neonatal Surgery (with and interest in Urology).

(b) Relationships:

(i) Name of Health Board: NHS Greater Glasgow & Clyde

(ii) Names of Consultant Surgeons of the Department:

Mr James Andrews
Mr Timothy Bradnock
Miss Nicola Brindley (Link Clinician)
Mr Carl Davis
Mr Martyn Flett
Mr Graham Haddock
Mr Constantinos Hajivassiliou
Ms Boma Lee
Mr Stuart O’Toole
Mr Atul Sabharwal
Mr Gregor Walker

(iii) Junior Medical Staff

Our junior staff compliment is undergoing review in keeping with the national re-assessment of training numbers across all specialities. We currently have eight national training slots for Paediatric Surgery. There are also two core surgical trainees and nine foundation doctors (FY1). RHC is recognised as a training centre for all years of specialist Paediatric Surgical training. Trainees also rotate to the other Scottish Paediatric Surgical centre in Edinburgh. It is likely that in the next few years the number of trainees may reduce, however, we have agreement in principal that non-training posts could be established which should allow for maintenance of the service. The successful candidate would be expected to formally and informally supervise trainees and participate in their assessment through the ISCP system and at the training programme ARCP. These roles would be clarified by the Training Programme Director after appointment.

(c) Duties of the Post:

The post is full time and based in the Royal Hospital for Children, Glasgow. The successful applicant will function as one of the team of Paediatric and Neonatal Surgeons with elective interest predominantly in Paediatric Urology. He / she will contribute to the delivery of elective paediatric surgery as determined by the needs of the department and join the emergency on-call rota with commitment to be confirmed, on appointment, by mutual agreement. The Department of Surgical Paediatrics also provides outreach to Lanarkshire and Forth Valley Health Boards. There is an anticipation that the successful applicant will have a role in the on-going development of the outreach service. Within Urology the appointee will be expected to contribute to the Scottish Nephrourology MCN, support the Clinical Nurse Specialists in delivering service and provision of Urodynamics investigaiton and to support and develop transition services with links to adult urology. The successful applicant, following confirmation of experience will also support the delivery of paediatric renal transplantation. The department has a strong research pedigree and links to the University of Glasgow, development of research interests would be encouraged.

Applicants are required to hold FRCS (Paeds) of the Intercollegiate Board in Paediatric Surgery and be on, or eligible for inclusion in, the Specialist Register of the General Medical Council as a Paediatric Surgeon. Applicants who either possess a CCT or a Specialist Registrar who is within 6 months of the award of a CCT are eligible to apply.

The post holder will have a negotiated job plan. In that regard it should be noted that the job plans of the current Consultants within the Unit include four Programmed Activities to address the substantial out of hours commitment. Responsibilities will include ward rounds, continuing care, administration, teaching, audit and research. The job plan will include 2 outpatient clinics. All day operating sessions will be timetabled regularly and flexibly to achieve approximately 40 all day sessions per year. Outreach sessions will be timetabled for a approximately 10 days per year. Review and confirmation of plan will be subject to on going diary of activity.

The post holder will take part in an on-call rota for General Paediatric and Neonatal Surgery in conjunction with other consultants (this is under review as stated above). On call duties will be confirmed on appointment.

The post holder will have further responsibilities, in addition to clinical duties detailed in the job plan the nature of these duties will be subject to allocation of appropriate SPA time as above but would be expected to include:

(i) Teaching

The successful applicant will have the opportunity to take a role in undergraduate and postgraduate teaching. He or she will also be expected to be responsible for the professional supervision, training and development of doctors in training grades including the role of clinical and/or educational supervisor to the Specialist Trainees.

(ii) Research & Audit

The successful applicant will have the opportunityto develop a research interest and supervise research projects undertaken by doctors in training grades. The post-holder will also have responsibility for clinical audit/clinical effectiveness.

(iii) Administration

The post-holder will be expected to undertake such administrative duties as are required for his or her patients and the proper functioning of the Department.

(iv) Other duties

The post holder will undertake duties as shall from time to time be delegated to him/her by the Clinical Director or Link Clinician. The successful candidate will be expected to support the Department’s outreach programme of operating list/clinic provision in adjacent Health Boards.

(d) Timetable

This timetable is given only as an example as the exact timing and nature of sessions will be determined on appointment by mutual negotiation.

This job plan is negotiable and will be agreed between the successful applicant and the Clinical Director. NHS Greater Glasgow & Clyde initially allocates all full time consultants 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core Supporting Professional Activities (SPA) for CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine communication and management meetings. The precise allocation of SPA time and associate objectives will be agreed with the successful applicant and will be reviewed at annual job planning.

Example Job Plan

Day / AM / PM
Mon / OPC / Urodynamics,Urology MDT
Tues / DCC/Administration / OPC
Wed / Alternate Theatre / Alternate Theatre
Thurs / Surgical Outreach (Flexible)
Fri / CME & Academic meeting / Theatre
Sat
Sun

The post will be offered on a 10PA contract with additional EPAs negotiated at appointment. SPA allowance will be 1 PA at appointment – formal teaching and other non clinical commitments would only be appropriate if adequate SPA sessions are agreed.

Contacts within RHC

Within the Women and Children’s Directorate the following list of useful contact names and addresses are available:

Mr Kevin Hill, Director, Women and Children’s Directorate, RHC, Tel: 0141 451 6496

Dr Alan Mathers, Chief of Medicine for the Women & Children’s Directorate, Tel Number 0141 451 65188

Dr Pam Cupples, Clinical Director, Surgery & Anaesthesia, Tel Number 0141 451 4316

Jen Rodgers, Head of Nursing, RHC, Tel Number 0141 451 6518

Mr Jamie Redfern, General Manager, Women and Children’s Directorate, RHSC, Tel Number 0141 451 6496

Section 7 – Person Specification for Consultant Paediatric and Neonatal Surgeon

FACTOR / Essential / Desirable
Qualification / MB ChB or equivalent. FRCS(Paeds) or equivalent CCT in Paediatric Surgery
Full GMC Registration and a Licence to practise.
Eligible for inclusion in GMC Specialist Register as a Paediatric Surgeon / ATLS provider status and/or APLS provider status.
CLINICAL EXPERIENCE / Broad experience in all aspects of Paediatric and Neonatal Surgery
Demonstrable experience in tertiary paediatric urology / Experience or exposure to:

Renal transplantation.
Urology transition services.
Urodynamics investigation and reporting.

CLINICAL SKILLS / Ability to practice independently in line with accepted guidelines
AUDIT
TEACHING
ACADEMIC
RESEARCH / Evidence of commitment to clinical audit and participation in Significant Event Analysis.
Evidence of enthusiasm for and experience of teaching
Demonstration of engagement with the ISCP national training programme in paediatric surgery.
Evidence of published work in peer reviewed journals relevant to Paediatric Surgery / MD / ChM higher degree or equivalent
Evidence of teaching / assessment training.
Evidence of administration and completion of clinical research
DISPOSITION
e.g. Personal transferable skills / Leadership qualities, commitment to team working
Organisational, administrative and communications skills

TERMS AND CONDITIONS OF SERVICE

The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.