Brighton and Sussex University Hospitals NHS Trust

Job Description

Job Title / Transport Clinical Fellow ST4+level
Banding / 1a
Department / Neonatology
Base / RoyalSussexCountyHospital
Division / Women & Children

What we do

BSUH is the regional teaching hospital working across two sites: the RoyalSussexCountyHospital in Brighton and the PrincessRoyalHospital in Haywards Heath. The Brighton campus includes the Royal Alexandra Children’s Hospital and the SussexEyeHospital, and the Haywards Heath campus includes the Hurstwood Park Regional Centre for Neurosciences.

We provide general acute services to our local populations in and around the City of Brighton and Hove, Mid Sussex and the western part of East Sussex and more specialised and tertiary services for patients across Sussex and the south east of England.

Both hospitals provide many of the same acute services for their local populations. In addition, the Princess Royal is our centre for elective surgery and the RoyalSussexCountyHospital is our centre for emergency and critical care. Our specialised and tertiary services include neurosciences, paediatrics, cardiac, cancer, renal, infectious diseases and HIV medicine. We are currently developing our capability as the designated major trauma centre for the region.

We treat over half a million patients each year. Working as one hospital across two sites, and playing to the strengths of both, gives the flexibility to develop services which meet the needs of our patients at different stages of their treatment and care.

Central to our ambition is our role as developing academic health sciences centre, a provider of high quality teaching, and a host hospital for cutting edge research and innovation; and on this we work with our partner, Brighton and Sussex Medical School (BSMS), the Kent, Surrey and Sussex Postgraduate Deanery and our local Universities.

We also work in close partnership with our local GPs and commissioners to ensure that local health services are provided and improved in ways which best meet the needs of our patients and their families.

Department Information

The Department of Neonatology operates across two sites; the RoyalSussexCountyHospital in Brighton (3500 deliveries) and the Princess Royal Hospital, Haywards Heath (2400 deliveries). A team of Advanced Neonatal Nurse Practitioners has been developed across both RSCH and PRH sites and delivers a unique nurse-led neonatal service at PRH.

The Trevor Mann Baby Unit (TMBU) is based at the Royal Sussex County Hospital (RSCH) and has recently undergone a major refurbishment. It provides a level 3 neonatal intensive care service for Sussex and the Surrey and Sussex Neonatal Network. There are approximately 500 admissions and in excess of 2000 intensive care cot days each year. There are 27 cots on the unit, including 9 currently designated for intensive care, 8 for high dependency and 10 for special care. There are facilities for high frequency ventilation, nitric oxide and total body cooling for asphyxiated infants. A neonatal surgical service runs in conjunction with the Royal Alexandra Children’s Hospital which moved to its new landmark building on the RoyalSussexCounty site in July 2007.

There are facilities in the maternity unit for fetal assessment and fetal medicine and referrals are accepted for perinatal care prior to neonatal surgery. The neonatal service has comprehensive support from paediatric radiology, paediatric surgery, perinatal pathology, pharmacy, echocardiography, audiology, and ophthalmology and has visiting support from other tertiary specialists.

The Sussex Neonatal Transport Service is based on TMBU with a dedicated vehicle, driver and transport clinicians. In collaboration with similar services in Kent and Surrey, the service undertakes almost 1000 emergency and elective transfers each year throughout the south east of England.

Departmental Staffing

7 Consultant Neonatologists, 1 Consultant Paediatrician (respiratory and neonatal medicine)

4 Consultant Surgeons

10 Specialty Training grades (6 ST3, 3 ST4, 1 national grid post in Neonatal Medicine)

7 Trust Clinical Fellows

There are also Advanced Neonatal Nurse Practitioners, 1 Associate Specialist and 1 Specialty Doctor who work across TMBU and SCBU at Princess Royal Hospital.

Training and Education

The Department of Neonatology in Brighton has been officially recognized as a training centre for Neonatology by the Royal College of Paediatrics and Child Health. The training programme fulfilsthe requirements of the European Training Syllabus in Neonatology and has been accredited by the European Society for Neonatology. An undergraduate medical school opened in Brighton in October 2003 providing state-of-the-art clinical teaching facilities in the newly-constructed Audrey Emerton building at the RoyalSussexCountyHospital site. A 10 bed purpose-built Clinical Investigation and Research Unit has recently been opened.

Training Objectives:

Clinical

  1. Further develop skills in neonatal transport medicine
  1. Improve competence in the advanced management of medical and surgical problems in newborn infants of all gestations.
  1. Refine oral and written communication skills
  1. Develop skills in resource management

Teaching

Develop teaching skills with nurses, midwives and medical colleagues. The post holder will be expected to contribute to the weekly TMBU departmental teaching programmes including Journal Club and case presentations. They will contribute to undergraduate medical student teaching. There are currently links with the Brighton & Sussex Medical School

Audit

The post holder will undertake to achieve and present a high quality clinical audit project each year based on the work of the Transport Service. There will be consultant supervision and support from the clinical audit department. The aim will be to use audit findings to guide protocol development within the Service

Clinical Governance

1.Develop effective communication with the multidisciplinary team including obstetricians, paediatric surgeons, referring hospitals, GPs and parents

2.To develop an understanding of clinical governance

3.The post holder will be expected to undergo active involvement in guideline development.

Research

To gain experience of neonatal research by participation in local and multicentre trials. The postholder will be supported in developing an area of specific research interest.

Management

Acquire the necessary management skills required for a trainee at his/her respective level

Achieving Training Objectives:

  1. Manage acutely ill babies from the moment of referral, through the stabilisation and transport phases to their hand-over to the accepting Unit.
  2. Undertake practical procedures
  3. Undertake periods of study leave to undertake and contribute to Neonatal Transport related educational activities
  4. Attend handover meetings and consultant ward rounds that provide a forum for discussion and teaching on a regular basis. This will be undertaken during rotational time onto TMBU
  5. Undertake periods of duty on TMBU. This allows the development of complementary skills and eases integration into the Brighton Team.

For candidates with an interest in research there could be an opportunity to extend their contract to include a period of research work based at the Trevor Mann Baby Unit

On-going projects include

  1. Cord milking versus delayed cord clamping
  2. Analysing pulse oxymetry waveforms to detect breathing patterns
  3. Non-invasive lung function studies in preterm infants
  4. Neo-Circulation 001A study, funded by the European Commission FP7-HEALTH scheme as part of the NEO-CIRC project.

On callrota

The post holder will join an EWTD compliant rota.

Responsibilities

The post holder will be:

  1. responsible to the senior members of staff for the execution of their professional duties.
  1. expected to attend ward rounds, acquaint himself/herself with patient management and ensure all investigations and treatments are completed. They will ensure good communications are maintained with staff in all specialities to the benefit of the patient.
  1. conversant with the 'On Call' rota and ensure he is immediately available for any emergencies or 'Crash Call'.
  1. available to confer with patients relatives if required
  1. responsible for keeping his/her senior staff informed of new admissions and serious cases on the ward or neonatal unit
  1. expected to carry out extra duties in occasional emergencies and unforeseen circumstances
  1. responsible for maintaining in-patient notes, and preparing discharge summaries
  1. expected to attend hospital induction programmes and sessions specific to each clinical area at the start of the post

Our PartnerMedicalSchool

The school's first 128 students started their five-year course in October 2003 and it has proved an outstanding success, typically receiving more than 15 applications per place and consistently among the most competitive medical schools in the country. Students spend the first two years based mainly at the University campuses at Falmer, but with significant clinical exposure throughout the period, particularly in primary care. During year 3 the main focus is hospital based specialties at the RSCH, while years 4 and 5 are spent obtaining further basic science training and gaining experience in other medical disciplines. Year 5 is mainly based around regional attachments and will provide experience in shadowing house officers. The School aims to teach a research-rich curriculum in which basic and clinical science are prominent. In addition, we have developed an imaginative teaching programme that incorporates new technology (such as the innovative PDA project, MoMED) and the use of imaging alongside anatomy teaching, which has been a particular success. Feedback from the National Student Survey has demonstrated an exceptionally high level of student satisfaction. Close links have been developed with many NHS consultant colleagues and honorary academic titles are conferred for those who have a particular engagement with the School. BSMS is also closely involved with postgraduate education.

BSMS has produced a new 5 year strategic plan (2009 – 14) that places growing its research capacity as the number one priority. We have made significant investments in research infrastructure, including a world-class Clinical Imaging Sciences Centre (CISC) and a Clinical Investigation & Research Unit (CIRU) dedicated to patient orientated research and early clinical trials. There has been a rapid increase in postgraduate research students and research income has more than doubled over the last five years.

The research programme of the School is growing rapidly. It is focused around major themes that include neuroscience, oncology, and infection and inflammation. Within these we have particular strengths in elderly care medicine, primary care and epidemiology and in imaging. There is a joint Research Office that handles NHS R&D contracts and strong links between BSMS research faculty and NHS colleagues.

Residency

Rented accommodation is sometimes available at the Hospital, details of which can be obtained from the Residences Manager on 01273 696955 ext 4551.

Annual and Study Leave

Staff are expected to discuss plans for leave with members of their Department well in advance or any proposed leave.

General Information

EMERGENCIES

The post holder accepts that he/she will also perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant, in consultation where practicable with his/her colleagues both senior and junior. It has been agreed between the profession and the department that while additional commitments arising under this subsection are exceptional and in particular that juniors should not be required to undertake work of this kind for prolonged periods or on a regular basis.

Main Conditions

  • The appointment is subject to the National Terms and Conditions of Service for Hospital Medical and Dental Staff (England and Wales) and to the General Whitley Council of Conditions of Service
  • Medical clearance is required prior to taking up the post;
  • Doctors must hold a licence to practice and be registered with the General Medical Council, and it is advisable to be a member of a Medical Defence Organisation;

Useful websitesBSUHT -

University of Brighton-

University of Sussex-

BSMS-

For further information

about the City of Brighton

and Hove and surrounding

area-

Competence
  • The jobholder is required to participate in the Trust appraisal process and work towards meeting identified development needs.
  • The jobholder is required to demonstrate on-going continuous professional development.
  • At no time should the jobholder work outside their defined level of competence. If the postholder has concerns regarding this they should immediately discuss this with their Manager/Supervisor/Consultant. The jobholder has the responsibility to inform those supervising their duties if they are not competent to perform a duty.
Registered Health Professional

All staff who are members of a professional body must comply with standards of professional practice/conduct. It is the postholder’s responsibility to ensure they are both familiar with and adhere to these requirements.

Risk Management/Health & Safety

The jobholder has a responsibility to themselves and others in relation to managing risk, health and safety and will be required to work within the policies and procedures laid down by the Trust. All staff have a responsibility to access occupational health, other staff support services and/or any relevant others in times of need and advice.

Infection Control

Infection prevention and control is an essential aspect of patient care. All post holders have a personal obligation to act to reduce Healthcare Associated Infections (HCAIs). They must attend mandatory training in infection prevention and control and be compliant with all measures required by the Trust to reduce HCAIs. Post holders must be familiar with the Trust’s Infection Control Policies, including those that apply to their duties, such as Hand Decontamination Policy, The Dress Code and Personal Protective Equipment Policy. Post holders who have clinical responsibilities must incorporate into their clinical activities up-to-date evidence that supports safe infection control practices and procedures, for example the use of aseptic techniques and the safe disposal of sharps.

Safeguarding Children and Vulnerable Adults

Post holders have a general responsibility for safeguarding children and vulnerable adults in the course of their daily duties and for ensuring that they are aware of the specific duties relating to their role.

Smoking Policy

It is the Trust’s policy to promote health. Smoking, therefore, is actively

discouraged. It is illegal within the Trust’s buildings and vehicles.

Flexibility Statement

This job description is not inflexible but is an outline and account of the main duties. Other duties may be required to be performed from time to time in line with the jobholder’s grade, experience and job role. The job description will be reviewed periodically and at the time of the employee’s appraisal, to take into account changes and developments in service requirements. Any significant changes that are proposed will be discussed fully and agreed with the post holder in advance.

Confidentiality

As an employee of this Trust you may gain privileged knowledge of a highly confidential nature relating to private affairs, diagnosis and treatment of patients, information affecting members of the public, personal matters concerning staff, commercial confidences of third parties, and details of items under consideration by this Trust. Such information should not be divulged or passed to any unauthorised person or persons, and the requirements of the Trust’s Code of Conduct for Employees in Respect of Confidentiality, a copy of which is available from your Head of Department, must be adhered to with particular regard to the responsibilities of individuals and the Trust under appropriate legislation, notably the Data Protection Act. Failure to comply with this requirement may constitute gross misconduct under the Trust’s Disciplinary Policy which may lead to summary dismissal.

1