Royal College of Paediatrics and Child Health

WORKFORCE CENSUS

30TH SEPTEMBER 2009

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Data Input Date
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Royal College of Paediatrics and Child Health

WORKFORCE CENSUS - 30TH SEPTEMBER 2009

General Information

  1. The questionnaire is to be completed by the Clinical Directors or Clinical Leads in integrated trusts responsible for child health services.
  1. Whilst every effort has been made to ensure that our list of Clinical Directors and Leads is complete there may be some inaccuracies. In which case please pass the form to whoever is responsible and provide Shazia Mahmood with the correct contact details.
  1. Pre-loaded Information in Sections 1 and 3 (blue font) is taken from the 2007 Census. This requires updating for the situation as at 30 September 2009. The data collected in this form will only be used for RCPCH business purposes, and details about individual doctors will not be passed onto third parties.
  1. The census does not include a section for paediatric trainees. The College will collect this information separately in 2009.
  1. For additional or replacement forms, please contact Shazia Mahmood at the College (details below). It is also planned to make copies of the blank form downloadable from the College website http://www.rcpch.ac.uk/Research/Workforce.
  1. If there are further queries, please contact either Shazia Mahmood or Martin McColgan at the college for further advice (details below).
  1. Forms should be returned in the reply-paid envelope by 31st October 2009. (Shazia Mahmood, Science & Research Department, FREEPOST RRTE-JSAH-TTCL, Royal College of Paediatrics and Child Health, 5-11 Theobalds Road, London, WC1X 8SH).
  1. Alternatively the form can be sent to you as a Microsoft Word document and returned by email.

Contact details:

Martin McColgan, Workforce Information Officer:

Research Division, Royal College of Paediatrics and Child Health, 5-11 Theobalds Road, London, WC1X 8SH

Tel 020 7092 6162, Email

Shazia Mahmood, Workforce Assistant:

Research Division, Royal College of Paediatrics and Child Health, 5-11 Theobalds Road, London, WC1X 8SH

Tel 020 7092 6163, Email

Royal College of Paediatrics and Child Health

WORKFORCE CENSUS - 30TH SEPTEMBER 2009

FORM D: TO BE COMPLETED BY CLINICAL DIRECTOR OR CLINICAL LEAD RESPONSIBLE FOR CHILD HEALTH SERVICES IN TERTIARY CENTRES

Section 1: Contact details, configuration, services and workforce pressures


1.1 TRUST NAME*

*Health Board Name in Scotland and Northern Ireland if appropriate

CONTACT DETAILS OF CLINICAL DIRECTOR/LEAD PAEDIATRICIAN

Are your details correct, please update where appropriate? If you are not the right person please pass to a colleague and tell Martin McColgan at the College.

1.2 Title / 1.3 First Name / 1.4 Surname
1.5 Post Title
1.6 Address
1.7 Postcode
1.8 Tel No.
1.9 Email
CONFIGURATION OF CHILDREN’S SERVICES IN YOUR TRUST
Reconfiguration or reorganisation of children’s services within your trust:
1.10 Has been completed since September 2007 / Yes* No
1.11 Is currently underway / Yes* No
1.12 Is planned for the future / Yes* No
1.13 *If ‘yes’ to any of 110, 1.11 or 1.12 please describe reconfiguration / reorganisation:
PAEDIATRIC SERVICES PROVIDED IN YOUR TRUST AS AT 30th SEPTEMBER 2009
Create a separate row for each hospital/unit data in the table below for each of the paediatric units within yourTrust.
1.14
Unit/Hospital Name / 1.15
In patients
(Y/N) / 1.16
Out patients
(Y/N) / 1.17
Tertiary Services
(Y/N) / Neonatal Care / Emergency Departments / Paediatric Assessment Unit / PMETB / Consultant of the Week* system operates?
1.18
Level Of Unit
(1, 2, 3 or 0=no unit) / If Unit = level 2 / 1.20
Children seen in ED
(Y/N) / 1.21
Children seen in Dedicated ED
(Y/N) / 1.22
Do you have a PAU?
(Y/N) / 1.23
If ‘yes’ total hours open per week / 1.24
Is it co located with ED?
(Y/N) / 1.25
Location in PMETB approved training programme? (Y/N) / 1.26
Gen Paeds
(Y/N) / 1.27
Neonatal
(Y/N) / 1.28
Gen & Neo combined
(Y/N)
1.19
Number of days of Level 1 (full intensive care provided 1st January to 30th June 2009 (6 months
TERTIARY PAEDIATRIC SPECIALIST SERVICES PROVIDED IN YOUR TRUST AS AT SEPTEMBER 30TH 2009

Please indicate the specialties at each tertiary unit within your trust in the table below.

1.29 Unit/Hospital Name / 1.30 Specialty Provided (please tick all that apply)
Paediatric Emergency Medicine / Child Mental Health / Paediatric Clinical Pharmacology / Community Child Health / Paediatric Endocrinology / Gastroenterology and Hepatology & Nutrition / Paediatric Infectious Disease, Allergy & Immunology / Paediatric Intensive Care Medicine / Paediatric Metabolic Medicine / Neonatology / Paediatric Nephrology / Paediatric Neurodisability / Paediatric Neurology / Paediatric Oncology / Paediatric Palliative Care / Paediatric Respiratory Medicine / Paediatric Rheumatology

Please briefly describe the 3 greatest workforce pressures or issues that are most important to you at the present time

1
2
3
NEW CONSULTANTS - WTD FUNDING

1.32 How many new consultant posts (in 2009), either filled or currently vacant,have been funded by DH monies allocated in support of WTD implementation.

1.33 How many of these posts include in the job plan PAs allocated to resident shift working


Section 2: Rotas as at September 30th 2009

PAEDIATRIC ROTAS – GENERAL / NEONATAL / SAFEGUARDING/SUDI/PAU

Please enter details of rotas in separate tables for each tier. Include general paediatric rotas, combined general/neonatal rotas, safeguarding, SUDI and rotas on paediatric assessment units.

Separate neonatal rotas for level 3 units should only be listed if the neonatal lead in your Trust is not completing a separate return. Do not include subspecialty rotas in this table.

If there are rotas which cover more than one hospital site, please give both names under question 2.1. If more complex arrangements exist, please explain in question 2.27 or telephone/email the workforce team to describe the rotas.

We are also interested in plans for non-WTD2009 compliant rotas, please enter your comments in question 2.28

Tier 1 Rotas (Junior, “SHO” level rotas)

2.1
Hospital (Name of Hospital or assessment unit) / 2.2
Service
G=General
G/N= Gen/Neo
N=Neonatal
S=Safeguarding
SU=SUDI
A=Assessment Unit
/ 2.3
Number of posts on Rota / 2.4
Whole Time Equiv (WTE) on Rota / 2.5
WTD 2009 Is rota paper compliant? (Yes/no) / Vacancies on rota / 2.8
Grade breakdown of rota - wte
2.6
Number / 2.7
WTE / ST doctors
ST1-8
FTSTA
LAT
ACF/ACL / ST doctors other specialties (non paeds) / FY doctors / GP Foundation Programme doctors / Trust and other doctors / Nurses
AP
ANP
ANNP
APNP

Tier 2 Rotas (Middle Grade)

2.9
Hospital (Name of Hospital or assessment unit) / 2.10
Service
G=General
G/N= Gen/Neo
N=Neonatal
S=Safeguarding
SU=SUDI
A=Assessment Unit / 2.11
Number of posts on Rota / 2.12
Whole Time Equiv (WTE) on Rota / 2.13
WTD 2009 Is rota paper compliant? (Yes/no) / Vacancies on rota / 2.16
Grade Breakdown of rota - wte
2.14
Number / 2.15
WTE / Consultants / SASG / Specialty Doctors / ST doctors
ST1-8
FTSTA
LAT
ACF/ACL / ST doctors other specialties (non paeds) / Trust and other doctors / Nurses
AP
ANP
ANNP
APNP

Tier 3 Rotas (Consultants)

2.17
Hospital (Name of Hospital or assessment unit) / 2.18
Service
G=General
G/N= Gen/Neo
N=Neonatal
S=Safeguarding
SU=SUDI
A=Assessment Unit / 2.19
Number of posts on Rota / 2.23
WTE on Rota / 2.24
WTD 2009 Is rota paper compliant? (Yes/no) / Vacancies on rota
2.25
Number / 2.26
WTE

Non-Standard Rotas

2.27 Please use the space below to give brief details of any non-standard rota arrangements that exist and have an impact on workload. For example-
1) Where your rotas involve doctors working in other trusts/organisations.
2) Community doctors working elsewhere during the day but contributing to out of hours.
3) Hospital doctors who work on the acute rota but also contributing to the SUDI rota

Non-Compliant Rotas.

2.28 Please comment about any non-compliant WTD 2009 rotas. This should cover whether there is an agreed plan to make the rota compliant, brief details about the plan and whether it has been approved. Also let us know if derogation has been applied for any of your rotas and whether it has been granted.


PAEDIATRIC SUBSPECIALTY ROTAS AS AT SEPTEMBER 30TH 2009

Does the trust have separate paediatric specialty rotas? Yes No

If yes, please provide details in the table below for each subspecialty rota. If no, please go to Form 4.

2.29 Unit/Hospital Name / 2.30 Specialty / 2.31 Provision of specialty cover
(see notes) / 2.32 Is there a separate on-call consultant grade rota? / 2.33 Is there a separate on-call middle grade rota? / 2.34 Is there a separate on-call junior grade rota?
Normal Working Hours / Out of Hours / Yes/No / No. / WTE / WTD Compliant at 30/9/09 / Yes/No / No. / WTE / WTD Compliant at 30/9/09 / Yes/No / No. / WTE / WTD Compliant at 30/9/09

Section 3: Career Grade Workforce as at 30th September 2009 in Tertiary Centres

General

-  The census will not be collecting individual data on paediatric trainees working in the UK as it will be captured through College training records. You should include consultants (including academic paediatricians), SASG grade doctors, Specialty doctors, Trust Grade doctors, Clinical Fellows and all other non-training grade paediatricians in this section.

-  Please enter data for the doctors in the 4 separate tables 3A for Consultants (General and Specialist), 3B for SASG/Other doctors, 3C for Academics and 3D for non-paediatric subspecialists working over 50% of their time with children.

-  Include

o  All non-training grade paediatric doctors working in general and neonatal services (for level 3 units see below) in your Trust.

o  Specialist paediatricians working in your trust. Include only those working in specialties designated by the College for training in tables 3A and 3C.

o  Academic paediatricians, including where known academic paediatricians who do not have clinical commitments. Record these in table 3C

o  In table 3D we would like where possible for you to record details of specialist consultants from other non-paediatric training specialties who are working the vast majority of their time in paediatric services. This would include dermatology, paediatric cardiology, haematology, genetics and audiovestibular medicine.

It should not include paediatric surgery, anaesthesia, radiology or laboratory specialties. If detailed data for these doctors is unavailable please try to provide the minimum possible in order that we can establish numbers, as data on the subspecialty workforce is going to be a project in its own right this year.

-  Do not include unless you have agreed otherwise

o  Community paediatricians who work 100% in the community. We will be requesting this information from the lead community paediatrician in your trust, but please include data for any doctors who combine acute and community work and fall under job types 3, 4 or 5.

o  Doctors who work exclusively on a level 3 neonatal unit as we will be collecting those data from the neonatal lead in your Trust, unless you are also the neonatal clinical lead.

3A Paediatric Consultants as at September 30th 2009

3.1 Title / 3.2 First Name / 3.3 Initials / 3.4 Surname / 3.5 Gender (M/F) / 3.6 Date of Birth / 3.7 GMC Number / 3.8 Grade – Primary Appointment / 3.9 Grade - Honorary Appointment / 3.10 Hospital/Unit where doctor based (only if more than one hospital in Trust / 3.11 Contract Type / 3.12 Job Type / 3.13 Subspecialty (if job type = 7 or 8 / 3.14 On the general paediatric on-call rota (Yes/No) / 3.15 Place of Grad for primary medical degree / 3.16 Total number of PAs in contract
(as decimal) / 3.17 Number of PAs for Clinical Care (DCC) / Non - DCC PAs
3.18 Professional Activities / 3.19 Teaching / 3.20 Research / 3.21 Other

3B Staff & Associate Specialist Grade, Other Career Grade and Specialty Doctors as at September 30th 2009

3.22 Title / 3.23 First Name / 3.24 Initials / 3.25 Surname / 3.26 Gender (M/F) / 3.27 Date of Birth / 3.28 GMC Number / 3.29 Grade / 3.30 Hospital / Unit where doctor is based
(only if more than one hospital in Trust) / 3.31 Whole Time Equivalent / 3.32 Contract Type / 3.33 Job Type / 3.34 Place of Grad for primary medical degree / 3.35 If post becomes vacant, plan to replace by Consultant (Yes/No)

3C ACADEMIC CONSULTANTS as at September 30th 2009

3.36 Title / 3.37 First Name / 3.38 Initials / 3.39 Surname / 3.40 Gender (M/F) / 3.41 Date of Birth / 3.42 GMC Number / 3.43 Grade - Primary Appointment / 3.44 Grade - Honorary Appointment / 3.45 Hospital/Unit where doctor based (if more than one hospital in Trust / 3.46 Contract Type / 3.47 Job Type / 3.48 Subspecialty (if job type = 1, 7, or 8) / 3.49 On the general paediatric on-call rota (Yes/No) / 3.50 Place of Grad for primary medical degree / 3.51 Total number of PAs in contract / 3.52 Number of PAs for Clinical Care (DCC) / Non - DCC PAs
3.53 Professional Activities / 3.54 Teaching / 3.55 Research / 3.56 Other


3D Specialist Consultants who work with children but not paediatricians as at September 30th 2009

This section is for recording specialist consultants who are working for the majority of their time (greater than 50%) in paediatric services, but are not on the specialist register as a paediatrician. This work will contribute to the future project to collect robust data on the subspecialist workforce in all trusts.

These specialties would include paediatric services in dermatology, genetics, audiovestibular medicine, haematology and paediatric cardiology. We are not including numbers of paediatric surgeons, anaesthetists radiologists or laboratory consultants in this census.