sTr Locum appointment for training (LAT)/CLINICAL FELLOW Paediatrics& NEONATOLOGY
royal hospital for Children, GLASGOW
INFORMATION PACK
REF: 40071D
cLOSING DATE: Noon on 27th November 2015
SUMMARY INFORMATION RELATING TO THIS POSITION
POST: StR LOCUM APPOINTMENT FOR TRAINING (LAT) OR CLINICAL FELLOW IN PAEDIATRICS & NEONATOLOGY
BASE: ROYAL HOSPITAL FOR CHILDREN, GLASGOW
Applications are invited for posts based in the Paediatric services within Glasgow from Feb 2016. We have of opportunities available within Paediatrics and Neonatology. Our neonatal posts can offerextremely broad clinical experience including management of extreme preterm infants and newborns with complex problems requiring surgical services, cardiac services, renal support therapy and ECMO. Paediatric placements may include general paediatrics, critical care or possibly some subspecialty exposure (eg Oncology).
These posts provide interesting clinical experience suitable for trainees who already have some Paediatric experience. We will consider LAT appointments at the ST level commensurate with your MRCPCH progress and past training experience. We will also consider Clinical Fellow appointments for individuals who do not fulfil the requirements for a LAT post but who can demonstrate the clinical skills to undertake the duties of the posts. Applicants will also be considered for any other vacancies that arise prior to the interview date.
Immigration regulations require us to first offer these posts to suitably qualified EEA nationals but we would encourage any interested individuals from outside the EEA to indicate their interest and submit an application.
The Postgraduate Dean confirms that these placements and/or programmes have the required educational and Dean’s approval.
To practice medicine in the UK you need to hold both GMC registration and a licence to practise.
NHS GREATER GLASGOW & CLYDE
WOMEN’S & CHILDREN’S DIVISION
Paediatric Str LAT (or Clinical Fellow)
Royal Hospital for Children, Glasgow
INFORMATION PACK
BRIEF DESCRIPTION OF HOSPITALS AND DEPARTMENTS
ROYAL HOSPITAL FOR CHILDREN (RHC)
The RHC is a comprehensive Children's Hospital serving the West of Scotland with a national and international reference function. It is a teaching hospital of the Faculty of Medicine of the University of Glasgow. It is a new build facility opened in June 2015 with state of the art facilities and co-located with a regional maternity unit and comprehensive adult services at the Queen Elizabeth University Hospital.
The RHC is the largest paediatric teaching hospital in Scotland. It provides care, not only for children resident within Greater Glasgow, but is also a tertiary referral centre for children from the West of Scotland and, in some sub-specialties, from the whole of Scotland.
The RHC is co-located with a regional maternity unit (including fetal medicine service) and NICU with 16 ICU cots, 14 HDU cots and 24 SCBU cots. All paediatric medical and surgical subspecialties are represented in RCH, including general medical paediatrics, cardiology, neonatology, neurology, nephrology, respiratory medicine, endocrinology, gastroenterology, immunology and infectious diseases, haematology/oncology, dermatology,audiology, ophthalmology, ENT surgery, orthopaedics and general paediatric and neonatal surgery.
The hospital provides the Scottish national ECMO service for paediatric and neonatal patients. It is the centre for all paediatric cardiac surgery and the majority of the Paediatric Intensive Care for Scotland.
The hospital is the base teaching hospital for postgraduate paediatric training in the West of Scotland. Paediatric training is provided in the following areas: Neonatology (level 3 units), Intensive Care, Cardiology, Haemato-oncology, Gastroenterology, Neurology, Respiratory Medicine, Rheumatology, Endocrinology & Diabetes, Nephrology and Infectious Disease/Immunology. General Paediatric training is provided between this hospital and the local district general hospitals (including RoyalAlexandraHospital).
The hospital provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow.
RHC-based training placements
During the first two years of Paediatric ST training the RHC placements focus on delivering confidence and competence in the management of acute Paediatric problems and the placements during that period of training are focus on General Paediatrics and Paediatric Emergency Medicine. In addition trainees undertake Neonatal first on-call placements during these two years. The RCH offers placements for more experienced trainees in Neonatal Intensive Care, Paediatric Critical Care or in Paediatric subspecialties. Two subspecialties (Cardiology and Oncology) have separate subspecialty out-of-hours rotas whilst the other subspecialty placements (Neurology, Respiratory Medicine, Rheumatology, ID/Immunology, Nephrology, Gastroenterology, Diabetes & EndocrinologyCommunity Child Health) have out-of-hours duties in acute general paediatrics.
The Royal Hospital for ChildrenNeonatal Service
Royal Hospital for Sick Children houses the inpatient facilities of all the major paediatric subspecialties. This is one of the largest neonatal units in the country with 30 ICU/DHU cots and 24 SCBU cots. The workload for the neonatal unit involves the management of newborn children with surgical and cardiac conditions as well as those requiring input from the paediatric subspecialty services based on the RCH site. The maternity unit delivers around 6,000 births/year and contains the Ian Donald Fetal Medicine Unit which provides diagnostic and interventional fetal therapy for Scotland. All neonatal intensive care is provided on this site including neonatal cardiology for all of Scotland, the Scottish neonatal ECMO service (one of four centres in the U.K.), a U.K. national intervention service for Vein of Galen aneurysms, renal support therapy, complex airway surgery and comprehensive neonatal surgical services. Newborns are transferred to this unit from across Scotland because of the specialist services offered on this site. Due to the size and complexity of the clinical service there is a consultant available on-site at all times. Consequently the unit can provide a breadth of neonatal clinical experience and trainee support that is unrivalled in the U.K.
The RoyalHospital for Sick Children: Paediatric Cardiology
The hospital provides the national paediatric cardiac centre for Scotland, serving a population of 5.5 million and undertaking all types of cardiac surgery and catheter intervention with the exception of cardiac transplantation and hypoplastic left heart syndrome surgery. Trainees are involved in the preoperative preparation of patients undergoing elective cardiac procedures as well as the ward based post operative management. They contribute to the daily PICU cardiac ward round, learning more about the ward/PICU interactions. There is also regular involvement in the assessment of infants referred into the neonatal unit with cardiac condition. There are regular out patient clinic commitments and also the opportunity to learn echocardiography, through a weekly dedicated echo session under the supervision of a senior cardiac physiologist, and attendance at our 4 day paediatric echocardiography course. There is a fully functioning Cardiac Catheterisation Laboratory with diagnostic and interventional procedures undertaken on a regular basis. There will be a 1:5 out-of-hours commitment responsible for first line management of the Paediatric Cardiology patients between 09.00 and 21.30 (after 21:30 this cover is provided by the Hospital At Night team).
The RoyalHospital for Sick Children: Paediatric Intensive Care Unit
The Critical Care department manages 16 intensive care and 6 high dependency beds. The specialist and general intensive care provided reflects the comprehensive tertiary medical and surgical specialties and the major emergency and acute receiving services provided by the hospital. The unit supports the Scottish paediatric cardiac surgery, invasive cardiology and ECMO services which are based here. Consequently the management of cardiac patients forms a significant percentage of PICU workload and experience.
A transport and retrieval service supports critically ill children presenting to other hospitals. The transport and retrieval service is distinctive as it covers both the densely populated central belt as well as the remote and sparsely populated areas of Scotland. Air transport by helicopter or fixed wing aircraft is used to access these areas.
The Paediatric Intensive Care has been equipped to a very high level with paperless clinical information and prescribing system, PACS radiology system and state of the art monitoring.
The High Dependency Unit is managed as an integrated part of the critical care service. A variety of patients are admitted to this area including acute medical, post operative care and intensive care ‘step down’ patients.
There are 12 junior medical staff employed in the unit. Staff members are allocated to ‘senior’ and ‘junior’ groups based on previous intensive care experience. All staff work full shifts. The experienced group staff the retrieval service and are expected to take a supervisory role within the unit.
The unit has six full time intensive care consultants with a mix of paediatric and anaesthetic backgrounds. A number of formal teaching sessions and other learning opportunities are held every week. These include a weekly ‘grand round’; radiology meeting; protected teaching session; departmental CME session; and a cardiac liaison meeting. Other meetings and teaching sessions are held regularly in other departments throughout the hospital. The junior medical staff have access to high quality computer, office and changing facilities within the intensive care unit. There are full opportunities for clinical research and access to laboratory facilities can be arranged as required.
ROYALALEXANDRAHOSPITAL, PAISLEY: PAEDIATRIC DEPARTMENT
The Royal Alexandria Hospital (RAH) is a large district general hospital within Greater Glasgow & Clyde. It is located about 10 miles from the Children’s Hospital and has a 31-bed general paediatric ward dealing with medical and surgical paediatric patients. There are approximately 2,000 medical admissions per annum. Close to the ward is the paediatric outpatient clinic (general paediatrics, diabetes, cystic fibrosis, neuro-developmental, neonatal follow up).
The maternity hospital is on the same site and there are 2,500deliveries each year. The SCBUhas 3 intensive care and 10 special care cots. Argyll & Clyde community child health services are based at the Panda Centre (HawkheadHospital) and Acorn Centre (Vale of Leven Hospital). Trainees based in these units contribute to the RAH acute out-of-hours cover.
ROTAS
Rota details vary according to the individual placement. All first on-call posts are supported by 24 hour on-site middle-grade cover. The placement involves full shift working on a band 1A New Deal and EWT compliant rota. Day shifts typically start at 08:30. We are constantly endeavouring to improve service delivery and working patterns and in view of this, both hours of work and banding payments may be subject to change. An offer of employment may not reflect the current banding. This post involves duties in both the Royal Hospital for Sick Children Neonatal Unit and the Southern General Neonatal Unit; the two departments are about 4 miles apart connected by an express road link.
TEACHING
There are occasional undergraduate teaching commitments
STUDY AND TRAINING
Study Leave within United Kingdom will be in accordance with the Terms and Conditions of Service and application should be submitted to the relevant Clinical Director. The Postgraduate Tutor for the RHSC complex is Prof R Carachi. There is good medical library within RHSC and extensive library facilities in Glasgow.
POSTGRADUATE MEDICAL EDUCATION COURSES AVAILABLE LOCALLY
There are frequent lectures within the University of Glasgow and the Royal College of Physicians and Surgeons of Glasgow relevant to postgraduate medical education. Special courses and seminars are arranged within the hospital from time to time. Formal in-post training within the hospital is arranged by the Medical division, by the postgraduate Tutor and by the Medical Staff Association.
There is a strong educational and training focus within the department and trainee feedback both locally and through the GMC trainees’ survey is very positive.
RESEARCH OPPORTUNITIES
There are opportunities for clinical research and include laboratory and animal facilities if required. Any research protocol must first be agreed by the Hospital Ethical Committee before it can be instituted.
OTHER FACILITIES
The city of Glasgow is excellent for shopping and recreation. The recreational facilities in the surrounding country are outstanding (golf, sailing, fishing, hill walking, mountain climbing, canoeing, skiing etc)
DETAILS OF ARRANGEMENTS FOR APPLICANTS TO VISIT HOSPITAL(S)
Shortlisted candidates may make arrangements to visit relevant hospitals. If candidates on their own initiative have visited prior to short-listing, they will only be allowed expenses for that prior visit if they are subsequently short-listed. When it is thought that there will be difficulty in filling the post, the Director of Human Resources has the authority to approve a second visit.
TERMS AND CONDITIONS OF SERVICE
The appointment is full time. There is a limited supply of single accommodation available but we cannot guarantee such accommodation to any individual applicant. Terms and conditions of service for hospital medical and dental staff (Scotland) and General Whitley Council conditions of service apply where appropriate. The salary scale is as per national pay conditions.
MEDICAL NEGLIGENCE
In terms of NHS Circular 1989(PSC)32 dealing with Medical Negligence, the Trust does not require you to subscribe to a Medical Defence Organisation. The Trust will indemnify you under the Crown Indemnity Scheme for all work carried out for the Trust. It may however be in your interest to subscribe to a defence body in order to ensure that you are covered for any work that does not fall within the scope of the indemnity scheme.
HOURS OF WORK
In terms of paragraph 111b of the Terms and Conditions of Service, you shall not undertake locum medical or dental work for any other employer where such work would cause your average contracted hours to breach the controls as set out in paragraph 20, i.e. on-call rota - 72 hours/week, partial shifts - 64 hours/week, full shifts - 56 hours/week.
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.
TYPE OF CONTRACT / Fixed TermGRADE AND SALARY / StR LAT/Clinical Fellow
If appointed as a StR (Locum Appointment for Training) the salary range will be £30,605 to £48,123 per annum (pro rata)
If appointed as a Clinical Fellow the salary range will be £30,605 to £48,123 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.
HOURS OF DUTY / Full Time 40.00
SUPERANNUATION / New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via:
REMOVAL EXPENSES / Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.
EXPENSES OF CANDIDATES FOR APPOINTMENT / Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses. Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.
TOBACCO POLICY / NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.
DISCLOSURE SCOTLAND / This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.
CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK / NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.
REHABILITATION OF OFFENDERS ACT 1974 / The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.
DISABLED APPLICANTS / A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.
GENERAL / NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES / The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE / The employment is subject to one months’ notice on either side, subject to appeal against dismissal.
MEDICAL NEGLIGENCE / In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.
FURTHER INFORMATION