LOCUM CONSULTANT COMMUNITY PAEDiATRICS
Across Specialist ChilDREN SERVICES, NHS GG&c /rOYAL hOspITAL FOR CHILDREN, queen elizabeth university hospital
INFORMATION PACK
REF: 42823d
cLOSING DATE: nOON 17TH june 2016
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: LOCUM CONSULTANT COMMUNITY PAEDIATRICS (8PA’s)
base: aCROSS SPECIALIST children SERVICES, NHS GREATER GLASGOW & clyde/royal hospital for children, queen elizabeth university hospital
This is an exciting opportunity for you to join the largest UK Health Board, Greater Glasgow and Clyde as a Consultant in Community Paediatrics within Specialist Children’s Services.
Specialist Children’s Service in NHS Greater Glasgow and Clyde are looking for a consultant paediatrician for 6 months to cover a temporary vacancy. Candidates with skills in forensic child protection / safeguarding experience would be preferred; however the job plan could be altered to increase the Neurodisability component if this is not available. The child protection service is based in the Royal Hospital for Children and runs a ‘consultant of the week’ service. Tertiary support to general paediatric colleagues for complex cases, and assessment of forensic presentations is a required component of the job. The neurodisability sessions will cover the 0-19 age range but with a focus on pre-school neurodisability. Skills in autism diagnostic assessment and the holistic care of children with complex disabilities are required. Sessions will be delivered in dedicated child centres with a full range of multi-disciplinary services available.
1 SPA is included and the candidate would be expected to join colleagues in our comprehensive programme of activities to support personal and service development.
If a candidate had skills in forensic child protection / safeguarding, there would be an opportunity to join the rota for this service, currently 1:9.
Are you what we are looking for? Are youenthusiastic and forward thinking? If so, we lookforward to your application to be part of our team.
For informal enquiries and further details please contact:
Dr Alison Rennie, Consultant Paediatrician and Clinical Director, Community Paediatrics
0141 277 7480
Stephen McLeod, Head of Specialist Children’s Services
0141 277 7475
NHS Greater Glasgow & Clyde
Specialist Children’s Services
Information Pack
for the Postof
Locum Consultant in Community Paediatrics
8 PAs
Job Description
Applications are invited to apply for a Locum Consultant in Community Paediatricsbased in Specialist Children’s Services (SCS), NHS Greater Glasgow and Clyde.
This document is split into the following sections:
Information on paediatric services in NHS Greater Glasgow and Clyde
Specialist Children’s Services
General description of Children’s Services
Information on the job and the selection process
The Posts and Description of Service
Person Specifications
Contacts
Terms and Conditions of Service
Further Information
The overall job pack also contains documentation around equal opportunities monitoring.
Children’s Services across NHS Greater Glasgow and Clyde
Specialist Community Paediatric Teams (SCPT)
Specialist Community Paediatric Services have undergone significant redesign in NHSGGC providing a high quality, consistent and effective service across the board. SCPTs provide services to two hundred and seventy one thousand children in Greater Glasgow and Clyde in four quadrants across NHSGGC. Each locality provides a focus for locality Specialist Community Paediatric Services including general paediatric clinics and zero to nineteen year old neurodisability service with co-located allied health professionals, specialist health visitors and nurses and medical and nursing services for vulnerable children and young people including looked after children. There are additional clinical teams to address the multidisciplinary needs for specific groups of children and families. Collaboration with Education, Social Work and other statutory and non-statutory agencies is formalised with Children’s Services plans, and further management review of integrated working is underway following the move to integrated Health and Social Care Partnerships. Other quadrants within the Board work in conjunction with local authority colleagues in Community Health and Care Partnerships (CHCPs).
Close links with hospital paediatric services are maintained with some clinicians working across community and hospital settings. Paediatricians working within the community have full access to the diagnostic services available within the acute division and contribute to acute secondary and tertiary care services.
Consultants also contribute to undergraduate and postgraduate paediatric teaching and training.
Neurodisability 0-19 Years.
In Specialist Community Paediatric Teams, the neurodisability service operates across four quadrants in NHS GG&C in a number of local health centres. Child and Adolescent Mental Health services are either co-located within the same building or are located nearby. The teams work predominately with young children who have significant developmental problems or complex needs along with allied health professionals and specialist nurses. School-aged children with neurodisability are also supported from these bases and, for those with the most complex needs they are supported by health teams including paediatricians within their additional support needs schools.
Acknowledged priorities are: children with disability and medical needs, children requiring protection, and vulnerable children. As part of wider redesign, the separation of services for preschool and school-aged children is being addressed and a seamless zero to nineteen year old neurodisability service further developed. Drivers for such change include The Children’s Act, the Additional Support for Learning Act and presumption of mainstreaming.
Autism Spectrum Disorders (ASD)
All paediatricians, and others who have a special interest in communication and autism spectrum disorder including speech and language therapists and child and adolescent mental health service professionals, undertake joint diagnostic assessments. Specialist community paediatric teamssupport the diagnostic process,
Within the service, strong links have been built with child and adolescent mental health service colleagues in tiers three and four, and a programme of in-service training and joint clinical meetings is established.
Visual Impairment
Specialist community pediatric teams provide specialist input directly to children within dedicated provision and indirectly to many others across the Board area. It is responsible for providing medical advice to education regarding visual impairment and for provision of joint functional vision assessments with them. There is close interagency working with Education, Social Work and the voluntary organisations.
Child Protection and Vulnerable Children
A child protection unit is established in the Royal Hospital for Children (RHC) Glasgow, with nurse advisors who support all clinical staff in NHSGGC. The Level 4 specialist paediatric service operates a ‘consultant of the week’ service, providing shared care for complex child protection presentations and forensic paediatrics. Assessment of inpatients in wards and PICU is undertaken, as is attendance at case conferences in the hospital and in locality areas. Forensic sexual abuse assessments are done jointly with another paediatrician, a Child Medical Examiner for Police Scotland, or with colleagues in the Archway service for adolescents aged 13-16. In addition there is a twenty four hour, seven day a week advice line and forensic examination service provided by Consultant Community Paediatricians through RHC. Clinics providing Comprehensive Medical Assessments for vulnerable children are well established. All members of medical staff have a role in child protection within their daily work. Further development of this service will be linked to regional and national developments.
Vulnerable children (including looked after children)
Over six thousand children and young people are looked after by Local Authorities in NHS GG&C and 25% of Scotland’s looked after children come from within the Glasgow City boundaries: around one thousand two hundred are looked after away from home or accommodated by Glasgow City Council. Most are in foster care but the city still has places for up to one hundred and fiftychildren in residential care. Fifty percent of look after and accommodated children are placed out of NHS GG&C with the challenges for continuity of care that that can bring. Specialist community paediatric teamswork closely with Social Work Services to provide a Comprehensive Health Assessment and surveillance system for all children and young people referred to the service. Specialist community paediatric team nurses and medical staff work very closely together and the team has developed high quality services for look after and accommodated children. While child protection issues are the main reason for children and young people to be received into care, disability and unaccompanied asylum seekers form a substantial number of this population. Further developments include providing child health assessments for all children looked after at home and in kinship care and this is provided by Specialist community paediatric team nursing teams with support from the medical staff team as required.
The medical staff team provide the designated medical advisor role for the local authority adoption and permanency panel. GPs in the team assess adult health issues and attend fostering panels. There is an ongoing need for development and research with this vulnerable group.
Royal Hospital for Children, Glasgow
In order to provide child, maternal and adult services together on a single site, a new children’s hospital has been built as part of the new South Glasgow University Hospital campus, which opened in June 2015.
The Royal Hospital for Children, Glasgow, is one of the largest paediatric teaching hospitals in the UK and the largest in Scotland. It provides secondary care for more than 900,000 people resident within the Greater Glasgow and Clyde area, but also tertiary care for the 3m people living across the West of Scotland.There are also 17 nationally designated services delivered from the hospital including cardiac surgery, bone marrow and renal transplantation, ECLS and complex airway, supported by a 22 bed PICU.
The opening of the new Emergency Department will see an increase in patient activity, with the centralisation of paediatric emergency care across Glasgow and a formal increase in the upper age limit of attenders to their 16th birthday. The new department has a 4 bay resuscitation area and separate Majors and Minors areas. A discussion is currently underway about the development of a national network of adult/paediatric major trauma centres.
All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, cardiology, neonatology, neurology, nephrology, respiratory, endocrinology, gastroenterology, immunology and infectious diseases, dermatology, haematology/oncology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, orthopaedics, paediatric neurosurgery and general paediatric and neonatal surgery. A selection of child and adolescent psychiatry facilities are located within the hospital along with a Child Protection Unit.
The hospital provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow. There is on site clinical audit and research and development support to assist with departmental research projects.
The Radiology Department located within RHC provides ultrasound, CT, MRI and isotope studies on site. All imaging is now digital and accessed through the PACS system.
Diagnostic laboratory facilities are primarily located in a new build laboratory complex on the South Glasgow University Hospital campus.
The Royal Alexandra Hospital, Paisley
The Royal Alexandra Hospital in Paisley is a large modern district general hospital of eight hundred and thirty beds offering a wide range of services to the population of two hundred and twenty thousand. There is a seven bed short stay area and a nineteen bedded children's ward admitting both medical and surgical patients. Ambulatory services and community children’s nursing services are well developed. There are three thousand nine hundred deliveries annually.
Services in this hospital are integrated with secondary and tertiary care services in the Royal Hospital for Children.
Staff have teaching responsibilities for students from both Glasgow and Dundee Universities
Section 2: Paediatric Services
Clinical Leadership
General paediatric care is a key component of integrated child health within the Women and Children’s Directorate of the Acute Operating Division, NHS Greater Glasgow and Clyde).
- Dr Alan Mathersis the Chief of Medicine for Women and Children’s Services
Dr Beattie is supported by Clinical Directors:
- Dr Alison Rennie, Consultant Paediatrician, Clinical Director for Community Paediatrics
- Dr Christine Gallacher, Consultant Paediatrician, Clinical Director Medical Paediatrics
- Dr Morag Campbell, Consultant Paediatric Neonatologist, Clinical Director Surgery and Critical Care
- Dr Julie Metcalfe, Consultant Clinical Psychologist, Clinical Director Child and Adolescent Mental Health Services
- Dr Pamela Cupples, Consultant Anaesthetist, Clinical Director Theatres.
- Dr Phil Davies, Consultant Paediatrician, Clinical Director for Sub-Specialties.
There are a number of lead and link clinicians supporting general and specialist paediatric services.
Contact details for those staff listed are provided in section three of this document.
We are committed through modernising medical careers and government policy to the aim of provision of emergency care by trained staff. Significant changes in work patterns are anticipated across the Women’s and Children’s Directorate.
Acute Medical Assessment
The consultants participate in a General Paediatric attending system. During attending weeks, the attending consultant is responsible for the day-to-day care of all acute medical paediatric admissions during that seven day period with clinical responsibility for inpatients, short stay assessment area and relevant PICU admissions.
In addition the attending consultant provides support and advice to other specialties on a "request for opinion" basis.
Royal Alexandra Hospital
The department sees approximately three thousand five hundred and fifty referrals per year in the assessment area of the children’s ward. Around one third are subsequently admitted for inpatient care. Ward admissions total around two thousand one hundred with approximately one thousand planned ward attenders and two hundred medical day cases per year. The consultant team operate an attending system. The children’s ward also admits ENT, ophthalmology, orthopaedic and emergency department patients.
There is a busy outpatient department allocated with the children’s ward and the PANDA child development centre. The PANDA centre provides multidisciplinary care for and assessment for children with complex needs and has an appropriate support from a team of allied health professionals, community children’s nurses, looked after and accommodated children’s nurses and a specialist health visitor.
The department is recognised for training in foundation programmes, general practice, general paediatrics and community child health by NES Scotland.
There are three thousand seven hundred deliveries each year in the maternity unit which has a level three nursery with plans to move to level two nursery as the West of Scotland Neonatal Network develops. The consultant team operate an attending system.
Post Job Title: Locum Consultant Paediatrician in Community Paediatrics (Eight sessions)
Relationships:
i)Name of Employing Authority: Greater Glasgow & Clyde NHS Board
ii)Clinical Director: Dr Alison Rennie
Lead Clinicians: Drs Katherine Spowart / Ciara McColgan
¡¡¡) Head of Specialist Children’s Services: Stephen McLeod
a) Duties of Post
Deliver level 4 child protection input as part of a ‘consultant of the week’ service within the Royal Hospital for Children. This will include forensic injury and sexual abuse medicals. Attendance at case conferences and subsequent court appearances will be required. Attend the weekly consultant’s clinical meeting and a morning huddle with the CP team.
Contribute to community age zero to nineteen years neurodisability services for children in a locality area providing direct clinical care and supervision of other staff providing care. This will include the care of children with complex needs and autism assessments. This aspect of the post will be delivered from dedicated child centres across the Board area.Deliver community based vulnerability services to the locality area, including comprehensive medical assessments of children at risk of neglect and abuse. Link with services in the local area including primary care staff, social work colleagues and the voluntary sector to improve the co-ordination of care for childrenat risk.
Liaise with other agencies within the hospital and community setting in the promotion of seamless children's services.
To work with Clinical Director and Clinical Leads in the further development of integrated care pathways for general paediatric and community child health care across Greater Glasgow and Clyde
Undertake management, education, and CPD activities within the service
b) Weekly Provisional Timetable of Duties
Consultant in Community Paediatrics
Example Job Plan (exact days subject to negotiation and may be amalgamated to provide consultant of the week service)
am / pmMonday / Child protection - RHC / Child Protection - RHC
Tuesday
Wednesday / Neurodisability – child centre / Neurodisability – child centre
Thursday / Neurodisability – child centre / SPA
Friday / Child protection - RHC / Child protection - RHC
The post has eight programmed activities. One SPA is identified for personal CPD and appraisal.
This post has no on-call commitment to the out of hours child protection service for the NHS GG&C Board area, however if a candidate had skill in forensic child protection / safeguarding, there would be an opportunity to join the rota for this service, currently 1:9.
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.