consultant in PAEDIATRICS
CHILD PROTECTION, NEURODISABILITY AND GENERAL PAEDIATRICS.
Information pack
reF: 33956D
Closing Date:noon ON 22nd August 2014
SUMMARY INFORMATION
Post: CONSUILTAnt IN COMMUNITY PAEDIATRICS/ child protection
Base:POST: Yorkhill Hospital & west centre (10 Pas)
This post provides an opportunity for a motivated and dynamic consultant to join our paediatric teams at an exciting and challenging time of redesign and development of Children’s Services in Greater Glasgow and Clyde. A new children’s hospital has been commissioned and will open in 2015. As part of a parallel process, redesign of the provision of general paediatric, child protection and specialist community paediatric services is well underway.
The post has a combination of hospital based child protection, neurodisability and general paediatric sessional commitments and will contribute to the out of hours rota for the forensic child protection service. There is no general paediatric on call commitment to this post.
Whilst the post is advertised as a 10 session post, applications are welcome from candidates who for personal reasons require towork less than full time.
Applicants must have full GMC registration and a licence to Practise. 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 date of Interview.
NHS Greater Glasgow & Clyde
Specialist Children’s Services
Information Pack
for the postof
Consultant in Child Protection / Neurodisability/ General Paediatrics
10 PAs
Job Description
Applications are invited for a consultant in community paediatricsbased in Specialist Children’s Services (SCS), North West Sector, Glasgow CHP, NHS Greater Glasgow and Clyde.
Opportunities for the development of individual candidates’ special interest will be encouraged within the service.
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
The work of Children’s Services based at the RoyalHospital for Sick Children Glasgow and the RoyalAlexandraHospital in Paisley
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 271,000children in Greater Glasgow and Clyde in 4 quadrants across NHSGGC. Each locality provides a focus for locality Specialist Community Paediatric Services including general paediatric clinics and 0-19 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 development of a Glasgow-wide single Community Health Partnership (CHP) and 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 SCPTs, the neurodisability service operates across 4 quadrants in NHSGGC 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 0-19 neurodisabilty service further developed. Drivers for such change include GIRFEC, 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 CAMHS professionals, undertake joint diagnostic assessments. SCPTssupport the diagnostic process, with ongoing management undertaken by the relevant SLT, educational psychologist and/or OT with input from a paediatrician only if required.
Within the service, strong links have been built with CAMHS colleagues in tiers 3 and 4, and a programme of in-service training and joint clinical meetings is established.
Visual Impairment
SCPTs 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 RoyalHospital for Sick Children (RHSC)Glasgow, with nurse advisors who support all clinical staff in NHSGGC.A new hospital-based child protection is planned to be introduced in the late summer 2014 which will provide a consistent 9-5pm service. This will provide child protection assessments, second opinions and case management support within the acute sector in addition to forensic examinations, scheduled clinics and support general paediatricians delivering NAI services. In addition there will be a 7-day a week advice line and forensic examination service provided by Consultant Community Paediatricians through RHSC out of hours. 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
Vulnerable children (including Looked After Children)
Over 6000 children and young people are Looked After by Local Authorities in NHSGGC and 25% of Scotland’s Looked After Children come from within the GlasgowCity boundaries: around 1200 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 150children in residential care. 50% of LAAC are placed out of NHSGGC with the challenges for continuity of care that that can bring. SCPTs work closely with Social Work Services to provide a Comprehensive Health Assessment and surveillance system for all children/YP referred to the service. SCPT nurses and medical staff work very closely together and the team has developed high quality services for LAC. While child protection issues are the main reason for children/YP to be received into care, disability and unaccompanied asylum seekers form a substantial number of this population. Further developments include providing CHA for all children looked after at home and in kinship care and this is provided by SCPT 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/permanency panel including Consultant Paediatricians, Speciality Drs and GPsincluding adult health issues/fostering panels. There is an ongoing need for development and research with this vulnerable group.
The RoyalHospital for Sick Children, Glasgow
The RoyalHospital for Sick Children, Glasgow, is one of the largest paediatric teaching hospital in the UK and the largest in Scotland. It provides secondary care for people resident within the Greater Glasgow and Clyde area, but also full 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 airways.
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 and general paediatric and neonatal surgery. A selection of child and adolescent psychiatry facilities are located within the campus along with a Child Protection Unit.
The hospital 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 Paediatric Surgery. There is on site clinical audit and research and development support to assist with departmental research projects.
The RoyalAlexandraHospital, Paisley
The RoyalAlexandraHospital in Paisley is a large modern district general hospital of 830 beds offering a wide range of services to the population of 220,000. There is a 7 bed short stay area and a 19-bedded children's ward admitting both medical and surgical patients. Ambulatory services and community children’s nursing services are well developed. There are 3,900 deliveries annually.
Services in this hospital are integrated with secondary and tertiary care services in the RoyalHospital for Sick Children.
Staff have teaching responsibilities for students from both Glasgow and DundeeUniversities
New Children’s Hospital / Service Developments
In order to provide child, maternal and adult services on a single site, building work is underway for a new children’s hospital on the existing Southern General Hospitals campus with a planned opening date in calendar year 2015.
In parallel to this process, we are redesigning services in general and community paediatrics.Our aim is to provide a clinically effective high quality service in unscheduled care. We will maximise local access to outpatient services and deliver seamless services with partner agencies for children with complex health needs.
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 Jim Beattie (Consultant in Paediatric Renal Medicine) is the Associate Medical Director 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 Gallagher, Consultant Paediatrician,Clinical Director acute paediatrics
- Dr Morag Campbell, Consultant Neonatologist, Clinical Director for critical care, cardiology and neonates
- Dr Jean Herbison, Consultant Paediatrician, Clinical Director child protection.
- Dr Julie Metcalfe, Consultant Clinical Psychologist, Clinical Director Child and Adolescent Mental Health Services
- Dr Pamela Cupples, Consultant Anaesthetist, Clinical Director for anaesthesia and surgery
- 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 3 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 and Acute MedicalReceivingRoyalHospital for Sick Children
The Medical Assessment Unit (MAU) is part of the Emergency Department (ED) where most acute medical admissions are initially seen. ED consultants and general paediatricians who have dedicated MAU sessions in their job plans provide clinical supervision of these patients.
The MAU has 12 beds (plus an additional space for adolescent self-harm observation). Around 10,000 acute medical patients are dealt with by the MAU annually; around one third are subsequently admitted for in-patient care.
Once admitted patients are under the care of the acute medical receiving consultant.
Acute general medical paediatric receiving is undertaken by a team of ~13 consultants, the majority of whom have other commitments to tertiary care or community child health.
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 7-day period with clinical responsibility for inpatients, short stay assessment area and relevant PICU/ HDU admissions.
In addition the attending consultant provides support and advice to other specialties on a "request for opinion" basis.
Activity Statistics to inform planning for the New Children's Hospital indicate that from April 2006 to March 2007 there were 2930 emergency inpatient medical paediatric admissions (6129 bed days) with an average length of stay (ALOS) of 2.1 days. There are marked seasonal differences in inpatient activity.
Currently the RHSC acute medical receiving process is undergoing a major redesign programme. One significant development from this will be an integrated acute inpatient medical and surgical Acute Receiving Unit with a likely shared bed complement of 40 beds.
RoyalAlexandraHospital
The department sees approximately 3550 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 2100 with approximately 1000 planned ward attenders and 200 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 collocated 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 3,700 deliveries each year in the maternity unit which has a level 3 nursery with plans to move to level 2 nursery as the West of Scotland Neonatal Network develops. The consultant team operate an attending system.
Post :Job Title: Consultant Paediatrician in Child Protection / Neurodisability / General paediatrics (10 sessions)
Relationships:
i)Name of Employing Authority: Greater Glasgow & Clyde NHS Board
ii)Clinical Directors: DrsAlison Rennie / Christine Gallacher
Lead Clinicians: Drs Katherine Spowart / Ciara McColgan / Lesley Nairn
¡¡¡) Head of Specialist Children’s Services: Stephen McLeod
iv)General Manager, Women’s & Children’s Directorate: Jamie Redfern
a) Duties of Post
Contribute to the hospital-based child protection service providing medical assessments and specialist support to children thought to have been abused.
Work in conjunction with colleagues in the acute hospital bases (RHSC and RAH) to support management of complex child protection presentations.
Deliver clinical management of child sexual abuse cases and contribute to the developing regional or national plans for delivery of this service.
Out of hours delivery of the child protection advice line and emergency management of cases of acute child sexual abuse.
Support to staff within the child protection unit and provision of 2nd level support for queries arising from the Board advice line.
Development of protocols and policies to deliver a consistent approach to the management of child protection cases across the Board area.
Contribute to community 0-19 neurodisability services for children in a locality area providing direct clinical care and supervision of other staff providing care. This will be based in the West sector initially but may change in the future depending on service requirements.
General paediatric outpatient clinic on a weekly basis.
Liaise with other agencies within the hospital and community setting in the promotion of seamless children's services.
To work with Clinical Directors and Clinical Leads in the further development of integrated care pathways for general paediatric and community child health care across Greater Glasgow and Clyde
Contribute to the planning and development of the Child Health Service in Greater Glasgow and Clyde. Including information collation, evaluation of services, service and policy development.
Undertake management, education, audit and research activities within the service
b) Weekly Provisional Timetable of Duties
Post 1 - Consultant in Community Paediatrics
AM / PMMON / DCC – Hospital based CP service (HBCPS) / DCC - HBCPS
TUES /
DCC – locality 0-19 disability
/ SPAWED /
DCC – HBCPS
/DCC- HBCPS
THUR /DCC – locality 0-19 disability
/DCC – locality 0-19 disability
FRI /0.25 CRA (Gen Paed)
0.75 HBCPS
/ DCC – General paediatric outpatient clinicThe post has 10 programmed activities including 1 SPA.
This post has on-call commitment to the out of hours child protection service for the NHS GG&C Board area, currently 1:10 (expected to change to 1:12) rota with 5% availability supplement. The ad hoc and intermittent nature of clinical work done during on call time means that this is not counted in job planned sessions, but time can be taken back from DCC sessions when required.