Greater Glasgow & Clyde
CONSULTANT PAEDIATRICAN
GENERAL PAEDIATRICS WITH AN INTEREST IN CHILD protection
information pack
reF: 23616D
Closing Date: 16th september 2011
SUMMARY INFORMATION
NHS Greater Glasgow & Clyde
Women’s And Children’s Directorate and Specialist Children’s Services
Consultant Paediatrician General Paediatrics with an interest in
Child Protection
Opportunities for the development of individual candidates’ special interest will be encouraged within the service.
You will join our team at an exciting and challenging time of redesign and development of Child Health 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 and community child health services has commenced.
The focus of this post will be on the provision of general and acute assessment services at the Royal Hospital for Sick Children. The post holder will work closely with the child protection team developing our tertiary child protection service
This post is a key component of the NHS Great Glasgow and Clyde Specialist Children’s Service medical workforce. As part of the coordinated network of paediatric medical staff and services across NHS Great Glasgow and Clyde, this post will have responsibilities throughout the board area. This post includes on call commitment to acute receiving in our assessment and inpatient units. Outpatient services are delivered in appropriate hospital and community settings. There will be opportunities to work across different areas within Greater Glasgow and Clyde according to special interests of the posts.
There will be direct working relationships with a wide network of clinicians, practitioners and local authority officers across the combined and integrated children and young people’s services.
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.
Non UK applicants must demonstrate equivalent training.
NHS Greater Glasgow & Clyde
Acute Division
Women and Children’s Directorate and Specialist Children’s Services
Information Pack
Consultant Paediatrician General Paediatrics with an interest in
Child Protection
Ref:23616D
Job Descriptions
Applications are invited for 2 consultant posts covering General Paediatrics and Community Child Health and 1 consultant post covering General Paediatrics with an interest in Child Protection. The focus of this post will be on the provision of general and acute assessment services at the Royal Hospital for Sick Children. The post holder will work closely with the child protection team developing our tertiary child protection service
The posts will work between the Women’s and Children’s Directorate of our Acute Division and the Specialist Children’s Services (SCS) within our Community Health and Care Partnerships.
Opportunities for the development of individual candidates’ special interest will be encouraged within these services.
This document is split into the following sections:
Information on paediatric services in NHS Greater Glasgow and Clyde
- General description of children’s services across NHSGGC
- Current Community Child Health Services
- Services in the Royal Hospital for Sick Children in Glasgow and the Royal Alexandra Hospital in Paisley
- Clinical Leadership
- The New Children’s Hospital
Information on the jobs and the selection process
- The Posts and Description of Service
- Person Specifications
- Contacts
- Terms and Conditions of Service
- Return of Applications
The overall job pack also contains documentation around equal opportunities monitoring.
Click here to visit the NHS Greater Glasgow and Clyde Website
Children’s Services across NHS Greater Glasgow and Clyde
We are in the process of reviewing Specialist Community Child Health Services. Our aim is that we will establish redesigned services which ensure that high quality consultant leadership and service delivery is in place for vulnerable children and children with significant disability and that these is strong leadership for child protection in the community.
The process to agree the detailed specification, workforce plan and deployment of staff is not yet complete and these 3 posts will become an integral part of the new service which will be:-
· Locality Based
· Delivered by Multi-Disciplinary Teams including Consultant Paediatricians, Paediatric Nurses and AHPs
· Working closely with General Paediatrics delivered in acute or in community settings
· Delivered to care pathways and standards consistent across NHSGGC
· Delivered in 4 sectors across NHSGGC to ensure critical mass of approximately 300k total population enabling comprehensive specialist teams to be constructed.
General and Community Paediatric Services are currently delivered across NHSGGC through a mixed model of combined general and community only posts. The workforce planning currently underway will conclude what model of consultant staffing will deliver the highest quality Specialist Community Children’s Services and will set out a medical workforce plan specifying the number of posts for each sector and number of sessions required in special interest areas Neurodisability, Looked After Children, Child Protection, Autism, Visual Impairment. Implementation of the Community Paediatric Framework will allow existing post holders to develop special areas of interest consistent with the needs of the service as a whole and via the agree process for job planning review and appraisal.
Current Community Child Health Services
Community Child Health Services are provided to 271,000 children in Greater Glasgow and Clyde in 7 Child Development Centres and a number of locality clinics. Each centre provides a focus for locality child health services including General Paediatric Clinics and 0-19 Neurodisability Service with co-located allied health professionals, specialist health visitors and nurses. 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.
Close links with Hospital Paediatric Services are maintained with many 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 can contribute to acute secondary and tertiary care services.
Consultants also contribute to undergraduate and postgraduate paediatric teaching and training.
The preschool neurodisability service operates out of the 7 Child Development Centres across NHSGGC. At all 7 sites, local Child and Adolescent Community Psychiatry Teams are either co-located within the same building or are located nearby. The child development teams work predominately with preschool children who have significant developmental problems or complex needs along with allied health professionals and specialist health visitors. 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 special schools.
The school age service is nurse led and secondary level care is provided by paediatricians. 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 Neurodisability Service further developed.
Paediatricians, Speech and Language Therapists and others who have a special interest in communication and Autism Spectrum Disorder, undertake joint diagnostic assessments. These teams are purely diagnostic with ongoing management undertaken by the relevant Speech and Language Therapist, Educational Psychologist and/or Occupational Therapist with input from a paediatrician only if required.
The Visual Impairment Pathway provides for 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.
A Child Protection Unit is established in Yorkhill Hospital, with nurse advisors who support all clinical staff in GG&CHB. In addition there is a 24-hour, 7-day a week advice line and forensic examination service provided by community child health consultants through the Royal Hospital for Sick Children. Consultant delivered clinics providing comprehensive medical assessments for vulnerable children have been developed and will be an extended and critical part of our developing service. General Paediatricians are responsible for the child protection response to acute non accidental injury.
All members of medical staff have a role in child protection within their daily work. Development of a Tertiary Child Protection service is in progress. The further development of this service will be linked to regional and national guidance.
The Royal Hospital for Sick Children, Glasgow
The Royal Hospital 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.
Click here to visit our website home page - RHSC
Acute Medical Assessment and Acute Medical Receiving Royal Hospital for Sick Children
The Medical Assessment Unit (MAU) is part of the Emergency Department (ED) where most acute medical admissions are initially seen. A link consultant in general paediatrics has responsibility for co-ordination of acute receiving as well as the interface with the ED. 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.
The Royal Alexandra Hospital, Paisley
The Royal Alexandra Hospital 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 bed 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 Royal Hospital for Sick Children. Staff have teaching responsibilities for students from both Glasgow and Dundee Universities
Ward 15 at the Royal Alexandra Hospital, Paisley (RAH) provides elective and emergency inpatient, day case and ambulatory care services to children up to the age of 16 years. Outpatient and Community Paediatric Services are also provided from this site.
Ward 15 has 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 attendees 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.
The maternity unit 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.
Proposals to relocate the single Paediatric Ward from RAH to RHSC (Yorkhill) are being considered. Under this model children from the RAH catchment area would continue to attend RAH for outpatient services and access RAH and IRH for Minor Injuries as at present. Community Paediatric Services would continue to be provided in the community at existing locations.
Click here to visit our website home page - RAH
Clinical Leadership
General Paediatrics is managed by the Women and Children’s Directorate of our Acute Division. Community Child Health Services in the community are managed by the Glasgow City Community Health and Care Partnership. Clinical leadership is provided by five posts:-
· Dr Jim Beattie (Consultant in Paediatric Renal Medicine) is the Associate Medical Director for Women and Children’s Services
· Dr Graham Stewart, Consultant Paediatrician, Clinical Director Medical and Community Paediatrics