Post: Locumconsultant General Paediatrician

Applicant Information

Post: LocumConsultant General Paediatrician

Fixed term 12 months

MD 0218152

CONTENTS

Copy of Advertisement / Page 3
Introduction / Page 5
The ForthValley Area / Page 5
NHSForthValley Acute Services / Page 6
Further Departmental / Specialty Information / Page 7
Locum ConsultantGeneral Paediatrician
– Responsibilities / Page 11
Contractual Details / Page 12
Job Plan / Page 13
General Employment Information / Page 14
Selection Criteria / Page 16
Application Process / Page 18

LOCUM CONSULTANT GENERAL PAEDIATRICIAN

Full or part time

Salary Scale - £78,304 - £105,570 per annumpro rata

We invite your application to this post which is withinthe acute children’s service based in Forth Valley Royal Hospital.

The Combined child health department in Forth Valley combines community and acute paediatrics. We currently have a team of 11 consultant paediatricians (general paediatrics, one of whom for community child health), 2 associate specialists, 4 specialty doctorsin community child health and one in acute paediatrics, 4-7 specialty trainees, foundation year 2and GP specialist trainees, and 2 advanced neonatal nurse practitioner (ANNP). The department provides comprehensive paediatric and neonatal care to a population of 300,000 people with 60,000 children under the age of 16 years and 3,200 deliveries per annum. There is a 25 bed combined medical and surgical Paediatric ward; a 20 bed Neonatal Unit (Level2) supporting a consultant led obstetric unit and an 8 bed clinical assessment and ambulatory care unit.

Forth Valley paediatric department participates in regional and national managed clinical networks allowingthe developmentof specialist interests for all senior medical staff and ensuring children are cared for locally. The services are supported by a team of Community Children’s Nurses with general and specialist network links.

This appointment aims to support the delivery of ourhospital-based children’s medical services.. Acute posts include a share of on call and out of hours working. All paediatric consultants are expected to have a minimum of Level 3 Child Protection training and participate in child protection examinations.

Applicants are encouraged to visit the Women and Children’s Unit and meet key staff. Informal enquiries should be directed by telephone to Dr David Lynn, Consultant Paediatrician, Clinical Lead, Combined Child Health, Forth Valley Royal Hospital, Tel 01324 567156, or to Gillian Morton, General Manager Women and Children’s Unit, Tel 01324 567017.

Applicant Information, including the job description for the post is available from Medical Workforce by telephone on 01324 618327 or by email at

This post is open primarily to applicants who do not require a work permit to take up employment in the UK. Any applications from applicants who do require a work permit will be considered only if no suitable UK or EEA national is identified for the post. Further immigration information is available on:

To apply, applicants must submit a fully completed Medical and Dental application form to the above address by noon, Monday 5 March 2018. Applicants should have full GMC registration and a licence to practise. Applicants who are not yet in receipt of a Certificate of Completion of Training (CCT) or Certificate of Eligibility for Specialist Registration (CESR), are required to provide documentary evidence of eligibility to apply at the time of application.

Interviews will take place on TBC

Please quote referenceMD0218152on all correspondence

NHS Forth Valley is an equal opportunities employer.

INTRODUCTION TO NHS FORTH VALLEY

NHS Forth Valley is a single, integrated healthcare system comprising acute care facilities and community based services, which are delivered through Forth Valley Community Services Directorate.

NHS Forth Valley Board aims to improve health and healthcare for the people of Forth Valley. In recent years we celebrated the opening of the new Forth Valley Royal Hospital and we are now embarking on a new and exciting chapter of quality improvement as we continue to design and deliver healthcare services fit for the future, with the launch of our new Healthcare Strategy.

For further information on NHS Forth Valley please visit our website where you will find copies of our Healthcare Strategy and Annual Review.

NHS Forth Valley is the largest employer in the area, with approximately 8000 staff from a wide range of professional and support occupations. Currently, services are provided in one acute hospital, four community hospitals and fifty-six health centres. Acute Services are based in purpose built 860 bedded Forth Valley Royal Hospital, which opened in 2011and provides inpatient and outpatient services for a population of approximately 310,000.

THE FORTH VALLEY AREA

The working environment is excellent, as is the quality of life that ForthValley has to offer them and their families. The area has stunning scenery, such as the Trossachs and Loch Lomond. It is steeped in history with Callander House in Falkirk, StirlingCastle, Bannockburn and the WallaceMonument to name but a few of the sites in the area. It also has many cultural and leisure facilities such as the Falkirk Wheel (the largest canal barge wheel in the world), the MacRobert Arts Centre at Stirling and the NationalSportsAcademy at StirlingUniversity.

ForthValley also lies equidistant between Scotland’s two largest cities; Edinburgh and Glasgow. With their respective airports, both are little over half an hour from most parts of ForthValley, on the Falkirk, Larbert and Stirling area lines.

House hunters in the ForthValley area are spoiled for choice. On offer is a large array of established and new properties in a variety of attractive settings.

Education in the area is first class, with excellent provision of pre-school, primary and secondary education. State schools in the area have strong reputations and there is also easy access to the area’s private schools in Bridge of Allan, Dollar and Crieff.

On the further education front, Stirling boasts an excellent University and access to the University cities of Glasgow and Edinburgh is easy. There are also further education Colleges in Falkirk, Stirling and Alloa.

In addition to its scenery, history, culture and shopping facilities, residents in ForthValley have on their doorsteps a varied range of leisure and sporting facilities. There are marvellous golf courses, hills and mountains and everything from sailing and windsurfing.

Forth Valley has a population of nearly310,000and covers a geographic area from Killin and Tyndrum in the North and Strathblane and Bo’ness in the South.

Further information on the area can be found on the following websites:

- Falkirk Council - Stirling Council

- Clackmannanshire - Tourism

- NHS Locally - Stirling University

Living & Working in Scotland

Web Sites of Interest for Candidates

Scottish Health on the web: Scottish Executive:

NHSFORTHVALLEY ACUTE SERVICES

Specialty / Inpatient / Out-Patient / Day Patient
Emergency Department / **
Cardiology / † / * / *
Clinical Haematology / † / * / *
Dermatology / * / *
Diabetes & Endocrinology / † / * / *
ENT / * / * / *
Gastroenterology / † / * / *
General Medicine / * / * / *
General Surgery / * / * / *
Genitourinary Medicine / *
Geriatric assessment / * / * / *
Gynaecology / * / * / *
Intensive Care (medical & surgical) / *
Medical Genetics / *
Neonatal Intensive Care / *
Neurology / † / * / *
Obstetrics / * / * / *
Oncology / * / *
Ophthalmology / * / * / *
Oral & Maxillofacial Surgery / * / *
Orthodontics / *
Orthopaedic & Trauma Surgery / * / * / *
Paediatric Medicine / * / * / *
Paediatric Surgery (limited to over 3 year-old) / * / * / *
Pain Relief / *
Rehabilitation for Younger Physically Disabled People / *
Respiratory Medicine / † / * / *
Rheumatology / * / * / *
Special Care Baby Unit / *
Stroke Medicine / † / *
Sub-fertility / * / *
Urology / * / * / *
Vascular Surgery / † / * / *

† in-patient services are provided within General Medicine and/or General Surgery

* service currently provided

FURTHER DEPARTMENTAL INFORMATION

The successful candidate will work within the team of 11 consultants who collectively provide comprehensive health care for children across community child health, acute general paediatrics, care of the newborn (including BAPM Level 2 neonatal intensive care).

Individual consultants provide specialist paediatric services in areas of subspecialty expertise or interest. Consultant paediatricians also take responsibility for coordination of different components of the combined child health service, including functioning as a link to managed care networks.

The consultant paediatrician will share the workload with the other career grade staffin the department. He or she will share leadership in other areas to complement the existing staffin post. Acuteconsultant paediatricians also share in the acute paediatric on-call rota, as well as sharing the acute daytime cover in general paediatrics and/or neonatology.

The consultants, associate specialists, and specialty doctor are supported by training grade paediatric doctors in hospital and community services.

Departmental Information

Acute Paediatrics

Hospital-based medical paediatric services are provided on a single inpatient site at Forth Valley Royal Hospital. This includes: general paediatrics, ambulatory and day case investigations unit, neonatal intensive and special care baby unit, paediatric surgery from age 3 years, and anaesthetics (general surgery, urology, ENT, ophthalmology, orthopaedics and dental), paediatric accident and emergency service, and a number of radiography services for children (including plain X-ray, contrast studies, Isotope scans, ultrasound, CT and non-sedated MRI).

Inpatient General Paediatrics

Approximately 5000 children are admitted every year. As well as standard inpatient beds there are also facilities for close observation and stabilisation for transfer to PICU in Glasgow or Edinburgh.

The average length of stay for our admissions is less than 1.1 days. Consultant paediatricians share a regular rota to provide continuous support and supervision to the inpatient children’s ward, neonatal unit, and ambulatory unit during normal working hours Monday to Friday. This is achieved by having a consultant of the week. This same group of consultant paediatricians and one associate specialist also share the on call rota for out-of-hours cover for the paediatric service at nights and weekends. We use the inpatient service as the basis of clinical teaching to senior medical students from Edinburgh University who attend during the academic year in blocks of time.

Ambulatory Paediatric Care

Around 2000 children per year are seen in the ambulatory care unit or are admitted as day-cases. The service is in a separate area adjacent to the children’s ward.

Care of the Newborn

Over 3000 babies are born in Forth Valley Royal Hospital each year. All consultant paediatricians and one associate specialist share the weekly rota to provide continuous support to the antenatal services, labour ward, neonatal intensive care unit and the postnatal wards. The consultant paediatricians also share an out-of-hours nights and weekends on-call rota and will provide the regular daytime weekend cover to the neonatal and ambulatory care units.

Neonatal care in Forth Valley is provided at BAPM Level 2 and within the West of Scotland Neonatal Managed Clinical Network with shared clinical guidelines, audit and education activities. Planning for at risk deliveries or postnatal need for ongoing intensive care is coordinated through the Perinatal Advisory Service which is currently regional but may extend to a national service in the future.

Outpatient Clinics

Around 1700 new medical paediatric patients and between 5000 and 6000 return patients are assessed every year at the outpatient clinics in Forth Valley Royal Hospital, Stirling Community Hospital and Clackmannanshire Community Hospital. Consultant Paediatricians provide general outpatient clinics and specialist clinics in neurology, respiratory, endocrine, diabetes, cystic fibrosis, gastroenterology, and neuro-development. Many of these are linked to regional or national Managed Care Networks. Tertiary clinics are also provided locally by visiting consultants from Glasgow (cardiology, nephrology, rheumatology, clinical genetics, cleft lip and palate). Cystic fibrosis care is shared with the Lothian CF team as part of a national MCN. We also have specialist clinics in enuresis and encopresis.

Community Children’s Nursing

A community children’s nursing team isattached to the department providing out of hospital care to children with chronic disease and life limiting conditions including complex care.

NHS Forth Valley has embraced the principles of GIRFEC (Getting it Right for Every Child) and the Early Years Collaborative that supports this approach to coordinating and integrating the services that provide for infants’ and children’s needs.

Community Child Health

The department covers a population of 60,000 children under the age of 16 years. The population of Forth Valley lives mainly in the city of Stirling, several large towns (Falkirk, Alloa, Grangemouth, Bo'ness), and the more rural areas of Stirlingshire and Clackmannanshire. The living standards in Forth Valley are high with small areas of severe deprivation. The region has diverse ethnic backgrounds, but with no established ethnic communities.

The department of community child health works closely with the education and social services in the three local authorities. The department of community child health operates within the combined child health service and offers the following services under supervision and co-ordination of consultant paediatricians.

Disability & Additional Needs

Services for children with disabilities are provided from within multi-disciplinary teams that operated at different localities. No formal Child Development Centres are operational yet, but plans have been discussed.

Services are also provided for neonatal follow up of babies with increased risk for disabilities and also for adolescents in transition to adulthood. Early assessment teams are in place for multi-disciplinary approach to children with suspected developmental problems. The department also works closely with National Children's Homes locally and the two children’s hospices in provision of services to children in respite care.

Specialist Clinics

Services include children with constipation, encopresis, enuresis, behavioural problems, autism, attention deficit hyperactivity disorder, hearing impairment, visual impairment, and sexual health.

Child Protection

All consultant paediatricians provide early assessment and examination of children, supported by nurse advisors. One consultant paediatrician is in post as Lead for Child Protection and takes responsibilities for compiling agreed protocols and guidelines. This consultant represents the department in the managed clinical network for west of Scotland. The paediatricians have a close working relationship with forensic medical examiner(FME) in Forth Valley. The FME’s have experience in child sex abuse (CSA) examination working with the paediatric consultants who have undertaken additional training in CSA assessment. When required, colposcopy examinations are performed on site in the paediatric unit.

Child Health Screening

The department carries out electronic recording of child health screening data, and continues to undergo developments in line with national recommendations.

Health Promotion and Disease Prevention

The department is involved in the primary immunisation programme by setting local guidelines and advice to general practitioners and health visitors. The department works closely with the Health Promotion team at NHS Forth Valley and the Local Authority's Community Schools.

Adoption and Fostering

One paediatrician is designated medical advisor for each of the Local Authorities’ Resource panels and provides assessment and reports on accommodated children. The department also provides health and medical input to “looked after children” in local authorities' accommodation and also for the adoption and fostering services. A nurse-led service for looked after children has been developed and co-ordinates services with partners in the local authorities. It has set up an effective system for information exchange, monitoring, evaluation and follow-up, based on the established practice of health assessments for individual children.

Relationship with other departments

CAMH services are based within the Mental Health Unit though there is no inpatient paediatric psychiatric ward on site. There are 3 consultant child psychiatrists providing an area service, who also occasionally utilise in-patient paediatric beds in conjunction with the paediatric consultants. Separate paediatric clinical psychology staff are also based the hospital, working in close association with child psychiatry. There is a close link with regional educational psychology services.

There is a close relationship with the Royal Hospital for Children, Glasgow, our principal tertiary referral centre for childhood haematology/oncology, neonatal surgery, cardiology, PICU and other supra-regional services. Close working and networking with this tertiary centre and with RHSC Edinburgh is encouraged.

Teaching and Training and research

NHS Forth Valley places a high priority on training and development across all staff groups and strongly supports the continuing medical education programme for Consultants. The postgraduate centre is located within the main hospital building and is well-equipped.

The library contains:

• current medical text books for the major specialties
• medical journals on subscription
• Medline on CD-ROM for literature searching
• Internet access
• Teleconferencing links for weekly postgraduate teaching from QEUHG- RHCand Ninewells Hospital Dundee
• portable laptop PC for use with overhead projection

Threespecialty traineesare attached to the department from the East of Scotland deanery for core paediatric training. The department runs a weekly teaching programme. The West of Scotland deanery provides General Practice Registrars and Foundation Year 2 trainees in paediatrics for training at tier 1 in paediatrics. Individual teaching in preparation for DCH and MRCPCH examination is offered to all trainees. Three GPs with special interest in paediatrics have been attached to the Forth Valley Department as the NES GP Paediatric Fellowship. Forth Valley has supported the training of midwives in examination of the newborn and has established the NES Scottish Maternity training course in Resuscitation of the Newborn. In June 2014 the first APLS course in Forth Valley Royal Hospital took place. The Scottish Centre for Simulationand Clinical Human Factors, based at Forth Valley Royal Hospital, is collaborating with our department in developing additional training opportunities in acute paediatric and neonatal clinical management.