consultant in paediatric rheumatology
royal hospital for sick children, Edinburgh & glasgow
INFORMATION PACK
REF: 37689D
cLOSING DATE: nOON 26th June 2015
As you may be aware, the new SouthGlasgowUniversityHospital and new RoyalHospital for Sick Children are due to open on the current Southern site early in 2015.
With this in mind, please note that positions based within the Victoria Infirmary, Mansionhouse Unit, the Western Infirmary and the current RoyalHospital for Sick Children at Yorkhill will change location and move to the new hospitals.
Gartnavel GeneralHospital and Glasgow Royal Infirmary will also have some services affected by moves to the new Hospitals.
These changes mean your base may change after joining us and you will be informed as soon as possible prior to any change of base.
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: consultant in paediatric rheumatology
Base:royalhospital for sick children, edinburgh & glasgow
Applications are invited for a part –time Consultant in Paediatric Rheumatology (7PA’s).
This post is principally to support the Paediatric Rheumatology service in Lothian and is based mainly at the RoyalHospital for Sick Children, Edinburgh. The appointee will be part of a team whose main base is in Glasgow and will have some sessions in Glasgow to maintain links with the rest of the team and ensure handover for out of hours cover
The appointee will work with the current team of Consultants (3 Consultants and 1 Senior Lecturer in Paediatric Rheumatology) working within the Scottish Network for Paediatric and Adolescent Rheumatology (SPARN). This team supports Paediatric Rheumatology Services within Scotland, with tertiary services in Glasgow and Edinburgh and network clinics in all areas of Scotland. The post-holder will contribute to and support further development of services within SPARN.
Opportunity for the development of an individual candidate’s special interest will be encouraged within the service.
Applicants must possess full GMC registration and a licence to practise. Those trained within the UK should have evidence of higher specialist training leading to CCT or eligibility for specialist registration (CESR) within six months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent qualifications and training.
NHS LOTHIAN
AND
NHS GREATER GLASGOW & CLYDE
INFORMATION PACK
FOR THE POST OF
CONSULTANT
IN PAEDIATRIC RHEUMATOLOGY
Royal Hospitals for Sick Children
Edinburgh and Glasgow
JOB DESCRIPTION
This document is split into the following sections:
- Information on paediatric services in NHS Lothian and NHS Greater Glasgow and Clyde
- Information on Paediatric Rheumatology Services in NHS Lothian, NHS Greater Glasgow and Clyde and the Scottish Network for Paediatric and Adolescent Rheumatology
- Information on the job
The Job Itself/Description of Service and Contacts
Person Specification
Terms and Conditions of Service
Further Information
The overall job pack also contains documentation around equal opportunities monitoring.
- NHS Lothian
Edinburgh is the capital city of Scotland and has a population of approximately 500,000. NHS Lothian serves a population of 800,000 and was created on 1 April 2004 following dissolution of 3 Trusts; Lothian University Hospitals Trust, Lothian Primary Care Trust and West Lothian Healthcare Trust.
The University Hospitals Division of NHS Lothian provides a full range of secondary clinical services to the populations of Edinburgh, Midlothian, East Lothian and West Lothian and is the main tertiary centre for the South-East of Scotland, a population of c. 1.9 million people The Division is one of the major teaching centres in the United Kingdom.
Royal Hospital for Sick Children (RHSC E)
The Royal Hospital for Sick Children, Edinburgh (RHSC E) is the main Paediatric teaching hospital for the South-East of Scotland. This 144 bedded hospital provides general paediatric care to the children of Edinburgh and surrounding areas and specialist services on a local and national level. Tertiary services provided include intensive care, gastroenterology, hepatology and nutrition, endocrinology, rheumatology, respiratory medicine, cardiology, nephrology, neurology, neurosurgery, inherited metabolic disease, oncology, neonatal surgery,plastic surgery, orthopaedic surgery, urology and general surgery. In addition, RHSCE is the designated national centre for spinal scoliosis surgery and for ear reconstruction.
The hospital accommodation includes a dedicated paediatric outpatient facility, medical and surgical day case units, five theatres, a critical care unit comprising an 8 bedded PICU; 6 bedded High Dependency Unit and 3 bedded Neonatal intensive care unit. RHSCE also provides one-half of the national PICU retrieval service. There is an excellent library facility and a modern lecture theatre with a full range of audio-visual equipment.
All services are supported by comprehensive radiology, neurophysiology and laboratory services. The local radiology department provides on site Magnetic Resonance Imaging, CT Scanning, nuclear scanning and ultrasound. On site laboratories provide biochemistry, haematology, pathology and neuropathology services. Comprehensive pharmacy services are also available on site.
RHSCE has integrated therapy departments providing occupational therapy, physiotherapy, speech and language therapy, and dietetics. These services are managed within a single management structure, ensuring there are no management boundaries preventing effective clinical working.
RHSCE is particularly proud of this effective integration, particularly with respect to community child health services, which are provided from the same management structure as acute services across the Lothian area.
The hospital is currently situated in a quiet residential area close to the centre of Edinburgh. It is approximately 3 miles from the new Royal Infirmary and University of Edinburgh Medical School where the hospital will relocate to a completely new facility in 2017 co-locating with the Royal Infirmary of Edinburgh, the University Medical School, and a privately-funded medical research park. Work on this reprovision is well advanced with a target completion date of 2017.
The University of Edinburgh and its Medical School have an outstanding reputation for teaching and research .RHSC provides the major paediatric undergraduate training centre for the South East of Scotland, housing both the School of Community Paediatrics and the University Department of Child Life and Health. In addition, the hospital has very strong links with the University’s Department of Neonatology. RHSC is managed as part of the Women and Children’s Clinical Management Team. In practical terms this means a 3-person team who have responsibility for all aspects of the hospital and its services. Dr Edward Doyle is the Clinical Director, Dorothy Hanley the Acting Chief Nurse, and Mike Massaro-Mallison is the Service Manager.
- NHS Greater Glasgow and Clyde
The RoyalHospital for Sick Children, Glasgow
The Royal Hospital for Sick Children, Glasgow (RHSC G) is the largest paediatric teaching hospital in Scotland. It provides care, not only for children resident within Greater Glasgow & Clyde, but is also a tertiary referral centre for children from the West of Scotland, and in some subspecialties, from the whole of Scotland.
There are 271 inpatient and day care / assessment beds within the hospital.
There is the capacity for an integrated 26-bedded intensive / high dependency critical care unit and a retrieval service for critically ill children.
All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology, cardiology, neonatology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, orthopaedic, plastic surgery, maxillo-facial and dental surgery and general paediatric and neonatal surgery. The hospital provides a national Extra Corporeal Life Support service and is the centre for all paediatric cardiac surgery in Scotland.
The Radiology Department located within RHSC provides ultrasound, CT, MRI and isotopic studies on site. Diagnostic laboratory facilities are on site in Haematology, Blood Banking, Biochemistry, Microbiology, Virology, Histopathology and Genetics. 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 an extensive range of specialist community based children’s services across NHS Greater Glasgow. Managed within community health and social care partnerships, these services are integrated with primary care and social care services. Well established clinical links across combined acute and community settings within the NHS Board are in place.
The Yorkhill academic campus, including the department of Child Health, is part of the School of Medicine. A Senior Lecturer in Paediatric Rheumatology was appointed to the department in 2002. The hospital is a major undergraduate and postgraduate teaching centre for paediatrics.
Currently the Royal Hospital for Sick Children in Glasgow is on the Yorkhill site. From June 2015 it will be relocated to a new build, co-located on the Southern General Hospitals campus, together with a new adult hospital and a refurbished, extended maternity hospital.
The New Children's Hospital will provide state-of-the-art medical care in a safe, child-friendly environment. It will care for all children and young people up to their 16th birthday in a hospital that is specifically focusedon them andwill be physically linked to the refurbished maternity unit and new AdultHospital in order to provide the best possible care for newborns and their mothers. With 256 beds over five storeys, the design of the new hospital includes accessible play areas, a MediCinema and a covered roof garden where young patients can enjoy a range of activities in the fresh air. The new children’s hospital will be a mix of single rooms, all with en suite and parents accommodation, and four bedded wards.
Services at the new hospital will include:
- A Paediatric Emergency Department incorporating a Clinical Decision Unit
- A general paediatric and paediatric surgical Acute Receiving Unit
- Specialist inpatient wards
- A full range of outpatient clinics
- A paediatric critical care unit with medical and surgical intensive care and high dependency beds
- 9 operating theatres
- An interventional radiology suite
- Full imaging and other diagnostic services
- Therapy services including occupational therapy, physiotherapy and speech and language therapy
3 Paediatric Rheumatology Service
The paediatric rheumatology service at RHSC-E is a busy clinical service seeing approximately 200 new referrals per year. Referrals are accepted from general practitioners, paediatricians and adult rheumatologists in Lothian and surrounding areas extending to the Borders, Dundee and Fife.
It is envisaged that the post holder will over time become the lead clinician for the service in Edinburgh and will be based there, linking with the RHSC Clinical Management Team.
RHSC-E has an excellent paediatric rheumatology multidisciplinary team comprising 2 clinical nurse specialists, dedicated physiotherapist and part time occupational therapist. There is a physiotherapy department on site with access to hydrotherapy in a nearby special school. The hospital has a pain management team and there is ready access to psychology and child psychiatry support.
Clinics are held in a dedicated children’s outpatient department with a good phlebotomy service and facilities to undertake joint injections under entonox within the department. The main paediatric rheumatology clinic is run in parallel with an ophthalmology clinic providing an excellent service for children requiring regular eye monitoring. In addition to a weekly general rheumatology clinic there is a monthly connective tissue diseases clinic, a monthly teenage clinic and a fortnightly new patients clinic. Biannual transition clinics with one of the adult rheumatologists are established for transition of teenagers to theYoung Adult clinic at the Western General Hospital in Edinburgh, whilstjoint clinics with dermatology, nephrology and neurology are established.
There is access to a monthly general anaesthetic list for joint injections as well as facilities for undertaking them with entonox in the day unit or outpatient department. The medical day unit (PIU) is accessed regularly by rheumatology patients requiring regular infusions eg methylprednisolone, biologics. In patient beds are available in general paediatric wards although less well inpatients will be transferred to RHSC G where there is a larger Consultant base providing better cover.
The radiology department provides on site access to MR, CT, and isotope scanning. DEXA scanning is readily available at the Western General.
There is a weekly multidisciplinary teaching and clinical team meeting and a fortnightly radiology meeting.There are regular postgraduate rheumatology teaching sessions within Edinburgh and good links with adult rheumatology.
There is a dedicated paediatric clinical research facility on site with which the rheumatology service has good links. The unit currently contributes to a number of UK wide research studies including the national biologics registry, CAPS and the UK JSLE cohort study.
4. Scottish Paediatric and Adolescent Rheumatology Network (SPARN)
Paediatric Rheumatology services throughout Scotland now work together within a formal Managed Clinical Network. Around 800 children with JIA are managed within the network.
Locally based multidisciplinary teams and paediatricians with an interest in the specialty manage the majority of children with rheumatological conditions, supported by expert teams in Glasgow and Edinburgh. There is now an established network of shared care clinics, with clinics established currently in Aberdeen, Dundee, Inverness, Lanarkshire, Ayrshire, Clyde, Fife, Dumfries, Forth Valley, Borders and West Lothian.
The network holds an annual multidisciplinary network meeting and supports a variety of training and educational opportunities for staff including a well attended monthly CPD session accessible to all network centres by videoconference.
Section 5. The Job Itself
a)Title
Consultant Paediatric Rheumatologist
The successful applicant for this new post will join four consultant colleagues to provide expert paediatric rheumatology services in Edinburgh and Glasgow and to aid in the further development of a network of clinics providing care throughout Scotland.
b)Relationships
Name of Health Board
(i)NHS Lothian and NHS Greater Glasgow & Clyde
(ii)Names of Members of the Department
Consultant Paediatric RheumatologistsJoyce Davidson; Neil Martin; Jo Walsh
Senior Lecturer in Paediatric Rheumatology Janet Gardner-Medwin
RHSC, Edinburgh:
Consultant paediatrician with an interestJulie Duncan
Nurse specialists:Imogen Kelly and Vanessa Lewis
Physiotherapist:Jenny Hagger
Occupational therapist:Jane Duncan
Secretary:Nora Stevens
RHSC, Glasgow:
Nurse Specialists:Drew Fell, Gillian Coyle
Physiotherapists:Caroline Grant, Audrey Ritchie
Occupational therapist:Marion Berry
Secretary:Frances Leishman
(iii) responsible to
Although the clinical base for the post will be RHSC-E, the contract for this post will be held by NHS GG&C. The post holder will be managerially accountable to the Clinical Director for RHSCG, currently Dr Phil Davies. A service level agreement and honorary contract will be in place with RHSCE and the Clinical Director for RHSCE is Dr Eddie Doyle.
In addition to the service level agreement with Edinburgh other service level agreements are in place with regions where network clinics take place.
c) Duties of the Post
Clinical
The appointee to this new post will be expected to
i) work as part of a five Consultant team leading paediatric rheumatology services within Scotland
ii)provide continuity and stability for the clinical service in Edinburgh
iii) support and work with the multidisciplinary team in Edinburgh to develop their roles and the clinical service
iv) participate in an out of hours telephone advice rota with the other members of the Consultant team
v)contribute to the clinical service in Glasgow as needed
vi)continue the development of network services working with colleagues within SPARN to ensure equitable provision of paediatric rheumatology care throughout Scotland.
vii)have a role in both undergraduate and postgraduate teaching and training in the specialty particularly in Edinburgh
viii)contribute to multidisciplinary training through the network
ix)undertake audit within the service and network
x)support and encourage clinical research in Edinburgh and elsewhere in the network
There is no general paediatric commitment in this post
It is anticipated that the consolidation of the clinical team with the appointment of this additional Consultant will facilitate the teams in Edinburgh and Glasgow working more closely together, providing shared on-call cover and jointly supporting services throughout Scotland.
Although the appointee will be mainly based in Edinburgh there is a clear commitment that they will not work in isolation. Dr Davidson will continue to contribute significantly to the Edinburgh service and the appointee will have sessions in Glasgow for CPD and handover.
b)Provisional Weekly Timetable For 7 PA job plan.
Sessions are based in Edinburgh unless otherwise stated.
Week one: / am / pmMON / Clinical admin / New patient clinic
TUES / off / off
WED / Ward round, day case reviews, clinical admin
Psychosocial meeting
Team management meeting / Connective tissue diseases clinic
THUR /
MDT meeting
X ray meeting / Rheumatology clinicFRI / off / off
PA / 6PA DCC
Week two: / am / pm
MON / off / off
TUES / SPA / SPA including
Hospital grand round 1-2pm
Monthly SPARN CPD session
WED / ward round, day case reviews, entonox joint injections / clinical admin
THUR /
GA joint injection list
/ Rheumatology clinicFRI /
Glasgow
MDT, handover, ward round /travel
PA /6 DCC plus 2 SPA
Week three / am / pmMON / off / off
TUES / Network clinics
(Borders and W Lothian initially) / Clinical admin
WED / ward round, day case reviews, clinical admin / Teenage/transition clinic
THUR /
MDT meeting
X ray meeting / Rheumatology clinicFRI / off / off
PA / 6 DCC
Week four: / am / pm
MON / off / off
TUES / SPA / SPA (followed by ( plus travel to Aberdeen)
WED / Aberdeen clinic / Aberdeen (travel home)
THUR /
MDT meeting
/ Rheumatology clinicPlus admin from Aberdeen clinic
FRI / off / off
PA / 6 DCC plus 2 SPA
7 PA contract: