Royalhospital for Sick Children

consultant

in paediatric otolaryngology

royalhospital for sick children

Information pack

reF: 33878d

Closing Date: noon 22nd august 2014

SUMMARY INFORMATION

Post: consultant in paediatric otolaryngology

Base:royalhospital for sick children

The Women & Children’s Directorate (an Acute Operating Division of NHS Greater Glasgow & Clyde) is a world leader in the care of child and maternal health services. Located in the West end of Glasgow the hospital campus houses the famous RoyalHospital for Sick. In addition to its many national and regional specialist tertiary services, the Directorate also supports an extensive array of community child health services.

The post holder will join a team including 4 consultant paediatric otolaryngologists, an associate specialist and a paediatric audiological physician. The department has a developing research portfolio and is actively involved in undergraduate and postgraduate education.

The department has a major paediatric airway workload including the NSD-designated Scottish National Service for Complex Paediatric Airway Surgery. The department also undertakes a varied workload of secondary- and tertiary-level paediatric otolaryngology including head and neck surgery, chronic otitis media surgery, bone-anchored hearing aids, and audiological medicine. This post will therefore offer an excellent opportunity to develop areas of specialist expertise to complement those of the existing consultants. An interest and experience in paediatric otology would be an advantage.

Application is therefore sought from dynamic individuals with specialist paediatric or otology experience who are ready to join our well-established team.

Applicants must have full registration with the General Medical Council, a licence to practice and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher Specialist Training leading to a CCT or eligibility for specialist registration (CESR) or be within six months of confirmed entry at the date of interview. Non UK applicants must demonstrate equivalent training.

NHS Greater Glasgow & Clyde

Women and Children’s Directorate

Information Pack

for the post of

CONSULTANT

IN

PAEDIATRIC OTOLARYNGOLOGY

Royal Hospital for Sick Children

Yorkhill, Glasgow

Acute Division Women & Children’s Directorate

Further Particulars of the Post of Consultant in Paediatric Otolaryngology

JOB DESCRIPTION

Applications are invited for the post of Consultant Paediatric Otolaryngology at the RoyalHospital for Sick Children, Glasgow.

The post will be based at the RoyalHospital for Sick Children, Yorkhill, Glasgow.

This document is split into the following sections:

Children’s Services Across NHS Greater Glasgow & Clyde

New Children’s Hospital Build

Management Structures

The Work of the Surgical Department

The Job Itself/Description of Service

Contact Names

Personal Specification

Terms & Conditions of Service

Further Information

The overall job pack also contains documentation around equal opportunities monitoring.

Section 1Hospital Paediatric and Neonatal Services across NHS Greater Glasgow and Clyde

The majority of acute children’s services in NHS Greater Glasgow and Clyde are provided from the RoyalHospital for Sick Children (RHSC). A paediatric ward and neonatal unit in the RoyalAlexandriaHospital supports acute care for children and young people and neonates in the Clyde catchment area of the NHS Board. Neonatal intensive care is provided at the Southern General Maternity Hospital, Princess Royal Maternity and RoyalAlexandriaHospital. The RHSC will be re-located to a new build on the Southern General Hospital campus in 2015.

The RoyalHospital for Sick Children

RHSC is the largest paediatric teaching hospital in Scotland. It provides care for children resident within the Greater Glasgow area, acts as a tertiary referral centre for children from the West of Scotland and in a range of subspecialties including invasive paediatric cardiac services, from the whole of Scotland.

• All paediatric medical and surgical subspecialties are provided, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology (bone marrow transplant service), neurology, neurosurgery, cranio facial and maxillofacial surgery, nephrology, cardiology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, rheumatology and orthopaedics, general paediatric and neonatal surgery
• There are 173 inpatient beds excluding paediatric and neonatal critical care, day care and medical assessment with cardiac patients located in ward 5a (24 bed ward)
• There is a 22 bed paediatric intensive and high dependency care unit. Co located with this is further 18 neonatal intensive care cots
• There are 7 full operating theatres, day surgery unit, pre assessment team, dental suite and endoscopy room in the main theatre complex in the hospital. Cardiac surgery has a dedicated theatre and team providing 24 / 7 cover to their patients.
• There is a full radiology suite of MRI, catheterization laboratory, CT scanner and clinical physics department. There is also an extensive cardiac physiology department
• National services provided from RHSC include:
• Cardiac Surgery and interventional cardiology
• Neonatal cardiology,
• Neonatal ENT,
• ECLS
• Congenital Diaphragmatic Hernia network,
• Vein of Galen assessment and treatment (together with Great Ormond Street as a UK service).
• Paediatric Renal transplantation
• Paediatric Stem Cell transplantation
• Large outpatient, medical day care, medical assessment unit and emergency department
• On site paediatric and neonatal transport/retrieval services
• A pan Greater Glasgow Child Protection Unit has been developed on site.

Laboratory services to the RHSC are provided from the Southern General Hospital campus.

RHSC 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.

Southern General Maternity

At the start of 2010 the new neonatal unit opened above the labour ward on the Southern General site with projected delivery numbers for the hospital of 5,900 births per year. Because the Ian Donald Fetal Medicine unit is on the same site a significant proportion of the neonatal workload involves delivery of infants with known congenital anomalies. Limited radiology support is provided by colleagues from the RHSC but infants requiring invasive procedures or complex imaging are transferred to the RHSC neonatal unit. There is physical space for 34 intensive care and high dependency cots and 26 special care cots.

When the new children’s hospital opens on the Southern general site in 2015, all neonatal services currently provided in the NICU at RHSC will move over to the Maternity unit. There will be a physical link to the intensive care floor of the new children’s hospital.

There is a dedicated fully equipped echo machine and remote telemedicine link on site together with access to the cardiac patient database kept at RHSC.

Princess Royal Maternity (PRM)

The PRM is a large maternity unit, situated about 1 mile east of the centre of Glasgow. It is on the campus of Glasgow Royal Infirmary, which provides services for the population of the East and North of Glasgow. It is a purpose built 120 bed maternity hospital, with a capacity for 6,800 deliveries per annum. There are 10 intensive care cots, 23 special care cots and a 4 bed transitional care unit. All neonatal intensive care can be provided except for those infants who require neonatal surgery and/or extra-corporeal life support services (ECMO). A telemedicine link with the RoyalHospital for Sick Children has been long established allowing live consultation and the transmission of ultrasound images. The University Chair of Obstetrics and Maternal Medicine is based on site and there is an active research philosophy in the unit.

GoldenJubileeNationalHospital (GJNH)

The GJNH is located 8 miles west of the city centre along the river Clyde. It contains the West of Scotland Cardiac Centre which provides cardiac surgery and interventional cardiac services to the population of the West of Scotland. It also has some designated National services including the Scottish Adult Congenital Cardiac Service, Scottish Pulmonary Vascular Unit and Scottish Advanced Heart Failure Service. The adult congenital unit performs over 200 adult congenital operations and catheter interventions per year and is closely integrated with the paediatric congenital cardiac service.

Section 2New Hospital Build

The construction of a new children’s hospital (replacing the current RoyalHospital for Sick Children) has commenced on the Southern General Hospitals Campus alongside a new adult hospital and existing maternity unit including new neonatal unit.

Completion of this new tripartite clinical arrangement for NHS Greater Glasgow covering acute care of adult, children and maternity services is expected to be completed by 2015.

Section 3Management Structures

Greater Glasgow and Clyde NHS Board have a single operating division for all acute services. Diagram (1) highlights the local management structure underpinning operational service delivery.

Diagram 1 – management structure

Key Stakeholders (within Diagram 1):

Robert CalderwoodChief Executive; Greater Glasgow and Clyde NHS Board

Kevin HillDirector Women and Children’s Directorate

Jim BeattieAssociate Medical Director; Women and Children’s Directorate

Jamie RedfernGeneral Manager; Hospital Paediatrics & Neonatal Services

Pam CupplesClinical Director, Surgery & Anaesthesia

Lynne RobertsonClinical Services Manager

Contact details for some of the above named personnel are available in section 9 along with a list of other key management / clinical employees within hospital paediatrics.

Section 4:The Otolaryngology Department

The otolaryngology department undertakes the full range of paediatric ear, nose and throat services, including a National Services Division-designated national service for complex airway reconstruction and a supra-regional referral service for airway disorders in general. The only service not provided on site is cochlear implantation, which is provided as a national service at CrosshouseHospital in Kilmarnock.

Yorkhill is the main tertiary referral centre for paediatric airway disorders for Scotland. All airway conditions are dealt with including choanal atresia, laryngomalacia, subglottic stenosis, recurrent respiratory papillomatosis and tracheal pathology. This work is made possible by the support of a large paediatric intensive care unit, skilled anaesthetists, a national paediatric transport and retrieval service and experienced ENT nurses. Equipment available in the operating theatre includes a CO2 laser, a KTP laser, a microdebrider, microscopes, various rigid and flexible telescopes and video equipment. We have recently purchased half a million pounds-worth of new endoscopes for airway work.

Funding was obtained within the last few years to support the provision of digital hearing aids for all children, and for modernisation of audiology facilities in the hospital and various community settings. Audiology facilities in the hospital include otoacoustic emissions testing and ABR. Universal neonatal screening for hearing impairment was introduced in 2006. That year also saw the appointment of Dr Juan Mora, Consultant in Paediatric Audiological Medicine. The department has a bone-anchored hearing aid programme, and undertakes surgery for chronic otitis media and prominent ears on a regular basis.

The department also provides a service for children with head and neck lesions, including vascular malformations, branchial cleft anomalies and neck masses. Currently the following specialist clinics are in operation: Voice (Mr Wynne), BAHA / Microtia (Mr Clement), Saliva Control (Mr Kubba), Complex Airway (Mr Kubba, Mr Clement and Mr Wynne), Down Syndrome preschool surveillance (Mr Kubba), Tracheostomy (Mr Clement and Mr Kubba, with Dr Phil Davies from Respiratory Medicine), Cleft Palate (Mr Wynne and Mr Sadiq), Craniofacial (Mr Wynne) and Otology (Mr Morrissey).

Section 5:THE JOB ITSELF

(a)Title:

Consultant Paediatric Otolaryngologist

(b)Relationships:

(i)Name of Health Board(s)/Trust:

NHS Greater Glasgow and Clyde.

(ii)Names of Consultant members of the Department:

Mr Simon Morrissey (Lead Clinician)

Mr David Wynne

Ms Fiona MacGregor

Mr Haytham Kubba

Mr Andrew Clement

(iii)Junior Medical Staff

1 Senior Clinical Fellow (usually post-CCT)

2 Specialty Registrars, West of Scotland Rotation

1 GP trainee

1 Foundation Year 1 doctor

(iv)Other Medical Staff

Mr H A Sadiq, Associate Specialist

Dr Juan Mora, Consultant Paediatric Audiological Physician

Sylvia Harrison, Clinical Nurse Specialist in Tracheostomy and Complex Airway

Tracey-Ann Baird, Clinical Nurse Specialist in Tracheostomy and Complex Airway

(c)Duties of the Post:

(i)Clinical - details of all clinical commitments

This appointment is a new post.

The appointee will provide a service in general paediatric otolaryngology, and will have the opportunity to develop areas of special interest to complement those of the existing consultants. It is likely that the appointee will play a major role in delivering otological surgery including bone anchored hearing aids and middle ear surgery, and in providing otological support to the Scottish National Service for Microtia (led by Mr Ken Stewart, plastic surgeon). There will also be the opportunity to provide otological and airway surgery support to the craniofacial team. The appointee will be expected to play a role in the national referral service for children with airway disorders, and in particular will be expected to deal with a wide range of complex emergency airway cases on call.

The post holder will have a provisional job plan comprising a mix of flexible and fixed operating sessions and outpatient clinics in addition to responsibilities of ward rounds, continuing care, administration, teaching, audit and research. The exact timing of these sessions will not be confirmed until a review of job plans across the whole department is complete. It is envisaged that there will be an average of 2.5 operating lists and 3 clinics per week.

The appointee will provide emergency cover on-call for the RoyalHospital for Sick Children. On-call is currently partly shared with the adult Otolaryngology department at Gartnavel GeneralHospital but this new appointment should allow the establishment of a dedicated paediatric on-call rota on a 1 in 5 basis.

(ii)Teaching

The successful applicant will be expected to take a lead role in undergraduate and postgraduate teaching. He or she will also be expected to be responsible for the professional supervision, training and development of doctors in training grades.

(iii)Research

The successful applicant will be expected to develop a research interest and supervise research projects undertaken by doctors in training grades. The postholder will also develop a lead role in clinical audit.

(iv)Administration

The postholder will be expected to undertake such administrative duties as are required for his or her patients and the proper functioning of the department.

(d)Timetable

This timetable is given only as an example as the exact timing and nature of sessions have yet to be determined.

Day / Hours / Hospital or Clinic and Description of Duties e.g. ward Rounds, Theatres and Out-patients etc.
MON / AM / Flexible SPA/ theatre/ general clinic (cover for leave)
MON / PM / Flexible SPA/ theatre/ general clinic (cover for leave)
TUES / AM / General outpatient clinic, RHSC
TUES / PM / Flexible SPA/ theatre/ general clinic (cover for leave)
WED / AM / Theatre, RHSC
WED / PM / Flexible SPA/ theatre/ general clinic (cover for leave)
THURS / AM / Ward round; emergencies clinic; availability for emergencies
THURS / PM / Availability for emergencies
FRID / AM / Craniofacial clinic, RHSC
FRID / PM / Microtia clinic, RHSC (monthly) / theatre (3 weeks in 4)
SAT / AM
SAT / PM
SUN / AM
SUN / PM

Job Plan Review

A formal job plan will be agreed between the appointee and their Clinical Director, on behalf of the respective medical management structures within Greater Glasgow and Clyde NHS Board. The job plan will be based on a provisional timetable such as the one shown in table 1 above. The Job Plan will then be reviewed annually, following the Appraisal Meeting. The Job Plan will be a prospective agreement that sets out a consultant’s duties, responsibilities and objectives for the coming year. It should cover all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It should include personal objectives, including details of their link to wider service objectives, and details of the support required by the consultant to fulfil the job plan and the objectives.

Human Resources

General Provisions

You will be expected to work with local managers and professional colleagues in the efficient running of services and will share with Consultant colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions, you are expected to observe the organisation’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instruction NHS Greater Glasgow & Clyde, in particular, where you manage employees of the organisation, you will be expected to follow the local and national employment and personnel policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary.