SENIOR CLINICAL FELLOW IN PAEDIATRIC OTLARYNGOLOGY
ROYAL HOSPITAL FOR CHILDREN
INFORMATION PACK
REF: 47931d
cLOSING DATE: 25TH AUGUST 2017
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: senior clinical fellow in paediatric otolaryngology
base: royal hospital for children, glasgow
1st August 2018 - 1st August 2019
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 Royal Hospital for Sick Children with many national and regional specialist tertiary services.
Applications are invited for a post in paediatric otolaryngology providing training at the level of an experienced specialist registrar. The postholder will benefit from extensive exposure to paediatric airway disorders within the NSD-designated Scottish National Service for Complex Paediatric Airway Reconstruction. 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.
The post holder will join a team including 6 consultant otolaryngologists, an associate specialist, a specialty doctor, two speciality registrars and a GP Trainee. The department also has a consultant and an associate specialist in paediatric audiological medicine, and a complex airways and tracheostomy clinical nurse specialist. The department has a developing research portfolio and is actively involved in undergraduate and postgraduate education.
Applications are sought primarily from dynamic individuals who hold a CCT (or will do so by the commencement of the post) in otolaryngology and who are looking to gain additional paediatric experience prior to taking up a consultant post. This post, however, carries approval for Specialist Registrar training from the SAC, so individuals not yet in possession of their CCT are welcome to apply as long as they currently hold a National Training Number in otolaryngology and have written support from their programme director and postgraduate dean to take time out of programme. Non UK Applicants must demonstrate equivalent training.
For informal enquiries and further details please contact:
Mr A Clement, Consultant Paediatric Otolaryngologist 0141 451 6526
Mr David Wynne, Consultant Paediatric Otolaryngologist 0141 451 6598
NHS Greater Glasgow & Clyde
Women and Children’s Directorate
Information Pack
for the post of
Senior Clinical Fellow
IN
PAEDIATRIC OTOLARYNGOLOGY
ROYAL HOSPITAL FOR CHILDREN, GLASGOW
1 CHILDREN’S SERVICES ACROSS NHS GREATER GLASGOW AND CLYDE The Southern General University Hospitals’ Campus hosts the Royal Hospital for Children,and the Queen Elizabeth University Hospital. The latter including a Neonatal and Maternity Unit Located outwith the main hospitals, but on campus grounds, is a full facility of on-site laboratories.
A description of the two main hospitals is provided below.
a)The Royal Hospital for Children, Glasgow
The Royal Hospital for Children (RHC) Glasgow, opened on 3rd July 2015, and is one of the largest paediatric teaching hospitals in the UK and the largest in Scotland. It provides secondary care for more than 900,000 people resident within the Greater Glasgow and Clyde area, but also 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, Extracorporeal Life Support (ECLS) and complex airway, supported by a 22 bed PICU.
All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, cardiology, cardiothoracic surgery, neonatology, neurology, neurosurgery, 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.
Neonatal Services are adjunct in the Maternity Unit and include both a level 1 and level 2 NICU facilities with 34 cots available.
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 Radiology Department located within RHSC provides ultrasound, CT, MRI and isotopic studies on site. Diagnostic laboratory facilities on site include Haematology, Blood Bank, Biochemistry, Microbiology, Virology, Histopathology and Genetics.
b)Other Paediatric services in NHSGG&C
There are two other maternity hospitals in Glasgow; Princess Royal Maternity Hospital, and the Royal Alexandra Hospital, all with neonatal intensive care facilities.
There is one children’s ward at the Royal Alexandra Hospital providing local care for the children of Paisley.
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.
2.WORK OF THE 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 Crosshouse Hospital in Kilmarnock.
RHC 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.
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 2005. 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:
- Airway (Mr Clement, Miss Kunanandam and Mr Wynne)
- Tracheostomy (Mr Clement with Dr Phil Davies from Respiratory Medicine)
- Saliva Control (Mr Clement and Miss Kunanandam)
- Down Syndrome preschool surveillance (Mr Bittermann, with Audiology)
- Cleft Palate (Mr Wynne)
- Craniofacial (Miss Heffernan)
- Voice (Mr Wynne)
- BAHA (Miss McAllister)
- Specialised Otology/Balance and Skull Base (Miss McAllister and MrBittermann)
- Microtia/Pinna Reconstruction (Miss McAllister).
3.THE JOB ITSELF
(a)Title:
Senior Clinical Fellow in Paediatric Otolaryngology
(b)Relationships:
(i)Name of Health Board(s)/Trust: NHS Greater Glasgow and Clyde
(ii)Names of Consultant members of the Department:
Mr David Wynne (Link Clinician)
Mr Andy Clement
Miss Tash Kunandanam
Miss Kerrie McAllister
Mr Joost Bittermann
Miss Colleen Heffernan (Locum)
(iii)Junior Medical Staff
1 Fellow
2 Specialty Surgical Trainees, West of Scotland Rotation
1 GP Trainee
1 Foundation Year 1 Doctor
(iv)Other Clinical Staff
Mr H A Sadiq, Associate Specialist
Dr Catalina Florea, Specialty Doctor
Dr Juan Mora, Consultant Paediatric Audiological Physician and
Sylvia Harrison, Clinical Nurse Specialist in Tracheostomy and Complex Airway Surgery.
Joyce Grey,Clinical Nurse Specialist in Tracheostomy and Complex Airway Surgery.
(c)Duties of the Post:
(i)Clinical - details of all clinical commitments
The appointee will provide support to the consultants in paediatric otolaryngology at the level of an experienced specialist registrar. The appointee will be expected to play a major role in the delivery of specialist services, including the national referral service for children with airway disorders. This will involve outpatient clinics, operating sessions, emergency referrals from general practitioners, accident and emergency staff and other hospital specialists, and supervision of more junior doctors on the wards. All sessions will be undertaken with the supervision and support of the consultants but the exact degree of supervision provided will be tailored to the needs and experience of the postholder. The postholder will be expected to develop good working relationships with nurses, junior medical staff and colleagues in other disciplines, such as Speech and Language Therapy, Maxillofacial Surgery, Cardiology/Cardiothoracic Surgery, Respiratory Medicine, Neurology/Neurosurgery and Haematology/Oncology.
The post holder will have a provisional job plan comprising eight fixed sessions in addition to responsibilities of ward rounds, continuing care, administration, teaching, audit and research. The plan will include four outpatient clinics and four fixed operating sessions.
The appointee will support GP Trainees provide emergency cover on-call for the Royal Hospital for Children during the day. Evening on-call is shared with the adult Otolaryngology Department with two rotas, one covering RHC and peripheral hospitals and the other covering all in patients and referrals to Adult Services. Intensity of on call is approximately a 1 in 7 rota.
(ii)Teaching
The successful applicant will be expected to take a substantial role in undergraduate and postgraduate teaching.
(iii)Research
A strong emphasis on research is maintained within the Department. The successful applicant will be expected to participate actively in the ongoing research and audit programme of the department, and will be fully supported in doing so.
(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.
Timetable
The postholder will alternate timetables with the Surgical Trainees every 3 - 6 months. Timetables will be individually tailored to the Fellows learning needs and requirements.
Candidates wishing to visit the hospital may do so and should make their arrangements direct with:
Mr A Clement, Consultant Otolaryngologist Tel: 0141 451 6526
Mr David Wynne, Consultant Otolaryngologist Tel: 0141 451 6598
Shortlisted candidates are also welcome to contact:
Dr. Alan Mathers, Associate Medical Director Women and Children’s Directorate
Mr Jamie Redfern, General Manager Women andChildren’s Directorate
Person Specification for Senior Clinical Fellow in Paediatric Otolaryngology
- Qualifications and Professional Training
FRCS (ORL-HNS) for post-CCT applicants / Higher degree
- Professional Practice and Experience
Or, current holder of a national training number (NTN) in otolaryngology on an approved UK programme AND with confirmation from their postgraduate dean that they can take time out of programme and keep their NTN during this time / Should have some experience in paediatric otolaryngology including specialist airway work
- Research; Publications; Teaching
Interest and experience in teaching at undergraduate and postgraduate levels.
- Personal Attributes
Leadership skills.
Organisational and administrative skills
Commitment to team working.
- Other General Requirements
Enhanced disclosure from Disclosure Scotland.
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.
TYPE OF CONTRACT / Fixed TermGRADE AND SALARY / Senior Clinicqal Fellow
£31,220 - £ 49,091 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.
HOURS OF DUTY / Full Time40.00
SUPERANNUATION / New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via:
REMOVAL EXPENSES / Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.
EXPENSES OF CANDIDATES FOR APPOINTMENT / Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses.Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.
TOBACCO POLICY / NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.
DISCLOSURE SCOTLAND / This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.
CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK / NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.
REHABILITATION OF OFFENDERS ACT 1974 / The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.
DISABLED APPLICANTS / A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.
GENERAL / NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES / The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE / The employment is subject to one months’ notice on either side, subject to appeal against dismissal.
MEDICAL NEGLIGENCE / In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.
FURTHER INFORMATION
For further information on NHS Greater Glasgow and Clyde, please visit our website on
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Applicants wishing further information about the post are invited to contact Mr A Clement on 0141 451 6526 or Mr. David Wynne on 0141 451 6598.
How to apply
To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open)
Medical and Dental Application and Equal Opportunities Monitoring Form
Declaration Form Regarding Fitness to Practice
Immigration Questionnaire
Alternatively please visit and click on the “How to Apply” tab to access application for and CV submission information.
NOMINATION OF REFEREES
It is Board policy that no person can act as a member of an Advisory Appointments Committee and be a referee for a candidate for that post. You should therefore check with your proposed referees whether there is likely to be any difficulty in this respect for we may otherwise have to invite you to submit another name or names
Return of Applications
Please return your application by email to or to the recruitment address below;
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde
West Glasgow ACH (formerly Yorkhill)
2nd Floor
Dalnair Street,
Yorkhill,
G3 8SJ
CLOSING DATE
The closing Date will be 25th August 2017