Specialty Doctor in Community Paediatrics

specialty doctor in community paediatrics

across nhsggc

Information pack

reF: 26724d

Closing Date: 19th october 2012

www.nhsggc.org.uk/medicaljobs

SUMMARY INFORMATION

Post: specialty doctor in community paediatrics

Base: across nhsggc

This post will be part of Community Child Health Services across Greater Glasgow and Clyde , mainly providing neurodisability services. The post will be flexible but initially be based within the Child Development Centres in South Glasgow and Greenock. The appointee will provide secondary level disability services across the 0-19 years age range as part of a multidisciplinary team. This will encompass child development and disability services including complex needs and autism, together with assessment and management of children with additional medical needs attending mainstream and special needs schools. There is no on-call commitment.

Previous training in Community Child Health is desirable, however support and training will be offered to candidates with other suitable paediatric experience.

Specialist community child health services are currently managed in geographical sectors but paediatricians work across the Board and maintain strong professional links across the area and with the hospital paediatric services. Active participation in and attendance at CPD activities will be expected, together with involvement in undergraduate and postgraduate paediatric teaching.

All applicants must possess Full GMC Registration, a licence to practice and at least 4 Years full time Post Graduate Training, two of which must have been in relevant acute specialties or you will demonstrate and evidence equivalent experience and competencies.

NHS Greater Glasgow and Clyde

Specialist Children’s Services

JOB DESCRIPTION

Job Title: Specialty Doctor

Community Paediatrics

Accountable to: Consultant Paediatrician/ Associate Specialist

Location: Specialist Children’s Services

Hours of Duty: Full time (10 sessions)

CHILDREN AND YOUNG PEOPLES SPECIALIST SERVICES

Specialist community child health services are currently managed in 7 separate geographical sectors with a planned move to 4 sectors with central management from the lead CHP (community health partnership) for specialist children’s services ensuring equity. Close links with hospital paediatric services are however maintained, with many clinicians working across CHPs/CHCPs in community and hospital settings. Paediatricians working within the community have full access to the diagnostic services available within The Royal Hospital for Sick Children at Yorkhill or Local District General Hospital, and contribute to other secondary and tertiary care services provided there, in addition to involvement in undergraduate and postgraduate paediatric teaching.

Community Child Health provides services to 271,000 children in Greater Glasgow and Clyde mainly from 7 Child Development Centres and also several Health Centres and Locality Clinics. The majority of the population is affected by poverty and multiple deprivation, although there are small areas of affluence. Each of the child development centre provide a focus for locality child health services including general paediatric clinics, pre-school child development services and school-aged neurodisability work. Greater Glasgow medical services for children and young people looked after and accommodated are currently managed from a separate single base, while those in the wider areas are managed locally. There are additional clinical teams to address the multidisciplinary needs of other 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.

THE POST

This post is offered on a permanent basis; however, given the current process of service redesign, the area covered by the post will change. It will be initially based between South Glasgow and Inverclyde delivering services within these and the wider Glasgow area. It is anticipated that work will move to other areas within the Board dependent on need and the progress of redesign. The paediatrician will be based within Child Development Centres and link with other paediatricians in geographical sectors and through a Boardwide network.

The job will encompass all aspects of disability across the childhood age range. The post-holder will be part of a multi-disciplinary team. Work will be carried out in a variety of settings within the context of Specialist Children’s Services within GG&C. This will include developmental disorders including autism spectrum disorders and complex needs. This is detailed further in the job specification.

ORGANISATIONAL STRUCTURE – SOUTH ( example )

COMMUNITY CHILD HEALTH WITHIN SCS

The Child Health Service includes Paediatricians, Special School Nurses, Specialist Health Visitors, Community Children’s Nurses, Occupational Therapists, Physiotherapists, Speech and Language Therapists, Orthoptists and Optometrists along with Managerial, Administrative and Clerical Staff. Care isdelivered mainly inlocalities, across threemain areas ofclinical specialism - general paediatrics, disability and social paediatrics. Speciality doctorsprovide the majority of their input at localitylevel, but may be encouraged to develop an interest in a subspeciality, which can bedelivered across a wider area in a board wide team.

Within Greater Glasgow and Clyde there are 25.9 WTE Medical Staff in post with 14 Consultant Paediatricians, 8 Associate Specialists, 8 Specialty Doctors, and a variable number of trainees in addition to 1 Professor . Trainees in paediatrics regularly rotate through the department.

Neurodisability 0-19 Years.

Child development teams operate from 7 Child Development Centres in the Health Board area. These teams work primarily with pre-school children who have significant developmental problems or complex needs. There is close liaison with colleagues in primary care and within the Royal Hospital for Sick Children and Royal Alexandra Hospital. There is full multi-disciplinary support including all allied health professionals, and a clinical psychology service managed within the Child and Adolescent Mental Health Service. There are also links with social work and education.

School aged children with disability are seen in a variety of settings, depending on their needs.

·  Those attending schools for children with complex needs or physical impairment are mainly seen within the school setting, where there is a school nurse on site and other members of the multidisciplinary team to deliver services. This encourages a holistic approach to managing the child’s needs and facilitates meeting our obligations under the Additional Support for Learning Act.

·  Clinics may also be held at times within the schools for children with moderate learning difficulties as the incidence of health problems in this population is relatively high.

·  Children attending mainstream school are seen at a clinic within the child centre.

As well as seeing children with long term problems diagnosed preschool, new referrals are received from hospital, GPs, school nurses and educational psychologists.

Community Autism Team

Currently, various clinical staff including speech and language therapists, clinical psychologists, educational psychologists and paediatricians undertake joint diagnostic assessments. Paediatricians are involved in preschool diagnosis but increasingly will not be in the school-aged population. There are teams attached to the 7 Centres, undertaking assessments. The teams are being developed to increase the skills and competencies of a range of clinical staff in CCH and CAMHS. These teams are purely diagnostic and ongoing management is by the relevant SLT, educational or clinical psychologist and/or OT with input from a paediatrician only if required.

Within the Service, strong links have been built with the Scottish Centre for Autism, which is based in Caledonia House in the Royal Hospital for Sick Children, and a programme of in-service training and joint clinical meetings is established.

School Health Service

Paediatricians provide a secondary level paediatric service, seeing children mainly with disability as above, in a clinic setting working with a multidisciplinary team. In addition children referred with general paediatric problems may at times be seen through this service rather than in a general paediatric clinic. Given levels of deprivation in Greater Glasgow and Clyde, medical problems are often complicated by vulnerability issues.

BOARD AND CITY-WIDE SERVICES

General Paediatrics

There are consultant led locality clinics which have access to the day investigation unit at the Royal Hospital for Sick Children, Royal Alexandra Hospital and Inverclyde Royal Hospital along with other diagnostic services.

Service for Child Protection and Vulnerable Children

A child protection unit is established in the Royal Hospital for Sick Children, with nurse advisors who support all clinical staff across the health board area. 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. Clinics providing comprehensive medical assessments for vulnerable children are operating across the Board. All members of medical staff have a role in child protection within their daily work.

Looked After Children

The Specialist Children’s Services team provides medical advice to Adoption/Fostering Panels in Glasgow and the surrounding Local Authority Areas and contributes to carer training and preparation groups for prospective adopters in addition to direct work with children.

The Team members work closely with the Social Work Departments, having developed a medical assessment and surveillance service for children looked after and accommodated by the local authorities. This functions currently as a central service for the majority of children; however those in Renfrewshire, Inverclyde and West Dunbartonshire are managed locally at present with the intention of moving to a four sector model with central accountability. Nursing services are to be expanded to include children Looked After in keeping with current government policy. Interagency communications are being developed to ensure that the medical needs of children are met despite changes of placement.

Visual Impairment Service

This service provides specialist input directly to children within dedicated provision and indirectly too many others. It is responsible for providing medical advice to education regarding visual impairment and for provision of functional vision assessments. There is close interagency working with Education, Social Work and the voluntary organisations across the Board area.

There are protocols in place for visual screening and visual assessment. Joint assessment and review is offered across the Health Board area in addition to being part of the tertiary service at the Royal Hospital for Sick Children.

There is a combined Orthoptic and Optometry service for all child development centres in Greater Glasgow and an optometry service for special schools across the Board area. Strong links between the hospital eye service and community services exist in order to provide improved multiagency care for visually impaired children.

JOB DESCRIPTION AND PROPOSED JOB PLAN

The appointee will provide a comprehensive medical service to children and young people with disabilities across the 0-19 age spectrum. Work will involve assessment, investigation, diagnosis and management of children, along with coordination of care. Working with other professionals and agencies as well as parents and other carers will be an integral part of this job. Initially there will be specific commitment to disability work within complex needs schools, sessions within the child development centre which will include general development and disability work, as will the work undertaken with school-aged children. This will include autism spectrum assessment and diagnosis and may, dependent on need and appropriate training, include ADHD assessment and diagnosis. The appointee will be supported by senior staff in all duties. Following an induction period, training will be provided as required and the appointee will be encouraged to identify and address their individual CPD needs. One session of SPA time will be provided as standard. The job plan will be reviewed and it is expected that changes will be made to the geographical areas of work during the period of redesign.

Training and Continuing Professional Development

Continuing Medical Education will be encouraged and promoted. There are regular in-house education meetings and application to external courses/symposia will be encouraged. Registration with RCPCH for CPD purposes is strongly encouraged.

Teaching

The post-holder will be expected to contribute to the training of Undergraduates and Postgraduates in Community Child Health.

Audit/Clinical Governance

All members of staff are expected to contribute to the ongoing programme of audit, protocol and care pathway development. Staff will engage in a regular job planning and appraisal processes as per contract.

Weekly Job Plan

The detail of the job plan is indicative and should be viewed as an example of the sessional work within the remit of the post. There is no out of hour’s commitment within this post.

All sessions allocated to specific areas of work include clinical work and meetings/ administration associated with that work.

Names of Senior Members of the Department

Dr Alison Rennie, Consultant Paediatrician, Joint Lead Paediatrician, Southbank Child Centre

Tel No 0141 201 0908 (Special Interest – complex disability) 0.7 WTE.

Email:

Dr Ciara McColgan, Consultant Paediatrician, Joint lead paediatrician, West Child Development Centre,

Tel No: 0141 207 7100 - 0.7 WTE. Email:

Dr Katherine Spowart, Associate Specialist Paediatrician, Joint Lead Paediatrician,

Glenfarg CDC, Tel No 0141 232 0403 (Special Interest – Visual Impairment) –1 WTE.

Email:

Dr Allison Ferguson, Consultant Paediatrician, Glenfarg Suite, Possilpark Health Centre

Tel No 0141 531 6194 (Special Interest – Autism) – 0.7 WTE

Email:

Dr Amgaad Faltous, Consultant paediatrician, Acorn centre, Vale of Leven Hospital. Tel 01389 817329 ( special interest – child protection ) – 1 WTE . Email :

Dr Helen Gibson , consultant paediatrician, Royal Alexandra Hospital . Tel : 0141 314 7202. email :

Dr Alison Kelly, Consultant Paediatrician, Bridgeton Child Development Centre, Tel 0141 531 6550 - 0.7 WTE. Email:

Dr Kath Leyland, Consultant Paediatrician, Southbank Child Centre

Tel No 0141 201 0908 (Special Interest – Educational Medicine) – 0.7 WTE.

Email:

Dr Allyson Ramsay, Consultant Paediatrician, Southbank Centre

Tel No 0141 201 0908 (Special Interest - Autism) - 1 WTE.

Email:

Dr Lucy Reynolds, Consultant Paediatrician, Glenfarg Child Development Centre

Tel No 0141 232 0403 (Special Interest – Child Public Health) -0.8 WTE