specialty doctor in neonatal medicine and neonatal transport
yorkhill royal hospital for sick children / southern general hospital
information pack
reF: 25665D
Closing Date: 29th June 2012
SUMMARY INFORMATION
Post: specialty doctor – neonatal medicine & NEONATAL TRANSPORT
Base: southern general hospital & royal hospital for sick children
Applications are invited for this newly created Specialty Doctor post within the Glasgow neonatal services. The post provides the opportunity to establish a career within fully comprehensive neonatal service where all the neonatal clinical services can be accessed on site. The post will initially work between the Southern General and Yorkhill Hospital neonatal units and the West of Scotland neonatal transport service.
The Yorkhill neonatal unit is a combined medical & surgical neonatal unit within the regional children’s hospital. A full range of neonatal services and support services are available on site including neonatal surgery, cardiac surgery, renal support and the Scottish neonatal ECMO service. Over 200 newborns per year are currently transferred here due to the specialist services offered by this site.
The Southern General neonatal unit currently operates with 6 ITU, 6 HDU cots and 12 special care cots. We are in the process of a major redesign of maternity, neonatal and paediatric services in Glasgow. This started at the beginning of 2010 with the closure of the Queen Mother’s Maternity Unit, transfer of its services to the Southern General site and the opening of new-built labour ward and new neonatal unit. In 2014/15 the Children’s Hospital will be relocated to new built facilities on the SGH site at which time the new neonatal unit here will become the largest neonatal unit in the country with 34 intensive care and high dependency cots and 26 special care cots providing the full range of neonatal services including neonatal and cardiac surgery and ECMO.
The Neonatal Transport Service (West of Scotland) is based in Glasgow and currently undertakes 800 transfers per annum by road and air, including the transfer of critically ill infants for ECMO and neonatal surgery. The West of Scotland Neonatal Transport service has the most experience of air transfers in the UK and has a CAA approved system for delivering iNO in the air.
The Specialty Doctor will be expected to work alongside senior neonatal trainees within the department providing support to more junior middle-grade and first on-call colleagues. Individuals will be expected to develop a particular interest or role within the departments. Applicants will be expected to demonstrate competence in practical neonatal procedures and neonatal resuscitation, to be familiar with a range of neonatal ventilatory strategies and to demonstrate clinical leadership abilities.
We are looking for applicants who can demonstrate the capability to work in Neonatology at middle-grade level and who are enthused by the prospect of career within our neonatal service. Neonatal transport experience is desirable but is not essential as training will be provided. There are currently two specialty doctors in post and the appointment of this third post is intended to allow all three specialty doctors to develop some involvement within the neonatal transport service probably on a rotating block attachment of several months at a time.
All applicants must possess full GMC registration, a licence to practice and have 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.
Glasgow Neonatal Service
JOB DESCRIPTION
SPECIALTY DOCTOR(S) IN NEONATOLOGY
REFERENCE NO: 25665D
DETAILS OF POST
Neonatology services in Glasgow and Clyde operate as a single service. The posts are based at the Southern General Hospital, Yorkhill Hospital and the Neonatal Transport Service and complement the work of the Consultants and middle grade staff. The post is full time 10 Programmed Activities (PAs) with two Additional Programmed Activities (APAs) available.
QUALIFICATIONS
MRCPCH or equivalent would be an advantage. The successful candidate should have considerable experience of neonatal intensive care and neonatal follow-up clinics. Neonatal Transport experience would be desirable.
The successful candidate will be encouraged to develop a special interest appropriate for the needs of the department. (Training will be available)
GENERAL INFORMATION
The current staffing of the departments is as follows:-
Southern General & Yorkhill Hospitals
Dr Peter Macdonald
Dr Dominic Cochran
Dr Lesley Jackson*
Dr Colin Peters*
Dr Jonathan Coutts
Dr Judith Simpson
Dr Anne Marie Heuchan
Dr Dhullipala Anand
Dr Morag Campbell
Dr Kathleen O’Reilly
Dr Helen McDevitt
Dr Charles Skeoch*
Dr David Quine*
*National Neonatal Transport Service (NeTS, Western Region)
2 current Specialty Doctors working in neonatal unit. The appointment of the third post will allow three to develop some involvement in the neonatal transport service.
11 middle grade doctors (Specialty trainees or SpR’s on the West of Scotland training rotation) based between SGH and Yorkhill neonatal units
7 Foundation year 2 trainees and 6 ST2 Paediatric trainees.
Expanding numbers of ANNPs working in both transport and in-patients neonatal services
Neonatal and Children’s Services across NHS Greater Glasgow and Clyde
Neonatal services across Scotland are currently undergoing a process of change and it is anticipated that, due in part to workforce pressures, some centralisation of neonatal intensive care cots in Scotland will occur but the final model of this service has not yet been decided. In addition there is service redesign locally in Glasgow involving the move from four neonatal facilities to two. Currently neonatal intensive care is provided in the Princess Royal Maternity (PRM), the Southern General Maternity (SGH), and a combined medical and surgical NICU in The Royal Hospital for Sick Children (RHSC) on the Yorkhill site. In the future, the final location of neonatal intensive care units will be the PRM and the SGH site, the latter being co-located with the newly built regional children’s hospital. Following the building of the New Children’s Hospital on the Southern General site neonatal surgical and sub-speciality services will be provided in the Neonatal Unit which will be adjacent and connected to the New Children’s Hospital via a link corridor. The National Neonatal Transport Service (NeTS, Western Region) is currently moving to a new base at Yorkhill but in the long term will also be based at the SGH site.
All neonatal specialty doctor posts in Glasgow are appointed through the Women and Children’s Directorate of NHS Greater Glasgow and Clyde. Therefore, following job planning, the future working pattern may involve other sites within the Directorate.
DUTIES OF THE POST
1. To work with the middle grade staff in the provision of cover to the Neonatal Intensive Care Units at the Southern General and Yorkhill. Out-of-hours duties are shared with your middle grade colleagues.
2. To work as a middle grade doctor in the Neonatal Transport Service. Non-resident on-call is shared with ANNPs.
3. To assist Consultants in Neonatal Outpatient Clinics. To act with a degree of independence in the provision of an Outpatient Clinic according to the candidate’s suitability and training.
4. Support of the junior staff in the day-to-day management of patients in The Neonatal Unit and Postnatal Wards.
5. Teaching of undergraduates and postgraduate medical students, nursing and other staff.
6. Management duties appropriate to the post.
7. Audit duties, individually and together with other members of the Unit.
8. The post holder will be expected to meet the requirements of CPD through the RCPCH system.
ROTA
Out-of-hours duties will be split between a 1:12 resident middle-grade shift rota in one of the neonatal units and a 1:18 on-call rota in neonatal transport. Total weekend commitments average one weekend per month split between non-resident transport on-call and resident neonatal unit shifts. It is anticipated that at any one time your duties will be primarily based in either transport and NICU.
CONDITIONS OF THE POST
All periods of duty in the Southern General and Yorkhill are on-site shifts. Transport Service duties involve on-call from home requiring the ability to return to the hospital base within an hour of receiving a call.
Model Job Plan
Specialty Doctor/Associate Specialist Job Planning
1. A model job plan is attached, which has been agreed as the format used by employers in Scotland to record details of doctors’ or dentists’ working arrangements under the new contracts.
2. It should be used to confirm the outcome of both annual and interim Job Plan Reviews and the details contained in the Job Plan will form part of the contract between employer and employee. Doctors or dentists participating in job planning activities should be reminded of the important nature of this document.
3. The document must show the total number of Programmed Activities (PAs) (including those allocated for on-call work) and the number of Additional Programmed Activities (APAs) separately.
4. To ensure clarity and consistency, each item of work should be categorised as Direct Clinical Care (DC), Supporting Professional Activity (SPA), Additional NHS Responsibilities (AR) or External Duties (ED) and each should be listed separately as either a PA or an APA.
5. It should be noted that some blocks of time may include more than one category of work, but must not include both PAs and APAs. These must be noted separately to inform any APA contract that results from the job planning process.
6. It is recommended that a diary should be completed as an evidence gathering tool to inform the process. To ensure that a representative period is used, it is recommended that diary evidence should be submitted for a minimum period of six consecutive weeks or, where practicable, the period of one cycle of on-call.
7. The reference period used for the diary should be agreed in advance between the doctor or dentist and their clinical manager.
Model Job Plan Format
Specialty: / Neonatal Paediatrics & Neonatal Transport
Grade: / Specialty Doctor
Effective Date of Job Plan: / 01/08/09
Next Expected Review Date:
Contract: Specialty doctor / Full Time
Weekly PAs: / 10
Weekly APAs: / 2
Total Hours: / 44
Principal Place of Work: / Southern General Hospital & Yorkhill Neonatal Units.
Other Regular Work Places: / Neonatal Transport Service
On-Call Availability Supplement / None
Out of Hours Work: / Predictable: / 2 / PAs
Unpredictable: / 1 / PAs
Managerially Accountable to: / Associate Medical Director, Women’s & Children’s Services
Clinically Responsible to: / Dr.Jonathan Coutts
a) Timetable of activities that have a specific location and time
Day / Hospital/Location / Description of Work / Category / PA TypeDC / SPA / AR / ED / PA / APA
Monday
9am-1pm
1pm-5pm / Southern Gen or Yorkhill
Southern Gen or Yorkhill / Ward Rounds or transport duties.
Neonatal Unit ward work, clinical admin work or transport duties / DC
DC / PA
PA
Tuesday
9am-1pm
1pm-5pm / Southern Gen or Yorkhill / Ward Rounds or transport duties
Appraisal, audit, CPD, teaching / DC / SPA / PA
PA
Wednesday
9am-11am
11am-5pm / Southern Gen
Southern Gen or Yorkhill / CPD, Education Meeting, Audit
Neonatal Unit ward work, clinical admin work or transport duties / DC / SPA / APA(0.5)
APA(1.5)
Thursday
9am-1pm
1pm-5pm / Southern Gen or Yorkhill
Southern Gen or Yorkhill / Neonatal Unit ward work, clinical admin work or transport duties
Outpatient Clinic / DC
DC / PA
PA
Friday
9am-1pm
1pm-5pm / Southern Gen or Yorkhill / Ward Rounds or transport duties.
Neonatal Unit ward work, clinical admin work or transport duties / DC
DC / PA
PA
Saturday / Southern Gen or Yorkhill
Neonatal Transport Service / 1:6 weekends either NICU night shifts or non-resident transport on-call. / DC / PA
Sunday / Southern Gen or Yorkhill
Neonatal Transport Service / 1:6 weekends either NICU night shifts or non-resident transport on-call. / DC / PA
This timetable is indicative only. Post-holders will be expected to spend periods of time largely committed to each part of the neonatal service. During NICU-based time daytime midweek duties will be largely based in the neonatal unit and will include 6 long (12.5 hour) shifts every 6 weeks and 1 weekend of Fri, Sat & Sun resident night shifts in every 6 weeks. Whilst based in neonatal transport there is a commitment to a 1:6 non-resident 24-hour on-call rota. These formal out-of-hours commitments are integral to the basic 10 PA allocation. There is rostered midweek time off to compensate for evening and night shift working.
b) Description of activities that are not undertaken at specific locations or times (this section should include details of activity category and PA/APA allocation for such activities)
Duties will rotate between the two neonatal units and the neonatal transport service. Rotation will be with other Specialty Doctors each of whom will spend periods of time in each aspect of the service.There is rostered time off during the week at times of evening and night shift working.
c) Description of activities during premium rate hours of work, i.e. hours outwith 7am-7pm Monday to Friday (this section should further define activities that have already been included at a) in terms of location and timing)
Contribution to a resident neonatal rota involving six evenings (Mon to Thurs) and one weekend of 12.5 hour night shifts in every 6 weeks. Alternatively there is a 1:6 commitment to non-resident on-call duty for neonatal transport whilst based in this service. The 12.5 hour resident shifts are remunerated at 4.5 PA for overnight shifts.d) Additional Programmed Activities (this section outlines the reason for allocation of APAs including the expected duration of the APAs)
APAs are allocated to maintain midweek day-time continuity of service and allow the post-holder to develop more of a leadership role in education or audit. The APA allocation is expected to continue indefinitely if the post-holder is agreeable to this.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 / PermanentGRADE AND SALARY / Specialty Doctor
£ 36,807 £ 68,638 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.