specialty doctor in Paediatrichaematology & oncology
royalhospital for sick children
INFORMATION PACK
REF: 36945D
cLOSING DATE: nOON 17th april 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: specialty doctor inPaediatric haematology & oncology
Base:royalhospital for sick children
Applications are invited for a Specialty Grade Doctor in Paediatric Haematology and Oncology. This whole time post is based at the RoyalHospital for Sick Children (RHSC), Glasgow, but will move to the Southern General Hospital (SGH) site when paediatric services relocate to the New Children’s Hospital in June , 2015. This is a new post with an immediate start date.
The main purpose of the post will be to undertake clinical duties. The main duty of the post holder will be to manage inpatients along with a team of middle grade trainee doctors and FY2s. The successful applicant will take part in the haematology and oncology middle grade rota as a fixed commitment. The post-holder will be expected to participate in the undergraduate, postgraduate and nurse training programmes.
The appointee will contribute to the existing team of 3 Specialty Grade Doctors, an Associate Specialist and 8 Consultants within the department.
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
RoyalHospital for Sick Children
INFORMATION PACK
for the post of
Specialty Grade Doctor
in
PAEDIATRIC HAEMATOLOGY AND ONCOLOGY
This document comprises the following sections:
Royal Hospital for Sick Children (RHSC), Glasgow
New Children’s Hospital
Paediatric Haematology and Oncology Services
Duties of the Post
Model Job Plan
Terms and Conditions
Further Information
Section 1Children’s Services across NHS Greater Glasgow & Clyde
The Royal Hospital for Sick Children (RHSC), Glasgow, is the largest paediatric teaching hospital in Scotland. It provides care, not only for children resident within Greater Glasgow, but is also a tertiary referral centre for children from the West of Scotland and, in some subspecialties, from the whole of Scotland. It has 266 inpatient beds, 12 daycase beds, and handles approximately 90,000 out-patients, 15,000 in-patients, 7,300 daycases and 35,000 A&E attendances every year. The hospital provides care for children from newborns up to around 16 years of age.
All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, cardiology, neonatology, neurology, 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. The critical care service includes a high dependency unit, an intensive care unit and a combined neonatal medical and surgical intensive care unit, as well as a paediatric and neonatal retrieval service. The hospital provides a national ECMO service and is the centre for all paediatric cardiac surgery, bone marrow transplantation and renal transplantation in Scotland. A selection of child and adolescent psychiatry facilities are located within the campus.
In its role as a major academic institution, RHSC is home to a number of University departments as well as internationally acclaimed research groups. The significant commitment to the teaching and training of new doctors, nurses, midwives and other health professionals ensures that highly trained NHS staff are ready to care for the children of tomorrow. It provides the major undergraduate paediatric teaching facility for the University of Glasgow.
The diagnostic imaging 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. Specialist laboratory services have re-located to the Southern General Hospital (SGH) site, but appropriate laboratory services will remain at the RHSC site until the hospital relocates in 2015.
Other Paediatric Services in NHS GG&C
There are currently three maternity hospitals in Glasgow/Paisley; Princess Royal Maternity Hospital (PRMH), Southern General Hospital (SGH) and the Royal Alexandra Hospital (RAH), all with neonatal facilities.
Paediatric neurosurgery has historically been located in the Institute of Neurosciences at SGH, but was relocated to the RHSC site two years ago.
There is one children’s ward at the RAH providing local care for the children from 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.
Section 2New Children’s Hospital
A new children’s hospital has been built on the Southern General Hospital (SGH) site and is co-located with a new adult hospital and a re-developed maternity hospital. The predicted opening date for the new RHSC is mid-June , 2015. The adult stem cell transplant unit will also relocate to this site facilitating a closer relationship. Cytogenetics and diagnostic molecular haematology and oncology are located on this site.
Section 3Paediatric Haematology and Oncology Services
The clinical Haematology / Oncology service is part of the Women and Children’s Directorate of NHS GG&C providing care for children with leukaemia, solid tumours, brain tumours, bleeding disorders, haemoglobinopathies and a range of benign haematological conditions from the West of Scotland. It houses the National Paediatric Haemopoietic Stem Cell Transplant (HSCT) Unit and is the Regional Paediatric Haemophilia Centre. The department is a Children Cancer and Leukaemia Group (CCLG) Centre and eligible patients are entered into appropriate NCRI protocols.
In-patient Facilities
There is a dedicated Haematology / Oncology Unit (Schiehallion Ward) with 22 inpatient beds, of which 16 have resident parent/carer facilities and 2 HEPA-filtered rooms for HSCT. There is a comprehensive Day-care facility with consulting rooms and 7 day-care beds/reclining chairs. There is a small suite within the Unit for resident parents and additional parent accommodation in the adjacent CLIC-Sargent supported Cruachan House or Ronald McDonald House. There is a small classroom with provision for both primary and secondary education and generous play room supported by play therapists. There is a pharmacy suite within the unit with dedicated oncology pharmacists for the preparation of chemotherapy. The electronic chemotherapy prescribing system (Chemocare) is in use and the uploading of protocols is ongoing .The Unit is JACIE and HTA accredited. The unit is actively recruiting eligible patients for NCRI and commercial trials and is a recognised ITCC centre.
A 6 bed adolescent unit funded by the Teenager Cancer Trust and a refurbished day care facility with expanded facilities opened in 2010 on the seventh floor of RHSC.
Patient facilities will be replicated in the New Children’s Hospital.
Haematology / Oncology Staff
Medical Staffing
Prof B Gibson - Consultant Haematologist and Link Clinician for Department
Dr E Chalmers - Consultant Haematologist
Dr M Ronghe - Consultant Paediatric Oncologist
Dr D Murphy - Consultant Paediatric Oncologist
Dr J Sastry - Consultant Paediatric Oncologist
Dr F Cowie - Consultant Clinical Oncologist
Dr C Halsey – Consultant Haematologist
Dr N Heaney - Consultant in Adolescent & Young Adult Haematology
Dr. Fernando Pinto- Consultant Paediatric Haematologist
Dr Anna Marie Ewins - Associate Specialist
4 x Staff Grade Doctors (including the present post)
1 or 2 Specialist Trainee (ST) in Haematology
1 Specialist Trainee (ST) in Paediatric Oncology
2 STs in Paediatrics
2 FY2s in Paediatrics
1 FY2 in TCT unit shared with Respiratory services
Middle grade staff do not participate in the general medical paediatric on-call rota, but provide dedicated out-of-hours cover to the Haematology / Oncology Unit up to 21.30hrs including the weekends. Overnight cover is provided by the hospital at night team.
National Arrangements - Shared Care
Stem Cell Transplant is supported by the National Service Division (NSD). Paediatric Oncology and Malignant Haematology is now a national service supported by the Managed Service Network (MSN) for Children & Young People with Cancer. Scotland has two level 4, one level 3 and one level 2 treatment centres. Shared care arrangements currently exist between the RHSC Glasgow and local District General hospitals in Dumfries and Inverness. Within this arrangement, in-patient based chemotherapy and intensive aspects of chemotherapy are delivered at RHSC Glasgow with outpatient reviews and supportive care arranged locally. Shared care clinics are held every 3 months for haematology and every 6 months for oncology in Inverness. Shared care units provide support, including certain investigations (blood counts) and treatment (febrile neutropenia) nearer to the child's home and have an important role in the delivery of palliative care.
There are designated Consultant Paediatricians in these centres.
Existing shared care arrangements are under review.
National MDTs for leukaemia take place weekly and solid tumour MDTs fortnightly. National palliative care MDT takes place every two weeks either by tele or videoconference. A national blood transfusion policy and a national guideline for febrile neutropenia are in place and there is a national educational programme for trainees which is conducted by V/C.
Section 4Duties of the Post
The successful applicant will have responsibilities in all areas of clinical care, including ward, day-care and outpatients. However the main responsibility lies in the day to day management of inpatients on Schiehallion ward and TCT unit. The post holder, after appropriate training will also undertake responsibilities such as chemotherapy prescription, LP, IT administration, bone marrow aspiration and trephine biopsy. He/she should have clinical paediatric experience. He or she is also expected to work fairly independently but with supervision, support and advice is available at all times from seniors. He/she will be responsible for the administrative duties associated with the care of patients and will participate in the on-call service.
Out of hours work will comprise an evening session 1 in 6 (17:00 - 22:00hrs) and one weekend in 6 (Friday 17:00 – 22:00hrs and Saturday/Sunday 09:00 – 22:00hrs). No overnight cover is expected from this post either during the weekdays or weekends.
Research & Development
The successful candidate will be expected to maintain personal professional development appropriate to the post. There will be opportunities for individual or collaborative research and development within the service.
Teaching
The successful candidate will be expected to engage in undergraduate and postgraduate teaching, appropriate to experience.
.
Proposed Job Plan
The post holder will be one of 4 Staff Grade Doctors who will provide continuity of care across all aspects of the service.
The following work plan can be adjusted as needed, depending on personal and departmental needs.
The contract is for up to 10 Programmed Activities.
These 10 sessions would consist of:
In patient; Day-case and Theatres7 sessions
Within RHSC
8 week-ends per annum (1 in 6)1.6 sessions
1 in 6 late shifts 0.4 session
Supporting professional activity eg. teaching, administration
and audit1 session
The actual timing of these sessions is negotiable, but it should be reiterated that there must be considerable flexibility.
Facilities and Education
A number of educational hospital meetings occur regularly, including an afternoon dedicated to continuing education which is accredited for CME purposes. There is a weekly departmental educational meeting which takes the form of case presentations/journal club.
General
All medical and dental staff employed by the Acute Services Division are expected to comply with all Hospital Health and Safety Policies applicable on the various hospital sites.
The successful candidate will be expected to organise his/her workload and operate an appointment system in a manner that is consistent with good practice.
The post-holder will be expected to undertake the administrative duties necessary to the tasks listed above, to the care of his/her patients.
The post-holder will be expected to establish and participate in audit projects involving the service delivery of the departments and be aware of clinical governance and clinical risk management.
The post-holder will be expected to contribute to the management of the department at a level commensurate with experience and to co-operate with operational policies of the department and directorate.
Managerial
The management responsibility of the post-holder will be to the Link Clinician for Haematology and Oncology Services, Women’s and Children’s Directorate (current post holder is Prof Brenda Gibson).
Administrative Support
Access to a desk and desktop computer in a shared office.
Section 5
Model Job Plan
Name:Specialty: / Paediatric Haematology and Oncology
Grade: / Staff Grade Doctor
Effective Date of Job Plan: / xx/xx/xx
Next Expected Review Date: / xx/xx/xx
Contract: Specialty doctor / Full-time
Weekly PAs: / 10
Weekly APAs: / 0
Total Hours: / 10 PA
Principal Place of Work: / RoyalHospital for Sick Children, Glasgow
Other Regular Work Places:
On-Call Availability Supplement / None
Out of Hours Work / 1 : 6
Managerially Accountable to: / Clinical Director, Paediatric Medical Specialties, Women’s & Children’s Services
Clinically Responsible to: / Prof Brenda Gibson
a)Timetable of activities that have a specific location and time
Day / Time / Description of Work / DCC / SPA / TotalMonday / 09:00 – 12:30
13:00 – 17:00 / Ward duties /flexible day care duties / 2
Tuesday / 09:00 – 12:30
13:00 – 17:00 / Ward duties /flexible day care duties/theatre in rotation with others / 2
Wednesday / 09:00 – 12:30
13:00 – 17:00 / Ward duties /flexible day care duties
SPA / CPD / 1 / 1
Thursday
Friday / 09:00 – 12:30
13:00 – 17:00 / Ward duties /flexible day care duties / 2
Saturday / 1: 6 / on call / 0.80
Sunday / 1:6 / on call / 0.80
evening cover / 1 :6 / on call / 0.4
This timetable is indicative only.
Requirements:
The applicant must have full registration with the General Medical Council and produce evidence of this prior to commencing the role.
The applicant should have completed at least four year’s full-time postgraduate training (or it’s equivalent gained on a part-time or flexible training basis) at least two of which will be in paediatrics .or paediatric haematology /oncology. Additionally, the applicant should have sufficient experience to exercise an intermediate/middle grade level of clinical responsibility delegated by the Consultant.
Candidates wishing to visit the hospital may do so and should make their arrangements direct with:
Prof Brenda Gibson, Consultant Paediatric Haematologist, RHSC
Tel: 0141 201 0395
Email:
Dr Jairam Sastry Consultant Paediatric Oncologist, RHSC
Tel:0141 201 0396
Email:
Appointment will be by mutual consent as soon as possible.
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
£ 37,547 to £ 70,018 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 Time 40.00
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 three 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