International MEDICAL TRAINING FELLOWSHIPS

INTERNATIONAL MEDICAL TRAINING FELLOWSHIPS

POST A: PAEDIATRIC CRITICAL CARE

POST B: PAEDIATRIC ONCOLOGY

POST C: NEONATOLOGY

NHS GREATER GLASGOW & CLYDE

INFORMATION PACK

REF: 36902D

CLOSING DATE: NOON 31ST MARCH 2015 www.nhsggc.org.uk/medicaljobs As you may be aware, the new South Glasgow University Hospital and new Royal Hospital 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 Royal Hospital for Sick Children at Yorkhill will change location and move to the new hospitals.

Gartnavel General Hospital 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: INTERNATIONAL MEDICAL TRAINING FELLOWSHIPS

BASE: NHS GREATER GLASGOW & CLYDE

The Scottish International Medical Training Fellowships offer unique opportunity to develop and share your skills with other motivated doctors as part of an internationally renowned service. The posts are designed for doctors who have completed or are close to completing training and allow you to experience working within the highly regarded NHS while furthering your own expertise. Working under the supervision of experienced trainers within NHS Scotland in key clinical areas, the International Fellowship posts offer exciting opportunities to gain experience and develop specialist interests following completion of formal training. Nationally agreed educational components of the post allow applicants to agree relevant and beneficial educational outcomes, after appointment. Opportunities are available in the following specialties: Anaesthesia, Emergency Medicine, Critical Care, Paediatrics, Critical Care, Acute Medicine, Respiratory Medicine, Infectious Diseases, Oncology, Neonatology, Paediatrics, Paediatric Oncology, Addiction Services, Learning Difficulties Psychiatry, Transplant Surgery, Colorectal Surgery, Maxillofacial Surgery, Plastic Surgery, Vascular Surgery amd Pelvic Floor Surgery. Interested and want to know more? To find out more about Scotland, and what it can offer as a place of work, stay and visit go to http://www.scotland.org the official gateway to Scotland Job Description for Senior MTI Programme in Paediatric Critical Care (Post A) West of Scotland Deanery: based in NHS Greater Glasgow & Clyde

Outline of programme: This two year rotational post is designed to offer senior IPTS Fellows a robust training in Paediatric Critical Care. The rotation will provide 12 months of experience in the Paediatric Intensive Care Unit at Royal Hospital For Sick Children, Glasgow. The other 12 months offers placements in some of the following areas: Paediatric Cardiology, Neonatology, General Paediatrics and possibly Critical Care Retrieval Medicine. There may be an option to spend up to a further 6 months in Intensive Care (total 18 months out of 24 months). The IPTS trainee will be expected to undertake APLS and Child Protection training during the first six-months of the programme.

Supervisors: Dr Andrew McIntyre, Dr Trevor Richens, Dr Lesley Nairn, Dr C Lilley

Departmental Information:

The Royal Hospital for Sick Children, 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 sub-specialties, from the whole of Scotland. There is a complement of 348 beds, which includes 24 neonatal surgery cots. All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, cardiology, neonatology, neurology, nephrology, respiratory medicine, endocrinology, gastroenterology, immunology and infectious diseases, dermatology, haematology/oncology, audiology, ophthalmology, ENT surgery, orthopaedics and general paediatric and neonatal surgery. The hospital provides the Scottish national ECMO service, is the centre for all paediatric cardiac surgery and the majority of the Paediatric Intensive care for Scotland

The hospital provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow and accommodates all or part of the University Departments of Child Health, Child and Adolescent Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery. Activity / Workload: Paediatric Intensive Care Unit The Critical Care department at Yorkhill manages 16 intensive care and 6 high dependency beds. The specialist and general intensive care provided reflects the comprehensive tertiary medical and surgical specialties and the major emergency and acute receiving services provided by the hospital. The unit supports the Scottish paediatric cardiac surgery, invasive cardiology and ECMO services which are based at Yorkhill. A transport and retrieval service supports critically ill children presenting to other hospitals. The transport and retrieval service is distinctive as it covers both the densely populated central belt as well as the remote and sparsely populated areas of Scotland. Air transport by helicopter or fixed wing aircraft is used to access these areas. Paediatric Cardiology The hospital provides the national paediatric cardiac centre for Scotland, serving a population of 5.5 million and undertaking all types of cardiac surgery and catheter intervention with the exception of cardiac transplantation and hypoplastic left heart syndrome surgery. Consequently the management of cardiac patients forms a significant percentage of PICU workload and experience.

General Paediatrics at Royal Alexandra Hospital, Paisley The Royal Alexandra Hospital in Paisley is a large modern district general hospital of 830 beds offering a wide range of services to the population of 220,000. It has excellent post graduate facilities. There is a 7-bed short stay area and 24-bed children's ward admitting both medical and surgical patients. Nurse-led planned investigation clinics are in place and development of paediatric and neonatal nurse practitioners is ongoing. Ambulatory services and community children’s nursing services are well developed. The newly refurbished neonatal intensive care unit comprises 20 cots including 4 intensive care cots. There are 3,500 deliveries annually.

The Princess Royal Maternity Neonatal Unit The Princess Royal Maternity (PRM) is a modern purpose built specialist tertiary Neonatal and Maternity unit on the site of Glasgow Royal Infirmary The integrated on-site service includes an active Fetal Medicine Unit and a tertiary referral unit delivering expert care for maternal illness. The Neonatal Unit currently consists of 10 Intensive Care cots and has 23 cots for infants requiring High Dependency or Special Care but is due to increase capacity at the beginning of 2010 with the opening of a transitional care unit.

Clinical Training and Responsibilities: Paediatric Intensive Care Unit The Paediatric Intensive Care and High Dependency Units occupy new built facilities that are equipped to a very high level with paperless clinical information and prescribing system, PACS radiology system and state of the art monitoring. The High Dependency Unit is managed as an integrated part of the critical care service. A variety of patients are admitted to this area including acute medical, post operative care and intensive care ‘step down’ patients. The department will offer broad training in Paediatric Intensive Care including exposure to a comprehensive range of paediatric medical conditions, post-operative surgical care and cardiac intensive care. Management of these patients is supported by full on-site renal support and both neonatal and paediatric ECMO support. Paediatric Cardiology During a six month attachment we would expect the trainee to take part in the preoperative preparation of patients undergoing elective cardiac procedures as well as the ward based post operative management. They would contribute to the daily PICU cardiac ward round, learning more about the ward/PICU interactions and where appropriate be involved in managing cardiac problems on PICU. To improve understanding there will be a weekly out patient clinic commitment. The attachment would also provide an opportunity for the trainee to learn echocardiography, through a weekly dedicated echo session under the supervision of a senior cardiac physiologist, and attendance at our 4 day paediatric echocardiography course.

Royal Alexandra Hospital, Paisley The child health service is integrated with secondary and tertiary care services in the Royal Hospital for Sick Children. Trainees will be exposed to both in-patient paediatric care and out-patient work with opportunities for consultant discsussion and feedback on cases seen in out-patients. There are managed clinical networks in nephrology, neurology, epilepsy and endocrinology in place with further developments planned in gastroenterology rheumatology and diabetes. Outreach clinics are held in genetics.

The Princess Royal Maternity Neonatal Unit The busy Intensive Care Unit provides training in a full range of neonatal intensive care including the latest means of respiratory support and monitoring including inhaled nitric oxide and therapeutic neonatal hypothermia. There are six out-patient clinics per week, five of which are Consultant led, the remainder led by an Associate Specialist. The associate specialist leads the dedicated developmental team and follow-up. There is a well organised and comprehensive teaching programme available to all junior staff. There are weekly joint obstetric and neonatal high risk meetings and bimonthly perinatal morbidity and mortality meeting with regular external educational meetings accessed by telemedicine, The Department is academically active, with established links with the department of Vision Sciences Glasgow Caledonian University and is actively involved in original and multicentre clinical research projects. Non-Clinical Training and Responsibilities: There are a number of formal teaching sessions and other learning opportunities are held every week. These include a weekly ‘grand round’; radiology meeting; protected teaching session; departmental CME session; and a cardiac liaison meeting. Other meetings and teaching sessions are held regularly in other departments throughout the hospital. The Intensive Care Department provides and intensive two week induction programme at the beginning of every six month placement. Junior medical staff have access to high quality computer, office and changing facilities within the intensive care unit. There are full opportunities for clinical research and access to laboratory facilities can be arranged as required. Trainees may also have access to teaching opportunities within the hospital in all other Paediatric subspecialties.

Particular Training Opportunities: This rotation is specifically designed to offer trainees a comprehensive training package in paediatric critical care. The post is largely based in a very busy paediatric intensive care unit providing a full range of support therapies some of which are only available in a small number of U.K. teaching hospitals. The rotation is also designed to allow a degree of tailoring of placements to meet the needs of individual trainees. Rota arrangements: The rotas undergo constant review but are all European Working Time Directive compliant full-shift rotas.

Paediatric Intensive Care Unit: There are 12 junior medical staff employed in the unit. Staff members are allocated to ‘senior’ and ‘junior’ groups based on previous intensive care experience. All trainees work full shifts. The experienced group staff the retrieval service and are expected to take a supervisory role within the unit. Out of hours work is dedicated to the intensive care unit and involves 7 nights and 7 long/late day shifts every 6 weeks. Band 1A supplement.

Paediatric Cardiology: Out of hours work is dedicated to the Cardiology department and involves 7 long/late day shifts every 5 weeks but no night shift duties. Trainees will be responsible for first line management of the Paediatric Cardiology patients between 09.00 and 21.30. Band 1B supplement.

Royal Alexandra Hospital, Paisley: Out of hours cover is shared by nine trainees plus some input from Staff Grade & Specialty Doctors. There are two doctors on duty during the evening with separate responsibility for neonatal and paediatric cover but one individual is responsible for both areas overnight. Band 1A supplement

The Princess Royal Maternity Neonatal Unit European Working Time Directive compliant full-shift rota and attracting a band 1A salary supplement.

Links This post consists of multiple placements that are already linked in a rotation.

Study Leave Study leave is available for up to 30 days per annum on the same conditions as apply to the Paediatric ST trainees

Salary Salary is paid on the Specialty Registrar salary scale. Starting point on this scale will be dependent on previous experience but is likely to be at ST3 level. Job Description for Senior IPTS Programme in Paediatric Oncology (Post B) West of Scotland Deanery: based in NHS Greater Glasgow & Clyde

Outline of programme:

This one year post, with the possibility of extension for second year, is designed to offer senior IPTS Fellows a robust training in Paediatric Oncology. The rotation will provide up to 24 months of experience in the Paediatric Haematology/Oncology Unit at Royal Hospital For Sick Children, Glasgow. There is the option of having a 6 month placement in Paediatric Intensive Care or General Paediatrics if either of these would be appropriate for the individual trainee’s training needs. The placement Haematology/Oncology involves working on a dedicated subspecialty rota providing first-line out-of-hours cover to this department. The IPTS trainee will be expected to undertake APLS and Child Protection training during the first 6 months of the programme if not already completed.

Supervisors: Dr Milind Ronghe

Departmental Information:

The Royal Hospital for Sick Children, 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 sub-specialties, from the whole of Scotland. There is a complement of 348 beds, which includes 24 neonatal surgery cots. All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, cardiology, neonatology, neurology, nephrology, respiratory medicine, endocrinology, gastroenterology, immunology and infectious diseases, dermatology, haematology/oncology, audiology, ophthalmology, ENT surgery, orthopaedics and general paediatric and neonatal surgery. The hospital’s intensive care unit provides the majority of the Paediatric Intensive care for Scotland

The hospital provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow and accommodates all or part of the University Departments of Child Health, Child and Adolescent Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery. Activity / Workload:

Clinical Haematology/Oncology The department provides care for children with leukaemia, solid tumours, bleeding disorders and a range of benign haematological conditions from the West of Scotland. The department houses the National Allogeneic Bone Marrow Transplant Unit and is the Regional Paediatric Haemophilia Centre. A refurbished Haematology/Oncology Unit (Schiehallion Ward) opened in 1996. It has 22 inpatient beds, of which 15 are single cubicles and 2 laminar air flow cubicles for BMT.

There is a newly refurbished comprehensive Day Care facility with consulting rooms and 6 day care beds. The cancer service treats approximately 75 new patients annually, of whom 45-50 patients have solid tumours. The hospital is a UK CCLG Centre and eligible patients are entered into appropriate CCLG or MRC protocols. Paediatric Neurosurgery is at the Institute of Neurosurgical Sciences, Southern General Hospital, provided by dedicated Paediatric Neurosurgoens. Radiotherapy facilities are at the nearby Beatson Oncology Centre, Gartnavel Hospital, where there is a full range of megavoltage linerar accelerators with CT planning and brachythearpy services. There is access to shielded cubicles for targeted radiotherapy, including therapeutic MIBG.

There are 4 Consultant Haematologists, including one Locum and 3 Consultant Oncologists. There is also 1 Associate Specialist and 3 Staff Grades.

There is a well structured induction programme supported by numerous training/educational opportunities during the week.

Monday Tuesday Wednesday Thursday Friday

10:00 10:00 08:30 08:45 Am Leukaemia Radiology Meeting Clinic Haemostasis Chemotherapy 10:00-12:00 Clinic Prescribing (SpR) BMT Clinic (monthly)

10:00 Leukaemia Off- treatment Clinic every 2nd week

Lunch 12:30 12:00 time Molecular Departmental Meetings Educational Meeting

13:00- Handover Handover Handover Handover Handover 13:30 15:00- Theatre Haematology Haematology Clinic 16:00 On- List Oncology Pm treatment Meeting Clinic (oncology) 16:00 Tumour Board Paediatric Intensive Care Unit (optional): The Critical Care department at Yorkhill manages 16 intensive care and 6 high dependency beds. The specialist and general intensive care provided reflects the comprehensive tertiary medical and surgical specialties and the major emergency and acute receiving services provided by the hospital. The unit supports the Scottish paediatric cardiac surgery, invasive cardiology and ECMO services which are based at Yorkhill. A transport and retrieval service supports critically ill children presenting to other hospitals. The transport and retrieval service is distinctive as it covers both the densely populated central belt as well as the remote and sparsely populated areas of Scotland. Air transport by helicopter or fixed wing aircraft is used to access these areas.

General Paediatrics at Royal Alexandra Hospital, Paisley (optional): The Royal Alexandra Hospital in Paisley is a large modern district general hospital of 830 beds offering a wide range of services to the population of 220,000. It has excellent post graduate facilities. There is a 7-bed short stay area and 24-bed children's ward admitting both medical and surgical patients. Nurse-led planned investigation clinics are in place and development of paediatric and neonatal nurse practitioners is ongoing. Ambulatory services and community children’s nursing services are well developed. The newly refurbished neonatal intensive care unit comprises 20 cots including 4 intensive care cots. There are 3,500 deliveries annually.

Clinical Training and Responsibilities:

Clinical Haematology/Oncology Trainees are based on the Haemato-Oncology ward and spend time equally split between the two arms of this service. There is a substantial out-patient and day-care workload and trainees will also be involved in the management of these children on a day- to-day basis. Due to the nature of the underlying disease some of these children will become critically ill and may require admission to intensive care for respiratory or renal support. Trainees will be expected to maintain some involvement with such patients. Other duties involved include: 1. Supervision of daily FY ward rounds, whenever possible undertaking the ward round with other middle grades 2. Attending Outpatient Clinic 3. Assessing blood films, reporting marrows and cytospins in the laboratory. 4. Prescription and co-ordination of chemotherapy 5. Weekly morphology teaching for the middle grades. 6. Organising Wednesday lunchtime teaching sessions for the middle grades 7. Cover for Haemophilia Unit during office hours. 8. Immediate assessment and initial treatment of any unwell patients and keeping patient’s consultant informed of any acute events. 9. Discharge summaries (in conjunction with the middle grades). 10. Providing advice and seeing referrals from other wards in the hospital (in conjunction with the Duty Consultant). 11. As part of Good Clinical Practice (GCP) it is essential to report any Serious Adverse Event immediately (no later than within 24hrs of event occurring. A tutorial on GCP and reporting SAEs and other toxic events will be given within the first few weeks of the job 12. Liaising with colleagues from other specialities including paediatric and neurosurgeons, pathologists, radiotherapists and shared care centre 13. Counselling and supporting parents 14. Administration of intratheccal chemotherapy; doing bone marrow aspirations and trephine and bone marrow harvesting

Paediatric Intensive Care Unit (optional): The Paediatric Intensive Care and High Dependency Units occupy new built facilities that are equipped to a very high level with paperless clinical information and prescribing system, PACS radiology system and state of the art monitoring. The High Dependency Unit is managed as an integrated part of the critical care service. A variety of patients are admitted to this area including acute medical, post operative care and intensive care ‘step down’ patients. The department will offer broad training in Paediatric Intensive Care including exposure to a comprehensive range of paediatric medical conditions, post-operative surgical care and cardiac intensive care. Management of these patients is supported by full on-site renal support and both neonatal and paediatric ECMO support. Royal Alexandra Hospital, Paisley (optional): The child health service is integrated with secondary and tertiary care services in the Royal Hospital for Sick Children. Trainees will be exposed to both in-patient paediatric care and out-patient work with opportunities for consultant discsussion and feedback on cases seen in out-patients. There are managed clinical networks in nephrology, neurology, epilepsy and endocrinology in place with further developments planned in gastroenterology rheumatology and diabetes. Outreach clinics are held in genetics. Non-Clinical Training and Responsibilities: There are a number of formal teaching sessions and other learning opportunities are held every week

There are full opportunities for clinical research and access to laboratory facilities can be arranged as required. Trainees may also have access to teaching opportunities within the hospital in all other Paediatric subspecialties.

Particular Training Opportunities: This post is specifically designed to offer trainees comprehensive training in paediatric oncology & haematology. The department has a busy in-patient and out- patient /day case workload and is based in a hospital with a full range of support therapies available locally.

Rota arrangements: The rotas undergo continuous review but are all European Working Time Directive compliant full-shift rotas.

Clinical Haematology/Oncology: Out of hours work is dedicated to the Haemato- Oncology Unit and involves 7 long/late day shifts every 5 weeks but no night shift duties. Trainees will be responsible for first line management of the Haematology and Oncology patients between 09.00 and 22.00. Band 2B supplement.

Paediatric Intensive Care Unit (optional): There are 12 junior medical staff employed in the unit. Staff members are allocated to ‘senior’ and ‘junior’ groups based on previous intensive care experience. All trainees work full shifts. The experienced group staff the retrieval service and are expected to take a supervisory role within the unit. Out of hours work is dedicated to the intensive care unit and involves 7 nights and 7 long/late day shifts every 6 weeks. Band 1A supplement. Royal Alexandra Hospital, Paisley (optional): Out of hours cover is shared by nine trainees plus some input from Staff Grade & Specialty Doctors. There are two doctors on duty during the evening with separate responsibility for noenatal and paediatric cover but one individual is responsible for both areas overnight. Band 1A supplement

Salary Salary is paid on the Specialty Registrar salary scale. Starting point on this scale will be dependent on previous experience. Job Description for Senior IPTS Programme in Neonatology (Post C) West of Scotland Deanery: Glasgow

Outline of programme: This post is designed to offer senior IPTS Fellows a robust training in Neonatology. The rotation will provide up to 24 months experience rotating through placements in different neonatal units designed to provide a comprehensive exposure to all aspects of neonatal training. The initial placement (year 1 of training) will be in the Princess Royal Maternity. This is a level 3 neonatal unit attached to a large maternity unit offering substantial experience in the management of preterm infants. The second year of training will be based in the neonatal service of the Royal Hospital for Sick Children and Southern General Hospitals. This neonatal service is associated with the regional fetal medicine service and the regional paediatric and surgical services and provides substantial exposure to the medical and surgical management of infants with congenital abnormalities and complications of prematurity. The second year of training can also offer the opportunity to gain some exposure to neonatal transport. The IPTS trainee will be expected to undertake NLS, and Child Protection training during the first six-months of the programme.

Supervisors: Dr C Lilley, Dr L Jackson, Dr Anand

Departmental Information: The Princess Royal Maternity (year 1 placement) The Princess Royal Maternity (PRM) is a modern purpose built specialist tertiary Neonatal and Maternity unit on the site of Glasgow Royal Infirmary The integrated on-site service includes an active Fetal Medicine Unit and a tertiary referral unit delivering expert care for maternal illness. The Neonatal Unit currently consists of 10 Intensive Care cots and has 23 cots for infants requiring High Dependency or Special Care but is due to increase capacity at the beginning of 2010 with the opening of a transitional care unit.

Royal Hospital for Sick Children (Yorkhill) and Southern General Hospitals (year 2) Glasgow Royal Hospital for Sick Children, (Yorkhill) 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 sub-specialties, from the whole of Scotland. All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, cardiology, neonatology, neurology, nephrology, respiratory medicine, endocrinology, gastroenterology, immunology and infectious diseases, dermatology, haematology/oncology, audiology, ophthalmology, ENT surgery, orthopaedics and general paediatric and neonatal surgery. The hospital provides the Scottish national ECMO service, is the centre for all paediatric cardiac surgery and the majority of the Paediatric Intensive care for Scotland. The Southern General Hospital is a large adult hospital site about 4 miles (6km) from Yorkhill. A newly expanded maternity unit opened in December 2009 delivering 5,500-6,000 infants per year and incorporating the Fetal Medicine Unit.

Neonatal Transport Service (year 2) The National Neonatal Transport Service (NeTS, Western Region) is an independent service led by Consultant Neonatologists, supported by registrar-equivalent Neonatal Transport Fellows and Advanced Neonatal Nurse Practitioners. The service undertakes 800 transfers per annum by road and air, including the transfer of critically ill infants for ECLS and neonatal surgery.

Activity / Workload: The Princess Royal Maternity (year 1 placement) This busy Intensive Care Unit provides full neonatal intensive care services to a maternity unit with over 6000 deliveries per annum, many of which are high-risk pregnancies. The number of births is scheduled to increase by a further 20% at the beginning of 2010 increasing the neonatal caseload proportionately. Facilities include the latest means of respiratory support and monitoring including inhaled nitric oxide. There are six out-patient clinics per week, including the multidisciplinary dedicated neurodevelopmental follow-up of preterm and high risk infants.

Royal Hospital for Sick Children (Yorkhill) and Southern General Hospitals (year 2) The new neonatal intensive care unit at the Southern General Hospital provides care for preterm infants and high risk regional deliveries due to fetal anomalies. This unit currently has 8 NICU cots but has the capacity to increase to 34 NICU cots over the next few years. Additionally, neonatal intensive care services will be provided in the NICU in Yorkhill. In 3-4 years time this aspect of the service will transfer into the Southern General NICU following the rebuilding of the children’s hospital on the Southern General site. Neonatal care at Yorkhill is part centrally funded by NSD with several national services provided on site. This includes neonatal cardiac surgery, ECMO, neonatal airway surgery, Vein of Galen treatment (UK/European service) and Congenital Diaphragmatic Hernia service. The NICU (12 ITU cots) is jointly managed by the neonatal consultants and the paediatric surgeons. Neonatal ECMO for Scotland and the North of Ireland is based in the unit and a team of 3 surgeons work with neonatologists to provide cover. Postnatal transfers for newborns with congenital anomalies are also common. Over 200 newborn per year are currently transferred to Yorkhill because of the specialist services offered on site: one third are cardiology patients, one third are transfers of pregnancies affected by a congenital anomaly and the remainder are newborns requiring the involvement of the other paediatric specialists on site.

Neonatal Transport Service (year 2) The service undertakes 800 transfers per annum by road and air, including the transfer of critically ill infants for ECLS 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. Clinical Training and Responsibilities: The Princess Royal Maternity (year 1 placement) The busy Intensive Care Unit provides training in a full range of neonatal intensive care including the latest means of respiratory support and monitoring including inhaled nitric oxide and therapeutic neonatal hypothermia. There are six out-patient clinics per week, five of which are Consultant led, the remainder led by an Associate Specialist. The associate specialist leads the dedicated developmental team and follow-up. There is a well organised and comprehensive teaching programme available to all junior staff. There are weekly joint obstetric and neonatal high risk meetings and bimonthly perinatal morbidity and mortality meeting with regular external educational meetings accessed by telemedicine, The Department is academically active, with established links with the department of Vision Sciences Glasgow Caledonian University and is actively involved in original and multicentre clinical research projects.

Royal Hospital for Sick Children (Yorkhill) and Southern General Hospitals (year 2) The combined service will see many infants with a broad spectrum of congenital anomalies delivered on the Southern General site and receiving initial intensive care support there. These infants will then be transferred to Yorkhill for surgical and post- operative care. Neonatal trainees (and consultants) will work across both aspects of the service thus providing trainees with a comprehensive neonatal clinical training including: medical & surgical care of extremely premature infants, preoperative management of congenital heart disease, care of infants with complex airways, diaphragmatic hernias, abdominal wall defects and Vein of Galen aneurysms and management of infants referred for consideration of ECMO therapy due to failure of conventional respiratory management. There is a multidisciplinary neurodevelopment clinic for the follow up of preterm and high risk infants. Our developmental physiotherapist, our speech and language therapist and one of the clinical psychologists attend this clinic and input from a dietician is available.

Neonatal Transport Service (optional 6 month placement in year 2) Trainees will gain experience in neonatal transport as well as being encouraged to participate in on-going research and audit projects that the service undertakes. Clinical training and teaching pertinent to neonatal transport will be provided. Non-Clinical Training and Responsibilities: There are a number of formal teaching sessions and other learning opportunities provided every week in each department. Other relevant meetings and teaching sessions are held regularly in other departments locally. Junior medical staff have access to library, computer, office and changing facilities. There are full opportunities for clinical research and access to laboratory facilities can be arranged as required. Trainees also have access to other relevant paediatric subspecialty teaching opportunities within the Yorkhill element of the rotation.

Particular Training Opportunities: This rotation is specifically designed to offer trainees a comprehensive training package in neonatology balancing exposure to medical and surgical problems and problems of both term and preterm infants. It achieves this by offering a number of placements in units that have a varied and complementary case-mix. Trainees will have exposure to some therapies and interventions that are only available in a very small number of U.K. centres. The rotation is also designed to allow a degree of tailoring of placements to meet the needs of individual trainees.

Rota arrangements: Rotas undergo continual review but are all European Working Time Directive compliant full-shift rotas and generally attract a band 1A salary supplement. The exception is the placement in neonatal transport where out-of-hours duties take the form of non-resident on-call.

Links This post consists of multiple placements that are already linked in a rotation.

Salary Salary is paid on the Specialty Registrar salary scale. Starting point on this scale will be dependent on previous experience but is likely to be at ST3 level. 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 Term Post A Paediatric Critical Care - 2 year contract Post B Paediatric Oncology - 1 year contract Post C Neonatology - 2 year contract

GRADE AND SALARY Internation Medical Senior Fellows £ 30,302 £ 47,647 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: www.sppa.gov.uk

REMOVAL EXPENSES Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.

EXPENSES OF Candidates who are requested to attend an interview will be given assistance CANDIDATES FOR with appropriate travelling expenses. Re-imbursement shall not normally be APPOINTMENT 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.

This post is considered to be in the category of “Regulated Work” and DISCLOSURE SCOTLAND therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.

CONFIRMATION OF NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ELIGIBILITY TO WORK IN ensure that it’s employees, both EEA and non EEA nationals, are legally THE UK 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 The rehabilitation of Offenders act 1974 allows people who have been OFFENDERS ACT 1974 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 www.show.scot.nhs.uk

View all our vacancies at: www.nhsggc.org.uk/medicaljobs

Register for Job Alerts at: www.medicaljobs.scot.nhs.uk

Applicants wishing further information about the post are invited to contact Consultant Neonatal Paediatrician/Associate Postgraduate Dean Dr Peter MacDonald on 0141 201 2259/[email protected] with whom further informal enquiries can also be made.

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 www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information.

RETURN OF APPLICATIONS

Please return your application by email to [email protected] or to the recruitment address below;

Joan Telfer Medical and Dental Recruitment Team NHS Greater Glasgow and Clyde Recruitment Services, 1st Floor Modular Building, Gartnavel Royal Hospital 1055 Great Western Road GLASGOW G12 0XH

CLOSING DATE

The closing Date will be 31 March 2015