Job Title: Consultant Paediatrician with Interest in Neurodisability 1. WE CARE for YOU
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Job Title: Consultant Paediatrician with interest in Neurodisability
1. WE CARE FOR YOU
We care because:
We always put the patient first.
Everyone counts – we treat each other with courtesy, honesty, respect and dignity
Committed to quality and continuously improving patient experience.
Always caring and compassionate.
Responsible and accountable for our actions – taking pride in our work.
Encouraging and valuing our diverse staff and rewarding ability and innovation
2. JOB IDENTIFICATION
Title: Consultant Paediatrician with interest in Neurodisability
Location: Paediatrics, Children & Families Care Group
Base: Doncaster Royal Infirmary/Bassetlaw Hospital
Responsible to: Care Group Director Children & Families Care Group
Accountable to: Medical Director of the Trust
Date issued (June 2017) 1 of 10 3. JOB PURPOSE
You will help to provide a comprehensive paediatric, neonatal and community child health service to a population of approximately 420,000.
Applications are invited from candidates with experience in General Paediatrics and Paediatric Neurodisability. The role includes a full contribution to the General Paediatric Service within the Trust. This post also includes an amount of time for a neurodisability special interest which will be determined based on service need. Applicants should possess, or be within 6 months of receiving, a CCST in paediatrics at the time of commencing the appointment, and have had appropriate experience within a paediatric unit. Any Consultant who is unable for personal reasons to work full-time will be eligible to be considered for the post; if such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with Consultant colleagues.
4. MAIN DUTIES/RESPONSIBILITIES
To share responsibility with consultant colleagues for the provision of integrated Paediatric medical services across Children’s Services and on both sites.
To work with the multi-disciplinary team providing Clinical Services on different trust sites.
To provide supervision, training and support specifically to junior medical staff but also to other members of the nursing and medical teams across Children’s Services. This also includes undergraduate teaching and workplace based assessments.
To be actively involved with the planning and development of the service, in conjunction with the Clinical Director, General Manager and colleagues across the Care Group.
To participate in annual appraisal and personal objective setting in line with the Trust’s appraisal policy. The post holder’s personal development plan will always be compatible with the overall strategic direction of Paediatrics.
To be committed to actively participating in clinical work with a robust evidence base and consistent with professional consensus views.
To maintain a high standard of record keeping in accordance with Trust guidelines.
continue to fulfil the requirements for and be compliant with GMC guidance for revalidation of medical staff.
To travel to schools, community clinics or services on other sites. Whole time contractual commitment will be 10 programmed activities.
Date issued (June 2017) 2 of 10 Paediatric Neurodisability responsibilities
1. To provide high quality, timely, consultant-led medical services to children and young people with complex neurodisability. 2 To provide a multi-disciplinary neurodisability service that maximises outcomes for children, young people and their families 3 To work collaboratively with multi-disciplinary team colleagues to agree arrangements for strategic planning. 4 To work collaboratively with CAMHS colleagues and the Learning Disability CAMHS Team to develop and streamline pathways for patients 5 To work with other agencies (e.g. education and social services) to co-ordinate assessment services and to improve the experience for families as required.
REQUIREMENTS OF THE POST
General Training and Qualifications The appointee should have CCT in general Paediatrics or equivalent. Applicants must provide information regarding their status from the GMC and/or relevant Royal College at the time of application, in order for their application to be progressed further.
On Call Commitment General Paediatric on-call, including weekdays out of hour and weekends, is 1:8 with prospective cover. Daytime, on-call, Monday – Friday, is as 1:8 CoTW alternating in DRI and BDGH.
Experience The appointee must be able to demonstrate a high level of clinical experience and competence in different aspects of Paediatrics and Neonatology, and a minimum of 6-12 months training in Paediatric neurodisability at a recognised tertiary paediatric centre.
Research A programmed activity commitment for research as part of the regional Research and Development Strategy can be negotiated with the Clinical Director.
Infection Control The prevention and control of infection is an integral part of the role of all health care personnel. Staff members, in conjunction with all relevant professionals will contribute to the prevention and control of infection through standard infection control practices and compliance with the Trust’s infection control policies in order to ensure the highest quality of care to patients.
Clinical Audit The appointee will be expected to attend and actively participate in Clinical Audit and Clinical Development Meetings. The post holder will be expected to participate in the Care Group’s Governance strategy.
Date issued (June 2017) 3 of 10 Secretarial Support The appointee will have Medical Secretarial support and office accommodation, with appropriate computer/internet access.
Teaching / Training There will be numerous opportunities to participate in teaching and training of SHOs, SpRs and multi-disciplinary staff including nursing and medical students. The post holder will be required to collaborate with clinical colleagues to deliver appropriate undergraduate teaching in accordance with the Trust contract with the University of Sheffield
Management / Accountability
All specialties within the Trust are managed through a Care Group structure. The Children and Families Care Group is managed by the Clinical Director and the General Manager, who have overall responsibility and financial accountability for the provision of the Children’s and Women’s services.
The post holder will be directly accountable to the Clinical Director, who is ultimately managerially accountable for the use of resources to the Chief Operating officer and professionally accountable to the Trust Medical Director.
Maintaining Medical Excellence The Trust is committed to providing safe and effective care for patients. To ensure this, there is an agreed procedure for medical staff that enables them to report, quickly and confidentially, concerns about the conduct, performance or health of medical colleagues (Chief Medical Officer, December 1996). All medical staff, practising in the Trust, should ensure that they are familiar with the procedure and apply it.
Leave Arrangements Prior written permission must be obtained from the Clinical Director for any leave of absence required by the post holder, and must include arrangements for cover. Generally 6 weeks notice period is required. The Trust is committed to CME and CPD and study leave will be granted, subject to Trust procedures.
Terms and Conditions The post holder will be appointed under the terms and conditions of the Consultant contract (England) 2003 agreed by the BMA, DOH and the NHS Confederation.
Termination of contract: 3 months’ notice from either side.
Residence and Removal Expenses The post holder doing on-call from home will be required to maintain his/her private residence within an agreed response time by road for emergencies whilst doing on call from home.
This job description is not intended to be a complete list of duties and responsibilities, but
Date issued (June 2017) 4 of 10 indicates the main ones attached to the post. It may be amended at a future time, after discussion, to take account of changing patterns of practice, child safeguarding arrangements teaching and management.
5. SCOPE: PROVISIONAL TIME TABLE
The job plan is subject to annual review and will be agreed under the terms and conditions of the 2003 consultant contract. This is the responsibility of the Clinical Director and General Manager.
Under the terms of the Consultant Contract (England) 2003, the basic full-time Job Plan contains ten Programmed Activities (PAs) of 4 hours each, including an average 7.5 PAs for Direct Clinical Care (DCC) (including predictable out-of-hours commitments) and 2.5 PAs for Supporting Activities (SPA). The actual ratio may vary and will depend on the specific, identifiable and agreed contributions in various areas (see below). There is recognition and remuneration for out-of-hours availability as per the national terms and conditions and for any mutually agreed additional activity. Any appointee on a full-time contract wishing to undertake Private Practice will be required to offer the Trust an 11th PA, which the Trust may or may not wish to take up. The Trust may also independently wish to offer optional temporary additional PAs to the appointee, irrespective of any anticipated involvement in Private Practice.
The Trust’s current approach is that 1.5 SPAs should be set aside for all consultants to meet the requirements of proof of fitness to practice for revalidation. This includes clinical supervision and teaching as part of routine practice, personal internal CPD, participation in clinical meetings, private study and document review, audit and clinical governance issues (clinical incident reports, risk management, complaint responses etc) as well as preparation for, and full engagement in, personal appraisal, assessment and job planning. Attendance at mandatory meetings (e.g. Resuscitation and Fire lectures, Equal opportunity training, Safeguarding and Information Governance) is included under this heading. Time for attendance at other general Trust and Directorate meetings (eg Trust Medical Committee and Consultants communication meetings) would also be included here. The list is not intended to be exclusive or exhaustive. Assessment of satisfactory engagement in these areas forms part of the annual appraisal process. For those consultants who are not required, or choose not, to engage in additional SPA activity above the generic 1.5 SPA (see below), then an additional one Direct Clinical Care PA time will be agreed in order to maintain the basic 10PA full-time contract.
It is recognised that the time spent over and above the generic 1.5 SPA allocation will depend on individual involvement and specific circumstances and may vary significantly both between individuals and over time. Time spent on these activities, which are not equally relevant to all, will need to be agreed prospectively with the Clinical Director and General Manager during objective setting in line with Trust and individual requirements and will need to be accounted for as part of the annual appraisal and job planning process. The Trust reserves the right to modify the Job Plan accordingly in discussion with the appointee.
Date issued (June 2017) 5 of 10 Categories under this heading include (not exhaustive): formal teaching, training preparation and delivery formal Educational Supervision and appraisal of junior medical staff agreed formal Trust and external committee involvement (eg Clinical Management Teams, Local Negotiating Committee, Clinical Governance committees, Drug and Therapeutics Committee, Cancer Steering Group, Specialty subgroups etc) CSU Audit lead CSU Clinical Governance Lead Trust Lead clinicians (cancer etc) Trust Appraiser for career grade medical staff Specified research activity Designated managerial responsibilities
Some appointed positions (eg Director of Postgraduate Education, Specialty Tutors, Programme Directors, some Lead Clinician roles) carry additional remuneration and are not included in this category.
There may be circumstances where additional SPA time (above the average 2.5) is required to fulfil all the agreed additional commitments, which may necessitate an agreed reduction in clinical time, or be recognised as temporary additional activity.
Trained and accredited appraisers undertake annual Appraisal, using nationally produced documentation and procedures. There is also annual review of the job plan and timetable based on a diary record of workload, in line with good clinical practice and Trust policy.
All the job plans are indicative and for illustration purposes only. Actual job plans and timetables will be decided after discussion with the successful applicants prior to commencement of the job and will be subject to change as the service develops.
Travelling Time: where appropriate will be calculated according to national and trust policy and appropriate adjustment will be made to the DCC/SPA time.
Consultant of the week with prospective cover (1in 8) – alternating at BDGH and DRI Currently BDGH rota is 09.00 – 18.00 hrs and DRI 08.30 – 18.00 hrs
Included both General Paediatrics and Neonatal Ward round and cover. However, in DRI, on most of the days, the neonatal round is done by colleagues with neonatal interest.
This includes lunchtime supervision of postgraduate teaching on both sites
Out of hour and Weekends (with prospective cover): 1:8 out of hour on-call including weekend will be in BDGH and DRI.
Non-Consultant of the week (7 in 8): Activities like Clinics, SPAs, meetings can be on any hospital sites
Date issued (June 2017) 6 of 10 Weekly time-table will be according individual job plan before commencement of the post.
Indicative weekly time-table for non- on-calls weeks (7:8)
This is only an indicative weekly job plan. The actual job plan and time table is likely to vary depending on additional responsibilities With any of these additional responsibilities, the number of clinics / week are likely to decrease.
Monday Tuesday Wednesday Thursday Friday AM Neonatal grand Clinic Clinical Continuity of Clinic round/MDT admin care
PM ADMIN SPA Clinic SPA /MDT
On call availability supplement: 5% for 1 in 8 out of hour on-call acute rota.
7. ORGANISATIONAL POSITION
Care Group Director
Head of Midwifery Lead Care Group Assistant Care Paediatric General Group Care Group Nurse Manager Director Clinical Governance Leads Matrons Matron Deputy General This post/ Manager Consultants
Speciality Clinical Junior Governance Doctors Leads
Date issued (June 2017) 7 of 10 8. JOB DESCRIPTION AGREEMENT
Job Holder’s Signature:
Date:
Head of Department Signature: Date:
Current consultants and their special interests
(5 vacant posts including this one)
Dr SJ Ahmad- Neonatology; Neonatal Lead, DRI
Dr VG Desai- Epilepsy and Neurodevelopmental Paediatrics
Dr M Kurian- Respiratory and Tuberculosis; UG tutor (DRI) .Clinical Governance lead.
Dr LK Chadha- Gastroenterology. Named Doctor for Safeguarding Children
Dr A Natarajan- Paediatric Endocrinologist. Diabetes & Endocrine lead, Diabetes Yorkshire & Humber network lead, Clinical Director (Assistant care group director) Paediatrics.
Dr N Brooke- Neonatology; Neonatal lead at DRI
Dr L Joseph- Diabetes. RCPCH Tutor at BDGH site
Dr LM Wong- Neonatology; Lead for Adoption and fostering at BDGH. Undergraduate tutor at BDGH site; Neonatal lead, BDGH.
Dr Nagendra Rao- General and Gastroenterology, Guideline lead (General and neonates)
Dr Sarah Didier – Neonates and Medical Education, Joint Lead for A&E liaison and critical care
Dr Razia Petkar- General and Diabetes
Dr Shoma Ganguly – General and Respiratory.
Community Paediatricians ( not on the acute rota)
Date issued (June 2017) 8 of 10 Dr Bushra Ismaiel- Community paediatrician, Designated doctor for safeguarding; Community Paediatric Lead, ASD pathway lead for Doncaster
Dr N Ashraf- Community paediatrician, Designated Doctor for LAC for Doncaster and Bassetlaw.
Dr B K Singh – Community Paediatrician, Designated SEN Medical Officer for Bassetlaw, ASD/ADHD pathway lead for Bassetlaw.
Other Medical staff
Trainees and other Junior Medical staff DBTHFT provides a full training programme in conjunction with the Yorkshire and Humber Deanery. At present, DRI is accredited for the training of middle grades, and both sites are accredited for training at SHO grade. With further amalgamation of medical workforce at all tiers, it is hoped that middle grade accreditation will ultimately be extended to BDGH.
Current Junior Staffing at DRI
General Paediatric ST4+ trainees- 8 Community Paediatric ST4+ trainees- 4 Paediatric ST1-3 (SHO grade)- 6 GPSTRs trainees- 4 Advanced Neonatal Nurse Practitioners (ANNPs)- 4
Current junior staffing BDGH
Clinical Research Fellows- 3 Speciality doctors- 2 Paediatric ST1 – 3 (SHO grade)- 2 GPSTRs – 3 Foundation year 1 (FY1) - 1
15. Visiting
Prospective applicants are encouraged to visit the departments are invited to contact:
Mr Sewa Singh, Medical Director Tel – 01302 644156 [email protected]
Mr Eki Emovon, Care Group Clinical Director ( Consultant in Obstetrics & Gynaecology)
Date issued (June 2017) 9 of 10 Tel – 01302 642211 [email protected]
Dr Anuja Natarajan, Assistant Care Group Clinical Director (Consultant Paediatric Endocrinologist) Tel- 01302 642288 [email protected]
Dr Bushra Ismaiel, Paediatric Community lead (Consultant Community Paediatrician) Tel – 01302 642298 [email protected]
Date issued (June 2017) 10 of 10