A Programme of Specialist Registrar Training

Academic Clinical Fellowship / Specialty Registrar (ACF/StR) In Paediatric Dentistry

Barts Health NHS Trust

JOB DESCRIPTION 2015 A PROGRAMME OF ACADEMIC CLINICAL FELLOWSHIP / SPECIALTY REGISTRAR TRAINING (ACF/NTN) IN PAEDIATRIC DENTISTRY BASED AT

BARTS AND THE LONDON DENTAL HOSPITAL

10 SESSIONS at

BARTS HEALTH NHS Trust

Eligibility:

The candidate must be eligible for full registration with the GDC with BDS or equivalent and have completed at least 2 years general professional training.

1. Information & Duties of the Post

The Post

This is a full time (10 session) post which has been recognised for accreditation training by Health Education North Central and East London and Health Education North West London in Paediatric Dentistry.

The candidate will be appointed as an Academic Clinical Fellow at Specialty Registrar level. This training post allows the successful candidate to spend 75% of their time in clinical training and 25% of their time undertaking research in Paediatric Dentistry. The candidate will be enrolled to a Master in Clinical Dentistry (with a possible future upgrade to Doctorate in Clinical Dentistry) at Queen Mary University of London. Research will be supervised by appropriate senior academic staff.

The training programmes for these fellowships have been selected through national competition to provide high quality academic training for new entrants to specialty training who can demonstrate that they have outstanding potential for development as a clinical academic in research and/or education.

In addition to completing specialist training in Paediatric Dentistry, the expected outcome of the Academic Clinical Fellowship is the preparation of a successful application for a research training programme or grant leading to a higher research degree.

The post holder will be expected to participate fully as a member of the Paediatric Dentistry team providing the clinical services outlined.

In addition, attendance at joint clinics e.g. hypodontia clinic, cleft clinic, general paediatrics and haemophilia clinics. The StR will also be involved in the management of and participation in Day Stay Theatre Lists.

The training programme would extend over a 3 year period (full-time) and would be based on the HEE-approved Paediatric Dentistry CCST programme. Training would be based in The Royal London Hospital, with a component of primary care outreach incorporated into the timetables. This outreach would comprise regular attachment to nominated specialist practitioners on the General Dental Councils Specialist List in Paediatric Dentistry. These attachments would encompass clinical work, domiciliary visits, special school visitations, and sedation services etc., which relate directly to the care of paediatric patients in primary care. The training programme is approved by the Dean for Postgraduate Dentistry in Health Education North Central and East London and Health Education North West London

2. Training Components and duties:

Clinical Training: Consultant Clinics (Paediatric Dentistry) Consultant Clinics (Orthodontics) Trauma Clinics Joint Restorative/Paediatric Dentistry Clinics Inhalation and Intravenous Sedation Clinics Restorative Oral Medicine Theatre: Day Stay Theatre, Royal London (RLH)

Clinical Experience: Routine Patient Treatment (RLH) Patients with Special Needs (RLH) Patients under sedation and GA (RLH)

Management Training Course: Presentation Skills Health Care Legislation Trust Structure & Administration Biostatistics Responsibilities Related to Training Staff Health & Safety Issues Clinical Audit Clinical Governance Communication Skills I.T. Skills

Primary Care Administration & Management: Health Education and Promotion Epidemiology, Survey Designs Screening for Dental Disease Dental Public Health Initiatives Social Inclusion Partnerships Clinical Governance Clinical Risk Management Human Resources: Complaints Procedures Grievance Procedures Sedation & General Anaesthetic Services Treatment for Children in Special Schools Development of Services & Procurement Management of Theatre List

Academics: Statistics, bioinformatics, trial design Epidemiology Ethical aspects of clinical research Project design, planning, costing and management Research governance & the regulatory framework for research Patient and public involvement in research Refereeing of papers and grant applications Diversity/equal opportunities in research/cultural competence Time management and personal effectiveness Leadership: Practitioner, Partner and Leader roles. 3. Assessment & Appraisal: The training programme and the trainees will be subject to regular assessment through the ARCP process. An informal appraisal process will be implemented, whereby the trainers and trainee will provide each other with regular feedback with respect to progress. The trainee will also be assessed according to the MCD programme and will be awarded a Master degree o successful completion of the examination and submission of a dissertation. Towards the completion of training the trainee will be expected to pass the Inter collegiate Membership in Paediatric Dentistry prior to the award of a CCST. Successful completion will allow the trainee to be registered on the General Dental Councils Specialist List in Paediatric Dentistry.

4. Funding: Funding will be provided by the Health Education North Central and East London and Health Education North West London and NIHR

5. Manpower: Approval for the manpower has been granted by the Dean of Postgraduate Dentistry, Health Education North Central and East London and Health Education North West London. It is the primary objective of this training programme to produce an academic specialist paediatric dentist who will become a clinical academic.

6. Clinical Audit

Barts Health NHS Trust has a Clinical Effectiveness Unit department which is actively co- ordinating developments in this field. The new appointee is expected to participate fully in the medical audit arrangements of the Trust.

7. Study, Training and Teaching

Study leave is available as provided for under the Terms and Conditions of Service and Hospital Medical and Dental Staff

The new, well equipped Medical School Library is 2 minutes walk from the Dental Institute. Additional library facilities are available at the Basic Sciences Building at Queen Mary University of London, adjacent to Mile end Hospital.

8. Research

Extensive research facilities exist at The Royal London Hospital and QMUL Mile End Campus. Research is actively encouraged within the department and in conjunction with other departments of the hospital and college, where there is an unusually wide range of research activity.

9. Equal Opportunities

The post-holder must carry out all duties and responsibilities with due regard for Barts Health NHS Trust Equal Opportunities Policy.

10. Salary and Conditions of Service

The Post is subject to the Terms and Conditions of Service of Hospital Medical & Dental Staff (England & Wales), to the General Whitley Council Conditions of Service and also to the National Health Service Pension Regulations. Due to the nature of the work in this Post, it is exempt from the provision of Section 4 (2) of the Rehabilitation of Offenders Act 1974 (Exemption Order 1975).

Applicants are therefore not entitled to withhold information about convictions, including those which, for other purposes are “spent” under the provisions Act. Failure to disclose such information may result in dismissal or disciplinary action.

11. Hours of Work

This is a full time post where the hours will be 8:30am to 5:30pm with occasional rounds outside these times. This may be subject to further review. Barts Health NHS Trust reserves the right to change the parameters of the standard working week, the number of hours additional duty you are required to undertake and the area in which you are required to undertake it, in the light of the requirements of the Service. Barts Health NHS Trust will endeavour to give as much advance notice as possible of such change. In the event of a change in the number of additional duty hours you are required to undertake your pay will be adjusted appropriately.

You may be required to provide on-call cover and take for patients throughout Barts Health NHS Trust, including cross district, inter directorate, and Barts Health NHS Trust reserves the right to change cover requirements in accordance with the needs of the service.

12. Further Information from:

Dr R Whatling Department of Paediatric Dentistry The Royal London Hospital Whitechapel London E1 1BB Tel 020 7377 7179 Clinical Timetables: These timetables should be regarded as indicative, as that will be modified with the changing need of the trainee

Year 1

Monday Tuesday Wednesday Thursday Friday AM Trauma Clinic PG Day Stay CDEC Activity / Hypo 1:4 Theatre Treatment (Teaching/Res earch)

Consultant Whatling Supervisor Wong Fearne Wong Availability /Wong Shah PM PG Consultant Admin Activity (Teaching/Res Clinic Treatment Treatment earch) Consultant Wong Supervisor Fearne /Wong Fearne Whatling Wong Availability Year 2 Provisional

Monday Tuesday Wednesday Thursday Friday AM Trauma Clinic PG Consultant CDEC Activity / Hypo 1:4 Treatment (Teaching/Res Clinic earch)

Consultant Whatling Supervisor Fearne Whatling Wong Availability /Wong Shah PM Day Stay PG Admin Activity Treatment Theatre (Teaching/Res Treatment earch) Consultant Wong Supervisor Fearne /Wong Whatling Whatling Wong Availability Year 3

Will consider specific needs at the end of the 2 years but will include

3 x own pts treatment 1 sedation 1 consultant clinic 1 day stay unit The remaining 4 session swill be dependent on training need

DSU – Day Stay Unit HYPO – Joint paedo-ortho-restorative clinic NPC – New patient clinic PG – PG studies Appendix 1

3. The Trust, the Division, the Department

Barts Health NHS Trust is one of Britain's leading healthcare providers and the largest Trust in the NHS. It was created on 1 April, 2012 by bringing together three trusts: Barts and the London NHS Trust, Newham University Hospital NHS Trust and Whipps Cross University Hospital NHS Trust. The new Trust has a turnover of approximately £1.1 billion and approximately 15,000 employees.

Together our hospitals - Newham University Hospital in Plaistow, St Bartholomew's (Barts) in the City, The Royal London in Whitechapel, The London Chest in Bethnal Green and Whipps Cross in Leytonstone - deliver high quality clinical care to the people of east London and further afield.

The hospitals offer a full portfolio of services that serve the needs of the local community and are home to some of Britain's leading specialist centres including cancer, cardiac, trauma and emergency care. Barts Health also has one of the UK's busiest children's hospitals and internationally renowned surgical facilities.

Our vision is to create a world-class health organisation that builds on strong relations with our partners and the communities we serve - one dedicated to ending the historic health inequalities in east London. We will build an international reputation for excellence in patient care, research and education. And as members of UCL Partners, the largest academic health sciences system in the world, we will ensure that our patients are some of the first in the country to benefit from the latest drugs and treatments.

We are looking for the best talent to lead our ambitious new healthcare organisation. In return, the Barts Health will provide unsurpassed professional development opportunities, enabling investment in a range of new initiatives that would mean:

 doctors and nurses in training will be able to gain experience in different hospitals along the whole patient pathway;  there would be greater opportunity for career progression - we could retain good staff who might otherwise leave to gain promotion;  becoming world-class will enable us to recruit some of the best doctors and researchers in the world - who can share their knowledge and experience;  joining forces with other partners in an Academic Health Science System will mean that staff would be better able to secure funds and pool their talents to develop new technology, techniques and treatments.

3.1Barts Health values based on leadership Our leaders ensure a focus on health where patients are at the centre of all we do. They work to create a culture where innovation is promoted and encouraged. They lead by example and demonstrate value based decision making as being integral to the ways of working within the Trust.

Barts Health leaders are role models who demonstrate those attitudes and behaviours which will make us unique. Our leaders are passionate about delivering high quality patient care, take pride in the work that they do and are committed to delivering the Barts Health NHS Trust 10 pledges of:

a. Patients will be at the heart of all we do. b. We will provide consistently high quality health care. c. We will continuously improve patient safety standards. d. We will sustain and develop excellence in research, development and innovation. e. We will sustain and develop excellence in education and training. f. We will promote human rights and equalities. g. We will work with health partners to improve health and reduce health inequalities. h. We will work with social care partners to provide care for those who are most vulnerable. i. We will make the best use of public resources. j. We will provide and support the leadership to achieve these pledges.

Our leaders are visible leaders who believe in spending time listening and talking to our staff, patients and partners about the things that are important to them and the changes they would like to make to continuously improve patient care.

Barts Health leaders work with their teams to develop organisational values, embed them in our was of working and create the cultural changes required to ensure that we consistently provide an excellent patient experience, regardless of the point of delivery, in an environment where people want to work, regardless of where they work or what they do.

Department of Paediatric Dentistry

The Department of Paediatric Dentistry, is situated in the Dental Institute of The Royal London Hospital

The Department covers all aspects of Paediatric Dentistry. Routine dental care is carried out, along with the care of children with special needs, i.e. those with medical problems, mental and/or physical handicaps and those children whose special needs are not catered for within the community e.g. blood dyscrasias, cleft palate. The initial and long term treatment of dental injuries and dental anomalies is undertaken and adults with handicaps are also treated.

Our patient treatment is carried out in the Dental institute. Two theatre sessions take place each week, one in the Day Stay Unit at St Bartholomew’s Hospital and the other at The Royal London Hospital.

Medical staff within the Department

Consultant Dr J M Fearne Dr Sarah Shah Consultant / Clinical lead Dr R Whatling

Professor/ Honorary Consultant Prof F Wong

Senior Lecturer/ Dr Janet Davies Hon Consultant

Specialist Registrar NTN 1 joint post with community 1 full time NTN (Current post)

Specialist Registrar FTN 1 academic trainee 1 FTTA

Associate Specialist 1.4

DFY/CDT 2 WTE

Dental Therapists 1.4

Dental Surgery Assistants 6 The Department is associated with the

Centre for Oral Growth and Development

The specialist Registrar will also be supervised by and benefit from contact with the University Staff in Paediatric Dentistry

Professors Professor F Wong (Hon Consultant, OGD Centre Head, Head of Paed Dent) Professor R Hill Professor P Anderson

Readers Dr H Liversidge Dr G Davis

Lecturers Dr A Giwa Dr M Chaudhary

Part -Time Lecturers Dr J Cooper Dr M Ghahreman Dr D Chan Dr C Rogers Dr S Younas