consultant in paediatric anaesthesia
(2 POSTS)
ROYAL HOSPITAL FOR CHILDREN, GLASGOW
INFORMATION PACK
REF: 38984D
cLOSING DATE: nOON 2ND oCTOBER 2015
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: CONSULTANT IN PAEDIATRIC ANAESTHESIA (2 posts)
Base:royal hospitaL for sick children
Applications are invited for two full time Consultants in Paediatric Anaesthesia based at the new Royal Hospital for Children.
Post 1: 10PA contract with responsibilities to general theatres. The ‘on call’ commitment for this post is 1 in 10, providing cover for emergencies (excluding cardiac) on the RHC site.
Post 2: 10PA contract with responsibilities to general and cardiac theatres. The ‘on call’ commitment for this post is 1 in 6, providing cover for cardiac surgical and cardiology emergencies on the RHC site.
The successful candidates will work along side 17 Consultant Anaesthetists. The department also includes one advanced paediatric anaesthesia trainee, four post-CCT Fellows and specialty trainees rotating from the West of Scotland Training Scheme.
Applicants must have full GMC Registration, a licence to practise and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to CCT or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training.
Significant previous paediatric anaesthetic experience is expected.
Further information can be obtained from Dr Pam Cupples, Clinical Director for Anaesthesia & Surgery, Tel. 0141 452 4316
Greater Glasgow and Clyde NHS Board
Acute Operating Division
Women & Children’s Directorate
CONSULTANT IN PAEDIATRIC ANAESTHESIA
INFORMATION PACK
Women & Children’s Directorate
Further Particulars of the Posts of Consultant in Paediatric Anaesthesia
JOB DESCRIPTION
Applications are invited for two whole time Consultant posts in Paediatric Anaesthesia at the Royal Hospital for Children, Glasgow.
Post 1 will have sessions in the emergency theatre and commitment to general on call. Post 2 will contribute to the cardiac service, including on call. Opportunity for the development of an additional special interest will be encouraged within the service.
This document is split into the following sections:
Children’s Services across NHS Greater Glasgow and Clyde
Management Structures
Anaesthesia, Surgery, Critical Care & Neonatology Services
Information on Consultant Posts in Paediatric Anaesthesia, Duties of the Post Holder
Contact Names
Personal Specification
Main Conditions of Service
Further Information
In addition, the job pack contains documentation in relation to equal opportunities monitoring.
1.Children’s Services across NHS Greater Glasgow and Clyde
The majority of acute children’s services in NHS Greater Glasgow and Clyde are provided from the Royal Hospital for Children (RHC)based on the South Glasgow Hospitals campus with the Queen Elizabeth University Hospital (including Maternity services) in Govan. A paediatric ward and neonatal unit in the Royal Alexandria Hospital supports acute non-surgical care for children and young people and neonates in the Clyde catchment area of the NHS Board. Neonatal intensive care is provided at the Southern General Maternity Hospital, Princess Royal Maternity and Royal Alexandria Hospital.
The Royal Hospital for Children
RHC is the largest paediatric teaching hospital in Scotland with 256 beds over five floors. It provides care for children resident within the Greater Glasgow area, acts as a tertiary referral centre for children from the West of Scotland, and in a range of subspecialties, including invasive paediatric cardiac, nephrology and renal transplantation services,for children from the whole of Scotland.
All paediatric medical and surgical subspecialties are provided, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology (bone marrow transplant service), neurology, neurosurgery, cranio-facial and maxillofacial surgery, dental surgery, nephrology, cardiology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, orthopaedic surgery, general paediatric and neonatal surgery, paediatric urology and renal transplant surgery.
There are nine full operating theatres, and two interventional theatres with mono and biplanar screening. Four of these theatres are fully integrated for minimally invasive work, a number have laminar flow air hoods for ultra clean surgery, and the neurosurgical theatre is equipped for stereotactic surgery. Adjacent to the theatre complex arethe day surgery and 23 hour unit and the pre-assessment team.
The 22 bedded critical careunit is adjacent to the operating theatres. A link bridge provides access to the neonatal ICU in the maternity hospital.
The paediatric radiology department has a full suite of state of the art scanners anda nuclear medicine department.There are also cardiac & respiratory physiology departments on site. There is a large outpatient department and a medical day care unit.The emergency department is adjacent to the medical assessment unit and to the adult hospital’s emergency department.
A pan Greater Glasgow Child Protection Unit has been developed on site. There is also a Paediatric and Family Psychiatry service at the RHC.
Laboratory services to the RHC are provided from the South Glasgow University Hospitals campus Laboratory Building.
National Service Contracts
The Royal Hospital for Children hosts a number of national services:
Southern General Maternity
In 2010 the new neonatal unit opened above the labour ward with projected delivery numbers for the hospital of 5,900 births per year. After the new RHC opened, neonatal services previously provided within the old children’s hospital moved to the maternity hospital’s neonatal unit.There is a link bridge connecting the neonatal unit to the RHC at the same level as the paediatric critical care unit and operating theatres. The Ian Donald Fetal Medicine unit is on site so a significant workload for neonatology involves delivery of infants with known congenital anomalies. There is physical space for 34 intensive care and high dependency cots and 26 special care cots.
Princess Royal Maternity (PRM)
The PRM is a large maternity unit, situated about 1 mile east of the centre of Glasgow. It is on the campus of Glasgow Royal Infirmary, which provides services for the population of the East and North of Glasgow. It is a purpose built 120 bed maternity hospital, with a capacity for 6,800 deliveries per annum. There are 10 intensive care cots and 23 special care cots and a newly opened 4 bed transitional care. Facilities in intensive care include the latest means of respiratory support and monitoring. All neonatal intensive care can be provided, except for those infants who require neonatal surgery and/or extra-corporeal life support services (ECMO). A telemedicine link with the Royal Hospital for Children has been long established allowing live consultation and the transmission of ultrasound images. The University Chair of Obstetrics and Maternal Medicine is based on site and there is an active research philosophy in the unit.
2.Management Structures
Greater Glasgow and Clyde NHS Board have a single operating division for all acute services. Diagram (1) highlights the local management structure underpinning successful service delivery.
Diagram 1 – management structure
Key Stakeholders (within Diagram 1):
Robert Calderwood Chief Executive; Greater Glasgow and Clyde NHS Board
Jane Grant Chief Operating Officer, Acute Operating Division
Kevin Hill Director Women and Children’s Directorate
Alan Mathers Chief of Medicine, Women and Children’s Directorate
Jamie RedfernGeneral Manager, Hospital Paediatrics and Neonatology
Lynne Robertson Clinical Services Manager, Medical Paediatrics
Heather Dawes Clinical Services Manager
Pam Cupples Clinical Director, Anaesthesia and Surgery
Morag Campbell Clinical Director, Critical Care and Cardiac Services
3.Anaesthesia, Surgery, Critical Care and Neonatology Services
Anaesthesia, critical care and surgical services are a key component of integrated hospital paediatric and neonatology services within the Women and Children’s Directorate (of the Acute Operating Division, NHS Greater Glasgow and Clyde). Dr Pam Cupples is Clinical Director for Anaesthesia and Surgery. Dr Morag Campbell is Clinical Director for Paediatric Critical Care, Neonatology and Cardiac Services. These roles are supported by link clinicians from specialist areas. Dr Anne Goldie is link for Anaesthesia and for Cardiac Anaesthesia. This structure of clinical leadership is mirrored within medical services.
Contact details for those doctors listed are provided in section 8 of this document.
The Anaesthetic Department
The department is situated on the second floor of the new Children’s Hospital, close to the operating theatres providing offices and personal PCs for all Consultants (each office shared usually by three consultants), an office for the departmental PA, anda trainee workstation/staff base room with data projection. Seminar room space is shared throughout the entire hospital campus.
Each year, we deliver over10,000 anaesthetics, covering all the major sub-specialties of paediatric anaesthesia. These include anaesthesia for General and Neonatal surgery, ENT and Major Airway surgery, Cardiac, Thoracic, Orthopaedic,Trauma, Dental, Craniofacial and Plastic (including Cleft Lip and Palate) Surgery, Neurosurgery, Oncology, Urology and Renal Transplantation, Gastroenterolgy, Diagnostic Imaging andInterventional Radiology, Diagnostic and Interventional Cardiology, Regional Anaesthesia, and Acute and Chronic Pain Management. We also provide anaesthesia for children requiring Radiotherapy at the Beatson Oncology Centre in the north west of the city.
There are 17 consultants in the Anaesthetic Department. Four additional consultants have part-time commitments to the Department providing anaesthesia for elective surgical lists. Ten consultant anaesthetists have sessions in the Emergency theatre and provide on call for general emergencies. Six consultant anaesthetists provide anaesthesia for elective and emergency cardiac surgery and for some elective and all emergency cardiology. The cardiac surgical programme carries out approximately 300 cases annually and covers all surgical procedures except transplantation.
Trainees on the West of Scotland Anaesthesia Rotations attend the Department for 2 month periods at junior and senior level. In addition there is a one year advanced training post in Paediatric Anaesthesia. We also have a up to five post-CCT Fellows who are appointed annually.
Theatre Complex
Situated on the first floor, the theatre complex provides state-of-the-art facilities. There are nine theatres and two interventional theatres. Adjacent is part of the diagnostic imaging department with access to CT and MRI scanners and nuclear medicine, all with capability for delivering general anaesthesia. Purpose-built Day Surgery and 23 hour units are situated at one end of the theatre complex.
Pain Services
The Anaesthetic Department runs an Acute Pain Service co-ordinated by two Nurse Specialists in Pain Management (Ms Kay Trower and Ms Margaret McCulloch) and Lead Clinician for Acute Pain, Dr Tony Moores. Nine other Consultant Colleagues contribute to the clinical service.
The Department also provides one of the very few multidisciplinary chronic pain management and symptom control programmes for children within the UK.
Critical Care Services
The 22-bedded PICU at the RHC in Glasgow is the lead centre for the care of critically ill children in Scotland. Each year, 650 – 700 children are admitted, including 80 transferred from other hospitals throughout Scotland. The National Paediatric Critical Care Transport Service is run jointly with Edinburgh’s Royal Hospital for Sick Children. The Unit is one of four Extra Corporeal Life Support centres in the UK.
Anaesthetic Department Staff, RHC
Consultant General Anaesthetists
Dr Graham Bell Honorary Senior Lecturer
Dr Phil Bolton
Dr Pauline Cullen
Dr Pam CupplesClinical Director for Anaesthesia & Surgery
Dr Sarah HiveyAudit Coordinator
Dr Ros Lawson
Dr Susan McIlveney
Dr Lesley McKee
Consultant General Anaesthetists with interest in Chronic Pain
Dr Ross Fairgrieve RCoA Tutor,
Dr Tony MooresAcute Pain Lead, Deputy RCoA Tutor
Dr Ewan Wallace
Consultant Cardiac Anaesthetists
Dr Crispin Best
Dr Robert Ghent
Dr Anne Goldie Chair of the Anaesthetic Advisory Group, Anaesthetic Link
Dr Judith McEwenCoordinator for Morbidity and Mortality Reporting
Dr John Sinclair
Dr Alyson WalkerAirway Lead
Consultants with Sessional Commitment to RHC
Dr Angela Baker
Dr Tom Pettigrew
Dr Simon Young
Rotating consultant from Forth Valley Royal Hospital
Trainee Anaesthetists
The department has one year-long post for advanced training in paediatric anaesthesia. There are also up to five post-CCT positions. In addition, between 8 and 10 junior and senior ST’s from the West of Scotland School of Anaesthesia provide junior cover.
Acute Pain Nurse Specialists
Ms Kay Trower
Ms Margaret McCulloch
Administrative support
Ms Danielle WardPA
4.Information on the Consultant Posts in Paediatric Anaesthesia
The postsare for two Consultants in Paediatric Anaesthesia. All applicants must be eligible for full GMC registration and either be already on the Specialist Register or be within 6 months of receiving their CCT (certificate of completion of training) at the time of interview. The applicants should have undertaken at least 12 months’ training in Paediatric Anaesthesia. Additional experience in PICU and formal qualification as a provider for paediatric resuscitation (APLS / PALS / EPLS) are desirable.
Post 1 with sessions in Emergency Theatre and General on call
On a 10 PA contract (9 DCC, 1 SPA), the successful candidate will provide cover for 6 theatre sessions per week and 1 DCC for on call. Up to two additional EPAs may be available for anyone wishing to work more than 10 PAs a week.
Post 2 with sessions in Cardiac Theatre and Cardiac on call
On a 10 PA contract (9 DCC, 1 SPA), the successful candidate will provide cover for 6 theatre sessions per week and 1 DCC for on call. Up to two additional EPAs may be available for anyone wishing to work more than 10 PAs a week. Applicants should be able to demonstrate an interest in paediatric cardiac anaesthesia. Additional training in paediatric cardiac anaesthesia will be considered for the successful candidate if required. This appointment will allow succession planning for retirement of one of the cardiac anaesthetists during 2016. Sessions in Cardiac Theatre will build up following appointment to allow for a smooth transition. The same will apply for on call, which may not form part of the job plan in the early stages. During this period, DCC allocation for on call will instead be spent in elective cardiac theatre or cardiology.
Interim Job Plans will be agreed between the appointees and the Clinical Director for Anaesthesia & Surgery on behalf of the Chief of Medicine for the Women and Children’s Directorate prior to commencement. The Job Plans will be based on the provisional timetables shown below. A number of changes have been made to existing consultants’ theatre sessions as a result of the move to the new hospital and the numerous changes made to surgical theatre allocations. These changes are continuing, therefore the successful candidates will be expected to show flexibility as their job plans are agreed.
Post 1: General
Week 1
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAYAM / Burns / Orthopaedic trauma / Fixed Flexible
PM / Cleft Surgery / Haematology/
Oncolgy / Gastroenterology
Week 2
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAYAM / Plastic Surgery / ENT / Emergency
PM / Plastic Surgery / ENT / Emergency
Post 2: Cardiac
Week 1
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAYAM / Orthopaedic trauma / General Surgery / Interventional Radiology / Maxillofacial Surgery
PM / Dental / General Surgery / Cardiac MDT
Week 2
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAYAM / Fixed Flexible
/Cardiac / Beatson Radiotherapy / Maxillofacial Surgery
PM / Fixed Flexible /Cardiac / Haematology/
Oncolgy / Urology
This job plan is negotiable and will be agreed between the successful applicant and the Clinical Director. NHS Greater Glasgow & Clyde initially allocates all full time consultants 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core Supporting Professional Activities (SPA) for CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine communication and management meetings. The precise allocation of SPA time and associate objectives will be agreed with the successful applicant and will be reviewed at annual job planning.
Please note that, in the event of a scheduled list not running (for example if the surgeon is on leave) or if there is a more pressing need for Consultant cover of another list, the post-holder will be expected to work flexibly within any of the fixed clinical sessions. In practice, this provides considerable diversity and ensures that experience is maintained in all aspects of the paediatric anaesthetic service.
In addition, the above job plan is only included as a guidance to potential candidates. Under the terms and conditions of the new Consultant Contract the successful candidate will be able to negotiate their job plan with their Link Clinician / Clinical Director as noted earlier.
Duties of the Post Holder
To provide anaesthesia for children having treatment at the RHSC and occasionally on other sites (including the Beatson Oncology Centre), if agreed with the Link Clinician for Anaesthesia / Clinical Director for Anaesthesia, Critical Care and Surgery.
Alteration in work patterns may occur with further expansion in workload and Consultant numbers.
In the event of cancellation of a scheduled clinical activity, the post-holder would be expected to undertake other Clinical Duties or additional Supporting Professional Activities on site during that time.