consultant in paediatric anaesthesia
royalhospital for sick children
information pack
reF: 24726d
Closing Date:6th April 2012
SUMMARY INFORMATION
Post:consultant in paediatric anaesthesia
Base:royalhospital for sick children
Due to retirement within the department we are looking to appoint a full time Consultant in Paediatric Anaesthesia.
The successful candidate will be on a full time 10PA contract with responsibilities to general theatres at the RoyalHospital for Sick Children. The on-call commitment for this post is 1: 10, providing cover for general emergencies at RHSC. Any new appointment would be expected to participate in the additional on-call arrangements. There are no responsibilities to the PICU or to Cardiac Surgery.
There is an expectation that the successful candidate would contribute to the Paediatric Chronic Pain Service. Training in Chronic Pain would be provided if required.
The successful candidate will work along side 17 other Consultant Anaesthetists and 8Physician Intensivists. One specialist trainee (ST 5-7 5), two Post-CCT Fellows and between 8 and 10 Junior or Senior STs from the West of Scotland School of Anaesthesia provide junior cover.
All applicants must be eligible for full GMC registration and a licence to practice. 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 date of Interview.
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 Post of Consultant in Paediatric Anaesthesia, with Responsibilities to the General Rota and an Interest in Chronic Pain
JOB DESCRIPTION
Applications are invited for a new whole time Consultant Paediatric Anaesthetist post at the RoyalHospital for Sick Children, Glasgow.
Opportunity for the development of an individual candidate’s special interest will be encouraged within the service.
This document is split into the following sections:
Children’s Services Across NHS Greater Glasgow
New Hospital Build
Management Structures
The Work of the Department of Paediatric Anaesthesia and Critical Care
Duties of the Post
Terms and Conditions of Service
Personal Specification
How to apply contact details
The overall job pack also contains documentation around equal opportunities monitoring.
Section 1Children’s Services across NHS Greater Glasgow and Clyde
The Yorkhill Campus hosts the RoyalHospital for Sick Children. Located out with the main hospital but on campus grounds are a selection of child and adolescent psychiatry facilities including a national child inpatient psychiatry unit and a full facility of on site laboratories.
A description of the RoyalHospital for Sick Children on the Yorkhill site and other relevant services is provided below.
The RoyalHospital for Sick Children, Glasgow
The RoyalHospital 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 subspecialties, from the whole of Scotland.
RHSC has 276 – is this still accurate inpatient and day-case beds and has the capacity for an integrated 26-bedded intensive / high dependency critical care unit and a retrieval service for critically ill children. On the same floor, adjacent to paediatric critical care services is a large fully functional theatre suite and an integrated neonatal medical and surgical neonatal intensive care unit.
All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, nephrology and renal transplantation,respiratory medicine, endocrinology, gastroenterology and nutrition, haemato-oncology, cardiology, neonatology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, orthopaedic, burns, plastic surgery, maxillo-facial and dental surgery and general paediatric and neonatal surgery. The hospital provides a national Extra Corporeal Life Support service, National airway service and is the centre for all paediatric cardiac surgery in Scotland.
The Radiology Department located within RHSC provides ultrasound, CT, MRI and isotopic studies on site. Diagnostic laboratory facilities are on site in Haematology, Blood Banking, Biochemistry, Microbiology, Virology, Histopathology and Genetics.
The Hospital provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow and accommodates the University Departments of Child Health, Child and Family Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery.
Section 2 provides details of NHS Greater Glasgow and Clyde’s planning framework to develop a new children’s hospital, co-located with a new adult hospital in the South side of Glasgow. All children’s services within the current Yorkhill campus will be transferred to this new children’s hospital.
Prior to the new build, there remains ongoing development across the Yorkhill campus. There is a joint venture with the Institute of Neurosciences at the Southern General Hospital to redesign the provision of Paediatric Neurosurgical Services and transfer the entire service to the Yorkhill site. On the Yorkhill campus there is ongoing work to redesign the elective surgical/anaesthetic theatre service. This work has included the proposed development of a same –day admission unit and a 23 hour stay day surgery unit. A combined neonatal medical and surgical intensive care unit has been established in RHSC on the same floor as the PICU and Theatres and recent upgrades to the Bone Marrow Transplant unit, cardiac catheterisation laboratory, paediatric audiology department have taken place as well as the establishment of a centralised paediatric dental suite. A pan Greater Glasgow Child Protection Unit has also recently been developed on the Yorkhill site.
Other Paediatric Services in Glasgow
Paediatric Neurosurgery
Paediatric neurosurgery is located at the Institute of Neurosciences at the Southern General Hospital. Anextensive redesign of current service provision involving all those involved in providing paediatric neuro-surgery and paediatric neuro-anaesthesia is ongoing. The plan is to transfer the entire service to the Yorkhill campus by early 2012.
Paediatric radiotherapy (under general anaesthetic) is completed at the Beatson Oncology Centre, which is located at the Gartnavel GeneralHospital campus.
There is an extensive range of specialist community based children’s services across NHS Greater Glasgow. Managed within community health and social care partnerships, these services are integrated with primary care and social care services. Integrated management links are in place between the Women and Children’s Directorate and the community health and social care partnership leading in children’s services across NHS Greater Glasgow.
Section 2New Hospital Build
In 2004 there was ministerial announcement for the development of a new children’s hospital (replacing the current RoyalHospital for Sick Children) to be built within the Greater Glasgow and Clyde area, this build co-located within acute adult facilities.
Completion of this new tripartite clinical arrangement for NHS Greater Glasgow covering acute care of adult, children and maternity services was set at five years with an initial expected completion date of 2012 however in order to facilitate the building of both the NCH and the new SGH hospital at the same time, the completion date for both has moved back to 2015.
The new children’s hospital will be located on the Southern General Hospitals campus. Plans are also well established for the development of a new adult hospital and refurbished, extended maternity hospital within this campus. Planning of key physical adjacencies between paediatric, maternity and adult services is a work in progress. When the new children’s hospital is built on the Southern General Hospital campus the Paediatric Neurosurgical service at the INS will be essentially co-located with the new children’s hospital. This will allow better integration of the services that both the INS and the RHSC can provide.
The NCH team is working closely with all stakeholders including clinicians working across NHS Greater Glasgow and Clyde child and maternity services in progressing the development of the NCH..
Section 3Management 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 CalderwoodChief Executive; Greater Glasgow and Clyde NHS Board
Jane Grant Acting Chief Operating Officer; Acute Operating Division
Kevin Hill Chief Executive; Women and Children’s Directorate
Jim BeattieMedical Director; Women and Children’s Directorate
Elaine Love Head of Nursing, Women and Children’s Directorate
Andrew McIntyreClinical Director for Hospital Paediatrics and Neonatology, WCD
Jamie RedfernGeneral Manager; Hospital Paediatrics and Neonatology, WCD
Lynne RobertsonClinical Services Manager; Hospital Paediatrics
Pam Cupples Link Clinician; Anaesthesia Services
Contact details for some of the above named personnel are available in section 9 along with a list of other key management / clinical employees within hospital paediatrics.
Section 4Anaesthesia, Critical Care and Surgery Services at the RHSC
Clinical Leadership
Anaesthesia, critical care and surgery services are a key component of integrated hospital paediatric services within the Women and Children’s Directorate (of the Acute Operating Division, NHS Greater Glasgow and Clyde). Dr Andrew McIntyre is Clinical Director for Neonatology, Paediatric Critical Care, Surgery & Anaesthesia and is supported by link clinicians from all the major specialties:
- Dr Jennifer Scarth (Link Clinician for Critical Care)
- Dr Pam Cupples (Link Clinician for Anaesthesia)
- Link Clinicians supporting general & specialist paediatric surgical services
Contact details for those doctors listed are provided in section 9 of this document.
An integrated anaesthesia, critical care and surgery service includes all surgical wards, theatres, and cardiac services (diagnostic and interventional cardiology and cardiac surgery). This arrangement, with close links to medical services (including the emergency medicine department), has successfully supported improved cross-service working, allowing completion of a number of ambitious clinical service redesigns.
The Anaesthetic Department
Situated immediately below the main Theatre Suite, provides excellent facilities, including offices and personal PCs for all Consultants (each office shared usually between two), a large seminar / teaching room with data projection, a coffee room and kitchen and office for the departmental secretary and audit clerk.
Each year, we provide approximately 10, 000 anaesthetics, covering all the major sub-specialties of paediatric anaesthesia. These include anaesthesia for Neonatal, Major Airway, Thoracic, Orthopaedic,Trauma and Plastic (including Cleft Lip and Palate) Surgery, Oncology, Urology and Renal Transplantation, Diagnostic Imaging andInterventional Radiology, Regional Anaesthesia, and Acute and Chronic Pain Management. We also provide anaesthesia for younger children requiring Radiotherapy at the nearby Beatson Oncology Centre.
Theatre Complex
Situated on the floor immediately above the Department of Anaesthesia, the theatre complex was constructed in 1998/99 and provides state-of-the art facilities. There are seven theatres, a small procedures / endoscopy suite and the Kelvin Dental suite contained within the theatre complex. The majority of theatres have windows with fabulous views of the hills north of Glasgow. An excellent, purpose built Day Surgery Unit is 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 Graham Bell; 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. This is currently led by Dr John Currie who is retiring and as a consequence stepping down from his Chronic Pain commitment. There is an expectation that the successful candidate would work along side the remaining team members; Dr Pam Cupples, Dr Ross Fairgrieve and Dr Tony Moores to continue to provide the Chronic Pain Service set up by Dr Currie. Any training required by the successful candidate in order to allow them to contribute fully to the Chronic Pain Service would be provided once in post
Critical Care Services
The PICU at the RHSC 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 RoyalHospital for Sick Children. The Unit is one of four Extra Corporeal Life Support centres for the UK
A new integrated HDU/PICU facility (with capacity to support 26 beds) opened on the 9th of August 2005.
Medical Staffing RHSC
Consultant General Anaesthetists
Dr Graham Bell Honorary Senior Lecturer and Audit Coordinator
Dr Phil Bolton RCoA Tutor
Dr Lesley McKee
Dr Ros Lawson
Dr Susan McIlveney
Dr Sarah Hivey
Dr Neil Morton Senior Lecturer
Consultant General Anaesthetists with interests in Chronic Pain
Dr John Currie
Dr Pam Cupples Link Clinician for Anaesthesia
Dr Ross Fairgrieve Coordinator, Morbidity and Mortality Reporting, Deputy RCoA Tutor
Dr Tony Moores
Consultant Cardiac Anaesthetists
Dr Crispin Best
Dr Judith McEwan
Dr Pauline Cullen
Dr Anne Goldie Chair of the Anaesthetic Advisory Group
Dr John Sinclair*
Dr Robert Ghent
Consultant Paediatric Intensivists
Dr Jennifer Scarth
Dr Andrew McIntyre
Dr David Ellis
Dr Chris Kidson
Dr Neil Spenceley
Dr Mark Davidson
Dr Julie Richardson
Dr Richard Levin
Dr Alisdair Turner
Juniors RHSC
One Calman Fellow (SpR 3 – 5), two Post CCST Fellows and between 8 and 10 Senior SHOs or SpRs from the West of Scotland School of Anaesthesia provide junior cover.
Administrative support
Ms Danielle WardSecretary
Ms Karen BrowningAudit Clerk
National Service Contracts
The RoyalHospital for Sick Children hosts a number of paediatric national services. These national services are listed in box 1 below:
Box 1 / Paediatric National Services
Future Service Developments
- New and joint working arrangements between the RHSC and the Institute of Neurosurgical Sciences at the Southern General Hospital are currently being developed to improve the care of those children in the West of Scotland requiring neurosurgery.
The General Anaesthetic Dental Service for Children for the whole of Glasgow transferred to the Yorkhill site in June of 2006.
- Redesign of critical care services is being taken forward in conjunction with National Services Division
- Proposals to expand cardiac surgery and interventional cardiology are currently being considered
- Redesign of the regional paediatric burns service is being taken forward; this work stream will also filter into national work stream on redesign of complex paediatric burns
- The West of Scotland Paediatric Group are currently reviewing regional provision of general paediatric surgery (with a particular focus on the capacity of paediatric anaesthetic supports within the regional system)
There are also a number of local, regional and national medical related service redesign ongoing across areas such as haematology oncology, metabolic medicine, child protection and general paediatrics.
Section 5The Job Itself
The post is for Consultant in Paediatric Anaesthesia with responsibility to the General Rota with an interest in Chronic Pain. 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.
The successful candidate will provide cover for 6.5 theatre sessions on a 10PA contract. Up to two additional EPAs may be available for anyone wishing to work 12 PAs a week. Two sessions in week 2 of the job plan will be allocated to the chronic pain service. The successful candidate will be expected to have core competencies in chronic pain but due to the specialised nature of Paediatric Chronic Pain there will be the opportunity to double up with one of the existing Consultants to expand the successful candidate knowledge and expertise in this specialised field.
An interim job plan will be agreed between the appointee and their Link Clinician, on behalf of the Clinical Director for Hospital Paediatrics and Neonatology and the Associate Medical Director for Women and Children’s Directorate prior to commencement.
The job plan will be based on the provisional timetable shown below.
The Job Plan will then be reviewed annually, following the Appraisal Meeting. The Job Plan will be a prospective agreement that sets out a consultant’s duties, responsibilities and objectives for the coming year. It should cover all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It should include personal objectives, including details of their link to wider service objectives, and details of the support required by the consultant to fulfil the job plan and the objectives.