LOCUM CONSULTANT IN NEONATAL MEDICINE
royalHOSPITAL for sick children
information pack
reF:34359d
Closing Date:26th september 2014
SUMMARY INFORMATION
Post:locum consultant in neonatal medicine
Base:royalhospital for sick children
Applications are invited for a locum consultant post in Neonatologyin NHS Greater Glasgow and Clyde to cover a period of maternity leave. All neonatal units in Glasgow are part of a single management structure. This post covers the neonatal service in the perinatal unit at the Southern General Hospital (5,900 deliveries) and the NICU (33 cots) at the children’s hospital at Yorkhill which provides specialist neonatal services including surgery, cardiology and ECMO. You will join a team of 18 consultants providing some residential shift work in addition to neonatal service weeks and on-call.
All candidates must have full GMC registration and a Licence to Practise.
Acute Services Division
Women and Children’s Directorate
Locum Consultant Neonatologist
Information Pack
Women & Children’s Directorate (Acute Operating Division of NHS Greater Glasgow and Clyde)
Further Particulars of the Post of Consultant in Neonatology
Applications are invited for a whole time, or maximum part-time Locum Consultant Neonatologist in NHS Greater Glasgow and Clyde.
This document is split into the following sections:
Neonatal and Children’s Services across NHS Greater Glasgow and Clyde
New Hospital Build
The Maternity Strategy
Duties of the Post
Terms and Conditions of Service
Job Selection Process and Contact Names
Personal Specification
Advertisement of Position
The overall job pack also contains documentation around equal opportunities monitoring.
Section 1Neonatal and Children’s Services across NHS Greater Glasgow and Clyde
An opportunity exists for an individual to be appointed as a Locum Consultant Neonatologist to cover maternity leave as part of a busy and well supported neonatal service providing regional and supra-regional services for the West of Scotland and nationally. Neonatal services across Scotland have recently undergone a review with the formation of three regional managed Clinical Networks and it is anticipated that, due in part to workforce pressures, some centralisation of neonatal intensive care cots in Scotland will occur but the final configuration of this service has not yet been decided. In addition there has been service redesign locally in Glasgow involving the move from four neonatal facilities to two. Currently neonatal intensive care is provided in the Princess Royal Maternity (PRM), the Southern General Maternity (SGH), and on the Yorkhill site. The final location of neonatal intensive care units in Glasgow will be in the PRM and SGH only following the building of the New Children’s Hospital on the SGH with neonatal surgical and sub-speciality services provided in the Neonatal Unit which will be adjacent and connected to the New Children’s Hospital via a link corridor. There is a maternity service and neonatal unit in Paisley which currently is under the care of the general paediatricians based in Paisley.
With service redesign all the neonatal units in Glasgow are now part of a single management structure in place of the previous locality based management systems. It is anticipated that the Neonatal Consultant Group in Glasgow will operate closely as a single team across the city whilst retaining strong links to an individual site ensuring the maintenance of robust clinical teamworking. The locum post is to cover the maternity leave of one of the consultants working across the SGH and Yorkhill site.
Currently across the two sites there are 17 Consultant neonatologists though not all have full time commitments to the neonatal service. In the light of the impact of EWTD and the reduction in trainee doctor numberssome of the consultant contribution to clinical care occurs without middle grade medical staff. The Consultants contribute to residential evening, overnight and weekend working. The successful applicant will work 10 programmed activities with 1 SPA.
The RoyalHospital for Sick Children
The RoyalHospital for Sick Children (RHSC) 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.
The bed complement includes the NICU with 18 medical and surgical intensive care cots with 11 other neonatal cots in ward 3B which is directly above NICU. National services provided from RHSC include neonatal cardiology, neonatal ENT, Congenital Diaphragmatic Hernia network, and Vein of Galen assessment and treatment (together with Great Ormond Street as a UK service). There is a 16 bedded paediatric intensive care unit and an ICU patient retrieval service with an adjacent highdependency unit. All paediatric medical and surgical subspecialties are represented, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology (bone marrow transplant service), nephrology, cardiology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, orthopaedics neurosurgery and general paediatric and neonatal surgery. The hospital provides a national ECMO service and is the centre for all paediatric cardiac surgery and paediatric renal transplantation in Scotland.
The Diagnostic Imaging 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.
There remains ongoing development across the Yorkhill campus. Included in this is a move of paediatric neurosurgery from the Southern General. Plans around the re-configuration of Emergency medicine provision for young children within NHS Greater Glasgow (as part of the NHS Board Acute Services Strategy) on the current Yorkhill campus are well advanced. The NHS Board also supports an extensive ongoing programme of new equipment provision to sub specialist areas.
Southern General Maternity
At the start of 2010 the new neonatal unit opened above the new labour ward. Projected delivery numbers for the hospital are 6,000 births per year. The Ian Donald Fetal Medicine unit is on site so a significant workload for neonatology involves the management of children with congenital anomalies. Radiology support is provided by colleagues from the Royal Hospital for Sick Children, who report on plain radiographs via a computerised radiology link with the unit. Patients requiring surgical intervention or complex imaging are transferred to the RHSC neonatal unit. There is physical space for 34 intensive care and high dependency cots and 26 special care cots so that following the rebuilding on the children’s hospital in 2015 all neonatal services currently provided in the NICU at RHSC will be re-provided in this unit which will have a physical link to the intensive care floor of the new children’s hospital.
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). Radiology support is provided by colleagues from the Royal Hospital for Sick Children, who report on plain radiographs via a computerised radiology link with the Princess Royal Maternity. Complex imaging is usually arranged at the RoyalHospital for Sick Children if required. A telemedicine link with the RoyalHospital for Sick 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.
National Neonatal Transport Service (NeTS, Western Region)
This is an associated but independent service currently based within the Yorkhill complex. The service is led by Consultant Neonatologists, supported by registrar-equivalent Neonatal Transport Fellow(s) and Advanced Neonatal Nurse Practitioners (ANNPs). The service undertakes 800 transfers per annum by road and air, including the transfer of critically ill infants for ECLS support and neonatal surgery. The service has dedicated medical physics input. . The neonatal transport service is integrated with the adult and paediatric retrieval services.
Other Paediatric Services in Glasgow
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.
Academic Neonatal Activity in Glasgow
All three neonatal units have active research interests and ongoing activity, both in multi-centre trials and with individual projects. There is no protected research time in the consultant job plans.
Section 2New Hospital Build
In 2004 there was ministerial announcement for the development of a new children’s hospital to be built within the Greater Glasgow area, this build to be co-located with acute adult facilities. Within this new build re-provision of both RHSC and QMH facilities would be provided. Completion of this new tripartite clinical arrangement for NHS Greater Glasgow covering acute care of adult, children and maternity services was initially set at five years with an expected completion date of 2010. It is currently expected that the new hospitals located at the Southern General Hospital will be completed in 2015.
Section 3Maternity Strategy
The Glasgow maternity strategy, over the past decade, has been designed to move from five sites to a final position of two large obstetric and neonatology services co-located with large teaching hospitals providing a full range of specialist and support services: one service in the North East (Glasgow Royal Infirmary) and one in the South West (Southern General Hospital). Two ambulatory care hospitals (ACH) support these large feeding hospitals.It is anticipated that the number of births across Greater Glasgow will continue to rise to around 13,000 per annum. The split across the two units is anticipated to be 6,800 at Princess Royal Maternity and 6,000 at Southern General Maternity Unit.
Section 4 Duties of the post
Title: Locum Consultant Neonatologist
The successful candidate will have or be within 6 months of obtaining a CCST in neonatal medicine or equivalent. He/she will have comprehensive experience in the delivery of all aspects of neonatal intensive care including the management of neonatal surgical and complex cardiac patients.
Clinical: Details of clinical commitments
Neonatal medical unit, labour ward and postnatal ward cover is required 24 hours per day, 365 days per year on a shared basis with colleagues. Residential working overnight and at weekends will be shared with colleagues with additional on-call commitments. Neonatal ECMO cover is provided by a dedicated team within the Glasgow Consultant group and is not anticipated to be part of this post.
The job is designed to be 10 PAs with the option to negotiate EPAs dependent on service needs and special skills. The post has 10 programmed activities: a 9 DPA / 1 SPA are usual for all new consultant posts in Glasgow.
Job Plan
Post of: Locum Consultant Neonatologist
Duties are flexible on a week to week basis providing cover to the neonatal unit on a shared basis with colleagues. Weeks covering intensive care, weeks covering special care and clinic weeks are outlined below in a specimen job plan. Residential shift working at Tier 2 level will occur 4 nights every 6 week cycle.
NICU cover
Monday / Tuesday / Wednesday / Thursday / FridayA.M. / NICU round / NICU round / NICU round / NICU round / NICU round
P.M. / NICU cover / NICU cover / NICU cover / NICU cover / NICU cover
Evening / NICU round / NICU round / NICU round / NICU round / NICU round
SCBU cover
Monday / Tuesday / Wednesday / Thursday / FridayA.M. / SCBU round / SCBU round / SCBU round / SCBU round / SCBU round
P.M. / SCBU cover / SCBU cover / SCBU cover / SCBU cover / SCBU cover
Clinics
Monday / Tuesday / Wednesday / Thursday / FridayA.M. / Off / Clinic / Off / SPA / Off
P.M. / Off / Dictation/Results / Off / SPA / Off
Other Activities
Research
The neonatal units are teaching hospitals affiliated to the University of Glasgow. The lead clinician for Research and Development within the Women and Children’s Directorate is ProfessorFaisal Ahmed.
Managerial
The management responsibility of the post holder will be to the Clinical Lead for Neonatology and the Clinical Director for Hospital Paediatrics and Neonatology, and they are responsible through the general management structure of the Directorate to Chief Executive of the Acute Division
Clinical Audit and Clinical Governance
The postholder must be aware of clinical governance and clinical risk management and take an active part in their implementation, including audit. Active participation in all aspects of audit is welcome. Clinical audit in the hospital is supported by an Audit Department with appropriate staff. It is expected that the Locum Consultant will take an active part in the department audit arrangements.
Leave
For 1 WTE: 6 weeks annual leave and 10 days per year of statutory public holidays
There is no locum policy and consultants in the department participate in cover for annual and study leave. Absence must be planned in advance by discussion with consultant colleagues.
Continuous Professional Development
Continuous professional development is supported according to the guidance of the Royal College of Paediatrics and Child Health. Active participation in clinical audit will be an important part of the post. Clinical audit in the hospital is supported by an Audit Department with appropriate staff.
Educational Supervision of Junior Doctors
The postholder will not be expected to be responsible for formal supervision and training of junior doctors
Work Programme
The work programme attached to this job plan is detailed earlier in this section.
Dedicated time has been appropriately set aside for supporting professional activities within the defined work plan.
General Provisions
You will be expected to work with local managers and professional colleagues in the efficient running of services and will share with Consultant colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions, you are expected to observe the Division’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instruction of NHS Greater Glasgow and Clyde. In particular, where you manage employees of the Division, you will be expected to follow the local and national employment and personnel policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary.
All medical and dental staff employed by the Division are expected to comply with all Hospital Health and Safety Policies within the Division.
Job Plan
A formal job plan will be agreed between the appointee and their Clinical Lead/Director. The job plan will be based on the provisional timetable shown earlier in this section.
Provisional assessment of Programmed Activities in Job Plan
For a whole-time contract:
Direct Clinical Care9 PAs on average per week
(includes clinical activity, clinically related activity, predictable and unpredictable emergency work).
Supporting Professional Activities1 PA on average per week
(includes CPD, audit)
Details of Arrangements for Applicants to Visit the Division
Short listed candidates may make arrangements to visit the Division. If candidates on their own initiative have visited the Division prior to being short-listed, they will only be allowed expenses for that visit if they are subsequently short-listed. When it is thought that there will be a difficulty in filling the post, the Director of Human Resources has the authority to approve a second visit.
Please contact: Dr Jonathan Coutts, Neonatal Clinical Lead via the unit secretaries on 0141 201 0532 or by email
Section 7 – Person Specification
Job Title:- Locum Consultant Neonatologist
Qualifications / Essential / DesirableMedically qualified with MRCPCH or equivalent / √
Full GMC registration and a Licence to Practise. Experience of neonatology leading to CCT / √
Higher Degree / √
Experience / Essential / Desirable
Comprehensive general neonatology / √
Experience in neonatal surgical and cardiac patients / √
Behavioural Competencies / Essential / Desirable
Ability to work in multi-disciplinary team / √
Flexible / √
Excellent written and oral communication skills / √
Ability to organise effectively. / √
Other / Essential / Desirable
Experience in medical research and audit / √
Experience in undergraduate and postgraduate medical education / √
Experience in protocol and guideline development / √
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.