senior clinical fellow in padiatric intensive care

royalhospital for sick children

Information pack

reF: 30225d

Closing Date: noon 18th october 2013

SUMMARY INFORMATION

Post: senior clinical fellow in paediatric intensive care

Base:royalhospital for sick children

Applications are invited for the above post, which offers advanced sub-specialist training in Paediatric Intensive Care. The post will be based at the RoyalHospital for Sick Children, Glasgow.

This is a new 12 month post (9 months paediatric critical care, 3 months paediatric anaesthesia) created as a result of the progressive international development of one of the largest Paediatric Critical Care Units (PCCU) in the UK. We wish to attract a senior medical trainee who is in their final stages, or has completed, supra-speciality training (adult or paediatric) in either critical care, anaesthesia or emergency medicine. The successful applicant will function as a senior clinician to consolidate / gain clinical experience in paediatric critical care medicine and enhance their ability to manage the critically ill child. Previous experiences within these specialties will enable the applicant to gain maximum exposure to the range of cardiac, general, extracorporeal life support and retrieval services offered within the Paediatric Critical Care Unit.

To practice medicine in the UK you need to hold both GMC registration and a license to practice.

This post does not have educational approval from the Postgraduate Dean and is not recognised for training.

PARTICULARS OF THE POST OF

POST CCT FELLOWSHIP IN PAEDIATRIC CRITICAL CARE

Women’s and Children’s directorate, RHSC, Glasgow.

Personal Specification for the Post

This is a new 12 month post (9 months paediatric critical care, 3 months paediatric anaesthesia or paediatric emergency medicine) created as a result of the progressive international development of one of the largest Paediatric Critical Care Units (PCCU) in the UK. We wish to attract a senior medical trainee who is in their final stages, or has completed, supra-speciality training (adult or paediatric) in either critical care, anaesthesia or emergency medicine. The successful applicant will function as a senior clinician to consolidate / gain clinical experience in paediatric critical care medicine and enhance their ability to manage the critically ill child. Previous experiences within these specialties will enable the applicant to gain maximum exposure to the range of cardiac, general, extracorporeal life support and retrieval services offered within the Paediatric Critical Care Unit.

Brief Description of Hospital

This post is based at the RoyalHospital for Sick Children, Yorkhill, Glasgow, where the duties will primarily be performed.

The RoyalHospital for Sick Children, Glasgow, is one the largest children’s hospitals in the UK and provides a complete range of paediatric specialities in a single institution. The Hospital is unique in Scotland providing critical care to general paediatric medical patients (including metabolic medicine, haem-oncology, stem cell transplantation); surgical patients (including neuro-surgical and trauma patients, renal transplantation); surgery for Congenital Heart Disease (including the ‘Hypoplastic Left Heart Syndrome’ program, interventional cardiology, ECMO and Ventricular Assist Devices, and complex airway surgery), and the unique retrieval service that involves advice, support and the transportation of critically ill children by road or air (helicopter / fixed wing) throughout Scotland (including the Islands and remote and rural locations), and occasionally internationally. The appointee will receive the broadest possible exposure to all the services accommodated within the paediatric critical care unit.

It is an exciting time for Children’s Services within Greater Glasgow & Clyde as the RoyalHospital for Sick Children will relocate to the new Children’s Hospital within the South Glasgow Hospitals campus in 2015. This will enhance service developments to deliver state of the art medical care in purpose built surroundings where children’s physical and emotional needs have been considered at every stage of the project, and build upon our well established international reputation. In addition a collaborative enterprise will unite Scotland’s transport system (ScotSTAR) to amalgamate adult, paediatric and neonatal transport teams, accommodate the Emergency Medical Transport Service and provide for ECLS retrievals.

The Structure of the Department

The PCCU accommodates approximately 1000 admissions per year, 40% being cardiac, within 22 identically equipped beds with state of the art monitoring and a computerised clinical information system. Beds can be used flexibly according to demand to accommodate all dependencies irrespective of patient acuity. The unit operates an ‘open’ culture and therefore encourages multi-disciplinary team working. There are 10 WTE consultant staff who operate a working pattern that provides individual consultant delivered care to each of the general and cardiac patient cohorts. A third consultant provides the out-of-hours on-call service. Duties include: resuscitating, stabilising and micro-managing the critically ill planned or unplanned admission(s) from the ward/ER/theatre or externally; supervising handover(s) and ward round(s); teaching, audit, research and adopting quality improvements initiatives. There are approximately 10 WTE junior fellows and frequent medical attendees of all grades who have sought personal arrangements to gain experience of the PCCU. Allied health professional teams intrinsic to the unit include a well established cohort of experienced Advanced Nurse Practitioners who provide unit and autonomous transport cover, pharmacists, physiotherapists, dietetics, and a respiratory physiologist.

The Work of the Department

The post ensures a wide exposure to the following disciplines:

National Services:

Cardiac Critical Care:

Pre and post-operative management of patients with simple or complex congenital heart disease undergoing palliative/definitive surgery or catheter intervention

ECMO/VAD:

ECMO centre for 20 years offering haemodynamic support for cardiac and respiratory disorders or sepsis. Transport capability available by road or air. All provided with Levotronix technology.

Complex Airway:

Evolving centre for major airway surgery including slide tracheoplasty.

General Critical Care:

General medical

Speciality medical

(Haem-oncology, Infectious diseases, Metabolic medicine, Endocrinology, Neurology, Respiratory and long term ventilation, gastroenterology / hepatology)

General surgical

Speciality surgical

(ENT, Neurosurgery, Interventional neuro-radiology)

The Job

a)Title: Post-CCT Fellowship in Paediatric Critical Care Medicine

b)Names of Consultant Members of Department:

Dr A McIntyre

Dr Jennifer Scarth

Dr Chris Kidson

Dr Neil Spenceley

Dr Mark Davidson

Dr Julie Richardson

Dr Richard Levin

Dr Alastair Turner

Dr Colin Begg

Dr Warren Rodriguez (From October 2013)

c)Duties of the post:

Training will be provided in the following areas:

Cardiac Critical Care including ECMO

General Critical care

Remote and rural transport (road and air)

Research and audit

Paediatric anaesthesia / Paediatric emergency medicine

Quality improvement activities

It is expected that the successful applicant will contribute to research and teaching as part of their overall training. The learning objectives are for the successful applicant to become familiar with all aspects of paediatric critical care medicine.

d)Clinical Commitments:

The successful applicant will work in the PCCU for 9 months and have the opportunity to continue for a further 3 month period or alternatively gain 3 months experience in paediatric anaesthesia or paediatric emergency medicine. On-call duties will be confined to critical care. The rota is a Band 2A shift pattern.

e)Teaching:

The appointee will be expected to participate in the organisation and presentation of some of the ‘protected-time’ unit-based postgraduate teaching sessions, and encouraged to attend the weekly clinical journal club meetings, microbiology and radiology meetings within the constraints of the rota. In addition there is the opportunity to attend transport, ECMO and the wider hospital teaching curriculum.

f) Research:

The unit has an eagerness to evolve its research / audit program. Participation to contribute or initiate research / audit projects in consultation with consultant group and senior audit and research nurse will be encouraged.

g) Library Facilities:

Good library facilities exist in each of the hospitals, at the University of Glasgow and in the Royal College of Physicians and Surgeons of Glasgow. In addition a computer is provided with access to most journals via NHS Scotland e-library. There are excellent Medical Illustration Services. Audit Facilitators and assistance with statistical analysis are available.

f)Study and Training:

The post is not intended to contribute to formal postgraduate training. However, the duties and training provided is identical to the general training given to (inter)national GRID trainees rotating through the unit and therefore should the appointee transfer from another unit with their training number, this status can be reviewed. Study leave within the United Kingdom will be in accordance with the Terms and Conditions of Service.

Conditions of Appointment

For all new entrants to the Health Service, a medical examination will be required prior to confirmation of the appointment.

Every employee, Contractor or Self Employed person working on the Yorkhill Division premises or elsewhere on behalf of the Division has a legal duty, to take all reasonable care for their own health and safety as well as that of others who may be affected by their acts or omissions.

The Yorkhill Division is an Equal Opportunities Employer. The policy is that all employees and job applicants should be afforded equal opportunities in employment irrespective of their sex, marital status, race, religion, creed, colour, age or disability.

For arrangements to view the hospital or discuss the post further please contact Dr Neil Spenceley or Dr. Chris Kidson on 0141 201 0081

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.

TYPE OF CONTRACT / Fixed Term
GRADE AND SALARY / Senior Clinical Fellow
£30,002 £ 47,175 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.
HOURS OF DUTY / Full Time40.00
SUPERANNUATION / You have the option to join the NHS Superannuation Scheme, to participate in the State Earnings Related Pension Scheme or to take out a Personal Pension.Employee’s contributions to the NHS Scheme are Tiered based on your earnings and the employers contribution equates to 13.5 % of salary. Employees in the NHS Scheme are “Contracted-out” of the State Earnings Related Pension Scheme and pay a lower rate of National Insurance contributions. Employees who choose to participate in the State Earnings Related Pension Scheme pay the higher rate of National Insurance contribution. A Stakeholder Pension is also available. A Personal Pension is a private arrangement agreed with the pension provider that will be an organisation such as a Bank, Building Society or Insurance Company.
REMOVAL EXPENSES / Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.
EXPENSES OF CANDIDATES FOR APPOINTMENT / Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses.Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.
TOBACCO POLICY / NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.
DISCLOSURE SCOTLAND / This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.
CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK / NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under not circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.
REHABILITATION OF OFFENDERS ACT 1974 / The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.
DISABLED APPLICANTS / A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.
GENERAL / NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES / The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE / The employment is subject to one months’ notice on either side, subject to appeal against dismissal.
MEDICAL NEGLIGENCE / In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.

FURTHER INFORMATION

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Applicants wishing further information about the post are invited to contact Neil Spenceleyor Dr. Chris Kidson on 0141 201 0081 with whom visiting arrangements can also be made.

How to apply

To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit and click on the “How to Apply” tab to access application for and CV submission information.

Return of Applications

Please return your application by email to or to the recruitment address below;

Medical and Dental Recruitment Team

NHS Greater Glasgow and Clyde

Recruitment Services, 1st Floor

Modular Building, Gartnavel Royal Hospital

1055 Great Western Road

GLASGOW

G12 0XH

CLOSING DATE

The closing Date will benoon 18th October 2013