Postgraduate Medical and Dental Education

BIRMINGHAM CHILDREN'S HOSPITAL NHS FOUNDATION TRUST

Steelhouse Lane, Birmingham, B4 6NH

JOB DESCRIPTION

Locum Appointment for Training (LAT)/Fellow

Advanced Subspeciality Training

Retinoblastoma and Paediatric Ophthalmology

JOB DESCRIPTION FOR LAT/FellowPAEDIATRIC OPHTHALMOLOGY (Advanced Subspeciaility Training)

Summary of Post

This is a 1 year training post based at the Department of Ophthalmology at Birmingham Children’s Hospital NHS Foundation Trust to provide targeted training in Paediatric Ophthalmology. The post is designed for experienced ophthalmic trainees or accredited ophthalmologists wishing to develop a special interest in Paediatric ophthalmology. There will be good exposure to all aspects of paediatric ophthalmic practice, with opportunities to develop sub-speciality interest within aspects of paediatric ophthalmology such as retinoblastoma and ocular oncology, paediatric oculoplastics, ocular genetics and uveitis. The unit is run by two full time ophthalmology consultants (Mr John Ainsworth and Mr Manoj Parulekar)and a third consultant being appointed in summer 2011. The department is a national referral centre for retinoblastoma and paediatric ocular oncology, and a supra-regional tertiary referral centre for cataracts, glaucoma, oculoplastics, ocular genetics, neuro-ohthalmology and uveitis in children.

This post is part of the West Midland Deanery School of Ophthalmology Training Programme and has Royal College of Ophthalmologists recognition for subspeciality training in paediatrics.

Birmingham

Birmingham is a progressive, modern city,located in the heart of England offering pleasant accommodation and excellent civic infrastructure. There are good road, rail and air links and easy access to the countryside. The International Convention Centre, Symphony Hall, National Indoor Arena and ArtGallery and several Theatres are centrally located. Educationally there are many top grade primary and secondary schools within the City of Birmingham, which consistently remain at the top of the league tables. Birmingham also offers an excellent and wide range of University education not only within the city at the Universities of Birmingham, Aston and Central England but also in its neighbouring cities and towns, including Coventry, Wolverhampton, Walsall and Dudley.

The Birmingham Children’s Hospital NHS Foundation Trust

The Birmingham Children’s Hospital NHS Foundation Trust comprises:

Diana, Princess of Wales Children’s Hospital, Birmingham.

Child and Adolescent Mental Health Services (CAMHS) for the whole of the city

The Children’s Hospital moved to a new site at Steelhouse Lane in the centre of the city in May 1998. This marked the culmination of a long history of planning for a new Hospital to replace the overcrowded facilities at its previous home in Ladywood. The relocation involved a £30 million redevelopment of the previous Birmingham GeneralHospital site and has created a large, multidisciplinary, dedicated Children’s Hospital with a capacity for almost 300 beds. Redevelopment included the construction of a new three-storey block which houses radiology, a 20-bed intensive care unit and four of eight operating theatres. In addition to upgraded clinical facilities, the site includes a parent accommodation block (Edward House), the JamesBrindleyHospitalSchool and a new Education Centre.

Although the Children’s Hospital is the site of the Trust’s management base, the Trust provides CAMHS at a number of sites around the city.

The Trust provides secondary level paediatric services for the child and adolescent population of much of the city of Birmingham, both in the hospital and through its community and clinical support services. It is also the regional referral centre for the West Midlands region (population 5.2m) and many of its specialist services extend their referral base beyond the regional boundaries.

In addition to general paediatric medicine, general paediatric surgery and community paediatrics, the clinical services provided by the Trust include: Accident and Emergency Medicine; Anaesthetics and Intensive Care; Bone Marrow Transplantation; Cardiology and Cardiac Surgery; Child and Adolescent Mental Health; Clinical Psychology; Dermatology; Endocrinology and Diabetes; ENT Surgery, Audiology and Cochlear Implantation; Gastroenterology and Clinical Nutrition; Haemophilia; Hepatology; Inherited Metabolic Disease; Neonatal Surgery; Nephrology including Haemodialysis and Renal Transplantation; Neurology; Neurophysiology; Neurosurgery; Non Malignant Haematology; Oncology; Ophthalmology; Orthopaedic and Trauma Surgery; Paediatric Dentistry; Plastic Surgery including Cleft Lip and Palate Surgery; Rehabilitation; Respiratory Medicine and Cystic Fibrosis; Rheumatology; Thoracic Surgery. The Children’s Hospital is also a designated supra regional centre for Retinoblastoma, Craniofacial Surgery, Complex Liver Disease, Liver Transplantation and Kasai portoenterostomy, and is currently designated as the only national centre for paediatric small bowel transplantation.

There is comprehensive provision of diagnostic and support services including all aspects of paediatric laboratory medicine, radiology and pharmacy. Therapy services include dietetics, physiotherapy, orthoptics, occupational therapy, and speech and language therapy. Pastoral and social support is offered by a multi-faith Chaplaincy, the bereavement support team and by the social work department.

The University of Birmingham

The Trust is a major contributor to the teaching programme of the University of Birmingham Medical School and has close ties with the Health Care Faculty at the University of Central England.

Academically, the University is organized into seven faculties, one of which is the Faculty of Medicine and Dentistry. This faculty is headed by the Dean and is administratively split into the Dental and MedicalSchools. The MedicalSchool comprises six divisions encompassing 26 departments, which cover the whole range of pre-clinical and clinical subjects. Interdisciplinary research is encouraged, as are links between the clinical and basic science departments in other faculties. The MedicalSchool is justly proud of its library and reference facilities and has good working relationships with Trusts and Health Authorities.

The Institute of Child Health

The University Department of Paediatrics and Child Health (Director: Professor Ian Booth) is part of the Division of Growth and Development (Director: Professor Martin Whittle, The Women’s Hospital). The Institute of Child Health is part of The Division of Reproductive and Child Health and provides laboratory, office and teaching accommodation for the academic department and is situated in the Clinical Research Block, Whittall Street, adjacent to the Children’s Hospital. The Research and Development Directorate is situated in the Institute of Child Health.

Paediatric Ophthalmology Services

The Eye department has a dedicated outpatient area, including orthoptics and optometry, and adjoining office space. The department is well equipped with A and B scan, high frequency ultrasound, retcams, lasers, field analysers and fundus camera. Surgery is carried out in a dedicated eye theatre (Theatre 5).

Staff

Consultants

Mr. John Ross AinsworthOphthalmic Surgeon

Mr. Manoj V ParulekarOphthalmic Surgeon

Miss Fiona Dean Ophthalmic Surgeon to the Cranio-facial Service

New consultant Appointment in Summer 2011

Retinoblastoma Team

Dr Helen JenkinsonConsultant Oncologist

Dr Bruce MorlandConsultant Oncologist

Dr Pamela KearnsConsultant Oncologist

Dr Dan FordConsultant Oncologist (Radiotherapy)

Dr Trevor ColeConsultant Geneticist

Sarah TurnerSenior Orthoptist

Maureen McCallaRetinoblastoma Nurse Specialist

Carol HitchcottOncology Nurse Specialist

Kate PartridgeClinical Psychologist

Emma EardleyPlay Therapist

Emma BPlay Therapist

Orthoptic Team

Jacky NolanHead Orthoptist

Clare DewsberyDy Head Orthoptist

7 orthoptists

Optometry

HarpreetPhullOptometrist (Part time)

Bruce FisherOptometrist (Part time)

Artificial Eye Service

Bryan Hyde Jones

Zoe Tennant

Wards and surgery

Most ophthalmology procedures are performed as day cases, with admission to the Surgical Day Care Unit (Ward 16). Some of the Retinoblastoma day cases are done in Oncology Theatre, with admission to the Oncology ward. Patients requiring overnight stay are admitted to Ward 5 or 9. The department has 5 operating sessions and 800-1000 surgical procedures are performed annually. There will be ample opportunities for surgical training in this post, including cataracts, glaucoma, Oculoplastics, lasers and strabsimus.

Outpatients

The unit receives approximately 2000 new referrals annually.

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Tertiary services

The Unit provides secondary care to the city of Birmingham, and tertiary eye care to children across the West Midlands and beyond. This includes tertiary referrals from other teaching hospitals. There is an active paediatric cataract and glaucoma service, as also squint, uveitis, oculoplastics and neuro-ophthalmology services.

Retinoblastoma service

The National Commisioning Group have designated Birmingham Children’s Hospital as one of the two retinoblastoma treatment centres in the UK. The Retinoblastoma Unit in BCH manages a significant retinoblastoma workload with upto 25 new cases annually, and enjoys an international reputation. In addition there isan increasing number of non retinoblastoma ocular tumours seen in the unit in recent years.

Research

There is a very active research programme within the department that is predominantly clinical and the successful applicant will be encouraged to take an active role.Trainees could expect upto 4-5 publications during their time in the department.

Audit

The Directorate holds 3 monthly audit meetings and trainees are expected to contribute by performing and presenting audit at these meetings.

On call commitments at Birmingham and Midlands Eye Centre, City Hospital

There are no on call commitments at the Children’s Hospital as all out of hours work is managed at the Birmingham & Midland Eye Centre based at City Hospital Birmingham. The successful applicant will be expected to participate in the city wide general ophthalmology on call rota (4th on call) along with a junior trainee, and supervising consultant.

THE POST

Contracted Hours

This rota totals a contracted 40 hour working week.

Timetable

The postholder will have a formal educational contract with the department with a series of agreed achievable goals that will include an audit project. The applicant will be encouraged to develop their personal portfolio and attend appropriate courses and meetings for Continuing Professional Development. There is a commitment to presenting a journal club every 3 months and to participating in the SpR training programme.

The fixed commitments of the unit are shown below

Trainee timetable

The successful appointee would have 2-3 operating sessions, 3 clinics, 1 ward consult session, 1 regional teaching afternoon and 2 admin/study half days in a typical week. There will be ample opportunities to learn orthoptic assessment of squints.

Clinical Governance

The appointee will be expected to participate in all aspects of the Clinical Governance structure developed by the Trust to monitor, maintain and develop review and amendment according to the needs of the clinical area, changing circumstances and service development the quality and effectiveness of care. The Trust is committed to the development of medical staff through individual professional development a framework for which has been systematically introduced in 2001. There is an expectation that all staff are involved in audit of personal clinical practice as well as the involvement in departmental/speciality reviews; that they should meet the requirements for Continuing Medical Education defined by the relevant Royal College (and for which appropriate study leave support will be available); be aware of professional standards, the responsibility to undertake safe and ethical clinical practice and the importance of responding promptly to any circumstances which may result in increased clinical risk or adverse outcome. Funding is available for approved study leave as defined in the Trust’s study leave policy.

Management

Clinical services have been divided into Five Clinical Directorates (see below): Each Directorate is led by a Clinical Director, a Directorate Manager, senior nurses who are in turn supported by and Finance, Personnel and Information departments.

A lead clinician in specialty/sub specialty areas as appropriate leads individual clinical specialties within each Directorate.

The Children’s Hospital is also a designated supra regional centre for Craniofacial Surgery, Complex Liver Disease and Liver Transplantation, EpidermolysisBullosa, Alstrom syndrome, paediatric small bowel transplantation and Retinoblastoma.

The Department of Ophthalmology forms part of Directorate 4. The current people for the various positions in this directorate are:

• Medical Director: Dr. Charlie Ralston
• Clinical Director:Mr Harish Chandran
• Head of Retinoblastoma Service:Dr Bruce Morland

The Group Chairs hold monthly meetings with their Clinical Directors who in turn are expected to arrange monthly multidisciplinary meetings within their specialty/specialties. The Group Chairs and the Directors of Operations are members of the Trust's Executive Board, Chaired by the Chief Executive.

The appointee will be expected to take part in the delivery and development of clinical services within the Trust's Service and Financial Framework and in line with the Trust's clinical strategy.

Equality and Dignity

The post-holder will be expected to adhere strictly to principles of fairness and equality in carrying out the role. At all times the post-holder will be required to show respect for and maintain the dignity of patients, the public and work colleagues.

The Trust will not tolerate any form of bullying or harassment, violence or aggression against its employees.

Communication (Staff with supervisory/managerial/leadership responsibility)

An integral part of the role of any manager or person with leadership responsibilities is to communicate effectively with their staff and colleagues. It is an expectation of this role that resources and time will be allocated to communicate fully with staff and involve them in the decisions affecting them.

Arrangements should be made to ensure that local and Trustwide matters are communicated and discussed via appropriate means i.e. team meetings, written briefings etc.

Induction

It is the responsibility of every employee to participate fully in induction. A Trustwide induction course is held monthly and local induction will be provided within your own place of work.

Appraisal and Performance Management

All staff will be expected to fully participate in the Appraisal/Performance Management process. This obligation will include the preparation for and attendance at appraisal/performance management interviews and completion of the associated documentation.

Health and Safety

You have a legal responsibility not to endanger yourself, your fellow >employees and others by your individual acts or omissions. The post-holder is required to comply with the requirements of any policy or procedure issued in respect of minimising the risk of injury or disease.

Confidentiality

Your attention is drawn to the confidential nature of information collected within the National Health Service. The unauthorised use or disclosure of patient or other personal information is a dismissible offence and, in the case of computerised information, could result in a prosecution or action for civil damages under the Data Protection Act 1984.

Further information

Further details may be obtained from

Mr Manoj Parulekar0121 333 9465 or

Mr John Ainsworth01213339465 or

BIRMINGHAM CHILDREN'S HOSPITAL NHS FOUNDATION TRUST

West Midlands Deanery

Locum Appointment for Training (LAT)/Fellow

Advanced Subspeciality Training

Retinoblastoma and Paediatric Ophthalmology

Applications are invited for this 12 month training post based at the Department of Ophthalmology at Birmingham Children’s Hospital NHS Foundation Trust to provide targeted training in Paediatric Ophthalmology. The post is designed for experienced ophthalmic trainees or accredited ophthalmologists wishing to develop a special interest in Paediatric ophthalmology. There will be good exposure to all aspects of paediatric ophthalmic practice, with opportunities to develop sub-speciality interest within aspects of paediatric ophthalmology such as retinoblastoma and ocular oncology, paediatric oculoplastics, ocular genetics and uveitis. The department is a national referral centre for retinoblastoma and paediatric ocular oncology, and a supra-regional tertiary referral centre for cataracts, glaucoma, oculoplastics, ocular genetics, neuro-ohthalmology and uveitis in children.

The unit is run by two full time ophthalmology consultants (Mr John Ainsworth and Mr ManojParulekar) and a third consultant being appointed in summer 2011. This post is part of the West Midland Deanery School of Ophthalmology Training Programme and has Royal College of Ophthalmologists recognition for advanced subspeciality training in paediatrics.

PERSON SPECIFICATION

LAT/FELLOW PAEDIATRIC OPHTHALMOLOGY

Criteria for Selection

1