Consultant Paediatrician with Neurology including Epilepsy

Consultant Paediatrician with Neurology including EpilepsyNHS Medical & Dental: ConsultantBe part of our BHT familyBuckinghamshire Healthcare NHS Trust (BHT) is an integrated provider of acute hospital and community services for people living in Buckinghamshire and the surrounding area.We care for over half a million patients every year:provide specialist spinal services at our world renownedNational Spinal Injuries Centre at Stoke Mandeville Hospital, the birthplace of the Paralympicsnationally recognised for urology and skin cancer servicesregional specialist centre for burns, plastic surgery, dermatology, stroke and cardiac servicesdeliver community services in health centres, schools, patients’ own homes, community hospitals and community hubs.More than 6,500 people from different nations, cultures and backgrounds work for us.We would be happy to discuss possible flexible working options. We strive to be a family friendly, inclusive employer.If you require any assistance in making this application, please contact ##### or phone 01494 734868.We pride ourselves in being a great place to work – and invite you to join our BHT family.Job overviewThis is an exciting opportunity for an Acute Paediatric Consultant with special interest in Neurodevelopmental and Epilepsy to join our Paediatric Team. We are offering a 10 PA post to work within the Acute Paediatric department. The Role includes weeks on call for the children's ward, children's observation unit in ED , and the level 2 neonatal unit. It also includes regular "front door" shifts covering the children's emergency department to help with capacity on a rotating basis with colleagues.Working with the new leadership and management team, the role offers opportunities for the successful candidate to introduce innovative ideas to help shape the development of the epilepsy service across the trust with the soon to be appointed Epilepsy nurse and fellow colleague. There may also be opportunities developing for liaison with our colleagues in the spinal unit and longer term neurorehab.The candidate should have a proven track record and training in neurology, preferably, formal qualifications in an epilepsy spin.We work closely with our primary care colleagues and commissioners to develop and deliver robust sustainable services for children and young people. This is an excellent opportunity for an enthusiastic and motivated individual to join our forward thinking and dedicated team to enhance the service for the children and families within Buckinghamshire. Expressions of interest to consider a job share of the 10Pa’s (5PA’s each) will be considered Main duties of the jobThe successful candidate will join a team of consultants and will undertake inpatient and outpatient work in general paediatrics and neurology including inpatient ward attending
weeks , ambulatory ward attending and on call activities on a pro-rata basis.In addition to general paediatric and neonatal duties and will participate in the overnight on-call consultant rota and will have some resident duties in the weekday evenings to support the middle grade rota within the A and E department .All consultants are involved in supervising and training of all junior doctors within the department .Working for our organisationWhat does Buckinghamshire Healthcare NHS Trust offer you?As part of our BHT family, you’ll benefit from learning and development opportunities to support your career progression.We offer flexible and agile workingopportunities,alongside your NHS benefits ofgenerous annual leave entitlement, pension andaccess toNHS discount schemes.We provide a range of health and wellbeing services to promote a healthy, happy workforce.Why work for us?We’re committed to promoting inclusion and making sure all colleagues feel they belong. We encourage new colleagues from a diverse range of backgrounds to apply.As an employer, we aim to create a workplace where differences are valued and colleagues treat one another with dignity and respect.Greater diversity withinourBHT familyimprovespositive outcomes for the people and communities we serve.What do we stand for?Our vision is to provide outstanding care, support healthy communities and be a great place to work.Our mission is to provide personal and compassionate care every time.Our CARE values are collaborate, aspire, respect and enable.Detailed job description and main responsibilitiesClinical ResponsibilitiesThe successful candidate will join a team of consultants and will undertake inpatient and outpatient work in neonates and general paediatrics including inpatient and attending observation ward attending weeks. On call activities on a pro-rata basis. In addition to the general paediatrics this post holder will also have specialist clinics in Epilepsy.There will be 2 clinics every week across both hospitals ensuring local access for patients .Epilepsy clinics are on Thursday afternoons with the support of the soon to start epilepsy nurse . This post holder will manage those on the Stoke site as these need to be developed. There maybe the opportunity to do some focused neurology clinics in discussion with the current neurology lead, Dr Mandava. A particular focus for the trust and department will be the transition of the young people with complex health needs. Time will be given within this job plan for this post holder to help further develop these services across the paediatric department including but not exclusively the complex neurology and epilepsy patients .The post holder will also deliver 9 rapid access clinics per year on the days when they are not twilight . The post holder will be Paediatrician of the week (POW) and Neonatologist of the week (NOW) totalling 7 a year.There will also be attending weeks for the children’s observation unit and the number of these will be confirmed on appointment (between 1.5-3.5 weeks depending on restructure of the rota) During these days s/he will have no other clinical commitmentsThe post holder will have resident duties on a fixed weekday evening doing “Twilight” shifts from 1600-2200 within the Children’s Emergency Department. There will be a weekend twilight shift to cover the Friday to Sunday evenings for 3 weekends a year to ensure that college standards for facing the future are fully met.During on-call times, assessment of children in whom there are child protection concerns will be necessary. Alternative arrangements are in place for assessment of children with possible sexual abuse, utilising the specialised skills and training (including colposcopy) of a police doctor, who may or may not request a joint examination with a paediatrician.Evening (middle grade) commitmentThe successful candidate will contribute one weekday evening session to the twilight consultant cover, every other week. S/he will be supported by a resident junior grade and a non-resident consultant colleague.Medical Education and TrainingThe post will have a commitment to the education of junior staff and medical students. Administrative support for the teaching of medical students will be available.Clinical Audit and Clinical GovernanceParticipate in clinical audit across the department in line with Trust policy and guidelinesImplement audit and research findings across the departmentComply with the Trust clinical governance processes in a timely mannerContinuing Professional DevelopmentSupporting Professional Activities are undertaken by all Consultants in a collaborative manner based on SDU needsJob planThe post will be 10 PAs under the “new” consultant contract. An indicative job plan and timetable can be found below. The final job plan for the post will be agreed with the SDU lead and will be subject to renegotiation at least annually.The existing general paediatric consultant rota is designed around a 45 week rolling cycle. There is a planned change if requirement to all posts are successful to a 60 week rolling rota . Paediatrician of the Week (POW) and Neonatologist of the Week (NOW) weeks are shared equally between 15 consultants. 1 st
on call nights (non-resident) are shared equally. During the day there is a 2 nd
on-call (non-resident) consultant who covers the Children’s Day unit at Wycombe hospital and is available at night as back-up for the 1 st
on consultant in the event of e.g. simultaneous neonatal and paediatric emergencies.With the opening of our New children’s ED department in April 2023 we are also doing on call weeks Monday -Friday between the team.Each consultant has 10.5 on-call weeks in each year. The NOW and POW weeks runs from Friday-Thursday. 3.5 times a year the consultant will also cover the new Children’s observation unit (COU) which is co-located with the new Children’s ED department. This number may change to be 1.5 with redesigning the rota.We are currently looking at redesigning the rota (60 week rolling rota instead of 45) with some colleagues doing only COU weeks as part of their acute service commitment. This will decrease the amount of on call weeks for the rest of the 15 on call team. We may also be stopping 2 nd
on call overnight duties which will decrease the supplement to 3% from 5% above . Daytime responsibilities for 2 nd
on call at Wycombe Hospital will continue.8 consultants share weekday evening twilight shifts. Fixed days are covered across the year by paired consultants doing 26 shifts per year. Additionally, each of the 8 consultants cover 2.3 twilight weekends. During the twilight shifts patients requiring admission are reviewed by the twilight consultant to ensure appropriate management and early planning for discharge to protect capacity. The remainder of the twilight weekends are covered by the other 7 consultants.In combination the 1 st
and 2 nd
on-call shifts mean that the rota is 1 in 7.5 and therefore attracts a Category A - Medium Frequency (5%) on call supplement. This may change as above to a 1 in 15 category A- low frequency (3%)Provisional Job planActivityCategoryOn Call Weekspredictable on call work(0.86)- DCC3.41 st
& 2 nd
ON calls - unpredictableDCC0.4Twilight Shift (16-#####) - Includes- 26 / yr x Monday twilight shifts (1.08)DCC1.4General and specialist Outpatient clinics9 RAC clinics /year+admin-0.2DCC1.8Supporting activitiesIncludes 1 Core PA for revalidation;Epilepsy/neurology service development including transition services in BHT(1.0)SPA2.0Other patient related DCC-MDT meeting / communication / correspondence1.0Total10Provisional Timetable excluding POW/NOW weeksAMPM16.00 to 2230MondayRapid access clinic 9x/year WGH/or SMHPDU shift (26/yr)TuesdayOFFOFFWGH -general clinic 1 st ,3 rd
and 5 th
/AdminCore SPAThursdaySpecialist neurology clinic SMH 8x/year .FridaySPA- neurology MDT / epilepsy /AdminGeneral clinic – WGH 2 nd
and 4 th Annual Leave Arrangements:Leave should be arranged by mutual agreement of consultant colleagues and approval of the clinical director and/or general manager, in accordance with standard Trust and NHS regulations. It is essential that six weeks’ notice is given to allow for proper planning and prevent cancellations of patients' appointments/surgery.The post holder has a responsibility to ensure that appropriate arrangements are in place to cover his/her clinical duties during any absence and that all leave is coordinated with colleagues to ensure adequate cover arrangements. This includes all forms of leave.Person specificationQualifications/RegistrationMRCPCH or equivalentFull registration with the General Medical Council. Licence to practice MB, ChB or equivalentOn GMC specialist register or within 6 months of receipt of CCT in Paediatrics at time of interviewFormal Qualification in Medical EducationExperience/TrainingMB, ChB or equivalentRegistration on RCPCH CPD programmeLevel 3 Child protection training.Current APLS and NLS provider status (2 for each)Have clinical experience of assessing and examining children and young people as appropriate to the role to include safeguardingExtensive knowledge of neonatal and general paediatricsAPLS / NLS Instructor (1 for each)Clinical and Technical skillsAbility to diagnose and manage wide variety of illness in children.Ability to make good medical notesClinical GovernanceEvidence of participation in clinical audit and understanding role of audit in improving clinical practice.Comprehension of core philosophy and building blocks of clinical governanceKnowledge of risk managementLeading and ManagingDrives up standardsWill follow as well as leadIs clear and explicit about standards expectedIs VisibleShows humilityDelegates appropriatelyAdapts leadership style to situationClear about direction of travelEncourages others to question and challengekeeps others on boardDeals with performance issues fairly but clearlyListens and acts on what s/he hearsInfluences and negotiates effectivelyAccepts others viewsConfident without being arrogantUses power appropriatelyTeam WorkingHelps team learn from othersDevelops othersShows loyalty to the teamIs inclusiveSupports and cares about the teamCo-operates with other teamsValuesCommunicates openly, honestly and professionally, and actively promotes team working and building strong working relationshipsPatients are always first. Drives service improvements. Strong self-awareness with a desire to grow.Treats all with compassion and kindness. Ensures everyone feels valuedConsults others and listens to their views/opinions. Enables others to take the initiativeAbility, Skills and KnowledgeShows concern for individualsRecognises work life balanceWilling to apologiseApproachableProven undergraduate teaching skillsTransportAbility to provide own transport between sitesPPE requirements:Buckinghamshire Healthcare NHS Trust requires all colleagues to wear appropriate personal protective equipment (PPE) in accordance with our infection prevention and control procedures.COVID-19 and Flu vaccinations remain the best way to protect yourself, your family, your colleagues and of course our patients from the viruses when working in our healthcare settings. We encourage our staff to be vaccinated when recommended.If you are successfulat interview, we will require you to complete a Covid-19 risk assessment document.Application deadline:
This post will close on the closing date stated at midnight. If we receive a large number of applications or there is a change in circumstance, we may be required to close a job before to the closing date. Contacting you:
We will contact candidates through the email address supplied on their application form. Please make sure you check this regularly. Application information:
If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system. Shortlisting:
The monitoring and safeguarding sections are not made visible to the shortlisting panel. The safeguarding section may be made visible to the interview panel, dependent on the role being recruited into. Travel expenses:
It is Trust policy that travel expenses for interview will not be reimbursed. Smoking:
All Trust sites are NO SMOKING. Smoking in all areas of the buildings and premises is prohibited. Employer certification / accreditation badgesYou must have appropriate UK professional registration.This post is subject to the Rehabilitation of Offenders Act#####4 (Exceptions) Orde#####75 (Amendment) (England and Wales) Ord#####020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Name
Dr Michelle Russell-Taylor
Job title
SDU Lead and Consultant Paediatrician
Email address
#####
Telephone number
01494 425501
Additional information
For further information about this post and to make arrangements to visit the department please contact:Dr Russell-Taylor, Consultant Paediatrician on 01494 425501 or email #####
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