consultant in general paediatrics (rhch, 10pa) at

Hampshire Hospitals NHS Foundation Trust includes Chairman: Elizabeth Padmore Andover War Memorial Hospital, Basingstoke and North Hampshire Hospital Chief Executive: Mary Edwards and Royal Hampshire County Hospital www.hampshirehospitals.nhs.uk

CANDIDATE INFORMATION PACK CONSULTANT IN GENERAL PAEDIATRICS

(RHCH, 10PA) AT

HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST

CARE AND COMPASSION ACCOUNTABILITY RESPECT ENCOURAGING EACH OTHER 2

Contents

Section 1: Job Purpose 3

Section 2: Information about Hampshire Hospitals NHS Foundation Trust 5

Section 3: About the Directorate and Department 7

Section 4: About the Role and Responsibilities of the Post Holder 8

Section 5: Terms and Conditions of Service 10

Section 6: Person Specification 13


SECTION 1: JOB PURPOSE

Job Title: Consultant General Paediatrician with interest in Neonatal Paediatrics

Department: Child Health

Division: Family and Clinical Services

Location: RHCH

Accountable To: Dr Nick Ward – Clinical Director

Professionally Responsible to: Dr Lara Alloway - Chief Medical Officer

JOB SUMMARY

Hampshire Hospitals is looking for a general paediatric consultant with an interest, or willingness to develop an interest, in neonatal care. Within the role the direct clinical care activities will include neonatal unit, general paediatric ward, working in the children’s area of the emergency department, general outpatients and general paediatric on call. As with all new paediatric consultants there will be a requirement to do a small number of resident night shifts to support the middle grade rota. This post is based primarily at RHCH, Winchester with close links with colleagues in Basingstoke and potential requirements to cover duties in Basingstoke in due course. There will be an opportunity to use or develop other sub-speciality interests commensurate with the needs of the department. This is an exciting opportunity to join a large team of paediatric consultants serving one of the largest populations of children in the Wessex Region. The post has arisen due to the increasing demands on unscheduled attendances and to support the longer term plan to co-locate the well-established paediatric assessment areas within the emergency departments. Visits to the Trust For further information, please contact Dr. Nick Ward, Consultant Paediatrician and Clinical Director, Basingstoke and North Hampshire Hospital (01256 314715), or Dr Eleri Williams, Consultant Paediatrician and deputy lead, Royal Hampshire County Hospital (01962 824995),

Please ensure that email addresses are provided for referee nominees and other contacts.

Please ensure that start and end dates of training courses and employment are clearly noted on your application form / CV.

All candidates applying for this post will be contacted by email once the short listing process is complete.

Interviews

Interviews for this post are planned for 11th November 2019


SECTION 2: INFORMATION ABOUT HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST

Hampshire Hospitals NHS Foundation Trust is the major provider of hospital services to the population of North and mid Hampshire and surrounding areas. The hospitals in Basingstoke and Winchester provide a comprehensive range of acute services as well as being a tertiary referral centre for colorectal, liver, peritoneal carcinomatosis, haemophilia and pseudomyxoma surgery. Services are provided across Basingstoke, Winchester and Andover sites. The trust is involved with the local STP to develop effective ways of working across the region between primary and secondary care and the provision of acute services for the population. This may involve changes in the current method of delivery, for example change in sites for acute working and outpatient clinics.

The Trust covers a population of 600,000 incorporating Basingstoke & North Hampshire Hospitals (BNHH), Royal Hampshire County Hospital (RHCH) in Winchester, Andover War Memorial Hospital (AWMH) and community hospitals. We provide one hospital service across multiple localities, delivering services as close as possible to the patient. BNHH and RHCH are 23 miles apart, situated in the middle of the M3 corridor, with excellent transport links to London and the south coast.

There are excellent post graduate medical facilities on both hospital sites. The trust is closely linked with Southampton University Medical School and the paediatric department has a major role in delivering the paediatric component of the undergraduate medical curriculum.

Our values help us in what we do and how we do it. It is important that you understand and use these values throughout your employment with the Trust to define and develop our culture.

The post holder will be:-

Compassionate, caring about our patients.

Accountable and responsible, always looking to improve.

Respectful for all and show integrity in everything.

Encouraging and challenging each other to always do our best.

SECTION 3: ABOUT THE DIRECTORATE AND DEPARTMENT

Dr Nick Ward – Consultant Paediatrician & Clinical Director

RHCH BNHH

Dr Eleri Williams – Consultant Paediatrician Dr Priya Ilangovan – Consultant Paediatrician

Dr Simon Struthers – Consultant Paediatrician Dr Ed Hind – Consultant Paediatrician Dr Ian Rodd – Consultant Paediatrician Dr Julia Shaw – Consultant Paediatrician Dr Lucinda Winckworth - Consultant Paediatrician Dr Simon Jones – Consultant Paediatrician Dr Martha Wyles – Consultant Paediatrician Dr Fiona McHugh – Consultant Paediatrician Dr Reynella Morenas – Consultant Paediatrician Dr Sunila Jog – Consultant Paediatrician Dr Max Priesemann – Consultant Paediatrician Dr Maninder Bal – Consultant Paediatrician


Dr Katherine Pain – Consultant Paediatrician Dr Nicola Paul – Consultant Paediatrician Dr Deb Pathak – Consultant Paediatrician Dr Kishani Wijewardena – Consultant Paediatrician Dr Lucy Kidman –Consultant Paediatrician Dr Alistair Ewing – Consultant Paediatrician Dr Jennifer Rowley – Consultant Paediatricia Dr Adejumoke Awoseyila – Locum Consultant Paediatrician Dr Rebecca Macleod – Community Consultant Dr Rebecca Ferris – Community Consultant Dr Paola Mirto - Community Consultant Dr Gabriel Whitlingum – Consultant Paediatrician Dr Rema Abraham – AS in Community - Neurodisabilty Dr Philippa Haywood – Community Consultant Dr Julie Maxwell – AS in Community

Dr Ruby Parmar – AS in Community Dr Michelle Medalla – AS in Community

The paediatric department is fully integrated with the community paediatric department. Both sites provide established and well recognised training for trainees from the Wessex deanery both for acute general and community paediatrics (ST1-ST8 paediatrics, GPVTS and Foundation Year.) Paediatrics at HHFT.

The two main hospitals, Royal Hampshire County Hospital and North Hampshire Hospital provide both acute paediatric and Level 2 neonatal services.

1. The children’s wards (Northbrook ward Winchester, 18 inpatient beds, G2 ward Basingstoke; 28 inpatient beds) look after children aged 0-16 years and provide inpatient care for a range of specialties including medical, surgical, ENT and orthopaedic admissions. There are appropriate facilities to provide high dependency care and arrangements to support intensive care prior to transfer to the regional PICU. The consultant paediatricians operate a “consultant of the week” pattern of service so that there is always at least one consultant on site between 08.30 and 20.30 hrs on weekdays and 09.00 – 15.00 at the weekends and bank holidays. There is CAMHS support including out-of-hours advice from a consultant child psychiatrist.

2. Paediatric Assessment Units (RHCH - Sophie’s Place, BNHH - Charlie’s Day Unit)

The assessment units are adjacent to the main paediatric wards. Local GPs have immediate access to an expert Paediatric opinion on any child requiring urgent assessment. Children referred for a paediatric opinion from the Emergency Department are also reviewed. Some medical day case services are managed within the units. Current plans associated with investment into both emergency departments would see the assessment units co located within the emergency departments to provide a single point of access for all children attending the main hospital sites, staffed by paediatricians and the emergency department with input from primary care and other hospital specialities.

3. Emergency Departments

Both main hospitals run full emergency departments supported by all main hospital specialities with co located acute adult medical assessment wards. There is a minor injuries unit in Andover. Over 25,000


children present to the units each year. Basingstoke is a designated Tier 2 trauma centre. There are 12 general emergency consultant physicians with currently one paediatric emergency medicine certified consultant. The ED consultants and teams will contribute to the paediatric areas within the emergency departments in association with child health doctors, nurses, play specialists and allied health professionals.

4. Outpatients: There is a dedicated paediatric outpatient area adjacent to each paediatric ward with

approximately 8-22000 attendances each year at each site. There are daily general paediatric clinics, special interest clinics plus visiting specialist clinics in cardiology, neurology, nephrology, endocrinology, genetics, cystic fibrosis, and surgery. The department actively participates in all the relevant regional specialty networks.

5. Neonatal Care: Level 2 neonatal intensive care is provided as part of the South Central Neonatal

Network. These serve consultant lead obstetric units with delivery of around 3,000 at each site / year, accepting babies for short term intensive care and gestations above 27 weeks. As is the case across the UK there are active discussions occurring about the provision of intensive care and changes to level 2 (local) neonatal units. The team in HHFT is concentrating on providing excellent family centred high care and special care for the babies in conjunction with a successful and recently developed transitional care ward. We are engaged in discussion with the neonatal network about future provision of intensive care services.

SECTION 4: ABOUT THE ROLE AND RESPONSIBILITIES OF THE POST HOLDER

Neonatal unit – ward rounds and contribution to leadership and development of the neonatal service, transitional care ward and neonatal follow up clinics of premature and unwell newborns.

General Paediatrics - the consultant will participate in the consultant of the week duties, covering the general paediatric ward, ambulatory ward (Sophie’s place) and acute admissions. They will contribute to the consultant on call rota for evenings (resident consultant until evening handover) and weekends (2.5 PA /day of resident duties and on call for emergencies).

Night shifts to support the middle grade rota, working with an SHO and a colleague consultant on call at home

Emergency Department support – the trust has recently developed clinical areas within each main ED to provide clear separation for the care of children. The child health department aims to support the current ED workforce by providing senior doctor support and paediatric nursing at the busiest times, ensuring children are seen by senior decision makers in a timely fashion. General ED consultants and their teams including emergency nurse practitioners will also contribute to the care of children within the children’s areas.

General Paediatric clinics will be included within the job plan and there will be an opportunity to develop or contribute to specialist clinics depending on the needs of the department.

The post holder will also be expected to:

Contribute to the education and training of junior doctors and other professional staff

Demonstrate a commitment to continued professional development in clinical practice and with regard to managerial responsibilities

Contribute to the strategic development of child health services in conjunction with professional colleagues


Engage in clinical governance activity through the clinical forums

Engage in annual appraisal

Fulfil the continuing professional development requirements of the RCPCH

Where the post-holder manages employees of the Trust, he/she will be expected to follow both local and national personnel policies and procedures. The post-holder will be expected to ensure that there are adequate arrangements for hospital staff in the care of his/her patients, and to be able to contact him/her when necessary

Comply with Trust Health and Safety policies and procedures and complete statutory and mandatory training as required

Engage in other duties on occasions that the need might arise, with agreement, as assigned by the Trust

JOB PLAN

Job plans for individual consultants will be closely integrated and complementary to those of other members of the consultant team.

The following principles apply:

The posts will be EWTD compliant with 10PAs.

Appointees will be expected to undertake 8 programmed activities per week on average of patient related activity (direct clinical care, DCC)

2 session per week on average will be devoted to supporting professional activity and revalidation (SPA)

The post holder will have a designated office space with the Department of Child Health and administrative support.

Job plan will be reviewed within 6 months of starting and annually at appraisal.

Example of possible Annualised Job Plan

10 PA for 42 weeks / year (6 weeks A/L, 2 weeks study leave, 2 weeks bank holiday) = 420 PA

DCC = 336 PA / year

SPA time including revalidation, consultant and governance meetings, neonatal and ED development and teaching / simulation.

Number / year PA / session

Total PA

Neonatal Cover 50 1 50

Neonatal clinics 18 1.5 27

ED working – weekdays 2pm - 9pm 23 2.5 57.5

ED working – weekend days 3pm – 9pm 4 2 8

Consultant of the week 4 weeks / yr 11 44

Evening on call (Paeds and NNU) 25 / yr 1.5 37.5


Weekend on call (Sat and Sun) 5 / yr 5 25

Resident nights 15 4 60

Gen Paed / Rapid access clinics 18 / yr 1.5 27

TOTAL DCC 336

SPA 84

TOTAL 420

SECTION 5: TERMS AND CONDITIONS OF SERVICE

This post will be offered under the terms and conditions of service for Consultants [England 2003]. The Terms and Conditions referred to in the contract can be viewed in full via: http://www.nhsemployers.org/~/media/Employers/Documents/Pay%20and%20reward/Consultant_Contract_V9_Revised_Terms_and_Conditions_300813_bt.pdf Basic Pay and Pay Thresholds Basic pay is £76,001 and, subject to satisfactory job planning and review, will rise through annual threshold increases to £103,490. Part-time Consultants will be paid pro rata to the thresholds described above, based on the number of agreed weekly Programmed Activities. The starting salary for new consultant appointments will be at the minimum of the pay scale in accordance with the terms and conditions. Previous service at Consultant level or equivalent may be taken into account when determining the starting salary; please contact the Consultant Recruitment Advisor for further information. Pre-employment Checks The Recruitment Department is responsible for ensuring that the Trust complies with its legal obligation, which includes any prohibition on offering an appointment, and with any requirements stipulated by regulatory bodies. It is essential that staff and patients are confident that every worker has been checked to ensure the Trust has confirmed his/her:

Identity

Right to Work in the UK (Passport/visa)

Disclosure & Barring Service Check

Professional qualifications & registration

Suitable References

Health for Work clearance

Revalidation Disclosure & Barring Service (Previously CRB) In view of the nature of the work this post is exempt from the provision of Section 4 (2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exemption order 1975). Applicants therefore must disclose information regarding convictions including those which for other purposes are “spent” under the provisions of the Act. You are, therefore, required to declare any pending prosecutions or convictions you may have, even if they would otherwise be regarded as “spent” under this Action and any cautions. In the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by the Authority. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order applies. The Trust will check with the police for the existence and content of any criminal record of the successful

http://www.nhsemployers.org/~/media/Employers/Documents/Pay%20and%20reward/Consultant_Contract_V9_Revised_Terms_and_Conditions_300813_bt.pdf

http://www.nhsemployers.org/~/media/Employers/Documents/Pay%20and%20reward/Consultant_Contract_V9_Revised_Terms_and_Conditions_300813_bt.pdf


applicant. Information received from the police will be kept in strict confidence. Clinical Governance The post-holder will comply with the Trust’s clinical governance requirements and participate in related initiatives where appropriate. This will include participating in clinical audit and review of outcomes, working towards achievement of national and local performance management targets, complying with risk management policies, and participating in the consultant appraisal process.

The post-holder will also be responsible for maintaining satisfactory patient notes and, when relevant, for entering data onto a computer database in accordance with the rules and regulations of the Data Protection Act. Confidentiality All employees and honorary appointees are required to exercise discretion and maintain confidentiality at all times. Conflict of Interest All applicants to any post within the Trust are required to declare any involvement directly with any firm, company or organisation, which has a contract with the Trust. Data Protection In accordance with the Data Protection Act (1998), the Trust is authorised, if required to do so, to obtain, process and/or use information held on a computer in a fair and lawful way. The Trust is authorised to hold data only for the specific registered purpose and not to use or disclose it in anyway incompatible with such purpose. It is further authorised to disclose data only to authorised organisations as instructed. Equality and Diversity To comply with the Trust’s Equal Opportunities Policy and treat staff, patients, colleagues and potential employees with dignity and respect at all times. Health and Safety Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act (1974), to ensure that agreed safety procedures are carried out to maintain a safe environment for employees, patients and visitors. Hepatitis B All employees who perform “exposure prone procedures” should be immunised against Hepatitis B. Antibody response should be checked on a regular basis. If successful in being appointed to this post, all employees MUST report to the Health for Work Department within two weeks of starting in post. Failure to comply with this, or the new regulations pertaining to Hepatitis B, may result in an employee being suspended from duty. For further information, either contact the Recruitment Department or the Health for Work Department. All matters discussed will remain confidential. Ionising Radiation Use Under the Ionising Radiation (Medical Exposure) Regulations 2000 the Trust is obliged to maintain a register of all persons entitled to act as “Practitioners” or “Operators” (i.e. to justify or to carry out a medical exposure) and to keep records of their training. If your post includes the responsibilities of either “Practitioner” or “Operator” as defined by these regulations you must provide the Trust with evidence of training. This should include evidence of completion of an


approved training course plus details of practical experience. Please note that if, during the course of your duties, you refer a person for a medical exposure you are obliged to provide sufficient relevant clinical information to the Practitioner to justify the use of Ionising radiation. You are expected to follow any guidelines for such referrals, which the Trust provides. Private Practice All consultants should adhere to the national Code of Conduct for Private Practice. The trust has excellent facilities for Private Practice and we encourage Consultant to pursue their practice within the hospital setting. The appointee must follow Trust agreed procedures when seeking to commence private practice. Any private practice commitments must not prejudice the basic service requirements contained in the job plan. Appointees expressing an interest in a part time post in order to undertake private practice will normally be expected to hold a 6 programmed activity [PA] contract. Public Transport and Car Parking Unrestricted car parking is available on the BNHH and AWMH sites. Core hours parking restrictions exist on the

RHCH site only. You may wish to apply for an exemption from this restriction, if you meet one of the criteria set out in the Policy for Parking Management. Park and ride facilities are available for this site. Relocation Expenses Assistance may be given to newly appointed Consultants with part of the cost of their removal expenses; providing that the removal is necessary to comply with HHFT requirements concerning the place of residence. Please note that applicants are encouraged to take the opportunity prior to interview to discuss removal expenses should they be successful. Different Trusts offer different packages and prior discussion will ensure clarity. Residential Criteria Consultants will be required to reside within a distance to allow safe discharge of their on call duties. Service Commitment HHFT expects its employees to communicate with colleagues, patients and visitors in a polite and courteous manner at all times and to adhere to the Trust Values of ‘CARE’ in service delivery adopting a professional approach to patient care at all times. Staff Involvement The Trust is committed to involving staff at all levels to improve patient services and working lives. The Trust continually strives to improve internal communication systems and encourage staff involvement in organisational and service developments – including business planning – to enable staff to influence discussions which affect them and their working conditions. NHS Pension scheme The post-holder will be entitled to join or remain in the NHS Superannuation Scheme No Smoking HHFT operates a “No Smoking Policy” which does not allow smoking at work, in trust buildings, entrances or grounds. Smoking is a Health and Safety issue, and all staff have a responsibility to ensure that smoking does not occur in public areas or entrances and to be aware of, not only health risks, but also the risks of unnecessary fire alarm activation. The Trust has a comprehensive staff support programme for staff who wish


to give up smoking. For more information, contact the Health for Work Department.

SECTION 6: PERSON SPECIFICATION

Job Title: Consultant Paediatrician

Professional Qualifications

Essential Desirable

MRCPCH or equivalent

CCT Paediatrics or within 6 months of CCT

On the GMC Specialist Register for Paediatrics

Up to date APLS and NLS or equivalent

NLS / APLS instructor

Post graduate certificate / diploma in related subjects

Post graduate research experience

Clinical Experience & Knowledge

Essential Desirable

Experience in paediatric acute and ambulatory medicine

Broad and recent training in general paediatrics and neonatology

Level 3 safeguarding training

Extensive experience of neonatal medicine, developmental paediatrics and follow up

Expertise in a related speciality to complement department

Clinical Skills & Ability

Essential Desirable

Ability to communicate effectively with children, parents and team members

Ability to work effectively within a team and to lead a team when required

Understand the importance of multi-disciplinary and multi-agency working in delivery of patient care

Demonstrate participation in audit and research.

Demonstrate ability to manage change and an understanding of the principles of service improvement

Other Specific Requirements

Essential Desirable

Ability to travel to and from the hospitals for the purposes of fulfilling job requirements.