Senior Clinical Fellow in Paediatrics

This is a new post which has been created to develop resilience in the middle grade rota.

The Paediatric service at Whittington Hospital provides comprehensive medical care for infants and children up to the age of 18 and comprises of a multidisciplinary team of consultant paediatricians, child and adolescent psychiatrists, paediatric and general nurses, play specialists, speech and language therapists, dieticians, child psychotherapists, hospital school staff, and social workers.

The department has a children’s ward, daycare unit and HDU with 23 beds, a children’s ambulatory unit (CAU) of 4 beds and a paediatric emergency department. The neonatal unit has capacity for 23 cots, 6 of which are equipped for intensive care, 6 high dependency and 11 special care. There is a dedicated paediatric out-patient department and the Ambulatory service continues to be developed.

The post holder will be expected to participate in the current Registrar rota, and work in the paediatric emergency department, paediatric ward and the level 2 neonatal intensive care unit.

Please see the full Job Description and the Persons Specification for further details about the job role.

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.

This is a new post which has been created to develop resilience in the middle grade rota. The post holder will be expected to participate in the current Registrar rota, and work in the paediatric emergency department, paediatric ward and the level 2 neonatal intensive care unit.

Acute General Paediatrics

All middle grade paediatric doctors on the general ward are responsible for the care of babies and children admitted to the children’s wards and assessing patients referred by the Emergency Department. They also cover CAU and contribute cover to a rapid access clinic which runs daily. They are responsible for ward work, keeping thorough, legible notes and discharge summaries as well as participating in the weekly training half days.

The doctor is expected to get to know the patients on the wards and to identify those families with social or psychological problems to be discussed at the weekly paediatric multidisciplinary liaison meeting. Experience will be gained in acute and general paediatrics and in the management of patients with sickle cell disease, shared care oncology as well as child protection work.

When on the ward, the doctor would be expected to both lead and accompany the attending consultant on the regular daily ward round in co-operation with nursing staff and junior trainees.

**Duties include**:
Liaison with nursing staff, parents, medical and support services

Supervision of ward work and record keeping

Liaison with the attending general paediatric consultant

Systematic “handover” of patients and their problems to fellow registrars at shift changes

Participation in general paediatric clinics

Liaison with tertiary units for shared care patients

Attendance and participation with joint medical meetings and training

Medical student and junior trainee teaching

**Neonatal unit**:
The neonatal doctors are responsible for the care of babies in the neonatal intensive care unit, on the postnatal wards and in the labour ward. They are expected to participate in ward rounds, neonatal-obstetric meetings, paediatric training meetings, and the weekly neonatal multidisciplinary liaison meeting. They are responsible for completing neonatal discharge summaries.

Experience will be gained in neonatal resuscitation, neonatal intensive care and neonatal developmental follow-up in a multi-disciplinary team. Doctors are expected to become proficient in technical skills including intravenous cannulation; insertion of umbilical and percutaneous venous lines and learning the basics of cranial ultrasound is encouraged.

**Clinical duties include**:
Participation in the consultant ward rounds and leading wards rounds alone. Participation in daily record keeping, updating of results, supervision of junior trainee discharge summaries and completion of complex summaries. Assistance to junior trainees on labour ward and postnatal wards. Liaison with paramedical staff and social services.

Social and Parental support

Communication with parents of infants on the neonatal