Junior Clinical Fellow

LEWISHAM & GREENWICH NHS TRUST

QUEEN ELIZABETH HOSPITAL WOOLWICH

Clinical Fellow (ST1/2Level) Paediatrics

Applications are invited for enthusiastic, committed Paediatric ST1+ level doctors to commence as soon as possible.

The posts will be based at Queen Elizabeth Hospital, Woolwich. Lewisham and Greenwich NHS trust is one of the largest employers in South East London with nearly 7000 employees. The Trust provides a comprehensive portfolio of high-quality acute healthcare services to people living across the London Boroughs of Lewisham, Greenwich and North Bexley together with a broad portfolio of community services, primarily, but not exclusively, for those living in Lewisham.

We are responsible for NHS services at University Hospital Lewisham (UHL), Queen Elizabeth Hospital (QEH) in Woolwich and in a number of community settings throughout Lewisham. In addition, we provide some services at Queen Mary’s Hospital (QMH) in Sidcup.

The time will be spent at Queen Elizabeth Hospital on the General Paediatric Ward, Outpatient Department and Special Care Baby Unit. It is well equipped with dedicated paediatric outpatients, 20-bedded children’s ward, a level 2 neonatal unit and paediatric ambulatory unit.

The post holder will be responsible for the day to day management of patients under the supervision of a consultant paediatrician. Clinical responsibilities will include:

- Neonatal Unit/Children’s Ward
- ward rounds, discharge planning, acute admissions and general paediatric work.
- Responsibility, in rotation with others, for the Neonatal unit, Ambulatory unit or Children’s Ward, alternating with the other middle grade doctors.
- Seeing Children on request in the A&E department.
- Regular attendance and active participation in outpatient clinics. It may be appropriate to develop a special interest within general duties/outpatient work.
- Participation in overall supervision and education of junior doctors and medical students.
- Taking an active part in the department’s education programme.

Following the closure of the inpatient Paediatric Unit at Queen Mary’s Hospital, Sidcup QEH, Woolwich now provides acute Paediatric Services for Greenwich Borough and much of the Borough of Bexley.

The Hospital has a busy Children’s Ward (Safari Ward) which is currently open to 20 beds. QEH is a shared care centre for Paediatric Oncology (POSCU) (4 beds). This means that the children’s care is shared with Central London Tertiary Oncology Units. The Shared Care Oncology Unit at QEH (Tiger Ward) has four in-patient beds adjacent to the main Children’s ward. In addition, there is a 6-bedded ambulatory unit (Happy Hippos unit) next to the paediatric ward which is staffed by paediatric nurses. This unit functions as an observation unit for short-term admissions and in addition hosts a number of day case admissions, and nurse-led investigation and phlebotomy clinics.

The post holder will be responsible for the day to day management of patients under the supervision of a consultant paediatrician. Clinical responsibilities will include:

- Neonatal Unit/Children’s Ward
- ward rounds, discharge planning, acute admissions and general paediatric work.
- Responsibility, in rotation with others, for the Neonatal unit, Ambulatory unit or Children’s Ward, alternating with the other middle grade doctors.
- Seeing Children on request in the A&E department.
- Regular attendance and active participation in outpatient clinics. It may be appropriate to develop a special interest within general duties/outpatient work.
- Participation in overall supervision and education of junior doctors and medical students.
- Taking an active part in the department’s education programme

It is expected that ST1 grade doctors will assist in providing on-call duties for unexpected sickness/leave of colleagues.

In the event of a clinical session being cancelled, the Doctor would be expected to remain available for alternative duties during that session.

The duties of the post will include providing advice on medical management of surgical patients and the planning of complex inpatient care.

There are opportunities for training in neonates, general paediatrics and ambulatory paediatrics.

There are now at least 2 Paediatric Registrars present in QEH at any time with separate General and Neonatal Rotas for both Registrars and SHOs. The post holder will get experience of all aspects of the department.

There are presently 17 SHO’s covering General Paediatrics, Neonatal Paediatrics and the Ambulatory unit in Hippo ward at QEH.