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Consultant Paediatrician

4 months ago


Aylesbury, United Kingdom Buckinghamshire Healthcare NHS Trust Full time

Job summary

This is a full time (10 PA) substantive post. It will be based at across sites with clinics at both Stoke Mandeville and Wycombe Hospitals. Job share would be considered, 5 PAs per candidate

The Paediatric department has been successful in getting approval to expand their consultant presence by new consultants to meet the future workload to deliver safe high quality care to all children in Buckinghamshire with a particular focus on our trust care values.

We are seeking a keen, dynamic general paediatrician with a special interest that will compliment the current team

The post holder will carry out both general paediatric and neonatal duties and will participate in the overnight on-call consultant rota . There will also be weekend evening " twilight" shifts in the Paediatric ED to support the middle grades and help protect capacity.

Main duties of the job

The successful candidate will join a team of consultants and will undertake inpatient and outpatient work in neonates and general paediatrics including inpatients and children admitted to the observation ward. In these areas we have 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 their subs peciality .

There will be 3 clinics every week across both hospitals ensuring local access for patients .There will be an opportunity depending on the specialist interest of the candidate to organise specialist clinics and develop a service they feel will benefit the children of Buckinghamshire . Time for service development will be given in the job plan .

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 weeks depending on restructure of the rota) During these days s/he will have no other clinical commitments

The post holder will have resident duties doing "Twilight" shifts from 1600-2200 within the Children's Emergency Department. This will be a weekend twilight shift to cover the Friday to Sunday evenings for 4 weekends a year to ensure that college standards for facing the future are fully met.

About us

What 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. Job description

Job responsibilities

Along with the clinical responsibilities listed above, the post will have a commitment to the education of junior staff and medical students when working with you. You are encouraged to consider being educational supervisors for the deanery .

Clinical Audit and Clinical Governance

Participate in clinical audit across the department in line with Trust policy and guidelines

Implement audit and research findings across the department

Comply with the Trust clinical governance processes in a timely manner

Continuing Professional Development

Supporting Professional Activities are undertaken by all Consultants in a collaborative manner based on SDU needs

Job plan

The 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. 1st on call nights (non-resident) are shared equally. During the day there is a 2nd on-call (non-resident) consultant who covers the Childrens Day unit at Wycombe hospital and is available at night as back-up for the 1st on consultant in the event of simultaneous neonatal and paediatric emergencies.

With the opening of our New childrens ED department in April 2023 we are also doing on call weeks Monday -Friday between the team.

Each consultant has on-call weeks in each year. The NOW and POW weeks runs from Friday-Thursday. times a year the consultant will also cover the new Childrens observation unit (COU), Monday to Friday, which is co-located with the new Childrens ED department. This number may change to be 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 2nd on call overnight duties which will decrease the supplement to 3% from 5% above . Daytime responsibilities for 2nd 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 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. This post is within the latter group of 7 consultants.

In combination the 1st and 2nd on-call shifts mean that the rota is 1 in 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 plan

Activity

Category

Programmed Activities

On Call Weeks

Includes POW/NOW weeks X 7 /year ( PA)

includes POW/NOW weekends

predictable on call work(

COU weeks ( PA)

-

DCC

1st & 2nd ON calls - unpredictable

DCC

Twilight Shift (16-2200) - Includes

/ yr x Twilight Weekend (WET)

DCC

General and specialist Outpatient clinics

3 clinics per week +admin

DCC

Supporting activities

Includes 1 Core PA for revalidation;

Specialist interest development (

SPA

Other patient related DCC-MDT meetings / communication / correspondence

Total

10

Provisional Timetable excluding POW/NOW weeks

AM

PM

Monday

Admin / communication / correspondence /SPA

WGH-2nd and 4th -general / Admin

Tuesday

SMH -general clinic 1st,3rd and 5th /Admin

Core SPA

Wednesday

OFF

OFF

Thursday

WGH -General/specialist clinic

Admin / communication / correspondence

Friday

SPA- specialist interest /Admin

General/specialist clinic SMH

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 Specification

Qualifications/Registration

Essential

MRCPCH or equivalent Full registration with the General Medical Council. Licence to practice MB, ChB or equivalent On GMC specialist register or within 6 months of receipt of CCT in Paediatrics at time of interview

Desirable

Higher Post graduate degree Formal Qualification in Medical Education

Experience/Training

Essential

MB, ChB or equivalent Registration on RCPCH CPD programme Level 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 safeguarding Extensive knowledge of neonatal and general paediatrics

Desirable

APLS / NLS Instructor (1 for each)

Clinical and Technical skills

Essential

Ability to diagnose and manage wide variety of illness in children. Ability to make good medical notes

Clinical Governance

Essential

Evidence of participation in clinical audit and understanding role of audit in improving clinical practice. Comprehension of core philosophy and building blocks of clinical governance

Desirable

Knowledge of risk management

Leading and Managing

Essential

Drives up standards Will follow as well as lead Is clear and explicit about standards expected Is Visible Shows humility Delegates appropriately Adapts leadership style to situation Clear about direction of travel Encourages others to question and challenge keeps others on board Deals with performance issues fairly but clearly

Communication & Influencing

Essential

Listens and acts on what s/he hears Influences and negotiates effectively Accepts others views Confident without being arrogant Uses power appropriately

Team Working

Essential

Helps team learn from others Develops others Shows loyalty to the team Is inclusive Supports and cares about the team Co-operates with other teams

Values

Essential

Communicates openly, honestly and professionally, and actively promotes team working and building strong working relationships Patients are always first. Drives service improvements. Strong self-awareness with a desire to grow. Treats all with compassion and kindness. Ensures everyone feels valued Consults others and listens to their views/opinions. Enables others to take the initiative

Desirable

car driver

Ability, Skills and Knowledge

Essential

Understands patients Shows concern for individuals Recognises work life balance Willing to apologise Approachable

Desirable

Proven undergraduate teaching skills

Transport

Essential

Ability to provide own transport between sites