Clinical Fellow with complex Safeguarding and Gender Interest

Job summary

We are looking for a dynamic paediatric trainee who would like to develop an interest in Child Safeguarding and work in the new CYP Gender Service in London.

The clinical fellow post begins in March 2025 for 12 months.

OOPE is required for this post.

UCLH and GOSH are in an unique position and able to support a senior clinical fellow in complex safeguarding as it provides several services which support and management children and young people with complex can offer training in how to deal with managing cases of historical sexual abuse including training in examining with a colposcope, report writing and case management. UCLH also runs one of the countries few FGM clinics and genito-urinary clinics.

Main duties of the job

With a consultant body able to support training with a breadth of experience including Dr Jo Begent who currently works across UCLH and GOSH in a complex safeguarding role, Dr Hannah Jacobs as named doctor for safeguarding at UCLH and is able to support an in house CYP safeguarding team comprising of social workers, health visitors and safeguarding CNS, Dr Najette Ayadi O'Donnell (lead for health at the Lighthouse) who works at the Lighthouse service which follows the Child House ('Barnahus') model which has been proven to help reduce children's trauma, gather better evidence from interviews and increase prosecutions for child sexual abuse to Dr Sakaria Ali who runs the FGM clinic, it really is a place to get rounded and unique higher level safeguarding experience.

This is an exciting opportunity for the post holder to gain invaluable experience in complex safeguarding at UCLH and GOSH:o Gender Identify Service (GIDS)o Historical sexual abuse (The Lighthouse)o FGMo Genitourinary clinico FII/Perplexing presentationso Multiple safeguarding MDTs

It is also recognised that the new CYP Gender Service opening in April 2024 will have a focus on understanding the safeguarding needs of CYP with gender related distress. The post holder will learn skills in MDT working and complex history taking, formulation and development of management plans.

Please refer attached Job Description for full details.

About us

University College London Hospitals NHS Foundation Trust (UCLH) is one of the most complex NHS trusts in the UK, serving a large and diverse population. We provide academically led acute and specialist services, to people from the local area, from throughout the United Kingdom and overseas. Our vision is to deliver top-quality patient care, excellent education, and world-class research.

We provide first-class acute and specialist services across eight sites:

University College Hospital (incorporating the Elizabeth Garrett Anderson Wing)

National Hospital for Neurology and Neurosurgery

Royal National ENT and Eastman Dental Hospitals

University College Hospital Grafton Way Building

Royal London Hospital for Integrated Medicine

University College Hospital Macmillan Cancer Centre

The Hospital for Tropical Diseases

University College Hospital at Westmoreland Street

We are dedicated to the diagnosis and treatment of many complex illnesses. UCLH specialises in women's health and the treatment of cancer, infection, neurological, gastrointestinal and oral disease. It has world class support services including critical care, imaging, nuclear medicine and pathology.

We are committed to sustainability and have pledged to become a carbon net zero health service, embedding sustainable practice throughout UCLH. We have set an ambitious target of net zero for our direct emissions by 2031 and indirect emissions by 2040.

Job description

Job responsibilities

For the full Person Specification and more information regarding the main responsibilities of this role, please refer to the attached Job Description.

GIDS:

A new clinical pathway has been developed, based on the recommendations of The Cass Review Interim Report (Interim report Cass Review), the NHS England interim service specification (NHS England Interim service specification for specialist gender incongruence services for children and young people), and the expertise of many clinicians from across the Northern and Southern Hubs. The service will be delivered by a wide multi-disciplinary team including paediatricians, mental health practitioners, youth workers, nurses, speech and language therapists and occupational therapists. Who patients see will be dependent on the support and care they need.

Children and young people will receive an in-depth assessment of their needs, and a care plan will be developed with them and, if needed, those supporting them. Children and young people may be offered a range of care interventions such as therapy, family therapy, physical health support, or mental health support for any identified difficulties they may want help with. The team will also liaise with health professionals in local services nearer to the child or young person.

As of the end of October 2023, NHS England is currently consulting on the clinical policy for Puberty Supressing Hormones, as well as coordinating the development of a study into the impact of puberty suppressing hormones (puberty blockers) on gender dysphoria in children and young people with early-onset gender dysphoria. Provision of endocrine services will be commissioned separately and delivered according to the outcome of this policy and the position of the research as the service initiates.

It is expected that the NHS Children and Young Peoples Gender Service will continue to change and evolve as more learning, research and evidence is developed in this area. In addition, it is expected that more hubs will go live across the country, and clinicians will work together in a National MDT for complex cases and sharing of learning.

Scope of the service The service will support both new patients from the waiting list, and patients who still require care post the end of March 2024 and agree to be transferred from the Tavistocks Gender Identity Service into the new service.

The Lighthouse ServiceThe Lighthouse is a specialist service within the Paediatric and Adolescent Division. It is the first UK Child House, a multi-professional, child-centred and trauma-informed service for children and young people who have experienced child sexual abuse and a national leader in the field. The Lighthouse provides a holistic health assessment, physical and mental health support, advocacy and police interviews led by clinical psychologists. This child-centred model has had proven success abroad, in particular Iceland, where there is evidence of increased convictions and improved health and well-being for children and young people.

The Lighthouse Team The service is jointly managed by the Lighthouse Operational Manager and the Clinical Lead. The Lighthouse service includes a CAMHS team of therapists (including Clinical Psychologists, Psychiatrist, CAMHS practitioners), Lived Experience Consultant, Paediatricians, Clinical Nurse Specialist for sexual health, Child and Family Practitioners, Play Specialist, and access to Letting the Future In practitioners (NSPCC) in the Lighthouse.

The Lighthouse uniquely works in a truly integrated multi-disciplinary way and the postholder will work closely with colleagues from our ChISVA, case management and psychological therapies teams, providing rich opportunity for interdisciplinary learning and integrated care for children and young people.

Paediatric and Adolescent Division The Paediatric & Adolescent division, together with Womens Health, Queen Square division, the Heart Hospital, the Eastman Dental Hospital and the Royal National Throat Nose and Ear hospital form the Specialist Hospitals Clinical Board.

The paediatric and adolescent division covers over 30 specialties and employs approximately 400 staff to deliver local, secondary, tertiary and quaternary care for children and young people. The specialities are organised into reporting units such as General Paediatrics and Adolescents, Children and Young Peoples Cancer, Child and Adolescent Mental Health, Adolescent Endocrinology and Diabetes, Adolescent Medicine and a number of specialist services.

Come and be a part of the best NHS trust in England to work for, according to our staff*

UCLH top trust to work at in England for the second year running : University College London Hospitals NHS Foundation Trust

*In the most recent NHS staff survey UCLH had the highest percentage of staff who said they would recommend us as a place to work, out of all general acute or acute/community NHS trusts in England for the second year in a row.

UCLH top trust to work at in England for the second year running University College London Hospitals NHS Foundation Trust.

Once again, UCLH has received the highest score of all general acute and acute/community NHS trusts in England for staff that would recommend us as a place to work.

Person Specification

Knowledge and Qualifications

Essential

Eligible for full registration with the GMC at time of appointment and hold a current licence to practise ST4+ MRCP, MRCPCH or equivalent APLS Provider Level 3 safeguarding training

Desirable

Higher degree MSc or related discipline

Experience

Essential

Wide experience in General Paediatrics in the UK at specialist registrar level (ST4+) (ED, wards, outpatients) Understanding of principles of clinical governance Knowledge and experience of local and national safeguarding policies and their application Understanding of principles of patient confidentiality and data protection

Desirable

Experience of teaching and presenting Experience of audit activities Clinical expertise in adolescent medicine, neurodiversity, safeguarding

Skills and Abilities

Essential

Ability to organise and prioritise own workload Ability to work under pressure in a multidisciplinary environment Excellent written and oral communication skills Ability to prioritise clinical needs Ability to establish and maintain working relationships with patients, carers and multidisciplinary colleagues Ability to manage complex presentations and conditions in young people Previous experience undertaking child protection medical examinations

Desirable

Research experience Experience in a range of teaching techniques Experience in simulation training and learning

Values

Essential

Demonstrate ability to meet Trust Values of safety, kindness, teamwork and improving. Demonstrable contribution to advancing Equality, Diversity and Inclusion in the workplace

Responsibilities towards promoting Equality Diversity and Inclusion

Essential

Demonstratable understanding of the Equality, Diversity, and Inclusion and/or Knowledge of the NHS obligations under the Equality Act 2010 and the Public Sector Equality Duties

Ensure the risk of infection to self, colleagues, patients, relatives and visitors is minimised by:

Essential

Being familiar with, and adhering to Trust policies and guidance on infection prevention and control. Completing all required training and education (both via e-learning and face to face) on infection prevention and control. Including infection prevention and control as an integral part of your continuous personal/professional development and included in your annual appraisal Taking personal responsibility so far as is reasonably practicable, in helping ensure that effective prevention and control of health care associated infections is embedded into everyday practice and applied consistently.

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