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Locum Consultant in Paediatric Nephrology
3 months ago
Job summary
Thisis an exciting opportunity to join a paediatric Nephrology department as wework towards building a new Childrens Hospital in Leeds. There will be theopportunity to help to shape the future health of children and young peoplewith kidney disease across Yorkshire and the Humber Region.
Theteam provide a comprehensive range of tertiary paediatric nephrology servicesincluding dialysis and transplantation at Leeds childrens hospital. Support isalso provided to all regional hospitals and paediatric departments with regularoutreach clinics. The renal unit is based on a shared specialist ward(Renal/Hepatology) with 13 beds and an adjacent 5 bed haemodialysis unit, witha project to increase home haemodialysis.
Thepaediatric nephrology consultant team is supported by a full multi-disciplinaryteam of specialist nurses, dieticians, psychologist, social workers and playspecialists. They also provide more specialised services.
Main duties of the job
This post will be based at Leeds GeneralInfirmary and will deliver 10PAs working alongside a team of 6 consultants (DrJoseph McAllister, Dr Hitesh Prajapati, Dr Kay Tyerman, Dr Pallavi Yadav and DrAshish Patel Locum) with a 1 in 6 on call requirement.
Specialistin-patient services are provided in Leeds Childrens Hospital. Children willneed to come to Leeds for specialised treatments or procedures which include,renal transplantation, acute kidney injury requiring dialysis, insertion oflong-term dialysis access and problems relating to long-term dialysis, renalbiopsy, specialist imaging and children with complex nephro-urologicalconditions. Children with chronic kidney disease require the input of a largemulti-disciplinary team. There is an extensive multi-disciplinary team thatconsist of: paediatric nephrologists, paediatric urologists, transplantsurgeons; specialist nurses, dieticians, social workers, pharmacist,psychologist and play specialists.
About us
LeedsTeaching Hospitals is one the largest teaching hospital trusts in Europe, withaccess to leading clinical expertise and medical technology. We care for people from all over the countryas well as the 780,000 residents of Leeds itself. The Trust has a budget of £1 billion. Our 17,000 staff ensure that every year wesee and treat 1,500,000 people in our 2,000 beds or out-patient settings,comprising 100,000 day cases, 125,000 in-patients, 260,000 A&E visits and1,050,000 out-patient appointments. Weoperate from 7 hospitals on 5 sites.
Leeds Teaching Hospitals is committed to our processof redeploying 'at risk' members of our existing workforce to new roles. Assuch, all our job adverts are subject to this policy and we reserve the rightto close, delay or remove adverts while this process is completed. If you doexperience a delay in the shortlisting stage of the recruitment cycle, pleasebear with us while this process is completed, and contact the named contact ifyou have any questions.
Job description
Job responsibilities
1. BACKGROUND
Leeds Teaching Hospitals is one thelargest teaching hospital trusts in Europe, with access to leading clinicalexpertise and medical technology. Wecare for people from all over the country as well as the 780,000 residents ofLeeds itself. The Trust has a budget of£1 billion. Our 17,000 staff ensure thatevery year we see and treat 1,500,000 people in our 2,000 beds or out-patientsettings, comprising 100,000 day cases, 125,000 in-patients, 260,000 A&Evisits and 1,050,000 out-patient appointments.We operate from 7 hospitals on 5 sites all linked by the same vision,philosophy and culture to be the best for specialist and integrated care.
Ourvision is based on The Leeds Way, which is a clear statement of who we are andwhat we believe, founded on values of working that were put forward by our ownstaff. Our values are to be:
Patient-centred
Fair
Collaborative
Accountable
Empowered
Webelieve that by being true to these values, we will consistently achieve andcontinuously improve our results in relation to our goals, which are to be:
1. The best for patient safety, qualityand experience
2. The best place to work
3. A centre of excellence for specialistservices, education, research and innovation
4. Hospitals that offer seamless,integrated care
5. Financially sustainable
LeedsTeaching Hospitals NHS Trust is part of the West Yorkshire Association of AcuteTrusts (WYAAT), a collaborative of the NHS hospital trusts from across WestYorkshire and Harrogate working together to provide the best possible care forour patients.
Bybringing together the wide range of skills and expertise across West Yorkshireand Harrogate we are working differently, innovating and driving forward changeto deliver the highest quality care. Byworking for Leeds Teaching Hospitals NHS Trust this is your opportunity to be apart of that change.
WYAATis the acute sector arm of the West Yorkshire and Harrogate Health and CarePartnership, one of the largest integrated care systems in the country. ThePartnerships ambition is for everyone to have the best possible health andwellbeing, and the work of WYAAT, and each individual trust, supports thatambition.
LeedsChildrens Hospital
LeedsChildrens Hospital is one of seven hospitals that as part of Leeds TeachingHospital NHS Trust. The Leeds Childrens Hospital is one of the UKs largestchildrens hospitals with state-of-the-art treatments and facilities. It providesone of the most comprehensive ranges of specialist childrens hospital servicesin the country including nephrology, medicine, surgery, gastroenterology,hepatobiliary, respiratory medicine, cystic fibrosis, neurosciences,haematology, oncology, paediatric critical care, neonatal services,rheumatology, allergy, immunology, endocrine and diabetes. The Childrens hospital provides services forthe children of Leeds across the region of Yorkshire and Humber and furtherafield.
OurMission Statement
Toimprove the health and wellbeing of our children and young people by providingthe highest quality of care.
OurVision
Wewill be the leading provider of healthcare for children and young people in thenorth of England, giving them their care and treatment as close to home aspossible. Leeds Childrens Hospital will be a place where children, youngpeople and families feel welcome and where staff are proud to work.
OurGoals
Achieve - To achieve the bestclinical outcomes for every child and young person, every time
Focus - To make Leeds ChildrensHospital the focus of all our service
Lead - To become a leading paediatricresearch and training centre in Yorkshire and the North of England
Build - To build partnerships thatwill help us to deliver better treatment and care for children and young peopleacross the North of England
Support - to support our workforce toimprove our service for children, young people and their families
CHILDRENS CSU
General Manger Suzanne Abrahams
Head of Nursing Laura Whelan
Matron Clare Hazlegreaves
Clinical Director Colin Holton
Clinical Lead Pallavi Yadav
Service Manager Suroush Lisle-Pourzyaie
Business Manager Kate Haigh
PAEDIATRIC NEPHROLOGY
TheLeeds Paediatric Renal service provides regional specialist kidney care forchildren across East Yorkshire, West Yorkshire, North Yorkshire, and theHumber. This service is one of 13 designated services for paediatric nephrologyin the UK and one of 10 providing a fully comprehensive service includingtransplantation.
Thereis an established regional network that includes educational activitiesincluding the annual regional network study day to provide educational updatesand training educational study day and provision of regional guidelines alongsidea network of outreach clinics at 11 other hospitals across the region. Thus,providing shared care for patients and in-line with the principle of providingequity of access to quality care as close to home as possible for a populationof children with complex and/or chronic disease (NHS Kidney Care-supportedImproving the standard of care of children with kidney disease throughpaediatric nephrology networks, RCPCH 2011).
Theservices at Leeds Childrens Hospital are based in the renal unit, inpatientbed base on L50 and adjacent haemodialysis unit. This is a shared ward withpaediatric hepatology and includes a shared 13 bed base including 8 cubicles (2with the capacity for haemodialysis). Patients are also routinely care of caredfor on the High Dependency unit and in Paediatric intensive care post renaltransplant. Children will need to come to Leeds for specialised treatments orprocedures which include renal transplantation, acute kidney injury requiringdialysis, insertion of long-term dialysis access and problems relating tolong-term dialysis, renal biopsy, specialist imaging, renovascular angiographyand treatment and children with complex nephro-urological conditions. This is in addition to the large cohort ofchildren with chronic kidney disease require the input of a largemulti-disciplinary team
Haemodialysis
Thehaemodialysis unit is co-located with the renal inpatient ward (L50). This is adesignated 5 station unit, including an isolation cubicle with a separateentrance for family and patients. Haemodialysis (haemodialysis andhaemodiafiltration) is delivered in centre with routine haemodialysis deliveredMonday to Saturday (6-day service) with a 7 day/week daytime urgent dialysiscover. The number of children receiving dialysis ranges from 8-12. Leeds is oneof the KQuIP (Kidney Quality Improvement project) establishing homehaemodialysis and as part of this there is a haemodialysis nursing staffexpansion programme including rotational nursing staff from the ward and annurse educator role.
Peritonealdialysis
Thereis an established peritoneal dialysis programme with patient numbers rangingfrom 4-10. There is urology surgical support for catheter insertion for acuteand chronic peritoneal dialysis. There is a training package for carers led bythe specialist nursing team with a combination of in hospital and at hometraining. There is ongoing support from the specialist nursing team at homewith electronic access to each dialysis session. There is monthly outpatientreview of all patients receiving peritoneal dialysis in our MDT clinic.
Transplantation
Thereis an active transplantation programme in Leeds with an average of 10transplants per year, with a current cohort of 65 transplant patients underfollow up. There is specialist nursingsupport for transplant work up and a comprehensive MDT transplant listingprogramme involving nephrologist, transplant surgeons, immunologicallaboratory, specialist nurses, psychology and social workers. The transplantprogramme is supported by the transplant surgical team Mr Masood, MsMartinez-Lopez and Mr Falconer.
Nephro-Urology
Thereare close links with the paediatric urology MDT. There is a monthlynephro-urology MDT to discuss complex cases and a monthly joint nephro-urologyclinic. There is access to non-invasive and invasive urodynamics and anevolving medical bladders service.
Thereare a number of specialised clinics including antenatal counselling, regionalstone service, Tuberosclerosis clinics and joint rheumatology clinics. As wellas specialist renal services, the department also provides secondary referralcare for a large range of paediatric nephrology referrals including urinarytract infection, haematuria, proteinuria and problems with incontinence
Outpatientservices
InLeeds the paediatric renal service outpatient clinics are based withinChildrens outpatients in Martin Wing on Leeds General Infirmary site with adedicated paediatric play support and phlebotomy service. There are weeklytransplant, general nephrology and chronic kidney disease clinics. In addition,there outreach joint clinics across Yorkshire and the Humber based in Airedale,Bradford, Dewsbury, Grimsby, Halifax, Huddersfield, Hull, Pinderfields,Scunthorpe, York (Scarborough).
Research
Researchis highly valued within Leeds Childrens Hospital; there is a clinical researchfacility and support from a team of research nurses and data administrators.There are strong links with Leeds University. The Renal department areenthusiastic contributors to multi-centre research, such as PREDNOS, ECUSTEC,NEPHROS, PLUTO and the SETS aHUS trials. We are consistently one of the toppaediatric centres for recruitment the rare renal disease registry (RaDaR).
TheRenal team
PaediatricNephrology Consultants
DrJoseph McAllister ConsultantPaediatric Nephrologist
DrHitesh Prajapati ConsultantPaediatric Nephrologist
DrAshish Patel Locum Consultant PaediatricNephrologist
DrKay Tyerman ConsultantPaediatric Nephrologist
DrPallavi Yadav ConsultantPaediatric Nephrologist
Person Specification
Clinical, Academic, and Personal Skills
Essential
All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated Well organised and skilled in good time management. Effective interpersonal skills. Demonstrate ability to relate to and work within a team
Desirable
Previous attendance on Appraisal Techniques and Small Group Teaching Workshops. Attendance at recognised management course.
Qualifications
Essential
Membership examination of the Royal College of Paediatrics and Child Health (RCPCH) or equivalent qualification. Eligible for full registration with the GMC at time of appointment and hold a current licence to practice. Should have completed a recognised training programme in paediatric nephrology
Desirable
Relevant higher degree
Experience
Essential
Must be able to demonstrate a high level of clinical experience and competence in paediatric nephrology Specifically, he/she must demonstrate higher paediatric training in paediatric nephrology Evidence of continuous career progression consistent with personal circumstances. Experience in training undergraduate medical students and postgraduate doctors. Experience of participation in regular clinical audit.
Desirable
Previous experience of supervising research by junior staff. Previous attendance on Appraisal Techniques and Small Group Teaching Workshops
Clinical, Academic, and Personal Skills
Essential
All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated Well organised and skilled in good time management. Effective interpersonal skills. Demonstrate ability to relate to and work within a team
Desirable
Previous attendance on Appraisal Techniques and Small Group Teaching Workshops. Attendance at recognised management course.
Additional Requirements
Essential
Is up to date and fit to practise safely Evidence of the ability to carry out medical research. Eligibility to work in the UK Understanding of current issues in the NHS Hold full GMC Registration with a license to practice Entry on the GMC Specialist Register European Community Rights Medically fit to fulfil ALL aspects of the post, and to be able to respond quickly to emergencies, as necessary. Meets professional health requirements
Eligibility, Fitness to practice, and Language Skills
Essential
Eligible for full registration with the GMC at time of appointment and hold a current licence to practice. Eligibility to work in the UK.