Job Description
Clinical Fellow
Paediatric Anaesthesia
Introduction
The appointment based at the Royal Manchester Children’s Hospitals is a replacement post which
was created for a suitably experienced trainee Anaesthetist to gain experience of paediatric
anaesthesia in a teaching referral centre. The post is aimed a candidates who wish to pursue an
interest in paediatric anaesthesia.
Central Manchester University Hospitals NHS Foundation Trust
Central Manchester University Hospitals NHS Foundation Trust is a major teaching Trust with five
hospitals on two sites. The five hospitals are Manchester Royal Infirmary (MRI), Manchester Royal
Eye Hospital (MREH) and St. Mary’s Hospital (SMH) and the Royal Manchester Children’s Hospital
(RMCH) all situated on the main Central Manchester site and the Dental Hospital also in Central
Manchester.
The Trust has recently undergone a major re-building programme through the completion of one of
the largest PFI initiatives in the NHS. The building programme completed in 2009, provided new
facilities for medicine, obstetrics/gynaecology, ophthalmology and brought Children’s services to
the Central Manchester site.
The new Royal Manchester Children’s Hospital opened in June 2009. It is the largest children’s
hospital in the UK with 371 beds. The hospital provides children’s emergency, secondary and
regional tertiary services, having brought together the services previously provided at Booth Hall
Children’s Hospital, Royal Manchester Children’s Hospital (Pendlebury) and St Mary’s Hospital for
Women and Children. The alignment of these secondary and tertiary services provides an
impressive facility for children and babies throughout North West England and should lead to a
golden era of child health care in the Region. Local services have been developed to continue
provision of secondary services in North Manchester and Salford.
The National Institute for Health Research has recently allocated, through open competition,
Biomedical Research Centre (BRC) status to the Central Manchester and Manchester Children's
University Hospitals NHS Trust and University of Manchester partnership. This achievement,
allocated only to the leaders in scientific translation research, brings with it substantial levels of
funding to translate fundamental biomedical research into clinical research that benefits patients. Our
BRC status is as a specialist centre for Genetics and Developmental Medicine.
Within the Royal Manchester Children’s Hospital, the following services are provided:
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Paediatric Surgery
Paediatric Urology
Otolaryngology including airway surgery
Burns- regional Paediatric Burns Unit
Plastics – including cleft lip & palate
Orthopaedic Surgery
Spinal surgery
Neurosurgery
Clinical Fellow/ Paediatric Anaesthetics Feb 2011
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Cardiology & cardiac catheterisation
Nephrology & renal transplantation
Gastroenterology
Ophthalmic surgery
Maxillofacial surgery
Dental surgery
Paediatric Oncology & Haematology
Radiology
Paediatric A&E
Paediatric Intensive Care
Paediatric High Dependency Unit
Neonatal Intensive Care and neonatal surgery
Respiratory Medicine
Clinical Genetics
Paediatric Endocrinology
Neurology
The Metabolic Unit
THE CRITICAL CARE, THEATRES AND ANAESTHESIA DIRECTORATE
The Directorate Managerially comprises of :Clinical Director – Dr. Steven Greenhough, Consultant Anaesthetist
Directorate Manager for Anaesthesia – Jo Parish
Directorate Manager for Theatres – Jane Edwards
Lead Nurse – Anne Stanton
Clinical Nurse Lead for Theatres – Carole O’Brien.
Staffing
Consultant Anaesthetists
Dr M Abdelrahman
Dr N Anders
Dr P Ashford
Dr V Colovic (Chronic Pain)
Dr B Beauve
Dr D Barman
Dr A Charlton
Dr D Fines (College Tutor)
Dr A Griffiths
Dr S Greenhough (Clinical Director)
Dr A Guleria
Dr H Hack
Dr L Hartley
Dr T K Howell
Dr W D Lord
Dr R Mackinnon
Dr R Morley
Dr D Patel (Pain Relief Service)
Dr R Perkins
Clinical Fellow/ Paediatric Anaesthetics Feb 2011
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Dr D P Prosser
Dr S Rolfe
Dr T Raghavendra
Dr J Sivaprakasam
Dr R Sutton
Dr M Thirukkamu
Dr R Vashisht
Dr R W M Walker (Pain Relief Service)
There is an established paediatric pain team who work closely with the Anaesthetists.
Anaesthetists in Training
The new arrangements for higher specialist training have been put in place. The hospital provides
training in paediatric anaesthesia and intensive care for trainees. There are 16 trainees at present
and their training is co-ordinated by the College Tutor, Dr Dan Fines.
Anaesthetic Services
The department provides anaesthesia and acute pain management services for the full range of
specialities offered at the Children’s Hospital.
Anaesthesia is provided for children both within the Children’s theatres and at other sites within the
trust, including the Burns Unit theatre, the Eye Hospital, X-ray department, the Heart Centre and
Oncology clinic.
Within the main theatre complex, there are 8 theatres and a dedicated burns theatre, each with an
individual anaesthetic room and a large shared recovery area with dedicated recovery staff.
There is a paediatric anaesthetic consultant on call 24 hours per day, and there are daytime
CEPOD, Trauma and Burns lists.
Departmental Workload
The department undertakes approximately 11,300 anaesthetics per year. There are approximately
700 intensive care admissions per year.
THE POST – Clinical Fellow in Paediatric Anaesthesia
Duties of the Post
Duties will be based at the Royal Manchester Children’s Hospitals as a member of the Anaesthesia
Team. The successful candidate will be exposed to the full range of specialities available at the
children’s hospital. It is envisaged that on-call duties will be resident shifts.
Teaching
Teaching duties will be undertaken by arrangement with Dr Dan Fines and the other Anaesthetic
Consultants.
There are once weekly Anaesthetic Department teaching sessions.
expected to participant in these educational meetings.
Clinical Fellow/ Paediatric Anaesthetics Feb 2011
The appointee will be
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Audit
The appointee will be expected to participate in medical audit. There are regular monthly medical
meetings within the audit programme of the Department of Paediatric Anaesthesia. These involve
all Consultant and trainee anaesthetic medical staff. The meetings are documented and an
attendance record is kept.
Research
As one of the country’s Biomedical Research Centres, the Trust is also providing a robust
infrastructure to facilitate research. There are good opportunities for clinical research at the Royal
Manchester Children’s Hospital and many projects are undertaken without the need for additional
resources. The Region has begun a process of commissioning research in line with national and
local priorities; applications for research funding can be made within this process. Support for
research within the Region follows the principles of the Culyer Report. Any research interests can
be discussed and agreed on a case by case basis.
Post Graduate Facilities
There are well-equipped postgraduate departments, including a modern library with CD-ROM
search facilities (Silver Platter Medline). The postgraduate tutor for the Royal College of
Anaesthetists is Dr Dan Fines, Consultant Paediatric Anaesthetist. They are responsible for career
advice and guidance to Junior Doctors, and for approving the study leave of junior staff. The Dean
of Postgraduate Medical Studies for the North West Region, based at the Medical School is
Professor J Hayden.
Hours of Duty
The hours of duty for this post are 40 hours per week with no out of hour duties.
Period of Time
This post is for an initial period of six months with possible extension to twelve months.
Location of Duties
This is an appointment to Central Manchester Foundation Trust, based at the Royal Manchester
Children’s Hospital paediatric anaesthetic department. An opportunity to work on PICU and/or
NWTS may be available by mutual agreement.
Information Technology
You are encouraged to pro-actively seek to work with the Trusts information technology resources,
to exploit the full benefits of information technology in delivering improved patient care.
Maintaining Medical Excellence
The Trust is committed to providing safe and effective care for patients. To ensure this there is an
agreed procedure for medical staff that enables them to report quickly and confidentially, concerns
about the conduct, performance or health of medical colleagues (Chief Medical Officer, December
1996). All medical staff practising in the Trust should ensure that they are familiar with the
procedure and apply it.
Clinical Fellow/ Paediatric Anaesthetics Feb 2011
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Risk Management
The Trust has a Risk Management Strategy. All Medical Staff are required to adhere to the
principles and practices contained therein.
Further information can be obtained from Dr D Fines, College Tutor, Consultant Paediatric Anaesthetist on 0161 701 1263
Dr S Greenhough, Clinical Director, Consultant Paediatric Anaesthetist
PERSON SPECIFICATION – Clinical Fellow Paediatric Anaesthesia
Clinical Fellow/ Paediatric Anaesthetics Feb 2011
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Requirements
Essential
/
Desirable
Qualifications and Training
Registration with the General Essential
Medical Council.
FRCA
Previous appointments which Essential
provided professional training in
General Anaesthetics equivalent
to completion of year 2 SpR
training
Experience Clinical Management/Audit
Previous
experience
of Desirable
paediatrics,
neonatology
or
paediatric anaesthesia
Experience of clinical audit i.e. Desirable
participation
Teaching
Experience of teaching medical Desirable
and other staff
Research/publications
Evidence of recent and current Desirable
research
with
relevant
publications.
Professional Interests
Method
Assessment
of
Please state whether or not you
meet the criteria, providing brief
details
Curriculum Vitae
Curriculum Vitae
Curriculum Vitae
Curriculum Vitae
Curriculum Vitae
Curriculum
Vitae
and interview
Membership
of
appropriate Desirable
professional society (ies). Up-todate knowledge of the literature
Interpersonal Skills
Organisation skills
Essential
Curriculum
Vitae
and Interview
Communication skills: Ability to Essential
communicate and liaise effectively
with children, their parents and
other relatives, with colleagues of
all disciplines.
Team Work: Ability to work as a Essential
team with professional colleagues,
both medical and other non
medical disciplines
and
Interview
References
Interview
References
and
Interview
References
and
Circumstances
Car owner with full driving licence
Desirable
Other
Satisfactory medical clearance Essential
from Trust’s Occupational Health
Physician
Clinical Fellow/ Paediatric Anaesthetics Feb 2011
Curriculum
Vitae
and interview
Post Interview
6
CRB Clearance
Essential
Clinical Fellow/ Paediatric Anaesthetics Feb 2011
Curriculum Vitae
7