NHS Lothian
Children’s Services
Royal Hospital for Sick Children, Edinburgh
Clinical Fellow in Paediatric Intensive Care
1. Outline of the post
This post is in the Paediatric Intensive Care Unit (PICU) at Royal Hospital for Sick
Children, Edinburgh (RHSC), one of two provider units for the Scottish Paediatric Intensive
Care Service, commissioned and funded by the National Services Division.
The post is available for 10 months from 01 April 2015.
2. Details of the Post
The post holder will be part of a resident rota with four paediatric trainees from the South
East of Scotland deanery, and 2 ANPs. This rota is compliant with the EWTD at a
maximum of 48 hours/week, and has a resident shift pattern with each shift being 12.5
hours long.
This rota is supported by six intensive care consultants. It is also supported by a team of
doctors who deliver the paediatric retrieval service.
There is an active teaching program in the PICU centred around a Wednesday afternoon.
There is dedicated time for trainee teaching for at least one hour, followed by the PICU
Grand Round which is attended by all of the PICU Medical Staff. In the final hour of the
afternoon there is program of governance meetings which includes Mortality & Morbidity
meetings, critical incident reporting and retrieval, data and equipment updates and
training.
As part of this post there is regular training for the Paediatric Emergency Team (PET)
which is active within the hospital.
The post holder will be expected to participate in the active teaching of medical students
and nurses, as is appropriate for their level of experience and training.
Applicants should possess MRCPCH or equivalent, and preferably some intensive care
experience.
This is an exposure prone post and evidence of the relevant immunities will be required
before commencing work.
3. Research and Development
The appointee will utilise time for supporting professional activities to support
Departmental teaching, audit and research activity.
4. Teaching
The appointee will contribute to undergraduate and postgraduate teaching at RHSC,
including Basic and Advanced Resuscitation Training.
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5. Job Plan
NHS Lothian Indicative Job Plan
Specialty:
Principal place of work:
Contract:
Rota
Managerially accountable to:
Paediatric Intensive Care
Royal Hospital for Sick Children, Edinburgh
Full Time
Full shift. EWTD-compliant Full Shift
Clinical Director of Anaesthetics, Theatres, Surgery
and Intensive Care, NHS Lothian
6. Departmental Information
The Paediatric Intensive Care Unit (PICU) is a multidisciplinary unit that caters for infants,
children and young people from a wide variety of disciplines including paediatric surgery,
neurosurgery, medical paediatrics, plastic surgery, burns and general trauma. The case
mix includes a broad spectrum of critically ill children requiring level two and level three
care, with the exception of cardiac surgical and transplant patients.
Since April 2007 the two Scottish PICUs in Glasgow and Edinburgh have operated as a
National Paediatric Intensive Care Service centrally funded by the National Services
Division. The Edinburgh PICU has admitted continually increasing numbers of patient over
recent years, with around 500 admissions last year. There are 8 paediatric intensive care
beds which was increased to 10 last year over a three month period to cope with winter
pressures. It is supported by 6 high dependency beds on the critical care floor. The high
dependency beds can be upgraded for intensive care when the need arises. There are
3(4) neonatal surgical cots attached to the surgical ward.
The National Paediatric Intensive Care Retrieval Service is centrally funded and is
delivered by retrieval teams from the PICUs in Edinburgh and Glasgow. The Edinburgh
team conducts around 150 intensive care retrievals from other hospitals in Scotland per
year.
The PICU is staffed to PICS standards with a nursing complement that includes:
1 Clinical Nurse Manager PICU (Band 8)
1 Retrieval Clinical Coordinator (Band 7)
(14 nurses are retrieval trained)
10 Senior Nurses (Band 7)
2.2 WTE Educators (Band 6)
The unit participates in a UK wide audit of paediatric intensive care practice, contributing
data to the Paediatric Intensive Care Audit Network (PICANet). Over the past 10 years,
the PICU has a strong track record in clinical research in paediatric neurosciences.
The Department for Anaesthesia and Critical Care provides anaesthesia for a wide range
of paediatric surgical activity including Paediatric Surgery, Neonatal Surgery, Orthopaedic
Surgery, Scoliosis Surgery, Neurosurgery, Plastic and Re-constructive Surgery, Burns and
ENT Surgery, and supports an acute and chronic pain service. Theatre activity takes place
in five recently equipped operating theatres. In addition the anaesthetic department
supports paediatric activity out with the theatre complex in radiology and occasionally in
other hospitals. There is an acute pain service and a chronic pain clinic.
The Department is responsible for all teaching and training in paediatric intensive care and
paediatric anaesthesia in the South East of Scotland School of Anaesthesia and the South
East of Scotland School of Paediatrics. There are five ST trainees from the South East of
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Scotland School of Anaesthesia attached at any one time. The department has a
commitment to teaching for various groups including undergraduates, anaesthetic
trainees, non-anaesthetic trainees in paediatric intensive care and accident and
emergency medicine and non-medical staff. The department also contributes to the
training of the intra-hospital paediatric emergency team. Potential applicants should have
an interest in and commitment to undergraduate and postgraduate teaching. Office
accommodation and secretarial support will be identified for the appointee.
Departmental Meetings
Administration – There are monthly meetings of PICU and Anaesthetic consultant staff that
considers Departmental practice and development.
The team
RHSC Department of Anaesthesia, Theatres and Critical Care Team:
Dr Colin Young
Dr Julie Freeman
Dr Edward Doyle
Dr Mary Rose
Dr Jillian McFadzean
Dr David Rowney
Dr Alistair Baxter
Dr Phil Neal
Dr Carolyn Smith
Dr Emma Dickson
Dr Ulf Theilen
Dr Jon McCormack
Dr Kiran Patwardhan
Dr Nandita Chinchankar
Dr Karen McGrath
Dr Milly Lo
Dr Pamela Winton
Dr Catherine McDougall
Dr Omair Malik
Dr Suzanne Boyle
Margaret McPheely
Consultant in Paediatric Anaesthesia
Consultant in Paediatric Anaesthesia and Intensive Care
Consultant in Paediatric Anaesthesia
Consultant in Paediatric Anaesthesia (CD)
Consultant in Paediatric Intensive Care, Anaesthesia
Consultant in Paediatric Intensive Care, Anaesthesia and
Retrieval
Consultant in Paediatric Anaesthesia
Consultant in Paediatric Anaesthesia
Consultant in Paediatric Anaesthesia (College Tutor)
Consultant in Paediatric Anaesthesia
Consultant in Paediatric Intensive Care (TPD Paediatrics
SES)
Consultant in Paediatric Anaesthesia and Retrieval
Consultant in Paediatric Intensive Care Retrieval
Specialty Doctor in Paediatric Intensive Care Retrieval
Consultant in Paediatric Anaesthesia
Consultant in Paediatric Intensive Care, Academic
Medicine
Consultant in Paediatric Anaesthesia
Consultant in Paediatric Intensive Care and Respiratory
Medicine
Consultant in Paediatric Anaesthesia and Retrieval
Consultant in Paediatric Anaesthesia
Departmental Secretary
7. NHS Lothian
NHS Lothian is an integrated NHS Board in Scotland providing primary, community,
mental health and hospital services. Mr Tim Davison is Chief Executive and Dr David
Farquharson is Medical Director.
The NHS Board determines strategy, allocates resources and provides governance across
the health system. Services are delivered by Lothian University hospitals division, the
Royal Edinburgh hospital and Associated mental health services, 4 community health (and
social care) partnerships (CH(C)Ps) in City of Edinburgh, West Lothian, East Lothian and
Midlothian, and a Public Health directorate.
NHS Lothian serves a population of 850,000.
October 2011
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University Hospitals Division
The University Hospitals Division provides a full range of secondary and tertiary clinical
services to the populations of Edinburgh, Midlothian, East Lothian and West Lothian. The
Division is one of the major research and teaching centres in the United Kingdom.
Hospitals included in the Division are:
The Royal Infirmary of Edinburgh
The Western General Hospital
The Royal Hospital for Sick Children, Edinburgh
St Johns Hospital
Royal Victoria Hospital
Liberton Hospital
The Royal Hospital for Sick Children (RHSC) is a 141 bedded hospital providing general
and specialist services for children. The hospital is situated in a residential area close to
the centre of Edinburgh and is approximately three miles from the site of the New Royal
Infirmary and the co-located University of Edinburgh Medical School and three miles from
the Western General Hospital. The RHSC is the main paediatric teaching hospital for the
South-East of Scotland providing general and specialised services on a local, regional and
national basis. It acts as the local paediatric referral centre for the children of Edinburgh
and surrounding areas, and as a tertiary referral centre for intensive care;
gastroenterology, hepatology & nutrition; respiratory medicine; cardiology; nephrology;
neurology; oncology; haematology; metabolic medicine, rheumatology , infectious
diseases, autism, neonatal surgery; plastic surgery; orthopaedic surgery; urological
surgery and general surgery.
Hospital accommodation encompasses five theatres, a critical care unit comprising an
eight-bedded Paediatric Intensive Care Unit, a six-bedded High Dependency Unit and a
three-bedded Neonatal Intensive Care Unit.
There is a hospital library and a lecture theatre with a full range of audio-visual equipment.
All services are supported by comprehensive radiology, neurophysiology, laboratory and
therapy services and there is a dedicated paediatric pharmacy with paediatric
pharmacists. The radiology department provides on site Magnetic Resonance Imaging,
CT Scanning, nuclear medicine and ultrasound.
There is a dedicated paediatric pharmacy with paediatric pharmacists.
On site laboratories provide biochemistry and haematology services - out of hours the
laboratory service is based at the Royal Infirmary.
There are full supporting Laboratory and Diagnostic Radiology Services (including CT,
MRI, Ultrasound), the Scottish poisons bureau and treatment centre and Dept of Liaison
Psychiatry.
Community Healthcare Partnerships
The four established Lothian Community Health (and Social Care) Partnerships serve the
population of Edinburgh, Midlothian, East Lothian and West Lothian.
The Child and Family Mental Health Service
Outpatient services are based on the RHSC site with additional facilities for adolescents
and teenagers at the Young Persons Unit at the Royal Edinburgh Hospital.
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8. University of Edinburgh
The University of Edinburgh was established in 1582 and is one of the largest in the
United Kingdom located on a number of prominent sites in Scotland’s capital city. It is
Scotland’s premier research University and within the top 5 Universities in Europe for its
Biomedical Sciences.
The University of Edinburgh’s College of Medicine and Veterinary Medicine (CMVM; Head
Professor Sir John Savill) is an internationally leading force in basic-to-clinical translational
research. The College has a consistent 30-year strategy of interdisciplinary and integration
of basic and clinical sciences. In the most recent Research Assessment Exercise (2008),
the University of Edinburgh was top in the United Kingdom within the UoA4 category of
Hospital-based Clinical Subjects. In 2008/9, CMVM attracted over £120 million in external
peer-reviewed grant funding.
It has established several major interdisciplinary research Centres:
MRC Centre for Inflammation Research (Director, Professor John Iredale)
Centre for Cardiovascular Science (Director, Professor Brian Walker) incorporating the
BHF Centre of Research Excellence (Director, Professor John Mullins)
Centre for Reproductive Biology (Director, Professor Phillipa Saunders) and MRC Human
Reproductive Sciences Unit (Director, Professor Robert Millar) including the Tommy’s
Centre (Director, Professor Jane Norman).
MRC Centre for Regenerative Medicine (Director, Professor Charles ffrench-Constant)
Centre for Molecular Medicine (Director, Professor David Porteous)
Centre for Cancer Research (Director, Professor David Harrison)
Centre for Population Health Sciences (Director, Professor Harry Campbell)
MRC Human Genetics Unit (Director, Professor Nick Hastie)
These Centres are predominantly based at two sites: the Queen’s Medical Research
Institute at the Royal Infirmary, and the Institute of Genetics and Molecular Medicine at the
Western General Hospital. The co-location of basic science and clinical groups within
state-of-the-art infrastructure and technology provides an excellent and exciting
opportunity to conduct translational research at the highest level.
This academic power base is supported by clinical research infrastructure that includes:
Wellcome Trust Clinical Research Facility
Clinical Research Imaging Centre
Edinburgh Clinical Trials Unit (UKCRN Registered) and Health Services Research Unit
Scottish Brain Imaging Research Centre
Experimental Cancer Medicine Centre
Academic and Clinical Central Office for Research and Development
9. NHS Library and Postgraduate Facilities
There are excellent facilities on all sites.
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10. Contact Details
Dr Mary Rose, Clinical Director, Anaesthesia, Critical Care and Theatres, RHSC,
Edinburgh EH9 1LF.
Tel: (0131) 536 0226 e-mail: mary.rose@nhslothian.scot.nhs.uk
Dr Jillian McFadzean, Clinical Lead for Paediatric Intensive Care, RHSC, Edinburgh, EH9
1LF.
Tel: 0131 536 0226 e-mail: jillian.mcfadzean@luht.scot.nhs.uk
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11. Person Specification
Person Specification – Fellow in Paediatric Intensive Care
Requirements
Essential
Desirable
Qualifications
and Training
GMC registered
Licence to practice
Part 1 MRCPCH or equivalent
qualification
Learning and continuous professional
development
EPLS/APLS Provider
Paediatric
intensive
care
experience and training
Advanced training in paediatrics
Post Specific Minimum of three years relevant Experience in paediatric or adult
Experience
clinical experience eg paediatrics or intensive care medicine.
anaesthesia.
Experience
of
neonatal
intensive care
Ability
Evidence of ability to work within a Ability to make independent
multi-disciplinary
team
within
a decisions
with
consultant
potentially
busy
and
stressful support.
environment.
Academic
Understanding of the importance of
Achievements research
Commitment
to
research,
publications and presentations.
Teaching and Commitment to formal and informal Evidence
of
teaching
Audit
teaching and training of medical qualification or learning.
students and nurses
Evidence of participation in audit
projects
Motivation
Personal
Attributes
October 2011
Evidence of commitment to:
Clear commitment to developing
role in paediatric intensive care
 Patient focused care,
 Effective and efficient use of
resources
Understanding of limitations
Understanding of the work of the
Scottish Patient Safety Paediatric
Programme
Evidence of teamwork with colleagues Able to motivate colleagues
in own and other disciplines
Able to organise time efficiently and
effectively
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