CONSULTANT PAEDIATRIC & NEONATAL SURGEON ROYAL HOSPITAL FOR SICK CHILDREN INFORMATION PACK REF: 33314D CLOSING DATE: NOON 20TH JUNE 2014 www.nhsggc.org.uk/medicaljobs SUMMARY INFORMATION POST: CONSULTANT PAEDIATRIC & NEONATAL SURGEON BASE: ROYAL HOSPITAL FOR SICK CHILDREN Applications are invited from motivated and suitably qualified Paediatric Surgeon who wishes to join our team at the Royal Hospital for Sick Children, Glasgow. We are primarily seeking to appoint a Consultant Paediatric and Neonatal Surgeon who will contribute to the requirements and development of the department. We are looking for a talented candidate who will be able to support the department’s many emergency responsibilities including the ECLS service. The successful candidate would also be expected to support surgical outreach services across the West of Scotland. The Women & Children’s Directorate (Acute Division of NHS Greater Glasgow & Clyde) is a world leader in child and maternal health services. Located in the West End of Glasgow the hospital campus houses the Royal Hospital for Sick Children. In addition to its many national and regional specialist tertiary services, the Directorate also supports an extensive array of community child health services. The successful applicant will function as one of 11.5 WTE paediatric surgeons. Currently the on-call rota is 1:10 but this is under review and likely to change following this appointment. The department has an established research portfolio and is actively involved in undergraduate and postgraduate education. Applicants need to hold full registration with the GMC, have a licence to practise and FRCS (Paeds) or equivalent. Those trained in the UK should have evidence of higher specialist training leading to CCT in Paediatric Surgery or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. Non UK applicants must demonstrate equivalent training. NHS Greater Glasgow & Clyde Acute Division Women and Children’s Directorate Information Pack for the post of Consultant Paediatric and Neonatal Surgeon Royal Hospital for Sick Children Yorkhill, Glasgow REF: 33314D Acute Division Women & Children’s Directorate Further Particulars of the Post of Consultant in Paediatric and Neonatal Surgery, RHSC, Yorkhill JOB DESCRIPTION Applications are invited from motivated and suitably qualified paediatric surgeons who wish to join our team at the Royal Hospital for Sick Children, Glasgow. We are primarily seeking to appoint a Consultant Paediatric and Neonatal surgeon who will support the department’s elective activities and join the on-call rota for acute general paediatric surgery. The successful candidate will be expected to support surgical outreach services across the West of Scotland and also contribute to the established ECLS service. Section 1 Hospital Paediatric and Neonatal Services across NHS Greater Glasgow and Clyde The majority of acute children’s services in NHS Greater Glasgow and Clyde are provided from the Royal Hospital for Sick Children (RHSC). A paediatric ward and neonatal unit in the Royal Alexandria Hospital supports acute nonsurgical care for children and young people and neonates in the Clyde catchment area of the NHS Board. Neonatal intensive care is provided at the Southern General Maternity Hospital, Princess Royal Maternity and Royal Alexandria Hospital. The RHSC will be re-located to a new build on the Southern General Hospital campus in 2015. The Royal Hospital for Sick Children RHSC is the largest paediatric teaching hospital in Scotland. It provides care for children resident within the Greater Glasgow area, acts as a tertiary referral centre for children from the West of Scotland and in a range of subspecialties including invasive paediatric cardiac, nephrology and renal transplantation services from the whole of Scotland. All paediatric medical and surgical subspecialties are provided, including general medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition, haemato-oncology (bone marrow transplant service), neurology, neurosurgery, cranio facial and maxillofacial surgery, nephrology, cardiology, immunology and infectious disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology, ENT surgery, rheumatology and orthopaedics, general paediatric and neonatal surgery, paediatric urology and renal transplant surgery. There are 173 inpatient beds excluding paediatric and neonatal critical care, day care and medical assessment with cardiac patients located in ward 5a (24 bed ward) There is a 22 bed paediatric intensive and high dependency care unit. Co located with this are a further 18 neonatal intensive care cots. There are 7 full operating theatres, day surgery unit, pre assessment team, dental suite and endoscopy room in the main theatre complex in the hospital. Cardiac surgery has a dedicated theatre and team providing 24 / 7 cover to their patients. There is a full radiology suite of MRI, catheterization laboratory, CT scanner and clinical physics department. There is also an extensive cardiac physiology department. National services provided from RHSC include: Cardiac Surgery and interventional cardiology Neonatal cardiology Neonatal ENT ECLS Congenital Diaphragmatic Hernia network, Vein of Galen assessment and treatment (together with Great Ormond Street as a UK service) Paediatric Renal transplantation Paediatric Stem Cell transplantation Large outpatient, medical day care, medical assessment unit and emergency department On site paediatric and neonatal transport/retrieval services A pan Greater Glasgow Child Protection Unit has been developed on site Paediatric and Family Psychiatry Laboratory services to the RHSC are provided from the Southern General Hospital campus. RHSC provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow and accommodates the University Departments of Child Health, Child and Family Psychiatry, Medical Genetics, Human Nutrition, Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery. Southern General Maternity At the start of 2010 the new neonatal unit opened above the labour ward on the Southern General site with projected delivery numbers for the hospital of 5,900 births per year. Because the Ian Donald Fetal Medicine unit is on the same site, a significant proportion of the neonatal workload involves delivery of infants with known congenital anomalies. Limited radiology support is provided by colleagues from the RHSC but infants requiring invasive procedures or complex imaging are transferred to the RHSC neonatal unit. There is physical space for 34 intensive care and high dependency cots and 26 special care cots. When the new children’s hospital opens on the Southern general site in 2015, all neonatal services currently provided in the NICU at RHSC will move over to the Maternity unit. There will be a physical link to the intensive care floor of the new children’s hospital. There is a dedicated fully equipped echo machine and remote telemedicine link on site together with access to the cardiac patient database kept at RHSC. Princess Royal Maternity (PRM) The PRM is a large maternity unit, situated about 1 mile east of the centre of Glasgow. It is on the campus of Glasgow Royal Infirmary, which provides services for the population of the East and North of Glasgow. It is a purpose built 120 bed maternity hospital, with a capacity for 6,800 deliveries per annum. There are 10 intensive care cots, 23 special care cots and a 4 bed transitional care unit. All neonatal intensive care can be provided except for those infants who require neonatal surgery and/or extra-corporeal life support services (ECMO). A telemedicine link with the Royal Hospital for Sick Children has been long established allowing live consultation and the transmission of ultrasound images. The University Chair of Obstetrics and Maternal Medicine is based on site and there is an active research philosophy in the unit. Golden Jubilee National Hospital (GJNH) The GJNH is located 8 miles west of the city centre along the river Clyde. It contains the West of Scotland Cardiac Centre which provides cardiac surgery and interventional cardiac services to the population of the West of Scotland. It also has some designated National services including the Scottish Adult Congenital Cardiac Service, Scottish Pulmonary Vascular Unit and Scottish Advanced Heart Failure Service. The adult congenital unit performs over 200 adult congenital operations and catheter interventions per year and is closely integrated with the paediatric congenital cardiac service. Section 2 New Hospital Build The construction of a new children’s hospital (replacing the current Royal Hospital for Sick Children) has commenced on the Southern General Hospitals Campus alongside a new adult hospital and existing maternity unit including new neonatal unit. Completion of this new tripartite clinical arrangement for NHS Greater Glasgow covering acute care of adult, children and maternity services is expected to be completed by 2015. Section 3 Management Structures Greater Glasgow and Clyde NHS Board have a single operating division for all acute services. Diagram (1) highlights the local management structure underpinning operational service delivery. Diagram 1 – management structure Chief Operating Officer Acute Division Directors (Adult Services) * 7 Reports to Chief Executive of the overall NHS Board Director Women and Children’s Directorate Functional Heads Associate Medical General Manager – Director, Head of General Manager – Hospital Paediatrics & Nursing, Head of Obstetrics & Gynaecology Neonatology Midwifery, Head of Finance, Head of Human Resources, Planning Manager Clinical Directors * 4 Clinical Services Managers * 2 Acute General Paediatrics Lead Clinician Neonatal Critical Care Lead Nurses * 4 Cardiac Services Anaesthesia and Surgery Medical Sub Business and Planning Support Specialties Key Stakeholders (within Diagram 1): Robert Calderwood Kevin Hill Jim Beattie Jamie Redfern Morag Campbell cardiac Pam Cupples Heather Dawes Lynne Robertson Chief Executive; Greater Glasgow and Clyde NHS Board Director Women and Children’s Directorate Associate Medical Director; Women and Children’s Directorate General Manager; Hospital Paediatrics & Neonatal Services Clinical Director Critical Care and Neonatology (including services) Clinical Director, Surgery & Anaesthesia Clinical Services Manager including Cardiac Services Clinical Services Manager Section 3. THE JOB ITSELF (a) Title: Consultant Paediatric and Neonatal Surgeon. (b) Relationships: (i) Name of Health Board: NHS Greater Glasgow & Clyde (ii) Names of Consultant Surgeons of the Department: Miss Nicola Brindley (Link Clinician) Professor Robert Carachi Mr Salvatore Cascio Mr Carl Davis Mr Martyn Flett Mr Graham Haddock Mr Philip Hammond Mr Constantinos Hajivassiliou Mr Stuart O’Toole Mr Atul Sabharwal Mr Gregor Walker (iii) Junior Medical Staff Our junior staff compliment is undergoing review in keeping with the national re-assessment of training numbers across all specialities. We currently have 8 national training slots for Paediatric surgery with an additional Advanced Medical Training Fellowship in Paediatric Urology. There are also 2 core surgical trainees and 9 foundation doctors (FY1). RHSC, Yorkhill is recognised as a training centre for all years of specialist Paediatric Surgical training. Trainees also rotate to the other Scottish Paediatric Surgical centre in Edinburgh. It is likely that in the next few years the number of trainees may reduce, however, we have agreement in principal that non training posts could be established which should allow for maintenance of the service. The successful candidate would be expected to formally and informally supervise trainees and participate in their assessment through the ISCP system and at the training programme ARCP. These roles would be clarified by the Training Programme Director after appointment. (c) Duties of the Post: The post is full time and is based in the Royal Hospital for Sick Children, Yorkhill, Glasgow. The successful applicant will function as one of 12 paediatric surgeons. He / she will contribute to the delivery of elective paediatric surgery as determined by the needs of the department and join the emergency on-call rota. Currently this is a 1 in 10 rota but may change to facilitate colleagues with a specialist interest in urology to do less on-call and more elective sessions while non-urology colleagues change their job plans accordingly. The Department of Surgical Paediatrics also provides outreach to Lanarkshire and Forth Valley Health Boards. The successful applicant will be expected to have a significant role in the ongoing delivery of this service. The successful applicant will also be given appropriate training so that he / she will support the delivery of Neonatal and Paediatric ECLS. Applicants are required to hold FRCS (Paeds) of the Intercollegiate Board in Paediatric Surgery or equivalent qualifications and be on, or eligible for inclusion in, the Specialist Register of the General Medical Council as a Paediatric Surgeon. Applicants who either possess a CCT or a Specialist Registrar who is within 6 months of the award of CCT are eligible to apply. The post holder will have a negotiated job plan. In that regard it should be noted that the job plans of the Consultants within the Unit include four Programmed Activities (2 extra PA’s) to address the substantial out of hours commitment. Responsibilities will include ward rounds, continuing care, administration, teaching, audit and research. The job plan will include 2 outpatient clinics. All day operating sessions will be timetabled regularly and flexibly to achieve approximately 40 all day sessions per year. Outreach sessions will be timetabled for a minimum of 20 days per year. The post holder will take part in an on-call rota for General Paediatric and Neonatal Surgery in conjunction with other consultants (this is under review as stated above). On call duties are currently undertaken over a 2-week cycle, during which elective commitments are cancelled. The post holder will have further responsibilities, in addition to clinical duties detailed in the job plan, and will be expected to take part in: (i) Teaching The successful applicant will be expected to take a role in undergraduate and postgraduate teaching. He or she will also be expected to be responsible for the professional supervision, training and development of doctors in training grades including the role of clinical and/or educational supervisor to the Specialist Trainees. (ii) Research & Audit The successful applicant will be expected to develop a research interest and supervise research projects undertaken by doctors in training grades. The post-holder will also have responsibility for clinical audit/clinical effectiveness. (iii) Administration The post-holder will be expected to undertake such administrative duties as are required for his or her patients and the proper functioning of the Department. (iv) Other duties The post holder will undertake duties as shall from time to time be delegated to him/her by the Clinical Director or Link Clinician. It is anticipated that the University of Glasgow will, in due course, offer the successful applicant an appointment as Honorary Clinical Senior Lecturer in Surgical Paediatrics. The successful candidate will be expected to support the Department’s outreach programme of operating list/clinic provision in adjacent Health Boards. (d) Timetable This timetable is given only as an example as the exact timing and nature of sessions have yet to be determined. Example Job Plan Day Mon Tues Wed Thurs Fri AM Theatres RHSC Administration, Teaching, Research, Audit Outpatients PM Theatres RHSC Administration, Teaching, Research, Audit Outpatients Surgical Outreach Surgical Outreach (20 days per year) CME & Academic meeting Sat Sun The post will be offered on a 10PA contract with additional EPAs negotiated after appointment. SPA allowance within the job plan will also be negotiated after a successful appointment has been made. The current ECLS rota is 1:4 Contacts within Yorkhill Within the Women and Children’s Directorate the following list of useful contact names and addresses are available: Mr Kevin Hill, Director, Women and Children’s Directorate, RHSC, Tel: 0141 201 0473 Dr Jim Beattie, Clinical Director Medicine, Tel Number 0141 201 0128 Dr Pam Cupples, Clinical Director, Surgery & Anaesthesia, Tel Number 0141 201 0186 Elaine Love, Head of Nursing, RHSC, Tel Number 0141 201 0515 Mr Jamie Redfern, General Manager, Women and Children’s Directorate, RHSC, Tel Number 0141 201 0473 Section 7 – Person Specification for Consultant Paediatric and Neonatal Surgeon FACTOR Qualification CLINICAL EXPERIENCE CLINICAL SKILLS AUDIT Essential MB ChB or equivalent. FRCS(Paeds) or equivalent CCT in Paediatric Surgery or equivalent Eligible for inclusion in GMC Specialist Register as a Paediatric Surgeon Broad experience in all aspects of Paediatric and Neonatal Surgery Ability to practice independently in line with accepted guidelines Evidence of commitment to clinical audit Desirable ATLS provider status and/or APLS provider status. Experience or exposure to Paediatric/Neonatal ECLS MD / ChM higher degree or equivalent TEACHING ACADEMIC RESEARCH Evidence of enthusiasm for and experience of teaching Evidence of published work in peer reviewed journals relevant to Paediatric Surgery DISPOSITION e.g. Personal transferable skills Leadership qualities, commitment to team working Organisational, administrative and communications skills OTHER Full GMC Registration and a licence to practice Occupational Health Clearance Satisfactory PVG Disclosure Scotland Clearance Evidence of administration and completion of clinical research TERMS AND CONDITIONS OF SERVICE The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council. TYPE OF CONTRACT Permanent GRADE AND SALARY Consultant £ 76,001 - £ 102,465 per annum (pro rata) New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer. HOURS OF DUTY Full Time 40.00 SUPERANNUATION New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via: www.sppa.gov.uk REMOVAL EXPENSES Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment. EXPENSES OF CANDIDATES FOR APPOINTMENT Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses. Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment. TOBACCO POLICY NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds. DISCLOSURE SCOTLAND CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership. NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made. REHABILITATION OF OFFENDERS ACT 1974 The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential. DISABLED APPLICANTS A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview. GENERAL NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual. EQUAL OPPORTUNITIES The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy. NOTICE The employment is subject to three months’ notice on either side, subject to appeal against dismissal. MEDICAL NEGLIGENCE In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme. FURTHER INFORMATION For further information on NHS Greater Glasgow and Clyde, please visit our website on www.show.scot.nhs.uk View all our vacancies at: www.nhsggc.org.uk/medicaljobs Register for Job Alerts at: www.medicaljobs.scot.nhs.uk Applicants wishing further information about the post are invited to contact Atul Sabharwal on 0141 201 6968 with whom visiting arrangements can also be made. HOW TO APPLY To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open) Medical and Dental Application and Equal Opportunities Monitoring Form Declaration Form Regarding Fitness to Practice Immigration Questionnaire Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information. RETURN OF APPLICATIONS Please return your application by email to nhsggcrecruitment@nhs.net or to the recruitment address below; Medical and Dental Recruitment Team NHS Greater Glasgow and Clyde Recruitment Services, 1st Floor Modular Building, Gartnavel Royal Hospital 1055 Great Western Road GLASGOW G12 0XH CLOSING DATE The closing Date will be Noon 20 June 2014 INTERVIEW DATE The inteview date will be 17th July 2014