1 Faculty of Medicine Clinical Lecturer in Child Health Honorary Specialist Registrar in Child Health Particulars of Appointment The University of Southampton, together with the University Hospital Southampton NHS Foundation Trust, wishes to appoint a Clinical Lecturer in Child Health. The post-holder will have clinical commitments designed to fulfil the candidate’s Higher Specialist Training needs in line with the relevant RCPCH subspecialty training committee (CSAC) requirements (at University Hospital Southampton NHS Foundation Trust or where necessary other NHS Trusts determined by the CSAC and Programme Training Director), develop their own postdoctoral programme of clinical or laboratory based research and to develop the candidate’s teaching and training portfolio. The post is subject to terms and conditions of service determined by the University of Southampton and in its honorary clinical capacity by the University Hospital Southampton NHS Foundation Trust Board and other NHS Trust boards as required. The University The University of Southampton is a leading research-intensive University, a member of the Russell Group and one of the top 100 universities worldwide. We deliver an excellent educational experience, world-leading research and we are known for successfully commercialising that research through enterprise. This is an exciting time to join the University of Southampton. We have an aspirational University Strategy (see www.southampton.ac.uk/strategy), setting out our ambitions over the next five years. The strategy involves achieving a top 10 place in the UK for research, which we will achieve by investing in the highest quality staff and facilities. We are also transforming the education offer available to undergraduate and postgraduate students across the University, providing greater flexibility and modular courses, with a strong international focus. The Faculty of Medicine The creation of a new Faculty of Medicine has enabled us to build upon strong foundations of basic research and clinical translation. Working with colleagues across the University and in the local NHS we have strengthened our position as a renowned centre for translational research, leading innovative learning and discovery for better health across the lifecourse. Key to the success of the Faculty of Medicine is the delivery of high-quality education for undergraduate and postgraduate students, building on our partnership in biomedical research with University Hospital Southampton NHS Foundation Trust and fostering new collaborations with the physical sciences, including chemistry, engineering and computing. 2 Medical Education We offer a range of undergraduate programmes: the BM4 programme, a graduate-entry four-year programme which accepts 40 students per year; and the BM5 and BMedSc programme which accepts 200 students per year including approximately 30 students from a BM6 programme aimed at widening access to a medical career. Science teaching in the first three years of the BM programmes is delivered in the South Block of Southampton General Hospital as well as the Life Sciences Building on Highfield Campus. Clinical teaching takes place at Southampton General Hospital and the adjoining Princess Anne Hospital, the Royal South Hants Hospital, and in NHS Trusts and General Practices throughout Hampshire, Dorset, West Sussex and Salisbury. The BM5 programme has a number of distinctive features. These include the integrated nature of teaching where the scientific disciplines are taught together in a clinical context using a systems based approach and the BMedSc programme, an eight month supervised research project undertaken in Year 4. There is also the opportunity, for selected students, to undertake an integrated, intercalated Masters in Medical Science (MMedSc). The BM4 programme also has a number of key features. These include clinical topics in the first two years where students meet on a regular basis in Graduate Groups, and learning with BM5 students in the third and fourth years on all clinical attachments. All students take the same intermediate and final examinations. All programmes have substantial clinical experience in the first two years, student selected components, dispersed final year attachments, work shadowing prior to commencing a Foundation post and inter-professional learning. In addition to the undergraduate BM programmes the School provides two Masters Degree programmes in Public Health Nutrition and Allergy. The Child Health group within the Faculty of Medicine is charged with the responsibility of providing undergraduate education within the curriculum as outlined and to fulfil a role within the Child Health Care Group of University Hospital Southampton NHS Foundation Trust. Research The Faculty of Medicine has a clear research strategy to investigate the biomedical basis of common human diseases and to translate this into clinical practice. The Faculty’s research is delivered through four Academic Units: Cancer Sciences Human Development and Health Clinical and Experimental Sciences Primary Care and Population Sciences All research is organised and managed by these Academic Units, each of which has clear evidence of international excellence. Each carries a significant degree of devolved responsibility for its research budgets and grants, space, equipment and personnel. Members of the Academic Department of Child Health are included in Clinical and Experimental Sciences, Human Development and Health and Cancer Sciences and there is close collaboration with those aspects of Primary Care and Population Sciences that relate to children. Working in close partnership with University Hospital Southampton NHS Foundation Trust, translational research is delivered through the Southampton Centre for Biomedical Research (SCBR), which brings together the Wellcome Trust Clinical Research Facility, the Clinical Trials Unit, the NIHR Biomedical Research Centre in Nutrition, Diet and Lifestyle and the NIHR Respiratory Biomedical Research Unit and Shadow Biomedical Research Units in Cardiovascular, and Bone and Joint Disease, and the Cancer Research UK, Experimental Cancer Medicine Centre. Southampton is the lead centre for the southern section of the South Central Children’s Research Network (SoCCR), bringing together paediatric researchers across the Hampshire and Isle of Wight and Thames Valley Comprehensive Research Networks. SoCCR is integrated into the NIHR Medicines for Children Research Network and CLRN paediatric non-medicines network. 3 NIHR Biomedical Research Unit for Respiratory Medicine Director, Ratko Djukanovic, Professor of Medicine Within the Critical Care Theme of the Southampton Respiratory BRU (Mike Grocott, Howard Clark, Tony Postle and Martin Feelisch) the focus of investigation is the optimisation of critical care across the Life Course by defining clinically-relevant biochemical, nutritional, immunological and microbiological parameters to allow a comprehensive phenotypic characterisation and disease stratification in a heterogeneous population of critically ill patients, including the preterm infant. Studies within this theme aim to evaluate the impact of whole body hypothermia and of hypoxia/hyperoxia on progression to ALI/ARDS in critically ill neonates, children and adults. Hypoxia and hyperoxia are known to increase both local (pulmonary) and systemic oxidative stress in healthy subjects and critically ill patients, with important consequences for NO/ROS production and lipid oxidation, but the consequences for pulmonary surfactant biology and lung function in the preterm newborn are unknown. In this study we will combine our unique expertise in characterising pulmonary surfactant and inflammatory cell biology, accurate mass analysis of lipid oxidation products and metabolites of the NO/ROS signalling pathways, and characterisation of hypoxia tolerance and susceptibility in studies designed to characterise adaptation to extra-uterine oxygen levels using a panel of candidate plasma biomarkers previously identified in hypoxia/hyperoxia adaptation in healthy adult volunteers. These studies are led by Mike Grocott, Professor of Anaesthesia and Critical Care Medicine (EVEREST studies), Martin Feelisch (Professor of Experimental Medicine & Integrative Biology), Tony Postle (Professor of Developmental Biochemistry), and Howard Clark (Professor of Child Health) The paediatric component of translational research in respiratory medicine within the BRU is led by Howard Clark and Tony Postle (surfactant in neonatal lung disease and paediatric acute lung injury) with John Pappachan, Michael Marsh, Peter Wilson and Kim Sykes (Paediatric Critical Care). Paediatric respiratory research is carried out within the BRU in cystic fibrosis and infection (Gary Connett, Julian Legg, Saul Faust) and in inflammation, asthma and allergy (Graham Roberts, Jane Lucas). The NIHR Biomedical Research Centre for Nutrition, Diet and Lifestyle Director, Alan Jackson, Professor of Human Nutrition The NIHR Biomedical Research Centre for Nutrition, Diet and Lifestyle builds on the strength and experience of the Institute of Human Nutrition (Alan Jackson), the MRC Lifecourse Epidemiology Unit (Cyrus Cooper), and the Institute of Developmental Sciences (Mark Hanson) who - in partnership with clinical researchers in University Hospitals Southampton NHS Trust (UHS) and public health physicians - prosecute a programme of research with the specific objective of translating the products of earlier research for direct patient benefit in the short term, and determining how best to modify current nutritional exposures in order to decrease the risk of chronic non-communicable disease, such as cardiovascular and respiratory disease throughout the life course. The lead investigator in neonatal nutrition is Alison Leaf and in Paediatric gastroenterology, Mark Beattie The Academic Department of Child Health has strong links with the Southampton Nutrition BRC. Alison Leaf is a NIHR Consultant and Honorary Senior Lecturer in Neonatal Nutrition. There are strong programmes in Paediatric gastroenterology (Mark Beattie), Paediatric respiratory disease and innate immunity (Howard Clark, Jens Madsen, Tony Postle), Paediatric allergy and infection (Graham Roberts, Saul Faust, Tony Williams, Jane Lucas) and Developmental influences on health in later life (Keith Godfrey, Cyrus Cooper, Hazel Inskip, Mark Hanson). Infrastructure is in place for translational medicine relating basic science research to clinical application within the Southampton Centre for Biomedical Research (SCBR). The University Department of Child Health has particular strengths in neonatal medicine (including neurodevelopment), respiratory paediatrics, endocrinology, growth and nutrition, paediatric neurosciences, paediatric infectious diseases and paediatric oncology and welcomes applications from individuals with complementary research interests. There is a strong 4 translational research base in neonatal medicine (Howard Clark) which focuses on applying our internationally recognised expertise in lung surfactant biology to optimise treatment strategies for premature infants with neonatal RDS (Howard Clark, Tony Postle) and a parallel programme of research to optimise neonatal nutrition in preterm infants (Alison Leaf) and improve growth, respiratory and neurodevelopmental outcomes (Brigitte Vollmer). The basic science programme of the lung surfactant biology group (Howard Clark, Tony Postle) focuses on studies of phospholipid turnover and metabolism by direct stable isotope in vivo labelling, investigation of surfactant protein structure/function relationships, development of recombinant surfactant proteins for the next generation of surfactant therapy and investigation of the role of surfactant in innate immunity. These studies involve a range of state of the art techniques in molecular biology, mass spectrometry, tissue culture, in vivo animal models (transgenics) and ex vivo models of human disease to probe questions relating to respiratory, nutritional and neurodevelopmental outcomes in sick infants and children. Paediatric and Neonatal Neurology Research Clinical Neurosciences research, within Clinical and Experimental Sciences, includes the following research streams: Language development and the effect of early intervention in children with permanent hearing impairment (Colin Kennedy) Quality of survival following childhood brain tumours (Colin Kennedy) Collaborative research with the neonatal service regarding predictive value of imaging in babies that are premature or following birth asphyxia, neurodevelopmental outcome following perinatal brain injury and neurological aspects of fetal medicine (Brigitte Vollmer) The role of systemic inflammation in neurological disorders of childhood (Brigitte Vollmer with Hugh Perry) Sleep medicine as applied to children (Cathy Hill) Randomised controlled trials of respiratory support and nutritional interventions to prevent cognitive morbidity in sickle cell disease in East Africa as well as the UK (Fenella Kirkham) Collaborative research with the Developmental Brain and Behaviour Link in the School of Psychology (Colin Kennedy and Brigitte Vollmer with Edmund Sonuga-Barke, Jana Kreppner, Christina Liossi) Paediatric Respiratory Research The department has an established portfolio of basic science, epidemiological and translational paediatric respiratory research. The early life origins of asthma and atopy is a particular focus of research (Graham Roberts, Jane Lucas, Judith Holloway), with collaborators in MRC Lifecourse Epidemiology Unit, (LEU), David Hide Centre, Isle of Wight and Europrevall. Translational research in respiratory medicine, primarily focussed within the BRU includes research into surfactant in neonatal lung disease and paediatric critical care and acute lung injury (Howard Clark, Tony Postle, Michael Marsh, Mike Grocott, Martin Feelisch), cystic fibrosis and infection (Gary Connett, Julian Legg, Saul Faust) and in inflammation, asthma and allergy (Graham Roberts, Jane Lucas). The primary ciliary dyskinesia research team (Jane Lucas) has a focus on nitric oxide in the ciliated epithelium. There are strong links across the university NHS boundary and the NHS respiratory and allergy consultants are all research active. Clinical infectious diseases, microbiology & biofilms and immunology Led by Saul Faust, Southampton is a member of the UK paediatric vaccine group and collaborates in the design and delivery of national and international trials in paediatric and adult vaccines, and in clinical trials in paediatric infectious diseases. Since 2006, microbiology and clinical infection research has integrated across the University, Trust and on-site Health Protection Agency South East Regional Laboratory, providing a unique environment for translational infection research (Saul Faust, Stuart Clarke). The Biofilm and Microbial Communities research 5 group (Saul Faust, Stuart Clarke, J Webb, Luanne Hall-Stoodley, P Stoodley) applies cross-faculty research linking basic science and clinical translational research in infection. (http://www.soton.ac.uk/ifls/research/case%20studies/biofilms_and_microbial_communities_cas e_study.html). Stuart Clarke (UoS/HPA) leads a programme of research in molecular microbiology/epidemiology aimed at informing paediatric vaccine design and policy. Translational immunology research (Tony Williams, Saul Faust) currently links paediatric and adult immunology clinics to investigate novel defects in innate immunity in families or individuals with undefined primary immunodeficiency and in bronchiectasis of unknown origin. In addition to research within Academic Child Health, infection and immunology research occurs across the Faculty of Medicine and wider University, including the bacterial and viral pathogenesis of diseases (Ian Clark, John Heckels, Myron Christodoulides), development of the human immune system (Phillip Calder), inflammation/infectious causes of neurological illness (Brigitte Vollmer, Fenella Kirkham, Hugh Perry), Microbiological Protemics (David O’Connor, Paul Skipp), Environmental microbiology (William Keevil). Relationships with the National Health Service for Clinical Work based at UHS. The successful candidate will hold an honorary Specialist Registrar contract with University Hospital Southampton NHS Foundation Trust (UHS). There is a well-developed Clinical Management Group structure. The appointee will be a member of the Child Health Care Group which together with the Obstetric and Gynaecology Care Group and Support Services forms Division C of UHS. The Clinical Director of Division is currently Dr Alyson O’Donnell and of the Child Health Care Group is Dr Peter Wilson. Other staff of the Child Health Care Group are listed below: Child Health Care Group Paediatric Care Group Director Clinical Services Manager Dr P Wilson Dr G. Chapple Specialties: General Paediatrics and Child Protection lead Paediatric Neurology & neuro-oncology & stroke medicine; complex epilepsy & neuro-muscular & complex epilepsy, sleep medicine & neonatal neurology & complex motor disorders, demyelination Paediatric neuro-rehabilitation (honorary apptmt) Paediatric Neurosurgery Paediatric Allergy,Immunology & Infectious Diseases Allergy Infectious Diseases and immunology Infectious Diseases and immunology Respiratory Medicine Asthma & atopy Supraregional Ciliary dyskinesia Service responsibility for HDU responsibility for HDU responsible for longterm ventilation Paediatric Emergency Assessment Unit & General Paediatrics Paediatric Gastoenterology Dr. M. Roe* Prof CR Kennedy Prof F Kirkham Dr NH Thomas Dr A Whitney Dr B Vollmer Dr K Forrest Dr C Tuffrey Prof W Gray Miss D Lang Mr O Sparrow Mr N Mathad Dr M Lajeunesse* Dr S Faust* Dr S Patel Prof G Roberts* Dr J Lucas Dr CJ Connett* Dr JP Legg* Dr H Evans* Dr A Leahy Dr J Abay* Dr H Rutkowska* Dr J Barling* Dr RM Beattie* Dr N Afzal* 6 Paediatric Endocrinology and Diabetes Dr J Davies* Dr N Davies Diabetes and General Paediatrics Dr N Trevelyan* Paediatric Haematology Dr M Morgan Neonatal Medicine Prof H Clark Dr MA Hall Dr A Leaf Dr R Ironton Dr A O’Donnell Dr V Puddy Dr H Fielder Dr F Pearson Dr V Baral Paediatric Oncology Dr G Nicolin Dr M Morgan Dr J Gray Dr S Bevan (Associate Specialist) Paediatric Nephrology Dr R Gilbert Dr S Haq Dr A Nagra Paediatric Psychiatry Dr A Crabb (joint appointments with Southampton City PCT) Dr S Wicks Paediatric Intensive Care Dr M. Marsh Dr P Wilson Dr J Pappachan Dr I MacIntosh Dr K Sykes Dr G Jones Dr P Hyde Dr V Stanley Dr A Ramakrishnan Paediatric Urology Mr PS Malone Mr H Steinbrecher Paediatric and Neonatal Surgery Mr DM Burge Mr MD Griffiths Mr R Wheeler Mr H Steinbrecher Mr M Stanton Ms L Kitteringham Paediatric Orthopaedic Surgery Prof N Clarke Mr E Gent Mr G Taylor Mr Ml Uglow Mr V Sakthivel *All have clinical responsibilities to acute General Medical Paediatric Service Other departments also contribute to managing paediatric patients including: Community Paediatrics** Dr E McCaughey Dr R Gough Dr CM Hill Dr V McGrigor Dr J Price Dr V Shrubb Dr J Watkins Clinical Genetics Prof K Temple Dr A Collins Dr D Baralle Dr K Lachlan Prof D Eccles Dr N Foulds Dr D Wellesley Prof A Lucassen 7 Paediatric Cardiology** Paediatric Cardiothoracic Surgery** Paediatric Ophthalmology Paediatric Radiology** Paediatric Neuroradiology** Paediatric Clinical Pathology Dermatology** Ear, Nose and Throat Surgery** Paediatric Microbiology** ** Not currently part of the Child Health Care Group Dr A Salmon Dr J Gnanapragasam Dr JJ Vettukattil Dr G Veldtman Dr K Roman Mr M Haw Mr S Langley Mr D Weeden Mr P Hodgkins Miss K May Dr J Argent Dr J Fairhurst Dr M Griffiths Dr H Portess Dr M Gawne-Cain Dr H Joy Dr P Cook Prof K Godfrey Mr W Hellier Mr C Randall M R Salib Miss A Burgess Dr A Pallett Specialist registrars and SHOs are on full shifts. The appointee will contribute to the specialist registrar on-call. The two firms are well supported by a team of junior staff. Individual trainees are attached to specific consultant staff for specialist training. A full District General Hospital paediatric service is provided to the children of the Health District with a population of 400,000. Tertiary services are for a total population of 3 million. Approximately 9000 children per year are admitted to the paediatric unit, fairly equally divided between emergency and elective cases. Annual attendance for out-patients (including sub-specialties) is around 27,000. Details of the Post Research The successful applicant will be supported by one or more senior academics in developing a personal post-doctoral clinical or laboratory-based research programme. This will be based in the most relevant Academic Unit and supervision can be provided by academics from other academic units as appropriate to the research interests of the candidate. It is anticipated that a successful clinical lecturer will have achieved sufficient research output, evidenced by publication, to be in a position to apply for a senior lecturer post or equivalent at the end of the contract period. Clinical Duties Over the four year fixed term contract, the postholder will be expected to achieve a maximum of 2 years higher specialist training approved by the RCPCH for subspecialty accreditation towards CCT in paediatrics (sub specialist). The specific clinical training programme will be determined by the training needs of the successful applicant, and will be negotiated between the training programme director (currently Dr Eleri Williams), local clinical subspecialty supervisor and where appropriate the RCPCH CSAC. Clinical duties may be negotiated between the clinical and academic supervisors to either be carried out in blocks of time, or with the postholder spending 50% of the time of a full-time Specialist Registrar on clinical duties with research and teaching duties continuing side by side. Application to the relevant CSAC for RCPCH “National Grid Status” will be supported if the successful candidate has not achieved this prior to taking up the post. 8 Teaching and Administrative Duties The clinical lecturer will join the consultant staff of the Child Health department in the provision of undergraduate and postgraduate education in the specialty and the post-holders subspecialty. The postholder will be encouraged to attend relevant education training programmes. In addition, the clinical lecturer will be supported where appropriate to take part in research supervision and laboratory teaching. The clinical lecturer will be expected to attend and where appropriate take part in organising regular academic meetings in the Department of Child Health and in their Academic Unit. Review This job description will be reviewed each year by the post-holder, supervising senior academic, clinician and a senior child health academic independent of the postholder’s supervision process. Clinical work patterns must be negotiated with Deanery and RCPCH representatives as detailed above and clinical review will be by the standard RITA process. Local procedures will be followed in the event of any disagreement over proposed changes culminating an appeal to a sub-committee of the University of Southampton. Job description changes will be reviewed under the Service Level Agreement between both Trusts TERMS OF APPOINTMENT 1. The appointment will be governed by the general conditions applicable to Clinical Lecturers in the University of Southampton; details of these are available on request and will be sent to candidates called for interview. The appointee will be subject to the relevant terms of appointment as determined by the appropriate NHS Trust, in connection with his/her clinical duties, in so far as they may apply to clinical academic staff holding honorary NHS Trust contracts. The appointee will be responsible to the Dean of the Faculty of Medicine through the Head of Academic Unit/Head of the University Clinical Group for the satisfactory conduct of his/her duties. 2. The successful candidate will be expected to take up their appointment before 31st March 2013. 3. The appointment will be made within the Clinical Lecturer’s salary scale, depending on qualifications and experience. 4. The appointment may be terminated by a term’s notice on either side. 5. In addition to your substantive contract of employment with the University, you will also hold an honorary NHS contract with an NHS Trust and are required to be registered with the General Medical Council. This honorary contract and registration is essential for the proper performance by you of the duties of your employment with the University. In the event that the honorary contract is terminated or the registration is revoked or suspended, your continued employment with the University under this contract will need to be reviewed and may be terminated. The procedure for considering whether to terminate your substantive contract of employment with the University in such circumstances is set out in the University’s Statutes and Ordinances from time to time in force and in a protocol between the University and the NHS Trust. You will be required during your tenure of office to undertake appropriate clinical work on an honorary basis under the National Health Service. No professional contact with National Health Service patients may be undertaken unless a duly authorised honorary contract has been issued to you and is currently valid. 6. The appointee will be subject to assessment via the RITA process in addition to appraisal with your University line manager. 9 7. The person appointed will be required to observe the Charter, Statutes and Ordinances of the University and to carry out all orders and regulations of the Council. It should be noted that these regulations include a policy of no smoking at work which, with the exception of certain designated areas, prohibits smoking in most University buildings. 8. The person appointed will be expected to work within the spirit and letter of the University's Equal Opportunities Policy: "The University of Southampton confirms its commitment to a comprehensive policy of equal opportunities in employment and for students in which individuals are selected and treated on the basis of their relevant merits and abilities and are given equal opportunities within the University. The aim of the policy is to ensure that no job applicant or employee, prospective student or student, should receive less favourable treatment on any grounds which are not relevant to good employment practice for staff or to academic ability and attainment for students. The University is committed to a programme of action to make the policy fully effective." 9. Applications will not be acknowledged. 10. Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants are, therefore, not entitled to withhold information about convictions and, in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the University. The University will routinely conduct checks on criminal records for all those appointed to posts that have contact with children or vulnerable adults. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order is applied. Visiting Candidates are encouraged to visit and should contact: Prof Howard Clark, Head of the Academic Department of Child Heath For further information: For general academic issues and research interests in neonatal medicine, please contact: Professor Howard Clark, Head, Department of Child Health, Tel +44 (0) 23 8079 6160 Email: H.W.Clark@soton.ac.uk Dependent on the research interest of the applicant, please contact: Professor Colin Kennedy, (Neurology) Tel +44 (0) 23 8079 6160 Email: crk@soton.ac.uk Dr Brigitte Vollmer, (Neonatal Neurology) Tel +44 (0) 23 8079 6160 Email: bvlm09@soton.ac.uk Dr Saul Faust (Paediatric Infectious Diseases and Immunology,), Tel +44 (0) 23 8079 6883 (work mobile 07920 765549) Email: sfaust@soton.ac.uk