Faculty of Medicine
Senior Lecturer in Paediatric and Neonatal Surgery
Honorary Consultant in Paediatric Surgery, University Hospital Southampton NHS Foundation
Trust
Particulars of Appointment
The Faculty of Medicine, supported by University Hospital Southampton NHS Foundation Trust
(UHS) wishes to appoint a Senior Lecturer in Paediatric Surgery. This academic post will
function within the Human Development and Health Academic Unit on the Southampton
General Hospital campus. The successful candidate will have a strong record of research and
publication, and will be expected to develop their own programme of research with support
from clinical and laboratory-based colleagues, winning support from major national funding
bodies. It is expected that the person appointed will contribute to the academic leadership
within the Faculty and enhance the quality of our research, enterprise and teaching. Clinical
duties will enhance the existing practice of the Department of Paediatric and Neonatal Surgery
in University Hospital Southampton NHS Foundation Trust.
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 the 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 life-course. In
this context, we are looking to appoint an outstanding senior academic to develop and lead a
major programme of funded clinical research in the field of Paediatric Surgery.
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. The new senior
academic in Paediatric Surgery will play a key role in these developments.
Medical Education
We offer a range of undergraduate programmes: the BM4 programme, a graduate-entry fouryear programme which accepts 40 students per year; and the BM5and 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.
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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 and Allergy.
Research and Enterprise
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
 Clinical and Experimental Sciences
 Human Development and Health
 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.
The Faculty of Medicine Enterprise Strategy is fully embedded with the University Enterprise
Strategy with a multi-faceted strategy to provide a step change to its enterprise and innovation
culture, delivering global outreach, community engagement, innovative healthcare and policy.
We work with all stakeholders from industry and pharma to health providers and the
community.
Working in close partnership with University Hospital Southampton NHS Foundation Trust,
translational research is delivered through the Southampton Centre for Biomedical Research,
bringing together the Wellcome Trust Clinical Research Facility, the Clinical Trials Unit, NIHR
Biomedical Research Centre in Nutrition Lifestyle, NIHR Biomedical Research Units in
Respiratory Medicine, shadow Biomedical Research Units in Cardiovascular, and Bone and Joint
Disease, and the Cancer Research UK, Experimental Cancer Medicine Centre.
Human Development and Health (HDH) Academic Unit
Through the internationally recognised Developmental Origins of Health and Disease Centre
the Human Development and Health Academic Unit incorporates the work of the Medical
Research Council Lifecourse Epidemiology Unit, the NIHR Nutrition Biomedical Research Centre
and the Institute of Developmental Sciences. These combined centres of excellence are
developing successful interventions for mothers and babies in the UK and around the world.
Examples include the multicentre trials of Vitamin D supplementation for pregnant women in
the UK and of micronutrient supplementation to women before they become pregnant in
Mumbai, India. Research on the development of epigenetic biomarkers will lead to early
warning of at risk groups and our innovative LifeLab educational and Southampton Initiative for
Health programmes aim to promote healthy lifestyles and health literacy in school students and
young mothers.
Researchers are working with the World Health Organisation, the United Nations and other
international government and non-government organisations to reduce the burden of noncommunicable disease in both developed and developing countries. There are extensive links
with industry and the private sector in joint initiatives to promote a healthy start to life globally.
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The Academic Department of Child Health
The Academic Department of Child Health is based within the Academic Units of Clinical and
Experimental Sciences and Human Development and Health. There are particular strengths in
Neonatal Medicine (including Neonatal Neurology and Neurodevelopment), Respiratory
Paediatrics, Growth and Nutrition, Paediatric Neurosciences and Paediatric Infectious Diseases.
There is a strong translational research base in Neonatal Medicine (Prof H Clark), which focuses
on applying our internationally recognised expertise in lung surfactant biology to optimise
treatment strategies for preterm infants with RDS (Prof H Clark, Prof A Postle), and a parallel
programme of research to optimise neonatal nutrition in preterm infants (Dr A Leaf) and to
improve growth, respiratory, and neurodevelopmental outcomes (Dr B Vollmer).
One research focus is neonatal nutrition, gastrointestinal failure and paediatric (neonatal)
neurology and neurodevelopmental outcomes. Research in respiratory and nutritional neonatal
medicine is led by Prof Clark and Dr Leaf. Research in neonatal neurology (Dr Brigitte Vollmer)
is carried out in collaboration with the Neonatal team based at Princess Anne Hospital. This is
the regional referral centre for babies with neurological problems and offers a full range of
services including therapeutic hypothermia, neurosurgery, newborn brain imaging, and
neurophysiology. Current research includes neurodevelopmental outcome following perinatal
brain injury and neurological aspects of fetal medicine, the predictive value of imaging in
babies born premature or following birth asphyxia, the role of systemic inflammation in
neurological disorders of childhood, and the role of early nutrition on long term
neurodevelopmental outcome. This research is carried out in collaboration with Dr Alison Leaf
and Prof Clark(nutrition in preterm infants), the Developmental Brain and Behaviour Laboratory
in the School of Psychology with Dr Jana Kreppner (early life experiences and outcome); Dr
Catherine Hill (sleep behaviour in preterm infants), Dr Nigel Hall (brain development in babies
with necrotizing enterocolitis),. There are strong links with fetal medicine, and paediatric
neuroradiology (Dr. Mary Gawne-Caine, Dr. Harriet Joy), and intensive collaborations with
researchers on a national and international level. These existing links provide opportunities for
detailed and specific outcome research of preterm infants and term infants following paediatric
and neonatal surgical procedures. It is anticipated that this will facilitate evaluation of and
innovation in neonatal and paediatric surgical translational research by the new SL in paediatric
surgery.
Staff
Professor Howard Clark, Head of Department and Professor of Child Health
Professor Tony Postle, Professor of Developmental Biochemistry
Dr Alan Hunt, Senior Scientist, (Surfactant Biochemistry)
Dr Jens Madsen, Research Lecturer in Child Health
Dr R A Mackay, Research Fellow, Child Health
Dr Kevin Goss, Clinical Lecturer, Child Health (neonatal medicine)
Dr Vicki Ledger, Postdoctoral Fellow
Dr Grielof Koster, Senior Scientist, (Mass Spectrometry)
Mr Paul Townsend, Biomedical Scientist Specialist (Surfactant Biochemistry)
Paediatric and Neonatal Neuroscience
Professor Colin Kennedy, Professor in Paediatric Neurology
Professor Fenella Kirkham, Professor in Paediatric Neurology
Dr Cathy Hill, Senior Lecturer in Community Paediatrics and Sleep Medicine
Dr Brigitte Vollmer, Senior Lecturer in Paediatric Neurology and Neonatal Neurology
Paediatric Respiratory
Professor Graham Roberts, Professor in Paediatric Respiratory Medicine
Dr Jane Lucas, Reader in Paediatric Respiratory Medicine
Dr Katy Pike, Clinical Lecturer, Child Health
Paediatric Infectious Disease
Professor Saul Faust, Professor in Paediatric Infectious Disease and Director, Wellcome Trust Clinical
Research Facility
Paediatric Gastroenterology and Nutrition
Professor Alan Jackson, Director of NIHR BRU for Nutrition, Diet and Lifestyle
Dr Mark Beattie, Hon Senior Lecturer in Paediatric Gastroenterology
Dr Alison Leaf, Consultant Academic Neonatologist, Neonatal Nutrition
Dr Steve Wootton, Senior Scientist, Nutrition
Dr Tony Wiskin, Clinical Lecturer in Child Health
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Dr Mark Johnson , NIHR Research Fellow in Neonatal Nutrition
NIHR Biomedical Research Unit for Respiratory Medicine
The paediatric component of translational research in Respiratory Medicine within the BRU is
led by Professor H Clark and Prof Tony Postle (surfactant in neonatal lung disease and
paediatric acute lung injury) with Dr J Pappachan, Dr Michael Marsh, Dr Peter Wilson and Dr Kim
Sykes. Paediatric respiratory research is carried out within the BRU in cystic fibrosis and
infection (Dr Gary Connett, Dr Julian Legg, Prof Saul Faust) and in inflammation, asthma and
allergy (Prof Graham Roberts, Dr Jane Lucas)
The NIHR Nutrition Biomedical Research Centre (NBRC)
The NBRC is one three NIHR funded collaboratives, which carry out research and training in
human nutrition at the level of basic science investigation, clinical investigation and population
level enquiry in order to directly inform and improve service provision, in clinical and
community practice and to maintain health and prevent disease. The NBRC is a partnership
between the University of Southampton and University Hospital Southampton NHS Foundation
Trust and underpins translational research in nutrition of both for adults and children. The
NBRC, and formerly the Institute of Human Nutrition, has over the years worked with the Royal
Colleges, through the Intercollegiate Group in Nutrition of the Academy of Medical Royal
Colleges, to establish and run training courses in nutrition. The partnership offers learning
and training in nutrition at undergraduate and graduate levels to doctors, nurses, public health
nutritionists and other groups of health professionals. The research portfolio of the group has
had a focus on the nutrient determinants of normal growth and development, and the
mechanisms through which altered nutrition before and during pregnancy can determine risk
of later ill-health, and the extent to which nutrient intake modifies the immune and
inflammatory responses to environmental challenge. The NBRC builds on the strength and
experience of the Institute of Human Nutrition, the MRC Lifecourse Epidemiology Unit (Prof
Cyrus Cooper), and the Institute of Developmental Sciences (Prof Mark Hanson) who in
partnership with clinical researchers in University Hospital Southampton NHS Foundation Trust
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.
Relationships with the National Health Service
University Hospital Southampton NHS Foundation Trust (UHS)
The Trust provides acute healthcare services for Southampton area (population 550,000). This
covers an area bordering on the Solent and extending to the boundary of Winchester in the
north, the Wiltshire border in the west and the River Hamble in the east. In addition, many
specialist services are provided to a much wider area extending to Chichester, Portsmouth,
Winchester, Basingstoke, Salisbury, Bournemouth and Poole, Dorchester, the Isle of Wight and
the Channel Islands. These include the defining services of the Trust in cancer, neurosciences,
respiratory, gastrointestinal, women and children and cardiothoracic. Southampton forms one
of the two teaching hospitals in the South Central Health Authority Region and, as a CalmanHine Regional Cancer Centre, provides comprehensive cancer services for a large population of
3+ million.
Southampton General Hospital (SGH) has 1,200 beds and Princess Anne Hospital (PAH), part of
the same Trust, has 124 beds.
Clinical Services
The successful candidate will hold an honorary consultant 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 forms the Women’s and Children’s
Division. All staff in the division are managerially accountable to the Divisional Clinical Director
for their clinical service. All consultants are expected to participate in and contribute to the
medical management of the Division.
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UHS – Department of Surgery
UHS - Child Health Care Group
Paediatric Surgery sits within the Child Health Care Group, which is part of the Women’s and
Children’s Division.
A full general paediatric service is provided to the children of the Southampton health
economy. More specialist services cover the tertiary population stretching across the South
coast and more recently encompassing an even greater catchment area. Approximately 17,000
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
37,000.
There is a 4-bedded HDU that admits approximately 450 children a year from a variety of
sources including PICU, A&E, the paediatric assessment unit, nephrourology, neurology,
oncology, home, post operative surgery, the medical wards and other hospitals.
The PICU is a 12(funded)- 16 bedded facility with over 1000 admissions per year. Admissions
include general paediatric, neurosurgical, cardiac, cardiothoracic surgical and all paediatric
subspecialty services. There is a fully functional paediatric retrieval system available 24 hours a
day.
A Paediatric Assessment unit operates 24 hours a day 7 days a week seeing both medical and
surgical cases. Typically, 500-700 referrals are seen per month (dependent on season), of
which approximately 25% are admitted. It is envisaged that the Paediatric Assessment unit will
ultimately be integrated into the Paediatric Emergency Department that has 22, 000
attendances per year and is located within the main emergency department.
The majority of paediatric Surgery admissions are seen on G4 Surgery and the John Atwell Day
Ward. Neonatal surgical admissions are currently to the Neonatal unit at Princess Anne Hospital
and on occasions to PICU. Rarely older neonatal patients (non high care) are admitted to G4S.
The paediatric Surgery outpatients are seen in the dedicated paediatric outpatients department
in the same way as general specialist paediatrics. There are also a number of peripheral clinics
held in the district general hospitals across the south coast area.
The structure of the Women’s and Children’s Division - Child Health Care Group is as follows:
Division Clinical Director
Divisional Director Of Operations
Divisional Head of Nursing
Dr Alyson O’Donnell
Liz Ward
Carla Hartnell
Child Health Care Group
Clinical Lead Paediatrics
Care Group Manager
Dr Peter Wilson
Duncan Linning-Karp
Key personnel in relationship to this position
Paediatric Surgery
Mr D M Burge
Mr M Griffiths
Mr R Wheeler
Miss L Kitteringham
Mr M Stanton
Mr C Keys
Paediatric Surgical Nurses Specialist
Karen Dick
Paediatric Neonatal Nurse Specialist team Melanie Drewett + team of 3 others
Paediatric Urology
Mr H Steinbrecher
Mr S Griffin
Mr S Manoharan
Sub-specialties:
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Paediatric Nephrology
Dr R Gilbert
Dr S Haq
Dr A Nagra
General Paediatrics
Dr M Roe ( also Child Protection lead)
Dr J Abay
Dr J Barling
Dr L Donovan
Dr F Hawkins
Dr H Rutowska
Respiratory Medicine / Allergy /
Immunology / Infectious disease
Dr G J Connett
Professor S Faust
Dr J Legg
Dr J Lucas
Professor G Roberts
Dr M Lajeunesse
Dr S Patel
Paediatric Rheumatology
Dr A Leahy
Paediatric Gastro-enterology
Dr N Afzal
Dr R M Beattie
Dr A Batra
Paediatric Endocrinology
Dr J Davis
Dr N Davies
Paediatric Diabetes
Dr N Trevelyan
Neonatal Medicine
Prof Howard Clark, Prof and Head of Academic Child Health
Dr M Hall
Dr R Ironton
Dr A O'Donnell
Dr V Puddy
Dr F Pearson
Dr H Fielder
Dr A Leaf
Paediatric Oncology / Haematology / Palliative Care
Dr M Morgan
Dr G Nicolin
Dr J Gray
Dr R Ramanujachar
Dr M Koh
Paediatric Neurology
Professor C R Kennedy
Dr N H Thomas
Professor F Kirkham
Dr A Whitney
Dr Forrest
Dr Bird-Lieberman
Dr B Vollmer
Psychiatry
Dr A Crabb
Paediatric Intensive Care
Dr PM Wilson
Dr VJ Pappachan
Dr ID Macintosh
Dr K Sykes
Dr G Jones
Dr MJ Marsh
Dr W Walker
Dr A Baldock,
Dr K Ramakrishnan
Dr V Stanley
Paediatric Orthopaedics
Professor N Clarke, Mr MG Uglow. Mr V Sakthivel, Mr E Gent, Ms C Edwards
Paediatric Orthopaedic Spinal
Mr EM Davies. Mr C Dare
Paediatric Anaesthetics (in other division)
Dr A Putnam. Dr P Butler, Dr V Thomas, Dr K Wood, Dr P Sutherland Dr R Gande, Dr R Hartery, Dr
O Ross, Dr A Wilkins, Dr L Flewin, Dr P Spargo,
Paediatric Radiology (In other division)
Dr J Fairhurst, Dr M Griffiths, Dr J Argent, Dr H Portess
Paediatric Nuclear Medicine (in other division)
Dr N Nagaraj, Dr Sundaram
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There are also comprehensive Cardiology, Cardiac Surgery, ENT, dermatology, rheumatology,
Neurosurgical sevices available within other divisions.
Department of Surgery NHS staff
Consultants
Job Plan and appraisal
It is recognised that the work programme for any new consultant taking up post will take time
to settle into a regular pattern. Therefore the job plan will be reviewed in discussion with
representatives of the Clinical Care Group and University after 3-6 months. This will be
completed as part of the Job Plan review for all existing consultants related to this post to allow
integration of job plans across the Child Health Directorate. The appointee will be appraised
annually jointly with the University of Southampton.
The programme will fit in with the needs and requirements of both the University of
Southampton and UHS and will consist of:
2.25 PA
Surgery
1.5
PA
Ward work/clinic
1.25 PA
SPA
The successful applicant will work with the 6 existing Paediatric Surgeons, the 3 Paediatric
Urologists and the Neonatal consultants. They will participate in a 1:6 On call rota to provide a
24 hour emergency service.
Administrative duties
The post-holder will be required to undertake the administrative duties associated with the care
of patients and the running of the clinical practice.
Other duties
From time to time it may be necessary for the post holder to carry out such other duties as may
be assigned with agreement by the University and Trust. It is expected that the post-holder will
not unreasonably withhold agreement to any proposed changes.
General Provisions
The post holder will be expected to observe the Trust's agreed policies and procedures, drawn
up in consultation with the professional and clinical managers, and to follow the standing
orders and financial instructions of the Trust whilst undertaking clinical service.
In particular, where the post holder manages employees of the Trust, he/she will be expected
to follow the local and national employment and personnel policies and procedures. The post
holder will be expected to make sure that there are adequate arrangements for hospital staff
involved in the care of his/her patients, to be able to contact him/her when necessary.
The post holder will be responsible for the training and supervision of Junior Medical staff that
work with him/her and will devote time to this activity on a regular basis. They will initially act
as Clinical Supervisor.
The appropriate post holder will be named in the contract of Doctors in Training Grades as the
person responsible for overseeing their training, and as the initial source of advice to such
doctors on their careers.
All medical and dental staff employed by the Trust or providing clinical care in the Trust are
expected to comply with its Health and Safety Policy and procedures and mandatory training
requirements.
Governance
It is expected that the post holder will actively contribute to Trust clinical governance activities,
participate in Continuing Professional Development (CPD) and audit of their clinical and the
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Department of Infection’s activity, and participate in departmental Morbidity Mortality
meetings. Time and facilities will be available for CPD and audit.
Other Duties
From time to time it may be necessary for the post-holder to carry out such other duties as may
be assigned, with agreement, by the Trust. It is expected that the post-holder will not
unreasonably withhold agreement to any proposed changes.
Visiting
Candidates are encouraged to visit and should contact the following to make necessary
arrangements:
Academic:
Professor Howard Clark (h.w.clark@soton.ac.uk; telephone 023 8120 6160)
Clinical:
Mr Burge, Mr Griffiths, Mr Wheeler, Miss Kitteringham, Mr Stanton or Mr Steinbrecher (Surgical
lead) 023 8120 8464
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