workforce census - Royal College of Paediatrics and Child Health

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Royal College of Paediatrics and Child Health
WORKFORCE CENSUS
30TH SEPTEMBER 2009
RCPCH Use
Received Date
Acknowledged
Data Input Date
Data Input By
Follow Up Queries
Complete
Royal College of Paediatrics and Child Health
WORKFORCE CENSUS - 30TH SEPTEMBER 2009
General Information
1. The questionnaire is to be completed by the Clinical Directors or Clinical Leads in integrated trusts
responsible for child health services.
2. Whilst every effort has been made to ensure that our list of Clinical Directors and Leads is complete there
may be some inaccuracies. In which case please pass the form to whoever is responsible and provide
Shazia Mahmood with the correct contact details.
3. Pre-loaded Information in Sections 1 and 3 (blue font) is taken from the 2007 Census. This requires
updating for the situation as at 30 September 2009. The data collected in this form will only be used for
RCPCH business purposes, and details about individual doctors will not be passed onto third parties.
4. The census does not include a section for paediatric trainees. The College will collect this information
separately in 2009.
5. For additional or replacement forms, please contact Shazia Mahmood at the College (details below). It is
also planned to make copies of the blank form downloadable from the College website
http://www.rcpch.ac.uk/Research/Workforce.
6. If there are further queries, please contact either Shazia Mahmood or Martin McColgan at the college for
further advice (details below).
7. Forms should be returned in the reply-paid envelope by 31st October 2009. (Shazia Mahmood, Science &
Research Department, FREEPOST RRTE-JSAH-TTCL, Royal College of Paediatrics and Child Health, 511 Theobalds Road, London, WC1X 8SH).
8. Alternatively the form can be sent to you as a Microsoft Word document and returned by email.
Contact details:
Martin McColgan, Workforce Information Officer:
Research Division, Royal College of Paediatrics and Child Health, 5-11 Theobalds Road, London, WC1X 8SH
Tel 020 7092 6162, Email martin.mccolgan@rcpch.ac.uk
Shazia Mahmood, Workforce Assistant:
Research Division, Royal College of Paediatrics and Child Health, 5-11 Theobalds Road, London, WC1X 8SH
Tel 020 7092 6163, Email shazia.mahmood@rcpch.ac.uk
Royal College of Paediatrics and Child Health
WORKFORCE CENSUS - 30TH SEPTEMBER 2009
FORM D: TO BE COMPLETED BY CLINICAL DIRECTOR OR CLINICAL LEAD RESPONSIBLE FOR CHILD
HEALTH SERVICES IN TERTIARY CENTRES
Section 1: Contact details, configuration, services and workforce pressures
This section is to confirm details of the current Clinical Director/Lead Clinician; and to provide
information about the child health services configuration in each trust to compare with previous
years. It also asks for your three most important workforce pressures.
1.1 TRUST NAME*
*Health Board Name in Scotland and Northern Ireland if appropriate
CONTACT DETAILS OF CLINICAL DIRECTOR/LEAD PAEDIATRICIAN
Are your details correct, please update where appropriate? If you are not the right person please pass to a
colleague and tell Martin McColgan at the College.
1.2 Title
1.3 First
Name
1.4
Surname
1.5 Post Title
1.6 Address
1.7 Postcode
1.8 Tel No.
1.9 Email
CONFIGURATION OF CHILDREN’S SERVICES IN YOUR TRUST
Reconfiguration or reorganisation of children’s services within your trust:
1.10 Has been completed since September 2007
Yes*
No
1.11 Is currently underway
Yes*
No
1.12 Is planned for the future
Yes*
No
1.13 *If ‘yes’ to any of 110, 1.11 or 1.12 please describe reconfiguration / reorganisation:
PAEDIATRIC SERVICES PROVIDED IN YOUR TRUST AS AT 30th SEPTEMBER 2009
Create a separate row for each hospital/unit data in the table below for each of the paediatric units within yourTrust.
1.14
Unit/Hospital Name
1.15
In
patients
1.16
Out
patients
1.17
Tertiary
Services
(Y/N)
(Y/N)
(Y/N)
Neonatal Care
1.18
Level
Of Unit
(1, 2, 3
or
0=no
unit)
If Unit = level 2
1.19
Number of days
of Level 1 (full
intensive care
provided 1st
January to 30th
June 2009 (6
months
Emergency Departments
1.20
Children
seen in ED
(Y/N)
1.21
Children
seen in
Dedicated
ED
(Y/N)
Help – Section 1 Paediatric Services
1.17 Enter yes, if a recognised College subspecialist service exists which takes referrals from other hospitals.
1.18 Level of Unit = BAPM Level
1.21 A dedicated ED = ED facilities with separate waiting, assessment and treatment areas.
1.23 Hours. Enter the total hours per week the unit is open e.g. 84 (if unit open 8-8, 7 days a week).
1.24 If no, and the unit sees in-patients, it is assumed the PAU is collocated with the paediatric ward.
1.25 Please answer yes if the unit is a location listed by the deanery in a PMETB approved training programme.
1.26-1.28 Also known as COW, Physician of the Week (POW), Neonatologist of the week (NOW) and “Hot week”
Paediatric Assessment
Unit
PMETB
Consultant of the
Week* system
operates?
1.22
1.23
1.24
1.25
1.26
1.27
1.28
Do
If ‘yes’ Is it co
Location in
Gen
Neona Gen &
you
total located
PMETB
Paeds
tal
Neo
have a hours with ED?
approved
(Y/N)
(Y/N) combi
PAU? open
(Y/N)
training
ned
(Y/N)
per
programme?
(Y/N)
week
(Y/N)
Paediatric
Rheumatology
Paediatric
Respiratory
Medicine
Paediatric
Palliative Care
Paediatric
Oncology
Paediatric
Neurology
Paediatric
Neurodisability
Paediatric
Nephrology
Neonatology
Paediatric
Metabolic
Medicine
Paediatric
Intensive Care
Medicine
Paediatric
Infectious Disease,
Allergy &
Immunology
Gastroenterology
and Hepatology &
Nutrition
1.29 Unit/Hospital Name
Paediatric
Endocrinology
Community Child
Health
Paediatric Clinical
Pharmacology
Child Mental
Health
Paediatric
Emergency
Medicine
TERTIARY PAEDIATRIC SPECIALIST SERVICES PROVIDED IN YOUR TRUST AS AT SEPTEMBER 30TH 2009
Please indicate the specialties at each tertiary unit within your trust in the table below.
1.30 Specialty Provided (please tick all that apply)
1.31 WORKFORCE PRESSURES
Please briefly describe the 3 greatest workforce pressures or issues that are most important to you at the present
time
1
2
3
NEW CONSULTANTS - WTD FUNDING
1.32 How many new consultant posts (in 2009), either filled or currently vacant, have been funded by DH
monies allocated in support of WTD implementation.
1.33 How many of these posts include in the job plan PAs allocated to resident shift working
Section 2: Rotas as at September 30th 2009
PAEDIATRIC ROTAS – GENERAL / NEONATAL / SAFEGUARDING/SUDI/PAU
Please enter details of rotas in separate tables for each tier. Include general paediatric rotas, combined
general/neonatal rotas, safeguarding, SUDI and rotas on paediatric assessment units.
Separate neonatal rotas for level 3 units should only be listed if the neonatal lead in your Trust is not completing a
separate return. Do not include subspecialty rotas in this table.
If there are rotas which cover more than one hospital site, please give both names under question 2.1. If more
complex arrangements exist, please explain in question 2.27 or telephone/email the workforce team to describe
the rotas.
We are also interested in plans for non-WTD2009 compliant rotas, please enter your comments in question 2.28
Tier 1 Rotas (Junior, “SHO” level rotas)
2.1
Hospital
(Name of
Hospital or
assessment
unit)
2.2
Service
G=General
G/N= Gen/Neo
N=Neonatal
S=Safeguarding
SU=SUDI
A=Assessment Unit
2.3
Number
of
posts
on Rota
2.4
Whole
Time
Equiv
(WTE)
on Rota
2.5
WTD 2009
Is rota
paper
compliant?
(Yes/no)
Vacancies on rota
2.13
WTD 2009 Is
rota paper
compliant?
(Yes/no)
Vacancies on rota
2.8
Grade breakdown of rota - wte
2.6
Number
2.7
WTE
ST
doctors
ST1-8
FTSTA
LAT
ACF/ACL
ST doctors
other
specialties
(non paeds)
FY
doctors
GP
Foundation
Programme
doctors
Trust
and
other
doctors
Nurses
AP
ANP
ANNP
APNP
ST doctors
other
specialties
(non paeds)
Trust
and
other
doctors
Nurses
AP
ANP
ANNP
APNP
Tier 2 Rotas (Middle Grade)
2.9
Hospital
(Name of
Hospital or
assessment
unit)
2.10
Service
G=General
G/N= Gen/Neo
N=Neonatal
S=Safeguarding
SU=SUDI
A=Assessment Unit
2.11
Number
of
posts
on Rota
2.12
Whole
Time
Equiv
(WTE)
on Rota
2.16
Grade Breakdown of rota - wte
2.14
Number
2.15
WTE
Consultants
SASG /
Specialty
Doctors
ST
doctors
ST1-8
FTSTA
LAT
ACF/ACL
Tier 3 Rotas (Consultants)
2.17
Hospital
(Name of
Hospital or
assessment
unit)
2.18
Service
G=General
G/N= Gen/Neo
N=Neonatal
S=Safeguarding
SU=SUDI
A=Assessment Unit
2.19
Number
of posts
on Rota
2.23
WTE on
Rota
2.24
WTD 2009 Is
rota paper
compliant?
(Yes/no)
Vacancies on rota
2.25
Number
2.26
WTE
Help – Section 2 - Rotas
Questions 2.8, 2.16
- ST doctors Include the total whole time equivalent of doctors
training in paediatrics or paediatric specialties here
- ST doctors other specialties (non paeds) eg paediatric
surgeons, cardiologists
- Trust and Other Doctors – include all Trust Grade doctors,
Clinical Fellows, Senior Clinical Fellows, Clinical Research
Fellows, Teaching Fellows, and Lecturers
- SASG/Specialty Doctors - include Staff Grades, Associate
Specialists, Specialty Doctors, CMOs, SCMOs, and Clinical
Assistants.
Non-Standard Rotas
- Consultants - include Professors, Readers, Senior Lecturers.
2.27 Please use the space below to give brief details of any non-standard rota arrangements that exist and have an impact on workload. For example1) Where your rotas involve doctors working in other trusts/organisations.
2) Community doctors working elsewhere during the day but contributing to out of hours.
3) Hospital doctors who work on the acute rota but also contributing to the SUDI rota
Non-Compliant Rotas.
2.28 Please comment about any non-compliant WTD 2009 rotas. This should cover whether there is an agreed plan to make the rota compliant, brief details about the
plan and whether it has been approved. Also let us know if derogation has been applied for any of your rotas and whether it has been granted.
PAEDIATRIC SUBSPECIALTY ROTAS AS AT SEPTEMBER 30TH 2009
Does the trust have separate paediatric specialty rotas?
Yes
No
If yes, please provide details in the table below for each subspecialty rota. If no, please go to Form 4.
2.29 Unit/Hospital
Name
2.30 Specialty
2.31 Provision
of specialty
cover
(see notes)
2.32 Is there a separate on-call
consultant grade rota?
Normal
Working
Hours
Yes/No
Out of
Hours
No.
WTE
WTD
Compli
ant at
30/9/09
2.33 Is there a separate on-call
middle grade rota?
Yes/No
No.
WTE
WTD
Compli
ant at
30/9/0
9
2.34 Is there a separate on-call
junior grade rota?
Yes/No
No.
WTE
WTD
Compliant
at 30/9/09
Help – Section 2 - Paediatric Subspecialty Rotas
2.31 Provision of specialty cover. Please use one of the following codes to indicate how the subspecialty is covered during ‘normal working hours’ and ‘out of hours’:
D = Dedicated Team for Subspecialty
A = General Acute Team
O = Other Specialty Team
2.32, 2.33 and 2.34
Is there a Separate Rota? (Yes/No) Answer Yes - if there is a separate rota, and provide the total headcount and whole time equivalent for all doctors participating in each rota. Answer No if there is not a separate rota.
Section 3: Career Grade Workforce as at 30th September 2009 in Tertiary
Centres
General
-
The census will not be collecting individual data on paediatric trainees working in the UK as it will be
captured through College training records. You should include consultants (including academic
paediatricians), SASG grade doctors, Specialty doctors, Trust Grade doctors, Clinical Fellows and all
other non-training grade paediatricians in this section.
-
Please enter data for the doctors in the 4 separate tables 3A for Consultants (General and Specialist), 3B
for SASG/Other doctors, 3C for Academics and 3D for non-paediatric subspecialists working over 50% of
their time with children.
-
Include
o All non-training grade paediatric doctors working in general and neonatal services (for level 3
units see below) in your Trust.
o
Specialist paediatricians working in your trust. Include only those working in specialties
designated by the College for training in tables 3A and 3C.
o
Academic paediatricians, including where known academic paediatricians who do not have
clinical commitments. Record these in table 3C
o
In table 3D we would like where possible for you to record details of specialist consultants from
other non-paediatric training specialties who are working the vast majority of their time in
paediatric services. This would include dermatology, paediatric cardiology, haematology, genetics
and audiovestibular medicine.
It should not include paediatric surgery, anaesthesia, radiology or laboratory specialties. If
detailed data for these doctors is unavailable please try to provide the minimum possible in order
that we can establish numbers, as data on the subspecialty workforce is going to be a project in
its own right this year.
-
Do not include unless you have agreed otherwise
o Community paediatricians who work 100% in the community. We will be requesting this
information from the lead community paediatrician in your trust, but please include data for any
doctors who combine acute and community work and fall under job types 3, 4 or 5.
o
Doctors who work exclusively on a level 3 neonatal unit as we will be collecting those data from
the neonatal lead in your Trust, unless you are also the neonatal clinical lead.
3.21 Other
3.20 Research
3.19 Teaching
3.17 Number of PAs
for Clinical Care
(DCC)
3.18 Professional
Activities
3.16 Total number of
PAs in contract
(as decimal)
3.15 Place of Grad
for primary medical
degree
3.14 On the general
paediatric on-call
rota (Yes/No)
3.13 Subspecialty (if
job type = 7 or 8
3.12 Job Type
3.11 Contract Type
3.10 Hospital/Unit
where doctor based
(only if more than
one hospital in Trust
3.9 Grade Honorary
Appointment
3.8 Grade – Primary
Appointment
3.7 GMC Number
3.6 Date of Birth
3.5 Gender (M/F)
3.4 Surname
3.3 Initials
3.2 First Name
3.1 Title
3A Paediatric Consultants as at September 30th 2009
Non - DCC PAs
Help – Section 3A – Career Grade Workforce - Consultants
3.8 Grade – Primary Appointment - Please use one of the following codes to indicate the consultant’s grade: C=NHS Consultant P=Professor
3.9 Grade – Honorary Appointment - Please use one of the following codes to indicate the consultant’s grade: C=NHS Consultant
SL=Senior Lecturer
L=Lecturer
X=No honorary appointment
3.11 Contract Type. Please use one of the following codes to indicate the doctor’s contract type: 1=Permanent
R=Reader
P=Professor
2=Fixed Term 3=Locum: Known Term
SL=Senior Lecturer
R=Reader
4=Locum: Unknown Term
3.12 Job Type. Please use the code that describes each doctor most closely. 1= Specialist in a Tertiary Centre
3= 75% General/25% Community
4= 50% General/50% Community
5= 25% General/75% Community
6= 100% Community
7= Specialist in DGH/Other Centre working within managed clinical network
8= Community Paediatrician with a special interest
3.13 Subspecialty This data to be completed ONLY in respect of doctors where Job Type = 1, 7 or 8. Please use the following codes.
1= Paediatric Emergency
5= Community child
10= Paediatric Infectious
12= Paediatric Metabolic
15=Paediatric
Medicine
health
disease, allergy &
medicine
Neurodisability
3= Child mental health
7= Paediatric
immunology
13= Neonatology
16= Paediatric Neurology
Endocrinology
4= Paediatric Clinical
8= Gastroenterology and 11=Paediatric Intensive
14= Paediatric
17=Paediatric Oncology
pharmacology
Hepatology & Nutrition
care medicine
Nephrology
3.14 Place of Graduation for primary medical degree. Please use one of the following codes:
UK= United Kingdom
18= Paediatric Palliative
care
19= Paediatric
Respiratory medicine
20=Paediatric
Rheumatology
EEA= European Economic Area
O=Other
3.15 Total number of Programmed Activities. Enter the total number of contracted PAs. Enter as a decimal e.g. 10.5
3.16 Number of Programmed Activities for Clinical Care. Enter the number of contracted clinical care PAs e.g. 6.5
3.17, 3.18, 3.19, 3.20 Please enter as a decimal, where applicable the number of SPAs in the contract for professional activities, teaching, research and other work. The totals in 3.16-3.20 should
not exceed PAs in 3.15.
3.35 If post
becomes vacant,
plan to replace by
Consultant (Yes/No)
3.34 Place of Grad
for primary medical
degree
3.33 Job Type
3.32 Contract Type
3.31 Whole Time
Equivalent
(only if more than
one hospital in
Trust)
3.30 Hospital / Unit
where doctor is
based
3.29 Grade
3.28 GMC Number
3.27 Date of Birth
3.26 Gender (M/F)
3.25 Surname
3.24 Initials
3.23 First Name
3.22 Title
3B Staff & Associate Specialist Grade, Other Career Grade and Specialty Doctors as at September 30th 2009
Help – Section 3B – Career Grade Workforce – SASG, Other and Specialty Doctors
3.29 Grade. Please use one of the following codes: AS=Associate Specialist, SG=Staff Grade, S=Specialty Doctor CA=Clinical Assistant (>4 sessions), SCMO, CMO, TGDSG=Trust
Grade Doctor Staff Grade equivalent, TGDAS=Trust Grade Doctor Associate Specialist equivalent, TGDR=Trust Grade Doctor ST4-8 equivalent, TGDSHO=Trust Grade Doctor ST1-3
equivalent, O=Other Non Training Grade, please specify. (Include Clinical fellows and Hospital Practitioners)
3.32 Contract Type. Please use one of the following codes to indicate the doctor’s contract type: 1=Permanent
2=Fixed Term
3=Locum: Known Term
4=Locum: Unknown Term
3.33 Job Type. Please use the code that describes each doctor most closely. 1= Specialist in a Tertiary Centre 2= 100% General Paediatrician 3= 75% General/25% Community 4= 50%
General/50% Community
5= 25% General/75% Community 6= 100% Community 7= Specialist in DGH/Other Centre working within managed clinical network 8= Community
Paediatrician with a special interest
3.34 Place of Graduation for primary medical degree. Please use one of the following codes:
UK= United Kingdom
EEA= European Economic Area
O=Other
3.35 If post becomes vacant. Enter Yes if on re-advertisement of the post on retirement or resignation of post-holder, there is an agreed plan for it to become a consultant position.
3.56 Other
3.55 Research
3.54 Teaching
3.53 Professional
Activities
3.52 Number of PAs
for Clinical Care
(DCC)
3.51 Total number of
PAs in contract
3.50 Place of Grad
for primary medical
degree
3.49 On the general
paediatric on-call rota
(Yes/No)
3.48 Subspecialty (if
job type = 1, 7, or 8)
3.47 Job Type
3.46 Contract Type
3.45 Hospital/Unit
where doctor based
(if more than one
hospital in Trust
3.44 Grade - Honorary
Appointment
3.43 Grade - Primary
Appointment
3.42 GMC Number
3.41 Date of Birth
3.40 Gender (M/F)
3.39 Surname
3.38 Initials
3.37 First Name
3.36 Title
3C ACADEMIC CONSULTANTS as at September 30th 2009
Non - DCC PAs
Help – Section 3C – Academic Consultants
3.43 Grade – Primary Appointment - Please use one of the following codes to indicate the consultant’s grade: C=NHS Consultant P=Professor
3.44 Grade – Honorary Appointment - Please use one of the following codes to indicate the consultant’s grade: C=NHS Consultant
SL=Senior Lecturer
L=Lecturer
X=No honorary appointment
3.46 Contract Type. Please use one of the following codes to indicate the doctor’s contract type: 1=Permanent
R=Reader
P=Professor
2=Fixed Term 3=Locum: Known Term
SL=Senior Lecturer
R=Reader
4=Locum: Unknown Term
3.47 Job Type. Please use the code that describes each doctor most closely. 1= Specialist in a Tertiary Centre
3= 75% General/25% Community
4= 50% General/50% Community
5= 25% General/75% Community
6= 100% Community
7= Specialist in DGH/Other Centre working within managed clinical network
8= Community Paediatrician with a special interest
3.48 Subspecialty This data to be completed ONLY in respect of doctors where Job Type = 1, 7 or 8. Please use the following codes.
1= Paediatric Emergency
5= Community child
10= Paediatric Infectious
12= Paediatric Metabolic
15=Paediatric
Medicine
health
disease, allergy &
medicine
Neurodisability
3= Child mental health
7= Paediatric
immunology
13= Neonatology
16= Paediatric Neurology
Endocrinology
4= Paediatric Clinical
8= Gastroenterology and 11=Paediatric Intensive
14= Paediatric
17=Paediatric Oncology
pharmacology
Hepatology & Nutrition
care medicine
Nephrology
3.50 Place of Graduation for primary medical degree. Please use one of the following codes:
UK= United Kingdom
18= Paediatric Palliative
care
19= Paediatric
Respiratory medicine
20=Paediatric
Rheumatology
EEA= European Economic Area
O=Other
3.51 Total number of Programmed Activities. Enter the total number of contracted PAs. Enter as a decimal e.g. 10.5
3.52 Number of Programmed Activities for Clinical Care. Enter the number of contracted clinical care PAs e.g. 6.5
3.53, 3.54, 3.55, 3.56 Please enter as a decimal, where applicable the number of SPAs in the contract for professional activities, teaching, research and other work. The totals in 3.53-3.56 should
not exceed PAs in 3.51.
3D Specialist Consultants who work with children but not paediatricians as at September 30th 2009
This section is for recording specialist consultants who are working for the majority of their time (greater than 50%) in paediatric services, but are not on the specialist register as
a paediatrician. This work will contribute to the future project to collect robust data on the subspecialist workforce in all trusts.
These specialties would include paediatric services in dermatology, genetics, audiovestibular medicine, haematology and paediatric cardiology. We are not including numbers
of paediatric surgeons, anaesthetists radiologists or laboratory consultants in this census.
3.77 Other
3.76 Research
3.75 Teaching
Non - DCC PAs
3.73 Number of PAs
for Clinical Care
(DCC)
3.74 Professional
Activities
3.72 Total number of
PAs in contract
(as decimal)
3.71 Place of Grad
for primary medical
degree
3.70 On the general
paediatric on-call
rota (Yes/No)
3.69 Subspecialty (if
job type = 7 or 8
3.68 Job Type
3.67 Contract Type
3.66 Hospital/Unit
where doctor based
(only if more than
one hospital in Trust
3.65 Grade Honorary
Appointment
3.64Grade – Primary
Appointment
3.63 GMC Number
3.62 Date of Birth
3.61Gender (M/F)
3.60 Surname
3.59 Initials
3.58 First Name
3.57 Title
It is recognised that information about these doctors will be more difficult to gather as many will be employed in other directorates. Whilst we would be grateful for as much detail
as possible, a minimum of name, grade and subspecialty should be provided in order to develop a picture of the size of the workforce contributing to paediatric services
Help – Section 3D – Career Grade Workforce – Non-Paediatric Consultants
3.64 Grade – Primary Appointment - Please use one of the following codes to indicate the consultant’s grade: C=NHS Consultant P=Professor
3.65 Grade – Honorary Appointment - Please use one of the following codes to indicate the consultant’s grade: C=NHS Consultant
SL=Senior Lecturer
L=Lecturer
X=No honorary appointment
3.67 Contract Type. Please use one of the following codes to indicate the doctor’s contract type: 1=Permanent
R=Reader
P=Professor
2=Fixed Term 3=Locum: Known Term
SL=Senior Lecturer
R=Reader
4=Locum: Unknown Term
3.68 Job Type. Please use the code that describes each doctor most closely. 1= Specialist in a Tertiary Centre
3= 75% General/25% Community
4= 50% General/50% Community
5= 25% General/75% Community
6= 100% Community
7= Specialist in DGH/Other Centre working within managed clinical network
8= Community Paediatrician with a special interest
3.69 Subspecialty This data to be completed ONLY in respect of doctors where Job Type = 1, 7 or 8. Please use the following codes.
21= Dermatology
22= Genetics
23=Audiovestibular
24=Haematology
25=Paediatric Cardiology
Medicine
3.71 Place of Graduation for primary medical degree. Please use one of the following codes:
UK= United Kingdom
EEA= European Economic Area
O=Other
3.72 Total number of Programmed Activities. Enter the total number of contracted PAs. Enter as a decimal e.g. 10.5
3.73 Number of Programmed Activities for Clinical Care. Enter the number of contracted clinical care PAs e.g. 6.5
3.74, 3.75, 3.76, 3.77 Please enter as a decimal, where applicable the number of SPAs in the contract for professional activities, teaching, research and other work. The totals in 3.74-3.77 should
not exceed PAs in 3.72.
Section 4: Paediatric Career Grade Vacancies in Your Trust as at 30th September 2009
4.1
Grade
4.2
Job
Type
4.3
Subspecialty (if
job type = 1, 7,
or 8)
4,4
Total number
of PAs in
contract
(Consultant
posts only)
4.5
Whole Time
Equivalent
(Non
consultant
posts only)
4.6
Post currently
filled by a
locum
(Yes/No)
4.7
4.8
More than 6
Reason for vacancy
months vacant
(Yes/No)
F = Frozen post
U = Unable to fill
(advertised but unable to fill)
R = In process of interviewing / recruiting
O = Other, please specify
4.9
Hospital/Unit where
vacancy exists
(only if more than one
hospital within trust)
Help – Section 4 – Career Grade Vacancies - all non-training vacancies
4.1 Grade. Please use one of the following codes to indicate grade of vacancy: C=Consultant
P=Professor
R=Reader
SL=Senior Lecturer AS=Associate Specialist, SG=Staff
Grade
S=Specialty Doctor
CA=Clinical Assistant (>4 sessions)
SCMO CMO
TGDSG=Trust Grade Doctor Staff Grade equivalent
TGDAS=Trust Grade Doctor
Associate Specialist equivalent
TGDR=Trust Grade Doctor ST4-8 equivalent
TGDSHO=Trust Grade Doctor ST1-3 equivalent
O=Other Non Training Grade, please specify. (Include
Clinical fellows and Hospital Practitioners)
4.2 Job Type. Please use the code that describes each doctor most closely. When determining percentages, include time spent on clinical work only.
2= 100% General Paediatrician 3= 75% General/25% Community
4= 50% General/50% Community
5= 25% General/75% Community
6= 100% Community
7= Specialist in DGH/Other Centre working within managed clinical network
8= Community Paediatrician with a special interest
4.3 Subspecialty To complete ONLY in respect of doctors where Job Type = 7 or 8: Use the following codes.
1= Paediatric Emergency
5= Community child health
10= Paediatric Infectious
13= Neonatology
16= Paediatric Neurology
19= Paediatric Respiratory
Medicine
disease, allergy & immunology
medicine
3= Child mental health
7= Paediatric
11=Paediatric Intensive care
14= Paediatric
17=Paediatric Oncology
20=Paediatric
Endocrinology
medicine
Nephrology
Rheumatology
4= Paediatric Clinical
8= Gastroenterology and
12= Paediatric Metabolic
15=Paediatric
18= Paediatric Palliative
pharmacology
Hepatology & Nutrition
medicine
Neurodisability
care
CONFIRMATION OF DATA
If you have a level 3 Unit and the Neonatal Clinical lead has completed the data return, please confirm that you agree with the data
submitted.
If you are an integrated acute/community trust, please confirm that you agree with the data submitted by the community lead in
respect of community doctors and services.
Signed………………………………………….
Thank you for your co-operation in completing this census.
Completed forms should be returned in the reply-paid envelope by 31st October 2009
Detailed Notes and Instructions for Completing the Census Forms
Distribution of Forms
The distribution of forms and the process for completion and return are set out below.
If you are
Clinical Director
in an Acute Trust
Clinical Director
in a Tertiary Trust
Community
Clinical Lead in
an integrated
trust
Community Lead
in Community
provider
organisation
Neonatal Lead
You will receive
Form A (Yellow), Form B (White)(if
there is an integrated community
paediatric service) and Form C (Green)
(if our records show there is a separate
neonatal rota) in a bound booklet.
You will also receive a loose copy of
form B if we do not have details of the
community lead in your trust
Form D (Pink), Form B (White) (if there
is an integrated community paediatric
service) and Form C (Green) (if our
records show there is a separate
neonatal rota) in a bound booklet.
You will also receive a loose copy of
form B if we do not have details of the
community lead in your trust
Form B (White) in a bound booklet.
Form B (White) in a bound booklet.
Form C (Green) in a bound booklet.
You should
 Complete Form A.
 Pass form B to the Community
Clinical Lead (when we have not
been able to provide contact
details) for them to complete
 Check the data provided by the
Community and Neonatal Leads
when appropriate.
 Complete Form A.
 Pass form B to the Community
Clinical Lead (when we have not
been able to provide contact
details) for them to complete
 Check the data provided by the
Community and Neonatal Leads
when appropriate.
 Complete Form B
 Liaise with Clinical Director to
ensure data agreed, particularly
with regard to doctors who have
mixed acute/community job types
before returning
 Complete and return Form B


Complete Form C
Liaise with Clinical Director to
ensure data agreed.
Please contact Martin McColgan or Shazia Mahmood at the College if you believe you have been sent the incorrect
forms or that you should have received for example, Form C for recording details of neonatal rotas and staff.
Contact details
Martin McColgan, Workforce Information Officer:
Research Division, Royal College of Paediatrics and Child Health, 5-11 Theobalds Road, London, WC1X 8SH
Tel 020 7092 6162, Email martin.mccolgan@rcpch.ac.uk
Shazia Mahmood, Workforce Assistant:
Research Division, Royal College of Paediatrics and Child Health, 5-11 Theobalds Road, London, WC1X 8SH
Tel 020 7092 6163, Email shazia.mahmood@rcpch.ac.uk
Notes and Instructions for individual forms (Help boxes are also available throughout the forms)
Form D (Pink) – For Clinical Directors/Leads of Paediatrics in Tertiary Trusts
Section 1
1.1 to 1.9 Contact Details will be pre-populated from data provided in 2007, updated with changes where possible.
Please check and amend where appropriate.
1.10 to 1.13 Configuration of Children’s Services is seeking information about changes in the organisation of child
health services in your trust in order to compare service configuration with previous years and help the College predict
future workforce requirements. If in doubt about whether a change should be included, please do include as we will be
analysing the returns in detail to identify any grey areas or remove duplication.
1.14 to 1.28 Paediatric Services Provided. This table is pre-populated where possible with data previously provided.
Each hospital should be shown on a separate row.
1.19 – Number of Intensive Care days for level 2 neonatal units. If data not available for given time period,
please specify which period has been used.
1.29 to 1.30 Tertiary Services. Please indicate which tertiary services are provided at each unit in your trusts by
ticking the appropriate boxes. Please note that we are for this purpose only collecting data on RCPCH training
specialties.
1.32 to 1.33 New Consultants – WTD Funding. These questions are extremely important for us to assess the takeup and impact of funding allocated by DH and to examine regional differences.
Although question 1.32 applies to England only, we would be grateful if respondents in Scotland, Wales and Northern
Ireland could answer 1.33 to report how many new (2009) consultant posts in their organisation now include planned
resident shift working duties.
Section 2
2.1 to 2.28 General/Neonatal/Safeguarding Rotas. This section is for recording details about rotas provided by your
service. For subspecialty rotas see questions 2.29-2.34. A separate table should be completed for each tier of rota –
junior, middle grade and consultant with a separate row for each service – e.g. general, general/neonatal. If your rotas
are non-standard or require further explanation, please use the space provided in 2.27 to describe rotas more fully. An
example non-standard description might look like.
Paper rota - 10 wte with 2 vacancies. 8 posts occupied by 1 SG, 6 STRs and one job-shared by 2 women STRs
working 0.6 WTE each, one of whom is doing proportionate on call and one who is pregnant working day time but not
doing on call. Therefore 10 posts, 8 occupied, 9 people, 8.2 WTE, but only 7.6 WTE contributing to on call. Of the 6
STRs there are 2 who are working in the community at other bases and only attending to do long days or on calls.
It is important that any non-compliant rotas are reported in 2.28
2.29-2.34 Paediatric Sub-specialty Rotas. We would be very grateful for as much information as you can provide
about each subspecialty rota in your Trust. If the rotas are non-standard or cover more than one sub-specialty, please
use free text to describe the rota. If the compilation of this information is likely to prove difficult, please do not let this
hold up the return of the form, but let us know that the data is incomplete. The College intends to carry out a detailed
project to capture subspecialist workforce data from a variety of sources and the census will be used as a base for
developing that piece of work.
Section 3
3A Paediatric Consultants. This section will be pre-populated with data from our 2007 census where possible.
– Include general, general/neonatal and subspecialty consultants (College training subspecialties)
– Do not include neonatal consultants if form C is being completed separately by the neonatal lead.
– Do not include community consultants who spend 100% of their time in the community if form B is being
completed separately by the community clinical lead in your organisation, but include consultants whose
duties are mixed acute/community
– Please refer to the help boxes in this section for the relevant codes for questions 3.8, 3.9, 3.11, 3.12, 3.13 and
3.14. Contact us to resolve any difficulties classifying doctors using these codes.
3B SASG and other doctors. This section will be pre-populated with data from our 2007 census where possible.
Apply the same inclusion criteria as per consultants.
- 3.35 If post becomes vacant. This is a new question for 2009 asked in order to assess likely future
balance between consultants and non-consultants.
3C Academic Consultants. Please include all academic paediatric consultants in this table
3D Specialist Consultants who work with children but not paediatricians This section is for recording details of
specialist consultants working in paediatric services, but who are not on the specialist register as a paediatrician. The
specialities we wish to include/exclude are shown on the form.
As the College intends to carry out a detailed project to capture subspecialist workforce data from a variety of sources
and the census will be used as a base for developing that piece of work, we would not wish Clinical Directors to spend
a long time gathering this data. If details are difficult to obtain, please include a minimum of name, grade and
subspecialty for each doctor that you include.
Section 4
Please provide as many details as possible about consultant and SASG vacancies in the service areas covered in
Section 3.
Form B (White) - For Community Paediatrics Leads in Integrated Trusts and Community Provider Units
Section 1
1.2 Please name any other organisations for which the community paediatric service you provide is covered
1.3 to 1.10 Contact Details will be pre-populated from data provided recently by the Clinical Director in your Trusts.
Please check and amend where appropriate.
1.11 to 1.14 Configuration of Children’s Services is seeking information about changes in the organisation of child
health services in your trust in order to compare service configuration with previous years and help the College predict
future workforce requirements. If in doubt about whether a change should be included, please do include as we will be
analysing the returns in detail to identify any grey areas or remove duplication.
Section 2
Lead Roles. The purpose of this section is to establish for each of the main community paediatric lead role whether
that role exists in the organisation, if the position is currently filled and the type of doctor filling the role. The name of
the doctor is only required in respect of Designated and Named doctors for safeguarding as the College regularly
contacts this group and the census will provide an ideal opportunity to ensure the list is up-to-date.
Section 3
3A Paediatric Consultant workforce in your Trust. This section will be pre-populated with data from our 2007
census where possible.
– Include community consultants who spend 100% of their time in the community. Only include consultants
whose duties are mixed acute/community if you are unsure whether these doctors have been included by the
Clinical Director in your Trust.
– 3.8, 3.9 Grade - Include any academic paediatricians employed in your trust and ensure that you record the
grade of their honorary appointment where appropriate.
– Please refer to the help boxes in this section for the relevant codes for questions 3.8, 3.9, 3.11, 3.12, 3.13 and
3.14. Contact us to resolve any difficulties classifying doctors using these codes.
3B SASG and other doctors. This section will be pre-populated with data from our 2007 census where possible.
Apply the same inclusion criteria as per consultants.
- 3.34 If post becomes vacant. This is a new question for 2009 asked in order to assess likely future balance
between consultants and non-consultants.
Section 4
Please provide as many details as possible about consultant and SASG vacancies in the service areas covered in
Section 3.
Form C (Green) - For Neonatal Leads in Acute and Tertiary Trusts where separate neonatal rotas exist
1.2 to 1.09 Contact Details will be pre-populated from data provided recently by the Clinical Director in your Trusts.
Please check and amend where appropriate.
Section 2
2.1 to 2.28 Rotas. This section is for recording details about each rota provided by your service. A separate table
should be provided for each tier of rota – junior, middle grade and consultant. If your rotas are non-standard or require
further explanation, please use the space provided in 2.27 to describe rotas more fully.
It is important that any non-compliant rotas are reported in 2.28.
Section 3
3A Paediatric Consultant workforce in your Trust. This section will be pre-populated with data from our 2007
census where possible.
– Include all neonatal consultants who spend the majority of their time in neonatal services in your trusts e.g. on
a separate rota on a level 3 unit.
– 3.8, 3.9 Grade - Include any academic paediatricians employed in your trust and ensure that you record the
grade of their honorary appointment where appropriate.
– Please refer to the help boxes in this section for the relevant codes for questions 3.8, 3.9, 3.11, 3.12, 3.13 and
3.14. Contact us to resolve any difficulties classifying doctors using these codes.
3B SASG and other doctors. This section will be pre-populated with data from our 2007 census where possible.
Apply the same inclusion criteria as per consultants.
- 3.34 If post becomes vacant. This is a new question for 2009 asked in order to assess likely future balance
between consultants and non-consultants.
Section 4
Please provide as many details as possible about consultant and SASG vacancies in the service areas covered in
Section 3.
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