SPECIALTY DOCTOR IN
NEONATAL MEDICINE AND
NEONATAL TRANSPORT
YORKHILL ROYAL
HOSPITAL FOR SICK
CHILDREN / SOUTHERN
GENERAL HOSPITAL
INFORMATION PACK
REF: 26078D
CLOSING DATE: 10TH AUGUST 2012
SUMMARY INFORMATION
POST: SPECIALTY DOCTOR – NEONATAL MEDICINE & NEONATAL
TRANSPORT
BASE: SOUTHERN GENERAL HOSPITAL & ROYAL HOSPITAL FOR SICK
CHILDREN
Applications are invited for this newly created Specialty Doctor post within the
Glasgow neonatal services. The post provides the opportunity to establish a career
within fully comprehensive neonatal service where all the neonatal clinical services
can be accessed on site. The post will initially work between the Southern General
and Yorkhill Hospital neonatal units and the West of Scotland neonatal transport
service.
The Yorkhill neonatal unit is a combined medical & surgical neonatal unit within the
regional children’s hospital. A full range of neonatal services and support services
are available on site including neonatal surgery, cardiac surgery, renal support and
the Scottish neonatal ECMO service. Over 200 newborns per year are currently
transferred here due to the specialist services offered by this site.
The Southern General neonatal unit currently operates with 6 ITU, 6 HDU cots and
12 special care cots. We are in the process of a major redesign of maternity,
neonatal and paediatric services in Glasgow. This started at the beginning of 2010
with the closure of the Queen Mother’s Maternity Unit, transfer of its services to the
Southern General site and the opening of new-built labour ward and new neonatal
unit. In 2014/15 the Children’s Hospital will be relocated to new built facilities on the
SGH site at which time the new neonatal unit here will become the largest neonatal
unit in the country with 34 intensive care and high dependency cots and 26 special
care cots providing the full range of neonatal services including neonatal and cardiac
surgery and ECMO.
The Neonatal Transport Service (West of Scotland) is based in Glasgow and
currently undertakes 800 transfers per annum by road and air, including the transfer
of critically ill infants for ECMO and neonatal surgery. The West of Scotland Neonatal
Transport service has the most experience of air transfers in the UK and has a CAA
approved system for delivering iNO in the air.
The Specialty Doctor will be expected to work alongside senior neonatal trainees
within the department providing support to more junior middle-grade and first on-call
colleagues. Individuals will be expected to develop a particular interest or role within
the departments. Applicants will be expected to demonstrate competence in practical
neonatal procedures and neonatal resuscitation, to be familiar with a range of
neonatal ventilatory strategies and to demonstrate clinical leadership abilities.
We are looking for applicants who can demonstrate the capability to work in
Neonatology at middle-grade level and who are enthused by the prospect of career
within our neonatal service. Neonatal transport experience is desirable but is not
essential as training will be provided. There are currently two specialty doctors in
post and the appointment of this third post is intended to allow all three specialty
doctors to develop some involvement within the neonatal transport service probably
on a rotating block attachment of several months at a time.
All applicants must possess full GMC registration, a licence to practice and have at
least 4 Years full time Post Graduate Training, two of which must have been in
relevant acute specialties, or you will demonstrate and evidence equivalent
experience and competencies.
Glasgow Neonatal Service
JOB DESCRIPTION
SPECIALTY DOCTOR(S) IN NEONATOLOGY
REFERENCE NO: 26078D
DETAILS OF POST
Neonatology services in Glasgow and Clyde operate as a single service. The posts
are based at the Southern General Hospital, Yorkhill Hospital and the Neonatal
Transport Service and complement the work of the Consultants and middle grade
staff. The post is full time 10 Programmed Activities (PAs) with two Additional
Programmed Activities (APAs) available.
QUALIFICATIONS
MRCPCH or equivalent would be an advantage. The successful candidate should
have considerable experience of neonatal intensive care and neonatal follow-up
clinics. Neonatal Transport experience would be desirable.
The successful candidate will be encouraged to develop a special interest
appropriate for the needs of the department. (Training will be available)
GENERAL INFORMATION
The current staffing of the departments is as follows:Southern General & Yorkhill Hospitals
Dr Peter Macdonald
Dr Dominic Cochran
Dr Lesley Jackson*
Dr Colin Peters*
Dr Jonathan Coutts
Dr Judith Simpson
Dr Anne Marie Heuchan
Dr Dhullipala Anand
Dr Morag Campbell
Dr Kathleen O’Reilly
Dr Helen McDevitt
Dr Charles Skeoch*
Dr David Quine*
*National Neonatal Transport Service (NeTS, Western Region)
2 current Specialty Doctors working in neonatal unit. The appointment of the third
post will allow three to develop some involvement in the neonatal transport service.
11 middle grade doctors (Specialty trainees or SpR’s on the West of Scotland
training rotation) based between SGH and Yorkhill neonatal units
7 Foundation year 2 trainees and 6 ST2 Paediatric trainees.
Expanding numbers of ANNPs working in both transport and in-patients neonatal
services
Neonatal and Children’s Services across NHS Greater Glasgow and Clyde
Neonatal services across Scotland are currently undergoing a process of change and
it is anticipated that, due in part to workforce pressures, some centralisation of
neonatal intensive care cots in Scotland will occur but the final model of this service
has not yet been decided. In addition there is service redesign locally in Glasgow
involving the move from four neonatal facilities to two. Currently neonatal intensive
care is provided in the Princess Royal Maternity (PRM), the Southern General
Maternity (SGH), and a combined medical and surgical NICU in The Royal Hospital
for Sick Children (RHSC) on the Yorkhill site. In the future, the final location of
neonatal intensive care units will be the PRM and the SGH site, the latter being colocated with the newly built regional children’s hospital. Following the building of the
New Children’s Hospital on the Southern General site neonatal surgical and subspeciality services will be provided in the Neonatal Unit which will be adjacent and
connected to the New Children’s Hospital via a link corridor. The National Neonatal
Transport Service (NeTS, Western Region) is currently moving to a new base at
Yorkhill but in the long term will also be based at the SGH site.
All neonatal specialty doctor posts in Glasgow are appointed through the Women and
Children’s Directorate of NHS Greater Glasgow and Clyde. Therefore, following job
planning, the future working pattern may involve other sites within the Directorate.
DUTIES OF THE POST
1. To work with the middle grade staff in the provision of cover to the Neonatal
Intensive Care Units at the Southern General and Yorkhill. Out-of-hours
duties are shared with your middle grade colleagues.
2. To work as a middle grade doctor in the Neonatal Transport Service. Nonresident on-call is shared with ANNPs.
3. To assist Consultants in Neonatal Outpatient Clinics. To act with a degree of
independence in the provision of an Outpatient Clinic according to the
candidate’s suitability and training.
4. Support of the junior staff in the day-to-day management of patients in The
Neonatal Unit and Postnatal Wards.
5. Teaching of undergraduates and postgraduate medical students, nursing and
other staff.
6. Management duties appropriate to the post.
7. Audit duties, individually and together with other members of the Unit.
8. The post holder will be expected to meet the requirements of CPD through
the RCPCH system.
ROTA
Out-of-hours duties will be split between a 1:12 resident middle-grade shift rota in
one of the neonatal units and a 1:18 on-call rota in neonatal transport. Total weekend
commitments average one weekend per month split between non-resident transport
on-call and resident neonatal unit shifts. It is anticipated that at any one time your
duties will be primarily based in either transport and NICU.
CONDITIONS OF THE POST
All periods of duty in the Southern General and Yorkhill are on-site shifts. Transport
Service duties involve on-call from home requiring the ability to return to the hospital
base within an hour of receiving a call.
Model Job Plan
Specialty Doctor/Associate Specialist Job Planning
1. A model job plan is attached, which has been agreed as the format used by employers in
Scotland to record details of doctors’ or dentists’ working arrangements under the new
contracts.
2. It should be used to confirm the outcome of both annual and interim Job Plan Reviews
and the details contained in the Job Plan will form part of the contract between employer
and employee. Doctors or dentists participating in job planning activities should be
reminded of the important nature of this document.
3. The document must show the total number of Programmed Activities (PAs) (including
those allocated for on-call work) and the number of Additional Programmed Activities
(APAs) separately.
4. To ensure clarity and consistency, each item of work should be categorised as Direct
Clinical Care (DC), Supporting Professional Activity (SPA), Additional NHS
Responsibilities (AR) or External Duties (ED) and each should be listed separately as
either a PA or an APA.
5. It should be noted that some blocks of time may include more than one category of work,
but must not include both PAs and APAs. These must be noted separately to inform any
APA contract that results from the job planning process.
6. It is recommended that a diary should be completed as an evidence gathering tool to
inform the process. To ensure that a representative period is used, it is recommended
that diary evidence should be submitted for a minimum period of six consecutive weeks
or, where practicable, the period of one cycle of on-call.
7. The reference period used for the diary should be agreed in advance between the doctor
or dentist and their clinical manager.
Model Job Plan Format
Name:
Specialty:
Grade:
Effective Date of Job Plan:
Next Expected Review Date:
Contract: Specialty doctor
Weekly PAs:
Weekly APAs:
Total Hours:
Principal Place of Work:
Other Regular Work Places:
On-Call Availability
Supplement
Out of Hours Work:
Managerially Accountable to:
Clinically Responsible to:
a)
Neonatal Paediatrics & Neonatal Transport
Specialty Doctor
01/08/09
Full Time
10
2
44
Southern General Hospital & Yorkhill Neonatal Units.
Neonatal Transport Service
None
Predictable:
2
PAs
Unpredictable: 1
PAs
Associate Medical Director, Women’s & Children’s
Services
Dr.Jonathan Coutts
Timetable of activities that have a specific location and time
Day
Hospital/Locat
ion
Description of Work
Category
DC
SPA
9am-1pm
Southern Gen
or Yorkhill
Ward Rounds or
transport duties.
DC
PA
1pm-5pm
Southern Gen
or Yorkhill
Neonatal Unit ward work,
clinical admin work or
transport duties
DC
PA
Southern Gen
or Yorkhill
Ward Rounds or
transport duties
DC
PA
AR
ED
PA Type
PA
APA
Monday
Tuesday
9am-1pm
Appraisal, audit, CPD,
teaching
1pm-5pm
SPA
PA
Wednesday
9am-11am
Southern Gen
CPD, Education Meeting,
Audit
SPA
APA(0.5)
11am-5pm
Southern Gen
or Yorkhill
Neonatal Unit ward work,
clinical admin work or
transport duties
DC
9am-1pm
Southern Gen
or Yorkhill
Neonatal Unit ward work,
clinical admin work or
transport duties
DC
PA
1pm-5pm
Southern Gen
or Yorkhill
Outpatient Clinic
DC
PA
Southern Gen
or Yorkhill
Ward Rounds or
transport duties.
DC
PA
Neonatal Unit ward work,
DC
PA
APA(1.5)
Thursday
Friday
9am-1pm
1pm-5pm
Saturday
Sunday
Southern Gen
or Yorkhill
Neonatal
Transport
Service
Southern Gen
or Yorkhill
clinical admin work or
transport duties
1:6 weekends either NICU
night shifts or nonresident transport on-call.
1:6 weekends either NICU
night shifts or nonresident transport on-call.
DC
PA
DC
PA
Neonatal
Transport
Service
This timetable is indicative only. Post-holders will be expected to spend periods of
time largely committed to each part of the neonatal service. During NICU-based time
daytime midweek duties will be largely based in the neonatal unit and will include 6
long (12.5 hour) shifts every 6 weeks and 1 weekend of Fri, Sat & Sun resident night
shifts in every 6 weeks. Whilst based in neonatal transport there is a commitment to a
1:6 non-resident 24-hour on-call rota. These formal out-of-hours commitments are
integral to the basic 10 PA allocation. There is rostered midweek time off to
compensate for evening and night shift working.
b)
Description of activities that are not undertaken at specific locations or times (this
section should include details of activity category and PA/APA allocation for such
activities)
Duties will rotate between the two neonatal units and the neonatal transport service.
Rotation will be with other Specialty Doctors each of whom will spend periods of time
in each aspect of the service.
There is rostered time off during the week at times of evening and night shift working.
c)
Description of activities during premium rate hours of work, i.e. hours outwith
7am-7pm Monday to Friday (this section should further define activities that have
already been included at a) in terms of location and timing)
Contribution to a resident neonatal rota involving six evenings (Mon to Thurs) and one
weekend of 12.5 hour night shifts in every 6 weeks. Alternatively there is a 1:6
commitment to non-resident on-call duty for neonatal transport whilst based in this
service. The 12.5 hour resident shifts are remunerated at 4.5 PA for overnight shifts.
d)
Additional Programmed Activities (this section outlines the reason for allocation
of APAs including the expected duration of the APAs)
APAs are allocated to maintain midweek day-time continuity of service and allow the
post-holder to develop more of a leadership role in education or audit. The APA
allocation is expected to continue indefinitely if the post-holder is agreeable to this.
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital
and Medical & Dental Whitley Council.
TYPE OF CONTRACT
Permanent
GRADE AND SALARY
Specialty Doctor
£ 36,807 £ 68,638 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the
salary scale, (dependent on qualifications and experience). Salary is paid
monthly by Bank Credit Transfer.
HOURS OF DUTY
Full Time (44hours)
SUPERANNUATION
You have the option to join the NHS Superannuation Scheme, to participate in
the State Earnings Related Pension Scheme or to take out a Personal
Pension. Employee’s contributions to the NHS Scheme are Tiered based on
your earnings and the employers contribution equates to 13.5 % of salary.
Employees in the NHS Scheme are “Contracted-out” of the State Earnings
Related Pension Scheme and pay a lower rate of National Insurance
contributions. Employees who choose to participate in the State Earnings
Related Pension Scheme pay the higher rate of National Insurance
contribution. A Stakeholder Pension is also available. A Personal Pension is a
private arrangement agreed with the pension provider that will be an
organisation such as a Bank, Building Society or Insurance Company.
REMOVAL EXPENSES
Assistance with removal and associated expenses may be given and would be
discussed and agreed prior to appointment.
EXPENSES OF
CANDIDATES FOR
APPOINTMENT
Candidates who are requested to attend an interview will be given assistance
with appropriate travelling expenses. Re-imbursement shall not normally be
made to employees who withdraw their application or refuse an offer of
appointment.
TOBACCO POLICY
NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises
and grounds.
DISCLOSURE SCOTLAND
CONFIRMATION OF
ELIGIBILITY TO WORK IN
THE UK
This post is considered to be in the category of “Regulated Work” and
therefore requires a Disclosure Scotland Protection of Vulnerable Groups
Scheme (PVG) Membership which currently costs £59.00. The cost of the
PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and
will required to be repaid through a payroll deduction mandate from the
successful candidate’s first salary.
NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to
ensure that it’s employees, both EEA and non EEA nationals, are legally
entitled to work in the United Kingdom. Before any person can commence
employment within NHS GGC they will need to provide documentation to
prove that they are eligible to work in the UK. Non EEA nationals will be
required to show evidence that either Entry Clearance or Leave to Remain in
the UK has been granted for the work which they are applying to do. Where
an individual is subject to immigration control under not circumstances will they
be allowed to commence until the right to work in the UK has been verified.
ALL applicants regardless of nationality must complete and return the
Confirmation of Eligibility to Work in the UK Statement with their completed
application form. You will be required provide appropriate documentation prior
to any appointment being made.
REHABILITATION OF
OFFENDERS ACT 1974
The rehabilitation of Offenders act 1974 allows people who have been
convicted of certain criminal offences to regard their convictions as “spent”
after the lapse of a period of years. However, due to the nature of work for
which you are applying this post is exempt from the provisions of Section 4 of
the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of
Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants
are required to disclose information about convictions which for other purposes
are “spent” under the provision of the act in the event of employment, failure to
disclose such convictions could result in dismissal or disciplinary action by
NHS Greater Glasgow and Clyde. Any information given will be completely
confidential.
DISABLED APPLICANTS
A disability or health problems does not preclude full consideration for the job
and applications from people with disabilities are welcome. All information will
be treated as confidential. NHS Greater Glasgow and Clyde guarantees to
interview all applicants with disabilities who meet the minimum criteria for the
post. You will note on our application form that we ask for relevant information
with regard to your disability. This is simply to ensure that we can assist you,
if you are called for interview, to have every opportunity to present your
application in full. We may call you to discuss your needs in more detail if you
are selected for interview.
GENERAL
NHS Greater Glasgow and Clyde operates flexible staffing arrangements
whereby all appointments are to a grade within a department. The duties of an
officer may be varied from an initial set of duties to any other set, which are
commensurate with the grade of the officer. The enhanced experience
resulting from this is considered to be in the best interest of both NHS Greater
Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES
The postholder will undertake their duties in strict accordance with NHS
Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE
The employment is subject to three months’ notice on either side, subject to
appeal against dismissal.
MEDICAL NEGLIGENCE
In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the
Health Board does not require you to subscribe to a Medical Defence
Organisation.
Health Board indemnity will cover only Health Board
responsibilities. It may, however, be in your interest to subscribe to a defence
organisation in order to ensure you are covered for any work, which does not
fall within the scope of the indemnity scheme.
FURTHER INFORMATION
For further information on NHS Greater Glasgow and Clyde, please visit our website
on www.show.scot.nhs.uk
View all our vacancies at www.nhsggc.org.uk/medicaljobs
Subscribe to our Medical Jobs Vacancy Bulletin Click Here
Register for Text Alerts for medical vacancies – email your mobile number and
the grade and specialty you are interested in to gg-uhb.medicaljobs@nhs.net
Applicants wishing further information about the post are invited to contact with Dr
Jonathan Coutts, Clinical Lead Neonatology, Yorkhill Hospital Tel: 0141 201 0532,
Dr Peter MacDonald, Consultant Neonatologist, Southern General Hospital
Tel No: 0141 201 2259 or Dr Lesley Jackson, Consultant Neonatologist, Neonatal
Transport Service, Tel No: 0141 201 2297, whom visiting arrangements can also be
made.
HOW TO APPLY
To apply for these posts please include your CV and names and addresses of 3
Referees, along with the following documents; (click on the hyperlinks to open)
Medical and Dental Application and Equal Opportunities Monitoring Form
Declaration Form Regarding Fitness to Practice
Immigration Questionnaire
Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to
Apply” tab to access application for and CV submission information.
RETURN OF APPLICATIONS
Please return your application by email to nhsggcrecruitment@nhs.net or to the
recruitment address below;
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde Recruitment Services
5th Floor, Tara House
46 Bath Street
Glasgow
G2 1HJ
CLOSING DATE
The closing Date will be 10 August 2012.