NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
Reference
Grade
Location
Hours / PA’s
Salary Scale
Closing Date
MS/0614/03
Quote on all correspondence
Consultant
Wishaw General Hospital
10 PA’s per week (Part-time may be considered
Consultant
Noon Friday 18th July 2014
Your
Application
Thank you for expressing an interest in the above post within NHS
Lanarkshire. Please find all the relevant information attached to begin the
application process.
Should you require further information regarding this post you can contact the
Medical Staffing team or make informal enquiries with the department using
the contact details below.
To ensure we can process your application as easily as possible please
complete all the information required within the Application Pack and email
with your CV.
Contact Details
Telephone
Email
Application
Process
To apply, please email your CV to the above, along with the attached
completed Application Pack.
Application Pack .doc
01698 377735
Pamela.migues@lanarkshire.scot.nhs.uk
Lanarkshire NHS
Inserts.pdf
Additional
Arrangements
Informal enquiries regarding this post will be welcomed by:Mr. H BenYounes
Chief of Medical Services
01698 366002
Mrs. M Mark
General Manager
01698 366002
Dr. S Ibhanesebhor Clinical Director
01698 361100 Page 119
Dr. D McLellan
Deputy Clinical Director
01698 361100
Date when the
post is Vacant
The post is vacant and a start date will be agreed with the successful
candidate.
NHS
Lanarkshire
For further information regarding NHS Lanarkshire and its hospitals, please
visit our website:- www.nhslanarkshire.org.uk
We are an Equal Opportunities Employer and Positive about Disabled People.
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
POST INFORMATION
The
This post will be based in the Women’s services directorate of NHS
Department
Lanarkshire
The Neonatal Service provides regional level III neonatal medical care for a
neonatal population of 6,500 per annum with over 5,000 births per year at
Wishaw District General Hospital. It is part of the bed bureau/ Perinatal
advisory service and accepts in-utero and ex-utero transfers from other
maternity/neonatal units in Scotland and the rest of the UK.
The neonatal unit is a member of the Vermont Oxford network, the West of
Scotland Perinatal advisory service and part of the West of Scotland managed
Clinical Network.
The Neonatal Unit is made up of 8 intensive care, 10 high dependency, 11
special care and 6 transitional care cots. The unit provides over 1200 intensive
care days per year.
8.2 WTE Consultants (including the above posts) currently provide separate
daytime and out of hours neonatal cover in a hybrid format with both resident
and non resident duties.
Conventional and oscillatory ventilation is provided; other facilities include
Nitric Oxide therapy, total body cooling and cerebral function monitoring.
Full medical intensive care is provided to extremely low birth weight, very
preterm infants and ill term babies. All infants of viable gestational age are
accepted to the Neonatal Intensive Care Unit that is centralized at Wishaw
General Hospital. The population has a high pathology rate as a result of the
social deprivation of the area. Neonates requiring cardiac and surgical
intervention are transferred to the Royal Hospital for Sick Children, Glasgow
following stabilization.
The Maternity Service that is also centralized at Wishaw General hospital has
86 maternity beds with a capacity for 5500 deliveries per annum. It provides a
Consultant delivered high-risk peri-natal service offering a full tertiary level
anomaly scanning service to selected cases. Routine antenatal USS with
detailed foetal scan at 20 weeks gestation is offered to all pregnant women in
Lanarkshire. There are 2 weekly high-risk pregnancy liaison meetings and
once in 3 monthly Perinatal Morbidity /Mortality meetings.
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
Some full time Neonatologists provide outpatient follow-up, and there are
designated clinics for children with Bronchopulmonary Dysplasia, Neonatal
Abstinence Syndrome and a high-risk multi-disciplinary Neurodevelopment
clinic. This post may have a designated Neonatal follow up clinic if desired.
The service has designated therapists, including dietetics, physiotherapy,
occupational therapist, speech & language therapist and Neonatal pharmacist
as well as a counselor for psychology and bereavement support.
The Neonatal Unit is within the catchment of the "West of Scotland Neonatal
Transport Service" and has a Neonatal Community Liaison Service to support
early discharge. The neonatal service has a designated breast feeding support
midwife and discharge planning midwife to facilitate discharge from the
neonatal unit. There are comprehensive laboratory support services at
Wishaw General and the Royal Hospital for Sick Children, Yorkhill.
Excellent communication/referral routes exist between the Neonatal Unit and
Consultant colleagues in subspecialties of Neurology, Cardiology, Radiology,
Neonatal Surgery, Genetics, Ophthalmology etc, locally and at the Royal
Hospital for Sick Children, Yorkhill.
The Neonatal Service actively participates in individual and multi-centre
research projects. There is a weekly grand ward round; teaching programs
aimed at junior medical staff; journal club and regular audit activities. We have
an active Advanced Neonatal Nurse Practitioner (ANNP) program with
qualified clinicians participating in the first and second tier rosters.
The department’s resource persons are involved in newborn examination and
newborn resuscitation training and assessment. Consultants in the department
are involved as college examiners for the MRCPCH, DCH and START
assessments.
The neonatal service is situated adjacent to the Paediatric Unit consisting of a
40-bedded area. This is divided into a 16-bedded short stay, day-case triage
area and a 24-bedded in-patient area. The successful applicant will have
admitting rights to paediatric beds as required. There are 14 general
paediatric and subspecialty clinics weekly. Sub-specialty services provided
include diabetes, endocrinology, neurology/neurodisability, rheumatology and
respiratory.
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
The Posts
These are new Consultant posts created in line with recent cot expansion.
This is a Full Time post with 10 PA's.
Up to 2 supplemental PA’s may be available for Neonatal transport with the
West of Scotland transport service.
The post-holder will be expected to be resident on call on average one night
a week, on a tier 2 roster that runs on a 5 week cycle.
The successful applicant will join the existing team of 7 Consultants who work
in the Neonatal service and 12 consultants in acute and community
Paediatrics. You will have proportionate duties in the Consultant weekly
attending rota for NICU, HDU, SCBU and Transitional Care and a 1:10 on
call for weekends and weekdays. An outpatient clinic may be incorporated
into the post within the limits of available DCC. The post holder will also be
expected to contribute to the further development of Neonatal services in
Lanarkshire in line with local service requirement and the National agenda. A
specialty interest to complement those of Consultants already in post will be
welcomed. Current interests include Cardiology, BPD, Neurodevelopment
follow up, Nutrition, Neonatal Abstinence Syndrome and Medical Education
The acute paediatric and neonatal units are recognised by the Royal
Colleges for Post graduate Training. Medical Students from the Department
of Child Health at Edinburgh University have regular placements in the
Neonatal unit at Wishaw.
General
Provisions
You will be answerable to the Clinical Director, who will agree your job plan.
Health and
Safety
You are required to comply with NHS Lanarkshire Health and Safety
Policies.
Junior Medical
Staff
You will share responsibility for the training/supervision of the Junior Medical
staff who work in the team; however, you will not have responsibility for any
individual trainee. In addition, you will be expected to ensure that staff has
access to advice and counselling.
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
The following resources are available:Consultants
(Neonatology)
Dr S Ibhanesebhor
Dr C Delahunty
Dr R Abara
Dr S D Boyd
Dr C Manjunatha
Dr P Gopalakhishnan
Dr. A Opkapi
Dr. A Z Mathews
(Locum)
Vacant
Special Interest
Consultants (General
Paediatrics &
Community)
Dr L Agrawal
Dr M Callaghan
Dr G Cobb
Dr D Corrigan
Special Interest
Neonatology (Clinical Director)
50% Neonatology/General Paediatrics
70% Neonatology/General Paediatrics
Neonatology
Neonatology
Neonatology
Neonatology
Neonatology
General/Community Paediatrics
General Paediatrics/Neurology
Consultant Community Paediatrics
General Paediatrics/respiratory(Clinical Director,
Paediatrics)
Dr I Hunter
General Paediatrics/diabetes/endocrine
Dr C Lees
General Paediatrics/Neurodisability
Dr J Andrews
General Paediatrics/diabetes/asthma
Dr C Cunningham
General Paediatrics (Deputy CD, Paediatrics)
Dr A Sie
General Paediatrics
Dr K Bumke
General Paediatrics
Dr C Dryden
General Paediatrics
Dr E Jeffery
Consultant Community Paediatrician
Specialist Registrars on rotation from the West of
4
Scotland Training Scheme.
GPSTs
3
FHO
3
ANNPs
7
Secretarial Support:
WTE Secretary
Appropriate Secretarial support will be available for this
post.
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
DUTIES AND RESPONSIBILITIES
The post holder will have full time commitment to Neonatal medicine.
All consultant neonatologists with or without resident duties share between them full
responsibilities for the babies admitted to the Neonatal Unit.
We run an attending system with each baby having a named consultant Neonatologist to ensure a
clear line of communication for babies under their care. The named consultant has responsibilities
for decisions involving complex ethical and clinical management issues.
The main duties and responsibilities of the post will include:

Contribution to the daytime weekly attending rota for NICU, HDU, SCBU and Transitional
Care, during which time other clinical duties will be cancelled.

Day to day decisions about the clinical management of babies in the unit during their attending
week

Out of hours responsibilities as outlined above for resident night cover as applicable). The out
of hours cover 9pm until 9.30am is resident, with 1 junior doctor /ANNP working as first tier
grade. There will be another consultant as second non resident on call duty. Effort will be
made (as far as possible) to have experienced ANNPs on the shifts when the Consultant is
resident. The post contributes to the weekend attending/ non resident on call consultant cover

Provision of cover for Consultant colleagues during periods of leave. This will not involve you
in the on call or weekend cover (this will be shared on prospective cover basis by colleagues
who take part in the on call rota). The cover for colleagues may involve rearranging attending
weeks as required by the service as well as individual annual leave requirements etc.

Professional ‘on the job’ supervision and training of Junior Medical Staff and ANNP with no
named trainee educational responsibility.
 Responsibilities for carrying out teaching, accreditation and examination duties as required as
well as for contributing to postgraduate and personal continuing medical education.
 Responsibilities which relate to a special interest as agreed by the Directorate and Trust.
 Requirement to participate in medical audit, continuing medical education and Trust approved
research.

Managerial responsibilities where appropriate.

Participate in the annual consultant appraisal process.

Additional duties include joint responsibility for guideline development, antenatal counselling
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
and attendance at "obstetric high risk" meetings, and perinatal mortality/morbidity meetings
Work
Programme
As required under Section 3 of the Terms and Conditions of Service, the
duties and responsibilities are supported by a job plan and work
programme detailed as follows:
Job Planning/Programmed Activities
The job plan will be dependent on the successful candidate’s subspecialty
training and interests. A minimum of 1 SPA will be included in the job
plan. Additional SPAs (up to 2.5 in total) may be incorporated into the job
plan depending on the time required to support the successful candidate’s
professional activities and the needs of the service.
On taking up post a Job Plan will be agreed between the person appointed
and the Clinical Director/Associate Medical Director. The Job Plan will be
reviewed informally after 3 months in post and then again on a formal
basis after 6 months in post.
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
The following is an indicative timetable to demonstrate how the job plan (DCC/SPA
commitments) will be scheduled. As mentioned above, you will be expected to contribute to
tier 2 out of hours’ service and the shifts covered may depend on the service requirements.
The actual working pattern can be finalised at the job planning meeting and reviewed
regularly.
 Total 10 PA per week (split = 9DCC: 1SPA) Prospective cover.
 Total PAs 50 PAs in 5 weeks. SPA 5 PA’s
One resident night per week, no resident night on the week of attending but 2 nights in the
previous week (Nights may be clustered to suit service and individual needs).
In addition, other
 Reviewing new admissions.
activities not
 Discussing referrals, inpatient and outpatient with Colleagues
occurring at fixed
(daily).
times.
 Discussing management/investigation of patients with colleagues
in other appropriate Clinical Support Services
 Ward Referrals, discussing patient management/ reviewing
patients with doctors in training and Nursing Staff out with formal
ward rounds.
 Communicating with primary care, regarding outpatients’ results
etc.
 Vetting Fast Track clinic referrals/ allocating appointments (daily).
 CPD and Appraisal
 Audit
Review of the Job
Plans
This job plan is subject to review at least once a year by the post holder
and the Clinical Director/Clinical Lead as noted in the terms and
conditions. The procedures set out in the ‘Terms & Conditions of
Service’ must be followed if it is not possible to agree a job plan, either
initially or at an annual review.
Audit and
research
The successful candidate will be expected to participate in audit
processes and there is an active clinical audit department available to
assist. An interest in research will be supported with additional SPA
time if required and as agreed at the Job Plan Review by the Clinical
Director.
Continuing
Professional
Development
Study leave is available within the terms and conditions of service with
the approval of the Deputy Clinical Director/Clinical Lead.
The
appointee will be required to fulfill such demands for continuing
professional development as the Royal College of Paediatrics and Child
Health (or other relevant bodies) may make.
Honorary
Academic Status
If involved in undergraduate teaching status can be applied for.
Applications can be made via the Hospital Sub-dean and then to the
appropriate academic department within the University.
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
PERSON PROFILE
Attributes
Essential
Qualifications Medically qualified with MRCPCH
or equivalent.
Useful
Higher Degree
Current full registration with GMC
with a license to practice.
On
Specialist
Register
for
Neonates or within 6 months of
CCT or CESR (CP) at interview.
Training
Experience
Comprehensive general
neonatology
Experience in medical research
and audit.
Paediatric Speciality experience.
Neonatal Transport experience.
Paediatric Speciality experience.
Neonatal Transport experience.
Experience in undergraduate and
postgraduate medical education.
Other
Experience in protocol and
guideline development.
Ability to work in multi-disciplinary
team.
Flexible.
Excellent written and oral
communication skills
Ability to organise effectively.
If there is any reason why a disabled person
should not be considered suitable for this
post, please provide details:
Name
Designation
Date
The post requires physical dexterity.
Uncorrected visual or hearing defect would
be incompatible with the nature of the
work.
Prepared By:Approved By:Dr. Samuel Ibhanesebhor
Clinical Director
June 2014
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
TERMS AND CONDITIONS
a)
This appointment is offered on the Terms and Conditions of the new Consultant
Contract.
Additional NHS Lanarkshire Policies which support the Contract are listed below and are
available on request:





b)
Additional & External Duties
Fee –Paying Work in the New Consultant Contract
On-Call Availability and Payment of Supplement
Generic Objectives
Resident On-Call Duties
This appointment is superannuable under the NHS Superannuation Scheme, which
is contracted out of the State Earnings Related Pension Scheme (SERPS). New
employees commencing employment from 1 March 2013 onwards will automatically
be enrolled in the pension scheme and your remuneration will be subject to
deduction of superannuation contributions.
To opt-out, you must contact the Scottish Public Pensions Agency directly on Tel:
01896 893000. Should you choose to opt-out in accordance with these changes you
will be enrolled into the scheme again every 3 years (June 2016, 2019 etc) when the
same process will apply.
For further information on the benefits of the scheme, please contact an advisor of
The Scottish Public Pensions Agency (SPPA) Tel: 01896 893100, or download/view
a member’s guide at www.sppa.gov.uk/nhs/forms.htm.
c)
The employment is subject to 3 months’ notice on either side subject always to the
appeal and other provisions of paragraphs 10.4 & 10.5 of the Terms and Conditions of
Service of Hospital Medical and Dental Staff and Doctors in Public Health and the
Community Health Service Consultant Grade.
d)
Reimbursement of certain telephone charges may be payable on application to NHS
Lanarkshire. The successful candidate must be contactable throughout any on-call
period.
e)
The successful candidate, if not already employed by the NHS Lanarkshire, will be
required to complete a medical questionnaire to obtain medical clearance from the
Occupational Health Physician.
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
f)
The successful candidate will be required to complete a disclosure Scotland PVG
(Protecting Vulnerable Groups Scheme) form. No approach will be made without
written permission of the successful applicant who will be asked to sign and complete a
Disclosure PVG application, giving authorization for the check to be undertaken.
g)
NHS Lanarkshire does not negotiate salary placements. On commencement the salary
will be in line with paragraph 5.1 of the terms and conditions of the new consultant
contract. Appointees start on the scale minimum except in the circumstances of
paragraphs 5.1.2 – 5.1.7 of the terms and conditions of service.
h)
From 1st April 2014 the starting salary for the post is £76,001 per annum (based on 10
Programmed Activities per week). The successful candidate’s total salary will be
dependent on his/her previous service history. Remuneration for any extra
programmed activities will be dependent upon the job plan agreed at the time of
appointment.
i)
Dependent upon present place of residence, NHS Lanarkshire may require the
successful candidate to undertake to remove home to a distance acceptable to NHS
Lanarkshire, normally within 10 miles of the base Hospital, in which case removal
expenses will be payable in accordance with NHS Lanarkshire Policy. In some cases,
however, a residence more than 10 miles distant from the base hospital will be
acceptable and in this case removal expenses will be subject to the prior approval of
the Associate Medical Director for such a residence. The position will be made clear to
the successful candidate on application
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
DECLARATIONS/CONVICTIONS STATEMENT
The following should be used when completing DECLARATIONS/ CONVICTIONS within the
application pack.
Registration with the General Medical Council or General Dental Council imposes on doctors
and dentists the duty to provide a good standard of medical care and to behave appropriately,
towards patients. NHS Employees also have a duty to ensure that patients receive a good
standard of medical care and ensure as far as possible the safety of patients. We therefore
need to establish if you have been found guilty of a criminal offence, been bound over or
cautioned or are currently the subject of proceedings which might lead to a conviction, an order
binding you over or a caution, in the UK or any other country.
Applications for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974.
Application forms will include a declaration for applicants to complete declaring any previous or
pending prosecutions or convictions, including those considered “spent” under the Act. Forms
will also include a declaration of any cautions or bind overs.
We also need to establish if you have been the subject of any fitness to practise proceedings in
the past, or if any fitness to practise proceedings are being contemplated, by a licensing or
regulatory body in the UK or another country and this is also reflected in the declaration.
This information will be treated in confidence and will not debar you from appointment unless
the selection panel considers that it renders you unsuitable for appointment. In reaching such a
decision we will consider the nature of the conviction/action, how long ago it took place and any
other factors which may be relevant
Failure to disclose a criminal offence, having been bound over or cautioned or that you are
currently the subject of criminal proceedings, which might lead to a conviction, an order binding
you over a caution, or fitness to practice proceedings undertaken or being undertaken by an
appropriate licensing or regulatory body, may disqualify you from appointment, or result in
summary dismissal/disciplinary action and referral to the General Medical Council (General
Dental Council) for consideration if such a discrepancy came to light.
If you would like to discuss what effect any previous convictions, police investigations or fitness
to practice proceedings taken or being taken either in the UK or by an overseas licensing or
regulatory body might have on your application, you may telephone: Marlene Fraser (01698)
377752 in confidence, for advice.
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
IMMIGRATION
Overseas
Doctors and
Dentists
Changes to
Immigration
Impact of
Change
Further
Information
For the purpose of immigration status, overseas doctors and dentists are
those who, regardless of where they obtain their primary medical/dental
qualification, are not nationals of the European Economic Area (EEA). A
list of EEA countries is attached.
On 7th March 2006 the Department of Health announced changes to the
immigration rules for postgraduate doctors and dentists. The changes
came into effect on 3rd April 2006 and mean that all doctors and dentists
who wish to work in the UK from outside the EEA will need to meet the
requirements of an employment category such as the work permit
provisions. New applications for permit-free training visas will no longer
be granted for doctors undertaking training posts
Non-EEA doctors and dentists will still be able to come and train in the
UK and are still eligible to apply, in open competition for training posts
provided all the other eligibility criteria is met. However, training posts
will now be considered employment for immigration purposes. Work
permits will only be issued where there is a specific post for the
overseas doctors that cannot be filled by someone from the EEA.
The changes in immigration requirements for trainee doctors and
dentists are a result of a Scottish Executive Health Department
announcement and immigration issues are the remit of the Home Office.
Clarification and further information can be accessed from the following:Home Office
Work Permits
EEA Countries
www.ind.homeoffice.gov.uk
www.ukba.homeoffice.gov.uk/workingintheuk/
Austria
Greece
The Netherlands
Belgium
Hungary
Norway
Bulgaria
Iceland
Poland
Cyprus
Republic of Ireland Portugal
Czech Republic
Italy
Romania
Denmark
Latvia
Slovakia
Estonia
Liechtenstein
Slovenia
Finland
Lithuania
Spain
France
Luxembourg
Sweden
Germany
Malta
UK
NB – Switzerland is not in the EEA, Swiss Nationals have the same
rights as EEA nationals.
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
Dr X
Neonatal unit, WGH
Contract: Full time (10 PAs)
Availability supplement: Level 1
Premium rate payment: (3%)
Managerially Accountable to (Clinical Director Women’s Services)
Resident/Hybrid consultant’s job plan
DCC(
per
Week)
DCC
per
year
Attending
weeks( Per
Year)
SCBU(
Per
year)
Weekends
( Per year)
SPA
per
week
SPA
Per
year
9
378
5
See
table
below
52
weeks
6
1.0
42
Total
52 attending
weeks
52 weekends
SCBU cover table
SCBU
SCBU
per
allocation
attending
weeks
5 x 4= 20
5x 5 = 25
Uncovered To cover
SCBU
days per
attending
week
5 (1 day
per week)
SCBU cover
 Offers a 5 day week consultant led cover
 SCBU cover linked to attending week for non resident consultants
 The resident consultants will offer SCBU cover 4 days and the outstanding full day
shift over the 15 weeks will be covered by Dr D
Calculations for 42 weeks considering 6 weeks of Annual Leave, 2 weeks of Study Leave and 2
weeks of (10 days) public Holidays.
DCC 9 x 42 = 378
Resident on call with prospective cover with other consultant:
52 x 4 = 208 PA
NICU attending: 10 PA x 5 weeks= 50 sessions
NHS Lanarkshire – Information Pack
POSITION: Consultant Neonatologist
SCBU attending: 0.8 x 10PA x 5weeks = 40 sessions + 5 sessions per year based on
contribution for non resident consultant SCBU cover
Weekends attending: 6 x 6 weekend = 36 sessions
Patient related Correspondence: 1 session per weeks x 42 weeks = 42 sessions
Total DCC: 381 sessions
SPA 1 x 42 sessions = 42 sessions
Total number of sessions per year 423 sessions = 10 sessions per week.
Working arrangement:






An average 1 night per week with prospective care (52 nights per year).
5 weeks of NICU and 5weeks of SCBU (4 day per week) per year and contribute further
2 and half days per year SCBU cover
6 weekend cover per year
No outpatient clinics.
Time allocated in the roster for patient related correspondence will form part of direct
clinical care
Time allocation for SPA would be in the ratio of 9:1 DCC: SPA
Total contribution from 3 resident consultants in equal ratio

15 NICU attending weeks ( 5 day/ week)

15 SCBU weeks (4 day/ week) + 7 and half days SCBU cover per year (deficit from Dr)
equivalent of 5 sessions per year for each of the 3 resident consultants

18 weekends (Saturday and Sunday)