STR LOCUM APPOINTMENT
FOR TRAINING
(LAT)/CLINICAL FELLOW
PAEDIATRICS
ROYAL HOSPITAL FOR
CHILDREN, GLASGOW
INFORMATION PACK
REF: 40071D
CLOSING DATE: NOON ON 27TH NOVEMBER 2015
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
POST: StR LOCUM APPOINTMENT FOR TRAINING (LAT) OR CLINICAL
FELLOW IN PAEDIATRICS
BASE: ROYAL HOSPITAL FOR CHILDREN, GLASGOW
Applications are invited for posts based in the Paediatric services within Glasgow
from Feb 2016. We have of opportunities available within Paediatrics and
Neonatology. Our neonatal posts can offer extremely broad clinical experience
including management of extreme preterm infants and newborns with complex
problems requiring surgical services, cardiac services, renal support therapy and
ECMO. Paediatric placements may include general paediatrics, critical care or
possibly some subspecialty exposure (eg Oncology).
These posts provide interesting clinical experience suitable for trainees who already
have some Paediatric experience. We will consider LAT appointments at the ST level
commensurate with your MRCPCH progress and past training experience. We will
also consider Clinical Fellow appointments for individuals who do not fulfil the
requirements for a LAT post but who can demonstrate the clinical skills to undertake
the duties of the posts. Applicants will also be considered for any other vacancies
that arise prior to the interview date.
Immigration regulations require us to first offer these posts to suitably
qualified EEA nationals but we would encourage any interested individuals
from outside the EEA to indicate their interest and submit an application.
The Postgraduate Dean confirms that these placements and/or programmes have
the required educational and Dean’s approval.
To practice medicine in the UK you need to hold both GMC registration and a licence
to practise.
NHS GREATER GLASGOW & CLYDE
WOMEN’S & CHILDREN’S DIVISION
Paediatric Str LAT (or Clinical Fellow)
Royal Hospital for Children, Glasgow
INFORMATION PACK
BRIEF DESCRIPTION OF HOSPITALS AND DEPARTMENTS
ROYAL HOSPITAL FOR CHILDREN (RHC)
The RHC is a comprehensive Children's Hospital serving the West of
Scotland with a national and international reference function. It is a teaching
hospital of the Faculty of Medicine of the University of Glasgow. It is a new
build facility opened in June 2015 with state of the art facilities and co-located
with a regional maternity unit and comprehensive adult services at the Queen
Elizabeth University Hospital.
The RHC is the largest paediatric teaching hospital in Scotland. It provides
care, not only for children resident within Greater Glasgow, but is also a
tertiary referral centre for children from the West of Scotland and, in some
sub-specialties, from the whole of Scotland.
The RHC is co-located with a regional maternity unit (including fetal medicine
service) and NICU with 16 ICU cots, 14 HDU cots and 24 SCBU cots. All
paediatric medical and surgical subspecialties are represented in RCH,
including general medical paediatrics, cardiology, neonatology, neurology,
nephrology, respiratory medicine, endocrinology, gastroenterology,
immunology and infectious diseases, haematology/oncology, dermatology,
audiology, ophthalmology, ENT surgery, orthopaedics and general paediatric
and neonatal surgery.
The hospital provides the Scottish national ECMO service for paediatric and
neonatal patients. It is the centre for all paediatric cardiac surgery and the
majority of the Paediatric Intensive Care for Scotland.
The hospital is the base teaching hospital for postgraduate paediatric training
in the West of Scotland. Paediatric training is provided in the following areas:
Neonatology (level 3 units), Intensive Care, Cardiology, Haemato-oncology,
Gastroenterology, Neurology, Respiratory Medicine, Rheumatology,
Endocrinology & Diabetes, Nephrology and Infectious Disease/Immunology.
General Paediatric training is provided between this hospital and the local
district general hospitals (including Royal Alexandra Hospital).
The hospital provides the major Undergraduate Paediatric Teaching facility for
the University of Glasgow.
RHC-based training placements
During the first two years of Paediatric ST training the RHC placements focus
on delivering confidence and competence in the management of acute
Paediatric problems and the placements during that period of training are
focus on General Paediatrics and Paediatric Emergency Medicine. In addition
trainees undertake Neonatal first on-call placements during these two years.
The RCH offers placements for more experienced trainees in Neonatal
Intensive Care, Paediatric Critical Care or in Paediatric subspecialties. Two
subspecialties (Cardiology and Oncology) have separate subspecialty out-ofhours rotas whilst the other subspecialty placements (Neurology, Respiratory
Medicine, Rheumatology, ID/Immunology, Nephrology, Gastroenterology,
Diabetes & Endocrinology & Community Child Health) have out-of-hours
duties in acute general paediatrics.
The Royal Hospital for Children Neonatal Service
Royal Hospital for Sick Children houses the inpatient facilities of all the major
paediatric subspecialties. This is one of the largest neonatal units in the
country with 30 ICU/DHU cots and 24 SCBU cots. The workload for the
neonatal unit involves the management of newborn children with surgical and
cardiac conditions as well as those requiring input from the paediatric
subspecialty services based on the RCH site. The maternity unit delivers
around 6,000 births/year and contains the Ian Donald Fetal Medicine Unit
which provides diagnostic and interventional fetal therapy for Scotland. All
neonatal intensive care is provided on this site including neonatal cardiology
for all of Scotland, the Scottish neonatal ECMO service (one of four centres in
the U.K.), a U.K. national intervention service for Vein of Galen aneurysms,
renal support therapy, complex airway surgery and comprehensive neonatal
surgical services. Newborns are transferred to this unit from across Scotland
because of the specialist services offered on this site. Due to the size and
complexity of the clinical service there is a consultant available on-site at all
times. Consequently the unit can provide a breadth of neonatal clinical
experience and trainee support that is unrivalled in the U.K.
The Royal Hospital for Sick Children: Paediatric Cardiology
The hospital provides the national paediatric cardiac centre for Scotland,
serving a population of 5.5 million and undertaking all types of cardiac surgery
and catheter intervention with the exception of cardiac transplantation and
hypoplastic left heart syndrome surgery. Trainees are involved in the
preoperative preparation of patients undergoing elective cardiac procedures
as well as the ward based post operative management. They contribute to the
daily PICU cardiac ward round, learning more about the ward/PICU
interactions. There is also regular involvement in the assessment of infants
referred into the neonatal unit with cardiac condition. There are regular out
patient clinic commitments and also the opportunity to learn
echocardiography, through a weekly dedicated echo session under the
supervision of a senior cardiac physiologist, and attendance at our 4 day
paediatric echocardiography course. There is a fully functioning Cardiac
Catheterisation Laboratory with diagnostic and interventional procedures
undertaken on a regular basis. There will be a 1:5 out-of-hours commitment
responsible for first line management of the Paediatric Cardiology patients
between 09.00 and 21.30 (after 21:30 this cover is provided by the Hospital At
Night team).
The Royal Hospital for Sick Children: Paediatric Intensive Care Unit
The Critical Care department manages 16 intensive care and 6 high
dependency beds. The specialist and general intensive care provided reflects
the comprehensive tertiary medical and surgical specialties and the major
emergency and acute receiving services provided by the hospital. The unit
supports the Scottish paediatric cardiac surgery, invasive cardiology and
ECMO services which are based here. Consequently the management of
cardiac patients forms a significant percentage of PICU workload and
experience.
A transport and retrieval service supports critically ill children presenting to
other hospitals. The transport and retrieval service is distinctive as it covers
both the densely populated central belt as well as the remote and sparsely
populated areas of Scotland. Air transport by helicopter or fixed wing aircraft
is used to access these areas.
The Paediatric Intensive Care has been equipped to a very high level with
paperless clinical information and prescribing system, PACS radiology system
and state of the art monitoring.
The High Dependency Unit is managed as an integrated part of the critical
care service. A variety of patients are admitted to this area including acute
medical, post operative care and intensive care ‘step down’ patients.
There are 12 junior medical staff employed in the unit. Staff members are
allocated to ‘senior’ and ‘junior’ groups based on previous intensive care
experience. All staff work full shifts. The experienced group staff the retrieval
service and are expected to take a supervisory role within the unit.
The unit has six full time intensive care consultants with a mix of paediatric
and anaesthetic backgrounds. A number of formal teaching sessions and
other learning opportunities are held every week. These include a weekly
‘grand round’; radiology meeting; protected teaching session; departmental
CME session; and a cardiac liaison meeting. Other meetings and teaching
sessions are held regularly in other departments throughout the hospital. The
junior medical staff have access to high quality computer, office and changing
facilities within the intensive care unit. There are full opportunities for clinical
research and access to laboratory facilities can be arranged as required.
ROYAL ALEXANDRA HOSPITAL, PAISLEY: PAEDIATRIC DEPARTMENT
The Royal Alexandria Hospital (RAH) is a large district general hospital within
Greater Glasgow & Clyde. It is located about 10 miles from the Children’s
Hospital and has a 31-bed general paediatric ward dealing with medical and
surgical paediatric patients. There are approximately 2,000 medical
admissions per annum. Close to the ward is the paediatric outpatient clinic
(general paediatrics, diabetes, cystic fibrosis, neuro-developmental, neonatal
follow up).
The maternity hospital is on the same site and there are 2,500 deliveries each
year. The SCBU has 3 intensive care and 10 special care cots. Argyll &
Clyde community child health services are based at the Panda Centre
(Hawkhead Hospital) and Acorn Centre (Vale of Leven Hospital). Trainees
based in these units contribute to the RAH acute out-of-hours cover.
ROTAS
Rota details vary according to the individual placement. All first on-call posts are
supported by 24 hour on-site middle-grade cover. The placement involves full shift
working on a band 1A New Deal and EWT compliant rota. Day shifts typically start at
08:30. We are constantly endeavouring to improve service delivery and working
patterns and in view of this, both hours of work and banding payments may be
subject to change. An offer of employment may not reflect the current banding. This
post involves duties in both the Royal Hospital for Sick Children Neonatal Unit and
the Southern General Neonatal Unit; the two departments are about 4 miles apart
connected by an express road link.
TEACHING
There are occasional undergraduate teaching commitments
STUDY AND TRAINING
Study Leave within United Kingdom will be in accordance with the Terms and
Conditions of Service and application should be submitted to the relevant Clinical
Director. The Postgraduate Tutor for the RHSC complex is Prof R Carachi. There is
good medical library within RHSC and extensive library facilities in Glasgow.
POSTGRADUATE MEDICAL EDUCATION COURSES AVAILABLE LOCALLY
There are frequent lectures within the University of Glasgow and the Royal College of
Physicians and Surgeons of Glasgow relevant to postgraduate medical education.
Special courses and seminars are arranged within the hospital from time to time.
Formal in-post training within the hospital is arranged by the Medical division, by the
postgraduate Tutor and by the Medical Staff Association.
There is a strong educational and training focus within the department and trainee
feedback both locally and through the GMC trainees’ survey is very positive.
RESEARCH OPPORTUNITIES
There are opportunities for clinical research and include laboratory and animal
facilities if required. Any research protocol must first be agreed by the Hospital
Ethical Committee before it can be instituted.
OTHER FACILITIES
The city of Glasgow is excellent for shopping and recreation. The recreational
facilities in the surrounding country are outstanding (golf, sailing, fishing, hill walking,
mountain climbing, canoeing, skiing etc)
DETAILS OF ARRANGEMENTS FOR APPLICANTS TO VISIT HOSPITAL(S)
Shortlisted candidates may make arrangements to visit relevant hospitals. If
candidates on their own initiative have visited prior to short-listing, they will only be
allowed expenses for that prior visit if they are subsequently short-listed. When it is
thought that there will be difficulty in filling the post, the Director of Human Resources
has the authority to approve a second visit.
TERMS AND CONDITIONS OF SERVICE
The appointment is full time. There is a limited supply of single accommodation
available but we cannot guarantee such accommodation to any individual applicant.
Terms and conditions of service for hospital medical and dental staff (Scotland) and
General Whitley Council conditions of service apply where appropriate. The salary
scale is as per national pay conditions.
MEDICAL NEGLIGENCE
In terms of NHS Circular 1989(PSC)32 dealing with Medical Negligence, the Trust
does not require you to subscribe to a Medical Defence Organisation. The Trust will
indemnify you under the Crown Indemnity Scheme for all work carried out for the
Trust. It may however be in your interest to subscribe to a defence body in order to
ensure that you are covered for any work that does not fall within the scope of the
indemnity scheme.
HOURS OF WORK
In terms of paragraph 111b of the Terms and Conditions of Service, you shall not
undertake locum medical or dental work for any other employer where such work
would cause your average contracted hours to breach the controls as set out in
paragraph 20, i.e. on-call rota - 72 hours/week, partial shifts - 64 hours/week, full
shifts - 56 hours/week.
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
Fixed Term
GRADE AND SALARY
StR LAT/Clinical Fellow
If appointed as a StR (Locum Appointment for Training) the salary range will
be £30,605 to £48,123 per annum (pro rata)
If appointed as a Clinical Fellow the salary range will be £30,605 to £48,123
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 40.00
SUPERANNUATION
New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but
under seventy five will be enrolled automatically into membership of the NHS
Pension Scheme. Should you choose to "opt out" arrangements can be made
to do this via: www.sppa.gov.uk
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.
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 no 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 one 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
Register for Job Alerts at: www.medicaljobs.scot.nhs.uk
Applicants wishing further information about the post are invited to contact Dr. Peter
Macdonald on 0141 201 2259 with 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, 1st Floor
Modular Building, Gartnavel Royal Hospital
1055 Great Western Road
GLASGOW
G12 0XH
CLOSING DATE
The closing Date will be noon 27th November 2015