INTERNATIONAL MEDICAL
TRAINING FELLOWSHIPS
POST A: PAEDIATRIC CRITICAL CARE
POST B: PAEDIATRIC ONCOLOGY
POST C: NEONATOLOGY
NHS GREATER GLASGOW &
CLYDE
INFORMATION PACK
REF: 36902D
CLOSING DATE: NOON 31ST MARCH 2015
www.nhsggc.org.uk/medicaljobs
As you may be aware, the new South Glasgow University Hospital and new
Royal Hospital for Sick Children are due to open on the current Southern site
early in 2015.
With this in mind, please note that positions based within the Victoria
Infirmary, Mansionhouse Unit, the Western Infirmary and the current Royal
Hospital for Sick Children at Yorkhill will change location and move to the new
hospitals.
Gartnavel General Hospital and Glasgow Royal Infirmary will also have some
services affected by moves to the new Hospitals.
These changes mean your base may change after joining us and you will be
informed as soon as possible prior to any change of base.
SUMMARY INFORMATION RELATING TO THIS POSITION
POST: INTERNATIONAL MEDICAL TRAINING FELLOWSHIPS
BASE: NHS GREATER GLASGOW & CLYDE
The Scottish International Medical Training Fellowships offer unique
opportunity to develop and share your skills with other motivated doctors as
part of an internationally renowned service. The posts are designed for
doctors who have completed or are close to completing training and allow you
to experience working within the highly regarded NHS while furthering your
own expertise. Working under the supervision of experienced trainers within
NHS Scotland in key clinical areas, the International Fellowship posts offer
exciting opportunities to gain experience and develop specialist interests
following completion of formal training. Nationally agreed educational
components of the post allow applicants to agree relevant and beneficial
educational outcomes, after appointment. Opportunities are available in the
following specialties: Anaesthesia, Emergency Medicine, Critical Care,
Paediatrics, Critical Care, Acute Medicine, Respiratory Medicine, Infectious
Diseases, Oncology, Neonatology, Paediatrics, Paediatric Oncology,
Addiction Services, Learning Difficulties Psychiatry, Transplant Surgery,
Colorectal Surgery, Maxillofacial Surgery, Plastic Surgery, Vascular Surgery
amd Pelvic Floor Surgery. Interested and want to know more? To find out
more about Scotland, and what it can offer as a place of work, stay and visit
go to http://www.scotland.org the official gateway to Scotland
Job Description for Senior MTI Programme in Paediatric Critical Care (Post A)
West of Scotland Deanery: based in NHS Greater Glasgow & Clyde
Outline of programme:
This two year rotational post is designed to offer senior IPTS Fellows a robust
training in Paediatric Critical Care. The rotation will provide 12 months of experience
in the Paediatric Intensive Care Unit at Royal Hospital For Sick Children, Glasgow.
The other 12 months offers placements in some of the following areas: Paediatric
Cardiology, Neonatology, General Paediatrics and possibly Critical Care Retrieval
Medicine. There may be an option to spend up to a further 6 months in Intensive
Care (total 18 months out of 24 months).
The IPTS trainee will be expected to undertake APLS and Child Protection training
during the first six-months of the programme.
Supervisors: Dr Andrew McIntyre, Dr Trevor Richens, Dr Lesley Nairn, Dr C Lilley
Departmental Information:
The Royal Hospital for Sick Children, Glasgow, 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.
There is a complement of 348 beds, which includes 24 neonatal surgery cots. All
paediatric medical and surgical subspecialties are represented, including general
medical paediatrics, cardiology, neonatology, neurology, nephrology, respiratory
medicine, endocrinology, gastroenterology, immunology and infectious diseases,
dermatology, haematology/oncology, audiology, ophthalmology, ENT surgery,
orthopaedics and general paediatric and neonatal surgery. The hospital provides the
Scottish national ECMO service, is the centre for all paediatric cardiac surgery and
the majority of the Paediatric Intensive care for Scotland
The hospital provides the major Undergraduate Paediatric Teaching facility for the
University of Glasgow and accommodates all or part of the University Departments of
Child Health, Child and Adolescent Psychiatry, Medical Genetics, Human Nutrition,
Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery.
Activity / Workload:
Paediatric Intensive Care Unit
The Critical Care department at Yorkhill 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 at Yorkhill. 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.
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. Consequently the management of cardiac patients forms a
significant percentage of PICU workload and experience.
General Paediatrics at Royal Alexandra Hospital, Paisley
The Royal Alexandra Hospital in Paisley is a large modern district general hospital of
830 beds offering a wide range of services to the population of 220,000. It has
excellent post graduate facilities. There is a 7-bed short stay area and 24-bed
children's ward admitting both medical and surgical patients. Nurse-led planned
investigation clinics are in place and development of paediatric and neonatal nurse
practitioners is ongoing. Ambulatory services and community children’s nursing
services are well developed. The newly refurbished neonatal intensive care unit
comprises 20 cots including 4 intensive care cots. There are 3,500 deliveries
annually.
The Princess Royal Maternity Neonatal Unit
The Princess Royal Maternity (PRM) is a modern purpose built specialist tertiary
Neonatal and Maternity unit on the site of Glasgow Royal Infirmary The integrated
on-site service includes an active Fetal Medicine Unit and a tertiary referral unit
delivering expert care for maternal illness. The Neonatal Unit currently consists of 10
Intensive Care cots and has 23 cots for infants requiring High Dependency or Special
Care but is due to increase capacity at the beginning of 2010 with the opening of a
transitional care unit.
Clinical Training and Responsibilities:
Paediatric Intensive Care Unit
The Paediatric Intensive Care and High Dependency Units occupy new built facilities
that are 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. The department will offer broad training
in Paediatric Intensive Care including exposure to a comprehensive range of
paediatric medical conditions, post-operative surgical care and cardiac intensive
care. Management of these patients is supported by full on-site renal support and
both neonatal and paediatric ECMO support.
Paediatric Cardiology
During a six month attachment we would expect the trainee to take part in the
preoperative preparation of patients undergoing elective cardiac procedures as well
as the ward based post operative management. They would contribute to the daily
PICU cardiac ward round, learning more about the ward/PICU interactions and where
appropriate be involved in managing cardiac problems on PICU. To improve
understanding there will be a weekly out patient clinic commitment. The attachment
would also provide an opportunity for the trainee 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.
Royal Alexandra Hospital, Paisley
The child health service is integrated with secondary and tertiary care services in the
Royal Hospital for Sick Children. Trainees will be exposed to both in-patient
paediatric care and out-patient work with opportunities for consultant discsussion and
feedback on cases seen in out-patients. There are managed clinical networks in
nephrology, neurology, epilepsy and endocrinology in place with further
developments planned in gastroenterology rheumatology and diabetes. Outreach
clinics are held in genetics.
The Princess Royal Maternity Neonatal Unit
The busy Intensive Care Unit provides training in a full range of neonatal intensive
care including the latest means of respiratory support and monitoring including
inhaled nitric oxide and therapeutic neonatal hypothermia. There are six out-patient
clinics per week, five of which are Consultant led, the remainder led by an Associate
Specialist. The associate specialist leads the dedicated developmental team and
follow-up. There is a well organised and comprehensive teaching programme
available to all junior staff. There are weekly joint obstetric and neonatal high risk
meetings and bimonthly perinatal morbidity and mortality meeting with regular
external educational meetings accessed by telemedicine, The Department is
academically active, with established links with the department of Vision Sciences
Glasgow Caledonian University and is actively involved in original and multicentre
clinical research projects.
Non-Clinical Training and Responsibilities:
There are 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 Intensive Care Department provides and intensive two week
induction programme at the beginning of every six month placement. 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. Trainees may also have access to
teaching opportunities within the hospital in all other Paediatric subspecialties.
Particular Training Opportunities:
This rotation is specifically designed to offer trainees a comprehensive training
package in paediatric critical care. The post is largely based in a very busy paediatric
intensive care unit providing a full range of support therapies some of which are only
available in a small number of U.K. teaching hospitals. The rotation is also designed
to allow a degree of tailoring of placements to meet the needs of individual trainees.
Rota arrangements:
The rotas undergo constant review but are all European Working Time Directive
compliant full-shift rotas.
Paediatric Intensive Care Unit: 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 trainees work full shifts. The experienced group staff
the retrieval service and are expected to take a supervisory role within the unit. Out
of hours work is dedicated to the intensive care unit and involves 7 nights and 7
long/late day shifts every 6 weeks. Band 1A supplement.
Paediatric Cardiology: Out of hours work is dedicated to the Cardiology department
and involves 7 long/late day shifts every 5 weeks but no night shift duties. Trainees
will be responsible for first line management of the Paediatric Cardiology patients
between 09.00 and 21.30. Band 1B supplement.
Royal Alexandra Hospital, Paisley: Out of hours cover is shared by nine trainees
plus some input from Staff Grade & Specialty Doctors. There are two doctors on duty
during the evening with separate responsibility for neonatal and paediatric cover but
one individual is responsible for both areas overnight. Band 1A supplement
The Princess Royal Maternity Neonatal Unit
European Working Time Directive compliant full-shift rota and attracting a band 1A
salary supplement.
Links
This post consists of multiple placements that are already linked in a rotation.
Study Leave
Study leave is available for up to 30 days per annum on the same conditions as
apply to the Paediatric ST trainees
Salary
Salary is paid on the Specialty Registrar salary scale. Starting point on this scale will
be dependent on previous experience but is likely to be at ST3 level.
Job Description for Senior IPTS Programme in Paediatric Oncology (Post B)
West of Scotland Deanery: based in NHS Greater Glasgow & Clyde
Outline of programme:
This one year post, with the possibility of extension for second year, is designed to
offer senior IPTS Fellows a robust training in Paediatric Oncology. The rotation will
provide up to 24 months of experience in the Paediatric Haematology/Oncology Unit
at Royal Hospital For Sick Children, Glasgow. There is the option of having a 6
month placement in Paediatric Intensive Care or General Paediatrics if either of
these would be appropriate for the individual trainee’s training needs.
The placement Haematology/Oncology involves working on a dedicated subspecialty
rota providing first-line out-of-hours cover to this department.
The IPTS trainee will be expected to undertake APLS and Child Protection training
during the first 6 months of the programme if not already completed.
Supervisors: Dr Milind Ronghe
Departmental Information:
The Royal Hospital for Sick Children, Glasgow, 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.
There is a complement of 348 beds, which includes 24 neonatal surgery cots. All
paediatric medical and surgical subspecialties are represented, including general
medical paediatrics, cardiology, neonatology, neurology, nephrology, respiratory
medicine, endocrinology, gastroenterology, immunology and infectious diseases,
dermatology, haematology/oncology, audiology, ophthalmology, ENT surgery,
orthopaedics and general paediatric and neonatal surgery. The hospital’s intensive
care unit provides the majority of the Paediatric Intensive care for Scotland
The hospital provides the major Undergraduate Paediatric Teaching facility for the
University of Glasgow and accommodates all or part of the University Departments of
Child Health, Child and Adolescent Psychiatry, Medical Genetics, Human Nutrition,
Paediatric Pathology, Paediatric Biochemistry and Paediatric Surgery.
Activity / Workload:
Clinical Haematology/Oncology
The department provides care for children with leukaemia, solid tumours, bleeding
disorders and a range of benign haematological conditions from the West of
Scotland. The department houses the National Allogeneic Bone Marrow Transplant
Unit and is the Regional Paediatric Haemophilia Centre. A refurbished
Haematology/Oncology Unit (Schiehallion Ward) opened in 1996. It has 22 inpatient
beds, of which 15 are single cubicles and 2 laminar air flow cubicles for BMT.
There is a newly refurbished comprehensive Day Care facility with consulting rooms
and 6 day care beds. The cancer service treats approximately 75 new patients
annually, of whom 45-50 patients have solid tumours. The hospital is a UK CCLG
Centre and eligible patients are entered into appropriate CCLG or MRC protocols.
Paediatric Neurosurgery is at the Institute of Neurosurgical Sciences, Southern
General Hospital, provided by dedicated Paediatric Neurosurgoens. Radiotherapy
facilities are at the nearby Beatson Oncology Centre, Gartnavel Hospital, where there
is a full range of megavoltage linerar accelerators with CT planning and
brachythearpy services.
There is access to shielded cubicles for targeted
radiotherapy, including therapeutic MIBG.
There are 4 Consultant Haematologists, including one Locum and 3 Consultant
Oncologists. There is also 1 Associate Specialist and 3 Staff Grades.
There is a well structured induction programme supported by numerous
training/educational opportunities during the week.
Monday
Am
Tuesday
Wednesday
Thursday
Friday
10:00
Leukaemia
Clinic
10:00
08:30
Haemostasis
Chemotherapy
08:45
Radiology
Meeting
Clinic
Prescribing (SpR)
10:00-12:00
BMT Clinic
(monthly)
10:00
Leukaemia Offtreatment Clinic
every 2nd week
Lunch
time
13:0013:30
Pm
12:30
Molecular
Meetings
12:00
Departmental
Educational
Meeting
Handover
Handover
Handover
Handover
15:0016:00 Ontreatment
Meeting
(oncology)
Theatre
List
Haematology
Haematology Clinic
Oncology
Clinic
16:00
Tumour Board
Handover
Paediatric Intensive Care Unit (optional):
The Critical Care department at Yorkhill 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 at Yorkhill. 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.
General Paediatrics at Royal Alexandra Hospital, Paisley (optional):
The Royal Alexandra Hospital in Paisley is a large modern district general hospital of
830 beds offering a wide range of services to the population of 220,000. It has
excellent post graduate facilities. There is a 7-bed short stay area and 24-bed
children's ward admitting both medical and surgical patients. Nurse-led planned
investigation clinics are in place and development of paediatric and neonatal nurse
practitioners is ongoing. Ambulatory services and community children’s nursing
services are well developed. The newly refurbished neonatal intensive care unit
comprises 20 cots including 4 intensive care cots. There are 3,500 deliveries
annually.
Clinical Training and Responsibilities:
Clinical Haematology/Oncology
Trainees are based on the Haemato-Oncology ward and spend time equally split
between the two arms of this service. There is a substantial out-patient and day-care
workload and trainees will also be involved in the management of these children on a
day- to-day basis. Due to the nature of the underlying disease some of these children
will become critically ill and may require admission to intensive care for respiratory or
renal support. Trainees will be expected to maintain some involvement with such
patients.
Other duties involved include:
1.
Supervision of daily FY ward rounds, whenever possible undertaking the ward
round with other middle grades
2.
Attending Outpatient Clinic
3.
Assessing blood films, reporting marrows and cytospins in the laboratory.
4.
Prescription and co-ordination of chemotherapy
5.
Weekly morphology teaching for the middle grades.
6.
Organising Wednesday lunchtime teaching sessions for the middle grades
7.
Cover for Haemophilia Unit during office hours.
8.
Immediate assessment and initial treatment of any unwell patients and
keeping patient’s consultant informed of any acute events.
9.
Discharge summaries (in conjunction with the middle grades).
10.
Providing advice and seeing referrals from other wards in the hospital (in
conjunction with the Duty Consultant).
11.
As part of Good Clinical Practice (GCP) it is essential to report any Serious
Adverse Event immediately (no later than within 24hrs of event occurring. A
tutorial on GCP and reporting SAEs and other toxic events will be given within
the first few weeks of the job
12.
Liaising with colleagues from other specialities including paediatric and
neurosurgeons, pathologists, radiotherapists and shared care centre
13.
14.
Counselling and supporting parents
Administration of intratheccal chemotherapy; doing bone marrow aspirations
and trephine and bone marrow harvesting
Paediatric Intensive Care Unit (optional):
The Paediatric Intensive Care and High Dependency Units occupy new built facilities
that are 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. The department will offer broad training
in Paediatric Intensive Care including exposure to a comprehensive range of
paediatric medical conditions, post-operative surgical care and cardiac intensive
care. Management of these patients is supported by full on-site renal support and
both neonatal and paediatric ECMO support.
Royal Alexandra Hospital, Paisley (optional):
The child health service is integrated with secondary and tertiary care services in the
Royal Hospital for Sick Children. Trainees will be exposed to both in-patient
paediatric care and out-patient work with opportunities for consultant discsussion and
feedback on cases seen in out-patients. There are managed clinical networks in
nephrology, neurology, epilepsy and endocrinology in place with further
developments planned in gastroenterology rheumatology and diabetes. Outreach
clinics are held in genetics.
Non-Clinical Training and Responsibilities:
There are a number of formal teaching sessions and other learning opportunities are
held every week
There are full opportunities for clinical research and access to laboratory facilities can
be arranged as required. Trainees may also have access to teaching opportunities
within the hospital in all other Paediatric subspecialties.
Particular Training Opportunities:
This post is specifically designed to offer trainees comprehensive training in
paediatric oncology & haematology. The department has a busy in-patient and outpatient /day case workload and is based in a hospital with a full range of support
therapies available locally.
Rota arrangements:
The rotas undergo continuous review but are all European Working Time Directive
compliant full-shift rotas.
Clinical Haematology/Oncology: Out of hours work is dedicated to the HaematoOncology Unit and involves 7 long/late day shifts every 5 weeks but no night shift
duties. Trainees will be responsible for first line management of the Haematology and
Oncology patients between 09.00 and 22.00. Band 2B supplement.
Paediatric Intensive Care Unit (optional): 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 trainees work full shifts. The
experienced group staff the retrieval service and are expected to take a supervisory
role within the unit. Out of hours work is dedicated to the intensive care unit and
involves 7 nights and 7 long/late day shifts every 6 weeks. Band 1A supplement.
Royal Alexandra Hospital, Paisley (optional): Out of hours cover is shared by
nine trainees plus some input from Staff Grade & Specialty Doctors. There are two
doctors on duty during the evening with separate responsibility for noenatal and
paediatric cover but one individual is responsible for both areas overnight. Band 1A
supplement
Links
Study Leave
Study leave is available for up to 30 days per annum on the same conditions as
apply to the Paediatric ST trainees
Salary
Salary is paid on the Specialty Registrar salary scale. Starting point on this scale will
be dependent on previous experience.
Job Description for Senior IPTS Programme in Neonatology (Post C)
West of Scotland Deanery: Glasgow
Outline of programme:
This post is designed to offer senior IPTS Fellows a robust training in Neonatology.
The rotation will provide up to 24 months experience rotating through placements in
different neonatal units designed to provide a comprehensive exposure to all aspects
of neonatal training. The initial placement (year 1 of training) will be in the Princess
Royal Maternity. This is a level 3 neonatal unit attached to a large maternity unit
offering substantial experience in the management of preterm infants. The second
year of training will be based in the neonatal service of the Royal Hospital for Sick
Children and Southern General Hospitals. This neonatal service is associated with
the regional fetal medicine service and the regional paediatric and surgical services
and provides substantial exposure to the medical and surgical management of
infants with congenital abnormalities and complications of prematurity. The second
year of training can also offer the opportunity to gain some exposure to neonatal
transport.
The IPTS trainee will be expected to undertake NLS, and Child Protection training
during the first six-months of the programme.
Supervisors: Dr C Lilley, Dr L Jackson, Dr Anand
Departmental Information:
The Princess Royal Maternity (year 1 placement)
The Princess Royal Maternity (PRM) is a modern purpose built specialist tertiary
Neonatal and Maternity unit on the site of Glasgow Royal Infirmary The integrated
on-site service includes an active Fetal Medicine Unit and a tertiary referral unit
delivering expert care for maternal illness. The Neonatal Unit currently consists of 10
Intensive Care cots and has 23 cots for infants requiring High Dependency or Special
Care but is due to increase capacity at the beginning of 2010 with the opening of a
transitional care unit.
Royal Hospital for Sick Children (Yorkhill) and Southern General Hospitals (year 2)
Glasgow Royal Hospital for Sick Children, (Yorkhill) 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. All paediatric medical and
surgical subspecialties are represented, including general medical paediatrics,
cardiology, neonatology, neurology, nephrology, respiratory medicine, endocrinology,
gastroenterology, immunology and infectious diseases, dermatology,
haematology/oncology, audiology, ophthalmology, ENT surgery, orthopaedics and
general paediatric and neonatal surgery. The hospital provides the Scottish national
ECMO service, is the centre for all paediatric cardiac surgery and the majority of the
Paediatric Intensive care for Scotland. The Southern General Hospital is a large adult
hospital site about 4 miles (6km) from Yorkhill. A newly expanded maternity unit
opened in December 2009 delivering 5,500-6,000 infants per year and incorporating
the Fetal Medicine Unit.
Neonatal Transport Service (year 2)
The National Neonatal Transport Service (NeTS, Western Region) is an independent
service led by Consultant Neonatologists, supported by registrar-equivalent Neonatal
Transport Fellows and Advanced Neonatal Nurse Practitioners. The service
undertakes 800 transfers per annum by road and air, including the transfer of
critically ill infants for ECLS and neonatal surgery.
Activity / Workload:
The Princess Royal Maternity (year 1 placement)
This busy Intensive Care Unit provides full neonatal intensive care services to a
maternity unit with over 6000 deliveries per annum, many of which are high-risk
pregnancies. The number of births is scheduled to increase by a further 20% at the
beginning of 2010 increasing the neonatal caseload proportionately. Facilities include
the latest means of respiratory support and monitoring including inhaled nitric oxide.
There are six out-patient clinics per week, including the multidisciplinary dedicated
neurodevelopmental follow-up of preterm and high risk infants.
Royal Hospital for Sick Children (Yorkhill) and Southern General Hospitals (year 2)
The new neonatal intensive care unit at the Southern General Hospital provides care
for preterm infants and high risk regional deliveries due to fetal anomalies. This unit
currently has 8 NICU cots but has the capacity to increase to 34 NICU cots over the
next few years. Additionally, neonatal intensive care services will be provided in the
NICU in Yorkhill. In 3-4 years time this aspect of the service will transfer into the
Southern General NICU following the rebuilding of the children’s hospital on the
Southern General site.
Neonatal care at Yorkhill is part centrally funded by NSD with several national
services provided on site. This includes neonatal cardiac surgery, ECMO, neonatal
airway surgery, Vein of Galen treatment (UK/European service) and Congenital
Diaphragmatic Hernia service. The NICU (12 ITU cots) is jointly managed by the
neonatal consultants and the paediatric surgeons. Neonatal ECMO for Scotland and
the North of Ireland is based in the unit and a team of 3 surgeons work with
neonatologists to provide cover. Postnatal transfers for newborns with congenital
anomalies are also common. Over 200 newborn per year are currently transferred to
Yorkhill because of the specialist services offered on site: one third are cardiology
patients, one third are transfers of pregnancies affected by a congenital anomaly and
the remainder are newborns requiring the involvement of the other paediatric
specialists on site.
Neonatal Transport Service (year 2)
The service undertakes 800 transfers per annum by road and air, including the
transfer of critically ill infants for ECLS 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.
Clinical Training and Responsibilities:
The Princess Royal Maternity (year 1 placement)
The busy Intensive Care Unit provides training in a full range of neonatal intensive
care including the latest means of respiratory support and monitoring including
inhaled nitric oxide and therapeutic neonatal hypothermia. There are six out-patient
clinics per week, five of which are Consultant led, the remainder led by an Associate
Specialist. The associate specialist leads the dedicated developmental team and
follow-up. There is a well organised and comprehensive teaching programme
available to all junior staff. There are weekly joint obstetric and neonatal high risk
meetings and bimonthly perinatal morbidity and mortality meeting with regular
external educational meetings accessed by telemedicine, The Department is
academically active, with established links with the department of Vision Sciences
Glasgow Caledonian University and is actively involved in original and multicentre
clinical research projects.
Royal Hospital for Sick Children (Yorkhill) and Southern General Hospitals (year 2)
The combined service will see many infants with a broad spectrum of congenital
anomalies delivered on the Southern General site and receiving initial intensive care
support there. These infants will then be transferred to Yorkhill for surgical and postoperative care. Neonatal trainees (and consultants) will work across both aspects of
the service thus providing trainees with a comprehensive neonatal clinical training
including: medical & surgical care of extremely premature infants, preoperative
management of congenital heart disease, care of infants with complex airways,
diaphragmatic hernias, abdominal wall defects and Vein of Galen aneurysms and
management of infants referred for consideration of ECMO therapy due to failure of
conventional respiratory management. There is a multidisciplinary neurodevelopment
clinic for the follow up of preterm and high risk infants. Our developmental
physiotherapist, our speech and language therapist and one of the clinical
psychologists attend this clinic and input from a dietician is available.
Neonatal Transport Service (optional 6 month placement in year 2)
Trainees will gain experience in neonatal transport as well as being encouraged to
participate in on-going research and audit projects that the service undertakes.
Clinical training and teaching pertinent to neonatal transport will be provided.
Non-Clinical Training and Responsibilities:
There are a number of formal teaching sessions and other learning opportunities
provided every week in each department. Other relevant meetings and teaching
sessions are held regularly in other departments locally. Junior medical staff have
access to library, computer, office and changing facilities. There are full opportunities
for clinical research and access to laboratory facilities can be arranged as required.
Trainees also have access to other relevant paediatric subspecialty teaching
opportunities within the Yorkhill element of the rotation.
Particular Training Opportunities:
This rotation is specifically designed to offer trainees a comprehensive training
package in neonatology balancing exposure to medical and surgical problems and
problems of both term and preterm infants. It achieves this by offering a number of
placements in units that have a varied and complementary case-mix. Trainees will
have exposure to some therapies and interventions that are only available in a very
small number of U.K. centres. The rotation is also designed to allow a degree of
tailoring of placements to meet the needs of individual trainees.
Rota arrangements:
Rotas undergo continual review but are all European Working Time Directive
compliant full-shift rotas and generally attract a band 1A salary supplement. The
exception is the placement in neonatal transport where out-of-hours duties take the
form of non-resident on-call.
Links
This post consists of multiple placements that are already linked in a rotation.
Study Leave
Study leave is available for up to 30 days per annum on the same conditions as
apply to the Paediatric ST trainees
Salary
Salary is paid on the Specialty Registrar salary scale. Starting point on this scale will
be dependent on previous experience but is likely to be at ST3 level.
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
Post A Paediatric Critical Care - 2 year contract
Post B Paediatric Oncology - 1 year contract
Post C Neonatology - 2 year contract
GRADE AND SALARY
Internation Medical Senior Fellows
£ 30,302 £ 47,647 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
Consultant Neonatal Paediatrician/Associate Postgraduate Dean Dr Peter
MacDonald on 0141 201 2259/peter.macdonald3@ggc.scot.nhs.uk with whom
further informal enquiries 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 recruitment-st@ggc.scot.nhs.uk or to the
recruitment address below;
Joan Telfer
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 31 March 2015