NHS Lothian
Women’s & Children Services
Simpson Centre for Reproductive Health
Royal Infirmary of Edinburgh and St John’s Hospital Livingston
Perinatal Clinical Fellow post
Fixed term twelve months
1. Outline of the post
This post is available from 01 August 2015. It is a fixed term post for twelve months
and is designed to provide high quality clinical training in neonatal intensive care and
opportunities for individual training in research, teaching, management, or special
clinical skills. The appointee will take part in the middle grade neonatal rota at the
Simpson Centre for Reproductive Health, Edinburgh and at St John’s Hospital
Livingston. The post holder will have up to 40% protected time for personal
development such as specialty clinical training including neonatal transport, training
in management, teaching or patient safety, or research.
2. NHS Lothian
NHS Lothian is an integrated NHS Board in Scotland providing primary, community,
mental health and hospital services. Mr Tim Davison is Chief Executive and Dr
David Farquharson is Medical Director.
The NHS Board determines strategy, allocates resources and provides governance
across the health system. Services are delivered by Lothian University hospitals
division, the Royal Edinburgh hospital and Associated mental health services, four
community health (and social care) partnerships (CH(C)Ps) in City of Edinburgh,
West Lothian, East Lothian and Midlothian, and a Public Health directorate.
NHS Lothian serves a population of 850,000.
University Hospitals
The University Hospitals provide a full range of secondary and tertiary clinical
services to the populations of Edinburgh, Midlothian, East Lothian and West Lothian.
The Division is one of the major research and teaching centres in the United
Kingdom.
Hospitals included in the Division are:
The Royal Infirmary of Edinburgh
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The Western General Hospital
The Royal Hospital for Sick Children, Edinburgh
St Johns Hospital
Royal Victoria Hospital
Liberton Hospital
The Princess Alexandra Eye Pavilion.
The Royal Infirmary (RIE) is a major teaching hospital on a green field site in the
South East of the city of Edinburgh built in 2003. It comprises 25 wards, 869 beds,
and 24 operating theatres, and is equipped with modern theatre and critical care
equipment and monitoring. Within the main building is a dedicated, multidisciplinary,
5 theatre day surgery complex. The hospital provides for most specialities and is the
centre for:
General surgery
Vascular surgery
Hepatobiliary and transplant medicine and surgery
Cardiac and thoracic surgery
Elective and trauma orthopaedics surgery
Neonatology
Obstetrics & Gynaecology
Cardiology
Renal medicine
Sleep medicine
Accident and Emergency.
There is a Combined Assessment Unit which takes unselected GP or direct
emergency referrals, and from A&E. CAU includes the Dept of Liaison Psychiatry and
the Scottish Poisons Bureau and Treatment Centre. There are full supporting
Laboratory and Diagnostic Radiology Services (including CT, MR, Ultrasound and
NM and PET scanning will be available in 2008). There is a full range of lecture
theatres, a library and AV facilities.
The Western General Hospital (WGH) has 600 beds and is equipped with modern
theatre and critical care equipment and monitoring. The Anne Ferguson building was
completed in 2001. The hospital provides for most specialties and is the centre for:
Neurology, neurosurgery and neuropathology
UK CJD unit
Colorectal surgery
Urology and Scottish Lithotriptor Centre
Breast surgery and breast screening
Gastroenterology
Rheumatology
Infectious diseases
Haematology and oncology
Medical oncology
Radiation Oncology
Dermatology (Inpatient)
Medicine of the Elderly/Stroke Medicine
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There is an Acute Receiving Unit, which accepts GP referrals and 999 ambulance
medical cases on a zoned basis within the city, and a nurse led Minor Injuries Unit.
There is no trauma unit at this hospital. There are full supporting Laboratory and
Diagnostic Radiology Services (including CT, MR, Ultrasound and NM).There is a full
range of lecture theatres, a library and AV facilities.
St John’s Hospital opened in 1989 and is located in the centre of Livingston, a new
town about 30 minutes drive west from Edinburgh. The hospital provides for most
common specialties but does not have emergency general surgery or orthopaedic
trauma operating. The hospital has a paediatric ward and is the centre for:
General medicine with specialists in cardiology, diabetes & endocrinology,
gastroenterology, respiratory medicine and care of the elderly
Obstetrics & Gynaecology
Paediatrics and community child health
Plastic surgery
Oral and maxillofacial surgery
ENT
Critical Care (ITU, HDU and CCU)
Accident and Emergency
General surgery
Orthopaedics
Anaesthetics
Mental Health including ICCU and ICPU
Recent developments at SJH include a new endoscopy suite, an Intensive
Psychiatric Care Unit, a digital mammography unit, an oncology (cancer care) day
centre, a satellite renal dialysis unit and a £2.75m reprovision of A&E. There are full
supporting Laboratory and Diagnostic Radiology Services (including CT, Ultrasound
and NM).
The hospital has been accredited full teaching hospital status by the University of
Edinburgh. There is a full range of lecture theatres, a library and AV facilities.
The Royal Hospital for Sick Children (RHSC) is a 141 bedded hospital providing
general and specialist services for children. The hospital is situated in a residential
area close to the centre of Edinburgh and is approximately 3 miles from the site of
the New Royal Infirmary and the co-located University of Edinburgh Medical School
and 3 miles from the Western General Hospital. The RHSC is a 141-bedded
Hospital, and is the main paediatric teaching hospital for the South-East of Scotland
providing general and specialised services on a local, regional and national basis. It
acts as the local paediatric referral centre for the children of Edinburgh and
surrounding areas, and as a tertiary referral centre for intensive care patients;
gastroenterology, hepatology & nutrition; respiratory medicine; cardiology;
nephrology; neurology; oncology; haematology; neonatal surgery; plastic surgery;
orthopaedic surgery; urological surgery and general surgery.
Hospital accommodation encompasses five theatres, a critical care unit comprising
an eight bedded Paediatric Intensive Care Unit, a six bedded High Dependency Unit
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and a three bedded Neonatal Intensive Care Unit. There is an excellent library facility
and a modern lecture theatre with a full range of audio-visual equipment.
All services are supported by comprehensive radiology, neurophysiology, laboratory
and therapy services. The local radiology department provides on site Magnetic
Resonance Imaging, CT Scanning, nuclear scanning and ultrasound. On site
laboratories provide biochemistry, haematology, pathology and neuropathology
services
Community Healthcare Partnerships
The four established Lothian Community Health (and Social Care) Partnerships
serve the population of Edinburgh, Midlothian, East Lothian and West Lothian.
Hospitals in the CH(C)Ps include:
The Astley Ainslie Hospital in Edinburgh
Midlothian Community Hospital
Herdmanflat Hospital
Roodlands Hospital
The four CHPs are coterminous with Edinburgh, Midlothian, East Lothian and West
Lothian Councils bringing together those responsible for planning, managing and
providing community-based health services for the population of Edinburgh and the
Lothians.
There are 7,500 members of staff. In addition, there are approximately 1,000
independent contractors in General Medical and Dental Practice, as well as
pharmacists and opticians. A population of 850,000 people is served across health
board area. The range of services care of the elderly, medical rehabilitation,
community mental health, substance misuse and learning disability, district nursing
and health visiting, family planning, well woman, , comprehensive dental care and
those provided by Professions Allied to Medicine, such as physiotherapy, pharmacies
and optometrists. Specialist services provided include brain injury rehabilitation, bioengineering and prosthetics, drugs and alcohol misuse and harm reduction,
AIDS/HIV and Children and Family Psychiatric Services.
Royal Edinburgh hospital and Associated Services
The Royal Edinburgh and Associated Services provides a range of Mental Health
services to the population of Lothian and other Boards within Scotland.
The Royal Edinburgh Hospital is located on the south side of the City of Edinburgh. It
comprises some 20 wards, 420 beds, day hospitals and outpatient facilities. The
hospital provides the following range of specialities:Acute Mental Health
Rehabilitation
Psychiatric Emergency Team 24/7
Outpatients
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Assessment Psychiatry of Old Age
Forensic Medium Security Unit
Inpatient facilities for under 18s
Psychotherapy Service
Psychology Services
Services for Eating Disorders
Day Hospitals – Psychiatry of Old Age
There are an additional 46 bed and 1 day hospitals for Psychiatry of Old Age in the
north of the city at the Royal Victoria Hospital.
The hospital is currently housed in a mix of accommodation ranging from 19th
century to present. There is a major project now in place to take forward a
reprovisioning programme in line with the strategic vision with the “Delivery for
Mental Health” Scottish Executive 2006.
Department of Public Health Medicine
The aim is to improve the health of the people of Lothian in collaboration with many
other partners. Using our range of knowledge, experience and networking capability,
our distinctive contributions are:
the promotion of specific measures to monitor and improve health;
the collation and interpretation of health related information.
The following objectives have been agreed as the basis for the Department’s work
plans:
1.
To monitor the health status and health needs of people in Lothian;
2
To promote improvements in the health of Lothian people directly, and by
providing information and advice to the public on health matters;
3.
To assist Lothian NHS Board to fulfil its statutory obligations;
4.
To contribute to strategic changes within the NHS in Lothian by providing
information on clinical effectiveness;
5.
To facilitate improvements in health and health care services directly, and
through ‘managed clinical networks’ and wider alliances;
6.
To contribute on a 24 hour basis to the control and prevention of
communicable diseases and environmental hazards;
To maintain commitments to teaching, training, professional development, audit and
research.
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To enable efficient management of the Department: there are at present four groups
in the Directorate. These are; Healthy Communities, Healthcare; Health Protection
and Health Information.
3. University of Edinburgh
The University of Edinburgh has been instrumental in shaping history for over 400
years. An exciting, vibrant, research led academic community we offer opportunities
to work with leading international academics whose visions are shaping tomorrow’s
world. Our 21 Schools, spread across 3 Colleges, offer over 350 undergraduate and
160 postgraduate courses to in excess of 29,000 students each year.
As a member of staff, you will not only be part of one the world’s leading Universities,
but also part of one of the top employers in Edinburgh, with over 7800 people spread
a cross a wide range of academic and supporting roles.
The College of Medicine and Veterinary Medicine, is headed by Professor Sir John
Savill; who is also the Head of the Medical School. The Medical School in Edinburgh
can trace its origins back nearly 500 years (Darwin, Simpson and Conan-Doyle were
students here) and is internationally renowned for its research and teaching The
existing qualifications for undergraduates are amongst the most competitive in the
UK.
The academic disciplines within Medicine are largely concentrated in the two
teaching hospitals in Edinburgh, namely the Royal Infirmary of Edinburgh at Little
France (RIE) and the Western General Hospital (WGH). The new RIE was recently
constructed on a green field site under a Private Finance Initiative (completed 2002).
It is a state-of-the-art multi-speciality hospital linked with the Medical School which is
housed in two purpose built teaching and research facilities, the Chancellor's Building
and the Queen's Medical Research Institute providing the accommodation and
facilities required for the majority of the clinical students and associated academic
clinical staff previously located at the old Royal Infirmary in central Edinburgh.
The Western General Hospital (WGH) has also undergone major redevelopment of
its clinical research and teaching facilities. The Molecular Medicine Centre (£5m) was
opened in 1995, a new Wellcome Millennial Clinical Research Facility (£4m; joint
development between the Wellcome Trust, University and Lothian Health), a £40m
new clinical wing, the Anne Ferguson Building, and a new Medical Education Centre
(£1m) were opened in 2001, and a new Cancer Research Building (£7m) in 2002.
The University (through its Medical School) and Lothian Health work in close
collaboration to ensure the co-ordination of the Health Board's Integrated Health
Care Plan for Lothian with the University's teaching and research plans.
In RAE 2008, the College submitted to three Units of Assessment, reflecting crosscentre working in physical or virtual institutes. Across the College, just under 70% of
staff can be considered to have been working at the internationally excellent (3*)
level or above.
The College was placed first of 28 submissions in the UK in Hospital-Based Clinical
Subjects, submitting 162 staff, predominantly from the Queen's Medical Research
Institute (Cardiovascular Science, Inflammation Research, Regenerative Medicine
and Reproductive Biology including the MRC Human Reproductive Sciences Unit)
and the Institute of Genetics and Molecular Medicine (Molecular Medicine, MRC
Human Genetics Unit, Cancer Research and Population Health Sciences/Primary
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Care). All staff were at the international level with 80% of the submission at the
internationally excellent (3*, 40%) or world-leading level (4*, 40%).
The College was placed fourth in Agriculture, Veterinary and Food Science, but this
was the best placed submission including a Vet School and delivered the largest
volume of 4* research in the whole UK, with 111 staff from the Roslin Institute,
Centre for Infectious Diseases and the Royal (Dick) School of Veterinary Studies.
The College was sixth in the UK in Psychiatry, Neuroscience and Clinical
Psychology, submitting 92 staff from Edinburgh Neuroscience, a virtual institute
incorporating the Centre for Clinical Brain Sciences, the Centre for Cognitive and
Neural Systems, the Centre for Neuroregeneration Research and the Centre for
Integrative Physiology.
Section of Child Life and Health in the Centre for Reproductive Health
The Section of Child Life and Health (CL&H) is responsible for paediatric research
and for the University’s undergraduate teaching in paediatrics at the Royal Hospital
for Sick Children Edinburgh (RHSCE) and at associated district general hospitals.
CL&H is led by Professor Jürgen Schwarze who has recently been appointed
‘Edward Clark Professor of Child Life and Health’. The senior academic staff of CL&H
includes a personal Chair, a Senior Clinical Fellow, and two fulltime Senior Lecturers
and there are three Clinical Lecturers in the Section. CL&H is based at the Royal
Hospital for Sick Children, Edinburgh and is associated with Lothian Community
Child Health and the Neonatal Unit at the Simpson Centre for Reproductive Health. It
is anticipated that Child Life and Health will move in 2017, together with RHSCE, to
newly built premises at the Little France Campus. This will place Child Life and
Health and RHSCE in the immediate vicinity of the Simpson Centre for Reproductive
Health, the Royal Infirmary Edinburgh, several of the University’s Interdisciplinary
Research Centres (e.g. the Queens Medical Research Institute with major state-ofthe-art clinical imaging capabilities at the new Clinical Research Imaging Centre
(CRIC)) and a commercial Bio-Science Park planned at this site. This relocation will
provide Child Life and Health with exiting new opportunities for excellent research
collaborations at Edinburgh’s main campus for clinical medicine and bio-medical
research.
The University of Edinburgh was established in 1582 and is one of the largest in the
United Kingdom located on a number of prominent sites in Scotland’s capital city. It
is Scotland’s premier research University and within the top 5 Universities in Europe
for its Biomedical Sciences.
The University of Edinburgh’s College of Medicine and Veterinary Medicine (CMVM;
Head Professor Sir John Savill) is an internationally leading force in basic-to-clinical
translational research. The College has a consistent 30-year strategy of
interdisciplinary and integration of basic and clinical sciences. In the most recent
Research Assessment Exercise (2008), the University of Edinburgh was top in the
United Kingdom within the UoA4 category of Hospital-based Clinical Subjects. In
2008/9, CMVM attracted over £120 million in external peer-reviewed grant funding.
It has established several major interdisciplinary research Centres:
MRC Centre for Inflammation Research (Director, Professor John Iredale)
Centre for Cardiovascular Science (Director, Professor Brian Walker) incorporating
the BHF Centre of Research Excellence (Director, Professor John Mullins)
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Centre for Reproductive Biology (Director, Professor Phillipa Saunders) and MRC
Human Reproductive Sciences Unit (Director, Professor Robert Millar) including the
Tommy’s Centre (Director, Professor Jane Norman).
MRC Centre for Regenerative Medicine (Director, Professor Sir Ian Wilmut)
Centre for Molecular Medicine (Director, Professor David Porteous)
Centre for Cancer Research (Director, Professor David Harrison)
Centre for Population Health Sciences (Director, Professor Harry Campbell)
MRC Human Genetics Unit (Director, Professor Nick Hastie)
These Centres are predominantly based at two sites: the Queen’s Medical Research
Institute at the Royal Infirmary, and the Institute of Genetics and Molecular Medicine
at the Western General Hospital. The co-location of basic science and clinical groups
within state-of-the-art infrastructure and technology provides an excellent and
exciting opportunity to conduct translational research at the highest level.
This academic power base is supported by clinical research infrastructure that
includes:
i
Wellcome Trust Clinical Research Facility
ii
Clinical Research Imaging Centre
iii
Edinburgh Clinical Trials Unit (UKCRN Registered) and Health Services
Research Unit
iv
Scottish Brain Imaging Research Centre
v
Experimental Cancer Medicine Centre
vi
Academic and Clinical Central Office for Research and Development
NHS Library and Postgraduate Facilities
There are excellent facilities on all sites.
4. Departmental Information
The Neonatal Unit is a regional unit, part of the South East Scotland and Tayside
managed clinical network for neonatology. The unit provides intensive care to sick
term and preterm babies, both those delivered within the Simpson Centre for
Reproductive Health and those brought in from other hospitals in the Borders, West
Lothian and Fife by the dedicated transport team. The unit is part of the South East
Scotland Managed Clinical Network. Regional units in fetal medicine, paediatric
surgery and genetics are also based in Edinburgh and reflect the varied case mix on
the unit.
There are over 6500 deliveries per annum at the Simpson Centre for Reproductive
Health. Each year there are over 750 admissions to the neonatal unit. The case mix
is varied, with a wide variety of clinical problems presenting in term infants, and the
preterm infants include those at the most extreme of viable gestations. There are 37
cots in the unit, with 15 cots dedicated to the provision of intensive and high
dependency care.
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The unit’s commitment to ongoing outpatient neonatal care involves a daily Jaundice
and Weight Loss clinic held on the unit, a twice-weekly general and
neurodevelopment follow-up clinic. There is a team performing weekly Bayley
assessments to provide high quality neurodevelopment follow-up data for infants with
very low birth weight.
The clinical staff include 10 whole-time-equivalent consultant grade staff:
Dr Julie-Clare Becher: neurology, therapeutic hypothermia , patient safety
Dr James Boardman: Senior Lecturer - perinatal brain injury
Dr Ewen Johnston: simulation training
Dr Chris Kissack: cardiology
Dr Gopi Menon: neonatal nutrition
Dr Paula Midgley: Senior Lecturer: endocrinology, undergraduate education
Dr Edile Murdoch: perinatal medicine, palliative care, perinatal risk
Dr David Quine: cardiology, simulation training
Dr Claire Smith: infection, patient safety
Professor Ben Stenson: clinical lead, transport Lead, respiratory disease
Specialist equipment held on the unit includes an ultrasound scanner with colour
Doppler facility suitable both for cranial ultrasound and echocardiography. The unit is
also equipped to offer therapeutic hypothermia and has two CritiCool cooling
systems and two Brainz two-channel CFM monitors. There are two units for
delivering inhaled nitric oxide.
The South East Scotland Neonatal Transport team is also based on the unit. The
team is equipped with its own dedicated ambulance which can accommodate two
transport incubators at any one time, and is able to offer in-transport therapeutic
hypothermia and inhaled nitric oxide.
There is an ongoing programme of active research on the unit, led by the consultant
team with the aid of the transport fellows and all grades of junior doctors on the unit.
All members of staff are encouraged and expected to contribute towards this
research activity.
The Obstetric unit at St John’s Hospital delivers around 2800 babies per year. There
is a 10 bedded special care baby unit that provides special care and high
dependency care plus short term intensive care prior to transfer of infants needing
intensive care to the Simpson.
5. Details of the Post
The post holder will have their time split between the clinical service and an agreed
special interest area. There will be around 40% time dedicated for special interest
work depending on the number of perinatal clinical fellows appointed.
The clinical work will involve providing service in the provision of intensive care to
sick infants admitted to the unit and to infants on the postnatal wards. This will
involve regular ward rounds led by the consultant or middle-grade staff. The
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successful applicant will be encouraged to participate in the educational opportunities
that are offered to doctors in training grade posts, including an active consultant led
teaching programme. There will be training opportunities relating to the practical skills
usual in the provision of neonatal intensive care.
The core rota for the unit at the RIE is a full shift band 1A with contributions from
Deanery ST trainees, UK grid trainees, ANNPs and existing Clinical Fellows. The
shifts rotate through intensive care, high dependency and special care, nights,
postnatal ward, labour ward and clinics and dedicated training shifts. The Clinical
Fellow will be expected to work on a full-shift rota alongside middle grade colleagues,
of grades ST4-8 and neonatal grid trainees. The team is supported by a junior grade
comprising FY2 and ST1-ST2 trainees as well as 1-2 Advanced Neonatal Nurse
Practitioner. Post holders may be asked to work shifts at St John’s Hospital
Livingston.
The rota has been structured to give the clinical fellows dedicated time for specialty
training and supervision. This will be up to 40% protected time.
The rota pattern for the appointed doctor will follow a regular weekly pattern. There
will be clinical supervision during the provision of intensive and special care, and this
will be provided by the consultant staff.
There is an expectation that the doctor will attend follow-up clinics to see outpatients.
This is an exposure prone post and evidence of the relevant immunities will be
required before starting work.
Specialty areas of interest
Perinatal Clinical Fellow post
There are many exciting opportunities within the department, hospital division and
wider university to pursue areas of specialty training. It may be possible depending
on the theme chosen to prepare for a higher degree or other postgraduate
qualification. These are some of the available themes and specialties that post
holders have followed.
Academic and clinical neonatal neuroscience
Palliative care
Neonatal Transport
Neonatal cardiology
Neonatal sepsis
Fetal medicine
Community paediatrics
Specialty training in education
Specialty training in management
Specialty training in patient safety
6. Research and Development
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The department is actively involved and committed to developing research. These
are some of the research themes and opportunities for the post holder to undertake a
research project.
The department is actively involved and committed to developing research. These
are some of the research themes and opportunities for the post holder to undertake a
research project.
Dr James Boardman is the director of the Jennifer Brown Research Laboratory
(JBRL) which is funded by Piggybank Kids. The laboratory is situated on the Little
France site in the MRC/University of Edinburgh Centre for Reproductive Health, and
projects run in collaboration with the Centre for Clinical Brain Sciences, the Clinical
Research Imaging Centre, the department of Child Life and Health and NHS Lothian
(Simpson Centre for Reproductive Health).
The goal of the programme is to improve understanding of the causes and
consequences of perinatal brain injury associated with preterm birth and low birth
weight.
We take a translational approach: the basic science programme (led by Girardi)
investigates mechanisms of brain injury associated with antenatal inflammation, and
the fatal and neonatal imaging projects aim to uncover the neural substrates of
perinatal brain injury, causal pathways to injury, and imaging biomarkers of long term
outcome (Boardman and Denison). Novel MR approaches for the quantitative
assessment of the brain in fetal and neonatal life are being developed in
collaboration with the Clinical Research Imaging Centre team (University of
Edinburgh). The successful candidate will have the opportunity to contribute to the
programme, supervised by Dr Boardman.
Other projects in progress involve investigation of neonatal sepsis and neonatal
nutrition. The unit also contributes to national clinical trials. There is an active
programme clinical audit on the neonatal unit and the applicant will be expected to
become involved these activities.
7. Teaching
There is a regular programme of teaching and mentorship and educational
supervision. The unit scores highly in PMETB feedback. Simulation training takes
place every Tuesday on the unit. There is a morning teaching programme Monday –
Thursday which is consultant led. A variety of multidisciplinary meetings take place:
weekly perinatal mortality and morbidity meetings with the obstetricians, weekly video
link meeting with the paediatric surgeons. Neonatal grand round every Friday.
8. Job Plan
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Full-time hours per week will be less than 48 hours on average. The rota worked will
thus be compliant with the New Deal requirements and the European Working Time
Directive.
9. Contact Details
Dr Edile Murdoch
Consultant Neonatologist
Simpson Centre for Reproductive Health
Royal Infirmary of Edinburgh
51 Little France Crescent
Edinburgh
EH16 4SA
Tel: 0131 242 2567
Fax: 0131 242 2764
or
Professor Ben Stenson
Consultant Neonatologist & Clinical lead
Simpson Centre for Reproductive Health
Royal Infirmary of Edinburgh
51 Little France Crescent
Edinburgh
EH16 4SA
Tel: 0131 242 2567
Fax: 0131 242 2764
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10. Person Specification
Requirements Essential
Desirable
Qualifications
and Training
MRCPCH or equivalent
Registered with the GMC
Licence to practice
At least 4 years post graduate clinical
experience or equivalent
Experience
Prior clinical experience and competence
in Neonatal Intensive Care at a regional
centre and care of the normal newborn
Previous middle grade experience at a
regional neonatal intensive care unit.
Ability
Competent to work with clinical and
professional responsibilities of a middle
grade doctor at a regional neonatal
intensive care unit.
Academic
Achievements
Commitment to research,
publications
and
presentations.
Teaching and Committed to formal and informal Previous experience of
Audit
teaching and training of junior doctors, teaching and designing
nurses, midwives and medical students.
and
effecting
audit
programmes
Participation in audit projects
Motivation
Committed to patient focused care, Desire
to
develop
learning and continuous professional services for patients.
development, effective and efficient use
of resources.
Clear commitment to
developing
Neonatal
Well organised and skilled in good time Services in Lothian
management.
Flexible and adaptable.
Understanding of and commitment to the
relevant work streams of the Scottish
Patient Safety Programme.
Personal
Attributes
Able to work in a team with colleagues in Able
to
own and other disciplines.
colleagues.
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motivate
Able to organise time efficiently and Previous
managerial
effectively.
training and experience
Effective interpersonal skills
Demonstrate ability to relate to and work
within a team.
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