NHS Lothian
Children’s Services
Royal Hospital for Sick Children, Edinburgh
Consultant Paediatric Gastroenterologist
1. Outline of the post
This is a substantive post available immediately.
The post is based at the Royal Hospital for Sick Children, Edinburgh (RHSC) with clinics in
surrounding district general hospitals as part of the South East Scotland regional Paediatric
Gastroenterology, Hepatology and Nutrition (PGHAN) service.
The post has a small commitment to acute paediatrics – two weeks a year of acute receiving
and a 1:14 on call rota.
2. NHS Lothian
NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental
health and hospital services. Mr Tim Davison is Interim Chief Executive and Dr David
Farquharson is the 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, 4 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 Division
The University Hospitals Division provides 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
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.
April 2010
Page 1 of 14
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 orthopaedic surgery
Neonatology
Obstetrics & Gynaecology
Cardiology
Renal medicine
Sleep medicine
Emergency medicine.
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. There is a full range of
lecture theatres, a library and AV facilities.
The Western General Hospital (WGH) has 600 beds and 5 operating theatres 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/Oncology
Medical oncology
Radiation oncology
Dermatology (Inpatient)
Medicine of the Elderly/Stroke Medicine
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, about 30
minutes drive west from Edinburgh. The hospital provides for most common specialties. The
hospital has a paediatric ward and is a centre for:
General Medicine with specialists in cardiology, diabetes & endocrinology, Gastroenterology,
Respiratory Medicine and Care of the Elderly
Obstetrics & Gynaecology
Child Health including paediatrics and community child health
Burns and plastic surgery.
Oral and maxillofacial surgery
ENT
April 2010
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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 three miles from the site of the New Royal Infirmary
and the co-located University of Edinburgh Medical School and three miles from the Western
General Hospital. The RHSC 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 eightbedded Paediatric Intensive Care Unit, a six-bedded High Dependency Unit and a threebedded Neonatal 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 and haematology 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 in East Lothian.
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
April 2010
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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, bio-engineering 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
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
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;
April 2010
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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.
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 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 Hospitalbased Clinical Subjects. In 2008/9, CMVM attracted over £120 million in external peerreviewed 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)
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
ii
iii
iv
v
vi
Wellcome Trust Clinical Research Facility
Clinical Research Imaging Centre
Edinburgh Clinical Trials Unit (UKCRN Registered) and Health Services Research
Unit
Scottish Brain Imaging Research Centre
Experimental Cancer Medicine Centre
Academic and Clinical Central Office for Research and Development
April 2010
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4. NHS Library and Postgraduate Facilities
There are excellent facilities on all sites.
5. Departmental Information
Royal Hospital for Sick Children, Edinburgh
There are two medical paediatric wards at RHSC with 35 beds in total where most medical
patients are admitted. One of these wards is the Acute Receiving Unit (ARU). Most medical
and surgical specialities are provided at the hospital. There is a six-bedded High
Dependency Unit linked to an eight-bedded Paediatric Intensive Care Unit.
Career Grade Members of the Department
RHSC
Dr P Eunson, Consultant Neurologist, Clinical Director
Dr R Ardill, Consultant Paediatrician diabetes and renal
Dr L Bath, Consultant Paediatrician Endocrinology and Diabetes
Dr D Broomfield Consultant Paediatrician with an interest in Emergency Medicine
Dr D C Brown, Consultant Paediatrician with an interest in Ambulatory Paediatrics
Dr A Chillingworth, Consultant Community Paediatrician
Dr S Clegg, Consultant Community Paediatrician
Dr S Cunningham, Consultant Respiratory Paediatrician
Dr A Dall, Consultant Paediatrician
Dr P Gillett, Consultant Paediatric Gastroenterologist
Dr Claire Hathorn, Consultant Paediatrician
Dr L Jones, Consultant Paediatrician Infectious Diseases/Immunology/HIV
Dr S Joseph, Consultant Paediatrician and Associate Director of Medical Education
Dr C Kirk, Consultant Community Paediatrician
Dr L Logie Consultant Community Paediatrician
Dr T G Marshall, Consultant Paediatrician Respiratory Medicine
Dr D Mitchell, Consultant Paediatric Gastroenterologist
Dr Kiran Patwardhan, Consultant Paediatrician
Dr M Stark, Consultant Paediatrician General Paediatrics
Dr J Stephen Consultant Paediatrician (outpatients)
Dr D Urquhart, Consultant Respiratory Paediatrician
Dr Nke Nwafor, Specialty Doctor medical paediatrics
Dr Andrew Fall, Specialty Doctor Cystic Fibrosis
Dr Lesley Simpson, Specialty Doctor Oncology
Dr Alex Baxter, Consultant in Paediatric Neurodisability
Dr Mark Brougham, Consultant Oncologist
Dr Alison Cozens, Consultant in Metabolic Medicine
Dr Joyce Davidson, Consultant Rheumatologist
Dr Angela Edgar, Consultant Oncologist
Dr Emma Johnson, Associate Specialist in Oncology
Dr Ailsa McLellan, Consultant Paediatric Neurologist
Dr Shona Mair, Associate Specialist Haematology
Dr Kathryn Noyes, Associate Specialist in Diabetes
Dr Kamath Tallur, Consultant Paediatric Neurologist
Professor Jurgen Schwarze, Professor of Child Life and Health
Dr Angela Thomas, Consultant Haematologist
Professor Hamish Wallace, Consultant Oncologist
Dr Mary Cruickshank, Consultant Rheumatologist
Professor David Wilson, Professor of Paediatric Gastroenterology, Hepatology and Nutrition
April 2010
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St John’s Hospital is located in the centre of Livingston, about 30 minutes drive west from
Edinburgh. The hospital provides for most common specialties. The hospital has a paediatric
ward of 14 beds and a 10 bedded neonatal care unit. and provides outpatient facilities, Level
1 neonatal facilities and supports paediatric surgery in the hospital. There is a consultant of
the week system for acute paediatrics.
Career Grade Members of the Department
Dr Mariwan Babani, Consultant Paediatrician with an interest in Gastroenterology
Dr Karen Barclay, Associate Specialist with an interest in Neonatology
Dr David Cordiner, Consultant Paediatrician with an interest in Allergy
Dr Julie Duncan, Consultant Paediatrician with an interest in Rheumatology
Dr Elizabeth Eaton, Specialty Doctor
Dr Dzung Nguyen, Consultant Paediatrician with an interest in Cardiology
Dr Rajeeb Rashid, Consultant Paediatrician with an interest in Diabetes
Dr Helen Rhodes, Consultant Paediatrician with an interest in Allergy
Dr Aniela Tybulewicz, Consultant Paediatrician with an interest in Gastroenterology
Dr David Valentine, Consultant Paediatrician with an interest in Neurology
Neonatal services at Simpson Centre for Reproductive Health
The Neonatal Unit is a regional unit which 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 has a strong track record in research and development and has
been leading development of cooling therapy for neonates in Scotland.
6. Details of the Post
The successful applicant will join Professor David Wilson and NHS consultant colleagues Dr
Peter Gillett and Dr David Mitchell. The Gastroenterology department has developed over
the last eighteen years to provide a comprehensive and consultant delivered regional
Paediatric Gastroenterology, Hepatology and Nutrition (PGHAN) service for children and
young people in SE Scotland (population 1.25 million, with 220,000 under 16 years) with
acute and chronic GI and liver disease, and those requiring nutritional assessment and
support. There are three (2.8 WTE) nurse specialists in the department and two full time
PGHAN dietitians.
The RHSC PGHAN service currently manages children post liver transplant on a shared care
basis with the three transplant centres for children within the UK, in addition to over 50
children with chronic liver disease. The majority of our patients have been transplanted in
Birmingham Children’s Hospital and King’s College London. We are held as an excellent
example of how shared care working with the transplant centres should work, with joint
clinics in Edinburgh with visiting consultants from King’s and Birmingham, allowing children
to have excellent care closer to home and minimise travel and disruption for families. We
have 170 children with inflammatory bowel disease in our clinic (including defined biological
and immunomodulator programmes), with similar numbers of coeliac patients, c200 patients
on home enteral nutrition and currently three patients on home parenteral nutrition. We have
an excellent diagnostic and interventional endoscopy service.
We provide the medical membership of the multidisciplinary Nutrition Support Team (NST) in
RHSC, which provides nutritional assessment and home enteral and parenteral feeding to
the paediatric population of SE Scotland. The NST also provides ongoing nutritional care of
children as inpatients (such as allergic bowel disease, faltering growth, and neuro-disabled
children) who require enteral nutritional support (N-G tube feeding, gastrostomy or gastroApril 2010
Page 7 of 14
jejunostomy feeding) and parenteral nutrition support, and look after an increasing number of
challenging infants with short gut and intestinal failure who require long-term PN, including
children requiring assessment for consideration of bowel/liver transplantation at Birmingham
Children’s Hospital.
The service provides a regional diagnostic and therapeutic endoscopy service, including a
joint monthly GI/surgical list for PEG insertion and other procedures. We have an excellent
working relationship with our surgical and radiological colleagues. PGHAN inpatients are in
either the medical wards or the paediatric surgery ward, the latter reflecting the collaborative
work with neonatal surgical and intestinal failure patients with the paediatric surgical staff.
The service looks after children and young people up to age 17-18 years, usually until they
leave school. We accept new referrals from GPs and colleagues up to the age of 16. We
have four transition clinics in IBD per year, two in hepatology and two per year for complex
nutrition patients. Our retrieval and ITU service is one of two in Scotland (the other is RHSC
Glasgow). There are increasing patient referrals from surgical and intensivist colleagues for
ongoing advice and management of complex patients in the ITU setting. The National spinal
service is an increasing source of referral for nutritional assessment and management.
The PGHAN Department has been very innovative over the years, with electronic records
within the department and an excellent, very hands-on relationship with local GPs with
frequent telephone and e-contact. Through the Lothian Referrals help webpage (Refhelp),
and embedded e-mail advice service (Paedsgastroadvice), the department continues to use
e-Health creatively and ongoing direct educational contact with the GP service is
encouraged.
The PGHAN service holds a number of specialist clinics throughout the year: Coeliac clinics
(monthly joint clinic with dietitian), liver clinics, mainly transplant and complex hepatology
reviews, with the hepatology centres from Birmingham Children’s Hospital (three per year)
and King’s College Hospital, London (two per year), and a twice yearly liver transition clinic
with Dr Carol Blair, Consultant from the Scottish Liver Transplant Unit at RIE. Prof Wilson
and Professor Satsangi and Dr Arnott (both from WGH, Edinburgh) hold four transition clinics
per year for teenagers with IBD.
There are strong links with tertiary centre PGHAN colleagues in Glasgow, Aberdeen and
Dundee and secondary care colleagues in associated district general hospitals as part of a
Scottish managed service network in PGHAN, divided into 3 regions – SE Scotland, West of
Scotland, and North of Scotland. SSPGHAN (the Scottish Society of Paediatric
Gastroenterology, Hepatology and Nutrition) meets twice yearly (Spring and Autumn). DGH
paediatricians with an interest in PGHAN, and Specialist Nurses, Dietitians, Pharmacists,
Psychologists and trainee paediatricians are also full members. This energetic group is firmly
committed to working together to further clinical improvements in care, and to foster training
and research in PGHAN.
Other links are with our national society, BSPGHAN (British Society for Paediatric
Gastroenterology, Hepatology and Nutrition), the Scottish Society for Gastroenterology
(SSG) and the Scottish Paediatric Society (SPS). Individual memberships include BSG,
AGA, ESPGHAN and NASPGHAN.
There is excellent support from, and working relationships with other sub-specialities within
medical paediatrics, paediatric surgery and AHP's at RHSC: radiology (weekly medical
radiology meeting), dietetics, pharmacy, clinical psychology (PALS), speech and language
therapy and social work. Our laboratory team provide an excellent service with Haematology
and Biochemistry on site; GI pathology is based at WGH, but the team have a fortnightly
meeting with the GI pathologists. We have excellent links with the adult specialist GI
investigational services at RIE (motility laboratory) and the GI Biochemists at Clinical
Biochemistry at WGH (where most specialist tests are performed: coeliac serology, elastase,
April 2010
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calprotectin) and the GI laboratory at WGH (where breath testing is performed). As
mentioned, the RHSC service has forged strong links with adult gastroenterology and
hepatology colleagues at RIE and WGH. They provide us with additional endoscopic
investigations such as endoscopic ultrasound and capsule endoscopy in addition to the
investigations already outlined. We also have very good links with adult GI colleagues at the
district general hospitals in SE Scotland and outreach has strengthened the links with those
colleagues.
This is an Exposure Prone Post and evidence of the relevant immunities will be required
before starting work.
7. Research and Development
There is an academic department of Child Life and Health with an active research
programme led by Professor Jurgen Schwarze. There are opportunities for audits or
collaboration with research work.
The appointee will be encouraged to participate in our academic PGHAN service, and to lead
a specific research programme if appropriate. We have external funding (including MRC and
charity) for our three currently active research themes in IBD (PI-David Wilson), complex
nutrition (PIs-David Wilson and David Mitchell) and coeliac disease (PI-Peter Gillett). The
IBD research is part of a highly successful Scotland-wide collaboration between SSPGHAN
led by Professor Wilson and the IBD group in the Western General Hospital and University of
Edinburgh, led by Professor Jack Satsangi.
8. Teaching
The service has a prominent role in teaching undergraduates and postgraduates. The postholder can contribute to the undergraduate teaching programme and to the teaching of
trainee medical staff. You will participate in audit projects, which are regularly undertaken
within the general medical paediatric department.
April 2010
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9. Indicative Job Plan
Name:
Specialty:
Principal place of work:
Contract:
On call
On call level
Availability supplement
Managerially accountable to:
Paediatric Gastroenterology and Hepatology
RHSC Edinburgh
Full Time
9.0 DCC; 1.0 SPA
1:14 with prospective cover
Level 1
3%
Clinical Director of Paediatrics, NHS Lothian
Acute Service Fifteen weeks per year
Monday
Tuesday
Wednesday
Thursday
Friday
08.30-11.00
Type of work
Preparation 0830-0900 then GI Ward round 0900
to 1100
11.00-13.00
New Patient consults and issues, urgent
outpatient issues (Specialist Reg and Nurse and
Dieticians, Community Nurse, Pharmacists etc)
and Medical Record Liaison work
13.00-17.30
08.30-11.00
Urgent endoscopies
Preparation 0830-0900 then GI Ward round 0900
to 1100
11.00-13.00
New Patient consults and issues, urgent
outpatient issues (Specialist Registrar and Nurse
and Dieticians, Community Nurse, Pharmacists
etc) and Medical Record Liaison work
1300-17.30
Grand Round / Pathology meeting (monthly
Ward and patient liaison.
Preparation 0830-0900 then GI Ward round 0900
to 1100
08.30-11.00
11.00-17.30
New Patient consults and issues, urgent
outpatient issues (Specialist Reg and Nurse and
Dieticians, Community Nurse, Pharmacists etc)
and Medical Record Liaison work
08.30-11.00
Preparation 0830-0900 then GI Ward round 0900
to 1100
11.00-17.30
New Patient consults and issues, urgent
outpatient issues (Specialist Reg and Nurse and
Dieticians, Community Nurse, Pharmacists etc)
and Medical Record Liaison work
13.30-17.30
General paediatrics – ward/administrative (post
on-call)
Preparation 0830-0900 then GI Ward round 0900
to 1100
08.30-11.00
11.00-17.30
DCC
2.25
2.25
2.25
2.25
2.25
Psychology / Nutritional liaison / CPD
1.0
12.25
April 2010
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SPA
Routine Service Twenty five weeks per year
Monday
12.30-16.30
Type of work
Intestinal failure and Complex IBD clinics
Tuesday
09.00-13.00
GI Clinic
13.00-17.00
Grand Round / Pathology meeting
09.00-13.00
Post Grad Education / CPD
13.00-17.00
GI Clinic (New patient)
09.00-13.00
Clinical administration / X-ray meeting
2.0
13.00-17.00
Communication with other hospital network
doctors, RHSC colleagues and GPs re patients
and referrals. Liaison with local and regional
AHPs: dietitians, community nurses, families
regarding results, plans following endoscopy.
DCC paperwork , results assessment, dictation
and organisation of investigations as catch up on
work unable to complete when on regional or
acute service (this work frequently is frame shifted
to less busy weeks).
Attending MDT meetings or preparing reports
regarding complex special needs patients
(neurodevelopmental) or other complex nutrition,
liver or IBD patients.
Biological and immunomodulator clinic
0.5
Wednesday
Thursday
Friday
11.00-13.00
On call general paediatrics
April 2010
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DCC
1.0
SPA
1.0
1.0
1.0
1.0
1.0
6.5
2.0
Acute Paediatrics two weeks per year
Type of work
These sessions to include 2 ward rounds per day
plus routine patient review
DCC
2.5
08.00=18.00
These sessions to include 2 ward rounds per day
plus routine patient review
2.5
Wednesday
08.00=18.00
These sessions to include 2 ward rounds per day
plus routine patient review
2.5
Thursday
08.00=18.00
These sessions to include 2 ward rounds per day
plus routine patient review
2.5
Friday
08.00=18.00
These sessions to include 2 ward rounds per day
plus routine patient review
2.5
Post-ARU
week
13.00-17.00
Patient administration
1.0
On call general paediatrics
1.0
14.5
Monday
08.00=18.00
Tuesday
SPA
On call in this post for general paediatrics. There is no out of hours gastroenterology on call.
There is likely to be a review of consultant job plans in the service in 2015 with changes to
this indicative job plan being made after discussion with colleagues. Involvement in particular
subspecialist areas of PGHAN as a core activity will be confirmed after appointment.
Currently the biggest pressure is to support the comprehensive IBD programme as co-clinical
lead with Prof Wilson, and also to lead outreach to West Lothian.
The attached job plan describes a 9:1 split between direct clinical care and supporting
professional activities. NHS Lothian allocates all consultants one SPA for CPD, audit, clinical
governance, appraisal, revalidation and routine service management meetings. As a
teaching and research centre, NHS Lothian will often allocate additional SPA time for
undergraduate teaching, clinical supervision, educational supervision and research. These
are areas where NHS Lothian has a strong commitment and is keen to support. The precise
allocation of SPA time and associated objective will be negotiated after appointment.
April 2010
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10. Contact Details
For further information about the posts or to arrange a visit to the departments please
contact:
Dr Peter Gillett
Consultant Paediatric Gastroenterologist
RHSC
Edinburgh
0131 536 0434
peter.gillett@luht.scot.nhs.uk
Professor David Wilson
Consultant Paediatric Gastroenterologist
RHSC
Edinburgh
0131 536 0710
david.wilson@luht.scot.nhs.uk
Dr Mairi Stark
Consultant Paediatrician
Lead for acute paediatrics
RHSC
Edinburgh
0131 536 0000
mairi.stark@nhslothian.scot.nhs.uk
Dr Paul Eunson
Clinical Director of Paediatrics
Royal Hospital for Sick Children
0131 536 0727
paul.eunson@luht.scot.nhs.uk
Dr Edward Doyle
Associate Medical Director
0131 536 0007
Edward.doyle@nhslothian.scot.nhs.uk
April 2010
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11. Person Specification
Requirements
Essential
Desirable
Qualifications
and Training
Full registration with the GMC.
License to practice.
MRCP, MRCPCH or equivalent.
On or eligible for the Specialist Register, or
within six months of being eligible at the time
of interview.
Completion of a recognised training
programme in medical paediatrics.
Training in PGHAN, including six months in
paediatric hepatology, formal training in
paediatric nutrition, and appropriate training
in diagnostic and therapeutic endoscopy.
Relevant higher degree.
Experience of working within
a managed clinical network.
Advanced life support
qualification.
Level 3 child protection
training
Level 2 Child Protection Training
Experience
Must be able to demonstrate a high level of
clinical experience and competence in all
aspects of paediatric medicine and PGHAN.
Ability
Ability to take full responsibility for
independent management of patients
Academic
Evidence of the ability to carry out and
Achievements supervise medical research.
Publications/ Presentations
Teaching and
Audit
Experience in training Undergraduate
medical students and Postgraduate doctors.
Demonstrable experience of participation in
regular clinical audit and implementation of
its findings.
Teaching qualification
Motivation
Committed to patient focused care, learning
and continuous professional development,
effective and efficient use of resources
Well organised and skilled in good time
management
Flexible and adaptable.
Understanding of and commitment to the
paediatric work stream of the Scottish
Patient Safety Programme.
Desire to develop services
for patients
Able to work in a team with colleagues in
own and other disciplines
Able to organise time efficiently and
effectively
Effective interpersonal skills
Demonstrable ability to relate to and work
within a team
Able to motivate colleagues
Previous managerial training
and experience
Personal
Attributes
April 2010
Page 14 of 14
Clear commitment to
developing role in PGHAN