CONSULTANT PAEDIATRIC
NEPHROLOGIST
ROYAL HOSPITAL FOR
SICK CHILDREN
INFORMATION PACK
REF: 34816D
CLOSING DATE: NOON ON 7TH NOVEMBER 2014
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: CONSULTANT PAEDIATRIC NEPHROLOGIST
BASE: ROYAL HOSPITAL FOR SICK CHILDREN
Applications are invited for a Consultant in Paediatric Nephrology. This is a
replacement post. The successful candidate would join the current team of 5
consultants.
Opportunity for the development of an individual candidate’s special interest
will be encouraged within the service.
Applicants must have full GMC registration and a licence to Practise. Those
trained in the UK should have evidence of higher specialist training leading to
CCT or eligibility for specialist registration (CESR) or be within 6 months of
confirmed entry from date of Interview. Non UK applicants must demonstrate
equivalent training.
NHS Greater Glasgow and Clyde
Acute Division
Women & Children’s Directorate
REF: 34816D
Information Pack
for the post of
CONSULTANT PAEDIATRIC NEPHROLOGIST
Renal Unit
Royal Hospital for Sick Children
GLASGOW
G3 8SJ
NHS Greater Glasgow and Clyde, Acute Division, Women & Children’s
Directorate
Further Particulars of the Post of Consultant in Paediatric Nephrology,
RHSC, Yorkhill
JOB DESCRIPTION
Applications are invited for a Consultant in Paediatric Nephrology. This is a
replacement post. The successful candidate would join the current team of 5
consultants.
Opportunity for the development of an individual candidate’s special interest
will be encouraged within the service.
This document is split into the following sections:
Information on paediatric services in NHS Greater Glasgow and Clyde


General description of children’s services (section 1)
Paediatric Services (section 2)
Information on the job and the selection process
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The Job Itself/Description of Service and Contacts (section 3)
Job Selection Process (section 4)
Personal Specification (section 5)
Terms & Conditions (section 6)
Further Information (section 7)
The overall job pack also contains documentation around equal opportunities
monitoring.
Section 1
a)
Children’s Services across NHS Greater Glasgow and Clyde
The Royal Hospital for Sick Children, Glasgow
The Royal Hospital for Sick Children, Glasgow, is one of the largest
paediatric teaching hospitals in the UK and the largest in Scotland. It
provides secondary care for more than 900,000 people resident within
the Greater Glasgow and Clyde area, but also tertiary care for the 3m
people living across the West of Scotland and national managed
clinical network support in selected specialties for the whole population
of 5.5m. There are also 17 nationally designated services delivered
from the hospital including cardiac surgery, bone marrow and renal
transplantation, ECLS and complex airways.
There is a current bed complement of 250, which include 23 integrated
neonatal medical and surgery cots. There are 16 nationally funded
intensive care beds and 6 high dependency beds within an integrated
critical care facility. This facility has the physical capacity to extend to
26 integrated critical care beds. A new theatre complex was opened in
1998 comprising of 7 full theatres, scope room and dental suite. The
ED currently sees over 46,000 patients per year.
All paediatric medical and surgical subspecialties are represented,
including general medical paediatrics, cardiology, neonatology,
neurology, nephrology, respiratory, endocrinology, gastroenterology,
immunology
and
infectious
diseases,
dermatology,
haematology/oncology, rheumatology, metabolic medicine, audiology,
ophthalmology, ENT surgery, orthopaedics, neurosurgery and general
paediatric and neonatal surgery. A selection of child and adolescent
psychiatry facilities are located within the campus along with a recently
opened Child Protection Unit.
The hospital provides the major Undergraduate Paediatric Teaching
facility for the University of Glasgow and accommodates the University
Departments of Child Health, Child and Family Psychiatry, Paediatric
Biochemistry and Paediatric Surgery. There is on site clinical audit and
research and development support to assist with departmental
research projects.
The Radiology Department located within RHSC provides ultrasound,
CT, MRI and isotopic studies on site. All imaging is now film-less and is
accessed through the PACS system. Diagnostic laboratory facilities
including Haematology, Blood Banking, Biochemistry, Microbiology,
Virology, Histopathology and Genetics have moved to a new purpose
built Laboratory Facility on the South Glasgow Hospital site in
preparation for the move of the Children’s Hospital there in summer
2015.
b)
Other Paediatric services in NHSGG&C
There are three maternity hospitals serving the GG&C area: Princess
Royal Maternity Hospital, Southern General Hospital and the Royal
Alexandra Hospital, Paisley, all with neonatal intensive care facilities.
There is one children’s ward at the Royal Alexandra Hospital providing
local care for the children of Paisley.
There is an extensive range of specialist community based children’s
services across NHS Greater Glasgow. Managed within community
health and social care partnerships, these services are integrated with
primary care and social care services.
New Children’s Hospital – South Glasgow Hospitals
c)
The New Children's Hospital will provide state-of-the-art medical care in
a safe, child-friendly environment. It will care for all children and young
people up to their 16th birthday in a hospital that is specifically focused
on them. The new hospital will be a worthy successor to the Royal
Hospital for Sick Children at Yorkhill and will be physically linked to the
refurbished maternity unit and new Adult Hospital in order to provide
the best possible care for newborns and their mothers. With 256 beds
over five storeys, the stunning design of the hospital includes
accessible play areas, a MediCinema and a covered roof garden where
young patients can enjoy a range of activities in the fresh air. The new
children’s hospital will be a mix of single rooms, all with en suite and
parents accommodation, and four bedded wards.
Services at the new hospital will include:
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A Paediatric Emergency Department incorporating a Clinical Decision
Unit
A general paediatric and paediatric surgical Acute Receiving Unit
Specialist in patient wards
A paediatric haemodialysis unit
A full range of outpatient clinics
A paediatric critical care unit with medical and surgical intensive care
and high dependency beds
9 operating theatres
An interventional radiology suite
Full imaging and other diagnostic services
Therapy services including occupational therapy, physiotherapy and
speech and language therapy
Section 2
Paediatric Services
Clinical Leadership
Medical services are a key component of integrated hospital paediatric
services within the Women and Children’s Directorate (of the Acute Operating
Division, NHS Greater Glasgow and Clyde).
Dr Philip Davies (Consultant in Paediatric Respiratory Medicine) is the Clinical
Director for Hospital Paediatrics and Neonatology. He is supported by a
number of Link Clinicians. The Link Clinician for Nephrology this is Dr David
Hughes.
This structure of clinical leadership is mirrored within surgical services.
Contact details for the doctors listed are provided in section 3 of this
document.
National Service Contracts
The Royal Hospital for Sick Children hosts a number of paediatric national
services including paediatric intensive care. These national services are listed
in box 1 below:
Box 1 / Paediatric National Services
Paediatric Cardiac Surgery
Neonatal Cardiology
Transport of Critically Ill Child
Cleft Lip/Palate Surgery
Brachial Plexus Surgery
Renal Transplantation
Paediatric Interventional Cardiology
Extra Corporeal Life Support (ECLS)
Bone Marrow Transplantation
Complex Airway Management
Intensive Care (from 2007/2008)
Renal and Urology Network
Scottish Genital Anomaly Network
In-patient Psychiatry Network
Epilepsy Network
Service Developments
1. Paediatric intensive care was nationally designated in April 2007 and
given uplift of £2.8m recurring investment.
2. Following the Scottish Government’s launch of the National Delivery
Plan for Specialist Children’s services in 2008, resources of £32m over
a three year period (2008 to 2011) were allocated as recurring
investment into specialist children’s services. This included support to
the national renal and urology network across Scotland.
3. RHSC now provides a formalised network of general surgery services
to the West of Scotland including outreach to NHS Boards in Forth
Valley and Lanarkshire.
Section 3: THE JOB ITSELF
(a)
Title:
Consultant in Paediatric Nephrology 1 WTE (10 PA 9 DCCPA + 1
SPA).
This is post replaces the part-time clinical duties (6 PA: 5 DCCPA +1
SPA) of the Associate Medical Director with an additional 4 DCCPA to
support and develop the clinical duties of the nephrology service locally
and nationally.
(b)
Relationships:
(i)
Name of Health Board:
NHS Greater Glasgow & Clyde Acute Services Division
(ii)
Names of Consultant members of the Department:
Dr Deepa Athavale
Dr David A Hughes
Dr Heather Maxwell
Dr Ian J Ramage
Dr Ihab Shaheen
(iii)
Other members of department:
1 WTE Advanced Nurse Practitioner Paediatric Nephrology
2 WTE Clinical Nurse Specialists Renal Liaison Service
1.35 WTE Clinical Nurse Specialists UTI Service
1.7WTE Clinical Nurse Specialists Urology Service
1 WTE Ward Manager
1 WTE Renal Nurse Educator
23 WTE Renal/Urology Staff Nurses
2 ST posts in Paediatrics (1 may be a grid trainee in paediatric
nephrology)
1 FY2 post paediatrics
2 WTE Renal Dietitians
0.8 WTE Renal Pharmacist
2 x 0.5 WTE Clinical Psychologists
1 WTE Renal Social Worker
0.5 WTE Renal Database Manager
1 WTE Dialysis technician
2.6 WTE Secretarial staff
(c)
Description of the Service:
The Renal Unit in RHSC provides inpatient and outpatient services in
ward 6a which is shared with paediatric urology and paediatric
rheumatology. The ward also houses a 4 station haemodialysis unit.
The renal unit is part of the Scottish Paediatric Renal and Urology
Network (SPRUN) and provides multidisciplinary inpatient care for
children in Scotland requiring renal replacement therapy and for all
renal patients within the GGC area. Each year we have around 500
acute admissions, 8-10 renal transplants, 4-8 children on
haemodialysis and 10-14 on chronic peritoneal dialysis. We work
closely with paediatricians with an interest in nephrology in the other
children’s hospitals in Scotland (Aberdeen, Dundee and Edinburgh)
and in the District General Hospitals (DGHs) in Scotland.
We have a national contract with the National Services Division (NSD)
to provide paediatric renal transplantation for all patients under 16 in
Scotland. This work is undertaken along with 4 consultant transplant
surgeons from the adult service and 3 paediatric urologists. We have
an active living related renal transplant program. We follow around 50
children with renal transplants.
Ward 6a was expanded to 10 beds to support the development of a
nephro-urology unit allowing us to build on an existing close working
relationship with urology colleagues. The urologists in conjunction with
the CNS Continence service provide outpatient urodynamics and
biofeedback services. Complex rheumatology patients, many of whom
have renal involvement are managed by the rheumatology service
within the unit.
We work with one consultant providing acute cover for one ‘hot week’
at a time during working hours and weekends. Weekday nights are
covered by the other consultants. All patients have a named
consultant, and we work as two teams of 3 consultants covering
outpatient clinics to maximise the provision of clinics but still allowing a
degree of continuity.
Within RHSC we provide a consult service to the other services
providing care, including PICU, neonatal ICU (Ward 2B) and the ECMO
service. We provide advice for patients receiving continuous renal
replacement therapies within these areas. Plasmapheresis is provided
to inpatients by the Blood Transfusion Service. There is also a busy
cardiac surgery program and oncology/bone marrow transplant unit.
We also work closely with colleagues in radiology and pathology. There
are regular multidisciplinary meetings throughout the week with
colleagues in other specialties. We provide ante-natal counselling to
couples attending the Foetal Medicine Unit at the SGH.
As part of the SPRUN we each undertake clinics in the other Children’s
Hospitals and Paediatric Departments in DGHs across Scotland jointly
with local paediatricians. The network has undergone expansion as a
result of funding from the National Delivery Plan for Specialist
Childrens Services in Scotland and virtually all areas of Scotland are
now covered. These multidisciplinary joint network clinics are an
exciting area of continuing development within the service.
We would welcome an interest from applicants to this post in
developing management and clinical leadership skills to take forward
future clinical service developments both locally at RHSC and
nationally through the established managed clinical network, SPRUN.
(d)
Clinical Duties
Work as part of the consultant and wider multi-disciplinary team to

Provide acute cover to the Renal Unit on a 1 in 5.5 basis with
prospective cover, managing inpatients, consults within the hospital
and providing advice to paediatricians throughout Scotland

Provide outpatient services within RHSC (approximately 2 clinics per
cold week) including attending to patient administration in between
clinic visits

Provide clinical support to the haemodialysis and UTI service

Provide joint network clinics as part of the SPRUN working with local
clinical teams.

Attend multidisciplinary meetings within the unit
This is a representative sample of a working ‘hot’ week. 16 DCC PAs are
allocated to ‘hot’ week working.
Wednesday
08300900
09001100
11.1512.30.
12.3013.30
Handover
meeting
X-Ray /
Pathology
meeting
Thursday
Clinical
admin
Ward
round
Ward
cover
Friday
Clinical
admin
Ward
round
Ward
cover
Saturday
On call
travel
Ward
round
On call
Sunday
On call
travel
Ward
round
On call
Monday
Clinical
admin
Ward
round
Ward
cover
Tuesday
Clinical
admin
Ward
round
Ward
cover
Wednesday
Clinical
admin
Ward round
Handover
meeting
X-Ray /
Pathology
meeting
13.301630
16301700
17001730
Ward cover
Evening
handover
round
Clinical
admin
Ward
cover
Evening
handover
round
Clinical
admin
Ward
cover
Evening
handover
round
Clinical
admin
On call
On call
On call
On call
On call
On call
Ward
cover
Evening
handover
round
Clinical
admin
Ward
cover
Evening
handover
round
Clinical
admin
This is a representative sample of a working ‘cold’ week. Overnight on-call
Mon-Thurs is shared among ‘cold week’ consultants. The timing of the day off
in ‘cold’ weeks is subject to discussion and negotiation.
Monday
Tuesday
Wednesday
Thursday
Friday
0900-1300
SPA (0.5)
UTI service
support
0700-1300
Joint
network
Clinic
CKD Clinic
Off
1300-1700
Haemodialysis 1300-1900
meeting
Joint
SPA (0.5)
network
Clinic /
Monthly Unit
CME
program
11.15-12.30.
MDT Ward
Handover
meeting
12.30-13.30
X-Ray /
Pathology
meeting
General
Nephrology
Clinic
Clinic results Off
Meeting
SPA (0.5)
Education
In conjunction with colleagues, the post holder will
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Take part in and contribute to the monthly unit CME program
Ensure a high standard of clinical teaching to junior medical colleagues
and to other members of the multi-disciplinary team
Take part in the work-place based assessment of junior staff.
Participate in the Division’s education programme.
Participate in education of medical students and postgraduate doctors
Take part in clinical audit.
Develop and promote research interests and activities
Communication

Ensure effective communication with colleagues and with other
departments across the Division
Programmed Activity Commitment

The post has 10 programmed activities consisting of 9 direct clinical
PAs and 1 supporting professional activity. More SPA time maybe
negotiated depending on the requirements of the individual consultant
or if the post holder is required to undertake additional non-clinical
duties.
Details of Arrangements for Applicants To Visit Hospital
Please contact in the first instance:
 Dr Philip Davies, Clinical Director for Paediatric Medicine, E-mail
philip.davies@ggc.scot.nhs.uk Telephone Number 0141-2010035
 Dr David Hughes, Consultant in Paediatric Nephrology, Email
david.hughes2@ggc.scot.nhs.uk Telephone Number 0141-2010123
Within the Women and Children’s Directorate the following list of useful
contact names and addresses are available:
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
Kevin Hill , Women and Children’s Services, RHSC, Tel Number
0141 201 0473
Dr Jim Beattie, Associate Medical Director, RHSC, Tel number
0141 201 0515
Dr Philip Davies, Clinical Director Hospital Paediatrics and
Neonatology, Tel Number 0141 201 0035
Mrs Elaine Love, Head of Nursing, RHSC, Tel Number 0141 201
0006
Mr Jamie Redfern, General Manager, Women and Children’s
Directorate, RHSC, Tel Number 0141 201 9273
Mrs Lynne Robertson, Clinical Services Manager, RHSC, Tel
Number 0141 201 0033
NHS Greater Glasgow & Clyde
Women and Children’s Directorate
Person Specification
Consultant in Paediatric Nephrology
Essential
Desirable
Qualifications


MBChB or equivalent
CCT in Paediatric Nephrology


Higher academic degree
APLS/EPLS
Experience

CCT or eligible within 6
months of interview in
Paediatric Nephrology
Sub-specialty training in
Paediatric Nephrology
Evidence of training in child
protection
Awareness of the
requirements of clinical
governance
Knowledge and understanding
of revalidation and appraisal
Evidence of knowledge and
understanding of research
methodology
Evidence of knowledge of
critical appraisal skills
Evidence of completion of
audit activities
Publications in peer-reviewed
journals
Enthusiasm for delivery of
education
Knowledge of teaching
methodology
Interest and experience in
teaching at undergraduate
and postgraduate levels
Evidence of experience and
effectiveness in management

Experience of performing
renal biopsies

Formal training in Clinical
Governance

Evidence of specific
paediatric nephrology
research or audit project
Presentation of
research/audit at national
meeting
Participation in multi-centre
trial research
GCP trained currently.
Evidence of training in
medical education


Clinical
Governance
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
Research
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Teaching
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
Management
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Formal management training
and evidence of learning
from it
An interest in the active
development of clinical
service and management
leadership
Personal
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Other
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Evidence of good
communication and
interpersonal skills with
patients, families and all team
members
Demonstration of leadership
skills
Organisational and
administrative skills
Evidence of team working
Evidence of flexibility,
diplomacy and integrity
Commitment to continuing
professional development
GMC registration
Occupational Health
Clearance
Enhanced disclosure from
Disclosure Scotland
Evidence of entitlement to live
and work in UK
Ability to meet on call
requirements & Regional
commitments.
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
Permanent
GRADE AND SALARY
Consultant
£ 76,001 - £ 102,465 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 three 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 David
Hughes on 0141 201 0123 with whom visiting arrangements can also be made.
HOW TO APPLY
To apply for these posts please include your CV and names and addresses of 3
Referees, along with the following documents; (click on the hyperlinks to open)
Medical and Dental Application and Equal Opportunities Monitoring Form
Declaration Form Regarding Fitness to Practice
Immigration Questionnaire
Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to
Apply” tab to access application for and CV submission information.
RETURN OF APPLICATIONS
Please return your application by email to nhsggcrecruitment@nhs.net or to the
recruitment address below;
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde
Recruitment Services, 1st Floor
Modular Building, Gartnavel Royal Hospital
1055 Great Western Road
GLASGOW
G12 0XH
CLOSING DATE
The closing Date will be noon on 7th November 2014
INTERVIEW DATE
The interview date will be 1st December 2014