1 - NHS Greater Glasgow and Clyde

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CONSULTANT
PAEDIATRICIN WITH AN
INTEREST IN PALLIATIVE
CARE
ROBIN HOUSE,
BALLOCH/ROYAL
HOSPITAL FOR CHILDREN,
GLASGOW
INFORMATION PACK
REF: 39044D
CLOSING DATE: NOON 25TH SEPTEMBER 2015
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
POST: CONSULTANT PAEDIATRICIAN WITH AN INTEREST IN PALLIATIVE
CARE
BASE: ROBIN HOUSE, BALLOCH/ROYAL HOSPITAL FOR CHILDREN,
GLASGOW
This is a joint appointment between NHS Greater Glasgow and Clyde and the
Children’s Hospice Association Scotland (CHAS). The post is based at Robin House
in Balloch and the Royal Hospital for Children, Glasgow. The post is equally split
between CHAS and NHS Greater Glasgow and Clyde. Out of hours work is for CHAS
with no out of hours work within NHS Greater Glasgow and Clyde. Sessions will be
offered in the appointee’s base specialty. The post is intended to contribute to the
strategic development and service improvements in paediatric palliative care in
Scotland and to the further development of an associated speciality within the Royal
Hospital for Children, Glasgow.
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.
NHS Greater Glasgow and Clyde
Children’s Services
Children’s Hospice Association Scotland (CHAS)
Consultant Paediatrician with a Special Interest in Palliative Care
1. Outline of the post
This is a joint appointment between NHS Greater Glasgow and Clyde and Children’s
Hospice Association Scotland ( CHAS) . NHS Greater Glasgow and Clyde will be the
employer and the post is offered with the NHS Scotland Consultant Terms and
Conditions of Service. The post is intended to contribute to the strategic development
and service improvements in paediatric palliative care in Scotland and to the further
development of an associated speciality within the Royal Hospital for Children,
Glasgow,
It is a full time substantive post available from August 2015.
The post is based at Robin House in Balloch and the Royal Hospital for Children,
Glasgow. The post is equally split between CHAS and NHS Greater Glasgow and
Clyde. Out of hours work is for CHAS with no out of hours work within NHS Greater
Glasgow and Clyde. Sessions will be offered in the appointee’s base specialty.
A memorandum of understanding between both organisations sits alongside this job
description and provides further clarity on the obligations of each employer in respect
of the day to day management and decision making specific to the joint appointment.
2. Children’s Hospice Association Scotland (CHAS)
The CHAS Plan 2011 - 2016 outlines the vision to offer more support to babies,
children and young people with palliative care needs. Its vision is that children and
young people in Scotland will have access to palliative care when and where they
need it. Its objective is to augment the work of its current practitioners, for neonates,
children and young people with life-shortening conditions, and to develop
sustainable medical care within an evolving multi-professional team working
alongside the CHAS medical team.
CHAS provides hospice services for babies, children and young people with lifeshortening conditions in Scotland. CHAS offers care for the whole family in its two
children’s hospices, Rachel House in Kinross and Robin House in Balloch, in addition
to its CHAS at Home service, which helps families in their own homes both on a
planned and an emergency basis. CHAS has supported over 380 families in the last
year (2014/15), as well as a number of families who have received bereavement
support.
CHAS has two full time medical staff, a Medical Director and a hospice specialist,
both of whom have a specialist qualification in palliative care for children and young
people. The medical director leads a team of doctors working in both hospices who
assess and manage children and young people with a range of symptoms and who
are at various stages of their underlying conditions, including those who need end of
life care. The team also works closely with all practitioners involved in a child or
young person’s care in children’s hospitals and in their own homes.
Caring for a child or young person with a life-shortening condition places significant
demands on parents, both physically and emotionally, as they often become the
primary carers. A key role of the CHAS service is to provide short planned breaks in
one of its two hospices which enables the whole family to stay together in a ‘home
from home’ environment. A multi-professional team provides complex care alongside
play and activities for those accepted for ongoing palliative care. Siblings are able to
benefit from inclusion in activities and quality time with their parents, who in turn are
able to talk, have time together and benefit from uninterrupted sleep.
The whole family is able to enjoy prepared meals, and the environment created by
staff and volunteers is aimed to be homely and relaxing. Families meet others in
similar situations, and this is invaluable for parents and children alike. Short planned
breaks for a child or young person without their parents are also provided. For some
young people, it allows an element of independence and gives parents time to catch
up on things at home.
Short planned breaks also assists families to plan ahead and allows CHAS staff and
volunteers to build relationships with all family members, so enabling effective and
ongoing support.
There are times when families require support out with the hospice environment, and
CHAS offers a flexible outreach service encompassing home support provided by
members of the CHAS at Home team which includes:
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Nursing care
Support to siblings, including play and activities
End of life care
Helping young people to access activities in their local community
Social work advice and support and, when appropriate, advocacy
Bereavement support
In all these situations, staff members assess the needs of the baby, child or young
person and their family to ensure the support offered is appropriate and complements
any other provision of care received.
Emergency admissions to the hospices are arranged in times of special need and
may be as a result of any of the following situations:
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A sudden change in a baby, child or young person’s condition requiring
admission for symptom management
At the end stages of life, with admission from home or hospital, or as a step down
admission from hospital at earlier stages in a child’s or young person’s disease
trajectory.
A period of parental or sibling illness
A breakdown in a locally provided home care package
An assessment by other professionals of urgent family need
Some families may wish to stay at the hospice during the last few days or weeks of
their child’s life. When this happens, CHAS staff members listen to the needs of the
child and family and provide support, whilst working closely with other professionals
involved in hospital or community teams. When a child or young person dies in
Rachel House or Robin House they usually remain in their room for a few hours and,
after discussions with their family, the child will often be moved into the Rainbow
Room (bereavement suite), but in other cases some families prefer their child to be
moved to a chapel of rest or a religious facility.
It is also possible for babies, children and young people to be transferred to the
Rainbow Room when they die either at home or in hospital. If a family wish to remain
at home, CHAS staff members are able to support them while working closely with
their local children’s community nurses, GPs and other members of the team.
CHAS is committed to the development of research in paediatric palliative care,
which is demonstrated through a structured programme of research and education.
The CHAS Evaluation, Audit and Research Group co-ordinates and supports all
related activity both internal and external research.
CHAS aims to contribute to and enhance the education of students and professionals
working in the field of children’s and young people’s palliative care, and so it
encourages professionals to visit its hospices to find out more about CHAS and the
services offered to babies, children, young people and their families.
3. NHS Greater Glasgow and Clyde
The Royal Hospital for Children, Glasgow
The brand new children’s hospital, with a separate identity and entrance, is joined to
the new adult Queen Elizabeth University Hospital, Glasgow. With 256 beds over
five storeys it has replaced the previous Royal Hospital for Sick located in the Yorkhill
area of Glasgow.
The new RHC has stunning designs including a part covered roof garden where
young patients can enjoy a range of activities in the fresh air including their own
stage where they can put on theatrical productions. There is also the ability for
children to be brought out to the roof garden in their beds. The new children’s
hospital has a mix of four-bedded and single bedded rooms as it has shown that a
child’s health benefits from being around other children.
All paediatric subspecialities are on site, including cardiology, cardiac surgery, ITU,
respiratory , renal, neurology, gastroenterology , endocrinology , haematology,
oncology and neonatal and paediatric surgery . This includes a number of national
services.
The new children’s hospital is linked to both the adult hospital and to the
redeveloped maternity hospital.
Southern General Maternity
At the start of 2010, the new neonatal unit opened above the labour ward on the
Southern General site with projected delivery numbers for the hospital of 5,900 births
per year. Because the Ian Donald Fetal Medicine Unit is on the same site, a
significant proportion of the neonatal workload involves delivery of infants with known
congenital abnormalities .
Princess Royal Maternity (PRM)
The PRM is a large maternity unit situated about 1 mile east of the centre of
Glasgow. It is on the campus of Glasgow Royal Infirmary, which provides services
for the population of the East and North of Glasgow. It is a purpose-built, 120-bed
maternity hospital, with a capacity for 6,800 deliveries per annum. There are 10
intensive care cots, 23 special care cots and a 4 bed transitional care unit. All
neonatal intensive care can be provided except for those infants who require
neonatal surgery and/or extra-corporeal life support services (ECMO). A telemedicine
link with the Royal Hospital for Children, Glasgow has been long established allowing
live consultation and the transmission of ultrasound images. The University Chair of
Obstetrics and Maternal Medicine is based on site and there is an active research
philosophy in The Department
The Haematology and Oncology Service
This post will enable the appointed candidate to develop an additional area of
specialist interest with paediatric oncology being encouraged.
The clinical Haematology and Oncology service is part of the Medical Directorate and
this post resides within the Medical Directorate. The department provides care for
children with leukaemia, solid tumours, brain tumours, bleeding disorders and a
range of benign haematological conditions for patients, predominantly from the West
of Scotland. The department houses the National Stem Cell Transplant Unit and is
the Regional Paediatric Haemophilia Centre.
The department sees approximately 90 new cases a year with cancer of which two
thirds are solid or brain tumours. It has one of 9 UK based ITTC units working in
collaboration with Newcastle to deliver phase I/II trials to children Scotland and the
North East of England.
The unit contains one of only 3 purpose built targeted radio-nucleotide suites for
children in the United Kingdom.
The Stem Cell Transplantation Programme is a national service with National Service
Division (NSD) recognition and funding. It has JACIE and HTA accreditation as both
an allogeneic and autologous clinical transplant centre and collection site for bone
marrow and directed cord blood collection. There are close relationships with the
Regional Stem Cell Processing laboratory, the Regional Transfusion Centre and
Apheresis Service and the Paul O’Gorman Scottish Leukaemia Research Laboratory.
Paediatric Haematology is provided by 5 Consultant Haematologists. Within this
compliment there are specialist interests - one consultant has an interest in
haemophilia, haemostasis and haemoglobinopathies, a second in adolescent
haematology, a third in leukaemia and stem cell transplantation, 4th in stem cell
transplant and haemoglobinopathies and a fifth is 0.9 WTE academic.
There are 3 full time clinical paediatric oncologists, caring for children with solid
tumors and brain tumours from the West of Scotland and beyond. In addition they
also look after patients from other centres who are referred as per agreed pathwas or
as required by phase I or II trials. This is delivered as part of the Managed Service
Network for Childhood Cancer.
The department is supported by a Clinical Trials co-ordinator, a team of data
mangers and two research nurses.There are 4 surgeons on-site who have an interest
in oncology, all of whom insert port-a-caths and hickmen lines. Radiotherapy
facilities are at the nearby West of Scotland Beatson Oncology Centre and two
Consultant Clinical Oncologists support this service. The West of Scotland Blood
Transfusion Service provides an apheresis service for harvesting peripheral blood
stem cells for intensive chemotherapy support. Specialist in-house Paediatric Renal,
Respiratory, Cardiology, Gastro-Enterology and Endocrinology Consultants support
the Unit. There is an on site Intensive Care and High Dependency Unit.
The clinical work is supported by a full range of laboratory services. Haematology /
Blood Bank provide a comprehensive range of investigations, including marrow
diagnosis, haemostasis and thrombosis investigations, flow cytometry and molecular
genetics. The Radiology Department has ultrasound, CT and MRI scanning facilities
and nuclear medicine. There is access to interventional radiology. The
Histopathology service is provided by 3 Paediatric pathologists. Medical Genetics is
sited within the new laboratory complex at the Queen Elizabeth University Hospital.
4. Details of the Post
It is envisaged that the role is split equally between CHAS and Greater Glasgow and
Clyde. The aim is to develop and support the palliative care service in the hospice
setting, as well as within the community and RHSC, Glasgow. It is anticipated that 6
sessions will be provided to palliative care within these settlings which will include the
out of hours commitment.
Out of hours work will be on call for CHAS 1:4 with prospective cover. Initially this will
be first on but as developments including nurse practitioners and non-medical
prescriber’s progress, this should change to a second on call arrangement. On call
commitments will be for the CHAS hospices Rachel House in Kinross and Robin
House, Balloch as well as domiciliary patients cared for through the ‘CHAS at Home
Team’ and occasionally to provide liaison with acute hospitals.
The main base for CHAS commitments will be Robin House.
Four sessions are for specialist work within the RHC, Glasgow with a sub-speciality
interest in oncology being welcomed. The details of the NHS commitments will be
negotiated with the person appointed depending on their clinical background.
However, this will include on service and clinic responsibilities.
The post is offered under the NHS Scotland Consultant Terms and Conditions of
Service.
Annual job planning will be undertaken with the appointee jointly by the NHS Greater
Glasgow and Clyde Clinical Director and the CHAS Medical Director.
Annual appraisal will be with a nominated NHS Greater Glasgow and Clyde
appraiser and the CHAS Medical Director.
NHS Greater Glasgow and Clyde will support study leave in line with the Terms and
Conditions to support the person appointed in their base specialty. CHAS will provide
a bespoke programme of training and continuing professional development to
support work within CHAS. In particular the person appointed will be encouraged to
apply for the distance learning Post-Graduate Diploma in Palliative Medicine
(paediatric) and if successful the course will be funded by CHAS.
While on call the appointee will have the support of a ‘second on’ to provide advice
and support until, by mutual agreement, the appointee is ready to do on call without
this support.
5. Teaching
The service has a prominent role in teaching undergraduates and postgraduates.
The post-holder will contribute to the undergraduate teaching programme and to the
teaching of trainee medical staff. You will participate in audit projects to support
revalidation, which are regularly undertaken within the general medical paediatric
department.
6. Indicative Job Plan
Specialty:
Principal place of work:
Contract:
Programmed activities:
Availability supplement:
Managerially accountable to:
Greater Glasgow and Clyde
Paediatric palliative care
CHAS/RHSC/RIE
Full time
10.0 PA
9.0 DCC PA; 1.0 SPA
8%
Clinical Director of Speciality Paediatrics, NHS
Split responsibilities to CHAS and NHS Greater Glasgow and Clyde with 6 sessions
of palliative care and 4 sessions of a paediatric speciality such as Haematology
Oncology.
Out of hours for CHAS:
Medical cover for CHAS offers support across its three integrated hospice services
Rachel House in Kinross, Robin House in Balloch and CHAS at Home. Access to
children’s and young people’s electronic records off site is available, and much of the
care can be provided by telephone support, but clearly some support is required in
person. The actual levels of support vary from month to month, often depending on
where a user of the service is in their disease trajectory, but extensive work is
invested into maintaining current anticipatory care plans (ACPs), and in the
development of an optimal nurse skill mix, and in particular in training non-medical
prescribers.
It is planned that at weekends the first on call medical practitioner will contact both
hospices each day, as a follow up to their medical hand over, and assess the need
for a doctor to visit a hospice on that day. In the induction period it is planned that
that an experienced CHAS doctor would be available on a second on call basis. On
average the on call component is of low intensity compared to busy units within the
NHS, but on call will be in half-week components which either involve the weekend
on call or not. If the weekend is worked, there is a requisite non-clinical time following
this.
CHAS offers extensive learning and development opportunities and there is a strong
emphasis on continuous professional development with an expectation that the
appointee will undertake a Post-Graduate Diploma in Palliative Medicine (paediatric)
or similar, if this is not achieved.
This job plan is negotiable and will be agreed between the successful applicant and
the Clinical Director. NHS Greater Glasgow & Clyde initially allocates all full time
consultants 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core
Supporting Professional Activities (SPA) for CPD, audit, clinical governance,
appraisal, revalidation, job planning, internal routine communication and management
meetings. The precise allocation of SPA time and associate objectives will be agreed
with the successful applicant and will be reviewed at annual job planning.
As a major teaching and research contributor, it would normally be expected to
allocate additional SPA time for activities to do with undergraduate education,
educational supervision of trainee medical staff, research and other activities. Both
CHAS and NHS Greater Glasgow and Clyde are keen to negotiate additional SPA
time with the appointee to pursue mutually beneficial non-clinical activities. The
precise allocation of SPA time and associated objectives will be agreed with the
appointee.
7. Contact Details
Candidates are encouraged to contact:
Dr Pat Carragher
Medical Director, CHAS
[email protected]
Telephone on 01577 866075 (Administrator: Danielle Harley)
Maria McGill
Chief Executive, CHAS
[email protected]
Telephone on 0131 444 4011 (Executive Assistant: Gillian Anderson)
Dr Philip Davies
Clinical Director for Medical Specialities, RHSC, Greater Glasgow and Clyde
[email protected]
Telephone on 01412010035
11. Person Specification
Person specification for Consultant in Paediatric Palliative Care
Requirements
Qualifications and
training
Essential
Fully registered with the GMC
with a license to practice
Desirable
MRCPCH or equivalent
Relevant higher degree
On the specialist register for
paediatrics or within six
months of being eligible for
the specialist register at the
time of interview
Or
Level 3 child protection
training
Post-Graduate Diploma
in Palliative Medicine
(paediatric)
Equivalent training and
experience in a related and
relevant specialty
Evidence of competence in
paediatric resuscitation
Appropriate advanced
paediatric and neonatal life
support certification
Level 2 child protection
training or equivalent
Experience
Wide range of experience in a
paediatric specialty or other
relevant specialty.
Experience and training in
paediatric palliative care and a
willingness to develop this
further
Ability
Ability to take responsibility for
management of patients
Understanding of the
paediatric Scottish Patient
Safety Programme and
commitment to its aims
Academic achievements
Understanding of the
principles of medical research
and ability to critically assess
evidence.
Publications/
Presentations
Teaching and audit
Demonstrable experience of
Formal qualification in
participation in clinical audit
and implementation of its
findings
Experience in training
undergraduate medical
students and postgraduate
doctors
medical education
Training the trainers
course
Willing to commit to role of
clinical supervisor and/or
educational supervisor (to be
included in job plan)
Motivation
Evidence of commitment to
patient focused care,
continuous professional
development, effective and
efficient use of resources
Personal attributes
Able to work in a team with
colleagues in own and other
disciplines
Effective interpersonal skills
Well organised and with good
time management skills
Flexible and adaptable
Full driving licence
Able to drive as part of the job
Able to motivate
colleagues
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
£ 76,761 to £ 103,490 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 which currently costs £59.00. The cost of the
PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and
will required to be repaid through a payroll deduction mandate from the
successful candidate’s first salary.
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 not 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
Subscribe to our Medical Jobs Vacancy Bulletin Click Here
Register for Text Alerts for medical vacancies – email your mobile number and
the grade and specialty you are interested in to [email protected]
Applicants wishing further information about the post are invited to contact Phil
Davies on 0141 451 6587 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 [email protected] or to the
recruitment address below;
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde Recruitment Services
5th Floor, Tara House
46 Bath Street
Glasgow
G2 1HJ
CLOSING DATE
The closing date will be 25th September 2015
INTERVIEW DATE
The interview date will be 27th October 2015
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