JOB DESCRIPTION & PERSON SPECIFICATION
SPECIALIST REGISTRAR IN PAEDIATRIC DENTISTRY
At Guy’s & St Thomas’ NHS Foundation Trust (GSTT)
GUY’S & ST THOMAS’ NHS FOUNDATION TRUST
1.
An introduction to the Appointment
The Department of Paediatric Dentistry is seeking a full-time Specialist Registrar to join a
dynamic, enthusiastic and forward thinking team. The department has a long established
specialist service in Paediatric Dentistry. This is an excellent opportunity to join a first class
team in an active and progressive central London teaching hospital environment.
2.
Guy’s & St Thomas’ NHS Foundation Trust Information
The Trust consists of St Thomas’ Hospital at Waterloo, including the Evelina Children’s
Hospital, and Guy’s Hospital at London Bridge. We are also part of King’s Health Partners
(KHP), which comprises King’s College London, Guy’s and St Thomas’ NHS Foundation
Trust, King’s College Hospital NHS Foundation Trust and South London and Maudsley NHS
Foundation Trust. KHP is one of just five accredited UK Academic Health Sciences Centres
(AHSCs). Through our AHSC, we are committed to making research and education integral
to the delivery of high quality clinical care. The King’s Health Partners Integrated Cancer
Centre (ICC) is the vehicle for developing and managing cancer research, clinical services,
and training and development across all of the KHP partner organisations.
Our hospitals have a long and proud history, dating back almost 900 years, and have been at
the forefront of medical progress and innovation since they were founded. We continue to
build on these traditions and have a reputation for clinical, teaching and research excellence.
Guy’s & St Thomas’ provide a full range of hospital services for our local communities, as
well as community health services for people living in Lambeth and Southwark. The hospital
also provide specialist services for patients from further afield, including cancer, cardiac,
kidney, women’s and orthopaedic services, and we are home to the Evelina Children’s
Hospital. We have one of the largest critical care units in the UK and one of the busiest A&E
departments in London. See www.guysandstthomas.nhs.uk for further details.
As an organisation we are committed to developing our services in ways that best suit the
needs of our patients. This means that some staff groups will increasingly be asked to work a
more flexible shift pattern so that we can offer services in the evenings or at weekends. We
also have a positive approach to corporate social responsibility and are keen to engage our
staff in an agenda that ranges from promoting environmental sustainability to the creation of
local employment opportunities.
We are part of King’s Health Partners Academic Health Sciences Centre (AHSC),
a pioneering collaboration between one of the world’s leading research-led universities and
three of London’s most successful NHS Foundation Trusts. Our AHSC is one of only five in
the UK and consists of King’s College London and Guy’s and St Thomas’, King’s College
Hospital and South London and Maudsley NHS Foundation Trusts. Our AHSC brings
together the best of basic and translational research, clinical excellence and world-class
teaching to deliver groundbreaking advances in physical and mental healthcare. For further
information about Kings’ Health Partners, Kings College London and our research please
see
the
following
links:
www.kingshealthpartners.org,
http://www.kcl.ac.uk/medicine/index.aspx,
http://www.guysandstthomas.nhs.uk/research/research.aspx
and
www.biomedicalresearchcentre.org
Finally information regarding how we score on patient safety and experience can be found in
the following specific report http://www.guysandstthomas.nhs.uk/about-us/how-we-aredoing/home.aspx
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3.
Clinical Directorate & Department Information
The post sits with Department of Paediatric Dentistry. Out-patient services are based in the
Dental Centre at St Thomas’ Hospital and the day-case GA services in the Day-case Unit
(DCU), at Guy’s Hospital. The post holder will work in the Cleft Unit primarily and the Dental
Centre at St. Thomas Hospital. GA lists will be carried out at the Evelina Children’s Hospital
for admitted patients and the DCU at Guy’s Hospital for non-admitted patients.
The Department of Paediatric Dentistry:
Guy’s & St Thomas’ Hospital Foundation Trust is the largest in the NHS. The Children’s
Dentistry Department for out-patients is located in the newly-refurbished Dental Centre on
the Ground Floor, South Wing, at St Thomas’ Hospital. The Department has a state of the art
environment which is child-friendly. The main aims of the Department are the provision of an
excellent specialist service in children’s dentistry, the education and clinical training of junior
hospital dentists and postgraduate dentists, and the pursuit of research and scholarship. A
specialist service is provided for children and adolescents with complex medical problems,
those with learning difficulty or physical disability, those with inherited anomalies of the
dentition, and those with complex dentoalveolar injuries. The Department of Children’s
Dentistry at St Thomas’ Hospital is one of only 3 teaching hospitals in London which provides
a walk-in A&E service for children and adolescents in acute pain or those requiring
emergency management of dentoalveolar trauma.
The Department provides care for very young children with early childhood caries. There is
an extensive day case general anaesthetic (GA) service for children requiring oral
rehabilitation and minor oral surgical procedures. The Day Case Unit is situated on F23,
Tower Wing, at Guy’s Hospital. Children and adolescents with complex medical needs who
require dental GA are seen at the Evelina Children’s Hospital.
The out-patient Department for Children’s Dentistry at the Dental Centre, in St Thomas’
Hospital comprises of 13 dental chairs. Three of the surgeries are equipped with intra oral Xray machines and one surgery has a dental microscope. There is also a dedicated X-ray
room on the Ground Floor with intra and extra oral X-ray machines. There is piped inhalation
sedation in six dental surgeries.
Staff in the Department of Children’s Dentistry work very closely with orthodontic colleagues
and this is made possible by the co-location of Orthodontic services for children and
adolescents in the Dental Centre (Lower Level).
Current Services
The Department of Paediatric Dentistry at Guy’s & St Thomas’ NHS Foundation Trust has
developed, over many years, a comprehensive range of in-patient, daycase and out-patient
services for children of all ages (with an upper limit of 16 years). The staff provide specialist
services to the local communities in Lambeth, Southwark and Lewisham. We also provide
specialist services for patients from across London, the South East and further afield.
The range of specialty services provided by the department include:
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Preventive advice and therapy
Paediatric restorative dentistry and minor oral surgery
Management of children with dental pain and anxiety
Management of children requiring inhalation sedation
Care of medically compromised children
Care of children with disability/learning difficulty
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 Management of children with oro-dental injury
 Management of children with complex dental anomalies/inherited disorders of the oral
cavity and dentition
 Management of paediatric oral pathology
This range of patients seen has allowed the Department to support the clinical training and
education of postgraduates and junior staff as part of general professional training and
specialisation as well as other postgraduate dentists. There is a full consultation service and
specialist treatment for appropriate patients.
Source of patient referrals
The department receives Paediatric Dental referrals from general dental practitioners;
community dental officers; general medical practitioners; dental specialists, including those in
restorative dentistry and orthodontics; and a variety of paediatric medical specialties at the
Evelina Children’s Hospital and other hospitals. In addition patients are seen on a selfreferral basis attending the department’s A&E service, with dental pain, acute oral infection,
or having suffered oro-dental injury.
Specialist services provided within the Department
Specialist services in paediatric dentistry are provided to out-patients at St Thomas’ under
local anaesthesia and inhalation sedation as appropriate.
The day-case general anaesthetic facility is situated on Floor 23, Tower Wing, where the
paediatric dental team provide 7.5 day-case operating sessions per week for oral
rehabilitation and minor oral surgery under general anaesthesia (GA), and 2 day-case
operating sessions for exodontia. There is also a 1.5 weekly consultant delivered in-patient
GA session for children with complex medical disabilities at the Evelina Children’s Hospital
(ECH).
A multidisciplinary clinic is held weekly with our orthodontic and restorative colleagues in
order to ensure appropriate intermediate and long-term treatment planning for children with
hypodontia. Other interdisciplinary clinics are held with Oral Medicine and Children’s
Dentistry, and Orthodontics and Children’s Dentistry. The development of an IV sedation
service in the Department is currently underway. An interdisciplinary anomalies clinic with
Restorative Dentistry is also being planned.
One of our part-time consultants in Paediatric Dentistry is a member of the multidisciplinary
team supporting children with cleft lip and palate and works in close association with the
Plastic Surgeons, Orthodontists, Restorative Dentists, Oral Surgeons, Speech Therapists,
etc.
The Department has become a major referral centre for children who sustain dentoalveolar
injuries. These patients have complex paediatric dental needs and many require
interdisciplinary care in the long-term.
Facilities in the Department
The department has appropriate secretarial support, full library facilities in New Hunt’s House
at the Guy’s campus and there are also excellent research facilities.
The Department has 2 whole-time secretaries, technical laboratory support and an
Administrative manager on site.
The post-holder would share office space with another consultant and has a Trust computer
also.
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Training Opportunities
1) Consultation Clinics:
A wide range of patients are referred to the department of Paediatric Dentistry at GSTT,
including those with complex medical disabilities, behavioural management problems,
dentoalveolar trauma, and those with dental anomalies. The trainee would be expected to
participate in the assessment of and treatment planning for new patients attending consultant
clinics. There would also be an opportunity to see review patients on these clinics.
2) GSTT has the equivalent of 9 GA sessions per week for oral rehabilitation and 1.5
sessions for exodontia sessions per week.
3) The trainee would be expected to participate in multidisciplinary clinics such as
Hypodontia Clinics, Orthodontics & Paediatric Dentistry, Oral Medicine & Paediatric
Dentistry, and Cleft Lip and Palate.
4) GSTT is a major referral centre for dentoalveolar injuries. The trainee would be expected
to participate in Trauma Clinics. These clinics provide valuable experience in assessing
patients with dentoalveolar injuries. The trainee would also see the long-term outcomes of
cases with complex dentoalveolar injuries.
5) GSTT is major referral centre for paediatric Cardiology, Renal, Haematology and
Neurology patients. The Dental Centre is co-located with the Evelina Children’s Hospital and
South Thames Cleft Service.
6) The trainee would gain experience in the dental management of walk-in emergencies to
the A&E clinic in Paediatric Dentistry.
7) During the training period there will be designated time for:
Audit projects
Research
Submission of manuscripts for publication
Organising and participating in a weekly Clinical Governance meetings and fortnightly
Journal Clubs
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Staff in the Department of Paediatric Dentistry
Academic Head of Department
Professor Marie-Therese Hosey DDS MSc (Med Sci) BDS, FDS RCPS (f/t)
Consultant & Clinical Lead (GSTT)
EC Sheehy BDSc PhD FDS RCS (Paed Dent) (f/t)
Consultants
M Harrison BDS MScD MPhil FDS RCS (Paed Dent )(p/t)
C Williams BDS MPaed Dent PhD FDS RCS(Glasg) (Paed Dent) (p/t)
J Johnson BDS MSc MPaed Dent FDS RCS (Paed Dent) (f/t)
M Vaidyanathan BDS BSc MSc MPaed Dent FDS RCS (Paed Dent) (p/t)
D Baldwin BDS MPaed Dent FDS RCS (Paed Dent) (f/t)
vacancy (Cleft service)
Associate Specialist/Specialists
H Tatham BDS FDS RCS MPaed Dent MSc (p/t)
N Bhujel* BDS MFDS MPaed Dent D Clin Dent (f/t)
1 vacancy
Clinical Teachers & Specialist
C Tatsi DDS MDent Sci FRCD (Canada) MPaed Dent (London) (Specialist in Paediatric Dentistry) (p/t)
Specialty Dentist
A Patel BDS MFDS (p/t)
Junior Hospital Staff
N Bhujel* Specialist Registrar (FTTA) (f/t)
M de Souza Specialist Registrar (NTN) (f/t)
L Davies Specialist Registrar (NTN) (f/t)
A Lim Specialist Registrar (NTN)(f/t)
2 DCT1s (f/t)
1 DCT2 (f/t)
Professions Complementary to Dentistry
C Pleasance (p/t Hygienist)
1 vacancy (p/t Hygienist)
Postgraduates (KCL)
11 postgraduates including 2 GSTT Specialist Registrars
f/t = full-time; p/t = part-time
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Year 1: Draft Timetable for SpR (NTN)
Day
Monday
Tuesday
Time
Activity
am
Out-patient Treatment Session
pm
Out-patient Treatment Session
March 2016 – February 2017
Consultant Cover / Specialist Cover
Dr Sheehy
Mr Baldwin
am
Admin
Wednesday
Thursday
pm
Day case GA
Mr Harrison
am
Consultant Clinic
Dr Williams / Mr Harrison
pm
Audit
am
Research
Friday
pm
Consultant clinic
Ms Johnson
am
A and E clinic
Mr Baldwin
pm
Out patient treatment session
Ms Johnson
Year 2: Draft Timetable for SpR (NTN)
Day
Monday
Tuesday
Time
Activity
am
Out-patient Treatment Session
pm
Cleft clinic
March 2017 – February 2018
Consultant Cover / Specialist Cover
Dr Sheehy
Mr Baldwin
am
Admin
Wednesday
Thursday
pm
Day case GA
Mr Harrison
am
Consultant Clinic / Day case GA
Dr Williams
pm
Audit
am
Research
Friday
pm
Consultant clinic
Ms Johnson
am
Medical clinics/ A and E
Mr Baldwin
pm
Out patient treatment session
Ms Johnson
8
Year 3: Draft Timetable for SpR (NTN)
Day
Monday
Tuesday
Time
Activity
am
Consultant clinic
pm
Out patient treatment session
March 2018 – February 2019
Consultant Cover / Specialist Cover
Dr Sheehy
Mr Baldwin
Ms Viadyanthan
am
A and E
Wednesday
Thursday
pm
Research
Mr Harrison
am
In patient GA
Ms Johnson
pm
Admin
Mr Harrison
am
Hypodontia clinic
Friday
pm
Audit
Ms Johnson
am
Medical clinics / cleft clinic
Mr Baldwin
pm
Out patient treatment session
Ms Johnson
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