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THE BIRMINGHAM WOMEN’S AND CHILDREN’S
NHS FOUNDATION TRUST
CONSULTANT IN
PAEDIATRIC INTERVENTIONAL RADIOLOGY
BIRMINGHAM WOMEN’S AND CHILDREN’S NHS FOUNDATION TRUST
A Consultant Paediatric Interventional Radiology post is available in the Department of Radiology at
Birmingham Children’s Hospital. The post is required to support interventional radiology within the
Children’s hospital working alongside the lead for Interventional Radiology and specialist
interventional radiologists from the University Hospital Birmingham. The appointee will be joining an
existing establishment of 12 consultant paediatric radiologists. This is a full-time 10-PA post.
1.
GENERAL INFORMATION
Birmingham is a progressive, modern city offering pleasant accommodation and excellent civic
infrastructure. There are good road, rail and air links and easy access to the countryside. The
International Convention Centre, Symphony Hall, National Indoor Arena, the Art Gallery and several
theatres are centrally located. There are excellent schools and the University of Birmingham, Aston
University and Birmingham City University offer a wide range of educational facilities and other
activities.
2.
THE BIRMINGHAM WOMEN’S AND CHILDREN’S HOSPITAL NHS FOUNDATION TRUST
In February this year Birmingham Children’s Hospital integrated with the Birmingham Women’s
Hospital to become one organisation. The Children’s Hospital is located on Steelhouse Lane in the
City Centre and the Women’s Hospital in Edgbaston.
Birmingham Children’s Hospital provides both secondary level paediatric services for the child and
adolescent population of much of the city of Birmingham, and is the lead partner in the pioneering
0-25 mental health service Forward Thinking Birmingham.
It is also the regional referral centre for the West Midlands and many of its specialist services extend
their referral base beyond regional boundaries. As well as general paediatrics and paediatric surgery
the clinical services provided by the trust include cardiology and cardiac surgery, endocrinology, ENT
surgery and cochlear implantation, gastroenterology and hepatology, inherited metabolic diseases,
neurosurgery, oncology and haematology, ophthalmology, orthopaedic and trauma services, spinal
surgery, paediatric dentistry, plastic surgery including cleft lip and palate work, respiratory medicine
and cystic fibrosis, rheumatology and thoracic surgery.
The hospital is a designated regional and supra regional centre for craniofacial surgery,
cardiothoracic surgery (hypoplastic left heart syndrome), dermatology (epidermolysis bullosa),
endocrinology (Alstrom’s disease), paediatric burns and complex liver disease and liver
transplantation, and is the national centre for paediatric small bowel transplantation.
There is comprehensive provision of diagnostic and support services including all aspects of
paediatric laboratory medicine, radiology and pharmacy. Therapy services include dietetics,
physiotherapy, orthoptics, occupational therapy, and speech and language therapy. Pastoral and
social support is offered by a multi-faith chaplaincy, the bereavement support team and by the social
work department.
The Trust provides care for over 200,000 children and young people a year from all over the UK and
Europe and is one of the leading paediatric teaching and research centres in the country. We employ
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more than 2,700 WTE staff and welcome in the order of one million people through our doors every
year. The Trust is a leading teaching and research institution and partner of all the city’s universities.
Birmingham Children’s Hospital was rated outstanding by care quality commission in 2016, we are
the first Children’s hospital in the country and the only hospital in the whole of Midlands and the
East to get this rating.
Facilities at BCH include:

A 31 bedded Paediatric Intensive Care Unit

Standalone retrieval service (KIDS-NTS)

A centre of excellence for children with cancer, cardiac, liver and renal disease

280 inpatient and day-case beds including Child and Adolescent Mental Health Services

50 Specialties and supporting departments

An Emergency Department dealing with over 45,000 patients attendances a year

10 state of the art theatres

3 MRI scanners

A CT scanner

An endoscopy suite

A hybrid cardiac theatre and catheter laboratory
We have developed a number of partnerships over the last few years, including one with Wellcome
and the Birmingham Children’s Hospital Charitable Trustees which has enabled the Trust to establish
the only paediatric research facility in the country at a cost of £4.8 million.
Other successful partnerships include:
A 60 room parent accommodation facility on site funded by Ronald McDonald House Charities
- £7 million.

A bespoke environment for adolescents with cancer funded by the Teenage Cancer Trust - £3
million.

Renal Ward part funded by British Kidney Patients Association - £2.7 million.
There are significant expansion plans for the future including Waterfall House, the UK’s first Rare
Diseases Centre for children. Long term plans are also being drawn up for further new
developments, either within the existing footprint or a new build on the University of Birmingham
site.
4.
THE UNIVERSITY OF BIRMINGHAM
In 2008 the University of Birmingham embarked on an ambitious programme of organisational
change to help ensure the University is able to respond quickly to changes in the external
environment and capitalise on its considerable strengths.
The revised structure is based on five Colleges of which the College of Medical and Dental Sciences,
headed by Professor Lawrence Young, is the largest with nearly 1,400 staff and an annual budget of
over £80m. The College, which is made up of five schools (Cancer Sciences, Clinical and
Experimental Medicine, Dentistry, Health and Population Sciences and Immunity and Infection) is a
major international centre for research and education in medicine, biomedical sciences, dentistry,
nursing and physiotherapy.
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The undergraduate and postgraduate educational programmes are delivered by some of the UKs
most respected academics, clinicians, scientists and health professionals providing students with the
best possible learning experience and the ability to keep up to date with the latest research
developments and best clinical practice.
The national Research Assessment Exercise (RAE) rated many of the research areas as world leading
or internationally excellent.
The Medical School is justly proud of its library and reference facilities, and has good working
relationships with Trusts and Health Authorities.
5.
DEPARTMENT OF PAEDIATRIC RADIOLOGY
Staff
Consultants
Dr Manigandan Thyagarajan – MB BS, MD, FRCR –Clinical Lead/ Head of Specialty
Dr Karl Johnson BSc,MRCP, FRCR
Dr Lesley MacPherson FRCR
Dr Helen Williams MRCP, FRCR
Dr Katharine Foster BMed Sci, MRCPCH, FRCR
Dr Claire Miller BSc, MRCP, FRCR
Dr Shruti Moholkar MRCPCH ,FRCR
Dr Adam Oates BSc MRCS FRCR PhD
Dr Simon McGuirk BMedSci (Hons) MRCS(Ed) FRCR PhD
Dr Karen Bradshaw MRCP, FRCR
Dr Shyam Mohan MRCPCH, FRCR
Dr Benjamin Pinkey MPharm, FRCR
Dr Hiten Patel MBChB, FRCR
Specialist Registrars
There are up to four trainees from the Birmingham Radiology Training Scheme who rotate through
the department at 3-monthly intervals. Trainees from other UK training schemes rotate through the
department on an ad hoc basis.
There is also a Diagnostic Fellowship post that has been running for 4 years
Directorate Managers
Service Manager: Dominic St Louis
Radiology Operational Manager: Lucy Harrison
Radiographers
Band 8b Professional Manager (Radiographer): Jean Cahalane
General Imaging: Band 7 (2 WTE), Band 6 (6.4WTE), Band 5 (9 WTE)
Ultrasound: Band 8b Consultant Sonographer (0.8 WTE), Band 8a (2.6 WTE), Band 7 (1 WTE), Band 6
training post (1 WTE)
Cross Sectional Imaging CT/MRI: Band 8a (1.0 WTE), Band 7 (4.8WTE), Band 6 (5WTE)
Non-radiographic Staff
Helpers: band 2 (3 WTE)
Admin & Clerical
10.35 WTE (Bands 2 to 5)
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1 WTE Apprentice
Equipment
1.5-T MRI x2 (Siemens Avanto; Siemens Aera)
3T Philips Achieva MRI Scanner
CT GE Discovery 750 HD 2013/14
CT GE Brivo 385
Siemens Artis Zee Multipurpose fluoroscopy x 2
Siemens Luminos dRF digital hybrid room
Wolverson conventional radiography room
Siemens Symbia SPECT CT Gamma Camera
Xograph cone beam CT digital dental X-ray
Biplane angiography/interventional radiology Toshiba – In theatre suite
Hybrid angiography theatre Toshiba – In theatre suite
Mobile image intensifiers (Philips x3; GE x1)
Mobile radiography (x6)
Philips conventional radiography room in a separate A&E department
Ultrasound machines x5 (GE Logiq E9, GE S8 x 4).
Lunar Bone Densitometer (managed by the Department of Endocrinology)
Agfa IMS and PACS installed Summer 2011 throughout the hospital
Access to PET at University Hospital Birmingham
6.
DEPARTMENT OF PAEDIATRIC INTERVENTIONAL RADIOLOGY
Staff
BCH consultants
Dr Simon McGuirk BMedSci (Hons) MRCS(Ed) FRCR PhD – Head of Specialty
Dr Manigandan Thyagarajan – MB BS, MD, FRCR
UHB consultants
Dr Ian McCafferty BSc, MRCP, FRCR
Dr Robert Jones MRCP, FRCR
Dr Andrew Willis MRCS, FRCR
Dr Homoyon Mehrzad FRCR, EBIR
Dr Saleh Lamin, MRCP, FRCR – Neuroradiologist
Dr Allan Thomas, FRCR – Neuroradiologist
Radiographers
The IR and Lines services are supported by a full-time senior IR radiographer (Band 7) and a pool of
specialised radiographers (Band 6) from the main department who regularly attend IR lists and
contribute to the on-call rota.
IR facilities
Interventional radiology is primarily provided in the IR suite within the Radiology department. This
contains a Siemens Artis Zee Multipurpose system with a stand-alone GE Logiq S8 ultrasound
machine. The IR suite contains a separate anaesthetic room, used for the induction of general
anaesthesia. The IR suite is being redesigned and reconfigured in 2017-2018 – this will include
replacement of the fluoroscopy unit with a biplane system and reconfiguration and expansion of the
two-bed recovery area adjacent to the IR suite.
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In addition, IR has access to the bi-plane Toshiba Infinix VC-1 unit in main theatres. This unit has
cone-beam CT and rotational 3D angiography capabilities. This suite utilises the generous recovery
area within main theatres.
There is in addition access to 2 diagnostic fluoroscopy rooms for more simple procedures as well as
US and CT.
7.
DEPARTMENTAL ACTIVITIES
Clinical
The department is housed on the ground floor of a 13-year-old purpose-built building.
Approximately 60,000 examinations are performed each year in a completely filmless environment.
The entire gamut of radiological investigations is undertaken. Interventional radiology is currently
provided by one on site Consultant and 4 radiologists from University Hospital Birmingham.
Annual Workload (2016)
MRI
CT
Fluoroscopy
Nuclear Medicine
Ultrasound
Plain films
Interventional
5,653
2,785
2,263
884
11,278
29,417
618
Research and audit
Regular multidisciplinary audit is undertaken under the direction of Dr Shyam Mohan.
The research lead for the department is Dr Lesley MacPherson.
Education
The local Royal College of Radiologists tutor is Dr Adam Oates.
8.
THE POST
This new post is funded to support the expansion of the paediatric interventional radiology (IR)
service at Birmingham Children’s Hospital (BCH). It is anticipated that the post holder will bring IR
skills to the department, and will develop a specialist interest in areas of paediatric IR that will help
deliver improved, minimally invasive care for the children in the West Midlands.
The current IR service is provided by one BCH consultant and an SLA with University Hospital
Birmingham (UHB). The SLA delivers specialist interventional neuroradiology as well as supporting
the hepatobiliary, arterial, and vascular anomalies services at BCH and more general interventions.
We currently perform more than 600 IR procedures per year. More than 85% of these procedures
are performed under general anaesthesia. The major categories of IR work are: biopsy and drainage;
hepatobiliary intervention; diagnosis and treatment of vascular anomalies; angiography and arterial
intervention; urological intervention; gastrointestinal intervention; and neurointervention. Central
venous access is primarily provided by a dedicated Lines team.
The current service provides 2.5 GA lists per week, which are expected to extend to 6 GA lists per
week following recent approval of a business case for expansion of the IR service. GA lists are
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primarily based in the hospital’s IR suite within Radiology, though one session per week is in the
biplane suite within theatres - primarily used for neurointervention, as well as complex arterial,
venous and hepatobiliary intervention. A small but important proportion of IR cases are performed
elsewhere in radiology (CT & fluoroscopy), main operating theatres, and on the paediatric intensive
care unit.
This post includes diagnostic paediatric radiology sessions, and the successful applicant should
ideally be trained in all aspects of paediatric radiology. The Paediatric Radiology Department at BCH
supports the development of sub-specialty interests, and this same support would be offered to the
successful applicant. The successful applicant would be expected to take a share of multi-disciplinary
meetings with existing consultant radiologists. The nature of paediatric radiology at Birmingham
Children’s Hospital is such that the successful candidate will need broad experience, to be able to
use many modalities, and be prepared to work flexibly. The successful applicant must be prepared to
work flexibly as we are currently working towards an extended day.
Teaching
The appointee will be expected to take part in the teaching commitment to the radiology trainees.
He/she will be expected to contribute to undergraduate medical student teaching as necessary and
to play a full role in postgraduate medical education and the training of other relevant staff groups.
Audit
The post holder will be expected to participate in medical and clinical audit. The audit lead for the
department is Dr Shyam Mohan
Clinical Governance
The appointee will be expected to participate in all aspects of the Clinical Governance structure
developed by the Trust to monitor, maintain and develop the quality and effectiveness of care. The
Trust is committed to the development of medical staff through individual appraisal. This will include
audit of personal clinical practice as well as involvement in departmental / specialty reviews,
attention to continuing professional development, meeting the Royal College of Radiologists
requirements, awareness of professional standards and the responsibility to undertake safe and
ethical clinical practice. Funding is available for approved study leave as defined in the Trust’s study
leave policy.
Cross-cover for clinical duties with colleagues
The on-call commitment will be shared between the consultants and the appointee will be expected
to provide cross cover for his/her colleagues during periods of leave and short-term sickness
absence.
Research
The post holder will be expected to have research experience and to contribute to research
undertaken within the department and elsewhere in the Trust. He/she will also be expected to be
aware of current research and development initiatives in relation to clinical service development.
9.
CLINICAL MANAGEMENT
As part of our Next Generation transformational programme, we reviewed our leadership and
clinical structures in 2015 to enable us to deliver our ambitions over the coming years. This is
structured around seven new clinical groups. The groups have been carefully designed to more
closely align our leadership and clinical structures and move decision making closer to the front line.
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Radiology sits within Urgent and Critical Care, which also includes the Emergency Department,
Clinical Decision Unit, Paediatric Assessment Unit, Medical High Dependency Unit, General
Paediatrics, Paediatric Intensive Care Unit and KIDS. The Clinical Director for this group is Dr M
Montgomery (Paediatric Intensivist) and the associate service director is Mr M Train. The Medical
Director for the hospital is Dr F Reynolds and the Chief Operating Officer is Mr T Atack. Each Clinical
Group includes a Head of Nursing, a Finance Manager and a Human Resources Manager.
There are weekly Directorate Operational Management Team meetings covering Governance,
Finance, Human Resources and Performance. The radiology department has a fortnightly meeting
for all senior staff, which alternates with teaching/training meeting for the radiologists and a
monthly meeting for all staff. The clinical lead is responsible to the Clinical Director for the
implementation of all aspects of Trust policy and clinical governance or quality initiatives within the
speciality.
The clinical service directors are all members of the Executive Management Team, chaired by the
Chief Executive, Ms Sarah-Jane Marsh.
The post holder will be expected to take part in the delivery and development of clinical services
within the Trust’s Service and Financial Framework and in line with the Trust’s clinical strategy.
The post holder will be expected to participate in the activities of appropriate departmental,
directorate or Trust committees and working groups as required.
10.
TERMS AND CONDITIONS OF SERVICE
HEALTH AND SAFETY
Staff have a legal responsibility not to endanger themselves, their fellow employees or others by
their individual acts or omissions. The post holder is required to comply with the requirements of
any policy or procedure issued by the Trust in respect of minimising the risk of injury or disease.
EQUALITY AND DIGNITY
The post holder will be expected to adhere strictly to principles of fairness and equality in carrying
out the role. At all times the post holder will be required to show respect for and maintain the
dignity of patients, the public and work colleagues. The Trust will not tolerate any form of bullying or
harassment, violence or aggression against its employees.
COMMUNICATION
An integral part of the role of any manager or person with leadership responsibilities is to
communicate effectively with their staff and colleagues. It is an expectation of this role that
resources and time will be allocated to communicate fully with staff and involve them in the
decisions affecting them.
Arrangements should be made to ensure that local and Trustwide matters are communicated and
discussed via appropriate means ie, team meetings, written briefings etc.
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INDUCTION
It is the responsibility of every employee to participate fully in Induction. A Trustwide induction
course is held on the first and third Monday of each month and a local induction will be provided
within your own place of work. In addition, a formal Consultant induction process will be arranged
by the Clinical Lead/Clinical Director and a Consultant mentor will be appointed.
APPRAISAL AND PERFORMANCE MANAGEMENT
All staff will be expected to fully participate in the Appraisal and Performance Management process.
This obligation will include the preparation for and attendance at appraisal and performance
management interviews and completion of the associated documentation.
For Consultant Medical Staff an annual appraisal and review of the Job Plan is a contractual
requirement. Failure to participate in any stage of the process will render the process ‘incomplete’.
As part of the Job Planning process, Consultants will jointly agree a number of performance
objectives.
WORKING TIME DIRECTIVE
The Working Time Regulations 1998 require that not more than an average of 48 hours be worked
each week, ie, in a 17-week period no more than 816 hours or 1248 hours in a 26 week period. To
work more, the Clinical Director's authorisation must be obtained and an opt-out agreement must
be signed, stating the post-holder has chosen to work more.
Should more than one job with the Trust be held, or a job with another employer, the total hours
worked in all jobs should not exceed the average of 48 hours as above. Post holders are therefore
required to inform the manager if they continue to work elsewhere and the number of hours they
work, or if they take up work elsewhere during their employment with the Trust.
INFECTION PREVENTION AND CONTROL
The Trust is committed to minimising any risks of healthcare associated infection to patients, visitors
and staff. All employees are required to be familiar with and comply with Infection Prevention and
Control policies relevant to their area of work and must attend Infection Control training
commensurate to their role.
CONFIDENTIALITY
Attention is drawn to the confidential nature of the information collected within the NHS. The
unauthorized use or disclosure of patient or other personal information is a dismissable offence and
in the case of computerised information, could result in prosecution or action for civic damage under
the Data Protection Act 1998.
It is a condition of your employment that, should you come into possession of information relating
to the treatment of patients or the personal details of an employee, you should regard this
information as confidential and not divulge it to anyone who does not have the right to such
information.
The Trust fully upholds the Caldicott Report principles and you are expected within your day to day
work to respect the confidentiality of patient identifiable information.
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SAFEGUARDING
As a Trust employee you are required to comply with all legislation and guidance relating to
safeguarding children and promoting their health and welfare. If you are being investigated
regarding child protection concerns, or become subject to such investigations, appropriate steps
may have to be taken such as redeployment, increased supervision etc. and, depending on the
outcome of the investigation, there may be implications for your continued employment. You are
required to inform the Head of Child Protection Support Service if your own children are/become
subject to child protection procedures. This information will be treated in a confidential manner.
MAJOR INCIDENTS
In the event of a Major Incident or pandemic you may be asked to carry out other duties as
requested. Such requests would be in your scope of competence, reasonable and with staff side
agreement. You would also be reasonably expected to participate in training for these infrequent
events.
11.
VISITING ARRANGEMENTS
Interested applicants are invited to visit on an informal basis by arrangement with Dr Simon
McGuirk, Interventional Radiology Head of Specialty, or Dr Manigandan Thyagarajan, Radiology
Clinical Lead at BCH
Tel: +44 (0)121 333 9721
Fax: +44 (0)121 333 9726
Email: [email protected] or [email protected]
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11.
JOB PLAN AND PERSON SPECIFICATION
Post:
Consultant in Paediatric Radiology
The new consultant contract comprises 10 Programmed Activities (PAs) (equivalent to 40 hours), of
which 8.0 PAs are for direct clinical care (DCC) and 2.0 are for supporting activities (SPA).
The initial job plan consists of a 50:50 split between IR and diagnostic paediatric radiology. Job Plans
are reviewed annually at the time of consultant appraisal which occurs between April and October.
The post holder will be expected to participate in a 1 in 6 on-call rota for interventional radiology at
Birmingham Children’s Hospital.
The successful post holder will be allocated direct clinical care sessions for IR lists, IR reporting, IR
clinics, attendance at MDTs, and sessions in all other imaging modalities available in the department.
The candidate must be prepared to work flexibly. An outline of the job plan is included below, and
will be used as a basis for discussion with the successful applicant.
Provisional timetable for a 10-PA contract (includes 1PA for On-call and 1 PA for prospective cover)
Monday
DCC
DCC
Tuesday
DCC
DCC
Wednesday
OFF
OFF
Thursday
SPA
DCC
Friday
DCC
SPA
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PERSON SPECIFICATION
Post:
Consultant in Paediatric Radiology
Essential
Desirable
Assessment
Qualifications
Inclusion on the Specialist Registrar or
eligible for inclusion within 6 months
of interview.
Full GMC registration.
Higher degree.
Fellowship/membership
of a medical/surgical
college.
CV
Relevant
experience
Training and experience which fulfils
the requirements of the RCR
document on subspecialty training in
Paediatric Radiology. Experience in
Paediatric Interventional Radiology.
Training in a recognised
paediatric centre of
excellence.
Fellowship in Paediatric
Radiology.
Attendance at a
recognised management
course.
CV/interview
Interests and
motivation
A special interest in Paediatric
Radiology.
Publications and/or presentations
related to paediatric radiology.
Teaching skills
Experience of clinical audit and the
maintenance of high quality of care
through audit and other methods
A proven interest and
experience in audit,
research and teaching.
Publication in peer
reviewed journals
CV/interview
Personal
qualities
A proven commitment to team work
with excellent communication and
interpersonal skills.
Leadership skills – able to lead and
work with the multidisciplinary team
Flexible, adaptive, and able to work
under pressure
Proven commitment to personal
professional development.
Undertaken clinical
leadershiptraining
CV/interview
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Others
Meet requirements for Occupational
Health.
Meet the requirements of Health
Circular HC (88)9 concerning checks
on criminal background.
Child Protection Level 2
Be able to participate in the
emergency on call rota
Train the Trainers Course
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