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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 2 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. 3 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) 4 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. 5 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 6 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. 7 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. 8 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. 9 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] 10 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 11 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 12 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 13