Download in paediatric surgery

STR LOCUM APPOINTMENT
FOR TRAINING
(LAT)/CLINICAL FELLOW
PAEDIATRIC SURGERY
ROYAL HOSPITAL FOR
CHILDREN, GLASGOW
INFORMATION PACK
REF: 44361D
CLOSING DATE: 4TH NOVEMBER 2016
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION RELATING TO THIS POSITION
POST: STR LOCUM APPOINTMENT FOR TRAINING (LAT)/CLINICAL FELLOW
PAEDIATRIC SURGERY
BASE: ROYAL HOSPITAL FOR CHILDREN, GLASGOW
Applications are invited for the above post in Paediatric Surgery commencing from as
soon as possible for a period of 6 months with the possibility of extension. Applicants
must have completed 2 years foundation training or equivalent, have completed core
surgical training in posts approved by the Royal Colleges of Surgeons in the UK,
Ireland (or equivalent) and possess MRCS/FRCS/AFRCS (or equivalent). Applicants
should be able to demonstrate competencies appropriate to their experience. It is
desirable to have additional experience in a general or paediatric surgical post(or
equivalent) or in a neonatal medicine or paediatric intensive care post.
This post will not lead to a CCT in the specialty, but time spent in this post may be
recognised by the SAC in Paediatric Surgery on subsequent appointment to a
recognised run-through training post in the specialty. This post holds educational
approval from the Postgraduate Dean. If appointed as aClinical Fellow the post will
not be recognised for training.
To practice medicine in the UK you need to hold both GMC registration and a licence
to practice. Applicants will be expected to provide evidence of their competence to
communicate in English.
Informal enquiries should be made to Mr. Martyn Flett, telephone Secretary on 0141451 6530
NHS EDUCATION FOR SCOTLAND – WEST OF
SCOTLAND REGION
StR LOCUM APPOINTMENT FOR TRAINING (LAT)
/CLINICAL FELLOW)
IN PAEDIATRIC SURGERY
Job Description
REF: 44361D
1.
INTRODUCTION
The post will be appointed a StR Locum Appointment for Training or clinical
fellow as appropriate to the successful applicant. The post forms part of the
West of Scotland Training Programme in Paediatric Surgery and has training
approval from the Royal Colleges of Surgeons and PMETB and as such will
conform to the formal training guidelines laid out in the Royal College and
PMETB documents.
During training the trainee will be allocated a supervisor. Performance
assessment and feedback will be on a regular basis throughout the post as
laid out by the SAC/PMETB for contemporary specialist trainees. Summative
assessment is conducted annually and is based on in-house training
assessment criteria and the West of Scotland Postgraduate Committee
(ARCP). Engagement with the ISCP and other assessment tools will be
expected.
The training programme is supervised by the Regional Postgraduate Training
Committee in Paediatric Surgery on which there are representatives of the
Training Hospitals, University and Junior Staff. Individual trainees are required
to sign a training programme agreement and a learning agreement with their
assigned educational supervisor shortly after taking up post. Study leave
conforms to the terms and conditions of service for the Specialty Registrar
grade.
The post provides 6 months of training in Paediatric Surgery with the
likelihood of extension for further if period by mutual agreement Training will
be supervised by the Sub-Committee in Paediatric Surgery of the West of
Scotland Postgraduate Medical Education Board.
This StR (LAT)/ Clinical Fellow post is based solely at the Royal Hospital for
Children, Glasgow. An overview of children’s services in the region is included as an
appendix for information. A summary of the personal specification is also attached as
Appendix 2.
2
ENTRY REQUIREMENTS
The Trainee will be appointed by a Committee established by the Women &
Children’s Directorate of NHS Greater Glasgow.
Applicants must have completed 2 years foundation training or equivalent,
have completed core surgical training in posts approved by the Royal
Colleges of Surgeons in the UK, Ireland (or equivalent) and possess
MRCS/FRCS/AFRCS (or equivalent). Applicants should be able to
demonstrate competencies appropriate to there experience. It is desirable to
have an additional 1 year or more in a general or paediatric surgical post, or
equivalent, and have 6 months experience in neonatal medicine.
Applicants will be expected to provide evidence of their competence to
communicate in English. Appointment will be subject to satisfactory
occupational health and Enhanced Disclosure Scotland (through the PVG
scheme) clearance
This post will not lead to a CCT in the specialty, but time spent in this post
may be recognised by the SAC in Paediatric Surgery on subsequent
appointment to a recognised run-through training post in the specialty.
3
DUTIES OF THE POST
(i) Training
The Trainee must make full use of the training opportunities provided in this
placement.
(ii) Clinical
Clinical Duties will involve working as a member of a surgical team looking
after the in-patients, out-patients and day-patients of the relevant Consultant
staff, operating and supervising the work of junior colleagues
(iii) Administration
The Trainee will be expected, when appropriate, to participate in the day to day
running of the department in administrative activities such as organisation of rotas,
organisation of undergraduate training, patient reports and letters. The Trainee will
have the opportunity to develop management skills as required by the College.
(iv) Communication
This will include:

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Discussion with Consultants regarding clinical problems.
Communication with General Practitioners - including telephone discussion of
problems and writing of letters about cases seen in the Department.
Liaison with Specialists in other hospitals/agencies, such as district nurses,
ambulance, police etc.
(v) Rota
 The trainee will participate in the on call system. The rota remains under
regular review as the out of hours commitments are significant. In respect of
this Duties and commitments change and the rota may be subject to revision.
4 EDUCATION
(i) Continuing Education
Management development is encouraged and the Trainee will be expected to
attend appropriate courses.
(ii) Teaching
This post has a commitment to the teaching of undergraduate medical
students during university term time. The registrar is also expected to take
an active part in the postgraduate educational programme of the
hospital and the Directorate; this includes regular weekly audit and
clinical meetings, radiology, pathology, oncology, renal, nutrition team,
foetal medicine meetings and a journal club. The Royal Hospital for
Children has a full educational calendar throughout the year and
includes weekly Grand Rounds, departmental meetings and guest
lectures/seminars. The hospital has access to library and computing
facilities based in the University Teaching and learning centre, on the
same campus.
(iii) Library Facilities
Departmentalsurgical textbooks are held in the Surgical hub and other texts
may be found in individual units. Other Library facilities are in the University
Teaching and learning centre as noted above.
(iv) Postgraduate Medical Education Courses available in the
locality
The co-located adult and maternity hospitals have active educational
programmes that are open to all staff. There are additional facilities and
lecture series in the Teaching and learning centre. Lectures in the Royal
College of Physicians and Surgeons of Glasgow, the University of Glasgow,
the University of Strathclyde and Western Postgraduate Centre (Lancaster
Place) take place on a regular basis. Special Courses and Seminars are
arranged from time to time. Formal in-post training is arranged by the
Surgical Directorate, the Postgraduate Tutor and by the Yorkhill Medical Staff
Association. Attendance at PALS and ATLS courses is encouraged.
5
RESEARCH AND AUDIT
(i)
Research
There is a strong tradition of research in the West of Scotland. Facilities and
support for research activities are available through the University academic
department and within hospital departments. The trainee will be encouraged
to participate in clinical research and time will be allocated consistent with
current Terms & Conditions.
(ii)
Audit
Audit is an essential component of Paediatric Surgery practice and the
Trainee will be required to participate in local and national audit activities.
6
LOCATION OF DUTIES
Duties are entirely within the site of the Royal Hospital for Children, Yorkhill.
7
ASSESSMENT
(i)
(ii)
(iii)
8
The Trainee will be continuously assessed by the trainers in their
place of work with formal interviews as required by the training
programme. Competency based assessment schemes (work based
assessment tools) are currently in use complying with the SAC and
PMETB requirements.
If in the opinion of the Training and Assessment Committee, the
Trainee fails to show adequate commitment or progress, career
guidance will be arranged, and exceptionally, in the absence of
satisfactory progress, the committee may recommend that the contract
be terminated.
Trainees are required to keep a logbook following the requirements
laid down by the Royal Colleges of Surgeons.
GENERAL INFORMATION
The hours of duty will be the standard working week of 40 hours for which a standard
salary (as detailed in paragraph 8b, Appendix 1 of the Terms and Conditions of
Service, appended under general information) will be paid.
From December 1st 2000, a new system for calculating Junior Doctor's out of hours
pay was introduced, the 'Banded Intensity Contract'. The standard hours of duty will
remain 40 hours per week and in addition a supplement will be paid. The banding for
the hospitals on the rotation will be confirmed on appointment.
Please note that reflecting ongoing monitoring exercises the current Banding
may be subject to change. An offer of Employment may not reflect the current
Banding.
Further Information
For further information on the training programme, please contact:
Mr. Martyn Flett, West of Scotland trainer for Paediatric Surgery, (Telephone:
0141 451 6530 - Secretary)
Appendix 1
Overview Hospital Paediatric and Neonatal Services across NHS Greater
Glasgow and Clyde
The majority of acute children’s services in NHS Greater Glasgow and Clyde are
provided from the Royal Hospital for Children (RHC). A paediatric ward and neonatal
unit in the Royal Alexandria Hospital supports acute non-surgical care for children
and young people and neonates in the Clyde catchment area of the NHS Board.
Neonatal intensive care is provided at the Southern General Maternity Hospital,
Princess Royal Maternity and Royal Alexandria Hospital. The RHC is based within
the South Glasgow Hospitals campus with the Queen Elizabeth University Hospital
(including Maternity services) in Govan.
The Royal Hospital for Children
RHC which opened on 10th June 2015 is the largest paediatric teaching hospital in
Scotland. It provides care for children resident within the Greater Glasgow area and
acts as a tertiary referral centre for children from the West of Scotland and beyond in
a range of subspecialties including invasive paediatric cardiac, nephrology and renal
transplantation services.
All paediatric medical and surgical subspecialties are provided, including general
medical paediatrics, respiratory, endocrinology, gastroenterology and nutrition,
haemato-oncology (bone marrow transplant service), neurology, neurosurgery, craniofacial and maxillofacial surgery, nephrology, cardiology, immunology and infectious
disease, dermatology, rheumatology, metabolic medicine, audiology, ophthalmology,
ENT surgery, rheumatology and orthopaedics, general paediatric and neonatal
surgery, paediatric urology and renal transplant surgery.
The children’s hospital features 244 paediatric beds with a further 12 neonatal beds in
the maternity unit next door. The vast majority of the paediatric beds are in single
rooms with space for overnight accommodation for parents. The hospital also features
a cinema - the Medicinema, Science Centre interactive activity walls (funded by the
Yorkhill Children’s Charity), indoor and outdoor play areas and a roof garden.
There are 9 full operating theatres including a dental and endoscopy suit. Four of
these theatres are fully integrated for minimally invasive work, a number have
laminar flow air hoods for ultra clean surgery and the neurosurgical theatre is
equipped for stereotactic surgery. Adjacent to the theatre complex is a day surgery
and 23 hour unit supported by a pre-assessment team.
The paediatric radiology department has a full suite of state of the art scanners,
nuclear medicine department and 2 interventional theatres with mono and biplanar
screening. There are also cardiac & respiratory physiology departments on site.
National services provided from RHSC include:



Cardiac Surgery and interventional cardiology
Neonatal cardiology
Neonatal ENT

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
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




ECLS
Congenital Diaphragmatic Hernia network,
Vein of Galen assessment and treatment (together with Great Ormond Street as a UK
service)
Paediatric Renal transplantation
Paediatric Stem Cell transplantation
Large outpatient, medical day care, medical assessment unit and emergency
department
On site paediatric and neonatal transport/retrieval services
A pan Greater Glasgow Child Protection Unit has been developed on site
Paediatric and Family Psychiatry
Laboratory services to the RHC are provided from the South Glasgow Hospitals
campus.
RHC provides the major Undergraduate Paediatric Teaching facility for the
University of Glasgow and accommodates the University Departments of Child
Health, Child and Family Psychiatry, Medical Genetics, Human Nutrition, Paediatric
Pathology, Paediatric Biochemistry and Surgical Paediatrics.
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 anomalies. Being co-located with the RHC allows support direct
integration between the paediatric surgical and other specialist teams and fetal
medicine and neonatal care. There is physical space for 34 intensive care and high
dependency cots and 26 special care cots.
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 four 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 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 unit.
Golden Jubilee National Hospital (GJNH)
The GJNH is located 8 miles west of the city centre along the river Clyde. It contains
the West of Scotland Cardiac Centre which provides cardiac surgery and
interventional cardiac services to the population of the West of Scotland. It also has
some designated National services including the Scottish Adult Congenital Cardiac
Service, Scottish Pulmonary Vascular Unit and Scottish Advanced Heart Failure
Service. The adult congenital unit performs over 200 adult congenital operations and
catheter interventions per year and is closely integrated with the paediatric congenital
cardiac service.
Section 2
Management Structures
Greater Glasgow and Clyde NHS Board have a single operating division for all acute
services. Diagram (1) highlights the local management structure underpinning
operational service delivery.
Diagram 1 – management structure
Reports to Chief
Executive of the
overall NHS Board
Chief Operating Officer Acute
Division
Directors (Adult Services) * 7
Functional Heads
Associate Medical Director,
Head of Nursing,
Head of Midwifery,
Head of Finance,
Head of Human Resources,
Director Women and Children’s
Directorate
General Manager –
Hospital Paediatrics &
Neonatology
Planning Manager
General Manager –
Obstetrics & Gynaecology
Clinical Services Managers * 2
Clinical Directors * 4
Acute General Paediatrics
Neonatal Critical Care
Lead Clinician
Cardiac Services
Lead Nurses * 4
Anaesthesia and Surgery
Medical Sub Specialties
Business and Planning Support
Key Stakeholders (within Diagram 1):
Robert Calderwood
Board
Kevin Hill
Alan Mathers
Directorate
Jamie Redfern
Services
Morag Campbell
(including cardiac services)
Pam Cupples
Heather Dawes
Lynne Robertson
Chief Executive; Greater Glasgow and Clyde NHS
Director Women and Children’s Directorate
Chief of Medicine for the Women & Children’s
General Manager; Hospital Paediatrics & Neonatal
Clinical Director Critical Care and Neonatology
Clinical Director, Surgery & Anaesthesia
Clinical Services Manager including Cardiac Services
Clinical Services Manager
Appendix 2
Person specification
Essential
Qualifications



Experience

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Research &
audit


Teaching


Personal

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
Other

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MBChB or equivalent
MRCS/AFRCS/FRCS or equivalent
Current APLS or ATLS
certificate
Evidence of completed
Foundation and Core surgical
training.
Demonstration of skills and
knowledge appropriate to
level of experience.
Track record of presentation
at national meetings and
publications in parent
specialty
Evidence of active
participation in personal and
departmental audit in parent
specialty
Interest in teaching and
sharing skills with co-workers
Experience in undergraduate
teaching
Good communication and
interpersonal skills
Initiative and leadership skills
Organisational and
administrative skills
Commitment to team-working
Professional manner and
dress
Good time keeping and a
responsible attitude
GMC registration
Enhanced disclosure from
Disclosure Scotland
Commitment to working in
Scotland
Desirable

UK Intercollegiate
Board Examination
in Paediatric
Surgery (FRCS
Paeds)
 Have experience in
paediatric and
neonatal surgery at
ST or equivalent
level
 Neonatal or
paediatric intensive
care experience.


Experience of research
Higher degree
 Qualification in
‘teaching the
teacher’ or
equivalent

Valid UK driver’s
licence
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
Fixed Term
GRADE AND SALARY
StR LAT/Clinical Fellow
- If appointed as an StR (Locum Appointment for Training) the salary range
will be: £30,911 to £48,605 per annum (pro rata)
- If appointed as a Clinical Fellow the salary range will be: £30,911 to £40,896
per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the
salary scale, (dependent on qualifications and experience). Salary is paid
monthly by Bank Credit Transfer.
HOURS OF DUTY
Full Time 40.00
SUPERANNUATION
New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but
under seventy five will be enrolled automatically into membership of the NHS
Pension Scheme. Should you choose to "opt out" arrangements can be made
to do this via: www.sppa.gov.uk
REMOVAL EXPENSES
Assistance with removal and associated expenses may be given and would be
discussed and agreed prior to appointment.
EXPENSES OF
CANDIDATES FOR
APPOINTMENT
Candidates who are requested to attend an interview will be given assistance
with appropriate travelling expenses. Re-imbursement shall not normally be
made to employees who withdraw their application or refuse an offer of
appointment.
TOBACCO POLICY
NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises
and grounds.
DISCLOSURE SCOTLAND
CONFIRMATION OF
ELIGIBILITY TO WORK IN
THE UK
This post is considered to be in the category of “Regulated Work” and
therefore requires a Disclosure Scotland Protection of Vulnerable Groups
Scheme (PVG) Membership.
NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to
ensure that it’s employees, both EEA and non EEA nationals, are legally
entitled to work in the United Kingdom. Before any person can commence
employment within NHS GGC they will need to provide documentation to
prove that they are eligible to work in the UK. Non EEA nationals will be
required to show evidence that either Entry Clearance or Leave to Remain in
the UK has been granted for the work which they are applying to do. Where
an individual is subject to immigration control under no circumstances will they
be allowed to commence until the right to work in the UK has been verified.
ALL applicants regardless of nationality must complete and return the
Confirmation of Eligibility to Work in the UK Statement with their completed
application form. You will be required provide appropriate documentation prior
to any appointment being made.
REHABILITATION OF
OFFENDERS ACT 1974
The rehabilitation of Offenders act 1974 allows people who have been
convicted of certain criminal offences to regard their convictions as “spent”
after the lapse of a period of years. However, due to the nature of work for
which you are applying this post is exempt from the provisions of Section 4 of
the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of
Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants
are required to disclose information about convictions which for other purposes
are “spent” under the provision of the act in the event of employment, failure to
disclose such convictions could result in dismissal or disciplinary action by
NHS Greater Glasgow and Clyde. Any information given will be completely
confidential.
DISABLED APPLICANTS
A disability or health problems does not preclude full consideration for the job
and applications from people with disabilities are welcome. All information will
be treated as confidential. NHS Greater Glasgow and Clyde guarantees to
interview all applicants with disabilities who meet the minimum criteria for the
post. You will note on our application form that we ask for relevant information
with regard to your disability. This is simply to ensure that we can assist you,
if you are called for interview, to have every opportunity to present your
application in full. We may call you to discuss your needs in more detail if you
are selected for interview.
GENERAL
NHS Greater Glasgow and Clyde operates flexible staffing arrangements
whereby all appointments are to a grade within a department. The duties of an
officer may be varied from an initial set of duties to any other set, which are
commensurate with the grade of the officer. The enhanced experience
resulting from this is considered to be in the best interest of both NHS Greater
Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES
The postholder will undertake their duties in strict accordance with NHS
Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE
The employment is subject to one 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.nhsggc.org.uk
View all our vacancies at: www.nhsggc.org.uk/medicaljobs
Register for Job Alerts at: www.medicaljobs.scot.nhs.uk
Applicants wishing further information about the post are invited to contact Mr Martyn
Flett on 0141 451 6530 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.
NOMINATION OF REFEREES
It is Board policy that no person can act as a member of an Advisory Appointments
Committee and be a referee for a candidate for that post. You should therefore
check with your proposed referees whether there is likely to be any difficulty in this
respect for we may otherwise have to invite you to submit another name or names
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
West Glasgow ACH (formerly Yorkhill)
2nd Floor
Dalnair Street,
Yorkhill,
G3 8SJ
CLOSING DATE
The closing Date will be 4th November 2016