Consultant Paediatrician with Neonatology | Buckinghamshire Healthcare NHS Trust
| Dyddiad hysbysebu: | 10 May 2024 |
|---|---|
| Cyflog: | Heb ei nodi |
| Gwybodaeth ychwanegol am y cyflog: | £99,532 - £131,964 per annum |
| Oriau: | Full time |
| Dyddiad cau: | 09 June 2024 |
| Lleoliad: | Aylesbury, HP218AL |
| Cwmni: | Buckinghamshire Healthcare Trust |
| Math o swydd: | Permanent |
| Cyfeirnod swydd: | 5992725/434-CONPAEDSNENO |
Crynodeb
This is an exciting opportunity for an Acute Paediatric Consultant with special interest in Neonatology to join our Paediatric Team. We are offering a 10 PA post to work within the Acute Paediatric department. The Role includes weeks on call for the chlidren's ward, childrens observation unit in ED , and the level 2 neonatal unit. It also includes regular "front door" shifts covering the children's emergency department to help with capacity on a rotating basis with colleagues.
Working with the new leadership and management team, the roles offer opportunities for the successful candidate to introduce innovative ideas to help shape the ongoing development of our neonatal unit including taking responsibility for the governance within it working with nursing and midwifery colleagues.
The candidate should have a proven track record and training in neonatology and potentially an allied specialist interest to compliment this eg cardiology, neurology etc.
We work closely with our primary care colleagues and commissioners to develop and deliver robust sustainable services for children and young people in Buckinghamshire. This is an excellent opportunity for an enthusiastic and motivated individual to join our forward thinking and dedicated team to enhance the service for the children and families within Buckinghamshire.
Expressions of interest to consider a job share of the 10Pa’s (5PA’s each) will be considered’
The successful candidate will join a team of consultants and will undertake inpatient and outpatient work in general paediatrics and neurology including inpatient ward attendingweeks, ambulatory ward attending and on call activities on a pro-rata basis.
In addition to general paediatric and neonatal duties and will participate in the overnight on-call consultant rota and will have some resident duties in the weekday evenings to support the middle grade rota within the A and E department .All consultants are involved in supervising and training of all junior doctors within the department.
What does Buckinghamshire Healthcare NHS Trust offer you?
• As part of our BHT family, you’ll benefit from learning and development opportunities to support your career progression.
• We offer flexible and agile working opportunities, alongside your NHS benefits of generous annual leave entitlement, pension and access to NHS discount schemes.
• We provide a range of health and wellbeing services to promote a healthy, happy workforce.
Why work for us?
• We’recommitted to promoting inclusion and making sure all colleagues feel they belong. We encourage new colleagues from a diverse range of backgrounds to apply.
• As an employer, we aim to create a workplace where differences are valued and colleagues treat one another with dignity and respect.
• Greater diversity within our BHT family improves positive outcomes for the people and communities we serve.
What do we stand for?
• Our vision is to provide outstanding care, support healthy communities and be a great place to work.
• Our mission is to provide personal and compassionate care every time.
• Our CARE values are collaborate, aspire, respect and enable.
Clinical Responsibilities
The successful candidate will join a team of consultants and will undertake inpatient and outpatient work in neonates and general paediatrics including inpatient ward attending weeks, observation ward attending and on call activities on a pro-rata basis. In addition to the general paediatrics.
There will be 2 general paediatric clinic every week across both hospitals ensuring local access for patients . The post holder will also deliver 9 rapid access clinics per year on the days when they are not twilight . The post holder will be Paediatrician of the week (POW) and Neonatologist of the week (NOW) totalling 7 a year.There will also be attending weeks for the children’s observation unit and the number of these will be confirmed on appointment (between 1.5-3.5 weeks depending on restructure of the rota) During these days s/he will have no other clinical commitment.
The post holder will have resident duties on a fixed weekday evening doing “Twilight” shifts from 1600-2200 within the Children’s Emergency Department. There will be a weekend twilight shift to cover the Friday to Sunday evenings for 3 weekends a year to ensure that college standards for facing the future are fully met.
During on-call times, assessment of children in whom there are child protection concerns will be necessary. Alternative arrangements are in place for assessment of children with possible sexual abuse, utilising the specialised skills and training (including colposcopy) of a police doctor, who may or may not request a joint examination with a paediatrician.
Evening (middle grade) commitment
The successful candidate will contribute one weekday evening session to the twilight consultant cover, every other week. S/he will be supported by a resident junior grade and a non-resident consultant colleague.
Medical Education and Training
The post will have a commitment to the education of junior staff and medical students. Administrative support for the teaching of medical students will be available.
Clinical Audit and Clinical Governance
Participate in clinical audit across the department in line with Trust policy and guidelines
Implement audit and research findings across the department
Comply with the Trust clinical governance processes in a timely manner
Continuing Professional Development
Supporting Professional Activities are undertaken by all Consultants in a collaborative manner based on SDU needs
Job plan
The post will be 10 PAs under the “new” consultant contract. An indicative job plan and timetable can be found below. The final job plan for the post will be agreed with the SDU lead and will be subject to renegotiation at least annually.
The existing general paediatric consultant rota is designed around a 45 week rolling cycle.There is a planned change if requirement to all posts are successful to a 60 week rolling rota . Paediatrician of the Week (POW) and Neonatologist of the Week (NOW) weeks are shared equally between 15 consultants. 1ston call nights (non-resident) are shared equally. During the day there is a 2ndon-call (non-resident) consultant who covers the Children’s Day unit at Wycombe hospital and is available at night as back-up for the 1ston consultant in the event of e.g. simultaneous neonatal and paediatric emergencies.
With the opening of our New children’s ED department in April 2023 we are also doing on call weeks Monday -Friday between the team.
Each consultant has 10.5 on-call weeks in each year. The NOW and POW weeks runs from Friday-Thursday. 3.5 times a year the consultant will also cover the new Children’s observation unit (COU) which is co-located with the new Children’s ED department.This number may change to be 1.5 with redesigning the rota.
We are currently looking at redesigning the rota (60 week rolling rota instead of 45) with some colleagues doing only COU weeks as part of their acute service commitment. This will decrease the amount of on call weeks for the rest of the 15 on call team .We may also be stopping 2ndon call overnight duties which will decrease the supplement to 3% from 5% above . Daytime responsibilities for 2ndon call at Wycombe Hospital will continue.
8 consultants share weekday evening twilight shifts. Fixed days are covered across the year by paired consultants doing 26 shifts per year. Additionally, each of the 8 consultants cover 2.3 twilight weekends. During the twilight shifts patients requiring admission are reviewed by the twilight consultant to ensure appropriate management and early planning for discharge to protect capacity. The remainder of the twilight weekends are covered by the other 7 consultants.
In combination the 1stand 2ndon-call shifts mean that the rota is 1 in 7.5 and therefore attracts a Category A - Medium Frequency (5%) on call supplement. This may change as above to a 1 in 15 category A- low frequency (3%)
Provisional Job plan
Activity
Category
Programmed Activities
On Call Weeks
Includes POW/NOW weeks X 7 /year (1.8 PA)
- includes POW/NOW weekends
- predictable on call work(0.86)
COU weeks 3.5/year (0.75 PA)
DCC
3.4
1st& 2ndON calls- unpredictable
DCC
0.4
Twilight Shift (16-2200) - Includes
26 / yr x Thursday twilight shifts (1.08)
2.3 / yr x Twilight Weekend (WET)–(0.29)
DCC
1.4
General Outpatient clinics
2 clinics per week +admin -1.55
9 RAC clinics /year+admin-0.2
DCC
1.8
Supporting activities
Includes 1 Core PA for revalidation;
Neonatal Service Development including governance( 1 PA)-
Also includes clinical supervision; departmental teaching, consultant meetings etc
SPA
2.0
Other patient related DCC-MDT meeting / communication / correspondence
DCC
1.0
Total
10
Provisional Timetable excluding POW/NOW weeks
AM
PM
16.00 to 2230
Monday
General Clinic -SMH-am
Admin
Tuesday
Neonatal SPA/MDT/M+M
Clinic 1st,3rdand 5th_WGH pm
Wednesday
Day off
Day off
Thursday
Rapid access clinic 9x/year WGH/or SMH
PDU shift (26/yr)
Friday
Clinic 1stand 4thWGH/admin
Core SPA
Annual Leave Arrangements:
Leave should be arranged by mutual agreement of consultant colleagues and approval of the clinical director and/or general manager, in accordance with standard Trust and NHS regulations. It is essential that six weeks’ notice is given to allow for proper planning and prevent cancellations of patients' appointments/surgery.
The post holder has a responsibility to ensure that appropriate arrangements are in place to cover his/her clinical duties during any absence and that all leave is coordinated with colleagues to ensure adequate cover arrangements. This includes all forms of leave.
This advert closes on Sunday 26 May 2024