Consultant Paediatrician | Buckinghamshire Healthcare NHS Trust
| Posting date: | 14 May 2024 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £99,532 - £131,964 per annum |
| Hours: | Full time |
| Closing date: | 13 June 2024 |
| Location: | Aylesbury, HP218AL |
| Company: | Buckinghamshire Healthcare Trust |
| Job type: | Permanent |
| Job reference: | 6215046/434-PAEDSCONST |
Summary
This is a full time (10 PA) substantive post. It will be based at across sites with clinics at both Stoke Mandeville and Wycombe Hospitals. Job share would be considered, 5 PAs per candidate
The Paediatric department has been successful in getting approval to expand their consultant presence by new consultants to meet the future workload to deliver safe high quality care to all children in Buckinghamshire with a particular focus on our trust care values.
We are seeking a keen, dynamic general paediatrician with a special interest that will compliment the current team
The post holder will carry out both general paediatric and neonatal duties and will participate in the overnight on-call consultant rota . There will also be weekend evening “ twilight” shifts in the Paediatric ED to support the middle grades and help protect capacity.
The successful candidate will join a team of consultants and will undertake inpatient and outpatient work in neonates and general paediatrics including inpatients and children admitted to the observation ward. In these areas we have attending weeks. On call activities on a pro-rata basis. In addition to the general paediatrics this post holder will also have specialist clinics in their subs peciality .
There will be 3 clinics every week across both hospitals ensuring local access for patients .There will be an opportunity depending on the specialist interest of the candidate to organise specialist clinics and develop a service they feel will benefit the children of Buckinghamshire . Time for service development will be given in the job plan .
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 commitments
The post holder will have resident duties doing “Twilight” shifts from 1600-2200 within the Children’s Emergency Department. This will be a weekend twilight shift to cover the Friday to Sunday evenings for 4 weekends a year to ensure that college standards for facing the future are fully met.
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.
Along with the clinical responsibilities listed above, the post will have a commitment to the education of junior staff and medical students when working with you. You are encouraged to consider being educational supervisors for the deanery .
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), Monday to Friday, 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. This post is within the latter group of 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
4.6 / yr x Twilight Weekend (WET)
DCC
0.6
General and specialist Outpatient clinics
3 clinics per week +admin
DCC
2.8
Supporting activities
Includes 1 Core PA for revalidation;
Specialist interest development (0.5)
SPA
1.5
Other patient related DCC-MDT meetings / communication / correspondence
1.3
Total
10
Provisional Timetable excluding POW/NOW weeks
AM
PM
Monday
Admin / communication / correspondence /SPA
WGH-2ndand 4th-general / Admin
Tuesday
SMH -general clinic 1st,3rdand 5th/Admin
Core SPA
Wednesday
OFF
OFF
Thursday
WGH -General/specialist clinic
Admin / communication / correspondence
Friday
SPA- specialist interest /Admin
General/specialist clinic –SMH
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 2 Jun 2024