Consultant in Community Paediatrics

Posting date:	25 April 2025
Salary:	£105,504 to £139,882 per year
Additional salary information:	£105504 - £139882 a year
Hours:	Full time
Closing date:	15 June 2025
Location:	Rotherham, S60 2UD
Company:	NHS Jobs
Job type:	Permanent
Job reference:	C9165-25-03-146

Summary

The Department The Childrens and Young Peoples Hospital and Community Service has been integrated since April 2011. This unique situation affords many new opportunities. In-Patients (Childrens Ward and Childrens Assessment Unit) The Hospital Childrens Unit has a 12-bedded Childrens ward, a 10-bedded short stay Childrens Same Day Emergency Care (CSDEC). CSDEC is open 24 hours, 7 days a week. The unit also accommodates childrens surgery (general surgery, urology, orthopaedics, accident & emergency medicine, oral surgery, day case ENT and Ophthalmology). The childrens ward has one CHDU bed, which can accommodate both medical and surgical patients. Children are admitted into the CHDU bed according to the guidelines and the CHDU admission and discharge criteria. CHDU accepts any child from 0-16 years from medical and surgical specialties. Specialities other than paediatrics will get shared care with paediatricians. The anaesthetic team is always informed of a childs admission to CHDU. Neonatal Unit (NNU) There is a 14 cot Neonatal Unit, which includes a two-bedded Neonatal Intensive Care Unit. There are 3000 deliveries a year. Babies under 27 weeks gestation are transferred to the regional intensive care unit according to the latest network guidelines. Babies requiring neonatal surgery are transferred to Sheffield Childrens Hospital and cardiology cases are discussed with and transferred to LGI. We hold a weekly joint Consultant neonatal ward round and meet monthly with obstetric and midwifery colleagues in a regular programme of perinatal clinical audit / effectiveness. Complex Health Needs Service This community service is nurse-led and provides personalised care in the home, school or other community setting to 0-19 year olds suffering from a serious illness, significant disability, long-term condition, complex health need, palliative or end of life need. The service also incorporates a hospital from home model supported by the Paediatric Acute Rapid Response Outreach Team (PARROT), which aims to deliver care closer to home by admission avoidance and by expediting discharges. This sits alongside a Neonatal Outreach Team (NNOT), which supports families to allow early discharge from the unit. Clinic and Ambulatory Services This service area incorporates all hospital and community clinics. The Childrens Out-Patient Department offers facilities for a variety of clinics, day case assessments and investigations. These include General Paediatric Clinics as well as specialist clinics for Asthma, Epilepsy, Diabetes, Growth and Endocrine Problems and Enuresis. Regular visiting childrens tertiary speciality clinics are also held for Paediatric Cardiology, Endocrinology, Nephrology, Rheumatology, Clinical Genetics and Paediatric Surgery/Urology. Community clinics are delivered in the Childrens Out-patient department or in a number of venues across the borough to support care closer to home. Clinics are provided for: pre-schoolers at the Child Development Centre, older children in Rotherham Community Health Centre and other community hubs; within school for children in special schools; medical input into adoption and fostering services; Looked after childrens health assessments; and medical input into the Educational Health Care Plan process, participation in safeguarding responsibilities on a multi-agency basis with partner agencies such as the Local Authority. Enuresis clinics are led by the Community team and operate within the Childrens Out-Patient Department. Special Needs and Disability Services This group of services includes Paediatric Therapy Services and the Child Development Centre, which is located at Kimberworth Place. The Child Development Centre provides facilities for the multi-disciplinary assessment of children with developmental disorders, including autism, and most of the Community Paediatricians have individual clinical sessions within the Centre. Universal Services Universal Services comprise of Health Visiting and School Nursing Services both of which regularly interface with Paediatricians with regard to children and young people on their caseloads. Services for Vulnerable Children and Young People These are a specific group of statutory and other services. Named Consultant Paediatricians have responsibility for the statutory services such as safeguarding, looked after children and child deaths. Other services for vulnerable C&YP include Child Sexual Exploitation; Youth Offending; Young Homeless; Migrants, Asylum Seekers and Refugees; Young parents. Rapid Access Clinics An Emergency Referral Clinic (Rapid Access Clinic) runs each day of the week by a Consultant for children who need urgent assessment but who may not require admission. Ward Based Consultant Practice Acute Paediatric Consultants contribute to an on call service. This currently follows a 1:11 ward-based model. During this week, the Consultant will cancel all clinics and lead daily ward rounds on the childrens ward and Neonatal unit and support the resident staff to manage acutely ill children presenting to the wards and via the emergency department. The ward-based consultant also provides support for safeguarding clinics and triaging incoming referrals. Paediatric Diabetes Services The Rotherham Diabetes service consists of a multidisciplinary team, which sits within the Yorkshire and Humber Paediatric Diabetes network and currently provides care for approx. 130 patients. The MDT includes three Consultants, three Diabetes specialist nurses, two Dieticians and a Family Support Worker. All members of the team work to agreed team targets and standards. They aim to provide a highly personalised and supportive service to all patients and their families as set up by local, network and national standards. Patients aged 17-19 are seen in Transitional Diabetes clinics, which are run jointly by Paediatric and Adult teams. Child, Adolescent Mental Health Services (CAMHS) Tier 2 and Tier 3 CAMHS is provided by Rotherham Doncaster and South Humber Trust (RDASH). CAMHS occasionally utilise beds on the Childrens Ward on a shared care basis specifically for children with mental health problems such as eating disorders, self-harm, overdose and acute agitation. The Post Your primary clinical responsibilities will be: To be the designated paediatrician for Looked after Children. This is a statutory role funded by the Integrated Care Board 1 day a week. To lead on adoption medicals, attending adoption panels and providing medical advice and statutory reports to the Local Authority. Additionally, to work clinically in at least one of the following areas, in line with an agreed job plan: Being the allocated doctor for one or more of Rotherhams special schools, providing assessment and monitoring, advice and well-planned transition to adult services. You will work closely with the SEND nursing and therapy teams. Delivering neurodevelopmental clinics within community clinics. Contributing to assessment and review of children at the Child Development Centre, as a member of the multi-disciplinary team. Carrying out initial health assessments for children coming into care. To provide a clinical role in the continuing development of the Paediatric Service including contributing to running an efficient and high quality service. To take a key role with regards to the training of medical staff in resident grades and the development of support staff. To carry out teaching and training as required and, in particular, to take an active part in the education programme of medical undergraduate students from Sheffield University. To provide on a reciprocal basis, a Consultant service for Rotherham NHS Foundation Trust in the absence of your Consultant colleagues. You will have full continuing clinical responsibility for patients under your care and the provision of treatment. This may require the provision of advice and assistance to Consultants in other specialties, and the proper delegation to junior medical staff.