SENIOR CLINICAL FELLOWS IN PAEDIATRIC SUBSPECIALTIES

ROYAL HOSPITAL FOR CHILDREN

INFORMATION PACK

REF: 56758D

CLOSING DATE: 21ST JUNE 2019

www.nhsggc.org.uk/medicaljobs

SUMMARY INFORMATION RELATING TO THIS POSITION

POST: SENIOR CLINICAL FELLOW/CLINICAL FELLOW IN PAEDIATRIC SUBSPECIALTIES

BASE: ROYAL HOSPITAL FOR CHILDREN, GLASGOW

These posts will be based in the Royal Hospital for Children (RHC), Glasgow, commencing when available or from August 2019/February 2020. These posts will offer 6 or 12 months of focused training in one or two subspecialties selected by the appointees from those detailed below. The posts are particularly suitable for applicants at levels ST3-ST8 seeking out-of-programme exposure to subspecialty training that is not available within their own programme. The following subspecialties are available: Paediatric Respiratory Medicine, Paediatric Endocrinology and Diabetes, Paediatric Nephrology, Paediatric Gastroenterology, Paediatric Neurology, Paediatric Rheumatology, Paediatric Infectious Diseases, You will be expected to work on our middle-grade rota. Trainees within ST training programmes are advised to discuss their application with their Training Programme Director early in the application process.

The RHC is a new built state of the art facility opened in 2015 which provides regional subspecialty services for the whole of the West of Scotland and some aspects of subspecialty services for the whole of Scotland. The following subspecialties are available: Paediatric Respiratory Medicine, Paediatric Endocrinology and Diabetes, Paediatric Nephrology, Paediatric Infectious Diseases, Candidates should have completed level 1 training and hold the full MRCPCH (or equivalent international qualifications and training).

Appointees will be expected to work on our middle-grade rota. Trainees within ST training programmes are advised to discuss their application with their Training Programme Director early in the application process.

For further information please contact Dr Phil Davies, 0141 451 5615

NHS GREATER GLASGOW & CLYDEWOMEN’S & CHILDREN’S DIVISION

Senior Clinical Fellow/Clinical Fellow in Paediatric Subspecialties

Royal Hospital for Children, Glasgow

INFORMATION PACK

BRIEF DESCRIPTION OF HOSPITALS AND DEPARTMENTS

ROYAL HOSPITAL FOR CHILDREN (RHC)

The RHC is a comprehensive Children's Hospital serving the West of Scotland with a national and international reference function. It is a teaching hospital of the Faculty of Medicine of the University of Glasgow. It is a new build facility opened in June 2015 with state of the art facilities and co-located with a regional maternity unit and comprehensive adult services at the Queen Elizabeth University Hospital.

The RHC is the largest paediatric teaching hospital in Scotland. It provides care, not only for children resident within Greater Glasgow, but is also a tertiary referral centre for children from the West of Scotland and, in some sub-specialties, from the whole of Scotland.

The RHC is co-located with a regional maternity unit (including fetal medicine service) and NICU with 16 ICU cots, 14 HDU cots and 24 SCBU cots. All paediatric medical and surgical subspecialties are represented in RCH. The hospital provides the Scottish national ECMO service for paediatric and neonatal patients. It is the centre for all paediatric cardiac surgery and the majority of the Paediatric Intensive Care for Scotland.

The hospital is the base teaching hospital for postgraduate paediatric training in the West of Scotland. Paediatric training is provided in the following areas: Neonatology (level 3 units), Intensive Care, Cardiology, Haemato-oncology, Gastroenterology, Neurology, Respiratory Medicine, Rheumatology, Endocrinology & Diabetes, Nephrology and Infectious Disease/Immunology. General Paediatric training is provided between this hospital and the local district general hospitals (including Royal Alexandra Hospital).

The RHC provides the major Undergraduate Paediatric Teaching facility for the University of Glasgow.

The Royal Hospital for Children Paediatric Services

The RHC provides all the acute emergency and general paediatric service for the whole of Glasgow. There is an extremely busy Paediatric Emergency Department and General Paediatric receiving service, which between them provide a wealth of learning opportunities. Trainees working in general paediatrics undertake supervised work within the outpatient environment. The aim of our placements in general paediatrics is to progress trainees to a level of competence that enables them to function in a middle-grade role within general paediatrics in their next placement. Subspecialty placements also exist in the RCH within Gastroenterology, Neurology, Respiratory Medicine, Rheumatology, Endocrinology & Diabetes, Nephrology and Infectious Disease/Immunology. The placements within these departments are for more senior trainees with established middle-grade competency and include out-of-hour involvement in acute general paediatric with leadership of the Hospital at Night team. Daytime duties involve working with the subspecialty multidisciplinary teams to provide both in-patient and out-patient subspecialty services.

The Royal Hospital for Children: Paediatric Nephrology

A 2 year placement can be offered within the department, providing a training package that can deliver all the obligatory modules and the main optional modules within UK and European curriculum for Paediatric Nephrology. The department functions within the new (June 2015) purpose built 256 bed inpatient facility that is Glasgow’s Royal Hospital for Children. We provide a service for the city of Glasgow alongside tertiary referral services for the whole of Scotland (pop = 5.5 million). The department is research active and members regularly present at regional, national and international meeting and conferences. The new situation adjacent to the Queen Elizabeth University Hospital (opened April 2015) is allowing us to grow links with adult colleagues in the West of Scotland.We provide a full range of renal replacement therapies and transplantation and it is anticipated the successful applicant would work alongside a GRID trainee.

The Royal Hospital for Children: Paediatric Respiratory Medicine

The inpatient work consists of full responsibility for the care of 10-25 patients at a time. This is supplemented by a rich variety of requests for respiratory opinions and by the joint management of children with complex multi-system problems. Our unit sees an enormous range of respiratory problems, a situation that provides ample clinical material to train specialist respiratory paediatricians to a high level. We have access to first class diagnostic services including ultrafast multi-slice CT and flexible bronchoscopy.

We now have state of the art investigation facilities for lung function and cardio-respiratory exercise studies in our new Respiratory Physiology Laboratory. This is one of the best equipped and staffed units in the UK and our physiology colleagues are recognised nationally and internationally as leaders in the field in their own right. Large numbers of tests are performed each week with rigorous quality assurance and reporting to the highest international standards.We have one of the busiest, best equipped and staffed sleep investigation units in the UK performing over 400 detailed sleep studies and nearly 2000 oximetry studies a year. Our staff are trained to American Society of Sleep Medicine standards. Allied to this we have an active home ventilation service with both invasive and non-invasive patients. We believe we can offer particular opportunities to train in respiratory physiological testing and in Paediatric Sleep Medicine.

The Royal Hospital for Children: Paediatric Endocrinology

Training in paediatric endocrinology and diabetes is delivered at the Royal Hospital for Children, Glasgow to a level that is recognised by the BSPED CSAC as sufficient for training in tertiary level training in this speciality. The department is based in the Royal Hospital for Children, which is a 300-bed inpatient facility providing tertiary referral services for 3-3.5 million of the population of Scotland. Some services are provided for the whole of Scotland as part of a clinical network There are established links with adult endocrinology colleagues in the West of Scotland and we are one of very few centres in the United Kingdom which provides training in bone metabolism as part of training in diabetes and endocrinology. We are a research active department with scope to perform research in many fields.

Joint clinics are held with several other subspecialties including genetics, orthopaedics, nephrology, haematology, oncology and reproductive endocrinology.There are dedicated clinics for children with Turner Syndrome, Prader-Willi Syndrome, Disorders of Sex Development, Hyperinsulinism, Endocrine Genetic Tumours, Complex Bone disorders and Craniopharyngioma. We have close links and joint clinics with other paediatric endocrine centres in Scotland

The Royal Hospital for Children: Paediatric Infectious Diseases, Immunology and Allergy

The department offers training in the diagnosis and management of both severe and/or unusual infections, the appropriate use of antimicrobials, the management of blood borne viruses in children, the recognition and management of primary immune deficiency and the diagnosis and management of allergies.

The clinical inpatient workload involves close liaison with microbiology managing infections largely in the patients of other services who frequently may have complicating comorbidites e.g. immunocompromise. Our out-patient workload involves a general infectious disease clinic as well as specialist clinics in HIV, Hepatitis and Tuberculosis as well as primary immune deficiency and allergy clinics. The service covers the West of Scotland and also supports patients across Scotland via the Scottish Paediatric and Adolescent Infection and Immunology Network. A trainee would gain extensive clinical experience in the recognition and management of sepsis as well as the effective and rational use of antimicrobials and be well supported within a small team of 3 consultants, a rotating registrar, 3 specialist nurses, 2 pharmacists and 2 administrative staff. The largest paediatric allergy service in Scotland is primarily orientated towards the diagnosis and management of type 1 hypersensitivities to foods but also drugs, vaccinations and venom and offers experience in inpatient challenges and the induction of tolerance. The largest paediatric immune deficiency clinic in Scotland works closely with adult immunology, laboratory services, the paediatric bone marrow transplant services in Glasgow and in Newcastle to identify and manage children and adolescents with primary immune deficiencies.

ROTAS

Rotas involve full shift working on a band 1A New Deal and EWT compliant rota. Day shifts typically start at 0900. We are constantly endeavouring to improve service delivery and working patterns and in view of this, both hours of work and banding payments may be subject to change. An offer of employment may not reflect the current banding. A sample middle grade rota is detailed below. All standard days and 0900 – 1700 during long days Monday to Friday are spent within chosen speciality.

Wk Mon Tue Wed Thu Fri Sat Sun

1 A: Nights 121:00 09:30

A: Nights 121:00 09:30

A: Nights 121:00 09:30

A: Nights 121:00 09:30 Zero Hours

2 Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day08:30 17:00

3 Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

D: Long Day09:00 21:30

D: Long Day09:00 21:30

D: Long Day09:00 21:30

4 Zero Hours D: Long Day09:00 21:30

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day08:30 17:00

5 Stnd Day09:00 17:00

Stnd Day09:00 17:00

D: Long Day09:00 21:30

Stnd Day09:00 17:00

Stnd Day08:30 17:00

6 Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

A: Nights 121:00 09:30

A: Nights 121:00 09:30

A: Nights 121:00 09:30

7 Zero Hours Zero Hours Stnd Day09:00 17:00

D: Long Day09:00 21:30

Stnd Day08:30 17:00

8 Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day08:30 17:00

9 D: Long Day09:00 21:30

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day08:30 17:00

10 B: Nights 221:00 06:00

B: Nights 221:00 06:00

B: Nights 221:00 06:00

B: Nights 221:00 06:00 Zero Hours

11 Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day08:30 17:00

12 Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day08:30 17:00

13 Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day08:30 17:00

14 Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

B: Nights 221:00 06:00

B: Nights 221:00 06:00

B: Nights 221:00 06:00

15 Zero Hours Zero Hours Stnd Day09:00 17:00

D: Long Day09:00 21:30

Stnd Day08:30 17:00

16 Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

D: Long Day09:00 21:30

17 Stnd Day09:00 17:00

Stnd Day09:00 17:00

D: Long Day09:00 21:30

Stnd Day09:00 17:00

Stnd Day08:30 17:00

E: Wkend14:00 21:30

E: Wkend14:00 21:30

18 Zero Hours Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day09:00 17:00

Stnd Day08:30 17:00

TEACHING

There are occasional undergraduate teaching commitments

STUDY AND TRAINING

Study Leave within United Kingdom will be in accordance with the Terms and Conditions of Service and application should be submitted to the relevant Clinical Director.

POSTGRADUATE MEDICAL EDUCATION COURSES AVAILABLE LOCALLY There are frequent lectures within the University of Glasgow and the Royal College of Physicians and Surgeons of Glasgow relevant to postgraduate medical education. Special courses and seminars are arranged within the hospital from time to time. Formal in-post training within the hospital is arranged by the Medical division, by the postgraduate Tutor and by the Medical Staff Association. There is a strong educational and training focus within the department and trainee feedback both locally and through the GMC trainees’ survey is very positive.

RESEARCH OPPORTUNITIES

There are opportunities for clinical research and include laboratory and animal facilities if required. Any research protocol must first be agreed by the Hospital Ethical Committee before it can be instituted.

OTHER FACILITIES

The city of Glasgow is excellent for shopping and recreation. The recreational facilities in the surrounding country are outstanding (golf, sailing, fishing, hill walking, mountain climbing, canoeing, skiing etc)

DETAILS OF ARRANGEMENTS FOR APPLICANTS TO VISIT HOSPITAL(S)

Shortlisted candidates may make arrangements to visit relevant hospitals. If candidates on their own initiative have visited prior to short-listing, they will only be allowed expenses for that prior visit if they are subsequently short-listed. When it is thought that there will be difficulty in filling the post, the Director of Human Resources has the authority to approve a second visit.

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 Senior Clinical Fellow

Salary Scale £32,157 - £50,563 (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 SCOTLANDThis post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.

CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK

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 Dr Phil Davies on 0141 451 5615 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 nhsggcrecruitment@nhs.net or to the recruitment address below;

Medical and Dental Recruitment TeamNHS Greater Glasgow and ClydeWest Glasgow ACH (formerly Yorkhill) 2nd FloorDalnair Street, Yorkhill, G3 8SJ

CLOSING DATE

The closing Date will be 21st June 2019