East Kent Hospitals University NHS Foundation Trust - Specialty Doctor in Paediatrics William Harvey Hospital Ashford - The BMJ
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Specialty Doctor in Paediatrics
East Kent Hospitals University NHS Foundation
Trust
William Harvey Hospital AshfordDear candidate, Welcome to East Kent Hospitals University NHS Foundation Trust. We are a pioneering Trust, on an exciting journey of healthcare transformation, with award-winning research and innovation, and a strong team ethos. We’re looking for positive clinical leaders who want to help us deliver first-class patient care to a fascinating and complex population and be part of something special. We provide the full range of district general hospital services, and some regional specialities, including the country’s best performing trauma unit and robotic surgery. The William Harvey Hospital in Ashford, and Queen Elizabeth, The Queen Mother Hospital in Margate, are east Kent’s district general hospitals, while Kent & Canterbury Hospital in Canterbury is a specialist services hub which provides adult medical care, inpatient renal, urology and vascular services. Our new hospital in Dover, the Buckland, and Royal Victoria Hospital, Folkestone, provide a variety of outpatient, diagnostic and minor injury services, alongside a range of services throughout the local area. As you would expect from a large teaching Trust, we prize training doctors, nurses and other health professionals and work closely with local universities and King’s College, University of London. We are working closely with a nationally-renowned vanguard to drive pioneering local care, and have a clear clinically-led strategy to transform secondary care in east Kent from next year to deliver outstanding standards of care across all specialties. We support clinicians who see opportunities to make tertiary care available locally for our population, and we have a strong research ethic, being the highest recruiter to research studies in the county. Our vision is ‘great healthcare from great people’, and we are proud of what we have achieved to date for our population and are excited about what’s to come. If you would like to be part of this exciting journey, your rewarding work-life will be complemented by the advantages of living in the Garden of England, with a choice of rural, seaside and picturesque places to enjoy and live in, alongside the essentials like excellent schools and easy access to London – and Europe. One of the largest acute trusts in England, we have a predicted turnover of £540 million for 2015/16. We serve a population of 759,000 people, employ 7,950 staff and have 1,100 beds across three main acute hospital sites. We achieved Foundation Trust status in 2009. If you think this could be the start of something special, please apply as quickly as possible using the electronic application form on the NHS Jobs website, because we will close the advert for this job once we’ve received sufficient applications. If you have a disability or long-term health problem, we are committed to offering reasonable adjustments throughout the recruitment process and employment. If you would like more information or support, please contact the Resourcing Team on 01227 866450 or resourcing@nhs.net, who will be happy to help. Yours faithfully, Susan Acott – Chief Executive August 2017
Our vision, mission and values Our vision is: “Great healthcare from great people” Our vision is deliberately simple but sums up what we want to achieve for every patient every day. Our mission is: “Together we care: improving health and lives” Our mission statement explains why we exist – what East Kent Hospitals is here to do. Our values are: Our values describe what’s important to us and what we want it to feel like to work and be treated here. Our priorities are: Patients We want to enable all our patients (and clients who are not ill) to take control of all aspects of their healthcare by 2021. People We want to identify, recruit, educate and develop a talent pipeline of clinicians, healthcare professionals and broader teams of leaders, skilled at delivering integrated care and designing and implementing innovative solutions for performance improvement. Provision We want to clearly identify ‘what business we are in’, ‘what we want to be known for’ and ‘what our core services are’. We need to provide the right services and do it well. Partnerships We want to define and deliver sustainable services and patient pathways together with our health and social care partners, by 2021. You can find out more about what we do on our website at www.ekhuft.nhs.uk and view our organisational structure charts here. August 2017
Job Description THE SPECIALIST SERVICES DIVISION, EKHUFT Care Group Director: Karen Costello Care Group Medical Director: TBC Care Group Head of Nursing: Ursula Marsh The Specialist Service Division formed in April 2011, bringing together the five clinical specialties of Renal, Women’s Health, Child Health, Dermatology, and Cancer, Clinical Haematology and Haemophilia. The Specialist Services Division is unique in that the five distinct specialities are all different and diverse services that are now working together within a common framework. The Division is based across several Trust sites, as well as other sites within the local community. THE CHILD HEALTH DEPARTMENT, SUMMARY Inpatient paediatric and neonatal services are located at the William Harvey Hospital (WHH) in Ashford and the Queen Elizabeth the Queen Mother Hospital (QEQM) in Margate. Ambulatory paediatric care is provided at Dolphin Ward, Kent and Canterbury Hospital (KCH), Canterbury and Carousel Ward, Buckland Hospital, Dover. Community and outpatient services are provided in other facilities. Community Child Health is integrated within the East Kent Hospitals Trust. Training posts, which are recognised by the Royal College by the Royal College of Paediatrics and Child Health, rotate across all inpatient and community facilities. Consultants are encouraged to have a complementary range of sub-speciality interests that they provide across East Kent. In addition there are visiting tertiary specialist clinics in endocrinology, paediatric surgery, cardiology, epilepsy, neurology, genetics, and cystic fibrosis. Currently general paediatricians have special interests in diabetes, gastroenterology, oncology, respiratory, allergy, cardiology, nephrology, rheumatology, epilepsy, neonatology and urinary incontinence. THE CHILD HEALTH DEPARTMENT, SERVICES BY SITE William Harvey Hospital, Ashford, Kent. WHH Paediatric Inpatient Service Padua ward is a 32-bedded ward including an adolescent area and two HDU cubicles. Consultants provide comprehensive cover as part of Consultant of the Week (COW). Surgical, orthopaedic and ENT children are admitted under the care of the respective specialities but the General Paediatrician is nominally responsible for all children admitted. August 2017
There is a co-located Paediatric Day Assessment Unit (PDAU). Children referred by Primary Care and A&E are assessed in the PDAU, from where they will be discharged (after a short period of observation, if required) or admitted to Padua ward. WHH Outpatient Paediatric Service Co-located with Padua ward are 5 outpatient consulting rooms. The post holder when not on call, will take part in clinics. Students, doctors in training participate in the clinics.. Some clinics are also run at other sites within the locality, such as Buckland Hospital, Dover. WHH Neonatal Unit The neonatal intensive care unit is one of 4 level 3 neonatal units within the South East Coast Operational Delivery Network (SEC ODN). There are 25 cots in total (7 NICU cots, 4 HDU cots and 14 SCBU cots) with plans to increase by a further 2 cots by re-allocation of neonatal cots from QEQM special care unit. The neonatal unit provides full medical intensive care services including therapeutic hypothermia, nitric oxide and management of extremely preterm infants. Activity is about 1800-2000 days/year of level 1 neonatal intensive care. There are approximately 4000 deliveries a year at WHH and a total of approximately 7000 deliveries within the East Kent region. Consultant staffing at the William Harvey Hospital NICU is provided by a team of 6 Consultants with on call duties exclusively for the neonatal unit. Queen Elizabeth the Queen Mother Hospital QEQM Paediatric Inpatient Service Rainbow Ward is a purpose-built child-friendly ward with 20 beds. Consultants provide comprehensive cover as part of Consultant of the Week (COW). Surgical and orthopaedic children are admitted under the care of the respective specialities but the General Paediatrician is nominally responsible for all children admitted Rainbow ward. There is a co-located Children’s Assessment Unit (CAU) which is run by Advanced Nurse Practitioner’s (ANP’s). Children referred by GP’s are assessed in the CAU, from where they will be discharged (after a short period of observation, if required) or admitted to Rainbow ward. The ANP’s are supported by the ward doctors. QEQM Outpatient Paediatric Service Clinics are held in the Broadstairs Suite at QEQM, which is a purpose built five consultant room paediatric outpatient unit located opposite Rainbow ward. Some clinics are also run at other sites within the locality, such as Estuary View Medical Centre in Whitstable. The post holder when not on call, will take part in clinics. Students, doctors in training and middle grade level doctors participate in the clinics. QEQM Special Care Baby Unit QEQM Hospital has a Special Care Baby Unit (SCBU) with 14 cots, providing level 1 care. Babies from QEQM Hospital who require intensive care are transferred to the NICU at the William Harvey Hospital. There is a nominated Paediatrician with a Special Interest in SCBU who assists with Clinical August 2017
Leadership of the Unit and the Paediatric Consultant of the Week has responsibility for overseeing the
unit on a daily basis.
There are approximately 2500 delivery a year at QEQM.
Kent and Canterbury Hospital
At KCH there is an Ambulatory Unit, with a range of services including outpatient’s care for Day
surgery patients and a short stay paediatric assessment unit, which accepts primary care referrals.
The centre also houses the Mary Sheridan Centre for children with special educational needs,
physical disabilities and a range of neuro-developmental conditions including epilepsy and Autism.
Buckland Hospital
Buckland Hospital was rebuilt in 2015 and has a Children’s Assessment Unit, providing outpatients,
Community Paediatric Services and is the location for the EKHUFT Paediatric Safeguarding Team.
Greenbanks and Rainbow Child Development Centres
The Greenbanks and Rainbow Centre’s are purpose built Child Development Centres in the Thanet
and Ashford areas respectively. They house fully functional multi-disciplinary teams including OT,
Physic, Speech and Language Therapy, Clinical Psychology and Specialist Nurses. There are
Community Paediatricians based at the Centres.
GENERAL PAEDIATRIC STAFF
We are a team of 31 paediatricians, working across East Kent Hospitals, including General
Paediatricians, Neonatologists and Community Paediatricians. The table below details the
Paediatricians who work on the acute rota in the 2 acute hospitals, the WHH and QEQM.
Base EKHUFT Other roles and Specialty
Name Title Interest
location
Rahman MR WHH Paediatrics Consultant Paediatrician
Christian P WHH Paediatrics Consultant Paediatrician Diabetes
Sharma V WHH Paediatrics Consultant Paediatrician Gastroenterology
Siddiqui AA WHH Paediatrics Consultant Paediatrician Epilepsy
Cystic Fibrosis, respiratory,
Smith O WHH Paediatrics Consultant Paediatrician
allergy
Pandita SW WHH Paediatrics Consultant Paediatrician A&E liaison
Oncology,Acute
Urand C WHH Paediatrics Consultant Paediatrician
Paediatrics, WHH
Cardiology, Neonatalogy
Shah, V WHH Paediatrics Consultant Paediatrician Named Dr for Child
Protection
Community Paediatrics
Consultant Community
Ogunbona, O WHH Paediatrics Designated Dr for Child
Paediatrician
Protection
Mode O QEQM Paediatrics Consultant Paediatrician Cardiology
August 2017Abdul Malik B QEQM Consultant Paediatrician SCBU
Malik M QEQM Paediatrics Consultant Paediatrician Gastroenterology
EKHUFT Child Health
Price AA QEQM Paediatrics Consultant Paediatrician Clinical Lead
Diabetes
Oncology
Rfidah EI QEQM Paediatrics Consultant Paediatrician
Nephrology (EKHUFT)
Satish B QEQM Paediatrics Consultant Paediatrician Rheumatology
Stanek J QEQM Paediatrics Consultant Paediatrician Epilepsy
Darne S QEQM Paediatrics Consultant Paediatrician
Community Paediatrics
Consultant Community
Ikpeme, O QEQM Paediatrics Named Dr for Child
Paediatrician
Protection
NEONATAL CONSULTANT STAFF
Base EKHUFT Other roles and Specialty
Name Title Interest
location
Vasu, V WHH NICU Neonatologist Clinical Lead
WHH NICU Neonatologist
Gupta, A
WHH NICU Neonatologist Neurodevelopmental
Chalmers, S
WHH NICU Neonatologist
Mulla S
WHH NICU Neonatologist
Mun, S
OTHER MEMBERS OF STAFF
William Harvey Hospital:
There are 8 Specialty Doctors working full time at William Harvey Hospital in acute
Paediatrics/Neonates.
There are 6 SPR’s in Paediatrics and Neonates –
2 work in Acute Paediatrics during day
2 work in Community Paediatrics during day
2 work in NICU during day, all SPR’s take part in on-call rota in the evening, at night
and on weekends in both Neonates and General Paediatrics.
The Trust hosts medical students on attachment from GKT, UCL and Imperial Medical
School
Queen Elizabeth and Queen Mother Hospital
August 2017 5 Specialty Doctors
3 Training Grades
9 Junior Doctors
1 F1
DUTIES OF THE POST
WEEKLY JOB PLAN IN PAEDIATRICS WILLIAM HARVEY
AM LUNCHTIME PM
MONDAY Paediatric Ward work
Teaching
Ward Round
TUESDAY Ward Round Ward work
WEDNESDAY Ward round Ward work
THURSDAY Ward Round Teaching Ward work
Session
FRIDAY Ward Round Ward work
Summary
At EKHUFT we are pleased to be offering Specialty Doctors in Paediatrics to join our dynamic Child
Health Team. The appointees will participate in a EWTD compliant full shift rota of middle grade on
call cover for Paediatrics at William Harvey Hospital in Ashford.
The Executive Team have recently approved a business case to expand the Child Health Consultant
Team and within this is the opportunity to develop our services as well as implement new and
innovative ways of working. As part of this programme of innovation we would like to develop the
service place to meet the demands and deliver a responsive and timely service to our local paediatric
population.
The successful candidates will have enthusiasm and keen commitments to the Child Health
Department by participating in clinical governance, quality improvement and cross site working.
The jobs involve working on a full shift and therefore this job plan will be applicable only for
day duties.
August 2017Other responsibilities include:
Candidate’s main area and work will be Acute Paediatrics and Paediatric Day Assessment Unit and on
occasions at Dolphin Ward at KCH.
Communication: This will include responsibility for and arrangement of:-
(i) Communication and liaison with all other medical and service
departments within the hospital.
(ii) Communication with other hospitals.
Teaching: The post holder will be involved in teaching other doctors and
medical students, nurses and other paramedical staff in the team
in speciality and special interest.
Specialty Doctors are expected to participate in annual appraisal and undergo annual job plan review.
On Call Arrangements:
During on call candidates will have to provide cover for General Paediatrics.
The duties and responsibilities in this job description may need further discussion in the future
to ensure that they continue to meet the needs of the service, future service developments
and the post holder.
SUMMARY TERMS AND CONDITIONS OF APPOINTMENT
The post will be appointed to under the Terms and Conditions of Service for Hospital Medical
and Dental Staff as amended from time to time. The post-holder is required to be fully
registered with the General Medical Council.
Salary TBC
Annual leave
Specialty doctors (with 2 full years completed) – 32 days
Study leave
August 2017Study leave is available according to local agreements. All clinical staff are required to give
eight weeks’ notice.
Removal Expenses
Where a practitioner intends to claim reimbursement of removal or associated expenses, it is
important that he/she first obtains a copy of the Trust's policy on removal expenses and
should discuss the proposals with the Personnel department prior to taking up duty.
VISITING ARRANGEMENTS
If you would like further information concerning this post, please contact Dr Vinit Shah Lead Clinician
on 01233 616742 for Paediatrics WHH, and Dr Abigail Price for QEQM 01843 235128
PERSONAL SPECIFICATION
Criteria Group Essential Desirable Measurement/
Testing method
Minimum NHS experience 2 years Application Form
Experience 1 year Paediatrics
Specialty Specific
requirements
Full GMC Registration NLS Application Form
Skills Minimum of English Level APLS and evidence
2 (GCSE grade C or EPLS bought to interview
equivalent), ILETS, or
graduate of a UK Medical
School
Values and Welcoming and polite Interview
Commitments – Respect people and their
People feel cared dignity
for as individuals Attentive and helpful
Respect others’ time
Speak up on behalf of
those who can’t
Values and Consistently safe Application Form
Commitments – Vigilant about safety Interview
People feel safe, Reassuringly professional
reassured and Listen and clearly
involved communicate
Work as a team
Values and Delivers the best Application Form
Commitments – outcomes Interview
People feel Take responsibility
confident we are Appreciate good work
making a Always improving our
difference selves/services
August 2017Other Most roles require an on- Application Form
call commitment and and evidence
travel across sites. bought to interview
Candidates must be able
to demonstrate the ability
to travel effectively
between sites
Upholds and models the
Trust values
How to apply
Please apply for this post by completing an electronic application form on the NHS Jobs website.
If you experience any difficulties completing your application form, please contact the Resourcing
Team on 01227 866450 or resourcing@nhs.net for assistance before the closing date.
Staff Benefits
As an employee of EKHUFT you will have access to a world of exclusive discounts, savings and
rewards that have been negotiated for you via our exclusive We Care Rewards internet portal.
We understand that the cost of having children doesn’t stop at keeping them cared for while you’re at
work. That’s why you can choose to take part of your salary in Childcare Vouchers to take advantage
of important tax and NI savings.
You can also access use of a brand new bicycle through our Bikes for Staff salary sacrifice scheme,
part of the government’s Green Travel Plan.
Other useful information
East Kent Hospitals University NHS Foundation Trust is one of the largest acute Trusts in the country.
We have an income of c£500m and employ over 7000 staff. We care for a population of around
720,000 people.
We provide hospital services from three large hospitals in Ashford, Canterbury and Margate as well as
two community hospitals in Dover and Folkestone.
We became a Foundation Trust on 1 March 2009. This gives us greater freedom in making decisions
about how we develop our hospital services and makes us more accountable to our local community.
August 2017NHS Foundation Trusts are a key part of the NHS. They are autonomous organisations, free from central Government control. They decide how to improve their services and can retain any surpluses they generate or borrow money to support these investments. They establish strong connections with their local communities; local people can become members and governors. These freedoms mean NHS Foundation Trusts can better shape their healthcare services around local needs and priorities. NHS Foundation Trusts remain providers of healthcare according to core NHS principles: free care, based on need and not ability to pay. We are also a University Trust and deliver an excellent teaching programme for junior doctors and provide placements for many medical students. As part of your background research on East Kent Hospitals University NHS Foundation Trust and the NHS, you may find the following websites useful: Further information about East Kent Hospitals University NHS Foundation Trust is available on our website: http://www.ekhuft.nhs.uk/home-page The Trust Annual Reports and Plans are available on our website: http://www.ekhuft.nhs.uk/patients- and-visitors/about-us/documents-and-publications/annual-reports-and-business-plans/ The constitution of East Kent Hospitals University NHS Foundation Trust is available as follows and includes full details of the public constituency, along with eligibility and disqualification criteria: http://www.monitor-nhsft.gov.uk/about-nhs-foundation-trusts/nhs-foundation-trust-directory/east-kent- hospitals-university-nhs-founda Monitor is the Independent Regulator of NHS Foundation Trusts. You will find a range of publications and useful documents including the Foundation Trust Code of Governance on their website: http://www.monitor-nhsft.gov.uk The Care Quality Commission is the independent regulator of all health and social care services in England: http://www.cqc.org.uk The Department of Health has information including latest policy initiatives: www.dh.gov.uk August 2017
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