Consultant in Community Paediatrics

Job responsibilities

The Department

The Childrens and Young Peoples Hospital and Community Service has been integrated since April 2011. This is a unique situation that affords many new opportunities. The integrated service consists of:

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 1 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/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 019-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 & 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 paediatric 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; medical input into the Education 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 (0-19) 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 junior 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 ~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 include two or more of the following depending on your skills and experience:

• 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
• Carrying out initial health assessments for children coming into care
• To support the Children in Care service through medical advice and statutory reports to the Local Authority.
• To adopt the role of Designated Paediatrician for Safeguarding. This is a statutory role funded by the Integrated Care Board 1 day a week.
• 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 regard to the supervision and training of medical staff in junior 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.

Clinical Skills

Essential

• Excellent Communication skills (both verbal and written)
• Specialist skills in examination of children who may have been abused in any of its forms
• Specialist general paediatric clinical skills appropriate to Community Paediatrics
• Knowledge of statutory framework for Looked After Children
• Knowledge of the Special Educational Needs and Disability Framework

Research and Audit

Essential

• Clear understanding of Clinical Governance
• Clear understanding of Clinical Effectiveness (audit and Quality Improvement)
• Recent involvement in audit/service improvement projects with evidence of implemented change

Desirable

• Relevant publications in peer reviewed journals
• Experience of writing and developing clinical guidelines
• Experience in governance processes such risk assessment, Serious Incident reviews and/or patient safety investigations

Experience

Essential

• Comprehensive training and experience in Community Paediatrics
• Evidence of training and experience gained obtaining CCT in Community Child Health (CCH) or if CCT in General Paediatrics must be able to demonstrate equivalent competencies required for CCT in CCH
• At least 2 years experience working in CCH including evidence of work in Neurodevelopmental Paediatrics, Neurodisability, Safeguarding, Looked After Children, Special Schools and Community clinic
• Training and experience in the identification and management of suspected child abuse and neglect
• Experience of multi-agency working within safeguarding and substantial experience of the legislation relating to children and young people and the court process
• Experience of working with vulnerable children and young people and families and children in challenging situations
• Valid Level 3 Safeguarding certification

Desirable

• Experience or training in one or more of the following areas: Safeguarding, Children in Care services, EHCP work, Neurodisability, Public Health
• Experience of holding Named Doctor for Safeguarding or Children in Care role
• Level 4 Safeguarding certification
• Valid EPALS and NLS training

Qualifications

Essential

• Full registration and a licence to practice with the GMC
• Please confirm your GMC registration number
• Eligible to be included on the Specialist register - CCT expected within 6 months of interview date Or
• Evidence of CESR application submission and within 6 months of obtaining Specialist Registration via CESR
• MBBS or equivalent primary medical qualification

Desirable

• Grid training in Community Paediatrics
• MSc/Diploma in community child health or relevant subject

Education and Teaching

Essential

• Experience and interest in teaching
• Experience in formal and informal teaching to a variety of grades of professional (under/post graduate, medical nursing and allied health professional)
• Experience in supervising trainees

Desirable

• An understanding of up-to-date changes/issues in medical education and training
• Educational supervision certification
• Higher teaching qualification
• Presentations at National or International meetings

Management Skills

Essential

• Effective team working skills
• Demonstrable time management and organisational ability
• Ability to form effective working relationships and inspire and motivate others
• Commitment to personal professional development
• Commitment to Departmental/Trust development and sense of corporate responsibility
• Awareness of Equality, Diversity and Inclusion issues

Desirable

• Formal management training
• Demonstrated ability in recognised leadership role

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).