Job summary
Consultant in General and Ambulatory Paediatrics (7 PAs)
Applications are invited for a dynamic, enthusiastic consultant paediatrician to join the Acute General Paediatric team at St George's Hospital.
Main duties of the job
The postholder will work with 11 other colleagues to provide a full general paediatric service. This will include a 1:10 week to cover either inpatient wards or the ambulatory unit on a job share basis, providing daily ward rounds, leading board rounds and safety huddles, liaising with PICU, reviewing acute patients, undertaking child protection work and chairing handover rounds.
Other weeks are varied and include outpatient work, liaison work with key stakeholders, academic and management activities. The successful applicant will participate in the general paediatric out of hours rota at a frequency of 1 in 16, with the consultant resident in the hospital until 10 pm.
About us
St Georges Hospital is a major teaching hospital in SW London. The Children's service offers a wide range of acute general and specialist tertiary services and was recently rated as outstanding by the CQC.
St George's paediatric department is a highly rated teaching and training centre and there is opportunity to contribute to undergraduate and postgraduate teaching.
We actively welcome applicants from a BAME background.
St George's Healthcare operates a No Smoking Policy.
We are an Equal Opportunities Employer
As an NHS Trust we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19
Job description
Job responsibilities
Inpatient wards
The paediatric in-patient facilities are made up of four paediatric wards - a day case ward, a surgical ward, a medical ward, an infectious diseases / oncology ward. There is a 12 bedded intensive care / high dependency unit with a step-down facility. The general paediatric ward has a dedicated young persons bay. During attending weeks the postholder will be consultant of the week, responsible for leading the care of all general admissions.
Ambulatory care centre
The new dedicated childrens ambulatory facility (Blue Sky Centre) aims to improve flow through the emergency department, avoid attendance through enhanced support to primary care and facilitate early ward discharge. It is primarily a consultant delivered service with an active programme to develop Advanced Nurse Practitioners to support an expansion in future years. Children requiring medical daycase treatment will be managed here in co-ordination with community childrens nursing and medical specialties. Cover for the ambulatory unit will also be provided on a consultant of the week basis.
Outpatient clinics
The post holder will provide a general paediatric clinic in the non-service weeks (32 per year). These clinics will see both new and follow up patients. They will also provide rapid access clinics for urgent / semi-urgent GP referrals on a rota basis. As integrated clinics develop, the postholder will take on a locality paediatrician role with a local primary care hub. There is some scope for development of more specialist clinics, in line with the department needs and to suit the skills of the post holder.
Out of hours work and on call
The out of hours duties will be approximately 1:10. On weekdays, including Fridays, the consultant on call takes over at 17:00 and remains resident in the hospital until 22:00, after handover to the night staff. At weekends the consultant is on site and performing ward rounds and emergency care between 08:30 and 22:00 and on call from home thereafter.
Management responsibility
The postholder will be expected to work with the Care Group Lead, Clinical Governance Lead and service management team on audit, guideline development and review of clinical incidents. A major goal of the Care Group is to extend collaborative working between the Care Group and stakeholders, including the Emergency Department, CAMHS, surgical Care Groups and primary care. The posts will include liaison roles to develop strategy, improve joint working and implement improvements in these key areas. There are a number of opportunities within the Trust to take on management roles extending outside Childrens Services for suitably skilled applicants. All SPA time will be expected to demonstrate outcomes that will be reviewed at annual job planning.
Education, training and development
The postholder will be expected to be involved with teaching junior paediatric staff in the morning tutorials, case presentations and Paediatric Grand Round. They will also have clinical and educational supervision responsibilities for trainees and will need to maintain competencies to support this role. They will be expected to support teaching of undergraduate students through SiFT funding and the department has close links with St Georges University of London. Funding is available for personal CPD activities.
Please see the attached job description and person specification for more detailed information on this post.
Job description
Job responsibilities
Inpatient wards
The paediatric in-patient facilities are made up of four paediatric wards - a day case ward, a surgical ward, a medical ward, an infectious diseases / oncology ward. There is a 12 bedded intensive care / high dependency unit with a step-down facility. The general paediatric ward has a dedicated young persons bay. During attending weeks the postholder will be consultant of the week, responsible for leading the care of all general admissions.
Ambulatory care centre
The new dedicated childrens ambulatory facility (Blue Sky Centre) aims to improve flow through the emergency department, avoid attendance through enhanced support to primary care and facilitate early ward discharge. It is primarily a consultant delivered service with an active programme to develop Advanced Nurse Practitioners to support an expansion in future years. Children requiring medical daycase treatment will be managed here in co-ordination with community childrens nursing and medical specialties. Cover for the ambulatory unit will also be provided on a consultant of the week basis.
Outpatient clinics
The post holder will provide a general paediatric clinic in the non-service weeks (32 per year). These clinics will see both new and follow up patients. They will also provide rapid access clinics for urgent / semi-urgent GP referrals on a rota basis. As integrated clinics develop, the postholder will take on a locality paediatrician role with a local primary care hub. There is some scope for development of more specialist clinics, in line with the department needs and to suit the skills of the post holder.
Out of hours work and on call
The out of hours duties will be approximately 1:10. On weekdays, including Fridays, the consultant on call takes over at 17:00 and remains resident in the hospital until 22:00, after handover to the night staff. At weekends the consultant is on site and performing ward rounds and emergency care between 08:30 and 22:00 and on call from home thereafter.
Management responsibility
The postholder will be expected to work with the Care Group Lead, Clinical Governance Lead and service management team on audit, guideline development and review of clinical incidents. A major goal of the Care Group is to extend collaborative working between the Care Group and stakeholders, including the Emergency Department, CAMHS, surgical Care Groups and primary care. The posts will include liaison roles to develop strategy, improve joint working and implement improvements in these key areas. There are a number of opportunities within the Trust to take on management roles extending outside Childrens Services for suitably skilled applicants. All SPA time will be expected to demonstrate outcomes that will be reviewed at annual job planning.
Education, training and development
The postholder will be expected to be involved with teaching junior paediatric staff in the morning tutorials, case presentations and Paediatric Grand Round. They will also have clinical and educational supervision responsibilities for trainees and will need to maintain competencies to support this role. They will be expected to support teaching of undergraduate students through SiFT funding and the department has close links with St Georges University of London. Funding is available for personal CPD activities.
Please see the attached job description and person specification for more detailed information on this post.
Person Specification
Qualifications
Essential
- MBBS or equivalent
- MRCPCH or equivalent
Desirable
- Relevant higher degree - MD or PhD
Clinical Experience
Essential
- Wide experience in paediatrics within a dedicated paediatric unit
Desirable
- Experience of ambulatory care and integrated care
Clinical governance
Essential
- Track record of performing clinical audit, quality improvement projects and guideline development with demonstrable outcomes
Desirable
- Contribution to wider systems of governance
Teaching/research
Essential
- Experience in training undergraduate medical students and postgraduate doctors
- Post graduate teaching course
Desirable
- Higher qualification in education
- Able to initiate and carry out medical research projects
- Authorship of research papers
Management
Essential
- Evidence of leadership skills
- Training in management at SPR or equivalent level
Desirable
- Ability to initiate service change
- Experience of management
Other qualities
Essential
- Ability to work as a team with professional colleagues from medical and other disciplines.
- Excellent communication skills
- Flexible approach
- IT skills
- Demonstration of commitment to equality and diversity in a team
Other Requirements
Essential
Training
Essential
- Completed a recognised training programme in paediatrics with Higher Specialist Training in General Paediatrics i.e. must have a CCT (or equivalent) or be within 6 months of attaining it
- APLS
- Child Safeguarding Level 3
Desirable
- Training and experience in a special interest to complement our team.
Person Specification
Qualifications
Essential
- MBBS or equivalent
- MRCPCH or equivalent
Desirable
- Relevant higher degree - MD or PhD
Clinical Experience
Essential
- Wide experience in paediatrics within a dedicated paediatric unit
Desirable
- Experience of ambulatory care and integrated care
Clinical governance
Essential
- Track record of performing clinical audit, quality improvement projects and guideline development with demonstrable outcomes
Desirable
- Contribution to wider systems of governance
Teaching/research
Essential
- Experience in training undergraduate medical students and postgraduate doctors
- Post graduate teaching course
Desirable
- Higher qualification in education
- Able to initiate and carry out medical research projects
- Authorship of research papers
Management
Essential
- Evidence of leadership skills
- Training in management at SPR or equivalent level
Desirable
- Ability to initiate service change
- Experience of management
Other qualities
Essential
- Ability to work as a team with professional colleagues from medical and other disciplines.
- Excellent communication skills
- Flexible approach
- IT skills
- Demonstration of commitment to equality and diversity in a team
Other Requirements
Essential
Training
Essential
- Completed a recognised training programme in paediatrics with Higher Specialist Training in General Paediatrics i.e. must have a CCT (or equivalent) or be within 6 months of attaining it
- APLS
- Child Safeguarding Level 3
Desirable
- Training and experience in a special interest to complement our team.
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.
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).
Additional information
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.
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).
