Consultant in Neonates

Job responsibilities

The Unit has facilities to provide NICU care for Wolverhampton as well as the surrounding Black Country hospitals. A daily neonatal and maternity video huddle helps to facilitate the timely transfer of extreme preterm infants ideally in utero to New Cross. The neonatal unit has all the expected facilities for an NICU including high frequency oscillation and nitric oxide, and the facility to provide therapeutic hypothermia for up to 2 babies at a time. General and specialised neonatal surgery, when required, is undertaken at Birmingham Childrens Hospital, as are complex cardiac and other paediatric speciality reviews. There is good liaison with all departments at Birmingham Childrens Hospital and KIDS/NTS teams. Birmingham Childrens Hospital PICU, Surgical and Cardiology teams have provided outreach bedside support to us for complex neonatal babies. The neonatal unit continues to provide initial care for infants with congenital heart disease and for surgical cases such as Gastroschisis and Oesophageal Atresia. Longer term care of infants with stoma is supported by surgical outreach nurses.The unit engages closely with the Obstetric Team at New Cross Hospital, including in perinatal mortality, risk management, maternity and neonatal forums, intrapartum committee meetings and fetal multidisciplinary meetings.The Unit is staffed and equipped to standards required for Level 3 intensive care, as recommended by the Clinical Standards Advisory Group for Neonatal Intensive Care. This unit uses full Badger electronic patient recording system. To capture all patient data and is paperless. Weekly ward rounds are undertaken with Consultant. Microbiologists who offer support and guidance on management. There are weekly Nutrition ward rounds. Investigations are analysed in the main laboratories which are equipped to deal with small volume samples. Clinical Chemistry, Haematology, Microbiology and Radiology results are available by computer link. Standardised TPN is available in line with BAPM recommendations. The large array of electronic equipment is maintained by a dedicated, full time medical electronics technician. There are cerebral function monitoring equipments and equipments to perform total body cooling. We are one of the centres for Total Body Cooling for babies with moderate to severe HIE for in born as well as other babies in West Midlands. Neonatal transfers are carried out by the Newborn Transport Service and KIDS retrieval team. A transport system for emergencies is available within the department.There are twice weekly cranial ultrasound sessions by trained ultrasonographers using the Units own machine. Depending on clinical need cranial ultrasound scans could be obtained on any week day. The team also undertakes renal ultrasound scanning for antenatally detected renal pelvic dilatation.There is a weekly echocardiography clinic for babies with suspected congenital heart disease. There exists very close collaboration with the Cardiology team at Birmingham Childrens Hospital and all patients are discussed and managed jointly with the Birmingham Cardiology team. Acute echocardiography is performed by our team of 5 consultant neonatologists with additional expertise.A hip ultrasound scanning service which is supervised by twopaediatric orthopaedic surgeons who have clinical duties at New Cross & Birmingham Childrens Hospital, exists. Retinopathy screening is carried out on site by a ConsultantOphthalmologist based at New Cross. The ROP treatment is done locally by Opthalmic surgeons based at Birmingham Childrens Hospital.Short term and illness-based follow up is offered by theneonatal consultants. As well as developmental follow up till 2 years.Babies discharged from NNU who need admission to thepaediatric ward will be managed by the on take paediatric consultant but the overall Consultant responsibility will be borne by the babys neonatal consultant. Babies with on-going complex needs who will require paediatric follow up will generally be referred to the appropriate general paediatric or community consultant . We have dedicated full time in house neonatal physiotherapists, Speech and Language, Psychology, Dietetics and Pharmacy. An Occupational therapist is awaiting appointment.Bereavement service is delivered by 2 bereavementnurses.We currently collect neonatal data on the Badgernet neonatal database, and utilise NIPE SMART (for New-born Infant Physical Examination). The Badger data provides information for clinical purposes, audit, bench marking of services, activity data for Specialised Service Commissioners & NNAP project. There are excellent opportunities for linked research with obstetrics and the community paediatricians on epidemiology and follow up of preterm babies. The NNU is benchmarked against international standards via Vermont-Oxford Network. The maternity department is also now using a fully electronic patient record; Badgernet maternity system.Research involvement with national studies is supported by a dedicated research team. Consultants are encouraged to be involved in research and develop their skills in this area.Teaching and Education is central to the service. Over the recent years we have developed a dedicated neonatal teaching schedule with 3 sessions per week of consultant supported teaching as well as 1 session per week of skills teaching provided by our Advanced Neonatal Nurse Practitioners. This aims to compliment the regional teaching sessions provided to trainees and the network education sessions for nurses.Weekly meetings: NNU Consultant Business Meeting. Departmental Clinical Meeting/Journal club. Local Neonatal Teaching.Monthly meetingsbNNU ward meeting .Neonatal Mortality Review Meeting.Acute services Risk Management Meeting.Maternity Services Liaison Committee meeting.PMRT meeting.Fetal MedicineMeetings.Intrapartum Care Meeting.Obstetric Risk Management Meeting.Cranial ultrasound review meetings.Echocardiography peer review.Joint Perinatal Forum.Directorate management meeting.WMNODN (West Midlands Neonatal Operational delivery Network) meetings - The post holder is expected to contribute, and represent New Cross Hospital at such meetings, or alternately to provide unit cover enabling other critical team members to participate in Network meetings.

General

1. In conjunction with Consultant and Senior colleagues, to provide a service in Neonatal.
2. In conjunction with Consultant and Senior colleagues, to play a full part in the out-of-hours On-Call service for the department. This includes being on-call for telephone advice and major incidents.
3. To provide cover for Consultant and Senior colleagues in respect of periods of leave.
4. In conjunction with Consultant and Senior colleagues, to take part in medical audit, quality improvement and research as appropriate.
5. In conjunction with Consultant and Senior colleagues, to ensure that the requirements of clinical governance are met.
6. To ensure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary.

Junior Medical Staff

1. In conjunction with Consultant and Senior colleagues, to play a full part in the professional supervision and management of junior medical staff.
2. In conjunction with Consultant and Senior colleagues, to take responsibility for and devote time to teaching, examination and accreditation duties as required for junior medical staff.

Management & Service Development

1. In conjunction with Group Manager, Consultant and Senior Colleagues, to take an active role in the management of the Division.
2. In conjunction with the Group Manager, Consultant & Senior colleagues, to play a full part in developing & implementing new ways of working in line with modernisation principles and fit for the future.
3. In conjunction with Consultant and Senior colleagues, to take responsibility for the best use of departmental staffing and other resources to ensure the maximum efficiency of the department.
4. To observe the Trusts agreed policies and procedures, in particular in relation to managing staff, and to follow the Trusts Standing Orders and Standing Financial Instructions. These policies and procedures have been drawn up in consultation with the profession on clinical matters.

Clinical Governance

1. In conjunction with Consultant colleagues, to ensure that the requirements of clinical governance are met.

Health & Safety

1. To take responsibility for your own Health & Safety complying with any safe working arrangements, policies and procedures which are in place.
2. To accept a duty to other staff and patients to ensure that any hazards are reported and managed appropriately.

Any Other Duties

1. Any other duties as deemed appropriate.

Educational Qualifications

Essential

• Full registration and licence GMC
• On the GMC Specialist Register or within 6 months of CCT, in Paediatrics (Neonatology), from the date of interview
• oNeonatal Life Support Provider Safeguarding Children training at level 3

Desirable

• Higher Medical Degree

Experience

Essential

• oWide neonatal experience in managing babies in a level 3 unit
• oExperience of working in level 3 neonatal intensive care unit in the last 2 years
• oWide experience of managing extreme premature babies
• oAdvanced clinical skills in neonatal medicine
• oAppropriate progression of career to date

Desirable

• oSimulation interest/training
• oNeonatal echocardiography
• oEducation qualification

Ability/skills

Essential

• Good teaching skills and can evidence experience.

Desirable

• Special skills in CUSS

Research and Audit

Essential

• oPresentations at clinical meetings
• oUnderstanding of research methodology and critical appraisal
• oEvidence of audit and the implementation of change following the audit
• oEvidence of Quality improvement work.

Desirable

• oPresentations at national meetings
• oConduct of clinical research
• oParticipation in National initiatives for Patient improvement
• oPublications in peer-reviewed journals
• oEvidence of GCP Training

Education and Teaching

Essential

• A proven ability in teaching is required

Desirable

• oTeaching qualification
• oTraining the trainer course
• oTraining in Appraisal & assessment skills
• oSimulation Training

Management Skills

Essential

• oDemonstrate effective team working skills
• oTime management/organisational ability. An example may be they have developed and run training programmes.
• oProven knowledge of systems and process of NHS
• oSense of understanding and commitment to corporate responsibility
• oAbility to lead and manage others in a pressurised environment

Desirable

• Training Course in management

Leadership*

Essential

• oAn understanding of and ability to demonstrate your ability to: oEmpower others oLead through change oInfluence strategically oCollaborative working oDrive for improvement oIntegrity

Desirable

• Leadership training Previous leadership roles

Other

Essential

• oDemonstrate innovation and problem solving abilities
• oAble to fulfil on-call requirements
• oAbility and means to travel

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).