Job summary
A detailed work programme and a job plan will be arranged and agreed by the appointee with the Service Director in Medicine and the Chief Executive of the Trust.
The post holders will undertake fixed clinical and non-clinical sessions according to an agreed timetable with other members of the Consultant Team.
The post will be divided into a ratio 7.5:2.5 direct clinical care (DCC) / supporting programmed activities (SPA). Specific SPA objectives and outcomes will be agreed with the Service Lead within 3 months of appointment.
The current consultant work pattern provides hands on Consultant 'shop floor' presence from 09:00 to 21:00 Monday to Friday, 10:00 to 19:00 Saturday and Sunday to directly lead and guide the team to provide a high standard of clinical care for patients attending the Paediatric Emergency Department. There are no on call commitments as part of this post. This will change as the PEM consultant group continues to grow.
The Department is busy, seeing over 169,000 patients per year (20% paediatric) in conjunction with the Urgent Care Centre, achieving a high clinical standard of care and delivering the 95% 4 hour target. This is achieved through working as a close, co-operative team.
Main duties of the job
To be responsible for ensuring patients experience an efficient patient pathway in keeping with national Key Performance Indicators except where the patient's condition prohibits this.
Supporting the governance programme in the Paediatric Emergency Department
Trainee supervision, including WBPAs
The organisation and supervision of minor procedures in the Emergency Department
To effectively communicate decisions on continuing care to the Patient's GP
To engage in innovation and service development
To attend departmental, governance and other inter-specialty meetings
About us
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed."
If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Some roles may require weekend shifts at multiple sites.
Job description
Job responsibilities
The Directorate offers a high quality, patient focussed service with a seamless approach all age groups. The expansion of the Chelsea and Westminster NHS Foundation Trust with the acquisition of the West Middlesex Hospital in September 2015 has resulted in the provision of services to children over a wide catchment area.
The two hospital sites bring together a range of general and specialist services in order to provide integrated health care for children and their families in hospital, community and at home.
West Middlesex Hospital
Emergency Services
The Emergency Department (ED) at West Middlesex Hospital sees 169,000 patients a year of which approximately 20% of these are children, providing the service to a large multi-ethnic urban population. We are currently in the top ten preforming emergency departments in the country.
Paediatric Emergency Department
Paediatrics Emergency Department (PED) falls within the Emergency Medicine Directorate and the Paediatric services falls within the Children, Young Peoples and Neonatal Directorate. The overall approach of the paediatric service is family and child centred with multi-professional teams including paediatric nurses, psychologists, dieticians, physiotherapists, social workers and the Hospital School working together.
The dedicated Paediatric Emergency Department and the adjoining UCC, is open 24/7, which treats approximately 42,000 children per year with 24,000 are seen and managed in PED. It is co-located with the main Emergency Department with a separate audio-visual waiting room.
The PEM team is comprised of 4 PEM consultants, PEM registrars, Advanced Care Practitioner, CT3/JCF/FT2 doctors who have designated shifts in the PED, CESR doctors competing their secondments in PEM, as well as being entirely staffed by paediatric nurses.
Our department is a 9 bedded space, including an HDU space, a mental health room, a separate isolation room and a paediatric dedicated bay in the 4 bedded resuscitation area.
The Paediatric Emergency Departments is undergoing major service and workforce review and developments. The department is establishing a dedicated junior paediatric emergency team including advanced nurse practitioners.
PACS is installed and the department is very well supported by the Radiology Department with ready access to all investigations and prompt reporting. The department is fully computerised for patient attendances, investigations (radiology & pathology) and results and discharge summaries. Within the department we have Point of Care Testing for FBC, U&E and ABG and several ultrasound machines.
The department is a member of PERUKI (Paediatric Emergency Research in the UK & Ireland) and is commencing it research portfolio, alongside Chelsea and Westminster Emergency Department support with its strong track record. There is a strong track record of supporting trainees to develop projects into presentations at national and international conferences.
There is an active educational program cross site, both undergraduate and postgraduate, is driven by the emergency and paediatric departments creating a wide variety of learning opportunities including weekly simulation and monthly emergency training days.
Teaching duties will include medical students, sessions for the FY2s and middle grade teaching including preparation for RCPCH/FRCEM.
The post holder will be required to participate in the Trust and Directorates Clinical Governance activities, with a commitment to audit, annual appraisal for themselves, revalidation and CPD, and regular appraisal and mentoring of other team members.
It is expected that the post holder will engage in specific management tasks and contribute to monthly departmental meetings (sub-directorate and Clinical Effectiveness) and hospital committees in agreement with the Service Lead and the Directorate Policy Board.
Job description
Job responsibilities
The Directorate offers a high quality, patient focussed service with a seamless approach all age groups. The expansion of the Chelsea and Westminster NHS Foundation Trust with the acquisition of the West Middlesex Hospital in September 2015 has resulted in the provision of services to children over a wide catchment area.
The two hospital sites bring together a range of general and specialist services in order to provide integrated health care for children and their families in hospital, community and at home.
West Middlesex Hospital
Emergency Services
The Emergency Department (ED) at West Middlesex Hospital sees 169,000 patients a year of which approximately 20% of these are children, providing the service to a large multi-ethnic urban population. We are currently in the top ten preforming emergency departments in the country.
Paediatric Emergency Department
Paediatrics Emergency Department (PED) falls within the Emergency Medicine Directorate and the Paediatric services falls within the Children, Young Peoples and Neonatal Directorate. The overall approach of the paediatric service is family and child centred with multi-professional teams including paediatric nurses, psychologists, dieticians, physiotherapists, social workers and the Hospital School working together.
The dedicated Paediatric Emergency Department and the adjoining UCC, is open 24/7, which treats approximately 42,000 children per year with 24,000 are seen and managed in PED. It is co-located with the main Emergency Department with a separate audio-visual waiting room.
The PEM team is comprised of 4 PEM consultants, PEM registrars, Advanced Care Practitioner, CT3/JCF/FT2 doctors who have designated shifts in the PED, CESR doctors competing their secondments in PEM, as well as being entirely staffed by paediatric nurses.
Our department is a 9 bedded space, including an HDU space, a mental health room, a separate isolation room and a paediatric dedicated bay in the 4 bedded resuscitation area.
The Paediatric Emergency Departments is undergoing major service and workforce review and developments. The department is establishing a dedicated junior paediatric emergency team including advanced nurse practitioners.
PACS is installed and the department is very well supported by the Radiology Department with ready access to all investigations and prompt reporting. The department is fully computerised for patient attendances, investigations (radiology & pathology) and results and discharge summaries. Within the department we have Point of Care Testing for FBC, U&E and ABG and several ultrasound machines.
The department is a member of PERUKI (Paediatric Emergency Research in the UK & Ireland) and is commencing it research portfolio, alongside Chelsea and Westminster Emergency Department support with its strong track record. There is a strong track record of supporting trainees to develop projects into presentations at national and international conferences.
There is an active educational program cross site, both undergraduate and postgraduate, is driven by the emergency and paediatric departments creating a wide variety of learning opportunities including weekly simulation and monthly emergency training days.
Teaching duties will include medical students, sessions for the FY2s and middle grade teaching including preparation for RCPCH/FRCEM.
The post holder will be required to participate in the Trust and Directorates Clinical Governance activities, with a commitment to audit, annual appraisal for themselves, revalidation and CPD, and regular appraisal and mentoring of other team members.
It is expected that the post holder will engage in specific management tasks and contribute to monthly departmental meetings (sub-directorate and Clinical Effectiveness) and hospital committees in agreement with the Service Lead and the Directorate Policy Board.
Person Specification
Essential and Desirable
Essential
- Trust Values
- Full GMC Registration
- CCT in Paediatrics or equivalent or eligible for entry on GMC Specialist Register with in 6 months
- Enhanced DBS Clearance
- MRCPCH or equivalent
- Good understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council
- Evidence of broad based training experience in General Paediatrics and Neonates equivalent to that requires for a UK CCT
- Level 3 Safeguarding training
- APLS and NLS Provider
- Experience of Audit
- Solid understanding of the Clinical Governance Agenda
- Excellent communication and influencing skills
- Managing self effectively
- Ability to planning ahead whilst being innovative and flexible approach
- Demonstrable evidence of being able and willing to understand the truest values of respect, kindness, excellence and safety with behaviour that reinforces these valuesi
- Ability to work effectively within a multi-disciplinary team
Desirable
- A subspecialty interest to compliment the consultant team
Person Specification
Essential and Desirable
Essential
- Trust Values
- Full GMC Registration
- CCT in Paediatrics or equivalent or eligible for entry on GMC Specialist Register with in 6 months
- Enhanced DBS Clearance
- MRCPCH or equivalent
- Good understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council
- Evidence of broad based training experience in General Paediatrics and Neonates equivalent to that requires for a UK CCT
- Level 3 Safeguarding training
- APLS and NLS Provider
- Experience of Audit
- Solid understanding of the Clinical Governance Agenda
- Excellent communication and influencing skills
- Managing self effectively
- Ability to planning ahead whilst being innovative and flexible approach
- Demonstrable evidence of being able and willing to understand the truest values of respect, kindness, excellence and safety with behaviour that reinforces these valuesi
- Ability to work effectively within a multi-disciplinary team
Desirable
- A subspecialty interest to compliment the consultant 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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).