Clinical Fellow in Paediatric Anaesthesia

Job responsibilities

Leeds has one of the largest Childrens Hospitals in the country, delivering surgical procedures to over 12 000 children per year, including around 300 neonates. Specialist paediatric services in Leeds include cardiac surgery, laparoscopic and robotic surgery, airway surgery, liver and renal transplant, neurosurgery, and major plastic reconstructive surgery. The Trust is also a Paediatric Major Trauma Centre with a 16 bed PICU a 6 bed HDU and a tertiary NICU.

The Childrens Hospital has a fully funded Pain Service encompassing acute, chronic and complex pain management. The multi-disciplinary team provides daily ward rounds to all clinical areas for the management of acute and complex pain, utilising higher level interventions such as opiate infusions, patient- & nurse-controlled analgesia, neuraxial and regional local anaesthetic infusions and ambulatory analgesia. The Chronic Pain Service is multi-disciplinary with clinics held 2 3 times each week, offering out-patient and in-patient therapy, pain management programmes (group therapy) and interventions where appropriate for young people with chronic pain throughout the Yorkshire and Humber referral area. The team includes Consultant Paediatric Anaesthetists, Clinical Nurse Specialists, Clinical Psychologists, Occupational Therapists, Physiotherapists, Clinical Pharmacists and an Administrator. The team works closely with Adult Chronic Pain Services, Paediatricians, Paediatric Rheumatologists and Mental health Services

MEDICAL STAFF IN THE DEPARTMENT

The Anaesthetic Department

Leeds Teaching Hospitals employs over 167 Consultant Anaesthetists, each with their own subspecialty interest. The Department of Anaesthesia is based across two sites at St James Hospital and the Leeds General Infirmary.

Leeds Childrens Hospital Anaesthetic Department

The Childrens Hospital is located within the Leeds General Infirmary. There are 22 Consultant Paediatric Anaesthetists and 6 Paediatric Cardiac Anaesthetists. The Acute Pain Service is supported by 6 Consultant Paediatric Anaesthetists, 2 of whom support the Chronic Pain Service.

OBJECTIVES OF THE POST

1.To work with other paediatric anaesthetic colleagues in the provision of a comprehensive paediatric pain service in the Leeds Childrens Hospitals.

2.To develop and / or consolidate expertise in Paediatric Pain Management within paediatric anaesthesia and fulfil all requirements for advanced training in paediatric anaesthesia.

3.To maintain and expand the excellence of teaching and research already

established within the Trust.

4.To support service plans for the specialty, taking account of the changes in clinical practice and new technologies available.

5.To participate in and progress clinical governance.

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

3.REQUIREMENTS OF THE POST

3.1General Training and Qualifications

The appointee must hold the FRCA (or equivalent anaesthetic qualification), and have completed the equivalent of advanced training in paediatric anaesthesia, as per the Royal College of Anaesthetists current curriculum.

3.2Experience

The appointee must be able to demonstrate at least advanced experience in paediatric anaesthesia by the time of intended start date. As this post is funded by the NHS, priority will be given to candidates who, once they have completed this post, would be eligible to commence a consultant post in Tertiary Paediatric Anaesthesia in the UK.

3.3Research

Although this is a clinical post, the appointee will be expected to actively participate in research projects. All main Anaesthetic journals are available plus reprint facilities in the Anaesthetic department. The involvement of trainees in research is encouraged and supervision is provided. PC access and other I.T. support is also available.

3.4Personal Skills

Please see person specification for details

3.5Clinical Audit

The appointee will be expected to contribute and, where appropriate, take the lead in the following (e.g.):-

Mortality and morbidity meetings

Clinical audit

Development and application of agreed clinical guidelines

In the discharge of these responsibilities the candidate will be expected to maintain and update his/her skills and knowledge through appropriate continuing medical education.

Please see the Person Specification for full details.

DUTIES OF THE POST

Aim

This post is designed to provide advanced sub-specialty training in paediatric

pain management, within a background of paediatric anaesthesia.

Objective

The post should attract those wanting to specialise in paediatric anaesthesia with an interest in Pain Management, and it will provide extensive training and experience in this sub-specialty. It will also give significant opportunities for clinical audit and research.

Summary of post

The post is for one year and can be tailored to previous experience but the

majority of time will be spent in paediatric anaesthesia with weekly participation in the Childrens out-patient clinic and the Acute pain ward round. Other modules could include time with therapists, Adult chronic pain services and/or visits to other paediatric pain services nationally.

This post will attract an out of hours banding supplement and shift patterns are normal and long days/nights with some weekend commitments. The shift pattern in currently 1:8 and the long days/nights/weekend work will be on the general paediatric registrar rota. Daytime work/training will be split between Pain management and paediatric anaesthesia.

LEVELS OF RESPONSIBILITY

The Trust as a teaching hospital recognises the importance of links with the University and Leeds School of Medicine for undergraduate teaching, and all clinical fellow and medical staff are required to provide an appropriate contribution to the undergraduate teaching programme.

The post holder will be required to participate in the informal teaching of medical students, nurses and operating department practitioners/assistants.

The post holder will have access to the Trusts extensive and spacious library in the Clinical Sciences Building which houses approximately 5,500 books and several hundred journals. Staff in this library will also arrange loans of books etc. from the Medical School Library and the National Lending Library based at Boston Spa.

TEACHING AND RESEARCH/STUDY AND TRAINING

The post will have protected time for clinical audit, research and teaching. The trainee will be expected and encouraged to take part in these activities as part of their one year training post. LTHTs anaesthetic department has an active academic department that is attached to the University.

Trainees will be required to attend regular monthly M&M meetings and bi-monthly paediatric Journal club.

ENQUIRIES

Prospective applicants are encouraged to visit the Departments and are invited to

contact Dr Alison Bliss, Clinical Lead Childrens Hospital Pain Service via Mrs Yvonne Khan, Department of Anaesthesia, Leeds General Infirmary, telephone number, 0113 3926672.

THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Additionally the following are core values which relate specifically to this post:

The beliefs and attitudes that underpin effective performance within the job role. Emphasis should be on the requirements of the role not the individual when completing this section. Examples might include: quality focus, mistakes are used as a continual learning experience, honesty, integrity etc.

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across

West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

CONDITIONS OF SERVICE

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. These documents are available on the Medical Staffing Intranet site.

The post holder is required to be fully registered with the General Medical Council (GMC) and hold a licence to practice.

Standards of Conduct and Behaviour

You are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director or Medical Director in the first instance.

The Trust has a set of expected behaviours for all employees and additional behaviours and skills that are expected of managers and supervisors.

Leave Arrangements

All leave should be applied for in accordance with the Trusts Leave Policy, normally giving six weeks notice of any leave, other than in exceptional circumstances.

For further details please see enclosed full JD.

Other

Essential

• Well-organised, good time management skills.
• Effective interpersonal skills.
• Demonstrates ability to relate to colleagues and work within a team.

Eligibility, Fitness to practice, and Language Skills

Essential

• Has completed a recognised training programme (or equivalent) in anaesthesia and has completed advanced training (or equivalent) in Paediatric Anaesthesia, and optionally Pain management

Desirable

• Well-organised, good time management skills.
• Effective interpersonal skills.
• Demonstrates ability to relate to colleagues and work within a team.
• Must be able to demonstrate a good level of clinical experience and competence in anaesthesia. Must have completed advanced Paediatric Anaesthesia Training module
• Medically fit to fulfil ALL aspects of the post, and to be able to respond quickly to emergencies, as necessary

Qualifications

Essential

• Full GMC Registration
• Basic Medical Qualification
• FRCA (or equivalent)

Experience

Essential

• Must be able to demonstrate a good level of clinical experience and competence in anaesthesia. Must have completed advanced Paediatric Anaesthesia Training module
• Experience of providing anaesthesia for children.
• Experience of training and teaching medical students and postgraduate doctors in small and large groups.

Desirable

• Demonstrates commitment to training in paediatric anaesthesia.
• As this post is funded by the NHS, priority will be given to candidates who, after completing this post, could commence a consultant post in Tertiary Paediatric Anaesthesia in the UK.

Clinical, Academic, and Personal Skills

Essential

• Must demonstrate an understanding of the principles of evidence-based medicine.
• Experience of participation in regular clinical audit. Knowledge of the audit process
• Well-organised, good time management skills.
• Effective interpersonal skills.
• Demonstrates ability to relate to colleagues and work within a team.

Desirable

• Previous experience of research
• Attendance at an alternative workshop on teaching and training techniques.
• APLS or APLS instructor

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).