Locum Consultant in Paediatric Nephrology

Job description

Job responsibilities

This is a 10PA locum appointment for a Consultant Paediatric Nephrologist

This post will deliver 10PAs supporting the Paediatric Nephrology team (Dr Pallavi Yadav, Dr Joseph McAllister, Dr Hitesh Prajapati, Dr Amanda Newnham & Dr Kay Tyerman).

The post will be based at Leeds General Infirmary.

The Leeds Paediatric Renal service provides regional specialist kidney care for children across East Yorkshire, West Yorkshire, North Yorkshire, and the Humber. This service is one of 13 designated services for paediatric nephrology in the UK and one of 10 providing a fully comprehensive service including transplantation.

There is an established regional network that includes educational activities including the annual regional network study day to provide educational updates and training educational study day and provision of regional guidelines alongside a network of outreach clinics at 11 other hospitals across the region. Thus, providing shared care for patients and in-line with the principle of providing equity of access to quality care as close to home as possible for a population of children with complex and/or chronic disease (NHS Kidney Care-supported Improving the standard of care of children with kidney disease through paediatric nephrology networks, RCPCH 2011).

The services at Leeds Childrens Hospital are based in the renal unit, inpatient bed base on L50 and adjacent haemodialysis unit. This is a shared ward with paediatric hepatology and includes a shared 13 bed base including 8 cubicles (2 with the capacity for haemodialysis). Patients are also routinely care of cared for on the High Dependency unit and in Paediatric intensive care post renal transplant. Children will need to come to Leeds for specialised treatments or procedures which include renal transplantation, acute kidney injury requiring dialysis, insertion of long-term dialysis access and problems relating to long-term dialysis, renal biopsy, specialist imaging, renovascular angiography and treatment and children with complex nephro-urological conditions. This is in addition to the large cohort of children with chronic kidney disease require the input of a large multi-disciplinary team

Haemodialysis

The haemodialysis unit is co-located with the renal inpatient ward (L50). This is a designated 5 station unit, including an isolation cubicle with a separate entrance for family and patients. Haemodialysis (haemodialysis and haemodiafiltration) is delivered in centre with routine haemodialysis delivered Monday to Saturday (6-day service) with a 7 day/week daytime urgent dialysis cover. The number of children receiving dialysis ranges from 8-12. Leeds is one of the KQuIP (Kidney Quality Improvement project) establishing home haemodialysis and as part of this there is a haemodialysis nursing staff expansion programme including rotational nursing staff from the ward and an nurse educator role.

Peritoneal dialysis

There is an established peritoneal dialysis programme with patient numbers ranging from 4-10. There is urology surgical support for catheter insertion for acute and chronic peritoneal dialysis. There is a training package for carers led by the specialist nursing team with a combination of in hospital and at home training. There is ongoing support from the specialist nursing team at home with electronic access to each dialysis session. There is monthly outpatient review of all patients receiving peritoneal dialysis in our MDT clinic.

Transplantation

There is an active transplantation programme in Leeds with an average of 10 transplants per year, with a current cohort of 65 transplant patients under follow up. There is specialist nursing support for transplant work up and a comprehensive MDT transplant listing programme involving nephrologist, transplant surgeons, immunological laboratory, specialist nurses, psychology and social workers. The transplant programme is supported by the transplant surgical team Mr Masood, Ms Martinez-Lopez and Mr Falconer.

Nephro-Urology

There are close links with the paediatric urology MDT. There is a monthly nephro-urology MDT to discuss complex cases and a monthly joint nephro-urology clinic. There is access to non-invasive and invasive urodynamics and an evolving medical bladders service.

There are a number of specialised clinics including antenatal counselling, regional stone service, Tuberosclerosis clinics and joint rheumatology clinics. As well as specialist renal services, the department also provides secondary referral care for a large range of paediatric nephrology referrals including urinary tract infection, haematuria, proteinuria and problems with incontinence

Outpatient services

In Leeds the paediatric renal service outpatient clinics are based within Childrens outpatients in Martin Wing on Leeds General Infirmary site with a dedicated paediatric play support and phlebotomy service. There are weekly transplant, general nephrology and chronic kidney disease clinics. In addition, there outreach joint clinics across Yorkshire and the Humber based in Airedale, Bradford, Dewsbury, Grimsby, Halifax, Huddersfield, Hull, Pinderfields, Scunthorpe, York (Scarborough).

2. OBJECTIVES OF THE POST

2.1 To deliver care to patients with tertiary level nephrotic issues at the LGI.

Out-patient clinics

Supervision of patients

Care of in-patients on a on call rota. (1:6) Paediatric Nephrology, Dialysis and Transplantation.

Contribute to Specialist Multi-disciplinary team meetings

2.2 To link with Consultant colleagues in other relevant site specialist teams within the CSU and across the Hospital.

2.3 To work with colleagues in Paediatric Nephrology to deliver acute on call (currently 1 in 6) for 12 months. This includes both out-of-hours cover in addition to acute ward rounds during normal working hours.

2.4 To contribute to research, teaching, and new developments within the Paediatric Nephrology team. The post holder will be encouraged to facilitate and contribute to the current clinical research programs on going in the department.

Person Specification

Qualifications

Essential

• MB BS (or equivalent)
• Membership examination of the Royal College of Paediatrics and Children (RCPCH) or equivalent qualification

Desirable

• Higher degree e.g. MD/PHD relevant to the subspecialty

Additional Requirements

Essential

• Applicants must be on the Specialist Register or within six months of being admitted to the Register for trainees if currently in a training programme within the UK

Experience

Essential

• Must be able to demonstrate a high level of clinical experience and competence in paediatric nephrology
• Specifically he/she must demonstrate higher training in Paediatric Nephrology
• Evidence of continuous career progression consistent with personal circumstances

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice
• Eligibility to work in the UK
• Is up to date and fit to practice safely
• Should have completed a recognised training programme in paediatric nephrology
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients & colleagues demonstrated by one of the following
• Passing a Secure English Language Test from an approved provider
• Having a GCSE, A level, Scottish National Qualification level 4 or 5, Scottish Higher or Advanced Higher in English, gained through study at a UK school that you began when you were under 18
• Having a degree-level academic qualification that was taught in English - if you studied abroad, youll need to apply through Ecctis (formerly UK NARIC) for confirmation

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).

Employer details

Employer name

Leeds Teaching Hospitals

Address

Leeds General Infirmary

Great George Street

Leeds

LS1 3EX

Employer's website

https://www.leedsth.nhs.uk/ (Opens in a new tab)