Job responsibilities
LIVERPOOL
HEART & CHEST HOSPITAL NHS FOUNDATION TRUST
JOB
DESCRIPTION
POST: Clinical
Fellow in ACHD/Paediatric Intervention
BANDING: NHS
Medical and Dental
ACCOUNTABLE TO: ACHD lead, Dr D Cullington
JOB SUMMARY
Introduction
An
exciting opportunity has arisen to join the North
West Congenital Heart Disease Partnership (NWCHDP). The NWCHDP provides an
all-age congenital heart disease (CHD) service across the North West of England
and North Wales. The NWCHDP is a partnership between the Liverpool (Level 1)
Congenital Cardiac Service and Manchester (Level 2) University Hospitals
Foundation Trust (MFT). The NWCHDP also supports Level 3 CHD services at Blackpool
Teaching Hospitals NHS Foundation Trust and Betsi Cadwaladar University Health
Board.
The Liverpool Congenital Cardiac Service
The Liverpool Congenital Cardiac Service is the Level 1
Specialist Surgical Centre for the North West of England and North Wales. It
provides specialised congenital heart services for a catchment of circa
7.5million people. The Liverpool Congenital Cardiac Service is a collaboration between
four trusts in Liverpool comprising; Alder Hey NHS Foundation Trust, Liverpool
Heart and Chest Foundation Trust, Liverpool Womens NHS Foundation Trust and
the Royal Liverpool and Broadgreen University Hospitals NHS Trust. The four
partner organisations provide an all age congenital cardiac service with a
campus based model of care.
Alder Hey Childrens Hospital will provide Level 1
services for children with CHD. Level 1 services for adults with congenital
heart disease will be provided jointly by Liverpool Heart and Chest Hospital
and the Royal Liverpool University Hospital. Specialised Obstetric Services
will be delivered jointly between Liverpool and Manchester University Hospitals
Foundation Trust.
Liverpool Heart and Chest Hospital (LHCH)
Liverpool Heart and Chest Hospital is the largest standalone heart and
chest hospital in the UK. It provides specialist medical and surgical services
to a population of 2.8 million people across Merseyside, North Wales, Isle of
Man, parts of Lancashire and Cheshire.
The
Hospital provides a full range of invasive and non-invasive Diagnostic
Cardiopulmonary facilities. There are
five Cardiac Catheterisation Laboratories for Diagnostic Procedures,
Angioplasty and Electrophysiological (EP) work, with three Labs used
predominantly for the PCI service and two predominantly for EP. There is a dedicated pacing theatre a further
operating theatre used approximately 50% of the time for cardiac devices (the
remaining sessions are for aneurysm surgery/aortic stenting/TAVI). Dedicated
ACHD interventional catheter sessions and operating lists are available.
LHCH is a high-volume interventional centre with over 1400 pacing
procedures, 1700 Catheters, 2400 PCI procedures (1100 PPCIs), 1500 EP
procedures and more than 400 complex pacing/device procedures performed last
year.
Specific duties
Alder Hey Childrens Hospital
Alder Hey Childrens NHS Foundation
Trust is a major teaching hospital of the University of Liverpool. It
serves not only the local population of children but is the tertiary referral
centre for children from Merseyside, Cheshire, parts of Lancashire, Shropshire
and North Wales for many sub-specialties of paediatrics. A brand new award-winning
purpose-built Hospital in the Park was opened in October 2015 providing modern
customised facilities for children, families and staff. The hospital has 240
beds, including day beds for surgery, a medical day care unit and observations
beds in the Emergency Department.
The paediatric services and expertise
within the hospital are considerable and include paediatric cardiology,
cardio-thoracic surgery, neonatal surgery, neurology and disability,
neurosurgery, audiology and ENT, ophthalmology, nephrology, respiratory
medicine, rheumatology, gastroenterology, dermatology, endocrinology, metabolic
medicine, haematology, oncology, infectious diseases, immunology, clinical
genetics, trauma and orthopaedics, burns and plastics surgery, a 24-bedded
paediatric intensive care unit and an 18-bedded high dependency unit,
paediatric radiology, paediatric pathology, paediatric emergency medicine,
general surgery and general paediatrics all on a single site. A child and
adolescent mental health service is also provided with an in-patient unit
located off site.
The Trust provides a range of
community services through approximately 30 community sites, home carers and
child development centre. The radiology department provides an excellent
supportive service, which includes both a CT and MRI scanning service including
an intra-operative facility. There are specialist paediatric support services
in pharmacy, laboratory services and Professions Allied to Medicine.
A purpose-built Education Centre is
situated in the Institute in the Park which also accommodates the Institute of
Child Health on the hospital site and is available for all postgraduate
educational activity.
The Post
This post is based
at Liverpool Heart & Chest Hospital and at Alder Hey Hospital. The successful applicant will work under the
supervision of the consultants who perform the different structural
interventions, although they will be assigned a named educational supervisor.
There will be exposure to all aspects of ACHD/Paediatric structural intervention
as well as opportunities to maintain other complimentary skills.
Outpatient work
will include a minimum of two weekly ACHD clinics and flexibility across sites
for clinic may be required. The appointee will be responsible for the
management of ACHD and paediatric patients and also for the post-procedure management
of structural intervention patients.
The successful
candidate will be expected to become competent in ACHD and paediatric procedures
by the end of their 12 months and be able to take up a consultant post which
includes structural intervention. We would expect a suitably trained appointee
to perform at least 50 first operator cases by the end of their fellowship.
There will be no regular
emergency cover required though this may be negotiable dependent on experience.
The post-holder will gain considerable experience of the management of cardiac
patients in a tertiary setting.
Specific duties
Outpatient clinics-
Two ACHD clinic per
week
Available for pre
assessment
Catheter Lab:
Average of twice weekly ACHD and paediatric interventional lists
Ward Work: The
trainee will perform regular ward rounds for ACHD patients and will supervise
the day to day work of the senior house officers/trust doctors in conjunction
with the other trainees.
General Duties
MDT Attendance
The appointee will
be encouraged to cross cover sessions when possible to maximise training
opportunities.
LHCH is a
foundation trust, which has seen a great deal of development in the last few
years. As a result of major capital
investment the Centre is able to provide:
180 medical and surgical beds
26 day case beds
12 bed cystic fibrosis ward
10 CCU beds; 24 surgical ITU beds
(potential to expand to 30)
8 dedicated cardiothoracic surgical
operating theatres
Endoscopy suite
Recovery room
X-ray department with a
multi-channel spiral CT scanner and MRI scanner
Pulmonary function and oesophageal
laboratory
5 cardiac catheterisation
laboratories
One dedicated pacing theatre and a
shared pacing/aneurysm theatre
Research laboratories
Electronics workshop
Pulmonary function and oesophageal
laboratory
Adult Congenital
Cardiology Consultants and speciality interests
Dr Reza Ashrafi Electrophysiologist/Obstetric
cardiology
Dr Damien Cullington Clinical
Lead/Heart Failure/Obstetric cardiology
Dr
Jaspal Dua Transition/Echo
Dr Petra Jenkins ACHD-PH/ACHD
training
Dr Vasileious Papaioannou ACHD-PH
Dr Sarah Elgamal Cardiac CT
and Cardiac MRI
Dr
Julia Jones ACHD and Transition
Congenital Cardiac
Surgeons
Mr Ram Dhannapuneni Clinical
director of congenital cardiac surgery
Mr Rafael Guerrero
Mr Attilio Lotto
Mr Ramesh Kutty
Mr Tommaso Generalli
Congenital Cardiac Interventionalists
Dr. Salim Jivanji
Paediatric and ACHD Interventions
Dr. Daniel McLennan
- Paediatric and ACHD Interventions
Dr. Arul Narayanan
Lead for Paediatric and ACHD Interventions
Dr. Suneil Aggarwal
Lead for structural Interventions
Paediatric Cardiology
Consultants and speciality interests
Dr. Michael Bowes
Electrophysiologist
Dr. Phouc Duong - Cardiac CT and Cardiac MRI
Dr. Rob Johnson Transition and Clinical
Governance lead
Dr. Caroline Jones
Clinical Lead / Foetal Cardiology
Dr. Joyce Lim Foetal Cardiology and
Cardiac MRI
Dr. Ram Ramaraj Foetal cardiologist
Dr. Giridhar Soda - Aortopathy
JUNIOR MEDICAL
STAFF
12 Specialist
registrars cardiology
3 Post-CCT fellows
cardiology (including this post)
3 Research registrars
- cardiology
18 First-on-call
trainees (across medicine and surgery)
