Locum Consultant Paediatrician

Job responsibilities

Along with the clinical responsibilities listed above, the post will have a commitment to the education of junior staff and medical students when working with you. You are encouraged to consider being educational supervisors for the deanery .

Clinical Audit and Clinical Governance

Participate in clinical audit across the department in line with Trust policy and guidelines

Implement audit and research findings across the department

Comply with the Trust clinical governance processes in a timely manner

Continuing Professional Development

Supporting Professional Activities are undertaken by all Consultants in a collaborative manner based on SDU needs

Job plan

The post will be 10 PAs under the new consultant contract. An indicative job plan and timetable can be found below. The final job plan for the post will be agreed with the SDU lead and will be subject to renegotiation at least annually.

The existing general paediatric consultant rota is designed around a 45 week rolling cycle. There is a planned change if requirement to all posts are successful to a 60 week rolling rota . Paediatrician of the Week (POW) and Neonatologist of the Week (NOW) weeks are shared equally between 15 consultants. 1st on call nights (non-resident) are shared equally. During the day there is a 2nd on-call (non-resident) consultant who covers the Childrens Day unit at Wycombe hospital and is available at night as back-up for the 1st on consultant in the event of e.g. simultaneous neonatal and paediatric emergencies.

With the opening of our New childrens ED department in April 2023 we are also doing on call weeks Monday -Friday between the team.

Each consultant has 10.5 on-call weeks in each year. The NOW and POW weeks runs from Friday-Thursday. 3.5 times a year the consultant will also cover the new Childrens observation unit (COU), Monday to Friday, which is co-located with the new Childrens ED department. This number may change to be 1.5 with redesigning the rota.

We are currently looking at redesigning the rota (60 week rolling rota instead of 45) with some colleagues doing only COU weeks as part of their acute service commitment. This will decrease the amount of on call weeks for the rest of the 15 on call team .We may also be stopping 2nd on call overnight duties which will decrease the supplement to 3% from 5% above . Daytime responsibilities for 2nd on call at Wycombe Hospital will continue.

8 consultants share weekday evening twilight shifts. Fixed days are covered across the year by paired consultants doing 26 shifts per year. Additionally, each of the 8 consultants cover 2.3 twilight weekends. During the twilight shifts patients requiring admission are reviewed by the twilight consultant to ensure appropriate management and early planning for discharge to protect capacity. The remainder of the twilight weekends are covered by the other 7 consultants. This post is within the latter group of 7 consultants.

In combination the 1st and 2nd on-call shifts mean that the rota is 1 in 7.5 and therefore attracts a Category A - Medium Frequency (5%) on call supplement. This may change as above to a 1 in 15 category A- low frequency (3%)

Provisional Job plan

Activity

Category

Programmed Activities

On Call Weeks

Includes POW/NOW weeks X 7 /year (1.8 PA)

includes POW/NOW weekends

predictable on call work(0.86)

COU weeks 3.5/year (0.75 PA)

-

DCC

3.4

1st & 2nd ON calls - unpredictable

DCC

0.4

Twilight Shift (16-2200) - Includes

4.6 / yr x Twilight Weekend (WET)

DCC

0.6

General and specialist Outpatient clinics

3 clinics per week +admin

DCC

2.8

Supporting activities

Includes 1 Core PA for revalidation;

Specialist interest development (0.5)

SPA

1.5

Other patient related DCC-MDT meetings / communication / correspondence

1.3

Total

10

Provisional Timetable excluding POW/NOW weeks

AM

PM

Monday

Admin / communication / correspondence /SPA

WGH-2nd and 4th -general / Admin

Tuesday

SMH -general clinic 1st,3rd and 5th /Admin

Core SPA

Wednesday

OFF

OFF

Thursday

WGH -General/specialist clinic

Admin / communication / correspondence

Friday

SPA- specialist interest /Admin

General/specialist clinic SMH

Annual Leave Arrangements:

Leave should be arranged by mutual agreement of consultant colleagues and approval of the clinical director and/or general manager, in accordance with standard Trust and NHS regulations. It is essential that six weeks notice is given to allow for proper planning and prevent cancellations of patients' appointments/surgery.

The post holder has a responsibility to ensure that appropriate arrangements are in place to cover his/her clinical duties during any absence and that all leave is coordinated with colleagues to ensure adequate cover arrangements. This includes all forms of leave.

Qualifications/Registration

Essential

• MRCPCH or equivalent
• Full registration with the General Medical Council. Licence to practice MB, ChB or equivalent
• On GMC specialist register or within 6 months of receipt of CCT in Paediatrics at time of interview

Desirable

• Higher Post graduate degree
• Formal Qualification in Medical Education

Experience/Training

Essential

• MB, ChB or equivalent
• Registration on RCPCH CPD programme
• Level 3 Child protection training.
• Current APLS and NLS provider status (2 for each)
• Have clinical experience of assessing and examining children and young people as appropriate to the role to include safeguarding
• Extensive knowledge of neonatal and general paediatrics

Desirable

• APLS / NLS Instructor (1 for each)

Clinical and Technical skills

Essential

• Ability to diagnose and manage wide variety of illness in children.
• Ability to make good medical notes

Clinical Governance

Essential

• Evidence of participation in clinical audit and understanding role of audit in improving clinical practice.
• Comprehension of core philosophy and building blocks of clinical governance

Desirable

• Knowledge of risk management

Leading and Managing

Essential

• Drives up standards
• Will follow as well as lead
• Is clear and explicit about standards expected
• Is Visible
• Shows humility
• Delegates appropriately
• Adapts leadership style to situation
• Clear about direction of travel
• Encourages others to question and challenge
• keeps others on board
• Deals with performance issues fairly but clearly

Communication & Influencing

Essential

• Listens and acts on what s/he hears
• Influences and negotiates effectively
• Accepts others views
• Confident without being arrogant
• Uses power appropriately

Team Working

Essential

• Helps team learn from others
• Develops others
• Shows loyalty to the team
• Is inclusive
• Supports and cares about the team
• Co-operates with other teams

Values

Essential

• Communicates openly, honestly and professionally, and actively promotes team working and building strong working relationships
• Patients are always first. Drives service improvements. Strong self-awareness with a desire to grow.
• Treats all with compassion and kindness. Ensures everyone feels valued
• Consults others and listens to their views/opinions. Enables others to take the initiative

Desirable

• car driver

Ability, Skills and Knowledge

Essential

• Understands patients
• Shows concern for individuals
• Recognises work life balance
• Willing to apologise
• Approachable

Desirable

• Proven undergraduate teaching skills

Transport

Essential

• Ability to provide own transport between sites

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).