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Evelina London is seeking a 6PA consultant paediatrician, to work embedded within the paediatric spinal service, to lead on the development of robust, holistic pre-operative medical support for complex children undergoing spinal surgery.
The paediatric spinal service at Evelina is expanding. The majority of children and young people undergoing surgery are medically complex. The postholder will work closely with the established spinal team in developing the service to ensure individualised, holistic and high quality care. The candidate will provide medical input to the current pre-assessment pathway and lead on pre-operative MDT meetings. The appointed candidate would lead on the developments of pathways and guidelines and deliver education, training and support to members of the spinal multi-disciplinary team.
The postholder will join the general paediatric service who will provide oversight of the care they provide and ensure professional development and appraisal and will contribute to the delivery of general paediatric care. They will also work closely with the general paediatricians and other members of the MDT who make up the Evelina Compass Team, who will provide proactive medical input for medically complex post-operative spinal patients.
The successful candidate would work across the Medical and Surgical Directorates in Evelina London and will work closely with the Head of Service for Paediatric Spine and Lead Spine Anaesthetist in the development of the service.
Role includes:
- Development of paediatric peri-operative spinal service
- Targeted pre-operative holistic medical review alongside anaesthetic colleagues and other specialist teams as part of existing pre-assessment pathway
- Active involvement in discussion and decision making as to whether surgery is in best interests of child and family
- Specialist medical input into the optimisation of patients medically pre-surgery
- Active participation in Spinal MDT meetings
- Leading on the development of peri-operative guidelines, education and training
- Providing general paediatric services to the Guy's and St Thomas' Hospital NHS Foundation Trust
The appointed candidate would also be expected to also contribute to other areas such as:
- High dependency care and patient safety
- Education and training
- Research
- Quality improvement and audit
- Clinical and educational supervision
Job Summary:
- To provide general paediatric services to the Guys and St Thomas Hospital NHS Foundation Trust
- To participate in clinical and other service activities with the object of ensuring a high standard of patient care
- To take an active part in undergraduate and postgraduate teaching and training
- To contribute to the management of the clinical service and service development
- Provide oversight and develop a model for medical management of children and young people who require spinal surgery
Provide High Quality Care to Patients
- The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice
- To develop and maintain the competencies required to carry out the duties required of the post
- To ensure prompt attendance at agreed direct clinical care Programmed Activities
- To ensure patients are involved in decisions about their care and to respond to their views.
Research, Teaching and Training
- Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
- To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director
- To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
Performance Management
- To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
- Quality of outcomes e.g. infection control targets, reducing re-admission rates.
- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
- Operational efficiency e.g. day-case rates, waiting list activity and demand management.
Medical Staff Management
- To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal
- To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
- To participate in the recruitment of junior medical staff as and when required.
- To participate in team objective setting as part of the annual job planning cycle.
- To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.
Governance
- To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
- Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
- To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
- Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
- To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
- To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
- To role model good practice for infection control to all members of the multidisciplinary team.
Strategy and Business Planning
- To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
- To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.
Leadership and Team Working
- To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives
- To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required
- To chair regular meetings for the specialties
- To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties
- Adhere to Trust/departmental guidelines on leave including reporting absence
Job Plan
Your job plan is anticipated to contain 6 PAs per week. The appointed candidate will discuss and agree a detailed job plan, as well as personal and professional objectives, with the Heads of Service (HOS) and Clinical Director within 3 months of your start date.
As an organisation, we are committed to developing our services in ways that best suit the needs of our patients.This includes asking certain groups of staff to work more flexibly so that we can offer services to patients in the evenings and at weekends. We regard this flexibility as essential if we are to continue to provide first class patient care in the future. As a result, any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern of working in the future if required and in accordance with the provisions of the new Guys and St Thomas NHS Foundation Trust consultant contract.
The job plan will be negotiated between the appointed consultant, Heads of service for General Paediatrics and Spinal and their Clinical Directors at least annually.
An example of the activities in the proposed job plan is below. The exact days/timings of clinical activities to be worked will be determined by service requirements:
Hospital/ location
Type of Work
Start time and finish time
Frequency:
DCC or SPA
Monday
ECH
Specialist spinal pre-op clinic
General/ inreach clinic
Outpatient admin
Inreach triage
0900 1300
0900-1300
1300-1600
16.00-17.00
Fortnightly weeks A&C
Fortnightly weeks B&D
Weekly
Weekly
0.5 PAs
0.5 PAs
0.75 PAs
0.25 PAs
Tuesday
ECH
Specialist spinal pre-op clinic
Specialist clinic admin
Spinal MDT
0900-1300
1300-1600
1600-1700
Weekly
Weekly
Weekly
1 PA
0.75 PAs
0.25 PAs
Wednesday
ECH
Spinal service development/
Support/
supervision
MDTs/Admin related to MDTs
Complex patients meeting
SPA (teaching, non-patient admin, appraisal, CPD)
0900 1100
11-1300
1300-1400
14.00 17.00
weekly
Weekly
Weekly
Weekly
0.5 PAs
0.5 PAs
0.25 PAs
0.75 PAs
Thursday
ECH
Off
Friday
ECH
Off
Evelina London is seeking a 6PA consultant paediatrician, to work embedded within the paediatric spinal service, to lead on the development of robust, holistic pre-operative medical support for complex children undergoing spinal surgery.
The paediatric spinal service at Evelina is expanding. The majority of children and young people undergoing surgery are medically complex. The postholder will work closely with the established spinal team in developing the service to ensure individualised, holistic and high quality care. The candidate will provide medical input to the current pre-assessment pathway and lead on pre-operative MDT meetings. The appointed candidate would lead on the developments of pathways and guidelines and deliver education, training and support to members of the spinal multi-disciplinary team.
The postholder will join the general paediatric service who will provide oversight of the care they provide and ensure professional development and appraisal and will contribute to the delivery of general paediatric care. They will also work closely with the general paediatricians and other members of the MDT who make up the Evelina Compass Team, who will provide proactive medical input for medically complex post-operative spinal patients.
The successful candidate would work across the Medical and Surgical Directorates in Evelina London and will work closely with the Head of Service for Paediatric Spine and Lead Spine Anaesthetist in the development of the service.
Role includes:
- Development of paediatric peri-operative spinal service
- Targeted pre-operative holistic medical review alongside anaesthetic colleagues and other specialist teams as part of existing pre-assessment pathway
- Active involvement in discussion and decision making as to whether surgery is in best interests of child and family
- Specialist medical input into the optimisation of patients medically pre-surgery
- Active participation in Spinal MDT meetings
- Leading on the development of peri-operative guidelines, education and training
- Providing general paediatric services to the Guy's and St Thomas' Hospital NHS Foundation Trust
The appointed candidate would also be expected to also contribute to other areas such as:
- High dependency care and patient safety
- Education and training
- Research
- Quality improvement and audit
- Clinical and educational supervision
About us
Job Summary:
- To provide general paediatric services to the Guys and St Thomas Hospital NHS Foundation Trust
- To participate in clinical and other service activities with the object of ensuring a high standard of patient care
- To take an active part in undergraduate and postgraduate teaching and training
- To contribute to the management of the clinical service and service development
- Provide oversight and develop a model for medical management of children and young people who require spinal surgery
Provide High Quality Care to Patients
- The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice
- To develop and maintain the competencies required to carry out the duties required of the post
- To ensure prompt attendance at agreed direct clinical care Programmed Activities
- To ensure patients are involved in decisions about their care and to respond to their views.
Research, Teaching and Training
- Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
- To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director
- To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
Performance Management
- To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
- Quality of outcomes e.g. infection control targets, reducing re-admission rates.
- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
- Operational efficiency e.g. day-case rates, waiting list activity and demand management.
Medical Staff Management
- To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal
- To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
- To participate in the recruitment of junior medical staff as and when required.
- To participate in team objective setting as part of the annual job planning cycle.
- To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.
Governance
- To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
- Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
- To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
- Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
- To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
- To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
- To role model good practice for infection control to all members of the multidisciplinary team.
Strategy and Business Planning
- To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
- To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.
Leadership and Team Working
- To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives
- To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required
- To chair regular meetings for the specialties
- To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties
- Adhere to Trust/departmental guidelines on leave including reporting absence
Job Plan
Your job plan is anticipated to contain 6 PAs per week. The appointed candidate will discuss and agree a detailed job plan, as well as personal and professional objectives, with the Heads of Service (HOS) and Clinical Director within 3 months of your start date.
As an organisation, we are committed to developing our services in ways that best suit the needs of our patients.This includes asking certain groups of staff to work more flexibly so that we can offer services to patients in the evenings and at weekends. We regard this flexibility as essential if we are to continue to provide first class patient care in the future. As a result, any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern of working in the future if required and in accordance with the provisions of the new Guys and St Thomas NHS Foundation Trust consultant contract.
The job plan will be negotiated between the appointed consultant, Heads of service for General Paediatrics and Spinal and their Clinical Directors at least annually.
An example of the activities in the proposed job plan is below. The exact days/timings of clinical activities to be worked will be determined by service requirements:
Hospital/ location
Type of Work
Start time and finish time
Frequency:
DCC or SPA
Monday
ECH
Specialist spinal pre-op clinic
General/ inreach clinic
Outpatient admin
Inreach triage
0900 1300
0900-1300
1300-1600
16.00-17.00
Fortnightly weeks A&C
Fortnightly weeks B&D
Weekly
Weekly
0.5 PAs
0.5 PAs
0.75 PAs
0.25 PAs
Tuesday
ECH
Specialist spinal pre-op clinic
Specialist clinic admin
Spinal MDT
0900-1300
1300-1600
1600-1700
Weekly
Weekly
Weekly
1 PA
0.75 PAs
0.25 PAs
Wednesday
ECH
Spinal service development/
Support/
supervision
MDTs/Admin related to MDTs
Complex patients meeting
SPA (teaching, non-patient admin, appraisal, CPD)
0900 1100
11-1300
1300-1400
14.00 17.00
weekly
Weekly
Weekly
Weekly
0.5 PAs
0.5 PAs
0.25 PAs
0.75 PAs
Thursday
ECH
Off
Friday
ECH
Off
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