Job Description

The successful applicant will be part of a growing team of general paediatricians, providing a consultant delivered service to children and BHRUT. We are in the process of significantly expanding the number of both middle grades and consultants and so the frequency of the rota and the working pattern will evolve in phases over the coming months.

Main duties of the job

Locum Consultant in Paediatrics With A Special Interest In Neurology

An exciting opportunity has arisen to join the Paediatric Consultant Team at BHRUT as a Consultant Paediatrician with a specialist interest in Neurology. The successful applicant will be responsible for jointly running the neurology service at BHRUT with a consultant colleague, a Specialty Doctor and an Epliepsy Clinical Nurse Specialist . We work closely with the Great Ormond Street Hospital and Royal London Hospital Neurology services. We have good support from the Neurophysiology department and the Radiology Department. We can perform standard and sleep deprived EEG, MRI under sedation and EMG. We currently have over 600 children with epilepsy under our care and the number is expanding rapidly. The successful applicant will be responsible with his/her colleagues for seeing patients mainly with epilepsy and other neurological conditions and helping the children / young people and their families with education and support both in clinic and outside clinic. The successful applicant will also assist with his/her colleagues in providing any necessary advice to the children\'s ward when children and young people are admitted for epilepsy related reasons

About us

Under the leadership of our Chair Jacqui Smith and Matthew Trainer, our Chief Executive, we provide care for the residents of three of the most diverse London boroughs. More than half of our 7,500 strong workforce are from black, Asian and minority ethnic groups and most live in Barking and Dagenham, Havering and Redbridge. We also provide healthcare services to people in south west Essex, and specialist neurosciences services to the whole of the county.

Our services include all the major specialties of large acute hospitals, operating from two main sites - King George Hospital in Goodmayes and Queen\'s Hospital in Romford. We also provide outpatient services at Brentwood Community Hospital, Barking Hospital, Loxford Polyclinic, and Harold Wood Polyclinic. We have two of the busiest emergency departments in London.

As we recover from Covid-19, we\'re proud to be leading the way nationally in reducing the time our patients wait to get the treatment they need. The pandemic provided the drive forour teams to innovate and change.

We know we have more work to do to improve waiting times for urgent and emergency care, and our performance against the four-hour emergency access standard remains challenged, in comparison to many other London trusts.

We are particularly proud of our regional Neurosciences Centre Radiotherapy Centre Hyper Acute Stroke Unit and dedicated breast care service at King George Hospital. We\'re also pleased to be part of the NEL Cancer Alliance.

Job description
Job responsibilities

The main principles of the rota are:

• Two hot weeks in 14 (on-take for either Tropical Lagoon ward at Queens Hospital or Dahlia ward and Childrens ED at KGH)
• 3 Hot days covering the Children and Young Persons Assessment Unit (CYPAU) /ED at QH
• 1 paediatric neurology clinic per week (cancelled during a hot week)
• 1 general paediatric clinic per week (cancelled during a hot week)
• On calls (1:7) resident until 7pm (Monday to Friday) and resident from 0830-16300 on Saturday, Sunday and Bank Holidays (times are under review with expected changes to 10pm on all days with reduced frequency). Category A

The Hot Week on Tropical Lagoon or Dahlia (1:7) is a DCC session and leave cannot be taken in this week. Consultant led and delivered ward rounds should take place twice a day. The morning round should start no later than 9.30am, after the early discharges have been identified in the joint handover at 8:30am. The afternoon ward round should take place from 2.30pm so that patients can be identified for discharge in the evening and early the following morning, in advance of the consultant morning ward round. The consultant must be contactable at all times on their DECT/mobile phone. There is a separate consultant covering ED at Queens site (Monday to Friday). The consultant will provide advice and guidance to local GPs seeking help regarding sick children.

The Dahlia ward consultant will also respond to paediatric resus calls in ED at KGH. The Dahlia ward consultant will also supervise the urgent review clinic in the afternoon. The consultant will be expected to have an overview of the children that have been referred to paediatrics from ED and actively participate in managing patient flow in ED.

The department has close ties with local GPs and provides an urgent clinic (Hot clinic) on weekdays between 9 am and 12 noon at Queens Hospital. Patients are discussed directly with a paediatric consultant and aim to be seen within 2 working days. The consultant covering the hot clinic also provides supervision to the review clinic in the assessment unit.

The on call consultant is expected to be resident from the hours of 5-7pm (0.5 PA), and to review patients on the ward, in Assessment Unit (with a short ward round commencing at 5:30pm), and in ED. This is to facilitate discharge and prevent unnecessary admission. This is counted as predictable on-call in the job plan. From 19.00hrs to 08:30 the consultant is on call from home. At weekends predictable on-call is from 09.00-17:00 on Saturdays and Sundays and Bank Holidays (subject to change, as above). We are in the process of implementing a second on-call consultant at QH to cover ED overnight.

Person Specification
Shortlisting Criteria
Essential

• Full registration with the GMC
• MRCPCH or equivalent
• Entry on the Specialist Register or within 6 months of obtaining a UKCCT/CESR-CP for General Paediatrics

Desirable

• Epilepsy SPIN module/BPNA Distance learning
• Higher qualification, e.g. MD, Medical Education
• Attendance at an appropriate management course

Any attachments will be accessible after you click to apply.
162-0587-GT-B

British Medical Journal