JobDescriptionPersonSpecification
JobDescriptionPersonSpecification
JobDescriptionPersonSpecification
Each year, over one million people visit Kingston Hospital for treatment or as a visitor. Out of the
top six London Trusts, Kingston is the only District General Hospital: the others are teaching
hospitals. Overall, the hospital lies 15th nationally. The Hospital is based about 12 miles from the
centre of London with good transport links into the capital and in a beautiful and historic part of
the country. It lies very close to Richmond Park and is close to Hampton Court Palace and
Kempton Park, and the River Thames. Further information may be found on the hospital website
at www.kingstonhospital.nhs.uk
We strive to achieve this through the quality communication of our excellent multidisciplinary
team and through the use of our facilities as follows:
Neonatal Unit 18 Cots; 2 ITU, 4 HDU. Supporting one of London’s largest maternity units,
with around 5800 deliveries per year, the maternity unit is consistently
highly rated by users and has been rated as the best maternity service in
London by CQC.
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Dolphin Ward Children’s Day and Ambulatory care ward
We run a Paediatric Assessment Unit (PAU) model of care on a fully refurbished suite within
Dolphin ward, with four beds and three cubicles.
The introduction of a PAU resulted in increasing the Paediatric Consultant workforce at Kingston
to a total of 13.8 WTE Consultants.
With the department providing care through an ambulatory model using a Paediatric Assessment
Unit (PAU), this post is instrumental in running this service. Assessment of patients referred by
A&E as well as attendance of GP referrals directly to the PAU, if appropriate to do so, is
undertaken. The PAU provides rapid access to senior paediatric opinion in a bespoke, child
friendly environment.
Caring – we design and deliver care around each individual patient’s needs and wants
Safe – we make the safety of patients and staff our prime concern (safety comes first)
Responsible – all staff take responsibility for the hospital, its services and reputation
Our training, policies, procedures, and practices are all intended to support behaviours in line
with our values and all staff are expected to uphold these by 'Living Our Values Everyday'
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Hospital Management Structure
Kingston Hospital NHS Trust is managed by a Trust Board, made up of the Chairman, the Chief
Executive, full-time Executive Directors and part-time Non-Executive Directors.
The Trust has 2 Divisions; Planned and Unplanned care each led by an Associate Director.
There are 18 service lines across the 2 Divisions and each Service Line has a Clinical Lead who
reports to the Associate Director/Clinical Director.
Department Structure
The department consists of 13.8 WTE Acute Paediatric and 3 Community Paediatric Consultants
(3.25 WTE). The Community Paediatricians do not contribute to the acute rota.
Acute Consultants
Dr Titi Ayeni
Dr Jo Bartley
Dr Andrea Beaton
Dr Nader Elgharably
Dr Jon Filkin
Dr Nadia Hassan
Dr Rowan Heath
Dr Rebecca Hodgkinson
Dr Matthew Lee
Dr Dwight Lindo
Dr Sue Luck
Dr Jo Morris
Dr Vinay Pai
Dr Andrew Winrow
This position
Community Consultants
Dr Alison Pearce
Dr Divya Pore
Dr Sandy Kenyon (Associate Specialist and Designated Doctor for Looked after Children)
Dr Augusto Palombi (Named Doctor for Looked after Children)
Supported by:-
General Paediatrics
The General Paediatric ward has 24 beds plus 2 HDU beds. The Paediatric Department admits
approximately 2800 children per annum to its in-patient ward (Sunshine) and sees an equal
number on its ambulatory care unit (Dolphin Ward). The Children’s A&E department sees
approximately 27,000 attendees aged < 16 years. The Paediatric Department works closely with
the A&E Department; the Children’s A&E is staffed by at least 2 paediatric nurses 24/7. The
paediatricians automatically see all children aged < 6 months of age.
There is a daily consultant-led handover and ward round on the in-patient ward. The junior STs
are responsible for obtaining investigation results, presenting patients on the ward round and
managing the clinical care of the children as directed by the consultant. Multi-professional notes
are used and regular reviews of the standard of written documentation are performed.
Neonates
The neonatal unit has 2 designated ITU cots, 4 HDU and 12 SCBU cots. There is an 8 bedded
transitional care ward. Working as part of the South London Neonatal Network, the unit provides
intensive care for most local babies born at a gestation above 26 weeks. The neonatal unit is
able to provide full intensive therapy including HFOV and cooling for HIE.
The large Maternity Unit delivers approximately 5800 babies per annum.
The Children’s Outpatient Service currently has a dedicated children’s outpatient department with
6 clinic rooms. In the year 2016/2017, we saw approx 14,000 patients in medical and
multidisciplinary clinics here. We are working towards greater integrated services with our
primary care colleagues, and also run clinics from the Raynes Park Health centre.
Support Services
The paediatric department is fully supported with appropriate 24 hour access to:
o Pathology service investigations and advice
o Radiological investigations – x-ray, ultrasound, CT, MRI and nuclear medicine –
including 24 hour advice and interpretation. There are 4 Consultants with a
specialist interest in Paediatric Radiology available for advice during normal
working hours, and who provide joint sessions with the paediatric department
every 2 weeks.
Professional Structures
All consultants are members of the Medical Staff Committee. There is a Local Negotiating
Committee representing the British Medical Association, which reports to the Medical Staff
Committee.
KEY RESPONSIBILITIES/OUTCOMES:
General
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To collaborate with others and set standards in clinical care and work to develop clear,
simple care pathways
To promote close working links with all providers of services for children, particularly
within local primary care and the South West London Network
To manage a flexible approach to service provision, adapting practice and provision to
meet changing needs
To work with consultant colleagues, other medical colleagues and junior doctors,
professional and nursing colleagues and local managers to ensure the efficient and
effective running of the service
General Clinical
To work alongside other consultant paediatricians and other care professionals to provide
an up to date general and neonatal paediatric service
To lead and deliver care on the Paediatric Assessment Unit (PAU)
Support junior doctors and nursing colleagues in their roles on the PAU
To participate in the attending system of care rota for consultants on Sunshine (general
paediatric) ward, 1 or 2 attending weeks per year
To hold 2 clinics and 5 virtual consultations per week during clinic weeks
Once sufficiently in post, to provide leadership and guidance for staff in an area of clinical
interest as lead for the department
Clinical Governance
To comply with the Trust’s clinical governance policy and participate in relevant
multidisciplinary and uni-professional clinical audit projects. The department is actively
involved in both national and local level audit and all Consultants are expected to
participate in at least 1 audit annually.
To undertake the clinical risk management and clinical governance activities of the
department and trust
To take an active role in the working of the paediatric service line and in the wider division
To collaborate with colleagues to ensure services develop to comply with current and
future national guidelines
To participate in the development and planning to maintain a PAU model of care
provision
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To support the trust and CCGs in the strategic development of integrated children’s
services including delivery of service within the community and supporting primary care
colleagues
The appointee will observe the trust’s policies and procedures and will follow standing
order and standing financial instructions of the trust
Take the medical lead and promote good professional practice for safeguarding children
within the Trust and in the locality in which the post holder is based.
Ensure appropriate safeguarding children clinical lead arrangements for adult and older
people’s services, forensic services and specialist addictions services.
Attend and contribute to the Trust’s Safeguarding Children Committee.
Contribute to the Trust’s annual Safeguarding Children report, with the other named
doctors, on safeguarding issues for the medical directorate.
Be a source of advice and expertise for fellow professionals and other agencies at point
of need on safeguarding children issues.
Initiate new ways to raise awareness of safeguarding children issues with medical
colleagues.
Contribute to, or carry out, LSCB Serious Case Reviews, in conjunction with the Trust’s
Associate Director and a Named Nurse/Professional, except for cases where there has
been substantial personal involvement.
Participate in or lead internal SI panel investigations that involve child protection issues.
1. Job content
All Consultants, including Ambulatory Consultants, contribute to an attending system of care for
continuity of patient care. This post will cover 1 or 2 attending weeks on the General Paediatric
Ward per year, attending 1 in 40 weeks as part of an integrated ambulatory and attending
consultant working pattern. There are no attending duties on the NNU associated with this post,
but some cover of the NNU is required within the rota and an attending role on NNU could be
incorporated if this is an area the successful candidate wishes to pursue (as other post holders
have done). The post holders will therefore be required to ensure neonatal skills are maintained
at a sufficient level to provide this cover – it is anticipated that most of this will be met through
internal departmental activity.
This post will be part of the rolling 5 week rota providing ambulatory and urgent care, with cover
for the PAU, including out-of-hour’s care, for 2 of those weeks. The working pattern and job plan
may be subject to minor changes to accommodate individuals’ and service needs.
There is no night time resident on-call commitment.
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Week 1:
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Week 3:
Week 4:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
OFF 0830-0900 0830-0900 0800-0900 OFF OFF
Departmental Radiology Admin
Teaching Meeting
(SPA) (SPA)
0900-1100 0900-1130 0900-1000 0900-1300
Virtual Clinic SPA Patient Clinic
Admin
1100-1300 1130-1200 1000-1100
SPA General Paeds Admin
Grand Round
(SPA)
1330-1430 1200-1300 1100-1200 1300-1400
Clinic Consultant’s Named clinic dictation
dictation Meeting Doctor for
(SPA) Safeguardin
g role
1300-1400 1200-1330 1400-1500
Named Doctor SPA Patient Admin
for
Safeguarding
role
1430-1730 1400-1600 1400-1700 1500-1700
Named 3rd Wednesday Clinic Virtual Clinic
Doctor for of the month
Safeguardin Clinical
g role Governance
(SPA)
1400-1600 1700-1800
th
4 Wednesday Clinic
of the month dictation
Departmental
Performance
Meeting
(SPA)
1400-1700
(Other weeks)
SPA
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Week
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
OFF 0830-0900 0830-0900 0800-0900 OFF OFF
5:
Departmental Radiology Admin
Teaching Meeting
(SPA) (SPA)
0900-1100 0900-1130 0900-1000 0900-1300
Virtual Clinic SPA Patient Clinic
Admin
1100-1300 1130-1200 1000-1100
SPA General Admin
Paeds Grand
Round
(SPA)
1330-1430 1200-1300 1100-1200 1300-1400
Clinic Consultant’s Named clinic
dictation Meeting Doctor for dictation
(SPA) Safeguardin
g role
1300-1400 1200-1330 1400-1500
Named SPA Patient
Doctor for Admin
Safeguarding
role
1430-1730 1400-1600 1400-1700 1500-1700
Named 3rd Clinic Virtual
Doctor for Wednesday Clinic
Safeguardin of the month
g role Clinical
Governance
(SPA)
1400-1600 1700-1800
4th Clinic
Wednesday dictation
of the month
Departmental
Performance
Meeting
(SPA)
1400-1700
(Other weeks)
SPA
Attending weeks will take the place of clinic weeks when scheduled. Annual leave may only be
taken in Clinic weeks or, if swapped internally, during Ambulatory or Attending weeks.
Attending weeks involve the Consultant delivery of acute inpatient care including the Consultant
of the week twice daily ward rounds on these 7 days. The only out-of-hours, on-call-off-site work
that is required of this post is the on-call for Friday, Saturday and Sunday nights, 1700-0800
each day of the attending weekend.
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Other NHS Responsibilities 1
External Duties 0
TOTAL PROGRAMMED ACTIVITIES 10
2. On-call availability supplement – not applicable; 2 PA per annum allocated to cover out-
of-hours commitment for general paediatric attending weeks.
Educational Facilities
The Postgraduate Medical Centre has been recently refurbished and there is an excellent
multidisciplinary library. There is an active Postgraduate programme for junior staff co-ordinated
by the Clinical and College Tutors with regular meetings, seminars, x-ray sessions and numerous
tutorials. Medical students are attached to the medical teams from Imperial College and St
George’s Hospital Medical School.
Health Clearance
Health clearance is required for this appointment. Applicants must complete a medical
questionnaire, return it to the Occupational Health and Wellbeing Service and, if required,
undergo a medical examination before appointment.
Raising concerns
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Staff may on occasion have genuine concerns about healthcare matters and consequently the
Trust endorses the principle that these must be raised in a responsible and appropriate manner,
and if necessary using the Trust’s ‘Raising Concerns (Whistleblowing)’ policy.
Data Quality/Security
The post holder is responsible for ensuring that he/she maintains the integrity and quality of both
computerised and manual data.
Infection Control
All staff must at all times be aware of their responsibilities for ensuring infection control and to
maintain hygiene standards in accordance with infection control policies and instructions.
Personal Property
The Trust is unable to accept responsibility for articles of personal property lost or damaged on
its premises whether by burglary, fire, theft or otherwise and staff are advised to insure against
all risks.
Equal Opportunities
Equality of opportunity is an integral part of the Trust’s recruitment and selection process and
recruiting managers must ensure that they comply fully with the Trust’s Equality & Diversity
Policy. The Trust aims to ensure equality of opportunity for all irrespective of race, disability, sex,
gender reassignment, sexual orientation, age, marriage and civil partnership, pregnancy and
maternity and religion, or belief.
No Smoking
Smoking by staff, patients and visitors, will not be permitted anywhere on Trust premises.
Security
Staff must wear their identity badge at all times to assist in maintaining the security of the
hospital; be observant, and not afraid to enquire of people as to their business in the hospital.
Any suspicious behaviour must be reported to the Security Officer, manager, or security team.
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course of their normal duties, an enhanced Criminal Records (CRB) check will be required. All
employees have a responsibility for safeguarding children and vulnerable adults in the course of
their daily duties and for ensuring that they are aware of the specific duties relating to their role .
Keep patients (and/or their carers if appropriate) informed about their condition
Involve patients (and/or carers if appropriate) in decision making about their treatment
Maintain professional standards and obligations as set out from time to time by the General
Medical Council (GMC) and comply in particular with the GMC’s guidance on ‘Good Medical
Practice’ as amended or substituted from time to time.
Maintain professional standards and obligations as set out from time to time by the General
Dental Council (GDC) (Dental consultants only)
A consultant is responsible for carrying out any work related to and reasonably incidental to the
duties set out in their Job Plan such as:
Consultants shall be expected in the normal run of their duties to deputise for absent consultant
or associate specialist colleagues so far as is practicable, even if on occasions this would involve
interchange of staff within the same employing organisation. This does not include deputising
where an associate specialist colleague is on a rota with doctors in training. When deputising is
not practicable, the employing organisation (and not the consultant) shall be responsible for the
engagement of a locum tenens, but the consultant shall have the responsibility of bringing the
need to the employer’s notice. The employing organisation shall assess the number of
Programmes Activities required.
Appraisal
Appraisal is mandatory. A number of consultants in each department have received training in
this process. One of these consultants will be identified as the successful candidate’s appraiser.
Training for appraisees will be provided. The appraisal process is in accordance with GMC
guidelines using GMC documentation.
Medical Clearance
Prior to employment we require a satisfactory report from our Occupational Health Department.
To enable the Trust to comply with Department of Health Guidelines for "Protecting Health Care
Workers and Patients from Hepatitis B", it will be necessary to provide evidence of Hepatitis B
status to the Occupational Health Department, in order for them to ensure that those involved in
"exposure prone invasive procedures" fit the criteria within these guidelines and to enable them
to offer continued protection to all medical staff.
Salary
The salary scale will be that applying to Hospital Medical and Dental Staff.
Informal Discussions
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Applicants are invited and encouraged to contact the following to discuss the job in more detail:
Dr Andrea Beaton, Clinical Lead, Paediatrics and Neonates 020 8934 3410
Pete Stone, Paediatric Service Line Manager 020 8934 6164
Hind Thomas, Matron, Children and Young People’s Services 020 8934 3068
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Person Specification
Locum Consultant Paediatrician with an interest in Ambulatory Paediatrics
Qualifications Full GMC Registration (or eligibility to Higher degree eg. Application
obtain) MD/PhD/MBA Form (in
MRCPCH or equivalent Instructor for APLS first
CCT in Paediatrics and on GMC’s Qualification in Medical instance)
Specialist Register or within 6 months of Education and
CCT from the date of the interview or Interview
have confirmed eligibility for Specialist
Registration
Advanced Paediatric Life Support
(APLS) certification
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