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Job Description for Locum Consultant in General Paediatrics
Number of Posts: 1
Contents
1.0 Role Summary
2.0 Key Duties and Responsibilities
3.0 What we can Offer
4.0 The Paediatric Specialty Business Unit.
5.0 Job Plan/On-Call Requirements
6.0 Person Specification
7.0 Enquiries/Visits
8.0 The Team
1.0 Role Summary
This advert is to recruit for a locum full time consultant post in general paediatrics, to commence as
soon as possible for a period of 6 months, to cover for Consultant sick leave. Applications from
candidates willing to work less than full time are welcome.
2.0 Key Duties and Responsibilities
The post-holder will work as part of a team of 10 acute paediatric consultants, with a rota of 1 in 10.
There is a hot week system in which the consultant of the week is on call for general paediatrics and
clinics are cancelled for that week. During the on call week the consultant attends daily handovers,
carries out ward rounds and attends emergencies when required in ED, PAU or the ward. They are
also expected to carry out safeguarding medicals at the request of police or social services and write
reports.
There will be outpatient clinics in Royal Preston Hospital and Chorley District Hospital. These clinics
include new and follow up general paediatrics and specialty clinics. There is small proportion of
resident on calls for the post-holder, which are outlined in the job plan. The resident shifts will be 5
weekday evening shifts over a 10 week period and this is equitably shared by all the acute paediatric
consultants. The resident shift is to cover the Paediatric Assessment Unit along with Junior and
Middle grade doctors. This will enable presence of Consultant in Paediatric assessment unit at the
busiest time of the day.
This post does not include any neonatal cover.
3.0 What We Can Offer
EDUCATION AND TRAINING
Modern Education Centres are based at both Royal Preston and Chorley and South Ribble Hospital
sites and offer excellent library and study facilities, including PC/Internet support for staff and
students.
As a teaching hospital, we encourage all our staff to participate in teaching and training at both
undergraduate and postgraduate levels. We are committed to developing our teaching and academic
activities and can facilitate meeting any training needs for these roles.
It is the expectation that every member of the consultant body will undertake teaching of
undergraduate medical students, other learners and trainees alongside providing clinical care during
DCC activities.
We support the requirements for Continuing Medical Education as laid down by the Royal Colleges
and are committed to providing time and financial support for these activities.
You will receive the full support of the Trust, the Division and the Specialty Business Unit to develop
specialist areas of interest in line with Specialty business plans and the development of services
generally within the Trust.
All newly appointed substantive consultants are enrolled on the award-winning Consultant Leadership
Programme and as part of that, mentorship is available. All consultants have annual appraisal with a
trained appraiser and are supported with the revalidation process.
AUDIT AND CLINICAL GOVERNANCE You will be expected to play a full part in departmental audit and clinical governance programmes.
CLINICAL RESEARCH Lancashire Teaching Hospitals NHS Foundation Trust is committed to ‘Leading improvements in
healthcare through research, innovation and education’ as highlighted in its mission statement. The
trust benefits from its close proximity to a number of quality academic institutions, as well as being a
provider of a variety of specialist services across the region. LTHTR is a research active trust, with
significant areas of high quality research activity in Child Health/ Neonatology, Critical Care, Diabetes,
Neurosciences, Oncology, Renal and Women’s Health, besides a progressive expansion of research
in several other specialties, including Respiratory, Gastroenterology, Cardiology and Innovative
educational techniques, to name a few. We are blessed with a very dynamic Research and Innovation
Team, which is growing all the time, and providing extensive opportunities for clinical research. A
great many projects are undertaken within this trust, and facilitated by our Research and Innovation
Department. We have dedicated staff involved in Research Governance, Grant Applications and
Innovation, besides a large team of Specialist Research Nurses. All new Consultants are actively
encouraged to be research active, and supported in every way to carry out research in this trust.
SECRETARIAL/I.T. SUPPORT The post-holder will have access to office space and a computer at Royal Preston Hospital/Chorley District Hospital. Secretarial support will be provided.
4.0 The Paediatric Specialty Business Unit
ACUTE GENERAL PAEDIATRIC SERVICES
Acute General Paediatric Services are part of the Women’s and Children’s Division of the Trust.
All paediatric inpatient services are located at Royal Preston Hospital. There are 30 paediatric
inpatient beds on the unit, including 8 beds for the day case unit. There is an active 4-bedded
paediatric assessment and observation unit, and 5 ambulatory beds within the paediatric floor,
receiving all acute GP referrals, and referrals from accident and emergency, except that requiring
urgent paediatric attention within the accident and emergency department. There are two cots
designated as high dependency cots within the paediatric ward. There is a day case area which
opens Monday to Friday, an adolescent section of the ward, and cubicles for isolation, and for babies
under 3 months of age.
There is a team of outreach nurses who currently work during weekdays to facilitate early discharge
of acute patients as well as manage chronic conditions at home.
The emergency department (ED) at Royal Preston Hospital is a busy unit. There is a very good
liaison between the Paediatric department and the ED in managing children. There are plans to
create a paediatric emergency unit in the future.
PAEDIATRIC NEUROLOGY
There are two consultant Paediatric Neurologists based at Royal Preston Hospital, one with a
neuromuscular and neuro-disability lead and one with a lead for epilepsy. Paediatric neurology
services at RPH cover the whole of Lancashire, with outreach clinics in Blackpool, Blackburn and
Lancaster hospitals, in addition to the clinics at Royal Preston Hospital and at Chorley and South
Ribble Hospital. There are joint clinics with the community paediatricians and this includes a tone
management service and botulinum toxin programme led jointly by one of the paediatric neurologists
and the paediatric neuro-disability consultant. There is a dedicated ketogenic diet clinic for patients
with epilepsy. There are a number of joint clinics, including a joint orthopaedic clinic, a joint
neurosurgical clinic, and transition clinics for patients with epilepsy, neuromuscular conditions and
patients with neuro-disability.
OUTPATIENT FACILITIES
Children’s outpatient services are provided in a purpose-built outpatient unit at Royal Preston
Hospital, and in the outpatient department at Chorley and South Ribble Hospital.
Children’s outpatient facilities at Royal Preston Hospital have been expanded as part of the Trust’s
commitments towards providing services recommended by the Children’s National Service
Framework. The current facilities provide a total of ten consultation rooms, including space for multi-
disciplinary clinics. All clinics are supported by senior nursing staff who are able to take blood
samples in a dedicated treatment area. Outreach clinics from Manchester based consultants are held
in Cystic Fibrosis, nephrology, genetics and neurosurgery. Consultants in cardiology and general
surgery from Alder Hey Hospital also provide outreach clinics.
COMMUNITY CHILD HEALTH SERVICES
Preston has a resident population of approximately 40,000 children and young people aged 0 – 10
with 25% of the population of ethnic minority and 2 - 3 areas which fall within the most deprived
nationally.
Community paediatric services are delivered through consultant led care together with non-consultant
grades in the community. Each of the consultants has an area of specific interest. Community
paediatricians are now predominantly providing secondary specialist services in areas of
developmental assessment and neuro-disability, e.g. cerebral palsy, learning disability and genetic
conditions or neurodevelopmental problems (autism spectrum disorders, attention deficit hyperactivity
disorder) and work closely with other professionals, e.g. physiotherapists, occupational therapists,
speech and language therapists, clinical psychologists, educational psychologists using multi-agency
pathways and assessments. One example is the social communication pathway where different
professionals work together and contribute to observations at nursery or school and carry out ADOS
(Autism Observation Schedule) assessments.
Community services for Preston are centred at Ashton Health Centre and those for Chorley and
South Ribble at Broadoaks Child Development Centre in Leyland.
NEONATAL SERVICES
There are close links with the Neonatal services, which is also part of the Women’s and Children’s
Division. There are over 4000 deliveries at the Sharoe Green Unit at Royal Preston Hospital. Royal
Preston Hospital is one of two designated level three Neonatal Intensive Care Units for the
Lancashire and South Cumbria Neonatal Network. The current total cot number is 28 cots including 6
intensive care cots and 8 high dependency care cots.
5.0 Job Plan/On Call Requirements
This post is 10 PA’s as set out in the Job plan below: The job plan will be discussed and agreed with
the Clinical Director prior to starting the post and every year.
All consultants are expected to work productively for 42 weeks a year and will be required to
undertake annual appraisal, revalidation and job planning within their allocated contractual SPA time
(1.5 SPA per week). Any SPA activity over 1.5 will be in line with the trust SPA tariff and will be
reviewed as part of the annual job planning process.
Table 1: Template Consultant Rota (Based on 10 full time Consultants)
Thursday 2-10pm is covered by a P/T consultant not participating in the on call rota.
Weeks Mon Tue Wed Thu Fri Sat Sun PA(on calls not included)
1 Clinic week
9-5 9-5 9-5 9-5 9-5 off off 10
2 Clinic week
9-5 9-5 9-5 9-5 9-5 off off 10
3 Clinic week
9-5 9-5 9-5 9-5 9-5 off off 10
4 Clinic week
9-5 9-5 9-5 9-5 9-5 & 5 pm -9 am(non res)
off 5pm -9am (non res)
10
5 Clinic week
12 noon – 10 pm
12 noon-10pm
12 noon – 10 pm
Off off off off 3.75 (1200 – 1700 hours)
6 Clinic week
9-5 9-5 9-5 9-5 9-5 Off off 10
7 Clinic week
9-5 9-5 9-5 9-5 9-5 Off Off 10
8 Clinic week
9-5 9-5 9-5 9-5 9-5 off Off 10
9 Clinic/hot week
9-5 9-5 9-5 9-5 Hot week starts
9am -10 pm ( 5pm -10 pm will be resident)
9am-9am(ward round, then non res)
9am-5 pm(WR, then non res)
10
10 HOT week
9-5 9-5 9-5 Hot week ends
9-5 normal day
off off off 8
Total PA (DCC&SPA)
91 9 PA/week
On call Cover (prospective cover) – 1.9 PA/week
On call cover 1.9 PA/week includes (in a 10 week cycle)
Hot week Saturday and Sunday – 12 hours(4 PA)
Resident on call (prospective cover) – Mon, Tue, Wed and Fri – 1700 -2200 hours
Non- resident on call 1 in 9/10 – 2 hours (0.67 PA) per on call for week day and 3 hours(1 PA) for Sat and Sun
Table 2: Clinic weeks 8/10 week rota (The dates of clinic and off-days subject to
negotiation)
Day
Time Location Activity Category
DCC/SPA
No. of PAs
MONDAY
AM
09.00 -12.30
RPH
Follow up general
Paediatric clinic
DCC
0.875
PM
12.30- 13.30
13.30 -17.00
RPH X- ray
Dept
RPH
Joint Paediatric/ radiology
meeting
Patient Admin
DCC
0.25 DCC
0.875
TUESDAY
AM
0900-12.30
RPH
DCC
DCC
0.875
PM
12.30-13.30
13.30- 1700
RPH
CDH/ RPH
CPD, teaching
Clinic
SPA
DCC
0.25
0.875
WEDNESDAY
AM
0900 - 1300 RPH Clinic/Admin alternate DCC 1.0
PM
1300-1700 RPH Admin DCC 1.0
THURSDAY
AM
09.00-13.00
RPH
Patient Admin
DCC
1.0
PM
13.00-17.00
RPH N/P clinic
DCC
1.0
FRIDAY
AM
09.00-13.00
RPH
Teaching/ training/ CPD
SPA
1.0
PM
14.00-17.00
RPH Admin/SPA DCC/SPA 0.25/0.75
SATURDAY
AM
N/A
PM
N/A
Additional
agreed activity
to be worked
flexibly
DCC
SPA
8.0
2.0
Predictable
emergency on-
call work
N/A
Unpredictable
emergency on-
call work
N/A
TOTAL PAs
Table 3: PAU week 1/10 weeks
Day
Time Location Activity Category
DCC/SPA
No. of PAs
Between
1200 -1700
MONDAY
AM 0900-1200 RPH OFF OFF
PM 1200 -1400
1400- 2200
RPH
RPH
Admin/Meetings/SPA
PAU/Ward/Safeguarding
DCC
1.25
TUESDAY
AM
0900-12.00
RPH
OFF
OFF
PM
1200 -1400
1400- 2200
RPH
Admin/Meetings/SPA
PAU/Ward/Safeguarding
DCC
1.25
WEDNESDAY
AM
0900 - 1200 RPH OFF OFF
PM
1200 -1400
1400- 2200
RPH Admin/Meetings/SPA
PAU/Ward/Safeguarding
DCC 1.25
THURSDAY
AM
09.00-12.00
RPH
OFF
OFF
PM
12.00-22.00
RPH OFF
OFF
FRIDAY
AM
09.00-13.00
RPH
OFF OFF
PM
14.00-17.00
RPH OFF OFF
Additional
agreed activity
to be worked
flexibly
DCC 3.75
TOTAL PAs
PAs for PAU on calls
between 1700 and 2200
are calculated in table 5
DCC 3.75
Table 4: Consultant of the Week 1/10 weeks
Day
Time Location Activity Category
DCC/SPA
No. of PAs
MONDAY
AM
9.00 -13.00 RPH Ward round/ PAU/
safeguarding
DCC 1
PM
13.00- 17.00 RPH Ward round/ PAU/
safeguarding DCC 1
TUESDAY
AM
9.00-13.00 RPH Ward round/ PAU/
safeguarding DCC 1
PM
13.00-17.00 RPH Ward round/ PAU/
safeguarding DCC 1
WEDNESDAY
AM
9.00-13.00 RPH Ward round/ PAU/
safeguarding DCC 1
PM
13.00-17.00 RPH Ward round/ PAU/
safeguarding DCC 1
THURSDAY
AM
9.00-13.00 RPH Ward round/ PAU/
safeguarding DCC 1
PM
13.00-17.00 RPH Ward round/ PAU/
safeguarding DCC 1
FRIDAY
AM
9.00-13.00 RPH Ward round/ PAU/
safeguarding DCC 1
PM
13.00-17.00 RPH Ward round/ PAU/
safeguarding DCC 1
Total DCC 10
Table 5: Weekend(1 in 5) and weekday evening shifts(Res and Non Res) calculation
SATURDAY
AM
9.00-15.00
RPH Ward round/ PAU/
safeguarding DCC
2
SUNDAY
AM
9.00-15.00
RPH Ward round/ PAU/
safeguarding DCC
2
Evening
resident shift
1700-2200
RPH PAU/WARD -5 in 10
weeks
DCC 7.5
Additional
agreed activity
to be worked
flexibly
N/A
Predictable
emergency on-
call work
Unpredictable
emergency on-
call work
2 HOURS/ON CALL for
Mon-Fri
3 hours/on call for Sat
and Sun
Throughout 10
weeks(including
prospective cover)
Total 1.9
PA/week
TOTAL PAs
PA allocation over a 10 week cycle
Type PA comments
On calls DCC 19 Includes prosp. cover
Hotweek DCC 10
Resident week (2pm-5pm for 3days- mon to wed)
DCC 2.25
SPA SPA 20
Clinics(3.5/week for 8 weeks)
DCC 28
Clinic admin(0.5/Clinic) DCC 14
General patient admin DCC 10.75
Safeguarding/meetings DCC 6
110 11 PA per Week
Programmed activity Number
Direct clinical care (including unpredictable on-call) 9
Supporting professional activities 2
Other NHS responsibilities 0
External duties 0
TOTAL PROGRAMMED ACTIVITIES 11
On-call availability supplement
Agreed on-call rota, e.g. 1 in 5 1 in 5
Agreed category
On-call supplement, e.g. 5% 5%
5.0 Person Specification (Locum) Consultant in Paediatric
Essential Criteria Desirable Criteria How Tested
Qualifications Full GMC Registration
and Licence to Practice
MBBS or equivalent
Substantive posts - Must
be entered on the
Specialist Register (or
entry within 6 months)
MRCPCH
A higher qualification, e.g. MD PhD.
Application form/CV
Experience and Skills
More than five years of
experience working at
middle grade level in
general paediatrics
Experience in safeguarding medicals and report writing
Experience in
subspecialty to
complement the
departmental needs
Experience in teaching both undergraduates and postgraduates
Application form/CV and Interview
Management Evidence of Clinical
Leadership
Evidence of commitment
to audit and improving
clinical practice/service
development
Attendance at
appropriate
management, teaching,
appraisal and mentorship
courses.
Evidence of the development of leadership within the work environment.
Application form/CV and Interview
Personal Effective communication
skills.
Good organisation skills.
Works well within a
multidisciplinary
environment
Resident within 30 minutes travel time to Chorley/Preston.
Car Driver Application form/CV and
Interview
Research and Development
Evidence of interest in
personal development
e.g. through research
Application form/CV and Interview
and/or publications
Evidence of audit and clinical governance
Health Meets professional health requirements in line with GMC Standards/ Good Medical Practice
Occupational Health examination
6.0 Enquiries and Visits
We would be happy to answer any queries you may have regarding this post and any
enquiries should be made with Dr Karnam Sugumar, Clinical Director, 01772 523551.
8.0 The Team
Name Role
General Paediatric Consultants
Dr K Sugumar (Clinical Director (CD)) Respiratory
Dr D Mahmood Cardiology
Dr R O’Connor Retiring- This post
Prof Madhavi (Undergraduate Dean) Education/ Infectious Diseases
Dr M Foster Ambulatory Care
Dr C Sugden General paediatrics
Dr S Padhye Allergy
Dr K Turner LTV
Dr O Ayoola Diabetes
Dr D Kendall Diabetes/ Endocrine
Dr S Kandasamy (Associate CD) General Paediatrics/Allergy
Dr D Rengan Cardiology/ Palliative Care
Dr P Shetty General Paediatrics
Community Paediatric Consultants
Dr J Agbenu (Clinical Director) Paediatric Neurodisability (Tone Management), Training
Dr C Kattakayam Epilepsy/ Designated Doctor for Looked After Children
Dr P Das Community, Neurodisability
Dr R Agrawal Designated Doctor for Looked After Children (Chorley and South Ribble)
Dr S Gupta Autism and Spectrum Disorders
Dr M Hall Designated Doctor for Special Educational Needs and Disability (SEND)
Paediatric Neurology Consultants
Dr C DeGoede Paediatric Neurologist (Neuromuscular)
Dr H Basu Paediatric Neurologist (Epilepsy)
Honorary and Visiting Consultants
Mr C Baillie Paediatric Surgery
Dr Shauq Cardiology
Dr Kaur Nephrology
Dr Banka Genetics
Mr Kamaly/Mr Ramirez Neurosurgery
Management Team
Becky Smith Specialty Business Manager
Sally McCluskie Matron for General Paediatrics
