Buckinghamshire Healthcare NHS Trust (BHT) is an integrated provider of acute hospital and community services for people living in Buckinghamshire and the surrounding area.

We care for over half a million patients every year:

provide specialist spinal services at our world renowned National Spinal Injuries Centre at Stoke Mandeville Hospital, the birthplace of the Paralympics
nationally recognised for urology and skin cancer services
regional specialist centre for burns, plastic surgery, dermatology, stroke and cardiac services
deliver community services in health centres, schools, patients’ own homes, community hospitals and community hubs.

More than 6,500 people from different nations, cultures and backgrounds work for us.

We would be happy to discuss possible flexible working options. We strive to be a family friendly, inclusive employer.

If you require any assistance in making this application, please contact bht.recruitment@nhs.net or phone 01494 734868.

We pride ourselves in being a great place to work – and invite you to join our BHT family.

Job overview

This is a full time (10 PA) substantive post. It will be based at across sites with clinics at both Stoke Mandeville and Wycombe Hospitals. Job share would be considered, 5 PAs per candidate

The Paediatric department has been successful in getting approval to expand their consultant presence by new consultants to meet the future workload to deliver safe high quality care to all children in Buckinghamshire with a particular focus on our trust care values.

We are seeking a keen, dynamic general paediatrician with a special interest that will compliment the current team

The post holder will carry out both general paediatric and neonatal duties and will participate in the overnight on-call consultant rota . There will also be weekend evening “ twilight” shifts in the Paediatric ED to support the middle grades and help protect capacity.

Main duties of the job

The successful candidate will join a team of consultants and will undertake inpatient and outpatient work in neonates and general paediatrics including inpatients and children admitted to the observation ward. In these areas we have attending weeks. On call activities on a pro-rata basis. In addition to the general paediatrics this post holder will also have specialist clinics in their subs peciality .

There will be 3 clinics every week across both hospitals ensuring local access for patients .There will be an opportunity depending on the specialist interest of the candidate to organise specialist clinics and develop a service they feel will benefit the children of Buckinghamshire . Time for service development will be given in the job plan .

The post holder will be Paediatrician of the week (POW) and Neonatologist of the week (NOW) totalling 7 a year. There will also be attending weeks for the children’s observation unit and the number of these will be confirmed on appointment (between 1.5-3.5 weeks depending on restructure of the rota) During these days s/he will have no other clinical commitments

The post holder will have resident duties doing “Twilight” shifts from 1600-2200 within the Children’s Emergency Department. This will be a weekend twilight shift to cover the Friday to Sunday evenings for 4 weekends a year to ensure that college standards for facing the future are fully met.

Working for our organisation

What does Buckinghamshire Healthcare NHS Trust offer you?

As part of our BHT family, you’ll benefit from learning and development opportunities to support your career progression.
We offer flexible and agile working opportunities, alongside your NHS benefits of generous annual leave entitlement, pension and access to NHS discount schemes.
We provide a range of health and wellbeing services to promote a healthy, happy workforce.

Why work for us?

We’re committed to promoting inclusion and making sure all colleagues feel they belong. We encourage new colleagues from a diverse range of backgrounds to apply.
As an employer, we aim to create a workplace where differences are valued and colleagues treat one another with dignity and respect.
Greater diversity within our BHT family improves positive outcomes for the people and communities we serve.

What do we stand for?

Our vision is to provide outstanding care, support healthy communities and be a great place to work.
Our mission is to provide personal and compassionate care every time.
Our CARE values are collaborate, aspire, respect and enable.

Detailed job description and main 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. 1 st on call nights (non-resident) are shared equally. During the day there is a 2 nd on-call (non-resident) consultant who covers the Children’s Day unit at Wycombe hospital and is available at night as back-up for the 1 st on consultant in the event of e.g. simultaneous neonatal and paediatric emergencies.

With the opening of our New children’s 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 Children’s observation unit (COU), Monday to Friday, which is co-located with the new Children’s 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 2 nd on call overnight duties which will decrease the supplement to 3% from 5% above . Daytime responsibilities for 2 nd 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 1 st and 2 nd 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

On Call Weeks

predictable on call work(0.86)

DCC

3.4

1 st & 2 nd ON calls - unpredictable

DCC

0.4

Twilight Shift (16-2200) - Includes

DCC

0.6

General and specialist Outpatient clinics

DCC

2.8

Supporting activities

Includes 1 Core PA for revalidation;

SPA

1.5

Other patient related DCC-MDT meetings / communication / correspondence

1.3

Total

Provisional Timetable excluding POW/NOW weeks

Monday

Admin / communication / correspondence /SPA

WGH-2 nd and 4 th -general / Admin

Tuesday

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

Core SPA

OFF

Thursday

WGH -General/specialist clinic

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.

Person specification

Qualifications/Registration

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
Formal Qualification in Medical Education

Experience/Training

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
APLS / NLS Instructor (1 for each)

Clinical and Technical skills

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

Clinical Governance

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
Knowledge of risk management

Leading and Managing

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

Team Working

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

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

Ability, Skills and Knowledge

Shows concern for individuals
Recognises work life balance
Willing to apologise
Approachable
Proven undergraduate teaching skills

Transport

Ability to provide own transport between sites

PPE requirements: Buckinghamshire Healthcare NHS Trust requires all colleagues to wear appropriate personal protective equipment (PPE) in accordance with our infection prevention and control procedures.

COVID-19 and Flu vaccinations remain the best way to protect yourself, your family, your colleagues and of course our patients from the viruses when working in our healthcare settings. We encourage our staff to be vaccinated when recommended.

I f you are successful at interview, we will require you to complete a Covid-19 risk assessment document.

Application deadline: This post will close on the closing date stated at midnight. If we receive a large number of applications or there is a change in circumstance, we may be required to close a job before to the closing date.

Contacting you: We will contact candidates through the email address supplied on their application form. Please make sure you check this regularly.

Application information: If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.

Shortlisting: The monitoring and safeguarding sections are not made visible to the shortlisting panel. The safeguarding section may be made visible to the interview panel, dependent on the role being recruited into.

Travel expenses: It is Trust policy that travel expenses for interview will not be reimbursed.

Smoking: All Trust sites are NO SMOKING. Smoking in all areas of the buildings and premises is prohibited.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Name Dr Michelle Russell-Taylor Job title SDU Lead and Consultant Paediatrician Email address michelle.russell-taylor@nhs.net Telephone number 01494 425501 Additional information

For further information about this post and to make arrangements to visit the department please contact:

Dr Russell-Taylor, Consultant Paediatrician on 01494 425501 or email michelle.russell-taylor@nhs.net

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