Consultant General Paediatrics

Location
Birmingham, West Midlands
Posted
23 Sep 2019
Closes
14 Oct 2019
Ref
381-A-19-107878
Career Level
Consultant
Contract Type
Permanent
Hours
Full Time

General Paediatrics

This is a new General Paediatrics post to join the team of Consultant Paediatricians across the Trust. The post holder will be expected to work both at City Hospital and Sandwell General Hospital.  The appointee would be expected to have training in General Paediatrics and a specialist interest to complement and match the current needs of the department. We recommend that applicants contact the department for a discussion on their areas of special interest in paediatrics at the time of application.

The post holder will be expected to work cross site in both Sandwell and City Hospital. However the Trust will be reconfiguring its services in preparation for the implementation of the Right Care Right Here Programme and the postholder may therefore be required to work at any of the Trust’s sites.

  Facilities and Resources of the Paediatrics Department.

 The Department reconfigured Paediatric and Neonatal Services in November 2007. This was in order to modernise clinical services, improve physical facilities, improve sustainability, and comply with Newborn Network guidance. The Trust provides community child health services in the Sandwell area. The main in-patient paediatric wards are at Sandwell Hospital with 53 beds in total including short stay assessment; day surgical; and adolescent beds. There is a 11 bed, 24 hour Paediatric assessment unit and a separate day case surgery ward at City Hospital. 11 day surgery and 5 medical day beds in City Hospital.  There are large maternity and neonatal units at City Hospital.  There are separate Paediatric and Neonatal on call rotas.

Medical and nursing staff covers both sites to varying degrees depending on their particular post.

Staffing

Consultants

Dr Chizo Agwu

Diabetes / Endocrinology

Dr Rajesh Pandey

Neurodisability / Epilepsy

Dr Dilip Gandhi

Designated Doctor Safeguarding/Community

Dr Fatima Zahir

Ambulatory paediatrics / HDU

Dr Nick Makwana

Infectious Diseases / Allergy

Dr Meena Bandahakavi

Diabetes/ Endocrinology

Dr Ali Akbar         

Respiratory

Dr Maria Atkinson

Respiratory / Allergy         

Dr Yvonne Beuvink                      

Allergy / Infectious diseases

   

Dr Siva Sivakumar    

Dr Gaurav Popli

Dr Chetna Kallapa

Dr Ribena Akther (PT)

Dr I Mahabeer

Neonatology / Cardiology

Haematology/Named Doctor Safeguarding

Epilepsy

Respiratory

Looked After Children / Community

Doctors in Training (general paediatrics both sites)

9.0 WTE          Specialist ST4-8 Trainees(7 general, 2 community)

2.0 WTE        Clinical fellows (middle grade)

16.0 WTE       STI-3s

2.0 WTE        FY2

1.0 WTE        Clinical Fellow / Trust Grade [STI-3 equivalent]

1.0 WTE        FY1

Middle grade staff in training grades share some duties in general and community paediatrics with overlaps between modules to encourage continuity of care and training.  The department is compliant with 2009 EWTD requirements.  Junior staff supervision / appraisal is divided amongst all consultants according to job plan roles. 

 General paediatrics

Lyndon One ward (Sandwell Hospital) -26 bedded in patient ward with a dedicated paediatric HDU facility. We are working towards meeting all the standards of Level 2 Paediatric Critical care unit (PCCU). We currently offer CPAP ventilation, care of children with tracheostomy and have introduced High Flow oxygen therapy. There is a Trust wide ‘care of the critically ill committee’ that oversees the Trusts adherence to the Regional standard for care of the critically ill child. The post holder will work closely with the lead of this committee.

Lyndon Ground ward (Sandwell Hospital) - 24 bedded inpatient ward incorporating a PAU / short stay ward and adolescent area

                       

Priory Ground ward (Sandwell Hospital) – 12 bedded ward utilised for paediatric day cases - both medical and surgical

All children admitted to Sandwell Hospital hospital, whatever the speciality, are accommodated on these wards.

There are approximately 7000 acute paediatric medical admissions per year.  A further 1000 children per year are seen in the assessment bay as elective day cases / reviews.

Child Psychiatry is provided by Sandwell and Birmingham CAMHS. There is a Full Time Child Psychologist based within the Paediatric unit who deals with children with chronic illness and psychosomatic disorders.

At City Hospital, there is an 11 bed, 24 hour Paediatric Unit (PAU) short stay ward at City Hospital, with 11 day surgery and 5 medical day beds in the BTC.

This PAU has dedicated STI-3 and ST4-8 medical staffing at all times. Consultants provide dedicated cover in the unit on a daily basis. The on-call consultant cover at City Hospital is separate from the general paediatric rota at Sandwell Hospital.  

Child Psychiatry support at City Hospital site is provided by the Birmingham CAMHS Service. 

Community Child Health Services

Community Child Health is integrated with acute Paediatric Services in Sandwell. Dr Pandey and Dr I Mahabeer are full time community paediatricians. Dr Pandey is the Designated Medical Officer for SEND and Dr Mahabeer is the lead for LAC and Adoption. Dr Gandhi is the designated doctor for Safeguarding and does community and general paediatrics clinics.

The Child Development Centre moved to a new Multiagency Centre in March 2012. Weekly neuro-developmental clinics for young children take place in the centre.

There is a well-developed multiagency assessment process for autistic spectrum disorders. A clinical psychologist has recently commenced doing an input in the Early Years Team and the Child Development Centre.

The Community Paediatric Nursing Team is managed by the Child Health Department and Special School nurses; Palliative Care; and Continuing Care nurses are part of this.

Health Visiting and mainstream School Health Nursing is also currently managed by the Sandwell & West Birmingham NHS Trust.

The district has Universal Neonatal Hearing Screening (provided in the hospital). There are audiology clinics in Community Health Centres including a special needs clinic.

Consultant Community Paediatricians from Birmingham provide the daytime physical child protection medical service for Birmingham children attending the Trust, with SWBH staff providing the out of hours cover. There is a 24 hour rota provided in the Paediatric Sexual Assault Assessment Service (PSAS) for child sexual abuse and child deaths.

Since SWBHT includes West Birmingham, the Safeguarding Service for the Trust needs to comply with Birmingham policies and processes as well as Sandwell ones; and work with both LSCBs / locality teams.

The Sandwell Children and Adolescent Mental Health Service (CAMHS) is managed within the Black Country Partnership Foundation Healthcare Trust. There is a close working relationship with CAMHS. The middle grade trainees get an opportunity to attend sessions with the consultant child psychiatrists. A CAMHS crisis team provides a service to assess the self-harm cases admitted to the Paediatric Unit. There is a monthly psychosocial meeting to discuss shared cases. Further links are hoped for as resources in both departments develop.

The Child Health Department has a full time attached paediatric clinical psychologist.

The administrative base for Community Child Health medical and nursing team is on the hospital site.   Middle grade medical staff cover community clinics under supervision of consultant paediatricians.   ST1-7 trainees are encouraged to visit various community clinics and activities during their 6-month posts.

Out-Patient Clinics

General Paediatrics / Specialist

There are approximately 3730 new patients and 7223 follow up paediatric patients seen across site. 

As well as General Paediatric clinics, specialist paediatric clinics held at Sandwell Hospital include diabetes, endocrine, epilepsy, respiratory, allergy, infectious disease, neurodisability, haematology, cardiology, neonatal follow up, nephrology, dermatology, genetics, general surgery, plastic surgery, orthopaedics and urology.  

At City Hospital, general paediatric clinics, specialist paediatric clinics including diabetes, endocrine, epilepsy, respiratory, allergy, neurodisability, haematology, cardiology, neonatal follow up, nephrology, and dermatology are held.

Community Clinics

  • Child development Centre: Most of the neuro-disability clinics take place in a multi-agency centre at Conygre in Tipton
  • Special Schools:  The community consultant team hold clinics in special schools
  • Looked After Children Clinic: The LAC clinic is held in Sandwell Hospital children’s outpatients.
  • EHCP community clinics: (for medical assessments as part of formal assessments of educational need) are run by community speciality trainees under supervision of community paediatric consultants
  • Birmingham community paediatricians currently hold some outpatient sessions at the Birmingham Treatment Centre. 

Neonatal Paediatrics

The Neonatal Service is located in City Hospital and has a staffing model of its own and the junior doctors and consultant on-call rota is separate from the general paediatrics unit. The neonatal unit  has been designated as a local neonatal unit which cares for neonates from 27 weeks gestation, it provides a full range of ITU facilities including HFOV, Nitric Oxide therapy, ultrasound and imaging and exchange transfusions- providing in excess of 3000 ITU / HDU cot days per year. The unit has 29 cots with 5 intensive care, 5 high dependency and 19 special care cots with a further 4 Transitional care cots based on the postnatal ward.

  
The Maternity Unit delivers approximately 6000 women per year and incorporates a rapidly developing fetal medicine service.

Facilities and Resources of the Emergency Department.

The Department of Emergency Medicine consists of two busy Emergency Departments. One is situated at City Hospital 1 mile from the centre of Birmingham and the second within the borough of Sandwell, in the heart of West Bromwich. In 2014/2015 our departments saw 176,496 attendances across both sites of which approximately 20% were children.  The Trust is a member of the West Midlands Trauma Network, working in partnership with Major Trauma Centres at University Hospital Birmingham NHS Foundation Trust and the Birmingham Children’s Hospital.  The departments see a wide spectrum of clinical conditions including trauma, accidents and other acute injuries in addition to general medical, paediatric, surgical, ENT, ophthalmic, gynaecological and psychiatric emergencies.