University Hospitals Birmingham NHS Foundation Trust
We invite applications for a Locally Employed Doctor at Good Hope Hospital (GHH), part of University Hospitals Birmingham (UHB). The successful applicant will be part of the Tier 2 rota at Good Hope Hospital. This is a fixed term post for 12 months to cover a rota gap, with possibility for extension.
Job Plan
The successful applicant will be part of the Tier 2 medical rota covering the paediatric ward, emergency department, obstetrics and the special care baby unit (Level 1) at Good Hope Hospital
Main duties of the job
To undertake Tier 2 duties on the Tier 2 Medical rota, and function at a senior practitioner level, to provide autonomous clinical care.
General paediatric on calls as per the rota which includes long days, Twilights, night shifts alongside 9 to 5 shifts on a 8 cell rota.
Continuous assessment of patients during on call, leading the team and supervising the Resident Doctors whilst on call
Ensure the patients reviewed are post taken with a consultant during the on call
Prepare the list of patients in the morning in preparation of the morning post take when on call and ensuring smooth flow of patients between emergency department, hildren's ward and Children's Assessment unit
Do some paediatric outpatient clinics as required.
Teaching medical students and trainee doctors and helping in nursing teaching programmes, run on the ward.
Taking responsibility for organising timely appraisal and assessments with consultants for portfolio.
Cover other colleagues in their absence in respect of annual, study leave and bank holidays.
Contributing to the clinical governance - audit, service improvement projects, teaching rota.
To participate in Continuous Medical Education (CME) and maintain a portfolio for revalidation.
Complete admin work / letters from clinical activity.
Maintain mandatory training
About us
We are recognised as one of the leading NHS Foundation Trusts in the UK. Our vision is to Build Healthier Lives, and we recognise that we need incredible staff to do this.
Our commitment to our staff is to create the best place for them to work, and we are dedicated to:
Investing in the health and wellbeing of our staff, including a commitment of offering flexible working where we can;Offer our staff a wide variety of training and development opportunities, to support their personal and career development objectives.
UHB is committed to ensuring that our staff are treated fairly and feel that they belong, by creating a kind and inclusive environment. This is about equity of opportunity; removing all barriers, including discrimination and ensuring each individual member of staff reach their true potential, achieve their ambitions and thrive in their work. This is more than words. We are taking action. Our commitment to an inclusive culture is embedded at all levels of the organisation where every voice is heard, driven by our diverse and active staff networks, and at Board level by the Fairness Taskforce led by our CEO. We nurture a culture which empowers staff to challenge discriminatory behaviours and to enable people to bring their 'whole self' to a kinder, more connected and bold place to work.
University Hospitals Birmingham is a Smoke-Free premises hospital.
Job responsibilities
Service Delivery:
1. Medical care provision to babies & children within the Paediatric Unit on GH site.
2. Participate on the medical Tier 2 rota.
3. Attend Delivery suite for high-risk deliveries
4. Initiate, lead and supervise resuscitation of compromised infants, children & young people as required in accordance with the Local and National Guidelines.
5. Communicate sensitive and complex information to parents
6. Examine and assess babies, children and young people instigate appropriate management if required (e.g. organizing OPD appointments) and give consent to discharge
7. When requested assess babies, children and young people which require medical intervention. Initiate clinical management, having established a differential diagnosis, and arrange appropriate treatment, or referral.
8. Diagnose and initiate treatment plans and evaluate the response to the treatment.
9. Provide ongoing management and seek senior advice when clinically indicated.
10. Deliver complex high-level interventions autonomously.
11. Act as an expert resource to the multidisciplinary team.
12. Perform, request, monitor and interpret investigations. Take appropriate follow-up action in accordance with local unit guidelines, Seek advice from consultant as necessary within limits of personal expertise.
13. Assess, plan and implement individual medical care plans, in collaboration with other members of the multi-disciplinary team. Evaluate progress, advise care management when appropriate, and document daily progress in the medical notes.
14. Write precise, accurate and timely records, letters, reports and statements in accordance with the Data Protection Act
15. Perform discharge examinations of infants, children and young people and liaise with General Practitioners and other members of the Community Care Team as appropriate.
16. Develop and maintain effective communication with parents and families. Ensure documentation of communication.
17. Undertake diagnostic and therapeutic procedures appropriately, adhering to written protocols and guidelines: -
Venepuncture and capillary blood sampling
Percutaneous arterial blood sampling
Peripheral and umbilical venous cannulation and removal
Insertion and removal of percutaneous central venous catheters
Peripheral and umbilical arterial catheter insertion and removal
Withdrawal of blood from indwelling arterial catheters/cannula
Insertion and removal of endotracheal tubes
Administer Surfactant via LISA procedure
Lumbar punctures
Insertion of chest drain/needling of intra-pleural space.
Administer newborn Immunisations
Cold Light Examination of the chest
Urinary catheterization
Requesting and interpretation of Chest and Abdominal X-rays
18. Prescribe drugs in accordance with the BNF Children's & Neonatal Formulary
19. Provide written instructions for blood components as per guidelines.
20. Develop specialist care packages during clinical ward rounds, both receiving and providing complex case presentations.
21. Participate in local audits
Person Specification
Qualifications
* Full GMC registration
* Eligibility to live and work in the UK
* Evidence of achievement of Foundation competencies in line with GMC standards/Good Medical Practice
* Recent Neonatal experience within NHS
* APLS, PILS or EPALS AND NLS provider course passed. Previous experience of working with children Part 1 MRCPH or post graduate Paediatric qualification overseas
Experience
* Expert knowledge of measures to stabilise and safely transfer critically ill babies, children and young adults
* Detailed understanding of audit and research methodologies
* Detailed understanding of health and safety, clinical risk and quality issues
* Knowledge of strategic planning
* Knowledge of Safeguarding procedures
* Handling clinical incidents and complaints
* Awareness of equality and diversity
* Clinical Governance
* Relevant data sets and ability to undertake analysis
* Previous experience of research and audit
* Previous experience of change management and problem solving
* Experience of implementing evidence based practice
* Experience of critical incident review process
* Knowledge of local population needs
* Knowledge of Trust policies and protocols relating to human resources, financial management, clinical governance and health & safety
* Experience of handling clinical incidents and complaints
* Experience of leading on the transport of the critically ill neonate
Additional Criteria
* Assessment and treatment of critically ill infants, children and young people
* Excellent leadership and organisational skills
* Critical appraisal skills
* Complex reasoning skills
* Analytical skills
* Creative thinker and innovator
* Presentation skills and public speaking
* Ability to work as an integral part of the multidisciplinary team
* Ability to deal with conflict situations
* Able to maintain confidentiality
* Research methodology
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
University Hospitals Birmingham NHS Foundation Trust
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