71826230 – Locum Paediatric Nephrology Consultant

Advertised role location: ROYAL BELFAST HOSPITAL FOR SICK CHILDREN

Official document: LOCUM Consultant Paediatric Nephrologist – JD (pdf)

JOB DESCRIPTION

POST: LOCUM Consultant Paediatric Nephrologist

LOCATION: Based in the Belfast HSC Trust (RBHSC Site)

REPORTS TO: Clinical Director

RESPONSIBLE TO : Chief Executive, Belfast HSC Trust

GENERAL INFORMATION

The Belfast Health Care Trust

The Belfast Health and Social Care Trust was established in April 2007, comprising the Belfast CityHospital, Mater Hospital, Musgrave Park Hospital, Royal Hospitals and South and East Belfast andNorth and West Belfast Health and Social Services Trusts.

Hospital Profiles

Belfast City Hospital (BCH) is a major teaching hospital, most of which is housed within the Tower.The Northern Ireland Cancer Centre opened on the campus in March 2006. A strong strategic focus onmolecular medicine, cancer and renal services has enabled the development of a vigorous researchprogramme, together with a large Cancer Clinical Trials Unit. There is a modern radiology departmentand substantial AHP Services (e.g., Physiotherapy, Podiatry, Occupational Therapy, Speech &Language Therapy, Nutrition & Dietetics, etc) and a comprehensive range of pathology.

The Royal Hospitals is the largest hospital complex in Northern Ireland, comprising the Royal VictoriaHospital, the Royal Jubilee Maternity Hospital (RJMH), the Royal Belfast Hospital for Sick Children(RBHSC) and the School of Dentistry. It provides virtually all referral services in Northern Ireland andundoubtedly the vast majority of local research. Major re-developments of the Royal Group of Hospitals

are underway, which includes the Royal Belfast Hospital for Sick Children. A new Critical Care Buildingwith emergency department and operating theatres is currently in the process of opening. The RoyalHospitals play a major role in clinical education, training and research, with most academic departmentslinked to the Queen’s University Medical School on the Royal Hospital’s complex – medicine, surgery,ophthalmology, child health, obstetrics and gynaecology, and pathology.

The Mater Hospital is a long established general hospital with teaching status affiliated to theQueen’s University of Belfast. A state of the art ward block, the McAuley Building, was opened inJanuary 2002. The X-Ray Department is sited in the Dempsey Building, which was opened in 1991.The Dempsey Building also houses the Accident & Emergency Department, the Operating Theatres, theIntensive Care/High Dependency Unit and the Outpatient Department. The main Psychiatric Unitoccupies a separate building next to the Dempsey Building. There is also a Psychiatric Day Hospital ona separate site, approximately one mile from the main hospital.

Musgrave Park Hospital is the Regional Orthopaedic Unit for Northern Ireland. The Musgrave ParkRegional Orthopaedic Service is the largest in the British Isles with 48 consultant orthopaedic surgeonsand staff. On site is the Queen’s University of Belfast’s Department of Orthopaedic Surgery which is the

largest academic unit in Orthopaedics in the British Isles with an international reputation and anextensive research output

A summary of the services across the different hospitals is provided in the table below:

1. Belfast City HospitalAcute & General MedicineAnaesthesia (includingcritical care)Pain ManagementAdult Cystic FibrosisBreast Services (including reconstructivesurgery)CardiologyGynaecology & Gynaecological OncologyHaematologyHaemophilia ServiceMedical GeneticsMedical OncologyNephrology (including Renal Dialysis)RadiotherapyRespiratory MedicineTransplant SurgeryUrology
2. Royal HospitalsEmergency DepartmentAcute & General MedicineAnaesthesia (includingcritical care)Pain ManagementRecognised trauma centrePaediatrics (RBHSC)Obstetrics & Gynaecology (Royal JubileeMaternity Hospital)School of DentistryRegional services include:neurosciences,medical and surgical cardiology,thoracic surgery, ophthalmology andspecialised endocrinology, ENT, generalsurgery, vascular surgery, hepatology
3. Mater HospitalEmergency DepartmentAcute & General MedicineAnaesthesia (includingcritical care)Pain ManagementSurgical specialties, including Hepatobiliary,Ophthalmology, Gynaecology, Psychiatry
4. Musgrave Park HospitalAnaesthesiaPain ManagementRegional Orthopaedic unitRheumatologyRehabilitationRegional Acquired Brain Injury UnitCare of the Elderly unit

The Belfast HSC Trust functions through a series of directorates. Paediatric Nephrology is a part of theSpecialist Hospital’s and Women’s Health Directorate.

The Royal Belfast Hospital for Sick Children (RBHSC) is the Regional Referral Centre for tertiaryspecialties in Northern Ireland and also serves as the local District General Hospital (DGH). Thepost holder will support the delivery of general paediatric nephrology services in RBHSC.

Northern Ireland has a population of 1.85m and an annual birth rate of 23000 per year. RBHSC recordsabout 35000 attendances at its Emergency Department (ED). RBHSC is an 91 bed paediatric hospital(12 PICU) which functions as a District General Paediatric Unit and in addition houses most of thePaediatric Regional Specialities for Northern Ireland, including Intensive Care, Neonatal Surgery,Trauma and Orthopaedics, Plastic Surgery and Burns, Child Psychiatry, Nephrology, Neurology,Neurosurgery, Cardiology, Respiratory Paediatrics, Infectious Diseases, Cystic Fibrosis, Haematology,Oncology, Rheumatology, Gastroenterology, Inherited Metabolic Disorders, Diabetology, Endocrinologyand Dentistry.

The main hospital laboratory complex, including the Regional Endocrine Laboratory and Virus ReferenceLaboratory, is a short distance away on site. Within RBHSC there is a Radiology Department, a DieteticDepartment, Physiotherapy Department, Clinical Psychology, Speech Therapy, Occupational Therapyand Play Specialist Department. A new building, opened in 1999, provides significantly upgradedaccommodation for A&E Department, Outpatient Department, Theatres and Paediatric Intensive CareUnit as well as the Medical Records Department. The regional neonatology unit is located within theRoyal Jubilee Maternity Service on the Royal Hospitals site. The outline business case for a newChildren’s Hospital has just been accepted and this will be physically adjacent to the new maternityhospital and neonatology.

Paediatric Nephrology Service

The Paediatric Renal Unit is one of 13 designated comprehensive centres for Paediatric Nephrology inthe United Kingdom. It provides a comprehensive diagnostic and treatment service for children withrenal disorders. The population served is 1.85 million. The Unit is situated in a purpose built annexe toBarbour Surgical Ward. There are four designated renal in-patient beds and three haemodialysisoutpatient stations.

There is close liaison with the adult nephrology services, transplant surgeons and tissue typinglaboratory. These services are situated at Belfast City Hospital (0.8 miles away).

Paediatric Nephrology Team

• 5 consultants
• Renal trainees: ST1-2 (x1), ST3-ST7 (x1)
• Renal specialist nurses 3.05 WTE
• Renal dietician 0.7 WTE
• Psychology 0.2 WTE
• Social Work 0.5WTE
• Renal secretaries 2 WTE
• Pharmacy support provided for inpatients only by Barbour ward pharmacist

The service is supported by the on-site paediatric urology team of 2 consultants and 2 specialistcontinence nurses, who also provide a urodynamics service. The post holder will be expected to atted afortnightly nephro- urology radiology meeting.

The service is also supported by interventional radiology, who offer percutaneous diagnostic renalbiopsies twice weekly. A monthly renal pathology meeting takes place at Belfast City Hospital.

The post holder will hold one general nephrology clinic and one specialist clinic per week and seeregional tertiary and local secondary referrals. The case-mix includes relatively common conditions suchas congenital anomalies of the kidney and urinary tract (which are referred both locally and regionally)

It also includes less common conditions such as:

• Glomerulopathies
• Tubulopathies
• Renovascular disease
• multisystem diseases with renal involvement (for example systemic lupuserythematosusmitochondrial abnormalities and metabolic abnormalities )
• complex hypertension

Specialist clinics cohort children by their clinical diagnosis. These clinics include:

• Complex glomerulopathy including congenital nephrotic syndrome
• Complex tubulopathy
• Low clearance CKD clinic
• Dialysis
• Renal transplant
• Renal calculi

The post holder will be expected to establish and develop a renal calculi clinic in liaison with PaediatricUrology in order to develop a combined nephro-urology clinic. The aim is to run this clinic four times perannum.

Outreach

Outreach clinics will be established in each of the five district general hospitals in order to offereducation and support delivery of care to children with nephrological conditions in a local setting. Thepost holder will be expected to develop links and establish a clinic at one of five District Generalhospitals with an aim to deliver an outreach clinic 4 times per year.

Acute Renal Failure

The post holder will be responsible for the tertiary level treatment of patients with acute renal failure.This will involve the management of oligoanuria and the provision of acute haemodialysis and peritonealdialysis with conditions such as haemolytic uraemic syndrome, acute tubular necrosis and tubularinterstitial nephritis.

Intermittent dialysis support will also be provided to other specialities including the paediatric intensivecare unit, paediatric haematology/oncology and the tertiary neonatal unit of the adjacent Royal JubileeMaternity Hospital. Dialysis support for children with acidosis and metabolic disturbances but withoutrenal failure will also be provided to the metabolic service and intensive care units.

Chronic Kidney Disease (CKD) / End Stage kidney Disease

The post holder will have responsibility for the management of children with chronic kidney diseasestages 3-5 at tertiary level and will be expected to provide an initial consult for those children withchronic kidney disease stages 1-2, with additional support from the local District General Hospital. Thepost holder will oversee chronic peritoneal dialysis and hospital based haemodialysis with the assistanceof the specialist renal nursing team whilst on service weeks

The post holder will be one of 3 consultants assigned to the chronic kidney disease and renalreplacement therapy outpatient service. The post holder will deliver 24 multidisciplinary clinics per yearfor the management of patients with CKD stage 3b-5. A CKD multidisciplinary meeting will occur thefollowing day to discuss patients reviewed at this clinic.

A monthly psychosocial multidisciplinary meeting will also take place on the 1stTuesday of every monthalong with a multidisciplinary CKD review and monthly planning meeting for all children with CKD stage3b-5. All members of the MDT are expected to attend both of these meetings.

Transplantation

There is a weekly transplant clinic. A transplant multidisciplinary meeting will be held the following day todiscuss all patients reviewed. The post holder will not be expected to deliver either of these services dueto their commitment to the CKD/renal replacement therapy service.

The post holder will be expected to attend a monthly multidisciplinary transplant/review meeting todiscuss any upcoming transplant recipients and be appraised of any issues in those alreadytransplanted.

Transplant surgery is performed by the Transplant Surgeons from Belfast City Hospital but the pre-operative and entire post-operative management is delivered by the Paediatric Nephrologist.

The post holder will look after children during and after transplantation as part of their service week.

Many end stage renal failure children will also need to be seen on a daily basis in the time immediatelyfollowing renal transplantation or if they develop complications. These patients are frequently seen asward attenders. We have established a close working relationship with the adult nephrology/transplantservices in the Belfast City Hospital. Regular transplant multidisciplinary team meeting are held withrespect to transplant listing. The post holder will be expected to attend a quarterly Nephro- UrologyTransplant (NUT) meeting to aid preparation and planning for all renal transplant recipients withurological issues.

Support to other Paediatric Specialties

The post holder will advise other Paediatricians within RBHSC and at a tertiary level in Northern Irelandabout complex electrolyte problems or other renal issues. Dialysis support is often required forconditions not involving renal failure such as severe metabolic acidosis. Antenatal consultations forserious renal disease are provided on an ad hoc basis following referral from the tertiary perinatal clinicwith plan to develop fetal clinics for antenatal counselling.

General Paediatrics

The post holder will provide support and advice to other Paediatricians within RBHSC and in the DistrictGeneral Hospitals on renal related queries. Dialysis support will be offered if needed for conditions notinvolving renal failure such as severe metabolic acidosis.

Speciality On-Call

The post holder will provide out-of-hours service on a 1 in 4.2 rota for patients within the Children’sHospital with general nephrological, acute renal failure and end stage renal failure problems. Advice willalso be given on-call to other paediatricians regarding complex fluid management, hypertension andelectrolyte abnormalities both within the Children’s Hospital and on a regional basis. On-call activitiesinclude immediate access to the UK TransplantPath digital platform to share and view deceased organdonor information when considering a kidney for transplantation. The post holder will be expected to beable to accept or reject kidney offers in conjunction with the on call transplant surgeon and to liaise withthe tissue typing lab, anaesthetic and surgical teams in the organisation of a deceased donor kidneytransplant.

JOB SUMMARY / MAIN PURPOSE

This is a temporary post

The post holder will support the delivery of Paediatric Nephrology services in Royal Belfast Hospital forSick Children through provision of outpatient and inpatient services.

MAIN DUTIES/RESPONSIBILITIES

• Be expected to work with professional colleagues in the care of patients referred to him/her andto keep up-to-date with innovative change and development within the specialty, profession andthe Health Service.
• Be expected to work with local managers in providing a high quality efficient service to patientsand to assume leadership where appropriate in a team-working environment within themanagement framework of the Paediatric Directorate and in line with the policy of the Trust.
• Be expected to undertake teaching of medical undergraduates and postgraduates as well as staffin related disciplines, and to co-operate with colleagues in developing local educationalprogrammes.
• He/she will be encouraged to perform and develop research.
• Support the delivery of Paediatric Nephrology services. This includes the provision of adiagnostic renal service and the delivery of the medical aspects of an end stage renal failure andtransplant program.
• Provide local nephrology services based at Royal Belfast Hospital for Sick Children
• Provide outpatient clinics for secondary and tertiary nephrology services.
• Develop and provide outreach clinics as detailed above
• Liaise with paediatricians and other professionals in developing clinical services. This willinclude liaison with paediatric urologists, adult nephrologists, transplant surgeons and renalpathologists, obstetricians, neonatologists, geneticists and rheumatologists.
• Work with colleagues to ensure continuity of care for patients with renal disease.
• Be involved in teaching, training and supervision of trainees.
• Be expected to adhere to requirements for continuing medical education and to ensure that allskills and expertise are maintained. The Hospital is committed to fully supporting and resourcingnationally agreed CME requirements to facilitate this. The post holder is expected to work withinthe Trust’s Clinical Governance Framework and GMC guidance on good medical practice.
• Participate fully in medical and multi‑professional clinical audit and is expected to developresearch interests relevant to this post.
• Be expected to take part in the annual appraisal programme and job plan review.
• The on call rota for Paediatric nephrology will be 1 in 4.2

Managerial Responsibilities

• Undertake the administrative duties associated with the care of his/her patients and the runningof the department in conjunction with colleagues.
• Delegate appropriate responsibility and authority to the level of staff within his/her control,consistent with effective decision making, while retaining overall responsibility and accountabilityfor results.
• Be expected to be involved in the planning, implementation and management of the Service
• Identify objectives with the Clinical Director and agree an action plan ensuring personaldevelopment.
• Participate in the selection and appointment of staff in accordance with hospital procedures.
• Take such action as may be necessary in disciplinary and grievance matters in accordance withthe procedures laid down and approved by the Trust.

General Responsibilities

• Employees of the Trust are required to promote and support the mission and vision of the servicefor which they are responsible.
• At all times provide a caring service and to treat those with whom they come into contact in acourteous and respectful manner.
• Demonstrate their commitment by their regular attendance and the efficient completion of alltasks allocated to them.
• Comply with the Trust’s Smoke Free Policy.
• Carry out their duties and responsibilities in compliance with the Health and Safety Policies andStatutory Regulations.
• Adhere to Equality and Good Relations duties throughout the course of their employment.
• Ensure the ongoing confidence of the public in-service provision.
• Maintain high standards of personal accountability.
• Comply with the HPSS Code of Conduct.

INDICATIVE WEEKLY JOB PLAN

Day Time Work activity

NON – Service week

Location

PAs:DCCPAs:SPA

Monday

1. 0830-0900 Emails RBHSC 0.125
2. 0900-1330 CKD/RRD/Transplant clinic
3. HTN clinic RBHSC 1.125
4. 1330-1400 Clinical Admin RBHSC 0.125
5. 1400-1500 Nephro-urology X-ray meeting RBHSC 0.25
6. 1500-1600 Renal Teaching RBHSC 0.25
7. 1600-1730 Results and MDT planning RBHSC 0.375

Tuesday 0900-1100 MDT meeting complex patients RBHSC 0.5

1100-1200 Consultant meeting RBHSC 0.25

1200-1300 HD and PD reviews/Clinical admin RBHSC 0.25

1300-1400 Hospital Clinical Meeting (CPD) RBHSC 0.25

1400-1530 SPA RBHSC 0.375

This may be Tuesday or Wednesday

1530-1630 Triage/ward work RBHSC 0.25

Wednesday 0900-1300 Nephrology clinic RBHSC 0.875

This may be Tuesday or Wednesday

1300-1500 Clinical Admin RBHSC 0.5

This may be Tuesday or Wednesday

Thursday 0830-1330 General nephrology RBHSC 0.625

0830-1330 SPA RBHSC 0.625

1330-1600 Grand Ward round RBHSC 0.625

1600-1730 Renal biopsy meeting / teaching BCH 0.1875 2:4

1600-1730 Clinic admin 0.1875 2:4

Friday Friday OFF

OTHER

Total PAs 6.25 1.5 7.75

Day Time Work Activity

Service week

Location PAs:DCCPAs:SPA

Monday 0900-1300 Ward Round RBHSC 1.0

1300-1400 Clinical admin RBHSC 0.25

1400-1500 Nephro-urology X-ray meeting RBHSC 0.25

1500-1600 Renal Teaching RBHSC 0.25

1600-1700 MDT outpatients RBHSC 0.25

1700-1730 Ward round RBHSC 0.125

Tuesday 0900-1100 MDT meeting complex patients RBHSC 0.5

1100-1200 Consultant meeting RBHSC 0.25

1200-1300 Ward round RBHSC 0.25

1300-1400 Hospital Clinical Meeting (CPD) RBHSC 0.25

1400-1600 Patient admin / consults RBHSC 0.5

1600-1700 Ward round RBHSC 0.25

1700-1800 CPD RBHSC 0.25

Wednesday 0900-1100 Ward round RBHSC 0.5

1100-1300 Ward work/consults RBHSC 0.5

1300-1600 Investigative or diagnostic workinclude databases RBHSC 0.75

1600-1700 Ward round RBHSC 0.25

1700-1800 CPD RBHSC 0.25

Thursday 0900-1300 Ward round RBHSC 0.5

1300-1400 Consults/patient updates RBHSC 0.25

1400-1600 Grand Ward round RBHSC 0.5

1600-1700 Renal biopsy meeting / teaching 1:4 BCH 0.0625

1600-1700 Patient administration 3.4 RBHSC 0.1875

1700-1800 CPD RBHSC 0.25

Friday 0900-1200 Ward Round RBHSC 0.75

1200-1300 CPD RBHSC 0.25

1300-1600 Virtual clinic (referals) RBHSC 0.75

1600-1700 Ward round RBHSC 0.25

OTHER Saturday 5 hrs Ward round (10.4 out of 42) RBHSC 1.65

Sunday 5 hrs Ward round (10.4 out of 42) RBHSC 1.65

Predictable emergency Daily Telephone consultation Home 1.0

on-call work Unpredictable emergency on-call work Variable Emergency attendance & telephone 2.0

TOTAL PAs 15.175 1.5 16.675

Service = 16.675 x 10.4 = 173.42

Non-service 7.75 x 31.6 = 244.9

Total 10.0 PA

Emergency Work

This section includes all of your prospective emergency on-call work and the agreed availability for on‑call.

Agreed on-call rota 1 in 4.2

Agreed category A

On-call supplement 8%

ADDITIONAL INFORMATION

Terms & Conditions

This appointment is subject to the Consultant Terms & Conditions of Service (Northern Ireland) 2004,and as amended.

Registration

Registration with the General Medical Council and License to Practice must be maintained.

Salary

As per current Consultant salary scale in line with the Consultant Terms & Conditions of Service.

Indemnity

Employees are normally covered by the HPSS and Community Health Service Indemnity against claimsfor medical negligence. However, certain circumstances may not be covered by the Indemnity,especially where a separate fee is received. The Department of Health, Social Services & Public Safety(DHSS&PS) therefore advises that membership of a medical defence organisation is maintained.

Support and Office Facilities

Appropriate office accommodation, secretarial support, nursing and ancillary staff will be provided.

Team working

The successful candidate will be expected to work with local managers and professional colleagues inthe efficient running of clinical services and will share with consultant colleagues in the medicalcontribution to management.

Subject to the provisions of the Terms and Conditions of Service, the successful candidate is expectedto observe the Unit’s agreed policies and procedures, drawn up in consultation with the profession onclinical matters and to follow the standing orders and financial instructions of the Trust.

The applicant will be expected to adhere to consultant terms and conditions of service (NI) 2004 asamended, in addition to all Trust policies and procedures.

The successful candidate will be expected to make sure that there are adequate arrangements forhospital staff involved in the care of his/her patients to be able to contact him/her when necessary

Teaching and Research

The successful candidate will be expected to be involved in the teaching of undergraduate medicalstudents and the training of junior medical staff.

Multiprofessional Audit and Continuing Medical Education

The post holder will be required to take part in the Directorate audit programme. They will also berequired to undertake such continuing educational activities as are necessary for them to remainaccredited by their Royal College.

Consultant Appraisal & Revalidation

Appointees are required to participate in Consultant Appraisal and Revalidation processes inaccordance with DHSS&PS requirements.

Mentoring

All newly appointed Consultants will be issued with an individualised Induction Programme and TrustInduction as it is mandatory for all aspects of the induction programme to be undertaken. Arrangementsare also in place to seek advice from senior management and specialist staff within the specialty team.

The Belfast HSC Trust is committed to providing safe and effective care for patients. To ensurethis there is an agreed procedure for medical staff that enables them to report, quickly andconfidentially, concerns about the conduct, performance or health of medical colleagues. Allmedical staff, practicing in the Trust, should ensure that they are familiar with the procedure andapply it.

Quality

Patient satisfaction must be at the forefront of the concern of each member of staff. Every patient is tobe treated as an individual and provided with high quality service in terms of courtesy, kindness, interestand efficiency.

Residence

In order to meet the on-call requirements of the post (if required), the appointee is required to residewithin a reasonable distance to their principal place of work, as per terms and conditions of service.

Type of Appointment

The appointment shall be on a temporary whole time basis, or part-time by agreement, based on theneeds of the service.

Medical Examination

Appointment to this post is subject to a satisfactory pre-employment health assessment with the Trust’sOccupational Health service.

Pension

Membership of the Health Services Superannuation Scheme is voluntary. There is reciprocity betweenthe Northern Ireland scheme and that in mainland Britain.

Private Practice

All private professional services and fee paying services that are not part of the Contract of Employmentmust be undertaken in accordance with Schedules 9, 10 and 11 of the Contract of Terms & Conditionsof Service (NI) 2004.

Date on which post is available

The appointee may take up post upon satisfactory completion of essential pre-employment checks.

Visiting

For further information regarding this post, or to arrange a visit, you are encouraged to informallycontact: Mrs Caroline McCloskey, Service Manager, email caroline.mccloskey@belfasttrust.hscni.net

Canvassing

Canvassing will disqualify. Any approach to a member of the Belfast HSC Trust or a member of anyCommittee or Panel of the hospital by or at the request of a candidate, will be treated as canvassing.

Removal Expenses

If eligible a fixed relocation grant may be available to assist with essential removal expenses, as outlinedin the Trust’s “Re-Location and Associated Expenses Policy”. The amount must be agreed in advanceof incurring expenditure.

Other Facilities

The main hospital sites are located close to Belfast City Centre. Belfast is now a vibrant, busy city with awide range of cultural, sporting and other recreational activities. For those with children of school agethere is a full range of public and private schools. Public schooling is free and of a very high standard.

Housing in Belfast is of good quality and affordable and getting to and from work is generally easy, bycar, bicycle and public transport.

Equality

Employees of the Trust are required to comply with the Trust’s Equality Scheme. A full copy of thisscheme is available in the Human Resources Directorate, Employment Equality Team.

Ionising Radiation Regulations

The Ionising Radiation (Medical Exposure) Regulations (2000) require that any person clinically orphysically directing a procedure which involves exposure to radiation should have appropriate training.This can be provided locally as necessary.

Information Governance

All employees of Belfast Health & Social Care Trust are legally responsible for all records held,created or used as part of their business within the Belfast Health and Social Care Trust,including patient/client, corporate and administrative records whether paper based or electronicand also including e-mails. All such records are public records and are accessible to thegeneral public, with limited exceptions, under the Freedom of Information Act 2000, theEnvironment Regulations 2004, the General Data Protection Regulation (GDPR) and the DataProtection Act 2018. Employees are required to be conversant and to comply with the BelfastHealth and Social Care Trust policies on Information Governance including for example the ICTSecurity Policy, Data Protection Policy and Records Management Policy and to seek advice if indoubt.

Environmental Cleaning Strategy

The Trusts Environmental Cleaning Strategy recognises the key principle that “Cleanliness matters areeveryone’s responsibility, not just the cleaners”. Whilst there are staff employed who are responsible for the cleaning services, all Trust staff have a responsibility to ensure a clean, comfortable, safe environment for patients, clients, residents, visitors, staff and members of the general public.

Infection Prevention and Control

The Belfast Trust is committed to reducing Healthcare associated infections (HCAIs) and all staff have apart to play in making this happening. Staff must comply with all policies in relation to Infection Preventionand Control and with ongoing reduction strategies. Standard Infection Prevention and ControlPrecautions must be used at all times to ensure the safety of patients and staff. This includes: Cleaning hands either with soap and water or a hand sanitiser at the appropriate times (WHO ‘5 moments’); Using the correct ‘7 step’ hand hygiene technique; Being ‘bare below the elbows’ when in a clinical environment; Following Trust policies and the Regional Infection Control Manual (found on intranet); Wearing the correct Personal Protective Equipment (PPE); Ensuring correct handling and disposal of waste (including sharps) and laundry; Ensuring all medical devices (equipment) are decontaminated appropriately i.e., cleaned, disinfected and/or sterilised; Ensuring compliance with High Impact Interventions.

Values

The Belfast Trust aims to recruit staff not only with the right skills but also with the right values to ensurethe delivery of excellent patient care and experience. Staff will be expected to be committed to providesafe, effective, compassionate and person centred care by:

• Treating Everyone with Dignity and Respect
• Displaying Openness and Trust
• Being Accountable
• Being Leading Edge
• Maximising Learning and Development

By embedding the above values we will make a significant contribution to the delivery of the Trust’sVision.

Personal Public involvement

Staff members are expected to involve patients, clients, carers and the wider community were relevant,in developing, planning and delivering our services in a meaningful and effective way, as part of theTrust’s ongoing commitment to Personal Public Involvement (PPI). Please use the link below to access the PPI standards leaflet for further information.

http://www.publichealth.hscni.net/sites/default/files/PPI_leaflet.pdf

Clause: This job description is not meant to be definitive and may be amended to meet thechanging needs of the Belfast Health and Social Care Trust.

JOB SPECIFICATION

POST: LOCUM Consultant Paediatric Nephrologist

LOCATION: Based in the Belfast HSC Trust (RBHSC)

Notes to applicants:

1. You must clearly demonstrate on your application form under each question, how you meet therequired criteria as failure to do so may result in you not being shortlisted. You should clearlydemonstrate this for both the essential and desirable criteria.

2. Shortlisting will be carried out on the basis of the essential criteria set out below, using theinformation provided by you on your application form. Please note the Trust reserves the rightto use any desirable criteria outlined below at shortlisting. You must clearly demonstrate onyour application form how you meet the desirable criteria.

3. Proof of qualifications and/or professional registration will be required if an offer of employmentis made – if you are unable to provide this, the offer may be withdrawn.

ESSENTIAL CRITERIA

• Full GMC Registration plus a License to Practice
• MB ChB or equivalent
• MRCPCH or equivalent
• Entry on the GMC Specialist Register – Paediatrics
  • CCT (proposed CCT date must be within 6 months of closing date)
  • Portfolio Pathway (formerly CESR) applicants must be on the Specialist Registeron appointment or
  • European Community Rights
  • Have recognition of the specialist register in Nephrology or equivalent experience
• Valid Level 3 Safeguarding Training
• Valid BLS Training
• The ability to offer expert clinical opinion on all aspects of paediatric nephrology.
• Paediatric nephrology experience in a centre specialising in the care of children with acute andchronic renal failure and renal transplantation.
• The ability to take full and independent responsibility for the clinical care of patients.
• Ability to contribute to efficient and smooth running of a specialist service.
• Ability to organise and manage outpatient priorities and ward duties.
• Demonstrate experience in organisation of audit to enhance service provision.
• Awareness of the requirements of Clinical Governance with particular reference to paediatricnephrology.
• Ability to demonstrate knowledge of critical appraisal skills and knowledge of research methods.Demonstration of the understanding of the ethical implications of research.
• Eligibility to work in the UK as per UKBA Immigration Regulations.
• UK Child Protection certification at time of appointment.
• Willingness to work flexibly as part of a team.
• Ability to train and supervise medical undergraduates and postgraduates.
• Evidence of effective team working.
• Evidence of good interpersonal skills with patients, colleagues and all team members.

DESIRABLE CRITERIA

• NLS certification / instructor in APLS/EPLS or NLS
• Ability to manage and lead specialist unit and working parties as appropriate
• Experience of service development
• Experience of quality improvement project development
• Experience of audit management
• Publications in peer reviewed journals
• MD by thesis
• Ability to supervise postgraduate research

This post involves working in regulated activity with vulnerable groups. As such, postholders will be required to register with the Independent Safeguarding Authority.

Candidates who are shortlisted for interview will need to demonstrate at interview that theyhave the required competencies to be effective in this demanding leadership role.

The competencies required are detailed in the NHS Medical Leadership CompetencyFramework (MLCF) available atMedical-Leadership-Competency-Framework

Leadership Domains

• Demonstrating Personal Qualities
• Working with Others
• Managing Services
• Improving Services
• Setting Direction

NOTE:

Where educational/professional qualifications form part of the criteria you will be required, ifshortlisted for interview, to produce original certificates, and one photocopy of same, issued by the appropriate authority. Only those certificates relevant to the shortlisting criteria should be produced. If educational certificates are not available an original letter and photocopy of same detailing examination results from your school or college will be accepted as an alternative. Youwill also be required, if shortlisted for interview, to produce your registrable qualifications.If successful, you will be required to produce documentary evidence that you are legally entitled tolive and work in the United Kingdom.

HSC Values

Whilst employees will be expected to portray all the values, particular attention is drawn to thefollowing values for this role

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