Consultant Paediatrician with Neurology Including - Aylesbury, United Kingdom - Buckinghamshire Healthcare NHS Trust

Buckinghamshire Healthcare NHS Trust
Buckinghamshire Healthcare NHS Trust
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Aylesbury, United Kingdom

3 weeks ago

Tom O´Connor

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Tom O´Connor

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Description
This post holder will manage those on the Stoke site as these need to be developed. There maybe the opportunity to do some focused neurology clinics in discussion with the current neurology lead, Dr Mandava.

A particular focus for the trust and department will be the transition of the young people with complex health needs.

Time will be given within this job plan for this post holder to help further develop these services across the paediatric department including but not exclusively the complex neurology and epilepsy patients.


The post holder will also deliver 9 rapid access clinics per year on the days when they are not twilight.

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 childrens observation unit and the number of these will be confirmed on appointment (between 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 on a fixed weekday evening doing Twilight shifts from within the Childrens Emergency Department.

There will be a weekend twilight shift to cover the Friday to Sunday evenings for 3 weekends a year to ensure that college standards for facing the future are fully met.

During on-call times, assessment of children in whom there are child protection concerns will be necessary.

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. 1st on call nights (non-resident) are shared equally.


During the day there is a 2nd on-call (non-resident) consultant who covers the Childrens Day unit at Wycombe hospital and is available at night as back-up for the 1st on consultant in the event of e.g.

simultaneous neonatal and paediatric emergencies.

With the opening of our New childrens 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 Childrens observation unit (COU) which is co-located with the new Childrens 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 2nd on call overnight duties which will decrease the supplement to 3% from 5% above.

Daytime responsibilities for 2nd 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.


In combination the 1st and 2nd 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 Programmed Activities On Call Weeks Includes POW/NOW weeks X 7 /year (1.8 PA) includes POW/NOW weekends predictable on call work(0.86) COU weeks 3.5/year (0.75 PA) - DCC 3.4 1st & 2nd ON calls - unpredictable DCC 0.4 Twilight Shift Includes - 26 / yr x Monday twilight shifts / yr x Twilight Weekend (WET DCC 1.4 General and specialist Outpatient clinics 2 clinics per week +admin RAC clinics /year +admin -0.2 DCC 1.8 Supporting activities Includes 1 Core PA for revalidation; Epilepsy/neurology service development including transition services in BHT(1.0) SPA 2.0 Other patient related DCC-MDT meeting / communication / correspondence 1.0 Total 10 Provisional Timetable excluding POW/NOW weeks AM PM 16.00 to 2230 Monday Rapid access clinic 9x/year WGH/or SMH PDU shift (26/yr) Tuesday OFF OFF Wednesday WGH -general clinic 1st,3rd and 5th /Admin Core SPA Thursday Admin / communication / correspondence Specialist neurology clinic SMH 8x/year.

SMH Epilepsy clinic 1st,4th,5th/ months rest general 2/3 ) Friday SPA- neurology MDT / epilepsy /Admin General clinic WGH 2nd and 4th 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.

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