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THE LEEDS TEACHING HOSPITALS NHS TRUST
DEPARTMENT OF PAEDIATRIC CARDIOLOGY
JOB DESCRIPTION
CONSULTANT IN PAEDIATRIC CARDIOLOGY WITH AN INTEREST IN INHERITED CARDIAC
CONDITIONS
1. BACKGROUND
Leeds Teaching Hospitals is one the largest teaching hospital trusts in Europe, with access to leading clinical expertise and medical technology. We care for people from all over the country as well as the 780,000 residents of Leeds itself. The Trust has a budget of £1.1 billion. Our 20,000 staff ensure that every year we see and treat over 1,500,000 people in our 2,000 beds or out-patient settings, comprising 100,000 day cases, 125,000 in-patients, 260,000 A&E visits and 1,050,000 out-patient appointments. We operate from 7 hospitals on 5 sites – all linked by the same vision, philosophy and culture to be the best for specialist and integrated care.
Our vision is based on The Leeds Way, which is a clear statement of who we are and what we believe, founded on values of working that were put forward by our own staff. Our values are to be:
Patient-centred Fair Collaborative Accountable Empowered
We believe that by being true to these values, we will consistently achieve and continuously improve our results in relation to our goals, which are to be:
- The best for patient safety, quality and experience
- The best place to work
- A centre of excellence for specialist services, education, research and innovation
- Hospitals that offer seamless, integrated care
- Financially sustainable
Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.
By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.
WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnership’s ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.
In relation to this post, this is a full time appointment in the department of congenital
cardiology at the Leeds General Infirmary.
The department serves a population of approximately 5.5 million in Yorkshire, Humberside
and Northern Trent. Services include all aspects of specialist tertiary care of cardiac
patients with the exception of transplantation. The annual workload of the department
includes over 10,000 outpatient consultations, approximately 500 catheterisations per
year, (diagnostic, therapeutic, and electrophysiology studies/ablations), and approximately
500 congenital cardiac operations.
The congenital cardiology department has office space and outpatient clinics situated in
the Jubilee Building at the Leeds General Infirmary. The inpatient department within Leeds
Children’s Hospital (based in the Clarendon wing) includes a dedicated 16 bed paediatric
cardiac ward, (of which 6 beds are designated as high dependency) and a paediatric
intensive care unit with 16 beds. There is a recently developed hybrid catheter lab
specifically for the care of congenital cardiac patients. There are obstetric, neonatal and all
sub-specialty paediatric services on site.
The department currently comprises 9 substantive consultant paediatric cardiologists with
2 additional locum appointments and 4 substantive adult congenital cardiologists with 1
additional locum appointment. There are currently 4 substantive congenital cardiac
surgeons who work closely with the cardiologists. In addition there is a cardiac radiologist
and a consultant echo-sonographer. The department is currently comprised as follows:
Paediatric / Adult Congenital Cardiologists
Dr John Thomson Paediatric cardiology and congenital intervention Dr James Bentham Paediatric cardiology and congenital intervention Dr Daniel Velasco Sanchez Paediatric cardiology and congenital intervention Dr Dom Hares Paediatric cardiology and electrophysiology and pacing Dr Elspeth Brown Paediatric cardiology, fetal cardiology and inherited cardiac conditions Dr Shuba Barwick Paediatric cardiology / lead for fetal cardiology Dr Fiona Willcoxson Paediatric cardiology / Regional network lead Dr Helen Michael Paediatric cardiology and transition Dr Antigoni Deri Paediatric cardiology and advanced echocardiography
Dr Kate English Adult congenital cardiology Dr James Oliver Adult congenital cardiology and Lead Clinician for Congenital Cardiology Dr Helen Parry Adult congenital cardiology Dr Vitor Ramos Adult congenital cardiology and MRI
Mr Osama Jaber Congenital cardiac surgery and Lead Clinician for surgery Ms Carin VanDoorn Congenital cardiac surgery Mr Imre Kassai Congenital cardiac surgery Mr Giuseppe Pelella Congenital cardiac surgery
The paediatric cardiology junior staff comprise 3 ST1-3, 5 paediatric cardiology ST4+, 2
ST4+ in paediatrics (a 1 year post for those wishing to be paediatricians with an expertise
in cardiology), and one ST3+ in adult congenital heart disease
2. OBJECTIVES OF THE POST
To deliver high quality consultant led, in-patient and outpatient care for children with
congenital cardiac disease within LTHT and the region, including a contribution to out
of hours cover.
To deliver and develop the paediatric Inherited Cardiac Conditions service within Leeds
and across the regional network.
To deliver a high quality consultant led general paediatric cardiology service for the
Yorkshire and Humber region.
To participate in multidisciplinary meetings with consultant colleagues in congenital
cardiology service to plan and prioritise patient care.
To participate in multidisciplinary clinical governance and audit meetings.
Monitoring of outcomes reflected in routinely collected data Participation in clinical coding review and improvement
Improving patient safety Participation in Trust-wide programmes, including mandatory learning Respond to national patient safety alerts Implementation of local improvements, including actions from serious incident investigation reports, following clinical review Promptly record patient safety incidents on Datix and immediately escalate potential serious incidents to the CSU management team Ensure Duty of Candour requirements are met
Improving service effectiveness and efficiency Service or system improvement projects, including small scale change, lean or other recognised improvement methods Conducting or considering reviews of the evidence to plan better service delivery Where agreed, working with commissioners to match service delivery with requirements of relevant populations
Improving the patient experience Implementing service improvements based on individual or service feedback from patients or carers Raising the profile and impact of patient participation in decisions about their own care Involvement in understanding and improving the ethical basis of care provided, utilising where necessary the trust’s clinical ethics committee Respond to complaints in a timely and open manner and ensure lessons are learned for future patient care
3.3 Research The Trust’s Research Strategy encourages all clinicians to participate in high quality, nationally recognised clinical research trials and other well-designed studies, with a particular emphasis on work supported by the National Institute for Health Research. The Trust has several major programmes in experimental medicine and applied health research, developed in partnership with the University of Leeds, which reflect strengths described in the Strategy and clinicians are encouraged to participate in these programmes.
The Trust also supports bespoke academic development and participation programmes linked to the Research Strategy, including academic mentoring, and embedding of clinicians within the major research programmes.
Sessional time required for any participation in research activity will be agreed on commencement and kept under review, but not all consultants will require such sessional time.
3.4 Teaching
The Trust is a Teaching Hospital and therefore considers the active participation of consultant and other medical staff in teaching and training to be part of our core activities. Not all consultants will have regular and substantial teaching commitments, but all will be involved in related activities from time to time, if only through informal opportunities, for example as part of service quality improvement (see above). It is therefore expected that all consultants will be familiar with the principles of effective teaching and will enable the service and colleagues to fulfil their obligations to learn and teach about effective care.
The remainder of this section concentrates on teaching and training for medical colleagues, but the Trust actively supports and encourages consultant medical staff to participate in and deliver teaching and training to any colleagues, within and outside of the Trust, where this is agreed as an appropriate time commitment.
Undergraduate medical teaching
The Trust actively promotes links with the University of Leeds, School of Medicine for teaching medical undergraduates and all consultant medical staff are required to participate to the level agreed within their service_._
Where it is agreed by the Clinical Director that the postholder will be significantly involved in delivering undergraduate medical teaching, the following requirements have been agreed with School of Medicine, University of Leeds.
The University of Leeds will award the honorary title of Honorary Senior Lecturer to the person appointed to the role in recognition of their willingness to participate in undergraduate teaching in support of these arrangements. The honorary title will be awarded for a probationary period of 5 years. Renewal of the Title for a further 5 years will be on evidence of meeting the full criteria (reference for criteria).
This honorary title will entitle the consultant to privileges such as being a member of staff of the University, including the use of the Senior Common Room, the library (University and Medical and Dental) and inclusion on the circulation list for ceremonies, public lectures, concerts, etc.
Postgraduate medical teaching
As with undergraduate teaching, consultants are expected to contribute to overall programmes of postgraduate teaching in their service. Where there is a lead or significant role agreed as part of the consultant’s job plan, the following expectations apply:
Consultants will be expected to act as a clinical supervisor for any or specified junior doctors working with them. All consultants must undergo clinical/educational supervisor training. Training is envisaged as needing renewal every 5 years.
Consultants may take up specific educational roles in the speciality which includes educational supervisor, college tutor, speciality educational lead and CSU educational lead. Where the current allocation for educational supervisors in 0.25 SPA per trainee (subject to change in further iterations of job planning guidance), the SPA allocation for the other roles are for negotiation with the CD.
If consultants have a role in either under- or post-graduate medical education, the GMC expects that evidence of the quality of this education is presented at annual appraisals.
3.5 Continuing Professional Development (CPD) In the discharge of their responsibilities, the consultant will be expected to maintain and update their skills and knowledge through appropriate continuing professional development.
The Trust fully supports the requirement for CPD by the relevant Royal College and the GMC. This essential component of a consultant’s professional activities will be reviewed during the appraisal process. Time and financial support for these activities will be allowed in accordance with the Trust policy.
3.6 Leadership All consultants are senior members of the Trust’s staff and are therefore seen by colleagues as leaders. Consultants are expected to make allowance for this, given that the most powerful leadership influence they exert is the example they set.
In addition, the Trust places great emphasis on the role of doctors in leading service improvement and change, both in their normal daily role of delivering care and in relation to specific issues. It is
Saturday
Sunday
Flexible
Consultant of the Week Job Plan 7 weeks per year
Day Time Location Description of activity
**Categorisation DCC/SPA/AR/ED
No of PAs
Monday 08.00-18.00 LGI Ward/PICU/Theatre Work/Registrar Ward Follow up Clinic
DCC
Total 2.
Tuesday 08.00-18.00 LGI Ward/PICU/Theatre Work DCC
Total 2.
Wednesday (^) 08.00-18.00 LGI Ward/PICU/Theatre Work DCC
Total 2.
Thursday (^) 08.00-18.00 LGI Ward/PICU/Theatre Work DCC
Total 2.
Friday (^) 08.00-18.00 LGI Ward/PICU/Theatre Work DCC
**Total
Saturday** 09:00-12:00 LGI DCC 1. Sunday 09:00-12:00 LGI DCC 1. Total 14.
Unpredictable emergency on-call work
Variable
On site, at home on the telephone & travelling to & from site
Direct Clinical Care 0.
TOTAL PAs (^15)
*: Flexibility is an important part of the professional contract. The default place of work is the Trust. All activity is expected to be included in the weekday timetable even if on occasions it may be displaced after agreement with the CD/DMM
Direct Clinical Care (DCC), Supporting Professional Activities (SPA), External duties (ED) or Additional NHS responsibilities (AR)
1. Activity Summary (the totals must match that of the job content section)
Programmed activity Number of PAs
Direct clinical care (excluding on-call) 7.
On call – predictable
On call - unpredictable 0.
Supporting professional activities 1.
Additional NHS duties
External duties
TOTAL 10
Contracted Activity 10
*: Flexibility is an important part of the professional contract. The default place of work is the Trust. All activity is expected to be included in the weekday timetable even if on occasions it may be displaced after agreement with the CD/DMM
Direct Clinical Care (DCC), Supporting Professional Activities (SPA), External duties (ED) or Additional NHS responsibilities (AR)
DCC service weeks = 6.15 x 35 weeks = 215.25PA On call during service weeks = 1 x 35 weeks = 35PA SPA = 1.87 x 35 weeks = 65.45PA Consultant of the week = 15 x 7 weeks = 105 PA Total = 420.7 / 42 = 10
Programmed activity Number of PAs
Direct clinical care (excluding on-call) 320.25 (/42 = 7.625)
On call – predictable 17.5 (/35 = 0.5)
On call - unpredictable 17.5 (/35 = 0.5)
Supporting professional activities 65. 45 (/42 = 1.56)
Additional NHS duties
External duties
TOTAL 10.
Contracted Activity 10
On-call availability supplement
Agreed on-call rota e.g. 1 in 5:
Agreed category (delete):
On-call supplement e.g. 5%:
5.2 Accountability See section 3, above. The postholder is managerially accountable for the use of resources to their Clinical Director and professionally accountable to the Chief Medical Officer through Clinical Directors. This may be amended in the light of the Trust’s management arrangements.
5.3 Mentoring The Trust’s new consultant mentoring programme aims to:
- provide structured support for new consultants joining the Trust
- support the development of a culture of lifelong learning
A
5.12 Rehabilitation of Offenders Act & DBS Check This post involves access to patients during the normal course of duties and is therefore subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975. As such you must reveal any information which you may have concerning convictions which would otherwise be considered as ‘spent.’
An offer of appointment to this post would be subject to the express condition that the Leeds Teaching Hospitals Trust receives a Disclosure and Barring Services (DBS) Disclosure which will check the existence and the content of any criminal disclosure received. The Trust has the right to withdraw an offer or employment if not satisfied of a candidate's suitability for this position by reason of criminal record or antecedents, especially in cases where no declaration of criminal proceedings has been made on a candidate’s application form or Criminal Declaration Form. The Trust reserves the right to determine this issue at its sole discretion. If you are successful in being short listed for this position you will be asked to complete a criminal disclosure form to be handed to a representative at interview. Furthermore, if appointed to this post you will be asked to complete a 'DBS Disclosure Application Form' which will be submitted to the DBS.
Leeds Teaching Hospitals NHS Trust has a Policy Statement on the Recruitment of Ex-offenders which is available on request.
5.13 Respect for Patient Confidentiality As set out in GMC guidance ( Good Medical Practice , paragraphs 20, 50, 69 and 73) the jobholder should always respect patient confidentiality and not divulge patient information unless sanctioned by the requirements of the role.
5.14 Patient and Public Involvement The Trust has a statutory duty to involve patients and public in evaluating and planning services. All staff have a responsibility to listen to the views of patients and to contribute to service improvements based on patient feedback.
6. TERMS AND CONDITIONS OF EMPLOYMENT
6.1 Conditions of employment are determined by the Leeds Teaching Hospitals Trust in accordance with the Terms & Conditions – Consultants (England) 2003, as amended from time to time in the light of national or local collective agreements. 6.2 The postholder, as a practitioner with continuing responsibility for the care of patients must be able to respond promptly to emergency calls from the Hospital. 6.3 A consultant is required to reside within a distance of 30 minutes or 10 miles by road from their principal place of work unless an employing organisation agrees that they may reside at a greater distance. 6.4 A consultant must be contactable by telephone in their contracted work time. 6.5 The consultant must ensure that there are clear and effective arrangements so that the employing organisation can contact him or her immediately at any time during a period when he or she is on call. 6.6 The postholder should note, however, that where the Trust agrees that the postholder may live further than ten miles from the hospital, the Trust will only reimburse travelling expenses up to a maximum of twenty miles return, in accordance with Trust Terms and Conditions of Service. 6.7 Assistance with relocation to the Leeds area may be provided to the successful candidate. A copy of the Trust’s Relocation Policy is available on request. 6.8 The normal NHS requirements for indemnity of medical and dental staff in cases of medical negligence apply. 6.9 Subject to the provisions of the Terms and Conditions of Service, the appointee is expected to observe the Trust’s policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of the Leeds Teaching Hospitals NHS Trust. Where the postholder is responsible for managing employees of the Trust, they will be expected to follow the local and national employment and personnel policies and procedures. 6.10 The Trust is reconfiguring services and your base hospital may change during your employment, if and when your department transfers base, following consultation.
7. CONTRACT
The post is available on a full or part time basis or as a job share.
8. ENQUIRIES
Prospective applicants are encouraged to visit the Departments and are invited to contact any of the following persons:
Dr James Oliver Consultant in ACHD & Lead Clinician 0113 39 25458 james.oliver5@nhs.net
Dr Dom Hares Consultant Paediatric Cardiologist 0113 39 25193 d.hares@nhs.net
Mr Colin Holton Clinical Director Children’s Services 0113 39 23343 Colin.holton@nhs.net
Mrs Suzanne Abrahams General Manager Leeds Children’s Hospital 0113 392 3343 Suzanne.abrahams@nhs.net
THE LEEDS CHILDREN’S HOSPITAL
HEALTHCARE FOR CHILDREN IN YORKSHIRE AND LEEDS
The Yorkshire area of the Northern and Yorkshire Region has a population of approximately 5.5 million. Leeds has a total population of approximately 750,000, of whom 155,000 are children. Although there has been significant urban regeneration, there are still many areas of social deprivation, both in the inner city and on post-war housing estates. Parts of the city have a cosmopolitan ethnic background with significant numbers of people from Eastern European, South Asian and Afro-Caribbean backgrounds. Leeds General Infirmary (LGI) provides almost all of the tertiary referral services for the Yorkshire part of the Northern and Yorkshire Region, as well as a number of supra-regional services.
Leeds Children’s Hospital covers 27 medical and surgical specialties and is one of the largest specialist children’s hospitals in the country. We have over 20 inpatient wards, employ over 800 nurses and last year held over 170,000 outpatient appointments and treated over 25,000 surgical patients both electively/non-electively.
We are proud to be part of one of the largest teaching hospitals in the country, Leeds Teaching Hospitals NHS Trust. We work closely with Leeds Community Trust and primary care in Leeds, secondary care providers across Yorkshire and our neighboring Yorkshire regional children’s hospitals. We believe that collaboration with partners is key to the delivery of outstanding patient centered care.
Leeds Teaching Hospitals is currently embarking on one of the largest and most high-profile investment, transformation and regeneration programmes in the City and the wider region. Its Building the Leeds Way Programme aims to transform healthcare for patients in Leeds and the wider region. The investment Programme include the construction of two new hospitals at the Leeds General Infirmary (LGI) site – one for adults and the other a brand state of the art children’s hospital for Leeds and the surrounding region.
Dependency Unit
Ward L49 Paediatric day case LGI D Floor, CW 26
Ward L50 Paediatric hepatology
and nephrology
LGI D Floor, CW 13
Ward L51 Paediatric cardiology
and cardiac surgery
LGI D Floor, CW 16: 10 ward, 6 HDU
Ward L52 Paediatric
neurosciences
LGI D Floor, CW 10
CSAL Children’s surgical
admissions
LGI D Floor, CW 4 (included in ward L
bed numbers)
Dialysis Unit LGI D Floor, CW 6 chairs
Oncology Day
Unit
LGI C Floor, CW 10 beds / chairs
Neonates LGI LGI C Floor, CW LGI: 14 ICU cots + 10 HDU
cots + 10 special care cots
Neonates SJUH SJUH Level 5 GW SJUH: 6 HDU cots + 15
special care cots
Transitional care LGI B Floor, CW
SJUH Level 5 GW
19: 13 SJUH / 6 LGI
Clinical research
facility
Research LGI C Floor
Clarendon Wing
5 bedspaces
TOTAL 275 beds & cots 6 dialysis chairs 5 research bed/chair spaces
