Clinical Fellows in Paediatrics,ST4-8 equivalent

Job overview

This post is based at St Mary’s Hospital, Paddington, part of the West London Children’s Alliance (WLCA) and provides the general paediatric in-patient service plus many sub-specialities including allergy, nephrology, neurology, haematology, infectious diseases as well as surgical specialities (general paediatric surgery, orthopaedics, ophthalmology, ENT, and urology). There is support available from Westminster CAMHS.  The patient acuity and complexity is unusually high and many children have severe underlying health problems or neurodevelopmental problems.

The Paediatric Short Stay Unit (PSSU) provides short stay in-patient care (anticipated to be <72 hours) and ambulatory care.  Patients can be referred for intravenous antibiotics if these cannot be given in the community.  There is a high volume of outpatient reviews including nurse led clinics and GP rapid referrals, and review slots for Infectious diseases, ENT, dermatology and diabetes.

Westway Ward manages day-case procedures, including surgical day cases and radiology investigations.

Outpatient clinics include general paediatrics and a wide range of sub-specialities.  There is an active child development service with speech & language, physiotherapy and occupational therapists as well as psychologists.

There is a separate rota for Paediatric Emergency Medicine, Paediatric Intensive Care, Haematology and neonates on site.

Main duties of the job

The fellow will divide their time between inpatient, outpatient and out of hours work.

Day time Ward Registrar

• Responsible for all patients on Great Western Ward (Medical and Surgical), separate registrar for paediatric infectious diseases inpatients
• Participates in twice daily consultant led ward rounds
• Chairs the Complex Patient meeting on Thursdays, or the Paeds ID Meeting on Tuesdays
• Supervises STs and FY1s

PSSU Registrar/Consults registrar for Paeds ID

• Management of short stay patients on PSSU, including A+E referrals
• Management of “hospital at home patients”
• Assists Great Western Ward SpR as required
• Paeds ID – takes external referrals and liaise with other specialities across the WLCA site for advice re investigation and management

Out of hours there are two paediatric registrars covering general/specialist paediatrics at St Marys

On call Paediatric registrar

• Bleep 1202 handed over each shift
• Works with the Paediatric Site Practitioner to manage patient flow through the day
• Part of the emergency “crash” team

• Should be based in A+E during the daytime
• Takes all referrals from GP’s/ A&E/ Health Visitors/ Other Hospital
• Responsible for smooth running of A&E, and for assessment of all sick children
• Responsible for assessing all admissions (medical and surgical)
• Responsible for supervision of GPVTS trainees in A&E
• Discusses admissions with relevant receiving team

Detailed job description and main responsibilities

For detailed description of the role please see the attached full job description