Consultant Paediatrics- ICU in Munster Region - Republic of Ireland on a fixed term / permanent basis; working for our client via Workplace Doctors

*** Must have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland – Munster Region (Clare, Cork, Kerry, Limerick, Tipperary, Waterford)
***Speciality: Paediatrics- ICU
*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

*** Role: Consultant (6+ years post graduate experience)

*** Duration: 12 months (FREE visa & work permit + relocation package offered)

*** Role: Consultant (6+ years post graduate experience)

*** Start date: ASAP

***IELTS Score of 7.0 Overall (minimum) – Essential

***Exact location details provided on application

Irish Teaching Hospitals and Medical Universities receive great international acclaim & recognition throughout the world, doctors with experience and training in Ireland typically enjoy great success in terms of professional career development & job satisfaction.

Overview

The hospital at our clients is a specialist children's hospital along with other medical specialities. The population of children and young people served by the hospital is characterised by those with multiple disabilities and/or health problems and rare and congenital (present at birth) conditions.

Many children and young people need the help of different specialist teams. Improvements in health care and diagnosis mean that many children and young people have dramatically improved survival rates and more therapeutic options than was the case 10 years ago. Sadly though, many of the children and young people cared for at the hospital still have life-threatening or life-limiting conditions.

The hospital receives over 150,000 patient visits (inpatient admissions or outpatient appointments) a year, and carries our approximately 8,800 operations each year. The hospital has 46 patient beds, including 4 intensive care beds (1 CICU, 5 PICU and 4 NICU). Many of the children and young people on our wards require high dependency care or are classed as ward intensive care, requiring one-to-one nursing.

Around 4100 full-time and part-time staff work at the hospital. The ICU has around 60 staff. Many senior staff have roles in both organisations.

The hospital has approximately 30 paediatric specialties, which uniquely enables it to diagnose and pioneer treatments for children and young people with highly complex, rare or multiple conditions.

Trust Values and Expected Behaviours

The Trust has developed the Always Values with our staff, patients and families that characterise all that we do and our behaviours with our patients and families and each other. Our Always Values are that we are:

· Always Welcoming
· Always Helpful
· Always Expert
· Always One Team

These values are extremely important to us and we expect everyone who works at the hospital in any capacity, including employees, bank staff, contractors, agency staff, people who hold honorary contracts, students and volunteers to share and uphold Our Always Values.

Each value is underpinned by behavioural standards and employees will be expected to display these behaviours at all times.

The Trust also expects that everyone who works here shall act in such a manner as to justify public trust and confidence and to uphold and enhance the good standing and reputation of the hospital.
Individuals must therefore at all times carry out their duties with due regard to the Trust’s Equality at Work Policy.

Scope of the role

Intensive Care provision at this Trust is a consultant led service, and the appointee will be expected to provide a major input into the care and management of children on the Cardiac Intensive Care Unit. This is expected to occupy the majority of their clinical time on the CICU.

Key working relationships

The CICU team of doctors and nurses work closely as a team, as well as having close working relationships with the cardiac surgical team, and the paediatric cardiology team, dealing with children with cardiac disease treated at the hospital.

Main duties and responsibilities

Two consultants will be on each weekday, the ‘first on call’ is on call for 24 hours, and a ‘second on call’ who helps cover the unit during the busier daytime hours.

During weekends, on a 1:9 rota, one of the consultants will field calls to CICU for referrals and advice during the morning, to allow the on call consultant to complete the ward round un-interrupted.

There is internal cover for consultant leave within the CICU. The on-call commitment for this joint post will thus initially be providing approximately one in 7 on call commitment. This is currently non-resident and the longest period of clinical duty is currently 24 hours. During periods where the consultant is not ‘on service’ or leave, it is expected that he/she will be available to provide day-time clinical support to the CICU if necessary.

With expansion of the CICU, and to improve consultant input to patients and supervision for trainees, work patterns may be subject to change after consultation with the consultant body, which may include moving to a partial shift system.

During periods where the consultant is not “on service”-either as the first or “2nd on call consultant” there will be the time to undertake the administrative duties of the post, such as clinical summaries, audit, teaching and appraisal. The job plan also includes attendance at weekly unit clinical meetings including the multidisciplinary case conferences, the Friday clinical governance meeting and the joint CICU consultant / senior nurse meeting.

Patient follow-up and bereavement clinics are part of the service offered to families and the appointee will be expected to play a full part in these.

The attached job plan provides an idea of the work programme of the post. This is indicative of the duties that the post requires and should not be seen as a rigid timetable. It is recognized that there will need to be some flexibility between consultants in how these duties are discharged.

Additional duties may be required at short notice to cover colleagues’ short-term sick leave. In total 8.0 PAs per week will be direct clinical care, with 2 SPAs.

Service Provision and Cover during Absences

The consultant has a continuing responsibility for the care of patients in his/her charge and for the proper functioning of the service allowing for appropriate delegation for the training of his/her staff.

He/she must be available by telephone and able to attend the hospital in a timely fashion when on-call (40 minutes journey time).

Consultant staff must ensure that services are covered during his/her planned absences. Where fixed commitments need to be cancelled during planned absences appropriate notice (8 weeks) must be given. Absences must be co-ordinated with other consultant staff in the specialty to ensure senior cover is always available.

Standard Duties and responsibilities

a) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan  and in line with policies as specified by the Employer.

b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.

c) To work within the framework of the hospital / agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply.

d) To co-operate with the expeditious implementation of the Disciplinary Procedure 

e) To formally review the execution of the Clinical Directorate Service Plan with the Clinical Director / Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director / Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan.

f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures.

g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.

h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training.

i) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care.

j) To participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty / sub-specialty is involved in the selection process. 

k) To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory and corporate policies and procedures.

l) To participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery

Teaching Commitments

·       regular commitments to ward based teaching of undergraduates.

·       participation in the lecture programmes for 2^nd and 4^th & 5^th year medical students.

·       teaching of other groups as required including other specialty juniors and specialist nurses.

Job Plan

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Paediatrician- ICU Consultant, on behalf of the Trust’s Medical Director, based on the provisional timetable. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.

It will be reviewed at 3 months & thereafter annually or at any time, but no less than 3 months after a previous review, as requested by the appointee, Operational Medical Director or Clinical Lead & adjusted accordingly to the agreement of both parties.

The consultant team of 9 WTE (10 PA’s) consultants will cover the unit on a rota basis, with 2 consultants on duty on the unit during weekdays, and 1 consultant on at nights, weekend days and Bank Holidays. Duties include primary clinical responsibility for the patients on Cardiac Intensive Care Unit, facilitation of communication with parents and referring teams, bed-side teaching and mentoring of trainees, and supervision of practical procedures (as part of competency based training).

The duty consultant is scheduled to be available on site from 07.30 until 23.00 Monday to Fridays, and on Saturday and Sunday during the day (08.30 to 17.00). The expectation is that there is a consultant led ward round twice a day, every day, with consultant available on site for support the rest of the day (but not necessarily on the ICU). These hours constitute the fixed sessions. The on call consultant is available by telephone outside of the ‘on site’ hours, but may be called back for emergencies. The high consultant presence has been agreed by the consultant body as the optimal way to provide both excellent patient care, and also maximise training and teaching opportunities for our junior staff.

During weekends on a 1:9 rota the consultant will field calls for referrals and advice to CICU during the morning to allow the on call consultant to complete the ward round un-interrupted.

Administrative commitments on the unit, - discharge summaries, protocol development, audit, teaching and appraisal etc. – are undertaken as flexible supportive sessions on days when not on clinical duty, and equate to 2.0 programmed activities per week.

There is internal cover for annual and study leave, making it effectively an on call frequency of 1 in 7.6

The on call availability is medium frequency.

Requirements

This post is open to doctors who hold Registration as a Specialist in the Specialist Division of the Registrar of Medical Practitioners maintained by the Medical Council in Ireland in the specialty of Clinical and Paediatrics- ICU.

Office Accommodation

Office accommodation will be provided for the appointee with secretarial support.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant  will offer mentoring support and lead the existing clinical team through; joint clinics, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

If you are interested in working in growing your career and increasing your income, then talk to our healthcare team today. If you can fill the above requirements, we will give you the following benefits:

*** Visa & Work Permit for FREE!

*** Guidance, Training & Career Development

*** Dedicated & Supportive team- Consultant available when you need.

*** Excellent Basic Pay, Overtime paid for extra hours
***Assistance provided with relocation

We look forward to helping you progress your career and find you the ideal position.

Doctors Guide to working in the Republic of Ireland – Click here

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to info@workplacedoctors.co.uk  or apply online today (see below).

***Please note due to the high number of applications, we do answer every application in turn.***