Consultant Paediatrics- Neonates 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- Neonates
*** 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

This is a substantive consultant post which will be support the services provided by the current Consultant group. The role includes 7.5 programmed activities (PA) of direct clinical care, 1 PA for Leadership roles for clinical governance and transitional care and 1.5 PA for other supporting professional activities.
The post holder will:

·       Be a key member of the Trust’s senior medical team.

·       Work closely with the Clinical Director, Consultant Neonatologists, Directorate Manager and senior nursing team to ensure that the objectives of the Directorate are achieved and key neonatal strategies are implemented.

·       Lead on Governance activities including guidelines and audit

·       Medical Lead for transitional care

·       Participate in the support service for general Surgical neonatal patients at the HSE Hospital

·       Participate in the outpatient follow up of neonates through the Clinic system

·       Support existing consultants in delivering a neonatal echocardiography and cranial ultrasonography service

Key Tasks

1.       Maintain high clinical standards in management of well and ill newborns

2.       Share with colleagues the responsibility for day to day management of the NICU and all associated work

3.       Share on call commitment for NICU on a basic 1 in 9/10 basis, covering separate day intensive care, non intensive care, and night neonatal rotas. Consultant cover is required on a 24 hour, 7 day week basis, and changes may be necessary to support the service in case of unexpected absences which all
consultants are expected to support. Resident cover when covering daytime intensive care is from 0830 am to 10 pm. Responsibilities of the Post are within a 10 PA, resident on call contract (see Job plan for details)

4.       The night rota is non- resident

5.       Teaching and training of junior staff, neonatal nursing staff, visiting medical staff, midwives and medical student

6.       Maintain appropriate CPD and mandatory training

7.       Participate in Health Education activities like ARCP’s and regional training days

8.       Participate in Munster region’s New-born Network activities

9.       Lead and participate in clinical governance, appraisal and revalidation where indicated

10.    Leadership for Transitional Care (TC) including managing nurse consultant, TC manager along with Clinical Director and/ or Lead Nurse

Neonatal Directorate

·       This is a stand alone Directorate within a specialist acute Trust.

·       Designated Neonatal Intensive Care Unit (NICU) within the regional Perinatal Centre.

·       A Consultant Neonatologist daily visiting service supporting neonatal surgery at the Women’s Hospital was established in 2011 supported by a reciprocal service delivered by Neonatal surgeons, also the admission of selected pre and post operative neonates to the Unit

·       From 2019, we have a total of 41 cots, 12 intensive care, 9 high dependency and 20 special care. Activity levels for ITU and HDU are high and this is one of the busiest units in the country with a complex and varied case mix. There is a separate Transitional Care ward for 12 mothers and their babies (16 cots in total).

·       The service is located in a new purpose built Neonatal Centre, opened in September 2010, with the clinical service, teaching suite and Out-Patient service all co located. All services are offered except ECMO and on-site surgery. There are dietetic, SALT, surgical nursing, clinical psychology and physiotherapy visiting services

·       8200 deliveries per year on site including foetal medicine referrals, more than 1000 admissions to neonatal unit and 450 to the transitional care ward. Pre and postoperative surgical babies are nursed on the Unit

·       >4000 intensive care days are delivered per annum

·       Large tertiary Fetal Medicine Centre with referrals from within and without the Munster Region which undertakes the following:

1.       Detailed ultrasound scanning (in the first, second and third trimesters) for the diagnosis and confirmation of fetal abnormality

2.       Fetal cardiac (heart) ultrasound scanning for the screening and diagnosis of fetal heart abnormality (between 11-14 weeks and at >18 weeks).

3.       Investigation, therapy and management of suspected or known fetal abnormality

4.       Co-ordination of the regional Chorionic Villus Sampling (CVS) service

5.       Monitoring and treatment of women with Rhesus disease / Rhesus alloimmunisation.

6.       Diagnosis and treatment of Feto-fetal transfusion (twin-twin transfusion syndrome) syndrome, offering fetoscopic laser ablation.

7.       Pre-pregnancy counselling service for women with maternal medical conditions or previous fetal abnormality.

8.       Combined fetal medicine / genetics clinic.

9.       Investigation into the causes of recurrent miscarriage and later pregnancy loss.

10.    Antenatal cardiology and surgical cases from across the region and beyond are delivered at Women’s Hospital for stabilisation and transfer to Children’s Hospital with postoperativecare at Women’s Hospital. All Regional cases of antenatally diagnosed congenital diaphragmatic hernia are delivered on site.

11.    Exceptional Perinatal Pathology Services.

12.    Commitment to enhancing neonatal care by the implementation of high quality evidence based practice, family centred care, and development towards compliance with DH quality standards.

13.    Active multi-disciplinary audit, incident, governance and standards groups.

14.    Human milk bank on site, serving the region and beyond.

Clinical

This post provides excellent clinical experience in a very busy and varied service. Appropriate mentorship and “second on call” supervision of acute NNU clinical service will initially be provided as required. The service is consultant led. Duties are based on an “on service week” divided into 4 weekdays and a 3 day weekend, supervising care on the NICU and junior staff, liaising with obstetricians and with sub-specialist staff, support for parents and staff, and transitional care supervision.

Day time duties are 0830 to 2200 and night time on-call are 21:00 – 09:00 on a one in nine/ ten basis. There is a “non intensive cover” week, (“second on”) 9am to 5pm Monday to Friday with additional clinical duties to provide support to the First-On consultant and manage antenatal counselling referrals, Special Care, Postnatal and Transitional care babies.

The service also provides visiting support for surgical babies in the HSE Hospital. The Maternity Directorate has committed consultant obstetricians. There is close communication at Consultant level between maternity and neonatal services to manage referrals and demand within the available resources. The Delivery Suite Group (DSG) is a multidisciplinary team meeting monthly to develop shared protocols and guidelines and share learning and feedback, so contributing to a very high standard of perinatal care. There is shared responsibility for administration and development of services, training of medical and nursing staff, and staff appraisal. Services will include liaison with colleagues, managers and community nurses; co-operation with mortality and morbidity recording and governance processes; co-operation with collaborative audit, participation in clinical governance and risk management. Clinicians will have high risk or general baby follow-up clinics weekly when not on service.

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- Neonates 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.

Generic Job Plan (for 10 PA post: detail is under review but will continue to follow a 10-week

cycle). There may be additional clinical hours required to cover the DCC activities.

Example 1^st ON-CALL

Example- Standard 9-5 day

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

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- Neonates.

Office Accommodation

Office accommodation will be provided for the appointee 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.***