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|» Position:||Consultant Paediatrician|
|» Job type:||locum|
|» Salary:||£156.921 per annum|
|» Medical registration:||GMC|
|» Language skills:||English: fluent|
|» Job description:||Applications are invited for a Consultant Paediatrician locum vacancy on a short, fixed term contract for the below mentioned periods:|
1. 09/07 to 30/09/18 (11 weeks)
2. 06/08 to 30/09/18 (7 weeks)
The post-holder will join a committed and dynamic team of Consultant Pediatricians in the provision of a comprehensive secondary care service for the children of Gibraltar.
Salary will be on a pro-rata basis based on £156,921.12 per annum. In addition, rent free accommodation is also provided, together with economy flights to and from Gibraltar.
Please note that GMC registration is mandatory.
MAIN DUTIES AND RESPONSIBILITIES
1) To provide specialist Paediatric Hospital and Community Paediatric services with a 1:4 acute on-call commitment with internal cover for annual, study and sick leave up to 10 weeks per annum.
2) There is no resident Paediatrician cover out of hours, and the Consultant is first on- call for all hospital emergencies, including high-risk deliveries in Maternity.
3) To provide clinical leadership and co-ordination of multidisciplinary teams for both general and community Paediatrics.
4) To liaise actively with general practitioners, hospital consultants and other staff to ensure the best practice in clinical care of paediatric patients.
5) To liaise with the general practitioners, specialist nurse practitioners and statutory bodies and non-statutory agencies, with a view to providing seamless care for children.
6) To provide level 1 care and short term level 2 stabilization of sick neonates pending transfers out to Spain/UK, as appropriate
7) To provide advice and information as required to clinical colleagues and other staff.
8) To develop admission, treatment and discharge protocols in General Paediatrics, Neonatology and Community Paediatrics.
9) The Paediatric consultant team is responsible for all child protection issues in Gibraltar.
1) To participate in clinical audits and Continuing Professional Development.
2) To contribute to the teaching of junior medical staff, student nurses etc. and also updating medical colleagues (e.g. general practitioners).
3) To share responsibility for the supervision, training and professional development of multidisciplinary teams.
1) To contribute to the efficient and effective management of health resources.
2) To lead in clinical and relevant managerial issues, including the development of clinical policies and service planning.
3) To discharge statutory responsibilities associated with the post
THE SERVICE ENVIRONMENT
Gibraltar is a British Territory and home to some 30,000 residents. Its rich history and temperate climate attract large numbers of casual visitors throughout the year. Its small area (6.5 sq. km.) makes it very compact and self-sufficient, and the open border with Spain enables free trade and travel. Tourism, construction and finance are the main industries. Schools follow the UK National Curriculum and the standard of education is very high, with performance averages consistently better than the UK. The crime rate is very low.
The Gibraltar Health Service, although technically not part of the UK NHS, is organised and run on very similar lines. It is well supported by Government, consuming some 17% of Government expenditure. A full range of primary care and secondary care services are provided locally, with contracts arranged in UK and Spain for tertiary care. The organisation of the health services is along UK NHS lines, with the Health Authority being responsible for all publicly funded health care, but there are no PCTs or hospital trusts and all services ? hospital, primary care and community ? are directly managed.
St. Bernard's Hospital is the sole acute hospital in the country, and commissioned in February 2005. On site are the Accident And Emergency department, secondary care outpatient clinics, and some130 in-patient beds. The Children's Ward (Rainbow Ward) has 21 beds (2 HDU, 2 Adolescent en-suites, a 6-bed surgical, a 6-bed medical and 5 isolation rooms). Rainbow Ward is fully staffed Paediatric nurses. Maternity Unit is situated on the same floor as Rainbow Ward and Pediatric Clinics/Paediatric Consultant offices GHA Paediatrics has a large out-patient/ambulatory care profile which far exceeds that of in-patient and changing needs of administrative and secretarial support is under review.
The Paediatric population size is currently around 8000 (under 18 years of age). The department of Pediatrics will consist of a medical team of 4 WTE consultant paediatricians from January 2018, with a prospect of expansion to 5 WTEs by 2019. The consultant team will deliver all aspects of secondary Paediatric care, including all of general, neonatal and community paediatrics. Multiple Visiting Paediatric Consultant clinics currently take place, and these include Clinical Genetics, Endocrinology, Neurology, Orthopaedics and Psychiatry. Further tertiary specialties are being considered and commissioned, e.g. Cardiology, Gastroenterology, Respiratory, Neurodisability, General Surgery and Urology. GHA Paediatrics has SLAs with several major hospitals in the UK, including Evelina Children's Hospital and Great Ormond Street Hospital, both in London. South Thames Retrieval Service (Evelina) is also a close partner to GHA Paediatrics.
While there is not an on-site Paediatric Intensive Care Unit and paediatric patients in need of it would have to be transferred out, the hospital has an Adult Critical Care Unit with a full-team of resident Consultant Anaesthetics. There are three main operating theatres and a day surgery suite. Selected surgeries (e.g. dental and ENT) for the over 2 year-olds are performed in-house. The hospital is supported by up to date diagnostic and therapeutic facilities.
The Primary Care Centre in the town has 23 full-time general practitioners and 3 nurse practitioners The Child Welfare Office houses the Health Visitors and School nurses whose work include effecting a local child health surveillance programme. Universal neonatal hearing screening is offered with definitive diagnostic support available in the UK as policy. The local immunization schedule is identical to the UK.
Ocean Views Hospital is newly opened to look after patients with mental health issues for all ages.
The Princess Royal Medical Centre provides essentially primary care services for Ministry of Defence (MoD) personnels and their families, while the GHA offers a local secondary care service.
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