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ST4 PAEDIATRICS PROGRAMME DESCRIPTION

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					ST4 Paediatrics Programme Description




      SPECIALTY TRAINING PROGRAMME IN PAEDIATRICS IN WESSEX
                            DEANERY

This programme in Paediatrics is at ST4 level aimed at doctors who can
demonstrate the essential competencies to enter this level of training. The
programme is designed to support training for a CCT in Paediatrics.

The programme is based in hospitals in the Wessex Deanery including:

              HOSPITAL                                  LOCATION
North Hampshire Hospital                  Basingstoke
The Royal Bournemouth Hospital            Bournemouth
Dorset County Hospital                    Dorset
St Mary‟s Hospital                        Isle of Wight
Jersey General Hospital                   St Helier, Jersey
Poole Hospital                            Poole
Queen Alexandra Hospital                  Portsmouth
St Mary‟s Hospital                        Portsmouth
Salisbury District Hospital               Salisbury
Southampton General Hospital              Southampton
Royal South Hants Hospital                Southampton
Princess Anne Hospital                    Southampton
Royal Hampshire County Hospital           Winchester


Wessex Deanery is a relatively small deanery with a defined geographical area
which does lead to there being a single unit of application. In the majority of
cases successful candidates will be asked to preference their choice of location
for either one or two years. Some specialties will require successful candidates to
preference both commencing location and specialty. Future placements will be
based, as normal, on individual training and educational needs. Please note that
applications are to the Wessex Deanery as a whole. This may mean that you
may be allocated to any geographic location within the Wessex Deanery
depending on training needs.

The Wessex Deanery covers a geographical area from Basingstoke in North
Hampshire to Dorchester in West Dorset and the Isle of Wight to the South; in
addition some programmes rotate to Jersey and Chichester in West Sussex. This
is a spread of approximately 65 miles North to South and 76 miles East to West.
The Wessex Deanery serves a population of around 2.8 million people.

The Wessex Deanery is part of NHS Education South Central within South
Central Strategic Health Authority which covers Berkshire, Buckinghamshire,
Oxfordshire in the north (under Oxford Deanery) and Hampshire and Isle of


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Wight. In addition, Wessex Deanery provides training programmes within Dorset
and South Wiltshire under a formal agreement with the South West Strategic
Health Authority. The Wessex Deanery is responsible for the training of some
2,500 trainees.

Study and Training

The primary aim of all posts is the training programme developed and there is a
region wide syllabus and minimum standards of education agreed by all Trusts
within the rotation.

The Deanery is committed to developing postgraduate training programmes as
laid down by PMETB, Colleges and Faculties and by COPMED - the
Postgraduate Deans Network. At local level college/specialty tutors work with the
Programme Director and Directors of Medical Education in supervising these
programmes. Trainees will be expected to take part in these programmes
(including audit) and to attend meetings with their nominated educational
supervisor.

All posts within the training programme are recognised for postgraduate training
by the Postgraduate Medical Education Training Board (PMETB) in accordance
with their standards for training.

Study leave is granted in accordance with Deanery/Trust policy and are subject
to the maintenance of the service.

All posts have a service element and the following covers the majority of duties.
There will be minor variations in different hospitals but the list is aimed at
covering the majority of duties:

    1. Supervise, monitor and assist the House Officer (F1) in the day-to-day
        management of in-patients in posts with an attached F1.
    2. Liaise between nurses, F1 and F2 Doctors, patients, relatives and senior
        medical staff.
    3. Attend and participate in ward rounds as timetabled
    4. Attend outpatient clinics.
    5. Take part in rostered emergency work.
    6. Dictate discharge summaries.
    7. Study for higher examination and maintain continued professional
        development.
    8. Attend weekly educational and multidisciplinary sessions.
    9. Undertake audit at various times throughout the rotations.
    10. Teach medical students as directed.




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    11. Co-operate with members of the personnel department when monitoring
        hours of work and other personnel issues.
    12. Attend induction in each hospital or new department
    13. Comply with all local policies including dress code, annual and study leave


Trust Generic/Specialty Information

                        North Hampshire Hospital NHS Trust
Rotation
The posts are part of a linked rotation with Southampton – Including 6 months of general
paediatrics and 6 months of community paediatrics at Basingstoke and 6-12 months of
neonatal/general paediatrics paediatrics at Southampton.

General Educational Provision
There will be an Induction programme at the commencement of the post.

The post holders will have an educational supervisor with whom they should meet regularly (at
least monthly) for appraisal and assessment throughout their attachment.

There will be a specialist registrar teaching programme on two afternoons –Tuesday or Thursday
- a month (in addition to existing study time). This will be protected.

The post holder will be expected to attend the regional specialist registrar teaching once a month.

The post holder will have a designated study half day once a week. A presentation will be
expected at the end of each six-months to outline the results of these studies.

Active participation in Audit will be expected and at least 1 major and 2 minor audits will be
expected over the equivalent of a two-year period.

The post holder will undertake out patient clinics supervised by a consultant. If the consultant is
away the clinics will be cancelled.

If the post holder is away it is their responsibility to ensure that the registrar side of the clinic is
cancelled.

Specialist Registrar: Community Paediatrics
The community Paediatric Training Programme has been running for some time. The programme
is based on the British Association of Community Child Health syllabus and training and
experience will cover all the essential clinical elements of that syllabus.

The post holder is essentially supernumerary to the clinical service.

The post holder will have an induction programme for the attachment and develop a timetable in
conjunction with an associate specialist and a staff grade (community paediatrician). The
community training, will be jointly supervised by consultant paediatricians.




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As part of their duties the post holder will attend the Southern Patch team meetings.

The post holder will do a monthly community clinic at Alton community hospital.

Specimen Timetable

                   AM                                    PM

 Monday            Joint Language Clinic                 Adoption Panel
 Tuesday           Developmental Assessments             Registrar Teaching
 Wednesday         Whitedown: Special School Clinic      Study
 Thursday          Child Psychiatry Clinic               Admin
 Friday            Community Paediatric Clinic           Observation/Assessment – Patch
                                                         Team referral

Specialist Registrar: General Paediatrics
The aim of this post is to provide core general (acute and ambulatory) paediatric training. This
post will be based on Charlie‟s Day Unit and the acute in patient ward. The post holder will
provide general paediatric cover for the day unit and acute in patient ward at middle grade level
and supervise the senior house officers working in that area. The post holder will share the
responsibility with the other middle grade staff but will only be covering both areas during
normal working hours in exceptional circumstances. The post holder will do two out patients a
week. A combination of clinics may be available depending on interest.




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ST4 Paediatrics Programme Description




Tuesday mornings              Alternating weeks General
Monday afternoon              General
Wednesday afternoon           Diabetic Clinic
Wednesday morning             Oncology Haematology/Rheumatology (alternating weeks).
Friday morning                General/Cystic Fibrosis (alternating weeks)

The post holder will either go on the consultant ward round or do the ward round supervised by
the consultant. The post holder will be responsible (together with other middle grade staff) for
dictating discharge summaries on those patients who require a more detailed summary than the
standard discharge letter. The post holder will provide emergency cover for the Neonatal Unit,
Labour Ward and Post Natal Wards as part of the on-call commitment.

Specimen Timetable

                   AM                                      PM
 Monday            Day Unit                                Day Unit
 Tuesday           Ward Round                              Day Unit
 Wednesday         Out Patients                            Ward
 Thursday          Ward Round                              Registrar Teaching
 Friday            Out Patients                            Study


                                  Poole Hospital NHS Trust
General Information
The post provides excellent core training experience for general and community paediatrics in the
setting of a busy district general hospital. The SpR will have responsibility for assessment and
patient care on the paediatric ward and NICU under consultant supervision. Administrative duties
such as rota organisation and attendance at committee meeting are encouraged. SpRs will be
expected to be involved in the unit‟s audit projects and clinical guidelines development.

Timetables
SpR timetables may be modified according to individual trainee needs. They will usually contain:

   2 Paediatric outpatient clinics per week
   5 ward sessions per week
   1-2 study half days
   1-2 compensatory rest half days

The Paediatric Department is centralised at Poole Hospital. This includes all paediatric inpatients,
Neonatal Intensive Care and a purpose-built Child Development Centre. Child Psychiatric
services are also based within the Child Development Centre building. In an average year there
are 4000 (including surgery) admissions, and 200 day cases. A total of over 8000 children are
seen annually in the Outpatients Department. There are approximately 400 admissions to the
neonatal intensive care unit each year. The majority of the District maternity beds are at Poole


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ST4 Paediatrics Programme Description



Hospital where all high risk deliveries take place. There is a „low tech‟ midwife led Maternity
Unit at the Royal Bournemouth Hospital. There is no resident paediatric cover but a flying squad
service is provided from Poole Hospital. The Neonatal Intensive Care Unit at Poole Hospital has
a total of 20 cots, including 4 intensive cots. The hospital has a transitional care unit attached to
the neonatal unit.

Medical Staff
6 Consultants (hospital based)
4 Consultants(Community based)
2 Associate Specialists
3 Specialist Registrars
2 Clinical Fellows (middle grade seniority)
9 SHOs

Sub-Specialty Experience
There is opportunity for SpRs to have experience in „in-house‟ diabetes, cystic fibrosis, and
Allergy clinics. Attendances at regional subspecialty clinics such as Endocrinology, Cardiology,
Clinical Genetics and Neurology can be arranged.


                        Portsmouth Hospitals NHS Trust and
                        Portsmouth City Primary Care Trust
General Information
The post will rotate between acute paediatrics, neonates and community child health. The SpR
will be expected to help supervise the day to day clinical work in the department, under the
supervision of the consultant staff and will receive training in neonatal and paediatric care. The
appointee will undertake general and neonatal out-patient work and will have opportunities to
become involved in the specialist paediatric clinics according to his/her training needs and
interests. Active involvement with the education commitments of the department will be
encouraged. The Specialist Registrar will be expected to become involved in audit and
encouraged to develop audit in small research projects. The department runs a daily morning
meeting for teaching and team building.

Specimen Timetables (Allocation may vary according to rota)
Neonatal Unit

                   AM                                       PM
 Monday            Consultant Ward Round                    OPD
 Tuesday           Consultant Ward Round                    NNU
 Wednesday         Day off after On-call                    NNU Business/Education Meeting
 Thursday          SpR Led Ward Round                       Neonatal Clinic
                   Monthly Perinatal Meeting
 Friday            Neonatal Grand Round                     Core Training
                   Paediatric Grand Round                   Teaching/Study Day




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Acute Paediatrics (General/Assessment)

 Day               AM                                          PM
 Monday            Consultant Ward Round                       Ward Work
                   Alton Wards
 Tuesday           Outpatients                                 Ward Work
 Wednesday         Consultant Ward Round                       Ward Work
 Thursday          Day off after On-call                       Ward Work
 Friday            Paediatric Grand Round                      Core Trainee Teaching/
                                                               Study Day

Community
The SpR will have responsibilities for designated schools within a geographic area where he/she
will work as a part of the school health team and responsible to Consultant Paediatrician
Community Child Health.

Community Timetable

                     AM                                   PM

 Monday              Community/School Clinic              Community/School Clinic
 Tuesday             Post Take Round                      -
 Wednesday           Community Teaching CDC               Community Clinic
 Thursday            Special Module                       Outpatients
 Friday              Community/School Clinic              Core Trainee Teaching / Study Day

Sub-Specialty Experience
Outpatient experience is available in Genetics, Paediatric Neurology, Paediatric Cardiology,
Paediatric Surgery, Paediatric Urology.


Southampton University Hospitals NHS Trust and Southampton
                     Community Trust
Core training in General and Neonatal Paediatrics is provided within the Child Health
Department of SUHT. Training in Community Paediatrics is provided by the Community service
based within the Southampton City PCT.

General Paediatrics
The General Paediatric Unit is based at Southampton General Hospital. The unit provides in and
outpatient secondary care to the districts‟ child population of approximately 85,000. The
Paediatric department also provides a comprehensive tertiary speciality service to children from
the geographical area of Wessex and surrounding populations. The post holder will be working
closely with the Consultant staff who contribute to the General Paediatric service. The post is
ideally suited to a Core Trainee, where the presence of a strong and committed Consultant Team
provides a supportive environment for the trainee to develop his/her paediatric skills. The
presence of the Regional PICU and the range of tertiary services on-site results in a wide



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ST4 Paediatrics Programme Description



spectrum of Paediatric conditions, with many patients having a high dependency element to their
admission.

Clinical Work
This will include Consultant supervised day to day care of the General Paediatric in-patients,
supervision of the Paediatric SHOs, and evaluation and management of GP referrals to the
Paediatric assessment Unit. There will be rostered participation in the Unit‟s Cardiac Arrest team.
The post holder will share these responsibilities with two staff grade practitioners working in the
middle grade team. The post holder will take part in Consultant supervised outpatient clinics.
Opportunities also exist for taking part in Child Protection clinics and to be involved in the care
of patients in Bursledon House, a 12 bedded non-acute unit for medical, psychiatric and
emotional problems. The exact job plan will be determined in consultation with the Educational
Supervisor with the aim of maintaining flexibility to meet the individual training needs of the post
holder.

Education
There is a wide range of organised educational opportunities including a weekly „Grand Round‟,
a fortnightly x-ray meeting and a weekly Clinical Case/Topic meeting. In addition there are
several sub-speciality group educational meetings in the department each week that can be
accessed according to interest. The post holder would be expected to attend the Wessex Core
Training Days.

Teaching & Supervision
The post holder is expected to partake in the teaching and training programmes within the Unit.
This will include on the ward teaching of Medical Students and day to day support of Paediatric
SHOs. There are opportunities to contribute to the active Membership teaching programme for
the SHOs.

Audit
There is an active audit programme within the department and the post holder will be expected to
develop an audit project relevant to the general paediatric service during the duration of the post.

Management & Clinical Governance
The post holder will be involved in the day to day supervision of the Paediatric SHO team
including trouble shooting any rostering issues. Opportunities exist to attend a variety of
departmental management meetings where the post holder will be able to represent the views of
the Junior Medical Staff.

Supervision
The post holder will be directly supervised by the General Paediatric Consultants. One of these
will act as Educational Supervisor and provide regular Appraisal and mentoring opportunities.

Neonatology
The Obstetric and Midwifery services offer facilities to Southampton district and also act as a
regional referral service for Fetal and Perinatal Medicine, Genetics, Fetal Cardiology and
Neonatal Surgery. There are approximately 5,000 in-house deliveries per year. Many of these
cases are high risk.

A full range of neonatal intensive care is available including high frequency oscillatory
ventilation and nitric oxide. Certain surgical procedures are carried out on the unit. Access to




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ST4 Paediatrics Programme Description



tertiary paediatric services such as Cardiology, Nephrology, Neurology & Neurosurgery, and
Genetics means that most of even the most complex Neonatal problems can be dealt with on-site.

The case mix includes, in addition to the usual more common neonatal problems, a significant
throughput of premature infants including between 30 and 40 infants per annum of 28 weeks or
less and a wide variety of surgical and cardiac problems. In the last 5 years the Units activity has
been between 1500–1800 Level 1 Intensive Care days/annum and a further 500–800 Level 2 High
Dependency days. Around 130 babies are ventilated per annum.

In the last 2 years there has been a substantial development of the Regional Neonatal Surgical
service within the Princess Anne Hospital Neonatal Unit. With this development there has been a
significant increase in the amount of activity, particularly at Intensive and High care level. It is
envisaged that this development will continue and is likely to be accompanied by an expansion of
the Neonatal Medical Service to take account of a current shortfall in cot provision.

A core trainee in Neonatology will be one of four to five middle grade trainees based on the Unit.
When working or covering the Neonatal service the SpR has no other commitments.

Study and Training
There is a specific induction to the Princess Anne Neonatal Unit and the relevant areas of
Perinatology. The induction covers aspects of basic neonatal care and resuscitation techniques.
Consultant supervision and advice is available at all times.

A recently developed Clinical Skills training facility is available to all grades of Medical and
Nursing Staff and there is a range of Neonatal and Paediatric manikins for procedure training.
Within the Neonatal Unit there is a library of Neonatal texts. The SpRs share an office in which
there is Internet access to facilitate literature searches and to access on-line Educational resources.
When on-call there is a study/bedroom available in a quiet area of the Hospital but with ready
access to Labour Ward and the Neonatal Unit.

Each SpR will be allocated an Educational Supervisor who will be one of the Neonatal
Consultants. A personal training plan will be developed at the beginning of the post to suit the
individual‟s training needs taking account of the RCPCH training syllabus. Progress will be
monitored by regular appraisal. Use will be made of the Training Schedule & Curriculum
developed for Higher Specialist training in Neonatology with appropriate adaptation for the Core
trainee.

Core skills that the SpR will be expected to achieve competence in will include Neonatal Life
Support (basic and advanced); Intravenous and Intra-arterial access, peripheral and central;
Neonatal ventilation in theory and practice; cranial ultrasound; communication with families
regarding the progress of their child and important therapeutic interventions. It is expected that
the SpR will undertake an Audit during the course of the post and be involved in the development
and updating of the Unit‟s Clinical Guidelines. There is a Regionally organised training
programme for Core Trainees that the SpR is encouraged to attend.

The accompanying time-table indicates the range of educational opportunities available within
the Department. There is a weekly Labour Ward meeting discussing perinatal management of
specific cases, a weekly fetal maternal medicine educational meeting, a weekly neonatal case
presentation or topic discussion session followed by an educational “grand round”, a weekly
Journal Club/Risk Management meeting and a weekly neonatal surgical education meeting.
Monthly there is an ante-natal diagnosis discussion group, a perinatal audit and


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ST4 Paediatrics Programme Description



morbidity/mortality meeting and a further neonatal education meeting aimed primarily at SpR
educational requirements.

Attendance at out-patients to view the follow-up of Neonatal patients both short and long term is
available. The exact configuration of the time-table will be negotiated as part of the development
of the Individual Learning plan with the Educational Supervisor. While an extensive range of
educational opportunities exist within the Perinatal service it is envisaged that for Core training
requirements a substantial part of the training will take the form of Consultant supervised clinical
activity within the Neonatal service itself.

Regular NNU Activities

Monday            AM           0830 – 0900 Handover
                               0900 Consultant Ward Round
                               1130 Ward review with NNU Consultant
                  Midday       1st Monday of the month: Wessex Antenatal diagnosis group meeting
                               – Genetics Library
                  PM           Cranial U/S Round with Consultant Radiologist
Tuesday           AM           0830 – 0900 Handover
                               0900 Registrar Ward Round
                               1130 Ward review with NNU Consultant
                  Midday       Fetal and Maternal Medicine Education meeting – NNU seminar
                               room
                  PM           Consultant led Neonatal Follow –up clinic
Wednesday         AM           0830 – 0900 Handover
                               0900 NNU Grand Round Consultant led Education
                  Midday        NNU Education Seminar See separate programme
                  PM           1/ 2 months Joint Wessex NNU Education Meeting
                               1/month Neonatal Surgical education meeting
                               1730 Perinatal and fetal medicine liaison meeting
Thursday          AM           0830 – 0900 Handover
                               0900 Registrar Ward Round
                               1130 Ward review with NNU Consultant or
                               0830 Child Health Clinical Presentation meeting
                               0930 Neonatal Surgical Grandround NNU seminar room
                               1000 – 1200 3rd Year medical student teaching
                  Midday        NNU Journal Club
                  PM           Cranial U/S Round with Consultant Radiologist or
                               Consultant Led Neonatal Follow-up clinic




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ST4 Paediatrics Programme Description




Friday            AM           0830 – 0900 Handover
                               0900 Registrar Ward Round
                               1130 Ward review with NNU Consultant or
                               0915 Long term Neurodevelopmental Follow-up Clinic Bitterne
                               Health Centre
                  Midday       3rd Friday of the month: Perinatal Audit & multidisciplinary
                               Education
                  PM           3rd Friday of month: Perinatal Mortality & Morbidity Meeting

In addition to the above there are daily Fetal medicine clinics with regular opportunities to
observe antenatal ultrasound and other diagnostic procedures, the planning of perinatal
management with other Specialists and the counselling of families.


                             West Dorset Hospital NHS Trust
General Information
The post is for one year in West Dorset and one year in Poole Hospital. The aim of the Dorchester
part of the programme is to provide a good grounding in general paediatric work with a
concentration on outpatients and six months training in community paediatrics.

During the latter attachment some acute work and a post-take round are required by the rota; for
this reason some further community work is included in the Poole post.

Acute SpR Timetable

                     AM                                PM
 Monday              Consultant Teaching Round         Ward Cover
 Tuesday             Bridport Clinic 1,3,4             Ward Cover
 Wednesday           Post Take Round                   Training (1230-1430)
                                                       Half Day (from 1430)
 Thursday            Blandford 2,3 /                   Diabetic Clinic 3
                     Half Day 1,4                      Ward Cover 1,2,4
 Friday              Weymouth Clinic                   Half Day (study)

Community SpR Timetable

                     AM                                PM

 Monday              Study                             Bridport Comm 1,3
                                                       Baby Clinic 2,4
 Tuesday             Community Clinic Bridport         Community Clinic Bridport
 Wednesday           Community Clinic Bridport         Training (1230-1430)
 Thursday            Neurodevelopment Clinic           Ward 1,3
                     Comm Consultant Clinic 2,4



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ST4 Paediatrics Programme Description




    Friday           PT Ward Round                    Half Day

Sub-Specialty Experience
Sub-specialty clinic experience is available with the following visiting specialists from
Southampton:
    Paediatric Surgeon
    Cardiologist
    Neurologist
    Nephrologist
    Clinical Geneticist

Local specialty clinics comprise: cystic fibrosis, diabetes, oncology, constipation and neuro-
developmental problems, including ADHD.

Main Conditions of Service

The posts are whole-time and the appointments are subject to:

      1. The Terms and Conditions of Service (TCS) for Hospital Medical and
         Dental Staff (England and Wales)
      2. Satisfactory registration with the General Medical Council
      3. Medical Fitness – You may be required to undergo a medical examination
         and chest x-ray. Potential applicants should be aware of the Department
         of Health and GMC/GDC requirements with regards to HIV/AIDS and
         Hepatitis viruses. Candidates must be immune to Hepatitis B. You will be
         required to provide, in advance of appointment, evidence of immunity or
         have a local blood test (as deemed necessary by the Occupational Health
         Department)
      4. Right to work in the UK
      5. Criminal Records Check/POCA check carried out by the Trust Medical HR
         department.
      6. Pre-employment checks carried out by the Trust Medical HR department.

Hours

Your duty hours will be between 40 and 56 hours per week (part-time staff pro
rata) depending upon the pattern of work offered by the employer, which should
be in accordance with paragraph 20 of the TCS. This may include work in the
evenings, at night and weekends. The TCS may be viewed at [insert Deanery
link and/or] http://www.nhsemployers.org/pay-conditions/pay-conditions-467.cfm
All posts on the rotation are working towards compliance with the European
Working Time Directive regulations.




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ST4 Paediatrics Programme Description




Pay

You should be paid monthly at the rates set out in the national terms and
conditions of service for hospital medical and dental staff and doctors in public
health medicine and the community health service (England and Wales), “the
TCS”, as amended from time to time. The payscales are reviewed annually.
Current rates of pay may be viewed at [insert Deanery link and/or]
http://www.nhsemployers.org/pay-conditions/pay-conditions-2339.cfm. Part-time
posts will be paid pro-rata.

Pay supplement

Depending upon the working pattern and hours of duty you are contracted to
undertake by the employer you should be paid a monthly additional pay
supplement at the rates set out in paragraph 22 of the TCS. The current
payscales may be viewed at http://www.nhsemployers.org/pay-conditions/pay-
conditions-2339.cfm The pay supplement is not reckonable for NHS pension
purposes. The pay supplement will be determined by the employer and should
be made clear in their offer of employment and subject to monitoring.


Pension

You will be entitled to join or continue as a member of the NHS Pension Scheme,
subject to its terms and rules, which may be amended from time to time. Further
information can be viewed at http://www.nhspa.gov.uk/nhspa_site/index.htm

Annual leave

Your entitlement to annual leave will be five or six weeks per annum depending
upon your previous service/incremental point, as set out in paragraphs 205 – 206
of the TCS.

The TCS may be viewed at http://www.nhsemployers.org/pay-conditions/pay-
conditions-467.cfm

Sick pay

Entitlements are outlined in paragraphs 255-240 of the TCS.

Notice

You will be required to give your employer and entitled to receive from them
notice in accordance with paragraphs 195 – 196 of the TCS.

Study leave



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ST4 Paediatrics Programme Description




The employer is expected to offer study leave in accordance with paragraphs
250 – 254 of the TCS. Local policy and procedure will be explained at your
induction.

Travel expenses

The employer is expected to offer travel expenses in accordance with
paragraphs 277 – 308 of the TCS for journeys incurred in performing your duties.
Local policy and procedure will be explained at induction.

Subsistence expenses

The employer is expected to offer subsistence expenses in accordance with
paragraph 311 of the TCS. Local policy and procedure will be explained at
induction.

Relocation expenses

The employer will have a local policy for relocation expenses based on
paragraphs 314 – 315 of the TCS and national guidance at
http://www.nhsemployers.org/pay-conditions/pay-conditions-467.cfm. You are
advised to check eligibility and confirm any entitlement with the employer before
incurring any expenditure. In addition to local policy there is Deanery guidance
which can be viewed on www.nesc.nhs.uk

Pre-employment checks

All NHS employers are required to undertake pre-employment checks. The
employer will confirm their local arrangements expected to be in line with national
guidance at http://www.nhsemployers.org/primary/primary-3524.cfm

Professional registration

It will be a requirement of employment that you have professional registration
with the GMC for the duration of your employment.

Health and safety

All employers have a duty to protect their workers from harm. You will be advised
by the employer of local policies and procedures intended to protect your health
and safety and to comply with these.




                                                        Programme Description/kbrown/Sept08
ST4 Paediatrics Programme Description




Disciplinary and grievance procedures

The employer will have local policies and procedures for dealing with any
disciplinary concerns or grievances you may have. They will advise you how to
access these, not later than eight weeks after commencement of employment.

Educational supervisor

The employer will confirm your supervisor on commencement.

General information

The Deanery‟s management of Specialty Training programmes, including issues
such as taking time out of programme and dealing with concerns or complaints,
is available at www.nesc.nhs.uk and in the national „Gold guide‟ to Specialty
Training at http://www.mmc.nhs.uk/




                                                     Programme Description/kbrown/Sept08

				
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