CARDIFF AND VALE NHS TRUST
LOCUM CONSULTANT PAEDIATRIC
CARDIFF AND VALE NHS TRUST
LOCUM CONSULTANT PAEDIATRIC GASTROENTEROLOGIST
1. THE JOB ITSELF
Title: Locum Consultant Paediatric Gastroenterologist
Base Hospital: University Hospital of Wales
The post holder should be fully (CSAC) accredited in paediatric gastroenterology as well
as general paediatrics and will be expected to work as part of the existing Welsh Clinical
Network in paediatric gastroenterology, hepatology and nutrition which already exists in
South and Mid Wales. Although based at the University Hospital of Wales, the post
holder will help to provide a service for South and Mid Wales and undertake a number of
outreach clinics in other hospitals.
The current provision of paediatric facilities in Cardiff is split between the University
Hospital of Wales and Llandough Hospital. The hospitals are 7 miles apart, the UHW
being the larger hospital and the base for a wide range of specialist services. Llandough
Hospital provides a limited range of specialist services and delivers DGH services to the
population of the west of Cardiff and the Vale of Glamorgan.
The Paediatric Medical Unit beds are currently located at UHW and Llandough Hospital.
This will change with the completion of the Children’s Hospital for Wales, Phase 1
(Spring 2005) which centralises all paediatric medical beds onto one site in new purpose
The current Paediatric Medical Unit beds located at UHW are as follows:-
35 medical beds
Children’s Assessment Unit (6 beds)
The Paediatric Surgical Unit / Critical Care Services at UHW are as follows:-
43 surgical beds
Paediatric Intensive Care Unit (8 beds)
High Dependency Unit (6 beds)
Children’s Assessment Unit (6 beds)
The Paediatric Medical Unit beds located at Llandough Hospital are as follows:-
20 medical beds
1 ward x 24 oncology beds (includes day case workload)
Facilities are also provided on a separate unit at UHW for in-patient care of adolescents
from a wide range of specialties.
Children’s outpatients mainly take place on the UHW site in dedicated facilities, but
there remain a limited number of specialties where paediatric clinics are run in adult
The construction of a new Children’s Hospital for Wales is underway to improve
paediatric care in relation to both the secondary and tertiary services.
A Children’s Hospital for Wales, Phase 1 is being constructed on the UHW site and the
Tertiary Service base for Paediatric Gastroenterology will be located within the hospital.
Construction of Phase 1, which encompasses medical specialities is scheduled to be
completed in spring 2005.
It is anticipated that there will be 3 phases of development in the Children’s Hospital.
Phase 1 will address the following:
Common core features of the Children’s Hospital to include a Main
Two medical wards including improved bedside parent accommodation
A Paediatric Oncology Unit, including a ward, day treatment unit, outpatients and
dedicated parents accommodation.
At Llandough Hospital:
A Children’s Assessment Unit
Additional Paediatric Outpatient accommodation
The planning of Phase 2 is currently ongoing and this second Phase will include
dedicated Paediatric Theatres, extended HDU and Assessment Unit, associated
diagnostic and treatment facilities, 2 surgical wards and a Children’s Outpatient Suite.
The tertiary service for paediatric gastroenterology, hepatology and nutrition already
works closely with the Departments of Adult Gastroenterology, Paediatric Surgery,
Paediatric Radiology and Pathology and this will continue with the provision of the new
Other Hospitals at which duties are performed:
In addition to in-patient and outpatient work based at UHW and Llandough, clinics will
be delivered to the pattern determined by the Managed Clinical Network (MCN) for
Paediatric Gastroenterology. The Regional Service is provided at present by Dr H R
Jenkins, based in Cardiff (0.8 WTE) and Dr Mike Cosgrove (0.5 WTE) and Dr Peter J
Dale (0.5 WTE) based respectively in Swansea and Newport. A number of outreach
clinics are already operational and the post holder will be involved in discussion
regarding the split of existing established clinics as well as establishing and running new
1.1 Names of Senior and Consultant members of the Department of Paediatric
Gastroenterology, Hepatology and Nutrition
Dr H R Jenkins Consultant Paediatric Gastroenterologist (0.8 WTE)
Dr P J Dale Consultant Paediatrician with a special interest in gastroenterology
(based in Gwent Healthcare NHS Trust – 2 sessions per week in
Dr D P Tuthill Consultant Paediatrician with a special interest in nutrition
(1 session per week & co-ordinator of the Paediatric Nutrition
Mrs K Bryant-Davies Paediatric Gastroenterology / Nutrition Nurse Specialist (1 WTE)
1.2 Other Medical Staff in the Department
Paediatric Gastroenterology sits within the Directorate of Child Health at Cardiff and
Vale NHS Trust. The Directorate is the base for a range of All Wales Tertiary Paediatric
services with which several joint clinics are undertaken, as well as providing District
General Hospital services to the resident population.
All Wales Paediatric Tertiary Services / Consultant medical staff based at Cardiff and
Vale NHS Trust include:
Dr H Jenkins Consultant Paediatric Gastroenterologist
Mr S Huddart Consultant Paediatric Surgeon
Mr K Hutton Consultant Paediatric Surgeon
Mr R Surana Consultant Paediatric Surgeon
Dr C Powell Consultant Paediatrician
Prof J Sibert Consultant Paediatrician
Prof D Davies Consultant Paediatrician
Dr G Shortland Consultant Paediatrician
Dr M Alfaham Consultant Paediatrician
Dr D Tuthill Consultant Paediatrician
Dr H Williams Consultant Paediatrician
Dr M Jenney Consultant Paediatric Oncologist
Dr H Traunecker Consultant Paediatric Oncologist
Dr R Hain Consultant Paediatric Oncologist / Palliative Care
Dr M Drayton Consultant Neonatologist
Dr P Cartlidge Consultant Neonatologist
Dr C Doherty Consultant Neonatologist
Dr I Doull Consultant Paediatric Respiratory / Cystic Fibrosis
Dr J Gregory Reader / Consultant Paediatric Endocrinologist
Dr K Verrier-Jones Reader in Paediatric Nephrology
Dr G Smith Consultant Paediatric Nephrologist
Dr B O’Hare Consultant Paediatric Nephrologist (Locum)
Dr J van der Voort Consultant Paediatric Nephrologist (Locum)
Dr F Gibbon Consultant Paediatric Neurologist
Dr D Wilson Consultant Paediatric Cardiologist
Dr O Uzun Consultant Paediatric Cardiologist
Dr O Onuzo Consultant Paediatric Cardiologist
Mr R Hatfield Consultant Neurosurgeon
Dr S Morris Consultant Paediatric Radiologist
Dr S Harrison Consultant Paediatric Radiologist
The Paediatric Gastroenterology service is supported by a full-time Specialist Registrar
and at times a variable number of other part-time Specialist Registrars.
1.3 Other Relevant Staff
Paediatric Gastroenterology / Nutrition Nurse Specialist
The post holder (1.0 WTE) is a pivotal member of the Paediatric Nutritional Support
Team for Cardiff and also is involved in the clinical care of children with chronic g-i
disease e.g. inflammatory bowel disease. The business case for a second full-time
specialist nurse is being submitted. The post provides a central focus for the provision
of nutrition support e.g. children with gastromies and liaison between hospital care and
the community as well as the different paediatric hospital specialties including surgery
There is excellent input to the service from paediatric dietitians, clinical psychologists,
speech and language therapists and developing links with the newly formed children’s
community nursing team.
Links with other Tertiary Centres and Joint SpR Training
The Paediatric Gastroenterology groups in Cardiff, Bristol and Birmingham have joined
forces to provide a joint training centre for applicants to the National Grid for training in
tertiary Paediatric Gastroenterology (3 year rotation). In addition, there are regular
clinical and research meetings between the Welsh Paediatric Gastroenterology Service
for Wales and the South West of England with meetings alternating between South
Wales and Bristol.
1.4 Secretarial Support and Accommodation
Funding has been identified for 1 WTE Medical Secretary and office accommodation for
the post holder and secretary on the UHW site. Full access is available to the Trust
management and patient information systems with internet/intranet access. Medical
secretarial work associated with outreach clinics are the responsibility of the host Trust.
2. WORK OF THE DEPARTMENT
2.1 The Paediatric Gastroenterology service at Cardiff and Vale NHS Trust provides the
focus for the specialised medical service for the children of South and Mid Wales. The
clinical workload has increased over a 10 year period with approximately 250 new
patients and 1,200 follow-up outpatients and 100 in-patients per annum.
The service (already run as an informal network between Cardiff, Newport and
Swansea) seeks to support South and Mid Wales through joint and outreach clinics for
children with gastroenterology disorders. There are currently 128 clinics in UHW /
Llandough and 36 outreach clinics held in different locations (including Haverfordwest,
Aberystwyth, Carmarthen, Bridgend, Aberdare / Merthyr).
The Paediatric Gastroenterology service also plays a crucial role in the provision of the
whole Paediatric Tertiary Service with several other specialties dependent on input from
Gastroenterology e.g. surgery, neurology, neonatology, endocrinology and intensive
care. It is recognised that Paediatric Gastroenterology, Hepatology and Nutrition is vital
to the functioning of the whole Tertiary Paediatric Service.
There is an endoscopy service with weekly dedicated paediatric sessions – 200-250
procedures performed per year.
There are many joint clinics held with other departments within Cardiff and with supra-
regional services for the UK.
Local Joint clinics
Transition (with adult gastroenterologist)
Liver (x 6 per year with Birmingham and King’s College Hospital Liver Units)
Constipation (x 4 per year with Dr Graham Clayden, Guy’s & St Thomas’ Hospital,
A Review undertaken by the Specialist Health Service Commission for Wales (SHSCW)
in 2002 recognised the urgent requirement to appoint a second Consultant to the
Paediatric Gastroenterology service together with associated specialist nursing and
therapy staff. The strengthening of this service is integral to SHSCW’s proposed
strategy for the major configuration of Children’s Tertiary Services and will form an
essential element of the care to be provided within the new Children’s Hospital for
Wales. As a result of the SHSCW’s report, ‘A Special Service – The Future of
Specialised Healthcare for the Children of Wales’, the Welsh Assembly Government
(WAG) has funded the post of Consultant Paediatric Gastroenterologist and associated
supported costs. The new Consultant post will enable the Paediatric Gastroenterology
Service to develop strategically through the Managed Clinical Network (MCN) model to
undertake additional outreach clinics and to provide more gastroenterology input at
The post holder will be integrated into the General Paediatric rota for clinical service
weeks with a 1 in 12 commitment and the general paediatric on-call rota at UHW, also
approximately 1 in 12.
The post holder will be involved in an informal arrangement for providing specialist
paediatric gastroenterology advice to DGH colleagues. This advice will be, in the main,
through telephone contact.
2.2 Administrative Responsibilities / Budget Details
2.2.1 You will be responsible for undertaking the administrative duties associated with the care
of patients and the administration of the department.
2.2.2 You will be required to comply with the appropriate Health and Safety Policies as may be
2.3.3 Travel as necessary between hospitals/clinics will be required but a planned and cost
effective approach will be expected.
2.3.4 The successful candidate will become a member of the Paediatric Directorate and will be
encouraged to attend divisional meetings.
3. MAIN DUTIES AND RESPONSIBILITIES
3.1.1 You will provide with consultant colleagues (as appropriate) a service in the speciality to
the hospitals so designated, with responsibility for the prevention, diagnosis and
treatment of illness.
3.1.2 You will have continuing responsibility for the care of patients in your charge in liaison
with consultant colleagues and for the proper functioning of the department in line with
the Operational Policy and Strategic Plan (as amended from time to time).
3.1.3 You will be responsible for the professional supervision and management of junior
medical staff. If appropriate the post holder will be named in the contracts of junior staff
as the person responsible for overseeing their training and as an initial source of advice
to such doctors regarding their careers.
3.1.4 You will be required to participate in continuing medical education in ways which are
acceptable to the Chief Executive.
3.1.5 You will be required to participate in and contribute to Clinical Audit in line with the
Trust’s policy on the implementation of Clinical governance.
3.1.6 Domiciliary consultations - as appropriate to Bro Taf residents in accordance with the
3.1.7 The post holder will participate in the General Paediatric on-call rota as specified
previously but, with the full development of the managed clinical network in the future,
there may be the development of sub-specialty (paediatric gastroenterology) ‘on-call’
with other colleagues in South Wales.
3.1.8 You will be required to cover for consultant colleagues' periods of leave.
3.1.9 Any other duties with other agencies that have been agreed with the employing Trust
(e.g. Prison Service).
3.2.1 You will be responsible for carrying out teaching, examination and accreditation duties
as required and for contributing to and participating in postgraduate and continuing
medical education activity and audit activities, locally and nationally.
3.2.2 All consultants teach and train at all levels of undergraduate and postgraduate
education. There is a very active postgraduate training department, which organises
medical and dental education led by the Dean of Postgraduate Medical and Dental
Education, at the University of Wales College of Medicine. There is a well stocked
medical library on site.
3.3.1 The successful candidate will be encouraged to participate fully in current research
projects and to initiate projects of his/her own. These activities will have the full support
of the Head of the Academic Department of Child Health (Prof. J Sibert) and within the
Department of Child Health.
3.4.1 You will be required to co-operate with local management in the efficient running of
services and an expectation to share with consultant colleagues in the medical
contribution to management. In addition it should be noted that a system of Clinical
Directorship is in operation and close liaison with appropriate colleagues will be
3.4.2 You will be required to work within the financial and other restraints decided upon by the
Trust. Additional expenses of any kind will not be committed without the approval of the
appropriate manager/budget holder.
3.4.3 Subject to the Terms and Conditions of Service you will be expected to observe policies
and procedures of the Trust, drawn up in consultation with the profession where they
involve clinical matters.
3.4.4 You will be expected to pursue local and national employment and personnel policies
and procedures in the management of employees of the Trust.
3.4.5 You will be required to ensure that arrangements are in place for adequate medical staff
to be available in relation to the treatment and care of patients.
3.4.6 You will be expected to participate in the Trust’s policies and procedures relating to
annual performance review and appraisal.
4. PROVISIONAL WORK PROGRAMME
(as required under paragraph 30A of the Terms and Conditions of Service)
4.1 WEEKLY TIMETABLE OF FIXED COMMITMENTS (i.e. regular scheduled NHS
activities in accordance with paragraph 30B of the Terms and Conditions of Service).
The duties described here are provisional and will be the subject of annual review and
will form a composite part of the JOB PLAN which will be agreed between the post
holder and the Chief Executive or a nominated deputy.
Hospital/Location Type of Work
Monday AM) University Hospital of Wales Outpatient clinic*
PM) University Hospital of Wales Ward round*
Tuesday AM) University Hospital of Wales Administration
PM) University Hospital of Wales CPD / Clinical Governance
Wednesday AM) University Hospital of Wales Nutrition / Feeding clinic
PM) University Hospital of Wales Teaching / Research
Thursday AM) University Hospital of Wales Ward round*
PM) UHW / Outreach clinic Outpatient clinic*
Friday AM) Outreach clinic Endoscopy session (alternate
PM) Outreach clinic / UHW Outreach clinic (alternate
Weekend On call as described in
Note: * Fixed sessions
In addition to these fixed sessions, it is expected that the post holder will devote the
equivalent of one session per week to undergraduate clinical teaching.
4.2 AVERAGE NUMBER OF HOURS SPENT EACH WEEK ON NHS DUTIES (This table,
in terms of duty hours, does not need completion at this time, other than on call duties,
but will form part of the Job Plan in future years).
Type of Duty Average Number of Hours
(+ additional travelling time for outreach clinics)
Ward Work 8
Theatre or Special Procedures 2
Medical Audit 2
Committees (local and national) 2
Other - On-call 1 in 12
Travelling Time (part-time only)
NOTE: Completion of this table does not give rise to a contractual duty to work beyond
the actual contractual commitment.
5. REVIEW OF THIS JOB DESCRIPTION IN RELATION TO JOB PLANS
This job description will form a composite part of a Job Plan which will be subject to
annual review by you and the Chief Executive or his nominated deputy. For this purpose
you and the appropriate manager should have a copy of this job description and an up-to-
date work programme (i.e. not provisional, together with a completed 'paragraph 4.2') and
relevant statistical information (preferably over a 12 month period) together with notes
provided by either side of any new or proposed service or other developments.
Local procedures must be followed if it is not possible to agree a job plan, either initially or
at an annual review. These procedures culminate in an appeal to the employing Trust.
6. MAIN CONDITIONS OF SERVICE
6.1 This post is covered by the National Health Service Terms and Conditions of Service for
Hospital Medical and Dental Staff (England and Wales) and the General Whitley Council
Conditions of Service as amended in negotiation with the Trust Medical and Dental Staff
Negotiating Committee. Details of these may be obtained from the Medical/Dental
6.2 The post is pensionable unless the appointee opts out of the scheme or is ineligible to
join. Remuneration will be subject to deduction of pension contributions in accordance
with the Department of Health regulations.
6.3 The post holder will be managerially accountable to the Clinical Director and
professionally accountable to the Medical Director.
6.4 Candidates unable for personal reasons to work full-time will be eligible to be considered
for the post. If such a person is appointed, modification of the job content will be
discussed on a personal basis, in consultation with consultant colleagues and the Medical
6.5 The salary applicable is on the locum consultant pay scale and will be specified in the
contract. (See also paras 6.10 and 6.14).
6.6 The locum consultant appointed will be required to live within 10 miles by road of their
base hospital unless specific approval for a greater distance is given by the Trust.
6.7 The locum consultant will be required to maintain his/her private residence in contact with
the public telephone service. Assistance can be given with the cost of installation and
6.8 You will be required to ensure that any private practice you undertake will in no way
diminish the level of service that may be expected of you by the Trust in carrying out your
main duties and responsibilities.
6.9 You must provide us with evidence which is acceptable to the Occupational Health
Department, that you are not a carrier of Hepatitis B. This would normally be a pathology
report from a laboratory in the UK or alternatively a report from another NHS Occupational
Health Department within the UK. It will not be possible to confirm this appointment
unless this condition is met. Before starting work you may therefore need to attend the
Occupational Health Department for assessment. If this is not possible, then you must
attend on the day you start work.
6.10 The Trust will require the successful candidate to have and maintain full registration with
the General Medical Council.
6.11 As you will only be indemnified for duties undertaken on behalf of the Cardiff and Vale
NHS Trust, you are strongly advised to ensure that you have appropriate Professional
Defence Organisation Cover for duties outside the scope of the Trust, and for private
activity within the Trust.
6.12 The Locum Consultant appointed should preferably possess an appropriate certificate of
6.13 So far as is practicable the consultant appointed will be expected to provide cover for
annual and study leave of consultant colleagues.
6.14 The Ionising Radiation (Medical Exposure) Regulations 2000
The Ionising Radiation (Medical Exposure) Regulations 2000 impose a legal
responsibility on Trusts for all staff who refer patients for medical radiation exposures
such as diagnostic x-rays to supply sufficient data to enable those considering the
request to decide whether the procedure is justified.
6.15 Disclosure of Criminal Background of Those with Access to Patients
It is the policy of the Trust that in accordance with the appropriate legislation, pre-
employment Disclosure Checks are undertaken on all newly appointed Doctors and
Dentists. The Criminal Records Bureau is authorised to disclose in confidence to the
Trust details of any criminal record including unspent and spent convictions, cautions,
reprimands and final warnings.
Applicants being considered for this post must provide this information on the
application form before they can be considered.
Any information disclosed will be treated in the strictest confidence and all
circumstances will be taken into account before any decision is reached. The
successful applicant will be required to complete a CRB Disclosure Check application
form and to provide the appropriate documentation. Applicants should be aware that a
refusal to comply with this procedure may prevent further consideration for the post.
7. GENERAL INFORMATION FOR APPLICANTS
7.1 Applicants who are related to any member or senior office holder of the Cardiff and Vale
NHS Trust should clearly indicate in their application the name of the member or officer to
whom related, and indicate the nature of the relationship. A candidate deliberately
concealing such a relationship would be disqualified.
7.2 Candidates are asked to note that canvassing of any member of the Advisory
Appointments Committee or the Employing Trust will disqualify them. This should,
however, not deter candidates from approaching any person for further information about
7.3 Any offer of appointment will be subject to the receipt of three satisfactory references.
7.4 The nature of the work of this post is exempt from the provisions of Section 4 (2) of the
Rehabilitation of the Offenders Act 1974 (Exemption Order 1975). Applicants are,
therefore, not entitled to withhold information about convictions under the Act and, in the
event of employment, any failure to disclose such convictions could result in dismissal or
disciplinary action by the Trust. Any information given will be completely confidential and
will be considered only in relation to an application for positions to which the Order
7.5 Travelling expenses will be reimbursed for only one pre-interview visit, and only then to
those candidates selected for interview. Shortlisted candidates who visit the District on a
second occasion, say on the evening prior to interview, or at the specific request of
management, will be granted travel and appropriate subsistence expenses on that
occasion also. In the case of candidates travelling from abroad, travelling expenses are
payable only from the point of entry to the United Kingdom.
8. DATE WHEN POST VACANT
New post available immediately.
9. DETAILS FOR VISITING
Candidates who may wish to see the Department involved or discuss the post are invited
Dr Huw R Jenkins Dr Graham Shortland
Consultant Paediatric Gastroenterologist Clinical Director & Consultant Paediatrician
Department of Child Health Department of Child Health
University Hospital of Wales University Hospital of Wales
Heath Park Heath Park
CF14 4XW CF14 4XW
(029) 2074 4558 (029) 2074 3275
Shortlisted applicants are welcome to contact:
Mr Daniel Phillips
General Manager, Women, Children’s and Community Service Group
(029) 2071 6874
CON136-LOC PAED GASTRO
CARDIFF AND VALE NHS TRUST
PERSON SPECIFICATION FORM FOR
LOCUM CONSULTANT PAEDIATRIC GASTROENTEROLOGIST
REQUIREMENTS ESSENTIAL DESIRABLE
Full GMC Registration Higher Degree (e.g.
MRCP / MRCPCH or equivalent Ph.D., M.D.)
QUALIFICATIONS On Specialist Register
equivalent / Specialist
Registrar with CCST
due within 3 months of
Investigation and management of Adult Gastroenterology
tertiary paediatric gastroenterology and joint clinics
Commitment to team approach and Computing skills
ABILITY Counselling and communication skills
Evidence of participation in clinical
audit and understanding role of audit
AUDIT in improving medical practice.
Understanding of clinical risk
management and clinical governance
Active research interests Evidence of initiating,
RESEARCH concluding research
projects leading to
publication and further
Commitment to participating in and Evidence of
understanding of the management management training
Evidence of teaching medical Organisation of
students and junior doctors (undergraduate and/or
Evidence of ability to work both in a
PERSONAL QUALITIES team and alone.
Satisfactory Immigration Status
OTHER Satisfactory Health Clearance
REQUIREMENTS Satisfactory Disclosure Check