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                            CARDIFF AND VALE NHS TRUST

                                   JOB DESCRIPTION



     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
     built accommodation.

     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
outpatient premises.

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
Entrance/Reception/dedicated access.
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
Children’s Hospital.

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
outreach clinics.

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
                          Support Team)
      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
      and neonatology.

      Multi-disciplinary team

      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.


2.1   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
        in force.

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.


3.1     Clinical

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
        Trust Policy.

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     Teaching

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     Research

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     Management

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.

      (as required under paragraph 30A of the Terms and Conditions of Service)

      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
                                                        including multidisciplinary
                                                        team assessment*

                    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
                           Para 3.1.7

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.

      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

      Outpatients                                                           14
      (+ additional travelling time for outreach clinics)

      Ward Work                                                             8

      Theatre or Special Procedures                                         2

      Teaching/Training/Examining                                           4

      Research                                                              4

      Medical Audit                                                         2

      Management                                                            2

      Committees (local and national)                                       2

      Administration                                                        4

      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.


      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.


6.1    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
       Personnel Department.

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
       rental charges.

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
       Specialist Training.

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.


7.1    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
       the post.

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.


       New post available immediately.


       Candidates who may wish to see the Department involved or discuss the post are invited
       to contact:-

       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
       Cardiff                                     Cardiff
       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
       Management Corridor
       Llandough Hospital
       CF64 2XX

        (029) 2071 6874


                      CARDIFF AND VALE NHS TRUST


   REQUIREMENTS                    ESSENTIAL                         DESIRABLE
                      Full GMC Registration                    Higher Degree (e.g.
                      MRCP / MRCPCH or equivalent               Ph.D., M.D.)
QUALIFICATIONS                                                  On Specialist Register
                                                                 for Paediatrics
                                                                 Gastroenterology) or
                                                                 equivalent / Specialist
                                                                 Registrar with CCST
                                                                 due within 3 months of
                                                                 interview date
                      Investigation and management of          Adult Gastroenterology
                       tertiary paediatric gastroenterology      and joint clinics
EXPERIENCE             disorders

                      Commitment to team approach and          Computing skills
                       multi-disciplinary working
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,
                                                                 progressing and
RESEARCH                                                         concluding research
                                                                 projects leading to
                                                                 publication and further
                      Commitment to participating in and       Evidence of
                       understanding of the management           management training
MANAGEMENT             process

                      Evidence of teaching medical             Organisation of
                       students and junior doctors               (undergraduate and/or
TEACHING                                                         postgraduate)
                                                                 teaching programmes

                      Evidence of ability to work both in a
PERSONAL QUALITIES     team and alone.
                      Flexible approach
                      Satisfactory Immigration Status
OTHER                 Satisfactory Health Clearance
REQUIREMENTS          Satisfactory Disclosure Check


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