Republic of Ireland HSE Consultant Paediatric – Haematology in Connacht Region on a fixed term / permanent basis; working for our client via Workplace Doctors

*** Must have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland – Connacht Region (Galway, Leitrim, Mayo, Roscommon, Sligo, Donegal)
***Speciality: Paediatric – Haematology Paediatrician

*** Duration: 12 months (FREE visa & work permit + relocation package offered)

*** Role: Consultant (6+ years post graduate experience)

*** Start date: ASAP

***IELTS Score of 7.0 Overall (minimum) – Essential

***Exact location details provided on application

*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

Irish Teaching Hospitals and Medical Universities receive great international acclaim & recognition throughout the world, doctors with experience and training in Ireland typically enjoy great success in terms of professional career development & job satisfaction.

Overview

Applications are welcomed from enthusiastic and motivated individuals to join the established, friendly team of 5 paediatric haematologists at the University Hospital of our client in Connacht

The paediatric haematology department at the hospital provides all aspects of clinical haematology and laboratory care to the paediatric population of Connacht and West / North West of the Republic of Ireland. The department is comprised of a Treatment Centre for malignant haematology; JACIE accredited Stem Cell Transplant Unit; Regional Haemoglobinopathy centre; and Paediatric Haemophilia Comprehensive care centre. It is envisaged therefore that in addition to the above subspecialty responsibilities that the new post holders will also contribute to additional subspecialties, according to their interests and the needs of the department, to include benign, malignant and laboratory haematology.

Haematology / Paediatric Haematology Department

The Haematology Department at the Hospital is the regional and tertiary referral centre for children and young people with malignant and chronic blood disorders, providing a comprehensive paediatric laboratory and clinical haematological service to the hospital and to the region. It works closely with the paediatric oncology department at hospital and manages its own departmental governance and finance within the BSC (Blood, Stem cell, Cancer) board group. The department is managed within the Division of Neurosciences and Haematology/Oncology.

The haematology department manages all aspects of malignant, benign and haemostasis/ thrombosis paediatric haematology. It is one of the largest Principle Treatment Centres (PTC) for paediatric haemato-oncology in the region; a JACIE accredited centre for Stem Cell Transplant; regional centre for haemoglobinopathy; and Paediatric Haemophilia Comprehensive Care Centre.

The department has strong research links with the Universities. There is a well-established infrastructure for the management and provision of early phase clinical trials, in which the department has a particular interest.

Consultants:

The new post-holders will join the team of 5 established paediatric haematologists at the University Hospital. The current consultant team have subspecialty interests as detailed below. Departmental roles are rotated through the consultant team according to individual interests with the clinical lead role usually held for a maximum of 3 years at one time. Several of the consultants also have external/ National roles to complement their local roles and responsibilities.

Middle grade provision:

Funding is provided for up to 10 middle grade (registrar level) training posts in haemato-oncology (divided as in malignant haematology, benign haematology, 2 in SCT, 3 in oncology). At present, 3 haematology trainees are provided from the CPSP / HSE Rotation Haematology at any one time, on a rotational basis. At least 1-2 of these trainees may be specialist paediatric haematology trainees who will spend a minimum of 2 years at the hospital. Adult haematology trainees are fully integrated into ward work and on-calls and spend 6 months at the hospital for paediatric haematology training. There is provision for 3 paediatric oncology trainees at one time. These may be oncology trainees (usually 1-2) or paediatricians in training, often with a special interest in shared-care haemato-oncology. Further middle-grade posts are filled by overseas clinical fellows and we have established a highly successful fellowship programme where fellows from all over the world have come to train with us for up to 2 years.

Additional medical and nursing staffing:

Three SHO doctors are rotated to haematology/oncology for 6 month blocks as part of the regional paediatric training posts. Additional support is provided by 2 acute ward based Advanced Nurse Practitioners (ANPs), 4 outpatient based specialist ANPs (in leukaemia, haemoglobinopathy, haemostasis and apheresis) and by a specialist anticoagulation nurse.

Specific Duties

1 (10 PA) consultant post is  proposed. One is a replacement post for the current post holder who is retiring, and would include subspecialist responsibility for haemostasis/ thrombosis together with the haemophilia centre lead. The other is a newly created post with proposed subspecialist responsibility for Stem Cell Transplantation and apheresis, together with the existing SCT consultant team. Further subspecialty responsibilities are expected to be taken on by the successful candidate(s) according to their interest and the departmental needs, but it is envisaged that at least one of the posts will include malignant haematology as a subspecialty interest. Other areas for consideration and development would include general/ benign haematology. Further discussions between prospective candidates and the existing consultant team of subspecialty areas of interest and for development would be welcomed. There is ample opportunity for research and teaching.

The unit operates a consultant led service, with the on-service consultants undertaking a minimum of 2 consultant-led ward-rounds per week, and otherwise readily available for patient review and clinical advice. Two handovers are performed each day, involving on-service consultants, middle-grade doctors and senior nursing staff from the ward and day-unit, to ensure a high level continuity of care. After-hours care (1730-2030) is provided by one of the haemato-oncology registrar level doctors, with the assistance of an SHO doctor. Following that, there is a hospital at night cover system of one covering SHO doctor, supported by an RMO (Medical Officer). Two consultants are on-call from home (one oncology consultant, one haematology consultant), and should always be readily available by telephone and prepared to come into the hospital as necessary.

The majority of outpatient clinics are consultant led (exceptions being the ANP led vincristine clinic and the ANP led haemoglobinopathy clinic) and each consultant has a clinic each week in their sub-speciality interest (equating to 2 clinics per week). At present the clinics are continued when the consultant is on service, however it is envisaged that with the expansion of the haematology consultant numbers that at least one clinic per week will be cancelled when on-service.

Practical procedures of bone marrow aspirates and intrathecal chemotherapy are rarely performed by the haematology consultants, however it is expected that these skills are maintained and each consultant is expected to be re-accredited to prescribe and administer intrathecal chemotherapy each year. Bone marrow harvests are undertaken by the SCT consultant team.

All haematology consultants are expected to cover the laboratory service, for the reporting of blood films and bone marrows, on a rotational basis.

On-call is run as a first-on and second-on system with the clinical oncologists. With haematology consultants in post this would equate to a 1:7 weekday first on-call, 1:7 weekday second on-call, 1:7 weekend first on-call, and 1:7 weekend second on-call. Theweekend on-call service comprises 2 consultants, a middle-grade (registrar level) doctor (0830-2030) and a SHO doctors (0830-2030). Both consultants meet for handover at 0900 with the middle-grade doctors, followed by a clinical review of all the ward patients, with the second-on consultant handing over and leaving at 1300 and the first-on consultant finishing when the ward-round and reviews are completed. The haematology consultant also covers the laboratory for anticoagulation advice and dosing.

All consultants are responsible for the professional supervision and management of junior medical staff. If appropriate, the successful candidates will also be planned to take on the role of education supervisor for a named junior doctor on rotation.

All consultants are expected to engage with continuing medical education, the trust’s Moodle updates and clinical audit within the department.

Cross-cover of consultant colleagues is expected for periods of annual/ study leave and sickness.

Teaching Commitments

·       regular commitments to ward based teaching of undergraduates.

·       participation in the lecture programmes for 2^nd and 4^th & 5^th year medical students.

·       teaching of other groups as required including other specialty juniors and specialist nurses.

Job Plan

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Paediatric Consultant, on behalf of the Trust’s Medical Director, based on the provisional timetable. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.

It will be reviewed at 3 months & thereafter annually or at any time, but no less than 3 months after a previous review, as requested by the appointee, Operational Medical Director or Clinical Lead & adjusted accordingly to the agreement of both parties.

Provisional Time-table SCT (+ additional subspecialty to be decided- current timetabled activities in italics):

Provisional Time-table Haemostasis/ Thrombosis (+ additional subspecialty to be decided- current timetabled activities in italics):

Standard Duties and responsibilities

a) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan  and in line with policies as specified by the Employer.

b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.

c) To work within the framework of the hospital / agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply.

d) To co-operate with the expeditious implementation of the Disciplinary Procedure 

e) To formally review the execution of the Clinical Directorate Service Plan with the Clinical Director / Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director / Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan.

f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures.

g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.

h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training.

i) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care.

j) To participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty / sub-specialty is involved in the selection process. 

k) To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory and corporate policies and procedures.

l) To participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery

Service Provision and Cover during Absences

The consultant has a continuing responsibility for the care of patients in his/her charge and for the proper functioning of the service allowing for appropriate delegation for the training of his/her staff.

He/she must be available by telephone and able to attend the hospital in a timely fashion when on-call (40 minutes journey time).

Consultant staff must ensure that services are covered during his/her planned absences. Where fixed commitments need to be cancelled during planned absences appropriate notice (8 weeks) must be given. Absences must be co-ordinated with other consultant staff in the specialty to ensure senior cover is always available.

Essential Requirements

This post is open to doctors who hold Registration as a Specialist in the Specialist Division of the Registrar of Medical Practitioners maintained by the Medical Council in Ireland in the specialty of Paediatric – Haematology

Office Accommodation

The post holder will undertake administrative work associated with their clinical and other professional duties.  Adequate time and facilities for clinical administration, including appropriate office space, secretarial support and access to a personal computer, software & internet access, will be available.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant  will offer mentoring support and lead the existing clinical team through; joint clinics, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

If you are interested in working in growing your career and increasing your income, then talk to our healthcare team today. If you can fill the above requirements, we will give you the following benefits:

*** Visa & Work Permit for FREE!

*** Guidance, Training & Career Development

*** Dedicated & Supportive team- Consultant available when you need.

*** Excellent Basic Pay, Overtime paid for extra hours
***Assistance provided with relocation

The hospital welcomes all applications irrespective of age, disability, gender, sexual orientation, race or religion- essentially the applicant must meet the criteria mentioned above

We look forward to helping you progress your career and find you the ideal position.

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Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to info@workplacedoctors.co.uk  or apply online today (see below).

***Please note due to the high number of applications, we do answer every application in turn.***