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Detailed job description and main responsibilities

General Paediatrics

Great Western Ward provides the general paediatric in-patient service plus many sub-specialities including allergy, nephrology, neurology, haematology, infectious diseases as well as surgical specialities (general paediatric surgery, orthopaedics, ophthalmology, ENT, and urology). There is support available from Westminster CAMHS.  The patient acuity and complexity is unusually high and many children have severe underlying health problems or neurodevelopmental problems. 

The Paediatric Short Stay Unit (PSSU) provides short stay in-patient care (anticipated to be <72 hours) and ambulatory care.  Patients can be referred for intravenous antibiotics if these cannot be given in the community.  There is a high volume of outpatient reviews including nurse led clinics and GP rapid referrals, and review slots for ENT, dermatology and diabetes.  There is a prolonged neonatal jaundice service which GP’s and midwifes/health visitors can refer directly to.

The Children’s Decision Unit (CDU) based in A+E There are 4 dedicated beds and one cubicle for patients anticipated to have stay <24 hours.

Westway Ward manages day-case procedures, including surgical day cases and radiology investigations.  The pre-operative assessment clerking clinic is led by the Paediatric Surgical FY1 supported by the PSSU ward team and surgical/anaesthetic teams as required. 

Outpatient clinics include general paediatrics and a wide range of sub-specialities.  There is an active child development service with speech & language, physiotherapy and occupational therapists as well as psychologists.

2132 bleep holder/Great Western Ward Registrar

• Responsible for all patients on Great Western Ward (Medical and Surgical)
• Participates in twice daily consultant led ward rounds
• Chairs the Complex Patient meeting on Thursdays, 11.15 A+E Seminar Room
• Supervises STs and FY1s

1264 bleep holder/PSSU Registrar

• Management of short stay patients on PSSU, including A+E referrals
• Management of “hospital at home patients”
• Supervision of Ambulatory, ST and Surgical FYI pre-assessment clinics

Supervision of Prolonged Jaundice Service 

• Assists Great Western Ward SpR as required
• Currently, manages PAU patients as part of role

Paediatric Infectious Diseases (ID)

The registrars are allocated to ward, clinic or other duty weeks, including the microbiology laboratory, where possible in blocks to optimise continuity.

The Inpatient Ward has special facilities for managing children with severe infections. We are a HCID (high consequence infectious diseases) centre, and all staff will be trained in the protocols for caring for  patients with HCID, including simulation training.

The SPR is expected to maintain excellent communication with referring hospitals and GP’s regarding inpatients. The SPR is exepcted to particiapte in the antibiotic stewardship programme. There is also the opportunity to be part of the BMT team and learn about complex infections in this higly immunocompromised population. The ward registrar also carries the Paed ID pager which takes consults for management advice across all areas of paediatrics within the Trust including our Haematology/BMT service, NICU, PICU and external calls for referrals or advice, with support from the attending Paed ID consultant. Day case patients are also referred from other hopsitals for support with management and review.

Much of the clinical work of the department is outpatient based so trainees during their time with the ID unit are encouraged to gain experience of outpatient management of ID patients including the two weekly multi-disciplinary HIV clinics, TB clinic, Inflammation clinics, hepatitis clinics, general infectious diseases and congenital infection clinics. In-patients are managed on Grand Union Ward by one SpR and two ST2-3s.

ICHT has a full program of Post Graduate Education.  The SpR is encouraged to attend and contribute to this program.  It includes weekly Paed ID/PICU combined teaching rounds, antimicrobial stewardship rounds, ID Journal Club, Paediatric Grand Rounds, Hospital Grand Rounds,  and twice weekly multiprofessional clinical meetings with adult ID, microbiology, virology and infection control teams for the Trust. 

The focus of the Academic Department of Paediatrics of the Imperial College School of Medicine is paediatric infectious diseases and immunology. The Department provides a tertiary service in paediatric infectious diseases with a special interest in life-threatening infections, HIV infection, toxic shock syndrome, Kawasaki disease and tropical medicine. The unit has a large research program focusing on HIV management and transitional care, mechanisms and treatment of sepsis, management of viral hepatitis, biology and diagnosis and management of tuberculosis and mechanisms and management of Kawasaki’s and toxin mediated diseases. The Unit has led national and international work on the impact of COVID on children.  The registrar will be encouraged and supervised in research projects relevant to their interests and training needs.

There is a weekly journal club / seminar series, coordinated by the national grid trainee

Paediatric Neurology, Neurodisability and Community Paediatrics

The children's neurology service provides care for children and young people with complex neurological conditions (genetic, congenital and acquired).  The team provide inpatient consultation and outpatient care to children who are referred by their paediatrician or by another specialist with a range of childhood neurological disorders.  They offer opinion in relation to acquired neurological problems, suspected neuromuscular disease, unexplained moderate to severe neurodevelopmental disability and complex headache syndromes.  The team run sub-specialist clinics, including foetal medicine clinics, combined headache clinics (joint adult and paediatric neurology input) and combined neuro-HIV clinics.

The community and neurodisability teams offer comprehensive multidisciplinary and multi-agency services for children with neurodisability, communication disorders, and behavioural problems.  They work in partnership with community and acute service providers in a variety of settings.  Where relevant, the team provides health input for statutory areas of responsibility for education, looked after children, adoption and fostering. 

Paediatric Cardiology

This new post includes protected training time in Paediatric Cardiology.  The post is designed to meet the competencies for the RCPCH special interest module (SPIN) in Paediatric cardiology.  The post holder will obtain skills in congenital echocardiography with a view to obtaining formal EACVI accreditation.  The post holder will have access to education and training opportunities in Paediatric Cardiology at the Royal Brompton and Evelina

Children’s Hospitals.  They will be supported in applying for further training in a Paediatric Cardiology level 1 centre in order to complete their SPIN competencies.

Adolescent Medicine

This post includes protected training time in Adolescent medicine and is designed to meet the competencies for the RCPCH special interest module (SPIN) in Adolescent Medicine. The post holder will join adolescent transition clinics in rheumatology, haematology, infectious diseases amongst others. They will attend the weekly adolescent “Big Room” with colleagues cross disciplines/specialties meeting with young people to improve services. West London Children’s Healthcare is developing a series of initiatives, projects and service developments across all 3 sites that provide unique training opportunities in addition.