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A formal job plan and timetable will be agreed between the new Post Holder and the Clinical Director, and will be effective from the commencement date of the appointment. 

The post holder will join the Consultant of the Week and Paediatric Admissions Unit rotas 

Consultant of the Week:

This involves covering the Paediatric Wards, Monday to Friday 0830 to 1700hrs. You are present at the 08:30 handover from the night team, and the 16:30 handover to the evening team. During those weeks the post holder is not expected to do routine clinics.

Paediatric Admissions Unit:

This involves covering the Paediatric Admissions Unit, Monday to Friday, 09:00 – 17:00. The Consultant carries the admissions bleep whilst covering PAU. During those weeks the post holder is not expected to do routine clinics. 

General Paediatric and Epilepsy Service Duties

The initial timetable (when the post holder is not on Consultant of the Week rota) is as follows:

Epilepsy Service Duties

• ·         Member of the Paediatric Epilepsy Team working alongside Dr Bolu Akinbiyi (lead) and Paediatric Epilepsy Specialist Nursing Service within and outside outpatients.
• ·         To ensure service remains compliant with NICE Guidelines.
• ·         To see children promptly in outpatients who have a convincing history of epilepsy or those who move into the area with a preexisting diagnosis of epilepsy.
• ·         Be able to provide advice to colleagues looking after children (inpatients or outpatients) who have or might have epilepsy. 
• ·         Willingness to take over the care of children with Epilepsy who fail on first line medication and / or have “difficult to treat” Epilepsy.
• ·         Develop closer working with Clinical Psychology.
• ·         Provide Epilepsy-related education to medical students, doctors in training and to nursing and medical colleagues.  Organise Paediatric EEG meeting (twice per year)
• ·         Ensure local guideline remain up to date.
• ·         To maintain participation in Epilepsy 12 Programme and share findings of Annual Report with the Child Health Department, Trust Audit Department and Trust Management (where applicable).
• ·         Be able to provide specific advice surrounding the use of Sodium Valproate in children and young people to colleagues, parents, and patients. To counsel and complete MHRA paperwork surrounding the use of Sodium Valproate in children and young people, including providing a second opinion and countersigning documentation. To maintain local register of those children and young people on Sodium Valproate
• ·         Develop standard and personalised care plans for those requiring emergency treatment
• ·         Help prepare young people with epilepsy for Transition and attend Transition Clinics.  Work closely with NGH Adult Epilepsy Team to ensure consistency of care
• ·         Work closely with Oxford Regional Paediatric Neurologist (currently Dr Rohini Rattihalli) in care of patients with Complex Epilepsy and ensure prompt access of suitable patients to the CESS (Children’s Epilepsy Surgery Service) pathway.
• ·         Remain up to date with BPNA PET training & attend PET4ward course every 5 years
• ·         Participate in 6 monthly Regional Network / ODN meetings (Oxford Regional Epilepsy Networking Group – ORENG)
• ·         Participate in weekly Epilepsy MDT meeting – this would include service development as well discussions of patients with epilepsy not necessarily under the care of the Epilepsy Team. Patients discussions may cover social and psychological issues as well as medical issues.  It may also involve viewing videos of events in patients uploaded onto the IslaCare system

On call Commitments

The appointee will join 1:8 rota for the paediatric on call team for general paediatrics – there is a separate neonatal rota.

There are both Tier 1 and Tier 2 doctors on site 24 hours a day. The consultant on-site availability varies between winter and summer on-calls as below:

Winter weekday on-calls

From 1^st October – 1^st March the post holder will not be expected to be on-site until 16:00 for the afternoon handover (cancelling clinical commitments on on-call days). They are expected to be on-site from 16:00 – 22:30. They are then able to complete their on-call off-site if the clinical situation allows

Summer weekday on-calls

From 1^st March – 1^st October the post holder will work a normal working day and then attend the afternoon handover. Following this, they are able to complete their on-call off-site if the clinical situation allows

Weekend on-calls

Weekend days are split, with one person undertaking Friday and Sunday and a separate person undertaking Saturday on-call. The on-call will be 24 hours 08:30 – 08:30. The post holder will attend the morning handover at 08:30 and then conduct the ward round on both wards. They can then complete the on-call off-site if the clinical situation allows.