Consultant in Paediatric Respiratory
New Today
This post replaces an existing post already established in Paediatric respiratory services but can be tailored to a candidates special interests. The respiratory team currently run weekly respiratory and asthma clinics and a number of other joint clinics with other specialities. There are regular clinics for children with difficult asthma, bronchiectasis and those on long-term respiratory support. There are monthly joint clinics with ENT, the neonatal team, haematology and the neuro-disability team.The team also supports PICU, NICU, haematology & oncology (in conjunction with the Royal Marsden Hospital), fetal medicine, paediatric surgery and infectious diseases.
The aim of this post is to contribute to the increasing ambulatory and inpatient capacity of the service at St Georges and further develop the service and its research profile. The post holder will receive referrals from other consultants and specialties, from PICU and NICU, and from General Practice. Patients may be local or from outside the region. There is a 1:4 attending rota for respiratory ward cover with out of hours telephone support. There postholder would not contribute to the general paediatric service. We operate several joint clinics with other specialties including ENT, foetal and neonatal medicine, neurodisability and immunology. We have a growing cohort of children with complex respiratory disorders including those; on invasive and non-invasive long term respiratory support; Our Foundation Trust is at the heart of an integrated healthcare system; one that delivers improved patient care at a community, hospital and specialist setting, supported by a unique and nationally recognised program of research, education and employee engagement.
The aim of this post is to contribute to the increasing ambulatory and inpatient capacity of the respiratory service at St Georges and further develop the service and its research profile. We also aim to provide linked outreach clinics. The post holder will receive referrals from other consultants and specialties, from PICU and NICU, and from General Practice. Patients may be local or from outside the region. The postholder would be expected to take an active role in the investigation of oncology patients with respiratory disorders in conjunction with the oncology and PID services. Similarly, joint care of those with sickle cell. We have a growing cohort of children on invasive and non-invasive long term respiratory support and there are plans to develop a respiratory led transitional care unit.
There is a comprehensive diagnostic service with excellent support from four paediatric radiologists with state of the art facilities for MRI, CT and Ultrasound.
The respiratory service is supported by a dedicated paediatric physiology service with facilities for spirometry, plethysmography and gas exchange and exhaled nitric oxide. The post holder should be competent in performing flexible bronchoscopy for children in the PICU or in theatre. There are close links with ENT for managing children with tracheotomies and those who require rigid bronchoscopy.
At present children requiring chest drains are managed in conjunction with the paediatric surgeons. The surgical team, led by Mr Bruce Okoye also offer VATS for management of congenital lung abnormalities, complex effusions and lung biopsy.
Outpatient Clinics The post holder will participate in the weekly hospital based MDT asthma and respiratory clinics. These clinics are supported by the respiratory nurse specialists, physiologists, physiotherapists and psychology. There is a monthly MDT difficult asthma clinic for CYP identified to require additional support from the Tuesday asthma clinic. It is anticipated that the postholder will contribute to the leadership of this clinic and associated MDTs. The two general paediatricians offer additional level 2 asthma clinics alongside the MDT. There is an expanding team of speech therapists who can offer videofluoroscopy and other feeding assessments. Future developments may include some clinics being held off site in other secondary or primary care facilities within the boroughs. A community based asthma diagnostic hub is being established. Referrals are from primary care, and tertiary referrals from SW London and Surrey Regions. The service also follows up children with congenital lung lesions (CPAMs, CDH and TOF). The aim of this post is to contribute to the increasing ambulatory and inpatient capacity of the respiratory service at St Georges and further develop the service and its research profile. We also aim to provide linked outreach clinics. The post holder will receive referrals from other consultants and specialties, from PICU and NICU, and from General Practice. Patients may be local or from outside the region. The postholder would be expected to take an active role in the investigation of oncology patients with respiratory disorders in conjunction with the oncology and PID services. Similarly, joint care of those with sickle cell. We have a growing cohort of children on invasive and non-invasive long term respiratory support and there are plans to develop a respiratory led transitional care unit.
There is a comprehensive diagnostic service with excellent support from four paediatric radiologists with state of the art facilities for MRI, CT and Ultrasound.
The respiratory service is supported by a dedicated paediatric physiology service with facilities for spirometry, plethysmography and gas exchange and exhaled nitric oxide. The post holder should be competent in performing flexible bronchoscopy for children in the PICU or in theatre. There are close links with ENT for managing children with tracheotomies and those who require rigid bronchoscopy.
At present children requiring chest drains are managed in conjunction with the paediatric surgeons. The surgical team, led by Mr Bruce Okoye also offer VATS for management of congenital lung abnormalities, complex effusions and lung biopsy.
Outpatient Clinics The post holder will participate in the weekly hospital based MDT asthma and respiratory clinics. These clinics are supported by the respiratory nurse specialists, physiologists, physiotherapists and psychology. There is a monthly MDT difficult asthma clinic for CYP identified to require additional support from the Tuesday asthma clinic. It is anticipated that the postholder will contribute to the leadership of this clinic and associated MDTs. The two general paediatricians offer additional level 2 asthma clinics alongside the MDT. There is an expanding team of speech therapists who can offer videofluoroscopy and other feeding assessments. Future developments may include some clinics being held off site in other secondary or primary care facilities within the boroughs. A community based asthma diagnostic hub is being established. Referrals are from primary care, and tertiary referrals from SW London and Surrey Regions. The service also follows up children with congenital lung lesions (CPAMs, CDH and TOF). On average the post holder will perform 2-3 clinics per week except when on ward duty when the clinic load will be reduced.
Other Joint Clinics There are a number of joint specialty clinics. At present, there are monthly clinics with: Mr. Hamid Daya and Mr Prince Modayil (ENT surgeons) managing children with complex airways and tracheostomies Dr Kappos & This post
Dr Irene Hadjikoumi (Consultant in Neurodisability) for children with complex neurodisability and pulmonary issues Dr Chavasse.
- Location:
- London
- Job Type:
- FullTime