This
is an exciting opportunity to join a paediatric Nephrology department as we
work towards building a new Childrens Hospital in Leeds. There will be the
opportunity to help to shape the future health of children and young people
with kidney disease across Yorkshire and the Humber Region.
The
team provide a comprehensive range of tertiary paediatric nephrology services
including dialysis and transplantation at Leeds childrens hospital. Support is
also provided to all regional hospitals and paediatric departments with regular
outreach clinics. The renal unit is based on a shared specialist ward
(Renal/Hepatology) with 13 beds and an adjacent 5 bed haemodialysis unit, with
a project to increase home haemodialysis.
The
paediatric nephrology consultant team is supported by a full multi-disciplinary
team of specialist nurses, dieticians, psychologist, social workers and play
specialists. They also provide more specialised services.
This post will be based at Leeds General
Infirmary and will deliver 10PAs working alongside a team of 6 consultants (Dr
Joseph McAllister, Dr Hitesh Prajapati, Dr Kay Tyerman, Dr Pallavi Yadav and Dr
Ashish Patel Locum) with a 1 in 6 on call requirement.
Specialist
in-patient services are provided in Leeds Childrens Hospital. Children will
need to come to Leeds for specialised treatments or procedures which include,
renal transplantation, acute kidney injury requiring dialysis, insertion of
long-term dialysis access and problems relating to long-term dialysis, renal
biopsy, specialist imaging and children with complex nephro-urological
conditions. Children with chronic kidney disease require the input of a large
multi-disciplinary team. There is an extensive multi-disciplinary team that
consist of: paediatric nephrologists, paediatric urologists, transplant
surgeons; specialist nurses, dieticians, social workers, pharmacist,
psychologist and play specialists.
Leeds
Teaching Hospitals is one the largest teaching hospital trusts in Europe, with
access to leading clinical expertise and medical technology. We care for people from all over the country
as well as the 780,000 residents of Leeds itself. The Trust has a budget of £1 billion. Our 17,000 staff ensure that every year we
see and treat 1,500,000 people in our 2,000 beds or out-patient settings,
comprising 100,000 day cases, 125,000 in-patients, 260,000 A&E visits and
1,050,000 out-patient appointments. We
operate from 7 hospitals on 5 sites.
Leeds Teaching Hospitals is committed to our process
of redeploying 'at risk' members of our existing workforce to new roles. As
such, all our job adverts are subject to this policy and we reserve the right
to close, delay or remove adverts while this process is completed. If you do
experience a delay in the shortlisting stage of the recruitment cycle, please
bear with us while this process is completed, and contact the named contact if
you have any questions.
Job description
Job responsibilities
1. BACKGROUND
Leeds Teaching Hospitals is one the
largest teaching hospital trusts in Europe, with access to leading clinical
expertise and medical technology. We
care for people from all over the country as well as the 780,000 residents of
Leeds itself. The Trust has a budget of
£1 billion. Our 17,000 staff ensure that
every year we see and treat 1,500,000 people in our 2,000 beds or out-patient
settings, comprising 100,000 day cases, 125,000 in-patients, 260,000 A&E
visits and 1,050,000 out-patient appointments.
We operate from 7 hospitals on 5 sites all linked by the same vision,
philosophy and culture to be the best for specialist and integrated care.
Our
vision is based on The Leeds Way, which is a clear statement of who we are and
what we believe, founded on values of working that were put forward by our own
staff. Our values are to be:
Patient-centred
Fair
Collaborative
Accountable
Empowered
We
believe that by being true to these values, we will consistently achieve and
continuously improve our results in relation to our goals, which are to be:
1. The best for patient safety, quality
and experience
2. The best place to work
3. A centre of excellence for specialist
services, education, research and innovation
4. Hospitals that offer seamless,
integrated care
5. Financially sustainable
Leeds
Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute
Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West
Yorkshire and Harrogate working together to provide the best possible care for
our patients.
By
bringing together the wide range of skills and expertise across West Yorkshire
and Harrogate we are working differently, innovating and driving forward change
to deliver the highest quality care. By
working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a
part of that change.
WYAAT
is the acute sector arm of the West Yorkshire and Harrogate Health and Care
Partnership, one of the largest integrated care systems in the country. The
Partnerships ambition is for everyone to have the best possible health and
wellbeing, and the work of WYAAT, and each individual trust, supports that
ambition.
Leeds
Childrens Hospital
Leeds
Childrens Hospital is one of seven hospitals that as part of Leeds Teaching
Hospital NHS Trust. The Leeds Childrens Hospital is one of the UKs largest
childrens hospitals with state-of-the-art treatments and facilities. It provides
one of the most comprehensive ranges of specialist childrens hospital services
in the country including nephrology, medicine, surgery, gastroenterology,
hepatobiliary, respiratory medicine, cystic fibrosis, neurosciences,
haematology, oncology, paediatric critical care, neonatal services,
rheumatology, allergy, immunology, endocrine and diabetes. The Childrens hospital provides services for
the children of Leeds across the region of Yorkshire and Humber and further
afield.
Our
Mission Statement
To
improve the health and wellbeing of our children and young people by providing
the highest quality of care.
Our
Vision
We
will be the leading provider of healthcare for children and young people in the
north of England, giving them their care and treatment as close to home as
possible. Leeds Childrens Hospital will be a place where children, young
people and families feel welcome and where staff are proud to work.
Our
Goals
Achieve - To achieve the best
clinical outcomes for every child and young person, every time
Focus - To make Leeds Childrens
Hospital the focus of all our service
Lead - To become a leading paediatric
research and training centre in Yorkshire and the North of England
Build - To build partnerships that
will help us to deliver better treatment and care for children and young people
across the North of England
Support - to support our workforce to
improve our service for children, young people and their families
CHILDRENS CSU
General Manger Suzanne Abrahams
Head of Nursing Laura Whelan
Matron Clare Hazlegreaves
Clinical Director Colin Holton
Clinical Lead Pallavi Yadav
Service Manager Suroush Lisle-Pourzyaie
Business Manager Kate Haigh
PAEDIATRIC NEPHROLOGY
The
Leeds Paediatric Renal service provides regional specialist kidney care for
children across East Yorkshire, West Yorkshire, North Yorkshire, and the
Humber. This service is one of 13 designated services for paediatric nephrology
in the UK and one of 10 providing a fully comprehensive service including
transplantation.
There
is an established regional network that includes educational activities
including the annual regional network study day to provide educational updates
and training educational study day and provision of regional guidelines alongside
a network of outreach clinics at 11 other hospitals across the region. Thus,
providing shared care for patients and in-line with the principle of providing
equity of access to quality care as close to home as possible for a population
of children with complex and/or chronic disease (NHS Kidney Care-supported
Improving the standard of care of children with kidney disease through
paediatric nephrology networks, RCPCH 2011).
The
services at Leeds Childrens Hospital are based in the renal unit, inpatient
bed base on L50 and adjacent haemodialysis unit. This is a shared ward with
paediatric hepatology and includes a shared 13 bed base including 8 cubicles (2
with the capacity for haemodialysis). Patients are also routinely care of cared
for on the High Dependency unit and in Paediatric intensive care post renal
transplant. Children will need to come to Leeds for specialised treatments or
procedures which include renal transplantation, acute kidney injury requiring
dialysis, insertion of long-term dialysis access and problems relating to
long-term dialysis, renal biopsy, specialist imaging, renovascular angiography
and treatment and children with complex nephro-urological conditions. This is in addition to the large cohort of
children with chronic kidney disease require the input of a large
multi-disciplinary team
Haemodialysis
The
haemodialysis unit is co-located with the renal inpatient ward (L50). This is a
designated 5 station unit, including an isolation cubicle with a separate
entrance for family and patients. Haemodialysis (haemodialysis and
haemodiafiltration) is delivered in centre with routine haemodialysis delivered
Monday to Saturday (6-day service) with a 7 day/week daytime urgent dialysis
cover. The number of children receiving dialysis ranges from 8-12. Leeds is one
of the KQuIP (Kidney Quality Improvement project) establishing home
haemodialysis and as part of this there is a haemodialysis nursing staff
expansion programme including rotational nursing staff from the ward and an
nurse educator role.
Peritoneal
dialysis
There
is an established peritoneal dialysis programme with patient numbers ranging
from 4-10. There is urology surgical support for catheter insertion for acute
and chronic peritoneal dialysis. There is a training package for carers led by
the specialist nursing team with a combination of in hospital and at home
training. There is ongoing support from the specialist nursing team at home
with electronic access to each dialysis session. There is monthly outpatient
review of all patients receiving peritoneal dialysis in our MDT clinic.
Transplantation
There
is an active transplantation programme in Leeds with an average of 10
transplants per year, with a current cohort of 65 transplant patients under
follow up. There is specialist nursing
support for transplant work up and a comprehensive MDT transplant listing
programme involving nephrologist, transplant surgeons, immunological
laboratory, specialist nurses, psychology and social workers. The transplant
programme is supported by the transplant surgical team Mr Masood, Ms
Martinez-Lopez and Mr Falconer.
Nephro-Urology
There
are close links with the paediatric urology MDT. There is a monthly
nephro-urology MDT to discuss complex cases and a monthly joint nephro-urology
clinic. There is access to non-invasive and invasive urodynamics and an
evolving medical bladders service.
There
are a number of specialised clinics including antenatal counselling, regional
stone service, Tuberosclerosis clinics and joint rheumatology clinics. As well
as specialist renal services, the department also provides secondary referral
care for a large range of paediatric nephrology referrals including urinary
tract infection, haematuria, proteinuria and problems with incontinence
Outpatient
services
In
Leeds the paediatric renal service outpatient clinics are based within
Childrens outpatients in Martin Wing on Leeds General Infirmary site with a
dedicated paediatric play support and phlebotomy service. There are weekly
transplant, general nephrology and chronic kidney disease clinics. In addition,
there outreach joint clinics across Yorkshire and the Humber based in Airedale,
Bradford, Dewsbury, Grimsby, Halifax, Huddersfield, Hull, Pinderfields,
Scunthorpe, York (Scarborough).
Research
Research
is highly valued within Leeds Childrens Hospital; there is a clinical research
facility and support from a team of research nurses and data administrators.
There are strong links with Leeds University. The Renal department are
enthusiastic contributors to multi-centre research, such as PREDNOS, ECUSTEC,
NEPHROS, PLUTO and the SETS aHUS trials. We are consistently one of the top
paediatric centres for recruitment the rare renal disease registry (RaDaR).
The
Renal team
Paediatric
Nephrology Consultants
Dr
Joseph McAllister Consultant
Paediatric Nephrologist
Dr
Hitesh Prajapati Consultant
Paediatric Nephrologist
Dr
Ashish Patel Locum Consultant Paediatric
Nephrologist
Dr
Kay Tyerman Consultant
Paediatric Nephrologist
Dr
Pallavi Yadav Consultant
Paediatric Nephrologist