ST GEORGE’S UNIVERSITY HOSPITAL

CHILDREN’S SERVICES

Job Title: Locum Consultant in Developmental Paediatrics

Band: Consultant

Hours of Work: Full Time: 8 PAs

Contract Length 12 Month Fixed Term

Service Centre/Directorate: Children’s Services

Base: St George’s University Hospital

Accountable to: Clinical Director for Children’s Services

Reports to: Care Group Lead Neuro-Developmental & Neuro-Disability (NDND

Care group)

Key working relationships: Multi-disciplinary Team

Consultant Body
Paediatric Junior Doctors
Administrative Staff
Children’s Services Management Team
Outpatient Staff

Job Summary:

This is an exciting opportunity for a 12month fixed term consultant to join a well-established
neurodevelopmental and neurodisability team a St George’s University Hospital NHS FoundationTrust and
meet rising demand in most of our specialist teams within Neurodevelopmental Paediatrics and the Looked
After Children (LAC) Services. The successful candidate will work across and deliver care for the LAC,
Developmental Paediatrics, ADHD and ASD sub-specialties.

This post is part of the NDND (Neuro-Developmental & Neuro-Disability) care group within the Children’s
Directorate. Within the NDND care group the following services are included: Developmental Paediatrics,
Educational Paediatrics, ASD, ADHD, Looked after Children, Neurodisability and District Epilepsy. There are
8 consultants and associated staff. The team is integrated with the other paediatric services in St George’s
hospital, which is unique and provides excellent links with other specialities. The Paediatric Directorate has
a strong ethos of peer support and professional development. The developmental team is based with the
other specialty teams on the St George’s Hospital campus where the post holder will have an office, IT,
clerical and secretarial support.

The team hold a GRID post in Community Paediatrics and regularly has ST3 trainees attached to the team.
Occasionally, other training degrees join the department.

Role of the Department:

Looked After Children

The Looked After Children’s Health Team works in close partnership with the Local Authority, London
Borough of Wandsworth (LBW). Effective joint working arrangements between the LBW and SGH are in
place to ensure that the health and well-being of children in care are promoted and that all children receive
timely Initial Health Assessments (IHAs), Review Health Assessments (RHAs) and dental checks that are in
line with the Standard Operating Procedures (SOPs).
The Local Authority is responsible for around 320 Looked After Children. There are approximately 200 new
accommodations each year.

Neurodevelopment, Neurodisability and Epilepsy

St George's Hospital has a dedicated paediatric outpatient department and a Child Development Centre for
children with complex neurodisability and/or neurodevelopmental needs with input from clinical psychology,
occupational therapy, speech and language therapy, physiotherapy. There are also excellent links with
paediatric neurology, clinical genetics, orthopaedics, respiratory paediatrics, audiology, ENT and child &
adolescent psychiatry including the learning disability team.

The Neurodevelopmental Paediatric Service is the largest sub speciality service within the NDND care group
with approximately 1000 new referrals into the service in a year. Children are seen for developmental
assessments at secondary Paediatric clinics at St George’s Hospital site and in community outreach clinics.
All consultants have admitting rights and access to facilities for investigation at St George’s Hospital.
Wandsworth has developed special schools and units/resource bases for learning and physical disability,
emotional and behavioural problems, visual and hearing impairment and autism.

Close by is the Early Years Centre (EYC), a joint Health and Local Authority service catering for children with
special needs up to 8 years of age. Co-located in the EYC are Contact, who provides a wide range of support
services and the Wandsworth Autism Advisory Service (WAAS). The EYC currently provides a range of
assessment and outreach services It has a particular role in relation to children with Autistic Spectrum
Disorders and other communication disorders who make up the majority of the children assessed in the form
of a multidisciplinary assessment with a team of highly specialist Speech and Language Therapists. The ASD
service has undergone a lot of transformation since 2020 and has improved the assessment experience and
impact on waiting times. The ASD service is in line with the NICE guidelines.
The specialist ADHD service manages about 900 children assessing around 150 new patients per year. The
service is supported by two ADHD nurse specialists. A multi-disciplinary meeting is held weekly.

The Special Educational Needs and Disabilities (SEND) service for children with special educational needs
has very good relationships with the Education and Social Services. The department contributes medical
assessments for more than 300 children per year undergoing assessment for Education, Health and Care
Plans (EHCPs), we collaborate with the therapists’ team and communicate with other Paediatric specialties
and CAMHS to ensure that a bespoke comprehensive medical/health plan is assembled for each child to help
the children achieve their potential in learning.

The Complex Neurodisability service cares for children with cerebral palsy, Down syndrome, neuromuscular
disorders, progressive neurological conditions and neurodevelopmental problems requiring investigation.
Joint neurology, joint orthopaedic and joint respiratory clinics are held at regular intervals. Transition
neurodisability clinics are held with the adult neurology consultant specializing in spasticity to ensure a smooth
transition of paediatric neurodisability to adult neurology service. The service is supported by a neurodisability
nurse specialist.

The second tier ( District) paediatric epilepsy service at St George’s Hospital (assessing over 100 new
patients per year), is provided by 2 consultants from the Neurodisability/Epilepsy specialist team. There are
well established joint neurology clinics and epilepsy transition clinics with the adult epilepsy neurologists. The
service is supported by an Epilepsy Nurse Specialist.

Child Safeguarding
Responsibility for providing medical examinations for children with safeguarding concerns is now shared
between the Accident & Emergency department and the General Paediatric Ambulatory Team.

Children thought to have suffered acute child sexual abuse are referred to the specialist regional centre based
at King’s College Hospital (the Haven).

Children for whom there is concern about possible chronic sexual abuse or who require follow up are seen in
a dedicated clinic run by the Designated Doctor for Child Safeguarding in conjunction with one of the
Developmental consultants and, where indicated, with support from the genitourinary medicine team.
The Designated Doctor for Child Safeguarding is the lead medical advisor liaising with the Designated Nurse
for Child Safeguarding and the Named professionals within St George’s. The Designated Doctor is co-located
with the Developmental Team and works very closely with the department providing clinical support and
advice.

A full list of St George’s Children’s Services Consultants is located at the end of this document.

Educational Activities
There are a number of departmental meetings. These meetings frequently involve members of other
disciplines. There are also separate meetings run by the neonatal, infectious diseases, community and
neurology teams.

There is a regular programme of audit meetings.

There are very active programmes of clinical and research meetings in other departments throughout the
medical school. All staff are invited to attend.

Teaching
The Trust is a major centre of undergraduate and postgraduate teaching. The post holder will be expected
to contribute to the educational activities of the department. A paediatric advanced life support course has
recently been established and a simulator suite has been set up in the postgraduate centre.

Research/Special Interest
There is much on-going research and collaboration with other departments. Research will be encouraged,
and it is hoped the appointee would wish to take advantage of the facilities available.

Administrative Support
Secretarial/administrative support is already established in the unit. Dedicated office space, telephone,
computer etc. is available within the unit.

Responsibilities of this post:

Clinical responsibilities of this post:

1. Clinical Role
Provide clinics for the assessment and management of children with suspected
neurodevelopmental delay or disorders including ADHD, ASD and SEND
Participate in the weekly referrals triage meetings

2. Managerial Responsibilities
Supervise junior staff

3. CPD, Audit & Clinical Governance

Participate in CPD activity
Support on-going audit within the care group
Observe the clinical governance requirements of the post

This is a service focussed role. The precise job plan and clinics will depend on the skills and
experience of the successful applicant and in negotiation with the relevant Clinical Leads and
Care Group Lead.
Job Plan: PAs

Developmental specialty clinics 7.0

+ clinic related administration ( DCC)

Clinical governance, audit, CPD, 1.0

management etc ( SPA)

TOTAL 8.0

Within the St George’s University Hospitals NHS Foundation Trust all job plans are reviewed annually through
the job planning process.

Mon Tue Wed Thurs Fri

Developmental LAC clinic CRA alternate Developmental
Clinic alternate week week Clinic

Speciality clinic MDT alternate

alternate week week
CRA CRA SPA CRA

The above job plan is illustrative only and subject to discussion with the Care Group Lead. The days worked
are open to discussion.

The post conforms to the European Working Time directive.

Trust Vision & Values:

The post holder is expected to have a clear understanding of how this post contributes to the achievement of
the trust vision of:

A thriving Foundation Trust 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
programme of research, education and employee engagement.

We expect all our staff to share the values that are important to the Trust, being Excellent, Kind, Responsible
& Respectful, and behave in a way that reflects these.

St George’s University Hospitals NHS Foundation Trust is committed to safeguarding children and vulnerable
adults and expects that all staff will share in this commitment. The Trust is clear that all staff have a
responsibility to be aware of children and adult safeguarding policies and procedures and that each member
of staff, clinical and non-clinical, will attend child or adult safeguarding training that is provided at an
appropriate level to suit their role. The Trust has the additional expectation that all staff will be able to identify
concerns and know what action to take.
This job description is not an exhaustive document but is a reflection of the current position. Details
and emphasis may change in line with service needs after consultation with the post holder.
 Further Information about St. George’s University Hospital NHS Foundation Trust

Staffing of the Department

NDND Consultant Paediatricians and SAS doctors

Dr I Hadjikoumi Consultant Paediatrician, Neurodisability & Epilepsy (Care
Group Lead)
Dr M Ghazavi Consultant Paediatrician, Neurodisability & Epilepsy
Dr D Deshmukh Consultant Paediatrician, Clinical Lead for
Neurodevelopment, also involved in ASD and ADHD/
Governance lead
Dr P Green Designated Doctor for Child Safeguarding
Dr S Haywood Consultant Paediatrician, Clinical lead for ADHD & also
involved in Neurodevelopment
Dr P Hudson Consultant Paediatrician, ASD clinical lead and also involved
in Neurodevelopmental
Dr A Washington Designated Doctor for Looked After Children, Medical
Advisor for Adoption (currently on sick leave)
Dr Alia Osman Consultant Paediatrician, Designated Doctor for SEND, also
involved in Neurodevelopmental and ADHD
Dr Vas Srikantha Associated specialist, Developmental Paediatrics
Dr Philippa Singer Specialty Doctor
Dr Jaspreet Sokhi Speciality Doctor

Other Children’s Services Consultants

Consultant Paediatricians and Specialists at St. George’s Hospital

General Paediatrics
Dr Atefa Hossain General Paediatrics, Safeguarding
Dr Luci Etheridge General Paediatrics, CAMHS Liaison + Medical Director
Dr Pushpa Subramanian General Paediatrics, Neurorehabilitation and Neurodisability
Dr Sophie Vaughan General Paediatrics and Allergy
Dr Emma Sage General Paediatrician/Haematology and Oncology(Care Group
Lead)
Dr Marianne Leach General Paediatrician
Dr Harry Doherty General Paediatrician
Dr Rajashree Ravindran General Paediatrician
Dr Charlotte Stockley General Paediatrician
Dr Dieudonne Birahinduka General Paediatrician
Dr Jane Runnacles General Paediatrician /Governance Lead
Dr Simon Buckley General Paediatrician

Respiratory

Dr Richard Chavasse Respiratory / Asthma

Dr Alexia Kappos Respiratory/ Asthma ( Care Group lead)
Dr Andres Almario Respiratory/ Asthma
Dr Ema Kavaliunaite Respiratory/ Asthma

Allergy
Dr Anne Christopher Asthma / Allergy
Dr Rosy Wells Allergy

Endocrinology and Diabetes

Dr Assunta Albanese Endocrinology
Dr Evelina Paraskevopoulou Endocrinology
Gastroenterology
Dr Thankam Paul Gastroenterology and Nutrition
Dr Nkem Onyeador Gastroenterology and Nutrition
Dr Attah Ocholi Gastroenterology and Nutrition (Clinical Director)
Dr Rajat Kapoor Gastroenterology and Nutrition

Haematology and Oncology

Dr Alison Thomas Haematology
Dr Rubina Malik Haematology

Infectious Diseases
Dr Katja Doerholt Infectious Diseases / HIV / TB
Prof Paul Heath Infectious Diseases / Immunology
Dr Amaya Bustinduy Infectious Diseases
Prof Kirsty LeDoare Infectious Diseases
Dr Simon Drysdale Infectious Diseases
Dr Laura Ferreras Antolin Infectious Diseases

Intensive Care
Dr Anami Gour Intensivist
Dr Buvana Dwarakanathan Intensivist
Dr Caroline Davison Paediatric Anaesthetist
Dr Jonathan Round Intensivist and Educationalist
Dr Nick Prince Intensivist
Dr Soumendu Manna Intensivist (Care Group Lead)
Dr Dilanee Sangaran Intensivist
Dr Maria (Maeve) O’Connor Intensivist

Neonatal Unit
Dr Anay Kulkani Neonatology
Dr Charlotte Huddy Neonatology (Care Group Lead)
Dr Donovan Duffy Neonatology
Dr Justin Richards Neonatology
Dr Nasreen Aziz Neonatology
Dr Nigel Kennea Neonatology
Dr Sijo Francis Neonatology (Clinical Director)
Dr Sandeep Shetty Neonatology
Dr Amy Reid

Neurology
Dr Antonia Clarke Neurology
Dr Penny Fallon Neurology
Dr Tim Kerr Neurology
Dr Samantha Chan Neurology
Dr Luigi D’Argenzio Neurology

Paediatric Surgery
Mr Bruce Okoye Paediatric Surgery
Mr Chandrasen Sinha Paediatric Surgery
Mr Eric Nicholls Paediatric Surgery
Mr Feilim Murphy Paediatric Urology
Mr Zahid Mukhtar Paediatric Surgery
Mr Dean Rex Paediatric Surgery
Ms Kathryn Evans Paediatric Urology (Care Group Lead)
Ms Shabnam Parkar Paediatric Surgery
Ms Katherine Burnand Paediatric Surgery
Paediatric ENT
Mr Hamid Daya Paediatric ENT / Airway
Miss Nneka Eze Paediatric ENT / Airway
Mr Prince Modayli Paediatric ENT / Airway

Paediatric Orthopaedics
Mr Neel Mohan Paediatric Orthopaedics
Ms Yael Gelfer Paediatric Orthopaedics
Ms Anna Bridgenes Paediatric Orthopaedics
Ms Andrea Yo Paediatric Orthopaedics

Paediatric Neurosurgery
Mr Simon Stapleton Paediatric Neurosurgeon
Ms Samantha Hettige Paediatric Neurosurgeon
Mr Navneet Singh Paediatric Neurosurgeon

Paediatric Spinal Surgery

Mr Tim Bishop Spinal Surgery
Mr Darren Lui

Paediatric Anaesthesia
There are 10 paediatric anaesthetists.

Middle Grade
9 ST 4-8: Paediatric Medicine including Gastroenterology, Endocrinology, Neurology, Paediatric
Infectious Diseases (PID), Respiratory, Developmental, and PICU
4 Clinical Fellows in Paediatric Medicine (PID, Teaching and General)

Junior Grade
10 ST 1-3: Paediatric Medicine including subspecialties and PICU, Paediatric Surgery and
Developmental Paediatrics
5 VTS trainees for General Practice – assigned to Paediatric Medicine and Paediatric Surgery
3 F1 doctors in General Paediatrics, PID and Paediatric Surgery
Person Specification & Competences

Job Title: Locum Consultant in Developmental Paediatrics

Factor Essential Desirable

Qualifications Clinical training and experience
and Training equivalent to that required for gaining UK
CCT in relevant Paediatric specialty:
Community Child Health, Neurodisability,
Child Mental Health or General
Paediatrics (candidates within 6 months
of CCT are eligible to apply)

Full registration and licence to practise

with General Medical Council or eligible if
currently working overseas

MRCP, MRCPCH by examination or

equivalent

Level 3 Child Safeguarding training

Experience Considerable experience in Community Publications in peer reviewed

Paediatrics, Neurodevelopmental journals, presentations at national or
Paediatrics and Neurodevelopmental international level
assessment

Ability to take full and independent

responsibility for clinical care of complex
patients

Audit: evidence of understanding of audit

principles and having taken a lead role in
completing at least 2 audit projects in
clinical areas relevant to this application

Skills Be able to demonstrate: Ability to diagnose and manage a

child with ADHD
Effective communicator and team worker
Ability to diagnose and manage a
Ability to conduct a comprehensive
child with ASD
neurodevelopmental assessment of
children with suspected developmental
Ability to review a child and write a
problems with understanding of relevant
SEND/EHCP report
psychosocial factors

Ability to compile a comprehensive report

within defined timescales
 Ability to liaise effectively with other
professionals and agencies to ensure
appropriate treatment and support

Ability to work both independently and as

part of a multiagency team

Knowledge Knowledge of recognised tools for the Familiarity with recognised tools for
assessment of developmental disorders the assessment of suspected ADHD
e.g. Griffiths Mental Developmental and ASD
Scales, SOGS etc.

Understand multiagency working in the

context of safeguarding

Other Active involvement in Continuing Car driver

Professional Development

Ability to be flexible, adaptable, thorough

and resilient

An understanding of equality and

diversity within the workforce and how
can it impact on this post

Ability to share knowledge and difficulties

with colleagues

Able to travel to meet the requirements of

the post