JOB DESCRIPTION &

PERSON SPECIFICATION
Job title: Clinical Fellow in Paediatrics (ST5+)
working in Paediatric Dermatology Department

GOSH profile

Great Ormond Street Hospital for Children NHS Foundation Trust (GOSH) is an international
centre of excellence in child healthcare. GOSH is an acute specialist paediatric hospital with
a mission to provide world-class care to children and young people with rare, complex and
difficult-to-treat conditions.

Together with our research partner, the UCL Great Ormond Street Institute of Child Health,
we form the UK’s only academic Biomedical Research Centre specialising in paediatrics.
Since its formation in 1852, the hospital has been dedicated to children’s healthcare and to
finding new and better ways to treat childhood illnesses.

Great Ormond Street Hospital receives nearly 300,000 patient visits (inpatient admissions or
outpatient appointments) every year (figures from 2018/19). Most of the children we care for
are referred from other hospitals throughout the UK and overseas. There are 60 nationally
recognised clinical specialities at GOSH; the UK's widest range of specialist health services
for children on one site. More than half of our patients come from outside London and GOSH
is the largest paediatric centre in the UK for services including paediatric intensive care and
cardiac surgery.

Through carrying out research with the UCL Great Ormond Street Institute of Child Health,
University of London and international partners, GOSH has developed a number of new
clinical treatments and techniques that are used around the world.

The UK’s only academic Biomedical Research Centre (BRC) specialising in paediatrics is a
collaboration between GOSH and UCL Great Ormond Street Institute of Child Health. We are
a member of University College London (UCL) Partners, joining UCL with a number of other
hospitals – an alliance for world-class research benefitting patients.

In partnership with six other NHS trusts, we are the lead provider for North Thames Genomics
Medicine Centre, part of the national 100,000 Genomes Project.
GOSH at a glance
Job title

Directorate Clinical Fellow in Paediatrics (ST5+) working in Paediatric

Dermatology Department
Band

Supervised by Specialty Lead

Type of contract Fixed term 6 months with possibility of extension

Hours per week 40 basic hours

* Seven Day Working Week

The Trust is moving towards a seven day service in line with

NHS England requirements. As such it is likely you will be
required to work some of your contracted hours in the evenings
and/or at weekends in line with service requirements.

Location Great Ormond Street Hospital – Paediatric dermatology ward –

Pelican and outpatients
 Budgetary responsibility N/A

Manages N/A

Great Ormond Street Hospital Culture and Values

The Trust has developed the Always Values with our staff, patients and families that
characterise all that we do and our behaviours with our patients and families and each
other.

Our Always Values are that we are:

Diversity & Inclusion

Here at GOSH, we believe that improving lives for our patients begins with improving how we
learn, work and grow as colleagues. So, we’re changing. We know that we need to develop a
more inclusive culture where everyone feels seen and heard. By growing an ever more diverse
workforce, we’ll have a greater range of perspectives and knowledge in our GOSH community,
meaning that we can provide the children and young people at our hospital with even better
care. At GOSH we have opportunities for our staff to engage with colleagues through the
following networks: REACH (Race, Ethnicity and Cultural Heritage) ENABLED (Enhancing
Abilities & Leveraging Disabilities Network), PRIDE & Women’s networks.

Main purpose of the job

The post would be ideal for a paediatrician/paediatric trainee/paediatric middle grade who is post
MRCPCH and wishes to acquire unique experience in Paediatric Dermatology. This post will also allow
them to develop their career with paediatric dermatology as a Special Interest. The post holder will
share responsibility for the care of paediatric dermatology in-patients, out-patients and day cases with
the paediatric dermatology SpR and the other fellow. They will also be involved in assessing patients
with paediatric dermatological problems who are under the care of other specialties.
Observation of and active participation in outpatient clinics is encouraged. The post holder would
also be encouraged to take part in clinical meetings, and to present case reports at local, national and
international meetings, as well as in audit and research.

Key working relationships

The paediatric dermatology department provides an in-patient, day case, ambulatory and out-patient
diagnostic and treatment service to children with severe and / or rare disorders involving the skin.
Short and long stay patients are currently cared for on Pelican Ward and Badger ward. Out-patient
clinics take place every weekday.
Special areas of expertise within the department include the management of children with complex
vascular anomalies, congenital melanocytic naevi, morphoea, other mosaic disorders, epidermolysis
bullosa, severe eczema and psoriasis. The department has a very large vascular laser treatment
programme carrying out approximately 700 treatments per year.
The department has close working links with the departments of plastic surgery, ophthalmology,
interventional radiology, rheumatology, psychology, haematology and oncology, and has monthly
histopathology MDT, monthly neurovascular MDT, monthly genetics MDT, quarterly mosaic disorders
MDT and a monthly vascular anomalies MDT.
There is an academic representation at the Institute of Child Health within the division of
Immunobiology, with major programmes of research into congenital melanocytic naevi and
genodermatoses.

Medical Staff
Consultant Specialist Interest
Dr Anna Martinez Epidermolysis bullosa
Vascular anomalies
Genodermatosis
Dr Lea Solman Vascular anomalies
Clinical Lead General dermatology
Dr Mary Glover Vascular anomalies
Dr Natalia Cartledge Allergy
General dermatology
Dr Gabriela Petrof Epidermolysis bullosa
Genodermatoses
Dr Karolina Gholam Atopic eczema
Psoriasis
Dr Veronica Kinsler Congenital melanocytic naevi
Mosaic disorders
Dr Lindsay Shaw Morphoea

Associate specialists:
Dr Samira Syed - Vascular anomalies and laser treatment
Dr D Lomas - General dermatology, morphoea and congenital melanocytic naevi
Dr O’Neill – General dermatology, vascular anomalies

Junior Medical Staff (additional to this post)

One FTE SpR – deanery paediatric trainee
Three FTE paediatric dermatology fellows
Secretarial and Administrative Support
The appointee will have access to a computer terminal and secretarial support for discharge
summaries.

Main duties and responsibilities:

The main clinical duties of the post holder will involve the care of in-patients and day cases with a
wide range of conditions including challenging eczema, infantile haemangiomas, capillary
malformations, genetic disorders such as epidermolysis bullosa and ichthyosis and other vascular
malformations under consultant supervision. There is a weekly skin biopsy list, shared among the
junior doctors. Duties of the post holder will include clerking patients on admission and for procedures
including laser and imaging and ensuring that discharge notifications are completed on time. It will
also involve seeing internal referrals, daycase attenders and dealing with telephone queries from
families and shared care hospitals. There will be opportunities for learning about specialised
treatments and out-patient clinic work.

Weekly timetable of fixed commitments (in addition attendance at one or more outpatient sessions
when ward work permits)

Type of Work
Monday am Ward Planning meeting
Ward work
pm Ward work/clinic

Tuesday am 08.30 meeting: Audit/clinical

outcomes/histology/genetics/
service delivery/teaching
Ward work
pm Ward work and admin
Wednesday am Ward work

pm Monthly psychosocial meeting

Ward work and admin
Thursday am EB ward round
Ward work
pm Ward work
Friday am Ward work
pm Ward work/admin/clinic

Regular hours 08.30-17.00 Mon-Friday. Start and finish times may need to be modified on certain
days depending on clinical requirements.
This job description is intended as an outline of the areas of activity and can be amended in
the light of the changing needs of the service and will be reviewed as necessary in
conjunction with the post-holder.

Other information

Great Ormond Street Hospital for Children NHS Foundation Trust is a dynamic organisation,
therefore changes in the core duties and responsibilities of this role may be required from time
to time. These guidelines do not constitute a term or condition of employment.

The GOSH Learning Academy (GLA)

Staff education and training influences every stage of the patient journey. Be it the
communication skills of the medical secretary planning a patients’ stay, the multi-professional
team caring for them on the ward, the leadership skills of our corporate and operational teams,
or the administrator planning their transport home – each member of staff needs the up-to-
date knowledge, skills, and capabilities to provide our patients with exceptional care. We have
a number of opportunities for staff available through the GOSH Learning Academy:

PERSON SPECIFICATION
This table lists the essential and desirable requirements needed in order to perform the job effectively. Candidates
will be shortlisted based on the extent to which they meet these requirements. Evidence for suitability in the role will
be measured via a mixture of application form, testing and interview.

Assessment
GOSH Culture and Values Essential Desirable
method
Our Always values
 Always welcoming
 Always helpful I/A/T
E D
 Always expert
 Always one team

1) Knowledge and Understanding of diverse

backgrounds and perspectives.
2) Understanding of Diversity and Inclusion challenges
in the workplace.
E
3) Demonstrable contribution to advancing Equality,
Diversity and Inclusion in the Workplace
I
 Academic/Professional qualification/Training
Primary medical qualification - MBBS or equivalent A
E

Full GMC registration with Licence to Practice E A

MRCPCH or equivalent E A

Experience/Knowledge

At least 5 years’ full time experience in Paediatrics E I/A

I/A
Good general paediatric knowledge E
I/A
Evidence of ability to manage sick infants and children E
I/A
Understanding of principles of clinical governance E

Previous experience in Paediatric dermatology D

Published research in peer reviewed journals D

Participation in clinical Audit/research D

Experience of teaching/presentations D

Skills/Abilities

Ability to prioritise clinical needs E

Evidence of multidisciplinary team working E
Computer literate E
Excellent written and oral communication skills E

Criteria Key: Essential: E Desirable: D

Review Method: Application form: A Interview: I Test: T