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All Post Graduate doctors have responsibility for the management of acute paediatric admissions to the wards and day-to-day running of the wards (Louisa Cary and SCBU) with the support of the attending Consultant of the Week (COW).  They will also assist the wider hospital team by covering the Short Stay Assessment Unit (SSPAU) with the on-call consultant (PAC). They will also assist with resuscitation and treatment of sick children and neonates as appropriate.

• This Post will link across our paediatric specialty inpatient and outpatient areas, covering a 1 in 8 rolling rota 
• To provide a service that is tailored to meet the needs of the individual and to understand what our patients need and be adaptable and responsive in this.
• Being able to support the wider medical team while learning.
• To provide safe, high quality healthcare at the right time, in the right place to support the children of Torbay and South Devon to live their lives to the full.
• Being part of a team with a shared vision of support and empowerment.
• Feeling like you are making a difference.

Louisa Cary Ward is a 22 bed paediatric ward, including 3 Paediatric HDU beds and 6 bedded adolescent area. Attached to this is a Short Stay Paediatric Assessment Unit is open Monday to Friday 9.00-21.00 for the assessment of acutely unwell children referred in by GPs or from the Emergency Department. Lead by the paediatric acute consultant (PAC) with junior tier doctor and nurse practitioner support.

There is a 10 cot Special Care Baby Unit which forms part of the South West Peninsula Neonatal Network.  Neonatal resuscitation, stabilisation and intensive care provided prior to retrieval of very premature and sick infants by Peninsula Retrieval Team. Routine neonatal care provided in Torbay for the premature infants of 30 weeks and above.

Outpatient facilities include 5 clinic rooms, hosting extensive specialist clinics supported by visiting tertiary specialists. The John Parkes Unit Child Development Centre provides means for multidisciplinary assessment and management of children with developmental impairment. There is a Children’s community nursing team caring for those with life limiting/life threatening conditions. Peripheral clinics are undertaken in a variety of community hospital and special school settings.

Specialist Paediatric Clinics

Children requiring specialist medical input are cared for with the support of lead local paediatricians and visiting tertiary specialists. Regular local clinics are scheduled and provide opportunities for teaching and development of specialty interests.  New referrals are triaged into appropriate outpatient clinic streams by consultants.

Community Paediatrics

Our Community clinics are in geographically based localities, including some clinics held at allocated Special Schools. The community consultant team have a rota to triage community referrals or provide advice where appropriate.

Integrated Care Organisation

Torbay and South Devon NHS Foundation Trust has recently become one of the first vertically-integrated health and care organisations in the country.

There is a commitment to an ambitious and inclusive vision to improve health and well-being for the population from all local stakeholders across health and social care and that vision has been awarded Pioneer status by NHS England. The development of an Integrated Care Organisation (ICO), through the acquisition of Torbay and Southern Devon Health and Care NHS Trust by South Devon Healthcare NHS Foundation Trust has now taken place and is one of the major enablers in the transformation of services, and developing a new approach to health and social care.

The ICO allows us to radically re-think and re-shape the way we deliver care, free from traditional organisational constraints.  We will develop and redesign services that meet the needs of our local population and that are co-ordinated and integrated in ways that benefit service users. We will develop services that are responsive and flexible and which link, without break, with services of our partner organisations such as primary care and mental health services.

Opportunities to be part of designing and delivering innovative new services in Torbay and South Devon, including more integrated and streamlined care pathways for patients, is available to all current and newly appointed staff.