Alder Hey Children's Hospital NHS Foundation Trsut
TITLE: SPECIALTY REGISTRAR IN PAEDIATRIC RADIOLOGY
This appointment is for a sub speciality training placement in Paediatric
Radiology, which is available from 1st September for a 12 month period. The
post is fully accredited by the Royal College of Radiologists.
1. THE TRUST
Alder Hey Children's Hospital NHS Foundation Trust is a major teaching
hospital of the University of Liverpool. It serves not only the local population
of children, but is the tertiary referral centre for children from Merseyside,
Cheshire, parts of Lancashire, Shropshire and North Wales for many sub-
specialties of paediatrics. The Trust provides a range of community services
including school nursing, home carers and a child development centre. A
child and adolescent mental health service is also provided with an inpatient
unit based at the Trust. The hospital has approximately, 270 beds, including
day beds for surgery. The paediatric services and expertise within the
hospital are considerable and include paediatric ophthalmology, cardiology,
cardio-thoracic surgery, neonatology, neurology, neurosurgery, audiology,
nephrology, respirology, oncology, trauma, general surgery and general
medicine. The radiology department provides all imaging modalities, including
nuclear medicine, CT and MRI.
A purpose-built Education Centre is situated on the hospital site and is
available for all postgraduate educational activity.
There are 5 Care Groups within the Trust, namely: -
• Community Child Health Services and Mental Health
• Medical Care Group which includes Accident & Emergency and
• Surgical Care Group which includes Paediatric Intensive Care Unit
and Cardiology Department
• Clinical Support Services Care Group which includes Laboratory,
Radiology and Pharmacy Services
• Corporate Services Care Group which includes Finance, Human
Resources, Communications, Fundraising, Hotel Services, Estates,
Risk Management etc.
2. THE DEPARTMENT
The Department of Radiology is on the ground floor of the hospital. It
currently has three general rooms, one fluoroscopy suite, one ultrasound
suite with 2 couches, a spiral C.T. scanner, an M.R. scanner, a bone
densitometer and a Radionuclide Imaging Department.
Off site, within the Theatre complex, there is a Cardiac Angio Suite with
biplane facilities. This room is shared between the Cardiologists and the
Department of Radiology and all angiographic procedures take place within
The department performs approximately 66,000 examinations per year. The
workload can be split as follows:
1. Catheter suite: 600 examinations
2. Fluoroscopy/theatre work: 3400 examinations
3. CT scanner: 2500 examinations
4. MRI unit: 4500 examinations
5. General X-ray: 45,000 examinations
6. Ultrasound: 8000 examinations
7. Nuclear Medicine: 2500 examinations
8. Bone Densitometer: 180 examinations
Cover is also provided for the neonatal unit at Liverpool Women's Hospital.
(Approx. 1500 examinations per year)
Patient Archiving and Communication System installed and active since June
2007 in conjunction with CRIS radiology reporting system. Voice activated
dictation is currently being installed.
Medical Staffing and Special Interests:
Dr Laurence Abernethy, Consultant Radiologist -Vascular, interventional,
oncology & neuro radiology
Dr Nik Barnes, Consultant Radiologist and Clinical Director – radioisotope
and musculoskeletal imaging
Dr David Pilling, Part time Consultant Radiologist – neonatal & fetal imaging
Dr Mohamed Tawil, Consultant Radiologist – Cardiothoracic and fetal imaging
Dr Caren Landes, Consultant Radiologist and Clinical Tutor - Musculoskeletal
imaging and imaging in NAI.
Dr Andrew Healey, Consultant Radiologist – vascular and interventional
Dr Gurdeep Mann, Consultant Radiologist – renal and fetal imaging
Dr Shivarama Avula, Consultant Radiologist – head and neck and
In addition to the holder of this post, there are usually attached to the
department three rotating Specialist Registrars from the Mersey and North
Wales training schemes, each of whom is in the Department for a three
For the duration of the post there will also be a supernumerary part time
Fellow working 6 sessions.
Mrs Sue Fisher - Radiology Manager
Mrs Gillian Hughes - Superintendent (C.T. and MRI)
Mrs Joan Blundell - Superintendent (Nuclear Medicine)
Mrs Hilary Stowbridge - Superintendent (General Radiography)
Senior I Radiographers - 11 WTE
Senior II Radiographers - 12 WTE
Mrs Janet Boner - Office Manager
A&C staff - 9 WTE
The Specialist Registrars in Radiology share an office with Internet and
General Equipment: The three general radiology rooms are equipped with
extended bucky tables and generator equipment suitable for children. In
addition, there are facilities for dental radiology and a cephalostat.
Fluoroscopy: Siemens Fluoroscopy unit installed in April 2009.
C.T. Philips MX 8000 IDT (16 slice) installed January 2004.
M.R.I. Philips 1.5 Tesla Achieva (installed in October 2005).
An intraoperative 1.5 Tesla MRI scanner will be installed in 2009 for neuro
Ultrasound: Currently installed are two Phillips iU22 machines with colour
Doppler facility. In addition, there is a mobile Phillips portable ultrasound
machine which the Department of Radiology uses in the operating theatres,
wards and Intensive Care Unit.
Computed Radiography and PACS: The department is equipped with an
Agfa Computed Radiography system and a GE PACS system.
Nuclear Medicine: A single head GE Gamma camera with SPECT facility,
linked to a Nuclear Diagnostics computer system, was installed in May 2003.
Bone Densitometer: Hologic Scanner installed August 2007.
Cardiovascular Imaging Suite: Siemens Artis dBC installed February 2008.
(sited outside the radiology department within the hospital theatre suite
Computing equipment: There are full facilities within the Department for
Powerpoint, Word processing, spreadsheets etc. We also have the ability to
scan slides and x-rays for presentations and teaching purposes, and are
developing a filmless teaching archive.
Other facilities within the Department: The Department has its own Seminar
Room and Teaching Museum. The purpose built Education Centre in the
hospital has an excellent lecture theatre, seminar rooms and library.
The successful applicant will be expected to undertake general reporting,
fluoroscopy and ultrasound, CT and MRI under the direction of the Consultant
Radiologists. There will also be opportunities to assist with vascular and
There is also an opportunity to gain experience in neonatal radiology at the
Liverpool Women’s Hospital.
On-call: the successful applicant will participate in a 1 in 5 on call rota. A
Consultant Radiologist is always available on-call; trainees undertake
emergency reporting and procedures under the direction of, or at the request
of the on-call Consultant. With increasing experience and competence, the
holder of the sub-specialist training post will have the opportunity to take on a
greater degree of responsibility for emergency radiology.
6. PROVISIONAL JOB PLAN
An outline of a typical weekly timetable of programmed activities is as follows, but
this will be flexible depending on service needs, the availability of other staff, and the
special interests of the trainee:
MONDAY Ultrasound / fluoroscopy MRI / CT
TUESDAY Fluoroscopy Personal study
WEDNESDAY Reporting MRI / CT
THURSDAY Vascular / interventional Reporting
FRIDAY Grand rounds / teaching / Ultrasound
On-call arrangements: 1 in 6.
Clinical Radiological Meetings:
Regular Clinical Radiological Meetings are held in the following specialities:
Orthopaedic Child Protection
Skeletal Dysplasia Fetal Dysmorphology
Neonatal (At LWH)
The successful applicant will be encouraged to undertake at least one
There will be opportunities to participate actively in training the rotating
Specialist Registrars in Radiology, and in Undergraduate and Postgraduate
teaching. Dr. Caren Landes is the College Tutor for the department.
9. AUDIT AND CLINICAL GOVERNANCE
The department has an ongoing audit programme which selectively covers
various aspects of paediatric radiology. Presentations are made within the
department from time to time and in addition, to the hospital wide audit
programme. All members of the department are encouraged to be actively
involved in audit. Dr Caren Landes is the Consultant with special
responsibility for audit.
10. PROFILE OF LIVERPOOL
Liverpool is an old established port city which has experienced major
revitalisation in recent years. The city is a cosmopolitan and vibrant centre for
industry and commerce.
The city of Liverpool is compact and is served by excellent links to both the
motorway network and rail services. It is within easy reach of Liverpool and
Manchester airports. Most of its suburbs are within 30 minutes travelling of
the city centre. Liverpool has recently been awarded the prestigious honour
of being the European Capital of Culture 2008.
The city has historically been a centre for the arts and sport. Liverpool's
theatres, concert halls, museums and art collections are nationally
acclaimed. Art galleries, include the Walker and Tate. The Philharmonic Hall
is home to the Royal Liverpool Philharmonic Orchestra. The city is also alive
with a huge variety of independent theatre groups, musicians and artists and
is of course famous for "The Beatles".
As well as its two premiership football teams, Liverpool is home to first class
county cricket and top-level rugby union. The Grand National has made
Aintree racecourse world-renowned. The city also has unrivalled facilities for
participative sport at all levels.
Liverpool is rightly famous for its two cathedrals, but it is also home to two
major universities with a rich and varied academic community. The city can
offer a range of excellent schools in both the independent and state sectors.
The city's recent renaissance, centred on the re-development of the docks
and inner city, has also made Liverpool a centre for tourism with millions of
visitors each year coming to enjoy the city and the surrounding area.
Liverpool is within easy reach of the national parks of North Wales, the Peak
District and the Lake District, as well as the Lancashire and Welsh coasts and
historic cities such as Chester and Lancaster.
12. Service Requirements
The post will be offered on a full time or part time basis.
The successful candidate will be expected to maintain existing service
commitment and comply with Trust performance targets.
The successful candidate will normally be required to either:
a) live within a ten mile radius of the base hospital or
b) within 30 minutes travelling time of the base hospital.
The post holder must be a medical practitioner fully registered with the General
Medical Council. The appointment is subject to clearance by the Criminal Records
Bureau and satisfactory medical screening results, including verification of hepatitis B
Further information concerning the post is available from:
Dr Nik Barnes, Clinical Director (Radiology) Tel 0151 252 5007
Dr. Caren Landes, Clinical Tutor (Radiology) Tel 0151 252 5007