Is there a national shortage of Paediatric Radiologists? Sophie Swinson and Imran Kasli BSPR Junior Forum November 6th 2014

Introduction Is there a national shortage of Paediatric Radiologists? Several unfilled vacancies around the UK Are posts not being advertised due to perceived lack of applicants? 2 parallel surveys Department survey to assess the number of potential jobs Trainee survey to assess interested future applicants

Method Google Forms Department survey Trainee survey Distributed to BSPR members via email (74 responses) Trainee survey Email to BSPR junior forum members (9 responses) Email to all trainees via RCR (320 responses)

BSPR job survey 2014

Does your centre have any vacancies or potential vacancies in paediatric radiology? 74 responses 54 centres 3 replied don’t know: answers were provided by other colleagues Some discrepancy in answers within centres!

24 Replied YES we currently have a vacancy or a potential vacancy 1 non UK / Ireland excluded (Melbourne Children’s) 23 centres in UK / Ireland Total 33.5 jobs Total 237 PAs

23 centres with vacancies / potential vacancies in UK and Ireland 16 Tertiary Paediatric Centres Alder Hey Brighton and Sussex Bristol Children’s hospital Leeds Children’s hospital Nottingham University Hospital Oxford University Hospital RHSC Yorkhill, Glasgow Royal Aberdeen Children’s Hospital Royal Belfast Hospital for sick children Royal Hospital for sick children Edinburgh Royal Manchester Childrens Sheffield Children’s Hospital St Georges London UHW Cardiff University Hospital Leicester University Hospital Southampton 7 Non Tertiary Paediatric Centres Colchester Cwm Taf ,UHB Dorset County Hospital Harrogate Hospital Hull and East Yorkshire Medway maritime NHS trust University Hospital of Coventry and Warwickshire

23 centres with vacancies / potential vacancies in UK and Ireland 16 Tertiary Paediatric Centres Alder Hey Brighton and Sussex Bristol Children’s hospital Leeds Children’s hospital Nottingham University Hospital Oxford University Hospital RHSC Yorkhill, Glasgow Royal Aberdeen Children’s Hospital Royal Belfast Hospital for sick children Royal Hospital for sick children Edinburgh Royal Manchester Childrens Sheffield Children’s Hospital St Georges London UHW Cardiff University Hospital Leicester University Hospital Southampton 7 Non Tertiary Paediatric Centres Colchester Cwm Taf ,UHB Dorset County Hospital Harrogate Hospital Hull and East Yorkshire Medway maritime NHS trust University Hospital of Coventry and Warwickshire

16 Tertiary centres with a current vacancy or potential vacancy 25.5 jobs 219 Pas Average 8.5 paediatric PAs per job Number of jobs Aberdeen 1 Alder Hey 2 Belfast 2 Brighton 1.5 Bristol 3 Cardiff 1 Edinburgh 1 Glasgow 3 Leicester 1.5 Leeds 2 Manchester (locum) 1 Nottingham 1 Oxford 1.5 Sheffield 1 Southampton 1 St George’s, London 2

Type of job in 16 tertiary paediatric centres Alder Hey Royal Belfast Hospital for sick children Bristol Children’s hospital Royal Hospital for sick children Edinburgh RHSC Yorkhill, Glasgow Leeds Children’s hospital Royal Manchester Childrens Nottingham University Hospital Oxford University Hospital Sheffield Children’s Hospital University Hospital Southampton 3 2 11 Royal Aberdeen Children’s Hospital UHW Cardiff St Georges London Brighton and Sussex University Hospital Leicester

Will the job(s) include paediatric intervention? Alder Hey Oxford University Hospital UHW Cardiff Royal Aberdeen Children’s Hospital St Georges London Royal Belfast Hospital for sick children Bristol Children’s hospital Royal Hospital for sick children Edinburgh RHSC Yorkhill, Glasgow Leeds Children’s hospital Royal Manchester Childrens Nottingham University Hospital Sheffield Children’s Hospital University Hospital Southampton Brighton and Sussex University Hospital Leicester 12 3 1 16 Tertiary paediatric centres

23 vacancies / potential vacancies in UK and Ireland 16 Tertiary Paediatric Centres Alder Hey Brighton and Sussex Bristol Children’s hospital Leeds Children’s hospital Nottingham University Hospital Oxford University Hospital RHSC Yorkhill, Glasgow Royal Aberdeen Children’s Hospital Royal Belfast Hospital for sick children Royal Hospital for sick children Edinburgh Royal Manchester Childrens Sheffield Children’s Hospital St Georges London UHW Cardiff University Hospital Leicester University Hospital Southampton 7 Non Tertiary Paediatric Centres Colchester Cwm Taf ,UHB Dorset County Hospital Harrogate Hospital Hull and East Yorkshire Medway maritime NHS trust University Hospital of Coventry and Warwickshire

7 Non tertiary paediatric centres with a current vacancy or potential vacancy Number of jobs Colchester 1 Coventry 1 Cwm Taf 1 Dorset 1 Harrogate 1 Hull 2 Medway 1

Type of job in 7 non- tertiary paediatric centres 8 jobs Total of 18 PAs Average 2.3 paediatric PAs per job Mixed jobs to include some paediatric radiology sessions No paediatric intervention

9 Replied MAYBE we have a potential vacancy 4 Tertiary paediatric centres Birmingham Children’s Hospital (2) Evelina London Children’s Hospital (1) Imperial College Healthcare (0.5) OLCH Crumlin, Dublin (1) 5 other centres Airdale (0.5) Calderdale and Huddersfield (1) Hampshire Hospitals NHS FT (1) Pinderfields Hospital, Mid Yorkshire (1) Victoria Hospital Blackpool (1) Maybe 9 more jobs

Type of job in 9 centres replying ‘maybe’ 9 centres replied maybe 4 tertiary paediatric centres 2 pure paediatric radiology jobs 1 paediatric intervention 2 jobs with mix of paediatric and other radiology 1 may include paediatric intervention 5 other centres 5 mix of paediatric and other radiology No paediatric intervention

Which hospitals are in a position to advertise?

11 centres which are currently advertising or in a position to advertise a post Number of jobs Aberdeen 1 Alder Hey 2 Belfast 2 Brighton 1.5 Leicester 1.5 Leeds 2 Manchester (locum) 1 Southampton 1 Coventry 1 Dorset 1 Medway 1 Total 15

We asked the other centres: Why are you not currently advertising?

Have you previously advertised and failed to appoint? Advertised all over Europe and the USA on several occasions Locum appointed instead 13 centres replied yes Please give details 3 times Locum cover for maternity leave unappointed Repeated adverts. No applicants Paediatric Cardiology Radiology Post. No suitable applicants No suitable applicants

BSPR trainee survey 2014

Do you have a sub-specialty interest in paediatric radiology? Yes, definitely (47) Yes, maybe (61) Included (327) Respondents (329) Not decided - too early in my training (100) Excluded (2) No, definitely not (119)

Do you have a sub-specialty interest in paediatric radiology?

Not decided / Too early in my training (100 trainees)

Do you have a sub-specialty interest in paediatric radiology?

What type of hospital would you like to work in? (108 trainees)

Where would you like to work? (108 trainees, 140 choices) Scotland Northern Ireland North East North West Yorkshire & Humber 8 2 3 Wales West Midlands East Midlands 18 9 9 12 3 9 Undecided 8 31 East of England London South East South West 20 8

Would you be limited to a particular region or hospital? (108 trainees)

Reason given for being limited to a particular region or hospital Would like to live close to family I'd really like to be somewhere that has paediatric cardiothoracics therefore rather limited! Children at school Limited by partner’s job Due to husbands work, house, family and childcare Family reasons Need academic centre of excellence

Are you taking or intending to take a fellowship / other training?

When is your CCT date? (108 trainees with a paediatric interest)

Senior trainees (29) Teaching Hospital (14) Yes, definitely (21) DGH (5) Undecided (2) CCT 2015 or earlier (29) Teaching Hospital (4) Yes, maybe (8) DGH (4)

Senior trainees - where would you like to work Senior trainees - where would you like to work? (29 trainees, 40 choices) Scotland Northern Ireland North East North West Yorkshire & Humber 2 2 Wales West Midlands East Midlands 4 3 3 5 1 3 Undecided 10 East of England London South East South West 5 2

Are you a BSPR member?

Conclusion Plenty of vacant posts (up to 42.5) 33.5 vacancies or potential vacancies 9 centres may have future vacancies (9 posts) 11 centres are in a position to advertise (15 posts) Lots of potential applicants 108 definitely/ maybe interested 29 with CCT prior to end 2015

15 Jobs ready for advertisement Aberdeen 1 Alder Hey 2 Belfast 2 Brighton 1.5 Leicester 1.5 Leeds 2 Manchester 1 Southampton 1 Coventry 1 Dorset 1 Medway 1 15 Jobs ready for advertisement 2 1 3 4 5 10 29 Senior Trainees regional preferences

What Next? How to help link the two groups? This survey to be posted on members only section of myBSPR website Information about potential jobs on the website. Centres send job descriptions and contact details to BSPR Annual job survey via BSPR membership? Contact us for further details: mybsprsecretary@gmail.com Meeting area tomorrow at coffee break 16:40-17:00 for potential applicants to meet people from centres with jobs