Consultant in Paediatric Neurology or Neurodisability

The post-holder will undertake multidisciplinary paediatric neuromuscular clinics at Evelina London Children's Hospital and will have dedicated sessions to support the provision of acute neuromuscular care within Evelina London Children's Hospital. The post-holder will support the provision of advanced therapies for spinal muscular atrophy (SMA) at Evelina London. This includes the provision of intrathecal nurinersen for patients with SMA under this treatment.

The post-holder will be expected to support the regional clinic model which operates to provide direct referral pathways for children with neurological disorders who are then managed jointly with special interest general paediatricians in the South East Thames region of England. The post-holder will participate in the Paediatric Neurology on-call rota for ELCH. This is on an approximate 1 in 9 basis for a week in service.

For this on call week all elective activity will be cancelled. Non-resident supervision and attendance will be required for this week. The post-holder will contribute to patient care in the neonatal unit by offering inpatient consultations and leading clinics dedicated to infants with hypotonia and potential neuromuscular disorders The Paediatric Neuroscience Service is a tertiary service at the Evelina London Children's Hospital, providing an integrated and comprehensive neurology, neurorehabilitation and neurodisability service to children and families from Southeast Thames and beyond.

The Neurodisability service is focused on improving quality of life for children with progressive and non-progressive physical disability. At present it sees over 500 new patients each year and has over 2000 patients under review. As part of the treatment pathway Botulinum Toxin A injections are offered to children and young people. The Complex Motor Disorders Service (CMDS) provides a supra-regional service to children and young people, undertaking diagnosis and detailed evaluation and support of children who might benefit from neurosurgical interventions such as continuous intrathecal baclofen (ITB) pump implantation and deep brain stimulation (DBS) neuromodulation.

The Neuromuscular service has been designated as a Neuromuscular Centre of Excellence by the charity Muscular Dystrophy UK and is one of the four neuromuscular centres in England, designated by NHSE as infusion centres for provision of delivering onasemnogene abeparvovec gene therapy to babies and children with spinal muscular atrophy. The service operates to a multidisciplinary model providing a comprehensive service for children with neuromuscular disorders, including other advanced therapies such as intrathecal nusinersen and risdiplam.