northern general hospital nhs trust

Transcription

APPOINTMENT AS SPECIALITY REGISTRAR IN NEPHROLOGY ON THE NORTH
TRENT ROTATIONAL TRAINING SCHEME
This whole-time ST3 run-through training post forms part of a training programme in
Nephrology (4 years). This post will rotate between the Sheffield Teaching Hospitals
Northern General Hospital Sheffield Kidney Institute and Doncaster Royal Infirmary.
Applicants considering applying for this post on a flexible training basis should initially
contact the North Trent Postgraduate Dean's Office for a confidential discussion.
The Postgraduate Dean has confirmed that this post has the required educational and
staffing approvals
The Nephrology Training Programme is normally for a term of 4 years, during which time the
Trainee's work is monitored for evidence of satisfactory progress. Progress will be reviewed
after the first six months and once a year thereafter. The trainee will also have a Personal
and Professional Development Plan or Learning Contract with regular appraisals.
The programme is approved for training by the Royal College of Physicians.
Prior experience in Renal Medicine would be an advantage.
The trainee will be responsible for day to day management of in-patients under the care of
all the Consultants he works. This will involve giving consistent and planned support for
other Junior Staff attached to these Consultants.
The trainee will be responsible for providing out of hours and on-call cover for all the
Consultants. In some Hospitals, more than one trainee will be involved on such rotas and
their individual responsibilities will be clearly indicated to ensure that all patients have equal
cover.
Trainees will not be expected to provide cross cover during the normal working week
between specialties where that involves special work, which leads to
accreditation/certification in the specific specialty. This does not include out of hours
emergency cross cover, which will usually be part of the trainees on-call commitment.
Profile of Sheffield Teaching Hospitals NHS Trust
Sheffield Teaching Hospitals NHS Trust was created by the merger of the Central Sheffield
University Hospitals and Northern General Hospital NHS Trusts in April 2001.
Sheffield Teaching Hospitals NHS Trust includes the Northern General Hospital, Royal
Hallamshire Hospital, Weston Park Hospital and Charles Clifford Dental Hospital.
The Trust is responsible for the planning and delivery of the highest quality patient care,
providing services for patients, not only from Sheffield but all parts of the U.K. With an
annual budget exceeding £380 million and treating nearly one million patients each year, the
Trust is one of the largest in the country, with more than 11,000 staff.
Our Hospitals
The Northern General has over 1,200 beds and is located to the North of the city.
Accident and Emergency Department for Sheffield is also based here.
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The
The other hospitals within the Trust are based close together on a campus to the west of the
city centre. The Royal Hallamshire Hospital has 750 beds and is linked to the Jessop Wing,
Women’s Hospital, opened in February 2001.Weston Park is one of only three purpose built
specialist cancer hospitals in the UK and provides a full range of non-surgical cancer
services. The Charles Clifford Dental Hospital is a dental teaching hospital for the University
of Sheffield School of Clinical Dentistry.
The Sheffield Teaching Hospitals NHS Trust has close links with the University of Sheffield
and particularly with the Faculty of Medicine.
A significant capital investment of over £212M has been made across all sites during the last
ten years. The new Trust has an annual capital payment in excess of £12M.
The Aims of the Trust
The Trust has been established with the clear aim of benefiting our patients.
As a single unified Trust, the new organisation will:
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Reduce waiting times to uniformly low levels across the city
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Ensure that standards of best practice are applied consistently in all of our
hospitals
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Provide the best specialist care to local people
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Secure modern, purpose built accommodation for patient services
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Cut bureaucracy and reinvest management costs in direct patient care
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Deliver the Governments plans for modernising the NHS as laid out in the NHS
Plan
For our staff the new Trust will:
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Increase flexibility in training and working practices
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Harmonise pay and conditions
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Standardise and improve staff policies
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Encourage staff to build a career in healthcare in Sheffield
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Enhance the quality of their working lives
The Trust will be measured how it meets these aims.
Management Arrangements
Sheffield Teaching Hospitals NHS Trust is directed by a Board, which consists of a
Chairman, six other Non-Executive Members and six Executive Members.
The NonExecutive Members have expertise in the business and public or voluntary sector work. At
least two of these are local people, chosen by the Secretary of State for Health. As the
Trust is a Teaching Hospital Trust, one of the Non-Executive Members is nominated by the
University.
The Executive Members of the Board are the Chief Executive, Chief Nurse, Medical Director,
Director of Human Resources, Director of Finance, Director of Service Development, and
Director of Estates Management.
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The Board is responsible for the overall running of the hospitals and the planning of our
services.
Sheffield Teaching Hospitals NHS Trust Executive Team
Chairman
Mr David Stone, OBE
Chief Executive
Mr Andrew Cash
Director of Human Resources
Director of Service Development
Chief Nurse
Director of Finance
Medical Director
Director of Estate Management
Director of Legal and Corporate Governance
Assistant Chief Executive
Mr John Watts
Mr Chris Linacre
Ms Hiliary Scholefield
Mr Neil Priestley
Professor Chris Welsh
Mr John Simpson
Mr David Baldwin
Mr N Riley
Services Provided at Sheffield Teaching Hospitals NHS Trust
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Accident & Emergency
Acute General & Elderly Medicine
Anaesthetics
Cardiology
Cardiothoracic Surgery
Chemotherapy
Clinical Care
Critical Care
Day Surgery
Dental Services
Dermatology
ENT, Hearing Services & Medical Audiology
General Surgery
Genito Urinary Medicine
Haematology
Infectious Diseases
Laboratory Medicine
Medical Physics
Metabolic Bone Disease
Mobility & Specialised Rehabilitation
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Neonatology
Neurosciences
Obstetrics & Gynaecology
Occupational Health Services
Occupational Therapy
Ophthalmology
Oral & Maxillofacial Surgery
Orthopaedic Surgery
Pain Management
Pharmacy
Physiotherapy
Radiology
Radiosurgery
Radiotherapy
Reconstructive Plastic Surgery & Burns
Reproductive Medicine
Renal Services
Rheumatology
Speech, Therapy and Language
THE NORTHERN GENERAL HOSPITAL
SHEFFIELD KIDNEY INSTITUTE
BACKGROUND
THE WORK OF THE DEPARTMENT
The Sheffield Kidney Institute provides acute and chronic renal failure services for the 1.7m
population of North Trent. As one of the largest renal units in the country, it provides renal
replacement therapy for over 1000 patients. Haemodialysis facilities are sited in the base
unit at the Northern General Hospital and in satellite dialysis units at Barnsley, Chesterfield,
Doncaster and Rotherham District General Hospitals, which together dialyse approximately
500 patients. Approximately 200 patients dialyse at home either by peritoneal or
haemodialysis and approximately 430 transplant recipients are followed up in the transplant
clinic. 40-50 renal transplants are performed annually, and there is an active live donor
programme, offering live-related and unrelated transplantation. Laparoscopic donor kidney
retrieval commenced during 2005.
A new dedicated outpatient facility was opened in spring 2006 and building work is in
progress at the Northern General Hospital site to provide a new facility which will increase
the number of inpatient beds from 38 to 72 and provide 72 haemodialysis stations within
Sheffield by November 2006.
Staffing at the Sheffield Kidney Institute includes six Consultant Nephrologists, two
Professors of Nephrology, a Senior Lecturer, an Associate Specialist and four Consultant
transplant Surgeons. Junior staff includes: 7 Specialist registrars, 1 Clinical Tutor/Hon
Registrar, 2 Staff Grade doctor, 1 Transplant Clinical Fellow, 6 Senior House Officers, 1Trust
Clinical Fellows (SHO level) and one Pre-Registration House Officer. A number of
University research staff are also affiliated to the Institute, including a non-clinical Senior
Lecturer and a Lecturer. The Sheffield Kidney Institute is an accredited centre for training of
the International Society of Nephrology (ISN) and runs a successful post-graduate MMedSci
programme under the auspices of the University of Sheffield. In 2003, the Sheffield Kidney
Institute received the ISN Training and Education Award at the World Congress of
Nephrology in recognition of its long-term commitment and excellence in the training of
nephrologists world-wide.
Sheffield has a long research tradition in the field of nephrology since its dialysis and
transplantation programme started in 1966. Within the SKI clinical and basic research is
actively pursued. Clinical research involves a range of clinical trials covering the areas of
glomerulonephritis, progression of chronic kidney failure, diabetic nephropathy, and the
treatment of renal osteodystrophy, short hour/high efficiency haemodialysis as well as the
use of new solutions for CAPD (Dr ME Wilkie). Basic research is undertaken within a suite of
research laboratories at the Institute and at the University of Sheffield Clinical Sciences
Centre. The basic research programme has an international reputation for excellence and
centres around the study of the mechanisms and mediators of kidney scarring (Prof AM El
Nahas) and the molecular basis of polycystic kidney disease (Dr ACM Ong). Current funding
comes from the National Kidney Research Fund, the Wellcome Trust, the Polycystic Kidney
Disease Foundation (USA) and other local charities. Academic Nephrology is an integral part
of the Division of Clinical Sciences (North) of the University of Sheffield and forms part of the
Inflammation, Infection and Immunity (3Is) theme. In the 2001 UK Research Assessment
Exercise (RAE), the Sheffield Medical School achieved an overall 5 rating and the 3Is theme
was rated as 5*.
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The Northern General Hospital is one of the leading teaching hospitals in the United
Kingdom. It comprises in excess of a thousand beds including those of many regional
specialities such as cardiology and cardiovascular surgery, burns and spinal injuries units
and the University Centre of Human Nutrition. In April 2001, the Northern General Hospital
and Central Sheffield University Hospitals NHS Trusts merged to form the Sheffield
Teaching Hospitals NHS Trust, the fourth largest trust in the UK.
THE NORTHERN GENERAL HOSPITAL
Medical Staffing and the Work of the Department
Prof C B Brown
Consultant Nephrologist (part-time)
Professor A M El Nahas
Professor of Nephrology
Dr N J Fardon
Consultant Nephrologist
Dr W S McKane
Dr A C M Ong
Senior Lecturer in Nephrology
Dr M E Wilkie
Dr D Throssell
Consultant Nephrologist/Clinical Director
Dr S B Jenkins
Consultant Nephrologist Programme Director
Dr A Khwaja
Dr B C Jackson
Associate Specialist
7 Specialist Registrars
1 Clinical tutor/Research Registrar
2 Staff Grade Doctor
1 Transplant Clinical Fellow
6 Senior House Officers
1 House Officer
Mr A T Raftery
Consultant Surgeon
TBA
Consultant Surgeon
Mr B Shrestha
Consultant Surgeon
Mr V C Nathan
Consultant Surgeon
1 Trust Clinical Fellows (SHO level)
Duties of the Post
In-Patient and Out-Patient Services
Clinical
The trainee will rotate at three monthly intervals through clinical areas:
1. Transplantation;
2. Outpatients;
3. Acute Kidney Failure;
Failure; 5. Outlying patients; 6. Satellite dialysis and special clinics .
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4. Chronic Kidney
The weekly timetable will differ with each attachment but will in general involve two
consultant-led nephrology outpatient clinics, middle grade and consultant-led ward rounds
and a multidisciplinary meeting. Middle grade trainees will be expected to supervise the work
of Senior House Officers and the House Officer effectively.
In the course of these duties, the Trainee will become acquainted with all aspects of the
investigation and management of (medical) renal disease, the investigation and treatment of
acute and chronic renal failure and the care of patients before and after renal
transplantation. There will be opportunities to attend joint specialist clinics in obstetrics,
urology and diabetes and gain experience in managing satellite unit-based haemodialysis
patients. He/she will become familiar with the techniques of peritoneal dialysis,
haemodialysis, continuous haemofiltration and plasmapheresis. There will be ample
opportunities to become proficient in practical procedures such as temporary and permanent
line insertion, native and transplant renal biopsy. A lead consultant (Dr NJ Fardon) has been
appointed to oversee training in practical procedures.
On-call/Emergency Duty Rota
Currently 1 in 7 on-call rota with prospective cover. Non-resident when on-call with day off
after on call.
Administration
The trainee will be expected to communicate promptly and effectively with General
Practitioners, referring physicians and other health professionals to ensure the optimal
planning and delivery of patient care. A high standard of written and verbal communication
skills will be expected. During the later stages of training (Years ST5/6), trainees will
participate actively in the management activities of the unit including attendance at monthly
meetings of the CMT and the Clinical Governance Committee.
Teaching
The trainee will be expected to teach Medical Students and participate in teaching
Postgraduates.
Educational Activities
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Weekly educational afternoon (Thursday) including education seminars and
workshops ('Meet the Expert') with local and visiting lecturers. In 2002, distinguished
international visiting speakers included Prof R Barsoum (Egypt), Prof J Weening
(Netherlands) and Prof G Remuzzi (Italy). Further information on this programme can
be found on the SKI website (http://www.shef.ac.uk/ski/ski.html).
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Weekly journal club (Tuesday)
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Weekly medical grand rounds (Wednesday) and post-graduate lectures (Friday)
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Weekly X-Ray and Renal Histology Conferences.
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Monthly audit sessions.
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Monthly research meetings.
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The trainee will be expected to attend the Trent based Nephrology training course
with trainees from Nottingham and Leicester. The course runes over four full days
annually. The syllabus will aim to cover the major topics within the new Renal
Curriculum over a 3 year period. Further information on this programme can be found
on the SKI website (http://www.shef.ac.uk/ski/ski.html).
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The Specialist Registrar will also have full access to the activities of the
Diploma/Masters in Nephrology course run by the Sheffield Kidney Institute. They
could also enrol with the University of Sheffield for a Diploma or Masters Degree
(MMedSci) in Nephrology on a part-time basis (over 5 years).
Research
Participation in research is strongly encouraged and excellent facilities are available for both
clinical and laboratory based research. Full details of current projects and research staffing
can be found on the Sheffield Kidney Institute website (http://www.shef.ac.uk/ski/ski.html).
Protected time for study and research will be made available (2 sessions per week). All
trainees are encouraged to spend a period in full time renal research as out of programme
experience. There are good links with other renal units in Trent and overseas. Exchange
programmes (for clinical and research training) have been established with Washington
University, St Louis (Prof M Hammerman), the Mario Negri Institute, Bergamo (Prof G
Remuzzi) and Cape Town (Prof R Moosa) and are available for interested and qualified
candidates. Good links are also established with the Renal Registry office in Bristol (Prof T
Feest), thus allowing for some research and training opportunities.
Library Facilities
There are good library facilities. Clinical journals are housed either in the Health Sciences
Library at the Northern General Hospital or at the Royal Hallamshire Hospital. Scientific
journals can be located in the main University Library. The Sheffield Kidney Institute houses
a small library holding specialist renal journals. There is good on-line access to journals via
the University of Sheffield library. In addition, a Nephrology Video library is available at the
Sheffield Kidney Institute as well as access to internet-based educational resources such as
Up-to-Date.
Postgraduate Medical Education Centre
The Postgraduate Medical Education Centre at this hospital has a full programme of lectures
and seminars. Weekly postgraduate lectures and Grand Rounds take place during the
academic Terms.
Other Facilities
Shops/Transport
A shopping centre is close by and bus services to the city approximately 3 miles away pass
the hospital entrances. Access to the M1 motorway (Junction 34) is within two miles.
Study and Training
Postgraduate Training
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Trent Region is committed to developing postgraduate training programmes for both general
and higher professional training as laid down by the Royal College of Physicians (JCHMT,
SAC and PMETB) and by the Postgraduate Deans network. The Programme Director for
Nephrology works closely with the Postgraduate Dean to supervise training locally. Each
trainee is assigned to an Educational Supervisor who will monitor their progress throughout
the period of specialist training. Satisfactory progress in yearly assessments (RITAs) will be
considered essential for continued progression at each stage of training.
DONCASTER & BASSETLAW HOSPITALS NHS FOUNDATION TRUST
Doncaster and Bassetlaw Hospitals NHS Foundation Trust is a highly successful
organisation, being one of the first ten Trusts in the country to be awarded Foundation Trust
status having been one of the few to have achieved Three Stars each year since the
introduction of the Government’s “star ratings” system. The trust has featured consistently in
the list of the Top 40 Hospitals and has been awarded a Government Charter Mark on three
consecutive occasions.
The present Trust was formed on 1st April 2001 when the acute elements of Bassetlaw
Hospital and Community Services NHS Trust merged with Doncaster Royal Infirmary and
Montagu Hospitals NHS Trust to form Doncaster and Bassetlaw Hospitals NHS Trust. The
three hospitals had worked in a very successful clinical and service partnership since 1995
with both predecessor Trusts having achieved an impressive record of sustained
performance and innovation. Following merger, the new Trust has become an established
and credible second hub for a wide range of specialist services alongside the major teaching
and tertiary care centre in Sheffield. The trust is an Associate Teaching Hospital of the
University of Sheffield Medical School, and an Associate College of Sheffield Hallam
University.
The Trust serves a population of approximately 420,000 and provides a full range of DGHlevel services from five main sites; Doncaster Royal Infirmary (DRI), Bassetlaw District
General Hospital (BDGH), Montagu Hospital (Mexborough), Tickhill Road Hospital
(Doncaster) and Retford Hospital (outpatient services only).
The Hospitals within the Trust comprise:
Doncaster Royal Infirmary
Doncaster Royal Infirmary is a District General Hospital of approximately 800 beds,
providing a full range of medical and surgical specialities including vascular surgery as well
as women’s and children’s services. The Infirmary has a campus style design with separate
Children’s Hospital and Women’s Hospital blocks, as well as the main hospital buildings
which house the Accident & Emergency Department, Medical and Surgical Acute
Assessment Units, inpatient wards and outpatient facilities. The main outpatients department
has been re-developed, as has the Chest Clinic where Cardiology, Rehabilitation Medicine
and Rheumatology outpatient clinics are also currently held. Rheumatology inpatient
facilities are housed close to the Orthopaedic wards and fracture clinics and in the same
block as the refurbished Physical Rehabilitation Therapy Services department which
includes Physiotherapy treatment rooms, gymnasium facilities, Speech and language
therapy department, Occupational therapy workshops, and a hydrotherapy pool. There is an
integrated inpatient and outpatient Dermatology unit.
There is a newly refurbished and extended, well equipped endoscopy unit. The Medical
Imaging Department has recently been redeveloped and provides a consultant-led service
for all general and specialist diagnostic and interventional imaging with real time ultrasound,
spiral CT scanning and MRI together with a fully equipped nuclear medicine department and
two state of the art digital angiography suites.
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The large and very busy Accident and Emergency department has recently been expanded
and redeveloped. A new, modern laboratory complex houses Histopathology,
Cytopathology, Microbiology and Clinical Chemistry departments. A dedicated day case and
outpatient Urology Suite operates within the Outpatients area and there is a bank of 8
operating suites with associated services on the lower ground floor of the main hospital block
with dedicated theatres for Urology and General Surgery. Orthopaedic theatres are located
within the Orthopaedic Block and Obstetrics and Gynaecology theatres are housed
separately within the Women’s Hospital.
There is a seven-bedded ICU and a recently expanded HDU facility, with the prospect of
further development as the Trust becomes the second Vascular Surgery hub for South
Yorkshire and a Renal sub-hub. There is an active multidisciplinary Critical Care outreach
team, which provides advice for ward-based patient management. The outpatient renal
dialysis satellite unit opened during 2004 run in conjunction with the Sheffield Kidney
Institute.
General medical inpatient services are currently provided on 6 acute wards, with additional
flexible acute beds for winter use, in the main East Ward block. There are additional stepdown beds within a designated area of the Women’s Hospital for patients awaiting social
placement. There is also a recently completed purpose designed 24-bedded Acute Stroke
Unit and there is a 28-bedded Medical Assessment Unit where all patients referred for
consideration of acute medical admission are seen by the on-take team for assessment,
initial investigation and treatment before being admitted to the general medical wards, or
discharged back to their GP’s care (or elsewhere) as appropriate. There is an MAU
Consultant in attendance each weekday afternoon, to assist in the triage and management
of GP referrals in conjunction with Nurse Practitioners who are developing extended nurseled protocols for assessment of conditions such as suspected venous thromboembolism.
The Specialist Registrar of the admitting team is free of all fixed commitments for the take
day and the Consultant Physician of the day is released from any afternoon fixed
commitments to be more involved with the acute on-take work.
There is a 10-bedded Coronary Care Unit with full facilities for arrhythmia monitoring
(including telemetry), haemodynamic monitoring and pacemaker insertion, and there is a
well-established service for elective cardioversion. There are direct links with the ambulance
service and with A&E for faxing of ECGs with direct admission to CCU as appropriate. There
are 2 Chest-pain Nurse Practitioners for rapid assessment of patients in A&E with protocolled thrombolysis initiated there as appropriate before transfer to CCU.
There are inpatient Haematology beds with side ward isolation facilities within one of the
acute wards, and there is a purpose-built Chemotherapy Day Unit on site. There are
inpatient facilities for management of immunocompromised GU medicine patients when
required.
There are Elective Medicine facilities for patients undergoing day case investigation or
treatment and for those requiring overnight stay. This includes patients undergoing coronary
angiography and a new unit is currently being planned to accommodate the increased
workload expected following the opening of the second digital angiography suite. There are
separate facilities for day case endocrine and metabolic investigations.
The Trust is committed to the ongoing development of specialist medical services with
expansion of consultant numbers as outlined below.
Tickhill Road Hospital
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There are three wards for treatment and rehabilitation of the elderly, a Stroke Rehabilitation
Unit (Rowan Lodge) and a Wound Care unit at Tickhill Rd Hospital currently looked after by
the three Physicians with an interest in the Elderly who are based half time at Tickhill Road
and half time at DRI. There is daytime on-site junior and middle grade medical staff cover.
Overnight medical telephone advice is provided from DRI, with a well established and
regularly audited protocol for nurse-led out-of-hours assessment and management and for
patient transfer to DRI if required. Following recent reorganisation, these inpatient services
are now part of the Acute Trust but there is also a busy Elderly care Day Hospital, a GP-led
in patient Intermediate Care facility as well as a 28 bedded continuing care ward which are
currently managed by one of the local Primary Care Trusts, with input from our Clinicians,
together with multidisciplinary Physical Disability and Stroke Outreach teams. The
Neurorehabilitation Unit (Magnolia Lodge) is also on the Tickhill Road site, supported by a
Staff Grade Physician.
Mexborough Montagu Hospital
Mexborough Montagu Hospital is a 107-bedded hospital (of which 88 are part of the Medical
Directorate) on the western periphery of the district, approximately 9 miles from the centre of
Doncaster. It mainly serves the populations of the Dearne Valley.
There are three
Consultant Physicians who provide an integrated acute general medical and medicine for
the elderly service catering for selected acute medical admissions (56 beds) as well as for
rehabilitation of elderly patients (32 beds). Monitored beds with telemetry and direct linkage
to CCU at DRI are available for appropriate patients referred by local GPs or admitted via
the Medical Receiving Room. There is a Day Hospital facility (20 places), and day case
upper GI Endoscopy and Bronchoscopy services are provided.
The hospital has a Minor Injuries Unit staffed by Nurse Practitioners, which is open during
the day and early evening only. The Medical and Surgical specialties, as well as
Orthopaedic Surgery, Gynaecology, Urological Surgery, Oral Surgery, ENT, and
Ophthalmology all provide out-patient clinics at the Montagu Hospital, and there are inpatient surgical and orthopaedic beds, and a busy Day Case Surgery Unit. There are good
Radiology and Ultrasound services and there are facilities for exercise testing and
echocardiography on site. The outpatients department and Minor Injuries Unit have recently
been part of a major re-development and refurbishment. A Day Case facility and ward area
has been developed as part of a major capital investment in the site. The hospital also
provides pain management services for the populations of Doncaster and Barnsley in a
dedicated Pain Management Unit. A new purpose-built Dental Access Centre houses the
Trust’s re-located and upgraded Maxillofacial Services outpatient centre for Doncaster and
Rotherham patients.
A state of the art computerised Clinical Simulation Centre is now well established on the
Montagu site. One of only six such centres in the country, this is an extremely versatile
facility for clinical teaching and skills development, with adaptable programmes for a wide
range of clinical scenarios, including resuscitation and cardiovascular collapse.
Bassetlaw Hospital
Bassetlaw District General Hospital is in Worksop, North Nottinghamshire.
It is
approximately 18 miles from the Doncaster Royal Infirmary and has two main centres of
population, Worksop and Retford. The hospital has approximately 280 beds, of which 110
are within the medical Directorate, covering the full range of medical and surgical specialities
as well as women’s and children’s services. The hospital has an Accident and Emergency
Department and a medical admissions unit.
The Medical Directorate has fully integrated General Medicine and Health Care of the
Elderly services. There are two acute medical wards, the Medical Assessment Unit, a Stroke
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Unit and Rehabilitation ward and a newly built and fully equipped Coronary Care Unit. There
is a purpose built Endoscopy Unit offering diagnostic and therapeutic UGI endoscopy,
colonoscopy and bronchoscopy. Cardiology services include exercise stress testing,
echocardiography and temporary pacing. Diagnostic angiography and permanent pacing are
performed in Doncaster. There is also a fully equipped lung function and sleep laboratory.
The Diabetes Centre includes Specialist Diabetic Nurses, diabetic foot services and a
Dietetics Department. Stroke services include a Stroke Unit, TIA clinic and facilities for
urgent CT scanning and carotid Doppler studies.
There are currently six Consultant General Physicians at Bassetlaw, all of whom have a
commitment to acute General Medicine.
The main Outpatients Department is located at Bassetlaw District General Hospital but there
are also outreach clinics at Retford Hospital. The hospital also benefits from a modern
pathology department, pharmacy and clinical therapy facilities. A theatre complex containing
four main theatres and a day surgery unit serves the surgical specialities and there is a
combined HDU and ICU.
The Medical Directorate
The Medical Directorate is the largest within the Trust. Most clinicians currently work on a
single site, but cross-site working is an increasingly important aspect of service provision,
and further integration between the various hospitals is anticipated.
Doncaster Royal Infirmary:
Consultant General Physicians with Specialist Interests:
Dr R P Bolton MA MD FRCP
Dr G James FRCP
Dr J M Sayer MD MRCP
Dr J P Hosker MA MD FRCP
Dr S Kang FRCP
New post (vacant)
Dr R J Leggett FRCP
Dr T K Rogers MD FRCP
Dr M P Highcock MRCP
Dr Chi Wong MRCP
Dr A Rajathurai FRCP
Dr D K Chadha FRCP
Gastroenterology (Clinical Director)
Gastroenterology
Gastroenterology (part time)
Diabetes and endocrinology
Respiratory Medicine
Respiratory Medicine (Specialty Tutor)
Health Care Elderly*
Health Care Elderly/Stroke* (Director of Postgraduate
Education)
Dr A J Oates MRCP
Dr M Al-Najar FRCP
Dr Odes (locum)
New post (vacant)
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Health Care Elderly*
Locum MAU and General Physician
Acute General Medicine/cardiology
Stroke Physician
= Half time DRI and half Tickhill Rd Hospital
Consultant Specialist Physicians:
Dr G E Payne MD FRCP
Dr S Brett MRCP
Dr Chacko MRCP (locum)
New Post (vacant)
Cardiology (outpatient clinic at Montagu)
Cardiology
Cardiology
Cardiology
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Dr J R Lambert FRCP
Dr R Stevens MRCP
Dr Z Alsindi FRCS
Rheumatology
Rheumatology
Neuro-rehabilitation (based at Tickhill Rd
Hospital)
Dr S B Bittiner FRCP
Dr S Agarwal MRCP
Dr G Majumdar MD, FRCP, FRCPath
Dr B Paul FRCPath
Dr J Joseph MRCP, MRCPath
Dr Stuti Kaul MRCPath
Dr T R Moss FRCP
Dr N Acladious MRCOG
Dermatology (split with Bassetlaw)
Dermatology
Haematology
Haematology (split with Bassetlaw)
GU Medicine
GU Medicine
Dr E A Garthwaite MRCP
Dr I M Stott MRCP
To be appointed
Renal Medicine
Renal Medicine
Renal Medicine
Specialist Registrars
11: (Cardiology (1), GIM (1), Diabetes/Endocrinology (2),
Gastroenterology (2), Respiratory (2), Health Care Elderly (2) Renal (1)– all part of the North
Trent Rotational Training schemes)
Associate Specialists:
5: Diabetes and Endocrinology,Gastroenterology,
Respiratory Medicine, Dermatology, Haematology.
Staff Grades:
8: Cardiology, MAU and gastroenterology, Dermatology
(2), 2
Rheumatology, Health Care Elderly (TRH), Neurorehabilitation (TRH), GU medicine.
SHO Rotations 22(between DRI, Montagu and Tickhill Rd Hospitals and due to be
integrated within North Trent regional rotations):
Foundation year 2 posts 3
PRHO 6
Visiting Specialists relevant to Medicine: Neurology, Cardiothoracic Surgery, Neurosurgery,
Oncology/Radiotherapy (from Sheffield)
Tickhill Road Hospital:
Consultant Physicians:
See under DRI above
Associate Specialist (vacant):
1
Staff Grade:
HCE
Neurorehabilitation
1
1
SHOs (as part of rotation – see DRI above)
3
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Montagu Hospital:
Dr David N Cooper, FRCP
Dr Richard J Leigh, MD, FRCP
Dr Syed Shah MRCPI
GIM and Elderly Medicine
GIM and Elderly Medicine
GIM
Dr E W Jones, MD, FRCP
Dr G E Payne, MD, FRCP
Dr A Gibson, PhD, FRCP
Diabetic Clinics only
Cardiology Clinics only
Neurology Clinics only
Staff Grade:
Clinical Assistants:
SHO rotation:
SHO VTS:
1
2 sessions (diabetes)
5
2
Bassetlaw Hospital:
Dr M. Muthiah
Dr C. Corbett
Dr S. Kar-Purkayastha
Dr A. Al-wail
Dr P. Chaturvedi (Locum)
Dr M Hanna
Vacancy (new post)
Gastroenterology
Health Care Elderly/Endoscopy
Cardiology
Diabetes and Endocrinology
Stroke
Health Care Elderly, falls and rehabilitation
Consultant Specialist Physicians:
Dr M. Al-Khoffash
Dr J. Joseph
Dr B. Paul
Dr S Kaul
Dr S B Bittiner
Dr S Agarwal
Rheumatology**
Haematology*
Haematology*
Haematology*
Dermatology*
Dermatology*
**currently also with a commitment to acute general medicine.
*split with DRI
Staff Grades:
Cardiology & Endocrinology 1
Rheumatology/Chest 1
Gastroenterology/ HCE Medicine 1
SHO rotations
7
SHO VTS & PRHOs:
6
Visiting Specialists:
Neurology, Rheumatology, Oncology/Radiotherapy.
Department of Renal Medicine - SPR Job Description
13
The development of renal services across South Yorkshire has been commissioned by North
Derbyshire, South Yorkshire and Bassetlaw Commissioners (NORCOM), with Doncaster
being designated as the site of choice to develop a second hub working in conjunction with
the Sheffield Kidney Institute to provide renal inpatient and outpatient services up to the level
of transplantation for up to a third of the current catchment population by 2010.
The trainee will provide medical support to the Trust’s Consultant Renal Physicians Drs
Elizabeth Garthwaite and Ian Stott (and a third nephrologist to be appointed) who
commenced their duties in the summer of 2006. The Trust will provide an inpatient
consultation advisory and support service, until such time as the inpatient Renal Unit is
operational and the management of the satellite haemodialysis unit is taken on (initial phase
due for completion February 2007).
When fully operational the Doncaster Renal Unit will provide:
Full Acute Renal Failure service (ward opening Feb 07, to full capacity by 2009)
Dedicated renal ward (24 beds) with acute dialysis facilities
Chronic Dialysis service (February 07), including Satellite(s)
Four full-time Consultant Nephrologists (by 2009)
Dedicated Junior and middle grade Medical staff support
Sessional availability of Vascular access surgeon (Feb 07)
Out-patients sessions (Feb 07)
Specialist trained nursing staff (2007)
Transplant follow-up (2007)
Multi-disciplinary professional support staff, e.g. Dietetics, Physiotherapy, Social
Work, Occupational Therapy
Histopathology services (via SKI)
24 hour Clinical Pathology, Haematology, Microbiology and Virology services,
including infection control
Radiology services
Electronic Patient Information system with internal links to Pathology services and
external link to Renal Registry (for Audit purposes).
It is anticipated that the services to be retained in Sheffield will include:
Transplantation
Revisional and problematic access surgery
Specialist Histopathology
Renal-related Interventional Radiology
Home Haemodialysis training
Until the first 12-bedded phase of the Renal Unit inpatient beds has been completed
(expected early in 2007), patients requiring inpatient renal care will be managed within the
Trust’s current bed capacity on a shared care, outreach basis.
It is not anticipated that patients with acute renal failure will be accepted from outside the
Trust until such time as appropriate facilities and support are available. The Sheffield Kidney
Institute will continue to provide regional acute renal services and out-of-hours specific
advice and support.
Duties of the Post
In-Patient and Out-Patient Services
Clinical
14
The trainee will be involved in providing middle grade cover for all the patients under the
management of the department. Working very closely with the two consultants they will
provide appropriate supervision and training to the six F2 trainees.
The weekly timetable will be negotiable but will in general involve two consultant-led
nephrology outpatient clinics (one follow up clinic and alternate weekly low clearance/dialysis
and new patient clinics), trainee and consultant-led ward rounds and a multidisciplinary
meeting. Middle grade trainees will be expected to supervise the work of F2 trainees
effectively.
In the course of these duties, the trainee will become acquainted with all aspects of the
investigation and management of (medical) renal disease, the investigation and treatment of
acute and chronic renal failure and the care of patients before and after renal
transplantation. He/she will become familiar with the techniques of peritoneal dialysis,
haemodialysis, continuous haemofiltration and plasmapheresis. There will be ample
opportunities to become proficient in practical procedures such as temporary and permanent
line insertion, Tenchkoff insertion, and native and transplant renal biopsy.
On-call/Emergency Duty Rota
This is yet to be clarified, but it is likely that the appointee will provide evening cover for the
renal unit on an on-call rota basis.
Monday
am
Consultant
Ward Round
Journal Club
Multidisciplinary
Team Meeting
Tuesday
am
Middle grade
led Ward
Round
Medical
Teaching
Sessions
Nephrology
outpatient
clinics
Wednesday
am
Interventional
Session
(Supervised)
Thursday
am
Consultant
Ward Round
Friday
am
Ward work
Hospital Grand
Round
New-patient
outpatient
clinics
Histopathology
Meeting
Educational
Sessions
SKI
Predialysis/dialysis
outpatient
clinics
Administration
The trainee will be expected to communicate promptly and effectively with General
Practitioners, referring physicians and other health professionals to ensure the optimal
planning and delivery of patient care. A high standard of written and verbal communication
skills will be expected. Trainees will participate actively in the management activities of the
unit.
Teaching
The Middle grade trainee will be expected to teach Medical Students and participate in
teaching junior medical staff. We have six foundation trainees attached to the firm.
Educational Activities

Weekly educational afternoon at the Sheffield Kidney Institute
15

Weekly medical grand rounds (Friday) and post-graduate lectures (Tuesday)

Weekly Renal Histology Conferences (Sheffield Kidney Institute)

Regular hospital and departmental audit sessions.
The trainee will be expected to attend the Trent based Nephrology training course and will
also have full access to the activities of the Diploma/Masters in Nephrology. See Above
under Northern General hospital Notes.
Library Facilities
There is a library housing a wealth of medical journals. There are many journals available on
line and a useful inter-library facility.
Postgraduate Medical Education Centre
The Postgraduate Medical Education Centre at this hospital has a full programme of lectures
and seminars. Weekly postgraduate lectures and Grand Rounds take place during the
academic Terms.
Study and Training
The Doncaster Consultants will liaise closely with the Programme Director for Nephrology
who works closely with Postgraduate Dean to supervise training locally. Each trainee will be
assigned an Educational Supervisor who will monitor and support their progress throughout
their time in Doncaster.
ARRANGEMENTS TO VISIT
Candidates are asked to visit the hospital concerned by direct arrangement with:
Dr S B Jenkins
Consultant Nephrologist, SpR Programme Director in Nephrology
Sheffield Kidney Institute
Northern General Hospital NHS Trust
Herries Road
SHEFFIELD, S5 7AU
Telephone: (0114) 271 5326
Dr E Garthwaite
Doncaster Royal Infirmary
Armthorpe Road
Doncaster
Telephone: (01302) 366666
16

northern general hospital nhs trust

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