Geriatrics

Sub-Speciality Training at ST3+

Specialty School of Medicine,

East Midlands Deanery (South)

 

 

EAST MIDLANDS (SOUTH) HEALTHCARE WORKFORCE DEANERY

SPECIALTY REGISTRAR

GERIATRIC MEDICINE TRAINING PROGRAMME

 

Specialty Registrar (StR) in Medicine for the Elderly and General Medicine to the East Midlands (South) Healthcare Workforce Deanery Geriatric Training Programme.

 

The post is approved for higher specialist training in both Medicine for the Elderly and General (Internal) Medicine.  The post holder will rotate among the three Hospitals of the University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester Royal Infirmary, Glenfield Hospital and other hospitals participating in the Specialist training programme, and may include rotation to Pilgrim Hospital, Boston, Kettering General Hospital and Northampton General Hospital, which are within the scheme, or possibly elsewhere.

 

The Postgraduate Dean has confirmed that this post has the required educational and staffing approvals.

 

The East Midlands Healthcare workforce Deanery Geriatric Specialist Training Programme is normally for a period of 5 years with award of a CCT in both Geriatric Medicine and General (Internal) Medicine (Level 2). Trainees may also seek a one year extension (year 6) in Leicester leading to recognition in the sub-specialty of Stroke Medicine, usually through open competition at year 5. The possibility of combined training with Acute Medicine is currently being explored. 

 

The contract is subject to special confidential review at the end of the first year to ascertain educational attainment and work progress and annually thereafter.

 

CONTRACTED HOURS

 

The contracted hours will depend on the rota at different hospitals during therotation. But, all will fulfil the European Working Time directives as stated.

 

The contracted hours are subject to change dependent upon the stage of the training programme and individual local hospitals circumstances and service needs

 

 

UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST

 

The University Hospitals of Leicester Trust Board has overall responsibility for the management of the Trust.  The Trust was established on 1st April 2000 and comprises Leicester Royal Infirmary, The Glenfield Hospital and the Leicester General Hospital.

 

The Trust is currently planning a reconfiguration of its services. The detail of services to be placed on each of these sites is currently the subject of debate with the particular involvement of clinicians.

 

GENERAL

 

Leicestershire Health covers a total population of about 875,000 of which approximately 132,000 are sixty-five years of age and over.  The Leicestershire Elderly Medicine Service was formed in 1965 and since that time modern units have been established in the City of Leicester with back up services in peripheral hospitals in Market Towns in the County.

 

Integration between General and Elderly Medicine has occurred in all three of the teaching hospitals of the University Hospitals of Leicester NHS Trust (Leicester Royal Infirmary, Leicester General Hospital and Glenfield Hospital).

 

The University Academic Department in Medicine for the Elderly is based at the Leicester General Hospital. 

 

Other Hospitals

 

The post holder will be expected to rotate to hospitals participating in the East Midlands (south) Healthcare Workforce Deanery Geriatric Training Programme. These include Northampton General Hospital, Kettering General Hospital and Pilgrim Hospital, Boston.  Depending on one’s rotation, the post holder may need to visit other community hospitals in Leicestershire including Sunnyside Hospital, Hinckley; St Luke's, Market Harborough; Loughborough Hospital, Loughborough; St Mary's Hospital, Melton Mowbray; and Coalville Community Hospital, and Rutland Memorial Hospital, Oakham.

 

 MEDICAL STAFFING

 

Leicester Royal Infirmary - Integrated Medicine

 

Consultant Physicians in Integrated Medicine and Medicine for the Elderly

 

Dr M Ardron

Dr J Reid

Dr. D. Lakhani

Dr. N. Morgan

Dr. N Shah

 

Consultant Physicians with speciality interests

 

Dr B Rathbone, Prof J Jankowski, Dr. P Wurm, Dr. J Stewart, (Gastroenterology)

Dr. A Grant, Dr. T Delahooke (Hepatology)

Dr P McNally, Prof M Davies, Dr I Lawrence, Dr A Gallagher, Dr M Levy, Dr T Howlett (Diabetes / Endocrinology)

Dr I Squire, Prof H Thurston, Prof D Barnett, Dr L Ng, Dr J E Davies, Prof B Williams, Dr. A Stanley (Cardiovascular Medicine, Clinical Pharmacology & Therapeutics)

Dr M Wiselka, Prof F Nicholson, Dr I Stephenson (Infectious diseases)

 

The Junior Staff for the Medicine for the Elderly Firms consist of:

Specialist Registrars                                   4

Senior House Officers                                4         

Foundation Year 1 Doctors                       6

Foundation Year 2 Doctors                       4

 

 

 Leicester General Hospital - Integrated Medicine

 

Consultant Physicians in Integrated Medicine and Medicine for the Elderly

 

Dr. A Miodrag (Continence Clinic)

Dr. N Lo (Gastroenterology for the Elderly, Parkinson’s Disease)

Prof. T Robinson (Stroke Medicine)

Dr. S Dawson (Stroke Medicine)

Dr. D Eveson (Stroke Medicine)

Dr. R Marsh (Stroke Medicine)

Dr. M Fotherby (Stroke Medicine)

Dr. S Treadwell (Stroke Physician)

Dr. C Machili (Stroke Physician)

Dr. A Mistri (Senior Lecturer in Stroke Medicine)

Professor in Geriatric Medicine (vacant)

Dr. R Wong (Intermediate / Community Care)

Dr. N Vijayakumar (Locum)

Dr. A Patel (Part-time with interest in Community Care)

 

Consultant Physicians with speciality interests

 

Dr. J Mayberry (Gastroenterology)

Dr. J de Caestecker (Gastroenterology)

Dr. S Shah (Gastroenterology)

Dr. R Robinson (Gastroenterology)

Dr. S Jackson (Diabetes & Endocrinology)

Dr. R Gregory (Diabetes & Endocrinology)

Dr K-F Kong (Diabetes & Endocrinology)

Dr. R Abbott (Neurology)

Dr. P Critchley (Neurology)

Dr. D Maxwell (Neurology)

Dr. M Lawden (Neurology)

Dr. U Jayatunga (Neurology)

Dr. Y Rajabally (Neurology)

 

Specialist Registrars                                               11

FY2                                                                 18

Trust Senior House Officers                                  2

FY1                                                                 12

 

Other Staff

 

1 Associate Specialist – Neurology

1 Staff Grade - Gastroenterology/Acute Medicine (EMU)

1 Staff Grade - Medicine for the Elderly

 

 

 


The Glenfield Hospital

 

Medicine for the Elderly & Cardiovascular Medicine

 

Dr G Fancourt (Cardiovascular / Respiratory Medicine)

 

Staff Grade                                        0.5

Specialist Registrars                          1

FY2                                                   

 

THE UNIVERSITY DIVISION OF CARDIOLOGY & RESPIRATORY MEDICINE

 

The University Division of Cardiology & Respiratory Medicine is one of the seven divisions of the University Department of Medicine (Head: Professor D Barnett).

 

The academic staff in the department comprise in addition to Professor N J Samani - (Head of Division and Professor of Cardiology), Professor A Wardlaw (Professor of Respiratory Medicine), a Senior Lecturer (Dr A Ng), three Honorary Senior Lecturers, one Honorary Lecturer, a Wellcome Advanced Fellow and Honorary Senior Lecturer, several clinical and non-clinical research fellows and postgraduate students.

 

The Division is based in the Clinical Sciences Wing at the Glenfield Hospital.  In addition to clinical research facilities, it also has modern research laboratories which may be used by the appointee in consultation with the Head of Division.

 

 

STAFFING

 

Medical:

 

Consultant Cardiologists:   Dr F A Bu’Lock (Paediatric)

                                                Dr D T-E Chin

                                                Dr C Duke (Paediatric)

                                                Dr A H Gershlick (Programme Director)

                                                Dr I Hudson

                                                Dr J Kovac

                                                Dr G A Ng

                                                Dr R Pathmanathan

                                                Dr M Khan (Paediatric) – Locum

                                                Dr G Richardson

                                                Professor N J Samani

                                                Dr J D Skehan (Clinical Director for Cardio-Respiratory)

                                                Dr P J Stafford

                                                Dr M A G Tofeig (Paediatric)

                                                Dr G McCann

                                                 

Specialist Registrars:             9 Adult Cardiology

                                                2 Honorary Clinical Research Fellows

                                                4 Paediatric Cardiology

                                                4 ECMO Fellows

                                                1 ECMO Honorary Clinical Research Fellows

 

Senior House Officers:       5 Adult Cardiology

                                                4 Paediatric Cardiology

 

Ward Medical Officers:

(SHO Grade)                         5 Adult Cardiology

                                                1 Paediatric Cardiology

 

Radiologists:                         Vacancy

                                                Dr R P Keal

                                                Dr C Reek

Cardiothoracic Surgeons:  Mr R K Firmin

                                                Mr L Hadjinikolaou

                                                Mr M St J Hickey

                                                Mr J N Leverment

                                                Mr G Peek

                                                Mr A W Sosnowski

                                                Mr T J Spyt

                                                Professor M Galinanes

 

 

 

 

 

 

Department of Respiratory Medicine                                          

 

Consultants:

           

                        Dr N Khan                             (allergy)                                                         

                        Dr M D L Morgan                  (COPD, rehabilitation, ventilation)                                                Professor I D Pavord           (cough, asthma)                                                                   Professor A J Wardlaw        (asthma, allergy)                                         

                        Professor P Bradding          (asthma)

                        Dr M D Peake                       (lung cancer)

                        Dr G Woltmann                    (TB)

                        Dr S Range                           (CF, Bronchiectasis)

                        Dr M Steiner                          (COPD, rehabilitation, ventilation)

                        Dr C Brightling                     (DH/MRC Senior Lecturer)

                        Dr R Green                            (asthma)

                        Dr S Agarwal                                    (ICU, ILD)

                        Dr A Croome                         (allergy)         

                        Dr J. Bennett                         (lung cancer, medical thoracoscopy)

 

Junior Staff:

 

 7 Specialist Trainees

15 other junior medical staff

 

 

 

RESEARCH & AUDIT

 

Encouragement and time will be given for research and audit activities.  Success in these fields are important and trainees will be monitored for evidence of satisfactory progress prior to renewal of contract.  The Post holder will be expected to involve actively in the ongoing research & audit projects of our Departments and to establish his/her own particular research & audit interest. 

 

 

ADMINISTRATION

Involvement with the arrangement of rotas, clinical meetings, outpatient letters, discharge summaries, and medical audit will be expected.

 

 

TEACHING

 

Medical student teaching will be an integral part of the post, as students from Leicester University receive much of their clinical teaching at UHL and other hospitals in the rotation. The post holder will be expected to participate in teaching of students undertaking the 7 weeks Elderly and Chronic Care block with teaching encompasses Practice of Geriatric Care including geriatric giants, stroke, rehabilitation, community care, discharge planning and general neurology.

 

In addition, there will be opportunities for MRCP teaching and participation in teaching sessions involving physiotherapy and occupational therapy staff as well as for the nursing staff.  The post holder will be expected to attend relevant local, regional and national clinical meetings. Opportunity to visit other departments of medicine for the elderly and care agencies will also be provided.

 

STUDY AND TRAINING

 

East Midlands Healthcare workforce Deanery is committed to the development of postgraduate training programmes for both general and higher professional training as laid down by Colleges and Faculties, and by the Postgraduate Deans' network.  At local level, college/specialty tutors work with unit postgraduate clinical tutors in the supervision of these programmes.  Trainees will be expected to take part in these programmes, including National StR Audit as well as attending appraisal, feedback and counselling sessions/professional reviews.  Study leave will form part of these educational programmes and will be arranged in conjunction with the appropriate tutor.

 

There is a postgraduate medical centre and library at each of the three Leicester hospitals.  A librarian is available to obtain on loan books and journals not available in the library.  Lectures on a wide range of topics are held regularly and all centres are actively concerned in vocational training of general practitioners in the area.  There are many weekly postgraduate clinical presentations or lectures as well as academic meetings in the university department of medicine for the elderly which the appointee will be expected to participate in.

 

POSTGRADUATE TRAINING

 

All post holders will spend a minimum of 12 months and a maximum of 18 months in hospitals outside of Leicestershire. 

 

While in Leicester, the rotation is based on a period of 1 year in each hospital, although rotation between trainers will occur at 6 monthly intervals.  The order of rotation will not be fixed but determined, by the Programme Director after taking into account of the needs of the trainees to receive training in particular aspects of the curriculum as follows;

 

Leicester General Hospital

 

·                     Continence Training (Dr Miodrag)

·                     Stroke Medicine (Prof. Robinson, Dr Dawson, Dr. Fotherby, Dr. Eveson, Dr. Marsh, Dr. Machili and Dr. Treadwell)

·                     Parkinson Diseases (Dr Lo)

·                     Gastroenterology for the Elderly (Dr Lo and Dr. Vijayakumar)

·                     Falls Clinic (Dr Lakhani, Dr. Vijayakumar and Dr Reid))

·                     Intermediate / Community Care (Dr. Wong and Dr. Patel)

 

 

Leicester Royal Infirmary

 

·                     Orthro-Geriatric Practice (Dr Reid, Dr Morgan and Dr. Shah)

·                     Stroke Medicine (Dr Ardron)

·                     Falls (Dr. Lakhani and Dr. Reid)

·                     Community Care (Dr. Morgan)

 

Glenfield Hospital

 

·                     Syncope Clinic / Stroke Tilt Training (Dr G Fancourt  and Dr Lakhani)

 

Training in acute Non Selective medical takes, inpatient care, outpatient clinics and fast-stream rehabilitation will be offered from all of the posts at all three Leicester hospitals.  Also the training including palliative care, psycho-geriatric, Pain Clinic, Endoscopy/PEG insertion, slow stream rehabilitation at peripheral (Leicestershire) hospitals etc.  will also be provided through arrangement.

 

In addition, all post holders will participate in a the following structured training programmes covering all important expects of training in Medicine for the Elderly and General (internal) medicine as according to the JCHMT curriculum (January 2003);

 

1.      Monthly academic - half day - Medicine for the Elderly (organised by Dr Lo – Programme Director)

 

2        Monthly academic - half day – General (internal) Medicine – organised by the Local Royal College of Physician Advisor.

 

3        At Leicester General Hospital – Neuro -radiology meeting (Monday 1-2pm), alternate StR Journal Club and Multi-disciplinary Stroke Unit Educational meeting (Wednesday 12.30-2.00pm) and Clinical Case Presentation meeting (Friday 12.30-2.00pm)

 

Individuals may stay at or return to one or other of the hospitals for a second period. Dr Lo is responsible for co-ordinating the rotation, as Programme Director.

 

Supervision and support in research in the field of Geriatric Medicine is available for trainees in Leicester.  However, it is expected that many trainees will have completed a period of research before entering the scheme.  The local research interests at present lie in the fields of hypertension, stroke, syncope, Parkinson disease and also medical services for the elderly.  

 

Trainees will be required to maintain a training record (log book) and will be subject to regular competence assessments, appraisals and annual review (ARCP) as expected from PMeTB (Postgraduate Medical and Training Board) before proceeding to a further part of the rotation.

 

 

PILGRIM HOSPITAL, BOSTON

 

Pilgrim Hospital is a District General Hospital serving South East Lincolnshire with a catchments population approaching 200,000.  It has over 600 beds and is a modern hospital, the first phase of which was opened in 1970.  There are 186 General Medical Beds, 5 Haematology beds and a 7 bedded Coronary Care/Intensive Care Unit.  The major acute specialities are all represented in the hospital and there are full facilities for the investigation of patients, including CT scanning.

 

The Pilgrim Hospital is more than 20 miles from the other District General Hospital serving Lincolnshire patients and the range of medical emergencies is very broad.

 

Medical Staffing

 

Dr D A Boldy                         Consultant Physician (Respiratory)

Dr M J Fairman                    Consultant Physician (Gastroenterology)

Dr M Perry                             Consultant Physician (Gastroenterology)

Dr D Mangion                       Consultant Physician (Elderly Care)

Dr Ihama                              Consultant Physician (Elderly Care)

Dr C R Nyman                      Consultant Physician (Cardiology)

DrP Dobes                            Consultant Physician (Cardiology)

Dr M Mates                            Consultant Physician (Cardiology)

Dr S A Olczak                       Consultant Physician (Endocrinology)

Dr F Ihama                            Consultant Physician (Elderly Care)

Dr T Titus                               Consultant Physician (Acute Medicine)

Dr S Sobolewski                  Consultant in Haematology

Dr V Tringham                      Consultant in Haematology

Dr E Murray                           Consultant Oncologist

Dr T Sheehan                       Consultant Oncologist

 

Staff Grade Doctor in Cardio Respiratory Medicine                              1

Associate Specialist in Haematology                                                       1

Staff Grade Doctor in Medicine for the Elderly                                       1

 

Specialist Registrars in General Medicine/Endocrinology/

Cardiology/Respiratory/Medicine for the Elderly                                                8


FY2 in General Medicine                                                                     16

FY2 in Haematology                                                                                1

FY2 in Medicine(GPVTS)                                                                       2

 

FY1 in General Medicine                                                                    7    

 

                       

KETTERING GENERAL HOSPITAL



Kettering General Hospital NHS Trust is an Acute District General Hospital with 550 beds.  It serves a population of approximately 300,000 and provides all of the acute services that would be expected of a hospital of its size. 

There are 247 medical beds on 8 Integrated Medical wards, an Admission Assessment Unit (35 beds), Cardiac Suite (10 beds) and ITU (6 beds).  Geriatrics trainees are based on the two Naseby Wards.

There are also community intermediate care beds with rehabilitation facilities at several nearby community hospitals and a geriatric day hospital.

 

Staffing on Naseby Wards

 

Staff on Naseby A are as follows:

Dr I Hubbard (Consultant Physician) – Geriatrics and General Medicine     (Parkinson’s Disease)

Dr. Joshi (Consultant Physician) – Geriatrics, Falls and Syncope Services   

Dr B Lakkappa (Consultant Physician) – Intermediate Care

2 Specialist Registrars (1 Geriatrics, 1 Renal)

2 FY2

2 FY1

 

Staff on Naseby B are as follows:

Dr K Ayes (Consultant Physician) – Stroke Medicine

Dr Das (Consultant Physician) – Stroke Medicine

2 Specialist Registrars ( 1 Geriatrics, 1 Rheumatology)

2 FY2

2 FY1

 

Acute Medicine

On call for acute medicine / Medical Admissions Unit 1 in 11

Dealing with acute unselected general medical admissions

Post take consultant ward rounds

Coronary Care Unit on call

 

Speciality Opportunities in Geriatrics Available

  • Acute Assessment
  • Rehabilitation
  • Intermediate Care / Community Care
  • Geriatric Day Hospital
  • Home Visits with Intermediate Care Team and Parkinson’s Specialist Nurse
  • Hospital Consultations
  • Parkinsons Disease Clinics
  • Falls and Syncope assessment (outpatients)
  • Psychiatry of Old Age / Dementia Screening
  • Palliative Care
  • Stroke Services
  • Orthogeriatric liaison

 

Kettering Hospital has a comprehensive stroke service run by Dr Ayes which includes a stroke ward, rehabilitation services and rapid access neurovascular clinics.  There are weekly joint specialist Parkinson’s Clinics undertaken by Dr Hubbard and the Parkinson’s Specialist Nurse who follows patients up in the community.  Dr Hubbard also has clinics for patients with falls and syncope as well as more general geriatric medicine.  Intermediate care and rehabilitation are carried out in the community by Dr Lakkappa and Dr Kodavali and opportunities for the SpR to participate in this will be available.

 

Audit Opportunities Available

RCP Falls Audits

National Sentinel Stroke Audit

Other audits possible according to wishes of SpR

 

Educational Meetings Available:

Weekly Academic Half Day

Monthly Educational Meeting in Geriatrics

Weekly CT/MRI Scan meetings on Stroke Unit

Weekly Journal Club

Weekly Cardiology Teaching

 

Opportunities for Teaching

2 students from Leicester attached per firm

MRCP and PACES tuition regularly

 

Further Information

 

Candidates are welcome to speak to Dr Irene Hubbard, who is the responsible consultant for this post, on 01536 492254(Secretary)

 

 

 

NORTHAMPTON GENERAL HOSPITAL

 

 

Northampton General Hospital is a busy DGH serving the town of Northampton and the Southern half of the County of Northamptonshire.  It has 680 beds and serves a population of 346,000, of which 47,100 (14%) are over the age of 65 years.

 

Department of Medicine for the Elderly

The purpose built department, opened in 1999 and provides 54 rehabilitation beds, 16 stroke beds, a dedicated out-patient, physiotherapy, occupational therapy and speech therapy facilities.

 

The department is based entirely on the Northampton General Hospital site and there are no long stay beds.

 

At present there are five wte (1 job share) Consultants and 2 Consultant sessions in intermediate care:

 

Dr Lyndsey Brawn                                       -      Interest in Stroke Medicine    

Dr Roger Morgan                                         -      Interest in Parkinsons Disease         

Dr. Melanie Blake& Dr. Angela Kannan -      Interest in Stroke Medicine                                                                                                    

Dr. Parul Shah                                           -       Interest in Falls & Syncope

Dr. B. Mannivannan                                            -       Interest in Undergraduate Education

Dr. Beryl Morgan                                                  2 sessions at Intermediate care centre

 

The junior staffs for the Centre for elderly medicine is provided by three FY doctors, who are part of the general medical rotation, and a Specialist Registrar. These Foundation doctors are only involved in the medical take when they rotate to a general medical firm.

 

Special interests on offer within the department include

 

-                      Stroke Medicine

-                      Falls Service

-                      Ortho-geriatric liaison

-                      Psycho-geriatric liaison

-                      Parkinson’s Disease (with support from a Parkinson’s Disease Specialist Nurse)

-                      Community Rehabilitation Team Liaison

-                      Intermediate Care Rehabilitation Centre Liaison

 

 

General Medicine

 

The departments of Elderly Medicine General Medicine are fully integrated.

 

There are 18 General Physicians with special interests arranged into seven firms (3 firms have 3 Consultants the others have 2).  Each firm has a junior team of a FY1, FY2, Senior Medical SHO, and SPR.

 

The new MMC arrangements will result in the current medical juniors being reconfigured into 10 ST posts, 5 FTSTA posts, 1 ACCS post, 5 FY2 posts,2 GPVTS posts (as existing).

 

The hospital has a well-established night team consisting of Senior SHO medicine or SPR Medicine, FY2medicine, FY2surgery, FY1 and night nurse practitioner

 

Patients are admitted to the 26 bed Emergency Admissions Unit which takes admissions for all specialties. An assessment bay is available for assessment of patients referred by their GPs.

 

The admitting Consultant is available on EAU on the afternoon/evening of the take day and the following morning.  The admitting firms care for these patient’s throughout their stay.  Fixed commitments on the take day and post take day are cancelled and the Consultant takes the GP calls 9am-5.00pm.

 

Post Graduate Education

 

Each Wednesday afternoon there is an academic session comprising image of the week, case presentations, topic teaching and coaching for MRCP part 1 and 2.

 

On Tuesday mornings there is a departmental teaching programme, including a monthly x-ray meeting.

 

Research

 

There is an active research unit on site. The unit runs a number of national and international studies on all aspects of elderly medicine in liaison with the responsible physician.

 

 

Teaching

 

The SPR is expected to take part in teaching medical students (from the Oxford and Leicester/Warwick medical schools) and MRCP candidates.

 

Training Programme

 

Wide experience of acute general medicine and elderly medicine is on offer.  The detail of the elderly medicine programme is variable according to the individual’s interests and needs. All junior doctors are allocated an educational supervisor with regular assessments for FY1, FY2 and STrs

 

Further Information

 

Candidates are welcome to speak to Dr Lyndsey Brawn (01604 – 545965) and Dr Roger Morgan (01604 545946)

 

 

University of Leicester, School of Medicine

 

 

As part of the School of Medicine’s commitment to the maintaining and improving on its existing high standards of research and teaching, it carried out an extensive restructuring process in 2003.  There are five substantial academic departments, defined primarily by their research interests and spanning the traditional clinical subject areas. These are Cancer Studies and Molecular Medicine (Head: Professor W P Steward); Cardiovascular Sciences (Head: Professor N J Samani); Health Sciences (Head: Professor R H Baker); Infection, Immunity and Inflammation (Head: Professor P W Andrew); and Medical and Social Care Education (Head: Professor S Petersen). 

 

These Departments are able to bring considerable intellectual resources to bear on a range of vital medical challenges and reflect the priorities of the National Health Service.  They provide a stimulating environment for research and for study at all levels, and offer a wide range of opportunities for professional training and development.

 

In addition to the departments there are clinical divisions, which bring together clinical academics from cognate specialties, and whose role is to co-ordinate links with NHS colleagues, the Royal Colleges and postgraduate medical education. There are clinical divisions for Anaesthesia, Critical Care and Pain Management; Child Health; Epidemiology and Public Health; General Practice and Primary Health Care; Medical Physics and Radiology; Medicine; Obstetrics and Gynaecology; Oncology; Pathology; Psychiatry; and Surgery, Orthopaedic Surgery and Ophthalmology.

 

 

 

 

 

The appointment is subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales) as amended from time to time and also such other policies and procedures as may be agreed by the LNR Deanery.

 

The successful candidate although contracted to the LNR Deanery will work within Leicestershire Health Trusts.  As a consequence he/she is expected to be aware of local policies and procedures and take note of the standing orders and financial instructions of the appropriate Trust.

 

 

 

Infection Control

 

The prevention of hospital acquired infection is a vital concern for the Trust. Infections harm patients. Infections also harm the Trust. The post holder is required to ensure, as an employee, that his/her work methods do not endanger other people or themselves.

 

All staff must be aware of infection prevention and control policies and guidelines, and follow them at all times. Any breach of infection control policies is a serious matter and may result in disciplinary action.

 

Medical Examination

 

This appointment is subject to medical fitness and the appointee may be required to undergo a medical examination and chest x-ray.

 

Potential applicants should be aware of the Department of Health and GMC requirements with regard to HIV/AIDS and Hepatitis viruses.  Candidates are advised that they will be asked at interview whether they are aware of anything preventing them from fulfilling their professional commitment and this includes health.

 

Annual Leave

 

Specialist Registrars on the third or higher incremental points of their pay scale shall be entitled to leave at the rate of 32 days a year.

 

Specialist Registrars on the minimum, 1st or 2nd incremental points of their pay scale shall be entitled to leave at the rate of 27 days a year.

 

Study Leave

 

This is granted in accordance with the recommended allowance, subject to the maintenance of the service and to prior formal approval by the Medical Personnel Officer of the Hospital you are based at.

 

Residence

 

This is a non-resident post, although the appointee will be required to be resident when on-call depending on local circumstances.

 

 

 

 

Accommodation

 

These posts are designated non-resident and for details regarding hospital accommodation or married accommodation, which may be available, enquiries should be made to the appropriate Trust Accommodation Officer at the base Hospital.

 

CRB Checks

 

This post requires a enhanced disclosure by enhanced criminal records certificates as this post is regulated by the Protection of Children Act 1999, The Criminal Justice Courts Act 2000 and / or the Care Standards Act 2000 and such other authority committed by statute.

 

Failure to disclose details if you are currently / or in the future are the subject of police investigation / proceedings which could result in a conviction, caution or bind over order is a disciplinary matter, and may result in dismissal.

 

 

Notification of Termination of Employment

 

The post holder is required to give a minimum of three months' notice of termination of their employment.  Only in exceptional circumstances will less than three months' be allowed.

 

 

HEALTH & SAFETY

 

The University Hospitals of Leicester NHS Trust recognises its duties under the Health and Safety at Work Act 1974 to ensure, as far as is reasonably practicable, the health, safety and welfare at work of all its employees and, in addition, the business of the Trust shall be conducted so as to ensure that patients, their relatives, contractors, voluntary workers, visitors and members of the public having access to hospital premises and facilities are not exposed to risk to their health and safety.

 

The duties of this post may require the postholder to carry out exposure prone invasive procedures on patients of The University Hospitals of Leicester NHS Trust.  In order to protect its patients from acquiring blood borne viral infections from staff it is required that the following conditions be met before appointment to the post is made:

 

1.                  The candidate must provide documentary evidence to the Occupational Health Service as part of pre-employment screening of immunity to Hepatitis B infection, either by immunisation or natural immunity.  If the candidate is non-immune The University Hospitals of Leicester NHS Trust will require a blood test to be carried out for Hepatitis B antigen before appointment.  The duties of this post are such that no Hepatitis B antigen positive candidate could be appointed.

 

2.         Any appointee who is not immune to Hepatitis B, but is currently carrying out exposure prone invasive procedures, accepts that regular checks on Hepatitis B markers may need to be carried out by the Occupational Health Service appointed by The University Hospitals of Leicester NHS Trust.

 

The tests can be arranged, if the candidate agrees, in confidence through a local consultant microbiologist or the Occupational Health physician.  All costs for testing will be borne by The University Hospitals of Leicester NHS Trust.

 

VISITING

 

Candidates are invited to visit the hospitals concerned by making arrangements with:-

 

Dr N Lo

Consultant Physician

(Training Programme Director)

Department of Medicine

University Hospitals of Leicester NHS trust

Leicester General Hospital

Gwendolen Road

Leicester 
LE5 4PW

 

Tel: 0116 2490490 Ext. 4048

 

Dr J Reid

Consultant Physician

Department of Integrated Medicine

University Hospitals of Leicester NHS Trust

Leicester Royal Infirmary Leicester

LE1 5WW

 

Telephone: 0116 2541414 Ext. 5057

 

Dr. Graham Fancourt

Consultant Physician

Glenfield Hospital

Groby Road

Leicester

LE3 9QP

 

Telephone: 0116 2563361

 

 

          Dr Irene Hubbard

Consultant Physician

Department of Integrated Medicine

Kettering General Hospital

Rothwell Road

Kettering  
NN16 8UZ

 

Telephone: 01536 492253

 

 

Dr D Mangion

Consultant Physician

Department of Medicine

Pilgrim Hospital

Sibsey Road

Boston

Lincolnshire  
PE21 9QS

 

Telephone: 01250 364801 Ext. 230

 

Dr Lyndsey Brawn

Consultant Physician

Northampton General Hospital

Billing Road

Northampton

NN1 5BD

 

Telephone: 01604 – 6347

 

 

Updated: February 2009