|
Neurology Sub-Speciality Training at ST3+ (in |
|
WEST MIDLANDS DEANERY
PROGRAMME DESCRIPTION
|
Neurology |
April 2003
G:\DATA\TEAM_B\Job
Descriptions\Neurology\Whole Rotation April 2003.doc
NORTH STAFFORDSHIRE HOSPITAL TRUST
The North Staffordshire Hospital NHS
Trust has 1500 beds, 320 of which are allocated to General Medicine and the
Medical Specialties. All major
Specialties are based within the hospital.
The Trust comprises the
NEUROLOGY DEPARTMENT
The Neurology Department
is currently based at the North Staffordshire Royal Infirmary site, serving the
Population of Stoke on
SPECIALIST REGISTRAR POST
Each of the two Specialist
Registrars and the Staff Grade work primarily with two Consultants on a four
month rotation. The Registrar attends
the Consultant Ward Rounds and two or three clinics a week which may include a
special interest clinic. The Registrar
will receive GP Calls and Ward Referrals on alternate weeks and provide cover
for the other Specialist Registrar when he/she is away. Excellent experience is provided in general
inpatient and outpatient Neurology as well as specialist experience in Multiple
Sclerosis, Neuro-Ophthalmology, and Stroke.
The Registrars are encouraged to participate in Research and to attend
Neurophysiology Clinics. Weekly Clinical
Meetings are held on Friday morning and attended by staff from Departments of
Neurology, Neurosurgery and Neuro-Radiology, Neurophysiology and Rehabilitation. The Specialist Registrars attend "Calman
Teaching" at the
ALLIED DEPARTMENTS
Within the North
Staffordshire Hospital NHS Trust there are fully equipped Departments of
Neurophysiology, Neurosurgery, Neuro-Radiology (MRI and CT), Neuropsychiatry,
Clinical Psychology and Neuro-Rehabilitation.
The Neurology Specialist Registrars are encouraged to watch Neurosurgical
procedures and there is Neuroradiology Teaching.
|
SAMPLE WEEKLY TIMETABLES FOR EACH |
|
Post/attachment Royal Infirmary |
Dates from |
Monday Tuesday Wednesday Thursday Friday
|
am Ward Round Ward Work |
Ward Work then: Research & Private Study |
Consultant Ward Round Ward Work |
Xray Meeting Neurology Outpatients |
Consultant Ward Round Neuroscience Clinical Meeting |
|
pm Neurology Out Patients |
Special Interest |
Medical Meeting
(Lunchtime) Neurology OPD |
Ward Work/ Referrals |
Ward Work/Referrals Calman day (last Friday each month) |
Monday Tuesday Wednesday Thursday Friday
|
am Registrar Ward Round Ward Work Then Research |
MS/ Neuro Ophthalmology Clinic |
Neurology Outpatients |
Xray Meeting Consultant Ward Round |
Ward Work Neuroscience Clinical Meeting |
|
pm Special Interest |
Consultant Ward Round |
Medical Meeting (lunchtime) Ward Work & Coventry SHO Teaching |
Neurology Outpatients |
Ward Work/Referrals Calman day (last Friday each month) |
INTRODUCTION:
The City Hospital NHS Trust is a 600
bedded teaching hospital serving the western quadrant of the
The Casualty Department is the
busiest in the City seeing over 100,000 patients per year. A partial shift system is operated by the
medical teams in order to cover the volume of the on take admissions.
The hospital has an excellent Post
Graduate Medical Centre with two full-time librarians with full access to
on-line search facilities. Major
neurological journals including Brain, Neurology, Annals of Neurology, Journal
of Neurology, Neurosurgery and Psychiatry are taken. The hospital provides training to
undergraduates & postgraduates and the Department of Neurology contributes
actively to the lecture programme and clinical teaching.
DEPARTMENT OF NEUROLOGY & NEUROLOGICAL FACILITIES ON SITE
The Department comprises of four
Consultant Neurologists; Dr Sturman, Consultant in Neurology and
Rehabilitation, Dr Clarke, Reader in Clinical Neurology, Dr Nichol, Consultant
Neurologist and Dr Sivaguru, Consultant Neurologist. Dr Sturman has a special interest in
Neuro-rehabilitation and Dr Clarke is an academic neurologist with an interest
in Movement Disorders and has a brief to develop neurological clinical trials
with the
In-patient work is carried out on
the Neurology/Stroke Rehabilitation ward where there are 28 beds
available. The Trust is planning an
Acute Stroke and Neurological Care Unit to open Summer 2002. There is one Specialist Registrar post and
one whole time SHO post in Neurology. A
Staff Grade post in Neurology has been approved and funded and should be filled
by Spring 2002, in order to support the junior staff. The Department of Neurophysiology is lead by
Dr Gupta, Consultant Neurophysiologist and provides a full range of
electro-diagnostic procedures. There is
usually a Specialist Registrar in Neurophysiology. Neuro-radiology is provided by Dr S V Chavda,
Consultant Neuro-radiologist and Dr J Wingate, Consultant Radiologist. CT scanning is available 24 hours (MRI during
normal working hours), digital angiography and full nuclear medicine facilities
including SPECT scanning. Neuro-ophthalmology support is provided by the Visual
Function Laboratory at the Birmingham & Midland Eye Centre headed by Dr
Peter Good. This provides a full range
of ophthalmic and electro-diagnostic procedures including ERG, ocular
ultrasound, visual field and HESS charting etc.
Regional Specialist Neuro-Opthalmology services are provided by Mr M
Burdon and Mr T Matthews, Consultant Neuro-Opthalmologists and there is close
liaison with this service.
The Department is closely linked
to the QE Neuroscience Service and Registrar cross cover is provided on-call
for the two units.
SPECIALIST REGISTRAR POST IN NEUROLOGY
The placement at
ON CALL COMMITMENTS
All trainees will be expected to
undertake on-call duties. The basic
working week is 40 hours. In addition
Specialist Registrars will be expected to undertake an out-of-hours commitment,
which will vary depending on the duties of the placement but will not exceed
the limits defined in the Terms and Conditions of Service paragraph 20. Working
patterns are under review, in accordance with the New Deal on Junior Doctors’
Hours. The out-of-hours commitment may
change, therefore and ADH payments will be made according to the actual hours
worked during the rotation.
DUTIES OF THE POST
· Preliminary
assessment and treatment of in-patients with neurological disorder admitted
from the waiting list or urgently via the out-patient clinics
· Review of
in-patients referred for neurological consultation
· Attendance
at and contribution to ward rounds to ensure expert management of in-patients
hospitalised for neurological investigation and treatment of
neuro-rehabilitation
· Running of
waiting list and arrangement of admissions for programmed investigation
· Participation
in out-patient clinics
· Contribution
to MRCP courses, undergraduate and postgraduate teaching
· Contribution
to the audit work of the Department of Neurology
· Attendance
at the QE Neuroscience meeting once weekly with presentation of appropriate
cases on a regular basis
· Supervision
of the SHO in Neurology on the ward
· Preparation
of discharge summaries
The present timetable is as
follows but this may be open to change:
Monday am: Neurology Clinic
Monday pm: Ward Round ( Dr Sturman)
Tuesday am: Research, Study or Training
Option
Tuesday pm: Ward work / Movement Disorders
Clinic (Dr Clarke)
Wednesday am: Neurology
Clinic (Dr Sturman)
Wednesday pm: Ward
Round
Thursday am: Ward Round
(Dr Sturman)
Neuro-rehabilitation
team meeting
Thursday pm: Administration,
Audit
Friday am: Ward Rounds (Dr Clarke)
QE
Neuro-radiology Neuroscience Meetings
Friday pm: Study or Training Option/Calman
Training
LIST OF TRAINING OPTIONS
· Neurophysiology
at either
· Neuro-muscular
clinic at QE (Dr J B Winer)
· Neuro-ophthalmology
clinic at either Birmingham & Midland Eye Centre or QE
· Spasticity/Botulinum
clinic
· Spasticity/Botulinum
clinic
· Environmental
control and assistive technology clinics and community assessments
· Paediatric
Neurology OP Clinic (
· Neurogenetics
Clinic (
LEAVE ARRANGEMENTS
To liaise with Dr Sturman always
ensuring that SHO and Specialist Registrar are not on leave at the same
time. Minimum of six weeks notice for
leave is usually required.
QUEEN ELIZABETH
HOSPITAL
This is the main teaching
QUEEN ELIZABETH
NEUROSCIENCE CENTRE
This is a purpose built, 95 bedded Neuroscience Unit,
comprising 30 Neurology, 54 Neurosurgery and 11 critical care beds within the
structure of the
At present there are 19 Consultant Neurologists including
the Academic Neurologists, 8 Neurosurgeons, 3 Neurophysiologists, 4
Neuroradiologists, 2 Neuropathologists, 1 Neurorehabilitation Consultant, 2
Neuro-ophthalmologists, 1 Neurogeneticist, 1 Neuropsychiatrist and I
Neuropsychologist. There are also
Specialists Nurses in Parkinson’s Disease, Epilepsy, Multiple Sclerosis and
Motor Neurone Disease.
All Consultant Neurologists practice general Neurology and
the combined practice covers the whole of metropolitan Birmingham, Solihull,
Sandwell, Walsall, Wolverhampton, the Black Country, Telford, Shropshire and
Mid Wales, Kidderminster, Bromsgrove, Worcester and Hereford. Special interests include movement disorders,
degenerative diseases including cerebellar ataxias and motor neurone disease,
cerebrovascular diseases, migraine, epilepsy, infectious and tropical diseases,
peripheral neuropathies and muscle diseases, multiple sclerosis and
neuro-immunology, neurogenetics, neuro-opthalmology, neuro intensive care,
neuropsychiatry, neuropsychology and neurorehabilitation..
NEUROLOGY JUNIOR
STAFF
It is envisaged that the Unit will have 5 Specialist
Registrars in Neurology. 1 Lecturer in
Neurology and 5 SHOs who spend 6 months as part of a general medical rotation.
There is 1 House Officer attached to Dr J Winer.
The Neurology Department is divided into four Firms:
Firm I Drs Anderson, BenAmer, Nightingale, Newman, Sturman and Sivaguru.
Firm II Drs
Corston, Francis, Nichol, Winer and Soryal.
Firm III Drs
Barraclough, Clarke, Etti and Pall
Academic Firm Dr
Heafield, Mr Burden, Drs Rickards, Spillane,
Professor
K Morrison, Professor A Williams and Dr N Davies
The current arrangement envisages a 2 month period of Acute
Neurological cover dealing with emergencies and providing close liaison with
general physician colleagues.
There is also provision of a 2 month sabattical period for
training and research. Eight months will
then be spent in one or two firms.
DUTIES OF THE POST
These include supervision of the day to day running of the
Neurology Ward, care of inpatients on the Unit, supervision of day cases and
outpatient clinics up to a maximum of 3
per week. Trainees will be expected to
see ward consultations within the
Trainees are required to take part in medical Audit and to
attend the Unit Clinical Meetings to which they will be expected to contribute.
Calman training days take place each month and all the
Specialist Trainees are expected to attend.
On call is shared between the 5 Specialist Registrars, the
Lecturer and the Specialist Registrar from the
Trainees are encouraged to attend other Neuroscience
departments and to take part in research.
TIMETABLES
Sample weekly timetables are as follows:
I
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
|
AM Ward Round |
Ward Round Consultant
Neuroradiology |
Outpatient Clinic |
Outpatient Clinic |
Ward Round Consultant |
|
PM Ward work Admin |
Ward work Admin |
Ward work Lunchtime meeting Referrals |
Ward referrals Ward Round |
Grand Round Ward Round Calman Day 1/month |
II
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
|
AM Ward Round |
Neuroradiology Ward Round Consultant |
Ward Round Consultant |
Ward Round |
Outpatient Clinic |
|
PM Academic Day Research |
Teaching |
Outpatient Clinic |
Neurophysiology |
Grand Round Academic Calman Day 1/month |
UNIVERSITY
HOSPITALS OF COVENTRY & WARWICKSHIRE NHS TRUST
THE TRUST
The Trust was formed as a Third Wave Trust in April 1993 by the merger
between the former
On 1 April 1998 Walsgrave Hospitals NHS Trust merged with Rugby NHS
Trust incorporating the
On 1 November 2000 the Trust adopted the name of University Hospitals of
The Trust has clinicians involved in the management of its services for
a number of years and is split into the following areas of management:
·
Medical Division
·
Surgical
Division
·
Clinical Support
Services
·
Core and Hotel
Services Division
The Trust has PFI status with plans to redevelop the existing Walsgrave
site by 2006.
WALSGRAVE HOSPITAL SITE
This is a large complex structure which has been built over the last 30
years in 75 acres in the North East of
University Hospitals Coventry & Warwickshire NHS Trust provide
sub-regional services for Neurosurgery, Neuro-Imaging, Neurology,
Neurophysiology, Cardiology and
Cardiothoracic Surgery, Renal Medicine and Renal Transplantation, Oncology and
Radiotherapy as well as Neonatal Intensive Care and Clinical Physics.
District services include General Medicine, Haematology, Specialist
Rehabilitation, Rheumatology, Dermatology, Respiratory Medicine,
Gastroenterology, Infectious Diseases, Diabetes and Endocrinology, Paediatrics,
General Surgery, Vascular Surgery, ENT, Urology, Obstetrics and Gynaecology,
Reproductive Medicine and Intensive Care.
Diagnostic services include MRI and CT scanning, Ultrasound, Endoscopy,
Neurophysiology, Respiratory Function Testing, Echo-Cardiography, Haematology,
Biochemistry, Histopathology, Microbiology, Vascular Investigation and Medical
Physics/Nuclear Medicine.
It is planned that all the services on the Coventry and Warwickshire
hospital site will be relocated to the Walsgrave site and is likely to occur
during the next five years.
Situated 12 miles from the Walsgrave site, the
In-patient services include 28 orthopaedic beds, 14 short stay surgical
beds and 100 general medical beds. The
Accident and Emergency Department in 1998/9 treated 30,000 patients. There is a suite of three theatres and one
Endoscopy room. The Day Surgery Unit has
16 beds plus 6 designated paediatric beds and an Integrated theatre.
There is a large out-patient facility with an average of 3,500
attendances per month, covering a full range of specialties. A total of 54 consultants from within the
Trust use the out-patient facilities providing specialist consultations for the
local community.
In-patient services for General Surgery, Gynaecology, Obstetrics and
Paediatrics are provided within the Trust on the Walsgrave site.
Coventry and Warwickshire Hospital is situated close to Coventry City
Centre, approximately 3˝ miles from the Walsgrave site, and serves a population
as stated for Walsgrave.
Clinical services on the site incluse trauma and Orthopaedics,
Opthalmology, Maxillo-Facial and Accident and Emergency. The Women’s Health and Information Centre is
also located on this site, as is the Department of Genito-Urinary Medicine;
both of these are part of Coventry Healthcare NHS Trust.
The other main hospitals covered are
The Universities of Leicester and Warwick have developed a
THE WORK OF THE NEUROLOGY DEPARTMENT
Approximately 5,000 new patients are seen in the department each year
including in-patient referrals. There
are currently existing specialist clinics in epilepsy, multiple sclerosis and
neuro-opthalmology. The bulk of
out-patients are seen at
MEDICAL STAFFING
·
Neurology
Consultants Dr
H Allroggen
Dr
A Grubneac
Dr
J Ponsford
Dr
A Shehu
Specialist Registrar Post 1
Research Registrar Post 1
Senior House Officer 2
·
Neurosurgery
Consultants Mr
M Choksey
Mr
M Christie
Mr
A Saxena
Mr
P Stanworth
·
Neurophysiology
Consultants Dr
V Hegde
Dr
L Henderson
The post is designed for a candidate with MRCP who wishes to pursue a
career in Neurology. It is intended to
provide a very sound basic and specialist training in Neurology as part of the
five year programme. Previous experience
in Neurology is desirable, but not essential.
Formal academic and clinical teaching will be given to the successful
candidate throughout the training period.
There is provision for secondment to other departments for special
interest training where applicable e.g. neurophysiology etc.
DUTIES OF THE POST
·
To maintain care
of patients admitted into the unit under the care of the Consultants in charge
·
To attend at least
one teaching ward round per week with each of the Consultants and to organise
his/her own ward round with the SHOs once a week
·
Supervise the
work of, and teach the SHOs
·
Participate
actively in the teaching and training of the medical students attached to the
unit on a regular basis and help with the training of other staff within the
hospital, including nurses, physiotherapists etc.
·
To attend 2
clinic sessions per week
·
To see all
emergency admissions to the unit
·
Maintain good
communications/correspondence with other doctors and General Practitioners, and
in particular discharge summaries etc.
·
Help co-ordinate
the weekly neurosciences meeting and organise the combined neurosciences
meeting, inclusive of Neurosurgery and Neurophysiology, and the joint Neurology
meeting with the
·
To attend a
mandatory teaching programme one half day per week at the
·
A half day will
be reserved for the Specialist Registrar to pursue his/her special area of
interest in Neurophysiology, Neuroradiology, Neurosurgery, Neuro-Opthalmology
or Neurorehabilitation.
EMERGENCY OUT OF HOURS DUTIES
1:4 rota non resident
The Leicester Royal Infirmary is an acute hospital with beds
for each of the main specialities and contains the only Accident and Emergency
Unit in the District. The hospital is
currently undergoing a development programme to provide additional facilities
and an expansion of existing services.
There is a suite of 16 operating
theatres with a 24 hour recovery area, and in addition there are 3 other
outlying theatres.
The
Medical Physics and Physiological
Measurement occupy two floors, with accommodation for Radio Isotopes, E.C.G.
diagnostic reporting service, E.E.G.,
E.N.T. measurements and many special procedures.
The
The
Construction has begun on a
purpose build Oncology and
Other developments include
the provision of a Women’ Hospital. This is a multi million pound project
designed to incorporate Obstetrics & Gynaecology in one building.
THE WORK OF THE DEPARTMENT
The
neurological service for Leicestershire is based at the Leicester Royal
Infirmary where the 4 Consultants have 20 beds in a dual sex ward in the
Acute, subacute and chronic
neurological problems are dealt with and a consultation service provided to the
medical and surgical firms in the 3 Leicester Teaching Hospitals. The Specialist Registrar also acts as the
link with local practitioners who need urgent neurological advice with freedom
to see patients on the ward, admit or direct to a clinic as appropriate. Out of hours work will involve close liaison
with the emergency services. There is no
on-call commitment for internal medicine.
Whilst Consultants in the unit have a different emphasis in
their interests, all practice general neurology. The Specialist Registrar will work with a
pair of Consultants to provide general neurological cover. He will be encouraged to attend
speciality clinics.
The neurology department plays a full part in undergraduate
teaching and postgraduate activities in Leicestershire. It also provides teaching input for the BSc
course for speech therapist at De Montfort University. There are special clinics for epilepsy,
Parkinson’s Disease, headache and for Botulinum Toxin administration, and there
is a Neuro-ophthalmology clinic.
AUDIT AND RESEARCH
Adequate time and facilities will be available for the
Specialist Registrar to pursue an academic interest which is positively
encouraged. Active participation in
medical audit will be expected. The unit
is involved in a number of research activities both locally and on a
multi-centre basis. Collaboration with
research in the other departments in
REGIONAL TRAINING PROGRAMME
The two Specialist Registrar posts in Leicester are linked
in a five year training scheme with the
The Specialist Registrar will be expected to attend the
regional training programme which takes place on a Friday and protected time
will be available. A research linkage
with the other centres will be encouraged
MEDICAL STAFFING
Consultants:
Dr R J Abbott )
Dr C Lawden ) Consultant
Neurologists
Dr I F Pye )
Dr P H Critchley Consultant
in Neurology and Rehabilitation
Dr B R Kendall Associate
Specialist in Neurology
Mr R D Ashpole )
Mr J A G Punt ) Visiting Consultant Neurosurgeons
Mr I J A Robertson )
Mr B D White )
Consultant Clinical Neurophysiologist - post vacant
Dr N Messioas ) Consultant Radiologists with sessions
Professor G Cherryman ) in Neuroradiology
Specialist Registrar 2
posts - Current vacancy is a new post
Senior House Officer 2
posts
Pre-registration House Officer 1 post
Research Registrar 1
post
DUTIES OF THE POST
Clinical
In patient care of Neurological patients, out-patient clinics
and ward consultations for other departments seeking Neurological advice. Close liaison with medical firms to provide
service for acute neurological emergencies.
On-call for neurological cases only.
|
|
AM |
PM |
|
Monday |
Out-patient Clinic (General) |
Study Research/Audit |
|
Tuesday |
Neurology Unit Meeting
and Ward Round |
Radiology Meeting |
|
Wednesday |
Study/Research/Audit |
Out-patient Clinic
(General) |
|
Thursday |
Specialty Clinic |
Study/Research/Audit |
|
Friday |
Ward Round |
Regional Training
Programme |
The above timetable shows the designated fixed
sessions. The unallocated sessions are
for the purpose of ward work, ward consultations, research and use of library.
The duties of the Specialist Registrar include dealing with
urgent requests by General Practitioners for advice about neurological
problems.
Teaching
Tuesday - Neurology Department Meeting -
Neuro-ophthalmology meetings at two monthly intervals.
Wednesday - MRCP teaching round.
Thursday - Regular joint meetings with the
Neurology Department from the
Friday - Weekly Physicians’ meeting (1pm -
2pm)
Teaching rounds involve Senior House Officers,
Pre-Registration House Officers, Speech Therapists and Nursing staff. The Specialist Registrar is expected to make
presentations at the Tuesday morning, Thursday and Friday clinical meetings,
and also at the Neuro-ophthalmology meetings.
Research/Audit
Opportunities are available
according to the interest of the individual in post.
Neurophysiology
Both the Radiologists with
allocated sessions have special training in Neuroradiology and provide a full
diagnostic service including MRI, CT scanning, angiography and
myelography. There are regular weekly
meetings to review the scans and neuroradiological investigations performed
during that week.
Neurosurgery
At present there are four visiting
Neurosurgeons from the Queen’s Medical Centre,
Neuropathology
Dr Fletcher has an interest in
Neuropathology and has the expertise to handle muscle and peripheral nerve
biopsies. Departmental meetings are held
to look at biopsy and other neuropathological material.
Rehabilitation
There is a Younger Disabled Unit
at the
Ophthalmology
There is a Professor of
Ophthalmology and the Neurology Unit has a close liaison with the Ophthalmology
Department. Regular Neuro-Ophthalmology
meetings are attended by the Neurologists, Ophthalmologists and one of the visiting
Neurosurgeons.
Administration
Involvement with arrangements for
duty junior staff meetings, in-patient discharge summaries and out-patient
letters. supervision of the in-patient
waiting list.
On-call/Emergency Duty Rota
The Neurology Specialist Registrar
will be on-call for the Neurology Unit.
He/she will liaise for neurological emergencies with the admitting
physicians.
STUDY AND TRAINING
There is a Postgraduate Medical
Centre situated at the Leicester Royal Infirmary which has a large lecture
theatre, seminar rooms, laboratory and a museum. Lectures on all topics are held regularly and
this Centre is actively concerned in the vocational training of the general
practitioners in the District.
The Medical School Library is included
in the
There is also a smaller
Postgraduate Medical Centre with lecture theatres and library at the Leicester
General Hospital, which has an active programme of postgraduate meetings.
POSTGRADUATE TRAINING
Trent Region is committed to
developing 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/speciality tutors work with unit postgraduate clinical tutors in
supervising these programmes. Trainees
will be expected to take part in these programmes (including audit) and to
attend counselling sessions/professional review. Study Leave will form part of these
educational programmes and will be arranged in conjunction with the appropriate
tutor.
LIBRARY FACILITIES
The Clinical Sciences Library at
the Leicester Royal Infirmary has an excellent, up-to-date, comprehensive selection
of text books and takes a full range of clinical journals. Other less clinically orientated journals
relevant to the medical sciences are available at the University Library on the
main campus. Computer literature search
and inter-library loan facilities are available from both libraries.
RESEARCH FACILITIES
Access to laboratory space in the
Clinical Sciences Building is possible be arrangement with the relevant
department. In addition, laboratory and
animal facilities are available in the Medical Sciences Building. The neurology department has, in the past,
collaborated closely with academic departments within the University with
regard to clinically orientated research.
OTHER FACILITIES
The Leicester Royal Infirmary is
situated approximately half a mile from the main City shopping centre and has
its won staff multi-storey car park.
The Leicester General Hospital is
situated approximately 4 miles from the main City Centre. The hospital has ample car parking, but is
also served by an excellent public transport service.
Glenfield Hospital is
approximately 3 miles from the city centre.
It is well served by the public transport and car parking facilities.