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THE ROYAL WOLVERHAMPTON HOSPITALS NHS TRUST
DIRECTORATE OF MEDICINE
JOB DESCRIPTION
FOR
EDUCATIONAL FELLOWSHIP
IN GENERAL MEDICNE
(MIDDLE GRADE EQUIVALENT)
(2 POSTS)
MARCH 2013
1
JOB DESCRIPTION
This is a new appointment developed in response to an increase in undergraduate medical teaching at
New Cross Hospital in Wolverhampton. The post has been developed in close collaboration with the
University of Birmingham Medical School. It is suitable for a doctor who has completed 2-3 years of
general professional training at SHO level and who wishes to gain further experience in undergraduate
teaching prior to progressing to an SpR training programme.
Two roles:
Education Fellow – General Medicine/Acute Medicine
Education Fellow – General Medicine/Diabetes
2.
1.1
Undergraduate Teaching at New Cross Hospital
The Hospital has a long tradition of undergraduate teaching in association with the University of
Birmingham Medical School. It has excellent educational facilities in the Wolverhampton Medical
Institute with lecture theatres and tutorial rooms, a well equipped library including an IT suite. There
is an Undergraduate Coordinator (Miss Jackie King), an Undergraduate Assistant (Miss Vanessa Edge)
and a Directorate Manager – Medical Education and Training (Mrs Louise Nickell).
Birmingham Medical School is expanding its intake of medical students to a number of new sites
around the Black Country. There is a comprehensive network of teaching general practices, which
together with the Teaching Hospitals and the Medical School constitute a virtual campus. Both the
Hospital and the Medical School have invested heavily in information technology. These facilities are
supported by Education/IT Facilitators.
The following groups of students attend New Cross Hospital for clinical training:
Year 3
Medicine and Surgery – September – April
42 students
Year 4
18 weeks of Specialist Medicine
9 weeks of Specialist Surgery & Peri-operative
Care
48 students
15 weeks of the Acutely Ill Patients
5 weeks of Paediatrics
5 weeks of Obstetrics& Gynaecology
20 students
5 students
5 students
Year 5
1.2
20 students
Main Duties of the Post
a)
To contribute to the delivery of clinical teaching of undergraduate students attending New
Cross Hospital
b)
To be familiar with the teaching objectives for the delivery of teaching in medical
specialities to Years 3, 4 and 5.
c)
To contribute to the organisation of student examinations and assessments as necessary
d)
To undergo training in teaching methods as agreed with the Clinical Sub Dean
e)
To attend clinical commitments appropriate to the development of the appointee’s
specialist training
f)
To undertake a research or audit project as agreed with the Clinical Sub Deans
g)
To be familiar with the electronic curriculum and to be available to facilitate student’s self
directed learning
h)
To ensure that clinical practice is up to date and to undertake a programme of continued
professional development
i)
To share responsibilities for data protection arising out of the use of computers
3.
j)
1.3
To comply with all relevant Trust policies and procedures
Teaching (5 Sessions)
There are 7 teaching firms in the Department of Medicine. The appointee will be expected to devote
up to half their time to support undergraduate teaching in medicine (5 sessions). It is likely that the
Fellow would support some of the teaching firms which are teaching in years 3, 4 and 5. A regular
teaching commitment will be developed with each of these firms and the Fellow will work with a
group of students to help them achieve clearly defined learning objectives. In addition it is hoped that
the appointee will undertake some training in medical education either by attending several short
courses or by registering for a more prolonged programme of learning.
1.4
Speciality Training (4-5 sessions)
In order to provide further training in preparation for application to an SpR training scheme a clinical
attachment will be arranged to provide further experience in Acute Medicine in the Medical
Admissions Unit participating in the Trust Grade rota for acute medical admissions. Further clinical
experience appropriate to the Fellow’s anticipating speciality, (e.g. attendance at clinics, ward rounds
and/or investigation sessions) will be negotiated.
There are two posts, one with an optional choice of medical specialty and the second linked to the
Diabetes firm. The clinical commitments for the specialty of choice will be discussed with the
supervising specialty consultant.
Diabetes and Endocrine Post
For candidates aspiring to specialise in Diabetes & Endocrinology, these posts offer an excellent
opportunity to enhance their clinical experience while having protected time to take up academic
projects with proven potential to present and publish. In addition, the candidates will be involved in
the organisation and delivery of medical undergraduate teaching at New Cross Hospital for students of
University of Birmingham Medical School. It is suitable for a doctor who has completed 2-3 years of
general professional training at SHO level and who wishes to gain further clinical and academic
experience in Diabetes and Endocrinology and undergraduate teaching prior to progressing to a
Specialist Registrar training programme.
Speciality Training in Diabetes and Endocrinology
The three academic fellows will complement with the two Specialist Registrar trainees to provide
middle grade support to the department. The academic fellows will rotate through two month blocks of
general clinical duties including in-patient support, specialist clinical duties and academic/teaching
blocks. The academic fellows will have excellent clinical experience through exposure to general and
specialist diabetes and endocrine clinics. In addition, in-patient diabetes care experience will be
provided through the diabetes outreach service and through support of diabetes ward patients. The
middle grades will have excellent consultant supervision and mentorship and in turn will be expected
to support and train junior medical trainees attached to the firm. The details of various out-patient and
in-patient duties are outlined in the sample timetables for the various two month blocks they will rotate
over.
1.5
Research, Audit and Clinical Governance
Participation in research or an audit project would be strongly encouraged related either to internal
medicine or medical education.
4.
The successful candidate is expected to participate in all aspects of clinical governance.
Clinical
audit is an established facet to the Hospital’s work. The appointee is required to participate actively.
The post holder will ensure that all services are provided in an effective and efficient manner and that
the principles of risk management and clinical governance are maintained at all times.
1.6
Postgraduate Education Training
The post holder will be expected to embark on or continue further training in medical education with a
view to achieving a Certificate in Postgraduate Medical Education which will be funded by the
Undergraduate Faculty.
1.7
Honorary University Appointment
The post holder will been given the title of “Honorary Lecturer , University of Birmingham.
1.8
Accountability
The appointee will be professionally responsible to the Director of NHS Teaching, Dr P B Rylance and
managerially responsible to Dr. S. Kapadia, Clinical Director in Medicine.
2.0
PRINCIPLE CLINICAL DUTIES AND RESPONSIBILITIES
The appointee will be able to have an out-patient clinic commitment to their proposed future
speciality interest.
There is a regular 1:8 on-call responsibility (with prospective cover) for the assessment of
medical emergencies in a new purpose built Emergency Assessment Unit.
There will be a requirement for the appointee to be closely involved with in-patients on the
specialty wards and any outlying patients who either fall under the care of the Consultants.
3.0
ON-CALL COMMITMENT
The postholder will work a 1:8 (prospective cover) rota in the Emergency Assessment Unit.
The rota is designed to provide 7 day cover from 11 am to 10 pm weekdays and 10 am to 10
pm on Saturday.
This 12 session post is calculated as:
3 sessions for on-call (12 hours)
1 session for prospective cover
1 session administration
1 study/continuing further education
6 sessions ward/specialty based duties
The on-call rota will be published each 6 months (February and August). Prospective cover is
included in the overall hours assessment. It will be the appointees responsibility to “swap” oncalls when they are on annual leave or study leave. (Reasonable notification of leave will need
to be given in line with the Directorate leave guidelines to ensure timely changes to out-patient
clinics.).
5.
The 1:8 on-call commitments will result in the cancellation of the proposed duty on that day.
4.0
PROPOSED EXAMPLE TIMETABLE (depending on Speciality interest)
DAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
5.0
AM
Ward Round
Undergraduate Teaching
OPD Clinic
Undergraduate Teaching
Undergraduate Teaching
PM
Undergraduate Teaching
OPD Clinic
Audit/Research/CPD
Undergraduate Teaching
Ward Work / Procedures
THE ROYAL WOLVERHAMPTON HOSPITALS NHS TRUST
The Royal Wolverhampton Hospitals Trust successfully achieved Trust status in the Fourth
Wave of Trusts [1994-95]. However the main characteristics of a NHS Trust had been in place
for some considerable time before achieving Trust status. The Royal Wolverhampton Hospitals
NHS Trust adopted a Directorate Management structure in 1990.
5.1
New Cross Hospital
New Cross Hospital first opened in 1905, stands in 65 acres of land two miles from the centre
of Wolverhampton and was originally the Local Authority Hospital.
A number of the old buildings have been upgraded or replaced with modern units and the
building programme continues. Specialities include ENT, Oral Maxillo Facial Surgery, General
Surgery, Orthopaedics, Urology, Obstetrics and Gynaecology, Paediatrics, Psychiatry, General
Medicine, Haematology, Coronary Care, Dermatology, Neurology and G.U. Medicine. There
is a modern well-equipped Out-patient Department, a purpose built Diabetic Centre, as well as
a new purpose built Accident and Emergency Department. A Renal Unit comprising 21
Dialysis stations. It is anticipated that the HDU unit will increase from 6 to 12 beds within the
next couple of years.
A purpose built Day Surgery Unit opened in August 1995 and
endoscopy work is undertaken there. There is a purpose built Cancer Centre housing all
Radiotherapy and Oncology Services, and more recently in 1999 a 50 bedded medical
admissions unit was opened.
New Cross Hospital has been designated as the fourth cardiac centre and opened to surgery in
October 2004 and cardiology in December 2004. The centre comprises of 167 beds with the
appropriate level of ITU, HDU and surgical facilities
5.2
Wolverhampton & Midland Counties Eye Infirmary
A 20 bedded Unit dealing solely with Ophthalmology and providing eye casualty facilities
during the day.
5.3
West Park Hospital
This is run by the Royal Wolverhampton Hospitals NHS Trust and provides rehabilitation for
the elderly as well as a young rehabilitation unit.
6.
5.4
Penn Hospital
This is also run by the Black Country Partnership NHS Foundation Trust and provides long
stay care for elderly patients.
6.0
SUPPORT SERVICES
6.1
Radiology
The Radiology Department provides expertise and facilities that one would expect from a large
district general Hospital.
A range of therapeutic interventional radiology is provided,
including Luminal Vascular Stents, Vascular Dialitation, and Percutaneous Biliary Stenting.
There is a nuclear imaging department with a gamma camera. A £13.5m Radiology Centre
opened in June 2003 and includes 2 CT scanners, 2 MRI scanners, 1 gamma camera, 2
angiography suites, 5 ultrasound rooms, 5 general rooms and a breast unit.
6.2
Pathology
There are excellent fully developed services in all departments of pathology covering most
aspects of clinical biochemistry, haematology and microbiology. The latter includes facilities
for rapid assessment of suspected TB material. A new Histopathology department has recently
been opened and clinical chemistry is sited in a modern well-equipped department. There is an
excellent and rapid histology service.
6.3
Paramedical Staff
Both New Cross and West Park sites are supported with Physiotherapy and Occupational
Therapy staff. Speech Therapy is available on the New Cross Hospital site and in the
community. There is a Placement Officer, a Liaison Nurse and a Support Team to facilitate
early discharge (Support Team for the Elderly).
7.0
DIVISION OF MEDICINE AND EMERGENCY SERVICES
Following the implementation of a Clinical Directorate structure is 1990 the specialties within
Medicine were grouped under one management unit with a dedicated management team
comprising a Clinical Director, Directorate Nurse, Divisional Manager and Specialty
Managers. Recently the Medical Directorate has formed a Division with Accident and
Emergency. The Medical Directorate manages a budget of over £16 million (excluding
Consultant pay costs) and a total budget for the Division is in excess of £28 million.
The Directorate is represented on the Trust Management Board by the Clinical Director who is
appointed by the Chief Executive on recommendation of the Consultants within the
Directorate. The Divisional Director whilst retaining his/her medical commitments also
undertakes responsibility for formulating the Directorates strategic development, management
of the budget and Clinical Governance.
Responsibility for all nursing duties within the Directorate is undertaken by the 3 Head Nurses
who are responsible managerially to the Divisional Manager and professionally to the Director
of Nursing. Management support to the Directorate is provided by a Divisional Manager and
7.
Specialty Managers with responsibility for the day to day running of the Directorate and
financial control.
The Divisional Director for Medicine is supported by a Management Team which comprises of
a Divisional Manager, 4 Speciality Managers who manage all the business and staff functions
and an Assistant Director of Nursing who is professional lead.
The Medical Directorate comprises:
EAU Receiving Room
Acute Medical Unit
Acute Medical Ward
Stroke Unit
C15
C16
C18
C19
C22
C24
C25
14 spaces
32 beds
24 beds
20 beds
28 beds
28 beds
28 beds
28 beds
28 beds
28 beds
28 beds
Medical Emergency
Medical Emergency
Medical Short Stay Medicine
Care of the Elderly – Stroke
Gastroenterology & General Medicine
Gastroenterology & General Medicine
Respiratory, General Medicine, Neurology
Respiratory, General Medicine, Neurology
Care of the Elderly, Dementia
Renal & General Medicine
Diabetes & General Medicine
The main out patient area (OPD 1) accommodates most specialities, with the exception of the
following who have their own accommodation, Diabetes, Dermatology and Care of the Elderly.
A number of support services are also directly managed by the Directorate including, Dietetics,
EEG, Health Records, Medical Audit, Respiratory Hospital at home, Chest Radiology and
Lung Function.
The Cardiology Wards (Cardiology ward 1 & 2) have 60 beds, including the coronary care unit.
A cardiology department encompasses the rapid access chest pain service.
The Radiotherapy and Oncology Departments are located in the Deanesly Centre and Durnell
Unit.
Deanesly Ward
Durnell
Clinical Haematology Unit
16 beds
18 beds
15 beds
Oncology
Oncology
Haematology
Specialties within the Medical Directorate include Gastroenterology, Diabetology, General
Medicine, Respiratory Medicine, Nephrology, Neurology, Dermatology and GU Medicine.
There are also a number of support services directly managed by the Directorate including
Dietetics, EEG, Health Records, Chest Radiology and Lung Function.
The doctors-in-training on each firm are led by a Registrar who is responsible for the day to
day organisation of duty rotas and leave management within the firm and who has specific
responsibilities when the firm is on take. All doctors in the firm will co-ordinate their work to
ensure the continued delivery of the services to patients whilst allowing effective opportunities
for training, rest and annual leave.
7.1
General Medicine
8.
There are 24 general physicians most of them having a specialist interest. The Directorate is
fully integrated with the Care of the Elderly physicians, and all physicians take part in the
general medical on take rota.
The Cardiologists do not participate in the general medical on-call rota and there is a separate
Consultant Cardiology on-call rota. Cardiology emergencies are often directly admitted to the
Coronary Care Unit on the Cardiology Ward.
7.2
Dr. J. S. Mann
Dr. L. Dowson
Dr. P. Dawkins
Dr. K. Thickett
Dr. A. Morgan
Dr. Fahim
Respiratory
Respiratory
Respiratory
Respiratory
Respiratory
Respiratory
Dr. K. Fotherby
Dr. D. Leung
Dr. D. D’Costa
Dr. S. Mcbride
Dr. S. Hutchinson
Care of the Elderly
Care of the Elderly
Care of the Elderly
Care of the Elderly
Care of the Elderly
Dr. S. Kapadia
Dr. B. McKaig
Dr. A. Veitch
Dr. I. Perry
Dr. S. Menon
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Gastroenterology
Dr. B. Singh
Dr. H. Buch
Dr. V. Baskar
Dr. A. Viswanath
Dr. R. Raghavan
Dr. V. Oguntolu
Diabetes/Endocrinology
Diabetes/Endocrinology
Diabetes/Endocrinology
Diabetes/Endocrinology
Diabetes/Endocrinology
Diabetes Endocrinology
Dr. P. B. Rylance
Dr. J. Odum
Dr. K. Sandhu
Dr. J. Nicholas
Dr. S. Cherukuri
Dr. P. Manjanabail
Dr. Kay Tan
Dr. R. Lodwick
Dr. P Dainty
Dr. K. Wilmer
Dr. S. Moola
Renal Medicine
Renal Medicine
Renal Medicine
Renal Medicine
Renal Medicine
Renal Medicine
Renal Medicine
AcuteMedicine
Acute Medicine
Acute Medicine
Acute Medicine
Acute Medical Unit
Opened in 1999 the Acute Medical Unit offers a comprehensive one-stop facility for all
emergency medical patients admitted to New Cross. The EAU aims to provide high quality
care to an ever-increasing number of acutely unwell patients all with very specific needs. The
workload is spread over 2 very distinct area; both are staff by experienced and highly trained
nurses who are used to working in what is often a very fast a stressful environment. The AMU
presently has 4 Acute Physicians who carry out post-take ward rounds on patients admitted
overnight, and also do ward rounds of AMU patients. The Acute Physicians also participate
in the on-call medical on-take rota. Further Acute Physician appointments are planned.
The unit in total has 70 bed spaces split to form three distinct sections. The initial point of
assessment is the Receiving Room, this is where the on-call team will access the patient and
begin to define a treatment plan. This could be requiring a short assessment/diagnostic episode
on the Medical Short Stay unit or a longer in-patient stay on the Emergency Assessment ward.
Once this has been initiated the patient will be transferred to the appropriate area of the
Assessment Unit where their treatment will continue until they are moved to a specialty ward
or are discharged home.
7.3
Emergency Medical On-Call
Acute Medicine, Diabetes, Care of the Elderly, Respiratory and Renal firms all participate in
the general medical “on-take” rota.
9.
Each 24 hour take has two Consultants covering 24 hours, one covering male admissions and
the other female.
The on-call is covered by 2 Specialist Registrars (also covering male and female admissions),
Trust Grade doctors, Foundation Year One doctors and a team of SHOs (FY2, ST1, ST2,
FTSTA, GPVTS).
There are continuous Consultant “post take” ward rounds though out the day and evening and a
Consultant post-take ward round covering all out-lying patients commencing at 0800 hours.
7.4
HOURS OF WORK FOR DOCTORS ON CALL
GRADE
Specialist
Registrar 1 & 2
Own Bleep
Specialist
Registrar 3
Bleep 1234
Staff Grade/
Trust Fellow
Own bleep
Night RMO
Night SHO 1
Crash Bleep
WORKIN
CRITERIA
G
PATTERN
10am
– Based in EAU one each covering male and female admissions.
10pm
Responsible for the management/running of the acute medical take.
To liaise with Consultant on-call regarding the management of
patients on acute medical take and assessment of patients admitted
during day. Routine duties am and pm to be cancelled. Carry SpR
duty bleep 9pm-9.30pm and handover to SpR 3.
9.30pm
– Based in EAU. Responsible for the management/running of the
10am
acute medical take. Resident on call. Carry SpR duty bleep 9.30pm
– 10am. Responsible for the overnight acute medical take. Attend
morning post take ward round at 8am–10am. Off duty for day time
responsibilities and the following day.
11am
10pm
– Based in EAU. Attends afternoon ward round. Attend ward round
on EAUW and ESS at weekend. Works 10am-10pm on Saturday.
10pm
10am
10pm
9.30am
– Works in EAU. Attends post take ward round 8am–10am.
Handover bleep to Day RMO 1 at 8am.
– Ward cover and 1st on SHO. Covers all wards. Crash bleep.
Handover bleep to Day SHO 1. Works 9pm-9.30am at weekends.
– EAU and ward cover (responsible for cover on EAUW and ESS).
Attends post take ward round 8-10am. Assist with emergency
admissions as and when required. Assist Night SHO 1 as and when
required. Crash bleep from HO 2 10pm - 9.30am.
8am – 8pm
Work base EAU/RR. Acute admissions on EAU. Post take ward
round pm. Handover bleep to RMO 2 at 8pm.
Night SHO 2
Crash Bleep
10pm-9.30am +
Own bleep
Day RMO 1
Crash Bleep +
own
Day SHO 1
Crash bleep
10pm
10am
Day RMO 2
Own bleep
10am
10pm
Work on EAUW from 8am-5pm. Attend morning post take ward
round. Carry crash bleep and handover crash bleep to Day SHO 2 at
5pm.
– 2nd on RMO. Works in EAU. Carries bleep 1295 from 8-10pm and
then handover to Night RMO at 10pm.
Day SHO 2
10am
– Works on EAUW 10am - 5pm Monday to Friday, then 2nd on ward
8am – 5pm
10.
Own bleep
10.30pm
Day SHO 3
Own Bleep
5 – 10.30pm
Weekend SHO 1
Crash Bleep
9am
9.30pm
–
Weekend SHO 2
Bleep
9am
9.30pm
–
Weekend SHO 3
Own bleep
FY1 1
Crash bleep +
own
FY1 2
Crash bleep +
own
9am
5.00pm
12noon
10pm
–
9.30am
10pm
– Carry out normal duties on the ward from 9.30am–5pm, then on
ward cover 5pm–10pm. Crash bleep. Handover crash bleep to
Night SHO 2 at 10pm.







–
cover 5-10pm on Stroke Unit, D13, D14, D15, D16, D17, D19, D20,
RR, Renal Unit and Emergency Short Stay Ward. Carries the crash
bleep 5 - 10.30pm. Handover to Night SHO 1.
Works on own specialty ward (Cardiology/Oncology), Monday to
Friday 2 - 5pm (including BHs), then 2nd on responsible for ward
cover 5–10.30pm on Clinical Haematology Unit, Cardiology wards,
Durnall Unit, Deansley, EAUW, D8 and surgical outliers. Handover
to Night SHO 1.
2nd on covering Stroke Unit, D13, D14, D17, Clinical Haematology
Unit, cardiology, C3, RR, EAU (5-9pm) and surgical outliers. Crash
bleep. Handover to Night SHO 1 at 9pm.
2nd on covering D15, D16, D19, D20, Renal Unit, Durnell,
Deansley, ESS (5-9pm), Short Stay ward, Beynon Centre. Handover
to Night SHO 1 at 9pm.
2nd on covering RR, EAW and ESS. Handover to Weekend SHO 1
& 2 at 4.30pm.
Will be released from fixed daytime duties. Work base EAU.
Do not cover FY1 on weekend in EAU. If FY1 is off duty, cover with other FY1.
If one night SHO (RMO or SHO) is off duty – cover with other SHO (ie RMO and SHO 1)
If one SpR is off duty – cover with the other SpR
If Day RMO 1 off duty – cover with Day SHO 1
If Day RMO 2 off duty – cover with Day SHO 2, then back fill with locum SHO Medicine 5-10pm
to cover 2nd on ward cover
If Day SHO 1 off duty (EAUW) – cover with Day SHO 2
If Day SHO 2 off duty (EAUW) – cover with Day SHO 1
STAFF GRADE/TRUST FELLOW







Work based Emergency Assessment Unit (EAU).
Directly supervise the RMO, SHOs and FY1s in the Emergency Assessment Unit.
See and review the management of sick and undiagnosed patients.
Assist with the clerking of patients.
Co-ordinate the clerking of patients to ensure delays are kept to a minimum.
Liaise with the SpR to resolve bed shortages when they arise.
Responsible for ward rounds on EAUW on Saturday.
8.0
GENERAL INFORMATION
8.1
Clinical Audit & Effectiveness
The culture of clinical audit and effectiveness has seen considerable advances over the last 4
years. We have a dedicated team of audit officers, each of whom has gained specialist
knowledge of the directorates within which they work.
11.
A Director of audit and effectiveness in liaison with the clinical audit co-ordinator steer the
department in ensuring that clinical audit is:
Undertaken by multi-professional teams focused on patients, driven by evidence-based
medicine, clinical effectiveness and outcome closely involved with the production and
evaluation of guidelines and patient pathways.
The department liases closely with risk management complaints and R&D. There is increased
promotion of patient/carer involvement in the development of audit projects and path analysis.
Training packages in audit, critical appraisal skills and governance are being developed. A
number of integrated care pathways have been developed throughout the Trust and a dedicated
lead is identified for this initiative.
There is regular dissemination of relevant information on evidence based medicine to target at
health care professionals and interactive dialogue in encouraged. Strong recommendations
from the annual audit programme are followed up and specific issues targeted for action
through the governance director’s board, ensuring completion of audit loops highlighting of
risk areas and complaints. The links between primary and secondary care with reference to
patient pathways, interface audit and information technologies are strongly encouraged and
development of clinical sub-specialty governance teams is ongoing.
8.2
Research & Development
Research and development is held in high regard by the Trust and will become increasingly
important with the advent of further development of the Medical School and the broader
academic framework. The Directorate provides significant advice on Trust governance and
risk policy and its Director is a member of the Governance Board. The Directorate offers help
in facilitating research and the development of intellectual property to all members of staff by
offering an information network on ethics, methodology, research costs, and potential funding
and from time to time direct assistance. It receives Culyer I funding at present on behalf of the
Trust and administers the Black Country Research Network. The Directorate is responsible for
research nurses who have specific project responsibilities and one of its major functions is to
ensure Good Clinical Practice within an established Research Governance Framework.
Research is well established within the trust with multiple University and commercial partners.
Staff are encouraged to engage in research and it is the Trust’s policy to develop specific
research time within job descriptions where possible. This will become an increasing priority
within the Trust’s overall development.
The Trust’s reputation for publication in peer reviewed journals is high. The development of
intellectual property to patent stage is well established and mechanisms are in place for the
further development of such projects to commercialisation and marketing.
8.3
Educational Facilities
The Wolverhampton Medical Institute on the New Cross site provides excellent library and
post graduate facilities with a new well equipped lecture theatre. There is a very active
postgraduate programme for hospital staff, General Practitioners and nurses. Regional and
national meetings are regularly held in the centre.
8.4
Study & Training
12.
The post is not recognised for training, but the objective is to provide a training and
educational opportunity equivalent to a recognised post.
This Trust recognises and values the training needs and ambitions of all its Doctors. You will
have the rights and responsibilities of a CME process. This will be under the management of
the Director of Education. It includes a named educational supervisor; an appraisal and
assessment process; an agreed professional development plan.
A minimum study leaves entitlement of (50% of equivalent training grade) with the
opportunity to take up to (100% of equivalent training grade) at the discretion of the
educational supervisor; a study leave budget of (100% of equivalent training grade).
You will be required to maintain an educational portfolio and will undergo an appraisal
equivalent to the level of your post.
The postholder has full access to library and IT facilities in the postgraduate centre, and to the
support and advisory services offered by the Director of Education and Postgraduate Clinical
Tutor.
There are tutorials and meetings in which the postholder is expected to participate.
Facilities exist for clinical research and audit, which will be actively encouraged.
8.5
Risk Management
Clinical risk management has assumed increasing importance in the Trust over the last two
years. All members of staff are encouraged to complete incident forms to record either clinical
incidents or “near misses”. The degree of risk is assessed using a scoring matrix, which is
widely published around the hospital. Incidents, which have a low chance of recurrence and a
low impact on the organisation, are investigated and managed at Directorate level. Those in
the red and amber category where the risk of recurrence is high and the potential damage to the
Trust is significant are investigated with the assistance of the risk management team.
The Trust emphasises that clinical incidents and clinical “near misses” are nearly always the
result of a system failure and is not due to poor practice in individual staff. The department’s
overriding emphasis is to put in place the systems, which minimise risk to patients, staff and
visitors and avoid placing individual staff in situations where they do not receive proper and
adequate support.
9.0 MAIN CONDITIONS OF SERVICE
9.2
9.3
9.4
9.1 The appointment is initially for a fixed term of 12 months and governed by the Whitley
Council Terms and Conditions of Service, Hospital & Dental staff in England and Wales.
An up-to-date copy of which may be seen upon request in the Human Resources
Department.
The post is for 40 hours (Monday – Friday) + 1 in 8 on-call commitment (with prospective
cover) to be undertaken in the Emergency Assessment Unit from 11am – 10pm on weekdays
and 10am – 10pm on weekends.
Salary scale £29,364 - £45,598 (10 sessions).
All requests for annual leave and study leave must be approved by the Speciality Lead Coordinator and Directorate Medical Staff Co-ordinator. It is each doctor’s responsibility to
13.
9.5
9.6
9.7
9.8
9.9
10.0
inform the Speciality Lead Co-ordinator and Medical Staff Co-ordinator of: (a) proposed date
they wish to take and (b) who is covering their routine and emergency work rota commitment.
Leave will not be granted unless this information is provided. It is your responsibility to swap
duties with colleagues to provide cover for your absence.
The annual leave for this post if 30 days (Monday – Friday) per annum plus 7 days of Public
Holiday (may be taken inn lieu). The third year your annual leave entitlement will rise to 35
days (Monday – Friday) plus 7 days Public Holidays.
Study leave entitlement equates to 10 days per annum.
Single accommodation is available on the New Cross Hospital site. Married accommodation is
subject to availability. Compulsory residence is required when on emergency cover.
The post is a whole time appointment.
The post holder will also perform duties in occasional emergencies and unforeseen
circumstances at the request of the appropriate Consultant, in consultation where practicable
with his colleagues, both senior and junior. It has been agreed between the professions and the
Department of Health that while the post holder accepts that they will perform such duties,
additional commitments arising under this provision are exceptional. The post holder will not
be required to undertake work of this kind for prolonged periods or on a regular basis.
The City of Wolverhampton
Wolverhampton is a modern industrial City situated on the western fringe of the Black Country. It is
approximately a 30 minute drive to Birmingham (15 miles) and 1 hour 20 minutes to Manchester (60
miles). The counties Shropshire and Staffordshire are only a few miles away, where some of the most
beautiful countryside in the country is to be found.
Wolverhampton is an urban multiethnic city with a population of around 250,000. This is made up of
80% of Caucasian, 12% indo-asian and 8% afro-Caribbean people at the 1990 census. The wider
catchment area has a population of in excess of 350,000.
Shopping in Wolverhampton offers a varied selection of facilities and amenities. There is a modern
shopping precinct (The Mander Centre) with further shopping areas in Darlington, Victoria and
Dudley Street along with Queen Square.
The Civic and Wulfrun Halls are used for concerts and promotions. In addition, there is a gallery,
good public library and a theatre in the City centre has recently undergone extensive refurbishment.
The City Centre has an active nightlife, offering a variety of nightclubs, bars, restaurants and a cinema.
Sporting facilities include Wolverhampton Wanderers Football Club, several health and fitness clubs
as well as clubs for cricket, hockey, rugby, tennis, squash, athletics, and sailing. In addition there is an
all weather racetrack for horses and at least six golf clubs are within easy reach of the City.
10.1
Accommodation and Education
The main residential areas within the borough are situated on the western boundary and include
Tettenhall, Wergs, Wightwick, Compton, Finchfield, Merry Hill and Penn. In addition there is a
modern housing development at Perton, which offers housing at all price levels. The development has
its own supermarket and supporting shops, schools and churches which make this area a self contained
community.
Outside the town there are numerous villages, both small and large, which offer attractive
opportunities for housing. Such villages include Beckbury, Ryton, Burnhill Green, Pattingham,
Worfield, Claverley, Seisdon, Trysull and Albrighton to the west, Brewood and Codsall to the north
and Womborne to the south.
14.
Education is well catered for with many excellent maintained schools and colleges of further
education, including Wulfrun and Bilston Colleges and Wolverhampton University. Independent
schools include the Wolverhampton Grammar School, the Royal Wolverhampton School, Tettenhall
College, St Dominics, Brewood, Birchfield Boys Preparatory and Newbridge Girls Preparatory School.
10.2
The Environs
To the southeast is the Black Country, the industrial heartland of England. There is a working
museum (The Black Country Museum) at Dudley which offer an opportunity to see the cultural
heritage of the Industrial Revolution. In addition, Birmingham another major cultural centre in the
West Midlands is only 15 miles away. Facilities include theatres, concert halls and the major sporting
facilities of Aston Villa and Birmingham City Football Clubs, Warwickshire County Cricket Club and
the Alexander Athletics Stadium. There is also the National Indoor Arena and National Exhibition
Centre, which host many events.
The surrounding countryside of Staffordshire, Shropshire and Worcestershire is delightful. To the
north are Cannock Chase and the west the Shropshire borders with attractions of Bridgnorth, the Clee
Hills, the Long Mynd, Wenlock Edge, and the Severn Valley. South of Wolverhampton, the City of
Worcester is easily accessible.
10.3
Communications
Travel communications to Wolverhampton are excellent, the area being well served by the motorway
network, with the M1, M5, M6 and M54 within easy access. There are regular and frequent intercity
rail services to London Euston and Manchester. Birmingham International Airport is 30 minutes away
by road and Manchester Airport can be easily reached within 1 hour 20 minutes.
Informal Visits
Informal visits are encouraged and arrangements can be made by telephoning:
Dr. P. B Rylance, Director of NHS Teaching
Dr. S. Kapadia, Divisional Director – Medicine
Miss Jackie King, UG Coordinator
01902 695323
01902 695462
01902 695323
15.