THE WHITTINGTON HOSPITAL NHS TRUST

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THE WHITTINGTON HOSPITAL NHS TRUST Powered By Docstoc
					 Women’s & Children’s Health
           Directorate
Specialty training registrar posts
               (StR)
   Obstetric & Gynaecology
 ST1/ST2 Training Programme
The History of the Whittington Hospital
Medical services have been delivered on the Whittington site for over 500 years. In
1473 a leper hospital was founded, which later cared for the poor chronic sick
transferred from hospitals in the centre of London. In 1848 a smallpox and
vaccination hospital was built on the St Mary’s site and independently managed
hospitals were opened on the Highgate site in 1866 and the Archway site in 1877. In
1900, the Highgate Hill Infirmary opened adjacent to the smallpox hospital and the
two soon merged, with the smallpox hospital becoming a nurses’ home. In 1946, the
hospitals on all three sites were brought together with a total of almost 2000 beds.
Following the introduction of the NHS in 1948, they jointly became the Whittington
Hospital.

The past 50 years have seen the consolidation of all clinical services onto the St
Mary’s site with a reduction of beds to approximately 500. In 1977 a new wing was
opened which currently houses the emergency department, outpatients clinics and
the pathology laboratories and in 1992 the Great Northern Building opened providing
modern inpatient accommodation and education facilities.

In 1999, the hospital embarked on an ambitious site redevelopment programme to
modernise its facilities. Stage one, which involves the relocation of many of its clinical
services into purpose-built accommodation was completed in 2006 The new building
is equipped with the latest medical equipment and provides patients with some of the
most advanced hospital facilities in London. Stage two of the redevelopment, which
involves the refit of part of the Great Northern building into a day treatment centre, is
due to be completed by the end of 2007.

The Highgate site is now home to Camden and Islington Mental Health Trust. The Archway
site has been purchased by University College London and Middlesex University and is one
of the largest centres for the training and accreditation of health professionals.

The Hospital Today
The Whittington Hospital is a medium-sized district teaching hospital. It aims to
provide high quality services in a caring, friendly and efficient way and wants to be
selected as the local hospital of choice. The hospital aims to be recognised for
excellence in day surgery, the care of long-term conditions, the treatment of common
cancers, the care of women and children and the provision of first class
undergraduate and postgraduate training.

We are located in Archway, Islington and serve the people of north Islington and west
Haringey, as well as those from Camden, Barnet and Hackney, giving a combined
population of approximately 300,000. We have 467 beds and employ over 2,000
staff. We have close working relations with tertiary centres at the Royal Free
Hospital and the UCLH group of hospitals.
All main branches of medicine and surgery are provided at The Whittington Hospital
with the exception of neurosurgery and cardiothoracic surgery. Plastic surgery and
ophthalmology are represented by outpatient services.

Our new building houses one of the most advanced imaging departments in the UK.
It is equipped with state-of-the-art digital x-ray equipment, high tech ultrasound
scanners and specialist imaging equipment that includes a 64-slice CT scanner, a
1.5 tesla MRI scanner and a gamma camera for nuclear medicine. The following
have also moved to purpose-built accommodation in the new building:

      the critical care unit (15 beds)
      the medical assessment unit (15 beds)
      the cardiology ward (18 beds)
      the respiratory ward (21 beds)
      oncology inpatient (16 beds) and chemotherapy day care facilities (nine bays)
      the thalassaemia unit.

An 89 bedded Mental Health Unit is located adjacent to the hospital and is managed
by the Camden and Islington Mental Health Services Trust. The Sexual Health
Clinic, managed by Camden & Islington Community Trust, is located in the Archway
Campus.

The hospital is divided into four divisions – diagnostics and therapies; surgery;
women and children; and medicine – each managed by a divisional manager who
reports to the director of operations.

Mrs Celia Ingham Clark is the medical director of the hospital and Dr Anna Kurowska
is the acting director of medical education.

The Whittington is one of the teaching hospitals of University College London,
providing clinical placements and training for doctors, and is one of the largest
centres for the training and accreditation of health professionals in the UK.

APPROXIMATE BED NUMBER
Surgery                     102
Day surgery                 16
Medical                     237
Maternity                   58
Paediatrics                 23
Neonatal Unit               18
ITU                         11 (increasing to 15 by the end of 06/07)
Private patients ward       20
TOTAL                 485
All figures are approximate because beds are used flexibly and because
ongoing strategic planning processes may affect individual speciality
provision from time to time.
Specialty Registrar (StR1 & StR2) posts in
Obstetrics & Gynaecology
The Department
THE CITY OF LONDON MATERNITY UNIT
In 1983 the City of London Maternity Hospital and the Obstetric Unit of the
Whittington Hospital amalgamated to form the above unit, which is a modern
department of 47 beds comprising 3 antenatal and postnatal wards. The Labour
Ward consists of 7 fully equipped delivery rooms and an Operating Theatre. There is
a high dependency room, bereavement/family room and a Maternity Day
Assessment Unit.

The population is a mixture of ethnic and social groups, and therefore provides many
challenging obstetric problems.

In 2003 there were 3,300 births, 96 of which were home births. The obstetric
workload is shared between 10 Consultants, Mr Clive Spence-Jones, Miss Frederick
Eben, Miss Heulwen Morgan, Miss Amma Kyei-Mensah, Miss Carolyn Paul, Mr
Marcus Setchell, Miss Claire Mellon, Mr Narendra Pisal, Ms Amali Lamagogini and
Miss Gaye Henson. Miss Gaye Henson is the clinical lead for Obstetrics and
Gynaecology and is the consultant with lead responsibility for the day-to-day
management of the Labour Ward. There is an obstetric registrar; senior house officer
and anaesthetic registrar on-call for the Labour ward 24 hours a day.

NEONATAL PAEDIATRICS
A level 2 Neonatal Unit of 18 cots, 6 being intensive care cots, supports the Maternity
Service. There are weekly perinatal meetings to discuss current antenatal problems,
their future management, and neonatal progress. A specific topic is discussed at
each meeting. There are in-utero transfers to the unit from other hospitals. There are
currently six consultant paediatricians at the Whittington with Dr Broadhurst being the
lead neonatologist, supported by Dr Raoul Blumberg.

OBSTETRIC ANAESTHETIC SERVICE
Dr Sola Makinde is the Consultant-in Charge of the Obstetric Anaesthetic Service.
Dr Powney and Dr Dunstan also have Obstetrics as a special interest. Recruitment of
a fourth Obstetric Anaesthetist is underway. Registrar level cover is provided for the
Labour Ward at all time, this Anaesthetic Registrar having no other duties. There are
dedicated Consultant Anaesthetic labour ward sessions.

ANTENATAL CLINIC
There are daily combined booking and follow-up antenatal clinics. There are joint
obstetric/medical clinics and a large diabetic clinic. Prof. Michael de Swiet is
Consultant Obstetric Physician. There are also midwife-led antenatal clinics. There is
a Parenthood Education Programme. There is a Health Advocacy Team providing a
translation service in many languages.

GYNAECOLOGY
10 Consultants in the Department undertake the Gynaecology workload including on-
call. There is one gynaecology ward consisting of 16 beds for both elective and
emergency admissions. There are daily main theatre sessions. A large proportion of
the surgical work is undertaken in the Day Surgery Unit. Early pregnancy problems
are managed in the Early Pregnancy Day Unit. There is a Gynae Emergency Service
led by Miss Mellon and Miss Morgan leads Reproductive Gynaecology. The
Whittington also has a busy Termination of Pregnancy service.

Professor Albert Singer and Miss Theresa Freeman Wang are co- directors of the
Colposcopy service giving a clinical service as well as a strong research programme.
This is the largest Colposcopy service in London and is well known for collaboration
in international research programmes. Regular colposcopy and laser courses are
held in the Department. Mr Narendra Pisal is the lead consultant for Gynae-oncology
within the department. The Whittington is designated as a Gynae Cancer Unit within
the North Central London Cancer network.

SPECIAL INTEREST CLINICS

-   Colposcopy clinics
-   Combined Oncology clinic
-   Gynae-endocrine clinic
-   Vulval Clinic
-   Menorrhagia
-   Hysteroscopy
-   Fertility including I.U.I. procedures
-   Pregnancy Advice clinic
-   Psycho-Sexual clinic
-   Gynae-urology clinic
-   Andrology clinic
-   Menopause clinic
-   Gynae emergency clinic


SEXUAL HEALTH CLINIC
There is a busy Sexual Health Clinic and there are close links with the gynaecology
and obstetrics department.

ULTRASOUND
Miss Morgan has responsibility for obstetric and gynaecology ultrasound. There are 3
Consultant ultrasound sessions per week, where anomaly scans and amniocentesis
are undertaken. Ovarian scanning is also performed. There are weekly meetings
with the relevant Ultrasonographers.

VULVAL CLINIC
Miss Freeman–Wang is in charge of the clinic, dealing with both diagnosis and
treatment of vulval and peri-anal disease.
Current Staffing
Consultants
Mr Clive Spence-Jones, MRCOG            Maximum Part-time
                                        (Obstetrics & Gynaecology)
Prof. Albert Singer, D Phil FRCOG       Maximum Part-time
                                        2 Academic Sessions (Gynaecology)
Mr Trevor P Dutt, FRCOG                 6 Sessions (Gynaecology)
Miss Gaye Henson, MD FRCOG              Whole-time - RCOG Tutor (Obstetrics)
Miss Amma Kyei-Mensah, MRCP             Whole-time Obstetrics &
MRCOG                                   Gynaecology
Miss Heulwen Morgan, FRCOG              Maximum Part-time
                                        5 Districts & 5 Academics
                                        Sessions/University College Hospital,
                                        Medical School (Obstetrics &
                                        Gynaecology)
Miss Friedericke Eben, MRCOG            Part-time – 6 sessions RCOG Tutor
                                        (Obstetrics & Gynaecology)
Miss T Freeman-Wang, MRCOG              Whole-time – Gynaecology/ Honorary
                                        Senior Lecturer
Mr M Setchell, FRCOG                    Part-time 8 sessions Obstetrics &
                                        Gynaecology
Miss C Paul, MRCOG                      Whole time- Obstetrics and Foetal
                                        Medicine
Miss C Mellon, MRCOG                    Maximum Part-time
                                        Obstetrics and Gynaecology
Mr N Pisal                              Whole time – Gynaecological Oncology
Prof Michael de Swiet, FRCP             2 sessions Obstetric Medicine
Professor Gordana Prevelic              3 sessions reproductive endocrinology
Ms Amali Lamagogini                     Part-time Obstetrics and Gynaecology
                                        with a particular interest in acupuncture
                                        and homeopathy

Junior Staff                            12 Specialist Registrars
                                        3 StR1 trainees
                                        3 StR2 trainees
                                        2 GP trainees
                                        1 Foundation Year 2 trainee
                                        1 Foundation Year 1 trainee

Postgraduate Training
Postgraduate training has a very high profile within the department
There are
 Weekly half day postgraduate teaching sessions (including Registrar and StR
   presentations, clinico-pathology discussions and outside speakers)
 Monthly Perinatal Mortality and Morbidity Meeting
 Weekly Perinatal Meetings
 Weekly Junior Staff CTG and labour ward management teaching sessions
 Weekly SHO teaching sessions
 Weekly Ultrasound Meetings
 Monthly combined oncology meetings
 Monthly training and audit departmental meetings
UNDERGRADUATE TEACHING
Miss Morgan organises the teaching programme for the Obstetric and Gynaecology
medical students. There are currently 100 students per year from the Royal Free
University College Medical School.

DUTIES OF THE POST
There are currently 8 SHO posts that work a full shift pattern. Three SHO posts are
part of a one-year rotation with the Royal Free Hampstead NHS Trust, one post is
part of the GPVTS scheme, and two posts are 6 months combined obstetrics and
gynaecology. One post is for 18 months comprising 6 months Obstetrics and
Gynaecology followed by 6 months in Neonatology followed by a further 6 months in
Obstetrics and Gynaecology and one Foundation Year 2 (SHO grade) which is 3
months combined obstetrics and gynaecology as part of Foundation Year 2
programme. There is excellent labour ward experience; antenatal and postnatal ward
experience and antenatal clinic work. Gynaecology experience includes emergency
and elective gynaecology work, operating theatre experience, attendance at
Specialist gynaecological clinics and working under supervision in the Early
Pregnancy Diagnostic Unit.

There is a full shift system for on-call. Annual leave is taken in blocks and is fixed
prior to commencement of the post. The educational content of the posts is excellent.

All post holders are expected to work as part of the Consultant teams and to work
closely with other professions




TERMS AND CONDITIONS OF SERVICE

This post is subject to the Terms and Conditions of The Whittington Hospital NHS
Trust and in particular to the Pay and Conditions of Service relating to the Medical
and Dental Staff group as set out in the relevant handbooks. Copies of these may be
seen in the Human Resources Department. The appointment is superannuable,
unless you choose to opt out of the National Health Service Superannuation
Scheme.

Offers of employment are subject to the Occupational Health Service clearing you as
fit for the post. If successful you will be given a health questionnaire, which should
be completed fully and mailed, to the Occupational Health Service by return of post;
you will not be able to take up employment with the Trust until clearance has been
given.

Because of the nature of the work of this post, it is exempt from the Section 4(2) of
the Rehabilitation of Offenders Act (1974) by virtue of the Rehabilitation of Offenders
Act (Exemption Order 1975). Applicants are therefore not entitled to withhold
information about convictions including those, which for other purposes are “spent”
under the provisions of the Act and in the event of employment any failure to disclose
such convictions could result in dismissal or disciplinary action by the Trust. Any
information given will be completely confidential and will be considered only in
relation to application for positions to which the order applies.

MEDICAL AUDIT

The appointee will be required as part of their duties to take part in the audit and
clinical effectiveness activities overseen by the CREED department to attend the
Training and Audit half days and to ensure that trainees within the department also
take part in these activities.

RESEARCH AND DEVELOPMENT

The Trust has a very large research programme for a district general hospital and
revenues a levy I funding of £750k that is spent specifically on the support of R&D.
All staff are actively encouraged to undertake R&D. There are particular strengths in
Health Care Informatics, Diabetes, Lipids and Women’s Health.


Annual Leave

Annual leave is given in accordance with the Terms and Conditions of Service
relating to Medical and Dental staff.

All medical staff have a duty to book their leave as far in advance as possible. Trust
policy is that all medical staff must give a minimum of 6 weeks notice of intention to
take leave so that clinical duties can be managed effectively. The Trust policy for all
types of leave is contained within the policy ‘Annual, Study and Sick Leave Protocol
for Medical Staff’.

Trainees on an internal rotation will be expected to take leave on a pro rata basis
during their posts. This is equivalent to 9 days annual leave per 4 x month post.

Study Leave

Study leave is given in accordance with the Terms and Concessions of Service
relating to Medical and Dental Staff. All study leave for Trust Grade doctors is
granted at the discretion of the Clinical Director
Rotas and Banding

All rotas worked by junior doctors in training are compliant with the requirements of
both the New Deal for Junior Doctors and the European Working Time Directive
(EWTD). Please be aware that if you are on an internal rotation your banding may
change as you rotate into a different department and rota.

Confidentiality

You are required to maintain confidentiality of any information concerning patients
which you have access to or may be given in the course of your work, in accordance
with current policy on confidentiality in the Whittington Hospital NHS Trust.

Protection of Children

In order to protect children from the risk of abuse some posts are offered subject to
the appointee’s agreement to the police being approached for the disclosure of any
criminal record. If your post falls into this category you will be asked to complete a
form giving this permission for the check to take place.

Personal Conduct

All staff within the Trust are expected to treat other members of hospital staff with
courtesy and respect. The Trust’s rules and policies including the disciplinary
procedure apply to all staff without exception. The attention of medical staff is drawn
to the GMC document, ‘The Duties of the Doctor’ and the hospital’s policy on
‘Maintaining Medical Excellence’. The Trust will take this into account when
considering the conduct of medical staff in relation to any incident.

Health & Safety Policy

Employees must be aware of the responsibilities placed on them under the Health
and Safety at Work Act 1974, to ensure that the agreed safety procedures are carried
out to maintain a safe environment for employees and visitors. The appointee will be
required to provide evidence of his/her Hepatitis B immune status before
employment.

Security

It is the responsibility of all employees to work within the security policies and
procedures of the Whittington Hospital NHS Trust to protect the patients, staff and
visitors and the property of the Trust. This duty applies to the specific work area of
the individual and the Hospital in general. All staff are required to wear official
identification badges.

Data Protection

This post has a confidential aspect. If you are required to obtain, process and/or use
information held on a computer or word processor you should do it in a fair and lawful
way. You should hold data only for the specific registered purpose and not use or
disclose it in any way incompatible with such a purpose and ought to disclose data
only to authorised persons or organisations as instructed. Breaches of confidence in
relation to data will result in disciplinary action.



No Smoking

The Hospital has promoted a No Smoking Policy as part of its responsibility for the
provision of health. You will be expected to work within the framework of this policy
and to give advice on its development. Smoking is not permitted in offices.

Equal Opportunities

It is the aim of the Trust to ensure that no job applicant or employee receives less
than favourable treatment on grounds of sex, race, colour, nationality or national
origins and is not placed at a disadvantage by conditions or requirements that cannot
be show to be justifiable. To this end the Trust has an equal opportunities policy and
it is for each employee to contribute to its success.

Method of Payment
Payment of salary is made into bank account/building society account by direct bank
        system.
Details of a bank account or building society account will be required on the first day at
        work.
There is no facility for any other form of payment.

				
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