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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