Document Sample
					                                     JOB DESCRIPTION

POST TITLE:                          Professor of Obstetrics

DEPARTMENT:                          Warwick Medical School

SUB-DEPARTMENT:                      Clinical Sciences Research Institute

POST RESPONSIBLE TO:                 Clinical Director of Obstetrics & Gynaecology for Clinical work
                                     Dean of WMS, Professor Yvonne Carter for Academic work

SALARY:                              £73,403 - £98,962 pa

REFERENCE NUMBER:                    37401-059

CLOSING DATE:                        15th June 2009

PROVISIONAL INTERVIEW                11th August 2009


The principle purpose of the post is to further develop successful and sustainable research
in obstetrics involving the Heart of England NHS Foundation Trust (HEFT) and Warwick
Medical School. This should be synergistic with established obstetric research in obstetrics
at Warwick Medical School (WMS) and its partner Trusts. You will undertake research,
teaching, administration and other activities in WMS. You will be expected to co-ordinate
and lead the obstetric aspects of your specialist area. In addition you will take the lead role,
as a focus and facilitator, for obstetrics across the WMS / Trust‟s research portfolio. The
post will have clinical sessions at the Heart of England Foundation Trust (HEFT) Obstetric
Department and there will be an honorary clinical contract. The clinical sessions associated
with this position will reflect your research interest and will be agreed with the Clinical



1. To establish a sound research base in order to pursue individual and collaborative
   research of high quality in line with the objectives of HEFT and WMS.

2. To secure, in collaboration with colleagues as appropriate, external funding through
   research grants or contracts to support a research agenda.

3. To play a leading role in the development of obstetric research at HEFT in collaboration
   with WMS.

4. To manage research projects within the University and HEFT, including their financial
   control and to supervise post-doctoral research assistants, research students, clinical
   trainees and other support staff engaged in research.
5. To consider the value of research achievements within their potential commercial
   context and where appropriate and with the assistance of the Research Support
   Services, take appropriate action to protect such research results by patent application
   or copyright to the potential benefit of the University and / or HEFT.

6. Where appropriate and expedient, to secure contract work to the benefit of (your)
   research activity and to provide resources to underpin this activity.

7. To publish research outcomes in appropriate journals of international standing and to
   publish and disseminate the results of research and scholarship in other outlets

8. To identify and explore with WMS, the University of Warwick and the HEFT any
   entrepreneurial opportunities which may arise and to ensure that intellectual property
   rights are protected for the benefit of the University, the researcher and the HEFT.

9. To attend and present research findings and papers at academic and professional
   conferences, and to contribute to the external visibility of WMS, HEFT, Clinical Sciences
   Research Institute and the University of Warwick.

10. To contribute fully to the research plans developed by WMS, including providing such
    information as may be required to monitor the progress of each member of staff‟s
    research programme and to support WMS fully in the preparation of material required for
    the RAE / REF or similar activities.


1. To co-operate with colleagues in the continuous review and development of the
   curriculum and in the design and launch of new degrees or other academic awards
   where appropriate.

2. To design, and be responsible for the contents of specific areas of teaching and learning
   within the undergraduate and postgraduate programmes.

3. To give lectures, seminars, tutorials and other classes as appropriate in support of the
   required teaching obligations and to supervise laboratory work by undergraduate and
   postgraduate students, as appropriate.

4. To supervise undergraduate and postgraduate project work.

5. To support students during any industrial placements, fieldwork or exchange
   programmes as required.

6. To undertake academic duties (i.e. setting examination questions, marking, invigilation
   and pastoral support of students) required to sustain the delivery of high quality

7. To support and comply with the University and Departmental teaching quality assurance
   standards and procedures including the provision of such information as may be
   required by WMS or the University.

Administration and Other Activities

1. To undertake such specific departmental roles and management functions as may be
   reasonably required by the Dean.
2. To attend departmental meetings at WMS and HEFT, and to participate in other
   committees and working groups.

3. To participate in relevant professional activities.

4. To engage in continuous professional development.

5. To undertake external commitments, which reflect and enhance the reputation of the
   University and HEFT.

6. To ensure compliance with health and safety in all aspects of work.

The duties and responsibilities outlined are not intended to be an exhaustive list but provide
guidance on the main aspects of the job. You will be required to be flexible in your duties.


1.    To participate in routine clinical activity at HEFT in support of the Obstetric Department
     (5 PAs per week). Participation in the department‟s on call rota will be expected.

2. Staff will work to minimise any risk to clients, the public and other staff from Healthcare
   Associated Infection including MRSA and C. difficile by ensuring they are compliant with
   the Health Act 2006 – Code of Practice For The Prevention and Control of Healthcare
   Associated Infections (The Hygiene Code); and by ensuring they are familiar with the
   Trust‟s Infection Control Polices, located on the Intranet.

3. Thorough knowledge of medical audit, medical education, current clinical and medical
   best practice.

4. Understanding of the clinical governance process.

5. Ability to advise on efficient and smooth running of specialist service.

6. Ability to manage a clinical team and understand the concepts of management.

7. Ability to supervise, appraise, coach and mentor trainee and other doctors.

8. Credible and persuasive presence both amongst clinical and management colleagues.

9. Ability to work well in a multidisciplinary team and maintain good relations with contacts.

10. Willingness to work collaboratively with the Trust‟s executive team.

11. Caring attitude to patients.

12. Flexible.

13. Excellent inter-personal qualities.
Outline Work Programme for Consultants

In line with RCOG recommendations regarding obstetric care, particularly around the time of
delivery and for emergencies, new consultant appointments are intended to support
increased obstetric responsibility and access for emergency care. At the same time the
directorate will need to manage the consequences of the Working Time Directive together
with any changes associated with the new consultant contract. A programme for consultants
to be resident on call overnight is likely to be considered at some point in the future with any
clinical sessions on the day following covered by a consultant colleague or cancelled. New
and existing appointees will be expected to participate in such arrangements, although they
are unlikely to be fully implemented until further changes in staffing ratios and care
arrangements are in place. There is likelihood of changes in all consultant job plans as new
colleagues are appointed.

Other changes are likely to be considered following publication of the expected National
Service Framework for Maternity and Child services.

Job Plan

Day of Week WK               Programmed Activity        Academic      Direct     Supporting        On Call
            1/2                                                       Clinic     Professional
                                                                      Care       Activity
                                                                      PA’s       PA’s              PA’s

Monday          1      AM    Academic/Research          0.5
                2      AM    Academic/Research          0.5
                1      PM    Academic/Research          0.5
                2      PM    Academic/Research          0.5
Tuesday         1      AM    SPA                                                 0.5
                2      AM    SPA
                1      PM    Academic/Research
                2      PM    Academic/Research
Wednesday       1      AM    SPA                                      0.5
                2      AM    SPA                                      0.5
                1      PM    Special Obstetric Clinic                            0.5
                2      PM    Special Obstetric Clinic                            0.5
Thursday        1      AM    SPA                                                 0.5
                2      AM    Special Obstetric Clinic                 0.5        0.5
                1      PM    Delivery Suite BHH                       0.5
                2      PM    Delivery Suite BHH                       0.5
Friday          1      AM    Academic/Research          0.5
                2      AM    Academic/Research          0.5
                1      AM    Academic/Research          0.5
                2      PM    Academic/Research          0.5
On-call                                                                                            1.0
SUB TOTAL                                               4.0           2.5        2.5               1.0
TOTAL PA’s                                                                                         10.0
                                 PERSON SPECIFICATION

POST TITLE:                   Professor of Obstetrics

DEPARTMENT:                   Warwick Medical School, Clinical Sciences Research Institute

The Person Specification focuses on the knowledge, skills, experience and qualifications
required to undertake the role effectively.

REQUIREMENTS                                            ESSENTIAL (E) or   MEASURED BY:
The postholder must be able                             DESIRABLE (D)      a) Application
to demonstrate:                                         REQUIREMENTS       Form
                                                                           b) Test/Exercise
                                                                           c) Interview
                                                                           d) Presentation
Demonstration of CCST for obstetrics                           E                    a)

Higher degree, or relevant post-graduate research              E                  a)
Qualified to undertake clinical work at consultant             E                  a)
Outstanding record of international level                      E                a), c)
publications and research and planning for future
research relating to obstetrics
Demonstrable ability to produce and publish high               E                  a)
quality research publications
Demonstrable ability to attract grant income                   E                  a)

An ability and commitment to contribute actively               E                a), c)
and lead the development of obstetric research
within Coventry & Warwickshire
The ability to work well with colleagues and to                E                a), c)
relate to patients/relatives in an understanding
Experience of service development                              E                a), c)

Experience of teaching and supervision at                      E                a), c)
postgraduate level
The ability to work well with colleagues                       E                a), c)

Capacity to work with and support other staff in               E                a), c)
developing both their teaching and research
Senior level administrative experience                         E                a), c)

Good organisational skills                                     E                a), c)

Experience of promoting externally-funded                      E                a), c)
research programmes
                                 FURTHER PARTICULARS

Due to the nature of this role, the successful applicant will be required to undergo enhanced
level Criminal Records Bureau clearance before commencing work with the University.
Clearance obtained via another institution or body cannot be transferred. The successful
applicant will also be required to undergo a Pre Employment Medical Check before
commencing work with the University. This will involve a medical history questionnaire and
may also require an appointment with a member of the University‟s Occupational Health

In accordance with the national agenda in higher education to modernise pay and grading
structures, the University of Warwick has completed a significant programme of change that
has seen the introduction of a new pay spine and single job evaluation scheme. The work
commenced in September 2004 and was communicated and implemented across the
University in August 2006.

All salaries detailed within this recruitment document are post implementation and will be
subject to normal salary progression as defined by the relevant terms and conditions of

In conjunction with this, the University is now commencing discussions with trade unions to
harmonise terms and conditions. Further details on this phase of the project will be
available shortly.

The University of Warwick

The University of Warwick is arguably the most successful of UK universities founded within
the past half-century, and has earned an outstanding reputation both for research and
teaching. Warwick is comfortably ranked within the top ten of all UK university newspaper
rankings including 6th in the most recent Sunday Times Good University Guide.

Founded in 1965 Warwick has been a unique and uniquely successful British university
combining a “can-do” entrepreneurial spirit with a commitment to absolute academic
excellence. Professor Nigel Thrift, Warwick‟s 5th Vice-Chancellor, was appointed in 2006 to
transform the University from a leading university within the UK to become one of the
world‟s top 50 universities by 2015. A new university strategy has been launched as a result
of extensive consultation with staff, students and Warwick‟s many external stakeholders,
and is making good progress.

Warwick employs over 5,000 members of staff, of whom 2,400 are academic and research
staff spread across 28 academic departments and 30 research centres; 91% of the
academic staff are in departments with research ratings of 5 or 5*. Of the 24 departments
assessed under the subject review process, 22 were rated excellent (or scored 21 or more
out of 24) for teaching quality.

The University of Warwick has a total student population of 17,000 (full-time equivalent) of
whom approximately 11,000 are undergraduates and 7,000 are postgraduates. Nearly one-
quarter of Warwick‟s students are international, helping to create a vibrant and cosmopolitan
campus environment which is valued and celebrated by the University.

The University‟s campus, located on a 400-acre site spanning the south west boundary of
Coventry and the county of Warwick, has an open and pleasant outlook and was voted
“Best University Campus” in a national student poll published by the Times Higher Education
Supplement in 2006. The campus offers excellent sporting facilities, including a swimming
pool, a newly refurbished gym, a climbing wall, an all weather running track and acres of
football and rugby pitches. An indoor tennis centre has recently been opened. The
renowned Warwick Arts Centre is the largest outside London with the Mead Gallery showing
visiting collections of contemporary art, a concert hall, two theatres and a cinema.

The University of Warwick is ideally placed for easy access to London (just over one hour on
the train), close to the picturesque towns of Warwick, Kenilworth and Leamington Spa and
about 45 minutes from the centre of Birmingham. The University is in the heart of
Shakespeare‟s Warwickshire with historic Stratford-upon-Avon, the Royal Shakespeare
Company and the Cotswolds all within easy reach.

The University of Warwick has a turnover approaching £350 million. The University
continues to invest heavily in its campus infrastructure and environment and its future capital
plan includes: a new student union building; a 500 bed student residency; new hotel
accommodation for visiting academics; a refurbishment of the Library; a further extension to
the Warwick Business School; and a state of the art Warwick Digital Laboratory, the
foundation stone for which was laid by Prime Minister Gordon Brown in May 2007. Capital
investment in the next year alone will total £35 million.

Further details about the University of Warwick can be found at

The Managerial and Administrative Structure of the University

The University‟s administrative and managerial structure is headed by the Vice-Chancellor,
supported by the Deputy Vice-Chancellor, the Registrar, the Deputy Registrar and the
Finance Director. However, as with all such structures, the informal lines of decision making
and the sharing of responsibility for planning and strategy flatten the hierarchy. Institutional
level decisions are initially made by a group comprising academics and administrators who
form the Senate Steering Committee which operates much along the lines of a weekly
cabinet for the University.
The Registrar, Mr Jon Baldwin, is responsible for the administration of the University and is
supported in this task by a team of Senior Officers, each of whom is responsible for a key
area and associated offices of University administration: the Academic Registrar, the
Estates Director, the Director of Personnel Services, the Director of Campus Affairs, the
Director of IT Services, the Director of Communication and Strategy, the Director of the
International Office, the Director of Research Support Services and the University Librarian.
A number of office heads and directors report in turn to these Senior Officers. To ensure
overall co-ordination between and across the University‟s administration, all administrative
posts within academic departments have a “dotted line” reporting to the University Registrar
as well as the Department in which they are based.

Warwick Medical School (WMS)

Dean WMS: Professor Yvonne Carter, OBE MBBS MD FRCGP FMedSci

The Medical School at Warwick was established in 2000 as part of an expansion in the
number of Medical School‟s nationally to deliver the additional capacity needed to support
the Government‟s plan to increase the number of UK trained medical graduate‟s joining the
The School is organised in three Institutes, the Institute of Clinical Education (ICE) which is
the base for all the School‟s educational programmes, the Clinical Sciences Research
Institute (CSRI), home for our biomedical and acute hospital-based research groups, and
Health Sciences Research Institute (HSRI) which focuses on research in the community-
based clinical disciplines.

The School‟s principal clinical partners are University Hospitals Coventry and Warwickshire
NHS Trust (UHCW), the George Eliot Hospital NHS Trust, South Warwickshire General
Hospitals NHS Trust, Coventry Teaching Primary Care Trust and the other Primary Care
Trusts within Warwickshire. Additional clinical placements are provided by Worcestershire
Acute Hospitals NHS Trust, Worcestershire Mental Health Partnership NHS Trust and by a
number of general practices throughout the West Midlands. At UHCW, a state of the art PFI
hospital provides an optimal environment to support both research and education at the
Trust. The Clinical Sciences Building and the Clinical Sciences Research Institute are based
on the UHCW site and provide a base for education and laboratory research for the Medical

The Medical School‟s research is focused around a number of multi-disciplinary and cross-
specialty teams; collaboration within and outside School and University is encouraged and
investigators are encouraged to work across traditional disciplinary boundaries in innovative
ways. Our research is currently focussed around: Metabolic Diseases (diabetes, obesity,
cardiovascular disease and hypertension), Reproductive Medicine (pre-term labour,
preeclampsia and infertility), Public Mental Health (epidemiology of common mental
disorders, parenting, social determinants of health), Clinical Trials (Emergency Care and
Rehabilitation, Cancer, Diabetes), Primary Care (Self-Management, chronic conditions, lay
perspectives, palliative care), and Health Care Systems Improvement.

WMS works closely with many departments across the University for both our research and
education programmes; these include the Department of Biological Sciences, the School of
Health and Social Studies, the Department of Sociology, the Department of Statistics,
Warwick Business School, Warwick Manufacturing Group, the Law School and the
Department of Mathematics.

Institute of Clinical Education (ICE)

The Institute of Clinical Education has three core functions delivering undergraduate medical
education, postgraduate education, and research on medical education. Professor Jill
Thistlethwaite as Head of Institute leads a team comprising three directorates covering
specific functions. These are the Directorate for Masters-level Accredited Courses and
Continuing Professional Development (Director: Dr Adrian Stokes); the Directorate for
MBChB Graduate-entry course (Director: Dr Jane Kidd), and the Directorate for Research
Degrees (Director: Dr Frances Griffiths). The Director of Quality Assurance, Dr Paul O‟Hare,
has a remit across all areas of the Institute. Professor Neil Johnson, as Associate Dean for
Teaching has an overarching role across this Institute.

The School is very active in the provision of postgraduate and continuing professional
development programmes. The University has a long history of involvement in postgraduate
medical education and CPD for health professionals, particularly in the fields of diabetes
(Warwick Diabetes Care), community child health, health information science and sexual
health. Postgraduate provision has been consolidated, strengthened and expanded through
the formation of the Medical School.

The School provides a number of entry routes into postgraduate study. Students can initially
register for our flexible master‟s programme in Health Sciences which allows students to
select their own combination of modules from the wide range on offer to build sufficient
credit for the award of a master‟s degree. We also offer masters programmes in diabetes,
public health, implant dentistry, child health, sexual and reproductive health, orthopaedics,
philosophy and ethics of mental health, palliative care, medical education, and health
services management. We offer short courses both accredited and non-accredited in areas
such as diabetes care, occupational health, and clinical systems improvement.
Collaborations with other departments include the Postgraduate Diploma in Regulatory
Occupational Health and Safety for HSE Inspectors.

The Institute is developing a number of strands of research into clinical education. Particular
areas of interest are clinical and communication skills education, values-based practice,
interprofessional education, patient involvement and service improvement, and the
professional development experiences of health professionals.

The undergraduate MB ChB course at Warwick is a four-year graduate entry programme
which requires entrants to already have a first degree in biological sciences or a similar
subject. The initial element of the course (Phase 1) lasts for about 18 months and provides
a foundation in the clinical and social sciences with some elements of clinical experience
and this is followed by Phase 2 which is organised as a series of clinical placements in local
NHS organisations lasting for about 36 months. The curriculum places emphasis on the
horizontal integration of clinical skills teaching with communication skills as well as the
vertical integration of early teaching with later Phase 2 teaching. The annual intake to the
MB ChB programme is 164 home students and 14 overseas students and the vast majority
of our student‟s progress to Foundation Training posts in local West Midlands NHS Trusts
following their graduation.

The Health Sciences Research Institute

Professor Sarah Stewart-Brown leads this Institute which comprises the disciplines of public
health, primary care, statistics, health economics and rehabilitation as well as the medical
specialities of general practice, psychiatry, emergency medicine and community child health.
It has recently established a clinical trials unit which supports intervention trials throughout
medical school. The Institute has strong links with the NHS through the local Primary Care
Trusts, the West Midlands Deanery and the Regional Public Health Office. It also has strong
links with the Clinical Sciences Research Institute and Institute of Clinical Education, with
other Warwick University Departments particularly the School of Health and Social Studies
and with other local Universities including Leicester, Coventry and Birmingham.

The Institute‟s research programme covers new and emerging areas of health research and
key health priorities. At present there are three main research groups: - one of which covers
public health, epidemiology, psychiatry and child health; the second primary care, primary
secondary care interface and health care systems; and the third clinical trials with a focus on
emergency care, rehabilitation and cancer. The three groups are closely integrated and
members work collaboratively across all three groups. Key research topics include:

      Cardiovascular disease and diabetes risk factors and preventive programmes
       including promotion of physical activity and healthy eating, prevention of
       hypertension and screening for hypercholesterolemia and the emerging burden of
       cardiovascular disease in developing countries.
      Public mental health including the impact of life course determinants, social
       inequalities and the built environment, aetiology and risk factors, links with physical
       health and preventive interventions.
      Emergency care, rehabilitation and prevention of injury and musculoskeletal
      Management of chronic illness with a focus on decision making and patient
      Cancer prevention and management.
      E-health, particularly the role of the internet in healthcare.

Clinical Sciences Research Institute (CSRI)

The CSRI, Director Professor John Davey, is the part of Warwick Medical School concerned
with experimental laboratory and clinical research. The CSRI has state-of-the-art facilities for
multidisciplinary research and provides internationally competitive resources for
biochemistry, cell- and molecular biology, functional genomics, proteomics and imaging
research. The main laboratories are located within the purpose-built Clinical Sciences
Building adjacent to the medical educational facilities on the site of the University Hospital
Coventry and Warwickshire Trust, in Coventry. Other research is performed within the
Biomedical Research Building on the Gibbet Hill site of the main campus of the University of
Warwick, adjacent to the Medical School Building. A key strength at Warwick is the
translational character of the research, spanning from molecular biomedical approaches to
patient- and population-based studies. There are close links between researchers working
on molecules through to those working with populations, thus allowing the development of
novel pharmacological therapies.

The CSRI is established as a major centre for research into several areas of human health.
These include:

      Metabolic Health comprising studies on mechanisms underlying the aetiology,
       prevention and treatment of such conditions as obesity, diabetes, hypertension, the
       epidemiology of cardiovascular risk, and particularly the effects of ethnicity, within
       Britain and world-wide

      Reproductive Health with particular emphasis on pre-term labour, pre-eclampsia
       and the study of human fertility

      Orthopaedics with emphasis on clinical and cost-effectiveness of treatment.

The work of the Institute ranges from molecular and cellular biology to patient-orientated
physiological approaches. These research strategies complement NHS and UK Research
Council research strategies, and support National Service Framework and Research Council
goals for reducing the national burden of acute and long term ill-health. Major funding is
obtained from the Department of Health, the MRC, Wellcome Trust, the British Heart
Foundation and Diabetes UK. Researchers within CSRI collaborate extensively with other
departments within the University of Warwick, including Systems Biology, Biological
Sciences and Chemistry.

Metabolic Health
Obesity, Type-2 diabetes and hyperglycaemic damage
The mechanisms relating obesity to the major associated pathologies (type-2 diabetes,
cardiovascular disease) are being studied using multi-disciplinary approaches. The neural
circuits involved in the regulation of body weight and satiety are being studied by the
neurophysiology group (led by Prof D Spanswick). The work of Prof S Kumar is aimed at
discovering the mechanisms that link sub-clinical inflammation, the development of obesity
and the aetiology of tye-2 diabetes. The effects of insulin on adipose tissue function are
being studied to elucidate mechanisms through which the hyperinsulinaemia of the pro-
diabetic state affects adipokine secretion (Dr P McTernan, Dr G Tripathy, and RCUK
Fellow). The enzymology of the pathways of fatty acid metabolism in the aetiology of insulin
resistance is being studied by the group of Prof V A Zammit. The effects of the
hyperglycaemia that accompanies poorly controlled diabetes on protein modification are
studied by Prof P Thornalley and his group, which specialises in the use of mass
spectrometry in the study of protein damage and impaired insulin signalling in a programme
of research shared with Systems Biology. Prof A Ceriello studies the effects of post-prandial
hyperglycaemia on endothelial function, particularly nitric oxide-dependent processes.

Clinical studies are being conducted into the molecular basis of the monogenic forms of
diabetes, the phenotype of LADA in Indo-Asian type-2 diabetic patients, and the effects of
different treatments for type-2 diabetes on clinical outcomes, and the role of ethnicity in
determining these outcomes. The UK Asian Diabetes Study investigates novel approaches
to delivering care for Indo-Asian diabetic patients. There are links to several NHS partners,
clinical and academic centres worldwide. A Centre of Excellence in Diabetes Research and
Education (WISDEM) has been established within the new hospital.

Cardiovascular Medicine and Epidemiology
The main research interests of CSRI in this field are the prevention, detection and
management of hypertension and its complications, and the epidemiology of cardiovascular
disease and stroke. The relationships between nutrition, metabolic abnormalities and
cardiovascular risk, including risk assessment in ethnic minorities, both in developed and
developing countries are being studied by the group led by Prof F P Cappuccio, with
particular emphasis on the role of inflammation and immunity in cardiovascular disease in
entire populations. Work leading to the identification of novel biochemical markers for
cardiovascular risk are being led by Dr M Miller, as part of large studies (e.g. Whitehall II,
Olivetti) Epidemiological studies are performed locally within the Midlands, and
internationally International cardiovascular health studies on the role of high salt- intake in
raised blood pressure in rural communities are being performed on cohorts in Western
Africa. The relationship between alcohol intake and liver disease is also being investigated
in population-based studies (Dr S Stranges).           There are close interactions with
epidemiological and public health research performed within the Health Sciences Research
Institute (HSRI) of the School.

Prof Cappuccio‟s group also has a major interest in the interaction between sleep and the
development of obesity and cardiovascular disease, particularly as they impinge on other
metabolically active factors such as sub-clinical chronic inflammation.

Microvascular research (led by Prof D R Singer) is exploring why patients with high blood
pressure and other cardiovascular risk factors have impaired function of small arteries and
fewer capillaries than normal (rarefaction). Recent imaging and protein- characterization
studies have shown how oxidant stress can prevent normal activity. Protein-carbohydrate
and protein-protein interactions that underpin immune function and virus-host interactions
as they relate to the oligosaccharide binding properties of specific endothelial cell surface
proteins are studied by Dr D Mitchell (RCUK Fellow).

Molecular Medicine and Endocrinology
The major interests in endocrinology within the CSRI are centred on the structure-function
relationships of hormone receptors, and mechanisms of signal transduction. In particular
the central nervous actions of insulin and leptin, and their effects on cognitive function are
being studied by Prof H Lehnert who also has a major interest in endocrine tumours, and
particularly phaeocromocytoma. The role of central and peripheral orexin, adiponectin and
ghrelin action in body weight regulation and insulin sensitivity are studied by the group led
by Dr H Randeva. The signal transduction mechanisms, and particularly the activation and
subcellular localisation of the protein kinases, involved in the action of corticotropin releasing
hormone (CRH) are studied by Prof D Grammatopoulos. These studies have strong links
with those being performed on the regulation of G-protein signalling as part of the
Reproductive Health programme.

Clinical studies are being performed into the pathogenesis of endocrine tumours and the
relevance of the expression of the telomeric complex as an indicator of malignancy
particularly of endocrine tumours.

Reproductive Health
Within this programme, which is under the overall leadership of Prof S Thornton, two major
lines of research are followed: Obstetrics and Reproductive Medicine.

Obstetrics research at CSRI predominantly aims at understanding the fundamental principles
controlling myometrial (uterine) contractility and the associated pathologies of pre-term
labour, pre-eclampsia and dystocia. Members of the preterm labour group have research
interests that range from basic science through translational medicine to clinical trials. Micro-
genomic strategies are used to correlate differential patterns of gene expression in different
cells and regions of the uterus with myometrial physiology, with particular reference to the
spatial expression of proteins within myocytes. Using cells isolated by laser-capture micro
dissection (LCM) from frozen sections of human myometrium followed by single-cell PCR
analysis, the heterogeneity of the uterine cell population with respect to the expression of the
oxytocin receptor and different ion channels and transporters within individual cell-types have
been studied. These experimental data are used to generate mathematical models of the
contractile function of the uterus under conditions associated to pre-term labour (Prof S
Thornton and Dr A Blanks, RCUK Fellow). The role of voltage-gated L-type Ca2+ channels in
uterine contractility in human uterus is being delineated by Dr A Shmygol who is also
interested in the physiology of uterine interstitial cells.       The roles of oxytocin and
prostaglandins in the timing of parturition and cervical ripening are being studied by Dr D
Slater and Dr S Astle.

The interactions with the Molecular Medicine and Endocrinology group focus on the study of
the role of Urocortin II (UCN II) and its interaction with type-2 corticotropin-releasing
hormone-receptor (CRH-R2) in myometrial contractility by Prof D Grammatopoulos.           In
addition, using a yeast model system to study G-protein coupled receptors (as exemplified
by CRH) combined with mathematical modelling, Dr G Ladds is studying dimerisation of G-
protein-coupled receptors (GPCRs), and the specificity of GPCR-G and G-RGS
interactions.      The pathogenesis of placental dysfunction, with reference to intrauterine
growth retardation (IUGR) and pre-eclampsia, is studied by the group of Dr M Vatish, using
human tissue, cell lines and a transgenic mouse model of pre-eclampsia. The work aims to
identify GPCRs involved in determining placental vascularisation, and the relationship with
foetal nutrition and maternal hypertension.

Clinical studies include on the use of Electromyography (EMG) in the diagnosis and
management of term and preterm labour, and the role of drugs to prevent premature
delivery. This has included the setting up by Prof S Thornton of the national Preterm
Labour Network, which includes most UK teaching hospitals, and assesses clinical trial
proposals for submission to major national funding bodies including the MRC. Other clinical
trials are being conducted with the pharmaceutical industry.
Reproductive Medicine
This research investigates mechanisms underlying human infertility. There is an extensive
programme of work aimed at understanding egg- and sperm-formation, fertilisation and
embryo development (Dr G Hartshorne and Dr S Keay). In particular, a programme of work
aimed at identifying competent embryos is being pursued with the aim of establishing
procedures that will allow fewer embryos to be transferred during IVF treatment, so
minimising the possibility of multiple pregnancies. A particular area of investigation involves
quantifying the control of male- and female-derived genes at fertilisation which is important
in understanding genetic diseases arising from „imprinting disorders‟ that may possibly arise
from abnormal sperm- or egg-formation. Other research into reproductive genetics is aimed
at understanding the impairment of fertility and poor pregnancy-outcomes. For example, an
EC-funded network of 52 research groups, co-ordinated from Warwick, is developing
methods for detecting chromosome disorders, such as Downs Syndrome, using blood from
mothers in early pregnancy.

Trauma and Orthopaedics
Prof D Griffin leads a multidisciplinary orthopaedic team at CSRI, comprising scientists and
surgeons who collaborate with statisticians, methodologists, health economists and trial
managers. They have particular expertise in the design of large national and international
studies that investigate the clinical effectiveness of particular interventions e.g. in the
treatment of heel fracture and Achilles tendon rupture.         The development of new
orthopaedic technologies is coupled with clinical and cost-effectiveness assessment to
ensure health- and socio-economic gains from these new developments.

Professors at Warwick Medical School

Clinical Professors
The current clinical professors at the University of Warwick are Yvonne Carter [General
Practice & Dean of WMS], Martin Underwood [Primary Care Research & Vice-Dean of
WMS], Neil Johnson [Medical Education & Associate Dean (Teaching)], Sudhesh Kumar
[Medicine, Diabetes and Metabolism & Associate Dean (External Affairs)], Steve Thornton
[Obstetrics & Associate Dean (Clinical Research)], Sarah Stewart-Brown [Public Health &
Director of the Health Sciences Research Institute], Francesco Cappuccio [Cardiovascular
Medicine and Epidemiology], Antonio Ceriello [Diabetes & Endocrinology] Matthew Cooke
[Emergency Medicine & Clinical Systems Improvement], Jeremy Dale [Primary Care], Bill
Fulford [Philosophy & Mental Health], Fang Gao-Smith [Anaesthesia Critical Care & Pain],
Damian Griffin [Trauma & Orthopaedic Surgery], Simon Murch [Paediatrics & Child Health],
Chris Poole [Oncology], Donald Singer [Clinical Pharmacology], Swaran Singh [Social and
Community Psychiatry] and Scott Weich [Psychiatry].

Non-Clinical Professors
The non-clinical professors are John Davey [Cell Biology, Associate Dean (Biomedical
Research) & Director of CSRI], Peter Abrahams [Anatomy], Jane Barlow (Public Health in
the Early Years], Colin Blakemore, Janet Dunn [Cancer Clinical Trials], Martin Feelisch
[Experimental Medicine], Dimitris Grammatopoulos [Molecular Medicine], Geraldine
Hartshorne [Professorial Fellow], Maj Hulten [Reproductive Genetics], Sallie Lamb
[Rehabilitation & Clinical Trials], David Spanswick [Molecular Neurosciences], Peter
Spurgeon [Health Services Management], Justin St. John [Reproductive Biology], Nigel
Stallard [Medical Statistics], Ala Szczepura [Health Services Research], Paul Thornalley
[Systems Biology], Margaret Thorogood [Epidemiology], and Victor Zammit [Molecular
Heart of England Foundation Trust (HEFT)

Heart of England NHS Foundation Trust is clinically led and is recognised as one of the top
performing and financially secure NHS organisations in the country. The Trust primarily
serves the communities of Birmingham, Solihull and South Staffs but provides more
specialist care to patients from throughout the Midlands. Following the merger with Good
Hope NHS Hospital Trust on 8 April 2007, HEFT now has a turnover in excess of
£450million, 10,500 employees, and sees over a million patients a year across its four main
sites: Birmingham Heartlands Hospital, Solihull Hospital, Good Hope Hospital and
Birmingham Chest Clinic. It also has an established and well-recognised teaching hospital
function. As well as providing general medical, surgical, maternity, rehabilitation care and
accident & emergency services, the Trust‟s specialist services include:

      Invasive Cardiology
      Renal Dialysis
      Neonatology
      Bone Marrow Transplants
      HIV and AIDS
      Thoracic Surgery
      Cystic Fibrosis
      Oncology
      Neurology
      Regional Scientific Services such as Immunology and Endocrinology

Having established a reputation for exceeding targets and leading the way in education,
research and treatment, the organisation prides itself on its innovative approach to care.

Regeneration is key to the Trust‟s aims for the future and a number of major building
developments at its hospitals will boost the local economy, offer new employment
opportunities and improve the environment for those who live and work in the surrounding

The aim is to make each hospital the first choice for patients and a place where people want
to work

The Three Hospital Sites

The policies and procedures relating to obstetrics are harmonised across all three sites
obstetric units in line with level 3 standards.

Birmingham Heartlands Hospital (BHH)

Birmingham Heartlands Hospital is located about three miles from the city centre and seven
miles from Solihull Hospital.

This hospital has 785 beds providing a full range of acute hospital care to a district with high
indices of deprivation and a mixed ethnic population. It provides several regional and sub-
regional services including renal dialysis, infectious diseases, thoracic surgery, cardiology
and haematology including bone marrow transplantation. It has been appointed recently as
host to the regional Health Protection Agency (HPA) laboratory, successor the Public Health
Laboratory Services (PHLS). Professional chairs in vascular surgery, respiratory medicine,
diabetology, histopathology and immunology are based in the hospital, which also
undertakes some 30% of undergraduate teaching for the University of Birmingham Medical
School. There is a Research Institute and active programmes of research in most

There is a major ongoing building programme. Recent additions include the Women‟s Unit
gynaecology extension (1998), new wards and theatres for ENT and new accommodation
for cardiology, respiratory medicine and genito-urinary medicine, a replacement Renal Unit,
replacement A&E and Paediatric Department. An Education Centre opened in 1996 with a
large extension opening early in 2003. A new main entrance was also opened in December
2005. There is an Adult Cystic Fibrosis Unit that has been expanded and refurbished as a
result of a public charitable local appeal that raised £2.5million.

There is an excellent Pathology main service for histopathology, cytology, haematology,
clinical chemistry and microbiology, including regional virology and immunology together
with the regional HPA Laboratory. Radiology services are to a high standard with CAT, MRI
and Ultrasound Scanning available across the two sites. There are skills and resources for
interventional radiology, which have begun to be used in selected gynaecological cases
such as embolisation of fibroids.

Princess of Wales Women‟s Unit
(Department of Obstetrics and Gynaecology, Heartlands Hospital)

Total births for 2007/08: 5047

The Princess of Wales Maternity Unit opened on the Heartlands site in October 1992.
There are 46 obstetric inpatient beds arranged in four bedded bays including 12 single
rooms, eight with en-suite facilities situated on the first floor of the unit. The ground floor
comprises the Antenatal Clinic, Ultrasound Department, Day Assessment Unit, Delivery
Suite, Neonatal Intensive Care Unit and Administration Department. The Antenatal Clinic is
designed to give privacy for consultations in five examination rooms and two interview
rooms and includes a parentcraft or seminar room and a Phlebotomy room.

The Ultrasound Department has five rooms and a reception area. The five main machines
provide high image quality, vaginal transducers, pulse Doppler facilities and 4D scanner.
Portable machines are also available. The department includes a counsellor who
administers the screening programme for Down‟s Syndrome including the sub-regional
Chorionic Villus Sampling Service (Amanda Harborne). The department is run jointly with
the Women‟s Health Care Unit at Solihull Hospital. (See below)

The Delivery Suite has 10 delivery rooms, (including back up theatre and HDU) a water birth
room, patient waiting area, admission assessment area, resident on call facilities and a
theatre complex, where the fetal blood gas analyser is situated.

Neonatal Unit – Heartlands Hospital (Part of the Princess of Wales women‟s Unit)

The Neonatal Unit is one of the six regional tertiary neonatal units capable of long-term
intensive care. It has five intensive care cots, three high dependency costs, 21 special care
cots and four transitional care cots. Four of the eleven consultant paediatricians in the Trust
are specialist neonatologists, though on-call is also shared with general paediatricians. In
the past year approximately 160 babies received intensive care for a total of 1500 bed days.

The unit currently serves both Heartlands and Solihull Hospitals. Although there are no in-
patient facilities at Solihull for children of any age, (except the Day Procedures Unit) there is
a consultant paediatrician in the hospital almost every day either on the maternity wards or
in outpatients. There is also a system for a paediatrician to attend on site for particular
categories of emergency.

Solihull Hospital

Solihull Hospital is situated close to the centre of the main Solihull shopping and
Metropolitan Borough Administrative area, about nine miles south east of the centre of
Birmingham and seven miles from Heartlands Hospital. The new general part of the
hospital opened in July 1994 with 282 beds in 14 wards. Each standard ward has 27 beds
in four rooms of six beds, three single rooms and a day room for patients to see visitors.
The main operating theatre suite has four theatres. There is a Day Procedures Unit with 14
trolleys and two operating theatres, four trolleys for the Endoscopy suite and seven beds for
children. Facilities are provided for Accident and Emergency, mental health (in separate
Trust but within the same building), the elderly with a day hospital, and both adult and
children‟s outpatients for most specialities. A cardiac catheter laboratory has recently been

Acute 24 hour inpatient services are provided for obstetrics and gynaecology and general
medicine. The Accident and Emergency department has been expanded and now
comprises of two sections – MAU (Medical Assessment Unit) and MIU (Minor Injuries Unit).
Except for obstetrics and some gynaecology, all other surgery at Solihull is non-emergency
„elective‟ work. A high proportion of the Trust‟s orthopaedic service is performed at Solihull.

Pathology services are closely integrated with the laboratory service at Heartlands Hospital.
There are some weekday daytime laboratory services at Solihull, including a blood bank.
Out of hours emergency requests are processed exclusively at Heartlands Hospital although
the Solihull blood bank can be manned and used in a particular emergency. Samples to
Heartlands and Cross-Matched blood from Heartlands out of hours are handled by a courier
service and aim to achieve standards as close as possible to those that would be available if
the laboratory was on the same site.

The Education Centre has an interview room, 3 discussion rooms, 3 training rooms and
tiered 120 seat Lecture Theatre, complete with a computer link, overhead projection, slide
projection video resources as well as a common room and library.

The Obstetrics and Gynaecology unit was relocated from its separate building in to the main
building following major alterations in 1998 and is known as the Solihull Women‟s Health
Care Unit.

Solihull Women‟s Health Care Unit

Total births for 2007/08: 2581
The unit has 19 obstetric beds and eight gynaecology inpatient beds. There is a dedicated
antenatal clinic, special procedures suite, gynaecology clinic and ultrasound department.
There is a six-bedded delivery suite with its own obstetric theatre and patient and relatives
sitting room. One of the delivery rooms has facilities for water birth.

The Antenatal Clinic has two interview rooms, a venepuncture room and six examination
rooms each with dressing cubicles. A full range of antenatal care is provided with five
consultant sessions, one midwife clinic, and a joint diabetic clinic. Special investigations
include amniocentesis and chorion villus sampling.
The Ultrasound Department is adjacent to the Antenatal Clinic, with an independent waiting
area and fully staffed reception. The standard range of investigations available within this
department is almost identical to the Princess of Wales Unit at Heartlands.

There is an obstetric Day Assessment Unit with two beds and a sitting room in the antenatal
ward area.

Ultrasound scans within the directorate across both sites

Since 1994 the Princess of Wales Unit has been a recognised centre for practical training
for the RCR/RCOG Advanced Obstetric Ultrasound Diploma. It also offers basic ultrasound
scan training for SpR‟s, within a regional training programme. Some training takes place at
Solihull Hospital.

Specialist Clinics at Heartlands and Solihull Hospitals

   Colposcopy (6 consultants)
   Hysteroscopy (4 consultants)
   Early Pregnancy Assessment Clinic (EPAC) – Nurse or (O&G SHO) and
   Joint Oncology (Mr Hall and Dr Fernando Consultant Oncologist)
   Community Gynaecology (Mrs Kulsum Jaffer and Mr Wyldes)
   Urodynamics (Mr Matharu and Mr Hall)
   Infertility (Miss Payne and Mr Papaioannou)
   Reproductive Endocrinology (Miss Payne and Dr Bates, Consultant Endocrinologist
   Menopause (Mr Sturdee)
   Paediatric Gynaecology (Miss E Payne)
   Recurrent Miscarriage (Mr W Mackenzie)
   Specialist Fetal Scanning (Mr M Wyldes, Mr C Griffin, Mrs G Sunanda, Dr P Pradhan
    and Mr N Shah, KB, SP)
   CVS and Amniocentesis service (Mr M Wyldes, Mr C Griffin, Mrs G Sunanda, Amanda
   Diabetes in Pregnancy (Dr K Barber, Mr N Shah /Dr P Dyer (BHH) Mr C Griffin/Prof. A
    Barnett (Solihull).
   Hypertension in Pregnancy (Dr M Temple, Consultant Renal Physician)
   Pregnancy related Mental Health (Dr Bagchi, Consultant Psychiatrist)
   Vulval Disorders (Dr S Hutchon and Dr A Salim)
   Multiple Pregnancy Clinic (G Sunanda , Miss S Patni)
   Pre-term Labour Clinic (Miss G Sunanda, Miss S Patni)
   Respiratory Diseases in Pregnancy (Dr K Barber, Dr J Whitehouse)

Clinical Risk, Quality Assurance and Audit

The Trust takes a serious view of its responsibilities in relation to Clinical Governance. This
affects maternity care in particular because of the high cost of unfavourable medico-legal
settlements. A high proportion of the standards required for CNST relate to maternity care.
The Directorate of Obstetrics and Gynaecology attained level 3 CNST status in
January 2008.

There is a full-time Clinical Governance Support Manager and team with responsibility for
co-ordinating clinical risk and audit issues on behalf of the directorate together with an
important programme of guideline development and implementation for use within the
department. The core group is chaired by a consultant, (Mrs G V Sunanda) with the Clinical
Director as deputy.
The department plays an active role in CESDI projects with three consultants, two midwives
and one neonatal nurse practitioner being recognised assessors.

Information Technology

The Trust has invested in a high performance wide area network with PCs available in most
clinical areas. All staff have access to e-mail, Intranet facilities on request and a selection of
the patient master index and clinical, investigation and laboratory records as appropriate to
their need and status. The Trust has an in-house development providing access (a‟Vortel)
to core information across all specialities and the ability to view indexed clinical letters
relating to any patient. This forms the basis of the Trust approach to an Electronic Patient
Record (EPR). Access to results from PCs in clinical areas is expected to lead to a
reduction in printed reports for clinical chemistry initially. This is expected to extend to all
other laboratory areas, except Blood Bank, in the future. There is a well-developed Trust
Intranet web site and increasing external access to Trust resources.                  Information
Technology training is provided.

The directorate maintains its own Obstetric and Gynaecology Intranet web site. This
contains guidelines, protocols and procedures, meeting details, newsletters and an
increasing array of leave calendars and rota details and some training programmes.
Development is continuing.

Information relating to maternity care is beginning to improve as a result of a computerised
Maternity Information System in use across both sites. The directorate has piloted a
„scheduler‟ system for theatre resources that is currently being „rolled out‟ for use across the
Trust for all resources that require scheduling. Smaller systems are in use with the
Ultrasound Department. E-mail has become the main route of written communication within
the     directorate.      The     Trust‟s   separate      Intranet    Website      address     is

Post Graduate Facilities

The Postgraduate centres at both hospitals are active and overseen by an Education
Committee that includes all the speciality tutors. There are regularly weekly meetings in
paediatrics, general medicine, general surgery, communicable and tropical diseases,
respiratory medicine, general practice and a number of other specialities.

Both sites have excellent medical libraries, with full time librarians. They take some 100
journals and have a good selection of books and a Medline computer terminal. Journals and
books not held by the library are easily obtained.

Video linkage between the two centres has recently been enabled allowing larger joint site
meetings to be conducted on two sites without the need to travel to the other site.

Postgraduate Training

There is an active postgraduate teaching programme for postgraduates in obstetrics and
gynaecology at both hospitals with many joint sessions between the two hospitals. Some
further sessions are shared with a Warwickshire based consortium.

Senior House Officers in their first six months to one year in the speciality have protected
teaching sessions weekly and a different emphasis in their syllabus and subject matter.
General Practitioner Trainees are allowed off-site for some aspects of their training. This
teaching is recognised by the regional post-graduate Dean.

Teaching – Undergraduates

The directorate has active involvement in medical student teaching with up to nine students
attending at any one time.

Medical Staff

Consultant Profiles:

Current consultants in Obstetrics and Gynaecology in order of original appointment with
brief notes on special interest and roles.

Mr Shirin (Shez) W Hall, FRCOG – oncology lead, also general gynaecology with special
interest in Urogynaecology; colposcopist, sessions 2:1, BHH: Solihull. No obstetric

Mr William Mackenzie, MD, FRCOG – current Clinical Director, general gynaecology, with
special interest in recurrent miscarriage, colposcopist and outpatient hysteroscopy;
Heartlands based

Miss Elizabeth S Payne, MD, FRCOG - general obstetrics with paediatric gynaecology and
reproductive endocrinology; infertility lead – manages induced ovulation and IUI; miscarriage
and psycho-sexual counselling clinic lead; Trust speciality tutor (from March 2003) sessions
3:2 Heartlands: Solihull

Mr Michael P Wyldes, FRCOG - feto-maternal medicine including anomaly scanning
regional trainer; general gynaecology including „community‟ aspects and minimally invasive
surgery; Deputy director of West Midlands Perinatal Institute; delivery suite lead and site
lead at Heartlands; Trust speciality tutor (t March 2003); Heartlands based

Mr Christopher Griffin, FRANZCOG, MMED, CMFM, DDU - feto-maternal medicine
specialist including anomaly scanning and CVS; clinical guidelines lead; HIV in obstetrics
lead; delivery suite lead at Solihull; sessions 2:1 Heartlands: Solihull

Miss Shirin Irani, MD, MRCOG - general obstetrics and gynaecology with special interest in
minimally invasive surgery; lead for minimally invasive surgery including microwave
endometrial ablation; speciality undergraduate co-ordinator, colposcopist and outpatient
hysteroscopy; sessions 3:1 Heartlands: Solihull

Mrs G V Sunanda, MRCOG - general obstetrics and gynaecology with special interest in
obstetric scanning, maternal high dependency care and clinical risk management, clinical
risk management lead clinician; mainly Heartlands based

Dr Susan P Hutchon, MRCOG - general obstetrics and gynaecology with specialist
accreditation in colposcopy and outpatient hysteroscopy and gynaecology outpatient
scanning; mainly Solihull based

Mr Spyros Papaioannou, MD, MRCOG - general obstetrics and gynaecology with specialist
accreditation in reproductive endocrinology; increasing participation in infertility services;
mainly Heartlands based
Mr G Matharu, MRCOG - general obstetrics and gynaecology with special interest in
Urogynaecology; responsible for specialist urogynaecology service across both sites; mainly
Solihull based

Mr David W Sturdee, MD, FRCOG – special interest in menopause research; international
and national editorial responsibilities, including for RCOG); large series of endometrial
resections; Solihull based. 2 PA‟s per week

Mrs Poonam Pradhan, MRCOG – general obstetrics and gynaecology with special interests
in obstetric practice including detailed fetal scanning and delivery suite practice; mainly
Heartlands based.

Mr Neil Shah, MRCOG – general obstetrics and gynaecology with special interest in
maternal medicine. Heartlands based.

Miss Katherine Barber, MRCOG – general obstetrics with a special interest in maternal
medicine. Audit. Mainly Heartlands based.

Miss Shalini Patni, MD MRCOG – general obstetrics with a special interest in maternity
medicine. Based at Birmingham Heartlands and Good Hope.


SHO Acting Registrars = 2
SHOs – seven including at least one experienced SHO (acting registrar) in waiting
Foundation year two (second year post qualification – new posts) = 2
Specialist Registrars Years 1 – 5 = 11
Basic Specialist Trainees = 6
(Year 1 = 4, Year 2 = 2)
GP vocational trainee = 2
Foundation Year = 2
Innovative GP trainees – variable (currently 2)
Staff Grade (Solihull) = 2
Trust Grade (Solihull) = 5

Flexible trainees:

Variable – recently 1

All trainee posts are accredited for training by the RCOG

Other Key Staff:

Acting Directorate General Manager: Ms Tracie Fulton
Consultant Midwife: Ms Sue Dennett
Acting Clinical Governance Support Manager: Mrs Maria Stewart
Senior Delivery Suite Manager: both sites: Mrs Lorna Foster
Senior Midwifery Manager, Outpatient Services: Ms Paula East
Gynaecology Matron: Mrs Lisa Franklin

Good Hope Hospital NHS Trust

The Good Hope Hospital Unit catered for 3200 births in 2006. The proportion of births per
district was as follows:
                North Birmingham                        52
                S E Staffs                              19
                West Birmingham                         18
                Walsall                                  5
                Other                                    6

The areas in which the workload is increasing are North Birmingham and Tamworth. We
believe this is symptomatic of the good relationship that we are building with the GPs in
these areas.


The Maternity Unit includes 2 maternity wards with a total of 40 beds. In addition to the 2
wards there is a delivery suite inclusive of 2 theatres and a high dependency room, a
dedicated antenatal clinic area, with a comprehensive ultrasound facility integral within the
clinic area and a day care antenatal unit.          There is also a neonatal intensive care
unit/special care situated within the maternity block.
Recent developments:

      The antenatal and postnatal wards underwent refurbishment as part of the Maternity
       Modernisation Program in 2003. The 2 wards now have more single rooms in
       addition to 3-bedded rooms, all with en-suite facilities. Both wards have a
       bereavement room and there are plans for intermediate neonatal care on ward 4. A
       busy antenatal day unit is in place on Ward 4.

      The Delivery Suite has been rebuilt (2000) to provide a modern facility for labouring
       and delivering women. All 10 delivery rooms have en-suite facilities and are
       decorated to a very high standard. In addition to the 10 delivery rooms there is a
       birthing pool. There is also a dedicated single bedded HDU for managing women
       with severe complications of pregnancy e.g. PET, PPH etc. There are 2 operating
       theatres within the delivery suite.

      Within the antenatal clinic there are 2 ultrasound rooms with up-to-date modern
       ultrasound scan machines. We are recognised as an ultrasound-training centre by
       the RCOG/RCR training committee for advanced obstetric ultrasound training.

      The department was awarded Level III CNST in January 2008


You will join the following 6 Consultants, who are committed to general Obstetrics and
Gynaecology, but who have developed a complementary range of sub-specialist interests:

Mr Glyn Constantine, FRCOG – Urogynaecology with a special interest in pelvic surgery
including the repair of vesico-vaginal fistulae and vaginal route sacro-spinus colpo-fixation.
Mr Michael Moloney, FRCOG - Infertility – manages induced ovulation and IUI. Accredited
Miss Catherine Finn, FRCOG - Oncology/Colposcopy.                 No obstetric commitments.
Colposcopy/Oncology Clinical Lead
Mr Richard Cartmill, MRCOG - Outpatient Hysteroscopy. An interest in Menopause. Higher
Training Specialist Committee Secretary.
Dr Catherine Rhodes, MRCOG – Feto-maternal medicine and Labour ward management.
Clinical Tutor. No gynaecological commitments.
Dr Susan Houghton, MRCOG – Colposcopy. Labour Ward. Audit
Mr Ken Emmanuel, MRCOG, Obstetrics and Gynaecology specialising in Minimal Access
Surgery and Endometriosis.

There are 14 recognised Junior Medical Staff appointments, 6 of these are Specialist
Registrars), who are all on rotation into the Teaching Units. The remaining 8 Junior Doctors
are SHO/F2 posts and are a mixture of career grade and vocational GP trainees. Two Staff
Grade doctors currently support the Unit.

In addition there are 3 Consultant Anaesthetists who have a special interest in Obstetric
Anaesthetics and there are 2 Consultant Paediatricians with a special interest in

Individual Midwives within the unit have specialist roles, which include, antenatal screening,
diabetes, antenatal education and smoking cessation. A recently appointed midwife has a
vital Clinical Governance and training role.

There are 7 Clinical Nurse Specialists. Their expertise supports, Early Pregnancy
Assessment, Colposcopy, Infertility, Gynaecological Oncology, Urogynaecology and
Outpatient Gynaecology.
Recruitment of Ex-Offenders Policy
(Developed in line with the CRB Disclosure information pack, part DIP011)

This Policy applies to all staff recruitment at the University of Warwick.

As an organisation using the Criminal Records Bureau (CRB) Disclosure service to assess applicants‟
suitability for positions of trust, the University of Warwick complies fully with the CRB Code of Practice
and undertakes to treat all applicants for positions fairly. It undertakes not to discriminate unfairly
against any subject of a Disclosure on the basis of a conviction or other information revealed.

The University of Warwick is committed to the fair treatment of its staff, potential staff or users of its
services, regardless of race, gender, religion, sexual orientation, responsibilities for dependants, age,
physical/mental disability or offending background.

Our written policy on the recruitment of ex-offenders is made available to all applicants at the outset of
the recruitment process.

We actively promote equality of opportunity for all with the right mix of talent, skills and potential and
welcome applications from a wide range of candidates, including those with criminal records. We
select all candidates for interview based on their skills, qualifications and experience.

A Disclosure is only requested after a thorough risk assessment has indicated that one is both
proportionate and relevant to the position concerned. For those positions where a Disclosure is
required, all application forms, job adverts and recruitment briefs will contain a statement that a
Disclosure will be requested in the event of the individual being offered the position.

Where a Disclosure is to form part of the recruitment process, we encourage all applicants called for
interview to provide details of their criminal record at an early stage in the application process. We
request that this information is sent under separate, confidential cover, to a designated person within
the University of Warwick and we guarantee that this information will only be seen by those who need
to see it as part of the recruitment process.

Unless the nature of the position allows the University of Warwick to ask questions about the
applicants entire criminal record, we only ask about „unspent‟ convictions as defined in the
Rehabilitation of Offenders Act 1974.

We ensure that all appropriate staff in Personnel Services at the University of Warwick who are
involved in the recruitment process have been suitably trained to identify and assess the relevance
and circumstances of offences. We also ensure that they have received appropriate guidance in the
relevant legislation relating to the employment of ex-offenders, e.g. the Rehabilitation of Offenders Act
1974. Line managers are advised who to approach for support on these issues.

At interview, or in a separate discussion, we ensure that an open and measured discussion takes
place on the subject of any offences or other matter that might be relevant to the position. Failure on
the part of the applicant to reveal information that is directly relevant to the position sought could lead
to withdrawal of an offer of employment.

We make every subject of a CRB Disclosure aware of the existence of the CRB Code of Practice and
make a copy available on request.

We undertake to discuss any matter revealed in a Disclosure with the person seeking the position
before withdrawing a conditional offer of employment.

We do not accept Disclosures transferred from other organisations and do not supply Disclosures
requested by us to any external organisations.