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NORTH DURHAM ACUTE HOSPITALS NHS TRUST(2)

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					              THE WORK OF THE DEPARTMENT OF ORTHOPAEDICS

                       ORTHOPAEDIC SERVICES (BAGH/DMH)

The Directorate is managed on a Trust wide basis. Mr Magdy Eskander is the Clinical
Lead based at Darlington Memorial Hospital, supported by Mrs Gill Findley Clinical
Services Manager.

The services include routine and complex Orthopaedic cases. The Consultants provide a
1:8 week trauma rota on each main site. On level 1 at Darlington Memorial Hospital there
are double corridor type wards 11 and 14, with a total of 52 beds. There are 9 theatres at
Darlington Memorial Hospital.

The medical staffing of the department:

Consultants:
Mr M Eskander                     -      Orthopaedics (Lead Clinician)
Mr M A Bawarish                   -      Orthopaedics
Mr D Burton                       -      Orthopaedics
Mr P Duffy                        -      Orthopaedics
Mr A Humphrey                     -      Orthopaedics
Mr J McVie                        -      Orthopaedics
Mr J Sudhakar                     -      Orthopaedics
Mr S Khan (locum)                 -      Orthopaedics

Middle Grade and Junior Staff:
2 Departmental Staff Grade Doctors
6 Middle Grade Trust Doctors
1 Specialty Trainee 3
2 Specialist Trainees (1/2 level)
1 Trust Doctor (ST1 Level)
4 Foundation Doctors (FHO2’s)
1 Trust Doctor (SHO level) - BAGH

Duties of the post:

         The Foundation Doctor is responsible for the medical care of in-patients in
          orthopaedic wards, including admission, clerking, organising pre-operative
          blood tests, x-rays etc.
         The Foundation Doctor is responsible for assessing patients and stabilising
          deteriorating patients, drawing to the attention of seniors any changes in a
          patients condition
         The Foundation Doctor may attend out-patient clinics as requested by
          Consultant.
         The Foundation Doctor is responsible for clerking and preparing patients for
          theatre as required by Consultant.


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          Duties will be based on a full shift system. There are no on-call duties at
           Bishop Auckland Hospital but Foundation Doctors may be expected to
           occasionally cover the services at BAGH during the day.

          The Foundation Doctor will attend the A&E department to see referrals and
           admit patients appropriately with the support and assistance of senior
           colleagues

          The Foundation Doctor will issue death certificates if appropriate, or, more
           commonly in the Orthopaedic Unit, will notify the Coroner's Officer of deaths
           following accidents.

The Foundation Doctor will also perform duties in occasional emergencies and
unforeseen circumstances at the request of the appropriate Consultant, in consultation
where practicable with his colleagues both senior and junior.


                          ORTHOPAEDIC SERVICES (UHND)

This is a general Orthopaedic unit covering all branches of orthopaedic surgery, except
the long term care of paraplegic patients and certain specialised problems in paediatric
orthopaedics (ie. spina bifida and scoliosis) where regional clinics are held. The
Orthopaedic Department is also responsible for the treatment of all fractures and severe
soft tissue limb injuries and of certain other forms of trauma including head injuries (with
the exception of children admitted with head injuries to the paediatric unit).

The medical staffing of the department:

Consultants:
Mr K U Wright               -      Consultant Orthopaedic Surgeon
Mr R Gregory                -      Consultant Orthopaedic Surgeon
Mr A Gower                  -      Consultant Orthopaedic Surgeon
Mr A Jennings               -      Consultant Orthopaedic Surgeon
Mr N Shaw                   -      Consultant Orthopaedic Surgeon
Mr S Scott                  -      Consultant Orthopaedic Surgeon
Mr A Mahon                  -      Consultant Orthopaedic Surgeon
Mr L Longstaff              -      Consultant Orthopaedic Surgeon

Middle Grade and Junior Staff:
2 Associate Specialists
5 Specialist Registrars
1 Senior House Officer
2 Trust Doctor (SHO level)
1 Foundation Doctor (FHO2)
3 Foundation Doctors (FHO1’s)




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Duties of the post:

      Foundation Doctors will share the responsibility for the primary medical care of all
       adult patients in the Orthopaedic Department. The duties are the usual ones
       relating to the care of surgical patients in the pre and postoperative periods. The
       Foundation Doctor will ensure that up-to-date clinical records of patients are
       maintained and that the General Practitioner, and others concerned, are notified
       immediately a patient is discharged.
      The Foundation Doctor will make daily ward rounds, and further rounds with the
       Consultants, Associate Specialists and Registrars. The Foundation Doctor will also
       share the care of patients admitted by GPs.
      The Foundation Doctor will be responsible to the Consultant Staff for the admission
       of all routine "list" cases and of Orthopaedic Emergencies and Accidents requiring
       in-patient care. In the case of more serious injuries, the Foundation Doctor will
       have responsibility for resuscitation of the patient, but the treatment will normally be
       carried out in consultation with, and in co-operation with, more senior medical
       colleagues. It is of great importance in the assessment of patients admitted as
       emergencies, or for routine operation, that unusual points in the history (such as
       peculiar reactions to previous anaesthetics, excessive bleeding, allergies etc),
       relevant drug therapy and abnormal physical findings are noted and drawn to the
       attention of the senior staff.
      The Foundation Doctor will not be expected to assist the Consultants, Associate
       Specialists and Registrars in both routine and emergency operating lists or to co-
       ordinate the arrangements with the operating theatre and the Anaesthetic Staff for
       emergency operations. The Foundation Doctor will not be responsible for the
       submission of lists of patients for routine operations but will be responsible for the
       arrangements for blood transfusions, radiographic services, etc. in the operating
       theatre, if required.
      The Foundation Doctor will issue death certificates if appropriate, or, more
       commonly in the Orthopaedic Unit, will notify the Coroner's Officer of deaths
       following accidents.
      The Foundation Doctor will be expected to see Accident and Emergency referrals
       and admit patients appropriately with senior advice. They will also be expected to
       attend clinics for teaching and training.




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