THE WHITTINGTON HOSPITAL NHS TRUST



Directorate of Human Resources and Corporate Affairs

Level 1 Highgate Wing

Highgate Hill

London

N19 5NF

Sarah.auger@whittington.nhs.uk

020 7288 3254

020 7288 5050

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Our Ref: ICU/0506/SRA

Private and Confidential

09 May 2006

Dear Applicant,

Re: Senior House Officer in Intensive Care – ICU/0506/SRA

(for 6 months starting August 2006)

Thank you for contacting us regarding the above post. I am pleased to enclose:

❑ An Application Form

❑ Job Description

The closing date for this post is 23rd May 2006. Please return your form in good time to ensure that you are considered. It is the policy of the Trust not to accept pre-written references and therefore these should not be attached to your application form.

Shortlisting should be completed by 30th May 2006. If you have not received a reply within a month of the final shortlisting date, please assume that your application has been unsuccessful.

Interviews will be held week commencing 5th June 2006.

As part of the Data Protection Act, I am informing you that your details will be entered onto computer on return of your application form. This is solely to help in administering the recruitment process.

Thank you for the interest you have shown in applying to work for The Whittington Hospital and I look forward to receiving your application at your earliest convenience.

Yours sincerely

Sarah Auger

Recruitment Administrator

Enc.: An Application Form.

Job Description

THE HISTORY OF THE WHITTINGTON HOSPITAL

Medical services were first provided on the site of the Whittington in 1473. Originally a leper hospital during the reign of Edward IV, by the time of Elizabeth I the hospital was caring for the poor chronic sick who had been transferred from St Bartholomew’s and St Thomas’. In 1848, a new hospital was built on the St Mary’s Wing site. This had 108 beds and cared for patients with smallpox. During the great smallpox epidemic between 1855 and 1859, the hospital admitted 1185 patients of whom 20% died. The Smallpox and Vaccination Hospital is currently known as the Jenner Building and is used as office accommodation.

Independently managed hospitals were opened on the Archway Wing site in 1877 and the Highgate Wing site in 1866. These hospitals had 625 and 543 beds respectively. In August 1900, Highgate Hill Infirmary with 780 beds opened adjacent to the Smallpox and Vaccination Hospital. The two hospitals soon amalgamated and the Smallpox Hospital was transformed into a nurses home.

Edith Cavell worked as a night sister for three years from 1901 at the Infirmary on the current Highgate Wing site. The Infirmary had been described in 1870 by Florence Nightingale as ”by far the best of any workhouse infirmary we have” and indeed “the finest metropolitan hospital”.

In 1947/8 the hospitals were brought together under Dr Cecil Coyle, who as Medical Superintendent was responsible for the administration of all three sites. The three hospitals had between them just under 2000 beds. With the coming of the NHS in 1948, the sites began to modernise. The past 50 years have seen the consolidation of all clinical services onto the St Mary’s Wing site with a reduction of beds from nearly 2000 to around 500. In 1977 a new block was opened which currently houses Emergency, out patients and the pathology laboratories. In 1992 the Great Northern Building opened with its modern ward accommodation, staff restaurant and education facilities.

As clinical services moved to St Mary’s Wing, so both Archway Wing and Highgate Wing have been able to change function. Highgate Wing has been chosen by Camden and Islington Community Trust as the site for the consolidation and development of the district’s mental health services. Archway Wing is owned by UCL and The Middlesex University as an education and research campus.

Despite its two new buildings and a programme of continual refurbishment, much of the external fabric of our remaining mid 19th century hospital on the St Mary’s site is in poor condition and in urgent need of replacement. This has been recognised with the publication of the ‘Turnberg Report’ on health services in London. The report recommended urgent capital investment in the site and the hospital is now anticipating a period of very considerable redevelopment.

The future of our historic hospital is very bright. Praised by the Turnberg Report for our rôle as a community facing general teaching hospital, plans are currently being laid to develop the Trust as a model of the urban hospital of the 21st century.

THE HOSPITAL TODAY

The Whittington Hospital is a medium sized district teaching hospital. The site contains a mixture of modern, good quality accommodation and older Victorian building which are in need of replacement. Despite the age of the older buildings, ongoing refurbishment has been carried out to ensure ward and other accommodation is suitable for modern medical practice. The hospital is well provided with equipment, with considerable ongoing investment to ensure that practitioners have the ‘tools to do the job’. The hospital is proud of its tradition of providing high quality medical education. We seek to provide academic and clinical excellence without losing sight of our rôle as a community based hospital supporting our local GPs.

We are located in Archway, North London and have traditionally served the populations of North Islington and West Haringey. Our catchment population is around 240,000. Our local population is a diverse mix in terms of social class, economic status and ethnicity and the communities we serve embrace Highgate, Finchley, Haringey, Camden and Islington. 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.

A combined Diagnostic and Outpatient block is situated on St Mary’s Wing. This block accommodates the newly upgraded Emergency Department, together with main supporting services such as Pathology, Radiology and Pharmacy. The Radiology Department has an MRI scanner and a spiral CT scanner to provide a comprehensive investigatory facility. The first phase of a Picture Archiving and Communication System (PACS) has been rolled-out in Emergency, with electronic links to the Hospital for Nervous Diseases at Queen Square anticipated in the near future.

A seven bedded General Intensive Care Unit (5 ITU, 2 HDU beds) is located adjacent to the six bedded Coronary Care Unit. Both units are well equipped and well staffed.

An 89 bedded Mental Health Unit is located adjacent to St Mary’s Wing on Highgate Hill and is managed by the Camden and Islington Mental Health Services Trust. Building work is well underway to relocate district Mental Health services on the nearby Highgate Wing in new accommodation. The Sexual Health Clinic, managed by Camden & Islington Community Trust, is located in Archway Campus.

The hospital is divided into five main divisions each managed by a Divisional Manager who reports to the Medical Director (Operations) as follows:

Medical Director (Operations : Mrs Celia Ingham Clark

Divisional Manager Acute Medical Services: Ms Fiona Elliott

Divisional Manager Medicine and Clinical Services: Mr Adam Smith

Divisional Manager Rehab and Primary Care Interface: Mrs Kate Slemeck

Divisional Manager Surgery: Ms Sarah Metson

Divisional Manager Children & Women’s Health: Mrs Bernadette Herbert

Dr Norman Parker is the Executive Medical Director for the Trust as a whole. Dr Jane Young is the Trust’s Director of Medical Education.

Apart from medical undergraduate and postgraduate training commitments, the hospital provides recognised training for nurses, midwives, Allied health Professionals, Biomedical Scientists and operating department practitioners.

Approximate Bed Number

Surgery 104

Medical 221

Orthopaedic 56

Gynaecological 19

Maternity 47

Paediatrics 35 (of which 8 are day care)

Neonatal Unit 18 (including 6 intensive care cots)

Day beds 22

Emergency 8

ITU 9

All figures are approximate because beds are used flexibly and because ongoing strategic planning processes may affect individual speciality provision from time to time.

THE WHITTINGTON HOSPITAL NHS TRUST

SURGICAL DIRECTORATE

SENIOR HOUSE OFFICER

INTENSIVE CARE & CLINICAL FELLOWS (SHO LEVEL)

Consultant responsible: Dr C Hargreaves

THE POST

This is a full time ICU SHO post providing training in intensive care medicine in the setting of an adult District General Hospital Unit.

There is a weekly training session on a Friday morning, which all five intensive care trainees are expected to attend. There is a consultant-led ward round every morning. There is consultant supervision with a dedicated rota as well as intermediate support from the 2nd on call Anaesthetist.

The 1:8 rota is designed on a full shift basis, and includes internal cover for annual leave. There is ample time for private study for those pursuing post-graduate examinations.

THE DEPARTMENT

The Intensive Care Unit is part of the Surgical Directorate.

The unit has seven funded critical care beds within the ICU as well as two additional high dependency beds in the adjacent cardiology ward. The Intensive Care team is responsible for all 9 beds. A new critical care unit is currently under construction at the Whittington and is due to open by summer 2006. Relocation to the new unit may be necessary during the tenure of this post.

Patients are admitted to the unit under the care of their admitting consultant. The ICU staff advise on and co-ordinate the management of the patients so that there is a multi-disciplinary approach to care.

THE CURRENT ESTABLISHMENT

Dr Chris Hargreaves Consultant Anaesthetist & Director of ICU

Dr Nick Harper Consultant Anaesthetist

Dr Sarah Gillis Consultant Anaesthetist

Dr Mike Grocott Academic Senior Lecturer in Intensive Care Medicine

5th Consultant Post Currently vacant but approved

6th Consultant Post being approved

5 SHOs 1 Anaesthetics SHO rotation (3 month blocks)

1 Medicine SHO Rotation (3 month blocks)

This post (x4 – 1 SHO and 3 Clinical Fellows)

1 FY2 Pre-Registration House Officer Shared with Microbiology

The rota remains at Band 1A.

DUTIES OF THE POST

The clinical duties of the post are within the Intensive Care Unit, but includes assessment of patients on wards and A & E which may be at the request of the Critical Care Outreach nurse. The SHOs are expected to co-ordinate the management of the patients in discussion with more senior ICU staff and the admitting team.

POST GRADUATE EDUCATION

The Post Graduate Clinical Tutor is Dr Jane Young. The Post Graduate Centre organises comprehensive post graduate teaching programmes.

There is a multidisciplinary library in the Archway Wing which also gives full-text electronic access to some journals

It is anticipated that a regular Resuscitation Training Course will be set up with the Resuscitation Training Officer.

New SHOs on the Intensive Care Unit will be oriented and issued with written instructions, which describe the running of the Unit and its policies. There are written Management Protocols on the Unit. These are also accessible on the hospital intranet.

The Trainee will acquire the practical skills and theoretical knowledge to prevent, recognise and treat single and multiple organ failure.

The importance of communication with all grades of nursing and medical staff, as well as with the relatives of patients, is stressed.

The trainee will become competent in methods of vascular access for haemodynamic monitoring and the interpretation of such monitoring, as well as vascular access for dialysis. The trainee will be heavily supervised initially, with a progression of responsibility allowed depending on the trainee’s experience and skills.

Training will follow the competency based training and assessment recommendations of the IBTICM (see ics.ac.uk for details).

AUDIT

There is ongoing audit within the unit, in conjunction with a computerised database. The post holder is required to participate in this audit and routine data collection. There are also opportunities for SHOs to undertake their own projects.

TEACHING

Medical students are regularly allocated to the Intensive Care Unit, as are student nurses and trainee paramedics. The postholder is expected to participate in the teaching of these groups.

HOURS OF DUTY

The five weekly rota is designed on a full shift basis, with internal cover. The hours of duty are New Deal compliant and fall into Band 1A.

The additional duty hours of the post will continue to be under review. Any change will be communicated to the postholder in advance of implementation.

The postholder should be prepared to perform duties in occasional emergencies and unforeseen circumstances. Commitments arising in such circumstances are, however, exceptional and the postholder will not be required to undertake work of this kind for prolonged periods or on a regular basis. All efforts will be made to ensure that work of this kind does not result in continuous hours of duty that exceed the New Deal continuous hours of duty limits.

CONDITIONS OF APPOINTMENT

1. Part 1 of MRCP or Primary FRCA or equivalent stage of postgraduate exams in other acute specialities. (MRCP Part 2 is desirable)

2. Medical Clearance is required prior to the commencement of appointment

3. The post is available from 3rd February 2006

4. You will require a Core of Knowledge Radiation Protection Certificate. If you do not possess the necessary certification the appointment is conditional on your attending the next available accredited course.

5. No canvassing of consultants is permitted.

HEALTH AND 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.

SECURITY

It is the responsibility if 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 both to the specific work area of the individual and to the Hospital in general.

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. To disclose data only to authorised persons as instructed. Breaches of confidence in relation to data will result in disciplinary action which may involve dismissal.

NO SMOKING

We have promoted a No Smoking Policy as part of our responsibility for the provision of health. You will be required to work within the framework of this policy.

EQUAL OPPORTUNITIES

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

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 you work, in accordance with current policy on confidentiality in The Whittington Hospital NHS Trust.

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.

REMOVAL EXPENSES

Removal expenses are paid in accordance with The Whittington Hospital NHS Removal Expenses Agreement.

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