THE WHITTINGTON HOSPITAL NHS TRUST



THE WHITTINGTON HOSPITAL NHS TRUST

SENIOR HOUSE OFFICER

Orthopaedics– 6 month stand alone post

The Whittington Hospital is located at Archway close to fashionable Highgate Village and Islington. The Hospital is comprised of three wings: St Mary’s Wing, Archway Wing and Highgate Wing. All clinical services are located on St. Mary’s Wing. The Hospital has traditionally served the population of North Islington and West Haringey, which gives a combined total population of approximately 170,000. The local population is very mixed, both in terms of socio-economic status and ethnic origins (particularly Irish and Cypriot). The Hospital employs approximately 2,000 staff.

In January 1992 the Great Northern Building was opened. This building contains modern operating theatres, medical, surgical and paediatric wards, and research laboratories. In May 1996, the care of older people’s wards moved into the new Jeffery Kelson unit in this building. A new Endoscopy suite and upgraded G I ward was also opened in May 1996.

All main branches of medicine and surgery are provided on St Mary’s Wing with the exception of plastic surgery, cardiothoracic surgery, neurosurgery and ophthalmology. In-patient care for these specialities are provided at University College Hospital, the National Hospital for Nervous Diseases and the Royal Free Hospital respectively.

A combined Diagnostic and Outpatient block is situated on St. Mary’s Wing. The Diagnostic Block accommodates the newly refurbished Accident and Emergency Department, together with main supporting services, such as Pathology, Imaging and the Pharmacy. Upgrading of the Orthopaedic and Rheumatology departments has recently taken place.

The Academic Departments of Surgery, Medicine, Obstetrics and Gynaecology, and Primary Health Care have all been established at the Whittington Hospital.

The Hospital has a devolved management strategy, with a series of Clinical Directorates. The 4 Clinical Directorates are Medicine (including Care of Older People), Surgery, Clinical Support, and Women’s & Children’s Health Services.

The following beds are provided at the Whittington Hospital (totalling 479):

Bed Numbers

|Surgery |112 |Paediatrics |36 |

|Medical |134 |Care of the Elderly |83 |

|Endoscopy |8 |Neo natal Unit |15 |

|Gynaecological |19 |Day Beds |24 |

|Maternity |19 |A&E |4 |

| | |ITU |7 |

All figures are approximate because ongoing strategic planning processes may affect individual specialities’ provision from time to time.

The Whittington Hospital has established a secure business planning base, which is not threatened by the changes in inpatient flow potentially compromising other hospitals in Central London.

Apart from extensive undergraduate and postgraduate commitments, the Hospital provides recognised training for nurses (an extensive range of courses are available), midwives, radiographers and dieticians.

UNDERGRADUATE AND POSTGRADUATE TEACHING

The Whittington Hospital is a Teaching Hospital of the University of London. It provides undergraduate teaching in association with the University College London Medical School. There are now approximately 90-100 undergraduates on site at any one time and this number is expected to increase.

The Postgraduate Centre is particularly renowned for its postgraduate medical courses, which attracts students from all over the world. The comprehensive teaching programmes organised include MRCP and MRCS courses, clinicopathology conferences, colposcopy courses, journal clubs and GP meetings. The Centre has a responsibility for the training of junior doctors, together with the Continuing Medical Education for consultants and local General Practitioners.

THE WHITTINGTON ARCHWAY CAMPUS

The joint approach to the development of The Whittington Archway Campus by University College London, Middlesex University, The Whittington Hospital Postgraduate Centre, The Whittington Hospital NHS Trust, and the Camden & Islington Community Services Trust presents many opportunities. The campus will contain a unique combination of research, education, recreation and residential functions. Initiatives in Informatics, Multiprofessional Education, Clinical Research and Health Services Research will be developed and integrated with the aims of improving clinical education, supporting clinical practice and benefiting local communities.

COMMUNITY HEALTH SERVICES

Community services in Islington are provided by the Camden & Islington Community Services NHS Trust. An 89 bedded Psychiatric Unit managed by Camden & Islington Community Services NHS Trust is located on St. Mary’s Wing.

There are 81 Islington general practitioners and 43 in the Hornsey overlap area. Some general practitioners work in health centres, the remainder work either single-handed or in groups working from their own premises. There are 9 health centres/child health centres in the area, of which 6 are purpose built. Hornsey Central Hospital, in the Hornsey overlap area, provides 55 longstay and GP beds. Currently, there are 55 GP Fund Holders in the Camden & Islington area .

HOURS OF DUTY (UNDER REVIEW)

The hours of duty are the standard working week of 40 hours. We have introduced a new system of full shifts due to the reduction of working hours. The rota of this post is currently 1:6 with prospective cover, although the half-day is variable each week. It is the responsibility of the post-holder to liaise with his/her colleagues and the Specialist Registrar to arrange this half-day off, as in the normal circumstances payment in lieu cannot be made. These half days should not be accrued. The Terms and Conditions of Service as amended from time to time will apply to, and govern this statement. The post-holder will work a week of nights every 6th week followed by a week off. Night duty covers general surgery, trauma & orthopaedics and urology with SpR support in each.

It is accepted that the holder of this post 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. Such additional commitment arising under this subsection will be exceptional, and in particular the doctor should not be required to undertake work of this kind for prolonged periods or on a regular basis.

MAIN CONDITIONS OF SERVICE

1. This post is covered by the Terms and Conditions of Service of the Hospital Medical and Dental Staff.

2. This appointment is for six months.

3. The salary scale is £25,324 to £35,511 per annum plus London Weighting Allowance of £2,162 pa for non-resident staff or £602 for resident staff.

CONDITIONS OF APPOINTMENT

1. A medical clearance is required prior to commencement of appointment.

2. The appointee will be required to demonstrate appropriate training in the core of knowledge required in the Schedule of the Ionising Radiation (Protection of Persons Undergoing Medical Examination or Treatment) Regulations 1988.

3. There is 1 post available from August 2006 for six months in Orthopaedics.

4. The details of this job description may be subject to change from time to time. Any changes will be discussed with the post-holder.

SENIOR HOUSE OFFICER IN ORTHOPAEDICS

Consultants responsible: MR D SWEETNAM FRCS

MR P THOMAS FRCS

MR I BACARESE-HAMILTON FRCS

MR C CHARLAMBIDES

+ 8 Specialist Registrars

+ 3 Senior House Officers

+ 3 House Officers

Location of the post

The duties of the post are located at the Whittington Hospital.

Details of the Post

This part of the rotation will involve the admissions of patients, ward rounds, operating lists and outpatients. The post will provide experience in general orthopaedic surgery, revision hip surgery and surgery of the knee.

The educational supervisor for this post is Mr Panos Thomas. Career counselling will normally be provided by Mr P Thomas or the Clinical Tutor, Ms Jane Young.

The Orthopaedics Lead is Mr David Sweetnam.

Timetable

| |AM |PM |

|Mon |SHO Study |Outpatients general |Theatre Day List |

|Tues |Ward Work |Pre-clerking clinic |2.00 X-ray meeting |Ward round |

| | | |Ward round | |

|Weds |Theatre |Outpatients general |Theatre |Study |

|Thurs |8.00-SpR Meeting |Ward round |Theatre |12.45-1.30 HO/SHO |Fracture Clinic |Theatre |

|Fri |Day List |Care of the Elderly Ward round|Ward Work |

*8.00 am Trauma Round

# Trauma list in the afternoon according to demand.

SENIOR HOUSE OFFICER

Orthopaedics

❑ Terms And Conditions of Service

This post is covered by the Terms and Conditions of Service of The Whittington Hospital NHS Trust and in particular to the pay and conditions of service relating to the Hospital Medical and Dental Staff Group.

❑ Length of Appointment

This is a whole-time appointment for 6 months commencing August 2006 to February 2007.

❑ Salary Scale

The salary scale £25,324 - £35,511 per annum plus London Weighting Allowance of £2,162 per annum.

❑ Leave

You are required to take all of your leave by the end of your appointment. Applications should be made six weeks in advance on the application form.

Any Bank Holidays worked for which provision has not been made in the rota during the 12 months tenure of this appointment, will be covered by payment in lieu.

❑ Accommodation

This post is non-resident.

You will be required to demonstrate appropriate training in the core of knowledge required in the Schedule to the Ionising Radiation (Protection of persons undergoing medical examination or treatment) Regulations 1988.

Policies, Procedures & Agreements

These cover a wide range of employment-related matters, and special care and attention is taken to ensure that they are not only effective, but also accepted and implemented by employees. Staff side representatives are involved, through consultation, from an early stage in the identification and development of employment policies.

Copies of the policies are kept in the Human Resources Directorate:-

➢ Acting Up

➢ Adverse Weather

➢ Alcohol & Substance Abuse

➢ Confidentiality of Employee Information

➢ Disciplinary

➢ Discrimination and Harassment

➢ Disputes

➢ Procedure at hearing of Disciplinary by Trust Board

➢ Equal Opportunities

➢ Extended Leave

➢ Grievance Procedure

➢ Health and Safety

➢ Health and Safety Specialist Responsible People

➢ Manual Handling

➢ Health and Safety for Expectant Mothers

➢ HIV and AIDS

➢ Job Sharing

➢ Jury Service

➢ Occupational Health Referrals

➢ Occupational Sick Pay Policy

➢ No Smoking

➢ Paternity Leave

➢ Protection of Health Care Workers

➢ Protection of Children

➢ Recognition and Procedure Agreement

➢ Recruitment and Selection

➢ Removal Expenses

➢ Sickness Absence

➢ Special Leave

➢ Organisation Change and Protection of Pay

➢ Special Leave

➢ Staff Healthcare

➢ Study Leave Guidelines

➢ Time Off for Trade Union Activities

➢ Uniform Policy

➢ Untoward Incident

➢ Incident Reporting Form

➢ Violence Against Staff

ADDITIONAL INFORMATION

HEALTH & SAFETY

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

DATA PROTECTION

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

NO SMOKING

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

EQUAL OPPORTUNITIES

It is the aim of the Trust to ensure that no job applicant or employee receives less than favourable treatment on grounds of sex, marital status, race, colour, creed, religion, physical disability, mental health, learning difficulty, age or sexual orientation and is not placed at a disadvantage by conditions or requirements that cannot be shown to be justifiable. To this end the Trust has 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 your 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 form of other payment.

CUSTOMER AWARENESS

The Whittington Hospital expects its employees to communicate with colleagues, patients and visitors in a polite and courteous manner at all times.

PERSON SPECIFICATION

SHO stand alone 6 month post

Orthopaedics

| | | |

|REQUIREMENTS |ESSENTIAL |DESIRABLE |

| | | |

|Qualifications |MBBS |MCQ examination passes for MRCS exam |

| | | |

| | | |

| | | |

|Training |Completed PRHO training satisfactorily | |

| | | |

| | | |

| | | |

|Previous Training |6 months A&E at SHO level |Basic surgical skills course |

| | |ATLS course |

| | | |

| | | |

|Skills & Knowledge |Basic suturing skills |Familiar with Outpatient Clinics |

| |Excellent communication skills- | |

| |Both written & oral | |

| | | |

|Other Requirements |Good personal organisation and time |Involved in teaching in previous jobs. |

| |management | |

| |The drive to suceed in surgery | |

SHORTLIST: YES/NO

Reason if No: ________________________________________

APPOINT: YES/NO

Reason if No: _________________________________________

SIGNED:________________________________________

PRINT NAME:___________________________________

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