JOB DESCRIPTION AND FURTHER DETAILS OF THE POSTS ...

JOB DESCRIPTION AND FURTHER DETAILS OF THE POSTS WITHIN
FOUNDATION YEAR ONE PROGRAMME 2011 - 2012
1.0 GENERAL
1.1 The employing Trust for the above post is the Northern Devon Healthcare Trust.
1.2 The post is based at North Devon District Hospital, Barnstaple, within the Northern Devon
Healthcare Trust. A brief description of the hospital and facilities can be found at Appendix A.
2.0 SPECIALTY / DEPARTMENTS:
2.1 General Surgery, Acute Admissions Units (Medical), Trauma & Orthopaedics, Medical
Specialties, Paediatrics. (This job will rotate through some of the above posts)
2.2 Brief details of the size and main functions of the Departments are attached at Appendix B.
3.0 THE POST
3.1 Title / Grade: Foundation Year One Doctor
3.2 Relationships: Names of Consultants and details of other members of the departments are
attached at Appendix B. The job requires appropriate professional relationships with other
staff e.g. nursing, professional and technical as necessary in the execution of duties.
3.3 Duties and location of posts: Attached at Appendix B.
3.4 Emergency: Foundation Year One doctors may also be asked to perform duties in occasional
emergencies and unforeseen circumstances at the request of the appropriate Consultant, in
consultation, where appropriate, with senior and junior colleagues. Such additional
commitments in this sub-section should be exceptional and not for prolonged periods.
4.0 STUDY AND TRAINING
4.1 The post is recognised for postgraduate training as specified below:
The Postgraduate Dean confirms that this placement and/or programme has the required
educational and dean's approval with a view to full registration.
We have an excellent and dynamic Medical Education Centre, which offers
portfolio learning opportunities to students from around the country. The library has obliging
staff and a good range of journals, Medline and Internet access. We also have
teleconferencing facilities and a local intranet for clinical and service guidelines and reference.
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4.2 Other Postgraduate medical education courses are held at Barnstaple e.g.
Daily Departmental Teaching sessions
Weekly Clinical Meetings
Weekly Morning Report, Journal Club, Grand Round
Monthly Morbidity and Mortality Meetings
Various Certificated Advanced Life Support Courses including ALS
Further details regarding study leave or medical education courses may be obtained from the
Medical Education Centre.
5.0 MAIN CONDITIONS OF SERVICE
5.1 The post is subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff
and the Northern Devon Healthcare Trust’s local agreements, as amended from time to time.
5.2 The appointment is full time, with four months being spent within each specialty.
5.3 The current basic salary scale is £22,412 - £25,209 pa plus the appropriate banding
supplement, where applicable. Most posts attract banding in two of three rotations.
5.4 Accommodation: Residential accommodation may be available on site.
5.5 The following accommodation described below is provided, subject to signature of a legally
binding Tenancy Agreement.
Single accommodation: Furnished - comprise single bed / sitting room with a shared
bathroom, kitchen and common room, within the hospital grounds. (subject to availability and
subject to the appropriate charges)
Married accommodation: (subject to availability and subject to the appropriate charges):
Furnished - comprises 2/3 bedrooms (as required and subject to availability).
Accommodation Fees: Information on current fees is available from the Accommodation
Supervisor or Medical Personnel Office at the North Devon District Hospital.
6.0 CONDITIONS OF APPOINTMENT
6.1 The post is subject to The Terms and Conditions of Service of Hospital Medical and Dental
Staff, and Northern Devon Healthcare Trust’s local agreements, as modified from time to
time. Current copies of these Terms and Conditions may be requested from the Medical
Personnel Office. Your attention is drawn particularly to the following extracts:
6.2 Registration: All Hospital Medical and Dental Staff are required to be appropriately registered
with the General Medical Council to practice in this country. Such staff must ensure that
registration is maintained for the duration of the appointment. Overseas graduates should
note that full registration does not necessarily preclude the need for a period of Clinical
Attachment and assessment.
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Qualified practitioners are responsible for ensuring that your professional registration and
Licence to Practice is maintained. Failure to maintain registration will result in reassignment
to a junior role which does not require professional registration, until evidence is provided.
Where evidence is not forthcoming a disciplinary investigation will be undertaken which could
result in your employment being terminated. You are required to produce evidence of your
professional registration on request.
You are responsible for ensuring that you abide by the Codes of Professional Practice relevant
to your role. Failure to do so will result in formal investigation and action under the Trust's
Disciplinary or Capability
6.3 All Hospital Medical and Dental Staff are required to have the appropriate Home Office Visa
status if not a member of the EEA which must be updated / maintained for the duration of the
appointment.
6.4 Medical Examination: All initial appointments to the NHS are made subject to satisfactory
medical evidence being produced. The employing Trust reserves the right to make any offer
of appointment subject to the receipt of such medical evidence including a medical
examination where this is deemed necessary.
In the interest of all staff and patients, it may be desirable and necessary for periodic medical
checks to be undertaken in addition to those on initial appointment.
6.5 The Trust is committed to providing safe and effective care for patients to ensure there is an
agreed procedure for medical staff that enables them to report quickly and confidentially
concerns about conduct, performance or health of medical colleagues (Chief Medical Officer,
December 1996). All medical staff practising in the Trust should ensure that they are familiar
with the procedure and apply it.
6.6 References: All staff appointments are made subject to the receipt of satisfactory
references.
7.0 HEALTH & SAFETY
7.1 In carrying out their duties, the employee is required to take reasonable care to avoid injury or
accident which may be caused by work. These duties must be performed in accordance with
departmental guidelines which is designed to secure safety in work practices and in the
handling of materials and equipment.
8.1 OTHER FACILITIES
8.1 Details of other facilities / general information can be found at Appendix C.
9.1 FURTHER INFORMATION
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9.1 Details of the rotations can be found at Appendix D.
9.2 For further information and application details please contact:
Employment Services
Suite 7 Munro House
North Devon District Hospital
Raleigh Park
Barnstaple
N Devon EX31 4HX
Telephone: 01271 322399
Fax: 01271 314069
Email: susan.roy@ndevon.swest.nhs.uk
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_______________________________________________________________________________________
BRIEF DETAILS OF THE HOSPITAL
Appendix A
_________________________________________________________________________________________
Name of the Base Hospital:
Address:
NORTH DEVON DISTRICT HOSPITAL
Raleigh Park
Barnstaple
Devon
EX31 4JB
Telephone: 01271 322577
Type:
ACUTE
Size:
220 beds (approx)
Outpatient Attendance pa 93,000
Discharges and Deaths pa 19,000
The Northern Devon Healthcare Trust
Acute Services are centred at the North Devon District Hospital. A wide range of specialist services are
provided including General Surgery, Urology, ENT, Ophthalmology, Oral Surgery, Paediatrics, Obstetrics and
Gynaecology, Psychiatry, Orthopaedics and acute Trauma, as well as an Accident and Emergency
Department.
The North Devon District Hospital has full supporting services from Physiotherapy, Occupational Therapy,
Speech Therapy, Diagnostic Services including Pathology, Radiology, Electrophysiology. There is also a spiral
CT scanner within the main building. An MRI facility has recently become available.
Community services are provided in the Cottage Hospitals across the District with a total bed number of
approximately 180. Community Services include day hospital facilities, inpatient rehabilitation and General
Practice admitting beds. They also have support from the Physiotherapy, Occupational and Speech Therapy
Departments.
The Trust also provides services to Health Authorities and General Practitioners (GPs) outside of the area.
Each year we continue to meet the unpredictable demands of holidaymakers during the summer months.
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_________________________________________________________________________________________
THE DEPARTMENTS
Appendix B
_________________________________________________________________________________________
General Medicine
There are 11 consultant physicians covering a number of specialties within medicine – Gastroenterology,
Cardiology, Respiratory, Elderly Care, Endocrinology and Acute Care. We provide a comprehensive medical
service both at the North Devon District Hospital and the local community hospitals. There are close links
with Exeter, Plymouth and Bristol, which are likely to increase in the future with developments in services
and the Peninsula Medical School project.
Emergency Rota
There is a fully integrated emergency medical take with all admissions under a single physician of the day.
Referral to the appropriate speciality is done according to need on the post take ward round.
The admitting junior doctor team currently comprises two specialty trainees and one F1 on the day shift and
a specialty trainee and F1 overnight. A hospital at night scheme has started. A STR takes the place of the
second specialty trainee on Tuesdays, Wednesdays, Thursdays and Sundays. Adjustments to this pattern of
care will be made in the light of modernising medical careers and expansion in STR numbers.
The average combined acute medical take is approximately 25 patients per day. The majority of these are
admitted through the medical assessment unit that is open 24 hours per day. The intention is to combine
the medical and surgical assessment units, in a larger clinical area.
The beds are distributed as follows:
NDDH 3 acute medical wards Staples 30 beds
Level 5 (all ages) Glossop 30 beds
Level 1 MAU 13 beds
Level 3 ITU, HDU 4 & 3 beds flexible
Level 1 Stroke Unit, Budd 16 beds
Rehabilitation/Palliative care Alexandra 16 beds
4 Community Hospitals: 84 beds
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_________________________________________________________________________________________
THE DEPARTMENTS (contd)
Appendix B (contd)
_________________________________________________________________________________________
General Surgery and SAU
The Department of Surgery is based at the North Devon District Hospital and is staffed by eight Consultant
Surgeons. The middle grade staffing comprises of three Associate Specialist, and three Specialist Registrars.
The junior team is made up of 4 specialist trainees, 2 trust service doctors and 6 F1s doctors. The service has
strong links with the both Musgrove Park Hospital in Taunton and RD&E Hospital in Exeter.
There are two main surgical wards (King George V and Fortescue) with access to paediatric beds on the
Children’s ward. There is a fully equipped and dedicated Day Case Unit. The Roborough Suite is a private
patient facility sited in the main hospital complex.
The Trust has a Vascular Nurse Specialist in post and a Vascular Sonographer providing a full Duplex Vascular
Service. The X-ray department provides all modalities of Vascular Imaging.
Emergencies in General Surgery and Urology are admitted out of hours by the surgical on-call team, urology
patients are transferred the following morning.
Academic meetings, which embrace various aspects of surgical diagnosis and management, are held on a
regular basis throughout the week. There is a Surgical Department and Pathology meeting on Friday
afternoons, Directorate meetings once a month and regular academic activities such as the Grand Ward
Round and Surgical Unit audit presentations by the General Surgeons and Urologists.
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_________________________________________________________________________________________
THE DEPARTMENTS (contd)
Appendix B (contd)
_________________________________________________________________________________________
CLINICAL (Medical & Surgical)
(nature of tasks to be performed)
1. The general care of patients with acute medical and surgical conditions
as directed by the Consultant to whom attached.
2. Clerking of admissions, both routine and emergency, arranging
appropriate investigations and preparing patients for theatre.
3. Routine ward duties.
4. Patient discharge summaries.
5. Ward rounds with Consultant/Specialist Registrar/SHO.
6. On call duty as part of shift rotas.
7. Assisting in theatre work, both routine and emergency.
8. Practical ward procedures and basic routine cases.
9. Care of post operative patients.
TEACHING:
There is an active teaching programme which takes place in the purpose built
Medical Education Centre. This includes departmental teaching programmes,
grand rounds, journal clubs, and MDT Meetings. Library facilities are of a high
standard and are comprehensive.
RESEARCH:
N/A
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THE DEPARTMENTS
Appendix B (contd.)
Trauma & Orthopaedics
The Department of Orthopaedics and Trauma is based at the North Devon District Hospital and is staffed by
six Consultants. The middle grade (non-resident on-call 1:5) staffing comprises of one Associate Specialist,
four Staff Grades and two Specialist Registrars. The junior team is made up of 2 specialist trainees, 3 F2s, and
4 Trust Grade, 2 F1s doctors operating a full shift system. The Orthopaedic service has strong links with the
RD&E Hospital in Exeter.
Capener Ward is the trauma ward at the North Devon District Hospital which has 22 beds with a further 7
flexible beds for busy periods, typically required in the summer months. The elective Orthopaedic ward is
Lundy Ward with 15 beds but there are plans for a new ward of 25 beds plus 2 elective Theatres to replace
existing elective theatres. Paediatric beds are available on Caroline Thorpe ward, a 22 bedded children’s
ward. A departmental training and seminar room is on Capener Ward.
The care of the elderly department in North Devon has evolved to meet the needs of a very elderly and rural
population over its lifetime. As a consequence the key needs have been stroke services and community care. We
are now addressing services for falls, bone health, orthogeriatrics and acute elderly care to ensure best care for
our frailest and most complex patients. In doing so we hope to prevent admission and re-admission, facilitate
discharge, optimise preventative interventions and minimise dependency across the district.
North Devon is a designated Cancer Unit with visiting Oncologists from the Royal Devon & Exeter Trust.
There is a dedicated Chemotherapy unit in the Hospital. Plans are being drawn up to expand this Unit and
develop the service for the next 5 years.
The X-ray Department has imaging facilities, which include a new spiral CT and MRI. Radiotherapy services
are sited at the Royal Devon & Exeter Trust. There is a fully equipped and dedicated Day Case Unit. The
Roborough Suite is a 10+ bedded private patient facility sited in the main hospital complex. Private
operating lists are available out of hours.
General Paediatrics
Eight consultants are based within this department. There are 2 Specialty Grades, 1 ST4, 3 ST3, 2 FTSTA 2/3
along with 2 STGP doctors and an F1. Caroline Thorpe Ward has 15 nominal beds, and 2 assessment beds,
which provides for all children in the DGH. A 2 bedded, staffed Paediatric High Dependency Unit opened in
2008. The current ward has the facility for the options of one 8-bedded, one 6-bedded bay, and 5 cubicles,
divided according to age and clinical needs of the children. There is a full time teacher and a ward school.
There is a ward playroom facility staffed by a qualified play leader, and a purpose built outdoor play area.
The paediatric outpatient suite is on the same floor and close to the Caroline Thorpe Paediatric ward and has
2 consulting rooms with its own paediatric waiting area and specially designed play facilities as well as a
nurse led investigation unit. General Paediatric Outpatient clinics are also held in peripheral clinics in
Bideford, South Molton, Holsworthy, and Ilfracombe. Specialist diabetic clinics also occur in these peripheral
hospitals.
Visiting specialists from Bristol Children’s Hospital, and Exeter conduct regular clinics in cardiology,
neurology, nephrology, urology, endocrinology, oncology and clinical genetics.
Paediatric intensive care is provided jointly with the anaesthetists in the general ITU on a short term basis.
There is close liaison with the PICU at Bristol Children’s Hospital, who offer a 24 hour retrieval service.
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_________________________________________________________________________________________
OTHER FACILITIES / GENERAL INFORMATION
Appendix C
_________________________________________________________________________________________
THE DISTRICT
This covers the North Quarter of Devon and a small portion of North Cornwall with nearly 50 miles of
coastline from Lynton to Bude. Most of the land mass is rural with the administrative centre being
Barnstaple.
The population of approximately 170,000 is scattered throughout the district with concentrations in
Barnstaple, Bideford, Ilfracombe and the small market towns of South Molton, Holsworthy, Bude and
Torrington. During the summer months the population increases considerably due to an influx of holiday
makers.
The main areas of employment are agriculture and tourism, the latter having a large seasonal element.
There is an increasing amount of light industry in all the main centres of population. There is a large
retirement population which adds to the burden on medical services.
The North Devon District Hospital is situated on the outskirts of the town of Barnstaple. There are good
sports and recreational facilities in the area catering for most water sports, golf, fishing, etc and there is a
well equipped leisure centre. There is an active Doctors Mess on site with access to tennis courts, a pool
table and satellite television. Adequate parking is available.
The nearest beach, where water sports are very popular, can be reached within fifteen minutes. Outdoor
recreational opportunities are superb including surfing, sailing, rock climbing, walking, mountain biking and
horse riding. More cultural pastimes can be found in the two theatres, museums and a range of local arts
and crafts. There are also good restaurants and an active nightlife.
The road communications have been improved by the introduction of a single carriageway link-road from
Bideford to the M5 at Tiverton. There is a branch railway line from Exeter to Barnstaple which runs a regular
service.
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