Nhs lothian Edinburgh chp rehabilitation Medicine Base: Astley Ainslie Hospital Fixed Term (6 months 4/2/15 – 43/8/15) las in Rehabilitation Medicine at the Astley Ainslie Hospital, Edinburgh
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- University Hospitals Division
- Western General Hospital
- Royal Hospital for Sick Children
- Community Healthcare Partnerships
- Royal Edinburgh hospital and Associated Services
- Department of Public Health Medicine
- NHS Library and Postgraduate Facilities There are excellent facilities on all sites. The Department
- In-Patient Services The in-patient facilities are as follows: Charles Bell Pavilion
- Out-Patient Services Community Services
- Numbers and Grades of Other Medical Staff in the Department
- Dr S Donald
- Dr Lisa Barrett
- 8. Person Specification REQUIREMENTS
| NHS Lothian
Edinburgh CHP Rehabilitation Medicine Base: Astley Ainslie Hospital Fixed Term (6 months 4/2/15 – 43/8/15) LAS in Rehabilitation Medicine at the Astley Ainslie Hospital, Edinburgh
Applications are invited for the above post, which is available from February 2015 for a period of 6 months. This post would suit a potential/future trainee in General Practice/Core Medical Training or Rehabilitation Medicine looking to expand their clinical experience.
NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental health and hospital services. Tim Davison is Chief Executive and Dr David Farquharson is Medical Director. The NHS Board determines strategy, allocates resources and provides governance across the health system. Services are delivered by Lothian University hospitals division, the Royal Edinburgh hospital and Associated mental health services, 4 community health (and social care) partnerships (CH(C)Ps) in City of Edinburgh, West Lothian, East Lothian and Midlothian, and a Public Health directorate. NHS Lothian serves a population of 850,000.
The University Hospitals Division provides a full range of secondary and tertiary clinical services to the populations of Edinburgh, Midlothian, East Lothian and West Lothian. The Division is one of the major research and teaching centres in the United Kingdom. Hospitals included in the Division are: The Royal Infirmary of Edinburgh The Western General Hospital The Royal Hospital for Sick Children, Edinburgh St Johns Hospital Royal Victoria Hospital Liberton Hospital The Princess Alexandra Eye Pavilion.
There is a Combined Assessment Unit that takes unselected GP or direct emergency referrals, and from A&E. CAU includes the Dept of Liaison Psychiatry and the Scottish Poisons Bureau and Treatment Centre. There are full supporting Laboratory and Diagnostic Radiology Services (including CT, MR, Ultrasound and NM and PET scanning will be available in 2008). There is a full range of lecture theatres, a library and AV facilities. The Western General Hospital (WGH) has 600 beds and 5 operating theatres and is equipped with modern theatre and critical care equipment and monitoring. The Anne Ferguson building was completed in 2001. The hospital provides for most specialties and is the centre for:
There is an Acute Receiving Unit, which accepts GP referrals and 999 ambulance medical cases on a zoned basis within the city, and a nurse led Minor Injuries Unit. There is no trauma unit at this hospital. There are full supporting Laboratory and Diagnostic Radiology Services (including CT, MR, Ultrasound and NM).There is a full range of lecture theatres, a library and AV facilities. St John’s Hospital opened in 1989 and is located in the centre of Livingston; a new town about 30 minutes drive west from Edinburgh. The hospital provides for most common specialties but does not have emergency general surgery or orthopaedic trauma operating. The hospital has a paediatric ward and is the centre for:
Since 2005 general surgery and orthopaedics have been reconfigured in NHS Lothian with SJH being developed as a major elective centre for the region. Lothian’s ENT service was relocated to SJH to create an integrated head and neck unit with OMFS and Plastic Surgery. Recent developments at SJH include a new endoscopy suite, an Intensive Psychiatric Care Unit, a digital mammography unit, an oncology (cancer care) day centre, a satellite renal dialysis unit and a £2.75m reprovision of A&E. There are full supporting Laboratory and Diagnostic Radiology Services (including CT, Ultrasound and NM). The hospital has been accredited full teaching hospital status by the University of Edinburgh. There is a full range of lecture theatres, a library and AV facilities. The Royal Hospital for Sick Children (RHSC) is a 141 bedded hospital providing general and specialist services for children. The hospital is situated in a residential area close to the centre of Edinburgh and is approximately 3 miles from the site of the New Royal Infirmary and the co-located University of Edinburgh Medical School and 3 miles from the Western General Hospital. The RHSC is the main paediatric teaching hospital for the South-East of Scotland providing general and specialised services on a local, regional and national basis. It acts as the local paediatric referral centre for the children of Edinburgh and surrounding areas, and as a tertiary referral centre for intensive care patients; gastroenterology, hepatology & nutrition; respiratory medicine; cardiology; nephrology; neurology; oncology; haematology; neonatal surgery; plastic surgery; orthopaedic surgery; urological surgery and aspects of general surgery. Hospital accommodation encompasses five theatres, a critical care unit comprising a 6/8 bedded Paediatric Intensive Care Unit, 4/6 bedded High Dependency Unit and a 3 bedded Neonatal Intensive Care Unit. There is an excellent library facility and a modern lecture theatre with a full range of audio-visual equipment. All services are supported by comprehensive radiology, neurophysiology, laboratory and therapy services. The local radiology department provides on site Magnetic Resonance Imaging, CT Scanning, nuclear scanning and ultrasound. On site laboratories provide biochemistry, haematology, pathology and neuropathology services. The RHSC reprovision project is well under-way with plans to build a state-of-the-art children’s hospital on the current Royal Infirmary site. The aim is to transfer of the current RHSC services in 2015. Community Healthcare Partnerships The four established Lothian Community Health (and Social Care) Partnerships serve the population of Edinburgh, Midlothian, East Lothian and West Lothian. Hospitals in the CH(C)Ps include: The Astley Ainslie Hospital in Edinburgh Rosslynlee Hospital in Midlothian Herdmanflat Hospital Roodlands Hospital in East Lothian. The four CHPs are coterminous with Edinburgh, Midlothian, East Lothian and West Lothian Councils bringing together those responsible for planning, managing and providing community-based health services for the population of Edinburgh and the Lothians. There are 7,500 members of staff. In addition, there are approximately 1,000 independent contractors in General Medical and Dental Practice, as well as pharmacists and opticians. A population of 850,000 people is served across health board area. The range of services care of the elderly, medical rehabilitation, community mental health, substance misuse and learning disability, district nursing and health visiting, family planning, well woman, , comprehensive dental care and those provided by Professions Allied to Medicine, such as physiotherapy, pharmacies and optometrists. Specialist services provided include brain injury rehabilitation, bio-engineering and prosthetics, drugs and alcohol misuse and harm reduction, AIDS/HIV and Children and Family Psychiatric Services.
The Royal Edinburgh and Associated Services provides a range of Mental Health services to the population of Lothian and other Boards within Scotland. The Royal Edinburgh Hospital is located on the south side of the City of Edinburgh. It comprises some 20 wards, 420 beds, day hospitals and outpatient facilities. The hospital provides the following range of specialities:-
There are an additional 46 bed and 1 day hospitals for Psychiatry of Old Age in the north of the city at the Royal Victoria Hospital. The hospital is currently housed in a mix of accommodation ranging from 19th century to present. There is a major project now in place to take forward a reprovisioning programme in line with the strategic vision with the “Delivery for Mental Health” Scottish Executive 2006.
The aim is to improve the health of the people of Lothian in collaboration with many other partners. Using our range of knowledge, experience and networking capability, our distinctive contributions are:
The following objectives have been agreed as the basis for the Department’s work plans: 1. To monitor the health status and health needs of people in Lothian; 2 To promote improvements in the health of Lothian people directly, and by providing information and advice to the public on health matters; 3. To assist Lothian NHS Board to fulfil its statutory obligations; 4. To contribute to strategic changes within the NHS in Lothian by providing information on clinical effectiveness; 5. To facilitate improvements in health and health care services directly, and through ‘managed clinical networks’ and wider alliances; 6. To contribute on a 24 hour basis to the control and prevention of communicable diseases and environmental hazards;
To enable efficient management of the Department: there are at present four groups in the Directorate. These are; Healthy Communities, Healthcare; Health Protection and Health Information.
The University of Edinburgh was established in 1582 and is one of the largest in the United Kingdom located on a number of prominent sites in Scotland’s capital city. It is Scotland’s premier research university, graded within the top six multi-faculty British Universities in the last national research assessment exercise (90 percent of its academic staff were in units rated 4, 5 or 5*). It has 3,000 academic staff, over 16,000 undergraduate and over 4,000 postgraduate students and an annual expenditure of over £261M for teaching and research. The University is organised into 3 Colleges: Humanities and Social Science, Medicine and Veterinary Medicine, Science and Engineering.
There are excellent facilities on all sites.
The Rehabilitation Directorate is within the management structure of NHS Lothian’s Edinburgh Community Health Partnership (ECHP) In-Patient Services The in-patient facilities are as follows:
Out-Patient Services & Community Services 1. Out-patient Clinics: All five Rehabilitation Medicine consultants hold clinics in the Cunningham Unit at the Astley Ainslie Hospital.
Numbers and Grades of Other Medical Staff in the Department 4 Specialist Registrars in Rehabilitation Medicine 5 GPST1/2 (including this post) 1 CMTST1 4 GPFY (weekend day shifts) 1 Specialty Doctor
(with special responsibility for Amputee and Mobility Services). Dr Alasdair FitzGerald (appointed 2010), Consultant in Rehabilitation Medicine (with special duties in Brain Injury and neurorehabilitation) Dr Alyson Nelson (appointed 2013), Consultant in Rehabilitation Medicine (with special duties in Brain Injury and neurorehabilitation) Dr Lisa Barrett (appointed 2014), Consultant in Rehabilitation Medicine (with special duties in stroke and general rehabilitation) 6. Details of the Post The rota is a full shift rota. While on call the doctor is required to live in and is first on call for the whole hospital. The current rota is normally shared with 5 GPSTs, 1 CMTST, 4 GPFY2s (weekend day shifts only) and 1 ST3/4 during the first two years of their specialist training programme. A second (and sometimes third) on-call duty rota operates with the Consultants in Rehabilitation Medicine and the Specialist Registrars/ST 5/6 (during the 3rd and 4th years of their training). The post provides experience in the management of disability following illness or trauma. Rehabilitation is principally a multi-professional team activity and you will have the opportunity to work with several teams during your appointment. You will gain insight into the expertise of several other health professions such as occupational, physio and speech and language therapists, clinical psychologists and social workers, as well as rehabilitation nurses. The fact that most patients are in the hospital for weeks rather than days allows you to be involved in their management and observe their progress in more depth and over a longer period than in many other GPST posts. Clinics in rehabilitation serve two main purposes: to assess new patients for out patient therapy and rehabilitation, and to review patients. GPSTs do not have set duties in out patients but are expected to attend clinics to gain further understanding of and experience in rehabilitation. This will require you to organise cross-cover for ward duties to release you to attend. Whilst in post we would recommend you attend at least four out patient clinics. Your educational supervisor will discuss this with you. Visits to the Disabled Living centre and Mobility Services are also recommended during your time in post. Supervision Dr FitzGerald is the consultant with responsibility for training and will allocate a RM consultant to act as designated tutor to each doctor at AAH. The tutor will devise an individual training plan with you within 2 weeks of your taking up post. This tutor will also review your educational progress at 2-3 and at the end of your 4 month appointment. If this does not take place you should contact Dr FitzGerald without hesitation. Formal Teaching There are two formal teaching sessions each week during term time. The multidisciplinary meetings on a Wednesday pm once a month include case studies and audit topics, as well as outside speakers on various topics relevant to rehabilitation. The teaching seminars are for all STs and Specialist Registrars. These are aimed to cover the specialist curriculum but are flexible enough to cover requested topics within this broad theme. In addition to the above the middle grade medical staff, in collaboration with some senior therapy/psychology staff, will provide an introductory course in rehabilitation to GP and CMT STs to cover some of the principal themes/concepts of Rehabilitation Medicine. All doctors will be expected to become familiar with the Trak Patient Management System and to enter clinical details and details of treatment according to the requirements of the System. At all times doctors will be expected to maintain adequate notes in a legible and concise manner. 7. Contact Details Dr I Todd, Clinical Lead, Rehabilitation Medicine or Dr A FitzGerald, Consultant in Rehabilitation Medicine Astley Ainslie Hospital, Edinburgh. EH9 2HL Tel: 0131 537 9039 Email: yvonne.jones@nhslothian.scot.nhs.uk 8. Person Specification
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