This document contains four General Surgery placement descriptions:
North Central Thames Foundation School
Individual Placement Description - Basildon and Thurrock University Hospitals NHS Foundation Trust
Placement
The
department
F1 General Surgery
BTUH NHS Foundation Trust is a University Hospital affiliated to UCL, situated 30 miles to
the east of London on the North Bank of the Thames Estuary. The Trust has an
established reputation amongst the surgical community for the delivery of supervised
training and is popular amongst the trainees. Basildon is the largest teaching hospital
outside London for UCL students, consequently there are many opportunities to
participate and deliver teaching to medical students.
The General Surgical department provides General Surgical on call services for the
population of Basildon and Thurrock and Elective surgical services in Upper GI,
Colorectal, Vascular, Breast, Endocrine, Urology and Paediatrics.
The General Surgical department is structured into three ‘superfirms’, each has two or
more Consultants supported by at least one Specialty Doctor, two Specialist Registrars, 2
F2/Core trainees and F1s. There are a number of specialty nurses who also support the
Multidisciplinary services. The firms are Colorectal, Vascular and Upper GI with Breast.
There is a separate Urology Firm with 3 Consultants, 2 Specialty Doctors, one SpR, one
F2 and 4 F1s.
The type of
F1s are attached to specific surgical firms and expected to take an active role in the day to
work to
day management of the firm. They are responsible for documenting progress in the
expect and
Clinical Record, organising investigations requested by the team and collating and
learning
communicating the results of those investigations. FY1s are expected to undertake simple
opportunities ward based procedures with supervision as necessary, but are also encouraged to attend
the operating theatre. Simulation centre training is available for a wide range of surgical
skills from simple iv cannulation to laparoscopic and endoscopic simulation. Once
competent in simulation these skills can be transferred to clinical practice.
There are regular educational meetings within the department, in addition to the F1
programme lectures held on a Monday. This includes a monthly M&M and Surgical audit
meeting, and weekly SpR led MRCS teaching on a Thursday morning.
National courses are also held in the simulation centre, these include Basic Surgical Skills,
Advanced Trauma Life Support, the Basildon Trauma Course and Core Laparoscopic
skills .
Location
Basildon and Thurrock University Hospital NHS FT, Wards: Burstead/ SRU/ Elsdon/ BDU
Supervisor(s) Miss Bryony Lovett
Main duties
When on call the F1 is responsible for the management of the surgical inpatients. F1s are
of the
also encouraged to participate in the assessment and management of emergency
placement
admissions and are expected to attend all trauma calls, where acting as the scribe they
observe and record the activities of the trauma team. All documentation is subsequently
reviewed by the trauma team leader which allows an excellent learning opportunity. Each
F1 is allocated a clinical and educational supervisor. Within the department F1s are
encouraged to develop independence at a level commensurate with their competence and
confidence. As the year progresses F1s are allowed increasing levels of responsibility
whilst still being offered close Consultant lead support and teaching.
Typical
Mon – Fri:
Ward Rounds consultant led/jobs/clerking
working
Mon:
1200 – 1400 F1 mandatory bleep free generic teaching
pattern in
programme
this
Fri:
pm MDT Meeting
placement
On call requirements: 1 in 12 Mon – Thurs nights
1 in 12 Fri – Sun nights
1 in 12 weekend days
1 in 12 Mon – Thurs days
Employer
Basildon and Thurrock University Hospitals NHS Foundation Trust provides:
information
 an extensive range of acute medical services at Basildon University Hospital
 outpatient clinics, diagnostics and a day surgery unit at Orsett Hospital (Orsett also

houses a minor-injuries unit)
diagnostic services (x-ray and phlebotomy) at the St. Andrew's Centre, Billericay
We primarily serve the 400,000 population of Basildon and Thurrock in south west Essex,
plus residents of the neighbouring districts of Brentwood and Castle Point.
In addition, we also provide diagnosis and treatment for people with cardiovascular (heart)
and respiratory (lung) diseases at The Essex Cardiothoracic Centre, based at Basildon
University Hospital. The Essex Cardiothoracic Centre serves people from the county of
Essex and beyond, and is amongst the most modern centres of its kind in the country,
boasting the latest equipment and technology. The centre provides a 'primary
percutaneous coronary intervention service', where people from across the county who
have had a heart attack are brought directly to the Essex Cardiothoracic Centre to have
stents fitted to repair constricted coronary arteries.
___________________________________________________________________________________________________
Basildon and Thurrock University Hospitals NHS Foundation Trust primarily serves a
400,000 population in south-west Essex covering Basildon and Thurrock, together with
parts of Brentwood and Castle Point.
We provide an extensive range of acute medical services at Basildon and Orsett
Hospitals, plus x-ray and blood testing facilities at the St Andrew's Centre in Billericay. We
also provide dermatology services across the whole of south Essex.
The Essex Cardiothoracic Centre is also part of the Trust, providing a full range of tertiary
cardiothoracic services for the whole county and further afield.
In April 2004, we became one of the first ten NHS foundation trusts in the country, with a
Council of Governors comprising local elected members, meaning we could work much
more closely with our local community to address and deliver their needs.
Local people, patients and staff can become members of the Trust and have a say in the
healthcare services we provide. We have more than 10,000 public members and 4,000
staff members.
Foundation status gives us have more control over how we spend our money and plan our
services. We remain firmly part of the NHS and are subject to NHS standards,
performance ratings and inspections.
We have always put a high value on training and education and in 1997 we were awarded
the status of Associate Teaching Hospital by the Royal Free University College London
Medical School. In 2002, the Secretary of State for Health conferred University Hospital
status.
It is important to note that this description is a typical example of your placement and may be subject
to change.
Placement
The
department
The type of
work to
expect and
learning
opportunities
F1 General Surgery w/ Breast
Mr Salih/Mr Chicken are Breast and General Surgeons, Mr Taylor who also undertakes
colorectal surgery works in the breast unit with the addition of a Locum Specialist. The firm
currently has one SpR equivalent, one F2 and one F1.
F1s are attached to specific surgical firms and expected to take an active role in the day to
day management of the firm. They are responsible for documenting progress in the Clinical
Record, organising investigations requested by the team and collating and communicating
the results of those investigations. F1s are expected to undertake simple ward based
procedures with supervision as necessary, but are also encouraged to attend the operating
theatre. Simulation centre training is available for a wide range of surgical skills from simple
iv cannulation to laparoscopic and endoscopic simulation. Once competent in simulation
these skills can be transferred to clinical practice.
When on call the F1 is responsible for the management of the surgical inpatients. F1s are
also encouraged to participate in the assessment and management of emergency
admissions and are expected to attend all trauma calls, where acting as the scribe they
observe and record the activities of the trauma team. All documentation is subsequently
reviewed by the trauma team leader which allows an excellent learning opportunity. Each
F1 is allocated a clinical and educational supervisor. Within the department F1s are
encouraged to develop independence at a level commensurate with their competence and
confidence. As the year progresses F1s are allowed increasing levels of responsibility
whilst still being offered close Consultant lead support and teaching.
Location
Basildon and Thurrock University Hospital NHS FT
Ward: Bulphan/Burstead and outliers
Supervisor(s) Mr Hugo Taylor/Miss Bryony Lovett – at present
Main duties
The breast unit sees 2 week wait cancer and symptomatic breast patients every week.
of the
They are seen within a multidisciplinary one stop clinic, with radiology, histopathology and
placement
oncology support. The unit performs primary reconstructions with the support of the plastic
surgeons from Broomfield.
Mr Salih and Mr Chicken participate in the General Surgical on call rota so the trainees
benefit from the exposure to the normal range of emergency admissions.
Typical
Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions
working
Daily/weekly/monthly (if applicable)
pattern in
Mon:
Ward round/ jobs/ clerking
this
1200 – 1400 F1 generic teaching.
placement
Tues:
Ward R/ jobs/ clerking
Wed:
Consultant led Ward R.
Thurs:
MDT am/ Ward R /jobs/ clerking
Fri:
Ward R/jobs/clerking
Pre-assessment clinic 1 per month.
Teaching during Ward round and clinics.
On call requirements: 1 in 12 Mon – Thurs nights
1 in 12 Fri – Sun nights
1 in 12 weekend days
1 in 12 Mon – Thurs days
Employer
Basildon and Thurrock University Hospitals NHS Foundation Trust provides:
information
 an extensive range of acute medical services at Basildon University Hospital
 outpatient clinics, diagnostics and a day surgery unit at Orsett Hospital (Orsett also
houses a minor-injuries unit)
 diagnostic services (x-ray and phlebotomy) at the St. Andrew's Centre, Billericay
We primarily serve the 400,000 population of Basildon and Thurrock in south west Essex,
plus residents of the neighbouring districts of Brentwood and Castle Point.
In addition, we also provide diagnosis and treatment for people with cardiovascular (heart)
and respiratory (lung) diseases at The Essex Cardiothoracic Centre, based at Basildon
University Hospital. The Essex Cardiothoracic Centre serves people from the county of
Essex and beyond, and is amongst the most modern centres of its kind in the country,
boasting the latest equipment and technology. The centre provides a 'primary
percutaneous coronary intervention service', where people from across the county who
have had a heart attack are brought directly to the Essex Cardiothoracic Centre to have
stents fitted to repair constricted coronary arteries.
___________________________________________________________________________________________________
Basildon and Thurrock University Hospitals NHS Foundation Trust primarily serves a
400,000 population in south-west Essex covering Basildon and Thurrock, together with
parts of Brentwood and Castle Point.
We provide an extensive range of acute medical services at Basildon and Orsett Hospitals,
plus x-ray and blood testing facilities at the St Andrew's Centre in Billericay. We also
provide dermatology services across the whole of south Essex.
The Essex Cardiothoracic Centre is also part of the Trust, providing a full range of tertiary
cardiothoracic services for the whole county and further afield.
In April 2004, we became one of the first ten NHS foundation trusts in the country, with a
Council of Governors comprising local elected members, meaning we could work much
more closely with our local community to address and deliver their needs.
Local people, patients and staff can become members of the Trust and have a say in the
healthcare services we provide. We have more than 10,000 public members and 4,000
staff members.
Foundation status gives us have more control over how we spend our money and plan our
services. We remain firmly part of the NHS and are subject to NHS standards, performance
ratings and inspections.
We have always put a high value on training and education and in 1997 we were awarded
the status of Associate Teaching Hospital by the Royal Free University College London
Medical School. In 2002, the Secretary of State for Health conferred University Hospital
status.
It is important to note that this description is a typical example of your placement and may be subject
to change.
Placement
The
department
F1 General Surgery w/ Colorectal
There are 5 Colorectal surgeons, Mr Taylor, Mr Ashraf, Miss Lovett, Mr Zammit and
Locum Consultant. They are supported by 2 Associate specialists, 3 SpRs, 1 core trainee,
3 F2s and 5 F1s.
The type of
The unit performs over 200 colorectal procedures for Cancer per annum. The recent
work to
appointment of two new laparoscopic surgeons will increase the percentage of cases
expect and
performed laparoscopically.
learning
Basildon is a Bowel Cancer Screening Centre and there is a close working relationship
opportunities with the gastroenterology firms. The weekly Colorectal cancer MDT is attended by
surgeons, physicians, oncology, pathology and radiology and supported by the Colorectal
nurse practitioners. There is also a fortnightly Inflammatory Bowel Disease MDT where
complex patients are reviewed with radiology and histopathology support and
management planned.
SpRs attend endoscopy lists, undertake regular operating and Consultant led clinics.
Location
Basildon and Thurrock University Hospital NHS FT
Wards: Burstead/ Elsdon & SRU
Supervisor(s) Mr Hugo Taylor/ Miss Bryony Lovett/ Mr Zammit/Mr Ashraf
Main duties
The F1s are encouraged to work independently on the wards following the guidance of
of the
senior staff. They are encouraged to attend theatre whenever possible. They are allocated
placement
to pre-assessment clinics which are proforma driven, supported by dedicated nurse
practitioners and supervised by a Consultant anaesthetist.
Typical
Mon – Fri:
8am Ward rounds/Jobs/clerking
working
Wed:
Consultant led WR
pattern in
Thurs:
Reg teaching during Ward Round and Breakfast club
this
Fri:
MDT
placement
Weekly:
half day pre admission clinic (specific to colorectal)
On call requirements: 1 in 12 Mon – Thurs nights
1 in 12 Fri – Sun nights
1 in 12 weekend days
1 in 12 Mon – Thurs days
Outpatient clinics & Theatres: alternate weeks
Employer
Basildon and Thurrock University Hospitals NHS Foundation Trust provides:
information
 an extensive range of acute medical services at Basildon University Hospital
 outpatient clinics, diagnostics and a day surgery unit at Orsett Hospital (Orsett also
houses a minor-injuries unit)
 diagnostic services (x-ray and phlebotomy) at the St. Andrew's Centre, Billericay
We primarily serve the 400,000 population of Basildon and Thurrock in south west Essex,
plus residents of the neighbouring districts of Brentwood and Castle Point.
In addition, we also provide diagnosis and treatment for people with cardiovascular (heart)
and respiratory (lung) diseases at The Essex Cardiothoracic Centre, based at Basildon
University Hospital. The Essex Cardiothoracic Centre serves people from the county of
Essex and beyond, and is amongst the most modern centres of its kind in the country,
boasting the latest equipment and technology. The centre provides a 'primary
percutaneous coronary intervention service', where people from across the county who
have had a heart attack are brought directly to the Essex Cardiothoracic Centre to have
stents fitted to repair constricted coronary arteries.
___________________________________________________________________________________________________
Basildon and Thurrock University Hospitals NHS Foundation Trust primarily serves a
400,000 population in south-west Essex covering Basildon and Thurrock, together with
parts of Brentwood and Castle Point.
We provide an extensive range of acute medical services at Basildon and Orsett
Hospitals, plus x-ray and blood testing facilities at the St Andrew's Centre in Billericay. We
also provide dermatology services across the whole of south Essex.
The Essex Cardiothoracic Centre is also part of the Trust, providing a full range of tertiary
cardiothoracic services for the whole county and further afield.
In April 2004, we became one of the first ten NHS foundation trusts in the country, with a
Council of Governors comprising local elected members, meaning we could work much
more closely with our local community to address and deliver their needs.
Local people, patients and staff can become members of the Trust and have a say in the
healthcare services we provide. We have more than 10,000 public members and 4,000
staff members.
Foundation status gives us have more control over how we spend our money and plan our
services. We remain firmly part of the NHS and are subject to NHS standards,
performance ratings and inspections.
We have always put a high value on training and education and in 1997 we were awarded
the status of Associate Teaching Hospital by the Royal Free University College London
Medical School. In 2002, the Secretary of State for Health conferred University Hospital
status.
It is important to note that this description is a typical example of your placement and may be subject
to change.
Placement
The
department
F1 General Surgery w/ Upper Gastrointestinal
The General Surgical department provides General Surgical on call services for the
population of Basildon and Thurrock and Elective surgical services in Upper GI,
Colorectal, Vascular, Breast, Endocrine, Urology and Paediatrics.
The General Surgical department is structured into three ‘superfirms’, each has two or
more Consultants supported by at least one Specialty Doctor, two Specialist Registrars, 2
F2/Core trainees and F1s. There are a number of specialty nurses who also support the
Multidisciplinary services. The firms are Colorectal, Vascular and Upper GI with Breast.
The type of
When on call the F1 is responsible for the management of the surgical inpatients. F1s are
work to
also encouraged to participate in the assessment and management of emergency
expect and
admissions and are expected to attend all trauma calls, where acting as the scribe they
learning
observe and record the activities of the trauma team. All documentation is subsequently
opportunities reviewed by the trauma team leader which allows an excellent learning opportunity. Each
F1 is allocated a clinical and educational supervisor. Within the department F1s are
encouraged to develop independence at a level commensurate with their competence and
confidence. As the year progresses F1s are allowed increasing levels of responsibility
whilst still being offered close Consultant lead support and teaching.
There are regular educational meetings within the department, in addition to the F1
programme lectures held on a Monday. This includes a monthly M&M and Surgical audit
meeting, and weekly SpR led MRCS teaching on a Thursday morning.
National courses are also held in the simulation centre, these include Basic Surgical Skills,
Advanced Trauma Life Support, the Basildon Trauma Course and Core Laparoscopic
skills.
Location
Basildon and Thurrock University Hospital NHS FT
Wards Elsdon/Burstead & outliers
Supervisor(s) Miss Bryony Lovett/Mr Zammit/Locum Consultant
Main duties
F1s are attached to specific surgical firms and expected to take an active role in the day to
of the
day management of the firm. They are responsible for documenting progress in the
placement
Clinical Record, organising investigations requested by the team and collating and
communicating the results of those investigations. F1s are expected to undertake simple
ward based procedures with supervision as necessary, but are also encouraged to attend
the operating theatre. Simulation centre training is available for a wide range of surgical
Typical
working
pattern in
this
placement
Employer
information
skills from simple iv cannulation to laparoscopic and endoscopic simulation. Once
competent in simulation these skills can be transferred to clinical practice.
Mon – Fri:
Ward rounds, consultant led varies/jobs/
Mon:
F1 mandatory generic bleep free teaching 1200–1400 (protected)
Wed & Fri:
am MDTs
Teaching in theatre varies
On call requirements: 1 in 12 Mon – Thurs nights
1 in 12 Fri – Sun nights
1 in 12 weekend days
1 in 12 Mon – Thurs days
Basildon and Thurrock University Hospitals NHS Foundation Trust provides:
 an extensive range of acute medical services at Basildon University Hospital
 outpatient clinics, diagnostics and a day surgery unit at Orsett Hospital (Orsett also
houses a minor-injuries unit)
 diagnostic services (x-ray and phlebotomy) at the St. Andrew's Centre, Billericay
We primarily serve the 400,000 population of Basildon and Thurrock in south west Essex,
plus residents of the neighbouring districts of Brentwood and Castle Point.
In addition, we also provide diagnosis and treatment for people with cardiovascular (heart)
and respiratory (lung) diseases at The Essex Cardiothoracic Centre, based at Basildon
University Hospital. The Essex Cardiothoracic Centre serves people from the county of
Essex and beyond, and is amongst the most modern centres of its kind in the country,
boasting the latest equipment and technology. The centre provides a 'primary
percutaneous coronary intervention service', where people from across the county who
have had a heart attack are brought directly to the Essex Cardiothoracic Centre to have
stents fitted to repair constricted coronary arteries.
___________________________________________________________________________________________________
Basildon and Thurrock University Hospitals NHS Foundation Trust primarily serves a
400,000 population in south-west Essex covering Basildon and Thurrock, together with
parts of Brentwood and Castle Point.
We provide an extensive range of acute medical services at Basildon and Orsett
Hospitals, plus x-ray and blood testing facilities at the St Andrew's Centre in Billericay. We
also provide dermatology services across the whole of south Essex.
The Essex Cardiothoracic Centre is also part of the Trust, providing a full range of tertiary
cardiothoracic services for the whole county and further afield.
In April 2004, we became one of the first ten NHS foundation trusts in the country, with a
Council of Governors comprising local elected members, meaning we could work much
more closely with our local community to address and deliver their needs.
Local people, patients and staff can become members of the Trust and have a say in the
healthcare services we provide. We have more than 10,000 public members and 4,000
staff members.
Foundation status gives us have more control over how we spend our money and plan our
services. We remain firmly part of the NHS and are subject to NHS standards,
performance ratings and inspections.
We have always put a high value on training and education and in 1997 we were awarded
the status of Associate Teaching Hospital by the Royal Free University College London
Medical School. In 2002, the Secretary of State for Health conferred University Hospital
status.
It is important to note that this description is a typical example of your placement and may be subject
to change.