This document contains three Geriatric Medicine placement descriptions:
North Central Thames Foundation School
Individual Placement Description - Basildon and Thurrock University Hospitals NHS Foundation Trust
Placement
The
department
F2 Geriatric Medicine
Department of medicine for older people and stroke comprises 12 stroke consultant
geriatritians and 1 associate specialist and 12 speciality doctors. All participating in acute
on calls for integrated take.
We have specialties of Orthogeriatrics, Falls, Dementia and Osteoporosis. There is acute
thrombolysis service 24hrs for stroke and surgical liaisons. There are 10 monitored beds in
the acute stroke unit. Stroke unit provides on-going care for complex stroke cases.
The type of
All F2 Doctors in hospital posts will generally be ward based during the ‘normal’ working
work to
day and expected to deliver the daily medical care of all the patients on their ward
expect and
irrespective of specialty.
learning
The overall educational objectives of the F2 year are to provide the trainee with the
opportunities knowledge, skills and attitudes to be able to
 Take a history and examine a patient
 Identify and synthesize problems
 Prescribe safely
 Keep an accurate and relevant medical record
 Manage time and clinical priorities effectively
 Communicate effectively with patients, relatives and colleagues
 Use evidence, guidelines and audit to benefit patient care
 Learn about comprehensive care for older people with different subspecialties e.g.
Orthogeriatrics, Falls, Dementia etc.
 Act in a professional manner at all times
 Cope with ethical and legal issues which occur during the management of patients
with general medical problems
 Educate patients effectively
 Become life-long learners and teachers.
Location
Basildon and Thurrock University Hospital NHS FT, Wards: Osler and Kingswood
Supervisor(s) Dr Dhanraj Aggarwal/Dr Obaid Khan/Dr Sri Sinha
Main duties
The F2 doctor is responsible with other staff for the ward care of patients and the
of the
maintenance of the patient’s medical record. They will have opportunity to work with the
placement
consultants in outpatients clinics/wards, and also take responsibility for problems arising
during day to day duties on the wards. They are expected to attend the structured
teaching programmes set out by the department and the generic F2 teaching sessions.
The doctor will be responsible for such other specific clinical duties as allocated by
consultants including performing other duties in occasional emergencies and unforeseen
circumstances.
Typical
Mon:
Consultant led Ward Round/clerking/jobs
working
Tues/Fri:
Consultant led Ward Rounds/ X-Ray meeting
pattern in
Wed:
ward round/ward care of elderly
this
Thurs:
ward/care of elderly teaching am
placement
F2 mandatory generic teaching 1200-1400
Fri:
Ward Round consultant/ ward work/ Grand Round/weekend
handover meeting pm
On call requirements:
1 in 11 Weekdays:
0800 – 2100
1 in 11 Mon-Fri:
twilight – 1400 - 2100
1 in 11 Sat-Sun:
0900 – 2200
1 in 11 nights:
Mon – Thurs & Fri – Sun 2200 – 0600
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
F2 Geriatric Medicine w/ Stroke Medicine
The department of medicine for older people/stroke comprises of 12 stroke consultant
geriatricians, 1 associate specialist, and 12 speciality doctors all doing acute on calls for
integrated take. There is an acute thrombolysis service (24hrs for stroke). With surgical
liaisons. There are 10 monitored beds in the acute stroke unit, which provides on-going
care for complex cases. Specialties include orthogeriatrics, falls, dementia and
osteoporosis.
The type of
All F2s are expected to clerk as part of the ‘on rota’ the admission of patients to the acute
work to
stroke unit.
expect and
The overall educational objectives of the F2 year are to provide the trainee with the
learning
knowledge, skills and attributes to be able to
opportunities
 Take a history and examine a patient
 Identify and synthesise problems
 Prescribe safely
 Keep an accurate and relevant medical record
 Manage time and clinical priorities effectively.
 Communicate effectively with patients, relatives and colleagues.
 Use evidence, guidelines and audit to benefit patient care
 Learn neuroradiology interpretation
 Learn management of acute stroke and rehabilitation


Location
Supervisor
Main duties
of the
placement
Typical
working
pattern in
this
placement
Employer
information
Act in a professional manner at all times
Cope with ethical and legal issues which occur during the management of patients
with general medical problems
 Educate patients effectively
 Become life-long learners and teachers.
Basildon and Thurrock University Hospital NHS FT, Ward: Lister/ Stroke Unit
Dr Rangaswamy and Dr Gadi Nav
The F2 doctor is responsible with other staff for the ward care of patients and the
maintenance of the patient’s medical record.
They are part of the ‘on rota’ to clerk direct admissions to the stroke unit
They will attend MDTs and case conferences
There is weekly structured teaching, including neuroradiology educational meetings and
care of elderly teaching.
They will manage day to day ward problems with consultant and specialty doctor
supervision
They are involved in medical on calls and ward cover.
Mon:
Consultant led Ward Round/clerking/jobs
Tues/Fri:
Consultant led Ward Rounds/ X-Ray meeting
Wed:
ward round/ward care
Thurs:
ward/care of elderly teaching am
F2 mandatory generic teaching 1200-1400
Fri:
Ward Round consultant/ ward work/ Grand Round/weekend
handover meeting pm
On call requirements:
1 in 11 Weekdays:
0800 – 2100
1 in 11 Mon-Fri:
twilight – 1400 - 2100
1 in 11 Sat-Sun:
0900 – 2200
1 in 11 nights:
Mon – Thurs & Fri – Sun 2200 – 0600
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.
Placement
The
department
F2 Geriatric Medicine/ Community Elderly Care x 3 posts
NELFT provides community health services for people living in South West Essex.
Intermediate care services are provided at three community hospitals and by community
teams at home. The three inpatient units are Brentwood Community Hospital (25 beds),
Mayflower Community Hospital, Billericay (22 beds) and Alistair Farquharson Centre,
Thurrock (32 beds)
The type of
The Inpatient intermediate care units provide rehabilitative step down care for patients
work to
following an acute hospital admission from BTUH as well as BHRUT and other acute
expect and
trusts and also step up care for community referrals from GPs, A/E and community teams
learning
for elderly patients who may have a sub acute deterioration and are not in need of acute
opportunities care.
The F2 will be ward based during normal working hours and be expected to assist the
Ward doctor with the daily medical care of patients in their unit. The will be attached to a
Consultant who will be their Clinical Supervisor. The work will involve clerking new
admissions, reviewing ward patients, preparing discharge letters, routine ward tasks,
attending consultant ward rounds, MDT meetings and patient case conferences.
The F2 will always be supervised in their work by senior doctors. The placement will
enable the doctor to have a better understanding of intermediate care and community
services and their role in supporting frail older people in the community.
They may also have the opportunity to work with the Community Geriatrician Service,
Integrated Care Teams and Rapid Response teams.
During the placement the F2 will be able to develop the knowledge, skills and attitude to
 Take a history and examine a patient
 Identify and synthesise problems
 Prescribe safely
 Keep an accurate and relevant medical record
 Manage time and clinical priorities effectively.
 Communicate effectively with patients, relatives and colleagues.
 Use evidence, guidelines and audit to benefit patient care
 Act in a professional manner at all times
 Work as part of a multidisciplinary team
 Be flexible and adaptable in their approach
Additional learning opportunities will include
 Managing patients in a non-acute setting
 Delivering multidisciplinary rehabilitation working as part of a multidisciplinary
team
 Provide comprehensive geriatric assessment for elderly patients in the community
 Developing an approach to managing complex and frail eldery patients in the
community
 Provide teaching for nursing staff and allied health professionals
Location
The placement will be based at one of the following units. In certain circumstances cover
at one of the other units may be expected.
Post One: Mayflower Community Hospital (MCH), Blunts Wall Road, Billericay, Essex
CM12 9SA.
Post Two: Brentwood Community Hospital (BCH), Crescent Drive, Brentwood, Essex
CM15 8DR.
Post Three: Alistair Farquharson Centre, Thurrock Community Hospital (AFC), Long
Lane, Grays, Essex RM16 2PX.
Clinical
Dr Keith Pritchard, Consultant Community Geriatrician (MCH) Dr Afifa Qazi (BCH)
Supervisors
Main duties
of the
placement
Typical
working
pattern in
these
placements
Employer
information
Others to be advised.
The F2 doctor is responsible with other staff for the ward care of patients and the
maintenance of the patient’s medical record.
They are part of the ‘on rota’ to clerk direct admissions to the stroke unit
They will attend MDTs and case conferences
There is weekly structured teaching, including neuroradiology educational meetings and
care of elderly teaching.
They will manage day to day ward problems with consultant and specialty doctor
supervision
They are involved in medical on calls and ward cover.
 The typical working pattern will be 0900 – 1700 (Mon – Fri)
 Weekly DMOP teaching at BTUH
 FY2 study days NELFT
 Thursday curriculum (protected teaching) at BTUH 1200 – 1400
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.