OXFORD – The Women’s Centre, John Radcliffe Hospital The Nuffield Department of Obstetrics and Gynaecology (NDOG) is the academic unit of the University of Oxford:Prof Christopher Redman is Professor of Obstetric Medicine. Readers: Mr Ian Mackenzie (Oncology, Undergraduate Training) Mr Stephen Kennedy (Endometriosis and Pelvic Pain) Oxford Fertility Unit Mr Enda McVeigh Mr Tim Child Miss Jane Moore Senior Fellow, Reproductive Medicine Senior Fellow, Reproductive Medicine Senior Fellow, Reproductive Medicine There are 3 clinical lecturer posts (0.5 WTE) employed by the University The NHS consultant staff, giving their main interests comprise:Mr Mark Charnock Mr Michael Gillmer Miss Pauline Hurley Mr Simon Jackson Mr Lawrence Impey Miss Catherine Greenwood Miss Rebecca Black Miss Deborah Harrington Miss Anita Makins Mr Paul Chamberlain Mr Vic Rai Miss Margaret Rees (Oncology) (Diabetic Pregnancy and MAS) (Deanery Advisor, Subspecialist in Fetal Medicine) (Urogynaecology) (Maternal Fetal Medicine) (Maternal Fetal Medicine) (Maternal Fetal Medicine) (Maternal Fetal Medicine) (Maternal Fetal Medicine) (Obstetric Ultrasound) (Emergency Gynaecology, Urogynaecology) (Medical Gynaecology) There are 6 subspecialty trainees, 2 in Fetal Maternal Medicine, 2 in Reproductive Medicine, 1 in Gynaecological Oncology and 1 in urogynaecology. There are 17 StR posts at the John Radcliffe by the end of 2008, 5 at ST1/2, 5 at ST3-5 and 7 at ST6/7. There are, in addition, flexible trainees at StR grade, 13 SHOs and 2 Associate Specialists, one in Clinical Genetics / PND and one in Fetal Cardiac Scanning. The pattern of emergency duties is a full shift with periods of night duty. Prospective cover is included and annual leave booked for periods of night duty will not be allowed. All trainees will be expected to do 1st StR on-call for the Delivery Suite as part of the rota. Banding: Being revised. ? 1a All services are located within the Women’s Centre. Deliveries per year: 6,133 (2007), Caesarean Section Rate 21% CNST: Level 2 achieved in 2007, Obstetric beds: 81+ 16 Delivery Suite beds 9 Observation area beds Midwifery led Unit (The Spyres) opened 2008 2 natural birthing rooms including 1 pool within the 16 delivery rooms Obstetric Ultrasound: Total Scans – > 9,000 Gynaecology beds: 32 + 14 Day Care beds Gynaecological referrals: New patients -10,698 (2003) Colposcopy - 1,007 Gynaecological operations: Inpatient –2,552, Day Case – 2,484 (2003) Neonatal Facilities: increase the Neonatal 21 with 7 designated intensive care. There are plans to number of intensive care cots as the Thames Valley Network is developed. Facilities: All the major subspecialty interests are represented within the Women’s Centre. Delivery Suite: There are 2 dedicated obstetric theatres and modern monitoring facilities, including an Axis central monitoring, ultrasound and fetal blood sampling Gynaecology Facilities: There is a single gynaecological ward plus a day case unit and 2 dedicated theatres with laser facilities. The Outpatient Department: Housed within the centre is solely for the use of the Women’s Centre and neonatal unit. Feto-Maternal Medicine Unit incorporates the Fetal Medicine Unit, the Silver Star High Risk Pregnancy Unit, the Oxford Rhesus Therapy unit , Prenatal Diagnosis and the Obstetric Diabetic Clinic. Alongside these services are the Day Assessment Unit and Ultrasound - anomaly scanning is offered as a routine. The department is recognised for the RCR/RCOG Diploma in Obstetric ultrasound. The Oxford Fertility Unit provides a comprehensive infertility service integrating the work of the general Fertility Clinic, Andrology Clinic and the Assisted Reproduction unit. (The Andrology and Assisted Reproductive Units are patient funded). Specialist Clinics covering all aspects of the specialty are provided including, colposcopy, out-patient hysteroscopy, urodynamics, infertility, the menopause, gynaecological oncology, recurrent miscarriage and pre-conception counselling. An Early Pregnancy/rapid access gynaecology clinic runs every morning during the week, with a dedicated emergency gynaecology list 3 days per week. The aim is that there will be no out of hours surgery. Special Skills Modules in Gynaecological Ultrasound, Maternal Urodynamics, are available but linked to the Year 4/5 programmes. Medicine, and Year 4/5 Programmes are offered in: - Urogynaecology, Subfertility, Oncology, Maternal Fetal Medicine (3 posts), Gynaecological Ultrasound and Gynaecological operating including Minimal access surgery. Medical Students: Oxford and Cambridge Universities plus Midwifery Undergraduates from Oxford Brookes University.