‘JIG’ Job Information Guide
General:
Post Title
Neonatology (ST4-5), St Helier Hospital
Hospital Details
Name: St Helier Hospital
Website: http://www.epsom-sthelier.nhs.uk
College Tutor: Dr S. Yasin (salim.yasin@esth.nhs.uk)
Educational lead:
Train/Tube:From central London – Northern line southbound to Morden then bus
157 (or 164 stops at the end of the road the hospital is on). Alternatively closest
mainline station is St Helier (served by Thames link and Southern railways) from
which you can get S4 bus.
Travel Info
Bus: As above or see www.tfl.gov.uk/plan-a-journey
Car/Parking: Car parking available on a permit system (£20-£40 per year but
maybe less depending on start date). From Monday –Friday 9am-4pm you also
need a Scratch Card in addition to your permit – 5 Scratchcards cost £8.45.
Living/Accommodation
Hospital Accommodation Email: Hospital accommodation available to rent but in
high demand.
Phone number: 02082962000 ext 3693
Local Area: Hospital itself has a good canteen in addition to Costa and Subway.
Just down the road is a Co-operative supermarket.
Relatively close to Chaem, Morden, and Mitcham.
Departmental:
Team
No of Consultants: 4
Registrars: 6-7 SHOs: 6
Rota &
Responsibilities
See example rota attached at end
Week plan:
Shifts are divided between Nights, NNU long days, NNU short days/Clinic, Postnatal ward.
NNU Long days 8am-9pm: Everyday starts with handover. Monday and Friday start with
Joint Handover where paediatric and neonatal teams handover together. Then the ward
round occurs, consultant led on Monday, Wednesday and Friday and registrar led Tuesday
and Thursday. The SHO and registrar then complete the jobs required including Badger
admission and discharge paperwork, referrals and keeping blood results/SBR/growth charts
up to date. Simulation and informal teaching happens at various times during the week. The
long day SpR provides medical student teaching on a Friday. Attend the ward meeting
Tuesdays at 2pm where the unit meets to discuss any issues and the NNU Grand Round
meeting on Monday late mornings where patients are discussed. There is a MDT ward
round on Wednesday morning. The NNU long day SpR carries the labour ward bleep
between 1800-2000hrs everyday.
Nights 8pm-9am: Attend handover at 8pm on NNU. Complete night ward round examining
all ITU patients and others where necessary. Delegate jobs appropriately. Support night
SHO on labour ward. You carry the SpR bleep as well. Complete paperwork and prepare
for handover – especially the Joint Handovers on Monday and Friday mornings.
PNW 8:30am-6pm: The postnatal SpR carries the SpR labour ward bleep during the day,
reviews patients on the postnatal ward and supports the postnatal ward SHO. PNW SpR
ensures EDNs and Badger are completed appropriately for each patient. This shift also
covers clinic when the clinic SpR is away or on study leave. You also facilitate the neonatal
liaison meeting. These days can also be an opportunity to get audit/quality improvement
projects done.
NNU Short days/Clinic 9am-5pm: Support NNU team when necessary and facilitate
neonatal liaison meeting. Attend and perform clinic on Monday afternoons (paediatric UTI
clinic), Tuesday mornings (neonatal clinic), Wednesday afternoon (paediatric fast track
clinic) and dictate letters as well as chase outstanding results from clinics. Consultant
running the clinic is always available for discussion of patients. Audit/Quality improvements
projects can also be done on these days and other clinics can be attended.
Departmental
strengths






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Training
opportunities

Very supportive department and consultants – happy to answer
questions/be rung if you need advice.
High intensity low turnover department where you get to know babies and
their parents well so continuity of care is good.
Good amount of formal and informal teaching from consultants/other
registrars – journal club a good opportunity to practice critiquing papers.
Well organised department who are always keen to improve services and
take on board juniors’ suggestions.
Opportunities for audit and quality improvement projects
Good number of preterm births and a good range of clinical problems
allowing excellent learning opportunity for new registrars without feeling
overwhelmed by work load.
Clinics are well run with 30 mins for each patient and helpful/supportive
outpatient team.

Weekly Neonatal Liaison meetings with obstetric team where difficult cases
are presented and management discussed. Junior members of both teams
present.
Simulation training – regular simulation training, no warning given to make
it as realistic as possible.
Junior doctors forums
Local trust based training sessions (e.g. safeguarding)
Obstetric and neonatal morbidity and mortality meetings
NNU meetings where quality improvement projects/ suggestions can be
made
Registrar-SHO mentoring system.
Teaching

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Journal club (Registrar presents) Wednesdays at 12:30pm
Formal registrar teaching Thursdays at 3pm
Informal bedside teaching during consultant led ward rounds
Top tips

Obtain clinic timetable early to identify which clinics you would like to
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attend as there is a wide range including joint clinics with specialist
consultants from tertiary referral units.
 Many helpful neonatal protocols are on line/on the intranet – especially
review the protocol for which neonates need hip ultrasounds as they are
slightly different from other hospitals.
 Make sure all documentation is clearly marked with patients name, DOB
and hospital number and sign, date and put your bleep number on all
entries.
 Make sure TTOs and Badger discharge letters are completed the day
before patients are discharged where possible so the consultants can
check the discharge letter and families can leave in a timely manner.
 There are lockers for doctors on the neonatal unit in the doctors office and
a fridge/freezer/micromave in the staff room. Scrubs can be obtained from
labour ward.
 When on the postnatal shift ensure the midwives have written all the
reviews/baby checks are written in the book at the beginning of the day to
avoid nasty surprises at lunch time.
 Attend clinic a little early to read through the notes of the patients for the
clinic and ask the consultant running the clinic any questions which come
up.
Trust Rep contact details:mawson@esth.nhs.uk (Isabel Mawson)
Example of 7 week rolling rota:
Night
NNU LD
PNW
NNUSD
Clinic
OFF
A/L
20.00-09.00
08.00 - 21.00
0800-1800
09.00-05.00
M,Tu,W pm
B
B
A
A
A
G
G
A
A
G
G
G
F
F
G
G
F
F
F
E
E
F
F
E
E
E
D
D
E
G
G
G
G
B
B
B
F
F
F
F
A
A
A
E
E
E
E
G
G
G
D
D
D
D
F
F
F
C
D
D
D
D
D
€
(E)/C
C
C
C
€
(E)/C
A/C
A
B/E
B/E
G/E
F
F
F
F
F
C
C
C
C
C
D
D/B
B
B
B
D
D/B
G/B
G
D
D
D
E
E
E
E
E
B
B
B
B
B
C
C/A
A
A
A
C
C/A
A/F
F
C
C
C
D
D
D
D
D
A
A
A
A
A
B
B/G
B
B/G
G/E
E
B
B
B
C
C
C
C
C
G
A
F/D
B
Change over
Sept
Mon
01/09/2014
Tue
Wed
Thu
Fri
Sat
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Mon
02/09/2014
03/09/2014
04/09/2014
05/09/2014
06/09/2014
07/09/2014
08/09/2014
09/09/2014
10/09/2014
11/09/2014
12/09/2014
13/09/2014
14/09/2014
15/09/2014
16/09/2014
17/09/2014
18/09/2014
19/09/2014
20/09/2014
21/09/2014
22/09/2014
23/09/2014
24/09/2014
25/09/2014
26/09/2014
27/09/2014
28/09/2014
29/09/2014
G
G
G
A
S/L
Oct
Tue
Wed
Thu
Fri
Sat
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Sun
30/09/2014
01/10/2014
02/10/2014
03/10/2014
04/10/2014
05/10/2014
06/10/2014
07/10/2014
08/10/2014
09/10/2014
10/10/2014
11/10/2014
12/10/2014
13/10/2014
14/10/2014
15/10/2014
16/10/2014
17/10/2014
18/10/2014
19/10/2014
E
D
D
D
C
C
D
D
C
C
C
B
B
C
C
B
B
B
A
A
C
C
C
E
E
E
B
B
B
B
D
D
D
A
A
A
A
C
C
C
G
G
G
G
A/F
F
F
F
A/F
D
A/E
A/E
A/C
B
B
B
B
F
F
F
F
F
G
G/E
E
E
E
G
G/E
E/C
C
G/D
G/D
G
A
A
A
A
A
E
E
E
E
E
F
F/D
D
D
D
F
F/D
D
B/D
B
C/F
C/F
A/F
G
G
G
G
G