OXFORD DEANERY SPECIALTY TRAINING PROGRAMME IN
INFECTIOUS DISEASES/MICROBIOLOGY and INFECTIOUS
DISEASES/GENERAL INTERNAL MEDICINE
About Oxford Deanery
The Oxford Deanery covers the counties of Oxfordshire, Berkshire and Buckinghamshire, with
Banbury and Milton Keynes in the North, to Reading and Slough in Berkshire and High Wycombe
and Aylesbury in the East.
The Oxford Deanery is part of the South Central Strategic Health Authority which serves a large
population and covers the regions mentioned above as well as the Wessex Deanery areas of
Hampshire and the Isle of Wight. The Oxford Deanery is responsible for the training of some 1500
trainees.
The Oxford Deanery is a relatively small deanery with a defined geographical area which serves as
a single unit of application. In the majority of cases successful candidates will be asked to
preference their choice of location for either one or two years. Some programmes will require
successful candidates to indicate a location and specialty. Future placements will usually be based
on individual training and educational needs. Please note that applications are to the Oxford
Deanery as a whole. This may mean that you may be allocated to any geographic location
within the Oxford Deanery depending on training needs. These posts also have
opportunities within Wessex Deanery
The Infectious Diseases/Microbiology and Infectious Diseases/GIM
Training Programme
The Infectious Diseases and Microbiology training programme is a 6 year programme, starting at
ST3. The Infectious diseases/GIM programme is a 5 year programme starting at ST3. During this
time, the trainee's work will be monitored for satisfactory progress and subject to annual reviews in
the form of ARCPs. Progression on the programme will be dependent upon these reviews.
The posts on this rotation have been approved for Specialist Training by the Royal College of
Physicians and the Royal College of Pathologists. The posts attract National Training Numbers
and provide training towards a Certificate of Completion of Training (CCT).
The Postgraduate Dean has confirmed that this post has the necessary educational and staffing
approvals.
The programme is based in several different Trusts throughout the Oxford Deanery. Opportunities
also exist in Wessex deanery so trainees may find themselves placed in any of the following
hospitals:
Trust
Hospitals and Locations
John Radcliffe Hospital, Oxford
Horton General Hospital, Banbury
Oxford University Hospitals NHS trust
Churchill Hospital, Oxford
Nuffield Orthopaedic Centre, Oxford
Buckinghamshire Healthcare
Stoke Mandeville Hospital, Aylesbury
Heatherwood and Wexham Park Hospitals
Wexham Park Hospital, Slough
(HWPH)
University Hospital Southampton NHS Foundation Southampton General Hospital
Trust
Princess Anne Hospital
Southampton’s Children’s Hospital
Trust Information
Oxford University Hospitals
Oxford University Hospitals (OUH) is made up of four hospitals - the John Radcliffe Hospital (which
also includes the Children's Hospital and West Wing), Churchill Hospital and the Nuffield
Orthopaedic Centre, all located in Oxford, and the Horton General Hospital in the north of
Oxfordshire.
A wide range of clinical services is provided including specialist services such as including cardiac,
cancer, musculoskeletal and neurological rehabilitation.
In 2011/12 there were 727,448 outpatient appointments in the Trust's hospitals, and 22,505
inpatient admissions: 9,041 babies were delivered. The trust employs around 11,000 people and
the turnover in 2011/12 was £788 million. Collaboration with the University of Oxford underpins the
quality of the care that is provided to patients; to the delivery of high-quality research bringing
innovation from the laboratory bench to the bedside; and the delivery of high-quality education and
training of doctors.
Existing collaborations include the ambitious research programmes established through the Oxford
Biomedical Research Centre (BRC), funded by the National Institute for Health Research (NIHR),
located on the John Radcliffe Hospital site and at the Biomedical Research Unit in musculoskeletal
disease at the Nuffield Orthopaedic Centre.
Buckinghamshire Healthcare NHS trust
Buckinghamshire Healthcare NHS Trust is a major provider of community and hospital services in
South Central England, providing care to over half a million patients from Buckinghamshire and
neighbouring counties every year. It is responsible for the majority of NHS care in the county, from
community health services provided in people’s homes or from one of our many local bases, to
acute hospital services at Stoke Mandeville, Wycombe and Amersham.
Stoke Mandeville Hospital is home to the internationally recognised National Spinal Injuries Centre,
one of only 11 such centres of expertise in the UK. It is also a regional centre for burn care, plastic
surgery and dermatology, and recognised nationally for urology and skin cancer services.
Heatherwood and Wexham park NHS trust
Heatherwood and Wexham Park Hospitals NHS Foundation Trust provides hospital services to a
large and diverse population of more than 450,000 which includes Ascot, Bracknell, Maidenhead,
Slough, south Buckinghamshire and Windsor. There are approximately 30 languages spoken in
the area, the top six of which (excluding English) are Hindi, Polish, Urdu, Somali, Romanian and
Punjabi.
The Trust became a Foundation Trust in 2007 and with approximately 3,200 staff, it provides acute
services that include cardiology, maternity, stroke and emergency from two main sites in Wexham
Park (Slough) and Heatherwood (Ascot). It also offers a range of outpatient, breast screening and
diagnostic services from four other sites: (King Edward VII Hospital in Windsor, St. Mark's Hospital
in Maidenhead, Fitzwilliam House in Bracknell, Chalfonts Outpatients in Chalfont St Peter)
Each year it sees approximately: 33,000 day cases and elective inpatients, 36,500 emergency
inpatients , 5,500 births, 112,000 A&E attendances
University Hospital Southampton NHS Foundation Trust
University Hospital Southampton NHS Foundation Trust (UHSFT) is the only acute inpatient
medical unit in Southampton. The Trust has approximately 1,400 beds and serves a local
population of 640,000 and also provides a portfolio of highly specialist tertiary services for the local
population and for a wider catchment of 3 million across central southern England and the Channel
Islands. UHSFT is a designated Cancer Centre and in 2011 the Trust was designated a Major
Trauma Centre and has facilities to receive critically ill patients via air ambulance. UHSFT
Paediatric services will shortly be located in the newly built on-site Southampton Children’s
Hospital. Obstetric and Gynaecology services are provided by the on-site Princess Anne Hospital
and UHSFT is a tertiary referral centre for foetal and neonatal medicine and surgery. UHSFT has
three adult (general, cardiothoracic and neurosurgical) intensive care units (ICUs) and two
Paediatric (neonatal and general paediatric) ICUs.
Rotation Information
The objective of the post is to produce specialists with adequate training and experience to be
awarded a Certificate of Completion of Training (CCT) in Medical Microbiology and Infectious
Diseases or Infectious Diseases/General Internal Medicine. In agreement with the training
committee, there may be opportunities for candidates to train for a career as a consultant in
Communicable Disease control. Training will be in accordance with the requirements laid down by
the JRCPTB/RCPath programme on joint training in Medical Microbiology/Infectious Diseases or
Infectious Diseases/General Internal Medicine.
There may be changes in programme requirements, curricula, work placed based assessments
and knowledge based assessments when the new combined infection programme is introduced by
the Royal College (anticipated date August 2014).
The programme can be adjusted flexibly to meet the needs of individuals depending on previous
experience. The GIM, ID and Microbiology training curricula (2010) are available on the relevant
college websites.
The joint training offered in Infectious Diseases/Medical Microbiology and Infectious Diseases/GIM
is based in the integrated Departments of Microbiology/Infectious Diseases and GIM at the OUH,
and associated district general hospitals. There are also opportunities in Wessex Deanery
(Southampton). There will be flexibility allowing rotation to a variety of infection related modules.
Training will be arranged in any of the following departments:
1
2
3
Medical Microbiology at the Oxford University Hospitals, Buckinghamshire Healthcare NHS
Trust (High Wycombe/Aylesbury), Heatherwood and Wexham Park Hospitals (HWPH)
and/or University Hospital Southampton NHS Foundation Trust.
Infectious Diseases at the OUH (includes the Horton hospital in Banbury), HWPH,
University Hospitals Southampton NHS Foundation Trust and the Bone Infection Unit at the
NOC.
General medicine at the OUH (John Radcliffe or Horton Hospitals) or University Hospital
Southampton NHS Foundation Trust.
LAT posts
LATS will participate in the same training overall rotation as those with training numbers. LAT
trainees are required to obtain competencies appropriate to their stage of training and to undergo
annual review (ARCP) with other trainees. A 12 month LAT post will comprise at least six months
infection consult service and up to six months direct patient care (general medicine under the
supervision of an infectious diseases consultant). In addition to OUH, trainees may rotate to
Buckinghamshire Healthcare NHS Trust (based in Aylesbury), Heatherwood and Wexham Park
Hospitals (based in Slough) and/or University Hospital, Southampton NHS Foundation Trust
NTN posts
Years 1 to 4:
1) At least two years will be spent acquiring training in laboratory based infections and health
protection. This may include 6-12 months at Buckinghamshire Healthcare NHS Trust, at HWPH
or University Hospital Southampton NHS Foundation Trust
2) At least two years of direct patient care on the infectious diseases unit, bone infection unit and
in related clinical disciplines.
a) One year will be spent in Infectious Diseases (Churchill site, OUH).
b) Six months on the Bone Infection Unit (NOC)
c) Six months will be spent at the OUH (John Radcliffe Hospital or Horton Hospital),
University Hospital Southampton NHS Foundation Trust (UHSFT) or Heatherwood and
Wexham Park Hospitals NHS trust doing general medicine & Infectious diseases consults
and a general medicine/infectious diseases OPD clinic.
d) Three to four month’s Intensive care (OUH) is an optional but highly recommended
component of the training programme. This module is usually in the first 2 years.
Year 5:
Up to one year of research may count towards training. Independent funding will need to be found
for those undertaking dedicated periods of research, otherwise year 5 will have the same format as
year 6. If doing GIM then this year will comprise of general internal medicine
Year 6: (ID/Micro only)
The final year will depend on the needs of the trainee and availability. It may consist of electives
tailored to the needs of the individual; the aim will be to gain additional experience in subjects that
can be developed further in training.
Elective options
Elective rotations may be available by negotiation. Options include: 
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Infection Prevention and Control
General (Internal) Medicine,
Intensive Care Ward
Tropical Medicine Unit
Paediatric Infectious Disease,
Health Protection Agency (reference & specialist laboratories, Communicable Disease
Surveillance Centre and local and regional services)
Genito-urinary Medicine
Attachment to an established Infectious Disease/Virology unit abroad.
Attachment to an HIV unit in London.
Attachment to virology unit e.g. in London
An example of combined training in Microbiology and Infectious
Diseases.
A diagram of possible training programme is given. This may be revised depending on
circumstances and discussion.
YEAR 1
Microbiology
Bench rotation and modules in microbiology & virology.
This may include 6-12 months at Buckinghamshire
Healthcare Hospitals (BHH) or HWPH.
RCPath Year 1 assessment and FRCPath part 1
YEAR 2
Clinical Infectious Diseases
6 months - Bone Infection Unit
6 months - Infectious Diseases ward. There may an
opportunity to do a 3 months elective in ITU medicine in year
2 or 4.
YEAR 3
Microbiology
(This may include 6 months at BHH or HWPH Hospitals)
(MRCPath Part 2 at end of year)
YEAR 4
Clinical Infectious Diseases
6 months - Infectious Diseases ward and 6 months Acute
Medicine. There may an opportunity to do a 3 months
elective in ITU medicine in year 2 or 4.
RCP Speciality Certificate Exam in Infectious Diseases early
in year
YEAR 5
Research, if funded, or further
Microbiology & Virology/ Infectious Diseases. (or GIM)
YEAR 6
Electives
See above
Teaching
Training and courses
The following training sessions are provided and are mandatory.
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Oxford Infection seminars: Tuesday 1pm.
Specialist trainee teaching sessions: Tuesday 2.15-3.30pm:
These cover a wide syllabus of subjects relevant to Clinical Microbiology, Infection Control,
Infectious Diseases and Health Protection. The microbiology sessions are geared to study
towards the MRCPath examination and are consistent with the RCPath curriculum in
Medical Microbiology.
 Inter-departmental case presentations (ID, Microbiology, Virology, Bone infection, Paediatric
ID, Immunology): Tuesday 4pm-5pm. Specialist registrars present cases with some discussion.
During attachments in microbiology;
 Specialist trainee led ‘septic spot’. An issue of the week is presented. These occur on Friday
mornings at 9am.
 Individualised bench rotations and teaching/supervision by laboratory Biomedical Scientists.
During attachments in General Medicine trainees are expected to attend weekly case conferences,
grand rounds and M&M meetings plus monthly audit meetings. ID/GIM trainees are expected to
attend monthly all day GIM teaching sessions throughout their training.
In addition, post-holders are encouraged, at appropriate stages in their training, to attend relevant
medical education courses that include an epidemiology/statistics course, FRCPath exam
preparation (mycology and antimicrobial courses), management courses and scientific meetings.
Poster and oral presentations at such meeting are encouraged. Departmental support is available
to attend scientific meetings after negotiation with TPD, ES and/or other consultant staff.
Opportunities for research
Post-holders will be encouraged to develop research interests. Trainees are encouraged to make
applications for fellowships to extend their research experience. There is a wide range of
opportunities with a large number of Research Groups in a number of different departments within
the Oxford NIHR Biomedical Centre and the Medical Sciences Division of Oxford University. These
include the following;
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Nuffield Department of Medicine
Nuffield Department of Clinical Sciences including Microbiology)
Paediatrics
Nuffield Department of Orthopaedics
Primary Care
Zoology
BRC Infection Theme
BRC Immunity Theme
BRC Vaccinology Theme
These Groups include the Wellcome Trust Tropical Units in South East Asia and Africa (Prof Nick
White and Prof Kevin Marsh, Prof Nick Day and Prof Jeremy Farrar). The Centre for Vaccinology
(Prof Adrian Hill, Prof. Andrew Pollard, Prof Helen McShane), NDM (Prof. Derrick Crook, Prof Tim
Peto), Peter Medawar Building (Prof Rodney Phillip, Prof. Philip Goulder, Prof Paul Klenerman)
Weatherall Insititute of Molecular Medicine (Prof Sarah Rowland Jones). Wellcome Trust Centre
for Human Genetics (Prof Dominic Kwiatowski, Prof Peter Donnelly), Nuffield Department of
Orthopaedics (Philip Bejon, Matt Scarborough)
Collaborations exist between Microbiology/Infectious Diseases and most of these Groups.
Previous microbiology/infectious diseases trainees have been awarded Wellcome or MRC
research training fellowships in many of the internationally renowned research groups working on
infection. Research projects with an epidemiological flavour and linked to the HPA, will be strongly
encouraged.
Duties of Post
Enrolment with college
Specialist trainees are expected to enrol with the JRCPTB at the commencement of joint training.
A copy of the enrolment is also required by the RCPath.
Work Place Based assessments (WPBAs) and Knowledge Based Assessments (KBAs):
At present joint trainees are required to fulfil the curriculum requirements of the RCP and the
RCPath.
KBAs
 End of year 1 (approx. May): RCPath, Year 1 assessment.
 After 1 year training: MRCPath Part 1
 After three years training
o MRCPath Part 2
o ID speciality certificate examination (Royal College of Physicians)
These assessments may change after introduction of the new curriculum (possibly August 2014).
WPBAs
Work place based assessments should be completed in line with the ARCP requirements for both
infectious diseases (JRCPTB ID curriculum) and microbiology (RCPath microbiology curriculum).
Appraisal/ARCPs
Specialist trainees will have regular (at least three monthly) meetings with their allocated
educational supervisor and have yearly ARCPs in accordance with GMC guidelines. The ARCP
requires a structured educational supervisor’s report that includes signing off the required number
of work based assessments in line with the recommendations of the Royal College of Physicians
and the Royal College of Pathologists. Trainees will undergo a Penultimate Year Assessment
between 12 -18 months before anticipated CCT date.
The CCT date for individual trainees depends on College approval for experience gained prior to
entering this post and satisfactory performance during this training position.
Teaching responsibilities
The post holder will participate in teaching of special study module medical students and other
medical students in microbiology, infectious diseases and bone infection unit. Occasionally there
are elective students from other medical schools attached to the units. There are occasional sixth
formers on work experience attached to the unit. The specialist registrar will be expected to take
part in teaching these students, both formally and informally. In microbiology the post holder will
participate in teaching for the medical student pathology course (lectures, small group teaching
and practicals), foundation trainees, infection control nurses and biomedical scientists. In general
medicine the post holder will be expected to actively participate in undergraduate and postgraduate
teaching. First year and third year clinical students are regularly attached to the Firms. Trainees
are expected to complete teaching assessment tools in line with ARCP requirements.
Audit
Specialist trainees are required as part of their training to be able to perform audit projects. A list of
audit projects is available for specialist trainees or they may elect to look at a subject of their own
choice if approved by their educational supervisor. Four times a year a trainee presents an audit of
relevance to clinical microbiology or infectious diseases at the Tuesday lunchtime meeting.
Trainees are expected to complete audit assessment tools in line with ARCP requirements.
Leave
Standard study and annual leave arrangements are available to the post-holder (see terms and
conditions below). Leave must be planned in advance and is by negotiation with consultant staff in
line with departmental policy (available on intranet site).
On call duties
The appointee will be required to live within 45 minutes travel time from their major base.
OUH: The post-holder will be on call for microbiology and infectious diseases (approximately 1 in
5) except during the John Radcliffe Acute medicine/ID consults and Horton modules when the post
holder will participate in the general medical on call rota. The post holder will also participate in the
non-resident ID/microbiology rota and the resident ‘hospital at night’ rota (1 in 18). The overtime is
banded at 1B and is EWTD compliant
District hospital rotations: At Bucks Hospitals at present the post-holder will participate in the
Oxford on call ID/micro rota. This is subject to review. If trainees rotate to Wexham Park or
Southampton local rotas will apply.
Absence of colleagues
Duties will involve cover for absence of colleagues on annual and study leave.
Less than full time training (LTFTT)
Less than full time training may be possible either by having a slot share, applying for deanery
supernumerary funding, or using part of a full time salary in a full time post. LTFTT is subject to
eligibility and appropriate rotations.
Career Counselling
Career advice and guidance should be sought, in the first instance, from your education
supervisor, who will normally be a consultant for whom you work. There are a range of services
available thought the post graduate centre and deanery for further careers counselling and
support.
Description of individual modules:
SUMMARY
A. Microbiology
i. Microbiology, OUH
ii. Microbiology, Stoke Mandeville Hospital, Buckinghamshire
Healthcare NHS Trust
B. Infectious Diseases
i. Infectious Diseases ward and consults, Churchill Hospital, OUH.
ii. Bone Infection Unit, NOC, OUH
iii. John Radcliffe Hospital and West Wing, OUH
iv. Horton Hospital, OUH
v. Heatherwood and Wexham park Hospitals (Slough)
vi. University Hospital Southampton NHS Foundation Trust
C. General Internal Medicine
i. John Radcliffe Hospital, OUH
ii. Horton Hospital, OUH
iii. Heatherwood and Wexham park Hospitals (Slough)
iv. University Hospital Southampton NHS Foundation Trust
A)
MICROBIOLOGY
Training and Teaching specific to Microbiology and Virology
The detailed training programme is given in the Royal College of Pathologists postgraduate
training document. Training in preparation for the year 1 assessment and MRCPath is ongoing for
all candidates. In addition, attendance at courses is encouraged and sponsored by the Trust and
Dean within the constraints of finance. Support for attendance at these courses is at the discretion
of the supervising consultant. Attendance on other courses may also be arranged.
i. Microbiology, OUH
The Department of Microbiology, based on the John Radcliffe site, provides laboratory tests for the
Oxford University Hospital NHS Trust, local community hospitals, Oxford Mental Health Care Trust,
district general hospitals within South Central, and Primary Care. The laboratory is CPA
accredited, and approved by the RCPath for higher specialist training in Microbiology. It processes
650,000 tests per year, of which about 200,000 are virology/serology or molecular diagnostics.
The laboratory is well equipped with automation for molecular diagnostics, automated bacterial
identification and antibiotic susceptibility testing, and a MALDI-TOF for bacterial identification. The
majority of samples for serology are processed in a multi-disciplinary core automated laboratory.
The laboratory has a strong track record in demand management, training of biomedical scientists,
and establishing techniques such culture of ‘sterile site’ samples. The laboratory takes an active
role in supporting translational research through the Biomedical Research Centre and University.
The Oxford University Hospitals NHS trust provides acute medical and surgical services for the
people of Oxfordshire and also regional specialist units (e.g. solid organ (kidney, pancreas and
small-bowel) transplant, bone marrow transplant, neuro-surgery, cardio-thoracic-surgery, trauma
and reconstruction, bone infection unit, haemo-dialysis, cystic fibrosis unit, a dedicated Children’s
hospital, infectious diseases etc.). A full range of microbiological tests is performed to support the
above services and offers an excellent opportunity to acquire routine and specialist bench
laboratory testing knowledge. The Virology section offers a regional service and an extensive
range of virological tests is available including molecular assays. This section offers an excellent
opportunity to gain experience in clinical virology.
Specialist trainees
The microbiology component of the post is suitable for training in Clinical Microbiology and
Virology/Infectious Diseases (2 years) and also in Infectious Diseases and General Medicine (1
year). It includes modules with the following components;
a) Laboratory microbiology (including virology). Includes daily AITU ward round.
b) JR1& 2 microbiology consult service (gen med, gen surgery, cardiothoracic surgery,
cardiothoracic ITU)
c) West wing (specialist surgery, including plastics, ENT, ophthalmology, neurosurgery,
plus neurology and NITU) and trauma microbiology consult service.
d) Hospital infection prevention and control
e) Viral hepatitis clinics
It is expected that during the whole period in microbiology there will be substantial involvement and
participation in practical bench microbiology. This includes virology (serology and molecular
diagnostics), blood cultures, urines, swabs, pus, sterile sites, respiratory, faeces, antibiotic assays,
quality control and media. There will also be close links with hospital infection prevention and
control. There will be participation in the microbiology/ID on call and medical hospital at night rotas.
The Clinical service offered by Clinical Microbiology is increasingly being integrated with Adult
Infectious Disease, Paediatric Infectious Disease, Communicable Disease Control and Tropical
Medicine.
Therefore, the post holder can expect to become involved with each of these
departments.
Principal Responsibilities
The Specialist Registrar will participate in the clinical microbiology service under the direction of a
consultant. The training is organised in modules each consisting of 3 months. Trainees can extend
modules depending on their training needs. The responsibilities in each module will vary and
detailed module descriptions are available. They will include participating in the supervision of
laboratory, review of laboratory results and responsibility for bedside consultation on infected
patients. Participation in hospital infection control, control of communicable disease activities and
laboratory management also forms part of the modules.
There will be close involvement with the Oxford Infection Control Service, which serves all the
Oxford Hospitals. It is a busy service that offers an ideal opportunity to acquire knowledge of an
Infection Control service operating in a large teaching hospital offering both DGH type and
specialist medical services.
Daily commitment in OUH microbiology (varies according to module)
Mon
Tues
Wed
Thurs
Fri
AM
9am handover meeting, Bench work, enquiries,
consults. Viral hepatitis clinic. Clinical plate and
IC round.
Bench work, enquiries, consults. Specialist
Trainee AITU ward round.
9am Pharmacy/Infection Control/ID MDT
Bench work, enquiries, consults. Management
meeting. Infection control meeting. Clinical
plate and IC round.
Bench work, enquiries, consults. Clinical plate
and IC round.
“Septic spot” Bench work, enquiries, consults.
Clinical plate and IC rounds.
10am Pharmacy/Infection Control/ID MDT
PM
Consultant ward rounds. Consultant ITU
and Neuro ITU ward rounds. 3pm
Cardiothoracic MDT.
Registrar teaching half day at JR
1pm Academic meeting,
2.15pm registrar teaching,
4pm departmental meeting
Consultant ward round. Consultant ITU
ward round.
Grand Round, Neuro ITU ward round.
Trainee ITU ward round. Consultant
ward rounds.
Consultant ward round. Consultant ITU
ward round.
Office facilities
Ample computer facilities are available for the use by the appointee, secretarial support is available
and shared office space is provided.
ii.
Microbiology, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Link with BMS staff in laboratory; gain
bench skills in variety of areas of
microbiology.
Accept first clinical consults and
queries from Trust clinical staff on
telephone.
Help to complete daily ITU
microbiology charts for rounds held
later in day.
Join consultant microbiologist for
“bench round” when performed.
PM
As Wednesday – Friday
Registrar teaching half day at JR.
1.00 pm Academic meeting
2.15 pm Registrar teaching
4.00 pm Departmental meeting
If required, gain experience in initial
processing of samples received in
laboratory.
Join consultant microbiologist for daily
ITU ward round and visit patients on
other wards requiring clinical
microbiology input.
Liaise with local GPs/Public Health
regarding important results which merit
urgent attention.
Trainees are encouraged from an early stage to be the first contact for clinical hospital based
consults telephoned through to the Microbiology Department. After due training and observation,
trainees may also answer GP enquiries and telephone results to primary care surgeries.
Participation when required at any “Grand Round” presentation is encouraged and the trainee will
be able to attend various meetings, whenever possible. These include meetings such as the
Infection Prevention and Control Committee or specific outbreak investigation meetings.
Participation in audit in both Microbiology and Infection Control departments or where contributing
to another directorate’s audit, is strongly encouraged. The trainee will help with Infection Control
surveillance work where appropriate.
Since Spring 2011, the Microbiology Dept of Buckinghamshire Healthcare Hospitals (BHH) has
been merged onto one site at Stoke Mandeville Hospital. The trainee will therefore spend the vast
majority of time at this site. In addition the Trust’s reconfiguration plans taking place since 2011
have resulted in most major clinical services orientating to the Aylesbury end of the district.
Buckinghamshire Healthcare Trust offers tertiary referral specialist units for both spinal injury and
burns patients. The trainee should therefore gain some specific experience in microbiological
issues related to these clinical areas.
Whilst attached to BHH, trainees will be allowed to return to OUH for lectures and formal teaching
sessions on Tuesday afternoons unless specifically requested to remain at BHH for clinical service
reasons due to colleague absence etc.
B)
INFECTIOUS DISEASES
i. Infectious Diseases ward, Churchill Hospital, OUH.
The Infectious Diseases Unit, is based at the John Warin Ward which is a 20-bedded unit. This
ward admits acutely ill adults with community acquired infections and imported diseases and also
provides the only in-patient service for HIV positive patients in the district. There are 18 single
rooms so that the ward can provide isolation facilities for nosocomial infections that require
isolation and for tuberculosis. The ward also houses an outpatient service for fever, HIV disease
and infectious diseases. An active intravenous antibiotic service is provided for patients who can
be treated either as outpatients or in their own homes for a variety of bacterial infections.
Experience in the following specialist clinics is available: HIV infection, Chronic fatigue, Travel
medicine and Genitourinary medicine. There is also a very active consultation service across the
Churchill dealing with complex infective issues in Immunocompromised patients (e.g. renal,
pancreas and small bowel transplant patients, haematology-oncology) and other patient groups
(e.g. in the diabetic centre, surgical units and Churchill adult ICU)
This part of the post is suitable for training in Infectious Diseases and Microbiology or Infectious
Diseases and General Internal Medicine. The post provides clinical experience in a wide range of
infections including unselected community infections, HIV/AIDS, imported infections. There are
also infection outpatients including a travel clinic. Trainee will also participate in a clinical consult
service at the Churchill Hospital (including ITU, general surgery, renal, urology, haematologyoncology and Transplant patients).
The main duties and responsibilities of the post are for the day-to-day supervision of ward
inpatients on the infectious diseases ward, review of consults on the Churchill site, ITU ward
rounds and participation in infectious diseases clinics. The specialist registrar will also be involved
in assessing referrals made in the infectious diseases department from other hospitals in Oxford.
Daily commitments will be roughly as outlined in the following timetable.
Daily Commitment (2 registrars):
Monday
AM
Ward work/consults, CICU ward round
PM
Ward Work/Consults/Travel Clinic
Tuesday
Consultant ward round. CICU WR
Wednesday
ID Outpatients Clinic, CICU WR
Registrar teaching half day at JR
1pm Academic meeting,
2.15pm registrar teaching,
4pm departmental meeting
Ward work/Consults. TB clinic
Thursday
Dept of Med meeting, CICU WR
Grand Round/Ward work/Consults
ID Outpatients clinic
X-ray
meeting,
Multidisciplinary 2pm transplant meeting
meeting, Consultant ward round, CICU Ward work/Consults
WR
Friday
Administration/Management
There is a doctor’s office on the ward with appropriate computer facilities, including electronic
access to laboratory results and medical literature searching.
There is a full-time secretary/administrator on the ward and a part-time typist for clinical letters and
discharge summaries. During their tenure, the specialist registrar will have the opportunity to
attend management courses in the region.
ii. Bone Infection Unit, NOC
The Bone Infection Unit (BIU) at the Nuffield Orthopaedic NHS Trust is unique in the UK and
consists of a 26-bed unit admitting patients with bone infections. The clinical service provided by
the BIU team includes caring for the medical aspects of all the BIU patients, providing infection
consults at the Nuffield Orthopaedic hospital and participating in the home IV and bone infection
out-patients.
This part of the post is suitable for training in Infectious Diseases and Microbiology or Infectious
Diseases and General Medicine.
The main duties and responsibilities of the post are for the day-to-day supervision of ward
inpatients on the Bone Infection Unit, and the participation in the Bone Infection clinic on
Thursdays and the Home Intravenous Therapy clinic on Wednesdays. The specialist registrar will
also be involved in assessing referrals made in the Bone Infection Unit from other hospitals in
Oxford. Daily commitments will be roughly as outlined in the following timetable.
Daily Commitment:
Monday
AM
Ward work (ID consults)
PM
Multi-disciplinary ward round
Tuesday
Consultant ward round
Wednesday
Ward work (ID consults)
Registrar teaching half day at JR
1pm Academic meeting,
2.15pm registrar teaching,
4pm departmental meeting
Home IV Clinic
Thursday
Bone Infection Clinic
Friday
Consultant ward round
Medical Grand Round, Radiology case conference,
Ward work.
1.30pm Hip and Knee MDT, Ward work
Administration/Management
There is a doctor’s office with appropriate computer facilities, including electronic access to
laboratory results and medical literature searching.
There is full secretarial support for clinical letters and discharge summaries.
iii. John Radcliffe Hospital, OUH (Acute medicine and ID consults. Also for GIM training)
The John Radcliffe Hospital is the only acute hospital for South Oxfordshire. The acute medical
firms admit about 10,000 patients per year with unselected medical problems. There are 160
medical beds including an emergency assessment unit and short stay ward. The unit is staffed by
consultant firms, with a majority of patients being admitted and discharged by the same team.
Patients staying in hospital are transferred to one of four general medicine wards (each consultant
firm looks after half of a general medicine ward).
This part of the post is suitable for training in Infectious Diseases and General Medicine. Trainees
will be attached for the relevant period to do acute on-take medicine at the John Radcliffe Hospital
to secure accreditation in general internal medicine. There are 8 active consultant firms at any one
time. Each firm has a consultant, an St3+ , an F2/CMT and 2 FY1s. There are three "takes" a day,
(9am-4pm, 4pm-9pm, 9pm-9am) with the hospital at night team covering overnight admissions
(one of the consultant firms undertakes a round of these patients from 0800, and takes over their
ongoing care. In any 12 consecutive weeks, a St3+ will do 8 weeks of day time work including 1 in
4 weekday long days and weekends, and during the subsequent 4 weeks they only do either 4
weekday nights or 3 weekend nights. Leave is incorporated into the rota. Trainees are paid at IA.
Specialist Trainees are expected to provide medical input to their patients on ITU.
Apart from daily ward rounds and 1 in 4 take rounds, trainees are expected to attend weekly case
conferences, grand rounds, weekly M&M meetings, monthly audit meetings and all day teaching
sessions.
Outpatient duties and participation
The trainees will participate in a weekly general medicine outpatient clinic
Principal Responsibilities of Post
 Day-to-day management of general medicine inpatients under the care of consultants
of the firm.
 Responsibility for acute "on-take" patients, general medical outpatients work (one-two
clinics per week depending on firm).
 Supervision of SHO's and foundation year doctors.
 Teaching – as described in the general section of this document.
iv. Horton Hospital, OUH (Infectious Diseases and GIM)
The Horton attachment is suitable for training in Infectious Diseases and General Medicine.
Trainees will be attached to one of four firms, each of which has two consultants, two specialist
trainees and at least one SHO and one HO. The Horton Hospital operates a ward based system
for medical staff. Patients whose primary medical problem is infection will be admitted
preferentially to the clinical infection firm when possible. As a result of the ward based system,
there is usually capacity for new patients to be admitted under the firm’s care on a daily basis. The
firm also provides ongoing care to medical outliers on surgical wards who are admitted during the
team’s take period.
Medical takes are shared equally between the firms. Currently there are two consultant led posttake ward rounds in any 24 hour period. There is a formal handover meeting at 9am each week
day for which attendance is mandatory
The module will give the trainee experience in unselected medical admissions, domestic and
imported infections presenting to acute general medicine, surgical site infections, infections relating
to trauma and orthopaedics and hospital infection control.
Weekly timetable:
Monday
Tuesday
Wednesday
Thursday
Friday
am
Handover, ITU round, ward round,
Handover, ward round, consults
Handover, ITU round, ward work,
MDT meeting
Handover, ward round, X-ray
meeting
Handover, ITU ward round, ward
work
Pm
Journal club, OP clinic, consults
Registrar teaching half day at JR
1pm Academic meeting,
2.15pm registrar teaching,
4pm departmental meeting
Consults, infection control,
administration
Case conference, consults, teaching
and infection control
Ward work, consults
Outpatient clinics
The trainees will have the opportunity to participate in a weekly clinical infection outpatient clinic
Principal Responsibilities of Post
Specialist trainees will be responsible for day-to-day management of general medicine inpatients
under the care of consultants of the firm, acute "on-take" patients, and the supervision of SHO's
and foundation year doctors. Trainees in clinical infection will contribute to the infection consult
service, regular ITU/CCU ward rounds and the promotion of good clinical practice in relation to
antibiotic guidelines, antimicrobial stewardship and infection control.
v. Heatherwood and Wexham Park Hospitals (Infectious Diseases and GIM training)
The Wexham Park attachment is suitable for training in Infectious Diseases and General Medicine.
Trainees will be attached to Ward 9 Respiratory and General medicine.
Wexham Park has an active clinical microbiology and infectious disease service comprising two
consultants in infectious diseases, 1 consultant microbiology/infectious diseases and one
consultant microbiologist. The infectious diseases team have close links with respiratory who
manage inpatient care.
The TB service is led by Dr Sarah Menzies (Consultant Respiratory Physician) with input from Dr
Jane Democratis (Consultant Infectious Diseases). There is a weekly TB MDT before TB clinic and
3 monthly TB/HIV and TB/paediatric MDT’s. Inpatients with suspected TB, HIV related illness and
imported infections are preferentially housed on ward 9.
The infection service is a consult based service with three outpatient clinics: General infectious
diseases, OHPAT and Viral hepatitis and weekly MDT meetings with haem/onc, the diabetic foot
team, HIV, and TB. There are twice weekly antimicrobial stewardship ward rounds and a daily ICU
ward round.
Principal Responsibilities of Post
Specialist trainees will be responsible for day-to-day management of general medicine inpatients
under the care of the respiratory consultants, acute "on-take" patients, and the supervision of
SHO's and foundation year doctors. Ward 9 has an F1 and an F2 trainee on a combined infectious
diseases/respiratory rotation. The infectious diseases/GIM trainee will be involved in TB and
respiratory consults, TB MDT and TB and general respiratory clinics shared with the other 2-3
respiratory registrars.
There are optional opportunities to further ID training experience with the infection team in the
outpatient clinics, MDT, antimicrobial stewardship ward rounds, infection control and audit at
Wexham Park. Tuesday afternoon registrar teaching takes place in Oxford. In both cases
attendance must with prior agreement from the respiratory team.
There is an unselected medical take. Patients are admitted from A and E to MAU (wards 7 and 8)
and the medical wards thereafter. New post take patients come to the ward daily. There are two
consultant led post take rounds a day. Trainees are paid band 2B.
Outpatient duties and participation
There is a weekly TB clinic at King Edward VII hospital, Windsor
Monday
Tuesday
am
Micro weekend handover
1pm Medical meeting
Journal club
Ward work/consults
Wednesday
Ward work/consults
Thursday
Friday
Consultant ward round
Ward work/consults
Radiology MDT
pm
Consultant ward round
Registrar teaching half day at JR
1pm Academic meeting,
2.15pm registrar teaching,
4pm departmental meeting
TB MDT followed by TB Clinic (King
Edward VII)
Respiratory OPD(King Edward VII)
Ward work/consults
vi University Hospital Southampton NHS Foundation Trust (UHSFT) (Infectious Diseases
and General Medicine)
Approximately 15,000 adult patients per annum are admitted via the acute medicine service into
250 beds and around 20% of patients admitted through acute medicine have infections.
Consequently, UHSFT continually provides care to a large number of challenging and complex
infection cases, across an extremely wide spectrum of clinical specialties, both in inpatient and
outpatient settings.
Trainees undertaking this post in Infectious Diseases will be provided with a wealth of excellent
training and learning opportunities, enabling them to gain valuable experience in managing all
aspects of community and hospital acquired infection and to gain all appropriate competencies
specified by the national curriculum for Infectious Diseases. The Trust is committed to further
developing its clinical infection services and the trainee will play an active and closely supervised
role in this process and the ongoing development of the UHSFT Department of Infection.
All consultants and trainees in infection at UHSFT maintain close working links with the Health
Protection Agency (HPA) microbiology laboratory sited within UHSFT. The laboratory processes in
excess of 600,000 specimens per annum. The laboratory provides a comprehensive diagnostic
service in bacteriology, mycobacteriology, mycology, virology and parasitology and has a wellequipped molecular facility providing diagnostics for a wide range of viral and bacterial pathogens.
The joint training provided in Infectious Diseases and Medical Microbiology/Virology at UHSFT is
based in the integrated Department of Infection, incorporating Infectious Diseases, Medical
Microbiology, Medical Virology and Infection Prevention and Control.
Inpatient ID service
The Infectious Diseases Firm is one of the medical specialty firms within the Division of Emergency
and Specialist Medicine. Patients are triaged by acute medical admission services, and those with
community acquired infections or imported infections are then managed by three ID Physicians (a
fourth is to be appointed by April 2013). Each morning, there is a daily consultant-led ID ward
round, to include pick up of new cases of community acquired or imported infection on the acute
medicine unit (AMU). Whilst inpatients are admitted initially to AMU, those whose length of stay is
anticipated to exceed 72 hours are usually transferred to other inpatient medical beds. Side rooms
are utilised where necessary but patients requiring isolation, including some with respiratory
infections, are managed in the 15 bed Infectious Disease Unit.
This ID Firm is supported by 2 Foundation trainees/SHOs, and Infectious Diseases specialty
registrars will provide middle grade care of these patients who will be managed by the ID team
from admission-to-discharge, including outpatient follow-up where necessary. The Infectious
Diseases Firm has close links with respiratory physicians (Drs Ben Marshall, Anindo Banerjee,
Rachel Limbrey and Paul Elkington) who care for inpatients with TB and inpatients with
complications of HIV. In the future it is envisaged that the ID Firm will have an increasing
involvement in the management of inpatients with opportunistic infections and complications of
HIV.
Infection consult service
UHSFT Consultants in Medical Microbiology, Medical Virology and Infectious Disease provide a
comprehensive infection consult service for inpatients. Specialty trainees in ID will receive training
from, and contribute to this service, and will be supervised in providing ward based consults across
all major medical and surgical specialties. UHSFT provides specialist tertiary clinical infection
services in Bone Marrow Transplant (autologous and allogeneic), Cardiothoracic Surgery,
Neurosurgery and Paediatrics including Paediatric Infectious Diseases/Immunology and Foetal
Medicine. Specialty trainees will be provided with excellent opportunities to attain all relevant
competencies during modular attachments to the Infection services in these areas, typically during
modules in either years 5 and/or 6. The spectrum of patients will also include respiratory, (including
cystic fibrosis), cardiology, hepatology, gastroenterology, rheumatology, HIV/GUM, and
orthopaedic, gastrointestinal and vascular surgery, ENT and Urology. There is a dedicated
Paediatric Microbiology and ID service and trainees will have the opportunity to gain experience in
Paediatric Infectious Diseases if required. Overall Infectious Diseases trainees will be exposed to
abundant learning opportunities across this spectrum including the opportunity to provide infection
advice in complex infections and in a variety of immunocompromised patients.
Trainees will have the opportunity to incorporate particular aspects of the Infection consult service
into their weekly timetabled ward consult time (see specimen weekly timetable below). These
modules will typically be undertaken for a period of 3-6 months each, in addition to providing care
for the ID Firm inpatients and twice weekly clinic attendance.
Modules providing ward-based consult advice include:






Cancer care (Haematology and Oncology, incorporating experience in bone marrow
transplant patients)
Paediatric Infectious Diseases, Allergy and Immunology
Cardiothoracics and Cardiology (incorporating experience in native and prosthetic valve
endocarditis and sternal wound infections)
Neurosciences (incorporating experience in the management of cerebral abscess and
neurosurgical infection such as intra-ventricular shunt infections)
Trauma and Orthopaedic surgery (incorporating experience in managing septic arthritis,
osteomyelitis and prosthetic joint infection)
Obstetrics and Gynaecology


Surgery including upper gastrointestinal surgery, Vascular surgery, ENT and Urology
(incorporating experience in complex patients including those with intestinal failure, intraabdominal collections and infections associated with prosthetic material or implants)
General Medicine and Elderly Care
Additional modules include but are not limited to:
 Infection prevention and control
 ICU medicine
 Adult Immunology
Infection Clinics
During the post in Infectious Diseases specialty trainees will attend two infection outpatient clinics
per week. The following specialist infection clinics are available:
Infection Clinic
Supervising Consultants
General Infectious Diseases
Tuberculosis *
Professor Rob Read and Drs Sarah Glover and Julian
Sutton
Professor Salim Khakoo, Drs Katherine Nash, Nick
Sherron and Mark Wright
Drs Ben Marshall, Anindo Banerjee and Paul Elkington
HIV & Genitourinary medicine *
Drs David Rowen, Elizabeth Foley and Sam Samraj
Viral hepatitis
* The Tuberculosis and HIV/GUM clinics are based at the Royal South Hants Hospital (RSH).
In addition, UHSFT has an active outpatient parenteral intravenous antimicrobial therapy (OPAT)
service, provided for patients with a variety of bacterial infections who are treated either as daily
hospital attenders, or alternatively in their own homes.
Clinical Supervision in post
A team of ten Consultants in Infection (three accredited in Infectious Diseases, seven accredited
either singularly or jointly in Medical Microbiology and two accredited in Medical Virology) will
provide close clinical supervision for Infectious Diseases specialty trainees on a daily basis. The
Consultant supervisors accredited in Infectious Diseases with direct responsibility for ID inpatient
care are Professor Rob Read, Dr Sarah Glover and Dr Julian Sutton. A further ID-accredited
consultant trainer will be appointed in 2013.
Close daily consultant supervision will include daily Consultant-led ward rounds of ID inpatients
and ID consults, twice weekly Consultant-led ID clinics and Consultant attendance and
participation in teaching sessions and MDTs (e.g. educational seminars and Infection radiology
meetings).
Teaching sessions
The following regular training sessions are provided and trainees will be expected to attend:





Weekly formal education seminar (internal and external speakers)
These cover a wide spectrum of subjects relevant to Clinical Microbiology and Virology,
Infection Control, Infectious Diseases and Health Protection. Infectious Disease sessions
will be tailored to prepare trainees for the RCP ID specialty exam.
Weekly case-based (‘grey case’) meeting
Weekly Infection X-ray conference. This is a service-oriented session; trainees will attend
and present relevant cases
Weekly Medical Grand Round
Monthly Wessex regional Infection training days

Monthly Infection Forum meetings (UHSFT/UoS/HPA multidisciplinary clinical-academic
presentations, including Adult Infectious Diseases, Medical Microbiology, Medical Virology,
Paediatric Infectious Diseases, Immunology, HIV medicine, Respiratory Hepatology etc.)
In addition, numerous opportunities exist to attend specialty educational meetings (such as those
provided in paediatrics, ICU medicine, medical and surgical specialties). Weekly University of
Southampton (UoS) Clinical Experimental Sciences open seminars are also available.
Opportunities to gain teaching experience
Trainees will be encouraged and given the opportunity to participate in undergraduate and
postgraduate teaching and to develop their presentation and teaching skills. Opportunities include
lectures/seminars, bedside teaching and participation in Departmental and Trust meetings listed
above.
Research at UHSFT
The UHSFT Department of Infection has strong links with a number of research groups in the
University of Southampton (UoS). In particular, UoS academics in collaboration with UHSFT
colleagues have a national and international reputation in respiratory disease including respiratory
infections, nutrition and gastrointestinal disease and there are strong clinical research outputs in
cardiology, orthopaedics and neurosciences. Research projects with an epidemiological flavour
(e.g. molecular epidemiology) in collaboration with the HPA, or in infectious disease
vaccinology/pathogenesis in collaboration with UoS academics will be actively encouraged.
IT, office and library facilities and secretarial support
Appropriate office space for trainees and IT facilities including dedicated terminals for internet
access and access to relevant UHSFT information services will be provided to all specialty
trainees. Meeting rooms for presentations, educational and training meetings will be provided as
will access to the large, well-stocked medical library which subscribes to national and international
e-journals and databases. There is a secretary/administrator attached to the ID Firm for clinical
letters, outpatient appointments and discharge summaries.
Each ward has appropriate computer facilities, including electronic access to laboratory results and
medical literature searching. Laboratory results and the electronic patient record can be accessed
by secure Wi-Fi from both Department of Infection offices and remotely on the wards.
Summary of trainee’s overall role and principal responsibilities in Infectious Diseases
The main duties and responsibilities of the post are for the day-to-day supervision of infectious
diseases inpatients on AMU, the ID unit and the inpatient medical unit, review of consults across
the UHSFT site and participation in two outpatient clinics per week, one of which will usually be the
General Infectious Diseases clinic. The specialty registrar will also be involved in assessing
referrals from other hospitals in Wessex and potentially supra-regional referrals.
Daily
commitments will be roughly as outlined in the timetable below.
Illustration of weekly timetable for Specialty Registrar in Infectious Diseases:
Monday
AM
Clinical handover meeting
Consultant ward round
Tuesday
Consultant ward round
Wednesday
Consultant ward round
TB clinic
Case presentation
meeting
PM
Inpatient ward work
Ward consults
Hepatitis clinic
Ward consults
OPAT clinic
Infection radiology MDT
Inpatient ward work
Ward consults
Thursday
Consultant ward round
Friday
Consultant ward round
HIV clinic
Medical Grand
Round
General ID clinic
Ward consults
Education seminar
Inpatient ward work
Ward consults
Trainees will normally participate in the weekly general Infectious Diseases clinic and one other
specialty infection clinic per week. (All available clinics are shown purely for illustration). When not
attending an outpatient clinic, Consultant ward round or other meeting as specified, the major
duties of the specialty registrar will be in inpatient ward work and ward consults. When a trainee is
undertaking a specific additional ‘module’, for example inpatient ward consults for patients with
cardiothoracic infection, this clinical liaison work will be accommodated within ‘ward consults’ in the
above illustrative timetable.
On call at UHSFT
The post holder will participate in the UHSFT Infection (Medical Microbiology/Virology and ID) oncall rota (approximately 1 in 7).
Who’s Who?
CONSULTANTS IN
MICROBIOLOGY
/INFECTIOUS DISEASES
Oxford University Hospitals NHS trust Dr Brian Angus, Dr Bridget
Atkins, Dr Philip Bejon, Dr Tony Berendt, Dr Ian Bowler, Dr Ivor
Byren, Dr Chris Conlon, Prof. Derrick Crook, Dr Katie Jeffery, Dr
Nicky Jones, Prof. Paul Klenerman, Prof. Tim Peto, Dr Sarah
Rowland-Jones, Dr Matthew Scarborough, Dr Andrew
Woodhouse.
Paediatric ID: Dr Andrew Pollard, Dr Shelley Segal, Dr Dominic
Kelly
Buckinghamshire Healthcare NHS Trust: Dr David Waghorn, Dr
Rubi Devi, Dr Jean O’Driscoll, Dr Kathy Cann.
Heatherwood and Wexham Park Hospitals NHS trust
Dr Jane Democratis, Dr Albert Lessing, Dr Veronica Garcia
University Hospitals Southampton NHS Foundation Trust: Drs
Sarah Glover and Julian Sutton
Paediatric ID: Drs Saul Faust and Sanjay Patel
CONSULTANTS IN
ID/GENERAL INTERNAL
MEDICINE
Oxford University Hospitals NHS trust Dr Brian Angus, Dr Philip
Bejon, Dr Ivor Byren, Dr Chris Conlon, Prof. Nick Day, Dr John
Frater, Dr Nicky Jones, Prof Tim Peto, Dr Matt Scarborough, Prof
Nick White, Dr Andrew Woodhouse.
University Hospitals Southampton NHS Foundation Trust:
Professor Robert Read, Drs Ben Marshall and Patrick Sharp;
Senior Lecturer in Infectious Diseases (to be appointed)
SPECIALIST TRAINEES
ID/micro and ID/GIM Trainees in the Deanery consist of NHS STs,
LATS, University clinical lecturer, Academic Clinical Fellows and
Academic Clinical Lecturers. These include a number of part-time
trainees. In addition there are trainees ‘Out of Programme’ doing
research.
There are currently 4 ‘F2s/CMT’s (3 Infectious Diseases, 1 Bone
Infection) and 1 F1 (bone infection)
THAMES VALLEY HPU
Dr Eamonn O’Moore, Dr Noel McCarthy
PROGRAMME
DIRECTOR
Dr Bridget Atkins (Clinical microbiology/infectious diseases)
Dr Ian Reckless (General internal Medicine)
EDUCATIONAL
SUPERVISOR
To be allocated on appointment
Main Conditions of Service
Appointments to this programme are subject to the Terms and Conditions of Service (TCS) for
Hospital Medical and Dental Staff (England and Wales). In addition appointments are subject to:



Applicants having the right to work in the UK
Registration with the General Medical Council
Pre-employment checks carried out by the Trust HR department, including CRB checks
and occupational health clearance.
The employing Trust’s offer of employment is expected to be on the following nationally agreed
terms:
Hours – your duty hours will be up to 48 hours per week averaged over 17 weeks(part-time staff
pro rata) in accordance with the European Working Time Directive. Your hours will depend on the
pattern of work offered by the employer and may include work in the evenings, at night and
weekends.
Pay – you should be paid monthly at the rates set out in the national terms and conditions of
service for hospital medical and dental staff and doctors in public health medicine and the
community health service (England and Wales), “the TCS”, as amended from time to time. The
payscales are reviewed annually. Current rates of pay may be viewed at
http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircularsMedicalandD
ental.aspx
Pay supplement –depending upon the working pattern and hours of duty you are contracted to
undertake by the employer you should be paid a monthly additional pay supplement at the rates
set out in paragraph 22 of the TCS. The current payscales may be viewed at
http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircularsMedicalandD
ental.aspx . The pay supplement is not reckonable for NHS pension purposes. The pay
supplement will be determined by the employer and should be made clear in their offer of
employment and subject to monitoring.
Pension – you will be entitled to join or continue as a member of the NHS Pension Scheme,
subject to its terms and rules, which may be amended from time to time. If you leave the
programme for out of programme experience you may have a gap in your pension contributions.
More information can be found at http://www.nhsbsa.nhs.uk/pensions
Annual Leave – your entitlement to annual leave will be five or six weeks per annum depending
on your previous service/incremental point, as set out in paragraphs 205-206 of the TCS. The
TCS may be viewed at
http://www.nhsemployers.org/PAYANDCONTRACTS/JUNIORDOCTORSDENTISTSGPREG/Page
s/DoctorsInTraining-JuniorDoctorsTermsAndConditions150908.aspx
Sick pay – entitlements are outlined in paragraph 225 of the TCS.
Notice –you will be required to give your employer and entitled to receive from them notice in
accordance with paragraphs 195-196 of the TCS.
Study Leave –the employer is expected to offer study leave in accordance with paragraphs 250254 of the TCS. Local policy and procedure will be explained at induction.
Travel Expenses – the employer is expected to offer travel expenses in accordance with
paragraphs 277-308 of the TCS for journeys incurred in performing your duties. Local policy and
procedure should be explained at induction.
Subsistence expenses – the employer is expected to offer subsistence expenses in accordance
with paragraph 311 of the TCS. Local policy and procedure should be explained at induction.
Relocation expenses – the employer will have a local policy for relocation expenses based on
paragraphs 314 – 315 of the TCS and national guidance at
http://www.nhsemployers.org/PAYANDCONTRACTS/JUNIORDOCTORSDENTISTSGPREG/Page
s/DoctorsInTraining-JuniorDoctorsTermsAndConditions150908.aspx. You are advised to check
eligibility and confirm any entitlement with the employer before incurring any expenditure.
Pre-employment checks – all NHS employers are required to undertake pre-employment checks.
The employer will confirm their local arrangements, which are expected to be in line with national
guidance at http://www.nhsemployers.org/RecruitmentAndRetention/Employmentchecks/Pages/Employment-checks.aspx
Professional registration – it will be a requirement of employment that you have professional
registration with the GMC for the duration of your employment. Though the post is covered by NHS
Indemnity, you are strongly advised to register with the MPS for professional indemnity.
Health and Safety – all employers have a duty to protect their workers from harm. You should be
advised by the employer of local policies and procedures intended to protect your health and safety
and expected to comply with these.
Disciplinary and grievance procedures – the employer will have local policies and procedures
for dealing with any disciplinary concerns or grievances you may have. They should advise you
how to access these, not later than eight weeks after commencement of employment.
Educational Supervisor – the employer or a nominated deputy (usually the Director of Medical
Education) will confirm your supervisor on commencement.
General information on the Deanery’s management of Specialty Training programmes, including
issues such as taking time out of programme and dealing with concerns or complaints, is available
at www.oxforddeanery.nhs.uk and in the national ‘Gold guide’ to Specialty Training at
http://www.mmc.nhs.uk
25/01/2013