Report - Oxford Deanery

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HST Programme in
Paediatric Surgery
Programme Prospectus
2010
England, Wales, Northen
Ireland HST Programme in
Paediatric Surgery
Index of Contents
1. General Information
2. Training Consortia
3. Specialty Training Committee
1. General Information
_____________________________________________
The HST Programme in Paediatric Surgery aims to provide a comprehensive
and enjoyable training in all aspects of Paediatric Surgery including neonatal
surgery, general paediatric surgery, paediatric urology and paediatric trauma.
Opportunities for research and overseas experience will be accommodated
wherever possible.
Training centres in paediatric surgery have been organized into regional
consortia which are able to provide broad exposure to paediatric surgery.
A national training number is issued by a deanery within the consortium. At
national selection candidates will be asked to rank consortia according to
personal preference. The information enclosed is designed to inform that
process.
The programme covers the required six years of Higher Surgical Training
within a single consortium. Trainees will be rotated according to their training
needs, appropriate vacancies and, only where possible, personal requests, in
order to achieve a comprehensive training which, on satisfactory completion,
could lead to the award of CCT in Paediatric Surgery. Trainees will be
expected to comply with rotational placements. Flexible training may be
available for all or part of the training. Trainees entering or leaving the
programme will be expected to do so at normal rotation dates.
All trainees will undergo Annual Record of Competency Progression by the
Consortium Committee subject to the negotiations laid down by the JCST and
successful completion of each year is required before progression to
subsequent years of training. All trainees will be entitled to annual and study
leave in keeping with the Terms & Conditions of Service for Specialist
Registrars. Trainees are required to keep a complete and portfolio for the
period of training within the training programme to be ready to submit for
review at any time.
Trainees must register with the SAC (Specialist Advisory Committee) of the
Royal Colleges of Surgeons at the time of appointment and are responsible
for completing required SAC and PMETB documentation including requests
for approval of Out of Programme Experience and Flexible Training.
Anticipated dates for the award of CCT (Certificate of Completion of Training)
will be calculated at the time of appointment but may be subject to
amendment during training depending on the progress of the trainee. Trainees
appointed to a training rotation will be allocated an NTN potentially leading to
the award of CCT, if they have provided appropriate documentation of
completed Core Competencies. Trainees appointed to other positions (FTTA
or LAT) will also complete the ARCP process. All appointments to the
programme will be made by the official national appointments panel. LAS
positions will not be recognised for training. Trainees failing to offer evidence
of Core training or offering alternative experience for consideration of training
recognition will enter the CSSR pathway.
The information on the following pages is intended to provide an overview of
the training programme and may be subject to change from time to time.
Further information on each of the training centres may be gained by
contacting the Training Director for each of the participating centres.
OCCUPATIONAL HEALTH
THIS WILL BE TREATED IN STRICT CONFIDENCE AND WILL NOT BE
SEEN BY ANY OTHER EMPLOYEE OF THE HOSPITAL OR
POSTGRADUATE INSTITUTE
For pre-employment health assessment purposes, as part of Local
Occupational Health Services, the successful candidate will be required to
complete a health questionnaire. In addition, screening for Hepatitis B Status
and the carriage of MRSA will form part of the certificate of fitness. The
successful candidate may also be required to undergo additional screening for
MRSA at individual trust hospitals, depending on local policy.
The successful applicant may be required to undergo a medical examination.
REHABILITATION OF OFFENDERS
Because of the nature of this work, the post is exempt from the provisions of
Section 4(2) of the Rehabilitation of Offenders Act 1974 (exemptions) Order
1975.
You are therefore NOT entitled to withhold information about
convictions, which for other purposes are “spent” under the provisions of the
Act, and, any failure to disclose such convictions could result in disciplinary
action by the Trust. Any information given will be kept in strict confidence,
and used only relation to the position to which the order applies.
PROTECTION OF CHILDREN
Because this post has been identified by the Postgraduate Institute as giving
substantial opportunities for access to children in need of relatively lengthy
inpatient care, the preferred candidate (after shortlisting and interview) for this
post will be checked with the Police for possible criminal background in
accordance with the provision contained in Health Circular HS(88)9 and HSG
(94)43 (an “extended CRB”).
The checking procedure is completely confidential and checks will be made
on the preferred candidate only and no other.
2. Consortia
The consortia currently involved in national selection are as follows;
1.
Northwest;
i. Liverpool
ii. Manchester
2.
Northern Ireland
i. Belfast
3.
Yorkshire/East Midlands
i. Newcastle
ii.
Leeds
iii. Hull
iv. Sheffield
v. Nottingham
vi.
4.
Leicester
Midlands & West
i. Birmingham
ii. Bristol
iii. Cardiff
5.
Southeast
i. Chelsea and Westminster
ix.
Brighton
ii.
x.
Oxford
London
iii. Lewisham
xi. Cambridge
iv. Georges
xii.
v.
Kings
vi.
GOS
vii. Evelina
viii.
Southampton
Norfolk and Norwich
North West Consortium (Manchester/Liverpool)
The North West Consortium has the unique benefit of being able to deliver a six year training
programme without relocation of the trainee in view of the proximity of the two centres.
Manchester has recently hosted the Commonwealth Games and Liverpool was European
Capital of Culture in 2008. Both cities boast internationally renowned musical, theatrical and
sporting venues. There is easy access to Wales, the Lake District and the Peak District to
escape the hectic pace of the city. The training rotation consists of approximately 3 years in
each centre.
The Royal Liverpool Children’s Hospital NHS Trust (Alder Hey) serves not only the local
children of Liverpool, but is the tertiary referral centre for children from Merseyside, Cheshire,
parts of Lancashire, Shropshire and North Wales for many sub-specialties of paediatrics.
The hospital has approximately 270 beds, including day beds for surgery and a medical day
care unit. The paediatric services and expertise within the hospital are considerable and
include paediatric ophthalmology, cardiology, cardio-thoracic surgery, neonatal surgery,
neurology,
neurosurgery,
audiology,
nephrology,
respiratory,
rheumatology,
gastroenterology, dermatology, endocrinology, metabolic medicine, haematology, oncology,
paediatric infectious diseases and immunology, clinical genetics, trauma, paediatric intensive
care, paediatric radiology, paediatric pathology, general surgery and general paediatrics all
on a single site. The radiology department provides an excellent supportive service, which
includes both a CT and MRI scanning service. Consultant Surgeons also manage surgical
neonates at the Liverpool Women’s Hospital in conjunction with the “in house” neonatal team.
There is a purpose built Education and Conference Centre is on-site. There is a 170-seated
Lecture theatre and 4 seminar rooms with computer based projection and video-conferencing
facilities.
There is 24-hour access to staffed library facilities, which take 140 current periodicals, both
medical and nursing. Literature search and inter-library loan services are available as well as
access to Medline, Cochrane and CINAHL databases.
Consultant Surgical Staff
Mr R Turnock
Professor P. Losty
Mr M Jones
Mr G Lamont
Mr C Baillie
Mrs F McAndrew
Mr S Kenny
Mr E Jesudason
Mr S Donnell
Mr S Ahmed
Mr A Baird
(Head of Mersey School of Surgery) Lower GI/Intersex
Upper GI/Oncology
(Clinical director)
Upper GI/Thoracic/Liver
(Post graduate deputy dean)
Lower GI/IBD
(Local Programme director)
Lower GI/IBD
Urology/Intersex
Urology/Lower GI/Intersex/Laparoscopy
Upper GI/Oncology/Thoracic/Laparoscopy
½ time AHCH, ½ time Stoke
½ time AHCH, ½ time Stoke
Adolescent urology –sessional AHCH
Junior Medical Staff
The registrar team consists of 9 registrars covering 8 firms, with a “floating” registrar. These
are supported by 8 “SHO-grade” doctors and 5 ward-based foundation doctors. There is also
a urology nurse consultant and specialist nurse, and a specialist nurse in surgical
gastroenterology.
University Affiliations
Professor Losty and Mr Jesudason are the university surgeons. There is a thriving research
interest in diaphragmatic hernia, foetal lung development and tumour molecular biology.
There is a strong track record of supporting trainees through higher degrees during a formal
research period. Mr Kenny has a major research interest in Hirschsprung’s disease and stem
cell biology as applied both to Hirschsprung’s disease and nephrology. He also has
supported trainees through a formal period of research for a higher degree.
Activity
Inpatient Activity 2008-2009
Daycase
Elective
Paediatric Surgery
1552
Paediatric Urology
442
Emergency
554
2196
316
74
Outpatient Activity 2008-2009
New
Paediatric Surgery
2730
Paediatric Urology
864
F-U
3981
2035
Total
6711
2899
Education Programme
Wednesday mornings are given over to departmental education. Typically a teaching ward
round is followed by a formal presentation, or journal club. The final event of the morning is
the radiology conference. Formal morbidity and mortality meetings occur monthly as does the
clinicopathological conference.
In addition to the surgical meetings there is a weekly grand round for the whole hospital, and
a structured teaching programme is run weekly by the education centre for junior doctors.
North West Consortium – Manchester
The relocation of the Royal Manchester children’s Hospital (Pendlebury) and Booth Hall
hospital in to a single building called The Royal Manchester Children’s Hospital occurred in
June 2009. Children’s surgical services are now housed in an ultra modern building which is
co-located with regional obstetric and level 3 neonatal services in the St Mary’s part of the
new building complex. The unit serves as a tertiary referral centre for children from Greater
Manchester, parts of Cheshire and parts of Lancashire with a birth population of around
50,000 / annum and catchment population of around 5.5 million. The hospital has 371 beds,
including a 17 bed paediatric intensive care unit, 12 bed high dependency unit, 12 bed burns
unit and a 48 bed elective treatment centre consisting of day case, short stay and medical
investigation units.
The Childrens hospital provides secondary paediatrics to the local population as well as
tertiary level care across a wide range of specialities including ophthalmology, cardiology,
neurology, nephrology, respiratory, rheumatology, gastroenterology, dermatology,
endocrinology, metabolic medicine, neonatology, haematology, oncology, paediatric
infectious diseases and immunology, clinical genetics, trauma, general surgery, urology,
plastic, orthopaedic, ENT and neurosurgery. There is a state of the art children’s A&E
department through which all emergency and patients being transferred from other hospitals
are triaged. The radiology department provides an excellent supportive service, which
includes both CT and MRI scanning service. The paediatric pathology service and regional
genetics services are located within the new building providing ready access to these as
required.
There is a purpose built Education and Conference Centre on-site including a main lecture
theatre and multiple seminar rooms with computer based projection and video-conferencing
facilities. In addition each floor has a number of seminar rooms adjacent to clinical areas
facilitating small group meetings within the children’s part of the hospital. There is 24-hour
access to staffed library facilities, which take a large number of current periodicals, both
medical and nursing. Literature search and inter-library loan services are available as well as
access to Medline, Cochrane and CINAHL databases.
Manchester is one of two NSCAG centres for the management of bladder exstrophy and
epispadias treating around 12 new patients a year. In addition Manchester in conjunction with
Alderhey provides the NSAG surgical service for babies with persistent hyperinsulinaemic
hypoglycaemia of infancy.
Consultant Surgical Staff
General Surgery
Mr J Bruce
-
Clinical Head of Division
Oncology/ Endocrine/ Neonatal surgery
Miss G Humphrey
-
Programme Director
Thoracic/oncology/ upper GI/neonatal surgery
Mr J Bowen
-
Miss P Kapur
-
Clinical Lead in General Surgery
Upper GI /lower GI including inflammatory bowel disease and
neonatal surgery
audit lead
Lower GI/inflammatory bowel and neonatal surgery
Mr A Morabito
-
Surgical clinical lead for NICU
Lower GI/endocrine/nontransplant surgery for short bowel
Mr J Morecroft
-
laparoscopic/upper GI and neonatal surgery
Mr G Rakoczy
-
laparoscopic/thoracic/gastrointestinal and
neonatal surgery
-
Bladder Exstrophy/Epispadias
Neuropathic bladder
Lower tract
Mr A Bianchi
-
Intersex (Disordered Sexual Differentiation)
Major hypospadias
Cloaca, urogenital sinus anomaly
Mr S Hennayake
-
Laparoscopy
Upper tract
Intersex, Major hypospadias, cloaca etc
Mr M Cervellione
-
Bladder Exstrophy/Epispadias
Presently away at the John Hopkins Children’s
Centre in Baltimore, USA till June 2010.
Ms S Nappo
-
Locum Consultant covering Mr Cervellione
Urology
Mr A Dickson
Junior Medical Staff
The registrar team consists of 10 recognised training posts. In addition there are 2 core
surgical training posts. The STs work a non-resident full on call rota which is time compliant.
The trust is currently working on developing internal rotations to increase the number of Core
level posts to 4.
There are three urology nurse specialists, 3 pre-operative nurse specialists and 2 specialist
nurses in surgical gastroenterology.
The urology department has recognition for a Urology NTN number. The current is post
holder holds her CCT in paediatric surgery and is due to complete her specialist urology
training Specialist registrar and in December 2010.
Education Programme
Monday mornings are given over to departmental education. Typically a radiology meeting is
followed by formal teaching or a journal club. There is a separate radiology conference for
nephrology-urology from 1-2 pm on Mondays and the Urology teaching takes place on
Thursday afternoons. Formal morbidity and mortality meetings occur monthly as does the
clinico-pathological conference.
In addition to the surgical meetings there is a weekly grand round for the whole hospital, and
a structured teaching programme is run weekly by the education centre for junior doctors.
As of summer 2009 all ST3 entry registrars employed by the North West Deanery are
required to undertake a distance learning course to obtain a certificate in medical education –
for those that which this can be extended to a degree level course.
Northern Ireland Consortium
Belfast Health and Social Care Trust (approved for all
years)
Postal Address: Royal Belfast Hospital for Sick Children, 80 Falls Road,
BELFAST BT12 6BE
HOSPITAL
NEONATAL
SURGERY
Royal Belfast Hospital
134
for Sick Children and
Ulster
Hospital
Dundonald
HOSPITAL
CONSULTANTS
(Gen/Urol)
RBHSC
6
INPATIENTS
(Elec/Emer)
456/851
DAY
CASES
1271
Paed
Surg
SPR
S
Urology/
Gen
Surg
SPR
Staff
Grade
Research
Fellow
3
0
1 – Trust
OUTPATIENTS
2912 – NEW
3160 - REVIEW
On-Call
Core
Trainee
s
Foundation
Trainees
0
3
0
General information on the Trust:
The hospital has:
16 – NICU, 8 - SCBU (located in the Royal Jubilee Maternity Hospital – on site)
6 – ITU
4 - HDU
There are 106 general paediatric beds including 8 day care beds, 10 adolescent beds and 4
HDU beds.
There is a 24 hour Paediatric A&E staffed by paediatric medical and nursing staff. Other
paediatric specialties provided on site include gastroenterology, endocrinology, neurology,
cardiology and respiratory medicine, plastic surgery and burns (including craniofacial
surgery), ENT, ophthalmology, orthopaedics and neurosurgery.
The hospital is affiliated to the Ulster Hospital, Dundonald where there are 4 outpatient
sessions and 4 operating lists per week.
Paediatric Surgery consultants and special interests:
Mr Alan Bailie
Mr David Marshall
Mr Alistair Dick
Mr Bill Mc Callion
Mr. Isaac Philip
Miss M McCullagh
Urology and Spina Bifida
Urology and Spina Bifida
General – Oncology, Laparoscopy, Thoracic
General – GI and Colorectal
General – Laparoscopy, urology, oncology
General – Thoracic and Oncology
Usual or average SpR commitments 56 hours – most recent diary exercise
No. of theatre lists per week
No. of outpatient clinics per week
No. of teaching sessions / week
No of research / free sessions / week
On Call Rota :
13
10
3
2-3
1:7 optional residence.
Regular Activities: Weekly - paediatric surgery, radiology,
medical/surgical, combined Paediatric Surgical Round.
Monthly - audit meeting, perinatal grand round, histopathology.
teaching
combined
Specialised Clinics: Combined surgical + oncology - monthly, weekly urodynamics and
continence clinic with nurse specialist, vascular malformation – 3 monthly.
Library and Information Services: Library on site, linked to other libraries in Queen’s
University
Local Programme Director:
Telephone:
Fax:
Email:
Majella Mc Cullagh
028 90 632803
028 90 632802
majella.mccullagh@belfasttrust.hscni.net
Yorkshire/East
Midlands/Northern
Consortium
(Nottingham, Leicester, Sheffield, Leeds, Hull and
Newcastle)
The consortium offers excellent training in all aspects of paediatric surgery in centres to the
East of the Pennines. Trainees rotate to two centres during their six year programme,
spending an average of three years in each centre. Due to potential distances between these
two centres it is usual for some trainees to relocate during their training period. The backbone
of the consortium is the A1 and M1 and so centres are well connected by road and rail. The
housing is some of the most affordable in the country. Each city has its own unique character
and strong industrial heritage. The Pennines keep the rain mostly on the Western side!
There is easy access to some of the best countryside (Peak District, Yorkshire Dales and
Moors, Northumberland) and coastline in the UK.
The NORTHERN DEANERY
(in conjunction with Newcastle Upon Tyne Hospitals NHS Trust)
ST3 IN PAEDIATRIC SURGERY
This post provides comprehensive run through training in Paediatric Surgery as part of the
Northern / Yorkshire / Trent consortium. After 3 years in their first centre, the successful
applicant rotates to a second centre, subject to satisfactory progression.
The post in Newcastle is based in the Department of Paediatric Surgery in the Victoria Wing
of the Royal Victoria Infirmary. Incorporated in this Department is a 7-bedded regional acute
neonatal surgical ward (Ward 12) comprising 4 intensive care and 3 high dependency cots.
Other children are admitted to a ward (Ward 9) comprising 25 beds, 18 of which are cubicles.
There is a dedicated Surgical Day Unit (Ward 2) which treats 16 patients per day.
General children’s services are currently provided at the Royal Victoria Infirmary and
Newcastle General Hospital. Both departments are closely linked to the University
Department of Child Health located in the purpose built Sir James Spence Institute of Child
Health.
As a Regional Centre the Department serves the Northern sector of the Northern & Yorkshire
Region. Geographically this extends from Cleveland in the South, the Scottish Border in the
North and North Cumbria in the West. The service covers a population of approximately 3.5
million with around 50,000 live births per annum. All major surgical disorders are referred to
Newcastle. The provision of comprehensive treatment of these patients is dependant on
close liaison with colleagues in the specialities of paediatrics, nephrology, gastroenterology
and oncology, all of which are located in the RVI. Paediatric cardiac services are located at
the Freeman Hospital (approximately 3 miles distant) and reciprocal consultation services are
provided between the two hospitals. All maternity services for Newcastle (approximately
5,000 live births per annum) are now located in the Leazes Wing of the RVI along with a large
Special Care Baby Unit.
Paediatric radiology services are located in the Victoria Wing
Radiology Department and include screening facilities, ultrasound, CT scanning and MRI.
Accident and Emergency Services are currently based at Newcastle General Hospital but due
to relocate to the Victoria Wing, Royal Victoria Hospital in summer 2010.
Outpatients are seen in a separate Children’s Clinic located close to the Department within
the grounds of the RVI. Outreach clinics are undertaken at Carlisle and Whitehaven (Mr
Willetts); South Tees and Darlington (Mr de la Hunt); North Tees (Mr Lall) and Sunderland
(Mr Barrett), mostly on a monthly basis. There is an outreach service of an operating list and
outpatient clinic in Middlesborough twice a month (Mr Hosie).
THE JOB ITSELF
a) Staffing of the Unit
Consultants - Mr AM Barrett (Oncology)
Mr MN de la Hunt (Urology)
Mr GP Hosie (Oncology and Gastroenterology)
Mr B Jaffray (Gastroenterology)
Mr A Lall (Urology)
Mrs A Lawson (Gastroenterology)
Mr I E Willetts (Urology)
5 Specialist Registrars (including this post)
1 General Surgery Specialist Registrar
1 Urology Specialist Registrar
1 Fellow (currently vacant)
1 ST1 Paediatric Surgery
1 ST2 Paediatric Surgery
3 ST 2 Paediatrics
2 FT2
b) Duties of the post
i)
Clinical:
Ward and operating theatre duties
Experience in neonatal surgical and intensive care unit
1 or 2 outpatient sessions each week
On-call duties on a 1 in 8 basis including prospective cover.
ii) Teaching: Regular undergraduate and postgraduate teaching
iii) Research: Facilities for investigative work can be made available in University
Department of Surgery and University Department of Child Health
iv) Audit: Active participation in Clinical Audit is expected and time is set aside
to encompass this.
c) Location of duties
Royal Victoria Infirmary
(Newcastle General Hospital, Freeman Hospital - duties required from time to
emergencies).
d) Emergencies
time for
The junior doctor accepts that he/she will also perform duties in occasional emergencies and
unforeseen circumstances at the request of the appropriate consultant, in consultation where
practicable with his/her colleagues both senior and junior. It has been agreed between the
profession and the Department that while juniors accept that they will perform such duties,
the Secretary of State stresses that additional commitments arising under the subsection are
exceptional and, in particular, that juniors should not be required to undertake work of this
kind for prolonged periods or on a regular basis.
e) Cover for colleagues’ absences
Prospective cover included.
STUDY AND TRAINING
a) The post is recognised for run through training in Paediatric Surgery subject to
satisfactory performance. The Trainee will have the opportunity to rotate to another centre
tailored to the trainee’s needs.
b) Subject to the exigencies of the service, time off with pay and expenses for approved
courses and conferences is granted in accordance with Regional Policy.
c) Formal postgraduate education is mostly carried out at a once weekly “Grand Round”
which occupies an entire morning. Attendance by the entire clinical staff is expected. The
session commences with formal teaching, a radiology conference conducted by the
Consultant Paediatric Radiologist, a round on the Neonatal Surgical Unit conducted jointly
with the Department of Paediatric Anaesthesia, whose members are responsible, in liaison
with the Paediatric Surgeons, for the care and management of neonatal surgical patients and
a round of the ward patients. Once monthly clinical audit, Pathology, Morbidity and Mortality,
Audit Projects and Journal Club occur. During the Grand Round there is discussion of
significant administrative or clinical problems that have arisen in the department
Weekly multidisciplinary meetings are held with the Departments of Paediatric
Gastroenterology, Paediatric Oncology and Paediatric Nephrology. There are opportunities to
attend prenatal counselling sessions for parents of infants with surgical conditions.
d) The University medical library is located in the Medical School to which the Royal Victoria
Infirmary is directly connected. This library is open in the evenings during term-time and
access from the Royal Victoria Infirmary is easy. The Department itself is supplied with
relevant textbooks and journals.
e) Study facilities are provided by the University Department of Surgery and the University
Department of Child Health.
FURTHER INFORMATION
For further details of the post, please contact:
Mr G P Hosie
Consultant Paediatric Surgeon
Secretary ; 0191 233 6161 ext 25161
E-mail: Gareth.Hosie@nuth.nhs.uk
The Leeds Teaching Hospital NHS Trust
(Approved for all years)
Postal Address: Great George Street, Leeds, West Yorkshire LS1 3EX
Leeds Teaching
Hospitals NHS
Trust
Neonatal
Admissions
Inpatient Admissions
Daycase
Admissions
Outpatients
1018
177 SURGICAL
841 MEDICAL
2546
1055 ELEC
1491 ACUTE
1590
5066
2095 NEW
2971 FU
Consultants
LTH
9
Paed Surg
SpR
6
Urology
Fellow
1
Trust
Grade Reg
1
Core
Trainees
4
Foundation
Trainees
3
Trust
Grade SHO
2
The Leeds Teaching Hospitals NHS Trust (Leeds General Infirmary and St James’ Hospital)
provide local, regional and supra-regional care for children from West and parts of North
Yorkshire and areas beyond. The paediatric services within the trust cover many specialities:
paediatric ophthalmology, cardiology, cardio-thoracic surgery, neonatal surgery, neurology,
neurosurgery, audiology, nephrology, paediatric urology, hepatology, hepato-biliary surgery
and transplantation, respiratory,
rheumatology, gastroenterology, endocrinology,
haematology, oncology, paediatric infectious diseases and immunology, clinical genetics,
orthopaedics and trauma, paediatric intensive care, paediatric radiology, paediatric pathology,
paediatric dentistry, general surgery and general paediatrics. The radiology department
provides an excellent supportive service, which includes both a CT and MRI scanning service
on both sites. Being part of a large teaching hospital with all adult specialities there is
frequent interaction both clinically and educational between departments.
Plans are underway to amalgamate all in-patient paediatric services on the Infirmary site,
commencing April 2010 and the move should be complete by June 2011. Outpatient services
will remain at St. James and the Seacroft site.
There is an active department of Postgraduate Medical Education with training facilities on
both sites. Currently a deanery funded wet and dry lab is being built with facilities for open
and laparoscopic surgical training, in addition to a simulator. At the St. James’s site, the
Leeds Institute of Minimally Invasive Therapy/ Leeds Institute of Skills Training & Assessment
(LIMIT/LISTA) offers training facilities when not being used for formal courses.
There are hospital and University library facilities at both main sites, in addition to on-line
access to journals.
Consultant Surgical Staff
Prof. D Thomas
Mr A Najmaldin
Mr R Squire
Mr D Crabbe
Mr I Sugarman
Mr M Powis
Urology
SAC representative
Urology/Minimally invasive and robotic surgery
Surgical Network lead
Oncology/General
Clinical director
Thoracic/Upper GI
BAPS Honsec
Lower GI/IBD
Training Programme Director
Oncology/GI/Minimally invasive surgery
Mr R Subramaniam
Mr N Alizai
Mr J Sutcliffe
Urology
Hepato-biliary surgery
Lower GI/IBD
Junior Medical Staff
The eight registrars work a non-resident 1A banded rota. They are supported by 9 “SHOs”
who are a mixture of core surgical trainees, foundation trainees and trust doctors. In addition
there is a neonatal nurse consultant, a surgical nurse practitioner and nurse specialists in
gastroenterology (feeding/PN and lower GI), neonatal surgery, urology and pain
management.
Education programme
Thursday mornings begin with either a journal club, radiology/case interpretation meeting or
perinatal meeting. This is followed by a teaching ward round and “SHO” teaching. There is a
weekly X-ray meeting, oncology MDT and monthly GI pathology meeting. The in-house
registrar teaching is linked to the monthly audit meeting, in addition there are consortium
education days throughout the year. There are weekly Paediatric and Hospital Grand Round
meetings.
Hull And East Yorkshire Hospitals NHS Trust
Postal Address: Anlaby Road, Hull HU3 2JZ
Hull Royal Infirmary
The Trust comprises of Two Major Hospitals the Hull Royal Infirmary and Castle Hill
Hospital. Between them the bed strength is 1503 beds and serve an extended population in
excess of 1.2 million. The Hull Royal Infirmary Hospital houses the A&E Department and
Children’s services. Paediatric services are part of the Women’s and Children’s Division of
the Trust.
PAEDIATRIC SERVICES
General Paediatric Services
All Paediatric Services are located on the main Hull Royal Infirmary Hospital site with the
paediatric wards/HDU/Safeguarding suite located in the tower block. There are 3 Paediatric
in-patient wards on the 12th and 13th floor. The Paediatric Outpatients and Neonatal Intensive
Care Unit are located in the new Women & Children’s Hospital which is connected to the
tower block.
The Neonatal unit has 30 beds --- 5 ITU, 7 HDU, 2 (Mother and baby), 16 special care cots.
There are 70 general paediatric beds including 4 HDU and 2 ICU. There is a Paediatric A&E
staffed by paediatric medical and nursing staff.
Other paediatric specialties provided on site include gastroenterology, endocrinology,
neurology, cardiology and respiratory medicine, ENT, plastic surgery, ophthalmology,
orthopaedics and neurosurgery.
The Child Protection (CP) Service is based in the Anlaby Suite at Hull Royal Infirmary
The Trust is affiliated to the Hull and York Medical School (HYMS). The Academic
departments within the Medical School complement the clinical service and provide facilities
for laboratory research.
The ERMEC (East Riding Medical Education Centre), the largest Postgraduate medical
educational facility in the Yorkshire Region is based at Hull Royal Infirmary and was built
in 1989 for the training and education of NHS personnel .
There are many significant and exciting challenges ahead in relation to Education and
Development. Meeting the demands and aspirations of the Knowledge and Skills
Framework (KSF), ensuring we deliver educational activity to meet the governance
agenda, and working towards a fully qualified workforce all represent a snapshot of our
current activities.
Education and Developments Learning Strategy aims to encourage and support learning
activity of high quality which is people-based, focussed on NHS priorities, attracts funding
from a range of sources and delivers excellence in patient care through appropriate
education
The centre comprises of a lecture theatre, three seminar rooms, and a dining room that
can provide catering for any event. The upper floor houses administration and the
resource centre, which offers access to the Internet 24 hours a day. The ground floor
houses, web services and the customer and media services team. The centre also offers a
wide range of visual and audio equipment available for your use including video
conferencing and lecture recording.
On top of routine technical services, several other technologies are available in support of
any meeting…
Apreso Audio/Video Recording
SMART Boards
Video conferencing & Video Formatting and Transfer
Photography
Linked Lectures & Live Links to Operating Theatres
There are two Libraries, one at Hull Royal Infirmary found in the East Riding Medical
Education Centre (ERMEC) and the other at Castle Hill Hospital.
Each Library has 24 hour study facilities. The libraries work as a partnership with the
knowledge, information and library services of the Hull Primary Care Teaching NHS Trust
and East Riding of Yorkshire Primary Care NHS Trust and the Humber Mental Health
Teaching NHS Trust.
The Strategic Health Authority awarded Hull and East Yorkshire Hospitals NHS Trust funding
for a multi-professional Clinical Skills Facility across the North and East Yorkshire and
Northern Lincolnshire locality.
The rationale behind this development is to allow trainees to participate, build confidence and
be competency assessed in undertaking complex and invasive procedures in a safe learning
environment. The ultimate aim in developing this Facility is to ensure patient safety by
delivering high quality patient care.
The facility is due for completion in March 2010 and will provide flexible accommodation for
the delivery of training and assessment needs of all postgraduate and undergraduate trainees
as well as clinical staff from all relevant disciplines internal and external to the Trust. The
accommodation will include simulated ward, critical care and theatre suite environments, as
well as seminar rooms providing an environment where students and staff with an interprofessional approach can acquire a range of practical, clinical, and communication skills.
The facility will be available for the education, training and assessment of clinical skills for
healthcare providers across the region.
Paediatric Surgery Consultants and special interests:



Hull And
East
Miss S Besarovic – Neonatal Surgery/GI /Laparoscopy
Mr R D Daniel – General and Urology/Laparoscopy
Mr M Fleet- General and Laparoscopy
Neonatal
Inpatient Day Case
Admissions
Admissions
Admissions
Outpatients
Yorkshire
Hospitals
NHS Trust
Medical
502
434
Surgical
68
3836
2868
923
968
682
New 3934
2638
1296
FU 8594
6960
1634
Junior Medical Staff
Paediatric
Surgical SpR
General
Surgical SpR
Clinical
Fellow/Trust
Grade Reg
Core
Trainees
Foundation
Trainees
1
1
2
2
1
Usual or average SpR commitments
Monday
AM
OP Clinic
PM
I/P Theatre
Tuesday
I/P Theatre
OP Clinic
Wednesday
DS Theatre/
Endoscopy list
Thursday
OP Clinic
Histopathology Meeting
(Once a month)
Emergencies
Friday
Grand Rounds
Radiology meeting CME
Teaching/Journal
Club
Audit
Emergencies
Specialized Clinics: Combined Surgical- Gastroenterology
Combine TOF (Surgical, Gastroenterology, Respiratory, Psychologist)
Urology Clinic
On Call Rota:
1 : 4 (weekend non resident) EWTD compliant.
Clinical and administrative duties will include the supervision of F2/Trust Doctors within the
Department. Post-holders will gain experience in all aspects of paediatric surgery. There is
also an opportunity for the post-holder to gain good exposure in outpatients and
developmental follow-up, accident and emergency, high dependency care, paediatric and
neonatal intensive care. The post-holder will be responsible to the three consultants and will
have an educational supervisor for regular appraisals.
SHEFFIELD CHILDREN’S HOSPITAL (SCH)
The Children’s Hospital is approximately one mile from the City Centre on the South-West
aspect of Sheffield, close to the Royal Hallamshire Hospital and the Jessop Wing
(Obstetrics/Neonates). Sheffield is the most central of the North East M1/A1 corridor
Consortium centres (NLHSNL) Newcastel/Leeds/Hull/Sheffield/Nottingham/Leicester
Adjoining the Children’s Hospital is the Stephenson Building, which contains the Academic
Division of Child Health (www.shef.ac.uk/childhealth), the Illingworth library and lecture
theatre and the Department of Postgraduate Medical Education, led by Mr Lee Breakwell
consultant orthopaedic spine surgeon. The floor is soon to be refurbished as a clinical skills
centre with minimally invasive skills simulators. The Lecture theatre seats 150 with 3 seminar
rooms with computer based projection and video-conferencing facilities.
There is access to staffed library facility on site, which takes the relevant current periodicals,
both medical and nursing. Literature search and inter-library loan services are available as
well as access to Medline, Cochrane and CINAHL databases.
Health services in Sheffield are provided for a resident population of approximately 526,000.
Regional services are provided for approximately 450,000 children under sixteen. The
majority of children's services are based at the Children's Hospital. Sheffield Children’s
Hospital (SCH) forms a combined Trust with Community Paediatric Services and Child and
Adolescent Mental Health Services.
The hospital has a children's Emergency Department which has 48,000 new patients per
year. Sheffield Children’s Hospital provides secondary paediatrics for the city, which
comprises about 20% of the population of North Trent.
The Supra-District Neonatal Intensive Care Unit is part of the Jessop Wing of the Royal
Hallamshire Hospital, situated about 138 metres from the Children’s Hospital. Consultant
Surgeons also manage surgical neonates at the Women’s Hospital in conjunction with the “in
house” neonatal team. The surgeons run a 10 bed Neonatal surgical unit at SCH
The Children’s Hospital NHS Trust serves not only the local children of Sheffield, but is the
tertiary referral centre for children from South Yorkshire and Humber, North Derbyshire and
north Lincolnshire which includes the major towns of Grimsby, Scunthorpe, Barnsley
Rotherham,Doncaster,Chesterfield,Worksop
Activity
As a result of the rationalisation of Paediatric services in Sheffield, the hospital is in the
process of significant development and building.
Currenlty the hospital supports
approximately 150 beds. All paediatric in-patients in Sheffield are cared for at SCH.
There are currently 7 operating theatres including a Storz OR1 integrated theatre for
minimally invasive surgery, linked to the lecture theatre and seminar room. There are 3 high
definition Storz laparoscopy mobile carts each with HD camera and screen with touch screen
control to allow any operation by a trainee to be recorded on video. There are eight 5 mm
and five 3 mm laparoscopic instrument sets (so we never run out of equipment). There are
two LOTUS ultrasonic dissection energy sources a Ligasure source and a Erbe Argon
diathermy source as well as NdYAG laser for urological stone work. Trainees can expect to
be trained in laparoscopic appendicectomy and pyloromyotomy from day one, which builds a
platform for other more advanced procedures in due course.
Theatres are supported by a 9-bedded Post-Anaesthesia Care Unit and a 15-bedded Day
Case Surgical Unit.
Surgical services involve general, urology, neonatal, orthopaedic (including spinal surgery
and limb reconstruction), plastic, ENT, dental, ophthalmology and neuro- surgery. Currently
there are 6 Consultant General Paediatric Surgeons and 7 Consultant Paediatric Orthopaedic
Surgeons, plus a further 3 Spinal surgeons. The Trust has a 4-bedded Paediatric Burns Unit.
Medical Services comprise oncology, haematology (including bone marrow transplantation),
respiratory, neurology, gastroenterology, hepatology, renal, metabolic, metabolic bone
disease and immunological paediatrics. The hospital has a separate children's Emergency
Department that sees about 45,000 new patients per year.
All the above are on a single site at Western Bank
There is full on-site laboratory and radiological support, including MRI and spiral CT. The
radiologists provide an echocardiography service as the cardiology service is based at Leeds
General Infirmary.
Consultant Surgical Staff
Mr P Godbole
Mr S Marven
Mr G Murthi
Mr R Shawis
Mr J Roberts
Miss J Walker
(Clinical Team Lead for PSU, Lead for Neonatal surgery Unit)
Urology and Intersex
(RCS Surgical tutor, Audit lead and Local Programme Director)
Thoracic/Upper GI/Oncology/laparoscopy
Lower GI
Lower & Upper GI
Urology and Intersex
Oncology/Thoracic/Upper GI
Junior Medical Staff
The Middle grade team consists of 5 HST registrars and one Clinical fellow covering 5 firms,
with a “floating” Clinical Fellow. The rota is a non resident 1:7 prospective cover. These are
supported by 10 “SHO-grade” doctors and 2 ward-based foundation doctors. There is also a
urology nurse Specialist and Stoma specialist nurse
University Affiliations
All consultants have an Honorary Clinical Senior lecture status
Activity
Inpatient activity 2008/2009
Daycase 1567 (Day Case Rate 64.9%)
Inpatient 846
Elective 2413
Emergency - 1616
Outpatient activity 2008/2009
New Follow up Total -
3451
5277
8728
Education Programme
Twice monthly Tuesday afternoons are given over to Higher surgical education. Formal
morbidity and mortality meetings occur monthly as part of the Governance meetings. Xray
meetings are twice a week. MDT oncology is weekly and Histopathology is twice monthly.
There is an emphasis on laparoscopy teaching with laparotrainers used regularly and a move
towards virtual reality training
In addition to the surgical meetings there is a weekly grand round for the whole hospital, and
a structured teaching programme is run weekly by the education centre for junior doctors.
Nottingham Children’s Hospital @
Nottingham University Hospitals
Postal Address: Nottingham University Hospitals NHS Trust, Queen’s Medical Centre,
Derby Road, Nottingham, NG7 2UH
General information on the Trust:
Nottingham Children’s Hospital is part of Nottingham University Hospitals, a large teaching
hospital.
Nottingham University Medical School is on site.
A&E is on the Queens Medical Centre site, with a separate Children’s Emergency
Department.
Paediatric Surgery:
Although based at the Queen’s Medical Centre (QMC) the service reaches out into the local
and regional population.
Tertiary work is performed at QMC, with the provision of NICU, PICU, PHDU and a full range
of paediatric sub-specialities. Other surgical specialities operating on children are on site,
except burns (at Nottingham City, due to move to QMC in the near future) and cardiac
surgery (at Glenfield Hospital, Leicester).
Outreach work includes clinics and operating at hospitals in the region (Derby, Mansfield,
Lincoln, Boston & Chesterfield). Trainees join consultants for some of these sessions.
Paediatric Surgery consultants and special interests:
Mr RJ Stewart
Mr SJ Singh
Mr BW Davies
Mr MU Shenoy
Mr AR Williams
Mr SS Motiwale
General – Oncology, Laparoscopy, Thoracic
General – Lower GI
General – Oncology, Laparoscopy, Thoracic
Urology
Urology & Renal Transplant
General – Joint appt with Derby
Regular Activities:
Weekly:
Radiology
Departmental Teaching
Combined Neonatal & Surgical Round
Combined Paediatric Surgical Round
Monthly:
Oncology (this will be weekly shortly)
Specialised Clinics:
Regular:
Neuropathic Bladder
Disorders of Sexual Differentiation
Bowel
Irregular:
Antenatal counselling
Respiratory
Gastroenterology & SBS
Oncology
Library and Information Services:
Medical School Library on site
On Call Rota: 1:6 non-resident on-call (optional resident)
Junior Doctors Hours Band: Currently 2A
Why Come to Nottingham?
We provide exposure to the full range of Paediatric Surgery & Urology, from basic to
advanced, except Bladder Extrophy & Biliary Atresia.
Our Registrar’s Logbooks demonstrate a good number of cases and progression from
performing basic and intermediate procedures in early ST training, through to performing
advanced procedures towards the end of training.
We have a good record of our trainees passing FRCS (Paed Surg) at the first attempt.
Minimal invasive surgery is a routine part of our practise and trainees are expected to
become competent at performing minimally invasive procedures during their time with us.
But, don’t take our word for it; speak to our current and former SpRs.
Local Programme Director:
Brian Davies
Telephone:
0115 924 9924 ext 62592
Fax:
0115 9709006
Email:
brian.davies@nuh.nhs.uk
University Hospitals of Leicester NHS Trust
The University Hospital of Leicester is a large hospital with around 2000 beds and 12,000 employees.
The Children’s Hospital is located with the University Hospital of Leicester. We have 120 beds. Ward
10 is a dedicated ward for Paediatric Surgery. Neonatal admissions are located in the Neonatal Unit
and Paediatric Intensive Care Unit. The Department of Paediatric Surgery is a very busy unit with a
wide spectrum of conditions and this creates a tremendous opportunity for the Paediatric Surgical
Trainees to excel both clinically and academically.
NEONATAL
SURGERY
HOSPITAL
University
Hospitals of
Leicester
NHS Trust
HOSPITAL
University
Hospitals
Of
Leicester
NHS Trust
INPATIENTS
(Elec/Emerg)
125
CONSULTANTS
(Gen/Urol)
5
673/1144
Paed.
Surg.
SpR
4
Paediatric Surgical Consultants:
Mr Shawqui Nour
Mr George Ninan
Mr Ross Fisher
Mr Ashok Rajimwale
Mr Nitin Patwardan (Locum)
DAY CASES
Urology/
Gen Sur
SpR
0
938
Staff
Grade
(Clin.
Fellows)
Research
Fellows
3
0
1:7
OUTPATIENTS
New: 2204
Follow up: 2196
Core
Trainees
Foundation
Trainees
1
3
On-call
There are twelve operating lists every week. Six outpatient clinics. One teaching session. One X-ray
meeting. A monthly histopathology meeting.
Local Programme Director:
Tel:
Fax:
E-mail:
Mr George Ninan
0116 258 5290
0116 258 6676
george.ninan@uhl-tr.nhs.uk
Birmingham Children’s Hospital (Approved for all Years)
BIRMINGHAM CHILDREN'S HOSPITAL
NHS FOUNDATION TRUST
Postal Address:
Steelhouse Lane
Birmingham, B4 6NH
General information on the Trust:
Birmingham is a progressive, modern city offering pleasant accommodation and excellent civic
infrastructure.
The Children’s Hospital moved to Steelhouse Lane in the centre of the city in May 1998. This
marked the culmination of a long history of planning for a new Hospital to replace the
overcrowded facilities at its previous home in Ladywood. We have a large, multidisciplinary,
dedicated Children’s Hospital with a capacity for almost 300 beds. Further redevelopment is
underway to extend our 20-bed intensive care unit and to increase operating theatres from 9 to
12. In addition to upgraded clinical facilities, the site includes a new parent accommodation
block and a new Education Centre.
Paediatric Surgery Consultants:
Consultant Paediatric Surgeons
Mr D Parikh Mr A Lander
Mr G Jawaheer
Mr S Arul Mr I Jester Mr M Singh
Consultant Paediatric Urologists
Mr K Parashar, Mr H Chandran and Mr McCarthy
Usual or average SpR commitments
No. of theatre lists per week
3
No. of outpatient clinics per week
2
No. of teaching sessions / week
2
No of research / free sessions / week
On Call Rota :
Hours
1
1:11 resident.
Regular Activities: Weekly paediatric surgery meeting incl monthly M&M. Weekly radiology
meeting + weekly urology radiolgy meeting, regular pathology meeting + fortnightly oncology
meeting. Weekly combined neonatal and paediatric surgical round.
Specialised Clinics: Combined surgical + gastronenterology, weekly urodynamics and
continence clinic with nurse specialist
Library and Information Services: Library in adjacent Education Centre
Local Programme Director:
Mr Dakshesh Parikh
Telephone:
0121 333 8090
Fax:
0121 333 8081
Email:
dakshesh.parikh@bch.nhs.uk
Midlands & West Consortium
Royal Hospital for Children, Bristol (Approved for all Years)
Postal Address: Upper Maudlin Street, Bristol BS2 8BJ
General information on the Trust:
The children’s hospital has 160+ beds including a 16 bedded PICU. There is a 24 hour
Paediatric A&E. Other paediatric specialties provided on site include gastroenterology,
endocrinology, neurology, cardiology/cardiac surgery, respiratory medicine, oncology/BMT,
ENT, orthopaedics. There is a 24 bedded surgical ward (shared with orthopaedics + ENT), a
13 bedded day case unit and a 14 bedded adolescent unit. Beds are used flexibly in the
children’s hospital.
St Michaels’s hospital a 5 minute walk away has a fully staffed 25 bedded NICU where the
majority of surgical neonates are managed under joint care, a smaller number come to
PICU/BCH.
Frenchay hospital, a 20 minute drive away, is currently the base for paediatric neuro surgery,
plastic surgery and burns.
Paediatric Surgery consultants and special interests:
Miss E Cusick
Mr M N Woodward
Miss J McNally
Mr G Nicholls
Mr T Rogers
Mr R Garrett-Cox
(Paediatric Surgery + Gastrointestinal)
(Paediatric Surgery + Urology)
(Paediatric Surgery + Thoracic & Gastrointestinal)
(Paediatric Surgery & Urology)
(Paediatric Surgery + Oncology + Laparoscopy)
(Paediatric Surgery + Laparoscopy + Oncology)
Usual or average SpR commitments
No. of theatre lists per week
No. of outpatient clinics per week
No. of teaching sessions / week
No of research / free sessions / week
On Call Rota :
Hours
3
1
2
1-2
1:7 non-resident.
Regular Activities: Weekly paediatric surgery meeting incl monthly M&M. Weekly radiology
meeting + weekly urology radiology meeting, fortnightly pathology meeting + fortnightly
oncology meeting. Twice weekly combined neonatal and paediatric surgical round.
Specialised Clinics: Combined surgical + gastroenterology, weekly urodynamics and
continence clinic with nurse specialist
Library and Information Services: Library in adjacent Education Centre
Local Programme Director:
Telephone:
Fax:
Email:
Miss E Cusick
0117 3428835
0117 342 8845
Eleri.Cusick@ubht.nhs.uk
University Hospital of Wales, Cardiff & Vale NHS Trust
Postal Address: Heath Park, Cardiff CF14 4XW
General Information on the Trust
The Children Hospital and department has 157 Beds . In addition there are 7 PICU Beds 4 HDU
Beds , 34 NICU Beds. The unit provides secondary Paediatric Surgical services to Cardiff and
tertiary services to South Wales. It is a part of the University Hospital complex.
It is an integral part of Medical college complex and has an active Paediatric research centre.
Paediatric Surgery Consultants
Mr. Huddart, Mr. Hutton, Mr. Surana, Mr. Milanovic, Ms.Sundarajan.
Typical SpR commitments
Theatres
Clinic
Combined ward rounds
Teaching
Research, Admin session
Off Duty
On call Rota
3 sessions
2 sessions
twice a week
twice a week
1
1 session
1 in 5 non resident
Regular Activities: Weekly combined ward rounds 2/ week, Paediatric surgical meeting 1/week,
Hospital Grand round 1/week term times,
Radiology meeting 1/week, Pathology meeting 1/month,
Combined neonatal/surgical round 1/week, Tumour board meeting 1/week. Paediatric/ adult urology X
ray meeting, Joint Urodynamic meeting 1/3 months,
Specialised clinics
Combined surgical / Gastroenterology clinic, Combined adult and Paediatrics
Gastroenterology and surgery clinic. Urodynamics1/week, Joint Neuropathic Bladder Clinic 1/3
months, Continence nurse led clinic, Nurse practitioner clinics
Library and information Services
Local Programme Director
Telephone
Fax
Email
Library in Main Building
Mr. Rajendra Surana
02920 747747
02920743838
Raj.surana@cardiffandvale.nhs.wales.uk
South East Consortium
The programme covers the required six years of Higher Surgical Training and
incorporates twelve training centres, seven of which are in London
Paediatric Surgical Activity Figures for 2009
HOSPITAL
Chelsea and
Westminster/ St Mary’s
Lewisham Gen
NEONATAL
SURGERY
185
INPATIENTS
(Elec/Emer)
343 / 640
DAY CASES
OUTPATIENTS
696
4644*
114
564/780
910
3227*
Royal London
162
1200
750
4500
St. George's
156
2152
1200
4002
Kings
100
1000
250
1400
GOS – Gen Surg
125
1185/417
438
3501***
GOS Urology
34
968/163
1005
3960
Southampton
141
677/1259
1300
2248 (in house)
2670 (outreach
Oxford
304
1248
1207
4623**
Evelina Urol
Cambridge
179
Norfolk & Norwich
105
1029
242/1065
596
610
4608**
3730**
Brighton
96
*
177/823
does not include patients seen at Outreach Clinics
** does include Outreach Clinics
1108
3393
Paediatric Surgical Unit Staffing
CONSULTANT
S
(Gen/Urol)
Paed
Surg
SPR
S
Urology/
Gen Surg
SPR
Staff
Grade
Chelsea &
Westminster
5
4
1
Chelsea &
Westminster
4
1
5/1
HOSPITAL
Paed Surg/Shared Med
Research
Core Foundation
Fellow
Trai
Trainees
On-Call
nees
0
1
3
2
1
0
0
2*
0
4
-
1 Ass Sp
2
F2
-
3
0
1
0
1 CNS
3
-
3/2
4
-
3
4
3/2
St George's
5
4
-
1
-
3**
-
King's
4
3
-
-
1
2
0
GOS General
6
3
0
3
2
5
0
GOS Urology
4
1
3
3
4 CNS
2
Southampton
6/3
5
2
0
0
2
0
Oxford
4 /2
5
1
0
2
6
Cambridge
4/2
2
1 + 1 ACL
1.5 CNS
1+
3 CNS
3
1
Norfolk &
Norwich
3/1
2
2•
1
1
Paed
trainees out
of hours
2
Lewisham
Evelina
Royal London
4
1
1
Brighton
4
3
2
3.5
* Rota support with General Surgery
 Non-Training Grades / Trust posts / Research posts
** Shared with Paediatric Medicine
1
3.
Training Centres
Chelsea and Westminster NHS Trust
(Approved for Years 1-4)
Postal Address: 369 Fulham Road, London SW10 9NH
General information on the Trust:
The hospital has now a 43 bed NICU [12 ITU, 10 HDU, 4 (Mother and baby), 16 special care
cots and 1-2 PICNIC beds]. There are 52 general paediatric beds including 10 day care beds,
10 adolescent beds and 4 HDU beds (which will increase to 8-10 beds in April 2010). There is
a 24 hour Paediatric A&E staffed by paediatric medical and nursing staff. Other paediatric
specialties provided on site include gastroenterology, endocrinology, neurology, cardiology
and respiratory medicine (with the Royal Brompton), plastic surgery and burns (including
craniofacial surgery), ENT, ophthalmology, orthopaedics and neurosurgery. The hospital is
affiliated to Imperial College School of Medicine, University of London.
Paediatric Surgery consultants and special interests:
Mr M Haddad :
GI, and laparoscopy
Mr N Madden :
Urology
Mr S Clarke :
GI and Laparoscopy
Miss D DeCaluwe:
General and Urology
Mr. S Syed
General and GI
Usual or average SpR commitments
No. of theatre lists per week
No. of outpatient clinics per week
No. of teaching sessions / week
No of research / free sessions / week
On Call Rota :
Hours
4
2
2
1-2
1:6 optional residence.
Regular Activities: Weekly paediatric surgery meeting. Weekly Radiology meeting. Monthly
audit meeting. Weekly teaching combined neonatal round, combined Paediatric Surgical
Round.
Specialised Clinics: Combined surgical + gastroenterology twice weekly, weekly
urodynamics and continence clinic with nurse specialist.
Library and Information Services: Library on site, linked to other libraries in Imperial
College. Medline, Embase + electronic journals available from ICSM.
Local Programme Director:
Telephone:
Fax:
Email:
Mr Munther Haddad
0208 746-8885
0208 746-8644
m.haddad@imperial.ac.uk
University Hospital
(this Training centre is expected to close and transfer
activity to Evelina Site on 1 April 2010)
Postal Address:
Lewisham Hospital NHS Trust,
Lewisham High Street, London, SE13 6LH.
General information on the Trust:
This 700 bed acute trust is located in SE London and was developed as the Regional
Paediatric Surgery centre for the old SE Thames Region (population 3.5 million, birth
rate 52,000/annum). The Children's Hospital has 100 beds including a 30 bedded
surgical ward (shared with orthopaedics and ENT), an adolescent unit and a 28
bedded NICU. We have 2 level II PICU beds to support paediatric surgery and up to 6
HDU beds. There is a dedicated paediatric operating suite and radiology unit. The
dedicated Paediatric A&E is staffed by paediatric medical and nursing staff. The Trust
is affiliated to the Guy's, King's and St Thomas' United Schools of Medicine and
Dentistry, Kings College, London.
Paediatric Surgery consultants and special interests:
Miss M. Agrawal :
Spina bifida, urology
Mrs D Kufeji
Colorectal/Laparoscopy/Urology
Miss M. McCullagh :
Upper GI Tract/Paediatric trauma
Mrs K Patil
Urology (General call)
Mrs C Richards :
Upper & lower GI surgery
Mr Ali Keshtgar
Laparoscopy/Urology/Anorectal motility
Usual or average SpR commitments
No. of theatre lists per week
No. of outpatient clinics per week
No. of teaching sessions / week
No of research / free sessions / week
On Call Rota : Resident
2
2
1 (Friday mornings)
1-2
1:6 with internal cover
Regular Activities
Academic activities now concentrated on Friday mornings – whole session dedicated
to teaching including journal club, case presentations, research, fortnightly Radiology
meeting, a monthly Histopathology meeting and monthly M&M meeting. There is also
a weekly joint meeting with Paediatric Medicine, weekly Hospital Grand Rounds,
weekly Paediatric Nutrition round and monthly Fetal Medicine meeting.
Library and Information Services
Multidisciplinary medical and nursing library, Computer-assisted Learning Laboratory
with online access. Various packages in department computers. Research centre and
statistics on site.
Local Programme Director:
Telephone:
Fax:
Miss Majella McCullagh
0208-333-3030 ext 6761
0208-690-1963
The Royal London Hospital NHS Trust
(Approved for Years 1-6)
Postal Address:
The Royal London Hospital,
Whitechapel, London, E1 1BB
General information on the Trust:
The Royal London Hospital NHS Trust comprises the Royal London Hospital
(Whitechapel), St. Bartholomew's Hospital (Smithfield) and the London Chest
Hospital (Victoria Park). The Trust is a large teaching hospital of 1267 beds providing
a wide range of secondary and tertiary specialties. Apart from a very large secondary
paediatric service, paediatric specialties include Gastroenterology, Oncology,
Endocrinology, Respiratory Medicine, Cystic Fibrosis and Neurology. One of the two
level III neonatal units in North Thames (East) is on the Whitechapel site. The
children's service has close links with the Newham Paediatric Service and the
Homerton Hospital Ambulatory Unit.
The three Obstetric Units in the Health
Authority have a total of 12,000 deliveries a year. The Joint Medical College of St.
Bartholomew's and the Royal London Hospital are integrated with Queen Mary
Westfield.
Because of the helicopter service, the dept is able to offer the best training in
paediatric trauma in the UK.
Paediatric Surgery Consultants and special interests:
Mr Niall Jones : Gastroenterology, laparoscopy
Mr. D. Misra : Neonatal, Urology
Mr. H Ward: Colorectal surgery,
Mr Simon Phelps: Gastroenterology, trauma
Mrs A Joshi- Urology
Usual or average SpR commitments
No. of theatre lists per week per SpR:
No. of outpatient clinics per week per SpR
No. of teaching/research/free sessions per week per SpR
3
2
2.5
On Call Rota : Full Shift rota
Regular Activities
Weekly: x-ray meeting, protected teaching (one hour per week)
Monthly: histopathology, unit audit, journal club, hospital half day audit
Library and Information Services
Paediatric library and medline available on site.
Local Programme Director:
Telephone:
Email:
Mr Devesh Misra
0207 377 7000 Ext 3983
devesh.misra@bartsandthelondon.nhs.uk
St. George's Hospital (Approved for Years 1-6)
Postal Address:
Blackshaw Road, London, SW17 0QT.
General information on the Trust:
Located in South West London serving old SW Thames Region (population 3.2 million, birth
rate 36,000/year). Paediatric Surgery has 20 inpatient beds and 10 day case. Regional NICU
can accommodate 30 babies, and PICU 10 children (5 currently). We have a dedicated
paediatric operating theatre. The Department of Obstetrics and Fetal Medicine has an active
programme for antenatal diagnosis and therapy. Paediatric Neurosurgery is provided within
the Trust at AMH but will be moving to the St Georges site in late 2002. In combination with
the Royal Marsden Hospital we form the major Paediatric Oncology Centre for South East
England. Specialist Clinics include: anorectal, gastroenterological, nephro-urological and
neuropathic bladder. The SWT Regional Clinical Genetics Unit and Specialist Paediatric
Pathology services are based at St George’s. There is a separate Paediatric A&E
Department staffed by Paediatricians and RSCN’s. St. Georges Hospital is one of the four
designated centres for major trauma in London. The hospital is affiliated to London University.
The Academic departments within the Medical School complement the clinical service and
provide facilities for laboratory research.
Paediatric Surgery consultants and special interests:
Mr. S. J. K. Holmes: GI, Oncology
Miss S. A. Boddy : Urology
Mr. E. A. Nicholls : GI, Vascular access, laparoscopy
Mr. B. Okoye:
Oncology, Laparoscopy, Thoracic Surgery
Mr. Z. Mukhtar:
Laparoscopy, GI
Mr. Feilim Murphy:
Urology
Usual or average SpR commitments
No. of theatre lists per week
2-3
No. of outpatient clinics per week
1-2
No. of teaching sessions per week 3
No. of research sessions per week 1
No. of free sessions per week
2 (medical student teaching 1/month))
On Call Rota : 1:6 with prospective cover. Optional resident/non-resident
Regular Activities
Weekly x-ray meeting. Monthly histopathology conference, audit meeting and Journal Club.
Weekly peri-natal meeting. Alternate weeks consultant led registrar teaching round. Weekly
tumour board, multidisciplinary team.
Library and Information Services Available on-site
Medical School library. Computer in SPR office with Internet facilities.
Local Programme Director:
Telephone:
Fax:
Mr. B. Okoye
0208 725 3322
0208 725 0711
Email:
bruce.okoye@stgeorges.nhs.uk
King's College Hospital (Approved for Years 1-6)
Postal Address:
Denmark Hill, London, SE5 9RS
General information on the Trust:
The Paediatric Surgery department is located within the Variety Club Children's
Hospital which provides a full range of tertiary services
The hospital has 800 beds, is a regional Trauma centre for London, and is affiliated to
Kings Health Partners (academic health sciences centre). Within the Trust are two
supra-regional centres; The Paediatric Liver Centre (offering Small Bowel and Liver
Transplantation) and The Harris Birthright Centre for Fetal Medicine and regional
units for neonatal medicine and cystic fibrosis. All are fully supported by the surgical
department.
Paediatric Surgery consultants and special interests:
Prof. M. Davenport
Pancreato-hepatobiliary & neonatal surgery
Mr. S. Patel
Neonatal surgery
Mr N. Ade-Ajayi
Minimally invasive surgery
Mr A. Desai
Minimally invasive surgery
Usual or average SpR commitments
No. of theatre lists per week
No. of outpatient clinics per week
No. of teaching/research/free sessions per week
2 (8 hrs)
2 (5 hrs)
2 (3 hrs)
On Call Rota : Non-resident 1:6
Regular Activities
X-ray meeting x 2/ month.
Pathology meeting x 2/month
Audit x 1/month
Weekly Journal Club
Access to all academic and teaching activities of Institute of Liver Studies
Library and Information Services
Medical School Library on site
Junior Doctors Hours Band
Local Programme Director:
Telephone:
Fax:
Email:
Compliant Y / N
Prof. M. Davenport
0203 299 3350
0203 299 4021
markdav2@ntlworld.com
Great Ormond Street Hospital for Children NHS Trust
(Approved for Years 4-6)
Postal Address:
Great Ormond Street, London, WC1N 3JH
General information on the Trust:
The hospital is situated in central London, close to Russell Square. The hospital
provides for all paediatric specialties and sub specialties. It is affiliated to the
University of London and is beside the Institute of Child Health.
Paediatric Surgery consultants and special interests:
Professor A. Pierro
: Energy metabolism, neonatal, oncology
Mr. D. P. Drake
: Neonatal, Laparoscopy
Mr. E. K. Kiely
: Neonatal, Oncology
Mr JI Curry
: Laparoscopy, Neonatal, College tutor
Mr P Decoppi
: Stem cell research, Neonatal, Laparoscopy
Miss K Cross (L)
: Neonatal, Laparoscopy
Usual or average SpR commitments
No. of theatre lists per week
No. of outpatient clinics per week
No. of formal teaching sessions per week
On Call Rota : Resident
2-4
2-3
at least 1
1:8
Regular Activities
In addition to teaching there is an x-ray meeting each week, a histology meeting once
a month and each Unit audits its performance each month. There is a journal club
each week
Specialised Clinics
Antenatal = 1 per month
Library and Information Services
Library facilities are available in the Institute of Child Health and the main libraries can
be accessed by modem
Local Programme Director:
Telephone:
Fax:
Email:
Mr. JI Curry
0207 405 9200 Ext 7826
0207 829 7826
curryj@gosh.nhs.uk
Great Ormond Street Hospital for Sick Children NHS
Department of Paediatric Urology
(Approved for Years 4 – 6)
Postal Address:
Great Ormond Street
London WC1N 3JH
Paediatric Urology Consultants:
Mr A Cherian
(Great Ormond Street Hospital/ University College London)
Minimally invasive surgery, DSD, cloacala anomlies
Mr I Mushtaq
(Great Ormond Street Hospital) minimally invasive surgery,
DSD, bladder exstrophy, cloacal anomalies
Mr P Cuckow
(Great Ormond Street Hospital/ University College London)
bladder exstrophy, hypospadias
Locum Consultant (Great Ormond Street Hospital/ University College London)
Usual SpR commitments:
GOSH
- 4 all day lists
- outpatient clinics
- 2 formal teaching sessions
Regular Activities:
X-ray meeting
Journal club
Urodynamics meeting
1/week
1/month
1/week
Local Programme Director:
Telephone:
Fax:
E-mail:
Mr I Mushtaq
0207 405 9200 Extn 5918 (GOSH)
0207 188 4611 (Guy’s)
0207 813 8260 (GOSH)
0207 188 4591 (Guy’s)
MushtI@gosh.nhs.uk
Southampton University Hospitals NHS Trust
(Approved for Years 1-6)
Postal Address:
Regional Centre for Paediatric Surgery, Room EG217D,
Southampton General Hospital, Hants, SO16 6YD
General information on the Trust:
Southampton General Hospital has approximately 1000 beds. Within this there is a
Children's Unit which contains all Children's Services, except transplantation
Paediatric Surgery consultants and special interests:
Mr. D. M. Burge
General Paediatric Surgery
Mr. D. M. Griffiths
General Paediatric Surgery
Mr. R. A. Wheeler
Paediatric Oncological Surgery
Miss L. R. Kitteringham
General and Laparoscopic Surgery
Mr M.P.Stanton
General and Laparoscopic Surgery
Mr. P. S. Malone
Paediatric Urology
Mr. H. A. Steinbrecher
Paediatric Urology with laparoscopy
Mr S. Griffin
Paediatric and Adolescent Urology
Usual or average fixed SpR commitments
No. of theatre lists per week
No. of outpatient clinics per week
No. of teaching/research/free sessions per week
2
1-2
3
On Call Rota: Non-resident
Regular Activities
Joint meeting with Paediatricians, Grand Round, Paediatric Surgical Audit, Registrar
teaching, Uroradiology meeting, Consultant teaching round - All weekly
Paediatric radiology meeting - 2 per month
Hospital Study half-day paediatric surgical meeting with Journal Club, M+M,
Mandatory Training - monthly.
Library and Information Services
The Wessex Medical Library
Local Programme Director:
Telephone:
Fax:
Email:
Mr.D.M. Griffiths
023 8079 6489
023 8079 5230
Mervyn.Griffiths@suht.swest.nhs.uk
Oxford Children’s Hospital (Approved for Years 1-6)
Postal Address:
Headington, Oxford, OX3 9DU, 01865 741166
General information on the Trust:
The Trust includes 5 hospitals in Oxford. All neo-natal and paediatric surgery is in the new
Children’s Hospital located at the 800 bed John Radcliffe Hospital. Facilities include two
paediatric surgical wards, 3 paediatric medical wards and 14 bed paediatric intensive
care/HDU, adolescent unit and day wards. A new build in the next few years is expected to
double the 36 bed SCBU.
Other paediatric specialties include cardiology and cardiac surgery, gastroenterology,
neurology and neurosurgery, head & neck surgery (plastics, max-fax, ENT and craniofacial),
trauma service, respiratory, endocrine and oncology services. The hospital is affiliated to
Oxford University and there is a funded research fellow on the Paediatric surgery on call rota
and an ACF post working with the Reader in paediatric surgery. The paediatric surgical
service has a high academic interest and clinical interests include laparoscopic surgery and
urology with intersex and nephro-urology special clinics.
Paediatric Surgery consultants and special interests:
Ms. R. Hitchcock:
Urology
Mr I Willet
Urology/general
Ms S Wager
Lower GI
Mr. H. Grant:
Upper GI
Miss K. Lakhoo
Ante natal, Thoracic & Oncology
Professor P Johnson
General & OCDEM Islet Cell Unit
Usual or average SpR commitments
No. of theatre lists per week
No. of outpatient clinics per week
No. of teaching/research/free sessions per week
On Call Rota: 1/8 Non Resident
2-3
1-2
2
compliant
Regular Activities
Weekly academic morning
Including presentation and by rotation - x-ray, pathology, audit, Journal Club
Library and Information Services
Hospital Library has 24 hour access. Ward, SpR office and library have web access,
literature search facilities and email. Use of all university facilities.
Local Programme Director:
Telephone:
Email:
Ms Rowena Hitchcock
01865 231671
rowena.hitchcock@orh.nhs.uk
Norfolk and Norwich University Hospital
(Approved for year 1 – 4)
Postal Address:
Tel:
Colney Lane, Norwich NR4 7UY
01603 286286
General information on the Trust:
The Paediatric Surgical team is based in The Jenny Lind Children’s Department of the
Norfolk and Norwich University Hospital. The Department provides services in general and
neonatal paediatrics and Paediatric Surgery to a local population of 100,000 children. The
Neonatal intensive care Unit provides the level 3 service to the East Anglian network. The 31
in-patient beds include 4 high-dependency beds and 8 single rooms of which 2 are
designated isolation cubicles. There is a dedicated paediatric day procedure facility within the
main day procedure unit purely for surgical cases. There is also a 4-bed day ward and a 8bed Assessment Unit in the department. The latter receives all children referred for potential
admission. The Neonatal Unit contains 6 intensive care, 6 high dependency care and 16
special care cots and offers Level 3 care to inborn and out-born infants with medical and
surgical problems.
Other on-site paediatric specialties include cardiology, gastroenterology, neurology,
respiratory, endocrine, head & neck surgery (plastics, max-fac and ENT), trauma,
orthopaedics and oncology services. The Physiology Laboratory within the hospital also
provides pH, oesophageal & ano-rectal manometry and urodynamics studies for children. The
hospital is affiliated to University of East Anglia and Institute of Food Science and there is
plenty of collaboration between the clinical and academic departments. The paediatric
surgical service has a high academic interest and clinical interests include support care after
discharge, laparoscopic surgery, necrotising enterocolitis and hypospadias.
Paediatric Surgery consultants and special interests:
Mr Thomas Tsang
General, GI, Laparoscopy, Hypospadias
Mr Azad Mathur
General, Urology, Laparoscopy, Bariatric Surgery
Mr Milind Kulkarni
General, Urology, Thoracic, Laparoscopy
Mr Ashish Minocha
General, GI, Thoracic, Laparoscopy
Usual or average SpR commitments
No. of theatre lists per week
No. of outpatient clinics per week
No. of teaching/research/admin sessions per week
2
2-3 (includes out-reach &
antenatal clinics)
2
On Call Rota: 1 in 5 Hybrid, non-resident, compliant
Regular Activities
Induction
Mandatory Training, covers child protection (Trust programme)
Resuscitation Training
Paediatric Surgery time-table
1. Journal Club, Radiology, Histopathology, Mortality & Morbidity, Registrars’
teaching, Urodynamics
2. Audit, includes yearly Neonatal Surgery Statistics,
3. Research – discussion on project preparation, paper/poster presentation,
basic statistics
4. Skills Laboratory - laparoscopic box-trainer and gastro-intestinal endoscopy
simulator
5. Eastern Paediatric Surgery Group, 3 meetings yearly
Multi-disciplinary
1. Friday Grand Round: includes Neonatology, Gastro-enterology, Radiology
2. Wednesday clinical presentation
3. Foetal medicine review
4. Norfolk Paediatric Education Group
Presentation and chairing are by rotation of trainees
Library and Information Services
Hospital Library has 24 hour access. There is service to access the Library of University of
East Anglia. Ward, SpR office and library have web access, literature search facilities and
email.
Local Programme Director:
Telephone:
Email:
Mr Thomas Tsang
01603 286356
thomas.tsang@nnuh.nhs.uk
Addenbrookes Hospital, Cambridge,
(Approved for years 1-6)
Postal Address:
Tel:
Hills Road, Cambridge, CB2 2QQ
01223-245151
General information on the Trust:
Addenbrookes is the second largest hospital in the UK, comprising 1600 beds. Paediatric
Surgery department is part of the Division of Women’s and Childrens Services. Facilities
include four paediatric wards, Child development centre, Paediatric Day unit, Paediatric
Assessment Unit and 9 bed paediatric intensive care/HDU, and day surgery unit in the new
Treatment Centre. There is a Level 3 NICU with 17 beds and SCBU with 15 beds.
Other paediatric specialties include; gastroenterology, respiratory, metabolic and
diabetes, immunology, neurology and neurosurgery, head & neck surgery (plastics,
max-fax, ENT and craniofacial), trauma, endocrine and oncology services. There is a
large University Department of Paediatrics including 2 Professors. The hospital is
affiliated to Cambridge University and there is a funded research fellow on the
Paediatric surgery on call rota. The paediatric surgical service clinical interests
include laparoscopic surgery, thoracic surgery, oncology, urology with special clinics
in urology intersex and nephro-urology, gastroenterology, antenatal care,
neonatology, and thoracic. There are peripheral clinics/day surgery in 4 district
hospitals.
Paediatric Surgery consultants and special interests:
Mr. A. Aslam:
Laparoscopy/GI, Thoracic
Mr J. Brain
Oncology/Neonates
Mr. D. Carroll
Urology/Stone disease
Miss N. Smith
Laparoscopy/GI
Mr. M. Williams
Urology
Mr. K. Rasheed (locum) General/Oncology/Antenatal
Usual or average SpR commitments
No. of theatre lists per week
No. of outpatient clinics per week
No. of teaching/research/free sessions per week
On Call Rota: 1/7 Non Resident
2-3
1-2
2
compliant
Regular Activities
Weekly grand round/teaching, tumour board, radiology, gastroenterology/respiratory MDT
Monthly Radiology, pathology, audit, journal club, clinical governance, by rotation
Library and Information Services
Clinical school library. Ward, SpR office and library have web access, literature search
facilities and email. Use of all university facilities.
Local Programme Director:
Telephone:
Email:
Mr. Adil Aslam
01223-256276
adil.aslam@addenbrookes.nhs.uk
Royal Alexandra Children’s Hospital,
Brighton & Sussex University Hospital NHS
Trust.
Postal address: Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE
Tel: 01273 696955:

100 general paediatric beds, 6 HDU / PICU (Level 2) beds.

On site neonatal unit with regional neonatal transport team
o
11 NICU beds
o
9 HDU beds
o
18 SCBU (8 at different site of Trust; Princess Royal Hospital)

Fetal medicine combined monthly outpatient clinic

Children’s Assessment Unit (CASU) for general practitioner referrals, also used as a
short stay emergency observation unit.

24 hour Paediatric Radiologist , Histopathology, Paediatric Anaesthetic cover, A&E
Department

18 966 paediatric patients reviewed per year in A&E.

Outreach outpatients clinics weekly in 6 different hospitals.

Combined weekly gastroenterology and paediatric surgical ward rounds.

Paediatric oncology, ENT, ophthalmology, orthopaedics, respiratory specialities, and
endocrinology departments also all on site.

Specialist urology outreach outpatient clinics.

Neurodevelopmental delay outreach clinics.

Population referral base of approximately 1.5 million.
Paediatric Surgical Consultants & special interests:
Ms A Van der Avoirt
General, Urology, & Minimal Access Surgery
Local Programme Director
Mr V Kalidasan
General & Urology
Mr A Mahomed
General & Minimal Access Surgery
Ms R Hallows
General & Nutrition
Registrar weekly average commitments:

Elective theatre lists
9

Emergency theatre list
5

Outpatient clinics (including outreach)

Teaching sessions

Research sessions / admin
10
3
2
On-call Rota: 1 in 6 non-resident on call. Out-of hours covered by the
paediatric team.
Education Programme:

Dedicated weekly lunchtime teaching session.

Weekly
Thursday
morning
departmental
sessions
rotating
through;
histology,
radiology, journal club, research meeting.

Comprehensive medical library on site. Journal and textbook access.

Paediatric Surgical Registrar separate room, with computer access and surgical skills
lab equipment to aid the acquisition of surgical skills (laparoscopic & open).

Consultant assistance with clinical audit and research culminating in circa 10 peer
review publications and presentations at international meetings per annum.

10 audit sessions per year presented at local level.
Local programme director:
Anouk Van der Avoirt
Telephone:
01273696955 (x2316)
Fax:
012735523120
Email:
anouk.vanderavoirt@bsuh.nhs.uk
Speciality Training Committee
______________________________________________
South East of England HST Consortium is managed by a multi-regional Speciality Training
Committee (STC), comprising representatives from each of the training centres, a member of
the SAC in Paediatric Surgery, an academic representative, an overseas doctor
representative, a flexible training representative, a trainee representative and representatives
of the four regional deaneries and their staff. The STC meets quarterly to discuss issues
relating to the programme.
STC Chair Miss Rowena Hitchcock
Consultant Paediatric Surgeon & Urologist
John Radcliffe Hospital
Oxford OX3 9DU
Programme Director
Mr Mervyn Griffiths
Consultant Paed Surgeon
Southampton general Hospital
Tremona Rd
Southampton
+44 (023) 80 796489
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