OXFORD DEANERY SUBSPECIALIST TRAINING IN FETAL
AND MATERNAL MEDICINE
The Fetal and Maternal Medicine Subspecialist Training Programme
The Fetal and Maternal Medicine Subspecialist training programme is a two year
programme, starting at a minimum of ST6 level. During this time, the trainee's work
will be monitored for satisfactory progress and subject to annual reviews in the form
of both ARCPs and a mid-term and final review, organised by the RCOG.
Progression on the programme will be dependent upon these reviews.
Essential Information
Title of Post
Grade
Duration
Specialty
Base Hospital
District
Renumeration
Consultant Supervisor
District College Tutor
Work Pattern
Reason for Vacancy
Sub Specialist Trainee in Fetal and Maternal Medicine
Specialty Registrar year 6/7
2 years
Obstetrics and Gynaecology
John Radcliffe Hospital
Oxford
according to previous experience
Mr Lawrence Impey
Mrs Rebecca Black
EWTD compliant band 1A rota
Replacement SST post
This post is governed by the Medical and Dental Terms and Conditions of Service
Career Counselling
Career advice and guidance should be sought, in the first instance, from your
Educational Supervisor, who will normally be a Consultant with whom you work.
Some, but not all, Units will appoint a medically qualified and trained counsellor who
will contact you directly. Career problems may be discussed with your Unit Clinical
Tutor and/or your Postgraduate Dean.
Useful Names
Postgraduate Dean
Consultant Supervisor
Medical Personnel Officer
Dr Michael Bannon
Mr Lawrence Impey
Mrs Julie Gray
The Department
The Department of Obstetrics and Gynaecology at present provides a maternity and
gynaecology service to the Oxford region. This is an approved training centre for the
Subspecialty of Fetal and Maternal Medicine directed by Mr Lawrence Impey. The
centre is approved by the RCOG for two posts. The successful applicant will share
an office, have their own PC and access to secretarial services.
The John Radcliffe Hospital is a busy teaching and district general hospital and a
regional referral centre, responsible for over 7000 deliveries per year. A large
number of referrals from within the unit and from the region are made to the fetal and
maternal medicine services. It has close links to the Nuffield Department of
Obstetrics and Gynaecology. Women’s Health is one of the themes of Oxford’s BRC
(Biomedical Research Centre), a scheme funded through a large grant awarded in
2007 from the NIHR.
The appointee will be based in the Feto-Maternal Medicine Unit. This manages a
wide range of obstetric, medical and fetal problems. Maternal medicine is led by two
obstetricians, Miss Harrington and Miss Greenwood, and an Obstetric Physician,
Miss Lucy Mackillop. Fetal medicine is led by Mr Impey, Mrs Black and Miss
Greenwood. There are two medical complications in pregnancy clinics and two fetal
medicine outpatient clinics, a miscarriage/ early pregnancy clinic, a preterm labour
clinic, a placental screening (incl uterine arteries) clinic and a cervical screening
clinic. In addition there are daily outpatient ultrasound/prenatal diagnosis clinics run
by Dr Chamberlain, Mr Impey, Miss Greenwood, Miss Harrington, Miss Hurley and
Mrs Black. The diabetic service is currently run by Miss Harrington and Dr Mackillop.
Rhesus disease is managed by the Oxford Rhesus Therapy Unit, led by Miss Hurley.
The fetal cardiology service is run by Dr Archer (Paediatric cardiologist) and Dr
Manning (Associate Specialist in Obstetric Ultrasound). The Ultrasound Department
performs over 21000 scans per year.
Supportive services are provided by the Cytogenetic and DNA laboratories at the
Churchill Hospital and the Institute of Molecular Medicine at the Oxford site.
There is a large Regional Neonatal Intensive Care Unit with 8 Consultant Neonatal
Paediatricians. The Unit works closely with the High Risk Pregnancy Service.
There is a regional Perinatal Pathology Service within the Women’s Centre run by Dr
S Gould, Consultant Pathologist. The National Perinatal Epidemiology Unit is based
at the Churchill site.
The Delivery Suite is supported by a team of Consultant Obstetric Anaesthetists, led
by Dr Robin Russell. Neonatologists, obstetric anaesthetists and junior and middle
grade obstetricians are available at all times. All obstetric consultants maintain an
active Delivery Suite role.
Duties of the Post
This is a two year training programme covering all aspects of fetal and maternal
medicine. The appointee will be exposed to sufficient clinical experience to enable
them to meet the clinical criteria to complete subspecialty training in maternal fetal
medicine. With short attachments to the Genetics Department, Neonatal Unit and
Obstetric Anaesthesia, there are regular sessions in the Fetal Medicine Unit,
Prenatal Diagnosis, High Risk Pregnancy / Silver Star Unit, Oxford Rhesus Therapy
Unit and for recurrent miscarriage and labour management. The post involves a full
time on call commitment, currently as part of a 9-cell rota which involves one
weekend set of daytime duties and one set of weekend night duties per 9-week
cycle.
There is enough flexibility within the unit to be able to accommodate the learning and
training needs of the successful applicant. The exact timetable will be designed
following discussion and agreement with the trainee and the Programme Director, Mr
Lawrence Impey, and will be subject to review.
Teaching
Teaching of undergraduates and postgraduates is an essential part of the normal
commitments in this teaching district. The post holder will be expected to take an
active role in the teaching of medical students and junior medical staff.
Administration
The organisation and running of perinatal morbidity and mortality meetings.
Responsibility for collecting and analysing annual fetal medicine unit and
occasionally obstetric statistics
Formulating, under appropriate supervision, guidelines for obstetric high risk and
fetal medicine patients.
Research
The Fetal and Maternal Medicine RCOG Subspecialty Training Programme does not
include a dedicated research year. This should have been performed prior to
appointment, with either two first author publications in Medline peer-reviewed
journals, or a higher research degree such as Ph D or MD. However, there will be
the opportunity for research projects during the programme.
Trust Information
Information about the John Radcliffe Hospital, part of the Oxford University Hospitals
NHS Trust, can be found on the hospital’s website www.ouh.nhs.uk
Information about the Nuffield Department of Obstetrics and Gynaecology can be
found at www.obs-gyn.ac.uk
Department members
The staffing of the Department, together with their special interest are listed below: Nuffield Department of Obstetrics and Gynaecology
Professor Stephen Kennedy
Head of Department
Special interests include endometriosis, subfertility
and pelvic pain
Dr Paul Chamberlain
Senior Lecturer
Ultrasound, Prenatal Diagnosis
Mr Enda McVeigh
Senior Fellow, Reproductive medicine
Mr Tim Child
Senior Fellow, Reproductive medicine
IVF, PCOS, recurrent miscarriage
Miss Jane Moore
Senior Fellow, Reproductive medicine
IVF, pelvic pain, undergraduate teaching
Mr Christian Becker
Senior Lecturer
Endometriosis
Mr Ahmed Ahmed
Senior Lecturer
Gynaecological Oncology
Prof Chris Redman
Professor of Obstetric Medicine
NHS Staffing
Mr Vic Rai
Mr Simon Jackson
Miss Natalia Price
Miss Lee Lim
Miss Maryam Pezeshki
Lead for Gynae Risk Management
Urogynaecology
Urogynaecology and obstetrics
Obstetrics and gynaecology, infertility (locum)
Obstetrics and gynaecology (locum)
Miss Pauline Hurley
Miss Catherine Greenwood
Mrs Rebecca Black
Mr Lawrence Impey
Miss Debbie Harrington
Fetal Medicine, Rhesus Disease
Maternal Fetal Medicine, Labour Ward Lead
Maternal Fetal Medicine, District College Tutor
Fetal Medicine Lead
Maternal Medicine Lead
Dr Lucy Mackillop
Obstetric Physician
Associate Specialist:Dr Nicky Manning
Fetal Cardiology
Clinical Lecturers:Miss Katy Vincent
Dr Karin Hellner
Subspecialty Trainees:Miss Ingrid Granne
Mr Peter Yeh
Miss Brenda Kelly
Mr Pathi Pathiraja
Mr Philip Rahmanou
Reproductive Medicine
Maternal Fetal Medicine
Maternal Fetal Medicine
Gynaecological Oncology
Urogynaecology
Middle grade trainees:
ST 3-5:
ST 6/7:
6 trainees, core training (including one Academic Clinical Fellow)
6 trainees, allocated to ATSMs
Junior trainees
ST1/2
FTSTAs
GP VTS
FY2
6 trainees
1 trainee
3 as part of Oxford VTS rotation
3 for 4 month attachment
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 and be a doctor or dentist in training in the
UK
 Registration with the General Medical Council
 Pre-employment checks carried out by the Trust HR department in line with
the NHS employment check standards, 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 – The working hours for junior doctors in training are now 48-hours (or 52hours if working on a derogated rota) averaged over 26 weeks (six months). Doctors
in training also have an individual right to opt-out if they choose to do so, but they
cannot opt-out of rest break or leave requirements. However, the contracts for
doctors in training make clear that overall hours must not exceed 56 hours in a
week (New Deal Contract requirements) across all their employments and any
locum work they do.
http://www.nhsemployers.org/PlanningYourWorkforce/MedicalWorkforce/EWT
D/Pages/EWTD.aspx
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/PayCircular
sMedicalandDental.aspx Part time posts will be paid pro-rata
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/PayCircular
sMedicalandDental.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 205206 of the TCS. The TCS may be viewed at
http://www.nhsemployers.org/PAYANDCONTRACTS/JUNIORDOCTORSDENTISTS
GPREG/Pages/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 250-254 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/JUNIORDOCTORSDENTISTS
GPREG/Pages/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 preemployment 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/GDC 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 Please ensure
that you inform Oxford Deanery of any changes to your contact details.