Type of programme
LEADERSHIP FOUNDATION VACANCIES AT
BOLTON NHS FOUNDATION TRUST
Lead and Foundation Programme
Director
Dr Gary Saynor
Leadership
Outline We have 3 vacancies on the developing Leadership
Foundation Track at The Royal Bolton Hospital.
Bolton is well placed to provide foundation training, with its reputation for excellent hospital and community experience and teaching. Alongside the skills, competence and experience you will be gaining as a foundation doctor you will have the opportunity to develop your skills and competence as a potential leader within the healthcare system. You will have the opportunity to link in with various ongoing Trust work streams relating specifically to patient safety, reducing harm and mortality reduction projects at Bolton
Hospitals NHS Foundation Trust. As well developing an insight and gaining experience from the role of medical leaders within a busy acute Trust. The Trust supports trainee participation in the NHS Leadership
Academy programme, if the trainee wishes to undertake formal leadership qualifications.
All Leadership trainees are allocated the equivalent of an afternoon per week throughout the two year programme to fulfill the Leadership commitments.
FY1 Track Details
General
Surgery
Paediatrics
(Unbanded)
Gastroenterology
Medicine
FY2 Track Details
Anaesthetics and ICU
Psychiatry
General Practice
(Unbanded)
Leadership Foundation – Royal Bolton Hospital – August 2015

North Western Foundation School
Foundation Programme Training Description
Post : F1 Colorectal/General Surgery
The department: General Surgery
Main duties of the post:
A busy post. Many acute and elective patients with complex problems will be cared for across several wards.
Senior support is good
General educational objectives include:
History taking
Examination
Managing time and priorities
Communication
Consenting
FY1’s are encouraged to attend theatres and get involved in practical procedures. The same applies to endoscopy and outpatient clinics.
The middle grade support to the foundation doctors is very good as this post attracts the best local trainees.
Typical working pattern in this post e.g ward rounds, clinics, theatre sessions
Daily: WARD ROUND – 8AM-9AM/9:30AM
Mon: WARD WORK
Tues: WARD WORK – MEETING X-RAY DEPT 8:30AM
Wed: TEACHING PM
Thurs: IBD MEETING 1PM – WARD WORK
Fri: WARD WORK
Sat: ON-CALL COMMITMENTS
Sun: ON-CALL COMMITMENTS
On call requirements: 1:12
Clinical Supervisor(s) for the post: Mr Harris
Where the post is based: Royal Bolton Hospital
Employer Information: Bolton NHS Foundation Trust
Leadership Foundation – Royal Bolton Hospital – August 2015

North Western Foundation School
Foundation Programme Training Description
Post : F1 Paediatrics
The department:
The Dept of Paediatrics comprises 9 paediatric consultants, 3 consultant community paediatricians also contribute to the on call rota. This includes 6 resident consultant paediatricians who are present in the wards until 10 PM Mon-Fri. There is a middle grade presence 24 hours and also regular shifts by advanced nurse practitioners.
There are interests in Diabetes, Respiratory Diseases, Allergy, ambulatory paediatrics, medical education and Cardiology. All paediatric pathologies are represented.
The department serves the children of Bolton and its neighbouring districts - a child population of about 65,000 children.
The department is closely linked with tertiary services in Manchester and Liverpool.
Main duties of the post:
The position of a Foundation trainee year 1 in Paediatrics at RBH holds much potential for training and development. The role is supernumerary and as a result allows some flexibility in where the trainee would like/needs to gain experience.
All F1 Doctors will generally be ward based during the ‘normal’ working day and expected to deliver the daily medical care of all the patients on their ward irrespective of specialty. They will be involved with the generic clerking of patients being admitted and the ongoing care of the patients in the unit. There is no commitment to out of hours work in normal circumstances. There is provision of consultant and middle grade advice, support and supervision at all times.
The overall educational objectives of the F1 year are to provide the trainee with the knowledge, skills and attitudes to be able to

Take a history and examine a patient

Identify and synthesise problems

Prescribe safely

Keep an accurate and relevant medical record

Manage time and clinical priorities effectively

Communicate effectively with patients, relatives and colleagues

Use evidence, guidelines and audit to benefit patient care

Act in a professional manner at all times

Cope with ethical and legal issues which occur during the management of patients with general medical problems
Leadership Foundation – Royal Bolton Hospital – August 2015


Educate patients effectively
Become life-long learners and teachers.
The daily duties include:
1. Attending Handover
2. Attending ward rounds
3. Clerking and reviewing patients and formulating management plans with senior support
4. Gain experience in paediatric practical procedures such as venepuncture, cannulation, blood gases etc.
5. Attend and participate in the departmental teaching programme
6. Accompany and support seniors in A&E resus calls
7. Updating handover lists and ward jobs
8. Chasing outstanding investigations
9. Ensure ward discharges are kept up to date
10. Attending outpatients both general and community
Typical working pattern in this post e.g ward rounds, clinics, theatre sessions
See below
On call requirements: No on call commitments
Clinical Supervisor(s) for the post:
All F1 doctors are allocated a clinical supervisor and mentor for the duration of their placement. The hospital foundation programme director retains overall educational supervision
Employer Information:
Bolton NHS Foundation Trust
Day
0900
0930
Lunchtime
Afternoon
Monday Tuesday Wednesday Thursday
Handover in Children’s Unit
Ward round/Admission unit
Friday
Ward work
Departmental meeting 1245-2 pm
Foundation teaching
Ward work
Handover in Children’s Unit
Ward work
1630
Leadership Foundation – Royal Bolton Hospital – August 2015

North Western Foundation School
Foundation Programme Training Description
Post : F1 Gastroenterology
The department:
Gastroenterology unit at RBH comprises 5 consultants and an IBD nurse consultant.
We provide comprehensive care to patients with a wide range of gastrointestinal and Liver disorders. The department has daily consultant ward rounds and MDT meetings
Main duties of the post:
Ward based except when on call. FY1 will be supervised at all times.
Responsibilities involve clerking patients, requesting appropriate investigations, safe prescribing, ongoing care of in –patients, opportunities to sit in out-patient clinics and watch endoscopy
Typical working pattern in this post e.g ward rounds, clinics, theatre sessions
Daily:
Daily Consultant Ward round
AM PM
Mon: Ward based ( WR ) MDT Ward Based
Tues: Ward Based ( WR) MDT Ward based
Wed: Ward Based ( WR) MDT Protected Teaching session for F1/2
Thurs: Ward Based ( WR) MDT Ward based
Fri: Ward Round Gastro Teaching Ward Based
Sat:
Sun:
You will also have opportunities to attend clinics and observe endoscopy
On call requirements: On call for acute unselected general medicine admissions
Clinical Supervisor(s) for the post:
5 Gastroenterology consultants
Where the post is based: Royal Bolton Hospital
Employer Information: Bolton NHS Foundation Trust
Leadership Foundation – Royal Bolton Hospital – August 2015

North Western Foundation School
Foundation Programme Training Description
Post : F2 Anaesthetics
The department:
Eight bedded unit with ventilated patients providing level 2 and level 3 care.
Main duties of the post:
Initial daily review of each patient and then presentation on the ward round. The afternoon is used to do the jobs and procedures detailed from the ward round such as insertion of invasive lines and organizing investigations.
Typical working pattern in this post e.g ward rounds, clinics, theatre sessions
Daily/weekly/monthly (if applicable)
Week 1 2 3 4 5 6
Mon: D X N LD X X
Tues: LD D POC D N X
Wed: D N D D POC LD
Thurs: N POC D D LD D
Fri: POC D LD N X D
Sat: X X LD N X X
Sun: X X LD N X X
On call requirements: 1 in 6 partial shift
Day 08:30- 16:30(D) Long Day 08:30 -9pm (LD) Night 20:30 – 09:00
OFF WORK (X) Post on call (POC)
Clinical Supervisor(s) for the post:
Mr Eusuf, ICU Tutor
Where the post is based: Royal Bolton Hospital
Employer Information: Bolton NHS Foundation Trust
Leadership Foundation – Royal Bolton Hospital – August 2015

North Western Foundation School
Foundation Programme Training Description
Post : F2 Psychiatry
The department:
Assessment and management of psychiatric illness in community and hospital setting.
Develop knowledge of Mental Health Act and assessment of Capacity. Develop knowledge of provision of psychiatric services.
Main duties of the post:
To work alongside the above teams. Assessment of patients and developing initial management plans, dealing with physical problems as they arise and taking part in the on-call rota supported by more senior staff.
Typical working pattern in this post e.g ward rounds, clinics, theatre sessions
Daily/weekly/monthly (if applicable)
Mon: am - Out patient Clinic : pm – Home Based Treatment
Tues: am
– Old age liaison : pm – Home based treatment
Wed: am – Alcohol liaison service : pm – Foundation Teaching
Thurs: am
– Old Age Liaison : pm – On Call
Fri: am- Home Based Treatment : pm - supervision
Sat:
Sun:
On call requirements: 1in 9 partial shift
Clinical Supervisor(s) for the post:
Dr Singh
Where the post is based:
Department of Psychiatry Royal Bolton Hospital
Employer Information:
Bolton NHS Foundation Trust
Leadership Foundation – Royal Bolton Hospital – August 2015

North Western Foundation School
Foundation Programme Training Description
Post : F2 in General Practice
The department:
GP Practice in Bolton
Main duties of the post:
Assessment and management of patients in surgery and at home, ordering of appropriate tests and following up those tests.
Typical working pattern in this post e.g ward rounds, clinics, theatre sessions
Daily:
Mon: Morning surgery , Visits, Admin, Afternoon surgery
Tues: Morning surgery, Visits, Teaching, Afternoon surgery
Wed: Morning surgery, Visits. Hospital teaching
Thurs: Morning surgery, Visits, Admin, Afternoon surgery
Fri: Morning surgery, Visits, Admin, Afternoon surgery
Sat:
Sun:
On call requirements: Nil
Clinical Supervisor(s) for the post:
GP
Where the post is based:
GP Practice in Bolton
Employer Information:
Bolton NHS Foundation Trust
Leadership Foundation – Royal Bolton Hospital – August 2015