Foundation Programme
Individual Placement Descriptor*
Trust
Site
Intrepid Post Code (or local
post number if Intrepid N/A)
Placement details (i.e. the
specialty and sub-specialty)
Department
Ashford And St Peter's Hospitals NHS
Foundation Trust
St Peter's Hospital
KSS/RTK01/027/F2/003
Urology
We care for patients with general surgical,
urological and gynaecological problems who
have undergone elective surgery as well as
emergency admissions through our busy A & E
department. We have three surgical wards in St.
Peter’s and one surgical ward in Ashford.
Surgical Unit at Ashford Hospital
The Unit admits 2,500 elective in-patients a year
and has 1 surgical ward.
Eliot Ward is a 28-bedded mixed sex ward.
Surgical Unit at St Peter’s Hospital
This unit admits 4,000 elective and emergency
in-patients per year and is comprised of 3
surgical wards.
High Dependency Unit
Although part of the Critical Care Directorate,
there is a surgical High Dependency Unit of 6
beds based on Kestrel Ward
Type of work to expect
and learning
opportunities
Where the placement is based
Clinical supervisor(s) for
the placement
Main duties of the placement
This is a fully monitored unit and staff are
encouraged to rotate if they wish through this unit
f
The F2 posting in Urology is a 4 month
placement.
The post is well supported with F1 doctors and
one Core Surgical Trainee. There are two
Specialist Registrars and three Clinical Fellows
providing middle grade support. The urology
department comprises of a five consultant unit.
St Peter’s Hospital
Mr Dunsmuir
Mr Kulkarni
The F2 doctor duties are mainly word based with a
focus on:
•
•
•
•
•
•
•
•
prescribing
team work
patient management
use of guidelines
protected procedures
auditing
presenting on ward round
communication
Although attendance in theatres and
outpatients is not expected, there are
opportunities to do so, and these activities are
encouraged.
5 week rota is shown below:
Typical working pattern in A typical
wk1 wk2 wk3 wk4 wk5
this placement (e.g. ward Mon: Stand Stand Stand
Stand
rounds, clinics, theatre sessions)
ard ard
ard
OFF ard
Tues:
Stand
ard
Wed: Stand
ard
Stand
Thurs: ard
Local education provider
(LEP) / employer information
Stand
ard
Stand
ard
Stand
Stand
ard
OFF ard
Stand
Stand
ard
OFF ard
Stand
Stand
OFF ard
OFF ard
Fri:
Stand 8am- 8pm- Stan Stand
ard 8pm 8am dard ard
Sat:
8am- 8pmOFF 8pm 8am OFF OFF
Sun:
8am- 8pmOFF 8pm 8am OFF OFF
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around
380,000. The Trust employs over 3,400 staff
making it one of the largest employers in the
local area after Heathrow Airport, with an annual
f
£
f
*It is important to note that this description is a typical example of the placement and may be
subject to change.
Foundation Programme
Individual Placement Descriptor*
Individual Placement Descriptor*
Trust
Site
Intrepid Post Code (or local post
number if Intrepid N/A)
Placement details (i.e. the specialty and
sub-specialty)
Department
Ashford And St Peter's Hospitals NHS
Foundation Trust
St Peter's Hospital
KSS/RTK01/007/F2/001
Type of work to expect and learning
opportunities
Management of patients with acute
general medical and cardiological
illnesses. Based on cardiac wards at St
Peter’s including CCU. Daily consultant
ward rounds including assessment of
patients admitted within 24 hours who
have cardiological problems.
Ward rounds. Weekly protected teaching
time – 3 hours in Postgraduate Centre.
Weekly Grand Rounds.
St Peter’s Hospital
Dr Kaba
Where the placement is based
Clinical supervisor(s) for the
placement
Cardiology
The services provided by the Cardiology
department include:
• Full echocardiography service
• Dedicated coronary care unit with
centralised monitoring and dedicated
image intensification
• TTE and TOE Holter monitoring
• Computer assisted exercise
• Electrocardiography
• Joint cardiology/cardiac surgery clinic
• Coronary angioplasty AND Coronary
angiography
• Cardiac rehabilitation service
• Permanent pacemaker follow-up
including bi-ventricular pacing for heart
failure
• Pacemaker clinic; Ambulatory and
Event ECG recording
• Electrophysiological studies and
ablation
• ICD implantation and follow-up
• Combined “Funny Turns” clinic with Dr
D Barnes, monthly
• Grown Up Congenital Heart Clinic as
required, Wed pm (2-3 clinics a year)
• Direct Access to Resting ECG
• Multi-phased cardiac rehabilitation
service
Main duties of the placement
Typical working pattern in this
placement (e.g. ward rounds, clinics,
theatre sessions)
Local education provider
(LEP) / employer
information
Management of patients with acute
general medical and cardiological
illnesses. Organisation of ward work
including discharge planning. Teaching
medical students.
Mon: Consultant Ward Round
Tues: : Consultant Ward Round
Wed: : Consultant Ward Round
Thurs: : Consultant Ward Round
Fri: : Consultant Ward Round
On call via GIM rota for unselected medical
patients from A&E/GPs
The employer for this post is Ashford &
St Peter’s NHS Foundation Trust.
Ashford and St Peter’s NHS Foundation
Trust is a medium sized district general
hospital service operating from two sites
– Ashford near Staines and St Peter’s
near Chertsey, serving a population of
around 380,000. The Trust employs over
3,400 staff making it one of the largest
employers in the local area after
Heathrow Airport, with an annual income
of around £200 m. Further information
about the Trust can be found at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement
and may be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Site
Intrepid Post Code (or local
post number if Intrepid N/A)
Placement details (i.e. the
specialty and sub-specialty)
Department
Ashford And St Peter's Hospitals NHS
Foundation Trust
St Peter's Hospital
KSS/RTK01/011/F2/002
KSS/RTK01/001/F2/007
Geriatric Medicine
The Care of the Elderly service also participate in
the acute on call medical rota and have ongoing
responsibility for patients admitted to both Holly
and Cedar wards.
The COE service is supported by multidisciplinary teams with OT/physio and social
work support.
Type of work to expect
and learning
opportunities
There is an emphasis within the general medical
in-patients towards complicated frail elderly,
including Stroke /TIA, Dementia and Parkinson
Disease.
The F2 is encouraged to develop their general
medical skills,
e.g. history taking and examination, ordering and
interpretation of investigations, oral and written
communication with patients/relatives and other
members of hospital staff, and safe prescribing.
Supervision is provided via ward rounds and
board rounds and any of the junior team are
encouraged to phone for advice/help when
needed.
Where the placement is based
Clinical supervisor(s) for
the placement
Main duties of the placement
The F2 doctor is also involved with the acute
medical
takes
when supervision is provided by the
St Peter’s
Hospital
Dr Dhakam
Dr Affley
The F2 doctor will be responsible for the care of
in-patients with supervision provided by
consultants and SpR. The F2 doctor is
encouraged to attend outpatient clinics to extend
their knowledge. Attendance at the F2 teaching
programme is expected.
Typical working pattern in Mon:
Consultant Board and Ward
this placement (e.g. ward Round Tues:
Consultant
Board
rounds, clinics, theatre sessions) and Ward Round Wed: SPR Board
and Ward Round
Fri:
Consultant Board and Ward Round
On call via GIM rota for unselected medical
patients from A&E/GPs
Local education provider
(LEP) / employer information
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around
380,000. The Trust employs over 3,400 staff
making it one of the largest employers in the
local area after Heathrow Airport, with an annual
i
f
d £200
F h
i f
i
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Site
Intrepid Post Code (or local
post number if Intrepid N/A)
Placement details (i.e. the
specialty and sub-specialty)
Department
Type of work to expect
and learning
opportunities
Where the placement is based
Clinical supervisor(s) for
the placement
Main duties of the placement
Ashford And St Peter's Hospitals NHS
Foundation Trust
St Peter's Hospital
KSS/RTK01/001/F2/001
POST 4
KSS/RTK01/001/F2/003
POST 42
KSS/RTK01/001/F2/008
POST 39
Medical Assessment Unit & Medical Short Stay
Unit – Acute Medicine
MAU sees approximately 6,000 acute, medical
patients per year, including patients from A&E
and GP referrals. It is made up of a trolleyed and
bedded area, focused on delivering fast
assessment, investigation and treatment of all
medical patients. MSSU is a 38 bedded ward for
those patients requiring less than 3 day hospital
admission.
This is an exciting and fast paced unit, integral to
delivery of high quality medical care. There is
senior clinical input throughout the day, seven
days a week, and care is provided in a
multidisciplinary manner, by nursing , medical
The Medical Short Stay Units admits a wide
range of medical conditions. However, due to the
demographics of the local population the
majority of patients are the frail elderly, often
with cognitive impairment and social problems.
There will an opportunity to learn practical
procedures, work in a multidisciplinary
environment and conduct an audit project. A
formal teaching program is in place but junior
doctors will receive daily informal teaching on
the consultant ward rounds.
St Peter’s Hospital
Dr R
Robin
Dr J
Care of patients on 38 bedded medical Short Stay
Unit
Typical working pattern in Mon:
Consultant
Ward
this placement (e.g. ward Round Tues:
Consultant
rounds, clinics, theatre sessions) Ward Round Wed: Consultant
Ward
Round
Thurs:
Fri:
Consultant Ward Round
On call requirements.
Local education provider
(LEP) / employer information
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around
380,000. The Trust employs over 3,400 staff
making it one of the largest employers in the
local area after Heathrow Airport, with an annual
f
£
f
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/021/F2/006
number if Intrepid N/A)
Programme Codes
12/KSS/02/RTK01/02/F2/022
12/KSS/02/RTK01/02/F2/023
12/KSS/02/RTK01/02/F2/038
Placement details (i.e. the Urology
specialty and sub-specialty)
Department
We care for patients with general surgical,
urological and gynaecological problems who have
undergone elective surgery as well as emergency
admissions through our busy A & E department.
We have three surgical wards in St. Peter’s and
one surgical ward in Ashford.
Surgical Unit at Ashford Hospital
The Unit admits 2,500 elective in-patients a year
and has 1 surgical ward.
Eliot Ward is a 28-bedded mixed sex ward.
Surgical Unit at St Peter’s Hospital
This unit admits 4,000 elective and emergency inpatients per year and is comprised of 3 surgical
wards.
High Dependency Unit
Although part of the Critical Care Directorate,
there is a surgical High Dependency Unit of 6
beds based on Kestrel Ward
This is a fully monitored unit and staff are
encouraged to rotate if they wish through this unit
to enhance their skills in looking after the more
critically dependant patient.
Type of work to expect and
learning opportunities
The F2 posting in Urology is a 4 month placement.
The post is well supported with F1 doctors and
one Core Surgical Trainee. There are two
Specialist Registrars and three Clinical Fellows
providing middle grade support. The urology
department comprises of a five consultant unit.
Where the placement is based
St Peter’s Hospital
Clinical supervisor(s) for the Mr Dunsmuir
placement
Main duties of the placement
The F2 doctor duties are mainly word based with a
focus on:
• history and examination
•
prescribing
•
team work
•
patient management
•
use of guidelines
•
protected procedures
•
auditing
•
presenting on ward round
•
communication
Although attendance in theatres and outpatients is
not expected, there are opportunities to do so, and
these activities are encouraged.
Typical working pattern in this A typical 5 week rota is shown below:
placement (e.g. ward rounds,
wk1 wk2 wk3 wk4 wk5
Mon: Stand Stand Stand
Stand
clinics, theatre sessions)
ard
Stand
ard
Wed: Stand
ard
Stand
Thurs: ard
Tues:
Local education provider (LEP)
/ employer information
ard
Stand
ard
Stand
ard
OFF
ard
Stand
ard
Stand
ard
Stand
ard
OFF ard
Stand
OFF ard
Stand
OFF ard
Stand
OFF ard
Fri:
Stand 8am- 8pm- Stan Stand
ard 8pm 8am dard ard
Sat:
8am- 8pmOFF 8pm 8am OFF OFF
Sun:
8am- 8pmOFF 8pm 8am OFF OFF
Please note this is subject to change.
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around 380,000.
The Trust employs over 3,400 staff making it one
of the largest employers in the local area after
Heathrow Airport, with an annual income of
around £200 m. Further information about the
Trust
can
be
www.ashfordstpeters.nhs.uk.
found
at
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/024/F2/001
number if Intrepid N/A)
KSS/RTK01/024/F2/002
KSS/RTK01/024/F2/003
KSS/RTK01/024/F2/004
KSS/RTK01/024/F2/008
KSS/RTK01/024/F2/009
KSS/RTK01/024/F2/010
KSS/RTK01/024/F2/011
Placement details (i.e. the Trauma and Orthopaedic Surgery
specialty and sub-specialty)
Department
We care for patients with general orthopaedic and
traumatic problems who have undergone elective
surgery as well as emergency admissions through
our busy A & E department. We have one trauma
ward at St. Peter’s and one elective orthopaedic
in-patient ward at Ashford. We also have two day
surgery wards, one on each site.
Orthopaedic Unit at Ashford Hospital
The Unit admits 2,500 elective in-patients a year
and has 1 orthopaedic ward and the Day Surgery
Unit.
Dickens Ward is a 28-bedded mixed sex ward.
Trauma Unit at St Peter’s Hospital
This unit admits 4,000 elective and emergency inpatients per year and is comprised of Swan Ward
and the Day Surgery Ward.
Type of work to expect and
learning opportunities
The F2 posting in T&O is a 4 month placement.
The post is well supported with F1 doctors and two
Core Surgical Trainees. There are five Specialist
Registrars and three Clinical Fellows providing
middle grade support. The T&O department
comprises of thirteen consultants who act as
Educational and Clinical supervisors. There are
also three Associate Specialists and a visiting
Paediatric Orthopaedic Consultant from St
George’s Hospital.
Where the placement is based
St Peter’s Hospital
Clinical supervisor(s) for the Mr Newman, Mr Narvani, Miss Sarkhel, Mr
placement
Roushdi, Mr Hassan, Mr Khaleel, Mr Trikha, Mr
Monk, Mr Michael,
Mr Busch and Mr Gupta
Main duties of the placement
The F2 doctor duties are mainly ward based with a
focus on:
• history and examination
•
prescribing
•
team work
•
patient management
•
use of guidelines
•
protected procedures
•
auditing
•
presenting on ward round
•
communication
Although attendance in theatres and outpatients
and A&E is not expected, there are opportunities
to do so, and these activities are encouraged.
Education takes place in the form of daily trauma
meetings, which F2s are expected to attend and to
present cases.
Typical working pattern in this A typical 5 week rota is shown below:
placement (e.g. ward rounds,
wk1 wk2 wk3 wk4 wk5
Stand
Mon: Stand Stand Stand
clinics, theatre sessions)
ard
Stand
ard
Wed: Stand
ard
Stand
Thurs: ard
Tues:
ard
Stand
ard
Stand
ard
OFF
ard
Stand
ard
Stand
ard
Stand
ard
OFF ard
Stand
OFF ard
Stand
OFF ard
Stand
OFF ard
Fri:
Stand 8am- 8pm- Stan Stand
ard 8pm 8am dard ard
Sat:
8am- 8pmOFF 8pm 8am OFF OFF
Sun:
8am- 8pmOFF 8pm 8am OFF OFF
Please note this is subject to change.
Local education provider (LEP)
/ employer information
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around 380,000.
The Trust employs over 3,400 staff making it one
of the largest employers in the local area after
Heathrow Airport, with an annual income of
around £200 m. Further information about the
Trust
can
be
found
at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be
subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/002/F2/001
number if Intrepid N/A)
KSS/RTK01/002/F2/002
KSS/RTK01/002/F2/003
KSS/RTK01/002/F2/006
KSS/RTK01/002/F2/008
Placement details (i.e. the specialty Paediatrics
and sub-specialty)
Department
The Paediatric team consists of 8 General and 5
Neonatal consultants with a separate Neonatal
and general rota for both senior and junior
medical staff.
The Paediatric Department consists of General
Paediatrics (Ash Ward and Oak Ward). Ash
Ward is a 23 bedded acute unit which admits
medical, surgical and orthopaedic patients. We
have a separate HDU and adolescent bay and
Oncology shared care unit – POSCU (Little
Oaks).
The Neonatal Intensive Care Unit is a Level 3
Unit situated in Abbey Wing. We have a
designated neonatal transfer team.
Our Department is committed to providing high
levels of clinical service with excellent opportunities
for education and training for our junior staff.
Type of work to expect and
learning opportunities
Training & Educational Objectives for the Post
•
Develop and or improve clinical knowledge,
resuscitation skills, and practical procedures.
•
Enhance exposure to outpatient management of
Paediatric problems and improve knowledge of
other Paediatric sub specialities.
•
Develop an understanding of clinical
governance.
•
Undertake at least one systematic clinical audit
project during a six month period.
•
Enhance awareness of the multi-disciplinary
team work and communication skills.
•
Learn the importance of evidence based clinical
practice and improve presentation skills.
•
Achieve necessary qualifications that will aid
career progression.
How this Training & Educational objectives will
be achieved
•
You will attend introductory lectures during
induction and receive further teaching as part of
the on-going Educational programme.
•
You will participate in ward rounds, labour ward
cover, postnatal checks, A&E and ward cover.
There are plenty of opportunities to perform
practical procedures under supervision. A
structured programme of activities will aid
learning during the Community job.
•
Attend Paediatric outpatient and sub speciality
clinics during the allocated time.
•
Attend induction, Protected Teaching as well as
case notes audit and other educational activities
during educational half days.
•
You will be actively encouraged to attend
Introduction to Audit as part of the Induction
programme and choose one of the audit topics
during this session audit topics are allocated to
each individual. Help and advice will be
provided by the audit department and the
educational supervisor.
•
Encourage attendance at perinatal mortality and
morbidity meetings, grand rounds, and network
meetings.
•
You will receive specific teaching as part of your
protected teaching. Encourage regular
attendance and participation in the weekly
journal clubs.
•
You will have multiple opportunities to present
during the ward rounds, weekly grand rounds
and departmental meetings.
•
Receive advice from the educational supervisor
and attend weekly topic teaching.
Where the placement is based
St Peter’s Hospital
Clinical supervisor(s) for the Dr Bahl, Dr Haddad, Dr Lawson, Dr Baksh, Dr
placement
Martin
Main duties of the placement
The post holder would complement the existing
SHO team and participate in the current shift
system.
• Participation in teaching, departmental
meetings, audit and generation of guidelines will
be expected.
•
Typical working pattern in this
placement (e.g. ward rounds, clinics,
theatre sessions)
The Consultants participate in a weekly
attending system, and work closely with the
junior medical staff.
Paediatric Department
Day
Morning
Lunch
Mond
ay
9.00 Hand
over
9.30 Ward
Round
Tues
day
9.00 Hand
over
9.30 Ward
Round
1 –2
pm
paedia
tric
meetin
g
PGEC
1.152pm
X-ray
Meetin
g,
X-ray
dept
Registr
ar
teachi
ng
13:00
–
14:00
Wedn 8.30 Journal
esday Club
9.00 Hand
over
9.30 Ward
Round
Afternoo
n
Ward
work/A&E
Cover
1–2 ST to
clinic
Ward
work/A&E
Cover/Oa
k Ward
cover
Ward
work/A&E
Cover/Oa
k Ward
cover
1 ST to
clinic
SHOprote
cted
teaching
14:00 –
Thurs
day
9.00 Hand
over
9.30 Ward
Round
Frida
y
8:30
Reg/Cons
meet (1st Fri
of month)
9.00 Hand
over
9.30 Ward
round
11.30 Grand
Round
9.00 Hand
over
9.30 Ward
round
Satur
day /
Sund
ay
16:00
Ward
work/A&E
Cover/Oa
k Ward
Cover
1- 2 ST to
clinic
Ward
work/A&E
Cover/Oa
k Ward
cover
1 ST to
clinic
Ward
work/A&E
Cover
Neonatal Department
Day
Monday
Tuesday
Mornin
g
9:00 –
9:30
Handov
er
Ward
round
12:00 –
12:30
Cranial
USS
teachin
g
9:00 –
9:30
Handov
er
Ward
Lunch
time
13:00 –
14:00
paediatri
c
meeting
PGEC
Afternoo
n
Ward
work
13:15 –
Ward
14:00
work
Radiolog
y
meeting
Wednesd
ay
round
11:00
Social
meeting
8:15
Breakfa
st
Journal
club
9:00 –
9:30
Handov
er
Ward
round
13:00 –
14:00
Registra
r
teaching
Ward
work
Variable
Wed
13:00 –
15:00
Neonatal
Mortality
&
Morbidity
meeting
Blood
forms for
Thursday
(night
ST)
14:00 –
16:00
Protecte
d ST
teaching
Ward
work
Perinatal
meeting
3rd
Registra
r
meeting
4th
Ward
work
Clinical
Manage
ment
Group
(Guidelin
es)
Meeting
1st Friday
12.30 –
14:00
Thursday 9:00 –
9:30
Handov
er
Ward
round
Friday
Saturday
08:30 –
09:00
Cons
reg
meet
(1st Fri
month)
9:00 –
9:30
Handov
er
10:30
Grand
round
9:00 –
Ward
/
Sunday
Local education provider (LEP) /
employer information
9:30
Handov
er
Ward
round
work
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near Chertsey,
serving a population of around 380,000. The Trust
employs over 3,400 staff making it one of the
largest employers in the local area after Heathrow
Airport, with an annual income of around £200 m.
Further information about the Trust can be found at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/040/F2/002
number if Intrepid N/A)
KSS/RTK01/040/F2/003
KSS/RTK01/040/F2/004
KSS/RTK01/040/F2/005
KSS/RTK01/040/F2/010
Placement details (i.e. the Obstetrics and Gynaecology
specialty and sub-specialty)
Department
The Maternity unit
Our maternity unit delivers approximately 4000
women per annum. The Labour ward, situated on
level 3 Abbey Wing, has 18 Beds, a 4 bedded high
dependency area, a 4 bedded antenatal area and
2 theatres, a birthing pool and a Home from Home
area for low risk cases. The antenatal/postnatal
inpatients are cared for on Joan Booker ward
situated on level 1. The Antenatal clinic along with
the Day Assessment Unit and Obstetric
Ultrasound Departments are on the ground floor of
Abbey wing. Antenatal clinics are also held at
Ashford hospital where Obstetric Ultrasound is
also available.
Gynaecology Services
Gynaecology outpatient clinics are held at Ashford
& St. Peter’s Hospitals. There are also outreach
Gynaecology clinics held at Weybridge and
Woking Hospitals. Gynaecology inpatients are
cared for predominantly on Kingfisher Women’s
Surgical Ward, Abbey Wing at St. Peter’s Hospital
(SPH). The Early Pregnancy Unit (EPU) is situated
in Abbey Wing on the ground floor.
Type of work to expect and
learning opportunities
All O&G SHO’s have a varied rota giving them
experience across a broad range of areas
including Early Pregnancy Unit, general
gynaecology clinic, theatres, specialist clinics such
as Gynae-oncology, uro-gynaecology, fertility etc,
A&E and care of gynaecology in-patients. They
also gain experience on the labour ward and
caring for the ante-and post natal women in the
Maternity ward. They are also welcome to attend
the ante-natal clinics.
There is a regular Teaching session each
Wednesday morning by our High Risk Obstetrician
and we also have a teaching programme on a
Friday afternoon.
Where the placement is based
St Peter’s Hospital
Clinical supervisor(s) for the Mr Bahmaie, Mr Thomas, Miss Rajeswari
placement
Main duties of the placement
Care of Gynae in-patients, assist in operative
procedures, observe clinics, Early pregnancy unit,
pre-operative assessment of patients in
designated clinic. Reviewing emergency patients
in Accident & Emergency.
Typical working pattern in this Each week is different. We have a 9 week rolling
placement (e.g. ward rounds, rota. EPU is a week block Labour Ward, Maternity
clinics, theatre sessions)
ward. Clinic/theatre and Gynae emergency are
variable; days depend on the rota week being
worked.
Standard working day runs from 0800-1700.
Evening duties are from 1700-2000. Weekend oncalls are 0800-1800. There are 11 SHO level
doctors on the on-call rota.
Local education provider (LEP)
/ employer information
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around 380,000.
The Trust employs over 3,400 staff making it one
of the largest employers in the local area after
Heathrow Airport, with an annual income of
around £200 m. Further information about the
Trust
can
be
found
at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be
subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/011/F2/003
number if Intrepid N/A)
KSS/RTK01/001/F2/007
Placement details (i.e. the Geriatric Medicine
specialty and sub-specialty)
Department
The Care of the Elderly service also participate in
the acute on call medical rota and have ongoing
responsibility for patients admitted to both Holly
and Cedar wards.
The COE service is supported by multi-disciplinary
teams with OT/physio and social work support.
Type of work to expect and
learning opportunities
The team is also responsible for admitting patients
to the beds at Ashford who are transferred for
rehabilitation.
There is an emphasis within the general medical
in-patients towards complicated frail elderly,
including Stroke /TIA, Dementia and Parkinson
Disease.
The F2 is encouraged to develop their general
medical skills, e.g. history taking and examination,
ordering and interpretation of investigations, oral
and written communication with patients/relatives
and other members of hospital staff, and safe
prescribing. Supervision is provided via ward
rounds and board rounds and any of the junior
team are encouraged to phone for advice/help
when needed.
The F2 doctor is also involved with the acute
medical takes when supervision is provided by the
on-call medical or cardiology consultants in
addition to the acute physicians on MAU.
Where the placement is based
St Peter’s Hospital
Clinical supervisor(s) for the Dr Nari
placement
Main duties of the placement
The F2 doctor will be responsible for the care of
in-patients with supervision provided by
consultants and SpR. The F2 doctor is
encouraged to attend outpatient clinics to extend
their knowledge. Attendance at the F2 teaching
programme is expected.
Typical working pattern in this Mon:
Consultant Board and Ward Round
placement (e.g. ward rounds, Tues:
Consultant Board and Ward Round
clinics, theatre sessions)
Wed:
SPR Board and Ward Round
Thurs:
Consultant Board and Ward Round
Fri:
Consultant Board and Ward Round
On call via GIM rota for unselected medical
patients from A&E/GPs
Local education provider (LEP)
/ employer information
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around 380,000.
The Trust employs over 3,400 staff making it one
of the largest employers in the local area after
Heathrow Airport, with an annual income of
around £200 m. Further information about the
Trust
can
be
found
at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/021/F2/001
number if Intrepid N/A)
Placement details (i.e. the General Surgery - Vascular
specialty and sub-specialty)
Department
We care for patients with general surgical,
urological and gynaecological problems who have
undergone elective surgery as well as emergency
admissions through our busy A & E department.
We have three surgical wards in St. Peter’s and
one surgical ward in Ashford.
Surgical Unit at Ashford Hospital
The Unit admits 2,500 elective in-patients a year
and has 1 surgical ward.
Eliot Ward is a 28-bedded mixed sex ward.
Surgical Unit at St Peter’s Hospital
This unit admits 4,000 elective and emergency inpatients per year and is comprised of 3 surgical
wards.
High Dependency Unit
Although part of the Critical Care Directorate,
there is a surgical High Dependency Unit of 6
beds based on Kestrel Ward
Type of work to expect and
learning opportunities
This is a fully monitored unit and staff are
encouraged to rotate if they wish through this unit
to enhance their skills in looking after the more
critically dependant patient.
The F2 posting in Vascular is a 4 month
placement. The post is well supported with F1
doctors and one Core Surgical Trainee. There are
two Specialist Registrars and three Clinical
Fellows providing middle grade support. The T&O
department comprises of a team of consultants
who act as Educational and Clinical supervisors.
Where the placement is based
St Peter’s Hospital
Clinical supervisor(s) for the Mr Dawson
placement
Main duties of the placement
The F2 doctor duties are mainly word based with a
focus on:
• history and examination
•
prescribing
•
team work
•
patient management
•
use of guidelines
•
protected procedures
•
auditing
•
presenting on ward round
•
communication
Although attendance in theatres and outpatients is
not expected, there are opportunities to do so, and
these activities are encouraged.
Typical working pattern in this A typical 5 week rota is shown below:
placement (e.g. ward rounds,
wk1 wk2 wk3 wk4 wk5
Mon: Stand Stand Stand
Stand
clinics, theatre sessions)
ard
Stand
ard
Wed: Stand
ard
Stand
Thurs: ard
Tues:
Local education provider (LEP)
/ employer information
ard
Stand
ard
Stand
ard
OFF
ard
Stand
ard
Stand
ard
Stand
ard
OFF ard
Stand
OFF ard
Stand
OFF ard
Stand
OFF ard
Fri:
Stand 8am- 8pm- Stan Stand
ard 8pm 8am dard ard
Sat:
8am- 8pmOFF 8pm 8am OFF OFF
Sun:
8am- 8pmOFF 8pm 8am OFF OFF
Please note this is subject to change.
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around 380,000.
The Trust employs over 3,400 staff making it one
of the largest employers in the local area after
Heathrow Airport, with an annual income of
around £200 m. Further information about the
Trust
can
be
found
at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Site
Intrepid Post Code
(or local post number
if Intrepid N/A)
Placement
details
(i.e. the specialty and
sub-specialty)
Department
Ashford And St Peter's Hospitals NHS Foundation Trust
St Peter's Hospital
KSS/RTK01/052/F2/001
KSS/RTK01/052/F2/003
Type of work to
expect and learning
opportunities
Brief Description of Post: This post involves mainly
working on the 10 bed organic ward (Hayworth House)
and the 20 bed functional ward (Spenser) and some
outpatient clinic work for the Woking Community Mental
Health Team for Older Adults covering the Borough of
Woking which has a total population of approximately
15,500 over-65s.
General Psychiatry
The Surrey and Borders Partnership NHS Trust was
created on April l, 2005, to provide Psychiatric and
Learning Disability services for the whole county of
Surrey as well as part of North East Hampshire and
Croydon, and achieved Foundation status on May 1,
2008. The Abraham Cowley Unit covers a population of
circa 845,00 in the North West of the Trust.
Community Experience will be under the supervision of
Dr. Parsons who has consultant responsibility for 7,500
of the Woking CMHT’s over-65s and will include two
outpatient clinics a week on Monday morning and
Thursday morning with additional community experience
as needed. The postholder can also join members of
the Multi-Disciplinary Team for community assessments
and visits.
Inpatient Experience: The post holder will provide
psychiatric and physical healthcare input to both wards
providing care for patients over the age of 65 with a
range of functional and organic disorders. The post
holder will work under the clinical supervision of Dr.
Ramin Nilforoonshan on Spenser Ward and Dr. Siobhain
Quinn at Hayworth House. Both wards admit patients
from the Boroughs of Woking, Surrey Health, Spelthorne
and West Elmbridge/Runnymede. Patient throughput is
not very high and the opportunity for multi-agency
working is excellent. The working environment in the
wards is friendly and most junior doctors find that they
settle in very quickly.
Ward work includes assessing inpatient admissions,
regular communication meetings with the inpatient team
and intensive experience of managing older psychiatric
patients with a wide variety of illnesses.
Research and Audit: Trainees are encouraged to
undertake an Audit Project during their four months.
Opportunities for research may be available and will be
tailored to individual trainees needs.
Emergencies: 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 colleagues, both senior and junior.
It has been agreed between professions and the
Department, that while juniors accept that they will
perform such duties, the Secretary of State stresses that
additional commitments arising under the sub-section
are exceptions and, in particular, that juniors should not
be required to undertake work of this kind for prolonged
periods on a regular basis. The job description includes
cover of normal annual and study leave of colleagues for
whom the practitioner is expected to deputise during the
normal run of his/her duties.
Where the placement The community base with the Woking Community
is based
Mental Health Team is at Woking Community Hospital,
Heathside Road, Woking, GU22 7HS, where parking is
easily available. The organic assessment ward is at
Hayworth House, Guildford Road, Chertsey, Surrey,
KT16 0Qa, on the St. Peter’s Hospital site, and the
functional inpatients’ unit, Spenser Ward, is located at
the Abraham Cowley Unit, Holloway Hill, Lyne,
Chertsey, KT16 0AE.
The academic teaching takes place at the Abraham
Cowley Unit, Holloway Hill, Chertsey, KT16 0AE. The
F2 teaching programme takes place at the Postgraduate
Centre at St. Peter’s Hospital, Chertsey.
Clinical
Dr B Parsons
supervisor(s) for the
placement
Main duties of the
placement
Core Skills:
• Detailed history taking, examinations and initiation
of all necessary investigations for patients,
keeping full clinical notes and ensuring the
medical records information is updated according
to local guidelines.
• Mental State examination.
• Extended Cognitive Examination.
• Physical examination.
• Inpatient risk assessment/observations decisions.
• Interviewing relatives and carers of patients.
• Arranging appropriate referrals to other disciplines
• Admission and Discharge Summaries.
• Communication and team-working skills:
• Engagement with multi-disciplinary team.
• Liaison with CMHTs for post-discharge follow-up.
• Regular presentation of full psychiatric cases
either in the ward round or to Clinical Supervisor.
• Participation in out-of-hours assessments with
Psychiatric Liaison.
Educational Objectives for FY2 Trainee:
• Learn the basic skills in assessment, diagnosis
and management of common psychiatric
disorders.
• Learn about risk assessment for staff and clients
in the Community.
• Learn basic psychopharmacology and gain
experience in using common psychotropic drugs.
• Gain experience in working with a multidisciplinary team and in time management.
• Learn the basics of risk assessment and keeping
proper medical documentation for outpatients.
• Gain experience in drafting reports, summaries
and letters.
• Gain experience in managing acute psychiatric
emergencies.
• Develop basic competence in the use of the
Mental Health Act.
• Understand the range of psychological and social
treatments in Psychiatry.
Educational Objectives specifically for Old Age
Psychiatry:
• Develop skills in extended Cognitive Examination.
• Assessment, diagnosis and management of
dementia.
• Knowledge of liaison skills re the multiple
interfaces of Old Age Psychiatry
Typical
working
pattern
in
this
placement (e.g. ward
rounds, clinics, theatre
sessions)
Mon
Morning
Afternoon
Outpatient Clinic
with Dr. Brian
Parsons,
Woking
Community
Hospital.
Ward Work
Tues Hayworth House
MDT/
Ward Round with
Dr. S. Quinn.
Term time only:
2.00.pm. – 5.00.pm.
ASPH F2 Teaching
fortnightly on alternate
Mondays and
Thursdays.
Ward Work
Wed
Ward Work
12.00.pm. –
1.00.pm.
Educational
Supervision
with Dr. B.
Parsons
Spenser Ward Round
with
Dr. R. Nilforooshan
Thur
Outpatient Clinic
with Dr. Parsons
Ward Work
Term time only:
Woking
Community
Hospital.
2.00.pm. – 5.00.pm.
ASPH F2 Teaching
fortnightly on alternate
Mondays and
Thursdays.
Term time only:
10.00.am. –
1.30.pm.
Academic
Meeting
Programme,
Seminar Room,
ACU.
Ward Work
Fri
Rota: On-call: 1 in 12
Local education
provider (LEP) /
employer
information
The employer for this post is Ashford & St Peter’s NHS
Foundation Trust. Ashford and St Peter’s NHS Foundation
Trust is a medium sized district general hospital service
operating from two sites – Ashford near Staines and St
Peter’s near Chertsey, serving a population of around
380,000. The Trust employs over 3,400 staff making it one of
the largest employers in the local area after Heathrow Airport,
with an annual income of around £200 m. Further information
about the Trust can be found at www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/017/F2/001
number if Intrepid N/A)
Placement details (i.e. the Endocrinology and Diabetes Mellitus
specialty and sub-specialty)
Department
The department of diabetes and endocrinology
currently has 3 consultants with Dr Han and Dr
Ward alternating the responsibility for the general
medical team. The general medical inpatients are
on Maple ward (16 or 17 patients) with outlying
medical patients on Orthopaedics.
The firm
includes one endocrinology SpR, one GPST 1/2,
one F2 and two F1s.
Type of work to expect and
learning opportunities
There are 2 routine consultant led ward rounds per
week with interval visits as required. A small
number of patients attend the ward for endocrine
dynamic tests, for example testing for acromegaly,
providing
additional
experience
in
endocrinology. There are weekly endocrinology,
thyroid and diabetes clinics.
There is an emphasis within the general medical
in-patients towards complicated diabetes patients
and foot patients. The F2 doctor is also involved
in endocrine dynamic testing e.g. synacthen tests.
The F2 doctor is encouraged to improve their
general medical skills: history taking and
examination, ordering and interpretation of
investigations, oral and written communication
with patients/relatives and other members of
hospital staff, safe prescribing. Supervision is
provided via ward rounds and board rounds and
any of the junior team are encouraged to phone
for advice/help when needed.
The F2 doctor also in involved with the acute
medical takes when supervision is provided by the
on-call medical or cardiology consultants in
addition to the acute physicians on MAU.
Where the placement is based
St Peter’s Hospital
Clinical supervisor(s) for the Dr Ward
placement
Main duties of the placement
The F2 doctor will be responsible for the care of
in-patients with supervision provided by
consultants and SpR. The F2 doctor does not
have dedicated clinics but is encouraged to attend
diabetes / endocrinology out-patient clinics to
extend their knowledge. Attendance at the F2
teaching programme is expected.
Typical working pattern in this Monday:
placement (e.g. ward rounds, SpR ward round pm (ward round may move to
clinics, theatre sessions)
morning as there is a planned change in
outpatient Clinic timetable.
Tuesday:
Consultant ward round am.
Wednesday: SpR ward round am.
Thursday:
Consultant ward round am
(Occasionally pm).
Friday:
SpR ward round am.
On call via GIM rota for unselected medical
patients from A&E/GPs.
Local education provider (LEP)
/ employer information
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around 380,000.
The Trust employs over 3,400 staff making it one
of the largest employers in the local area after
Heathrow Airport, with an annual income of
around £200 m. Further information about the
Trust
can
be
found
at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/030/F2/005
number if Intrepid N/A)
KSS/RTK01/030/F2/006
KSS/RTK01/030/F2/007
KSS/RTK01/030/F2/008
KSS/RTK01/030/F2/009
KSS/RTK01/030/F2/010
KSS/RTK01/030/F2/012
KSS/RTK01/030/F2/014
Placement details (i.e. the Emergency Medicine
specialty and sub-specialty)
Department
The Emergency Department at St Peter’s Hospital
saw 93,000 attendances in 2009. The Emergency
Department is in the Medical Division and the
Clinical Lead is Mr Vijay Gautam. He is supported
by three further Emergency Consultants. There
are also three Associate Specialists in post, two
ST4 - ST6 doctors, two CT3 doctors and six Trust
Registrar posts. The junior tier consists of eight
F2 posts and five GPST1 and GPST2s.
The department operates a fully-fledged
emergency service including a Paediatric A&E
Department that sees approximately 26,000
patients a year.
The A&E Department was
opened in July 1998 and is spacious with minor
injury areas, majors, a resuscitation area that was
opened in January 2002 and an ambulatory
assessment unit.
There is in addition an
emergency nurse practitioner service to support
the management of minor injuries and this service
is currently a seven day a week service running
from 10 to 22 hours daily.
The Paediatric Emergency Department is staffed
by paediatric trained nurses. All junior doctors are
given the opportunity to rotate through this area to
gain experience in paediatrics.
The Emergency Department comprises of five
Consultant paediatricians of whom four do on call.
All adult and paediatric emergencies are seen
here. We are also a Trauma Unit attached to St
Georges.
The department services North West Surrey with a
catchment population of 150,000.
The department is closely linked with tertiary
services.
Type of work to expect and
learning opportunities
All F2 Doctors in hospital posts in A&E will take
part in 1 tier rota. The department will be covered
by this tier 24/7 with help of two GPST1 and Trust
doctor, a senior doctor (Registrar or equivalent) is
present all the time to supervise and help.
A consultant for the day system operated.
• Take a history and examine a patient
•
Identify and synthesis problems
•
Prescribe safely
•
Keep an accurate and relevant medical record
•
Manage time and clinical priorities effectively
•
Communicate effectively with patient, 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
•
Educate patients effectively
•
Become life-long learners and teachers
SHO competencies list attached.
Where the placement is based
St Peter’s Hospital
Clinical supervisor(s) for the Mr Kumar, Ms Cannon
placement
Main duties of the placement
The F2 doctor is responsible with other staff for
the care of patients and the maintenance of 24/7
cover to deal with emergencies. They will have
opportunities to perform certain procedures. A list
is enclosed.
Typical working pattern in this
placement (e.g. ward rounds,
clinics, theatre sessions)
Local education provider (LEP)
/ employer information
1. 07:00 –
A: Early
15.00
2. 08:00 –
B: Early 2
16:00
3. 09:00 –
C: Paeds day
18:00
4. 09:00 –
J: Wed
14:00
5. 16:00 –
D: Paeds Late
23:00
6. 16:00 –
E: Evening
00:00
7. 13:00 –
F: Midday
22:00
8. 18:00 –
G: Twilight
02:00
9. 22:00 –
H: Night
08:00
10. 22:00 –
I: Night
08:00
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around 380,000.
The Trust employs over 3,400 staff making it one
of the largest employers in the local area after
Heathrow Airport, with an annual income of
around £200 m. Further information about the
Trust
can
be
found
at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/007/F2/001
number if Intrepid N/A)
Placement details (i.e. the Cardiology
specialty and sub-specialty)
(Cardio-vascular Disease)
Department
The services provided by the Cardiology
department include:
• Full echocardiography service
Type of work to expect and
learning opportunities
•
Dedicated coronary care unit with centralised
monitoring and dedicated image intensification
•
TTE and TOE Holter monitoring
•
Computer assisted exercise
•
Electrocardiography
•
Joint cardiology/cardiac surgery clinic
•
Coronary angioplasty AND Coronary
angiography
•
Cardiac rehabilitation service
•
Permanent pacemaker follow-up including biventricular pacing for heart failure
•
Pacemaker clinic; Ambulatory and Event ECG
recording
•
Electrophysiological studies and ablation
•
ICD implantation and follow-up
•
Combined “Funny Turns” clinic with Dr D
Barnes, monthly
•
Grown Up Congenital Heart Clinic as required,
Wed pm (2-3 clinics a year)
•
Direct Access to Resting ECG
•
Multi-phased cardiac rehabilitation service
Management of patients with acute general
medical and cardiological illnesses. Based on
cardiac wards at St Peter’s including CCU. Daily
consultant ward rounds including assessment of
patients admitted within 24 hours who have
cardiological problems.
Ward rounds. Weekly protected teaching time – 3
hours in Postgraduate Centre. Weekly Grand
Rounds.
Where the placement is based
St Peter’s Hospital
Clinical supervisor(s) for the Dr Kaba
placement
Main duties of the placement
Management of patients with acute general
medical and cardiological illnesses.
Organisation of ward work including discharge
planning. Teaching medical students.
Typical working pattern in this Mon:
Consultant Ward Round
placement (e.g. ward rounds, Tues:
:
Consultant Ward Round
clinics, theatre sessions)
Wed:
:
Consultant Ward Round
Thurs: :
Consultant Ward Round
Fri:
:
Consultant Ward Round
On call via GIM rota for unselected medical
patients from A&E/GPs
Local education provider (LEP)
/ employer information
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around 380,000.
The Trust employs over 3,400 staff making it one
of the largest employers in the local area after
Heathrow Airport, with an annual income of
around £200 m. Further information about the
Trust
can
be
found
at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/001/F2/001
number if Intrepid N/A)
KSS/RTK01/035/F2/003
KSS/RTK01/035/F2/002
Placement details (i.e. the Acute Medicine (Medical Assessment Unit &
specialty and sub-specialty)
Medical Short Stay Unit)
Department
MAU sees approximately 6,000 acute, medical
patients per year, including patients from A&E and
GP referrals. It is made up of a trolleyed and
bedded area, focused on delivering fast
assessment, investigation and treatment of all
medical patients. MSSU is a 38 bedded ward for
those patients requiring less than 3 day hospital
admission.
This is an exciting and fast paced unit, integral to
delivery of high quality medical care. There is
senior clinical input throughout the day, seven
days a week, and care is provided in a
multidisciplinary manner, by nursing , medical ,
physiotherapy, OT and social services all working
together on a daily basis.
Type of work to expect and
learning opportunities
The Medical Short Stay Units admits a wide range
of medical conditions. However, due to the
demographics of the local population the majority
of patients are the frail elderly, often with cognitive
impairment and social problems.
There will an opportunity to learn practical
procedures, work in a multidisciplinary
environment and conduct an audit project. A
formal teaching program is in place but junior
doctors will receive daily informal teaching on the
consultant ward rounds.
Where the placement is based
St Peter’s Hospital
Clinical supervisor(s) for the Dr R Robin
placement
Dr J Ince
Dr E Lim
Main duties of the placement
Care of patients on 38 bedded medical Short Stay
Unit
Typical working pattern in this Mon:
placement (e.g. ward rounds, Tues:
clinics, theatre sessions)
Wed:
Thurs:
Fri:
Consultant Ward Round
Consultant Ward Round
Consultant Ward Round
Consultant Ward Round
Consultant Ward Round
On call requirements.
Local education provider (LEP)
/ employer information
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around 380,000.
The Trust employs over 3,400 staff making it one
of the largest employers in the local area after
Heathrow Airport, with an annual income of
around £200 m. Further information about the
Trust
can
be
found
at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Ashford And St Peter's Hospitals NHS Foundation
Trust
Site
St Peter's Hospital
Intrepid Post Code (or local post KSS/RTK01/800/F2/001
number if Intrepid N/A)
KSS/RTK01/800/F2/002
KSS/RTK01/800/F2/003
KSS/RTK01/800/F2/004
Placement details (i.e.
specialty and sub-specialty)
Department
Type of work to expect and
learning opportunities
the General Practice
The department consists of GP Practices attached
to GP Specialty Training Programme who have a
trained Clinical Supervisor GP.
All F2 take part in daily GP work tasks including
medical care. The Learning objectives for the F2 in
GP focus on management on the acute side of
presentations with exposure of management in
primary care.
• They take part in following up cases and induct
then to the long term management of chronic
conditions.
•
The learning outcomes in F2 year are:
•
Take history and targeted examination
•
Understand different consultation styles
•
Take the psychosocial aspect of patients
presentations
•
Awareness f the role of other allied health
services
•
Prescribing efficiently in primary care including:
Controlled drugs prescriptions, repeat
prescriptions protocols, repeat dispensing
protocol, acute prescribing and acute
prescribing.
•
Understand certifying in primary care for
different purposes including sickness.
•
Communicate effectively with patients
•
Address medico legal aspects and ensure high
ethical standards.
Where the placement is based
•
Use current clinical primary care guidance and
be able to practice safely, effectively and
meaningfully in situations where no clear
guidance exists.
•
Appreciate their own limitations and their
setting limitations
•
Be able to seek further opinion when required
appropriately.
GP practices premises across the patch
Clinical supervisor(s) for the Dr V Patel/Churchill, Dr Khatoon/Dr Singh,
placement
Dr Evans/ Dr Munnelly, Dr Anderson/Dr Smee
Main duties of the placement
Typical working pattern in this
placement (e.g. ward rounds,
clinics, theatre sessions)
•
F2 doctors run their own surgeries with the
chance to discuss each case with their clinical
supervisors when needed
•
Surgeries last between 2-3 hours seeing
between 10-12 patients at 15-30 minutes
depending on level of experience, performance
and time management skills.
•
Work with other primary care team members
such as practice nurses, district nurses, health
visitors, community midwives.
•
They attend a structured teaching programme
designed for the F2 every fortnight at St Peter’s
PGEC. Teaching is delivered as an interactive
tutorial with the selected Community
Educational Supervisors
•
They will be able to deal with primary care
medical emergencies
•
They should refer patients appropriately to
secondary care services.
Mon
AM
Lunch
PM
Surgery
Repeat
Teaching at
prescriptions
practice
Tests
results, with
CS
Tues
Surgery
Wed
Surgery/ Letters from
teaching hospital,
session with CS
Thurs Sit in
with CS
or Joint
Surgery
Fri
Surgery
Home visitswith CS
Writing
referral
letters,
triaged with
CS
Surgery
Surgery
½ day off
Surgery
Duty doctor
duties,
answering
queries, with
CS
Out of hours duties are taken in A&E
departments, Rota is usually 1 in 4
Local education provider (LEP)
/ employer information
The employer for this post is Ashford & St Peter’s
NHS Foundation Trust. Ashford and St Peter’s
NHS Foundation Trust is a medium sized district
general hospital service operating from two sites –
Ashford near Staines and St Peter’s near
Chertsey, serving a population of around 380,000.
The Trust employs over 3,400 staff making it one
of the largest employers in the local area after
Heathrow Airport, with an annual income of
around £200 m. Further information about the
Trust
can
be
found
at
www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be subject to change.
Foundation Programme
Individual Placement Descriptor*
Trust
Site
Intrepid Post Code (or
local post number if Intrepid
N/A)
Placement details (i.e. the
specialty and sub-specialty)
Ashford And St Peter's Hospitals NHS Foundation Trust
St Peter's Hospital
KSS/RTK01/021/F2/002 (POST 15)
KSS/RTK01/021/F2/007 (POST 14)
Breast Surgery & General Surgery
Palliative Care
Department
We care for patients with general surgical, urological and
vascular problems as well as emergency admissions
through our busy A & E and SAU departments. We have
3 surgical wards in St. Peter’s, a High Dependency Unit
and a Surgical Admissions Unit.
Surgical Unit at St Peter’s Hospital
This unit admits 4,000 elective and emergency inpatients per year and is comprised of 3 surgical wards
and SAU.
High Dependency Unit
There is a Surgical High Dependency Unit of 5 beds
based on Falcon Ward.
This is a fully monitored unit and staff are encouraged to
rotate if they wish through this unit to enhance their skills
in looking after the more critically dependant patient.
The Princess Alice Hospice (PAH) is a charitably funded
unit, situated 17 miles from Central London. The
Hospice celebrated its 25th anniversary in 2011. The
catchment area for the Hospice covers a population of
over one million in the south west outer quadrant of
London and North Surrey, which is an approximate
radius of 10 miles around Esher.
The Inpatient Unit and Day Hospice were rebuilt in
2006. The Inpatient Unit has 28 beds, with 22 single
rooms, and two 3-bedded bays. The Day Hospice can
take up to 20 patients a day, operating 4 days a week
using rehabilitative, recreational and therapeutic
techniques to allow patients to continue to live at
home. Patients have access to physiotherapy,
occupational Therapy, complementary therapy
(massage, aromatherapy and reflexology), spiritual
healing, dietetics and speech and language
therapy. Intravenous treatments such as blood
transfusions and bisphosphonates may be given in the
Day Hospice.
Approximately 2000 patients are referred to the Hospice
yearly, with 800 patients being looked after in the
community at any one time. 600 patients are admitted to
the Inpatient unit yearly. The average length of stay on
the unit is 13 days and the occupancy over 85%. Over
40% of patients are discharged. There is one respite
bed and the Hospice looks after patients with malignant
and non-malignant life-limiting illnesses. The medical
staffing structure includes seven consultants, each of
whom work part-time at the Hospice as part of a joint
post with other organisations.
Type of work to expect
and learning
opportunities
The F2 posting in Breast is a 4 month placement. The
post is well supported with an F1 doctor and one Core
Surgical Trainee. There is one Specialist Registrar and
one Associate Specialist providing middle grade support.
There are also 5 Specialist Breast Care Nurses. The
Breast department comprises of a team of 1.5
consultants who act as Educational and Clinical
supervisors with another to be appointed soon.
The Palliative care portion of the job is 2 weeks within
the 4 month placement to work at the Princess Alice
Hospice.
The Palliative care team consists of seven medical
consultants, two specialty registrars, two SAS doctors,
and currently 2 GP registrars and one F1 doctor as well
as an extensive multi-professional team.
A team of community Clinical Nurse Specialists provides
clinical advice and support for patients and their families
and carers. There is a robust triage and rapid response
service in addition to the availability of professionals to
care for patients overnight in their homes. The
emotional, social and spiritual needs of patients and
families are supported by the Psychosocial and Spiritual
Care team. There is a full-time Chaplain and an
excellent bereavement service.
Where the placement is St Peter’s Hospital & Ashford Hospital
based
Princess Alice Hospice
Clinical supervisor(s) for Mr Johnson
the placement
Main duties of the
placement
The F2 doctor duties are divided across the ward,
theatres, general surgical on-call shifts and out-patient
clinics. The placement will allow development in the
following areas:
• history and examination
•
patient management
•
prescribing
•
use of guidelines
•
protected procedures
•
auditing
•
presenting on ward round
•
communication
•
team work
A range of opportunities are available for an F2 at
Princess Alice Hospice;
• Inpatient unit, regular patient reviews, admitting new
patients and partaking in ward rounds
• Join in Medical CPD; weekly medical teaching and
weekly journal club
• Community work… home visits with specialist nurses /
doctors
• Day hospice, work with therapy staff
• Numerous in-house opportunities ad hoc when dates
correspond e.g. Schwartz rounds, Ethics Committee etc
Typical working pattern in
this placement (e.g. ward A typical 5 week rota is shown below:
rounds,
clinics,
theatre
sessions)
wk1
wk2
wk3
wk4
wk5
Standard
Standard
Standard
OFF
Standard
Standard
Standard
Standard
OFF
Standard
Standard
Standard
Standard
OFF
Standard
OFF
Standard
OFF
Standard
Standard
8am-8pm
8pm-8am
Standard
Standard
OFF
8am-8pm
8pm-8am
OFF
OFF
OFF
8am-8pm
8pm-8am
OFF
OFF
Mon:
Tues:
Wed:
Thurs: Standard
Fri:
Sat:
Sun:
Please note this is subject to change.
Local education provider
(LEP) / employer
information
The employer for this post is Ashford & St Peter’s NHS
Foundation Trust. Ashford and St Peter’s NHS
Foundation Trust is a medium sized district general
hospital service operating from two sites – Ashford near
Staines and St Peter’s near Chertsey, serving a
population of around 380,000. The Trust employs over
3,400 staff making it one of the largest employers in the
local area after Heathrow Airport, with an annual income
of around £200 m. Further information about the Trust
can be found at www.ashfordstpeters.nhs.uk.
*It is important to note that this description is a typical example of the placement and may
be subject to change.