Information about hospitals where anaesthetics training takes places in the East of England

Information

Complete

Welcome

Bedford Hospital NHS Trust serves the population of Bedfordshire and surrounding areas with a wider catchment for vascular services.

The Trust has approximately 360 beds and provides a full range of acute services, with beds for Cardiology, Care of the Elderly, ENT, General Medicine, AAU, General Surgery, Gynaecology, Neonatal, Obstetrics, Oncology, Trauma and Orthopaedics, Paediatrics, Vascular Surgery, Breast Surgery and Urology.  There is a full Level 2 A&E Department, with an Ambulatory Emergency Care Unit.

There are 10 operating theatres with 21 anaesthetic consultants. It offers a consultant led pain and CPEX services. Oral and Maxillofacial Surgery and Endoscopy patients are treated in their own specialist units. The Ophthalmology service is now managed within the Trust’s facilities by Moorfields Eye Hospital NHS Foundation Trust.

The Delivery suite houses an additional operating theatre and sees on average 3000 deliveries per year.

The Critical Care Complex provides both High Dependency and Intensive Care beds to a maximum capacity of 10 beds.

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Induction documents / welcome pack for new starters (this may incorporate much of the material below)

• See attachments

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Sample oncall rotas - for each level of rota:

Duty hours

• Theatre: 0800-2030 & 2000-0830
• Obstetrics: 0800-2030 & 2000-0830
• ICU: 0830-2100 & 2030-0900
• CT1/2 work a full shift pattern; CT1s initially on the theatre tier of the rota.
• CT2+ doctors are also expected to cover the obstetric and ICU tiers (when deemed competent).

Expected responsibilities when on call

• Resident anaesthetists for theatres, ICU and delivery suite.
• Theatre anaesthetist is responsible for the emergency theatre and also carries a cardiac arrest and trauma bleep. They may also be required for the transfer of critically ill patients (once transferred trained).
• ICU anaesthetist is responsible for the care of all intensive care patients, reviewing ward referrals and admitting patients to ICU (after discussion with the on call consultant). They also carry a cardiac arrest and trauma bleep. There is a 9 am business ward round, the main ward round occurs at 12:15 in the ITU seminar room and there is a further evening handover at 1800. 
• Obstetric anaesthetist is expected to attend the labour ward handover at 0800 & 2000 and provide anaesthetic services to delivery suite.
• The on-call tiers should work as a team and are expected assist each other when required.
• There are two consultants on call; a general consultant anaesthetist and an ICU consultant anaesthetist. They are normally resident until 1800 unless required clinically.

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Points of contact within the anaesthetic department (names, email address)

• College Tutor: Dr Gagan Kohli Gagan.Kohli@bedfordhospital.nhs.uk
• ICM Tutor: Dr Maciej Ryszka Maciej.Ryszka@bedfordhospital.nhs.uk
• Rota Co-ordinator (consultant): Dr Pallab Rudra Pallab.Rudra@bedfordhospital.nhs.uk
• Junior rota writer: Dr Ben Linton-Willoughby

   Ben.Linton-willoughby@bedfordhospital.nhs.uk

• Secretary: Angela Thake Angela.Thake@bedfordhospital.nhs.uk Ext 2359
• Trainee representative: Garry Davenport (until Aug-19) garry.davenport@nhs.net

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Policy for applying for leave

6 weeks’ notice is required for annual and study leave requests. No more than 4 juniors are allowed leave at any one time. 

• Annual leave: note made in paper leave diary and also submitted to electronic leave management system (electronic system used dependant on grade).
• Study leave: As above and in addition: apply electronically by completing the attached form. Once approved by educational supervisor they are submitted to: Studyleave@bedfordhospital.nhs.uk

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Sample work schedule

(this should be allied to the sample rota – essentially shows equitability of shifts and average hours worked etc)

Awaited from medical staffing

Availability and arrangements for local accommodation when working night shifts / Long days (if available - as appropriate) and

- To book accommodation for post on call duties e-mail Biju Joseph (Biju.Joseph@bedfordhospital.nhs.uk)  Patient Services Administrator, with the dates accommodation is required.

- Overnight there is a rest room for the ICU resident

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Fellowships offered at your hospital (as appropriate)

• None

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Local guidelines and Standard operating procedures and policies (as appropriate – these likely necessitate password protection to these pages at least or the website as a whole)

• These can be found on the hospital intranet and on the critical care work station.

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Availability of local exam related teaching (as appropriate)

• Pre-FRCA trainees are expected to attend weekly Wednesday afternoon teaching. Topics will be allocated in advance and trainees are expected to prepare a short presentation for their peers. The session is supervised by a consultant.
• Mock SOEs and OSCE can be arranged via the college tutor
• Post-FRCA trainees are allowed to use Wednesday afternoons for their own personal development and are expected to attend regional teaching.
• There are also regular Audit and M&M meetings

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Details for exception reporting

• Guardian of safe working: Dr Rishi Arora <Rishi.Arora@bedfordhospital.nhs.uk>

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Sample contract (as appropriate)

Awaited from medical staffing

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Metric / Information

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Regional teaching days hosted by your place of work

• Participates in the ‘West Zone’ core trainee teaching programme
• Details on the HEE website
• Venue: Education Centre
• Parking arrangements: Use Visitors parking and claim back expenses from employing trust

Specific courses offered at your hospital (if appropriate) – None

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SIM days (if open to Deanery Trainees and appropriate) –None

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Advanced Life Support courses

ALS, EPLS, ATLS, CCrISP or NLS courses available - contact Tina Palombo, Administrator via email (Tina.Palombo@bedfordhospital.nhs.uk) or on ext. 2866

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