Information about the ICUs in the East Of England
Click here for more information on the FICM website about regional posts in the East of England.
The John Farman Intensive Care Unit (JVF ICU) is a 32-bedded Critical Care Unit admitting approximately 1800 patients annually. The medical case mix reflects the complex nature of the medical patients within Addenbrooke’s: significant numbers of admissions are from hepatology, haematology, nephrology and transplant medicine. The specialities of hepatobilary, vascular and upper GI surgery are also well represented on the unit. Addenbrooke’s performs around 100 liver transplants annually and is the UK’s sole multivisceral transplant centre. Patients are admitted to the JVF ICU from all major specialties excluding cardiothoracics and neurosurgery.
JVF-ICU doctors also work on the Rapid Response Team (RRT) which provides emergency support for deteriorating patients throughout the hospital, and leads the adult cardiac arrest team. The hospital has one of the lowest hospital cardiac arrest rates in the country.
Effective and multidisciplinary team-working is integral to the JVF ICU. We have excellent working relationships with our nurses, dieticians and occupational therapists; and the physiotherapy and pharmacy teams are led by dedicated a consultant physiotherapist and pharmacist respectively. Microbiology rounds are held daily on the unit.
There are regular multidisciplinary clinical governance and audit meetings. The unit is recognised for training at all levels in ICM, and participates in the ICNARC case mix programme. There is a fortnightly ICU follow up clinic.
The unit has an active educational programme with weekly sessions with consultant and junior doctor input. There is also the opportunity for training in echocardiography for doctors who have undertaken FICE or equivalent courses.
The unit has 21 ST3+ registrars/ higher clinical fellows; 12 IMT/ ACCS/ junior clinical fellows; 3 Foundation Doctors (FY1s and FY2s). Doctors (registrar and IMT/ ACCS grades) work a mixture of short days (until 5pm); long days (until 9pm); and night shifts. The rota is compliant with BMA/ Department of Health rules and GPICS-2 standards. Overnight there are two registrar-grades and two IMT-grades for the ICU, plus a dedicated registrar/ higher fellow for the Rapid Response Team.
ICU consultants are on-site 08:00-19:30 seven days a week (RRT until 22:00) and available on-call 24 hours a day. We are dedicated to supporting our junior medical staff.
We have strong links with the East Anglian Critical Care Transfer Service, which provides medical escorts for critically ill adults throughout the region.
FICM tutor: stephen.ford6@nhs.net
Consultants
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Dr James Varley - Speciality Lead
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Consultant in ICM, anaesthesia & vascular access |
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Dr Kyra Apostolidou
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Locum consultant in ICM, anaesthesia & vascular access |
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Dr Peter Bradley
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Consultant in ICM, anaesthesia & vascular access |
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Dr Andrew Conway Morris
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Honorary Consultant in ICM, research lead, Wellcome Trust Research Fellow |
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Dr Peter Featherstone
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Consultant in ICM & anaesthesia |
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Dr Stephen Ford
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Consultant in ICM & anaesthesia, FICM tutor |
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Dr Milena Georgieva
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Consultant in ICM & anaesthesia, lead for echocardiography |
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Dr Iain Goodhart
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Consultant in ICM & anaesthesia, lead for recovery & PACU |
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Dr Christopher Hall
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Consultant in ICM & anaesthesia |
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Dr Andrew Johnston
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Consultant in ICM, anaesthesia & vascular access |
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Dr Meike Keil
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Consultant in ICM & anaesthesia |
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Dr Razeen Mahroof
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Consultant in ICM & anaesthesia |
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Dr Jonathan Martin
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Consultant in ICM & anaesthesia, simulation centre director |
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Dr Vilas Navapurkar
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Consultant in ICM & anaesthesia |
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Dr Kamal Patel
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Consultant in ICM & acute medicine |
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Dr Jacobus Preller
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Consultant in ICM & acute medicine |
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Prof Charlotte Summers
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Honorary Consultant and Professor of ICM |
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Dr Monica Trivedi
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Consultant in ICM & anaesthesia, lead for RRT and follow-up |
NCCU is a 23 bed tertiary centre neurosciences and trauma intensive care medicine unit in Cambridge serving a population of 5.9 million people in the East of England.
We care for patients with traumatic brain injury, subarachnoid haemorrhage, ischemic stroke, complex multi-system trauma, and medical neurological diseases. We are closely linked with the University Department of Anaesthesia, the Wolfson Brain Imaging Centre which is co-located with NCCU, the East of England Major Trauma Centre, and clinical and research groups within Neurosciences, Orthopaedic and Trauma Surgery, and many other groups in Cambridge.
We provide training to intensivists, anaesthetists, neurosurgeons, emergency medicine physicians, neurologists as well as a wide range of other specialities and regularly enjoy fellows from the UK, throughout the EU, Australia, India, Canada, and many other countries working with us for 3 – 24 months.
The Critical Care Complex is a 10 bedded unit with a mixture of level 2 and level 3 critical care beds.
Information about the Critical Care Complex on the Bedfordshire Hospitals website.
Click here for the North West Anglia unit profile from the FICM website.
Peterborough City Hospital (PCH) is a large District General Hospital (DGH) in the North of the region.
We have a 16 bedded combined intensive care and high dependency care unit. We offer a range of physiological support including vasoactive support, advanced cardiac monitoring, invasive and non-invasive ventilatory support and haemofiltration.
We admit around 700 patients to the critical care area per year. This consists of the typical DGH case mix of which around 90% are emergency cases. In addition, we admit high risk elective cases for post-operative care, most commonly following major colorectal surgery. Our hospital has acute Maxillo-facial surgery, ENT and urology on site.
Neurosurgical and trauma patients are transferred to Addenbrooke’s Hospital, cardiothoracic patients are transferred to Royal Papworth Hospital and paediatric patients usually go to Addenbrooke’s hospital. We provide initial stabilisation prior to transfer. The majority of transfers are performed by the East of England Adult Critical Care Transfer Service, while PaNDR provide a decision support and transfer service for paediatrics. Occasionally we will have to staff and perform critical care transfers, particularly if time critical, from our unit.
PCH currently has 12 consultants in Critical Care. Our consultants also work in anaesthesia, emergency medicine, pre-hospital medicine, respiratory medicine and as military consultants as well as having a single specialty ICM consultant. There are two consultants on the unit during weekday daytimes and one consultant at weekends. There is a resident consultant until 10pm in the evenings. Weeks are shared between two consultants to give continuity of care.
There is a strong interest in Ultrasound and Echocardiography as a unit with mentors for both FAMUS and FUSIC modules (Heart, Lung, Abdomen & DVT) and we support a Stage 2 Special Study Year in Echocardiography with dedicated scanning time. This includes use of the innovative butterfly scanning system and a robust governance system.
Our trainee medical staff range from FY1s to Stage 3 ICM trainees. We have 2 trainees on call for ICU on day/night shifts and a senior trainee supports ICU and theatres. We currently have trainees from the Foundation Programme, ACCS, Anaesthesia, IMT, EM and ICM. Finally, the hospital is a warm, friendly DGH and we aim to offer a good quality training experience with a truly varied case mix for those training with us.
Dr Henry Nash, Faculty Tutor
Click here for the Royal Papworth Hospital unit profile from the FICM website.
Royal Papworth ICU is a specialist cardiothoracic unit. It has a footprint of 47 beds, and admits around 2500 patients each year. The casemix includes a wide variety of elective and emergency admissions following cardiothoracic surgery, including major aortic surgery and pulmonary thromboendarterectomy. As a transplant centre, we also care for patients undergoing heart and lung transplantation, including those who require mechanical circulatory support e.g. VA-ECMO, ventricular assist devices and Impella. We also provide VV-ECMO both in-house and as part of the nationally commissioned retrieval service. We support patients following PPCI and have an in-house shock service. We also admit patients with complex cardiac and respiratory disease who are under the care of our specialist services such as Interstitial Lung Disease or the Pulmonary Vascular Disease Unit.
The ICU consultants work across ICU, anaesthesia, cardiology and respiratory medicine. Our junior medical staff range from FY2s to ICM StRs and post-CCT fellows. The rota is split into a junior tier (FY2, IMT and junior clinical fellows) and a senior tier (ICM StRs – Stage 2 and 3, plus senior clinical fellows). There is a large multidisciplinary team that includes Critical Care Scientists, and we have excellent working relationships with other specialty teams in the hospital and across the Cambridge Biomedical Campus.
The teaching programme runs sessions every day, including a journal club and point of care ultrasound, and we support trainees working towards FUSIC accreditation. There is a weekly ICU M&M and Complex Patient Meeting, and a monthly ECMO M&M, and trainees present at these meetings. We also run a follow-up clinic for patients who have been treated with VV-ECMO. There are lots of opportunities for trainees to get involved with clinical research taking place on the unit, as well as carry out audits and other projects.
We hope you enjoy your time with us at Papworth – it’s a busy unit with lots of opportunities to learn new skills and care for patients you will not see anywhere else!
Contacts:
FICM Tutor: Dr Lenka Cagova
Deputy FICM Tutor: Dr Rachel D’Oliveiro
