The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust
Gayton Rd, King's Lynn PE30 4ET
College Tutor: Dr. Glynis Rewitzky (Glynis.Rewitzky@qehkl.nhs.uk)
Medical Staffing: Eleanor Mann (email@example.com)
Paediatrics Support Manager: Alison Melton (Alison.Melton@qehkl.nhs.uk)
Train: King’s Lynn Railway Station is served by regular services to London King’s Cross via Cambridge (but note it is not possible to travel by train on Sundays due to current timetable)
Walk: The hospital is a 30-40 minute walk from the centre of town near the railway station.
Cycling: ID-badge secured partially covered cycle parking available. 10-20 minute cycle from railway station.
Driving: Large open air park; very reasonable charges and salary sacrifice scheme available for staff parking.
Living / Accommodation / Eating
Hospital Accommodation: Basic flat accommodation available on-site (including a limited number of free on-call rooms, bookable through support manager).
Eating on-site: WHSmith and Costa Coffee in the concourse; (limited opening hours) Hub Café on the first floor (07:30-20:00 daily). Newly refurbished Doctors’ Mess in the centre of the hospital.
Local Area: Many low-cost rental properties available. The town centre has a variety of shops and restaurants. There is also a cinema. Several museums tell the history of West Norfolk including the town’s membership of the Hanseatic league. In particular Lynn Museum features ‘seahenge’, a Bronze Age timber circle. A short drive or cycle away is the Queen’s Sandingham Estate and further on is the beautiful North Norfolk countryside and coast. The Doctors’ Mess organises regular events.
10 consultants (including community paediatrics, not all full time)
1 associate specialist doctor
4-5 speciality doctors (staff grade)
4 training grade registrars
3 training grade SHOs
(FY2 and GPVTS trainees also on SHO rota with ANNPs/ENPs on NICU. CANPs may also be introduced.)
Level 1 trainees rotate in 4 month blocks through NICU, general paediatrics and community paediatrics.
Level 2 trainees are shared between NICU, general paediatrics and clinics. They have the opportunity to spend a 6-month rotation in community paediatrics.
During their community paediatrics rotation both level 1 and level 2 trainees will still have on-call duties at the hospital.
Level 1 trainees:
Availability to the community paediatric team is based upon when on-call duties with the hospital are scheduled. A week will typically consist of one on-call evening with remaining time for community clinics (both running your own and observing) and administration. In addition some weeks will be on general paediatric nights or weekend shifts.
Rolling-type rota with moderate flexibility due to ‘additional’ slot. Formal handover at 09:00, 16:30 and 21:30 (21:00 at weekends). Shift patterns are:
Night: 21:00-09:30 (with handover at 21:30 on weekdays and 21:00 at weekends; includes doing baby checks early in the morning on days when there is no baby check SHO)
Ward day: 08:00-16:00 (handing over to late day SHO)
Paediatric Assessment Unit: 11:00-19:00
Late Ward Day: 14:00-22:00 (the community paediatric SHO will do on-call late days 16:30-22:00)
Clinic/Additional Day: 09:00-17:00
Well Baby Checks: 08:00-14:00
Weekend Long Day: 09:00-21:30
NICU handovers takes place alongside nursing handover 07:30-08:30 and 19:30-20:30. The NICU SHO also attends formal handover at 09:00, 16:30 and 21:30 ([21:00 at weekends).
Level 2 trainees:
Availability to the community paediatric team is based upon when on-call and clinic duties with the hospital are scheduled. Some weeks will be on nights or weekend shifts.
A ‘full shift’ rota which varies between clinics, NICU and the general ward. Usually 09:00-17:00 with some 14:00 until 22:00 shifts, as well as nights and weekend long-days (21:00-09:30 and 09:00-21:30).
On nights and weekends there is one level 2 trainee to cover NICU, the ward and A&E (supported by one SHO for the ward and A&E, and one level 1 trainee/ANNP/ENP for NICU).
Additional weekend late locum shifts are frequently advertised particularly in the winter months.
As an example, on a 09:00-17:00 day, the morning might be spent covering PAU, before then doing clinics in the afternoon. Some days there will be separate PAU, ward and NICU cover, but at other times you may have to cover PAU and the ward, or all areas together.
Level 2 NICU with weekly visiting consultant ward round.
5-bed paediatric assessment unit
Neonatal Skills Day and life support courses.
Regular SHO teaching sessions.
Outreach clinics including GOSH cardiology, Addenbrooke’s neurology, clinical genetics, Nottingham renal team etc. Varied community paediatric clinics including neurology/neurodisability MDT clinic held at a nearby complex needs school.
Dedicated audit department.
Regular participant in the ‘Norfolk Paediatic Education Group’ (NPEG) video-conference teaching.
1 HDU-capable bed on general paediatric ward.
Regular clinical governance meetings open to trainees.
Adoption meetings whilst doing community paediatrics, held in Norwich.
Regional community paediatric meetings
Some paediatric clinics for Level 2 trainees take place at Wisbech Hospital, which is around a 30 minute drive from the Queen Elizabeth Hospital King’s Lynn. A car is therefore essential for these trainees as pubic transport between the hospitals is limited.
The Community Paediatric team are based at St. James’ Clinic, Exton Road, and a short walk from the railway station. Most clinics are held in the children’s outpatients centre at the main hospital (the Roxburgh Centre), so you will need to consider your transport options as above.
You will need an NHS SmartCard for accessing PACS, as well as to access SystmOne (used by the community paediatric team). These can be issued from the hospital but if you can obtain one before starting this will reduce any delay. SystmOne training for community paediatrics takes place in Norwich.
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Very friendly, welcoming and supportive department. Consultant presence generally at least late in to the evening and usually from 8am in the morning.