HEALTH EDUCATION ENGLAND THAMES VALLEY - SPECIALTY TRAINING PROGRAMME IN OCCUPATIONAL MEDICINE
About Health Education England Thames Valley
We are the Local Education and Training Board (LETB) for Thames Valley covering Berkshire, Buckinghamshire and Oxfordshire. Our vision is to ensure the delivery of effective workforce planning and excellent education and training to develop a highly capable, flexible and motivated workforce that delivers improvements in health for the population of Thames Valley. Thames Valley LETB is responsible for the training of around 2000 Foundation and Specialty trainees.
Health Education Thames Valley is a relatively small organisation with a defined geographical area which serves as a single unit of application. In the majority of cases successful candidates will be asked to preference their choice of location for either one or two years. Some programmes will require successful candidates to indicate a location and specialty. Future placements will usually be based on individual training and educational needs. Please note that applications are to the Health Education Thames Valley as a whole. This may mean that you may be allocated to any geographic location within the deanery depending on training needs.
The Occupational Medicine Training Programme
The Occupational Medicine training programme is a four year programme, starting at ST3. During this time, the trainee's work will be monitored for satisfactory progress and subject to annual reviews in the form of Annual Reviews of Competency Progression(ARCPs). Progression on the programme will be dependent upon these reviews.
Theposts on this rotation have been approved for Specialist Training by the Faculty of Occupational Medicine of the Royal College of Physicians of London. The posts attract National Training Numbers and provide training towards a Certificate of Completion of Training (CCT).
The Postgraduate Dean has confirmed that this post has the necessary educational and staffing approvals.
The programme is based in several different Trusts throughout Health Education Thames Valley so trainees may find themselves employed by any of the following Trusts and placed in any of the following hospitals:
Trust / Hospitals and LocationsOxford University Hospitals NHS Foundation Trust (OUH)
/ JohnRadcliffeHospital, Oxford
ChurchillHospital, Oxford
HortonHospital, Banbury
The Nuffield Orthopaedic Centre, Oxford
Milton Keynes Hospital NHS Foundation Trust (MK) / Milton KeynesHospital, Milton Keynes
Rotation Information
The posts will be based at the Oxford University Hospitals NHS Trust and at the Milton Keynes Hospital NHS Foundation Trust. The Milton Keynes post will include work in local industry. There is no out of hours commitment.
Educational Supervisors:
Oxford Dr Fiona Hancock
Milton KeynesDr Alex Swan
Clinical supervisors:
Oxford Dr Evie Kemp, Dr Anne-Marie O’Donnell
Milton KeynesDr Adejoke Edet
Occupational Health Department information-Oxford
The Centre for Occupational Health and Wellbeing (COHWB) has a high profile within the Trust and provides excellent opportunities for personal and professional development within a highly skilled and committed team.The COHWBdelivers a service to the OUH Trust, Carillion and Oxford Brookes University School of Health and Social Care as well as other external customers. The COHWB has a particular interest in the health and wellbeing of doctors.
The Department comprises 1.8WTE Consultant Occupational Physicians; the Department Manager; 4 WTE Occupational Health Nursing Advisers and2WTE clinic nurses; 3.4 WTE administrative and clerical staff and 2 Specialist Physiotherapists (1.5 WTE).
The headquarters of the COHWBis based on the John Radcliffe siteand is housed in a self-contained suite of rooms currently comprising4consulting rooms, 1open plan office, 4 clinic rooms, and a reception/ waiting area. There is additionally a small staff kitchen. At the Horton Hospital there are 2/3 consulting / treatment rooms / offices.The COHWB department has its own dedicated diagnostic equipment including an audiometer, and spirometers.Cohort computer access, including internet and e-mail facilities, is available in all offices and consulting areas and the Trainee would have a personal e-mail address. Employee counselling services are available through external providers and an Employee Assistance Programme.
The COHWB isSEQOHS (Safe Effective Quality Occupational Health Service) accredited.
Example of possible weekly timetable pro rata for LFTE trainees:
Morning / Lunch / AfternoonMonday / Clinic John Radcliffe / Clinic John Radcliffe
Tuesday / Non NHS work day -clinic / Non NHS work day- non clinic activities
Wednesday / Admin/meetings/site visits / Department meeting / Admin/meetings/ plus tutorial/WBA*
Thursday / Study day / Grand Round / Study day
Friday / Clinic John Radcliffe / Clinic John Radcliffe
Occupational Health Department information -Milton Keynes
Although primarily based in an NHS Occupational Health department there is scope for experience of Occupational Medical practice in a wide range of industrial settings. Industrial sectors include:
Healthcare – Acute, Community, Mental Health, Private and Dental
Council – including Schools
Higher Education – College, University (Nursing)
Retail
Haulage
Manufacturing
Food
Electronics
Engineering
Chemical
Miscellaneous ad hoc – from private provider network physician work.
The Occupational Health Department comprises a full time Consultant Occupational Physician, the Acting Head Of Occupational Health, 5 Occupational Health Nursing Advisers (3.4 WTE plus one of which is a OH Specialist Nurse Training Post), a fulltime Occupational Health Technician with some clerical responsibility and 2 clerical assistants (2 WTE plus). Staff counselling is provided in house. There are close links with the Health & Safety, Mental health Services, Infection Diseases/Control, Respiratory Medicine, GUM, Dermatology, Physiotherapy, OT and Podiatry.
The Consultant Occupational Physician also conducts an all day clinic off site for Kettering General Hospital Occupational Health.
Morning / Lunch / AfternoonMonday / ClinicalActivity / Clinical Activity / Clinical Activity
Tuesday / Study day
Wednesday / Clinical Activity / Clinical Activity
Thursday / Clinical Activity / CME meeting Postgraduate Centre / Administration/Visits/Study
Friday / Tutorial/WBAs / Administration/Visits/Study
The trainee will have control over their diary to arrange educational opportunities.
The Occupational Health Department is housed in a self-contained suite of rooms comprising 5 consulting/clinic rooms, one of which will be made available to the trainee, a manager’s office, an open plan office and waiting area.
The department has its own dedicated diagnostic equipment including an audiometer (in booth), Keystone vision screening apparatus, spirometers and equipment for assessing the effect of hand-arm vibration.
Computer access, including internet and e-mail facilities, is available in all offices and consulting areas and the Trainee would have a personal e-mail address. The Trainee will be provided with administrative support.
There is access to a range of Occupational Medicine literature and journals in the Department. Further literature can be readily accessed through Trust Library facilities.
Oxford University Hospitals NHS Foundation Trust Profile – November 2011
Contents
- Overview
- Research
- Hospital Profiles
- The Trust Board
- Organisational Structure
- Foundation Trust Status
- Electronic Patient Record
- Quality and Performance
- Financial position
1.Overview
The Oxford University Hospitals NHS Foundation Trust (OUH) is one of the largest NHS teaching trusts in the UK with a national and international reputation for the excellence of its services and its role in teaching and research. Clinical care is delivered by experienced specialists at the pinnacle of their profession. Our trust is made up of four hospitals - the JohnRadcliffeHospital (which also includes the Children's Hospital and West Wing), ChurchillHospital and the Nuffield Orthopaedic Centre, all located in Oxford and the HortonGeneralHospital in Banbury.
The Oxford University Hospitals NHS Trust was formally established on 1 November 2011 when the Nuffield Orthopaedic Centre NHS Trust merged with the Oxford Radcliffe Hospitals NHS Trust and became the seventh clinical division of the new expanded organisation.
On the same date a formal Joint Working Agreement between the Trust and the University of Oxford came into effect. This agreement builds on existing working relationships between the two organisations (see Research section below).
The Trust provides a wide range of clinical services, specialist services (including cardiac, cancer, musculoskeletal and neurological rehabilitation, and specialist children’s and neonatal services) as well as medical education, training and research.
The Trust employed about 12,558people at the end of the financial year (2015/6) and had a turnover of £730 million. The Trust provides general hospital services for people in Oxfordshire and neighbouring counties, and specialist services on a regional and national basis.
At the Trust in 2010/11 there were:
- 697,012 outpatient consultations and treatments;
- 25,485 admissions for treatment as inpatients;
- 111,039 attendances at the emergency departments;
- 84,129 admissions for emergency assessment or treatment;
- 71,782 admissions for treatment as day cases (120,367 if renal dialysis is included), and
- over 8700 babies delivered.
The main commissioner of services is NHS Buckinghamshire and Oxfordshire Cluster (the Primary Care Trust for Oxfordshire and Buckinghamshire). Other key commissioners are the following PCT Clusters: Milton Keynes and Northamptonshire, Berkshire West and Berkshire East, Swindon and Gloucestershire, and Wiltshire and Bath and North East Somerset (BANES). The Trust sits within the NHS South of England Strategic Health Authority (SHA), which includes the whole of the South of England except London. We work closely with many partner organisations within and beyond the NHS, such as patients’ groups, our Local Involvement Network (LINk), local authorities and the Oxfordshire Joint Health Overview and Scrutiny Committee (a committee of Oxfordshire County Council).
2. Research
The OUH works in close partnership with the University of Oxford’s Medical Sciences Division and OxfordBrookesUniversity’s School of Health and Social Care, and is a renowned teaching and education base for doctors, nurses and other healthcare professionals. The OUH is also a partner in the Thames Valley Health Education and Innovation Cluster, founded in 2010.
The Trust’s collaboration with the University of Oxford underpins the quality of the care that is provided to patients; to the delivery of high-quality research bringing innovation from the laboratory bench to the bedside; and the delivery of high-quality education and training of doctors.
Existing collaborations include the ambitious research programmes established through the Oxford Biomedical Research Centre (BRC), funded by the National Institute for Health Research (NIHR), and at the Biomedical Research Unit in musculoskeletal disease at the Nuffield Orthopaedic Centre. These set the standard in translating science and research into new and better NHS clinical care.
In August 2011, the Oxford BRC was awarded more than £107m in new funding to continue carrying out their programme of research over the next five years. In addition, the Oxford BRU based at the Nuffield Orthopaedic Centre was awarded £10 million to boost research into musculoskeletal disease.
This year saw the opening of a new Cancer Research Centre on the Churchill site, bringing together world class laboratory research with medical expertise to provide the best possible results for cancer patients nationwide. The Oxford Cancer Research Centre is a partnership between the Trust, the University of Oxford and Cancer Research UK.
3.Hospital Profiles
The ChurchillHospital
The ChurchillHospital is the centre for the Trust’s cancer services and a range of other specialties. These include: renal services and transplant, clinical and medical oncology, dermatology, haemophilia, infectious diseases, chest medicine, medical genetics, palliative care and sexual health. It also incorporates OCDEM (the Oxford Centre for Diabetes, Endocrinology and Metabolic Medicine).
The hospital, and the adjacent Old Road campus, is a major centre for healthcare research, and hosts many departments of the University of Oxford’s Medical Sciences Division and other major research centres such as the newly opened Oxford Cancer Research Centre, a partnership between Cancer Research UK, the OUH and the University of Oxford.
The HortonGeneralHospital
The HortonGeneralHospital in Banbury serves the people of North Oxfordshire and surrounding counties. Services include an emergency department, acute general medicine and general surgery, trauma, midwife led obstetrics and gynaecology, paediatrics, critical care and the newly expanded Brodey Centre offering treatment for cancer.
The majority of these services have inpatient beds and outpatient clinics, with the outpatient department running clinics with specialist consultants from Oxford in dermatology, neurology, ophthalmology, oral surgery, paediatric cardiology, radiotherapy, rheumatology, oncology, pain rehabilitation, ear nose and throat (ENT) and plastic surgery. Acute general medicine also includes a medical assessment unit, a day hospital as part of specialised elderly care rehabilitation services, and a cardiology service. Other clinical services include dietetics, occupational therapy, pathology, physiotherapy and radiology.
The JohnRadcliffeHospital
The JohnRadcliffeHospital in Oxford is the largest of the Trust’s hospitals and the home of many departments of the University of Oxford’s Medical Sciences Division, although medical students are educated throughout the Trust.
It is the site of the county’s main accident and emergency service and also provides acute medical and surgical services, trauma, intensive care and women’s services. The West Wing, Oxford Children’s Hospital, the OxfordEyeHospital and the new Oxford Heart Centre are also part of the JohnRadcliffeHospital.
Nuffield Orthopaedic Centre
The Nuffield Orthopaedic Centre has been treating patients with bone and joint problems for more than 80 years and has a world-wide reputation for excellence in orthopaedics, rheumatology and rehabilitation. The hospital also undertakes specialist services such as the treatment of bone infection and bone tumours, limb reconstruction, and the rehabilitation of those with limb amputation or complex neurological disabilities.
4.The Trust Board 2015
Non-executive Directors / Executive DirectorsDame Fiona Caldicott Chairman / Sir Jonathan Michael Chief Executive
Professor Sir John Bell / Professor Edward Baker Medical Director
Mr Alisdair Cameron
Mr Christopher Goard
Professor David Mant OBE (Associate
Director)
Mr Geoffrey Salt (Vice Chairman)
Mrs Anne Tutt
Mr Peter Ward / Mr Paul Brennan
Director of Clinical Services (Associate Board Member)
Ms Sue Donaldson
Director of Workforce (Associate Board Member)
Mr Mark Mansfield
Director of Finance and Procurement
Mr Andrew Stevens
Director of Planning and Information
Mrs Elaine Strachan-Hall
Chief Nurse
Mr Mark Trumper
Director of Development and the Estate (Associate Board Member)
Ms Eileen Walsh
Director of Assurance (Associate Board Member)
Trust Board papers and other information about the Trust can be found on the OUH website:
5.Organisational Structure
The OUH has changed the way services are managed so that clinicians have a bigger say – and a greater responsibility and accountability for the way these are run.
The new structure means that clinical services are delivered by seven divisions which bring together specialties in a way that best reflects the way they work together, their geographical location and how they integrate with the clinical research carried out in our hospitals with the Universities.
Each Division is headed by a Divisional Director, a practising clinician who is supported by a General Manager and a Divisional Nurse. The Divisions are responsible and accountable for the day-to-day management and delivery of services within their areas in line with Trust strategies, policies and procedures.
The Divisions includetwo or moreDirectorates, each of which contain clinical service units covering specific areas of services. Directorates are led by Clinical Directors and supported by Operational Service Managers, Matrons and other relevant experts.
Division of Musculoskeletal and Rehabilitation Services
- Orthopaedics: recovery and HDU
- Rehabilitation, rheumatology and radiology
Division of Neurosciences, Traumaand Specialist Surgery
- Neurosciences:neurology; neurosurgery; neuropathology, neurophysiologyand neuropsychology; neuro intensive care
- Trauma and specialist surgery: ENT; plastic surgeryand craniofacial; ophthalmology; oraland maxillofacial surgery; trauma
Division of Cardiac, Thoracic and Vascular Services
- Cardiac medicine: cardiologyand CCU; technical cardiology; private patients
- Cardiac, vascularand thoracic surgery: adult cardiac surgery; cardiac critical care; vascular surgery; thoracic surgery
Division of Children'sand Women's Services
- Paediatric medicine, surgeryand neonatology: paediatric medicineand specialist medicine; neonatology; community paediatrics; paediatric surgeryand specialist surgery (cardiacand neuro); paediatric intensiveand high dependency care
- Women's: obstetricsand midwifery; gynaecology
Division of Emergency Medicine, Therapies and Ambulatory Services
- Emergency general medicine and therapies: emergency medicine; acute general medicineand Horton medicine; geratologyand stroke medicine; therapies
- Specialist and ambulatory medicine: diabetes, endocrineand metabolism; dermatology; clinical immunology; clinical genetics; chest medicine; infectious diseasesand genitourinary medicine
Division of Surgeryand Oncology
- Oncology: clinical oncology; medical oncology; clinical haematology, haemophiliaand thrombosis; medical physicsand clinical engineering; palliative medicine
- Surgery: upperand lower gastrointestinal surgery; acute surgery; gastroenterology; breastand endocrine surgery; gynae-oncology
- Renal, transplantand urology: transplantand renal; urology
Division of Critical Care, Theatres, Diagnosticsand Pharmacy
- Anaesthetics, critical careand theatres: anaesthetics; adult critical care; pre-operative assessment; resuscitation; pain service; theatresand daycase unit
- Pathologyand laboratories
- Radiologyand imaging
- Pharmacy
The clinical services are supported by a group of operational and service improvement functions within the remit of the Director of Clinical Services including: