The University of Oxford & the Oxford Department of Postgraduate Medical and Dental Education – Two Year Academic Foundation Programme (2011-2013)


We are seeking to appoint 18 suitable candidates to these innovative two year integrated Academic Foundation Programmes. The posts will be based mainly at the Oxford Radcliffe Hospitals Trust. We are keen to encourage applications from talented candidates from across the UK and EEA with academic potential who would like the opportunity to work in an academic environment or who are already committed to an academic career path. These posts will deliver the core competencies of Foundation training and will be enhanced by an academic curriculum.

Only candidates requiring provisional registration and who will not have completed a pre-registration House Officer, Foundation year 1 or equivalent will be eligible. Candidates must NOT have full GMC registration at the start of the programme (August 2011). Please refer to the person specification within the job pack.

Applications should be sent via post only to Ann Spafford, Oxford Foundation School, The Triangle, Roosevelt Drive, Headington, Oxford, OX3 7XP by Friday 2 July 2010 (Mid-day). Short-listing will take place in mid-July and interviews will be held between 31 August and 8 September 2010. (You will be informed via email if you have been short-listed for interview).

For more information regarding Academic Recruitment please visit www.foundationprogramme.nhs.uk

1

Two year Academic Foundation Training Programmes

The Oxford Deanery

The University of Oxford, Medical Sciences Division

The Oxford Radcliffe Hospitals NHS Trust (host organisation)

Job Pack for Applicants

Oxford Deanery

Building on the clinical excellence, innovation and research in the Oxford region, the Deanery ensures delivery of the highest quality postgraduate training for doctors and dentists, meeting the evolving needs of the health service.


Our vision:
“We will be recognised as the best place to start, continue and sustain learning of the skills and knowledge used to deliver the best possible patient care”

The University of Oxford

The University of Oxford enjoys an international reputation as a world-class centre of excellence in research and teaching. It employs over 7,800 academic, research and support staff across a wide range of academic disciplines.

The Medical Sciences Division includes the clinical and preclinical departments of the Medical School, plus Experimental Psychology (see http://www.medsci.ox.ac.uk/). The division is one of the major centres for clinical and basic biomedical research in Europe, with more than 2,200 staff on the payroll and 800 postgraduate students. It includes several research Institutes and Units housed in modern buildings. The Division achieved top scores in both the 1996 and 2001 HEFCE research assessment exercises. The annual grant income from external sources for the Medical Sciences Division is over £200 million. The Division fosters the highest possible standards in research, teaching and patient care and seeks to recruit staff who share this vision.

PROFILE

1. OXFORD RADCLIFFE HOSPITALS NHS TRUST

Overview

The Oxford Radcliffe Hospitals (ORH) is one of the largest teaching trusts in the country, with a national and international reputation for the excellence of its services and its role in teaching and research.

The Trust, which is based on two sites in Oxford and one in Banbury, provides general hospital services for the local population in Oxfordshire and neighbouring counties, and more specialist services on a regional and national basis. It employs about 10,200 staff.

The Trust works in close co-operation with the University of Oxford, and is a leading centre for research programmes in cancer, neurosciences, diabetes, genetics and many other fields. The Trust, jointly with the University of Oxford, has biomedical research centre status, making it one of the five pre-eminent centres in the country for translational medical research.

The Trust hosts the Oxford Deanery, the University of Oxford’s Department of Postgraduate Medical and Dental Education, which is jointly funded by the University and the NHS. The Trust works with the Deanery to provide one of the country’s pre-eminent centres for the training of doctors. It also works in close co-operation with Oxford Brookes University, and hosts nurse and other healthcare professional training.

Performance and activity

The Trust has an annual turnover of £0.6 billion. It provides a district general hospital service for around 700,000 people in Oxfordshire and the neighbouring counties. The Trust’s specialist services serve a population of around 2.5 million in Oxfordshire, Buckinghamshire, Berkshire, Wiltshire, Gloucestershire and Northamptonshire. In addition to the normal range of specialist services, the Trust also provides other highly specialised treatment and care for a still wider catchment area.

Patients attending acute hospitals in Oxfordshire now have among the shortest waiting times in the country. Since 2003, some waits in Oxfordshire have fallen from over 130 weeks to no more than 18 weeks – 18 weeks was the target set by the Government and the ORH achieved it nine months early.

The ORH sees over half a million people in a year as outpatients, and around 100,000 as elective patients and day cases every year. In surgery, the Trust has increased the number of operations from 500 a week to over 650 a week and in diagnostics over 25,000 more patient examinations took place.

As well as an enormous amount of hard work by our committed staff, the ORH has continued to develop new ways of working to improve patient’s clinical journeys and add greater efficiencies to the process of clinical care. The ORH has reduced delays and waste, enhanced the quality of care, improved clinical outcomes and patient safety, and increased patient satisfaction. For example, one piece of work on keyhole gall bladder operations at the Churchill Hospital increased day case rates from 25% to 73% in three months, as well as reducing non-attendance figures.

The ORH has met all the elective targets which reduce the length of time patients wait for diagnosis and treatment. These are measured by the Healthcare Commission, as part of its Annual Health Check. The Trust has also performed well against its quality targets, notably those relating to infection control. We were able to declare compliance with 43 of the 44 standards for the full period of the financial year 2008/9.

Financial situation

The Trust sits within an area which receives a lower level of health funding than many other health economies, based on the relative health of its population. In the past few years, strong financial control has enabled the Trust to reduce reference costs from 8% above to 6% below the national average. In order to ensure that the Trust stays within its financial constraints it has pioneered a number of performance improvement initiatives designed to ensure that it is making best use of its resources. These have included extending the proportion of day case operations and cutting the average length of stay for patients. Payment by Results will put the ORH in a relatively strong position in the future.

New developments

In January 2007 the Trust opened an extensive new wing for adult services at the John Radcliffe Hospital, and the Children’s Hospital, Oxford. The new wing for adults, known as the West Wing, houses head and neck and other services which were previously based in the Radcliffe Infirmary in the centre of Oxford. The new Wing offers state of the art facilities for patients and for staff. It includes additional capacity or improved facilities for a number of services, including specialist surgery, neurosciences and the Oxford Eye Hospital. In addition to clinical space, it provides a base for University teaching and research. The Radcliffe Infirmary building, which has housed medical services, teaching and research, since the 18th century, has been passed to the University of Oxford.

The Children’s Hospital, Oxford, brings together paediatric services which were previously spread across three sites in Oxford. It is a purpose-built building which provides general paediatric services for local children, and a range of specialist services, for children on a regional and national basis. The new Hospital was funded through the Private Finance Scheme which also funded the West Wing, supported by a £15 million fundraising campaign which allowed for the development of additional facilities for children and families, such as play areas, class rooms, and relative rooms.

Work is now complete on the new Cancer Centre on the Churchill Hospital site, in conjunction with PFI partners, OCHRE Solutions. The development includes additional medical and surgical beds, a new radiology department, head and neck cancer surgery centre, linear accelerators for radiotherapy and additional accommodation for chemotherapy patients. The Trust moved into the new accommodation early in 2009.

In addition to cancer services, the development also provides facilities to support other services on the Churchill site. These include physiotherapy, a high dependency unit, ten operating theatres and a private patients’ unit.

In October 2009, the Trust opened the new Oxford Heart Centre on the John Radcliffe site, in order to provide facilities for a predicted rise in cardiology patients over the coming years. The new facilities include five additional catheter labs, for diagnosing heart problems, and for monitoring patients undergoing cardiology treatment, a recovery unit, additional beds and new facilities for staff.

Oxford comprehensive Biomedical Research Centre (OxBRC)

The Oxford comprehensive Biomedical Research Centre (OxBRC)is a partnership between the Oxford Radcliffe Hospitals NHS Trust and the University of Oxford|.It has been made possible by a grant from the Department of Health’s National Institute for Health Research (NIHR)| under the programme 'Best Research for Best Health'.

The OxBRC was founded on 1 April 2007 through a competitively awarded grant of £57.5 millionover five years from the NIHR. The OxBRC is built on the research expertise of the University of Oxford and the Oxford Radcliffe Hospitals NHS Trust.

Oxford BRC is also part of the Government’s initiative to make the UKa global leader in research, healthcare education and training.

The Oxford BRC undertakes 'translational research', which means taking research from the bench to the bedside. This kind of research is about first-time studies of medical innovations in patients, which are intended to improve healthcare delivery for the benefit of all patients.

Oxford Acute Vascular Imaging Centre (AVIC)

AVIC, a dedicated clinical research facility, provides access to state of the art brain, heart and vascular imaging to support:

o  The Acute Stroke Programme

o  Stroke Prevention Research Unit

o  The Cardiac (coronary and myocardial) imaging in acute coronary syndromes

o  Other programmes approved by the Centre's scientific committee

The world-class experts at Oxford leading the stroke programme are Peter Rothwell, Professor of Clinical Neurology; Alastair Buchan, Professor of Clinical Geratology; and Peter Jezzard, Herbert Dunhill Professor of Neuroimaging.

The imaging equipment includes a biplane neuro angio facility and a 3T MRI scanner, allowing for moving patients without table change (MIYABI).

The Oxford Acute Vascular Imaging Centre is available to clinical researchers whose research has been approved by the Centre's scientific committee.

Academic Health Science Centre (AHSC)

The ORH has been working together with the University of Oxford and other academic and healthcare partners on the creation of an Academic Health Science Centre (AHSC) in Oxfordshire, which will bring together high quality patient care, teaching and research at both strategic and operational levels.

Although we were not awarded AHSC status in the most recent Department of Health designation process, we have been encouraged to apply again. We remain committed to continuing to work with academic and healthcare partners on the development of an AHSC, because of the benefits which it would bring to patients, staff and communities in Oxfordshire and surrounding areas and because of the contribution it would make to advancing the knowledge and practice of medicine nationally and internationally.

Hospital Profiles

The John Radcliffe Hospital

Headley Way, Headington, Oxford, OX3 9DU

Tel 01865 741166

The John Radcliffe Hospital, in Headington is the main emergency site. It also provides acute medical and surgical services, trauma, intensive care, cardiac, women’s services and children’s services (now based in the Children’s Hospital on the site). Following the relocation of services from the Radcliffe Infirmary, the range of services has been extended to include neurosciences (neurology and neurosurgery), specialist surgery (ophthalmology; ear, nose and throat; plastic surgery), critical care facilities for specialist surgery and neurosurgery and a new day surgery unit. The Hospital currently has over 700 inpatient beds.

The Churchill Hospital

Old Road, Headington, Oxford, OX3 7LJ

Tel 01865 741841

The Churchill Hospital, which opened in 1942, is also in Headington and provides mainly non-emergency specialist services, including renal medicine and transplant, clinical and medical oncology, dermatology, chest medicine, infectious diseases, the new cancer centre and the extended palliative care centre. The Hospital has 280 beds.

The Horton General Hospital

Oxford Road, Banbury, Oxfordshire, OX16 9AL

Tel 01295 275500

The Horton General Hospital, which opened in 1872, is located in Banbury and provides general hospital services, including accident and emergency services, maternity and paediatric services, to the growing local population in the north of Oxfordshire and surrounding areas. The Hospital has 220 beds.

Organisational structure

The Trust is managed by a Board of Directors which includes:

·  Chairman

·  Six Non-executive Directors

·  Chief Executive

·  Director of Finance and Procurement

·  Medical Director

·  Chief Nurse,

and an Executive team which includes the Directors of Operations, Divisional Medical Directors, and Directors of Planning and Information, Human Resources, Estates and Facilities, and the Horton General Hospital.

Trust services are grouped into three divisions, each with a number of directorates. The divisions are responsible for the day-to-day management and delivery of services.

For more information on the Trust and its services: http://www.oxfordradcliffe.nhs.uk/home.aspx

The Divisions are:

Division A / Division B / Division C
·  Acute and emergency
medicine and geratology
– acute general medicine, Horton medicine, emergency departments in Oxford and Banbury and
geratology.
·  Emergency access
– operational managers, emergency admissions and emergency access teams.
·  Cardiac services
– cardiology, cardiothoracic surgery, technical cardiology, cardiac investigative, and diagnostic services
·  Renal services – urology, renal medicine and dialysis, and transplantation.
·  Specialist medicine
– dermatology services,
Oxford Centre for
Diabetes, Endocrinology and Metabolism, haemophilia unit, clinical immunology, infectious diseases, and respiratory medicine. / ·  Cancer services – medical and clinical oncology, clinical haematology, pain relief unit and palliative care.
·  General surgery, vascular and trauma – emergency surgery, gastrointestinal medicine and surgery, endocrine surgery, breast surgery, trauma surgery, and orthopaedic surgery.
·  Critical care, anaesthetics and Theatres – intensive care unit, neuro-intensive care unit and Horton critical care unit. Anaesthetics provide a service not only within the Trust but also to all other Trusts in Oxford.
·  Specialist surgery and
neurosciences – ENT,
cleft lip and palate surgery,
plastics and reconstructive
Surgery, ophthalmology, oral and maxillofacial surgery, neurosurgery, neurology, neuropathology, neuropsychology, and neurophysiology. / ·  Children’s and clinical genetics – paediatric medicine,
paediatric surgery, specialist
children’s services, community
paediatrics, neonatal, paediatric intensive care, and clinical genetics.
·  Laboratory medicine and clinical sciences – cellular pathology, biochemistry, haematology, microbiology, immunology, and genetics.
·  Pharmacy and therapies
– pharmacy, physiotherapy,
dietetics, speech and language
therapy, and occupational therapy.
·  Radiological sciences
– general radiology, CT, MRI, medical physics & clinical engineering, neuroradiology, and nuclear radiology.
·  Women’s and sexual
health – obstetrics
and maternity services,
gynaecology, and genitor- urinary medicine

1.2  Trust Organisation