Mayday Healthcare NHS Trust
TRUST ACUTE MEDICAL SHO
University Hospital
Mayday is an Acute General Hospital with 769 beds. It is the main District General Hospital for Croydon with a 24 hour Accident and Emergency Department providing a major accident cover.
The hospital provides facilities for all the major specialties, in addition, specialists functions provided include a Cardiac Unit, Child Assessment Unit, and Infectious Diseases Unit. All the Pathology Laboratories are situated at Mayday Hospital providing services for the district and also for the environmental health services. The Hospital also accommodates the Croydon Eye Unit and the Croydon Chest Clinic, and provides Audiometry, Speech Therapy and EEG Services to other Hospitals within the District. There is Psychiatric on-call cover based at the Bethlem & Maudsley Hospital for patients in need of treatment.
The Trust also includes Purley War Memorial Hospital (constructed in 1918 with later additions) to the south of the borough. Purley Hospital is currently in the process of being rebuilt to provide an expanded role for diagnostics and outpatients. The Trust also runs a Minor Injuries Unit in a health centre at New Addington (afternoon and evening, 7 days a week) and a Sickle Cell and Thalassaemia Centre in Whitehorse Road, Croydon. There is an independently run out of hours GP and dentist and minor injuries service on site, which receives referrals from Mayday’s Accident & Emergency. NHS Direct is on site.
Mayday mainly serves the London Borough of Croydon. This is London’s largest borough in terms of population, currently standing at 340,000 people and growing. Croydon is a multi-cultural borough with approaching 20% of its population categorised as black and ethnic. The main hospital is in the North of the borough and at the last count our workforce included 37% black and ethnic minority staff.
Purley Hospital, situated four miles from Mayday in South of the Borough, provides a range of diagnostic and outpatient services.
There is a modern Postgraduate Centre with its own Library, Lecture and Tutorial Rooms. Mayday Hospital takes part in training of undergraduate medical students from King’s College Hospital Medical School, St. George’s Hospital Medical School, Charing Cross and Westminster Hospital Medical School, as well as Middlesex Hospital Medical School.
The Surrounding Area
The London Borough of Croydon is the largest of the London boroughs and the tenth largest in the UK with a population of 340,000. It is one of the outer London Boroughs and is coterminous with the Croydon Primary Care Trust, sharing boundaries with Lewisham, Bromley, Sutton and Caterham and Tandridge.
It has one of the largest shopping centres in South East England with modern developments like the Whitgift Centre and Fairfield Halls, which characterise modern Croydon.
There are still however, numerous features recalling its prosperity in earlier times. The Archbishop’s Palace (now a girl’s school) was occupied by the Archbishops of Canterbury until the 18th century. The oldest shop in the town can be seen in the south end, a 16th to 17th century building with over hanging upper storey. The Wrencote in the high street is a fine example of an 18th century town house.
Other places of interest include the 16th century Whitgift Hospital (an almshouse). A Flemish style 19th century Town hall and the parish church of St. John the Baptist, rebuilt in 1867 – after a fire – by Sir Gilbert Scott, in the original 15th century style.
Croydon and its surrounding area are ideally placed for visits both to London and the country. There are a whole host of sites to suit everyone from the moated Hever Castle to the entertaining expanse of Crystal Palace Park. Historic houses like Chartwell, home to Sir Winston Churchill, some marvellous museums and family fun venues like Chessington World of Adventures and Thorpe Park are all easily accessible for enjoyable trips all year round.
The Department of Medicine
General Medicine
There are at present 12 General Physicians who work in 5 firms, each supported by a team of Junior Doctors comprising 2 Pre-Registration House Physicians, 1 Senior House Officer and 1 or 2 specialty Specialist Registrars from the South Thames West training programmes. The Department of Medicine provides a wide range of specialty expertise which includes a renal dialysis unit. The 10 General Physicians (special interest in brackets) are:
| Dr Vip De Silva | Nephrology |
| Dr Natalie Horwood | Rheumatology |
| Dr Paula Johnson | Respiratory Medicine |
| Dr Tariq Mahmood | Acute Medical & Gastroenterologist |
| Dr Andrew Miller | Thoracic Medicine |
| Dr Mike Mendall | Gastro-enterology |
| Dr James O’Donnell | ITU |
| Dr Malcolm Prentice | Endocrinology and Diabetes |
| Dr Rosh Sathananthan | Rheumatology – 10th Consultant |
| Dr Richard Savine | Diabetes and Endocrinology |
| Dr Daniela Sergi | Acute & Internal Medicine |
| Dr Andrew Theodossi | Gastro-enterology |
Elderly Care
The Elderly Care Physicians are:
| Dr Paul Diggory | Ortho-Geriatrics |
| Dr David Griffiths | |
| Dr Valerie Jones | Stroke Physician (Job Share) |
| Dr Enas Lawrence | Stroke Physician (Job Share) |
| Dr Anand Mehta | Gastroenterology |
| Dr Paul O’Mahony | Falls |
| Dr Prith Navan | |
| Dr Selina Lim | Intermediate Care |
Medical Specialties
Other Medical specialties within the Department of Medicine are represented by the following physicians:-
| Dr Rudolph Canepa-Anson | Cardiology |
| Dr Peter Stubbs | Cardiology |
| Vacant | Cardiology |
| Dr Hilary Lumley | Clinical Haematology |
| Dr Jenny Maitland | Clinical Haematology |
| Dr Corinna Pollard | Clinical Haematology |
| Dr Nnena Osuji | Clinical Haematology |
| Dr Tony Newell | Genito Urinary Medicine |
| Dr Mette Rogers | Genito Urinary Medicine |
| Dr John Watson | Genito Urinary Medicine |
| Dr Bridget MacDonald | Neurology |
| Dr Fred Schon | Neurology |
| Dr Hamid Modarres | Neurophysiology |
| Dr Jeff Reardon | Rheumatology |
| Vacant | Community Rehabilitation |
| Dr Eleanor Mallon | Dermatology |
| Dr Rajini Mahendran | Dermatology |
| Vacant | Dermatology |
Apart from the 36 bedded Emergency Assessment Unit (EAU), there is currently 144 general medical beds and 182 elderly care beds. The sub-specialties (cardiology, haematology and neurology) are based in a single ward, together with a dedicated stroke ward.
Currently, all emergency admissions are seen in the A & E department by an SHO or Specialist Registrar, they also take GP calls outside after 17.00 hrs until 09.00 Hrs and at weekends; during the day GP referrals are taken by the nurse led GP Liaison Service. One of the house physicians is primarily ward based. All physicians have access to the admission ward, and Consultants conduct a post-take ward round the same day or next morning. There are no fixed commitments on take days. There are plans to admit GP accepted patients directly to the EAU.
The EAU is run by Dr Daniela Sergi and Dr Tariq Mahmood; ward rounds are conducted every day in the morning and afternoon and mornings only on Saturday and Sunday. (Monday to Friday – The medical team looks after patients over weekends and out of hours).
The Specialist Physicians
Dr Lumley, Dr Maitland, Dr Osuji and Dr Pollard, Haematologists, have access to medical beds, as well as supervising the Haematology laboratories. Their unit is supported by a Specialist Registrar.
Dr Schon and Dr MacDonald, Neurologists, have sessions at the Atkinson Morley Unit at St George’s Hospital, (the regional neurology / neurosurgery centre). There are neurophysiology facilities within the hospital.
Dr Canepa-Anson (special interest heart failure) and Dr Stubbs supervise the cardiac department, which includes echocardiography, permanent pacing and coronary angiography. The department is involved in clinical trials and has a Research Registrar and a full time Specialist Registrar.
The General Physicians
Dr Paula Johnson is one of two Consultants in charge of the chest clinic, situated within the hospital. She is Honorary Senior Lecturer at King’s College Hospital Medical School.
Dr Miller, chest specialist, is an MRCP examiner and Programme Director for the regional Calman Respiratory Registrars.
Dr Savine is one of two Consultants in charge of a purpose-designed diabetic department.
Dr Prentice, endocrinologist, has particular interest in thyroid imaging.
Dr Theodossi, Dr Mendall and Dr Mahmood run a busy gastroenterology unit to which patients are referred from other districts for specialised endoscopic biliary procedures. The firm also manages all patients with complex liver problems.
Dr De Silva, Consultant Nephrologist has sessions at the regional renal unit at St Helier Hospital.
Dr Sergi and Dr Mahmood are Acute Medical Physicians who run the EAU, Dr Sergi has an interest in cardiology and Dr Mahmood has an interest in gastroenterology. Dr Mahmood is also Honorary Senior Lecturer with St George’s Hospital and the University of London.
Dr O’Donnell is a general physician with an interest in intensive care. He is Lead Consultant and Chairman of the Medical Division.
The Accident and Emergency Department
The department is one of the busiest in London currently seeing over 110,000 new patients each year. The department has undergone considerable extension and improvement over the last few years and at present has five resuscitation bays, separate majors, minors and paediatric areas. In addition to the medical staffing detailed below, there are also GPs and ENPs working within the department. The Croydoc out of hours service is located immediately above the A&E department.
The department also has a five bedded rapid assessment area commonly known as PITSTOP; and an eight bedded Clinical Decision Unit, for patients who require a period of assessment and treatment longer than four hours but no longer than twelve hours.
| Consultant | Mr Kambiz Hashemi |
| Consultant | Mr Chris Blakeley |
| Consultant | Mrs Kathryn Channing |
| Trust Senior Registrar | Dr Lingham |
| Specialist Registrars | Four posts |
| Staff Grades | Dr Barsoum, Dr Lennard |
| Clinical Fellow | One post |
| SHO/Trust Grades | Twelve posts |
Duties of the Post
To provide care for acute medical patients attending the EAU, the post holder will therefore be based mainly within the department and will not have any clinic commitments other than assisting with the Rapid Access Clinics on EAU or occasional outpatient clinic with EAU consultants. The post holder will be expected to participate on ward rounds and work with the EAU team. In particular the post holder will be required to:
- review the patient after the admission to the unit to ensure that everything has been set up properly for the patient.
- help and support the take team in the afternoon in clerking the patients if they are unable to do the clerking due to being overloaded with other duties. Under these circumstances it is mandatory to have agreed the hand over with the take team.
- support the Consultant during the morning ward round starting with the tasks required prior to completing the round in the rapid assessment area in EAU
- clerk and see the patients referred by GPs to the EAU.
- work under supervision of the EAU consultants.
- Work on Saturday and Sunday 8am till 12noon in EAU on a rota of 1 in 3 with mutual cover for the other SHO. This attracts Band 1a.
- Annual leave would be mutually covered between the EAU SHO’s.
Timetable
| AM | LUNCH | PM | |
| Monday | Consultant supervision EAU Ward round |
EAU Teaching, Ward work | |
| Tuesday | Consultant supervision EAU Ward round |
Ward workEAU (Card) Rapid Access clinic | |
| Wednesday | Consultant supervision EAU Ward round |
Grand Round | Medical Teaching and Ward work |
| Thursday | Consultant supervision EAU Ward round |
Ward work | |
| EAU MDM 11 am | |||
| EAU (GIT) Rapid access clinic 11.30 | |||
| Friday | Consultant supervision EAU Ward round |
Ward work | |
| EAU MDM 11am | EAU Business meeting alternate week |
Person Specification
| ESSENTIAL | DESIRABLE | |
| Education / Qualifications: | M.B. or equivalent | B.Sc or equivalent, MRCP part I or 2 |
| Further Training and Knowledge: | ALS / ATLS Course | |
| Aptitude and Skills: | Relevant publications | |
| Experience: | Successful completion of two House Officer posts | Previous experience in National Health Service. Ideally 6 to 12 months post Registration. A & E experience |
| Personality and Personal Attributes: | Good communication skills Good interpersonal skills |
Conditions of Service
The Appointment will be held with Mayday Healthcare NHS Trust for 6 months.
The Job Description is a reflection of current service needs and may be reviewed and amended, in consultation with the post holder, in the light of future changes or development, which includes changes to hours and banding payments.
The post is covered by the terms and conditions of service for Hospital Medical and Dental Staff and General Whitley Council conditions of service.
The Trust will cover all medical staff for NHS work under NHS Indemnity. Mayday Healthcare NHS Trust is required to encourage medical and dental staff to ensure that they have adequate defence cover for any work which does not fall within the scope of the Indemnity Scheme (HSG(96)48 refers). Any private practice undertaken on NHS premises must be covered by subscription to a medical defence organisation.
Medical and Dental staff will be required to assist management and its agents during investigations into claims alleging medical negligence and, where requested, to provide related factual statements.
Within the terms of DHSS Circular HC(88)9 – Protection of Children – applicants are required when applying for this post to disclose any records of convictions, bind-over orders or cautions.
The Trust is committed to providing safe and effective care for patients. To ensure this, there is an agreed procedure for medical staff that enables them to report quickly and confidentially concerns about the conduct, performance or health of medical colleagues (Chief Medical Officer, December 1996). All medical staff practising in the Trust should ensue that they are familiar with the procedure and apply it.
Occupational Health
A full examination will not normally be required but shortlisted candidates will be required to complete a health questionnaire prior to the interview and the successful applicant will also be required to produce evidence of a satisfactory chest x-ray within the last year.
Hepatitis B Screening and Immunisation
Posts are offered on the understanding that the applicant will comply with local requirements regarding immunisations.
Applicants will be asked to supply written evidence to the Occupational Health Department of degree of immunity to Hepatitis B. If not immunised, the result of a test which indicates freedom from carrier state will be required and immunisation should then be commenced.
Applicants should be aware of the guidance to HIV infected health care workers from the Department of Health and the GMC/GDC.
Training in Radiation Protection
It is a legal requirement for any clinician who personally directs or performs radiological investigations (other than radiologists) to have attended a recognised course in radiation protection and possess a Core of Knowledge Certificate. This includes medical staff who undertake x-ray film in theatre. For radiopharmaceuticals for diagnostic or therapeutic purposes or who clinically direct.
The new appointee must either provide evidence of radiation protection training or undertake to obtain it as soon as possible.
Rehabilitation of Offenders
All Medical and Dental posts are exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974(Exceptions) Order 1975. Applicants are, therefore, not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act. Failure to disclose such convictions could, in the event of employment, result in dismissal or disciplinary action by the Trust. Any information given will be completely confidential and will be considered only in relation to the particular post.
Confidentiality
All personal matters relating to patients’ diagnosis and treatment and personal information relating to members of staff are strictly confidential and under no circumstances are such information to be divulged to unauthorised person(s). Breach of this condition will result in disciplinary action including dismissal. A breach of confidentiality may also result in a civil action for damages.
Criminal Records Bureau
All Trust staff are subject to a Police check and are required to complete and return the Disclosure application form sent by the Criminal Records Bureau.
‘IT’ Requirements for All Medical Staff
It is a condition of employment that all medical staff comply with the Trust’s IT policy in respect of secure use and safeguarding confidentiality.
It is a condition of employment that the post holder:
- Attends and satisfactorily completes training on Trust’s clinical IT systems as they relate to the medical care and management of patients
- Conforms to the Trust’s IT security policy, which includes:
- Safeguarding the confidentiality of his/her password
- Not allowing the use of his/her password by anyone else
- Logging off promptly at the end of each task
- Not using other people’s passwords
- Not misusing the Internet facilities available through the Trust’s IT system
- Safeguarding patient confidentiality
- The Trust will require all medical staff to hold the European Community Computer ‘Driving Licence’ as soon as this becomes a requirement for continued registration with the General Medical Council.
- The Trust will provides adequate IT training.
- The Trust monitors the use of its IT facilities, passwords, e-mail and Internet traffic.
- Failure to comply with the Trust’s IT security policy will be taken seriously and may result in formal disciplinary action and has resulted in dismissal for severe offences.
Annual leave
Annual leave entitlement is five weeks per annum Monday – Friday (no weekend on-call leave permitted if applicable) in an annual leave year from the anniversary of appointment. Notification must be made six weeks in advance to Medical Personnel and key departments. It is not possible for Specialist Registrars and SHO’s on the same firm to be away at the same time. The registrar and two SHO’s must mutually cover each other for the period of annual leave including the annual leave.
Study leave
Study leave entitlement is 10 days a year with an application of £750.00 per annum towards expenses. Application must be made six weeks prior to leave via the Medical HR Department and authorised by the Medical Director.
Sickness
If you are absent due to sickness, notification to Medical Personnel is essential together with other key areas. A self-certificate must be sent covering 4 to 7 days and a medical statement from the 8th day onwards covering the period until you return to work. If this does not indicate when you are able to return, a statement of fitness to work must be produced before you resume duty.
Contract
Whilst the duties of the NHS appointment will be primarily at the hospital(s) stated, the appointment will be made to the Mayday Healthcare NHS Trust and there will be a commitment to attend occasionally at any other hospital of clinic in the Trust, as may be necessary from time to time. Notice period for termination of contract would be two months for either party.