Who Is Who In the NHS

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  • 1. Who is who in the NHS – Roles and Responsibilities + Working as a Doctor in the UK Grzegorz Chodkowski (MD) Riga, Radisson SAS 2009
  • 2. Who is Who :Doctors Different types and grades of Doctors, vary considerably from one NHS Trust to another. Additionally private hospitals often have a different hierarchy altogether compared to the NHS. Medical students Join the medical staff, on placement to different departments throughout their training Hous Officer (HO) A position held by a doctor who has completed 2 years of the foundation programme Senior House Officers (SHO) Receive intensive support and training in the few weeks of their role. This can also include seminars and weekend induction courses. Additionally they can receive X-ray courses. Their education is continued throughout their six month attachment, including lectures, discussions, practical skills etc.. Each SHO has an educational supervisor and they have formal appraisal at 4 or 5 weeks and again at 4 to 5 months. Some hospitals request that an SHO completes a cycle of audit, presents a case report and appraises a journal article.
  • 3. Clinical Fellows They share the middle grade rota and are involved in the supervision of SHOs. They have an educational supervisor and have sessions for research and training. Where possible they are encouraged to attend relevant courses and regional Specialist Registrar’s teaching sessions. Specialist Registrar (SpR) Their training is tailored to their individual needs. They have regular training days and are given the time for research and audits. They have regular management days and are given the opportunity to shadow one of the Consultants. Staff Grades Are encouraged to attend relevant courses and have set training sessions at regular intervals. They also have yearly appraisals.
  • 4. Doctors and Surgeons Associate Specialist A senior position where the holder is responsible to a named consultant. Associate Specialists must have at least 10 years' experience since registration but are not required to have a higher qualification and do not proceed to consultant level. CONSULTANT The most senior position held by physicians or surgeons with the highest qualifications, e.g. FRCS, MRCP, and who have completed a programme of higher specialist training. *Note that Consultants and Specialist Registrars who are surgeons drop the title Dr and are addressed as Mr/Mrs/Ms/Miss.
  • 5. Nurses DIRECTOR OF NURSING SERVICES The most senior position in nursing administration. MATRON A senior sister accountable for a group of wards. SENIOR NURSE (RGN trained) A senior management position. DEPARTMENTAL SISTER A senior position for a nurse with experience and either SRN or RGN (three years' training). WARD SISTER A qualified and experienced nurse with overall responsibility for a ward, normally RGN trained. STAFF NURSE First post for a SRN/RGN qualified nurse. REGISTERED MIDWIFE (RM) Qualified Professional who cares for mother and infant (often also a RGN)
  • 6. NURSE SPECIALIST (RGN trained) A nurse with specialist expertise in education and support for particular groups of patients, e.g. those with kidney transplants, cancer or diabetes. REGISTERED MENTAL NURSE (RMN) Nurse who cares for patient with mental health problems, some of whom are also RGN trained as well. Tissue Viability Nurse/Clinical Nurse Specialist RGN, who has had extensive training in conditions of the skin, such as prevention and treatment of pressure areas to the dressings required for leg ulcers etc.. Colostomy Nurse/Clinical Nurse Specialist RGN, with extended training in care of colostomies. NURSING AUXILIARY/NURSING ASSISTANT(NA) Untrained nursing assistants, who can now take some qualifications, known as NVQs. Which means National Vocational Qualifications. These focus on practical skills.
  • 7. Other NHS Staff Hospital Play Specialist Lead playful activities and use play as a therapeutic tool. Learning Disability Nurse Works with people with learning disabilities, to enable them to become as independent as possible Housekeeper Managers a range of services on the ward, including cleaning, catering and linen. Music Therapist Facilitates interaction and development of insight into patients’ behaviour and emotional difficulties through music. Occupational Therapist (OT) Help people to overcome physical, psychological or social problems arising from illness or disability, by concentrating on what they are able to achieve, rather than on their disabilities. They do home visits with the physiotherapist and the patient in question, to try an adapt their home, to hopefully enable them to live independently again. They can contact social services who assess the patient and put into place services such as home helps and care assistants.
  • 8. Technical Instructor Assist qualified Occupational Therapists, installing supportive devices in patients’ homes an in the community. Phlebotomist Take bloods from the patient for analysis in the laboratories. They cover many general wards and go around each one, starting in the morning. They take routine bloods, requested by the Doctors. Further phlebotomists operate clinics near to the laboratories, where they perform bloods requested by Doctors in the out-patients clinics. Any specific blood tests required for patients from the wards are all performed in the clinic, if the patient can walk there or be taken in a wheelchair. Porter Move patients between different departments and wards in safety and comfort, handling any equipment needed for the patient or attached to the patient. Nurses or Doctors helping to transport patients from one area to another who are in a bed, must always use a porter. This is a strict guideline outlined in the health an safety protocol. Storekeeper Look after general stock taking and the collection and delivery of stores to wards, clinics and departments.
  • 9. Sterile Services Manager Are responsible for the sterile supplies needed for patient care and for ensuring that medical equipment is disinfected. They check and refill ward supplies, for example dressing packs and catheterisation packs. Speech & Language Therapist Work with people who have problems with communication, including speech defects, chewing or swallowing. They work within their own department and work with patients on the ward. Ward Clerk Work under the guidance, supervision and instruction of the Ward Manager an other qualified staff on a hospital ward. Dietitian Work with patient’s to promote nutritional wellbeing, prevent food-related problems and treat disease. They prescribe nutritional supplements for patients and organise special diets as required. Chaplain They are salaried NHS employees, ministering both to patients and to NHS staff. There is a small chapel in every hospital, where services take place.
  • 10. Emergency Medical Dispatcher Deal with urgent calls to the Ambulance service and help to mobilise and control Accident and Emergency vehicles Paramedic The senior members of accident and emergency ambulance crews, trained for two years in all aspects of pre-hospital emergency care an in emergency driving. Ambulance Technician Assist paramedics in accident and emergency work Ambulance Care Assistance Transport non-emergency patients to and from hospital. Pharmacist Experts in drugs and medicine, involved in all aspects of their use, preparation, discovery and development and the monitoring of effects. Along with the pharmacy technician they check ward stocks of drugs. Pharmacy Technician Prepare and deliver drugs, store incoming drugs and make up sterile preparations.
  • 11. Podiatrist/Chiropodist Specialise in the lower limb and foot. For example diabetics receive foot care from them, having nails cut etc… Health Record Staff Collate, organise, retrieve and archive patient or client records. Medical Physicist Use their scientific knowledge in such treatments as supervising the dose of radiation to treat a cancer tumour or developing techniques such as x-ray and nuclear medicine. Respiratory Physiology Technician RPTs perform a wide range of investigations to aid in the diagnosis of any respiratory disorders, such as asthma an emphysema. Radiologist Doctors who work in the medical specialities of Clinical Radiology (diagnostic imaging) and Clinical Oncology.
  • 12. Radiographer Assistant Assist qualified Diagnostic and Therapeutic Radiographers. Therapeutic Radiographers Specialists in cancer treatment, through high doses of radiation. Prosthetist Provide artificial limb replacements for patients born without them and those who lost them through trauma or surgery. * Please note this list is not exhaustive and other roles exist within the NHS, they can be found on www.nhs.uk
  • 13. Important Issues • Career Pathway • Dress Code • Communication with Patients • Personal and legal accountability
  • 14. Dress Code
  • 15. NHS Dress Code "bare below the elbows"
  • 16. Summary • Hair: clean, worn off the face and shoulders • No jewellery (bracelets, necklaces, charity bands) for: clinical, catering and domestic staff Only plain wedding rings allowed. • No wrist watches when performing clinical duties. Fob watch is an alternative ehen appropriate. • Exposing body artwork should be avoided • Denim clothing and fashion garments with excessive zip, belts, chains etc is not recommended • Footwear should fit to the type of duties performed • Nails must be kept clean and short. No nail polish or false nail.
  • 17. Summary • No unconventional hairstyles or colouring and make –up should be discreet and avoid extremes of fashion • Personal Protective Equipment e.g gloves, eyewear etc. All staff must comply with: 1) Health and Safety Policies 2) COSHH legislation 3) Infection Control Policy and Procedures 4) Food Hygiene Legislation
  • 18. Identification Badges
  • 19. How to Identify Staff All staff wear identification badges. If you are not sure who a member of staff is, ask to see their badge.Your medical care will be managed by an expert team headed by a Consultant. You may not always see your Consultant but you can be sure that you will receive the best possible care at all times. The team caring for you during your stay may be made up of nursing staff, medical staff, physiotherapists, radiographers, dieticians, ward clerks - the list is endless. You may meet some or all during your stay, but if you are not sure who somebody is - ASK .
  • 20. Thank You! Any Questions?