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  • 1. THE UNIVERSITY OF NOTTINGAM SCHOOL OF CLINICAL SCIENCES - NOTTINGHAM DIGESTIVE DISEASES CENTRE BIOMEDICAL RESEARCH UNIT& DIVISION OF GASTROENTEROLOGY CLINICAL ASSOCIATE PROFESSORS (TWO POSTS)The University of Nottingham seeks applications for two Clinical Associate Professors in gastroenterologyand/or hepatology. The successful candidates will have a primary research commitment in conjunction withservice and teaching responsibilities. These are new posts created as a result of the award to Nottingham ofa £6M Biomedical Research Unit (BRU) in Gastroenterology and liver disease. The BRU is funded by theNational Institute of Health Research to conduct and facilitate translational research. It is the only BRU inluminal gastroenterology in the UK and one of only two in hepatology. It is attached to the NottinghamDigestive Diseases Centre (formerly the Wolfson Digestive Diseases Centre) which is the biggest clinically-based UK research grouping in GI/liver disease in the UK with 38 Principal Investigators. The NDDC alsomanages the biggest dedicated GI/liver Walport ACF/CL training programme in the UK.The successful candidate will supervise their own research programme and play a key role in facilitating theclinical translation of basic GI and liver research in the University. They will also have a management role inthe BRU.We are eager to appoint the best candidate regardless of precise research interests providing these arebroadly compatible with the BRU’s remit. The BRU is focused in the area of GI and liver infections and post-infectious sequelae, including GI inflammation. As well as the infections themselves, this includes conditionssuch as peptic ulceration, irritable bowel syndrome, diverticular disease, chronic liver disease andcarcinogenesis following inflammation at mucosal surfaces.The successful candidates will have a track record in research which can be at any stage of the translationalresearch pathway from understanding fundamental mechanisms of disease through to early phase clinicaltrials. However, the work conducted in Nottingham must have patient-based research as an importantcomponentRESEARCH IN THE NOTTINGHAM DIGESTIVE DISEASES CENTREGI/liver research in NottinghamAcademic Medical Gastroenterology/Hepatology in Nottingham is internationally-renowned and achieved a 5*grading in the last Research Assessment Exercise. At its core are 6 University Academic Gastroenterologists(5 full Professors and 1 Associate Professor) with extensive, mature, well-funded research programmes andresearch expertise ranging from molecular and cellular biology through patient-based research to clinicaltrials and GI epidemiology. They work closely with the NHS gastroenterologists, many of whom also haveextensive and active research programmes. Academic Gastroenterology forms part of the NottinghamDigestive Diseases Centre (NDDC), a co-operative research grouping of 38 Principal Investigators from bothUniversity and NHS Trust comprising medical and surgical gastroenterologists and non-clinical scientists,which we believe to be the largest clinically-based gastro-intestinal research grouping in the UK. The NDDC isbased mainly on the QMC campus but also includes researchers in the University of Nottingham in DerbyHospitals and laboratories.Current research interests in gastroenterology/hepatologyThe research interests of the NDDC are broad. Professor John Atherton, Director of the BRU conductstranslational and basic research in Helicobacter pylori pathogenesis and mechanisms of upper GI diseases.Professor Chris Hawkey, Head of the Division of Gastroenterology and Director of the NDDC is interested inNSAID damage and cancer chemoprevention in the GI tract and in inflammatory bowel disease. ProfessorRobin Spiller, Editor of GUT, researches neuro-gastroenterology including pain and motility disturbance inIBS, and has large programmes in functional GI imaging, including using MRI. Professor Yash Mahida is co-Director of the Institute of Infections, Immunity and Inflammation and is interested in mucosal biology(including GI stem cells) and C. difficile pathogenesis. Professor Richard Logan conducts a wide range of GIepidemiology and observational studies in many areas including IBD and celiac disease. Dr. Krish Ragunath isan academic endoscopist interested in advanced imaging and pre-cancer detection and treatment in the GItract. Dr. Guru Aithal, Dr. Will Irving, Dr. Steve Ryder and Dr. Brian Thomson lead the Liver Research Group.This large and active group has particular research interests in viral hepatitis, fatty liver and drugs and the
  • 2. liver, and includes active epidemiological research as well as clinical and laboratory-based researchprogrammes. We have many other research programmes, which we are actively trying to translate. Theseinclude extensive internationally-competitive research in bacteriology and virology, as well as research ondrug targets, delivery and formulation conducted in our award-winning School of Pharmacy. Further detailsof individual academic gastroenterologists and their research interests can be found structuresLaboratory-based research, including basic molecular and cell biology, work with model systems and workwith ex-vivo human tissue is based in dedicated WDDC laboratories at QMC and in “Institutes” of researchexcellence in the University of Nottingham. These include the Institute of Infections, Immunity andInflammation the Institutes of Genetics, Neuroscience and Experimental Therapeutics, and the CancerResearch Centre. Clinical research (including trials) is based in the NDDC (which has dedicated facilities forendoscopy, out-patient and in-patient studies and ex vivo tissue research) and the Institute of ClinicalResearch (ICR) which has further clinical research facilities including a Clinical Trials Unit. GI Epidemiologyand Health Services Research is housed in the Institute of Population Studies.Clinical research trainingMedical Gastroenterology/hepatology has a particularly proud record of clinical research training with moreAcademic GI “Walport” training posts than anyone else in the UK. Additionally, we currently have 9 ClinicalMedical Gastroenterology trainees working full-time towards PhDs, or occasionally MDs (among ~35 clinicaland non-clinical PhD or MD students in the NDDC). PhD/MD training for clinicians in the School of Medicaland Surgical Sciences is closely supervised and carefully structured: clinical students take part in a taughtcourse which has been developed specifically for medically-qualified graduates undergoing research training.Gastroenterology research trainees also attend vibrant weekly academic meetings with all consultant andtrainee gastroenterologists plus GI pathologists, a GI paediatrician. These meetings consist of criticalappraisal of published research with implications for Nottingham research and clinical practice (1 hour) andcase-based clinical training (45 minutes). There are also frequent Medical Gastroenterology researchmeetings, an invited seminar programme with external speakers, and regular research meetings based inother Research Institutes.THE CLINICAL COMPONENT OF THE SENIOR LECTURER POSTThe postsBoth posts will have 5 academic PAs and 5 clinical service PAs. The precise content of the clinical service PAswill be negotiable depending on the skills and interests of the appointee, but both appointees will beexpected to contribute to the acute gastroenterology and endoscopy on-call service (along with all otherUniversity and NHS gastroenterologists/hepatologists), which will become a 1 in 12 rota rewarded with 0.5PAs. They will also receive 1.25 SPAs Typically the other clinical service sessions might comprise 1 OPDclinic, 1 endoscopy session, 0.5 in-patient cover (ward rounds etc. for a short period, perhaps 6 weeks peryear), 0.5 phone and admin work, 0.25 MDM.Acute/general medicine.Acute medicine is provided by acute medicine specialists at NUH with a contribution from other medicalspecialities including gastroenterology. While not included within the job plan, acute medical sessions may beavailable for a candidate who wished to participate by negotiation.Education and training.Dr Tim Bowling is the education lead for undergraduates. All consultants in Gastroenterology are expected tocontribute to education and training of undergraduates and postgraduates.THE DIGESTIVE DISEASES AND THORACIC DIRECTORATERecent service reconfiguration has allowed the opportunity to develop a directorate with medical and surgicalsub-specialities integrated along the lines of care pathways rather than historical boundaries. The newintegrated directorate will allow service provision, resource utilization and operational management to bemore streamlined and efficient. Managerial structure of the directorate is as follows-Clinical Director - Mr N WelchDeputy Clinical Director – Dr GP Aithal
  • 3. Directorate General Manager - Mr Tom SymondsDirectorate Clinical Lead - Mr Garry MarshAsst Clinical Leads –Sr J Barker and Sr E GaskillClinical Champions: Acute/general gastroenterology +Endoscopy– Dr A Jawhari Upper GI and Thoracic – Mr JP Duffy Emergency Services – Mr A Brooks HPB – Mr IJ Beckingham Colorectal – Mr C Maxwell-Armstrong Clinical Nutrition – Dr T Bowling DIRECTORATE MEDICAL STAFFLuminal NHS Dr K Teahon Dr A Jawhari Dr T Bowling Dr C Fraser-MoodieHepatology NHS Dr GP Aithal Dr SD Ryder Dr M JamesGI/Hepatology Dr R Long Dr M TeliUniversity (all Luminal) Professor CJ Hawkey Professor JC Atherton Professor R Logan (Dept of Public Health) Professor Y Mahida Professor R Spiller Dr K RagunathHepato-pancreaticobiliary surgery Mr I J Beckingham Mr A Brooks Mr D N Lobo (Senior Lecturer) Professor B J Rowlands Mr I Ahmed (locum)Colorectal surgery Mr J F Abercrombie Mr N C Armitage Mr C Maxwell-Armstrong Mr M H Robinson Professor J H Scholefield Mr J P Williams Mr A Acheson (Senior Lecturer)Upper GI surgery Mr NT Welch Mr SL ParsonsThoracic Mr D Beggs Mr E Black Mr JP Duffy Mr A MajewskiClinicians are supported by 3 endoscopy nurse practitioners and nurse specialists -3 hepatology, 2 alcoholliaison service, 2.5 Inflammatory bowel disease, 1 each in nutrition, inpatient and out-patient coordination.Clinical Activity
  • 4. We are currently in the process of re-structuring our clinical activity so that we can provide more dedicatedconsultant led care. We are identifying our emergency, scheduled and ambulatory care pathways moreaccurately. We are partway through this process and as a result most of our emergency care pathway will beprovided on the QMC campus with a dedicated consultant led team supervising. We are finalising details ofour scheduled care pathways and are working with the independent sector treatment centre for ambulatorycare.Person Specification:Requirements Essential DesirableQualifications Entry on GMC Specialist Register; eligible for entry on Register or within six months of receipt of Certificate of Completion of Training (CCT) at time of interview. MRCP (UK) or equivalent. Higher degree (PhD or exceptionally MD)Clinical Experience Ability to offer expert clinical opinion on a range of Gastroenterology, hepatology & Endoscopy problems. Ability and experience to do out-of-ohours endoscopy for acute GI bleeding.Management and Experience of audit.Administrative Ability and willingness to work within the TrustExperience and NHS performance framework and targets.Teaching Experience of supervising junior doctors in Experience of teachingExperience training. undergraduates. Ability to teach research and clinical skills.Research Proven ability to manage a research portfolio. Proven ability to attractExperience Publications in peer-reviewed journals. research funding. Research experience in a field which falls within Experience of gaining the remit of the Biomedical Research Unit ethical and R&D approval (GI/liver infection and post-infectious sequelae, for studies. including inflammation) Experience in translating basic research into clinical research.Other Ability to work in a team.Attributes Good interpersonal skills. Enquiring, critical approach to work. Caring attitude to volunteers and patients. Ability to communicate effectively with volunteers, patients, relatives, GPs, nurses and other agencies. Commitment to Continuing Medical Education and the requirements of Clinical Governance and Audit. Satisfactory Enhanced Disclosure from the Criminal Records BureauNB: In exceptional circumstances a person may be appointed prior to obtaining their CCT.Applicants will be within 12 months of CCT. Under these circumstances they will be appointed atClinical Lecturer level (Honorary SPR) with progression to Clinical Associate Professor (HonoraryConsultant) upon completion of CCST.DUTIESThe appointee will be expected to fulfil the following clinical service duties within the agreed Job Plan.Provision with consultant colleagues of a comprehensive elective and emergency gastroenterology service.Provision of reciprocal cover for periods of leave.Continuing responsibility for the care of patients in his/her charge and the proper functioning of thedepartment.
  • 5. These duties are subject to review from time to time in the light of the changing requirements of the service.If alterations to the described duties are required these will be mutually agreed between the appointee,his/her Consultant colleagues and the Trust.The person appointed will be required to devote substantially the whole of his/her time to the duties of thepost and give them priority at all times.TeachingBoth campuses within Nottingham University Hospitals NHS Trust are major centres for undergraduate andpostgraduate education and teaching. The successful candidate will be expected to play a full role inundergraduate and postgraduate teaching.Governance and AuditNottingham University Hospitals NHS Trust is committed to the development of Clinical Governance. Theapproach taken is to develop actions plans at a directorate level. Each member of the medical staff isexpected to take an active role in clinical governance activities within their directorate and each directoratehas a Consultant nominated as Clinical Governance lead. The activities include, (but are not restricted to)audit, incident reporting, review of complaints, risk management, CPD and Evidence Based Practice.Other Duties as AgreedThe appointee may eventually wish to take on other roles. Positions such as Clinical Director are offered bythe Trust on a fixed term basis. Any positions offered by anyone outside the Trust (e.g. Training ProgrammeDirector, Regional College Advisor, Royal College Representative etc) must be discussed with the ClinicalDirector and colleagues in advance of the position being accepted, so that consideration can be given to thejob plan and whether this needs to be revised should the additional role be accepted.JOB PLANThe following draft ‘Job Plan’ reflects our best assessment of what the final plan will be, based on 10 PAs.The University and Trust are moving towards annualized job plans to ensure the maximum flexibility andresponsiveness of the service. The weekly job plan outlined below is the most likely starting point althoughit is likely that sessions will change both in location and type to fit with service needs. The Job Plan will besubject to regular review.Any consultant who is unable, for personal reasons, to work full-time, will be eligible to be considered for thepost on a part-time basis; if such a person is appointed, modification of the job content will be discussed ona personal basis with the Trust in consultation with consultant colleagues.PROGRAMMED ACTIVITIES:Direct Clinical Care: Out of hours – predictable (weekend ward 0.5 rounds/ urgent procedures) Emergency duties - unpredictable Ward rounds (+ related admin/ meetings) 0.5 Out-patient clinics 1 Clinical Diagnostic Work (e.g. endoscopy) 1 Patient related administration (including travel 0.5 between sites) Multi-disciplinary meetings 0.25 Sub Total 3.75Supporting Professional Activities Training (Postgraduate) 0.25 Medical Education (Undergraduate) 0.25 CPD, Appraisal, Job Planning 0.25
  • 6. Audit 0.25 Service development 0.25 Sub Total 1.25 TOTAL CLINICAL SERVICE PAs 5On-call supplement (may be subject to change to reflect the appropriate banding for the post as designed bythe NHS Trust) Rota Frequency: 1:12 Category: A On-call Supplement: 3%POSSIBLE TIMETABLE DAY AM PM Monday Research + MDM Research Tuesday Research Research Wednesday Clinic Research Thursday Research Endoscopy Friday CPD Teaching and AdminWard rounds: In-patient gastroenterology is divided into ‘liver’ and ‘luminal’ service with two consultants(one hepatologist and one luminal gastroenterologist) leading care at any given time. The new appointeeswill oversee in-patient care for about 15-20 patients in rotation with other Consultants. We are committed toprovide consultant-led service and aim to have daily senior ward rounds. Each consultant aims to do 4 wardrounds (including 1 teaching rounds) per week while covering the ward. One day of the week, the specialistregistrar leads the ward round with appropriate discussion with the consultant. During time on the ward fixedmorning commitments will be scheduled to start at the end of ward rounds.On-call commitment will be 1:12, supported by junior staff. This post is deemed to be Category (A or B)and an allowance is paid for being on-call, which is currently category A x 3%. Consultants cover acutegastroenterology and endoscopy for a week at a time and during this week they cancel all fixedcommitments. The supplement may change to reflect the appropriate banding for the post as designed bythe NHS Trust if appropriateADMINISTRATIVE SUPPORTOffice accommodation and administrative support will be provided by the Trust and University, as will a PCwith e-mail and Internet access. All consultants are required to check their hospital e-mail regularly.PROFESSIONAL STANDARDSThe Clinical Director is managerially responsible for all activity and personnel in the NHS directorate in whichthe consultant works. The Medical Director, Dr Stephen Fowlie, has overall responsibility for the professionalperformance of consultants, working within NUH.All consultants are expected to comply with management arrangements in place, to follow the guidelines onpractice laid down by the General Medical Council’s “Maintaining Good Medical Practice”, and to beaccountable to the Trust for their actions and the quality of their work. A yearly Consultant Appraisal andJob Plan review is carried out.ETHICS OF CLINICAL PRACTICE COMMITTEE (ECPC)The Ethics of Clinical Practice Committee has been in existence in Nottingham since 1994. It is amultidisciplinary forum with representation from both campuses as well as PCT and lay representation. Theremit of the ECPC is to consider clinical issues in relation to existing and developing policies as well as ethicaldilemmas that arise with clinical issues and resource allocation. The committee exists to help clinical staff
  • 7. reflect and discuss issues rather than being directive, but it is able to provide a consultation service ifrequested. The current Chair, Dr Tash Masud, Health Care of the Elderly, can be contacted via the CityHospital switchboard or by e-mailing the administrative secretary ( OF SERVICEThis appointment will be on the terms and conditions of the new Consultant contract.The person appointed will be expected to adhere to local policies and procedures and to take note of thestanding orders and financial instructions of the Trust. In particular, where the consultant managesemployees of the Trust, he/she will be expected to observe the employment and Human Resource policiesand procedures of the Trust.All employees who have responsibility for other staff need to ensure that individual performance is reviewedand a personal development plan is jointly agreed, at least annually. Managers and supervisors will workjointly with their staff to ensure all developmental actions that are agreed during the review take place andare evaluated during the following year.HEALTH & SAFETYThe Trust recognises its duties under the relevant Health and Safety at Work legislation: to ensure, as far asreasonably practicable, the health, safety and welfare at work of all its employees. In addition the businessof the Trust shall be conducted so as to ensure that patient, their relatives, contractors, voluntary workers,visitors and members of the public having access to Trust premises and facilities, are not exposed to risks totheir health and safety.All medical and dental staff under contract to the Trust will be expected to be familiar with and adhere to theHealth and Safety Policies of the Trust.All accidents must be reported to your Clinical Director, and you must submit a completed accident/incidentreport form and support accident prevention by reporting potential hazards. A copy of the Department’sHealth and Safety policy will be available to the successful candidate.Included in these policies is the requirement that all new medical staff will provide evidence that they are notcarriers of Hepatitis B before appointment, and accept immunisation if not already immune.REHABILITATION OF OFFENDERS ACTBecause of the nature of the work for which you are applying, this post is exempt from the provisions ofSection 4(2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders Act 1974(Exceptions) Order 1975. Applicants are therefore not entitled to withhold information about convictionswhich for other purposes are "spent" under the provision of the Act and, in the event of employment, anyfailure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Anyinformation given will be completely confidential and will be considered only in relation to an application forpositions to which the order applies. If once employed, an employee receives a conviction they are requiredto inform the Trust.Informal enquiries may be addressed to Professor J Atherton, tel: 0115 823 1034,, Professor R C Spiller, tel: 0115 823 1032 or Dr G Aithal, tel: 0115 9249924 ext: 65924.Please quote ref. LC/28899X2. Closing date:15 January 2009.
  • 8. Appendix NOTTINGHAM AND THE TWO HOSPITAL CAMPUSES1 NOTTINGHAMCentral within the East Midlands, Nottingham is a vibrant and prosperous city with something to offereveryone. It is one of the UK’s leading retail centres, has a huge variety of restaurants, bars and nightclubswhich attract people from all over the UK. Culturally it has good theatres, and an arena which attracts bothnational and international performers and a range of historical interests relating to subjects such as the laceindustry, Lord Byron and DH Lawrence. Nottingham is also known for sport, being the home of Trent BridgeCricket Ground, Nottingham Forest and Notts County Football Clubs, the National Water Sports Centre andthe Nottingham Tennis Centre where the Nottingham Open is played each year just before Wimbledon.There is a good network of roads with easy access to the M1 and the A1, the rail service to London and othermajor cities is frequent and Nottingham East Midlands Airport is only eighteen miles away.The city is set within a county of outstanding natural beauty that includes Sherwood Forest, Wollaton Park,lively market towns and wonderful historic buildings. It is also home to the world’s best-loved outlaw, RobinHood.Housing is relatively inexpensive and, in addition to the two Universities, there are excellent schools andcolleges available.To find out more about Nottingham, use the following links:Nottingham County Council – Tourism Nottingham of Nottingham My Street (Guide to local area including property and schools)http:/www.upmystreet.com2 THE TRUSTThe Trust works in close association with the University of Nottingham and the University of Derby. There arevery strong links with nursing and midwifery training, which is part of the University of Nottingham, Facultyof Medicine, and with the locally-based Schools of Physiotherapy, Radiology and Radiotherapy.The following two sections describe the services and facilities currently at the two campuses. However youshould also be aware that there are ongoing discussions about the future development and location of ourclinical services, as a result of which some services or parts of services may relocate to the other campus.QUEEN’S MEDICAL CENTRE CAMPUSAs well as the hospital, the QMC building, which opened in 1978, also houses the University of NottinghamMedical School and School of Nursing and Midwifery.Clinical services provided within QMC include a very substantial emergency workload, particularly in medicaladmissions. Within the Medical Division services include the Emergency Department, Medicine, (includingGastroenterology, Cardiovascular, Respiratory, Diabetes and Endocrinology, Haematology, Rheumatology,Immunology, Palliative Care,) Dermatology, Intensive Care and Health Care of the Elderly. Surgical Divisionservices include Colorectal, Hepato pancreatic biliary, Vascular, ENT, Ophthalmology, Maxillofacial, Trauma &Orthopaedics, (including Spinal,) and Neurosciences. Within the Women, Children and Clinical Support
  • 9. Division, services include Obstetrics and Fetomaternal Medicine, Gynaecology, (including Fertility Services,)Child Health, (including Neonatology and Paediatric Surgery,) and Occupational Health.The QMC site has constantly developed the services it provides to enable it to meet the needs of its patientsboth now and for the future. A recent development is the Nottingham Eye and Ear, Nose & Throat Centrewhich opened in a four-storey Private Finance Initiative building at the end of 2000. QMC has the onlyEmergency Department for Nottingham and a £6m extension to the department opened in 2004 whichsignificantly improved the facilities in what is the busiest Emergency Department in the country. As well asthese major building initiatives, QMC is strengthening its Critical Care Facilities, having recently established asurgical HDU, increased the number of ITU beds and implemented outreach services. A state of the artClinical Skills Centre opened in 2004 attached to the Postgraduate centre.Nottingham NHS Treatment CentreIn 2008 the new Nottingham NHS Treatment Centre opened on the QMC campus. The Treatment Centre ismanaged by an Independent Sector Provider. Some routine out patient and day case work ingastroenterology and hepatology takes place in the Treatment Centre. Staff remain the employees of theUniversity with Honorary contracts with the NUK NHS Trust.NOTTINGHAM CITY HOSPITAL CAMPUSThe City Hospital Campus offers a wide range of clinical services to the local population of greaterNottingham, plus a much larger population in such specialties as plastic surgery & burns, cardio-thoracicsurgery, cancer, renal, breast services, clinical genetics and neonatology.There is no Accident & Emergency department on the campus, although the hospital does take medical andsurgical emergency patients referred by GPs or from other acute hospitals.The Nottingham City Hospital campus has a long association with the city of Nottingham. It first opened in1903 and the buildings are a mixture of old and new, although services have recently benefited from hugeinvestment in improving the facilities for patients.These developments include the purpose-built Endoscopy Centre, Nottingham Breast Institute, NottinghamUrology Centre, Trent Cardiac Centre, Short Stay Unit, Centre for Clinical Haematology and PET scanner.New staff residences are also currently being built on site.Research interests at the City campus include oncology, respiratory medicine, clinical haematology,rheumatology, diabetes/endocrinology, stroke medicine, urology, breast cancer and mineral metabolism.Professors in the following specialities are based on this site - Surgical Science, Respiratory Medicine,Microbial Diseases, Obstetrics and Gynaecology, Oncology, Medical Genetics and Stroke Medicine. Inaddition, there are academic departments of Haematology, Rheumatology, Continuing Care andAnaesthetics.City Hospital is home to training centres in breast screening techniques and cardiac surgery and the Trust isa Cancer Centre, forming part of the Mid-Trent Cancer Network.POST-GRADUATE EDUCATION FACILITIESNottingham University Hospitals NHS Trust fully supports and recognises the importance of continuingprofessional development for Consultants and career-grade staff. The facilities available to support thisinclude two large purpose-built Postgraduate Centres. The Trust encourages consultants to participateactively in Continuing Medical Education activities both within the Trust and externally and the provision ofstudy leave is managed by a Trust Study Leave Committee administered within the Postgraduate Centres.QMC CAMPUSThe Post Graduate Centre at Queen’s Medical Centre campus contains eleven meeting rooms of varying sizesand audio-visual equipment including video-conferencing.The large Greenfield Medical library is situated in the Medical School within QMC. This has an excellentretrieval service and arranges inter-library loans. All members of the hospital medical and dental staff havefree access and borrowing rights. Audio Visual services are provided from the Medical Photography
  • 10. department located in the Medical School which has photographic, medical illustration and video recordingfacilities as well as a service in support of presentation materials.The Trent Simulation and Clinical Skills Centre opened in April 2004 – a state of the art simulation centre andclinical skills facility. It is a two-storey extension to the Postgraduate Education Centre and the regionalcentre within Trent for advanced human patient simulation training offering a range of specialty specific andinter-professional courses.The high fidelity simulators (adult and paediatric) use sophisticated computers to create a life like medicalenvironment allowing realistic scenarios to be reproduced and enacted without any risk to the patient.• The patient simulator can be used to provide an extensive range of educational modules including events /scenarios involving the cardiovascular, metabolic, pulmonary, neurological and renal systems as well as trauma and airway events. In addition to normal physiology, a variety of pathological states can be superimposed to provide realistic, potentially life threatening scenarios and thereby challenge participants using complex clinical situations.• The control room operator guides the simulation in real time thereby modelling patient responses to unfolding events. The simulation is recorded on video that afterwards enables a through analysis and debriefing to take place.Courses have an emphasis on key issues of crisis resource management, team training, leadership andcommunication skills.The ground floor clinical skills centre has been designed to provide a large flexible space that can be set upto deliver a range of training.• It can comfortably accommodate 20 candidates in a workstation station setting or alternatively the space can be subdivided to provide 3 smaller rooms each holding approximately 10 – 12 people.• Preparation and storage space has been designed to support the main skills area maximising the teaching space available.The centre is a key site for both basic and advanced surgical skills training and is equipped with 10laparoscopic skills stations. It is expected that this area of training will grow significantly during 2005/06.The Centre has an endoscopy simulator (Immersion Medical) that is available for self-directed learningsessions and to support training programmes and courses.NCH CAMPUSThe Postgraduate Education Centre was opened in 1972 and has recently been extended. The Centreprovides an excellent educational environment for multidisciplinary conferences and seminars, postgraduatemedical education and continuing medical education. It also provides a base for the Nottingham VocationalTraining Scheme for General Practice, as well as teaching facilities and common room for undergraduatestudents of Nottingham University Medical School and a brand new Clinical Skills Centre.The Library in the City Campus Postgraduate Education Centre contains an extensive section of theUniversity Library which, together with access to national lending and other libraries in the Country, providesa wide range of literature. There is a study space for 50 readers, in a purpose-built room there is a range ofaudio-visual equipment, including a CD-ROM, a video and a computer assisted learning package for juniordoctors, and there is also photocopying and fax services.A wide-range of postgraduate meetings is held at the City Hospital campus and the Postgraduate Centre isrecognised as a Centre of innovation throughout the Mid Trent Region. Each teaching room is equipped withup to date Audio Visual technology and there is an internet and intranet web site giving information on allactivities and meetings. The Centre has also recently developed an Intranet based Induction package forLocums and Junior Doctors, and is piloting the use of a Deanery based HICOM Intrepid package for thetracking and monitoring of Study Leave.CANCER SERVICES IN NOTTINGHAMThe Nottingham Cancer Centre is a part of the Mid Trent Cancer Network, which is the umbrella organisationoverseeing the development of cancer services within Nottingham, Central Nottinghamshire and Lincolnshire.
  • 11. The Nottingham Cancer Centre is responsible for strategic development of cancer services across bothNottingham University Hospitals’ sites. This includes both clinical services and organisational aspects such asservice improvement, planning, performance, education, audit and patient information.TRUST FACILITIESQMC CAMPUSThere are a number of facilities provided in QMC, including a Newsagent, Florist, Bakery/Pizza/Sandwich bar,Clothes shop, Rooftop Garden, Bank (National Westminster) which is open daily from 10.30 – 3.30pm and aPharmacy/Chemist’s shop. There is a large dining area, Cyber Café, roof garden and an active Doctors’ Messwith kitchen, pcs with Internet access, sitting room, billiard tables, and television.NCH CAMPUSThe City Hospital campus has a variety of facilities for the use of patients, visitors and staff. There is arestaurant, three coffee bars selling hot and cold snacks, five WRVS stalls and a hospital shop. In addition,the Doctors’ Mess has its own snack bar and mobile snack bars visit most wards and departments. There isa Natwest bank onsite, as well as a Nationwide cash machine located outside the main out-patientsdepartment.