ST1 posts, Medicine in General
Elderly Medicine, Cardiology, Endocrinology
Scarborough is a seaside resort on the east coast of Yorkshire. Isolated geographically, it
is set in beautiful countryside near the North Yorkshire Moors and the Yorkshire Wolds.
The area covered by Scarborough District includes the fishing ports and sea-side resorts of
Whitby, Filey and Bridlington and the market towns of Malton, Pickering, Helmsley and
Kirkbymoorside, as well as numerous villages in the area. The local industries are
agriculture, tourism and fishing. Scarborough is linked to York and Thirsk and thereby to
the A1 and M1 by good roads. There is a rail service from Scarborough to York, Leeds
and Hull. Scarborough has good educational facilities including primary and
comprehensive schools, a sixth form college and Further Education College.
Entertainment and sporting facilities in and around the area are excellent, including good
yachting facilities at Scarborough and Whitby, and superb golf courses.
The catchment area of Scarborough Hospital extends from the Cleveland borders in the
north to the south of Bridlington and includes the communities of Malton, Norton,
Pickering and Kirkbymoorside. The resident population is approximately 220,000. This
part of Great Britain is a popular holiday area, and during peak periods the actual
population served is much greater. About 21% of the district population is over the age of
65 (national average 15%).
At present there are eleven Consultant Physicians whose interests include
Gastroenterology, Respiratory Medicine, Cardiology, Stroke Rehab, Diabetes and
Endocrinology, as well as a Consultant Clinical Haematologist, Consultant Rheumatologist
and Consultant Neurologist. There are also three Care of the Elderly Consultants.
The present junior staff within the Division of Medicine consist of:-
6 Specialist Registrars (two Gastro, one Diabetes/Endo, one Acute Medicine, one
Care of Elderly and one Chest)
2 Senior SHOs (Cardiology & Neurology), 2 Trust Grade Senior SHOs
(Gastro/Chest & Elderly)
1 SHO - Care of the Elderly, 4 Trust Grade SHOs (Gastro/Chest/Cardio/Diabetes)
8 FY1, 2 FY2, 3 GPVTS SHOs
There is also an Associate Specialist in Care of the Elderly and Staff grade in Cardiology.
The Hospital has a Medical Admissions Unit for assessment and admission of acutely ill
Medical and Care of the Elderly patients. Coronary Care is close by with 1 assessment
bed, 5 acute beds and 4 step-down beds. There are facilities for pacing within the unit.
There is also a fully staffed 6 bedded ITU. There is an excellent Radiology Department
which has a state of the art CT and MRI Scanner.
Department of Medicine
There is one combined Department of Medicine covering both Scarborough and
Bridlington incorporating medicine for Care of the Elderly. All Consultants take part in a
General Medicine on-call apart from the Neurologist, Rheumatologist and Haematologist.
Care of the Elderly Diabetes and Endocrinology Neurology
Cardiology Respiratory Medicine Rheumatology
Gastroenterology Stroke Rehabilitation Haematology
Care of the Elderly
Scarborough has a challenging elderly demography. The Care of the Elderly Department is
multidisciplinary, friendly and supportive, increasingly busy and offers wide experience in
acute and rehabilitation care supported by general and specialist clinics, day hospital and a
dedicated rehabilitation ward. The Department’s medical teams are fully integrated in the
acute non-selected emergency take with ongoing responsibility for most of the 78+ acute
There is an 18 bed Rehab Ward and a 15 place Day Hospital which will provide the junior
doctor with experience in team work, psychosocial and physical aspects of rehabilitation.
There is opportunity to observe community outreach work and participate in multi-
disciplinary meetings. The outpatient work involves attending the Parkinson and
Movement Disorder Clinic and the Neuro Vascular Clinic and Dizzy Turns Clinics.
There are 3 Consultants, 1 SpR, 1 Staff Grade and 7 junior doctors, including this post and
F1/F2 doctors. The speciality interests of the consultants include Falls, Syncope,
Movement Disorder and developing community links and the post holder should attend at
least one clinic a week.
There is a full educational programme and the Department is actively involved in the Hull
and East Yorkshire Medical School training syllabus. All doctors are strongly encouraged
to actively participate in post-graduate training, teaching and clinical audit.
The on-call rota is amalgamated with Acute Medicine providing experience in all types of
The Department places great emphasis on developing the junior doctors’ professional
ability, aiming to provide effective multi-disciplinary team working with good
communication and presentation skills, and is a specialty in which collaborative
partnership working with community health, social services and the independent care
sector is essential.
Cardiology in Scarborough Hospital provides the full range of investigation and treatments
into cardiac disease which would be expected in a District Hospital. There are two
Consultant Cardiologists. Outpatient clinics are held in Scarborough Hospital and Whitby
and Malton Hospitals, and junior staff would have the opportunity to participate in the
Scarborough clinics which provide a wide experience of general cardiac patients.
We have facilities for treadmill stress testing, ambulatory ECG monitoring, including
patient activated devices. Trans-thoracic and trans-oesophageal echocardiography and
nuclear cardiology are well established in the hospital.
We provide a pacing service for insertion of both single and dual chamber pacemakers as
well as a comprehensive follow up service for these patients.
Currently coronary angiography is performed off site but we are considering introducing
this locally in a mobile cath lab.
There is a 5 bedded coronary care unit with 5 cardiac step-down beds.
Junior duties would include management of inpatient cardiology and general medical
patients. There is a significant contribution to coronary care patients which is supervised
by the Cardiologists who provide a daily ward round. Attendance at one outpatient clinic a
week is necessary.
Diabetes and Endocrinology offers an interesting mix of patients and conditions. Diabetes
and Thyroid problems are common and all doctors will need an understanding of the
clinical effects and management of these conditions regardless of their future specialty.
The emphasis in diabetic medicine has shifted in recent years towards the prevention of
complications and patient education but the specialty still offers a wide experience of
general medicine in the assessment and management of acute and chronic complications.
Diabetic medicine is a multidisciplinary specialty requiring close working with colleagues
in primary care, related specialties and other health professions. Endocrinology
encompasses the assessment, investigation and management of common endocrine
conditions including thyroid, pituitary and adrenal disease. One of the attractions of the
specialty is the satisfaction that comes from the fact that appropriate management
invariably leads to significant long term benefits for the patients.
You will work mainly with general medical admissions in Scarborough Hospital although
you will also gain experience in the management of patients with acute complications of
diabetes. However, we also expect you to attend the Diabetes clinic and the
Endocrine/general medical clinic and gain experience across the breadth of the specialty.
There are two consultants, one associate specialist, one specialist registrar, and a team of
specialised nurses, dietitians and podiatrists who will give you support and advice. There is
a full educational programme within the hospital.
ST2 posts in this programme.
These ST1 posts move on to the following posts in Hull Royal Infirmary. Details of these
are on a separate link for ST2
Castle Hill Infirmary
Hospital Acute Hull Royal
Respiratory Assessment Infirmary
Medicine Unit Haematology