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  1. 1. Medical Directorate Specialty training registrar posts (StR) Core Medical Training Programme
  2. 2. The History of the Whittington Hospital Medical services have been delivered on the Whittington site for over 500 years. In 1473 a leper hospital was founded, which later cared for the poor chronic sick transferred from hospitals in the centre of London. In 1848 a smallpox and vaccination hospital was built on the St Mary’s site and independently managed hospitals were opened on the Highgate site in 1866 and the Archway site in 1877. In 1900, the Highgate Hill Infirmary opened adjacent to the smallpox hospital and the two soon merged, with the smallpox hospital becoming a nurses’ home. In 1946, the hospitals on all three sites were brought together with a total of almost 2000 beds. Following the introduction of the NHS in 1948, they jointly became the Whittington Hospital. The past 50 years have seen the consolidation of all clinical services onto the St Mary’s site with a reduction of beds to approximately 500. In 1977 a new wing was opened which currently houses the emergency department, outpatients clinics and the pathology laboratories and in 1992 the Great Northern Building opened providing modern inpatient accommodation and education facilities. In 1999, the hospital embarked on an ambitious site redevelopment programme to modernise its facilities. Stage one, which involves the relocation of many of its clinical services into purpose-built accommodation was completed in 2006 The new building is equipped with the latest medical equipment and provides patients with some of the most advanced hospital facilities in London. Stage two of the redevelopment, which involves the refit of part of the Great Northern building into a day treatment centre, is due to be completed by the end of 2007. The Highgate site is now home to Camden and Islington Mental Health Trust. The Archway site has been purchased by University College London and Middlesex University and is one of the largest centres for the training and accreditation of health professionals. The Hospital Today The Whittington Hospital is a medium-sized district teaching hospital. It aims to provide high quality services in a caring, friendly and efficient way and wants to be selected as the local hospital of choice. The hospital aims to be recognised for excellence in day surgery, the care of long-term conditions, the treatment of common cancers, the care of women and children and the provision of first class undergraduate and postgraduate training. We are located in Archway, Islington and serve the people of north Islington and west Haringey, as well as those from Camden, Barnet and Hackney, giving a combined population of approximately 300,000. We have 467 beds and employ over 2,000 staff. We have close working relations with tertiary centres at the Royal Free Hospital and the UCLH group of hospitals. All main branches of medicine and surgery are provided at The Whittington Hospital with the exception of neurosurgery and cardiothoracic surgery. Plastic surgery and ophthalmology are represented by outpatient services. Our new building houses one of the most advanced imaging departments in the UK. It is equipped with state-of-the-art digital x-ray equipment, high tech ultrasound scanners and specialist imaging equipment that includes a 64-slice CT scanner, a
  3. 3. 1.5 tesla MRI scanner and a gamma camera for nuclear medicine. The following have also moved to purpose-built accommodation in the new building: • the critical care unit (15 beds) • the medical assessment unit (15 beds) • the cardiology ward (18 beds) • the respiratory ward (21 beds) • oncology inpatient (16 beds) and chemotherapy day care facilities (nine bays) • the thalassaemia unit. An 89 bedded Mental Health Unit is located adjacent to the hospital and is managed by the Camden and Islington Mental Health Services Trust. The Sexual Health Clinic, managed by Camden & Islington Community Trust, is located in the Archway Campus. The hospital is divided into four divisions – diagnostics and therapies; surgery; women and children; and medicine – each managed by a divisional manager who reports to the director of operations. Mrs Celia Ingham Clark is the medical director of the hospital and Dr Anna Kurowska is the acting director of medical education. The Whittington is one of the teaching hospitals of University College London, providing clinical placements and training for doctors, and is one of the largest centres for the training and accreditation of health professionals in the UK. APPROXIMATE BED NUMBER Surgery 102 Day surgery 16 Medical 237 Maternity 58 Paediatrics 23 Neonatal Unit 18 ITU 11 (increasing to 15 by the end of 06/07) Private patients ward 20 TOTAL 485 All figures are approximate because beds are used flexibly and because ongoing strategic planning processes may affect individual speciality provision from time to time.
  4. 4. Medical Directorate Specialty training registrar posts (StR) Core Medical Specialty Training Programme Rotations 2007 2008 1 ST1 Acute ITU Respiratory Acute Cardiology Elderly care Medicine Medicine 2 ST1 Acute Haem/Onc Neurology Acute Elderly care Respiratory Medicine Queens Sq Medicine 3 ST1 Gastro Acute Elderly care ITU Acute Haem/Onc Medicine Medicine 4 ST1 ITU Respiratory Acute Cardiology Elderly care Acute Medicine Medicine 5a ST1 Elderly care Acute ITU Renal (RFH) HIV/Infectious Medicine diseases (RFH) 5b ST1 Renal (RFH) HIV/Infectious Haem/Onc Acute ITU diseases (RFH) Medicine 6 ST2 Acute Elderly care Haem/Onc Acute ITU Cardiology Medicine Medicine 7 ST2 Haem/Onc Acute Gastro ITU Acute Elderly care Medicine Medicine 8 ST2 Acute Elderly care Cardiology Acute Neurology ITU Medicine Medicine Queens Sq 9 ST2 Respiratory Acute ITU Neurology Acute Gastro Medicine Queens Sq Medicine 10 ST2 Neurology ITU Acute Elderly care Gastro Acute Queens Sq Medicine Medicine 11 ST2 ITU Neurology Acute Respiratory Haem/Onc Acute Queens Sq Medicine Medicine 12 ST2 Elderly care Cardiology Acute Gastro ITU Neurology Medicine Queens Sq Introduction There are 5 ST1 and 7 ST2 core medical training programmes available at the Whittington NHS Trust commencing August 2007. 6 of the programmes include 4 months neurology at Queens’ Square, 2 of the programmes include a year at the Royal Free enabling the trainee to gain 6 months experience in renal medicine and HIV/infectious diseases. On call rota The StR rota is a full shift rota and is shared with 3FY2 doctors. The overall hours worked are less than 56 hours per week and meet new deal and EWTD requirements. The DMR rota is also a full-shift rota in blocks of 3 or 4 nights, so the DMR is available throughout the 24-hour period. Each consultant team is on call for general medicine on 1:12 and while attached to the firm you are rostered for the day takes when your consultant is on duty. The Oncology, Haematology and COOP1 consultants do not do general medical takes and while working on these firms you will do some day takes for other consultant teams. Night shifts to cover acute medical admissions and the wards as part of the Hospital at night team will be
  5. 5. worked when you are based on the MAU. These will either be in blocks of 3 and 4 nights or weeks of nights with time off after the nights. One StR works late Monday to Friday to cover the wards from 17.00-21.00 and one StR covers the wards on weekend days and bank holidays from 08.30–21.00. In order to meet the 4-hour wait in A&E an additional SHO is rostered for A&E in the afternoons to help out on busy takes. 6 StRs/FY2 doctors are involved in the on-call as follows: • StR 01 covers A&E from 08.00 to 21.00 • StR 02 covers A&E and post-take round from 20.30 to 09.30 • StR 03 covers wards from 20.30 to 09.30 • StR 04 covers wards from 17.00 to 21.00 • StR 05 covers week-end days and bank holidays from 08.30 to 21.00 • StR 06 covers A&E (if required by the on-call team) from 13.00 to 18.00 • StR 07 covers post-take round on Saturday after Friday take Hours of duty The rota is designed on a full shift basis, with internal cover. The hours of duty are New Deal and EWTD compliant. When not on call the standard working day is 8-9 hours. StRs need to try to keep to this as much as possible or hours will escalate. Teams based on the same ward will cross cover their colleagues as far as possible. The additional duty hours of the post will continue to be under review. Any change will be communicated to the post- holder in advance of implementation. You should be prepared to perform duties in occasional emergencies and unforeseen circumstances. Commitments arising in such circumstances are, however, exceptional and you will not be required to undertake work of this kind for prolonged periods or on a regular basis. All efforts will be made to ensure that work of this kind does not result in continuous hours of duty that exceed the New Deal continuous hours of duty limits. Leave You are entitled to 5 weeks and 2 statutory days (total 27 days) annual leave. You are required to take all of your leave by the end of your appointment, and should take a proportionate amount of leave in each part of the rotation, ie 9 days leave per 4- month post. During the MAU attachment, leave will be fixed to comply with the rota. Any Bank Holidays worked for which provision has not been made in the rota during the tenure of this appointment, will be taken as part of annual leave. All posts include prospective cover for the annual and study leave of colleagues, and locums are appointed only to cover prolonged sick leave. Leave dates must be co- ordinated with colleagues to ensure that adequate provision is made to cover the routine and emergency work of StRs on leave. Advance notification of leave and all swaps is mandatory both to your consultant and the operations department. Holidays and study leave are important issues and need to be addressed as soon as possible after the StR joins the rotation. Each consultant firm will manage their own leave.
  6. 6. Specialties Acute 5 specialty training registrars Medicine Consultants Educational Supervisor to Dr Lok Yap 3 StRs Dr Jennings 1 StR 1FY1 Dr Onnie 1 StR 1FY1 Medical Staff 3 Consultants 4 Core medical specialty training registrars 1 Acute Care Common Stem specialty training registrar 2 Foundation year 1 trainees The StRs will work on a newly opened Medical Assessment Unit with 15 beds equipped for assessment of acute patients. They will work mainly in the MAU and the Emergency Department (ED). The 5 trainees will take part in a rota working a combination of days in MAU, A&E nights and ward cover nights. The daytime MAU StR together with the 2 FY1s will between them cover the post take patients and take part in the acute daytime take. Trainees will be expected to take leave on a pro rata basis during their posts. This is equivalent to 9 days annual leave per 4 x month post. In the MAU posts, the leave will be fixed to fit in with rota requirements. At present senior support comes from Dr Yap, Dr Jennings and Dr Onnie (Consultants in Acute Medicine) and also from the on call medical consultant. The MAU StR trainee will get a broad range of experience in managing a wide variety of acute medical problems. There will be opportunities to become competent in procedures such as central venous line placement or lumbar puncture. Intensive Care 2 specialty training registrars Medicine Dr Chris Hargreaves Consultant Anaesthetist & Director of ICU Dr Nick Harper Consultant Anaesthetist Dr Sarah Gillis Consultant Anaesthetist Dr Mike Grocott Academic Senior Lecturer in Intensive Care Medicine Dr Hugh Montgomery Reader in Medicine, ICU Consultant The 2 academics share 1 rota slot. Locum Consultant Post Substantive post due to be appointed February 2007 6th Consultant Substantive post due to be appointed February 2007 Specialty Training Registrars (& equivalent) 3 StRs anaesthetics programme (6 month posts) 2 StRs acute care common stem programme (6 month posts) 2 StRs core medical training programme (4 month posts) 1 stand alone trust posts (StR level) (6 month post) Foundation Year Trainees 1 Foundation Year 2 trainee (shared with microbiology 3 month blocks) 1 Foundation Year 1 post (4 month blocks)
  7. 7. All 8 doctors participate in the 1 in 8 rota, which is consistent with EWTD and Band 1A. The Intensive Care Unit is part of the Surgical Directorate. A new state of the art critical care Unit, located conveniently for Emergency Department, Theatres and Imaging, was opened in November 2006. The Unit has capacity for 15 patients, combined Level 2 (high dependency) and 3 (intensive care). The Intensive Care team is responsible for all patients in the unit. Capacity will increase from the current 11 beds up to a maximum of 15 once additional staff recruitment is complete. Patients admitted to the Unit are nominally under the care of their admitting consultant. The ICU staff advise on and co-ordinate the management of the patients so that there is a multi-disciplinary approach to care. These are full time ICU StR posts providing core medical training in intensive care medicine in the setting of an adult District General Hospital Unit. Duties are mainly in the Critical Care Unit but also with the Outreach service. There is a weekly training session, currently held on a Friday morning, which all intensive care trainees are required to attend. There is a consultant-led ward round every morning. There is close consultant supervision with a dedicated rota as well as middle grade support from a Registrar level, Trust Grade ICU Anaesthetist. The eight-weekly rota is designed on a full shift basis, and includes internal cover for annual and study leave. There is ample time for private study for those pursuing post-graduate examinations. The clinical duties of the post include management of inpatients within the Critical Care Unit and assessment of patients on wards and in the Emergency Department with the Critical Care Outreach Team. The trainees are expected to co-ordinate the management of the patients in discussion with more senior ICU staff and the admitting team. There is ongoing audit within the unit and the outreach service, in conjunction with a computerised database. The post holder is required to participate in this audit and routine data collection. There are also opportunities for trainees to undertake their own projects. Attendance at the Unit Induction Day is mandatory and a condition of acceptance of the post. New trainees will be oriented and issued with written instructions, which describe the running of the Unit and its policies. There are written Management Protocols on the Unit. These are also accessible on the hospital intranet. The Trainee will acquire the practical skills and theoretical knowledge to prevent, recognise and treat single and multiple organ failure. This training follows the outline for competency based training and assessment recommended by the Intercollegiate Board for Training in Intensive Care Medicine ( The trainee will be heavily supervised initially, with a progression of responsibility allowed depending on the trainee’s experience and skills. The importance of communication with all grades of nursing and medical staff, as well as with the relatives of patients, is stressed.
  8. 8. Care of Older 2 specialty training registrars People Consultants Educational Supervisor to Dr Sheena Mitchell StR FY1 Dr Celia Bielawska StR FY1 Dr Gurcharan Rai GP StR FY1 Dr Rosaire Gray (Care of older people and Cardiology) Dr Clarissa Murdoch Medical Staff 5 consultants 3 SpRs 2 Core medical specialty training registrars 1 GP specialty training registrar 3 Foundation year 1 trainees The Care of the Elderly Unit (JKU - 84 beds) offers acute and post acute rehabilitative care for patients of all ages, although the majority will be over 75 years. There is training in multidisciplinary team working, discharge planning and rehabilitation of the elderly and in the assessment of new referrals in elderly care outpatient clinics. Acute stroke patients are admitted directly to the JKU under Dr Murdoch with subsequent rehabilitation under Dr Rai. Dr Mitchell, Dr Bielawska and Dr Murdoch participate in the General Medical Take rota. All the junior doctors are involved in acute medical take while attached to COOP. Patients admitted to MAU remain under COOP care until referred to another ward. The Department offers specialist Falls and Memory Clinics and has liaison services with Mental Health of Older People, Orthopaedics and Surgery. Each of the post-holders will be jointly responsible with a FY1 doctor for the care of approximately 28 acute beds, caring for the patients from acute admission to discharge, supervised by an SPR. There is very active involvement in the teaching of undergraduates attached to the firm and opportunities for audit. There is a weekly academic clinical meeting attended by medical and therapy staff. Respiratory 1 specialty training registrar Medicine Consultants Educational Supervisor to Dr Sara Lock StR FY1 Dr Louise Restrick Dr Norman Johnson FY2 FY1 Dr Howard Branley Dr Myra Stern Medical Staff
  9. 9. 5 consultants 2 SpRs 1 Core medical specialty training registrar 1 Foundation year 2 trainee 2 Foundation year 1 trainees The Department of Respiratory Medicine is based in the dedicated Chest Clinic. Inpatient care is on Nightingale ward situated in the Trust’s newly opened block. Nightingale ward specialises in respiratory medicine and also takes acute general admissions. Fibreoptic bronchoscopy is performed in a purpose-built endoscopy suite. Limited sleep studies and overnight oximetry are performed on a regular basis. Special interests of the department include asthma & COPD, lung cancer, tuberculosis, sarcoidosis, interstitial lung disease, obstructive sleep apnoea, CPAP and non-invasive ventilation. The two trainees, working with two FY1 trainees, are responsible for the care of the in-patients on Nightingale ward and for the care of patients on MAU admitted on acute take under their team. However, patient care is seen as a team role with cross-responsibility at times of annual leave, study leave or rostered night duty. They also work with the StR in haematology and oncology to provide cross-cover to this specialty in the adjacent ward in the new building. The trainees will take part in the acute medical take (consultants on 1 in 12, i.e. respiratory consultants 1 in 6). As the Whittington operates a ward based system there are usually a couple of admissions per day to the ward. The posts currently involve attendance at one outpatient clinic on alternate weeks under consultant supervision, seeing and presenting new chest patients and follow- ups. Meetings the trainees should attend include: • weekly chest/radiology multidisciplinary meeting • weekly chest/oncology/palliative care/pathology meeting – Wednesday morning • weekly respiratory educational meeting 28 undergraduates are attached to the joint cardio-respiratory firm and the trainees are expected to contribute to their teaching. Gastroenterology 1 specialty training registrar Consultants Educational Supervisor Dr Voi Shim Wong StR FY1 Dr Deepak Suri FY2 FY1 Dr Onnie Medical Staff 3 consultants (one to be appointed) 2 specialist registrars 1 Core Medical specialty training registrar 1 Foundation year 2 trainee 2 Foundation year 1 trainees
  10. 10. The trainees share the 20 gastroenterolgy & general medicine beds on Reckitt Ward and cover outliers on Victoria when needed. There is an attached Endoscopy Unit. They will care for general medical, general gastroenterology & hepatology patients and will take part in the acute medical take. Trainees attend outpatients twice weekly where they will see new & follow up outpatients and will learn the outpatient management of common gastroenterological disorders under direct consultant supervision. They are expected to carry out audit projects in line with the departmental objectives and to participate in the undergraduate medical student teaching of the firm. Meetings which trainees should attend include: • Regular upper & lower GI cancer multidisciplinary meeting - Friday morning • Weekly teaching programme on Friday lunchtimes • Weekly combined GI (medicine, surgery, radiology, histopathology) meeting on Thursday mornings where clinical cases are discussed. • Regular departmental management meeting Cardiology 1 specialty training registrar Consultants Educational Supervisor Dr David Brull FY2 Dr Suzanna Hardman StR FY1 Dr David Patterson Dr Rosaire Gray (Care of older people and cardiology) New post to be appointed Medical Staff 5 consultants (1 to be appointed) 2 SpRs 1 Core medical specialty training registrar 1 Foundation year 2 trainee 1 Foundation year 1 trainee Cardiology patients and the Coronary Care unit are located in the new purpose built Montuschi ward where there are daily consultant ward rounds. The post holder also shares responsibility for patients admitted by acute general medical take on MAU, McCarthy & Coyle wards. The post holder attends one cardiology clinic per week and may observe Dr Hardman’s heart failure service, exercise stress tests, 24 hour tape reporting and echoes. There is a weekly cardiology education meeting to which there are often invited external speakers. Participation in departmental audit projects is actively encouraged. There is a busy undergraduate teaching programme.
  11. 11. Haematology 1 specialty training registrar Oncology Consultants Educational Supervisor to Dr Bernard Davis StR Dr Norman Parker Dr Farrukh Shah Dr Siow Ming Lee Dr Dawn Carnell (Dr Alison Jones, Dr Jonathan Ledermann, Dr Jeffrey Tobias) Staff Haematology Oncology 3 Haematology consultants 2 consultants 2 SpRs 1 SpR 1 Core medical specialty training StR Oncology nurse consultant Haematology clinical nurse specialist Chemotherapy nurse specialist Haematology A large part of the inpatient haematology work relates to management of sickle cell anaemia. Despite the high proportion of patients who have a single diagnosis they produce an extremely wide range of problems with an increased risk of TB, dietary problems, psychological problems and other medical problems. A weekly meeting takes place with a psychologist who provides very valuable learning experience for the trainee by guiding them on the best approach to presenting information to these patients. The service also has an international reputation for managing thalassaemia. There are three general haematology clinics a week which offer exposure to a very diverse range of haematological and non-haematological conditions; there is a lot to be gained by participating in this clinic and the StR is strongly encouraged to attend. The department also provides a clinical advisory service to other firms in the hospital and to GPs and the StR can take advantage of this to broaden his/her experience of clinical haematology. The StR will also benefit from firm-based teaching in haematology and oncology specifically tailored to the MRCP. Oncology The Whittington Hospital is a designated Cancer Unit linked to the Joint Cancer Care Centre at UCLH & the Royal Free Hospital. 5 Consultants act as a resource to the Cancer Unit in addition to the Cancer Centre. Patients are seen in the joint Oncology tumour site-specific outpatient clinics or as ward referrals. Radiotherapy treatment is given at UCLH. Day to day management of the oncology inpatients is the responsibility of haematology consultants. The StR will gain experience in the investigation and management of patients with cancer, including oncological emergencies. He/she will also gain experience in the diagnosis and management of the complications of treatment. The StR is responsible for the care of haematology & oncology inpatients and works closely with the nurse specialists. Outpatient attendance is encouraged for training purposes. Trainees do not undertake service work in outpatients except in very exceptional circumstances. They assist the Oncology Nurse Consultant, Specialist Registrar and Chemotherapy Nurse Specialist in treating and reviewing oncology patients in the Day Care Unit. Most new oncology patients are internal referrals from other Consultants and the StR sees patients on referring wards and is involved jointly with other firms in managing new cases.
  12. 12. A Consultant in Palliative Medicine together with 3 Palliative Care Nurses provides support giving the StR the opportunity to gain palliative medicine skills. TERMS AND CONDITIONS OF SERVICE This post is subject to the Terms and Conditions of The Whittington Hospital NHS Trust and in particular to the Pay and Conditions of Service relating to the Medical and Dental Staff group as set out in the relevant handbooks. Copies of these may be seen in the Human Resources Department. The appointment is superannuable, unless you choose to opt out of the National Health Service Superannuation Scheme. Offers of employment are subject to the Occupational Health Service clearing you as fit for the post. If successful you will be given a health questionnaire, which should be completed fully and mailed, to the Occupational Health Service by return of post; you will not be able to take up employment with the Trust until clearance has been given. Because of the nature of the work of this post, it is exempt from the Section 4(2) of the Rehabilitation of Offenders Act (1974) by virtue of the Rehabilitation of Offenders Act (Exemption Order 1975). Applicants are therefore not entitled to withhold information about convictions including those, which for other purposes are “spent” under the provisions of the Act and in the event of employment any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information given will be completely confidential and will be considered only in relation to application for positions to which the order applies. MEDICAL AUDIT The appointee will be required as part of their duties to take part in the audit and clinical effectiveness activities overseen by the CREED department to attend the Training and Audit half days and to ensure that trainees within the department also take part in these activities. RESEARCH AND DEVELOPMENT The Trust has a very large research programme for a district general hospital and revenues a levy I funding of £750k that is spent specifically on the support of R&D. All staff are actively encouraged to undertake R&D. There are particular strengths in Health Care Informatics, Diabetes, Lipids and Women’s Health. Annual Leave Annual leave is given in accordance with the Terms and Conditions of Service relating to Medical and Dental staff. All medical staff have a duty to book their leave as far in advance as possible. Trust policy is that all medical staff must give a minimum of 6 weeks notice of intention to take leave so that clinical duties can be managed effectively. The Trust policy for all types of leave is contained within the policy ‘Annual, Study and Sick Leave Protocol for Medical Staff’.
  13. 13. Trainees on an internal rotation will be expected to take leave on a pro rata basis during their posts. This is equivalent to 9 days annual leave per 4 x month post. Study Leave Study leave is given in accordance with the Terms and Concessions of Service relating to Medical and Dental Staff. All study leave for Trust Grade doctors is granted at the discretion of the Clinical Director Rotas and Banding All rotas worked by junior doctors in training are compliant with the requirements of both the New Deal for Junior Doctors and the European Working Time Directive (EWTD). Please be aware that if you are on an internal rotation your banding may change as you rotate into a different department and rota. Confidentiality You are required to maintain confidentiality of any information concerning patients which you have access to or may be given in the course of your work, in accordance with current policy on confidentiality in the Whittington Hospital NHS Trust. Protection of Children In order to protect children from the risk of abuse some posts are offered subject to the appointee’s agreement to the police being approached for the disclosure of any criminal record. If your post falls into this category you will be asked to complete a form giving this permission for the check to take place. Personal Conduct All staff within the Trust are expected to treat other members of hospital staff with courtesy and respect. The Trust’s rules and policies including the disciplinary procedure apply to all staff without exception. The attention of medical staff is drawn to the GMC document, ‘The Duties of the Doctor’ and the hospital’s policy on ‘Maintaining Medical Excellence’. The Trust will take this into account when considering the conduct of medical staff in relation to any incident. Health & Safety Policy Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act 1974, to ensure that the agreed safety procedures are carried out to maintain a safe environment for employees and visitors. The appointee will be required to provide evidence of his/her Hepatitis B immune status before employment. Security It is the responsibility of all employees to work within the security policies and procedures of the Whittington Hospital NHS Trust to protect the patients, staff and visitors and the property of the Trust. This duty applies to the specific work area of the individual and the Hospital in general. All staff are required to wear official identification badges. Data Protection
  14. 14. This post has a confidential aspect. If you are required to obtain, process and/or use information held on a computer or word processor you should do it in a fair and lawful way. You should hold data only for the specific registered purpose and not use or disclose it in any way incompatible with such a purpose and ought to disclose data only to authorised persons or organisations as instructed. Breaches of confidence in relation to data will result in disciplinary action. No Smoking The Hospital has promoted a No Smoking Policy as part of its responsibility for the provision of health. You will be expected to work within the framework of this policy and to give advice on its development. Smoking is not permitted in offices. Equal Opportunities It is the aim of the Trust to ensure that no job applicant or employee receives less than favourable treatment on grounds of sex, race, colour, nationality or national origins and is not placed at a disadvantage by conditions or requirements that cannot be show to be justifiable. To this end the Trust has an equal opportunities policy and it is for each employee to contribute to its success. Method of Payment Payment of salary is made into bank account/building society account by direct bank system. Details of a bank account or building society account will be required on the first day at work. There is no facility for any other form of payment.