Academic Health Sciences Centre
As part of his report, “Healthcare for London – a Framework for Action”, Lord Darzi
proposed the creation of “new breed” Academic Health Science Centres, which will
be world class centres of acute care excellence, able to compete both nationally and
internationally for major research programmes, the best clinicians and academics.
King’s College Hospital NHS Foundation Trust will play a key role in this as a
founding partner of London’s most comprehensive Academic Health Sciences Centre
(AHSC), along with King’s College London and Guys and St Thomas’ and the South
London and Maudsley NHS Foundation Trusts.
The partnership is based on the tripartite mission of excellence in research, teaching
and clinical practice and will focus on translating research more speedily into better
outcomes for patients across our hospitals. This is a very exciting prospect enabling
us to compete globally for research opportunities and ensuring our ability to deliver
world-class clinical services.
All AHSCs are different, depending on where they their build strengths across the
tripartite mission of service, teaching and research. Our partnership has a common
vision to provide services which are built around the needs of the patient, driven by
research and led by clinicians, contributing to the improved health and wellbeing of
Londoners. Doing things differently – outside traditional boundaries, through different
roles and with other partners, in a wider range of settings, involving patients, their
carers and the citizens of London in developing new models of care – is at the heart
of the innovation our AHSC looks to offer. The organisation to support this vision is
for closer and integrated working between the partners rather than of a merger
King’s College Hospital
King’s College Hospital is one of the largest and busiest in London, with a well-
established national and international reputation for clinical excellence, innovation
and achievement. Two thirds of the clinical activities of the hospital are in support of
the socially and economically diverse communities of the boroughs of Southwark and
Lambeth. As both a healthcare provider and a major employer with over 5,500 staff,
King’s plays an important part in helping reduce local social and health inequalities.
The hospital provides a broad range of secondary services, including specialist
emergency medicine (e.g. trauma, cardiac and stroke). It also provides a number of
leading edge tertiary services, such as liver transplantation, neurosciences, blood
cancers treatments, foetal medicine, cardiology and cardiac surgery, on a regional
and national basis.
King’s College Hospital has an enviable track record in research and development
and service innovation, and there has been considerable investment linked to the
national Best Research for Best Health strategy. In partnership with King’s College
London the Trust has recently been awarded a National Research Centre in Patient
Safety and Service Quality. It is also a partner in two National Institute for Health
Research biomedical research centres. The first is a Comprehensive centre with
King’s College London and Guy’s and St Thomas’ NHS Foundation Trust and the
second is a Specialist centre with the South London and Maudsley NHS Foundation
Trust and the Institute of Psychiatry. King’s College Hospital has also recently
strengthened its research and development infrastructure in order better to support
clinical researchers across the organisation.
The hospital is principally located on a single site, with 950 beds, but has a number
of important outlying satellite services including dialysis, foetal medicine, cardiac
diagnostics, and outpatient outreach clinics in other locations. It works in close
collaboration with other health providers in South East London, including Primary
Care Trusts, to ensure the sustainability and excellence of services across the area.
In recent years, there has been substantial investment in both the facilities and
resources of the hospital, which has transformed the quality of care that it now
King’s is undertaking a programme of transformational change, in the context of a
broad review of the operational aspects of the Trust’s service development strategy,
under the banner of ‘First Choice’. The programme reflects the growing demand from
patients for more choice in the delivery of their care, together with the need for the
continuous review of efficiency to ensure maximum allocation of resources to direct
In its first full year as a Foundation Trust, the hospital delivered a surplus of £12.5m,
and projects a continuing surplus throughout the lifetime of its current financial plan.
The Trust has an annual income in excess of £470m, the majority of which is derived
from Primary Care Trust commissions. However, education and research are also
important sources of income, currently contributing around 12% of the total. The
Trust is embarking on a strategy to achieve greater diversification of its income, with
growth anticipated in tertiary referrals, research and commercial services activities.
There is also a developing fund raising partnership with the King’s College Hospital
Further information about King’s can be found on its website, www.kch.nhs.uk and on
the development of our AHSC at www.londonsahsc.org.uk
THE DEPARTMENT OF RADIOLOGY
The activities and development of the Imaging Services reflect those of the Hospital
as a whole with integration of both undergraduate and postgraduate training with the
service commitments to the institution. Recent redevelopment of the Main
Department on the Denmark Hill site encompasses enhanced diagnostic facilities
with 2 CT Scanning units including 2 MDCT scanners; 3 Interventional Suites with an
adjacent 10 bedded Recovery and Day Case unit run by Radiology Staff; General
Inpatient, Outpatient and IVU Rooms; and 2 Digital Screening Rooms.
There is a dedicated Emergency Department Radiology facility placed immediately
adjacent to the Emergency Department. This also serves some of the outpatient
departments. Recently Kings has been designated as one of the 4 London Major
Trauma Centres and a large ED rebuild and expansion will encompass this
Radiology Department. An ED CT scanner and increase in plain radiography
facilities are planned for 2010.
The Ultrasound section has 5 Scanning Rooms and its own Reception and Waiting
The MR unit houses a 1.5T MRI scanner and a Business Case for a 2nd
this site is being progressed.
There is an Academic and Administrative floor with conference, film museum, library
and teaching facilities.
A fully integrated PACS, RIS and Voice Recognition system has been operational
since December 2005.
The main radiology staff complement includes 72 radiographers, 15 nurses and 22
administration and support staff, including 4 consultant secretaries/PAs. All
Consultants have offices in the academic/administrative area within the department,
Ultrasound and Breast Units. There are 17 Consultant staff and 30 Radiology
trainees on rotation between Kings and its allied training hospitals.
The Radiology Department is part of the Clinical, Scientific and Diagnostic Services
Division (CSDS), one of the six divisions within King’s. Within the institution the
Department has a high profile, with well-established Clinico–Radiological interaction,
multidisciplinary meetings and a significant research output.
The Imaging department is part of the Imaging Clinical Academic Group within the
AHSC of King’s Health partners. This brings the Imaging Sciences Division of KCL,
and the Imaging Clinical Services of King’s College hospital and Guy’s and St.
Thomas’ NHS Trust into a structure which will deliver a single research, education
and service strategy across the multidisciplinary groups.
There is a dedicated Neuro-Imaging Department as part of the NeuroSciences Care
Group, that provides specialist diagnostic and interventional radiology for the Region.
There are MDCT, Angiography, MRI scanning suites and general radiology facilities.
Additional facilities including MR and MDCT are present on the Denmark Hill site at
The Maudsley. Within Clinical Neurosciences, there is a major collaboration for
Imaging research within the Academic Department of Neurosciences and the world
renowned Institute of Psychiatry. There are currently 7 full time Neuroradiology
There is a dedicated Nuclear Medicine Department that provides specialist diagnostic
and therapeutic services for the hospital and GKT Cancer Centre. There are currently
3 Consultant Nuclear Medicine Physicians with expertise in all aspects of diagnostic
and therapeutic radionuclide medicine.
2. SPECIFIC AREAS
The General Radiology Department has a high volume of work. The ED Radiology
Department completes over 60,000 examinations per year. The Golden Jubilee
Wing PFI Build completed in 2003, contains a six room general radiology
development. As part of the Major Trauma Centre designation, King’s is investing in
expansion of the ED facilities including placement of an ED MDCT and increase in
general radiology capacity within this site.
General Ultrasound workload is 22,000 examinations per year. All ultrasound
machines have colour Doppler facilities. King’s is one of the leading international
centres for ultrasound contrast media research with numerous peer-reviewed
publications. The Academic Department of Obstetrics and the Harris Birthright Unit at
King’s have international standing as a referral centre for ante–natal diagnosis and
intervention. There are links exist between these units and the Department of
A Siemens Sensation 16 Slice MDCT was commissioned in 2004, and a second GE
64 slice MDCT was sited in 2007. Major cancer services for hepatobiliary,
pancreatic, haemato-oncology, lung, breast, colorectal and neurological malignancy
are based in Kings serving both the local SE London as part of the Guys, King’s and
St. Thomas’ Cancer service, Kent and other local and national networks. The axial
imaging reflects these specialist services which also include the NSCAG funded
services of adult and paediatric liver transplantation.
A Siemens 1.5 Tesla unit is housed in a new MR suite for body and musculoskeletal
imaging. The Business Case for a second MR scanner within this unit is being
prepared. This bid is partly based on potential for collaborative cardiac research
within the KHP Imaging CAG.
ANGIOGRAPHY AND INTERVENTIONAL
All interventional procedures are performed within the 3 dedicated interventional
suites within the main department. The 10 bedded recovery and day case facility is
directly adjacent to the 2 interventional suites. All interventional techniques are
established including angioplasty, an EVAR programme and all non-vascular
interventional techniques. Cardiac and neurovascular intervention are undertaken
within dedicated specialist units within Kings as the regional centre for
Neurosciences and the recent designation as hyperacute stroke centre by Healthcare
HEPATOBILIARY AND TRANSPLANT SERVICES
King’s College Hospital provides one of the largest comprehensive adult and
paediatric hepatobiliary and pancreatic services in Europe. The adult and paediatric
liver transplantation, hepatology and hepatobiliary surgery programmes have a
national and international referral base. King’s is also designated as a national
centre for islet cell and paediatric small bowel transplantation. There is a strong
research base and developing clinical profile for hepatocyte transplantation. Imaging
and intervention are recognised as key components of this service and research
profile. As part of the GKT joint Cancer Centre, KCH delivers hepatobiliary and
pancreatic cancer services to south London and the Kent Cancer networks but
attracts referrals nationally.
All interventional HPB techniques are conducted including TIPSS, embolisation and
tumour ablation with King’s designated as a European training site.
EMERGENCY DEPARTMENT RADIOLOGY
This area is designated to serve ED outpatients and community referrals.
Following the recent review of trauma services in London, King’s has been
designated as the Level 1 Trauma Centre for South East London with it’s network
partners including Guy’s and St. Thomas’ NHSFT, Lewisham and the combined
South East London Trust based at Bromley, Sidcup and Woolwich. This strategic
development for trauma services will commence in April 2010 and there are
advanced plans for the infrastructure changes necessary to deliver a comprehensive
trauma service on this site. The ED Imaging Department is to be redeveloped to
facilitate siting of a fourth MDCT.
As part of this service development there will be enhanced consultant input into ED
services. This will include both neuro, non-neuro trauma and vascular intervention.
Currently, there are on-call rotas for interventional, non-interventional and
neuroradiology consultants delivered on a 1:7 basis. It is envisaged that ultimately
there will be three consultants with an interest in trauma radiology.
Breast Radiology is an integral part of the department of Radiology and provides a
breast imaging, assessment and diagnostic service for both the King’s symptomatic
breast clinic and the South East London Breast Screening Programme (SEL BSP). It
also receives referrals from other centres for diagnostic work up and image guided
The target population for SEL BSP is just over 140,000 women aged 50-70 years
and the programme is now fully expanded to provide two views at every screen and
to invite women up to the age of 70 years.
At King’s, all screen film reading and assessment are carried out for women
screened in LSL and Bromley. Assessment for women resident in Greenwich and
Bexley is carried out at Queen Mary’s Hospital, Sidcup.
Paediatric services are centred within the Variety Club Childrens’ Hospital and
incorporate both general and specialised paediatrics. Areas of specialisation include
the supraregional liver, regional neonatal, neurosurgical and regional respiratory
disease. There are close links with the Harris Birthright Unit for prenatal diagnosis
and intervention. There is a dedicated neonatal and childrens’ intensive care unit. A
major component of the paediatric services are those serving a local population.
Close clinico-radiological links are established between the specialist services and
the Radiology Department with multidisciplinary meetings forming a key part of
The King’s Radiology Department has followed a policy of organ specialisation in
preference to procedure based specialisation. This compliments the close clinico-
radiological partnership which exists within the Trust. The Department is under the
CSDS Directorate within King’s and is part of the KHP Imaging CAG.
Each clinical subspecialty has at least two consultant radiologists with a subspecialty
interest and who are available to cover all imaging and, where appropriate,
interventional requirements of that subspecialty. The clinico-radiological
management of patients is addressed with formal clinico-radiological meetings,
multidisciplinary meetings encompassing colleagues from the clinical discipline,
histology, radiotherapy and oncology. There are established clinical and radiology
links with GSTT in several specialities including neurosciences, hepatobiliary, breast,
urology surgery and trauma.
Within King’s the Emergency Consultant led on-call service is provided on a 24/7
basis. At any one time there are three Consultants on-call, covering interventional,
non-interventional and neuroradiology specialities.
TEACHING AND TRAINING
MEDICAL STUDENT TEACHING
King’s College Hospital NHS Foundation Trust, as a major teaching hospital, works in
partnership with King’s College London to provide the highest possible quality of
The quality of King’s graduates supports the performance of the Trust. The mutual
interest of the Trust and School in quality medical education is supported by the SIFT
Consistent with the educational aims of the Trust and the School, and the SIFT
contract, the Trust requires, and the School expects, all clinical Consultant staff to
devote on average the equivalent of one Programmed Activity each week (4 hours)
to undergraduate teaching activities for whole-time staff.
These activities would include the planning and review of teaching, and the
assessment of students which could, where properly structured, be undertaken
simultaneously with service delivery commitments, including ward rounds and
Of necessity the requirements of the medical curriculum change over time and it is
not always possible to identify specific teaching commitments in job plans – when
this is the case the general requirement for teaching time should be made clear.
The need for sensible flexibility is acknowledged by the Trust and, for example, within
a service department it can be sensible for the overall teaching commitment to be
unevenly allocated between staff to achieve optimal teaching and service quality.
The Trust is clear that the teaching and training of junior medical staff is a separate
responsibility from undergraduate education.
The appointed physician will participate in teaching medical students, post-graduate
doctors and other groups at King's College Hospital and King’s College London
(KCL) School of Medicine.
POST GRADUATE TRAINING
The Trust has over 300 posts funded by the Deanery for postgraduate training with
virtually all specialties having trainees.
A dedicated Specialty Registrar area has been established within the Radiology
Academic and Administrative floor within the department at King’s College Hospital.
This includes an x–ray museum containing 20,000 films, PACS links, an x–ray library
with appropriate radiology journals on-line, computer and secretarial support.
There are excellent Library facilities at the Weston Education Centre on the King’s
College Hospital site.
TRAINING STRUCTURE – StR and Fellowships
The Kings Radiology department has a large StR training scheme mainly based at
King’s College Hospital, which allows opportunity to gain the FRCR and a UK CCT in
Radiology. The other hospitals involved in the scheme include The Mayday, The
Royal Sussex County, Tunbridge Wells and Maidstone. All aspects of the Royal
College of Radiologists’ Core Curriculum of Training are covered and there are
opportunities for Subspecialty Training during year 4 & 5.
This scheme is administered through the London Deanery in conjunction with the
local Training Committee and all posts have London Deanery National Training
At present there are 30 StRs on the King’s rotation with variable numbers of flexible
The Training Programme is organised by the Head of Training (Dr Maria Sellars), the
Educational Supervisors, Dr David Elias (years 1 and 2), Dr Steve Connor (years 5
and 6) and Dr Rema Wasan, (years 3 and 4 and College Tutor). Bi-annual meetings
of the Training Committee are held and are attended by representatives from junior
and senior firms where training issues are debated and managed. There is regular
communication between the consultants and trainees regarding training issues.
Opportunities for research are available at all stages of trainee development. All
trainees are expected to contribute to the departmental research programme by
involvement in projects, presentation at international meetings and paper writing.
POSTGRADUATE ACTIVITIES AND RESOURCES
Study leave is granted according to national guidelines with appropriate funding
available. This is supervised by Dr Jason Wilkins. The postgraduate facilities are
excellent with a monthly timetable of meetings, seminars and workshops covering
management, clinical governance, interview technique and other related issues.
There are daily tutorials which are lead by the Consultants in the Department.
TERMS AND CONDITIONS OF SERVICE
1. The post is covered by current terms and conditions of service.
2. The salary is Specialty Registrar grade with London Weighting allowance
3. The on call commitment and number of hours worked daily will allow fulfilment of
a 1b Band category (1c in the first year) and are compliant with current EWTD.
4. Appointments are conditional upon a satisfactory medical examination.
Annual leave, including bank holidays must be taken before the end of the
RESEARCH AND DEVELOPMENT
To consolidate and advance the Trust’s role as a major academic medical centre,
involvement in high quality R&D is strongly encouraged. Current arrangements for
funding R&D within the NHS make it essential that:
· all R&D is recorded and co-ordinated by the Trust’s R&D office
· before starting projects, appropriate steps are taken to ensure that they meet
prevailing standards of research quality and have ethical approval
Most of the Trust’s allocation of NHS service support funding (the R&D Levy) must
be used in connection with externally grant-supported studies. The Trust’s portfolio
of Levy-supported R&D also includes pilot studies to generate data in support of the
development of grant proposals, and small-scale clinical studies at the border of
research and audit.
An important component of the Trust’s R&D strategy is to strengthen the support
facilities available to Researchers. This includes assistance with research design,
statistics and access to grant opportunities. Multi-disciplinary involvement in the
research process is seen by the NHS(E) as key to increasing the relevance of
projects funded by the NHS, and ensuring the eventual uptake of validated research
The Academic Health Sciences Centre will provide the opportunity for basic and
translational research activity as part of the Imaging Clinical Academic Group. The
Imaging Sciences at KCL has an international profile for all areas of imaging
research activity and the closer liaison that will develop between the NHS Trusts of
KCH, GSTT and KCL will provide the opportunities for the appointee to develop a
research activity linked to their clinical specialist interests.
3. DEPARTMENTAL STAFFING [AND SPECIFIC
EQUIPMENT OR RESOURCES]
DEPARTMENT OF RADIOLOGY
Dr. John Karani, BSc, MB BS, FRCR–Hepatobiliary and Gastrointestinal (Clinical
Dr. Michael Michell, MA MB BChir (Cantab), DMRD, FRCR, - Breast 10PA
(Clinical Director South East London Breast Screening Programme)
Dr. Pauline Kane,MB BS,MRCP, FRCR–Hepatobiliary, Endocrine 10PA
Dr. Paul Sidhu, BSc(hons), MBBS, MRCP, FRCR, DTM&H –USS and Vascular 11PA
Dr. Sujal Desai, MD, FRCP, FRCR – Thoracic and Haemato-Oncology 10PA
Dr. Suzanne Ryan, MBBCh, BAO, MRCPI, FRCR–Gastrointestinal and USS 10PA
Dr. David Elias, MSc, MRCP, FRCR–Trauma, Musculoskeletal and Orthopaedics
(Clinical Tutor) 10PA
Dr. Maria Sellars, MB BS, FRCR-Paediatrics and Ultrasound (Head of Training) 9PA
Dr. Jason Wilkins, MB, ChB, MRCP, FRCR-Interventional and Musculoskeletal 10PA
Dr. David Evans, FRCS, FRCR – Interventional and Breast 10PA
Dr. Rema Wasan, MB BS, MRCP, FRCR - Breast and General (Clinical Tutor) 7PA
Dr. Claire Peacock, MB BS, MRCP, FRCR – Breast and General 5PA
Dr. Pamela Allen, MBBS, BSc, MRCP (Paeds), FRCR - Paediatrics and Ultrasound 8PA
Dr. Praveen Peddu, MBBS, MRCS, FRCR – Hepatobiliary and Gastrointestinal 10PA
Dr. Nicola Mulholland, MBBS, MSc, MRCP, FRCR – Thoracic, Haemato-oncology
and Nuclear Medicine 6PA
Dr. Dean Huang, MBBS, MRCP, FRCR – Renal and Vascular 10PA
DEPARTMENT OF NEURORADIOLOGY
Dr. Josef Jarosz, MA MB, BChir, MRCP, FRCR (Lead Clinician) 11 PA
Dr. Neil Deasy, BSc, MRCP, FRCR 11PA
Dr. Stephen Connor, MRCP, FRCR 11PA
Dr. Timothy Hampton, MRCP, FRCR 11PA
Dr. Naomi Sibtain MB BS, MRCP, FRCR 11PA
Dr. Ata Siddiqui, MB BS. FRCR 11PA
New appointee to start last quarter 2009.
DEPARTMENT OF NUCLEAR MEDICINE
Dr. Muriel Buxton-Thomas, MB BS, MSc, FRCP (Lead Clinician) 12PA
Dr. Mazin Al-Janabi, MBChB, PhD, MD, MiMgt 6 sessions
Dr. Nicola Mulholland, MBBS, MSc, MRCP, FRCR – Thoracic, Haemato-oncology
and Nuclear Medicine 4PA