Endocrinologist and General
Department of Diabetes and
Diabetes, Infection, Renal and
16th November 2009
• The principles of the NHS, where high quality care is provided on the basis of need rather than
the ability to pay.
• The contribution of the local community to the development of our services.
• Preserving and developing our reputation as a caring organisation.
• Developing services that are designed around the patient.
• Working co-operatively with others in the interests of patients and their families.
• Valuing the contribution of staff and investing in their development.
• Valuing the diversity of all our staff, patients and carers and demonstrating a zero tolerance of
• The importance of developing innovative approaches to teaching, research and service
provision, which allows us to be at the forefront of developments in patient care.
• Responsible and wise stewardship of public money and effective use of resources.
OUR STRATEGIC INTENT
• We will be the best International and European Centre for healthcare delivery, teaching and
research, putting patients at the heart of all we do.
• We will provide services that respond to and meet patients’ needs, reflecting their priorities and
exceed their expectations
• We will generate surpluses for investment, challenge and modernise traditional models for
service delivery and be recognised for strong and effective partnerships.
NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST
Nottingham University Hospitals NHS Trust (NUH) came into being on 1 April 2006 when the two top
rated Trusts in Nottingham became one. It is one of the largest hospital Trusts in the UK with an annual
budget of more than £500 million, a total of 2,200 hospital beds across both campuses and over 12,000
staff, approximately 9,900 whole time equivalents.
Service reconfiguration is progressing. Directorate plans include an appraisal of the benefits, financial
impact and workforce considerations, along with an implementation plan and risk assessment for Trust
Board consideration. Reconfiguration also forms the basis of the NUH Integrated Business Plan that
will be submitted to Monitor as part of our bid to become a Foundation Trust.
The implementation of Hospital-Wide Projects will modernise our services and identify savings by
spreading good practice, integrating and expanding service redesign and identifying different ways of
utilising our resources more efficiently. All aspects of services we deliver to our patients will be
reviewed to ascertain whether we, in conjunction with our partners, are able to deliver them more
efficiently and effectively.
NUH (a major teaching Trust) enjoys close links with the region’s universities and attracts and develops
the highest calibre of staff. The work being carried out by NUH researchers has led to a reputation for
excellence and is making a very real difference to people’s lives. The Trust continues to attract and
encourage investment and remains at the forefront of research with about 700 active research projects
and combined Research and Development funding of around £9m from the Department of Health. As
part of a national clinical research collaboration, the Trust is a UK co-ordinating centre for clinical trials
in stroke and stroke rehabilitation. It houses a training centre in breast screening and has recognised
strengths in respiratory medicine and gastrointestinal disease (with the Wolfson Centre’s major
programme of research into gastrointestinal cancer and bowel disease) and major research interests in
Magnetic Resonance (MR) imaging, premature babies, dermatology, neurology, oncology, clinical
haematology, rheumatology, diabetes and urology. NUH is also a cancer centre – a major element of
the Mid-Trent Cancer Network.
Our greatest asset, however, is our workforce. None of the progress made so far could have been
achieved without the tremendous dedication, commitment, skill and professionalism of those people
who have worked at the two predecessor Trusts over the years. We want these qualities to be defining
features of Nottingham University Hospitals NHS Trust, contributing to its unique culture, style and
Further information about Nottingham University Hospitals NHS Trust, the two campuses and
the facilities provided is available in Appendix 1.
1 THE POST
This advertisement is for a Consultant Diabetologist, Endocrinologist and General Physician for
Nottingham University Hospitals NHS Trust. It has been developed following the success of the
Department in securing funding for Consultant sessions from the Comprehensive Local Research
The successful applicant will be expected to contribute to sub-specialty development in Endocrinology
and / or Diabetes. There are significant opportunities to do this and applicants are encouraged to
discuss this with the Head of Service and existing Consultants during the application process.
2 THE DEPARTMENT
The Diabetes and Endocrinology Service provides comprehensive clinical services, has strong clinical
links with associated Specialties and research strengths particularly in Diabetic Foot Disease and
Clinical facilities are excellent. Services are delivered across both Campuses of Nottingham University
Hospitals with plans to extend service delivery to the Nottingham NHS Treatment Centre. Dundee
House, on City Hospital Campus, is a Diabetes and Endocrinology Centre specifically converted for this
purpose. On QMC Campus, the ward, clinics and offices are close together.
The Diabetes and Endocrinology Service provides care and expertise for the population of Nottingham
(642,000 people), southern Nottinghamshire, parts of Derbyshire, Lincolnshire and other surrounding
districts. Nottingham is a regional paediatric endocrinology and neurosurgical centre. Nottingham is a
renal transplant centre.
There is a comprehensive range of out-patient and in-patient Endocrinology and Diabetes services.
• antenatal, diabetic foot, nephropathy and retinal screening services which are closely integrated
with other appropriate clinical services
• both DAFNE and BERTIE models of structured education for type 1 diabetes
• psychological services specifically for people with diabetes
• patient group education
• an insulin pump (CSII) service
• an in-patient diabetes service
• exenatide therapy
• the regional pituitary surgical service
• the thyroid cancer service
• transition arrangements for people attending the Department of Paediatric Endocrinology
• investigation and treatment of adrenal, gynaecological, thyroid, bone / calcium and other
The Department is currently working with local GP Clusters and Primary Care Trusts to enhance
diabetes services provided across the local health community.
The Service provides Acute and General Medicine expertise to the unselected medical take and in-
As well as excellent direct clinical links as outlined above, there are full supporting facilities within the
Trust, including excellent departments of Chemical Pathology, Haematology, Histopathology, Radiology
and Medical Physics.
Nottingham has one of the largest installations of Diamond (an electronic patient record) in the UK. This
has recently been updated to a more powerful web-based version with improved links to other
This post will support ongoing service development to make 12 Consultants in total (8 full time NHS, 1
full time split University / NHS and 3 part time), 10 fte Diabetes Specialist Nurses and 2.5 fte Specialist
Dieticians. The team provides approximately 2,500 new and 20,000 follow up appointments per year
across both Campuses.
The service provides Acute and General Medicine expertise to the unselected medical take and in-
patient medical beds.
Relationships with other Departments:
There are close clinical working relationships with Paediatric Endocrinology (Dr Randell and Dr Denvir),
Pituitary surgery (Mr Robertson and Mt Dow), Endocrine and Thyroid surgery (Mr Ubhi), Ophthalmology
(Mr Zaman), Vascular surgery, Obstetrics (Mr Bugg and Mr Simm), Renal Services (Dr Bebb and Dr
Byrne) and Clinical Chemistry (Dr Prinsloo).
Acute Medicine / On Call Responsibilities
On call / Acute Medicine responsibilities are based on the Emergency Admissions Unit on City Campus
at present. The on-call is on a fixed day once every three weeks with overnight non-resident
responsibility. Weekend cover is approximately 1 in 13.
The on-call Consultant is supported by a dedicated medical on-call team.
General Medicine / Ward responsibilities
The Service currently manages approximately 100 general medicine in-patients on 4 wards – C54 and
C51 on QMC Campus and Patience 1 and 2 on City Campus. This post will be based on Patience 1
and Patience 2 wards on City Campus. These duties may change according to the needs of the
Department. As well as 2 ward rounds per week, there is an expectation that the Consultant is available
to provide clinical care, advice and support for patients and the ward team throughout the working
Diabetes and Endocrinology is currently reorganising some services to improve access for people who
require our care. Initially this will consolidate out-patient Foot and Metabolic Bone Disease to City
Campus and Endocrinology to the NHS Treatment Centre.
The unit has a track record in clinical research and currently has three main areas of interest:
1. The Diabetic Foot (Prof Jeffcoate and Dr Game).
2. Functional MRI (Dr Mansell).
3. Bone and Calcium disorders (Dr Hosking).
There are excellent academic links within the Trust and with the University of Nottingham.
3 JOB PLAN, SUB-SPECIALTY INTERESTS & TIMETABLE
The Job Plan and timetable below reflects our best assessment of the final job plan based on 10.0 PAs.
We wish to appoint an enthusiastic colleague who is committed to driving service development. The
Department will be flexible in supporting the development of one or more sub-specialty interests in
Diabetes and / or Endocrinology. We would encourage prospective candidates to discuss their personal
interests with the Head of Service and Consultants as part of the application process. An interest in
Diabetes & Vascular risk reduction would be welcome, but is not a pre-requisite for appointment.
Any consultant who is unable, for personal reasons, to work full-time, will be eligible to be considered
for the post on a part-time basis; if such a person is appointed, modification of the job content will be
discussed on a personal basis with the Trust in consultation with consultant colleagues.
Additional PAs may be available following agreement between the post-holder and Head of Service.
Diabetes and Endocrinology Services are provided across both Campuses of Nottingham University
Monday Tuesday Wednesday Thursday Friday
AM Clinic Ward Round Acute Medicine Admin Ward round
(every 3rd week)
Lunch- Grand Round Dept Meeting
PM CPD Clinic Clinic Teaching
The job plan includes commitments which will need to be taken flexibly across the week depending on
need such as seeing in-patient referrals and time off following weekends on call. The timing of the
individual sessions will change and the timetable is to guide the expectations of applicants.
The appointee will be expected to fulfil the following duties within the agreed Job Plan:
Maintain the highest clinical standards. With Consultant colleagues, provide comprehensive in-patient
and outpatient Diabetes and Endocrinology Services to Nottingham University Hospitals NHS Trust.
With Consultant colleagues, provide expertise to Acute and General Medical admissions, take part in
the on-call rota and provide reciprocal cover for periods of leave.
Be responsible for the care of patients in his/her charge and support the proper functioning of the
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 Head of Service and the Trust.
The person appointed will be required to devote substantially the whole of his/her time to the duties of
the post and give them priority at all times.
Both campuses within Nottingham University Hospitals NHS Trust are major centres for undergraduate
and postgraduate education and teaching. The successful candidate will be appointed as a Clinical
Teacher by The University of Nottingham Medical School, and will be expected to play a full role in
undergraduate and postgraduate teaching.
Each year the Trust signs a SIFT management agreement for undergraduate teaching with the
University of Nottingham and Nottingham Health Authority and a contract for the provision of
postgraduate education with the Postgraduate Dean for Mid Trent. The Trust works to ensure the best
possible placements and training is available for both undergraduates and junior doctors alike, as well
as development for the trainers.
Medical education within the Trust would not be possible without the involvement of the Consultant
medical staff. The Trust will aim to facilitate this through the development of appropriate job plans, a
clear framework for the delivery of medical education and the opportunity to enhance clinical and
teaching skills through Continuing Professional Development.
Research, Governance and Audit
Nottingham University Hospitals NHS Trust has extremely close links with the University and has
academic departments in the majority of its clinical specialties. There is active collaborative research
between NHS and academic staff and NHS Consultants.
All normally-expected research facilities are available within the Medical School and other departments
of the University of Nottingham. Anyone involved in research is required to adhere to the National
Framework for Research Governance.
Nottingham University Hospitals NHS Trust is committed to the development of Clinical Governance.
The approach taken is to develop actions plans at a directorate level. Each member of the medical
staff is expected to take an active role in clinical governance activities within their directorate and each
directorate has 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
5 DIRECTORATE MEDICAL STAFF
The current Consultant medical staffing in Endocrinology and Diabetes is as follows:
Consultant Endocrinologists / Diabetologists (with particular area of expertise):
Dr Alan Archer (Nephropathy / Psychology)
Dr Kamal Chokkalingam (Vascular risk)
Dr Frances Game (Foot / Vascular risk)
Dr Tasso Gazis (Retinopathy / Pumps / Antenatal)
Dr David Hosking (Metabolic Bone Disease)
Professor William Jeffcoate (Foot)
Dr Peter Mansell (Pituitary, DAFNE)
Dr Renee Page (Antenatal)
Dr Simon Page (Nephropathy / Foot / Transition)
Dr Nandini Seevaratnam (Transitional diabetes, in-patient diabetes)
Dr Nigel Sturrock (Adrenal / Nephropathy)
Trainee Medical Staff
There are 7 Specialist Registrars, 5 ST1/2 posts and 5 FY1 posts.
Nottingham University Hospitals is part of the mid-Trent Endocrinology and Diabetes / General
Medicine training programme. Specialist Registrars rotate to Derby, Mansfield and Boston.
Other Senior Staff
Wendy Longley Matron
Kim Beak Assistant General Manager
Rachel Hucknall Assistant General Manager
Julian Skoyles Directorate Clinical Director
Nikki Pownall Directorate General Manager
Ali Cargill Acting Directorate Clinical Lead
6 ADMINISTRATIVE SUPPORT
Office accommodation and administrative support will be provided by the Trust, as will a PC with e-mail
and Internet access. All consultants are required to check their hospital e-mail regularly. Secretarial
support is shared between consultants within the Service. Typically a band 4 secretary supports two
consultants, with additional support from band 3 secretaries.
7 PROFESSIONAL STANDARDS
The Medical Director, Dr Stephen Fowlie, has overall responsibility for the professional performance of
consultants, employed by Nottingham University Hospitals NHS Trust.
All consultants are expected to comply with management arrangements in place, to follow the
guidelines on practice laid down by the General Medical Council’s “Maintaining Good Medical Practice”,
and to be accountable to the Trust for their actions and the quality of their work. An annual Consultant
Appraisal and Job Plan review is carried out.
8 ETHICS OF CLINICAL PRACTICE COMMITTEE (ECPC)
The Ethics of Clinical Practice Committee has been in existence in Nottingham since 1994. It is a
multidisciplinary forum with representation from both campuses as well as PCT and lay representation.
The remit of the ECPC is to consider clinical issues in relation to existing and developing policies as
well as ethical dilemmas that arise with clinical issues and resource allocation. The committee exists to
help clinical staff reflect and discuss issues rather than being directive, but it is able to provide a
consultation service if requested. The current Chair, Dr Tahir Masud, Health Care of Older People, can
be contacted via the City Hospital switchboard or by e-mailing firstname.lastname@example.org.
9 CONDITIONS OF SERVICE
The successful candidate will be contracted to Nottingham University Hospitals NHS Trust.
This 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
the standing orders and financial instructions of the Trust. In particular, where the consultant manages
employees of the Trust, they will be expected to observe the employment and Human Resource
policies and procedures of the Trust.
All employees who have responsibility for other staff need to ensure that individual performance is
reviewed and a personal development plan is jointly agreed, at least annually. Managers and
Supervisors will work jointly with their staff to ensure all developmental actions that are agreed during
the review take place and are evaluated during the following year.
Because of on-call commitments, the successful candidate will be expected to be contactable by
telephone and to reside not more than ten miles, or half an hour’s travelling time from their main base
campus unless prior, specific approval is given for a greater distance by the Trust.
11 HEALTH & SAFETY
The Trust recognises its duties under the relevant Health and Safety at Work legislation: to ensure, as
far as reasonably practicable, the health, safety and welfare at work of all its employees. In addition the
business of the Trust shall be conducted so as to ensure that patients, their relatives, contractors,
voluntary workers, visitors and members of the public having access to Trust premises and facilities,
are not exposed to risks to their health and safety.
All medical and dental staff under contract to the Trust will be expected to be familiar with and adhere to
the Health and Safety Policies of the Trust.
ALL accidents must be reported to your Specialty Lead, and you must submit a completed
accident/incident report form and support accident prevention by reporting potential hazards. A copy of
the Department’s Health 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 not carriers of Hepatitis B before appointment, and accept immunisation if not already immune.
12 REHABILITATION OF OFFENDERS ACT
Because of the nature of the work for which you are applying, this post is exempt from the provisions of
Section 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
convictions which for other purposes are "spent" under the provision 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
an application for positions to which the order applies. If once employed, an employee receives a
conviction they are required to inform the Trust.
13 PROTECTION OF CHILDREN
Following a report by the Home Office, the Government accepted its recommendations regarding the
disclosure of criminal convictions of those with access to children. For all consultant posts a check will
be made with the Criminal Records Bureau as to whether you have a criminal record, before the
appointment can be confirmed. A child is defined as someone under the age of 18, but this may be
interpreted flexibly in relation to “vulnerable adults” (e.g. persons with a learning disability)
Candidates are encouraged to make arrangements to visit the Trust, and should contact the following:
Dr Tasso Gazis (Head of Service) 0115 924 9924 x64464
Dr Alan Archer 0115 969 1169 x59357
Dr Kamal Chokkalingam 0115 924 9924 x63834
Dr Frances Game 0115 969 1169 x54161
Dr David Hosking 0115 969 1169 x56314
Professor William Jeffcoate 0115 969 1169 x56201
Dr Peter Mansell (Associate Professor, University of Nottingham) 0115 924 9924 x63834
Dr Renee Page 0115 969 1169 x57929
Dr Simon Page 0115 924 9924 x64464
Dr Nandini Seevaratnam 0115 924 9924 x63834
Dr Nigel Sturrock (Clinical Director for Acute Medicine) 0115 924 9924 x57929
Nikki Pownall, Directorate General Manager 0115 924 9924 x56694
Wendy Longley, Matron 0115 969 1169 x54343
Ali Cargill, Directorate Clinical Lead 0115 969 1169 x54343
JOB PLAN FOR CONSULTANT DIABETOLOGIST / ENDOCRINOLOGIST / GENERAL
PHYSICIAN - DIABETIC, RENAL, INFECTION AND CARDIOVASCULAR
PROGRAMMED ACTIVITIES: 10
In-patient work 2.0
Clinic / Specialty work 3.3
Acute Medicine 1.2
Patient administration 1.5
SPA (including teaching and training) 1.0
CONSULTANT DIABETOLOGIST / GENERAL PHYSICIAN
Assessment will be by curriculum vitae (cv), at interview (int), through references (ref) or other means
ATTAINMENTS ESSENTIAL FOR THE POST DESIRABLE FOR THE POST
Professional Full registration with the GMC.
Registration Eligible to be included on the
Specialist Register for
Endocrinolology, Diabetes and
General (Internal) Medicine or
within 6 months of achieving CCT
at the time of interview.
Professional MRCP (UK) or equivalent. Relevant higher degree (MD,
Qualifications/Development At least 4 years in accredited PHD, MSc).
Endocrinology / Diabetes / (cv)
General Medicine training posts.
Clinical training and experience
equivalent to that required to gain
a CCT in Endocrinology, Diabetes
and General (Internal) Medicine.
Clinical Skills/Experience Able to offer expert clinical opinion Substantial experience in
in a range of problems within the development and delivery of a
speciality and make decisions at high quality clinical services - in-
consultant level. patient diabetes, community
Ability to take full and independent diabetes, transitional diabetes &
care for patients. endocrinology, metabolic bone
(cv, int, ref) disease or thyroid disease
Management Skills Able to communicate effectively Evidence of previous managerial
and appropriately with patients, responsibility and / or
their families and other health management training.
professionals. Organisational and political
(cv, ref) awareness.
Able to develop, present and (cv, ref)
deliver coherent service
development. Evidence of involvement in
Able to delegate appropriately. effective NHS service
Able to work within a team. development
Excellent leadership skills. (cv, int)
Personal Skills/Qualities Able to work flexibly in a changing
Able to develop good working
Ability to take responsibility and to
cope with stressful situations.
Non-judgmental approach and
sensitivity in dealing with patients
Respects and promotes individual
rights, interests, preferences,
beliefs and cultures.
Hepatitis B immune.
Good spoken and written English
Prepared to rotate through areas
in the Department as needed.
Teaching, Audit & Evidence of participation in Clinical Original research and
Research audit publications in peer reviewed
Able to teach and support junior journals.
staff effectively. (cv)
(cv, ref) Success in obtaining funding for
research from external bodies.
Ability to supervise post-graduate
Formal training/ qualification in
Practical Requirements Ability to travel between City
Hospital and Queen’s Medical
Ability to travel to peripheral
NOTTINGHAM AND THE TWO HOSPITAL CAMPUSES
Central within the East Midlands, Nottingham is a vibrant and prosperous city with something to offer
everyone. It is one of the UK’s leading retail centres, has a huge variety of restaurants, bars and
nightclubs which attract people from all over the UK. Culturally it has good theatres, and an arena which
attracts both national and international performers and a range of historical interests relating to subjects
such as the lace industry, Lord Byron and DH Lawrence. Nottingham is also known for sport, being the
home of Trent Bridge Cricket Ground, Nottingham Forest and Notts County Football Clubs, the National
Water Sports Centre and the 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 other major 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, Robin Hood.
Housing is relatively inexpensive and, in addition to the two Universities, there are excellent schools
and colleges available.
To find out more about Nottingham, use the following links:
Nottingham County Council – Tourism
University of Nottingham
Up My Street (Guide to local area including property and schools)
2 THE TRUST
The Trust works in close association with the University of Nottingham and the University of Derby.
There are very strong links with nursing and midwifery training, which is part of the University of
Nottingham Faculty of Medicine, and with the locally-based Schools of Physiotherapy, Radiology and
The following two sections describe the services and facilities currently at the two campuses.
However you should also be aware that there are ongoing discussions about the future
development and location of our clinical services, as a result of which some services or parts of
services may relocate to the other campus.
(i) CITY HOSPITAL CAMPUS
The City Hospital Campus offers a wide range of clinical services to the local population of greater
Nottingham, plus a much larger population in such specialties as plastic surgery and burns, cardio-
thoracic surgery, cancer, renal, breast services, clinical genetics and neonatology.
There is no Accident and Emergency department on the campus, although the hospital does take
medical and surgical emergency patients referred by GPs or from other acute hospitals.
The City Hospital campus has a long association with the city of Nottingham. It first opened in 1903 and
the buildings are a mixture of old and new, although services have recently benefited from huge
investment in improving the facilities for patients.
These developments include the purpose-built Endoscopy Centre, Nottingham Breast Institute,
Nottingham Urology 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 Hospital 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. In addition, there are academic departments of Haematology, Rheumatology,
Continuing Care and Anaesthetics.
City Hospital Campus is home to training centres in breast screening techniques and cardiac surgery
and the Trust is a Cancer Centre, forming part of the Mid-Trent Cancer Network.
(ii) QUEEN’S MEDICAL CENTRE CAMPUS
As well as the hospital, the Queen’s Medical Centre Campus, which opened in 1978, also houses the
University of Nottingham Medical School and School of Nursing and Midwifery.
Clinical services provided within the Queen’s Medical Centre Campus include a very substantial
emergency workload, particularly in medical admissions.
The Queen’s Medical Centre Campus has constantly developed the services it provides to enable it to
meet the needs of its patients both now and for the future. A fairly recent development is the
Nottingham Eye and Ear, Nose & Throat Centre which opened in a four-storey Private Finance Initiative
building at the end of 2000. Queen’s Medical Centre campus has the only Emergency Department for
Nottingham and a £6m extension to the department opened in 2004 which significantly improved the
facilities in what is the busiest Emergency Department in the country. As well as these major building
initiatives, Queen’s Medical Centre Campus is strengthening its Critical Care Facilities, having recently
established a surgical HDU, increased the number of ITU beds and implemented outreach services. A
state of the art Clinical Skills Centre opened in 2004 attached to the Postgraduate centre.
Nottingham NHS Treatment Centre
An NHS Treatment Centre is open on the Queen’s Medical Centre campus. The Treatment Centre is
managed by Nations Healthcare - an Independent Sector Provider - however a percentage of the
activity within the centre is being transferred from Nottingham University Hospitals NHS Trust. Some
diabetes and Endocrinology Services are scheduled to move in July 2010. The exact case mix is
unclear. As a result of this, the work that you do may be affected in one of several ways.
1. Your work may not be affected at all
2. You may be required to undertake work on behalf of the Treatment Centre
3. You may be required to undertake some of your existing work in the Treatment Centre
4. You may be seconded to work in the Treatment Centre.
Only a small group of staff will be seconded to the Treatment Centre and throughout the secondment
these staff will remain the employees of Nottingham University Hospitals NHS Trust. Full consultation
will take place with affected staff well in advance of the Treatment Centre opening.
3 MANAGEMENT ARRANGEMENTS
Nottingham University Hospitals NHS Trust is managed via a structure of 10 Directorates, all of which
are cross-town. These are:
o Acute Medical Directorate
o Diabetic, Infection, Renal and Cardiovascular Directorate
o Musculoskeletal and Neurosciences Directorate
o Thoracic and Digestive Diseases Directorate
o Clinical Support and Ambulatory Care Directorate
o Family Health Directorate
o Head and Neck Directorate
o Cancer and Associated Specialties Directorate
o Diagnostics Directorate
o Specialist support Directorate
There are also the Corporate Departments and the Facilities & Estates area.
Each Directorate is led by a Directorate Clinical Director, supported by a directorate team.
Each specialty within that directorate will have a specialty lead.
4 POST-GRADUATE FACILITIES
Nottingham University Hospitals NHS Trust fully supports and recognises the importance of continuing
professional development for Consultants and career-grade staff. The facilities available to support this
include two large purpose-built Postgraduate Centres. The Trust encourages consultants to participate
actively in Continuing Medical Education activities both within the Trust and externally and the provision
of study leave is managed by a Trust Study Leave Committee administered within the Postgraduate
(i) CITY HOSPITAL CAMPUS
The Postgraduate Education Centre was opened in 1972 and has recently been extended. The Centre
provides an excellent educational environment for multidisciplinary conferences and seminars,
postgraduate medical education and continuing medical education. It also provides a base for the
Nottingham Vocational Training Scheme for General Practice, as well as teaching facilities and
common room for undergraduate students 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 the
University Library which, together with access to national lending and other libraries in the Country,
provides a wide range of literature. There is a study space for 50 readers, in a purpose-built room there
is a range of audio-visual equipment, including a CD-ROM, a video and a computer assisted learning
package for junior doctors, and there is also photocopying and fax services.
A wide-range of postgraduate meetings are held at the City Hospital campus and the Postgraduate
Centre is recognised as a Centre of innovation throughout the Mid Trent Region. Each teaching room is
equipped with up to date Audio Visual technology and there is an internet and intranet web site giving
information on all activities and meetings. The Centre has also recently developed an Intranet based
Induction package for Locums and Junior Doctors, and is piloting the use of a Deanery based HICOM
Intrepid package for the tracking and monitoring of Study Leave.
(i) QUEEN’S MEDICAL CENTRE CAMPUS
The Post Graduate Centre at Queen’s Medical Centre campus contains eleven meeting rooms of
varying sizes and audio-visual equipment including video-conferencing.
The large Greenfield Medical library is situated in the Medical School within QMC. This has an
excellent retrieval service and arranges inter-library loans. All members of the hospital medical and
dental staff have free access and borrowing rights. Audio Visual services are provided from the
Medical Photography department located in the Medical School which has photographic, medical
illustration and video recording facilities 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 and clinical skills facility. It is a two-storey extension to the Postgraduate Education Centre and
the regional centre within Trent for advanced human patient simulation training offering a range of
specialty specific and inter-professional courses.
The high fidelity simulators (adult and paediatric) use sophisticated computers to create a life like
medical environment allowing realistic scenarios to be reproduced and enacted without any risk to the
• 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 and
The ground floor clinical skills centre has been designed to provide a large flexible space that can be
set up to 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 10
laparoscopic 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 learning
sessions and to support training programmes and courses.
7 CANCER SERVICES IN NOTTINGHAM
The Nottingham Cancer Centre is a part of the Mid Trent Cancer Network, which is the umbrella
organisation overseeing the development of cancer services within Nottingham, Central
Nottinghamshire and Lincolnshire.
The Nottingham Cancer Centre is responsible for strategic development of cancer services across both
Nottingham University Hospitals’ sites. This includes both clinical services and organisational aspects
such as service improvement, planning, performance, education, audit and patient information.
8 TRUST FACILITIES
(i) CITY HOSPITAL CAMPUS
The City Hospital campus has a variety of facilities for the use of patients, visitors and staff. There is a
restaurant, three coffee bars selling hot and cold snacks, five WRVS stalls and a hospital shop. In
addition, mobile snack bars visit most wards and departments. There is a Natwest bank onsite, as well
as a Nationwide cash machine located outside the main out-patients department.
(ii) QUEEN’S MEDICAL CENTRE CAMPUS
There are a number of facilities provided at the Queens Medical Centre campus, including a
Newsagent, Bakery/Pizza/Sandwich bar, Rooftop Garden, Bank (National Westminster) which is open
daily from 10.30 – 3.30pm and a Pharmacy/Chemist’s shop. There is a large dining area, Cyber Café,
roof garden and an active Doctors’ Mess with kitchen, pc’s with Internet access, sitting room, billiard
tables, and television.
Author: Dr Tasso Gazis
Date: 24th September 2009