East

Welcome to the UK city of culture 2017!

Hull and East Yorkshire Hospitals NHS Trust (HEYHT) was established in October 1999 following the merger of Royal Hull Hospitals NHS Trust and East Yorkshire Hospitals NHS Trust. It has two main hospitals (Hull Royal Infirmary and Castle Hill Hospital) and several smaller units. There are a total of 63 consultants and 5 Associate Specialists with varied specialist interests across the Trust.

Senior educators in the Trust include:

1. Dr Nirmala Soundararajan
   Consultant Anaesthetist
   TPD for Anaesthesia, East Yorkshire
   APAGBI Linkman Scheme Coordinator
   Nirmala.Soundararajan@hey.nhs.uk​
2. Dr Narendra Pai
   Consultant Anaesthetist
   TPD for Anaesthesia Education
   Airway Lead and LNC representative for Anaesthesia
   Narendra.Pai2@hey.nhs.uk
3. Dr Sarah Price
   Consultant Anaesthetist
   College Tutor (for ST trainees) and Lead Tutor for the Final FRCA Programme
   Sarah.Price@hey.nhs.uk
4. Dr Madhuvanthi  Achawal
   Consultant Anaesthetist
   Honorary lecturer Hull York Medical School
   College Tutor (for CT and ACCS trainees)
   Madhuvanti.Achawal@hey.nhs.uk 
5. Dr Ian Smith
   Consultant Anaesthesia and Intensive Care
   FICM Tutor
   Ian.Smith@hey.nhs.uk
6. Dr Sarah Dawson
   Consultant Anaesthesia and Intensive Care
   FICM Tutor
   Sarah.Dawson2@hey.nhs.uk
7. Dr Anne-Mair Hammond-Jones
   Consultant Anaesthetist
   Lead for the Post Fellowship Teaching Programme
   Anne-Mair.Hammond-Jones@hey.nhs.uk

There are several advanced training opportunites opportunites available at Hull. 

Detailed information available for advanced modules in Airway, Regional anaesthesia, Obstetric Anaesthesia, Peri-operative medicine, Cardiac Anaesthesia and Anaesthesia Education.

Hull Royal Infirmary (HRI)

Hull and East Yorkshire Hospitals NHS Trust,
Anlaby Rd,
Hull
HU3 2JZ

This 13 storey tower block was built in 1967. It is located close to the city centre and rail station.

Modules available;

Neurosurgery (including interventional neuroradiology)
Vascular (including vascular radiology)
Obstetrics (Women and Children’s hospital)
Trauma & orthopaedics
Regional Anaesthesia
Plastic surgery
General
Pain
Paediatric surgery
ICM
ENT/Max fax/Dental
Day surgery

HRI is a tertiary centre with the friendliness of a district general. It is a major trauma centre for large swathes of East and North Yorkshire and North Lincolnshire and is due to have an on-site helipad 2018.

In total there are 20 modern theatres offering ample opportunities for airway experience as well as varied emergency and elective work. There is also a small separate day surgery unit. HEYHT has a total of 63 consultants across the trust with many different specialist interests. The department has two primary examiners.

Trainees are well supported by senior staff including excellent exam preparation and regular in-house exam courses. There are also regular teaching sessions, tailored to experience, aimed at developing skills and knowledge, enabling progression as an anaesthetist. 

The Final FRCA teaching programme is led by Dr Sarah Price.

Monthly audit meetings provide plentiful opportunity to become involved and present in a friendly atmosphere. There is also a regular trainee journal club.

Two mixed High Dependency & Intensive Care Units provide varied experience in dealing with critically ill medical and surgical patients, with up to 24 beds in total. This is complimented by keen consultant staff and ACCPs who enable trainees to have protected teaching time.

The adjoined Women's and Children's Hospital provides obstetric services with approximately 6000 deliveries per year and as a tertiary referral centre gets interesting/challenging cases to develop skills.

 

Castle Hill Hospital (CHH)

Castle Road , Cottingham, HU16 5JQ

CHH is located in the North West of the city, and is the more attractive of the two hospitals, sat above Cottingham, a picturesque village originating from the 11^th century. It is close to the pretty town of Beverley and is an excellent base to explore the local attractions surrounding Hull.

The hospital itself has been there 100 years but was recently modernised and now includes the Queen's Centre for Oncology and Haematology.

Services provided

Cardiothoracics
Major upper and lower GI surgery including bariatric surgery
Orthopaedics
Urology
Gynaecology
ENT
Day surgery

Other plus points of Hull and East Yorkshire Hospitals NHS Trust;

• Still maintaining 1:8 rota for all trainee rotas
• Very accommodating rota coordinators and college tutors, will strive to meet requests for Annual leave
• Major opportunities to gain experience of high fidelity simulation at the Hull Institute of Learning and Simulation (HILS), a modern simulation centre. You can attend their simulations courses either as a candidate or contribute as faculty on a variety of courses that are run here. HILS also have opportunities for associate simulation fellows.
• Some of the friendliest consultants in Yorkshire

Go to the Trust website.

Department of Anaesthesia

Scunthorpe General Hospital

 

Contact Details

College Tutor: Dr Vijay Kumar (vijay.kumar2@nhs.net)

FICM Tutor: Dr Ramesh A Manohar (ramesh.ananthmanohar@nhs.net)

Department Secretary:    03033 302664
Rota Coordinator:              03033 305876
Hospital Switchboard:                  01724 282282

 

Department of Anaesthesia, Scunthorpe General Hospital

North Lincolnshire and Goole NHS Foundation Trust
Church Lane
Scunthorpe
DN15 7BH

The Anaesthesia Department

We are a team of 16 consultants, 1 associate specialist, 6 staff grade and 4 trust grade doctors, and trainees on rotation from the East School of Anaesthesia.

The department provides anaesthetic services to a range of specialties at Scunthorpe General Hospital and Goole and District Hospital, including General Surgery, Colo-rectal Surgery, ENT, Ophthalmology, Urology, Trauma and Orthopaedics, Obstetrics, Gynaecology, Oral and Maxillofacial surgery, and anaesthesia at remote sites (e.g. cardioversion, radiology procedures etc.). The department also runs chronic pain clinics and a pre-assessment clinics.

The department at Scunthorpe is situated on Floor E, opposite the entrance to the intensive care unit and adjacent to the Neonatal Intensive Care Unit. Main theatres and central delivery Suite are also located on the same floor. There are 8 theatres in Scunthorpe and 2 in Goole. ICU consists of 8 beds.

Teaching and Training

We aim to provide trainees with an enriching and enjoyable learning experience in the anaesthetic department at Scunthorpe General Hospital. Trainees gain excellent experience at all levels of training from a wide variety of elective and emergency cases.

Trainees take part in a EWTD compliant 1 in 8 on call rota.

There are consultants in the department who are very enthusiastic and passionate about teaching. There are also consultants who teach on national and international courses. We organise joint teaching programme for CT and ACCS trainees in anaesthesia along with Hull and Grimsby hospitals. There is also a lunchtime teaching programme- all doctors in the department contribute to the teaching. Trainees are encouraged to attend teaching sessions and courses offered by the school of anaesthesia, and to make full use of their study leave. There is also opportunity to learn on the pain ward rounds.

The department provides excellent viva practice to trainees appearing for the primary as well as final FRCA exams.

Modules offered:

1. Core Level: all modules
2. Intermediate Level: all modules except Cardiac anaesthesia and neuro-anaesthesia
3. Higher Level: All general duties modules, ICM.
4. Senior trainees will have the opportunity to complete management module (Annex G)

There are excellent opportunities at all levels to get involved in teaching, audits, quality improvement projects and poster presentations.

General Information

Scunthorpe in located in the North Lincolnshire district, which is a mixed industrial and rural community and has a population of about 200000. Scunthorpe is a busy industrial town. The redeveloped town centre and extensive parklands and woodlands offer a pleasant living and working environment. Brigg and Barton are small market towns concerned with light industries and agriculture. Goole is located in the East Riding of Yorkshire.

Scunthorpe General Hospital is a part of the Northern Lincolnshire and Goole (NLaG) NHS Foundation Trust along with Goole and District Hospital, and Diana, Princess of Wales Hospital in Grimsby. The Trust provides acute hospital services and community services to a population of more than 350,000 people across North and North East Lincolnshire and East Riding of Yorkshire. “Together- we care, we, respect, we deliver” is the Trust’s shared vision and values which form a declaration of The Trust’s organizational purpose and intent.

More information about The NLaG NHS Foundation Trust: www.nlg.nhs.uk

Travel

Scunthorpe and Goole are directly linked by motorway- Sheffield, Doncaster, Leeds, York and Hull are all less than an hour’s drive, as is Lincoln on the A15. The Humber Bridge gives easy access to the city of Hull.

Rail services from Scunthorpe connect via Doncaster with the main intercity service to London, and to the north of the country. There is also a direct train to Manchester and Manchester airport.

Humberside Airport is situated within the district and offers holiday flights and world-wide connections via Amsterdam Airport. The Robin Hood Airport near Doncaster offers regular flights to various destinations.

Visit the Trust website.

York Teaching Hospital NHS Foundation Trust
Wigginton Road
York
YO31 8HE
Tel: 01904 631313
Website: Trust site
Anaesthetic Secretary: Miss Emma Deans Tel: 01904 725399

The York College tutors

1. Dr. Joe Carter - FICM Tutor

2. Dr. Laura Harvey - RCOA Tutor

3. Dr. Jonathan Dilley - RCOA Tutor

University Teaching Hospital 

York Teaching Hospital NHS Foundation Trust was granted its license as a Foundation Trust in April 2007 and has been a University Teaching hospital as part of the Hull and York Medical School (HYMS) since 2003. 

In July 2012 York merged with Scarborough and North East Yorkshire Healthcare NHS Trust, bringing York, Scarborough and Bridlington Hospitals into one Trust.

As a trainee at York Hospital you will only be expected to work in York. 

Anaesthetic Department

We are a department of 45 Consultants, 6 staff grades and 16 trainees (of all levels of training). We aim to be supportive clinically and educationally demonstrated by a Consultant anaesthetic presence in the hospital until midnight (and overnight if trainee skill mix requires).

Clinical Experience
 

Anaesthesia

We offer a wide range of specialities required for basic, intermediate and higher levels of training with the exception of neurosurgery, cardiothoracic and higher paediatrics.

At the advanced level of training we offer training in Chronic pain, Obstetrics, Perioperative Medicine, Regional and Orthopaedics and Vascular Surgery.

 

Theatres: We have 11 operational main theatres and an integrated theatre and Vascular Imaging Unit currently under construction within the theatre complex. In addition to this there are 6 day theatres, 2 ophthalmic and 2 theatres to which we are seconded at an Independent Treatment Centre (purely cold Orthopaedics).

Surgical specialities undertaken in York include: General, Bariatric, Vascular, Orthopaedics, Plastics, Breast, Trauma, Urology, Gynaecology, Maxillo-facial, ENT and Ophthalmology.

Perioperative Medicine: York has led the way in perioperative medicine. This began with in the introduction of cardiopulmonary exercise testing in 2004 to risk stratify patients, optimism and provide goal directed therapy to improve outcome.. The perioperative anaesthetic care has been extended further, with the development of daily Consultant Anaesthetist ward rounds of high risk post-operative patients.

 

Non theatre: We provide remote anaesthesia in a variety of locations (CT, MRI and ECT) around the hospital for adult and paediatric patients.

 

Obstetrics: The labour ward has approximately 3500 deliveries per year, with about a 25% Caesarean section rate and 20% epidural providing ample opportunity for clinical experience.

Intensive Care Medicine

ICM: Critical Care Services at York Hospital consist of a 17-bed unit with the bed-spaces used flexibly between ICU and HDU according to caseload. Currently there is nurse staffing to allow a maximum of 12 level 3 equivalent patients. There are approximately 1000 admissions each year.

There is also a well-developed critical care outreach service providing twenty-four hour support for ‘at risk’ patients throughout the hospital. This is nurse-led with critical care medical support.

There are currently ten critical care consultants providing 'week-at-a-time' daytime cover and fourteen consultants on a rota providing exclusive out of hours cover to critical care. The combined unit has around 1200 admissions per year (over 400 at Level 3) and offers the full range of non-tertiary treatments, including renal support. There has been an additional ICU workload generated from the North Yorkshire centralisation of maxillo-facial surgery, vascular surgery and renal medicine services on the York site.

There are two FICE mentors in the department as well as expertise in trans-oesopageal echocardiography.

Pain

Pain: York had one of the first Acute Pain Teams in the country and this is well embedded in our perioperative care. We have 4 consultants specialising in chronic pain and provide a comprehensive chronic pain service.

 

Audit, QIP and Research

Audit projects are actively encouraged and supported. Attendance at Clinical Governance sessions is also encouraged and provides a forum for presentation and dissemination of audit results.

• We have an ongoing research programme, particularly involving high risk surgery. Many of our trainees have opportunities to get involved with this.
• Teaching experience is provided and trainees are encouraged to get involved in our educational activities both locally and regionally.

Educational Activities

In addition to the regional exam related and novice courses we offer the following based at York

• Every Tues and Wed 8 – 8.30 Anaesthetic and ICU teaching for all grades of trainee.
• All Day Teaching 10 per year for all grades of trainee
• Journal club for the whole department followed by a social at the local curry house.
• Clinical Governance meetings which occur 10 times a year.
• Simulation. We have a fully equipped anaesthetic Simulation room embedded in theatres. This is used extensively for in house training and regional courses.

Out of Hours

We run a 1 in 8 out of hour rota for the trainees with 13 hour shift (including an hour handover time at each end of the day). There are 2 trainees on at a time supported by 2 consultants (General/ Obstetrics and ICM).

To provide a high level of both patient care and support for trainees, there is a significant Consultant presence out of hours. The ICM Consultants are resident until 21:00 during the week and 17:00 at the weekend. The General/ Obstetric are resident until midnight and overnight if the skill mix of the trainees deems this necessary. 

Advanced Training Opportunites: York hospital offers advanced training in Vascular Anaesthesia, Obstetric Anaesthesia, Regional Anaesthesia and in Peri-operative care.

Living in York
York is a beautiful city in a beautiful county. Whether you wish to walk our historical walls, climb to the top of the Minster or cycle across the Moors or undiscovered Wolds there will be something to excite you. We also have 2 theatres, an arts cinema, real ale pubs with ghosts and wine bars with style.

Commuting
Not everyone can “up sticks” to live here. York is very well connected by train (1h 50 to London) and a cyclist’s dream. York Trust is particularly supportive of cyclists with an excellent covered, secure cycle park and various schemes for buying bikes and equipment cheaply. You can “park and ride” or “park and cycle” to avoid traffic.

Further Information

Laura.Harvey@york.nhs.uk

Jonathan.dilley@york.nhs.uk  

Joseph.carter@york.nhs.uk