SPECIALIST TRAINING PROGRAMME IN CLINICAL RADIOLOGYEAST MIDLANDS HEALTHCARE WORKFORCE DEANERY

LEICESTER (EAST MIDLANDS SOUTH) SCHEME

PROGRAMME DESCRIPTION

This is a 5 year training programme in Clinical Radiology aimed at doctors who can demonstrate the essential competencies to enter this level of training. The programme is designed to support training for a CCT in radiology.

Further Information please contact:

Dr James EntwisleProgramme DirectorLeicester Radiology SchemeImaging Directorate Offices7 Hospital CloseLeicesterLE5 4WP

james.entwisle@uhl-tr.nhs.uk

Contact: Kay Lord (Executive Administrator) 0116 2588659 kay.lord@uhl-tr.nhs.uk

The programme is based in hospitals in the East Midlands Healthcare Workforce Deanery - South including:

University Hospitals of Leicester NHS Trust• Leicester royal Infirmary• Glenfield Hospital• Leicester General Hospital

United Lincolnshire Hospitals NHS Trust• Lincoln Hospital • Pilgrim Hospital

Derby Hospitals NHS Foundation Trust

Northampton General Hospital NHS Trust

All trainees will work in both district general hospital and teaching hospital environments. Years 1-3 will rotate round all sub specialities including two 3 months attachments at a District General Hospital.

The First Year is spent at the Leicester Royal Infirmary, Leicester General Hospital and Glenfield Hospital. There are six 2 month blocks rotating round a combination of modality and sub speciality training. A course of physics and Anatomy lectures will provide preparation for FRCR Part 1.

The Second and Third Years are spent rotating between the three Leicester Hospitals, Northampton General Hospital., Pilgrim Hospital Boston and Lincoln County Hospitals. All trainees will undergo 8 three month attachments to cover the RCR curriculum. Film reporting is undertaken with supervision. Specialised techniques are taught at each hospital. Throughout this period appointees are expected to complete some of the modules of FRCR Part IIa.

The programme is designed to cover the following basic training:

System-based sub-specialties:• breast imaging• cardiac imaging• gastrointestinal (GI) and abdominal imaging• head and neck imaging including ear, nose and throat/dental• musculoskeletal and trauma imaging• neuroradiology• obstetric imaging and gynaecological imaging• thoracic imaging• uroradiology• vascular imaging including intervention

Technique-based sub-specialties:

• radionuclide radiology Disease-based sub-specialties:

• oncological imaging Age-based sub-specialty:

• paediatric imaging In years 4&5 trainees will undergo sub speciality training including 6 months at a District General Hospital. Appointees are expected to complete FRCR Part IIb in year 4. There are generic courses run by the deanery and there is management training in year 5. Clinical duties throughout the rotations There will be minor variations in different posts in different hospitals but this list is aimed at covering the majority of duties: 1) Attend and participate in cross sectional, ultrasound, screening and

interventional lists laid down in the timetable.2) Liaise between radiographers, patients, relatives and senior medical staff.3) Attend and participate in clinical radiological and MDT meetings.4) Take part in rotated on call emergency work.5) Study for higher examination and maintain continued professional

development.6) Attend weekly educational sessions.

7) Undertake audit at various times throughout the rotations.8) Attend clinical governance meetings.9) Teach medical students, medical and non-medical staff as directed.10)Co-operate with members of the personnel department when monitoring

hours of work and other personnel issues.11)Attend induction in each hospital or new department12)Comply with all local policies including dress code, annual and study leave

STUDY AND TRAINING The Deanery is committed to developing postgraduate training programmes as laid down by PMETB, Colleges and Faculties and by the Postgraduate Dean’s Network. At local level, college/specialty tutors work with Unit Director or Postgraduate Education in supervising these programmes. Trainees will be expected to take part in these programmes (including audit) and to attend counselling sessions/professional review. Study leave will form part of these education programmes and will be arranged in conjunction with the appropriate tutor.

All posts are recognised for postgraduate training.

Study leave is granted in accordance with Deanery policy and are subject to the maintenance of the service.

Main Conditions of Service

The posts are whole-time and the appointments are subject to:-

a) The Terms and Conditions of Service for Hospital Medical and Dental Staff (England and Wales)b) Satisfactory registration with the General Medical Council (London)c) Medical Fitness – You may be required to undergo a medical examination and chest x-ray. Potential applicants should be aware of the Department of Health and GMC/GDC requirements with regards to HIV/AIDS and Hepatitis viruses. Candidates must be immune to Hepatitis B. You will be required to provide, in advance of appointment, evidence of immunity or have a local blood test (as deemed necessary by the Occupational Health Department)

Salary Scale

The current nationally agreed payscale for this grade is payable.

Unforeseen Circumstances

In accordance with the Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales) paragraph 110, Junior Doctors shall be expected in the run of their duties and within their contact and job description, to cover for the occasional and brief absence of colleagues as far as is practicable.

European Working Time Directive (EWTD) & New Deal

All posts on the rotation comply with European Working Time Directive regulations.

As this post does not have a specific set rotation, in line with the NHS Employers Interpretation of pay protection the post holder will receive confirmation from of the term and condition of service (including banding

supplement), only after a specific post has been allocated to the post holder. The banding supplement payable to the post holder will be the pay band applicable to the rota at the time when a specific post is allocated. Pay protection will not be applied from date of appointment.

Junior Doctors’ Monitoring

From 1 December 2000 there is a contractual obligation to monitor junior doctors’ New Deal compliance. In accordance with Health Service Circular 2000/031 junior doctors have a contractual obligation to monitor hours on request; this will include participation in local monitoring exercises. Removal expenses The removal expenses applicable to this post will be the policies issued by the Administrative Trust. You should not commit yourself to any expenditure in connection with relocation before first obtaining advice and approval from the Personnel Department at your Administrative Trust, otherwise you may incur costs, which you will be unable to claim. Use of Information Technology

Under the Computer Misuse Act 1990, any individual who knowingly attempts to gain unauthorised access to any programme or data held on a computer can be prosecuted. An individual who modifies any programme or data in a computer, which they are unauthorised so to do, is also liable under the Act. If found guilty of these offences a person may be given a custodial sentence of up to six months or a fine or both. The person would also be subject to disciplinary action, which may result is dismissal.

Similarly, in accordance with copyright law, any person involved in the illegal reproduction of software or who makes, acquires or uses unauthorised copies of computer software, will be subject to disciplinary action, which may lead to dismissal.

APPENDIX 1

East Midlands Healthcare Workforce DeaneryIt is the ambition of the NHS East Midlands to “create a well trained, cohesive, appropriate work force that meets today’s challenge and looks forward to tomorrow’s opportunity”. East Midlands Healthcare Workforce Deanery (EMHWD) is an essential part of NHS East Midlands and exists to support the delivery of this ambition.

East Midlands Healthcare Workforce Deanery Postgraduate School for Radiology

The Postgraduate School for Radiology was formed in March 2008 to provide educational leadership in the specialty whilst reflecting the strategies of the EMHWD. The school oversees the core specialty training available in the two training schemes in the deanery. The North Scheme (Nottingham) and the South Scheme (Leicester) maintain their independence and individuality but through the School share common goals, quality management and structure to deliver the full curriculum to a high standard. Basic rotational attachments (Years 1 – 3) are delivered locally by the individual schemes with developing collaboration to deliver sub-specialty training in years 4 and 5. The School Board meets three times each year with representation from Deanery, Trusts, Schemes, Royal College of Radiologists, Universities and Trainees.

The Head of School is Dr Andrew Rickett – Andrew.Rickett@eastmidlands.nhs.ukThe School Coordinator is Zena Williams – Zena.Williams@eastmidlands.nhs.uk

University of Leicester, School of Medicine

Dean: Professor David Wynford-Thomas, MB BCh, PhD, DSc, FRCPath, FMedSci (from autumn 2008)

As part of the School of Medicine’s commitment to the maintaining and improving on its existing high standards of research and teaching, it carried out an extensive and successful restructuring process in 2003. The five substantial academic departments are defined primarily by their research interests and span the traditional clinical subject areas. They are Cancer Studies and Molecular Medicine (Head: Professor W P Steward); Cardiovascular Sciences (Head: Professor N J Samani); Health Sciences (Head: Professor R H Baker); Infection, Immunity and Inflammation (Head: Professor P W Andrew); and Medical and Social Care Education (Head: Professor S Petersen).

These Departments bring considerable intellectual resources to bear on a range of vital medical challenges and reflect the priorities of the National Health Service. They provide a stimulating environment for research and

study at all levels, and offer a wide range of opportunities for professional training and development.

In addition to the departments there are clinical divisions, which bring together clinical academics from cognate clinical specialties, and whose role is to co-ordinate links with NHS colleagues, the Royal Colleges and postgraduate medical education.

APPENDIX 2 - UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST

This is one of the largest hospital Trusts in the UK. It comprises of three hospitals, Leicester Royal Infirmary, Leicester General and the Glenfield Hospital. It covers Leicestershire and Rutland and is part of the East Midlands Health Authority.

The Imaging Directorate

The Directorate of Imaging Services represents one of the largest single directorate radiology services in the UK. Core services are based around the three main departments offering a comprehensive range of imaging support to the Trust and the surrounding region. Imaging support is also provided for services at Loughborough, Market Harborough, Hinckley, Melton and Oakham.

Departmental research

Radiology departmental research is led by Dr. B Morgan. There are a variety of ongoing projects included cardiac MRI, functional MRI and tumour perfusion imaging. Research at UHL is divided into ‘programmes’ including cardiovascular sciences. The head for the UHL programme board is Professor B. Williams. There is also a University of Leicester department of cardiovascular sciences headed by Professor N Samani. There is interest in expanding cardiovascular imaging research with the installation of a new CT and MRI suite for cardiovascular imaging.

UHL Equipment7 x MDCT* 2 x 64 detector (Toshiba Aquilion 64) LRI

1 x 16 detector (GE Lightspeed 16) LRI1 x 16 detector (Siemens Sensation 16) LGH2 x 16 detector (Siemens Sensation 16) GH1 x 16 detector (GE Lightspeed 16) Mobile

*Multi detector CT

6 x MRI 2 x 1.5 T (Siemens Symphony) LRI1 x 1.5 T (Siemens Symphony) LGH2 x 1.5 T (1 x Siemens Avanto) GH

(1 x Siemens Symphony) GH1 x 1.5 T (Siemens Symphony) Mobile

4 x IR Rooms 1 x Toshiba Infinix VC-i LRI1 x Toshiba Ultimax LRI1 x Siemens Axiom Artis dTA LGH1 x Siemens Axiom Artis MP LGH

There are also ultrasound, plain film (both CR and DR), nuclear medicine and general fluoroscopy equipment at all three sites. Echocardiography, Cardiac

catheterisation, Breast imaging and mobile PET-CT facilities are present at the GH.

Leicester Royal Infirmary.

Is one of three acute Hospitals in Leicestershire serving a population of 950,000. It has approximately 1250 beds and the only A/E department in Leicestershire. The Leicester Royal Infirmary is sited, close to the University of Leicester and has the University Clinical Sciences Building on site, close to the radiology department. This houses a large library storing a wide range of journals and books and an excellent IT facility.

A wide range of specialties is based at the Leicester Royal Infirmary including, Medicine, Surgery, Pathology, Orthopaedics, O&G, Paediatrics, Dermatology, Infectious Diseases, Neurology, ENT, Ophthalmology and Plastic Surgery. The regional Oncology and Radiotherapy unit is also on site.

The department has an emergency radiologist to cover ward and A/E emergencies during the week from 7 a.m. to 7 p.m. The hospital offers a forensic pathology service. The vascular radiology team has an international reputation.

The Leicester Royal Infirmary is situated a short walk from the city centre.Parking on site is very limited and a charge will be made for parking on site.

The Radiology Department undertakes 225,000 examinations are performed each year of which 70,000 are A/E attendances and 20,000 are GP requests.

There are125 wte staff, and the department is divided into modality areas each supervised by a superintendent radiographer.

The radiology SpR’s have two dedicated office within the main department and a wide range of reference books and standard textbooks are available on site. Further reference books are available within individual units within the department. In addition, there is a radiology resource room for research, audit and teaching. There are comprehensive IT facilities available and a computerised film library is being developed. A computer facility with full access to the hospital intranet/internet is available within the department.

Glenfield Hospital

The Glenfield Hospital, as one of England’s newer teaching hospitals, is a 500-bedded centre of medical excellence for clinical services, teaching and research. As one of the three teaching hospitals in Leicester, it serves and is served by the University of Leicester & Warwick Medical School and pays particular attention to the undergraduate teaching of medical students.

Since its establishment the Glenfield Hospital has year on year, increased the number of patients treated, introduced service developments and expanded the range of treatments available. We have also gained an excellent reputation for the quality of services we provide as recognised by the results

in the Quality Health Patients’ Satisfaction Survey as well as achieving full accreditation by the King’s Find Organisational Audit.

Glenfield Hospital provides a comprehensive range of clinical services. Many of these complement each other, enabling patients to obtain all the care they need within the hospital. The following services are provided: Anaesthetic & Critical Care, Breast Screening, Assessment & Breast Surgery, Cardiology, Cardiac Surgery, Orthodontics, Orthopaedic Surgery, Radiology, Restorative Dentistry, Respiratory Medicine and Thoracic Surgery.

The unit has recently been successful in applying for a BHF bid for a 3 Tesla Cardiac MRI which is to be installed in 2010.

Many of the Medical Specialities are now recognised as Centres of excellence and Glenfield can boast the following:

One of the largest and most technically advanced Cardiothoracic Units in the country currently performing around 1500 open heart cases per year on adults and children.Recognition as the leading centre of only four in the country performing neo-natal ECMO (extra-corporeal membrane oxygenation) which has led to the designation supra Regional Centre, and the only UK provider of paediatric and adult ECMO. It has the world’s highest success rates in ECMO treatment. There is a designated acute Cardio respiratory take of emergency admissions. There has been a recent new build £17 million Coronary Heart Disease project including a CT and MRI suite, and a 2nd gamma camera. Recognition as a specialist centre of Orthodontics and Restorative Dentistry. One of the best equipped radiological departments in the country incorporating Cardiac Catheter rooms, Radio-isotope imaging facilities, CT and MRI scanners, Digital screening and Digital ultrasound facilities.The country’s only large Bone Bank and co-ordinating centre for other Bone Banks facilitating the availability of donor bones for transplant purposes.

Leicester General Hospital

Specialities include, General Medicine (with specialist interest in Gastroenterology), General and Vascular Surgery, Hepato-Biliary Surgery,Medicine for the Elderly, Urology, Nephrology, Renal Transplantation, ElectiveOrthopaedics, Rheumatology, Immunology, Obstetrics and Gynaecology and Pathology. Leicester General Hospital provides the Urology, Nephrology and Renal Transplantation service for the District.The Leicester General Hospital is approximately 4 miles from the main city centre and also has its own car parking facilities. This hospital too, is servedby the public transport service and Hospital Hopper.

Consultant Staff and Structure of The Directorate

Dr James Entwisle Programme Director.

College Tutors

Dr Fiona Dickinson Leicester Royal InfirmaryDArumugam Rajesh Leicester General HospitalDr Lisa Grosvenor Glenfield Hospital

Management Structure

Dr Shona Campbell Clinical DirectorGeneral Manager: Mrs Nicola Leighton-DaviesDr Yvonne Rees Associate Clinical Director (ACD), Leicester General HospitalDr Christine Reek ACD, Glenfield Hospital, Clinical Governance Lead ClinicianDr Kim Krarup ACD, Leicester Royal InfirmaryDr Kevin Mulcahy IT lead for the directorateMartin Tew Service ManagerJudy Gilmore Service ManagerGita Patel Service Manger

Research Director:

Dr Bruno Morgan University Department of Radiology

Consultants

Name Specialist interest

1. Dr Will Adair Vascular Intervention2. Dr Miaad Al Attar Breast and chest Imaging3. Dr Raj Bhatt Musculo-skeletal & Thoracic

Radiology4. Dr Keith Blanshard Vascular Intervention 5. Dr Amman Bolia Vascular Intervention6. Dr David Bruce Angiography, Ultrasound7. Dr Shona Campbell Gastro-intestinal Radiology8. Professor G Cherryman Neuro, ENT9. Dr Hilary Daintith Breast Imaging10.Dr Liz Denton Breast11. Dr Fiona Dickinson Paediatric Imaging12. Dr Tony Dux Paediatric Imaging13.Dr Moshier Elabassy Gastro-intestinal Imaging14.Dr James Entwisle Thoracic Imaging and oncology15.Dr Guy Fishwick Vascular Intervention16.Dr David Finlay Musculo-skeletal Radiology, Isotopes

17.Dr Suchi Gaba Musculoskeletal radiologist18.Dr Mike Glasby Vascular radiologist19.Dr Lisa Grosvenor Breast20.Rona Gidlow Consultant radiographer21.DR Yvette Griffin Oncology22. Dr Sreema Harieswar Neuro, ENT23.Dr Kanagaratnam Jeyapalan Musculo-skeletal & Thoracic

Radiology, 24.Dr Deepak Kathuria Neuro, M/S25. Dr Richard Keal Cardiothoracic Radiology/ Echo26.Dr Humari Khan Breast27.Dr Arshad Khan Cross-sectional imaging, head and

neck.28. Dr Diane Lister Breast Imaging29.Dr Amit Maniyar Paediatric Radiologist30. Dr Trevor Maskell Cardio thoracic 31.Dr Kevin Mulcahy Cross-sectional Imaging and

Oncology32.Dr Bruno Morgan Oncology and ENT33.Dr John Morlese Neuroradiologist34.Dr Carol Newland GI radiology, US, Radionuclide

imaging35.Dr Minni Pakkal Cardio-thoracic36.Dr Arumugam Rajesh Cross Sectional Imaging37.Dr Christine Reek Cardiac Radiology38.Dr Yvonne Rees GU Radiology, GI Radiology, US39. Dr Winston Rennie Musculoskeletal Imaging40.Dr Lili Robinson Ultrasound41.Dr Peter Rodgers Gastro-intestinal Imaging,

Intervention42.Dr Andrew Rickett Paediatric Imaging including Isotopes43.Dr Sarah Tennant Breast Radiologist44.Dr Raman Tyagi Oncology45. Dr Ratan Verma GI Radiology46.Dr Ram Vaidhyanath Neuro, ENT radiology47. Dr J Vimal Cardio thoracic48. Vacancy Oncology/GI49.Vacancy LRI

LEICESTER AND SURROUNDING AREAS

The city of Leicester situated in the East Midlands, approximately 90 miles from Central London, 25 miles from Nottingham, 40 miles from Birmingham and 65 miles from Cambridge. It is well served by communication links including direct rail links to London St Pancras (1 hour 15 minutes), Peterborough, Birmingham and Stansted Airport. There is also ready access to the M1, M69, East Midlands and Birmingham airports which both serve national and international destinations.

The city has a diverse multi-cultural population and is undergoing major redevelopment of the city centre. This includes a new performing arts centre, as well substantial expansion of city centre shopping facilities. There are many restaurants, clubs and leisure activities within the city limits and locally including the National Space Centre, Alton Towers, Rutland Water and the National Forest. There are also two large universities in the city.Leicester has its own football club (Leicester Foxes) and a highly regarded rugby club (Leicester Tigers). The surrounding countryside of Leicestershire and Rutland has many beautiful towns and villages, and the two counties have several highly regarded schools, many within Leicester city.

APPENDIX 3 – UNITED LINCOLNSHIRE HOSPITALS NHS TRUST

Lincoln Hospital

Lincoln is a developing city with a recently established and successful University with which the Trust is developing research and teaching links. The city is known for the historic Cathedral and Lincoln Castle as well as the many social and leisure facilities available within this expanding city.

COUNTY HOSPITAL, LINCOLN

Lincoln County Hospital is part of United Lincolnshire Hospitals NHS Trust.County Hospital is situated close to the city centre of Lincoln. It is a newly developed large and modern complex, which caters for most of the major specialities and has [653] beds. There are [217] general medical and care of the elderly beds including coronary care and [6] renal beds. There is a large, well-staffed Accident and Emergency Department. There are at present [94] general surgical beds, [8] intensive care unit beds, a [10] theatre suite and [3] orthopaedic wards. There is an Ophthalmic Unit, Adult Day Care Unit, an ENT department and a purpose built fully equipped department of Clinical Oncology.

The large X-Ray Department is situated close to the Outpatients and has sophisticated x-ray facilities with modern CT and MRI scanners. There is also a fully developed Medical Physics Unit. There is a modern and well-organised Outpatient Department which is at present used by all the surgeons and physicians.

The maternity service is housed in a separate wing and has [61] ante and postnatal beds, [14] delivery beds and [20] special care infant cots. The maternity wing also houses the gynaecological wards with [17] beds and 2 operating theatres, plus a [12] bed day case unit.

THE X-RAY DEPARTMENT.

The Lincoln X-ray Department moved into a modern hospital development in March 1993. There are five general rooms, two digital fluoroscopy rooms. (Philips Easy Diagnost January 1999 and Philips MD4 April 2000), one dedicated interventional room (Philips Integris C2000 1993) and a CT suite (GE Lightspeed multislice 2001). The department was expanded in 1998 with a purpose built MRI facility containing a 1.5 T Marconi MR system with high gradients and a comprehensive set of phased array and surface coils. There are three high specification ultrasound rooms all with colour doppler which include 2 new Toshiba Aplio 80 ( August 2004 ) and a Philips HDI 5000 ( April 2001 ).

The department has installed fully functional PACS, which allows images for CT, MR and screening rooms to be transmitted to Consultants' offices, wards and outpatient clinics for remote viewing and allows CT and MR images to be transmitted to tertiary centres at Sheffield and Nottingham for

Neurosurgical/Neuroradiological opinion. An Agfa CR system was installed (2002) in all ULH X-ray Departments with all radiographic examination (except Mammography) being acquired digitally. All Consultant offices have computers with large high-definition monitors, PACS and access to the RIS, hospital Intranet and Internet.

The Consultant establishment is presently 9 WTE (special interests detailed later) at Lincoln and 1.0 WTE locum at Louth however the total funded establishment is 12 WTE.

The department provides a comprehensive range of Interventional radiology procedures including arterial and venous procedures, urology, hepatobiliary, oesophageal, colonic and a full range of biopsy and drainage procedures. The GE CT scanner has recently been upgraded to real-time CT fluoroscopy . The department at present has 4 nurses (one Sister and three staff nurses) and an extensive team of radiographic/ultrasound Imaging Assistants.The Medical Physics Department at Lincoln contains two recently purchased ADAC gamma cameras, 2000, one with a dual head.

TEACHING AND EDUCATION

Involvement in teaching of medical students and junior doctors will be expected. The present Radiology College Tutor is Dr V Thava.

Consultant radiologists

1. Dr S G Hogg. MBBS, B Med Sci, FRCRChest radiology and Cross-Sectional Imaging.

2. Dr M Kamal. MBBS, MRCP, FRCRBreast Radiology and Cross Sectional

Imaging.

3. Dr C I Rothwell. Clinical Director , MB ChB, FRCRVascular and Neuroradiology

4. Dr V Thava. MBBS, MRCPI, FRCRVascular and Intervention, MRI

5. Dr G W Thorpe. MBBS, FRCR, DCHBreast Radiology, Skeletal Radiology, MRI

6. Dr G T Vijayasimhulu. MBBS,DMRD,FRCR, Dip.HSM.General Radiology, U/S, CT

7. Dr D Wheatley. B.Eng, Ph.D, MBBS, FRCRCross Sectional Imaging, Oncology.

8. Dr P Burli FRCR

Interventional radiology

9. Dr RChitnis FRCR Special interest; Breast radiology

Pilgrim Hospital, Boston

Boston is one of the principal market towns in Lincolnshire. It is situated close to the coast, fenland and the Lincolnshire Wolds. The town has population of about 30,000, but the hospital serves a scattered rural population of about 200,000.

Hospitals

Pilgrim hospital has about 600 beds. It covers all major specialities expected of a large DGH, and has a major trauma unit. There are 2 small satellite hospitals in Skegness and Spalding, which form part of the Pilgrim Unit. Pilgrim hospital forms part of the United Lincolnshire Hospitals Trust, along with Lincoln and Grantham.

Imaging Department

The Radiology Department is current staffed by 6 Consultants. The department benefits from a close working relationship between all staff members, and very good contact and dialogue with our clinical colleagues. There are regular clinico-radiological meetings in medicine, surgery, upper GI, colorectal, gynae, breast, chest, paediatrics and urology.

The department provides all of the imaging support expected of a busy DGH. There is an active interventional service for vascular and non-vascular work. Breast work includes one-stop symptomatic clinics and screening, and benefits from a new breast unit which opened in July 2008. Cross-sectional imaging is provided by up-to-date multi-slice CT, 1T MRI and excellent ultrasound equipment. Nuclear medicine is managed by Medial Physics Department with radiology liaison provided by one of the consultants.

Department has highly motivated and experienced radiographers and support staff. Accredited radiographers perform ultrasound, barium studies, appendicular plain film reporting and IV contrast injections, subject to regular audit.

There is substantial departmental library. Appointees have their own office with computer/internet access. There is there is the facility to pursue an interest in any of the specialist services provided by the department, in addition to gaining general experience of an active DGH Radiology Service.

The hospital has fully operational Agfa PACS system, installed in Autumn 2006.

ConsultantsDr M Aslam Chest, Nuclear Medicine, Dr R Jones Breast Imaging, Paediatrics, Clinical Tutor Dr T Butt Ultrasound, GIDr A Iqbal Intervention, MRI, Lead RadiologistDr T Ashraf Musculoskeletal, MRIDr M Muller Breast, CT

Equipment1 MRI Suite Philips Gyroscan NT compact plus (1T)1 CT Room Toshiba Aquilion CX 128 slice spiral2 Fluoroscopy Rooms 1 Philips Omnidiagnost, 1 Philips Multi Diagnost 34 Ultrasound machines 4 Toshiba Aplio2 Mammographic Units Siemens Mammomat 3000 and 10001 Mobile Screening Van IGE1 Dexa Scanner Hologic QDR 45001 Tomography Philips SRO 32 1001 Skull Siemens Vertex U Polyphos

2 General Philips SRO 25 50Philips buky diagnostic

1 A&E Resuscitation Philips Optimus 50 CS

APENDIX 4 – THE ROYAL DERBY HOSPITAL

The Royal Derby Hospital is new £250m building project, as part of a £330m PFI, to centralise all acute services on the Derby City General Hospital site, incorporating Derby City General Hospital and The Derbyshire Royal Infirmary. The hospital is situated 3 miles from the city centre and serves a population of over 500,000 in South Derbyshire. We are a cancer centre and there is a Graduate Entry Medical School on site (affiliated to Nottingham University).

Radiology services relocated in May 2009 into a new, purpose built, Imaging Department. The Department is well equipped with largely brand new imaging equipment, including three MRI scanners (one a 3T machine) and three CT scanners (two of which are 64 slice and include a cardiac package), five fluoroscopy suites (including two dedicated interventional rooms) and eight general ultrasound rooms.

An £18m contract is currently held by Isoft for the installation and maintenance of an Electronic Patient Record which includes GE PACS. We have been fully digital in the main Radiology Department from 2004 and from 2007 in the Breast Unit (now including screening mammography). We have an HSS RIS and hospital-wide soft copy viewing of images from 2007. All modalities are archived to PACS and all radiology reporting is ‘soft-copy’. Work is ongoing to extend the PACS to our community hospitals.

There is a funded establishment for 23 Consultants and four Specialist Registrars on rotation from Nottingham and Leicester.

The Department is well staffed with a full complement of Radiographers. We have a generous number of Radiographic Helpers and have positively developed role extension including Radiographer plain film extremity and barium enema reporting, Radiographer performed IVUs and barium enemas and Assistant Radiographic Practitioner roles.

Derby Hospitals NHS Foundation Trust prides itself in providing high quality care and traditionally attracts high quality clinical staff. Derby has recently opened brand new accommodation for the Derby Graduate Entry Medical School allied to the University of Nottingham. The first intake of 90 students started October 2003. There are already academic departments in Medicine, Paediatrics, Obstetrics and Gynaecology, Rehabilitation and Surgery.

Currently there are 21 Consultant Radiologists within the Department, with additional funding for a further two posts.

Consultant Special InterestDr Allison Ashworth Oncology and GynaecologyDr Mark Bagnall(Clinical Lead for Radiology)

Breast

Dr Jim Birchall Nuclear MedicineDr Peter Bungay Vascular InterventionDr Dominic Clarke Gastrointestinal Dr Neil Cozens UltrasoundDr Mario DeNunzio Vascular InterventionDr Simon Elliott (Clinical Director Assessment & Diagnostic Directorate)

Neuroradiology & Paediatrics

Dr Judy Holt Oncology & ThoracicDr Agnes Lee UroradiologyDr Gill McCulloch Thoracic ImagingDr Jill Minford PaediatricsDr Geoff Narborough NeuroradiologyDr Fang Musculoskeletal Dr Graham Pollock Interventional and ChestDr Shama Puri BreastDr Rajeev Singh GastrointestinalDr Duncan Smith Musculoskeletal Dr Anne Turnbull Breast Dr Gill Turner Uroradiology and GynaecologyDr Peter Thurley GastrointestinalVacant post Vascular Intervention (this post)Vacant post (new post) Musculoskeletal

Junior Medical StaffThree Specialist Registrars on rotation from NottinghamOne Specialist Registrar on rotation from Leicester

Directorate Non-Medical Staffing Establishment

Staff Grade Diagnostic Imagingwte

Breast Servicewte

Senior Managers 1.00 0Clinical Radiographers 92.49 7.8Specialist Nurses 6.4 5.2Helpers/Aids/Assistant Practitioners 25.41 7.4Clerical & Secretarial Support Staff 40.85 10.59

APPENDIX 5 - NORTHAMPTON GENERAL HOPITAL

Northampton General Hospital is a 800 bedded hospital situated in centrally in the town centre providing a comprehensive range of general medical services to Northampton and the surrounding rural area. Northampton has seen a significant expansion in its population in recent years, this is predicted to continue as the county is a designated growth area. The Hospital also provides regional cancer, cardiac and renal services for a population of 600,000 including Milton Keynes and Kettering. 2008 saw the opening of a combined cardiac and renal centre, and a new nuclear medicine centre is shortly to be opened.

There is a Postgraduate centre with library and catering facilities as well as lecture theatre and seminar rooms. The on site Sports centre has facilities for swimming, squash, badminton and tennis. There is a privately run nursery within the Hospital grounds.

Northampton Town

Northampton is a pleasant thriving market town with rich heritage. There are ample cultural, sporting and leisure facilities and the town has a strong sporting tradition with professional cricket, rugby and football teams. There are excellent rail and road transport links to London as well as a choice of regional airports. The town is set in rural countryside with many attractive villages and easy access to outdoor pursuits including golf, riding, sailing and white water kayaking.

The Department of Radiology

The department provides a full imaging service as expected in a District General Hospital. In addition it provides regional oncology and renal imaging as part of the Hospital’s role as a designated Cancer and Renal centre.

There are 4 plain film rooms, a DEXA scanner, 2 screening rooms, an interventional suite with day bed area, 5 ultrasound rooms, 2 multislice CT scanners and a 1.5 Tesla MRI scanner (please see below for specifications). There are 2 satellite centres providing plain film radiography in the community. Separate from the main radiology but on the General Hospital Site there is a nuclear medicine department and breast screening unit and symptomatic service. A Mobile PET CT service is provided by In Health and reported locally in collaboration with Leicester Teaching Hospitals.General Practitioners have open access to plain film, ultrasound and limited CT and MR scanning. All requests are vetted.There is a Hospital wide PACS installed in 2007 and voice recognition software is currently being trialled.

The department benefits from highly motivated and experienced radiographers and support staff who have been instrumental in the introduction of an extensive radiographer skill mix programme including barium enema, CT and plain film reporting.

The current College Tutor is Dr Richard Jones, please feel free to contact him on 01604 544281.

Staff

Consultant Radiologists Subspecialty Interest

Dr AJ Bisset cross sectional imagingMA MBBChir FRCS FRCR paediatricsClinical Director Radiology musculoskeletal

Dr R Kendrick interventional radiology MB BS DMRD FRCR

Dr FLSM Moss breast radiologyMB DMRD FRCR CT

Dr VJ Kay radionuclide imaging MB BS FRCR CT

Dr NC Fairlie GI radiology, PETCTMB MRCP FRCR muskuloskeletal

Dr CR Pal breast radiologyMB MRCP FRCR cross sectional

Dr R Jones cross sectional imagingMBBS BSc FRCR GI and chest imaging

Dr S Shakapur musculoskeletalDMRD FRCR cross sectional

Dr V Sukumar cross sectional

FRCR gynaecological imaging

Dr V Sudhakar interventional uroradiologyFRCR

Dr DV ThomasFRCR interventional radiology

Managerial staff

Mr David White Directorate ManagerMr Darryl North Deputy Directorate manager

Diagnostic facilities

CTSiemens Definition 64 SlicePhilips Power Brilliance 16 Slice

MRIPhilips Achieva 1.5 T

Angiography / FluoroscopyPhilips V3000 (Cardiac)Toshiba UltimaxPhilips Multidiagnost 3Seminar room with projector, whiteboard and link to PACS

General AnalogueIGE General X-ray Analogue Equipment (x3) used mainly for Accident and Emergency work, Impatient & GP work

DEXA ScannerDiscovery SL Scanner

Direct Digital Systems XOGRAPH Direct Digital System General Xray Room (x2)

PACSAGFA CR & PACS Sysyem

Ultrasound Machines

Three Aloka Alpha 10 Siemens G60Siemens Antares Siemens G40

Image Intensifiers

Philips BV29 Siemens Arcadis Intensifier Philips II LibraSiemens Arcadis Intensifier Siemens Arcadis Intensifier PhilIps II Endura Intensifier