MEDICAL TRAINEE HANDBOOK · Dr Cross Richard ES/CS Dr Cupitt Jason Dr Downes Robert CS Dr Dunkley...
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1 Reviewed: 19.01.17 MEDICAL TRAINEE HANDBOOK People Centred Positive Compassion Excellence
Transcript of MEDICAL TRAINEE HANDBOOK · Dr Cross Richard ES/CS Dr Cupitt Jason Dr Downes Robert CS Dr Dunkley...
1 Reviewed: 19.01.17
MEDICAL
TRAINEE
HANDBOOK
People Centred Positive Compassion Excellence
2 Reviewed: 19.01.17
CONTENTS
Medical Education Team.................................................................................................................... 4
Educational and Clinical Supervisors ................................................................................................. 8
College Tutors/Trust Specialty Training Lead .................................................................................... 12
Induction ............................................................................................................................................ 14
Mandatory Training ........................................................................................................................... 15
Local Induction ................................................................................................................................... 16
Physician Associates……………………………………………………………………………………………………………………….17
Clinical Pathways................................................................................................................................ 18
Resuscitation Hand Out ..................................................................................................................... 19
Curriculum Mapped Job Descriptions ................................................................................................ 23
Teaching ............................................................................................................................................. 24
Trainee Doctor Support Team ........................................................................................................... 29
Sickness Absence ............................................................................................................................... 31
Study Leave ........................................................................................................................................ 33
Pay and Pensions ............................................................................................................................... 35
Policies and Procedures ..................................................................................................................... 36
Facilities ............................................................................................................................................. 37
IT – Usernames and Passwords.......................................................................................................... 43
Travel ................................................................................................................................................. 44
How to Use the Bleep System ............................................................................................................ 46
Childcare ............................................................................................................................................ 46
Doctors Mess ..................................................................................................................................... 48
Medical Society .................................................................................................................................. 49
MEDICAL TRAINEE HANDBOOK
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Site Map ............................................................................................................................................. 50
Handover ............................................................................................................................................ 51
Supervision ......................................................................................................................................... 52
Quality Assurance Programme .......................................................................................................... 53
Untoward Incident Reporting ............................................................................................................ 54
Terminology ....................................................................................................................................... 56
SOS Bleep (Sick or Scoring) ................................................................................................................ 57
Factsheets (Blood Group) ................................................................................................................. 58
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The Medical Education Team would like to welcome you to Blackpool Teaching Hospitals. We hope you find your placement here a positive experience and enjoy working in the Trust. The Medical Education team are based in the Education Centre and are here to offer support, advice and help at any time during your placement. We have an open door policy for all trainees. In the first instance you can contact your appropriate administrator who will then escalate to the senior team if needed. The team comprises of: Dr Linda Hacking
Director of Medical Education [email protected] Tel: 01253 9(55244)
Dr Liz Haslett Deputy Director of Medical Education (Postgraduate) [email protected] Tel: 01253 9(53103)
Jane Meek Deputy Director of Workforce, Education & OD [email protected] Tel: 01253 9(56869)
Kate Stannard
Head of Medical Education [email protected] Tel: 01253 9(55245)
Mr Alex Blackmore Foundation Programme Director – Year 1 [email protected] Tel: 01253 9(56892)
MEDICAL EDUCATION TEAM
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Dr Hanadi Sari-Kouzel
Foundation Programme Director – Year 2 [email protected] Tel: 01253 9(55592)
Dr Simon Ellwood GPST Training Programme Director [email protected] Tel: 01253 9(57878)
Mr Shanbhag SAS Lead/Tutor [email protected]
Tel: 01253 9(53521)
Dr Raj Nichani Service Improvement Lead [email protected] Tel: 01253 9(53499)
Dr Michael Farrell Undergraduate Education Quality Manager [email protected] Tel: 01253 9(57005)
Laura Davey Postgraduate Manager [email protected] Tel: 01253 9(53032)
Yvonne Coyle GPST Co-Ordinator [email protected] Tel: 01253 9(55243)
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Rachael Lucas ST Co-Ordinator [email protected] Tel: 01253 9(55242)
Rebecca Greaves Foundation Programme Administrator [email protected] Tel: 01253 9(53193)
Julie Summers Deputy Undergraduate Manager [email protected] Tel: 01253 9(55118) Hayley Turner Undergraduate Year 5 Co-Ordinator [email protected] Tel: 01253 9(55120)
Roxanne Sheward Undergraduate Year 4 Co-Ordinator Roxanne. [email protected] Tel: 01253 9(55241)
Tony Rathbone
Education Centre Assistant [email protected]
Tel: 01253 9(56085) Hayley Blackburn
Receptionist/Event Co-Ordinator [email protected]
Tel: 01253 9(57838)
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Nicola Di-Vito
Trainee Doctor Support/Revalidation Manager
[email protected] Tel: 01253 9(57256)
Dawn Grindrod Trainee Doctor Support Administrator [email protected] Tel: 01253 9(53646)
Liam Bromley Trainee Doctor Support Team Administrator [email protected] Tel: 01253 9(53646)
Tracey Wilcock Trainee Doctor Support Team Administrator [email protected] Tel: 01253 9(51060)
Tamsin Porter Trainee Doctor Support Team Administrator [email protected] 01253 9(55028)
The Trust Board members with a specific interest in Medical Education are Nicky Ingham, Director of HR & OD and Dr Mark O’Donnell, Medical Director. Other support available to you will be through your Educational and Clinical Supervisors who will be available to discuss concerns or issues and the College Tutors and Trust Specialty Training Leads for each area.
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MEDICAL EDUCATION WEBSITE
All the information that you need to know as a trainee is on the One HR website under the Medical Education Tab. Please have a look at this site (which can be accessed from home).
www.bfwh.nhs.uk/onehr
We also have a Medical Education Twitter account. Please follow us to be informed of teaching, presentations and other events taking place in the Education Centre.
@BTHEducation
CHANGE OF DETAILS
If you move address or change your contact details, please let Trainee Doctor Support know so they can update your record on ESR.
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Below is a list of Educational and Clinical Supervisors in the Trust and their departments. If you are unsure of whom your supervisor is, please contact the Education team. Alternatively if your supervisor is not showing, please contact the Team.
TITLE SURNAME FORENAME ES/CS SPECIALTY
Dr Foy-Yamah Aloaye
AMU Dr Kollipara Venu ES/CS
Dr Naqvi Naseem ES
Dr Baird Matthew ES/CS
Anaesthetics
Dr Bhadra Nilu ES/CS
Dr Chamberlain Mark ES/CS
Dr Clarke Christopher ES/CS
Dr Cross Richard ES/CS
Dr Cupitt Jason
Dr Downes Robert CS
Dr Dunkley Christopher ES/CS
Dr Gavin Noel ES/CS
Dr Harper Nicholas ES/CS
Dr Hume David ES/CS
Dr Johnson Graham ES/CS
Dr Kelly Daniel CS
Dr Kinagi Muragesh ES/CS
Dr Lockhart Alan ES/CS
Dr Lord Barbara ES/CS
Dr Lutz Jan ES
Dr Martinovsky Peter CS
Dr Mills Simon ES/CS
Dr Monks Allan ES/CS
Dr Ng Yuet Meng Andy ES/CS
Dr Nichani Rajkumar ES/CS
Mr Randall Nigel CS
Dr Rozario Chris CS
Dr Saravanan Palanikumar CS
Dr Thompson Robert ES/CS
Dr Vaughan Simon ES
Dr Watson Dale
Dr Wiggans Steve ES/CS
Dr Varughese Thomas CS Anaesthetics CT
EDUCATIONAL AND CLINICAL SUPERVISORS
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TITLE SURNAME FORENAME ES/CS SPECIALTY Dr Abozguia Khalid ES/CS
Cardiology
Dr Rachel Argyle CS
Dr Brack Michael CS
Dr Cassidy Christopher ES/CS
Dr Chalil Shajil ES/CS
Prof Chauhan Anoop ES/CS
Dr Eichhofer Jonas ES/CS
Dr Galasko Gavin ES/CS
Dr Gall Scott ES/CS
Dr Goode Grahame ES/CS
Dr More Ranjit ES/CS
Dr Roberts David CS
Dr Seed Catherine ES/CS
Dr Wong Kenneth ES/CS
Mr Bittar Nidal ES/CS
Cardiothoracic
Dr Bose Amal ES/CS
Mr Purohit Manoj ES
Dr Tang Augustine ES/CS
Mr Walker Anthony ES/CS
Mr Zacharias Joseph ES/CS
Dr Gbadebo Adedolapo ES/CS
Dr Talab Sabry ES/CS
Dr Taylor Mark ES/CS
Dr Weatherburn Andrew ES/CS
Dr Bottomley Walter ES Dermatology Dr Aye Myint ES/CS
Diabetes Dr Qazi Shahjehan ES/CS
Mr Al-Idari Romaih ES/CS Mr Argall Jonathan ES/CS
Emergency Medicine
Dr Guest Sam ES
Mr Kearns Anthony CS
Mr Kidner Nigel ES/CS
Dr Robinson Alison CS
Mr Tucker Simon ES/CS
Mr Hans Paul CS
ENT Mr Kazmi Syed ES/CS
Mr Malik Vikas ES
Mr Nigam Ajay CS
Dr Mahesh Venkataswamy ES/CS
Gastroenterology Dr Meaden Christopher CS
Dr Murugesan Senthil ES/CS
Mr Barker Jonathan ES/CS
General Surgery
Mr Blackmore Alexander ES/CS
Dr Debnath Debasish ES/CS
Miss Douglas Lynne CS
Mr Heath Jonathan ES/CS
Mr Khurshid Mujahid CS
Mr Kiruparan Pasupathy ES/CS
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Mr Linn Thu Ya ES/CS
Mr Pettit Stephen ES
Mr Ravi Srinivasan ES/CS
Dr Saikat Dhar ES/CS Stroke Dr Greenwood Anne ES/CS
GUM Dr Lazaro Neil CS
Dr Sweeney John ES/CS
Dr Wasef Wafaa ES/CS
TITLE SURNAME FORENAME ES/CS SPECIALTY Dr Cahalin Paul ES/CS
Haematology Mr Grey Mark ES/CS
Mr Kolade Seye ES/CS
Dr Macheta Marian ES/CS
Dr Golka Dariusz CS
Histopathology
Dr Patankar Alka ES/CS
Dr Patnaik Lipsita ES/CS
Dr Shaktawat Sameer CS/ES
Dr Sissons Mark CS
Dr Weerasinghe Suboda ES/CS
Dr Flegg Peter ES/CS
Medicine
Prof Gulati Ravi ES/CS
Dr Hendrickse Mark ES/CS
Dr Isaacs Peter ES/CS
Dr Li Kam Wa Emile ES/CS
Dr McGhee David ES/CS
Dr Mcllmoyle James ES/CS
Dr Paracha Mohammad ES/CS
Dr Saba Tarek ES
Dr Shorrock Christopher ES/CS
Dr Wong Suzanne ES/CS
Dr Guleri Achyut CS Microbiology
Dr Palmer Ruth ES/CS
Mr Amu Johnson ES
Obs & Gynae
Mr Arthur Ian ES/CS
Dr Chetan Uma ES/CS
Dr Davies June ES/CS
Mr Duthie Suresh ES/CS
Dr Haslett Elizabeth ES/CS
Mr Mutema Eric CS
Mr Yagoub Abdalla ES/CS
Mr Khalil Ahmad CS
Ophthalmology
Mr Naylor Gerald ES/CS
Mr Rahman Imran
Mr Raj Shreyas ES/CS
Mr Saleh Tareq ES/CS
Mr Tanawade Rajeev CS
Dr Ahmed Idris CS
Paediatrics
Dr Cable Nicola ES/CS
Dr Curtis Peter ES/CS
Dr Goldberg Katherine ES/CS
Dr Gordon Morris ES/CS
Dr Hopewell Jayne CS
Dr Laycock Nigel ES/CS
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Dr Mohanty Rabin ES/CS
Mr Rawlingson Christopher ES/CS
Dr Tang Wing ES
Dr Thomas Megan ES/CS
Dr Estlin Edward ES/CS Paediatrics – Community Dr Preston Harriet ES Palliative Care Dr Whitfield Andrea ES
TITLE SURNAME FORENAME ES/CS SPECIALTY Dr Bury Roger CS
Radiology
Dr Dutta Nirmali CS
Dr Hacking Linda ES/CS
Dr Hodgson David CS
Dr Liew Chee CS
Dr Lo Ying Ping Frank CS
Dr Mati Wael
Dr Paetzel Martina CS
Mr Sanjeev Kumar Bangalore CS
Dr Varia Haren CS
Dr Wallace Carol CS
Dr Bhatta Amrithraj
Respiratory Dr Bongers Thomas ES/CS
Dr Mirakhur Anju ES/CS
Dr Jeffries Andrew ES/CS Dr Jones Stephen ES/CS
Rheumatology Dr Rao Chandini ES/CS
Dr Sari-Kouzel Hanadi CS
Mr Charalambous Panayiotou ES/CS
Trauma & Orthopaedics
Mr Dunkow Paul ES/CS
Mr Fewster Stephen ES/CS
Mr Javed Arshad ES/CS
Mr Kamath Vijay ES/CS
Mr Shah Amit
Mr Shetty Vishwanath CS
Dr Salt Susan CS Trinity Mr Finney Steve ES/CS
Urology Mr Islam Jawad ES
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Each specialty has its own College Tutor or a Trust Specialty Training Lead for that specialty. They are responsible for the Educational element of your programme. They organise the teaching sessions for the department and organise and monitor the quality control and curriculum coverage.
TITLE DEPARTMENT NAME
Trust Specialty Training Lead Anaesthetics Mr Allan Monks
Trust Specialty Training Lead Cardiothoracic Surgery Mr Joe Zacharias
College Tutor Higher Surgery Mr Srinivasan Ravi
College Tutor Lower Surgery Mr Jonathan Barker
Trust Specialty Training Lead Obstetrics & Gynaecology Dr Uma Chetan
Trust Specialty Training Lead Ophthalmology Mr Ahmad Khalil
Trust Specialty Training Lead Orthopaedics Mr Bambos Charalambous
Trust Specialty Training Lead Paediatrics Dr Rabin Mohanty
Trust Specialty Training Lead Psychiatry Dr Gillian Strachan
Trust Specialty Training Lead Radiology Dr Martina Paetzel
Trust Specialty Training Lead ENT Mr Vikas Malik
Educational Lead Cardiology Professor Anoop Chauhan
Educational Lead A&E Mr Nigel Kidner
Trust Specialty Training Lead Histopathology Dr Alka Patankar
Trust Specialty Training Lead Higher Medicine Dr Venkat Mahesh
Trust Specialty Training Lead CMT Dr Andrew Jeffries
COLLEGE TUTORS/TRUST SPECIALTY TRAINING LEADS
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TRUST INDUCTION
It is of paramount importance that you undertake an Induction to the Trust. This is to ensure all new staff receive relevant risk management training and are integrated in their team in a safe and efficient way. This enables the Trust to give assurance and ensure compliance with its statutory and regulatory obligations. This is also one of the requirements by the Deanery (HENW) - Domain 6.
SPECIALTY TRAINEES AND GP TRAINEES
The Medical Education Induction is arranged by the Medical Education Manager at February & August changeovers. Outside of these times the Specialty Training Administrator will arrange to meet with you and then for you to attend the Trust Corporate Induction. Both of these Inductions will include your Resuscitation training. Your department will arrange for you to be released to attend Induction. If you have any problems being released, please do not hesitate to contact us.
FOUNDATION TRAINEES
All new FY1’s starting at the Trust will attend a 2 day Foundation Induction which occurs on
the last 2 days in July. It is a mandatory requirement for all trainees to attend. This is
followed by a 2 day compulsory shadowing programme. Trainees will start their first day of
their Placement on the first Wednesday in August.
INDUCTION
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Trainees of ALL GRADES need to complete the following Blackpool Trust specific modules
within 30 days of starting work here.
Blood Transfusion Process Administration – Paper workbook or e-learning via intranet
Conflict Resolution – Paper workbook or e-learning via intranet
Clinical Governance & Risk – Paper workbook or e-learning via intranet
Mental Capacity Act & DOLS – Paper workbook or e-learning via intranet
Health Record Keeping – Paper workbook or e-learning via intranet
Consent – Paper workbook or e-learning via intranet
VTE – Paper workbook or e-learning via intranet
Resuscitation – Practical session completed at induction
Moving and Handling – Practical sessions completed at induction* *Further dates are available, but please ensure that you inform your Administrator when you book this course
e-learning modules can be completed via http://www.bfwh.nhs.uk/onehr/mandatory-training/e-learning Paper workbooks can be downloaded via http://www.bfwh.nhs.uk/onehr/mandatory-training/workbooks
CORE SKILLS
Each trainee is also required to complete the HENW modules listed below, within 30 days of
starting at the Trust, via https://coreskills.nwpgmd.nhs.uk.
Equality and Diversity
Fire Safety
Health and Safety
Foundation trainees need to complete SEVEN additional HENW Core Skills modules:
Information Governance, Blood Transfusion, Conflict Resolution, Consent for Investigation,
Death Certification, Maths for Medicine, Medicine Management, Risk Management
For any Foundation enquiries: [email protected]
For any ST enquiries: [email protected]
MANDATORY TRAINING
Moving and Handling
Safe Guarding Adults
Safe Guarding Children
Infection Prevention
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In addition to a Trust induction, you should also receive an Induction into the Department you are going to be working in. During this Induction you will be given departmental information and further information about the Trust. This may be done in two parts with the Rota Co-ordinator giving you information around the rotas and booking leave etc. but the majority of the induction should be done by a doctor. If you are unsure of your local induction arrangements you need to contact your Clinical Supervisor or College Tutor. If you are rota’d on nights or are on leave during the planned Local Induction arrangements must be made with your Supervisor for another date.
You will be required to complete a Local Induction form which is issued by the Education Team to confirm that you have received a Local Induction. If you have any problems with your Local Induction, please do not hesitate to contact us.
Please note that if you are involved in cross cover you will be required to attend two local inductions to ensure you receive all the information you need for both departments.
The Education Team are always keen to hear of any ideas trainees may have on how to improve local induction and would welcome your views.
LOCAL INDUCTION
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The Department of Health defines the Physician Associate as: ‘a new healthcare professional
who, while not a doctor, works to the medical model with the attitudes, skills and
knowledge base to deliver holistic care and treatment within the general medical and/or
general practice team under defined levels of supervision.’
Physician Associates work alongside doctors and nurses in GP surgeries and hospitals to
provide the best care for patients. They work under the supervision of a doctor to:
Talk to patients about their symptoms and examine them
Diagnose illnesses
Analyse test results
Perform procedures (such as injections and blood taking)
Manage patients’ conditions
Training to become a Physician Associate is a two year post-graduate diploma or masters
with a 50:50 split between classroom and clinical placement and is available to students
with a science related first degree. While a relatively new role in the UK, Physician
Associates will be a valuable part of the multi-professional workforce both as link between
nursing and medical teams and in providing continuity of care.
As part of the Workforce Transformation programme in March 2015, Health Education
North West (HENW) invited NHS providers across the region to be part of the discussion
that would ultimately shape the development of a pilot programme for 160 student
Physicians Associates across the North West region. Blackpool Teaching Hospitals was
selected as one of those providers to take part in the pilot programme.
The Trust hosts clinical placements for students in their first and second year of study
undertaking their Physician Associates qualification at the University of Central Lancashire.
PHYSICIAN ASSOCIATES
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In 2013, Blackpool Teaching Hospitals was one of 14 hospitals identified
by the Keogh Review as having had unusually high death rates in 2012-
13. Blackpool acted on this information with the launch of the Better
Care Now project in August 2013 which linked our quality and safety
initiatives under one umbrella. One of these strands was to introduce
clinical pathways for the top conditions that impact most on our
mortality and morbidity. These conditions are Pneumonia, Sepsis, Stroke, Cardiac Chest
Pain, Acute Kidney Injury, COPD, Fracture Neck of Femur and Acute Abdominal Pain.
The pathways focus on the identification, observation and treatment of patients to ensure
that the right care is provided by the right person at the right time, and that best practice is
inherent in care planning and delivery. An interactive pathway for each condition is easily
accessible on the main intranet page and via a mobile phone app and a paper pathway
checklist is available on the wards to provide clear guidance to clinical staff.
Critical points in the pathway are audited daily with real time feedback given to clinical staff
involved in the care of each individual patient within hours of them being treated. This data
is also published on the intranet so anyone can see how we are performing. The data has
proved that the introduction of the pathways is improving care and quality to provide
appropriate, relevant and timely care to some of our most vulnerable patients.
Since the launch of the first clinical pathway in August 2013 the work undertaken so far has
produced some excellent results and a marked improvement in some of the mission critical
areas of treatment for patients. The Trust has also reported reductions in our mortality rates
in both the Summary Hospital Mortality Indicator (SHMI) and the Risk Adjusted Mortality
Index (RAMI). The SHMI figures have been reduced from 125 in April 2012 to less than 115
in August 2015.
If you would like to be involved in the on-going auditing of any of these pathways or the
development of future pathways please contact Tracey Burrell, Assistant Director of Nursing
and Quality on 56938 or Trevor Morris, Clinical Pathways Manager, on 55497.
UTILISATION OF CLINICAL PATHWAYS
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On behalf of Blackpool Teaching Hospitals NHS Foundation Trust, we would like to welcome
you to the Organisation!
The telephone number for all Cardiac Arrests & Medical Emergencies in this
organisation is 2222
Please specify Adult or Paediatric cardiac arrest/medical emergency and state your
location
The adult cardiac arrest team members are: medical ST 3/4, medical FY2, medical
FY1, Duty Resuscitation Officer & CCOS 0830-1630 Monday-Friday and Public
Holidays
The Acute Response Team will respond alongside the medical staff out of these
hours
Please refer to the Cardiopulmonary Resuscitation (CPR) Procedure on the Trust
intranet (CORP/PROC/083):
The cardiac arrest record MUST be completed for every adult cardiac arrest/medical
emergency.
Please refer to the Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Procedure on the Trust intranet (CORP/PROC/003):
DOCTORS INDUCTION - RESUSCITATION HANDOUT
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A DNACPR form must be completed for every DNACPR order and the Consultant is
ultimately responsible for making the DNACPR decision. Please be mindful of Article 8 ECHR
and the legality of the doctor placing the order.
Ensure you know the following:
Contents and locations of blue cardiac arrest drug boxes and red arrhythmia drug boxes and
how to open the contents:
Know the areas of the hospital – maps available:
http://blackpoolhr3.multi2.sitekit.net/Documents/Learning%20and%20Developmen
t/Development%20Opportunities/BTH%20Map.pdf
Please see over for mandatory doctors induction resuscitation training requirements.
DOCTORS INDUCTION MANDATORY RESUSCITATION TRAINING REQUIREMENTS
Adult basic life support (BLS) for ALL doctors and an annual update thereafter
Paediatric BLS for all doctors who will be involved in paediatric patient care e.g. Paediatrics, ENT, A&E, surgery, orthopaedics, anaesthetics etc. and an annual update thereafter
Relevant medical devices/defibrillator training for all doctors who would be expected to use a defibrillator within their role e.g. cardiac arrest team members. Please note the different defibrillators available in the Trust
Safe defibrillation/advanced life support scenario training for all doctors who would be expected to use a defibrillator within their role e.g. cardiac arrest team members and an annual update thereafter.
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Please note:
Current Resuscitation Council (UK) advanced life support (ALS) certification is a mandatory requirement for all medical FY2’s and medical ST3/4 doctors prior to joining the adult cardiac arrest team rota. An annual assessment of ALS/BLS skills is also mandatory
Current Resuscitation Council (UK) immediate life support (ILS) certification is a minimum mandatory requirement for all medical FY1 doctors prior to joining the adult cardiac arrest team rota.
It is your own responsibility to ensure all mandatory and relevant training is completed
prior to commencement of post.
All training is available via the Resuscitation Department section on the OneHR website
www.bfwh.nhs.uk /resuscitation or the Resuscitation Officers (bleeps available via
switchboard)
NB if you are rotating areas at a later date, it is your responsibility to obtain the necessary
training from the Resuscitation Officers before you commence that post.
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DESCRIPTION OF TRAINING
TYPE OF TRAINING
DESCRIPTION
APPROXIMATE
TIME TO
COMPLETE
Adult BLS Assessment of basic life support skills 10 minutes
Paediatric BLS Assessment of basic life support skills 10 minutes
Defibrillator
Medical Devices
Completion of medical devices checklist. This
must be completed for every defibrillator you
may use within your area. This session is also
aimed at cardiac arrest team members.
10-15 minutes per
defibrillator
Adult advanced life
support scenarios
including safe
defibrillation
assessment
Update of cardiac arrest management. These
sessions are aimed at staff that have
undertaken an ILS/ALS course and wish to
update/refresh skills. These scenarios also
include safe defibrillation assessment and are
aimed at cardiac arrest team members.
15 - 30 minutes
Paediatric
advanced life
support scenarios
including safe
defibrillation
assessment
Update of cardiac arrest management. These
sessions are aimed at staff who have
undertaken an APLS/PLS course and wish to
update/refresh skills. These scenarios also
include safe defibrillation assessment and are
aimed at cardiac arrest team members.
15 - 30 minutes
Please refer to the CPR procedure for specific details of recommended resuscitation
training.
BTH Podcasts - Resus Team
LC life Pak 20 advanced defib overview
https://youtu.be/akL3__NnHY4
AF - F1 welcome podcast and CRASH roles & responsibilities
https://youtu.be/XjBjcm5HXMQ
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HJ life Pak 1000 AED overview
https://youtu.be/LerRDiMQJYw
They are all accessible though through the OneHR website and we have them on our resuscitation
department Facebook page
Thank you - Anthony Freestone, Head of Resuscitation.
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All trainees that start at Blackpool should receive a curriculum mapped job description on starting. This aims to inform trainees what they will be exposed to during their training at Blackpool and what is expected of them.
FOUNDATION TRAINEES
All foundation trainees will have a curriculum mapped job description for each of their placements (six over two years). You will receive these following your Induction but will also be emailed the current one before each placement.
If you are n the 2016 Terms and Conditions, your Curriculum will be issued with your Work Schedule.
SPECIALTY AND GP TRAINEES
Currently these will be issued by the Departments when you start with them. Please ask your Supervisor or College Tutor/TSTL for a copy.
CURRICULUM MAPPED JOB DESCRIPTIONS
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The Trust, in conjunction with the Education Centre, provides many opportunities to receive training and education. Ultimately it is the trainee’s responsibility to attend appropriate sessions and reflect on these events. If there are difficulties attending these events, it should be raised first with their ES/CS and then with their College Tutor/TSTL and ultimately with the Education Department. These events will be advertised via email, twitter and the Education website.
DEPARTMENTAL TEACHING
DEPARTMENT DATE & TIME CONTENT
ANAESTHETICS
See Programme New starter tutorials Monday PM
Primary FRCA tutorials Tuesday PM
Final FRCA tutorials and study days Wednesday
AM(+/- PM)
Journal Club once per week
Clinical Governance once a month
CARDIOLOGY &
CARDIOTHORACIC
SURGERY
Tuesday 12.30-14.00 Angiogram reviews/case discussions and didactic
teaching session
Thursday 8.15am to
9am
MDT meeting with the Surgeons
Monthly Mortality and Audit
ENDOCRINOLOGY/
DIABETES &
INFECTIOUS DISEASES
Tuesday 12.30-2pm
Weekly
Case presentations, mortality audit and invited
speakers
ENT
Alternate Friday 9am
to 10am
Alternate Friday mornings from 9-10 in the ENT clinic
Friday 12.30pm Friday Lunchtime diagnostics meeting with x-ray and
pathology consultants in attendance
Monthly Monthly ½ day audit meetings
GASTROENTEROLOGY The first Monday of
the month 1pm-2pm
IBD meeting
TEACHING
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The first Tuesday of
the month 12.30pm-
1.30pm
Histopathology meeting
The second Tuesday of
every month 12.30pm-
1.30pm
Mortality meeting
Tuesday lunch times &
every Wednesday
12.30pm-1.30pm
Teaching
First Wednesday of
the month 12.30pm-
1.45pm
Unit meeting
First Wednesday of
each quarter 12.00pm-
1.45pm
User Group for audit presentations
Every Thursday lunch
time 12.30pm-1.40pm
Radiology meeting
Friday 9.30am-
10.30am
Hepatobiliary MDT
Every Friday lunch
time 12.30pm-1.30pm
Upper GI MDT
Alternative Fridays
1.30pm-2.30pm
Large polyp MDT
Every Friday 2pm-3pm Colorectal MDT
GENERAL SURGERY
Wednesday 8.30am-
9.15am
Held in the X-ray Seminar Room. Imaging of
problematic or interesting cases is discussed in the
meeting in the presence of Dr Hodgson (Consultant
GI Radiologist) and the consultant general surgeons
Fridays 1pm to 2pm. Surgical Journal Club meeting. This is a regular departmental educational meeting. It is divided into two sections: a) discussion and critique of a relevant surgical research paper, and b) a presentation on a topic of emergency surgery given by one of the FY1 doctors (a rota for presentation is organized and this represents a good opportunity for you to revise your surgical knowledge)
Multidisciplinary meetings where management of
cancer or complex patients is discussed are
important learning opportunity. The following are
the details of various subspecialty meetings:
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Friday PM Colorectal Cancer MDT (X-ray Seminar Room)
Friday AM Breast Cancer MDT (X-ray Seminar Room)
Monthly
Departmental Audit meeting. This is a monthly clinical governance meeting where all consultants from various subspecialties attend to discuss cases of morbidity and mortality and departmental audit projects. It is a useful venue for discussions and is an excellent opportunity for learning During your post in the department it is expected
that you would be involved in at least one audit
project. It is imperative that you attend these
meetings and unless you are on call for emergencies
it is expected that you attend. An attendance
register is maintained and will be scrutinized prior to
issuing certification of satisfactory completion of
appointment
GERIATRIC MEDICINE Thursday 12.30pm-
13.30pm
Trainee led teaching, case based
HISTOPATHOLOGY
Daily One to one supervision and double-headed
microscopy teaching with one of six trained
consultants (level of supervision depends on the
stage of training)
Weekly Supervised autopsy training depending on stage of
training
Regional FRCPath teaching at Christie Hospital
(trainee release day)
Alternate Mondays in
term time
Journal club
Once in two months Slide club (departmental teaching)
Every 8-10 weeks Directorate audit meeting and audit presentation
Weekly Hospital Grand Round (trainees are encouraged to
participate and present cases/projects)
PAEDIATRICS
Friday 12.30-13.30
Radiology MDT 3rd
Wed of month 1230-
1330
See programme
OBS & GYNAE Friday 2pm – 4pm Discussion on CTG initially followed by either journal
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club or presentation by guest speaker
The topics are based on Obstetrics & Gynaecology
Sometimes interesting cases are presented and
discussions held
OPHTHALMOLOGY Thursdays 12.30pm-
13.30pm
Case presentations, Journal Clubs, various other
topics
RADIOLOGY
Mondays 12:00-12:45 Various Topics
(Dr Ahmad)
Tuesdays 12:30
Interesting Cases
(Dr Dutta)
1st
, 2nd
and 4th
Wednesdays -
12:30
Case of the Week /
Hot Topics in Radiology
(Dr Paetzel)
Thursdays (approx.
8:30 – 9:30)
Various Topics
(Various Consultants)
Fridays 8:30 – 9:00 Various Topics
(Dr Walshaw, Dr Paetzel)
RESPIRATORY
MEDICINE
Tuesdays 12.30pm-
13.30pm
Case presentations, guidelines, reviews, research or
audit in progress or intended, clinical problem
solving etc.
TRAUMA &
ORTHOPAEDICS
Tuesday 8am to 9am
Monthly as per
programme
Various
Audit meetings where higher trainees present on
Morbidity/Mortality
RHEUMATOLOGY
Monthly multi-
disciplinary meeting.
2pm to 4pm on the
first Friday of the
month.
Audit presentations, updates from external meetings
and occasionally a journal club.
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INTERESTED IN TEACHING?
As a Teaching Hospital, you will have the opportunity to facilitate teaching sessions for the Undergraduate Trainees based here at the Trust for the full academic year. If you would be interested in getting involved in the programme, please contact Roxanne Sheward (Undergraduate Co-ordinator) Tel: 01253 955241 or [email protected]
Alternatively Specialty Trainees may be interested in teaching on the Foundation
programme and should contact the Foundation Programme Administrator - 01253 953193
GRAND ROUND
These are held every Wednesday at around 12:30 in the Education Centre. Topics discussed are wide and varied. Please use these meetings to get a broad exposure to all aspects of medicine in general. Dates of the meetings are on notice boards throughout the Trust. They are also published on the One HR website. Alternatively they are on the welcome screens in the Education Centre or the Lancashire Cardiac Centre. If you are interested in presenting at one of the Grand Rounds please contact the Education Centre on Ext 57838.
MULTI-DISCIPLINARY MEETINGS
These are held within most Divisions at differing times and they are an excellent learning opportunity. For more information on these, please discuss with your Clinical Supervisor.
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TRAINEE DOCTOR SUPPORT TEAM
The team are based in the Medical Education Centre and provide non-educational support
to junior doctors, a key contact with the Lead Employer, rota monitoring & compliance,
provision of administrative support to the Trust Guardian of Safe Working and work in
liaison with Trust Rota Co-ordinators.
NAME SERVICE NUMBER
Nicola Di-Vito Trainee Doctor Support Team Manager 57256
Liam Bromley Trainee Doctor Support Team Administrator 53646
Tamsin Porter Trainee Doctor Support Team Administrator 55208
Tracey Wilcock Trainee Doctor Support Team Administrator 51060
Trainee Doctor Support Team Administrator 53288
EUROPEAN WORKING TIME DIRECTIVE
The Trust has designed all rotas to ensure that they are EWTD compliant. The basic
requirements of EWTD are tabulated below. As a Trust we have designed all Junior Doctor
rotas to ensure that they are EWTD compliant, and this is regularly re-checked by
monitoring exercises. For colleagues working within the 2016 Junior Doctor Contract Terms
and Conditions; exception reporting is managed within the team providing support to the
Guardian of Safe Working.
EWTD OPT OUTS
Doctors are allowed to sign an opt-out of the European Working Time Directive to allow
them to work an averaged maximum of 56 hours per week. This allows for the working of
additional hours as overtime to cover vacant posts or other such vacant shifts. All rotas are
signed off as being below 48 hours, so any such opt out is voluntary. Doctors can also
withdraw their consent to working additional hours, either by withdrawing the opt-out form
or turning down any additional hours offered.
TRAINEE DOCTOR SUPPORT TEAM
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All opt out forms must be signed by a Consultant within the relevant department and are
stored by the Trainee Doctor Support Department. For further details regarding opting-out
of the European Working Time Directive please contact the Trainee Doctor Support team.
We recommend if you decide to opt out to discuss it with your colleague/Clinical
Supervisor/Educational Supervisor.
JUNIOR DOCTOR MONITORING (2002 New Deal Contractual Requirement)
The Trust carries out regular monitoring exercises of EWTD and all trainees will be provided
with a separate pack of their monitoring dates at induction. It is expected that all doctors
will complete these monitoring exercises in a timely and honest manner. It is a contractual
responsibility of all Junior Doctors and the Trust expects all Doctors to comply with this
responsibility.
Monitoring is carried out using online forms. Each doctor will be sent an e-mail link and
password prior to the monitoring exercise. You will also be bleeped to ensure you have
received the link and are aware of the monitoring exercise.
The purpose of the monitoring exercise is to ensure that we are not asking doctors to work
too many hours and that we are ensuring you are receiving the correct level of quality
educational time. Monitoring takes place to ensure the Trust is being fair to the doctors.
The results are anonymised before they are shown to any level of senior management. This
is to ensure that no doctor is treated unfairly as a result of comments or suggestions they
may make as a result of monitoring.
If, for any reason you are regularly working beyond your normal working hours please raise
the issue with the Trainee Doctor Support Team. Issues and problems can only be resolved
if they are raised. We rely on your help to make your time at Blackpool as pleasant, and
educationally rich as possible.
Trainee Doctor Support can be contacted either by calling into the office or by email at
[email protected] or by phone on 01253 953646 or 01253
955028.
EXCEPTION REPORTING (2016 Terms and Conditions of Service)
For colleagues who have transferred onto the 2016 contract, the Trust will provide access to the exception reporting system to enable colleagues to report any regular or significant exceptions to their working pattern. Exception reports will be reviewed by Educational/Clinical Supervisors for resolution and ultimately the Guardian of Safe working will ensure issues of compliance with safe working issues are addressed by the doctor and/or employer/host organisation, as appropriate.
The Guardian of Safe Working hours office can be contacted by calling into the office or by
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email at [email protected] or by phone on 01253 953288.
EMPLOYEES RESPONSIBILITY
If you are feeling unable to attend work, please contact your rota co-ordinator immediately and as soon as possible prior to your shift commencing who will ask you the following questions in regard to your absence: Name of caller, date and time of call, name of person absent, area of work, Line Manager, start time of duty, reason for absence, how long the person expects to be absent, when are they going to next be in contact, is the absence due to industrial injury, is the absence due to a Road Traffic Accident
It is important that you report your absence personally, unless there are exceptional circumstances
Absence should not be reported by email or text message If you fail to report your absence from work your OSP (Occupational Sick Pay) could
be stopped by the Trust Your immediate Line Manager/Head of Department will make contact with you on a
regular basis (usually every 7 days), to ensure that you are recovering well and to provide pastoral support to enable you to return to work as soon as possible
MANAGEMENT OF SICKNESS ABSENCE
Following every period of absence your line manager will hold a ‘return to work’ meeting with you and ask you to sign a record of the meeting. This is to confirm that you are fit to return to work, to verify if you have breached any of the Trust sickness absence triggers and to integrate you back into your role as effectively as possible. Your absence will be managed in line with the Trust’s Management of Sickness Absence policy which is available via the Trust’s Document Library on the Intranet. If you are a trainee, your sickness absence will be reported by the Trust to the Lead Employer and will be managed in accordance with the appropriate Management of Sickness Absence Policy which can be obtained from either the Trainee Doctor Support Office or the Deanery. The Trust wishes to sustain a healthy, safe and supportive working environment and through employment practices and the Occupational Health services the aim is to promote good health and minimise sickness absence.
SICKNESS ABSENCE
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WHO DO I CONTACT FOR THE AREA I AM WORKING IN?
SERVICE
ROTA CO-ORDINATOR – REPORT ABSENCE
A&E & AMU Sophie Gee - 01253 9(53572)
Endocrinology, Gastroenterology, Respiratory, Care of the Elderly, CCU, Stroke Ward, Stroke Rehabilitation, Rheumatology, Haematology
Thomas Handforth - 01253 9(55430) Tracy Dougall - 01253 9(56756)
Anaesthetics Lisa Lindsay– 01253 9(53444)
General Surgery, Urology Jane Bentley – 01253 9(53444)
Trauma & Orthopaedics, ENT, Ophthalmology
Emily Connor – 01253 9(53371)
Histopathology Dr Patankar – 01253 9(56949)
Cardiac Services Naomi Simmons – 01253 9(57731)
Radiology Michelle Woolford – 01253 9(56912)
Psychiatry Claire Jackson – 01253 447(9957)
Obstetrics & Gynaecology Lower Obstetrics & Gynaecology Higher
Dr Nicola Loster [email protected] Dr Sor Eng Goh [email protected]
Paediatrics Lower Paediatrics Higher
Dr Chris Wallace [email protected] Dr Yogesh Kuba [email protected]
If you are in doubt who you should report to, please contact the Trainee Doctor Support Enquiry line on 01253 953726, 01253 951060 or email - [email protected]
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SPECIALTY/GPST TRAINEES
You are entitled to thirty days study leave per annum, some of which will be used through in-house teaching. The budget per trainee is finite and funding is based on the costs of local courses. The process is organised centrally through your programme director The information regarding Study Leave is available on the Deanery website at the following link.
http://www.nwpgmd.nhs.uk/studyleave You will find guidelines on the whole study leave process and a flow chart showing you the steps to follow.
Please be aware that you must give a minimum of six weeks’ notice to your division when requesting Study Leave. http://www.nwpgmd.nhs.uk/general-practice/gpst-study-leave
FOUNDATION TRAINEES
Study leave can only be used to support the aims of the Foundation Programme, achieve the foundation outcomes and explore career opportunities and improve wider professional development.
You may take up to 30 days study leave, as long as this is consistent with maintaining
essential service. Study leave for attendance at the teaching programme will be
taken out of this
The approval of study leave and funding is discretionary
Approval will be given by the FPD based on your individual education plan, the
amount of funding available and the amount already awarded in the year
All Foundation Doctors will receive study leave and funding for their ALS course (first
attempt only)
All requests must be made a minimum of 6 weeks in advance
Retrospective leave will be rejected
Any incomplete forms will be returned
You must not pay any money in advance for study leave before the application is
approved
Taster sessions will be available early in FY2; however in exceptional circumstances
they can be done in FY1. Any study leave granted for these taster sessions will come
out of your FY2 allowance
STUDY LEAVE
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Study Leave cannot be used to sit examinations for Specialty Training
Study leave funding will not be available for the following:
National professional examination/College examination courses and preparation
courses, including other expenses involved in undertaking them.
Basic skills courses in any specialty
Courses/events run overseas. In exceptional circumstances approval may be given
by the Postgraduate Dean in advance, on the grounds that there is no opportunity to
gain the identified foundation competences or experience from any other local or
regional course or event. There will be a cap on the maximum study leave resources
available to support a single application
Commercial preparation for specialty/GP recruitment courses
PROCESS
An application form which is available from the Medical Education Team must be
completed and must be approved and signed by your Consultant and by the Rota Co-
ordinator
The completed application form must be returned to the Medical Education
Manager, with supporting evidence of the course that you wish to apply for.
You will receive a letter confirming whether study leave/funding has been awarded
within one week
To claim the study leave, you must complete an application through E Expenses
(please see attached booklet), and forward proof of completion of the course and
receipts of payment
Please note that all study leave expenses must be submitted on completion of the
course and no later than two months after the course. Any claims for courses in
March will need to be submitted by the end of March
An appeal against decisions can be made through the Medical Education Committee.
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The Payroll Department is based in the Aster Offices and has core opening hours of 9am to 5pm, Monday to Friday. A full list of contact details is available on the Trust’s OneHR Gateway. The Department provides a comprehensive service to Staff and Managers and is available for queries and pay-related advice and guidance. Staff are paid by BACS transfer directly into a bank or building society account. Monthly paid staff are paid on the last Wednesday of each calendar month. Any other variation to payday will be notified as appropriate. Staff who have worked previously should bring a P45 form from their previous employer detailing their tax code and previous pay and tax details in the current tax year. If you do not have this at your date of commencement or have never previously worked, then you must get a tax form P46, by downloading it form the HMRC website. All staff receive a payslip detailing all earnings and deductions from pay. As well as the mandatory deductions of Tax and National Insurance, staff can elect to have deductions from pay for the following reasons:
• Pension Scheme and any Additional Voluntary Contributions • Donations to Charity • Car parking charges • Union subscriptions • Credit Union membership
PENSION INFORMATION Most NHS Employees, whether full time or part time, are eligible to join the NHS Pension Scheme. The Trust operates NEST as an alternative pension scheme for those staff not eligible to join the NHS Pension Scheme. It is Trust Policy to opt Staff into the NHS Pension Scheme however you may opt out at any time. Pension benefits are linked to your pay and length of service in the scheme. Contributions are also linked to pay. The main benefit is an index-linked pension and tax-free lump sum payable at normal retirement age. Included within the benefits of the scheme is the provision for ill-health treatment, life assurance cover, dependents’ and redundancy benefits. A new NHS Pension Scheme will be launched with effect from 1/4/15 with new rules and benefits. The Pensions website has the most up to date information on this. Further information on Pay and Pensions can be accessed through the Payroll Department, OneHR Gateway or alternatively at www.pensions.nhsbsa.nhs.uk.’
PAY AND PENSIONS
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All Trust Policies and procedures are available to view on the intranet through the document library. It is very important that you read all relevant policies.
http://bfwnet/departments/policies_procedures/default.asp
The following policies should be read within your first month in the Trust.
Consent Policy
Resuscitation Policy
Bullying & Harassment
Raising Concerns
Equality, Diversity and Human Rights Strategy
Information Governance Policy
Grievance Procedure
Attendance Management Policy
Whistle Blowing
European Working Time Directive
Disciplinary Procedure for Medical and Dental Staff
Attendance Management Policy
Social Networking Policy
POLICIES AND PROCEDURES
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LIBRARY AND KNOWLEDGE SERVICE
ABOUT
Knowledge and information services are essential to supporting effective patient care by
ensuring access to information and evidence for clinical decision making, research and
innovation, staff development, and clinical governance.
The library provides a high quality and user-focused information service in support
of clinical and managerial objectives
Training courses are available throughout the year so that you feel supported in
accessing up to date evidence based resources to support your professional needs
and continued learning
We promote the sharing of knowledge and evidence-based practice to improve
outcomes for our patients
Access to library resources is for all Trust staff, at any time of the day
Our quality programme ensures that the library is continually developing and we
welcome your feedback on how we are doing
You can find out more about the library on our webpage
http://www.bfwh.nhs.uk/our-services/hospital-services/library/
SERVICES
We offer a range of electronic and print resources and access to electronic
databases, including UpToDate and ClinicalKey
We facilitate inter-Library loans so that even if we don’t have what you need we can
quickly get it for you.
We provide a Clinical Librarian Service to undertake literature searches and provide
the latest information on evidence based practice
We will help you with your Athens registration to enable open access to a range of
online resources
We provide information skills training, in particular: accessing databases,
undertaking literature searches, and critical appraisal
We disseminate current awareness bulletins on a range of specialist topics- just let
us know what you want
The Library is accessible to staff 24 hours a day
We also have a collection of lifestyle and wellbeing books, fiction, and DVDs- so it’s
not all work!
LIBRARY
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OPENING TIMES:
Monday: 08:30-17:00
Tuesday: 08:30-17:00
Wednesday: 08:30-17:00
Thursday: 08:30-17:00
Friday: 08:30-16:30
Saturday: closed (access by ID badge)
Sunday: closed (access by ID badge)
THE LIBRARY TEAM:
Susan Beames, Library Assistant ext. 53831
Teresa Evans, Library Assistant ext. 53831
Michael Reid, Clinical Librarian ext. 53338
Laura Sims, Electronic Services and Outreach Librarian ext. 56688
Debra Thornton, Knowledge and Library Services Manager ext. 55596
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At Blackpool we have a purpose built Human Patient Simulation and Clinical Skill training
unit. We offer a wide range of training opportunities, through simulated based medical
education (SBME), utilising full body manikins as well as part task trainers. Throughout the
training our focus is on patient safety and error recognition and management, as well as
developing the individual practitioner and or team.
The FY1 doctors have a designated training program which encompasses the use of the unit
as a whole - including the audio visual technologies to enhance training debrief and
encourage discussion. Subjects such End of Life Care Day, Prescribing practice, and Human
Factors and Patient Safety are all included in the program. Other themed training days will
utilise SBME to enhance individual and team learning activities. Mapped against the
‘Tomorrow’s Doctors’ Curriculum we will endeavour to give clinicians experience of likely
scenarios FY level grade doctor may encounter. The main aim of the training is to increase
confidence and competence thus improve patient safety. Sessions are facilitated by
experienced clinicians including consultant grade staff and specialists in human factors
training.
The centre also delivers a rolling programme of training (this can be accessed via the Trust
web site) to help you with any skills that you feel you need to improve or develop. Training
delivered includes, arterial blood gases sampling, massive haemorrhage management and
even ultrasound guided chest drain insertion.
The unit is available for all grades of staff to utilise and we are keen to develop training to fit
any specialist area. Please contact the unit to discuss any ideas / training needs you may
have and we will do our best to help.
SIMULATION AND SKILLS CENTRE
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Any individuals with an interest in helping deliver training – especially to our medical
students - are encouraged to contact the team and we can discuss opportunities when you
may be able to help.
NAME TITLE TELEPHONE E-MAIL
Mike
Dickinson
Manager -
Simulation and
Clinical Skills Team
01253 9(55669)
Linda Parker Clinical Skills
Facilitator ( FY Training program
Lead)
01253 6(55202) [email protected]
Clare Walden Clinical Skills
Facilitator
(Undergraduate lead)
01253 6(55671) [email protected]
Mark Hatch Simulation Skills
Facilitator – HPS Lead
01253 6(56891) [email protected]
Anne-Marie
Walker
Clinical Tutor 01253 6(56898) [email protected]
Kai Thwaite Clinical skills
Technical support
Officer
01253 6(53223) [email protected]
Julie
Rushworth
Personal Assistant &
Admin Support
01253 6(55668) [email protected]
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There are a number of services provided to staff to obtain food and beverages throughout
the day and night.
The Staff & Visitors restaurant is situated at the end of the hospital main corridor, at the top
of the stairs (lift available) or via the main entrance up the escalator and the stairs to the right
hand side. Service begins at 7.30am providing a selection of cooked breakfast items, cereal,
fruit and beverages. The lunch and supper services provide a hot selection of main courses
and accompaniments, salads, sandwiches, cakes, confectionary and beverages. The service
times are as follows:
DAILY SERVICE OPENING TIMES
BREAKFAST SERVICE 7.30am – 10.30am
COFFEE BAR SERVICE 10.30am – 4.30pm
DELI BAR SERVICE 10.30am – 2.30pm
LUNCH SERVICE 11.45am – 2.00pm
SUPPER SERVICE 5.00pm – 7.00pm
Staff prices apply to BT Hospitals NHS Foundation Trust employees only.
VENDING SERVICES Vending machines provide out of hours services and have a selection of snacks, sandwiches, pies, fruit, yogurts and beverages. The vending room has a microwave and seating area for staff only to use, accessed only by your ID badge fob. It is situated on the main corridor next to the information desk. There are also a number of machines situated around the hospital. The vending machines are checked and replenished on a daily basis Monday to Friday.
MARKS AND SPENCER
Atrium entrance - Weekdays 0700-2100, Weekends 0800-2000
COSTA COFFEE Atrium entrance- Weekdays 0730-2000, Weekends 0800-1800
WH SMITH Atrium entrance- Weekdays 0730-2000, Weekends 0800-2000
CATERING
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The details of your IT ‘network’ account will be issued at your induction. This account gives
you access to hospital email, Microsoft Office applications, the intranet and after
completing training a range of Clinical systems. The first time you log on you will be required
to change your password. Once this has been done, you will be able to access any other
application.
You will require a CyberLab / Rad account to request Pathology and Radiology investigations
and view all results. To obtain your CyberLab account details you are required to complete
a short e-learning package. Ideally the CyberLab / Rad e-Learning should have been
completed prior to starting. Alternatively you can contact the Health Informatics Education
& Training team to organise an e-learning workshop session where an IT Trainer will be on
hand to guide you through the e-learning materials and answer any questions you may
have. You should have received an e-mail with details of how to access the e-learning
package.
For any queries CyberLab/Rad please contact the Health Informatics Education and Training
(IT Training) department as below.
Depending on your role, some of you will also be issued with a Radiology username and
password. This is for viewing Radiology images in the PACS system (also known as XERO).
The contact details for these departments are as follows.
DEPARTMENT REMIT CONTACT NUMBER
IT Service Desk IT ‘network’ account including
password reset
Ext 51016
Health Informatics
Education and Training
(IT Training)
CyberLab / Rad Access
Access to other Clinical systems e.g.
ALERT
Ext 51011 / 51013 /
56389
Radiology PACS / XERO passwords Ext 55613
ACCESSING TRUST EMAILS
You will be issued with an IT username and password as soon as you start. This information
will also include your email address at the trust. It is vitally important that you check your
trust email account on a regular basis. As well as there being a lot of useful information sent
IT USERNAMES AND PASSWORDS
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by email it will be the contact address that Trust staff use to reach you. Please ensure you
check it at least once a week.
HOW TO GET HERE
The Hospital is adjacent to Blackpool Zoo. From the A583 Preston New Road turn onto South Park Drive, which becomes East Park Drive. For the Southern entrance to the Hospital, turn right at the set of traffic lights after the entrance to the Zoo. For the Northern entrance, carry on to Four Lane Ends roundabout. Take the fourth exit and turn right into Whinney Heys Road.
TRAINS AND BUSES
Blackpool North is the nearest railway station to the Hospital.
Service 2 to Poulton via Staining (Northbound) Monday - Saturday daytime 30 minute service. Evenings and Sundays hourly service.
Service 2C to Knott End via Blackpool 6th Form College and Poulton (Northbound) Monday - Saturday daytime 30 minute service. Evenings and Sundays hourly service.
Service 2 and 2C to Blackpool Town Centre via Newton Drive (Southbound) Monday - Saturday daytime 15 minute service. Evenings and Sundays 30 minute service.
Service 5 to Halfway House via Layton, Blackpool Town Centre, South Shore, Highfield Road. Monday - Saturday daytime 10 minute service. Evenings and Sundays 30 minute service.
Service 16 to Castle Gardens, Carleton via Grange Park, Bispham and Norcross. Monday - Saturday daytime 30 minute service. Last bus to Castle Gardens from Victoria Hospital is 1820. Sundays the service will only operate from Bispham Village (no service to/from Castle Gardens, Carleton) last bus to Bispham Village from Victoria Hospital is 1709.
Service 16 to North Station via Mereside Tesco, Highfield Road, Harrowside, South Shore, Whitegate Drive. (Southbound) Monday - Saturday daytime 30 minute service. Last bus from the Hospital 1945. Sundays hourly service, last bus from the hospital to North Station is 1756.
TRAVEL
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On Bank Holidays a Sunday service operates. At Christmas and New Year special timetables are in operation. www.blackpooltransport.com
For further travel information, including Stagecoach visit: www.traveline.info or 0871 200
2233 calls cost 10p per minute plus network extras.
BENEFITS OF CYCLING AND WALKING
Exercise improves health and fitness. Cycling and walking is free and reduces congestion and air pollution. There is cycle parking close to entrances.
CAR PARKING
For the location of car parks, see the site map. Permits are issued by the Car Park office which is situated on the ground floor of the multi-story car park.
REGISTERED DISABLED DRIVERS
There are designated spaces close to hospital entrances for registered disabled badge holders which are free of charge.
PARKING RULES
Vehicles in breach of car parking rules, which are displayed in the car parks, may be subject to a Parking Enforcement Notice - £30 fine.
For further car parking information, the Car Parking Office is situated in the multi storey car
park opposite the Education Centre. Tel 01253 956970 or visit the travel website at
www.bfwhospitals.nhs.uk
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The bleep system is available on every internal phone.
It is accessed by dialling 50, then wait for the tone to change
Dial the bleep number, followed by your extension and then #
You should then replace the handset and await the return call
HOW TO USE THE BLEEP SYSTEM
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The Trust provides on-site day nursery facilities for staff. Happy Days Nursery is purpose-
built with the capacity for 92 children aged from three months to five years. It has flexible
opening hours and is staffed by a highly qualified and professional team. For more
information about Happy Days Nursery call 01253 955537. Staff can also use the facilities at
4 other sites; Busy Bees at Preston and Chorley and Bright Horizon at Lancaster and Barrow.
The Trust offers staff the opportunity to participate in various salary sacrifice schemes
through which items such as laptops, PC’s, bikes and lease cars can be obtained. Also to pay
for your childcare via the on-site nursery or Childcare vouchers for all other childcare fees.
Please note, salary sacrifice schemes are only offered to staff who are paid by the Trust.
More information about these schemes and other benefits available to staff can be found by contacting Lisa Harrison, Staff Benefits & Expenses on 01253 951178 or via email [email protected]. Information can also be found via the OneHR page at www.bfwh.nhs.uk/onehr/staff-benefits-expenses/smart-salary-sacrifice/
CHILDCARE
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The Doctors Mess is run by a Foundation Year 2 committee group.
The £10.00 monthly contribution (which you have to opt into), ensures the upkeep of the
Doctors Mess, tea and coffee, toast etc. (for use within the Mess), newspapers, Sky TV and
also provides a contribution to fund social events, including the summer ball.
The Doctors Mess is essentially a staff room for doctors on duty/ on call to relax in etc.
Junior doctors are encouraged to join the Mess to maintain the upkeep and services.
The Doctors Mess is situated on the first floor opposite X-ray north, 5 star luxury facilities
include:
2 on call rooms
Kitchen facilities with tea, coffee, bread & milk
Lavatories complete with lavatory paper
Water cooler
3 PCs
Television
Telephone
The Independent, the Guardian and the Sun.
MESS ACTIVITIES
Pay day parties - last Friday of each month
Mid-month event which is usually a meal out
Summer ball held in July
DOCTORS MESS
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ABOUT THE BLACKPOOL MEDICAL SOCIETY
The Blackpool Medical Society is a recent venture for Blackpool Teaching Hospitals it was
established in 2011 to bring a sense of community for the students here at Blackpool. It is
led by 5th year students, foundation doctors and the undergraduate coordinators and we
have regular meetings to discuss new ideas for social events. All students are welcome to
attend the meetings and contribute their ideas.
Events that have taken place this year include: The Induction BBQ and Quiz, The Christmas
Meal at Funny Girls, Bake Sales and The Student Leaving Meal. In previous years students
and foundation doctors took part in the Three Peaks Challenge to raise money for Trinity
Hospice and have organised trips to Blackpool Zoo and the Manchester Christmas Markets.
There are plenty of opportunities for students and doctors to get involved in the Blackpool
Medical Society. If you would like further information about the society please contact
Hayley Turner on [email protected]
MEDICAL SOCIETY
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SITE MAP
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Handover is an important part of modern medicine. A good quality handover has major patient safety benefits, leads to more timely care and can prevent unnecessary investigations. It is also a major educational opportunity, as it is lead either by a consultant or a senior trainee. The Education Team has been liaising with trainees and the Departments to promote the handover process and to help improve and develop it. It is important that trainees engage with handover and turn up on time. Tardiness can mean that a whole team is delayed, or that important jobs are missed. Handover is still in the evolution stage for many Departments; indeed even where the handover process is well established and mature, there is always the possibility that the process can be improved. If you see areas of possible improvement, it is important that these are fed back to the Department Leads for handover. If any trainees are interested in helping to develop and improve the handover process if they contact the Education team a service improvement project may be available.
HANDOVER
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EDUCATIONAL SUPERVISOR
Although each Directorate has its own arrangements, your Educational Supervisor will be a consultant with whom you work, who may/may not be the Royal College Tutor. The two of you should meet regularly. This meeting may include mention of teaching sessions to be attended, case studies and discussions to be carried out, self-development activities, project assignments, formal training programmes to be attended, mentoring or specific study leave be taken. It is the trainee’s responsibility to make arrangements to see his/her Educational Supervisor at the appropriate time. If there is a problem getting an appointment that cannot be resolved then this will need to be escalated to the College Tutor /TSTL, in the first instance, in the case of Specialty/GPST Trainees and the FPD in the case of Foundation Trainees.
INITIAL INFORMAL CHAT
EDUCATIONAL APPRAISAL
MONITORING PROGRESS (IF REQUIRED)
REVIEW
Within the first two weeks
Within the first two weeks
Towards the middle of your posting
Towards end of job
Check that you have settled in and have an initial ‘Learning Plan’ with some educational objectives
Interview to explore abilities, motivation, personal qualities, educational objectives and priorities
Keeping track of how you are doing
Review progress against agreed objectives. Identify further needs
Discuss initial problems (if any)
Preliminary assessment and feedback
Develop further plan to take on to next post
Learning reviewed and agreed
SUPERVISION
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The Quality of our Training Programmes at Blackpool is a priority for Medical Education. To monitor the quality of education we provide, we implement a system of evaluations and feedback which includes: • Evaluation of Placement Survey • Annual Survey • Focus Groups EVALUATION OF PLACEMENT SURVEY The purpose is to evaluate each individual training placement and highlight any areas of concern or best practice. The survey is generated on Survey Monkey and sent to trainees by email a month before they are due to leave the placement. The trainees will also be able to receive a copy of the survey direct from the Medical Education Team or off the intranet if necessary. ANNUAL SURVEY The purpose of the annual survey is to evaluate the trainees’ experience of the training programme as a whole. The survey is generated on Survey Monkey and is sent out at the end of each calendar year. FOCUS GROUPS Focus groups are held with each trainee group twice yearly. The purpose of the focus groups is to give trainees the opportunity to discuss any issues they may have in greater depth than allowed for by the surveys. All trainees are invited to attend. The outcomes of the quality assurance programme are shared with the training leads to develop action plans as part of our commitment to continual improvement.
QUALITY ASSURANCE PROGRAMME
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INCIDENT REPORTING AND INVESTIGATION The Trust is committed to the establishment of a supportive, open and learning culture that encourages staff to report incidents and near misses through the appropriate channels. The aim is not to apportion blame but rather to learn from incidents and near misses through the appropriate channels and to improve practices, systems and processes accordingly. All staff within the Trust have a responsibility to ensure that they report any incident or near miss they have been involved in or witnessed. Please note that you must ensure that you report all incidents, especially those that involve patient safety, preferably within 24 hours of the incident occurring.
WHAT IS AN INCIDENT? An incident can be described as an event or circumstance which could have resulted or did result in unnecessary harm, damage or loss to a patient, staff member, visitor or organisation.
WHY DO WE REPORT INCIDENTS?
To improve patient care and services
To establish the facts of each incident
To establish controls to prevent recurrence
To identify trends and potential risks
To learn lessons
It is a legal requirement
WHAT DO WE REPORT?
An event that results in or had the potential to result in any level of injury or ill health
An event that results in an unexpected outcome An event that interrupts normal procedure An event that damages the Trust’s reputation
Some examples of the most commonly reported incidents include medication errors,
hospital acquired infections, delays, missed or wrong diagnosis, skin tissue damage/pressure
ulcers, patient accidents, such as slips, trips and falls, incorrect use or failure of medical
devices, staff health and safety and security incidents and information governance incidents.
Each Division/Department may also have specific triggers and these will be found within the
Divisional Risk Management Strategy. Where the incident involves faulty drug products or
UNTOWARD INCIDENT REPORTING
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medical devices/equipment, these should be withdrawn immediately from use and retained
for investigation.
DUTY OF CANDOUR Duty of Candour is now required for any patient incident which has resulted in moderate to severe harm (levels 3, 4 and 5) and entails a face to face meeting with the patient and/or relatives/carer/person responsible, followed up by a letter, offering apologies for the event, followed by further contact if required, with information relating to any investigations carried out. It is the responsibility of the Clinician or Consultant responsible for the patient to ensure that this process is carried out. In some cases, such as for pressure ulcer incidents or falls, this responsibility can be delegated to the Matron. The policy (CORP/POL/538) containing further guidance and templates for letters is
available to download from the Document Library, Duty of Candour SharePoint and Risk
Management sites on the Trust’s Intranet page. Duty of candour is also incorporated within
the incident form and manager’s form on the Safeguard Incident Reporting system, for
completion when entering and managing an incident.
HOW AND WHEN SHOULD AN INCIDENT BE REPORTED? All untoward incidents should be reported via the Electronic Incident Reporting System (found on the intranet home page, under incident reporting) within 24 hours of the incident occurring. Serious Incidents (including Never Events) where severe/major harm or death has occurred
must be reported immediately to the relevant Associate Director of Nursing/Divisional
Director and the Risk Management Department. These incidents are then reported on the
Department of Health’s Strategic Reporting system (StEISS) within 2 working days of the
incident being identified. Further Guidance can be found in the Trust’s Corporate Procedure
– Untoward Incident and Serious Incident Reporting (CORP/PROC/101). Additional
information and SUI reports can be accessed through the Risk Management site on the
Trust’s intranet site.
It is crucially important that all staff report all incidents and near misses. The Trust policy is
to promote a fair, non-blame culture and that only under specific circumstances would
disciplinary action be considered following a reported event.
RISK MANAGEMENT TEAM
Tel: 01253 95 3667
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MEDICAL JOB TITLES
The Medical Education Team has introduced the ‘Dr Who’
initiative to promote the use of the correct terminology
for trainee doctors.
The correct use of job titles is a significant governance issue as the job title and grade
reflects a level of expertise, experience and qualification. It is a real patient safety issue if
incorrect job titles continue to be used.
Posters have been issued to the wards and departments which explain the different grades
and the level of experience these junior doctors have.
We have also added a new colour system for ID badges for trainees to make it easier to
identify the difference in grades.
Grade Colour
FY1 Light blue
FY2 Light purple
GPST1 Pink
GPST2 Red
CT1/ST1 Grey
CT2/ST2 Brown
ST3+ Black
Recognising the different grades are confusing, added to the fact that individuals, even
newly qualified doctors, continue to use the former job titles, such as ‘SHO.’
Please can you ensure that you use the correct title when referring to yourself or a
colleague.
Thank you for your cooperation with this.
TERMINOLOGY
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SOS Bleep holders (Critical Care Outreach) are nurses experienced in acute patient care, with specialist skills background e.g. Critical Care, A & E, Acute Medicine, Surgery and Cardiology. Out of hours, the bleep is held by the Acute Response Team.
The service aim is to provide support at the point of need for ward staff who are concerned about a patient in their care, whose condition is deteriorating
The ’concerns / triggers’ for utilising the SOS system are clearly set out on a flow chart at the foot of each bed, (& in the Trust procedure for observing patients), but the team are happy to offer support or advice at any time if there are concerns raised
Ward staff should also access review by the parent team as well as SOS, but due to complex reasons there are often parent team delays in response
This service is complementary to the med/surg teams
It works collaboratively and ultimately seeks to ensure timely review, timely decision making and a robust plan of care for the patients causing concern
SOS BLEEP 600 (SICK OR SCORING)
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FACTSHEET
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Blood Transfusion Special Requirements Checklist
Blood Group Warnings Action Known blood group
Antibodies Document on relevant section of the
transfusion request form & inform the Blood Bank via phone ext. 53746/53747 Previous transfusion history
Background information Patients can develop blood group antibodies following either earlier transfusions or previous pregnancies. The patient’s antibody status maybe documented on an information card issued to the patient, or recorded on the red bordered blood transfusion investigation report forms which are filed in the patients’ case notes. Please Note: The patients antibody status and transfusion history are important information that the Blood Transfusion Laboratory require to ensure appropriately matched products are
issued to the patient
Blood Group Warnings Action Special blood requirements e.g. irradiated
products Document on relevant section of the
transfusion request form & inform the Blood Bank via phone ext. 53746/53747
Background information
Blood products such as red blood cells and platelets contain donor lymphocytes which may remain viable during storage and be transfused into the patient. In immunocompetent recipients the transfused lymphocytes will be rapidly eliminated. However, if the recipient is immunocompromised the donor lymphocytes may proliferate and cause transfusion-associated graft-versus-host disease. This is usually fatal. Irradiation of the blood product destroys the lymphocyte DNA thereby abolishing the risk. Indications for irradiation • All recipients of autologous peripheral blood stem cells from 7 days prior to harvesting until completed, and then from 7 days prior to transplant until 6 months after • All recipients of allogeneic peripheral blood stem cells or bone marrow from 7 days prior to commencement of conditioning chemotherapy until 12 months post-transplant (and longer if chronic graft-versus-host disease develops) • All donors of allogeneic peripheral blood stem cells or bone marrow from 7days prior to harvest to completion • All patients who have ever been treated with purine analogues (fludarabine, cladribine, pentostatin, clofarabine, bendamustine) indefinitely • All patients who have ever had Hodgkin’s lymphoma • All HLA-matched and directed donations i.e. from first-degree relatives • All patients who have been treated with alemtuzumab (Campath-1H) for at least 2 months after completion and longer if profound lymphopenia persists (discuss with the Consultant) • All patients with aplastic anaemia or myelodysplasia treated with antilymphocyte globulin and to be continued until immunosuppressive therapy has been completed. This list is not designed as an exhaustive criterion for the indications irradiated blood
products. For further information please refer to trust CORP/PROT/011. Indications For Irradiated Blood Products. Or contact the duty on-call Haematolgist via the switchboard for clinical advice.
Blood Group Warnings Action
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Cytomegalovirus (C.M.V ) Negative products Document on relevant section of the transfusion request form
Background information
Immune compromised and pregnant patients are at increased risk of infection from Cytomegalovirus (C.M.V) a member of the herpes group of viruses. Please Note: It is
important to inform the Blood Transfusion Laboratory to ensure C.M.V negative products are issued to the patient.
Blood Group Warnings Action Previous transfusion reactions Document on relevant section of the
transfusion request form
Background information
Please Note: It is important to inform the Blood Transfusion Laboratory of any previous transfusion reactions as the patient may require specifically selected blood products
Blood Group Warnings Action Patient requires Methylene Blue treated
products Document on relevant section of the
transfusion request form
Background information
Department of Health and SABTO guidance 2006
Cryoprecipitate is prepared from fresh frozen plasma (FFP) and contains particularly high levels on factor V111, Von Willebrand’s factor and fibrinogen. It is no longer used in the treatment of haemophilia or Von Willebrands disease. It is still a useful blood product and source of fibrinogen. Preparation of standard cryoprecipitate does not involve viral inactivation and there is also concern over the possibility of transmission of variant CJD. Viral inactivation of cryoprecipitate and FFP is possible with methylene blue treatment. Mrthylene blue treated cryoprecipitate and FFP are now available from the National Blood Service and it is now recommended that this is used for all children born after 01/01/1996. This is manufactured from plasma imported from countries with a low risk of variant CJD. Further information on the use of imported plasma for children; is available on the following link: http:/www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH 4127673
For Clinical Guidance for the use of Hepatitis E Virus Negative Blood Products Please refer to attached flowchart
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Clinical guidance for use of Hepatitis E virus (HEV) negative blood components
HEV negative blood components are indicated in: • Patients awaiting solid organ transplant (SOT) – from 3 months prior to date of planned elective SOT or
from the date of listing for a solid organ transplant.
• Patients who have had SOT – for as long as the patient is taking immunosuppressants. • Patients with acute leukaemia – from diagnosis (unless/until decision made not to proceed with stem cell
transplant). • Patients awaiting allogeneic stem cell transplant – from 3 months prior to the date of planned transplant
and up to 6 months following transplant, or for as long as the patient is immunosuppressed.
• Extra corporeal procedures – e.g. dialysis, extra-corporeal circulatory support is included if within above
indications. Indicate requirement on the patient record both in the clinical area and transfusion laboratory.
Management in the transplant patient: • Confirm persistence by re-sampling for
PCR and serology at one month.
• Seek advice from virology/liver teams to assess liver morphology and fibrosis.
• Consider immunosuppressant reduction as it is associated with improved chances of viral clearance.
• If no clearance within 3 months, consider a 3
month course of Ribavirin (note: this use is off license).
• If you suspect HEV transmission via stem cell transplant or blood component transfusion inform NHS Blood and Transplant immediately.
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