A Career in the NHS

Tuesday 22nd October at 4.00 pmPostgraduate Education Centre, St Peter’s Hospital

PROGRAMME

4.00 PM : Refreshments

4.10 pm : Welcome

4.15 pm : Presentation - Speakers:

1. Louise McKenzie – Director of Workforce Transformation

2. Dr Paul Murray, Lead Consultant in Respiratory Medicine

3. Justine Hillier, Associate Director of Nursing, Medicine and Emergency Services

4. Sue Harris, Lead Nurse, Tissue Viability

5. Paul Wills, Resuscitation Services Manager

6. Fatemah Jalali & Radhika Sanghani , Pre-Registration Pharmacists

7. Debbie Moyse, Specialist Dietitian for Obesity

5.30 pm : Questions from the audience

6.00 pm : CLOSE

My path in MedicinePaul Murray

Who am I……?

MBBS, MD, FRCP, (MA)Consultant Chest Physician since 2003

ASPH NHS Foundation TrustClinical lead for Respiratory Medicine

Cancer LeadHDU lead

Flu leadNIV lead

Where have I come from….?

My Education Catholic comprehensive system

3 schools

Very science orientated

1974 – 1987

10 ‘O’ levels, 2 CSEs, 3 ‘A’ levels

Why Medicine?

Career advice

My mum

Time

Science

Geek

Applying for University

KCSMD

KCSMD

KCSMD

1987 – 1992

Full Grant

Strand campus – other students

Lived in Halls for 2 years

Peckham and Camberwell

Worked in pubs to raise cash

4 boy firm

Elective in Jamaica

Qualified 1992

20 years ago……

WORK !!!

Training

1992 - 2003

Why Respiratory Medicine….?

Driving Test

1996

Consultant 2003

What do I do……?

What is Medicine…..?

Hippocratic Oath(modern version 1964 Lasagna)

I will respect the hard-won scientific gains ofthose physicians in whose steps I walk, andgladly share such knowledge as is mine withthose who are to follow

I will remember that there is an art to medicineas well as science, and that warmth, sympathyand understanding may outweigh the surgeon’sknife and the chemist’s drug.

I will not be ashamed to say “I know not”, norwill I fail to call my colleagues when the skills ofanother are needed for a patients recovery

GMC

Good Medical Practice

duties of a doctor

Caring for pts is no 1 concern

Protect and promote health

Maintain excellent standards of care

Respect dignity

Work in partnership

Work with honesty and integrity

Medicine is a….

Passion

Vocation

Life long commitment

Responsibility

Never ending path of learning

Invaluable gift

Medicine is an Art……

Communication

People skills

Team work

Medicine

Clinician

Teacher

Manager

Leader

Expert

Advocate

Learner

Role-model

Regrets…..?“Youth is wasted on the young” George Bernard Shaw

Rushing

Humanities

Exploitation of all opportunities

No gap year

No Intercalated BSc

Not a PhD

………

Specialist Nurse Role

Sue Harris MSc., BSc (Hons)., RN

Lead Nurse Tissue Viability

Why I became a Nurse?

My Career

Why nursing

Student Nurse 1983-1986

Staff Nurse

Deputy Sister

Ward Sister

Deputy Head of Practice Development

Senior Specialist Nurse in Wound Management

BSc Hons

MSc

Debriding Course

Making a difference every day

Still enjoy what I do after 30 years

Nursing now

Fundamentals remain the same

University degree

Requires 3 x A levels at B grade

Being a nurse

Why Specialise

Remain a nurse

Challenge

Improve patient care

Self development

Autonomous

Training self- others

Personal satisfaction

What I do

See patients with complex wounds – see the whole of the person not justthe hole in the person

Listening Empathising What one thing would make it better

Teaching and training

Audit

To be able to heal your body must be able to heal – nutrition, smoking

Use wound dressings such as maggots

Gory pictures coming up showing different types of wounds I see

Pressure ulcer

Pressure ulcer

Caused by laying in oneposition for a long time

Superman

Diabetic foot ulcer

Gangrenous toes

Leg ulcer

Maggots

Maggots on an amputation site

A reason not

to smoke

Diabetic foot wound

An abdominal wound

An Introduction to Dietetics

Deborah MoyseSpecialist Bariatric Dietitian

What does a Dietitian do?

Translate the science of nutrition into practicalinformation about food

Work with people of all ages to:

promote nutritional well-being

prevent food related problems

treat disease

Areas Of Work

Hospital

Community - clinics/schools/education

Research

Food retailers

Food manufacturers

Charities

Freelance

Sports

Hospital Work

Malnutrition

Diabetes

ITU/Critical Care

Paediatrics

Gastroenterology

Obesity & BariatricSurgery

Cancer

HIV/AIDS

Cystic Fibrosis

Health Promotion

Kidney (Renal)

Liver

Food Allergy

Mental Health

Eating Disorders

Most Frequent Advice?

Nutritional Support

Food Fortification

Supplements

Tube feeding

IV feeding

Weight Loss

Diabetic diets

Allergy e.g. cow’s milkprotein, lactose, nuts,wheat, eggs

Gluten free

Fibre modification

Micronutrientcorrection - Phosphate,Potassium, Sodium orsalt

Healthy Eating

For most of us: Healthy Eating

Low fat, high fibre, low sugar, low salt

Balanced diet – 5 food groups• Bread, potatoes and other cereals

• Fruit and vegetables

• Meat, fish and alternative proteins

• Milk and dairy products

• Fats and sugars

Hospital Patients Assessment

Dietary Assessment

Diet history

Food frequency

Food beliefs

Eating pattern

Snacks

Calorie sources

Medical Assessment Increased requirements:

Cancer, burns

Increased losses• Vomiting, diarrhoea

Impaired nutrientabsorption

• Coeliac, bowel resection,

Adverse effects ofmedication

• Vomiting, diarrhoea,nausea, dry mouth

Other Considerations

Physical

Mobility

Mood - depression,anxiety, confusion

Swallowing difficulties- limited choice

Physical problems -unable to feed self,poor dentition, soremouth

Social

Who cooks at home?

What are the cookingfacilities like?

Foodbeliefs/constraints

Amount of Moneyavailable for food

Number of trips toshops/week

Supporting Inpatients’ Nutrition

Food First, if still not enough….consider

Oral supplements

Artificial enteral nutrition

Parenteral nutrition (IV nutrition)

Interested in becoming a Dietitian?

Entry Requirements

Under-graduate:

Five GCSE passes including Maths and English

Minimum 2 A level passes including chemistry andanother science or accepted BTEC course

Entry requirements vary from course to course

4 year course, including hospital experience

Post-graduate:

relevant degree course required including adequatebiochemistry or human biology courses

2 year course, including hospital experience

Dietetic ‘Schools’

Include:

Scotland - * Edinburgh, * Glasgow, Aberdeen

England – Coventry, Guildford, Hertfordshire,Nottingham Plymouth, *Kings, * London Met,*Chester, * Leeds

Wales - * Cardiff

Ireland - * Ulster

*Some of these do offer post-grad courses

Course Contents

Physiology

Biochemistry

Microbiology

Food Science

Health Education

Catering

Psychology/Sociology

Human Nutrition

Genetics

Public Health

Communication

Clinical Medicine

Chemistry

3 hospital placements

Any Questions?

PHARMACY CAREERS

Radhika Sanghani & Fatemeh JalaliPre-registration Pharmacists

What ?

Ensuring the Safe &Efficient Supply and

administration ofmedicines

WHY ?

• Give back to the community• Work closely with different

professionals• Work in a range of settings

• Everyday is different

AREAS

• Hospital• Community

• Industry

• Hospital• Community

• IndustryJOBS

• PHARMACIST• TECHNICIANS• ASSISTANTS

Community Pharmacy Clinical screening, symptom response, sale of over the counter sales, dispensing of

repeat medication. Enhanced services such as New Medicines Scheme, andMedicine Use Reviews. Also specialist clinics e.g. anticoagulant clinics and diabeticclinics, cholesterol and blood pressure monitoring and counselling.

Positions: Pharmacists, Pharmacy Technicians, Pharmacy Assistants

Hospital Pharmacy Looking after patients in hospital, clinical screening prescription to check medication

is safe and appropriate to ensure optimised outcome. Medication supply, give adviceto doctors and other members of the MDT on the appropriateness of medication.Work in specific areas e.g. cancer, haematology, aseptic and extemporouspreparation, medicines information.

Positions: Pharmacists, Pharmacy Technicians, Pharmacy Assistants

Industry & Academia Research (drug design, formulation etc), medicines information services, teaching

(universities, research institute, other organisations), mentoring. Positions: Pharmacists

Entry requirements• Some GCSEs C+, some post require specific qualifications e.g. A-C in

English, Maths and Science;• Training – Level 2 NVQ in pharmacy service skills;

Roles/ Responsibility• Range of roles and responsibilities e.g. handling prescriptions, dispense,

manage stock levels. Work alongside pharmacy technicians.

Career prospects• Senior pharmacy assistant;• Trainee pharmacy technician.

Salary• £14,000-19,000 p/a

‘I enjoy rotating though different departments within the pharmacyas a whole, and everyday is different…’ Pharmacy assistant ASPH

Entry requirements and training• 4 GCSEs C+ in english, maths and science

• Start as a Trainee

• Register complete qualification which includes level 3 NVQ Diploma in PharmacyService Skills (QCF) + level 3 Diploma in Pharmaceutical Science.

• Training – 2 years combination of study either at a college or by open learning, +PRACTICAL work experience.

Roles/ Responsibility• Supply of medication and products to patient, under the supervision of

pharmacist and a range of other roles e.g. dispensing, communicating withpatients, technical services, safe medicine administration, over the counteradvice.

Career prospects• Several GRADES for technicians that can specialise in areas e.g.

medicines management, quality control, education and training, can alsobecome an accredited checking technician.

• In hospital, can move up the bands to become band 6,7.

Salary• £19,000-35,000 p/a

‘I like being able to interact with various people, from clinical staffto the patient, I also like how everyday is different and that atcollege we are taught the theory behind what we see and so canunderstand why certain medicines are given…’ Pre-registrationPharmacy Technician ASPH

University Requirements and Training

• GCSEs A-C;• A levels: A*-B (including chemistry + biology/ maths/ physics)• 4 years (Under review) Masters of Pharmacy (MPharm);• Undertake 1 year training/paid work experience (pre-registration training);• Sit Exam set by the General Pharmaceutical Council (GPhC)to REGISTER as PHARMACIST.

Salary• £21,000-80,000 p/a

Roles and responsibilities of a pharmacist

Working as part of the multidisciplinary team, clinically screeningprescriptions and drug charts to ensure safety and appropriatenessof medication. Ensuring efficient supply of medication to patients.Counsel patients on medication and offer lifestyle advice;

Acting as the Expert in Medicines ensuring that the Right Patient isgiven the Right Medication at the Right Dose at the Right Time viathe Appropriate Route;

Ensuring patients have MAXIMUM benefit from their medication

Continue professional development, develop skills and knowledge –keep up to date.

ANY QUESTIONS ?