Royal Devon University Healthcare NHS Foundation Trust (EXETER) Job Descriptions

 Please click on the job titles below for individual job descriptions. 

Royal Devon University Healthcare NHS Foundation Trust (EXETER) Job Descriptions

• F1 Paediatrics 2023

  SPECIALTY	FY1 Paediatrics
  TRUST NAME	Royal Devon University Healthcare NHS Foundation Trust - Eastern	DATE:
  Location of Post  If not in the acute trust GMC site approval is needed.  Please provide ODS code of the site for your parent trust.	Full Address:  Royal Devon University Healthcare NHS Foundation Trust - Eastern   Barrack Road  Exeter  EX25DW    ODS Code: RH8
  Clinical Supervisor(s)	Individual allocation at the time of posting
  Overview of team	The Royal Devon and Exeter NHS Foundation Trust is a busy DGH with a strong and thriving Paediatric department. The team:    21 Consultants (Neonatal unit, General Paediatric, Community)  9 Whole Time Equivalent Specialist Registrars (ST3-ST8) On Middle Grade Rota (These doctors provide middle grade cover in both Acute Paediatrics and Neonatology)   4 Staff Grade Doctors  14 ST1’s, ST2’s including both GP and Paediatric trainees  2 Neonatal ANNPs      This post presents a fantastic opportunity to work in a busy and dynamic department. Trainees are well supported in all aspects of work and at all levels. Working in Paediatrics will provide the trainee with experience of working in a wider Multidisciplinary team; both within the hospital, and in the community setting.    The department provides a wide range of speciality shared care services. These include Cystic Fibrosis/Respiratory paediatrics, Oncology, Haematology, Diabetes/Endocrinology, Gastroenterology, Epilepsy and neurology, Rheumatology, Cardiology, Metabolic disease, Immunology and infectious diseases, Eating disorders, Allergy, Paediatric surgery and Nephrology.
  Nature of duties	Undertake ward round duties.  Clerking new patients to the ward.   Clerk and oversee Day case unit activity.   Clerk new referrals seen in the Paediatric assessment unit, initiate treatment pans and present findings to senior colleagues.  Complete safe and appropriate discharge documentation in a timely fashion.  Ensure that patient location, diagnosis and management plans are recorded accurately on in-patient lists and in patient notes   Contribute to safe handover.   Support teaching and training of medical students on placement.
  Rota / Shift pattern	Shift patterns:-    Normal Day (Mon/Fri) 9.00am – 5 pm  Teaching Day (Tues/Wed/Thur) 8.30 am – 5pm  PAU Shift (once every 3 weeks) Mon – Fri 11am-7pm
  Senior Cover Arrangements for Out of Hours Work	Tier 3 (Consultant)  PAU senior decision maker (Staff grade or Consultant) 1pm – 10pm  Paediatric Consultant 9am-5pm “Bramble Service consultant”   On call 5pm through until 9am “On-call consultant”    Tier 2 (Registrar)  Weekday  Paediatric Tier 2 9am-5pm  Evening Tier 2 until 10pm cover both Paediatric & NNU   Night Tier 2 8.45pm until 9.45am, cover both Paediatric & NNU  Weekend (not relevant for FY1 post but to understand department)  Long day Tier 2 starts 9am until 10pm, cover both sides   Night Tier 2 starts 8.45pm until 9.45am, cover both sides
  Typical working week	Monday  Tuesday  Wednesday  Thursday  Friday  8.30am    Teaching  Teaching  Teaching    9am (9.15 on Tues, Wed, Thur)  Paeds handover  Paeds handover  Paeds handover  Paeds handover  Paeds handover  Morning  Ward round, ward jobs,  Day case unit  PAU  Ward round, ward jobs,  Day case unit  PAU  Ward round,  ward jobs,  Day case unit  PAU  Ward round,  ward jobs,  Day case unit  PAU  Ward round,  ward jobs,  Day case unit  PAU  1pm  Paeds CPD  meeting  Paeds CP  meeting  Afternoon  Ward jobs,  Day case unit  PAU  Ward jobs,  Day case unit  PAU  4.30pm  Paeds handover  Paeds handover  Paeds handover  Paeds handover  Paeds handover  PAU evening  Until 7pm  Once every 3 week have an 11am-7pm on PAU
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	As well as General paediatrics clinics there are the Speciality clinics for Cystic Fibrosis/Respiratory paediatrics, Oncology, Haematology, Diabetes/Endocrinology, Gastroenterology, Epilepsy and neurology, Rheumatology, Cardiology, Metabolic disease, Immunology and infectious diseases, Eating disorders, Allergy, Paediatric surgery and Nephrology.     We encourage Foundation doctors to attend outpatient clinics for further experience within this setting.
  Related clinical skills opportunities	Clinical skills including   Venepuncture   Cannulation  Capillary blood gas etc  Assist with Lumbar punctures / long lines
  In-house teaching	There is a varied teaching programme with sessions on Tues/Wed/Thur mornings, Tuesday lunchtime and NNU teaching on Wednesday afternoons. Teaching includes a journal club, regular SIM sessions, case presentations, invited speakers, a breakfast club and a Paediatric Improvement meeting.    There is also a Level 2 Neonatal Unit on site and trainees can request a Taster placement in order to gain some exposure to Neonatal medicine.    There is a strong commitment to teaching and training within the department which has been reflected in recent GMC surveys and regional Quality Panel assessments.
  Audit opportunities	There are always a number of Audit and Quality improvement projects going on within in the department and we aim to present every 6 months at an Audit / QI afternoon.

• F2 Perioperative Medicine 2023

  Introduction 

   

  Perioperative medicine is an emerging specialty endorsed by all the academic colleges. It is defined as the medical care of patients from the time of contemplation of surgery through the operative period to full recovery, but excludes the operation or procedure itself. Senior Perioperative care may be provided by an Anaesthetist, Intensivist, or general physician working alongside surgical colleagues. In reality, the aims of perioperative medicine are to ensure that the individual needs of complex patients are carefully co-ordinated from the decision to offer surgery, through to the weeks and months after the procedure. Perioperative medicine teams lead the assessment and preparation of patients for surgery to optimise the treatment of coexisting medical disease. Teams plan care in hospital, provide advice and support during the days after surgery, and review patients in clinic when they return home to ensure all harmful consequences of surgery are fully resolved.  

   

  In this hospital, outside trauma and orthopaedics, the perioperative team consists of the anaesthetists who are largely responsible for the pre-operative planning and operative stages, followed by a ward based team led by Dr. Sheena Hubble, a former intensive care consultant, Dr Rebecca Matthews, an Acute Medicine consultant and Debbie Cheeseman, a senior nurse consultant in elderly care. They are supported by a dedicated group of junior doctors who provide broad based cover to elective and emergency surgical specialties. The RDE is one of the few Trusts in the country with dedicated, funded in-patient perioperative support, and this service has been associated with improved patient outcomes in multiple domains, in many different surgical groups. Junior doctor training within the firm based team, is varied, challenging, multidisciplinary and well supported. This is reflected in positive Deanery feedback and high numbers requesting perioperative placements as part of future career planning. 

   

   

   

   

  Hospital Profile 

  The Royal Devon & Exeter NHS Foundation Trust comprises all acute District General Hospital facilities and is managed day to day by a Trust Executive which includes clinical directors (with management contracts), a chief executive, a medical director and directors of capital planning, finance and information, human resources, nursing, operations, and, (ex officio) the chairman of the Medical Staff Committee.  There is a Medical Staff Committee of which all consultants in the Trust and some SAS Grades are members.  The Committee provides a forum for the discussion of any matters of interest to consultants.  The Chairman is elected and provides advice to the Trust Executive, which is independent of the clinical directors. 

   

   

   

   

   

   

   

  Named consultants	Surgical Interests	No of STs	No of F2/CTs	No of F1s
  Andrew Cowan  David Birchley  Alison Guy  Teun Wilmink  Robert McCarthy	Vascular	2	2	2
  Ian Daniels  William Chambers  Patricia Boorman  Andrew Gee  Steve Mansfield  Robert Bethune  Neil Smart  Frank McDermott   Kenneth Keogh  James Berry  Sunil Narang	Colorectal	6 + 1 QI Dr	2 + 1 QI Dr	5
  Ferguson  Julie Dunn  Cecilia Olsen  Rachel Tillett	Breast / Upper GI	1	1	1
  Sajed Wajed  Antonio Manzelli  Davide Di Mauro  Alex Reece-Smith	Upper GI	2	3	2
  Elizabeth Waine  John McGrath  Mark Stott  Malcolm Crundwell  Melanie Walton  AngelaCottrell  Miles Goldstraw  Thomas Dutton  Brian Parsons	Urology	2	2 + 1 F2 Academic Dr	2
  Sheena Hubble   Rebecca Matthews  Debbie Cheeseman  1 F3 Doctor  2 Trust SHO’s	Peri-operative Medicine

   

  On-call rota for F2/CT/ST

  Yes

  Details of rota

  The post holder will participate in the surgical on call rota as part of their duty.This post will cover more of the second on (ward) shifts, (rather than pure surgical take) to aid familiarity with the sickest patients and to provide continuity of care. It is envisaged there will be at least three perioperative SHOs (outside Covid restraint) where on call sharing options are possible. This would also attract part time perioperative job plans.

   

   

  General Information 

   

  The Terms and Conditions of Employment (including those related to leave and sick pay) are in accordance with the nationally agreed Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales) and General Whitley Council Conditions of Service currently in force and as amended from time to time. 

   

   

  Duties 

   

   

  Clinical 

  Outside of on-call commitments, the post holder would be part of the perioperative team and supervised by one full time and one part time consultant in perioperative medicine. Currently the team consists of one full time medical consultant, one part time consultant and a full time senior nurse consultant. In addition the Trusts employs a full time F3 with a further 2 SHO trust posts depending on recruitment and Covid restraint vacancies.  

  Perioperative referrals are taken from general surgery, urology, vascular, ENT, plastics and Maxilofacial specialities.  

   

  Description of the post: 

  • Work is similar to the role a medical F2 would undertake, ie medical review, problem solving and planning.  

  • The post holder will attend the daily afternoon perioperative consultant ward rounds and support the maintenance of a patient list for use by the perioperative team, as well as taking referrals from the surgical teams and supporting the transition to white board referrals as this progresses.  

  • The post holder will often be part of the morning post-take surgical ward round to support the review of acutely unwell emergency admissions as a representative of the peri-operative team. In addition, the post holder will be expected to join the surgical board rounds, and either joint or independent perioperative patient review throughout the day The post holder will attend surgical MET calls and liaise with other specialist medical teams directly, with escalation back to the senior perioperative team. This reduces the requirement for ad hoc medical registrar review as well as providing more timely and relevant general medical support.  

  • The post holder will also be specifically involved in supporting the care of patients with chest trauma, assisting in the provision of consistent, early medical review and ensuring further review by senior members of the perioperative team as appropriate. Broadly, throughout the role, the doctor will be representing the perioperative team and deputizing as required. Escalation will be to senior members of perioperative team. 

   

  • At least one perioperative Grand round per week which is both service provision and educational. In addition, the post holder will be expected to join two surgical ward and board rounds, and either joint or independent perioperative patient review throughout the day.  

  • There is a perioperative team meeting once per week for feedback, strategic planning and professional development. 

  •  Approximately once per week there will be a structured MDT for individual case based discussion and planning.  

  • Teaching is formally timetabled; one hour per week as well as ad hoc at the bedside. Provision will be made to ensure SLE’e are completed to evidence attainment of the curriculum for relevant colleges.  

  • One day per week it is envisaged that the F2 would attend weekly sessions in the anaesthetic department. Chiefly, observing emergency anaesthesia and attendance of a preoperative high-risk clinic or complex pain management clinic. This would be consultant anaesthetist delivered.  

  • One day per fortnight there would be the opportunity to attend Sidmouth Community Hospital with Nurse Consultant Debbie Cheeseman, to gain understanding in the full perioperative journey including rehabilitation. 

   

  Annual and Study Leave is with prior arrangement and there is internal prospective cover on each surgical firm. 

   

  Academic 

  The post holder will be expected to complete a peri-operative service quality improvement project during the year.  There are opportunities to run other surgical, anaesthetic or medical quality improvement projects and also to be involved in research through the Health Surgical Researches Unit (HeSRU). Academic supervision by consultant will depend on the project. 

   

  Supervision 

  Educational and clinical supervision would be provided by the Perioperative Consultants. 

   

   

  Rota 

   

  In emergencies and exceptional circumstances the F2 will be expected to provide cover for the absences of colleagues, provided the resulting increase in workload is reasonable in the circumstances.  All Doctors part of this 1 in 12 rota will be expected to prospectively cover colleagues in the normal run of his/her duties within his/her contract, work outside normal contracted hours performed under these circumstances will be payable at standard duties and in line both with current and or Junior Doctor Contact if and when this is implemented.  

   

  Salary  

   

  Equivalent to National FY2 pay grade with banding supplements for out of hour work. 

   

   

  Academic facilities 

   

  The Postgraduate Medical School of the University of Exeter, which is based on the RD&E site, was the first Postgraduate Institute of its kind in a university outside London.  The research and educational activities are of the highest calibre as evidenced by the Queen’s Anniversary Prize for higher and further education awarded to the University of Exeter, reflecting the work of the School in 1996 and the award of the highest numerical grade 5 in the 1996 Research Assessment Exercise under the Hospital based clinical subjects unit of assessment. 

   

  The school is currently being expanded and restructured into three main divisions comprising:  Clinical (biomedical) science, and interdepartmental initiative linking basic scientists and clinical scientists; Community health sciences; and an Education Division embracing primary and secondary care, medical and allied professional education and training. 

   

  The Clinical Science Division embraces 8 key centres or units: Cancer Cell and Molecular Biology; Histopathology; Medical Physics; Clinical Microvascular Research; Molecular Genetics; Biological Chemistry; Clinical Physiological Measurement and Exercise Science.  The Community Health Division involves the Institute of General Practice; Complementary Medicine; Mental Health; The Centre for Evidence based social care; Child Health; The Institute of Population Studies. 

   

  In addition to these main divisions the school is subcontracted by the Trust to provide a research and development support unit funded by the regional directorate of research and development to facilitate NHS R&D and the implementation of evidence based practice in the surrounding geographical area. The school currently has 42 members of senior academic staff, with chairs in General Practice, Clinical Histopathology, Vascular Medicine and Complementary Medicine and Readerships in Vascular Physiology and medicine. 

   

  The Postgraduate Medical School and Postgraduate Medical Centre occupy buildings to the North West of the hospital site.  Facilities include seminar rooms, meeting rooms, a lecture theatre and a library as well as biomedical science laboratories. 

   

   

  Disclosure of Criminal Background  

   

  This position is exempt from the Rehabilitation of Offenders Act 1974.  This means that you must declare all criminal convictions, including those that you would otherwise be considered “spent”.    

   

  Where the appointment involves substantial access to children and /or vulnerable adults, the appointment is subject to a police check.  The Criminal Records Bureau will be asked to verify that you have no convictions and cautions or pending prosecutions, convictions, cautions and bind-over orders.  This will include local police force records in addition to checks with the Police National Computer and the government departments lists held by the Department of Health for Education and Employment, where appropriate. 

   

  Police checks will only be requested for candidates recommended for appointment and will be carried out by the employing Trust. 

   

  Medical Clearance 

   

  Offers of employment to the rotation will be subject to satisfactory medical clearance including Hepatitis B status.   

   

  Medical checks will only be requested for candidates recommended for appointment and will be carried out by the employing Trust. 

   

  Rehabilitation of offenders 

   

  This post is not protected by the Rehabilitation of Offenders Act 1974.  You must disclose all information about all convictions (if any) in a court of law, no matter when they occurred.  This information will be treated in the strictest of confidence. 

   

   

  Access to children 

   

  The person appointed to this post may have access to children, under the provisions of Joint Circular No. HS (88) 9 HOC8/88 WHC (88)10.  Applicants are therefore advised that in the event that your appointment is recommended you will be asked to complete a form disclosing any convictions, bind-over orders or cautions and to give permission in writing for a policy check to be carried out.  Refusal to do so could prevent further consideration of the application.  Attention is drawn to the provisions of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 as amended by the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986, which allow convictions that are spent to be disclosed for this purpose by the police and be taken into account in deciding whether to engage an applicant. 

   

  Data protection act 1998 

   

  Candidates are informed that the information given by them in application for the post will be used only for the recruitment and selection purposes.  For successful candidates this will then form part of their personal file, and for unsuccessful candidates the information will be destroyed.  The information is stored both in hard copy and minimally on a database.  This information is held and administered in line with the Data Protection Act and the Trust’s confidentiality procedure. 

   

  Further information 

   

  The Trust welcomes informal enquiries: 

   

  Dr Sheena Hubble 

  Perioperative Consultant 

  Tel: 01392 411611 

  Email: sheena.hubble@nhs.net 

• F2 Colorectal Surgery 2024

  Trust Name	RD&E
  Clinical Supervisor(s)	GI Surgical Service is composed of 16 surgeons providing sub-specialities within the division.   There are 10 Colorectal Surgeons in the unit.  There will be an assigned ES and CS who will support with ongoing education, PDP, WBA and completion of Horus portfolio.
  Overview of team	Clinical  Consultant Colorectal Surgeons  Specialist Trainees  Trust Registrars  Post CCT Fellows  Core Trainees  FY2- Post holder  FY1  QI and Simulation Fellow    Colorectal Cancer Nurses    Stoma Nurses    Secretarial and Administrative Staff    Research Staff
  Nature of duties	Ward  Participate in ward round lead by ‘Consultant of the Week’  Day-to-day management of inpatients  Postoperative management and liaising with other specialities such as diagnostic/interventional radiology, perioperative physicians, care of the elderly teams.  Supervise and support FY1 trainees      Theatre  Performing elective operations under supervision  Assisting      General Surgery on call  Clerk acute admissions and arrange investigations  Booking emergency operations-liaise with theatres and on-call anaesthetist  Perform or assist emergency surgical procedure under senior supervision  Follow up of ‘home and back’ patients
  Rota / Shift pattern	Full time, banded, post with on call    Average number of hours per week is between 46-47  See work schedule for details
  Senior Cover Arrangements for Out of Hours Work	Post holder is supported during out of hours work by an F1, Physician Associate, Middle grade and Consultant Surgeon
  Typical working week	The Rota pattern consists; Wards 8-5pm Mon-Fri, On-call weekdays (On-call 8-9pm, post take 8-5pm 4 days), 2nd On-call weekend 8-9pm, weekday nights Mon-Thurs 08:30pm-09:00am & weekend nights Fri-Sun 08:30pm-09:00am.     The rota is a 14 week cycle, 7 of these weeks are Ward based.
  Community Facing commitment   (if applicable) e.g. Out Patient Clinics	Day case theatre sessions in community hospital which the post holder may be expected to attend. There will be opportunities to assist and perform supervised operating procedures.
  Related clinical skills opportunities	Elective and emergency surgical procedures  Endoscopy  Bedside procedure
  In-house teaching	Weekly teaching sessions  Weekly Journal club
  Audit opportunities	A purpose built research facility- HeSRU (Surgical Health Services Research Unit) has been installed with state-of-the-art video conferencing facilities with links to integrated theatre.  Simulation suite  Opportunity to participate in quality improvement and audit projects

• F2 Paediatrics 2020

  Placement	FY2 Paediatrics
  The department	Paediatric Assessment Unit, Bramble Ward, PHDU, ED
  Trust & Site	The Royal Devon and Exeter NHS Foundation Trust is a busy DGH with a strong and thriving Paediatric department.     As well as a full range of Acute Paediatric services the department provides a wide range of speciality shared care services. These include Cystic Fibrosis/Respiratory paediatrics, Oncology, Haematology, Diabetes/Endocrinology, Gastroenterology, Epilepsy and neurology, Rheumatology, Cardiology, Metabolic disease, Immunology and infectious diseases, Eating disorders, Allergy, Paediatric surgery and Nephrology. There is also a Level 2 Neonatal Unit on site and trainees can request a 2 week taster placement in order to gain some exposure to Neonatal medicine.    There is a strong commitment to teaching and training within the department which has been reflected in recent GMC surveys and regional Quality Panel assessments.
  The type of work to expect and learning opportunities	The F2 doctor in Paediatrics will gain experience in Paediatrics by covering the Paediatric Assessment unit (PAU), the acute Paediatric ward and the day case unit.    The overall objectives of this F2 post is to provide the trainee with the knowledge and skills to:     Recognise a sick child  Integrate with the wider Pediatric team   Perform the role of a Senior House Officer within Paediatrics  Contribute to Departmental teaching programme   Take part in clinical audit and Quality Improvement projects
  Clinical Supervisor(s) for the placement	Individual allocation at the time of posting
  Main duties of the placement	Undertake ward round duties.  Contribute to safe handover.  Clerking new patients to the ward.   Clinical skills including Cannulation, Venipuncture /Lumbar punctures/ capillary blood gas etc.  Clerk and oversee Day case unit activity.  Attend outpatient clinics for further experience.  Support teaching and training of medical students on placement.  Clerk new referrals seen in the Paediatric assessment unit, initiate treatment pans and present findings to senior colleagues.  Complete safe and appropriate discharge documentation in a timely fashion.  Ensure that patient location, diagnosis and management plans are recorded accurately on in-patient lists and in patient notes.
  Typical working pattern in this placement	Shift patterns:-    Normal Day 9.00am – 5 pm  Teaching Day (Tues/Wed/Thur) 8.30 am – 5.00pm    There is a varied teaching programme with sessions on Tues/Wed/Thur mornings, Tuesday lunchtime and NNU teaching on Wednesday afternoons. Teaching includes a journal club, regular SIM sessions, case presentations, invited speakers, a breakfast club and a Paediatric Improvement meeting.
  Employer information	Royal Devon and Exeter NHS Foundation Trust.     The team:    21 Consultants (Neonatal unit, General Paediatric, Community)  8 Whole Time Equivalent Specialist Registrars (ST3-ST8) On Middle Grade Rota (These doctors provide middle grade cover in both Acute Paediatrics and Neonatology)   4 Staff Grade Doctors  14 ST1’s, ST2’s including both GP and Paediatric trainees  2 Neonatal ANNPs      This post presents a fantastic opportunity to work in a busy and dynamic department. Trainees are well supported in all aspects of work and at all levels. Working in Paediatrics will provide the trainee with experience of working in a wider Multidisciplinary team; both within the hospital, and in the community setting.

• F1 Gastroenterology 2024

  SPECIALTY	Gastroenterology
  TRUST NAME	Royal Devon University Healthcare	DATE: 05/06/24
  Location of Post If not in the acute trust GMC site approval is needed.  Please provide ODS code of the site for your parent trust.	Full Address:   Barrack Rd, Exeter EX2 5DW     ODS Code:
  Clinical Supervisor(s)	Dr Ben Hudson, Consultant Gastroenterologist and Hepatologist
  Overview of team	13 consultants, (2 firms – hepatology and luminal GI), supported by a physician associate, 3 SpRs, 2 IMT 2 doctors and nurse specialists
  Nature of duties	Daily consultant led ward rounds of gastro/hepatology inpatients, with ongoing management of inpatient case load with senior supervision   Weekly teaching/journal club – with expectation of delivering one presentation during the 4 month placement   Training in ward-based procedures   Opportunity to observe in clinic or endoscopy for interested trainees
  Rota / Shift pattern	Trainees will participate in the general medical on call rota
  Senior Cover Arrangements for Out of Hours Work	Consultant level supervision with clerking out of hours. Well supported/close direct supervision at least at registrar level for out of hours work – with 24 hour on call phone advice available
  Typical working week	Monday   Am – ward round Pm – ward work   Tuesday   Am – ward round Lunchtime – teaching and journal club Pm – Ward work/observation of liver clinic   Wednesday   Am – Ward round Pm – Ward work   Thursday   Am - Ward round Pm – Portfolio session and educational supervision   Friday   Am – ward work Pm – Opportunity to discuss complex inpatient cases at MDT   On call arrangements and out of hours work on general medical rota
  Community Facing commitment (if applicable) e.g. Out Patient Clinics	N/A
  Related clinical skills opportunities	Trainees will have exposure to core F1 competencies (e.g. cannulation, ABGs etc), and opportunity for DOPS assessments. In addition, interested trainees will have the opportunity to be trained in ascitic procedures (e.g large volume paracentesis under US guidance)
  In-house teaching	Weekly liver teaching
  Audit opportunities	Expectation that trainees will complete a supervised GI audit or QIP during their placement

This page was last updated March 12th 2024 (9 months ago)