Job DescriptionNIHR Academic Clinical Fellowship Emergency Medicine ST1 (1 post) – Acute Care themeThe University of Sheffield, in partnership with Health Education England Yorkshire and the Humber and the Sheffield Teaching Hospitals NHS Trust, has developed an exciting pathway of academic clinical training opportunities.

Applications are now invited for an Academic Clinical Fellowship in Emergency Medicine at ST1 level. These new posts have been created as part of the Health Education England (HEE)/National Institution for Health Research Trainee Coordinating Centre (NIHRTCC) programme of Integrated Academic Training and offer candidates a comprehensive experience of clinical academic medicine working alongside internationally renowned clinicians and researchers.

We are seeking highly motivated, enthusiastic individuals with the potential to excel in both their clinical and academic training and who have the ambition to be the next generation of academic clinicians.

This Academic Clinical Fellowship (ACF) programme in Emergency Medicine will be run by the University of Sheffield, the Sheffield Teaching Hospitals NHS Trust and Health Education England Yorkshire and the Humber.

Academic Clinical Fellowships (ACFs) are 3 year fixed-term national training posts. They attract an NTN(A) and trainees undertake 75 % clinical and 25% academic training over the term of the post. They are employed by the NHS Trust and have an honorary contract with the University at whose Medical School their academic research is supported.

ACF trainees also undertake a Research Training Programme provided by the University for which funding is provided by NIHR. They also are eligible for a £1,000 bursary per year to support research training activity (e.g to attend academic conferences).

ACF trainees would also normally complete and submit an external funding application for a research fellowship to enable them to complete a higher degree (PhD or research MD) following the completion of their ACF fixed-term post, which would be completed as Out-of-Programme-Research (OOPR).

All Academic Clinical Fellowships are run-through posts, regardless of specialty, with the exception of ‘Medical Education’ ACFs. A trainee entering ACF at ST1 or ST2 in a specialty with a Core Training period would therefore be guaranteed continued training to CCT in the eventual specialty, as long as they progress satisfactorily through both their academic and

clinical training. Run-through status is withdrawn if ACFs do not complete the academic component.

This post is being offered as part of NIHR’s themed research into Acute Care. Current health services work on urgent care use ranges from “big data” analysis of large (linked) datasets to focused mechanistic work on how patients make decisions on using services. Planned work involves development of complex interventions to address re-attendance. This work is highly interdisciplinary and seeks to integrate cutting-edge data science with excellent and rigorous social science. These wide-ranging projects will give an ACF many possible avenues for research in Acute Care coupled with excellent supervision.

POST DETAILS

Job TitleNIHR Academic Clinical Fellow (ACF) – Emergency Medicine

Duration of the PostUp to 3 years (25% academic, 75% clinical).

Lead NHS Hospital/Trust in which training will take placeSheffield Teaching Hospitals NHS Trust.

Research institution in which training will take placeThe School of Health and Related Research (ScHARR)One of the four Schools in the Faculty of Medicine at The University of Sheffield, ScHARR brings together a wide range of health related skills including health economics, operational research, management sciences, epidemiology and public health, medical statistics, and information science. ScHARR is comprised of the sections of Health Economics and Decision Science, Health Services Research, Design Trials and Statistics, and Public Health.

An analysis of the results of the 2014 Research Excellence Framework (REF) published by the Times Higher Education magazine ranked ScHARR 4th in the UK for "power", which is a combination of research quality and the volume of our research. A further analysis of the REF 2014 results also showed that ScHARR is ranked in the top 6 in the UK for the volume of world leading health research. ScHARR employs about 200 multidisciplinary staff and attracts in excess of £6 million per year in external support. ScHARR is ideally placed to conduct applied and methodological health services research, and teaching programmes, having great diversity of skills and experience and close contacts with the Department of Health and NHS organisations.

Section of Health Services Research

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The postholder will be attached to the section of Health Services Research within ScHARR. Health Services Research is an applied science, which can have a major international impact, particularly if it focuses on health services which are not unique to the UK and on conducting major trials of international relevance. Emergency care is one of the principal research themes in ScHARR.

Emergency medicine researchSheffield is a leading national and international centre for emergency medicine research, with three professors of emergency medicine. Academic emergency medicine is based in the Centre for Urgent and Emergency care research (CURE), in the section of Health Services Research in ScHARR and the Emergency Department of the Sheffield Teaching Hospitals Foundation Trust. We are also linked with a number of other NHS and academic organisations throughout the UK.

We have studied a wide range of issues in emergency care:

The organisation of emergency care e.g. Evaluation of the National Infarct Angioplasty Project; the EDARA study (Evaluating Diversion of Alcohol-Related Attendances); Evaluation of organisational factors influencing emergency department performance (UWAIT and SAFETIME)

Clinical trials in emergency medicine e.g. the ACUTE trial of pre-hospital CPAP, the 3Mg trial of magnesium sulphate in acute asthma; the RATPAC trial of point-of-care cardiac markers in acute chest pain

Workforce evaluation in emergency care e.g. Studies on delivery of pre-hospital care in the community without transfer to hospital. Evaluation of motivation and well-being of junior doctors in emergency departments (EDiT)

Economic evaluation in emergency care e.g. Secondary research into strategies for deep venous thrombosis, minor head injury care and acute coronary syndrome

Diagnosis and risk prediction in emergency care e.g. Diagnosis of PE in Pregnancy (DiPEP); the PAINTED study (Pandemic Influenza in the Emergency Department)

The management of major trauma, specifically focussing on traumatic brain injury e.g. CENTER TBI, NIT-NS

Clinical academic training is provided at all levels of medical career progression:

Medical student SSC modules alongside established projects One-year intercalated BMedSci degrees 4-month foundation year 2 attachments Three-year academic clinical fellow (ST1-3) posts Full-time MD/PhD research fellowships Four-year clinical lecturer posts

CURE researchers have pioneered the use of health technology assessment and health services research in emergency medicine. We have developed the use of economic modelling in emergency medicine, with our economic models being used in NICE guidance. We have developed the use of qualitative methods in emergency medicine to explore patient and staff perspective. We are developing the use of linked routine data to support efficient evaluation. We have also pioneered public involvement in emergency medicine research through development of the Sheffield Emergency Care Forum

Peri-operative applied health research emanating from CURE has led the way in the application of rigorous trial methodology to evaluate health technologies across multi-

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disciplinary boundaries between anaesthesia, surgical specialties, obstetrics, midwifery and health care economics. It has been instrumental in the establishment of national research collaborations e.g. the recently established UK peri-operative Clinical Trials Network. Complex clinical pathways in peri-operative care require the interaction of many care disciplines in a coordinated manner and research in this field is collaborative by its very nature.

Research Protected Time:

ResearchThe successful candidate will be expected to develop an area of research interest and apply for a research training fellowship during the course of this post. This will be done in consultation with Steve Goodacre, Suzanne Mason and Fiona Lecky. Current areas of research are outlined in the description of the Section of Health Services Research above.

Research trainingThe MSc in Health Service Research (HSR) has been successfully running for over ten years and has been undertaken by clinical academics in emergency medicine and other specialities to develop their research skills. It has now been incorporated into the Master in Public Health (MPH) run by ScHARR and an alternative course, the Master in Clinical Research (MClinRes), has been developed to provide more clinically orientated research training for ACFs and other health care professionals. Formal training is provided in research design, statistical analysis, epidemiology, health economics, systematic reviewing, meta-analysis, and dissemination of research findings. Students are assessed by examination, assignments and a dissertation based upon their own research project.

The postholder will be expected to undertake the MPH(HSR) or MClinRes. During this time they will undertake a systematic review as part of the evidence synthesis module, which will allow them to explore an area of interest in detail. They will also undertake a small research project that will form the basis for their dissertation and will form the pilot work for their full-time fellowship application.

Academic Clinical Fellowship Training Programme: Research ComponentThis is a full time post for up to 3 years. The successful applicant should have evidence of academic achievement and ideally have research experience and/or an intercalated BSc. They should be aiming to pursue a career in academic emergency medicine.

Teaching1. Undergraduates

There is a full programme for undergraduate teaching and examinations. Resuscitation teaching will be part of the duties of the successful candidate.

2. Postgraduates

There is a regular teaching session every week at which all doctors in the Emergency Department are expected to attend. The successful candidate will be expected to attend this and to provide teaching.

Research Component

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This post attracts an NTN(A). The post will be split so that 9 months (25%) are spent undertaking research related activities and 27 months (75%) in clinical activities. The research time will principally be spent undertaking the Master in Public Health (Health Services Research) or Master in Clinical Research. The clinical programme is designed to provide acute care common stem (ACCS) training from ST1 to ST2 level.

In the first year the trainee will spend six months in an Acute Medicine post and six months in an Emergency Medicine post. At the end of this year the trainee will rotate to a further year of training which will include 9 months of research related activity (see below). The third year will be in Anaesthesia and Critical Care. The trainee will work in both district general hospital and teaching hospital environments.

Work will be monitored for satisfactory progress. Initial review is carried out at six months to assess the trainee’s initial performance. There is a further review at the end of every year of completed training. The review is carried out by the Educational Sub-committee consisting of the head of training and representatives from all the hospitals on the rotation. Continuation of the rotation depends on satisfactory progress as determined by the yearly review committee.

During the programme the postholder will decide whether to pursue an academic career or to return to full time clinical training. If they decide to pursue an academic career they will be supported to develop a competitive proposal for a full-time, funded research fellowship to support a doctoral period of study (MD or PhD). If they decide to return to full-time clinical training they will be able to move to a standard ST3 post within the South Yorkshire Emergency Medicine training scheme to complete their core Emergency Medicine training.

Objectives of the Training Programme1. To undertake ACCS training at ST1-2 level with ongoing progression available for

completion of specialist training in emergency medicine2. To complete a Master in Public Health (Health Services Research) or Master in

Clinical Research3. To identify an area of academic and clinical interest upon which to base an

application for an externally-funded PhD programme.

Successful candidates: The exit from this post will typically be to an externally-funded research fellowship, leading to award of a PhD and subsequently application either for a Clinical Lecturer post or a Clinician Scientist Fellowship. ScHARR has an outstanding record of success in Fellowship applications and was also awarded a Clinical Lecturer Post by the NIHRTCC.

Unsuccessful candidates: If the postholder does not achieve the expected clinical competencies, this will be handled in the same way as for all other trainees in speciality medicine.

If the postholder fails to achieve academic competencies, or is unsuccessful in obtaining research funding, they would be anticipated to return to a clinical training post. This will be discussed in good time with the Programme Directors for Emergency Medicine through the system for appraisal and mentoring of academic trainees. Whilst no guarantee of an appropriate post is possible, every effort will be made to accommodate such individuals within the local training schemes.

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REPORT TO: Academic Lead: Professor Steve Goodacre, Emergency Department, Northern General Hospital, Herries Road, Sheffield, S5 7AU, Tel: 0114 222 0842Fax: 0114 222 0749Email: s.goodacre@sheffield.ac.uk

Alternative AddressRoom: 3023Centre for Urgent & Emergency Care Research, Health Services ResearchSchool of Health and Related Research (ScHARR)University of SheffieldRegent Court, 30 Regent Street Sheffield S1 4DA

Clinical Training Programme Director: Dr Alan Fletcher

Academic supervision will be provided by either Professor Suzanne Mason or Steve Goodacre, depending upon the area of research interest of the postholder.

Academic Clinical Fellowship Training Programme: Clinical Component

ACUTE CARE COMMON STEM (ACCS) TRAINING PROGRAMME

ST1 EMERGENCY MEDICINESOUTH YOURKSHIRE LOCALITYYORKSHIRE DEANERY

PROGRAMME DESCRIPTION

The 3 year Acute Care Common Stem training programme is designed to support doctors training for a CCT in Emergency Medicine. The programme is aimed at doctors who can demonstrate the essential competencies to enter this level of training.

Following completion progression to ST4 in Emergency Medicine is available to those trainees who are able to demonstrate satisfactory progress throughout the ACCS.

The programme is based in hospitals in South Yorkshire and North Derbyshire including:

Barnsley Hospital NHS Foundation Trust Chesterfield Royal Hospital NHS Foundation Trust

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Doncaster Royal Infirmary Hospital Rotherham NHS Foundation Trust Sheffield Teaching Hospitals NHS Foundation Trust Sheffield Children’s Hospital

In the first year trainees will spend six months in an Acute Medicine post and six months in an Emergency Medicine post. At the end of this year, following satisfactory ARCP, trainees will rotate to a further year of training in Anaesthesia and Critical Care.

In ST3 Emergency Medicine the trainee will spend six months in Paediatric Emergency Medicine and six months training in Emergency Medicine.

Trainees will work in both district general hospital and teaching hospital environments.

Duties throughout the rotation

Acute MedicineThe Acute Medical Take team covers the Medical Assessment Units (MAU), and liaises with the Emergency department and Bed Bureau for GP-referred patients. MAU’s are designed to have 48-hour or less turnaround with patients either being discharged or triaged to the most appropriate specialty.

Whilst covering Acute Medicine the post holder will work as part of an on call rota with a mixture of Acute Take and Post Take duties, with close supervision from the Consultant Acute Physicians. The Acute Medicine post holders will look after patients whilst they remain on the MAU’s, following instructions from the admitting consultant team.

Emergency MedicineThe post holder will receive and assess all categories of patient attending the Emergency Department and participate in the resuscitation team. He/she will develop a working diagnosis and treatment plan for each patient, request appropriate investigations, arrange patient admission or discharge as appropriate and ensure adequate follow-up arrangements for the patient. They will be expected to ask for senior help when appropriate and to liaise between nurses, junior and senior medical staff, patients and relatives. The post holder will attend follow up clinics and Emergency Department ward rounds where applicable.

AnaesthesiaBased at the NGH, the expectation is that the individual will complete the first 6 months of Anaesthesia training defined by the Royal College of Anaesthetists (RCOA). The initial 3 months will be a period where the individual will be a period of being Supernumerary (Unbanded) where the individual will be expected to obtain the initial competencies of the RCOA under direct supervision. This will enable the individual to move to more distant supervision for the remaining 3 months where they will extend their competencies. Only after satisfactorily completing the RCOA initial competencies will the individual be able to administer anaesthesia without direct supervision and participate on the on call rota.

Critical Care

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Also based at the NGH the individual will be expected to complete the critical care competencies of the Intercollegiate Board of Intensive Care Medicine (ICBICM) under supervision in the critical care areas of the hospital during this allocation. The Critical Care rotation will involve out of hours for the entire six month period

During both of these allocations the individual will perform out of hours duties for the critical care services of the NGH. In order to follow good practice this will involve an induction period in the ICM areas for those commencing in anaesthesia as well as in critical care.

General Keep legible and detailed clinical records Study for higher examination and maintain continued professional development. Attend weekly educational and multidisciplinary sessions. Undertake audit at various times throughout the rotations. Teach medical students as directed. Co-operate with members of the personnel department when monitoring hours of work

and other personnel issues. Attend induction in each hospital or new department Comply with all local policies including dress code, annual and study leave

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST

Trust ProfileSheffield Teaching Hospitals NHS Foundation Trust is one of the UK’s busiest and most successful NHS foundation trusts. We provide a full range of local hospital and community services for people in Sheffield, as well as specialist care for patients from further afield, including cancer, spinal cord injuries, renal and cardiothoracic services. In addition to community health services, the Trust comprises five of Yorkshire’s best known teaching hospitals.

The Royal Hallamshire Hospital

The Northern General Hospital

Charles Clifford Dental Hospital

Weston Park Cancer Hospital

Jessop Wing Maternity Hospital

The Trust has a history of high quality care, clinical excellence and innovation in medical research. We are proud to be in the top 20% of NHS Trusts for patient satisfaction and, following its inspection in 2015, the Care Quality Commission has given the Trust an overall rating of ‘Good’ with many areas and services highlighted as ‘Outstanding.’

This means that the Trust is one of only 18 (out of 174 Trusts) to have achieved green in every one of the five domains which the Care Quality Commission use to rate a NHS

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organisation. We are also the only adult healthcare Trust in the Yorkshire and Humber region to have achieved a Good rating overall.

We strive to promote a culture of continuous quality improvement and encourage our staff to innovate and adopt ‘best practice’ in order to deliver the highest standard of care to our patients.

The Northern General Hospital is the home of the City’s Emergency department which is also now one of three Major Trauma Centres for the Yorkshire and Humber region. A number of specialist medical and surgical services are also located at the Northern General Hospital including cardiac, orthopaedics, burns, plastic surgery, spinal injuries and renal to name a few.

A state-of-the-art laboratories complex provides leading edge diagnostic services. The hospital also provides a wide range of specialist surgery such as orthopaedic, spinal cord, hand and kidney transplantation.

The Royal Hallamshire Hospital has a dedicated Neurosciences department including an intensive care unit for patients with head injuries, neurological conditions such as stroke and for patients that have undergone neurosurgery. It also has an award winning Gastroenterology department, a large Tropical Medicine and Infectious Disease Unit as well as a specialist Haematology centre and other medical and surgical services.

Sheffield Teaching Hospitals is home to the largest dental school in the region, a women’s hospital with a specialist neonatal intensive care unit and a world renowned Cancer hospital. The Trust has also recently integrated with the City’s NHS community services to support our work to provide care closer to home for patients and preventing admissions to hospital wherever possible.

We have a long tradition of clinical and scientific achievement, including the development of one of the UK’s first Academic Health Sciences Networks.

Through our partnerships with the University of Sheffield, Sheffield Hallam University, other health and social care providers and industry we remain at the forefront of advancements in clinical services, teaching and research.

We have around 15,000 employees, making us the second biggest employer in the city. We aim to reflect the diversity of local communities and are proud of our new and existing partnerships with local people, patients, neighbouring NHS organisations, local authority and charitable bodies.

We strive to recruit and retain the best staff: the dedication and skill of our employees are what make our services successful and we continue to keep the health and wellbeing of our staff as a priority.

Our vision is to be recognised as the best provider of healthcare, clinical research and education in the UK and a strong contributor to the aspiration of Sheffield to be a vibrant and healthy city. We have begun this journey with our staff, partners and patients and we will continue to explore every aspect of our business to ensure we are doing our very best to achieve our vision.If you would like to find out more about the services we provide and our future plans please visit www.sth.nhs.uk/about-us

General information

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Conditions of ServiceThe post holder will work within Sheffield Teaching Hospitals NHS Foundation Trust. As a consequence he/she will be expected to be aware of local policies and procedures and take note of the standing orders and financial instructions.

Postgraduate Medical EducationThere is a Postgraduate Medical Centre at the Northern General and postgraduate education facilities are also present in the Medical School at the Royal Hallamshire Hospital. The postgraduate education is organised in all specialities in Sheffield and attendance is encouraged.

Library FacilitiesThese are excellent and the clinical medical component of the University Library is housed in the Royal Hallamshire Hospital, with a University branch library at the Northern General Hospital and a paediatric branch library at the Children’s Hospital. Pre-clinical sections are in the main University Library which is within half a mile of the Royal Hallamshire Hospital. Good lending, reference and national lending library (Boston Spa) facilities are provided. In addition, the Haematology Departments at both hospitals have their own library facilities on a smaller scale.

AccommodationMarried or single accommodation may be available. Enquiries regarding accommodation should be made to the Accommodation Department, Northern General Hospital, telephone: 0114 271 4757.

ACUTE MEDICINE ST1

AREA: Acute Medicine

RESPONSIBLE TO: Dr C Gardner

WORKING PATTERNS: Full shift

Acute MedicineAcute Medicine involves Medical Assessment Unit working with 11 ST1/F2 equivalents. Shift duties form part of oncall rota, with a combination of long take days, 2-11 take shifts, short and long cover days and weekend working. There will be no night shift scheduled although this may be changed if the service need dictates. Weekend working will comprise 2 weekends out of eleven, . The post may include duties on a two-week rotation basis at the Royal Hallamshire Hospital Emergency (GP) Admission Unit.

Study & TrainingIt is anticipated that individuals will attend weekly educational sessions where duties allow.

Annual Leave

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Annual leave should be arranged within the team with colleagues sharing duties. Forms should be signed off by both the supervising Consultant and Rota Organiser before being submitted to Medical Personnel.

ANAESTHESIA AND CRITICAL CARE ST2

The anaesthesia department at the NGH consist of 52 consultants and provides speciality training for anaesthesia in cardiac, orthopaedic and trauma, plastics, renal and vascular surgery as well as for general surgery. The ACCS trainees would fit into this programme and gain appropriate experience and competencies.

The critical care department has 14 consultant intensivists and covers 10 general ITU beds, 8 general HDU beds and 6 post op surgical unit (POSU) beds. Additionally there is a 12 bed cardiac ICU in the Chesterman building covered by the cardiac anaesthesia team. Primary duties would be in the general units.

EMERGENCY MEDICINE ST1 & ST3

The Emergency Department (ED) is the adult major trauma centre for South Yorkshire and Emergency Medicine Centre for the population of Sheffield (Children under the age of 16 are seen at Sheffield Children’s Hospital. The department has a minor injuries unit and clinical decision unit based at the Northern General Site. It also runs a minor injuries unit at the Royal Hallamshire Hospital which is wholly staffed by Nurse Practitioners.

We are committed to providing high quality care including ED based diagnostics, resulting in one of the lowest admission rates in the UK. The ED has an International reputation for Emergency Medicine Research and has led in several aspects of EM service development in the UK.

The Emergency Department itself began a complete redevelopment programme commencing in November 2012. This has provided a cutting-edge 8 bedded ITU/HDU equipped resuscitation room and modernisation of facilities throughout the Department. This includes new office accommodation, staff changing rooms, a seminar room, meeting rooms and dedicated staff rest areas.

Consultant Areas of Special InterestThe Emergency Department Consultant Group has a number of Specialist Interests. Many of these interests are followed with Regional, National and in some cases International involvement and recognition. These areas include:

Research Undergraduate and Postgraduate Education MSK Medicine Ultrasound Emergency Systems Major Trauma Information Technology Observational Medicine

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Number of New Patients SeenTotal attendances were 136,000 (ED 110,000 MIU 26,000)

Geography of the Department

8 resuscitation beds with the ability to expand to 16 during a Major Incident 24 Majors cubicles 8 cubicle Minor Injuries Unit with Eye room and Dental/ENT area. A consultant led

review clinic and ENP review clinic operate on week days here 11 bedded CDU with 2 treatment cubicles and 14 person seating area. Nurse led

DVT service operate from CDU Mental Health assessment room 2 Triage Rooms 2 Triage Bays for ambulance patients Decontamination room

Training and EducationThe department runs a highly successful training programme for junior doctors every Friday afternoon and the post holder will be expected to participate in this teaching.

Other TeachingUndergraduates: There is a full programme for undergraduate teaching and examinations. Resuscitation teaching will be part of the duties of the ST3/ST4-6.

Postgraduate: The department runs Advanced Trauma Life Support courses and Advanced Life Support courses. Advanced Paediatric Life Support courses also take place within the hospital. ST3/ST4-6 may wish to become involved in the teaching on these courses.

On call/emergency duty rotaThere is an on-call rota between the Middle Grade doctors. The Middle Grade rota provides 24 hours middle grade presence in the department.

BARNSLEY HOSPITAL NHS FOUNDATION TRUSTThe HospitalBarnsley Hospital NHS Foundation Trust serves a population of 220,000 and has a complement of 510 beds. There is a block of theatres, together with an intensive therapy unit and other supporting services. Pathology services are provided in purpose built laboratories. There is a medical physics department, a department of physiology measurement and full rehabilitation facilities.

Located just over one mile from Junction 37 of the M1 motorway and only 15 minutes’ walk from the town centre, Barnsley Hospital NHS Foundation Trust is a modern 510 bedded hospital providing the principal acute services for the District. Barnsley Hospital became an NHS Trust on 1 April 1993, since that time it has continued to develop and expand its

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services and became one of the first Foundation Trusts on 1st February 2005. The Trust is a single site hospital, employing 2,300 staff and operates with a budget of approximately £90 million. It has been awarded Associate Teaching Hospital Status in recognition of its contribution to medical education. The hospital serves a population of approximately 220,000 and the area it services is coterminous with that of the Barnsley Metropolitan Borough Council. Barnsley Primary Care Trust is the Trust's major purchaser with only 5-10% of activity being purchased by other commissioners.

The hospital has close links with Sheffield University Medical School and undergraduates are taught in the hospital.

The hospital has comprehensive clinical specialities including Emergency Medicine, Surgical, Medical, Paediatric, Obstetrics and Gynaecology and other specialist units.

The Trust provides excellent facilities including refurbished Medical Illustration Facilities, including a part-time medical photographer, a Clinical Audit Department and a newly well-equipped Postgraduate Medical Education Centre and Medical Library. A Multidisciplinary Team Meeting Room is located in the Post Graduate Centre and facilities are available for projection of histological slides and radiological images together with IT support.

The Trust has an extensive R&D infrastructure and has been recognised for its excellent Research & Development capability by receiving one of the largest percentage increases in funding allocation in the country.

Barnsley Hospital NHS Foundation Trust is an equal opportunities employer and has Practice Plus Status for Improving Working Lives.

Library Facilities/Postgraduate EducationThe Education Centre is based on the Barnsley Hospital site, but is separate from the main hospital. Its facilities include a state of the art lecture theatre and a mixture of seminar, tutorial and classrooms. The Education Centre is the central point for educational activity at Barnsley District General Hospital. It is now being developed as a facility to support education activity for the whole health community of Barnsley. It is also the focal point for library and information services for the Barnsley health community. There is a well-stocked medical library within the Education Centre. A professional librarian is in attendance and books are available from the national collections. The University library is available in Sheffield, the medical section being situated in the Royal Hallamshire Hospital.

Other FacilitiesThere is a Hospital Sports and Social Club located within the grounds of the DGH. Doctors’ sitting room and television is also provided in the medical officers’ residential block. Car parking is provided within the hospital grounds and public transport from and to the town centre is excellent.

* There may be occasional emergencies and unforeseen circumstances which the junior doctors may be expected to cover, in accordance with DS 378/75. It is unlikely that additional commitments, which should be requested by the appropriate Consultant, would be anything other than exceptional.

EMERGENCY MEDICINE ST1 & ST3

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The Department

TrainingThe Department is under the supervision of four full-time Consultants in Emergency Medicine and an active training programme is carried out both within the Department and at the Postgraduate Centre. The junior grade doctors attend the Thursday afternoon weekly meetings.

Duty RosterST1 & ST3 trainees will participate in the junior doctor rota. A full shift system based on a ten week rolling rota is in operation.

CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST

The HospitalThe Chesterfield Royal Hospital, founded in 1854, and moved to the current green belt site in 1984. In 1993 the hospital was granted Trust status and the Trust is obtained Foundation in 2005. The Royal is an Associate Teaching Hospital linked with Sheffield University Medical School.

Development over the last 20 years has allowed the Royal to continually improve services and facilities for patients and staff. All the main surgical and medical specialties are provided, as well as clinical and non-clinical support services. These include:-

Main Hospital Intensive Care, High Dependency and Coronary Care Units Emergency department (including dedicated children’s area) A theatre suite including specialist theatres for orthopaedics and two post

anaesthetic care units Pathology laboratories, Physiotherapy and Occupational Therapy Diagnostic Radiology, CT scanning and MRI scanning A cardiac catheter suite, dedicated endoscopy suite and dermatology treatment suite Ten out-patient suites including a rapid access chest pain clinic

Scarsdale Wing Antenatal services, ultrasound scanning, central delivery suite, special care baby

unit, maternity and gynaecology wards plus a colposcopy suite Cavendish suite - chemotherapy unit Renal Dialysis Unit - managed by the Northern General Hospital in Sheffield, and

affiliated to the medical directorate Osteoporosis Centre - DEXA bone scanning facilities Holywell day care unit and dedicated cataract operating theatre

Nightingale Wing

Provides all children’s services at the hospital in one geographical area and has been praised nationally for its innovative ‘child-friendly’ approach

Integrated out-patient clinics and in-patient wards. The wing also includes a

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Specialist unit for teenagers, designed to meet the needs of young people up to 17 years old, including a satellite TV room, a games room and music systems

Education Centre

A modern, purpose built Education Centre complete with lecture theatre, tutorial rooms and library and IT facilities was opened in 2004

IT Based Facilities

Ward based IT results request system for pathology and x-ray Telepathology system and telemedicine in accident & emergency

SpecialtiesAnaesthetics; Chronic & Acute Pain Management; Cardiology; Care of the Elderly; Child Health; Clinical Haematology; Coronary Care; Community Midwifery; Dermatology; Ear, Nose & Throat; Emergency Medicine; General Medicine; Genito-Urinary Medicine; General Surgery; Intensive Therapy; Maxillofacial Surgery; Medical Physics; Obstetrics & Gynaecology; Ophthalmology; Oral Surgery & Orthodontics; Pathology; Pharmacy; Physiological measurement; Radiology; Rehabilitation; Rheumatology; Trauma & Orthopaedics and Urology.

Staff Facilities Children 1st – day nursery for babies and children (discounted rate and priority for

staff) On-site accommodation (houses and flats) Doctors Mess Chapel and multi-faith room planned from 2006 Convenience store/Newsagent/Flower and Fruit shop Cashpoint facilities Health Information Point/PALS office LINKS Restaurant with Webzone internet service for staff, plus STROLLERS café Staff only vend and rest facility Minicom facilities through switchboard Staff Permit for free parking

EMERGENCY MEDICINE ST1

The DepartmentThe Emergency department is part of the Emergency Care Directorate which comprises the Emergency department, the Emergency Assessment Unit and Bed Management Team, and is designated as a Major Accident Receiving Centre.

A Trauma Team system is in operation at the hospital and is available for treatment of all major trauma cases. A Cardiac Arrest Team is also available at all times.

The Department was extensively renovated in 1995 to provide triage facilities and improve the waiting/reception. A resuscitation room with facilities for 3 trolleys was provided, along with a relatives counselling room, a seminar room and improved facilities for children. The

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Department underwent further modernisation in December 1999, which increased the complement of trolley bays from 5 to 10, and treatment cubicles from 6 to 10. The resus room has dedicated ultrasound and x-ray equipment.

Scope of the Post1. The assessment and management of critically ill patients in a logical sequence. 2. To manage common acute medical emergencies, including acute asthma, chronic

obstructive airways disease, myocardial infarction and chest pain, common paediatric emergencies, and the care of the elderly.

3. To manage trauma, including wounds, soft tissue injury, fractures and concussional head injury.

4. To manage eye, ear, nose and throat emergencies, surgical problems, obstetric and gynaecological, and psychiatric conditions.

5. To manage special situations, including bereavement, non-accidental injury, social problems, and assessment of the elderly.

6. To effectively participate in management of the high volume workload in the Emergency department.

7. To develop decision making and time management skills, along with stress reduction strategies.

8. To develop skills in the wider aspects of ED work, such as pre-hospital services, relations with the police, major incident planning, medical audit and medical management.

9. To learn the basic approaches to audit and how it may be used for clinical benefit, to work towards necessary examinations, and to develop an understanding of responsibilities a doctor must undertake in terms of management and the running of the hospital.

Teaching and Training Opportunities There will be induction at corporate, directorate and job specific level, and a tutoring

system has been adopted whereby each junior grade doctor undertakes a facilitated induction into the Department and post.

Consultant and senior staff are obliged to teach so there is a great opportunity to learn by example and by enquiry at all times.

You will be given an educational timetable. The main events are Thursdays between 9 – 11am, and audit meetings. There are general professional training opportunities on Friday lunch times. The specialty tries to ensure that training time is protected.

Tutorials for junior grade doctors and Trust Grade Doctors are held every Wednesday from 12pm to 2pm. This session includes a tutorial on a specific topic plus audit of clinical skills by review of cases from notes.

You may be entitled to study leave appropriate to your stage in training and exam preparation. This should be discussed with the Training Programme Director and Medical Education and applications should follow the process, which will be outlined, to you by the General Manager.

Opportunities to undertake ALS and ATLS courses may be available.

Service Responsibilities

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Cover for EmergenciesThe junior doctor accepts that he/she will also perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant, or Clinical Director (in consultation where practicable with colleagues both senior and junior). It has been agreed between the Professions and the Department of Health that, while juniors accept that they will perform duties, the Secretary of State stresses that additional commitments arising should be exceptional, and juniors should not be required to undertake work of this kind for prolonged periods or on a regular basis.

Out of Hours The post holder will be expected to participate in the provision of out of hours cover for the Department.

Changes to HoursTrainee doctors should note that hours worked are subject to change in light of both HSC(98)240 ‘New Deal – Reducing Doctors’ Hours’, and legislation as determined by the European Working Time Directive.Any potential changes which could affect hours at mid point of post will be properly negotiated.

Annual LeaveAnnual leave is allocated on the rolling programme. Leave outside of this allocation can only be taken in exceptional circumstances.

Study LeaveLeave for local courses and outside courses (subject to National limits), can be arranged in through negotiation with Mr Bailey, subject to service and training stream requirements.

Policies and ProceduresThe Trust has a number of policies and procedures relating to issues such as alcohol, smoking, uniform, discipline, health and safety. You are expected to acquaint yourself with the policies and help the Trust to maintain them.

ROTHERHAM NHS FOUNDATION TRUST

The Trust provides a comprehensive range of hospital based Medical, Surgical, Paediatric and Obstetrics & Gynaecology specialties. Community and Mental Health Services are provided locally by Rotherham Priority Health Services NHS Trust. Rotherham General Hospitals NHS Trust has premises on a single site, the District General Hospital. The facilities provided and the Trust Management Structure are outlined as follows:

The District General HospitalThis is a modern, progressive Hospital, situated two miles south of Rotherham town centre in very pleasant suburban surroundings. The first phase of the development opened in 1978, phase two in 1984 and two major capital schemes, forming phase three, were completed towards the end of 1994. All Acute Medical, Surgical, Paediatric, Obstetric & Gynaecological services are on this site.

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The Hospital is a major provider of high quality health care in South Yorkshire to a local population of 252,000. There are over 800 beds on site and excellent modern facilities, which include Intensive Therapy and Coronary Care Units, a Central Theatre Suite, a Day Surgery Unit and an Endoscopy Suite. New developments have included a dedicated Children's Outpatient Department, a Dermatology Unit and a Medicine for the Elderly wing. The purpose built Young Disabled Unit opened on the site in 1986. The clinical services are supported by comprehensive Laboratory, Medical Physics and Diagnostic Radiology Departments. CT and MRI scanning are available on site. There is a well equipped Medical Illustration Department. A vigorous medical postgraduate education programme is based in the newly upgraded Education Centre in the main Hospital. The Centre affords a lecture theatre and tutorial rooms and practical rooms. The medical Library and information system are widely acclaimed. A well established Clinical Skills Centre provides training in resuscitation and other clinical skills to medical and nursing staff.

EMERGENCY MEDICINE ST1

The DepartmentThe Accident and Emergency Department site is situated on "B" level - the same level as the surgical Wards, Theatres, Intensive Care and Coronary Care Units, and Department of Radiology. The department is modern and has separate waiting and treatment areas for children. There is a well-equipped Resuscitation Room and a well-equipped Treatment Room (to the standard of a minor theatre), which is used for routine manipulations and suturing etc.

The department also has an attached Plaster Room which is shared with the Fracture Clinic and Orthopaedic Department. The X-Ray Department is adjacent. Digital radiographs are viewed electronically with the Picture Archiving and Communication System (PACS). The Admissions Unit is next door to the A&E Department and patients can be admitted there under the A&E Consultants care. Children under the care of the Accident and Emergency Consultants are admitted to the Children’s Wards.

The Accident & Emergency Department uses the Ascribe (Symphony) computer system, which enables doctors to carry out clinical coding quickly and easily, thus facilitating audit and research.

The total annual attendances are 74,000 a year of which 70,000 are new patients. In addition some 1,100 patients per year are admitted under the care of the Accident & Emergency Department (mostly overnight stay cases).

The department aims to:

- Provide a comprehensive 24-hour accident and emergency service;

- Receive, resuscitate, assess and provide initial treatment to the severely injured and acutely ill; and to ensure subsequent care by arranging admission to the appropriate specialty either in the Hospital or elsewhere;

- Make arrangements for follow-up treatment or care in appropriate clinics;

- Provide, as appropriate within the Department, treatment and minor surgery.

Rota

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The rota is fixed including rostered time off and annual leave; allocations will be given on appointment.

There is a full shift system in operation and you will work in accordance with the published rotas. In exceptional circumstances, it may be necessary to change the duties in accordance with the requirements of the department. Every effort will be made to ensure that the doctor works for the period for which he / she is contracted.

All medics should familiarise themselves, both with the hospital’s Major Incident Plan and the departmental ‘Business Plan’.

There is 2 hours weekly departmental protected teaching time with regular in situ simulation.

Library FacilitiesThere are excellent library facilities conveniently located within the main hospital complex. There is a wide variety of journals and a CD-ROM Medline Search Facility. An extensive inter-library loan system throughout South Yorkshire enables the rapid acquisition of books and periodicals not held locally.

Postgraduate Medical EducationThere is a newly upgraded Postgraduate Medical Centre based within the hospital supporting a wide variety of educational activities, including grand rounds, specialty seminars and audit meetings.

Study & TrainingThe primary aim of all posts is training and there is a region-wide syllabus and minimum standards of education agreed by all Trusts within the rotation.

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

Other FacilitiesOn the hospital site there is a Junior Doctors' Mess.

Main Conditions of ServiceThe post is covered by the NHS Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales).

The salary scale is in accordance with that published by the Department of Health and is as stated in the Contract of Employment.

AccommodationAccommodation maybe available and is managed by ‘Great Places Housing Group’ which is a Manchester based Housing Association. For further information please contact Verna Wilde at GREAT PLACES on (01709) 361859 e-mail: verna.wilde@greatplaces.org.uk

Conditions of AppointmentAll new members of the Rotherham General Hospitals NHS Trust will be required to pass a medical examination in the Hospital Occupational Health Department, prior to the

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commencement of appointment, and to be registered with the General Medical Council or General Dental Council as appropriate. Also evidence of eligibility to work in the UK must be provided.

SHEFFIELD CHILDREN’S HOSPITAL NHS FOUNDATION TRUST

The Sheffield Children’s Hospital is a secondary and tertiary referral centre for children from the North of the Trent Region. The hospital contains 157 beds. It provides necessary care for Sheffield Children and Tertiary Services for the surrounding areas. Special medical interests include cystic fibrosis, hepatic disease and oncology, endocrinology, metabolic bone disease in children and special aspects of child abuse. On the surgical side, the surgical specialities include neo-natal work, Ophthalmology, ENT, Plastic Surgery and a 19-bed unit devoted to paediatric orthopaedics. Paediatric Neurosurgery is also on site.

Over 3,000 new patients are seen in the orthopaedic outpatient clinics each year. The special orthopaedic interests include hip disease, including irritable hip, CDH and Perthe’s Disease, spinal problems, including spina bifida and scoliosis, haemophilia and leg length inequality. Patients are admitted from all over the United Kingdom, with some patients from the EEC also being treated.

Imaging facilities include conventional x-rays and an ultrasound service in hip imaging, with a strong interest in CDH and irritable hip management. 24-hour CT facilities are also available on site. Isotope scanning and D x A facilities are available, and are used in a variety of orthopaedic problems. An MRI service is also available on site.

A Phase I development was completed in early 1990, providing three new theatres with recovery and intensive care facilities. New ward accommodation was also provided at the same time. A fourth theatre and a High Dependency Unit have recently been added. The hospital has a 5-bedded Paediatric Intensive Care Unit and a 5-bedded High Dependency Unit and runs an intensive care retrieval service for children.

Phase II development was completed in September 1999. This includes a new outpatient department, Clinical Genetics, Cystic Fibrosis Centre and new mortuary facilities. New theatre facilities and a GP referral unit is open and new theatre facilities are planned.

The hospital has a strong commitment to teaching and research, and a major textbook in paediatric orthopaedics was based largely on work carried out at this hospital.

Study and TrainingThere is an active Postgraduate Centre at the Children’s Hospital, with teaching programmes for all grades of staff. Eminent speakers from other centres are invited for participation in the weekly postgraduate meetings.

Library FacilitiesThe Paediatric section of the University of Sheffield library is sited in the Postgraduate Centre of the Children’s Hospital. The main clinical medical section of the University library is sited in the Royal Hallamshire Hospital, within 200 yards of the Children’s Hospital.

Other Facilities

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1. Car parking – Car parking is limited, but spaces are available for staff undertaking on-call work.

2. Shops/Transport – A shopping centre is close by and bus services are available outside the hospital to the city centre 1 mile away.

PAEDIATRIC EMERGENCY MEDICINE ST3

The DepartmentThe Paediatric Emergency Department provides 24 hour per day, 7 days per week Emergency service to Sheffield children. In the year ending March 2006 the total attendance (new and return patients) was over 45,000.

The work covers the whole range of emergency situations in children: minor trauma, medical, surgical, orthopaedic and social in addition to cases of major trauma. A high proportion of the children attending are very young. There is a close liaison with the community services dealing with these children.

The Emergency Department staff cover 24 hours per day.

The post is recognised for general professional training by the Royal College of Paediatrics and Child Health, the Royal College of General Practitioners, the Royal College of Surgeons and the College of Emergency Medicine.

Annual LeaveProspective cover for annual leave is built into the fixed rolling rota. These are subject to minor adjustments according to New Deal requirements. The holder of the post will be required to cover, in an acute emergency, the initial shifts of sick leave, provided always the resulting increase in duties is reasonable in the circumstances.

StudyThere is an active junior grade postgraduate programme in the Emergency Department. The teaching is by both Emergency department staff and outside speakers. Study leave is usually granted for local courses in addition to this up to the study leave entitlement.

All postgraduate activities within the hospital, are advertised and where possible junior grades are encouraged to attend.

Study leave application forms should be submitted to the rota organiser and then to your consultant educational supervisor in the Department. We have a mentor system to ensure that junior doctors are supported and advised by their mentors who are senior staff in the Emergency department.

TeachingMedical students attend the department regularly and the junior doctors take part in informal teaching sessions.

Research & AuditThere are several studies taking place in the department in which the junior doctors participate. Any ideas for individual research will be encouraged.

Location of DutiesAll duties occur at the Children's Hospital.

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DONCASTER & BASSETLAW NHS FOUNDATION TRUST

Trust ProfileWith four hospital locations, as well as community provision across the area, you’ll enjoy all of the advantages of working in a major Foundation Trust, but in a friendly and supportive environment where you’ll be encouraged to make a strong professional impact.  Our hospital sites are Bassetlaw Hospital, Worksop, Doncaster Royal Infirmary (DRI), Montagu Hospital, Mexborough, and Retford Hospital, where we provide outpatient services only. We care for a population of around 420,000 people in the areas covered by Doncaster Metropolitan Borough Council and Bassetlaw District Council, as well as parts of North Derbyshire, Barnsley, Rotherham, and north-west Lincolnshire.

As one of the NHS’s top performing hospitals, we were among the first ten Trusts in England to be granted Foundation Trust status. That means local people are more involved in our governance, and we can respond quickly to the needs of our community.

Our hospitals have an impressive record of sustained performance and innovation.  We are an established and credible hub for a wide range of specialist services alongside the major teaching and tertiary care centre in Sheffield.  We are an Associate Teaching Hospital of the University of Sheffield Medical School, and an Associate College of Sheffield Hallam University. 

The Hospitals within the Trust comprise:

Bassetlaw HospitalBassetlaw Hospital in Worksop is 18 miles from the DRI, and serves two main centres of population, Worksop and Retford.  The hospital has approximately 270 beds, covering the full range of medical and surgical specialties as well as women’s and children’s services. The hospital has a 24/7 Accident & Emergency Department.

There is a fully integrated General Medicine and Care of the Elderly service.  There are two acute medical wards, the Medical Assessment Unit, a Stroke Unit, Rehabilitation Ward and Coronary Care Unit. There is a purpose-built Endoscopy Unit offering diagnostic and therapeutic UGI endoscopy, colonoscopy and bronchoscopy.  Cardiology services include exercise stress testing, echocardiography, and temporary pacing.  There is also Respiratory Medicine including lung function.  The Diabetes Centre includes Specialist Diabetic Nurses, diabetic foot service, and a Dietetics Department.  Stroke services include a Stroke Unit, TIA clinic, and facilities for urgent CT scanning and carotid Doppler studies.

The Medical Imaging Department includes general X-ray, Ultrasound, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Dexa, diagnostic and some interventional screening.

The main Outpatients Department is located at Bassetlaw Hospital with outreach clinics at Retford Hospital. 

Bassetlaw Hospital provides on-site urgent pathology tests, pharmacy and clinical therapy.  A theatre complex containing four main theatres and a day surgery unit serves the surgical specialties and there is a combined HDU and ICU.

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Women’s and children’s services include maternity, pregnancy assessment, paediatrics and child development.

The Renal Dialysis Unit opened in June 2009 and has 20 dialysis stations, including two full isolation rooms. 

There is a Postgraduate Medical Education Centre with associated library facilities.  Librarian support is present and a wide range of journals and publications are available.

Doncaster Royal InfirmaryDoncaster Royal Infirmary is a District General Hospital of approximately 700 beds.  It provides a full range of medical and surgical specialties, including vascular and bariatric surgery, as well as women’s and children’s services.  The Infirmary has a campus style design with a separate Women’s & Children’s Hospital, as well as the main hospital buildings, which house the Doncaster Emergency Department Out-of-Hours Service, medical and surgical acute assessment units, inpatient wards and outpatient facilities.

There is a well-equipped endoscopy unit providing bronchoscopy and the full range of diagnostic and therapeutic upper GI endoscopy, colonoscopy, ERCP, and transoesophageal echocardiography.  The Medical Imaging Department is continually being developed, and provides a consultant-led service for the majority of general X-ray and specialist diagnostic and interventional imaging with Digital Angiography, Ultrasound, CT, MRI and a fully equipped Nuclear Medicine department. 

A modern laboratory complex houses Histopathology, Microbiology, and Clinical Laboratory Sciences departments.   A dedicated day case and outpatient Urology Suite operates within the outpatient’s area.   As part of the theatre complex, we have a Theatre Admissions Unit, a bank of eight operating suites with associated services on the lower ground floor of the main hospital block, with dedicated theatres for Urology and General Surgery.  There are plans for a new Day Surgery Unit.  Orthopaedic theatres are located within the Orthopaedic Block and Obstetrics & Gynaecology theatres are housed separately within the Women’s & Children’s Hospital.    

The Department of Critical Care has undergone expansion, with 20 beds in a flexible HDU/ITU configuration.  There is an active multi-disciplinary Critical Care outreach team, which provides advice for ward-based patient management.

The Renal Unit opened in 2004, run in conjunction with the Sheffield Kidney Institute, and the Department of Renal Medicine opened in 2007.

General medical and surgical inpatient services are provided in the East Ward block.   There is also a recently completed 24-bedded Acute Stroke Unit undertaking Thrombolysis.  All patients are referred to the 28-bedded Medical Assessment Unit for consideration of acute medical admission and are seen by the on-take team for assessment, initial investigation and treatment before being admitted to the general medical wards, or discharged back to the GP’s care (or elsewhere) as appropriate.  

The Coronary Care Unit has full facilities for arrhythmia monitoring (including telemetry), haemodynamic monitoring and pacemaker insertion, and there is a well-established service for elective cardioversion.  

There are inpatient Haematology beds with side ward isolation facilities within one of the acute wards, and a purpose-built Chemotherapy Day Unit on site. There are inpatient facilities for management of immuno compromised GU Medicine patients when required.

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There is a newly commissioned Day Case Unit for patients undergoing coronary/peripheral angiography, biopsies, ERCPs.

There is an active Postgraduate Centre with teaching programmes for all grades of staff.   There are regular weekly seminars where consultants and junior staff present cases to colleagues and GPs.  Monthly evening meetings are held at Montagu Hospital, to which guest speakers are invited.

There are purpose-built professional libraries adjacent to the Postgraduate Centre under the charge of a full-time Librarian.  There are over 15,000 volumes in stock and access is available by a joint scheme with other libraries and with the National Lending Library.  The Library subscribes to some 150 journals.

Montagu Hospital in MexboroughMontagu is a small non-acute hospital with approximately 50 inpatient beds for people who need further rehabilitation before they can be discharged. There is a nurse-led Minor Injuries Unit, open 9am-9pm. It also has a day surgery unit, renal dialysis, a chronic pain management unit and a wide range of outpatient clinics. Montagu is the site of our Clinical Simulation Centre and the base for the AAA vascular screening programme.

A state-of-the-art computerised Clinical Simulation Centre is an extremely versatile facility for clinical teaching and skills development, with adaptable programmes for a wide range of clinical scenarios, including resuscitation and cardiovascular collapse.

Emergency Medicine ST1 & ST3

The Doncaster and Bassetlaw Hospitals NHS Foundation Trust provides accident and emergency services across the 3 different sites for a resident population of approximately 450,000.

As part of a current major service development and redesign programme, we have co-located the Doncaster GP Out of Hours service with the Emergency Department in a new purpose-built facility which allows for further inter-agency working. The Out of Hours GP service currently handles 35,000 telephone contacts per year, seeing approximately 18,000 face-to-face contacts per year. In addition, this service performs 800 homes visits per year.

The Emergency Department is committed to providing a senior workforce at the front door with Advanced and Emergency Nurse Practitioners undertaking extended roles to work in a first contact capacity.

The department is investing in education for all staff and moving towards all education being coordinated and offered on a multi-disciplinary basis.

Our Middle Grade doctors play a pivotal role in helping the consultants to provide  education and supervision for all our health professionals. New employees are expected to participate in the educational development of the department.

Acute Medicine CT1The General and Acute Medicine CSU is the largest within the Trust. The Trust is continuing to move towards integrated working across sites.

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CONTACTSAcademic Leads and Supervisors:Professor Dilly AnumbaChair of Obstetrics and GynaecologyHonorary Consultant in Obstetrics & Gynaecology/Subspecialist in Fetomaternal MedicineDepartment of Human Metabolism Academic Unit of Reproductive and Developmental Medicine The University of Sheffield 4th Floor, Jessop Wing Tree Root Walk, Sheffield S10 2SF

Tel. 0114 226 1075 (Academic) 0114 226 8172 (NHS)Email: d.o.c.anumba@sheffield.ac.uk

Academic, Educational and Clinical supervisors will be assigned following appointment to align with the individual’s needs.

College TutorsSouth YorkshireRotherham Francis Heyes Francis.Heyes@rothgen.nhs.uk

Barnsley Robert Jones robertjones5@nhs.net

Doncaster Juan Ballesteros juan.ballesteros@dbh.nhs.uk

Sheffield Children's Hospital Catherine Rimmer catherine.rimmer@sch.nhs.uk

Northern General, Sheffield Chris Connolly chris.connolly@sth.nhs.uk

Training Programme Director (clinical):Clinical Programme Director: Dr Alan Fletcher alan.fletcher@sth.nhs.uk

Academic Training Programme DirectorProfessor D O Anumba d.o.c.anumba@sheffield.ac.uk

Further InformationBecause of the nature of the work for which you are applying, this post is exempted from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975.

Applicants are therefore, not entitled to withhold information about convictions, which for other purposes are “spent” under the provisions of the Act, and in the event of employment any failure to disclose such convictions could result in dismissal or disciplinary action by the University. Any information given will be strictly confidential and will be considered only in relation to an application for positions to which the Order applies.

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For further information about the Academic Clinical Fellowship programme, please refer to the NIHR (National Institute for Health Research) Trainee Coordinating Centre (NIHRTCC) page on NIHR Integrated Academic Training For Doctors and Dentists - Academic Clinical Fellowships

Details surrounding the Faculty of Medicine can be accessed here https://www.sheffield.ac.uk/faculty/medicine-dentistry-health/graduateschool/clinical-academic/acf/acf-vacancies

Person SpecificationsApplicants for this post will be required to meet the relevant Clinical eligibility criteria for the appropriate specialty and level listed at:- Please note - (applicants applying for Surgical, Medical or Psychiatry specialties at ST3 or above may be required to consult the relevant Core Training person specification):-http://specialtytraining.hee.nhs.uk/specialty-recruitment/person-specifications-2013/2016-person-specifications/ AND the Academic eligibility criteria listed at:http://specialtytraining.hee.nhs.uk/files/2015/10/2016-NIHR-ACF-Academic-Person-Specification.pdf

How to ApplyFor more information about applying to ACF vacancies in Health Education England Yorkshire and the Humber please visit:-

http://www.yorksandhumberdeanery.nhs.uk/recruitment/our_vacancies/academic_recruitment/

Applications will only be accepted through the Oriel online application system:-

https://www.oriel.nhs.uk

Applications open: 10:00 on 10th October 2016

Applications close: 16:00 on 7th November 2016

After the application deadline no applications will be accepted. There will be no exceptions to this deadline. You are advised to complete and submit your application ahead of the deadline to allow for any unforeseen problems.

Interviews will be held in Sheffield during week commencing To be updated by recruitment team

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