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VisitingProfessionalProgramme: Critical Care
www.guysandstthomasevents.co.uk/vpp
1 Visiting Professional Programme – Critical Care
Introduction
The Guy’s and St Thomas’ NHS Foundation Trust Critical Care Visiting Professional Programme (VPP) is designed
to provide international visiting professionals with the opportunity to experience and learn from a multi-disciplinary
Critical Care team working in a busy tertiary surgical and medical centre in London. All major surgical specialities
are covered within the Trust excluding neurosurgery.
Guy’s Hospital is a major thoracic and renal transplant centre along with head and neck surgery (involving complex
airway management), urology (including robotics) and orthopaedics (including major spine correction surgery).
St Thomas’ Hospital is a major elective and emergency site with an A + E and associated emergency services. A full
range of emergency and elective surgery is supported including cardiac (open and cardiac catheter cases), vascular
(including hybrid theatre), upper and lower surgery, obstetrics and gynaecology (7000 births a year), reconstructive
plastic surgery and orthopaedic trauma. The St Thomas’ site is one of five nationally commissioned ECMO
(Extracorporeal membrane oxygenation) centres, accepting referrals from across South East England and beyond.
Our Visiting Professional Programme is a unique development experience that allows visitors to observe our leading
critical care team in all its settings. The attachment will be tailored to the learning needs of the observer and can be
designed to deliver either a broad or highly specific set of experiences. We are dedicated to broadening international
professionals’ clinical expertise and enabling them to observe new skills that can be transferred back to their work
place.
Who should attend?
This programme is intended for non-U.K. advanced trainee clinicians at the level of specialist registrar or consultant
looking for exposure to a leading NHS critical care team.
Visitors can apply primarily for an observership (with no hands-on element) or a practical attachment programme.
Those wishing to apply for the practical attachment must have GMC registration. You can apply for GMC registration
directly through the main GMC website (www.gmc-uk.org). This is likely to take a considerable time to achieve and
should be factored into an attachment application.
Duration
It is recommended to undertake a placement of between six weeks to three months for a typical observership
Attachments could be form 3 months to one year. The experience can be tailored to the applicants needs from a
generic overview of our critical care services to a specialised attachment to one specialised clinical area.
Format
The critical care programme is delivered to rotate through level 2/3 intensive care, level 1/2 high dependency care,
Extra Corporeal Membrane Oxygenation (ECMO), the Outreach Team to manage deteriorating patients within the
hospital, and the Post Critical Care Recovery Service. The programme will also provide exposure to relevant
departmental teaching, multi-disciplinary meetings and research activities.
The observer will be nominated a supervisor to coordinate their individual programme and mentor progress each
week.
www.guysandstthomasevents.co.uk/vpp
2 Visiting Professional Programme – Critical Care
Overall aims
The programme is aimed at those who wish to extend their experience within a leading critical care team and who
wish to gain an understanding of the way this is practiced and organised within the NHS and how it integrates with
patient care pathways.
The programme aims to include:
Direct experience and exposure to relevant areas within critical care that suit the applicants’ needs
Opportunities to get involved with short quality improvement projects during your visit
Opportunities to attend our in-house teaching sessions for intensivists
Opportunities to attend our clinical governance meetings
The opportunity to share knowledge and expertise with doctors, consultants and other members of the
critical care multi-disciplinary team
The opportunity to develop and extend visitors’ work portfolios by gaining experience of observing one of
the largest teaching hospitals in Central London, whilst gaining direct insight into the workings of the NHS
Sample timetable
Day AM PM
Week 1
Monday ST THOMAS’ INTENSIVE CARE UNIT ST THOMAS’ INTENSIVE CARE UNIT
Tuesday PROJECT WORK TEACHING SESSION
Wednesday ST THOMAS’ INTENSIVE CARE UNIT
SEVERE RESPIRATORY FAILURE MULTI-
DISCIPLINARY MEETING
Thursday CLINICAL GOVERNANCE MEETING ST THOMAS’ INTENSIVE CARE UNIT
Friday CRITICAL CARE RECOVERY CLINIC CRITICAL CARE RECOVERY CLINIC
Week 2
Monday GUY’S CRITICAL CARE UNIT GUY’S CRITICAL CARE UNIT
Tuesday PROJECT WORK TEACHING SESSION
Wednesday HIGH DEPENDENCY UNIT
SEVERE RESPIRATORY FAILURE MULTI-
DISCIPLINARY MEETING
Thursday OUTREACH OUTREACH
Friday CRITICAL CARE RECOVERY CLINIC CRITICAL CARE RECOVERY CLINIC
www.guysandstthomasevents.co.uk/vpp
3 Visiting Professional Programme – Critical Care
Critical Care
Critical Care at Guy’s and St Thomas’ is one of the largest, most specialised and comprehensive critical care
services in the NHS, providing a total of 29,371 bed days in 2016/17. The service cares for an unparalleled case
mix; seeing patients from a wide range of socioeconomic groups and ethnic backgrounds with a broad range of
critical illness and injury. It is a core service within the trust strategy and treats patients across a complete
pathway, from outreach, through to the commissioned follow-up clinic.
The critical care service is an enabler of many specialist pathways, with level 2 and 3 beds spread across both the
Guy’s and St Thomas’ sites.
Guy’s and St Thomas’ is one of five ECMO centres in the UK, with a 24/7 consultant-led retrieval service. The team
have been able to build strong relationships with the 4 other UK centres that are commissioned to provide ECMO
support, and engage closely with referring centres to inform of best clinical practice and service updates.
Critical care also hosts the Outreach Team to provide assistance and care to deteriorating patients on the ward.
This is medically staffed by senior trainees, and overseen by a consultant.
The critical care service is recognised internationally for supporting patients beyond the walls of intensive care and
taking a holistic view of their recovery back to health. The department runs a well-established recovery clinic and
peer support group, led by a multi-disciplinary team of critical care professionals. The recovery pathway has
continued to grow year on year, with the services being accessed by more patients than ever before.
Critical Care Areas
St Thomas’ hospital – Intensive Care 1 (ICU1) 15 beds
St Thomas’ hospital – Intensive Care 2 (ICU2) 15 beds
St Thomas’ hospital – Intensive Care 6 (ICU6) 11 beds dedicated ECMO unit
St Thomas’ hospital – Victoria High Dependency Unit (VHDU) 10 beds
St Thomas’ hospital – Page High Dependency Unit (PHDU) 4 beds
St Thomas’ hospital – Doulton High Dependency Unit (DHDU) 10 beds
St Thomas’ hospital – Overnight Intensive Recovery (OIR) 11 beds
Guy’s hospital – Guy’s Intensive Care Unit (GCCU) 13 beds
Adult Surgical services provided at Guy’s and St Thomas’
ENT
Head and Neck
Maxfax
Thoracic
Endo-Urology
Urology
Renal
Transplant
Orthopaedics
Pain Management
Plastic surgery
Gynaecology
Gynaecology Oncology
Cardiothoracic
Vascular
Upper GI
Lower GI
Breast Surgery
Cleft
Oral Surgery
Ophthalmology
Trauma services
www.guysandstthomasevents.co.uk/vpp
4 Visiting Professional Programme – Critical Care
Faculty
Our team comprises 29 consultants and 60 trainees who work closely with a strong multi-disciplinary team of
dieticians, physiotherapists, psychologists, occupational therapists and pharmacists. The department has a good
working relationship with the other medical and surgical specialties within the trust.
Critical care consultants
Dr Richard Lead (Clinical Director) Dr Marlies Ostermann (Clinical Lead) Dr Nick Barrett (Clinical Lead) Dr Andrew Aswani Dr Andrew Retter Professor Richard Beale Dr Ros Tilley Dr Andy Jones Dr Angela McLuckie Dr Simon Sparkes Dr Chris Langrish Dr Duncan Wyncoll Dr Richard Paul Dr David Cain Dr Hina Pattani Dr Chris Meadows Dr Nick Ioannou Dr Peter Sherren Dr Stephen Tricklebank Dr Luigi Camporota Dr Manu Shankar-Hari Dr Marius Terblanche Dr Aimee Brame Dr Guy Glover Dr Helen Cahill Dr Joel Meyer Dr Andrew Slack Dr Kyra Dingli Dr Katie Lane Dr Jonah Powell-Tuck Dr Eshan Ahmadina Dr Helen Vollmer
www.guysandstthomasevents.co.uk/vpp
5 Visiting Professional Programme – Critical Care
Fees
A course fee per week will be applied. This excludes accommodation and travelling expenses. Participants will be
provided with a certificate at the end of their attachment. To find out the fee please contact us by emailing
Registration and enquiries
To register for the Critical Care Visiting Professional Programme please complete the application form at
www.guysandstthomasevents.co.uk and return to:
Education and Events
Guy’s and St Thomas’ NHS Foundation Trust
Email: [email protected]
Telephone: + 44 (0)20 7188 7188 extension 55865
www.guysandstthomasevents.co.uk/vpp
6 Visiting Professional Programme – Critical Care
Guy’s and St Thomas’ NHS Foundation Trust
Guy's and St Thomas' NHS Foundation Trust is one of the largest Foundation Trusts' in the UK. It consists of St Thomas' Hospital, Evelina London Children’s Hospital and Guy's Hospital. The Trust provides a full range of hospital services, as well as specialist services including cancer, cardiothoracic, women and children’s services, kidney care and orthopaedics. Guy’s is a major centre for cancer and renal services with the UK’s largest kidney donor programme, and is also a leading centre for genetics, stem cell and allergy research and cleft lip and palate. St Thomas’ is a leading centre for the treatment of cardiovascular disease, stroke, HIV and dermatology. The Trust has one of the largest critical care units in the UK and one of the busiest A&E departments in London. It has an annual turnover of £1.5 billion and employs around 16,200 staff. Last year, the Trust handled 2.4 million patient contacts, including:
1.28m outpatients
89,000 inpatients
111,000 day case patients
205,000 emergency and urgent care attendances
810,000 in community services
6,567 babies delivered The Trust has 665 beds at St Thomas', 288 at Guy's, 144 at the Evelina London Children’s Hospital and 64 in the community. NHS statistics show that our patient survival rates are nearly 25 per cent better than the national average. This is one of the lowest standardised mortality rates in the NHS and provides an important indication of the quality of care provided by our clinical staff. In 2013, the Dr Foster Hospital Guide awarded us Trust of the Year for safe care. Care Quality Commission (CQC) rating Guy’s and St Thomas’ achieved a ‘Good’ overall rating by the Care Quality Commission (CQC) with several services rated ‘Outstanding’. CQC inspectors visited the Trust’s hospital and community services from 7-10 September 2015 with further unannounced visits taking place later the same month. In its report, the CQC praises staff who its inspectors found to be ‘highly committed to the Trust and delivering high quality patient care’.
www.guysandstthomasevents.co.uk/vpp
7 Visiting Professional Programme – Critical Care
Guy’s and St Thomas’ NHS Foundation Trust values Our values help us to define and develop our culture – what we do and how we do it. Making people aware of the Trust values, making them part of our culture and demonstrating them through the organisation helps us develop a shared way of acting. Our values are a key part of everything that we do as an organisation, from being included in staff job descriptions and in our publications, through to our work on leadership development and performance management. Our five values are listed below:
1. Put patients first 2. Take pride in what we do 3. Respect others 4. Strive to be the best 5. Act with Integrity
Every day we aim to provide the most exceptional care to our patients from dedicated staff who follow our five values. Take a look at our video at http://gti/services/organisational-devt/values-behaviours/our-values.aspx to see what our values mean to them.
www.guysandstthomasevents.co.uk/vpp
8 Visiting Professional Programme – Critical Care
Copyright © Guy’s and St Thomas’ NHS Foundation Trust 2018. All rights reserved.
No part of this document may be reproduced without written consent from the author.